360 Fairview Avenue West. Suite 311. Essex. ON. Canada. NBM IY6 IPS 19-n6-S209 I FS19-n6-8688 I erca.org I ourgreenlegacy.org

Dear Applicant:

2011 Board of Directors

Town of AmherstburgRobert Pllionjohn Sutton

Re: Application for Permit forDevelopment, Interference with Wetlands and Alterations to Shorelinesand Watercourses

Town of EssexSherry Bondyjohn Scott

Town of KingsvilleGordQueenTamara Stomp

Town of LakeshoreAI FazioLenjanisse

Town of LasalleSue DeslarlalsRay Renaud

Municipality ofLeamingtonRick AtkinLarry Verbeke

Township of PeleeRick Masse

In order for this office to process and approve an application for permit forDevelopment. Interference with Wetlands and Alterations to Shorelines andWatercourses for proposed works on your property, we require the followinginformation:

I. A completed Application for Permit Form. The application form must be signedand dated.

2. Location of property in relation to surrounding buildings, streets, etc. (plot orsite plan).

3. Size, location and dimensions of property - all existing structures.4. Location. dimensions and elevation of all proposed structures and fill.5. Elevation of any windows, doors, vents or other exterior openings in relation to

final grade (copy of plans).6. The appropriate fee as per the current Board-approved fee schedule.

Attached is a sample application form. intended to assist you in completing yourapplication for permit.

Town of Tecumsehjoe Bachettt • Vice ChaJrCheryl Hardcasde

City of WindsorPercy Hatfield • ChaJrAI MaghniehHilary PayneEdSleiman

General Manager ISe~ TreasurerRichard Wyma.

Membero(

Also attached is the 20 I I Fee Schedule. If you have any questions about the appropriatefee for the work addressed in your applications, please contact this office. Please notethat payment of the fee is required at the time of submission of your application forpermit.

Applications for permit are generally approved within 10 business days of this officereceiving all required information. If the required information has not been received bythis office, we will contact you and advise as to what information is needed.

We would also suggest you contact your municipality's bUilding department to determinetheir building requirements and all other municipal development requirements. Shouldyou have any questions or require assistance in completing the application for permitform, please do not hesitate to contact this office. .

ynthia CasagrandeRegulations Technician

ConservationONTARIO

N./ur.J Ch.mplOns

•1-Sf:\MPLE ONL'(*"Essex Region Conservation Authority

360 Fairview Ave. W., Essex, ON, N8M IY6, p: (519)776-5209, f: (519)776-8688, www.erca.org

APPLICATION FOR PERMITFOR DEVELOPMENT, INTERFERENCE WITH WETLANDS

AND ALTERATION TO SHORELINES AND WATERCOURSESN L

o Section 28 - Conservation Authorities Act as amendedo Section 14 - Public Lands Act as amendedo Section 35 - Fisheries Act

APPLICATION FEE APPLICATION NUMBER

A IicantlOwner:Tele.e.hone ~ ~

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Complete Mailing Address - Street No. & Name, Town/City

Name WAlI\£ AwO ~"'\L.\W(; AOO~~~ 0\=PI: C u..: \) -r-'-L,.-o

Complete Mailing Address - Street No. & Name, Town/City

Location of Pro osed Works:

OFFICE USE

OFFICE USE

Waterway

See Schedule "B" attached

OAT HOUSE/LAUNCH/RAMP etc.

area:

Dimensions of area to be filled length: '0

Drainage Details (ie. side yard swales, retaining walls):

Erosion/silting prevention (desaibe)

PLACEMENT & GRADING OF FILL

OTHER

-LlST AN'I OT\.\ER PRoPoSED

Type of materials to be used Dsand

Municipality

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Attach two (2) copies of plans depleting:1) Location of property in relation to surrounding buildings, streets, roadways, etc. (plot plan)2) Size, location and dimensions of property - all existing structures3) Location, dimensions and elevation of all proposed structures, and fill4) Elevation of any windows, doors, vents, or other exterior openings in relation to final grade

The above submission must be in complete final form before it will bescheduled for consideration by the Board of Directors. This application, ifapproved, does not predude any approvals by any other existing laws andregulations. Any false or mis-leading statement contained in this applicationmay result in withdrawal of any permit issued on the basis of this application.

Personal information on this form is collected under the authority ofConservation Authorities Ad, RSO 1980, and will be used only by programmeadministration. Questions about the collection of personal information shouldbe directed to: ERCA, 360 Fairview Avenue West, Essex, Ontario, N8M 1V62010 application form

Applicant's Signature Date

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Essex Region Conservation Authority

360 Fairview Ave. W., Essex, ON, N8M 1Y6, p: (519)776-5209, f: (519)776-8688, www.erca.org

APPLICATION FOR PERMIT FOR DEVELOPMENT, INTERFERENCE WITH WETLANDS AND ALTERATION TO SHORELINES AND WATERCOURSES

Section 28 - Conservation Authorities Act as amended Section 14 - Public Lands Act as amended

APPLICATION FEE APPLICATION NUMBER

Applicant/Owner: Name Telephone

Complete Mailing Address - Street No. & Name, Town/City Postal Code

E-mail Address Cell #

Contractor/Agent: (if applicable) Name Telephone

Complete Mailing Address - Street No. & Name, Town/City Postal Code

Location of Proposed Works:Municipality Waterway

Municipal Street Address Legal Description:

(Lot/Plan/Concession)

Proposed Works to be Undertaken See Schedule “B” attached CONSTRUCTION OF BREAKWALL, DOCK, BOAT HOUSE/LAUNCH/RAMP etc. area: length: width: OFFICE USE

Floodproofing Elevation: Construction Details:

CONSTRUCTION OF A DWELLING, GARAGE, ADDITION, OTHER STRUCTURE

area: length: width: OFFICE USE

Floodproofing Elevation: Setback from Waterway:

Drainage Details (ie. side yard swales, retaining walls):

PLACEMENT & GRADING OF FILL

Dimensions of area to be filled length: width: depth:

Type of materials to be used Gsand Gearth Ggravel Garmour stone Gother

Erosion/silting prevention (describe)

OTHER

Attach two (2) copies of plans depicting: 1) Location of property in relation to surrounding buildings, streets, roadways, etc. (plot plan)2) Size, location and dimensions of property - all existing structures3) Location, dimensions and elevation of all proposed structures, and fill4) Elevation of any windows, doors, vents, or other exterior openings in relation to final grade

The above submission must be in complete final form before it will be scheduled for consideration by the Board of Directors. This application, if approved, does not preclude any approvals by any other existing laws and regulations. Any false or misleading statement contained in this application may result in withdrawal of any permit issued on the basis of this application.

Personal information on this form is collected under the authority of Conservation Authorities Act, RSO 1980, and will be used only by programme administration. Questions about the collection of personal information should be directed to: ERCA, 360 Fairview Avenue West, Essex, Ontario, N8M 1Y6

____________________________________________ ____________________________________ Applicant’s Signature Date

Email

2018 FEE SCHEDULE

2018 HST Total

Floodplain Regulations and Related Development Applications175.00$ 22.75$ 197.75$

115.00$ x 115.00$

115.00$ x 115.00$

150.00$ x 150.00$

200.00$ x 200.00$

775.00$ 100.75$ 875.75$

500.00$ x 500.00$

800.00$ x 800.00$

500.00$ x 500.00$

800.00$ x 800.00$

250.00$ x 250.00$

1,200.00$ x 1,200.00$

2,000.00$ x 2,000.00$ 160.00$ x 160.00$

5,000.00$ x 5,000.00$ 1,750.00$ x 1,750.00$

400.00$ x 400.00$ 4,000.00$ x 4,000.00$ $2,500.00 x 2,500.00$ $6,500.00 x 6,500.00$ 1,025.00$ x 1,025.00$

500.00$ x 500.00$ 115.00$ x 115.00$ 800.00$ x 800.00$ 150.00$ x 150.00$

Other Development Services 425.00$ 55.25$ 480.25$ 250.00$ x 250.00$

Planning Act Applications115.00$ x 115.00$ 300.00$ x 300.00$ 115.00$ x 115.00$ 200.00$ x 200.00$ 200.00$ x 200.00$ 115.00$ x 115.00$ 200.00$ x 200.00$ 300.00$ x 300.00$ 200.00$ x 200.00$ 275.00$ x 275.00$ 115.00$ x 115.00$ 250.00$ x 250.00$ 250.00$ x 250.00$

Maximum

7) Alteration to waterways/shorelines including breakwalls, finger docks less than 15 square metres, crossings, outlets, etc. (not requiring engineering or other detailed analysis)

"X" indicates that the fee is exempt from HST

Watershed Planning

Double noted fees to reflect costs in these situations

17) Input/review/comment on full Environmental Impact Assessments (EIAs) done by consultants

18) Input/review/comment on scoped EIAs done by consultants

25) Draft Plan of Subdivision/Condominium Approval

19) Technical review and clearance where EIA is not required

20) Input, review, clearances on substantial drainage proposals in defined areas of environmental concern

21) Input, review, clearances on other drainage proposals

22) Survey services

23) Technical review fee assessed on resubmission of previously reviewed technical or environmental studies

Max Cost for projects over 20 ha or multi disciplinary

Maximum

Base cost (up to one hectare)

Cost per additional hectare

12) Applications involving more than one regulated activity, or those requiring engineering studies/designs, environmental studies

6) Technical evaluations (elevation, setback survey or site report; property evaluation for tax assessment; ecological evaluation and/or report)

36) Consent with Minor Variance Combination

27) Consent

24) Minor Variance

28) Multiple Consent applications on a single application (up to 3)

29) Multiple Minor Variance applications on a single application (up to 3)

30) Minor Official Plan/Zoning By-Law Amdendment (E.g., Single Family Residence)

31) Major Official Plan/Zoning By-Law Amendment (E.g., Industrial,Commercial,Institutional, Subdivision etc)

26) Clearance Letters for Subdivision /Condominium Approval (applies to each phase of subdivision requested)

34) Part Lot Control Exemption

35) Consent with Zoning By-Law Amendment Combination

Base Cost for projects less than 20 hectares

11) Application for non-inhabitable garage/storage building <53.5 m²) and for <50% building additions not including other renovations

10) Applications for building construction sites directly abutting shorelines or watercourses (including additions impacting on setback)

8) Alteration to waterways/shorelines including breakwalls, crossings, outlets, etc. (requiring engineering or other detailed analysis) & docks exceeding 15 sq. metres that include lifts, PWC platforms or other accessories

5) Completing files required for approvals complying with the DART Protocol for Municipal Drainage Act/Section 28

32) Site Plan Control

33) Official Plan Amendment and Zoning By-law Amendment Combination

1) Requests for information on regulations for property transaction (lawyers, owners, purchasers or agents)

2) Applications for renewal of existing permits within one calendar year of expiration of original permit

3) Technical review and clearance where permit or site visit is not required

9) Applications for new building construction including renovations and for sites not directly abutting shorelines or watercourses

Watershed Management Services

14) Development proposals involving multiple dwelling units (more than 5 lots) where stormwater management or other engineering evaluations are required.

15) Commercial/industrial/institutional developments where stormwater management or other engineering evaluations are required.16) Municipal Infrastructure/Recreational Projects involving one or more regulated activities or those requiring specific engineering design and or Environmental studies.

Base cost (up to 5 lots)

Cost per additional lot

4) Placing or grading of fill within regulated areas, light repair of existing breakwalls, small building additions, small out buildings not requiring a survey

13) Applications where work has proceeded without authorization and/or prior to application of permit