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We are here to help
This application form has been designed so that farmers can fill the form out and submit the application without necessarily employing a consultant. Environment Canterbury staff are available to help you prepare your application, to help answer any questions you may have, to help you obtain information or to set up a pre-application meeting to help you fill out the application form/check that all information needed is provided.
A pre-application meeting can be held at our Timaru or Lincoln offices or we can come out to your farm.
If you have any questions or would like to arrange a pre-application meeting, please phone Customer Services on (03) 353-9007 or toll free 0800 324 636.
Before you get started
Before you start filling out this form, here is a checklist of the information and resources you may need:
√
Information/ Resources
A copy of the “Associated Notes” for this application form.
An A3-sized plan of the farm, as outlined in section B5(a) of this form
A copy of any flood risk assessment that has been carried out for your farm.
Be able to access the Online GIS mapping programme at www.ecan.govt.nz for help with providing some of the information in section B5 of this form.
A copy of the certificate of title(s) or rates demand for the land parcels within the piggery property you are proposing to carry out the activity on.
A copy of the the booklet titled ‘Ngāi Tahu and Resource Consent Applications – a guide for applicants’, which is available from our Customer Services Section and at www.ecan.govt.nz
.
You must include an assessment of the effects of your activity on the environment as part of your application
Section 88 of the Resource Management Act 1991 requires that each application include an assessment of the actual and potential effects of the activity on the environment. The assessment of effects will differ for each application depending on the type and scale of the activity. Consultation is one of the best ways of identifying adverse effects. This completed application form constitutes a basic assessment of effects.
When you have completed this form
Each consent application must be accompanied by a payment. These charges are specified in the “Summary of Resource Consent
Charges” at www.ecan.govt.nz or by phoning Customer Services.
To submit your application and the relevant deposit, you need to either drop it in to Environment Canterbury Customer Services or send it to: Environment Canterbury, PO Box 345, Christchurch 8140.

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1. Name and address of applicant(s):
Surname:
Surname:
First names (in full):
First names (in full):
Surname: First names (in full):
OR Registered Company name and number:
Postal address:
Daytime phone number(s):
Contact person:
Postcode:
Email:
Title:
Title:
Title:
Billing address (if different to address given above):
You must declare by ticking this box if you are an Environment Canterbury staff member, an Environment Canterbury
Commissioner, or a family member of either.
2. Consultant/Agent’s details (if applicable):
Contact person:
Postal address:
Company:
Postcode:
Phone number(s):
Email:

During the processing of your application, who will be the contact person for making decisions?
Applicant

Who will be the contact person for compliance monitoring matters?
Applicant
Consultant / Agent
Consultant / Agent
3. Property location and owner
Piggery address:
Locality:
Legal description of all land parcels within the piggery property that pig buildings, effluent storage and effluent discharge will occur:

Do you own all of the land parcels listed above? Yes No
If ‘
No
’, please state which land parcels you do not own and who the owner of these land parcels is:
Owner:
Postal address:
Phone:
Postcode:

Are there any other persons occupying or leasing land on which the activity will occur?
If ‘Yes’
, please provide information on the occupier / lessee below:
Yes
Owner: Phone:
Postal address: Postcode:
No

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Advice note: If you are proposing to carry out activities related to this consent application on land that you do not own, or that is occupied or leased by another party, the owner or occupier/ lessee may be considered affected by the proposal. We recommend that if you have an agreement with the owner or occupier/ lessee that you provide written evidence of this agreement with your application. A written approval form can be obtained on our website or by contacting Customer Services.

If you are applying for a new consent to discharge pig effluent, do you want this consent to authorise you to discharge pig effluent onto other properties outside the pig farm property (e.g. your neighbours buy your pig effluent and you spread it onto their property under your consent)?
Yes No
If
‘Yes’
, you will also need to fill out section 6(f) of this form which will deal with land parcels outside the pig farm property.

Under which District or City Council is this site located?

Have you contacted your District or City Council to determine whether you need a consent from them for this activity?
If ‘Yes’ , what was their response?

If a consent is required, have you applied for it? Yes No
Yes No
Advice note: In addition to requiring building consents, some District and City Councils have rules in their district or city plans in relation to activities such as using land for piggeries and effluent spreading.

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1. BACKGROUND
(a) For piggeries that previously discharged liquid pig effluent to land as a permitted activity

Please advise the permitted activity number: CRC

Please state any changes that are occurring to the activity (i.e. increasing number of gilts from 100 to 200, adding an additional land parcel to discharge area, adding another piggery shed etc.):
(b) For piggeries that already hold consent to discharge liquid effluent to land

Please advise the consent number: CRC

Is this application for : a replacement consent a change of conditions to this consent
If you are applying for a change of conditions, please list the number of the consent and the conditions you are applying to change and why:
If you are applying for a replacement consent, please explain the reason for this and what changes are being proposed to the consented activity:
Advice note: If you have an existing pig effluent discharge consent and you are applying for a change of conditions, or you have an existing discharge consent and need an additional discharge to air or land use consent, we recommend that you contact Customer
Services to discuss what information needs to be provided, as there will be sections of this application form you may not need to fill out.

