Comhairle Chontae Chill Dara
Kildare County Council
Form of Application and Agreement
Re: Public Road, Street, Footpath & Grass Verge Opening
I/We ______
hereby apply to you for consent to open up the public road, street, footpath or grass verge at
______
______
for the purpose of ______
and on such consent being granted, I/we do hereby covenant, promise and agree with Kildare County Council (hereinafter called the Council) to execute such work subject to the terms and conditions following, and to complete such works within a period of ______days from the date of receipt of permission to connect. The work is to be carried out without stoppages.
I hereby agree to pay any sums in relation to road restoration (if applicable).
Name of Contractor carrying out the work ______
(NB – Please note requirements for Insurance in Section 11)
PUBLIC ROADS OPENING CONDITIONS
1. To protect, light, watch and take every precaution against accidents and interruption of traffic from the commencement of the work until completion, and to be wholly responsible during the progress of said work for the safety of the public and of all traffic of every description along the roads where work is being done.
2. To indemnify and hold harmless the Council from all losses, actions, claims and demands whatsoever of all persons whomsoever to be in any way sustained or made for by reason or in consequence of said work.
3. The filling in of trenches and of surfaces shall be done in regular layers of not more than 150mm deep at a time-each layer to be well rammed. In the temporary restoration of travelling surface of any roadway, street or footpath the top layer of filling shall be 150mm deep of stone broken to 50mm gauge, finishing fair with existing surface adjoining, and to be attended from time to time afterwards as it may happen to sink or until the final restoration of the surface is completed by the Council. The surface of such temporary restoration shall be sealed with bitumen and chippings or by the use of bitumen macadam.
4. In the case of National and Regional Roads where the depth of the new pipe or service is less than 900mm, the temporary restoration shall be carried out with lean mix concrete to within 300mm of the final road surface. The final 300mm shall be backfilled in the manner described at Condition No. 3 above.
5. In filling trenches (except in the case of grass margins) no clay or other soft material shall be used in the top 120mm. Any road margins shall be restored to their previous condition, and if in grass the parts broken shall be sodded over.
6. The efficiency of any existing gully, pipe, drain, catch pit grating, outlet or any other underground work shall not be injured by any proposed trenches, manholes, pipes, conduits, cables etc. Electric cables and connections shall have at least 750mm cover when laid under road channels and at least 450mm when under footpaths. Electric cables or conduits shall be covered by means of suitable warning tile. Water pipes, gas pipes and drain pipes shall have at least 600mm cover when laid under road or channels and at least 450mm when laid under footpaths.
7. When an opening is made for the purpose of a connection with the Council’s watermain or sewer, the work shall be done in accordance with the Council’s Bye-Laws and Regulations.
8. Any paved channels or footpaths disturbed shall be restored in accordance with the directions of, and to the satisfaction of, the Senior Engineer, Road Maintenance.
9. To carry out any direction or requirement of the Senior Engineer in the execution of the said works to the satisfaction of the Senior Engineer. For the purpose of carrying out the final restoration of the road, street, footpath or grass verge surface, I/we hereby agree to lodge with the Council, a sum to cover the road restoration as may be required by the Senior Engineer. In the event of the payment being insufficient to meet the charges, I agree to pay such additional reasonable charges as may be determined.
10. Where damage is caused to any Kildare County Council service in connection with these works, I agree to pay in full the sum claimed by Kildare County Council to rectify this damage.
11. Notify relevant Engineer when work is completed. Area Engineers telephone numbers;
Maynooth – Northern Area – 01-6286236
Athy – Southern Area – 05986-31329
Naas – Eastern Area – 045-980425
Kildare – Western Area – 045-437556
Clane – Clane Area – 045-892695
12.INSURANCE
Limited Companies or Contractors must produce written confirmation of their insurances from their Insurance Company or Broker (See Questionnaire on following page). A copy of their insurance policy may also be submitted.
13. Submit a Site Location Map (scale 1:2500) with the position of the proposed opening marked clearly in RED.
PLEASE NOTE THAT YOUR APPLICATION CANNOT BE DEALT WITH UNLESS ACCOMPANIED BY THE APPROPRIATE MAP.
14. Length of roadway to be opened ______
I AGREE TO BE BOUND BY ALL THE CONDITIONS PERTAINING TO THIS APPLICATION, IN ALL RESPECTS.
Signature of Applicant(s) ______
Name(s) (Block Capitals) ______
Address (Block Capitals) ______
Telephone Number(s) ______
Date ______
RETURN COMPLETED FORM ALONG WITH WATER/SEWERAGE CONNECTION APPLICATION FORM TO :
KILDARECOUNTY COUNCIL, ORKILDARE COUNTY COUNCIL,
WATER SERVICES DEPARTMENT, WATERWORKS DEPARMENT,
ÁRAS CHILL DARA,C/O THE MACHINERY YARD,
DEVOYPARK,NEWBRIDGE,
NAAS,COUNTYKILDARE.
COUNTYKILDARE.(WATER CONNECTIONS ONLY)
(WATER & SEWERAGE CONNECTIONS)
(A)PUBLIC LIABILITY
1. Title of insured as shown on policy ______
2. Description of business as shown on policy ______
3. Limit of indemnity for any one accident ______(at least €6.4 million)
4. Confirm “Yes” that the policy extends to provide indemnity to Kildare County Council ______
5. Confirm “Yes” that the cover operates for claims arising from damage to underground services ____
6. Any restrictive endorsements/conditions? ______
7. Confirm “Yes” that the policy operates in relation to claims arising from the opening of the road
______(a) until such time as Kildare County Council assume responsibility for the locus ______
(b) state location ______
8. Policy Renewal Date ______
9. Confirm “Yes” that the above policy will be kept in force and that Kildare County Council will be notified if the policy lapses ______
(B)MOTOR POLICY
1. Title of insured as shown on policy ______
2. Description of business as shown on policy ______
3. Limit of indemnity in any one accident for Third Party Property Damage (at least €6.4 million)
______
4. Confirm “Yes” that the policy extends to provide an indemnity to Kildare County Council ______
5. Confirm “Yes” that the cover operates for claims arising from damage to underground services ____
6. Policy Renewal Date ______
SIGNED ON BEHALF OF INSURANCE COMPANY/INSURANCE BROKER
Signature ______
Name of Company ______
Company Stamp
FOR OFFICE USE ONLY
TO: AREA ENGINEER ______DATE ______
AREA ENGINEER’S REPORT:
LONG-TERM DAMAGE FUND € ______
REFUNDABLE CASH DEPOSIT € ______
PROCESSING FEE € ______
SPECIAL CONDITIONS (IF ANY) ______
______
______
______
______
______
SIGNED ______AREA ENGINEER
TOTAL FEE € ______RECEIPT NO: ______
ROAD CONSENT NO: ______DATE RECEIVED: ______
200313 Version