COpy APPUCATION FOR CONSENT
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1 CENTRAL LOT A COUNlYOFPETBBJRQUGH LAND DIVISON 470 Water Sreet, Peterborou{l1, Ontario K9H 3M3 ahamhton@lcounty.peterborouc:l!.on.ca T or , ed. 310 Fax: COpy APPUCATION FOR CONSENT NOTE TO APPLICANT: All questions must be onswered or application may be returned. APPLICATION FEE: $ must accompany fully completed application and 6 copies. It Is strongly advised the applicant complete a Preliminary Severance Review with the County of Peterborough Planning Department. Have you done so: YIN Y Date: January 4,2016 II yes, were there any Studies required? Y /N _N (i.e. Traffic Study, Archaeological Study and Environmental Impact Analysis (EIA). Have you ahached 4 copies of each to this application? YIN N/A Office Use: FILE NO. B- 2 Date Received: RECEIVED FEB Phone: (H) _n_la Do you wish to receive all communications? (B) 2. AUTHORIZED AGENT/SOLICITOR'S INFORMATION Name(s): EcoVue Consulting Services Inc. c/o Ken Hurford City/Province: Peterborough, ON Address: _3_1_1_G_e_or-=g_e_S_l_N Postal Code: _K_9_J_3_H_3 Phone: (H) nla (B) Fax or khurford@ecovueconsulting.com Do you wish to receive all communications? ~es ONo 3. _ PROPERTY DESCRIPTION Ward: Harvey Township: Trent Lakes Lot: _1_9 Concession: _1_4 Municipal (911) Address: _n_/_a Registered Plan #: nla Tax Roll #: Block/Lot: nla 4. TYPE AND PURPOSE OF PROPOSED TRANSACTION Transfer: [R] Creation of a New Lot o Addition to a Lot (moving/adjusting lot line), Other: o Right-of-Way o Easement 0 Correction of Title o Charge 0 Lease 5. TRANSFEREE If known. the name of the person(s), to whom land or interest in land is intended to be transferred. charged or leased: relationship to owner: Address: Phone: (H) (B) Fax or
2 COUNTY OF PETs:H30ROUGH LAND DIVI90N Page2 6. DESCRIPTION OF SEVERED LOT (provide both metric & Imperial measurements) and PROVIDE ALL DIMENSIONS ON SKETCH Frontage (metres): _2_1_0_m Depth (metres): _1_0_0_m Area (m2 or hectares): 2.1 ha Frontage (feet): _±_6_8_9_ft Depth (feet): -=±3.;;.;;2::...;8c...;ft c:...- Area (ft2 or acres): ---'=5:..:;.2::...;:::a=c Existing Use: (i.e. residential. commercial. recreational) Vacant rural land Name Existing Buildings & Structures. including well & nfa Proposed Use: Residential property (i.e. residential. commercial. recreational) Name Proposed Buildings & Structures. including well & Single detached dwelling Type of Access: ~Municipal maintained road D County Roa d D PrnvincialHighway DSe a sona lly rna inta ine d m unic ipa I rna d D Priva te rna d or rig ht-of-way D Water DOther - Water Supply: o Pu b lic Iy 0 w ned /0 p e ra te d pip e d wa te r syste m 129 Priva tely owned/opera ted individual well o Priva te Iy 0 wned/operated communal well Dllike orotherwaterbody DO the r Sewage Disposal: (If existing. show on sketch) o Publicly owned/opera ted sanitary sewage system ~ Priva te Iy owne d 10 p e ra te d ind ivid ua I se p tic ta nk o Priva te Iy owned/operated communal septic tank o Privy DOther If a septic system exists on the severed parcel. when was it installed and inspected? _n_'_a How far is it located from the lot line(s) & well? nfa (ft. or meters) Have you shown the well & septic locations and setbacks on the sketch? ~roposed IF the severed lot Is an "Addition" or "Lot Line Adjustment". please provide the following Information. IF NOT. please SKIP this section and move onto Section 8: 7. DESCRIPTION OF LOT BEING ADDED TO (provide both metric & Imperial measurements) and PROVIDE ALL DIMENSIONS ON SKETCH Frontage (metres): Depth (metres): Area (m2 or hectares): Frontage (feet): Depth (feet): Area (ft2 or acres): Existing Use: (i.e. residential. commercial. recreational) Proposed Use: (i.e. residential. commercial. recreational) Name Existing Buildings & Structures. including wells & septic (and~how on sketch with setbacks) Name Proposed Buildings & structures. including wells & Official Plan Designation: Current Zoning: Type of Access: D Munic ipa I m a inta ned road D County Road D PrnvincialHighway D Se a sona lly rna inta ine d m unic ipa I rna d D Priva te rn a d or rig ht-of-way DWater DOther ROLL # OF LOT BEING ADDED TO: Q9-1 2
3 COUNTY OF PETa:IBORQUGH LAND DIVISON Page 3 8. DESCRIPTION OF RETAINED LOT (provide both metric & Imperial measurements) and PROVIDE ALL DIMENSIONS ON SKETCH Frontage (metres): _±_4;...,;1..=2;...,;m...:..- Frontage (feet): ±1,352 ft Depth (metres): ±1,081 m Depth (feet): Existing Use: (Le. residential. commercial. recreational) Vacant rural/and ±3,547 ft Area (m2 or hectares): 64.5 ha Area (ft2 or acres): ac Proposed Use: (Le. residential. commercial. recreational) Vacant Name Existing Buildings & structures. including wells & septic (and ~how on sketch with setbacks) n/a Name Proposed Buildings & structures. including wells & n/a Type of Access: I!] Municipal maintained road D County Road D Provincial Highway D seasonally maintained municipal road D Private road or right-of-way D Water ~ther...,-~ Water Supply: N/A ' :'~7':-:- ' Sewage Disposal: (H existing. show on sketch) N/A Pub lie ly ow ne d lope.ra te djlip-e-a wa te r syste m o Priva te Iy owne.d/op.eo'ra1e-d individual well ll! ~.9J"-o1lie r wale r bod y o D.t;\'(er 0 Pub lie Iy ow ne d/ope ra te d sa nita ry se wag e sysle m 0 Priva te Iy 0 wne d lop e ra Ie d ind ivid ua I se p Ii: tank o Priva Ie 1~. 9~n ;d(opera Ie d e om m una I we II 0 Priva Ie Iy owne d/ope ra Ie d e omm una I se plie la nk 0 Privy OOlher, ;,w ~... ~ : septic system exists on the retained parcel. when was it installed and inspected? _n_/a r How far is it located from the lot line(s) & well? n/a (ft. or meters) Have you shown the well & septic locations and setbacks on the sketch? ~ 9. LOCAL PLANNING DOCUMENTS What is the current Township Official Plan designation on this property? _R_u"'_I (this information is available from the Preliminary Severance Review and/or from the Township) What is the current zoning on this property. as found in the Township Zoning By-Law? _R_u_r_a_/.:...(R_U...;)'-- (this information is available from the Preliminary Severance Review and/or from the Township) ~lo~p~r~o~v~in~c~ia~l~p~o~l~ic~y ~~ -----;X Is the application consistent with the Provincial Policy Statements? (this information is available from the Preliminary Severance Review and/or from the County Planning Dept.) Is the subject property within an area of land designated under any provincial plan(s)? (Oak Ridges Moraine Conservation Plan applies to portions of Cavan Ward only: Growth Plan applies to the entire County of Peterborough so answer should be yes) If yes. does the application conform to or meet the intent of the provincial plan(s)? es No XYes DNo 11. RESTRICTIONS OF SUBJECT LAND Are there any easements or restrictive covenants (Le. hydro. Bell) affecting the subject land? ~NO If yes. describe the easement or covenant and its effect: {)9-12
4 COUNTY OF PETERBOROUGH LAND DIVISION Page PREVIOUS PLANNING ACT APPLICATIONS Is the subject land now. or has it been. the subject of an application for a Plan of Subdivision under Section 51 or a consent under Section 53 of the Planning Act? Has the owner of the subject land severed any land from the original acquired parcel? If yes. indicate this information on the required sketch and provide the following (if known): Rle No. B- Transferee: Date of Transfer: Rle No. B- Transferee: Date of Transfer: n [g] Ye s X No DYes ~No Is this land currently the subject of any other application under the Planning Act. such as on application for Official Plan Amendment. Zoning By-Law Amendment. Minor Variance. Minister's Order, or Power of Sale? [8]Yes D No If yes. please provide the following: Type: Application for Consent File No. NIA Status: 2 applications filed concurrently 13. MINIMUM DISTANCE SEPARATION CMDS) Are there any barns within 1,000 metres (3.281 feet) of the subject property which currently house, DYe s ~ No or are capable of housing, livestock? II yes, please complete an "MDS Data Sheet" for each barn. 14. AGRICULTURAL SEVERANCES (for lands whhln the aarlcuhural deslanatlon only) Is the severance to dispose of a residence surplus to a farming operation (must have 2 houses)? Is this severance to create a new farm parcel approximately 40 hectares (100 acres) in size? Is this severance for a commercial or industrial "agriculture-related" use? ~/A. BDYes UNo Yes DNa Yes DNa 15 ADJACENT LANDS SURROUNDING THE ENTIRE LANDHOLDING Please state the names of the owners. t he use of the land and