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2. WHAT ACTIVITIES DO YOU REQUIRE CONSENT FOR?
Please refer to the questions below this table to determine whether consent is required for that activity. If you already hold consent for that activity (i.e. you are applying for a change of conditions), please tick NA – already consented in the table below.
Activity Do you require a resource consent?
Yes No NA
– already consented
(1) Discharging liquid pig effluent to land via irrigator or slurry wagon
(2) Spreading of pig manure and/or associated vegetative material (e.g. sawdust/ straw/ spent bedding) onto land
(3) Discharge to air from effluent spreading (odour, aerosols, spray-drift)
(4) Discharge to air from intensive farming (e.g. odour from piggery buildings)
(5) Discharge to air (odour) from storing effluent (applies to effluent storage facilities such as ponds that are separate to the piggery buildings)
(6) Use of land for effluent storage (applies to effluent storage facilities such as ponds that are separate to the piggery buildings)
The regional rules discussed below can be viewed in the ‘Associated Notes’.
(1) Discharging liquid pig effluent to land via irrigator or slurry wagon
All discharges of liquid pig effluent to land require resource consent.

When effluent is collected at the piggery, is liquid pig effluent collected that needs to be discharged?
Yes No
If ‘No’, (i.e. the sole discharge is spent bedding and manure) please tick ‘no’ to activity (1) in the table above and proceed to section (2) below.
If you are applying for a new consent to discharge liquid pig effluent to land please tick ‘yes’ to activity (1) in the table above.

To enable us to better understand the activity, please check your proposal against the following rules:

Can you comply with all conditions of Rule WQL25 of the NRRP? Yes No
If No’ , please state what conditions cannot be complied with and why:

Can you comply with all conditions of Rule 5.35 of the pLWRP? Yes No
If ‘No’
, please state what conditions cannot be complied with and why:
(2) Spreading of pig manure and/or associated vegetative material (e.g. sawdust/ straw/ spent bedding) onto land

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Piggeries vary between the type of effluent management used where some may use a litter system while others effluent is deposited into effluent storage pits below the piggery floor. If there is a discharge of pig manure and/or associated vegetative material separate to the discharge of liquid pig effluent then this needs to be assessed against the rules in the regional plans.

When effluent is collected at the piggery, is there a separate discharge of pig manure/ or associated vegetative material to land on the piggery property? Yes No
If ‘No’, please tick ‘no’ to activity (2) in the table above and proceed to section (3) below.
If
‘Yes’
, please answer the questions below:

Can you comply with all conditions of Rule WQL23 of the NRRP? Yes No
If ‘no’
, please state what conditions cannot be complied with and why:

Can you comply with all conditions of Rule 5.33 of the pLWRP? Yes No
If ‘no’
, please state what conditions cannot be complied with and why:
If you have answered ‘Yes’, you can comply with both rules, please tick ‘no’ to activity (2) in the table above.
If you have answered ‘no’ to one or both of these rules, please tick ‘yes’ to activity (2) in the table above.
(3) Discharge to air from effluent spreading

Can you comply with all conditions of Rule AQL65 of the NRRP? Yes No
If ‘no’ , please state what conditions cannot be complied with and why:
If you have answered ‘No’ to comply with this rule, please tick ‘no’ to activity (3) in the table above. If you have answered ‘Yes’ you cannot comply with this rule, please tick ‘yes’ to activity (3) in the box above.
Please note that even if you consider that you do not need consent for the discharge to air from effluent spreading, you will still need to fill out section 6(c)(i)of this form to demonstrate how you will comply with the permitted activity requirements.
(4) Discharge to air from intensive farming
Intensive pig farming is defined as ‘ the keeping, breeding or rearing for any purpose more than five pigs that have been weaned, or more than two sows, where the predominant productive processes are carried out within buildings or closely fenced outdoor runs where the stocking density precludes the maintenance of pasture or groundcover but excludes extensive pig farming
.’

Does your pig operation meet the definition of intensive pig farming? Yes No
If ‘no’
, please explain why:
If you have answered ‘No’, please tick ‘no’ to activity (4) in the table above.
If ‘Yes’ , please answer the question below:

If this activity (discharge to air from intensive farming) commenced on or before 1 June 2002 can you comply with all conditions of Rule AQL58?
Yes No NA – commenced after this date
If you have answered ‘Yes’, please tick ‘no’ to activity (4) in the table above and proceed to section (5) below.
Please note that if you do not need consent for the discharge to air from intensive farming (i.e. you meet all conditions of Rule AQL58), you will still need to fill out section 6(c)(ii) of this form to demonstrate how you will comply with the permitted activity requirements.
If you have answered ‘No’, please tick ‘yes’ to activity (4).

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Please note that all discharges to air from intensive farming that commenced after 1 June 2002 require consent. If your activity commenced after this date, please tick ‘yes’ to activity (4) in the table above.
(5) Discharge to air from storing effluent

Is effluent stored in an open aired storage facility such as a pond outside of the piggery buildings?

