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FORMS TO BE RETURNED TO: policy.consultation@iow.gov.uk
Call for Brownfield Sites
Response Form
Please use a separate form for each site and complete the form to the best of your knowledge. If you are
unsure of certain information, please enter ‘Unknown’ into the relevant part of the form.
1.
Your Details
Name and Company (If relevant)
Address:
Contact Number:
Email:
I am:
☐ Landowner
☐ Agent
☐ Acting on behalf of Landowner
☐ Developer
☐ Member of the public
☐ Other
If other, please specify:
2.
Landowner details if different to above
Name and Company (If relevant)
Address:
Contact Number:
Email:
Number of landowners: ☐ 1
☐2
☐3
☐4
☐ 5
☐ 6
If there is more than one landowner, please provide further contact details
3.
Brownfield Site Details
Site address (Please include a postcode)
Site area (if known) in hectares (ha):
To ensure we can easily identify the location and site we encourage you to submit a map/plan/photographs together with
this form. Please check the box if you have submitted this information ☐
4.
Brownfield Site information
Is the site currently in use?
☐ Yes
☐ No
☐ Unknown
If you have answered yes to the above, please provide further details of what the site is used for:
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FORMS TO BE RETURNED TO: policy.consultation@iow.gov.uk
Are there any land constraints known on or adjacent to the site?
☐ Yes
☐ No
If you have answered yes to the above, please provide details:
Is the site currently available for development?
☐ Yes
☐ No
If you have answered no to the above, please provide a potential timescale (if known):
5.
Brownfield sites already known to us (for landowners and agents acting on behalf of landowners)
Is the site currently on our Brownfield land register? (please see the link below to check our current register if you are
unsure.)
☐ Yes Brownfield number:
☐ No (If no, please continue to sign and date the bottom of the form
below)
Is there any new information you have regarding the site not already known to us, or any details that you wish to update?
Do you wish for the site to be amended or removed from our Brownfield Land Register?
☐ Remove
☐ Amend (please include details or send us further information)
The Isle of Wight Council is the data controller for the personal information you provide on this form͘ The council’s Data Protection Officer is the
Assistant Director of Corporate Service (Helen Miles) and can be contacted at dpo@iow.gov.uk. You can contact the council by phone on 01983
821000, or by writing to us at County Hall, High Street, Newport, IW PO30 1UD.
Your information is required to assist us with the preparation of the council’s development plan documents including the Island Planning Strategy.
We require your consent to this processing, but you may withdraw your consent at any time.
Your personal data may be shared with other teams within the council to provide a service or to ensure our records are kept up to date where we are
required to do so. We may also share the information with others if required, such as, with the Planning Inspectorate during any Public Examination
into the Island Planning Strategy. We will keep your details on our system until such time. Further details can be found on our website at
* The right to be informed * The right of access * The right to rectification * The right to erasure * The right to restrict processing * The right to data
portability * The right to object * Rights related to automated decision making, including profiling
If you are not happy with the way the council is handling your personal information you have the right to lodge a complaint with the Information
Commissioner’s Office͘ Email: casework@ico.org.uk; website: https://ico.org.uk/; Telephone: 03031231113.
DATA PROTECTION AND FREEDOM OF INFORMATION
By signing the declaration below, you are granting your consent to the Council to hold your personal information for the following purposes.
•
to assist and inform the preparation of a Brownfield Land Register and such other uses;
•
to support the preparation of development plan documents or Neighbourhood Plans; and
•
to contact you, if necessary, regarding the answers given on this form.
Use of this information may include public disclosure of any data received by the Isle of Wight Council on the form, in accordance with the Freedom
of Information Act 2000. This information is collected by the Isle of Wight Council as data controller in accordance with the Data Protection Act
1998.
Sign
Name
Date
Click or tap to enter a date.
** Don’t forget, where possible please remember to submit a map/plan/photographs clearly showing the
boundaries / features of the site as this will help Officers review the information sent to us **
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