RESILIENT RIVERS WATER INFRASTRUCTURE PROGRAM (RRWIP) – WATER EFFICIENCY STREAM Expression of Interest Form "*" indicates required fields PROPOSED PROJECT NAME*eg. Bringacanalong Station Water Efficiency Project PROPOSED PROJECT ADDRESS* Street Address Address Line 2 Town State Post Code PROJECT PROPONENT* First Last Email* Phone*AUTHORISED PERSON FOR PROJECT PROPONENT*The authorised contact is the person with the authority to enter into contractual arrangements on behalf of the Project Proponent. As Above Someone else AUTHORISED PROJECT PROPONENT* First Last Authorised Project Proponent Email* Authorised Project Proponent Phone*BRIEF DESCRIPTION OF PROPOSED PROJECT*If S&D approx area (Ha.) WATERPROPOSED WATER SAVING – ML (if known).WATER SOURCE CONNECTED TO PROPOSED PROJECTWater Source 1 Water source connected to proposed projectWater Source 2 Water source connected to proposed projectWater Source 3 Any other water sourcesList here. LICENSELicense water type and quantity available for exchange for projectWater Type 1(Eg S&D, General, HS) VolumeMLWater Type 2(Eg S&D, General, HS) VolumeMLFurther discussion pointsQuestions from the proponent SUBMISSIONForm completed by* First Last EmailThis field is for validation purposes and should be left unchanged.