Project Name – EIS SubmissionContact details, Organisation Date

Submissions onan environmental impact statement (EIS)

Please use this template if you wish to provide submissions on the EIS.
  • The EIS can be accessed at: DES INSERT WEB PAGE
  • Please update the highlighted header.
  • Click on the table to add additional rows if required. Please use the same headings on any separate pages.
  • Send the completed form to the email/postal address/fax number shown in the public notice request.
  • You must provide your comments by the closing date shown in the public notice and on the Department of Environment and Science website, i.e. DES INSERT DUE DATE
  • For this submission to be ‘properly made’, it must be signed by each person who makes the submission and the valid name and address of each person who makes the submission must be stated.
  • DES is collecting the information provided in comments for consideration in the EIS process. All comments (including names and contact details) will be provided to the proponent as required under section 56 of the EP Act, so that they may consider them and provide a response to DES. This consultation is a public process, and any comments you provide may be published (including online) and may be transmitted outside of Australia. You may wish to bear this in mind when providing your comments. Your information will not be disclosed by DES to any other parties unless authorised or required by law.

Name of Project What is the name of the project you are commenting on? (Exactly as it appears in the public notice)

Your details

Full name (include names of all persons signing) / Signature/s Date
Primary contact name (if applicable) / Organisation (if relevant)
Postal address
Postcode / Phone number
( )
Email address
How did you find out about the project? (Weekend Australian, North West Star, DES website, Facebook, other - please specify)

Your comments on the EIS (Please delete submission examples)

# / EIS section and topic / Comment What is the issue or what is suitable within the EIS / Recommendation What changes to the EIS or additional information is required?
E.g. Section XX, Chapter XX, pages XX-XX, Water Quality / The EIS proposes that any rainfall entering the pit during operational periods will be contained within the pit, either through evaporation or recharge to the local aquifer. The EIS does not consider any potential impacts of runoff/sediments from the mine pit on the local aquifers. / The potential impact on groundwater quality from water in the pit should be included in the impact assessment. It is noted that the EIS includes monitoring of groundwater impacts to the local aquifer.
Update potential impacts in Chapter X Aquatic Ecology, Chapter X Terrestrial Ecology and Chapter X MNES where necessary.
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