Fields marked with an * are required
Application for a Permit is required by Corangamite Catchment Management Authority pursuant to By-law No. 4 Waterways Protection 2014 of the Water Act, 1989.
The applicant must complete all details on this form, attach all required details, and ensure that the indemnity clause is signed. Before completing this application, please ensure you read the Guidelines for Applying for a Works on Waterways Permit and the specific notes for the proposed work type that you wish to undertake. Please also review the Works On Waterways Permit Terms And Conditions and if required read the explanatory information on Stormwater Outlets.
1. NAME OF APPLICANT (May be a person representing the owner.) Name (Required)
Is the applicant also the owner of the land? (Required) 3. NAME OF WATERWAY DETAILS 4. PROPERTY DESCRIPTION WHERE THE WORKS ARE PROPOSED Please include if known: Are the works on Crown Land or Private Land? (Required)
If the works are on Crown Land, it is the responsibility of the applicant to contact the Department of Environment, Land, Water and Planning to obtain landowner consent.
Any further useful details to help us determine the location Have you had a pre-application meeting or contact with a CMA staff member? 5. GENERAL DESCRIPTION OF THE PROPOSED WORKS Please Tick All That Apply 5A. GENERAL DESCRIPTION OF THE PROPOSED WORKS Describe the land use (Required)
(e.g. grazing, cropping, residential, etc.) adjacent to the proposed works site
Proposed Use/Purpose of Works (Required) Please give a detailed description of the works (Required) 5B. WATERWAY DIMENSIONS (in metres) 5C. Describe any erosion and vegetation details Is there evidence of erosion in the bed and banks of the waterway? (Required) Describe the type and extent of existing vegetation on the bed and banks of the waterway at the proposed site. 5D. Describe the soil type of the bed and banks BED of the waterway: Please tick the appropriate box BANKS of the waterway: Please tick the appropriate box 6. Crossing/outlet details
You did not select Crossing - Bridge, Culvert or Ford, or Stormwater Outlet in section 5 above, no further details are required.
Bridge Crossing Proposed Bridge Dimensions:
Bridge - Proposed Material
Pipe and Box Culvert Crossing
Proposed Culvert Dimensions:
Culvert Type Culvert - Proposed material of culvert pipe/box Stormwater Outlet - Are treatment/detention/retention measures in place? 7. ANCILLARY WORKS Do the proposed works involve stream-realignment (Required) Are there any proposed bed and/or bank protection works? (Required) Please provide detail of the bed/bank protection works 8. NATIVE VEGETATION REMOVAL ASSOCIATED WITH THE PROPOSAL Will any native vegetation be removed?
(includes trees, shrubs, grasses)
If YES, please specify the type and amount/area of vegetation to be removed Have you considered alternative work sites to minimise native vegetation removal? 9. UPLOAD PLANS, DRAWING and SUPPORTING DOCUMENTS Property map showing where the works will be specifically (i.e. more zoomed in than locality map)
Photos of waterway at works location looking upstream and downstream.
Photos of works location showing both banks
Detailed sketch/engineering plans of works showing all dimensions, sizes and materials to be used
Any other relevant material Upload your supportig documents
Drop files here or
Accepted file types: jpg, jpeg, png, gif, pdf, Max. file size: 35 MB, Max. files: 10. 11. INDEMNITY CLAUSE Consent (Required) I agree to the INDEMNITY CLAUSE below
I acknowledge that the Corangamite Catchment Management Authority may issue a permit for the construction of the works on a waterway but that Corangamite Catchment Management Authority shall not be responsible for any claims, suits or actions, arising from injury, loss, damage or death, to any person or property which may arise from the construction, maintenance, existence or use of the works.
I hereby indemnify the Corangamite Catchment Management Authority and its officers against all claims, suits or actions arising from injury, loss, damage or death, to any person or property which may arise from the construction, maintenance, existence or use of the works described in this application. Please indicate your preferred method of correspondence (Required)
Please allow up to 28 days for application processing. Missing or incomplete information may delay this process further.