Form PS008 - Application to undertake works or maintenance on GMW land

Form PS008 - Application to undertake works or maintenance on GMW land

This application should be used to apply to undertake works or maintenance on Goulburn-Murray Water (GMW) foreshore land or privately owned licenced structures on GMW land.

Works may be categorised as minor, medium or major.  Minor works applications will not incur an application fee.  Examples of minor works include tree lopping, vegetation clearance & decking board replacement to existing licensed jetties.

Before completing this application, we recommend you contact your Local Area Office to discuss your requirements. If your works are deemed to be major works, an application fee will apply.

Fees

Refer to a list of applicable application fees for Property Services – Property Services – Recreation and Land Management Miscellaneous Fees in the  Pricing and Schedule of Charges (opens in a new window):

  •  Title search fee (or attach a title search not older than 3 months)
  • Company Search fee (required if your adjoining land is registered in the name of a Company, or attach a company search showing authorised signatories not older than 3 months)
  • If determined necessary by the local GMW area office, you will be required to pay:
    • Site Assessment and Supervision fee for construction of approved works
    • Works Refundable Security Deposit
    •  Copy of Record
    • Technical Advice for High Risk or Complex Applications

Note - The Works Refundable Security Deposit and Site Assessment and Supervision fee relate to approved works on the licence area and are subject to review by GMW based on risk of the works impacting GMW assets and services. This is assessed prior to approval of the works and you will be advised.

Please allow a minimum of 6-8 weeks from receipt of application and fees for processing.

PLEASE NOTE: THIS APPLICATION ONLY RELATES TO GMW LAND.

DO NOT USE THIS FORM WHEN MAKING APPLICATIONS FOR WATER USE AND ENTITLEMENTS.

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.

Applicant or Lodging Party 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”.

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

Postal address
Applicant(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.

Applicant 1
Applicant or Lodging Party is Applicant 1 This is a required field.
Applicant or Lodging Party is Applicant 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.
Company Extract This is a required field.
Contact details
Postal address
Applicant 2
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 Applicant 1 This is a required field.
Postal address is the same as Applicant 1 This is a required field.
Postal address
Applicant 3
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 Applicant 2? This is a required field.
Postal address is the same as Applicant 2? This is a required field.
Postal address
Applicant 4
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 Applicant 3
Postal address is the same as Applicant 3
Postal address
Applicant 5
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 Applicant 4? This is a required field.
Postal address is the same as Applicant 4? This is a required field.
Postal address
Applicant 6
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 Applicant 5 This is a required field.
Postal address is the same as Applicant 5 This is a required field.
Postal address
Description of Applicant’s Property

Please list the Volume / Folio / Lot No / Plan No / Crown Allotment / Section / Parish

Certificate of Title and Title Plan This is a required field.

You can obtain a copy of your registered title by:

Certificate of Title and Title Plan This is a required field.
Application details
Storage or Waterway for the Proposed Commercial Activity This is a required field.
Storage or Waterway for the Proposed Commercial Activity This is a required field.

Please provide details of the proposed works.

Please attach a sketch, including a locality/site plan of the area.

The plans must also indicate your property boundary, GMWs foreshore land and where the water line begins.

Attach evidence of appropriate project management measures to be implemented, including Safe Work Method, Job Safety Analysis, environmental controls and evidence of appropriate training and certification of mobile plant operators etc.

Evidence of public liability insurance for no less than $20 million. The policy must note Goulburn-Murray Water as an interested party and be extended to cover the leased/licenced area

Public Liability Insurance

Evidence of public liability insurance for no less than $20 million. The policy must note Goulburn-Murray Water as an Interested Party and be extended to cover the licensed area.

Statutory Approvals

Your proposed works may require approvals from, but not limited to, the following authorities.

  • Building works - Local council planning permit and/or building permit
  • Remove or disturb timber from a waterway - Department of Economic Development, Jobs, Transport & Resources (Fisheries) and your Local Council
  • Remove or disturb aquatic or terrestrial native vegetation - Department of Energy, Environment and Climate Action  (DEECA)
  • Works within a waterway - your regional Catchment Management Authority 
  • Earth works - Registered Aboriginal Party

Please attach Statutory approvals. Prior to issuing the approval and commencing works, GMW requires copies of your statutory approvals from the Authorities noted above. Alternatively, please provide written confirmation of an exemption.

Aboriginal Cultural Heritage Assessment

Each application for works 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.

A CHMP may NOT be required for an activity if:

  • The site is not in an area of Cultural Heritage Sensitivity:

Check if the site of your works is subject to a CHMP -  - Cultural Heritage Sensitivity map (opens in a new window)

  • Site has been subject to significant ground disturbance:

Evidence must be provided why the site is already subject to significant ground disturbance. Significant ground disturbance means disturbance of:

(a) the topsoil or surface rock layer of the ground; or

(b) a waterway— by machinery in the course of grading, excavating, digging, dredging or deep ripping, but does not include ploughing other than deep ripping.

  • Works that are Minor Works:

(a) fences or freestanding walls;

(b) temporary seating structures, stages or platforms.

  • Demolition or Removal of Works:

The demolition or removal of a building is an exempt activity.

  • Construction of a Jetty:

The construction of a jetty is an exempt activity if the jetty:

(a) is constructed on

(i) land used for only one dwelling; or

(ii) land abutting land used for only one dwelling; and

(b) is to be used only by the occupier of the dwelling.

You can access the Aboriginal Heritage Planning Tool on the Victorian government website (opens in a new window) 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.
Declaration This is a required field.
Declaration This is a required field.
Applicant or Lodging Party 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.

e.g. Director

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.

Owner 1 Signature
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.