Municipal Drain Request Form

Request for Repair and Maintenance, Repair and Improvement, or Abandonment of a Municipal Drain (Under Section 74, 76, 78 or 84 of the Drainage Act)

TO:

FROM:

Name of person submitting request

DRAIN:

Name of Municipal Drain

911 Address or Legal Description of Property

I am the owner of the following land:

Type of work being requested: (Please choose one)

Repair and Maintenance (Section 74)

New Schedule of Assessment (Section 76)

Improvement by deepening, widening and extending (Section 78)

Abandonment of all or part of a drainage works (Section 84)

I request that if necessary, an Engineer be appointed and the he/she appoint a time and place at which he/she will attend and on-site meeting and examine the drainage area with all assessed ratepayers to be invited. I also understand the Drainage Superintendent may undertake maintenance repairs according to the specifications in the last Engineer’s report on this drain where possible.

In signing this form, the owner is advised that he/she may be charged for work performed by the appointed Engineer should the works not proceed as requested.

Dated:

Signature of All Names on Title:

Telephone Number

Signature of All Names on Title:

Telephone Number

Signature of All Names on Title:

Telephone Number