Application Form for Excavation Permit
Part 1
Application Information
Part 2
Application Information
(Cont'd)
Part 3
Important Notes
Part 4
Applicant Information
Part 5
Authentication
Part 1
Application Information
Part 1 Application Information
Application is hereby made to excavate trenches for the purpose of
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at the location as indicated on the A3 size survey plan* of 1:1000 scale attached herewith. It is certified that the routes shown on the attached plan are of one scheme and if rural villages are affected, the attached plan does not cover more than one rural village.
* only one A3 size survey plan shall be submitted for each application.
A3 size survey plan of 1:1000 scale:
Choose file...
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Existing Attachment (if necessary, please upload new attachment to replace the old one) :
(File format: pdf / jpg / jpeg / gif / png / dgn image file with a maximum file size below 1 MB)
Please choose as below dropdown or click on the map to indicate the location of trenches.
Please Choose ...
HONG KONG EAST
HONG KONG WEST & SOUTH
KOWLOON EAST
KOWLOON WEST
ISLANDS
NORTH
SHA TIN
SAI KUNG
TAI PO
TSUEN WAN & KWAI TSING
TUEN MUN
YUEN LONG
Road:
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District Lands Office:
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Part 2
Application Information (Cont'd)
Part 2 Application Information (Cont'd)
The proposed duration and approximate size(s) of the excavation(s) are as follows :
Item 1
Add Item
Commencement Date:
Date of approval
#
Duration of excavation:
Unit
Day(s)
Month(s)
#
Size of excavation:
Length
Unit
m
cm
Width
Unit
m
cm
Depth
Unit
m
cm
#
Underground / above ground installation or both (See Note below):
Please select
Underground installation
Above ground installation
Both
#
Dimension:
Length
Unit
m
cm
Width
Unit
m
cm
Height
Unit
m
cm
#
Materials:
#
Elevation and Cross-section plans:
Please upload the elevation and cross-section plans.
Existing Attachment (if necessary, please upload new attachment to replace the old one) :
(File format: pdf / jpg / jpeg / gif / png image file with a maximum file size below 1 MB)
#
Remarks (Optional):
Item 2
Remove Item
Add Item
Commencement Date:
Date of approval
#
Duration of excavation:
Unit
Day(s)
Month(s)
#
Size of excavation:
Length
Unit
m
cm
Width
Unit
m
cm
Depth
Unit
m
cm
#
Underground / above ground installation or both (See Note below):
Please select
Underground installation
Above ground installation
Both
#
Dimension:
Length
Unit
m
cm
Width
Unit
m
cm
Height
Unit
m
cm
#
Materials:
#
Elevation and Cross-section plans:
Please upload the elevation and cross-section plans.
Existing Attachment (if necessary, please upload new attachment to replace the old one) :
(File format: pdf / jpg / jpeg / gif / png image file with a maximum file size below 1 MB)
#
Remarks (Optional):
Item 3
Remove Item
Add Item
Commencement Date:
Date of approval
#
Duration of excavation:
Unit
Day(s)
Month(s)
#
Size of excavation:
Length
Unit
m
cm
Width
Unit
m
cm
Depth
Unit
m
cm
#
Underground / above ground installation or both (See Note below):
Please select
Underground installation
Above ground installation
Both
#
Dimension:
Length
Unit
m
cm
Width
Unit
m
cm
Height
Unit
m
cm
#
Materials:
#
Elevation and Cross-section plans:
Please upload the elevation and cross-section plans.
Existing Attachment (if necessary, please upload new attachment to replace the old one) :
(File format: pdf / jpg / jpeg / gif / png image file with a maximum file size below 1 MB)
#
Remarks (Optional):
Item 4
Remove Item
Add Item
Commencement Date:
Date of approval
#
Duration of excavation:
Unit
Day(s)
Month(s)
#
Size of excavation:
Length
Unit
m
cm
Width
Unit
m
cm
Depth
Unit
m
cm
#
Underground / above ground installation or both (See Note below):
Please select
Underground installation
Above ground installation
Both
#
Dimension:
Length
Unit
m
cm
Width
Unit
m
cm
Height
Unit
m
cm
#
Materials:
#
Elevation and Cross-section plans:
Please upload the elevation and cross-section plans.
