Request for Scientific/Technical Information Routinely Available Under the Environmental Protection & Enhancement Act (epea)

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Environment and

Sustainable Resource Development

Request for Scientific/Technical Information Routinely Available Under the Environmental Protection & Enhancement Act (EPEA)

Client Information

Last Name (please print)


First Name (please print)


Name of company or organization (if applicable)


Mailing address


City or town




Postal Code




Email Address


Telephone (daytime)


Telephone (evening)


Fax Number


  1. About the Public Information You Want to Access

  • To request scientific / technical information relating to the environmental condition of a site, please complete this form and fax or mail along with the $25.00 fee to:

Environment & Sustainable Resource Development

FOIP & Information Management Section

5th Floor, Great West Life Building

9920 – 108 St

Edmonton, Alberta T5K 2M4

Phone: 780-427-4429

Fax: 780-427-9838

  • If records or information identified as public are available for purchase through an external agency, you will be directed to that agency to obtain copies.

  • Records not available under Routine Disclosure legislation can be requested under the Freedom of Information and Protection of Privacy Act.

  1. Fees

  • A fee of $25.00 is required for each request.

Note: For property searches only one property per request.

  • You may be required to pay fees for services if the total fee for providing you with the information is expected to be greater than $150.00

  • Search and Retrieval: $27.00 per hour (Search fee cannot be reduced if this service was already provided)

  • Copying - $25.00 per page

Note: Payment must be received before your application is processed. You can pay by VISA, MasterCard, Cheque or Money Order made payable to Government of Alberta.

The following “Site Descriptors” (legal land description) are needed to search for information on a subject property:

  1. Alberta Township System

Sample: SW Quarter - Section 10 – Township 52 – Range 25 West of the 4th Meridian (Sw-10-52-25-W4)



















































  1. Subdivision Plan







List current and previous owner(s) of the site:


List current and former operators or occupants, including agents or managers of the site:


  1. Name of Company (ies) and / or Individuals Associated With The Site

  1. Other Particulars about the Site

Agricultural Land?

Commercial Land?


Industrial or other types of land use?

Any current development on the site?

Or has the land use changed?

  1. Time Frame of Search

Historical Search


Specify a specific time period for the search

  1. Signature

Signature of Client:



Privacy Statement
The collection of personal information on this form is being managed in accordance with the Alberta Freedom of Information & Protection of Privacy Act. As per Section 33(c) of the Act, “No personal information may be collected by or for a public body unless that information relates directly to and is necessary for an operating program or activity of the public body.” The personal information collected on this form will be used in the administration of Section 35 of the Environmental Protection and Enhancement Act (EPEA), and under the authority of the Disclosure of Information Regulation, Ministerial Order 23/2004 in order to provide you with access to public information. The personal information collected is for the exclusive use of Environment & Sustainable Resource Development. Your personal information will not be shared with any other public body or agency without your specific written consent. If you want further details on how this information will be used, please contact the FOIP Office, Phone (780) 427-4429.

Nov, 2014

Request for Routine Disclosure - EPEA

© 2014 Government of Alberta

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