Please Complete in Block Letters. the Form Must Be Completed in Full

Permit Application

for an

Organised Outdoor Activity

/

Please complete in block letters. The form must be completed in full.

Failure to provide adequate information will delay processing of the application.

Date of application:

Fee Amount:
(For office use only) / Reference Number:


Fee Reference:
Malta’s EU and international obligations to the environment require increased regulation of environmental issues. Consequently, ERA needs to regulate organised outdoor activities that are of potential environment risk.
There are 3 levels of regulation:
(A) activities that are exempt from registration or permit;
(B) activities that only require registration; and
(C) activities that require a permit.
This Application for PERMIT is intended to be used for organised outdoor activities which require permitting of activity (C).
The following Application for Permit Form should be filled in full and submitted to ERA.
Authorisation by ERA of such a permit will be subject to the outcome of the assessment of all relevant potential impacts on natural habitats and other important site features (including natural landform, geological features, rubble walls, existing buildings and structures) and on the flora and fauna of the site and its surroundings.
A permit may cover more than one activity, where these are to be carried out at the same time and on the same site, or are consequential to each other provided that:
i. the applicant shall assume responsibility for all such activities; and
ii. the application submitted to ERA shall clearly and fully identify all the various activities and their relevant details as per requirements of this application form.

SECTION A

Type of Activity

□ Barbeque □ Festival/Concerts
□ Sports/Games □ Camping
□ Filming/Advertising □ Abseiling/Rock Climbing
□ Other:______ /

Description of Activity

General Description of Location

Personal details of applicant or contact person:

Address:


Town:

Post Code:
Telephone No:
Fax No:

Mobile No:
E-mail:

ID card No: / Details of company or institution on behalf of which the application is being made (if applicable):

Applicant’s Position with respect to Company:

Address:



Town:

Post Code:

Telephone No:
Fax No:
Mobile No:
E-mail:

VAT Number:
NACE code:

SECTION B

ACTIVITY DETAILS
The conditions applicable to various permitted activities are available in Schedule IV - Guidelines for specific activities and corresponding permitting conditions.
1.  Describe the proposed activity in detail and its format:
2.  Date and time when the activity will start and end:
3.  Expected number of persons in area designated for proposed activity:
4.  Describe the preparations to be carried out on site before the activity and when they will start:
5.  Describe the removal of equipment after the activity:
6.  Describe the provisions for waste management and cleaning of the site after the activity.
7.  Time required to clean the area and remove all equipment from site:
8.  Equipment to be used during the activity, if any.
Lighting equipment
(include output specifications)
Sound equipment
(include output specifications)
Stage/s and platform/s
Type of cordons to make site boundary and for crowd-control
Time when cordons will be installed
Time when cordons will be removed
9.  If fires are to be used (for heating, cooking or as a light source), describe equipment to be used:
10. Describe any potential environmental impacts of this activity:
11. In the case of a filming activity, please attach filming location/s brief.
12. Additional information regarding compliance with Schedule III Regulations. (Refer to Guidance Notes for Application Forms for an Organised Outdoor Activity.)
SECTION C
Site Plan for Proposed Activity
Please attach an official site plan issued by ERA indicating the following:
1.  the location of the activity;
2.  the position of any equipment to be used in the activity;
3.  the position of any additional facilities to be used during the activity, such as mobile toilets, emergency facilities etc;
4.  the location where adequate parking is available for the participants;
5.  pedestrian and vehicular access routes to and from the location of the activity;
6.  the location and description of sound and light equipment to be used; and
7.  the location of any barriers placed, as per the requirements of the attached Schedule III item 11.
Site plans can be obtained either from the Mapping Shop at MEPA premises (St Francis Ravelin, Floriana) or from the MAP Server (URL: http://www.mepa.org.mt/Planning/index.htm?MapServer.htm&1).
SECTION D
Photographs
Attach three colour photographs clearly showing the site on which the activity is to be carried out. The view points are to be cross-referenced to the site plan required in Section C.
Photographs should be submitted in digital format on CD, in jpeg format.

SECTION E

Titles of site plans, photographs and any supplementary documents. / reference number
(for office use)

Applicant’s declaration

I apply for the permit of activity as indicated above and declare that, to the best of my knowledge, all the information contained in this application and on the submitted plans and documentation is correct.
I agree to carry out the activity in compliance with the requirements of Schedule III (on the Guidance Notes for Application Forms for an Organised Outdoor Activity.), which I have read and understood. I will be responsible for the cleaning up and restoring the site back to its pre-activity situation.
I agree to obtain any other permission, licenses or clearances as may be required.
Name: ______
on behalf of/in my own name (in block letters)
Signature: ______Date: ______

PLEASE READ THE FOLLOWING CLAUSE BEFORE SIGNING

Data Protection Clause

In terms of the Data Protection Act (Chapter 440 of the Laws of Malta), we will process any personal and/or sensitive data supplied on/ in this application, request or notification form or subsequently supplied by yourself, whether orally or in writing, for all or any of the following:

1.  the proper processing of your application, request and/or notice as submitted;

2.  preventing, detecting and/or prosecuting fraud and any other criminal activity which the Authority is bound to report and/or act upon whilst meeting any other specific legal or regulatory obligations;

3.  establishing, exercising or defending any legal action;

4.  internal management, research and statistics, systems administration, the development and improvement of our services;

5.  the protection and promotion of our legitimate interests and the proper conduct of our obligations arising under any law or statutory instrument; and

6.  to make public the necessary information as specified in the relevant law and/or instrument.

Relevant data will be disclosed or shared as appropriate with all our employees and with other third parties if pertinent to any of the purposes listed above.

Every field on the form is mandatory. Should you fail to fill in any mandatory field, we reserve the right to refuse the application. Should any field be inapplicable to your particular circumstances please mark that field with the letters “N/A”.

You have the right to require that we provide you with access to your personal data as well as the right to rectify, or, in appropriate circumstances, erase/edit any inaccurate, incomplete or immaterial personal data which is being processed. However, you are required to inform us immediately of any alterations relating to your personal data which we are processing.

By signing this form, you confirm that you are giving your explicit consent, in terms of the Data Protection Act, on behalf of yourself and all the other persons specified in this form for the Authority to process your respective personal information as outlined above and you confirm that you have brought this Data Protection notice to the attention of these other persons and obtained their respective consents.

We undertake to implement appropriate measures and safeguards for the purpose of protecting the confidentiality, integrity and availability of all data processed.

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