No.:

(CofC Use Only)

APPENDIX ITEM 1A

20 LAND DEVELOPMENT PROGRAM (One phase per page)
DEVELOPER NAME:
SUBDIVISION NAME & PHASE:
MUNICIPAL ADDRESS:
LEGAL SECTION NUMBER:	AREA IN HECTARES:
OUTLINE PLAN #:	APPROVAL DATE:
TYPE OF DEVELOPMENT (residential, commercial, industrial, etc.):
IS DEVELOPMENT ADJACENT TO THE TRANSPORTATION UTILITY CORRIDOR (T.U.C.)? YES NO

20 CONSTRUCTION	INCLUDED please check if yes
WATER	Pipe
Pump Station
SANITARY	Pipe
Lift Station
STORM	Pipe
Outfall
Pond (type)

IF PREVIOUSLY APPLIED FOR, WHAT YEAR?

UNDER WHAT NAME?

STORMWATER QUALITY INFORMATION
NAME OF MASTER STORM DRAINAGE PLAN:
POND NAME IN THIS PHASE (IF APPLICABLE):
NAME OF POND THAT TREATS THIS PHASE:	TYPE:
INFRASTRUCTURE AND/OR ADDITIONAL POND NAMES AND TYPES THAT STORMWATER DRAINS THROUGH BEFORE REACHING RECEIVING STREAM, IF ANY:
RECEIVING STREAM:
OUTFALL NUMBER: