For FCC Use Only Date: Customer Name: Environmental Assessment Matrix Loan Number: Please complete each question. Some answers may require additional information. Attach additional documentation where available. The purpose of an environmental assessment is to determine whether or not the customer s project or activity is or is not likely to cause significant adverse environmental effects. This form will take you through this two step process: 1. Determine the characteristics of the environmental effects before considering mitigation measures. 2. Then determine if the customer s environmental management and mitigation measures will effectively eliminate, reduce or control the risk of the adverse environmental effects. Environmental effect assessment must consider all phases of a project. Where the customer is undertaking a construction project, the environmental assessment must also consider the resulting operation, maintenance of resulting structures and the impact of potential accidents that may cause pollution. 1. Project description (a) Project description The project description helps determine the scope of the environmental assessment. It can include the main components of the project, including any permanent and temporary structures, a description of how the project will be constructed and an explanation of its operation, any notable production processes, and a description of waste materials that are likely to be generated. The level of detail you provide in the project description should be appropriate to the scale and complexity of the customer s project or activity and to the environmental sensitivity of its location. 4917c11(2007-09-17) Page 1 of 8
(b) Natural surroundings description Describe the natural surroundings in which the project will be implemented. This can include the location of the project, any notable environmental features and the use of the customer s and neighbouring land. Include reference to any sensitive environmental components which are likely to be affected. (c) For construction projects Interior construction Exterior construction N/A Square metres (sq ft): Will this building be customer s primary residence? yes no Will this construction require any infrastructure development? (i.e., access roads, utilities/pipeline, transmission lines, grading, paving, boring, lighting, landscaping, compacting, trenching, fencing, excavating, pile driving?) yes no If yes, obtain project plan for loan file 2. Canadian Environmental Assessment Act (CEAA) Do one or more loan purposes trigger CEAA? yes no If no, which exclusion(s) apply and why? 3. Environmental effects and mitigation measures In each section, put a check mark in the most applicable category selection. If you check risk codes 3-6 please provide an explanation of impact or mitigation measures in the space available. The level of detail you provide should be appropriate to the scale and complexity of the environmental effect and the environmental sensitivity of the project location. Code 1: Code 2: Code 3: Code 4: Code 5: Code 6: No impact anticipated, or not applicable Potentially beneficial Potentially adverse mitigation exists or is planned Potentially adverse requires clean up, project modification or approval from Credit Risk Potentially adverse requires more information Likely adverse impact not mitigated or significant public concern 4917c12(2007-09-17) Page 2 of 8
Environmental effect categories 1 2 3 4 5 6 Codes 3 to 6 require explanation 1. Information from other sources Funding, permit or licence from federal department or agency Phase 1 or Phase 2 environmental assessment report Review of environmental effect(s) by federal, provincial or municipal body Environmental investigation, law suit, order fine or other sanction 2. Transportation 1 2 3 4 5 6 Codes 3 to 6 require explanation Transport of hazardous goods or materials 3. Land use and natural surroundings Past land use 1 2 3 4 5 6 Codes 3 to 6 require explanation Current land use Future planned uses Cumulative effects 4. Historic, social and cultural sites 1 2 3 4 5 6 Codes 3 to 6 require explanation Site is in or next to an environmentally sensitive site or environmental conservation area Site is in or next to a site or thing that is of historical, archaeological, paleontological or architectural significance Project or activity is in or next to a First Nations reserve or will affect the current use of lands and resources for traditional purposes by Aboriginal Peoples 5. Buildings 1 2 3 4 5 6 Codes 3 to 6 require explanation Impact from hazardous materials 4917c13(2007-09-17) Page 3 of 8
6. Soil 1 2 3 4 5 6 Codes 3 to 6 require explanation Soil stability/erosion Soil productivity/fertility Land clearing, modifying natural features or landscaping Digging, trenching Operation of gravel pits Harvesting forest resources Site clean up or remediation Contaminated soil Stained soil, areas of sparse, sick or dead vegetation or discoloured runoff 7. (a) Surface water 1 2 3 4 5 6 Codes 3 to 6 require explanation Project takes place within 30 metres of surface water Change quantity, direction or flow of surface water Required approvals obtained Discoloured, oily or foamy material on surface water 7. (b) Drinking water 1 2 3 4 5 6 Codes 3 to 6 require explanation Site supplied with drinking water Groundwater supply for a rural or urban municipality Water quality Uncapped water well(s) (must be at least a 3) 7. (c) Sewer and septic services 1 2 3 4 5 6 Codes 3 to 6 require explanation Septic type (drainage ditch or surface water is automatically a 4 or more) 7. (d) Water inputs 1 2 3 4 5 6 Codes 3 to 6 require explanation Surface water quality Ground water quality Enough water for operation 4917c14(2007-09-17) Page 4 of 8
