Road Opening Application

Road opening Application

Your Details

Full Name *

Applicant or Company Name in Full

Address *

Applicant Address

Postcode

Phone Number *

Landline or Mobile

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

Nature of Operations

Type of work

Please enter the location where the operation will take place *

Address of Location

Please enter the duration the road will be occupied from

From

Please enter the duration the road will be occupied to

Until

Planning Application

Planning Application number if Applicable

Drawings

Please list drawing numbers showing extent of the operations

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.

Contractors Name

Name

Address

Please include Post Code

Telephone

Symology / Payment method

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

Symology Ref No

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

Cash/Cheque

Debit/Credit Card

Last updated: Tuesday, January 26, 2021 2:56 PM