IC-2430: Radiocommunication and Broadcasting Antenna Systems Attestation

Radiocommunication and Broadcasting Antenna Systems Attestation

I acknowledge my responsibility to comply with Industry Canada's Client Procedures Circular CPC-2-0-03, Radiocommunication and Broadcasting Antenna Systems, Issue 4 (www.ic.gc.ca/antenna).

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1. Use of Existing Infrastructure (Sharing)

Yes / No - I am proposing to share an existing mast, tower or other antenna supporting structure. If I have selected 'No', I am attaching a detailed explanation of why sharing is not possible.

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2. Exclusion from Public and Land-Use Consultation

Yes / No - My proposed antenna system is explicitly excluded from public and land-use authority consultation either under Industry Canada's CPC-2-0-03 exclusion criteria or under the land-use authority's local process. If 'Yes', proceed to #5 below.

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3. Land-Use Authority Consultation

Yes / No - I consulted with the land-use authority.

Yes / No - I have successfully completed my land-use authority consultation responsibilities in compliance with the requirements set out in CPC-2-0-03.

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4. Public Consultation

Yes / No - I consulted with the local public. If 'Yes', either by:

__ following the local land-use authority's established and documented public consultation process for the siting of antenna systems; or

__ following Industry Canada's Default Public Consultation process set out in CPC-2-0-03.

Yes / No - I have successfully completed my public consultation responsibilities in compliance with the requirements set out in CPC-2-0-03.

If I have selected 'No' in any of the boxes in questions 3 or 4 above, I am attaching a written explanation supporting why I have: (i) not consulted and/or, (ii) was unable to successfully complete consultation.

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5. General Requirements

Yes / No - I meet all of the general requirements described in Section 7 of CPC-2-0-03, Radiocommunication and Broadcasting Antenna Systems, Issue 4 and understand that certain responsibilities are ongoing. If 'No', I am providing details.

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6. Aboriginal Land and/or Land Claim

Yes / No - My proposed radio apparatus could impact upon a claim involving Aboriginal rights, treaty rights or title to Crown land. If 'Yes', or if additional information is required, contact the local Industry Canada office for guidance on consultation requirements. Office locations can be found on the Department's website (www.ic.gc.ca/eic/site/smt-gst.nsf/eng/sf01742.html).

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I understand that if I have not successfully concluded both land-use authority and public consultation, unless specifically excluded from this requirement, I must not proceed with the proposed installation and may petition Industry Canada to initiate its Dispute Resolution Process as set out in CPC-2-0-03.

Proponent's Signature: __________________________________ Date:_____________

 

IC-2430 (2008/05)