Section 171 form

Section 171 - Occupying the Public Highway

Step 1 of 3

Contractor details
Name
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
Location of work
Please provide a clear description as to exactly where on the public highway this is, including a postcode. For example, verge, footway, road.
Grid references
Please include easting and northing
Proposed start date
• 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.
Date Format: MM slash DD slash YYYY
Proposed end date
Date Format: MM slash DD slash YYYY
Plan of location with work, dimensions, and traffic management
You may attach a copy of the sketch plan approved by the planning office
Traffic management
- Stop/Go boards (daylight hours only)
- Traffic signals
- Give and take
- Traffic management for pedestrians - alternative route
- Traffic management for pedestrians - ramp

Declaration
Declaration
I declare that the authorised activity will be undertaken in accordance with the specification, conditions and traffic management plan by qualified operatives. 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 and one Chapter 8 accredited Supervisor, 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.
Form security

Privacy – 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.

Section 171 form

Section 171 - Occupying the Public Highway

Step 1 of 3

Contractor details

The work

Declaration