Q3820Form004_england_en pdf

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ITIECENED

05 APR 2013

1

http //www.planningportal _*AptQa4siappPDF/13829Form004_1

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Application for Ranning Permission.

Town and Country Planning Act 1990

You can complete and submit thisform electronically vi a t he Planning Portal by visiting www.planningportal.gov.uk/apply

Publication of applicat ions on planning authority websites

Please note that the information provided on this application form and in supporting documents may be published on the

Authorityswebsite. If you require any further d arificat ion. 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: Fir/ name:I A 1-1 1046LJ

Last name: ‘./k) ,

Company (optional): Oy'rvloAkc

1 House I House number: [ suffix: Unit:

House name:

Address 1: [LYNAM

Address 2: HUT 13 TILGATE RECREATION_

Address 3: CENTRE, TILCATE DRIVE

CR11VtEY H S T USSTX — Town.

County. WWW.DYNAMICADVENTURES.CO.UK

Country: _

Post code:

2. Agent Name and Address

Title.

Last name:

First name: I

Company (optional).

Unit. I House J number: ,

House name:

Address 1

Address 2.

Address 3.

Town: [

County:

Count

P stcode:

House 1 suffix:

3. Descript Ion of the Proposal

Please describe the proposed development including any change of use:

A-IX6 S eniC44 --r-Gr. damn/ , ‘212-

13 fm-ikd1 7-51:'

0) ver/.4

L9r4 CA1'"111 i;." "44(6 /9,414-C, -1-6; izvz s -7> Ar eiw

50:Ct-444 c-7; 4e- 2*- 3 (94---47 ,-7544 ,-75

1 2; Al- 1,,f; SO ( .4 ( 27 ,t ktC4 i 4

Hasthe building, work or change of use already started? [11 Yes

drfes please state the date when building.

uif

. 18/03/2013 14 .

Oro,..t001 cnala..d c.15,1f Rrzchwuu

4. Site Address 1:Fetal 's

Pl ease provid e th th e fu l l p ostal address of th appl I cat i4n9sitilAR

Un it .

- Hou se n ame:

House n umber:

r I

House EpAlitifiN MEM-

Address 1 : , Vs194:4

Address 2 : ccarrz

Ad dress 3 :

Town : C -r

County:

Post code , Optional): ,

Desciiption of location or a grid reference. (must be completed if postcode is not known)*

Easting• [

Description:

tc Givit

Noithing:i

6. Pedestrian and Vehide Access, Roads and Rights of Way

Is a new or altered vehicle access proposed

to oi from the public highway?

Ise new or altered pedestrian

access proposed to or from

the public highway?

Are there any new public roadsto be

provided within the site?

Are there any new public

rights of way to be provided

within or adjacent to the site?

Do the proposals require any diversions

/extinguishments and/or

creation of rights of way?

II Yes gl No

Yes S No

Yes E No

Yes S No

LI Yes RI No

If you answered Yes to any of the above questions, please show details on your plans/drawings and state the reference of the plan

(s)/drawings(s)

1

8. Authority Employee I Member

VIAth respect to the Authority, lam: (a) a membei of staff

(b) an elected member

(c) related to a member of staff

(d) related to an elected member

If Yes, please provide details of the name, relationship and role

W 10

_.1 5. Pr -applIcat on A vice

Hasa stance or prior advice been sought from the local

l''le—es 1:.] aulhon y about this ap pl icat ion ? No W) 1

If Yes:please complete the following information about the advio

you were given (Thiswill help the authority to deal with this

application more efficiently).

Please tick if the full contact details are not

known, and then complete as much as possible:

Officer name:

[ lA

Reference:

Li

Date (DD/MM/YYYY).

(must be pre-application submission)

Details of pre-application advice received?

11,4 el <

A-

k -a-z ela-A-K(SCIJA,

7. Waste Storage and Collect ion

Do the plans incorporate areas to store

and aid the collection of waste?

If Yes, please provide details*

1_,_1 Yes g No

Have arrangements been made

for the separate storage and

collection of recyclable wast e?

If Yes, please provide details'

Li Yes No

Do any of these /at em ents apply to you? 1 1 Yes KIN°

T870372013 12I

3

9. Materials

If applicable, please sate what materials are to he used externally. In elude type, colour and name for each material:

, — _ - 1

Bc it i ng\

(wh ere app i cab le) Li I, Pr oposed

1..1 Q-1- "- ---7 vs.i ori7C (-1 vgf"lree-rc..- 7st;

1 ."J7:17vP ait/1" P-34.1. ,), -J -g",-,, c ..,,,A-raf f ,

Don't

Knom

El VVal l s

A 9 Vi irki - -

Roof

K 42 og -19e- ‘-t g 4--e4e1 4-r4.74.a

,,,,-;:, --44g eg, ),4 ,-. 7 4-wen'

-a-..1 re; 6.----( ,.

V\il ndows 21 Li

Doors

17----..... ,,..., 04 ,/ ,..,, 5-7.,-7,-;,. ia...,_, .e.A: --4,--e. c. c.,2, ,r(4-v i-24 ,

cl,,v -,---, , -or-, /-1 flArkle-1)=-4z. Og

a:-V9 L.L.14-1-4- '"-• ,

i----j r i

Boundary treatments

(e.g . fen ces, wal l s)

Veh icl e access and

h ard-st an d in g 11

Li ght in g gt. [1

Oth ers

(p lease specify) Fl. Ll

Are you supplying additional information on submitted plan(s)/drawing(sYdesign and access statement?

If Yes, please state referen ces for the plan (s)/drawing(s)/desi gn and

a,c 1 — /42,(2,25(44- aava.-.)...a.s ap,c, -.2- - 5v7a i....f.x.'rel2.,4

ax- ..-7 —

• -4-://Ka "C-0-).-,; '1' /4.AN

POC- V. —

i. 047k_ K-- "-- '7.445(2 so , ed Cr- 1-45-1Z4‘t

4394 S'e -- 41;5( k k.) ■7 4C-C "S 67dreltIA,C41<-

P4P -

access st atement:

2"Yes No

ez °I.A4 a.St

LiSag

A46.4

V risTAAn. r-1 7̂ nhr+A 4426 4r '2;0

bls kVA wref c_t torrAi ."Ini 4;9,

e10. Vehicle Parking

Please provide infoi mati on on the existing and proposed number of on-site parking spaces:

Type of Veh i cl e Tot al Ex i di n g

Tota l proposed (inclu di n g spaces retai n ed)

Differen ce i n sp aces

Cars No .JX

Li ght goods veh i cles/ p ubl ic carri er veh ic les

___

_____

Motorcycl es k,, N

Di sab il i ty spaces l-■ A ,... ‘

4' 1 0 Cycle spaces t/". c)-- v 1 8/03/20 1 3 1 '

QaM.Fre= e rtinittirtIncluding Conversion)

Does your proposal include the gain , loss or change of use of residential units?

If Yes, please complete clet ail s of the changes in the t ables below:

Proposed Housing

5

Si • • ,14•31111, • • .

Market

Housing Not

kn own

- Number of Bedrooms Tot al

1 3 4+ Unknown

H ou ses Li

Fl ats and mai so n ett es D

Live-wo rk u n i t s

Cl u ster fl at s

Si elt ered hou sin g Li

Bedsi t /st u d i o s LI

Un kn own type C •■••■•••■•••■■•

Totals (a + b + c + d + e+ f + g) =

Social Rented Not

kn own

Number of Bedrooms Tot al

1 2 4+ Un known

H ouses C

Rat s and mai son ett es

Live-work u n i t s

Clu ster fl at s Li

elt ered hou sin g

Bedsit /st u d i o s

Unkn own type LI

Totals (a + b+ c+ d+ e+f+ g)=

Yes jJN

Market Housing

Houses

Flats and maisonettes

F-11

1 cj

Edst ngpousingi,. AND

Not

known

Li

LI

3 4+ Unknown

Live-work units

Cluster flats

Sheltered housing

Bedsit//uclios

Unknown type

LI

LI

0

LI

Totals (a + b + c + d+ e+ f + g)=

Int ermed i ate Not

kn own

Number of Bedroom s Tot al

1 2 3 4+ Unkn own

H ouses

Flats and mai sonett es

Live-work u n it s 0

au ster fl at s 0

Si el t erecl h ou sin g 0

Bedsi t / st u d i os 0

Unknown type 0

Totals (a + b + c + d + e+ f + g) =

Key worke r Not

kn own

Number of Bedroom s Tot al

1 2 3 Un kn own

Hou ses Li

Flats and mai son ettes 0

Live-wor k un it s Li

Cl u st er fl at s

el t ered h ou si n g Li

Bedsit /st udi os Li

Un known t ype 0

of 10 Totals (a + b+ c+ di- e+ f +

Social Rented Not

known

Number of Bedrooms Tot

3 4+ Unknown

Houses

Flats and maisonettes Li

Live-work units Li

Cluster flats Li

aieltered housing Li

Bedsit/studios El

Unknown type LI

Totals (a +b +c+ d+ e+f+ g) =

I nt e rmed i ate Not

kn own

Numb er of Bedroom s Tot a

1 2 3 4+ Unkn own

Ho u ses 11

Fl ats and mai son ett es ri

Live-work u n it s 0

Cluster fi at s i_i

ai el t ered h ou sin g E

Bedsi t / st u d i os u

Unknown type 0 .

Totals (a + b + c + d + e+ f + gi =

ey worker Not

known

Number of Beck oom s Tot a

1 3 4+ Unknown

Houses

Flats and maisonettes

Live-work units LI

Clu/ei flats

aieltered housing

LI

LI

Bedsit/studios

Unknown type LI

Totals (a +b+ c+ d+ e+f+ g) = 13 14

ClerrtiZZI=e1n=1 Processesand Machinery

7

Please describe the activities and processes wh ich would

be carried out on the site and the end productsincluding

plant, ventilation or air conditioning Please include the

type of machinerywhich may be in /ailed on site:

1st he proposal a waste management development? [j Yes

If the answer is Yes, please complete the following table:

1 1 1 19 tJ1\,',1-1 2

, ,:i I

i

'

,

\, •-'',i=1,'I l'E---', '_'_'-'- `=.' - -- ---- -- 1 = -I-V,

The t otal capacity of th e voi d in cub ic metres, inclu di ng en gin eerin g su rcharge and makin g no a l lowance for cover o r rest orati on m ateri al (or

t on nes i f sol id waste or R i es if l i qui d waste)

Max im um an nu al operat ion al t h rou gh put in ton n es

(o r l i t res if l iq u id wast e )

I n ert l an dfil l [li

Non-hazardou s lan dfi l l 0

Hazardous l an dfi l l Li

En ergy from wast e in ri

Oth er i n c in eration 0

Landfi l l g as g en erat ion pl ant 0

Pyrolysi s/gasificat ion 0

Metal recycl in g sit e E

Tran sfer st at i on s E

Materi a l recovery/ recycl i n g faci l i t i es (MRPs) L.1

Hou sehol d civ i c amen ity sit es Fl

Open win drow compost in g E

In-vessel compost ing 0

Anaerob ic digest i on •

Any comb i ned mech an i cal , b i o logical and / or th ermal t reatment (MBT)

ri

Sewage t reatment works 0

Oth er t reatment H Recycl i n g faci l i t i es constru ct i on , demol it i on

and ex cavat i on wast e r

Soi age of waste [..1

Othei wale management n Ot her devel opments 0

Pl ease provi de t he maximum ann ual operat ion al t h roughput of t h e fo l lowi ng waste st ream s:

Mun i cipal

Con st ru ct i on , demol it i on and excavat i on

Comm erci al and industrial

Hazardous

If this is a landfill application you will need to provide further information before your application can be determined. Your waste planning authority should make clear what information it requires on its webste

23. Hazardous Substances

Doesthe proposal involve the use ot storage of any of

the following matenalsin the quantities stated below? I I Yes 11-7No Li Not applicable

If Yes, please provide the amount of each substance that is involved:

Actylon Mile (tonnes)

Ammonia (tonnes) [

of 10

Bromine (tonnes)

Bhylene oxide (tonnes)r-

Hydrogen cyanide (tonnes) [ I

Liquid oxygen (tonnes)[----

Phosgene (tonnes) r--

ailphur dioxide (tonnes) L

Flour (tonnes) LI , _J8/03/2013 14

/ - A /- -7171, /l1,1 LI /1, ---A/1 A

24. OwneFsh p art

One Cert ifi cate A . B. C,

Town and Country I ceit ify/The app l i cant cert ifi es

ownei (owner i s a person wh ich the appl i cat ion ' el ates

Sign ed - Ap

. . . . . . . - - • — - Mates

or D . must be completed. together with the Agri cultural Holdings Cei t if i cat e wit h t hi s appl icat ion f of m

CER11 FI CATE OF OWNERSHI P - CERT1FI CATE A

Pl anning (Devel opment Management Procedui e) (England) Order 201 0 Cert ifi cat e under Art icl e 1 2

t h at on the day 2 1 clays b efore t h e d at e of t h i s ap pl i cat ion nobody except myself/ t he app l i can t was t h e

wi th a freeh ol d i n terest or l ea sehol d i nterest wi th at l ead 7 years left to i u ri) otanyiai t of th e land oi b u i l d i n g to ._ --• - -

Li_ t a signed - Agent : '

pl – ' t Date (DD/MM/YWY

I 1 ei NA,2 2c ; „) , 1 lelz h3

CER11F1 CATE OF OWN IP -117 kit- - Auri Town and Count ry Pl anning (Deve lopment Management Pr edt I 4 Mer+1.09 ,C rtifi cat e under Art ide 1 2

I cei t ify/ The app l i cant cert ifi es t hat I have/t h e app l i can t h as g iven the reciOrttbbti etti 'eve cin -else (as l i sted b el ow) wh o on th e th

21 days befo re t h e date of th i s app l icat i on , was th e owner (own er i s a person wi th a freehol d i nt erest or I ea %h ol d i nt ei est with at l east 7 yea

left to run ) of any p art of the l and o i b u il d i n g to wh i ch t h i s app l i cat i on rel ates

Name of Owner Address Date Not i ce Served

Gezes...) ..„c-f /3 .' - '1 •"r" :,..--4.1 A.I 1-141-1.--, °IV /3.DA.A. ,-4.11 t) A vI4, / 0,44,4,4?1

( -̂h-%1 S A--

. i

( Sr6kt

Sign ed - A : Cr signed - Agent . Date ( DD/MM/YYYY

L , CER11FI CATE OF OWNERSHIP - CERT1FI CA TE C

Town and Count Ty. Pl anning (Deve lopment Management Procedui e ) (Engl and ) Order 20 1 0 Cert i fi cate undei Articl e 1 2 I cat ify/ The app l i can t ceit ifies t h at

• Nei th er Cert ifi cate A or B can be i ssu ed for t h i s ap p l i cat i on • Al l reasonabl e steps h ave been t aken t o fi n d out t he n ames and addt esses of t h e ot her own ers (owner i s a person with a freeh o ld o l d

in terest o i lea sehol d i nt erest with at l east 7 yeai s left to i un )of t h e l an d or bu i l di ng , o r of a part of it . bu t I h ave/ t he app l i can t h as been u n ab le to do so . _ —

The st eas t aken were:

Name of Owner Addre Date Not i ce Served

Notice of the application has been publ'shed in the following newspaper On the following date (which must not be earliet (circulating in the area where the land is situated): than 21 days beforethe date of the application):

