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2001-053 To Authorize the Execution of an Agreement Between the Township of Oro-Medonte and Her Majesty, the Queen in Right of Ontario, as represented by the Minister of Agriculture, Food and Rural Affairs e e THE CORPORATION OF THE TOWNSHIP OF ORO-MEDONTE BY-LAW NO. 2001-053 BEING A BY-LAW TO AUTHORIZE THE EXECUTION OF AN AGREEMENT BETWEEN THE TOWNSHIP OF ORO-MEDONTE AND HER MAJESTY, THE QUEEN IN RIGHT OF ONTARIO, AS REPRESENTED BY THE MINISTER OF AGRICULTURE, FOOD AND RURAL AFFAIRS WHEREAS the Township of Oro-Medonte has chosen to apply for, and has received approval for funding to comply with the Drinking Water Protection Regulation or Orders from the Ministry of the Environment; AND WHEREAS a mandatory municipal engineering study of the existing water supply system and treatment process by a professional engineer has been undertaken by the Township of Oro-Medonte according to the Drinking Water Protection Regulation Onto Reg. 459/00 made pursuant to the Ontario Water Resources Act, R.S.O., 1990, Chap. 0.40 ; AND WHEREAS the Council of the Township of Oro-Medonte deems it necessary and desirable to pass a By-law to authorize the Mayor and Clerk to execute an agreement with Her Majesty, the Queen in Right of Ontario, as represented by the Minister of Agriculture, Food and Rural Affairs; NOW THEREFORE the Council for The Corporation of the Township of Oro-Medonte hereby enacts as follows: 1. THAT the Mayor and Clerk are hereby authorized to sign an agreement between the Corporation of the Township of Oro-Medonte and Her Majesty, The Queen in Right of Ontario, as represented by the Minister of Agriculture, Food and Rural Affairs, said agreement attached hereto as Schedule 'A' and forming part of this by-law. 2. THAT this by-law come into full force and effect upon final passing thereof. BY-LAW READ A FIRST AND SECOND TIME THIS 6TH DAY OF JUNE, 2001. BY-LAW READ A THIRD AND FINAL TIME THIS 6th DAY OF June 2001. THE CORPORATION OF THE TOWNSHIP OF ORO-MEDONTE i !l i- t; ,~e-' (J,rJ" , Mayor, Ian Beatd 't , ~' l r . @ Ontario SuperBuild SuperCroissance Ministry of Agriculture, Food and Rural Affairs 1 Stone Road West, 3NW Guelph, ON N1 G 4Y2 Tel: 1-866-306-7827 Fax: (519) 826-4336 Ministere de l'Agriculture, de I' Alimentation et des Affaires rurales 3e etage 1, rue Stone ouest Guelph, ON N1 G 4Y2 Tal. 1-866-306-7827 Telae (519) 826-4336 Ontario Small Town and Rural Development Secretariat ''-c, '" August 1, 2001 'our File: 6219 \" ~\ " Ms. Jennifer Zieleniewski Chief Administrative Officer/Treasurer The Township of Oro-Medonte Box 100 Oro, ON LOL 2XO Dear Ms. Zieleniewski: Please find enclosed a duly executed copy of your 'ontario Small Town and Rural Development (OST AR) Infrastructure Initiative Option 1 studies contract. We are currently reviewing the documentation submitted with the signed contracts. If all required information was included, your 90% advance payment for the preliminary engineering studies will be processed in due course. If additional information is required, we will advise you as soon as possible. Once all necessary documents are received by the Secretariat, we will process your funding advance. It is important to note that the contract amounts were based on estimates provided at the time of the original application. Ministry of Environment engineers continue to evaluate and amend eligible expenses based on revised estimates and actual costs when the final engineering reports and capital component applications are submitted. If there are funding changes over the course of your OST AR projects, we will advise you of the process to effect contract amendments accordingly. , 11 ,. i " 't';'~ . 2- Further information is available by contacting the OST AR Secretariat at 1-866-306-7827 or 1-866-30-0ST AR. Sincerely, Attachment: OST AR Agreement I I I I . I I I I I I I I I I I I I I EXHIBIT "A" DATE: APRIL 30,2001 OSTAR - ROUND 1 FILE REFERENCE: 6219 ONTARIO SMALL TOWN AND RURAL DEVELOPMENT IOSTAR) INFRASTRUCTURE INITIATIVE AGREEMENT FOR: MANDATORY ENGINEERING STUDY OF EXISTING WATER SYSTEM AND TREATMENT PROCESS BET WEE N: THE TOWNSHIP OF ORO-MEDONTE referred to herein as the "Recipient" AN D: HER MAJESTY, THE QUEEN IN RIGHT OF ONTARIO, AS REPRESENTED BY THE MINISTER OF AGRICULTURE, FOOD AND RURAL AFFAIRS referred to herein as the "Ministry" WHEREAS the purpose of the SuperBuild OSTAR Infrastructure Initiative (the "OSTAR Initiative") is to improve the quality of infrastructure in Ontario's small towns, rural communities and small cities; AND WHEREAS the Recipient has chosen to apply for funding to comply with the Drinking Water Protection Regulation or Orders from the Ministry of the Environment; AND WHEREAS the Drinking Water Protection Regulation ant. Reg. 459/00 made pursuant to the Ontario Water Resources Act, R.S.O. 1990, Chap. 0.40 requires a mandatory municipal engineering study of the existing water supply system and I I I I . I I I I I I I I I I I I I I -2- treatment process to be prepared by a professional engineer as defined in the Professional Engineers Act prior to any water or sewage works being undertaken; AND WHEREAS details of the study are more particularly described in Schedule II (herein referred to as the Study) and the amount of assistance is based on the cost of the Study, population and relevant factors, as deemed by the Ministry and the details of the Eligible Costs, Payment Schedules, Description of Study, Maximum Financial Assistance and Projected Cash Flows for the Study are outlined in Schedules I, II and III to this Agreement. NOW THEREFORE in consideration of the mutual covenants and agreements herein contained and other good and valuable consideration (the receipt and sufficiency of which is hereby acknowledged), the parties covenant and agree as follows: SECTION 1 DEFINITIONS AND INTERPRETATION 1 ,1 The following terms shall have the meanings ascribed to them below unless there is something in the subject matter or context inconsistent therewith: "Act" means Freedom of Information and Protection of Privacy Act, R.S.O. 1990, c.F.31, "Agreement" means this agreement, including all of the Schedules hereto, and all amendments made hereto in accordance with the provisions hereof. Business Day means any day on which chartered banks generally are open for business in the Province of Ontario. "Eligible Costs" means approved project costs in Schedule I deemed eligible under the Initiative Agreement which were incurred no earlier than August 10, 2000. "Generally Accepted Accounting Principles" means Canadian generally accepted accounting principles as adopted by the Canadian Institute of Chartered Accountants, or any successor institute, applicable as at the date on which such calculation is made or required to be made in accordance with generally accepted accounting principles. Independent Proiect Manager means any consultant, engineer, contractor or other service provider, as the case may be, retained by the Recipient to undertake any part of the work related to the Study. I I I I . I I I I I I I I I I I I I I -3- 1.2 The words "herein", "hereof" and "hereunder" and other words of similar import refer to this Agreement as a whole and not to any particular Article, section, paragraph or other subdivision of this Agreement. 1.3 Words importing the masculine gender include the feminine or neuter gender and words in the singular include the plural, and vice versa. SECTION 2 TERM OF AGREEMENT 2.1 Subject to any extension or termination of this Agreement pursuant to the provisions contained herein, this Agreement shall be in effect from the date of execution by the parties below, up to and including December 31,2001. 2.2 Notwithstanding Section 2.1 above, the Ministry shall not be obligated to provide financial assistance under this Agreement after March 31,2002. SECTION 3 STUDY AWARD AND COMPLETION 3.1 The Recipient shall be fully responsible for completing the Study including retaining an Independent Project Manager to carry out the Study. The Recipient shall make any other arrangements as necessary to properly carry out the Study. The Recipient shall be at all times in compliance with all applicable Canadian, provincial (including but not limited to the Environmental Protection Act (Ontario) and the Ontario Water Resources Act) and local laws, rules, orders and regulations governing any hazardous substance, gas or liquid or any other substance, gas or liquid which is prohibited, controlled or regulated under such laws, rules, orders or regulations and shall include compliance with environmental protection legislation as a term of all agreements with independent consultants or engineers. 3,2 All portions of the Study including engineering and professional consulting, technical services, leasing contracts for specialized equipment where the value of the contract for work or services exceeds $25,000 will be eligible for funding assistance only if an objective competitive process was used to acquire such services. Upon request, the Recipient shall provide sufficient documentation, in the opinion of the Ministry, to establish that this requirement has been met. Where technical or other services are provided by an Independent Project Manager, this requirement will be met if an objective competitive process was used to acquire the services of the Independent Project Manager. 3.3 The Recipient agrees to enter into an agreement with an Independent Project Manager in connection with the Study within three months of signing this I I I I II I I I I I I I I I I I I I I -4- Agreement. Where this does not occur, the Ministry may withhold payment or terminate its obligations under this Agreement in accordance with Section 10 of this Agreement. 3.4 The final version of the Study and consolidated Certificate of Approval in duplicate shall be submitted to the Ministry by December 31,2001, or such longer period as is specified in writing by the Ministry, in a format acceptable to the Ministry. Upon request, the Recipient shall provide such information, permit such inspection of existing water works by the Ministry as necessary to confirm the results of the Study and assist Ministry officials in confirming the results of the Study. 3.5 The Recipient and, through the Recipient, its Independent Project Manager represents and warrants that it has investigated and satisfied itself that, to the best of its knowledge, any materials or documents produced under this Agreement or any part thereof do not infringe any patent or copyright or any other intellectual property rights including trade secrets. 3.6 The Recipient shall indemnify and hold harmless the Ministry, its employees and agents from and against any and all actions, claims, lawsuits, proceedings, demands, liabilities, losses, damages, costs and expenses (including, without limitation, reasonable legal fees) of whatever kind and nature, relating to or arising out of any such infringement or inducement of infringement of any such third party intellectual property rights. 3.7 The Recipient shall ensure that copyright in and all information and material of any kind whatsoever acquired or prepared by or for the Recipient under this Agreement, shall, both during and following the completion of the Agreement, be the sole property of the Ministry. 3.8 The Recipient will obtain assignments to the Ministry of all intellectual property rights and waivers of moral rights in any of the material produced by the Recipient, its employees, agents or Independent Project Manager. The Recipient acknowledges that the materials will be and will remain the sole property of the Ministry and the Recipient will give the materials to the Ministry upon completion of the Study or any termination or cancellation of the Study under this Agreement. 3.9 The Recipient shall ensure that its Independent Project Manager agrees to the provisions of Sections 3.6 to 3.8 and 7.1 to 7.4, in writing. 3.10 The Recipient shall submit the final claims and the consolidated certificate of approval with the required documentation for approval, cost reviews, audits and settlement within two months of approval and acceptance of the Study by the I I I I e I I I I I I I I I I I I I I -5- Ministry of the Environment, or such longer period as is specified in writing by the Ministry. SECTION 4 FINANCIAL ASSISTANCE 4.1 The financial assistance is intended for and shall be used only for the Study described in Schedule II. The maximum amount of financial assistance for the Study under this Agreement is set out in Schedule III. 4.2 The financial assistance is based on eligible expenditures as determined according to Schedule I. The Recipient acknowledges and agrees that the amount of financial assistance under this Agreement for the Study shall be determined by the Ministry, in its sole discretion. The Recipient acknowledges and agrees that financial assistance under this Agreement is contingent on completion of the Study to the satisfaction of the Ministry. 4.3 The Ministry will, in its sole discretion, adjust the amount of the financial assistance on the Study or any other project(s) of the Recipient under the OSTAR Initiative, or any other provincial program(s) (either current or future) and may require repayment for some or all of the financial assistance of the Study in an amount to be determined by the Ministry and within the period specified by the Ministry where: (a) the Ministry has notified the Recipient in writing of any steps required to complete the Study to the Ministry's satisfaction and the Study has not been completed to the satisfaction of the Ministry within the period specified in the notice; (b) actual costs are lower or appear likely to be lower than the total eligible expenditures identified in Schedule I, or where additional funding is secured from other sources (government or private); (c) the Recipient does not intend to carry out the Study in whole or in part as specified in Schedule" and has provided written notification to the Ministry that it does not intend to carry out the Study; and (d) new information, errors, omissions or other circumstances affecting the determination of the amount of financial assistance under this Agreement come to light. 4.4 The Recipient acknowledges and agrees that financial assistance under this Agreement shall not be construed as a guarantee or assurance that financial I I I I It I I I I I I I I I I I I I I -6- assistance will be provided by the Ministry in relation to the construction and implementation of related works. 4.5 It is a condition precedent to any payment under this Agreement that the representations and warranties under this Agreement are true at the time of payment and that the Recipient is not in default of compliance with any terms of this Agreement. Where this is not the case, the Ministry may, in its sole discretion, adjust the amount of financial assistance for the Study or any other project(s) of the Recipient under the OSTAR Initiative, or any other provincial program(s) (either current or future), to take this into account. In addition, the Ministry may require repayment for some or all of the financial assistance of the Study in an amount to be determined by the Ministry and within the period specified by the Ministry. 4.6 The Ministry reserves the right to demand interest on any repayment of financial assistance (whether total or partial) owing by the Recipient under the terms of this Agreement at the then-current interest rate charged by the Province of Ontario on accounts receivable. The Recipient shall pay the amount of interest owing upon receipt of a written demand and within the period specified by the Ministry and the Ministry shall apply any partial repayment first to interest charges and other costs and then to principal. 4.7 Sections 4.3,4.4,4.5 and 4.6 and section 4.7 hereof shall survive the expiration or early termination of this Agreement. SECTION 5 PAYMENT PROCEDURES 5.1 Payments will be made in accordance with the relevant terms of this Agreement. Payment of financial assistance is contingent on receipt and approval by the Ministry of paid invoices and a detailed statement of costs for the eligible expenses under this Agreement, including Schedule I, Payment of financial assistance on any invoice is subject to the approval of the Ministry. 5.2 The Recipient shall submit the detailed statement of costs claimed and corresponding invoices signed by the Chief Financial Officer or other authorized official of the Recipient. The Ministry shall disburse the financial assistance to the Recipient at its discretion or on the basis provided for by the Ministry in writing. The costs claimed must be reasonable and supported by documentation acceptable to the Ministry. 5.3 The Ministry may, in its sole discretion, withhold payment where the Recipient is in default of compliance with any provisions of this Agreement or any applicable legislation. I I I I e I I I I I I I I I I I I I I -7- 5.4 Notwithstanding Section 4.1 of this Agreement, the Ministry will hold back an amount (10%), in its sole discretion, the release of which shall be contingent on the completion of the Study and upon receipt and approval by the Ministry of the final claim for the Study as required, all in accordance with Section 3.10 of this Agreement. Upon release, the amount of the hold back is subject to an adjustment equal to the difference between the amount of the financial assistance as defined in Sections 4.1 to 4.7 (and any other relevant sections) of this Agreement and the total payments made to date. The Ministry is not obligated to pay interest on the hold back or any other payments under this Agreement. 5.5 If, in the opinion of the Ministry, the Legislative Assembly of Ontario does not provide sufficient funds to continue the financial assistance for any fiscal year during which this Agreement is in effect, the Ministry may terminate this Agreement in accordance with the terms specified in Section 10.5 of this Agreement. SECTION 6 OVERPAYMENT 6.1 Funds advanced to the Recipient prior to settlement in accordance with Section 3.10 of this Agreement shall not be construed as a final determination of financial assistance applicable to the Study. Upon conducting a cost review or audit of the Study, the Ministry will determine the amount of financial assistance on the Study. Recipient agrees to repay to the Ministry, upon receipt of a written demand and within the period specified by the Ministry, that portion of the total of the funds advanced that exceeds the financial assistance applicable to the Study, as determined by the Ministry, as well as any funds used for a purpose other than that stated in the terms of this Agreement, as determined by the Ministry. Any overpayment of financial assistance shall bear interest from the date of overpayment at the then current interest rate charged by the Province of Ontario on accounts receivable. 6.2 The Ministry may deduct any overpayment of financial assistance pursuant to Section 6.1 of this Agreement from financial assistance payable on any project(s) of the Recipient under the OSTAR Initiative, or other provincial program(s) (either current or future). Any overpayment made on any other project(s) of the Recipient under the OSTAR Initiative or other provincial program(s) (either current or future) may in turn be deducted from financial assistance owing on the Study. 6.3 Sections 6.1 and 6.2 and Section 6.3 hereof shall survive the expiration or early termination of this Agreement. I I I I . I I I I I I I I I I I I I I -8- SECTION 7 INFORMATION REQUIREMENTS 7.1 The Recipient, and through the Recipient, its Independent Project Manager performing work under this Agreement shall maintain and keep all records, accounts and documentation relating to the Study for a period of at least 3 years after the final settlement of accounts referred to in Section 3.10. Upon request, the Recipient shall submit all records and documentation relating to the Study including, but not limited to, background information and data used in the development of the Study, invoices, proposals (tenders where applicable), correspondence, memoranda, agreements/contracts and amendments thereto. All accounting records and documentation shall be maintained in accordance with Generally Accepted Accounting Principles. 7.2 Upon request, the Recipient shall submit the information referred to in Section 7.1 in a form satisfactory to the Ministry and the Recipient shall follow such administrative procedures, data specifications (such as format, media) and database requirements as are specified from time to time by the Ministry. The Recipient agrees to allow the Ministry and its authorized representatives and agents, including the Provincial Auditor's Office, access to the Recipient's offices during normal business hours for purpose of accessing, extracting and copying, at the Recipient's expense, any information including electronic data related to the Study and to provide any necessary assistance to the Ministry for those purposes. 7.3 If, in the opinion of the Ministry, any of the information requirements of Sections 7.1 and 7.2 of this Agreement are not met, the Ministry may, in its sole discretion, require the information as a condition precedent to any payment in relation to the Study or any other project(s) of the Recipient under the OSTAR Initiative, or any other provincial program(s) (either current or future). In addition, the Ministry may require repayment for some or all of the financial assistance for the Study in an amount to be determined by the Ministry and within the period specified by the Ministry. 7.4 Sections 7.1,7.2 and 7.3 and Section 7.4 hereof shall survive the expiration or early termination of this Agreement. SECTION 8 INSURANCE 8.1 The Recipient, and through the Recipient, the Independent Project Manager performing work under this Agreement, shall put in effect and maintain in full force and effect during the Term of this Agreement, I I I I . I I I I I I I I I I I I I I 8.2 8.3 8.4 9.1 9.2 -9- (a) All the necessary performance and other bonds (as a minimum, 100% performance bonds and 100% labour and material payment bonds are required to be in place); and (b) All the necessary insurance policy coverage for the Study, including, at a minimum, the following: (i) Comprehensive General Liability policies of insurance for the Study that will protect the Recipient for all sums the Recipient may become obligated to pay as damages because of property damage, bodily injury (including death) and personal injury which are caused in the course of carrying out the Study, to an inclusive limit not less than ten million ($10,000,000.00) dollars (including pollution coverage) per occurrence; and (ii) automobile insurance (owned and non-owned or hired units) to an inclusive limit not less than one million ($1,000,000.00) dollars per occurrence, During the term of this Agreement, the Recipient shall have each policy of insurance referred to above in Section 8.1 include, at a minimum, endorsements for Cross-Liability, Contractual Liability, Independent Contractors and naming the Ministry, its officers and servants, as additional insureds with identical coverage as if a separate policy had been issued to the Recipient and Ministry. The policies referred to in Section 8,1 shall contain a clause stating that the policy will not be cancelled, terminated or significantly modified unless a prior notice of at least thirty (30) days has been given to each insured. Upon request, the Recipient shall provide the Ministry with valid Certificates of Insurance (and a renewal replacement as may be necessary) referencing this Agreement, confirming the requirements in Sections 8.1, 8.2 and 8.3, and stating any pertinent exclusions, as applicable, contained by the policies. SECTION 9 INDEMNITY In no event shall the Ministry be liable for any bodily injury, death or property damage to the Recipient, its employees, agents or Independent Project Manager or for any claim, demand or action by any third party against the Recipient, its employees, agents or Independent Project Manager, arising out of or in any way related to the Agreement or the Study. In no event shall the Ministry be liable for any incidental, indirect, special or I I I I . I I I I I I I I I I I I I I -10- consequential damages, or any loss of use, revenue or profit to the Recipient, its employees, agents or Independent Project Manager arising out of or in any way related to this Agreement or the Study. 9.3 The Recipient shall at all times indemnify, save and keep harmless the Ministry, its employees and agents, from and against all suits, judgements, claims, demands, expenses and losses (including, without limitation, reasonable legal expenses) and for any and all liability for damages to property and injury to persons (including death) howsoever caused, as a result of any claim, demand or action arising out of or in any way related to this Agreement or the Study. 9.4 The Recipient shall include in all contracts with the Independent Project Managers a provision which requires the Independent Project Manager to provide the indemnities referred to in Section 9.3. 9.5 Sections 9.1,9.2,9.3 and 9.4 and Section 9.5 hereof shall survive the expiration or early termination of this Agreement. SECTION 10 DEFAULT AND ENFORCEMENT 10.1 Each and every one of the following events is an "Event of Default": 10.1.1 If in the opinion of the Ministry, default is made in the performance of or compliance with any term or covenant contained in this Agreement to be performed or complied with by the Recipient; 10,1.2 If in the opinion of the Ministry any representation or warranty made by the Recipient in this Agreement or any certificate delivered to the Ministry pursuant hereto shall be materially untrue in any respect; 10.1.3 If an order shall be made or an effective resolution passed for the winding up, or liquidation or dissolution of the Recipient or the Recipient is otherwise dissolved or ceases to carry on its operation; 10.1 .4 If the Recipient uses any of the financial assistance for a purpose not authorized by this Agreement without the prior written consent of the Ministry; 10.1 .5 If in the opinion of the Ministry a material adverse change occurs such that the viability of the Recipient as a going concern is threatened in the opinion of the Ministry. 10.1.6 If in the opinion of the Ministry the Recipient ceases to operate; I I I I e I I I I I I I I I I I I I I -11- 10.1.7 If in the opinion of the Ministry the Recipient has failed to proceed diligently with the Study or abandons the Study in whole or in part, or the Recipient is otherwise in default in carrying out any of the terms, conditions or obligations of this Agreement, except where such failure is due to causes which, in the opinion of the Ministry are beyond the control of the Recipient; 10.1.8 If the Recipient has submitted false or misleading information to the Ministry. 10.2 The Ministry may, at any time, waive any Event of Default which may have occurred provided that no such waiver shall extend to, or be taken in any manner whatsoever to affect, any subsequent Event of Default or the right to remedies resulting therefrom, and that no such waiver shall be, or shall be deemed to constitute, a waiver of such Event of Default unless such waiver is in writing from the Ministry. 10.3 Notwithstanding any other rights which the Ministry may have under this Agreement, if any Event of Default shall occur and be continuing, the Ministry shall have the following remedies, provided that it has first given written notice of the Event of Default to the Recipient and the Recipient has failed to correct the Event of Default within 10 Business Days or such longer period of time as the Ministry may consent to in writing: 10.3.1 The Ministry may at its option immediately and without further notice to the Recipient declare its commitment to provide the financial assistance terminated and all amounts of principal and interest (if any) then accrued on the financial assistance shall become immediately due and payable; 10.3.2 The Ministry shall have no further obligation to provide any financial assistance for the Study; 10.3.3 The Ministry may, at its option, terminate this Agreement and may require repayment for some or all of the financial assistance in an amount to be determined by the Ministry and within the period specified by the Ministry. The Ministry may deduct the amount of financial assistance to be repaid from financial assistance payable on any other project(s) of the Recipient under the OSTAR Initiative or any other provincial program(s) (either current or future). This provision shall survive the expiration or termination of this Agreement. The total amount of all disbursements made pursuant to this Agreement shall be immediately due and payable by the Recipient and bear interest at the prevailing market rate to the Ministry; and, 10.3.4 The Ministry may avail itself of any of its legal remedies which it may deem appropriate. I I I I - I I I I I I I I I I I I I I -12- 10.4 In addition to the remedies described in Section 10.3, the Ministry may commence such legal action or proceedings as it, in its sole discretion, may deem expedient, without any additional notice under this Agreement. The rights and remedies of the Ministry hereunder are cumulative and in addition to, and not in substitution for, all other rights or remedies otherwise available to the Ministry. 10.5 Despite Section 10.1, the Ministry reserves the right to terminate this Agreement without cause upon such conditions as the Ministry may require, with a minimum of fourteen (14) days written notice to the Recipient. If the Ministry terminates the Agreement prior to its expiration, the Ministry shall only be responsible for the payment of financial assistance on a portion of the cost incurred by the Recipient in connection with the Agreement up to and including the date of any such termination.. The portion paid will be calculated on the same basis as the financial assistance in Sections 4.1 to 4.7 of this Agreement. SECTION 11 CONFLICT OF INTEREST 11.1 The Recipient and its Independent Project Manager and any of their respective advisors, partners, directors, officers, employees, agents and volunteers shall not engage in any activity or provide any services to the Ministry where such activity or the provision of such services creates a conflict of interest (actually or potentially in the sole opinion of the Ministry) with the provision of services under this Agreement. The Recipient acknowledges and agrees that it shall be a conflict of interest for it to use confidential information of the Crown relevant to the Study where the Ministry has not specifically authorized such use. 11.2 The Recipient shall disclose to the Ministry without delay any actual or potential situation that may be reasonably interpreted as either a conflict of interest or a potential conflict of interest. 11.3 A breach of Section 11 of this Agreement by the Recipient and/or its Independent Project Manager and/or any of their respective advisors, partners, directors, officers, employees, agents and volunteers shall entitle the Ministry to terminate the Agreement in addition to any other remedies that the Ministry has in the Agreement, in law or in equity. SECTION 12 CONFIDENTIALITY 12.1 The Recipient agrees to ensure that its Independent Project Manager and any of their respective advisors, partners, directors, officers, employees, agents and volunteers, shall both during and following the term of this Agreement, maintain I I I I - I I I I I I I I I I I I I I -13- the confidentiality and security of all material and information which is the property of the Ministry that becomes in possession or under the control of the Recipient, its Independent Project Manager and any of their respective advisors, partners, directors, officers, employees, agents and volunteers pursuant to this Agreement (collectively referred to as the "Confidential Information"). The Recipient agrees to ensure that its Independent Project Manager and any of their respective advisors, partners, directors, officers, employees, agents and volunteers, shall not directly or indirectly disclose or use, either during or following the completion of this Agreement, except where required by law, any material or information belonging to the Ministry, without first obtaining the written consent of the Minister for such disclosure or use. 12.2 The Recipient acknowledges that the Ministry is bound by the provisions of the Act and regulations thereunder. The Recipient shall ensure that it and its Independent Project Manager and any of their respective advisors, partners, directors, officers, employees, agents and volunteers, respect the Act, and for greater certainty, will not either directly or indirectly use, disclose or destroy the Confidential Information provided to it by the Ministry under this Agreement. 12.3 The Recipient and its Independent Project Manager and any of their respective advisors, partners, directors, officers, employees, agents and volunteers, shall return all information and ensure that all copies of the Confidential Information and any portions thereof are also returned with no copy kept by the Recipient and its Independent Project Manager and any of their respective advisors, partners, directors, officers, employees, agents and volunteers. 12.4 The Recipient and its Independent Project Manager and any of their respective advisors, partners, directors, officers, employees, agents and volunteers, shall keep the Confidential Information in a physically secure location, separate from all its other records and databases and the Recipient its Independent Project Manager and any of their respective advisors, its partners, directors, officers, employees, agents and volunteers, shall ensure that access to such Confidential Information is restricted to persons who require access for the purposes of completing the Study. SECTION 13 MINISTRY RECOGNITION 13.1 The Recipient acknowledges that Her Majesty the Queen in right of Ontario as represented by the Ministry of Finance is or will be the owner of certain distinguishing marks comprised of designs, trademarks and official marks including without limitation "SuperBuild" and "SuperCroissance" which have come or will come to be associated with the Province of Ontario and the SuperBuild program (all such current and future marks being the "Licenced Marks"). I I I I - I I I I I I I I I I I I I I -14- 13.2 The Recipient agrees to acknowledge the financial assistance of the Ministry through the Government of Ontario's SuperBuild initiative to the Project in all advertising and publicity relating to the Study and in any construction signs and in any temporary or permanent tributes to Study donors by adhering to the SuperBuild Visual Identity Standards, a copy of which the Recipient acknowledges as having received. 13.3 In consideration of receiving the financial assistance, the Recipient agrees to use the Licenced Marks as follows: (a) the Recipient agrees to strictly use the Licenced Marks only as prescribed by the Visual Identity Standards and further as prescribed from time to time by the Ministry and not to use any other mark, trademark in combination with any of the Licenced Marks without the prior written approval of the Ministry. The Recipient agrees that it will not alter, modify, dilute or otherwise misuse the Licenced Marks. (b) the Recipient agrees to submit to the Ministry copies of any advertisements or promotional materials containing the Licenced Marks for Ministry approval prior to any use thereof and to remove therefrom either any reference to Licenced Marks or any element which the Ministry may from time to time upon reasonable notice designate, (c) the Recipient agrees that it will not state or imply, directly or indirectly, that the Recipient or the Recipient's activities, other than those permitted by this Agreement, are supported, endorsed, or sponsored by the Ministry and upon the direction of the Ministry shall issue express disclaimers to that effect. (d) the Recipient agrees to promptly inform the Ministry of any suspected infringement of any Licenced Marks by a third party. 13.4 Whether or not the Recipient is in breach of this Agreement, forthwith upon any receipt by the Recipient of a written direction from the Ministry, the Recipient shall cease using the Licensed Marks, and without limiting the generality of the foregoing, will remove all sign age and remove from circulation any use or reference to the Licensed Marks. 13,5 The Recipient hereby indemnifies the Ministry against any and all claims for death, illness, personal injury, property damage, improper business practices, or loss of any kind where such claims are in whole or in part premised upon the Recipient's use of the Licensed Marks. I I I I - I I I I I I I I I I I I I I -15- SECTION 14 COMMUNICATIONS 14.1 Any demand, notice or communication to be made or given hereunder shall be in writing and may be made or given by personal delivery or mailed by first class registered mail, postage prepaid or by transmittal by facsimile, telecopy or other electronic means of communication addressed to the respective parties as follows: To the Ministry: Attention: Mr. Brian Cardy OST AR Secretariat 1 Stone Road West 3rd Floor NW Guelph, ON N1G 4Y2 Facsimile No.: 519-826-4336 To the Recipient: Attention: Mr. Keith Mathieson Manager of Public Works The Township of Oro-Medonte Box 100 Oro, ON LOL 2XO Facsimile No.: 705-487-0133 or to such other persons, address or facsimile number or telecopy number as either party may from time to time notify the other in accordance with this Section. Any demand, notice or communication made or given by personal delivery shall be conclusively deemed to have been given on the day of actual delivery thereof. Any demand, notice or communication made or given by facsimile or other electronic means of communication, if made or given at a time when it would be received by the recipient during its normal business hours on a Business Day, shall be deemed to be received at the time it is sent; otherwise, such electronic communication shall be deemed to be received on the first Business Day following the transmittal thereof. Any demand, I I I I " I I I I I I I I I I I I I I -16- notice or communication mailed by registered mail shall be deemed to have been received on the third Business Day following the day on which it was mailed. SECTION 15 OTHER 15.1 The Recipient shall take reasonable measures to ensure that its officers, directors, partners, employees, agents and the Independent Project Manager shall be bound to observe all the terms and conditions of this Agreement, including, but not limited to all covenants, representations and warranties set out herein. The Recipient shall include in any contract terms and conditions similar to and not less favourable to the Ministry than the terms and conditions of this Agreement to the extent that they are applicable to the work subcontracted. 15.2 In the performance and observance of the terms and conditions of this Agreement, time is of the essence and no extension or variation of this Agreement shall operate as a waiver of this provision. 15.3 This Agreement, including: SCHEDULE I Eligible Costs SCHEDULE II Description of Study SCHEDULE III Maximum Financial Assistance and Projected Cash Flows constitutes the entire Agreement between the parties. There are no prior or collateral agreements or representations. 15.4 This Agreement shall enure to the benefit of and be binding upon the parties hereto and their respective heirs, executors, administrators, successors and permitted assigns. 15.5 The validity or enforceability of any provision of this Agreement shall not affect the validity or enforceability of any other provisions hereof and such invalid or unenforceable provisions shall be deemed to be severable. 15.6 The failure by the Ministry to insist in one or more instances on performance by the Recipient of any of the terms or conditions of this Agreement shall not be construed as a waiver of the Ministry's right to require further performance of any such terms or conditions, and the obligations of the Recipient with respect to such performance shall continue in full force and effect. I I I I ~ I I I I I I I I I I I I I I -17- 15.7 The division of this Agreement into articles, sections, clauses, paragraphs and the insertion of headings are for the convenience of reference only and shall not affect the construction or interpretation of this Agreement. 15.8 This Agreement shall not be assigned or varied except by a document in writing, dated and signed on behalf of the Ministry and the Recipient. 15.9 The Recipient represents and warrants to the Ministry that: 15.9.1 It is conducting its business in compliance with all applicable federal, provincial and municipal laws, and all rules, regulations, by-laws, notices, orders and approvals and, furthermore, that it has authority and any necessary approval to enter into this Agreement and to carry out its terms; and 15.9.2 It validly exists as a corporate entity with full power to perform and observe all the terms and conditions of this Agreement. 15.10 Nothing in this Agreement shall be deemed to constitute the Recipient an employee, servant, agent, partner of or in joint venture with the Ministry for any purpose whatsoever. 15.11 The provision of financial assistance to the Recipient pursuant to this Agreement is for the sole purpose of, and is limited to, carrying out the Study. The Recipient warrants and agrees that under no circumstances shall it enter into any contract or commitment in the name of or on behalf of the Ministry and the Recipient acknowledges that it is not by the terms of this Agreement or otherwise, granted any right or authority to assume or create any obligation or responsibility, express or implied, on behalf of or in the name of the Ministry or to bind the Ministry in any manner whatsoever other than as specifically provided in this Agreement. 15.12 The Ministry acknowledges that, in connection with carrying out the terms of this Agreement, the Recipient may engage one or more Independent Project Managers. The Ministry acknowledges and agrees that the Recipient shall have the sole authority and responsibility for such employees, agents or Independent Project Managers including their hiring and termination. The Recipient acknowledges and agrees that the Recipient shall be responsible for all acts and actions of the Recipient's employees, agents and Independent Project Manager and that all such acts and actions shall be treated as actions of the Recipient for the purposes of this Agreement. I I I I fI I I I I I I I I I I I I I I -18- In witness whereof, the Recipient and the Ministry have respectively signed, sealed and delivered the Agreement on the dates set out below. HER MAJESTY THE QUEEN IN RIGHT OF ONTARIO, AS REPRESENTED BY THE MINISTER OF AGRICULTURE, FOOD AND RURAL AFFAIRS ) THE TOWNSHIP OF ORO-MEDONTE Ian Beard Mayor Title: I I I I fI I I I I I I I I I I I I I I -19- SCHEDULE I Attached to and forming part of an Agreement between Her Majesty, the Queen in Right of Ontario, as represented by the Minister of Agriculture, Food and Rural Affairs, (the "Ministry") and The Township of Oro-Medonte (the Recipient). Eliaible Costs 1 . General Eligible investment expenditures must be directly related to the Study and be expenditures that would not have otherwise been incurred by the Recipient. In general, eligible costs include: a) Only costs related to the Study described in Schedule" are eligible. For greater certainty, where Schedule" identifies a portion of the works that are specifically excluded from the description of the Study under this Agreement, those costs are not eligible; b) Professional fees (design, engineering, legal and accounting); and c) Only costs for work actually performed are eligible. The eligibility of any items not listed in this Agreement will be determined in accordance with Ministry policies and guidelines. The final eligibility of items claimed (including items specified in this Schedule I, where exceptional circumstances exist) is at the sole discretion of the Ministry. The Recipient should consider consulting with Ministry staff when in doubt over specific items prior to making an expenditure. Expenditures must be actual cash outlays to third parties that can be documented through paid invoices or receipts. Evidence of payment (e,g., cancelled cheques and/or bank statements) and supporting documentation must be made available for administrative purposes to the Province and maintained for audit purposes. Costs must not exceed fair market value. Satisfactory evidence demonstrating that the total cost of services does not exceed fair market value may be required. Where the value of sub-contracts for work or services exceeds $25,000, applicants must demonstrate that a competitive process has been used. At least three written tenders must be obtained, unless the supplier has previously been chosen through a competitive process, or the supplier is expected to provide specialized expertise that is not otherwise readily available. Requests for Proposal (and Invitations to Tender where I I I I fI I I I I I I I I I I I I I I -20- applicable) must be advertised in one or more of the following: a daily newspaper accessible to vendors in Ontario; the Daily Commercial News; an electronic bulletin board, such as, Electronic Tender Network or the MERX. In addition, all purchases are required to follow any applicable provisions of the "Agreement on the Opening of Public Procurement for Ontario and Quebec". Where professional services are used, evidence of a contract may be required. Other Costs The following costs are not eligible for OST AR Initiative funding: a) General feasibility studies or other costs not directly related to the proposed Study; b) Costs associated with obtaining a necessary approval (e.g., updating an existing Certificate of Approval); and c) Costs claimed under another Ministry grant program, provincial grant program or joint federal/provincial grant program are not eligible. 2. Engineering, Professional and Technical Services Eligible costs include reasonable costs of the Recipient, as deemed by the Ministry, for engineering and professional specialists, consulting, technical services for the Study as described in Schedule II and purchased in accordance with Section 3.3 of the Agreement. In addition, all purchases are required to comply with any applicable provisions of the "Agreement on the Opening of Public Procurement for Ontario and Quebec". The costs associated with the selection of a competent consulting engineer and other professional and technical consultants are eligible provided that the costs are reasonable in the opinion of the Ministry. The Recipient's in-house costs associated with this selection are not eligible. The Recipient's in-house costs including labour, project management and engineering costs, administrative costs and overhead, executive costs, equipment including vehicles are not eligible. The cost of contract, part time and student labour hired especially for the Study are eligible. Costs incurred prior to August 10, 2000 are not eligible. I I I I " I I I I I I I I I I I I I I -21- 3. Taxes Non-refundable portion of taxes (currently 42.86% of the current GST of 7%) is eligible. Provincial sales taxes paid by the Recipient on eligible components of the Study are eligible. 4, Equipment Costs Subject to Ministry's prior approval, the cost of renting and leasing specialized equipment and vehicles is eligible. 5. Miscellaneous Some of the Recipient's expenses directly related to the Study can be included as miscellaneous costs. Examples of these are Ontario Government fees, laboratory supplies and expenses, advertising for tenders, etc. Other costs may be approved subject to the following: i) Examples of the Recipient's miscellaneous costs that are not eligible are: insurance certificates and policies that the Recipient would require regardless of the Study, financing costs such as debentures and interest costs (interim financing charges), courier, postage, taxi, transportation, printing, reproduction, photographic, meeting and telephone costs, cost of surveying supplies and drafting supplies. Amounts paid to suppliers relating to holding public meetings are eligible. ii) The cost of preparing and submitting the application for financial assistance (including cost associated with sampling) is not eligible. iii) All miscellaneous costs require supporting documentation including, where applicable, documentation demonstrating adoption of the most cost-effective solution. iv) Costs associated with preparing Schedule A of the OST AR Initiative Application Guidebook in relation to the Study are eligible provided Schedule A was developed by an outside consultant. I I I I II I I I I I I I I I I I I I I -22- SCHEDULE II Attached to and forming part of an Agreement between Her Majesty, the Queen in Right of Ontario, as represented by the Minister of Agriculture, Food and Rural Affairs, (the "Ministry") and The Township of Oro-Medonte (the "Recipient"). Description of Study The scope of the Study for which financial assistance is being provided under this Agreement is outlined in the following: 1 . Schedules A of the OST AR Initiative Application Guidebook prepared by Keith Mathieson, Manager of Public Works dated October 2,2000 for eleven (11) water works systems in the Township of Oro-Medonte, namely the following: . the Harbour Wood Well Supply; . the Maplewood Well Supply; . the Medonte Hills Well Supply; . the Robin Crest Well Supply; . the Craighurst Well Supply . the Canterbury Well Supply . the Cedarbrook Well Supply . the Horseshoe Highlands Well Supply . the Shanty Bay Well Supply; . the Sugar Bush Well Supply; and . the Warminster Well Supply. I I I I II I I I I I I I I I I I I I I -23- SCHEDULE III Proiected Cash Flows Attached to and forming part of an Agreement between Her Majesty, the Queen in Right of Ontario, as represented by the Minister of the Agriculture, Food and Rural Affairs, (the "Ministry") and The Township of Oro-Medonte (the "Recipient"). Maximum Financial Assistance 1 . The maximum amount of financial assistance for the Study under this Agreement is $14,162.50 and is based on a maximum eligible cost of $56,650.00. 2. 90% of the funds will be paid upon the submission of the following pieces of information: . signed copies of Agreements; . a copy of the municipality's contract with an engineering firm to undertake the Study; and, . a description of the competitive tendering process for services over $25,000. Note: A Study will not receive provincial support from more than one initiative (double- dipping) except in the circumstance where a Recipient lacks fiscal capacity. The Northern Ontario Heritage Fund may provide funds to supplement the Recipient's required contribution in Northern Ontario. 3. A 10% hold back will be paid upon receipt and acceptance of the following documentation: . two copies of the consolidated Certificate of Approval issued by the Ministry of the Environment; . two copies of the final version of the Study; and, . certified copies of paid invoices and proofs of payment for services relating to the Study. Planned date of completion of Study: December 31,2001. I I I I " I I I I I I I I I I I I I I @ Ontario SuperBuild Ontario Small Town and Rural (OSTAR) Development Infrastructure Program Schedule A WATER ENGINEERING STUDY PROJECTS OR WATER CONSTRUCTION PROJECTS To Meet Drinking Water Protection Regulation Municipality IU.)p or 0120- ~i\in:. Community/System WMrvll ~ S:. ~ Date ()C;r. 4 I '2000 August, 2000 INTRODUCTION : The purpose of the SuperBuild OST AR Infrastructure Program is to improve the quality of infrastructure in Ontario's small towns, rural communities, and small cities. SuperBuild's objectives for OST AR include: Addressing infrastructure investment needs, including public health and safety priorities; Investing in strategic infrastructure projects that support rural and urban economic development; Finding new and better ways to finance and deliver infrastructure, including greater use of public-private partnerships; and, Improving infrastructure planning and management. OST AR is a five-year $600 million, program. The priority for Round 1 of OST AR is public health and safety infrastructure. The Province has committed $240 million for Round 1. Round 1 consists of two options. Under Option 1, municipalities may choose to apply for funding to comply with the Drinking Water Protection Regulation or with orders from the Ministry of the Environment. Under Option 2, municipalities may apply for funding for other public health and safety infrastructure (e.g., transportation structures, other water and sewer infrastructure ). This Schedule applies to Option 1 as it is directed towards meeting the standards under the Drinking Water Protection Regulation (DWPR). This regulation applies to "large water works": Serves 6 or more private residences; or Provides more than 50,000L per day; or Capable of supplying water at a rate greater than 250,000 litres per day. The key requirements under the regulation for water works include: Health based standard Minimum level of treatment and enhanced chlorination requirements Mandatory sampling requirements Analysis by accredited laboratories Notification for exceedence/indicators of adverse water quality Public notice Quarterly reports Public access to information Document and record retention Review of municipal water works. Applicants seeking assistance for Option 1 are eligible to apply for funding for the initial engineering studies and the capital work required to meet the health based standards and minimum level of treatment requirements. For application deadlines, please refer to the application guidebook. II I I I I ~ I I I I I I I I I I I I I I I I I I " I I I I I I I I I I I I I I TABLE OF CONTENTS Section A: Pre-qualification ..,.,."......,...,..,...,.."......"........ 1 Section B: Project Schedule and Financing ."......,.....",...,..,."...,.. 3 Section C: General Information ...........,................,',.......... .. 7 Section D: Problem Definition ............................,.........,..... 11 Check Sheet ...,........,..............,....,..,.....".,....."....... 13 Definitions ........,...,..................,...........,.."...."..,.... 14 iii SECTION A PRE-QUALIFICATION ,-,;;- -- This section will be used to determine if your proposed project is eligible to be consideredJor funding under the Ontario Small Town and Rural Development Infrastructlire Program~ All questions in this section must be answered. A.1 Is this application for a project involving the: g/ preparation of an Engineer's Report for Water Works, as required under the Drinking Water Protection Regulation; o preparation of an Environmental Assessment; or o construction of Water Works (project may include detailed design)? A.2(a) Does the existing water works supply more than 50,000 litres of water on at least 88 days in every gO-day period? Yes ~o 0 (b) Is the existing water works capable of supplying water at a rate greater than 250,000 litres per day? Yes'ef'No 0 (b) Does the existing water works supply more than 5 private residences with water? Yes~oO A.3 Does the existing water system meet the Drinking Water Protection regulation under the Ontario Water Resources Act as follows? For groundwater source water supplies: Does the existing treatment system include Yes ~ No 0 disinfection of the water supply? For every well in the water treatment and Yes ~ No 0 distribution system, are standby disinfection equipment and a supply of appropriate chemicals available for immediate use? Does the disinfection persist in the treated water Y es ~ No 0 as it moves through the distribution system? 1 I I I I ~ I I I I I I I I I I I I I I I I I I " I I I I I I I I I I I I I I For surface source water supplies: Does the existing treatment system include Yes 0 No 0 chemically assisted filtration and disinfection of the water supply (or other treatment capable, in the Ministry of the Environment's (MOE) opinion, of producing water of equal or better quality)? Are standby disinfection equipment and a supply Yes 0 No 0 of appropriate chemicals available for immediate use? Does the disinfection persist in the treated water Yes 0 No 0 as it moves through the distribution system? A.4(a) Has your municipality consulted with the local office of the MOE and/or the Medical Officer of Health to determine whether an immediate public health and/or environmental problem exists? ~ W~ Y WA n:e 5Q('nPI.. \ 14 '" ,.J:S ~FCt.m.c-o UJ.""M ~~ Yes 0 No tan. ~~ \1) O\~\JUq- me€: OWH.E.<\" F\)~~ ~ v.oJ IT (b) If Yes, identify the person(s) consulted and, where available, provide supporting documentation from the MOE District Manager or the Medical Officer of Health (MOH) regarding the problem described in the schedule (Section D). MOE contact person Date of Contact MOH contact person Date of contact If No, consult prior to filling out the rest of this application. A.S For Study Projects Only: (a) Are terms of reference for the study project attached? Yes 0 No 0 (b) Do the terms of reference require the investigation of area-wide/joint-servicing arrangements with neighbouring municipalities? Yes 0 No 0 2 B.1 B.2 Proposed project initiation date: Anticipated project completion date: B.3(a) Complete the following table: ESTIMATED COSTS -:::rAN. / (;) I (V)A~ /0\ 1. 2. Prelirhifu!~~ngil1eering (environmental assessment; engineering report) 'c. '>~;;;":it<;,~)::'&;',~,(;--'''-':>\.~ _ :'." - <:., ,':\:; 3. Engineeririg(finaldesign, supervision> 4. Project management 5. Lal1d;\easemel1ts 6. Legal;"Stlrveys 7. Mis 11. Total eligible cost (9 minus 10) ;>500 "J.50(') ,S. JSiS. is' doS1S o d.S',S o ~SIS (b) Total project cost. Column A + B = $ 5 t So . B.4 Complete the following table: ESTIMATED QUARTERLY CASH FLOW (April - June) (July - Sept.) 3 (Oct. - Dec.) (Jan.- M.a[ch 5150 -" f I I I I ~ I I I I I I I I I I I I I I I I I I , I I I I I I I I I I I I I I 8.5 Provide the following information regarding the municipal reserve fund. (a) How Water A PPI2a- ~ Sewage Both $ $ $ , 'I SOl $ , $1 \(03110 $ , , $ \ 4,9 <15 $ $ (e) Whatis' lueof youroth discretionary, reserve funds'? $ rJlA (f) What portlQn 0 ur other'discretionary.:, $ reserve'fUhd esently committed ,by,>" , N /p. . council resolution"? .. 8.6 Please provide information on annual typical home owner charges (per residence) for water and sewage services in the following table (use most recent year for which information is available): YEAR .J co 0 1(.,9 '1 4 B.7 Please provide details of the pricing system(s) and the rates charged for water used in your municipality. :' Resid~ntia ~A~v,JIT 'J' \ eOD~I'IIT If other, please provide details: B.8 What is the total taxable assessment* per household in the municipality? $ j a::t. 41<.f . * See Definitions section Note:Applicants in 2000-01 use information reported in Financial Information Returns for the year ending December 31, 1999. Applicants in 2001-02 use information reported in Financial Information Returns for the year ending December 31,2000. B.9(0) Is your municipality currently applying or planning to apply to other programs for funding for this project? Yes 0 NO~ (b) If Yes, under what program will the application be made? 5 I I I I ~ I I I I I I I I I I I I I I I I I I , I I I I I I I I I I I I I I B.10(0) Has the municipality previously applied for financial assistance for this project? Yes 0 NO~ (b) If Yes, under what program (Provincial Water Protection Fund, Municipal Assistance Program, Lifelines, Direct Grant, etc.)? (c) When was the application made? (d) Summarize the reason( s) for this re-application. 6 SECTION C GENERAL INFORMATION C.1 Provide the following information. Local municipal population I to. \.19 :, Note: Use the Ontario Municipal Directory, 2000. Number of households '1 ~ ~ PROBLEM AREA INFORMATION = ,'; ProbJem'cArea;,,' . ;',.. ;"",;,,/:.., !(J c. ',' , 5"" Gross,;area'ip.'.hectares'i;i;ifj~~ii*;;4WM ResidentJaj'premises'.., d 0 S- . . . .. ".'.'. '" ,; .. ., ' " " .'c;; i.i'i;;: Com merciafpremises: Institutional.premises I C.2 Does this project consist solely of "Approved Activities" as per Schedule A of the Class Environmental Assessment (EA) for Municipal Water and Wastewater Projects? Yes 0 No 0 C.3 If the project falls under the provisions of Schedules B or C of the Class EA for Municipal Water and Wastewater Projects, has the environmental assessment process for this project been completed? Yes 0 No 0 N/A 0 (b) If No, when will it be completed? (c) If the EA process has not started, when will it start and when will it be completed? C.4(a) Does the specific problem affect more than one municipality? Yes 0 No'B'" (b) If Yes, has the problem, possible solutions and their implications been discussed with affected municipalities in order to co-ordinate planning decisions? Yes 0 No 0 7 I I I I ~ I I I I I I I I I I I I I I I I I I , I I I I I I I I I I I I I I (c) If Yes, will the proposed solution resolve the problem being experienced in all affected municipalities? Yes D No D (d) If Yes, provide details and supporting documentation. C.5(a) Does your municipality have a preventative maintenance program for the existing system? Yes~ NoD N!AD (b) If Yes or N/A, provide details. Fi.. u" 1-1\ iJ Co N'\ A ....i~ . ::I:1-t5 vec:ncJ 0 F P'" M?.r , vA ~ I IV) E'\"'EeS. '^ ~""t-V\ cC2. OR.~~ OF Y'Y\A-\....\..\4t: V~ ~ I"V"1C>2A~ ~A~fO I.D(\I <.c.-&.. ,c)An'\~,-i", C; ~L\.j C.6(a) Is the project consistent with, or recommended by, an engineering study? Yes~ NoD (b) If Yes, provide a copy of the study report if it has not been previously submitted. ~~ Ik\~'''''~ St\.)D'i \"t) Gt: Com~L.fi't'-O ~'-( m~ '"3\, 2.~ (c) If previously submitted, specify the date of submission and the project number. C.7(a) Describe the existing water services in the problem area and in the municipality! community. . ~ SuPOl.."1(3:) ~y OiVE wt;;;U.. (~o wt;U.. ~A4\J~) ,0 A 3D. 000 (1CL. ~I~ P:.7 A ~I'" ~-a;JZ. ~..... WA~ Pu~ ,"~ &....~n:-e ~~~4 10 :iJ.'I) +: b~ 8 '1 I C' ~ \2" C;; Wtl.re;e. mA ''i's' . ,. Au... SEauiU::i AaE III ShJG~ s~\~, C.8 What is the source of the water supply? ~ Groundwater D Surface water Name of surface water body: 8 9 I I I I ~ I I I I I I I I I I I I I I C.9 List the average day and maximum day flows of the water supply system for the last three years using the following table. (Not for private systems.) . Ave. day Max. day Ave. day Max. day Ave. day .. .. .... ay; ......~;:.. .... (m3/day) (m3/day) < (m3/day) (m3/day) ..... (m3/day) .......\',,'ql~;ay):.. Year \ q9 , Year I ~ ~o Year I 4<1<1 Co . I 1 -, '(~ ^ I C\ q 8 ~ I 4 -r q 8;).. ; \ ... .~~'!i~ I ~~ IRq f ",4 ~. :109 1'1 , I bl April', ~4jc:, ~ I 3 f 1.:1- May.... j 88 ~1 1 I 8 4 ~'$~~i..J" dol , ~"4 ;(0 b July;:' '(;;." ~~lo J p,,\ .) .J 4- ."'. 'CY.~?: d~~ ,180 ~ I~ September:;:'!!,!i.,'.' Us ,~ 111 I 7 q - .,~~}~~.~~jj?>.. i1 ~ \ 11 ( " 9 Novembe"'- I 1 ~ \. I I CD<O '7 4- D bar........ I 1 b \/ t ., 'II ecem .,. '... .'*~:r' ) 8 3 0 "ill.... .,~ tiliMl y rtY"> . '1M' 5 1~- ....':!!:: '1 8 .'18d[. \, 1 ...eaaveragf!t'Ji' ~o I ~~ " t 5 ~ , S" " , S) se-' 0";~f 1':,..~E1,' "".~cf4 '.' ...........;:'1 Maximumicis,,!!.i;;'., ...., '. . OC'C;"" 1/'AI # of days ma)ci-.day exceeded design:: . 0 max; dayflow1o/;1 # of days'mme,.day exceeded ,8 . ;; 0 design'."" flow'" Average ~JA Maximum .'daydesign' ~J designJlo fJow(m3/day).. . , A (m3fday) . Uncommitted';!\) C of A No. 1, oS 03 1 -- - OCb IV} I~ - '=::> hYdrauliC:i~.' m3/ day Date of issue A.tiJ.':., . ace ,q,S" reserve ca '.' , 1 Yearly average of average day flow .' ..........i.i..e.~J,~1fa'il~~i;~;!1i 2 Highestmonthly maximum day if.';: ..... I I I I , I I I I I I I I I I I I I I C.l0 Complete the following table. B rea kdownDf yearly water: . . productioni{~ .^ Residentialj;,;;J;;:' ., Institutional,~;~~0j;> . CommerciaL:}' , PROFILE OF WATER USERS Year IQ't1 Population serviced ",S Average yearly % consumption, metered (m3/year) , ,1:)J CLuOt':Q Unaccountect~2i( I Total ^ I 14 ca~5" Year '''98 Population serviced <0'5 Year I'},\q Population serviced "'.s' Average yearly %. ..... Averageyearly consumption,.' metered consumption" (m3/year)< . (m3/year) o lq 5'10 .nJ CuJ QC=-O .5,0 10 o "Y, t,05 ~~ ~os SECTION D PROBLEM DEFINITION D.1 Provide a summary of the specific problem(s), including a detailed description, severity and frequency of the problem (if more space is required, complete a separate sheet and attach ). I'D Be::.. :J:""Ot3,..)T\ F't eo AFf'S2. 11..K.. ~(it~,.J (1 i.€(.b"" .kAS,. I~ CofC1Pt~ YY"~ 101 , D.2 Define the problem area by providing a map or sketch and description. The problem area may be a street within a community, a section of a community, etc. Financial assistance will be considered only for works that are necessary for corrective measures in the defined problem area. D.3 Provide a detailed description of the proposed solution to the problem. (If more space is required, complete a separate sheet and attach.) 11 I I I I ~ I I I I I I I I I I I I I I I I I I , I I I I I I I I I I I I I I D.4(a) Is a public health advisory related to the potability of the drinking water, issued by the Medical Officer of Health currently in place? Yes 0 No~ (b) If Yes, attach a copy and complete questions D4(c) to (f). (c) Is the public health advisory related to: o Microbiological contamination 0 at the plant o in the distribution system o at the plant o in the distribution system (d) How long has the public health advisory been in place? o Chemical contamination (e) Has corrective action been requested by the local MOE office? Yes 0 No 0 (f) If Yes, provide details. 12 CHECK SHEET Have you attached: iY All relevant supporting documentation? Schedule completed by: Date: ocr. 4. 2000 Name (please print): t::::'EI1f.\ W\An \aoAJ Title: Signature: Employer: Contact person: Phone: ( ) Fax: ( Confirmation of information by municipality: This is confirm that to the best of my knowledge, the information provided in this schedule (including supporting documentation) is true and accurate. Date: !H.::r. 4 r 2000 Name (please print): K:€ I T\-\ hlp.. 1'\-11 t::'1ooU Title: rT)!/N. I\.>€.uc ~<;;. Signature:~.G ~ Municipality: rwV Or oe.c - m.~,." rr Contact person: t:€ITI\ r<\A-T'k\-I~k:n'/ Phone: tbS1 '-181. ~4-'1c; Fax: ~ '1 'B 1 . 01 '3 S 13 I I I I ~ I I I I I I I I I I I I I I I I I I ~ I I I I I I I I I I I I I I DEFINITIONS ODWS: Ontario Drinking Water Standards (as referred to under the Drinking Water Protection Regulation). AO: Aesthetic Objective as per ODWS. MAC: Maximum Acceptable Concentration as per ODWS. IMAC: Interim Maximum Acceptable Concentration as per ODWS. MMAH: Ministry of Municipal Affairs and Housing. Residential density: The gross area includes roads, road allowances, school, buildings, churches, parks, cemeteries, stores etc., and all lands (vacant or hazard) regardless of the zoning. Representative sample: Samples that reflect the overall problem area condition particularly with respect to geographic location and types of wells, residences, industrial/commercial and institutional establishments. Sewer and water reserve funds: Discretionary funds set up solely for the purposes of water and sewage infrastructure. Total taxable assessment: The sum of local residential and farm assessment, commercial and industrial assessment, and business assessment. Discretionary reserve funds: Created under authority of the Municipal Act (s.163) and similar sections in the Regional Municipalities Act, the Municipality of Metropolitan Toronto Act, the County of Oxford Act, and the District Municipality of Muskoka Act. The reserve funds are established whenever a municipal council wishes to earmark revenues to finance a future expenditure for which it has authority to spend money, and physically set aside a certain portion of any year's revenues so that funds are available as required. 14 I I I I - I I I I I I I I I I I I I I @ Ontario SuperBuild Ontario Small Town and Rural (OSTAR) Development Infrastructure Program Schedule A WATER ENGINEERING STUDY PROJECTS OR WATER CONSTRUCTION PROJECTS To Meet Drinking Water Protection Regulation Municipality 11..UP. OF oae-- rn~NTQ' Community/System mAO\..E G..::ooD Date OCJ"" . 3, '2oob August, 2000 INSTRUCTIONS 1. 2. Each municipality can submit one application (business case) which may encompasSimore than one water system. For the purposeofthe schedules, please complete asepara for each water system. Please.enctose all supporting documentation requested. Submissions will not be Eivaioa untitall;.informationis received. . ';';%;;~"<S:;':in1~,;:': 3. ffthere'is not enough space in this document to convey allthenecessaryinform please attach the material separately and refer to it in the relevant question(s). 4. ;:,' -'. >. ,-.:'.. : ....... <".'..,......-...:'-'-. .. ".'<..'.::'::',->'. ...... .." ........ ... ............. .,.".....'.-.'. ,-,...,', .....'..........'..<......._:.:......... ..:.,.........>... .. .......:.......;.....:.....:.. ..0:...........-:;.;'.--.<.:.:,....'.......:....:......; ',' .... ," .... .. ...... .. .......... -- --, -.. ._._. .. .. ,..,_..........,... ,',,__. ..,.....,........" .. ...._.......,...'.' _..H.........'... ';,' ',.: ,"," ....' For technical questions relating to this schedule, please contact the Ministry of Environment's Environmental Partnerships Branch at (416)314-4612, I I I I III I I I I I I I I I I I I I I I I I I - I I I I I I I I I I I I I I INTRODUCTION : The purpose of the SuperBuild OST AR Infrastructure Program is to improve the quality of infrastructure in Ontario's small towns, rural communities, and small cities. SuperBuild's objectives for OST AR include: Addressing infrastructure investment needs, including public health and safety priorities; Investing in strategic infrastructure projects that support rural and urban economic development; Finding new and better ways to finance and deliver infrastructure, including greater use of public-private partnerships; and, Improving infrastructure planning and management. OST AR is a five-year $600 million, program. The priority for Round 1 of OST AR is public health and safety infrastructure. The Province has committed $240 million for Round 1. Round 1 consists of two options. Under Option 1, municipalities may choose to apply for funding to comply with the Drinking Water Protection Regulation or with orders from the Ministry of the Environment. Under Option 2, municipalities may apply for funding for other public health and safety infrastructure (e.g., transportation structures, other water and sewer infrastructure ). This Schedule applies to Option 1 as it is directed towards meeting the standards under the Drinking Water Protection Regulation (DWPR). This regulation applies to "large water works": Serves 6 or more private residences; or Provides more than 50,000L per day; or Capable of supplying water at a rate greater than 250,000 litres per day, The key requirements under the regulation for water works include: Health based standard Minimum level of treatment and enhanced chlorination requirements Mandatory sampling requirements Analysis by accredited laboratories Notification for exceedence/indicators of adverse water quality Public notice Quarterly reports Public access to information Document and record retention Review of municipal water works. Applicants seeking assistance for Option 1 are eligible to apply for funding for the initial engineering studies and the capital work required to meet the health based standards and minimum level of treatment requirements. For application deadlines, please refer to the application guidebook. ii TABLE OF CONTENTS Section A: Pre-qualification ,.,....,...................,.......,.,........ 1 Section B: Project Schedule and Financing ,......................,.......,.. 3 Section C: General Information ................. . . . . . . . . . . . . . , . . , . . . . . . . .. 7 Section D: Problem Definition ,............................,.............. 11 Check Sheet ......,.................................................... 13 Definitions ............................................................. 14 iii I I I I - I I I I I I I I I I I I I I I I I I " I I I I I I I I I I I I I I SECTION A PRE-QUALIFICATION This section will be used to determine if your proposed project is eligible to be considered for funding under the Ontario Small T own and Rural Development Infrastru~tlJre, Program. All questions in this section must be answered. A.1 Is this application for a project involving the: ~ preparation of an Engineer's Report for Water Works, as required under the Drinking Water Protection Regulation; D preparation of an Environmental Assessment; or D construction of Water Works (project may include detailed design)? A.2(a) Does the existing water works supply more than 50,000 litres of water on at least 88 days in every gO-day period? Yes D No ~ (b) Is the existing water works capable of supplying water at a rate greater than 250,000 litres per day? Yes D No V (b) Does the existing water works supply more than 5 private residences with water? Yes B'No D A.3 Does the existing water system meet the Drinking Water Protection regulation under the Ontario Water Resources Act as follows? For groundwater source water supplies: Does the existing treatment system include disinfection of the water supply? For every well in the water treatment and distribution system, are standby disinfection equipment and a supply of appropriate chemicals available for immediate use? Does the disinfection persist in the treated water as it moves through the distribution system? Yes~ NoD Yes if NoD Yes~ NoD 1 A.4(0) (b) A.S (0) (b) I I I I -- I Has your municipality consulted with the local office of the MOE and/or the Medical Officer of Health to determine whether an immediate public health and/or environmental problem exists ? I 9"" W~1' w j), \'Ee.. s.C..'(\PlIM~ ~ f' ~f.m.&p WI T\..L. Aov6(.S.E. Yes D No 1'"'C--$'\'l Pe-fb~"TO D\s.~cr rnoe:: ~t.6 <t Pll~t..iC.~ U..at:r"'.: If Yes, identify the person(s) consulted and, where available, provide supporting I documentation from the MOE District Manager or the Medical Officer of Health (MOH) regarding the problem described in the schedule (Section D). For surface source water supplies: Does the existing treatment system include chemically assisted filtration and disinfection of the water supply (or other treatment capable, in the Ministry of the Environment's (MOE) opinion, of producing water of equal or better quality)? Are standby disinfection equipment and a supply of appropriate chemicals available for immediate use? YesD NoD YesD NoD Does the disinfection persist in the treated water as it moves through the distribution system? YesD NoD MOE contact person Date of Contact I I I I I I I I I I I MOH contact person Date of contact If No, consult prior to filling out the rest of this application. For Study Projects Only: Are terms of reference for the study project attached? Yes D No D Do the terms of reference require the investigation of area-wide/joint-servicing arrangements with neighbouring municipalities? Yes D No D 2 I I I I - I I I I I I I I I I I I I I B.1 B.2 Proposed project initiation date: Anticipated project completion date: B.3(0) Complete the following table: ::rA..,l. J 0 I . t"'()~ /0 i ESTIMATED COSTS 2. Preliminary~engiheering (environmental..... assessment;' engineering report) . : _-i'~:"',,?'7<~: __:.'"c: 3, Engineering'(finat;design; supervision) . 4. Projectrrlanagement 8. 9.. .;:"."._',"." ""d.;, 1 O. Grants:fromother sources. Source:;>' -:;\~~ii~~~i:j:t:,~~ _,-:~;~;t<' 1. Total eligible cost (9minus 10) Treatment works A ,;). 500 . "15..- ~S1S, o ~S15 (b) Total project cost. Column A + B = $ 5 150 B.4 Complete the following table: ~SbO 75. - ~S.,S o ~S15 ESTIMATED QUARTERLY CASH FLOW (April - June) (July - Sept.) 3 (Oct. - Dec.) (Jan.- March) SI5D. 8.5 Provide the following information regarding the municipal reserve fund. (a) $ $ Sewage Both" $ $ $ $ (b) What is its current value? , (c) What is:th~;8stir!i~ted n3piacemE![1tcOsti of thesystem?~c;~f~'),~::;"" ,";S~:>" "';'<",' ~- '" ,-",,:~,"">:'i#:~~;t:f;~~;~~< ~7-f<::Y':",:>,;:~~f\~';:':,' - : _ ,', ::'" _;::."v:<,:,',:' ,,' ',.," ;:' '-.,-:':;i (d) What is the; current annual contributi t ,thf"ndl')'" " ,h)'C'" . ;., 0, e, u ,Lc,,"';;+;';'~,;%~~' /,',; $ fc839 $ ~ ~S, 530 $ y.".....-...-...,...'... , (e) Whati~1tthe}~f' , yourother discretionary reserve funds?. (f) What portion of your otherdiscretiona reserve funds.ispresentty'committed'b council resolution:? ' <<4bY 8 hi/A N/A 8.6 Please provide information on annual typical home owner charges (per residence) for water and sewage services in the following table (use most recent year for which information is available): YEAR ~ 000 d54 to'=:>> 4 I I I I - I I I I I I I I I I I I I I I I I I " I I I I I I I I I I I I I I B.7 Please provide details of the pricing system(s) and the rates charged for water used in your municipality. (,0 u P TO 3hb- 545C 54b+ s c 1-(\ - 4 0.1 sf.~ _ .i1 L oc/c.'rt" If other, please provide details: B.8 What is the total taxable assessment* per household in the municipality? $ I ~q, YQ4 * See Definitions section Note:Applicants in 2000-01 use information reported in Financial Information Returns for the year ending December 31, 1999. Applicants in 2001-02 use information reported in Financial Information Returns for the year ending December 31,2000. B.9(a) Is your municipality currently applying or planning to apply to other programs for funding for this project? Yes 0 NoY (b) If Yes, under what program will the application be made? 5 B.10(a) Has the municipality previously applied for financial assistance for this project? Yes 0 NO~ (b) If Yes, under what program (Provincial Water Protection Fund, Municipal Assistance Program, Lifelines, Direct Grant, etc.)? (c) When was the application made? (d) Summarize the reason( s) for this re-application. 6 I I I I -- I I I I I I I I I I I I I I I I I I " I I I I I I I I I I I I I I SECTION C GENERAL INFORMATION C.1 Provide the following information. Local municipal population I~, '" q 3 Note: Use the Ontario Municipal Directory, 2000. Number of households "1 ~ 80 PROBLEM AREA INFORMATION \ -:1 S'" Gross araE!:;n hectares ^ ;'-',.':-.:--.c:":<""'->"""-' '/::;-):;:':<;'.,;<.:\;::;' Residential~premises^^ Industrial~prem;sess; . . '. Commercial.premises^, :' InstitutionaJpremises ^.. 44 - '- ..-., C.2 Does this project consist solely of "Approved Activities" as per Schedule A of the Class Environmental Assessment (EA) for Municipal Water and Wastewater Projects? Yes 0 No 0 C.3 If the project falls under the provisions of Schedules B or C of the Class EA for Municipal Water and Wastewater Projects, has the environmental assessment process for this project been completed? Yes 0 No 0 N/A 0 (b) If No, when will it be completed? (c) If the EA process has not started, when will it start and when will it be completed? C.4(a) Does the specific problem affect more than one municipality? Yes 0 No~ (b) If Yes, has the problem, possible solutions and their implications been discussed with affected municipalities in order to co-ordinate planning decisions? Yes 0 No 0 7 (c) If Yes, will the proposed solution resolve the problem being experienced in all affected municipalities? YesD NoD (d) If Yes, provide details and supporting documentation. C.S(a) Does your municipality have a preventative maintenance program for the existing system? Yes~ No D N/A 0 (b) If Yes or N/A, provide details. ~t.t<1 ffiAI.JS jIU'5PEc..Qt>>.t 0\'= f\>~, VALva. A\fle+.n:::>a. I ~ O~ ~o.'N ~'.-fE v~ 1OA<:rE=Q.lot!oC;l~ SAf'(\P1-I~(l t.~y rY)'E-r!~u r- QaEOlICll) , C.6(a) Is the project consistent with, or recommended by, an engineering study? Yes~ NoD (b) If Yes, provide a copy of the study report if it has not been previously submitted. €)j 41 (\~Iti G, S fl)fi '-t 1"0 8e: Cot11 P ~ ~ 'I tnA-CZ.a~ 31. 200 , (c) If previously submitted, specify the date of submission and the project number. C.7(a) Describe the existing water services in the problem area and in the municipalityl community. WA-{"SL SU~'-'1C=O G'Y ON€ w~ T'D A ~o_~ G~'- ~~v,o~ u.) LlV. .::eN L..J~ CJ..oe.. N A-TOa..) a-&-IG;.' LIFr P>>ufY'\ps O\S.W ~~~ W~ ro G:,~ <;i +. 'S"S2.utQ9 ~ j ~Lo4.o.) CA; At\' Cs6Qo e:MOJ '"'R:ie, -FUJ~..,j'1' C.8 What is the source of the water supply? (D/" Groundwater o Surface water Name of surface water body: 8 I I I I " I I I I I I I I I I I I I I I I I I " I I I I I I I I I I I I I I C.9 List the average day and maximum day flows of the water supply system for the last three years using the following table. (Not for private systems.) ~Ave'daY (m3/day) Year 3a ~-4 ~ :;;& ~, lcJ. ~o 58 45 .;24 ~5' :;}.$ m Februa April . . MClV " . , ;;iT~i~j~~~i'~~~ I..'. '~..,:;;&~:;.;,,_" "~~l'~<< -; . v ~1;~~~'" September0:;,~;*.:t' o~ Nove~r ~ Yearly' a ul8ti - ~s \;).5 Maximum . . ,;:r..:..,.....,1 I"" ..... ..... Max. , day (m3/day) I 'i q, 1~4 \) " .'" T ., # of days~day' exceededdesign7> 0 max. dayfl()ya'fk # of days mmaay ~~.1 0 ~1i~rlC?{, ~';A ~!~_:,,: ,-JjA m'/day 1 Yearly average of average day flow 2 Highest monthly maximum day Ave. day . (m3/day) Year d.4 ~s ;24 2~ 51 41 4~ .3g ::>'1 .;).; dl ~b 3~ . >{' o o Max. day (m3/day) I G'ct 8 "04- Ave. day I (m3/day) Year Man.day. , : (rn3fday) 19'9Q , lo4- ,/ "~~;I~4;'. Maximum day design . J flow (m3/day) t;-;-.'~,~,' .... Nt A C of A No. ,. 0530-13 _. oOb Date of issue s:.r=P"r. \,::} -, q,~ 9 \1I ~4 ~b "''=> .35 50 51 '1 41 48 44 5~ 5~ 43 . .; .'. ,... 'T -i. _ - I o o . . . :'". m '. , ' /""1):il; ,', C.l0 Complete the following table. PROFilE OF WATER USERS Year Population serviced '~5" ,~ven3g~yeart ~f'consumpti ... ..... t~t.:(ro~/year)'v'> .. la 115 Total.: ~ ,15 t 9'11 Year 1996 Population serviced I~S Year '9'18 Population serviced I ~5" .Iwerage>yearly;. ... .consumpti . (m3/year 10 I I I I " I I I I I I I I I I I I I I I I I I tI I I I I I I I I I I I I I I SECTION D PROBLEM DEFINITION D.1 Provide a summary of the specific problem(s), including a detailed description, severity and frequency of the problem (if more space is required, complete a separate sheet and attach ). 10 ~ ::t:'D~rl F\~ A~ nK ~GIIUeE.12-,;..t('\ p~ ~ Bc::o.# corn Pl.Et~ 11\ACU.4J I D' , D.2 Define the problem area by providing a map or sketch and description. The problem area may be a street within a community, a section of a community, etc, Financial assistance will be considered only for works that are necessary for corrective measures in the defined problem area. D.3 Provide a detailed description of the proposed solution to the problem. (If more space is required, complete a separate sheet and attach.) 11 D.4(a) Is a public health advisory related to the potability of the drinking water, issued by the Medical Officer of Health currently in place? Yes 0 No~ (b) If Yes, attach a copy and complete questions D4(c) to (f). (c) Is the public health advisory related to: o Microbiological contamination 0 at the plant o in the distribution system o at the plant o in the distribution system (d) How long has the public health advisory been in place? o Chemical contamination (e) Has corrective action been requested by the local MOE office? Yes 0 No 0 (f) If Yes, provide details. 12 I I I I " I I I I I I I I I I I I I I I I I I " I I I I I I I I I I I I I I CHECK SHEET .. Have you attached: ~ All relevant supporting documentation? Schedule completed by: Date: ncr, 3, dOOO Name (please print): Y-E'l)..( t"Y'IAn,ua.-o.J Title: Signature: Employer: Contact person: Phone: ( ) Fax: ( Confirmation of information by municipality: This is confirm that to the best of my knowledge, the information provided in this schedule (including supporting documentation) is true and accurate. Date: oc::r. "3, -;lroo Name (please print): KE' TJ.! N1 A n! ~~u Title: N)~. ~Buc. WO~ Signature: ~C::9- Municipality: TkP OF oe.o. rncoo...,-c Contact person: i:::EfT).j r<1A T1.1 rESotJ Phone: tpS) 481, h4'1Q Fax: tJt15i 4 '81 - 0 I 3 ~ 13 DEFINITIONS ODWS: Ontario Drinking Water Standards (as referred to under the Drinking Water Protection Regulation). AO: Aesthetic Objective as per ODWS. MAC: Maximum Acceptable Concentration as per ODWS. IMAC: Interim Maximum Acceptable Concentration as per ODWS. MMAH: Ministry of Municipal Affairs and Housing. Residential density: The gross area includes roads, road allowances, school, buildings, churches, parks, cemeteries, stores etc., and all lands (vacant or hazard) regardless of the zoning. Representative sample: Samples that reflect the overall problem area condition particularly with respect to geographic location and types of wells, residences, industrial/commercial and institutional establishments. Sewer and water reserve funds: Discretionary funds set up solely for the purposes of water and sewage infrastructure. Total taxable assessment: The sum of local residential and farm assessment, commercial and industrial assessment, and business assessment. Discretionary reserve funds: Created under authority of the Municipal Act (s.163) and similar sections in the Regional Municipalities Act, the Municipality of Metropolitan Toronto Act, the County of Oxford Act, and the District Municipality of Muskoka Act. The reserve funds are established whenever a municipal council wishes to earmark revenues to finance a future expenditure for which it has authority to spend money, and physically set aside a certain portion of any year's revenues so that funds are available as required. 14 I I I I III I I I I I I I I I I I I I I I I I I . I I I I I I I I I I I I I I @ Ontario SuperBuild Ontario Small Town and Rural (OSTAR) Development Infrastructure Program Schedule A WATER ENGINEERING STUDY PROJECTS OR WATER CONSTRUCTION PROJECTS To Meet Drinking Water Protection Regulation Municipality ...,- w p. OF oro . m(3X)"i re.. Community/System ~L:'x)o 0 Date OcX: ~. ~oOO August, 2000 INSTRUCTIONS 1. Each municipality can submit one application (business case) which may encompass more than one water system, For the purposeofthe schedules, please complete. aseparatEli,gne for each water system. . ..;. . Please enclose all supporting documentation requested. Submissions willnot be evaluated . until all information is received. 2. 3. If there is notenough space in this document to convey all the necessaryinformCi please attach the material separately and refer to itin the relevant question(s). . 4. ...:...:;........... ..:............::-........:........:....................'.......'...... :..........-..:.,.......'.............'.........'. .,...:.... .,.... .. .. ....,.,..,... ..:........,..,..:...... , ,,' "... ", ....,... .0..".. ....... ,-,. ",. ,.....,:.",..., For technical questions relating to this schedule, please contact the Ministry of Environment's Environmental Partnerships Branch at (416) 314-4612. I I I I . I I I I I I I I I I I I I I I I I I . I I I I I I I I I I I I I I INTRODUCTION ~ The purpose of the SuperBuild OST AR Infrastructure Program is to improve the quality of infrastructure in Ontario's small towns, rural communities, and small cities. SuperBuild's objectives for OST AR include: Addressing infrastructure investment needs, including public health and safety priorities; Investing in strategic infrastructure projects that support rural and urban economic development; Finding new and better ways to finance and deliver infrastructure, including greater use of public-private partnerships; and, Improving infrastructure planning and management. OSTAR is a five-year $600 million, program. The priority for Round 1 of OSTAR is public health and safety infrastructure. The Province has committed $240 million for Round 1. Round 1 consists of two options. Under Option 1, municipalities may choose to apply for funding to comply with the Drinking Water Protection Regulation or with orders from the Ministry of the Environment. Under Option 2, municipalities may apply for funding for other public health and safety infrastructure (e.g., transportation structures, other water and sewer infrastructure ). This Schedule applies to Option 1 as it is directed towards meeting the standards under the Drinking Water Protection Regulation (DWPR). This regulation applies to "large water works": Serves 6 or more private residences; or Provides more than 50,000L per day; or Capable of supplying water at a rate greater than 250,000 litres per day. The key requirements under the regulation for water works include: Health based standard Minimum level of treatment and enhanced chlorination requirements Mandatory sampling requirements Analysis by accredited laboratories Notification for exceedence/indicators of adverse water quality Public notice Quarterly reports Public access to information Document and record retention Review of municipal water works. Applicants seeking assistance for Option 1 are eligible to apply for funding for the initial engineering studies and the capital work required to meet the health based standards and minimum level of treatment requirements. For application deadlines, please refer to the application guidebook. ii TABLE OF CONTENTS Section A: Pre-qualification ',.....................,............,..,...... 1 Section B: Project Schedule and Financing ,.........,.,....".............., 3 Section C: General Information ....................................... . . " 7 Section D: Problem Definition ,...........................,.....,......... 11 Check Sheet ...,...,................................,..........,....... 13 Definitions .........,.............,..................................... 14 Hi f I I I I . I I I I I I I I I I I I I I I I I I . I I I I I I I I I I I I I I SECTION A PRE-QUALIFICATION This section will be used to determine if your proposed project is eligible to be considered for funding under the Ontario Small Town and Rural Development Infrastructure Program. All questions in this section must be answered. A.1 Is this application for a project involving the: rY preparation of an Engineer's Report for Water Works, as required under the Drinking Water Protection Regulation; o preparation of an Environmental Assessment; or o construction of Water Works (project may include detailed design)? A.2{a) Does the existing water works supply more than 50,000 litres of water on at least 88 days in every gO-day period? Yes B'No 0 (b) Is the existing water works capable of supplying water at a rate greater than 250,000 litres per day? Yes rsrNo 0 (b) Does the existing water works supply more than 5 private residences with water? Yes ~o 0 A.3 Does the existing water system meet the Drinking Water Protection regulation under the Ontario Water Resources Act as follows? For groundwater source water supplies: Does the existing treatment system include Yes ~ No 0 disinfection of the water supply? For every well in the water treatment and Yes B' No 0 distribution system, are standby disinfection equipment and a supply of appropriate chemicals available for immediate use? Does the disinfection persist in the treated water Yes ~ No 0 as it moves through the distribution system? 