Disposal at sea: permit renewal application form

Permit to be Renewed

Permits are issued in accordance with Division 3 of Part 7 of the Canadian Environmental Protection Act, 1999 (the "Act"). "Disposal" has the same meaning as in subsection 122(1) of the Act. Information provided on this form will be used to evaluate the application for a permit renewal. Information collected is intended to verify that no conditions that informed the decision to issue the original permit have changed since the original permit application.


Original Permit No.:

Original Expiry Date


Part A - Identification and Applicant Information

Part B - Information on the Proposed Activity and General Information

18. New Approvals - List all permits, licences and reviews, including environmental impact assessments, that are required by any federal, provincial, territorial, municipal or local agency for the carrying out of the activity described in this application and that were received since the original permit application was submitted.

19. Notice of Application - Attach evidence that a notice was published under paragraph 127(2)(d) of the Act.

Part C - Carrier Information

If unknown, this information may be provided at a later date, but prior to start of operations.

Send the completed permit renewal application, the application fee, and all supporting documentation to the nearest Disposal at Sea Program office of Environment Canada.

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