1. APPLICANTS DETAILS
Organisation Name
Organisation Address
Telephone no.
Fax no.
Emergency contact name & no. (24hr)
Your internal job reference no. / (Owner of the item)
2. DETAILS OF PERSON(S) RESPONSIBLE ON THE SITE WHERE THE ITEM IS TO BE USED
(Customer requesting the use of the item)
Name
Address
Telephone no:
Fax no:
Emergency contract name & no: (24 hr)
3. LOCATION DETAILS
Outside/Opposite:
Full address:
Position of item on the Highway (please indicate) / Carriageway Footway Verge
4. NATURE OF REQUIREMENT
Nature of work for which item is required:
Reason why item must be placed on highway rather than private land:
Description of the item to be placed (for e.g. skip):
Is this an extension to an existing permit?
Previous Permit No.
Proposed dates of use:
In place for 24hrs a day?
If no, proposed hrs: / From To
From To

The applicant MUST be a registered organisation - contact the Network Management Unit for a registration form if not completed previously

This application MUST be signed by an authorised representative of the organisation applying. The signature of this representative is taken as confirmation that all standard conditions have been read, understood and will be adhered to. By signing, this representative confirms that the Network Management Unit Licensing and Permissions Policy and Guidance Document and all associated legislation and guidance is understood.

Signature of Applicant:Date:

Printed Name of Applicant:

Completed forms should be sent to the Network Management UnitE-mail:

or Fax:01785 854037

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Appendix D

Guidance Notes and Examples

This is the Staffordshire Highways standard pro-forma for applying to place a non-permanent item on the public highway. Any queries, please contact the Network Management Unit on 0300 111 8000.

Box 1.

  • Name of the organisation which owns and is responsible for the item.
  • Number of direct contact - this number should be a direct line or mobile and will not be shared
  • publicly but for internal purposes only.
  • Permit will be sent to this fax number.
  • Emergency contact for highways staff should an issue arise on site both in hours and out of hours.
  • Your internal reference number / job number (which will appear on invoices)

Box 2.

  • Name of the Customer who has requested the item.
  • Address of the customer. This can be different to the location of the item in some cases but if not, please enter 'as location'.
  • Customer contact number. This is required should an issue arise relating to the work or activity as opposed to the item itself.
  • Emergency contact for highways staff should an issue arise on site both in hours and out of hours.

Box 3.

  • Location of where the item is required for e.g. Outside 54.
  • Full address of the location the item is required.
  • Please indicate where the item would be placed on the carriageway, footway or verge (either by highlighting one or deleting the two inapplicable options)

Box 4.

  • Brief detail of the works or activity for which the item is required for e.g. roof replacement.
  • Reasons why it must be placed on highway and cannot be placed on private land.
  • Please describe the item that is required to be placed on the highway for example, skip, bag, etc.
  • Is this an extension to an existing permit? If so, please quote original permit no.
  • Proposed dates of use. Please note that permitted dates may be different to those you propose
  • Will the item remain on the highway for 24 hours a day? Yes or No.
  • If not in place for 24hrs a day, please state times of proposed use. Please note that permitted times may be different to those you propose if the road is traffic sensitive.

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Appendix D

STANDARD CONDITIONS FOR THE PLACING OF ITEMS AND SKIPS ON THE PUBLIC HIGHWAY SECTIONS 171, 139 AND 140 OF THE HIGHWAYS ACT 1980

GENERAL

  1. An item shall not be placed on the highway without the prior written approval of the Highway Network Manager or their representative. To place an item on the highway without written permission is an offence under The Highways Act 1980 and may result in prosecution.
  1. The item owner is responsible for ensuring that the item is positioned on the highway in such a way that it does not cause an obstruction to other road users. The item owner is responsible for ensuring that all appropriate legislation is adhered to.
  1. The Applicant shall indemnify the County Council against any liability, loss, claim or proceeding arising under the statute or common law in respect of the placing, and maintaining or removal of an item on the highway.
  1. The Applicant must have the minimum public liability insurance cover (£5 million), proof of which shall be required. The insurance must cover the full period that the item is situated on the highway. The Highway Authority must be notified immediately of any changes to or termination of a policy that may affect this insurance requirement. The Highway Authority is entitled to amend a permission is such instances and request the immediate removal of the item.
  1. The Applicant shall allow at least five working days from receipt of an application for a licence to place an item on the highway and the date on which the licence is intended to commence.
  1. The Applicant shall only deposit and remove an item on the public highway between the hours of 07.30 and 20.30 hours on all days unless specifically notified to the contrary within the additional special conditions applied to the permission.
  1. Only one item will be allowed on site at any one time except in circumstances where consent has been granted by special condition.

