Water Use Licence Application and Appeals Regulations, 2017 (No. R. 267 of 2017)

NATIONAL WATER ACT, 1998 REGULATIONS REGARDING THE PROCEDURAL REQUIREMENTS FOR WATER USE LICENCE APPLICATIONS AND APPEALS The Minister of Water and Sanitation has, under section 26(1)(k) and 41(6) of the National Water Act, 1998 (Act No. 36 of 1998), as amended, made the Regulations in the Schedule. This gazette is also available free online at www.gpwonline.co.za STAATSKOERANT, 24 MAART 2017 No. 40713 141 Water and Sanitation, Department of/ Water en Sanitasie, Departement van DEPARTMENT OF WATER AND SANITATION NO. R. 267 24 MARCH 2017 R. 267 National Water Act, 1998: Regulations regarding the procedural requirements for water use licence applications and appeals 40713 SCHEDULE INTERPRETATION AND DEFINITIONS 1. Interpretation and definitions APPLICATION OF WATER USE LICENCE 2. Purpose 3. Application fora water use licence 4. Application for an integrated water use licence 5. Pre -application enquiry meeting 6. Submission of a water use licence application 7. Multiple water use licence application PROCESSING OF WATER USE LICENCE APPLICATION 8. Evaluation of application prior to acceptance 9. Compliance of an application with formal requirements SITE INSPECTION MEETING AND SUBMISSION OF A TECHNICAL REPORT ON WATER USE LICENCE APPLICATION 10. Site inspection 11. Submission of a technical report on water use licence application 12. Assessment of a technical report on water use licence application CONSIDERATION OF AND DECISION ON AWATER USE LICENCEAPPLICATION 13. Consideration of and decision on a water use licence application 14. Security by applicant 15. Surrender of water use entitlement to facilitate licence application 16. Application for renewal or amendment of water use licence This gazette is also available free online at www.gpwonline.co.za 142 No. 40713 GOVERNMENT GAZETTE, 24 MARCH 2017 PUBLIC PARTICIPATION 17. Procedure for public participation 18. Register for interested and affected parties 19. Public Participation Report 20. Offences GENERAL MATTERS APPEALS 21. Appeals in terms of section 41(6) of the Act 22. Submission of appeal to Minister 23. Decision on appeal 24. Short title and commencement ANNEXURES ANNEXURE A: Summary oftimeframes for receiving and steps in processing of a water use licence application ANNEXURE B: Forms and reports to be completed in respect of a particular water use application ANNEXURE C: Checklist for evaluation of application prior to acceptance ANNEXURE D: Table of contents of Technical Reports for minimum information requirements to be submitted WATER USE TECHNICAL REPORTS: 1 Wastewater treatment for water treatment plants 2 Agricultural technical report or business plan 3 Stream flow reduction activity 4 Integrated water and wastewater management plan 5 Geohydrology 6 Wetland delineation This gazette is also available free online at www.gpwonline.co.za STAATSKOERANT, 24 MAART 2017 No. 40713 143 7 Mine closure/ rehabilitation plan 8 Public participation 9. Civil design minimum information requirements ANNEXURE E:Security and guarantee ANNEXUREF: Notice on intent to appealform ANNEXURE G: Water use audit report ANNEXURE H: Civil Design Drawings This gazette is also available free online at www.gpwonline.co.za 144 No. 40713 GOVERNMENT GAZETTE, 24 MARCH 2017 CHAPTER 1 1. Definitions and Interpretation 1.1 In these Regulations, any other word or expression to which a meaning has been assigned in the Act shall have that meaning assigned to it in the Act, and unless the context requires otherwise (a) "applicant" means a person or a representative of that person who makes an application for a water use licence in terms of the Act; (b) "application" means an application for a water use licence in terms of the Act; (c) "cumulative impact" in relation to a water use, means the impact of a water use that in itself may not be significant, but may become significant when added to an existing and potential impacts eventuating from similar or diverse water use activities or undertakings in the area; (d) "days" means calendar days, subject to sub -regulation 1(4) of this Regulations; (e) (f) "Environmental Management Plan" means a plan contemplated in section 1 of the National Environmental Management Act, 1998 (Act 107 of 1998); "multiple water use licence application" means a water use licence application with more than one water uses that are interlinked, provided the application belongs to one person and the water uses are exercised by that person; (g) "Pre -application enquiry meeting" means a process referred to in regulation 5; (h) "prospecting" has the meaning assigned to it in the Mineral and Petroleum Resources Development Act, 2002; (i) "receipt' means receipt on the date indicated This gazette is also available free online at www.gpwonline.co.za STAATSKOERANT, 24 MAART 2017 No. 40713 145 (ì) on a receipt form if the application or document was hand delivered or sent via registered mail; (ii) in an automated or computer generated acknowledgment of receipt; (Hi) on an acknowledgement in writing from the responsible authority as the date of receipt if the application or document was sent via ordinary mail; or (iv) on an automated or computer generated proof of transmission in the case of a facsimile message. (j} "responsible authority" means the responsible authority contemplated in section 1 of the Act; (k) "sector" include mining, industry, agriculture, forestry, infrastructure and local government developments; (I) "state department" means any department or administration in the national or provincial sphere of government exercising functions that involve the management of the environment; (m) "the Act" means the National Water Act, 1998 (Act No. 36 of 1998), as amended; (n) "timeframes" means the period within which a particular response, decision or other step in the process must be concluded in terms of these Regulations; (o) "water use" means water use as contemplated in section 21 of the Act; and (p) "water use licence application technical report" includes water use registration forms, public participation report, and specialist studies. 1.2 When a period of days must, in terms of these Regulations, be reckoned from or after a particular day, that period must be reckoned as from the start of the day following that particular day to the end of the last day of the period, but if the last day of the period falls on a Saturday, Sunday or public holiday, that period must be extended to the end of the next day which is not a Saturday, Sunday or public Holiday. This gazette is also available free online at www.gpwonline.co.za 146 No. 40713 GOVERNMENT GAZETTE, 24 MARCH 2017 1.3 For any action contemplated in terms of these Regulations for which a timeframe is prescribed, the period of 15 December to 5 January must be excluded in the reckoning of days. 1.4 Where a prescribed timeframe is affected by public holiday, the timeframe must be extended by the number of days falling within that timeframe. Purpose of Regulations 2. The purpose of these Regulations is to prescribe the procedure and requirements for water use licence applications as contemplated in sections 41 of the Act; as well as an appeal in terms of section 41(6) of the Act. APPLICATION FOR WATER USE LICENCE Application for water use licence 3. (1) An applicant for a water use licence must make such an application to a responsible authority, as prescribed in these Regulations. (2) In the case where an application is made by a representative, such an application must be accompanied by a letter authorising a representative to act on behalf of that person. (3) A responsible authority must keep a register and copies of all (a) applications for water use licence made in terms of these Regulations; and (b) decisions made in respect of water use licence applications. (4) Where a national electronic system is used for the recording of applications forwater use authorisation, the responsible authority shall use such system to keep the records referred to in sub -regulation (3)(a) and (b). (5) When a national electronic system is used for the submission of applications for water use licence, such system must be used by all applicants. (6) The process of water use licence application, consideration and decision shall be undertaken within a period of 300 days of submitting such application. This gazette is also available free online at www.gpwonline.co.za STAATSKOERANT, 24 MAART 2017 No. 40713 147 Application for integratedwater use licence 4. (1) For a water use licence application contemplated in section 41(5)(a) of the Act, the applicant must submit a written proof of acceptance of an application for a permit or rights issued by the Department of Mineral Resources, within a period of 5 days from date of issuance of such letter. (2) The responsible authority shall only consider a water use licence application contemplated in sub -regulation (1), upon receipt of a letter contemplated in that sub -regulation, and any other relevant documents required in terms of these Regulations. Pre -application enquiry meeting 5. (1) The applicant must undertake a pre -application enquiry meeting with the responsible authority prior to submission of an application. (2) During the pre -application enquiry meeting contemplated in subregulation (1) the responsible authority must advise the applicant on the procedural requirementsand required documents for a water use licence, the type of a water use licence required, the information required, and the technical report for the proposed water use licence. (3) The applicant can submit his or her application at any time after the pre -application enquiry meeting. Submission of the application 6. (1) An application contemplated in these Regulations must be made in accordance with the provisions of sections 40 and 41 of the Act. (2) Applications shall be submitted in the relevant form listed in Annexure B of these Regulations. (3) The application shall be accompanied by relevant documents of a particular water use application, as listed in Annexure B or any other such documents as may be required by the responsible authority during or after a meeting contemplated in regulation 5. (4) Upon receipt of an application, the responsible authority must issue the applicant with a receipt as proof of application. This gazette is also available free online at www.gpwonline.co.za 148 No. 40713 GOVERNMENT GAZETTE, 24 MARCH 2017 Multiple water use licence application 7. (1) If an applicant intends applying for a multiple water use licence within the same catchment area, the responsible authority may consolidate the water use applications into one. (2) If the responsible authority has consolidated an application in terms of sub -regulation (1), the responsible authority must apply the provisions of section 27 of the Act in respect of each water use applied for. PROCESSING OF WATER USE LICENCE APPLICATION Evaluation of application prior to acceptance 8. Upon receipt of an application, the responsible authority must evaluate whether the application (a) is properly completed and accompanied by relevant documents contemplated in Regulation 6(3); and (b) has taken into account any minimum information required for the application,and instructions or guidance provided by the responsible authority to the applicant. Compliance of an applicationwith formal requirements 9. (1) The responsible authority must, in writing, and within 10 days of receipt of an application contemplated in regulations 6 (a) accept the application; or (b) reject the application. (2) Rejection letter of an application contemplated in sub -regulation (1)(b) must provide adequate reasons for the rejection. (3) If the application is rejected as contemplated in sub -regulation (1)(b), the responsible authority will have no obligation to consider that application any further. This gazette is also available free online at www.gpwonline.co.za STAATSKOERANT, 24 MAART 2017 No. 40713 149 SITE INSPECTION MEETING AND SUBMISSION OFTECHNICAL REPORT ONWATER USE LICENCE APPLICATION Site inspection 10. (1) Where an application necessitates a site inspection, the applicant must, within 5 days of receipt of an acceptance letter contemplated in regulation 9, confirm arrangements for site inspection with a case officer. (2) The site inspection can take the form of: (a) ameeting between the applicantand the responsible authority; or (b) ameeting between the applicant, the responsible authority and other relevant stakeholders. (3)Following the site inspection, the responsible authority shall inform the applicant, in writing, of the information required to compile a technical report for a water use licence application within 5 days of the site inspection. (4)The site inspection process must be concluded within a period of 30 days of acceptance of an application contemplated in regulation 