Licensee or User: Dam name/location: (Use a separate form for each dam) Annual water year: to Licence number: Property location: Dam Estimation Dam level Approximate date Office use only estimation Reading date dam spilled (% full) (overflowed) Day /Month/Year Day /Month/Year If irrigating Irrigation water use Office use only Planting date if annual Crop area in hectares (crop type) Day /Month/Year Day /Month/Year Day /Month/Year Day /Month/Year Day /Month/Year Day /Month/Year Type Office use only Non consumptive use Yes/No Stock and domestic use Yes/No Comments: Please refer to your 5C licence for your annual water entitlement. If you are unable to locate your licence regional licensing office. contact the department’s Please record any unforeseen increases in water use in for example, ruptured irrigation mains or water used for firefighting purposes. ‘Comments’
Licensee or User: Dam name/location: (Use a separate form for each dam) Annual water year: to Licence number: Property location: Dam Estimation Reading date Dam level estimation (% full) Approximate date dam spilled (overflowed) Office use only Day /Month/Year Day /Month/Year If irrigating Irrigation water use (crop type) Office use only Planting date if annual Crop area in hectares Day /Month/Year Day /Month/Year Day /Month/Year Day /Month/Year Day /Month/Year Day /Month/Year Type Office use only Non consumptive use Yes/No Stock and domestic use Yes/No Comments: Please refer to your 5C licence for your annual water entitlement. If you are unable to locate your licence contact the department’s regional licensing office. Please record any unforeseen increases in water use in ‘Comments’ for example, ruptured irrigation mains or water used for firefighting purposes.
WM02-Dam_Use_Measurement_card.docx