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COUNTRY AREAS WATER SUPPLY (CLEARING LICENCE) REGULATIONS 1981 - SCHEDULE

Form 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
        (PLEASE PRINT)
 (Applicant to be owner/occupier or Statutory Authority — 
Delete whichever does not apply)

SURNAME ..........................................
OTHER NAMES .................................
NAME OF STATUTORY AUTHORITY
 (if applicable) ...................................
                ..........................................
ADDRESS         .........................................
        .........................................

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.]


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.]


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.


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.


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.)


REGISTERED PROPRIETOR
Name, Address, Occupation






 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.]


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.)


REGISTERED PROPRIETOR
Name, Address, Occupation






 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.]


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.)


REGISTERED PROPRIETOR: Name, Address, Occupation


TO WHOM PAYMENT MADE AND THEIR ESTATE OR INTEREST IN THE LAND







 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.]



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