Ontario Ministry of the Environment and Climate Change - Record of Site Condition # Intended Property Use. Certification Date 2014/11/24
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- Candice McLaughlin
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1 Ontrio Ministry of the Environment nd Climte Chnge - Record of Site Condition # Summry Record of Site Condition Under Prt XV.1 of the Environment Protection Act Record of Site Condition Number Dte Filed to Environmentl Site Registry 2015/06/15 Certifiction Dte 2014/11/24 Current Property Use Community Intended Property Use Residentil Certificte of Property Use Number No CPU Applicble Site Condition Stndrds** ESA Phse 1 Property Municipl Address 27 LOUISA STREET, BAYFIELD, ON, N0M 1G0 Notice to Reders Concerning Due Diligence This record of site condition hs been filed in the Environmentl Site Registry to which the public hs ccess nd which contins notice dvising users of the Environmentl Site Registry who hve delings with ny property to consider conducting their own due diligence with respect to the environmentl condition of the property, in ddition to reviewing informtion in the Environmentl Site Registry. Contents of this Record of Site Condition This record of site condition consists (RSC) of this document which is vilble to be printed directly from the Environmentl Site Registry s well s ll supporting documenttion indicted in this RSC to hve been submitted in electronic formt to the Ministry of the Environment nd Climte Chnge. Filed Record of Site Condition # on 2015/06/15 1 of 10
2 PART 1: PROPERTY OWNERSHIP, PROPERTY INFORMATION AND OWNER'S CERTIFICATIONS Informtion bout the owner who is submitting or uthorizing the submission of the RSC Owner Nme Miling Address Postl Code ROBERT J KOOLEN 171 DOUGLAS STREET, STRATFORD ONTARIO, CANADA N5A 5P7 Phone (519) Fx Emil Address Filed Record of Site Condition # on 2015/06/15 2 of 10
3 RSC Property Loction Informtion Municipl Address(es) Municiplity Legl Description 27 LOUISA STREET, BAYFIELD, ON N0M 1G0 Bluewter See Attched Lwyer s Letter Assessment Roll Number(s) Property Identifier Number(s) (LT) RSC Property Geogrphicl References Coordinte System UTM Dtum NAD 83 Zone 17 Esting 443, Northing 4,823, RSC Property Use Informtion The following types of property uses re defined by the Regultion: Agriculturl or other use, Commercil use, Community use, Industril use, Institutionl use, Prklnd use, nd Residentil use. Current Property Use Intended Property Use Certificte of Property Use hs been issued under section of the EPA Community Residentil No Filed Record of Site Condition # on 2015/06/15 3 of 10
4 Plese See the Signed Sttements of Property Owner, or Agent, or Receiver t the End of this RSC The rest of this pge hs been left intentionlly blnk Filed Record of Site Condition # on 2015/06/15 4 of 10
5 PART 2: LIST OF REPORTS, SUMMARY OF SITE CONDITIONS AND QUALIFIED PERSON S STATEMENTS AND CERTIFICATIONS Qulified Person's Informtion Nme Type of Licence Under Professionl Engineers Act HENRY J JANSEN Licence Licence Number QP Employer Nme CRITERIUM-JANSEN ENGINEERS Miling Address 190 BROADWAY, ORANGEVILLE ONTARIO, L9W 1K3 CANADA Phone (519) Fx (905) Emil Address hjnsen@criterium-jnsen.com Municipl Informtion Locl or Single-Tier Municiplity Upper-Tier Municiplity Bluewter Huron Ministry of the Environment nd Climte Chnge District Office District Office District Office Address Owen Sound District Office th Street Est, Owen Sound ON N4K 6H6 Filed Record of Site Condition # on 2015/06/15 5 of 10
6 Phse One Environmentl Site Assessment Report Document used s the phse one environmentl site ssessment report nd updtes in submitting the RSC for filing The dte the lst work on ll of the records review, interviews nd site reconnissnce components of the phse one environmentl site ssessment ws done (refer to cluse 28(1)() of O. Reg. 153/04) (YYYY/MM/DD) Type of Report Report Title Dte of Report (YYYY/MM/DD) Author of Report Nme of Consulting Compny P1 ESA Phse 1 ESA Henry Jnsen CRITERIUM-JANSEN ENGINEERS Reports nd Other Documents Relted to the Phse One Environmentl Site Assessment Reports nd other documents relied upon in certifying the informtion set out in section 10 of Schedule A or otherwise used in conducting the phse one environmentl site ssessment Report Title Dte of Report (YYYY/MM/DD) Author of Report Nme of Consulting Compny N/A Filed Record of Site Condition # on 2015/06/15 6 of 10
7 Site Condition Informtion Certifiction dte (YYYY/MM/DD) 2014/11/24 Totl re of RSC property (in hectres) Number of ny previously filed RSC tht pplies to ny prt of the RSC property Number of ny previously filed Trnsition Notice tht pplies to ny prt of the RSC property Soil brought from nother property to this RSC property to remin there following the filing of the RSC? No Filed Record of Site Condition # on 2015/06/15 7 of 10
8 Qulified Person s Sttements nd Certifictions As the qulified person, I certify tht: A phse one environmentl site ssessment of the RSC property, which includes the evlution of the informtion gthered from records review, site reconnissnce, interviews, report nd ny updtes required, hs been conducted in ccordnce with the regultion by or under the supervision of qulified person s required by the regultion. As of 2014/11/24, no phse two environmentl site ssessment is required by the regultion for the RSC property nd bsed on the phse one environmentl site ssessment for the RSC property, in my opinion, it is not necessry for ny other reson to conduct phse two environmentl site ssessment for the RSC property. As of 2014/11/24, in my opinion, bsed on the phse one environmentl site ssessment, there is no evidence of ny contminnts in the soil, ground wter or sediment on, in or under the RSC property tht, if the RSC property were put to ny of the types of property uses listed in subsection 1 (2) of the regultion, re likely to interfere with ny of those types of property uses. I m qulified person nd hve the qulifictions required by section 5 of the regultion. I hve in plce n insurnce policy tht stisfies the requirements of section 7 of the regultion. I cknowledge tht the RSC will be submitted for filing in the Environmentl Site Registry, tht records of site condition tht re filed in the Registry re vilble for exmintion by the public nd tht the Registry contins notice dvising users of the Registry who hve delings with ny property to consider conducting their own due diligence with respect to the environmentl condition of the property, in ddition to reviewing informtion in the Registry. The opinions expressed in this RSC re engineering or scientific opinions mde in ccordnce with generlly ccepted principles nd prctices s recognized by members of the environmentl engineering or science profession or discipline prctising t the sme time nd in the sme or similr loction. I do not hold nd hve not held nd my employer CRITERIUM-JANSEN ENGINEERS does not hold nd hs not held direct or indirect interest in the RSC property or ny property which includes the RSC property nd ws the subject of phse one or two environmentl site ssessment or risk ssessment upon which this record of site condition is bsed To the best of my knowledge, the certifictions nd sttements in this prt of the RSC re true s of 2014/11/24. By signing this RSC, I mke no express or implied wrrnties or gurntees. By checking the boxes bove, nd entering my membership/licence number in this submission, I, HENRY J JANSEN, qulified person s defined in section 5 of O. Reg. 153/04 m, on 2015/05/27: ) signing this record of site condition submission s qulified person; nd b) mking ll certifictions required s qulified person for this record of site condition. I Agree Filed Record of Site Condition # on 2015/06/15 8 of 10
9 Additionl Documenttion Provided by Property Owner or Agent The following documents hve been submitted to the Ministry of the Environment nd Climte Chnge s prt of the record of site condition Lwyer s letter consisting of legl description of the property Copy of ny deed(s), trnsfer(s) or other document(s) by which the RSC property ws cquired A Current pln of Survey Tble of Current nd Pst Uses of the Phse One Property Phse 1 Conceptul Site Model Owner or gent certifiction sttements Filed Record of Site Condition # on 2015/06/15 9 of 10
