Schedule 1 Forms

Schedule 1 Forms

Form 1

(Clause 5)

APPLICATION FOR DRILLER’S LICENCE

(Section 118A, Water Act 1912)

To: The Water Administration Ministerial Corporation
I, .............................. of. ............................................................

| (name in full) | (address in full) |

New South Wales ............................................................

| | (occupation) |

apply for a driller’s licence under section 118A of the Water Act 1912. I furnish the following information in support of my application:

1. I *am a licensed driller.
   *am not

2. Date of birth:

3. Class of licence applied for:

| *(a) | Class 1. | Licence that allows construction of water level and water quality monitoring bores. | | *(b) | Class 2. | Licence that allows construction of sub-artesian stock and domestic supply bores up to 152 mm nominal bore casing. | | *(c) | Class 3. | Licence that allows the activities of a class 2 licence and also allows the construction of sub-artesian, screened and developed bores (with open hole, slotted casing or screen completion methods, including the use of a formation stabiliser, but not including gravel filter envelope completion techniques). | | *(d) | Class 4. | Licence that allows the activities of a class 3 licence and also allows the use of gravel filter envelope completion techniques. | | *(e) | Class 5. | Licence that allows the activities of a class 2 licence and also allows the construction of flowing and non-flowing bores that penetrate the sandstone aquifers of the Great Artesian Basin and the construction of flowing bores elsewhere in New South Wales. | | *(f) | Class 6. | Licence that allows the activities of both a class 4 licence and a class 5 licence. |

4. Types of drilling methods to be used:

*(a) auger;

*(b) jetting;

*(c) cable tool;

*(d) rotary air;

*(e) rotary hydraulic;

*(f) other (specify)