CONSERVATION AND LAND MANAGEMENT REGULATIONS 2002 (PART 7) CLM149 Application for or renewal of commercial operations licence —T class terrestrial reserves only This application applies to commercial operators conducting land-based activities on reserves managed by the Department of Parks and Wildlife (DPaW). IMPORTANT Licence applications/renewals involve a legislative approvals process. When planning your business please take into consideration the time taken for approvals. Contact DPaW’s Licensing Officer on (08) 9334 0119 for more information on this process. Online training must be completed prior to submitting this application. The training can be completed by going to https://parks.dpaw.wa.gov.au/know/training-accreditation-insurance-fees. Please print and attach a copy of the certificate to this application when completed. APPLICATION FEE, LICENCE CHARGES AND ACCREDITATION Send the completed application, together with the licence charge below (refundable if your application is unsuccessful) plus a non-refundable application/renewal fee of $100 to Policy and Tourism Branch, Department of Parks and Wildlife, Locked Bag 104, BENTLEY DELIVERY CENTRE, WA, 6983. Licence term Licence charge Accreditation level required 2-month $120 (plus $100 application fee) No accreditation 1-year $350 (plus $100 application fee) ATAP, NARTA, Nature Level Eco Certification or equivalent 3-year $1,050 (plus $100 application fee) ATAP, NARTA, Nature Level Eco Certification or equivalent 5-year $1,750 (plus $100 application fee) ATAP with the EcoPlus module, NARTA, Nature Level Eco Certification or equivalent 7-year $2,450 (plus $100 application fee) ATAP with the EcoPlus module, Eco Certification or equivalent 10-year $3,500 (plus $100 application fee) ATAP with the EcoPlus module, Advanced Eco Certification or equivalent For more information about accreditation requirements please see the Commercial Operator Handbook – Terrestrial or Marine, which can be downloaded from https://parks.dpaw.wa.gov.au/know/commercial-operations-licensing. FOR ALL OPERATORS: Are you currently accredited? o No o ATAP o Eco Certification o NARTA Other, please state Expiry date Please attach a copy of the accreditation certificate(s). NAME OF APPLICANT: (Person/Company/Incorporated Body only) Note: The application must be made by one person or company proposing to undertake the activity (activities) for which permission is sought. The application cannot be made using a trading/business name. If the application is by a company please provide the Australian Company Number (ACN) Name and address of directors and secretaries ALL APPLICANTS: please provide the Australian Business Number (ABN) TRADING/BUSINESS NAME: Is/are the name(s) registered? o Yes o No If yes, please provide the registered name(s) and the registration number(s) POSTAL ADDRESS OF APPLICANT: Note: If the applicant is a company please provide the postal address of the contact person. Name of contact Email Website Phone 1 Phone 2 Fax Page 1 LICENCE DETAILS 1. What licence term are you applying for? 2-month o Nominated start date ________________ o 1-year o 3-year o 5-year o 7-year o 10-year 2. New licence: Is this an application for a new licence? o Yes o No *If yes, please see the Activities and locations section below for more information. 3. Licence renewal: Is this an application for a licence renewal? o Yes o No Current licence number: Please see Licence renewal box below. a) Do you wish to apply for the same parks and activities as o Yes o No the current licence? *If yes, you are not required to tick the parks and activities sections on pages 3–6. b) Do you wish to add parks and activities to the current licence? o Yes o No c) Do you wish to remove parks and activities from the current licence? o Yes o No Note: You cannot select yes to both adding and removing. 4. Licence endorsement: Is this an application for a licence endorsement? o Yes o No Current licence number: Please see the Activities and locations section below for more information. Licence renewal If you are renewing your licence and your operations are unchanged from your current licence, please select Yes to the question 3a) above and do not select any parks or activities on pages 3–6. If you wish to only add parks and activities to your current licence please select Yes to the question 3b) above and place an X only in boxes for the parks and activities you wish to add. If you wish to only remove parks and activities from your current licence please select Yes to the question 3c) above and place an X only in boxes for the parks and activities you wish to remove. If you wish to add and remove parks and activities please select No when asked if you wish to apply for the same parks and activities and complete pages 3–6 