MINISTÈRE DE L’ENVIRONNEMENT
APPLICATION FORM FOR OBTAINING A CERTIFICATE FOR AN IN-TRENCH SOLID WASTE DISPOSAL SITE
I - APPLICANT IDENTIFICATION
1) Nome of applicant: _______________________________________________________________
2) Address: _______________________________________________________________________
3) Telephone: ______________________________________________________________________
4) Name and address of the person who will operate the establishment: ________________________
5) Resolution of the board of directors __________________________________________________
(to be provided should the applicant be a corporation)
6) Is there a household garbage collection service in the municipality?
Yes □ No □
If there is one, what is the population served by that service?
In winter ___________________ In summer _________________
II - CHARACTERISTICS OF AN ELIMINATION SITE
1) Siting:
(attach a sketch) lots ____________________ range ___________________
township ________________ municipal county _________
municipality (if applicable) ______________________________
2) Land dimensions: ________________________________________________________________
3) Type of grounds: swamp □ quarry □ ravin □
plain □ hillside □
other □ (specify)
4) Utilization of the surrounding soil:
follow land □ agricultural land □ woodland □
park or reserve □ residential zone □ pasture □
forest operation □ industrial activity □
other □ (specify)
5) Give the distance between the in-trench solid waste disposal site and the following places:
— the sea: _______________
— the Saint Lawrence River: _______________
— the nearest river: _______________
— the nearest brook: _______________
— the nearest pond: _______________
— the nearest swamp: _______________
— the nearest strand: _______________
— the nearest ecological sanctuary: _______________
— the nearest lake: _______________
— the nearest dwelling: _______________
— the nearest teaching institution: _______________
— the nearest building for worship: _______________
— a food processing plant: _______________
— the nearest well or sprint used for human comsumption: _______________
III - NATURE OF THE SOIL
Dig a hole to a depth of 2.5 m at the centre of the proposed site and provide the following information:
1) Depth of water (phreatic water level): ________________________________________________
2) Observation date: ________________________________________________________________
3) Composition of the soil: ___________________________________________________________
humus □ depth: ______________________________________________
gravel □ depth: ______________________________________________
sand □ depth: ______________________________________________
clay (loam) □ depth: ______________________________________________
depth or rock (if application) ___________________________________________________________
IV – EXPLOITATION
1) What equipment do you have for the digging of the required trench, once or twice a year; or who will do the digging for you?
(type of machinery)
(please specify whether municipal or private enterprise equipment)
Note: It is suggested that the trench be dug to a depth of 2 m and that it measure approximately 6 m × 30 m.
2) If what manner will you ensure the maintenance of the disposal site and the covering of solid waste during the summer?
(available equipment)
(person responsible)
I, ______________________________ the undersigned, declare that I have read the standards and conditions enumerated below respecting solid waste sites. I further declare that the information given above is true and complete.
_______________________________________ ________________________________________
(date) (signature of the applicant or his
authorized representative)