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BDUK_HIGHLANDS_AND_ISLANDS_FT

Description: Project Code: 890FM Estimate No: IBLN84AS Page No: 1 OF 1


TC_CZW_PCP2_INTERCEPT_VA1
Planner: ANDY WILLMONT Planner Tel No: 02082803016 Plan OUC: BKP542 Supp Code: 80096120
Doc Title: TMA Noticing Requirement Exchange: CARLOWAY COW: LMC Issued: 20/08/2015
Certified By: Certifier Tel No: Company/OUC: Job Type: Certified Date:

-TMA Noticing Requirement- 1

TMA Street works Notice Application Form

Requester Name AdditionalDEPENDENT ON LOCAL RISK ASSESSMENT


Notes
Estimate Number

Order / Project Ref


Notice TypeNo Notice Required Eng SensitiveNO
Major Work Reference 2 Hour NoticeNO

Required for ALL Jobs: Permit Details Only:


Traffic Point of Location of Permit Permit Permit
USRN Sensitive Map Ref Precise Works Location Intervention Intervention Traffic Management Required Category Cost
JC:JRC:U3023388(JRC
43901139 No 120481942467 A858 12:10) WP2 NO

All OS maps reproduced by permission of Ordnance Survey. © Crown copyright 2009. All rights reserved. BT Licence Number 100028040.

BT Works Instructions. IN CONFIDENCE. Copyright. © British Telecommunications plc 2005. Registered Office: 81 Newgate Street, London EC1A 7AJ

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