LOW WATER IMPACT
PUBLIC OUTREACH FOR INFORMATION
MUNICIPALITY
Admaston/Bromley
Arnprior
Bonnechere Valley
Brudenell, Lyndoch & Raglan
Deep River
Greater Madawaska
Head, Clara & Maria
Horton
Killaloe, Hagarty & Richards
Laurentian Hills
Laurentian Valley
Madawaska Valley
McNab/Braeside
North Algona Wilberforce
Pembroke
Petawawa
Renfrew
Whitewater Region
SOURCE OF WATER
Municipal
Individual Well g Dug Drilled
Communal Well g Dug Drilled
Surface Water g Waterbody Name:
PROPERTY DETAILS
Residential
Detached House
Duplex
Townhouse
Apartment
# Residents:
# Bathrooms:
Agriculture
Crops
Type:
Acreage:
Livestock
Type:
Number:
Commercial/Industrial
Type of Use:
Water Rqmnts:
Tourism/Recreation
Type of Use:
Peak Season:
CONSEQUENCES AND/OR ACTIONS TAKEN TO DATE (Check all that apply)
New Drilled Well
Dry Dug Well
Dry Drilled Well
Hauling in of Non Drinking Water (Non Potable)
Hauling in of Drinking Water (Potable)
Hauling in of Water for Livestock
Selling off Livestock
Relocating of Livestock
Buying Feed (Hay/Grain)
Using Winter Feed Stock
Reduced Lawn & Garden Watering
Bringing Laundry to Laundromat
Purchasing Bottled Water
Reduced Flushing of Toilets
Have not taken any action or made any conservation efforts to date
Other actions, consequences or comments (use reverse side as needed):
RATE THE EFFECTIVENESS OF YOUR CONSERVATION EFFORTS
Ineffective – Supply Less than Demand g Example: Creek flow not recovering
Adequate – Supply Equals Demand g Example: Dug well level has recovered to normal level
Effective – Supply Greater than Demand
Not Applicable/Not Available/Difficult to Rate
GENERAL CONTACT INFORMATION
Name: Phone Number:
Civic/911 Address:
Roll number: Twp: Lot: Concession:
Check if you agree to be contacted for follow up inquiries as needed
Pembroke District Water Response Team
The Ministry of Natural Resources and the County of Renfrew have implemented the Pembroke District Water Response Team (WRT) to respond to this year’s low water conditions and to communicate with water managers throughout the County. Understanding the location and issues relating to low water are important and every municipality has representation on the WRT. Documenting impacts of low water and conservation efforts to mitigate impacts is an essential role of the WRT and you can help us do that.
Residents throughout the County are strongly encouraged to report (by way of this form) on:
· Conservation measures taken to date and/or;
· Impacts felt as a result of the low water conditions and/or;
· The effectiveness of the measures taken.
Completed forms can be dropped in the available drop boxes at events where this form is available or forwarded to their municipality.
MNR Pembroke District and the County of Renfrew encourage everybody to use water wisely and apply water conservation measures. Non-essential water uses should be suspended until natural water supplies have recovered. Residents throughout the watershed should also make themselves aware of any bans or bylaws in place in their municipalities regarding fires or water use.
To learn more about Ontario’s Low Water Response program including its criteria, visit:
http://www.mnr.gov.on.ca/en/Business/Water/2ColumnSubPage/STEL02_164583.html or contact Karen Handford, Water Response Team Information Coordinator by calling
613-732-5510 or through email at .