Describe the location of the proposed activity including its natural and physical characteristics and any adjacent uses that may be relevant to consideration of the application. Describe the location of the proposed activity as it is commonly known and in a way that will enable it to be easily identified e.g.: street address; the legal description; name of any relevant stream, river or water body to which the application relates; proximity to any well-known landmark; and grid reference. Part II: Matter Lodged With the EPA Sections 145, 148 and 149ZB, Resource Management Act 1991 This part of the form reflects the information requirements of Form 16A of the Resource Management (Forms, Fees, and Procedure) Regulations 2003. Proposal Details Provide a list of the local authorities under whose administrative jurisdiction consent is required, and any staff members with whom the proposal has been discussed. Provide a description of the proposal to which the matter relates. This information accompanies: 1 or more of the following applications for a resource consent 1 or more of the following applications for a change to or cancellation of the conditions of a resource consent 1 or more of the following requests for the preparation of a regional plan 1 or more of the following changes to a plan proposed by the local authority 1 or more of the following variations to a proposed plan 1 or more of the following notices of requirement for a designation or to alter a designation 1 or more of the following notices of requirement for a heritage order or to alter a heritage order. Does the proposal relate to an activity that is part of a proposal of national significance in relation to which one or more matters have already been subject to a direction under section 142(2) or 147(1)(a) or (b) (please tick)?: Yes. No. If you have answered yes to the question above, please provide the following information to identify the matter for which a direction by the Minister has been made: Project name: EPA reference number: EPA Project Leader:
Describe the location of the proposed activity including its natural and physical characteristics and any adjacent uses that may be relevant to consideration of the application. Describe the location of the proposed activity as it is commonly known and in a way that will enable it to be easily identified e.g.: street address; the legal description; name of any relevant stream, river or water body to which the application relates; proximity to any well-known landmark; and grid reference. Part II: Matter Lodged With the EPA Sections 145, 148 and 149ZB, Resource Management Act 1991 This part of the form reflects the information requirements of Form 16A of the Resource Management (Forms, Fees, and Procedure) Regulations 2003. Proposal Details Provide a list of the local authorities under whose administrative jurisdiction consent is required, and any staff members with whom the proposal has been discussed. Provide a description of the proposal to which the matter relates. This information accompanies: 1 or more of the following applications for a resource consent 1 or more of the following applications for a change to or cancellation of the conditions of a resource consent 1 or more of the following requests for the preparation of a regional plan 1 or more of the following changes to a plan proposed by the local authority 1 or more of the following variations to a proposed plan 1 or more of the following notices of requirement for a designation or to alter a designation 1 or more of the following notices of requirement for a heritage order or to alter a heritage order. Does the proposal relate to an activity that is part of a proposal of national significance in relation to which one or more matters have already been subject to a direction under section 142(2) or 147(1)(a) or (b) (please tick)?: Yes. No. If you have answered yes to the question above, please provide the following information to identify the matter for which a direction by the Minister has been made: Project name: EPA reference number: EPA Project Leader:
Application-for-Nationally-Significant-Proposal-form.docx