Existing Attachment (if necessary, please upload new attachment to replace the old one) :
(File format: pdf / jpg / jpeg / gif / png image file with a maximum file size below 1 MB)
#
Remarks (Optional):
Item 5
Remove Item
Add Item
Commencement Date:
Date of approval
#
Duration of excavation:
Unit
Day(s)
Month(s)
#
Size of excavation:
Length
Unit
m
cm
Width
Unit
m
cm
Depth
Unit
m
cm
#
Underground / above ground installation or both (See Note below):
Please select
Underground installation
Above ground installation
Both
#
Dimension:
Length
Unit
m
cm
Width
Unit
m
cm
Height
Unit
m
cm
#
Materials:
#
Elevation and Cross-section plans:
Please upload the elevation and cross-section plans.
Existing Attachment (if necessary, please upload new attachment to replace the old one) :
(File format: pdf / jpg / jpeg / gif / png image file with a maximum file size below 1 MB)
#
Remarks (Optional):
Item 6
Remove Item
Add Item
Commencement Date:
Date of approval
#
Duration of excavation:
Unit
Day(s)
Month(s)
#
Size of excavation:
Length
Unit
m
cm
Width
Unit
m
cm
Depth
Unit
m
cm
#
Underground / above ground installation or both (See Note below):
Please select
Underground installation
Above ground installation
Both
#
Dimension:
Length
Unit
m
cm
Width
Unit
m
cm
Height
Unit
m
cm
#
Materials:
#
Elevation and Cross-section plans:
Please upload the elevation and cross-section plans.
Existing Attachment (if necessary, please upload new attachment to replace the old one) :
(File format: pdf / jpg / jpeg / gif / png image file with a maximum file size below 1 MB)
#
Remarks (Optional):
Item 7
Remove Item
Add Item
Commencement Date:
Date of approval
#
Duration of excavation:
Unit
Day(s)
Month(s)
#
Size of excavation:
Length
Unit
m
cm
Width
Unit
m
cm
Depth
Unit
m
cm
#
Underground / above ground installation or both (See Note below):
Please select
Underground installation
Above ground installation
Both
#
Dimension:
Length
Unit
m
cm
Width
Unit
m
cm
Height
Unit
m
cm
#
Materials:
#
Elevation and Cross-section plans:
Please upload the elevation and cross-section plans.
Existing Attachment (if necessary, please upload new attachment to replace the old one) :
(File format: pdf / jpg / jpeg / gif / png image file with a maximum file size below 1 MB)
#
Remarks (Optional):
Item 8
Remove Item
Add Item
Commencement Date:
Date of approval
#
Duration of excavation:
Unit
Day(s)
Month(s)
#
Size of excavation:
Length
Unit
m
cm
Width
Unit
m
cm
Depth
Unit
m
cm
#
Underground / above ground installation or both (See Note below):
Please select
Underground installation
Above ground installation
Both
#
Dimension:
Length
Unit
m
cm
Width
Unit
m
cm
Height
Unit
m
cm
#
Materials:
#
Elevation and Cross-section plans:
Please upload the elevation and cross-section plans.
Existing Attachment (if necessary, please upload new attachment to replace the old one) :
(File format: pdf / jpg / jpeg / gif / png image file with a maximum file size below 1 MB)
#
Remarks (Optional):
Item 9
Remove Item
Add Item
Commencement Date:
Date of approval
#
Duration of excavation:
Unit
Day(s)
Month(s)
#
Size of excavation:
Length
Unit
m
cm
Width
Unit
m
cm
Depth
Unit
m
cm
#
Underground / above ground installation or both (See Note below):
Please select
Underground installation
Above ground installation
Both
#
Dimension:
Length
Unit
m
cm
Width
Unit
m
cm
Height
Unit
m
cm
#
Materials:
#
Elevation and Cross-section plans:
Please upload the elevation and cross-section plans.
Existing Attachment (if necessary, please upload new attachment to replace the old one) :
(File format: pdf / jpg / jpeg / gif / png image file with a maximum file size below 1 MB)
#
Remarks (Optional):
Item 10
Remove Item
Add Item
Commencement Date:
Date of approval
#
Duration of excavation:
Unit
Day(s)
Month(s)
#
Size of excavation:
Length
Unit
m
cm
Width
Unit
m
cm
Depth
Unit
m
cm
#
Underground / above ground installation or both (See Note below):
Please select
Underground installation
Above ground installation
Both
#
Dimension:
Length
Unit
m
cm
Width
Unit
m
cm
Height
Unit
m
cm
#
Materials:
#
Elevation and Cross-section plans:
Please upload the elevation and cross-section plans.
Existing Attachment (if necessary, please upload new attachment to replace the old one) :
(File format: pdf / jpg / jpeg / gif / png image file with a maximum file size below 1 MB)
#
Remarks (Optional):
Item 11
Remove Item
Add Item
Commencement Date:
Date of approval
#
Duration of excavation:
Unit
Day(s)
Month(s)
#
Size of excavation:
Length
Unit
m
cm
Width
Unit
m
cm
Depth
Unit
m
cm
#
Underground / above ground installation or both (See Note below):
Please select
Underground installation
Above ground installation
Both
#
Dimension:
Length
Unit
m
cm
Width
Unit
m
cm
Height
Unit
m
cm
#
Materials:
#
Elevation and Cross-section plans:
Please upload the elevation and cross-section plans.
Existing Attachment (if necessary, please upload new attachment to replace the old one) :
(File format: pdf / jpg / jpeg / gif / png image file with a maximum file size below 1 MB)
#
Remarks (Optional):
Item 12
Remove Item
Add Item
Commencement Date:
Date of approval
#
Duration of excavation:
Unit
Day(s)
Month(s)
#
Size of excavation:
Length
Unit
m
cm
Width
Unit
m
cm
Depth
Unit
m
cm
#
Underground / above ground installation or both (See Note below):
Please select
Underground installation
Above ground installation
Both
#
Dimension:
Length
Unit
m
cm
Width
Unit
m
cm
Height
Unit
m
cm
#
Materials:
#
Elevation and Cross-section plans:
Please upload the elevation and cross-section plans.
Existing Attachment (if necessary, please upload new attachment to replace the old one) :
(File format: pdf / jpg / jpeg / gif / png image file with a maximum file size below 1 MB)
#
Remarks (Optional):
Item 13
Remove Item
Add Item
Commencement Date:
Date of approval
#
Duration of excavation:
Unit
Day(s)
Month(s)
#
Size of excavation:
Length
Unit
m
cm
Width
Unit
m
cm
Depth
Unit
m
cm
#
Underground / above ground installation or both (See Note below):
Please select
Underground installation
Above ground installation
Both
#
Dimension:
Length
Unit
m
cm
Width
Unit
m
cm
Height
Unit
m
cm
#
Materials:
#
Elevation and Cross-section plans:
Please upload the elevation and cross-section plans.
Existing Attachment (if necessary, please upload new attachment to replace the old one) :
(File format: pdf / jpg / jpeg / gif / png image file with a maximum file size below 1 MB)
#
Remarks (Optional):
Item 14
Remove Item
Add Item
Commencement Date:
Date of approval
#
Duration of excavation:
Unit
Day(s)
Month(s)
#
Size of excavation:
Length
Unit
m
cm
Width
Unit
m
cm
Depth
Unit
m
cm
#
Underground / above ground installation or both (See Note below):
Please select
Underground installation
Above ground installation
Both
#
Dimension:
Length
Unit
m
cm
Width
Unit
m
cm
Height
Unit
m
cm
#
Materials:
#
Elevation and Cross-section plans:
Please upload the elevation and cross-section plans.
