Title Page
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Conducted on
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Prepared by
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Written notice to undertake permitted plantation forestry activities (afforestation, earthworks, river crossings, forestry quarrying and/or harvesting) as defined in Regulation 3 of the Resource Management (National Environment Standards for Plantation Forestry) Regulations 2017 (NES-PF).
DETAILS OF PERSON / COMPANY GIVING NOTICE
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First and Middle Names
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Last Name/company
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Contact Person (if a company):
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Postal address
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Company contact number
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Email address:
DETAILS OF AGENT (FORESTRY CONSULTANT) IF APPLICABLE
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Company Name
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Contact Person
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Contact Number
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Email Address
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Postal Address
DESCRIPTION OF ACTIVITY (REGULATION 3 OF THE NES-PF)
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Description of activity
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Copy of wilding tree risk calculator calculation sheet and score (Regulation 11(4)) ATTACHED
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Proposed setbacks (including a description of how these were calculated (Regulation 10(1)(a)) ATTACHED
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Council will request a copy of the quarry erosion and sediment management plan. You may upload the plan with this form if you wish
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Proposed setbacks (including a description of how these were calculated (Regulation 51(1)(a)) ATTACHED
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Please upload a map detailing where earthworks are to be carried out
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Are you constructing a river crossing
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Are you removing a river crossing
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Please upload a map showing the location of the river crossing
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Please upload a map identifying the harvesting location
LOCATION OF WHERE THE ACTIVITY WILL OCCUR (REGULATIONS 10(1)(a), 25(1)(a), 38(1)(b), 52(1)(a), 64(1)(a))
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Forest Name
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Certificate of Title Number
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Legal Description of Property
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Address of property
PLANNED START DATE OF THE ACTIVITY(REGULATIONS 10(1)(b), 25(1)(b), 38(1)(a), 52(1)(b), 64(1)(b))
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Planned start date of works
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Planned end date of works
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Is notice being provided to Council at least 20 and no more than 60 working days before the planned start date for afforestation / river crossings / forest quarrying
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Is notice being provided to Council 2 days prior to the start date for earthworks and/or harvesting for salvage operations
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I/we the under signed acknowledge that the permitted activity is to be held in my/our name as described above and accept liability for all charges associated with the monitoring of this permitted activity
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