Required fields are marked with asterisks (*)

Noise Exemption Application Form

Application for exemption from noise control by-law 2021-029 under authority granted by sections 13 and 14.

Contact Information for Applicant of Noise Exemption

(Person or Corporation)
Please provide a Contact Person who will be reachable the day(s) of noise exemption request.

Applicant Full Name:

Phone Number:

Email Address:

Mailing Address:

Contact Person: (If different from Applicant Name)

Contact Person Phone Number:

Location of Noise Exemption

Exemption Address: (If different from above)

Additional Location Information: (Description or Venue Name)

Time Period(s) of Exemption

Applications to be submitted a minimum of eight (8) weeks before exemption date request to allow for approval.

Start Date of Exemption:

End Date of Exemption:

Start Time:

End Time:

Is this a Recurring Event?

Yes

Exemption Description and Details

By-law section and type of noise for which exemption is being sought: (Select all that apply)

Yelling, shouting, or similar noises made by a person

Amplification of sound - operation of any electronic device or group of devices with loudspeakers or electromechanical transducers

Construction activity or operation of any equipment or device in connection with construction

The operation of any powered or non-powered tool, including a generator or equipment for domestic purposes other than snow removal

The loading, shipping, or handling of any material or waste, unless necessary for essential services

The operation of a toy, model or replica for amusement, and is not a motor vehicle

The use of auditory signaling devices where required by law or in accordance with good safety practices

Discharge of fireworks

Other (Please describe in additional details section below)

Description of the type of noise for which exemption is being sought:

Provide a brief explanation of why an exemption is appropriate:

Please describe steps that will be taken to reduce any non-compliance:

Additional Details:

Please attach any applicable supporting documents (drawings of location, site plan, etc)

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Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

Signature

Please note: Applicant signature acknowledges that the information on this form is not false or misleading and they understand their requirements to comply with any exemption granted by Council, as per sections 15 and 26 of this by-law.

By entering your name below and clicking submit, you are certifying that the information provided is accurate and complete to the best of your knowledge. Submitting this form counts as your electronic signature.

Full Name as Signature: