COMMENT FORM FOR NIRB SCREENINGS

The Nunavut Impact Review Board (NIRB) has a mandate to protect the integrity of the ecosystem for the existing and future residents of Nunavut. To assess the environmental and socio-economic impacts of the project proposal, NIRB would like to hear your concerns, comments and suggestions about the following project proposal application:

Project Proposal Title:	3 AM-ARV1016 Municipal Water Licence Amendment
Proponent:	Government of Nunavut
Location:	Kivalliq Region
Comments Due By:	July 28, 2021	NIRB #:	21UN019
Indicate your concerns about the project proposal below: no concerns traditional uses of land water quality Inuit harvesting activities terrain community involvement and consultation air quality local development in the area wildlife and their habitat tourism in the area marine mammals and their habitat human health issues birds and their habitat other:____________________________________________ fish and their habitat __________________________________________________ heritage resources in area __________________________________________________ Please describe the concerns indicated above:
Do you have any suggestions or recommendations for this application?
Do you support the project proposal? Yes No Any additional comments?
Name of person commenting:	of
Position:	Organization:
Signature:	Date: