Temporary traffic signal permit

Section A
Application for the use of Portable Traffic Signals
Request permission from the Roads Authority for the use of 2 way portable light signals and to request confirmation that specific site approval is NOT required
YesNo
Apply to the Roads Authority for portable light signal site approval (where a junction is involved)
YesNo
Request a portable light signal design and approval
YesNo

Section D
Location of Works
Address
City
County
OS Grid Reference
Traffic Sensitive?
YesNo
Will there be a road junction between the signal heads?
YesNo
If YES please upload an OS plan 1:1250 or 1:2,500 scale indicating the work area and traffic control arrangements
Purpose of works
Are these works urgent?
YesNo
Works carried out FROM (date)
Works being carried out FROM (time)

Hours

Minutes

Seconds

AM/PM
Works carried out TO (date)
Works being carried out TO (time)

Hours

Minutes

Seconds

AM/PM
Proposed signal operation
Working Day24 HoursNightOff Peak
Remarks

Section E - Declaration
I agree to meet all reasonable costs incurred by the Roads Authority in respect of the connection, operation and disconnection of the signals and in respect of giving emergency attention in the event that the 'emergency contacts' cannot be reached or are unable to rectify any fault within 2 hours of the first notification that the signals or associated signing are faulty. It should be noted that the Roads Authority and its employees in no way accept responsibility for any claims or demands which may be brought against it by third parties in any way by virtue of the installation operation or emergency rectification of these signals.
Name

First name

Last name
Date
On behalf of
Application must not be taken as approval

Location	Application forms	Cost
East Ayrshire	PTS1 Portable Traffic Signal Application and Conditions	Temporary Traffic Signals for Utility Company works (2 way and not at junction) £0 Temporary Traffic Signals for non Utility Company works (2 way and not at junction) £113 Temporary Traffic Signals up to 30 days (3 way or more) £113 Temporary Traffic Signals 31 - 90 days (3 way or more) £168
South Ayrshire	PTS1 Portable Traffic Signal Application and Conditions	Temporary Traffic Signals for Utility Company works (2 way and not at junction) £0 Temporary Traffic Signals for non Utility Company works (2 way and not at junction) £113 Temporary Traffic Signals up to 30 days (3 way or more) £113 Temporary Traffic Signals 31 - 90 days (3 way or more) £157

Phone	01563 503 160
Email	enquiries@ayrshireroadsalliance.org
Address	Ayrshire Roads Alliance The Opera House 8 John Finnie Street Kilmarnock KA1 1DD

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