TO:   SOLIHULL MBC - HIGHWAY SERVICES, COUNCIL HOUSE, SOLIHULL, B91 3QT.    										 					highwaypermits@solihull.gov.uk

APPLICATION TO EXCAVATE IN  PUBLIC HIGHWAY 2025/26
Cost Centre; 01-220340-I20000-HW0006

                                                                 															   (SMBC                       
I (Name) ..............……………….. Of (Company) .................………………………………… (REF. No…………......)

Of (Address)  ................................................................…………………………………………………………………

......................................……………………………………………………………………. (Tel.No. ............................  
Hereby apply for authority to carry out work  AS SHOWN ON THE ATTACHED PLAN

At (location) ...............................................................…………………………………………………………………...

Grid Reference…………………………………………  

And my payment of the Council's Inspection Fees as below, accompanies this form.

EXCAVATIONS IN PUBLIC HIGHWAY: NRSWA FEES.……….. (No.)       at £560.00:  Total	£.........

In consideration of authority being granted by Solihull Council I undertake:
(1)	I shall indemnify the Council against any proceedings, which may be brought against the Council by third parties, arising out of or concerning the works.  I have a minimum of five million pounds third party insurance.

(2)	Before commencing any work, I shall agree the position, manner and timing of the works with the Director of Economy & Infrastructure representative(s).
(AT LEAST THREE MONTHS MAY BE REQUIRED FOR SUCH AGREEMENT)
The works shall be carried out as agreed and any change must be approved.
(3)	I shall work in the Public Highway under New Roads & Street Works Act 1991 and Traffic Management Act 2004 and comply with notice periods of said Act.
Before starting work in any Public Highway, I shall contact the Permit Team, Council House, Solihull, 0121 704 6720 / 6507, to agree reinstatement details and the notification of the  work under NRSWA/TMA, and agree any Traffic Management which I understand will occur additional charges, temporary signals £130.00, multiway signals £250.00 and lane closures £130.00.  
I shall be responsible for highway reinstatement in accordance with NRSWA including maintaining permanent reinstatement for a period of 3 years.
(4)	I shall make arrangements to deal with traffic, pedestrians and shall comply with current requirements of Chapter 8 of the Traffic Signs Manual and the safety at Street Works code of practice, 3rd Edition.  When required I shall provide a traffic management/signing plan for approval.

(5)	I shall notify Statutory Undertakers and take measures to protect any pipes, ducts, cables, etc. affected by the works, such as using www.linesearchbeforeudig to obtain apparatus records.

(6)	In event of any damage occurring to any apparatus, I shall notify the Owner immediately and arrange repair.

(7)	I shall provide all equipment and support services for gas detection and ensuring safe conditions for any work and inspection in a confined space.

(8)	I shall provide copies of my operatives and Supervisors street works accreditation cards.

(9)	On Line payments are encouraged via www.solihull.gov.uk/epay using the Highway Licences section.

I will liase with Severn Trent Water Ltd for work affecting a public sewer.

FOR OFFICE USE ONLY

Signature: -										Approved By: -									Date:

SIGNED .............……….......  Print Name.……….…..............  DATE.................