S.I. No. 296/2018 - European Union (Planning and Development) (Environmental Impact Assessment) Regulations 2018

“Form No. 6 Article 225

Application to An Bord Pleanála for substitute consent: site notice

APPLICATION TO AN BORD PLEANÁLA FOR SUBSTITUTE CONSENT

SITE NOTICE

I,................................., ¹ intend to apply for substitute consent for development at this site..............

.............. ²

The development consists of..............

..............³

The application is accompanied by a remedial Environmental Impact Assessment Report and remedial Natura impact statement [delete as appropriate].

Submissions or observations may be made on the application, to An Bord Pleanála, Marlborough Street, Dublin 1, without charge. Submissions or observations must be in writing and made within the period of 5 weeks beginning on the date of receipt of the application by An Bord Pleanála and such submissions and observations will be considered by An Bord Pleanála in making a decision on the application. An Bord Pleanála may grant the consent subject to or without conditions, or may refuse to grant it. The application for consent may be inspected, or purchased at a fee not exceeding the reasonable cost of making a copy, at the offices of An Bord Pleanála, or the relevant planning authority during its public opening hours.

Signed: .....................................................⁴

Date of erection of site notice. ........................................................................⁵

Directions for completing this notice

1. The name of the applicant for substitute consent (and not his or her agent) should be inserted here.

2. The location, townland or postal address of the land or structure to which the application relates should be inserted here.

3. A brief description of the nature and extent of the development should be inserted here. The description shall include—

4. (a) where the application relates to development which consisted or comprised of the carrying out of works to a protected structure or proposed protected structure, an indication of that fact,

5. (b) where the application relates to development which comprises or is for the purposes of an activity requiring an integrated pollution control licence or a waste licence, an indication of that fact, or

6. (c) where an application relates to development consisting of the provision of, or modifications to an establishment within the meaning of Part 11 of these Regulations (Major Accident Directive), an indication of that fact.

7. Either the signature of the applicant or the signature and contact address of the person acting on behalf of the applicant should be inserted here.

8. The date that the notice is erected or fixed at the site should be inserted here.”.

SCHEDULE 7

“Form No. 7 Article 227

Application to An Bord Pleanála for substitute consent

APPLICATION TO AN BORD PLEANÁLA FOR SUBSTITUTE CONSENT

BEFORE FILLING OUT THIS FORM PLEASE NOTE THE FOLLOWING

Failure to complete this form or attach the necessary documentation, or the submission of incorrect information or omission of required information will lead to the invalidation of your application. Therefore please ensure that that each section of this application form is fully completed and signed, entering n/a (not applicable) where appropriate, and that all necessary documentation is attached to the application form.

ADDITIONAL INFORMATION

It should be noted that each planning authority has its own development plan, which sets out local development policies and objectives for its own area. The authority may therefore need supplementary information (i.e. other than that required in this form) in order to determine whether the application conforms with the development plan and may request this on a supplementary application form.

Failure to supply the supplementary information will not invalidate your planning application but may delay the decision-making process or lead to a refusal of permission. Therefore applicants should contact the relevant planning authority to determine what local policies and objectives would apply to the development proposed and whether additional information is required.

OTHER STATUTORY CODES

An applicant will not be entitled solely by reason of a planning permission to carry out the development. The applicant may need other consents, depending on the type of development. For example, all new buildings, extensions and alterations to, and certain changes of use of existing buildings must comply with building regulations, which set out basic design and construction requirements. Also any works causing the deterioration or destruction of the breeding and resting places of bats, otters, natterjack toads, Kerry slugs and certain marine animals constitute a criminal offence unless covered by a derogation licence issued by the Minister for Culture, Heritage and the Gaeltacht (pursuant to Article 16 of the Habitats Directive).

DATA PROTECTION

It is the responsibility of persons or entities wishing to use any personal data on a planning application form for direct marketing purposes to be satisfied that they may do so legitimately under the requirements of the Data Protection Acts 1988 to 2018. The Office of the Data Protection Commissioner states that the sending of marketing material to individuals without consent may result in action by the Data Protection Commissioner against the sender including prosecution.

APPLICATION FORM

1. NAME OF RELEVANT PLANNING AUTHORITY:	1. NAME OF RELEVANT PLANNING AUTHORITY:

2. LOCATION OF DEVELOPMENT:	2. LOCATION OF DEVELOPMENT:
Postal Address or Townland or Location (as may best identify the land or structure in question)
Ordnance Survey Map Ref No (and the Grid Reference where available)1

3. APPLICANT2:	3. APPLICANT2:
Name(s)
	Address to be supplied at the end of this form (Question 19)

4. WHERE APPLICANT IS A COMPANY (REGISTERED UNDER THE COMPANIES ACTS):	4. WHERE APPLICANT IS A COMPANY (REGISTERED UNDER THE COMPANIES ACTS):
Name(s) of company director(s)
Registered Address (of company)
Company Registration number

5. PERSON/AGENT ACTING ON BEHALF OF THE APPLICANT (IF ANY):	5. PERSON/AGENT ACTING ON BEHALF OF THE APPLICANT (IF ANY):
Name
	Address to be supplied at the end of this form (Question 20)

6. PERSON RESPONSIBLE FOR PREPARATION OF DRAWINGS AND PLANS3:	6. PERSON RESPONSIBLE FOR PREPARATION OF DRAWINGS AND PLANS3:
Name
Firm/Company

7. DESCRIPTION OF DEVELOPMENT:	7. DESCRIPTION OF DEVELOPMENT:
Brief description of nature and extent of development4

8. LEGAL INTEREST OF APPLICANT IN THE LAND OR STRUCTURE:	8. LEGAL INTEREST OF APPLICANT IN THE LAND OR STRUCTURE:	8. LEGAL INTEREST OF APPLICANT IN THE LAND OR STRUCTURE:
Please tick appropriate box.	A. Owner	B. Occupier
	C. Other
Where legal interest is ‘Other’, please expand further on your interest in the land or structure

9. SITE AREA:	9. SITE AREA:
Area of site to which the application relates in hectares	...........................................ha

10. WHERE THE APPLICATION RELATES TO A BUILDING OR BUILDINGS:	10. WHERE THE APPLICATION RELATES TO A BUILDING OR BUILDINGS:
Gross floor space5 of existing building(s) in square metres
Gross floor space of any demolition in square metres (if appropriate)

