lty of Peterborough Land Division7‘ )4

(er Street, Peterborough, Ontario K9H 3M3iami|ton@ptbocounty ca

P 1. b h.-.0»-14a-3110 or auo-110-assé, Ext. 2406 Fax: 105-are-mo I‘ e er OFOUQ\, \\, 6 , CountyApplication for Consent ‘---:'~-'»-

Note to Applicant: All questions must be answered or OHM llwIapplicat on may be retumed.

Application Fee: $1150.00 must accompany fully completed rapplication and 6 copies. F||e No_ I \ O-fl0iit is strongly advised the applicant complete a Preliminary _7 _*_ __ _ V

Severance Review with the County oi‘ Peterborough Date Rgggivgd;w '“ 8

Plannln?Depa|1ment.Have you done so: R E L t‘ V t D

YIN om: August 20, 2018 ____ 1ii yes, were there any Studies required? YIN N ltb U 3tie. Tratfic Study, Archaeological Study andEnvironmental Impact Analysis (EIA). .Have you attached 4 copies of each to this application? L) D S N .

on ewe, cacao?1. Owner lnfonnation

Name(s): Timothy Brian Conlin Address: 12 Rose Island Road, R=R= #1_‘ P.O. Boxfl CityIProvince: A115] Q1/_, UN

Phone: (H)— (B)— i Pqstglcgde; KOL 1A0

Emi|=—_Do you wish to receive all communications? BYes E] No

2. Authorized fiigentisolicitor Information 7 _ _

~=m=<=>= We Plat" e -~»==_—__P.0. Box: _ CityIProvince: —

Phone: (H) ' B Postal Code: ‘E-mail:

‘ Do you wish to receive all communications? Dies BN0

3. Propertyikecription '‘Ward: C|'ldndOS Township: Ngfjh |§fl1»1Q[fl]fl Lot: 2| Concession: IQ

Municipal (911)Address: 60 Dick Mgr1;j[| Bggd TaxR0ii#: 1535 Q]Q 192 1299;}Registered Plan #1 BlockILct: C0" 14/ L011 21

4. Type and Purpose ofPropoaed Transaction _ _Transfer: El Creation of a New Lot H Addition to a Lot (moving/adjusting lot line)

Other: Bi-btRight-of-Way U Easement U Correction of Title E] Charge [:1 Lease

5. Transferee7

If known, the name oi the person(s)_ to whom land or interest in land is intended to be transierred, char ed or leased:T1 mothy 8| Rachel C_Q_[]l1n relationship to owner: _mmL

Address: l2 R_os_e Island Rgad, R.R. 1, Ag; lgy, Q|§{_|gl1L LALLPhone (H)i <8) E-m@iI=—

2015-not

County of Peterborough Land Division Page 2

‘6. Description of Severecl_l._o£(provide both metric & imperial measurements and |nclude_ali dimensions on sketch)

Frontage (metres): |Q,| 11] Depth (metres): lRm-film Area (ml or hectares): .49 l'lECt

Frontage (feet): 452' Depih(feet): 60'-ZOO‘ Area (ft! or acres): (1.2 acresl

Existing Use: (i.e. residential, commercial, recreational) Proposed Use: (i.e. residential, commercial, recreational)

Rural Rural ResidentialName Existing Buildings 8. Structures, including well & septic Name Proposed Buildings & Structures, including well & septic(and show on sketch with setbacks ) (and show on sketch with setbacks )H2 old storage shed_s_ : tinge __Type of Access:El Municipal maintained road E] County Road ElProvlncial Highway

II Seasonally maintained municipal road E Private road or right-of-way [:|Otherl:|Water ElParking/docking facilities - distance from these to the nearest road :

Sewage Disposal: (if existing, show on sketch)i:|Pui:liciy ownedloperated sanitary sewage system|:|Privateiy owned/operated individual septic tank|:| Privately ownedloperated communal septic tankQ Privy

Water Supply:U Publicly ownedioperated piped water systemE) Privately ownedloperated individual welll:lPrivateiy owned/operated communal wellEl Lake or other water bodyfiOther ngne _ Other none

if a septic system exists on the severed parcel, when was it installed and inspected? Q13

