LICENSE FOR CUTTING TREES OVER 10% OF THE PROPERTY

LICENSE FOR CUTTING TREES
OVER 10% OF THE PROPERTY
GENERAL INFORMATION
ADDRESS OF THE PROPERTY
LOT NUMBER
ROLL NUMBER IF KNOWN
OWNER
IF YOU ARE NOT THE OWNER, PROVIDE YOUR
INFORMATION
IS IT A PROPERTY LOCATED NEAR A RIVER,
BROOK, STREAM OR LAKE?
TO BE COMPLETED BY THE MUNICIPALITY
PIIA ZONE
ADDRESS : ____________________________
_____________________________________
PHONE : ____________________________
CELL. : ______________________________
ADDRESS : ____________________________
_____________________________________
PHONE : _____________________________
CELL. : ______________________________
□ YES □ NO
ZONE :
□ YES
□ NO
TYPE 1 2 3
IS THERE A FOREST ENGINEER INVOLVED? IF SO FILL IN THE INFORMATION BELOW
COMPANY NAME:
NAME :
ADDRESS :
PHONE :
FAX NUMBER :
IS THERE A CONTRACTOR INVOLVED? IF SO FILL IN THE INFORMATION BELOW
COMPANY NAME:
NAME :
ADDRESS :
PHONE :
PERSON IN CHARGE OF WORK :
FORESTERY PRODUCER
ARE YOU REGISTRED AS A FORESTRY PRODUCER?
□ YES
□ NO
□ YES
□ YES
□ NO
□ NO
ARE YOU A MEMBER OF FORESTRY GROUP PRODUCERS?
□ YES
□ NO
IF SO, WHICH ONE IS IT?
__________________________
FOR THE WORK THAT HAS TO BE DONE ON TREES, DO YOU
HAVE :
 FOREST MANAGEMENT PLAN

SILVICULTURAL PERSCRIPTION
IF YOU ANSWERED YES AT ONE OF THESE, PROVIDE THE
CONCERNED DOCUMENTS.
REASON OF THE CUTTING TREES
□FORESTRY AND LOGGINS PRACTICES
□ TO HARVEST CHRISTMAS TREES
□ FOR THE PURPOSES OF FOREST DRAINAGE
□ FOR PURPOSES OF PUBLIC FACILITIES
□ FOR AGRICULTURAL PURPOSES (FILL THE BOX BELOW)
□ OTHER, SPECIFY
(The required work for reasons other than logging may require other permits or certificates)
IF WORK IS CONCERNING FORESTRY AND LOGGINS PRACTICES , PROVIDE THE FOLLOWING
INFORMATION:
 Type of agricultural work planned, completion time, agronomic study, contiguity to
cropland already part of the property covered by the application.
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
SKETCH OF THE SECTORS THAT NEED TO BE CUT
IN THE ABSENCE OF A FOREST MANAGEMENT PLAN, THE DRAWING MUST CONTAIN THE
FOLLOWING INFORMATION ON A PLAN TO SCALE 1: 20,000 OR MORE:





THE SHAPE OF THE LOTS, WHICH AREAS (S) OF THE CUTTING TREES, THE ENTRYWAY
TO THE ZONE.
THE PUBLIC AND PRIVATE ROADS, LAKES AND RIVERS IN THE AREA AND WITHIN A
RADIUS OF 30 METERS AROUND THE AREA.
THE DISTANCES OF THE ZONE IN RELATION TO DIFFERENT LAKES AND / OR RIVERS
AND VARIOUS PUBLIC AND PRIVATE ROADS.
KIND OF TREES ON THE PROPERTY.
CUTTING WORK ALREADY DONE WITHIN THE ZONE.
LOT NUMBER***
CUTTING WORK TO BE DONE
AREA
KIND OF CUT
PERCENTAGE
(M2 OR FEET2)
KIND OF
TREES
(***) If work is not homogeneous in the field covered by the application, each sector must be
specified with a plan or sketch indicating the shape and location of each sector.
START DATE : __________________________
END : __________________________
L.P.T.A.
ARE THE LOTS OR PARTS OF LOTS LOCATED IN AGRICULTURAL ZONE?
YES
NO
IS IT IN A SUGAR BUSH?
If you answered yes to those 2 questions, you might need an
authorization from the Commission de Protection du Territoire agricole
du Québec (article 27, LPTAAQ)
Authorization number CPTAQ (if any): #_________________________
□
□ YES
□
□ NO
WORK ALREADY DONE
THE LOCATION WHERE YOU PLAN TO
YES
NO
CUT, WAS IT CUT IN THE LAST 12
YEARS?
WHAT KIND OF CUT WAS IT?
CUT LESS THAN 40%
□
WAS IT A PERMIT ISSUED
□
□
□CUT MORE THAN 40%
□SANITARY CUT
□PROGRESSIVE SEEDING CUT
□ YES (IF YES, PROVIDE INFORMATION)
PERMIT # : __________ DATE : _______________
□ NO
The applicant declares that the above information is accurate.
Signature of applicant: _______________________________
A period of 30 days might be needed to issue a permit or certificate after all documents are
submitted.
RÉSERVÉ À L’ADMINISTRATION
Date de la réception de la demande :
ZONES TOUCHÉES PAR LA DEMANDE (Description des normes applicables) :
Demande approuvée :
Raison(s) du refus :
Oui 
Permis émis le :
Non 
Date :
Caducité :
Date de fin du permis :
Conditions particulières :
Signature de l’inspecteur forestier :
Signature de l’inspecteur municipal :
Autres certificat d’autorisation si requis (à compléter par l’inspecteur municipal)
 Le présent certificat d’autorisation s’applique uniquement aux dispositions sur l’abattage d’arbres.
Autres certificats ou permis émis pour la réalisation des travaux, s’il y a lieu :
 Le présent certificat d’autorisation est valable pour les dispositions portant sur :
Signé le :
par l’inspecteur :