stage 2... · web viewon-farm irrigation efficiency round 5 program. stage 2 application form. this...

On-Farm Irrigation Efficiency Round 5 ProgramStage 2 Application Form

This form is to be submitted before 5pm Wednesday 07 October 2015 at any Murray Irrigation

OfficeThis form has been adapted from the electronic form provided by the

Department of Environment to Murray Irrigation

This Application Form is in eight parts:

Part A: Proponent (Landholder) InformationPart B: Location and Property InformationPart C: Water Entitlement DetailsPart D: Irrigation & Water Savings InformationPart E: Sub-Project Works InformationPart F: Project Timing & BudgetPart G: Environmental ApprovalsPart H: Declaration

One original application form is required for each sub-project

If you have any questions about this form please contact Lisa Mills, on T. 03 5898 3317 or

E. [email protected]

mailto:[email protected]

Part A: Proponent (Landholder) Information

Duplicate FundingAre there any elements of this sub-project for which you have received or applied for alternative sources of public funding?

Yes No (Please Circle)

If yes, please provide details

Proponent NameIf more than one person is involved (e.g. for a company or partnership), please fill in the name of the main contact person.

Title (circle) Mr Mrs Ms Other:

First Name

Last Name

Farm Business InformationThe Farm Business is the entity that will receive the funding through the On-Farm Irrigation Efficiency Round 5 Program.

Name

ABN ACN

Postal Address

Line 1

Line 2

Town State Postcode

On-Farm Irrigation Efficiency Round 5 Program Stage 2 Application Form of 37

Main ContactThis may be the same person nominated as the Proponent Name above. The Main Contact should represent the person who will be the project manager.

Title (circle) Mr Mrs Ms Other:

First Name

Last Name

Position in Farm Business

Telephone ( ) Mobile

Fax ( )

Email


Part B: Location & Property Information

In this section, provide information on the property where the Sub-Project works are proposed to be undertaken.

LRN

Enter the Landholding Reference Number where the proposed works will be undertaken.

Geographic Location

Please enter the location and direction from the property to the nearest town

E.g. 14kms south of Finley on the Newell Highway

Property Information

Total Size of Property Ha

Total Area laid out to Irrigation Ha

Area of Works in Proposed Sub-Project Ha

Has Irrigation Upgrade Works been Completed on this Property in the last 10 Years? Yes No

If yes, were the previous works similar to those proposed in this sub-project? Briefly describe the previous works.


Part C: Water Entitlement Details

In this section, provide details of water entitlements and all owners of the nominated entitlements that will provide the water savings to be transferred to the Australian Government.

Water EntitlementLRN

Enter the landholding Reference Number where the water entitlements will be transferred from

Total Number of Water Entitlements on this Holding ML

Number of Murray Irrigation Class C Water Entitlements offered for transfer to the Australian Government under this Sub-Project ML

Has this water entitlement been used in an application as part of another Australian Government Program? Yes No

E.g. Restoring the Balance, or Sustainable Rural Water Use and Infrastructure Program

If yes, please provide name and details of the program, and any reference/application numbers


Water Entitlement Owner DetailsPlease provide details of all legal owners of this Water Entitlement. If more than two, copy this section and attach additional pages.

Owner 1Provide details as shown in Murray Irrigation’s Register for the nominated Water Entitlements.

Owner of Water Entitlement (please circle) Company Partnership Trust Individual

If Company

Company Name

ABN ACN

If Partnership/Trust

Partnership/Trust Name

If Individual

Please continue to Contact Details


Contact Details

Title Mr Mrs Ms Other:

First Name

Last Name

Position

Postal Address

Line 1

Line 2

Town State Postcode


Fax ( )

Email

Owner’s Solicitor Details

Name of Firm

Contact Name

Postal Address

Line 1

Line 2

Town State Postcode


Fax ( )

Email


Owner 2 (if applicable)Provide details as shown in Murray Irrigation’s Register for the nominated Water Entitlements.

