This legislation has been repealed.
[Reg. 4]
Form 1 — Artesian Well
Western Australia
Rights in Water and Irrigation Act 1914 2
APPLICATION FOR A LICENCE UNDER SECTION 26D
Name, address and occupation of applicant |
............................................................................
|
Description, location and approximate height above sea level of proposed new
well or of existing well proposed to be enlarged, deepened or altered or drawn
upon |
Description ........................................................
|
* Nature of proposed work ............................ |
............................................................................
|
Statement of the purposes for which it is proposed to utilise the water
(Regulation 5 (1) (c)) |
............................................................................
|
The several casings proposed to be used with the names of the makers, and
whether of soft, wrought iron, or mild steel |
............................................................................
|
Particulars regarding depth and volume of flow from each artesian well within
a radius of 10 miles from the site of the well |
Depth ................................................................. |
Whether the water will be distributed by natural or artificial drains or by
both |
............................................................................
|
Approximate estimate of the length of each drain, the total aggregate length
of drains and their respective routes |
............................................................................
|
Period for which licence is required............... |
............................................................................
|
Remarks or further explanations .................... |
............................................................................
|
I/WE ..............................................., of
.................................................................,
in the
State of Western Australia, hereby apply for a licence under the Rights in
Water and Irrigation Act 1914 2 , for a new well (or to enlarge or deepen
or alter or draw water from a now existing well on land situated at
.................................,
in the Municipal District of the
..................................................., such land being
shown on
accompanying plan marked “A” and shaded pink, and upon which land
I/we desire to construct a new well (or to enlarge, or deepen, or alter or
draw water from a now existing well) as described above.
Dated at ........................ this ............................. day of
................................ in
the year 19 ..........
........................................................
Signature of Applicant
Note. — Plans and specifications must accompany this
application in accordance with Regulation No. 5.
Heading marked * should state whether the proposed work is for a new well or
for enlarging, deepening, or altering or drawing water from a now existing
well, or as the case may be.
Form No. 2 — Non-Artesian Well
Western Australia
[Reg. 4]
Rights in Water and Irrigation Act 1914 2
APPLICATION FOR A LICENCE UNDER SECTION 26D
Name, address and occupation of applicant |
............................................................................
|
Description, location and approximate height above sea level of proposed new
well or of existing well proposed to be enlarged, deepened or altered or drawn
upon |
Description ........................................................
|
* Nature of proposed work ............................ |
............................................................................
|
Statement of the purposes for which it is proposed to utilise the water
(Regulation 5 (1) (c)) |
............................................................................
|
Period for which licence is required |
............................................................................
|
Remarks or further explanations . . . |
............................................................................
|
I/We ................................................, of
................................................................,
in the State
of Western Australia, hereby apply for a licence under the Rights in Water
and Irrigation Act 1914 2 , for a new well (or to enlarge or deepen or
alter or draw water from a now existing well on land situated at
..................................
in the Municipal District of the
..................................................., such land being
shown on
accompanying plan marked “A” and shaded pink, and upon which land
I/we desire to construct a new well (or to enlarge or deepen or alter or draw
water from a now existing well) as described above.
Dated at ................................................ this
...............................................day
of
............................................. in the year of 19 ........
........................................................
Signature of Applicant
Note. — Plans and specifications must accompany this
application in accordance with Regulation No. 5.
Heading marked * should state whether the proposed work is for a new well or
for enlarging deepening, or altering or drawing water from a now existing
well, or as the case may be.
Form 3
Water Agencies (Powers) Act 1984
[Reg. 6]
GROUNDWATER WELL LICENCE
Issued under section 26D of the Rights in Water and Irrigation
Act 1914 2
Name | |
Description | |
Location | |
Things that | |
Licence | |
Purpose | |
This licence is subject to the following terms, limitations and conditions
Given under my hand this .............................. day of
............................................
.................................................................................................
