09/1024 - MCU - Detached House [As Published] · 132009.1024

 

 

  

 

 

 

 

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[1] Reconfiguring a loi

 

[X] Material change of use -

 

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“Alor part of the piemises is on the Environmental Management Register

All or part of the premises is on the Contamifated Land Register

All or part of the premises is currently used for, or if there j is no existing t use, was last
_used for -

» ler. "a iale activity sy, o , es . oe
“Oe an industrial activity anid the é proscbed use, is’ for achild care centfe,

/-® @ducational, recreational or residential purpose {including a caretaker
residence on industrial fand) »

in an area for which ‘an ‘area management advice’ has beer given for natural
mineralisation or industrial activity and the proposed use is for a child care centre,
educational, recreational or residential purpose (including a caretaker residence on
industrial land)

In an area for which an: “area Management advice’ has been given for unexploded
ordnance :

 

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2. Confirm the following mandatory information accompanies this application.

 

 

{i) Plans showing where any notifi able activities, hazardous contaminant or potentially contaminated,
activity has occurred on the premises

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premises

(ii) [f the application involves a material change of use from an industrial use to a more sensitive use 3 (.
g. child care, educational, recreational or residential purpose, including a caretaker residence on
industrial land), a detailed site history outlining previous potentially contaminated uses on the

L|Corifirmed

 

 

 

a Not applicable

 

 

OFFICE USE ONLY

 

Date Received

 

 

 

Reference Numbers

2

 

 

 

 

 

 

General advice

+ Part A must also be completed for all DAS development applications.

+ The applicant is responsible for answering all questions fully and correctly, unless following a response there is a statement to go directly to another
question.

“|e For further information about completing this form go to -

. IDAS Guidi
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(Contaminated land matters)
land website.

 

 

 
    
 

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