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

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

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Form ‘B’ – Assessments of Environmental Effects
Application for Activities in the Coastal
Environment
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
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Now go through the form and confirm the details of your proposed activity, as some will change as a result of
your application to change the conditions
Office Use
Previous Consent No. ____________
Charge No. ____________
Client No. ____________
Consent No. ____________
Page 2 of 5
2. DETAILS OF THE ACTIVITY
Refer to Council’s ‘On Line Maps’ to determine the location of your activity
(www.hbrc.govt.nz/services/on-line-maps)
2.1 What is the name of the general coastal area?
2.2 Is the activity in the Coastal Marine Area (CMA)? Yes No
2.3 Is the activity in the Coastal Margin? Yes No
2.4 Is the activity in a Coastal Hazard Zone? Yes No
2.5 Is the activity in or adjacent to an area subject to a Customary Marine Title application?
Yes No
2.6 Is the activity in or adjacent to an area subject to a Protected Customary Rights application?
Yes No
2.7 What type of works are you proposing?
Erecting/installing a Structure Excavation, drilling or tunnelling Deposition of a substance
Occupation of space in the Coastal Marine Area Building in a Coastal Hazard Zone
Coastal Protection Structure Other Specify: ___________________________________
2.8 Describe the Proposed project and it’s purpose.
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2.9 Describe the methods/construction techniques to be used.
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2.10 Construction timetable
Proposed start date __________ Proposed completion date _______________
Comment:
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2.11 Describe the materials to be used.
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2.12 What is the area of the structure/ excavation / disturbance? ___________ square metres
Design Plans (ie. design specifications) attached
2.13 Site plan. Provide a map of the proposed site that clearly shows the location of the CMA, coastline,
footprint of proposed structure, property boundaries and any other significant features. Please label
it clearly, and ensure it has a scale.
Site plan attached
3 ASSESSMENT OF ENVIRONMENTAL EFFECTS
3.1 Please refer to the relevant guidance note and then write your AEE in the space provided below.
As noted in the guidance note, if you need to attach additional information, please feel free to do
so.
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4. HAVE YOU REMEMBERED TO INCLUDE?
A design plan and site plan (Q’s 2.12 & 2.13)
Your deposit
Administration Form A
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Form B Assessments of Environmental Effects: Application for (Hawkes Bay Regional Council New Zealand)

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Completed 26 November 2020

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