9. (5) Failure by the applicant to confirm a date for site inspection and to make himself or herself available on agreed date will result in the responsible authority rejecting the application. Submission of technical report on water use licence application 11. (1) The applicantmust, within a period of 105 days of the date of being informed of the required information for compilation of a technical reporton water use licence application, as contemplated in regulation 10(3),submit such a report to the responsible authority, including any relevant specialists reports as set out in Annexure D. (2) Failure to submit the required water use licence application technical report within the stipulated timeframe will result in the rejection of the application. (3) Where the application is rejected under sub -regulation (2) the responsible authority must notify the applicant and any other interested and relevant institutions. Assessment of technical report on water use licence application This gazette is also available free online at www.gpwonline.co.za 150 No. 40713 GOVERNMENT GAZETTE, 24 MARCH 2017 12. (1) The technical report on water use licence application shall be subjected to an evaluation to check whether it meets formal requirements of these Regulations (2) The responsible authority must, within 10 days of receipt of the technical report on water use licence application (a) accept thetechnical report on water use licence application, if the report meets the formal requirements of these Regulations; or (b) reject the application in writing, if thereport does not meet the formal requirements of these Regulations. (3) The written rejection contemplated in sub -regulation (2)(b) must state reasons thereof. (4) If the technical report on water use licence application meets the requirements of these Regulations the responsible authority shall proceed with the technical assessment which shall be finalized within 139 days. (5) The responsible authority may request written comments from relevant competent authorities or state departments before making a decision on water use licence applications. (6) The responsible authority may invite the applicant to present his or her specialist reports. CONSIDERATION OF AND DECISION ON AN APPLICATION Consideration of and decision on a water use licence application 13. A water use licence application shall be considered and finalized within 144daysfrom the date of acceptance of the technical report on water use licence, and in accordance with the processes stipulated in Annexure A. Security by applicant 14. (1) The applicant who is required to provide a security in respect of a particular water use licence application must complete and submit to the responsible authority Annexure E. (2)The security is to specify coverage of individual items as well as the operation of the whole system. (3) The security shall be valid for a period of at least 5 years after water use licence activities have lapsed. This gazette is also available free online at www.gpwonline.co.za STAATSKOERANT, 24 MAART 2017 No. 40713 151 Surrender of water use entitlement to facilitate licence application 15. The provisions of these Regulations are applicable to a water use licence application made as a result of the surrender contemplated in section 25(2) of the Act. Application for renewal or amendment of water use licence 16. (1) The consideration for an application for renewal or amendment of a water use licence must be done in accordance with the provisions of sections 50 and 52 of the Act. (2) Any other amendment which is of such an extent that it will have the effect of a new licence shall be subjected to the procedure and timeframes stipulated in these Regulations. PUBLIC PARTICIPATION Procedure for public participation 17. (1) A procedure for public participation must be conducted as contemplated in section 41(4) of the Act, as part of the water use licence application process. (2) Where a public participation process has already been undertaken through the Environment Impact Assessment processes or any other public consultation process, and that public participation process contains and covers all issues pertaining to water use activities, then that public participation process report may, subject to approval by the responsible authority, be submitted for the requirements of the water use licence application. (3) Notice of the application must be provided to interested and affected parties by: (a) fixing a written notice board at a visible and accessible place to the public at the boundary or on the fence of: (i)the site where the water use activity to which the application relates is or is to be undertaken; or (ii)any alternative site mentioned in the application. (b) giving written notice to: (i)the owner or person in control of that land, if the applicant is not the owner or person in control of that land; (ii)the occupiers of the site where the water use is or is to be undertaken or an alternative site where the water use is to be undertaken; This gazette is also available free online at www.gpwonline.co.za 152 No. 40713 GOVERNMENT GAZETTE, 24 MARCH 2017 (iii)owners and occupiers of land adjacent to the site where the water use is or is to be undertaken or an alternative site where the water use is to be undertaken; (iv)the municipal councillor of the ward in which the water use is or is to be undertaken or an alternative site where the water use is to be undertaken and any organization of ratepayers that represent the community in the area; (v)any organ of state having jurisdiction in respect of any aspect of the water use activity, ( vi)any person who has submitted a valid land claim in respect of the area in which the water use activity will be conducted; or (vii)any other interested and affected party as required by the responsible authority. (c) placing an advertisement in (i)one local newspaper, or (ii)any official Gazette that is published specifically for the purpose of providing public notice of applications or other submissions made in terms of these regulations. (d) placing an advertisement in at least one provincial newspaper or national newspaper, if the water use has or may have an impact that extends beyond the boundaries of the metropolitan or local municipality in which it is undertaken; provided that this paragraph need not be complied with in an advertisement has been placed in an official Gazette referred to in sub -regulation (3)(c)(ii); and (e) using reasonable alternative methods, as agreed to by the responsible authority, in those instances where a person is desirous of but is unable to participate in the process due to (i)illiteracy, or (ii)disability. (4) A notice, notice board or advertisement referred to in sub -regulation (3) must (a) give adequate details of the application which is subject to public participation; and (b) state the following (i) that the application has been submitted to the responsible authority in terms of these Regulations as the case may be; (ii) the nature and locality of the water uses to which the application refers; (iii) the water uses; (iv) where further information on the application or water uses may be obtained; (v) the manner in which and the person to whom representations in respect of the application can be made; (vi) a specified date, no more than 60days after the last publication of a notice, before which written comments or objection may be lodged; and This gazette is also available free online at www.gpwonline.co.za STAATSKOERANT, 24 MAART 2017 No. 40713 153 (vii) an address to which written objections may be lodged. (5) A notice board referred to in sub -regulation (3) must, (a) be of a size at least 60 cm by 42 cm; and (b) display the required information in a fontsize of not less than 48. Register of interested and affected parties 18. The applicant must open and maintain a register which contains the names and contact details and addresses of all persons referred to in regulation 17(3)(b), who took part in the public participation process, during the period the water use licence application was being considered and two years after the licence is granted. Public Participation Report 19. (1) The applicant must compile and submit a public participation report to the responsible authority containing the following (a) written comments or objections of interested and affected parties; (b) records of meetings;and (c) register of interested and affected parties as contemplated in regulation 18. (2) Where a person is desirous but unable to access written comments as contemplated in sub -regulation (1) due to (a) illiteracy; or (b) disability, reasonable alternative methods of recording comments must be provided for. GENERAL MATTERS Offences 20. (1) A person is guilty of an offence , if that person (a) wilfully and knowingly provides an incorrect or misleading information in his or her application; or (b) wilfully and knowingly omits information that may have an influence on the outcome of a decision of a responsible authority This gazette is also available free online at www.gpwonline.co.za 154 No. 40713 GOVERNMENT GAZETTE, 24 MARCH 2017 (2) A person found guilty in terms of these Regulations isliable to the penalties as contemplated in section 69(2) of the Act. APPEALS Appeals arising out of the integrated water use licence applications 21. (1) An applicant or a personwho objected to an application and who is aggrieved by a decision of the responsible authority on a water use licence application, arising out of the integrated process contemplated in section 41(5) of the Act may lodge an appeal to the Minister, as contemplated in Regulation 22. (2) Any appeal other than an appeal contemplated in sub- regulation (1) must be lodged and dealt with in accordance with section 148 of the Act. Submission of appeal to Minister 22. (1) A person contemplated in regulation 21(1) must submit a notice of intention to appeal in accordance with Annexure F, to the Minister, within 30 days of becoming aware of the decision or of being provided with reasons for the decision. (2) The Minister, may, in writing, and on good cause shown,extend the period within which a notice of intention to appeal must be submitted. Decision on appeal 23. (1) A decision on an appeal to the Minister in terms of these Regulations will be made without any appearance by the appellant before the Minister. (2) The Minister must, after receipt of appropriate information make and communicate a decision contemplated in sub -regulation (1) within 90 days of receiving the appeal. (3) A decision contemplated in sub -regulation (1) must be accompanied by the reasons thereof. Short title and commencement This gazette is also available free online at www.gpwonline.co.za STAATSKOERANT, 24 MAART 2017 No. 40713 155 24. These Regulations are called the Water Use Licence Application and Appeals Regulations, 2017, and take effect on the date of publication in the Gazette by the Minister. This gazette is also available free online at www.gpwonline.co.za 156 No. 40713 GOVERNMENT GAZETTE, 24 MARCH 2017 A N N E X U R E A S u m m a ry o f tim e fr a m e s fo r re ce iv in g a n d s te p s in p ro ce ss in g o f a w a te r u se li ce n ce a p p lic a tio n R e g u la tio n S te p s in p ro ce ss in g o f w a te r u se li ce n ce a p p lic a tio n s M a xi m u m D a ys a llo ca te d C u m u la tiv e d a ys R e sp o n si b le 0 P re a p p lic a tio n e n q u ir y 0 0 A p p lic a n t 1 R e sp o n si b le 1 A p p lic a tio n s u b m itt e d 1 1 A p p lic a n t 2 R e sp o n si b le a u th o ri ty a ck n o w le d g e s re ce ip t o f th e a p p lic a tio n 1 0 1 1 R e sp o n si b le a u th o ri ty 3 A p p lic a n t co n fir m s a rr a n g e m e n ts f o r si te in sp e ct io n w ith a n a llo ca te d c a se o ff ic e r 5 1 6 A p p lic a n t 4 S ite in sp e ct io n to co n fir m w a te r u se s, d e te rm in e in fo rm a tio n re q u ir e m e n ts a n d th e n e e d fo r p u b lic p a rt ic ip a tio n 2 0 3 6 R e sp o n si b le a u th o ri ty / A p p lic a n t 5 . C o n fir m r e q u ir e m e n ts f o r w a te r u se li ce n ce a p p lic a tio n te ch n ic a l r e p o rt b a se d o n s ite v is it a n d m e e tin g 5 4 1 R e sp o n si b le A u th o ri ty 6 C o m p ila tio n , co n su lta tio n a n d s u b m is si o n o f w a te r u se lic e n ce a p p lic a tio n t e ch n ic a l r e p o rt b y a p p lic a n t 1 0 5 1 4 6 A p p lic a n t 7 R e je ct / A cc e p t w a te r u se li ce n ce a p p lic a tio n t e ch n ic a l re p o rt 1 0 1 5 6 R e sp o n si b le a u th o ri ty 8 A ss e ss m e n t 1 3 9 2 9 5 R e sp o n si b le a u th o ri ty / A p p lic a n t 8 D e ci si o n a n d c o m m u n ic a tio n t o a p p lic a n t 5 3 0 0 R e sp o n si b le a u th o ri ty This gazette is also available free online at www.gpwonline.co.za STAATSKOERANT, 24 MAART 2017 No. 40713 157 A N N E X U R E B F o rm s a n d r e p o rt s to b e c o m p le te d in r e sp e ct o f p a rt ic u la r w a te r u se a p p lic a tio n N o . F o rm N a m e C o m p le te t h is f o rm if y o u a re a p p ly in g a s a n d f o r; S u p p le m e n ta ry f o rm s (s u b m it w ith a p p lic a tio n ) S u p p o rt in g t e ch n ic a l i n fo rm a tio n t o b e p ro vi d e d w ith t h e t e ch n ic a l re p o rt D W 7 5 5 A p p lic a tio n f o r w a te r u se li ce n ce C e rt ifi e d C o p y o f Id e n tit y D o cu m e n t (o f th e R e p re se n ta tiv e a n d / o r a n A p p lic a n t) , C e rt ifi e d C o p y o f B u si n e ss R e g is tr a tio n C e rt ifi ca te ( if a p p lic a n t is a C o m p a n y) C e rt ifi e d C o p y o f T itl e D e e d s D o cu m e n t a n d / o r P e rm is si o n to O cc u p y. C e rt ifi e d C o p y o f L e tt e r o f A u th o ri ty / P o w e r o f A tt o rn e y to si g n o n b e h a lf o f th e P ro sp e ct iv e W a te r U se r. P ro o f o f P a ym e n t o f W a te r L ic e n si n g F e e , C e rt ifi e d C o p y o f B B B E E ce rt ifi ca te , M a st e r L a yo u t P la n (o p tio n a l) 1 D W 7 5 6 f7 6 9 A n I n d iv id u a l A llo w s "I n d iv id u a l" r e la te d w a te r u se rs t o p ro vi d e in fo rm a tio n a b o u t th e ir c o n ta ct d e ta ils a n d W a te r M a n a g e m e n t A re a o f w h e re th e ir w a te r u se t a ke s p la ce . 