Land Ownership and Consent for Project Activities If the project involves works on private land, has landowner Yes / Not yet (please circle) consent been obtained? If the project involves on public land, please provide the responsible Agency's name Has the responsible Agency's consent been sought? Yes / Not yet (please circle) If Yes, please provide the Agency contact name If the project is successful is consultation with Traditional Yes / Not yet (please circle) Owners; or approval under the Aboriginal Heritage Act 2006 and Aboriginal Heritage Regulations 2007 required? Location of project: please attach a map or aerial photograph of the proposed project location to this application, or provide GPS coordinates Part 5. Project Budget This must be filled to qualify for project grant funding. In-kind Funding In-kind cash Project Item Quantity/Type labour requested contribution contribution Vehicle 30 hrs x $50/hr = EXAMPLE 2km @ 150 hrs x $1,500 Stock fencing 2km of 5 wire $3.50/m = $30/hr = EXAMPLE (protection of fencing Tractor 30 hrs $7,000 $4,500 revegetation) x $70/hr = $2,100 Planning Procurement Delivery Monitoring Reporting
Land Ownership and Consent for Project Activities If the project involves works on private land, has landowner consent been obtained? Yes / Not yet (please circle) If the project involves on public land, please provide the responsible Agency's name Has the responsible Agency's consent been sought? Yes / Not yet (please circle) If Yes, please provide the Agency contact name If the project is successful is consultation with Traditional Owners; or approval under the Aboriginal Heritage Act 2006 and Aboriginal Heritage Regulations 2007 required? Yes / Not yet (please circle) Location of project: please attach a map or aerial photograph of the proposed project location to this application, or provide GPS coordinates Part 5. Project Budget This must be filled to qualify for project grant funding. Project Item Quantity/Type Funding requested In-kind cash contribution In-kind labour contribution EXAMPLE EXAMPLE Stock fencing (protection of revegetation) 2km of 5 wire fencing 2km @ $3.50/m = $7,000 Vehicle 30 hrs x $50/hr = $1,500 Tractor 30 hrs x $70/hr = $2,100 150 hrs x $30/hr = $4,500 Planning Procurement Delivery Monitoring Reporting
2016-2017-Application-form-GLCC-FINAL1.docx