How far is it located from the lot line(s) 8- well? _flLdft or meters)

Have you shown the well 8- septic locations and setbacks on the sketch? Fl[i1

if the severed lot is an "Addition" or "Lot Line Adjustment", please provide the following information.if not, please skip this section and move onto Section 0:

#1; Description of Lot Being Added To(provide both metric 8‘ imperial measurements and include all dimensions on sketch)

Frontage (metres): 141 m Depth (metres): 9Iil—48m Area (mi or hectares): . 7 ha

Frontage (feet): I Depth (feet);l - I

Area gr ages); 1 - i:iCY‘eS

Existing Use: (i.e. residential, commercial, recreational) Proposed Use: (i.e. residential, commercial, recreational)

Rural Residential Rural ResidentialName Existing Buildings & Structures, including wells 8- septic Name Proposed Buildings & Structures, including wells 8. septic(and show on sketch with setbacks ) (and show on sketch with setbacks )

LQ_Ll_$_8_\_1_lll.€_l_]_» 1 S_QD_l2_‘l_C none _

Officlal Plan Designation: CurrentZoning:

Type of Access:IX Municipal maintained road U County Road El Provincial HighwayEl Seasonally maintained municipal road E] Private road or right-of-way El Water l'_'.lOther

Roll # of Lot Being Added to: 15 35 010 102 07300

County of Peterborough Land Division Page 3

8. Descrijgion of Retained Lot (provide both metric 8- imperial measurements andinclude alidimensions on sketch) _

Frontage (metres): 396m Depth (metres): Qfifi [[1 Area (ml or hectares): I10 ha

Frontage (feet): 1390' Depth (feet):W 3 100' Area (ttz or acres): Qfi , BExisting Use: residential, commercial, recreational) Proposed Use: (i.e. residential, commercial, recreational) ,

.£arm _ :EarmLnesidential_ .___ ._Name Existing Buildings & Structures, including wells & septic Name Proposed Buildings 8‘ Structures, including wells 8. septic(and ‘show on sketch with setbacks ) (and show on sketch with setbacks )new house under construction & septic house! well (to be completed)

Type of Access:[XMunicipal maintained road E] County Road El Provincial Highway

I] Seasonally maintained municipal road ElPrivate road or right-of-way El Other|jWater E] Parkingldocking facilities — distance from these to the nearest road :

Water Supply: Sewage Disposal: (if existing, show on sketch)El Publicly owned/operated piped water system El Publicly owned/operated sanitary sewage systemEl Privately owned/operated individual well E Privately owned/operated individual septic tankEl Privately owned/operated communal well B Privately owned/operated communal septic tankElLakeorot erwat o |I|Privygame, npa weaii’ $0 be done gomer

if a septic system exists on the retained parcel, when was it installed and inspected? [3 V

How far is it located from the lot line(s) 8- well? (ft. or meters) n / a

Have you shown the well & septic locahons and setbacks on the sketch? YES

9. Local Planning Documents _ _What is the current Township Official Plan designation on this property?

KRULQJ

What is the current County Officiai Plan designation on this property? Bmga I flygga(this information is available from the Preliminary Severance Review aridlor from the Township)

Explain how the application Conforms with the current Officiai Plans: ‘H19 SEVQi"E'.d 1 Oi; tllli i 1 b_,€ Qflflfld 120existin house lot which is ver narrow due to severe e done in 1800' . *Se h l

What is the gurrent zoning on this property, as fountilin the Township Zoning By-Law‘?S e C edu e

(this lnfomiation is available from the Preliminary Severance Review andlor from the Township) g

I10. Provincial Policy _ _ _ _is the application consistent with the Provincial Policy Statements? E](Yes [I No(this information is available from the Prelimingrysfievergrtcfi Ravlew and/or from the County Planning Dept.)Explain how the application is consistent 99 9 I-I 9

is the subject property within an area of land designated under any provincial p|an(s)? X Yes U No l(Oak Ridges Moraine Conservation Plan applies to portions of Gavan Ward only;

‘

Growth Plan applies to the entire County of Peterborough so answer should be yes)

if yes, explain how the application conforms or does not conflict with provincial plan(s)? ent,(buildings or alterations are proposed.

