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Application for a Storage Licence under the Explosives Regulations 2014

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Application

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Application

Items marked mandatory must be completed

  • Please read the guidance notes before completing this form.
  • You should only use this form if you want to store less than 2000kg of explosives
  • If there is insufficient room to provide the information requested, please continue on a separate sheet(s) (see note 2)
  • Please note that it is an offence under Section 33 of the Health and Safety at Work etc Act 1974 to provide false information. Incomplete or inaccurate information could result in a delay in the processing of your application.
  • The information contained in this form may be stored electronically. The information may, where appropriate, be shared with other relevant bodies such as other local licensing authorities or the Health and Safety Executive. You have the right to request a copy of any personal information and to have any inaccuracies corrected.
The information gathered on this form may constitute personal data as defined in the Data Protection Act 1998. Any personal data will be processed in accordance with the requirements of that Act.
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The application is for:
The application is for: mandatory field

If this is a renewal application, please state the date of expiry and any reference number
Nature of business: [tick the category or categories that apply to this application]
 
 
 
 
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Are you applying for a licence where the storage will be subject to separation distances [please see guidance note 5]
Are you applying for a licence where the storage will be subject to separation distances [please see guidance note 5] mandatory field

Applicant details
If you are applying on behalf of a company or limited liability partnership (or, in Scotland only, a partnership), please give its name
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If the applicant is not the owner/manager of the business, please give the details of the person with management responsibilities for the store.
Out of hours contact details
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Storage of explosives
Full address of where the explosives will be stored:
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Do you have an explosives store at an address different to the above?
Do you have an explosives store at an address different to the above? mandatory field

If yes, please provide the full address of this store:
Do you have a licence for this store?
Do you have a licence for this store?

Explosives to be kept and quantities
None
Hazard Type or UN number Amount (net mass - kg) Exact location at premise
         
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Are you intending to store more than 75kg (net) of ammunition or pyrotechnic articles in a building that adjoins domestic premises?
Are you intending to store more than 75kg (net) of ammunition or pyrotechnic articles in a building that adjoins domestic premises? mandatory field
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Have you had a previous licence or registration refused or revoked?
Have you had a previous licence or registration refused or revoked? mandatory field
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Have you been convicted of any offence under legislation on health and safety?
Have you been convicted of any offence under legislation on health and safety? mandatory field
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Have you been convicted of any other offences relating to the storage, sale, supply, importation or possession of fireworks and/or any other explosives?
Have you been convicted of any other offences relating to the storage, sale, supply, importation or possession of fireworks and/or any other explosives? mandatory field
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Have you been convicted of any offence under any other legislation including offences against the person, dishonesty offences and offences relating to the supply of controlled drugs?
Have you been convicted of any offence under any other legislation including offences against the person, dishonesty offences and offences relating to the supply of controlled drugs? mandatory field
Supporting documents
The completed application form, together with the following documents in support of the application, should be sent to your licensing authority
Declaration

You may have heard about the General Data Protection Regulation (GDPR) which replaced the old Data Protection regulations on 25 May 2018.  These regulations haven’t been updated for over 20 years, so a rewrite was very much overdue.

The new regulations are very much focussed on protecting you and how your data is handled and here at Central Bedfordshire Council we want to keep you in the picture as to how we do that.

You can view our privacy notice here: http://www.centralbedfordshire.gov.uk/contact-us/website/data-protection.aspx

I have read the Central Bedfordshire Council personal information statement and consent to the personal information I have provided on this form being used for the purposes stated.
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Please confirm you have read above statements
Please confirm you have read above statements mandatory field
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