Owner of Water Entitlement Company Partnership Trust Individual

If Company

Company Name

ABN ACN

If Partnership/Trust

Partnership/Trust Name

If Individual

Please continue to Contact Details


Contact Details

Title (please circle) Mr Mrs Ms Other:

First Name

Last Name

Position

Postal Address

Line 1

Line 2

Town State Postcode


Fax ( )

Email

Owner’s Solicitor Details

Name of Firm

Contact Name

Postal Address

Line 1

Line 2

Town State Postcode


Fax ( )

Email


Third Party Interests in Water EntitlementAre there any mortgages held in relation to this Water Entitlement? Yes No

If yes, provide the name/s of the Financial Institution/s holding mortgages

Mortgage Holder 1

Mortgage Holder 2

Mortgage Holder 3

Mortgage Holder 4

Does anyone else have rights over this Water Entitlement? Yes No

E.g. Lease, Term Transfer over Land or Water Entitlements, or a Share Farming Agreement

If yes, provide the name of the interested holders and the nature of the interest

If there are Third Party Interests in this Water Entitlement, have you contacted them, provided them with information about the program and the Consent to Assignment of Water Entitlement Form to complete?

Yes

Have you recently (in the last six months) modified your Water Entitlement? Yes No

E.g. Sold or Subdivided your Water Entitlement, Purchased further Water Entitlements

If yes, provide the details of the type of Modification/s

Volume of Water Sold, Subdivided or Purchased under the above dealing ML

Can you confirm that documents evidencing these details on the Water Entitlement can be provided if requested? Yes


Part D: Irrigation & Water Savings Information

In this section, please enter irrigation and water savings details where works are proposed as part of this Sub-Project.

Works AreaWhat is the predominant top soil type? (please circle one only) Sand Sandy Loam Clay Loam

Medium Clay Heavy Clay

What is the predominant subsoil type? (please circle one only) Sand Sandy Loam Clay Loam

Medium Clay Heavy Clay

Existing Crop and Irrigation Information

How many hectares are normally under irrigation in this Area? Ha

Is there any Groundwater (shandied with surface supplies) used on this Area? Yes No

If yes, what is the average salinity of the applied water after mixing? < 2,000 EC > 2,000 EC

What is the general slope of the land currently laid out to irrigation? (please circle one only)

1:2000 1:1500 1:1000 1:500

Steep Undulating

Has the area been subject to previous landforming/laser levelling? Yes No

What is the typical flow rate of the existing irrigation system when delivering water onto the land? ML/Day

Is there existing automation of the system on this Area? Yes No

What technology do you use do you use for existing irrigation scheduling in the Area? (please circle one only)

Weather forecast and appearance of plant and soil

Evaporation or evapotranspiration data and rain since last irrigation

Tensiometers/Resistance block readings (soil suction)

Direct measurement of soil water content (eg. Capacitance or Neutron probes)


What is the existing irrigation method? (please circle one only)

Border Check Natural Contour System

Contour System (Bankless Channels) Parallel Contour System

If selected Border Check, what is the typical slope of the bays? (please circle one only)

Flatter than 1:1250 Steeper than 1:1250 but Flatter than 1:600

Steeper than 1:600 but Flatter than 1:300 Steeper than 1:300

What is the typical width of your existing bays? m

How many bays at a time receive the typical flow rate of the existing system when delivering water?

Does the system have Pipes and Risers? Yes No

If selected Natural or Parallel Contour System or Bankless Channel, what is the typical bay size? Ha

Does the system supply each bay individually rather than by cascading from bay-to-bay? Yes No

Does the system drain each bay individually rather than by cascading from bay-to-bay? Yes No

What is the terrace height? mm


Existing Crop PlanFor the Area in question we need to know what crops you have been growing under your existing farm arrangements.

The definition of a Year is a 12-month period. Outline what you have been doing on the project area under “normal” or “long term average” years. In each year we will be adding the hectares you quote for each crop and expecting to get your total irrigated hectares within the Area. Information relating to double cropping is also required. Information on up to four crops in the one Area may be submitted.

