RESILIENT RIVERS WATER INFRASTRUCTURE PROGRAM (RRWIP) – WATER EFFICIENCY STREAM Expression of Interest Form "*" indicates required fields PROPOSED PROJECT NAME*eg. Bringacanalong Station Water Efficiency ProjectPROPOSED 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 1Water source connected to proposed projectWater Source 2Water source connected to proposed projectWater Source 3Any 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 NameThis field is for validation purposes and should be left unchanged.