2 D W 7 5 7 /7 7 0 A W a te r S e rv ic e s P ro vi d e r A llo w s "W a te r S e rv ic e s P ro vi d e r" r e la te d w a te r u se rs t o p ro vi d e in fo rm a tio n a b o u t th e ir c o n ta ct d e ta ils & W a te r M a n a g e m e n t A re a This gazette is also available free online at www.gpwonline.co.za 158 No. 40713 GOVERNMENT GAZETTE, 24 MARCH 2017 N o . F o rm N a m e C o m p le te t h is f o rm if y o u a re a p p ly in g a s a n d f o r; S u p p le m e n ta ry f o rm s (s u b m it w ith a p p lic a tio n ) S u p p o rt in g t e ch n ic a l i n fo rm a tio n t o b e p ro vi d e d w ith t h e t e ch n ic a l re p o rt o f w h e re t h e ir w a te r u se t a ke s p la ce . 3 D W 7 5 8 1 7 7 1 A C o m p a n y, B u si n e ss o r P a rt n e rs h ip N a tio n a l o r P ro vi n ci a l G o ve rn m e n t A llo w s "C o m p a n y, B u si n e ss o r P a rt n e rs h ip N a tio n a l o r P ro vi n ci a l G o ve rn m e n t" r e la te d w a te r u se rs t o p ro vi d e in fo rm a tio n a b o u t th e ir c o n ta ct d e ta ils & W a te r M a n a g e m e n t A re a o f w h e re t h e ir w a te r u se t a ke s p la ce . 4 D W 7 5 9 /7 7 2 W a te r U se rs A ss o ci a tio n In cl u d in g : Ir ri g a tio n B o a rd s, S u b te rr a n e a n W a te r C o n tr o l B o a rd s, W a te r B o a rd s fo r S to ck W a te ri n g , S e tt le m e n t B o a rd s, W a te r C o n se rv a tio n B o a rd s A llo w s W a te r U se A ss o ci a tio n In cl u d in g : Ir ri g a tio n B o a rd s, S u b te rr a n e a n W a te r C o n tr o l B o a rd s, W a te r B o a rd s fo r S to ck W a te ri n g , S e tt le m e n t B o a rd s, W a te r C o n se rv a tio n B o a rd s" r e la te d w a te r u se rs t o p ro vi d e in fo rm a tio n a b o u t th e ir c o n ta ct d e ta ils & W a te r M a n a g e m e n t A re a o f w h e re t h e ir w a te r u se t a ke s p la ce . D W 7 6 0 1 7 7 3 S e ct io n 2 1 (a ) o f th e N a tio n a l W a te r A ct : T a ki n g w a te r fr o m a w a te r re so u rc e T h is f o rm a llo w s th e a p p lic a n t to p ro vi d e in fo rm a tio n a b o u t th e ir w a te r u se in r e sp e ct o f; P u m p in g o f w a te r fr o m a d a m o r ri ve r, o r fr o m a b o re h o le . R e le va n t to s e ct o r: A g ri cu ltu re : Ir ri g a tio n ( fo rm D W 7 8 7 ) In d u st ri a l ( fo rm D W 7 8 8 ) M in in g ( fo rm D W 7 8 8 ) P o w e r G e n e ra tio n ( fo rm D W 7 8 8 ) W a te r S u p p ly S e rv ic e ( fo rm D W 7 8 9 ) S u b m it w ith s u p p o rt in g a p p e n d ic e s: A g ri cu ltu re B u si n e ss P la n . if th e p u rp o se o f ta ki n g o f w a te r fr o m a w a te r re so u rc e is f o r ir ri g a tio n o r a n im a l p ro d u ct io n A id e M e m o ir if t h e p u rp o se o f ta ki n g o f w a te r fr o m a w a te r re so u rc e is t o t re a t it in a w a te r tr e a tm e n t w o rk s This gazette is also available free online at www.gpwonline.co.za STAATSKOERANT, 24 MAART 2017 No. 40713 159 N o . F o rm N a m e C o m p le te t h is f o rm if y o u a re a p p ly in g a s a n d f o r; S u p p le m e n ta ry f o rm s (s u b m it w ith a p p lic a tio n ) S u p p o rt in g t e ch n ic a l i n fo rm a tio n t o b e p ro vi d e d w ith t h e t e ch n ic a l re p o rt If " P u m p " is s e le ct e d a s a m e th o d o f a b st ra ct io n co m p le te F o rm D W 7 8 4 ) In te g ra te d W a te r a n d W a st e w a te r M a n a g e m e n t P la n ( IW W M P ) if th e p u rp o se o f ta ki n g o f w a te r fr o m a w a te r re so u rc e is f o r in d u st ry o r m in in g u se 6 D W 7 6 2 /7 7 4 S e ct io n 2 1 (b ) o f th e N a tio n a l W a te r A ct : S to ri n g w a te r T h is f o rm a llo w s th e a p p lic a n t to p ro vi d e in fo rm a tio n a b o u t th e ir w a te r u se in r e sp e ct o f W a te r th a t is s to re d in a d a m , re se rv o ir o r o th e r im p o u n d m e n t. T h e s to ra g e d a m c a n b e in a w a te rc o u rs e , o r o ff c h a n n e l. C o m m o n ly t h e s to re d w a te r is f ro m n a tu ra l r u n o ff o r ri ve r w a te r. W e ir s b u ilt o n r iv e rs m a y a ls o s to re w a te r, u n le ss t h e re is a n o u tle t fo r d ra in a g e u n d e r lo w f lo w c o n d iti o n s. T h e se s tr u ct u re s m u st c o m p ly w ith t h e D a m S a fe ty R e g u la tio n s. C o m p le te t h e f o llo w in g if th e p u rp o se o f th e d a m is fo r: A g ri cu ltu re : Ir ri g a tio n (c o m p le te f o rm D W 7 8 7 M in in g ( fo rm D W 7 8 S ) W a te r S u p p ly S e rv ic e ( fo rm D W 7 8 9 ) C o m p le te f o rm D W 7 9 0 in t h e fo llo w in g t w o c a se s: A p ro p o se d d a m w h ic h h a s n o t ye t b e e n c la ss ifi e d , o r A n e xi st in g d a m w h ic h w ill b e e n la rg e d b y in cr e a si n g t h e g ro ss st o ra g e c a p a ci ty , d a m cl a ss ifi ca tio n m u st t a ke p la ce b e fo re t h e li ce n ce a p p lic a tio n . In t h e se S u b m it w ith s u p p o rt in g a p p e n d ic e s: W a te r st o ra g e f a ci lit y d e si g n re p o rt ( D a m / P o llu tio n c o n tr o l d a m /R e tu rn w a te r d a m ) to g e th e r w ith ; A g ri cu ltu re B u si n e ss P la n if th e p u rp o se o f st o ri n g w a te r is f o r ir ri g a tio n o r a n im a l p ro d u ct io n A id e M e m o ir if th e p u rp o se o f st o ri n g w a te r is t o t re a t fo r p o ta b le co n su m p tio n in a w a te r tr e a tm e n t w o rk s In te g ra te d W a te r a n d W a st e w a te r M a n a g e m e n t P la n (I W W M P ) if th e p u rp o se o f st o ri n g w a te r is f o r in d u st ry o r m in in g u se ; This gazette is also available free online at www.gpwonline.co.za 160 No. 40713 GOVERNMENT GAZETTE, 24 MARCH 2017 N o . F o rm N a m e C o m p le te t h is f o rm if y o u a re a p p ly in g a s a n d f o r; S u p p le m e n ta ry f o rm s (s u b m it w ith a p p lic a tio n ) S u p p o rt in g t e ch n ic a l i n fo rm a tio n t o b e p ro vi d e d w ith t h e t e ch n ic a l re p o rt ca se s, c o m p le te o n ly p a rt s 1 , 2 , 3 , a n d 4 o f th is fo rm , a n d C o m p le te f o rm D W 7 9 3 (D a m C la ss ifi ca tio n ). o P o w e r g e n e ra tio n b u si n e ss p la n if th e p u rp o se o f st o ri n g w a te r is fo r p o w e r g e n e ra tio n ; 7 D W 7 6 3 1 7 7 5 S e ct io n 2 1 (c ) o f th e N a tio n a l W a te r A ct : Im p e d in g o r d iv e rt in g th e f lo w o f w a te r in a w a te rc o u rs e T h is f o rm a llo w s th e a p p lic a n t to p ro vi d e in fo rm a tio n a b o u t th e ir w a te r u se in r e sp e ct o f Im p e d in g o r d iv e rt in g f lo w d o e s n o t ca u se a n y lo ss in f lo w . Im p e d in g o r d iv e rt in g s tr u ct u re s ca n f u lly o r p a rt ia lly e xt e n d in to a r iv e r, f o rc in g t h e n a tu ra l f lo w d ir e ct io n t o b e r e d ir e ct e d a ro u n d t h e s tr u ct u re . Im p e d in g o r d iv e rt in g c a n b e t e m p o ra ry , d u ri n g c o n st ru ct io n o f a r o a d b ri d g e f o r e xa m p le . It c a n a ls o b e p e rm a n e n t, s u ch a s th e b u ild in g o f a lo w w a te r b ri d g e a cr o ss a r iv e r w h e re t h e f lo w is p e rm a n e n tly im p e d e d a s it m o ve s u n d e r th e b ri d g e . G a u g in g w e ir s a re a n e xa m p le o f im p e d a n ce if u n d e r lo w f lo w co n d iti o n s th e re is n o s to ra g e b e h in d t h e w e ir . If t h e re is w a te r re ta in e d in t h e w e ir , th e n t h e w a te r u se is c o n si d e re d t o b e "s to ri n g w a te r" a n d " im p e d in g o r d iv e rt in g f lo w " . A ls o c o m p le te D W 7 8 1 /7 7 5 : S u p p le m e n ta ry W a te r U se In fo rm a tio n F o rm f o r S e ct io n 2 1 (c ) a n d ( i) W a te r U se s. S u b m it th e f o llo w in g " te ch n ic a l re p o rt s" w ith s u p p o rt in g a p p e n d ic e s: . W e tla n d d e lin e a tio n r e p o rt 8 D W 7 6 4 1 7 7 6 S e ct io n 2 1 (d ) o f th e N a tio n a l W a te r A ct : E n g a g in g in a s tr e a m flo w r e d u ct io n a ct iv ity S u b m it th e f o llo w in g " te ch n ic a l re p o rt s" w ith s u p p o rt in g a p p e n d ic e s: This gazette is also available free online at www.gpwonline.co.za STAATSKOERANT, 24 MAART 2017 No. 40713 161 N o . F o rm N a m e C o m p le te t h is f o rm if y o u a re a p p ly in g a s a n d f o r; S u p p le m e n ta ry f o rm s (s u b m it w ith a p p lic a tio n ) S u p p o rt in g t e ch n ic a l i n fo rm a tio n t o b e p ro vi d e d w ith t h e t e ch n ic a l re p o rt T h is f o rm a llo w s th e a p p lic a n t to p ro vi d e in fo rm a tio n a b o u t th e ir w a te r u se in r e sp e ct o f C o m m e rc ia l a ff o re st a tio n a s is c u rr e n tly t h e o n ly a ct iv ity d e cl a re d t o b e a s tr e a m f lo w r e d u ct io n a ct iv ity . S tr e a m f lo w r e d u ct io n a ct iv ity b u si n e ss p la n 9 D W 7 6 8 /7 8 1 S e ct io n 2 1 (i ) o f th e N a tio n a l W a te r A ct : A lte ri n g t h e b e d , b a n ks o r ch a ra ct e ri st ic s o f a w a te rc o u rs e T h is f o rm a llo w s th e a p p lic a n t to p ro vi d e in fo rm a tio n a b o u t th e ir w a te r u se in r e sp e ct o f P h ys ic a l c h a n g e s th a t a re m a d e t o a w a te r co u rs e , fo r e xa m p le t o w id e n o r st ra ig h te n t h e c h a n n e l o f a r iv e r. A lte ra tio n o f th e b e d a n d b a n ks is u su a lly n e e d e d f o r co n st ru ct io n a n d in fr a st ru ct u re d e ve lo p m e n t n e a r o r a cr o ss a ri ve r. S a n d m in in g is a n o th e r co m m o n e xa m p le o f th is w a te r u se . A lte ra tio n o f th e c o u rs e o f a w a te rc o u rs e r e fe rs t o t h e d iv e rs io n o f th e w a te r co u rs e . T h e r iv e r ch a n n e l i s u su a lly re co n st ru ct e d o r re p la ce d w ith a c a n a l w h ic h m a y e xt e n d f o r se ve ra l k ilo m e tr e s fr o m t h e o ri g in a l c o u rs e . A ls o c o m p le te D W 7 8 1 1 7 7 5 : S u p p le m e n ta ry W a te r U se in fo rm a tio n F o rm f o r S e ct io n 2 1 (c ) a n d ( i) W a te r U se s S u b m it th e f o llo w in g " te ch n ic a l re p o rt s" w ith s u p p o rt in g a p p e n d ic e s: O W e tla n d d e lin e a tio n r e p o rt 1 0 D W 8 0 5 1 7 8 2 S e ct io n 2 1 (j ) o f th e N a tio n a l W a te r A ct : R e m o vi n g , d is ch a rg in g o r d is p o si n g o f w a te r fo u n d u n d e rg ro u n d if it is n e ce ss a ry f o r th e e ff ic ie n t co n tin u a tio n o f a n a ct iv ity o r fo r th e s a fe ty o f p e o p le S u b m it th e f o llo w in g " te ch n ic a l re p o rt s" w ith s u p p o rt in g a p p e n d ic e s if th e p u rp o se o f R e m o vi n g , d is ch a rg in g o r d is p o si n g o f w a te r This gazette is also available free online at www.gpwonline.co.za 162 No. 40713 GOVERNMENT GAZETTE, 24 MARCH 2017 N o . F o rm N a m e C o m p le te t h is f o rm if y o u a re a p p ly in g a s a n d f o r; S u p p le m e n ta ry f o rm s (s u b m it w ith a p p lic a tio n ) S u p p o rt in g t e ch n ic a l i n fo rm a tio n t o b e p ro vi d e d w ith t h e t e ch n ic a l re p o rt T h is f o rm a llo w s th e a p p lic a n t to p ro vi d e in fo rm a tio n a b o u t th e ir w a te r u se in r e sp e ct o f w h e n w a te r m u st b e r e m o ve d f o r e ff ic ie n cy o r sa fe ty r e a so n s. A n e xa m p le o f th is u se is t o e n su re sa fe ty in u n d e rg ro u n d m in in g . M a n y co n st ru ct io n s ite s a ls o re q u ir e u n d e rg ro u n d w a te r to b e r e m o ve d . T h is w a te r u se d o e s N O T a p p ly t o t h e t a ki n g o f w a te r re fe rr e d t o in 2 1 (a ) a b o ve . fo u n d u n d e rg ro u n d if it is n e ce ss a ry f o r th e e ff ic ie n t co n tin u a tio n o f a n a ct iv ity o r fo r th e sa fe ty o f p e o p le is f o r: C iv il D e si g n R e p o rt W a te r st o ra g e f a ci lit y d e si g n r e p o rt (D a m / P o llu tio n c o n tr o l d a m /R e tu rn w a te r d a m ) to g e th e r w ith o A id e M e m o ir if t h e p u rp o se o f st o ri n g w a te r is t o t re a t fo r p o ta b le co n su m p tio n in a w a te r tr e a tm e n t w o rk s In te g ra te d W a te r a n d W a st e w a te r M a n a g e m e n t P la n (I W W M P ) if th e p u rp o se o f st o ri n g w a te r is f o r in d u st ry o r m in in g u se ; P o w e r g e n e ra tio n b u si n e ss p la n if th e p u rp o se o f st o ri n g w a te r is fo r p o w e r g e n e ra tio n 1 1 D W 8 0 6 /7 8 3 S e ct io n 2 1 (k ) o f th e N a tio n a l W a te r A ct : U si n g w a te r fo r re cr e a tio n a l p u rp o se s This gazette is also available free online at www.gpwonline.co.za STAATSKOERANT, 24 MAART 2017 No. 40713 163 N o . F o rm N a m e C o m p le te t h is f o rm if y o u a re a p p ly in g a s a n d f o r; S u p p le m e n ta ry f o rm s (s u b m it w ith a p p lic a tio n ) S u p p o rt in g t e ch n ic a l i n fo rm a tio n t o b e p ro vi d e d w ith t h e t e ch n ic a l re p o rt T h is f o rm a llo w s th e a p p lic a n t to p ro vi d e in fo rm a tio n a b o u t th e ir w a te r u se in r e sp e ct o f o rg a n is e d w a te r sp o rt s, f is h in g co m p e tit io n s, f lo a tin g r e st a u ra n ts e tc . 