8 cin 0 I — 18/03/20T31

24. Ownefsh p art ficates(continued)

CERTIFICATE OF OWNERSHIP - CERTIFICATED

Town and Country Planning (Development Management Procedur e) (England)Ale12,040-Certificate-under Article 12 „op-- I certify/ The applicant ceitifies that

Certificate A cannot be issued for this application

All reasonable steps have been taken to find out the names and addresses of veryone else who, on the day 21 days before the

date of this application, wast he owner (ownei is a person with a freehold interd or lea sell o)l tritpr**,with at least T years left to run

of any part of the land to which this applicat ion relates, but I have/ the applic it has bedn'AinlYle tb"dO so

-

° HCA

The st epstaken were:

Notice of the application has been published in thefalloWing newspaper On the following date (which must not be earlier

(circulating in the area \Miele the land i s situat than 21 days befoi e the date of the application):

[

Signed- Applicant: Cr signed -Agent:

i1 1L_ Date (DD/MM/YYYY

`25. Agricultural Land Declaration

AGRICULTURAL LAND DECLARATION

Town and Count, y Planning (Development Management Procedure) (England) Or der 2010 Cert ificate under Article 12

Agricultural Land Declaration - You Must Complete ether A or B

ich the application telatesis,oi is part of, an agricultural holding

Q signed -Agent*

(A) Non e of the land to

Si4.

gned - Applic

(B) I have/ The applicant h given the requisite notice to every person other than myself/ t

before the date of this application, was a tenant of an agricultural holding on all or pa

as listed below:

elpplicant who, on the day 21 days he land to which this application relates,

Name of Tenant Adckiss' Date Not i ce Served

--- „---

.--•

,- ,--

Vr.'

, V

7

,

agned-Applican Q signed -Agent:

it Date (DD/MM/YYYY

26. Planning Application Requirements-Checklist

Please read the following checklist to make sure you have sent all the info' mation in support of your proposal. Failure to al bmit 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 The correct fee: application form:

The original and 3 copies of the plan which identifies the land to which the application relates drawn to an identified scale and showing the diiection of North:

original and 3 copies of other plans and drawings or

The original and 3 copies of a design and access statement,

if i equired (see help text and guidance not es for details)*

The original and 3 copies of the completed, dated Ownership Certificate (A, B. C. or D- as applicable).

[7_

18/03/2013 1,

'

27. Declarat on

I/we hereby apply for planning permission/con

info) mation I/we confirm that .to the best of my/our k

genuine opinion of the person(s) giving them.

Sgned - App Ii

• 111 I I • • • • • • • •

ri egtth-isfOrip—and the accompanying plans/drawings and additional g , facts stated re true and accurate and any opinions given arethe

°r sign Olit Date (DD/MM/YYYY):

F-77 Mr- ' ',' ____.

_ 6 \I 0 ' ZI t'' ' 1 1 .1\w,,-:-, 1_ ,, " - ,- , - 1`,:, ' , --_ -_1

\ 1 8 13 A

3 1

(date cannot b pre-applicatior

28. Applicant Contact Details

Telephone numbers

Country code. National number: = si

f 'I

&tension number.

Country code: Mobile number (optional):

411MIIMMOB Country code: Fax number (optional):

c-m-Email address (optional):

29. Agent Contact Details

Telephone numbers

Country code: National number.

- Extension number:

Country code: Mobile number tion al):

Country code: Fa,ntmber (optional):

Brian ad ss (optional):

r30. Site Visit

Can the site be seen from a public road, public footpath, bridleway or other public land?

If the planning authority needs t o make an appointment to carry

out a site visit ,whom should they contact? (Flease select onlyone)

If ether has been selected, please provide:

Contact n ame: Telephone number:

17-Yes

n Agent Applicant

Snail address [

pi No

Fl Other (if different from th I

agent/applicant's details)

0 of 10 18/03/201314