CONSTRUCT IN RIGHT-OF-WAY

Applicant Information

Prime Contractor

NOTE:  The applicant is required to carry a minimum of five million dollars ($5,000,000) public liability insurance and property damage insurance with the District of Lake Country saved harmless and named "additionally insured" and provide a current copy of their WorkSafeBC clearance letter.

Required Attachments

Engineering Consultant

Traffic Control Supervisor

NOTE: Prime Contractor is to immediately notify District Engineer of any change in contact information.

Property Information

NOTE: “End Date” is the date when permanent surface restoration is complete and contractor has notified the District Engineer.

Excavated Site Surface Material(s): (check all that apply)

Traffic Information (Use additonal sheet if more than one road)

Other Attachments 

Locates are required prior to excavating under the terms of the Permit to Construct in the Right-of-Way and WCB/Worksafe Occupational Health and Safety Regulations. Failure to do so will invalidate the Permit.

By entering your name and date below you are acknowledging you have read and understood the District of Lake Country Permit Conditions and agree to be bound by its provisions and amendments, specifications and regulations governing excavations in or under municipal streets and to such special conditions, restrictions and regulations as may be imposed by the District Engineer.