1 2 D W 7 6 5 S e ct io n 2 1 (e ) o f th e N a tio n a l W a te r A ct : E n g a g in g in a co n tr o lle d a ct iv ity in t e rm s o f se ct io n 3 7 o r 3 8 o f th e N W A Ir ri g a tio n o f a n y la n d w ith w a st e o r w a te r co n ta in in g w a st e g e n e ra te d t h ro u g h a n y in d u st ri a l a ct iv ity o r b y a w a te rw o rk C u rr e n tly , th e f o llo w in g a re c o n tr o lle d a ct iv iti e s: ir ri g a tin g w ith w a st e w a te r; m o d ifi ca tio n o f a tm o sp h e ri c p re ci p ita tio n ( cl o u d s e e d in g ); p o w e r g e n e ra tio n w h ic h a lte rs t h e f lo w r e g im e o f a w a te r re so u rc e ; a n d in te n tio n a l r e ch a rg e o f u n d e rg ro u n d w a te r w ith w a st e w a te r. A c o m m o n c o n tr o lle d a ct iv ity is ir ri g a tio n w ith w a st e w a te r, ty p ic a lly f ro m a w a te r tr e a tm e n t w o rk s. T h is c a n b e a p ro d u ct iv e u se o f w a te r if a c ro p is g ro w n w ith t h e w a st e w a te r H yd ro lo g ic a l f ra ct u ri n g , u n co n ve n tio n a l g a s S u b m it th e f o llo w in g " te ch n ic a l re p o rt s" w ith s u p p o rt in g a p p e n d ic e s if th e p u rp o se o fE n g a g in g in a co n tr o lle d a ct iv ity in t e rm s o f se ct io n 3 7 o r 3 8 o f th e N W A is f o r: A id e M e m o ir if t h e p u rp o se is ir ri g a tio n o f a n y la n d w ith w a st e o r w a te r co n ta in in g w a st e g e n e ra te d th ro u g h a n y in d u st ri a l a ct iv ity is f o r w a st e w a te r tr e a tm e n t w o rk s In te g ra te d W a te r a n d W a st e w a te r M a n a g e m e n t P la n (I W W M P ) if th e p u rp o se o f Ir ri g a tio n o f a n y la n d w ith w a st e o r w a te r co n ta in in g w a st e g e n e ra te d th ro u g h a n y in d u st ri a l a ct iv ity o r b y a w a te rw o rk is f o r in d u st ry o r m in in g u se ; P o w e r g e n e ra tio n b u si n e ss p la n This gazette is also available free online at www.gpwonline.co.za 164 No. 40713 GOVERNMENT GAZETTE, 24 MARCH 2017 N o. F or m N am e C om pl et e th is f or m i f yo u ar e ap pl yi ng a s an d fo r; S up pl em en ta ry f or m s (s ub m it w it h ap pl ic at io n) S up po rt in g te ch ni ca l in fo rm at io n to be p ro vi de d w it h th e te ch ni ca l re po rt if th e p u rp o se o f Ir ri g a tio n o f a n y la n d w ith w a st e o r w a te r co n ta in in g w a st e g e n e ra te d th ro u g h a n y in d u st ri a l a ct iv ity o r b y a w a te rw o rk is f o r p o w e r g e n e ra tio n ; G eo hy dr ol og ic al r ep or t if th e co n tr o lle d a ct iv ity is in te n tio n a l re ch a rg in g o f a n a q u ife r w ith a n y w a st e o r w a te r co n ta in in g w a st e 1 3 D W 7 6 6 S ec ti on 2 1( f) o f th e N at io na l W at er A ct : D is ch a rg in g w a st e o r w a te r co n ta in in g w a st e in to a w a te r re so u rc e t h ro u g h a p ip e , ca n a l, se w e r, s e a o u tf a ll o r o th e r co n d u it T h is w a te r u se e n ta ils t h e d is ch a rg e o f w a st e o r w a st e w a te r d ir e ct ly in to a w a te r re so u rc e . C o m m o n e xa m p le s o f th is w a te r u se a re w a st e r e le a se d in to a r iv e r o r d a m a t a d is ch a rg e p o in t su ch a s w a st e w a te r fr o m fa ct o ri e s, o r p a rt ia lly t re a te d w a st e w a te r fr o m t re a tm e n t p la n ts . W a st e d is ch a rg e d in to a m u n ic ip a l s e w e r is N O T in cl u d e d in th is w a te r u se ; h o w e ve r, t h e w a st e d is ch a rg e d b y th e m u n ic ip a l t re a tm e n t w o rk s in to a w a te r re so u rc e I S a n e xa m p le o f th is w a te r u se . S u b m it th e f o llo w in g " te ch n ic a l re p o rt s" w ith s u p p o rt in g a p p e n d ic e s if th e p u rp o se of D ïs ch ar gi ng w as te o r w at er c on ta in in g w as te i nt o a w at er re so ur ce t hr ou gh a p ip e, ca n a l, se w e r, se a ou tf al l o r o th e r co n d u its fo r: C iv il D es ig n R ep or t W a te r st o ra g e f a ci lit y d e si g n r e p o rt (D a m / P o llu tio n c o n tr o l d a m /R e tu rn w a te r d a m ) to g e th e r w ith ; A id e M em oi r if th e p u rp o se is fo r di sc ha rg in g w as te o r w at er af te r tr e a tm e n t in a w a te r w o rk s This gazette is also available free online at www.gpwonline.co.za STAATSKOERANT, 24 MAART 2017 No. 40713 165 N o . F o rm N a m e C o m p le te t h is f o rm if y o u a re a p p ly in g a s a n d f o r; S u p p le m e n ta ry f o rm s (s u b m it w ith a p p lic a tio n ) S u p p o rt in g t e ch n ic a l i n fo rm a tio n t o b e p ro vi d e d w ith t h e t e ch n ic a l re p o rt In te g ra te d W a te r a n d W a st e w a te r M a n a g e m e n t P la n (I W W M P ) if th e p u rp o se is f o r d is ch a rg in g w a st e o r w a te r a ft e r tr e a tm e n t in a w a te r w o rk sf ro m in d u st ry o r m in in g u se ; P o w e r g e n e ra tio n b u si n e ss p la n if th e p u rp o se is f o r d is ch a rg in g w a st e o r w a te r a ft e r tr e a tm e n t in a w a te r w o rk sp o w e r g e n e ra tio n ; G e o h yd ro lo g ic a l r e p o rt if t h e p u rp o se is f o r d is ch a rg in g w a st e o r w a te r a ft e r tr e a tm e n t in a w a te r w o rk s a ff e ct s g ro u n d w a te r. 1 4 D W 7 6 7 S e ct io n 2 1 (g ) o f th e N a tio n a l W a te r A ct : D is p o si n g o f w a st e in a m a n n e r w h ic h m a y d e tr im e n ta lly im p a ct o n a w a te r re so u rc e T h is is t yp ic a lly d is p o sa l t h a t ta ke s p la ce in to o n si te f a ci lit ie s su ch a s fr e n ch d ra in s, c o n se rv a n cy t a n ks , p it la tr in e s a n d so a k a w a ys . A n o th e r e xa m p le o f th is w a te r u se is d is p o sa l in to w a st e w a te r tr e a tm e n t sy st e m s, s u ch a s o xi d a tio n p o n d s th a t d o n o t h a ve a n o u tle t in to a w a te r re so u rc e . If t h e o xi d a tio n p o n d h a s a n o u tf lo w in to a r iv e r o r d a m , it is d e fin e d S u b m it th e f o llo w in g " te ch n ic a l re p o rt s" w ith s u p p o rt in g a p p e n d ic e s if th e p u rp o se o fD is p o si n g o f w a st e in a m a n n e r w h ic h m a y d e tr im e n ta lly im p a ct o n a w a te r re so u rc e is f o r: C iv il D e si g n R e p o rt W a te r st o ra g e f a ci lit y d e si g n r e p o rt (D a m / P o llu tio n c o n tr o l d a m This gazette is also available free online at www.gpwonline.co.za 166 No. 40713 GOVERNMENT GAZETTE, 24 MARCH 2017 N o . F o rm N a m e C o m p le te t h is f o rm if y o u a re a p p ly in g a s a n d f o r; S u p p le m e n ta ry f o rm s (s u b m it w ith a p p lic a tio n ) S u p p o rt in g t e ch n ic a l i n fo rm a tio n t o b e p ro vi d e d w ith t h e t e ch n ic a l re p o rt a s w a te r u se 2 1 (f ) a b o ve f o r d is ch a rg in g w a st e w a te r in to a w a te r re so u rc e . E va p o ra tio n d a m s a re a f u rt h e r co m m o n e xa m p le o f th is w a te r u se . /R e tu rn w a te r d a m ) to g e th e r w ith ; A id e M e m o ir if t h e p u rp o se is fo r d is p o si n g is t re a tm e n t in a w a te r w o rk s In te g ra te d W a te r a n d W a st e w a te r M a n a g e m e n t P la n (I W W M P ) if th e p u rp o se is f o r d is p o si n g w a st e o r w a te r a ft e r tr e a tm e n t in a w a te r w o rk s fr o m in d u st ry o r m in in g u se ; P o w e r g e n e ra tio n b u si n e ss p la n if th e p u rp o se is f o r d is p o si n g w a st e o r w a te r a ft e r tr e a tm e n t in a w a te r w o rk sp o w e r g e n e ra tio n ; G e o h yd ro lo g ic a l r e p o rt if th e p u rp o se is f o r d is ch a rg in g w a st e o r w a te r a ft e r tr e a tm e n t in a w a te r w o rk s a ff e ct s g ro u n d w a te r. 1 5 D W 7 8 0 S e ct io n 2 1 (h ) o f th e N a tio n a l W a te r A ct : D is p o si n g in a n y m a n n e r o f w a te r w h ic h c o n ta in s w a st e f ro m , o r w h ic h h a s b e e n h e a te d in , a n y in d u st ri a l o r p o w e r g e n e ra tio n p ro ce ss T h is w a te r u se r e fe rs s p e ci fic a lly t o t h e t e m p e ra tu re o f th e S u b m it th e f o llo w in g " te ch n ic a l re p o rt s" w ith s u p p o rt in g a p p e n d ic e s if th e p u rp o se o fD is p o si n g in a n y m a n n e r o f This gazette is also available free online at www.gpwonline.co.za STAATSKOERANT, 24 MAART 2017 No. 40713 167 N o . F o rm N a m e C o m p le te t h is f o rm if y o u a re a p p ly in g a s a n d f o r; S u p p le m e n ta ry f o rm s (s u b m it w ith a p p lic a tio n ) S u p p o rt in g t e ch n ic a l i n fo rm a tio n t o b e p ro vi d e d w ith t h e t e ch n ic a l re p o rt w a st e w a te r w h ic h m a y h a ve a s ig n ifi ca n t e ff e ct o n t h e e n vi ro n m e n t. T h is w a te r u se a ls o r e fe rs t o d is ch a rg e s to t h e m a ri n e e n vi ro n m e n t (s e a , su rf zo n e ). w a te r w h ic h c o n ta in s w a st e f ro m , o r w h ic h h a s b e e n h e a te d in , a n y in d u st ri a l o r p o w e r g e n e ra tio n p ro ce ss is f o r o P o w e r g e n e ra tio n b u si n e ss p la n if th e p u rp o se is f o r; 1 6 D W 9 0 1 D e ta ils o f P ro p e rt y w h e re w a te r u se o cc u rs 1 7 D W 9 0 2 D e ta ils o f P ro p e rt y O w n e r 1 8 D W 7 7 5 S u p p le m e n ta ry W a te r U se I n fo rm a tio n F o rm f o r S e ct io n 2 1 (c ) a n d (i ) W a te r U se s. 1 9 D W 7 8 4 T a ki n g w a te r fr o m a w a te r re so u rc e P u m p t e ch n ic a l d a ta 2 0 D W 7 8 6 T a ki n g w a te r fr o m a w a te r re so u rc e C a n a l t e ch n ic a l d a ta 2 1 D W 7 8 7 T a ki n g w a te r fr o m a w a te r re so u rc e I rr ig a tio n f ie ld a n d c ro p in fo rm a tio n 2 2 D W 7 8 8 T a ki n g w a te r fr o m a w a te r re so u rc e P o w e r g e n e ra tio n , in d u st ri a l o r m in in g u se . 2 3 D W 7 8 9 I T a ki n g w a te r fr o m a w a te r re so u rc e D o m e st ic , U rb a n , C o m m e rc ia l o r In d u st ri a l u se . 2 4 D W 7 9 0 S to ri n g w a te r D a m a n d b a si n t e ch n ic a l d a ta 2 5 D W 7 9 3 S to ri n g w a te r D a m C la ss ifi ca tio n This gazette is also available free online at www.gpwonline.co.za 168 No. 40713 GOVERNMENT GAZETTE, 24 MARCH 2017 Annexure C Application Checklist =Nìr5i ter:; Ñ Y1. r'..gy îz =- ` d`w` . w ,s :, : - ; r4,.S., s% s, c..' rrí^ -,k.. -" . *' w. , .A; ,4L ß-3to OJj 1iA9j '` S x-á6.' .. zz+,..' 1 r-S." .. .s, . ,n óx ...-.o-° i. r` ße ,11 rC w.. Description Applicable Submitted Yes No Yes No Proof of Payment of Licence Application Processing Fee (Compulsory) Copy of Identity Document of Applicant and Proponent (if applicable) (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 1 769) *Applicant Information Form: Water Service Provider (DW 757 1 770) *Applicant Information Form: Company, Partnership, Government (OW 7581771) *Applicant Information Form: Water User Association (DW 759 1 772) '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) where the required information in sub -regulation (aa) and (bb) is not available, the coordinates of the boundary of the property or properties, 1` Application forms available at: https: / /www,dwa.gov.za/ Projectsl WARMS /Licensing /licensingl.aspx NOTE: All application forms must be fully completed This gazette is also available free online at www.gpwonline.co.za STAATSKOERANT, 24 MAART 2017 No. 40713 169 p y Ml z r.- , ,..,° --t,ß ti - ;., Description Applicable Submitted Yes No Yes No When providing coordinates, such coordinates must be provided in degrees, minutes and seconds using the Hartebeesthoek94 WGS84 co ordinate 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 interms of the Mineral and Petroleum Resources Development Act, 2002 or environmental authorisation as per regulation 7 must be provided This gazette is also available free online at www.gpwonline.co.za 170 No. 40713 GOVERNMENT GAZETTE, 24 MARCH 2017 .. .--?.. .. .3'. ISG, f A, . .., ...- . .:..(.,.. .. . ,6Í6fl.ir)'; L'Tatri ,.. . /' ..ti.... . ,... .G .,..`"' fi. ` : a3 J ' . e -r< l L 6-.4' T, rs' , Description 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 (OW 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) Description Applicable Submitted Yes No Yes No *Storing water form (DW 774) 'Dam and Basin Technical Data Form (DW 789) ` *Dam Classification Form (DW 793) (for dams >Om and >50UOOnm3) Dam Location Map Description Applicable Submitted Yes No Yes No * Impeding or diverting the flow of water in a watercourse form (OW 763) *Altering the bed, banks, course or characteristics of a watercourse (DW 789) *Supplementary Information for 21 (c)&(D form (0VV775) This gazette is also available free online at www.gpwonline.co.za STAATSKOERANT, 24 MAART 2017 No. 40713 171 :. ] ..,, . d . i CC . ,- \C. J ,yu,. .yw F h.',6vq' [ "Fr .%. `-L / Y l-l tA {..- i r M1 Y , 4 ß1 MM x ¡?yy-`ól1 C }S z( .- s; Y . . . Tf - . sre . T ,,-,-",'6.'' .Zk,kl z a a y . a' ,' 2.A4 7ai.aj', ° 911F° .`r rs-. F { `lhr-tÿfáiiúv...`Xi.? a I,939$. q , Description Applicable Submitted Yes No Yes No Engaging in a controlled activity forni (DW 765) *Monitored Waste Discharge Details form (0W 904) *Irrigation Field and Crop Details (OW 787) =pp~' .~ `.. '" *el'`n^',no'°"Fw -4cz=s.-'v - Nr. :5?,- /' ' Description Applicable Submitted Yes No Yes No * Discharging waste or water containing waste into a water resource through a pipe, canal, sewer or other conduit form (DW 766) *Monitored Waste Discharge Details form (OW 903) 'i'.'.,-=- - .1 ~ /-. ^ '.u -'1,' Description Applicable Submitted Yes No Yes No * Disposing of waste in a manner which may detrimentafly impact on a water resource form (OVV787) *Monitored Waste Discharge Details form (OW 904) *Details of Waste Management Facility form (DW905) ~- ~° Description Applicable Submitted Yes No Yes No * Disposing in any manner of water which contains waste frnm, or which has been heated in, any industrial or power generation process form (DW 780) *Monitored Waste Discharge Details form (0W 903) This gazette is also available free online at www.gpwonline.co.za 172 No. 40713 GOVERNMENT GAZETTE, 24 MARCH 2017 ° -1 P. # Waif ;? til 3,41 =fie =10b o n :x of . : }34 P',., ís 0 1 ikj. ñá if it; ié g o. t Ì e g ,..= {, , j. , 4r .sA - = f,t lK:4 fi ,ltjf 34P ` - ,0t .Q'f r -jtiAq= NitI (?jr JL l7 ú ts x;È Af:A7.0.`r Ngsj -- - , ^ '°5".""---''''t1,0 hc4kill(ii~i-. ,; w Description Applicable Submitted Yes No Yes No * Removing, discharging or disposing of water found underground if it is necessary for the efficient continuation of an activity or for the safety of people form (DW 780) « '.i .°v.iF - r. "t°w"4S",ti.s av - ]=-r" : --t .-f,?. ,fi,y..;--". Tñ:-N.<.o; ...r- ,.;i'r`"' a;' n"2 5 ¡.3/;-,, t- - .:-4) .j¢. >r` áiw.aA-.'` ,-'-,-" ,e`..j= ,$'- .a-s ,,"-. ñ°ÿ^y`r^5 X...;5'S....°,i-.T-0t1`r,lP1YM--1Y`bIS.`áÇEü,°R'SP1"^,.slnál. °'J-a ".-.f'rvunó3lç wb-...%s`a :..E'x.,js.^ `a-.fk'h '..,'Jx, "6-sX-',..^2-"^cJS. .f ^..q+^- .^"7`-f..rt"., ÿ:-,m. eX 0`-' : vi,ìm. -.. . . i : - .. , ..Tá., .. F+i.n . { `vF`n-:ef.ç.ti:....---r"."x [;et w>T..R3.^I- = 4N.-O'±ÿ.' Description Applicable Submitted Yes No Yes No * Using water for recreational purposes form (DW 780) OFFICIAL USE Application Submitted : Signature of Assessor Complete Incomplete This gazette is also available free online at www.gpwonline.co.za STAATSKOERANT, 24 MAART 2017 No. 40713 173 ANNEXURED TABLE OF CONTENTS OF TECHNICAL REPORTS FOR INFORMATION REQUIREMENTS TO BE SUBMITTED Number Report designation Purpose of report 1 Technical report for water treatment and wastewater treatment plants Water uses for water treatment and wastewater treatment plants 2 Agriculture business plan Agricultural water use 3 Stream Flow Reduction Activity Business plan Stream Flow Reduction Activity 4 Integrated water and wastewater management plan Water uses for mining and industrial operations 5 Geohydrological Report specialist study to all groundwater 6 Wetland delineation report Stand -alone report for wetlands and watercourses 7 Mine closure and rehabilitation plan Plan for the closure of a mine and rehabilitation 8 Public participation report Consultation of interested and affected parties 9 Civil Design Minimum information requirements This gazette is also available free online at www.gpwonline.co.za 174 No. 40713 GOVERNMENT GAZETTE, 24 MARCH 2017 The Tables of Contents 1 WASTE WATER TREATMENT I WATER TREATMENT PLANTS TECHNICAL REPORT ATHEEX EC UT1VE Theexecutivesummaryshouldsummarisetheoverallbenefitsofthe water supply and or waste water management project to the beneficiary communities. In regards to a waste water management project it should highlightthemajorenvironmentalfindingsandhowthesewillbemanagedto prevent, reduceor rehabilitateadverseimpacts. BTABLEOFCONTENTSOFTHE TECHNICAL R E P O R T Application for alicenceto take water from a water resource for domestic and industrial supply, and to disposeoffwaste from a waste treatment worksby, e.g. discharge, irrigation etc. WASTE WATER TREATMENT WORKS AND WATER TREATMENT WORKS (POTABLE USE) Parti :A dm inistrativel nformationandBriefProjectDescription (NB: usemapsto indicate theinformation wherenecessary.) 1.1Name, address, telephoneand fax numbersand contact persons for: Water SLrvicesAuthority /Water ServícesProvider/ The holdingcompany /authority/ The applicant (nameand status)) I.2Details of ex istingexemptions- if applicable. (Interms cf sectionsofthe National Environmental Management Actif exempt to the report) 1.3Details of thecontract between thewater servicesauthority and thewater (Attach acopy of thecontract to this report) I.4Magisterialdistrict and relevant regionalservicesauthority mI.5Naeof thenearest town /residentialareaand itsdistan ce from th esite 1.6 Surfaceinfrastructureserving thesite(e.g. roads, railways, power lines, etc.) 1.7Ownership of theland 1.8Longitudeand Latitudeof thesite 1.9Zoningof theland 1.10 Ownership of adjacent /potentially impacted land 1.11Occupier of theadjacent land 1.12 Zoningof theadjacent land 1.13Nameof theriver catchment 1.14Brief description of theintention of thisap p lication 1.15Has the Water Treatment Plant and/orSew age Treatm ent W orksbeen led, attach copy of services provider. included in theWater This gazette is also available free online at www.gpwonline.co.za STAATSKOERANT, 24 MAART 2017 No. 40713 175 ServicesDevelopment Plan (WSDP) W3JFigistry FileNumber asgiven by theDepartment WASTE WATER TREATMENT WORKS Part2: DescriptionoftheBw ironment( fororientationandfirstorderscreening) 2.1Climate 2.1.1 Regionalclimate 2.1.2 Rainfalldata 2.1.3 Temperaturedata 2.1.4 Wind data 2.1.5 Evaporation data 2.1.6 Any extremeweather conditionsprevalent (e.g. snow, frost, hails, etc.) 2.2Topography 2.3So it 2.4 Geology - Generalgeologyof thearea -presenceof dykes, sillsan d faults 2.5Land capacity (arable, grazing, wetland or wilderness) 2.6Land use - zoning 2.7Naturalvegetation and plant life 2.8Su rfacew ater nameof nearest watercourse waterquality - pH, conductivity etc. surfacewateruse(domestic, industrial, agricultural, recreationalor naturalenvironment) waterauthority presenceof wetlands 2.9 Groundwater presenceand position on amap, ofboreholeswithin a1000 m radiusof thesite yieldof boreholes groundwateruse groundwaterquality (pH, conductivity, nitrate) 2.1OAir quality 2.11Noise 2.12Sites of archaeoiogicalinterest 2.13Sen sitivelandscapes 2,14Visualaspects 2.15Regionalsocio- economic structure(Short description) Population, economic activities, unemployment rate, housing demand, socialinfrastructure, water supply and sanitation, power supply 2.16lnterested and affected parties 2.171 ndustrialactivity (typesof industries present, wastepurification, - by industry/ third party, by localauthority) Part3:W atersupply This gazette is also available free online at www.gpwonline.co.za 176 No. 40713 GOVERNMENT GAZETTE, 24 MARCH 2017 3.1 Water use 3.1.1 Sources of water (localauthority, river, boreholes, sea, irrigation board or waterboard, use of excessgroundwater, recycled waste(intemalsouroo,eg. Coolingwater), recycled waste(externalsource, e.g. sew agewaste) (t nallabovecasestheaveragedaily /monthlyandmaximumdaily /monthly quantitiesare required) 3.1.2 Yearly usagepatterns(e.g. morein summer than winter) 3.1.3Yearly water use 3.1.4Water rights(Legal documents) (riparianrights, public or privatewater, entitlements, water court orders, quotas, agreements) Part4 : Descri ptionof Reticulationsystem 4.1Percentageof areaserved w hich isun- sewered 4.1.1Howis thisareaserviced: (pitlatrinesbucket system, conservancy tanks, septic tanksand French drains) 4.2Percentageof theareaw hich issew ered o rto besew ered 4.2.1What type of network isin place /will beinstalled ( standard reticulation, smallboresystem) 4.2.2Location of sewers midblock standard 4.3Natureof sewage 4.3.1 Domestic component -projections(no. of persons) Population Yearx Yearx +5 Year x+10 Yearx +15 Yearx +20 High Incom ePermanent Low Incom ePerm anent Holiday Makers 4.3.21ndustrialcomponent d ailyvolumestexpected volume treated type of industrialwaste (mainly organic, organic, heavy metals, mixture) namesof industriescontributing to thevolume (and locally treated) includingproblem constituents received from each 4.4Hydraulic and organic loading 4.4.1 Hydraulic loading (High -income, lowincome, holiday makers, industrialcomponent) 4.4.2C0 D load (glday) 4.4.3TotalNitrogen asTKN(g/day) 4.4.4PhosphateasP (glday) 4.4.5Peak dry weather flowfactor- XxNormaIDWF 4.4.6 Peak wet weather flowfactor- XxPeakDWF This gazette is also available free online at www.gpwonline.co.za STAATSKOERANT, 24 MAART 2017 No. 40713 177 Part5: DescriptionofSewagelreatmentworksandClassification 5.11nIet works(screens, grit channelsand flow measurement) 5.1.1Method of d isposalofscreeningsandgrit, (e.g by burial, incineration, etc.) 5.1.21 0 cation of thedisp o salsiteand/or thenameof thesolidwastedump 5.1,3 Method of flow measurement 5.2Primary sedimentation tanks 5.2.11A/hat is thenominalupwardflowratesfor: averaged ryweather (m3 /hr) peakstormflow(m3lhr) 5.3Septic tanks (number of septic tanksand volumeof each, average retention time /n thetank(s)at averegedry weather flow(hours),average depth of tank(sl(m), (proposed) mefhodsof periodicaldesludging, methodsof disposalof thesIudgeso removed, method of disposalof the overflow, if not to further processing, e.g. to French drains, soak -away, etc.). 5.4Biological filtration systems (Cubicmetre ofsettled sewage per cubic metreof media per day (m3 /m3 /day), number of gramsaf "4 hour PV "percubicmetreof media per day (gm /m3 /day)) 5.5Activated sludgesysterre- whereapplicable, give proprieta rynam es: State the: 5.5.17ypeof system and basic design information; 5.5.2Method of operation; and 5.5.3Method of phosphateremoval, if any. 5.6Humustanls or secondary sedimentation tanks 5.6.1What is thenominalupwardflowratefor: averagedryweather flow (m3 /hr) peakstormfiow(m3 /hr) 5.7Sludgehandling: 5.7.1 Stateth eq ua n tity of wet sludge (to be produced per day) (m3) 5.7.2State the method of treatment of surplusactivatedsludgedischarged, prior to itslisposalonland or to drying beds or by other means 5.73Statetherelativedigester capacity (m3 /capita) 5.7.4Statethetotaldigester capacity (m3) 5.7.5Howisthesupernatantliquid (to be) disposed of 5.7.61f land disposalofwet sludgeis(to be) used, statetheareaofland (ha) 5.7.7Statetherelative capacity (m3 /capita) ofany sludgedrying beds 5.7.8 Slatethetotalarea (m2) ofany sludgedrying beds 5.7.9Howisd rainage from thebedsor other separators(to be) dealt with? 5.7.10Whatother meansare(to be) usedfor dealingwith digested or any other sludge? 5.7.11Howisdried sludge(to be) finally disposed of, e.g. on land, by incineration, etc.? 5.80xidation pond systems This gazette is also available free online at www.gpwonline.co.za 178 No. 40713 GOVERNMENT GAZETTE, 24 MARCH 2017 5.8.1 Describeanypre- treatment units aheadof thepondsandstatetheir capacity 5.8.2 Statethenumber of pondsinthesystem, their depth and surfaceareaforeach 5.8.3 Givethesequenceof flow through the pond system 5.8.4 What is the: averagedryweather flow (m3 /hr) peakstormflow (m3 /hr) of the pond system, if any? 5.8.5Whereis theoutfiow (to be) directed to, e.g. evaporationponds, irrigation, etc. 5.9Tertiary treatment -statebasic design details, w h ereap p licabiefor: 5.9.1Micromesh screens 5.9.2Rapid gravity sand filters 5.9.3 Slowsand filters 5.9.4 Hamlin filters 5.9.5 Reed bedsystem s 5.9.6Maturation pond system, (i.e thenumber of ponds, thesequencein which they areused (e.g. in series), the retention timein each pond (days) and the total capacity of theponds(ms)) 5.9.7Phosphate reran oval- givedetailsof the method and of thebasic design 5.9.8Disinfection of thefinaleffluent - (if by chlorination, givedetailsof the method and the contacttimein the pond or contacttank; if by any other method, UV light, ozone, etc., givedetailsofu se, includingthe period of application and theintensity) 5.9.9 Any other tertiary treatment 5.10CIassification of worksand operators 5.10.1 l atheworksclassified? 5.1 0.2Areall o peratorsclassifi a d? (- request relevant formsforclassification of both theworksandtheoperatorsíntermsnfthepresentP gulation No. R2834 from (012)336 7547) 5.11 Fen c i ngaround theworks- describe. PartG: W ate randM aterialsBalanceDiagram (Su p p lyaflowdiagram show ingal inputsandoutputs (includingmaterials, ch em icals, w astes, sludge'S solid wasteetc.) Part7: Managem entSystemsandPol lution Prevention Methods 7.1 Description of hierarchy of operatingstaff 7.2Availability of mechanicalmaintenancestaff 7.3Avaifability of electricalmaintenancestaff 7.4Availab ility of processcontrolstaffandlor processconsuRants 7.5 Arethereaset of drainageby- lawsinplace (if so, attach acopy) areth ere by-law sactiveiyadministered 7.6Technology - (Thism ustbeansweredconsidering the description of the environmentand theenvironmentalimpacts) 7.6.1 Isthewastetreatmentprocess the best option to protect the described environment - motivate 7.6.2lsthedisposalpractice thebest option - motivate 7.6.3ís the be availabletechnologyin use (best environmental option) - motivate This gazette is also available free online at www.gpwonline.co.za STAATSKOERANT, 24 MAART 2017 No. 40713 179 7.6.4What isthealternativeoptionof treatment and disposal? 7.6.5Why wasthepropowd /existing option chosen? 7.7WQOperationalManagement Ran 7.7.1 What are thechances of asystem failure? 7.7.2What are theirrplicationsofsuch failure? 7.7.3What safety factorshave been used? 7.7.4What istherranagementand maintenanceplans? 7.7.5 Availability of standby /spareequipment? 7.7.6What is theaccidentand emergency action plans? 7.7.7What plansaretheretominimisethe pollution hazard/ potential? 7.7.8What monitoringandauditingsysterrs do you haveto detect malfunctions? 7.7.9 Aretherealarm system sin p laceatall pumpstations? 7.7.10 Aretherenotificationprocedures for the downstream users? Part8: Disposalofsolidwasteandsludge 8.1Description of solid waste 8.1.1 So lid waste quantity (tons per day, tons per year) 8.1.2 Analyses of solid waste (composition and percentages) 8.2 Description of sludge quantity (tons per day, tons per year) 8.2.1 Analyses of sludge 8.2.2 Classification of sludgeaccordingto theGuidelines Perm issibleUfilisationandDisposa lofsewageSludge, Edition 1 August 1997. 8. 2. 3DisposaltopondsrlagoonsGroundwater monitoring 8.2.4 Land disposal ( irrigation, Composting, Analyses of soils, O n site/Off site, Description of groundwater monitoring) 8.2.5Description of contracts forremovalofsludge Part9: FinalW asteDisposalEvaluation ( Therearevariousoptionsuvhichcanbe takenwhendisposingofwaste.ltcan bedisposed of to: land, ponds/dam sandor irrigation, groundwater, rechargingofaquifers, surfacewater, estuaries or lagoons, sea, surf zone, deep seapipeline, air -- evaporation, municipalworks or private contractor, contained area mined out areas(underground) Thewastedisposalpracticeneedstobefullyevaluatedtakingintoaccount variousnormsandstandards ltisimperativethatthepracticeissh ow n to h aveam inimalenvironmentalimpactandthatthepracticehasthe minimumeffecton thehealth and interest of other water usersin The environment.) 9.1 Quantity ( number of daysdischarged, averagem3per day /maximum and peak, averagem3per year /maximum and peak) This gazette is also available free online at www.gpwonline.co.za 180 No. 40713 GOVERNMENT GAZETTE, 24 MARCH 2017 9.2 Land disposal- pondsordams 9.2.1Wastequality analyses (pH/ conductivity / sugaended solids (SS)/ COD/ NH/ NO/ Ortho phosphate (asP) /Feacalco li) 9.2.2What isthewastequantity daily volumes monthlyvolumesforeach month 9.2.3What isthegeologyunder- lyingthedans 9.2.4 What is the depth of thewatertable? 9.2.5What istheslopeofthesite 9.2.6What istheaverage monthly evaporation and rainfall monthlytotals 9.2.7Calculate the positive/negative monthly evaporation rateusingalltheaboveinformation 9.2.8Calculatethesizeof thepondsrequired. Takeintoaccount thewaste that was stored duringmonthsofnegativeevaporationrates. 9.2.9 What isthesituationof thedamawith regard to? (Rivers/boreholes/ use/yield/ quality/ springs/fountains/natural depressions/ urban areas /dwellings) 9.2.10lsthedamsite protected from ingressofstormwater 9.2.11Whatistheuseofgroundwater in thevicinity (Domestic / agricultural/ industrial/ recreational/ environmental) 9.2.12Havethedams been sealed with plasticliners bentonite or other clay 9.2.13Arethereseepagecollection drainsandreturnspumps 9.2.14Describetheleakage detection and monitoringsystemsin place 9.3Land disposal - Irrigation areas 9.3.1 Wastequalityanalyses (pH /conductivity /suspended solidd(SS1COD / NH/ NO/ Ortho phosphate(asP)/Feacalcoii) 9.3.2 What isthewastequantity? daily volumes monthlytotalforeach month 9.3.3 What istheaverage m onthly evaporation and rainfall? 9.3.4What isthecrop to beirrigated 9.3.5What isthecrop factor 9.3.6 What type of irrigation method issued (flood or overhead ?) howmanyoverhead sprayersareinplace howmanydaysareinan irrigation cycle (attach an irrigation design layout and management plan) 9.3.7What istheirrigation /application efficiency? 9.3.8Determine the monthly crop irrigation requirements 9.3.9What is the permeability and infiltration rateof thesoilprofile 9.3.10Whatistheslope of theirrigationarea 9.3.11Whatis the root depth of thesoil 9.3.12Whatistheu nd erlyinggeology 9. 3. 13Calculatethesizeoffheirrigatíonarea required. Takeinto account theirrigation of waste that was stored duringmonthsof negativeevaporation rates This gazette is also available free online at www.gpwonline.co.za STAATSKOERANT, 24 MAART 2017 No. 40713 181 9.3.14Whatis the depth of thewatertable (Summer/ w inter) 9.3.15Quality of thegroundwater(macro analyses- major an ionsandcations) 9.3.16SIope of theirrigationarea 9.3.17Direction of groundwater flow 9.3.18Situation of theareawith regard to: (Rivers/boreholes' use/ yield/ quality / springs/fountains/natural depressions/urban areas/dwellings) 9.3.19Whatisgroundwater in thevicinityused for? (Domestic / agricultural/ industrial/ recreational/ environmental) 9.3.2OAre thereenvironmentalprotection methodsin placesuch as: storm w atercut-off tren chesa bovethesite cut -offcanals belowthesite 9.3.21What soilamendmentsare done per season to sustain soilfertilityand permeability 9.3.22Soilevaluation (analyses) 9.4 Disposaltogroundwater 9.4.1 Wastevolume 9.4.2 Wastequalityanalyses (pH / conductivity/ supended solids(SSj / COD/ NH/ NO/ Ortho phosohate(aal')/Feacalcoli) 9.4.3Depth of groundwater 9.4.4Yield of groundwater (1000 m radiusofdisposalarea) 9.4.5Quality of groundwater (macro analyses- major anionsandcations) 9.4.6Potentialuse of groundwater (Domestic / agricultural/ stock watering/ irrigation/ industrial) 9.4.7 Criticalquality component 9.5 Disposaltoa rfacewater 9.5.1 Quantity of waste 9.5.2Annualdisch argep attern 9.5.3Nameof minor river catchment areaof catchment, mean monthly run -off, quality of river upstream of discharge 9.5.4. Wastequalityanalyses (pH/ conductivity / suspended solids(SS /COD / NH/ NO/ Ortho phosphafe(asP)/Feacalcolí) 9.5.5 Established use of river (domestic / agricultural/ industrial/ recreational/ environmental) 9.5.6Est a b lish theapplicableWQCriteria 9.5.7Esf a b lish th ec riticalcom ponents 9.5.8Nameof major river catchment ( *Collect sameinformationasfor minor catchment) 9.5.9Qualityof minor catchment beforedischargeintomajor catchment (analyses) 95.10Quality of major catchment river upstream of Minor River (analyses) 9.5.11Quality of major catchment river downstream of confluenceofMinor River 9.5.12Mean monthly run -off of major catchment upstream of Minor River 9.5.13DescribetheRWQO'sfor thetotal catchment 9.5.14CalculateWasteLoad Allocations(WLA's)and theeffect which thedischargewillhaveon theREQO (ReceivingErrvironmentalQuality Objectives) This gazette is also available free online at www.gpwonline.co.za 182 No. 40713 GOVERNMENT GAZETTE, 24 MARCH 2017 9.6Dischargeto lagoon and estuary -Thisdischargecould havean impact similar to surfaceor seadischarge. T h eq u estionsrelated to surfacedischargew ill beapplicable. 9.7 Disposal by Evaporation (Evaporation occurs within a process of because of excess heat, or in cooling towers or in specially designed dams where it is promoted. If evaporation is promoted by means of an evaporation pond system then the points that have to be addressed are the same as mentioned under section 9.2) 9.8 Municipal or private waste purification plants other than works being evaluated) 9.8.1 Name of the plant 9.8.2 Name of the owner 9.8.3 Address, telephone, and fax no. and name of contact person 9.8.4 Registration number of works (if applicable 9.8.5Letters of acceptanceof thewasteby theowner of theworks(aftach acopy of theagreement for the delivery and acceptanceof thewaste) 9.8.6Purification plant compliance record 9.8.7 Are thereany quality acceptancelimitsin operation, e.g. Drainageby -laws 92.8 Are thereany criticalcomponentsin therawwaste(identify) 9.8.9Effect of acceptanceof therawwasteon thecompliance record of thepurification plant (Indicateonaplan -onal :50000 -map) Sew agetreatm entworks municipal(Iocalauthority) other describe Re -use agriculture/ industrial/ municipal/ other Land damspondslevaporation irrigationonly damslponds/irrigation Storm waterdrains nameof neared water course Watercourse/river name nameof greater catchment river Estuary nameof estuary Sea nameof neared town or beach Diseasaltosolidwastedisp osais te name Groundwater(recharge) nameof neared user nameof farm or district This gazette is also available free online at www.gpwonline.co.za STAATSKOERANT, 24 MAART 2017 No. 40713 183 Partl0: RecommendationsfromotherInterestedParties( Tobesubmittedwiththeapplication) 90.1 Department of NationalHealth 10.2Department of Bnvironmental Affairs 10.3South African Bureau of Standards 10.4NatureConservation Bodies 10.5Regional Government Institutions 10.6Local Government Institutions 10.7Department of Agriculture, Forestry and Fisheries 10.8Department of Mineral Resources 10.9 Department of Energy 10.10Other specialists 10.11 N on- governor entalOrganisations 10.12lnterested and Affected Parties 10.13Public Participation WATER TREATMENT PLANT (POTABLE USE) Part 11 11. 1 Summary of the scheme 11.1.1 Background 11.1.2 Design/ scheme layout 11.1.2 Levels of service 11.2 Population projections for a period of 20 years 11.3 Water resource and water availability 11.4 Existing uses 11.5 Water Demand analysis 11.6 Type of reticulation WASTE WATER TREATMENT WORKS AND WATER TREATMENT WORKS Partl2:Conclusion Theconc /usionshouldcontainaconcisereq u estfo rth alicencerequiredand shouldincludeaccurafelycompletedlicenceapplicafionforms *obtainable from the Responsible authority. *NOTEnorderfortheDWStoexpeditetheapplicationinashorter timeaspossb/e thecorrect information isessen tial. Part13:ReferencesandSup portingDocuments This gazette is also available free online at www.gpwonline.co.za 184 No. 40713 GOVERNMENT GAZETTE, 24 MARCH 2017 ( Referencestobackuptheinformationsuppliedwillbeaddedasannexuresunder thissec tion, e.g): 12.1 Geohydrological Report 12.2 Civil Design Report This gazette is also available free online at www.gpwonline.co.za STAATSKOERANT, 24 MAART 2017 No. 40713 185 2 AGRICULTURE TECHNICAL REPORT OR BUSINESS PLAN 1. Introduction 1.1. Background 1.2. Applicant details including ownership structure 1.3. Project justification I industry overview and scope of the project 1.4. Specific project objectives 1.5. Summary of the project and authorisations required 2. The project area 2.1. General 2.2. Location and access 2.3. Summary of the project 2.4 Social arrangements 2.4.1. Administration 2.4.2. Settlement 2.4.3. Beneficiaries and interested and affected parties 2.4.4. Land ownership and properties on which water activities will be take place 2.4.5. Socio- economics 2.5. Physiognomy 2.5.1. Climate 2.5.2. Water resources and water availability 2.5.3. Land and soils 2.5.4. Existing infrastructure 3. Water and waste management framework 3.1 Summary of all water uses and Annexure of forms 3.2 Existing lawful water uses, generally authorized water uses, exemptions 3.3 New water uses to be authorised 4.Agricultural