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Place materials on the road (Section 171)
Place materials on the road (Section 171)
Place materials on the road (section 171)
1
Data protection
2
Contractor detail
3
The work
4
Location of work
5
Dates
6
Declaration
Data protection
The information which you provide on this form will be held by Devon County Council. This information will be used for the purpose(s) of administering your request for a section 171. We intend to keep the information which you provide for 6 years. This information will be held securely and will not be disclosed to anyone without your permission. The information which you provide will be destroyed in a secure manner when the retention period has expired. More information about how we process your data under GDPR is available in the
privacy notice for highway licences
.
Contractor details
Company name
*
Address
*
Phone
*
Phone
24hr emergency number if different to above
Email
The work
Clear description of the nature of the work and why the use of the public highway is required
*
Please provide details of what type of materials are being stored and also the existing road width and what the road will be reduced to once materials are on site
Traffic management
*
Stop/Go boards (daylight hours only)
Traffic signals
Give and take
Road Closure - a separate application is required at least 12 weeks in advance
Traffic management for pedestrians - alternative route
Traffic management for pedestrians - ramp
Other
Other - please specify
*
Location
Location of work
*
Please provide a clear description of the location of the proposed works, including a postcode and where on the public highway it is situated. For example, verge, footway, road.
Grid references
*
Please include easting and northing
Plan of location with dimensions, traffic management and proposed use
*
Please allow 20 working days’ notice for applications which are 1-10 calendar days’ (Standard).
A minimum of 3 months’ notice is required for applications which are 11+ calendar days’ (Major).
If you make the request with fewer than 20 working days’ notice, we may still grant the licence, but only for a genuine emergency which endangers life or is a risk to property.
Proposed start date
*
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Proposed end date
*
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Declaration
I declare that the authorised activity will be undertaken in accordance with the specification, conditions and traffic management plan by qualified operatives.
If I am working on private property, I can confirm I have permission from the owner.
Any road closure application has been applied for separately.
I understand that I am responsible for signing and guarding and maintenance of the site in accordance with Chapter 8 and the Code of Practice for Safety at Street Works and Road Works for 24 hours a day.
I declare that my public liability insurance is current and cover is at least £5 million.
I can confirm I have at least one Chapter 8 accredited Operative (who will be on site at all times) and one Chapter 8 accredited Supervisor (who will be available if required), roles of which are held by two separate persons. Operatives erecting any traffic management are Chapter 8 accredited.
I have read and understood the
conditions
detailed on the website, and will adhere to all responsibilities, conditions and duties required by Devon County Council.
I am in a position of responsibility in relation to the activity proposed.
If this application is approved I will abide by the conditions and requirements of the County Council for the approved activity and will not commence works until I have received a licence of consent confirming the start and end date.
Please confirm that you understand and accept all statements above
*
I declare all the above information is true to the best of my knowledge
CAPTCHA
Comments
This field is for validation purposes and should be left unchanged.
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