Classification: OFFICIAL

CHILTERN DISTRICT COUNCIL AND SOUTH BUCKS DISTRICT COUNCIL

ODOUR NUISANCE DIARY

Dealt with by:

My Ref:

e-mail:

Direct Line:

1.  This record is necessary for the investigation of your odour complaint and must be an accurate account of the nuisance disturbing you. All entries must be precise and signed as this record may be used as evidence if legal proceedings are taken in the future.

Please only record the incidents that you consider unreasonable. Further guidance on completing the diary can be found in the Nuisance Information Pack.

2.  Any adult staying in your house that is disturbed by the odour may fill in a diary sheet. The diary is your own personal record of what you experience. You cannot write down something that other people (including your wife, husband or partner) have witnessed. They must record it in their own diary. You should fill in the diary as soon as possible after the incident has happened.

3.  Ensure you complete the top of the form with your name, address and telephone number. Please return the completed form to or Environmental Health Dept. King George V House. King George V Road. Amersham. Bucks. HP6 5AW

Date / Time nuisance starts
finishes / Intensity
(see Column 1) / Offensiveness (see column 2) / Duration/
Persistence
(see column 3) / Weather
Conditions
i.e. windy/rainy/
sunny / Character of
odour if distinguishable / How and where it affects you within your property
For example
Wednesday 23/11/16 / 12.45-13.20 / 3
(There was a distinct odour) / -4
(It was very unpleasant) / 3
(It was detectable for most of the time) / Sunny but windy / Smoke from a garden bonfire / I was not able to use my garden and the smoke was also in my house.

INSTRUCTIONS TO REFER TO WHEN COMPLETING THE DIARY SHEETS

Column 1:
Odour Intensity Scale / Column 2:
Hedonic Tone Scale / Column 3:
Duration/Persistence scale
Score / Intensity / Score / Perceived Tone / Score / Duration of odour
0 / No odour / +4 / Very pleasant / 0 / No detectable odour
1 / Very faint odour / +3 / Pleasant / 1 / Momentarily ( Less than 10% of monitoring period)
2 / Faint odour / +2 / Moderately pleasant / 2 / Frequently ( Less than 50% of monitoring period)
3 / Distinct odour / +1 / Mildly pleasant / 3 / Persistent (More than 50%, but not continuously)
4 / Strong odour / 0 / Neutral odour/no odour / 4 / Detectable for the entire monitoring period
5 / Very strong odour / -1 / Mildly unpleasant
6 / Extremely strong odour / -2 / Moderately unpleasant
-3 / Unpleasant
-4 / Very unpleasant

Classification: OFFICIAL Page 1 of

Classification: OFFICIAL

Statement of Witness

(Criminal Justices Act 1967 s9; Magistrates Court Act s102; Magistrates Court Rules 1981 s70)

Our Ref:

Your Name:

Your Address:

Age (if over 18 state ‘over 18’):

Alleged Source of Nuisance

Name (if known):

Address:

This statement consisting of ………. pages is true to the best of my knowledge and belief and I make it knowing that, if it is tendered in evidence, I shall be liable to prosecution if I have wilfully stated in it anything which I know to be false or do not believe to be true. I understand that this evidence may be provided to the defendant and that if the matter goes to court, I may be required to attend court to give evidence.

Signed …………………………………………………………… Date …………………………………………………………….

Date / Time
Start/Finish / Intensity (1) / Offensiveness (2) / Duration/ Persistance (3) / Weather conditions / Character of odour / How it affects you

CONTINUATION OF STATEMENT OF ………………………………………………………………………………

Date / Time
Start/Finish / Intensity (1) / Offensiveness (2) / Duration/ Persistance (3) / Weather conditions / Character of odour / How it affects you

Signed ……………………………………………………………………………………………………… Date …………………………………………………..

CONTINUATION OF STATEMENT OF ………………………………………………………………………………

Date / Time
Start/Finish / Intensity (1) / Offensiveness (2) / Duration/ Persistance (3) / Weather conditions / Character of odour / How it affects you

Signed ……………………………………………………………………………………………………… Date …………………………………………………..

CONTINUATION OF STATEMENT OF ………………………………………………………………………………

Date / Time
Start/Finish / Intensity (1) / Offensiveness (2) / Duration/ Persistance (3) / Weather conditions / Character of odour / How it affects you

Signed ……………………………………………………………………………………………………… Date …………………………………………………..

CONTINUATION OF STATEMENT OF ………………………………………………………………………………

Date / Time
Start/Finish / Intensity (1) / Offensiveness (2) / Duration/ Persistance (3) / Weather conditions / Character of odour / How it affects you

Signed ……………………………………………………………………………………………………… Date …………………………………………………..

Classification: OFFICIAL Page 1 of