Application to Undertake a
Commercial Activity on
Lake Burley Griffin
By agreement under Section 33 of the Lakes Ordinance 1976
APPLICATION FORM
APPLICATION TO UNDERTAKE A COMMERCIAL ACTIVITY ON LAKE BURLEY GRIFFIN
PREAMBLE/NOTES FOR APPLICANTS
Lake Burley Griffin is the centre-piece for the setting of the National Capital.
Under Section 33 of the Lakes Ordinance 1976, the Commonwealth, represented by the National Capital Authority (NCA),
may enter into an agreement with persons with respect to the undertaking of commercial activities within the Lake Burley
Griffin area.
Should you wish to apply to enter into such an agreement please complete this form and provide relevant supporting
material. Before applying please acquaint yourself with the terms and conditions of the Agreement and sign in the space
provided to indicate your acceptance of those terms and conditions.
The NCA may require you “the Applicant” to provide further stated information to decide the application.
Remember it is an offence to provide false or misleading information.
The NCA reserves the right to refuse an application.
The NCA will consider applications on factors such as:
PUBLIC SAFETY
» Quality of safety management plan
» Track record in compliance with safety requirements
» AMSA inspections and advice
» Training of staff in first aid and safety matters
IMPACT ON LAKE ENVIRONMENT, HERITAGE AND INFRASTRUCTURE
» Potential for impacts on lake quality, disturbance of the lake bed or other risks
» Extent to which commercial activity impacts on other lake users, commercial and recreational, and the potential
for any adverse impacts
» Consistency of the activity with the values set out in the Lake Heritage Management Plan and LBG Recreation
Policy
» Capacity of the lake infrastructure to cater for the additional activity – jetties, bridges, moorings, slipways
APPLICATION TO UNDERTAKE A COMMERCIAL ACTIVITY ON LAKE BURLEY GRIFFIN
PURPOSE OF ACTIVITY AND CONSISTENCY WITH NATIONAL CAPITAL
» Potential impact on the standing of the national capital (visual, noise, quality of tourist information)
» Nature of the activity and its alignment/consistency with significance of the national capital and the lake as set out
in the National Capital Plan, Heritage Management Plans and related policies
» Quality of service arrangements – presentation of staff, cleanliness, on board facilities, promotion and web
information, signage
» Any other matters considered relevant by the NCA.
Following the evaluation the NCA may enter into negotiations for an agreement with preferred applicants.
The Applicant must agree and acknowledge that they will be legally bound by the terms and conditions of the Agreement
upon the signing of those terms and conditions by the NCA.
Section 34 of the Lakes Ordinance 1976 makes it an offence to undertake a commercial activity not in accordance with the
Agreement.
Please note that all fields are mandatory and must be completed before submitting the statement. Incomplete
applications will not be considered.
A. PLEASE INDICATE THE AGREEMENT TERM SOUGHT:
1
2
3
4
5 Years
B. OPERATOR, VESSEL AND SERVICE DETAILS
APPLICANT DETAILS
Name: .................................................................................................................................................................................................
Address: .............................................................................................................................................................................................
State ...................... Postcode ..............................................
Phone (home and business) ..............................................................................................................................................................
Fax ......................................................................................................................................................................................................
Email address: ...................................................................................................................................................................................
Website:..............................................................................................................................................................................................
Trading Name: ...................................................................................................................................................................................
Business Registration details - ABN/ ASIC: ......................................................................................................................................
APPLICATION TO UNDERTAKE A COMMERCIAL ACTIVITY ON LAKE BURLEY GRIFFIN
Number of Years of experience in operating commercial activities and description and location of those activities and other
relevant experience:
PURPOSE
Describe the activity proposed – frequency, target market (function, tourist, passenger services):
Mark on the map below the proposed area of Lake to be used for the activity.
Government House
Lindsay Pryor
Arboretum
COMMONWEALTH AVENUE
NORTHBOURNE
AVENUE
KINGS AVENUE
ANZAC PARADE
CONSTITUTION AVENUE
P
A
R
K
E
S
W
A
Y
ALEXANDRINA DR
A
L
E
X
A
N
D
R
I
N
A
D
R
BRISBANE AVENUE
MELBOURNE AVENUE
ADELAIDE AVENUE
P
A
R
K
E
S
W
A
Y
P
A
R
K
E
S
W
A
Y
BANKS ST
W
E
S
T
O
N
P
A
R
K
R
D
C
A
N
B
E
R
R
A
A
V
E
N
U
E
lADY DENMAN DRIVE
C
O
T
T
E
R
R
O
A
D
lADY DENM
AN DRIVE
l
A
D
Y
D
E
N
M
A
N
D
R
I
V
E
CLUNIES ROSS STREET
TUGGERANONG PARK WAY
LIMESTONE AVENUE
FAIRBAIRN AVENUE
DUDLEY STREET
YARRALUMLA
DEAKIN
FORREST
BARTON
KINGSTON
YARRALUMLA
Royal Canberra
Golf Course
Royal Canberra
Golf Course
PARLIAMENTARY
ZONE
PARLIAMENT
HOUSE
REID
ACTON
City Hill
Canberra Nature Park
Black Mountain
Grevillea Park
Commonwealth Park
Bowen
Park
Telopea P
ark
Government House
Lookout
Jerrabomberra
Wetlands
Lake Burley Griffin Jetties
APPLICATION TO UNDERTAKE A COMMERCIAL ACTIVITY ON LAKE BURLEY GRIFFIN
Describe proposed activity route, jetties, mooring, servicing and office locations:
VESSEL DETAILS
Name: ................................................................................................................................................................................................