11. IN THE CASE OF MIXED DEVELOPMENT (E.G. RESIDENTIAL, COMMERCIAL, INDUSTRIAL, ETC), PLEASE PROVIDE BREAKDOWN OF THE DIFFERENT CLASSES OF DEVELOPMENT AND BREAKDOWN OF THE GROSS FLOOR AREA OF EACH CLASS OF DEVELOPMENT:	11. IN THE CASE OF MIXED DEVELOPMENT (E.G. RESIDENTIAL, COMMERCIAL, INDUSTRIAL, ETC), PLEASE PROVIDE BREAKDOWN OF THE DIFFERENT CLASSES OF DEVELOPMENT AND BREAKDOWN OF THE GROSS FLOOR AREA OF EACH CLASS OF DEVELOPMENT:
Class of Development	Gross floor area in square metres

12. IN THE CASE OF RESIDENTIAL DEVELOPMENT PLEASE PROVIDE BREAKDOWN OF RESIDENTIAL MIX:	12. IN THE CASE OF RESIDENTIAL DEVELOPMENT PLEASE PROVIDE BREAKDOWN OF RESIDENTIAL MIX:	12. IN THE CASE OF RESIDENTIAL DEVELOPMENT PLEASE PROVIDE BREAKDOWN OF RESIDENTIAL MIX:	12. IN THE CASE OF RESIDENTIAL DEVELOPMENT PLEASE PROVIDE BREAKDOWN OF RESIDENTIAL MIX:	12. IN THE CASE OF RESIDENTIAL DEVELOPMENT PLEASE PROVIDE BREAKDOWN OF RESIDENTIAL MIX:	12. IN THE CASE OF RESIDENTIAL DEVELOPMENT PLEASE PROVIDE BREAKDOWN OF RESIDENTIAL MIX:	12. IN THE CASE OF RESIDENTIAL DEVELOPMENT PLEASE PROVIDE BREAKDOWN OF RESIDENTIAL MIX:	12. IN THE CASE OF RESIDENTIAL DEVELOPMENT PLEASE PROVIDE BREAKDOWN OF RESIDENTIAL MIX:
Number of	Studio	1 Bed	2 Bed	3 Bed	4 Bed	4+ Bed	Total
Houses
Apartments
Number of car-parking spaces to be provided							Total:

13. DEVELOPMENT DETAILS:	13. DEVELOPMENT DETAILS:	13. DEVELOPMENT DETAILS:
Please tick appropriate box	Yes	No
Does the development consist of work to a protected structure and/or its curtilage or proposed protected structure and/or its curtilage?
Does the development consist of work to the exterior of a structure which is located within an architectural conservation area (ACA)?
Does the application relate to development which affects or is close to a monument or place recorded under section 12 of the National Monuments (Amendment) Act 1994 6
Does the application relate to work within or close to a European Site or a Natural Heritage Area?
Does the development require the preparation of a remedial Environmental Impact Assessment Report?
Does the development require the preparation of a remedial Natura impact statement?
Does the application relate to a development which comprises or is for the purposes of an activity requiring an integrated pollution prevention and control licence?
Does the application relate to a development which comprises or is for the purposes of an activity requiring a waste licence?
Do the Major Accident Regulations apply to the development?
Does the application relate to a development in a Strategic Development Zone?
Does the development involve the demolition of any structure?

14. SITE HISTORY:
Details regarding site history (if known)
Has the site in question ever, to your knowledge, been flooded? Yes [ ] No [ ] If yes, please give details e.g. year, extent.Are you aware of previous uses of the site e.g. dumping or quarrying? Yes [ ] No [ ] If yes, please give details:
Are you aware of any valid planning applications previously made in respect of this land/structure?
Yes [ ] No [ ]If yes, please state planning reference number(s) and the date(s) of receipt of the planning application(s) by the planning authority if known: Reference No.:........................................................ Date:............................

15. SERVICES:	15. SERVICES:
Source of Water Supply	Source of Water Supply
Public Mains [ ] Group Water Scheme [ ] Private Well [ ]Other (please specify):................................................................Name of Group Water Scheme (where applicable):....................................................	Public Mains [ ] Group Water Scheme [ ] Private Well [ ]Other (please specify):................................................................Name of Group Water Scheme (where applicable):....................................................
Wastewater Management/Treatment	Wastewater Management/Treatment
Public Sewer [ ] Conventional septic tank system [ ]Other on-site treatment system [ ] Please specify......................................................	Public Sewer [ ] Conventional septic tank system [ ]Other on-site treatment system [ ] Please specify......................................................
Surface Water Disposal	Surface Water Disposal
Public Sewer/Drain [ ] Soakpit [ ]Watercourse [ ] Other [ ] Please specify...................................................	Public Sewer/Drain [ ] Soakpit [ ]Watercourse [ ] Other [ ] Please specify...................................................

16. DETAILS OF PUBLIC NOTICE:	16. DETAILS OF PUBLIC NOTICE:
Approved newspaper7 *in which notice was published*
Date of publication
Date on which site notice was erected

17. APPLICATION FEE:	17. APPLICATION FEE:
Fee Payable
Basis of Calculation

18. DECLARATION:	18. DECLARATION:
I hereby declare that, to the best of my knowledge and belief, the information given in this form is correct and accurate and fully compliant with the Planning & Development Act 2000, as amended, and the Regulations made thereunder.	I hereby declare that, to the best of my knowledge and belief, the information given in this form is correct and accurate and fully compliant with the Planning & Development Act 2000, as amended, and the Regulations made thereunder.
Signed(Applicant or Agent as appropriate)
Date

CONTACT DETAILS — NOT TO BE PUBLISHED

19. APPLICANT ADDRESS/CONTACT DETAILS:	19. APPLICANT ADDRESS/CONTACT DETAILS:
Address
Email address
Telephone number (optional)

20. AGENT’S (IF ANY) ADDRESS/CONTACT DETAILS:	20. AGENT’S (IF ANY) ADDRESS/CONTACT DETAILS:
Address
Email address
Telephone number (optional)
Should all correspondence be sent to the agent’s address? Please tick appropriate box. (Please note that if the answer is ‘No’, all correspondence will be sent to the applicant’s address) Yes [ ] No [ ]	Should all correspondence be sent to the agent’s address? Please tick appropriate box. (Please note that if the answer is ‘No’, all correspondence will be sent to the applicant’s address) Yes [ ] No [ ]

A contact address must be given, whether that of the applicant or that of the agent.

This form should be accompanied by the following documentation:

Please note that if the appropriate documentation is not included, your application will be deemed invalid.

