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Q3820Form004_england_en pdf
c_a_fraw31014-Lf-1Fikl-
ITIECENED
05 APR 2013
1
http //www.planningportal _*AptQa4siappPDF/13829Form004_1
RECFAVEJ 1[1,
19 HPAi
FMV,71Yai6VIENfr Ai
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Application for Ranning Permission.
Town and Country Planning Act 1990
You can complete and submit thisform electronically vi a t he Planning Portal by visiting www.planningportal.gov.uk/apply
Publication of applicat ions on planning authority websites
Please note that the information provided on this application form and in supporting documents may be published on the
Authorityswebsite. If you require any further d arificat ion. please contact the Authority's planning department.
Please complete using block capitals and black ink.
It is important that you read the accompanying guidance notes as incorrect completion will delay the processing of your application.
1. Applicant Name and Address
'Title: Fir/ name:I A 1-1 1046LJ
Last name: ‘./k) ,
Company (optional): Oy'rvloAkc
1 House I House number: [ suffix: Unit:
House name:
Address 1: [LYNAM
Address 2: HUT 13 TILGATE RECREATION_
Address 3: CENTRE, TILCATE DRIVE
CR11VtEY H S T USSTX — Town.
County. WWW.DYNAMICADVENTURES.CO.UK
Country: _
Post code:
2. Agent Name and Address
Title.
Last name:
First name: I
Company (optional).
Unit. I House J number: ,
House name:
Address 1
Address 2.
Address 3.
Town: [
County:
Count
P stcode:
House 1 suffix:
3. Descript Ion of the Proposal
Please describe the proposed development including any change of use:
A-IX6 S eniC44 --r-Gr. damn/ , ‘212-
13 fm-ikd1 7-51:'
0) ver/.4
L9r4 CA1'"111 i;." "44(6 /9,414-C, -1-6; izvz s -7> Ar eiw
50:Ct-444 c-7; 4e- 2*- 3 (94---47 ,-7544 ,-75
1 2; Al- 1,,f; SO ( .4 ( 27 ,t ktC4 i 4
Hasthe building, work or change of use already started? [11 Yes
drfes please state the date when building.
uif
. 18/03/2013 14 .
Oro,..t001 cnala..d c.15,1f Rrzchwuu
4. Site Address 1:Fetal 's
Pl ease provid e th th e fu l l p ostal address of th appl I cat i4n9sitilAR
Un it .
- Hou se n ame:
House n umber:
r I
House EpAlitifiN MEM-
Address 1 : , Vs194:4
Address 2 : ccarrz
Ad dress 3 :
Town : C -r
County:
Post code , Optional): ,
Desciiption of location or a grid reference. (must be completed if postcode is not known)*
Easting• [
Description:
tc Givit
Noithing:i
6. Pedestrian and Vehide Access, Roads and Rights of Way
Is a new or altered vehicle access proposed
to oi from the public highway?
Ise new or altered pedestrian
access proposed to or from
the public highway?
Are there any new public roadsto be
provided within the site?
Are there any new public
rights of way to be provided
within or adjacent to the site?
Do the proposals require any diversions
/extinguishments and/or
creation of rights of way?
II Yes gl No
Yes S No
Yes E No
Yes S No
LI Yes RI No
If you answered Yes to any of the above questions, please show details on your plans/drawings and state the reference of the plan
(s)/drawings(s)
1
8. Authority Employee I Member
VIAth respect to the Authority, lam: (a) a membei of staff
(b) an elected member
(c) related to a member of staff
(d) related to an elected member
If Yes, please provide details of the name, relationship and role
W 10
_.1 5. Pr -applIcat on A vice
Hasa stance or prior advice been sought from the local
l''le—es 1:.] aulhon y about this ap pl icat ion ? No W) 1
If Yes:please complete the following information about the advio
you were given (Thiswill help the authority to deal with this
application more efficiently).
Please tick if the full contact details are not
known, and then complete as much as possible:
Officer name:
[ lA
Reference:
Li
Date (DD/MM/YYYY).
