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I • The Planning Inspectorate
Application for Development Consent for Nationally Significant Infrastructure Projects under the Planning Act 2008
For help contact
nien12uines@p10s gs1 90v uk Telephone: 0303 444 5000
• required information
Please read guidance documents relating to the submission of applications prior to completing this form including government guidance and the Planning Inspectorate's Advice Note Six: Preparation and submission of application documents.
* Do you have a reference number?
<e Yes
* Reference number
1. Applicant
* Organisation
Address
* Building number or name
* Street
* City or town
County or administrative area
* Postcode
* Country
* Name of contact
* Telephone number
Fax number
2. Agent
1 No
l1- r-'n1,1r1,,·, " ,._• \,.f ~ I • •
!cannon Place
178 Cannon Street
!London
I IEC4N 6AF
!united Kingdom
10~0:-< ( ,!:, 1 1540
I
* Are you an agent acting on behalf of the Applicant?
<e Yes (' No
* Organisation
II
Continued from previous page ...
Address
* Bui!ding number or name
* Street
* City or town
County or administrative area
* Postcode
* Country
* Name of contact
* Telephone number
Fax number
3.Fee
!Eclipse House, Eclipse Park
jEclipse Ho~se
jMaidstone
Kent
jME14 3EN
ru·nit~d Kingdom
iv1r D;;1v1d Ha:
i
* State the arrangement for the application fee payment:
r. BACS
* Please provide payment reference details
r CHAPS C Cheque
----------·-------·---
4. Confirming why the Planning Inspectorate should receive the application D * Brief statement to explain why this application is, or is to be treated as, a development for which development consent is required under the Planning Act 2008
--------------------------D("Ji:e!t,r,nirmt ccnu-,n\ .is l"ic!n[J ~rn,;9h1 bi' \·Vhr:c-!~0hr;-1tc;i· Tcc!111uk\;1rs lnc (\\IT!} fnr th(; c:r.:,mJrur_:iii-11·i nnd opcraticn ,A 1:'lc.- ic,r /<:<.•n 3 V\1!1cclab1·<'Ju1 Kcrn~-rcyr f Jonli ;"f,Ji<hf) WFl:~\e; ic,, r··11e1 gcnur11mg station,;
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Ne, phyr-.ic-,s! v.-c,r!v:~ would br, ,r;-::1tli!ed to i<.3 ir; faci11V1\i:' ,_011hm the inc10:-,sc<l 0c,nc:ntmt1 capac:i1y or U·;r, pl incJt,,i:lSi:,d W8Stb \Ulil1<.lfji.O ihrnu;:hpui:. H:e projf-:ct ()£!!"111Ci 1J1i..?\(·dv,;;, be u1teq;)\1~8d m, the e;,;teni:;!('.11 01 C111
c.:,;.:1s.ti1,H !'H;;1t,;;:;\in~_; r:,takm und<;:c; !i1c Hanning Act. '.-:OUB. l:i n1dc-;1 tc p:cpell')' cute;y,ns.+ cc:nC: <.O!'iSi,'nt t11e pro~1~1SSC! 11·ic1eC;SC rr1 1c,;c-1ting r:er,;~ci!y 8nd \'.'i'J~,te innntif](-: t11;fJt19hput, C(,ns,::n1 is thc,,retoi-n be:;nQ soupht foi thr, c-cnf!rl'ct;:.iil ~1qcJ q:•Pr~d1<:1n r-i 1hn f\3 i0-c1!!fV w1t!, ,,1 pone:1;,iinq c_;,pnc:1y of up !\J 'ihHl;\i cv1rl ,~ 1onn,:1pn \Juou9)·1put :-.,i tip t<., •5!)'i .cuo t01·1n(,;·1 r,c,r unnun, :n 1h211ccnn,1 "thr, r,.;cpno:<<i f'.,'.·;: !"r-il1ly !'..; ;0111 nnMwre q;:nu1:1tmo s1ation n f-:·1rli<.cnc; s".':ti·! ,, r):_cns:.atin\,i C8f-'<"1Ay ot rnr-.-,ie tt1rn1 50h.1i'N ;:,nd 1s ti1uet,;1e;,: 112\iium,Hy bipn1h:2nr !ii/,rn:-trnctu10 !)!C!Ji:J<';t i.it:tlH , .• ·tCc·c• l4i_·J}iu) n::d ·:(;(1) 21·,u of PHc: Pi::H1nin'.:: i¾d ln nccn10c,:1c,;c vdh !';:i1l 31 dtiVi!
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) (;f I,/.
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tilz, /'?ti: .. \111c;, :.:-.(i·I[; the Scctiu! 3,:·\ d the Fbr,i-,ins1 ?(i('h k cHrc-ci lhiJl V,/f<.N !;<;, n,11icnai!/ ~-ir;n1fi;:;rnt nnd ff, t!1crc:!c,1e fc. be, i./'f_-,:11c,d r;s d ck,(\':..bp:ncril i(,~ \'/h1ci'1 dn,-(' :c,prnr'nt com,snt is rnqdirc1:J Th(, '-f/'\hi ,_fow:'cr,rnc-nt r.•r-c:r:1c:if,w11s ;;Jm:!ar tn lha1 r1c~·-c11b'.:':d ip 1hr, \tv7"J 8d:firn1 (i-'[lUt,51 Hubrnltk.Tl W ti11;, Sc:D;ct-c:ry ni S1atr· nnd <•cc;-.,rd1ngi~' !hi;: seek;~ dE-:vt:iq,n1ent. conrent fo1 til,':: Wi\H 1:r0ject
5, Non~technical description of the Proposed Development
* Brief non-technical description of the Proposed Development ------------------------------------------------
Ci',f,;;icit/ cl up to 4f• (:Jf,TIV and f'- t,)f'l!ti-1[.lf· tiHounhr.·,ut 121pz,city ul u~, lu S!:J)_UOD 101·1110·::,. cd waste pr:>r ::-mnu:~1 i<.::' !t: currc11tiv i.•dnq constru1:1ed <·:!Fi is f•KµUck<i to !Jc, nr,c:i"aiinn:d ;n lnh:· ?O l SJ i<'.) \'.'1!l t:,1-- ,:q,c,1 eiei by \l\1hf,c!rs:b1·t,tc-i" 1c,ch11nic1(1u, Inc tmci 1ncincrnti:-: V--'<:b-to I1nd '.-vasio dNiva::ri fL .. ,t':i;~ tt• rcrorluc,, 2-tcmr:_ :mn1c ot \\'hiOi vn!! lit'.: E:'-<:J:,:_'Jrted to 1-he acl)c1t:e1,t [ JS St"1"1rth K,:1,11::;!c:::y Pape mill to, ure ':;;thir\ th-::ii pr,:d:JcH.m f.1 1(-C:1,;:;~, z;no so:~1~? wll:ci"i win PO'!.'~;r d !_,_ rt_:!!r,e iu [JiGdU(<;' eiECl}!City lor f:.\pGn to ihic: q:irJ
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lcuffC-"J!i'/ con$t"t!'ll'-c'(i in -addi!il".,i'l tl\c,ro iS: f]!'C8!f:r '.;:si;l'.ty i'.s(-:i:1g.-n:.:1;;:,11r:,·;cccJ in H:,.:, C ··/r~i'.J'.·_, ut nm \\-"dSk
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the ~,i:'iiTiH i(,v1::I pc·:112,c , iutput
tc; PiC•\kSS Dil ~•thiitiurwl -107_000 1011nH, of WJ:_;,t(, 1)1'.';i 8il11U\:1 i im',t::V0.'I ;.';:,. n(, phv~;ic3l \'-!OikS ~~rE, Plilf.'OSt•;(i tc
!<3. ti1.,;: ;-:1Ujc;,cl c;-;nicut i:>t'. ,),JtE\Jr>rbcd 1;11, 7i1e t-ixb11!0_:;un c,T nn ,-,;:,+_s!m::; ;_r;-~I\Sl'Eiiino H<1tio11 !Jnde1 thr: ["Jin11rnnn ,\d :7:C08, Ct1ri:;,,;_,nl i~: ! forr; !y::ng sought for the u:,m:iruc.11\w, m1d opcu?.ti(:,,n :~'1 iht'i t<? ttic;1:1,,- to ilt~ ui11r,12t\:
;11if"1q s!::1-tir;1·, wi 11th is used a;:.