ALL Applications

□ The relevant page of newspaper that contains notice of your application

□ A copy of the site notice

□ 6 copies of site location map^8

□ 6 copies of site or layout plan as appropriate8

□ 6 copies of plans and other particulars required to describe the works to which the development relates (include detailed drawings of floor plans, elevations and sections) as appropriate^8

□ The appropriate Fee

Where the disposal of wastewater for the development is other than to a public sewer:

□ Information on the on-site treatment system and evidence as to the suitability of the site for the system.

Where the application refers to a protected structure/ proposed protected structure/ or the exterior of a structure which is located within an architectural conservation area (ACA):

□ Photographs, plans and other particulars necessary to show how the development affects the character of the structure.

Where an application requires an Environmental Impact Assessment Report or a Natura Impact Statement:

□ An Environmental Impact Assessment Report, and

□ A copy of the confirmation notice received from the EIA portal in accordance with article 97B(2) of the permission regulations

□ A Natura Impact Statement

Directions for completing this form

1. Grid reference in terms of the Irish Transverse Mercator.

2. ‘The applicant’ means the person seeking the consent, not an agent acting on his or her behalf.

3. Where the plans have been drawn up by a firm/company the name of the person primarily responsible for the preparation of the drawings and plans, on behalf of that firm/company, should be given.

4. A brief description of the nature and extent of the development, including reference to the number and height of buildings, protected structures, etc.

5. Gross floor space means the area ascertained by the internal measurement of the floor space on each floor of a building, that is, floor areas must be measured from inside the external wall.

6. The Record of Monuments and Places, under section 12 of the National Monuments Amendment Act 1994, is available, for each county, in the local authorities and public libraries in that county. Please note also that if the proposed development affects or is close to a national monument which, under the National Monuments Acts 1930 to 2004, is in the ownership or guardianship of the Minister for Culture, Heritage and the Gaeltacht or a local authority, or is the subject of a preservation order or a temporary preservation order, a separate statutory consent is required, under the National Monuments Acts, from the Minister for Culture, Heritage and the Gaeltacht. For information on whether national monuments are in the ownership or guardianship of the Minister for Culture, Heritage and the Gaeltacht or a local authority or are the subject of preservation orders, contact the National Monuments Section, Department of Culture, Heritage and the Gaeltacht.

7. A list of approved newspapers, for the purpose of giving notice of intention to make a planning application, is available from the planning authority.

8. All plans, drawings and maps submitted to the planning authority should be in accordance with the requirements of the Planning and Development Regulations 2001-2018.”.

SCHEDULE 8

“Form No. 8 Article 256

Site Notice for additional notice under Part 21

NAME OF PLANNING AUTHORITY

ADDITIONAL SITE NOTICE: PLANNING APPLICATION NOT DECIDED WITHIN YEAR OF PERIOD FOR MAKING A DECISION UNDER SECTION 34 OF PLANNING AND DEVELOPMENT ACT 2000

Planning Register Reference:.......................................................

I, ..............¹, have applied for permission/retention permission/outline permission/permission consequent on the grant of outline permission (Ref. No. of outline permission) for development at this site ..............²

The development will consist/ consists of .............. ³

This application is accompanied by an Environmental Impact Assessment Report and/or a Natura impact statement

[delete as appropriate]

The planning authority has failed to decide the planning application within 1 year of the period for deciding the application under section 34 of the Planning and Development Act 2000 (as amended) and submissions or observations/further submissions or observations may now be made on the application, to the planning authority, without charge. Submissions or observations must be in writing and made within the period of 5 weeks beginning on the date of receipt by the authority of copies of the newspaper and site notices: such submissions will be considered by the planning authority in making a decision on the application.

The planning authority may grant the application subject to or without conditions, or may refuse to grant it.

The planning application may be inspected, or purchased at a fee not exceeding the reasonable cost of making a copy, at the offices of the planning authority during its public opening hours and a submission or observation in relation to the application may be made to the authority.

Signed:.............................................⁴

Date of erection of additional site notice: .............................................5

Directions for completing this notice

1. The name of the applicant for permission (and not his or her agent) should be inserted here.

2. The location, townland or postal address of the land or structure to which the application relates should be inserted here.

3. A brief description of the nature and extent of the development should be inserted here. The description should include—

a) where the application relates to development which consisted or comprised of the carrying out of works to a protected structure or proposed protected structure, an indication of that fact,

b) where the application relates to development which comprises or is for the purposes of an activity requiring an integrated pollution control licence or a waste licence, an indication of that fact, or

c) where an application relates to development consisting of the provision of, or modifications to an establishment within the meaning of Part 11 of these Regulations (Major Accident Directive), an indication of that fact.

1. Either the signature of the applicant or the signature and contact address of the person acting on behalf of the applicant should be inserted here.

2. The date that the notice is erected or fixed at the site should be inserted here.”.

SCHEDULE 9

“Form No. 11 Article 285

Form of request to An Bord Pleanála to enter into consultations in relation to a proposed strategic housing development1

BEFORE FILLING OUT THIS FORM PLEASE NOTE THE FOLLOWING

Failure to complete this form or attach the necessary documentation, or the submission of incorrect information or omission of required information, will lead to the Board refusing to deal with your request. Therefore, ensure that each section of this request form is fully completed and signed, entering n/a (not applicable) where appropriate, and that all necessary documentation is attached to the request form.

DATA PROTECTION

It is the responsibility of persons or entities wishing to use any personal data on a planning application form for direct marketing purposes to be satisfied that they may do so legitimately under the requirements of the Data Protection Acts 1988 to 2018. The Office of the Data Protection Commissioner states that the sending of marketing material to individuals without consent may result in action by the Data Protection Commissioner against the sender including prosecution.

HOLDING OF PRE-APPLICATION CONSULTATIONS WITH THE BOARD

Under section 6(9) of the Planning and Development (Housing) and Residential Tenancies Act 2016 , neither the holding of a consultation under section 6, nor the forming of an opinion under that section, shall prejudice the performance by the Board, or the planning authority or authorities in whose area or areas the proposed strategic housing development would be situated, of any other of their respective functions under the Planning and Development Acts 2000 to 2018 or any other enactment and cannot be relied upon in the formal planning process or in legal proceedings.

Declaration

I hereby declare that, to the best of my knowledge and belief, the information given in this form is correct and accurate and fully compliant with the requirements of the Planning and Development Act 2000 and Chapter 1 of Part 2 of the Planning and Development (Housing) and Residential Tenancies Act 2016 and the Regulations made thereunder.

Signed (Prospective applicant or Agent as Appropriate):

………………………………………………………

Date ……………………………

1. Name of prospective applicant2:
[Contact details to be supplied in section 24 of this form.]

2. Where applicant is a company registered under the Companies ActRegistered address of company:Company registration number:[Contact details to be supplied in section 24 of this form.]

3. Name of person/agent (if any) acting on behalf of the prospective applicant:[Contact details to be supplied in section 25 of this form.]

4. Person responsible for preparation of maps, plans and drawings3Name:Firm/Company:[Contact details to be supplied in section 26 of this form.]

5. Planning authority4 (A) Name: (B) Has a copy of the consultation request been sent to the planning authority? Yes [ ] No [ ] [Place X in appropriate box]

6. Site of proposed strategic housing development (A) Is a site location map5 enclosed with this application? Yes [ ] No [ ] [Place X in appropriate box] (B) State postal address or townland or location (as may best identify the site in question): (C) State Ordnance Survey Map Reference Number (and the Grid Reference where available)6: (D) State the site zoning in current Development Plan or Local Area Plan for the area: (E) State the existing use of the site and proposed use of the site:(F) State the site area to which the application relates, in hectares: ha

7. Prospective applicant’s interest in the site, etc.Place X in appropriate box to indicate prospective applicant’s interest in the site:Site owner [ ]Site owner has consented to the prospective applicant making an application for permission for a proposed strategic housing development in respect of the site: [ ] State the name and address of the site owner and supply a letter of consent to the prospective applicant making an application for permission for a proposed strategic housing development in respect of the site, signed by the site owner:

8. Site history	8. Site history	8. Site history	8. Site history	8. Site history
(A) Is the prospective applicant aware of the site ever having been flooded?	(A) Is the prospective applicant aware of the site ever having been flooded?	(A) Is the prospective applicant aware of the site ever having been flooded?	(A) Is the prospective applicant aware of the site ever having been flooded?	(A) Is the prospective applicant aware of the site ever having been flooded?
Yes [ ] No [ ] [Place X in appropriate box]	Yes [ ] No [ ] [Place X in appropriate box]	Yes [ ] No [ ] [Place X in appropriate box]	Yes [ ] No [ ] [Place X in appropriate box]	Yes [ ] No [ ] [Place X in appropriate box]
If the answer to question 8(A) is ‘Yes’, give details e.g. year, extent:	If the answer to question 8(A) is ‘Yes’, give details e.g. year, extent:	If the answer to question 8(A) is ‘Yes’, give details e.g. year, extent:	If the answer to question 8(A) is ‘Yes’, give details e.g. year, extent:	If the answer to question 8(A) is ‘Yes’, give details e.g. year, extent:
(B) Is the prospective applicant aware of previous uses of the site e.g. dumping or quarrying?	(B) Is the prospective applicant aware of previous uses of the site e.g. dumping or quarrying?	(B) Is the prospective applicant aware of previous uses of the site e.g. dumping or quarrying?	(B) Is the prospective applicant aware of previous uses of the site e.g. dumping or quarrying?	(B) Is the prospective applicant aware of previous uses of the site e.g. dumping or quarrying?
Yes [ ] No [ ] [Place X in appropriate box]	Yes [ ] No [ ] [Place X in appropriate box]	Yes [ ] No [ ] [Place X in appropriate box]	Yes [ ] No [ ] [Place X in appropriate box]	Yes [ ] No [ ] [Place X in appropriate box]
If the answer to question 8(B) is ‘Yes’, give details:	If the answer to question 8(B) is ‘Yes’, give details:	If the answer to question 8(B) is ‘Yes’, give details:	If the answer to question 8(B) is ‘Yes’, give details:	If the answer to question 8(B) is ‘Yes’, give details:
(C) Is the prospective applicant aware of any valid planning applications previously made in respect of the site?	(C) Is the prospective applicant aware of any valid planning applications previously made in respect of the site?	(C) Is the prospective applicant aware of any valid planning applications previously made in respect of the site?	(C) Is the prospective applicant aware of any valid planning applications previously made in respect of the site?	(C) Is the prospective applicant aware of any valid planning applications previously made in respect of the site?
Yes [ ] No [ ] [Place X in appropriate box]	Yes [ ] No [ ] [Place X in appropriate box]	Yes [ ] No [ ] [Place X in appropriate box]	Yes [ ] No [ ] [Place X in appropriate box]	Yes [ ] No [ ] [Place X in appropriate box]
If the answer to question 8(C) is ‘Yes’, complete the following table:	If the answer to question 8(C) is ‘Yes’, complete the following table:	If the answer to question 8(C) is ‘Yes’, complete the following table:	If the answer to question 8(C) is ‘Yes’, complete the following table:	If the answer to question 8(C) is ‘Yes’, complete the following table:
	Reg. Ref. No.	Nature of Proposed Development	Nature of final decision on application: grant or refusal by planning authority or An Bord Pleanála
(D) Is the site of the proposal subject to a current appeal to An Bord Pleanála in respect of a similar development?	(D) Is the site of the proposal subject to a current appeal to An Bord Pleanála in respect of a similar development?	(D) Is the site of the proposal subject to a current appeal to An Bord Pleanála in respect of a similar development?	(D) Is the site of the proposal subject to a current appeal to An Bord Pleanála in respect of a similar development?	(D) Is the site of the proposal subject to a current appeal to An Bord Pleanála in respect of a similar development?
Yes [ ] No [ ] [Place X in appropriate box]	Yes [ ] No [ ] [Place X in appropriate box]	Yes [ ] No [ ] [Place X in appropriate box]	Yes [ ] No [ ] [Place X in appropriate box]	Yes [ ] No [ ] [Place X in appropriate box]
If the answer to question 8(D) is ‘Yes’, specify the Board’s reference number for that appeal:	If the answer to question 8(D) is ‘Yes’, specify the Board’s reference number for that appeal:	If the answer to question 8(D) is ‘Yes’, specify the Board’s reference number for that appeal:	If the answer to question 8(D) is ‘Yes’, specify the Board’s reference number for that appeal:	If the answer to question 8(D) is ‘Yes’, specify the Board’s reference number for that appeal:

9. Characteristics of proposed strategic housing development: (A) Provide a brief description of the nature and extent of the proposed development, including— • the proposed types and numbers of houses, student accommodation units, or both, • in the case of student accommodation units, the combined number of bedspaces, and any other uses to which those units may be put, • proposed services ancillary to the residential development, and • other proposed uses in the development of the land, the zoning of which facilitates such use: (B) Provide a brief description of possible effects of the proposed development on the environment, highlighting any aspect of the development likely to have significant effects on the environment or significant effects on a European site:

