Fillable Application for Development, Interference with Wetlands and Alterations (Collège Boréal)

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Application for Development, Interference with Wetlands and Alterations (Collège Boréal)

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The Application for Development, Interference with Wetlands and Alterations (Collège Boréal) form is 6 pages long and contains:

  • 4 signatures
  • 26 check-boxes
  • 55 other fields

Country of origin: CANADA
File type: PDF

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Application for Development, Interference
with Wetlands and Alterations to Shorelines
and Watercourses Permit
Pursuant to Ontario Regulation 172/06
NVCA will consider your application based on the
information you provide below. Any false or misleading
statement made on this application will render null and
void any permission granted. Complete all relevant
sections, date, sign and return the application along with
appropriate review fee.
Before you apply!
Visit www.nvca.on.ca and
complete the property inquiry form
for free initial information and
consultation on your proposal.
APPLICANT – Primary contact for application (Clearly print/type all information.)
Applicant is: Owner Authorized Agent of Owner
Applicant Name (First/Last): _____________________________________________________
Corporation/Partnership: ________________________________________________________
Mailing Address:_______________________________________________________________
Town: _________________ Province: ______ Postal Code: _________ Country: ________
Daytime Tel: ________________________________ Cell:_____________________________
Email:______________________________________ Fax:_____________________________
Preferred method of correspondence: Email Phone Fax Mail
If an applicant/agent is to act on behalf of the owner, the authorization
form on page 6 must be completed.
OWNER – Include owner contact information if not applicant (above).
Name (First/Last): _____________________________________________________________
Corporation/Partnership: ________________________________________________________
Mailing Address:_______________________________________________________________
Town: _________________ Province: ______ Postal Code: _________ Country: ________
Daytime Tel: ________________________________ Cell:_____________________________
Email:______________________________________ Fax:_____________________________
Preferred method of correspondence: Email Phone Fax Mail
Nottawasaga Valley Conservation Authority (NVCA)
8195 8
th
Line, Utopia, ON, L0M 1T0
T: 705-424-1479 F: 705-424-2115 www.nvca.on.ca Page 1 of 6
____________________________________________________________________________
____________________________________________________________________________
SECONDARY CONTACT – Optional additional contact to the application.
Name (First/Last): _____________________________________________________________
Corporation/Partnership: ________________________________________________________
Mailing Address:_______________________________________________________________
Town: _________________ Province: ______ Postal Code: _________ Country: ________
Daytime Tel: ________________________________ Cell:_____________________________
Email:______________________________________ Fax:_____________________________
Preferred method of correspondence: Email Phone Fax Mail
LOCATION OF PROPOSED WORKS
Municipal Address (911 Number): _________________________________________________
Municipality/Township: ___________________ Watercourse: _________________________
Lot: __________________________________ Concession: __________________________
Property Assessment Roll Number (from Property Tax Notice): __________________________
Current property zoning (check with local municipality if unsure): ________________________
Is the property under the jurisdiction of the Niagara Escarpment Commission? Yes No
DESCRIPTION OF PROPOSED WORKS
Application is made to (check all that apply):
Develop the property by constructing,
rebuilding or altering a building,
including building sheds, decks, or adding
in-ground pools, etc.
Develop the property by placing or
removing fill and/or grading the site
Interfere with a wetland (for example,
harvest or grub)
Alter a watercourse (for example,
construct or remove a bridge, channel,
pond or dam, or undertake bank
protection work)
Alter a shoreline (for example, build or
repair a breakwall or bridge, or undertake
shoreline protection work)
Describe the proposed work: _____________________________________________________
Proposed start date: _______________________ Completion date:_____________________
NVCA – Application for Development, Interference with Wetlands
and Alterations to Shorelines and Watercourses Permit Page 2 of 6
REQUIRED INFORMATION
Your application must be accompanied by the following basic information for it to
be processed for review:
Payment of the applicable application review fee (contact NVCA at 705-424-1479 or
visit www.nvca.on.ca for the permit fee schedule)
Location Map showing the nearest intersection
Site Plan Drawing - Show existing and proposed works; property boundaries; street
name(s); north arrow; and features of the site such as buildings and structures, tree
lines, streams, wetlands, wet areas, springs, ditches, culverts, and elevation contours
(existing and proposed grades). Include measurements and dimensions with consistent
units (meters or feet). Show how much vegetation or tree cover is to be removed and
where fill is to be located.
Digital photo(s) of the proposed work location (taken with a phone or camera)
Zoning Certificate/Approval from local municipality
Niagara Escarpment Commission (NEC) Notice of Decision (if applicable)
Authorization Form (if applicant/agent is not the owner; see page 6)
Unless otherwise requested, NVCA requires a digital copy of all project drawings. If a digital
copy is not possible, one hard copy of the project drawings will be accepted.
Note: Additional information may be required through the process of reviewing
this application (see page 5).
SUBMITTING YOUR APPLICATION
By Email
Email Address: permits@nvca.on.ca
Large emails (with a total size of more
than 5MB) cannot be accepted. If you
are sending large files, email the
documents individually.
Payment may be made by credit card
by contacting the NVCA front desk at
705-424-1479.
By Mail or Courier
Mailing Address: NVCA, 8195 8th Line,
Utopia ON, L0M 1T0
Include all materials in package.
Cheque(s) should be made payable to
Nottawasaga Valley Conservation
Authority.
Office Use Only
Rev 10/18
Reference ID#
Application Type
Payment Status
