New South Wales Consolidated Regulations New South Wales Consolidated Regulations(Clause 5 (1))
WATER ACT 1912
(Section 167 (1) (a))
APPLICATION FOR APPROVAL OF CONTROLLED WORK
Name(s) of applicant(s):
SurnameGiven name
SurnameGiven name
Address for service of notices
Location of work
River/Lake/Flood Plain
Description of nature and purpose of work
I/we declare:
(a) that the whole of the work is situated/proposed to be constructed on the abovementioned land; and
(b) that I am/we are the occupier(s) of the whole of that land.
I/we enclose:
(a) a plan of the abovementioned land indicating the boundaries of the land and the site of the work; and
(b) the prescribed fee of $
| (Signature(s) of applicant(s)) |
Date
(Clause 7 (1))
WATER ACT 1912
(Section 176 (1) (a))
APPLICATION FOR RENEWAL OF APPROVAL OF CONTROLLED WORK
| APPROVAL NUMBER: FOR RENEWAL FROM: TO: FEE PAYABLE: |
Name(s) of applicant(s):
SurnameGiven name
SurnameGiven name
Address for service of notices
Location of work
River/Lake/Flood Plain
Description of nature and purpose of work
I/we declare:
(a) that the whole of the work is situated on the abovementioned land; and
(b) that I am/we are the occupier(s) of the whole of that land; and
(c) that the work has not been enlarged, extended or modified since the approval for the work was last granted/renewed.
I/we enclose the prescribed fee of $
| (Signature(s) of applicant(s)) |
Date
(Clause 8 (1))
WATER ACT 1912
(Section 175 (d))
APPROVAL OF CONTROLLED WORK
| APPROVAL NUMBER: EFFECTIVE FROM: EFFECTIVE TO: FEE PAID: |
Location of work
River/Lake/Flood Plain
Description of work
This approval is subject to the following conditions:
Signed:
(Clause 8 (2))
WATER ACT 1912
(Section 176 (9) (d))
RENEWAL OF APPROVAL OF CONTROLLED WORK
| APPROVAL NUMBER: EFFECTIVE FROM: EFFECTIVE TO: FEE PAID: |
Location of work
River/Lake/Flood Plain
Description of work
This approval is subject to the following conditions:
Signed: