Version 4 - Nov 2015 2012 Name of Structure TAA Ref No DEPARTMENT FOR REGIONAL DEVELOPMENT – TRANSPORTNI TECHNICAL APPROVAL OF HIGHWAY AND ASSOCIATED STRUCTURES DESIGN CERTIFICATE – CATEGORY 2 AND 3 STRUCTURES Name of Project Division Name of Structure TAA Ref No Structure Ref No DIV Ref No Design Organisation On Behalf of 1. We certify that reasonable professional skill and care has been used in the preparation of the 1 design/assessment of the above named structure with a view to securing that: i. 1 2 It has been designed/assessed in accordance with: The Approval in Principle No: Dated: 3 Including the following: ii. It has been accurately translated into construction drawings and bar bending schedules. The unique numbers of these drawings and schedules are: 1 or 4 The assessed capacity of the structure is as follows: Drawing No. Date Drawing No. Date Schedule No. Date Schedule No. Date 1 Version 4 - Nov 2015 2012 Name of Structure TAA Ref No Signed 1 Design/Assessment Team Leader Name 5 Engineering Qualifications Signed Name Head of DCS – (TransportNI Designs) or Principal/Partner/Director (Consultant/other Designs) Position held Name of organisation Date 2. The Departures and additional criteria given in paragraph 1 are agreed. 3. Thee certificate is accepted by the TAA 1 Signed Name Director of Engineering, TransportNI Date Notes 1. 2. 3. 4. 5. Delete as appropriate. Insert AIP reference no and date of agreement of the AIP by the TAA, including the dates of any addenda. Note the AIP is valid for three years after the date of agreement by the TAA, ref BD 2. List any Departures (including Roads Service ref. no) and additional methods, criteria or specification clauses. Used for assessments only. CEng, MICE, MIStructE or equivalent. 2 Version 4 - Nov 2015 2012 Name of Structure TAA Ref No 3