Application to place a builder’s skip on the highway (LHA01) Highways Act 1980, Section 139, 140 and 140A You must give minimum notice of five working days before you intend to the skip on the road. The skip may not be placed on the highway without written confirmation that the permit has been authorised. Proposed location of the skip Name of applicant: Address (including postcode): Telephone (out of Email address: Dates: (from) (to). Skip operator or details Name: Address (including postcode): Telephone: Email address: Declaration I/we hereby to North Somerset Council for permission to place (number) builder’s skip(s) on the highway at the location stated on this form and hereby agree to comply with the terms and conditions set out as attached and with all other statutory rules and regulations which may apply in these circumstances. Fee enclosed: Signed: Position in company: Name (block capitals): Date: Data Protection Act 1998 The personal data you provide on this form will be used by North Somerset Council to administer your permit. In order to protect public safety, this may include the use of sensitive personal data (criminal offences) to help assess whether you are a fit and proper person to hold a permit. We may occasionally share your personal data with other council departments and with other bodies including (housing benefits, the police, Inland Revenue) for the purposes of protecting public money, preventing and detecting crime and/or fraud and ensuring public safety. Such sharing will only occur on a case-by-case basis where a justifiable purpose in line with legislation has been demonstrated. The information may also be used for internal training. ______________________________________________________________________________ For office use only Licence number: Confirm reference: Granted Refused Receipt number: Application notes
Application to place a builder’s skip on the highway (LHA01) Highways Act 1980, Section 139, 140 and 140A You must give minimum notice of five working days before you intend to the skip on the road. The skip may not be placed on the highway without written confirmation that the permit has been authorised. Proposed location of the skip Name of applicant: Address (including postcode): Telephone (out of Email address: Dates: (from) (to). Skip operator or details Name: Address (including postcode): Telephone: Email address: Declaration I/we hereby to North Somerset Council for permission to place (number) builder’s skip(s) on the highway at the location stated on this form and hereby agree to comply with the terms and conditions set out as attached and with all other statutory rules and regulations which may apply in these circumstances. Fee enclosed: Signed: Position in company: Name (block capitals): Date: Data Protection Act 1998 The personal data you provide on this form will be used by North Somerset Council to administer your permit. In order to protect public safety, this may include the use of sensitive personal data (criminal offences) to help assess whether you are a fit and proper person to hold a permit. We may occasionally share your personal data with other council departments and with other bodies including (housing benefits, the police, Inland Revenue) for the purposes of protecting public money, preventing and detecting crime and/or fraud and ensuring public safety. Such sharing will only occur on a case-by-case basis where a justifiable purpose in line with legislation has been demonstrated. The information may also be used for internal training. ______________________________________________________________________________ For office use only Licence number: Confirm reference: Granted Refused Receipt number: Application notes
application-to-place-a-builders-skip-on-the-highway.docx