Is effluent stored within the piggery buildings, e.g. in effluent storage pits below the floor?
Yes No
Yes No

If this activity (discharge to air from effluent storage) commenced on or before 1 June 2002 can you comply with all conditions of Rule AQL63?
Yes No NA
– commenced after this date
If ‘No’
, please explain what conditions(s) cannot be complied with and why:
If you have answered ‘Yes’ to the question directly above (i.e. can you comply with AQL63?), please tick ‘no’ to activity (5) in the table above.
If you have answered ‘No’ to the question directly above, please tick ‘yes’ to activity (5)in the table above.
Please note that all discharges to air from storing effluent that commenced after 1 June 2002 require consent. If your activity commenced after this date, please tick ‘yes’ to activity (5) in the table above.
(6) Use of land for effluent storage

If the effluent storage facility was in use before or on 11 August 2012, can you comply with all conditions of Rule WQL26 of the NRRP?
Yes No NA
– commenced after this date
If ‘No’
, please state what conditions cannot be complied with and why:
If you have answered ‘Yes’, please tick ‘no’ to activity (6) in the table above and proceed to section (7).
Please note that all effluent storage facilities that commenced use after 11 August 2012 require consent. If your activity commenced after this date, please tick ‘yes’ to activity (6) in the table above and answer the questions below:.

If use of the effluent storage facility commenced after 11 August 2012, can you comply with all conditions of Rule WQL26 of the NRRP?
Yes No
If ‘No’ , please state what conditions cannot be complied with and why:
If you have answered ‘No’, please tick ‘yes’ to activity (6) in the table above.

If use of the effluent storage facility commenced after 11 August 2012, can you comply with all conditions of Rule 5.35 of the pLWRP?
Yes No
If ‘No’
, please state what conditions cannot be complied with and why:
Advice note: The list of activities in the section above are the main activities consent is likely to be required for. Other activities that consent may be required for include abstracting groundwater or surface water and using land for offal pits or composting carcasses.
If you undertake these or any other additional activities on your property we recommend that you contact Customer Services to check whether you need consent or what permitted activity requirements you will need to comply with.
3. DESCRIPTION OF THE PROPOSED ACTIVITY
(a) Background information

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
Will there be any other discharges of liquid animal effluent occurring onto the piggery property, e.g. dairy shed effluent?
If ‘Yes’ , please provide details and any relevant consent numbers:
Yes No
(b) Nature of the discharge
(i) Volume of raw effluent produced

Do you know what the maximum likely daily volume of liquid pig effluent will be produced and the volume of any associated washdown water?
Yes No
If ‘Yes’
, please provide the volumes and explain how they were determined. If
‘No’
, please fill out the calculations below:
Number of pigs x
Daily quantity of effluent produced per animal (L) x % of time spend housed =
Volume of raw effluent (litres per day)
boars
dry sows and gilts x x
5.2
4.1 x x
( hours / 24 hours)
( hours / 24 hours)
=
=
lactating sows with litter x
weaners x
porkers
baconers x x
10.2
1.1
2.6
5.0 x ( hours / 24 hours) = x ( hours / 24 hours) = x ( hours / 24 hours) = x ( hours / 24 hours) =
Total volume of raw effluent
(litres/day)
=
Note: When stating the number of pigs, consider the potential for future increases. You may wish to apply to discharge effluent from more pigs than you currently have on farm.
(ii) Volume of liquid pig effluent produced
Volume of raw effluent
(litres per day)
Volume of washdown water Volume of diluted effluent
(litres per day) (litres per day)

Please explain how the volume of washdown water was calculated:

Will you ensure that contaminants discharged or stored under this consent will only be liquid pig effluent diluted with washdown water? Yes No
If you have answered ‘No’, please specify:

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
Which other contaminants will be stored and discharged, e.g. animal remedies, chemicals, detergents, cleaning agents etc.?

What is the volume of these other contaminants? (litres per day)
(c) The Disposal System
(i) Collection System

Please describe the structures used for storing pig effluent in each building, the material lining them and their capacity
(i.e. 6 concrete lined effluent storage pits beneath the piggery floor with a 5,000m ³ capacity for each pit.

Are you proposing any changes to the storage structures listed above, such as increasing storage capacity?
If ‘Yes’
, please provide details and when this is likely to be completed by:
Yes No

What is the total approximate volume of effluent stored on the property? This includes the capacity of all structures in the effluent storage facility (e.g. stone traps, settling ponds, storage pits etc.): litres
(ii) Discharge/ Irrigation system

What method(s) will you use to discharge liquid pig effluent to land?
Spray irrigation
– type of irrigator (e.g. centre pivot):
Slurry tanker
Other, please specify:

What is the maximum daily application depth of the discharge and any irrigation water applied within 24 hours:
millimetres
(d) Back-up Systems

The capacity of the facilities used for storing the liquid pig effluent must be sufficient so that: o Overflows from the effluent storage facility do not occur. o That if there is pump or other system failure that there is sufficient capacity to store the effluent while repairs are being carried out. o Effluent can be stored during times when there is not a sufficient Soil Water Deficit to allow the discharge to occur without ponding occurring. o Effluent can be stored during periods of frozen or snow covered soil.
Please explain how the capacity of the effluent storage facility meets these requirements.
(e) Change in land use
The proposed Land and Water Regional Plan has a number of rules relating to the use of land for farming where there has been a change in land use.
A change in land use, calculated on a per property basis that arises from either:
1. a resource consent to use, or increase the volume of, water for irrigation on a property; or

