Development Application

Under the Environmental Planning and Assessment Act 1979

Section 4.12

You can use this form to request approval to undertake development in the Georges River Council Local Government
Area where Council is the consent authority. Note: This form should NOT be used for applications for Food and Drink
Premises Registrations, Outdoor Dining, Complying Developments, Section 8.2, 8.3, 8.4, 8.5 (formerly Section 82A) or
Section 4.55 (formerly Section 96) Modifications.

Advisory Notes
 The Development Application Guide is available at www.georgesriver.nsw.gov.au. This guide will help
you complete the application form. For further enquiries, contact Customer Service on 9330 6400.
 An incomplete submission may result in rejection of your application. Please refer to the Application
Checklist attached to ensure all required documents are provided prior to submitting this application.
 Completed application form must be submitted with owner’s consent given by ALL owners. Incomplete or
incorrect owners consent will result in rejection of your application.
 Application fee must accompany application – Refer to Schedule of Fees and Charges.
 All documents must be stored on a USB that is not password protected in accordance with Council’s
Development Application Guide.

NOTE: Part A of this application form must be provided separately in the electronic copy of documentation.
Part B of this form, with your completed details, may be publicly available on Council’s website.

Part A - Applicant and Owner Details

Applicant Details CSO Checked

Company/Organisation: ABN:

If Applicant is a Company: Application form must be signed by 2 directors or a director and the company secretary. In the
case of a proprietary company that has a sole director, that director only must sign and must indicate that he/she is the
sole director. An ASIC search must be attached to the application form.
Mr  Ms  Mrs  Dr  Other 
Name:
Street Address: Suburb: Postcode:

Postal Address:

Phone: Mobile No:

E-mail Address: Please nominate an email address you regularly use and monitor because you may be contacted via email by NSW State
Government Agencies as part of the NSW Online Concurrence and Referral Service.

Signature: Date:

Position:

Signature: Date:

Position:

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Development Site Address
Please list all properties subject to this application
Street Address:

Suburb: Postcode:

Lot: Section: DP/SP:

Site Area (m2): Floor Area (m2 ):

Registered Owners Consent Appropriate for your Application

Torrens Title  Owned by individuals. Please complete the Registered Owners Detail section.
Property  Owned by a company. Please complete the Registered Owners Detail section and the
application form must be signed by 2 directors or a director and the company secretary.
In the case of a proprietary company that has a sole director, that director only must sign
and must indicate that he/she is the sole director. An ASIC search must be attached to
the application form.
Strata Title  Owned by individuals / works not affecting common property. Please complete the
Property Registered Owners Detail section.
 Owned by individuals / works affecting common property. Please complete the
Registered Owners Detail section and the Strata Property - works affecting Common
Property section.

Registered Owner Details CSO Checked

Organisation/Company Name (if applicable):

Title: Title:

Name Name

Postal Address: Postal Address:

Suburb: Suburb:

Contact Number: Contact Number:

E-mail Address: E-mail Address:

As the owner(s) of the property subject to this application I/we consent to the lodgement of this
application and to Council entering the property for assessing the application and compliance with
any approval which may be issued by Council.
Signature:

Position: Date:

Signature

Position: Date:

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Strata Property
Works affecting common property – Section 108 of Strata Scheme Management Act CSO Checked
For works that affect common property, the owners corporation consent is required. Section 108 of the Strata
Schemes Management Act allows for changes to common property if the owners corporation has passed a
special resolution authorising the works. The applicant must ensure that the owners corporation has given a
valid consent. The applicant should seek a copy of the minutes / resolution of a general meeting authorising
the change to common property or letter on strata management letterhead stating that the requirements of the
Strata Schemes Management Act 2015 have been met.
Strata/Body Corporate Name: Position:

Signature: Date:

Strata/Body Corporate Name: Position:

Signature: Date:

Strata Stamp Seal to be

affixed here if applicable

Conflict of Interest
Is the applicant or owner a staff member, Councillor, □ Yes □ No
or contractor of Georges River Council or is the
applicant or owner related to someone who is a staff If Yes state relationship:
member, Councillor, or contractor of Georges River
Council?
Is the application being submitted on behalf of an □ Yes □ No
employee or Councillor?
If Yes please explain nature of interest:

