THE CORPORATION OF THE MUNICIPALITY OF MISSISSIPPI MILLS SITE PLAN CONTROL APPLICATION FORM Procedure Guide June 12, 2017

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THE CORPORATION OF THE MUNICIPALITY OF MISSISSIPPI MILLS SITE PLAN CONTROL APPLICATION FORM Procedure Guide June 12, 2017 1. Application forms are available from the Municipal Office. The Site Plan Control approval process will be initiated once the completed application form and necessary supporting material outlined in Items 2 to 5 below are received by the Municipal Planner. SHOULD YOU HAVE ANY DIFFICULTY FILLING OUT PORTIONS OF THIS APPLICATION, PLEASE CONTACT THE MUNICIPAL PLANNER FOR ASSISTANCE. ERRORS IN FILLING OUT THIS APPLICATION MAY RESULT IN DELAYS IN THE PROCESSING OF THE PROPOSAL. YOU ARE ADVISED TO REVIEW THE DEVELOPMENT PROPOSAL AND COMPLETED APPLICATION WITH THE MUNICIPAL PLANNER PRIOR TO SUBMITTING THE APPLICATION. 2. Failure to provide the required information on this application may result in your application not being accepted. For some applications, additional information may be required from a qualified professional such as engineers or landscape architects. The applicant will pay the costs involved with providing this information. 3. Required Information: a) The site plan control applicant must be accompanied by a site plan drawn to metric scale to a maximum plan size of 24 inches by 36 inches. There must be eight (8) paper prints of the full size site plan, plus 1 scaled reduction to 8 ½ by 14. The site plan shall accurately display the following information: (i) (ii) (iii) (iv) (v) (vi) (vii) (viii) (ix) (x) (xi) (xii) (xiii) (xiv) (xv) (xvi) A map plan indicating the location of the subject property in relation to adjacent properties, streets, railway right-of-ways, easements etc. A legend explaining all design features and a breakdown of all uses in square metres. Dimensions and area of subject property and any proposed division of the property. Abutting lands in same ownership. Location, size, elevation and type of existing buildings and structures including floor area, number of storeys, width, length, height, number of dwelling units, exterior building finish (detailing construction materials) for each face of the building etc. Location, size, elevation and type of proposed buildings and structures including details in (v) above. Perpendicular distance from lot lines to the nearest walls of existing and proposed buildings and building spacing where applicable. Location and width of existing and proposed access to public streets. Internal road pattern including aisles, ramps, loading bays, and parking spaces with dimensions. A table of parking calculations and parking for handicapped persons must be shown on the plan. Distance from front lot line to centreline of public streets. Location and details of underground and above ground utilities extended to the subject property, including hydro, water, sewer, gas, cable and telephone lines. Location and details of existing and proposed signs. Location and types of fences and lighting. Location and details of existing and proposed garbage storage. Location of fire hydrants, light standards, hydro poles or other installations. Location of designed fire routes(s), easements, and right-of-ways.

b) The site plan control application must be accompanied by two (2) copies of a grading and drainage plan to the same scale as the site plan prepared by a qualified individual. One 8 ½ by 14 scaled reduction of the grading and drainage plan shall also be required. The grading and drainage plan shall accurately display the following information: (i) (ii) (iii) (iv) (v) Existing elevations on subject and adjacent lands and along centreline or adjacent public streets and railway right-of-ways. All elevations are to be geodetic. Location, elevations and contours of any creeks, ravines or watercourses on the subject and adjacent lands. Arrows indicating the proposed direction of flow of all surface water. Finished elevations at the building lines and at all critical points such as catch basins and adjacent lands. Location and details of swales, all surface water outlets, catch basins, rip-raps, rock and retaining walls, size and gauge of metal culverts. Dimensions of box culverts, depth and quality of asphalt, curbing, servicing and connections. c) The site plan control application must be accompanied by two (2) copies of a landscape plan drawn to the same scale as the site plan prepared by a qualified individual. One 8 ½ by 14 scaled reduction of the landscape plan shall also be required. The grading and drainage plan shall accurately display the following information: (i) (ii) (iii) (iv) (v) Existing landscaped features to be retained, areas to be grassed, areas to be used for the storage of snow. Location, type and height of any fencing and retaining walls, materials used for constructing sidewalks. Location, quantity, species, calliper or height of all existing and proposed trees, plants and shrubs. A table of such landscaping materials, cross sections, and planting schedules must be shown on the Plan. Any other detail pertaining to the aesthetic development of the site such as berms, planters, street furniture (benches, bike racks, garbage receptacles, etc ). Where required, an open space/park plan will be prepared to the satisfaction of the Municipality. d) Based on the location and type of development being proposed, a survey plan signed by an Ontario Land Surveyor may be required by the Municipality as part of the site plan control application. e) The Municipality retains the right to accept applications meeting a reduced standard of detail or requirements when it is demonstrated such reduced standard is appropriate because of the specific nature of the proposed development. In the Rural Areas, the required grading and drainage plan and the landscape plan may be included on the site plan if space permits. 4. A non-refundable cheque, made payable to the Municipality of Mississippi Mills must be submitted to cover the application fee of $2,000.00 for a major site plan control application and $1000.00 for a minor site plan control application. The cost of the preparation of the Site Plan Agreement is $350.00 and a $550.00 deposit will be required for legal registration. 5. Along with the Municipality s application fee, some applications will be subject to additional user fees from the Mississippi Valley Conservation $955.00 for minor (small commercial less than 0.8ha, additions up to 200 sq. m.) and $2,395.00 for major(multiple res., commercial, industrial and institutional) and/or the Leeds, Grenville and Lanark District Health Unit (LGLDHU) ($350.00). Upon submitting a site plan application a determination will be made as to the need to contact the Mississippi Valley Conservation (MVC) or the Leeds, Grenville and Lanark District Health Unit.

