vancouver Project Review Application Form

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1 PORTMETRO - - vancouver Project Review Application Form In formation supplied in this application may be made public during consultation with adjacent municipalities, First Nations groups and other interested parties, as well as to other members of the public through the Access to Information Act. Please advise PMV of any commercially or financially sensitive information which you do not want provided to third parties. rapplicant0r CONSULTANT Note names of additional akants or consultants below Company Imperial Oil Limited No. & Street 237-4th Avenue SW Title Crossing Coordinator Calgary Phone Postal Code T2P 0H6 kelly.a.hollman@esso.ca Fax TE NAN T (if different from above) Tenant File Number Contact Kelly A. Hollman Contact. ECEIVED Company Title PLANNING 8 TPAflF flfvelopme IT No. & Street Phone DEC U Postal Code PROJECT INFORMATION Fax VANCOUVEF ERAsE PORT AUTHORITY Location/Address/Legal Description Metes and Bounds - VFPA Lease Plan Port Moody, BC Project Description Summary (attach detailed description and rationale as necessary) The project involves the location, cutting, removal and disposal of two sections of pipelines that cross Burrard Inlet. The removal of the pipes is necessary to facilitate the deepening of the navigation channel to Pacific Coast Terminals in Port Moody. Additional details are provided in the attached report (Section 3, page 8). Floor Area Describe in-water works if any Height of proposed structure(s) The project involves the location, cutting, removal and disposal of two sections of pipelines that cross Burrard Inlet. The project will also involve management of a limited amount of sediment overburden in conjunction with dredging proposed by Pacific Coast Terminals. Additional details are provided in the attached report (Section 3.2.2, page 9). Required utility connections: El power LI gas LI water El sanitary LI storm Presently on site: LI power LI gas fl water LI sanitary El storm Modifications required: El power LI gas LI water LI sanitary [1 storm Other required approvals Approx. construction value Proposed start date Proposed completion date One month within a window starting August 15, 2014 Ons $ ,000 (subject to coordination with Pacific Coast Terminal) sorts orttro wodowon ,y 28,2015 toobleot to 000,thn050n w,th 5.085

2 PROJECT ENVIRONMENTAL IMPLICATIONS Include in-water works, discharges to land or water by pipe or surface run-off; potential leachates, soil contamination potential, air emissions, habitat impacts, etc Attach a detailed description including drawings and plans, as well as proposed mitigation as appropnate Please see the attached report for a discussion of potential environmental effects and mitigation measures (Section 5, page 16) Will the proposal involve off-site impacts (e.g. traffic, noise, views, glare, dust)? Eli Comments: yes LI no Please see attached report (Section 5.4, 5.5 and 5.6 on page 17) Does the proposal affect any known historical or archaeological feature? LI yes El no Comments: Does the proposal involve fill? If yes, please specify: LI yes Eli no Length (m) Width (m) Volume (m3) PROPERTY INFORMATION Do you have an existing lease/licence/easement with Port Metro Vancouver for El yes LI no the property or waterlot? If yes to the above, is the proposal permitted under the terms and conditions of your agreement? Comments: El yes LI no Work requested by PMV to facilitate PCT dredging Is the proposal entirely within your leasehold area? If not, what arrangements El yes LI no have you made with Port Metro Vancouver or other landowners? For in-water works, are you or Port Metro Vancouver the upland owner? El yes LI no If no, please attach letter of consent from upland owner.

3 ?REDGG omplete is section only if dredging is proposed If dredging is new ( capital dredging), the Projec it fee applies For maintenance dredging, there is an environmental review with no fee Type of dredging D NEW (Capital) RENEWAL (Maintenance) OTHER Please Explain: To facilitate the removal of two segments of a buried pipeline Water Lot Use: Right-of-way for pipelines that intersect dredging program by Pacific Coast Terminal. Site Address/Local Name: : Postal Code: Adjacent to 850 Barnet Highway (Reed Point Marina) Port Moody SITE SKETCH - Sketch in proposed dredge area, showing all relevant features,-l H *L c# whø cqci(-.

4 V b httd:// at sea/index e.htm Sample Date No. of Tested for Ocean Disposal LI Pass 5c.e 4 (kc Samples III Tested for Upland Disposal LI Fail ce Tested By Telephone Cellular Fax Golder Associates - Blair McDonald Address 4260 Still Creek Drive Burnaby, BC Postal Code address V5C 6C6 bgmcdonald@golder.com [II Clamshell LI Prop-Wash LI Hopper LI Bed-Level II] Cutter-Suction LI Other Permit Holder Permit Number LI Ocean Disposal Max. Permit Volume Expiry Date LI In-River Disposal Disposal Site Unloading Method Disposal Site LI Upland Disposal Prov/Muni. Permit # LI Habitat Compensation Habitat Site LI Beach Replenishment Site Description Proposed Proposed Completion Date Proposed Hours of Work Commencement Date I I 10 h/day, Monday to Saturday for one month One month within a window ending February (subject to coordination with Pafic Coast Terminal)

5 DREDGING VOLUMES Length Cm) Existing grade (m LLW) Width (m) Area (m2) Proposed grade (m LLW) Proposed vol u me (m3) Please refer to report Section 3.22, page 9 E Per Year [I] Per Event CROSS SECTION On the cross-section diagram, indicate the biological zones affected by dredging and calculate the surface area to be affected by construction area affected using the diagram below as a guide to zones. appropriate space in the diagram. Enter area affected TIDE LOW RJPARIA1I VEGEtATION

6 TTEN DESCRIPTION OF DREDGING PROPOSED additional pages as necessaiy See attached report Section 3.2.2, page 9 for summary of sediment chemistry and other lines of evidence, preliminary methodology, worst-case volume estimates, and disposal options. This is a preliminary application and further refinement in collaboration with PCT is expected. DREDGING CONTRACTOR Contractor Name To be awarded Address Postal Code address Contact Name (if different) Telephone Cellular Fax PREVIOUS DREDGING (IF ANY) Use descriptions as per the Dredging Methodology section. Date Dredged: Not applicable Dredge Method: Dredge Grade: Volume Removed: Disposal Method: Contractor: Previous Dredge Approval / Permit No:

7 I/we certify that I/we have reached the age of majority and the information provided in this application and supporting documentation is correct to the best of my/our knowledge. Applicant I. Tenant (when not applicant): Name 1 LL ft-9j Name Title / ) Title 1Dtà (i)i(ike Date ( Signature This signature signifies the applicant may act on my / behalf during the course of the permit review process Application fee submitted: $ Documentation deposit submitted: $ See page 16 in Project Review Guide See page 16 in Project Review Guide Please send all completed applications to: Port Metro Vancouver Planning and Development Department 100 The Pointe, 999 Canada Place Vancouver, BC Canada V6C 3T4 Applications for Environmental EAP review will be redirected to the appropriate department.