Version 2018
Application for hedgerow removal notice.
The Environment Act 1995.
The Hedgerows Regulations 1997
1. Applicant Name and Address
Title: First name:
Last name:
Address 1:
Address 2:
Town:
Address 3:
County:
Country:
Postcode:
Company
(optional):
House
number:
House
name:
House
suffix:
Unit:
2. Agent Name and Address
Title:
House
name:
House
suffix:
House
number:
Unit:
Company
(optional):
First name:
Last name:
Address 1:
Address 2:
Town:
Address 3:
County:
Country:
Postcode:
If you would rather make this application online, you can do so on our website:
https://www.planningportal.co.uk/apply
Local Planning Authority details:
Upon receipt of this form and any supporting information, it is the responsibility of the Local Planning Authority to inform you of its
obligations in regards to the processing of your application. Please refer to its website for further information on any legal, regulatory and
commercial requirements relating to information security and data protection of the information you have provided.
Please be aware that once you have downloaded this form, Planning Portal will have no access to the form or the data you enter into it. Any
subsequent use of this form is solely at your discretion, including the choice to complete and submit it to the Local Planning Authority in
agreement with the declaration section.
Privacy Notice
This form is provided by Planning Portal and based on the requirements provided by Government for the sole purpose of submitting
information to the Local Planning Authority in accordance with the legislation detailed on this form.
It is important that you read the accompanying guidance notes and help text as incorrect completion will delay the processing of your
application.
If printed, please complete using block capitals and black ink.
Please ensure that the information you submit is accurate and correct and does not include personal or sensitive information. If you require
any further clarification, please contact the Local Planning Authority directly.
Publication of applications on planning authority websites
Information provided on this form and in supporting documents may be published on the authority's planning register and
website.
Version 2018
4. Pre-application Advice
Has assistance or prior advice been sought from the local
authority about this application?
NoYes
If Yes, please complete the following information about the advice
you were given. (This will 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:
Reference:
Date (DD/MM/YYYY):
(must be pre-application submission)
Details of pre-application advice received?
5. Hedgerow Removal Notice
Please state the reasons for the proposed removal of hedgerow(s):
Please state the reference number of the plan(s) to be submitted with this application showing the stretch(es) of hedgerow(s) to be
removed:
1. 5.
2. 6.
3. 7.
4. 8.
Please state if the hedgerow to be removed is less than 30 years old:
Yes No
Please answer the following questions (one must be answered 'Yes'):
If Yes, is evidence of the date of planting attached:
Yes No
I am/we are the owner(s) of the freehold of the land concerned:
OR
Yes No
I am/we are the tenant(s) of the agricultural holding concerned:
OR
Yes No
I am/we are the tenant(s) under the farm business tenancy concerned:
OR
Yes No
I am/act for the utility operator concerned:
Yes No
Please confirm the length of the hedgerow to be removed:
3. Site Address Details
Please provide the full postal address of the application site.
House
name:
House
suffix:
House
number:
Unit:
Address 1:
Address 2:
Town:
Address 3:
County:
Postcode
(optional):
Easting: Northing:
Description of location or a grid reference.
(must be completed if postcode is not known):
Description:
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6. Planning Application Requirements - Checklist
Please read the following checklist to make sure you have sent all the information in support of your proposal. Failure to submit 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 (LPA) has been submitted.
The original and 3 copies* of a completed and dated application form:
The original and 3 copies* of a plan which identifies the land to which the
application relates drawn to an identified scale and showing the direction of North:
The correct fee:
*National
7. Declaration
I/we hereby apply for planning permission/consent as described in this form and the accompanying plans/drawings and additional
information. I/we confirm that, to the best of my/our knowledge, any facts stated are true and accurate and any opinions given are the
genuine opinions of the person(s) giving them.
Or signed - Agent:
Signed - Applicant:
Date (DD/MM/YYYY):
(date cannot be pre-application)
8. Applicant Contact Details
Telephone numbers
Country code:
National number:
Extension
number:
Country code:
Mobile number (optional):
Country code:
Fax number (optional):
Email address (optional):
9. Agent Contact Details
Telephone numbers
Country code:
National number:
Extension
number:
Country code:
Mobile number (optional):
Country code:
Fax number (optional):
Email address (optional):
10. Site Visit
Can the site be seen from a public road, public footpath, bridleway or other public land?
No
Yes
If the planning authority needs to make an appointment to carry
out a site visit, whom should they contact? (Please select only one)
Other (if different from the
agent/applicant's details)
ApplicantAgent
If Other has been selected, please provide:
Contact name: Telephone number:
Email address: