EXAMPLE. Thomas Thompson. South Queensland Grazing Company. example@hotmail.com. "Plainview" Maranoa. Stock Horses (Mares)

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Drought Relief Assistance Scheme WATER AVAILABILITY STATEMENT EMERGENCY WATER INFRASTRUCTURE REBATE (Please complete this form before claiming for the Emergency Water Infrastructure Rebate) PLEASE NOTE: This form must be completed by the applicant and endorsed by a Department of Agriculture, Fisheries and Forestry (DAFF) Officer and if necessary, members of the Local Drought Committee, before applications for the Emergency Water Infrastructure Rebate can be submitted. A copy of this endorsed statement must be submitted with your rebate claim form. Completion of this form does not guarantee approval or payment of the rebate. A. APPLICANT DETAILS NAME OF OWNER TRADING NAME AUSTRALIAN BUSINESS NUMBER (ABN) Thomas Thompson South Queensland Grazing Company 12345654321 POSTAL ADDRESS PO Box 999 Roma QLD POSTCODE: 4455 PHONE NUMBER (07) 9786 1234 FAX NUMBER (07) 9786 5432 EMAIL ADDRESS example@hotmail.com HEAD OFFICE USE ONLY CLAIM NUMBER CLIENT ID NUMBER B. PROPERTY WHERE WATER INFRASTRUCTURE IS REQUIRED PROPERTY NAME "Plainview" PROPERTY ADDRESS "Plainview" Warrego Highway, Bungil QLD 4455 LOCAL GOVERNMENT AREA THE PROPERTY IS LOCATED IN Maranoa PROPERTY SIZE (HECTARES) 2150 PROPERTY IDENTIFICATION CODE (PIC) Q G I C 4 7 7 3 C. NUMBER AND CLASS OF STOCK CURRENTLY ON THE PROPERTY BEEF No: 167 Class: Cows (160), Bulls (7) SHEEP No: Class: BEEF No: 80 Class: Calves SHEEP No: Class: DAIRY No: Milkers OTHER (Specify) No: 6 Class: Stock Horses (Mares) DAIRY No: Non Milkers OTHER (Specify) No: Class:

D. WATER AVAILABILITY, MANAGEMENT AND INFRASTRUCTURE ON THE PROPERTY Please describe; 1) The current emergency water situation including existing water infrastructure, watering procedures and water points 2) The steps you have undertaken to reduce the effects of drought and water shortages on your livestock and property 3) Your proposed new water infrastructure, including an itemised list of the major expense items that you wish to claim 1) Due to extremely high evaporation rates and lack of rainfall in recent months, our property is now experiencing increased stockwater demands. The property is divided into six s (2 southern, 2 central, and 2 northern) with troughs in each and tanks in the central s (see attached Map). We have 6 dams on the property. 4 dams are now dry, and the water levels in the other 2 dams (located in southern s) are approaching low levels, with an estimated 2 months supply remaining. Our sub-artersian bore pumps ~ 1500 litres per hour. This is providing adequate water flow to fill our troughs that are connected to the bore via polypipe. The troughs in the northen s are not conected to the bore via polypipe however. As the bore is not centrally located on the property, we are having to cart water long distances - from the bore to the troughs in the northen parts of the property using private vehicles and a 1250 L tank. We are trying to encourage our cattle to graze in the northern s as they contain a greater quantity of nutritive pasture - however, the nothern s have insufficient water infrastructure and therefore they are being underutilised. 2) We stock our property in accordance with the appropriate carrying capacity of the land. Our property is normally stocked with ~ 470 head of cattle. In the past six months we have sold 50 cows, 62 weaners and 2 bulls in order to reduce grazing pressure on our property as the drought conditions continue. Early weaning has commenced for the remaining calves - 40 of them will be sold once saleable weights are reached. Early pregnancy testing has also been conducted in order to identify barren females for sale. Agistment has not been possible as many properties normally offering agistment are experiencing the effects of drought themselves. Urea and molasses licks are being utilised to supplement feed diets of female cattle with calves at foot - cotton seed meal is incorporated as a protein source. We have fenced off the dry dams that are boggy and have pumped any remaining water into tanks so that this water can then be used to water stock via troughs. Desilting of dry dams has commenced to ensure their long-term viability. This will not be an onerous task as most dams were cleaned in recent times. 3) We plan to install 2 recently purchased water tanks in the two northern s, adjacent to the existing troughs. We will connect these storage units and the troughs to the southern bore by extending (2 x 4km) polypipe from the existing pipelines in the central s - this would reduce the walking distance for cattle between watering points and feed sources. We will also install 2 pressure pumps to provide adequate water flow. By doing this, we will be able to easily transport water to all watering points, thereby encouraging stock to graze the better quality pasture and distribute grazing pressure evenly throughout our property. Major expense items we wish to claim: 2 x 22000L capacity water tanks and fittings 8 km of polypipe and fittings 2 pressure pumps Please attach additional pages if you require more writing space E. PROPOSED WATER INFRASTRUCTURE On a separate page, please attach a map (can be hand drawn) of your whole property clearly showing all existing water infrastructure, all proposed new water infrastructure, and approximate areas of all major s.

