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Page 1: Is the shire within the dryland ... - water.wa.gov.au Web viewThe Department of Water will use the information provided in this section as part of the eligibility assessment. Information

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Page 2: Is the shire within the dryland ... - water.wa.gov.au Web viewThe Department of Water will use the information provided in this section as part of the eligibility assessment. Information

Watering WA Towns application form

Incorporating the Department of Water’s community water supply program

Note: Please identify all volumes in kilolitres (kL)

Project title:

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Project summary Provide a brief summary of the project and the purpose. The summary should be between 150 to 300 words.

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Part A - Proponent details

Name of local government area (LGA), business or group making this application

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Contact (Project Manager)Click here to enter text.

AddressClick here to enter text.

PhoneClick here to enter text.

FaxClick here to enter text.

EmailClick here to enter text.

Eligibility assessment

The Department of Water will use the information provided in this section as part of the eligibility assessment. Information must be provided in this form and justified by supporting documentation. It is mandatory to complete all sections with an appropriate level of detail. Only referring to supporting documentation will not be accepted.

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Page 3: Is the shire within the dryland ... - water.wa.gov.au Web viewThe Department of Water will use the information provided in this section as part of the eligibility assessment. Information

Section 1. Is the shire within the dryland agricultural area receiving less than 600 mm average rainfall?

(Please refer to information for applications document for a list of shires)☐ Yes ☐ No (please contact the Department of Water to discuss your eligibility)

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Section 2. Does this proposal have the support of the shire?

☐ Yes ☐ No

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Section 3. Declining rainfall and water deficiency declarations

Is there a trend of declining rainfall in the shire over the past 30 years? Please provide reference data as an attachment and refer to the attachment in the comments box below.

☐ Yes ☐ No Is there a history of water deficiency declarations (please refer to the guidelines for a definition) and if so how many in the past 10 years? (www.water.wa.gov.au/wateringWA/emergency-water-for-livestock)

☐ Yes ☐ No

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Section 4. Contribution to water security

What are the current issues with water availability?

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How will this project contribute to water security?

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Page 4: Is the shire within the dryland ... - water.wa.gov.au Web viewThe Department of Water will use the information provided in this section as part of the eligibility assessment. Information

What volume of water will be made available annually by the proposed project?

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What is the current and projected demand?

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Section 5. Availability and reliability of scheme for current and intended purposes

Detail the reliability of scheme water. This includes any issues with pressure or availability.

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Section 6. Reduction in reliance on scheme water

Will the project reduce reliance on scheme water?

☐ Yes ☐ No - please proceed to next section

What volume of scheme water is currently utilised for the intended purpose? (e.g. if the project will provide water to irrigate the football oval, how much scheme water is currently used to irrigate the oval?)

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What is the expected scheme water saving (volume and cost) from implementing this project?

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Page 5: Is the shire within the dryland ... - water.wa.gov.au Web viewThe Department of Water will use the information provided in this section as part of the eligibility assessment. Information

Section 7. Availability of alternative non-potable sources

Provide details of existing non-potable water sources utilised in the community.

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Provide details of all existing non-potable water sources that are not utilised by the community

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Provide an explanation as to why the new source is required and why it is the best option

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Section 8. Improvement in water for emergency farmland water supplies

Will the project make water available for emergency farm use?

☐ Yes ☐ No - please proceed to next section

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How many strategic emergency farm water supplies are available within 40km? Provide details of the volumes of water available. (www.water.wa.gov.au/wateringWA/emergency-water-for-livestock)

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What volumes will be made available for emergency farmland water supplies? How will this water be accessed and what infrastructure will be installed to support emergency farm use? How many farmers will benefit from this supply?

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Page 6: Is the shire within the dryland ... - water.wa.gov.au Web viewThe Department of Water will use the information provided in this section as part of the eligibility assessment. Information

Section 9. Provision of water for firefighting

Will the infrastructure make water available for firefighting?

☐ Yes ☐ No - please proceed to next section

Detail the need of the shire for emergency firefighting water including risks and historical issues. If available please attach advice from Department of Parks and Wildlife and/or Department of Fire and Emergency Services.

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What volumes will be made available for firefighting? How will this water be accessed and what infrastructure will be installed to support firefighting use?

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Section 10. Provision of water for public amenity

Will the project provide water for public amenity such as watering public open space, ovals, street gardens, and public sporting facilities?

☐ Yes ☐ No - please proceed to next section

What is the expected benefit from this water (e.g. will it be used for facilities that are currently under watered, or where water is not available?)

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What volume of water will be available for improving public amenity? What volume will be used for public amenity purposes?

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Section 11. Provision of water for economic expansion

Will water be made available for business or the development of other economic opportunities?

☐ Yes ☐ No - please proceed to next section

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Page 7: Is the shire within the dryland ... - water.wa.gov.au Web viewThe Department of Water will use the information provided in this section as part of the eligibility assessment. Information

What are the expected benefits from this project to both the applicant and community?

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What volume of water will be made available? How will the water be used and/or what is the potential of this water? (Please attach business case and detailed workings if available)

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Section 12. Environmental benefits

Does the proposed project provide any environmental benefits? If so provide details.

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Section 13. Other alternative uses for the water

Are there any other uses for this water not detailed in previous sections?

☐ Yes ☐ No - please proceed to next section

Describe the use and provide details of the volume of water that will be available for this purpose.

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Section 14. Community engagement and support

How has the community been engaged in this project?

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What is the level of support from the community for this project, and how is this support measured? Provide written supporting documentation as an attachment to your project plan.

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Detail the number of people who will benefit from the project and describe how they will benefit.

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Page 8: Is the shire within the dryland ... - water.wa.gov.au Web viewThe Department of Water will use the information provided in this section as part of the eligibility assessment. Information

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Section 15. Shire water management strategy

Does the shire have a water management strategy (or similar) and if so how does this proposal fit into the strategy?

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Section 16. Percentage co-contribution of the applicant to this project. Detail contribution of all parties.

Provide summary details of the percentage co-contribution to this project including in-kind.

The contribution from the applicant/s is capped at a total of $300 000 except if the applicant is a commercial business. Commercial businesses should contact the department to discuss this requirement.

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Section 17. Project timeline

Provide summary details of the project’s estimated commencement and completion dates.

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Are there any factors that influence the timing of this project (e.g. seasonality, availability of workforce?)

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Page 9: Is the shire within the dryland ... - water.wa.gov.au Web viewThe Department of Water will use the information provided in this section as part of the eligibility assessment. Information

Section 18. Application endorsement

Local government name Click here to enter text.

Name of CEOClick here to enter text.

Signature of CEO

DateClick here to enter text.

Name of shire president Click here to enter text.

Signature of shire president

Date Click here to enter text.

Applicant sign-off for the project (do not complete if applicant is local government)

Name of business/organisationClick here to enter text.

ABN (if applicable)Click here to enter text.

Name (must be authorised to sign off on behalf of business or organisation)

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PositionClick here to enter text.

Signature

DateClick here to enter text.

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