Crop selection includes (please select one for each column, Crop 1, Crop 2 etc, as needed on the following pages):


Crop type YieldBarley 4-6 t/haCereal – Summer (Sorghum, Maize, Corn)CottonFallowForage crops – (Legumes, Summer, Winter)FruitGrapesLucerne 4-22 t/haMelonsNutsOats (Grain, Hay)Oilseeds – all except CanolaOilseeds – Canola 2-3.4 t/haPasture – annualPasture – Perennial 7-14 DM/haPulse (Summer, Winter)RiceTurfVegetablesWheat 3-8t/ha

Year 1 Crop 1 Crop 2 Crop 3 Crop 4

What crop was grown? As per crop types on Page 13

Average yield/ha (if applicable)

How many hectares of this crop did you grow in the Area? Ha Ha Ha Ha

The Total Water Use is

Was this double cropped? Yes No Yes No Yes No Yes No

If yes, Summer or Winter Summer or Winter

Summer or Winter

Summer or Winter

Summer or Winter








Summer or Winter

Summer or Winter

Summer or Winter








Summer or Winter

Summer or Winter

Summer or Winter









Summer or Winter

Summer or Winter

Summer or Winter








Summer or Winter

Summer or Winter

Summer or Winter


Proposed Crop and Irrigation Information (after Sub-Project Works)How many hectares are proposed to be under irrigation in this Area following the completion of the sub-project works? Ha

Is there any Groundwater (shandied with surface supplies) used on this Area? Yes No

If yes, what is the average salinity of the applied water after mixing? < 2,000 EC > 2,000 EC

What is the general slope of the whole area? (please circle one only)

1:2000 1:1500 1:1000 1:500

Steep Undulating

What will be the general slope of the land laid out for irrigation following the completion of the sub-project works? (please circle one only)



Will you be undertaking landforming/laser levelling as part of your sub-project works? Yes No

What is the anticipated typical flow rate of the proposed system when delivering water onto the land? ML/Day

Will there be automation of the system in this Area? Yes No

What technology will you use for future irrigation scheduling on the Area? (one only)

Weather forecast and appearance of plant and soil

Evaporation or evapotranspiration data and rain since last irrigation

Tensiometers/Resistance block readings (soil suction)

Direct measurement of soil water content (eg. Neutron probes)


What is the proposed irrigation method? (please circle one only)

Border Check Natural Contour System

Contour System (Bankless Channels) Parallel Contour System

Centre Pivot Linear Move

If selected Border Check, what will be the typical slope of the bays?



What is the typical width of your proposed bays? m

How many bays will receive the flow at any one time?

Will the system have Pipes and Risers? Yes No

If selected Natural or Parallel Contour System, what will be the typical bay size? Ha

Will the system supply each bay individually rather than cascading from bay-to-bay? Yes No

Will the system drain each bay individually rather than cascading from bay-to-bay? Yes No

What is the terrace height? mm


If selected Centre Pivot, will the system involve a centre pivot unit which is towed between circles? Yes No

Does the quoted Area in hectares include the area of all circles the unit will serve? Yes No

If yes, considering the time spent between starting the irrigation on the first circle and finishing the irrigation of the last circle, what percentage of time is anticipated to be spent towing the unit between circles?

%

What features will the machine have? (one only) Fixed Plate Sprinklers

Moving Plate Sprinklers LEPA or similar

If selected Linear Move, what features will the machine have? (please select one only)

Fixed Plate Sprinklers Moving Plate Sprinklers

LEPA or similar


Proposed Crop PlanFor the Area in question we need to know what crops you intend to grow following the sub-project works.

The definition of a Year is a 12-month period.

Crop selection as per Page 13.