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2. an increase of more than 10% in the loss of nitrogen from land used for a farming activity above the average nitrogen loss from the same land for the period between 1 July 2011 and 30 June 2013. The amount of nitrogen loss shall be calculated using the Overseer™ nutrient model for the 12 months preceding 1 July in any year and expressed as kilograms per hectare per year.
To help us determine whether this application will trigger an increase of more than 10% in nitrogen losses to water from the piggery property please answer the following questions:

If you will be discharging liquid pig effluent only onto land that you own:
 Are you proposing to increase the total number of pigs kept on the property from the number of pigs kept on the property in the 1 July 2011 to 30 June 2012 period?
Yes No

Are you proposing to increase the maximum number of different types of pigs (e.g. sows), kept on the property from the type of pigs kept on the property in the between 1 July 2011 to 30 June 2012?
Yes No

If you will be discharging liquid pig effluent onto land that you (the consent holder) do not own:
 Are you proposing to increase the volume of liquid pig effluent applied to your property with each effluent application?
Yes No

Are you proposing to increase the frequency that liquid pig effluent is applied to your property?
Yes No
If you have answered ‘no’ to all the four questions above, it is unlikely that this consent application will trigger the need for a change in land use consent. We will contact you during processing if we consider it possible that consent is required.
If you have answered ‘yes’ to any of the four questions above, you will need to have Overseer™ modelling carried out to determine what any changes in nitrogen losses to water from the property will be. The modelling will need to cover the 1 July 2011 to 30 June 2013 period and the proposed scenario. Please either provide the full parameter reports and nitrogen loss reports with your application, or alternatively provide these files electronically so that we can view them in Overseer.
4. CONSULTATION
(a) Ngāi Tahu in Canterbury
Te Rūnanga o Ngāi Tahu is the statutory authority representing iwi members and includes ten local rūnanga within
Canterbury, known as Papatipu Rūnanga. ‘Papatipu’ refers to ancestral land. Local rūnanga have the status of mana whenua with kaitiaki status (guardianship) over land and water within their takiwā (territory).

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Depending on where the activity is to occur within Canterbury, the values of one or more Papatipu Rūnanga may be affected.
Iwi interests as a whole may also be affected where an activity is to occur within, adjacent to, or affecting an area recognised in the Ngāi Tahu Claims Settlement Act 1998 as a Statutory Acknowledgement area. In those circumstances, Te Rūnanga o Ngāi Tahu will be involved in management of the area.
For more detail on Ngāi Tahu and assistance with answering the question below, please refer to the booklet titled ‘ECan/Ngāi
Tahu consultation’, which is available from our Customer Services Section and on our website www.ecan.govt.nz.
 Have you consulted with the Papatipu Rūnanga and/or Te Rūnanga o Ngāi Tahu?
Yes No
If ‘Yes’, please state who you have consulted with and attach any evidence of your consultation, including any written approvals for this application:
(b) Neighbours and other parties
Matters to consider when deciding who may be affected by your proposal include odour, spray drift and potential for contamination of wells.

Have you consulted with neighbours or other parties?
Yes No
If ‘Yes’, please state who you have consulted with and attach any evidence of your consultation, including any written approvals for this application:
Advice note: if there are persons who may be adversely affected by the proposed discharge or land use, the consent application will be notified unless written approvals are obtained from all of these persons. Please attach any written approvals you have obtained to your application. A written approval form is available at www.ecan.govt.nz
or by requesting one through Customer
Services.
5. THE RECEIVING ENVIRONMENT
Advice note: some of the following information can be found on the Online GIS mapping programme at alternatively you could contact Customer Services for help to obtaining this information. www.ecan.govt.nz
, or
(a) Location Map

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Please attach a location map of the piggery property, which clearly identifies and labels the following (where applicable):
√
Feature
The direction of north
Nearby roads
The location of the discharge area, piggery shed(s), and any effluent storage facility separate to the piggery shed(s) and the separation distance between these and the property boundaries.
All bores, surface water bodies (including wetlands, drains and springs) within the discharge area and within 20 metres of the discharge area
The soil types within the discharge area, including their name, Plant Available Water value for the top 30cm (PAW 30 ) and any areas have impeded drainage
All soakholes and field drainage tiles within the discharge area and within 20 metres of the discharge area
Any areas on the property that have a slope of more than seven degrees
Any swampy areas (i.e. where water builds up in the sediments close to the ground surface above layers of poorly draining soils) within the discharge area and within 20 metres of the discharge area
Any areas prone to flooding
Any known archaeological sites
Any Silent File Areas
(b) Sensitive areas
 Which Papatipu Rūnanga cover(s) the site where the effluent is to be discharged?

