Application to Lift a Condition from an Agricultural Operation Strategy/Plan Development Certificate

The information contained in this document is derived from the Nutrient Management Act, 2002 and O. Reg 267/03 as amended. Every effort has been made to make it as accurate as possible, but is not authoritative. Please refer to the e-Laws website or the official volumes printed by Publications Ontario for the authoritative text of the act.

Note: Original signatures are required. Please complete the application form and submit by mail or in person. Please print clearly in ink.

Do not fax.

PDF Version - 83 kb

Section 1 – Applicant Information

Company Name: ______________________________________________________

Name of Applicant
(First, Middle, Last): ___________________________________________________

Mailing Address
(include 911, RR#): ___________________________________________________

City/Town: __________________________________________________________

Postal Code: ________________________________________________________

Telephone: ________________________

Fax: _____________________________

County/Regional Municipality: ___________________________________________

Email Address: _______________________________________________________

Certificate with conditions #: ____________________________________________

Date of Issue: _____________________

Expiry Date: _______________________

Section 2 – Lifting a Condition

Condition Details

Farm or Producer Name: _______________________________________________

Review Date: ________________________________________________________

Additional Information

____ Yes, I would like my name made publicly available through OMAFRA (e.g. OMAFRA website, regional distribution, written publications, information center requests, etc).

Applicant's signature: __________________________________________________

Date: _____________________________

Personal information is collected under the authority of the Nutrient Management Act, 2002, S.O. 2003, c.4 and O. Reg 267/03 as amended, s. 100. The information will be collected and used by the Ministry for: a) the support of certification and licensing requirements under the Nutrient Management Act, 2002, including future communications, plan approvals, monitoring and compliance, and b) will be added to an informational database. For information, contact the Manager, Training and Certification, Nutrient Management Branch, Ministry of Agriculture and Food, 519-826-6572. Note: In the future, the Certification and Registration registry may be maintained by a third party service provider.