## Peak District

Bakeweli Debyshire DE45TAE 
NATIONAL PARK 

## Application For Planning Peimission. - V Town And Country Flam

You can complete and Mifaniftthli form 
•tectrofricaliy via the I 
Publication of applications on planning authority websttBS 
Please note that the infonnatlon provided on tMia^iplteatlon form and in supporting documents may be publiriied on the Authorise website, ft you require any further dartWcation^ pteaia conlact Uie Authority^ 
planninB 
department Please conr^}tete using block capfiBis and tilack ink. 

ft is import^ 
that you read the accompanying guidanoe notes as tfKorrect completion wil delay the processing of your application. 

## 2. Agent Name And Address 1. Applicant Nme And Address 3. Description Of The Proposal

Please describe the proposed devetopfnentinchKBfB 
any change 
<rf use: 
vtaCA_VX^\^G* 
vOv^ OC 
UV<aW<S. 

^V9»\JVC-PTCV>»0 
Of\P\»^Csr^ 
p\ Cc.~C) ^v^'e.V.UH^Gr VOU'b^ "TO Pk ViO CA\9^WiGee."b TO 
(svCjc.OT^rTe>X7«=>"^vesvj> \v:i<:i.v_vj."S5V£T> Vvi 
^g^gO'^Ps\ 
To 
0» 
Has the buSding, work or change of use akeady Started? 

If Yes, pieasestalethedate whan buiding. 

work or use vrere started (DO/MMTfYYY): 
(date nuet be pre-appfication sid)missk}n) 
- 
No Has the building, work or change of use been compteted? 

If Yes, please state the date when the buMng, work 
(date must be pre'^ppScabon submission) 
c»^ change cf use was cornpletod: 
IpiVMMrryYY): 

## 4. Site Address Detaus

Ftease 
provide the fiJH postd 
| 6.                 | Pedestrian    | and       | VeWcleAccose,RcwKi»    | and      | Riglits     | of     | Way        |
|--------------------|---------------|-----------|------------------------|----------|-------------|--------|------------|
| Is                 | a             | new       | or                     | altered  | vehicle     | access | proposed   |
| to                 | or            | from      | the                    | public   | highway?    | QYes   |            |
| 0NO                |               |           |                        |          |             |        |            |
| Is                 | a             | new       | or                     | atl»ed   | pectestrian |        |            |
| access             | propoeed      | to        | or                     | from     |             |        |            |
| the                | public        | highway?  |                        |          |             |        |            |
| Yes                |               |           |                        |          |             |        |            |
| 13                 | No            |           |                        |          |             |        |            |
| Are                | there         | any       | new                    | pubic    | roads       | to     | be         |
| provided           | wHhm          | the       | site?                  |          |             |        |            |
| Yes                |               |           |                        |          |             |        |            |
| 0NO                |               |           |                        |          |             |        |            |
| Yes                |               |           |                        |          |             |        |            |
| 0NO                |               |           |                        |          |             |        |            |
| Are                | there         | wiy       | new                    | pubic    |             |        |            |
| rights             | ofway         | to        | be                     | provided |             |        |            |
| within             | or            | adjacent  | to                     | the      | site?       |        |            |
| Yes                |               |           |                        |          |             |        |            |
| KfNo               |               |           |                        |          |             |        |            |
| Do                 | the           | proposals | lequlre                | any      | divisions   |        |            |
| /extinguishrnerits | anidfor       |           |                        |          |             |        |            |
| oeatlon            | of            | ri^its    | ofway?                 |          |             |        |            |
| if                 | you           | arttwered | Yes                    | toany    | ctfthe      | above  | questions, |
| details            | on            | your      | plansAlrawlngs         | and      | state       | the    | reference  |
| (s)/dTawin^)       |               |           |                        |          |             |        |            |

## 8. Authority Employee/Member

With respect to the 
Authority. I 
ant (a) amemberofrtaff 
(b) an 
okictDd member 
cefetedtDamemberofstsfF 
((^ related to an 
eiectod member 
if 
Yes, please 
provicie 
details 
of 
the 
name, lefationship 
and rote 

## 5. Pre-Application Advice

Has 
assistance or 
^MTor advice 
been 
sot^ht from the 
local 
ar^ionty about ttiis application? 
^ 
yes 
No 

oomptete the following tfifonnation about the were gfeea (This wNI help the 
^Jthority to ded with this 

are 
not 
as 

## 7. Waste Storage And Cohection

| Do        | the         | plans       | UKorponlB    | areas    | to     |
|-----------|-------------|-------------|--------------|----------|--------|
| and       | aid         | the         | collection   | of       | waste? |
| Yes       | ^No         |             |              |          |        |
| If        | Yes,        | pleese      | provide      | detals:  |        |
| Have      | anangemenis | been        | made         |          |        |
| for       | the         | separate    | storage      | and      |        |
| colection | of          | reqfcfcfole | waste?       |          |        |
| Yes       |             |             |              |          |        |
| 13        | No          |             |              |          |        |
| If        | Yes,        | please      | provide      | details: |        |
| Do    |
|-------|
| Yes   |
| gftto |

## 9. Materials

Roof 
Windows 
Doors 
Boundary treatments 
(e.g fences, 
walls) 
Vehicle access 
and 
hard-standing 
(please specify) 
information 
on submitted pian(s)/drawlng(s)/design and 
access statement? 
state reffarences for 
the 
plan(s)/drawing(s)/design and 
access statement 

## 10. Vehicle Parking

| Type        | of        | Vehicle    |
|-------------|-----------|------------|
| Total       |           |            |
| Existing    |           |            |
| Total       | proposed  | (including |
| spaces      | retained) |            |
| OifliBrerKe |           |            |
| in          | spaces    |            |
Cars 
Light goods vehicies/ 
public carrier vehicles 
Motorcycles 
| Disabi&ty    | spaces    |
|--------------|-----------|
| .X           | v£^'      |
| Cyde         | spaces    |
| Other        | (e.g.     |
| Other        | (eg.      |

## 11. Foulsewage

Cesspit 
Please state how fcHd 
sewage 
is to 
be 
disposed of 
^ 
Mains sewer 
| 
Septic tank 
Other 
Package treatnient 
plant 
Are you proposing 
to 
connect to 
the existing drainage system? 
Yes 
No 

tf Yes, 
          please include 
                                  the 
                                         details 
                                                    of the 
                                                               existing 
                                                                             system 
                                                                                         on 
                                                                                               the 
application 
                   drawings 
                                   and 
                                          state 
                                                   r^erences for the 
plan(s)/drawing(s): 

## 13. Biodivefsfty And Geological Conservation

To assbt in answering the following questiom referto the 
^idance notes for further Infoimation on when there is a reasonable l^elihood that any important biodiversihr or geological consenration features may be present or nearby and whedier they are likely to be affected your proposals. 

Having referred to the guidance notes, is there a reasonsfole likelihood of the foHowing being affected adversely or conserved and enhanced within the appttcation site, or on land adjacent to or near the application site? 

| a)    | Protected    | and    | priority    | species:    |
|-------|--------------|--------|-------------|-------------|
| Yes,  | on           | the    | development | site        |
| Yes,  | on           | land   | adjacent    | to          |

b) 
Oesignated sites, importont habitats or other biodivetsfty features: 

|      |    |      |          | Yes,    | on    | the     | development    | site       |
|------|----|------|----------|---------|-------|---------|----------------|------------|
| Yes, | on | land | adjacent | to      | or    | nearthe | proposed       | dev^opment |

## ® No

| c)    | Features    | of    | geological    | cortservatkm    | importance:    |
|-------|-------------|-------|---------------|-----------------|----------------|
| Yes,  | on          | the   | development   | site            |                |
| Yes,  | on          | larto | adjacent      | to              | orn^           |

## 1^ N° 15. Trees And Hedges

| Are    | there       | trees    |
|--------|-------------|----------|
| propo^ | development | site?    |
| Yes    |             |          |
| HNo    |             |          |

And/or. Are there trees or hedges on land adjacent to the proposed dev^opment site that could Mjenoe the development or might be important as part of the locallsmdscape character? 

I jYes IAI No if Yes to either or both of the above, you Qw need to piov^ 
a fuH 
Tree Survey, at the discretion of your local planning authority, tfa Tree Survey e required, this and the accompanying plan should be submit^ 
alongside your applicatioa Your local fining authority should msrice dear on its website what the survey should oontdn, in accxxdance with the current "885837: Trees in relation to design, demoKtion and construction 
- 
Reoormnendations'. 