Are there any of the following sensitive areas within 1000 metres of the discharge area, stockholding area(s) or storage facility?
Yes No Sensitive area
Ngāi Tahu Statutory Acknowledgement Areas
Community Drinking Water Supply Bores/ Galleries/ Surface Water Takes
Sites of Natural Significance (e.g. Sites of National Significance, Wetlands of Ecological and Representative
Importance (WERI) or Sites of Special Wildlife importance (SSWI))
Other: Please specify:
If you have identified any of the sensitive areas above, please provide details, including separation distance, name of the site and type of significance:
(c) Groundwater quality

Have you had samples taken from any of the bores on the piggery property tested for nitrate nitrogen or Escherichia coli ( E. coli ) within the last five years?
Yes No
If ‘Yes’ , please provide the bore number, the concentrations of these contaminants and the year the tests were carried out:
6. ASSESSMENT OF EFFECTS
(a) Effects of the Discharge to Land on Water Quality

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Number of pigs
boars x
dry sows and gilts x x
Daily quantity of
N produced per animal (kg/day) x
% of time spend housed x
Maximum number of days in the shed per year
=
0.041
0.033
0.14 x
( hours / 24 hours) x x
( hours / 24 hours) x x
( hours / 24 hours) x
=
=
= lactating sows with litter x x weaners
porkers x
baconers x
0.01
0.25
0.43 x
( hours / 24 hours) x x
( hours / 24 hours) x x
( hours / 24 hours) x
=
=
=
TOTAL nitrogen produced (kg/yr)
=
Total nitrogen produced Minimum area over which the Nitrogen loading rate
(kg/year) effluent is spread annually (ha) (kg/ha/yr)
Nitrogen produced
(kg/year)
Number of pigs
boars x
Daily quantity of
N produced per animal (kg/day) x
% of time spend housed x
Maximum number of days in the shed over
92 day period
=
Nitrogen produced over three month period (kg) x
dry sows and gilts x
0.041
0.033 x
( hours / 24 hours) x x
( hours / 24 hours) x x
( hours / 24 hours) x
=
=
lactating sows with litter x 0.14 =
weaners
porkers
baconers x x x
0.01
0.25
0.43 x
( hours / 24 hours) x x
( hours / 24 hours) x x
( hours / 24 hours) x
=
=
=
TOTAL nitrogen produced (kg/yr)
=
Total amount of nitrogen Minimum area over which effluent N loading rate
Produced in 3 month period (kg) is spread in peak 3 month (ha) for peak 3 month
Best practice guidelines for applying effluent
The following guidelines have been developed to minimise the risk of effluent ponding and runoff occurring:
Soil & landscape
Artificial drainage or
Impeded drainage or low
Sloping land
(>7°) or land
Well drained flat land (<7°)
Other well drained but very feature coarse soil structure infiltration rate with hump and hollow drainage light flat land
(<7°)
Risk High High High
Application depth (mm)
<SWD <SWD <SWD
Low Low
<50% PAW30 2 <10mm & ≤50%
PAW30

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
If you are discharging liquid pig effluent to land via an irrigator (e.g. centre pivot, travelling irrigator etc.) will you ensure that the discharge and any irrigation water applied within 24 hours before or after discharge does not exceed the maximum application depths specified in the table above?
Yes No NA
– only using a slurry wagon
If ‘No’ , please state why you cannot comply with these depths, the maximum application depth(s) you are proposing are and provide a detailed assessment of the effects on water quality in relation to your proposed application depth:

If you are discharging piggery effluent to land via a slurry tanker/ wagon will you ensure that the discharge and any irrigation water applied within 24 hours before or after the discharge does not exceed a maximum application depth of 10 millimetres?
Yes No NA
– only using an irrigator(s)
If ‘
No
’, please state why you cannot comply with this depth, and provide a detailed assessment of the effects on water quality in relation to your proposed application depth:
Regularly used consent conditions
(i) The discharge shall not:
(a) enter, or be onto land within 20 metres of any wetland, surface water body, artificial watercourse, bore or soakhole; or
(b) be onto frozen or snow covered soil.
(ii) The discharge and any irrigation water applied within 24 hours before or after discharge shall not:
(a) result in runoff of effluent from the disposal area; or
(b) result in effluent ponding on the land surface.
(iii)
(iv)
The discharge shall not occur onto the same land more than once in any consecutive 12 month period.
The nitrogen loading rate shall not exceed:
(a) 200 kilograms of nitrogen per hectare per year; or
(b) 100 kilograms of nitrogen per hectare within any consecutive three month period.

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
The conditions listed above are regularly placed on discharge consents to help prevent adverse effects on water quality. Will you discharge effluent in accordance with these conditions?
No Yes
If ‘
No
’, please advise which condition(s) you cannot comply with and why:
(b) Effects of the Discharge to Land on Human and Stock Drinking Water Supplies

Will the discharge occur within a community or group drinking water supply well or gallery protection zone? [If there are no community or group drinking water supply abstraction points within 1,000 metres of the discharge area you can tick ‘No’]
Yes No
Where no specific protection zone has been determined for a bore, the following provisional protection zones must be used
[Customer Services can help you check this] :
Screen Depth (or well depth if no screen depth is recorded)
<30m
Aquifer type
Unconfined or semi confined
Protection distances (m) upgradient from the bore (in relation to groundwater flow)
1000
Protection distances (m) around the bore
200
30 - 70m
>70m
Confined
Coastal Confined Aquifer 1
Unconfined or semi confined
Confined
Coastal Confined Aquifer 1
Unconfined or semi confined
Confined
NA
NA
500
NA
NA
NA
NA
100
400
200
100
400
200
100
Coastal Confined Aquifer 1 NA 400

