Activity in the Easement Application

Activity in the Easement Application

THIS FORM MUST BE COMPLETED BY THE SHAREHOLDER OR FARM MANAGER.

Please complete the following questions, providing as much detail as possible. Please allow at lease 48 hours notice for us to review your application and provide approval before work starts. Activity on easement land without approval is a breach of the Water Supply Agreement.

Date of Application*

Property*

Shareholder/Farm Manager*

Email to Send Approval*

Where would you like us to send your confirmation of approval?

Description of Activity/Scope of Works*

Tell us what you have planned.

Map/Diagram/Plans of Location of Works*

Let us know whereabouts this work will occur by uploading a map/diagram/set of plans.

Drag and drop files here or

Proposed Timing of Activity*

When do you intend to do this work?

Intended Contractors*

Who is physically undertaking the works over AIC infrastructure/pipeline (the Operator)? Please specify for any digger, dozer or post driving activity.

Works Manager*

Who is overseeing these activities? Who should AIC contact in regards to marking out AIC infrastructure/pipline?

Health & Safety

Depending on the tasks involved AIC may request to view the Contractor's health and safety documentation. If you already have this available, you can upload it with your plans/maps.

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