Statistics Act, 1999
R 385
National Water Act, 1998 (Act No. 36 of 1998)RegulationsWater Use Licence Application and Appeals Regulations, 2017AnnexuresAnnexure DThe Tables of Contents9 Civil Design - Minimum Information Requirements |
Checklists for technical reports
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Applicant Information |
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Name of Applicant |
Date |
Case Officer |
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Contact Details of Applicant or Representative |
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Last Name |
First Name |
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Postal Address |
City |
Phone No. |
Mobile No. |
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Property Details |
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Sub Catchment |
Quaternary Catchment |
Reference Number |
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Property Name |
Number |
Portion |
Administrative District |
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Project Description |
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Applicable Water Uses |
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S 21 |
Description |
Applicable |
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Yes |
No |
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(a) |
Taking water from a water source |
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(b) |
Storing water |
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(c) |
Impeding or diverting the flow of water in a watercourse |
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(d) |
Engaging a stream flow reduction activity |
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(e) |
Engaging in a controlled activity |
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(f) |
Discharging waste or water containing waste into a water resource through a pipe, canal, sewer or other conduit |
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(g) |
Disposing water in a manner which may detrimentally impact on a water resource |
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(h) |
Disposing in any manner of water which contains waste from, or which has been heated in, any industrial or power generation process |
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(i) |
Altering the bed, banks, course or characteristics of a watercourse |
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(j) |
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 |
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(k) |
Using water for recreational purposes |
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* Please tick the water uses relevant to this application
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General Required Information |
Official Use |
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Description |
Applicable |
Submitted |
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Yes |
No |
Yes |
No |
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Proof of Payment of Licence Application Processing Fee (Compulsory) |
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Copy of Identity Document of Applicant or Delegated Person (Compulsory) |
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Copy of Company Registration Certificate (Compulsory) |
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Copy of Trust Registration Certificate (Compulsory) |
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Letter of Authorisation for Companies, Trusts or Legal Entities (Compulsory) |
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Letter of Authority or Power of Attorney to Apply on behalf of Applicant |
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Copy of BBBEE Certificate |
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Letter of Consent if the Applicant is not the Property Owner (Compulsory) |
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*Applicant Information Form: Individual (DW 756 / 769) |
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*Applicant Information Form: Water Service Provider (DW 757 / 770) |
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*Applicant Information Form: Company, Partnership, Government (DW 758 / 771) |
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*Applicant Information Form: Water User Association (DW 759 / 772) |
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*Property Details Form (DW 901) |
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Property Owner Details (DW 902) |
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Permission to Occupy (PTO), Title Deed, Lease Agreement, Community Resolution |
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A description of the location of the activity, including
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When providing coordinates, such coordinates must be provided in degrees, minutes and seconds using the Hartebeesthoek 94 WGS84 coordinate system. |
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a plan which locates the proposed activity or activities applied for at an appropriate scale, or if it is—
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Where applicable, proof of acceptance of an application for any right or permit in terms of the Mineral and Petroleum Resources Development Act, 2002 or environmental authorisation as per regulation 7 must be provided |
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Section 27 Motivation |
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Other information as requested in the acknowledgement of receipt and where applicable the site visit and meeting: |
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Section 21(a): Taking water from a water resource |
Official Use |
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Applicable |
Submitted |
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Yes |
No |
Yes |
No |
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*Taking water from a water resource Form (DW 773) |
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*Pump Technical Data Form (DW 784) |
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*Canal Technical Data Form (DW 786) |
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*Irrigation Field and Crop Details (DW 787) |
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*Supplementary Info: Power Generation, Industrial or Mining (DW 788) |
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*Supplementary Info: Domestic, Urban, Commercial or Industrial (DW 789) |
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Soil Suitability Report (for irrigation from Dept. Agriculture) |
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Viability Confirmation (for permanent transfers from Dept. Agriculture) |
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Confirmation of no Land Claims (for permanent transfers from Rural Development and Land Reform) |
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Recommendation from CCAW (for reserved water) |
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Recommendation from WUA or IB (for scheme related water use) |
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Stakeholder Consultation with Interested and Affected Parties |
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Pump Test Certificate (Groundwater) |
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Geo-hydrological Study (Groundwater) |
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Technical Design Report in support of the water use applied for |
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Other information as requested in the acknowledgement of receipt and where applicable the site visit and meeting: |
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Section 21(b): Storing water |
Official Use |
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Description |
Applicable |
Submitted |
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Yes |
No |
Yes |
No |
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*Storing water form (DW 774) |
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*Dam and Basin Technical Data Form (DW 789) |
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*Dam Classification Form (DW 793) (for dams > 5m and > 50 000m3) |
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Technical Design Report in support of the water use applied for (Hydrological study) |
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Dam Design Drawings or As Build Drawings in case the Dam is already constructed |
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Dam Capacity Curve |
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Dam Location Map |
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Master Layout Plan (1:100 year flood line and delineation) |
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Regional Maximum Flood (RMF) and Spillway Capacity Calculations |
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EIA and EMP |
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Environmental Authorisation |
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Stakeholder Consultation with Interested and Affected Parties |
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Other information as requested in the acknowledgement of receipt and where applicable the site visit and meeting: |
