Fill - Free fillable Form B Assessments of Environmental Effects: Application for (Hawkes Bay Regional Council New Zealand) PDF form

Form ‘B’ – Assessments of Environmental Effects

Application for Forestry or Woodlot

Applicant Name: _______________________________________ (from form A, Q1.4)

1. Details of the Changes of Conditions Requested

or NA New consent  (move to Q 2)

1.1 What is the number of the consent you wish to change? _____________________

1.2 Attach a copy of the consent, with annotations showing the changes you are requesting, or

state specifically the changes you wish to make below.

Condition # Change requested

_____________ _______________________________________________________

_______________________________________________________

_____________ _______________________________________________________

_______________________________________________________

_____________ _______________________________________________________

_______________________________________________________

_____________ _______________________________________________________

_______________________________________________________

_____________ _______________________________________________________

_______________________________________________________

DETAILS OF THE ACTIVITY

2 Location of the Activity: ____________________________________________________

2.1 Name of forest or woodlot: _________________________________________________

_________________________________________________________________________

2.2 What is the total area of the property? ________________________________ha

2.3 What is the total area of the forest or woodlot? _________________________ha

2.4 What is the erosion susceptibility classification zone for the forest area where

activities require consent?

Green: area (ha) area (%)

Yellow: area (ha) area (%)

Orange: area (ha) area (%)

Red: area (ha) area (%)

LUC Class 8e

1

area (ha) area (%)

No zone: area (ha) area (%)

1

LandUseCapability(LUC)Class8e:meanslanddefinedasLUCclass8eintheESCriskmapsandislandthathasseveretoextremeerosion

limitationsorhazardsthatmakelandunsuitableforarable,pastoral,orcommercialforestuse.TheESCtoolisavailableontheMPIwebsite:

https://www.teururakau.govt.nz/growing‐and‐harvesting/forestry/national‐environmental‐standards‐for‐plantation‐forestry/erosion‐

susceptibility‐classification/

2.5 What river catchment(s) is the forest / woodlot in

2

? ____________________________

________________________________________________________________________

2

Note:refertoCouncil’sonlinecatchmentmap:https://www.hbrc.govt.nz/environment/farmers‐hub/find‐my‐catchment/



2.6 Do you hold any existing Hawkes Bay Regional Council resource consents for

activities in the forest/woodlot? (e.g. existing culverts). If so, please specify the

consent/AUTH numbers:

________________________________________________________________________

2.7 What is the Territorial Local Authority in which the activity will be located

 Hastings District Council

 Central Hawkes Bay District Council

 Wairoa District Council

 Taupo District Council

 Rangatikei District Council

 Napier City Council

2.11 Detail the consultation undertaken with any interested or potentially affected parties,

such as tangata whenua, and the views of those consulted. Attach correspondence if

appropriate.

The consultation undertaken and the information provide is to aid the Council in determining

who may be adversely affected by the proposal.

________________________________________________________________________

2.12 Provide details of upstream and downstream catchment characteristics.

 Watercourses/Coastal Marine Area (name, size, proximity to proposal, perennial or

ephemeral, etc.).

____________________________________________________________________

 Drainage patterns/size of catchments (e.g. any known flooding issues or ponding areas)

____________________________________________________________________

2.13 Information required:

Provide the following:

 A plan/aerial photograph showing the following information: the proposed activity or

activities in relation to roads, property boundaries, neighbouring properties,

watercourses, wetlands

existing surrounding infrastructure and structures such as

bridges and culverts, and any other relevant features of the surrounding environment.

