2017 Gingin Satellite Airfield Water Use Survey
This Water Use Survey has been designed as part of the Gingin Satellite Airfield Environmental Investigation to collect information about water supply and use on properties around the base.
Your participation in this survey is voluntary and you do not have to provide an answer to each question if you choose not to. There is a privacy statement below that explains how the information you provide will be used.
If you need this survey in a language other than English, if you have any questions about the survey or if you would like to complete the survey over the phone, please contact the Gingin Satellite Airfield community information line.
A PDF version of the survey is below:
Please return the completed survey to firstname.lastname@example.org
This information is being collected by Jacobs on behalf of the Department of Defence.
Your response will inform Defence’s investigation of the environmental conditions in the Gingin Satellite Airfield investigation area. Supply of this information is voluntary. If you choose not to provide this information, Defence will not be able to take into account your specific circumstances.
The information you provide may be shared with Defence’s technical advisors, relevant government agencies and organisations, and business entities directly involved in the environmental assessment program. Such organisations may include but are not limited to:
- WA Department of the Premier and Cabinet
- WA Departmentment of Water and Environmental Regulation
- WA Department of Health
- WA Department of Primary Industries and Regional Development