Rural Entrance Application Form

Information for the Applicant

This form may be used to apply for approval for the construction of a rural entrance and for the associated Section 138 (Roads Act 1993) certificate.

The construction contractor must have approval from Council prior to commencing any works.

Pre-seal inspections must be booked at least 24 hours prior to bitumen sealing (as required). A final inspection is required once works are completed and site is made good.

A fee will be imposed for assessment of this application, pre-seal (as required) inspection and completion of construction works. A security bond will be applicable to the Section 138 application.

Rural entrance construction shall be in accordance with QPRC D13 Vehicular Access Design Specification and Standard Drawings QPRC-SD-101 and QPRC-SD-111 (depending on sealed or unsealed road location). https://www.qprc.nsw.gov.au/Building-Development/Engineering-Design-and-Construction-Specifications

Any damage to the existing road surface and pavement, table drains, mitre drains, culverts, guideposts and signs shall be made good at full cost to applicant.

Council inspections are mandatory for

formation prior to bitumen sealing, and
post completion.

Inspections will require a minimum of 24 hours notice.

A fee will be imposed for the required inspections payable prior to the commencement of construction works. Please refer to QPRC Fees & Charges.

Any repeat inspections for unsatisfactory or incorrect work will incur additional inspection fees. Please refer to QPRC Fees & Charges.

All sections of this form are to be completed. Incomplete forms or missing attachments will be returned without processing.

Section A - Property Details

Street Number *

Road/Street Name *

Locality/Suburb *

State *

Postcode *

Lot *

Section

DP *

Applicable development application and activity type

Does this application relate to an approved development? *

YesNo

DA Number *

Provide details

Owner Name *

I/we declare that I/we have obtained the property owner's consent for this application. I/we agree to submit this application for approval to carry out construction works on above mentioned property and confirm that, to the best of my/our knowledge, the information provided is true and accurate. I/we also grant permission for Council-authorised personnel to enter the land and buildings, without prior notice, to carry out any inspections necessary to assess this application. *

Consent signature *

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Section B - Applicant Details

Applicant Name *

Company Name

Applicant address *

Applicant Phone Number *

Applicant email address *

Section C - Contractor undertaking works

Contractor Company Name *

Contact Person *

Concreter Name *

ABN/ACN *

Address *

Phone number *

Email address *

Section D - Details of the works

Project title *

Description of the works (detailed drawings to be attached below) *

Proposed start date *

Proposed finish date *

Site supervisor name *

Mobile number *

Section E - Contractor Declaration and Documentation

I/We declare that we are a suitably qualified rural entrance Civil Contractor with the appropriate Contractor Licence (upload below) *

Does this application relate to an activity being undertaken in the road reserve? *

YesNo

I/We declare that we have $20,000,000 public liability insurance (upload copy of Public Liability Insurance Certificate of Currency below). The insurance must cover works activities within a public road reseve. *

I/We declare that we have detailed plans of proposed rural entrance and location (upload below) *

I/We declare that we have undertaken a Dial Before You Dig (DBYD) search *

I/We declare that we have obtained the relevant clearances and/or approvals necessary to carry out driveway excavations works at the address shown above *

Upload Contractor Licence

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Upload Public Liability Insurance Certificate of Currency that covers works activities within a public road reserve (minimum $20,000,000) *

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Upload detailed plan of proposed driveway design and location *

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Name *

Signature *

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Date *

Section F - Traffic control details

I/We declare that we have attached an appropriate traffic control plan (upload below) *

Upload Traffic Control Plan (prepared by an individual that is accredited by Transport for NSW) *

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Section G - Application fees and bond payments

An application fee and bond payment may be applicable to this application. The fee and bond payment will be in accordance with Council's Fees and Charges.

The assessing officer will review the application and advise the applicant of the amounts payable prior to commencing the assessment. Payment (if applicable) shall be received prior to the assessment of the application taking place and any approval being issued.

Section H - Return of bonds

Council is able to refund bond monies electronically upon completion of the works and/or the end of the applicable defects liability period. To facilitate this, please provide the following EFT details.

Bank *

Account name *

BSB *

Account No. *

Email for remittance advice

Section I - Standard Detail for Rural Entrances on Bitumen Sealed and Unsealed Roads

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