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Planning Division #200-2564 Shaughnessy Street Port Coquitlam BC V3C 3G4 Tel 604.927.5442 Fax 604.927.5404 Email planning@portcoquitlam.ca Application for Watercourse Development Permit Watercourse Development Permit (DP) areas are designated in the OCP to protect the natural environment. A Watercourse DP will be required for any activities which would impact watercourses, in the opinion of the City, including but not limited to: Subdivision. Removal, alteration, disruption or destruction of land or vegetation or soil disturbance. Construction of buildings, structures, roads, services or flood protection works. Creation of non-structural impervious or semi-impervious surfaces (e.g. paving). Development of utility corridors or drainage systems. For more information about development requirements, visit www.portcoquitlam.ca/business. TO BE COMPLETED BY APPLICANT I/We hereby make application and provide drawings under the provisions of the pertinent Bylaws for permission to construct, repair or alter the following building or structure and agree to comply with all requirements of the Bylaws and to indemnify and keep harmless the City against all claims, liabilities, judgments, costs, and expenses of whatever kind, which may in any way accrue against the said City in consequence of, and incidental to, the granting of this Permit, if issued. Application Date: Property Owner: Owner Address (incl. postal code): Owner Email: Applicant (Primary Contact) Applicant Name: Applicant Address (incl. postal code): Applicant Email: Owner (info above) Owner Phone: Applicant Phone: Legal Description of Property: PID: Civic Address: Present Use of Property: Present Zoning of the Property: Present OCP Designation: Proposed Development: DEVELOPMENT DETAILS Last edited February 2016

WATERCOURSE DEVELOPMENT PERMIT CHECKLIST The following materials are required as part of the Watercourse Development Permit Application. All requirements must be submitted in order to process a Watercourse Development Permit Application. Submission Requirement Application Form Certificate(s) of Title Description Applicant Initial Comment Completed application form with fee. Current Certificate(s) of Title dated no more than 6 months prior to date of application must be provided along with a description of any restrictions on title. Current Certificate(s) of Title: Dated within 6 months of application date. Include description of any restrictions on title. Riparian Area Regulation Assessment (RAR) required, as per the Provincial Ministry of Environment (MOE). The City of Port Coquitlam will await confirmation from the MOE that it has accepted the RAR submission prior to proceeding to committee for a decision. Site Survey of property(ies) prepared by the a BC Land Surveyor identifying: Lot dimensions, including total area of lot(s). Location and setbacks of existing structure(s). Existing Statutory right-of-way(s), restrictive covenant(s) and/or easement(s). May be required in accordance with the provincial Waste Management Act and Contaminated Sites Regulation. A Site profile package may be obtained at the Development Engineering Division counter or online. A completed site profile may be submitted concurrently with or prior to a Watercourse Development Permit application. If a site has been used exclusively for a residential use, a profile is not required. Letter of Authorization Riparian Area Regulation Assessment (RAR) Site Survey Site Profile City of Port Coquitlam Watercourse DP Application 2

Report An Environmental Report is required with the following included: Topographic contours at intervals of one metre, as established by a BC Land Surveyor (BCLS). Established qualified professional description of all permanent and non-permanent watercourses on the lot, including: Location of the natural boundary. Top-of-the-bank. Crest of dike, if applicable. Inventory and description of significant natural biophysical features on the site, prepared by a qualified professional, including: Environmental context including linkage to other habitats within the same watershed. Soil and terrain conditions. Any potential hazard of land slippage, bank erosion, flooding, or drainage blockage. Significant trees showing diameter at breast height, species, and drip-line, including trees on adjacent properties that extend into the lot in question. Major vegetation. Wildlife species and potential species-at-risk, including their habitats; and nests of hawks, owls, and other raptors, herons, as well as species protected by the Wildlife Act. Project description to include: Dimensions, location, and footprint of existing and proposed buildings and structures. Excavation areas, depth of excavation, and fill requirements and locations. Location and depth of underground foundations including parking areas. Dimensions, location, and footprint of existing and proposed impervious surfaces, such as driveways, walks, and patios. Building setback as required by the Zoning Bylaw. Proposed building site coverage including: Floor area, height, number of storeys, number of units and parking requirements. City of Port Coquitlam Watercourse DP Application 3

Report (Cont d.) Proposed drainage, collection, retention, and discharge works, as well as calculations showing the effect of these works on pre-development runoff rates in receiving waters. Site grading plans including existing and proposed grades at corners of buildings, driveways, and other structures, and cut and fill areas that affect the Watercourse Protection Area. Vegetation and land areas of the Watercourse Protection Area that will be disturbed. Environmental Assessment of Proposed Watercourse Protection Area to include: The location of the Watercourse Protection Area and the identification of existing and potential areas of vegetation as required under Section 9.8.4 of the Official Community Plan (OCP). Any proposed variation in the location of the boundaries of the Watercourse Protection Area under the terms of Section 9.8.4B of the OCP, if applicable. The rationale and criteria for any variation in the location of the Watercourse Protection Area required in Section 9.8.4 of the OCP. An assessment of the effects of the proposed development on the natural environment, ecosystems, and biodiversity of the Watercourse Protection Area, including fish and wildlife habitat and the effects of proposed development on vegetation watercourse interactions and groundwater flows. Proposed mitigation measures to protect, restore, and enhance the Watercourse Protection Area and to reduce the impacts of development on this area. Environmental Protection Plan for construction and erosion control that defines guidelines to prevent or minimize disturbance to fish and wildlife that includes: Prescribe guidelines according to best management practices that minimize disturbance and impacts on fish and wildlife, and their habitats. City of Port Coquitlam Watercourse DP Application 4

Report (Cont d.) Address in stream work, disposal of storm water runoff from the site, erosion and sediment control, silt fences, fish salvage activities, wildlife and wildlife habitat protection, construction timing, vegetation protection, spill response, and environmental monitoring and reporting. Define schedules, in consultation with environmental agencies, for in stream and near-stream work for such time windows and for watercourse conditions that are suitable for watercourse work without harming fish. Define how monitoring and compliance with guidelines will be assured prior, during, and after land clearing, site preparation, and construction. Watercourse Protection Area Management Plan to include: A survey plan prepared by a BC Land Surveyor (BCLS) identifying the Watercourse Protection Area and the tenure of the Area. Include a scale drawing of the site, location and type of riparian planting, and plant list including species and plant size and commitments for how they will be maintained, including provisions for replacing unhealthy, dying or dead plants. Describe how human intrusions into the Watercourse Protection Area will be controlled, including the design of fencing or landscape barriers. Describe how the applicant will comply with Section 9.8.6 of the OCP including schedules and deadlines. Include enforceable provisions for monitoring and ensuring compliance with the Plan by the applicant and future owners of the lot(s). APPLICANT ACKNOWLEDGEMENT The undersigned make this application to the Director of Development Services, have fulfilled the complete application requirements, and agree to pay any additional costs incurred by the City for services in processing the application. Authorized Signature: Print Name: Note: Any documentation of information relating to the application that is in the custody or control of the City is subject to the Freedom of Information and Protection of Privacy Act (B.C.) FOR OFFICE USE ONLY Date: Permits # s: Fee Paid: Receipt #: Cheque Cash Visa MC AMX Interac CSR Initials City of Port Coquitlam Watercourse DP Application 5