PLANT OPERATIONS Greening, Alterations or Improvements to School Grounds Form This form is to be used for all school ground improvements. For small scale items (i.e. a bench) please fill out Section A & C only. For larger scale projects, fill out all sections and please ensure you have read: UGDSB School Ground Greening Workbook. SECTION A School: Principal Current Date: Submitted by: Target Completion Date: Provide copies of: Site Plan Photos Concept Drawing CAD Drawing (for structures) Maintenance & Sustainability Plan (use Worksheet # 1 from Greening Workbook) Project Description: SECTION B – this section is for larger scale or multi-component projects Educational Goals & Curriculum Links: Safety Considerations: (Summarize Worksheet #3 from Greening Workbook) Accessibility & Inclusion Considerations: Yes (Summarize Worksheet #2 from Greening Workbook) (Refer to O. Reg 191/11 for further details) N/A Consulted with the school community to determine needs of children and caregivers. Incorporated accessibility features, such as sensory and active play components, for children and caregivers with various abilities into the design of outdoor play spaces. Ensured that outdoor play spaces have a ground surface that is firm, stable and has impact attenuating properties for injury prevention and sufficient clearance. Children and caregivers, with various abilities, must be able to move through, in and around the outdoor play space. The clearances and widths, etc. of exterior paths, ramps, stairs, etc., are compliant with the requirements of O.Reg 191/11. SECTION C Costs: Project Cost Estimate: Other Fees Estimate: We will be using a contractor to install our project Primary Source of Funds: Other Sources of Funds: Source of Future Maintenance Funds: Yes No SECTION D Important Considerations: Please check the box to indicate understanding of the following: School Greening Committees are responsible for all aspects of the design, costs, management and maintenance of the project. The Board has contracted with Evergreen for professional design guidance for greening projects for a limited number of schools each year. Schools may opt to pay for Evergreen (or a comparable organization that is familiar with board policies and procedures) out of their project budgets if board funding has reached its maximum. Please contact Karen Epps for details. For larger scale projects, hiring the services of a registered member of the Ontario Association of Landscape Architects (OALA) is strongly encouraged, as CAD drawings may be required. Project budgets need to be planned accordingly. Before approving any project, Plant Operations will consider a number of factors including: Compliance with the UGDSB School Ground Greening Workbook Suitability with respect to school safety and environment Impact to site operations such as snow removal/storage, drainage, grounds maintenance, etc. The school’s ongoing maintenance plan for weed control, litter removal, watering, etc. To be Completed by Plant Operations: Approved by Plant Operations – By: YES NO Alterations Tracking # Work Order # Date: If NO – Reason: Conditions / Approval: Other considerations: □ Locates arranged by school □ Soil testing required □ Disposal required □ Registered site plan amendment □ Permits required Cost Estimate: Forward form and supporting attachments to: Tara Crawford, Admin. Assistant, Plant Operations 500 Victoria Road North, Guelph, Ontario N1E 6K2