(must be pre-application submission)
Details of pre-application advice received?
11,4 el <
A-
k -a-z ela-A-K(SCIJA,
7. Waste Storage and Collect ion
Do the plans incorporate areas to store
and aid the collection of waste?
If Yes, please provide details*
1_,_1 Yes g No
Have arrangements been made
for the separate storage and
collection of recyclable wast e?
If Yes, please provide details'
Li Yes No
Do any of these /at em ents apply to you? 1 1 Yes KIN°
T870372013 12I
3
9. Materials
If applicable, please sate what materials are to he used externally. In elude type, colour and name for each material:
, — _ - 1
Bc it i ng\
(wh ere app i cab le) Li I, Pr oposed
1..1 Q-1- "- ---7 vs.i ori7C (-1 vgf"lree-rc..- 7st;
1 ."J7:17vP ait/1" P-34.1. ,), -J -g",-,, c ..,,,A-raf f ,
Don't
Knom
El VVal l s
A 9 Vi irki - -
Roof
K 42 og -19e- ‘-t g 4--e4e1 4-r4.74.a
,,,,-;:, --44g eg, ),4 ,-. 7 4-wen'
-a-..1 re; 6.----( ,.
V\il ndows 21 Li
Doors
17----..... ,,..., 04 ,/ ,..,, 5-7.,-7,-;,. ia...,_, .e.A: --4,--e. c. c.,2, ,r(4-v i-24 ,
cl,,v -,---, , -or-, /-1 flArkle-1)=-4z. Og
a:-V9 L.L.14-1-4- '"-• ,
i----j r i
Boundary treatments
(e.g . fen ces, wal l s)
Veh icl e access and
h ard-st an d in g 11
Li ght in g gt. [1
Oth ers
(p lease specify) Fl. Ll
Are you supplying additional information on submitted plan(s)/drawing(sYdesign and access statement?
If Yes, please state referen ces for the plan (s)/drawing(s)/desi gn and
a,c 1 — /42,(2,25(44- aava.-.)...a.s ap,c, -.2- - 5v7a i....f.x.'rel2.,4
ax- ..-7 —
• -4-://Ka "C-0-).-,; '1' /4.AN
POC- V. —
i. 047k_ K-- "-- '7.445(2 so , ed Cr- 1-45-1Z4‘t
4394 S'e -- 41;5( k k.) ■7 4C-C "S 67dreltIA,C41<-
P4P -
access st atement:
2"Yes No
ez °I.A4 a.St
LiSag
A46.4
V risTAAn. r-1 7̂ nhr+A 4426 4r '2;0
bls kVA wref c_t torrAi ."Ini 4;9,
e10. Vehicle Parking
Please provide infoi mati on on the existing and proposed number of on-site parking spaces:
Type of Veh i cl e Tot al Ex i di n g
Tota l proposed (inclu di n g spaces retai n ed)
Differen ce i n sp aces
Cars No .JX
Li ght goods veh i cles/ p ubl ic carri er veh ic les
___
_____
Motorcycl es k,, N
Di sab il i ty spaces l-■ A ,... ‘
4' 1 0 Cycle spaces t/". c)-- v 1 8/03/20 1 3 1 '
QaM.Fre= e rtinittirtIncluding Conversion)
Does your proposal include the gain , loss or change of use of residential units?
If Yes, please complete clet ail s of the changes in the t ables below:
Proposed Housing
5
Si • • ,14•31111, • • .
