ECAB 2019.1 RP
This form is specifically designed to be printed and completed offline.
Please complete this form in block capitals using black ink to facilitate scanning.
You are advised to read the accompanying guidance notes and per-question help text.
If you would rather make this application online, you can do so on our website:
https://www.planningportal.co.uk/apply
Application to determine if prior approval is required for a proposed:
Development by or on behalf of an electronic communications code operator for the purpose of the operator's Electronic Communications Network in, on, over or under land controlled by that operator or in accordance with the electronic communications code
Town and Country Planning (General Permitted Development) (England) Order 2015 (as amended) - Sch 2, Part 16, Class A
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This form is provided by Planning Portal and based on the requirements provided by Government for the sole purpose of submitting information to a Local Planning Authority in accordance with the legislation detailed on this form.
Please be aware that once you have downloaded this form, Planning Portal will have no access to the form or the data you enter into it.
Any subsequent use of this form is solely at your discretion, including the choice to complete and submit it to a Local Planning Authority in agreement with the declaration section.
Upon receipt of this form and any supporting information, it is the responsibility of the Local Planning Authority to inform you of its obligations in regards to the processing of your application.
Please refer to its website for further information on any legal, regulatory and commercial requirements relating to information security and data protection of the information you have provided.
Local Planning Authority details:
Publication on Local Planning Authority websites
Information provided on this form and in supporting documents may be published on the authority's planning register and website.
Please ensure that the information you submit is accurate and correct and does not include personal or sensitive information.
If you require any further clarification, please contact the Local Planning Authority directly.
3. Site Address Details
Please provide the full postal address of the application site.
| House name: | |
| House suffix: | |
| House number: | |
| Unit: | |
| Address 1: | |
| Address 2: | |
| Town: | |
| Address 3: | |
| County: | |
| Postcode (optional): | |
| Easting: | |
| Northing: | |
Description of location or a grid reference. (must be completed if postcode is not known):
Description:
4. Pre-application Advice
Has assistance or prior advice been sought from the local authority about this application? Yes No
If Yes, please complete the following information about the advice you were given. (This will help the authority to deal with this application more efficiently).
Please tick if the full contact details are not known, and then complete as much as possible:
| Officer name: | |
| Reference: | |
| Date: (DD/MM/YYYY) (must be pre-application submission) | |
Details of pre-application advice received?
5. Telecommunications Apparatus
Please specify the type of apparatus to be installed or altered (e.g. call box, mast):
Are you replacing an existing installation? Yes No
Please provide further details of the apparatus (e.g. height, size, colour, etc):
If Yes, please provide further details of the existing apparatus (e.g. height, size, colour etc):
Are you submitting a declaration confirming that the apparatus is in full compliance with the requirements of the radio frequency (RF) public exposure guidelines of the International Commission on Non-Ionizing Radiation Protection (ICNIRP)? The emissions from all mobile phone network operators' equipment on the site must be taken into account when determining compliance.
Yes No
Are you also providing a completed Supplementary Information Template (as set out in Appendix D of the Code of Best Practice on Mobile Phone Network Development)?
Yes No
6. Supplementary Information
Have you consulted your neighbours or the local community about the proposal? Yes No
If Yes, please provide details:
7. Neighbour and Community Consultation
8. Planning Application Requirements - Checklist
Please read the following checklist to make sure you have sent all the information in support of your proposal. Failure to submit all information required will result in your application being deemed invalid. It will not be considered valid until all information required by the Local Planning Authority (LPA) has been submitted.
- The original and 3 copies* of a completed and dated prior approval form:
- The original and 3 copies of the location plan to a scale not less than 1:2500:
- The correct fee:
*National legislation specifies that the applicant must provide the original plus three copies of the form and supporting documents (a total of four copies), unless the application is submitted electronically or, the LPA indicate that a smaller number of copies is required. LPAs may also accept supporting documents in electronic format by post (for example, on a CD, DVD or USB memory stick). You can check your LPA's website for information or contact their planning department to discuss these options.
12. Site Visit
Can the site be seen from a public road, public footpath, bridleway or other public land? Yes No
If the planning authority needs to make an appointment to carry out a site visit, whom should they contact? (Please select only one)
Other (if different from the agent/applicant's details)
Agent
Applicant
If Other has been selected, please provide:
| Contact name: | |
| Telephone number: | |
| Email address: | |