TEMPORARY EVENT APPLICATION FORM AND MANAGEMENT PLAN

Transcription

1 TEMPORARY EVENT APPLICATION FORM AND MANAGEMENT PLAN Send or deliver this form to: The Duty Planner Resource Consents Department Kāpiti Coast District Council, 175 Rimu Road, Paraparaumu 5032 Private Bag 60601, Paraparaumu 5254 For enquiries phone: or The Event Manager needs to provide an Event Management Plan to the Resource Consents and Compliance Manager six weeks prior to the event. The Management Plan should demonstrate compliance with the District Plan controlled and permitted activity standards for Temporary Events. This form is not a Permit or Resource Consent please refer to the Kāpiti Coast District Plan for the complete standards for a Temporary Event for more information on Permits or Resource Consents. APPLICANT DETAILS Organiser s Name: Postal Address: Organisation (if applicable): Street Address (if different): Contact Phone Number: Mobile: Contact Person on the Day: Mobile: EVENT DETAILS Yes No N/A Event Name: Event Location (including physical address): Purpose of Event: Date of Event: Postponement Date (if applicable): Number of people attending: (Please attach any advertising material and/or details supporting this information) Provide a site plan (Please include: area to be used, location of all temporary structures, toilets, amusement devices, food outlets, location of special effects, car parking, rubbish bins, first aid stations, location of marshals and contact person) Programme of activities attached (Please include the times of different activities): TE003 October 2016 Page 1 of 8

2 EVENT PLANNING Date you will start setting up: (prior to event) Event Day - Time of set up: Start Time of Event activities: Event Day - Finish Time: After Event - Pack down Date: Time you will start setting up: (prior to event) Event Start Time: Finish Time of activities: Event Day - Pack down time: (includes cleaning up and dismantling of equipment) After Event Pack down - Time: Site Clean Up (please provide details of your arrangements and/or contractors names) Organiser Contractor Other Site Restoration: Details: Organiser Contractor Other Rubbish Removal: Details: Wastewater Disposal: (if applicable) Organiser Contractor Other Details: Water Yes No N/A Are you supplying water at the event? Detail water arrangements for the following and plot locations on Site Map: 1) Supply of water for personal hygiene: 2) Supply of water for fire fighting purposes: Toilet Facilities Yes No N/A Are the existing toilet facilities adequate? If no, what temporary toilet facilities will the organiser provide on the day? (Include numbers and locations plot locations on Site Map) TE003 October 2016 Page 2 of 8

3 Signage (See notes at the end of this form for more information) Yes No N/A Will you be erecting signage? You may erect 4 signs (two signs on local roads and two adjoining State Highway One.) If yes, please provide the following: 1) A map showing the location of the signs. 2) Details of the size of the sign/s and what it/they will say. Sound Equipment (See notes at the end of this form for more information) Yes No N/A Will amplified sound equipment or loud mechanical equipment be used? (this includes hand held sound equipment and motorbikes). If yes, please provide a noise management plan that identifies: 1) The type of noise sources and their location (plot locations on Site Map) 2) How you will comply with the noise standards? 3) Will there be any homes affected by noise? 4) How you are going to inform the affected homes at least 10 working days prior to the event? 5) How will you respond to complaints on the day of the event? Special Effects (See notes at the end of this form for more information) Yes No N/A Will there be any special effects/ lighting? (e.g. stunts, fireworks, floodlights) If yes, please provide the following: 1) On the Site Plan, plot the position of floodlights, bonfires etc. 2) Provide detail on the Programme of Activities, timing of these effects. 3) Provide details of the type of special effects: If you are having a fireworks display, have you contacted: 1) A test certifier under the Hazardous Substances and New Organisms Act ) The Fire Service TE003 October 2016 Page 3 of 8

4 Traffic and Parking Yes No N/A Does your event affect traffic or parking? Please provide a plan showing the following: Main parking area/s Special/disabled parking Location and number of traffic marshals Site accesses and traffic flow diagram Traffic controlling measures (signage) The names and timing of any road closures approved by Council. If this event requires a road closure, you need to contact our Roading Team to discuss the submission of a Traffic Management Plan A Traffic Management Plan should be received 60 days prior to the event. Provide details of road/s and/or section of road/s requiring closure: Security Yes No N/A Will you be providing security at your event? (i.e. crowd control, security of property and vehicles) If yes, detail your arrangements below: Public Liability Insurance Please attach a copy of your Public Liability Insurance. Company: Amount: Expiry date: Comments: Risk and Emergency Provisions Yes No N/A Have you discussed your event with the following: Police Fire Service Council Civil Defence / Principal Rural Fire Officer Have you made First Aid arrangements? Please detail who will be providing First Aid arrangements: TE003 October 2016 Page 4 of 8

