Please Note: Any works requiring a Temporary Traffic Regulation Order are classed as Major Works and will therefore require Three Months Notice regardless of the works duration Proposed Start Date Estimated End Date Traffic Management Give & Take Priority Boards Stop/Go Boards (Additional Paperwork will be required) Two Way Traffic Lights (Additional Paperwork will be required) Multi Way Traffic Lights (Additional Paperwork will be required) Road Closure (Additional Paperwork and Charges will be applicable) Other : (Please give a description) Working Hours: Normal Working Hours 08:00 to 16:30 School Route 09:30 to 14:30 Commuter Route 09:30 to 16:00 Most Sensitive Route 19:00 to 07:00 (Please State): Comments: Contractors Signature: Date: N3 (Actual Start & Revised Duration) New Roads & Street Works Act 1991 (Section 74) Traffic Management Act 2004 Notification & Responses To: Street Works, Cornwall Council, Western Group Centre, Radnor Road, Scorrier, TR16 5EH Tel: 0300 1234 222, Email: From: (Contractor) Telephone Number: Address: Site Details Property Name/Number: Road Name: Locality/Town Post Code: Works Details Description: Licence Number: Location of Excavation: Carriageway Footway Verge Method of Excavation: Mechanical Hand Bore Dates Actual Start Date (Must be received by 16:30 hours the first working day after the works have started) Estimated End Date Revised Duration (To be submitted by 16:30 hours no later than the last day of your original licence period) Actual Start Date Revised End Date
Contractors Signature: Date: R1 (Actual Stop & Registration) New Roads & Street Works Act 1991 (Section 74) Traffic Management Act 2004 Notification & Responses To: Street Works, Cornwall Council, Western Group Centre, Radnor Road, Scorrier, TR16 5EH Tel: 0300 1234 222, Email: From: (Contractor) Telephone Number: Email Address: Site Details Property Name/Number: Road Name: Locality/Town Post Code: Details Works Description: Licence Number: Location of Excavation: Carriageway Footway Verge Method of Excavation: Mechanical Hand Bore Dates Actual Start Date Actual End Date Please List any other Apparatus encountered: Comments: Reinstatement Details Site Location Length (m) (m) Carriageway (C) Footway (F) Verge (V) Depth of Cover to Apparatus Interim Completion Date Permanent Completion Date 1 2
3 4 5 6 Contractors Signature: Date: Application for Revised Dates Re-submitted Application TO: Cornwall Council, Streetworks Section Statutory Undertaker Applying Radnor Road OFFICER NAME: Scorrier ADDRESS: Redruth TR16 5EH Phone: 0300 1234222 Phone: Email: streetworks@cornwall.gov.uk Fax: EToN REF: Immediate Works Y N Planned Works Y N LOCATION DETAILS ROAD NUMBER (A & B Only): LOCATION: STREET NAME or USRN/S: TOWN: GRID REF - EASTING: GRID REF- NORTHING: SITE SETUP DOES SITE CONTAIN A JUNCTION? Comments: Y N DOES THIS AFFECT PERMANENT SIGNALS OR PEDESTRIAN CROSSING? Comments: Y N Has the Highway Authority been contacted to agree switching / bagging these lights off Y N Is there an effect on other matters? (E.g. trams / bus lane/bus stop / pedestrian crossing point/ parking bays) Y N Comments: Number of Signal heads S/G 2 3 4 WORK DETAILS DATE: FINISH DATE: Days in use (working) : TIMING OF TRAFFIC LIGHT USE - Tick Applicable Boxes Or Enter Details 24 hrs Night 19:00 Off Peak Comments/Details: Weekday Weekends Have unsocial working hours been confirmed with relevant Environment Health departments? Y N WORKS DESCRIPTION: EMERGENCY/OUT OF HOURS CONTACT – For Traffic Management /Signal Failure NAME: ORGANISATION: TEL: DECLARATION I have completed ALL the above sections, have read, understood and agree to the Notes on Portable Traffic Signals and have provided any additional information as required. I understand that incomplete Applications will be refused and will notify the Street Authority if any change is made to the date or time given on this Application. I understand that as part of this agreement, it is a mandatory condition to have stop/go boards available on site whilst works are ongoing in case of signal failure. I also confirm that the maximum site length will be no more then 300m. I understand that the individual authority may impose a charge for turning off any permanent signals required to facilitate my works. I confirm that 1 scale site plan (minimum requirement) has been attached to this application. I confirm that any unsocial working hours have been agreed with the relevant Environmental Health Departments. NAME: DATE: