Dorrigo & Upper Nymboida
River Catchment Area Soil
Health and Soil
Conservation Project
Application Form
Closing date: Monday 30th November 2015
www.lls.nsw.gov.au
Published by the Local Land Services
Title: Dorrigo and Upper Nymboida River Catchment Area Soil Health and Soil Conservation Project Application Form
First published February 2016
ISBN
More information
Selina Miller / Local Land Services / North Coast
www.lls.nsw.gov.au
Acknowledgments
NCLLS would like to acknowledge and thank Phil Parbery from Farm Forest Plantations for providing significant input into this document.
[Insert Reference number]
© State of New South Wales through Local Land Services, 2016.
Disclaimer: The information contained in this publication is based on knowledge and understanding at the time of writing February 2016.
However, because of advances in knowledge, users are reminded of the need to ensure that information upon which they rely is up to date
and to check currency of the information with the appropriate officer of Local Land Services or the user’s independent adviser.
Part A – Eligibility
A1. Have you checked your proposal against the assessment criteria listed in the Guidelines?
Is it eligible? Yes
No
A2. Has the property (where the proposal is located) previously received grant funding? Yes
If yes, please complete the following table for each NRM grant received.
Source of funds
Total amount of funding
received
Years
No
Description of activities funded
Part B – Applicant and Correspondence
Landholders name/s:
Property manager name if
different from owner:
Property address:
Postal address if different to
property address:
Phone (h):
Mobile:
Property Lot No.:
Property DP No.:
GST registered:
Yes
No
Email:
ABN:
Part C – Property Details
Total size of property (ha):
Specify the main landuse and hectares the proposal covers
Beef:
ha
Hobby farm:
Dairy:
ha
ha
Cropping:
ha
Crop type:
Other:
ha
Other (please specify):
Part D – Description of Proposed Project
D1. What is the issue or management practice you are trying to fix and improve, what is the extent or severity of
the issue, cause and how long has the problem existed? (E.g. 200m x 5m gully / stream bank erosion, recently occurred from last
flood in January 2015).
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D2. What activities or on-ground works are you proposing to implement to fix the issue or problem and describe
how you believe this will improve the situation? (E.g. fencing off gully / stream bank, revegetating site with native plants to stabilise
bank and installation of 2 water troughs).
D3. Why is the site important or a priority and how does it relate to adjacent areas? (E.g. the site has a very good natural
resource condition and stabilising the bank through native vegetation planting and fencing off stock will improve soil erosion and water quality
downstream).
Part E – Project Tasks Work Plan and Budget
Work plan
Please provide a detailed breakdown of the activities to be undertaken for each financial year. For each broad activity (for
example weed control, planting or fencing) list and cost separately. Details of the approximate area of weed control or length of
fencing should also be provided. (add/ delete rows as required to accommodate all activities)
Funding breakdown ($ ex GST)
Planned
Itemisation of tasks needed to fulfil
Completion
Landholder
Landholder
Contribution
Total
broad activity
Date
Contribution
Contribution
sought by
(DD/MM/YY)
(in-kind)
(cash)
grant
2015/16
e.g. 200m Fencing @ $8/m
1st Jan 2016
0
0
$1,600
$1,600
Purchase fence fittings (2x @ $30)
1st Jan 2016
0
$60
0
$60
Construct fence @ $40/hr x 20hr
2016/17
E.g. purchase lomandra longifolia
seedlings (80 seedlings x $4.50 ea.)
Plant lomandra longifolia along 200m
x 5m stream bank (14h x $25
(labour))
30th May 2016
$800
0
0
$800
10th Oct 2016
0
0
$360
$360
10th Nov 2016
$350
0
0
$350
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TOTAL
Part F – Locality map of project
Show the locality of the property proposed for funding, including boundaries and roads. This can be hand drawn or
you can use SIX Maps at https://maps.six.nsw.gov.au/
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Part G – Sketch Plan of Works
Show the location and type and of works proposed e.g. new fence, laneways, troughs, pipes etc.
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Part H – Declaration
I agree that:

The information provided in this application is correct.

I have read the NCLLS Project Guidelines and eligibility.

I understand all funded works must be completed by the 1 st June for each financial year you applied for
funding 2015/16, 2016/17 and 2017/18.

If my proposal is successful, I authorise the NCLLS to use information about my project for promotional
purposes, including publication of case studies.
Applicant Name:
Signature:
Date:
Applicant Name:
Signature:
Date:
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