1 A.4(0) (b) A.S (0) (b) For surface source water supplies: Does the existing treatment system include chemically assisted filtration and disinfection of the water supply (or other treatment capable, in the Ministry of the Environment's (MOE) opinion, of producing water of equal or better quality)? Are standby disinfection equipment and a supply of appropriate chemicals available for immediate use? YesD NoD YesD NoD Does the disinfection persist in the treated water as it moves through the distribution system? YesD NoD I I I I . I I Has your municipality consulted with the local office of the MOE and/or the Medical Officer of Health to determine whether an immediate public health and/or environmental problem exists? Yes D No iB"" W'~LY w~r-ee SAN\Pl..;~C,.1:$ PI2E"f'be~'-'C) w.~ .A-DV::'~i:. TSI::tS 12GFb~ \1) OI~cX /"(\of:' OR='i.c:..t;: .,. RJB1-Jc ~""' o~\~ I If Yes, identify the person(s) consulted and, where available, provide supporting documentation from the MOE District Manager or the Medical Officer of Health (MOH) regarding the problem described in the schedule (Section D). MOE contact person Date of Contact MOH contact person Date of contact If No, consult prior to filling out the rest of this application. For Study Projects Only: Are terms of reference for the study project attached? Yes D No D Do the terms of reference require the investigation of area-wide/joint-servicing arrangements with neighbouring municipalities? Yes D No D 2 I I I I I I I I I I I I I I I . I I I I I I I I I I I I I I B.1 B.2 Proposed project initiation date: Anticipated project completion date: -:::rA~,/o, . h'\A.-iZ(J+ /01 B.3(a) Complete the following table: ESTIMATED COSTS 1. 2. Prefil11inaryenginee'ring (environmentaL'" assessment; engineering report) , " 3. Engine~;ririg"(final design, supervision) , 4. Project trtanagement ',' 5. Land;:easements:. ~";";,,,,,;,<:>.,.:,./-,' . 6. Legal, surveys 7 .~Miscel&frt~ous (e 8.'GST (aftertax credl 9., SiJl11of~(1'to 8) 10. Gra Source: ~ 5co. - 75.- do 51'S . - & ,,~ 515,- (b) Total project cost. Column A + B = $ 5, 5'0,- B.4 Complete the following table: ~.soo. - ,5.- .;:) 575 .- e- dS-'5. - ESTIMATED QUARTERLY CASH FLOW (April - June) (July - Sept.) 3 (Oct. - Dec.) (Jan.- March) 515"0 .-- 8.5 Provide the following information regarding the municipal reserve fund. ater Sewage s Both (a) How $ $ (f). VVf1atpo $ (1 Ob~ $ , $ $ 8\5,ca:> $ \ 5J e~o. $ rv/11 (VI A $ 8.6 Please provide information on annual typical home owner charges (per residence) for water and sewage services in the following table (use most recent year for which information is available): YEAR 4 I I I I . I I I I I I I I I I I I I I I I I I . I I I I I I I I I I I I I I B.7 Please provide details of the pricing system(s) and the rates charged for water used in your municipality. 11 .;tE>5 uP 'TO "3 b5 C-fy\ t . j 3(;''=>- 54SCM - o."1s/<:.t'r' ~ ,. oO/Gtf1 If other, please provide details: B.8 What is the total taxable assessment* per household in the municipality? $ 18Q,4<1 4 . * See Definitions section Note:Applicants in 2000-01 use information reported in Financiallntormation Returns tor the year ending December 31, 1999. Applicants in 2001-02 use information reported in Financiallntormation Returns for the year ending December 31,2000. B.9(0) Is your municipality currently applying or planning to apply to other programs tor funding for this project? Yes 0 No5Y' (b) If Yes, under what program will the application be made? 5 8.10(0) Has the municipality previously applied for financial assistance for this project? Yes 0 No~ (b) If Yes, under what program (Provincial Water Protection Fund, Municipal Assistance Program, Lifelines, Direct Grant, etc.)? (c) When was the application made? (d) Summarize the reason(s) for this re-application. 6 I I I I . I I I I I I I I I I I I I I I I I I It I I I I I I I I I I I I I I SECTION C GENERAL INFORMATION -, C.1 Provide the following information. Local municipal population ~ Note: Use the Ontario Municipal Directory, 2000. Number of households '7 Z 80 PROBLEM AREA INFORMATION 130 Commerciat~premises:;(,1",;::'.,;f';i?~ nstitutionalpremises":;,~:.", i;^.:,,;'. C.2 Does this project consist solely of "Approved Activities" as per Schedule A of the Class Environmental Assessment (EA) for Municipal Water and Wastewater Projects? Yes 0 No 0 C.3 If the project falls under the provisions of Schedules B or C of the Class EA for Municipal Water and Wastewater Projects, has the environmental assessment process for this project been completed? Yes 0 No 0 N/A 0 (b) If No, when will it be completed? (c) If the EA process has not started, when will it start and when will it be completed? C.4(0) Does the specific problem affect more than one municipality? Yes 0 No cY" (b) If Yes, has the problem, possible solutions and their implications been discussed with affected municipalities in order to co-ordinate planning decisions? Yes 0 No 0 7 (c) If Yes, will the proposed solution resolve the problem being experienced in all affected municipalities? Yes D No D (d) If Yes, provide details and supporting documentation. C.5(a) Does your municipality have a preventative maintenance program for the existing system? Yes ~ No D N/A D (b) If Yes or N/A, provide details. F'L~I-tIN~ iV\AI...tS ~"o'" Of' ('(\ph! LI..aE V~) ~PEu\u..\ EJF p."'rN'~ P~~J::: t OOr.H11.etl V~L.Ua) ~c; <t :cNs\>E<.:nc..4 0;:: ~jC 2- &1l~12.1"L.OC)1 CAJ... SoAmPI-1Mc. W~L.Y. O~n~ 0;:: "-"I ~-n. r C.6(a) Is the project consistent with, or recommended by, an engineering study? Yes~ NoD (b) If Yes, provide a copy of the study report if it has not been previously submitted. E:NG\.v~'~'1 Sl'VDY T'D BE. Com~'EO ~( ~H 31. .2.OOi (c) If previously submitted, specify the date of submission and the project number. C.7(a) Describe the existing water services in the problem area and in the municipalityl community. , ~.\cJ Pv-c.. WA~ mAIMs.) '34,4 SEiA.H~ B?E) \-\"fC~-n". m~I"" L~.\te: 1<04 m3 <<:;~ /PE:-Q.m~~L.Q,SS 5'i"AWOPIPE 'PON\f ~DL'O: GcJ'\.Soto;M of=. f . ~'~14 L\A- PUI'I\f.s:. Ce-.o-utJ /l.C04l.& J VAt..v,"4 '" ~, , . C.8 What is the source of the water supply? ~ Groundwater D Surface water Name of surface water body: 8 I I I I e I I I I I I \!.~ I I I I I I I I I I I . I I I I I I I I I I I I I I C.9 List the average day and maximum day flows of the water supply system for the last three years using the following table. (Not for private systems.) Ave.: day ....... Max: day? (m3/day) (m3/day) i'l91 t 8+3 <:> o N;'~ NJA I m3/ day Ave. day! .....Max~.day ..... (m3/day). ... (m3/day) Year i ~'\ B 89 I ~43 B~ Q4 q ~Io '5"9 41 ...Ave..day.,~" .....(m3/day))1' Year ,qq,\ tOO la8 81 14042> 99 oS- 108 t 'it 19 a~b \3.'i tit 9b 9(0 en '~f 3'10 390 Maximum day design 3 .. flow (m.lda .. .... "<.C'_"':'.:_,';' ;: ,-.._,..,.....:'.;'.,">0::.:".:.-cc ::" (oJ/A C of A No. Date of issue 9 C.10 Complete the following table. PROFILE OF WATER USERS Year IQq, Year Population serviced 10 Year I I I I . I I I I I I I I I I I I I I I I I I . I I I I I I I I I I I I I I SECTION D PROBLEM DEFINITION D.l Provide a summary of the specific problem(s), including a detailed description, severity and frequency of the problem (if more space is required, complete a separate sheet and attach). IT) l?JE ,1::[":)8) i1 ~ \ EO A ~ ~ ~c.. I l\J€Gli N ~ t2E'P0~ \.t~ B'E:6.J CotY\ P u;1"G=O ~JOI , D.2 Define the problem area by providing a map or sketch and description. The problem area may be a street within a community, a section of a community, etc. Financial assistance will be considered only for works that are necessary for corrective measures in the defined problem area. D.3 Provide a detailed description of the proposed solution to the problem. (If more space is required, complete a separate sheet and attach.) 11 D.4(a) Is a public health advisory related to the potability of the drinking water, issued by the Medical Officer of Health currently in place? Yes 0 No g/ (b) If Yes, attach a copy and complete questions D4( c) to (f). (c) Is the public health advisory related to: o Microbiological contamination 0 at the plant o in the distribution system o at the plant o in the distribution system (d) How long has the public health advisory been in place? o Chemical contamination (e) Has corrective action been requested by the local MOE office? Yes 0 No 0 (f) If Yes, provide details. 12 I I I I . I I I I I I I I I I I I I I I I I I . I I I I I I I I I I I I I I CHECK SHEET Have you attached: ~AII relevant supporting documentation? Schedule completed by: Date: Oc:r. 3. ~o Name (please print): iC€"l-Th h\t:lrn'~..j Title: Signature: Employer: Contact person: Phone: ( ) Fax: ( Confirmation of information by municipality: This is confirm that to the best of my knowledge, the information provided in this schedule (including supporting documentation) is true and accurate. Date: ocr-. 3 ~CC50 Name (please print): t:::e:m-\ t"()~ 1"1-\ ~w Title: ~~ Signature:) Municipality: fL....\P 012.0 - N"\C-oo~tt Contact person: ~€ I~ i'Y)P.114IEfc~. Phone: \J~ -4 B 1. b4 ct-<1 Fax: (7cf5) 487. btq 9 ~ 13 DEFINITIONS ODWS: Ontario Drinking Water Standards (as referred to under the Drinking Water Protection Regulation). AO: Aesthetic Objective as per ODWS. MAC: Maximum Acceptable Concentration as per ODWS. IMAC: Interim Maximum Acceptable Concentration as per ODWS. MMAH: Ministry of Municipal Affairs and Housing. Residential density: The gross area includes roads, road allowances, school, buildings, churches, parks, cemeteries, stores etc., and all lands (vacant or hazard) regardless of the zoning. Representative sample: Samples that reflect the overall problem area condition particularly with respect to geographic location and types of wells, residences, industrial/commercial and institutional establishments. Sewer and water reserve funds: Discretionary funds set up solely for the purposes of water and sewage infrastructure. Total taxable assessment: The sum of local residential and farm assessment, commercial and industrial assessment, and business assessment. Discretionary reserve funds: Created under authority of the Municipal Act (s.163) and similar sections in the Regional Municipalities Act, the Municipality of Metropolitan Toronto Act, the County of Oxford Act, and the District Municipality of Muskoka Act. The reserve funds are established whenever a municipal council wishes to earmark revenues to finance a future expenditure for which it has authority to spend money, and physically set aside a certain portion of any year's revenues so that funds are available as required. 14 I I I I . I I I I I I I I I I I I I I I I I I . I I I I I I I I I I I I I I @ Ontario SuperBuild Ontario Small Town and Rural (OSTAR) Development Infrastructure Program Schedule A WATER ENGINEERING STUDY PROJECTS OR WATER CONSTRUCTION PROJECTS To Meet Drinking Water Protection Regulation Municipality l1Jp. OF otto - rY\E:DOI\.lrL. Community/System ~.ti),(ll. ~ i-l Date Dcr ~ 3; dcoO August, 2000 INSTRUCTIONS 1. Each municipality can submit one application (business case) which may encompass more than one water system. For the purpose of the schedules, please complete a se for each water system. Please enclose all supporting documentation requested, Submissions will notbee untitaU.information is received. . . 2. 3. ffti1ereis not enough space in this document to convey all the necessary inform please attach the material separately and refer to it in the relevant question(s). 4. ~".:)/;:':_".':.'...:'-_' '," ',__'_,.>_.... : '.'~ .- >.: '_'. :.,_, .:: ',C,"", ::<,>.... -.-. :._.'_):.~-'- .' :. -- ':-_<......:.. ". ::.:'.'. :.":.-:".:. ".,- ,.. '.' ....,. .. .. .." .. ......... .. ".: .. .. .. .. .." '".. "..:..".. .. .. .. ...." .. ........ .~ ,'......,' .. .. ........ ,', ,', .. .. ........ .. .." ',' .. .. " .. ',',', Fottechnical questions relating tothis schedule. please contact theMinistrY~f Environment's Environmental Partnerships Branch at (416) 314-4612, I I I I . I I I I I I I I I I I I I I I I I I . I I I I I I I I I I I I I I INTRODUCTION ~ ~ The purpose of the SuperBuild OST AR Infrastructure Program is to improve the quality of infrastructure in Ontario's small towns, rural communities, and small cities. SuperBuild's objectives for OST AR include: Addressing infrastructure investment needs, including public health and safety priorities; Investing in strategic infrastructure projects that support rural and urban economic development; Finding new and better ways to finance and deliver infrastructure, including greater use of public-private partnerships; and, Improving infrastructure planning and management. OST AR is a five-year $600 million, program. The priority for Round 1 of OST AR is public health and safety infrastructure. The Province has committed $240 million for Round 1. Round 1 consists of two options. Under Option 1, municipalities may choose to apply for funding to comply with the Drinking Water Protection Regulation or with orders from the Ministry of the Environment. Under Option 2, municipalities may apply for funding for other public health and safety infrastructure (e.g., transportation structures, other water and sewer infrastructure ). This Schedule applies to Option 1 as it is directed towards meeting the standards under the Drinking Water Protection Regulation (DWPR). This regulation applies to "large water works": Serves 6 or more private residences; or Provides more than 50,000L per day; or Capable of supplying water at a rate greater than 250,000 litres per day. The key requirements under the regulation for water works include: Health based standard Minimum level of treatment and enhanced chlorination requirements Mandatory sampling requirements Analysis by accredited laboratories Notification for exceedence/indicators of adverse water quality Public notice Quarterly reports Public access to information Document and record retention Review of municipal water works. Applicants seeking assistance for Option 1 are eligible to apply for funding for the initial engineering studies and the capital work required to meet the health based standards and minimum level of treatment requirements. For application deadlines, please refer to the application guidebook. II TABLE OF CONTENTS Section A: Pre-qualification ...................,.....,................. . .. 1 Section B: Project Schedule and Financing ........,.....""..."........... 3 Section C: General Information ,................ . . . . . . . . . . . . , . . . , . . . . . . . .. 7 Section D: Problem Definition "...............................,.......... 11 Check Sheet .,.................,.............................".,...... 13 Definitions ............................................................. 14 iii I I I I . I I I I I I I I I I I I I I I I I I . I I I I I I I I I I I I I I SECTION A PRE-QUALIFICATION This section will be used to determine if your proposed project is eligible to be considered for funding under the Ontario Small Town and Rural Development Infrastructure. Program. All questions in this section must be answered, A.l Is this application for a project involving the: V preparation of an Engineer's Report for Water Works, as required under the Drinking Water Protection Regulation; o preparation of an Environmental Assessment; or o construction of Water Works (project may include detailed design)? A.2(a) Does the existing water works supply more than 50,000 litres of water on at least 88 days in every 90-day period? Yes\2I'No 0 (b) Is the existing water works capable of supplying water at a rate greater than 250,000 litres per day? Yes '0'No 0 (b) Does the existing water works supply more than 5 private residences with water? Yes'\2fNo 0 A.3 Does the existing water system meet the Drinking Water Protection regulation under the Ontario Water Resources Act as follows? For groundwater source water supplies: Does the existing treatment system include Yes if' No 0 disinfection of the water supply? For every well in the water treatment and Yes~ No 0 distribution system, are standby disinfection equipment and a supply of appropriate chemicals available for immediate use? Does the disinfection persist in the treated water Y es~ No 0 as it moves through the distribution system? 1 For surface source water supplies: Does the existing treatment system include Yes 0 No 0 chemically assisted filtration and disinfection of the water supply (or other treatment capable, in the Ministry of the Environment's (MOE) opinion, of producing water of equal or better quality)? Are standby disinfection equipment and a supply Yes 0 No 0 of appropriate chemicals available for immediate use? Does the disinfection persist in the treated water Yes 0 No 0 as it moves through the distribution system? A.4(a) Has your municipality consulted with the local office of the MOE and/or the Medical Officer of Health to determine whether an immediate public health and/or environmental problem exists? YON IB'" ;,.j~"1 WAfEL ,sptnP\.-1 ,-,c. ..:I$. ~ Fb~1f'\6D W i 'f).4. A-{)V~ es 0 eEfbereD 1'1) D\.8\1Ucr I'Y'\O€:. c~c:E <(' f\.: &u..:. i~ <L.I.-Jt'-r (b) If Yes, identify the person(s) consulted and, where available, provide supporting documentation from the MOE District Manager or the Medical Officer of Health (MOH) regarding the problem described in the schedule (Section D). MOE contact person Date of Contact MOH contact person Date of contact If No, consult prior to filling out the rest of this application. A.S For Study Projects Only: (a) Are terms of reference for the study project attached? Yes 0 No 0 (b) Do the terms of reference require the investigation of area-wide/joint-servicing arrangements with neighbouring municipalities? Yes 0 No 0 2 I I I I . I I ~ I I I I I I I I I I I I I I I I It I I I I I I I I I I I I I I B.1 B.2 Proposed project initiation date: Anticipated project completion date: B.3(0) Complete the following table: ESTIMATED COSTS -p~,.j, JOI I M~ /0 , . 2. Prefiminal)',engineering .(environmental assessment; engineering report) ... 3. Engine~riri~;(tinaldesign.$opervisi()n). ..... i 4. Project management. . 5. 6. 7: 11. Total eligible cost (9 minus 10) (b) Total project cost. Column A + B = $ B.4 Complete the following table: d..500 . is. - :;:). "5,5. - -Q d5i5. 5'50 ESTIMATED QUARTERLY CASH FLOW (April - June) (July - Sept.) 3 (Oct. - Dec. ~SOD 75.- dSiS. -G-- ~ 57'S: n.- March) 51 S-o. 8.5 Provide the following information regarding the municipal reserve fund. (a) How long,has the fund been in existence~~f";;~~:;:"~~ ',' ", ,;tl.'::":'~ ., ", .. ._.-,_ . ......... . H '.. . .~,_. Water A A> ~~ b Sewage c;o.e5 Botb~ ' >,';:<';c,:'->'_ ',:.<;::<,".;: ,~.,~~~,,/;:,"".,; ,__ A':~<)> "'<:K~;;0.\;1>~"Y"'^ -v' (b) Whatis,itS,;~rreg!i;:yalue?;, (c) What , ofthe> $ "s,s#n $ $ j 45') 5t:D $ , , $ 8 00 \ $ I $ ;-'v',..,.;:" :'A!-&;iik0;'4:t'V;' $ $ $ N/A N/A "'7?8;;;W:'Y'~:1.';,~1*;'";>:.,' ".>)>H'.k,;:,:e/;-,::'_':-: . ,', ,,':_)L:'.:: ,:_,-: ::-:'::: , ,'-';. fycjuLother:discretion rese 'is,:presentJy;commi council: resolution:f1"i' q, ,'," ,<, $ 8.6 Please provide information on annual typical home owner charges (per residence) for water and sewage services in the following table (use most recent year for which information is available): YEAR 4 I I I I tI I I I I I I I I I I I I I I I I I I It I I I I I I I I I I I I I I B.7 Please provide details of the pricing system(s) and the rates charged for water used in your municipality. $180 3(Pb- 545'- 54'=' "\- 3~5c.:.N\ - "'(;) .,5 j<.m _ .tI J. Oc /c.1Y' If other, please provide details: B.8 What is the total taxable assessment* per household in the municipality? $ \ 89, 4'1~. * See Definitions section Note:Applicants in 2000-01 use information reported in Financial Information Returns for the year ending December 31, 1999. Applicants in 2001-02 use information reported in Financial Information Returns for the year ending December 31,2000. B.9(0) Is your municipality currently applying or planning to apply to other programs for funding for this project? Yes 0 No~ (b) If Yes, under what program will the application be made? 5 B.10(a) Has the municipaJity previously applied for financial assistance for this project? Yes 0 No~ (b) If Yes, under what program (Provincial Water Protection Fund, Municipal Assistance Program, Lifelines, Direct Grant, etc.)? (c) When was the application made? (d) Summarize the reason(s) for this re-application. 6 I I I I . I I I I I I I I I I I I I I I I I I . I I I I I I I I I I I I I I SECTION C GENERAL INFORMATION 0<..' C.1 Provide the following information. Local municipal population j (", ~<13 Note: Use the Ontario Municipal Directory, 2000. Number of households 7'280 PROBLEM AREA INFORMATION ';:i>~ProblemArea 'C .Cd<>....... 'B I 2. . \ Gross.....at'ea....in,hectares~;;..'<;f~:W:k~;;.f.h>k . . .C' ..... Residentiafpremjs~s:;'i. c>.".j;"" .:} 8 5 ... . . , .'/' \:C';'o. .....i.......,y II ,", - '. ....< Commercial:prernises:;i"...... .'. - I nstitutionaLpremises;i.i',' . - C.2 Does this project consist solely of U Approved Activities" as per Schedule A of the Class Environmental Assessment (EA) for Municipal Water and Wastewater Projects? Yes 0 No 0 C.3 If the project falls under the provisions of Schedules B or C of the Class EA for Municipal Water and Wastewater Projects, has the environmental assessment process for this project been completed? Yes 0 No 0 N/A 0 (b) If No, when will it be completed? (c) If the EA process has not started, when will it start and when will it be completed? C.4(0) Does the specific problem affect more than one municipality? Yes 0 NoV (b) If Yes, has the problem, possible solutions and their implications been discussed with affected municipalities in order to co-ordinate planning decisions? Yes 0 No 0 7 C.7(a) Describe the existing water services in the problem area and in the municipalityl community. ,. PW \ 'f II c:::J"f CSEVE1.oPma.sT Co'iS I~ ~ 0 F 2 ~ 3. S' t 4" wlrn '~ W~ uPc.. ~ 1 a.,.u::>Pe:D TO N~ '~lt9 uj'mts ct ...D-I.si"I..A"'I'\~\oJ Or \.4""~'S PIJ.t1'::L ~;'~... 'QltpwilY\'t. WI rn I-t.'l~. WA-t1Se S~l.\fCO Q,y a l.(,)~ ~V...""),\ (.>Wlr'oP ;'.I.o~c:..s;:., I I ~Te'i2. I ; .5m-no~ <t ~ o~ 000 l.J ' ~ GIZc\Ji-40 ~Ee..VCI Q.. I I I I I I (c) If Yes, will the proposed solution resolve the problem being experienced in all affected municipalities? Yes D No D (d) If Yes, provide details and supporting documentation. C.5(a) Does your municipality have a preventative maintenance program for the existing system? Yes~ NoD N/AD (b) If Yes or N/A, provide details. FLu~w I tJG mAII,p'l O~cN ot:" O\A,..> LlrJt: VA.,-vs,) -.r::s..JS~~ of p">,",,9~i PQEsll1)J:' t eo,.);1\o1.. vAu..e.,; H\~ LI~Pu~~) RS~\I.cQ., o~ Ot-"" HI./{)f2A.til BO~10i...C.("11~ SA"'~\"\~4 ~'-...,... } C.6(a) Is the project consistent with, or recommended by, an engineering study? Yes~ NoD (b) If Yes, provide a copy of the study report if it has not been previously submitted. ~ Ct I (\)E:EQ.t "./.r, s ru D"r 1"0 ~E Co\"{\Pl.C'-n;;t:) e, Y ~l' -tt 3 \. '2.0<::1' (c) If previously submitted, specify the date of submission and the project number. C.8 What is the source of the water supply? y Groundwater D Surface water Name of surface water body: 8 I I I I . I I I I I I I I I I . I I I I I I I I I I I I I I C.9 List the average day and maximum day flows of the water supply system for the last three years using the following table. (Not for private systems.) Ave. day (m3/day) Year o o Max. day (m3/day) i'\ '11 2481.0 Average desigmfl9 (m3fday)........ Uncommitte hydraulic. m3f day reservecapa 1 Yearly average of average day 2 Highest monthly maximum day Ave. day (m3/day) Year Max. day (m3/day) ICf98 ~4~b Ave. day (m3/day) Year Ho 2> \ 83 t 18b 358 ~49 4o~ 411 .;:{IO ~ot . SO ( (.,'=' ~44 4 I 18b , 1<0 ~88 ;;?1 ~lo 15~ do4 189 /8-0 ~3t '~4~> Maximum day design . flow(m3/day) .~.A~i~ ... ... tv/;J.- C of A No. Date of issue 9 C.10 Complete the following table. Year 1'tttl Breakd t yearty .. .... production':. . P2Pulation serviced ~I:)' Average yearly 'lconsumptionJ \ (m3/year) .... . i _, 3 ) \ S' - - I?> 115" PROFilE OF WATER USERS Year IG 98 PO~~I~ion serviced Year Population serviced ,81:).. 'Average yearly .%, Average yearly;, " consumption, metered . consumption,;,: ..:. (m3/year) .. (m3/year) . . o 315 100' 0 89 oi.:>o g4 3' s 10 I I I I . I I I I I I I I I I I I I I I I I I . I I I I I I I I I I I I I I SECTION D PROBLEM DEFINITION D.1 Provide a summary of the specific problem(s), including a detailed description, severity and frequency of the problem (if more space is required, complete a separate sheet and attach). TO ~E: ~.()E.",)\1'FIE-O A~ ~ E0yl..Jtte-iJJC; C2E?b/lf ,~ P>ffiJ Co mPLE=f'g) ~ Jo' . D.2 Define the problem area by providing a map or sketch and description. The problem area may be a street within a community, a section of a community, etc. Financial assistance will be considered only for works that are necessary for corrective measures in the defined problem area. D.3 Provide a detailed description of the proposed solution to the problem. (If more space is required, complete a separate sheet and attach.) 11 D.4(a) Is a public health advisory related to the potability of the drinking water, issued by the Medical Officer of Health currently in place? Yes 0 No ISY' (b) If Yes, attach a copy and complete questions D4(c) to (f). (c) Is the public health advisory related to: o Microbiological contamination 0 at the plant o in the distribution system o Chemical contamination o at the plant o in the distribution system (d) How long has the public health advisory been in place? (e) Has corrective action been requested by the local MOE office? Yes 0 No 0 (f) If Yes, provide details. 12 I I I I . I I I I I I I I I I I I I I I I I I . I I I I I I I I I I I I I I CHECK SHEET Have you attached: ~ All relevant supporting documentation? Schedule completed by: Date: oc;r. 3; 200D Name (please print): t:E1TY- rf\AntIS!sOJ Title: Signature: Employer: Contact person: Phone: ( ) Fax: ( Confirmation of information by municipality: This is confirm that to the best of my knowledge, the information provided in this schedule (including supporting documentation) is true and accurate. Date: 0 a . '3. :?COU Name (please print): ~ 11\1 H'\A Q,!, E's.c N TiUe: m~ ~ Signature: I . Municipality: 11--0P, of' oe.o. ~ r~\E.. Contact person: I~ITH h1A\1-1l~..J Phone: ~ .c4CS1- "4<1<1 Fax: rJ~ ?i 87 . 0 I 33 13 DEFINITIONS " " ODWS: Ontario Drinking Water Standards (as referred to under the Drinking Water Protection Regulation). AO: Aesthetic Objective as per ODWS. MAC: Maximum Acceptable Concentration as per ODWS. IMAC: Interim Maximum Acceptable Concentration as per ODWS. MMAH: Ministry of Municipal Affairs and Housing. Residential density: The gross area includes roads, road allowances, school, buildings, churches, parks, cemeteries, stores etc., and all lands (vacant or hazard) regardless of the zoning. Representative sample: Samples that reflect the overall problem area condition particularly with respect to geographic location and types of wells, residences, industrial/commercial and institutional establishments. Sewer and water reserve funds: Discretionary funds set up solely for the purposes of water and sewage infrastructure. Total taxable assessment: The sum of local residential and farm assessment, commercial and industrial assessment, and business assessment. Discretionary reserve funds: Created under authority of the Municipal Act (s.163) and similar sections in the Regional Municipalities Act, the Municipality of Metropolitan Toronto Act, the County of Oxford Act, and the District Municipality of Muskoka Act. The reserve funds are established whenever a municipal council wishes to earmark revenues to finance a future expenditure for which it has authority to spend money, and physically set aside a certain portion of any year's revenues so that funds are available as required. 14 I I I I . I I I I I I I I I I I I I I I I I I . I I I I I I I I I I I I I I @ Ontario SuperBuild Ontario Small Town and Rural (OSTAR) Development Infrastructure Program Schedule A WATER ENGINEERING STUDY PROJECTS OR WATER CONSTRUCTION PROJECTS To Meet Drinking Water Protection Regulation Municipality 1l..U~ of' ot.-c - rYYEDoI-~ ft:. Community/System cE--OA-L B~ Date ():::r. 3. 2000' August, 2000 INSTRUCTIONS 1. Each municipality can submit one application (business case) which may encompass more than one water system. For the purpose oUhe schedules, please complete a sepE:irate:t)ne for each water system. .i'^ Please. enclose all supporting documentation requested. Submissions will not be evaluated untiLallinformation is received. . 2. 3. If there. is not enough space in this document to convey all the necessary informc:i please attach the material separately and refer to it in the relevant question(s). 4. '.,..,."....... ... .u......"...<<<,:".'....... .<..::,........ ..-.<:-........:.,..:.:. .. ,._,':.',',::'.:'-:::"'."" ".:,..,:.-:::.,-::.', , .. .. '. ..^,-".".".,.,,-.,:. .... ...., ../" .................. .... .....,.,.,.,.,...,:,.-.... .'....,...'.:..--.-'. ..v..c._.".,.....,.'..............' -Co ...:d.........:... .:. ....,..........