## 12. Assessment Of Flood Risk

Is the site witori 
an 
area at risk of flooding? (Ref^ 
to toe 
Environment 
Agency's Flood Map showfrrg flood zones 2 
and 3 
and 
consult 
Environment Agency standing 
advice and 
your local 
planrmg 
authority requirements for 
Infbmiation 
as necessary.) 
- 
Yes 
2NO 
if Yes, you 
wiH need to submit 
a 
Flood 
Risk Assessment to consider 
the risk to the 
proposed site. 
is your 
proposal within 20 
metres of 
a 
watercourse (&g. river, stre^ 
or beck)? - 
Yes 
jg 
No 
VMU the 
proposal incre^ 
the flood 
risk elsewhere? 
- 
Yes 
^'No 
How wiB surface water 
be 
dispcsed of? 
1 
1 Sustainak^ drainage system 
] 
1 Existing watercourse 
^ 
Soakaway 
[] 
Pond/lake 
M^ 
sewer 

## 14. Existing Use

| Please                 | desafoe       | the            | current       | use     | of           | the           | site:      |
|------------------------|---------------|----------------|---------------|---------|--------------|---------------|------------|
| Is                     | the           | site           | currently     | vacant? | [            |               |            |
| Yes                    |               |                |               |         |              |               |            |
| a                      | No            |                |               |         |              |               |            |
| if                     | Yes,          | please         | describe      | the     | last         | use           | of         |
| When                   | did           | this           | use           | end     | (if          | known)?       |            |
| DD/NWATYYY             |               |                |               |         |              |               |            |
| (date                  | where         | known          | may           | be      | approximate) |               |            |
| Does                   | the           | proposal       | involve       | any     | of           | the           | following? |
| If                     | yes,          | you            | wSI           | need    | to           | submit        | an         |
| assessment             | with          | your           | application.  |         |              |               |            |
| Land                   | which         | is             | Imown         | to      | be           | contaminated? |            |
| Yes                    |               |                |               |         |              |               |            |
| SNO                    |               |                |               |         |              |               |            |
| Yes                    |               |                |               |         |              |               |            |
| Larrd                  | where         | contarrwiation | B             |         |              |               |            |
| suspected              | for           | all            | or            | part    | of           | the           | site?      |
| 31                     | No            |                |               |         |              |               |            |
| A                      | proposed      | use            | that          | would   |              |               |            |
| be                     | partkvlarty   | vulner^le      |               |         |              |               |            |
| Yes                    |               |                |               |         |              |               |            |
| S|No                   |               |                |               |         |              |               |            |
| to toe                 | presence      | of             | cmtamination? |         |              |               |            |
| 16.                    | TradeEffluent |                |               |         |              |               |            |
| Does                   | the           | proposal       | involve       | the     | need         | to            |            |
| cRsposeoftradeefRuents | orwaste?      |                |               |         |              |               |            |
| Yes                    |               |                |               |         |              |               |            |
| EfNo                   |               |                |               |         |              |               |            |
| If                     | Yes,          | please         | describe      | the     | nature,      | volume        | and        |
| of                     | trade         | effluents      | or            | waste   |              |               |            |

## 17. Resideiitlalufiitsclnduchng Conversion)

DoesyourpropOKrilncliJdetfiegairLlossorcharmfrfuseafresfdentialiffiits? 

