Works On Waterways Application Form Home /Waterways/Flood Advice & Works on.../Works on Waterways Application FormNote this form works best using Google Chrome.Fields marked with an * are requiredApplication 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) First Last Company Name (if applicable)Email(Required) Postal Address (including postcode)(Required)Phone (daytime)(Required)Mobile PhoneIs the applicant also the owner of the land?(Required) Yes No3. NAME OF WATERWAY DETAILSName of Waterway (if known)(Required)Tributary of4. PROPERTY DESCRIPTION WHERE THE WORKS ARE PROPOSEDProperty Address(Required)(e.g. 3 Kurrajong Road, Homesview)Please include if known:Crown Allotment and Parish Namee.g. Lot 4 of PS144333Lot Number of Plan of Subdivision (PS) or Lodge Plan Number (LP), etc.e.g. Lot 4 of PS144333Are the works on Crown Land or Private Land?(Required) Crown Land Private LandIf 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 locationHave you had a pre-application meeting or contact with a CMA staff member? Yes NoIf yes, who with?5. GENERAL DESCRIPTION OF THE PROPOSED WORKSPlease Tick All That Apply Bridge Culvert Ford Storm Water5A. GENERAL DESCRIPTION OF THE PROPOSED WORKSDescribe the land use(Required)(e.g. grazing, cropping, residential, etc.) adjacent to the proposed works siteProposed Use/Purpose of Works(Required)Please give a detailed description of the works(Required)5B. WATERWAY DIMENSIONS (in metres)Distance between top of waterway banksDistance across waterway bedDepth from top of bank to bed5C. Describe any erosion and vegetation detailsIs there evidence of erosion in the bed and banks of the waterway?(Required) Yes NoDescribe the type and extent of existing vegetation on the bed and banks of the waterway at the proposed site.BedBanks5D. Describe the soil type of the bed and banksBED of the waterway:Please tick the appropriate box Clay Loam Sand Gravel Rock OtherOther bed soil type(s):BANKS of the waterway:Please tick the appropriate box Clay Loam Sand Gravel Rock OtherOther bank soil type(s):6. Crossing/outlet detailsYou 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 - Width in metresBridge - Total length in metresBridge - Height of soffit above bed in metresBridge - Number of spansBridge - Proposed Material Concrete Steel TimberBridge - Other proposed crossing materialPipe and Box Culvert CrossingProposed Culvert Dimensions:Culvert - Size of box or pipe diameter in metresCulvert - Width of crossing in metres(measurement from upstream to downstream)Culvert - Length of crossing in metres(measured from bank to bank)Culvert Type Box Culvert Pipe CulvertCulvert - Number of parallel culvertsCulvert - Height of crossing above waterway bed level in metresCulvert endwall material and styleCulvert - Proposed material of culvert pipe/box Concrete SteelCulvert other proposed materialFord - Total Width of ford crossing in metres(measured from upstream to downstream)Ford - Total Length of ford crossing in metres(measured from bank to bank)Stormwater Outlet - Stormwater catchment area(in metres)Stormwater Outlet - Expected increase in peak flowrate(in metres)Stormwater Outlet - Expected velocity at outlet(in metres per second)Stormwater Outlet - Are treatment/detention/retention measures in place? Yes NoIf yes, please describe7. ANCILLARY WORKSDo the proposed works involve stream-realignment(Required) Yes NoAre there any proposed bed and/or bank protection works?(Required) Yes NoPlease provide detail of the bed/bank protection works8. NATIVE VEGETATION REMOVAL ASSOCIATED WITH THE PROPOSALWill any native vegetation be removed? Yes No(includes trees, shrubs, grasses)If YES, please specify the type and amount/area of vegetation to be removedYou should contact your Local Council to determine whether a planning permit is requiredHave you considered alternative work sites to minimise native vegetation removal? Yes NoIf NO, please explain reason9. UPLOAD PLANS, DRAWING and SUPPORTING DOCUMENTSProperty 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 banksDetailed sketch/engineering plans of works showing all dimensions, sizes and materials to be usedAny other relevant materialUpload your supportig documents Drop files here or Select filesAccepted file types: jpg, jpeg, png, gif, pdf, Max. file size: 35 MB, Max. files: 10.11. INDEMNITY CLAUSEConsent(Required) I agree to the INDEMNITY CLAUSE belowI 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.Type your Name(Required)Please indicate your preferred method of correspondence(Required) Email MailPlease allow up to 28 days for application processing. Missing or incomplete information may delay this process further.