-.. BRITISH

COLUMBIA ' n lC Be.1t Pbce 011 E:mh

Pre-Authorization# 107369

Ministlyof Environment

Environmental Management Branch Business Services Section

PO Box 9377 Stn Prov Govt Victoria, BC V8W 9M 1 Fax: (250) 356-0299

Tracking#

Courier delivery address: Min istry of Environment, Environmental Management Branch, Business Services Section

3rd Floor, 2975 Jutland Rd., Victoria BC V8T 5J9

Application for an Authorization to Discharge Waste under the Environmental Management Act

328922

This Application Form can be submitted to the Ministry of Environment by mail or courier. If paying by CREDIT CARD, the signed Payment Form and Applicat ion Form can be faxed.

INSTRUCTIONS:

1. If you are completing this form by hand, please PRINT clearly. All fields marked w ith an asterisk* must be completed. Please visit http://www.env.gov.bc.ca/epd/waste_discharge_auth/index.htm to review the information and Guidance Documents that will ass ist you in understanding the application process and any other documents that may be required.

2. If a New Permit, New Approval or New Operational Certificate is required, please use this application form. A Permit is an Authorization to discharge waste to the environment. An Approval is an Authorization to discharge waste to the environment for a maximum of 15 months. An Operational Certificate is a set of conditions issued by the Ministry of Environment for facilit ies included in a solid or liquid Waste Management Plan.

A new application is a multi-step process that requires submission of a preliminary application, followed by meetings with Ministry staft followed by submission of a final application together with the application fee and Payment Form ($200 fora Permit; $100 plus variable fee for an Approval).

Preliminary Application: All fie lds on Pages 1 to 3 marked w ith an asterisk * must be completed for the submission of a preliminary application.

Final Application: Sign and date your final application at the bottom of Page 3. Include your Pre-Authorization# and Tracking# in the fields on Page 1. Pages 1 - 4 and 6 must be completed for the submiss ion of a final appl icat ion. Page 5 is on ly required if your regional representative advised that a Technical Assessment Report is not required.

3. Your regional representat ive w ill advise you of any additional documents (such as Environmental Protection Notice, Site Plan{s), Location Map, Consultation Report, Technical Assessment Report) that are required for your applicat ion.

*Purpose of Application

Authorizat ion of Discharge under the Waste Management Act for a wood pellet production facility to be constructed and operated adjacent to the existing Tolko Lavington Sawmill in Coldstream, British Columbia.

[e.g., to discharge air emissions from a sawmill)

See attached Technical Assessment Report for detail s.

Is this Authorizat ion required for remediation of a contaminated site? D Yes ~ No

*Authorization Type: rg] Permit D Approval D Operational Certificate

Application for an Authorization to Discharge Waste under the Environmental Management Act Page 1 of6

Authorized Agent Information (·Complete only jl you,are an AuthorizedAgent lor the Applicant)

Agent's Company Name OR I First and last Name .

Agent Numbers L--------p~h-o-n-e:-------------------C-e~II:--------------------F~a-x-:------------------~

[e.g., (999) 999-9999]

II II E-mail Address

Applicant's Authorization for Agent

I I we (applicant) hereby authorize

to deal with the Ministry directly on all aspects of this application. (Agent)

,-----------------------------------------, Applicant's Name

Signature of Applicant (nol Agent or Representative) Date (month.dd.yyyy)

(You will need to sign this only if you are authorizing an agent or representative to act on your behalf.)

Applicant Information I (Must be the name of the company or person seeking authorization, NOT th~ Agent)

·Company Legal Name (as registered with the BC Registrar of Companies ) OR Individua l's Full Legal Name

Doing Business As (if applicable)

*Applicant Numbers [e.g., (999) 999-9999)

E-mail Address

' Legal Address (as registeredwilh BC Registrar of Eompan'ies)

Pinnacle Renewable Energy Inc. PO Box 493 1 4, 595 Burrard Street Vancouver, British Columbia, V7X 1 L3

Phone: Cell:

250-562-5562 II leroy.reitsma@pinnaclepellet.com

Pinnacle Renewable Energy Inc. 350-3600 Lysa nder Lane Richmond, British Columbia, V7B 1C3

'Ma iling Address (if different from above ) Pinnacle Renewable Energy Inc. 8545 Willow Ca le Road Prince George, British Columbia, V2N 6Z9

' Billing Address (If different from above)

*Nearest Municipality to Facility/Site District of Coldstream, British Columbia

Application for an Authorization to Discharge Waste under the Environmental Management Act

Fax:

11250-562-5584

Page2of6

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Contact Information for this Application (Nallle of person the Ministry can contact (or this Application, NOT the Agent)

'Contact First -and Last NameLIL_er_o.:..y_R_e_it_sm_a _ ___ _ ____ _______ ___ ____________ --J

' Contact Numbers Phone: Cell: Fax: [e.g., (999) 999-9999J ,--- ------,r-----------,r----------,

E-mail Address

·FacilityType and Description (describe tile primary activity olthe (otility)

250-S62-5562 (ext: 2203) 2S0-562-S584

Facility Location and Information

Wood pellet production facil ity

NAICSCode

*Facility Location:

I Regional District I L-________ ~ L __________________________________ ~

Source of Data: 0 GP5 D Survey

' Latitude IrS-0.-2-3----- - - --- ------,IN

W . LOngitudeI-1-19- .-10---------------1.

(Must bel" decimal degrees format)

*Either Legal Land Description or PIO/PIN/Crown File Number is required.

Other (Pleose list)

Legal Land Description Lot 2, Sections 23 and 24, Township 6, Osoyoos Division, Yale Di"Strict, Plan 18721, Except Plans H18529 and (lot/Block/Plan) KAP83143

OR

PID/PIN/Crown File No. 1003-355-918 L-__________ ,-__ ~~~----------------------------------~

' Facility Address . 9900 School Road (civic address) Coldstream, British Columbia [e_g., 1234 Main Street, Vancouver, BC, V8W 9Ml OR if no civic address, describe location e.g., 3 km North of Sec he It, BC on Highway 101J

' Is Applicant Legal Land Owner? DYes 0 No {·lfNo,pleaseprovid~derQil'l)elow}

Inmber Investments Ltd.

Phone: Cell: Fax:

l egal Land Owner Name

legal Land Owner Numbers [e.g., (999) 999-9999J ,---------------, II 11250-S4S-5926

E-mail Address

ilFacility Operator/Site Contact First and last Name

250-S50-1 41O

ken_thorlakson@tolko.com

I Leroy Re itsma

Phone: Cell: Fax: *Facility Operator/Site Contact Numbers [e.g., (999) 999-9999J ,--------------,

II

,---------------, 11250-S62-S584 250-562-5562

E-mai l Address leroy.reits,ma@pinnaclepellet.com

IJune 03, 2014

Date (month.dd,yyyy) Signature of Applicant (or Agent, if applicab'le)

Application for an Authorization to Discharge Waste under the Environmental Management Act Page 3 of6

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1

I Discharge Source and Associated Details (PleiJs~ PfPvide,pn,e PQge fOi epfh Q/schmge)

*Description of Discharge Source

Two Bed Dryers and a multi-cyclone discharge associated with plant equipment

"Discharge Type: (select 01/ tliat apply) IE] Air o Effluent o Refuse

Proposed Treatment and Disposal I (efl/UililC disposal method must be

identified, i.e., subsurface orirrigatiQn) L ____ _ _______ _ _ _ _ _ _ ___ _ _ _ ___ _ _ _ _ _ _ -'

*Discharge Location Ii/different (rom facflity IQ(Q~ien) :

"latitude I I wN *Longitude 1---- - - - - ------------1,

IMust be in decimal degrees formQt)

"Either Legal Land Description or PID/PIN/Crown File Number is required.

Legal Land Description (If necessary, attach a separate page.) (Lot/Blaok/plan)

OR

PID/PIN/Crown File No. lor necessary, attach a separate page.)

Rate of Discharge (Flow)

Minimum Average Maximum Units Duration

Discharge Rate Discharge Rate Discharge Rate

66 Nm3/Sec. 24

66 Nm3/Sec. 24

40 Nm3/Sec. 24

"Source of Data: 0 GPS o Survey

Other '(Please list)

, Duration Units

Frequency Frequency Units

[e.g., hrs/day) [e.g., days/week)

hrs./ day 365.25 Days/Year

hrs./ day 365.25 Days/Year

hrs./ day 365.25 Days / Year

Contaminants or Parameters in the Discharge

Parameter or Contaminant Na me Minimum Average Maximum Units

Bed Dryer #1 - Particulate 15 mg/m3

Bed Dryer #2 - Particulate 15 mg/m3

Multi-cyclone - Plant Equipment - Particulate 50 mg / mJ

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