Download Renewable Energy Protocol Application

Renewable Energy Protocol Application
SECTION A: PROJECT LOCATION
Street Name:
Street Number:
Town:
Primary contact:
Postal Code:
PROJECT SITE AND OWNER INFORMATION
Full Legal Company Name:
Street Number:
Street Name
Town:
Postal Code:
Agent Name:
AGENT CONTACT INFORMATION
Company Name:
Street Number:
Street Name:
Town:
Postal Code:
Phone:
E-mail:
SECTON B: PROJECT DETAILS
Is the Project a Rooftop Solar Project?
Yes
No
If yes, proceed to Section C. If No, proceed to Section D.
Size of Project (kW):
SECTION C: ROOF TOP SOLAR PROJECTS
Roof area to be covered:
Number of panels:
Height of panels from rooftop:
Angle of panels:
Page 1 of 4
Renewable Energy Protocol Application
Will the panels be screened
from the street:
Yes
Are the panels non-reflective?
Yes
No
No
Will any trees be removed?
Yes
No
Will the panels interfere with
Yes
the intended rooftop storage of
stormwater?
No
Has this project previously
received support from the
Township of North Stormont?
Yes
No
Additional comments or relevant information about the project:
SECTION D: OTHER RENEWABLE ENERGY PROJECTS
Ground-Mounted Solar
On-shore Wind
Water Power
Indicate Type of renewable energy project:
Biogas
Biomass
Landfill gas
Indicated the size of the project in kW:
Indicate existing use of the site:
Have surrounding property owners been notified
of the proposed project?
Yes
No
Page 2 of 4
Renewable Energy Protocol Application
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.
SECTION E: CHECKLIST
Site photos or renderings
`
Plans and drawings
`
Letter of acknowledgment from 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
Page 3 of 4
Renewable Energy Protocol Application
SECTION F: SIGNATURES
In signing this application form, I confirm the accuracy, truthfulness and completeness of the
information submitted in support of this application.
Name of applicant: ______________________________________________________________
Signature of applicant: ___________________________________________________________
Date: _________________________________________________________________________
Page 4 of 4