Form CPA 2: Application for formal approval of a coast protection project Application for formal approval of a coast protection project Please read through this form and write clearly in the spaces provided. This form is to go with the project appraisal report (PAR). It is for a work scheme for grant funding. You need to send this form, the PAR and the tender assessment report (TAR) to the appropriate Area Flood and Coastal Risk Manager. Contents Part A Part B Part C Part D Part E Part F Project details Project summary Economic justification The Data Protection Act 1998 Declaration Contact us You will find their contact details on our website – www.environment-agency.gov.uk Customer service line: 08708 506 506. Part A Project details Part A Project details, continued A1 Name of the project A3 National project number (medium-term plan reference number) A2 Name of your authority A4 Date when permission for the work was granted (CPA1 approval) (DD/MM/YYYY) Part B Project summary Items below should be taken from your PAR and the project’s latest position. Total costs (£ thousands) Eligible grant – from Environment Agency (£ thousands) Partnership scoring % (the latest position) Outcome measure 1 Outcome measure 2 Outcome measure 3 Outcome measure 4 Outcome measure 5 Notes: Part C Economic justification Present Value benefit (PVb) and Present Value cost (PVc) Benefits (PVb) Benefit: cost ratio (PVb/PVc) £ Costs (PVc) £ Net present value £ Incremental benefit: cost ratio CPA 2 Version 1, December 2013 page 1 of 3 Form CPA 2: Application for formal approval of a coast protection project Part D The Data Protection Act 1998 Part F Contact us 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, and process renewals. If you need help filling in this form, please contact the person who sent you it or contact us as shown below. 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). Grant Administration Team Environment Agency Manley House Kestrel Way Exeter EX2 7LQ Telephone: 01392 352300 Email: laidbfinance@environment-agency.gov.uk Website: www.environment-agency.gov.uk 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. We may pass the information on to our agents or representatives to do these things for us. Part E Declaration Construction start date (DD/MM/YYYY) I confirm that I have attached all necessary supporting documents to this form and that the application meets the conditions set out in the grant memorandum. Signature Date (DD/MM/YYYY) Name (project manager or engineer) Title (Mr, Mrs, Miss, Other) First name Last name Signature Date (DD/MM/YYYY) Name (Chief Executive Officer or authorised officer) Title (Mr, Mrs, Miss, Other) First name Last name CPA 2 Version 1, December 2013 page 2 of 3 Form CPA 2: Application for formal approval of a coast protection project For Environment Agency use only Note for AFCRM: Please send this CPA2, together with the PAR (including CPA1), to the grant administration team. Technical approval: Area Flood and Coastal Risk Manager’s signature Name Title (Mr, Mrs, Miss, Other) First name Date (DD/MM/YYYY) Last name Title CPA 2 Version 1, December 2013 page 3 of 3