SCHEDULE A - SOIL REMOVAL OR DEPOSIT PERMIT APPLICATION

TOWN OF VIEW ROYAL SOIL REMOVAL OR DEPOSIT PERMIT APPLICATION

Applicant Information

(filled out by applicant)

Name of applicant ____________________________________________________________________ (if company, insert company name and individual representative applying on behalf of company)

Address _____________________________________________________________________________ Telephone number _______________________ Fax number ____________________________ Cellphone number _______________________ Email address ___________________________

Land Identification Information

Legal description of Soil removal Location _________________________________________________ Municipal address ____________________________________________________________________ Legal description of Soil Deposit Location _________________________________________________ Municipal address ____________________________________________________________________

Land Ownership of Soil Removal

Registered owner _____________________________________________________________________ Address of owner _____________________________________________________________________ Lease holder (if applicable) _____________________________________________________________ Address of lease holder (if applicable) ____________________________________________________

Land Ownership of Soil Deposit Location

Registered owner _____________________________________________________________________ Address of owner _____________________________________________________________________ Lease holder (if applicable) _____________________________________________________________ Address of lease holder (if applicable) ____________________________________________________

Soil Removal or Deposit Information

Prepared by Professional Engineer: _________________________________________________________

Estimated quantity of Soil

1. to be removed ______________________________________ m³
2. to be deposited _____________________________________ m³

Estimate prepared by: __________________________________________________________________ Date: ________________________________________________________________________________

Professional Engineer's Reports

Attached, as part of this Application, are the following reports (include title, author, date):

1. ---

2. ---

3. ---

Date which Statutory Declaration as per Schedule E is to be submitted by _________________________

Date Monthly Reports are due per this bylaw

NOTE: The issuance of this permit does not relieve the permit holder from complying with all applicable Federal and Provincial laws.

This Soil Removal or Deposit Permit No. __________ is issued pursuant to the Town of View Royal "Soil Removal and Deposit Bylaw No. XXX, 2013.

---

Town Staff

---

Date

I, __________________________, as applicant on my own behalf, or as authorized signatory of the applicant __________________________ (print company name), make this Application.

I confirm that the applicant has the authority to remove or deposit Soil on this land.

Declared the _____ day of _______________, 20.

---

(Signature of Applicant)

---

(Authorized Signature of Owner)

Permit Application Requirements

Applications for a Permit under this Bylaw shall include:

43. detailed plans, data, and specifications for the proposed site prepared by a Professional Engineer to a scale of not more than 1:1000, showing the contour of the ground in its current state with vertical contours at 1m or less;
44. all pertinent features including buildings, structures, tree cover, roads, lanes, bridges, natural watercourses, shorelines and aquifers;
45. the proposed slopes which will be maintained upon completion of the Soil deposit or removal operation, including information on the angle of repose of finished slopes;
46. the proposed methods to control the erosion of the banks of the excavation or fill;
47. the proposed methods of drainage control during the excavation or fill;
48. the proposed methods and locations of access to the site during the excavation or fill;
49. the proposed contour of the ground in its final state upon completion of the operation with vertical contours as specified above and showing the method of access and methods of permanent drainage on a separate plan, including an analysis of the impact of the proposed work on local drainage patterns prepared by a certified hydrologist or other professional specified by the Town Staff;
50. the proposed location of machinery, buildings, scales, and all other proposed structures and improvements;
51. the proposed location of Buffer Zones and tree cover, and the location and grade width of berms;
52. water well locations and water table elevations within the drainage area;
53. the proposed method of extraction and processing, including sorting, washing, crushing, and any other proposed processing activities;
54. the proposed schedule for the removal or deposit of Soil, indicating the amounts to be either removed or deposited on a weekly basis;
55. the proposed routes over Town highways (roads) to and from a Soil Removal or Deposit Area;
56. a Traffic Management Plan, which would include but not be limited to a description of the frequency of trucks, signage, placement of safety control devices, and other traffic control that would minimize the disturbance created;
57. the general description and volume of the Soil to be removed or deposited;
58. identification of whether the application is in whole or in part within an Environmental Development Permit Area identified within the Town's Official Community Plan. For any Removal or Deposit within an Environmental Development Permit area, an environmental assessment to the satisfaction of the Director of Development Services shall be undertaken and all applicable Development Permit Area Guidelines shall be identified and adhered to.
59. identification of whether the application is in whole or in part within a Riparian Assessment Area. For any Removal or Deposit within a Riparian Assessment Area, written confirmation from a Qualified Environmental Professional shall be provided at the Permittee's expense, that the Deposit or Removal will be undertaken in compliance with the Provincial Riparian Areas Regulation;
60. for an application for Soil deposit, a site profile consistent with provincial contaminated sites regulation, and whenever applicable a copy of the Soil removal Permit from the authority having jurisdiction of and for the site from which the Soil is or will be relocated; and
61. copies of all certificates, permits, plans, orders, approvals, reports, and agreements which may be required or issued by the Province of British Columbia or by any other authority having jurisdiction over the proposed deposit and/or removal.
62. A site reclamation plan including an Invasive Species Management Plan, prepared by a qualified professional to be incorporated into the Permit.