 GPS coordinates (NZTM) for the activity (s)

3 Afforestation – (Regulations 8-17)

Afforestation means planting and growing plantation forestry trees on land where there is

no plantation forestry and where plantation forestry harvesting has not occurred within the

last 5 years; but does not include vegetation clearance from the land before planting

MPI Guidance on afforestation: https://www.mpi.govt.nz/dmsdocument/27933/loggedIn

3.1 Why is consent required?

Regulation

Tick Activity Status Matters of discretion

Cannot meet Regulation 9(2b) –

Afforestation in a red zone

greater

than 2ha in a calendar

year

Regulation 16(2)(b) -

Restricted discretionary

Regulation 17(4)

Cannot meet Regulation 11 –

Wilding tree risk and control

Regulation 16(2)(a) -

Restricted discretionary

Regulation 17(1)

Cannot meet Regulation 12 –

Significant natural areas and

outstanding features and

landscapes

Cannot meet Regulation 14(3) –

setbacks

Regulation 16(2)(a)

-

Restricted discretionary

Regulation 17(3)

3.2 Reasons for non-compliance with reguation(s) – Please explain why you cannot meet

any of the above regulations: ______________________________________________

________________________________________________________________________

3.3 Except for the other non-compliance you have noted above, will you continue to meet

all other relevant permitted activity regulations for this activity?

 Yes

 No

3.4 What are the start and end dates of the afforestation program

Start Date: __________________________

End Date: __________________________

3.5 Afforstation Setbacks

a. What is intended setback to any perennial rivers?

_____________________________________________________________________

b. Are there any wetlands or lakes larger 0.25 ha within the proposed afforestation area, and

what setback will be applied from this wetland?

_____________________________________________________________________

c. Is there an outstanding freshwater body within or adjacent to the proposed afforestation

area and what is the proposed setback from this?

_____________________________________________________________________

d. Does the proposed afforestation oocur within 30 m of the coastal marine area?

_____________________________________________________________________

3.6 For area of afforestation on ESC Red and/or LUC class 8e land, describe what

alternative options were considered, whether any areas will not be planted and why, and

with reference to any potential adverse effects, why afforestation as proposed is considered

to be the best practicable option:

________________________________________________________________________

3.7 For areas of Red ESC 8e land – undertake a detailed assessment of erosion risk and

land stability and provide a detailed map of these areas that identify any areas of existing

erosion and identify areas of potential erosion risk.

________________________________________________________________________

3.8 Describe the measures to be used to avoid, remedy or mitigate erosion, including the

planting location and species, methods to address slope stability effects of infrastructure

location, harvest sequencing, post-harvest vegetation cover establishment requirements.

________________________________________________________________________

3.9 Information required

Provide the following:

 A copy of the wilding tree risk calculator calculation sheet and score (refer NES PF

Schedule 2).

 Map(s) showing location of replant/afforestation areas, underlying ESC and any LUC 8e

land, and any proposed setback distances (i.e. to property boundaries, to wetlands,

perennial rivers, lakes, and the coastal marine areas), any non-planted areas or areas

to be retired.

 Map of land stability, current and existing erosion features

 Indicative Forestry Earthworks Management Plan and Harvest Plan, prepared in

accordance with Schedule 3 of the NES PF

 An assessment of environmental effects (AEE) which addresses the relevant matters of

discretion for the activity as specified by NES PF Regulation 17

4 Pruning and Thinning to Waste (Regulations 18 -21)

Pruning and thinning to waste means pruning plantation forest trees and thinning to waste

involving the selective felling of plantation forest trees within a stand where the felled trees

remain on site

MPI Guidance on ruing and thinning to waste:

https://www.mpi.govt.nz/dmsdocument/27936/loggedIn

4.1 Why is the consent required?

Regulation

Tick Activity Status Matters of control

Cannot meet permitted activity

conditions in Regulation 20 – Slash

Regulation 21 - controlled

Regulation 21

If Regulation 20 is not complied with, under Regulation 21, control is reserved to:

a. the effects on hydrological flow:

b. methods used to minimise erosion and the deposit of slash:

c. the effects on ecosystems, fresh water, and the coastal environment:

d. the effects on downstream infrastructure and property:

e. the information and monitoring requirements.

4.2 Reasons for non-compliance with regulations

Please explain why you cannot meet Regulation 20: _______________________________

_________________________________________________________________________

4.3 Except for the non-compliance you have noted above will you continue to meet all other

relevant permitted activity regulations for this activity?

 Yes

 No

4.4 What are the start and end dates of the pruning and thinning to waste program:

Start Date: __________________________

End Date: __________________________

4.5 Describe the measures to be used to avoid or mitigate effects on nearby streams,

infrastructure and properties, including identification of measures to be implemented prevent

migration of slash of waterways.

__________________________________________________________________________

4.6 Information required

Provide the following:

 Map(s) showing location of subject area, and any nearby and downstream

infrastructure (roads, rail, bridges, house etc.), slash storage areas, and known

flooding areas.

 An assessment of environmental effects (AEE) which addresses the relevant

matters of control for the activity as specified by NES PF Regulation 21

5 Earthworks (Regulations 22-25)

Earthworks means disturbance of the surface of the land by the movement, deposition, or

removal of earth (or any other matter constituting the land, such as soil, clay, sand, or rock) in

relation to plantation forestry; and includes the construction of forestry roads, forestry tracks,

landings and river crossing approaches, cut and fill operations, maintenance and upgrade of

existing earthworks, and forestry road widening and realignment; but does not include soil

disturbance by machinery passes, forestry quarrying, or mechanical land preparation

MPI guidance for earthworks: https://www.mpi.govt.nz/dmsdocument/27939/loggedIn

5.1 Why is consent required?

Regulation

Tick Activity Status Matters of

discretion

Cannot meet Regulation 24(2)(c) – Earthworks in an

orange zone with a land slope of greater than 25

degrees where thresholds exceeded

Regulation

35(2) -

Restricted

discretionary

Regulation

35(3)

Cannot meet Regulation 24(2)(d) – Earthworks in a

red zone where thresholds exceeded

Cannot meet Regulation 24(3) – Earthworks in a red

zone or in an orange zone with slope >25° and

associated with maintenance/upgrade of existing

earthworks where thresholds exceeded

Cannot meet Regulation 24(4) – Earthworks in a red

zone or in a orange zone with slope >25° and

associated with forestry road widening or realignment

where thresholds exceeded

Cannot meet Regulation 26-33 – Earthworks where

any permitted activity conditions not met

5.2 Reasons for non-compliance with regulation(s) – Please explain why you cannot meet any

of the above regulations:

_________________________________________________________________________

5.3 Except for the non-compliance you have noted above, will you continue to meet all other

relevant permitted activity regulations for this activity?

 Yes

 No

5.4 What are the start and end dates of the earthworks program:

Start Date: _________________________

End Date: _________________________

5.5 Detail the area of earthworks, and type (e.g. tracking, roading, or landings) and method of

earthworks proposed (cut to fill, side casting, end hauling etc).

________________________________________________________________________

5.6 Describe what alternative sites and/or sediment control measures were considered,

and reasons for the option(s) chosen).

________________________________________________________________________

5.7 Explain how any spoil material will be managed and where it will be deposited.

________________________________________________________________________

5.8 Information required

Provide the following:

 Forestry Earthworks Management Plan prepared in accordance with Schedule 3 of the

NES PF

For large scale forests: a detailed forestry earthworks management plan is only required for

harvesting to occur within the next 12 months. Plans will subsequently be required annually.

 Plan showing extent of proposed earthworks, and key features, including spoil dump

sites, sediment and erosion control devices/measures, waterways and wetlands.

 Sediment and Erosion Control Plan

 An assessment of environmental effects (AEE) which addresses the relevant matters of

discretion for the activity as specified by NES PF Regulation 35(3)

6

River Crossings (Regulations 36-49)

River crossing means a structure that is required for the operation of a plantation forest and

provides for vehicles or machinery to cross over a water body; and includes an apron and

other structures and materials necessary to complete a river crossing; but does not include a

stormwater culvert or a culvert under a forestry road or forestry track

MPI Guidance for river crossings: https://www.mpi.govt.nz/dmsdocument/27942/loggedIn

6.1 Why is consent required?

Regulation

Tick Activity Status Matters of

control/discretion

Cannot meet permitted activity conditions in

Regulation 45, 46(1) –

Single culvert, and/or 46(2) – Battery culvert.

Regulation 47(1) & (4)

- Controlled

Regulation 47(4)

Cannot meet permitted activity conditions in

Regulation 45 and/or 46(5) – Single-span

bridge.

