Temporary Road Closure Application

Required fields are marked with asterisks (*)

*Please Note - Temporary Road Closure Applications must be submitted a minimum of 30 days prior to the proposed event date.*

Name of Person, Organization or Business making request:

Name of contact person:

Address of applicant:

Phone number:

Email address:

Name of the event / activity requiring a road closure:

Description of the event or activity. Include a summary of the event as well as all uses proposed to occur on the municipal road and their location.

Describe the street(s) proposed to be closed:

Type of closure:

Rolling closure

Single lane closure

Full closure

Date Requested for road closing:

Time requested for road closing to begin:

Time requested for road closing to end:

Will you require barricades, pylons, or other traffic control devices? Please note, while the Town provides traffic control devices for local not-for-profit events at no cost, the organizer is responsible for staffing the road closure during the event.

Yes

Will you require the closures of any municipal parking lots or stalls?

Yes

Is this road closure an eligible local not-for-profit event under the Town’s Community Event Policy?

Yes

The following documents may be uploaded here or submitted directly to Town staff through the application process:

A sketch of the proposed road closure, including location of traffic control devices and detour routes, if applicable.

The communication plan for any businesses or residents located within the road closure area.

The proposed safety plan, including the proposed entrance and egress for emergency vehicles during the closure and proposed staffing to set up and maintain the road closure.

Proof of liability insurance for the event naming the Town of Greater Napanee as additional insured.

Please read the Temporary Road Closure Terms and Conditions (link – document pending). By entering your name in the signature box below, you agree that you have read and understood the information provided and agree to abide by the terms and conditions of the Town’s Temporary Road Closure By-law and confirm that the information contained in this application and any attached documentation is true to the best of your knowledge.

Electronic Signature (please type your first and last name):

Clear

Personal Information Collection Notice

Personal information, as defined in the Municipal Freedom of Information and Protection of Privacy Act (MFIPPA), is collected under the authority of the Municipal Act, 2001, and in accordance with MFIPPA. Personal information on this application will be used for the purpose of issuing permits under the by-law. The information contained in this Application may be subject to disclosure under the MFIPPA if circumstances warrant. Questions regarding the collection, use, and disclosure of this personal information may be directed to Jessica Walters, Clerk at jwalters@greaternapanee.com.