10 Filed Record of Site Condition # on 2015/06/15 10 of 10
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14 PARCEL REGISTER (ABBREVIATED) FOR PROPERTY IDENTIFIER LAND PAGE 1 OF 2 REGISTRY PREPARED FOR COLLEEN MURRAY OFFICE # (LT) ON 2014/09/23 AT 16:13:03 * CERTIFIED IN ACCORDANCE WITH THE LAND TITLES ACT * SUBJECT TO RESERVATIONS IN CROWN GRANT * REG. NUM. DATE INSTRUMENT TYPE AMOUNT PARTIES FROM PARTIES TO ROMAN CATHOLIC EPISCOPAL CORPORATION 22BA /03/21 PLAN BOUNDRIES ACT C REMARKS: MULTI HC /02/12 APL ANNEX REST COV ROMAN CATHOLIC EPISCOPAL CORPORATION C REMARKS: NO EXPIRY DATE HC /02/17 TRANSFER *** COMPLETELY DELETED *** ROMAN CATHOLIC EPISCOPAL CORPORATION SILVA, MELISSA SILVA, HENRY REMARKS: PLANNING ACT STATEMENTS NOTE: ADJOINING PROPERTIES SHOULD BE INVESTIGATED TO ASCERTAIN DESCRIPTIVE INCONSISTENCIES, IF ANY, WITH DESCRIPTION REPRESENTED FOR THIS PROPERTY. NOTE: ENSURE THAT YOUR PRINTOUT STATES THE TOTAL NUMBER OF PAGES AND THAT YOU HAVE PICKED THEM ALL UP. CERT/ CHKD PROPERTY DESCRIPTION: LT 204 PL 147 BAYFIELD, CONFIRMED BY 22BA2274; MUNICIPALITY OF BLUEWATER PROPERTY REMARKS: ESTATE/QUALIFIER: RECENTLY: PIN CREATION DATE: FEE SIMPLE FIRST CONVERSION FROM BOOK 2000/05/29 LT CONVERSION QUALIFIED OWNERS NAMES CAPACITY SHARE KOOLEN, ROBERT JOHAN ROWN **EFFECTIVE 2000/07/29 THE NOTATION OF THE "BLOCK IMPLEMENTATION DATE" OF 2000/05/29 ON THIS PIN** **WAS REPLACED WITH THE "PIN CREATION DATE" OF 2000/05/29** ** PRINTOUT INCLUDES ALL DOCUMENT TYPES AND DELETED INSTRUMENTS SINCE: 2000/05/26 ** **SUBJECT, ON FIRST REGISTRATION UNDER THE LAND TITLES ACT, TO: ** SUBSECTION 44(1) OF THE LAND TITLES ACT, EXCEPT PARAGRAPH 11, PARAGRAPH 14, PROVINCIAL SUCCESSION DUTIES * ** AND ESCHEATS OR FORFEITURE TO THE CROWN. ** THE RIGHTS OF ANY PERSON WHO WOULD, BUT FOR THE LAND TITLES ACT, BE ENTITLED TO THE LAND OR ANY PART OF ** IT THROUGH LENGTH OF ADVERSE POSSESSION, PRESCRIPTION, MISDESCRIPTION OR BOUNDARIES SETTLED BY ** CONVENTION. ** ANY LEASE TO WHICH THE SUBSECTION 70(2) OF THE REGISTRY ACT APPLIES. **DATE OF CONVERSION TO LAND TITLES: 2000/05/29 ** SYA /11/22 TRANSFER *** COMPLETELY DELETED *** HC /12/16 CHARGE *** COMPLETELY DELETED ***
15 PARCEL REGISTER (ABBREVIATED) FOR PROPERTY IDENTIFIER LAND PAGE 2 OF 2 REGISTRY PREPARED FOR COLLEEN MURRAY OFFICE # (LT) ON 2014/09/23 AT 16:13:03 * CERTIFIED IN ACCORDANCE WITH THE LAND TITLES ACT * SUBJECT TO RESERVATIONS IN CROWN GRANT * REG. NUM. DATE INSTRUMENT TYPE AMOUNT PARTIES FROM PARTIES TO SILVA, HENRY MACDONALD, JOHN KIRKWOOD SILVA, MELISSA HC /04/29 TRANSFER $181,000 SILVA, HENRY KOOLEN, ROBERT JOHAN C SILVA, MELISSA REMARKS: PLANNING ACT STATEMENTS NOTE: ADJOINING PROPERTIES SHOULD BE INVESTIGATED TO ASCERTAIN DESCRIPTIVE INCONSISTENCIES, IF ANY, WITH DESCRIPTION REPRESENTED FOR THIS PROPERTY. NOTE: ENSURE THAT YOUR PRINTOUT STATES THE TOTAL NUMBER OF PAGES AND THAT YOU HAVE PICKED THEM ALL UP. CERT/ CHKD HC /05/02 DISCH OF CHARGE *** COMPLETELY DELETED *** MACDONALD, JOHN KIRKWOOD REMARKS: HC HC /05/22 CERTIFICATE *** COMPLETELY DELETED *** THE CORPORATION OF THE MUNICIPALITY OF BLUEWATER REMARKS: TAX ARREARS CERTIFICATE HC /05/22 APL (GENERAL) *** COMPLETELY DELETED *** THE CORPORATION OF THE MUNICIPALITY OF BLUEWATER REMARKS: TAX ARREARS CANCELLATION CERTIFICATE
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17 Community use church hs no PCA s nticipted W. Jenkins Institutionl (Church) Community Retrieved from Assessment Roll Abstrct Lot 204, Pln 147 nd Lnd Registry Titles. "TABLE OF CURRENT AND PAST USES OF THE PHASE ONE PROPERTY" (Refer to cluse 16(2)(b), Schedule D, O.Reg. 153/04) Other Observtions from Aeril Photogrphs, Fire Yer Nme of Owner Description of Property Use 1 Insurnce Plns, Etc M.C. Cmeron Vcnt Lnd Agriculturl or Other Use Retrieved from Assessment Roll Abstrct Lot 204, Pln 147. Vcnt Lnd hs no PCA s nticipted J. Adms Vcnt Lnd Agriculturl or Other Use 1884 J. Esson Vcnt Lnd Agriculturl or Other Use 1888 E. Snowden