Environment and
Sustainable Resource Development
Application For Shore Line / Water Body Modification
Under the Public Lands Act and the Water Act
Client I.D. Number:
File Number: LOC
FNC Number:
Plan Confirmation Number:
Purpose:
Aquatic Vegetation Control
Bank Stabilization
Beach Construction
Domestic Waterline
Erosion Protection
Outfall/Intake
Permanent Boat Launch
Permanent Pier Site
Reservoir Construction
Other
Applicant's Name and Address:
Print Name or Registered Company Name:
Address (Street, P.O. Box, etc.)
Place, Province:
Home Telephone:
Bus. Telephone:
(
(
)
Postal Code:
)
Fax:
(
)
Joint Tenants
Is the applicant the adjacent land owner?
Is the applicant a Canadian citizen?
Yes
Yes
No
No
If no, PROVIDE written consent from the adjacent land owner.
Has the applicant attained the age of 18 years?
Is the applicant an employee of the Government of Alberta or member of the Legislative Assembly?
If yes, Ministry of
Yes
Yes
No
No
Authorized Representative (if not the same as Applicant):
Print Name or Company Name:
Address (Street, P.O. Box, etc.)
Place, Province:
Home Telephone:
Bus. Telephone:
(
(
)
Postal Code:
)
Fax:
(
)
Legal Description:
Location of Modification
¼ Sec. Twp. Rge. M
Name of Water Body if known
Name of Subdivision
Plan No. Block Lot Parcel
Proposed Date of
Commencement and
Completion
Information Requirements to Accompany Application Form:
(a)
(b)
(c)
(d)
(e)
A plan of proposed activity as per attached sample plans and Content Requirements for Disposition Plans.
A location plan must show:
(i) proposed works in relation to property lines
(ii) if applicable, any municipal reserve lands between the applicants property and the water body
(iii) location of proposed works and the present, highest, and lowest known water levels
(iv) if applicable, dimensions of the site (e.g. outer boundary of the area required to enclose the installation)
(v) minimum plan size 21.5 cm x 28 cm
Cross sections must show:
(i) existing conditions and proposed modifications
(ii) relevant measurements
(iii) minimum plan size 21.5 cm x 28 cm
A letter stating:
(i) what the proposal is
(ii) why it needs to be done
If available, a photograph, or copy of a photograph showing the existing shore line
Note: A development permit may be required from the local authority where the proposed activity may involve the use of Municipal
Reserve lands.
Date
Signature
Print Name
Title
For Departmental Use Only
Authority under the Water Act
Waiving notice of Application:
Approval Issue Date:
Notice of Decision:
Approval Number:
Your personal information is collected in accordance with Section 33(c) of the Freedom of Information and Protection of Privacy (FOIP) Act and will be used to administer the
(your) public land disposition. Sustainable Resource Development (SRD) collects, uses and discloses personal information in accordance with Part 2 of the FOIP Act. Should
you require further information about the collection, use and disclosure of your personal information, please contact Land Dispositions Branch, 5th Floor, South Petroleum Plaza,
9915 - 108 Street, Edmonton, Alberta, T5K 2G8 or call (780) 427-3570.
Documents or information provided to Environment and Sustainable Resource Development pursuant to Section 15(1)(a) of the Water (Ministerial) Regulation are public records
which are accessible by the public.
Mar 2013
Application For Shore Line/Water Body Modification
Page 1 of 2
© 2013 Government of Alberta
Application for Shore Line / Water Body Modification
under the Public Lands Act and the Water Act
The Crown claims ownership of the bed and shore of all permanent and naturally occurring bodies under Section
3(1) of the Public Lands Act. Bank stabilization projects on the bed and shore of waterbodies is normally
undertaken by adjacent property owners to protect their property from naturally occurring erosion. Permanent
occupation may include, but is not limited to, a boat launch, beach modification, aquatic vegetation control, outfall or
intake, or waterline. A Licence of Occupation under the Public Lands Act is required for permanent occupation of
public land. To obtain a Licence of Occupation the following items are required:


A completed application with the information listed on the application form
A location plan that meets department standards at: srd.alberta.ca and search for “Content Requirements for
Disposition Sketch Plans”.
Note that a survey may be requested if it is required to accurately locate the site of the improvements.


Application fee of $50.00 + GST
Digital mapping fee of $125.00
First Nations Consultation is required on applications for use of public land. Please go to srd.alberta.ca and search
for “First Nations Consultation – Lands” for information on completing this component of the application process.
If the application package is incomplete then amendments may be required and additional costs will be incurred.
Once the Licence is approved rental will be assessed in accordance with the purpose.
Prior to starting construction in a waterbody in Alberta, approval under the Water Act is required.
To obtain approval under the Water Act please go to environment.alberta.ca and then select the Information
Centre and search for “Water Act Approvals”.
To view Water Act application forms please go to srd.alberta.ca and search for Water Act forms.
Charges may be assessed upon completion of the review.
Application packages can be emailed to ESRDSurfaceActivityApplications@gov.ab.ca, or mailed to:
Alberta Environment and Sustainable Resource Development
2nd Floor, 9915 – 108 Street
Edmonton, AB T5K 2G8
Application packages must include all the supplementary information indicated on the application form and on the
fact sheet.
Both approvals must be in place prior to initiating construction on the proposed project.

Guidelines for Lakeshore Use

Caring for Shoreline Properties
Mar 2013
Application For Shore Line/Water Body Modification
© 2013 Government of Alberta
Page 2 of 2