Market
Housing Not
kn own
- Number of Bedrooms Tot al
1 3 4+ Unknown
H ou ses Li
Fl ats and mai so n ett es D
Live-wo rk u n i t s
Cl u ster fl at s
Si elt ered hou sin g Li
Bedsi t /st u d i o s LI
Un kn own type C •■••■•••■•••■■•
Totals (a + b + c + d + e+ f + g) =
Social Rented Not
kn own
Number of Bedrooms Tot al
1 2 4+ Un known
H ouses C
Rat s and mai son ett es
Live-work u n i t s
Clu ster fl at s Li
elt ered hou sin g
Bedsit /st u d i o s
Unkn own type LI
Totals (a + b+ c+ d+ e+f+ g)=
Yes jJN
Market Housing
Houses
Flats and maisonettes
F-11
1 cj
Edst ngpousingi,. AND
Not
known
Li
LI
3 4+ Unknown
Live-work units
Cluster flats
Sheltered housing
Bedsit//uclios
Unknown type
LI
LI
0
LI
Totals (a + b + c + d+ e+ f + g)=
Int ermed i ate Not
kn own
Number of Bedroom s Tot al
1 2 3 4+ Unkn own
H ouses
Flats and mai sonett es
Live-work u n it s 0
au ster fl at s 0
Si el t erecl h ou sin g 0
Bedsi t / st u d i os 0
Unknown type 0
Totals (a + b + c + d + e+ f + g) =
Key worke r Not
kn own
Number of Bedroom s Tot al
1 2 3 Un kn own
Hou ses Li
Flats and mai son ettes 0
Live-wor k un it s Li
Cl u st er fl at s
el t ered h ou si n g Li
Bedsit /st udi os Li
Un known t ype 0
of 10 Totals (a + b+ c+ di- e+ f +
Social Rented Not
known
Number of Bedrooms Tot
3 4+ Unknown
Houses
Flats and maisonettes Li
Live-work units Li
Cluster flats Li
aieltered housing Li
Bedsit/studios El
Unknown type LI
Totals (a +b +c+ d+ e+f+ g) =
I nt e rmed i ate Not
kn own
Numb er of Bedroom s Tot a
1 2 3 4+ Unkn own
Ho u ses 11
Fl ats and mai son ett es ri
Live-work u n it s 0
Cluster fi at s i_i
ai el t ered h ou sin g E
Bedsi t / st u d i os u
Unknown type 0 .
Totals (a + b + c + d + e+ f + gi =
ey worker Not
known
Number of Beck oom s Tot a
1 3 4+ Unknown
Houses
Flats and maisonettes
Live-work units LI
Clu/ei flats
aieltered housing
LI
LI
Bedsit/studios
Unknown type LI
Totals (a +b+ c+ d+ e+f+ g) = 13 14
ClerrtiZZI=e1n=1 Processesand Machinery
7
Please describe the activities and processes wh ich would
be carried out on the site and the end productsincluding
plant, ventilation or air conditioning Please include the
type of machinerywhich may be in /ailed on site:
1st he proposal a waste management development? [j Yes
If the answer is Yes, please complete the following table:
1 1 1 19 tJ1\,',1-1 2
, ,:i I
i
'
,
\, •-'',i=1,'I l'E---', '_'_'-'- `=.' - -- ---- -- 1 = -I-V,
The t otal capacity of th e voi d in cub ic metres, inclu di ng en gin eerin g su rcharge and makin g no a l lowance for cover o r rest orati on m ateri al (or
t on nes i f sol id waste or R i es if l i qui d waste)
Max im um an nu al operat ion al t h rou gh put in ton n es
(o r l i t res if l iq u id wast e )
I n ert l an dfil l [li
Non-hazardou s lan dfi l l 0
Hazardous l an dfi l l Li
En ergy from wast e in ri
Oth er i n c in eration 0
Landfi l l g as g en erat ion pl ant 0
Pyrolysi s/gasificat ion 0
Metal recycl in g sit e E
Tran sfer st at i on s E
Materi a l recovery/ recycl i n g faci l i t i es (MRPs) L.1
Hou sehol d civ i c amen ity sit es Fl
Open win drow compost in g E
In-vessel compost ing 0
Anaerob ic digest i on •
Any comb i ned mech an i cal , b i o logical and / or th ermal t reatment (MBT)
ri
Sewage t reatment works 0
Oth er t reatment H Recycl i n g faci l i t i es constru ct i on , demol it i on
and ex cavat i on wast e r
Soi age of waste [..1
Othei wale management n Ot her devel opments 0
Pl ease provi de t he maximum ann ual operat ion al t h roughput of t h e fo l lowi ng waste st ream s:
Mun i cipal
Con st ru ct i on , demol it i on and excavat i on
Comm erci al and industrial
Hazardous