5 COUNCIL LICENCES (For any of the following licences and approvals please contact the Kāpiti Coast District Council) Yes No N/A Are you planning on erecting temporary structures such as marquees, stages, scaffolding etc.? (A Building Consent may be required. Please contact the Building Control Team to see if a Building Consent is required) If yes, provide a list of these structures below together with the size of each structure: (plot locations on Site Map) Will alcohol be sold or supplied at this event? (An Alcohol Licence may be required) Are you going to have merchandised amusement devices at this event? e.g. merry-go-round? (An Amusement Device Licence may be required) Will food be sold at this event? (A Food/Health Licence may be required) (Please complete the Food Stall Details form overleaf) Will your activity require road closure? (A Road Closure Approval may be required) Will you be having an open fire at this event? If yes, a fire permit will be required. OTHER LICENCES (Have you contacted the appropriate agencies?) Worksafe? (You may have Health and Safety requirements) Environmental Risk Management Authority? (You may require a Hazardous substances Certification for the use of explosives and fireworks) Fire Service? (You may require an Evacuation Scheme) TE003 October 2016 Page 5 of 8

6 FOOD STALL DETAILS Name of Operator Type of food to be sold Origin of Food (Registered Premises? If operator is registered outside of the KCDC District, please supply a current registration certificate) Charitable Organisation Yes No NOTE: If you have any changes to this list of stall operators during the course of your operation please let us know. An initial inspection of your event site may need to be made by the Environmental Health Officer. Please contact the Kāpiti Coast District Council to arrange this before your event commences. TE003 October 2016 Page 6 of 8

7 Privacy Act The information collected is to assist in the effective facilitation of your event. It may be distributed to Kāpiti Coast District Council departments, external agencies and the emergency services, for this purpose. Upon completion of this notification form, please sign below and return to: Kāpiti Coast District Council 175 Rimu Road, Paraparaumu 5032 Private Bag , Paraparaumu Name: Contact Phone: Signature: Date: We wish you all the best for your event. COUNCIL USE ONLY Yes No Does the event comply with the permitted activity rules and standards? Is the event for 6 hours or less in duration? Is the event during the hours of 7am and 10pm? Will the event occur no more than once in any three month period? Does the event comply with the permitted and controlled activity standards for Temporary Events (excluding the controlled activity standard for noise) and is it a permitted activity? Additional Comments: Planners Name: Planners Signature: Date: TE003 October 2016 Page 7 of 8

8 Further Information: Sound Equipment DISTRICT PLAN STANDARDS - Noise at the Event The maximum length of time for any noise event in a 24-hour period is seven hours. Noise emission levels, when measured at or within the notional boundary as defined in Part Q of this Plan, of a site other than the site from which the noise is emitted, shall not exceed the following: Between 10am and 10pm 75 dba (L10) 85dBA (Lmax) Between 11pm and 10am 50 dba (L10) 75 dba (Lmax) Provided that, on ONE of the Temporary Event periods, the above limit applying to daytime noise is permitted to be extended to 11pm. DISTRICT PLAN STANDARDS - Outside the hours of the actual Noise Event Noise emission levels, when measured at or within the notional boundary, as defined in Part Q of this Plan, other than the site from which the noise is emitted, shall not exceed the following: Between 10am and 11pm 55 dba (L10) Between 11pm and 10am 45 dba (L10) 75 dba (Lmax) Noise levels shall be measured in accordance with NZS 6801:1991 Measurement of Sound. All noise resulting from construction, maintenance or demolition work shall be measured and assessed in accordance with: NZS6803:1999 Acoustics Construction Noise Note: NZS6802:1991 Assessment of Environmental sound will not apply to noise generated by Temporary Events. Special Effects Under the Hazardous Substances and New Organisms Act 1991 (HSNO Act) a person wishing to conduct a firework display must be an Approved Handler who has a Test Certificate issued by a Test Certifier. Test Certifiers able to issue Test Certificates to Approved Handlers can be located on the Environmental Risk Authority (ERMA) website: Signage DISTRICT PLAN STANDARDS Signs on local roads shall comply with the following: Limited to 2 signs where they adjoin local roads. The location and placement of signs shall be in accordance with Council s policy; Shall be no more than 2m 2 in size; Erected no more than 14 days before the date of the event and must be removed within 24 hours of the completion of the event The wording on the two signs shall be limited to the name of the event, the date of the event and the location; Signs shall not adversely affect the visibility of accesses, intersections or official traffic signs or signals; and Signs shall not be illuminated or flashing. Blimps will not be permitted. Signs on State Highway One shall comply with the following: Limited to 2 signs where they adjoin State Highway One. The location and placement of signs shall be established by Transit New Zealand. No signs will be permitted on the State Highway; Shall be no more than 2m 2 in size; Erected no more than 7 days before the event and must be removed within 24 hours of the completion of the event; The wording on the two signs shall be limited to the name of the event, the date of the event and the location; Signs shall not adversely affect the visibility of accesses, intersections or official traffic signs or signals; Signs shall not be illuminated or flashing. Blimps will not be permitted; Must not have more than six words and/or symbols and no more than 40 characters; The sign shall have a minimum lettering height of 120mm where the speed limit is lower than 70km/h or 160mm where the speed limit is 70km/h or greater; and Must not use colour combinations for the background and legend that are similar to any of those used for traffic signs as defined in the Traffic Regulations. TE003 October 2016 Page 8 of 8