What crop will be grown?As per crop types on Page 13


How many hectares would you grow in this Area? Ha Ha Ha Ha


Will this double cropped? Yes No Yes No Yes No Yes No


Summer or Winter

Summer or Winter

Summer or Winter








Summer or Winter

Summer or Winter

Summer or Winter









Summer or Winter

Summer or Winter

Summer or Winter








Summer or Winter

Summer or Winter

Summer or Winter








Summer or Winter

Summer or Winter

Summer or Winter


Water Saving SummaryTotal Yearly Water Use (ML)

Proposed Saving (ML)Before Sub-

Project WorksAfter Sub-

Project Works

Year 1 =

Year 2 =

Year 3 =

Year 4 =

Year 5 =

Total =

5 Year Average = Must be at least 20ML

Total Volume of Water Entitlements offered for Transfer to Australia Government ML

** This should match the pink cell on Page 5Percentage of Water Savings offered for transfer to the Australia Government (must be minimum of 50%). %


Existing Drainage System InfrastructureAre any of the Works Areas in this Application wholly or partly connected to an existing tailwater/re-use system (or interconnected system of storages)?

Yes No

What total volume does the storage(s) hold?ML

What is the total irrigated area connected to the storage(s) on this property? Ha

What is the percentage of irrigated area connected to storage(s)?(% = Area actually connected to storage ÷ total area) %

Existing Supply System InfrastructureDoes your system currently include open, unlined farm channels? Yes No

What is the total length of existing open, unlined channel on (or to) this Area? m

What is the typical width of the existing farm channels? m

Typically how many days per year do the existing farm channels contain water (ponded and/or running)? Days

Do you have a storage dam built into your supply system? Yes NoWhat is the water surface area of the storage during the high evaporation months of October to March, inclusive?Only if used for storage during summer.

Ha


Proposed Drainage System InfrastructureWhat is the anticipated typical flow rate of the proposed irrigation system if required to deliver water to all works areas on the property? ML/day

Will any of the Works Areas in this application be wholly or partly connected to a re-use/recycling system (or interconnected system ofstorages)?

Yes No

What total volume will the storage(s) hold?ML

What will be the total irrigated area connected to the storage(s) on this property? * Ha

What will be the percentage of irrigated area connected to storage(s)?(% = Area actually connected to storage ÷ total area) %

Proposed Supply System InfrastructureWill your system include open, unlined farm channels? Yes No

What is the total length of open, unlined channel on (or to) this Area after the sub-project works? m

What is the typical width of the proposed farm channels? m

Typically how many days per year will the proposed farm channels contain water (ponded and/or running)? Days

Will you have a storage pondage as part of your supply system? Yes No

If yes, what will be the water surface area of the storage during the high evaporation months of October to March, inclusive?Only if used for storage during summer.

Ha

Does the sub-project involve a pump station? Yes No

If yes, how many new pumps will be installed?

What will be the use of the proposed pump(s)? (one only)

Recycle Irrigation Pump into Storage


Part E: Sub-Project Works Information

In this section, please enter a concise summary or the proposed works and provide costings for the sub-project.

Summary of Proposed Sub-Project WorksPlease provide a concise overall summary of the proposed works

Using colour makers or pens, please mark on the Landholding Map provided, the following:

Location of Murray Irrigation supply outlet Supply and Drainage Channels leading to and from the site Perimeter of proposed area of project on the Landholding Direction of water flow in Channels, Drains and Paddocks

Has this map been attached to this application? Yes No

Do you have a Technically Valid Farm Irrigation Plan? Yes No

If yes, please attach with your application.

If for a Works Area, you selected the same crop under your existing and proposed system, but seek a substantially increased yield (tonnage), please explain how you intend to achieve a much greater yield outcome with less water under your proposed system.

In order for the Commonwealth to technically assess the proposed water savings, please


provide details of any worthwhile features in your proposed system that may not be apparent from the information previously provided. This question is compulsory - please include. E.g. If you already have Automation and the proposed system will have Automation, however the proposed Automation is better and more versatile than the existing set-up that may further support your water savings. E.g. If your topsoil is sandy, resulting in high seepages losses from channels and your proposal includes cartage and laying of heavy clay as a base for your channels this may further support your water savings.


