Application for Activity RegistrationAnimal Holding Units
ID Card No
Building Entry Point Name
Form GBR 14.1
Environment and Resources AuthorityEnvironmental Permitting UnitHexagon House, Spencer Hill,Marsa MRS 1441 Malta
The requested information must be completed in full. Failure to provide adequate information will delay processing of the application.
For Office use only
Reference Number (GBR)
Location of Proposed Activity
Personal details of applicant or contact person
Details of Company or Institution on behalf of which the application is being made
Registered Company Name
Company Registration Number
01.41 to 01.49
1. Additional Information
1.1 List all relevant development (planning) permits and any pending development application on site quoting/application number. Provide a copy of the permit application which allows the proposed uses on site as Attachment 1. Sites where activities predate the Development Planning Act should attach an equivalent permit (e.g. PAPB permit) for the activity on site
1.2 Attachment 2: Show the location of the site on a site plan of appropriate scale. Site plans may be downloaded from Map Server on the PA website (www.pa.org.mt) or can be purchased through the PA Mapping Shop.
1.3 Attachment 3: Provide a site layout plan showing the location and nature of major site features and activities. The site boundary should be clearly outlined.The site layout plan should;
-Include an A4 or A3 sized plan; -Be of a scale of 1:10,000 or 1:2,500 as appropriate; -Indicate the location of all processes described in section 2.1 below -Indicate in red the outline of the proposed site including all necessary infrastructure (existing and/or proposed), such as site access roads. All plans submitted must be dated and signed by the applicant.
Development permit/application number
2. Additional Information
2.1 Number of all types of animals held on site (to be accompanied by a signed and recent declaration from the Competent Authority - Attachment 4)
2.2 The total estimated annual volume of waste to be generated by the above mentioned animal in cubic metres (to be accompanied by a signed and recent declaration from the Competent Authority - Attachment 5)
Liquid waste (m³)
Solid waste (m³)
2.3 Is the waste management infrastructure already in place?
If 'yes', submit a signed declaration certifying the integrity of all structures by an independent architect (Attachment 6)
Titles of supplementary forms to be submitted. Tick when provided.
Attachment 1: Copy of planning permit
Attachment 2: Site plan
Attachment 3: Site layout plan indicating: a) Activities which are carried out in various areas b) All waste managment infrastructure c) Sources and emission points to atmosphere d) Sources and emission points of effluent
Attachment 4: A recent declaration from the Competent Authority (Department of Agriculture) stating the number of heads of all animals permitted to be held
Attachment 5: A recent declaration from the Competent Authority (Department of Agriculture) providing the relevant waste volumes to be held on site, and certifying whether the infrastructure is adequate to cater for these volumes
Insert further documents as applicable
The Authority may request additional information if necessary to further process the application.
I apply for the environmental registration as indicated above, and declare that, to the best of my knowledge, all the information contained in this application and on the submitted supplementary forms and documentation is complete and correct. I also understand that any incomplete, fraudulent or misleading information will annul the application or permit, and may also incur any relevant penalties. I also declare that I have read the data protection clause below:
on behalf of/in my own name (in block letters)
PLEASE READ THE FOLLOWING 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. verification of the information provided to our officers; 3. 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;4. Establishing, exercising or defending any legal action;5. Internal management, research and statistics, systems administration, the development and improvement of our services;
6. the protection and promotion of our legitimate interests and the proper conduct of our obligations arising under any law or statutory instrument; and7. 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.