Applicant First Name Last Name Email This email address will receive further instruction once the form has been submitted. Project Dates Start Date Changes to the dates within the Right of Entry Agreement must be made in advance of the agreement’s expiry date , otherwise application fees (i.e.$200) will apply over and above the original $400 paid application fee. End Date: Under the agreement there is an expectation for the applicant to restore the land to the state in which you found it. If the end date of the Right of Entry agreement, or amendment agreement, falls between November 1 and March 31, the end date is automatically set to the next May 31 date. This is to allow the applicant to perform the restoration work as required under the Right of Entry agreement. The time period added on to a Right of Entry Agreement for the purposes of restoration work is intended solely for the restoration of land and other activities, not related to restoration, shall not occur. Location Please provide the municipal address and the legal description. Municipal Address Lot Block Plan Legal Description Is this a City project?YesNo City Contact (Project Manager/Coordinator, Liaison, etc): First and Last Name Primary Contractor Information Legal name of primary contractor accessing Right of Entry lands: The legal name of the primary contractor will be listed as the Right of Entry Permit Holder. Phone Email Business Address City ProvincePlease select... Alberta British Columbia Manitoba New Brunswick Newfoundland Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Postal Code Name on Contact Person On-Site Phone Project Scope Have you been granted a Parkland Access Permit?YesNo Please provide the Parkland Access Permit file number: Scope of work being performed on City land: Provide a brief project summary that outlines the reason you are requesting a Right of Entry agreement . Describe the nature of the access activity performed on city owned lands throughout the duration of the temporary grant of access.This information is required in order to review, evaluate and draft the agreement. What type of equipment /vehicles will be used on site? Will there be use of fencing? YesNoYou are required to fence the excavated area for safety purposes. Please explain: Will vehicles be parked within the Right of Entry agreement boundary?YesNo If this project requires a construction laydown area, please describe the use/activity within the laydown area. If not required, answer "not required". Will there be stockpiling? If this project requires stockpiling of debris or materials please describe and indicate the location and the type of material? If not required, answer "not required". Does this project require open digging or trenching?YesNo Will the project require borehole drilling?YesNo Attach a PDF Site Plan showing the location of the boreholes or proposed work location(s) within the city owned land. The Site Plan must have a north arrow, intersecting streets labeled, the boundary of property and dimensions of the land area being temporarily used, such as dimensions of temporary work space and access routes. Any other relevant details must be shown. Personal information is collected for the purpose of the Facility and Land Inventory Management Unit reviewing the Right of Entry Agreement application and will be used to connect with and provide services to applicants. Collection is authorized under section 33(c) of the Freedom of Information and Protection of Privacy (FOIP) Act and is managed and protected in accordance with the Act. If you have questions about the collection, please contact Chantal Villecourt, Supervisor of the Facility and Land Inventory Management Unit, 10 Floor, Edmonton Tower, 10111 104 Avenue NW, Edmonton AB T5J 0J4, 780-983-0960, or email@example.com.