Subdivision Application Checklist

Pre-Consultation By-law 2009-19 requires pre-consultation with Muskoka planning staff respecting subdivision proposals prior to the submission of an application. This pre-consultation can assist in the preparation and processing of the application and the early identification of any concerns or requirements, which must be addressed. Applicants are advised to contact our office prior to submission of the application.

Application The attached form is to be used by anyone wishing to make application for approval of a draft plan of subdivision. Submission of this application constitutes consent for authorized municipal staff and staff from other agencies to inspect the lands which are the subject of the application.

The parts of the application form that are shown in bold type indicate information, which is prescribed by Ontario Regulation 544/06 and must be completed. This mandatory information together with the required fee and copies of the draft plan are required before the District Municipality of Muskoka will accept the application.

The application form also identifies other information that will assist the District of Muskoka and others in their evaluation of the proposal. To ensure that the application can be reviewed in a timely fashion, all mandatory and other additional information requested should be submitted with the application.

At a minimum, the application should include:

1 signed copy of the application form

1 digital completed copy of the application form

the application fee and cost acknowledgement fee

1 copy of the plan reduced to 8½ ” x 11”

15 folded copies of the draft plan (maximum size 36” x 48”)

1 copy of the plan reduced to 8½” x 11” showing only the proposed lot/block pattern and road network

1 compact disc in accordance with Muskoka’s Digital Draft and Final Plan Submission Requirements

5 copies of the preliminary storm water management and construction mitigation plan

Source Protection form (if required, see Section 3.13)

Fee Applications must be accompanied by the basic fees, as well as a cost acknowledgement agreement (CAA) deposit which are identified in Muskoka’s Planning Tariff of Fee By-law (2013-7). To calculate the per lot or block fee, add up all of the lots and blocks, subtract 10 and multiply by 45. The CAA deposit is used to offset additional costs not accounted for in the application fee. Any unused balance in this deposit will be returned to the land owner after registration of the plan or upon withdrawal of the application.

Technical Reports Additional information may be required to support this application. Studies submitted in support of applications may be required to be “peer reviewed” by another consultant retained by the District of Muskoka at your expense. Early consultation with Muskoka Planning staff can assist you in determining what technical information may be required and when a peer review is necessary.

Section 51(24) of the Planning Act In accordance with the Planning Act, the proposal shall have regard to the accessibility for persons with disability and the health, safety, convenience and welfare of the present inhabitants of the municipality.

Applications should be submitted to:

District Municipality of Muskoka Planning and Economic Development Department 70 Pine Street, Bracebridge, Ontario. P1L 1N3

(705) 645-2231 or 1-800-461-4210 in the 705 area code Fax (705) 646-2207 pedinfo@muskoka.on.ca

For assistance, please contact Muskoka’s Planning Department at the above address or phone number. We would be pleased to discuss your proposal with you.

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District Use Only – October 2018 Date Received: Date Accepted:

This application is a resubmission of a previous plan number:

1. APPLICATION INFORMATION Address and Postal Code Contact

Registered Owner (if numbered company please

identify name of principal owner)

Business

Fax

Email

Applicant (if different from owner, owner’s

authorization must be completed)

Business Fax

Email

Agent (Owner’s authorization must be completed)

Business Fax

Email

Ontario Land Surveyor

Business

Fax

Email

1.1 Indicate the contact for this application (one only please) Owner Applicant Agent Surveyor

2. PROPERTY DESCRIPTION Area Municipality

Lot(s)

Concession(s)

Former Township

Assessment Roll No.

Reference Plan No.

Part(s)

Street Address & Postal Code

Waterbody

Registered Plan No.

2.1 Are there any existing easements or restrictive covenants affecting the subject property? Yes No

APPLICATION FOR APPROVAL OF A PLAN OF SUBDIVISION Under Section 51 of the Planning Act

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Please describe and indicate them on the accompanying draft plan:

2.2 Does the owner have an interest in any adjoining or nearby property? Yes No

If yes, please indicate these properties on the accompanying draft plan:

3. EXISTING AND HISTORICAL USE OF THE PROPERTY

3.1 Existing Use: Please indicate the existing land use(s):

Residential Industrial Commercial Institutional Vacant Other

Please describe:

3.2 Current Official Plan Designation:

Muskoka Official Plan:

Local Official Plan:

3.3 Historical Use: Please indicate the existing land use(s): Residential Industrial Commercial Institutional Vacant Other

Please describe:

3.4 Has the grade of the subject land been changed by adding earth or other material (i.e., has filling occurred)?

Yes No

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3.5 Has there been an industrial or commercial use located on the subject lands or adjoining properties?

Yes No

Please describe:

3.6 Are there or have there ever been underground storage tanks or buried waste on the subject land or adjacent land?

Yes No

3.7 Has a gas station ever been located on the property or an adjacent property? Yes No

3.8 Is the boundary of the subject property located within 500 metres of an operational or non-operational landfill, dump or other waste disposal facility?

Yes No

3.9 Is there reason to believe that the property may have been contaminated by former uses on the site or on an adjacent property, or by the addition of earth or material?

Yes No

3.10 If YES to any of 3.4 – 3.9 inclusive, a copy of a Record of Site Condition (RSC) must be submitted. Have you included a Record of Site Condition (RSC) with your application submission?

Yes No

3.11 Does the subject property contain an area of archaeological potential or known archaeological sites? If YES, at a minimum, you must complete a Stage 1 archaeological assessment, completed by a licensed professional.

Yes No

3.12 Have you included a copy of the archaeological assessment with your application submission?

Yes No

3.13 Is the subject property located in a Wellhead Protection Area or Intake Protection Zone? (If yes, please complete the attached Source Protection form and submit with this application)

Yes No

4. SUBDIVISION PROPOSAL

4.1 Proposed Land Use Number of lots

Number of blocks

Number of dwelling units

Net Area (hectares)

Density (units per hectare)

Number of parking spaces

Detached Residential

Semi-detached Residential

Multiple attached Residential

Apartment

Commercial

Industrial

Open Space / Park

Institutional

Other Specify

Retained Parcel

Total

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5. SERVICING

5.1 Indicate the proposed water supply system:

Public Piped Water Supply System Individual Surface Water Systems Individual Wells Other System

Please describe any other system proposed:

Note: For proposals of more than five lots where individual wells and sewage waste disposal systems are proposed, a hydrogeological and sewage impact assessment are required. These studies must be satisfactory to the District of Muskoka. Please consult with Planning staff to determine situations where such a study is required and to obtain the guidelines for the preparation of such a study. Hydrogeological studies must be undertaken prior to submission of the application and commissioned by the applicant. It must also be peer reviewed by a hydrogeologist retained by the District at your expense, prior to consideration of draft approval.

Please identify the drafter and date of the draft plan upon which the above lot pattern is illustrated:

4.2 What is the frontage and area of the smallest lot?

Frontage:

Area:

4.3 What is the frontage and area of the largest lot?

Frontage:

Area:

4.4 What is the average lot frontage and area?

Frontage:

Area:

4.5 Is the draft plan drawn to scale with the boundaries certified by an Ontario Land Surveyor and does the draft plan contain all the items required by Section 51(17) of the Planning Act.

Yes No

4.6 Have the required fees and copies of the draft plan been submitted with the application including: 1 signed copy of the application form

1 digital completed copy of the application form

15 copies of the 36” x 48” plan folded to 8½” x 11”;

1 copy of the draft plan reduced to 8½” x 11”;

1 copy of the draft plan which only illustrates the proposed lot/block pattern and road network and

is reduced to 8½” x 11” a digital copy of the above noted plans in accordance with Muskoka’s Digital Draft and Final Plan

Submission Requirements

Yes No

4.7 Is further division or development of any of the lots, blocks or retained lands shown on the draft plan contemplated?

Yes No

Please identify the process by which the lots or blocks on the draft plan will be further divided (ie standard, vacant land, common element condominium, part lot control etc.) or developed. Have you submitted an application for the further land division or development (ie zoning or site plan approval)?

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5.2 Indicate the proposed sewage disposal system:

Public piped sewage system Individual private Class IV or VI systems Other system

Note: If private communal water supply and sewage disposal services are proposed, an amendment to the District Official Plan may be required. Any Official Plan amendment application should be submitted prior to, or concurrently with this application. If private communal services are contemplated, District Planning staff should be contacted as early as possible.

Please describe any other system proposed:

5.3 Indicate the proposed method of stormwater management and construction mitigation:

Storm Sewers Ditches or swales Other

Please describe any other system proposed:

5.4 Have you attached the required 5 copies of a preliminary stormwater management and construction mitigation plan?

Yes No

Note: The District of Muskoka requires that five copies of a preliminary storm water management and construction mitigation plan, prepared by a professional engineer, be submitted with this application. Guidelines for the preparation of the plan are available from the Planning Department. The consulting Engineer should also use the “Stormwater Management Practices Planning and Design Manual – 2003” published by the Ministry of Environment.

6. ACCESS

6.1 Indicate the proposed type of access to the property: Note: Pre-consultation with the applicable road authority

is recommended in order to ensure that access is available.

Provincial Highway No.

District Road No. Name:

Municipal Year Round Maintained Road Name:

Municipal Seasonally Maintained Road Name:

Right-of-Way Over Existing Private Road Name: Type:

Right-of-Way Over New Private Road Name: Type:

Water Access Only

Please describe the type and location of the proposed docking and parking facilities on the mainland and on the property:

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What is the distance of these facilities from the subject property and from the nearest public road?

7. STATUS OF OTHER PLANNING APPLICATIONS

7.1 Has a previous application ever been submitted for a plan of subdivision or a severance, which affected the subject property?

Yes No File Nos.

