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SMALL CRAFT HARBOURS ABANDONED AND WRECKED VESSELS REMOVAL PROGRAM ADDITIONAL VESSEL FORM

This form is for information purposes only. To fill out a copy of this form, please download the Word doc version.

 Download the Additional Vessel Application Form

Please complete the Small Craft Harbours Vessel Removal Program Additional Vessel Form for each additional vessel at the SCH harbour and include with the original application.

This is not a standalone document. It must accompany an “Application Form for Small Craft Harbours Abandoned and Wrecked Vessels Removal Program”.

LEGAL NAME OF APPLICANT (as it appears on the Application Form for Small Craft Harbours Abandoned and Wrecked Vessels Removal Program):
SECTION 3: DESCRIPTION OF THE ORGANIZATION’S PROPOSED ACTIVITIES

SECTION 3A: DESCRIPTION OF VESSEL(S)

Indicate if vessel appears to be:

  • Abandoned (see definition in Application Guide)
  • Wrecked (see definition in Application Guide)
  • Both

Length of time (in years) the vessel has appeared in this state:
Vessel Location

Harbour Name:

Vessel Location:

  • In water
  • On land
Vessel Information

Length (approximate metres):

Vessel Name:

Vessel Type:

  • Fishing
  • Recreational
  • Other (please specify):

Registration Number:

Vessel Construction Material:

  • Wood
  • Steel
  • Aluminum
  • Fibreglass
  • Concrete
  • Other (please specify):

Vessel Condition:

  • Drifting
  • Anchored/moored
  • Partially sunk/sunk
  • Dilapidated
  • Beached
  • Other (please specify):
Vessel Situation

Describe how and when the vessel became abandoned or wrecked.

Approximate value of vessel in current condition (in Canadian dollars), if known:
Vessel Photos
  • Photos of the vessel’s location and state from various, distinct angles are included.
SECTION 3B: ESTABLISHING LEGAL POSSESSION

Has the applicant received legal possession from the owner to access and remove the vessel?

  • Yes: the applicant must provide proof that they have obtained legal possession in order to receive funding to remove or dispose of vessel(s). Proceed to section 3C to continue the form.
  • No: the applicant must obtain legal possession before removing or disposing of the vessel, which is an eligible activity under this program. Proceed with filling out this section.
Vessel Owner Information and Contact

Is the owner known?

  • Yes
  • No

If the owner is known, has the owner been contacted regarding the vessel?

  • Yes
  • No

If yes (the owner has been contacted):

Date of last contact:

Method of last contact:

If no (the owner has not been contacted), provide reason:
SECTION 3C: RISK POSED BY VESSEL

Select one or more of the following risks pertaining to the vessel in its current state and explain below.

  •  May pose a danger to human health and safety
  •  May pose risk to the environment
  •  May impact organizational operations
  •  May cause damage to Small Craft Harbours infrastructure
  •  May pose obstruction to navigation
  •  Other (please specify):
  •  N/A

Based on your selection(s) above, describe the risk(s) in additional detail.

Has the Canadian Coast Guard been contacted as a result of an environmental risk posed by the vessel?

  •  Yes
  •  No

If yes, summarize the steps taken by the Canadian Coast Guard to manage or remediate the environmental risk (if any):
SECTION 4: PROJECT PLAN AND BUDGET

SECTION 4A: PROJECT PLAN

The purpose of this section is to describe in detail the project plan from start to finish. Your project plan should clearly outline the planned schedule with key activities and timelines, from planning and preparation (i.e. assessments, surveys, possession activities), to project delivery (i.e. removal and disposal). You may apply for reimbursement of costs related to all or parts of your project and your plan should be drafted accordingly. If your application is for the removal and disposal of multiple vessels, they should all be addressed in this section as a single project. However, costs should be broken down per vessel (in Section 5).

This may include activities related to obtaining legal possession, surveys and assessments, removal and disposal.

While a project plan is mandatory, it is not mandatory to use this template. Please refer to the application guide to ensure you have accounted for all necessary information required in the project plan
Deliverables Key Activities Description/ Resources (who, what, when, where, how) Expected Start Date (Month Day, Year) Expected End Date (Month Day, Year)
Legal Possession
Assessment/Surveys
Removal
Disposal
Reporting

SECTION 4B: PROJECT BUDGET AND CASH FLOW

Describe the entire budget for this project. You must provide information on how the organization will meet the cost-sharing requirements of the SCH Abandoned and Wrecked Vessels Removal Program. This may include cash contribution from the organization, other funding sources, and/or in-kind contributions.

If your application is for the removal and disposal of multiple vessels, costs should be broken down per vessel.

Project Budget - Legal Assessment and Possession / Removal and Disposal

Eligible Cost Category Details Vessel TOTAL
Salaries and wages (provide details)
Travel (see Note in Application Guide under eligible costs)
Communications services
Insurance
Professional services
Rental of space and equipment
GST/HST (see Note in Application Guide under eligible costs)
Total Eligible Costs

Cash Flow and Source of Funds

Source of Funds 2019-20 2020-21 2021-22 TOTAL
Applicant contribution - Cash
Applicant contribution - In-kind
Fisheries and Oceans Canada abandoned and wrecked vessels removal contribution funds
Other government source of funds - Cash (specify organization, and add lines for each organization)
Other government source of funds - In-kind (specify organization, and add lines for each organization)
Other source of funds - Non-government - Cash (specify organization, and add lines for each organization)
Other source of funds - Non-government - In-kind (specify organization, and add lines for each organization)
TOTAL CASH FLOW
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