Form PS007 - VicSmart application

Form PS007 - VicSmart Application

This application form and supporting information will give Goulburn Murray Water (GMW) the opportunity to provide a formal response to the VicSmart application.

The applicant will then be able to submit GMW’s response to council with a formal VicSmart application.

Before completing this form, please ensure you have contacted your local council to confirm that a VicSmart Application is applicable for your proposal.

Please note upon review, GMW may not assess your proposal as a VicSmart application. GMW may direct you to make application for a Planning Permit through the relevant council.

If you need further assistance email Statutory Planning between 8.30am and 4.30pm Monday to Friday at 

Applicant details

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

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

Applicant is acting for This is a required field.
Applicant is acting for This is a required field.
Pre-application meeting with council

Please complete this section if it is applicable.

Description of the proposal
Property and land(s) details

Please list all lands as Volume / Folio / Lot No / Plan No / Crown Allotment / Section / Parish.


GMW will require the following information to enable your request to be processed.

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

You can obtain a copy of your registered title by:

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

Attach the layout plan and/or site map clearly showing:

  • Location, shape and size of the site
  • The location/s of any existing buildings onsite
  • Proximity of any waterways, drainage lines, bores or dams on/near the site and the distance from these to the proposed development
  • The location of septic tank(s) and wastewater disposal area(s) (if applicable and if known)

Example Site Map:

Site Map Example


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 or call 1800 013 357 to obtain a copy of this policy.