If this is a landfill application you will need to provide further information before your application can be determined. Your waste planning authority should make clear what information it requires on its webste
23. Hazardous Substances
Doesthe proposal involve the use ot storage of any of
the following matenalsin the quantities stated below? I I Yes 11-7No Li Not applicable
If Yes, please provide the amount of each substance that is involved:
Actylon Mile (tonnes)
Ammonia (tonnes) [
of 10
Bromine (tonnes)
Bhylene oxide (tonnes)r-
Hydrogen cyanide (tonnes) [ I
Liquid oxygen (tonnes)[----
Phosgene (tonnes) r--
ailphur dioxide (tonnes) L
Flour (tonnes) LI , _J8/03/2013 14
/ - A /- -7171, /l1,1 LI /1, ---A/1 A
24. OwneFsh p art
One Cert ifi cate A . B. C,
Town and Country I ceit ify/The app l i cant cert ifi es
ownei (owner i s a person wh ich the appl i cat ion ' el ates
Sign ed - Ap
. . . . . . . - - • — - Mates
or D . must be completed. together with the Agri cultural Holdings Cei t if i cat e wit h t hi s appl icat ion f of m
CER11 FI CATE OF OWNERSHI P - CERT1FI CATE A
Pl anning (Devel opment Management Procedui e) (England) Order 201 0 Cert ifi cat e under Art icl e 1 2
t h at on the day 2 1 clays b efore t h e d at e of t h i s ap pl i cat ion nobody except myself/ t he app l i can t was t h e
wi th a freeh ol d i n terest or l ea sehol d i nterest wi th at l ead 7 years left to i u ri) otanyiai t of th e land oi b u i l d i n g to ._ --• - -
Li_ t a signed - Agent : '
pl – ' t Date (DD/MM/YWY
I 1 ei NA,2 2c ; „) , 1 lelz h3
CER11F1 CATE OF OWN IP -117 kit- - Auri Town and Count ry Pl anning (Deve lopment Management Pr edt I 4 Mer+1.09 ,C rtifi cat e under Art ide 1 2
I cei t ify/ The app l i cant cert ifi es t hat I have/t h e app l i can t h as g iven the reciOrttbbti etti 'eve cin -else (as l i sted b el ow) wh o on th e th
21 days befo re t h e date of th i s app l icat i on , was th e owner (own er i s a person wi th a freehol d i nt erest or I ea %h ol d i nt ei est with at l east 7 yea
left to run ) of any p art of the l and o i b u il d i n g to wh i ch t h i s app l i cat i on rel ates
Name of Owner Address Date Not i ce Served
Gezes...) ..„c-f /3 .' - '1 •"r" :,..--4.1 A.I 1-141-1.--, °IV /3.DA.A. ,-4.11 t) A vI4, / 0,44,4,4?1
( -̂h-%1 S A--
. i
( Sr6kt
Sign ed - A : Cr signed - Agent . Date ( DD/MM/YYYY
L , CER11FI CATE OF OWNERSHIP - CERT1FI CA TE C
Town and Count Ty. Pl anning (Deve lopment Management Procedui e ) (Engl and ) Order 20 1 0 Cert i fi cate undei Articl e 1 2 I cat ify/ The app l i can t ceit ifies t h at
• Nei th er Cert ifi cate A or B can be i ssu ed for t h i s ap p l i cat i on • Al l reasonabl e steps h ave been t aken t o fi n d out t he n ames and addt esses of t h e ot her own ers (owner i s a person with a freeh o ld o l d
in terest o i lea sehol d i nt erest with at l east 7 yeai s left to i un )of t h e l an d or bu i l di ng , o r of a part of it . bu t I h ave/ t he app l i can t h as been u n ab le to do so . _ —
The st eas t aken were:
Name of Owner Addre Date Not i ce Served
Notice of the application has been publ'shed in the following newspaper On the following date (which must not be earliet (circulating in the area where the land is situated): than 21 days beforethe date of the application):
8 cin 0 I — 18/03/20T31
24. Ownefsh p art ficates(continued)
CERTIFICATE OF OWNERSHIP - CERTIFICATED
Town and Country Planning (Development Management Procedur e) (England)Ale12,040-Certificate-under Article 12 „op-- I certify/ The applicant ceitifies that
Certificate A cannot be issued for this application
All reasonable steps have been taken to find out the names and addresses of veryone else who, on the day 21 days before the
