Western Australian Consolidated RegulationsForm 1
COUNTRY AREAS WATER SUPPLY ACT 1947
COUNTRY AREAS WATER SUPPLY (CLEARING LICENCE)
REGULATIONS 1981
APPLICATION FOR
LICENCE
..........................................................
Catchment area/
Water Reserve.
ZONE ..................................
|
1. Name and Address of Applicant |
SURNAME .......................................... TELEPHONE NO. 09..... / .................. |
2. Ownership, Occupancy and details of Holding
(i)
FULL NAME AND ADDRESS OF OWNER(S) and/or
OCCUPIER(S) (IF COMPANY OR FIRM GIVE DETAILS)
............................................................................................................
............................................................................................................
............................................................................................................
(ii)
LOCATION NUMBER(S) AND/OR LOT NUMBER(S)
............................................................................................................
............................................................................................................
(iii)
CERTIFICATE OF TITLE NUMBER(S)
........................................
OR
LEASE NUMBER(S)
.......................................................................
(iv)
TOTAL AREA OF HOLDING ...................................
HECTARES
(v)
TOTAL AREA ALREADY CLEARED ..................... HECTARES
(vi)
AREA OF BUSH SUITABLE FOR AGRICULTURE
.................... ................................ HECTARES
3. Land on which
clearing is required (Subject Land)
(i)
AREA OF CLEARING PROPOSED
..................................... ............................ HECTARES
(ii)
POSITION OF CLEARING PROPOSED LOC/LOT ............
(as shown coloured on
accompanying sketch)
(iii)
PURPOSE FOR WHICH CLEARING IS REQUIRED.
|
CROP □ |
REGROWTH □ |
NEW FENCELINE □ |
|
PASTURE □ |
BUILDINGS □ |
OTHER ..................... |
Please place ✓ where relevant.
(iv)
PERIOD LICENCE IS REQUIRED, FROM .........TO ..........
4. General Details
(i)
Area of holding estimated
to be unable to support crop
or
pasture because of salt
seeps (if any)
............................................................. hectares
(ii)
Additional information in support of application and
extent of injurious affection if this licence is refused.
..................................................................................................
..................................................................................................
..................................................................................................
..................................................................................................
..................................................................................................
...........................................................
Signed by Applicant*
DATE ...............................................
*Application to be signed by applicant personally or by
applicant’s authorised attorney or agent. Any power of attorney or other
authority must be forwarded with the application for sighting and return.
An application by a company must be made under the company’s
common seal.
[Form 1 amended in Gazette 23 Aug 1985 p. 3020.]
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Form 2
COUNTRY AREAS WATER SUPPLY ACT 1947
COUNTRY AREAS WATER SUPPLY (CLEARING LICENCES) REGULATIONS 1981
LICENCE TO CLEAR
.............................. CATCHMENT AREA/WATER RESERVE, ZONE
.............
This is to certify that
.................................................................................
is the holder of a licence number
................................................ granted under Part IIA of the
Country Areas Water Supply Act 1947 to
....................................................
.....................................................................................................
on the following land, namely
...........................................................................................................
(Description of Land)
to the extent of
.......................................................................................................
(area of land that may be cleared)
as shown on the plan annexed to this licence subject to the * following
conditions/* the conditions set out in the annexure of this licence.
.................................................................................................................................
.................................................................................................................................
.................................................................................................................................
.................................................................................................................................
.................................................................................................................................
........................................................
DATED this ..................................... day of
........................................ 20.........
........................................................
AUTHORISED OFFICER
*Delete which does not apply.
[Form 2 amended in Gazette 23 Aug 1985 p. 3020.]
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Form 3
COUNTRY AREAS WATER SUPPLY ACT 1947
COUNTRY AREAS WATER SUPPLY (CLEARING LICENCE)
REGULATIONS 1981
APPLICATION TO TRANSFER LICENCE NO. ......................................
ISSUED IN THE NAME OF
......................................................................
FOR THE .................. CATCHMENT AREA/WATER RESERVE, ZONE
1. I,
...................................................................................................................
(Name) Please Print
of
..............................................................................
09 ..... / .....................
(address) (Telephone
No.)
being
............................................................................................................
(state the nature of interest of applicant, e.g. purchaser of land in respect
of which a licence has been granted or a lessee, etc.)
hereby apply for the
transfer of the licence issued in respect of .................
......................................................................................................................
......................................................................................................................
describe land by reference to location, certificate of title, lease, etc.).
2. The transfer of the licence is necessary for
the following reasons ..............
......................................................................................................................
......................................................................................................................
3. If the transfer of the licence is refused the
land will be injuriously affected in the following manner
.................................................................
......................................................................................................................
........................................................
Signed by Applicant*
DATE .............................................
*Application must be signed by the applicant personally or by the
applicant’s authorised attorney or agent. Any power of attorney or other
authority must be forwarded with the application for sighting and return.
An application by a company must be made under the company’s
common seal.
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Form 4
COUNTRY AREAS WATER SUPPLY ACT 1947
COUNTRY AREAS WATER SUPPLY (CLEARING LICENCE)
REGULATIONS 1981
CLAIM FOR COMPENSATION
1. I,
..................................................................................................................
(Full Name/s — Please Print)
of
..................................................................................................................
(address)
Being the (owner) of
....................................................................................
(occupier)
(owner
and (give full land description of
holding).
occupier)
(Delete whichever does not apply)
......................................................................................................................
whose application to clear
..................................................... hectares or to transfer
licence No. ............................ was refused/granted in part/granted
subject to conditions/ under Part IIA of the
Country Areas Water Supply Act 1947 on ..................... (state date)
hereby claim the sum of $.............. as compensation for injurious
affection in respect of ..................................
......................................................................................................................
......................................................................................................................
......................................................................................................................
......................................................................................................................
(description of all land included in claim).
2. The amount claimed is made up as follows: *
(a) Area
for which clearing has been refused
............................ha @ ............................. per ha $
......................
(b) Any
loss of value of other areas included in claim
|
Land....................ha @ ............................. per ha |
$ ..................... |
|
Buildings ............................................................. |
$ ..................... |
|
Fencing ................................................................ |
$ ..................... |
|
Water Supply ....................................................... |
$ ..................... |
|
Other .................................................................... |
$ ..................... |
(c) Any
additional items ...........................................
$ .....................
|
TOTAL |
$ ..................... |
3. Nature of Interest in Lands of Claimant**
State in full the nature of Interest (as for
example, owner in fee simple, mortgagee, lessee, or occupier), and if the
lands are leased or encumbered, or are subject to any easement, give
particulars of such lease, encumbrance, or easements, etc.
......................................................................................................................
......................................................................................................................
......................................................................................................................
4. Where Claimant is not both the owner and
occupier state the name and address of the owner or occupier (as the case may
be)
......................................................................................................................
......................................................................................................................
......................................................................................................................
DATED this ................................. day
of ....................................... 20.......
........................................................
Signed by the
Claimant.‡
*Item 2 is not compulsory; complete it to the best of your ability.
**If your interest in the land is not registered, you must provide
documentary evidence (e.g. contract of sale, lease, partnership agreement) to
support your right to claim.
‡Claim must be signed by the claimant personally or by the
claimant’s authorised attorney or agent. Any power of attorney or other
authority must be forwarded with the claim for sighting and return.
A claim by a company must be made under the company’s common
seal.
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Form 5
WESTERN AUSTRALIA
No.
MEMORIAL
|
DEPARTMENT File No. |
COUNTRY AREAS WATER SUPPLY ACT 1947
NOTICE OF UNLAWFUL CLEARING
THE MINISTER HEREBY GIVES NOTICE THAT THE MINISTER ALLEGES THAT UNLAWFUL
CLEARING HAS BEEN CARRIED OUT WITH RESPECT TO THE UNDERMENTIONED LANDS
CONTRARY TO SECTION 12BA OF THE COUNTRY AREAS WATER SUPPLY ACT 1947 AND
THAT THE LAND MAY BECOME THE SUBJECT OF A RESTORATION ORDER UNDER SECTION
12B(2) OF THAT ACT.
SCHEDULE
|
LAND DESCRIPTION Location, Lot, Certificate of Title, Crown Lease (State whether whole or part
of land in C of T or C.L.) |
|
|
|
Dated this day of 20
................................
............................................................................
Witness FOR AND ON
BEHALF OF THE MINISTER
[Form 5 amended in Gazette 23 Aug 1985
p. 3020; 29 Dec 1995 p. 6295; 23 Nov 2010
p. 5858.]
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Form 6
WESTERN AUSTRALIA
No.
MEMORIAL
|
DEPARTMENT File No. |
COUNTRY AREAS WATER SUPPLY ACT 1947
NOTICE OF RESTORATION ORDER
THE MINISTER HEREBY GIVES NOTICE THAT A RESTORATION ORDER HAS BEEN MADE BY THE
COURT WITH RESPECT TO THE UNDERMENTIONED LANDS IN ACCORDANCE WITH SECTION 12BB
OF THE ABOVE ACT.
SCHEDULE
|
LAND DESCRIPTION Location, Lot, Certificate of Title, Crown Lease (State whether whole or part
of land in C of T or C.L.) |
|
|
|
Dated this day of 20 .
............................................
............................................................................
(Witness) FOR AND ON
BEHALF OF THE MINISTER
[Form 6 amended in Gazette 23 Aug 1985
p. 3020; 29 Dec 1995 p. 6296; 23 Nov 2010
p. 5858.]
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Form 7
WESTERN AUSTRALIA
No.
MEMORIAL
|
DEPARTMENT File No. |
COUNTRY AREAS WATER SUPPLY ACT 1947
NOTICE OF PAYMENT OF COMPENSATION FOR INJURIOUS AFFECTION
THE MINISTER HEREBY GIVES NOTICE THAT COMPENSATION FOR INJURIOUS AFFECTION
HAS BEEN PAID ON 20 WITH RESPECT TO THE
UNDERMENTIONED LANDS PURSUANT TO SECTION 12EA OF THE ABOVE ACT.
SCHEDULE
|
LAND DESCRIPTION: Location, Lot, Certificate of Title, Crown Lease. (State
whether whole or part of land in C of T or C.L.) |
|
|
|
|
Dated this day of 20 .
............................................
............................................................................
(Witness) FOR AND ON
BEHALF OF THE MINISTER
[Form 7 amended in Gazette 23 Aug 1985
p. 3020; 29 Dec 1995 p. 6296; 23 Nov 2010
p. 5858.]
[Schedule amended in Gazette 23 Aug 1985 p. 3020;
29 Dec 1995 p. 6295‑6; 23 Nov 2010
p. 5858.]