2. 

3. Street Use Permit

   Application

   Special Event Closure

5. For closure of roadway and part thereof for a special event, such as a car show, flea market, parade etc.

   Applications for Special Event Closure - Street Use Permits must be submitted at least 10 business days prior to the requested day of use.

9. Contact Information
11. Organization Name*
12. Contact Name*
14. Mailing Address*
16. City*
17. Prov*
18. Postal Code*
20. Email Address*
21. Phone Number*
23. Name of Primary Event Contact (on Day of Event)
24. Phone Number of Primary Event Contact*
26. Alternate Phone Number of Primary Event Contact
27. Email of Primary Event Contact*
29. Name of Secondary Event Contact (on Day of Event)
30. Phone Number of Secondary Event Contact
32. Alternate Phone Number of Secondary Event Contact
33. Email of Secondary Event Contact
37. Event Details
39. Name of event*
41. Nature and objectives of event*
43. Date(s) of event*
44. Time of event (from - to)*
46. Start time of road closure (including setup)*
47. End time of road closure (including take down)*
49. Address of Location to be Closed*
51. Highway(s) / road(s) required to be closed*
53. Between... (location / street)*
54. ... And (location / street)*
56. Between... (location / street)
57. ... And (location / street)
59. Location Details
61. Is this a repeat event? If so, please provide the date(s) and location(s) of previous event
63. Projected number of people involved in this event
65. Participants*
66. Spectators*
67. Volunteers*
69. How will these individuals be identified?
73. Event and Road Closure Logistics
75. Provide details on how the event will be operated along the highway(s)*
77. How may the highway(s) be affected by the event? What efforts will be taken to mitigate or eliminate any risk that may occur to the event participants, spectators, volunteers and the motoring public? *
79. Will any aid stations be set up near the highway and/or require access from the highway? *

    1. Yes
    2. No
81. Provide details on the set-up & procedures for participants to get on and off the highway(s) *
83. Attach file of map showing all locations of the aid stations*
85. Will any escort vehicles / patrol vehicles be used? *

    1. Yes
    2. No
87. Provide details on how these vehicles will work along the highway(s)*
89. Is traffic control required?*

    1. Yes
    2. No
91. If yes, a complete Traffic Accommodation Strategy (TAS) with signage diagram(s) is required to be attached to this application*
93. Who will be responsible for the implementation of the Traffic Accommodation Strategy?*
97. Event Features
99. Provide or list all rules/regulations to be imposed by the event*
101. Rules / Regulations information may be provided on a separate sheet and attached to this application if needed
103. Will there be animals and/or special equipment involved?*

     1. Yes
     2. No
105. If yes, please provide details*
107. Does your event involve (check all that apply)

     1. Alcohol
     2. Drone(s)
     3. Open flame
     4. Fireworks / Pyrotechnics
     5. Outdoor cooking
     6. Amplified sound
     7. Gaming / Gambling
     8. Outdoor lighting

     1. Animals / Petting zoo
     2. Inflatable devices
     3. Roads Barricades / Fencing
     4. Live entertainment
     5. Security
     6. Camping
     7. Medical services / First aid
     8. Other
109. If Other, please describe
111. Does your Event include:
113. Food Trucks? *

     1. Yes
     2. No
114. Number # of Food Trucks*
116. Food Vendors?*

     1. Yes
     2. No
117. Number # of Food Vendors*
119. Generators?*

     1. Yes
     2. No
120. Number # of Generators*
122. Washrooms / Water Closets?*

     1. Yes
     2. No
123. Number # of Washrooms / Water Closets*
125. Handwash Stations*

     1. Yes
     2. No
126. Number # of Handwash Stations*
130. Weather Contingency Plan
132. In the event of inclement weather, please advise if you will proceed with your event*

     1. Proceed with full event
     2. Cancel event
     3. Alternate arrangements
134. Please describe your weather contingency strategy
136. Noise Exemption*

     Any person or group planning an activity or event should apply for a noise exemption permit if it is expected to exceed the permitted noise/sound levels or if it will be occurring outside of the allowed time frame of 10 p.m. This includes film productions, public events, weddings, or music festivals. 

     Please see {LINK} to complete a noise exemption application.

     Will you be applying for a Noise Exemption Permit?

     1. Yes
     2. No
138. Attachments

     PROVIDE A COPY OF THE FOLLOWING

140. Certificate of Insurance*

     Certificate of Insurance with a minimum of $2 million liability with a waiver against third-party claims.   A maximum deductible shall not be greater than $3,000.  Name Town of Diamond Valley as an additional insured party.

142. Approval of Relevant Authorities

     Provide a list and copy of the approval from other authorities who may have an interest in the event. Such as Alberta Transportation and Diamond Valley Fire Rescue.

144. Maps & Diagrams*

     Map & Diagrams for route, location, and aid station(s).  Must be actual maps - no links.

148. Electronic Signature Agreement*

     By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

     1. I agree.
150. Electronic Signature*
152. Protection of Privacy Act

     The personal information collected through the Street Use Permit Application form is for the purpose of providing a permit for special event roadway closures. This collection is authorized under section 4(c) of the Protection of Privacy Act. For questions about the collection of personal information, contact the Privacy Office LegislativeServices@DiamondValley.town or 403-933-4348

Leave This Blank:


154. 1. Receive an email copy of this form.
155. Email address

     This field is not part of the form submission.

156. Submit

* indicates a required field