Fillable 1 Site Details 2 Applicant / Agent Details (Moray Council)

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1 Site Details 2 Applicant / Agent Details (Moray Council)

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Moray Council
Environmental Services – Direct Services
Road Construction Consent
Notification of Works Commencement
CC4
V2 (October 2017)
Page 1 of 2
1 – Site Details
Title Of Construction
Consent
Consent Number
2 – Applicant / Agent Details
Name
Address
Post Code
Phone Number
Email Address
3 – Your Contractors Details
Name
Contact Name
Address
Post Code
Phone Number
Email Address
4 – Works Commencement Date
Works Commencement
Date
Moray Council
Environmental Services – Direct Services
Road Construction Consent
Notification of Works Commencement
CC4
V2 (October 2017)
Page 2 of 2
5 – Declaration
The information I have given on this form is correct.
I confirm that sampling and testing will be carried out as detailed in accordance with prevailing Standards. All test
certificates will be retained until formal adoption of the works. All test certificates will be available for inspection by
the Local Roads Authority’s Representative as and when required.
I confirm that all suspensive conditions in the Consent have been actioned / implemented
I have enclosed the following:
1. Programme of Works.
2. Test certificates for capping layer and/or sub-base.
Signature
Position
Date
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1 Site Details 2 Applicant Agent Details (Moray Council)

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Completed 18 December 2020

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