Land Type
 
 
 
 
 
NOTE: If making multiple FLUDTA submissions at the same time, please wait a few minutes before submitting each form to ensure proper processing. You should receive one confirmation email for each successful submission within 24 hours. If you require assistance, please contact fapproval@ncc-ccn.ca. 
 
Section 1 - Contact Information
 
 
 
Section 1.1 - Proponent (Project Director / Manager)
 
 
 
First Name*
 
 
Last Name*
 
 
Job Title
 
 
Name of Organization*
 
 
Type of Organization
 
 
Street Address*
 
 
Other Type of Organization
 
 
City*
 
 
Province*
 
 
Postal Code*
 
 
Telephone*
 
 
Email Address*
 
 
Signing Authority
 
 
Language Preference*
 
 
 
Note: If you answer 'No' to Signing Authority, complete Section 1.3. 
 
 
 
 
 
Section 1.2 - Billing Contact (if different than above)
 
First Name
 
 
Last Name
 
 
Job Title
 
 
Name of Organization
 
 
Type of Organization
 
 
Address
 
 
Other Type of Organization
 
 
City
 
 
Province
 
 
Postal Code
 
 
Telephone
 
 
Email
 
 
Billing Code
 
 
Signing Authority
 
 
 
 
 
 
 
 
 
 
Section 1.3 - Land Owner (Director/Manager with signing authority)
 
First Name
 
 
Last Name
 
 
Job Title
 
 
Name of Organization
 
 
Type of Organization
 
 
Street Address
 
 
Other Type of Organization
 
 
City
 
 
Province
 
 
Postal Code
 
 
Telephone
 
 
Email Address
 
 
 
 
 
 
 
 
 
Section 1.4 - Lead Consultant (if applicable)
 
First Name
 
 
Last Name
 
 
Job Title
 
 
Name of Organization
 
 
Address
 
 
Postal Code
 
 
City
 
 
Province
 
 
Telephone
 
 
Email Address
 
 
 
 
 
 
 
 
 
 
Section 1.5 - Environmental Specialist (if applicable)
 
First Name
 
 
Last Name
 
 
Job Title
 
 
Name of Organization
 
 
Street Address
 
 
Postal Code
 
 
City
 
 
Province
 
 
Telephone
 
 
Email Address
 
 
 
 
 
 
 
 
 
 
Section 2 - Project
 
Section 2.1 - Project Information
 
Project Title*
 
 
Building or Site Name*
 
 
Project Street Address or Lot No.*
 
 
City*
 
 
Project Province*
 
 
Project Postal Code
 
 
 
DFRP or Asset Number (NCC only)
 
 
 
 
 
 
Estimated Project Budget*
 
 
 
Total Project Footprint (m2/ sf/ m/ f/ other- specify):*
 
 
 
Project Scope Description*
 
 
 
 
 
 
Section 2.2 - Type of Intervention
 
 
Type of Project 
 
Formal Heritage Designation 
 
Temporary
 
 
 
UNESCO World Heritage Site
 
 
Permanent
 
 
 
Canadian Heritage River
 
 
Land Use Change
 
 
 
National Historic Site of Canada
 
 
Approval Amendment
 
 
 
FHBRO Designated
 
 
Please Specify
 
 
 
Classified
 
 
 
 
Recognized
 
 
New Project
 
 
 
Evaluated, not designated
 
 
Long Range Plan
 
 
 
Not Evaluated
 
 
Site Master Plan
 
 
 
Federal Heritage Railway Station (Ottawa – VIA Rail)
 
 
Building (new stand-alone)
 
 
 
Gatineau Park Cultural Heritage Plan
 
 
Rehabilitation/Retrofit
 
 
 
Class A
 
 
Addition / Expansion
 
 
 
Class B
 
 
Alteration
 
 
 
Class C
 
 
Structure
 
 
 
Other provincial / municipal:
 
 
Road / Bridge / Transportation
 
 
 
Ontario Heritage Act, Part IV (City of Ottawa Individual property designation)
 
 
Landscape
 
 
 
Ontario Heritage Act, Part V (City of Ottawa Heritage conservation district designation)
 
 
Stormwater Management Infrastructure
 
 
 
City of Ottawa Heritage Register Listing
 
 
Watercourse / Wetland
 
 
 
Registre du patrimoine culturel du Québec
 
 
Utility / Equipment
 
 
 
Répertoire du patrimoine culturel du Québec
 
 
Commemoration
 
 
 
Ville de Gatineau, Inventaire et classement du patrimoine bâti
 
 
Public Art
 
 
 
Other (specify)
 
 
Installation
 
 
 
Please Specify
 
 
Lighting
 
 
 
Not Applicable
 
 
Paving
 
 
 
Archeological Potential 
Signage
 
 
 
Archeological Designation Unknown
 
 
Commercial
 
 
 
Pre-contact
 
 
Commemoration / Interpretation
 
 
 
Low
 
 
Traffic
 
 
 
Medium
 
 
Wayfinding
 
 
 
High
 
 
Construction
 
 
 
Historical
 
 
Site Work
 
 
 
Low
 
 
Demolition Footprint
 
 
Amount
 
 
Medium
 
 
Excavation Footprint
 
 
Amount
 
 
High
 
 
Remediation
 
 
 
Not Applicable
 
 
Hoarding / Staging
 
 
 
 
Other (specify)
 
 
 
 
Environment
 
 
 
 
Cutting of trees / shrubs
 
 
Approximate #
 
 
 
Works in or < 30m of Water
 
 
 
 
Disturbance of suspected or known contaminated soils
 
 
 
 
Estimated Footprint of area impacted by works
 
 
Estimated Footprint of area impacted by works
 
 
 
Transaction (check all that apply)
 
 
 
Disposal
 
 
Lease
 
 
 
Easement
 
 
Land Access Permit
 
 
 
Covenant
 
 
License of Occupation
 
 
 
Other (specify)
 
 
Transaction Other Details
 
 
 
Section 3
 
 
 
Projected Schedule 
 
 
 
 
 
Section 3.1 - Project Development Schedule
 
Master Plan Completion Date
 
 
Schematic Design Completion Date
 
 
Design Development Completion Date
 
 
 
Section 3.2 - Project Implementation Schedule
 
 
 
Complete if information is available at time of application. 
 
Tender Date
 
 
Construction Start
 
 
Substantial Completion Date
 
 
 
 
 
 
Section 4 - Background Documents
Upload supporting documents with your submission. (Max 10mb each) 
 
 
 
 
#1 File Upload
 
 
#2 File Upload
 
 
#3 File Upload
 
 
#4 File Upload
 
 
#5 File Upload