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Special Use Permit Application
Watershed Conservation Authority
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* Indicates required question
Email
*
Your email
Applicant Name
*
Your answer
Title (if applicable)
Your answer
Name of Organization (if applicable)
Your answer
Phone
*
Your answer
Email
*
Your answer
Address
*
Your answer
Website (if applicable)
Your answer
Please describe the type and purpose of the organization
Your answer
Do any of the following describe the organization?
Community service
Non profit
Commercial
Student
Government
Other:
Clear selection
WCA Property Requested
*
Choose
Mount Baldy Wilderness Preserve
River Wilderness Park (Azusa)- Conference Room, restrooms, kitchen
River Wilderness Park (Azusa)- Hilda Solis Overlook, restrooms, no kitchen use
River Park (Avocado Heights)
Parque Dos Rios (South Gate)
Azusa Foothills Open Space
Walnut Creek Open Space (San Dimas)
Please be advised that some of our locations have limited or no wireless cell access.
Please describe the activities that will take place.
*
Your answer
Please describe the purpose of the event.
*
Your answer
When will the activity / event take place?
*
MM
/
DD
/
YYYY
Time
:
AM
PM
How many hours is the activity / event?
*
Your answer
Please note any additional dates and hours needed for set-up, clean up, or other use of the property beyond the event time.
*
Your answer
Please email a map or aerial photo with area of use circled to staff@wca.ca.gov Please include "Special Use Permit Application" in the subject line.
*
I have emailed a map or aerial photo with area of use circled.
Required
Will activities affect public use of the property?
*
Yes
No
Maybe
Are restroom facilities needed?
*
Yes
No
Will event / activity take place in or near bodies of water? Please describe.
*
Your answer
Type (Check all that apply)
*
Yes
No
Fundraiser
Fee Collection (donations, admissions, concessions, etc)
Special Film Effects
Smoking
Propane
BBQ / Grill / Fire
Traffic Interference
Use of Park Facilities
Animals
Drones / Aviation Equipment
Amplified Sound / Music
Yes
No
Fundraiser
Fee Collection (donations, admissions, concessions, etc)
Special Film Effects
Smoking
Propane
BBQ / Grill / Fire
Traffic Interference
Use of Park Facilities
Animals
Drones / Aviation Equipment
Amplified Sound / Music
How many participants will be present?
*
Your answer
How many cars will be present?
*
Your answer
How many trucks, trailers, or motorhomes will be there? Please describe.
*
Your answer
Will generators be used? Please describe.
*
Your answer
Please review the
WCA Special Use Policy
and
MRCA Park Ordinance
by clicking on the respective links.
*
I have read the WCA Special Use Policy and MRCA Park Ordinance and agree to its terms.
I understand that a nonrefundable application fee, in the amount of $50 will be charged for all applications
I understand that additional fees may be applicable depending on the type of use requested.
Required
If applicable, please describe any proposed activities that may require requesting an exemption from the
MRCA Park Ordinance
.
Your answer
Send me a copy of my responses.
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