Licensing publications and forms

Application for a 5C licence to take groundwater

Application for a licence under Section 5C of the Rights in Water and Irrigation Act 1914

Please note:

• 'Form 3G' is to apply for a 5C licence to take groundwater only. Completion of a 'Form 1' is required if you wish to apply for a licence to construct or alter a well.
• All fields applicable to your application type must be completed and are to be written clearly in block letters.
• If insufficient room please use a separate piece of paper.
• Submission of this form is an application only and is subject to assessment by a licensing officer.
• Incomplete applications will be returned.
• Refer to the checklist located at the rear of the form when completing the application.

For further information please refer to FAQ 2 - Applying for different types of licences

For further information please refer to FAQ 3 - Amendments renewals and obligations