Road Works

Please complete this form to apply for a road works permit to undertake works within a council road reservation, including property access works.

Road works permits require a fee upon application. The current fee is listed in the annual Council Fees & Charges Schedule. Please note that works must not be started within the road reservation until the works application is approved, fee paid in full and permit issued.

Applicant details

Name*

First Last

Business/Organisation:

If applicable

Phone*

Email*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Contractor details

Please provide contact details for the company undertaking the works

Company name

Contact name

First Last

Contact phone

Contact email

Proposed works

Works location*

Please type the name of the road and/or address of the works, including extent of works

Application type*

Please select which type works you are applying for

Property access
General works
Service works

Proposed start date*

Proposed completion date*

Access type*

Residential
Industrial & commercial
Rural
Property development

Development application number

For a property development access, please provide the DA number

Access works*

Amend an existing access
Construct a new access

What types of vehicles will use the proposed access*

Car
Bus
Truck
Semi-trailer
Other

Vehicle movements

How many vehicle movements per day (in and out) will there be through the proposed access?

Works description*

Please provide a brief description of works and any other comments

Supporting documents

Site plan / location map

Please upload a site plan / location map for your proposed works

Land title

If applicable, please upload a copy of the land title

Traffic management plan

If applicable, please upload a copy of your traffic management plan for the works. This must be prepared by a qualified operator in accordance with the requirements of Traffic Control for Works on Roads - Tasmanian Guide 2011 and AS1742.3

Declaration*

1. I agree to abide with all the conditions of this permit.
2. I acknowledge that this application is not valid until all application fees are paid in full.
3. I declare that all information provided in this application is true and correct.

I have read and agree to the declaration.

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Road Works Permit Application

Applicant details

Contractor details

Proposed works

Supporting documents

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