THE CORPORATION OF THE CITY OF PORT COQUITLAM
"SOIL DEPOSIY REGULATION BYLAW NO. 2826"

SCHEDULE "B"

ASSURANCE OF GEOTECHNICAL DESIGN FOR
SOIL DEPOSIT AND COMMITMENT FOR FIELD REVIEW

Date

City Engineer

City of Port Coquitlam

2580 Shaughnessy Street

Port Coquitlam, B.C.

V3C 2A8

Dear Sir:

Re: Application for Soil Deposit Pennit

at

civic address

I, the undersigned registered professional engineer/landscape architect hereby give assurance
that the design, location, quality, nature, depth, volume and configuration of the soil to be
deposited and works to be constructed and undertaken in support of and in relation thereto all as
shown on the plans and supporting documents prepared and signed by me and attached to this
letter are consistent with sound reasonable engineering fill and soil deposit practice, and when
and if carried out in conformance with such plans and specifications will not constitute any
reasonably foreseeable risk or hazard to persons or property.

I undertake to conduct such supervision, testing and field review to ensure that the deposit of soil
substantially complies with the plans, specification and supporting documents attached hereto.

I assure you that I have been given the authority by the owner of the lands on which the soil is to
be deposited and by the applicant for the permit (if different from the owner) to stop, remove, or
redirect the deposit of soil as required in my judgement and as required to comply with the
plans, specifications and supporting documents attached hereto. ;

I will notify you in writing immediately if my contract for field review, testing, or supervision is

terminated or limited at any time before the completion of the deposit of soil and works
described in the plans, specifications and supporting documents attached hereto.

(affix professional seal)

Signature

Print:

Name

Address

Address

PAGE |

66 |