Bushfire is a real risk for all South
Australians and you can’t predict
when a bushfire will strike. But your
chances of survival are increased if
you are prepared.
The State Government, SA Country Fire
Service (SA CFS), the Native Vegetation
Council and Local Councils are working
together to protect life and property,
while still recognising the value of native
vegetation.
Use the following application form to
seek approval for activities as specified
throughout the A guide for managing
Native Vegetation to reduce the impact
of Bushfire (2009) (download a copy
from www.cfs.sa.gov.au). It is important
that you provide adequate information
about the activities you are proposing
to carry out when completing your
application form. Applications must
be signed by an owner of the property
where the
works are to be carried out.
Application to manage Native Vegetation
to reduce the impact of Bushfire
Cut down the impact of bushfires
Things you will need
to consider:
If there is a bushre prevention
plan that applies to your area, the
activities you are proposing to
reduce the impact of bushfire on
your property may already be
approved. Contact the SA CFS to
find out (see www.cfs.sa.gov.au
for contact details).
If you want to remove or modify
a Significant Tree* you will
need approval as outlined in the
Development Regulations 2008.
You need to identify if you have a
Significant Tree and contact your Local
Council for further information on how
to apply.
Are you Bushfire
Ready?
Actions you can take today:
Reduce
Remove
Dispose
Replace
It Is your responsIbIlIt y to
fInd out If the actIons you
are proposIng to undertake
requIre approval under
other legIslatIon.
P2
OFFICE USE ONLY
Date received:
Received by: Application No.:
Return completed form to your Regional CFS Office
(see www.cfs.sa.gov.au for contact details).
1. Your Details
Name:
Postal Address:
Postcode:
Phone (Home):
Phone (Business):
Mobile:
Fax:
Email:
2. Location of Works
Give details of the property where the proposed
works are to be conducted.
Location Address:
AND/OR
Section:
Hundred:
Lot Number:
3. Why do you want to manage native vegetation?
To protect a building/structure – Go to Section A
To reduce fuel – Go to Section B
To construct a fuel break – Go to Section C
To construct a fire access track – Go to Section D
A. Managing native vegetation to
protect a building/structure
Building
1
: You can manage native vegetation within 20m
of a building, without seeking approval. Why would you
like to carry out work greater than 20m from the building?
Structure
1
: You can manage native vegetation within 5m
of a structure, without seeking approval. Why would you
like to carry out work greater than 5m from the structure?
What do you want to do? Please attach a sketch and/or
photos of your property outlining where you intend to
carry out the works.
Total area (approx) for proposed works: …………ha
Distance of proposed clearing around
building/structure: .……..…m
Is the building/structure on a slope?
Yes No
If yes, please estimate what the slope is:
Upslope:
0-5
o
5-10
o
10-15
o
>15
o
Downslope: 0-5
o
5-10
o
10-15
o
>15
o
Application to manage Native Vegetation
to reduce the impact of Bushfire
1
Denitions provided at the end of this application form.
P3
What is the main direction the slope is facing?
(Nth, East, Nth-West, etc.)
How do you propose to undertake these works
2
?
Mechanical Method (e.g. hand clearing, brushcutting,
tree removal/pruning, herbicide use)
Prescribed Burn – Go to Section E
Other – Please describe:
If using a mechanical method of vegetation removal,
how do you intend to dispose of the vegetation?
Mulching & leaving on site
Licensed Recycling / Waste Transfer Centre
Storage on site
Pile Burn – Go to Section E
Other – Please Describe:
Note: If you want to conduct a burn during the Fire Danger
Season, a permit to burn is required under the Fire and
Emergency Services Act 2005 (for more information visit
www.cfs.sa.gov.au). This application will be considered
as an application for a permit to burn – see Section E.
B. Managing native vegetation
to reduce fuel strategically
Why do you think your proposed fuel reduction works
are needed?
What do you want to do? Please attach a sketch and/or
photos of your property outlining where you intend to
carry out the works.
Total area (approx): …………ha
How do you propose to undertake these works?
Mechanical Method (e.g. hand clearing, brushcutting,
tree removal/pruning, herbicide use)
Prescribed Burn – Go to Section E
Other – Please describe:
If using a mechanical method of vegetation removal,
how do you intend to dispose of the vegetation?
Mulching & leaving on site
Licensed Recycling / Waste Transfer Centre
Storage on site
Pile Burn – Go to Section E
Other – Please Describe:
Note: If you want to conduct a burn during the Fire Danger
Season, a permit to burn is required under the Fire and
Emergency Services Act 2005 (for more information visit
www.cfs.sa.gov.au). This application will be considered
as an application for a permit to burn – see Section E.
