Response Form 09102009 Deir Eng
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ENVIRONMENTAL IMPACT ASSESSMENT FOR THE PROPOSED DEVELOPMENT OF LANGEZANDT QUAYS, STRUISBAAI,WESTERN CAPE D: EA&DP Ref No. E12/2/3/2-E1/11-0337/08
Response Form for comment on the Draft Environmental Impact Report Please return this page to Aurecon via fax, post or email by 17 November 2009. Attention: John Foord Tel No: (021) 481 2400 Fax No: (021) 424 5588 [email protected] Email: Postal Address: P.O. Box 494, Cape Town, 8000 TITLE
FIRST NAME
INITIALS
SURNAME
ORGANISATION
EMAIL
POSTAL ADDRESS
POSTAL CODE
TEL NO.
FAX NO.
CELL NO.
LANGUAGE
PREFERRED METHOD OF COMMUNICATION POST
EMAIL
MOBILE PHONE
FAX
Please list any colleagues/friends or organizations that you feel should also be registered as an Interested and Affected Party for this EIA: (with contact details if available)
NAME/ ORGANISATION
POSTAL ADDRESS
TEL NO.
FAX NO.
Please provide your interest in the proposed development E.G. business, resident, tourist etc.:
...................................................................................................................................................... ......................................................................................................................................................
Please list any comments, issues or concerns you may have with regard to the Draft Environmental Impact Report: (please use a separate sheet if you wish)
...................................................................................................................................................... ...................................................................................................................................................... ...................................................................................................................................................... ...................................................................................................................................................... ...................................................................................................................................................... Should you have further comments please feel free to attach additional pages. Thank you for your comments
Response Form for comment on the Draft Environmental Impact Report Please return this page to Aurecon via fax, post or email by 17 November 2009. Attention: John Foord Tel No: (021) 481 2400 Fax No: (021) 424 5588 [email protected] Email: Postal Address: P.O. Box 494, Cape Town, 8000 TITLE
FIRST NAME
INITIALS
SURNAME
ORGANISATION
POSTAL ADDRESS
POSTAL CODE
TEL NO.
FAX NO.
CELL NO.
LANGUAGE
PREFERRED METHOD OF COMMUNICATION POST
MOBILE PHONE
FAX
Please list any colleagues/friends or organizations that you feel should also be registered as an Interested and Affected Party for this EIA: (with contact details if available)
NAME/ ORGANISATION
POSTAL ADDRESS
TEL NO.
FAX NO.
Please provide your interest in the proposed development E.G. business, resident, tourist etc.:
...................................................................................................................................................... ......................................................................................................................................................
Please list any comments, issues or concerns you may have with regard to the Draft Environmental Impact Report: (please use a separate sheet if you wish)
...................................................................................................................................................... ...................................................................................................................................................... ...................................................................................................................................................... ...................................................................................................................................................... ...................................................................................................................................................... Should you have further comments please feel free to attach additional pages. Thank you for your comments
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