-,...,... ...:,............. Fortechnical questions relating to thisschedJle, please contact the<MinistrYoft Environment's Environmental Partnerships Branch at (416) 314-4612. I I I I . I I I I I I I I I I I I I I I I I I . I I I I I I I I I I I I I I INTRODUCTION The purpose of the SuperBuild OST AR Infrastructure Program is to improve the quality of infrastructure in Ontario's small towns, rural communities, and small cities. SuperBuild's objectives for OST AR include: Addressing infrastructure investment needs, including public health and safety priorities; Investing in strategic infrastructure projects that support rural and urban economic development; Finding new and better ways to finance and deliver infrastructure, including greater use of public-private partnerships; and, Improving infrastructure planning and management. OST AR is a five-year $600 million, program. The priority for Round 1 of OST AR is public health and safety infrastructure. The Province has committed $240 million for Round 1. Round 1 consists of two options. Under Option 1, municipalities may choose to apply for funding to comply with the Drinking Water Protection Regulation or with orders from the Ministry of the Environment. Under Option 2, municipalities may apply for funding for other public health and safety infrastructure (e.g., transportation structures, other water and sewer infrastructure ). This Schedule applies to Option 1 as it is directed towards meeting the standards under the Drinking Water Protection Regulation (DWPR). This regulation applies to "large water works": Serves 6 or more private residences; or Provides more than 50,000L per day; or Capable of supplying water at a rate greater than 250,000 litres per day. The key requirements under the regulation for water works include: Health based standard Minimum level of treatment and enhanced chlorination requirements Mandatory sampling requirements Analysis by accredited laboratories Notification for exceedence/indicators of adverse water quality Public notice Quarterly reports Public access to information Document and record retention Review of municipal water works. Applicants seeking assistance for Option 1 are eligible to apply for funding for the initial engineering studies and the capital work required to meet the health based standards and minimum level of treatment requirements. For application deadlines, please refer to the application guidebook. ii TABLE OF CONTENTS Section A: Pre-qualification .,...............,...............,....,......, 1 Section B: Project Schedule and Financing ,...,.,.,......"...".."........ 3 Section C: General Information ,..,.,....................",.,............ 7 Section D: Problem Definition .......,..................,.......,......... 11 Check Sheet ......,....,....,........................,..",....."..... 13 Definitions ...............,......,........................""...,...... 14 iii I I I I . I I I I I I I I I I I I I I I I I I . I I I I I I I I I I I I I I SECTION A PRE-QUALIFICATION This section will be used to determine if your proposed project is eligible to be considered for funding under the Ontario Small Town and Rural Development Infrastructure Program. All questions in this section must be answered. A.1 Is this application for a project involving the: ~ preparation of an Engineer's Report for Water Works, as required under the Drinking Water Protection Regulation; o preparation of an Environmental Assessment; or o construction of Water Works (project may include detailed design)? A.2(a) Does the existing water works supply more than 50,000 litres of water on at least 88 days in every gO-day period? Yes 0 No ~ (b) Is the existing water works capable of supplying water at a rate greater than 250,000 litres per day? Yes ~No ~ (b) Does the existing water works supply more than 5 private residences with water? Yes ~o 0 A.3 Does the existing water system meet the Drinking Water Protection regulation under the Ontario Water Resources Act as follows? For groundwater source water supplies: Does the existing treatment system include Yes ~ No 0 disinfection of the water supply? For every well in the water treatment and Yes ~ No 0 distribution system, are standby disinfection equipment and a supply of appropriate chemicals available for immediate use? Does the disinfection persist in the treated water Yes ~ No 0 as it moves through the distribution system? A.4(a) (b) A.S (a) (b) For surface source water supplies: Does the existing treatment system include chemically assisted filtration and disinfection of the water supply (or other treatment capable, in the Ministry of the Environment's (MOE) opinion, of producing water of equal or better quality)? Are standby disinfection equipment and a supply of appropriate chemicals available for immediate use? I I I I . I I YesD NoD YesD NoD Does the disinfection persist in the treated water as it moves through the distribution system? YesD NoD Has your municipality consulted with the local office of the MOE and/or the Medical Officer of Health to determine whether an immediate public health and/or environmental problem exists? W~'1 WA~ SAm."'-I"" <1 ~ PE-e~e~ I...) iN A O\i~e:. Yes D No 1St ,..-an Q.e;poe.,reo -TD D1S:;. \'QAq- ~c: oFrla t- PUBLic. ~ "".-.let If Yes, identify the person(s) consulted and, where available, provide supporting I documentation from the MOE District Manager or the Medical Officer of Health (MOH) regarding the problem described in the schedule (Section D). MOE contact person Date of Contact I I I I I I I I I I I MOH contact person Date of contact If No, consult prior to filling out the rest of this application. For Study Projects Only: Are terms of reference for the study project attached? Yes D No D Do the terms of reference require the investigation of area-wide/joint-servicing arrangements with neighbouring municipalities? Yes D No 0 2 I I I I . I I I I I I I I I I I I I I B.1 B.2 Proposed project initiation date: Anticipated project completion date: B.3(a) Complete the following table: ESTIMATED COSTS T~.Jo' mP1tC+i /0 I 1. :-:,-~~-':>;:;effi;f"'>i~:V -~.:-:_:-::" ,,: - .::' -., .', "..: . - ': -." .,::-.': - ',.-" 2. Preliminary engineering (environmental..... assessment; engineering report) . -';:::'Xt1;~.+:g:'{:"';:::~';-:'.i:-' .' . - - _,i. : - ',. ':';::.:>,'-:-: - 3. Engineering (final design. supervision> 4. Project management 5. Land;eas'ements. 6. Legal, surveys ':: :'-,_ ;<;/~y:",:{*{f':)ii;r\;~'>':',:;::Y":;:::}- -.-; ~ - - ::..\ '--'>:>~-:':,>,;:;,- ;: Miscel18neous (equipment 8. . GST (aftertax credit) 9. Sum of;.{1to 8} . 10. Grant Source . (b) Total project cost. Column A + B = $ B.4 Complete the following table: ~5co ;1'SOO 15.- ~S-1S .- "(5".- ;)S ,5,- o ;;).5'75. 5(50 o d.S1S ESTIMATED QUARTERLY CASH FLOW pril - June) (July - Sept.) 3 (Oct. - Dec.) (Jan.- March) 5 Is-a 8.5 Provide the following information regarding the municipal reserve fund. (a) How long has the fund been in existence2: ''!;~'!7':'!:. ater Sewage A "fJQ.c,,, , .. - ~t:;_?~;>z,:/;~y>: - .'_ _ ,""-':. "',- .: C':.::,(.:.::n:;1::"": (e) What-is'!tRe~value:of your other discretionary reserve funds? $ 830. $ $ $ I t.,,,, I ceo $.;\3eB. $ ij~,t $ _ tJ j t::: ';''';:''';f~'--' (f) What portion of your otherdiscretionary,;,,; $ reservefUrids'is'presently committed by' ... 1\)/ f\ council resolution..? $ $ $ Bo 8.6 Please provide information on annual typical home owner charges (per residence) for water and sewage services in the following table (use most recent year for which information is available): YEAR ~OOD 400 4 100 I I I I . I I I I I I I I I I I I I I I I I I . I I I I I I I I I I I I I I B.7 Please provide details of the pricing system(s) and the rates charged for water used in your municipality. " . /,~:'1:~;}~:;~~?f;fr,V~t,:y+ "ne Institutional' Ind B SCb LJpro 3bSc:. m 3(,'-' - 54S'<C, - 'o.15/c.:.m 54<0 + - k t. O(y'c~ If other, please provide details: B.8 What is the total taxable assessment* per household in the municipality? $ t SCt 4 Cj ~ . * See Definitions section Note:Applicants in 2000-01 use information reported in Financial Information Returns for the year ending December 31, 1999. Applicants in 2001-02 use information reported in Financial Information Returns for the year ending December 31,2000. B.9(0) Is your municipality currently applying or planning to apply to other programs for funding for this project? Yes 0 No~ (b) If Yes, under what program will the application be made? 5 8.10(a) Has the municipality previously applied for financial assistance for this project? Yes 0 No g/ (b) If Yes, under what program (Provincial Water Protection Fund, Municipal Assistance Program, Lifelines, Direct Grant, etc.)? (c) When was the application made? (d) Summarize the reason(s) for this re-application. 6 I I I I . I I I I I I I I I I I I I I I I I I . I I I I I I I I I I I I I I SECTION C GENERAL INFORMATION C.1 Provide the following information. Local municipal population i to I <.:, 9 3 Note: Use the Ontario Municipal Directory, 2000. Number of households 1 dB c PROBLEM AREA INFORMATION G:,S Gross. ar: , . ..':-.'?:y:':.:',">:.',<-::.,',- :/-"/"::,;' - Residentiaf'premises.n' .. ,-.,- ~y Commerciahpremises> InstitutionalJpremises ... ..... C.2 Does this project consist solely of "Approved Activities" as per Schedule A of the Class Environmental Assessment (EA) for Municipal Water and Wastewater Projects? Yes 0 No 0 C.3 If the project falls under the provisions of Schedules B or C of the Class EA for Municipal Water and Wastewater Projects, has the environmental assessment process for this project been completed? Yes 0 No 0 N/A 0 (b) (c) If No, when will it be completed? If the EA process has not started, when will it start and when will it be completed? C.4(0) Does the specific problem affect more than one municipality? Yes 0 No~ (b) If Yes, has the problem, possible solutions and their implications been discussed with affected municipalities in order to co-ordinate planning decisions? Yes 0 No 0 7 (c) If Yes, will the proposed solution resolve the problem being experienced in all affected municipalities? YesD NoD (d) If Yes, provide details and supporting documentation. C.5(0) Does your municipality have a preventative maintenance program for the existing system? Yes~ No D N/A D (b) If Yes or N/A, provide details. Pu..tstJ\ ~" IYIA \ ~ J cf\::aAoo-t ~ P~J;:, rn~1L5 e,o ~ OLO (. 'c. A.(. 50 A mPi..1 tJ~ w ~KI.. 'I of" \-4 '1~!2AN~ I ::t).tS ~O...) Q\'='" Purf't>s I VAl..iJS C.6(0) Is the project consistent with, or recommended by, an engineering study? Yes~ NoD (b) If Yes, provide a copy of the study report if it has not been previously submitted. 5J~il'\,)ea2hJt; 5T\)D~ f'D BE CDmPL..EfC'-o B'i ~!.t 3\1200\ (c) If previously submitted, specify the date of submission and the project number. C.7(0) Describe the existing water services in the problem area and in the municipalityl community. I.J A-~ "S..J PQ...lcD ~ '-I 1 ~~ mN"'-' ON.....':!. AlL ~-i2.1.Hc.er f'I))o w'EU.<;. \t::> P01N> ~ w. ;''0-\ L. IIo\E j..J'~ Ci..Al:>LI ~e "1"D "'.I r/J t...J)rt\ I.....)ITIi \J'7D~'tS '"FOe MA,~m.t<r. A..>Ub~ ~' C.8 What is the source of the water supply? ~ Groundwater D Surface water Name of surface water body: 8 I I I I . I I I I I I I I I I I I I I I I I I . I I I I I I I I I I I I I I C.9 List the average day and maximum day flows of the water supply system for the last three years using the following table. (Not for private systems.) # of days maEday exceeded. design ~ 0 max;~day:~~,:~. # of days ~day exceeded. 0 de .. flo Ave. day Max; day Ave. day Max. day. . (m3/day) (m3/day) ..< (m3/day) (m3/day) Year 19q1 Year 1 ")'18 Year 89 89 2>8'1 , 33'1 I 3f$9 Id- 10 389 I a3 I ~d. ,- I€> i , I , I~ \ 10 0 i I 1\ , ( 10 10.6 ,~ \I 13 13 \~ kJjA Maximum day design flow (m3/day) . . .' N/A NJ A m3f day . 1 Yearly average of average 2 Highestmonthly maximum 9 1 '-f '> 10010 I I I I . I I I I I I I I I I I I I I C.10 Complete the following table. PROFilE OF WATER USERS ,yS- Year 1998 Population serviced (",6 Year i 99' 9 Year i " q -, Population serviced ,,3 BreakdownoL Average yearty yearty<\N8te!consumption ..... productjo': (m3/year) Population serviced ~8 ~verageyearty .%Averageyeady 'fconsumptiort(' metered .consumption'\ > . (m3fyear).'] . (m3/year)>i y 7....S' 4 '1q:5 4,45' 10 I I I I .; I I I I I I I I I I I I I I SECTION D PROBLEM DEFINITION D.l Provide a summary of the specific problem(s), including a detailed description, severity and frequency of the problem (if more space is required, complete a separate sheet and attach ). 11) ~.I:\)€)J-nFIEO A ~ ~ E::1JC;\~t.JG QsbQ.:r ~ ~~ c:.orf\C>~ ~ lei , D.2 Define the problem area by providing a map or sketch and description. The problem area may be a street within a community, a section of a community, etc. Financial assistance will be considered only for works that are necessary for corrective measures in the defined problem area. D.3 Provide a detailed description of the proposed solution to the problem. (If more space is required, complete a separate sheet and attach.) 11 D.4(a) Is a public health advisory related to the potability of the drinking water, issued by the Medical Officer of Health currently in place? Yes 0 No rY' (b) If Yes, attach a copy and complete questions D4(c) to (f). (c) Is the public health advisory related to: o Microbiological contamination 0 at the plant o in the distribution system o Chemical contamination o at the plant o in the distribution system (d) How long has the public health advisory been in place? (e) Has corrective action been requested by the local MOE office? Yes 0 No 0 (f> If Yes, provide details. 12 I I I I ,. I I I I I I I I I I I I I I I I I I . I I I I I I I I I I I I I I CHECK SHEET Have you attached: ~AII relevant supporting documentation? Schedule completed by: Date: Oc.::r. 3. ;;)oou Name (please print): 1dS.11-\ mA \1.J'E=So~~ Title: Signature: Employer: Contact person: Phone: ( ) Fax: ( Confirmation of information by municipality: This is confirm that to the best of my knowledge, the information provided in this schedule (including supporting documentation) is true and accurate. Date: C) c:r. 3. 2 coo Name (please print): I<:::e-I nl ri\A '" i'8s0~ Title: I'f'In~. POBt..Ic Wo~ Signature: ~~ Municipality: "\We>. OF Ow- .-n~ Contact person: tElni ly)an.Ht:;::~c"'" Phone: (1t::G) 4Hi- 1'049'1 Fax: t?c.s 4: cal - 0' '33. 13 DEFINITIONS ODWS: Ontario Drinking Water Standards (as referred to under the Drinking Water Protection Regulation). AO: Aesthetic Objective as per ODWS. MAC: Maximum Acceptable Concentration as per ODWS. IMAC: Interim Maximum Acceptable Concentration as per ODWS. MMAH: Ministry of Municipal Affairs and Housing. Residential density: The gross area includes roads, road allowances, school, buildings, churches, parks, cemeteries, stores etc., and all lands (vacant or hazard) regardless of the zoning. Representative sample: Samples that reflect the overall problem area condition particularly with respect to geographic location and types of wells, residences, industrial/commercial and institutional establishments. Sewer and water reserve funds: Discretionary funds set up solely for the purposes of water and sewage infrastructure. Total taxable assessment: The sum of local residential and farm assessment, commercial and industrial assessment, and business assessment. Discretionary reserve funds: Created under authority of the Municipal Act (s.163) and similar sections in the Regional Municipalities Act, the Municipality of Metropolitan Toronto Act, the County of Oxford Act, and the District Municipality of Muskoka Act. The reserve funds are established whenever a municipal council wishes to earmark revenues to finance a future expenditure for which it has authority to spend money, and physically set aside a certain portion of any year's revenues so that funds are available as required. 14 I I I I . I I I I I I I I I I I I I I I I I I . I I I I I I I I I I I I I I @ Ontario SuperBuild Ontario Small Town and Rural (OSTAR) Development Infrastructure Program Schedule A WATER ENGINEERING STUDY PROJECTS OR WATER CONSTRUCTION PROJECTS To Meet Drinking Water Protection Regulation Municipality '"fWP- of olo. ~o ~T6 Community/System (2oBI.4 ~ Date ocr- ~f '2.cc:o. August, 2000 INSTRUCTIONS ' 1. Each municipality can submit one application (business case) which may encompass\more than one water system. For the purpose of the schedules, please complete as~p for each water system. ". Please enclose all supporting documentation requested. Submissions will notbe untibal' rmafion is received. ./ v,_,:,__;",,^/",,",'''''''<',':''._,; -_..;',~ ,',...,.0;'-.': '-.:.': '" .~~~ 2. 3. If thereisriot~nough~p~ce in this docume~t to convey all the necessa'; infbrma please attach the material separately and refer to it in the relevant question(s).. 4. '....-........,.'....,........--... .,.,......, .. .. ..... .. ,.'....,.,.."...........-... .. .. ',....... " .... ... .."...... .. ...... .. ......... ...... .... .... ..",- -', .. "', ',: .. .. ':.:..,' :,' ':.. '>::-':,:'i:>"- ,'~ -'-, .., ....,.: ,;'" .....: "":",,,':','::' .. .. ....',.. ,-::.- ::': "'".... .. .. -.. For technical questions . relating to . this schedule. please . contactthe Ministr}'()flh Environment's Environmental Partnerships Branch at (416) 314-4612. I I I I . I I I I I I I I I I I I I I I I I I . I I I I I I I I I I I I I I INTRODUCTION , 'ti The purpose of the SuperBuild OST AR Infrastructure Program is to improve the quality of infrastructure in Ontario's small towns, rural communities, and small cities. SuperBuild's objectives for OST AR include: Addressing infrastructure investment needs, including public health and safety priorities; Investing in strategic infrastructure projects that support rural and urban economic development; Finding new and better ways to finance and deliver infrastructure, including greater use of public-private partnerships; and, Improving infrastructure planning and management. OSTAR is a five-year $600 million, program. The priority for Round 1 of OSTAR is public health and safety infrastructure. The Province has committed $240 million for Round 1. Round 1 consists of two options. Under Option 1, municipalities may choose to apply for funding to comply with the Drinking Water Protection Regulation or with orders from the Ministry of the Environment. Under Option 2, municipalities may apply for funding for other public health and safety infrastructure (e.g., transportation structures, other water and sewer infrastructure ). This Schedule applies to Option 1 as it is directed towards meeting the standards under the Drinking Water Protection Regulation (DWPR). This regulation applies to "large water works": Serves 6 or more private residences; or Provides more than 50,000L per day; or Capable of supplying water at a rate greater than 250,000 litres per day. The key requirements under the regulation for water works include: Health based standard Minimum level of treatment and enhanced chlorination requirements Mandatory sampling requirements Analysis by accredited laboratories Notification for exceedence/indicators of adverse water quality Public notice Quarterly reports Public access to information Document and record retention Review of municipal water works. Applicants seeking assistance for Option 1 are eligible to apply for funding for the initial engineering studies and the capital work required to meet the health based standards and minimum level of treatment requirements. For application deadlines, please refer to the application guidebook. II TABLE OF CONTENTS Section A: Pre-qualification ,...........,..,..,.............,....,........ 1 Section B: Project Schedule and Financing ...........,.....,.........,...... 3 Section C: General Information ...... . . . . . . . . . . . . . . . . . . . . . . , . . , . . . . . . . . . .. 7 Section D: Problem Definition .......,.................................... 11 Check Sheet .............,...........,........................,........ 13 Definitions ,..................,.................................,....... 14 iii ~. I I I I . I I I I I I I I I I I I I I I I I I . I I I I I I I I I I I I I I SECTION A PRE-QUALIFICATION This section will be used to determine if your proposed project is eligible to be considered for funding under the Ontario Small Town and Rural Development Infrastructure Program. All questions in this section must be answered. A.1 Is this application for a project involving the: 8" preparation of an Engineer's Report for Water Works, as required under the Drinking Water Protection Regulation; D preparation of an Environmental Assessment; or D construction of Water Works (project may include detailed design)? A.2(a) Does the existing water works supply more than 50,000 litres of water on at least 88 days in every gO-day period? Yes~oD (b) Is the existing water works capable of supplying water at a rate greater than 250,000 litres per day? Yes~oD (b) Does the existing water works supply more than 5 private residences with water? Yes ~o D A.3 Does the existing water system meet the Drinking Water Protection regulation under the Ontario Water Resources Act as follows? For groundwater source water supplies: Does the existing treatment system include disinfection of the water supply? For every well in the water treatment and distribution system, are standby disinfection equipment and a supply of appropriate chemicals available for immediate use? Yes~ Yes~ NoD NoD Does the disinfection persist in the treated water as it moves through the distribution system? Yes~ NoD 1 A.4(o) (b) A.S (0) (b) I I I I . I Has your municipality consulted with the local office of the MaE and/or the Medical Officer of Health to determine whether an immediate public health and/or environmental problem exists ? I ~./ u.;e;e=~'-"i w.A~ 5AmPt...I~G"" ::r:s. P~~VT\.tSO w' t"1A. ~~ Yes D No ~ ~~ PePo~ -ro O,~"'N!-tq- ~e ~c:€. t ~.BU<- ~ u.~.-c If Yes, identify the person(s) consulted and, where available, provide supporting I documentation from the MOE District Manager or the Medical Officer of Health (MOH) regarding the problem described in the schedule (Section D). For surface source water supplies: Does the existing treatment system include chemically assisted filtration and disinfection of the water supply (or other treatment capable, in the Ministry of the Environment's (MaE) opinion, of producing water of equal or better quality)? YesD NoD Are standby disinfection equipment and a supply of appropriate chemicals available for immediate use? YesD NoD Does the disinfection persist in the treated water as it moves through the distribution system? YesD NoD MaE contact person Date of Contact I I I I I I I I I I I MOH contact person Date of contact If No, consult prior to filling out the rest of this application. For Study Projects Only: Are terms of reference for the study project attached? Yes D No D Do the terms of reference require the investigation of area-wide/joint-servicing arrangements with neighbouring municipalities? Yes D No D 2 I I I I . I I I I I I I I I I I I I I B.1 B.2 Proposed project initiation date: Anticipated project completion date: :::JC>.r-J. /0\ n'\~~ /0 \ B.3(a) Complete the following table: ESTIMATED COSTS t. 2. prelimiri~;.engiheering (envirgrimental assessment; engineering report)' 3. Engineetrri~"(finaldesign, supef'\lision) .... < 4. Project management 5. Land;easements 6. Legal,surveys T Miscellaneous 8, GST(aftertax credit) 9: SurTlofit1to 10. Grants:ffom'other sources. Source:;"f~;t{( . Q S"oc> 15. :::2 S"1 '5" . o ~5tS 11. Total eligible cost (9 minus 10) (b) Total project cost. Column A + B = $ 5 \ SO B.4 Complete the following table: d.'5"oo t5". ~ ':515"' o ').. 5'1 '5 ESTIMATED QUARTERLY CASH FLOW (April - June) (July - Sept.) (Oct. - Dec.) 3 (Jan.- March) 5\5"0. 8.5 Provide the following information regarding the municipal reserve fund. (a) How long has the fund been in existence? .. .' . Water APe;> i'<>~ 5 'i Sewage Both< -.'" - $ $ (b) What is its current value? (c) Whati~~iheestitnated replacementc . of the:system?;~w:~~~:~:\~:;~.~:;. ': .. $ ~I, Sod- $ $ 3Ql", S10 $ $ L\ 1:( ;>.(0 $ $ C.::..'.,A'..........'....,.."...','<<< ,"- '. . ,.,.>..:......:,." -;'-:''''':'', ,.- ,....:.., ,:",:..., (e) Whatis~'ihe'valueofyourother' discretionary reserve funds? ~/A $ (f) Whatport~()nofy()ur otherdiscretionary~{ $ reserve.fandsis<presentlycommittedby TV J A council:resolutiont.? '/ 8.6 Please provide information on annual typical home owner charges (per residence) for water and sewage services in the following table (use most recent year for which information is available): YEAR dooO ~40 IBo ~o 4 I I I I . I I I I I I I I I I I I I I I I I I . I I I I I I I I I I I I I I B.7 Please provide details of the pricing system(s) and the rates charged for water used in your municipality. Institutional \ If other, please provide details: B.8 What is the total taxable assessment* per household in the municipality? $ 189, '-f ~ <t * See Definitions section Note:Applicants in 2000-01 use information reported in Financial Information Returns for the year ending December 31,1999. Applicants in 2001-02 use information reported in Financial Information Returns for the year ending December 31,2000. B.9(0) Is your municipality currently applying or planning to apply to other programs for funding for this project? Yes 0 NolS(" (b) If Yes, under what program will the application be made? 5 B.10(o) Has the municipality previously applied for financial assistance for this project? Yes 0 No~ (b) If Yes, under what program (Provincial Water Protection Fund, Municipal Assistance Program, Lifelines, Direct Grant, etc.)? (c) When was the application made? (d) Summarize the reason(s) for this re-application. 6 I I I I . I I I I I I I I I I I I I I I I I I . I I I I I I I I I I I I I I SECTION C GENERAL INFORMATION C.1 Provide the following information. Local municipal population ''', lo ~ 3 Note: Use the Ontario Municipal Directory, 2000. Number of households 1 :180 PROBLEM AREA INFORMATION Gross ar Residentral~ph~rriises .. .. 80 Industria Commerciat:premises - Institutional:premises C.2 Does this project consist solely of "Approved Activities" as per Schedule A of the Class Environmental Assessment (EA) for Municipal Water and Wastewater Projects? Yes 0 No 0 C.3 If the project falls under the provisions of Schedules B or C of the Class EA for Municipal Water and Wastewater Projects, has the environmental assessment process for this project been completed? Yes 0 No 0 N/A 0 (b) If No, when will it be completed? (c) If the EA process has not started, when will it start and when will it be completed? C.4(0) Does the specific problem affect more than one municipality? Yes 0 Noi!r' (b) If Yes, has the problem, possible solutions and their implications been discussed with affected municipalities in order to co-ordinate planning decisions? Yes 0 No 0 7 (c) If Yes, will the proposed solution resolve the problem being experienced in all affected municipalities? YesD NoD (d) If Yes, provide details and supporting documentation. C.S(a) Does your municipality have a preventative maintenance program for the existing system? Yes g/ No D N/A D (b) If Yes or N/A, provide details. t=""L..U51..4.\1\.I<1 mA\--\S-' ~s. panoJ O"F pu.'(\"~. v~.J r'(\E~ .t P~l.7f" ~~~ , J . i ~~t>.... OF ~G12A~ yC-V~Tl:>e. ~~~u cC~ ~jQ.t.) O~'t>0-4 OF" I"OA \.J t...\~ V' ~ 1 ~ '1C1Z.a u'tt ; ~c:..n::"a.i OLc:.G I VA.4- .s ,o.mA...<...ac. ~~ 't. I C.6(a) Is the project consistent with, or recommended by, an engineering study? Yes !IV'" No D (b) If Yes, provide a copy of the study report if it has not been previously submitted. EtJC")I~H~l<; ~TVDY TO ~ COmp~-re:o By rn~ 3\.200' (c) If previously submitted, specify the date of submission and the project number. C.7(a) Describe the existing water services in the problem area and in the municipality/ community. L0At"Gf, s~~ By O~t;: ~ Tt> iBocW\ ~'\l)eAqe: ~~ W(t\:i p~ '~~. CL.c>.uN~ w~ fb.~ ro fh"Q' l.o.V\ c::oMR~~ Wi."," \.4-'7'0~ ~~-:>r; ~~ CC",\.a:.u.. OF A cc>~.IoJ~T1c....4 oF" 3/4" su..t; e; q I II O~ ~~.c:.es . C.8 What is the source of the water supply? B'" Groundwater D Surface water Name of surface water body: 8 I I I I -- I I I I I I I I I I I I I I I I I I - I I I I I I I I I I I I I I C.9 List the average day and maximum day flows of the water supply system for the last three years using the following table. (Not for private systems.) # of days:mmday exceeded,design c. 0 max. day:fIow:oi,;i~\' # of days'max~day exceed des~ () flow, Average.d design, (m3/day Uncommitt hydraulic reserve cap Ave. day (m3/day) Year G,( ~3 59 $5 G,.A l~o (:J :, , ~b 0; ~4 ~2 ,,~ 1 Ave. day Max. day (m3/day) (m3/day) Year I O\q B 11 loG, ~5 "5 148 ( I q IJq q1 ~<o (o~ to! Max. day (m3/day) I Cf9, s~a <05 Ave.dayMcoc day" (m3/day) (m3/day Year I qq " 55 '8ct~ "4 "I 7b 145 13b t'3/ 78 ,3 5b 4' 52- 8t ~ 4--0 S 5 'SA:;). ..' (VIA tv/A t-)/ A m3/ day , Maximum day design flow(m3/day);;\', ." . ','. C of A No. 5 Date of issue 1. Yearly average of average 2 Highestmonthly 9 J C.10 Complete the following table. PROFILE OF WATER USERS Year t9~1 POQulation serviced ~<.fo ;~verage yeari~ ~.consumption... ~d>.... (ni/year)'" ~8~10 0 Year 1'1'18 Population serviced d40 ~verageyeariY i, ...% 1;'consumptiort~;;;metered ';' (m3/year);.;t.....'.. .' ~I 0 S- t::> Breakdown.ot, yearly.. productio . Residential.~.:' . Unaccount~~~.::>... 'Total 'I .;t8410 o 10 Year ('1<1 " Population serviced .~"fo ~verage yearly:, ,(X)nsumpf .....'{m3/yea ,aq 5105" 0 d.'1 5 ~s I I I I - I I I I I I I I I I I I I I I I I I - I I I I I I I I I I I I I I SECTION D PROBLEM DEFINITION D.1 Provide a summary of the specific problem(s), including a detailed description, severity and frequency of the problem (if more space is required, complete a separate sheet and attach ). 'to Be:. :r1)'6,ft1 1='1 GO AFi'Ei2 n+€. E (\)(.11 tV~ 1 04~ ~ Qr \40~ ~EEu cott\~ TY1t::W.W J 0 , . D.2 Define the problem area by providing a map or sketch and description. The problem area may be a street within a community, a section of a community, etc. Financial assistance will be considered only for works that are necessary for corrective measures in the defined problem area. D.3 Provide a detailed description of the proposed solution to the problem. (If more space is required, complete a separate sheet and attach.) 11 D.4(a) Is a public health advisory related to the potability of the drinking water, issued by the Medical Officer of Health currently in place? Yes 0 No~ (b) If Yes, attach a copy and complete questions D4(c) to (f). (c) Is the public health advisory related to: o Microbiological contamination 0 at the plant o in the distribution system o Chemical contamination o at the plant o in the distribution system (d) How long has the public health advisory been in place? (e) Has corrective action been requested by the local MOE office? Yes 0 No 0 (f) If Yes, provide details. 