Landowner consent form It is a requirement of The Veolia Environmental Trust (the ‘Trust’) that all applications for funding are supported by confirmation from the relevant landowner. This completed form should accompany your full application where you do not own the freehold on the site of your proposed project. Section A can be completed by the applicant organisation. Sections B and C should be completed (including signed and dated) by the landowner(s). This should include all parties that have an interest in the site, e.g. including freeholders/leaseholders/mortgagees. A - Project Details Project Name Project Location (including most appropriate address and postcode) Name of Group undertaking the project Brief Description of works taking place B - Landowner Details Name of Landowner Interest in site (e.g. freehold/leasehold/mortgagees) Name of Signatory Role Contact Address Contact Telephone Number C - Landowner Consent I, as the landowner/as the responsible officer representing the landowner*, confirm the following points regarding the above stated project: 1) 2) 3) 4) 5) This project is permitted and supported by the landowner; Public access to the site, a requirement for the grant, will not be withdrawn or reduced for the foreseeable future; Public liability insurance for the site will be in place at the project’s completion and on a continuous basis thereafter; The landowner and/or leaseholder will advise The Veolia Environmental Trust if the use of the site outlined above changes, including the ownership (If required as part of the governing Landfill Tax Regulations, the Trust will seek to ensure that the funding given towards the project is protected to ensure funds are returned in the event of disposal or variation of use); and Attached are details of the maintenance regime in place to ensure the completed project’s period of use is maximised. (Please attach an overview of the maintenance schedule in place). * = Please delete as appropriate Signed:………………………………………………………………………………Dated…………………….. Landowner consent form .1. What is the Veolia Environmental Trust?. The Veolia Environmental Trust (the ‘Trust’) is a registered charity and an environmental body enrolled in the Landfill Communities Fund. It distributes funding received as Landfill Tax Credits from Veolia Environmental Services (UK) plc to community and environmental projects. .2. Why does this form need to be completed?. Operating in the Landfill Communities Fund, we are bound by the scheme’s governing regulations and the resulting guidance. It is a stipulation of these requirements, and an interest to the Trust itself, that monies spent are protected in terms of future use of the site and ongoing compliance. .3. Why is the Trust concerned with the site’s future use?. All projects supported must have full general public access and be operated on a not for profit basis at the time of project completion but also into the future. They should also be maintained to maximise their operating life. The monitoring period required varies depending on the amount of funding awarded and the work that is undertaken as a result. .4. We have worked with the Trust previously and this form has not been required. This form was introduced following revised guidance and the development of the Landfill Communities Fund. This form allows us to establish the identity of the site owner and to outline our requirements. .5. What if I as the owner wish to sell the site or change the use?. Any change in site ownership or use may impact the compliance of the funding awarded by the Trust and so it is vital that we are informed of any changes that may take place. .6. When is a restriction on the title of the site required?. When the funding provided is towards a new building or when one of our largest grants are made, we may seek a restriction from the Land Registry to ensure our funding is recorded. If at any later stage the site were to change use or ownership, we are required to seek the return of funding provided by the Trust, for instance if the facility is no longer made available for use and booking by the community. .7. Who can I speak to for further information?. Please contact the projects department at the Trust on 01902 794677.