7. (e) Water drainage 1 2 3 4 5 6 Codes 3 to 6 require explanation Land drainage system Storm water runoff Irrigation runoff 7. (f) Waste water 1 2 3 4 5 6 Codes 3 to 6 require explanation Waste water storage Waste water treatment Waste water disposal Surface water quality Ground water quality Discoloured, oily, foamy material in drainage ditches, on surface water or land Spill and accident management 8. Animal and plant habitat 1 2 3 4 5 6 Codes 3 to 6 require explanation Species at risk Migratory birds 9. Air quality 1 2 3 4 5 6 Codes 3 to 6 require explanation Odours Dust, smoke, exhaust, particulates Emissions from burning fossil fuels (other than vehicles) 10. Noise 1 2 3 4 5 6 Codes 3 to 6 require explanation Community noise levels 11. Light 1 2 3 4 5 6 Codes 3 to 6 require explanation Community light levels 12. (a) (b) Waste management 1 2 3 4 5 6 Codes 3 to 6 require explanation Landfill, junkyard, disposal or incineration area Solid waste management Liquid waste management Spill and accident management 4917c15(2007-09-17) Page 5 of 8
12. (c) Organic waste management 1 2 3 4 5 6 Codes 3 to 6 require explanation Manure management Animal mortalities management Abattoir wastes/offal/specified risk materials management Liquid fats management Fruit and vegetable processing waste management Fish processing waste management Waste grain meal/ seed crushing/ processing waste management Infectious wastes management Other 13. Chemicals and hazardous materials Storage 1 2 3 4 5 6 Codes 3 to 6 require explanation Use Disposal Spill and accident management 14. Gasoline, diesel and other petroleum products Underground storage tanks management Above-ground storage tanks management Used oil collection and disposal 1 2 3 4 5 6 Codes 3 to 6 require explanation Spill and accident management 15. Oil wells and pumping stations 1 2 3 4 5 6 Codes 3 to 6 require explanation Natural gas wells, horizontal drilling or a pumping station on site Wells or pumping stations no longer active (must be at least a 4) Brine or oil spills management Highest Environmental Risk Code entered on form 4917c16(2007-09-17) Page 6 of 8
Environmental Assessment Decision When assessing environmental risks, consider the following: Probability of risk: What is the probability that an adverse environmental effect will occur? Intensity: What is the estimated intensity of environmental stress generated by the adverse environmental effect? Would it be so large that it would challenge the capacity of the environmental components to withstand the impact or recover from it? Is the natural environment likely to be significantly altered? Geographical scope: Over what distance (e.g., locally, regionally or globally) might the effect be felt? Duration: How long is the effect likely to last: short-term basis or long-term? Would the effect be likely to recur? Would it be persistent? Cumulative effect: How would these questions be answered considering the likely impacts of other past and current activities in the area and any planned development? An environmental effect can be considered significant if, for example: it causes permanent damage to a scarce natural resource or one that has ecological or socio-economic importance (e.g., water, soil, forests, fisheries, a traditional way of life) it takes place in a particularly sensitive area (e.g., near a source of drinking water, a protected site or a steep slope that is vulnerable to erosion) or it directly affects the health of the population (e.g., toxic substances released into the ground or directly into water bodies) Environmental Assessment Proceed. The project is unlikely to cause significant, adverse environmental effects, because: (a) the probability, intensity, scope and duration of the environmental effects, including those environmental effects that could be the result of malfunctions or accidents, and any cumulative environmental effects likely to result from the project in combination with other projects or activities that have or will be carried out, show that the likelihood of significant and adverse environmental impacts is not high and (b) the customer has or is setting up mitigation measures that will effectively eliminate, reduce or control the risk of possible adverse environmental effects during all stages (construction, operation, modification, decommissioning and abandonment) Loan may not be disbursed project is likely to cause significant adverse environmental effects, which cannot be mitigated. Loan may not be disbursed insufficient information to assess whether project would cause significant adverse environmental effects. Loan may not be disbursed uncertain whether significant adverse environmental effects could be justified under the circumstances. Loan may not be disbursed public concerns merit public consultation. 4917c17(2007-09-17) Page 7 of 8
Follow up program Will FCC be undertaking a follow up to verify the accuracy of this environmental assessment of a project and assess the effectiveness of measures taken by the customer to mitigate the identified adverse environmental effects? yes no Additional Comments FCC accountability This document has been completed to the best of my knowledge based on information provided from the customer, my own observations during the period of this environmental assessment and my review of any relevant third-party reports on the subject project, activity or real property. Name Title Signature Date Transfer to new Loan Number: I have reviewed the answers on this form and any appendices with the customer. There are no changes to land, buildings, projects or activities that require completion of a new environmental assessment. Questionnaire Appendix type: N/A Relationship Manager signature Date 4917c18(2007-09-17) Page 8 of 8