Road Reserve Opening by Private Contractor V2.0

ROAD RESERVE OPENING PERMIT BY PRIVATE CONTRACTOR APPLICATION

S.138, ROADS ACT 1993

For your information – PLEASE READ

Works on behalf of a Utility Company - If you are carrying out road &/or footpath works on behalf of a Utility, please refer to the ‘Road and/or footpath opening by contractor on behalf of a Utility company information sheet’ before lodgement of this application.

Prior to Lodgement of this Application - You are highly advised to read and familiarise yourself with Council’s ‘Road and footpath opening fact sheet’ prior to lodgement of this application.

Lodgement is required no more than one month prior to works scheduled to take place. The permit will only be valid for the nominated period which shall be no more than 7 days, unless justified.

The fee for this application is as per Council's Fees & Charges.

This application is to seek permission to carry out a road opening in Council owned land (which includes road reserve, footpath and nature strip).

Please be advised that the type of application, that is Temporary or Permanent will be determined upon a site meeting with Council’s inspector and the issuing of the Cost of Works. If it is determined as a Permanent application you will asked to provide the contractors public liability and licence who will performing the permanent restoration.
This application may take up to fourteen (14) business days for assessment and processing, except in difficult matters for assessment and processing. The applicant must allow for this in planning any works.
This application is not an automatic consent. Your application will be assessed to determine whether conditional consent may be granted. Council’s Infrastructure Services Team will contact the applicant to arrange a joint inspection to determine the site area and cost of works upon the application being successful. Once the identified costs have been paid, written consent to carry out works shall be issued to the applicant. If an application is refused, the applicant will be notified in writing via email.
If the applicant requires confirmation of the finalisation of this permit this will be at an additional cost. The confirmation of finalisation releases you from any further liability for the road opening once permanent restoration is completed.
Any works on a state road, regional road or within 100m of traffic signals requires a Road Occupancy License (ROL) to be obtained from Transport for NSW (TfNSW). A copy of the ROL must be attached when submitting this application to Council.

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

If you do not have a Council CDC or LGA no, you are required to gain approval through the lodgement of an Application for the approval of an activity Section 68 - Part B.

Application Fees

A minimum of fourteen (14) business days’ notice shall be given to Council prior to works being undertaken.

Should emergency works be required in less than 14 days, an additional urgency fee will be applicable as per Council's Fees & Charges.

Please specify *

Is this application part of a Development Application (DA?) *

Yes No

Please provide DA application number: *

Is this application in relation to a Complying Development Certification (CDC)? *

YesNo

Please provide Council CDC number: *

Type of Asset affected *

Road PavementFootpathKerb & GutterVehicular Crossing

This fee is non-refundable once the Road Reserve Opening Permit has been issued, even if the works do not proceed by the applicant.

Type of Dwelling *

New DwellingExisting

Please provide LGA No: *

A Section 68 is required for this application. If you have not applied and received a reference number beginning with ‘LGA’ this application cannot be processed. Please apply for a Section 68 here.

Vehicular Crossing application *

Please provide size of Road pavement *Sqm

Please provide size of Footpath *Sqm

Please provide area of Kerb & Gutter or Stormwater *Lin m

Restoration Fees

Please refer to Fees and Charges.

Confirmation of Finalisation of Road Reserve Opening Permit

An additional fee applies, as per Council's Fees & Charges.

Do you require a confirmation of the finalisation of this permit? *

YesNo

This releases you from any further liability for the road opening once Council completes the permanent restoration.

Site Address (Where works will be undertaken)

Site contact name: *

Site Contact mobile: *

House No.If applicable

From (Street Name) *

To: (Street Name) *

Site Suburb: *

Site postcode: *

Site Lot: *

Site DP: *

SP *

Sec: *

Applicant Details

Surname *

First Name *

Email *

Contact number: *

Company name

Company address *

Suburb *

Postcode *

Reason for opening

Description and details of proposed works: *

Please upload a copy of your Approved Construction Drawings *

Browse

Start date of opening period *This permit will only be valid for the nominated period which shall be no more than 7 days, unless justified

End date of opening period *

Contractors details

Should you change your contractor after the permit is issued and before works commence, you will be required to lodge a “ Change of Private Contractor” application and pay the associated fee).

Full name of contractor: *

Contractor email *

Contractor phone number: *

Company name: *

Contractor Address: *

Suburb: *

Postcode: *

Contractor public liability *

Browse

Must be to the value of $20 Million for a period of six (6) months

Contractor licence *

Browse

Must be valid for a minimum of 6 months

State Roads (These applications go to Transport for NSW)

Marlborough Street, DRUMMOYNE, Westbourne Street, DRUMMOYNE, Bayswater Street, DRUMMOYNE, Ramsay Road FIVE DOCK , Homebush Bay Drive, Gipps Street/Patterson Street, CONCORD, Queens Road, FIVE DOCK, Leicester Avenue between Parramatta Road and Raw Square, Fairlight Street between Ramsay Road and Great North Road, Parramatta Road, Lyons Road between Great North Road and Victoria Road, Victoria Road, Great North Road between Parramatta Road and Lyons Road, Concord Road.

Owners Consent

Please ensure all property owners sign the owners consent.

Is the owner a company/strata company? *

YesNo

Full Company Name *

Company Owner Signature *

Draw signature|Type signatureClear

Please upload a copy of your strata seal

Browse

Owner 1 Full Name *

Owner 1 Signature *

Draw signature|Type signatureClear

Owner 2 Full Name *

Owner 2 Signature *

Draw signature|Type signatureClear

Owner 3 Full Name *

Owner 3 Signature *

Draw signature|Type signatureClear

Owner 4 Full Name *

Owner 4 Signature *

Draw signature|Type signatureClear

Owner 5 Full Name *

Owner 5 Signature *

Draw signature|Type signatureClear

Please upload a letter of consent with ALL names/signatures of owners *

Browse

Additional documents required

Copy of Dial before you Dig cover sheet *

Browse

Please include sequence numbers for Telstra, Ausgrid/Energy Australia, etc.

Traffic Guidance Scheme *

Browse

This MUST be certified by a suitably qualified Prepare Work Zone ticket holder. Failure to do so will result in the application being rejected, and application fees not refunded.

Copy of plans/detailed diagram of proposed works

Browse

Location of opening clearly shown in relation to existing addresses and all assets within vicinity, proposed opening is clearly shown and dimensioned. Proposed manholes/boxes clearly shown and dimensioned. Assets include: trees, landscaping, road pavement, kerb and channel, footpaths, drains, service authority assets and private assets affected by the works.

Copy of Road Occupancy Licence (ROL)

Browse

If proposed works are on a STATE ROAD (See list above)

Copy of External approvals/permits (1)

Browse

i.e. RMS, STA, NSW Police, Utility Authority

Copy of External approvals/permits (2)

Browse

i.e. RMS, STA, NSW Police, Utility Authority

Applicant declaration

I hereby acknowledge that submission of this form does not permit me to commence any works. I will only undertake works once written consent has been received from Council. I have read and understand the Terms & Conditions that apply to this form as well as Council’s Specifications for Road Openings. All information provided on this form is known to be true and correct.

Applicant Signature *

Draw signature|Type signatureClear

Date signed *

Rams - RDApproval

(For Internal Use Only)

RoadOpenAp, ROPConfirm, ROPDAInsp, RdInteg