| Proposed                   | Housing           |
|----------------------------|-------------------|
| Existing                   | Housing           |
| Not                        |                   |
| known                      |                   |
| HarM                       | 1                 |
| Housing                    | Known             |
| Not                        |                   |
| known                      |                   |
| 1                          | 2                 |
| 4+                         |                   |
| Unknown                    |                   |
| Houses                     |                   |
| -                          |                   |
| Houses                     |                   |
| -                          |                   |
| Flats                      | and               |
| -                          |                   |
| Hals                       | artd              |
| -                          |                   |
| Number                     | of                |
| Total                      |                   |
| HarM                       | 1                 |
| Housing                    | Known             |
| 1                          | 2                 |
| 4+                         |                   |
| Urdoiowr                   |                   |
| -                          | -                 |
| •WlSR                      |                   |
| Hoimng                     |                   |
| Number                     | of                |
| TotEd                      |                   |
| -                          | -                 |
| •WlSR                      |                   |
| Hoimng                     |                   |
| Live-work                  | unHs              |
| -                          |                   |
| Live-work                  | units             |
| -                          |                   |
| Cfieter                    | flats             |
| -                          |                   |
| Cluster                    | flats             |
| -                          |                   |
| Sheltered                  | housmg            |
| -                          |                   |
| ShBNBiBd                   | housmg            |
| -                          |                   |
| Bedsit/Studios             |                   |
| -                          |                   |
| Bedsitfstudios             |                   |
| -                          |                   |
| Unknown                    | type              |
| -                          |                   |
| Unknown                    | type              |
| -                          |                   |
| Totals                     | (a+b+c+d+e+f+8)=  |
| Totals                     | (a+b+c+d+e+f+g)=! |
| kjmber                     | of                |
| Total                      |                   |
| Social                     | Rented            |
| Not                        |                   |
| known                      |                   |
| SodalRMited                |                   |
| Not                        |                   |
| known                      |                   |
| tMnber                     | of                |
| Total                      |                   |
| SodalRMited                |                   |
| Not                        |                   |
| known                      |                   |
| 1                          | 2                 |
| 4+                         |                   |
| Unknown                    |                   |
| Social                     | Rented            |
| Not                        |                   |
| known                      |                   |
| 1                          | 2                 |
| 44-                        |                   |
| Urdmown                    |                   |
| Houses                     |                   |
| -                          |                   |
| Houses                     |                   |
| -                          |                   |
| Flats                      | and               |
| -                          |                   |
| Flats                      | and               |
| -                          |                   |
| Uva-wofk                   | units             |
| -                          |                   |
| Uveworfc                   | units             |
| -                          |                   |
| Cluster                    | flats             |
| -                          |                   |
| -                          |                   |
| Cluster                    |                   |
| -                          |                   |
| Sheltered                  | housins           |
| -                          |                   |
| SheHsred                   | housing           |
| -                          |                   |
| Bedsit/8tu(£os             |                   |
| -                          |                   |
| Bedsit/studios             |                   |
| -                          |                   |
| Unknown                    | type              |
| -                          |                   |
| Unknown                    | ^fpe              |
| -                          |                   |
| Totals                     | (a                |
| Totah                      | (a+b+c+d+a+f      |
| Number                     | of                |
| Iff?!                      |                   |
| Intermediate               |                   |
| Not                        |                   |
| known                      |                   |
| Intermediate               |                   |
| Not                        |                   |
| krKiwn:                    |                   |
| ttemb^of                   | Bedrooms          |
| Trdai                      |                   |
| Intermediate               |                   |
| Not                        |                   |
| krKiwn:                    |                   |
| 1                          | !                 |
| 4+                         | !                 |
| Unknown                    |                   |
| Intermediate               |                   |
| Not                        |                   |
| known                      |                   |
| 1                          | !                 |
| 4+                         |                   |
| Unknown                    |                   |
| Houses                     |                   |
| -                          |                   |
| Houses                     |                   |
| -                          |                   |
| Ftets                      | and               |
| -                          | ;                 |
| Flats                      | and               |
| -                          |                   |
| Uve-woikurHb               | |                 |
| -                          | i                 |
| live-work                  | units             |
| -                          |                   |
| Clisterflats               |                   |
| -                          |                   |
| Cluster                    | flats             |
| -                          |                   |
| Sheltered                  | housffig          |
| -                          |                   |
| Shettered                  | housing           |
| -                          |                   |
| Bedsit^stucfios            |                   |
| -                          |                   |
| Bedsitteudios              |                   |
| -                          |                   |
| Unknown                    | type              |
| -                          |                   |
| Unknown                    | type              |
| -                          |                   |
| TotelB(a+b+c+d+e+f+9)=     | ]                 |
| Tottes                     |                   |
| (a+b+c+d+e+f+g)=           |                   |
| Number                     | r^Beckooms        |
| Iff?l                      |                   |
| Key                        | worker            |
| Not                        |                   |
| known                      |                   |
| Keyworter                  |                   |
| Not                        |                   |
| known                      |                   |
| NumI                       | 3er               |
| Total                      |                   |
| Keyworter                  |                   |
| Not                        |                   |
| known                      |                   |
| 1                          | 2                 |
| 4+                         |                   |
| UnicnGwn                   |                   |
| Key                        | worker            |
| Not                        |                   |
| known                      |                   |
| 1                          | 2                 |
| 4+                         | 1                 |
| Unlmown                    |                   |
| j                          | Houses            |
| -                          |                   |
| Houses                     |                   |
| -                          |                   |
| Flats                      | and               |
| -                          |                   |
| Flats                      | and               |
| -                          |                   |
| Live-work                  | unte              |
| •.                         |                   |
| Uvework                    | units             |
| Q                          |                   |
| Cluster                    | flats             |
| -                          |                   |
| Cluster                    | flats             |
| -                          |                   |
| Shelt^ed                   | housing           |
| -                          |                   |
| Sheiteied                  | housing           |
| -                          |                   |
| Bedsit^tudke               |                   |
| -                          |                   |
| BedsitAdudios              |                   |
| -                          |                   |
| Unknown                    | type              |
| -                          |                   |
| Unknown                    | type              |
| -                          |                   |
| i                          |                   |
| Totals                     |                   |
| (a+b+c+d+e+f+g)=           |                   |
| Totelsi                    |                   |
| (a+b+c+d+e+f+g)=           |                   |
| Total                      | propowd           |
| TotalwdrtingnwktontiriunHs | (E+F+G+H)-        |
| TOTAL                      | NET               |