11 Restrictions ofSubject Land-Are there any easements or restrictive covenants (i.e. hydro, Bell) affecting the subject land? []Yes No

if yes, describe the easement or covenant and its effect:

f*Note Parcel to be added to is very narrow, irregular triangle shape.Proposed severance will make this lot a regular, conforming size.

SCHEDULE TO SEVERANCE APPLICATIQNFOR TIMOTHY BRIAN CONLIN

Page 3Item 9 - Continued

It will remain a “regular” shape and will be rezoned rural residential.At the time original severance goes over back stoop (entrance) ofhouse built in 1890. Parking forlot to be added to is on parcel to be severed at this time.

Item 10 - Continued

Proposed severance is a lot addition with right ofways to retained lot. No new development or sitealteration is proposed, therefore not interfering with natural heritage ofGPGGH or possible speciesat risk.

County of Peterborough Land Division Page 4

_12 Prevlouéifllanmng»Act§g§llcatio'ns f_ ___ ,T

, ‘ .ls the subject land now, or has it been. the subject of an application for a Plan of Subdivision under Section51 or a consent under Section 53 of the Planning Act? [:|Yes Q No

Has the owner of the subject land severed any land from the original acquired parcel?If yes, indicate this information on the required sketch and provide the following {if known):File No. B- . Transferee: Date of Transfer:File N . B- Transferee' Date of Transfer0 l -

El Yes XjX]No

ls this land currently the subject of any other application under the Planning Act, such as an application forOfficiai Plan Amendment, Zoning By-Law Amendment, Minor Variance, Minister's Order, or Power of Sale?

If yes. please provide the following:Type: File No. Status:

l:lYes XXI No

I13 mrn|ina'rTr=or§mnée:Tseperattonijgpsy, "ff-if _, ‘ I T ‘ _ , --Are there any barns within 750-1 ,500 metres (2,480-4,921 feet) of the subject property which currentlyhouse, or are capable of housing, livestock?Are there any anaerobic digesters within 750-1 ,500 metres (2,460-4,921 feet) of the subject property?lf yes, please complete an “MDS Data Sheet" for each barn.

§I|Yes |:|Nol:|Yes XIX]No

14..'Agrlcultural Severances [§fgr_landsi_v.rlth_ln the\wnc onl@

ls the severance to dispose of a residence surplus to a farming operation (must have 2 houses)?ls this severance to create a new farm parcel approximately 40 hectares (100 acres) in size?ls this severance for a commercial or Industrial "agriculture-related“ use?

UN/A[:|Yes IE NoElYes ill No

El Yes El No

‘rs. Adjac'e'nt<Lands*Surroil|'1_dln'gtl1e"'Lantllib'liilng l_-T ~ g - I _ .. * g . ,_ _!Please state the names of the owners, the use of the land and buildings existing on the lands surrounding the applicants’ entirelandholding. This information should also be on the sketch, and can be obtained from the Township or Land Division Office.If more room ls needed. please add extra Schedule page.Fgrecuon Name of Owner , -Use of‘Land - (r'iii,|st_ba-_filled In) Bulldlngs..(l;e.ihous_e, barn etc.)_ _jon'lLwhen known to the agjflcant) (i.e. ‘farm, residential atc.); _ "(must ba.*flllec|-In)

Noah rural/bush lot none/none

South rural/residential/ 1 outbuilding/1 house/residential V l outbuilding, _residential/bush lot l house / noneEast ‘

neg / residential/rural/bush 1 house/none/nonelo;_‘ H_ _

‘[8. Driving DirectionsT

, 7

Please describe in detail driving directions to the subject property: FY‘0l"_fl Apsl EV 1;_g_Le ,approx 10 km. Turn left onto Clydesdale Rd and continue 2 km to stop sign. '' 4-cl-steal-e-it"

aapprox 200 ft ‘driving distance‘ from stop sign

12 Rose Island (also directly across from stop sign) _

* _ _ Page4of5 _This 90 acres 1S a separate parcel and roll number from retained and severed parcels

MDSDAEASHEETThis is to be completed and attached to the application when applying for a severance within1,000 metres (3,281 feet) of an existing livestock facility. Complete one sheet for each barn if itis cagable of housing livestock regardless of current use.