Will the discharge occur within 500 metres of any community or group drinking water supply intake (including galleries) for any take directly from surface water?
Yes No

Will the discharge occur within 20 metres of any non-community drinking water supply bore used for domestic or stockwater supply?
Yes No

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 If you have answered ‘Yes’ to any of the questions in this section, please attach a detailed assessment of effects on the drinking water supply and also list the number of the bore or surface water abstraction point (SWAP), the distance between the discharge and the intake, and the owner of the water supply.
Environment Canterbury recommends that you consult with the owner of the water supply to help you identify the extent of any potential effects. If you obtain written approval from the owner, Environment Canterbury is required to disregard any potential effects on the water supply
(c) Effects of the Discharge to Air on Human Health and Odour Nuisance Effects
Advice notes: Please note that we will be checking our complaints register, your compliance history and may also speak with neighbours or others in the area when considering whether there is currently any issues with the discharge of odour.
The questions in the following section are general questions. Depending on the scale of the activity or whether there are existing issues with odour, it may be necessary to employ a consultant to provide an assessment of effects in relation to odour. We recommend you discuss this with us at a pre-application meeting.

Are you aware of any odour complaints or have you had any non-compliance in relation to odour or have you been aware of any odour issues in relation to your effluent spreading?
Yes No
If Yes , please answer the following questions:
 Please provide details about the odour issues, e.g. the cause of the odour issue, the approximate date(s) where the odour was detected, any parties that were affected etc.:

Please provide explain what measures have been put in place to address the odour issue:

Please advise whether offensive and objectionable odour beyond the property boundary is still an issue in relation to effluent spreading and explain why or why not:

In order to meet the permitted activity rule, you will need to demonstrate that odour detected at the property boundary is not offensive or objectionable to the extent that it has an adverse effect on the environment. Do you consider that you will be able to manage the discharge of effluent to land to meet this requirement?
Yes No
If
‘No’, you will need consent to discharge contaminants to air from effluent spreading. Please note that your application will need to be publicly notified or notified to any affected parties
(parties that haven’t supplied written approval) which will add considerable costs and processing time to your application.
Environment Canterbury strongly recommend that you implement changes so that you can meet the permitted activity rule.
If Yes , please answer the following questions: o How will you manage the spreading of effluent to ensure that aerosols and spray-drift are contained within the property boundary?

PAGE 17 OF 23 o What mitigation measures will you use to ensure that any odour detected from the discharge is not offensive or objectionable beyond the property boundary? o What is the maximum number of days that effluent will be stored prior to being discharged? o Will any measures be implemented to keep effluent in an aerobic state during storage, and if so what are they? o Please advise whether you will adhere to a minimum separation distance between the discharge to land and any property boundary and/or neighbouring dwellings and if so, what that separation distance will be. o If in the future, odour issues arise, what measures are you able to implement to rectify the odour problem?

Are you aware of any odour complaints or have you had any non-compliance in relation to odour or have you been aware of any odour issues in relation to the piggery buildings or any closely fenced outdoor runs that meet the definition of intensive farming under section B2(4) of this form?
Yes No
If Yes , please answer the following questions:
 Please provide details about the odour issues, e.g. the cause of the odour issue, the approximate date(s) where the odour was detected, any parties that were affected etc.:
 Please provide explain what measures have been put in place to address the odour issue:

Please advise whether offensive and objectionable odour beyond the property boundary is still an issue in relation to the piggery buildings or any closely fenced outdoor runs and explain why or why not:

If your piggery operation was established on or before 1 June 2002, has there been an increase in the scale, intensity, frequency or duration of the discharge of odour from the piggery buildings and/or closely fenced outdoor runs?
Yes No NA
– established after 1 June 2002

PAGE 18 OF 23
If
‘Yes’,
please provide explain how the odour effects have increased and why:

Will you be able to manage the discharge of odour from the piggery buildings and/or closely fenced outdoor runs so that any odour detected at the property boundary is not offensive or objectionable to the extent that it has an adverse effect on the environment?
Yes No
If ‘No’, please note that your application will need to be publicly notified or notified to any affected parties (parties that haven’t supplied written approval) which will add considerable costs and processing time to your application. Environment Canterbury strongly recommends that you implement changes so that you can meet this requirement.
If ‘Yes’, please answer the following questions: o Please explain the design of the piggery buildings and explain any design features or any other means used for reducing the level of odour leaving the buildings (e.g. biofilters etc.) and please attach any relevant design plans: o What management practices will be used to ensure that any odour detected from the piggery buildings and/or closely fenced outdoor runs and any separate effluent storage facility is not offensive or objectionable beyond the property boundary to the extent that it causes an adverse effect? o Please advise what the minimum separation distance is between the piggery buildings and/or closely fenced outdoor runs and any separate effluent storage facility is to the nearest property boundaries and neighbouring dwellings and buildings. o If in the future, odour issues arise, what measures are you able to implement to rectify the odour problem?
(d) Effects on Ngāi Tahu Cultural Values
For assistance with answering the questions below, please refer to the booklet titled ‘Ngāi Tahu and Resource Consent
Applications – a guide for applicants’, which is available from Customer Services and at www.ecan.govt.nz
.

