Submission Form

Full Name of Submitter:  

Contact person:(if different from above)

Full Postal address:  

Address for Service: (if different from above):

Phone Numbers:  

Mobile:

Fax:

Email:    

I wish to receive updates on the process by email only:

Do you wish to be heard in support of your submission?: YesNo

If others make a similar submission would you be prepared to consider a joint case?: YesNo

I confirm that I am the person named above and I am making this submission on my own behalf
I confirm that I am authorised to make this submission on behalf an organisation/other person  

Information on this form and the content of your submission will be made publicly available as part of the decision making process. Please advise Environment Waikato if your contact details change.

Please indicate the specific provision (referring to the numbers and titles used in this document) that your submission relates to below:

Provision or page number: (e.g. Coastal marine area, page 7-3)

Other Ref: e.g. Implementation method 7.2.1 Marine water types

I support the above parts of the Proposed Regional Policy Statement
I support the above parts of the Proposed Regional Policy Statement with amendments
I oppose the above parts of the Proposed Regional Policy Statement

My submission is: (Tell us concisely WHAT you oppose OR support about this provision)

Reasons for my submission are:(Tell us the reasons WHY you support or oppose this provision. These reasons may help us to understand your submission.)

The decision I seek from Environment Waikato is that this provision of the Proposed Regional Policy Statement be:
(Tell us HOW you want the Council to respond to your submission. It is VERY important that you state the decision you wish Council to make. Council can only make changes which have been specifically requested. If you don’t clearly state the decision you want and/or the change you want, Council may not be able to respond in the way you want.)

retained
deleted entirely
deleted and replaced as follows
amended as follows
a new part be added as follows
other as follows

Write the changes you seek here:

Please indicate the specific provision (referring to the numbers and titles used in this document) that your submission relates to below:

Provision or page number: (e.g. Coastal marine area, page 7-3)

Other Ref: e.g. Implementation method 7.2.1 Marine water types

I support the above parts of the Proposed Regional Policy Statement
I support the above parts of the Proposed Regional Policy Statement with amendments
I oppose the above parts of the Proposed Regional Policy Statement

My submission is: (Tell us concisely WHAT you oppose OR support about this provision)

Reasons for my submission are:(Tell us the reasons WHY you support or oppose this provision. These reasons may help us to understand your submission.)

The decision I seek from Environment Waikato is that this provision of the Proposed Regional Policy Statement be:
(Tell us HOW you want the Council to respond to your submission. It is VERY important that you state the decision you wish Council to make. Council can only make changes which have been specifically requested. If you don’t clearly state the decision you want and/or the change you want, Council may not be able to respond in the way you want.)

retained
deleted entirely
deleted and replaced as follows
amended as follows
a new part be added as follows
other as follows

Write the changes you seek here:

Please indicate the specific provision (referring to the numbers and titles used in this document) that your submission relates to below:

Provision or page number: (e.g. Coastal marine area, page 7-3)

Other Ref: e.g. Implementation method 7.2.1 Marine water types

I support the above parts of the Proposed Regional Policy Statement
I support the above parts of the Proposed Regional Policy Statement with amendments
I oppose the above parts of the Proposed Regional Policy Statement

My submission is: (Tell us concisely WHAT you oppose OR support about this provision)

Reasons for my submission are:(Tell us the reasons WHY you support or oppose this provision. These reasons may help us to understand your submission.)

The decision I seek from Environment Waikato is that this provision of the Proposed Regional Policy Statement be:
(Tell us HOW you want the Council to respond to your submission. It is VERY important that you state the decision you wish Council to make. Council can only make changes which have been specifically requested. If you don’t clearly state the decision you want and/or the change you want, Council may not be able to respond in the way you want.)

retained
deleted entirely
deleted and replaced as follows
amended as follows
a new part be added as follows
other as follows

Write the changes you seek here:

Please indicate the specific provision (referring to the numbers and titles used in this document) that your submission relates to below:

Provision or page number: (e.g. Coastal marine area, page 7-3)

Other Ref: e.g. Implementation method 7.2.1 Marine water types

I support the above parts of the Proposed Regional Policy Statement
I support the above parts of the Proposed Regional Policy Statement with amendments
I oppose the above parts of the Proposed Regional Policy Statement

My submission is: (Tell us concisely WHAT you oppose OR support about this provision)

Reasons for my submission are:(Tell us the reasons WHY you support or oppose this provision. These reasons may help us to understand your submission.)

The decision I seek from Environment Waikato is that this provision of the Proposed Regional Policy Statement be:
(Tell us HOW you want the Council to respond to your submission. It is VERY important that you state the decision you wish Council to make. Council can only make changes which have been specifically requested. If you don’t clearly state the decision you want and/or the change you want, Council may not be able to respond in the way you want.)

retained
deleted entirely
deleted and replaced as follows
amended as follows
a new part be added as follows
other as follows

Write the changes you seek here:

Please indicate the specific provision (referring to the numbers and titles used in this document) that your submission relates to below:

Provision or page number: (e.g. Coastal marine area, page 7-3)

Other Ref: e.g. Implementation method 7.2.1 Marine water types

I support the above parts of the Proposed Regional Policy Statement
I support the above parts of the Proposed Regional Policy Statement with amendments
I oppose the above parts of the Proposed Regional Policy Statement

My submission is: (Tell us concisely WHAT you oppose OR support about this provision)

Reasons for my submission are:(Tell us the reasons WHY you support or oppose this provision. These reasons may help us to understand your submission.)

The decision I seek from Environment Waikato is that this provision of the Proposed Regional Policy Statement be:
(Tell us HOW you want the Council to respond to your submission. It is VERY important that you state the decision you wish Council to make. Council can only make changes which have been specifically requested. If you don’t clearly state the decision you want and/or the change you want, Council may not be able to respond in the way you want.)

retained
deleted entirely
deleted and replaced as follows
amended as follows
a new part be added as follows
other as follows

Write the changes you seek here: