SELF BUILD LAND REGISTER

DATA PROTECTION AND FREEDOM OF INFORMATION

We need your permission to hold your details on our database.

I agree that the contact details and related responses can be held by the Exmoor National Park Authorityand I understand that they will only be used in relation to planning matters.

Signed: / Date:
Please note that forms that are not signed and dated will not be accepted. Ifyou are submitting this form electronically, please type your name above.

This information is collected by Exmoor National Park Authority as data controller in accordance with the data protection principles in the Data Protection Act 1998. The purposes for collecting this data areto compile a record of sites on Exmoor that may be suitable as plots for self build homes.

Each site will need to be visited to enable a full assessment of the site. Bycompleting and returning this form you consent to officers for the Authority (or their representatives) visiting the site in order to ascertain site suitability.

  1. Can the site be accessed from public land?

Yes / No
  1. Are there any reasons which would prevent officers undertaking a site visit unaccompanied? If yes, please describe.

  1. If yes, please provide contact details of the person who should be contacted to arrange a site visit.

Name:
Contact no:
4.Your details

Name

Contact address

Telephone number

E-mail address

5.Agent’s details

Name

Company / agent
Representing

Contact address

Telephone number

E-mail address

NB:If an agent’s details are included above all subsequent correspondence will be via that agent.
6.Landowner’s details (if different from above)

Name

Contact address

Telephone number

E-mail address

7.Site Details

Site address

Site postcode

OS grid reference(if known)

Has the landowner given permission for this site to be submitted? / Yes
No
Please attach an up-to-date Ordnance Survey based map outlining the precise boundaries of the site in its entirety and the part which may be suitable for housing (if this is less than the whole).
Without this mapped information we are unable to register the site.
8.What is the current use of the site?
9.What is the estimated area of the plot you wish to be considered for development (hectares/square metres)?
  1. To the best of your knowledge, are thereany constraints that may restrict or prevent development on the site?
Please provide brief details:
Access difficulties (e.g. road network, site entrance, location etc) / Yes
No
Tree cover / Yes
No
Topography (e.g. sloping land) / Yes
No
Visual impact on the character of the surrounding landscape / Yes
No
Ownership issues (including multiple ownership, ransom strips etc) / Yes
No
Legal issues (e.g. covenants) / Yes
No
Contamination / pollution / Yes
No
Environmental designation (including public rights of way) / Yes
No
Flood risk / Yes
No
Infrastructure requirements (eg waste water/water/electricity/ telephone) / Yes
No
Other considerations / Yes
No
  1. If you have noted any potential constraints, do you believe these could be overcome? If so, please explain how, and include details of any investigations, feasibility studies or other work previously undertaken.

  1. (a) Is the site immediately available for development?

Is the site currently for sale and being marketed through a land agent? / Yes
No
(b) When could this site be available for development?
Within the next 1- 2 years
Within a period of 2- 5 years
After 5 years
  1. Supporting information – Why do you think this site is suitable as a self build plot?

ENPA Self build Land Register Page 1

ENPA Self build Land Register Page 1

Please sign below to confirm you would like this land to be considered for custom/self build development
(If you are submitting this form electronically please type your name in the box)

Thank you for completing this form. It should be returned together with a map which clearly identifies the boundary of the site:

Rural Housing Project

Exmoor House

DULVERTON
Somerset TA22 9HL

Or emailed to: Rural Housing Project

If you have any questions regarding this form or self build on Exmoor please contact Colin Savage, Rural Housing Enabler - phone(01398) 322249or 323665 – address as above.

ENPA Self build Land Register Page 1