Lancaster, NY · Erie County
Right of Way Excavation Permit Form
This permit application is for people or companies seeking permission to excavate in a street, highway, or public ground in the Village of Lancaster.
What this form is
The form requests written consent to excavate in a Village of Lancaster street, highway, or public ground. It asks for the applicant’s name, address, phone number, work location, and insurance expiration date, and requires a certificate of insurance naming the Village as certificate holder and additional insured, with an endorsement copy. The applicant also agrees to follow Chapter 139 requirements and signs and dates the form.
Who needs it
A person or company planning excavation in a Village of Lancaster street, highway, or public ground needs to seek written consent using this form.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This permit is signed and dated without a notary; the form does not identify any attachment or related step as notarized or sworn.
How to submit this form
- 1
Download The Permit Form
Download the Right of Way Excavation Permit Form.
- 2
Complete The Applicant Details
Print legibly and provide the applicant’s contact information, work location, and liability insurance expiration date.
- 3
Gather Insurance Documents
Attach a certificate of insurance naming the Village as certificate holder and additional insured, plus a copy of the additional insured endorsement.
- 4
Sign And Date The Form
Sign and date the application and print the applicant’s name.
- 5
Submit The Application
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- Who uses the Right of Way Excavation Permit Form?
- A person or company performing excavation in a Village of Lancaster street, highway, or public ground uses this form to seek written consent.
- What must accompany the application?
- The form requires a certificate of insurance naming the Village of Lancaster as certificate holder and additional insured, with a copy of the additional insured endorsement attached.
- Do I need a notary for the Right of Way Excavation Permit Form?
- No. The permit is signed and dated without a notary, and the form does not identify any attachment or related step as notarized or sworn.
- How do I submit the Right of Way Excavation Permit Form?
- Submit it to the city department named on the form; check the city website for current contact details.