Fee
Method of Payment
Payment Provided by
(Name)
NVCA – Application for Development, Interference with Wetlands
and Alterations to Shorelines and Watercourses Permit Page 3 of 6
NOTICE OF COLLECTION
Pursuant to the Municipal Freedom of Information & Protection of Privacy Act, the
personal information contained on this form is collected under the Authority of the
Conservation Authorities Act, R.S.O. 1990, Chapter C.27, and Ontario Regulation 172/06
NVCA Regulation of Development, Interference with Wetlands and Alterations to
Shorelines and Watercourses. This information is used to assess applications and, where
approved, issue permits. Information on this form will be disclosed to government and
municipal agencies for review and comments and may be disclosed to members of the
public through the Freedom of Information process.
TERMS AND CONDITIONS
• Permits or approvals granted by NVCA are non-transferable.
• Pe
rmits, approvals, etc. may be required from other agencies prior to undertakin
g
t
he proposed work. Authority permission, if granted for the proposed work, does no
t
e
xempt the owner/agent from complying with any or all other laws, statute
s,
o
rdinances, directives, regulations, approvals, etc. that may affect the property o
r
the use of same.
• If the information provided on or with this application is determined to be untrue or
i
ncorrect, or become untrue or incorrect, NVCA reserves the right to withdraw an
y
p
ermission granted
.
• A fil
e will be deemed dormant and closed if after a period of twelve (12) month
s,
there has been no activity associated with the application. Once a file has been
cl
osed, an applicant wishing to proceed with their application will need to reapply fo
r
t
he proposed works – this will include the submission of a new application
,
documents to support the application and the appropriate processing fee.
• Permits contain important conditions. Contractors must have a copy of the permit on
t
he work site at all time
s.
• Ap
plication fees are non-refundable. Application fees are not subject to H
ST.
I / we
the undersigned hereby certify to the best of my/our knowledge and belief that all
of the above-noted, attached and/or supporting documentation information is correct and
true. I/we further solemnly declare that I/we have read and fully understand the
contents of this application and specifically the terms and conditions, and the declaration
which is written above.
By signing this application, consent is given to NVCA, its employees and authorized
representatives to access the property for the purposes of obtaining information and
monitoring any approved works.
Signature of Applicant: ___________________________ Date: _________________
Signature of Owner: _____________________________ Date: _________________
Signature of Secondary Contact: ____________________ Date: _________________
NVCA – Application for Development, Interference with Wetlands
and Alterations to Shorelines and Watercourses Permit Page 4 of 6
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ADDITIONAL INFORMATION
The following information may be required to support your application. Having
this information readily available may expedite the permit review process.
• A legal survey.
• A topographic survey tied into a geodetic benchmark showing existing and proposed
grades, drainage details and finished floor elevations for buildings.
• A cross-sectional drawing of the proposed works.
• A complete description of the amount, type and quality of fill proposed to be placed
and/or dumped.
• A written description or drawings showing the amount and size of materials to be used
(e.g., culverts, rip-rap or rock check dams).
• Conceptual, architectural or design drawings of the proposed building(s) showing the
size of the structure and elevations for windows and doors.
• A description of the proposed use of the buildings.
• For a watercourse alteration, a statement about the purpose of the alteration.
• A description of the construction sequence/timing and the methods to be used in
carrying out the works and how the site is to be accessed by heavy equipment. (This
is particularly important for watercourse alterations.)
• Plans or a description of how sediment and erosion will be controlled during
construction and for the period after construction until vegetation is successfully
established.
• Plans or a description of how the site is to be re-vegetated/stabilized after
construction (e.g., sod, seeding, hydro-seeding, and tree and shrub plantings, rip-
rap).
• A copy of any supporting studies or reports undertaken for the proposed work. This
may include a flood study, environmental impact study, hydrogeological report,
geotechnical study, slope stability analysis, fisheries impact assessment, etc.
The location and extent (perimeter) of all proposed works should be clearly
staked, flagged and/or marked on-site. This ensures NVCA staff can identify the
proposed work location on your property when conducting a site visit.
NOTE: Depending on the complexity of the application, additional information beyond that
which is listed above may be required.
NVCA – Application for Development, Interference with Wetlands
and Alterations to Shorelines and Watercourses Permit Page 5 of 6
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
AUTHORIZATION FORM (Must be completed when owner is not the Primary Applicant.)
I,
(Name of Property Owner(s))
hereby give permission to
(Applicant or Authorized Agent)
to act as my authorized agent to apply for an Application for Development, Interference
with Wetlands and Alterations to Shorelines and Watercourses Permit for
(Location of Proposed Works)
This person(s)/company will be responsible for applying for the permit and submitting all
required information requested from NVCA to complete the review and make a decision.
TO BE COMPLETED BY PROPERTY OWNER:
Name of Owner (print): ____________________________________
Tel:____________________________________________________
Email:__________________________________________________
Signature of Owner: ______________________________________
Date: __________________________________________________
After printing, sign and send this form to NVCA.
If you have provided an electronic signature,
SAVE and EMAIL this form to permits@nvca.on.ca.
NVCA – Application for Development, Interference with Wetlands
and Alterations to Shorelines and Watercourses Permit Page 6 of 6
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Application for Development, Interference with Wetlands and Alterations (Collge Boral)

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Completed 15 March 2022

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