FOR OFFICE USE ONLY Further Submission on Proposed Hurunui and Waiau River Regional Plan and Plan Change 3 to the Natural Resources Regional Plan Submitter ID: File No: Form 6: Further Submissions on a Publicly Notified Change to a Plan or Policy Statement under Clause 8 of the First Schedule to the Resource Management Act 1991 th Return your signed further submission by Monday 27 February to: Freepost 1201 Proposed Hurunui and Waiau River Regional Plan and Plan Change 3 to the Natural Resources Regional Plan Environment Canterbury P O Box 345 Christchurch 8140 A Full Name: Phone (Hm): Organisation*: Phone (Wk): * the organisation that this submission is made on behalf of Postal Address: Phone (Cell): Postcode: Email: Fax: Contact name and postal address for service of person making submission (if different from above): Onlycertain people canmakefurther submissions. Pleasetick theoption thatapplies toyou: I am a person representing a relevant aspect of the public interest; or I am a person who has an interest in the proposal that is greater than the interest the general public has (for example, I am affected by the content of a submission); or I am the local authority for the relevant area. TradeCompetition A person who could gain an advantage in trade competition through any submission may make a further submission only if directly affected by an effect of the proposed policy statement or plan that: a) adversely affects the environment; and b) does not relate to trade competition or the effects of trade competition. Pleasetick thesentence thatapplies toyou: I could not gain an advantage in trade competition through this further submission; or I could gain an advantage in trade competition through this further submission. If you have ticked this box please select one of the following: I am directly affected by an effect of the subject matter of the original submission I amnot directly affected by an effect of the subject matter of the original submission Service of your further submission: Please note: any person making a further submission must serve a copy of that submission on the original submitter no later than five working days after the submission has been provided to Environment Canterbury. If you have made a further submission on a number of original submissions, then copies of your further submission will need to be served with each original submitter. Signature: Date: (Signature of person making further submission or person authorised to sign on behalf of person making the further submission) Please note: (1) all information contained in a further submission under the Resource Management Act 1991, including names and addresses for service, becomes public information. B I donot wish to be heard in support of my further submission; or I do wish to be heard in support of my further submission; and if so, I would be prepared to consider presenting your further submission in a joint case with others making a similar further submission at any hearing C (1) I support or oppose the submission of: Name & postal address of original submission: e.g Joanne Bloggs, 12 Pine Tree Avenue, Redwood (2) The particular parts of the submission I support or oppose are: (3) The reasons for my support or opposition are: (4) I seek that the whole or part (as per column 2) of the submission be allowed or disallowed: Submission point reference number from the first column of the Summary of Decisions Requested table e.g. 4.23 Provide reason for support or opposition Allow or disallow e.g. Allow 4.23 Add further pages as required (This page is intentionally blank.)