Status approved under consideration

adopted denied or closed

7.2 Has an application ever been submitted for an official plan amendment, which affected the subject property?

Yes No File Nos.

Status approved under consideration

adopted denied or closed

7.3 Has a development permit or zoning by-law amendment or minor variance application been submitted or is an amendment required to permit the proposal?

Yes No File Nos. Status:

7.4 Has an application for site plan approval been submitted? Yes No File Nos.

Status:

7.5 Are the water, sewage or road works associated with the proposal subject to the provisions of the Environmental Assessment Act?

Yes No

7.6 If so, do you want the notice of the public meeting for this application to be modified to state that the public meeting will address the requirements of both the Planning Act and the Environmental Assessment Act?

Yes No

8. PRE-CONSULTATION

8.1 Have you pre-consulted with Muskoka?

Yes No 8.2 Have you pre-consulted with the Area Municipality?

Yes No 8.3 Have you pre-consulted with another agency?

Yes No

Note: In accordance with By-law 2009-19, pre-consultation with The District of Muskoka is required prior to the submission of an application. Pre-consultation will identify the necessary information requirements to ensure that your application is complete in accordance with Section 51 (19) of the Planning Act, as amended.

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Please list the person and agencies which you have contacted:

8.4 Have you proposed a public consultation strategy? Yes No

Please elaborate on the public consultation strategy:

9. ADDITIONAL INFORMATION

Note: During your pre-consultation meeting Muskoka staff may identify additional information required to ensure that this application can be deemed complete in accordance with Section 51(19) of the Planning Act. Generally, you must commission your own study and it may require a peer review by another consultant retained by the District at your expense. In exceptional circumstances, some supporting studies can be commissioned by the District on your behalf and at your expense (“municipally directed review”). Planning staff can assist you in identifying those situations where Muskoka would be willing to entertain a municipally directed study.

9.1 Please indicate which additional information has been submitted with this application: Biophysical / natural heritage / site evaluation report

Water quality impact assessment

Hydrogeological and sewage impact assessment report

Preliminary stormwater management and construction mitigation plans Archaeological Assessment Traffic report Municipal water / sewer servicing report Noise and vibration study for Highway Noise Rail Noise Airport Related Noise Stationary Noise Planning / growth and settlement report or information respecting affordability of the housing Soils investigation report Record of Site Condition Impact assessment for development adjacent to landfill or dump sites Other

Please specify:

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10. CONSISTENCY WITH PROVINCIAL POLICY STATEMENT (PPS)

10.1 Is the proposed plan consistent with the PPS? Yes No

Briefly explain how this proposal is consistent with the policies of the Provincial Policy Statement issued under the Planning Act:

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11. AFFIDAVITS OR DECLARATIONS

11.1 Affidavit or Sworn Declaration for the Prescribed Information

(Town, Township, or City) (Municipality)

I, of the in the make oath and say (or solemnly declare) that the prescribed information contained herein and identified by sections with bold type, is true. Sworn (or declared ) before me (Town, Township, or City) at the (Municipality) in the this day of in the year of __________________________________ _____________________________ Commissioner of Oaths Applicant

11.2 Affidavit or Sworn Declaration for Requested or Additional Information

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(Town, Township, or City) (Municipality)

I, of the in the make oath and say (or solemnly declare) that to the best of my knowledge the requested and additional information contained herein or contained in documents that accompany this application, is true. Sworn (or declared ) before me (Town, Township, or City)

at the (Municipality) in the this day of in the year of

_____________________________ __________________________ Commissioner of Oaths Applicant

12. OWNER AUTHORIZATION AND CONSENT

Note: If the applicant is not the owner of the land that is the subject of this application, this section

must be completed or a written authorization of the owner must be included with the application.

12.1 Authorization of Owner Appointing an Agent

I, , am the owner of the land that is the subject of this application for approval of a plan of subdivision, and I authorize , as my agent to make this application on my behalf, and to provide any of my personal information that will be included in this application or collected during the processing of the application. ____________________ ______________________________ Date Signature of Owner

12.2 Consent of Owner to the Use and Disclosure of Personal Information

I, , am the owner of the land that is the subject of this application for approval of a plan of subdivision, and for the purpose of the Freedom of Information and Privacy Act, I authorize and consent to the use by, or the disclosure to any person or public body of any personal information that is collected under the authority of the Planning Act for the purposes of processing this application.

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_____________________ ___________________________ Date Signature of Owner

12.3 Consent of Owner Respecting Transfer of Cost Acknowledgement Agreement Funds in the Event of Property Ownership Change

I, , am the owner of the land that is the subject of this application for approval of a plan of subdivision, and I acknowledge that in the event that the ownership of the lands subject to this application changes before the entire plan is registered, any funds on hand, in the absence of an agreement to the contrary, in the sole discretion of Muskoka, may be: i) retained by Muskoka; or ii) credited to the new owner, if the new owner proceeds with the application and enters into a new costs acknowledgement agreement. _____________________ ___________________________ Date Signature of Owner