PLANNING - (FORM 2)
Environmental Effect Checklist for Land use Consents
Resource Management Act 1991
The effects of your proposed activity will be one of the key considerations when your application is assessed. This checklist has been compiled to assist you to prepare an application which will meet the requirements of the Resource Management Act 1991. Your application must be accompanied by this completed checklist and assessment of effects. Through consultation with Council staff and the affected parties, you should be able to identify the significant environmental effects which should be addressed in your application. We strongly recommend that you consult at an early stage. The formal process of the statutory application will be much smoother if you have done so. Should you answer YES to any of the following questions, you may be required to provide an assessment of the effects from a professional person experienced in assessing the effects of your proposed activity, e.g. soil engineer, or environmental health expert. This assessment should also accompany the application. If there is any doubt, discussions with Council staff may assist.
NOTE:
Unless the question is clearly not applicable to the application, it is unacceptable to claim without any reason that the proposed activity will have no effect on the environment. Applications with such incomplete assessments will not be processed until the relevant information is provided.
The assessment should include but not be limited to: a) the type of effect (positive/negative/cumulative); b) the extent of the effect (geographic spread/duration/volume; and c) possible actions to reduce (avoid, remedy or mitigate) adverse effects.
1.
Are any of the following natural constraints or hazards present on the site? Is there any stormwater or flood-flow path? Is the land unstable or on a slope greater than 20o? Is the site in or adjacent to a gully? Is the site within 20 metres of a permanent watercourse? Are there any geothermal features on the site? Are there any geothermal bores on the site? Has the site been subject to landfill? Are there any other natural constraints to the site? (If YES, what are they?)
YES YES YES YES YES YES YES YES SHOW ON PLAN
NO NO NO NO NO NO NO NO
Is there any waahi tapu or archaeological site present which may be affected by the proposed development? Is there any historic or significant building, tree, object or site affected by the proposed development?
YES YES
NO NO
2.
Note 1: Note 2:
The District Plan contains registers of the above features for reference, see Appendix A. If the above feature is registered under the Historic Places Act 1993 the consent of the Historic Places Trust will be required. In addition a survey of archaeological sites, including registered, non-registered and NZAA listed and previously unlisted sites may be required to be undertaken.
DESCRIBE THE EFFECT OF THE PROPOSAL ON THE ABOVE FEATURE. Has the value of any of the above listed items been assessed and relevant parties consulted? Does the proposed development affect tangata whenua? If YES outline how you have taken account of the principles of the Treaty of Waitangi. See Part Five of the District Plan for an explanation of these principles. N/A YES YES SHOW ON PLAN
PTO 1061 Haupapa Street Private Bag RO3029 RotoruaPhone: 07 348 4199 Fax: 07 346 3143 E mail: [email protected] Web: www.rdc.govt.nz
NO NO
Doc.No.IT-643201 Ref: 65-26-026
3.
Does the site or neighbouring site contain: - Any wildlife habitat, wetland or area of indigenous vegetation that could be affected by the proposed activity? - Any trees that will be affected by the proposed activity?
YES YES SHOW ON PLAN
NO NO
4.
Will the proposed development generate: - Any additional utility service requirements? - Any additional vehicular traffic? - Any additional noise? - Any dust that can drift beyond the site? - Any odour beyond the site? - Where YES will the above be during the construction period? - Where YES will the above be when the development is completed?
YES YES YES YES YES YES YES SHOW ON PLAN YES
NO NO NO NO NO NO NO
5. 6. 7. 8. 9. 10.
Will the property have direct access to a State Highway? (If YES, the written comments of Transit New Zealand will be required for both existing and proposed vehicular access points)
NO
Will the development produce any waste materials?
YES
NO
Will you be applying for a liquor licence in relation to this activity?
YES
NO
Will you be storing, using, transporting or disposing of any hazardous substance or contaminant? Will any activity produce contaminated wash waters/effluent run off?
YES YES
NO NO
Will the scale/size/use of your development have any adverse effect on the environment or the amenities of the neighbourhood and the resources and services already provided to support such a use?
YES
NO
Describe the visual effects of the proposed development.
To the best of my knowledge the answers on this form are correct. Where the answer is YES I have included an assessment from a recognised professional or addressed the issue in consultation with Council staff and have shown on a plan of the site those particular features.
.
(Date)
..
(Signature of applicant or agent for applicant)
1061 Haupapa Street Private Bag RO3029 Rotorua-
Phone: 07 348 4199 Fax: 07 346 3143 E mail: [email protected] Web: www.rdc.govt.nz
Doc.No.IT-643201 Ref: 65-26-026
1061 Haupapa Street Private Bag RO3029 Rotorua-
Phone: 07 348 4199 Fax: 07 346 3143 E mail: [email protected] Web: www.rdc.govt.nz
Doc.No.IT-643201 Ref: 65-26-026
