Application for Resource Consent
Section 88, Resource Management Act 1991
To (name of local authority or regional council in the case of a coastal permit).
I, (full name), apply for the following type(s) of resource consent:
(For any activity in the coastal marine area, state coastal permit. Otherwise state 1 or more
of the following: land use consent, subdivision consent, water permit, or discharge permit.
Describe the activity to which the application relates.)
*The names and addresses of the owner and occupier (other than the applicant) of land to
which the application relates are as follows:
(Give names and addresses)
*Delete if not applicable
The location of the proposed activity is as follows:
(Describe the location as it is commonly known and in a way that will enable it to be easily
identified e.g. the street address, the legal description, the name of any relevant stream,
river, or other water body to which the application relates, proximity to any well-known
landmark, the grid reference if known).
No additional resource consents are needed for the proposed activity (or the following
additional resource consents are needed for the proposed activity and have (or have not)
been applied for: (Give details).
I attach, in accordance with the Fourth Schedule of the Resource Management Act 1991,
an assessment of environmental effects in the detail that corresponds with the scale and
significance of the effects that the proposed activity may have on the environment.
I attach any information required to be included in this application by the District Plan,
the Regional Plan, the Resource Management Act 1991, or any regulations made under
(List all documents that you are attaching).
*As this is an application for a subdivision consent, I attach information that is sufficient
to adequately define:-
(a) the position of all new boundaries; and
(b)** the areas of all new allotments; and
(c) the locations and areas of new reserves to be created, including any esplanade
reserves and esplanade strips; and
(d) the locations and areas of any esplanade reserves, esplanade strips and access