$Date:: 2012-07-17 #$ $Revision: 4636 $
Application for prior notification of agricultural or forestry development - excavation/waste material.
Town and Country Planning General Permitted Development Order 1995
Schedule 2, parts 6 & 7
You can complete and submit this form electronically via the Planning Portal by visiting www.planningportal.gov.uk/apply
Publication of applications on planning authority websites
Please note that the information provided on this application form and in supporting documents may be published on the
Authority’s website. If you require any further clarification, 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: 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:
$Date:: 2012-07-17 #$ $Revision: 4636 $
4. The Proposed Excavation/Waste Deposition
What is the area of the proposed works? (Please give your answer in
either square metres or hectares and specify which)
What is the approximate total
volume of the proposed works:
Square metres/hectares (delete as appropriate)
Have previous excavations or
waste deposits been carried out?
Yes
No
Please state the size and number of the holding:
Size Number
Please describe the materials that any waste brought onto the
land from elsewhere would be composed of (e.g. top soil, sub soil,
demolition waste, rubble etc).
Would any excavated material be
retained within the agricultural holding?
Yes No
Please state the depth of excavation,
landfilling or height of landrasing:
If Yes, please provide the total
area of the previous works:
Please provide a detailed description of the proposed works:
Cubic metres
Square metres/
hectares
Would the works affect any watercourse, surface or groundwater
(e.g. infilling of old ponds, diversion or damming of streams,
rivers, brooks or drains, creation of lakes)?
Yes
No
5. Agricultural and Forestry Developments
What is the area of the parcel of land where the development is to be located? Please tick only one box:
Less than 0.4 hectare Less than 1 hectare but at least 0.4 hectare1 hectare or more
What is the area of the proposed agricultural unit?
Square metres/Hectares (delete as appropriate).
How long has the land on which the proposed development would be
located been in use for agriculture for the purposes of a trade or business?
Years:
Months:
Is the proposed development reasonably necessary for the purposes of agriculture?
Yes No
If Yes, please explain why:
Is the proposed development designed for the purposes of agriculture?
Yes No
If Yes, please explain why:
Does the proposed development involve any alteration to a dwelling?
Yes No
Is the proposed development more than 25 metres from a metalled
part of a trunk or classified road?
Yes
No
Is the proposed development within 3 kilometres of an aerodrome?
Yes No
What is the height of the proposed development?
Not applicable
metres
Would the proposed development affect an ancient monument, archaeological site or listed
building or would it be within a Site of Special Scientific Interest or a local nature reserve?
Yes No
If Yes please provide details:
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:
If Yes, please describe:
$Date:: 2012-07-17 #$ $Revision: 4636 $
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 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:
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: