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DA Form 1

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☐ Water-related development –levees (category 3 levees only)
☐ Wetland protection area
Matters requiring referral to the local government:
☐ Airport land
☐ Environmentally relevant activities (ERA) (only if the ERA has been devolved to local government)
☐ Heritage places – Local heritage places
Matters requiring referral to the Chief Executive of the distribution entity or transmission entity:
☐ Infrastructure-related referrals – Electricity infrastructure
Matters requiring referral to:
● The Chief Executive of the holder of the licence, if not an individual
● The holder of the licence, if the holder of the licence is an individual
☐ Infrastructure-related referrals – Oil and gas infrastructure
Matters requiring referral to the Brisbane City Council:
☐ Ports – Brisbane core port land
Matters requiring referral to the Minister responsible for administering the Transport Infrastructure Act 1994:
☐ Ports – Brisbane core port land (where inconsistent with the Brisbane port LUP for transport reasons)
☐ Ports – Strategic port land
Matters requiring referral to the relevant port operator, if applicant is not port operator:
☐ Ports – Land within Port of Brisbane’s port limits (below high-water mark)
Matters requiring referral to the Chief Executive of the relevant port authority:
☐ Ports – Land within limits of another port (below high-water mark)
Matters requiring referral to the Gold Coast Waterways Authority:
☐ Tidal works or work in a coastal management district (in Gold Coast waters)
Matters requiring referral to the Queensland Fire and Emergency Service:
☐ Tidal works or work in a coastal management district (involving a marina (more than six vessel berths))


18) Has any referral agency provided a referral response for this development application?
☐ Yes – referral response(s) received and listed below are attached to this development application
☒ No
Referral requirement                                                   Referral agency                      Date of referral response



Identify and describe any changes made to the proposed development application that was the subject of the referral
response and this development application, or include details in a schedule to this development application (if
applicable).




                                                                                                                                     Page 7
                                                                                                  DA Form 1 – Development application details
                                                                                                            Version 1.3— 28 September 2020
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