Fillable COUNTY FOREST EVENT PERMIT APPLICATION (Dufferin County)

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COUNTY FOREST EVENT PERMIT APPLICATION (Dufferin County)

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County of Dufferin, Corporate Services
55 Zina Street, Orangeville ON L9W 1E5
The personal information collected on this form is collected under the authority of By-Law 2017-39 and will be used to
issue the County Forest Event Permit. Questions about this collection should be addressed to the Clerk at 519-941-2816
x2503.
COUNTY FOREST EVENT PERMIT APPLICATION
Applications must be submitted at least 90 days prior to the event.
Submit to: County of Dufferin
Corporate Services – Clerk’s Office
55 Zina Street
Orangeville ON L9W1E5
Phone 519-941-2816
Fax 519-941-4565
info@dufferincounty.ca
Once submitted, you will receive confirmation of receipt. Applications will be reviewed by the Clerk’s
Office and the County Forest Manager. You will be contacted regarding your permit status within 30
days.
Once issued, the County Forest Event Permit must be available for viewing at all times during the
event.
Please note that acceptance of your application is in no way approval or confirmation of your
request.
The following documentation is required before the permit will be issued:
1. Completed and signed application
2. The signed Terms and Conditions page
3. The signed Hold and Save Harmless and Indemnity Agreement
4. Proof of Insurance in the minimum amount of $5 million dollars liability showing the
Corporation of the County of Dufferin as an additional insured and including a provision for
cross liability for insurance against all damages or claims for damages or liability
5. An event description
6. An event route map
NOTE: Your event description must be approved by the County prior to being used to promote the
event.
Fee Schedule (as per By-Law 2015-41):
Application Fee: $50 plus 13% HST
Per Person Event Fee: $2/Person Attending the Event plus 13% HST
Application fee is due upon permit approval. Permits will be issued following payment of fee. Per
Person Event fee is due following the event.
County of Dufferin, Corporate Services
55 Zina Street, Orangeville ON L9W 1E5
The personal information collected on this form is collected under the authority of By-Law 2017-39 and will be used to
issue the County Forest Event Permit. Questions about this collection should be addressed to the Clerk at 519-941-2816
x2503.
C
OUNTY FOREST EVENT PERMIT APPLICATION
Applicant Information
Applicant Name:
Organization/Group:
Mailing Address:
Email Address:
Phone Number:
Event Information
Name of Event:
Date: From: To:
Number of Participants:
Type of Event: For Profit Non Profit
Intended Use: Camping Cross Country Skiing Hiking
(Check all that apply) Horseback Riding Mountain Biking Snowshoeing
Other:
Forest Tract Requested:
Brief Description of Event:
Description of Route Markings:
Print Name:
Signature: Date:
For Office Use Only
Received By: Date Received:
Reviewed By County Forest Manager: Date Reviewed:
Special Permission Letter from Forest Manager
Event Description Approved Application Fee Received
# of Participants Confirmed Indemnity Agreement Received
Proof of Insurance Received Terms & Conditions Signed
Event Route Map Received Permit Issued – Permit #:
County of Dufferin, Corporate Services
55 Zina Street, Orangeville ON L9W 1E5
The personal information collected on this form is collected under the authority of By-Law 2017-39 and will be used to
issue the County Forest Event Permit. Questions about this collection should be addressed to the Clerk at 519-941-2816
x2503.
COUNTY FOREST EVENT PERMIT APPLICATION
Terms and Conditions
• The user is responsible for complying with regulations set out in By-law 2017-39 and the
Dufferin County Forest Recreational Use Policy (Policy No. 4-6-1).
• The user’s event description must be approved by the County prior to being used to promote
the event.
• The user is responsible for all costs relating to maintaining the property for use made of it
during the event. The County has no obligation to maintain or repair the trails and/or bridges
on the property for the benefit of the user. The user is responsible for ensuring that the event
route is passable prior to, and following, the event.
• The user is prohibited from cutting any trees, branches or brush without prior written approval
from the County Forest Manager or designate.
• The user agrees that any cutting or other damages, that in the opinion of the County Forest
Manager or designate, has been caused by the users shall be rectified at the user’s expense
upon written notice by the County.
• The route of the event must follow the route set out in the permit application.
• No new trails may be created for the event without prior written approval from the County
Forest Manager or designate.
• The user is responsible for posting signage on all trails and/or bridges or other signage as
requested by the County. Any signs for the event may be posted no sooner than two weeks
prior to the event date and must be removed no later than two weeks after the event. If the
user is holding multiple events in a calendar year that use the same route(s), event signage
may remain in place until two weeks after the final event of the calendar year.
• All trails and/or bridges on the property must remain open to the public for other permitted uses
and the public shall be allowed to use them without being changed a fee by the user.
• Upon completion of the event, the user will restore the property to a state, which in the opinion
of the County Forest Manager or designate, is as good as or better than the original condition
prior to the event.
• The County reserves the right to cancel an event permit in case of predicted severe weather.
• In order to reduce the chances of introduction of invasive species, no firewood is to be brought
in to the camping area from outside the Main Tract.
County of Dufferin, Corporate Services
55 Zina Street, Orangeville ON L9W 1E5
The personal information collected on this form is collected under the authority of By-Law 2017-39 and will be used to
issue the County Forest Event Permit. Questions about this collection should be addressed to the Clerk at 519-941-2816
x2503.
• For events that include participants staying overnight/camping, at least one portable toilet must
be provided for the use of participants.
• The user agrees to comply with all applicable municipal, provincial, federal and other laws,
statutes, ordinances and requirements.
• The County may refuse to issue or revoke the permit if the user does not provide the
necessary supporting documentation or fails to comply with By-law 2017-39 and the Dufferin
County Forest Recreational Use Policy.
• The County of Dufferin reserves the right to add any conditions as required. If conditions are
not being adhered to, the County of Dufferin may stop, suspend or cancel the event.
As the organizer and person responsible for the event, I have read, understand and agree to abide by
the rules and the conditions set forth by these above terms and conditions.
Print Name:
Signature: Date:
County of Dufferin, Corporate Services
55 Zina Street, Orangeville ON L9W 1E5
The personal information collected on this form is collected under the authority of By-Law 2017-39 and will be used to
issue the County Forest Event Permit. Questions about this collection should be addressed to the Clerk at 519-941-2816
x2503.
COUNTY FOREST EVENT PERMIT APPLICATION
Save and Hold Harmless and Indemnity Agreement
The User, ______________________, agrees to indemnify, save harmless, and waive all rights
against the County of Dufferin from and against all suits and claims for loss, damage, accident, death,
or injury of any nature or kind whatsoever arising out of or connected with the use and maintenance
of the property or any preparation or construction of or on the property by the user, its members,
employees, agents, or any other person using the property.
Print Name:
Signature: Date:
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COUNTY FOREST EVENT PERMIT APPLICATION (Dufferin County)

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Completed 8 April 2021

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