-2-

1, MICHAEL wu) FotsesT certify that all {nformation contained herein 1s
true to the best of my knowledge.

AE. Sem eee /Pe_ ee

coves See Sat yaad —

Aoplicant's S{gnature Dat
or Representative’ s

A. APPLICANT:
Name FOREST _MACWE LTD ee --- --
Address (600 kKNAPfE) ST Oe eee
EC _ COOUITtAM B.S ____ Postal Code VZE 792! _

—o nme oe

Company Incorporation Number _ Occupation MARINER.

Age 19 Yrs pYes Canadian Vv ves Resident in 8.C. L Yes
or Over _ _ No Citizen —_ No for 2 Yrs _ _. No

Contact ph. QYR, 62:

pene neem

B. APPLICANT'S REPRESENTATIYE:
Name MICHAEL Ww FoR

—_

Address J620. KN ARE

PT CORLU TEA

i oe er ae

Postal Code \/3C_ 32) Contact _

nd

ph.

C. RIPARIAN OWNER:
Name MOS. MEME FORREST - - -- --
Address J0/ //YT. FIVER. _ £9 ~~ -- - - -- = --

_ Pr qoauwTlAm A.C oo een
Postal Code Contact a

ph. O¢ — 2557

O. SURVEYOR:
Name GeydAd AWD, ASsOCsWPES = ---
Address Sve. Fy eS F_ Sd AugHVEss 7% 37 ----
_ PUL CQQKI TAM BO. eee
Postal Code (GC. G3 _ Contact _ Kaere 2 FRITA _
ph. 9¥ar GGle ___

ATTACIINENTS REQUIRED Required
rinacian owner's consent
current copy of certificate of title
site: plan (20 copies)
construction drawing {20 copies)
dredge borrow and spoil plan (20 copies}

a eneaiall
em nenermerentert

waste management permit appl ication -feeggt

pesticides permit application (7 coptes?
ocean dumping pernit application
water approval application (2 copt