FARM WATER SHORTAGE SURVEY (MAY 2019) Page 1 In order for plans to be put in place with regards to any potential water deficiency in each shire, the following information is required. YOUR URGENT RESPONSE IS APPRECIATED. **NON RETURN OF THIS SURVEY ASSUMES YOU HAVE ADEQUATE LIVESTOCK WATER SUPPLIES FOR THIS SUMMER** Question Title BUSINESS TRADING NAME: Question Title MAILING ADDRESS Name Company Address Address 2 City/Town State/Province ZIP/Postal Code Country Email Address Phone Number Question Title SHIRE: Shire of Kent Shire of Lake Grace Shire of Dumbleyung Shire of Gnowangerup Shire of Jerramungup Shire of Katanning Other (please specify) Question Title Are you connected to the scheme water system? Yes No Question Title If yes, is there a daily limit to how much water you can draw? Yes No Question Title If yes, what is the daily limit in Litres? Question Title Please estimate the number of stock you will be carting for (or have carted for) during: March April May June Sheep 0-1000 1000-2000 2000-3000 3000-4000 4000-5000 5000-6000 6000-7000 7000-8000 8000-9000 9000-10000 10000-11000 11000-12000 12000-13000 13000-14000 14000-15000 More than 15000 Sheep March menu 0-1000 1000-2000 2000-3000 3000-4000 4000-5000 5000-6000 6000-7000 7000-8000 8000-9000 9000-10000 10000-11000 11000-12000 12000-13000 13000-14000 14000-15000 More than 15000 Sheep April menu 0-1000 1000-2000 2000-3000 3000-4000 4000-5000 5000-6000 6000-7000 7000-8000 8000-9000 9000-10000 10000-11000 11000-12000 12000-13000 13000-14000 14000-15000 More than 15000 Sheep May menu 0-1000 1000-2000 2000-3000 3000-4000 4000-5000 5000-6000 6000-7000 7000-8000 8000-9000 9000-10000 10000-11000 11000-12000 12000-13000 13000-14000 14000-15000 More than 15000 Sheep June menu Cattle 0-1000 1000-2000 2000-3000 3000-4000 4000-5000 5000-6000 6000-7000 7000-8000 8000-9000 9000-10000 10000-11000 11000-12000 12000-13000 13000-14000 14000-15000 More than 15000 Cattle March menu 0-1000 1000-2000 2000-3000 3000-4000 4000-5000 5000-6000 6000-7000 7000-8000 8000-9000 9000-10000 10000-11000 11000-12000 12000-13000 13000-14000 14000-15000 More than 15000 Cattle April menu 0-1000 1000-2000 2000-3000 3000-4000 4000-5000 5000-6000 6000-7000 7000-8000 8000-9000 9000-10000 10000-11000 11000-12000 12000-13000 13000-14000 14000-15000 More than 15000 Cattle May menu 0-1000 1000-2000 2000-3000 3000-4000 4000-5000 5000-6000 6000-7000 7000-8000 8000-9000 9000-10000 10000-11000 11000-12000 12000-13000 13000-14000 14000-15000 More than 15000 Cattle June menu Question Title How much water do you estimate you will need to cart per week? Question Title Where is your closest AA (government) Dam, Tank or Standpipe where you will cart stock water from? Question Title How many litres of water can you carry on your water carting truck? Question Title Do you expect to cart domestic water this summer? Yes No Question Title If yes, what month do you expect to start carting domestic water? March April May June Question Title How many litres do you expect to cart and from what standpipe? Question Title Do you expect to cart spray water at the end of this summer? Yes No Question Title How many litres of spray water do you expect to cart (without any rain)? Question Title Which water source (dam, tank or standpipe) will you cart spray water from? Done