171213135589[v04] - QP-C289-AA Is 4
Waimakariri District Council
V4 - 20/09/2018
1 of 2 Application to Form a Vehicle Crossing
APPLICATION TO FORM A VEHICLE CROSSING
(ENTRANCEWAY)
Made under Section 335 Local Government Act/Waimakariri District Vehicle
Crossings Bylaw 2007
VEHICLE CROSSING No.
215 High Street, Rangiora
Private Bag 1005, Rangiora 7440
Free Phone 0800 965 468
Email office@wmk.govt.nz
waimakariri.govt.nz
THE PROPERTY OWNER
1. Owner’s name:
(Company or organisation name if applicable)
2.
Mailing address:
3. Mobile: Landline:
Email:
THE AGENT
4. Agent’s name:
(Company or organisation name if applicable)
5.
Mailing address:
6. Mobile: Landline:
Email:
THE CONTRACTOR
7. Contractor’s name:
(Company or organisation name if applicable)
8.
Mailing address:
9. Mobile: Landline:
Email:
PROPERTY DETAILS OF PROPOSED VEHICLE ENTRANCE
10. Site address:
(Street / Road / Township)
11.
Legal description:
Lot: DP:
Valuation Number:
12. Building/Resource Consent Number: BC: RC:
13. Location Sketch (Please tick type of vehicle crossing):
Residential Rural
Commercial/Industrial
ROAD
........m
........m
Next propertyMy propertyNext property
Vehicle
entrance
........m
Using the sketch above, show the location, width of vehicle crossing and distances to the nearest vehicle crossings
on the same side of the road. If more relevant (eg. when adjacent vehicle crossings have yet to be formed) please
show the distance to the neighbouring boundaries / nearest intersection if beside a corner.
Using the sketch above, show the location, width of vehicle crossing and distances to the nearest vehicle crossings on the same
side of the road. If more relevant (eg. when adjacent vehicle crossings have yet to be formed) please show the distance to the
neighbouring boundaries / nearest intersection if beside a corner.
Please show the location of any trees or services on the plan.
171213135589[V04] - QP-C289-AA Is 4 Waimakariri District Council
V4 - 20/09/2018 2 of 2 Application to Form a Vehicle Crossing
VEHICLE CROSSING INSPECTIONS
I will notify the Council two working days prior to excavation to conrm location and make arrangements for consequent inspections. Please
note a fee of $80.00 will apply for any failed inspections.
DECLARATION
I will construct a vehicle crossing (entranceway) that complies with any Resource Consent and meets Council specications from the formed
roadway to my property. Between the initial construction and nal surfacing of the vehicle crossing, the crossing will be kept in good condition
to allow for the safe passage of pedestrians
I note that stamped concrete, coloured concrete, cobbles and non standard paving blocks are NOT permitted
I understand that all costs are the responsibility of the property owner and that a vehicle crossing that does not meet Council specications will
be upgraded at the property owner’s cost
I understand that I will be responsible for the costs associated with any repair work required as a result of settlement or poor workmanship
during a 12-month period of maintenance.
INFORMATION
(a) Your permit is valid for 12 months with your vehicle entrance to be completed within that period.
(b) It is the property owner’s responsibility to arrange and pay for the construction of a vehicle entrance.
(c) A vehicle entrance constructed without Council inspections will be deemed as an illegal entrance.
(d) A vehicle entrance must be formed to top-course stage prior to the commencement of any building work.
(e) You or your Contractor will need to ll in a Temporary Traffic Management Plan at least 2 working days before construction, you cannot work
on the road or footpath until it has been approved. (If there is a need for public notication eg road closure, then additional notice is required).
OFFICE USE ONLY
Front Counter Roading Plan Admin CSO - PIMs
Officer
Date
INSPECTION TYPE
Yes No Date Comments Inspected by
Location
Excavation
Base Course
Final Surfacing
(completed satisfactorily)
Additional Inspection
(completed satisfactorily)
Date payment processed:
Receipt
Officer:
PAYMENT
14. If sending this application via email, please make no payment until you receive an invoice via reply.
Fee of $160.00 attached
A Vehicle Crossing Information Pack is available from Waimakariri District Council Service Centres and website:
http://www.waimakariri.govt.nz/services/roads-and-transport/driveways-and-vehicle-crossings
It contains specications and additional information as well as plans for typical urban and rural vehicle crossings.
OWNER AUTHORISATION
PLEASE NOTE - By entering your name in the box below you are giving your authority for the application to proceed.
Name:
Date:
I am the
Owner
Agent
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