Date Received
Ref No
TEMPORARY ROAD CLOSURE
APPLICATION FORM
ROAD TRAFFIC REGULATION ACT 1984 – SECTION 14(1)(a)
CHARGES APPLY - £400.00
APPLICANTS DETAILS
APPLICANT NAME
COMPANY NAME
ADDRESS
POSTCODE
TEL
EMAIL
PURCHASE ORDER
NUMBER
(Must be supplied for all
applications)
INVOICE ADDRESS
(If different from above)
OUT OF HOURS 24 HOUR CONTACT
NAME
TEL
FAX
SITE LOCATION
ROAD NAME(s)
USRN
ROAD CLASSIFICATION
EXTENT OF CLOSURE
Please include a WRITTEN diversion
PROPOSED
DIVERSION ROUTE
(A plan showing the sections of
road(s) to be closed, the
proposed alternate route and
proposed signage must be
included with this application)
DETAIL OF PROPOSED WORKS
DESCRIPTION OF
WORKS / REASON
FOR CLOSURE
PROPOSED START
DATE
PROPOSED START
TIME
WORKS REFERENCE UTILITY WORKS ONLY
DAYS OF
Mon
Tue
OPERATION
HOURS OF
OFF PEAK
OPERATION
(0930 – 1530)
ACCESS
LOCAL
MAINTAINED FOR
TRAFFIC
PROPOSED END DATE
PROPOSED END TIME
Wed
Thu
Fri
24 HOURS
PEDESTRIANS
Sat
OVERNIGHT
LOCAL
BUSES
HAS CONSULTATION BEEN CARRIED OUT WITH ANY PARTIES WHO MAY BE
AFFECTED BY THE TEMPORARY CLOSURE?
SUBMITTED BY
NAME
TEL
SIGNED
DATE
Sun
EMERGENCY
VEHICLES
TEST
IMPORTANT
Applications must be received no later than six weeks before the date of the proposed closure. Working
dates and times are required to be approved by the Highways Department before a closure order can be
granted. Please contact either Gina Lambert on 01254 273515 or Ricky Wilson on 01254 273490.
A plan showing the extent of the road closure and diversion routes must be submitted with this application
form, along with the proposed traffic management details. All costs associated with traffic management are
the responsibility of the applicant.
The Local Authorities (Transport Charges) Regulations 1998 provides a means for a local authority to make
a standard charge of £400 for a temporary road closure. An invoice for this cost will be forwarded to you
following the closure, along with a recharge for the cost of the legal notices published in the Lancashire
Telegraph. The total cost will be in the region of £1000-£1400.
SUBMISSION CHECKLIST
Signed copy of the application form
Plan of the closure and diversion route
In addition, those who are not statutory undertakers should also provide
A copy of public liability insurance certificate indemnifying against claims of up to £5 million
A copy of the signing contractor’s Chapter 8 accreditation
COMPLETED APPLICATION FORMS SHOULD BE SENT TO
TRAFFIC TEAM
BLACKBURN WITH DARWEN BOROUGH COUNCIL
CASTLEWAY HOUSE
17 PRESTON NEW ROAD
BLACKBURN
BB2 1AU
E: gina.lambert@capita.co.uk / ricky.wilson@capita.co.uk