English: Water Supply Source Assessment Step One Application Pursuant to Section 3(5) of The Water Quality Regulation 82-126 Clean Environment Act Please answer the following questions: 1) Name of proponent:___________________________________________________ 2) The proposed water supply is to be used for what purpose?___________________ ___________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ 3) Required water quantity (in m3/day):______________________________________ 4) List alternate water supply sources in area (including municipal systems):_________ ____________________________________________________________________ ____________________________________________________________________ 5) Outline proposed work schedule: _________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ 6) Discuss area hydrogeology as it relates to the project requirements:_____________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________
French: Demande de l’étape un Évaluation de la source d’approvisionnement en eau Conformément au paragraphe 3(5) du Règlement 82-126 sur la qualité de l’eau établi en vertu de la Loi sur l’assainissement de l’environnement Veuillez répondre aux questions suivantes. 1) Nom du promoteur :___________________________________________________ 2) À quelle fin sera utilisée la source d’approvisionnement en eau proposée?_________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ 3) Quantité d’eau requise (en m3/jour) :______________________________________ 4) Énumérez les autres sources d’approvisionnement en eau dans la région (y compris les réseaux municipaux)._______________________________________________ ____________________________________________________________________ ____________________________________________________________________ 5) Dressez le calendrier des travaux proposés.________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ 6) Expliquez l’hydrogéologie de la région par rapport aux exigences du projet.______ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________