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Template 4 – Waterway barrier works
(version 1.1)
This template must be completed and submitted with DA Form 1 – Development application details for all development
applications operational works involving waterway barrier works.
It is mandatory to complete the details in all applicable parts in this form and provide any supporting information that
is required to accompany your development application, unless stated otherwise.
Additional pages may be attached if there is insufficient space on this template for any questions.
Note: All terms used within this template have the meaning given under the Planning Act 2016, the Planning Regulation 2017, or the Development
Assessment Rules (DA Rules), Fisheries Act 1994 and Fisheries Regulation 2008.


Part 1 – DEVELOPMENT DETAILS

                                                                    Yes – a copy of the Fish Movement Exemption Notice for the
   1) Has a Fish Movement Exemption Notice                       proposed work is attached
   been issued for the proposed works?                             No – details of how the proposed work provides for adequate fish
                                                                 movement is attached


   2) What is the nature of the proposed                             New construction                               Raise existing
   waterway barrier(s)?                                              Temporary                                      Permanent
   (tick all applicable boxes)
                                                                     Partial                                        Bank to bank

                                                                                                                                              Parts to
                                                                                Type                             Number of barriers
                                                                                                                                             complete
                                                             Dam, weir or a barrage                                                            2 only
                                                             Culvert                                            1                              3 only
   3) What type is the proposed work?
   (tick all applicable boxes)
                                                             Causeway                                                                          4 only
                                                            Bridge pylon (abutments or pile                                                    4 only
   Note: An individual section must be completed for     foundations)
   each barrier relevant to this development
   application. Also ensure that the relevant plans          Flow-control structure such as a                                                  4 only
   that accompany the development application            floodgate
   identify the location of existing works and
   proposed works.                                          Pollution-control device (e.g. trash                                               4 only
                                                         rack or boom gate)
                                                             Levee bank across a waterway                                                      4 only
                                                            Other – specify below (e.g. groyne,                                                4 only
                                                         construction platform, sediment curtain,
                                                         causeway)

Part 2 – CONSTRUCTING A NEW OR RAISING/MODIFYING AN EXISTING DAM, WEIR, BARRAGE,
BUND WALL, COFFER DAM OR OTHER SIMILAR STRUCTURES
Note: If the development application involves more than one barrier relating to this part, generate another part 2 and attach to the application.


   4) What is the proposed development                                 New barrier                                     Raising/modifying an
   application seeking approval for?                                                                                existing barrier


   5) Briefly describe the type of barrier proposed
   (i.e. dam, weir, tidal barrage)
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Page 2

6) If the barrier is temporary (in place less than 12
months) how many days will the barrier be in
place?


7) Will the barrier extend across the waterway                Yes, go to question 8
from bank to bank?                                            No
7.1) What is the length of the proposed
                                                                                                                          metres
barrier? (across the waterway)
7.2) What is the width of the waterway? (bank to                                                                          metres
bank)


8) What is the purpose of the proposed
barrier? (e.g. creating a new or increasing the capacity
of the existing water storage, maintenance work)


9) What are the details of the proposed
construction materials? (e.g. earth, concrete, rock
fill, steel, timber, sand)


10) Provide the following details of the                   Total crest height (D)                                     metres
proposed barrier in reference to the diagrams              Thickness (A) of crest                                     metres
below.
                                                           Height of spillway/bywash (H)                              metres
                                                           Width of spillway/bywash inlet (W)                         metres
                                                           Base width (B)                                             metres
                                                           Internal diameter (O) of outlet                            millimetres
                                                           pipe/works and discharge capacity
                                                           Length of wall (L)                                         metres
                                                           Distance of backup from barrier                            metres
                                                           wall at full supply level
                                                           Volume of storage                                          megalitres
                                                           If raising an existing waterway                            metres
                                                           barrier, additional height above
                                                           existing crest
                                                           If raising an existing waterway
                                                           barrier, method of raising (e.g.
                                                           capping crest, inflatable bag, gates
                                                           etc.).




                                                                                    DA Form 1 – Template 4 Waterway barrier works
                                                                                                     Version 1.1— 22 JUNE 2018

Page 3

Part 3 – CONSTRUCTING A NEW OR MODIFYING (INCLUDING MAINTENANCE AND
         REPLACEMENT OF) AN EXISTING CULVERT
Note: If the development application involves more than one culvert relating to this part, please generate another part 3 and attach to the application.


                                                                  Construction of a new culvert
   11) What is the nature of the proposed
                                                                  Maintenance of an existing culvert
   work?
                                                                  Replacement of an existing culvert


   12) What is the purpose of the proposed                    Crossing of Skyring Creek for a new driveway access to Lot 2
   culvert?                                                   RP95476


   13) If the culvert is temporary (in place less             N/A
   than 12 months) how many days will the
   culvert be in place?


   14) Will the culvert extend across the                       Yes, go to question 15
   waterway from bank to bank?                                  No
   14.1) What is the length of the proposed
                                                                                                                                           metres
   culvert? (across the waterway)
   14.2) What is the width of the waterway?                                                                                                metres
   (bank to bank)


                                                                  Box culvert                      Arch culvert                 Pipe culvert
   15) What type of culvert is proposed?
   (Tick all applicable boxes)                                    Combination culvert             Other – please            Link slab between
                                                                                               specify                      2 RCBC’s


                                                            How many culvert cells are there?                                  3
                                                            What is the upstream downstream culvert cell
                                                                                                                                   3.66    metres
                                                            length?
                                                            What is the inside cell width of each culvert (or
   16) In reference to the diagrams below,                                                                                          1.9    metres
                                                            diameter of pipe culvert)?
   provide the following details of the
                                                            What is the internal height within the culvert cell?                 Outer
   proposed culvert.
                                                                                                                                cells =
                                                                                                                                    0.9
                                                                                                                                           metres
                                                                                                                                  Link
                                                                                                                                Slab =
                                                                                                                                    1.4




                                                                                           DA Form 1 – Template 4 Waterway barrier works
                                                                                                            Version 1.1— 22 JUNE 2018

Page 4

Part 4 – CONSTRUCTING NEW OR MODIFYING (INCLUDING MAINTENANCE AND
         REPLACEMENT) AN EXISTING WATERWAY BARRIER EXCEPT THOSE LISTED IN PARTS
         2 AND 3
Note: If the development application involves more than one barrier relating to this part, please generate another part 4 and attach to the application.


                                                                  Construction of a new barrier
   17) What is the nature of the proposed
                                                                  Maintenance of an existing barrier
   work?
                                                                  Replacement of an existing barrier


   18) Briefly describe the proposed barrier.



   19) If the barrier is temporary (in place less
   than 12 months) how many days will the
   barrier be in place?


   20) Will the barrier extend across the                       Yes, complete question 20.1 and 20.2
   waterway from bank to bank?                                  No
   20.1) What is the length of proposed
                                                                                                                                           metres
   barrier? (across the waterway)
   20.2) What is the width of the waterway?                                                                                                metres
   (bank to bank)




                                                                                           DA Form 1 – Template 4 Waterway barrier works
                                                                                                            Version 1.1— 22 JUNE 2018

Page 5

21) What is the purpose of the proposed
barrier?


22) What is the maximum height of the
proposed barrier above the existing bed                                                            metres
level?

23) What are the proposed construction
materials? (e.g. earth, concrete, rock fill, timber,
sand)


24) Does the barrier follow the natural                Yes
gradient of the bed level?                             No




                                                             DA Form 1 – Template 4 Waterway barrier works
                                                                              Version 1.1— 22 JUNE 2018

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