## 18. All Types Of Development Non-Residential Fioorspace

Does your proposal involve the loss, gam or change of use of non-residential fiooispace? 

Ifyou 
have answered Yes to 
the 
question above please 
add 
detaSs in the following tat>le: 
Use class/type 
of use . 
Not 
Existing gross 
internal 
fioorepaoe 
(square metres} 
Gross intemd 
floorspace 
to 
be lost by ch»ige of 
useordennolition 
(square m^res} 
applicable 
A1 
Shops 
- 
A1 
Net 
tradable area: - 
A2 
Financial and 
orofBssionalsenrices - 
A3 
Restaurants ^ 
cafes - 
A4 
Drinking establishments - 
A6 
Hot food takeaways - 
B1(a} 
Office (other than 
A2} - 
B1 (b} 
Research and 
develODment 
- 
B1(c} 
Light 
industrial 
- 
B2 
General 
industrial - 
B8 
Storage or 
distribution - 
CI 
Hot^ 
and halb of 
residence 
- 
' 
02 
Residential 
institutions - 
01 
Non-residential 
institutions 
- 
02 
Assembly and 
leisure - 
OTHER 
- 
Please 
Soecifv 
- 
Total 
in addition, 
lor hotels, 
leadential 
irstitutions 
and hostels, please 
additionally indicate the 
loss or 
gain ol rooms 
Existing rooms 
to 
be 
lost by change 
of 
use 
demolrtion 
Use 
da&s 
Type of 
use 
Not 
applicable 
01 
Hoteb 
02 
Residential 
Institutions 
- 
OTHER 
- 
Please 
SoecfN 
- 
19. Employment 

the tbUcNving information regardmg empfoyees: 

## 20. Hours Of Opting 21. Sitoarea

Please state the site area in hectares {ha} 
O ' OO 
* 

| Net         | additional    | gross    |
|-------------|---------------|----------|
| intemai     | floorspace    |          |
| fotlowing   | dmek^xnent    |          |
| (square     | metres)       |          |
| Total       | ^oss          | intemai  |
| floorspace  | proposed      |          |
| (Inctuiting | change        | of       |
| useKsquare  | metres}       |          |
| Total       | rooms         | proposed |
| changes     | of            | ise}     |
| Net         | additional    | rooms    |
1 

## 22. Industrial Or Commercial Processes And Machinery

Please describe 
               the 
                   activities 
                            and 
                                processes which 
                                                would 
be 
   carried 
          out 
             on 
                 the site 
                        and the 
                                end 
                                     products including 
plant, ventilation or 
                   air 
                      conditioning. 
                                   Please 
                                          include 
                                                  the 
type 
    of 
       machinery which 
                        may be 
                                installed on 
                                            site: 