Regulation 47(2) & (4)

- Controlled

Cannot meet permitted activity conditions in

Regulation 39 to 44 and/or is not a controlled

activity under Regulation 47(1) – Single or

battery culverts.

Regulation 48(1)

Restricted

discretionary

Regulation 48(2)

Cannot meet permitted activity conditions in

Regulation 39 to 44 and/or not a controlled

activity under Regulation 47(2) – Single span

bridges.

Cannot meet permitted activity conditions in

Regulation 39 to 45 and/or 46(3) – Drift decks.

Cannot meet permitted activity conditions in

Regulation 39 to 44 and/or 46(4) – Fords

Cannot meet permitted activity conditions in

Regulation 39 to 41, 43 to 45, and/or Regulation

46(6) – Temporary river crossings.

Cannot meet permitted activity conditions in

Regulation 39 to 45 and/or Regulation

46(5)(b),(c),(d) and (7) – Temporary single-

span bridges.

Cannot meet permitted activity conditions in

Regulation 39 to 42 -

Existingrivercrossings.

Regulation 48(1A)

Restricted

discretionary

Any other river crossing not covered or listed Regulation 49 – Discretionary

Note: consent for associate discharges and diversions may also be required – see Section

11

6.2 Reasons for non – compliance with regulations – Please explain why you cannot meet

any of the above regulations:

________________________________________________________________________

6.3 Except for the non-compliance you have noted above, will you continue to meet all other

relevant permitted activity regulations for this activity?

 Yes

 No

6.4 Provide GPS coordinates (NZTM) for all proposed river crossing

Crossing name Crossing type (e.g.

culvert, ford etc)

NZTM Easting NZTM Northing

6.5 Describe the stream bed materials (e.g. muddy, stony etc).

_________________________________________________________________________

6.6 What is the average width (m) of the stream channel at the crossing point under normal

flow conditions? _____________

What is the estimated bank full channel width

1

? _____________

Is the crossing over a perennial river

2

or an ephemeral stream? ______________

6.7 How will sediment runoff during and after construction be mitigated (e.g. use of sediment

control measures, the design of the approaches, work in low flow conditions out of wet bed

etc)? Attach a copy of the sediment control plan.

________________________________________________________________________

6.8 Effects on Surface Water

Comment on the adverse effects that your activity may have on surface water quality

(e.g. increased turbidity or discolouration)

________________________________________________________________________

How will potential adverse effects on surface water quality be mitigated? (for example,

spill management, use of wet concrete in dry bed only, use of sediment controls) Attach a

copy of the spill management plan.

________________________________________________________________________

1

Bank full channel width: means the distance across a river channel formed by the dominant channel-

forming flow with a recurrence interval seldom outside a 1 – 2 year-range (measured at a right angle to

the channel flow) (i.e. the width of the channel in an annual flood event).

2

Perennial river: a river that is a continually or intermittently flowing body of freshwater, if the intermittent

flows provide habitats for the continuation of the aquatic ecosystem.

6.9 Explain how the crossing has been designed to take in to account flood flows. Confirm

the design event used to size the crossing, and comment on how the crossing has been

designed to avoid causing flooding to other properties, or erosion or scour of the stream/river

bed.

________________________________________________________________________

6.10 Use the Fish Spawning Indicator for the affected waterbody – are fish species listed in

Group A or B present in the affected segment of river? If so, list the species, and confirm

if bed disturbance will occur during the relevant fish spawning period:

________________________________________________________________________

6.11 Construction methodology

Describe how construction will be undertaken: ___________________________________

________________________________________________________________________

Confirm when will the works commence, and how long will they take to complete :

________________________________________________________________________

Information required

Provide the following:

 Attach with your application and relevant Flood Flow Calculations (as set out in

Schedule 2 of the Regulations)

 Plans / design drawings of structures, clearly showing the key design features, such as

culvert diameter and invert, stream bed level, location of footings, abutment alignment

etc.

 An assessment of environmental effects (AEE) which addresses the matters of control

or discretion under Regulations 47(4) or 48(2) (whichever is relevant).

