FORM LAB.4 To: …………………………………..(SO) Lands Section TITLE OF SCHEME:……………………………………… ……………………… TYPE OF SCHEME: (detail works involved)……………………………………… ………………………………………………………………………………………… 1. Identification of Surplus Land I can now confirm that:(a) (b) all land acquired for the scheme has been incorporated into the road/car park; or of the land acquired for the scheme the attached map indicates:(i) areas retained for planting/landscaping; and/or (ii) areas surplus to requirements, which should be referred to Roads HQ for disposal. 2. Please confirm if the carriageway has been altered? YES/NO Where the completion of the scheme has involved the provision of a new road, the provision of an additional carriageway or alterations to an existing carriageway: (i) Part II Claims The above scheme has now been completed and the date of opening for the purposes of Part II Claims, under the Land Acquisition and Compensation (NI) Order 1973, and under the Noise Insulation Regulations (NI) 1995, should be recorded as ………………………………….. (ii) Noise Insulation Regulations (Northern Ireland) 1995 I attach the following which has been provided by …………………………………………………….:- (a) a statement of the action which was taken at the initial assessment; (b) the traffic figures used in the assessment; (c) noise readings (if taken); (d) a map showing the scheme, the existing dwellings at the date of opening of the new/improved road and indicating the 300 metre envelope. Are there any eligible properties under the Noise Insulation Regulations (NI) 1995 which are eligible now and for which offers of noise insulation will require to be made? YES/NO If yes, (a) I attach a list of the eligible properties; (b) I have identified, on the map, the nearest qualifying property. Signed:………………………………… PPTO Date:…………………………………