Lot 20, Con 14Owner of Livestock Facility: __ Rachel C001 1' ll g Phone: 795-555-1500Township: Chandos Lot: go Concession: 14Distance from livestock facility to new use: l-lflfliem“ (metres or feet)Distance from manure storage to new use: 500 feet (metres or feet)Tillable land where livestock facility is located: 90 acre Pgamel

*(hectares or acres)

5 5- - I 1, '‘M3XimUm

Type of Livestock Housing Type of Manure Storage(check those that apply) capacity (enter appropriate code from following page)

(#)DAIRYEl Milking Cows:

El Holstein El Guernsey El JerseyEl Heifers |

L] Holstein ElGuernsey lIl.lersey iBEEFEl Cows: El Barn Confinement

El Barn with YardEl Feeders: El Bam Confinement

El Bam with Yard

ISWINEEl SowsEl Feeder HogsEl Breeder Gilts

‘El Weaners IPOULTRY

iEl Chicken Broilers ( week cycle)El Broiler Layers

1 El Pullets: El Chicken El Turkey IEl Meat Turkeys:

El < 6.2kg El 6.2-10.8kg El >10.8kgI] Turkey Breeder Layers

HORSES ,

SHEEPF T

IlXl Adult Sheep 3

‘

[Xi Feeder Lambs 2 16 VI 1GOATS

~- El Adult GoatsI] Kid Goats _OTHER (please specify)

FI

.

Severance Proposal Fomr - 2016

County of Peterborough Land Division Page 5Signatures Page

if the applicant is not the owner of the subject land, a written authorization of the owner that the applicant is authorized to act asagent and make the application on hlslher behalf ls required (original please).

If the applicant is a Corporation acting without agent or solicitor, the application must be signed by an Officer of the Corporation with adeclaration indicating that the said Officer has the authority to bind the Corporation and the Corggratlons gal (if any) must be affixed.

Signature(S)Dated at the (City, Township) of Town of Bancroft _ mo 3_],_s_tnay of ,1q mm [y m;(X_202()

Signature of owner(s) or authorized solicitor/agent Signature of owner(s) or authorized solicitor/agent

DeclarationThis section must be signed before a Commissioner for Taking Affidavits or a designated Officiai of the Municipality

(i.e. Reeve, Clerk, Secretary-Treasurer of the Land Division Committee, lawyer, etc.)

in the CountyIRggq()(M9,r)iq'pa)jq;(gtg.Xot atements contained in thisllwe, Timothy Brian Conl in ofthe 'rownsnip.artyx|ttc.ot North Kavrartha

_£Q_te solemnly that all the stapplication are true, and I make this solemn deciarafl

Declared before me at the TOWNCity, Township

of BancroftName cl‘ City, etc.

||1 {I19 COUri1Ly 7 V

of Has tfiloérgty.Region. etc. OwneroreuthorizodAgent

l 3 St Lorne C Plater‘s 1 . ': Barrister, Solicitor & Notary

Commissioner, etc. fortaking eifidavits K

rsonal infomiation contained on this fonn is legally authorized under Sec.53 of the Planning Act and 0.Reg.197l96 for the purposefprocessing your planning application and will become part of a public record.

rsuant to Sec.1.0.1 of the Planning Act, and in accordance with Sec.32(e) of the Municipal Freedom of Information and ProtectionfPrivacy Act the County of Peterborough may make all planning applications and supporting material available to the public in hardpy or electronically. if you have any questions about the collection, use or disclosure of this lnforrnation by the County of

Peierborough, please contact the CAO or Clerk, County of Peterborough, 470 Water Street, Peterborough, Ontario K9H 3M3

An “original” signed copy of the application and sketch must be submitted, together with 6 copies of both theapplication and sketch. each copy stapled individually with a sketch. All copies of the sketch or survey must becoloured — red for severed lots, green for retained. Copies may be double-sided. Please submit application witha cheque for $1150.00 payable to the ‘County of Peterborough'.

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