date of this application, wast he owner (ownei is a person with a freehold interd or lea sell o)l tritpr**,with at least T years left to run
of any part of the land to which this applicat ion relates, but I have/ the applic it has bedn'AinlYle tb"dO so
-
° HCA
The st epstaken were:
Notice of the application has been published in thefalloWing newspaper On the following date (which must not be earlier
(circulating in the area \Miele the land i s situat than 21 days befoi e the date of the application):
[
Signed- Applicant: Cr signed -Agent:
i1 1L_ Date (DD/MM/YYYY
`25. Agricultural Land Declaration
AGRICULTURAL LAND DECLARATION
Town and Count, y Planning (Development Management Procedure) (England) Or der 2010 Cert ificate under Article 12
Agricultural Land Declaration - You Must Complete ether A or B
ich the application telatesis,oi is part of, an agricultural holding
Q signed -Agent*
(A) Non e of the land to
Si4.
gned - Applic
(B) I have/ The applicant h given the requisite notice to every person other than myself/ t
before the date of this application, was a tenant of an agricultural holding on all or pa
as listed below:
elpplicant who, on the day 21 days he land to which this application relates,
Name of Tenant Adckiss' Date Not i ce Served
--- „---
.--•
,- ,--
Vr.'
, V
7
,
agned-Applican Q signed -Agent:
it Date (DD/MM/YYYY
26. Planning Application Requirements-Checklist
Please read the following checklist to make sure you have sent all the info' mation in support of your proposal. Failure to al bmit all information required will result in your application being deemed invalid. It will not be considered valid until all information required by
the Local Planning Authority has been submitted.
The original and 3 copies of a completed and dated The correct fee: application form:
The original and 3 copies of the plan which identifies the land to which the application relates drawn to an identified scale and showing the diiection of North:
original and 3 copies of other plans and drawings or
The original and 3 copies of a design and access statement,
if i equired (see help text and guidance not es for details)*
The original and 3 copies of the completed, dated Ownership Certificate (A, B. C. or D- as applicable).
[7_
18/03/2013 1,
'
27. Declarat on
I/we hereby apply for planning permission/con
info) mation I/we confirm that .to the best of my/our k
genuine opinion of the person(s) giving them.
Sgned - App Ii
• 111 I I • • • • • • • •
ri egtth-isfOrip—and the accompanying plans/drawings and additional g , facts stated re true and accurate and any opinions given arethe
°r sign Olit Date (DD/MM/YYYY):
F-77 Mr- ' ',' ____.
_ 6 \I 0 ' ZI t'' ' 1 1 .1\w,,-:-, 1_ ,, " - ,- , - 1`,:, ' , --_ -_1
\ 1 8 13 A
3 1
(date cannot b pre-applicatior
28. Applicant Contact Details
Telephone numbers
Country code. National number: = si
f 'I
&tension number.
Country code: Mobile number (optional):
411MIIMMOB Country code: Fax number (optional):
c-m-Email address (optional):
29. Agent Contact Details
Telephone numbers
Country code: National number.
- Extension number:
Country code: Mobile number tion al):
Country code: Fa,ntmber (optional):
Brian ad ss (optional):
r30. Site Visit
Can the site be seen from a public road, public footpath, bridleway or other public land?
If the planning authority needs t o make an appointment to carry
out a site visit ,whom should they contact? (Flease select onlyone)
If ether has been selected, please provide:
Contact n ame: Telephone number:
17-Yes
n Agent Applicant
Snail address [
pi No
Fl Other (if different from th I
agent/applicant's details)
0 of 10 18/03/201314