|                       |                    |               |             |             | Yes        | ^No        |
|-----------------------|--------------------|---------------|-------------|-------------|------------|------------|
| Is                    | the                | propose       | a           | waste       | management | developmei |
| If                    | the                | answer        | Is          | Yes,        | please     | complete   |
| Tl?                   |                    |               |             |             |            |            |
| stable:               |                    |               |             |             |            |            |
| The                   | total              | capacity      | <tfthe      | void        | In         | cubic      |
| inducing              | eraineenng         | wrduurge      | and         | maldng      | no         |            |
| aUawance              | for                | cover         | or          | restoration | material   | (or        |
| tonnes                | if                 | solid         | waste       | or          | litres     | if         |
| Not                   |                    |               |             |             |            |            |
| appllcabie            |                    |               |             |             |            |            |
| inert                 | landfill           |               |             |             |            |            |
| -                     |                    |               |             |             |            |            |
| Non-hazardous         | landfill           |               |             |             |            |            |
| -                     |                    |               |             |             |            |            |
| HazanfousiandfiU      |                    |               |             |             |            |            |
| -                     |                    |               |             |             |            |            |
| Energy                | from               | waste         | indneration |             |            |            |
| -                     |                    |               |             |             |            |            |
| Other                 | indneration        |               |             |             |            |            |
| -                     |                    |               |             |             |            |            |
| landfill              | gas                | generation    | plant       |             |            |            |
| -                     |                    |               |             |             |            |            |
| Pyrdysls/gastfication |                    |               |             |             |            |            |
| -                     |                    |               |             |             |            |            |
| Metal                 | recydfog           | site          |             |             |            |            |
| -                     |                    |               |             |             |            |            |
| Transfer              | stations           |               |             |             |            |            |
| -                     |                    |               |             |             |            |            |
| Material              | recovery/recycfing | ladlities     | (R^tPs)     |             |            |            |
| -                     |                    |               |             |             |            |            |
| Household             | dvic               | amenity       | sites       |             |            |            |
| -                     |                    |               |             |             |            |            |
| Open                  | windrow            | composting    |             |             |            |            |
| -                     |                    |               |             |             |            |            |
| In-vessel             | composting         |               |             |             |            |            |
| -                     |                    |               |             |             |            |            |
| Anaerobic             | digestion          |               |             |             |            |            |
| -                     |                    |               |             |             |            |            |
| Any                   | combined           | mechanical,   | bio(cgical  | and/        |            |            |
| or                    | thermal            | treatment     | fMEm        |             |            |            |
| -                     |                    |               |             |             |            |            |
| Sewage                | treatment          | works         |             |             |            |            |
| -                     |                    |               |             |             |            |            |
| Other                 | treatment          |               |             |             |            |            |
| -                     |                    |               |             |             |            |            |
| Recyding              | fodllties          | construction, | demolition  |             |            |            |
| and                   | excavation         | waste         |             |             |            |            |
| -                     |                    |               |             |             |            |            |
| Storage               | of                 | waste         |             |             |            |            |
| -                     |                    |               |             |             |            |            |
| Other                 | waste              | management    |             |             |            |            |
| -                     |                    |               |             |             |            |            |
| Other                 | developments       |               |             |             |            |            |
| -                     |                    |               |             |             |            |            |
| Please                | provide            | the           | maximum     | annual      | operafa    | lonai      |
| Munidpal              |                    |               |             |             |            |            |
| Construction,         | demofition         | and           | excavation  |             |            |            |
| Commerciai            | arxl               | mcfostnal     |             |             |            |            |
| Hazardous             |                    |               |             |             |            |            |

If 
  this e 
          a landhii application you 
                                         wiH need to provide 
                                                                  further 
                                                                            informatfon 
                                                                                           before yourapplfcation 
                                                                                                                         can be 
                                                                                                                                  determined. Yourwaste 
planning authority 
                        should 
                                 make dearwhat 
                                                      information 
                                                                     it 
                                                                        requires on 
                                                                                      Its website 

## 23. Hazardous Substances

Does the 
       proposal ffivotve the 
                         use or 
                               storage of 
                                        aiy 
                                           of 
the following loaterials in 
                      the 
                         quantities 
                                  stated befow? 
                                                   Yes 
                                                               No 
                                                                       ^ 
                                                                           Notappticable 

ifVes, please provide 
the 
amount 
of 
each substance that 
is 
involved: 
Ethylene oxide 
(tonnes) 
Acrylonrtrile 
(tonnes) 
Ammonia (tonnes) 
Hydrogen qmiide 
(tonnes) 
Liquid 
oxygen 
(tonnes) 
Bromine (tonnes) 
Liquid 
petroleun 
gas 
(tonnes) 
Chlorine 
(tonnes) 
Other 
Other. 
Amount 
(tonnes): 
Amount 
(tonnes): 
Maximum annual operational 
throughput in tonnes 
(or 
litres if 
liquid 
waste) 
Phosgene (tonnes) 
Sulphur dioxide 
(tonnes) 
Flour 
(tonnes) 
Refined white 
sugar(tonnes) 

