Applications to be sent to 25 working days in advance of the proposed Start Date for the Works
If there is a side junction within the affected area, what is the street name? / ______
Proposed period of use: / Date from: / Date to:
24 Hour Use Yes/No - Daytime Use Yes/No – Hours of Use (24 Hour Clock)
Works Promoter:
Address: / NRSWA Notice No.
Telephone No: / Fax No:
Traffic Signal Owner:
Address:
Telephone No: / Fax No:
Name of Person
responsible for maintenance at all times / During working hours: / After working hours:
Telephone No:
Site Description: / (A traffic management plan MUST be submitted if other than shuttle system required)
Street Name:
Location:
Approx. length of restriction: / m
Signals to control junctions shall not be used until written authorisation from the Highway Authority has been given to the Works Promoter and Applicant, except during an emergency situation, where a retrospective application can be made. Advance “Temporary Signal” warning signs to be erected on Traffic Sensitive roads two weeks before works commence. A completed TMP002 form to accompany all applications, i.e. those areas indicated in blue. I agree to the payment of £160 (VAT Exempt) for the authorisation of junction controlled signals to include timing calculation checks and any required site visits. NB Fees and charges are reviewed annually.
Applicant’s Authorised Signatory / Date:
If your application is approved, a copy of this form will be sent to the Chief Constable.
REGULATIONS AND REQUIREMENTS
Any person completing this application form should be aware of the following:The Road Traffic Regulation Act 1984.
The Traffic Signs Regulations and General Directions 2002.
Department for Transport Departmental Standard TD 21/85.
Traffic Signs Manual, Chapter 8
The contents of these publications are such that, any temporary signal used on the highway, must be of an approved design and marked with the appropriate crown label.
The signals must be in full working order and must be used in the VEHICLE ACTUATION mode at all times, unless written approval is obtained from the Highway Authority. Any requests for fixed time or manual operations of the signals should be made separately, but may be attached to this application form.
Birmingham City Council, Highways, 1 Lancaster Circus Queensway, Birmingham B4 7DQ
Your co-ordinator is Fiona Kane and she can be reached on
Tel: 0121 303 7202, Fax: 0121 303 1324, E Mail:
October 2008