Site Plan of the Proposed Works
Please attach a plan showing the proposed works. The plan should show the entirety of the proposed works and
specifically include the following information and be clearly labelled.
Location of existing races
Dimensions (length, width, depth, grade) of
Location of proposed races
Direction of flow
Locations of structures (culverts, weirs or
junctions) on the races
Specifications of proposed work - ie, culvert
materials and diameters
Indication of due north
Assessment of Effects of the Proposed Works
Please complete a “Stockwater Race Works - Assessment of Effects” form (Form 2) for the following water race works
– deviation of existing race, extension of existing race, closure of existing race and construction of a new race. You do
not need to complete an assessment of effects form for water race service applications.
Approval from Affected Parties
Please include a signed consent form (Form 3) completed by each of the parties who may be affected by the
proposed works. Note: An Affected party is anyone who may be affected by the proposed works both in the short
term (ie while the works are being carried out) and in the long term (once the works are completed).
Signed: _____________________________ Date: _________________________________
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