API public comment_EPA websiterequest form_FINAL

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EPA FORM
Request to host ‘Invitation for public comment’ for the purpose
of the assessment bilateral agreement
PURPOSE OF THIS FORM
Under the assessment bilateral agreement between the Commonwealth of Australia and the State of Western
Australia, proponents are required to release draft assessment documentation1 for public comment where the
proposal will be assessed at the level of Assessment on Proponent Information - Category A. Public
comment is to be sought on the likely significant impacts of proposals on matters of national environmental
significance.
The EPA is facilitating this public participation by hosting proponent invitations for public comment on its
Consultation Hub. The Consultation hub will link to the proponent’s website2 where the draft Environmental
Review documentation is located. The EPA will also receive and transmit submissions to proponents.
The purpose of this form is to ensure that both the proponent’s invitation for public comment and the draft
assessment documentation meet the requirements of the bilateral agreement. It also provides a mechanism
for the proponent to request the EPA to prepare an invitation for the Consultation Hub.
INFORMATION REQUIREMENTS
1.
Proponent
Name
Joint Venture parties (if applicable)
Proponent contact for the proposal:
 Name, physical address, phone, email
Consultant for the proposal (if applicable):
 name, address, phone, email
2.
Location
Name of the Local Government Authority in
which the proposal is located.
Location:
 street address; lot number; suburb or
locality;
If remote:
 nearest town; distance and direction
from that town to the proposal site.
1
Draft assessment documentation is the relevant extract of the draft API Environmental Review document that addresses
impacts on matters protected by Part 3 of the EPBC Act.
2 Proponents that do not have a website are required under the bilateral agreement to arrange their own advertising
through newspapers circulating generally in each State and self-governing Territory.
3.
Proposal
Name of proposal
Brief description of the proposal
(100 word limit)
4.
Matters Protected by Part 3 of the EPBC Act
Tick the matters that may be or are likely to be significantly impacted by the proposal

world heritage properties
☐

national heritage places
☐

☐

wetlands of international importance (listed under the Ramsar
Convention)
listed threatened species and ecological communities

migratory species protected under international agreements
☐

☐

a water resource, in relation to coal seam gas development and
large coal mining development
the environment in the case of nuclear actions (including
uranium mines)
Commonwealth marine areas*

Commonwealth land*
☐

☐
☐
☐
5.
Public access to draft assessment documentation
Web address where the proposal draft
assessment documentation will be available for
download
6.
Public comment period
The bilateral agreement requires that proponents of proposals that are assessed under the
agreement at the level of API-A release their assessment documentation for public comment for at
least 14 calendar days
Start date of public comment period
e.g. Wednesday, 5th November 2014
End date and time of public comment period
e.g. Thursday 20th November 2014
7.
Proponent contact for transmittal of submissions
The EPA will transmit all submissions received during the public comment period directly to the
contact provided below.
Name of person receiving submissions
Email / dropbox/ other electronic address to
receive submissions
Contact
details
of
person
receiving
submissions:
 phone, email (if different to above)
*The
bilateral agreement does not cover proposals located within the Commonwealth marine area or on Commonwealth
land; however, projects not located in those areas that may impact the environment in those areas can be assessed
through the bilateral agreement.
CHECKLIST FOR CONTENT OF DRAFT ASSESSMENT DOCUMENTATION
The information in the checklist below must be included in the documentation provided during the public
comment period in order to meet the requirements of the bilateral agreement.
Does the draft assessment documentation that will be released on your website
describe:
(i)
Yes ☐
the proposed action; and
(ii) the likely significant impacts on matters protected by Part 3 of the
EPBC Act; and
Yes ☐
(iii) to the extent practicable, any feasible alternatives to the proposed
action; and
Yes ☐
(iv) possible mitigation measures?
Yes ☐
DECLARATION
For completion by Proponent:
I, ………………………………………………., (full name) declare that I am authorised on behalf
of…………………………………………. (being the person responsible for the proposal) to
submit this form and further declare that the information contained in this form is true and not
misleading.
Signature
Name (print)
Position
Company
Address
Street No.
Suburb
Street Name
State
Postcode
Date
Please return completed form to [email protected]
For any enquiries please contact your Assessment Officer, Branch Manager or the Environmental
Officer (EIA Improvement) on 08 6145 0842.
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