Continued from previous page ... ------------------------------------
d p1uce.,si<e! up tc, °''-"'"'' i.(,r,:;L!s vi ·,'o,:ic-;lf: t:;:,; r.::·:nt::r a:F.1 ',\'i:,u!d f\;;,;1.•e n !-J>",r:,~1;,! ;_;af•cV:!ty< oi :Ji; t<J 4'.2!,W/ \'\'!<,U w:_,ulei hf.: Li 0/pr,!tin;; 1Jc.:c,;11n tc 1!-iu Vsrm-,l~.'Y }"aj.•s: n1il! v!ici Y..: ... , ·:Jhen K:::: tf
bcinq 1Y:c-1\nt;:w:cd. ;:12. -,.-;-di ,::s 1\/ eidc!!ltl u~crs nm! 'f-(]'J \'/iii ,--;0rdi11uc K [~\··dt pok-nti1:li l1Sl'lf-: oi 1k:: n •ti(';li,';\C•d !·1y \l\;)<H
6, Location or route of the Proposed Development
J. Description of location of application site(s), or mute of development (reference to appropriate plans)
f1 r,~ f·",il1t·r ,.,_, ca''t-nth, h1:'11;.1 c<'i",str JLtPri ,1r1 le1H: ,,,,,,i.,di2Lici"/L' thv ,~·-1<..1 ": th:- [J~ (::_tn11!1 l'apu n 111 ti U;,. I' ,r,: r, 01 L,,,:r ill 01t:11 \jl,(>L,I 1,,;; Kt I '1 I !1~' H ,5 ; ,t~, ' GV ': d' I ,,1 ,.,d rJ ;,t 1,I r, <:rr:1t~,,-<y ~j ;', ! ,11' t; :, s "J,\I I JI ~- !}c'~ l~f
1
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\,\'r':,J \',U"I ':l L( :cr,dtc,i ", 11u:1,,1,,1y t,, C1( t "tli d lh ":10 e: i,1:11 cddCl'\i} l, 1 ,1,1,1 \''.-,Cd ,1~~ tl;r ,:np~•,,:Lt1t•11
li.'.'/dU\\'!l wt:<' t'o: f-(? ·1 iv;:; V/Y~hl ~1te 1~ 2 511t.<.·L112s in
lf:t,,t;,: 1he f\J :ind V':'f(!•✓ t0,c1i1t1,.::s ,:muid ht,\JC 2n cq .. ,c:at:1Y10i n~~c•:s\-' w:-w::h runs fr;G1f' \'/'-:'.~·lLm t.,c,ndi'1P( ii'it· ~-.;:istr;li'! l<z-,im,1HlV (_,f the nsW('! r,1ii1 :,-ilr· !\ is p•c,poi,CU 1!1;;t '. y,s(,tiid i"lc,v,:: ;:J t1•n!pu1r:iy u,1,,s/1sict\c0n ::1rcvs~;
ln,ii1r,n;11.1!vi~1 ,::r1 e;,-Jst:nq )fci_ty ~-1ci,:i:•Ss rut~d t? H1e . of ti•1c-::: :Ni<N ~,ii,;, i !if;; 10;nipcita1y iaydovg, ~m~a /1)1 1::,1ulJ 1:,e locatwl -\P tl1C· 1·:(1!t!1· C'i-'!Si of lht> 'Nh.1'-1 r_](::\,'[jlOj.,lnenl ~-<;\,!;"
* Is the site a single site or a linear site?
(e Sing!e site
Grid reference
* Easting
* Northing
" Document reference
* Document reference
c· Linear site
1592157
1166677
!5.1 - Site Location Plan
15.2 - DCO Boundary Plan
I ;-· .· _Adtj, aikithe'i' referer:i_c8: •.
7, Associated Development
* Associated Development is included within thiR apphr-ation
(i Yes < No
* Document reference j2.1 - Draft Development Consent Order
* Document reference ls.Sa - K3 Works Plan
I ·.:.-. Rem6Yl3-this)8fe,r$ftc'€!_ .·
* Docurnent reference is.Sb - WKN Works Plan
I . RE!m_b,Ve'.thi,s· reterent:e
I
I
Continued from previous page ...
I Add another reference I 8. a) Consultation Report ID * Document reference 14.1 - Consultation Report
I Add another reference I 8. b) Copies of newspaper notices II * Document I eference I 1.4 - Copies of Newspaper Notices
I Add another reference I 9. Draft Development Consent Order II * Document reference j2.1 - Draft Development Consent Order
I Add another reference l 10. Explanatory Memorandum II * Document reference 12.2 - Explanatory Memorandum
I Add another reference I 11. Land Plan ■ * Document reference 15.4 - Land Plan
I Add another reference I 12. Works Plan ID * Document reference I5.5a - K3 Works Plan
* Document reference ]5.5b- WKN Works Plan
I Remove this reference I * Document reference ls.6 - WKN Parameter Plan
I Remove this reference I * Document reference !various - K3 Approved Plan Set
I Remove this reference I
I Add another reference I 13. Compulsory Acquisition of land or an interest in land or right II over land
I cl 9 C' ', oi 1.,
Continued from previous page ...
* Issues are relevant for this application:
r Yes r. No
14. a) Environmental Impact Assessment (EIA) II * Environmental Statement (ES) requ ired:
r. Yes r No
* ES Document Reference l::i 1 - 2019 I 1w11, ,11111erit,1 I C, iate11lH1t
* ES Document Reference k· ;~ -tU I~) l-li 1il-I(:;1 111\IUil S tll l ll11i.ll \
I J\etnovc !his rcfc re;'co I
* ES Document Reference 1~; .J ~· ~()I() [1w11 r,11rnc nt;: I St.-:lc rnc•1·1;
I Re·11c.vG tll ;~; tek1 ('"Ce I * ES Document Reference 1, .1 .. ;:()I() l\1011 Tr ' lrnic:11 Surn111.:,1 y
I Rt'1,0VG tll !;\ r&k1 c,;•ce I
I /,ckl a•~oti1er r.::-fe11;:;··ce I 14. b) Screening Opinion/ Direction and Scoping Opinion/Direction II * Screening Opinion sought, or direction received:
r Yes r. No
* Scoping Opinion sought:
r. Yes r No
Document reference ]3.1 - Appendix 3.1. - Scoping Report
I Add another reference I 14. c) Publicity required under Regulation 13 of the Infrastructure II Planning (Environmental Impact Assessment) Regulations 2017 (or where the transitional provisions apply, Regulation 11 of the Infrastructure Planning (Environmental Impact Assessment) Regulations 2009)
In addition to publishing the notice, a copy of the notice was sent to:
* the consultation bodies
[x * Yes
* the persons notified to the Applicant in accordance with Regulation 11 ( 1 )(c) of The Infrastructure Planning (Environmental Impact Assessment) Regulations 20H (or where the transitional provisions apply, Regulation 9(1)(c) of The Infrastructure Planning (Fr v ronmental Impact Assessment) Regulations 2009):
r. Yes r No, not applicable
Continued from previous page ...
15. European sites (to which Regulation 63 of The Conservation of
■ Habitats and Species Regulations 2017 and/ or Regulation 28 of the Conservation of Offshore Marine Habitats and Species Regulations 2017 applies) or a Ramsar site
* Report required for this application:
(e Yes r No
* Document reference r3.1 - Appendix 11 .2 - Habitats Regulation Assessment Report
I Add another reference I 16. A plan, with accompanying information, identifying any statutory II or non statutory sites or features of nature conservation, geological or landscape importance; habitats of protected species, important habitats or other diversity features ; and water bodies in a River Basin Management Plan - together w ith an assessment of any effects likely to be caused by the Proposed Development.
* !ssues are relevant for this application:
(e Yes r No
* Document reference [5.11 - Nature Conservation Designations Plan
• Document reference j5.1 2 - Habitats Plan
I Remove this reference I * Document reference 15.13 - Water Bodies Plan
I Remove this reference I
I Add another reference I 17. A plan, with accompanying information, identifying any statutory II or non statutory sites or features of the historic environment such as scheduled monuments, World Heritage sites, listed buildings and other historic structures, archaeolog ical sites and registered battlefields, together with an assessment of any effects likely to be caused by the Proposed Development
* Issues are relevant for th is application:
(e Yes r No
* Document reference ,5.14 - Heritage and Conservation Designations Plan
I Add another reference I 18. Flood Ris k Assessment ■
I C ( " I \\I I /
Continued from previous page ...
* Flood Risk Assessment required:
r. Yes (' No
* Document reference
1
3.1 - Appendix 10.1 - Flood Risk Assessment
Add another reference
19. Matters set out in section 79(1) (statutory nuisances etc) of the Environmental Protection Act 1990
* Statement required for this application:
r. Yes r No
* Document reference 14.4 -Statement of Statutory Nuisances
Add another reference
20. A plan with any accompanying information identifying any Crown land
* Issues are relevant for this appiication:
(' Yes (i' No
21. A plan identifying new or altered means of access, stopping up of streets or any diversions, extinguishments or creation or rights of way or public rights of navigation
* Issues are relevant for th is application:
r Yes r. No
22. Additional information for specific types of infrastructure
II
a
II
II * Additional information is 1equired to be submitted in accordance with Regulation 6 of The Infrastructure Planning (Applications: Prescribed Forms and Procedure) Regulations 2009:
r. Yes (' No
* Provide a brief description
I<::, JI(! \\if< h! aIe n11!::; l l1,1c 11F11~I c:1! 1I 1~I ~1ci1i-1 I1~ ,:11d 1IH:,1E-1(,,,.,. 1,:f::fjll lc1!io11 Fi1)/c:J J b~1pl1 E:::-. a 11d 1HiuI1·-::- ~! ~l::1c-llIHl1 d wlw v,ill l•c- 1E::~purn.-i l 1I<:: fu1 cfe~ iq11i1,p , .; ;Li l •LI1ld111\t t:1e U\I111Hlior1 fl, \11 f; clect1ic i\\ q1icl IG l ,e ;.,:tq•pl1ed I ·., 11ci \1,.'l 'iJ ,1 11:c rH'I t,u~. fuellE;d (Jcller,-:t11111 slatir,11:, ;.,11d llir-1eh1t- I ' e-~Jlll"t1c.11 Gi 1 )( IJi dr,s;.,: rwl cip~•ly
* Document reference
1
4.5 - Regulation 6 Grid Connection Statement
Add another reference
l n(J • 8 (,f 1 1
Continued from previous page ...
Regulation 6 of the infrastructure Plani1ing (Applications: Prescribed Forms and Procedu1es) Regulations 2009 requires additional information to be submitted with the following types of development.
* Please check any of the following boJ<es that apply:
fX Construction or extension of a non offshore generating station (Reg. 6 ( 1 a))
IX Construction or extension of an offshore generating station (Reg. 6 (1 b))
1 Highway related development (Reg. 6 (2) (part '1 ))
1 Construction or alteration of a railway (Reg 6 (2) (part 2))
1 Construction or alteration of harboui facilities (Reg. 6 (3))
1 Construction of a pipeiine (Reg. 6 (4))
1 Construction or alteration of a hazardous waste facil ity (Reg. 6 (5))
1 Construct ion of a dam or reservoir (Reg. 6 (6))
Construction or extension of a non offshore generating station (Reg. 6 (1a))
* Provide details of the pror osed route and method of installation for any cable
* Provide a statement as to whether applications will be made for safety zones
Construction or extension of an offshore generating station (Reg. 6 (1 b))
* Provide a statement of who will be responsible for de;;igning and building the connection to the electricity grid
I IH: IC:, \Jlld cu1111f:d ir11 1 i~. c.1 l1 e,1dy hE"illfJ t:(,11:c:t,udE:'d ~➔s pcH i (1ftl1e co11 ~!1tJLli<.>11 c,ftln-10 f..-H.. il1I\' ;111d <·in11p1i~t:-s ,1 btlliE:-~l ciud uml cct!.,lr.: wti1d 1 l ll l l:c \(. cit) ~\l';,(l lltf llf·. l '(JV.l':: I l~el\'•/il ll ,s E: lec111c 1tv ::.-ul .. ::-l,1tk,ll le,, ,·1\'::d \',·111111 1 tl H~ [ lS ~--1111!11 j'l?.J~, I 111111 ~.itc WI< l·J \'.'(atJ!ri (.(>1-111,·, .1 tc, 11v·· ::'- e11l1r· r-1 ,~r11 1c.1ty su l.,f.l8 t1 r,11 clS 1~~; r•y ((,i tl \f •(.1111!_1 11 1\(, 1111· •·> i~tiii!_l d uel \'ilii r.11 r rn11icd ~ IC~ 1(1 1110 StJl;f,tn!i t,11 fa,ddil ir,1,~d Wt11k:-- wtll t,c, l t'(tlli1r-d di IIH ~; t1i,st; t1r,11 itt ("(ll\i 1Cc1 1ilc CiJblr • 11 ,tl1 tlH.,, L•V<:-1 l1 ead li11E,:; \/JI I ar i:c 11-~-J.,.H1s1l.•lc- 1u1 fJ1vv1d111p the u11111H.11('1 1 l·c:ch·.1e1-11 I '_1 i..llCl \\'l'IJ ,.nil ti ,,- 1:; l'=r t1 1,:1h su l.isli.1110 11. UI ~ l·u1.v,.,-1 hJH>✓,1t,1k::.- ,.1 ... re::~-1•.i11::-1l.tl<:: fl.1 , J1 1y 11ece :;!: ,11v ll!J\Jl~1tl11l\J wc,1k::- V1'1\ l1111 ll1t- ~-ll l;::: tat1t ,1 11tsi::-lf
* ls it a gas fuelled generating station?
r Yes Ci No
23. Any other plans, drawings and sections necessary to describe the proposal for which development consent is sought, and any other documents, reports or information to support the application
II Provide a brief description of any other plans, drawings and sections that are being submitted witl1 this application
I ' 1.iji-d 1~3 • ,p1,101i(- <i I 'lr1 , ::: • I ·, 1::- h.:..i11~i 1 011<,ll l ictt-d ;i,1cl 1:- <--:~•f-'dEcd 1(, h- o rt-1.1\1i,11c:I !<• 1!!-., <..-11~'-111~c! ,1 c-:11H,' l111~1
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Pc:~J, <. of 1 ,
Continued from previous page ...
Document reference 11.2 ~ Application Guid~
Document reference j42 ~ PlanninQ8tatement
,, '_..: R8ni0yi{_th,i_S ·.·referiirlc1f_-_ . : >
I Provide a brief description of any other documents considered necessary to support the application
'i 2., /.,;;~;i!CDtiun Guide .. f."[C,\tidl~S :-,n ,')\'!:CiViE'\'/ c-f j_l\L ,,:;:; cind \Vl(N p101..10[:£.0 d dcvelq)l!lf:•;'i\C.'.:, (·\nd lhE, G()fi[Hit dthc,, ::1pp!ic-<1tiwi
(_)[' !iii;: f.l[ qX),+;·i!;: \,";ij h th~- 1,,','?;St..0 !1ii;-,! '-"i ;)!C(.i \'Jitl 1 ff·i cvrn ll \\.'2.Stf.: hear pir:n f,'' ,!ir-i1-,e, :n i,,C(:::.:r
L>r,nessN✓asi.c 1;11pnr:1s ;;;l,,ct;nn ()i [i•~ 2\
-1? dtF:i 4 [; • f<'.3 ,end 1/·t<N F:;·1i! tild /,J:1irr TifJ11f,f:10r1.at('."Ji1 Sti:,!,0,9°0,, :::,':"~tY.S tht: .sLl'it:,, 1.11" ,-.,:1tK '.(, ('(' d•:"1iiVPH.'d :c \h,:, iC, nnd \i,Jf<U 5!!C:'; vi:,i <olh:,in;~]lvc: r:ar.:0H n/ 1uw~,r•cirl tc, 1nad ;-md .. ,.he.i<,-1w:s ;-;r, :w,;gr_,:r;;,, .... rwrnl:r1,.,nl v,
Document reference
Document reference
Document reference
Document reference
Document refere11ce-
:md \'\'VTJ is:!oli11c:c. via dii/,1T11-l,i;\1,:; rnr.U1ncJ:-,.
f'1.2 -Application Guide
142- Planning Statement
I
j4.3 - Design and Access Statement
I . · :. R'e1J10Ve.-ttiJS:.:refer_ence·· __ -: .. ' · ·.
4.6 - Fuel Availability and Waste Hierarchy Study
- ·Reino_ve.'thi_$-'rBferent:e,:· -
14.7 -CHP Assessment
. -- . R'e!J1Qve.-t_h.iS: re_fE!re:r,_ce·· _-: .. ·
Continued from previous page ...
Document reference 14.8 -K3 Rail and Water Transportation Strategy
I Remove this reference I Document reference ,4.9 -WKN Rail and Water Transportation
Strategy
I Remove this reference I
I Add another reference I Provide a brief description of any other information provided that is in support of the application, but which has not been explicitly required
NI/. :➔(ld1tin11 :1I clou 111 1<·1it:" lit\: kn, 1,lc-11tdic·d ,-;l,1w c•
Document reference I
I Add another reference l 24. Other consents/ licences required under other legislation II • Other consents/ iicences are required:
(i Yes r No
• Provide a list of consents/iicences
/\1,H- 1idn 1e11t to ex1s\it\[! l- 11vi1<;;11111:-nl?l l '::-1 111it w:·) f- 1wiru111 11e11tal I er 111it 11/\11 r J: IV1wi11c:: l,'l,111,1iic111s11t nq ,,.111~,i111,11 I,, c::1 1r e c1111t-::11(ill1<-=11t ,v,1t,I J)
You must cite the document references as appropriate
• Document reference 14.2 - Planning Statement
I Add another reference I 25. Declaration II I declare to the best of my knowledge that the information given in this form and enclosed maps, plans and other documents are true.
PleasP note there is a requirement for one hard copy of the form to be signed. Please ensure that when you submit you include at least one signed copy. Further copies do not require the hand written sig11atu1 e.
Signature
(For and on behalf of the Applicant) ' · · - · .....
• 1-.Jarne ic'..::'Jtc1 1-1.:..r,,.1c,
P,91' 11 of 17
Continued from previolls page ...
(In block letters)
"'Date f11 / fog / [ 2019
* Organisation
"' Position within the organisation
dd mm yyyy