 Photo of crossing point(s)

7

Forestry quarrying (Regulations 50-61)

Forest quarrying means the extraction of rock, sand, or gravel for the formation of forestry

roads and construction of other plantation forestry infrastructure, including landings, river

crossing approaches, abutments, and forestry tracks within a plantation forest; or required for

the operation of a plantation forest on adjacent land owned or managed by the owner of the

plantation forest. It includes the extraction of alluvial gravels outside the bed of a river,

extraction of minerals from borrow pits, and the processing and stockpiling of material at the

forest quarry site; but does not include earthworks, mechanical land preparation, or gravel

extraction from the bed of a river, lake, or other water body.

MPI Guidance for quarrying: https://www.mpi.govt.nz/dmsdocument/27945/loggedIn

7.1 Why is consent required?

Regulation

Tick Activity Status Matters of

control/discretion

Cannot meet permitted activity conditions in

Regulation 52, 55, 56(2),(3), or (4), 58, 59 – and

Forestry quarrying in a green or yellow zone, or

orange zone except in earthflow terrain

Regulation

60(3) -

Controlled

Regulation 60(4)

Cannot meet permitted activity conditions in

Regulation 54(3) or (4) or 56(1) – and Forestry

quarrying in a green or yellow zone, or orange

zone except in earthflow terrain

Regulation

61(3) -

Restricted

discretionary

Regulation 61(5)

Forestry quarrying in a red zone or earthflow

terrain in an orange zone

Regulation

61(4) -

Restricted

discretionary

7.2 Reasons for non-compliance with regulations - Please explain why you cannot meet any

of the above regulations : ___________________________________________________

________________________________________________________________________

7.3 Except for the non-compliance you have noted above, will you continue to meet all other

relevant permitted activity regulations for this activity?

 Yes

 No

Information required:

Provide the following:

 Quarry Erosion and Sediment Management Plan

(Schedule 4 of the Regulations)

 ESC map of quarry area

 Site plan of quarry showing key features including waterways and sediment and

erosion control devices/measures.

 An assessment of environmental effects (AEE) which addresses the

matters of

control/discretion listed by Regulation 60(4) or 61(5) (whichever applies)

8 Harvesting (Regulations 62-71)

Harvesting means felling trees, extracting trees, thinning tree stems and extraction for sale or

use (production thinning), processing trees into logs, or loading logs onto trucks for delivery to

processing plants; but does not include

i) milling activities or processing of timber; or

ii) clearance of vegetation that is not plantation forest trees

MPI guidance harvesting: https://www.mpi.govt.nz/dmsdocument/27948/loggedIn

8.1 Why is consent required?

Regulation

Tick Activity Status Matters of

control/discretion

Cannot meet Regulation 63(2)(b) – and

Harvesting is in a red zone

not of Land Use

Capability Class 8e where it involves more

than 2 ha

of harvesting in any 3 month period

Regulation

70(3)(b)

-

Controlled

Regulation 70(4)

Cannot meet Regulation 65 to 69 – and

Harvesting is in a green, yellow, or orange

zone

Regulation

70(3)(a) -

Controlled

Harvesting is in a red zone of Land Use

Capability Class 8e

Regulation

71(1)(a) -

Restricted

discretionary

Regulation 71(2)

Note: consent may also be required for the disturbance of stream beds under Regulation

97 (see section 11)

8.2 Reasons for non-compliance with regulations - Please explain why you cannot meet any

of the above regulations: ____________________________________________________

________________________________________________________________________

8.3 Except for the non-compliance you have noted above, will you continue to meet all other

relevant permitted activity regulations for this activity?

 Yes

 No

8.4 Describe how slash will be managed to prevent it from causing adverse effects to

streams and downstream structures and infrastructure: ________________________

________________________________________________________________________

8.5 Identify any areas where slash and other wood material will be removed, and specify the

type and size range of material that will be removed.