PAGE 19 OF 23
Ngāi Tahu has produced Iwi Management Plans (IMPs), which are available to help applicants identify matters of importance to Iwi. These plans also provide direction on how best to avoid, remedy or mitigate effects on cultural values.
The “Associated Notes” with this application form list the relevant policies and objectives of these IMPs relevant to dairy cow effluent. The IMPs can be viewed in full at www.ecan.govt.nz
.

Please provide an assessment of the effects of the proposed discharge on
Ngāi Tahu cultural values. To do this, you will need to: o Reference the relevant policies and objectives in the Iwi Management Plans that Ngāi Tahu have produced e.g. you could reference the policies and objectives you will meet and those you will not meet and explain the reasons why. This assessment can be filled out in the ‘Associated Notes’ and the relevant pages included with your application; and o Advise of any mitigation measures proposed to ensure Ngāi Tahu cultural values are not adversely affected
(e.g. not discharging within 20 metres of any surface water body etc.).
Where appropriate, this assessment should also include: details on the effects of the proposed discharge on sites of historic or cultural significance, flora and fauna of cultural significance, areas of historical or spiritual importance, areas of significant landscape value, and waterways and wetlands.

If you are applying for consent to use land for effluent storage, and you will be disturbing the ground to install or modify an effluent storage facility do you accept the accidental discovery protocol condition listed below?
Yes No NA
Accidental Discovery Protocol Condition
In the event of any discovery of archaeological material:
(a) the consent holder shall immediately:
(I) Cease earthmoving operations in the affected area and mark off the affected area; and
(ii) Advise the Canterbury Regional Council of the disturbance; and
(b)
(c)
(d)
(iii) Advise the New Zealand Historic Places Trust of the disturbance.
If the archaeological material is determined to be Koiwi Tangata (human bones) or taonga (treasured artefacts) by the New
Zealand Historic Places Trust, the consent holder shall immediately advise the office of the appropriate rūnanga (office contact information can be obtained from the Canterbury Regional Council) of the discovery.
If the archaeological material is determined to be Koiwi Tangata (human bones) by the New Zealand Historic Places Trust, the consent holder shall immediately advise the New Zealand Police of the disturbance.
Work may recommence if the New Zealand Historic Places Trust (following consultation with rūnanga if the site is of Māori origin) provides a statement in writing to the Canterbury Regional Council, Attention: RMA Compliance and Enforcement
Manager that appropriate action has been undertaken in relation to the archaeological material discovered. The Canterbury
Regional Council shall advise the consent holder on written receipt from the New Zealand Historic Places Trust that work can recommence.
Advice notes:
1. This may be in addition to any agreements that are in place between the consent holder and the Papatipu Rūnanga. (Cultural
Site Accidental Discovery Protocol).
2.
3.
Under the Historic Places Act 1993 an archaeological site is defined as any place associated with pre-1900 human activity, where there is material evidence relating to the history of New Zealand. For sites solely of Māori origin, this evidence may be in the form of accumulations of shell, bone, charcoal, burnt stones, etc. In later sites, artefacts such as bottles or broken glass, ceramics, metals, etc, may be found or evidence of old foundations, wells, drains, tailings, races or other structures. Human remains/koiwi may date to any historic period.
It is unlawful for any person to destroy, damage, or modify the whole or any part of an archaeological site without the prior authority of the New Zealand Historic Places Trust. This is the case regardless of the legal status of the land on which the site is located, whether the activity is permitted under the District or Regional Plan or whether a resource or building consent has been granted. The Historic Places Act provides for substantial penalties for unauthorised damage or destruction.

PAGE 20 OF 23
(e) Effects of the Use of Land for Effluent Storage
Regularly used consent conditions
(i) The effluent storage facility shall be sealed with a material of low permeability such that any seepage from the structure onto or into land does not exceed an average rate of one millimetre per day.
(ii) The consent holder shall provide to the Canterbury Regional Council a report on the method of construction of the effluent storage facility that demonstrates compliance in accordance with the seepage rate referred to in condition (i). For effluent
(iii) storage facilities that are lined with earth and/or clay this report shall include the results of a seepage test on a sample of the material to be used in the lining. The report shall be supplied to the Canterbury Regional Council, Attention: RMA
Compliance and Enforcement Manager, prior to commencement of use of the storage facility.
At any time as requested by the Canterbury Regional Council, the consent holder shall have the average seepage rate of the effluent storage facility tested and certified by a Chartered Professional Engineer (CPEng). The certificate shall be supplied to the Canterbury Regional Council, Attention: RMA Compliance and Enforcement Manager, within one month of the completion of the testing.
(iv)
(v)
The effluent storage facility and all associated tanks, pipes and channels shall be sealed and maintained to prevent the leakage or overflowing of effluent onto or into land.
The effluent storage facility shall not be located within:
(a) 20 metres of any wetland, surface water body or artificial watercourse; or
(b) 50 metres of a bore.

