Enquiry Form

Health Impact Assesment Enquiry Form

First Name(*)

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Last Name(*)

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Email:(*)

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Project address(*)

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Project Type:(*)

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Site Size? (*)

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Building Size?(*)

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Building Size Current Site Use (e.g., car park, building)(*)

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Proposed Use (e.g., warehouse, residential)(*)

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Nearby Population (e.g., residential areas, schools) *(*)

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Known Local Health Concerns (e.g., asthma rates) (*)

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Expected Traffic Impact (e.g., HGV numbers, peak times)(*)

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Environmental Factors (e.g., flood risk, air quality)(*)

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Additional Information or Questions

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Site Plans Pdf's(*)

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