6. Once the Municipal Planner has received the application, it shall be circulated to all commenting staff and agencies. Based on the results of the circulation, a report shall be prepared by the Planner and presented to the Planning Committee. The applicant will be expected to attend this meeting to present the development proposal. The Planning Committee will make a recommendation to the Municipal Council to approve, approve with modifications or deny the site plan application and whether or not to enter into a site plan control agreement. 7. For most Site Plan Control Applications, the Municipality will require the owner to enter into a Site Plan Control Agreement. The agreement shall require that the proposed development be in accordance with the approved plans and shall be subject to conditions as set out by the Municipality. The Municipality s standard site plan control agreement includes requirements to provide a performance and/or maintenance security for any works required pursuant to the agreement or site plan. The security may be provided in the form of a certified cheque or letter of credit. All site plan agreements shall be registered on title of the subject property and the expense incurred for such action shall be the responsibility of the applicant. 8. If the owner of the subject property is not satisfied with any of the requirements made by the Municipality, or the terms of the agreement, or if the Municipality fails to make a decision on application within 30 days after it is submitted, the owner of the land may require the plans or drawings or the unsatisfactory requirements, or parts thereof or the agreement, as the case may be, to be referred to the Ontario Municipal Board by written notice to the secretary of the Board and to the Clerk of the Municipality. 9. A building permit will not be issued until the site plan has been approved and the agreement and required securities have been submitted and/or any special conditions completed. 10. The completed application form and supporting documentation should be returned to the Municipal Office. THE MUNICIPALITY OF MISSISSIPPI MILLS, Municipal Office, 3131 Old Perth Road, R.R. #2 P.O. Box 400, Almonte, Ontario, K0A 1A0 Phone: (613) 256-2064 Fax: (613) 256-4887 11. If this application is signed by an applicant or agent on behalf of the owner of the property, the owner s authorization for this action must accompany this application. If the applicant is a Corporation acting without agent or solicitor, the application must be signed by an officer of the Corporation and the seal, if applicable, must be affixed. A sample format for authorization is attached to the rear of this form. PLEASE NOTE THAT THE ABOVE INFORMATION IS ESSENTIAL INFORMATION FOR SITE PLAN CONTROL APPLICATIONS. FAILURE TO PROVIDE THIS INFORMATION INHIBITS A COMPLETE EVALUATION OF THE PROPOSAL AND MAY RESULT IN A DELAY.

THE MUNICIPALITY OF MISSISSIPPI MILLS SITE PLAN CONTROL APPLICATION FORM FOR OFFICE USE ONLY Date the Application is Received by the Municipality: Date the Application is Deemed to be Complete by the Municipality: June 12, 2017 IF YOU ARE UNABLE TO ANSWER ANY OF THESE QUESTIONS, PLEASE CONTACT THE MUNICIPAL PLANNER FOR ASSISTANCE. 1. Registered Owner's Name: Address: Postal Code: E-mail: Telephone: Home ( ) Work ( ) Cell ( ) Fax ( ) 2. Applicant/Agent Name: (If different than Owner) Address: Postal Code: E-mail: Telephone: Home ( ) Work ( ) Cell ( ) Fax ( ) 3. Send Correspondence To? Owner [ ] Applicant/Agent [ ] 4. Name and address of any mortgages, holders of charges or other encumbrances of the subject lands: 5. Legal Description of Property: Ward (Former Municipality) Lot(s) Concession Lot(s) Registered Plan Part(s) Reference Plan Street Address Roll # PIN Address Survey Attached Yes ( ) No ( ) 6. Are there any easements or restrictive covenants affecting the subject property? Yes ( ) No ( ) 7. If yes, please describe the easement or covenant: 8. Does the Site Plan Affect: Entire Property [ ] Portion of Property [ ] 9. Dimensions of lands affected: Frontage: Depth: Area: Width of Street:

