Application for Standing Plant Permit

Add: 48 Longueville Rd, Lane Cove Post: PO Box 20 Lane Cove 1595
Tel: (02) 9911 3555 Fax: (02) 9911 3600 Web: lanecove.nsw.gov.au Eml: [email protected]
Please allow at least five (5) business days to process this application.

Fees Full Day: $575.00 Half Day: $310.00

Note: In addition to application fee, a daily lost parking meter fee applies if the application is
T360
within the metered parking area.
Fees are valid until 30 June 2020.
(A 1% merchant fee (incl. GST) applies to all credit card payments)

Company Name: ……………………………..…… Name: .................................................

Applicant
Address: ……………………………………………………………………………………………..

Suburb: …………………………………………………………. Postcode: ……….………..

Telephone No: (BH) ………………………………… (AH) ……………………………….

Mobile: ………………………………………….. Fax: …………………………………………

Email:……………………………………………………………………………………………..

Location & Details of

Street: …………………………………………………………… Suburb: ………………………….
Plant
Roadside Location (eg. northern/ southern): ……………………………………………………….

Between Streets: ……………………….…………… and …………………………………………..

Suburb: …………………………………………………………………..……….…………………….

Plant Type: …………………………………………………Length of Plant: ……………………….

Other information: …………………………………………………………………….……………….

Reason/ Purpose: ……………………………………………………………………………………..

Requested Date/s: ……………………………. To …………………………………

Requested Time/s: ……………………………. To ………………………………..

Traffic Management
What is the site area to be cordoned for the plant? ……………………………………………….
Details
Does the site area for the plant encroach or interfere with the following:
a. Footpath Yes/ No b. Parking Lane Yes/ No c. Traffic Lane Yes/ No

Will a 3m wide traffic lane remain open for traffic at all times? Yes/ No
(If a temporary road closure is required, please also refer to the Application Form for
Temporary Road Closure. Additional fee applies.)

Will alternative arrangements be provided for the following?

a. Pedestrians Yes/ No b. Motorists Yes/ No
c. Property Access Yes/ No d. Bus Access Yes/ No
e. Emergency Vehicle Access Yes/ No f. Loading Zones Yes/ No
If yes, please provide type of arrangements:

……………………………………………………………………………………
……………………………………………………………………………………
……………………………………………………………………………………
…
28171/13 Rev 07/19 SU 6068
 Will RTA accredited traffic controllers be used to implement the Traffic Control Plan? Yes/ No
Traffic Control Plan
Has the NSW Police Service, Traffic Branch, Chatswood (9414 8499) been advised of the
proposed use and extent of the above plant? Yes/ No (Name of Officer: ………………………)

A Traffic Control Plan is required to be submitted with this application.

The Traffic Control Plan must be in accordance with AS 1742.3 – 1996 illustrating site area
and position of plant, all signage and traffic control devices that are to be used. Attached:
Yes/ No

A copy of the company’s Public Liability Insurance must be submitted with this application
(value to exceed $10 million and must be current). Attached: Yes/ No

Privacy
Under the Privacy or Personal Information Protection Act (PPIPA), Council is required to
advise you that personal information being collected from you in relation to this matter will
only be used for the lawful and proper functions of Council. Any such use will be in
accordance with this Act and its associated Management Plan and Codes.

Declaration by
I certify that our Traffic Control Plan complies with AS 1742.3 – 1996 and all work cover
Applicant
requirements. In addition, I will ensure that the site is controlled as described in the attached
Traffic Control Plan and will comply with all conditions of approval.

Signed: …………………………………………………… Dated: ……………………………….

Conditions of
1. This permit is to be in the possession of the Plant Operator on site at all times and
Consent
must be produced on request by the NSW Police Service or Council’s Officers.

2. Suitable warning signs, barricades and traffic lane markers to control the traffic flow
are to be erected around the area defined above.

3. Permits are issued for standing plant for a one (1) day period. If the works exceed
one (1) day, please refer to Manager – Traffic and Transport for appropriate fee.

4. This permit is not transferable. Should the work be delayed due to inclement weather
or other circumstances, the Applicant is to contact Council’s Manager – Traffic and
Transport to determine an alternative date to complete the work.

5. Standard hours of work are:

- 7am to 5pm Monday to Friday (10 Hours)
- 7am to 1pm Saturday

2. Any variation to these hours must have written consent by the Manager – Traffic and
Transport.

3. The applicant must provide a safe pedestrian / cycle route around the work area. The
site must be kept clear of all tripping hazards, with the route clearly visible and
delineated.

4. All affected businesses, residents and other occupants must be notified in writing
prior to the works commencing.

5. All associated fees and charges are in accordance with Lane Cove Council’s
Schedule of Fees & Charges.

6. The Permit fee must be paid at the time of lodgment. Any additional fees and
charges will be invoiced to the company at a later date.

7. The Open Space & Urban Services Division of Council reserves the right to cancel
the permit at any time should any of the conditions not be complied with.

28171/13 Rev 8/18 SU 6068