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The Town and Country Planning
(Telecommunications) Development Order 2019
Please complete in BLOCK CAPITALS and in black ink.
The below named applicant is responsible for payment of the appropriate fee.
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Signature of Applicant or Agent
Dated 11/3/2020
If signing on behalf of a company, please clearly state your relationship.
Mobile Network Engineer
Should this application be unsupported by adequate and clear site maps and plans outlining all the works proposed, the Department retains the right to reject acceptance and return the application.
Schedule 4 Article 6 of the Order states
This form shall be accompanied by the following:
(a) a written description of the proposed development;
(b) a written statement of the reasons for the choice of design of the proposed development;
(c) an accurate and up-to-date location plan to a scale of 1:500 or 1:1250 on which —
(i) there is a clearly marked north point;
(ii) the site that is the subject of the application is clearly defined with a red line; and
(iii) there is illustrated the relationship of the site to adjoining land and buildings, to any highway servicing the site, and to the nearest settlement or other familiar point of reference;
(d) an illustration showing the relationship of the site to adjoining land and buildings, to any highway servicing the site, and to the nearest settlement or other familiar point of reference, which may either be contained in the location plan referred to in paragraph (c) or in a separate plan not exceeding a scale of 1:10000;
(e) a site plan to a scale of not less than 1:500 on which there are indicated accurately —
(i) the position of all existing buildings, structures, including, but not limited to, telecommunications structures, trees and other relevant features;
(ii) the position of any existing driveways and vehicular access; and
(iii) the position of all development proposed as part of the application; and
(f) plans, elevations and sections of all development proposed as part of the application to a scale of not less than 1:100, fully dimensional using metric units and annotated to specify floor or base levels relative to a fixed datum point outside the site plan.
(4) An application must be accompanied by a signed declaration that the equipment and installation —
(a) has been designed to be in full compliance with; or
(b) falls outside the scope of, the requirements of the radio frequency public exposure guidelines of the ICNIRP.
(5) An application must be accompanied by any fee required to be paid in respect of the application.
Planning and Building Control Directorate Department of Environment, Food and Agriculture
Murray House, Mount Havelock, Douglas, Isle of Man, IM1 2SF
Tel: +44 1624 685950
Fax: +44 1624 686443
Email: [email protected]
PDOT20.1
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