This is an HTML version of an attachment to the Freedom of Information request 'Previous Permit Application information for permit EPR/GP3893MX'.

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Application for an environmental permit 
Part F1 – Opra, charges and declarations
Fill in this part for all applications for installations, 
Contents 
waste operations, mining waste operations and 
1  Working out charges 
groundwater discharges onto land. Please check that 
2  Opra 
this is the latest version of the form available from our 
3  Payment 
website.
4  The Data Protection Act 1998 
5  Confidentiality and national security 
For applications for water discharge and point source 
6  Declaration 
groundwater discharge activities you need to fill in 
7  Application checklist 
part F2 instead.
8  How to contact us 
Please read through this form and the guidance 
9  Where to send your application
notes that came with it. Please write clearly in the 
answer spaces. 
It will take less than two hours to fill in this part of the 
application form. 
1  Working out charges (you must fill in this section) 
You have to submit an application fee with your application. You can find out the charge by either looking at the relevant 
standard rules permit page, the ‘Making an application’ webpage at http://www.environment-agency.gov.uk/business/topics/
permitting/32318.aspx, or the current environmental permitting charging scheme on our website at www.environment-agency.gov.uk 
which sets out our charges under the Environmental Permitting Regulations. Please remember that the charges are revised on 1 April 
each year and that there is an annual subsistence charge to cover the costs we incur in the ongoing regulation of the permit.
Note: for Opra charged Tier 3 Facilities you also need to complete an Opra profile (see section 2).
Table 1 – Working out charges
Type of application 
A23 - Anaerobic Digestion - Biological Treatment Plant
Summary of charges 
Tier 2 facilities (including Part A(2) and 
Charge identifier 
Number of facilities 
Charge for each 
Charges due (£) 
Part B; see guidance notes on part F1)
facility (£)
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Tier 3 facilities 
Total Opra charging score for 
55.00
× charge multiplier
136.00
= 7,480.00
installations
Total Opra charging score for waste 
× charge multiplier
= 0.00
operations
Total Opra charging score for mining 
× charge multiplier
= 0.00
waste facilities 
Other charges 
0.00
Total charges due 
7,480.00
EPF1 Version 6, July 2012 
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Form EPF: Application for an environmental permit – Part F1 Opra, charges, declarations
2  Opra (does not apply to standard facilities, any other tier 2 permit applications (e.g. groundwater land 
spreading activities), or water-discharge or groundwater point source discharge activities) 
If you are submitting a bespoke application, you must include a completed electronic copy in Excel of the current Opra spreadsheet.
For variations, full and partial surrenders
 you will need to submit a copy of your current Opra profile based on your existing profile, 
not any new profile following the variation or surrender.
For transfers you will need to submit a revised Opra profile to include your own operator performance. Note: this will not change the 
set transfer fee.
3  Payment
Tick below to show how you have paid.
Cheque   
 
 
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Postal order 
 
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Cash 
 
 
 
w  Tick below to confirm you are enclosing cash with 
 
 
 
 
 
 
the application
Credit or debit card 
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Electronic transfer (for example, BACS) 
w  Remittance number   
 
 
 
 
 
  Date paid (DD/MM/YYYY)   
How to pay
Paying by cheque, postal order or cash

Cheque details
Cheque made payable to 
Cheque number   
Amount  
 
 
£ 
You should make cheques or postal orders payable to ‘Environment Agency’ or ‘Environment Agency Wales’ as appropriate and make 
sure they have ‘A/c Payee’ written across them if it is not already printed on. 
Please write the name of your company and application reference number on the back of your cheque or postal order. 
We will not accept cheques with a future date on them. 
We do not recommend sending cash through the post.  If you cannot avoid this, please use a recorded delivery postal service and 
enclose your application reference details. Please tick the box below to confirm you are enclosing cash.
I have enclosed cash with my application 
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Paying by credit or debit card 
If you are paying by credit or debit card, either we can call you or you can fill in the separate form CC1 and enclose it with the 
application.  We will destroy your card details once we have processed your payment.  We can accept payments by Visa, MasterCard 
or Maestro card only. 
Please call me to arrange payment by debit or debit card 
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I have enclosed form CC1 with my application 
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Paying by electronic transfer BACS reference
Applying for a permit in Wales?
If you choose to pay by electronic transfer and you are applying for a permit in the EA Wales region, you will need to use the following 
information to make your payment.
Company name:  
Environment Agency Wales 
Company address:  
PO Box 663, Cardiff, CF24 0TP 
Bank:    
 
 
Citigroup Centre 
 
 
 
 
 
Canada Square, London, E14 5LB
Sort code:    
 
08-33-00 
Account number: 
12800578 
Payment reference number: 
PSCAPPXXXXXYYY 
You need to create your own reference number. It should begin with PSCAPP (to reflect that the application is for a permitted activity) 
and it should include the first five letters of the company name (replacing the X’s in the above reference number) and a unique numerical 
identifier (replacing the Y’s in the above reference number). The reference number that you supply will appear on our bank statements. 
You should also email your payment details and a reference number to xxxxxx@xxxxxxxxxxxxxxxxxx.xxxxx.xxx.xx or fax it to 
02920 466 404. 
EPF1 Version 6, July 2012 
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Form EPF: Application for an environmental permit – Part F1 Opra, charges, declarations
3  Payment, continued
If you are making your payment from outside the United Kingdom, it must be in sterling. Our IBAN number is GB48 CITI0833 0012 
8005 78  and our SWIFTBIC number is CITI GB2LXXX. 
If you do not quote your reference number, there may be a delay in processing your payment and application. 
Applying for a permit in England?
If you choose to pay by electronic transfer and you are applying for a permit for another (English) region, you will need to use the 
following information to make your payment.
Company name:   
Environment Agency 
Company address:  
Income Dept 311, PO Box 263, Peterborough, PE2 8YD 
Bank:    
 
 
Citigroup Centre 
Address:    
 
Canada Square, London, E14 5LB 
Sort code:    
 
08-33-00 
Account number: 
12800543
Payment reference number: 
PSCAPPXXXXXYYY 
You need to create your own reference number. It should begin with PSCAPP (to reflect that the application is for a permitted activity) 
and it should include the first five letters of the company name (replacing the X’s in the above reference number) and a unique numerical 
identifier (replacing the Y’s in the above reference number). The reference number that you supply will appear on our bank statements. 
You should also email your payment details and reference number to xxxxxxxxxx@xxxxxxxxxxxxxxxxxx.xxx.xx or fax it to 
01733 464 892. 
If you are making your payment from outside the United Kingdom, it must be in sterling. Our IBAN number is GB23 CITI0833 0012 
8005 78  and our SWIFTBIC number is CITI GB2LXXX. 
If you do not quote your reference number, there may be a delay in processing your payment and application. 
Now read section 4 below.
4  The Data Protection Act 1998 
We, the Environment Agency, will process the information you provide so that we can: 


deal with your application; 


make sure you keep to the conditions of the licence, permit or registration; 


process renewals; and 


keep the public registers up to date. 
We may also process or release the information to: 


offer you documents or services relating to environmental matters;


consult the public, public organisations and other organisations (for example, the Health and Safety Executive, local authorities, 
the emergency services, the Department for Environment, Food and Rural Affairs) on environmental issues; 


carry out research and development work on environmental issues; 


provide information from the public register to anyone who asks; 


prevent anyone from breaking environmental law, investigate cases where environmental law may have been broken, and take 
any action that is needed; 


assess whether customers are satisfied with our service, and to improve our service; and 


respond to requests for information under the Freedom of Information Act 2000 and the Environmental Information 
Regulations 2004 (if the Data Protection Act allows). We may pass the information on to our agents or representatives to do these 
things for us. 
Now read section 5 below. 
5  Confidentiality and national security 
We will normally put all the information in your application on a public register of environmental information. However, we may 
not include certain information in the public register if this is in the interests of national security, or because the information is 
confidential. 
You can ask for information to be made confidential by enclosing a letter with your application giving your reasons. If we agree with 
your request, we will tell you and not include the information in the public register. If we do not agree with your request, we will let you 
know how to appeal against our decision, or you can withdraw your application. 
You can tell the Secretary of State that you believe including information on a public register would not be in the interests of national 
security. You must enclose a letter with your application telling us that you have told the Secretary of State and you must still include 
the information in your application. We will not include the information in the public register unless the Secretary of State decides 
that it should be included.
Only tick the box below if you wish to claim confidentiality for your application 
Please treat the information in my application as confidential 
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EPF1 Version 6, July 2012 
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Form EPF: Application for an environmental permit – Part F1 Opra, charges, declarations
5  Confidentiality and national security, continued 
Tick the box below if you have written to the Secretary of State or Welsh ministers to claim national security for your application 
I attach a letter stating that I have written to the Secretary of 
State or Welsh ministers explaining why my information should 
not be included on the public register for national security reasons  w   
 
 
 
 
Now go to section 6
6  Declaration 
If you knowingly or carelessly make a statement that is false or misleading to help you get an environmental permit (for yourself 
or anyone else), you may be committing an offence under the Environmental Permitting (England and Wales) Regulations 2010.
A relevant person should make the declaration (see guidance notes on part F1). An agent acting on behalf of an applicant is NOT a 
relevant person. 
Each individual (or individual trustee) who is applying for their name to appear on the permit must complete this declaration. You will 
have to print a separate copy of this page for each additional individual to complete. 
If you are transferring all or part of your permit, both you and the person receiving the permit must make the declaration.
Note:  If you are unable to trace one or more of the current permit holders please see below under the transfers declaration.
I declare that the information in this application is true to the best of my knowledge and belief. I understand that this application 
may be refused or approval withdrawn if I give false or incomplete information.
If you deliberately make a statement that is false or misleading in order to get approval you may be prosecuted.
I confirm that my standard facility will fully meet the rules that 
I have applied for (this only applies if the application includes 
standard facilities)  
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Tick this box to confirm that you understand and agree with 
the declaration above, then fill in the details below 
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Tick this box to confirm that you have no issue with us using 
information from any ecological survey that you have supplied 
with your application (for further information please see the 
guidance notes on part F1) 
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Name
Title (Mr, Mrs, Miss and so on) 
Mr
First name   
 
Ian
Last name   
 
Bond
on behalf of (if relevant; for example, a company or organisation 
and so on)   
 
Northwick Estate
Position (if relevant; for example, in a company or organisation 
and so on)   
 
Partner
Today’s date (DD/MM/YYYY) 
05/11/2013
For transfers only – declaration for person receiving the permit 
A relevant person should make the declaration (see guidance notes on part F1).
I declare that the information in this application to transfer an environmental permit to me is true to the best of my knowledge and 
belief. I understand that this application may be refused or approval withdrawn if I give false or incomplete information.
Note: If you cannot trace a person or persons holding the permit you may be able to transfer the permit without their declaration as 
above. Please contact us to discuss this and supply evidence in your application to confirm you are unable to trace one or all of the 
permit holders.
If you deliberately make a statement that is false or misleading in order to get approval you may be prosecuted.
Tick this box to confirm that you understand and agree with
the declaration above  
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Name
Title (Mr, Mrs, Miss and so on) 
First name   
 
Last name   
 
on behalf of (if relevant; for example, a company or organisation 
and so on)   
 
EPF1 Version 6, July 2012 
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Form EPF: Application for an environmental permit – Part F1 Opra, charges, declarations
6  Declaration, continued
Position (if relevant; for example, in a company or organisation 
and so on)   
 
Today’s date (DD/MM/YYYY) 
Now go to section 7
7  Application checklist (you must fill in this section)
Tell us what you have sent with this application.
The correct application fee under our charging scheme    

✔ Tick the box to say you have included the fee
List all the documents you have included. If necessary, continue on a separate sheet and tell us the reference you have given the 
document below.
Document reference  
Question reference
Document title
Document reference
Part C - Question 5b
Waldeck Report
Appendix 1
Part C - Question 2a - Table 1
Nichols Colton Report
Appendix 2
Part C - Question 5c
Non technical summary
Appendix 3
Part C - Question 3d
Environmental Management System
Appendix 4
Part C - Question 6
Stanley's Quarry Hydrology
Appendix 5
Revised Permit Boundary
Appendix 6
Lagoon Management Plan
Appendix 7
Leakage Detection Design 
Appendix 1a
EPF1 Version 6, July 2012 
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Form EPF: Application for an environmental permit – Part F1 Opra, charges, declarations
8  How to contact us 
If you need help filling in this form, please contact the person who sent it to you or contact us as shown below. 
General enquiries: 03708 506 506 (Monday to Friday, 8am to 6pm) 
Textphone: 03702 422 549 (Monday to Friday, 8am to 6pm) 
Email: xxxxxxxxx@xxxxxxxxxxxxxxxxxx.xxx.xx 
Website: www.environment-agency.gov.uk 
If you are happy with our service, please tell us. It helps us to identify good practice and encourages our staff. If you’re not happy with 
our service, please tell us how we can improve it. 
Please tell us if you need information in a different language or format (for example, in large print) so we can keep in 
touch with you more easily.
9  Where to send your application (for how many copies to send see the guidance note on part F1)
Please send your filled in application form to: 
Permitting Support Centre 
Quadrant 2 
99 Parkway Avenue 
Parkway Business Park 
Sheffield 
S9 4WF
Feedback
(You don’t have to answer this part of the form, but it will help us improve our forms if you do.)
We want to make our forms easy to fill in and our guidance notes easy to understand. Please use the space below to give us any 
comments you may have about this form or the guidance notes that came with it.
How long did it take you to fill in this form? 
30
We will use your feedback to improve our forms and guidance notes, and to tell the Government how regulations could be
made simpler.
Would you like a reply to your feedback?
Yes please   
 

No thank you 
 
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For Environment Agency use only
Date received (DD/MM/YYYY)
Payment received?
No  w
Our reference number
Yes  w   
Amount received
 
 
£
EPF1 Version 6, July 2012 
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