## 24. Ownership Certificates And Agricultural Land Declaration (Continued)

|                       |                                            |                   |             |               |            |            |             |          |        |                  |          | CERTfflCATEOFOWira^SHIP    | -C^RTIFICATEC    |
|-----------------------|--------------------------------------------|-------------------|-------------|---------------|------------|------------|-------------|----------|--------|------------------|----------|----------------------------|------------------|
| Town                  | and                                        | Country           | Planning    | (Oevoiopinent | Management | Prooedure) | (England)   | Order    | 2015   | Certificate      | under    | Artkie                     | 14               |
| certify/              | The                                        | applicant         | certifies   | that          |            |            |             |          |        |                  |          |                            |                  |
| Neither               | Certificate                                | A                 | or          | B             | can        | be         | issued      | for      | this   | application      |          |                            |                  |
| -                     | All                                        | reasonable        | steps       | have          | been       | taken      | to          | find     | out    | the              | names    | and                        | addresses        |
| the                   | land                                       | or                | building,   | or.of         | a          | part       | of          | it,      | but    | i                | have/    | the                        | ^HJlicant        |
| ^                     | "owner"                                    | is                | a           | person        | with       | a          | freehold    | interest | or     | leasehold        | interest | with                       | at               |
| ^"agricuitural        | tenant"                                    | has               | the         | mealing       | given      | in         | section     | ^8)      | ofthe  | Town             | and      | Country                    | Plaining         |
| The                   | steps                                      | taken             | were:       |               |            |            |             |          |        |                  |          |                            |                  |
| '                     |                                            |                   |             |               |            |            |             |          |        |                  |          |                            |                  |
| Name                  | of                                         | Owner             | /           | Agriculturai  | Tenant     |            |             |          |        |                  |          |                            |                  |
| Address               |                                            |                   |             |               |            |            |             |          |        |                  |          |                            |                  |
| Date                  | Notice                                     | Served            |             |               |            |            |             |          |        |                  |          |                            |                  |
| Notice                | of                                         | the               | application | has           | been       | publ       |             |          |        |                  |          |                            |                  |
| (circulating          | in                                         | the               | area        | where         | the        | land       | is          |          |        |                  |          |                            |                  |
| shed                  | in                                         | the               | foHowing    | newspaper     | On         | the        | fbllowtng   | date     | (which | must             | not      | be                         | earlier          |
| situated):            | than21daysl)dforethedateoftheapplication): |                   |             |               |            |            |             |          |        |                  |          |                            |                  |
| Signed-Applicant      | Orstgned-Agent                             | Date(DDyMM/YYYY): |             |               |            |            |             |          |        |                  |          |                            |                  |
| CERTIRCATEOFOWNBtSHR> | .CERTIFiCATED                              |                   |             |               |            |            |             |          |        |                  |          |                            |                  |
| Town                  | and                                        | Country           | Planning    | (Developinent | Management | Procedure) | (England)   | Order    | 2015   | Certiflcate^nder | Article  | 14                         |                  |
| certify/              | The                                        | applicant         | certifies   | that          |            |            |             |          |        |                  |          |                            |                  |
| Certificke            | A                                          | cannot            | be          | issued        | for        | this       | ^splication |          |        |                  |          |                            |                  |

All reasonable steps have 
                             been taken to 
                                              find 
                                                   out the 
                                                            names and 
                                                                          addresses of everyone else who, on 
                                                                                                                    the 
                                                                                                                        day 21 
                                                                                                                                d^ 
                                                                                                                                      before the 
date 
     of 
        this 
             application, was the 
                                     owner* and/or agricultural 
                                                                     tenant** of 
                                                                                   any part 
                                                                                             of 
                                                                                                the 
                                                                                                    land 
                                                                                                          to 
                                                                                                             which this 
                                                                                                                         application relates, but 
                                                                                                                                                     I 
have/ the 
           ap^icant has been unable to 
                                             do 
                                                 so. 

'owner^ is 
         a 
           person with 
                      a freehold 
                               mtere^ or 
                                         leasehold 
                                                  interest wHh at 
                                                                least? 
                                                                      years left to 
                                                                                 run. 