Existing Attachment (if necessary, please upload new attachment to replace the old one) :
(File format: pdf / jpg / jpeg / gif / png image file with a maximum file size below 1 MB)
#
Remarks (Optional):
Item 15
Remove Item
Commencement Date:
Date of approval
#
Duration of excavation:
Unit
Day(s)
Month(s)
#
Size of excavation:
Length
Unit
m
cm
Width
Unit
m
cm
Depth
Unit
m
cm
#
Underground / above ground installation or both (See Note below):
Please select
Underground installation
Above ground installation
Both
#
Dimension:
Length
Unit
m
cm
Width
Unit
m
cm
Height
Unit
m
cm
#
Materials:
#
Elevation and Cross-section plans:
Please upload the elevation and cross-section plans.
Existing Attachment (if necessary, please upload new attachment to replace the old one) :
(File format: pdf / jpg / jpeg / gif / png image file with a maximum file size below 1 MB)
#
Remarks (Optional):
Note : If above ground installation is involved, its dimensions, materials, elevation and cross-section plans shall be provided for reference.
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Part 3
Important Notes
Part 3 Important Notes
I / We undertake to observe the conditions accompanying the permit and all the provisions of the Land (Miscellaneous Provisions) Ordinance (Cap. 28) and all the subsidiary legislation made thereunder; and I / we agree to observe that the area affected shall on completion of the work be reinstated in all respects to the satisfaction of the District Lands Officer
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within a period of
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days from date of completion of the work, and that such reinstatement shall be subject to a maintenance period of 12 months after completion of reinstatement.
I / We hereby authorize the Lands Department to disclose any personal data provided in the application form to other Government Bureaux / Departments or agents of them and other public / private organizations for considering and processing my / our application for excavation permit and related purposes (including but not limited to enforcement actions to be taken against any breach of the terms and conditions contained in the said permit, if issued).
I / We agree that the Lands Department may, in processing my / our application, collect my / our personal data from other relevant Government Bureaux / Departments or agents of them, public / private organizations and / or any other third party possessing my / our personal data for verification. In this connection, I / We authorize, and undertake to provide separate consent(s), if necessary, to these Government Bureaux / Departments or agents of them, public / private organizations and / or any other third party possessing my / our personal data to furnish the Lands Department with my / our personal data for processing this application.
I / We acknowledge that I / we have read and understood the “Note on Use of Personal Information” in this application form.
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Note on Use of Personal Information
Purpose of Collection
The personal data provided in your application will be used by the Lands Department for the purpose of considering and processing your application for excavation permit and related purposes (including but not limited to enforcement actions to be taken against any breach of the terms and conditions contained in the said permit, if issued). The provision of your name, telephone number and signature is obligatory. If you do not provide such information, the Lands Department may refuse to process your application.
Class of Transferees
The personal data provided may be disclosed to other Government Bureaux / Departments or agents of them and other public / private organizations for the purposes mentioned above.
Access to Personal Data
The individual who is the subject of the personal data has a right of access and correction with respect to personal data as provided for in Sections 18 and 22 and Principle 6 of Schedule 1 of the Personal Data (Privacy) Ordinance (Cap. 486). Such right of access includes the right to obtain a copy of the personal data provided in this application upon payment of the applicable charge.
Enquiries
Enquiries concerning the personal data collected, including the request for access and corrections, should be addressed to:
Departmental Personal Data Controlling Officer of the Lands Department
20/F North Point Government Offices
333 Java Road
Hong Kong
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Part 4
Applicant Information
Part 4 Applicant Information
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Applicant's Reference:
#
Name in Block Letters:
#
Name of Utility Undertaking:
#
Address:
#
Tel. No.:
#
Email Address:
#
Application Date:
#
E-sign Application:
Please select
Sign in the screen
Upload signature image file
Upload company chop
#
Choose file...
(File format: jpg / jpeg / gif / png image file with a maximum file size below 1 MB)
#
Utility Company Chop:
Choose file...
(File format: jpg / jpeg / gif / png image file with a maximum file size below 1 MB)
#
Contact Person 1
Add Contact Person
Name :
Tel. No.:
Email Address:
Contact Person 2
Remove Contact Person
Add Contact Person
Name :
Tel. No.:
Email Address:
Contact Person 3
Remove Contact Person
Add Contact Person
Name :
Tel. No.:
Email Address:
Contact Person 4
Remove Contact Person
Name :
Tel. No.:
Email Address:
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Part 5
Authentication
Part 5 Authentication
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Please enter the code:
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Please review the information before submission:
Application Information
Application is hereby made to excavate trenches for the purpose of
at the location as indicated on the A3 size survey plan* of 1:1000 scale attached herewith. It is certified that the routes shown on the attached plan are of one scheme and if rural villages are affected, the attached plan does not cover more than one rural village.
* Only one A3 size survey plan shall be submitted for each application.
A3 size survey plan of 1:1000 scale:
A3 size survey plan of 1:1000 scale (Optional):
surveyPlanDgnLink
Road:
District Lands Office:
The proposed duration and approximate size(s) of the excavation(s) are as follows :
Note : If above ground installation is involved, its dimensions, materials, elevation and cross-section plans shall be provided for reference.
Important Notes
I / We undertake to observe the conditions accompanying the permit and all the provisions of the Land (Miscellaneous Provisions) Ordinance (Cap. 28) and all the subsidiary legislation made thereunder; and I / we agree to observe that the area affected shall on completion of the work be reinstated in all respects to the satisfaction of the District Lands Officer
within a period of
days from date of completion of the work, and that such reinstatement shall be subject to a maintenance period of 12 months after completion of reinstatement.
I / We hereby authorize the Lands Department to disclose any personal data provided in the application form to other Government Bureaux / Departments or agents of them and other public / private organizations for considering and processing my / our application for excavation permit and related purposes (including but not limited to enforcement actions to be taken against any breach of the terms and conditions contained in the said permit, if issued).
I / We agree that the Lands Department may, in processing my / our application, collect my / our personal data from other relevant Government Bureaux / Departments or agents of them, public / private organizations and / or any other third party possessing my / our personal data for verification. In this connection, I / We authorize, and undertake to provide separate consent(s), if necessary, to these Government Bureaux / Departments or agents of them, public / private organizations and / or any other third party possessing my / our personal data to furnish the Lands Department with my / our personal data for processing this application.
I / We acknowledge that I / we have read and understood the “Note on Use of Personal Information” in this application form.
Note on Use of Personal Information
Purpose of Collection
The personal data provided in your application will be used by the Lands Department for the purpose of considering and processing your application for excavation permit and related purposes (including but not limited to enforcement actions to be taken against any breach of the terms and conditions contained in the said permit, if issued). The provision of your name, telephone number and signature is obligatory. If you do not provide such information, the Lands Department may refuse to process your application.
Class of Transferees
The personal data provided may be disclosed to other Government Bureaux / Departments or agents of them and other public / private organizations for the purposes mentioned above.
Access to Personal Data
The individual who is the subject of the personal data has a right of access and correction with respect to personal data as provided for in Sections 18 and 22 and Principle 6 of Schedule 1 of the Personal Data (Privacy) Ordinance (Cap. 486). Such right of access includes the right to obtain a copy of the personal data provided in this application upon payment of the applicable charge.
Enquiries
Enquiries concerning the personal data collected, including the request for access and corrections, should be addressed to:
Departmental Personal Data Controlling Officer of the Lands Department
20/F North Point Government Offices
333 Java Road
Hong Kong
Applicant Information
Applicant's Reference:
Name of Utility Undertaking:
Name in Block Letters:
Address:
Tel. No.:
Email Address:
Application Date:
Signature:
Utility Undertaking Chop:
Confirm and Submit
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