Application to manage Native Vegetation
to reduce the impact of Bushfire – cont.
2
See ‘A guide for managing Native Vegetation to reduce the impact
of Bushfire (2009) Appendix 4’ for more information on methods
to undertake fuel reduction on your property.
P4
C. Managing native vegetation
to construct a fuel break
Why do you think your proposed fuel break(s) is needed?
Is the property mainly used for primary production?
Yes No
What do you want to do? Please attach a sketch and/or
photos of your property outlining where you intend to
carry out the works.
Total area (approx): …………ha
Are there any existing fuel breaks on the property?
If yes, provide details and include on your sketch.
How do you propose to undertake these works?
Mechanical Method (e.g. hand clearing, brushcutting,
tree removal/pruning, herbicide use)
Prescribed Burn – Go to Section E
Other – Please describe:
If using a mechanical method of vegetation removal,
how do you intend to dispose of the vegetation?
Mulching & leaving on site
Licensed Recycling / Waste Transfer Centre
Storage on site
Pile Burn – Go to Section E
Other – Please Describe:
Note: If you want to conduct a burn during the Fire Danger
Season, a permit to burn is required under the Fire and
Emergency Services Act 2005 (for more information visit
www.cfs.sa.gov.au). This application will be considered
as an application for a permit to burn – see Section E.
D. Managing native vegetation
to construct fire access tracks
All fire access tracks should be constructed in accordance
with ‘A guide for managing Native Vegetation to reduce the
impact of Bushfire (2009), Appendix 3’ (download a copy
from www.cfs.sa.gov.au).
Why do you think your proposed fire access track(s)
is needed?
What do you want to do? Please attach a sketch and/or
photos of your property outlining where you intend to
carry out the works.
Total area (approx): …………ha
Are there any existing fire access tracks on the property?
If yes, provide details and include on your sketch.
How do you propose to undertake these works?
Mechanical Method (e.g. hand clearing, brushcutting,
tree removal/pruning, herbicide use)
Prescribed Burn – Go to Section E
Other – Please describe:
If using a mechanical method of vegetation removal,
how do you intend to dispose of the vegetation?
Mulching & leaving on site
Licensed Recycling / Waste Transfer Centre
Storage on site
Pile Burn – Go to Section E
Other – Please Describe:
Note: If you want to conduct a burn during the Fire Danger
Season, a permit to burn is required under the Fire and
Emergency Services Act 2005 (for more information visit
www.cfs.sa.gov.au). This application will be considered
as an application for a permit to burn – see Section E.
Application to manage Native Vegetation
to reduce the impact of Bushfire – cont.
P5
E. Prescribed Burning
Please read before completing Section E:
If you want to conduct a burn during the Fire Danger Season,
a Schedule 9 Permit to burn is required under the Fire and
Emergency Services Act 2005 (for more information visit
www.cfs.sa.gov.au). This application will be considered
as an application for a permit to burn. However, there is
no guarantee that a permit to burn will be issued as it is
dependent on an assessment by the SA CFS of the safety
of the proposed burn. Click here to access the Prescribed
Burn Plan from the SA CFS website.
When conducting a prescribed burn the SA CFS may
provide advice or place conditions on any permits to burn
that are issued.
Note: You may be found liable for any loss or damage
caused by a fire lit under the authority of a permit to burn,
even if you have complied with the conditions of that permit.
If you want to conduct a prescribed burn to improve ecological
processes you will need to have a management plan approved
by the Native Vegetation Council. You can contact the Native
Vegetation Council on (08) 8303 9741.
What do you want to do?
Pile Burn to dispose of mechanically removed vegetation
– Where on the property will you burn (mark on map)?
Prescribed Burn to reduce fuel strategically
– Total area (approx) of burn: …………ha
When do you propose to undertake the burn?
If you want to undertake any burning during the Fire Danger
Season, you will require a Schedule 9 Permit to burn. To apply
for a permit to burn, complete the information below. If you
are undertaking a prescribed burn also complete and attach
an operation burn plan using the template provided
on the SA CFS website (www.cfs.sa.gov.au).
Please provide the following information for any burn that
you are proposing to undertake, whether in the Fire Danger
Season or not:
Who is going to undertake the burn?
Name:
Phone:
Email:
Who is the nominated contact person before, during
and after the proposed burn?
Name:
Mobile phone:
The SA CFS should be contacted on the day prior to your
intended burn (refer to www.cfs.sa.gov.au for your relevant
Regional CFS Office).
To be completed for
all applications
4. Urgency
Do you think your proposed works are a matter of urgency?
If yes, please provide a reason.
5. Authorisation by landowner(s):
As the owner of this land, I consent to the above-proposed
bushfire hazard reduction works, and advise that the
information on this form is correct to the best of my knowledge.
I hereby consent to an authorised officer of the SA CFS
entering the property to undertake a site inspection for the
purposes of assessing the application, assessing compliance,
or any other follow-up purposes.
Signature/s
Date
Note: You need written authority from each landowner should
your proposed works cross into any other persons property.
OFFICE USE ONLY
Circle/Cross out as appropriate:
This application has / has not been approved by the
SA CFS with/without conditions attached.
Signature & Name of SA CFS delegated ofcer:
Date:
Application to manage Native Vegetation
to reduce the impact of Bushfire – cont.
P6
Building means:
(a) a building within the meaning of the
Development Act 1993 (other than
a Class 7A or 10B building under the
Building Code) that is permanently
fixed to land; and
(b) a building of a kind contemplated by
paragraph (a) that is in the course
of construction if the foundations,
concrete slab or other footings have
been completed; and
(c) any other building or structure
declared by the Minister by notice in
the Gazette to be included within the
ambit of this definition,
but does not include any building or
structure declared by the Minister by
notice in the Gazette to be excluded
from the ambit of this definition
(Native Vegetation Regulations 2003).
For example, a building may be a:
dwelling, hotel, motel, school, office
building, shop, cafe or restaurant,
service station, storage building,
laboratory, factory, hospital, private
garage, carport, or shed.
(See also definition of Structure.)
Bushre prevention plan means a
plan for bushfire prevention and
management prepared by a district
bushfire prevention committee under
the Fire and Emergency Services
Act 2005.
Fire Access Track means a track
(up to 15m in width) constructed
for use by vehicles undertaking
firefighting activities.
Fuel break means an area where
vegetation has been removed or
modified to reduce the risk of bushfires
starting and to assist in reducing the
intensity and rate of spread of bushfires.
Fuel breaks provide protection from fire
for personnel, equipment and property,
and provide an edge from which fire
crews can undertake fire suppression or
prescribed burning activities.
Prescribed burn means the controlled
use of fire to achieve planned native
management objectives. A prescribed
burn is only undertaken:
(i) in specified environmental
conditions
(ii) over a defined area
(iii) at a particular time, and
(iv) within a predetermined fire
intensity and rate of spread.
Primary Production means production
resulting directly from the cultivation
of land; the maintenance of animals
or poultry for the purpose of selling
them or their bodily produce; fishing
operations; forest operations (which
include the planting or tending in a
plantation or forest of trees intended
for felling and the felling of trees in
a plantation or forest) or horticulture.
It includes the manufacture of
dairy produce by the person who
produced the raw material used in
that manufacture.
Significant Tree means any native or
non-native tree that has a trunk with
a circumference of 2m or more at a
point 1m above natural ground level.
In the case of trees with multiple trunks,
the total circumference of the trunks
must be 2m or more and the average
circumference of each trunk must be
62.5cm or more.
Structure means any permanently
fixed construction that is not defined
under the definition of a ‘building. This
includes constructions used for primary
production, the housing or feeding of
animals, the storage of fodder, and the
storage of vehicles or vessels. This also
includes any other structure declared
by the Minister by notice in the SA
Government Gazette to be included
within this definition (Native Vegetation
Regulations 2003).
For example, a structure could be any
of the following if they are permanently
fixed to the ground: a small aviary or
other animal enclosure, a small shed
constructed around a pump or other
small infrastructure, a small garden
shed or greenhouse, a pool shed, a
gazebo, or a children’s playhouse.
(See also definition of Building.)
Application to manage Native Vegetation
to reduce the impact of Bushfire – cont.
South Australian Country Fire
Service (CFS) In an emergency,
please call 000.
Headquarters: (08) 8463 4200
Region 1 – Southern Mount
Lofty Ranges and Kangaroo
Island: (08) 8391 1866
Region 2 – Northern Mount Lofty
Ranges and Yorke Peninsula:
(08) 8522 6088
Region 3 – Murraylands and
Riverland: (08) 8532 6800
Region 4 – Flinders, Mid North
and Pastoral Areas:
(08) 8642 2399
Region 5 – South East:
(08) 8762 2311
Region 6 – Eyre Peninsula and
West Coast: (08) 8682 4266
Web: www.cfs.sa.gov.au
Native Vegetation Council
Telephone: (08) 8303 9733
Fax: (08) 8303 9780
Email: nvc@sa.gov.au
Web: www.nvc.sa.gov.au