Permission to Execute Works - Notification of Reinstatement

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 )
Registration details of the roadworks
Purpose of roadworks
Location of roadworks (please include Address, Street Name, Town and Road Number)

Reinstatement Details
Detail each reinstatement individually (note: Interim reinstatements are for a maximum period of 6 months)
Site 1
Site specific location
Surface location
CarriagewayFootwayFootpathCyclewayVerge
Aparatus depth
Less than 1.5 metresGreater than 1.5 metres
Surface type
Hot Rolled AsphaltAsphalt ConcreteGranolithic ConcreteSettsFlagsBlock PavingTopsoil
Length (m)
Width (m)
Area (sq m)
Reinstatement Completion Date (dd/mm/yyyy)

Site 2
Site specific location
Surface location
CarriagewayFootwayFootpathCyclewayVerge
Aparatus depth
Less than 1.5 metresGreater than 1.5 metres
Surface type
Hot Rolled AsphaltAsphalt ConcreteGranolithic ConcreteSettsFlagsBlock PavingTopsoil
Length (m)
Width (m)
Area (sq m)
Reinstatement Completion Date (dd/mm/yyyy)

Site 3
Site specific location
Surface location
CarriagewayFootwayFootpathCyclewayVerge
Aparatus depth
Less than 1.5 metresGreater than 1.5 metres
Surface type
Hot Rolled AsphaltAsphalt ConcreteGranolithic ConcreteSettsFlagsBlock PavingTopsoil
Length (m)
Width (m)
Area (sq m)
Reinstatement Completion Date (dd/mm/yyyy)

Declaration
I declare that the details I have given are correct to the best of my knowledge.
Yes
General Data Protection Regulation (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
Name

First name

Last name
Date (dd/mm/yyyy)

Apply