Preventing serious damage to livestock by d56FZ3E

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									                                                                       Licensing Section
                                                                Scottish Natural Heritage
                                                                       Great Glen House
                                                                          Leachkin Road
                                                                               Inverness
                                                                                 IV3 8NW
                                                                           01463 725000
                                                                LICENSING@snh.gov.uk

LICENCE APPLICATION FORM
The Conservation (Natural Habitats, &c.) Regulations 1994 (as amended)
Application for a licence for European Protected Species
    Preserving public health or safety or another imperative reason of overriding public interest
    Preventing the spread of disease
    Preventing serious damage to livestock, foodstuffs for livestock, crops, fruit, growing timber
     or any other form of property or fisheries


Instructions to applicant – please follow carefully.

1. Please complete all relevant sections of the application form,

2. Print off the whole form and sign and date it. Note we cannot process unsigned application
forms.

3. Send the completed and signed application form by post to the above address. Additional
documents can be appended, but we would prefer to receive these electronically (see below)

4. You will receive an email acknowledgement once your application is received by SNH’s
Licensing Section.

5. When you have received your acknowledgement please email any supporting documents to
LICENSING@snh.gov.uk ensuring that your covering email includes the name of the
applicant.

Please note

SNH will hold your contact details on our Customer Database. All licence application forms, licences
issued and correspondence relating to licensing decisions will be stored in our electronic filing system.
We will use this information to undertake licensing functions. To do this we may have to discuss
applications with relevant third parties.
We manage personal information in accordance with the Data Protection Act 1998. The Act gives
individuals the right to know what data we hold on them, how we use it and to which third parties it is
disclosed.
Where appropriate we may use your information within SNH for other purposes for example: sending
you our magazine, inviting you to an event or asking for your feedback.




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                                                                       Licensing Section
                                                                Scottish Natural Heritage
                                                                       Great Glen House
                                                                          Leachkin Road
                                                                               Inverness
                                                                                 IV3 8NW
                                                                           01463 725000
                                                                LICENSING@snh.gov.uk

LICENCE APPLICATION FORM
The Conservation (Natural Habitats, &c.) Regulations 1994 (as amended)
Application for a licence for European Protected Species for the following
purposes;
    Preserving public health or safety or another imperative reason of overriding public interest
    Preventing the spread of disease
    Preventing serious damage to livestock, foodstuffs for livestock, crops, fruit, growing timber
     or any other form of property or fisheries

Section A - Applicant details
Please give the complete details of the person who will hold the licence.
Title                            SELECT       please select one
Surname
First Name
            House name or
            number
            Street

            District
Address     City or Town

            County

            Post Code

            Country

                                 Is this your Home Address                 Work Address
Date of birth (dd/mm/yyyy)
Home telephone number
Work telephone number
Mobile number
E-mail address
Organisation & position
(if applicable)




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Section B – Outline of proposal and purpose of licence
Licences can only be issued for specific purposes, please tick the box that applies to the purpose for
which you seek a licence

Species
(incl. scientific name, if known)

Proposal title

Location of proposal
(including address, grid reference,
Local Authority area)

Is the area covered by a
nature conservation
designation?
(e.g. SSSI, SPA, SAC – see our
website for site locations and
information)
Proposal details
(please provide a brief summary
of what is proposed)
                                         For preserving public health or safety*
Licence purpose                          For an imperative reason of overriding public interest*
(see our website for more                For preventing the spread of disease
detail on specific purposes for
which licences can be                     For preventing serious damage to livestock, foodstuffs for
granted)                              livestock, crops, fruit, growing timber or any other form of property or
                                      fisheries

Justification
Provide a justification for why
works need to be undertaken for
this purpose.




* Applicants seeking licences under this purpose should follow our guidance document on our
website as there are strict tests to be met before a licence can be granted.
Section C – Alternatives
Before granting a licence we need to be assured that there is no satisfactory alternative option (which would avoid
the need for a licence) to achieve the purpose described in Section B. There will always be an alternative, even if
that is to do nothing, but you must describe possible alternatives and why these are not considered to be
satisfactory. Please read the relevant guidance document on our website.

Alternative options
considered and why they
are not being undertaken




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Section D – Planning permissions or other consents
Note that licences are unlikely to be granted until all other statutory consents for the works have been given.
Does the work require
planning permission or
other statutory
consent/permission?
Give details
Planning status                       Applied for           Granted?         Attached*           Date granted
please tick all that apply
Full planning permission
Outline planning permission
Reserved matters
Is there any additional
information relating to
permissions for the
work?
* Note – proof of planning or any other permission must be attached

Section E – Detailed description of works
Please go into more detail about the proposed works affecting the species concerned and how any impacts will be
minimised or compensated for. A separate report may be appended to your application.

Licence start date:                                              End date:
                                      We require up-to-date survey information of the site.
                                      Maps should also be provided to clearly show locations of relevant
Survey information                    structures/places, any protection zones, distances, working areas etc. This
                                      information can be included in Section I, or can be attached. Note: Without
Please read carefully and tick the
appropriate box                       this information it may not be possible to process your application.
                                          Survey information is provided in the annex
                                          I attach an up-to-date survey report
Grid reference of licensed
activities
6 or 8 digit (e.g. NN123456)

Activity to be licensed (complete all that apply)
                       Damage or                                                                 Time period
 Take                    Destroy
           Disturb                    Transport      Kill    Method to be used
                        breeding /
                                                                                              From            To
                       resting site




Number of individuals
affected
Indicate numbers for each activity
and whether this refers to
animals, dreys, burrows etc.




