Forms 70 + 72 + 76 - Groundwater works licensing

Form 70 + 72 + 76 - Groundwater works licensing

Licensing of works related to groundwater bores.

Please read this information in detail prior to completing this form (opens in a new window)

Please note that if more than 6 signatures are required per group (e.g. Owners, Licensees, Sellers, Buyers, Transferees) please contact GMW to request an offline form.

Application details

Licensable Purposes - The water is for irrigation or for supplying a dairy shed, feedlot, piggeries or poultry farm, recreational or sporting fields or in conjunction with the operation of a commercial business or premises including mining, aquaculture, water bottling, the provision of guest accommodation and watering commercial grounds or gardens.

Non-licensable Purposes - The water is for investigation, observation or domestic and/or stock.

Take and Use Water Purpose This is a required field.
Take and Use Water Purpose This is a required field.
Applicant details

 Please note that all communication related to this form will be directed to the Applicant or Lodging Party.

The Applicant is the person who is submitting the application to GMW, they are the main contact for that form submission and are responsible for the information being submitted and the coordination of e-signatures and payment of the application fee.

The Applicant may be a lodging party/ solicitor/ conveyancer/ water broker but can also be a new or existing customer submitting their own application form as  the seller/buyer or licensee.

If the property transferring includes a general place of take and/or extraction share, this will be included on the application form

Every application requires an “applicant”.

Select date...

This email address will receive all automated correspondence in relation to this form submission.

Postal address
Consultant details
Postal address
Details of the land(s) on which the works will be or are constructed
Property address

Please list the Volume / Folio / Lot No / Plan No

Ownership of the land(s) on which the works will be or are constructed

The current ownership of the land where the bore(s) will be constructed, replaced, altered or decommissioned must be verified.

Land Ownership This is a required field.
Land Ownership This is a required field.
Owners of the land(s) on which the works will be or are constructed

If more than 6 signatures are required, please contact GMW to request an offline form.

Applying as a company

Please note when applying as  a company:

  • The form must be signed by those persons duly authorised to sign on behalf of the company in accordance with section 127(1) of the Corporations Act 2001; two directors, alternatively one director and one secretary, unless there is a sole director and secretary of the company.
  • A current (less than 12 months old) copy of an ASIC Company Search listing all directors and/or office bearers must be provided.

You can obtain a Company Extract by:

  • Accessing the internet service at www.asic.gov.au (opens in a new window) or by phoning (03) 5177 3988
  • Contacting your solicitor or legal advisor to conduct the search on your behalf (fees may apply)
  • Requesting that GMW complete the searches on your behalf (fees apply)

You must provide the details of those persons duly authorised to sign on behalf of the company.

Owner 1 details
Applicant is Owner 1 This is a required field.
Applicant is Owner 1 This is a required field.
Type This is a required field.
Type This is a required field.
Company details

Please see notes above on applying as a company.

Company Extract This is a required field.

Only one Company Extract is required per company.

Company Extract This is a required field.
Contact details
Select date...
Postal address
Owner 2 details
Type This is a required field.
Type This is a required field.
Company details

Please see notes above on applying as a company.

Company Extract This is a required field.

Only one Company Extract is required per company.

Company Extract This is a required field.
Contact details
Select date...
Postal address is the same as Owner 1? This is a required field.
Postal address is the same as Owner 1? This is a required field.
Postal address
Owner 3 details
Type This is a required field.
Type This is a required field.
Company details

Please see notes above on applying as a company.

Company Extract This is a required field.

Only one Company Extract is required per company.

Company Extract This is a required field.
Contact details
Select date...
Postal address is the same as Owner 2? This is a required field.
Postal address is the same as Owner 2? This is a required field.
Postal address
Owner 4 details
Type This is a required field.
Type This is a required field.
Company details

Please see notes above on applying as a company.

Company Extract This is a required field.

Only one Company Extract is required per company.

Company Extract This is a required field.
Contact details
Select date...
Postal address is the same as Owner 3? This is a required field.
Postal address is the same as Owner 3? This is a required field.
Postal address
Owner 5 details
Type This is a required field.
Type This is a required field.
Company details

Please see notes above on applying as a company.

Company Extract This is a required field.

Only one Company Extract is required per company.

Company Extract This is a required field.
Contact details
Select date...
Postal address is the same as Owner 4? This is a required field.
Postal address is the same as Owner 4? This is a required field.
Postal address
Owner 6 details
Type This is a required field.
Type This is a required field.
Company details

Please see notes above on applying as a company.

Company Extract This is a required field.

Only one Company Extract is required per company.

Company Extract This is a required field.
Contact details
Select date...
Postal address is the same as Owner 5? This is a required field.
Postal address is the same as Owner 5? This is a required field.
Postal address
Details of the land(s) where the water will be used
Will the water be used on the same land? This is a required field.
Will the water be used on the same land? This is a required field.
Property details
Owners of the land(s) where the water will be used

If more than 6 signatures are required, please contact GMW to request an offline form.

Applying as a company

Please note when applying as  a company:

  • The form must be signed by those persons duly authorised to sign on behalf of the company in accordance with section 127(1) of the Corporations Act 2001; two directors, alternatively one director and one secretary, unless there is a sole director and secretary of the company.
  • A current (less than 12 months old) copy of an ASIC Company Search listing all directors and/or office bearers must be provided.

You can obtain a Company Extract by:

  • Accessing the internet service at www.asic.gov.au (opens in a new window) or by phoning (03) 5177 3988
  • Contacting your solicitor or legal advisor to conduct the search on your behalf (fees may apply)
  • Requesting that GMW complete the searches on your behalf (fees apply)

You must provide the details of those persons duly authorised to sign on behalf of the company.

Owner 1 details
Type This is a required field.
Type This is a required field.
Company details

Please see notes above on applying as a company.

Company Extract This is a required field.
Company Extract This is a required field.
Contact details
Select date...
Postal address
Owner 2 details
Type This is a required field.
Type This is a required field.
Company details

Please see notes above on applying as a company.

Company Extract This is a required field.
Company Extract This is a required field.
Contact details
Select date...
Postal address is the same as Owner 1? This is a required field.
Postal address is the same as Owner 1? This is a required field.
Postal address
Owner 3 details
Type This is a required field.
Type This is a required field.
Company details

Please see notes above on applying as a company.

Company Extract This is a required field.
Company Extract This is a required field.
Contact details
Select date...
Postal address is the same as Owner 2? This is a required field.
Postal address is the same as Owner 2? This is a required field.
Postal address
Owner 4 details
Type This is a required field.
Type This is a required field.
Company details

Please see notes above on applying as a company.

Company Extract This is a required field.
Company Extract This is a required field.
Contact details
Select date...
Postal address is the same as Owner 3? This is a required field.
Postal address is the same as Owner 3? This is a required field.
Postal address
Owner 5 details
Type This is a required field.
Type This is a required field.
Company details

Please see notes above on applying as a company.

Company Extract This is a required field.
Company Extract This is a required field.
Contact details
Select date...
Postal address is the same as Owner 4? This is a required field.
Postal address is the same as Owner 4? This is a required field.
Postal address
Owner 6 details
Type This is a required field.
Type This is a required field.
Company details

Please see notes above on applying as a company.

Company Extract This is a required field.
Company Extract This is a required field.
Contact details
Select date...
Postal address is the same as Owner 5? This is a required field.
Postal address is the same as Owner 5? This is a required field.
Postal address
Transferee(s)

If more than 6 signatures are required, please contact GMW to request an offline form.

Applying as a company

Please note when applying as  a company:

  • The form must be signed by those persons duly authorised to sign on behalf of the company in accordance with section 127(1) of the Corporations Act 2001; two directors, alternatively one director and one secretary, unless there is a sole director and secretary of the company.
  • A current (less than 12 months old) copy of an ASIC Company Search listing all directors and/or office bearers must be provided.

You can obtain a Company Extract by:

  • Accessing the internet service at www.asic.gov.au (opens in a new window) or by phoning (03) 5177 3988
  • Contacting your solicitor or legal advisor to conduct the search on your behalf (fees may apply)
  • Requesting that GMW complete the searches on your behalf (fees apply)

You must provide the details of those persons duly authorised to sign on behalf of the company.

Transferee 1 details
Type This is a required field.
Type This is a required field.
Company details

Please see notes above on applying as a company.

Company Extract This is a required field.
Company Extract This is a required field.
Contact details
Select date...
Postal address
Transferee 2 details
Type This is a required field.
Type This is a required field.
Company details

Please see notes above on applying as a company.

Company Extract This is a required field.
Company Extract This is a required field.
Contact details
Postal address is the same as Transferee 1? This is a required field.
Postal address is the same as Transferee 1? This is a required field.
Postal address
Transferee 3 details
Type This is a required field.
Type This is a required field.
Company details

Please see notes above on applying as a company.