________________________________________________________________________

8.6 Identify any areas where there is a high risk of slash migration to water (i.e. steep slopes

with risk of earth flow, falling to streams, large catchment etc ) and comment on how this risk

will be managed. __________________________________________________________

________________________________________________________________________

8.7 Describe and identify areas where harvesting over a stream will occur and discuss any

measures that will be implemented to mitigate or remedy any effects on the stream bed or

banks. _________________________________________________________________

________________________________________________________________________

8.8 Does the Fish Spawning Indicator tool indicate the presence of any Group A or Group

B fish species where the stream bed will be disturbed? Will disturbance occur during the

fish spawning period of any fish species that are present?

________________________________________________________________________

Q: Provide information on the proposed post-harvest management regime and

rehabilitation methods.

________________________________________________________________________

8.9 Harvest duration:

Start Date: _________________________

End Date: _________________________

Or ongoing:

9.1 Why is consent required?

Regulation

Tick

Activity

Status

Matters of

control/discretion

Cannot meet permitted conditions in Regulation 74

– and Mechanical land preparation in a green or

yellow zone, OR orange or red zone with land less

than 25° slope, OR orange or red zone with 25° or

more slopes where subsoil not affected, OR

orange of red zone with 25° of more slope where

subsoil is affected but the area covered by the

mechanical land preparation is less than 2ha

Regulation

75(1)(a)

Regulation

75(1)(a) and (2)

Cannot meet Regulation 73(2) – Mechanical land

preparation in an orange or red zone where the

land slope is 25° or more, the subsoil is affected,

and the area covered by the mechanical land

preparation activity is more than 2ha in any

calendar year

Regulation

75(1)(b

Regulation

75(1)(b) and (2)

and (3)

9.2 Reasons for non-compliance with regulations - Please explain why you cannot meet any

of the above regulations: ____________________________________________________

________________________________________________________________________

9.3 Except for the non-compliance you have noted above, will you continue to meet all other

relevant permitted activity regulations for this activity?

 Yes

 No

10

Replanting (Regulations 76-81)

Replanting means the planting and growing of plantation forestry trees on land less than 5

years after plantation forestry harvesting has occurred

MPI Guidance for mechanical land preparation:

https://www.mpi.govt.nz/dmsdocument/27954/loggedIn

10.1 Why is consent required?

Regulation

Tick Activity Status

Matters of

control/discretion

Cannot meet regulation 77 (2b) –

Replanting in a red zone where the land

proposed for replanting is more than 2 ha

in any calendar year

Regulation 80(1))

-

Controlled

Regulation 80(2))

Cannot meet permitted activity conditions

in Regulation 78(2)and/or (3) and/or

Regulation 79

Regulation 81(3)

Restricted

discretionary

Regulation 81(4)

10.2 Reasons for non-compliance with regulations - Please explain why you cannot meet any

of the above regulations: ______________________________________________________

___________________________________________________________________________

10.3 Except for the non-compliance you have noted above, will you continue to meet all other

relevant permitted activity regulations for this activity?

 Yes

 No

10.4 What area of replanting is to occur in the red ESC zone? __________________ ha

10.5 What area of replanting is to occur in the red ESC (8e) zone? _________________ha

10.6 For replanting on LUC class 8e land, describe what alternative options were

considered, whether any areas will not be planted and why, and with reference to any

potential adverse effects, why replanting as proposed is considered to be the best practicable

option: __________________________________________________________________

________________________________________________________________________

10.7 Describe the measures to be used to avoid, remedy or mitigate erosion and land

instability, including the planting location, timing and species.

________________________________________________________________________

10.8 Replanting Setbacks

a) What is intended setback to any perennial rivers?

________________________________________________________________________

b) Are there any wetlands or lakes larger 0.25 ha within the proposed replanting area, and what

set back will be applied from this wetland?

________________________________________________________________________

c) Is there an outstanding freshwater body within or adjacent to the proposed replanting area

and what is the proposed setback from this?

________________________________________________________________________

d) Does the proposed replanting occur within 30 m of the coastal marine area?

________________________________________________________________________

Information Required:

Provide the following:

 A copy of the wilding tree risk calculator calculation sheet and score (refer NES PF

Schedule 2).

