APPLICATION TO INSTALL TEMPORARY ROCK ANCHORS

About this application:

The lodgement of this application is not an automatic approval.
This application is to seek permission from Council to install temporary rock anchors which includes the road reserves, park land reserves, public open space and other Council owned lands.
Council will only issue a formal letter of approval within 15 working days if all requested information has been provided in accordance with Council’s Rock Anchor Policy. Applications may be refused if additional information requested is not provided.
No work shall be permitted until formal approval is provided in writing.

For further information or questions regarding this form, please contact Council via 9911 6555.

Fees and charges

Number of rock anchors: *

The fees for this application are as per the 'rock anchor permit' section of Council's Fees and Charges.

Note: Council will review the submitted drawing and may adjust the fee if errors are encountered

Fee calculation: *

Details of site

Site Address: *

Site Suburb: *

Site Postcode: *

Is there a current Development Application (DA) or Complying Development Certificate (CDC) associated with the property? *

YesNo

DA/CDC number: *

Date DA /CDC lodged: *

Documentation required

Dilapidation Report

Browse

Statement/certificate verifying that all other alternative support solutions have been investigated and has been found not to be feasible *

Browse

Must be from a qualified Structural or Geotechnical Engineer

Statement/certificate confirming that the rock anchors detailed has been designed structurally sound and located safely away from all utility services *

Browse

Must be from a qualified Structural or Geotechnical Engineer

Construction drawing *

Browse

Showing the proposed rock anchors in both plan and sectional view with dimensions, and all utility services plotted in plan.

Public Liability Insurance *

Browse

($20,000,000 minimum)

Letter of approval from RMS

Browse

RMS approval is required for all arterial roads

Applicant Details and Declaration

Surname *

First Name *

Email address: *

Contact number: *

Company name:

Mailing address *

Suburb *

Postcode *

I declare that I have supplied all required documentation, in order to prevent delays in the processing of my/this application. I agree to the payment of fees, charges. I understand the following conditons regarding the holding deposit:

Refund of Holding Deposit must be m ade in writing to Council addressed to the Investigation and Design Engineer. This Holding Deposit may only be refunded in full when the A pplicant/Developer’s qualified Structural or Geotechnical Engineer provides Certification to Council stating that the rock anchors have been completely de-stressed or removed and that there has been no damage to Council land or utility services as a result.
If damage has been caused, it must be rectified immediately at the Applicant/Developer’s expense before the Deposit can be released . Alternatively,Council may repair the damage using funds from the Holding Deposit.
I have read and understood the Rock Anchor Policy

Applicant Signature *

Draw signature|Type signatureClear

Date signed *

DAMAGE DEPOSIT/ BOND APPLICATION FORM

Use this form when making payment for a damage deposit or bond

Property Details

Property Address: *

Lot:

DP:

SP:

Applicant details (to whom the future refund will be released)

Surname: *

First name: *

Email: *

Contact phone number: *

Postal Address: *

Refund method

I wish to nominate the following method of refund: *

ChequeEFTCredit Card* (Not available for all refunds)

* Refund to the same credit card is the default method available only for damage deposit/bonds paid via Council’s eServices online portal. The card must be valid and current at the time of refund.

EFT account details

EFT account name

BSB number

Account number

1. I hereby state that the above information is true and correct;

2. I am the person responsible for making this damage deposit/bond payment and am the authorised person to receive the refund;

3. I will advise the City of Canada Bay Council of any changes to my address; bank account; or credit card, and understand that failure to update these details may delay payment of the refund at a later date.

Declaration

Signature *

Draw signature|Type signatureClear

Date *

Rams - RDApproval

(For Internal Use Only)

RockAnchr, RckAnchEa