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National Water Act, 1998 (Act No. 36 of 1998)

Regulations

Water Use Licence Application and Appeals Regulations, 2017

Annexures

Annexure D

The Tables of Contents

9 Civil Design - Minimum Information Requirements

Purchase

Checklists for technical reports

Applicant Information
Name of Applicant	Date		Case Officer

Contact Details of Applicant or Representative
Last Name	First Name		Email

Postal Address	City	Phone No.	Mobile No.

Property Details
Sub Catchment	Quaternary Catchment	Reference Number

Property Name	Number	Portion	Administrative District

Project Description

Applicable Water Uses
S 21	Description	Applicable
S 21	Description	Yes	No
(a)	Taking water from a water source
(b)	Storing water
(c)	Impeding or diverting the flow of water in a watercourse
(d)	Engaging a stream flow reduction activity
(e)	Engaging in a controlled activity
(f)	Discharging waste or water containing waste into a water resource through a pipe, canal, sewer or other conduit
(g)	Disposing water in a manner which may detrimentally impact on a water resource
(h)	Disposing in any manner of water which contains waste from, or which has been heated in, any industrial or power generation process
(i)	Altering the bed, banks, course or characteristics of a watercourse
(j)	Removing, discharging or disposing of water found underground if it is necessary for the efficient continuation of an activity or for the safety of people
(k)	Using water for recreational purposes

* Please tick the water uses relevant to this application

General Required Information

Official Use

Description

Applicable

Submitted

Yes

Proof of Payment of Licence Application Processing Fee (Compulsory)

Copy of Identity Document of Applicant or Delegated Person (Compulsory)

Copy of Company Registration Certificate (Compulsory)

Copy of Trust Registration Certificate (Compulsory)

Letter of Authorisation for Companies, Trusts or Legal Entities (Compulsory)

Letter of Authority or Power of Attorney to Apply on behalf of Applicant

Copy of BBBEE Certificate

Letter of Consent if the Applicant is not the Property Owner (Compulsory)

*Applicant Information Form: Individual (DW 756 / 769)

*Applicant Information Form: Water Service Provider (DW 757 / 770)

*Applicant Information Form: Company, Partnership, Government (DW 758 / 771)

*Applicant Information Form: Water User Association (DW 759 / 772)

*Property Details Form (DW 901)

Property Owner Details (DW 902)

Permission to Occupy (PTO), Title Deed, Lease Agreement, Community Resolution

A description of the location of the activity, including

(aa)	the 21 digit Surveyor General code of each cadastral land parcel,

(bb)	where available, the physical address or farm name,

(cc)	the coordinates of the boundary of the property or properties,

When providing coordinates, such coordinates must be provided in degrees, minutes and seconds using the Hartebeesthoek 94 WGS84 coordinate system.

a plan which locates the proposed activity or activities applied for at an appropriate scale, or if it is—

(aa)	a linear activity, a description and coordinates of the corridor in which the proposed activity or activities is proposed; or

(bb)	on land where the property has not been defined, the coordinates of the area within which the activity is proposed

Where applicable, proof of acceptance of an application for any right or permit in terms of the Mineral and Petroleum Resources Development Act, 2002 or environmental authorisation as per regulation 7 must be provided

Section 27 Motivation

Other information as requested in the acknowledgement of receipt and where applicable the site visit and meeting:

Section 21(a): Taking water from a water resource			Official Use
	Applicable		Submitted
	Yes	No	Yes	No
*Taking water from a water resource Form (DW 773)
*Pump Technical Data Form (DW 784)
*Canal Technical Data Form (DW 786)
*Irrigation Field and Crop Details (DW 787)
*Supplementary Info: Power Generation, Industrial or Mining (DW 788)
*Supplementary Info: Domestic, Urban, Commercial or Industrial (DW 789)
Soil Suitability Report (for irrigation from Dept. Agriculture)
Viability Confirmation (for permanent transfers from Dept. Agriculture)
Confirmation of no Land Claims (for permanent transfers from Rural Development and Land Reform)
Recommendation from CCAW (for reserved water)
Recommendation from WUA or IB (for scheme related water use)
Stakeholder Consultation with Interested and Affected Parties
Pump Test Certificate (Groundwater)
Geo-hydrological Study (Groundwater)
Technical Design Report in support of the water use applied for
Other information as requested in the acknowledgement of receipt and where applicable the site visit and meeting:

Section 21(b): Storing water			Official Use
Description	Applicable		Submitted
Description	Yes	No	Yes	No
*Storing water form (DW 774)
*Dam and Basin Technical Data Form (DW 789)
*Dam Classification Form (DW 793) (for dams > 5m and > 50 000m3)
Technical Design Report in support of the water use applied for (Hydrological study)
Dam Design Drawings or As Build Drawings in case the Dam is already constructed
Dam Capacity Curve
Dam Location Map
Master Layout Plan (1:100 year flood line and delineation)
Regional Maximum Flood (RMF) and Spillway Capacity Calculations
EIA and EMP
Environmental Authorisation
Stakeholder Consultation with Interested and Affected Parties
Other information as requested in the acknowledgement of receipt and where applicable the site visit and meeting:

Section 21(c) & (i): Impeding & Altering			Official Use
Description	Applicable		Submitted
Description	Yes	No	Yes	No
* Impeding or diverting the flow of water in a watercourse form (DW 763)
*Altering the bed, banks, course or characteristics of a watercourse (DW 789)
*Supplementary Information for 21(c) & (i) form (DW 775)
Relevant Environmental Impact Assessment Studies
Wetland Delineation Study
Method Statement
Environmental Management Plan
Storm Water Management Plan
Hydrological Studies
Design Drawings or As Build Drawing if the structure is already been built
Rehabilitation Plan
Master Layout Plan (Must include all infrastructure, water courses, scientific determined buffers, flood lines, riparian habitat, and ecologically valued features; on A1 paper
Landscape Maintenance Plan
Pollution Plume Map / Drawings
Cone of Depression Drawings
Plant Species Plan (A1 paper)
Monitoring Programme and Auditing Plan
Alternatives that will address the hierarchy of impacts, starting with the exclusion of watercourses
Stakeholder Consultation with Interested and Affected Parties
Other information as requested in the acknowledgement of receipt and where applicable the site visit and meeting:

Section 21(e): Engaging a controlled activity			Official Use
	Applicable		Submitted
	Yes	No	Yes	No
* Engaging in a controlled activity form (DW 765)
*Monitored Waste Discharge Details form (DW 904)
*Irrigation Field and Crop Details (DW 787)
Geohydrological Study
Water Quality Report
Soil Analysis
Stakeholder Consultation with Interested and Affected Parties
Other information as requested in the acknowledgement of receipt and where applicable the site visit and meeting:

Section 21(f) : Discharging waste or water containing waste into a water resource through a pipe canal sewer or other conduit			Official Use
Description	Applicable		Submitted
Description	Yes	No	Yes	No
* Discharging waste or water containing waste into a water resource through a pipe, canal, sewer or other conduit form (DW 766)
*Monitored Waste Discharge Details form (DW 903)
Water Quality Report
Integrated Waste Water Management Plan (IWWMP)
Stakeholder Consultation with Interested and Affected Parties
Other information as requested in the acknowledgement of receipt and where applicable the site visit and meeting:

Section 21(g) : Disposing of waste in a manner which may detrimentally impact on a water resource			Official Use
Description	Applicable		Submitted
Description	Yes	No	Yes	No
* Disposing of waste in a manner which may detrimentally impact on a water resource form (DW 767)
*Monitored Waste Discharge Details form (DW 904)
*Details of Waste Management Facility form (DW905)
Water Balance
Design Drawings of Waste Management Facility and Report
Geohydrological Report
Integrated Waste Water Management Plan (IWWMP)
GN 704 Motivation
Stakeholder Consultation with Interested and Affected Parties
Other information as requested in the acknowledgement of receipt and where applicable the site visit and meeting:

Section 21 (h) Disposing in any manner of water which contains waste from, or which has been heated in any industrial or power generation process			Official Use
Description	Applicable		Submitted
Description	Yes	No	Yes	No
* Disposing in any manner of water which contains waste from, or which has been heated in, any industrial or power generation process form (DW 780)
*Monitored Waste Discharge Details form (DW 903)
Water Balance
Water Quality Report
Integrated Waste Water Management Plan (IWWMP)
Stakeholder Consultation with Interested and Affected Parties
Other information as requested in the acknowledgement of receipt and where applicable the site visit and meeting:

Section 21(j): Removing, discharging or disposing of water found underground if it is necessary for the efficient continuation of an activity or for the safety of people			Official Use
Description	Applicable		Submitted
Description	Yes	No	Yes	No
* Removing, discharging or disposing of water found underground if it is necessary for the efficient continuation of an activity or for the safety of people form (DW 780)
Water Balance
Geohydrological Report
Stakeholder Consultation with Interested and Affected Parties
Other information as requested in the acknowledgement of receipt and where applicable the site visit and meeting:

Section 21 (k): Using water for recreational purposes			Official Use
Description	Applicable		Submitted
Description	Yes	No	Yes	No
* Using water for recreational purposes form (DW 780)
Public Private Partnership (PPP) Approval
Approval as per section 116 of the National Water Act, 1998 (Act 36 of 1998)
Stakeholder Consultation with Interested and Affected Parties
Other information as requested in the acknowledgement of receipt and where applicable the site visit and meeting:

Site Inspection Information
Date of Site Inspection
Parties Present at the Site Inspection
Name and Surname	Designation	Contact Number	Signature










Site Inspection Report