Protecting Cultural Values Incentive project – 2015-16 Application Applications close Monday 30 November 2015 This project is supported by Central West Local Land Services through funding from the Australian Government’s National Landcare Programme and Catchment Action NSW. www.lls.nsw.gov.au/centralwest 2015 Application – Protecting Cultural Values About the Protecting Cultural Values project The Central West Local Land Services (LLS) Protecting Cultural Values Incentive project has been established to assist landholders to identify cultural values that may be present on their property. The project aims to: identify cultural values protect cultural values assist with developing relationships with the Aboriginal community and land managers assist landowners and managers to meet their legislative obligations assist with the sharing of cultural knowledge raise the awareness of Aboriginal cultural heritage. A Protecting Cultural Values information sheet is available from your nearest Central West Local Land Services office or on our website www.lls.nsw.gov.au/centralwest To submit either mail to: Central West Local Land Services Protecting Cultural Values Application PO Box 181 Gilgandra NSW 2827 OR Email: application.centralwest@lls.nsw.gov.au Incomplete applications will be deemed ineligible Note: Prior to completing this application we recommend that you refer to the Central West Local land Services Protecting Cultural Values Information sheet to ensure your project meets project standards and eligibility requirements. OFFICE USE ONLY 1. IRIS No. CL _ _ _ _ _ 2. File No: …………………………………………… 3. SAP Vendor Number: …………………………... 4. ABN matches applicants details on ABR website 5. Applicant is registered for GST 6.Land FARMS conducted Local Services search February 2016 Y/N Y/N Y/N 1 2015 Application – Protecting Cultural Values Applicant details (Details of person/s responsible for project) Applicant/s given name/s: ………………………………………… Surname:…………………......……………… Full name of legal land owner (if different from above):……………..………….………………………………… Legal trading name (if applicable): ...…………………………………………………..…………………………… Postal Address (of applicant): ……………………………………………………………….....…………………... Town/State: ………………………………………………..…….... Postcode: ……………………………..………. Phone (A/H): ..………………………. Phone (B/H): ………………………… Mobile: ………...…………………. Fax: .………………………….. Email: ……………………………………………………………………………….. Are you registered for GST (please tick appropriate box) ABN YES NO __ ___ ___ ___ Bank details Institution: ..………………………………………………… Branch: …………………………………………………… BSB:.………………………….. Account:……………………………………………………………………………….. Property Details Property Name: ………………………………………………………………………………..……………………. Distance/direction to property from nearest town (e.g. 75km North West of Warren): ……………………...... …………………………………………………………………………………………….………………………..…. Total size of property (ha): ……………Land Tenure (e.g. Freehold, Leasehold etc): …..…………………… Lease Details: ….…………………………………………………………………………………..……………….. Lot & DP Details (where on-ground works or activities will be undertaken) ………………………………….. …………………………………………………………………………………………………………………….…… Parish …………………… County ………………………Local Government Area ………………….…………. Local Land Services February 2016 2 2015 Application – Protecting Cultural Values Please describe your interest in applying for this funding. …………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………… ………………………………………………………..…………………………………………………………………. …………………………………………………………………………………………………………………………... …………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………… ………………………………………………………..…………………………………………………………………. ………………………………………………………..…………………………………………………………………. ………………………………………………………..…………………………………………………………………. ………………………………………………………..…………………………………………………………………. Local Land Services February 2016 3 2015 Application – Protecting Cultural Values Site map: Please draw or attach a map of your property Property name: N Scale (indicate): Buildings Existing dam River flow Wetlands Trough Existing tank Proposed tank Existing piping Proposed piping Existing fencing Proposed fencing Existing vegetation Local Land Services February 2016 4 2015 Application – Protecting Cultural Values To assist with your application please indicate if any of the following features occur on your property. Landscape features may be indicators of the presence of Aboriginal cultural values. Feature Yes No River or named creek Permanent water holes /springs Distinctive hills or rocky outcrops Caves (particularly north facing) & escarpments Intersecting waterways (confluence) Sandy rises Known cultural sites or artefacts Known oral histories or stories Presence of mature box or Eucalyptus trees To assist with your application we encourage you to attach photos of any of the above features. Local Land Services February 2016 5 2015 Application – Protecting Cultural Values Have you previously received funding for on-ground/ natural/ cultural resource management works on the property noted on page four? No Yes Please provide details..…………………….………………………………………………….. ………………………………………………………………………………………………………………..…… Have you previously received Catchment Management Authority of Local Land Services funding? No Yes Please provide details..…………………….………………………………………………….. ………………………………………………………………………………………………………………..…… If you answered yes, have you completed all agreement activities/tasks or are on track with previous grant milestones? No Yes Please provide details..…………………….………………………………………………….. ………………………………………………………………………………………………………………..…… Have you completed a property management plan or farm plan for your property? No Yes Please provide details..…………………….………………………………………………….. ………………………………………………………………………………………………………………..…… Do you have a current or planned application for funding for this project or any components of this project with Central West Local Land Services or any other funding body? No Yes Please provide details..…………………….………………………………………………….. ………………………………………………………………………………………………………………..…… Are you prepared to protect any cultural values identified? No Yes Please provide details..…………………….………………………………………………….. ………………………………………………………………………………………………………………..…… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… Local Land Services February 2016 6 2015 Application – Protecting Cultural Values Are there areas on your property that you believe may have Aboriginal cultural values present? No Yes Please provide details..…………………….………………………………………………….. ………………………………………………………………………………………………………………..…… ………………………………………………………………………………………………………………..…… ………………………………………………………………………………………………………………..…… Have you previously had any contact with your local Aboriginal Lands Council? No Yes Please provide details..…………………….………………………………………………….. ………………………………………………………………………………………………………………..…… ………………………………………………………………………………………………………………..…… ………………………………………………………………………………………………………………..…… If significant sites are found, are you prepared to negotiate occasional access by members of the Aboriginal community? No Yes Please provide details..…………………….………………………………………………….. ………………………………………………………………………………………………………………..…… ………………………………………………………………………………………………………………..…… ………………………………………………………………………………………………………………..…… Local Land Services February 2016 7 2015 Application – Protecting Cultural Values Applicants please note: If your application is successful, this will result in a cultural heritage assessment being carried out in conjunction with the local Aboriginal community. You will be provided with a report identifying any cultural values found. This report will include recommendations about any preservation or protection works and any ongoing management requirements. Aboriginal sites in NSW are protected and are legally required to be registered with the Department of Environment and Heritage and will be placed on the Aboriginal Heritage Information Management Systems (AHIMS) Any incomplete applications will be returned and could result in not being eligible for funding. For further information, please contact Central West Local Land Services on 1300 795 299. Signature Signature/s of applicant/s …………………………………………………………………………………… Applicant name/s ……………………………………………………………………. Date Local Land Services February 2016 8 www.lls.nsw.gov.au/centralwest