SKIP PERMIT – APPLICATION FORM

ROAD (SCOTLAND) ACT 1984- SECTION 85 & 86

ROAD TRAFFIC REGULATION ACT 1984 – SECTION 65

Post To: / Commercial Services (Roads) / Company Name:
North Ayrshire Council / Address:
Cunninghame House
Irvine , KA12 8EE / Tel No:
Email To: / / Contact name:
I / We apply for consent to place skip
Site Location:
Start Date: / End Date:
Duration: / No. Of Days: / No. Of Weeks:
Copy of Public Liability Insurance Submitted: / Yes / No
Copy of any relevant plans included: / Yes / No
I / We undertake to: / (i) / Comply with the North Ayrshire Council standard conditionsand any additional conditions highlighted on the approved permit.
(ii) / Relieve North Ayrshire Council of all liability for any loss, injury or damage due to my / our operations.
Agreed By: / Date:
NOTES FOR APPLICANTS
1. / This form is be used for skips which do not exceed 6 metres in length and 2 metres in width
2. / To allow for processing this form, it should be submitted a minimum of 3 working days in advance of the required start date.
3. / No skip shall be placed on a road unless North Ayrshire Council issues a skip permit.
4. / This form to be used for a single skip at any location.
5. / Skip Permits will only be valid for a period of up to 4 weeks from the date of authorisation. Applications for longer periods will require further permits, each for a maximum duration of 4 weeks and each to be charged at the standard fee applicable at the time.
6. / For further information or guidance about completing this form or for any queries about skip permits, telephone 01294 310 000 and ask for the Roads Service - Network Management Section.
OFFICE USE ONLY
Received By: / Date Received:
Approved: / YES / NO / Date Approved:
Permit Number: / Print Name:
This is to certify that permission has been granted in connection with the above application subject to compliance with the attached conditions. This certificate must be shown if requested to a policeman or to any officer of North Ayrshire Council.
Additional Conditions (Highlight as Appropriate)
0 / No Additional Conditions Apply to this permit. / 7 / Each skip shall be positioned clear of bus bay / stop.
1 / Each skip shall not be positioned on footway. / 8 / Each skip shall be positioned clear of waiting restrictions.
2 / Each skip shall be positioned clear of road junctions. / 9 / Each skip shall be positioned in a parking bay.
3 / Each skip shall be removed from site each evening or skip must be enclosed and locked. / 10 / Each skip shall not be positioned in a disabled parking bay.
4 / A minimum of 3.25 metres unobstructed carriageway width must be available to road users at all times. / 11 / Each skip shall be positioned in service bay.
5 / Each skip must be placed on wooden battens to protect road surfaces. / 12 / Each skip shall be positioned clear of turning area.
6 / Each skip shall be positioned clear of tight bend. / 13 / Each skip shall not be positioned on verge or service strip

SKIP PERMIT – APPLICATION FORMPage 1