development and production plan 4.1. Current crop /animal management practices 4.2. Proposed cropping/ animal production 4.3. System operations/ herd management programme 4.4. Production targets 4.5. Crop! Animal water requirements estimates 4.6. Marketing plan 5. Water resources development plan 5.1. Water demand analysis 5.2. Water abstraction 5.3. Water supply plan to the production facilities 5.4. Water balance This gazette is also available free online at www.gpwonline.co.za 186 No. 40713 GOVERNMENT GAZETTE, 24 MARCH 2017 6. Technical design (Irrigation /drainagelanimal facilities) plan 6.1. Scheme layout/ Animal handling facilities layout 7. Facility planning 7.1. Existing infrastructure 7.2. Infrastructure requirements 7.2. Roads, water, electricity and telecommunications 8. Financing plan 8.1. Capital cost estimates 8.2. Source of funds 8.3. Operational costs APPENDICES AND SUPPORTING INFORMATION Undertaking of water uses like taking of water from a water resource and storing water for agriculture is likely to trigger other water uses. The applicant must adhere to requirements for such activities and compile requisite technical reports like; Hydrology and Geohydrological report Wetland and watercourse impact studies - undertaking of taking and storing water uses is likely to trigger other water uses such as Section 21 (c) and (i). This can be if the project entail activities listed below: Civil designs for dams and pump stations Watercourse crossings, This gazette is also available free online at www.gpwonline.co.za STAATSKOERANT, 24 MAART 2017 No. 40713 187 3 STREAM FLOW REDUCTION ACTIVITY REPORT 1. Background information Profile of the applicant will be covered in the application forms (DW756/769 or DW758/771) 2. Existing lawful water uses and authorisations for the property i. Pre 72 Authorizations ii. Permit Number iii. Licence Number 3. Location of the proposed activity and site description I. Province, District and local Municipality, Tribal Authority or village ii. Property (farm name , the number, portion and the full extent of property) iii. Water Management Area and Quaternary Catchment iv. GPS coordinates of the area applied for v. Topographical Map. vi. Current state of the proposed site (Grassland, Cultivated land (recently/ currently cultivated and that cultivated more than 10years ago), Jungle afforestation, Virgin land, Other formal forestry, other), vii. Climate (Rainfall and Temperature) viii. Watercourses affected by the activity such as wetlands, rivers and lakes, etc ix. Soil Characteristics(depth and form) x. Slope description xi. Land preparation methods in relation to soil characteristics and slope gradient of the proposed area xii. Accessibility of the site in terms of the road infrastructure xiii. Proximity of proposed activity to other Land Users xiv. Servitudes running through the property 4. Description of the activity i. Purpose of the applied water use ii. Target Market (description, location,) iii. Area (ha) and Crop type (genus) iv. Planting and harvesting plan v. Start date and life span of the Activity 5. Marketing plan i. Identified target market ii. Off take agreement iii. Marketing channels 6. Water use impacts and mitigations Watercourses (e.g. delineation, buffering, erosion/ sedimentation, other) This gazette is also available free online at www.gpwonline.co.za 188 No. 40713 GOVERNMENT GAZETTE, 24 MARCH 2017 Watercourse crossings (e.g. proposed method of crossing, design, rehabilitation and maintenance) SFRA jungle (eradication, maintenance & control, other) Control of SFRA spread outside the demarcated area Impact on downstream users Other i. Detailed Site Specific Management Plan Watercourses Watercourse crossings SFRA jungle Control of SFRA spread outside the demarcated area Impact on downstream users Other 7. Grower financing /Support plan I. Start -up Capital, training /capacity building i. Proof of authorizations from DEA and DAFF ii. SAHRA authorization iii. Copy of Basic assessment or Environmental Impact Study iv. Proof of public participation process v. Contracts /Agreements on Beneficiation between the company and community, Note: Undertaking of Section 21(d) is likely to trigger other water uses such as Section 21 (c) and (i). This can be if the project entail activities listed below: Watercourse crossings, Planting within 1:100 year flood line of watercourses, Planting within the riparian zone and Planting within 32m from the edge of a watercourse Planting in a radius of 500m of a wetland. The applicant will need to adhere to section 21 (c) and (i) requirements for the above activities. This gazette is also available free online at www.gpwonline.co.za STAATSKOERANT, 24 MAART 2017 No. 40713 189 4 INTEGRATED WATER AND WASTEWATER MANAGEMENT REPORT 1. Introduction 1.1 Activity Background 1.2 Regional setting and location of activity 1.3 Property description 1.4 Purpose of IWWMP 2. Conceptualisation of activity 2.1. Description of activity 2.2. Extent of activity 2.3. Key activity related processes and products 2.4. Activity life description 2.5. Activity infrastructure description 2.6. Key water uses and waste streams 2.7. Organisational structure of activity 2.8. Business and corporate policies 3. Regulatory water and waste management framework 3.1 Summary of all water uses 3.2 Existing lawful water uses 3.3 Relevant exemptions 3.4 Generally authorised water uses 3.5 New water uses to be licenced 3.6 Waste management activity (NEMWA) 3.7 Waste related authorisations 3,8 Other authorisation (EIAs, EMPs, RODs, Regulations) 4. Present Environmental Situation 4.1 Climate 4.2 Regional Climate Rainfall 4.3 Evaporation 4.4 Surface Water 4.5 Water Management Area 4.6 Surface Water Hydrology 4.7 Surface Water Quality 4.8 Mean Annual Runoff (MAR) 4.9 Resources Class and River Health Receiving Water Quality Objectives and Reserve 4.10 Surface Water User Survey 4.11 Sensitive Areas Survey 4.12 Groundwater 4.13 Aquifer Characterisation 4.15 Hydro -census This gazette is also available free online at www.gpwonline.co.za 190 No. 40713 GOVERNMENT GAZETTE, 24 MARCH 2017 4.16 Potential Pollution Source Identification 4.17 Groundwater Model 4.18 Socio- economic environment 5. Analysis and characterization of the water use activity 5.1 Site delineation for characterisation 5.2 Water and waste management 5.3 Process water 5.4 Storm water 5.5 Groundwater 5.6 Waste 5.7 Operational Management 5.8 Organisational Structure 5.9 Resources and competence 5.10 Education and training 5.11 Internal and external communication 5.12 Awareness raising 5.13 Monitoring and control 5.14 Surface water monitoring 5.15 Groundwater monitoring 5.16 Bio monitoring 5.17 Waste monitoring 5.18 Risk assessment / Best Practice Assessment 5.19 Issues and responses from public consultation process 520 Matters requiring attention 1 problem statement 5.21 Assessment of level and confidence of information 6. Water and Waste Management 6.1 Water and waste management philosophy (process water, stormwater, groundwater and waste) 6.2 Strategies (process water, stormwater, groundwater and waste) 6.3 Performance objectives I goals 6.4 Measures to achieve and sustain performance objectives 6.5 Option analyses and motivation for implementation of preferred options (optional) 6.6 IWVVMP action plan 6.7 Control and monitoring 6.8 Monitoring of change in baseline (environment) information (Surface water, groundwater and bio- monitoring 6.9 Audit and report on performance measures 6.10 Audit and report on relevance of 1WWMP action plan 7. Conclusion 7.1 Regulatory status of activity This gazette is also available free online at www.gpwonline.co.za STAATSKOERANT, 24 MAART 2017 No. 40713 191 7.2 Statement of water uses requiring authorisation, dispensing with licencing requirement and possible exemption from regulation 8. References 9. Appendices: Specialist Studies 9.1 Geohydrology 9.2 Civil design 9.3 Wetland delineation report This gazette is also available free online at www.gpwonline.co.za 192 No. 40713 GOVERNMENT GAZETTE, 24 MARCH 2017 5 GEOHYDROLOGY REPORT 1. Introduction 2. Geographical setting 2.1 Topography and drainage 2.2 Climate 3. Scope of Work 4. Methodology 4.1 Desk study 4.2 Hydro -census 4.3 Geophysical survey and results 4.4 Drilling and siting of boreholes 4.5 Aquifer testing 4.6 Sampling and chemical analysis 4.7 Groundwater recharge calculations 4.8 Groundwater modelling 5.9 Groundwater availability assessment 5. Prevailing groundwater conditions 5.1 Geology 5.1.1 Regional geology 5.1.2 Local geology 5.2 Acid generation capacity 5.3 Hydrogeology 5.3.1 Unsaturated zone 5.3.2 Saturated zone 5.3.3 Hydraulic conductivity 5.4 Groundwater levels 5.5 Groundwater potential contaminants 5.6 Groundwater quality 6. Aquifer Characterisation 6.1 Groundwater vulnerability 6.2 Aquifer classification 6.3 Aquifer protection classification 7. Groundwater Modelling 7.1 Software model choice 7.2 Model set -up and boundaries 7.3 Groundwater elevation and gradient 7.4 Geometric structure of the model This gazette is also available free online at www.gpwonline.co.za STAATSKOERANT, 24 MAART 2017 No. 40713 193 7.5 Groundwater sources and sinks 7.6 Conceptual model 7.7 Numerical model 7.8 Results of the model 7.8.1 Pre -facility (Miningflndustry/ Wastewater treatment plant, etc) 7.8.2 During facility (mining/ Industry/ Wastewater treatment plant) operations 7.8.3 Post -facility (mining/ Industry/ Wastewater treatment plant) operation 8. Geohydrological Impacts 8.1 Construction phase 8.1.1 Impacts on Groundwater Quantity 8.1.2 Impacts on Groundwater Quality 8.1.3 Groundwater Management 8.2 Operational phase 8.2.1 Impacts on Groundwater Quantity 8.2.2 Impacts on Groundwater Quality 8.2.3 Impacts on Surface Water 8.2.4 Groundwater Management 8.3 Decommissioning phase 8.4 Post- mining phase 8.4.1 Groundwater Quantity 8.4.2 Groundwater Quality 8.4.3 Cumulative Impacts 8.4.4 Groundwater Management 9. Groundwater monitoring system 9.1 Groundwater monitoring network 9.1.1 Source, plume, impact and background monitoring 9.1.2 System response monitoring network 9.1.3 Monitoring frequency 9.2 Monitoring parameters 9.3 Monitoring boreholes 10. Groundwater Environmental Management Programme 10.1 Current groundwater conditions 10.2 Predicted impacts of facility (mining) 10.3 Mitigation measures This gazette is also available free online at www.gpwonline.co.za 194 No. 40713 GOVERNMENT GAZETTE, 24 MARCH 2017 10.3.1 Lowering of groundwater levels during facility operation (Mining /Industry/ Wastewater treatment plant, etc 10.3.2 Rise of groundwater levels post- facility operation (Mining /Industry/ Wastewater treatment plant, etc 10.3.3 Spread of groundwater pollution post- facility operation (Mining /Industry/ Wastewater treatment plant, etc 11. Post Closure Management Plan 11.1 Remediation of physical activity 11.2 Remediation of storage facilities 11.3 Remediation of environmental impacts 11.4 Remediation of water resources impacts 11.5 Backfilling of the pits. 12. Conclusion and Recommendations This gazette is also available free online at www.gpwonline.co.za STAATSKOERANT, 24 MAART 2017 No. 40713 195 6 WETLAND DELINEATION REPORT 1 Introduction 2 Terms of reference 3 Knowledge gaps 4 Study area 5 Expertise of the specialist 6 Aims and objectives 7 Methodology 7.1 Wetland identification and mapping 7.2 Wetland delineation 7.3 Wetland functional assessment 7.4 Determining the ecological integrity of the wetlands 7.5 Determining the Present Ecological State of wetlands 7.6 Determining the Ecological Importance and Sensitivity of wetlands 7.7 Ecological classification and description 8 Results 8.1 Wetland delineation 8.2 Wetland unit identification 8.3 Wetland unit setting 8.4 Wetland soils 8.5 Description of wetland type 8.6 General functional description of wetland types 8.7 Wetland ecological functional assessment 8.8 The ecological health assessment of the opencast mining area 8.9 The PES assessment of the remaining wetland areas 8.10 The EIS assessment of the remaining wetland areas 9 Impact assessment discussions 10 Conclusions and recommendations 11 References The reports listed below contain the standardised and accepted methods that must be used for determining the various aspects of assessments during the WUA process related to wetlands: 1) Wetland and riparian habitat delineation document (DWS report on DWS website); 2) Wetland Buffer Guideline (SANBI WRC project and Report, on DWS website) 3) Wetland Offset (WRC report TT660116; on DWS website) 4) High Risk Wetland Atlas (WRC Report TT659116, on DWS website) 5) Wetland Rehabilitation in mining landscapes (WRC Report TT658116, on DWS website) 6) Risk Assessment Protocol and associated Matrix (DWS document on DWS Website) This gazette is also available free online at www.gpwonline.co.za 196 No. 40713 GOVERNMENT GAZETTE, 24 MARCH 2017 7 MINE CLOSURE /REHABILITATION PLAN 1. Introduction 1.1 Background 1.2 Objectives of report 2. Project Description 2.1 Locality 2.2 Environment 2.3 Community 2.4 Mine plan and infrastructure 3. Legal obligation and comments 3.1 Legislation 4. Closure planning 4.1 Site -specific closure and activity 5. Rehabilitation and closure activities 5.1 Progressive rehabilitation 5.2 Decommission and establishment 6. Maintenance and monitoring 6.1 Vegetation and establishment and soil nutrients 6.2 Groundwater monitoring 6.3 Surface water monitoring 6.4 Record -keeping and reporting 7. Rehabilitation and Closure Annexure 8. Detailed closure costing This gazette is also available free online at www.gpwonline.co.za STAATSKOERANT, 24 MAART 2017 No. 40713 197 8 PUBLIC PARTICIPATION REPORT 1. Introduction 2. Objectives of the public participation 3. Identification of interested and affected parties 4. Notification of interested and affected parties 4.1 Method of notification 4.2 Proof of notification 5. Notification of interested and affected parties of reports and other studies 6. Interested and affected parties 6.1 Access and opportunity to comment on all written submissions 6.2 Response to comments received: feedback to interested and affected parties 6.3 Disclosure of interested and affected parties interests 6.4 Notifying interested and affected parties of the decision 7. Record of issues raised 8. Addressing the comments and concerns raised by the interested and affected parties 9. Conclusions and recommendations This gazette is also available free online at www.gpwonline.co.za 198 No. 40713 GOVERNMENT GAZETTE, 24 MARCH 2017 9. CIVIL DESIGN -- MINIMUM INFORMATION REQUIREMENTS This gazette is also available free online at www.gpwonline.co.za STAATSKOERANT, 24 MAART 2017 No. 40713 199 ,,, ÿ i K ! ! ) ; ( , '54o ` ( \ Pr, : ) \\a Ç; 1 \\ . \ !