12 I I I I - I I I I I I I I I I I I I I I I I I - I I I I I I I I I I I I I I CHECK SHEET Have you attached: rsI All relevant supporting documentation? Schedule completed by: Date: ocr. 4 aooo Name (please print): ~I 114 tY)A~IE:50 tJ Title: Signature: Employer: Contact person: Phone: ( ) Fax: ( Confirmation of information by municipality: This is confirm that to the best of my knowledge, the information provided in this schedule (including supporting documentation) is true and accurate. Date: ocr. 4, ~cvo Name (please print): t:::E t tl-\ h")A 1:1-\ 1 ~...... Title: rna.c:,. Puf1:>l.IC wo~ Signature: 4 tZf7- Municipality: \(..I)P. 0 t=' ~. m6?o....,1E Contact person: IiG i 7\.\ t'OA T1-\ I eo w Phone: ~ 48,. "'4CA Fax: (10; 4 '8 -j . 0' 3 3 13 DEFINITIONS ODWS: Ontario Drinking Water Standards (as referred to under the Drinking Water Protection Regulation). AO: Aesthetic Objective as per ODWS. MAC: Maximum Acceptable Concentration as per ODWS. IMAC: Interim Maximum Acceptable Concentration as per ODWS. MMAH: Ministry of Municipal Affairs and Housing. Residential density: The gross area includes roads, road allowances, school, buildings, churches, parks, cemeteries, stores etc., and all lands (vacant or hazard) regardless of the zoning. Representative sample: Samples that reflect the overall problem area condition particularly with respect to geographic location and types of wells, residences, industrial/commercial and institutional establishments. Sewer and water reserve funds: Discretionary funds set up solely for the purposes of water and sewage infrastructure. Total taxable assessment: The sum of local residential and farm assessment, commercial and industrial assessment, and business assessment. Discretionary reserve funds: Created under authority of the Municipal Act (s.163) and similar sections in the Regional Municipalities Act, the Municipality of Metropolitan Toronto Act, the County of Oxford Act, and the District Municipality of Muskoka Act. The reserve funds are established whenever a municipal council wishes to earmark revenues to finance a future expenditure for which it has authority to spend money, and physically set aside a certain portion of any year's revenues so that funds are available as required. 14 I I I I - I I I I I I I I I I I I I I I I I I . I I I I I I I I I I I I I I @ Ontario SuperBuild Ontario Small Town and Rural (OSTAR) Development Infrastructure Program Schedule A WATER ENGINEERING STUDY PROJECTS OR WATER CONSTRUCTION PROJECTS To Meet Drinking Water Protection Regulation Municipality '1"1...09. Dr 0120.' mE'OorJTE Community/System N1E DON OC Ll1 \ \$ Date Oc.:x-. '3 I 2 OCXJ August, 2000 INSTRUCTIONS 1. Each municipality can submit one application (business case) which may encompass more than one water system. Forthe purpose of the schedules, please complete a separate'one foreach water system. .. Please enctose all supporting documentation requested. Submissions will not beevaJuated untiEaU information is received. 2. 3. If there is not enough space in this document to convey all the necessary informa please attach the material separately and refer to it in the relevant question(s). Fortechnical questions relating to this schedule. please contact the Ministryofth Environment's Environmental Partnerships Branch at (416) 314-4612. 4. I I I I ~ I I I I I I I I I I I I I I I I I I . I I I I I I I I I I I I I I INTRODUCTION ;;" The purpose of the SuperBuild OST AR Infrastructure Program is to improve the quality of infrastructure in Ontario's small towns, rural communities, and small cities. SuperBuild's objectives for OST AR include: Addressing infrastructure investment needs, including public health and safety priorities; Investing in strategic infrastructure projects that support rural and urban economic development; Finding new and better ways to finance and deliver infrastructure, including greater use of public-private partnerships; and, Improving infrastructure planning and management. OST AR is a five-year $600 million, program. The priority for Round 1 of OST AR is public health and safety infrastructure. The Province has committed $240 million for Round 1. Round 1 consists of two options. Under Option 1, municipalities may choose to apply for funding to comply with the Drinking Water Protection Regulation or with orders from the Ministry of the Environment. Under Option 2, municipalities may apply for funding for other public health and safety infrastructure (e.g., transportation structures, other water and sewer infrastructure ). This Schedule applies to Option 1 as it is directed towards meeting the standards under the Drinking Water Protection Regulation (DWPR). This regulation applies to "large water works": Serves 6 or more private residences; or Provides more than 50,000L per day; or Capable of supplying water at a rate greater than 250,000 litres per day. The key requirements under the regulation for water works include: Health based standard Minimum level of treatment and enhanced chlorination requirements Mandatory sampling requirements Analysis by accredited laboratories Notification for exceedence/indicators of adverse water quality Public notice Quarterly reports Public access to information Document and record retention Review of municipal water works. Applicants seeking assistance for Option 1 are eligible to apply for funding for the initial engineering studies and the capital work required to meet the health based standards and minimum level of treatment requirements. For application deadlines, please refer to the application guidebook. ii TABLE OF CONTENTS Section A: Pre-qualification .....,.....,...,.................,.... . . . . . . " 1 Section B: Project Schedule and Financing ',.,....,........"."...,.,...... 3 Section C: General Information """ . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . , . . . . .. 7 Section D: Problem Definition .,..,....,....,.......,.....,............... 11 Check Sheet ,....,.............,..,......,..................."........ 13 Definitions ......,......,.,.....,........"........,..,................. 14 iii I I I I . I I I I I I I I I I I I I I I I I I . I I I I I I I I I I I I I I SECTION A PRE-QUALIFICATION This section will be used to determine if your proposed project is eligible to be considered for funding under the Ontario SmallT own and Rural Infrastructure. Program. All questions in this section must be A.1 Is this application for a project involving the: ~ preparation of an Engineer's Report for Water Works, as required under the Drinking Water Protection Regulation; o preparation of an Environmental Assessment; or o construction of Water Works (project may include detailed design)? A.2(a) Does the existing water works supply more than 50,000 litres of water on at least 88 days in every gO-day period? Yes~oD (b) Is the existing water works capable of supplying water at a rate greater than 250,000 litres per day? Yes ~o D (b) Does the existing water works supply more than 5 private residences with water? Yes ~o 0 A.3 Does the existing water system meet the Drinking Water Protection regulation under the Ontario Water Resources Act as follows? For groundwater source water supplies: Does the existing treatment system include disinfection of the water supply? For every well in the water treatment and distribution system, are standby disinfection equipment and a supply of appropriate chemicals available for immediate use? Does the disinfection persist in the treated water as it moves through the distribution system? Yes~ NoD Yes~ NoD Yes~ NoD 1 A.4(a) (b) A.5 (a) (b) I I I I . I Has your municipality consulted with the local office of the MOE and/or the Medical Officer of Health to determine whether an immediate public health and/or environmental problem exists ? I L.J~'1 w ~ SC>rt\PL-I'" '1 ...t::"S p~ \..A.:j \1).\ ACV~ Yes D No sr rc:st ~ ~I2.{C.-o "<<) DC::'\:SUq \'YI-cE: On:\\:.E 't PI..:.:2:>\..o(c ~ \J N.r I I I I I I I I I I I I For surface source water supplies: Does the existing treatment system include chemically assisted filtration and disinfection of the water supply (or other treatment capable, in the Ministry of the Environment's (MOE) opinion, of producing water of equal or better quality)? Yes 0 NoD Are standby disinfection equipment and a supply of appropriate chemicals available for immediate use? YesD NoD Does the disinfection persist in the treated water as it moves through the distribution system? YesD NoD If Yes, identify the person(s) consulted and, where available, provide supporting documentation from the MOE District Manager or the Medical Officer of Health (MOH) regarding the problem described in the schedule (Section D). MOE contact person Date of Contact MOH contact person Date of contact If No, consult prior to filling out the rest of this application. For Study Projects Only: Are terms of reference for the study project attached? Yes D No D Do the terms of reference require the investigation of area-wide/joint-servicing arrangements with neighbouring municipalities? Yes D No 0 2 I I I I . I I I I I I I I I I I I I I . ::r~,.J. )0' \Y)AL4i I 0 \ B.1 B.2 Proposed project initiation date: Anticipated project completion date: B.3(a) Complete the following table: ESTIMATED COSTS Preliminaiy engineering (environment assessment; engineering report) 'i:;>;'>':-:';;t,:'o'~-,:-)-<'> _ _ :'.:-':::,;'c_,:'- __,':: 3. Engineering (final design; supervision) 4. Project management 5. 6. Legal,surveys 7~:.Misce(ian~ous 11. Total eligible cost (9 minus 10) (b) Total project cost. Column A + B = $ <5 I 50 B.4 Complete the following table: ~Soo d. 500 ,5.- ,S. - ~ 51':5. ~S1S" 0 0 dS,5 ";}. 515 . ESTIMATED QUARTERLY CASH FLOW (April - June) (July - Sept.) 3 (Oct. - Dec.) (Jan.- S \ 5"0 8.S Provide the following information regarding the municipal reserve fund. (a) How long. has the fund been in existence:lt1'r;:"':;:lt.\;:c,~.. . ..,;~;, . ,,:, " . Water A.t'P-.o'l'- Sewage Both':; ,.....-.. $ $ $ '1,53'1 $ $480/~30 $ $ $ (e) Whati~' '.' alue,:Qf'yourothe discretionary reS9I'Ye funds? .' . . .. . .... of your: other';discretionary $ J reserv sispresentlycommitted:'by'" '('vI A council resolution;.?;. . 8.6 Please provide information on annual typical home owner charges (per residence) for water and sewage services in the following table (use most recent year for which information is available): YEAR ~ooo \ ;).~ <18 4 I I I I . I I I I I I I I I I I I I I I I I I . I I I I I I I I I I I I I I B.7 Please provide details of the pricing system(s) and the rates charged for water used in your municipality. . ~aO/UNlr If other, please provide details: B.a What is the total taxable assessment* per household in the municipality? $ \ 89, a..f"1 'f * See Definitions section Note:Applicants in 2000-01 use information reported in Financial Information Returns for the year ending December 31, 1999. Applicants in 2001-02 use information reported in Financial Information Returns for the year ending December 31,2000. B.9(a) Is your municipality currently applying or planning to apply to other programs for funding for this project? Yes 0 NO~ (b) If Yes, under what program will the application be made? 5 8.10(a) Has the municipality previously applied for financial assistance for this project? Yes 0 NO~ (b) If Yes, under what program (Provincial Water Protection Fund, Municipal Assistance Program, Lifelines, Direct Grant, etc.)? (c) When was the application made? (d) Summarize the reason(s) for this re-application. 6 I I I I . I I I I I I I I I I I I I I I I I I . I I I I I I I I I I I I I I SECTION C GENERAL INFORMATION :(; C.1 Provide the following information. Local municipal population I to, L,9~ Note: Use the Ontario Municipal Directory, 2000. Number of households I ~ eo PROBLEM AREA INFORMATION I ',ProblemArea ...... .,.,,"",. . ''''0 - . . '.., .... ' . ~..' ;.. /' ,. ~1 ~ Gross.. area.irihectares.H............... Residentialpremises , ~t..l IndustriatprerriisesGi~..T..... Commercial premises> Institutional premises C.2 Does this project consist solely of "Approved Activities" as per Schedule A of the Class Environmental Assessment (EA) for Municipal Water and Wastewater Projects? Yes 0 No 0 C.3 If the project falls under the provisions of Schedules B or C of the Class EA for Municipal Water and Wastewater Projects, has the environmental assessment process for this project been completed? Yes 0 No 0 N/A 0 (b) If No, when will it be completed? (c) If the EA process has not started, when will it start and when will it be completed? C.4(0) Does the specific problem affect more than one municipality? Yes 0 No~ (b) If Yes, has the problem, possible solutions and their implications been discussed with affected municipalities in order to co-ordinate planning decisions? Yes 0 No 0 7 I I I I . I I N')&n:::...,'; ~ ~ --rt:I> ~~ I I I I I I I I I I I I (c) If Yes, will the proposed solution resolve the problem being experienced in all affected municipalities? YesD NoD (d) If Yes, provide details and supporting documentation. C.5(0) Does your municipality have a preventative maintenance program for the existing system? Yes~ No D N/A D (b) If Yes or N/A, provide details. FLuSouia,t" cY'A\~s: .I)...lSP8x\Q.} o~ p.jmPs., YA'-,-~o' O~~..J O~ r-t\A,.J I... i ....t:. 1/ AU.%5o t ~ '( Oeo..J\S. ~"a-Eel 0'-0<" \ U:u.. SA mP,-, M ~ wo;E-\c::::1... Y C.6(0) Is the project consistent with, or recommended by, an engineering study? Yes~ NoD (b) If Yes, provide a copy of the study report if it has not been previously submitted. I5l G , N a=12.& N (, sroD'-1 T() B'C. e..o n'\ f> LE\t:O ~ '"-I rf\A-<Z.a-' ~ \ I 2,00 , . . (c) If previously submitted, specify the date of submission and the project number. C.7(0) Describe the existing water services in the problem area and in the municipalityl community. l..)~ 5~1'D(,..'1t$C) <6'-1 ,.-t....)O u:>E'U..s' \'0 .p~.a:.. \'P-N(. S:'.,c;TEw\ \0 ~": :::J~ <:o~u;: ~ ."{)\ ~o'1' ~ PI4, -=.. p", ~ II Co,.t,wn or _ 1\ _ __~ /..,~~~..!:: ~--.: <:"1""0 .~ '\ ~~..c<<s I C.8 What is the source of the water supply? ~ Groundwater D Surface water Name of surface water body: 8 I . I I I I I I I I I I I I I I List the average day and maximum day flows of the water supply system for the last three years using the following table. (Not for private systems.) M " "d'2.\'~;/', .axJmum,a!~~~t;;, #ofdaysmm:day exceededdesigl'f~; , max;day~\'tC:, # ofdaysm8)Ci2.day exceeded 851 desiQn..rnmci fI 5 4<1 y9 41 St 80 13 ~9 53 5\ 48 1 55 31~ ",~.,.>>:or'\.. ' /.",)v;-c;>:~_c , Max. day.. , (m3/day) \ ~'11_ 1;).0 Ave. day ,. (m3/day), Year 46 '41 8 ~ 9.5 13 1\ 5\ ,,3 5\ "0 100 Max. day (m3/day) \9q8 l~ Ave., day M~:# _ (m3lday) ,(otl'~ Year '999 y l';Jo 5 55 2 8 "4 ~ .:l 3\ ~ "tp ~b 4- 31J. '.,88 o o 1-J /A ~/p. I ;'.~"". '~ --;:, .:..,.,.:.......', '~-"'-' ~_ .. T ". " . v o o o u Maximum 'day design ,... '. flow (m3/day) :" '. ' Averageda design;Jlow~, (m3fday)" ..i Uncommitted", hydraulic '. .3\';, reserve capacitY"; . ; 1 Yearly average of average day flow 2 Highest monthly maximum day I'Jjf4 m3/ day 9 C.10 Complete the following table. PROFILE OF WATER USERS Unaccounted":.. . I Total i 9 '11 Year 1198 Population serviced '31;), ,Average yearly "~consumption> ,'. .........(m3/year)> al "100 Population serviced ~1~ Average yearly' % > consumption., metered (m31year)' . ~o olS o 00 10 (9 Year i 9" '19 Population serviced , 31:1 AverageyearlYii consumptiort:~; (m3/year);: ObO 'f.c,000 o 01 I I I I . I I I I I I I I I I I I I I I I I I . I I I I I I I I I I I I I I SECTION D PROBLEM QEFINITION D.1 Provide a summary of the specific problem(s), including a detailed description, severity and frequency of the problem (if more space is required, complete a separate sheet and attach). TO ~e; ~-rIF\CD A~ t"\J-e. ~110~...JC'\ eBbtt I4-As R~ Com Pl E1"6Q ~/Ol I D.2 Define the problem area by providing a map or sketch and description. The problem area may be a street within a community, a section of a community, etc, Financial assistance will be considered only for works that are necessary for corrective measures in the defined problem area. D.3 Provide a detailed description of the proposed solution to the problem. (If more space is required, complete a separate sheet and attach.) 11 D.4(a) Is a public health advisory related to the potability of the drinking water, issued by the Medical Officer of Health currently in place? Yes 0 No~ (b) If Yes, attach a copy and complete questions D4(c) to (f). (c) Is the public health advisory related to: o Microbiological contamination 0 at the plant o in the distribution system o Chemical contamination o at the plant o in the distribution system (d) How long has the public health advisory been in place? (e) Has corrective action been requested by the local MOE office? Yes 0 No 0 (f) If Yes, provide details. 12 I I I I . I I I I I I I I I I I I I I I I I I . I I I I I I I I I I I I I I CHECK SHEET " Have you attached: o All relevant supporting documentation? Schedule completed by: Date: oa. 31 acoo Name (please print): VE~ 1"Y),Q.. WteoLt Title: Signature: Employer: Contact person: Phone: ( ) Fax: ( Confirmation of information by municipality: This is confirm that to the best of my knowledge, the information provided in this schedule (including supporting documentation) is true and accurate. Date: ocr. 3, ;)ceO Name (please print): k~€:"l 11.1 rrA\1.1 t€"So\J Title: m~E4 Signature: ~ -== ' Municipality: TU..:Jp. ~ oe-c- rnECct~1t: Contact person: t:e,T"U rl1A1"\\ ~... Phone: t'ps) 481- 04<19 Fax: (10$ -4 8, - C l '3 3 13 DEFINITIONS ODWS: Ontario Drinking Water Standards (as referred to under the Drinking Water Protection Regulation). AO: Aesthetic Objective as per ODWS. MAC: Maximum Acceptable Concentration as per ODWS. IMAC: Interim Maximum Acceptable Concentration as per ODWS. MMAH: Ministry of Municipal Affairs and Housing. Residential density: The gross area includes roads, road allowances, school, buildings, churches, parks, cemeteries, stores etc., and all lands (vacant or hazard) regardless of the zoning. Representative sample: Samples that reflect the overall problem area condition particularly with respect to geographic location and types of wells, residences, industrial/commercial and institutional establishments. Sewer and water reserve funds: Discretionary funds set up solely for the purposes of water and sewage infrastructure. Total taxable assessment: The sum of local residential and farm assessment, commercial and industrial assessment, and business assessment. Discretionary reserve funds: Created under authority of the Municipal Act (s.163) and similar sections in the Regional Municipalities Act, the Municipality of Metropolitan Toronto Act, the County of Oxford Act, and the District Municipality of Muskoka Act. The reserve funds are established whenever a municipal council wishes to earmark revenues to finance a future expenditure for which it has authority to spend money, and physically set aside a certain portion of any year's revenues so that funds are available as required. 14 I I I I . I I I I I I I I I I I I I I I I I I . I I I I I I I I I I I I I I OSTAR 6219 The Township of Oro-Medonte @ Ontario SuperBuild Ontario Small Town and Rural (OSTAR) Development Infrastructure Program Schedule A WATER ENGINEERING STUDY PROJECTS OR WATER CONSTRUCTION PROJECTS To Meet Drinking Water Protection Regulation Municipality rw t? OF" oeo ,- rY\c=ibaJ TC Community/System I-k>~s~ W\CHlLA ~o.s:. Date OCX. 4, 2000 .. August, 2000 INSTRUCTIONS 1. Each municipality can submit one application (business case) which may encompass more than one water system. For the purpose of the schedules, please complete a sepalflt~ne for each water system...""1f''';; Please enclose all supporting documentation requested, Submissions will not be evaluated until all information is received. 2. 3. If there is not enough space in this document to convey all the necessary informati please attach the material separately and refer to it in the relevant question(s). Fortechnical questions relating to this schedule, please contact the Ministryofthe< Environment's Environmental Partnerships Branch at (416) 314-4612. 4. I I I I . I I I I I I I I I I I I I I I I I I . I I I I I I I I I I I I I I INTRODUCTION The purpose of the SuperBuild OST AR Infrastructure Program is to improve the quality of infrastructure in Ontario's small towns, rural communities, and small cities. SuperBuild's objectives for OST AR include: Addressing infrastructure investment needs, including public health and safety priorities; Investing in strategic infrastructure projects that support rural and urban economic development; Finding new and better ways to finance and deliver infrastructure, including greater use of public-private partnerships; and, Improving infrastructure planning and management. OST AR is a five-year $600 million, program. The priority for Round 1 of OST AR is public health and safety infrastructure. The Province has committed $240 million for Round 1. Round 1 consists of two options. Under Option 1, municipalities may choose to apply for funding to comply with the Drinking Water Protection Regulation or with orders from the Ministry of the Environment. Under Option 2, municipalities may apply for funding for other public health and safety infrastructure (e.g., transportation structures, other water and sewer infrastructure ). This Schedule applies to Option 1 as it is directed towards meeting the standards under the Drinking Water Protection Regulation (DWPR). This regulation applies to "large water works": Serves 6 or more private residences; or Provides more than 50,000L per day; or Capable of supplying water at a rate greater than 250,000 litres per day. The key requirements under the regulation for water works include: Health based standard Minimum level of treatment and enhanced chlorination requirements Mandatory sampling requirements Analysis by accredited laboratories Notification for exceedence/indicators of adverse water quality Public notice Quarterly reports Public access to information Document and record retention Review of municipal water works. Applicants seeking assistance for Option 1 are eligible to apply for funding for the initial engineering studies and the capital work required to meet the health based standards and minimum level of treatment requirements. For application deadlines, please refer to the application guidebook. ii TABLE OF CONTENTS Section A: Pre-qualification ..."..". . . , . , , . , . . . , . . . . . . . , , , , , . . . , . . . . . . .. 1 Section B: Project Schedule and Financing "..,.......,..."."".,.,....... 3 Section C: General Information ,..,.......,.......,.............,..., . . . .. 7 Section D: Problem Definition .,.......,."...,.........,................. 11 Check Sheet ,...",........"........,.,....,....."..,",.....,...,... 13 Definitions ............,.........."...,.......,.,....,.....,',.,....... 14 III I I I I . I I I I I I I I I I I I I I I I I I . I I I I I I I I I I I I I I SECTION A PRE-QUALIFICATION ~ This section will be used to determine if your proposed project is eligible to be considered for funding under the Ontario Small Town and Rural Development Infrastructure Program. All questions in this section must be answered. A.1 Is this application for a project involving the: Q'" preparation of an Engineer's Report for Water Works, as required under the Drinking Water Protection Regulation; o preparation of an Environmental Assessment; or o construction of Water Works (project may include detailed design)? A.2(a) Does the existing water works supply more than 50,000 litres of water on at least 88 days in every gO-day period? Yes ~No 0 (b) Is the existing water works capable of supplying water at a rate greater than 250,000 litres per day? Yes~No 0 (b) Does the existing water works supply more than 5 private residences with water? Y es\f2l" No 0 A.3 Does the existing water system meet the Drinking Water Protection regulation under the Ontario Water Resources Act as follows? For groundwater source water supplies: Does the existing treatment system include Yesif No 0 disinfection of the water supply? For every well in the water treatment and Ye5\0'" No 0 distribution system, are standby disinfection equipment and a supply of appropriate chemicals available for immediate use? Does the disinfection persist in the treated water YesV?f' No 0 as it moves through the distribution system? 1 A.4(a) (b) A.S (a) (b) I I I I . I Has your municipality consulted with the local office of the MOE and/or the Medical Officer of Health to determine whether an immediate pUblic health and/or I environmental problem exists ? --/' w8?c::-L'i w~rc-e. SAm.{)t..I~C')..:r:s ~FOe~ Wj~ p..f)l/1ii.f2Si<. Yes D No\t:1 I'ESn. ~~ T'D ~ O\Si"'e.tcr mot! O~\<:.c. 1"' A.,auc ~~. If Yes, identify the person(s) consulted and, where available, provide supporting . documentation from the MOE District Manager or the Medical Officer of Health (MOH) regarding the problem described in the schedule (Section D). For surface source water supplies: Does the existing treatment system include chemically assisted filtration and disinfection of the water supply (or other treatment capable, in the Ministry of the Environment's (MOE) opinion, of producing water of equal or better quality)? Are standby disinfection equipment and a supply of appropriate chemicals available for immediate use? Yes 0 NoD Yes 0 NoD Does the disinfection persist in the treated water as it moves through the distribution system? Yes 0 NoD MOE contact person Date of Contact I I I I I I I I I I I MOH contact person Date of contact If No, consult prior to filling out the rest of this application. For Study Projects Only: Are terms of reference for the study project attached? Yes 0 No 0 Do the terms of reference require the investigation of area-wide/joint-servicing arrangements with neighbouring municipalities? Yes D No 0 2 I I I I . I I I I I I I I I I I I I I B.1 B.2 Proposed project initiation date: Anticipated project completion date: T~/o, , rYl A12.I:J.( / D i , B.3(0) Complete the following table: ESTIMATED COSTS 1. 2. Preliminary.engil1eering (environmental.. assessment; engineering report) 3. Engin~ering'(finahdesign, supervision> 4. Project management ~500 ,s ;) S1S 10. Grants>fromothersources. Source:') .. o 11. Total eligible cost (9 minus 10) ~s,s (b) Total project cost. Column A + B = $ 51 S;O B.4 Complete the following table: ESTIMATED QUARTERLY CASH FLOW ~SbD IS 'J'51S" o ~S'S (April - June) (July - Sept.) (Oct. - Dec.) 3 (Jan.- M St6""O 8.5 Provide the following information regarding the municipal reserve fund. Water Sewage Both A WtLOl'- 5~7L\,; - (a ) How long has the fund been in -...... existence'? < (b) Whatis its current value'? < $ , 4 1.". 3 I 4- $ $ ,......>',.... ...,........ _', _. ','-"J_',';",' "', .. .,...., (c) WhatJ~theestirnatE!dreplaSE!rnE!r1t"cOS!t $ ) 3 :,t I So $ $ of the..system'?"...........<<,...... ........... <<!.t!'i~''.<;';''...''''''.' .... ..........{r.'.~,1. , I What<i~'th~'current . ">""" (d ) annual contribution $ " .-" 5 $ $ to the.fund'?;' >'c:;-.;,,,,:>c: :::> .0 ."'>',---, (e) Whatigihe'lalueof your other '.< $ r\J / (). "i discretionary reserve funds'?,. (f) Whatportionof your otherdiscretionary $ Njp..- reserve;funds is presently committed by councilresolution '? ........ 8.6 Please provide information on annual typical home owner charges (per residence) for water and sewage services in the following table (use most recent year for which information is available): YEAR ~ooo 191 ~ 4 I I I I . I I I I I I I I I I I I I I I I I I . I I I I I I I I I I I I I I B.7 Please provide details of the pricing system(s) and the rates charged for water used in your municipality. · Commer~ial ,'_c Instituti .1Scn') o-,('3xl'V\ .fo. 41/cl\"\ OIlC"i2 "3" CW1 ~O.3q/cW\ If other, please provide details: B.8 What is the total taxable assessment* per household in the municipality? $ '8Q, 04",+ * See Definitions section Note:Applicants in 2000-01 use information reported in Financial Information Returns for the year ending December 31, 1999. Applicants in 2001-02 use information reported in Financial Information Returns for the year ending December 31,2000. B.9(a) Is your municipality currently applying or planning to apply to other programs for funding for this project? Yes 0 No~ (b) If Yes, under what program will the application be made? 5 8.10(a) Has the municipality previously applied for financial assistance for this project? Yes 0 No~ (b) If Yes, under what program (Provincial Water Protection Fund, Municipal Assistance Program, Lifelines, Direct Grant, etc.)? (c) When was the application made? (d) Summarize the reason(s) for this re-application. 6 I I I I . I I I I I I I I I I I I I I I I I I - I I I I I I I I I I I I I I SECTION C GENERAL INFORMATION ~ C.1 Provide the following information, Local municipal population 1(." ~q 3 , Number of households 1 ~3o Note: Use the Ontario Municipal Directory, 2000. PROBLEM AREA INFORMATION ~ Problem Area Y29 Gross areaJri hectares Residentialpremises' ~~.. ~ I 43 Industrial~prernises:< Commerciat.premises' Institutional..premises C.2 Does this project consist solely of "Approved Activities" as per Schedule A of the Class Environmental Assessment (EA) for Municipal Water and Wastewater Projects? Yes 0 No 0 C.3 If the project falls under the provisions of Schedules B or C of the Class EA for Municipal Water and Wastewater Projects, has the environmental assessment process for this project been completed? Yes 0 No 0 N/A 0 (b) If No, when will it be completed? (c) If the EA process has not started, when will it start and when will it be completed? C.4(a) Does the specific problem affect more than one municipality? Yes 0 No cg/' (b) If Yes, has the problem, possible solutions and their implications been discussed with affected municipalities in order to co-ordinate planning decisions? Yes 0 No 0 7 (c) If Yes, will the proposed solution resolve the problem being experienced in all affected municipalities? Yes D No D (d) If Yes, provide details and supporting documentation. C.5(a) Does your municipality have a preventative maintenance program for the existing system? Yes~ NoD N/AD (b) If Yes or N/A, provide details. 'R...