(Sustainable Planning Act 2009 version 3.1effective3 August 2015)
This form must be used for development applications for operational work that involve taking or interfering with artesian or sub-artesian water.
You MUST complete ALL questions that are stated to be a mandatory requirement unless otherwise identified on this form.
For all development applications you must:
- complete IDAS form 1—Application details
- complete any other forms relevant to your application
- provide any mandatory supporting information identified on the forms as being required to accompany your application.
All terms used on this form have the meaning given in the Sustainable Planning Act 2009 (SPA) or the Sustainable Planning Regulation 2009.
Note: If this development application involves a State resource, this application is not required to be supported by evidence of resource entitlement. The allocation or entitlement to the resource is a separate process and should be obtained prior to development commencing.
Mandatory requirements
1.Are the works existing?
No / Yes—provide date drilled (if known)
2.Are the proposed works to replace or amend an existing authorised bore?
No / Yes—provide authorisation number
3.What is the nature of the proposed work?(Tick all applicable boxes.)
Installing a bore
Excavating
Sinking a well
Constructing a collection network
Other—specify below
4.What type of bore is proposed?(Tick all applicable boxes.)
Sub-artesian bore (does not flow)
Artesian bore (flowing)—controlled to headworks
Artesian bore (not flowing)—ceased to flow
5.What is the proposed depth of the bore or target formation?
Maximum estimated depth (metres) / Target formation
Non mandatory information
6.What is the local bore name?
7.What are the details of the bore casing?
Diameter (millimetres) / From (metres) / To (metres) / Material (e.g. steel, PVC)
8.What are the details of the proposed work for excavation, well, collection work or other work?(Non-mandatory requirement.)
Length (metres) / Width (metres) / Depth (metres) / Diameter (millimetres)
9.What type of pump is proposed?(Tick all applicable boxes.)
Centrifugal / Turbine
Helical rotor / Piston
Jet / Cylinder pump and windmill
Submersible / Other—specify below
10.What are the details of the pump?
Inlet/bore (millimetres) / Outlet/stroke (millimetres) / Duty discharge (litres/sec) / Duty head (metres)
11.What is the proposed motor type of the pump?
Mandatory supporting information
12.Confirm that the following mandatory supporting information accompanies this application
Mandatory supporting information / Confirmation of lodgement / Method of lodgement
A sketch plan showing:
- the location of the proposed works, if known, and any existing works for taking artesian or sub-artesian water
Not applicable
- lot boundaries and descriptions
- existing works
Not applicable
- the position of any watercourses or water bodies
Not applicable
- the position of any roads
Not applicable
- the position of any area to be irrigated.
Not applicable
Written documentation
A statement addressing the relevant part(s) of the State Development Assessment Provisions (SDAP). / Confirmed
Not applicable
Privacy—Please refer to your assessment manager, referral agency and/or building certifier for further details on the use of information recorded in this form.
OFFICE USE ONLY
Date received / Reference numbersThe Sustainable Planning Act 2009is administered by the Department of Infrastructure, Local Government and Planning. This form and all other required application materials should be sent to your assessment manager and any referral agency.
IDAS form 12—Taking or interfering with artesianor sub-artesian water
Version 3.1—3 August 2015