Road works permit |

Please complete this form to apply for a road works permit to undertake excavation 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 City State Post code

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

Max. file size: 64 MB.

Public liability insurance

If applicable, please upload a certificate of currency for public liability insurance

Max. file size: 64 MB.

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

Max. file size: 64 MB.

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

Applicant details

Contractor details

Proposed works

Supporting documents

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