Land Access Form

Landowner's Name:

First Last

Provincial Parcel Number (PID):

Landowner's Civic Address:

Street Address City Province Postal Code

Mailing Address (if different from civic address):

Street Address City Province Postal Code

Email:

Date:

Please select from below:

I grant permission for the Belfast Area Watershed Group to access my land and stream, staying within the riparian zone (15 meters from the stream)

Please contact me – I would like trees planted or specific stream/riparian restoration work done on my property

I am interested in receiving information on the ALUS land retirement program

I am interested in receiving information on the Forest Enhancement Program

Please go ahead and perform restoration work on my stream without contacting me again

I am interested in helping as a volunteer and/or becoming a member of BAWG