Powerlink (advice agency) response - MCU2/0184

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        ATTACHMENT 3                                                                                                          Total of 1 Page




        ANNEXURE C           -
                                 APPLICATION FOR THE CO-USE OF A POWERLlNK EASEMENT


        Full name of applicant:            .................................................................................................
                                                                                                                                            ...........




        Applicant’s Postal Address:.........................................................................................               ..........




        Tel:............................                                    Fax:........................................

        Mobile:......................                                       E-mail:............................        ....




        Description of the property in question
        Real Property Description (from rates notice):......                        .............................................................




        Street Address:.....................            ..................................................................




        Purpose of co-use (E.g. building a sports field, laying a pipe etc.)




        The number of the nearest pylon or pole to the place where the co-use is planned (if known)



        Details of any construction, plant or machinery use:

        A description of the activities, which will occur, nd machinery to be used (E.g. excavation,
        levelling, lifting by crane etc., including maximum extendable height. Attach separate sheets
        if necessary.).




        If explosives are to be used a blasting plan must be attached.

        Please provide the following information where applicable

        Locality plan and a plan on reasonable scale indicating:
            the dimensions of the structure or object intended to be placed within the
            easement, e.g. height, length, and                          width, as well as any other accessories
            such as storm water pipes etc.

        .
            type of materials that will be used ego timber, metal, concrete, brick etc.
        .   the distance from the nearest transmission line structure (as above)

        .cross       section drawingsof proposed cut/fill with the dimensions accurate to 0.1
            metres indicating cut/fill and final finished level,

        .   North arrow.

        If this application complies with Powerlink requirements, work will commence
        in........................... ....(MONTHIYEAR),

        and is expected to be completed in                   ..................................  ..(MONTHIYEAR)


        SIGNED BY THE APPLlCANT........................................................



        DATE.......................................
        Page 14 of 14 Management of Easement Co-use Requests Guideline                              Updated 06 September 2010 Version 6.0