* "agrlcuituraf tenant" 
                         has the 
                                  meaning given 
                                                    in 
                                                       section 
                                                                65(8) of 
                                                                         the 
                                                                             Town 
                                                                                    aid 
                                                                                         Country Planning 
                                                                                                              Act 1990 
rhe 
    steps taken 
                  were: 

On 
  the 
     following 
             date 
                (which 
                      must 
                          not 
                             t>e earlier 
than 
   21 
      days before 
               the 
                  date 
                     of 
                       the 
                          application): 

^tlce 
     of the 
          ^licafion 
                    has 
                       been 
                            putJjMhed 
                                     in 
                                       the 
                                          f^iowing 
                                                  newspaper 
circulating in 
           the 
              area where the 
                           larKJ is 
                                 situated): 

## 25. Planning Application Requireiiienls-Checklist

^lease read the foUowaig cheddistto 
                                       make 
                                             sure 
                                                  you 
                                                       have 
                                                            sent 
                                                                 aH the 
                                                                        information 
                                                                                     in 
                                                                                        support 
                                                                                                 of 
                                                                                                    your 
                                                                                                         proposal Failure to 
                                                                                                                               submit 
                                                                                                                                       all 
nformation reqrared 
                      wif 
                          result 
                                in 
                                   your applicalion b«ng 
                                                           deemed 
                                                                     invalid Itwill 
                                                                                    not 
                                                                                        be 
                                                                                           considered 
                                                                                                       valid 
                                                                                                             until 
                                                                                                                  all 
                                                                                                                     infbrmatkm required 
                                                                                                                                            by 
:he 
   Local 
         Planning Authority has been subiTHtled 

The original 
            and 
                3 
                  cc^iiesofa completed 
                                        and 
                                             dated 
                                                                        The 
                                                                             correct fee: 
ip^ical^ 
           form: 
                                                                 ^ 

                                                         The 
                                                             original and 3 
                                                                        Gomes 
                                                                              of a 
                                                                                 design 
                                                                                       and access 
                                                                                                statement 
rheorigfnaland3copiesoftheplanwhichidentHi0s 
                                                          if required (see help 
                                                                          text and guidance notes for detafls): 
                                                                                                           fQ 

Tie 
land to 
wdiich the 
appfication relates drawn 
to 
an 
. 
dentifiadscateandshowingthedirectionofNoit^ 
S 
The 
original 
»id 
3 
copies ofthe 
completed, dated 
Ownership 
Certtfkate 
(A, ^ 
C or 
D 
- 
as appKfflbie) 
rheoriginalandSoopiesofotherplansanddrawmgsor 
arfoArticte 
14 Certificate (Agricultural 
Holdings): 
S] 
nformation 
necessary to 
describe 
the 
subject of 
the 
appficabon: 

## 24. Ownership Cei Lifioilw And Aylctritoti Land Pectaration Or

On» 
OertificatB A, B, C, or D, must be comptetKl with ItiiB 
appHcation fom CERTmCATEOFOWr®»HIP -CSmRCATEA 
TwwnandCounhyPlanwingCDoylopmenHlanaooroonlPrec'odut^giiglan^ 
Order 
201SCeitifieate wider Article 
14 
Icefti^/Theappficant certifies th^ontheday 
21 cbmbelbrethedateofthisappniifionnobody»c^myseffi^theapplicimtwasthe owner* 
of any part of the land or buikfirig to wWch the applic^ion relates, arid that rione of ttie iartd to wrhich the i^ipRcation relates is, is part of, an agncuttural hokfing** 
NOTE'You should sign Certtfleale B, C 
or D» 
as approprhrta, you are the ado owner of the land or building to which the applteation relates butthe land Is, or is part of, an i 
'agiicuitiial holding'has the rnesBitng ghen by relBiance to thedsfinition of 
^agricuitisa) tenanf in section 
65(8) of the Act 
(England) 
Order2015 Certificate under Article 
14 
requistte notice to evenfono else as listed belc^ 
who, on the day 
21 days before TO data of this application, was the owner* SKifDragricuHuFaltenartt**ofany partofTOlaridorbiHl^ngtowhKhthB 
r Act 1990 
' 
owner'is a person with a freehold interest or leas^ioid Ntierest with at least 7 
years left to lua