In-water and shoreline work permit application

Trent-Severn Waterway National Historic Site

Applicant information

Name(s) of Applicant (required)

Mailing address (required)

City (required)

Postal code (required)

Primary telephone (required)

Primary telephone extension

Secondary telephone

Secondary telephone extension

Email address (required)

Fax

Contractor (if applicable)

Name of contractor

Mailing address

City

Postal code

Business telephone

Extension

Fax

Email address

Where the property owner wishes to authorize an agent to act on their behalf, an authorization letter must be uploaded with the project (Other upload)
I am confirming this is the authorized agent for the project and an authorization letter has been uploaded with the project (Other upload)

Location of work site

Street address (required)

Municipality/Township (required)

County

Lot

Concession

Lot and registered plan

Waterbody(required)

Geographic Location

Assessment roll number (required)

Project

Type Status

Upload required files

Detailed plan of proposed work:

Complete copy of deed (all pages):

Complete copy of survey plan:

Summer photograph of area:

Other:

Project Description and Material Used

E.g.: Pea Stone (1/8” to ½” stone), Granular “B”, Untreated Timber, Treated Timber, Armour stone, Gabion baskets, Rip Rap (angular rock 4” – 18”), Geo-textile filter fabric, Steel.

Project 2

Type Status

Upload required files

Detailed plan of proposed work:

Complete copy of deed (all pages):

Complete copy of survey plan:

Summer photograph of area:

Other:

Project Description and Material Used

E.g.: Pea Stone (1/8” to ½” stone), Granular “B”, Untreated Timber, Treated Timber, Armour stone, Gabion baskets, Rip Rap (angular rock 4” – 18”), Geo-textile filter fabric, Steel.

Project 3

Type Status

Upload required files

Detailed plan of proposed work:

Complete copy of deed (all pages):

Complete copy of survey plan:

Summer photograph of area:

Other:

Project Description and Material Used

E.g.: Pea Stone (1/8” to ½” stone), Granular “B”, Untreated Timber, Treated Timber, Armour stone, Gabion baskets, Rip Rap (angular rock 4” – 18”), Geo-textile filter fabric, Steel.

Project 4

Type Status

Upload required files

Detailed plan of proposed work:

Complete copy of deed (all pages):

Complete copy of survey plan:

Summer photograph of area:

Other:

Project Description and Material Used

E.g.: Pea Stone (1/8” to ½” stone), Granular “B”, Untreated Timber, Treated Timber, Armour stone, Gabion baskets, Rip Rap (angular rock 4” – 18”), Geo-textile filter fabric, Steel.

Project 5

Type Status

Upload required files

Detailed plan of proposed work:

Complete copy of deed (all pages):

Complete copy of survey plan:

Summer photograph of area:

Other:

Project Description and Material Used

E.g.: Pea Stone (1/8” to ½” stone), Granular “B”, Untreated Timber, Treated Timber, Armour stone, Gabion baskets, Rip Rap (angular rock 4” – 18”), Geo-textile filter fabric, Steel.

Intended use

Planning Application Reference Number (if applicable)

Parks Canada Agency Licence Number (if applicable)

I have read and agree with the privacy notice. (required)

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In-water and shoreline work permit application

Trent-Severn Waterway National Historic Site

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