Permit number 1170
Road opening/Crossing permit
Date: / 05/11/07(Permit valid for three months) Note: A permit is required for each opening/crossingPlumber/Contractor: / Sam Brown (The permit holder)
Contact name: / Telephone(s):
Permit for: / Vehicle crossing/Drain tipping/Opening
At: / 16 Breaville Close, Breaville
Nearest intersecting street: / Elliot Street
Works to be carried out on: / 20/11/07 – 03/12/07 / Issued by: / R. Baker
Account name: / Sam Brown
Account address: / 16 Breaville Close, Breaville
Privacy statement
The personal information requested on this form is being collected for the purpose of engineering and land services management and is required under council local law no. 7. The personal information will be used solely by the council for that primary purpose or directly related purpose and will not be disclosed to any other party except as required by law. If you fail to provide this information your transactions with council cannot be processed. The applicant understands that the personal information provided is for engineering and land services management and that they may access the information held by contacting the engineering and environmental services manager on 9262 6395. / Permit fee: / $145
Deposit: / $500
Total: / $645
Not valid until this account paid to cashier.
Conditions under which permit is granted
1.General
a.The permit holder shall have a current public liability policy of insurance for an amount not less than five million dollars ($5,000,000).
b.The permit holder shall idemnify the council and its councillors and employees from and against all actions, claims, losses, damages, penalties and demands consequent upon, occasioned by, or arising from its performance or purported performance of its obligations under this permit.
c.The permit is valid for three months only.
d.The works shall be only those listed on the permit. The permit must be carried by the person executing the works covered by this permit at all times.
e.Non-compliance with these conditions may result in enforcement of council's local laws.
2.Inspections
a.The council shall inspect the following:
i.the base, formwork and reinforcement (if any) for concrete works
ii.drainage works prior to backfilling
iii.the site on completion of works.
b.Inspections will only be carried out between 8.00 am and 5.00 pm Monday to Friday.
c.Twenty-four hours notice shall be given to council when inspections are required.
d.Inspection times shall be arranged or amended by phoning the council.
e.Failure to arrange for council inspections will result in forfeiture of the permit deposit. Failure to advise of a change of day may result in additional inspection fee being deducted from the deposit.
3.Safety
a.The permit holder shall supply and erect any barriers, signs, lights etc to ensure the safety of all traffic, both vehicular and pedestrian and to protect the works from damage, in accordance with the VicRoads Roadworks Signing Code of Practice.
b.Interference to traffic shall be kept to a minimum and shall be to the satisfaction of the council.
4.Vehicle crossings
Vehicle crossings shall be constructed in accordance with the specifications for the Construction of Vehicle Crossings (Standard S105) and the relevant standard drawings. These are available from the Engineering & Environmental Services Department.
5.Works affecting bituminous and concrete surfaces
a.Thrust boring shall be used for the laying of services under all bituminous and concrete surfaces unless otherwise approved in writing by council.
b.Backfill shall be clean, Class 2 crushed rock, compacted in 150 mm layers and finished level with the surrounding surface. Excavated material shall be removed from the site daily.
c.Concrete paving shall be sawcut to the nearest joints and replaced in complete slabs or bays.
d.Reinstatement of bituminous and concrete surfaces may be arranged with council and the cost be deducted from the deposit.
e.All openings shall be completely backfilled at the end of each day's work.
f.Minimum cover for all services under road pavements shall be 0.6 metres.
6.Works affecting nature strips
a.All trenches below a line at 45 degrees from the bottom of the kerb and channel shall be backfilled with Class 2 crushed rock compacted in 150 mm layers.
b.Nature strips shall be resurfaced with a minimum of 100 mm of topsoil and seeded. The level of the topsoil shall be 40 mm above the surrounding surface.
7.Reinstatement
a.The permit holder shall reinstate the work site to the satisfaction of the council.
b.Should the permit holder fail to comply with any of the conditions, council may, without reference to the permit holder, carry out any work deemed necessary to maintain council's assets.
c.Should the costs incurred by council exceed the amount of the deposit, the permit holder shall reimburse council for the additional costs.
d.Full responsibility for any damage to public or private property caused as a result of the work carried out under this permit shall be borne by the permit holder.
© Commonwealth of Australia 20071