VTA permission application form - Version 3: March 2010
Application for a Permission
for the Use of Vertebrate Toxic Agent(s)
Hazardous Substances and New Organisms Act 1996 (HSNO)
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This application is to be used when applying for a Permission to use any vertebrate toxic agent (VTA) approved
under the HSNO Act, for which a permission is required under section 95A of the Act.
A Permission is issued by a person acting under powers delegated by the Environmental Risk Management
Authority (“the delegated person”).
Attachments
INFORMATION
The application form contains a series of attachments requesting information necessary for issuing the
permission. Complete all of the attachments. If an attachment is not relevant, return the attachment as part of
the completed application form and write “not applicable” across it.
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Return this application to the contact person below.
LOCAL PUBLIC HEALTH CONTACT
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Population Health Services
Waikato District Health Board
Huge Monckton Trust Building – L4
Cnr. Rostrevor & Harwood Streets
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Private Bag 3200
Hamilton 3240
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Guidance for Applicants
HSNO requirements for VTAs
The requirements specified under the Hazardous Substances and New Organisms (HSNO) Act, its
regulations, and Approvals for Vertebrate Toxic Agents (VTAs) granted under the HSNO Act are
minimum requirements, which must be met. Where a permission for VTA use is granted by a person
acting under a delegation from the Authority, they may impose additional (stricter) conditions to
address local circumstances.
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The current HSNO Approvals for VTAs can be found by searching the register on the ERMA New Zealand
website, at:
http://www.ermanz.govt.nz/search/registers.html
Consultation required prior to aerial application of sodium fluoroacetate (1080)
Consultation is a key risk mitigation tool for aerial 1080 operations. You need to provide sufficient evidence to
satisfy the person who is assessing your application for a permission that your consultation has met the
requirements of ERMA New Zealand’s Communication Guidelines for Aerial 1080 Operations before a
permission can be issued.
The Communication Guidelines for Aerial 1080 Operations can be found on the ERMA New Zealand website
at:
http://www.ermanz.govt.nz/hs/1080resources/1080bpg.html
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Note:
1) You can provide copies of communication logs as evidence of consultation, rather than repeating this
evidence in this application.
2) The procedures set out in Department of Conservation’s (DoC) ‘Consultation and Notification of Pest
Operations – Standard Operating Procedures’ (SOP), are equivalent to those outlined in the Communication
Guidelines for Aerial 1080 Operations (above). If the application is made on behalf of DoC, copies of the
records created in accordance with this SOP may be provided to the Public Health Unit as evidence.
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3) The evidence needs to be sufficient to satisy the person who is assessing your application that potential
risks to public health have been identified and can be avoided, remedied or mitigated.
If you are uncertain about the level of consultation required, or the evidence required of such consultation,
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discuss this with your local Public Health Unit.
Food Safety Considerations
The New Zealand Food Safety Authority oversees compliance with requirements1 to ensure VTA use does not
contaminate food sources. Therefore potential pathways for contamination may be identified as part of an
application for a permission to use VTAs, and conditions may be imposed on your permission where this is
considered necessary to reduce potential risks to public health.
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Other Relevant Legislation
It is the responsibility of the applicant to ensure compliance with all relevant legislation including, but not necessarily
limited to, the Health and Safety in Employment Act 1992, Food Act 1981, Animal Products 1999, Agriculture
Compounds and Veterinary Medicines Act 1997, Resource Management Act 1991, Land Transport Act 1998, and
the Conservation Act 1987.
Transport Considerations:
VTAs must be transported in accordance with the applicable transport regulations. The following websites
provide information about requirements for transport of VTAs:
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Road transport: http://www.nzta.govt.nz/resources/results.html?catid=59
Air transport: http://www.caa.govt.nz/Dangerous Goods/DG Booklet.PDF
By Ship: http://www.maritimenz.govt.nz/Rules/List-of-all-rules/Part24A-maritime-rule.asp
1 Such as the requirements of the Agricultural Compounds and Veterinary Medicines Act.
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ATTACHMENT A:
OPERATIONAL MAPS
The use of the maps is to provide sufficient specific information for this operation.
• Provide a description of the operational area. Include here the name of the area/reserve, and the name(s)
of the landowner(s), clearly noting public and private land ownership.
• Operational maps should provide an adequate level of detail. A number of map options are available e.g.
topographical (e.g. NZS 260 series or Topo 50 Series), GIS (geographic information systems), aerial photos,
etc.
