The following supporting documents for this application are attached to this form: 5.1 Original Environmental Authorization 5.2 Any amendments/addendums to the original Environmental Authorization details of environmental assessment practitioner (if applicable) Full names of Environmental Assessment Practitioner Address Telephone number Fax number Cellphone number E-mail Signature of Environmental Assessment Practitioner Date DETAILS OF APPLICANT
The following supporting documents for this application are attached to this form: 5.1 Original Environmental Authorization 5.2 Any amendments/addendums to the original Environmental Authorization details of environmental assessment practitioner (if applicable) Full names of Environmental Assessment Practitioner Address Telephone number Fax number Cellphone number E-mail Signature of Environmental Assessment Practitioner Date DETAILS OF APPLICANT