Works Within Road Reserve (Vehicle crossing / Nature strip landscaping) application form

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Works Within Road Reserve (Vehicle crossing / Nature strip landscaping) application form

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Enquiries to 03 5434 6370 or [email protected]

Fee:$88.90 (current 1/7/2019 - 30/6/2020)

An invoice will be generated to the applicant after a permit is issued. You may be charged twice if payment is made before you receive an invoice as these payments cannot be tracked

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Applicant Details

Applicant/Company*

Contact Person

Postal Address*

Address Line 1

Address Line 2

City

State

Postcode

Phone

Email*

Select the role that best describes you*

Owner Occupier Builder Contractor

Details of the work

Your reference (if applicable)

Please select*

Vehicle crossing Landscaping Other

If other please specify

Start Date

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Day

Month

Year

End Date

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Day

Month

Year

*Note: Unless under exceptional circumstances, permits will not be issued for longer than one month

Address of works*

Address Line 1

Address Line 2

City

State

Postcode

Nearest intersection (for works in rural areas)

Stormwater within 1 metre of vehicle crossing ?*

Yes No N/A

Any trees within 2 metres of vehicle crossing ?*

Yes No N/A

Gas/Water conduit in the vicinity of vehicle crossing ?*

Yes No N/A

Items to attach:

Sketch Plan: A copy of a sketch plan (may use house plan, neat hand drawn plan, etc…) showing the proposed work and all assets within the vicinity must be provided. Assets include all trees, landscaping, road pavement, kerb & channel, footpaths, drains, service authority assets and private assets.

Upload File* No File Chosen

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Works manager details

Works managers name*

Works managers address

Address Line 1

Address Line 2

City

State

Postcode

Site contact

Contact phone number*

Insurance Underwriter*

If details are not provided, consent will not be granted

Expiry date of the policy*

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Day

Month

Year

You must provide this information

Works manager responsibilities:

1) An infrastructure manager or a works manager must have regard to the principles specified in this clause in the provision of non-road infrastructure on roads.

2) The primary purpose of a road is use by members of the public and authorised users must be managed as far as is reasonably practicable in such a way as to minimise any adverse impacts on primary purpose.

3) Without limiting the generality of sub-clause (2), authorised users must be managed so as to -

a. minimise any damages to roads and rail infrastructure;

b. ensure the works necessary for the provision of non-road infrastructure are conducted as quickly as practicable;

c. minimise any disruption to road users;

d. minimise any risk to the safety and property of road users and the public generally;

e. facilitate the design and installation of infrastructure which minimises any risk to the safety of road users;

f. ensure that the road and any other infrastructure is reinstated as nearly as practicable to the condition existing before the works necessary for the provision of the non-road infrastructure were conducted;

g. protect and preserve existing significant roadside vegetation and sites of biological significance within the road reserve.

(Road Management Act - Schedule 7, Sec 14)

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Please fill in a valid value for all required fields

Please ensure all values are in a proper format.

Are you sure you want to leave this form and resume later?

Are you sure you want to leave this form and resume later? If so, please enter a password below to securely save your form.

Save and Resume Later

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You must upload one of the following file types for the selected field:

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Submit Form

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Please check the field:

referrer*

We welcome your feedback.

Did you know you can log requests online?

This includes several bin requests such as missed bins, footpath maintenance, tree inspections and general requests. Visit our make a request page.

Feedback*

Name*

First Name*

Last Name*

Email*

Phone*

Address / Location

Do you want us to contact you?*

Yes No

Preferred contact method*

Email Phone

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