Declaration
 I understand that if the information is incomplete, the application may be rejected and returned.
 I declare that all the information in the application is to the best of my knowledge, true and correct.
 I acknowledge that if the information provided is misleading, any approval granted 'may be void'.
 I accept that inadequacies in the material submitted may result in delays in the processing of the
application.
 I certify that any shadow diagrams provided with this application are prepared in accordance with the
survey (prepared by a registered surveyor), drawn to true North, indicate the shadows cast by the
proposal between 9am and 3pm on 21st June, indicate the shadow cast by existing buildings and
structures on site and in the surrounding area and if applicable elevations of adjoining premises showing
existing and proposed shadows.
 I understand that Council will use the information and materials provided for notification and advertising
purposes.
 I understand that Council officers may need to carry out a site inspection and will undertake to make site
access available as required.
 I am authorised by the copyright holder of any material submitted with this application to provide this
material to Council for the purpose of this application.
 I authorise Georges River Council to disclose my personal information to the NSW Department of
Planning, Industry and Environment for the purpose of assessing my application. I understand that the
NSW Department of Planning, Industry and Environment may disclosure my personal information to other
NSW Government agencies for the purpose of assessing my application.
Applicant’s Signature: Date:

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Political Donations and Gift Disclosure Statement
Persons lodging an application with Council are required to declare reportable political donations and gifts.
Has the applicant or owner made political donations of more than $1,000 or gifts (regardless of value) in the
previous two (2) years?
□ No □ Yes If Yes, you must complete & submit the Declaration of Political Donations and
Affiliations form. For more details refer to the Development – Political
Donations and Gifts page on our website or the following link
https://www.planning.nsw.gov.au/Assess-and-Regulate/Development-
Assessment/Planning-Approval-Pathways/Donations-and-Gift-Disclosure

Privacy Statement
Georges River Council is required under the Privacy and Personal Information Protection Act 1998 to collect,
maintain and use your personal information in accordance with the Information Privacy Principles. Your
personal information is being collected to process your application. Council may use your personal
information for the purposes of processing your application. Council is regarded as the agency that holds the
information and in accordance with section 18(1)(b) of the Privacy and Personal Information Protection Act
1998 (NSW), you are advised that all application forms received by Council will be placed on the appropriate
Council file and may be disclosed to Councillors, Council officers, consultants to Council or members of the
public. Pursuant to the provisions of the Government Information (Public Access) Act 2009, Council is obliged
to allow inspection of its documents, including any application you make. You may apply to access or amend
your information by contacting Council on 9330 6400 or at mail@georgesriver.nsw.gov.au.

Applicant’s Signature: ...............................................................................................Date: ................................

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 Development Application
Under the Environmental Planning and Assessment Act 1979
Section 4.12

Part B - Application and Site Details

Please note that the information provided in this part may be placed on Council’s website and be publicly available.

Site Details
Please list all properties subject to this application
Unit No. House No. Building Name:

Street Name:

Suburb: Postcode:

Lot: Section: DP/SP:

Site Area (m2): Floor Area (m2 ):

Applicant Details
Title Given Name: Family Name:

Organisation/Company Name (if applicable):

Description of Work to be Carried Out

□ Use of land/building □Erect a building □Subdivision □Carrying out of works □Demolition
Please provide a detailed description of the proposed works:

Estimated Cost of Works

The estimated cost should be either a contract price or an estimate based on the current market value of the
labour and materials needed to complete the development. Application fees are based on development cost. If
necessary, Council reserves the right to assess its own estimated cost for the purposes of fees. Inaccurate costs
may delay processing of your application.
A genuine and accurate market value estimated cost of works of the development including GST is:

$______________________________
Development costs up to $100,000.00: you must
complete Attachment 1 – OR provide a quote from an
□ Yes □ No □ N/A
independent, qualified builder, architect, building designer
or quantity surveyor.
Development costs > $100,001.00 < $1 million, one
quote from an independent, qualified builder, architect, □ Yes □ No □ N/A
building designer or quantity surveyor will be required.
Development costs > $1 million, a detailed cost report is
required to be completed by a registered quantity
surveyor and for large scale developments. ($10 million □ Yes □ No □ N/A
and over) the estimated cost and the capital investment
value will be required.