Authorised Officer
Form 4
[Reg. 9]
Western Australia
Rights in Water and Irrigation Act 1914 2
MONTHLY OR FINAL STATEMENT IN RESPECT OF ARTESIAN WELLS BEING CONSTRUCTED,
ENLARGED, DEEPENED, OR ALTERED UNDER LICENCE
Name and address of licensee ........................ |
............................................................................ |
Location of well, stating Municipal District and lot or location No. |
............................................................................
|
The several casings used, with the names of the makers and the weight per
running foot of each size, and whether of soft wrought iron or of mild steel. |
............................................................................
|
Diameter and length of casings inserted, and whether whole or perforated. |
............................................................................
|
If perforated, the sizes and lengths, with the position of each perforated
length in the bore. |
............................................................................
|
The depth reached in the well ........................ |
............................................................................ |
The depth from the surface, with the thickness and character of each of the
different beds of strata pierced. |
............................................................................
|
Particulars of water struck (if any), whether salt, brackish or fresh, and the
depths from the surface at which each water-bearing bed was struck. |
............................................................................
|
Also, the height above ground level to which the water will rise in the
casing. |
............................................................................
|
The approximate daily volume of the flow of artesian water from each artesian
water-bearing bed tapped, and the final or total daily volume from the well on
its completion. The day to consist of 24 hours. |
............................................................................
|
I, ..................................................... of
...................................................................
in the State of Western Australia, being the holder of a licence for the
construction, enlargement, deepening, or alteration of an artesian well
situated at ................................ in the Municipal District of the
............................. hereby
forward statement (for the month of) ............................ 19 ...... ,
in respect of the
abovementioned work.
........................................................
Signature of Licensee
........................................................
Date
To the Water and Rivers Commission
Note. — If work suspended, or fishing operations only carried
on, state that fact.
The head driller of a bore may make out the monthly statements, also the final
statements, but the correctness of any of such statements must be verified as
far as practicable by the Licensee or his local representative and forwarded
by him to the Water and Rivers Commission.
If work completed this statement must be marked FINAL.
Form 5
[Reg. 10]
Western Australia
Rights in Water and Irrigation Act 1914 2
FINAL STATEMENT IN RESPECT OF NON-ARTESIAN WELLS BEING CONSTRUCTED, ENLARGED,
DEEPENED, OR ALTERED UNDER LICENCE
Name and address of licensee ........................ |
............................................................................ |
Location of well, stating Municipal District and lot or location No. |
............................................................................
|
Diameter and length of casings inserted, and whether whole or perforated. |
............................................................................
|
If perforated, the sizes and lengths, with the position of each perforated
length in the well. |
............................................................................
|
The depth reached in the well ........................ |
............................................................................ |
The depth from the surface, with the thickness and character of each of the
different beds of strata pierced. |
............................................................................
|
Particulars of water struck (if any), whether salt, brackish, or fresh, and
the depths from the surface at which each water-bearing bed was struck. |
............................................................................
|
Also the height below ground level to which the water will rise in the casing.
|
............................................................................
|
I, ..................................................... of
...................................................................
in the
State of Western Australia, being the holder of a licence for the
construction, enlargement, deepening, or alteration of a non-artesian well
situated at ..................................................................
in the Municipal District of
the
................................................ hereby forward the statement
under regulation
No. 10 in respect of the abovementioned work.
........................................................
Signature of Licensee
........................................................
Date
To the Water and Rivers Commission.
Note. — If work suspended, or fishing operations only carried
on, state that fact.
The head driller of a bore may make out the final statements, but the
correctness of such statements must be verified as far as practicable by the
Licensee or his local representative and forwarded by him to the Water and
Rivers Commission.
(Reverse of Form 6)
Particulars of Strata
From (m) |
To (m) |
Thickness |
Strata |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
OTHER ADDITIONAL INFORMATION
.................................................................................................................................
.................................................................................................................................
.................................................................................................................................
.................................................................................................................................
.................................................................................................................................
.................................................................................................................................
.................................................................................................................................
.................................................................................................................................
.................................................................................................................................
TO the Director,
Geological Survey of Western Australia,
Mines Department 3 ,
66 Adelaide Terrace,
PERTH 6000
[Schedule 1 amended in Gazette
6 July 1965 p.1993-5; 6 February 1969 p.452;
10 May 1974 p.1519; 5 July 1985 pp.2408-9; Erratum in
Gazette 19 July 1985 p.2507; amended in Gazette
29 June 1988 p.2111; 12 May 1989 p.1445;
29 December 1995 p.6298.]