APPLICATION FOR RESOURCE CONSENT
Under s88 of the Resource Management Act 1991
Applicant Details
Name
Postal Address
Home Phone
Cell Phone
Email
Agent Details (if dierent to that of the applicant)
Location of Activity NB: A full site plan (to scale) is required as part of this application.
Name
Postal Address
Phone
Client Reference
Email
Street Address
Legal Description
Valuation Number
Written Consent of Aected Parties
N/A Gained and Attached Not Gained
Certicate of Title
CT Attached
Council to provide CT (MDC & CDC $20 inc GST/ SWDC $30 inc GST)
Signature/s
To be signed by the applicant or agent
Name
Date
1 of 4
Oce Use Only
Application No.
Date Received
Time
Description of the Proposed Activity (Attach extra pages if required)
Discussion of the actual and potential eects the activity may have on
the environment (Attach extra pages if required)
Methods for avoiding, remedying or mitigating any adverse eects
(Attach extra pages if required)
A description of any alternative methods that may have been
considered (Attach extra pages if required)
All applications must contain a general description of the activity that consent is being applied for. For
example; a site description, existing and proposed activities buildings and structures, a description of any
existing ora or fauna, parking access and loading information, provisions of services, any known sites of
heritage or hazard prone areas and any easements.
APPLICATION FOR RESOURCE CONSENT
Under s88 of the Resource Management Act 1991
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Checklist of Information to be Provided with this Application
APPLICATION FOR RESOURCE CONSENT
Under s88 of the Resource Management Act 1991
3 of 4
A copy of a current certicate of title (less than 3 months old) or a copy of a purchase agreement
where the CT has not yet been issued
Application fee (see attached fee schedule)
An assessment of Environmental Eects which must include:
1. Brief Description of the Proposed Activity
2. Discussion of the actual and potential eects the activity may have on the environment
3. Methods for avoiding, remedying or mitigating any adverse eects
4. A description of any alternative methods that may have been considered
5. Identication of people aected by the proposal (if any)
A fully dimensioned or to scale site plan showing:
1. Road name, street number and north point
2. The location of all existing and proposed structures – elevations of each proposed building
are required
3. The position of all boundaries
4. Numbers, areas and dimension of proposed allotments (for subdivision)
5. Proposed easements
6. Vehicle parking, access and loading areas
7. Existing and proposed landscaping
8. Existing services (water, sewer, stormwater, power, telephone)
If proposal involves the relocation of a building the following is required:
1. Design and external appearance of the structure both existing and nished
2. Builders report on the condition of the building
If the proposal involves sites of historic value the following is required:
1. Eect of the proposal on the protection of the value, integrity and character of the historic site
2. The degree of modication or disturbance resulting from the proposal on the historic site
3. A statement of actual and potential eects of the proposal on heritage values – and where
possible how these can be mitigated
If the proposal involves a natural hazard area (eg. Flood or a Faultline) the following is required:
1. Building plans and elevations
2. The location of all buildings and sealed surfaces within the site
3. The eect on the building from the natural hazard area
4. Proposed methods to avoid or mitigate any adverse eects of the natural hazard
5. The eect of the natural hazard on the health and safety of occupants and users of the site and
the general public
6. As assessment of site stability and the resulting eect on the proposal from the natural hazard
1. Please ensure your applicant is complete. If information is omitted Council will return the
application to you within 10 working days under s88(3) of the RMA.
2. The required application fee must be paid before processing will start. If the application requires
notication, the applicable notication fee must be paid prior to notication.
3. If the resource consent is granted, the applicant is legally required to comply with any conditions
of the consent once they commence the activity.
4. Any building work associated with the proposed activity should not commence until a building
consent has been obtained under the Building Act 2004.
5. When this application is lodged with Council it becomes public information and is available for
public inspection. If there is commercially sensitive information in the proposal, please let us
know at the time of lodgment.
Important notes for the Applicant
Contact Details
APPLICATION FOR RESOURCE CONSENT
Under s88 of the Resource Management Act 1991
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Masterton District Council
64 Chapel Street
PO Box 444
MASTERTON 5840
Tel: 06 370 6300
Fax: 06 378 8400
Web: www.mstn.govt.nz
E: planningadmin@mstn.govt.nz
Direct Credit:
Westpac Masterton
03-0687-0271682-00
Ref: Address & Surname
Carterton District Council
Holloway Street
PO Box 9
CARTERTON 5743
Tel: 06 379 4030
Fax: 06 379 7832
Web: www.cdc.govt.nz
Email: info@cdc.govt.nz
Direct Credit:
BNZ Carterton
02-0608-0086383-03
Ref: Address & Surname
South Wairarapa District Council
19 Kitchener Street
PO Box 6
MARTINBOROUGH 5741
Tel: 06 306 9611
Fax: 06 306 9373
Web: www.swdc.govt.nz
Email: enquiries@swdc.govt.nz
Direct Credit:
02-0680-0027337-00
Ref: Resource Concent & Surname
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