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Capital Investment Value (if estimated cost over $10 million)
The capital investment value of a project includes all costs necessary to establish and operate the project,
including the design and construction of buildings, structures, associated infrastructure and fixed or mobile
plant and equipment (but excluding land costs and GST). Please refer to NSW Department of Planning
website for more information.
Capital Investment Value is $:

Pre – Lodgement Consultation

□ Yes – Pre – lodgement number

Have you had a pre-lodgement consultation? …………………

□ No - go to next question

Section 68 Approval
□ Yes – please provide details:
Are you seeking approval to carry out any activity which
requires Council approval in accordance with Section 68
of the Local Government Act 1993? □ No - go to next question
Environmental Planning & Assessment Regulation
□ Yes
Is the property/land a critical habitat?
□ No - go to next question
Is the development a biodiversity compliant
□ Yes
development? biodiversity compliant development is
defined in Schedule 1 of the Environmental Planning and □ No - go to next question
Assessment Regulations 2000
Will the development affect threatened species, □ Yes – a Biodiversity Development Assessment
populations, ecological communities or their habitats as Report must be prepared
defined in Sections 7.3 and 7.4 of the Biodiversity
Conservation Act 2016? □ No - go to next question
□ Yes – please provide details below:
Is the land subject to a private land conservation
agreement under the Biodiversity Conservation Act
2016? □ No - go to next question
Will the clearing of native vegetation associated with the
development trigger the Biodiversity Offsets Scheme
through either the Biodiversity Values Map, clearing
threshold or test of significance according to the □ Yes – a Biodiversity Development Assessment
Biodiversity Conservation Act 2016? Report must be prepared

To check if your development is triggering the □ No - go to next question

Biodiversity Offsets Scheme, please see:
https://www.georgesriver.nsw.gov.au/Environment/Trees-
and-Biodiversity
Approval from Other Government Agencies
Are you seeking approval for any activity as detailed on □ Yes – complete Attachment 2
Attachment 2 from State Government Authorities as an
□ No - go to next question
integrated development?
□ Yes - please advise which agencies
Do you need the concurrence of a state agency to carry concurrence is required from:
out the proposed development?
□ No - go to next question
□ Yes - complete a separate construction
Are you lodging a construction certificate application with certificate application form
this application for development consent?
□ No

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Environmental Impact
Is your proposal designated development?
To assess your proposal, we need to understand the □ Yes - please attach an environmental impact
impacts it will have. Depending upon the nature and statement
scale of your proposal, you need to provide one or more
of the statements. Please refer to the Development □ No - please attach a statement of
Application Guide. environmental effects

Design Review Panel

□ Yes – please ensure additional plans are
Is referral to the Design Review Panel for assessment provided as per checklist guidelines
under SEPP 65 applied for with this service?
□ No
Heritage
□ Yes - please attach a heritage impact
Does your proposal require works to a local heritage item statement
or is within a heritage conservation area?
□ No

□ Yes - please attach a heritage impact

statement
If your proposal within the vicinity of a heritage item?
□ No

Office Use Only

DA_ _ _ _ / _ _ _ _ Amount Paid: $

Date: Receipt No:

CSO (Print name):

Instructions for Applicants

Lodging an application requires a completed application form, supporting documentation and payment of the
relevant fee.

Fees and charges payable are shown in the Schedule of Fees and Charges available on our website.
Payments can be by cash, cheque, EFTPOS and some credit cards (subject to a fee). Do not post cash. It is
best to confirm fees before writing cheques. Dishonoured cheques will result in an application being cancelled
and further charges to be added.

Printed form can be submitted in person at Georges River Civic Centre or Kogarah Service
Print form
Centres or it can be posted via the postal address Georges River Council, PO Box 205,
Hurstville BC NSW 1481

Lodge by E-mail: mail@georgesriver.nsw.gov.au

Lodge in person: Georges River Council:

 Georges River Civic Centre

Corner MacMahon & Dora Streets, Hurstville
Open: 8.30am – 5.00pm, Monday to Friday

 Kogarah Service Centre

Kogarah Town Square
Belgrave Street, Kogarah
Open: 8.30am to 12.00 noon

www.georgesriver.nsw.gov.au/ContactUs

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 Cashiering: For application lodgement purposes Georges River Civic Centre hours are from 8:30am -
4:30pm & Kogarah Service Centre hours are from 8.30am – 12.00 noon.

Lodge by mail: Georges River Council, PO Box 205, Hurstville BC NSW 1481

Cheques are to be made payable to: Georges River Council

Credit card: Please call Georges River Council with credit card details

Electronic Lodgement Requirements

 All applications and supporting information must be submitted digitally as PDF files on a USB. Security
settings, including passwords and editing restrictions must not be applied to electronic plans and
documents.

 Each document or plan must be titled in the following format:

Title of Plan or Document – Address of property.pdf

No punctuation (with the exception of the dash and “.pdf”) will be accepted. Failure to name the
files in accordance with these requirements will result in the rejection of the application.

 Each plan must be at a minimum A4 size and rotated to landscape orientation.

For more information in relation to the electronic lodgement of development applications please see:

https://www.georgesriver.nsw.gov.au/StGeorge/media/Documents/Development/Fact-Sheet-DA-Electronic-
Lodgement.pdf

I declare that the electronic data provided is a true copy of all plans and associated documents
submitted. I declare that each document is a PDF no bigger than 5MB; named descriptively; and
there are no security settings applied. I declare that the electronic data is not corrupted and does not
contain any viruses. I understand that information provided on the USB will be publicly available. I
have stored Part A and B of this form separately on the USB.

Applicant (print name): ...............................................................................................Date: ................................

Hard Copy Lodgement Requirements

 Applications lodged under State Environmental Planning Policy No 65 – Design Quality of Residential
Apartment Development are required to be submitted to the Design Review Panel must be accompanied
by 3 sets of hard copy plans and supporting documents.
 The Development Application Form and letter of owners consent will be accepted in hard copy if a pdf
version is unavailable.

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Attachment 1
Must be completed for development proposals up to $100,000.

The applicant must provide the genuine costs of the development proposed by this application and these
costs are based on industry recognised prices with GST Inclusive. All costs must be calculated in accordance
with the definition of development costs in Section 25J of the Environmental Planning and Assessment
Regulation 2000, at current prices. Council may review the information provided and can seek further
information or make its own fee determination.

Genuine Cost Estimate

Description of Cost Size Measure Cost/m2 $
Demolition m2
2
Site preparation (e.g. clearing vegetation, m
decontamination or remediation)
Preliminaries (e.g. scaffolding, hoarding, fencing, site m2
sheds, waste management)
Excavation m2
Additional ground / foundation floor level m2
2
Additions at other floor levels m
Internal modifications (no additional floor area) m2
Garage m2
Deck m2
Carport / open car space m2
Handstand area / driveway m2
2
Landscaping and site works m
Fencing lineal metre
Masonry boundary wall (no retaining) lineal metre
Masonry retaining wall lineal metre
Swimming pool less than 40m2 <40m2 - $65,000.00
Swimming pool more than 40m2 >40m2 - $80,000.00
Constructions and engineering costs including fit out
Change of Use
Subdivision (planning, executing and registering,
including covenants & easements)
Services (e.g. plumbing, mechanical, fire, lift)
External services (e.g. gas, telephone, electricity
connection to mains)
Other (specify)
Margin
Goods and Services Tax
Totals: $

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Attachment 2
Must be completed for Integrated Development

Nominate here other approvals which must be obtained for your proposal under Section 90 Environmental
Planning & Assessment Act 1979 by placing a tick in the relevant box(es):

Section 90 Environmental Planning & Assessment Act 1979

Approval being sought Act & Section Reference Responsible Authority

□ Erect a structure or carry out a work in Council or RMS for
S138 Roads Act 1993
or over a public road classified roads
□ Dig up or disturb the surface of a Council or RMS for
S138 Roads Act 1993
public road classified roads
□ Remove or interfere with a structure, Council or RMS for
S138 Roads Act 1993
work or tree on a public road classified roads
□ Pump water into a public road from Council or RMS for
S138 Roads Act 1993
any land adjoining the road classified roads
□ Connect a road (whether public or Council or RMS for
S138 Roads Act 1993
private) to a classified road classified roads
NSW Dept of Primary
□ Carry out aquaculture S144 Fisheries Management Act 1994
Industries
NSW Dept of Primary
□ Carry out dredging S201 Fisheries Management Act 1994
Industries
□ Cut, remove or destroy marine S205 or S219 Fisheries Management NSW Dept of Primary
vegetation or net/dam/weir Act 1994 Industries
□ Revocation/modification conservation S58 Heritage Act 1977
Heritage Council of NSW
orders/state heritage item
□ Works with area of relics or Aboriginal National Parks & Wildlife
S90 National Parks & Wildlife Act 1974
place Service
Environment Protection
□ Scheduled development S434/47/55 POEO Act 1997
Authority
Environment Protection
□ Scheduled activities S434/48/55 POEO Act 1997
Authority
Environment Protection
□ Non-scheduled activities S434/55/122POEO Act 1997
Authority
Environment Protection
□ Licence-controlled waste facility Waste Management Act 2000
Authority
□ Bushfire safety of subdivision of land S100B Rural Fires Act 1997 Rural Fire Service