\)~i~,,"" ~ ffiAn-tS. ~ ~sPi?cno.J of PVI'(\P~,' \(Au..J6J ~ <4 eEsaV1O~ OP~Q;J OF ~uJ 4-...,1;. V4~ 't 1-.l'-(~~ ~'\A C('C.~ ~ t cAl. .$A rY1~I,.J 4 L ~ L Y C.6(a) Is the project consistent with, or recommended by, an engineering study? Yes~ NoD (b) If Yes, provide a copy of the study report if it has not been previously submitted. . Erfc..j~',J{.) S lUD\.( to mE C:Otn PLe-\\:D Q>Y h)~ 3,. 200 , (c) If previously submitted, specify the date of submission and the project number. I I I I ~ I I I I I I C.7(a) Describe the existing water services in the problem area and in the municipality/ community. , ~ I ~~ ~~: :; C~E0)= (~DwaL.I6~U' TO 12.~ ELE.vA W~ . Ni<' B . ) PS~N G ilrt!AJ1rt ~ G7J 8) ~ 1:::1" 0' "'...- IIII" ",. 10 A CD... a, '" '" no" Q .- I" j ~~" w",-- ,;;r"", "'" I C.8 What is the source of the water supply? Y Groundwater D Surface water Name of surface water body: 8 I I I I I I I I I I e I I I I I I I I I I I I I I C.9 List the average day and maximum day flows of the water supply system for the last three years using the following table. (Not for private systems.) Month' Ave. day Max. day Ave. day Max. day Ave. day> C\~.day. ..".tit~v.~;;G'.,.' .' (m3/day) (m3/day) (m3/day) (m3/day) (m3/day) f~(orltlay) Year i '" 9 1 Year \ '1Q 8 Year \ 9 '\ 9 Janua~' ~... 89 "3 3, \ \ , ~ 3~ 1 j , , q 3 31\ ~~;~ '~."~~. ,'( ';~7~~~; Februa~\:? 7A. ,:J \ , ~:::::t . ....ij~j~~ 7~ \ :;) 5" \ \, .. 0,~;i_ 11 ~S "1 33 8 1"\fo"1I May:;'~K~!~lIll~~~~: ::2t ~ OJ'1G \ 0 9 d. ...... .... ...~!i1l.~~) InY 5'" "\ \ 5 \ \ 3>0 I. .1... 10 ~(,.. , 01 1 \;t~ 1 vUIY ,'r " "... .... qoi '-'1;).. .'" ..... ". 'C' cO'1.1 Septembe01:" 470 51 ~ 59'-1 Oct be~i';''''''''''';'. Sq 0, .' .'J!'j;"".'f"'-';''-' l 4 It:t \(o~ , :,:;h':_;:);~,,\/,,+,,"~:"";':',:'.< N beP~if"..,.; t \ , 3 t ~ b ovem . ,.. .,.~,~;""."" I 0 Decem~ \ ( 'f \ V \ ~'1 \ v 14" \I / <<',.;:4~" " .. ~.~ ..:';,.;" .?F' . "To" .. '-". Year1Yaverage~~it 351 .,;; i..I4 "~'31 48 ,.."..... 3 ~ b 1 8 , 8 ',? ", "t' 1'<< ~oP~I~.~lj 3 '" .3 3~3 L.\ :l9 Maximurniday;i'~:Z;I:" .'. (1011 ~af1,,:,;;" .,. "1 O~'" I ".. .... P' ..,.... -, .... ,...---,-,-., # of days max.;.day exceeded 'design T 0 max. day;fIOw~; # of days'Tl1SJti:day exceeded.~o/ designmaDda~",~ 0 flow............>t~~~1i~~L. Average.day /A Maximum day design NIp. designllo\y~"" )!:"{~~, N now(m3/day}z,........ (m3/day) .....: Uncommitted C of A No. r- I t 1 :l - 8 i:, .- '09(0 hydraulic>", .. Nj A- m3j day Date of issue ~ I).(}r .1.1 '~ \GS9 reserve capacity~. , 1 Yearly average of average day flow ..,g~.I'%..i . 2 Highest monthly maximum day >i'.... 9 C.10 Complete the following table. PROFILE OF WATER USERS Year t 7 Population serviced 3"3 Year I '19 8 Averag~ yearly % consumption> metered (m3/year) , " Ponulation serviced 3'->3 ~verage yearly , consumption' (m3/year) SIt- Breakd yearly production;c Residential, /,' ,',' Institutional,'J;;{' " CommerciaL. <., " \\ I (X) '70 >t Year I 9 9_ Population serviced ,4~ Average yearly c(msumptio9:~ " (m3/year)" ~ ~ \00 0 t ooZo Unaccountedim'" Total: '3 5" 0 5,)0 118 \ 20 * B~ OowtJ c> F C2.E:S ( OeL.> T\ A\... ) Go h" ~c..i PJ.-, L.J AS 1'-1 <:>T p...vP.H.,~e,u: TO ~ A..-'\ ~S d~'\-f!- 10 I I I I 411 I I I I I I I I I I I I I I I I I I - I I I I I I I I I I I I I I SECTION D PROBLEM DEFINITION D.1 Provide a summary of the specific problem(s), including a detailed description, severity and frequency of the problem (if more space is required, complete a separate sheet and attach). TO (1. :rDeNI\AED A~ n~ ~(~'IV~t.J<.\ Q.(:3b~ ~ Ba:,.J Cn1'(\~"S") m~ /ot D.2 Define the problem area by providing a map or sketch and description. The problem area may be a street within a community, a section of a community, etc, Financial assistance will be considered only for works that are necessary for corrective measures in the defined problem area. D.3 Provide a detailed description of the proposed solution to the problem. (If more space is required, complete a separate sheet and attach.) 11 D.4(a) Is a public health advisory related to the potability of the drinking water, issued by the Medical Officer of Health currently in place? Yes 0 No~ (b) If Yes, attach a copy and complete questions D4(c) to (f). (c) Is the public health advisory related to: o Microbiological contamination 0 at the plant o in the distribution system o at the plant o in the distribution system (d) How long has the public health advisory been in place? o Chemical contamination (e) Has corrective action been requested by the local MOE office? Yes 0 No 0 (f) If Yes, provide details. 12 I I I I e I I I I I I I I I I I I I I I I I I II I I I I I I I I I I I I I I CHECK SHEET : Have you attached: cg/ All relevant supporting documentation? Schedule completed by: Date: Oc.:t". 4, 2.C100 Name (please print): ~E I f1..i m~nH~ Title: Signature: Employer: Contact person: Phone: ( ) Fax: ( Confirmation of information by municipality: This is confirm that to the best of my knowledge, the information provided in this schedule (including supporting documentation) is true and accurate. Date: ocr. 4. 200D Name (please print): 16E t T1-l N")~ 11-\itw,.J Titie: tn~12.1<S Signature: ' Municipality: TWP. 0;- oeo. ("'(\EOo r~ Contact person: ~\""(1.\ N'\~'"ClHacu Phone: tl~ -481- (.,4 '1'1 Fax: ~ 48'1- 0 \ 3 .3 13 DEFINITIONS ODWS: Ontario Drinking Water Standards (as referred to under the Drinking Water Protection Regulation). AO: Aesthetic Objective as per ODWS. MAC: Maximum Acceptable Concentration as per ODWS. IMAC: Interim Maximum Acceptable Concentration as per ODWS. MMAH: Ministry of Municipal Affairs and Housing. Residential density: The gross area includes roads, road allowances, school, buildings, churches, parks, cemeteries, stores etc., and all lands (vacant or hazard) regardless of the zoning. Representative sample: Samples that reflect the overall problem area condition particularly with respect to geographic location and types of wells, residences, industrial/commercial and institutional establishments. Sewer and water reserve funds: Discretionary funds set up solely for the purposes of water and sewage infrastructure. Total taxable assessment: The sum of local residential and farm assessment, commercial and industrial assessment, and business assessment. Discretionary reserve funds: Created under authority of the Municipal Act (s.163) and similar sections in the Regional Municipalities Act, the Municipality of Metropolitan Toronto Act, the County of Oxford Act, and the District Municipality of Muskoka Act. The reserve funds are established whenever a municipal council wishes to earmark revenues to finance a future expenditure for which it has authority to spend money, and physically set aside a certain portion of any year's revenues so that funds are available as required. 14 I I I I e I I I I I I I I I I I I I I I I I I II I I I I I I I I I I I I I I @ Ontario SuperBuild .. Ontario Small Town and Rural (OSTAR) Development Infrastructure Program Schedule A WATER ENGINEERING STUDY PROJECTS OR WATER CONSTRUCTION PROJECTS To Meet Drinking Water Protection Regulation Municipality --=:r-wP oF dlo- ~otJTE:. Community/System SI+A r-$\' AA Y Date ocr.~) ~CXX!> August, 2000 INSTRUCTIONS 1. Each municipality can submit one application (business case)which may encompas$more than one water system. For the purpos~()fthe schedules, please completeas~p~r~t~"Qr1e for each water system. . . .. Please enclose all supporting documentationrequested,SubmissionswillOo until all information is received. 2. 3. If there is not enough space this document to convey all the necessary infor please attach the material separately and refer to it in the relevant question(s). For technical questions relating to this schedule. please contact the Ministry Environment's Environmental Partnerships Branch at (416) 314-4612. 4. I I I I II I I I I I I I I I I I I I I I I I I II I I I I I I I I I I I I I I INTRODUCTION ~ The purpose of the SuperBuild OST AR Infrastructure Program is to improve the quality of infrastructure in Ontario's small towns, rural communities, and small cities. SuperBuild's objectives for OST AR include: Addressing infrastructure investment needs, including public health and safety priorities; Investing in strategic infrastructure projects that support rural and urban economic development; Finding new and better ways to finance and deliver infrastructure, including greater use of public-private partnerships; and, Improving infrastructure planning and management. OST AR is a five-year $600 million, program. The priority for Round 1 of OST AR is public health and safety infrastructure. The Province has committed $240 million for Round 1. Round 1 consists of two options. Under Option 1, municipalities may choose to apply for funding to comply with the Drinking Water Protection Regulation or with orders from the Ministry of the Environment. Under Option 2, municipalities may apply for funding for other public health and safety infrastructure (e.g., transportation structures, other water and sewer infrastructure ). This Schedule applies to Option 1 as it is directed towards meeting the standards under the Drinking Water Protection Regulation (DWPR). This regulation applies to "large water works": Serves 6 or more private residences; or Provides more than 50,000L per day; or Capable of supplying water at a rate greater than 250,000 litres per day. The key requirements under the regulation for water works include: Health based standard Minimum level of treatment and enhanced chlorination requirements Mandatory sampling requirements Analysis by accredited laboratories Notification for exceedence/indicators of adverse water quality Public notice Quarterly reports Public access to information Document and record retention Review of municipal water works. Applicants seeking assistance for Option 1 are eligible to apply for funding for the initial engineering studies and the capital work required to meet the health based standards and minimum level of treatment requirements. For application deadlines, please refer to the application guidebook. ii TABLE OF CONTENTS Section A: Pre-qualification ......,',..........,.,....,.....,.".,.,...... 1 Section B: Project Schedule and Financing ,...,....,...."..,.".....,..,... 3 Section C: General Information ,...,..............,....,..,...."..,...... 7 Section D: Problem Definition ,.....................,..................... 11 Check Sheet ..,.,......,..,',.....,.......,.............,....,......... 13 Definitions ........,...,..,....,............,...........,......,...,.... 14 iii I I I I II I I I I I I I I I I I I I I I I I I e I I I I I I I I I I I I I I SECTION A PRE-QUALIFICATION This section will be used to determine if your proposed project is eligible to be considered for funding under the Ontario Small Town and Rural Development Infrastructure Program. All questions in this section must be A.1 Is this application for a project involving the: ~ preparation of an Engineer's Report for Water Works, as required under the Drinking Water Protection Regulation; o preparation of an Environmental Assessment; or o construction of Water Works (project may include detailed design)? A.2(a) Does the existing water works supply more than 50,000 litres of water on at least 88 days in every gO-day period? Yes~oO (b) Is the existing water works capable of supplying water at a rate greater than 250,000 litres per day? Yes ~o 0 (b) Does the existing water works supply more than 5 private residences with water? Yes ~No 0 A.3 Does the existing water system meet the Drinking Water Protection regulation under the Ontario Water Resources Act as follows? For groundwater source water supplies: Does the existing treatment system include Y es ~ No 0 disinfection of the water supply? For every well in the water treatment and Yes ~ No 0 distribution system, are standby disinfection equipment and a supply of appropriate chemicals available for immediate use? Does the disinfection persist in the treated water Yes ~ No 0 as it moves through the distribution system? 1 A.4(0) (b) A.S (0) (b) For surface source water supplies: Does the existing treatment system include chemically assisted filtration and disinfection of the water supply (or other treatment capable, in the Ministry of the Environment's (MOE) opinion, of producing water of equal or better quality)? Are standby disinfection equipment and a supply of appropriate chemicals available for immediate use? I I I I e I I I I I I I I I I I I I I YesD NoD YesD NoD Does the disinfection persist in the treated water as it moves through the distribution system? YesD NoD Has your municipality consulted with the local office of the MOE and/or the Medical Officer of Health to determine whether an immediate pUblic health and/or environmental problem exists? Yes D No iY W~t;;;t:.Ly wp.;a;!. SAmotJ1c, J::S p~e~ W' ~ A-O~E I"e>TS L2A:fb~ i'D D,~O'\.(,-, 1'YIoE: OA:'tt.(;. ot. Pu,'~~c... I~~ O!=F'I:.C: If Yes, identify the person(s) consulted and, where available, provide supporting documentation from the MOE District Manager or the Medical Officer of Health (MOH) regarding the problem described in the schedule (Section D). MOE contact person Date of Contact MOH contact person Date of contact If No, consult prior to filling out the rest of this application. For Study Projects Only: Are terms of reference for the study project attached? Yes D No D Do the terms of reference require the investigation of area-wide/joint-servicing arrangements with neighbouring municipalities? Yes D No D 2 I I I I e I I I I I I I I I I I I I I B.1 B.2 Proposed project initiation date: Anticipated project completion date: B.3(a) Complete the following table: ~N /0\ , rf\ A- rtG.t'; /0 \ I ESTIMATED COSTS Preli . engineering (environmental . assessment; engineering report)- 3. Engineering (final design, supervision) 4. Project management 11. Totaleligible cost (9 minus to) 2$0(.) , 00 is '00 ~s 75 - (b) Total project cost. Column A + B = $ 51 So ,00 B.4 Complete the following table: ~5oo,~~ i5 - ~6{S.- ESTIMATED QUARTERLY CASH FLOW (April- June) (July- $ept.) 3 (Jan.- Mar Sf 50, - 8.5 Provide the following information regarding the municipal reserve fund. Sewage $ $ $ $ $ $ (e) What is the valu discretionary res (f) What portion of your other discretion reserve funds is presently com tt council resolution? 7 ~~~ t-.J)r-. (VIA 8.6 Please provide information on annual typical home owner charges (per residence) for water and sewage services in the following table (use most recent year for which information is available): YEAR ~()OO 1'1~ 93 4 I I I I e I I I I I I I I I I I I I I I I I I - I I I I I I I I I I I I I I B.7 Please provide details of the pricing system(s) and the rates charged for water used in your municipality. ~~~s v~ it) 3 .3 feio. .5-'\5 m 2. S~ID +- ~ I. If other, please provide details: B.8 What is the total taxable assessment* per household in the municipality? $ I 89, to{ q Y- * See Definitions section Note:Applicants in 2000-01 use information reported in Financial Information Returns for the year ending December 31, 1999. Applicants in 2001-02 use information reported in Financial Information Returns for the year ending December 31,2000. B.9(0) Is your municipality currently applying or planning to apply to other programs for funding for this project? Yes 0 No~ (b) If Yes, under what program will the application be made? 5 8.10(a) Has the municipality previously applied for financial assistance for this project? Yes 0 No~ (b) If Yes, under what program (Provincial Water Protection Fund, Municipal Assistance Program, Lifelines, Direct Grant, etc.)? (c) When was the application made? (d) Summarize the reason(s) for this re-application. 6 I I I I e I I I I I I I I I I I I I I I I I I e I I I I I I I I I I I I I I SECTION C GENERAL INFORMATION C.1 Provide the following information. Local municipal population I ~) 1.0 ~ :?:, Note: Use the Ontario Municipal Directory, 2000. Number of households "7 '2 1(3 0 PROBLEM AREA INFORMATION ~tO '84 Institutional premises C.2 Does this project consist solely of "Approved Activities" as per Schedule A of the Class Environmental Assessment (EA) for Municipal Water and Wastewater Projects? Yes 0 No 0 C.3 If the project falls under the provisions of Schedules B or C of the Class EA for Municipal Water and Wastewater Projects, has the environmental assessment process for this project been completed? Yes 0 No 0 N/A 0 (b) If No, when will it be completed? (c) If the EA process has not started, when will it start and when will it be completed? C.4(0) Does the specific problem affect more than one municipality? Yes 0 No~ (b) If Yes, has the problem, possible solutions and their implications been discussed with affected municipalities in order to co-ordinate planning decisions? Yes 0 No 0 7 (c) If Yes, will the proposed solution resolve the problem being experienced in all affected municipalities? YesD NoD (d) If Yes, provide details and supporting documentation. C.S(a) Does your municipality have a preventative maintenance program for the existing system? Yes~ No D N/A D (b) If Yes or N/A, provide details. -:rLU--~',.j~ vCkl-LX.... ~~~ J .0t"~u...LA.Q ..P-I s~"\~ 'P ~ ,,~:2\.J1'iLoL. \JA-L-"cS) d ~N ~ H\~'l$ B~ c.X"'ef.\ 0 I.. " (; I c..~ $ A YY\ t:o\..\.4 (, W a: ~ \_8 o f- P lJ...../3 j C.6(a) Is the project consistent with, or recommended by, an engineering study? Yes~ NoD (b) If Yes, provide a copy of the study report if it has not been previously submitted. ~ (~ I t0ec::-.U. r-..I ~ S \LLO 't \D C1 t:. co N'L p~~ ~ '1 ~ A.JU....I:.\ '3' I 2 00 \ (c) If previously submitted, specify the date of submission and the project number. C.7(a) Describe the existing water services in the problem area and in the municipality/ community. I I n r:~"q S n r4 (. f.t;; II i p V C. ~ \........ \ II Se20 \ aB 'It.) U' (' c AI raoDi9U"Y U~\Z., \.l'1~....IiS ~ mAp.) ~tJ"€ vA\..\oiCL Pu!Y)P'r--kJLUQ!: CDr-\$'.\H!. Of" CJ..ot.foJA-rn~1 VA-\..tB 4 ,,~ 1""Pr-I ~s. . C.8 What is the source of the water supply? if Groundwater D Surface water Name of surface water body: 8 I I I I e I I I I I I I I I I I I I I I I I I - I I I I I I I I I I I I I I C.9 List the average day and maximum day flows of the water supply system for the last three years using the following table. (Not for private systems.) Ave,day (m3/day) Year \ \ 2- \ 2.;\ crl ~4 5(0 50 53.B -, 0..3 ' (,-" '-" o 1 Yearly average of average day flow 2 Highest monthly maximum day Max. day (m3/day) 1991 540 5~o S~O 5'1i:> 5'10 Ave. day Max. day (m3/day) .. (m3/day) Year \9 <18 $ 0 Sqo o o Ave. day (m3fday) Year \ 9~'1 4 SCJ 0 54 5(.:, .s~ \ 0 to '19 9 II &;2- 5~ 53 73 70 .590 o o m3f day 9 :28\ C.10 Complete the following table. PROFilE OF WATER USERS Year '<19 '7 Population serviced d-.IO Breakdown of yearly water production" Average yearly consumption (rn3/year) Averageye~rly %t\verageyearly consumptio9 meteredqonsumption (",3/year)<< (m3/year) O<1b ~4 Y;5 100 10 ~s 550 5:550 Year ,<1<18 Year I " ~ 9 Population serviced ~IO Population serviced ~to I co "0 d4 10 I I I I e I I I I I I I I I I I I I I I I I I It I I I I I I I I I I I I I I SECTION D PROBLEM DEFINITION D.l Provide a summary of the specific problem(s), including a detailed description, severity and frequency of the problem (if more space is required, complete a separate sheet and attach). ID (?;E --rOOJm:V~D A.~ ~ ~GI ~\...Ic., ~~t:t I~ e;a::w CoN1 PI l~fro:0. /'Y)~ /01 I D.2 Define the problem area by providing a map or sketch and description. The problem area may be a street within a community, a section of a community, etc. Financial assistance will be considered only for works that are necessary for corrective measures in the defined problem area. D.3 Provide a detailed description of the proposed solution to the problem. (If more space is required, complete a separate sheet and attach,) 11 D.4(a) Is a public health advisory related to the potability of the drinking water, issued by the Medical Officer of Health currently in place? Yes 0 No~ (b) If Yes, attach a copy and complete questions D4(c) to (f). (c) Is the public health advisory related to: o Microbiological contamination 0 at the plant o in the distribution system o at the plant o in the distribution system (d) How long has the public health advisory been in place? o Chemical contamination (e) Has corrective action been requested by the local MOE office? Yes 0 No 0 (f) If Yes, provide details. 12 I I I I ~ I I I I I I I I I I I I I I I I I I , I I I I I I I I I I I I I I CHECK SHEET Have you attached: Y All relevant supporting documentation? Schedule completed by: Date: ocr.~, doce Name (please print): \::::1;1"fl...\ I'Y'\ f.\T\-4. \ €So \J Title: M~. Pu~\Jc.,~~ Signature: ~ ' Employer: -rtWP. at: oeo - ('(\~ iJTC Contact person: It.t: 'TH. tv1A ru ,e:sc..... Phone: (1~ 4 B 1. <04<1'1 Fax:(fo1 487- 0133 Confirmation of information by municipality: This is confirm that to the best of my knowledge, the information provided in this schedule (including supporting documentation) is true and accurate. Date: oc.:r.:l. 3,000 Name (please print): t:'E L j').! 1-<\A-1\.U ~tJ Title: ~Q(; PuLbU~ WO~ Signature: - = .R..Q() - Municipality: TWP. oGD' m.c-oot..i1C'> Contact person: 1Cc\ D\ 'h'lA ru i6c~ Phone: \1c&) 491- (;,4c;<:t Fax: Cf'S) 4 8 oJ - 0 I 3 3 13 DEFINITIONS ODWS: Ontario Drinking Water Standards (as referred to under the Drinking Water Protection Regulation). AO: Aesthetic Objective as per ODWS. MAC: Maximum Acceptable Concentration as per ODWS. IMAC: Interim Maximum Acceptable Concentration as per ODWS. MMAH: Ministry of Municipal Affairs and Housing. Residential density: The gross area includes roads, road allowances, school, buildings, churches, parks, cemeteries, stores etc., and all lands (vacant or hazard) regardless of the zoning. Representative sample: Samples that reflect the overall problem area condition particularly with respect to geographic location and types of wells, residences, industrial/commercial and institutional establishments. Sewer and water reserve funds: Discretionary funds set up solely for the purposes of water and sewage infrastructure. Total taxable assessment: The sum of local residential and farm assessment, commercial and industrial assessment, and business assessment. Discretionary reserve funds: Created under authority of the Municipal Act (s.163) and similar sections in the Regional Municipalities Act, the Municipality of Metropolitan Toronto Act, the County of Oxford Act, and the District Municipality of Muskoka Act. The reserve funds are established whenever a municipal council wishes to earmark revenues to finance a future expenditure for which it has authority to spend money, and physically set aside a certain portion of any year's revenues so that funds are available as required. 14 I I I I ~ I I I I I I I I I I I I I I I r' I I , I I I I I I I I I I I I I I OCT 19 '00 16:42 FR SUPERBUILD CORP 416 325 8851 TO gl~lg~db4jjb @ Ontario Super8uild Ontario Small Town and Rural (OST AR) Development Infrastructure Program Schedule A WATER ENGINEERING STUDY PROJECTS OR WATER CONSTRUCTION PROJECTS To Meet Drinking Water Protection Regulation t-'.~':::/l':i Municipality lWP. crJ: oe.o - ('(\6QcrJT€. Community/System GQ..a,~ U-u,QS:\ Date Ocr-. 4 I 2000 August, 2000 OCT 19 '00 16:42 FR SUPERBUILD CORP 416 325 8851 TO 915198264336 P. 03/19 INSTRUCTIONS 1. Each municipality can submit one application (business case) which may encompass more than one water system. For the purpose of the schedules, please complete a separate one for each water system. . . ,- 2. Please enclose all supporting documentation requested. Submissions will notbe evaluated until all information is received, !;;14$';'~.;." 3. If there is not.enough space in this document to convey all the necessary information;;- please attach the material separately and refer to it in the relevant question(s)." ,.' Fortechnical Questions relating to this schedule, please contact the Ministry of the Environment's Environmental Partnerships Branch at (416) 314-4612. 4. I I I I ~ I I I I I I I I I I I I I I I I I I , I I I I I I I I I I I I I I OCT 19 '00 16:42 FR SUP~~bU1LU LU~~ 4lb ~~~ ~~~l IU ~~~~~o~o~~~o r- . tJ'""t' .I.,.J INTRODUCTION ,1, The purpose of the SuperBuild OST AR Infrastructure Program is to improve the quality of infrastructure in Ontario's small towns, rural communities, and small cities. SuperBuild's objectives for OST AR include: Addressing infrastructure investment needs. including public health and safety priorities; Investing in strategic infrastructure projects that support rural and urban economic development; Finding new and better ways to finance and deliver infrastructure, including greater use of public-private partnerships; and, Improving infrastructure planning and management. OSTAR is a five-year $600 million, program. The priority for Round 1 of OSTAR is public health and safety infrastructure. The Province has committed $240 million for Round 1. Round 1 consists of two options. Under Option 1, municipalities may choose to apply for funding to comply with the Drinking Water Protection Regulation or with orders from the Ministry of the Environment. Under Option 2, municipalities may apply for funding for other public health and safety infrastructure (e.g., transportation structures, other water and sewer infrastructure ). This Schedule applies to Option 1 as it is directed towards meeting the standards under the Drinking Water Protection Regulation (DWPR). This regulation applies to "large water works": Serves 6 or more private residences: or Provides more than 50,000L per day; or Capable of supplying water at a rate greater than 250.000 litres per day. The key requirements under the regulation for water works include: Health based standard Minimum level of treatment and enhanced chlorination requirements Mandatory sampling requirements Analysis by accredited Jaboratories Notification for exceedence/indicators of adverse water quality Public notice Quarterly reports Public access to information Document and record retention Review of municipal water works. Applicants seeking assistance for Option 1 are eligible to apply for funding for the initial engineering studies and the capital work required to meet the health based standards and minimum level of treatment requirements. For application deadlines, please refer to the application guidebook. ii OCT 19 '00 15:42 FR SUPERBUILD CORP 416 325 8851 TO 915198264336 P.05/i9 TABLE OF CONTENTS Section A: Pre-qualification ....... . . . . . . . . . . . . . . . . . . . . . ' , . . . . . . . . . . . . . . ., 1 Section B: Project Schedule and Financing ....................,.,........... 3 Section C: General Information '" . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 7 Section 0: Problem Definition ............................................ 11 Check Sheet ,.......,.,....,.........."..............,.......,........ , 3 Definitions ........................................,............,.."... 14 iii I I I I " I I I I I I I I I I I I I I I I I I - I I I I I I I I I I I I I I OCT 19 '00 16:42 FR SUPERBUILD CORP 416 325 8851 TO 915198264336 P.06/19 SECTION A PRE-QUALIFICATION This section will be used to determine if your proposed project is eligible to be consideredforfunding under the Ontario Small Town and Rural Development Infrastructure. Program. All questions in this section must be answered. A.1 Is this application for a project involving the: g preparation of an Engineer's Report for Water Works, as required under the Drinking Water Protection Regulation; o preparation of an Environmental Assessment; or o construction of Water Works (project may include detailed design)? A.2(a) Does the existing water works supply more than 50.000 litres of water on at least 88 days in every gO-day period? Yes~oO (b) IS the existing water works capable of supplying water at a rate greater than 250,000 litres per day? Yes~oO (b) Does the existing water works supply more than 5 private residences with water? Yes 'EfNo 0 A.3 Does the existing water system meet the Drinking Water Protection regulation under the Ontario Water Resources Act as follows? For groundwater source water supplies: Does the existing treatment system include disinfection of the water supply? For every well in the water treatment and distribution system, are standby disinfection equipment and a supply of appropriate chemicals available for immediate use? Yes~ NoD Yes~ NoD Does the disinfection persist in the treated water as it moves through the distribution system? Yes~ NoD 1 OCT 19 '00 16:42 FR SUPERBUILD CORP 416 325 8851 TO 915198264336 P.07/19 A.4(o) (b) A.S (0) (b) For surface source water supplies: Does the existing treatment system include chemically assisted filtration and disinfection of the water supply (or other treatment capable, in the Ministry of the Environment's (MOE) opinion. of producing water of equal or better quality)? Are standby disinfection equipment and a supply of appropriate chemicals available for immediate use? Does the disinfection persist in the treated water as it moves through the distribution system? Yes 0 NoD YesD NoD YesO NoD I I I I - I I Has your municipality consulted with the local office of the MOE and/or the Medical Officer of Health to determine whether an immediate public health and/or environmental problem exists? W~L..'T wt:).~ SAm()'-\~c, ::c; P~~I'I"OO Lu~~ AD~ Yes 0 No rg/ T81} ~oUC1:> j!:) \lJ:€. D\~c::r rt'Oc o~" <' CX)~uc. ~'T\04 vi If Yes, identify the person(s) consulted and, where available, provide supporting documentation from the MOE District Manager or the Medical Officer of Health (MOH) regarding the problem described in the schedule (Section D). MOE contact person Date of Contact MOH contact person Date of contact If No. consult prior to filling out the rest of this application. For Study Projects Only: Are terms of reference for the study project attached? Yes D No 0 Do the terms of reference require the investigation of area-wide/joint-servicing arrangements with neighbouring municipalities? Yes D No D 2 I I I I I I I I I I I I I I I " I I I I I I I I I I I I I I OCT 13 '~~ 1b:4d ~~ ~U~~~~UIL~ ~u~~ ~~o ~~~ oo~~ IU J~~~~U~U~~~U I . '-''W' ....t B.1 Proposed project initiation date: B.2 rn~ /0 , . Anticipated project completion date: B.3(0) Complete the following table: ESTIMATED COSTS Distributionsy~~~. B :... ':',~'A"i(t~~;~I:~.:'. 