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Section 21(c) & (i): Impeding & Altering |
Official Use |
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Description |
Applicable |
Submitted |
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Yes |
No |
Yes |
No |
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* Impeding or diverting the flow of water in a watercourse form (DW 763) |
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*Altering the bed, banks, course or characteristics of a watercourse (DW 789) |
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*Supplementary Information for 21(c) & (i) form (DW 775) |
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Relevant Environmental Impact Assessment Studies |
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Wetland Delineation Study |
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Method Statement |
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Environmental Management Plan |
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Storm Water Management Plan |
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Hydrological Studies |
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Design Drawings or As Build Drawing if the structure is already been built |
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Rehabilitation Plan |
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Master Layout Plan (Must include all infrastructure, water courses, scientific determined buffers, flood lines, riparian habitat, and ecologically valued features; on A1 paper |
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Landscape Maintenance Plan |
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Pollution Plume Map / Drawings |
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Cone of Depression Drawings |
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Plant Species Plan (A1 paper) |
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Monitoring Programme and Auditing Plan |
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Alternatives that will address the hierarchy of impacts, starting with the exclusion of watercourses |
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Stakeholder Consultation with Interested and Affected Parties |
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Other information as requested in the acknowledgement of receipt and where applicable the site visit and meeting: |
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Section 21(e): Engaging a controlled activity |
Official Use |
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Applicable |
Submitted |
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Yes |
No |
Yes |
No |
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* Engaging in a controlled activity form (DW 765) |
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*Monitored Waste Discharge Details form (DW 904) |
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*Irrigation Field and Crop Details (DW 787) |
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Geohydrological Study |
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Water Quality Report |
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Soil Analysis |
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Stakeholder Consultation with Interested and Affected Parties |
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Other information as requested in the acknowledgement of receipt and where applicable the site visit and meeting: |
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Section 21(f) : Discharging waste or water containing waste into a water resource through a pipe canal sewer or other conduit |
Official Use |
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Description |
Applicable |
Submitted |
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Yes |
No |
Yes |
No |
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* Discharging waste or water containing waste into a water resource through a pipe, canal, sewer or other conduit form (DW 766) |
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*Monitored Waste Discharge Details form (DW 903) |
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Water Quality Report |
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Integrated Waste Water Management Plan (IWWMP) |
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Stakeholder Consultation with Interested and Affected Parties |
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Other information as requested in the acknowledgement of receipt and where applicable the site visit and meeting: |
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Section 21(g) : Disposing of waste in a manner which may detrimentally impact on a water resource |
Official Use |
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Description |
Applicable |
Submitted |
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Yes |
No |
Yes |
No |
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* Disposing of waste in a manner which may detrimentally impact on a water resource form (DW 767) |
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*Monitored Waste Discharge Details form (DW 904) |
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*Details of Waste Management Facility form (DW905) |
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Water Balance |
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Design Drawings of Waste Management Facility and Report |
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Geohydrological Report |
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Integrated Waste Water Management Plan (IWWMP) |
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GN 704 Motivation |
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Stakeholder Consultation with Interested and Affected Parties |
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Other information as requested in the acknowledgement of receipt and where applicable the site visit and meeting: |
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Section 21 (h) Disposing in any manner of water which contains waste from, or which has been heated in any industrial or power generation process |
Official Use |
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Description |
Applicable |
Submitted |
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Yes |
No |
Yes |
No |
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* 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) |
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*Monitored Waste Discharge Details form (DW 903) |
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Water Balance |
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Water Quality Report |
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Integrated Waste Water Management Plan (IWWMP) |
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Stakeholder Consultation with Interested and Affected Parties |
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Other information as requested in the acknowledgement of receipt and where applicable the site visit and meeting: |
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Section 21(j): 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 |
Official Use |
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Description |
Applicable |
Submitted |
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Yes |
No |
Yes |
No |
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* 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) |
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Water Balance |
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Geohydrological Report |
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Stakeholder Consultation with Interested and Affected Parties |
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Other information as requested in the acknowledgement of receipt and where applicable the site visit and meeting: |
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Section 21 (k): Using water for recreational purposes |
Official Use |
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Description |
Applicable |
Submitted |
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Yes |
No |
Yes |
No |
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* Using water for recreational purposes form (DW 780) |
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Public Private Partnership (PPP) Approval |
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Approval as per section 116 of the National Water Act, 1998 (Act 36 of 1998) |
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Stakeholder Consultation with Interested and Affected Parties |
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Other information as requested in the acknowledgement of receipt and where applicable the site visit and meeting: |
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Site Inspection Information |
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Date of Site Inspection |
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Parties Present at the Site Inspection |
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Name and Surname |
Designation |
Contact Number |
Signature |
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Site Inspection Report |
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