Include civic address (P.I.N), lot ID, concession ID, registered plan, part number(s), assessment roll number.

I have confirmed, or retained a professional to confirm, that any drainage infrastructure (including culverts, subdrains, etc.) and/or lot grading to be completed as part of the proposed access onto the District roadway will not impact the roadway platform (including road shoulders).

I understand that by confirming above that I have sufficient knowledge to make the above assertion and, by checking the box I accept responsibility and liability for any erosion, flooding impacts or other damage which may occur due to the installation of the drainage infrastructure and/or grading. I agree to reimburse the District, Area Municipality and/or Third Parties for any damage associated with these occurrences and/or to properly design and construct drainage infrastructure, rectifying the issue.

E.g., Organization file number, account number, project or project type identifier.

Used with Approved permits to identify if further work is required, e.g., work inspection.