Road Opening Application

Road opening Application

Your Details

Applicant or Company Name in Full

Full Name *

Applicant Address

Address *

Postcode

Landline or Mobile

Phone Number *

Nature of Operations - Please state the nature of the operations (for example, construction of access, vehicular crossing or excavation in an existing road).

Type of work

Nature of Operations

Address of Location

Please enter the location where the operation will take place *

From

Please enter the duration the road will be occupied from

Until

Please enter the duration the road will be occupied to

Planning Application number if Applicable

Planning Application

Please list drawing numbers showing extent of the operations

Drawings

Contractors Details - A Copy of the contractors NRSWA card (front and back of card) must be submitted with this application. Failure to attach will delay start date of prosed works.

Name

Contractors Name

Please include Post Code

Address

Telephone

Symology / Payment method

Symology Ref No

I/We certify that I/We have notified Symology regarding Public Utility Apparatus

Payment method - Debit/Credit Card we will contact you for payment.

Cash/Cheque

Debit/Credit Card

Last updated: Monday, July 13, 2020 8:27 AM