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The Department of Environment, Food & Agriculture is a data controller for the purposes of the General Data Protection legislation and requires the information on this form to comply with its legal obligations under the Town and Country Planning Act 1999 and subordinate Town and Country Planning (Development Procedure) Order 2019.

Your personal information will be held by the DEFA for the purposes of processing this application and may be used to ensure compliance with the provisions of the Town & Country Planning Act and in particular Part 4 Enforcement of Control.

Some of the information you provide, such as your name, address and contact detail will be shared at our public counter, with the Local Authority and as part of the application image via our online service, in order to give notice and publicise receipt of the application. It may also be shared within the DEFA or other Government Departments, boards or offices for the purposes of statutory functions.

We will only keep these details for as long as we require them, and in accordance with General Data Protection legislation.

You may withdraw your details at any time if you no longer wish us to process your application. Full details of how and why DEFA PBBC processes your personal information are contained in our PBBC Privacy Notice available on our website.

The Data Protection Officer can be contacted on 686781 or by email at [email protected].

1. Statement - I hereby enclose four copies of the following:
2. this application form
3. all supporting plans and documentation which must include
4. a location to date and at a scale of 1:500 to 1:1250 or greater if required
5. a site plan of not less 1:500
6. and
7. A schedule of drawings/plans.

Notification of this application will be forwarded to the Local Authority in which the site is situated and, where not an application relating to windows, the Network Planning Officer, DOI Highway Services.

If applicant owns or controls any additional land within the vicinity of the application, please indicate the additional land in blue on the site location plan.

To the best of my knowledge and belief, all the information given in this application is true, and the documents provided herewith are accurate.

| Signature of Applicant or Agent | | Dated | 24/11/20 | | --- | --- | --- | --- | | | | | |

If signing on behalf of a company, please clearly state your relationship.

Should this application be unsupported by adequate and clear site maps and plans outlining all the works.

Note: no works may be commenced until such time as:

a) after receipt of your planning Decision Notice, the time period for requesting an appeal has expired and no such appeal has been requested, or

b) any Appeal has been completed.

Planning and Building Control Directorate Department of Environment, Food and Agriculture Murray House, Mount Havelock, Douglas, Isle of Man, IM1 2SF

The Town and Country Planning Act 1999 The Town and Country Planning (Development Procedure) Order 2019 Application for Planning Approval 20/01411

Please complete in BLOCK CAPITALS and in black ink.

The person here below named as the applicant is responsible for payment of the appropriate fee.

All relevant questions on this form must be answered.

Guidance notes are available on request.

For office use only Date: 24/11/20 Receipt number: 452820

1. Site address details (including a post code where applicable).

| 14 Central Park | | | | | --- | --- | --- | --- | | 200-000-0000 | | | | | 200-000-0000 | | | | | 200-000-0000 | | | | | 200-000-0000 | | | | | 200-000-0000 | | | | | 200-000-0000 | | | | | 200-000-0000 | | | | | 200-000-0000 | | | | | 200-000-0000 | | | | | 200-000-0000 | | | | | 200-000-0000 | | | | | 200-000-0000 | | | | | 200-000-0000 | | | | | 200-000-0000 | | | | | 200-000-0000 | | | | | 200-000-0000 | | | | | 200-000-0000 | | | | | 200-000-0000 | | | | | 200-000-0000 | | | | | 200-000-0000 | | | | | 200-000-0000 | | | | | 200-000-0000 | | | | | 200-000-0000 | | | | | 200-000-0000 | | | | | 200-000-0000 | | | | | 200-000-0000 | | | | | 200-000-0000 | | | | | 200-000-0000 | | | | | 200-000-0000 | | | | | 200-000-0000 | | | | | 200-000-0000 | | | | |

| 6. | Address of applicant | 14 CENTRAL DRIVE CHCKAN | | | --- | --- | --- | --- | | | | Postcode | InS LEU | | | Telephone number | Home | Work | | | Applicant's e-mail address | | | | 7. | Applicant's interest in the site (e.g. owner, tenant, potential purchaser) | | | | | If DEFA has (or could be deemed to have) an interest in the | | | | | appreciation or site, please state what that interest is in your answer. | | | | | | | QUMED | | 8. | a) Full name of Agent (IF ANY) | Kevin Graham | | | | b) Address of Agent | 21 ALBERTa Drive | | | | | CHCKAN | Postcode InS LLT | | | Email correspondence will be used where possible | | | | | Agent's e-mail address | [email protected] | | | | Telephone number | 368127 | | | | c) If you are using an Agent, please specify whether the acknowledgement letter and Site | | | | | Notice should be sent to the Agent or Applicant, who will be responsible for affixing the Site Notice | | | | | at the site. Please Note: If this box is not completed all correspondence will be directed to the | | | | | Agent. | | | | | 9. Description of the proposed development. Please state clearly what you propose to do. | | | | | | | EARTH OF | | | | | DUELLING FORMING A UTILITY REGIN AND WET REGIN. | | 10. | a) Please state the existing use of the site (e.g. residential, office, retail etc.) | | | | | b) Please state the proposed use of the site. | | | | | | | RESIDENTIAL | | | | | RESIDENTIAL | | | | | Yes ☐ No ☑ | | 11. | Is the development within a Conservation Area. | | | | | If yes and involves demolition OR the works are to a Registered Building, a Registered Building Consent | | | | | application will be required. | | | | 12. | Relevant Fee Enclosed (where required) Please note the application will | | | | | remain invalid until the application fee is paid in full. | | | | | Cheques should be made payable to IOM Government. | | | | | If the proposed development would create additional industrial, residential, | | | | | retail or office floor space, please specify the floor area in square metres | | | | | This area should be used to where the fee calculus requires it. | | | | | Where the application is exempt from a fee under the current fees order, please state | | | | | the registered charity number. | | |

| 13. Would the proposed development involve the creation of, or alteration to, a vehicular | | | --- | --- | | or pedestrian access to any public highway (this includes footpaths)? | Yes ☐ No ☑ | | Have you consulted with Highway Services? | | | Please confirm the number of parking spaces within the site. | existing ☐ | | | proposed ☐ | | 14. Does your proposal involve a change in site levels? | Yes ☐ No ☑ | | If yes, please provide drawings showing the change in site levels (e.g. spot levels or site sections). Please also include | | | a method statement detailing the proposed means of importing fill and/or the means of exporting the fill, including | | | 15. Please specify below whether the proposal requires new or amended services: | | | a) Gas | Yes ☐ No ☑ | | b) Electricity | Yes ☐ No ☑ | | c) Water | Yes ☐ No ☑ | | d) Telecommunications | Yes ☐ No ☑ |

The applicant should consult the service providers separately in order to establish the location of existing services and the impact of the proposed works on existing services. See guidance notes.

1. a) How will rainwater run-off from roofs and paved surfaces be disposed of? ☐ To ENTER SUMMARY
2. b) How will foul sewage from the proposed development be disposed of? ☐ InS ENTER STREET
3. If a septic tank/Biodisc system is proposed, please provide details demonstrating that the septic tank/Biodisc would be acceptable under Building Regulations
4. a) Are there any trees on or within 15m of the proposed development site with a stem diameter of 75mm or more, measured at 1.5m above ground level. ☐ Yes ☐ No ☑
5. b) Are there any large shrubs or hedges on the proposed development site? ☐ Yes ☐ No ☑

If you answered Yes to either of the above, then your application will need to include a level of tree related information appropriate to the proposed development, which in some circumstances (e.g. change of use) may mean that no additional information is required. Please refer to our guidance at www.gov.im/planningapply for further information. You must provide details of any trees which are to be 'lipped' or 'feiled' as a result of the proposal.

1. Is the proposed development within 9 metres of any watercourse (river, ditch or otherwise)? ☐ Yes ☐ No ☑

If so, you are advised to contact the Department's Fisheries Directorate for further guidance in

1. Have you consulted the Department prior to making this submission? ☐ Yes ☐ No ☑

If yes, please state the Officer's name and the date of their response.

In any assessment of this application PLEASE BE AWARE that the Case Officer may undertake to visit the site to ensure 1) the site notice has been correctly placed/erected, 2) check the application content against the proposed work / site levels 3) speak to neighbours, if they feel it relevant, and 4) Take photographs where necessary.

Building Regulations

1. Are you making a concurrent application for Building Regulations Approval? ☐ Yes ☑ No ☐
2. Please provide details of any supporting information or other details that you would like the Planning Officer to take into account. Please note that you may use a separate sheet to complete this section.