Instructions: Complete any of the following items that apply to the work at the location covered by this application.

All measurements should be exact, where possible to determine, otherwise state estimated measurements. Metric measure is preferred. Please
indicate which system of measurement you have used.

Period(s) of Operation

Conditions

1. Attach a location plan or a survey plan showing the following:
a) Property boundaries;
b) Location of stream or lakeshore;
c) Proposed location of Work and distance to nearest public road;
d) Proposed area to be flooded if applicable;
e) Names of owners and approximate boundary lines of all adjacent properties.
2. Attach a description of existing Work and explanation of proposed repairs, alterations, reconstruction, replacement and/or removal.
3. Submit legal agreements for purchase or occupation of private or public lands affected by the Work, when applicable or requested by the ministry.
4. Submit plans and specifications on approval of location by the ministry. We recommend you delay preparation of these documents until location is approved.
5. Submit additional information on request by the ministry.

Information
6. “ministry” where used herein, refers to the Ministry of Natural Resources.
7. “Work” herein is used as a noun and means any structure, artificial obstruction or excavation which holds back, forwards, diverts, or affects water levels or flows in a lake, river or creek, e.g. dam, pond, diversion, stream channelization, bridge, culvert, causeway, embankment, filling, dredging.
8. Other approvals or permits may be required from any of the following:
• Ontario Ministry of Environment — Permit to Take Water (in excess of 10,000 gallons per day).
• Conservation Authority – Permit to Place Fill, Construct in or Alter a Watercourse or Flood Plain.
• Niagara Escarpment Commission – Permit for Development
• Municipality – subject to local by-laws
• Transport Canada – Approval (navigable waters).
9. Processing for approval of “location” takes about 1 month on the average and may take longer or be postponed due to snow
cover at the site. Allow 2 months or more for processing of “plans and specifications”. Your proposed date for start of
construction should also allow for the obtaining of all other approvals, permits, agreements, etc.
Note: Do not start construction without approvals. Under The Lakes and Rivers Improvement Act, you are liable to a fine of $10,000.00, plus $1000.00 a day for continuance of unapproved construction.
10. Send complete application form with required attachments to the ministry district office serving the area in which the land described under “location of Work site” is situated.