Costings of Sub-Project WorksPlease enter all costs of all components for this Sub-Project, including any Cash contributions.

Do not include GST

When completing the Costing Tables on the following pages, please select from the following components applicable to Costing Sub-Categories:

Costing Category Component Unit Description

Pre

-Con

stru

ctio

n

Dec

omm

issi

on

Sup

ply

& In

stal

l

Type of Works (Terminology to use in Stage 2 Application)

Unit to be used for rate (ie.

per)

Common Descriptions of Activities to Complete Works under On-

Farm Irrigation Efficiency Program

Building/Environment Approval Application

Council Approval for Storage Dams, Environmental Impact Assessments, Murray Catchment Management Authority approval for removing Paddock Trees

Cultural Heritage Approval Application

Design Ha Farm Plan, Surveyor Fees, Calculations of Bay Outlet Flow Rates

Environmental Impact Statement StatementPeg out for construction HaProject management Sub-Project

Site clean up Unit Rip, disk, dam fill, spoil removal and other site cleanup activities

Clearing Vegetation TreeExisting Dams/Sumps m3

Existing Earthen Channel m Removal of ChannelExisting in-field plumbing HaExisting non earthen Structures Each

Existing Pump Shed/Pump Station Unit Removal of Pump, Pump Station, Existing Fittings, etc.

Existing Supply Pipeline m Removal of PipeFence, removal mLarge Earthen Channel mOther large-scale item Unit

Paddock Check Banks/Contour Banks/Rice Banks m

Removal and Levelling of Paddock, Knocking Down Banks, Removal of Existing Structures

Bay Outlet Automation UnitBay Outlets Unit

Channel Check Structures Unit Regulators within Channels & Drains, Pipe & Risers

Channel Renovation/Remodelling m Desilting Channel, Enlarging Existing Channel, Building new Channel

Cooling and/or Frost control system HaCulverts UnitDiesel Generator Unit


Electrical Conduit Trenching m Underground Power Supply, Chain Digger

Electrical Work (Parts & Labour) ServiceElevated Storage Earthworks m3

End-gun & Booster Pump UnitFencing, new m Fencing upgraded areaFertigation Pump Unit Pump, tanks, plumbing and controlFiltration set Unit Primary unitHigh Head Pump set Unit For pressure IrrigationImpact Sprinklers infield Plumbing Ha Includes TrenchingIrrigation Bay Sensors UnitLarge Earthen Channel or Linear/Lateral Move Channel m

Large Pump Station and Pipeworks Unit For elevated Storage, Multi-use Recycling and Delivery

Linear/Lateral Move Irrigator Unit

Low Head Pump set Unit For Pipe and Riser System, Recycling, Lift or Transfer

Major Return/Recycle Drain mMicro & Butterfly Sprays infield Plumbing Ha Includes Trenching

Moisture Probes Unit New Channel mNew Water Meter UnitPaddock Check/Contour Banks/Rice Banks m

Paddock/Tail Drains m Earthworks to Construct Drains and Recycle Sump

Paddock Landforming - No Topsoiling required m3

Paddock Landforming - before Topsoiling m3

Paddock Topsoiling m3

Pipe & Riser System infield Plumbing Ha Includes Trenching

Pipeline (low pressure) mPivot Irrigator UnitPower Poles UnitPower Supply to Pump Station mPower Transformer UnitPressure System Automation UnitShed UnitRadio control telemetry, irrigation scheduling and weather monitoring Unit Includes soft and hardware sets

Re-Use Sump Earthworks m3

Rip, Disk, Final grade, Hilling up HaSide-ditch/bankless channel mSoil Conditioning - Post Earthworks Ha Lime, Manure, Gypsum, etc. Stock watering Ha Includes pipes troughs and fittingsSub-Surface Drip infield Plumbing Ha Includes TrenchingSubway/Siphon Structure Supply Pipeline (High Pressure) m To edge of AreaSurface Drip infield Plumbing Ha Includes Trenching


Surface Drip infield Plumbing with multiple drip lines Ha Includes Trenching

Topsoiling m3

Under Pivot Pipeline (High Pressure) m

Variable speed drive Unit


Are any detailed quotes available for the proposed sub-project works? Yes No

If yes, please provide Murray Irrigation with copies with your application.

