Conservation Halton 2596 Britannia Road West Burlington, ON 7P 0G3 Phone: 905.336-1158 Fax: 905.336.7014 Extension: 254 gis@hrca.on.ca Geographic Information Systems Program Protecting the natural environment from lake to escarpment www.conservationhalton.on.ca REQUEST FOR CUSTOM MAPPING PRODUCTS This application must be completed in full for all custom .pdf maps or series of .pdf map requests. Incomplete applications will be returned to the applicant and may result in significant delays to processing your request. A typical mapping request will take approximately 5 to 10 business days to process from the time it is received by Conservation Halton. There may be a fee based on staff time required to produce the mapping, typically $125 + HST. Requests are processed in the order that they are received. Enquires regarding the status of any custom mapping request should be directed to gis@hrca.on.ca A. CONTACT INFORMATION NAME ADDRESS PHONE NO. FAX NO. EMAIL B. PROPERTY ADDRESS (OR AREA TO INCLUDE ON MAP) ADDRESS (SAME AS ABOVE) LOT/CONCESSION ROLL NO. NORTHING EASTING ARL MAP NUMBER C. WATERSHED LOCATION INFORMATION (IF KNOWN) ☐ Bronte Creek ☐ Burlington Urban Creeks ☐ Sixteen Mile Creek ☐ Oakville Urban Creeks ☐ Grindstone Creek ☐ Cootes Paradise Watershed D. REQUESTED HAZARDS TO BE MAPPED 1 ☐ Stable Top of Bank ☐ Wetland ☐ Meander Belt ☐ Approximate Regulation Limit (ARL) ☐ Flood Plain ☐ Cross Sections ☐ Shoreline ☐ All Hazards 1 Most requests require a map of the ARL, unless there is a specific need to depict an individual or multiple hazards for analysis or similar purposes. Standard 1:4,000 scale maps of the ARL are available for purchase for $10.00 each and do not require a custom map request. Please contact the Planning Department for more information (x276). Page 1 of 2 Revision Date: September 27, 2013 Conservation Halton 2596 Britannia Road West Burlington, ON 7P 0G3 Phone: 905.336-1158 Fax: 905.336.7014 Extension: 254 gis@hrca.on.ca Geographic Information Systems Program Protecting the natural environment from lake to escarpment www.conservationhalton.on.ca E. OTHER REQUESTED FEATURES (TO INCLUDE ON MAP) ☐ Roads ☐ ESA ☐ Airphotos ☐ ANSI ☐ Creeks ☐ Significant Woodlands ☐ Contours ☐ Greenbelt ☐ Species at Risk ☐ NEC Planning Area F. CUSTOM MAP SIZE ☐ 8 ½ x 11 (Letter) ☐ 11 x 17 (Tabloid) ☐ 18 x 24 ☐ 24 x 36 ☐ 36 x 48 ☐ Other G. CUSTOM MAP DELIVERY FORMAT ☐ Hard Copy ☐ Digital PDF H. ADDITIONAL INFORMATION (Describing the main purpose or focus of the map will help with design) I. CH STAFF USE NAME DATE Page 2 of 2 Revision Date: September 27, 2013