10. Official Plan designation of the subject property: 11. Zoning By-Law designation of the subject property: 12. Other applications submitted with this application: Official Plan Amendment [ ] Zoning By-law Amendment [ ] Minor Variance [ ] Consent [ ] Plan of Subdivision [ ] 13. Explanation of proposed development: 14. Has the subject lands ever been the subject of an application for an official plan amendment, zoning amendment, minor variance or site plan control? Yes [ ] (please provide details below) No [ ] 15. Existing use of subject property and length of time this use has continued on the subject property (please provide length of time that the existing use has continued: _ 16. Proposed uses of subject property: 17. Existing use and Zoning of the abutting properties (including properties on opposite side of road allowance): 18. Site Plan Details: Existing Proposed a) Number of Dwelling Units b) Number of Commercial or Industrial Units c) Number of Accessory Buildings d) Gross Floor Area devoted to - commercial - industrial - residential - other e) Per Cent Lot Coverage - main building - accessory building(s) f) Per Cent Landscaped Area g) Building Height - main building - accessory building(s) h) Number of Parking Spaces i) Number of Loading Spaces

19. Type of access to the lands and name of road: Provincial Highway County Road Year Round Municipal Road Seasonal Municipal Road Unopened Road Allowance Private Right-of-Way Other, please specify 20. If proposed access is by water, what boat docking and parking facilities are available on the mainland? Services Currently Available, or to be Available: Municipal Communal Private Municipal Communal Private Water Water Water Sewers Sewers Septic Existing [ ] [ ] [ ] [ ] [ ] [ ] Proposed [ ] [ ] [ ] [ ] [ ] [ ] 21. Are Stormwater Sewers Present? Yes [ ] No [ ] Proposed [ ] 22. Are there any of the following uses or features on the subject lands or within 500 metres of the subject property? Use or Feature On Subject Land? Within 500 m of Subject Land? (Give Approximate Distance) An agriculturally designated area A livestock facility (i.e. barn) or manure storage facility A landfill site (active or closed) A sewage treatment plant/lagoon An industrial use A licensed pit or quarry or an area designated for aggregate extraction A mining hazard An active railway line A flood plain or other natural hazard A natural gas or oil pipeline A hydro easement A contaminated site A well head protection zone A provincially significant wetland An area of natural and scientific interest (ANSI) Fish/Wildlife Habitat A designated heritage building/site

QUESTION #23 MUST BE COMPLETED IN THE PRESENCE OF THE "COMMISSIONER". THE CLERK OF THE MUNICIPALITY IS AN AUTHORIZED COMMISSIONER. 23. I, of the of, in the of, hereby solemnly declare that the information contained in this application are on the attached plan and any associated information submitted with this application are, to the best of my belief and knowledge, a true and complete representation of the purpose and intent of this application. DECLARED BEFORE ME AT THE OF IN THE OF, THIS DAY OF, 201. A COMMISSIONER, ETC. Signature of Owner Signature of Agent or Applicant FREEDOM OF INFORMATION/ACCESS TO PROPERTY CONSENT OF OWNER I,, being the registered owner of the lands subject of this application for site plan and, for the purposes of the Freedom of Information and Protection of Privacy Act, I hereby 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. I also authorize and consent to representatives of the Municipality of Mississippi Mills and the persons and public bodies conferred with under Section 41 (8) of the Planning Act entering upon the lands subject of this application for the purpose of conducting any site inspections as may be necessary to assist in the evaluation of this application. Date Owner s Signature

APPLICANT/AGENT AUTHORIZATION FORM The Corporation of the Municipality Mississippi Mills In the Matter of Application for Site Plan Authorization under Ontario Regulation 406/83 {Subsection 2(3)} I, being the ( ) registered owner(s), ( ) executor/executrix, ( ) signing corporate officer(s) of the lands for which this application is to be made, hereby authorize and direct to act as my agent and on my behalf to apply to the Corporation of the Municipality of Mississippi Mills for a site plan on the lands herein described. Ward (Former Municipality) Lot(s) Concession Lot(s) Registered Plan Part(s) Reference Plan Street Address Roll # PIN Address SIGNED, SEALED AND DELIVERED in the presence of Date Signature SEAL

INDEMNIFICATION I/We, hereby agree to indemnify and save harmless the Corporation of the Municipality of Mississippi Mills ( the Municipality ) from all costs and expenses that the Municipality may incur in connection with the processing of the application for approval under the Planning Act. Without limiting the foregoing, such costs and expenses will include all legal, engineering, planning, advertising and consulting fees and charges incurred or payable by the Municipality to process the application. In addition, the applicant(s) shall reimburse the Municipality for all costs and expenses arising from or incurred in connection with the Municipality being required, or requested by the applicant(s), to appear at the hearing of any appeal to the Ontario Municipal Board from any decision of the Council or Committee of Adjustments, as the case may be, approving the applicant(s) application. The costs and expenses incurred in connection with an Ontario Municipal Board appeal shall include all legal costs and consulting costs incurred by the Municipality. The applicant(s) acknowledge(s) and agree(s) that if any amount owing to the Municipality in accordance with this agreement is not paid when due, the Municipality will not appear before the Ontario Municipal Board in support of a decision approving the application until the amount has been paid in full. The applicant(s) further acknowledge(s) and agree(s) that any amount owing by the applicant to the Municipality is, when due, a debt of the applicant and the Municipality may, in addition to any other remedies available to it at law, recover the amount owing together with interest from the applicant(s) by action. Date Applicant Applicant