with all parks and activities required. Please note that it is your responsibility to check that all parks and activities are correctly recorded on your current licence. If there are some parks or activities missing it is important that you request to have these added. ACTIVITIES AND LOCATIONS DPaW needs to know which parks and reserves you would like to visit and what activities you would like to undertake there. The table on the following pages indicates which activities are appropriate for particular reserves. Light green boxes indicate activities requiring a higher Open boxes indicate activities that are permitted in the reserve. level of assessment and that may not be permitted in the park. Dark green boxes indicate activities that are not permitted in the reserve. The DPaW Commercial Operator Handbook details the conditions that apply to certain activities and reserves. Please ensure you have read and accepted the conditions before submitting this application form. Commercial activities within State forest are now required to be licensed. If you wish to conduct commercial activities in State forest, please refer to the forest-region maps at the back of this form to locate the areas of your operation. Each region is divided into districts. To apply for activities in State forest, please select the appropriate district in the following table. Please be aware that you must still select individual national and conservation parks in these regions, should you wish to conduct commercial activities in them. If you wish to conduct an activity not allowed for in the table, please contact the DPaW Licensing Officer directly on (08) 9334 0119. Should you require more information regarding activities and reserves please contact the DPaW district offices listed in the Commercial Operator Handbook – Terrestrial. If you are a marine-based operator, please contact DPaW’s Licensing Officer on (08) 9334 0119 for a separate application form for a commercial operations licence. Application forms can also be found on the website at: https://parks.dpaw.wa.gov.au/know/commercial-operations-licensing Page 2 Access Activities Place an X only in the boxes for the reserves See legend on page 6 for more where you wish to conduct your operation. information on activity numbers and abbreviations. Region District Park Coach Minibus 4WD Abseiling 1 Bushwalking* Camping Canoeing 2 Caving Rafting 2 Rock climbing 3 KIMBERLEY East Kimberley Drysdale River NP Mirima NP Purnululu NP Wolfe Creek Crater NP Mitchell River NP Lawley River NP Prince Regent NP 4 Parry Lagoons NP West Kimberley Geikie Gorge NP King Leopold Ranges CP** Tunnel Creek NP Windjana Gorge NP PILBARA Karratha Collier Range NP Karijini NP 5 Millstream Chichester NP Karlamilyi NP (formerly Rudall River NP) Dampier Archipelago (mixed tenure) 6 6 Montebello Islands CP 6 6 Exmouth Cape Range NP MID WEST Shark Bay François Péron NP Hamelin Pool MNR Shell Beach CP Geraldton Kennedy Range NP Mt Augustus NP Coalseam CP Kalbarri NP Moora Alexander Morrison NP Badgingarra NP Drovers Cave NP Lesueur NP Nambung NP Stockyard Gully [5(1)(g) reserve] Tathra NP Watheroo NP GOLDFIELDS Kalgoorlie Boorabbin NP Goldfields Woodland CP and NP Cave Hill NR Burra Rock NR Wallaroo Rock CP Yeo Lake NR Neale Junction NR Wanjarri NR Page 3 Activity permitted in reserve Access Activities Activity requires a higher level of DPaW assesment or additional information and may not be permitted Activity not permitted in reserve Region District Park Coach Minibus 4WD Abseiling 1 Bushwalking* Camping Canoeing 2 Caving Rafting 2 Rock climbing 3 GOLDFIELDS Kalgoorlie Rowles Lagoon CP Gibson Desert NR Great Victoria Desert NR Plumridge Lakes NR Queen Victoria Spring NR Helena and Aurora Range CP WHEATBELT Great Southern Dryandra Woodland SF (A2) Great Southern District State Forest SWAN Swan Coastal Moore River NP Neerabup NP Yanchep NP Yalgorup NP Penguin Island CP Swan Coastal District State Forest Perth Hills Avon Valley NP Gooseberry Hill NP Greenmount NP John Forrest NP Kalamunda NP Lesmurdie NP Serpentine NP Walyunga NP Lane Poole Reserve CP Beelu NP Midgegoroo NP Korung NP Helena NP Wandoo Perth Hills District State Forest WARREN Donnelly Beedelup NP Brockman NP D‘Entrecasteaux NP Gloucester NP Shannon NP Warren NP Donnelly District State Forest Frankland Mt Frankland NP Walpole-Nornalup NP William Bay NP Mt Lindesay NP Mt Roe NP Mt Frankland North NP Mt Frankland South NP Frankland District State Forest Page 4 Activity permitted in reserve Access Activities Activity requires a higher level of DPaW assesment or additional information and may not be permitted Activity not permitted in reserve Region District Park Coach Minibus 4WD Abseiling 1 Bushwalking* Camping Canoeing 2 Caving Rafting 2 Rock climbing 3 SOUTH