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Network Region and Route

Project Number

Point of Contact Name

Point of Contact Organisation

Job Title

Phone number

Email address
GRIP Stage

Relevant Network Rail Environment Manager

Are all necessary consents and permissions for the works in place?

Project Location

Maximum Impact Level

Works Description

Organisations and individuals to be named as Accredited Agents under the licence authorisation

Are there any known impacts on waterbodies?
YesNo
Are there any known impacts on terrestrial habitats?
YesNo
Ecologist details

Type and date of survey undertaken

Any known GCN presence data in ponds on site or within 250m? e.g. existing survey data – attach report if necessary, local records centre search results.
YesNo
How did you hear about the scheme?
Ecological Consultant knowledgeEmails from NatureSpaceGoogle / Search EngineLocal Planning AuthorityNatural England consultationNatureSpace consultationNatureSpace social mediaPreviously used the schemeOther