Heritage Resource Management Service Questionnaire

Location of site *
CityTownFarmOther

Erf number(s) *

Size of site/erf * (enter "Not sure" if you don't know the exact size)

May re-zoning/subdivision or consolidation be required? *
YesNoNot sure

Did any subdivision or consolidation take place within the past five years? *
YesNoNot sure

Should the above be "Yes", provide more information:

If the above was "Yes", how many erven were involved?
—Please choose an option—1234567891015202530354045505560

Describe the type of environs, landscape character, vegetation and structures on site *

Describe the context/surrounding area *

Has the site been recorded on a register *
YesNoNot sure

If graded, as what?
—Please choose an option—Grade IGrade IIGrade IIIAGrade IIIBGrade IIICNCW (Not Conservation Worthy)NYG (Not Yet Graded)Formally protectedProvisionally protectedOtherDon't know

If there are existing buildings on the site, are any of them older than 60 years? *
YesNoNot sure

Are there any old ruins or foundations on the site? *
YesNoNot sure

Is there any reason to believe that there may be archaeological, paleontological, meteorites or old trees on the site or traces of human activity over 100 years old? *
YesNoNot sure

Are there any old graves on or near the site? *
YesNoNot sure

Are you aware of any heritage site, structure, monument or heritage object in the immediate vicinity? *
YesNoNot sure

Background history of any previous applications with respect to this site, such as heritage / environmental affairs / planning / building control / other *

What is envisaged on the site? Describe the main idea. *

Attach the proposed Site Development Plan (.doc, .docx or .pdf), 2MB max *

No Site Development Plan available yet

Attach the proposed Architectural response (.doc, .docx or .pdf), 2MB max *

No Architectural Response available yet

Attach aerial photo of the site (.jpg, .jpeg or .png), 1MB max *

No aerial photograph available

If available, attach four photographs of the site (.jpg, .jpeg or .png), 1MB max per file




No site photographs available yet

Should any buildings exist on the site, attach four photographs of the main building: two of the interior and two of the exterior (.jpg, .jpeg or .png), 1MB max per file




No building photographs available yet

Are there any other buildings on the site? *
YesNoDon't know

Start investigation

Not sure

Interested and Affected Party Consultation / PPP (Public Participation Process)

Not sure

Submit heritage application

Not sure

Receiving permit

Not sure