Please complete the form below with all information you have on the site. Where possible, please have a site plan of the site you are proposing ready to upload at the end of this form. Ideally, the site plan should: • Be at a scale of no less than 1:2500; • Include a north point; and • Identify the development site with a red line boundary. If it is known that there are adjacent sites under the same ownership (or part-ownership) please identify these with a blue line boundary. If you do not have a site plan or this is too difficult to source, please still complete the form. However, we may need to contact you to confirm some details of the site in due course. The information collected in this response form will be used by Southampton City Council to inform the Strategic Land Availability Assessment (SLAA) and subsequent components of the Local Plan. All information within the response form, other than the information entered into the "Your Details" and "Site Ownership" sections, will be made available to the public at a later date. By responding, you are accepting that you agree to these terms. Full details of how the Council processes personal data can be found at https://www.southampton.gov.uk/contact-us/privacy-cookies/privacy-policy/. Your Details First name * Surname * Job title (where relevant) Organisation (where relevant) Email address * Your status, please tick all that apply * Owner of the site Planning Consultant Parish Council Land Agent Local Resident Developer Amenity/Community Group Registered Social Landlord Other Please state, if other Site Details Address * Postcode * Size (hectares) Type of site * Greenfield Previously developed/brownfield Current land use/s (please tick all that are currently on site) * Housing (all types including institutional and self/custom build) Employment (office, industrial) Retail and Leisure (including hotels) Mixed Use Open Space Vacant Other Unsure If other, please state Exisiting number of residential units on site (if applicable) Existing employment space area (m2) (if applicable) Is the site currently available for development * Yes No Unsure What utilities are available on the site? * YesNoUnsure Mains water supply * Mains water supply - Yes Mains water supply - No Mains water supply - Unsure Mains sewerage * Mains sewerage - Yes Mains sewerage - No Mains sewerage - Unsure Electric supply * Electric supply - Yes Electric supply - No Electric supply - Unsure Gas supply * Gas supply - Yes Gas supply - No Gas supply - Unsure Public Highway * Public Highway - Yes Public Highway - No Public Highway - Unsure Landline telephone/boradband/fibre to premises * Landline telephone/boradband/fibre to premises - Yes Landline telephone/boradband/fibre to premises - No Landline telephone/boradband/fibre to premises - Unsure Public transport * Public transport - Yes Public transport - No Public transport - Unsure Site Ownership I (or my client) is * sole owner of the site part owner of the site no ownership of the site Current Owner/s (please provide names and addresses if known) If not the landowner, I confirm that the landowner/s have been informed of the site submission * Yes No Does the landowner(s) support the development of the site? * Yes No Proposed future uses and potential site capacity Please tick all proposed uses below and state basic capacity, if known (area/number of dwellings/number of units/proposed floorspace) Housing (all types including institutional and self/custom build) Employment (office, industrial) Retail and Leisure (including hotels) Mixed Use (e.g. employment, leisure and housing delivered on one site) Open Space (parks, sport & recreation sites/pitches, nature reserve etc.) Other Unsure Please specify housing type, area, number of dwellings etc. if known. Please specify B2, B2 and B8 uses, number of unit/proposed floorspace, if known. Please specify retail and leisure use/s and floorspace, if known. Please specify all uses or leave blank if unsure. Please specify open space use or leave blank if unsure. Please specify what other proposed uses you think would be appropriate. Please tell us which constraints are applicable to the site YesNoUnsure Land in other ownership must be acquired to enable this land to be developed Land in other ownership must be acquired to enable this land to be developed - Yes Land in other ownership must be acquired to enable this land to be developed - No Land in other ownership must be acquired to enable this land to be developed - Unsure Restrictive covenants exist Restrictive covenants exist - Yes Restrictive covenants exist - No Restrictive covenants exist - Unsure Current land use(s) need to be relocated Current land use(s) need to be relocated - Yes Current land use(s) need to be relocated - No Current land use(s) need to be relocated - Unsure Physical constraints (topography, trees, other) Physical constraints (topography, trees, other) - Yes Physical constraints (topography, trees, other) - No Physical constraints (topography, trees, other) - Unsure Flood risk Flood risk - Yes Flood risk - No Flood risk - Unsure Infrastructure required Infrastructure required - Yes Infrastructure required - No Infrastructure required - Unsure Public rights of way cross or adjoin the site Public rights of way cross or adjoin the site - Yes Public rights of way cross or adjoin the site - No Public rights of way cross or adjoin the site - Unsure Land contamination Land contamination - Yes Land contamination - No Land contamination - Unsure Access contraints Access contraints - Yes Access contraints - No Access contraints - Unsure Please provide any further information regarding constraints Market Interest Choose the most appropriate category and add any comments in the box below Site is owned by a developer Site is under option to a developer Enquiries received Site is currently being marketed None Not known Comments Timescale for deliverability Please indicate the approximate timescale for when the site will become available for development Immediately Up to 5 years 5-10 years 10-15 years Beyond 15 years Unsure Please explain, particularly if the site is not immediately available Other relevant information Use this space to provide any additional information related to this form (supporting information is not required at this stage). Site Plan Where possible, please upload a site plan here. Upload More informationFiles must be less than 20 MB. Allowed file types: gif jpg jpeg png pdf doc docx ppt pptx. I have read and agree to the Terms & Conditions and Privacy Policy Terms & Conditions * Leave this field blank Submit