F. APPLICANT'S DECLARATION I, (full name) Thomas Thompson..of "Plainview", Bungil QLD...... In the State of Queensland, do hereby declare that:- 1. I am a primary producer (as outlined in the EWIR Guidelines) who normally spends more than 50 per cent of their labour on, and derives more than 50 per cent of their gross income from a primary production enterprise. 2. The property described in Item B above is not a hobby farm. 3. I own, share-farm or lease the property where the water infrastructure being claimed under the rebate has been established. 4. The property described in Item B above is currently drought declared by either an area/shire declaration or an Individual Droughted Property declaration. 5. I believe the property has a lack of available water to ensure animal welfare, or the water that is available will be insufficient to sustain the livestock on the property until the next expected inflow. 6. I have installed or will install the water infrastructure for grazing livestock permanently residing on the property. 7. I have not introduced any livestock onto this property during the current drought or in the three month period prior to the drought declaration (includes livestock taken on for agistment). 8. I understand that upon endorsement of this form I am eligible to apply for the Emergency Water Infrastructure Rebate. However, my rebate application will need to be assessed and endorsement of this form does not mean that automatic payment of the rebate will be processed and approved upon the receipt of the application form. 9. The particulars I have provided on this form and supporting documentation are true and correct and I agree that the contents of this form, supporting documentation and any subsequent water infrastructure works carried out on my property may be subject to audit. 10. I have read the Emergency Water Infrastructure Rebate Guidelines and I believe the water infrastructure works I am claiming for are consistent with the guidelines. The guidelines can be found at www.daff.qld.gov.au/environment/drought/assistance/dras/application-forms/guidelines-for-an-emergency-waterinfrastructure-rebate. 11. I consent to authorised officers accessing and confirming my details in the Agricultural Property System (APS) database. Signed... Date./..../.... G. DAFF OFFICER/LOCAL DROUGHT COMMITTEE ENDORSEMENT I, (full name)..of..... In the State of Queensland, do hereby declare that:- 1. On the basis of the information provided to me, I endorse this statement as I believe this property has a lack of available water to ensure animal welfare, or the water that is available will be insufficient to sustain the livestock on the property until the next expected inflow. Signed Position... Date./..../.... The Department of Agriculture, Fisheries and Forestry is collecting information, including personal information, on this form and through the department's Agricultural Property System (APS) for the purpose of assisting authorised departmental officers to process your claims related to the Drought Relief Assistance Scheme. The information you provide on this form and through APS will be used for this purpose only. Your personal information will not be used or disclosed to third parties. Only authorised departmental officers will have access to this information. Your personal information will not be disclosed to any other third party without your consent, unless the disclosure is authorised or required by law.

**Note: Map may be hand-drawn or computer generated, as long as it is easy to interpret and provides sufficient detail. Legends or notations are recomended ways of identifying features on the map. LEGEND Dam: Water Troughs: North-west North-east Bore: House: Existing Proposed Existing Water Central-west Central-east Proposed Water Fencing: **Map not to scale** South-west South-east

**Note: Another option may be to draw or overlay a schematic map over an aerial view of your property an example of this is shown below. LEGEND Dam: Trough: North-west North-east Bore: House: Existing Proposed Existing Water Central-west Central-east Proposed Water Fencing: **Map not to scale** South-west South-east