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Detailed description of
works proposed which
may affect species
This should include details of
exactly how animals or plants will
be affected. Attach as a separate
report if necessary



Detailed description of
mitigation and or
compensation measures
We would normally expect a
detailed Species Protection Plan
incorporating a method statement
to show how the works will be
undertaken. Please attach as a
separate report if necessary.
If attaching a separate report, please ensure that it includes all of the information required
above.




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Section F – Additional persons
Any licence granted will be issued to the applicant. If there are any additional persons who you would
like to be covered by the terms of this licence, please include their details below, in full. Indicate if they
are to be included as an Agent or Assistant.
Agents may work independently of the licence holder; the licence holder is responsible for ensuring that
Agents have the appropriate training and experience and that they are fully aware of the terms and
conditions of any licence granted.
Assistants must work under the personal supervision of the licence holder.
If more than one Agent or Assistant is to be included, please use the extra tables at the end of this
application and print off extra pages accordingly.

Role                                      SELECT
Title                                     SELECT
Surname
First name
                  House name         or
                  number

                  Street

                  District

Address           City or Town

                  County

                  Post Code

                  Country

Date of birth (dd/mm/yyyy)
Telephone number
Mobile number
E-mail address
Organisation & position
(if applicable)
Are there any restrictions
you require to be placed
on the activities of this
person?
(e.g. action, species, location)




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Section G – Previous experience
The undertaking of certain technical activities such as catching and handling animals, invasive surveys, modifying,
damaging or destroying resting places, or any other situation where expert judgement or specialist technical skills
are required will only be permitted by persons with appropriate experience. If this is proposed please provide
details of your own experience in this area or the name and contact details of the person you intend to carry out this
work on your behalf

Does the work require
specialist input?                         Yes                       No
(as described above)
Do you intend to carry
                                          Yes                       No
out this work?

If ‘Yes’ provide details of
you relevant skills /
experience (including whether
or not you have carried this out
under previous licence(s). If so
provide licence details)

If ‘No’, who will carry out
this work and what is
their experience?
(and provide their details as an
additional persons – see section
E above)



Section H - Checklist of Attachments
Evidence to support justification of licensing purpose

Copy of planning (or other) consent
Detailed maps of the site

Survey information

Photographs of area / key locations or features

Species Protection Plan / detailed method statement


Section I – Additional Information
Use this space to provide any additional information (e.g. results of surveys – see Section E) that you feel is
relevant to your application.




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                                         Declaration

Applicants should note that it is an offence under Section 17 of the Wildlife and
Countryside Act 1981 and under Regulation 46 of the Conservation (Natural
Habitats &c) Regulations 1994 to knowingly or recklessly provide false
information in order to obtain a licence.

   I understand that failure to comply with any conditions included on any
    licence granted in respect of this application may constitute an offence.

   I declare that the particulars given in this application and any accompanying
    documents are true and accurate to the best of my knowledge and belief, and
    I apply for a licence in accordance with these particulars.

   If a licence is granted, I agree to send to SNH a written report of the licensed
    activities within one month of the expiry of the licence.




DATE:                 SIGNATURE:




This application must be printed and signed by the applicant and a hard copy must be posted
to:

Licensing Section
Scottish Natural Heritage
Great Glen House
Leachkin Road
Inverness
IV3 8NW

Digital signatures are not accepted at this time.


Do you wish to receive our quarterly magazine?                    Yes

Do you wish to receive other appropriate mailings from us?           Yes




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Appendix I - Section C - Additional Persons continued, as needed only
Please only use these pages if you have several agents or assistants to add. If you
have more than a further three, please use these tables and print off accordingly.

Role                               SELECT
Title                              SELECT
Surname
First name
                  House name or
                  number
                  Street

                  District
Address           City or Town

                  County

                  Post Code

                  Country

Date of birth (dd/mm/yyyy)
Telephone number
Mobile number
E-mail address
Organisation & position
(if applicable)
Are there any restrictions
you require to be placed
on the activities of this
person?
(e.g. action, species, location)


Role                               SELECT
Title                              SELECT
Surname
First name
                  House name or
                  number
                  Street

                  District
Address
                  City or Town

                  County

                  Post Code



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                  Country

Date of birth (dd/mm/yyyy)
Telephone number
Mobile number
E-mail address
Organisation & position
(if applicable)
Are there any restrictions
you require to be placed
on the activities of this
person?
(e.g. action, species, location)



Role                               SELECT
Title                              SELECT
Surname
First name
                  House name or
                  number
                  Street

                  District
Address           City or Town

                  County

                  Post Code

                  Country

Date of birth (dd/mm/yyyy)
Telephone number
Mobile number
E-mail address
Organisation & position
(if applicable)
Are there any restrictions
you require to be placed
on the activities of this
person?
(e.g. action, species, location)




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