} Ç\ V \\ ª/ ) \»« \ \ , \. Checklists for technical reports n. îa. x A 0Fî"Y- d 6,t ' f r, - .... ., "; ,.y -r ?csh "w^M. á ttr rr.' 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 °,, . - 2. , 9 .. 7 -... ,,»,,,. Kd - - - pv' .. .:,.^T3ì? -..:,- 'N.;, 95.,, "% n -Ttç n .^. - ^+ÿ 4 á -.0 .- Kti -, ' s.' -, . " xa °1, . sf , ry,, This gazette is also available free online at www.gpwonline.co.za 200 No. 40713 GOVERNMENT GAZETTE, 24 MARCH 2017 This gazette is also available free online at www.gpwonline.co.za STAATSKOERANT, 24 MAART 2017 No. 40713 201 / w , - . ,s *el, ,-, ,-, S 21 Description Applicable Yes No (a) Taking water from a water resource (b) Storing water (c) Impeding or diverting the flow of water in a watercourse (d) Engaging in 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 of waste 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 (i) 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 This gazette is also available free online at www.gpwonline.co.za 202 No. 40713 GOVERNMENT GAZETTE, 24 MARCH 2017 rY p p Y P J3 Y p p Description Applicable Submitted Yes No Yes No Proof of Payment of Licence Application Processing Fee (Compulsory) Copyof|dmntih/DocumantnfApp|kmntprÚo|agaúedPenonn(CnnVmulsog) 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 Fonn: Individual ([W75G/76U) *Applicant Information Form: Water Service Provider (DW 757 1 770) *Applicant Information Form: Oompany, Partnmrnhip, Government (OVV?58/ 771) *Applicant Information Form: Water UserAssociation (DW 759 I 772) *Property Details Form (DW 901) Property Owner Details (DW 902) Permission to Occupy (PIO) , Title Deed, Lease Agreement, Community Resolution A description 0f 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 000vd|nates, such coordinates must be provided in degrees, minutes and seconds using the HartebeesthmehG4\M/G884 co ordinate ovatmnl. a plan which locates the proposed activity or activities applied for at anappropriate scale, or if it is (aa) a linear activity, a description and coordinates of the corridor in which theproposed activity or activities is proposed; or (bb) on land where the property has not been defined, the coordinates of thearea within which the activity is proposed This gazette is also available free online at www.gpwonline.co.za STAATSKOERANT, 24 MAART 2017 No. 40713 203 s a - 1d }y .. ~ lk 1-,1 141 & 9 Y 0 0,0 lY , Description Applicable Submitted Yes No Yes No Where applicable, proof of acceptance of an application for any right or permit interms 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: This gazette is also available free online at www.gpwonline.co.za 204 No. 40713 GOVERNMENT GAZETTE, 24 MARCH 2017 , .,p Tií..-c 4 9 ' "+x - ,i .ñ% , - s S t2' ! , J Description 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: This gazette is also available free online at www.gpwonline.co.za STAATSKOERANT, 24 MAART 2017 No. 40713 205 fer j - - 3 f/ vP ,T o-ai +ó ß-.ún M- = e`,ir .% d" Ji á a }iñ riï'.£ `-? " ék ^t '.-.+ ,, cW - ..( . `+ar- i,- n.- , .. -r. r. =K-. vr- -rn . -áT = í-r - r+-t >c mr+ .5.ái . W .,,+ -aa. . 4 Description Applicable Submitted 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 (9:100 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: This gazette is also available free online at www.gpwonline.co.za 206 No. 40713 GOVERNMENT GAZETTE, 24 MARCH 2017 dA- t : - ' , --` ~ -- -- --^- ''~-~.~ Description Applicable Submitted 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) *Supplementa.y 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 |ines, riparian hobita1, and ecologically valued features; on Al paper Landscape Maintenance Plan Pollution Plume Map I Drawings Cone of Depression Drawings Plant Species Plan (Al 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: This gazette is also available free online at www.gpwonline.co.za STAATSKOERANT, 24 MAART 2017 No. 40713 207 This gazette is also available free online at www.gpwonline.co.za 208 No. 40713 GOVERNMENT GAZETTE, 24 MARCH 2017 e : ` Description Applicable Submitted Yes No Yes No * Enga ing in a controlled activity form (DW 765) *Monitored Waste Discharge Details form (DW 904) *Irrigaton 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: This gazette is also available free online at www.gpwonline.co.za STAATSKOERANT, 24 MAART 2017 No. 40713 209 = ä l ,,-,7 4,0 ,y; y.d 6 @ 14 étif i1g"z:+ 1 0a 1- ,107A=k JO;Pri . 11-1 QM V 1.:6 6!:P;1I.4° -1-35 ä°ß"'ktii`cJf4DÁl 9Ï9r1 A il0.! e; ; 1.4 "r4 , y. Description Applicable Submitted 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: This gazette is also available free online at www.gpwonline.co.za 210 No. 40713 GOVERNMENT GAZETTE, 24 MARCH 2017 . ' - c ire . 0 e <.., 4f 91 t. ,y .i fr` o fi e>f4.n 4,6 °yyfi á F c 0 á C t o *ì''oi' }.fir ...% V:01,-010""011-1:j(., - rV.. -Ñ ':,; -..,. 7 - =.Q ?. ;; =' - -.ç - '.. ..,.G : - ...,., ...., .:orc - ..%... .. ..,, ,. " n. . - R °i : i S^:m,.. ="= r$. æ-a' ?'% e Description Applicable Submitted 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: This gazette is also available free online at www.gpwonline.co.za STAATSKOERANT, 24 MAART 2017 No. 40713 211 ; » , R. -A ,. ' Lgti-= ab:1" BZ U ilk t)QY -.JAI a6°Ii ((1111! - f1E,li ,i tleio 1ÌQ ìC=IC!'- , -,I Ä = -d'' -; 1 ' á [I -6 :41-'''''':^ -' - at i-l'.9s(. Ieì ii:1:k - --x 11q- 1Plvt6Al© C : =á t ?!'- W,?e-ñt " "t11 !'1qf.= ; Jâ W se <PY r" SY- Q.atta ; '''' . .., 7:-.,:-:,-?* . "1 '`' .;,. d i if Description Applicable Submitted 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: This gazette is also available free online at www.gpwonline.co.za 212 No. 40713 GOVERNMENT GAZETTE, 24 MARCH 2017 mix A -fi .,9 c+`i` par v L.xeP .7G ry>Ry ` } {R © á a 9F. ?,) ttt. - .a(y3 i-t iRii,F' 6U°, ;J ';F , ,t.. -G.rty ¿ti -, ÿ `` -ve ¡.. ".¿sjg- ...k -r.. %C' +K 31 l2.Ytii O .m..vi.».114!) ..,s,. .A -sì -^^ i " IS ` #, 1 4Xv tík il `rA 4R7OJN- J,i %ñ P YS Ëlìa t. 1 AYr Sf d04kF Ê'}l 1ÁL - i YOYGITJ,,á }N.-r # fißy7 . . K:: :3f Description Applicable Submitted 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: This gazette is also available free online at www.gpwonline.co.za STAATSKOERANT, 24 MAART 2017 No. 40713 213 ,-,- z--.-1,),,,=-, -,,,z-z-;,Ine--1,-rt,w..91---', ;»': Description Applicable Submitted 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: This gazette is also available free online at www.gpwonline.co.za 214 No. 40713 GOVERNMENT GAZETTE, 24 MARCH 2017 r ,;1 7-..-->, .- -`4.í= ' - - x - c . .. 2 : F - - r 6fn6n ßa$Rr-k.-. iJ ' :-J.. .. .'`K`w " - ^ , > Date of Site Inspection ^ti^.,636y,-"wYa3" wïsx\, -é-{i ` - v " ST L . 4d..'' - i'. s' ^ ,,- a,r ¡e-^^ , iñ-f 3 11(..!--1-:1 93p ly *s y 0 'sc. .,r'-TT y. ; W t .. -á. ., : 4... K- .,. :p,..,---.:4,.., Name and Surname Designation Contact Number Signature Ñt-, ---â=.^.-',h, :.±:s:- x- =. - - =;.r vr ,.- c d,.=-s:si r.; -e -. . »?.'-z:.,.',r-c,Wi. a° ,,. ° ,.^. s m.- ?}"` °r -w=;, z zs 'M' ' á = CO ó ó r a . '.:,. :. .;...,- ,. ..r -.. =¡--rs Sê-;-g'"'-`rr-,--,:.r-'r' z"=-:='-K, - ... - . .v... .a. .... , This gazette is also available free online at www.gpwonline.co.za STAATSKOERANT, 24 MAART 2017 No. 40713 215 ANNEXURE E SECURITY AND GUARANTEE DEED OF SURETYSHIP (to be completed prior to award of licence) WHEREAS: the responsible authority awarded a licence to (hereinafter called "the Licencee ") dated ......I......I.......for the authorisation of water use activities in the licence, and it is provided by such licence that the Licencee shall provide the responsible authority with security by way of suretyship for the due and faithful fulfilment of such conditions of the Licencee; AND WHEREAS ......... Has /have at the request of the Licencee, agreed to give such security; NOW THEREFORE WE, do hereby guarantee and bind ourselves jointly and severally as Sureties and Co- principal Debtors to the responsible authority under renunciation of the benefits of division and excursion for the due and faithful performance by the Licencee of all the terms and conditions of the said Licence, subject to the following conditions: 1. The responsible authority shall, without reference and /or notice to us, have complete liberty of action to act in any manner authorised and/or contemplated by the terms of the said Licence, and /or to agree to any modifications, variations, alterations, directions or extensions of the conditions under said Licence, and at that its rights under this guarantee shall in no way be prejudiced nor our liability hereunder be affected by reason of any steps which the responsible authority may take under such Licence, or of any modification, variation, alterations of the conditions which the responsible authority may make, give, concede or agree to under said Licence. 2. The responsible authority shall, at any time during the subsistence of this licence and within five years after the licence has expired, be entitled, without reference to us, to release any securities held by it, and to give time to or compound or make any arrangement with the Licensee, if any licence condition or provision of the Act is being violated. 3. This guarantee shall remain in full force and effect until the issue of the Certificate of Rehabilitation in terms of the Licence, unless we are advised in writing by the responsible authority before the issue of the said Certificate of his intention to institute claims, and the particulars thereof, in which event the guarantee shall remain in full force and effect until all such claims have been paid or liquidated. 4. Our total liability hereunder shall not exceed the sum of ... (R..... ........ . ...... 5. The licensee hereby attaches a letter of credit from the bank, a surety or a bank guarantee, a bond, or an insurance policy[ *delete whichever is not applicable], in favour of the responsible authority 6. We hereby choose domiciliumcitandietexecutandi for all purpose arising hereof at............................................................................. ............................... This gazette is also available free online at www.gpwonline.co.za 216 No. 40713 GOVERNMENT GAZETTE, 24 MARCH 2017 ANNEXURE H REQUIREMENTS FOR CIVIL DESINGS DRAWINGS AND REPORT FROM APPLICANT: To he fully completed in block letters or typed Date and time of presentation by Case Officer (and applicant): 1 120 Prato CMA 1 CMA ' Tel:(w) (cell) E-Mail: Project Title' District/Municiplaity: Property: Requirements Submitted Details For office use only Water uses applicable in terms of Section 21 (NWA: Act 36 of 1998) Section 21: Design report and drawings signed by PrEng ELSA registration of engineer confirmed Reg No. Site geology summarised Site geohydrology report attached WUL 21 f, g & j uses: Waste classification type (Norms and Standards, R. 635 August 2013)applicable Type 011121314 Life span for the proposed activity Years: Signature of Applicant Date (To be completed, scanned and e- mailed to the co- ordinator and parkerm @dws.gov.za prior to engineering review) This gazette is also available free online at www.gpwonline.co.za STAATSKOERANT, 24 MAART 2017 No. 40713 217