Our preferred methods of corresponding with you are by email and phone.
The decision will be sent to the Correspondence Details via email unless requested otherwise.
CORRESPONDENCE DETAILS // If dierent than above – E.g. consultant, agent or architect
Name & Company:
Phone Numbers: Day Mobile:
Email Address:
APPLICANT //
*Applicant’s Full Name / Company / Trust:
(Name Decision is to be issued in)
All trustee names (if applicable):
Contact Name if Company or Trust:
*Postal Address: *Post code:
*Contact details supplied must be for the Applicant and not for an agent acting on their behalf and must include a valid postal address
*Email Address:
*Phone Numbers: Day Mobile:
The Applicant is:
Owner Prospective Purchaser (of the site to which the application relates)
Occupier Lessee
Other - Please Specify
Must be a person or legal entity (limited liability company or trust).
Full names of all trustees required.
The applicant name(s) will be the consent holder(s) responsible for the consent and any associated costs.
*Attention:
*Postal Address: *Post code:
*Email:
Applicant: Agent: Other, please specify:
Email: Post:
*Please provide an email AND full postal address.
INVOICING DETAILS //
Invoices will be made out to the applicant but can be sent to another party if paying on the applicants behalf.
For more information regarding payment please refer to the Fees Information section of this form.
*Please select a preference for who should receive any invoices and how they would like to receive them.
8Page 1/7 // january 2019
APPLICATION FOR RESOURCE CONSENT
ARROWTOWN TREE
REMOVAL OR PRUNING
Under Section 88 of the Resource Management Act 1991 (Form 9)
PLEASE COMPLETE ALL MANDATORY FIELDS* OF THIS FORM.
This form provides contact information and details of your application. If your form does not provide the required information it will be returned
to you to complete. Until we receive a completed form and payment of the initial fee, your application may not be accepted for processing.
BRIEF DESCRIPTION OF THE PROPOSAL
CONSENTS APPLIED FOR
PREAPPLICATION MEETING OR URBAN DESIGN PANEL
Land use consent to undertake the following to a tree or group of trees identied in
Schedule 32.7 Arrowtown Character Trees’ of the Proposed District Plan.
Removal Signicant Trimming Works, building or excavation within the root protection zone
Land use consent to undertake the following to a tree identied in
Schedule 32.8 ‘Protected Trees’ of the Proposed District Plan.
Removal Signicant Trimming Works, building or excavation within the root protection zone
Have you had a pre-application meeting with QLDC or attended the urban design panel regarding this proposal?
Yes No Copy of minutes attached
If ‘yes’, provide the reference number and/or name of sta member involved:
DETAILS OF SITE
Address / Location to which this application relates:
Legal Description: Can be found on the Computer Freehold Register or Rates Notice – e.g Lot x DPxxx (or valuation number)
Queenstown Lakes District Council
Private Bag 50072, Queenstown 9348
Gorge Road, Queenstown 9300
P: 03 441 0499
E: resourceconsent@qldc.govt.nz
www.qldc.govt.nz
8Page 2/7 // january 2019
FEES INFORMATION
FEE REQUIRED: $730
Section 36 of the Resource Management Act 1991 deals with administrative charges and allows a local authority to levy
charges that relate to, but are not limited to, carrying out its functions in relation to receiving, processing and granting of
resource consents (including certicates of compliance and existing use certicates).
An initial fee for processing this application will be charged at the time of lodgement in accordance with QLDC’s fee
schedule. This initial fee must accompany your application for processing to commence. If the initial fee is insucient to
cover the actual and reasonable costs of work undertaken on the application you will be required to pay any additional
amount and will be invoiced monthly as work on the application continues. Please note that if the Applicant has
outstanding fees owing to Council in respect of other applications, Council may choose to apply the initial fee to any
outstanding balances in which case the initial fee for processing this application may be deemed not to have been paid.
Invoiced sums are payable by the 20th of the month after the work was undertaken. If unpaid, the processing of an
application, provision of a service, or performance of a function will be suspended until the sum is paid. You may also be
required to make an additional payment, or bring the account up to date, prior to milestones such as notication, setting
a hearing date or releasing the decision. In particular, all charges related to processing of a resource consent application
are payable prior to issuing of the decision. Payment is due on the 20th of the month or prior to the issue date –
whichever is earlier.
If your application is notied or requires a hearing you will be requested to pay a notication deposit and/or a hearing
deposit. An applicant may not oset any invoiced processing charges against such payments.
Section 357B of the Resource Management Act provides a right of objection in respect of additional charges. An objection
must be in writing and must be lodged within 15 working days of notication of the decision.
LIABILITY FOR PAYMENT – Please note that by signing and lodging this application form you are acknowledging that
the Applicant is responsible for payment of invoices and in addition will be liable to pay all costs and expenses of debt
recovery and/or legal costs incurred by QLDC related to the enforcement of any debt.
MONITORING FEES – Please also note that if this application is approved you will be required to meet the costs of
monitoring any conditions applying to the consent, pursuant to Section 35 of the Resource Management Act 1991.
DEVELOPMENT CONTRIBUTIONSYour development, if granted, may also incur development contributions under the
Local Government Act 2002. You will be liable for payment of any such contributions.
PRIVACY INFORMATION
The information you have provided on this form is required so that your application can be processed under the Resource
Management Act 1991 and may also be used in statistics collected and provided to the Ministry for the Environment and
Queenstown Lakes District Council. The information will be stored on a public register and may be made available to the
public on request or on the companys or the Council’s websites.
INFORMATION REQUIRED TO BE SUBMITTED //
Attach to this form any information required
(see below & appendix 1).
To be accepted for processing, your application for tree removal/pruning should include the following:
For all applications:
Computer Freehold Register for the property (no more than 3 months old)
and copies of any consent notices and covenants.
(Can be obtained from Land Information NZ at https://www.linz.govt.nz/).
An aerial photo / plan showing the locality.
A plan / map or sketch the location of trees on the site.
Photos of the subject tree(s).
Written approval of every person who may be adversely aected by the granting of consent (s95E).
Assessment of Eects on the Environment (AEE). An AEE is a written document outlining how the potential
e
ects of the tree removal /pruning/works have been considered. The matters of discretion and relevant policies are
in Part 32 of the Proposed District Plan. See Appendix 1 for guidance on preparing your AEE.
Arborist Report (if obtained)
We prefer to receive applications electronically – see Appendix 2 - Naming of Documents Guide
Please ensure documents are scanned at a minimum resolution of 300 dpi.
Each document should be no greater than 10mb
8Page 3/7 // january 2019
APPLICATION & DECLARATION
The Council relies on the information contained in this application being complete and accurate. The Applicant must take all reasonable
steps to ensure that it is complete and accurate and accepts responsibility for information in this application being so.
If lodging this application as the Applicant:
I/we hereby represent and warrant that I am/we are aware of all of my/our obligations arising under
this application including, in particular but without limitation, my/our obligation to pay all fees and
administrative charges (including debt recovery and legal expenses) payable under this application
as referred to within the Fees Information section.
If lodging this application as agent of the Applicant:
I/we hereby represent and warrant that I am/we are authorised to act as agent of the Applicant in
respect of the completion and lodging of this application and that the Applicant is aware of all of
his/her/its obligations arising under this application including, in particular but without limitation,
his/her/its obligation to pay all fees and administrative charges (including debt recovery and legal
expenses) payable under this application as referred to within the Fees Information section.
I hereby apply for the resource consent(s) for the Proposal described above and I certify that, to the best of my
knowledge and belief, the information given in this application is complete and accurate.
Signed (by or as authorised agent of the Applicant) **
Full name of person lodging this form
Firm/Company Dated
**If this form is being completed on-line you will not be able, or required, to sign this form and the on-line lodgement will be treated as
conrmation of your acknowledgement and acceptance of the above responsibilities and liabilities and that you have made the above
representations, warranties and certication.
OR:
PLEASE TICK
Please note processing will not begin until payment is received (or identied if incorrectly referenced).
PAYMENT // An initial fee is payable upon lodging this application.