Company Extract This is a required field.
Company Extract This is a required field.
Contact details
Select date...
Postal address is the same as Transferee 2? This is a required field.
Postal address is the same as Transferee 2? This is a required field.
Select date...
Postal address
Transferee 4 details
Type This is a required field.
Type This is a required field.
Company details

Please see notes above on applying as a company.

Company Extract This is a required field.
Company Extract This is a required field.
Contact details
Select date...
Postal address is the same as Transferee 3? This is a required field.
Postal address is the same as Transferee 3? This is a required field.
Postal address
Transferee 5 details
Type This is a required field.
Type This is a required field.
Company details

Please see notes above on applying as a company.

Company Extract This is a required field.
Company Extract This is a required field.
Contact details
Select date...
Postal address is the same as Transferee 4? This is a required field.
Postal address is the same as Transferee 4? This is a required field.
Postal address
Transferee 6 details
Type This is a required field.
Type This is a required field.
Company details

Please see notes above on applying as a company.

Company Extract This is a required field.
Company Extract This is a required field.
Contact details
Select date...
Postal address is the same as Transferee 5? This is a required field.
Postal address is the same as Transferee 5? This is a required field.
Postal address
Details of bore(s)

Your licensed driller should be able to provide you with more details.

Bore 1 details
Bore 2 details
Bore 3 details
Additional bores
Licenced Driller details

Details of the Licenced Driller who will undertake the construction/decommissioning of the bore(s).

Proposed Use of Water
As a part of a future application for a Licence to Take and Use Water.
Proposed Use of Water This is a required field.
Proposed Use of Water This is a required field.
Irrigation Development Guidelines This is a required field.
Please tick the most appropriate statement for your application.
Irrigation Development Guidelines This is a required field.
Aboriginal Cultural Heritage Assessment

Each application lodged with GMW is required to be assessed to determine if the application requires a Cultural Heritage Management Plan (CHMP) under the Aboriginal Heritage Act 2007. A CHMP is a written report prepared by a Heritage Advisor which contains the results of an assessment of the potential impact of a proposed activity or works on Aboriginal cultural heritage.

A CHMP is required for an activity if:

  • all or part of the activity is in an area of cultural heritage sensitivity. A waterway or land within 200m of a waterway may be considered an area of cultural heritage sensitivity; and
  • all or part of the activity is a high impact activity.

If the proposed activity is not an exempt activity then an applicant must provide clear documented proof that they meet the exemptions from the requirement to prepare a CHMP, as specified in the Act and Regulations.

A CHMP may be required prior to commencing any works.

In circumstances where a CHMP is required, GMW cannot grant an application without an approved CHMP. Therefore, it is important an applicant is aware of their obligations under the Act and its Regulations.

You can access the Aboriginal Heritage Planning Tool on the Victorian government website and print a receipt of your results for inclusion in your application. If you do not have access to the internet, please contact the Licensing Unit for assistance.

You may also wish to seek a cultural heritage due diligence assessment from a Heritage Adviser. You can find a list of Heritage Advisors (opens in a new window)

Cultural Heritage Management Plan (CHMP) This is a required field.
Will you be attaching a Cultural Heritage Management Plan (CHMP)?
Cultural Heritage Management Plan (CHMP) This is a required field.
Applicant declarations
Declaration 1 This is a required field.
Declaration 1 This is a required field.
Declaration 2 This is a required field.
Declaration 2 This is a required field.
Signatures
  • When you submit this form, invitation emails will be sent to all signatories requesting that they review and sign your submission
  • You will be notified each time a signature has been submitted
  • You will receive a request for payment (if applicable) when the final signature has been submitted

If you are signing this form and not representing a company, please enter N/A in Position.

Works Land - Owner 1 Sign Here
Sign Here
Payment
Save draft

Please ensure that the information provided in this form is correct as it cannot be modified after it is submitted.

If needed, you are able to save a draft and come back to the form via a link that will be emailed to you.

Submit

Protecting your privacy

Goulburn-Murray Water (GMW) protects your privacy by collecting and handling your personal information in accordance with the requirements of the Privacy & Data Protection Act 2014. Your personal information is collected on this form and will be used for the purpose of administering this application, updating our records and updating the Victorian Water Register (if applicable). Information collected is usually disclosed to staff involved in processing your application, contractors, connection staff, other relevant GMW staff and government departments. Failure to provide the information sought may result in processing delays or non acceptance of your application. It may also limit our ability to be able to provide various programs or services. You may gain access to and correct your personal information. For further information please refer to our Privacy Policy at www.g-mwater.com.au or call 1800 013 357 to obtain a copy of this policy.