NORTH HERTFORDSHIRE DISTRICT COUNCIL North Hertfordshire District Council, PO Box 10613, Nottingham NG6 6DW DX 324201, Nottingham 59 Telephone: (01462) 474000 APPLICATION FOR PERMIT FOR MEMORIAL All stonemasonry work carried out on New or Refurbished memorials MUST be fitted by a registered Stonemason to the regulation Industry Standards and written proof provided within the relevant timescale. Section A – Applicant Details Applicant (Stonemason): …………………………….……………………………………………………… Full Address: ………………………………………………………..………………………………………… Email:………………………………………………………….. Telephone No:…………………………….. Stonemason Signature …………………………………….. Date: ……………………………………… Please ensure all sections are completed in FULL and the Grave Grant Owner details have been accurately checked and confirmed as this may result in the application being returned. Please email completed application to [email protected] Section B - Plot Details Cemetery location: …………………………………….. Grave space number: …………………………. We, the Stonemason have seen evidence of the Grave Grant Owner’s Deed We, the Stonemason have contacted NHDC to confirm the Grave Grant Owner Details. We, the Stonemason confirm this is a Child Memorial. Section C – For Completion by the Grave Grant Owner(s) ONLY Grave Space Number: ………………………………………………………………………………………………. Signed Grant Owner (1): ……………………………………..Print name:……………………………………… Full Address (1): …………………………………………………………………………………………………….. Contact number (1): …………………………………Email (1): ………………………………………………… Signed Grant Owner (2): …………………………………….Print name:……………………………………… Full Address (2): ……………………………………………………………………………………………………. Contact number (2): …………………………………Email (2): ………………………………………………… March 2021 Page 1 of 3 Section D – Proposed Memorial or Monument If you are submitting proofs of a new, proposed memorial please ensure the sizes are on the proofs or notes in the boxes below. Any application submitted without these will be returned. Tablet Memorial Stone Additional Inscription Kerb Set Renovation Design Details of Proposed Memorial (Attach additional sheet if required) – Inscription Required: diagram and sizes: Section E – Application Approval - For completion by NHDC Officer Grave Space Number: …………………………………….. Fee: …………………………………………… Approved By: ………………………………………(signature)………………………………………(print) (NHDC Officer Name) Approval Date: …………………………………………… Payment link emailed? Cheque receipt number: ………………………………………………… CFF Form submitted: ……………………………………. Date: …………………………………………… March 2021 Page 2 of 3 INFORMATION REGARDING MEMORIALS & FLORAL TRIBUTES PERMITTED IN CEMETERIES All New installations carried out by Stonemasons MUST be placed in the correct position on the allocated grave space. • Your attention is drawn to the following extracts from those sections of the Regulations that apply to memorials or floral tributes that are permitted on grave spaces in the Council’s Cemeteries. • No types of memorial other than those specified below are allowed in Lawn Sections and Cremated Ashes Sections of the Council Cemeteries. Memorials 1. A memorial stone, not exceeding 3 feet in height and 2 feet 6 inches in width, and not less than 3 inches not more than 5 inches in thickness; mounted on a plinth not exceeding 5 inches in height, 3 feet in width or 12 inches in thickness. OR 2. An open book, or scroll, with a base not exceeding 2 feet in width and 12 inches in breadth and not more than 2 feet in height. OR 3. A carved figure or cross with base not exceeding 2 feet in width and 12 inches in breadth, and height not exceeding 2 feet 6 inches. OR 4. A vase not exceeding 15 inches in height and 12 inches x 12 inches at the base and bearing an inscription identifying a deceased person(s) buried in the grave. OR 5. A tablet 24 inches x 18 inches OR 6. In the permitted areas only – a kerb set measuring 7ft. by 3ft. with or without incorporated headstone (regulations as per section 1). Ashes Sections The only permitted memorial is a tablet of dimensions 15 inches x 12 inches with or without inset flower holder and set into the ground with the face of the tablet flush with ground level. Fees and Charges Please refer to our website for the current Fees and Charges. https://www.north-herts.gov.uk/home/community/births-deaths-marriages-and-civil- partnerships/burials-and-cemeteries March 2021 Page 3 of 3 .