Appendix C - Cultural Heritage Impact Assessment - Peabody Energy

Office Use Only
Entered by (I.D.)
Site Number
Aboriginal Site Recording Form
AHIMS Registrar
PO Box 1967, Hurstville NSW 2220
Date received Date entered into system Date catalogued
Information Access
Gender/male
For Further Information Contact:
Gender/female Location restriction General restriction No access
Nominated Trustee
Title Surname First Name
Organisation
Address
Initials
Office Use
Only
Client on
system
Phone number
Fax
Knowledge Holder
Title Surname First Name
Organisation
Address
Phone number
Fax
Aboriginal Heritage Unit or Cultural Heritage Division Contacts
Initials
Client on
system
Geographic Location
Site Name W A M B O S I T E 3 6 1
Easting 3 1 0 9 9 3 Northing 6 3 9 2 0 5 4
Mapsheet D O Y L E S C R E E K
Zone 56
Location Method Differential GPS
AGD/GDA
GDA
Other Registration
Primary Recorder
Title Surname First Name
M S G I L L I A N G O O D E
Initials
Organisation
Address
Phone number
Date recorded
R P S
P O B O X 4 2 8 H A M I L T O N N S W 2 3 0 3
2 4 9 4 0 4 2 0 0 Fax 2 4 9 6 1 6 7 9 4
4/4/2012
Client on
system