CCCRM | Permit Application

Step 1
Applicant details
Step 2
Project details
Step 3
Construction / development
Step 4
Details of the Site / land
Step 5
Ownership
Step 6
Proposed Development
Step 7
Water / Solid Waste
Step 8
Utilities
Step 9
Payment
Step 10
Upload documents

Full Name/Company Name*

Please fill out the mandatory field

Other Name

Postal Address*

Please fill out the mandatory field

NIC/Passport*

Please fill out the mandatory field not a valid NIC or passport number

Telephone

Telephone number not valid

Mobile*

Mobile number not valid

Please enter a valid email

Fax

Contact Person (If any other than the applicant)

Name

Relationship

Address

Telephone No

Telephone number not valid

Mobile

Mobile number not valid

Please enter a valid email

Fax

Nature of Development Activity

Name of the project

Location of the Site

Address of the Project/Development Site

Province*

Please fill out the mandatory field

District*

Please fill out the mandatory field

District Secretariat Office*

Please fill out the mandatory field

Local Authority*

Please fill out the mandatory field

GN Office *

Please fill out the mandatory field

Beach side/Land side (From existing beach)*

Please fill out the mandatory field

Nearest Land Mark

GPS Coordinates(if possible)

N Latitude

E Longitude

Type of Development*

Please fill out the mandatory field

Estimated Cost of the Project Rs.

Total No of Buildings

No of floors*

No of rooms*

Floor area(Sq.ft)*

Building Height*

Floor area ratio*

Action

Please enter building details Total Floor Area is not compatible with the selected project type.

Select	No of floors	No of rooms	Floor area	Height of the building	Floor area ratio

Other facilities envisage

Swimming pool

Septic / Soakage pit

Waste water / Sewage treatment plant

Other

Scale / Magnitude of the Development activity

Development Area (if any)

Quantity (if any)

Other details

Project plan / design / lay out plan( 3 copies of drawings to be provided ) ( water bodies,roads and reservations to be maintained should be marked on the plans )

Present Land use

Details of the existing buildings (if any)

Total No of Buildings

Select	No of floors	No of rooms	Other facilities	Construction Date	Approved Granted By

Sea / Soil erosion

Has the area been subject to erosion or accretion in the recent past

Proposed erosion prevention measures

Requirements of water

Source*

Please fill out the mandatory field

Quantity (liters per day)

Mode of Extraction

Ownership*

Please fill out the mandatory field

Details of the Survey Plan(IS the propose site is in land)

Deed No

Registration No

Date of Registration

Details of the survay Plan

Survey Plan No

Proposed Lot No

Extent of the Land

Name of the surveyor

Date of the survey plan

Excavation (details if any)

Vegetation cleaning

Does this project envisages laying of pipelines (details if any)

Does this project involves any tunnel activities (details if any)

Waste Water

Type of effluents*

Please fill out the mandatory field

Estimated quantity of waste water generate m3 / day

Estimated Quantity Construction period

Operation period :

Proposed method of treatment of waste water

Proposed method of discharge

Final discharge point of treated waste water

Solid Waste :

Types of solid wastes generated

Quantity of solid wastes generated (per day)

Proposed method of disposal (if any)

Availability of other infrastructure

Access road (width & any building line)

Electricity requirement

Parking facilities

Clearance / approvals obtained for proposed construction

Payment Method*

Please fill out the mandatory field

Survey Plan Copy

APPLICATION FOR A PERMIT TO ENGAGE IN A DEVELOPMENT ACTIVITY