Application for an environmental permit: technically competent manager details Page 1 Technically competent manager details Save this form on your computer. Open it, type in the details, then save and upload it. If you prefer, you can print it out, fill it in, and then scan and upload it. Give details for every manager who will be responsible for the permitted operations. Technically competent manager 1 First name Jacob Last name Coplestone Date of birth DD/MM/YYYY Phone - landline or mobile 01672841389 Email
[email protected] Give details for all permitted operations that this person provides technical competence for, in addition to the current application. Include permits held by other operators. Permit number Site address Postcode eg EPR/AB1234CD Address is not needed for mobile plant permits EPR/HP3199EY Kempsford Quarry, Stubbs Farm, Washpool Lane, GL7 4NJ Kempsford, Gloucestershire EPR/QP3038LL Kempsford Quarry, Stubbs Farm, Washpool Lane, GL7 4NJ Kempsford, Gloucestershire EPR/AB3805KZ Shipton Quarry, Shipton-on-Cherwell, Oxfordshire OX5 3EL EPR/EB3839AA Shellingford Quarry, Stanford Road, Stanford in the SN7 8HE Vale, Faringdon, Oxfordshire EPR/GB3101KY Alton Road Sandpit, Alton Road, Wrecclesham, GU10 5EL Farnham, Surrey EPR/AB3804CL Basset Down Golf Course, Lower Salthrop, Basset SN4 9QW Down, Swindon, Wiltshire EPR/AB3435DB Lake 81/Aspen Lake, Rixon Gate, Ashton Keynes, SN6 6QW Wiltshire EPR/FB3736AF Thruxton Airport, Thruxton, Andover, Hampshire SP11 8PW EPR/AB3535RW Thruxton Airport, Thruxton, Andover, Hampshire SP11 8PW EPR/KP3033LF Warren Farm Landfill, Shire Lane, Chalfont St. WD3 9XW Peter, Buckinghamshire EPR/BB3707GC Weybrook Park Golf Club, Rooksdown Lane, RG24 9NT Application for an environmental permit: technically competent manager details Page 2 Basingstoke, Hampshire If a second manager is also responsible, give their details on the next page.