Pre-Construction

When selecting and entering in Costings, please use the terms provided in the table on Pages 26-28. Select the Component as listed, and then insert a Description as per your details.

ComponentPer List on Page 26 Comment Qty

UnitAs per Pg

26

Rate$/Unit

AmountExcl. GST

= Qty x Rate

E.g. Design Farm Plan 100 ha 24 $ 2,400

$

$

$

$

$

$

$

$

$

$

$

$

$

$

TOTAL $

Decommission


ComponentPer List on Page 26 Comment Qty

UnitAs per Pg

26

Rate$/Unit

AmountExcl. GST

= Qty x Rate

Paddock Check Banks Knock down existing banks 1,000 m 1.20 $ 1,200

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

TOTAL $

Supply & Install


ComponentPer List on Pages 26-28 Comment Qty

UnitAs per Pg

26-28

Rate$/Unit

AmountExcl. GST

= Qty x Rate

Bay Outlets Purchase New Bay Outlets 50 Unit 45 $ 2,250

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

TOTAL $

SUB-PROJECT WORKS TOTAL $

In order for the Commonwealth to assess whether the nominated costs of the proposed sub-project are within the expected range for that type of infrastructure and scale of installation, please provide an explanation as to the reasons why any items in your costings might be


considered relatively high compared with the average. E.g. If your landforming costs have a relative high cost/ha, please provide justification. E.g. If you need an extra-large pump, please provide justification. E.g. If your decommissioning includes large environmental offset works, please provide justification. E.g. If you have made a significant allowance for Project Management costs, please provide justification.


Part F: Project Timing & Budget

In this section, please enter all sources of funding for the sub-project and the timeframe to complete the sub-project.

TimingWhat is the time required to complete this Sub-Project? Months

Sub-Projects must be completed with 30 Months, and timeframe commences once the Funding Agreement between Murray Irrigation and the Commonwealth has been signed.

Funding ContributionsPlease include all funding required to complete the Sub-Project Do not include GST

Cash Contributions

Australian Government (Funding under this Program) $

Proponent (You) $

SUB-PROJECT TOTAL $

Does this TOTAL (red) equal the Costings TOTAL (blue) from Page 31? Yes No

If no, please correct both sections to ensure they equal


Part G: Environmental Approvals

In this section, please add details of all environmental approvals required for this sub-project (if any).

Are any environmental approvals required by Commonwealth, State or Local Government regulations or other organisations (e.g. Shire or Local Land Services) in relation to the work carried out under this Sub-Project?

Yes No

E.g. Approval from Local Council to construct a storage dam, or approval from Murray Local Land Services to remove paddock trees.

If yes, please complete the following table for all Approvals needed:

Name of Organisation or Authority that will

assess/grant Approval

Brief Summary of the nature and type of Approval needed

Estimated time required to secure the Approval

Months

Months

Months

Months


Part H: DeclarationI have read and understood the Guidelines for the On-Farm Irrigation Efficiency Program Round Five (the Guidelines, accessed here: http://www.environment.gov.au/system/files/resources/2660d58e-fe4b-4cfe-b347-3b568c5dd766/files/ofiep-guidelines-round-five.pdf, and sought clarification as necessary.

I understand and agree with the conditions set out in the Guidelines and this application for participating in this Program as a Proponent (landholder).

I declare that the information provided in this application is true and correct and discloses all relevant and required details.

I authorise Murray Irrigation Limited to supply the information contained in this On-Farm Irrigation Efficiency Round 5 Program Stage 2 Application Form, including any attachments, to the Department of Environment (the Department), and to relevant experts as part of the assessment of the application.

I authorise Murray Irrigation Limited and the Department to seek any additional information it may require to assess this application, and I hereby request and authorise any parties to supply any such information requested by the Department.

I consent to the Department or representatives of the Department conducting a ‘Search of Water Entitlements’ from the nominated landholding as specified in this On-Farm Irrigation Efficiency Round 5 Program Stage 2 Application Form.

I acknowledge that persons or organisations listed in this form may be contacted as part of the assessment of this application, and I authorise Murray Irrigation Limited and the Department to disclose to those individuals and organisations, information related to the planning exercise in order to confirm the veracity of the information provided in this On-Farm Irrigation Efficiency Round 5 Program Stage 2 Application Form.

I confirm that I am (as the Applicant) not:- Insolvent under the Corporations Act 2001, or any other law of the Commonwealth or States and

Territories, or is the subject to a deed or arrangement with creditors; or- Currently involved in proceedings that may result in the Applicant’s insolvency, or winding up.

I confirm that neither I, nor the proposed project manager, nor any individual specified in this application as a participant in the proposed sub-project:

- Is undischarged as bankrupt under the Bankruptcy Act 1966;- Is the subject to a composition, deed of arrangement or deed of assignment with creditors under the

Bankruptcy Act 1966;- Has been convicted of an offence within the meaning of paragraph 85ZM (1) of the Crimes Act 1914

that has not been spent, quashed or pardoned in accordance with that Act.

I acknowledge that the Department can arrange for an independent evaluation of the sub-project at any time during or after the term of the Funding Agreement to verify that the sub-project has been delivered effectively in accordance with the Funding Agreement.

I acknowledge that information about the sub-project provided in this On-Farm Irrigation Efficiency Round 5 Program Stage 2 Application Form may be reproduced in Departmental communication activities and I agree to the reproduction of such information. This involves publicly announcing the details of successful Applicants including the:

- Applicant’s name;- Applicant’s contact officer;- Applicant’s contact officer’s telephone number;- Details of the Applicant’s sub-project submitted through this form; and - Amount of funding awarded.

If the sub-project is approved, I will obtain all necessary and appropriate legal and statutory clearances from the relevant Commonwealth, State and local government authorities, before executing the Infrastructure


http://www.environment.gov.au/system/files/resources/2660d58e-fe4b-4cfe-b347-3b568c5dd766/files/ofiep-guidelines-round-five.pdf

http://www.environment.gov.au/system/files/resources/2660d58e-fe4b-4cfe-b347-3b568c5dd766/files/ofiep-guidelines-round-five.pdf

Works Contract and Water Entitlements Transfer Contract and undertake to manage the sub-project in accordance with relevant laws and regulations.

I understand that there are a number of Commonwealth disclosure obligations that arise under Commonwealth legislation and policy. These include the Freedom of Information Act 1982, the Financial Management and Accountability Act 1997, the Senate Order relating to disclosure of information about certain agreements, and requirements for the disclosure of information to the Parliament and its committees.

I understand that my personal information will be dealt with in accordance with the Privacy Act 1988, which contains the Australian Privacy Principles - rules on how my personal information can be collected, used, disclosed and stored.

Declaration by all project applicants for landholding whereSub-Project Works are proposed to be undertaken – all parties to sign

Partnership/IndividualDated This day, (day) (date) of (month), 2015

Signature of Applicant Signature of Additional Applicant (if required)

Full Name: Full Name:





Company – Executed by the applicant in accordance with Section 127 of the Corporations Act 2001Dated This day, (day) (date) of (month), 2015

Signature of Director Signature of Director





Declaration by all project applicants for holding to account where proposed Water Entitlements will be transferred from – all parties to sign

Partnership/IndividualDated This day, (day) (date) of (month), 2015







Company – Executed by the applicant in accordance with Section 127 of the Corporations Act 2001Dated This day, (day) (date) of (month), 2015






stage 2... · web viewon-farm irrigation efficiency round 5 program. stage 2 application form. this...

Documents