PLACEMENT AND POSITIONING OF ITEMS and SKIPS

  1. Any item or skip shall not be placed on the highway so as to impede the surface water drainage of the highway or to obstruct access to other premises, fire hydrants, gullies, manholes or any apparatus belonging to a Statutory Undertaker or to Staffordshire County Council.
  1. The item owner is responsible for ensuring that the item is positioned on the highway in such a way that as well as its position, its use does not cause an obstruction to other road users. Where space is available, items shall be placed directly adjacent to the property requiring the use of the item to ensure that highway users are not obstructed by the associated in using the item.

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Appendix D

  1. An item or skip shall not partly or wholly obstruct a footway without the permission of the Highway Network Manager or their representative. If such permission has been granted, 1.2 metres unobstructed width must be available for pedestrians. If this is not available and the item or skip is still permitted under special condition, a 1.2metre wide pedestrian walkway must be signed and guarded to segregate pedestrians from traffic. This will be via the erection of pedestrian barriers of the continuous solid type, with continuous solid rails at 1.0 to 1.2 metres above ground level and a continuous solid rail with the lower edge at 150 mm above ground level, which will serve as a tapping rail for the partially sighted or blind. Barriers must be conspicuous. Barriers adjacent to a live traffic lane must be guarded by a line of traffic cones and lamped at night. Kerb ramps or raised footways must be provided to accommodate pushchairs, partially sighted and blind or infirm persons. Road warning signs in accordance with Chapter 8 will also be required.
  1. A skip can only be placed on a carriageway where lit by street lights and with a maximum speed limit of 30mph. The skip shall be positioned with its longer sides parallel to and as near to the edge of the carriageway as possible. Items are not normally permitted on the carriageway but may under exceptional circumstances. In such an instance, full justification MUST be provided on the application form and if permitted, special conditions will be applied which must be adhered to.
  1. Where a skip is permitted for placement on the carriageway, it shall be clearly visible to traffic approaching from either side at a distance of not less than 75 metres (250 feet) and as standard shall not be placed within 20 metres (75 feet) of a road junction. The Highway Authority may agree in exceptional circumstances to less than 20 metres but skips must NEVER be placed less than 10 metres from a junction.
  1. Items and skips positioned on soft verges must be placed on suitable boards to prevent damage to the verge.
  1. Only one item or skip will be allowed on site at any one time except in exceptional circumstances.

REMOVAL OF SKIPS

  1. No skip or item shall remain on the highway after the expiry of the licence. (If an extension is required, a fresh licence application must be made to the Highway Network Manager or their representative, two working days prior to the expiry of the existing licence).
  1. Any skip or item shall be removed as soon as possible. Skips must be removed within two working days after it has been filled.
  1. A skip or item must be removed or repositioned if required by the Police, the Highway Network Manager, or their representative.
  1. On the expiry of the licence, the highway where the skip has been positioned must be left in a clean and tidy condition and any damage to the highway repaired to the satisfaction of the Highway Network Manager or their representative.

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Appendix D

CONTENTS OF SKIPS / ITEMS

  1. No skip or item shall contain any inflammable, explosive, noxious, or dangerous material, which is likely to putrefy or become a nuisance to the users of the highway, and the contents of the skip or item shall be kept damp to prevent nuisance from dust.
  1. A skip owner, placing a skip on the highway, is responsible for the removal and proper disposal of the materials placed in the skip, irrespective of who has used the skip.
  1. The owner or supplier of an item placed on the highway is responsible for ensuring the item is at all times properly secure and that any waste arising from the item is correctly disposed, irrespective of who has used the item
  1. No skip or item shall be used in such a way that any of the contents fall on to the highway.

SPECIFICATION OF SKIPS

  1. The skip shall not exceed 5 metres (16’6”) in length and 2 metres (6’6”) in width.
  1. The skip must be clearly and permanently marked on one of the longer sides (not the end) with the Applicant’s name, address and telephone number.
  1. The ends of the skips must be painted yellow and provided with vertical markings next to the side edges of the skip in accordance with the Builder’s Skips (Markings) Regulations 1984 and all current relevant specifications.

LIGHTING AND CONING OF SKIPS

  1. A skip placed on the carriageway shall be protected by three cones positioned on the approaching side as shown in the diagram below.
  1. An amber lamp shall be attached to each corner of the skip and, when the skip has been placed on the carriageway, lamps must also be placed between traffic cones in accordance with the diagram below. Lamps shall emit a constant light and shall comply with Section 43 of the Traffic Signs Regulations and General Directions 1994. They shall remain lit throughout the hours of darkness (between half an hour after sunset and half an hour before sunrise). They shall be placed in such a manner as to not cause a nuisance to pedestrians or vehicular traffic.

Page 5 of 6

Appendix D

Conviction of an offence under these Sections of the Highways Act 1980 renders the owner liable to a fine not exceeding level 3 on the Standard Scale of Fines.

  1. Minimum Standards for Guarding of the Skip:

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