Stormwater Discharge Application form

Stormwater Discharge Consent Application

Drainage discharge consent is required under Section 17B (1) of the Roads and Jetties Act 1935 for the concentration and discharge of drainage in the State road reservation.

Personal Information Protection Statement

You are providing personal information to the Department of State Growth, which will manage that information in accordance with the Personal Information Protection Act 2004. The personal information collected here will be used by the department for the purpose of dealing with your application for Stormwater Discharge Consent and related activities, pursuant to the Roads and Jetties Act 1935 and associated legislation. Failure to provide this information may result in your application not being processed or records not being properly maintained. The information will be stored securely and accessed only by those personnel authorised to do so. The department may also use the information for related purposes, or disclose it to third parties in circumstances allowed for by law. You have the right to access your personal information by request to the department.

Your details

First name *

Last name *

Email address *

Phone number: *

Address *

Postal address *

City

State

Postcode

Name of owner or occupier of property: *

Permits will only be issued in the name of the Title Holder/s.

Are you the Title Holder/s? *

YesNo

Download the Declaration of title holder consent form

Note - Title holder must complete ‘Declaration of title holder consent’ form

Name/s as appears on Land Title *

Title holders contact number *

Title holders email address *

Please upload a completed Title Holder Consent Declaration Form *

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Drainage Details

Address of the property where drainage is required *

Street address *

City

State

Postcode

Description of location where drainage is to occur from property to State Road Reserve *

Have had any previous contact / discussion with anyone at this Department

YesNo

Who was this with?

Supporting Documents

Please update the following:

Copy of land title *

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Copy of site plan *

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Drainage plan, including catchment area *

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Drainage design *

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Submission

By clicking the 'Submit' button, you confirm that:

the information provided in this application form is correct
you have read the Personal Information Protection Statement.