Vessel type and Year of Build: ...........................................................................................................................................................
Principle material of Vessel: .............................................................................................................................................................
MOTOR TYPE/SIZE
Hull Dimensions: ...............................................................................................................................................................................
» Attach Photo of vessel
SERVICE STANDARDS
Provide details on the proposed measures to ensure the delivery of a safe, reliable and efficient service including:
Presentation requirements of crew and staff uniforms, staff training:
Corporate branding:
APPLICATION TO UNDERTAKE A COMMERCIAL ACTIVITY ON LAKE BURLEY GRIFFIN
Other relevant information:
C. EVIDENCE OF COMPLIANCE WITH AGREEMENT
TERMS AND CONDITIONS
SAFETY DETAILS
SAFETY CERTIFICATION OF VESSEL
Registration Number(if issued); Survey Authority; State/Territory of issue:....................................................................................
Passenger capacity: ..........................................................................................................................................................................
Intended Mooring type and location: .................................................................................................................................................
Attach current Certificate of Survey &/ or AMSA Letter of Survey: ..................................................................................................
(please note that any modifications made to the vessel subsequent to the issue of the certificate of survey will need to be
approved by the AMSA).
CREW
Proposed number of crew: ................................................................................................................................................................
Qualifications of crew and type of certification held:
APPLICATION TO UNDERTAKE A COMMERCIAL ACTIVITY ON LAKE BURLEY GRIFFIN
BUSINESS AND INSURANCE DETAILS
INSURANCE
» Attach certificate of currency – public liability
» Attach insurance details required by the Workers Compensation Act 1951 (ACT)
SAFETY MANAGEMENT PLAN
» Attach Safety Management Plan which must include an emergency plan (it is recommended that the NSW
Maritime Authority Guidelines for Safety Management Plans be used as the model)
(Please note that AMSA will review the SMP as part of the annual survey process).
» Attach any other relevant information on the compliance record of the business. All commercial vessels operating
on the Lake must operate within national standards
INFRASTRUCTURE AND ENVIRONMENTAL MANAGEMENT DETAILS
INFRASTRUCTURE PLAN/S
Mooring Number and Location: ........................................................................................................................................................
» Attach Annual Maintenance Plan which must include details of the servicing locations, a services and repair
schedule, pest inspection and control systems
» Attach Waste Management Plan
» Attach Security Plan
Signature: ..........................................................................................................................................................................................
Date: ..................................................................................................................................................................................................
Please note that if your application is successful, the Agreement Fee (as at 2009/2010) is $2000 pa for the first year, plus an
Annual CPI adjustment [based on the movement in the ABS CPI Transportation Index (Canberra)] thereafter until expiry of
the agreement. No GST is payable on the Agreement Fee.
Please fax or email the completed application form to the NCA c/-:
Fax: 02 6273 4427, Email: natcap@natcap.gov.au or Mail: GPO Box 373, Canberra ACT 2601
NOTE: This form can be printed and faxed to the number above, alternatively you may fill it, print it and fax or mail it or if
you own Acrobat Profession you may also fill it, save it and email it to the above address.
If you do not own Acrobat Professional you cannot save the form once it has been completed.
Estimated time to complete form: .....................................................................................................................................................
click to sign
signature
click to edit
APPLICATION TO UNDERTAKE A COMMERCIAL ACTIVITY ON LAKE BURLEY GRIFFIN
APPLICANT CHECKLIST
Please ensure
» your application is complete;
» you have attached all relevant supporting information; and that
» you acknowledge and understand the legally binding nature of the terms and conditions of the Agreement and
you have signed at the end of those terms and conditions to indicate your agreement.
OPERATOR AND SERVICE
» Applicant details are complete
» Map is completed
» Vessel details and photo attached
» Activity/Service Plans are attached
SAFETY
» AMSA Letter of Survey and/or State Survey Certificate attached
» Cockswain/ Crew certificates noted/attached
» Safety Management Plan attached
BUSINESS/INSURANCES
» Public Liability
» Work Cover
INFRASTRUCTURE AND ENVIRONMENT
» Mooring details
» Maintenance Plan
» Waste Management Plan
» Security Details
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