□ Water use, management Water Management Act 2000 Part3 Ch3 Various

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 Attachment 3: Development Application Checklist

Commercial / Retail / Industrial

Change of Use / Commercial
Georges River Council

Childcare Centres / Place of

Applicant to Indicate if N/A

Multi-Dwellings (not RFB)

Residential Flat Buildings

Alts & Adds / Residential

Mixed Use Development

Alts & Adds Commercial

Single (new) Dwellings /
DA Lodgement

Council Officer Check

Carports & Garages

Secondary Dwelling

Subdivision Only
Swimming Pools

Dual Occupancy

Applicant Check
Boarding House
Requirements Matrix

Public Worship

Signage
Fit out
 = Required
 = May be Required

Site Analysis Plan              

Site Plan               

Survey Plan              

Floor Plans -
Existing and             

Proposed
Elevations &
             

Sections
Landscape Plan           

Deep Soil Plan             
Stormwater
Drainage Concept             

Plan / OSD
Plans & Drawings

Flood Study              

Shadow Diagrams
– Existing and           

Proposed
Subdivision / Strata
    

Plan
Environmental Site
           

Management Plan
GFA & Building
           

Height Certification
Streetscape
           

Character Analysis
Erosion & Sediment
           

Control Plan
Schedule of
Colours & External             

Finishes
Photo Montages             

A4 size Notification
              

Plans
3D Model               

Statement of
Environmental               

Effects
documentations

BASIX Certificate           
Supporting

Arborist Report              

Assessment of
Significance (5 part              

test)
Bushfire Report              

Vegetation
             

Management

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 Commercial / Retail / Industrial
Change of Use / Commercial
Georges River Council

Childcare Centres / Place of

Applicant to Indicate if N/A

Multi-Dwellings (not RFB)

Residential Flat Buildings

Alts & Adds / Residential

Mixed Use Development

Alts & Adds Commercial

Single (new) Dwellings /
DA Lodgement

Council Officer Check

Carports & Garages

Secondary Dwelling

Subdivision Only
Swimming Pools

Dual Occupancy

Applicant Check
Boarding House
Requirements Matrix

Public Worship

Signage
Fit out
 = Required
 = May be Required

Heritage Impact
             

Statement
Waste
             

Management Plan
Clause 4.6
            

Variation
Fire Safety
         

Schedule
Access Report          

Design Verification
    

Statement
Geotechnical
            

Report
Excavation Plan             

Acid Sulphate Soils
            

Management Plan
Contamination /
Remediation Action             

Plan
Traffic and Parking
         

Assessment Report
Acoustic Report /
         

Noise Assessment
Construction
        

Management Plan
Crime Risk
         

Assessment
Structural
Engineers Report /             

Party Wall Consent
Swept Paths /
Driveway Long             

Sections
NCC (BCA) Report           

Social Impact
Comment or       

Assessment
Solar Access
          

Report
Plan of
     

Management
Hard Copy
Documents and      

Plans

Note:

All Development Applications must provide all relevant plans and documentation included in the matrix table
below. Should a specified item be checked “N/A” the accompanying Statement of Environmental
Effects must state why this item is not required. Failure to submit all the information required in relation to
the Development Application will result in the application being rejected.

Georges River Council – Development Application | www.georgesriver.nsw.gov.au | T: 9330 6400 Page 12 of 13

Office Use Only
Comments by Lodgement Officer □ Mail □ Counter
I.e. Outstanding Information or reasons for information not submitted application application

Applicant (print name): __________________________________ Date: _______________

Council Officer (print name): ____________________________ Date: _______________

Further Information or Frequently Asked Questions

I have submitted Development Application form, what should I expect in return?

You will receive a confirmation email within two weeks of lodging your application providing you the name of
the responsible officer in Council assessing your application and the next steps. If you have not received an
email please call Council on (02) 9330 6400.

Georges River Council – Development Application | www.georgesriver.nsw.gov.au | T: 9330 6400 Page 13 of 13