Application for
App ID: Cattle Stop on Public Road Fee Payable
$300 (incl GST) Applicant / Agent Details
Postal Address
Name
Phone
Mobile A
Email
Post Code S Property Owner Details (if different from above)
Postal Address S
Name
Phone E
Mobile T
Email
Post Code S Crossing Location Details Description
T U Road and Rapid Numbers N (for both properties) Proportion of land on I Number of stock each side of the road % T Average Milking Dairy Shed Side Peak Milking Other Side Crossing Use Frequency (see overleaf for further details) Identification marks of stock Other Comments Please note Council does have a policy to cover the installation of a cattle stop. The application will be assessed based on the location, traffic values and frequency of use.
P.T.O. Page 1 Permit Details Cattle Stop Previous Permit Number Please note: Permit for stock crossing at grade is only valid for 12 months and requires annual renewal. Aerial Photograph or Site Plan of Crossing Location Please indicate approximate positions of warning signage and attach additional details to application if needed. Applicant Signature I have read the Waitaki District Council Code of Practice for Stock Crossings and the related section from Waitaki District Roading Bylaw 2013, and I understand my responsibilities. (Please Note: Roading Bylaw 2013 can be found on our website www.waitaki.govt.nz ) Please return application to:
Name
Waitaki District Council 20 Thames Street
Signature
Private Bag 500058 Phone (03) 433 0300
Date:
Fax (03) 433 0301 Email [email address] Office Use: Plan Attached:
Yes
No
Date Received: / /
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