Attached is a dimensioned sketch of the property on which the soil is to be deposited,
showing all roads adjoining the property, the parcel boundaries of the property, all existing
buildings, structures and other improvements, the location of water, sewer, and other
utilities as well as natural watercourses, ditches, drains, manholes, culverts, catch basins
and other public works on or within 30 metres of the property, the location of wells and
septic fields on the property and on any adjoining properties, and the exact location and
depth of the soil to be deposited.

The composition and nature of the soil to be deposited is:

The method of deposit will be

The dates between which the soil will be deposited are

to

Vehicles used for depositing the soil will only obtain access to the property from

(name of street)
as shown on the sketch plan provided pursuant to paragraph 7 of this application.

The proposed route to be used in and through the City of Port Coquitlam by vehicles
delivering the soil to be deposited is:

The following safety measures to prevent personal injury or propesty damage to persons or
property in or about the property or on adjacent roads will be impiemented:

The soil will be deposited so as to cause no erosion, stability or drainage problems on the
property or to neighbouring properties and the following measures will be taken to achieve
those objects: