Email: applications@waidc.govt.nz www.waikatodistrict.govt.nz Telephone (all hours) 07 824 8633 Call Free 0800 492 452 District Office 15 Galileo Street Private Bag 544 Ngaruawahia 3742 For internal use only PBA # BLD# Application for Permitted Boundary Activity Section 87BA, Resource Management Act 1991 Form 9A You must include all information required by this form. If all information is not included, the consent authority will return this to you and the correct information must be supplied before a written notice permitting your activity can be provided. In order to be eligible for a deemed permitted boundary activity, the activity must meet the definition of boundary activity under section 87AAB(1) of the Act. To find out more about whether you meet this definition please review the information sheet on Boundary Activities found on Council s website. If all of the information required under section 87BA(1) of the Act is provided to the consent authority, the consent authority must notify you of your permitted boundary activity within 10 working days after the date on which it receives the information. PLEASE NOTE THAT IF YOU ARE LODGING THIS APPLICATION WITH A BUILDING CONSENT, YOU MUST SEPARATE THE TWO DOCUMENTS TO AVOID A DELAY IN THE PROCESSING OF THE APPLICATONS A.1 SITE DETAILS Legal address of site Legal Description (from your Rates Notice or Certificate of Title) Town/Location A.2 APPLICANT DETAILS Full Name (please write all names in full) Electronic address (email) Postal Address Post Code Phone: Mobile phone If you are lodging your application with a building consent and your agent is the same for both tick here If you have a different agent or are lodging without a building consent enter their details below in A.3 Please note: if you appoint an agent, the Council will contact only the agent regarding this application A.3 AGENT DETAILS Tick here if N/A Company Electronic address (email) Postal Address Phone: Contact Person Mobile Phone Post Code Page 1 09/17
A.4 OWNERS DETAILS The full name and address of each owner (other than the applicant) of the site to which the activity relates to Full Name Postal Address: Postal Address: A.5 NEIGHBOURS DETAILS You must provide written approval and a signed plan from all owners of allotments with infringed boundaries under section 87BA(1) of the Act 1991For guidance on what is an infringed boundary please refer to the Council s website or consult with the Duty Planner. A.6 PREVIOUS ADVICE Have you had any previous advice and/or correspondence from Council in regards to your proposal? Yes No Duty Planner Building Consent/PIM Officer Pre application PRE / Name of person you received advice from Copy of advice and/or correspondence attached A.7 HOW TO LODGE THIS APPLICATION The set fee applicable for your application is $350. Council s preferred method of payment is internet banking. Your application will not be processed until the required application fee is received 7.1 If lodging electronically with a building consent application: Please provide a complete electronic version of the application, in a separate folder or attachment to your Building Consent application. This may mean providing the same Plan twice. Please email your applications to Building.Applications@waidc.govt.nz How to Pay: you can pay one fee for both your building consent and your PBA application with your building consent application. Please follow the instructions under your building consent application. 7.2 If lodging electronically without a building consent application: Please email to applications@waidc.govt.nz, How to Pay: you can pay your fee by internet banking by using the Bill Payment option for your bank, select Waikato DC Resource Consents, quote the property address of the activity, your name/client(s) name and PBA as the reference. 7.3 If lodging a hard copy: Please lodge over the front counter at any service centre. You are required to separate all of the documents required with this application from any other applications you may be making at the time, this may mean you have to provide the same plan for two separate applications. Alternatively please use the postal address on the front of this form to send by courier or standard mail. How to Pay: At the Counter, or via the internet banking instructions above. Page 2 09/17
A.8 MONEY MATTERS Payment Options please tick Internet Banking Date of Payment Payment made via Internet Banking Use the Bill Payment option for your bank, select Waikato DC Resource Consents, quote the property address of the activity, your name/client(s) name and PBA as the reference Payment Advice Information attached Cheque Council Offices Payment made at Council Office Receipt Number Date of Payment Invoice Payment NB your application will not be processed until payment is received A.9 SIGNATURE* * A signature is not required if you provide your information by electronic means (note that the plans for written approval do need to be signed) Note to Applicant You must pay the charge payable to the consent authority for the deemed permitted boundary activity under the Act. If signing on behalf of a trust or company, please provide additional written evidence that you have signing authority. By signing this form, I hereby certify that, to the best of my knowledge and belief, the information given in this application is true and correct. Signed* by Applicant/s: Dated Note to Agent By signing this form, I hereby certify that: To the best of my knowledge and belief, the information given in this application is true and correct; I am authorised to submit this application on behalf of the applicant/s; and I have explained to the applicant/s their obligation to pay the set fee payable for this application. Signed* by Agent: Dated Name and Role (Please print) Important Privacy Information The information you provided in your application (including personal information) is official information. Your application documents, the details of this consent and any ongoing communications between you and Council will be held at Council s offices and maybe accessed upon request by a third party. Access to information held by Council is administered in accordance with the Local Government Official Information and Meetings Act 1987 and the Privacy Act 1993. Your information may be disclosed in accordance with the terms of these Acts. If you have any concerns about this, please discuss with a Council Planner prior to lodging your consent. Page 3 09/17
A1: Description of activity Your description must be in such detail that Council can be satisfied your proposal is a permitted activity. You therefore need to address the activity rule and all bulk and location rules relevant to the proposal. Please see the guidance information for Boundary Activities on Council s website. A2: Application Requirements A2.1 A detailed description of the activity Applicant Council Check A2.2 The full name and address of each owner of the site detailed in the application form above A2.3 The full name and address of each owner of infringed boundaries detailed in the application form above A2.4 An email address for electronic service detailed in the application form above A2.5 Completed Written Persons approval forms (Form 8B) and signed site plan and elevations from all owners of a property with an infringed boundary. A2.6 If lodging with a Building Consent evidence that your vehicle crossing location has been approved. Page 4 09/17
A3: Plans Required A3.1 A site plan (to an appropriate metric scale of either 1:100 or 1:200) showing the height, shape, and location on the site of the proposed activity: In order to meet this criteria you are required to show that you comply with the bulk and location rules of the District Plan including but not limited to the following: Applicant Initial Vetting Check (a) (b) (c) (d) (e) (f) (g) (h) (i) (j) (k) (l) A north arrow and the scale The location of the proposed activity in relation to legal site boundaries. Legal and physical roads. All existing and proposed buildings (measured from the footing) and structures, and their distance to existing and proposed boundaries. Existing and proposed access points (entrances). Existing and proposed access-ways/right of ways. On-site manoeuvring, and existing and proposed vehicle parking spaces. earthworks - volumes and areas of cut and fill) Areas subject to land hazards e.g. unstable slopes, areas of flooding, peat soils or fill. Areas of potential or confirmed contamination. Building coverage and impermeable surfaces calculations Living courts and service courts (if applicable) A3.2 Elevations (to scale) of buildings that are the subject of the application and the location of the allotment boundary. Page 5 09/17