District Council of

Loxton Waikerie

General Permit Application

Council has a duty of care to ensure public safety at all times, and before any activity can happen on Council land or land under the care and control of Council, a permit application is required. This application for MUST be completed and submitted 20 working days prior to the proposed event / activity.

* Mandatory Field

Details
Name of Organisation*
Name of Contact Person*
Line 1
Line 2
Locality/Suburb
State
Postcode
Telephone Contact*
-
Fax
-
Email
Is this for a single event?*
Or is it an ongoing event?*
Location*
Day of Event*
Date of Event*
(dd/mm/yyyy)
Timeframe*

Betwen the hours of am/pm

Public Liability
Do you have public liability insurance?*

The permit holder MUST provide a copy of thier current public liability insurance policy which covers the event to the minimum level of $10million per claim. This is a compulsory requirement.

Purpose of Application
Details of Event*
Other
Will food / drink be supplied?*

If yes, you MUST complete an Application for Temporary Food Premises form which is available on Council's website

Will alcoholic beverages be supplied?*

If yes, you MUST completed a Limited Liquor Licence Notification form which can be located on the Council's website

Will amplified music or a public address system be used?*

Please provide details

Details
Will power be required?*

If yes, please state number of power points, AMPs required and locations. Further information on avaialble council power outlets /amp can be made by contacting Council

Power Requirements
Erection of Structures / Signage?*

If yes, you MUST advise the type of structure, size and its location. Damage to Council property such as broken / damage to irrigation and drainage will be charged to the event organisation

Will you require keys?*

Reserve keys may be obtained from Coucnil to access gates and electricity boxes, if yes please specify

Required keys
Will waste bins be required?*

If yes, please provide details as Council can supply bins according to attendance numbers

How many sulo bins do you require
Delivery Date
(dd/mm/yyyy)
Location of Bins

Skip Bins: Will need to be organised through Riverland Litter on 8588 2882

Do you have any other requirements?
Is your organisation registered with the SA Community - Connecting up website?

If no, your organisation is encouraged to register - www.sacommunity.org - This website is an online database of community groups, organisations etc. Please advise if you would like Council staff to register on your behalf

Important Information
The issuing of this permit is subject to
The permit holder agreeing to the general conditions of the permit*
The permit holder paying the prescribed fee*
The permit holder agreeing to all special conditions that the Council may determine*
The permit holder must provide a copy of their current Certificate of Currency Insurance for $10m with each permit application*
General Conditions

1    The permit holder agrees to indemnify and to keep indemnified the Council, its servants and agents and each of them from and against all actions, costs, claims, damages, charges and expenses whatsoever which may be brought or made or claimed against them or any of them arising out of or in relation to the issuing of the permit.

2    The permit holder shall take out and keep current a public risk insurance policy in the name of the permit holder insuring the permit holder for the minimum sum of ten million dollars ($10,000,000) against all actions, costs, claims, damages, charges and expenses whatsoever which may be brought or made or claimed against the permit holder in relation to the activity. In the case of A Frame signs or shop displays on the footpath, an Insurance Certificate of Currency shall be forwarded to Council each year.

3    The permit holder must provide confirmation of insurance to the Council. Such policy shall bear the endorsement of the Insurer indicating the Insurer accepts the indemnity given by the permit holder.

4    The Permit holder shall ensure that it is licensed or registered to carry out the activity authorised by the issuing of this permit, and where appropriate shall comply with, and give all notices required by any Act of Parliament, ordinance, regulation or By-Law relating to the activity.

5    The permit is NOT transferable.

6    No food or drink will be offered for sale by any permit holder without the prior approval of the Council.  The permit holder must complete a "Temporary Food Premises" application form at least 7 days prior to the event if food is to be sold or provided.

7    No music system or amplified sound to be used by any permit holder without the prior approval of the Council.

8    The position of stalls and/or exhibitors sites are to be approved by the Council prior to the date of the event and may not be altered without the approval of the Council.

9    The permit holder shall ensure that the site or sites are left in a clean and tidy condition at the end of the event. It is the responsibility of the permit holder to remove from the site all litter resulting from the event. Failure to do so may result in cleaning fees being charged.

10 The use of power by permit holders shall not exceed that agreed to and approved by the Council.

11 The permit holder must take all reasonable precautions to avoid damage to services and must immediately notify the council in the event of damage to any grassed surface, tree, shrub, flower bed, water, gas, electric, telephone, or other service within the area or connected to the activity.

12  This permit will not come into operation until proof of the Certificate of Currency Insurance has been provided to the Council, all fees have been paid, and a copy of this document, signed by the Council has been returned to the applicant. 

13  This permit may be revoked by Council if the permit holder fails to comply with a condition of the permit, & may be revoked in any other justifiable circumstances.

14 This permit must be available for inspection by the General Inspector if requested.

15  Street stalls/trading tables shall be well constructed, of neat appearance with no sharp edges and designed to minimise the risk of collapse or over turning onto the footpath, or allowing an object on such table to fall onto the footpath.  A clear thoroughfare at least 1.2m shall be maintained at all times.

16  Applicants must be eighteen (18) years or over.  

I am 18 or over*
I acknowledge that I have read and understand the permit and all permit conditions and agree to abide by and be bound by these conditions*
Contact Us

If you have any questions or problems with completing the application form please contact Council on 8584 8000

If you see this, leave this form field blank.
 
 
Administration
Principal Office - Loxton
29 East Terrace
Phone: 08 8584 8000
Branch Office - Waikerie
Strangman Road
Phone: 08 8541 0700
Visitor Information Centres
Loxton
On the Roundabout - Bookpurnong Terrace
Phone 08 8584 8071
Waikerie
12911 Sturt Highway
Phone: 08 8541 2332
Libraries
Loxton:
East Terrace
Phone: 08 8584 8051
Waikierie
Strangman Road
Phone: 08 8541 0720