Schedule C - Dam Project Description (Please complete one Schedule for each dam) Dam Name: __________________________ Project Name: _____________________________ Location Site Name/No/Civic Address: ___________________________________________________________ Please mark location on a copy of a topographic map (preferably at 1:50,000 scale) or Google Earth Image and include as a separate attachment with the application. If including a 1:50,000 Topographic Map, Please Provide: Map No: ________________ Or, UTM Coordinates: N ____________________ E ____________________ NAD __________ ZONE __________ Design Purpose of Dam: □ Hydroelectric □ Water Supply Intake Drainage Area Profile: Drainage Area: □ Tailings □ Other ____________________ Drainage Area Classification: ___________________ km2 Forest: ______________________% Main Channel Length: ___________________ km Barren: ______________________% Slope of Drainage Area: ___________________ % Wetland: ______________________% Urban: ______________________% Inflow Design Flood: Return Period: 1: ____________ years Max Inflow: ___________ m3/s Probable Max Flood (PMF): ____________ m3/s Description of Estimation: Please show sample calculation(s) below or attach separate sheets, if required. _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ Page 1 of 2 _____________________________________________________________________________________ Design (Cont’d) Dam Details: (Please attach detailed drawings and specifications) Dam Material: □ Concrete □ Earth fill □ Treated Timber □ Untreated Timber □ Other_____________ Dam Height: _____________ m Freeboard: ______________ m Crest of Dam: _____________ m Crest of Spillway: ______________ m Bottom of Outlet: _____________ m Storage Capacity: ______________ mcm Max Water Elevation: _____________ m Min Water Elevation: ______________ m Normal Operation Elev: _____________ m Spillway Capacity: ______________ m3/s Outlet Capacity: _____________ m3/s Penstock Capacity: ______________ m3/s Dam Safety Dam Safety Classification: (as per 2007 CDA Guidelines Consequence Category) □ Extreme □ Very High □ High □ Significant □ Low Please attach a Dam Safety Review Report. If not available, please indicate when the report will be completed: ___________________________________________________________________________ Please attach Emergency Preparedness Plan (EPP). If not available, please indicate when the report will be completed: _________________________________________________________________________ Construction (Please attach separate sheets, if required) Equipment to be used: _______________________________________________________________ Proposed dewatering method(s): ______________________________________________________ Briefly describe how erosion control and stabilization will be carried out: _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ Briefly describe how site restoration will be carried out: _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ Technical guidelines, departmental policies and application forms are available at: http://www.env.gov.nl.ca/env/waterres/regulations/appforms/index.html Page 2 of 2