buildings existing an the lands surrounding the applicants' entire landholding. This Information should also be on the sketch, and can be obtained from the Township or Land Division Office. If more room is needed, please add extra Schedule page. Use of Land Direction Name of Owner Buildings (i.e. house, bam etc.) (Le. farm, residential etc.) North Multiple Rural Houses South Multiple Residential Houses East Multiple Rural None West Multiple Rural Houses 16. DRIVING DIRECTIONS Please describe in detail driving directions to the subject property: Take County Rd 29 (Lakefield Rd) north towards County Rd 23 (Buckhorn Rd). Travel north-east through Buckhorn following hwy 36. turn left on Nichols Cove Rd. 2012'()9-12
5 COUNTYOFPET8B)RQUGH LAND DIVISION PageS SIGNATURES PAGE If the applicant is not the owner of the subject land, a written authorization of the owner that the applicant is authorized to act as agent and make the application on his/her behalf is required (original please). If the applicant is a Corporation acting without agent or solicitor, the application must be signed by an Officer of the Corporation with a declaration indicating that the said Officer has the authority to bind the Corporation and the Corporation's Seal (if any) must be affixed. SIGNATURE/Sl /) : Dated at the (City, Township) of ---L.r~UU '~bo,,",, - "-y... ~'"P't""""""--_this ~ay of ~,201~. &~~ signature of OWf1ef(S)Or authorized solicitor/agent Signature of owner(s) or authorized solicitor/agent DECLARATION This sechon must be signed before a Commissioner for Taking Affidavits or a designated Offlcial of the Municipality (i.e. Reeve, Clerk, Secretary-Treasurer of the Land Division Committee, /awyer,--erc.). I/we, &~ -:-~e-~ 0 he Township, City, etc. of ~~, in the County/R~i/Municipality, etc. of ~ solemnly.declare that athestatements contained in this application are true, and I make this solemn declara ' on as if- r:pdce under oath and by virtue of the Canada Evidence Act. /... Declared before me at the C\ LA () 1:.--~ City, T~nship 'p' of rh:~.~-~ oc.~h.. -<0... in the cr~ c: [.{<.s.. of -,Q...::::W=.l..;o=uunn~tx~-==,,:::.:: RR::..ee"--"<.~~c.=:..n.=\::e,;.c_. _ Owner or authorized Agent Personal information contained o~e&iffili~i~/fy authorized under Sec. 53 of the Planning Act and O.Reg.197/96 for the purpose of processing your planning application and will become part of a public record. Pursuant to Sec of the Planning Act, and in accordance with Sec.32(e) of the Municipal Freedom of Information and Protection of Privacy Act the County of Peterborough may make all planning applications and supporting material available to the public in hard copy or electronically. If you have any questions about the collection, use or disclosure of this information by the County of Peterborough, please contact the CAO or derk, County of Peterborough, 470 Water Street, Peterborough, Ontario K9H 3M3 An "original" signed copy of the application and sketch must be submitted, together with 6 copies of both the application and sketch, each copy stapled individually with a sketch. All copies of the sketch or survey must be coloured - red for severed lots, green for retained. Copies may be double-sided. Please submit application with a cheque for $ payable to the "County of Peterborough". 2012'()9 12
6 Authorization by Owner I, the undersigned, being the owner of the subject land, located in Part of Lot 19, Concession 14 in the Geographic Township of Harvey, Municipality of Trent Lakes, hereby, authorize EcoVue Consulting Services Inc. to be the applicant in the submission of this application. x (1 ~ (S~nataniOf(fwnelj x ~()_t!l_'\0l,_' _L1.:...-1~_ _~f\.../' (Signature of Witness)
7 v Proposed Entrance Rural.Ii ~ CD > o fil o -C U Z Rural Area of EJ.lsbng GfnveiPlt 126m -r--r--.r--ti----rl 11"" Legend Unevaluated Wetlands (MNR) Topographic Contours Water Course Waterbody Over-wintering deer activity Butternut Population ~ c=:> CZO Min. Yard Setbacks (4.5m and 12.0m) 0 Proposed Septic D Proposed Well Proposed 457m 2 Footprint Dwelling DATE Feb HORIZ. SCALE, ~ooo ~-======:=;;::::l. - ~ Central Consent Sketch - A Orion Group Consents Part of Lot 19 Concession 14 Munrclpality of Trent Lakes
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