Contractors Signature: Date: New Roads & Street Works Act 1991 R1 (Section 74) Traffic Management Act 2004 (Actual Stop & Registration) Notification & Responses To: Street Works, Cornwall Council, Western Group Centre, Radnor Road, Scorrier, TR16 5EH Tel: 0300 1234 222, Email: From: (Contractor) Telephone Number: Email Address: Site Details Property Name/Number: Road Name: Locality/Town Post Code: Details Works Description: Licence Number: Location of Carriageway Footway Verge Excavation: Method of Mechanical Hand Bore Excavation: Dates Actual Start Date Actual End Date Please List any other Apparatus encountered: Comments: Reinstatement Details Carriageway Depth of Interim Permanent Length (C) Site Location Cover to Completion Completion (m) (m) Footway (F) Apparatus Date Date Verge (V) 1 2
Contractors Signature: Date: R1 (Actual Stop & Registration) New Roads & Street Works Act 1991 (Section 74) Traffic Management Act 2004 Notification & Responses To: Street Works, Cornwall Council, Western Group Centre, Radnor Road, Scorrier, TR16 5EH Tel: 0300 1234 222, Email: From: (Contractor) Telephone Number: Email Address: Site Details Property Name/Number: Road Name: Locality/Town Post Code: Details Works Description: Licence Number: Location of Excavation: Carriageway Footway Verge Method of Excavation: Mechanical Hand Bore Dates Actual Start Date Actual End Date Please List any other Apparatus encountered: Comments: Reinstatement Details Site Location Length (m) (m) Carriageway (C) Footway (F) Verge (V) Depth of Cover to Apparatus Interim Completion Date Permanent Completion Date 1 2
vehicle-crossing-application-pack-swa007.docx