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• Include:
- area ground control
0 ha
- area aerial control
4359 ha
- territorial local authority Thames Coromandel District Council
- direction and distance to nearest town Colville 7 km south east
• If using more than one VTA, show on the map where each VTA will be applied.
• Identify where the helicopter loading zones will be and bait processing sites for carrot 1080 operations. If
there is more than one loading zone or processing site, ensure all are clearly identified. This information
may also be recorded in Attachment F.
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•
Attach 2 copies of operational maps: More than one map may be needed to include all the information.
Use maps of different scales if necessary. A copy of the maps (including any necessary changes) will be
returned to you and form part of the permission conditions. The second copy will be kept as a record by the
Public Health Unit.
• Identify the following on your map(s) by using a colour code, a number code or similar:
Refer to attachment
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- Drinking Water Catchments and Intakes
(Public and Private Commercial Water Supplies)
(G)
- Dwellings, Adjacent Landowners/Occupiers
(H)
- Areas Easily Accessible to Public
(I)
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- Tramping Huts and Shelters
(J)
- Walking Tracks and Roads
(K)
- Other Excluded Areas
(L)
- Schools and Early Childhood Centres
(M)
- Warning Notices and Information Boards
(O)
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(Letters in brackets refer to corresponding attachments)
Attach: Operational maps (2 copies):
(For official use)
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Are there any schools or early childhood centres within or near the operational boundary?
Refer to
Attachment M
Yes
No
The nearest school and early childhood facility is in Colville which is 7km away.
Is the operational area used for outdoor pursuits, groups/clubs such as hunters, campers, trampers, mountain
bikers, scouts, schools etc?
Refer to Attachments C, D, I, J, K, N and O
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Yes
Refer Attachments I-K
No
If no, on what is this assessment based?
Is the operational area close to a village, town, other residential area, educational centre, marae or camping
ground?
Refer to Attachments C and D
If yes, describe.
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Yes
No
Four Department of Conservation campgrounds surround the mountain; small settlements are present at the
southern end of the mountain at Sandy Bay and Port Charles. Colville township is 7km from the operational
area. Consultation record attached.
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Consultation with community groups
What community groups did you consult with in relation to this application?
There are several groups carrying out conservation projects around Moehau and in the wider Coromandel
area. Our correspondence with these individuals and groups has been recorded in the consultation plan for
this operation.
Name the individuals/groups consulted:
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• Moehau Environment Group,
• Peninsula Pig Hunting Club,
• Whitianga Pig Hunting Club,
• Coromandel Pig Hunting Club,
All groups consulted with have been recorded in the consultation plan. Refer to the attached communication
record
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Detail what, if any, concerns these individuals/groups identified:
• Moehau Environment Group – Were very supportive and they will carry out further possum and rat
control on private land to the south east where it borders with our operational area.
• Peninsula Pig Hunting Club – Opposed to aerial 1080, due to wild pig harvest from the area, toxins in
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the animals and dogs eat poisoned possum carcases. They believe 1080 has no benefits and kills
more than it saves and are concerned about it getting into the food chain and the effects on humans
• Whitianga Pig Hunting Club – Opposed to aerial 1080, due to wild pig harvest from the area, toxins in
the animals and dogs eat poisoned possum carcases. They believe 1080 has no benefits and kills
more than it saves and are concerned about it getting into the food chain and the effects on humans
• Coromandel Pig Hunting Club – Opposed to aerial 1080, due to wild pig harvest from the area, toxins
in the animals and dogs eat poisoned possum carcases. They believe 1080 has no benefits and kills
more than it saves and are concerned about it getting into the food chain and the effects on humans
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How are you planning to avoid, mitigate or remedy any adverse effects identified by these individuals/groups?
• Peninsula Pig Hunting Club: Nothing – their objectives are not compatible with the objectives of the
Department
•
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Whitianga Pig Hunting Club: Nothing – their objectives are not compatible with the objectives of the
Department
• Coromandel Pig Hunting Club: - We’ve open the Stony Bay block for hunting for 6 months leading up
to the operation
Attach any evidence of the consultation (correspondence, minutes of meetings, record of phone calls, etc):
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Refer to the Communication plan
If you have not consulted any community groups about this application, ask the resource consent planner at
your local council to help identify the appropriate groups to contact.
Community consultation - Aerial 1080 Operations
You must provide sufficient evidence to demonstrate that consultation prior to aerial 1080 operations
has met the requirements of ERMA NZ’s Communication guidelines for aerial 1080 operations.
You can provide copies of communication logs as evidence, rather than repeating this evidence here.
Have you provided evidence to demonstrate compliance with the
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Yes
No
requirements of ERMA NZ’s Communication Guidelines for Aerial 1080
Operations?
Refer to Communication plan
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Identify what, if any, concerns these individuals and groups identified:
• Ngati Huarere believe 1080 kills more native species than it saves and have asked does Moehau
really need the aerial drop, could it be trapped instead.
• Ngaati Whanaunga oppose 1080 in principle but under stands the Department role in pest control.
• Ngati Tamatera oppose 1080 in principle but under stands the Department role in pest control, they
would like to see their iwi members provided work with ground control etc
How are you planning to avoid, mitigate or remedy any adverse effects identified by these
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individuals/groups?
• Attending meetings with Iwi to continue consultation regarding general conservation efforts on
Moehau.
• Presentations about the past/present and future pest control on Moehau.
• Present pre-operational monitoring results for rat and possum.
Attach evidence of the consultation (correspondence, minutes of meetings, record of phone calls, etc):
Refer to communication plan attached
If you have not consulted the Maori community about this application, ask the resource consent planner at
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your local council to help identify the appropriate groups to contact.
Maori consultation - Aerial 1080 Operations
You must provide sufficient evidence to demonstrate that consultation prior to aerial 1080
operations has met the requirements of ERMA NZ’s Communication guidelines for aerial 1080
operations.
You can provide copies of communication logs as evidence, rather than repeating this evidence here.
Have you provided evidence to demonstrate compliance with the
Yes
No
requirements of ERMA NZ’s Communication Guidelines for Aerial 1080
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Operations?
Refer to the Communication plan
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ATTACHMENT G: DRINKING WATER SUPPLIES
(Public and Private Water Supplies)
The intent of this section is to minimise the risk of people drinking water contaminated with VTAs.
A
drinking water supply is an area from which water is likely to be taken for use as drinking water for human
consumption. This includes surface water and ground water extraction points as well as water supply reservoirs,
treatment plants and storage facilities. There may be public and private commercial water supplies such as
camping grounds, hotels and back packers to identify, as well as domestic supplies to individual properties.
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ATTACHMENT I: AREAS THAT ARE EASILY ACCESSIBLE
The intent of this attachment is to identify the potential for exposure of young children and others who cannot
read or who do not understand the dangers of poisoned baits.
Note: In some circumstances, it may be possible and necessary to close any high use area.
Estimate the number of people visiting the operational area. In particular, is it a high use area or will the
number of people using it during the operation, increase for specific events or according to the season. List
areas used by the public, including lay-bys for motorists (or identify on operational map; Attachment A):
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HIGH USE (more than 50 people per day)
MEDIUM USE (fewer than 50 people per day)
• Port Jackson campground 20-25 per day
• Stony Bay campground 10-20 per day
LOW USE (fewer than 10 people per day)
• Fantail Bay campground 10 or less per day
• Fletcher Bay campground 10 or less per day
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Are there likely to be people who are at risk of poisoning who may visit the operational area e.g. children or
venturesome tourists?
Y e s
No
• Stony Bay campground is situated 50 meters from the flying site. The flying site will have an outside
perimeter clearly defined by a farm fence and farm gate where people entering will be stopped (50
meters from flying site). A second and final checkpoint inside the first will also be put in place, Radio
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communication between checkpoints and operations will be established.
• Stony bay campground has very low visitor numbers at the time the operation will be undertaken: less
than 10 people per night. The campground will be closed for the duration of the bait application.
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• Communication is underway with Police to provide a presence at Checkpoints on the day of the
operation.
• The aerial tender process focuses on delivering the department a contractor with:
• A detailed operation plans.
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• A company with local knowledge about terrain, weather and working in an isolated area.
• A proven record of delivering quality aerial operations.
• Fantail and Stony bay campgrounds are 250 meters from the operational area, Information signs will
be erected at each of these campgrounds in the entrance kiosks to inform visitors about the operation
and a map of the operational area. Caution signs will also be erected at entrances to tracks and day
walks that leave from the campgrounds into the operational area warning of the risks to children and
dogs from the toxic pellets. Toxic bait will be cleared from all visitor tracks.
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List any areas to be closed to the public:
During the laying of bait- Stony Bay campground and the Coastal walkway track will be closed.
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List private land which has a high public use (or identify on operational map; Attachment A):
Nil
List high use areas which will receive mid-week baiting strategy (or identify on operational map):
Nil
Give the sources of your information:
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Consultation with campground staff and manager.
Attach
1. List public areas, or mark on operational map (Attachment A)
2. List of any areas closed to the public during the operation
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(For official use)
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