Section 9: Application Form and Submission Checklist

RENEWABLE ENERGY APPLICATION PROTOCOL
Integrated Planning and Public W orks
Section 9: Application Form and Submission Checklist
SECTION A: PROJECT LOCATION
Street Number:
Unit Number:
Street Name:
Postal Code:
PROJECT SITE AND OWNER INFORMATION
Primary Contact:
Full Legal Company Name:
Contact Address
Street Number:
Unit Number:
City:
Street Name:
Postal Code:
Contact Information
Phone:
E-mail:
Fax:
AGENT CONTACT INFOMATION
Agent Name:
Company Name:
Contact Address
Street Number:
Street Name:
Unit Number:
City:
Postal Code:
Contact Information
Phone:
E-mail:
Fax:
SECTION B: PROJECT DETAILS
Is the project a Rooftop Solar project?
Yes
No
If ‘yes’, proceed to Section C. If ‘no’, proceed to Section D
SECTION C: ROOFTOP SOLAR PROJECTS
Size of project (kW):
Roof area to be covered:
Number of panels:
Height of panels from rooftop:
Angle of panels:
Will the panels be screened from the street?
Yes
No
Waterloo City Centre | 100 Regina Street South, Waterloo, ON N2J 4A8 | P. 519.886.1550 | F. 519.747.8760 | TTY. 1.866.786.3941
The City of Waterloo is committed to providing accessible formats and communication supports for persons with disabilities. If another format would work better
for you, please contact: department or division telephone number, department or division email address or TTY at 1-866-786-3941.
www.waterloo.ca
RENEWABLE ENERGY APPLICATION PROTOCOL
Integrated Planning and Public W orks
Are the panels non-reflective?
Will any trees be removed?
Will the panels interfere with the intended rooftop
storage of stormwater?
Has this project previously received support from
City of Waterloo Council?
Yes
No
Yes
No
Yes
No
Yes
No
Additional comments or relevant information about the project:
SECTION D: OTHER RENEWABLE ENERGY PROJECTS
Ground-mounted solar
On-shore wind
Water power
Biogas
Biomass
Landfill gas
Indicate existing
use of the site:
Indicate type of renewable energy project:
Indicate the size of
the project in kW:
Have surrounding property owners been notified of proposed project?
Yes
No
If yes, how?
Will off-site fuel sources be transported to the site?
Yes
No
If yes, provide details:
Will the proposed renewable energy project produce waste by-products
Yes
No
If waste products are anticipated, what is the planned method of disposal?
Describe planned measures to screen the site and/or mitigate any potential impacts on adjacent lands:
NOTE: Additional studies including noise, health, traffic etc. may be required prior to review of the
proposed project. Proponents will be notified if additional documentation or copies of studies are
required.
Waterloo City Centre | 100 Regina Street South, Waterloo, ON N2J 4A8 | P. 519.886.1550 | F. 519.747.8760 | TTY. 1.866.786.3941
The City of Waterloo is committed to providing accessible formats and communication supports for persons with disabilities. If another format would work better
for you, please contact: department or division telephone number, department or division email address or TTY at 1-866-786-3941.
www.waterloo.ca
RENEWABLE ENERGY APPLICATION PROTOCOL
Integrated Planning and Public W orks
SECTION E: CHECKLIST
Site photos or renderings
Plans and drawings
Letter of acknowledgement from the property owner
Description of proposed screening
Details on the use of anti-reflective coating (for solar projects)
Details on proposed tree removal
Details on whether the project will interfere with rooftop storage of stormwater (for rooftop solar projects)
Previous submission materials if the project has already been considered by Council
In signing this application form, I confirm the accuracy, truthfulness and completeness of the information submitted in
support of this application.
Name of Applicant (Print name)
Signature of Applicant
Date
Waterloo City Centre | 100 Regina Street South, Waterloo, ON N2J 4A8 | P. 519.886.1550 | F. 519.747.8760 | TTY. 1.866.786.3941
The City of Waterloo is committed to providing accessible formats and communication supports for persons with disabilities. If another format would work better
for you, please contact: department or division telephone number, department or division email address or TTY at 1-866-786-3941.
www.waterloo.ca