STREET WORKS LICENCE APPLICATION FOR PLACING APPARATUS IN THE HIGHWAY
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STREET WORKS LICENCE APPLICATION FOR PLACING APPARATUS IN THE HIGHWAY - SECTION 50, NEW ROADS AND WORKS ACT 1991

SWL2
For Office Use Only:


Cheque Received ...............................................


Receipt Number .................................................


To: Isle of Wight Council Ref ...................................................................
(NB Those applicants not familiar with the requirements of this legislation are strongly advised to appoint a contractor with the appropriate knowledge to help complete this application and to conduct the works on their behalf)

Non-compliance with any requirement of the New Roads and Street Works Act 1991 may result in severe financial penalties.

Please see the Notes for Guidance which requires Adobe Acrobat reader
Section 1 Owner of apparatus
(e.g. property owner/instigator of work)
Title
* Forename
Middle name/Initials
* Surname
* Building/house name/number
* Street address
* Town Name
* Postcode
Work Tel No:
(include area code)
Home Tel No:
(include area code)
Section 2 Precise location of Proposed Works
Tick boxes where necessary.
Detailed plan may be requested on receipt of this form.
* Property reference
* Road/Street
* District/Parish/Ward
City/Town/Village
* Postcode
National Grid Ref:
Category of works

Type of works
Estimated length of works (m)
Average depth of excavation
Proposed start date
Proposed finish date
Estimated duration hours days months
Hours of working
Work lies within
Proposed flow control
Section 3 Details of person conducting the works
Title
* Forename
Middle name/Initials
* Surname
* Building/house name/number
* Street address
* Town Name
* Postcode
Work Tel No:
(include area code)
Home Tel No:
(include area code)
Section 4 Insurance
Public Liability Insurance of a minimum of �5m must be provided up to completion of the permanent reinstatement. (Proof to be submitted with this form).
* Company name
* Building/house name/number
* Street address
* Town Name
* Postcode
Work Tel No:
(include area code)
Policy No.
Expires (date)
Section 5 Declaration by Owner of Apparatus
(As per Section 1)
I confirm that the foregoing details are correct, and acknowledge that the works referred to above must be conducted in accordance with the requirements of the New Roads and Street Works Act 1991, and associated codes of practice, together with any other conditions imposed by the Street Authority in the relevant licence.

I also acknowledge the statutory need for me to pay the prescribed inspection fees which will be imposed by the Street Authority, including any defect inspection fees and the cost of any necessary remedial works conducted by the Street Authority during the guarantee period.

I also acknowledge that the licence is granted on the condition that I will indemnify the Street Authority against any claim in respect of injury, damage or loss arising out of:

(a) The placing or presence in the street of apparatus to which the licence relates, or

(b) The execution by any person of any works authorised by the licence.

I also acknowledge that I have read and understand the Notes for Guidance contained in Part 1 (Form SWL1)



Signed ...............................................................................



Name.................................................................................



Date...................................................................................
Section 6 Conditions
1. The Street Authority for the Highway mentioned in Section Two of Form SWL2 (hereinafter called "the Highway") hereby grant to the party named in Section One of Form SWL2 (hereinafter called "the Licensee") with the intent that the same shall benefit and run with the property described in Section TWO of Form SWL2 here to Licence under Section 50 of the New Roads and Street Works Act 1991 to place and leave in the Highway shown by as red broken line in the plan to be submitted hereto the apparatus (hereinafter referred to as "the "Apparatus") short particulars of which are set out in the Section Two of Form SWL2 hereto and to maintain repair and reinstate the Apparatus and break open and have access to the Highway for those purposes upon the terms and subject to the conditions hereinafter specified and subject also to the relevant conditions and provisions contained in Schedule 3 and the said Act and the Licensee hereby accepts the Licence upon and subject to the said terms conditions and provisions.


2. This licence is granted to the owner of apparatus and his Successors in Title and where he proposes to part with his interest in the apparatus, he shall before doing so give 6 weeks notice to the Street Authority stating to whom the benefit of the licence is to be transferred.


3. The licensee shall:


(a) Conduct all the relevant works in accordance with the requirements of the New Roads and Street Works Act 1991, and its associated Secondary Legislation and Code of Practice.

(b) Indemnify the Street Authority against any claim in respect of injury, damage or loss arising out of:

(i) the placing or presence in the street of apparatus to which the licence relates, or

(ii) the execution by any person of any works authorised by the licence; and the former licensee shall indemnify the Street Authority against any claim in respect of injury, damage or loss arising out of the execution by the Authority or the Licensee of any works under Paragraph 7


4. The Licensee shall pay the Street Authority in connection with the grant of the licence:


(a) The sum of �120.20in respect of administration expenses (non returnable)

(b) The sum of �180.30which the Street authority will accept as a capitalised payment in lieu of the annual fee for administering the licence recoverable under Schedule 3 Section 2b of the New Roads and Street Works Act 1991

(c) The sum of �150.00for the chargeable inspection fees.

(d) Works in excess of 200 metres length will be subjected to additional Inspection Fees


5. The licence hereby granted shall remain in force until withdrawn by the Street Authority under Schedule 3 of the New Roads and Street Works Act 1991 or surrendered to the Street Authority by the Licensee.


6. The Street Authority may determine this licence at any time:

(a) on the expiration of such period as may be specified in the Notice being a period of not less than seven working days beginning with the date of the service of the Notice on the Licensee if any condition of this licence is contravened by the Licensee or if the Street Authority becomes aware of the fact that the Licensee intends to cease using or has abandoned the apparatus or intends to do so or

(b) the Licensee has parted with or intends to part with his interest in the apparatus in a case where assignment of the licence is prohibited or

(c) the Street Authority considers the withdrawal of the licence is necessary for the purpose of the exercise of their function as Street Authority.


NB: Under sub paragraph (c) not less than 3 months' notice will be given by the Street Authority.


7. Where a licence expires or is withdrawn or surrendered the Street Authority:


(a) may remove the apparatus to which the licence relates or alter it in such manner as they think fit and reinstate, the street and may recover from the former Licensee the expenses incurred by them in doing so.

(b) if satisfied that the former Licensee can, within such reasonable time as they specify, remove the apparatus or alter it in such a manner as they may require and reinstate the street, they may authorise him to do so at his own expense. A further licence will be required for such works.


8. Any licence issued under this procedure by the Street Authority must not be construed as conferring any right for the applicant to make any connection to a sewer, drain, pipe, cable or other apparatus.


9. The licence does not confer any right on the Licensee, as against the owners of land which the highway is situated, to use the land. The Licensee must make his own arrangements with such owners in cases where consent is needed.


10. In this License the terms:


"Licensee" shall include the Successor in Title - Personal Representative- Receiver - Liquidator or Trustee of the Licence


"Highway" shall include and apply to each and every Highway, when more than one Highway is specified in Section 2 of the Form SWL1 hereto.
Section 7 Authorisation
For Highways use only
Additional Conditions













Signed ........................................................................



Date............................................................................

On behalf of Street Authority
IMPORTANT
All communications relating to this license should be addressed to:

Highways & Transport
County Hall
Newport
Isle of Wight
PO30 1UD

Phone Number � 01983 823777
Email address � [email protected]
Fax number - 01983 823755

Tel (01983) 823777
Fax (01983) 823545
Email [email protected]

Data Protection Act 1998
This application may be monitored by the Isle of Wight Council for regulatory, quality control or crime detection purposes. Information from this application will be processed in accordance with the Data Protection Act 1998 for the purpose of processing your particular enquiry/request. The Isle of Wight Council ("the Council") is the data controller. By completing this form you consent to the Council contacting you by email or nominated contact method in relation to your enquiry/request.

The information contained in this application may, in exceptional circumstances, be subject to disclosure to third parties under either the Data Protection Act 1998 or the Freedom of Information Act 2000 to the extent the law allows and in accordance with the Isle of Wight Council's Access to Information Policy . Disclosure will only be made where in all the circumstances it would be fair to do so and in the public interest.

Please note that the Council may process your information in the absence of consent for the purpose of crime prevention or detection so far as is in accordance with the law.
Sometimes we may use your information to keep you informed about services, goods or relevant issues that we believe may be of interest to you. If you wish to receive this information for these purposes please tick this box

To improve the quality of other services that we provide to you the Council wishes to hold your non-sensitive personal information on a secure central database. This will enable all Council services to use this information when they are providing a service to/for you. If you wish your non-sensitive personal information to be held by the Council please tick this box


Date printed: 07/03/2013