Vcnt Lnd Agriculturl or Other Use Retrieved from Assessment Roll Abstrct Lot 204, Pln 147. Vcnt Lnd hs no PCA s nticipted. Retrieved from Assessment Roll Abstrct Lot 204, Pln 147. Plot of lnd visible from Atls dted 1879 from McGill Librry. Vcnt Lnd hs no PCA s nticipted. Retrieved from Assessment Roll Abstrct Lot 204, Pln 147. Vcnt Lnd hs no PCA s nticipted Trustees of the Byfield Congregtion of the Methodist Church Institutionl (Church) Community Retrieved from Assessment Roll Abstrct Lot 204, Pln 147. Fire Insurnce Pln dted 1904 shows lot. Community use church hs no PCA s nticipted Romn Ctholic Episcopl Corportion Community use church hs no PCA s nticipted. Institutionl (Church) Community Retrieved from Assessment Roll Abstrct Lot 204, Pln 147 nd Lnd Registry Titles.
18 Aeril Photogrphs from Google Erth shows Existing 2009 H. Silv Vcnt Community Retrieved from Assessment Roll Abstrct Lot 204, Pln 147 nd Lnd Registry Titles. Church. No PCA s nticipted. Aeril Photogrphs from Google Erth shows Existing 2011 Robert J. Koolen Vcnt Community Retrieved from Lnd Registry Titles. Church. No PCA s nticipted. To be chnged to Residentil Use. Notes: 1 - for ech owner, specify one of the following types of property use (s defined in O.Reg. 153/04) tht pplies: Agriculture or other use Commercil use Community use Industril use Institutionl use Prklnd use Residentil use 2 - when submitting record of site condition for filing, copy of this tble must be ttched **Cette publiction hutement spécilisée n est disponible qu en nglis en vertu du règlement 671/92, qui en exempte l ppliction de l Loi sur les services en frnçis. Pour obtenir de l ide en frncis, veuillez communiquer vec le ministère de l Environnement et de l Action en mtière de chngement climtique u
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20 190 Brodwy, Suite 205 Orngeville, Ontrio L9W 1K3 Tel: (888) Emil: Phse One Conceptul Site Model As result of this investigtion: No res where potentilly contminting ctivities (PCA) on or potentilly ffecting the phse one property hs occurred. The phse one property hs been used s community church since 1907 nd vcnt lnd prior. No PCA s re nticipted throughout the lnd use. No contminnts of potentil concern (APECs) on or potentilly ffecting the phse one property hs occurred. The phse one property hs been used s community church since 1907 nd vcnt lnd prior. No PCA s re nticipted throughout the lnd use. We did not observe ny potentil for ny underground utilities tht would ffect contminnt distribution or trnsport. There were no drinking wter wells t the phse one property. There re no res of nturl significnce (ANSIs) locted in whole or in prt on the phse one study re. This informtion ws retrieved from the web portl from the County of Huron Ares of Nturl Significnce Interest mp. With the Byfield River 0.25 km north from the Site, nd Lke Huron 0.75 km west of the Site, it is likely tht wter flows to the north west. However, groundwter flow cn be influenced by number of fctors, such s surfce topology, underground structures, sesonl fluctutions, nd soil nd bedrock geology, mong others. According to the Quternry Geology Mp from 1977, the site is locted in n re consisting of Burford soils glciolcustrine deep wter deposits of snd silt nd cly. The bedrock consists of gypsum, shle nd dolostone in Dundee formtion. We did not observe res of disturbed soil or fill on the subject property. There were no Are of Nturl nd Scientific Interest within the study re Louis Street, Byfield, ON
21 190 Brodwy, Suite 205 Orngeville, Ontrio L9W 1K3 Tel: (888) Emil: Uncertinty in the CSM results from the undetermined subsurfce conditions t the subject site. Further, uncertinties re limited documenttion nd informtion bout the historicl opertions of the surrounding buildings. Bsed on the findings of this entire investigtion, Record of Site Condition under O.Reg153/04 s mended cn be filed bsed solely on the Phse One Environmentl Site Assessment lone. Sincerely, Henry J. Jnsen, P.Eng. President CJE Louis Street, Byfield, ON
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