1. 2.. Prelirninaryengineering (environmental assessment, engineering report) . 3.' Engineering (finaCcfesign; . supervision) 4. Project management 5. Jsco ~S'DO IS ;:)5 '1 ~ 7S' "dS15 o ~51S o 'do S,S 11. Total eligible cost (9 minus 10) (b) Total project cost. Column A + B :: $ 51 So 8.4 Complete the following table: ESTIMATED QUARTERLY CASH FLOW (April - June) (July - Sept.) (Oct. - Dec.) (Jan.- March) 51S;o 3 OCT 19 '00 16:42 FR SUPERBUILD CORP 416 325 8851 TO 915198264336 8.5 Provide the following information regarding the municipal reserve fund. Water Sewage. . (a) How long has the fund been in exjstence?:!"4~, ~",P~J"',;' ....... C',' "',' -r.:i.-!'-,",:, "_""'C"',":"',-,..J 3 't"~ .. (b) Whatis its;current.value? $ i 'I, to 4 b ','," ,..~",'r".<' .~ ,,"'1:'"1::''''' '. ,:,~"'" -':',;:'..',- \ ""',':.: ,_,' (c).. Wfhth.at4~tn.,~~~g;:~P,),~~~ryJ$!1!~g.?,~r.'." $ 41.1 '2_ o e'system:t:I:t~~:,~;;;~",,~:'[',~,i:i".~'I.,r' ;'~~:"';\"'.1' I ";.;L'U . . -,- ,,:"~~~~.;,-:'!,:":' -"':"""','-- :",'; '. """"""",.,.", .'; ',' .- ".?,:;;~::~';';' ',:;:';-<~\~~_:""~"';':~~~~"7-~.I:'~',.':;;';: "::_';- '.,_^, ,,;:;'f-';..I:.~."; ',-;~ . ,'<,," ;.'~~', (d) Whatisthe~ctU:Te9tannuarContnDution:'" $ tothe'fund~~;i>.~~~d:.~ti.!?"!i,;.~~~~jk!.;\{i~~b;.[!", () 1 ~ $ $ $ :....,>:.. ......:.:'.:~:;~~i .,'>" ':".''to";,',,;,,,,~' .' . .;,'~ (e) Whatis~the~'Value'9t:your:other/~'" $ tv)A discretionarY:reser:Ye(funds?,,^'~i,,;, 'I "';<(".' .... ."" (f) Whatportion';of;;ypur~Other'.discretionary.':'p $ ~~~~~:~;~~,$~~ntlY.~TT~ed,,~~Y~ N/A P.09/19 Both $ $ $ 6.6 Please provide information on annual typical home owner charges (per residence) for water and sewage services in the following table (use most recent year for which information is available): YEAR ~o 0'0 ~8s ~5o ~5" 4 I I I I " I I I I I I I I I I I I I I I I I I - I I I I I I I I I I I I I I OCT 19 '00 16:42 FR SUPERBUILD CORP 415 325 88~1 IU ~1~1~~~b4jjb I"" . 110/ 1:1 8.1 Please provide details of the pricing system(s) and the rates charged for water used in your municipality. ,., ....,.;., "~ j'.JI.,~"""~.,i""",,,,~...;"''''''.'' '"......r'......,.=, 'f,' "'" ...... .'. Di~ ' ...., :": "",,~,,"':',\o:,:..~.."';", .~...-~:' ~~..~. ...jOo\~'~/~'.~.nrot/~-,"-,~.:-.._H ,P',.'''-:W., ~',,~..u.";'r.=:~t:~;.:"t.\~,<~.' ~~ifv.'\'~~~4~~': " ,,,1. , Residential~" ~~Commercial.#. {Iristitutional~~ ~:'hidustdal ' f aSS '" P 11:> ~t*>- 54sc 54 ",;t- (d; Co rn _ tt C :750: 'V'I _ 'Ii I.oo~ If other, please provide details: B.8 What is the total taxable assessment* per household in the municipality? $ t gq. 4cr-1 . See Definitions section Note:Applicants in 2000-01 use information reported in Financial Information Returns for the year ending December 31, 1999. Applicants in 2001-02 use information reported in Financial Information Returns for the year ending December 31, 2000. B.9(g) Is your municipality currently applying or planning to apply to other programs for funding for this project? Yes 0 No tsV" (b) If Yes. under what program will the application be made? 5 OCT 19 '00 16:43 FR SUPERBUILD CORP 416 325 8851 TO 915198264336 P,l1/19 S.lO(o) Has the municipality previously applied for financial assistance for this project? Yes 0 No~ (b) If Yes, under what program (Provincial Water Protection Fund, Municipal Assistance Program, Lifelines, Direct Grant, etc.)? (c) When was the application made? (d) Summarize the reason(s) for this re-application. 6 I I I I - I I I I I I I I I I I I I I I I I I , I I I I I I I I I I I I I I OCT 19 '00 16:43 FR SUPERBUILD CORP 415 325 8851 IU ~151~~~b4~~b r'.l~/l'::l SEalON C GENERAL INFORMATION " " C.1 Provide the following information. Local municipal population ~ Note: Use the Ontario Municipal Directory, 2000. Number of households ., ~&:> PROBLEM AREA INFORMATION ':p. ;" ~,,;;;:,~Problem,Area~'H : >'~""",." ;<":'~~N~~ .$~... , " Population~'."" -~~;",;, .',,;"',.'. . '.;j ~... "~'.".'!. ;w'~d"":i::<'~.''',,, I 53 . --'" , '~~'. - ."!"...;~'~ ~:"'~.~~ ,'. ",',., .,~".:-.\ ,:..:0:-....., G ' . . ", ". h ct:{" .. .>:.;,,:, .;.'. :,., .. ross'area,Jp: ,e. t.es""'~::;<;0);";';' Res identiafprefrijseS:h1~:"~"\;: .~.,,;, ... 5 , . .," ... ,"'" P",:";':,,,".. .. ". ,.", "-:' ,:' 'H", Industriatprernises~i:i~';<: :;,',J:, - .. .... .... """" , .. .. , Commerciatpremises:'J:' ." - Institutional' premises., '~.i.. ' ... '. .. - C.2 Does this project consist solely of U Approved Activities" as per Schedule A of the Class Environmental Assessment (EA) for Municipal Water and Wastewater Projects? YesD NoD C.3 If the project falls under the provisions of Schedules B or C of the Class EA for Municipal Water and Wastewater Projects, has the environmental assessment process for this project been completed? YesD NoD N/AO (b) (c) If No, when will it be completed? If the EA process has not started. when will it start and when will it be completed? C.4(0) Does the specific problem affect more than one municipality? Yes D No cY'" (b) If Yes, has the problem, possible solutions and their implications been discussed with affected municipalities in order to co-ordinate planning decisions? Yes D No D 7 I I I I ~ I I ~~e.. I I I I I I I I I I I I OCT 19 '00 16:43 FR SUPERBUILD CORP 416 325 8851 TO 915198264336 P.13/19 (c;) If Yes, will the proposed solution resolve the problem being experienced in all affected municipalities? YesD NoD (d) If Yes, provide details and supporting documentation. C.S(a) Does your municipality have a preventative maintenance program for the existing system? Yes (9"" NoD N/AD (b) If Yes or N!A, provide details. ~~~:~~ ~ ~C::1 : ~~~~:A-~A~~~~~ ~~OLC'":> ~ICA::U.. sJ:).N\Pl.iaJ~ w~'( C.6(0) Is the project consistent with, or recommended by, an engineering study? Yes~ NoD (b) If Yes. provide a copy of the study report if it has not been previously submitted. GN c; I N~ rJ <. S1'1)O Y TO ~E C::O~Pl1:~ B. 'I ~ '6). ;\0<;. I (e) If previously submitted, specify the date of submission and the project number. C.7(a) Describe the existing water services in the problem area and in the municipality! community. WA \"S2. S~ "(tS::) ~ ....,. ~(3) W-~ \"C:) ';)~'-l Co ~ ;p..) (4 2.cu.lD ~ It:.n,. t.4-1~~ L..\f=r PUrn~s . Put('\p <....)~ TC \"5'0""'''''' W~ ~,04 . S~'<.Q ~N~C.~" ALL =i/4,. ~i~,u:: S~U\CB. .r1t2E f'omP SufPLI8 ,i.oorna.f~ WQf'S1, 1"0 I-l.'-/D~ a: .:DJ ~ OF H~' C.8 What is the source of the water supply? v Groundwater o Surface water Name of surface water body: 8 I I I I - I I I I I I I I I I I I I I OCT 19 '00 16:43 FR SUPERBUILD CORP 416 325 8851 TO g1~lg~~b4jjb 1-'.14/1':1 C.9 List the average day and maximum day flows of the water supply system for the last three years using the following table. (Not for private systems.) Monthr Ave~day Max, .day .. Ave. day: Max. day Ave~day" ~':Maxt.day ., (m3/day) (m3/day) '., , (m3Jday) (m3Jday) (m3/day)' i?(QTlday) ",.,<<.,- , ~"'.,7~i~j;;;:r':~' '. '" ..r-&.,t~'""~t'" "'./" Year I q'j 1 Year t9Cf 8 Year i ~qG .',:;i,:':::l~'(....,,'1..li;1 ,',:! ;,.\: January,J.';\:~~~d~~~;:,.~' tb ~~'1 cl~ ~~'1 ~-~ :l:l'1 Februar.j~t't; I ., ;;23 ~4 ' ,!,I..--., :..... March::":~ II ~4- ~4 ,......-;,~...!.... 18 ~b April""::O::":!:", ' ~..~:,,,,,. ~1 . ">''';'~~.~"I.,_: ~,.'t11~.;:;::;.~., May ':; ~:;;~~~~~~i-',: '~~'.::.~..; 4D , :?,4 8ra ..\",,~,. -i<:"....j',,\,..,. :,:.\~ :~., ~ ~~, t..: ..... ".....~,... J . ~"'~"4~~u" \ ~~ t,q IS . une'...... ". ,"'~ ~.:,.","',,' ;.,.:::i,Y'.~;A>o F;~,~?',; July" >,'~'~.~~:~~~l~~:~J~;\7~i~~:.;.;. I 33 lob t I 0 t' Augustb'M~:\~;;~?~;"(~~ '.. l 5S (a4 1 5 ~ Septemberf~~'/: ' 3~ ~~ 3S- ;.c, OctobeliIk1~J~P\'/'";;''.'';: ~I S4 50 "* :.... J .~.::.;..t;.,.",~,. . . . :''':i~:i~r''.;)~~ ';". . ~ ~~ ~S "J'(. November--. .. :'i)v; \ r~~~ \ """:..". .' Dece~p~t~#:t:;:, ~ \ ~ S ~S T'< Y rty':'~' '.' .. ~" <' .50 . . ,. 48 :);~~~~~: ~.' ::~. . eaav~ge~'1,(. 5~ ". r~~~.jl,.; t 3 8 \ ~8 lS" '3 .. " M -..,.:d. "'ZiV,c;, ! '34'.. -. :l~'1 axJmUm1,.. .~Y:~ . ,,"-;7'c I'.' tS,5 /~: ~;}'1 ".. :1:l'i tkO.~; # of daYSrnax.:.day' exceeded~design;~:>;.. 0 max. dayjli)w,~ ." ." # of da~m3x::~day exceeded:85%~~"." 0 designm~;;:; t1ow'~~]#i~~/; Average ,day ~)R. Maximum day design N/Q design.fl~:.'," fJow(m31day)>; . . (m3/day)\ :';. ..... Uncommitted, , N)~ C of A No. -, - 0<<\ :).~ -q ~-~ 3'=:. h dr"" .... m3f day Date of issue .q I c:; q;}. y rau IC,:~; .' ...... reserveeapacity' . I . . 1 Yearly average of average day flow " j ..'. '. .:., 2 Highest monthly' maximum day .... '.' , "" ',". '.'< ".ii' * aT1W\~ v'CI..UTr\E. 9 OCT 19 '00 16:43 FR SUPERBUILD CORP 416 325 8851 TO 915198264336 P.15/19 C.10 Complete the following table. PROFILE OF WATER USERS Year Iqq, Year 1'}98 Year '<1q<1 Population serviced po~ulation serviced Population serviced 138 I t1 t5~ Breakdownd Averag~ yearly %. Average y~ady : '''}'(a , .- Averageyearty, ;..-f,:..'.....,~.; 1~ yearlyWatea' >: ~, consumption:., , metered I ~nsumptiO~;t ',metered :..consumption:~ ): 'h productio!i':-" :, (m3/year) , " ' , ", (m3Iyearl~t: ~:, .'., ~ ,"(m3/year) ": :!f~;.~t1~; :.~ -, ..... ResidentiahS'~"', ' .. Si, :S1 S- O 48 cU 0 lno1o 40, IS-o 1001" " ..., ~,. .. ~ , Institutional~(~~~:"; T Commercial,::;; . . , . IndustriaL,;;;';: Unaccounied,;t': .~,..)>~~).:~ tal .,," SG:, 5,-;, .'. 4'8 91'0 40 ISo ., " ,,'.. 10 I I I I -- I I I I I I I I I I I I I I I I I I ~ I I I I I I I I I I I I I I OCT 19 '00 16:43 FR SUPERBUILD CORP 416 325 8851 TO 915198254335 P.lb/l'=' SECTION D PROBLEM DEFINITION D.1 Provide a summary of the specific problem(s), including a detailed description, severity and frequency of the problem (if more space is required, complete a separate sheet and attach). To Be..:t:'[) E)..)11 A"& Bi?a4 Co rn (.) t.EreC Af?rC-Q. ~ ~l.. I )")~l ~ <; ~a ~/o\ ,{ ~ D.2 Define the problem area by providing a map or sketch and description. The problem area may be a street within a community, a section of a community, etc. Financial assistance will be considered only for works that are necessary for corrective measures in the defined problem area. D.3 Provide a detailed description of the proposed solution to the problem. (If more space is required, complete a separate sheet and attach.) 11 OCT 19 '00 16:43 FR SUPEREUILD CORP 416 325 8851 TO 915198264336 P.17/i9 D.4(0) Is a public health advisory related to the potability of the drinking water, issued by the Medical Officer of Health currently in place? Yes 0 No~ (b) If Yes, attach a copy and complete questions D4(c) to (t). Ce) /s the public health advisory related to: o Microbiological contamination 0 at the plant o in the distribution system o Chemical contamination o at the plant o in the distribution system (d) How long has the public health advisory been in place? (e) Has corrective action been requested by the local MOE office? Yes 0 No 0 (f) If Yes, provide details. 12 I I I I ~ I I I I I I I I I I I I I I I I I I " I I I I I I I I I I I I I I OCT 19 '00 16:43 FR SUPERBUILD CORP 416 325 8851 TO 9151982b4jjb to' . It:::IIl ';; CHECK SHEET Hove you attached: 19'" All relevant supporting documentation? Schedule completed by: Date: oc..:r-. 4. 20:> 0 Name (please print): '(E IN NIA.1'\l.18;(:)\..(> Title: Signature: Employer: Contact person: Phone: ( ) Fax: ( ) Confirmation of information by municipality: This is confirm that to the best of my knowledge, the information provided in this schedule (including supporting documentation) is true and accurate. Date: O~. 4. 2..000 Name (please print): v.::E-~ 11-! IV' 41'"'\+ \Ebo-.J Title: ~IC t.:JcU<.< SIgnature: - Municipality: TLJp. of 0 e.o - MEDo U\"f'6 Contact person: .ct l ~\ ~ 11-\i-e:-~-...I Phone:~l 4 81- ~49 9 Fax: (J:S1 4' 8 -Z. 0 l 3 3 13 OCT 19 '00 16:43 FR SUPERBUILD CORP 416 325 8851 TO 915198264336 P.19/19 DEFINITIONS ODWS: Ontario Drinking Water Standards (as referred to under the Drinking Water Protection Regulation). AO: Aesthetic Objective as per ODWS. MAC: Maximum Acceptable Concentration as per ODWS. IMAC: Interim Maximum Acceptable Concentration as per ODWS. MMAH: Ministry of Municipal Affairs and Housing. Residential density: The gross area includes roads, road allowances, school, buildings, churches, parks, cemeteries, stores etc.. and all lands (vacant or hazard) regardless of the zoning. Representative sample: Samples that reflect the overall problem area condition particularly with respect to geographic location and types of wells, residences. industrial/commercial and institutional establishments. Sewer and water reserve funds: Discretionary funds set up solely for the purposes of water and sewage infrastructure. Total taxable assessment: The sum of local residential and farm assessment, commercial and industrial assessment, and business assessment. Discretionary reserve funds: Created under authority of the Municipal Act (s.163) and similar sections in the Regional Municipalities Act, the Municipality of Metropolitan Toronto Act, the County of Oxford Act, and the District Municipality of Muskoka Act. The reserve funds are established whenever a municipal council wishes to earmark revenues to finance a future expenditure for which it has authority to spend money, and physically set aside a certain portion of any year's revenues so that funds are available as required. 14 ** TOTAL PAGE. 19 ** I I I I -- I I I I I I I I I I I I I I I I I I ~ I I I I I I I I I I I I I I @ Ontario SuperBuild Ontario Small Town and Rural (OSTAR) Development Infrastructure Program Schedule A WATER ENGINEERING STUDY PROJECTS OR WATER CONSTRUCTION PROJECTS To Meet Drinking Water Protection Regulation Municipality Il0P. 0 r oeo.. cn8Jol-l ~ C S CAN~6uQ." ommunity/ ystem \ t;;;;"- , Date ocr. "3/ "2000 August, 2000 INSTRUCTIONS 1. Each municipality can submit one application (business case) which may encompass more than one water system. For the purpose of the schedules, please complete a separate'one for each water system. 2. Please enclose all supporting documentation requested.. Submissions will not be evaluated until all information is received. 3. If there is not enough space in this document to convey all the necessary information,', please attach the material separately and refer to it in the relevant question(s), For technical questions relating to this schedule, please contact the Ministry of the Environment's Environmental Partnerships Branch at (416) 314-4612. 4. -. I I I I " I I I I I I I I I I I I I I I I I I " I I I I I I I I I I I I I I INTRODUCTION ~ The purpose of the SuperBuild OST AR Infrastructure Program is to improve the quality of infrastructure in Ontario's small towns, rural communities, and small cities. SuperBuild's objectives for OST AR include: Addressing infrastructure investment needs, including public health and safety priorities; Investing in strategic infrastructure projects that support rural and urban economic development; Finding new and better ways to finance and deliver infrastructure, including greater use of public-private partnerships; and, Improving infrastructure planning and management. OST AR is a five-year $600 million, program. The priority for Round 1 of OST AR is public health and safety infrastructure. The Province has committed $240 million for Round 1. Round 1 consists of two options. Under Option 1, municipalities may choose to apply for funding to comply with the Drinking Water Protection Regulation or with orders from the Ministry of the Environment. Under Option 2, municipalities may apply for funding for other public health and safety infrastructure (e.g., transportation structures, other water and sewer infrastructure ). This Schedule applies to Option 1 as it is directed towards meeting the standards under the Drinking Water Protection Regulation (DWPR). This regulation applies to "large water works": Serves 6 or more private residences; or Provides more than 50,000L per day; or Capable of supplying water at a rate greater than 250,000 litres per day. The key requirements under the regulation for water works include: Health based standard Minimum level of treatment and enhanced chlorination requirements Mandatory sampling requirements Analysis by accredited laboratories Notification for exceedence/indicators of adverse water quality Public notice Quarterly reports Public access to information Document and record retention Review of municipal water works. Applicants seeking assistance for Option 1 are eligible to apply for funding for the initial engineering studies and the capital work required to meet the health based standards and minimum level of treatment requirements. For application deadlines, please refer to the application guidebook. II I I Section A: Pre-qualification ....,....,...........,..".................... 1 I Section B: Project Schedule and Financing ,.....,...".,.,..,..,..,',....... 3 I :::::~ ~: :~o:~:: I:::~~i:n . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1: " Check Sheet .....,.......".......................,.................... 13 Definitions .........,.,.,..,...................................,.....,.. 14 I I I I I I I I I I I I I I TABLE OF CONTENTS ' iii I I I I " I I I I I I I I I I I I I I SECTION A PRE-QUALIFICATION This section will be used to determine if your proposed project is eligible to be considered for funding under the Ontario Small Town and Rural Infrastructure. Program. All questions in this section must be answered. A.1 Is this application for a project involving the: ~ preparation of an Engineer's Report for Water Works, as required under the Drinking Water Protection Regulation; o preparation of an Environmental Assessment; or o construction of Water Works (project may include detailed design)? A.2(a) Does the existing water works supply more than 50,000 litres of water on at least 88 days in every gO-day period? YesONo~ (b) Is the existing water works capable of supplying water at a rate greater than 250,000 litres per day? Yes 0 No ~ (b) Does the existing water works supply more than 5 private residences with water? Yes ~o 0 A.3 Does the existing water system meet the Drinking Water Protection regulation under the Ontario Water Resources Act as follows? For groundwater source water supplies: Does the existing treatment system include Yes ~ No 0 disinfection of the water supply? For every well in the water treatment and Yes s/ No 0 distribution system, are standby disinfection equipment and a supply of appropriate chemicals available for immediate use? Does the disinfection persist in the treated water Yes ~ No 0 as it moves through the distribution system? 1 A.4(a) (b) A.S (a) (b) I I I I - I Has your municipality consulted with the local office of the MOE and/or the Medical Officer of Health to determine whether an immediate public health and/or I environmental problem exists? Yes D No if w~y W~~ .s ~~ j....t <;:I:s. ~ R:::C2.Y\IIiD w j ~ At)~ ~,:> ~ 10 D\'S.TUtc:r ~e:. ~ t Pvawc... ~ v,.J'~1 If Yes, identify the person(s) consulted and, where available, provide supporting documentation from the MOE District Manager or the Medical Officer of Health (MOH) regarding the problem described in the schedule (Section D). For surface source water supplies: Does the existing treatment system include chemically assisted filtration and disinfection of the water supply (or other treatment capable, in the Ministry of the Environment's (MOE) opinion, of producing water of equal or better quality)? Are standby disinfection equipment and a supply of appropriate chemicals available for immediate use? YesD NoD YesD NoD Does the disinfection persist in the treated water as it moves through the distribution system? YesD NoD MOE contact person Date of Contact I I I I I I I I I I I MOH contact person Date of contact If No, consult prior to filling out the rest of this application. For Study Projects Only: Are terms of reference for the study project attached? Yes D No D Do the terms of reference require the investigation of area-wide/joint-servicing arrangements with neighbouring municipalities? Yes D No D 2 I I I I " I I I I I I I I I I I I I I B.1 B.2 Proposed project initiation date: Anticipated project completion date: B.3(a) Complete the following table: :.J'""'A.,J. ./0 , ~~/Ol . ESTIMATED COSTS 1. 2. Preliminary engineering (environmental assessment~ engineering report) 3. EngineeringH(flhal design; supervision) . . 4. Project management.. .... . 5. 6, 11. Total eligible. cost (9 minus 10) (b) Total project cost. Column A + B = $ B.4 Complete the following table: Distribution system B.":',,;""';> ~Sbo :J50o 15.- ';:>S1S. - 15. d.SIS.- o ~S1S. o ~S1S 5t50 ESTIMATED QUARTERLY CASH FLOW (July - Sept.) pril - June) (Oct. - Dec.) (Jan.- March St5D 3 8.5 Provide the following information regarding the municipal reserve fund. (a) (b) What isJts<currentvalue? (d) ", .,~'"',.-,;" :.,).,',:,-}:;:,::,:'.:Y:/::;:'(>:, (e) Whati ."~ ueof your othe . discretionary. reserve funds'? ..... .. ...'.... -',' ..,.",....,...,......, (f) What p . fyour other,:discretiona reserverurids is..presentlycommitted; council resolution'~? ' ..' er Sewage Both' I I I I - I I I I I I I I I I I I I I 8.6 Please provide information on annual typical home owner charges (per residence) for water and sewage services in the following table (use most recent year for which information is available): YEAR ~ooo $ (;)450 $ $ $ 145', 180 $ $ $ t~,~ $ $ $ N/~ $ 'tV/A 519 4 8\ I I I I - I I I I I I I I I I I I I I 8.7 Please provide details of the pricing system(s) and the rates charged for water used in your municipality. 3bS c:.1"O - ~o..., S/c.'t() - --I. 00 jc.m If other, please provide details: 8.8 What is the total taxable assessment* per household in the municipality? $ (89, 'i'tY * See Definitions section Note:Applicants in 2000-01 use information reported in Financial Information Returns for the year ending December 31, 1999. Applicants in 2001-02 use information reported in Financial Information Returns for the year ending December 31,2000. 8.9(0) Is your municipality currently applying or planning to apply to other programs for funding for this project? Yes 0 No~ (b) If Yes, under what program will the application be made? 5 8.10(a) Has the municipality previously applied for financial assistance for this project? Yes 0 No~ (b) If Yes, under what program (Provincial Water Protection Fund, Municipal Assistance Program, Lifelines, Direct Grant, etc.)? (c) When was the application made? (d) Summarize the reason(s) for this re-application. 6 I I I I . I I I I I I I I I I I I I I I I I I - I I I I I I I I I I I I I I SECTION C GENERAL INFORMATION '. C.1 Provide the following information. Local municipal population ,,,, (., 9 3 Note: Use the Ontario Municipal Directory, 2000. Number of households ., ~ &> PROBLEM AREA INFORMATION Gross area :irihectares;> Residentral premises" . , I IndustriaJ;prelni~e - Commercial premises,:,; .' Institutional premises C.2 Does this project consist solely of "Approved Activities" as per Schedule A of the Class Environmental Assessment (EA) for Municipal Water and Wastewater Projects? Yes 0 No 0 C.3 If the project falls under the provisions of Schedules B or C of the Class EA for Municipal Water and Wastewater Projects, has the environmental assessment process for this project been completed? Yes 0 No 0 N/A 0 (b) If No, when will it be completed? (c) If the EA process has not started, when will it start and when will it be completed? C.4(a) Does the specific problem affect more than one municipality? Yes 0 No &Y' (b) If Yes, has the problem, possible solutions and their implications been discussed with affected municipalities in order to co-ordinate planning decisions? Yes 0 No 0 7 (c) If Yes, will the proposed solution resolve the problem being experienced in all affected municipalities? Yes D No D (d) If Yes, provide details and supporting documentation. C.5(0) Does your municipality have a preventative maintenance program for the existing system? Yes s/" No D N/A D I I I I e I (b) If Yes or N/A, provide details. FLUS,.,.! tJ c) m~ I~.s . ~.sAS:-\1oi..l O~...J 01= ~u.J t.luC. ,,~; B(.\ c:..t'E2.:\01..Q("I~ SO n'\$)L\uC'q wa~LY .!J. Po""", , vI>- ~ t P""",. fIT' rA"'~ I!J~ ~ C.6(0) Is the project consistent with, or recommended by, an engineering study? Yes~ NoD (b) If Yes, provide a copy of the study report if it has not been previously submitted. ENG t rUEelJ ~ <1 s ruo 'i 10 ~E. C::01'(\P~ f.). 'l' h"\o..an..l ~L 200' (c) If previously submitted, specify the date of submission and the project number. C.7(0) Describe the existing water services in the problem area and in the municipality/ community. W~ Si WL'tt:O 0>"1Tt..uo weu.s. TO p.uNU' ~lT l...~ IT'1-\ :I::}...) !....,~ ~NA-TOf2. I ~,O~ C'tru~ 't Peas,..ilt:': ~""KS TO to.. ~ L,Vi'(\ W 1't'"J4 &.ow oR=" s::be. ~~j~c,. ~ ~i<.a 441,) SI~c:.}lE' 'S.Ei2.uI~ C.8 What is the source of the water supply? ~ Groundwater D Surface water Name of surface water body: 8 I I I I I I I I I I I I I I I I l- I I I I I I I I I I I I I I C.9 List the average day and maximum day flows of the water supply system for the last three years using the following table. (Not for private systems.) Ii Ave. day Max. day Ave. day' Max; day Ave..day';; tdv1a~ .... (m3/day) (m3/day) ...... (m3/day) (m3/day) (m3/day) ;v~(m~lC' · -,,"...,.:> .'.,.:.... :<:>' Year I Cf'1( Year I '1 <1 R Year -1fiL q 09 ~ q 'i dO'1 ",I ~ , I c Februa ct I '2. t 0 March' S i 1- q April q , , ~ 0 .. ." May.,.~ 1 0 ~ 0 \ "1 t. ~i~~;...)" :?:> t 1 \ 2> '"'....., 0\ 1..1... . 5' \~ ." ~;:). t ~ ',;):; \ 8 I 3 to Septemberi'}~~?;~'I" , I '7 \ 0 .... '~~,!.1~%;~p I 0 9 '1 ........'6"i~.h ~ t I , 0 Decembfarill.\w' \ , \V , \ , J <=1 " V Yearly:'a\leragej.~Y.", ~ aoq'.. "2- .j "" '.' ~'~f;f I t .....~"" . , 0 !1Op~la_ 5 \ 5\ 5 \ sel -;'" . ">"a" .... .....""").~..,...;i.1 .... .;10 ../.t~'F,.iI,..1 Maximum~AA~%';.;' i ..... . I; # of days'maX.:day exceeded..design" 0 0 0 max. dayflowJ!i#' # of daysmmc;.day ex-m 0 () deSi~nm"" ..' 0 flow....... Average d tv/A Maximum ..day.design tv/A design..flo ~ow' (m3~g~~)';~~\.~I~i,~~!~~ (m3/day) Uncommitted,/. NJPr C of A No. I' 0'5 1:4 - 8?; - co9 (0 hydraulic..>~~;..,!;; m3/ day Date of issue cCXO P. ,.:::0 , 2. ,qAQ reserve capacity , 1 Yearly average of average day flow ....,;;.;,./.;\.,.;1 MS;'i~4'M.li~~Jf:ft.~~dl 2 Highest'monthly maximum day 9 C.10 Complete the following table. Breakdown of yeartywater' production' ResidentiaL~/' . InstitutionaFi'{:;,:/ . . Commercial.c: ..' Unaccounted"; . PROFilE OF WATER USERS Year I CfCf 1 Population serviced 5/ Year tCf<j 8 Population serviced ,5t Year I 9 '1 '1 Population serviced 51 o Average yearty % Averageyearty % . AverageyearlYc'; ....... consumption metered consumption metered consumpti (m3/year) (m3/year)< (m3/year Lll<4S yS- Y380 80 10 I I I I ~ I I I I I I I I I I I I I I I I I I ~ I I I I I I I I I I I I I I SECTION D PROBLEM DEFINITION D.1 Provide a summary of the specific problem(s), including a detailed description, severity and frequency of the problem (if more space is required, complete a separate sheet and attach). 'T't> B€:. :J:D~-n FlED A 5=i~ \).}€. ~(4H~\tJu ~fU \.\-AS ~ m~ ID\ , CD"",P~ D.2 Define the problem area by providing a map or sketch and description. The problem area may be a street within a community, a section of a community, etc. Financial assistance will be considered only for works that are necessary for corrective measures in the defined problem area. D.3 Provide a detailed description of the proposed solution to the problem. (If more space is required, complete a separate sheet and attach.) 11 D.4(a) Is a public health advisory related to the potability of the drinking water, issued by the Medical Officer of Health currently in place? Yes 0 No~ (b) If Yes, attach a copy and complete questions D4(c) to (f). (c) Is the public health advisory related to: o Microbiological contamination 0 at the plant o in the distribution system o at the plant o in the distribution system (d) How long has the public health advisory been in place? o Chemical contamination (e) Has corrective action been requested by the local MOE office? Yes 0 No 0 (f) If Yes, provide details. 12 I I I I e I I I I I I I I I I I I I I I I I I - I I I I I I I I I I I I I I CHECK SHEET Have you attached: ~AII relevant supporting documentation? Schedule completed by: Date: Oc..t. ";. ~D Name (please print): ~\ T1.:i t(')Q ~ 1'Gto'" Title: Signature: Employer: Contact person: Phone: ( ) Fax: ( Confirmation of information by municipality: This is confirm that to the best of my knowledge, the information provided in this schedule (including supporting documentation) is true and accurate. Date: ocr. ~,2oo0 Name (please print): \LE ITJ..\ mA- 1'.&.1 €So..J Title: ~a.tn. PURuc. l..)O ~ Signature: ~L.2fi-- Municipality: Tt....)p. DF o~- ~TE: Contact person: t::"E'I1"1-t rnA T\"nE?ic~ Phone: (""pS) 451, G::,4 <1 <1 Fax: (70'1. 487, 0 i 3 3 13 DEFINITIONS OOWS: Ontario Drinking Water Standards (as referred to under the Drinking Water Protection Regulation). AO: Aesthetic Objective as per ODWS. MAC: Maximum Acceptable Concentration as per ODWS. IMAC: Interim Maximum Acceptable Concentration as per ODWS. MMAH: Ministry of Municipal Affairs and Housing. Residential density: The gross area includes roads, road allowances, school, buildings, churches, parks, cemeteries, stores etc., and all lands (vacant or hazard) regardless of the zoning. Representative sample: Samples that reflect the overall problem area condition particularly with respect to geographic location and types of wells, residences, industrial/commercial and institutional establishments. Sewer and water reserve funds: Discretionary funds set up solely for the purposes of water and sewage infrastructure. \ Total taxable assessment: The sum of local residential and farm assessment, commercial and industrial assessment, and business assessment. Discretionary reserve funds: Created under authority of the Municipal Act (s.163) and similar sections in the Regional Municipalities Act, the Municipality of Metropolitan Toronto Act, the County of Oxford Act, and the District Municipality of Muskoka Act. The reserve funds are established whenever a municipal council wishes to earmark revenues to finance a future expenditure for which it has authority to spend money, and physically set aside a certain portion of any year's revenues so that funds are available as required. 14 I I I I e I I I I ,/,yf I I I I I I I I I I I