151 Forms found for 009-0233E

Ministries: Ministry of the Environment, Conservation and Parks

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  • 2002
    Notice of Lead Exceedance Test Results in Plumbing - Municipal Residential and Non-Municipal Year Round Residential Drinking Water Systems (O. Reg 170/03 Schedule 15.1)

    In accordance with the Drinking Water Systems Regulation (O. Reg 170/03), Schedule 15.1, the following drinking water systems are required to take plumbing and distribution samples and to have the samples tested for Lead by a licensed laboratory: • Large Municipal residential systems • Small Municipal residential systems • Non-municipal year round residential systems.
  • on00021
    Pest Risk Assessment Report

    To purchase Class E pesticide following the completion of an inspection of soil
  • on00439
    Land Disposal Restrictions Notification (Part 2B)

    Form used to meet land disposal restrictions notification requirements with respect to eligible registered waste streams. Use of this form is only permitted if the Director has approved a request to satisfy submission requirements by using a paper document.
  • 5357
    Emission Summary And Dispersion Modelling Report Checklist

    To ensure the minimum required information identified in the check-list on the reverse of this sheet has been submitted in the Emission Summary and Dispersion Modelling Report.
  • 4444
    Notice of Adverse Test Results and Issue Resolution (Schedule 16)

    Filled out by all regulated DWS, this form communicates adverse test results and issue resolution to the ministry for all drinking water parameters.
  • 012-1988
    Well Contractor Licence Renewal Application - Form 3

    This form is for Well Contractors Licence holders who wish to renew their licence; which expires on March 31 following the year of issue; and is required by anyone engaging in the business of well construction. Ontario Regulation 903 under the Ontario Water Resources Act prescribes the licensing requirements and outlines the roles and responsibilities for individuals/businesses and activities associated with wells.
  • 012-2133
    Water Wastewater Operator Certification System User Access Request

    Complete this form to gain access to the Water Wastewater Operator Certification System (WWOCS).
  • 012-2160
    Director Approved Continuing Education Reassessment and Instructor Assessment Application

    Complete this form to request the reassessment and re-approval of Director approved continuing education training or to add/remove an instructor from a course
  • 012-1806
    Well Record Request Individual Well Record – Form A

    This search request form is required to obtain copies of individual water well records i.e. a copy of the actual Well Record as submitted by the Well Contractor at the time of construction.
  • 012-2104
    Statement of Completion – Electricity Projects

    This form is completed by a proponent and submitted to the Director of the Environment Assessment Branch to formalize the completion of the Environmental Screening Process.
  • 012-6609
    Request for Regulatory Relief From Lead Sampling Requirements

    This forms part of the expedited process for existing municipal and non-municipal drinking water systems applying for regulatory relief in accordance with s. 38 and s.60 of the Safe Drinking Water Act (SDWA), from strict sampling requirements for lead and other parameters under Schedule 15.1 of Regulation 170/03 (Drinking Water Systems).
  • 0436
    Butternut Data Collection Form

    The Butternut Data Collection Form is the form that must be used by a person who is a Butternut Health Expert (as defined in Ontario Regulation 830/21) when conducting a Butternut health assessment for the purposes of the Endangered Species Act, 2007 (ESA).
  • on00420e
    Butternut Health Expert’s Report Template – Version 2022

    This form must be used by a person who is a Butternut Health Expert (as defined in Ontario Regulation 830/21) when conducting a Butternut health assessment for the purposes of the Endangered Species Act, 2007 (ESA).
  • 012-1989
    Well Technician Licence Renewal Application - Form 6

    This form is for Well Technician Licence holders who wish to renew their licence, which expires on March 31 following the year of issue. A Well Technician Licence of the proper prescribed class(es) is required to work at the construction of wells. Ontario Regulation 903 under the Ontario Water Resources Act prescribes the licensing requirements and outlines the roles and responsibilities for individuals/businesses and activities associated with wells.
  • 5391
    Notice of Exemption from Treatment Equipment

    1) This notice applies to a Non-Municipal Year Round Residential System that has a raw water supply that is ground water, or that has been deemed, under paragraph 4 or 5 of subsection 2(2) of O. Reg. 170/03, to obtain water from a raw water supply that is ground water under the direct influence of surface water. 2) Before exemptions from treatment can come into effect, a Well Technician's Notice must be provided to the Ministry of the Environment and Climate Change.
  • on00437
    Load Refusal Report

    Form used to submit load refusal information by the intended receiver of hazardous waste. Use of this form is only permitted if the Director has approved a request to satisfy manifesting requirements by using a paper document.
  • 012-2130
    Examination Registration

    Complete this form to register for any water or wastewater certification examination. If applying for an Operator-in-Training (OIT) exam, you may also request to have your OIT certificate(s)/licence(s) issued using this form.
  • 012-2144
    Registration as a Voluntary Participant in the Cap and Trade Program

    This form is to be used by persons who are eligible to apply and who wish to apply for registration as a voluntary participant in the cap and trade program pursuant to Part IV of O.Reg 144/16 The Cap and Trade Program Regulation made under the Climate Change Mitigation and Low-carbon Economy Act, 2016 (the “Cap and Trade Regulation”).
  • 5392
    Well Technician's Notice

    This Notice only applies to a Non-Municipal Year-Round Residential System that has a raw water supply that is ground water, or that has been deemed, under paragraphs 4 or 5 of Section 2(12), section 2 of O. Reg. 170/03, to obtain water from a raw water supply that is ground water under the direct influence of surface water.