Outline Plan of works to XXXX Council [AUTHOR] [DATE] VERSION Heading 4 - Document Subtitle Insert photo Outline Plan of works to XXXX Council This report has been prepared for the benefit of the NZ Transport Agency (the Transport Agency). No liability is accepted by this company or any employee or sub-consultant of this company with respect to its use by any other person. This disclaimer shall apply notwithstanding that the report may be made available to other persons for an application for permission or approval or to fulfil a legal requirement. Quality Assurance Statement Project Manager: Prepared by: Reviewed by: Approved for issue by: NZ TRANSPORT AGENCY [DATE] 2 Outline Plan of works to XXXX Council OUTLINE PLAN OF WORKS UNDER S.176A OF THE RESOURCE MANAGEMENT ACT 1991 (RMA) To: XXXX Council PO Box Location From: NZ Transport Agency PO Box Location (Please note different address for service given below) Pursuant to section 176A of the Resource Management Act 1991, the NZ Transport Agency (the Transport Agency), as a Requiring Authority, provides an outline plan of the work to be constructed pursuant to designation (XX) at (locality). A description of the proposed works is: Provide a brief description of the proposed public work, project or work. Attached is the information required to be included with an outline plan of works by the Resource Management Act 1991. Signed by: Name Highway Manager Location Pursuant to authority delegated by the NZ Transport Agency Insert Date NZ TRANSPORT AGENCY [DATE] 3 Outline Plan of works to XXXX Council Address for Service: Organisation Name P O Box CITY/TOWN POSTCODE ATTENTION: Name Ph (00) 000 0000 Fax (00) 000 0000 Email NZ TRANSPORT AGENCY [DATE] 4 Outline Plan of works to XXXX Council 1. The NZ Transport Agency The Transport Agency is a Crown entity with its objective, functions, powers and responsibilities set out in the Land Transport Management Act 2003 and the Government Roading Powers Act 1989. The Transport Agency is also a requiring authority under s.167(3) of the RMA. Our purpose is creating transport solutions for a thriving New Zealand. The Transport Agency shapes New Zealand’s transport networks and people’s safe and efficient use of them. We connect families, help businesses take goods to market, and help others work, study and play. An integrated approach to transport planning, funding and delivery is taken by the Transport Agency. This includes investment in public transport, walking and cycling, local roads and the construction and operation of State Highways. The Transport Agency exhibits a sense of social and environmental responsibility when undertaking this work. 2. Description of works The Transport Agency is proposing to (describe project). The works are located XXXX. The designation for (insert designation reference) is included in the (insert District Plan title). Include the following: A brief description of the proposed works An explanation of what has generated the need for the works A location plan of the site (colour, north arrow scale and title) 3. Background Include the following: 4. The purpose of the designation (include copy of original in appendix) Designation boundaries (include designation plan) Conditions of the designation (if relevant or exist) Resource Management Act 1991 This Outline Plan is submitted to Council as per Section 176A of the Resource Management Act (RMA) 1991. This section specifies that a requiring authority must submit to a territorial authority, “an outline plan of the public work, project or work to be constructed on designated land…” before construction is commenced. According to the Act Council may request the Transport Agency to make changes to the outline plan, within 20 working days of receiving this Outline Plan, as provided for in Section 176A(4) of the Act. NZ TRANSPORT AGENCY [DATE] 5 Outline Plan of works to XXXX Council The Transport Agency requests confirmation from (name TLA) that the Outline Plan requires no changes, within the timeframe specified under the Act. 4.1 The height, shape, and bulk of the project Include the following: A brief description of works proposed as described by the construction drawings attached in Appendix. Earthworks – cut and fill. See the Transport Agency’s Erosion and Sediment Control Guidelines for State Highway infrastructure. Photographs Construction drawings, including cross sections and level attached as Appendix. 4.2 The location of the project Include the following: A description of the site from a north to south orientation o describe the existing environment (rural/urban) o speed environment o ecological environment o landuse o landscape o significant flora and fauna o archaeological sites (others if appropriate) Grid reference and RP Location An aerial photograph 4.3 The likely finished contour of the project Include the following: A description of what the final project is expected to look like A brief description of what the project is expected to achieve (e.g. road safety) Plans showing the final layout including cross sections showing the finished contour NZ TRANSPORT AGENCY [DATE] 6 Outline Plan of works to XXXX Council Any potential visual effects and ways in which these will be mitigated 4.4 Vehicular access, circulation and the provision for parking State whether: New access ways are needed. Old access ways are to be closed. There is to be rationalising of existing access ways. There is a standard to which access ways will be constructed too. For works on the State Highway an appropriate traffic management plan will need to be provided during the construction period. 4.5 Landscaping Include the following, and then delete these instructions: A description of the existing landscape. The process undertaken to assess the impact on the existing landscape (landscape assessment) – refer to the Transport Agency’s landscape guidelines. Probable impacts. Methods used to avoid remedy or mitigate these impacts 4.6 Other matters The following section provides and assessment of any other potential adverse effects and outlines the mitigation measures proposed to address the potential affects from the proposed works. Consider the following additional effects not covered under the designation and include if relevant any mitigation measures proposed. Noise & Vibration Effects During the construction phase of this project a number of sources of noise and vibration will be generated from the project. The project will comply with noise limits specified in New Zealand Standard NZSA 6803:1999 “Acoustics – Construction Noise”. For additional guidance, see the Transport Agency’s resources for noise and vibration. NZ TRANSPORT AGENCY [DATE] 7 Outline Plan of works to XXXX Council Dust Effects Describe the potential for dust generation and explain how any adverse effects will be avoided, remedied or mitigated. Ecological Effects Describe the location and significance of any ecological habitats within the projects proximity. Describe how these habitats will be impacted in anyway by the works and what will be done to avoid, remedy or mitigate any adverse impacts. See the Transport Agency’s guidance on ecological resources. Effects on Infrastructure Describe the location of existing infrastructure within the projects proximity. Describe the impact on this infrastructure and what will be done to avoid, remedy or mitigate any adverse impacts e.g. power lines. Water Quality Effects Include assessment of both air quality and any potential pollution sources both during and after construction. For example: In October 2004, the Government introduced the National Environmental Standards for Air Quality. This includes 5 outdoor (ambient) standards. See the Transport Agency’s guidance on air quality. eg During the construction phase of this project a number of sources of air discharges will be generated from ……………………………....(insert source of air emissions) The project will comply with the 5 outdoor (ambient) national environmental standards. Refer to any resource consents obtained or to be obtained. Air Quality Effects Include assessment of both air quality and any potential pollution sources both during and after construction. For example: In October 2004, the Government introduced the National Environmental Standards for Air Quality. This includes 5 outdoor (ambient) standards. See the Transport Agency’s guidance on air quality. eg During the construction phase of this project a number of sources of air discharges will be generated from ……………………………....(insert source of air emissions) The project will comply with the 5 outdoor (ambient) national environmental standards. Refer to any resource consents obtained or to be obtained. NZ TRANSPORT AGENCY [DATE] 8 Outline Plan of works to XXXX Council Archaeological/Cultural Effects See the Transport Agency’s guide to assessing historic heritage effects for state highway projects and check the DRAFT inventory list. Check to see if there are any existing local accidental discovery protocols in place between the NZ Transport Agency and iwi, and Heritage NZ. If none in place, then an accidental discovery protocol should generally be volunteered if there is disturbance of land. Review the Heritage New Zealand and NZ Archaeological Association register and provide details, if applicable, using the following text example. eg A review of the Heritage New Zealand database has been undertaken to identify any archaeological sites within 500 metres of the project site. The search has revealed ……).A review of the New Zealand Archaeological Association (NZAA) files has also been undertaken by an Archaeologist. The search has revealed…………………… (describe outcome of the investigation). If there are substantial issues an archaeologist may need to be appointed. Should there be likely to be any disturbance or effects on an archaeological sites or discoveries of remains, then approval is required under S. 11 or S. 12 of the Historic Places Act 1993. Note: Heritage New Zealand has 3 months to approve this request so if this is likely to be an issue this should be identified and obtained early in the project or it may be a significant risk time wise. During the works if any archaeological sites or remains are discovered, the works at that place of discovery will cease immediately. Heritage New Zealand, Kaumatua representing the local Tangata Whenua, (insert TLA name) l shall be contacted, and work shall only recommence in the affected areas when any necessary statutory authorisations or consents have been obtained. Community severance/cohesion/urban design effects Refer to the Transport Agency’s Urban Design guideline: Bridging the gap and the Guide to assessing social effects for state highway projects. If an urban design framework has been prepared for the project, and is relevant, then submit it as part of the outline plan. Describe the potential disruption/enhancement the project will have on the community and explain how any adverse effects will be avoided, remedied or mitigated. Road Closures/Traffic Management A traffic management plan to be approved by the Transport Agency’s Regional Performance Manager will be implemented when the works are being undertaken. NZ TRANSPORT AGENCY [DATE] 9 Outline Plan of works to XXXX Council 5. Alignment with designation conditions The works will comply with XXXX designation conditions as follows: List any relevant conditions of the designation and describe how the proposed works will be aligned with these conditions. 6. Consultation The RMA provides for third party involvement up to the time of the designation’s inclusion in the (name the District Plan). Section 176A of the RMA provides for the Transport Agency and (name TLA) to engage in the Outline Plan process with no opportunity for third party input. However the Transport Agency has undertaken the following consultation: (insert consultation undertaken) (Include copies of written correspondence to any affected parties). 7. Conclusion Give a robust overview of the project and summarise key matters It is therefore concluded that pursuant to Section 176A of the RMA, the (insert TLA name) can confirm the Outline Plan for (insert project name) without any modification. NZ TRANSPORT AGENCY [DATE] 10