Material Disposal Permit

Applicant *

Address *

City *

Province *

Postal Code *

Phone Number *

Email *

Purpose *

Checkboxes * Concrete (with rebar)
Concrete (without rebar)
Earth with wood
Earth
Snow
Gravel
Soil
Sand
Stones
Mixed concrete
Steel
Bricks
Tiles/Ceramic
Other

Total Quantity *

Land Location materials are to be removed from *

Land Location materials are to be removed to *

Start Date *

End Date *

This permit is subject to compliance with all other regulatory requirements.

No person shall obstruct the Administrator or an Inspector who is carrying out an inspection.

Any person who contravenes any provision of this permit, Bylaw No. 4 of 2010 and Bylaw No. 8 of 2010 is guilty of an offence and liable to the penalty as set forth in the General Penalty Bylaw of the R.M. of Prince Albert No. 461.

I certify that the information is correct, complete and that I will abide by the Bylaws and the conditions of the approval. * I agree

Permit time limit to a maximum of 30 days.
This permit is not valid unless authroized by the Rural Municipality Office