New South Wales Repealed RegulationsThis legislation has been repealed.
(Clause 5)
HERITAGE ACT 1977
APPLICATION UNDER SECTION 60 FOR APPROVAL TO CARRY OUT SECTION 57 (1) ACTIVITY
This form applies if the item or relevant property is listed on the State Heritage Register or is subject to an Interim Heritage Order
Please complete all relevant parts of this Form and attach the following:
(a) 3 copies of all drawings and/or documents necessary to describe your proposal. Show clearly what you propose to demolish, remove, destroy or excavate, what will remain without change, and what you propose to construct, create, plant or alter. Show the relationship of your proposals to the site boundaries and existing site features.
(b) 1 copy of a heritage impact statement and any other supporting documentation. Information to assist you to prepare your application and documentation is available from the NSW Heritage Office.
(c) 1 copy of a conservation management plan (CMP), if your proposal will have a major impact on the heritage significance of an item listed on the State Heritage Register.
(d) If the proposal involves excavation, also complete the section entitled “Excavation Director” below.
(e) Application fee-see section below.
Name or number of item / property:
Address:
Suburb or Town:
Postcode:
Local Government Area:
Was the Interim Heritage Order made by the local council of that area?
If so, this application should be submitted to that council.
Type or description of the item / property:
Is there a CMP for the item / property?
Who prepared it?
Date:
Has the CMP been endorsed by the Heritage Council?
Date:
Description of the proposal:
Name:
Company Name (if applicable):
Address:
Postcode:
Person responsible for the proposed activity:
Telephone: ()
Mobile:
Facsimile: ()
Email:
Signature:
Date:
Note: The owner’s consent must relate specifically to the making of this application. It may be provided in a separate letter. If the item is situated on Crown land, this section should be completed by the lawful occupier.I,the owner of the item to which this application relates, hereby consent to the making of this application.
Note: Complete this section if your proposal involves building cavities or excavation of land which will or is likely to disturb relics.Name:
Has consent for integrated development been granted?
If so: IDA No:
Date:
Please attach a copy of the consent.
Is this application consistent with the consent?
If the item is subject to an Interim Heritage Order
made by a council, forward your application and the applicable fee to the
council.
If the item is listed on the State Heritage Register or is subject to an
Interim Heritage Order made by the Minister, forward your application and the
applicable fee to:
NSW Heritage Office
Locked Bag 5020
PARRAMATTA NSW 2124
ORIf the Heritage Council considers that your proposal will have an adverse impact on the heritage significance of an item, then the application will be advertised in State and local newspapers for public comment. The application will also be exhibited at the local council and at the NSW Heritage Office. You will be notified if your application is advertised. Advertising increases the time required to assess your application.
DX 8225 Parramatta
| Estimated cost of activity | Fee |
| For activity relating to owner-occupied private house up to $100,000 | $60 |
| Other activity up to $100,000 | $100 |
| $100,000 - $250,000 | $150 |
| $250,000 - $500,000 | $250 |
| $500,000 - $1 million | $400 |
| $1 million - $2 million | $750 |
| $2 million - $5 million | $1,000 |
| Over $5 million | $2,000 |
Note: You can apply to have the fee reduced or waived on the basis of financial hardship. If you wish to do so, please submit evidence of financial hardship with your application.
(Clause 7)
HERITAGE ACT 1977
APPLICATION UNDER SECTION 140 FOR EXCAVATION PERMIT
Please complete all relevant parts of this Form and note the following:
(a) This Form should be completed by or in consultation with a qualified historical or maritime archaeologist as appropriate.
(b) This Form applies to archaeological sites above or below water.
(c) The applicant is to be the owner of the land or the company or individual with whom the archaeologist is contracted. The Excavation Director cannot be the applicant.
(d) Please read and complete all pages of this Form in duplicate and provide full details of proposed work in supporting documentation.
(e) All signatures on the Form must be original. Faxed applications will not be accepted.
(f) Please ensure that all necessary documentation is enclosed with this application.
Name or number of property / relic
Street:
Latitude (if applicable):
Longitude (if applicable):
Chart/Map No or Geocentric Datum (if applicable):
Suburb or Town:
Postcode:
Local Government Area:
Lot or Portion:
Section:
Deposited Plan:
Title Ref:
Nature of the land to be excavated
Other heritage listings (eg under a Local or Regional Environment Plan):
| (a) Archaeological test excavation | □ |
| (b) Archaeological monitoring | □ |
| (c) Large scale archaeological excavation | □ |
| (d) Other excavation | □ |
| (e) Investigations associated with the conservation or interpretation of the land or relics | □ |
| (f) Archaeological Research/Training exercise not associated with development | □ |
| (g) Other (please specify): |
This application must be accompanied
by all appropriate documentation.
Please ensure that all archaeological assessments and related documents are
prepared by a qualified historical archaeologist with demonstrated historic
sites experience.
Name:
Company Name (if applicable):
Address:
Postcode:
Telephone: ()
Mobile:
Facsimile: ()
Email:
Signature:
Date:
I,being the owner of the property to which this application
relates, hereby consent to the making of this application.
Signature:
Date:
Address:
Postcode:
Telephone: ()
Mobile:
Facsimile: ()
Note: The owner’s consent must relate specifically to the making of this application. It may be provided in a separate letter. If the relic is situated on Crown lands, then this section should be completed by the lawful occupier.
Name:
Company Name (if applicable):
Address:
Postcode:
Telephone: ()
Mobile:
Facsimile: ()
Email:
Signature:
Date:
Please attach CV of Excavation Director if this has not been lodged with the
Heritage Office within the last 12 months.
| Estimated cost of carrying out development to which excavation relates | Fee |
| For excavation relating to owner-occupied private house up to $100,000 | $25 |
| Other excavations up to $100,000 | $100 |
| All excavations over $100,000 | $100 |
(Clause 8)
HERITAGE ACT 1977
CERTIFICATE OF AUTHORITY UNDER SECTION 148
Name:
I certify that the above-named person has been authorised, pursuant to section 148 (1) of the Heritage Act 1977 , to carry out inspections of buildings, works, relics and places for the purposes of that Act.