Submit Ninth Schedule Application – Streaky Bay Council Step 1 of 2 50% Unique IDPermit IDImportant information relating to this applicationThis application does not imply the issue of a permit. You must not commence burning until your application has been reviewed and you have received a copy of the burning permit. You must notify Council of ignition time/dates and have your nominated responsible person onsite throughout your burn period. No burning is permitted on Public Holidays, Sundays, Days of Fire Bans or other days as decided by Authorised Officer. Permit HolderCurrent user email Who is filling out this application*PublicEmergency ServicesName of applicant*Enter the name of the person applying for the permit First Last Enter your residential address*This is the residential address of the applicant - not the location of the proposed burning. Street Address Address Line 2 Town State Post Code Is postal address same as residential address? Yes Applicants Postal Address* Street Address Address Line 2 Town State Post Code Applicants phone number*Applicants Email* Will the applicant be onsite during all burning activity? Yes Name of contact responsible person onsite during burning*Enter the name of the person who will be onsite for all burning activity. First Last Enter mobile phone number*List all secondary contact people that will be onsite during the burning*There must be a minimum of two persons (including Responsible Person) required to be onsite for the duration of the burn until it is fully extinguished. First nameLast nameMobile phone number Permit Purpose and InformationPurpose of permit*Select the type of burning to be undertaken (select all that apply). Broadacre Burning Burning Chaff Piles Dump Harrowing Fire Harrowing Patching Out Wind Row Other If other burn reason please describe*Select the fire breaks that will be in place* Ploughed Chemical Other If other fire break method please describe*Select all fire fighting equipment that will be onsite*Please note fire fighting units must have a minimum of 1000l on the site of the burn from the time of ignition to full extinguishing. Please select all relevant options. Vehicle mounted tank and pump Static water source (natural) and pump Static water source (tank) Static water source (pressurised mains pipe / hose) Other If other water firefighting equipment please describe*If other fire fighting equipment will be onsite, please describe in detail.List all water sources*List all water sources present at the location of the burn including approximate capacitySourceSource typeCapacity TankNaturalPiped Proposed Location(s) of Burning Please search by hundred first – enter the name or number if known. This will focus the map on the hundred and display the hundred boundaries and sections within the hundred if the data is available. Select locations, if you are unable to find the section on the map then you can search by section / lot number. Hundreds Match All Match Any Summary Sections Match All Match Any Summary Select the proposed location for the burn permit area*If multiple locations are to be covered by the permit then select all locations. Failure to disclose all areas to be covered by the permit will require an additional permit to be issued. You can select locations on the map by right clicking on the map with your mouse. If on a mobile device you may scroll the map by using two fingers on the map at the same time. Search for Address Longitude Latitude Selected locations*LatitudeLongitudeNumberRoadSuburbSectionHundred Describe the type of vegetation to be burnt*What is your preferred start date for the permit period* DD MM YYYY This permit is liable to be revoked if the permit holder fails to comply with a condition of the permit. This permit may also be revoked in any other justifiable circumstance. The fact that the holder of this permit has complied with the conditions of the permit does not of itself relieve the holder from liability for any loss or damage caused by a fire lit under the authority of the permit. (Fire and Emergency Services Act, 2005, section 81 (13). Police and Authorised Officers have the power to direct a person to refrain from carrying out any burning activity regardless of permit status. Consent*I agree that I will not commence burning until I have received an approved copy of this burning permit. I will notify Council of my intent to burn through the Councils notification portal or via phone prior to actual ignition. I will abide by the Conditions of THE FIRE AND EMERGENCY SERVICES ACT AND REGULATIONS, 2005 and the conditions imposed on me as the applicant by the permit. I accept that failure to abide by the conditions of my permit may result in the permit being revoked and an expiation notice with the related fine being issued. I agree to the conditions of application for burn permit