The conditions listed above are regularly placed on land use consents to help prevent adverse effects. Are you able to comply with these conditions?
If
‘No’
, please advise which condition you cannot comply with and why:
Yes No

Will any proposed effluent storage facility be located on land likely to be flooded from overflows of river or lakes, or from rainfall ponding?
Yes No Not Applicable - no new storage components being installed
If ‘Yes’,
please explain what mitigation measures will be used to prevent floodwaters entering the effluent storage facility and causing effluent to discharge into floodwaters (e.g. ensuring the top of the effluent storage facility is higher than the peak flood flow and advising how that was determined):

PAGE 21 OF 23
(f) Effects of the discharge occurring onto land outside the piggery property
To allow the consent to also authorise the discharge to occur onto other properties, a more general set of conditions will need to be included with your consent that are conservative. Below is a list of requirements for including other properties under your discharge area.
General requirements: o The discharge must be via a slurry tanker/wagon with an even spread. o The application depth cannot exceed a 10 millimetres. o The discharge must not be within the Group or Community Drinking Water Supply Protection Zone or within 20 metres of any other bore. o The discharge must not be within 20 metres of any surface water body. o The discharge must not occur onto land with a slope of more than seven degrees. o The discharge must comply with permitted activity Rule AQL65 which relates to the discharge to air from effluent spreading. o The discharge cannot occur onto the same piece of land more than once in any 12 month consecutive period.

If you are applying to discharge effluent onto other properties, can you meet the general requirements listed above?
Yes No Not Applicable
– not applying to discharge on other properties
If
‘No’
, you cannot meet a requirement you may still apply for consent to discharge on other properties however you will need to submit a detailed assessment of effects on the environment and people.
(g) Other Effects
You may wish to provide an assessment of any other effects you consider relevant to the proposal, such as positive effects of granting the application:
7. CONSIDERATION OF ALTERNATIVES
You also need to consider alternative methods of discharge or locations of discharge.
Please provide details of any alternatives considered and the reasons for choosing the proposed method and location of discharge.
PART C: OTHER INFORMATION

PAGE 22 OF 23
1. NOTIFICATION
If your assessment of effects has shown that adverse effects on the environment are likely to be more than minor and/or there are people who may be adversely affected from whom you are unable to obtain written approval, you may wish to request that your application be publicly notified. This will avoid possible delays in the processing of your application.
The final decision to notify or not notify an application will still be made by Environment Canterbury.
Please note that an application cannot be notified unless there is sufficient information for the notice that makes it clear what is being applied for, and how it might affect the environment (including people).
(check box) I request that my application is notified.
2. DURATION REQUESTED
Please specify the duration sought for your consent(s): years months.
Advice notes: The maximum duration allowed under the Resource Management Act for a discharge permit is 35 years, however the duration that is granted by Environment Canterbury will be typically 15 years. A longer duration will be considered as long as you provide strong justification of why a longer duration is necessary. If you are applying for a duration longer than 15 years,
Environment Canterbury recommends that you attach a detailed assessment of your activity against NRRP Chapter 1 section
1.3.5 (resource consent duration).
If you are applying for a change of conditions to an existing activity, there will be no change to the existing expiry date.
3. ERRORS AND OMISSIONS
When you receive your Resource Consent Documents please check that the details are correct. You have a 15 working day period after the decision is notified to allow you to object or advise of errors or omissions without cost.
4. ADDITIONAL NOTES FOR APPLICANTS
(a) Your application must be publicly notified unless Environment Canterbury is satisfied that the adverse effects on the environment will be minor and written approval has been obtained from every person Environment Canterbury considers may be adversely affected by the granting of your application (unless Environment Canterbury considers it unreasonable to require the obtaining of every such approval).
(b) Section 128 of the Resource Management Act 1991 sets out the circumstances in which Environment Canterbury may review the conditions of a resource consent. Under Section 128(c) Environment Canterbury may undertake a review at any time if the application contained any inaccuracies which materially influenced the decision made.
(c) The information you provide with your application is official information. It will be used to process your application and, together with other official information, assist in the management of the region’s natural and physical resources. Access to information held by Environment Canterbury is administered in accordance with the Local Government Official Information and Meetings Act 1987, and Privacy Act, 1993. Your information may be disclosed in accordance with the terms of these
Acts. Public access is also provided to consent inf ormation via Environment Canterbury’s website. It is therefore important you advise Environment Canterbury if your application includes trade secrets and/or commercially sensitive material.

PART D: SIGNATURE
PAGE 23 OF 23
______________________ ________________ _________________________________
Signature of consultant Date Full name of person signing –please print
______________________ ________________ _________________________________
Signature of applicant Date Full name of person signing
– please print
______________________ ________________ _________________________________
Signature of applicant Date Full name of person signing – please print
______________________ ________________ _________________________________
Signature of applicant Date Full name of person signing
– please print
Advice note: Environment Canterbury must have written authorisation to process your consent application. Both the consultant (if used) and the applicant(s) must sign this section. Where there are multiple people applying for consent, all persons must sign this form.
If a company is the applicant, at least one director must sign this form. Anyone else who is applying for consent on behalf of another person, group of people or a company (e.g. a manager applying on behalf of a company) can sign this form and submit the application.
However, written authorisation from the persons or company on behalf of which the consent is being applied for must be supplied with this application.