I conrm payment by:
Bank transfer to account 02 0948 0002000 000 (If paying from overseas swiftcode is – BKNZNZ22)
Cheque payable to Queenstown Lakes District Council attached
Manual Payment at reception (can only be accepted once application has been lodged and
acknowledgement email received with your unique RM reference number
*Reference
*Amount Paid
(For required initial fees refer to website for Resource Consent Charges or speak to the Duty Planner by phoning 03 441 0499)
*Date of Payment
Please ensure to reference any banking payments correctly. Incorrectly referenced payments may cause delays to the
processing of your application whilst payment is identied.
Please reference your payments as follows:
Applications yet to be submitted: RM followed by rst 5 letters of applicant name e.g RMJONES
Applications already submitted: Please use the RM# reference that has been assigned to your application, this will have
been emailed to yourself or your agent.
Queenstown Lakes District Council
Private Bag 50072, Queenstown 9348
Gorge Road, Queenstown 9300
P: 03 441 0499
E: resourceconsent@qldc.govt.nz
www.qldc.govt.nz
8Page 4/7 // january 2019
Please select
click to sign
signature
click to edit
APPENDIX 1 // Assessment of Eects on the Environment (AEE)
Section 88 and the 4th Schedule of the RMA set out the information required for making an application and an
assessment of eects on the environment. Depending on the complexity of the application, the Council may require these
are strictly adhered to. Generally, an assessment using the following criteria will be sucient.
Your application should include an assessment of the proposal against the matters of discretion and policies in Chapter
32: Protected Trees of the Proposed District Plan.
The Matters of Discretion for removal, pruning or works to Arrowtown Character Trees are:
SIGNIFICANT TRIMMING, REMOVAL, DESTRUCTION OR DAMAGE:
The signicance of the character, cultural and amenity values of the tree(s) and the degree to which the proposed
trimming, works or removal would impact on those values.
The ecient use of land and resources, including reasonable sunlight into dwellings and building maintenance.
Whether the proposed works would maintain the values for which the tree was protected.
The merits of any substitute or compensating tree planting or landscaping.
Whether the removal of the tree or group of trees would create a cumulative adverse eect due to previous tree
removals, whether on the same property or not.
Queenstown Lakes District Council
Private Bag 50072, Queenstown 9348
Gorge Road, Queenstown 9300
P: 03 441 0499
E: resourceconsent@qldc.govt.nz
www.qldc.govt.nz
8Page 5/7 // january 2019
WORKS WITHIN THE ROOT PROTECTION ZONE:
Potential eects on the health or stability of the tree or hedgerow
Whether best practice methods will be used
Whether any alternatives are available
POLICIES RELATING TO ARROWTOWN CHARACTER TREES IN PART 32.2.3 OF THE PROPOSED
DISTRICT PLAN
Protect or enhance Arrowtowns unique character and amenity by recognising the contribution trees and groups
of trees make to Arrowtowns landscape, cultural identity and historic heritage values.
Acknowledge the important role trees and groups of trees have in contributing to the character and historic
heritage of Arrowtown, despite that on an individual basis a tree or group of trees may not be signicant
in stature.
Have regard to the reasonable and ecient use of land anticipated in the Arrowtown Residential Historic
Management zone, while ensuring the removal or modication of trees or groups of trees does not lead to the
cumulative loss of Arrowtowns heritage character and amenity values.
The removal, pruning and works to a protected tree listed in Schedule 32.8 are not limited to the matters set out above,
however they can be used for assistance with your AEE. Proposals to remove a Protected Tree could require a more
detailed application.
Queenstown Lakes District Council
Private Bag 50072, Queenstown 9348
Gorge Road, Queenstown 9300
P: 03 441 0499
E: resourceconsent@qldc.govt.nz
www.qldc.govt.nz
8Page 6/7 // january 2019
APPENDIX 2 // Naming of documents guide
While it is not essential that your documents are named the following, it would be helpful if you could title your documents
for us. You may have documents that do not t these names; therefore below is a guide of some of the documents we
receive for resource consents. Please use a generic name indicating the type of document.
Application Form 9
Assessment of Environmental Eects (AEE)
Computer Register (CFR)
Arborist Report
Site Plan / Photos
Queenstown Lakes District Council
Private Bag 50072, Queenstown 9348
Gorge Road, Queenstown 9300
P: 03 441 0499
E: resourceconsent@qldc.govt.nz
www.qldc.govt.nz
8Page 7/7 // january 2019
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