Engineering Activity Registration (Cont) OFFICE USE Ref DECISION Accepted

engineering activity registration (cont.) office use: ref decision: accepted | rejected application for river restoration compe

Engineering Activity Registration (Cont.)

OFFICE USE: Ref
DECISION: Accepted | Rejected
Application for River Restoration Compensation Scheme
=====================================================
Before filling in this application form please read the River
Restoration Compensation Scheme applicant guidance
1.
Contact Details
===============
Please provide details of the person or responsible person who is
making this application.
Name
====
Organisation or business name(if applicable)
============================================
Address
=======
Postcode
========
Tel No.
=======
Email
(for general correspondence)
Additional email (if different) for purchase order & remittance advice
Main Location Code
==================
/
/
Business Reference Number (BRN)
===============================
Fax No.
=======
Is the business a Small or Medium Enterprise (SME) or microbusiness?
Yes / No*
Please specify the type of agricultural activity carried out at the
restoration site:
* delete as appropriate
2.
Land Ownership Status
=====================
Please tick the appropriate box:
I am the Landowner
==================
I am the Tenant
===============
FOR TENANTS ONLY:
=================
Tenancy agreement end date
==========================
You will be required to submit with this application form
documentation to support your status as landowner or tenant.
3. Permissions
I give permission* for SEPA to access information from the Scottish
Government Rural Payments Department for land use data relevant to
this application, and ask SEPA to consider this information as an
annex to this application form.
Signature:
Date:
Print name:
Role/Status
*If you don’t give permission or you have not applied for rural
payments you must submit certified copied of the following:
*
Proof that land to be compensated has been productive for at
least 3 of the last 5 years
4. Site Details
===============
Farm Name
=========
Site Name
River Name:
===========
NGR of restoration site:
*National Grid Reference (NGR)
==============================
Please enter National Grid Reference of the centre of the restoration
site using 10-character form (XY 1111 2222)
You can use the SEPA NGR Tool on the SEPA website to generate your own
NGR (http://map.sepa.org.uk/ngrtool/).
For projects not funded by WEF: Please provide 1 or more photographs
showing the area proposed for compensation payment and a copy of the
detailed design for the restoration project.
====================================================================
5. Compensation Estimate
========================
If compensation is awarded it will be paid following completion of the
restoration activity.
Permanent change to land use
============================
Category
========
Area (Ha)
[A]
=========
Payment rate/Ha
[B]
===============
Estimated award
[A] x [B]
===============
Arable land proposed to be taken out of productive use to permit
restoration
0
=
£2475.00
========
£0.00
=======
Grassland proposed to be taken out of productive use to permit
restoration
0
=
£615.00
=======
£0.00
=======
Estimated compensation award - Permanent change (Arable + Grassland)
====================================================================
£0.00
=======
Temporary change to land use
============================
Category
========
Area (Ha)
[A]
=========
Payment rate/Ha
(per month)
[B]
===============
Months of disruption
[C]
====================
Estimated award
[A] x [B] x [C]
===============
Additional arable land temporarily impacted during construction phase
0
=
£41.25
======
0
=
£0.00
=======
Additional grassland land temporarily impacted during construction
phase
0
=
£10.25
======
0
=
£0.00
=======
Estimated compensation award - Temporary change (Arable + Grassland)
====================================================================
£0.00
=======
Total estimated compensation award (Permanent + Temporary)
==========================================================
£0.00
=======
TO AUTO CALCULATE YOUR ESTIMATED PAYMENT:
1.
Enter values for appropriate Area
2.
Add number of months disruption (temporary changes only)
3.
Select whole table (Hover mouse to left of 5. Compensation
Estimate and click the ‘+’ that appears)
4.
Press F9 key
IMPORTANT: This form only provides an estimated payment value, which
has to be verified by SEPA.
7. Declaration and Undertakings
===============================
*
I/we declare that I/we have read and understand the rules,
conditions and requirements of the River Restoration Compensation
Scheme as detailed on the SEPA website including the guidance.
*
I/we declare that the land for which I am applying for
compensation is productive agricultural land and has been so for
at least 3 of the most recent 5 years.
*
I/we agree to provide any additional information relating to this
application that SEPA may reasonably require.
*
I declare that I will not be in receipt of public funding from the
project completion date, for the same area of land to which I am
intending to claim compensation.
*
I/we agree to permit the duly authorised officers of SEPA, or its
appointed agents and those persons accompanying them, to enter the
farm covered by this application to carry out an inspection in
order to verify the accuracy of the particulars given in this
application. And to render all reasonable assistance, to duly
authorised officers in making their inspection.
*
I/we agree (jointly and severally) to repay any aid paid in
respect of this application, if as a consequence of a breach of
the declarations made or the undertakings given in this
application, or of overpayment to any one of us, we or any one of
our number is asked to make such repayment by SEPA
*
I am over 16 years of age.
The data you have provided in this form is subject to the provisions
of the Freedom of Information (Scotland) Act 2002 (FOISA), the Data
Protection Act 1998 and the Environmental Information (Scotland)
Regulations 2004 (EIR).
It is the policy of Scottish Ministers to share relevant data,
including historical, that is held on your business with other
organisations for legitimate purposes and when required to do so and
also to share relevant data under FOISA and EIR when it is in the
public interest.
Are you a non-trading person or organisation?
=============================================
Yes / No*
Signature:
==========
Date:
=====
Print name:
===========
Role/Status:
============
*Delete as appropriate
8. Payment Details
==================
Bank Name:
==========
Account Name:
=============
Account No:
===========
Sort Code:
9. Document Checklist
=====================
Please use the checklist to ensure you have completed all relevant
sections and have included all required items with your application.
Incomplete applications may be returned to you for re-submission.
*
Photographs of the area marked for compensation for projects not
funded by WEF
*
Detailed design plan of area proposed for compensation for
projects not funded by WEF
*
Certified copies of title deeds or tenancy agreement and evidence
that land is productive if you haven’t given permission for SEPA
to access this information from Scottish Government
Please send your completed form and documents to the following
address:
Water Environment Fund Administration
Graesser House
Fodderty Way
Dingwall, IV15 9XB
The Data Protection Act 1998
The information provided in and with this form will be processed by
the Scottish Environment Protection Agency ("SEPA") to process and
assess your application.
We may also process and/or disclose it in connection with the
following:
*
offering/providing you with our literature/services relating to
environmental affairs
*
carrying out statistical analysis, research and development on
environmental issues
*
providing public register information to enquirers
*
investigating possible breaches of environmental law and taking
any resulting action
*
preventing breaches of environmental law; and
*
improving our service
We may disclose the information to the public, public bodies and other
organisations (e.g. Health and Safety Executive, Local Authorities,
Emergency Services, Scottish Executive) when consulting on
environmental issues.
WAT-APP-REG-06 Page 3 of 3 v1 Jan 2017