 Map(s) showing location of replanting area, the underlying ESC and any LUC 8e land,

and any proposed setback distances (i.e. to property boundaries, to wetlands,

perennial rivers, lakes, and the coastal marine areas), any non-planted areas or areas

to be retired.

 Map showing any known current and existing erosion features within the replanting

area.

 An assessment of environmental effects (AEE) which addresses the relevant matters

of control or discretion for the activity as specified by NES PF Regulations80(2) or

81(4) (whichever applies).

11

Ancillary activities and general provisions (Regulations 96-105)

11.1 Why is consent required?

Regulation

Tick Activity Status

Matters of

control/discretion

Cannot meet permitted activity

conditions in Regulations 84-91 –

Slash traps

Regulation 92(1)

– Restricted

discretionary

Regulation 92(2)

Cannot meet permitted activity

conditions in Regulation 97(1)& (2) –

Discharges, diversions, and

disturbances

Regulation 97(7) -

Various

Regulation 97(7)

Cannot meet permitted activity

conditions in Regulation 97(3) and (4)

– Disturbances of river or lake beds

Regulation 97(8) Discretionary

Cannot meet permitted activity

conditions in Regulation 97(5) –

Disturbance of wetlands

Regulation 97(9) - Discretionary

Cannot meet permitted activity

conditions in Regulation 100 – Dust

Regulation 101(1)

-

Restricted

discretionary

Regulation

101(2)

Cannot meet permitted activity

conditions in Regulation 102 -

Indigenous bird nesting

Regulation 101(3)

-

Restricted

discretionary

Regulation

103(2)

Cannot meet Regulation 104(2)& (3) –

Fuel storage and refuelling

Regulation 105(1)

- restricted

discretionary

Regulation

105(2)

11.2 Reasons for non-compliance with regulations - Please explain why you cannot meet

any of the above regulations: ______________________________________________

________________________________________________________________________

11.3 Duration of activity

Start Date: __________________________

End Date: ___________________________

11.4 GPS coordinates (NZTM) of the slash trap(s):

Easting: _____________________________

Northing: ___________________________

Information required:

Provide the following:

 A maps or site plan showing the location of the proposed activity.

 An assessment of environmental effects (AEE) which addresses the

matters of control

or discretion listed by the relevant regulation.

 For slash traps:

 Design drawings and calculations, and a site plan showing the position of the

slash trap and key features such as waterways, downstream infrastructure and

dwellings.

 Maintenance and management plan for the slash rap including procedure of

monitoring and removal of accumulated slash, and identification of areas where

removed slash will be placed.

12 CONSULTATION / AFFECTED PARTIES

12.1 Please list the persons that you believe to have an interest in or that may be affected by the

proposal.

Name Address Phone

_________________________________________________________________________

12.2 Detail the consultation undertaken with any interested/affected parties, and the views of those

consulted. Attach correspondence if appropriate.

The consultation undertaken and the information provided is to aid the Council in determining

who may be adversely affected by the proposal.

_________________________________________________________________________

Please note: Council may determine that your application can be processed without

notification. This may be the case if either there are no affected parties or written approval

from all those people who may be adversely affected is obtained. Council will determine which

parties (if any) are considered to be affected and will provide you with a list of who those

people are. You will then be required to obtain their unconditional approval in accordance with

RMA Section 95E.

13

GENERAL INFORMATION

13.1 Please note any other information that may assist the Council in processing your

application.

________________________________________________________________________

13.2 Please list all documentation (in addition to this form) which makes up your

application. Please ensure that all documentation listed is included with your application

when it is submitted.

Additional Documentation Title Author Date

________________________________________________________________________

Please ensure all design plans or drawings are signed for use by the author.

Fill Online, Printable, Fillable, Blank Form B Assessments of Environmental Effects: Application for (Hawkes Bay Regional Council New Zealand) Form

Related forms

Fillable Form B Assessments of Environmental Effects: Application for (Hawkes Bay Regional Council New Zealand)

Fill Online, Printable, Fillable, Blank Form B Assessments of Environmental Effects: Application for (Hawkes Bay Regional Council New Zealand) Form

Related forms

First 20 documents completely FREE!