Project Nomination Form - Department of Environment, Water and

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SOUTH AUSTRALIAN STRATEGIC COASTAL MANAGEMENT INVESTMENT PLAN 2017 – 2027
PROJECT NOMINATION FORM

This form is to be used by Councils to nominate projects for consideration during preparation of a
ten-year prioritised coastal management investment plan by the Department of Environment, Water
and Natural Resources (DEWNR) in response to the Coast Protection Board Position Paper (2015).

The Council contact nominated in Section 1 should have a technical understanding of the projects
as they will be contacted by DEWNR for further information during the project assessment and
prioritisation process.

Section 2 of this form contains “drop-down” menus to simplify the application process. The form is
available to download at http://www.environment.sa.gov.au/get-involved/grants-andfunding/Coast_protection_fund_grants or by contacting James Guy on 8124 4907 or
james.guy@sa.gov.au

Completed forms are to be submitted by email to james.guy@sa.gov.au or by mail to:
James Guy, Team Leader Coastal Programmes
Department of Environment, Water and Natural Resources
GPO Box 1047
ADELAIDE SA 5001

An email confirming receipt of completed forms will be sent to the nominated Council contact.
The closing date for submission of Project Nomination Forms is 31 March 2016.
Section 1: Council Details
1
Council name and contact person for project enquiries
COUNCIL NAME
2
Contact person
Phone
Position
Email
Approval by Authorised Representative of Council
Signature
Name
Date
Position
For use by DEWNR
Received
Date
/
/
By:
Acknowledgement Issued
Date
/
/
By:
South Australian Strategic Coastal Management Investment Plan 2017 – 2027
Project Nomination Form
Section 2: Nominated Project Details
Project Type: Choose an item.
Council:
Project Name:
Brief
Description:
Project Costs
Estimate based on: Choose an item.
Estimated Cost:
Estimate accuracy: Choose an item.
Hazard Information
Hazard being addressed: Choose an item.
Likelihood (if known): Choose an item.
Threatened assets: Choose an item.
Brief description of threatened assets:
Estimated Financial impact of a 1-in-100 year ARI
event (if known): Choose an item.
Basis of estimated impacts: Choose an item.
Timing
When is the earliest that the project could
Is the project ready to proceed?
Yes ☐
No ☐
commence? Choose an item.
Are there any prerequisites for the project to proceed? (eg. design study, development application process):
Yes ☐
No ☐ If yes, briefly describe:
Other Benefits
Other than mitigating the hazards described above, briefly summarise any other benefits associated with
the project:
APPLICATION FOR COAST PROTECTION BOARD GRANT FUNDING IN 2016-17
This process is also being used as the formal invitation for Coast Protection Board grant funding
applications for the 2016-17 financial year. Does Council wish this project to be considered for Coast
Protection Board grant funding in 2016-17?
Yes ☐
Council Contribution
(at least 20% of total)
No ☐
If yes, complete details below.
Other Contribution
(amount and source)
Requested CPB Grant
TOTAL PROJECT
COST
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