10. Draft layout plan of proposed strategic housing developmentIs a draft layout plan7 enclosed with this request? Yes [ ] No [ ] [Place X in appropriate box]

11. Prior consultations in respect of proposed strategic housing development (A) State date(s) of consultation(s) with the planning authority under section 247 of the Planning and Development Act 2000 : (B) State names and posts of participants in the consultation(s) referred to in paragraph (A): (C) Summarise the outcome of the consultation(s) referred to in paragraph (A): (D) Provide the following information about any previous pre-application consultations with An Bord Pleanála in relation to the proposed development: (i) Date(s) of consultation(s): (ii) An Bord Pleanála Reference No.: (E) Provide details of any other consultations the prospective applicant has had with authorities prescribed under sections 8 (1)(b) and (c) of the Planning and Development (Housing) and Residential Tenancies Act 2016 or with the public:

12. Particulars of proposed strategic housing developmentDescribe briefly, attaching outline plans, where appropriate— (A) the proposed types of houses or student accommodation units, or both, as appropriate, and their design, including proposed internal gross floor spaces, housing density, plot ratio, site coverage, building heights, proposed layout and aspect, (B) public and private open space provision, landscaping, play facilities, pedestrian permeability, vehicular access and parking provision, where relevant, (C) the provision of services ancillary to the proposed residential development, including child care facilities and communal facilities and amenities, and the proposed gross floor space for each such service. Where it is not proposed to provide one childcare facility for each 75 houses in the proposed development, the request should be accompanied by a statement of the rationale for this, (D) other proposed uses in the development, the zoning of which facilitates such use, including the proposed gross floor space for each such use, (E) any proposals to address or, where relevant, integrate the proposed development with surrounding land uses, (F) any proposals to provide for services infrastructure, for services other than water, (including cabling such as broadband provision) and any phasing proposals, (G) proposals under Part V of the Planning and Development Act 2000 , where relevant, and (H) details of protected structures, national monuments or other monuments included in the Record of Monuments and Places, where relevant

13. Statements enclosed with request (A) Is the request accompanied by a statement that, in the prospective applicant’s opinion, the proposed strategic housing development is consistent with relevant guidelines issued by the Minister under section 28 of the Planning and Development Act 2000 ? Yes [ ] No [ ] [Place X in appropriate box] The statement should be accompanied by a list of the guidelines considered by the prospective applicant in making the statement. (B) Is the request accompanied by a statement that, in the prospective applicant’s opinion, subject to Statement (C) where appropriate, the proposed strategic housing development is consistent with relevant objectives of the development plan or local area plan concerned? Yes [ ] No [ ] [Place X in appropriate box] The statement should be accompanied by a list of the principal plan objectives considered by the prospective applicant in making the statement. (C) In the case where the proposed strategic housing development would materially contravene a relevant objective of the development plan or local area plan, other than in relation to the zoning of the land, is the request accompanied by a statement of the objective concerned and why permission should, nonetheless, be granted for the development, having regard to a consideration specified in section 37 (2)(b) of the Planning and Development Act 2000 ? (D) Is the request accompanied by a statement that, in the prospective applicant’s opinion, the proposed strategic housing development is consistent with the relevant planning scheme for a strategic development zone made under section 169 of the Planning and Development Act 2000 ? Yes [ ] No [ ] [Place X in appropriate box] The statement should be accompanied by a list of the principal provisions of the planning scheme considered by the prospective applicant in making the statement

14. Proposed residential development	14. Proposed residential development	14. Proposed residential development	14. Proposed residential development	14. Proposed residential development	14. Proposed residential development
(A) Provide an indicative breakdown of the proposed residential content of the development, as follows:	(A) Provide an indicative breakdown of the proposed residential content of the development, as follows:	(A) Provide an indicative breakdown of the proposed residential content of the development, as follows:	(A) Provide an indicative breakdown of the proposed residential content of the development, as follows:	(A) Provide an indicative breakdown of the proposed residential content of the development, as follows:	(A) Provide an indicative breakdown of the proposed residential content of the development, as follows:
	Houses	Houses	Houses	Houses
	Unit Type	No. of Units	Gross floor space^8 in m2	Gross floor space^8 in m2
	1-bed
	2-bed
	3-bed
	4-bed
	4+bed
	Total
	Apartments	Apartments	Apartments	Apartments
	Unit Type	No. of Units	Gross floor space^8 in m2	Gross floor space^8 in m2
	1-bed
	2-bed
	3-bed
	4-bed
	4+bed
	Total
	Student Accommodation	Student Accommodation	Student Accommodation	Student Accommodation
	Unit Type	No. of Units	No. of bed spaces	Gross floor space^8 in m2
	1-bed
	2-bed
	3-bed
	4-bed
	4+bed
	Total
(B) State total number of residential units in proposed development:	(B) State total number of residential units in proposed development:	(B) State total number of residential units in proposed development:	(B) State total number of residential units in proposed development:	(B) State total number of residential units in proposed development:	(B) State total number of residential units in proposed development:
(C) State cumulative gross floor space^8 of residential units, in m2:	(C) State cumulative gross floor space^8 of residential units, in m2:	(C) State cumulative gross floor space^8 of residential units, in m2:	(C) State cumulative gross floor space^8 of residential units, in m2:	(C) State cumulative gross floor space^8 of residential units, in m2:	(C) State cumulative gross floor space^8 of residential units, in m2:

15. Proposed ancillary and other uses in the development	15. Proposed ancillary and other uses in the development	15. Proposed ancillary and other uses in the development	15. Proposed ancillary and other uses in the development
(A) Provide details of the different classes of development proposed as ancillary to residential development and other uses on the land, the zoning of which facilitates such uses, as follows:	(A) Provide details of the different classes of development proposed as ancillary to residential development and other uses on the land, the zoning of which facilitates such uses, as follows:	(A) Provide details of the different classes of development proposed as ancillary to residential development and other uses on the land, the zoning of which facilitates such uses, as follows:	(A) Provide details of the different classes of development proposed as ancillary to residential development and other uses on the land, the zoning of which facilitates such uses, as follows:
	Class of development	Gross floor space8 in m2
	Childcare facilities (...9 No. of child care spaces)
(B) State cumulative gross floor space8 of ancillary and other development, in m2:	(B) State cumulative gross floor space8 of ancillary and other development, in m2:	(B) State cumulative gross floor space8 of ancillary and other development, in m2:	(B) State cumulative gross floor space8 of ancillary and other development, in m2:
(C) State cumulative gross floor space8 of residential units, ancillary and other uses, in m2:	(C) State cumulative gross floor space8 of residential units, ancillary and other uses, in m2:	(C) State cumulative gross floor space8 of residential units, ancillary and other uses, in m2:	(C) State cumulative gross floor space8 of residential units, ancillary and other uses, in m2:
(D) Express 14(C) as a percentage of 15(C): %	(D) Express 14(C) as a percentage of 15(C): %	(D) Express 14(C) as a percentage of 15(C): %	(D) Express 14(C) as a percentage of 15(C): %

16. Strategic housing development details Except in the case of Question 16(F), where the reply to a Question in this section is ‘Yes’, submit a brief statement/explanation with the request and, as appropriate, related plans, drawings and maps. (A) Is an Environmental Impact Assessment Report (EIAR) required for the proposed development? 10 Yes [ ] No [ ] [Place X in appropriate box] (B) Is the proposed development, in whole or in part, within or close to a European site or a Natural Heritage Area? Yes [ ] No [ ] [Place X in appropriate box] (C) Is a Natura Impact Statement (NIS) required for the proposed development 11? Yes [ ] No [ ] [Place X in appropriate box] (D) Is the proposed development likely to have significant effects on the environment in a transboundary state? Yes [ ] No [ ] [Place X in appropriate box] (E) Does the proposed development include an activity requiring an integrated pollution control licence or a waste licence? Yes [ ] No [ ] [Place X in appropriate box] (F) (i) Is there potential for the proposed development to impact on a public water supply source? Yes [ ] No [ ] [Place X in appropriate box] (ii) If the answer to question 16(F)(i) is ‘Yes’, the request should be accompanied by evidence that the prospective applicant has engaged with Irish Water in relation to protecting that water source. (G) Does the proposed development involve the demolition of any structure (including a habitable house), in whole or in part? Yes [ ] No [ ] [Place X in appropriate box] (H) Does the proposed development involve the demolition of a protected structure(s), in whole or in part? Yes [ ] No [ ] [Place X in appropriate box] (I) Does the proposed development consist of work to a protected structure and/or its curtilage or a proposed protected structure and/or its curtilage? Yes [ ] No [ ] [Place X in appropriate box]

(J) Does the proposed development consist of work to the exterior of a structure which is located within an architectural conservation area (ACA)? Yes [ ] No [ ] [Place X in appropriate box] (K) Does the proposed development affect, or is it close to, a national monument in the ownership or guardianship of the Minister for Culture, Heritage and the Gaeltacht or a local authority, or is it the subject of a preservation order or temporary preservation order under the National Monuments Acts 1930 to 2004? 12 Yes [ ] No [ ] [Place X in appropriate box] (L) Is the proposed development in a Strategic Development Zone? Yes [ ] No [ ] [Place X in appropriate box] (M) Do any statutory notices (e.g. Fire Safety, Enforcement, Dangerous Buildings, Derelict Sites, Building Control, etc.) apply to the site and/or any building thereon? Yes [ ] No [ ] [Place X in appropriate box] (N) Do the Major Accident Regulations apply to the proposed development? Yes [ ] No [ ] [Place X in appropriate box]

17. Where the proposed strategic housing development relates to existing building(s)/structure(s)— (A) State estimated gross floor space^8 of any existing building(s)/structure(s), in m[^2]: (B) State estimated gross floor space^8 of any proposed demolition, in m[^2]: (C) State estimated gross floor space^8 of any building(s)/structure(s) to be retained, in m[^2]: (D) State estimated gross floor space^8 of proposed works (excluding gross floor space of any building(s)/structure(s) to be retained), in m[^2]:

18. Social housing (Part V) (A) Does Part V of the Planning and Development Act 2000 apply to the proposed strategic housing development? ^13 Yes [ ] No [ ] [Place X in appropriate box] (B) If the answer to Question 18(A) is ‘Yes’, provide details as to how the applicant proposes to comply with section 96 of Part V of the Act including, for example— (i) details of such part or parts of the land for the proposed development or is or are specified by the Part V agreement, or houses situated on such aforementioned land or elsewhere in the planning authority’s functional area proposed to be transferred to the planning authority, or details of houses situated on such aforementioned land or elsewhere in the planning authority’s functional area proposed to be leased to the planning authority, or details of any combination of the foregoing, and (ii) details of the calculations and methodology for calculating values of land, site costs, normal construction and development costs and profit on those costs and other related costs such as an appropriate share of any common development works as required to comply with the provisions in Part V of the Act, and (iii) a layout plan showing the location of proposed Part V units in the development. (C) If the answer to Question 18(A) is ‘No’ by virtue of section 96 (13) of the Planning and Development Act 2000 ^14, provide details indicating the basis on which section 96(13) is considered to apply to the proposed development

19. Water services Where it is proposed to connect the strategic housing development to a public water or wastewater network, the request must be accompanied by evidence that Irish Water has confirmed that there is or will be sufficient water network treatment capacity to service the proposed development. (A) Proposed source of water supply [tick as appropriate]:	19. Water services Where it is proposed to connect the strategic housing development to a public water or wastewater network, the request must be accompanied by evidence that Irish Water has confirmed that there is or will be sufficient water network treatment capacity to service the proposed development. (A) Proposed source of water supply [tick as appropriate]:
Existing connection: [ ]	New connection: [ ]
Public mains: [ ]	Group Water Scheme: [ ]
Private well: [ ]
Other (specify):
Where applicable, state name of Group Water Scheme: __	Where applicable, state name of Group Water Scheme: __
(B) Proposed wastewater management/treatment:	(B) Proposed wastewater management/treatment:
Existing: [ ]	New: [ ]
Public Sewer: [ ]	Conventional septic tank system: [ ]
Other on-site treatment system (specify):	Other on-site treatment system (specify):
Where the disposal of wastewater for the proposed development is other than to a public sewer, provide information on the on-site treatment system proposed and evidence as to the suitability of the site for the system proposed:	Where the disposal of wastewater for the proposed development is other than to a public sewer, provide information on the on-site treatment system proposed and evidence as to the suitability of the site for the system proposed:
(C) Proposed surface water disposal:	(C) Proposed surface water disposal:
Public sewer/drain: [ ]	Soakpit: [ ]
Watercourse: [ ]
Other (specify):

20. Traffic and transportation and associated infrastructure:Submit a statement on how the proposed strategic housing development would address traffic and transportation issues, including road infrastructure, traffic generation, pedestrian and cyclist linkages and safety, public transport availability and capacity and, where applicable, issues regarding scoping of a Traffic/Transportation Impact Assessment.Is the statement enclosed? Yes [ ] No [ ] [Place X in appropriate box]

21. Other information that prospective applicant wishes to provide:Is any other information, drawings or representations that the prospective applicant wishes to provide or make available enclosed with the request? Yes [ ] No [ ] [Place X in appropriate box]

22. Maps, plans and drawings ^15 List in a schedule accompanying this request all maps, plans and drawings enclosed with the request, stating title, scale and number:

23. Request FeeIs the required fee enclosed with the request: Yes [ ] No [ ] [Place X in appropriate box]

CONTACT DETAILS — NOT TO BE PUBLISHED

24. Applicant

Address:

Telephone number:

Mobile number (if any):

E-mail address (if any):

Where the applicant is a company:

Name(s) of company director(s):

Contact name:

Telephone number:

E-mail address:

25. Person/agent (if any) acting on behalf of the applicant

Address:

Telephone number:

Mobile number (if any):

E-mail address (if any):

Should all correspondence be sent to the agent’s address above?

Yes: [ ] No: [ ]

[Please note that if the answer is ‘No’, all correspondence will be sent to the applicant’s address]

26. Person responsible for preparation of maps, plans and drawings

Address:

Telephone number:

Mobile number (if any):

E-mail address (if any):

27. Contact for arranging entry on site, if required

Name:

Mobile number:

E-mail address:

Directions for completing request form

1 A prospective applicant must send 2 printed copies of the request to the Board, together with 3 copies of the request in a machine readable form on digital devices. A prospective applicant must send 6 printed copies of the request, together with one copy of the request in a machine readable form on a digital device, to the planning authority or each authority where the proposed strategic housing development would be situated in the area of more than one authority.

2 In this form, ‘prospective applicant’ means the person seeking the planning permission, not an agent acting on his or her behalf. Where there is more than one applicant, the details of all applicants should be inserted, as required, on the form.

3 Where the plans have been drawn up by a firm/company the name of the person primarily responsible for the preparation of the drawings and plans, on behalf of that firm/company, should be stated.

4 In this form, ‘planning authority’ means the planning authority in whose area the proposed strategic housing development would be situated. Where the proposed development would be situated in the area of more than one planning authority, the relevant details should be supplied separately in respect of each such authority.

5 The site location map shall be drawn to a scale (which shall be indicated thereon) of not less than 1:500, with the site boundary clearly delineated in red.

6 Where available, please provide the application site boundary, as shown in the submitted plans/drawings, as an ESRI shapefile in the Irish Transverse Mercator (ITM IRENET95) co-ordinate reference system. Alternatively, a CAD file in.dwg format, with all geometry referenced to ITM, may be provided.

7 The draft layout plan shall be drawn to a scale (which shall be indicated thereon) of not less than 1:500, shall show buildings, roads, boundaries, septic tanks and percolation areas, bored wells, significant tree stands and other features on, adjoining or in the vicinity of the land or structure to which the application relates.

8 Gross floor space means the area ascertained by the internal measurement of the floor space on each floor of a building (including internal walls and partitions), i.e. floor areas must be measured from inside the external wall, disregarding any floor space provided for the parking of vehicles by persons occupying or using the building or buildings where such floor space is incidental to the primary purpose of the building.

9 Insert proposed number of childcare spaces.

10 An Environmental Impact Assessment Report (EIAR) is required to accompany an application for permission for strategic housing development of a class set out in Schedule 5 of the Planning and Development Regulations 2001-2018 which equals or exceeds, as the case may be, a limit, quantity or threshold set for that class of development. An EIAR will be required in respect of sub-threshold strategic housing development where the Board considers that the proposed development would be likely to have significant effects on the environment. Under section 7 (1)(a)(i)(I) of the Planning and Development (Housing) and Residential Tenancies Act 2016 , a prospective applicant may, following the pre-application consultation meeting with the Board, request the Board to make an EIA screening determination in respect of a proposed strategic housing development.

11 An appropriate assessment (AA) is required to accompany an application for permission for strategic housing development in cases where it cannot be excluded that the proposed development would have a significant effect on a European site. Under section 7 (1)(a)(i)(II) of the Planning and Development (Housing) and Residential Tenancies Act 2016 , a prospective applicant may, following the pre-application consultation meeting with the Board, request the Board to carry out an AA screening in respect of a proposed strategic housing development.

12 (a) National Monuments

A list of national monuments in the ownership or guardianship of the Minister for Culture, Heritage and the Gaeltacht is available for download from the National Monuments Service website (www.archaeology.ie) under National Monuments in State Care. A list of preservation orders is similarly available from this website (under Monument Protection). The relevant local authority should be contacted in relation to national monuments in its ownership or guardianship. If a proposed strategic housing development affects or is close to a national monument that is in the ownership or guardianship of the Minister for Culture, Heritage and the Gaeltacht or a local authority, or is the subject of a preservation order or a temporary preservation order, a separate statutory consent for the development is required from that Minister under the National Monuments Acts.

• (b) Other Monuments

The Record of Monuments and Places (RMP), established under section 12 of the National Monuments (Amendment) Act 1994 , is available for each county in the public libraries and principal local authority offices in that county. It is also available for download from the National Monuments Service website (www.archaeology.ie) under Publications, Forms & Legislation. If a proposed strategic housing development affects or is close to a monument listed in the RMP, there is a separate requirement to give two months advance notice of any proposed work to the Minister for Culture, Heritage and the Gaeltacht. No work may commence within the two month period except in the case of urgent necessity and with the consent of that Minister.

13 Part V of the Planning and Development Act 2000 applies where—

• • the land is zoned for residential use or for a mixture of residential and other uses,

• • there is an objective in the Development Plan for the area for a percentage of the land to be made available for social and/or affordable housing, and

• • the proposed development is not exempt from Part V.

14 Under section 96 (13) of the Planning and Development Act 2000 , Part V does not apply to certain housing developments by approved voluntary housing bodies, certain conversions, the carrying out of works to an existing house or the development of houses under an agreement made under section 96 of the Act.

15 All maps, plans and drawings, should, insofar as possible, comply with articles 297 and 298 of the Planning and Development Regulations 2001 to 2018.”.

SCHEDULE 10

“Form No. 12 Article 292

Site notice of strategic housing development application to An Bord Pleanála

I,..........................................¹, intend to apply to An Bord Pleanála: (the Board) for permission for a strategic housing development at this site.......................................²

The development will consist of........................................................³

The application may be inspected, or purchased at a fee not exceeding the reasonable cost of making a copy, during public opening hours at the offices of An Bord Pleanála and....⁴. The application may also be inspected online at the following website set up by the applicant:....⁵.

A submission or observation in relation to the application may be made in writing to An Bord Pleanála, 64 Marlborough Street, Dublin 1, on payment of the prescribed fee of €20, within the period of 5 weeks beginning on the date of receipt by the Board of the application, and such submission or observations will be considered by the Board in making a decision on the application. The Board may grant permission subject to or without conditions, or may refuse to grant permission.

Signed:..........................................................................⁶

Date of erection of site notice: ....................................^7

Directions for completing site notice

1 The name of the applicant for permission (and not his or her agent) should be inserted here.

2 The location, townland or postal address of the land or structure to which the application relates should be inserted here.

3 A description of the nature and extent of the proposed strategic housing development should be inserted here. The description should include—

• (a) the types and number of proposed houses or student accommodation units, as the case may be,

• (b) in the case of student accommodation units, the combined number of bedspaces, and any other uses to which those units may be put,

• (c) proposed services ancillary to the residential development,

• (d) other proposed uses in the development of the land, the zoning of which facilitates such use,

• (e) where an environmental impact assessment report or Natura impact statement has been prepared in respect of the application, an indication of that fact,

• (f) where the development includes the retention of a structure, the nature of the proposed use of the structure and, where appropriate, the period for which it is proposed to retain the structure,

• (g) where the proposed development includes the carrying out of works to a protected structure or proposed protected structure, an indication of that fact,

• (h) where the proposed development includes an activity requiring an integrated pollution control licence or a waste licence, an indication of that fact, and

• (i) where the proposed development includes the provision of, or modifications to an establishment within the meaning of Part 11 of these Regulations (Major Accidents Directive), an indication of that fact.

4 The name of the planning authority or authorities in whose functional area or areas the proposed development would be situated should be entered here.

5 The website at which the application and related documents can be inspected online should be specified here.

6 Either the signature of the applicant or the signature of the person acting on behalf of the applicant should be inserted here.

7 The date that the notice is erected or fixed at the site should be inserted here.”.

SCHEDULE 11

“Form No. 13 Article 294

Newspaper notice of strategic housing development application to An Bord Pleanála

I,..................................................¹, intend to apply to An Bord Pleanála (the Board) for permission for a strategic housing development at..........................................²

The development will consist of........................................................³

The application contains a statement setting out how the proposal will be consistent with [the]⁴ objectives of the relevant development plan or local area plan.

[INSERT WHERE RELEVANT:]⁵

The application contains a statement indicating why permission should be granted for the proposed development, having regard to a consideration specified in section 37(2)(b) of the Planning and Development Act 2000 , notwithstanding that the proposed development materially contravenes a relevant development plan or local area plan other than in relation to the zoning of the land.

[INSERT WHERE RELEVANT:]⁶

A[n] [environmental impact assessment report] [and a] [Natura impact statement] [has][have] been prepared in respect of the proposed development.

[INSERT WHERE RELEVANT:]⁵

The proposed development is likely to have significant effects on the environment of a Member State of the European Union or a state that is a party to the Transboundary Convention.

The application[, together with a[n] [environmental impact assessment report] [and a] [Natura impact statement,]]4 may be inspected, or purchased at a fee not exceeding the reasonable cost of making a copy, during public opening hours at the offices of the Board and....^7. The application may also be inspected online at the following website set up by the applicant:....^8. Any person may, within the period of 5 weeks beginning on the date of receipt by the Board of the application and on payment of the prescribed fee of €....^9, make a submission or observations in writing to An Bord Pleanála, 64 Marlborough Street, Dublin 1, relating to the implications of the proposed development, if carried out, for proper planning and sustainable development in the area or areas concerned, and the likely effects on the environment or the likely effects on a European site, as the case may be, of the proposed development, if carried out. Submissions or observations duly made will be considered by the Board in making a decision on the application.

The Board may grant permission for the strategic housing development as proposed or subject to such modifications as it specifies in its decision or may grant permission for the development in part only, with or without any other modifications it may specify in its decision, or may refuse to grant permission for the development. The Board may attach to a grant of permission such conditions as it considers appropriate.

A person may question the validity of a decision of the Board by way of an application for judicial review, under Order 84 of the Rules of the Superior Courts ( S.I. No. 15 of 1986 ), in accordance with sections 50 and 50A of the Planning and Development Act 2000 (No. 30 of 2000), as amended. Practical information on the review mechanism is available at the following link..............10.

Signed: ..........................................................................11

Date of erection of site notice: ....................................:12

Directions for completing newspaper notice

1 The name of the applicant for permission (and not his or her agent) should be inserted here.

2 The location, townland or postal address of the land or structure to which the application relates should be inserted here.

3 A description of the nature and extent of the proposed strategic housing development should be inserted here. The description should include—

• (a) the types and number of proposed houses or student accommodation units, as the case may be,

• (b) in the case of student accommodation units, the combined number of bedspaces, and any other uses to which those units may be put,

• (c) proposed services ancillary to the residential development,

• (d) other proposed uses in the development of the land, the zoning of which facilitates such use,

• (e) where an environmental impact assessment report or Natura impact statement has been prepared in respect of the application, an indication of that fact,

• (f) where the proposed development includes the retention of a structure, the nature of the proposed use of the structure and, where appropriate, the period for which it is proposed to retain the structure,

• (g) where the proposed development includes the carrying out of works to a protected structure or proposed protected structure, an indication of that fact,

• (h) where the proposed development includes an activity requiring an integrated pollution control licence or a waste licence, an indication of that fact, and

• (i) where the proposed development includes the provision of, or modifications to an establishment within the meaning of Part 11 of these Regulations (Major Accidents Directive), an indication of that fact.

4 Delete text in square brackets, where appropriate.

5 This statement must be included in the notice where relevant.

6 This statement, with appropriate deletions of text in square brackets, must be included in the notice where one or both of the report or statement concerned accompany the application.

7 The name of the planning authority or authorities in whose functional area or areas the proposed development would be situated should be entered here.

8 The website at which the application and related documents may be inspected online should be specified here.

9 Insert amount of fee.

10 Insert relevant link to Board’s website here.

11 Either the signature of the applicant or the signature of the person acting on behalf of the applicant should be inserted here.

12 The date that the notice is erected or fixed at the site should be inserted here.”.

SCHEDULE 12