Drain Improvement Request or New Drain Petition Supplement

PDF Version - 81 KB

Please note this form is intended to be printed, filled out and mailed. Currently, no method is provided for electronic submission.
(To be used with form 3 of Drainage Act Regulation 274)

Section A (To be completed by a Landowner) - Please Print

Contact Person: _______________________________________________

Telephone: ___________________________________________________

Location of Project:

Lot: _______________________________________________________

Concession: ________________________________________________

Municipality: ________________________________________________

Former Municipality (if applicable): ______________________________

Civic Address (number & road name): ____________________________

What Work Do You Require? (check all appropriate boxes):

[  ] Construction of a new open channel
[  ] Realignment of an existing open drain
[  ] Replacement of an existing tile municipal drain
[  ] Deepening or widening of an existing watercourse (not currently a municipal drain)
[  ] Deepening or widening of an existing municipal drain
[  ] Construction of a new tile drain
[  ] Closing in of an existing open channel
[  ] New or replacement drain crossing
[  ] Other (provide description)

Name of Drain/Watercourse (if known) ____________________________

Approximate length of the project _________________________________

General description of the soils in the area __________________________

What is the Purpose of the Proposed work? (check appropriate box)

[  ] Tile drainage only
[  ] Surface water only
[  ] Both

Section B (To be completed by Municipal Representative) - Please Print

Please review the information shown in Section A and make any necessary corrections.

Contact Person: __________________________________________

Telephone: _____________________________________________

Drain Project Authorization:

[  ] Section 4
[  ] Section 78

Name of Receiving Drain/Watercourse: _________________________________________________

Work and Impact Zone Information:

What significant features are located along or adjacent to the watercourse? drain? e.g. wetlands, ANSI's, upland forest, gravel pits, other features.

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

Is there anything else about this proposed project of which the engineer or review agencies should be aware? e.g. poor soils, buried utilities, structures encroaching on the drain/watercourse, etc.

___________________________________________________________________

___________________________________________________________________

____________________________________________________________________

Include a copy of a drain plan or area map with this information.