Permission to Execute Works - Application

NEW ROADS AND STREETWORKS ACT 1991 ("the Act") PART IV SECTION 109
FOR THE PURPOSE OF PLACING, MAINTAINING, ADJUSTING OR REMOVING APPARATUS IN, OR UNDER A ROAD ( INCLUDING EXCAVATING IN OR BORING UNDER THE ROAD )
1. Application Details
Name and Address of Applicant(s)
Name

First name

Last name
Address

Address Line 1

Address Line 2

City

County

Postcode

Country
Phone
Email

6. Proposed site traffic management
ContraflowConvoy workingGive and take traffic controlDual carriageway lane closureNo obstruction on carriageway or footwayPortable traffic signalsPriority system traffic controlRoad closureRoad narrowingSlip road closureStop / Go traffic controlWorks entirely on footway
Proposed site traffic management operation
Continuously (24 Hours)Off peak only

7. Upload documents
Upload a copy of public liability insurance (minimum indemnity £5m for any one incident)
Upload Supervisors and Operatives street works qualifications
Upload a copy of consent to connect to statutory undertaker apparatus

8. Declaration
GDPR
Under GDPR, we now have to supply data subjects with Privacy Notices that contain significantly more information than previously required under the Data Protection Act 1998. This is in order to meet new requirements about being transparent and providing accessible information to customers/individuals about how you are going to use their personal data so that they are fully informed and are aware of how they can exercise their rights under GDPR.
I hereby confirm that I give permission to the processing of my personal data
Yes
I/we agree to ensure works are supervised by a person having a prescribed qualification as a supervisor, and that there is on site at all times, when the works are in progress, at least one person having a prescribed qualification as a trained operative.
Yes
I/we agree to abide by the inspection process over the course of the guarantee period and carry out remedial works as directed.
Yes

I/we have read the Permission to Execute Roadworks - Notes for guidance
Yes
I/we accept the Fee of £ 270 (£ 162 for processing the application, plus £ 108 for inspection fees) and understand that additional inspection fees and costs may become due, as explained in the Permission to Execute Roadworks - Notes for Guidance.
Yes
I/we confirm I/we will pay any such additional inspection fees and costs in the timescales specified subject to the undertaking of any additional inspections by the Roads Authority being in complience with the New Roads and Street Works Act 1991.
Yes
I/we accept that tacit consent will not apply to this application.
Yes
I/we accept that any permission granted will be subject to the Standard Conditions and any Special Conditions which may be imposed and that I/we must accept and abide by those conditions for permission to remain valid.
Yes
I/we accept that any approval required for traffic management permits is not granted within the Section 109 permission and MUST be applied for separately
Yes
I/we accept that by electronically signing this declaration I/we will burden the successor to the Title of the property with the conditions of any permission which may be granted and I/we will subsequently record the conditions as part of that Title.
Yes
Electronic Signature
Date (dd/mm/yyyy)

Apply