Fencing Northern Basin Riverbanks round one - expression of interest

( * ) Required

Incentives are currently available to individuals, groups and organisations to participate in improving fish habitat within target river reaches in the NSW northern Murray-Darling Basin. Please read the NSW Fencing Northern Basin Riverbanks Program Guidelines and Conditions before completing this form.

The NSW Fencing Northern Basin Riverbanks Program is delivered under the Murray-Darling Basin Plan by the NSW Government, through funding from the Australian Government Department of Agriculture, Water and the Environment.

Expressions of Interest close at 10:00pm on Friday 19 November 2021.


Applicant Details

* ) Required

First name: *

Last name: *

Land owner (if different from above): *

Postal address: *

Town / City: *

Postcode: *

Primary contact number: *

Other phone number:

Email: *

Confirm email: *

ABN (if applicable):

Are you registered for GST?

Do you have Public Liability Insurance? *


Property details

Please provide the details of the property where your project will be undertaken.

Local Land Services Holding Reference Number: *
This can be found on your Local Land Services rates notice 

Property name:

Is your Postal Address the same as the property address of where your project will be undertaken? *

If no, property address of where your project will be undertaken:

Town / City:

Postcode:

Local Land Services region: *

Lot and DP details (available on your council or Local Land Services rates notice:


Project details

What river reach are your project activities located on? (Refer to target river reaches map in the Program Guidelines and Conditions). *

Briefly describe your project activities and what you are trying to achieve (Refer to the Program Guidelines. Include approximate areas, distances, etc and other information that may be relevant, e.g presence of threatened species). *


Declaration

Conflicts of interest

Do you know of any potential conflicts of interest for funding eligibility? (e.g. employment in Local Land Services, relationship to Local Land Services staff or Board member, etc). *

If yes, please explain here (e.g. name of staff or Board member and relationship):

If successful. I will commit to completing the project within nine months of contract execution. *

I would like to receive email updates about the NSW Fencing Northern Basin Program: *

Are you interested in learning more about the re-snagging project that is being undertaken in the NSW Northern Murray Darling Basin and how you may be able to participate? *

Declaration

I declare all information entered into this form is true and accurate to the best of my knowledge. *

Date: *


Privacy statement: The New South Wales Government's privacy practices are regulated by the New South Wales Privacy and Personal Information Protection Act 1998 (the Act) (www.lawlink.nsw.gov.au/privacy). NSW Local Land Services will only collect personal information for a lawful purpose which directly relates to our primary function as an NSW Government agency and for obtaining feedback about the effectiveness of our services. The department will not collect any more information than is necessary for it to fulfil these functions. Local Land Services will not disclose your personal information to anyone without your consent unless legally required to do so. Anyone engaged to collect or use personal information for Local Land Services will be required to comply with the Information Protection Principles of the Act as part of their terms of engagement. More information is available at: www.industry.nsw.gov.au/privacy