E(g E'H?Bl -IIYSUNRISE

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1 E(g E'H?Bl -IIYSUNRISE Bag 1300 Peace River AB T8S 1Y9 Phone: Fax: For Office Use Only: DEVELOPMENT PERMITAPPLICATION Date Received: IQ 2 Existing Land Use District: Date Accepted: Application No.: I 2 APPLICANTINF MATION COMPLETE/F D/FFERENTFROMAPPLICANT NAME or APPLICANT NAME or REGISTEREDLANDOWNER TransCanada Pipelines Ltd. SAME AS APPLICANT ADDRESS Project Manager: Anthony Ramqg ADDRESS 450-1st Street SW, Calgary, AB POSTAL CODE TELEPHONE(Res) (Bus.) POSTAL CODE TELEPHONE(Res) (Bus.) T2P 5H ADDRESS: anthony_ramos@transcanada.com ADDRESS: PREFERREDMETHOD or COMMUNICATION ( or telephone): LAND INFORMATION Ema Legal description of proposed development site:.. -se<: ~~+wi= Ru on Regisrered-i>lan # ~ ~eluck -:i;ut - SE10& SW w5m Size of the proposed development site: Length (ft/m) Width (ft/m) OR Acres Hectares m (approx) 240m (approx) Ha The land is adjacent to:ei Provincial Highway El Public Road (other than highway) i Private Road Shd The land is adjacent to creek/ravine/waterbody: I] Yes i No If answer is yes, please provide the following: I have read and understood the recommendations included in the 2013 Thurber Report: Initial HereD Depth of the Creek/waterbody (m/ft); Setbacks from the proposed facility: (m/ft) Describe the existing use of the land: Previous temporary camp site, currently undeveloped with natural re-growth DEVELOPMENTINFORMATION Describe the proposed use of the (and, Temporary Camp Site. for Otter Lake B2 Unit Addition Check (i/) any proposed uses(s): E Dwemng unms) (spec,-fy) Temporary dormitory (sleeping and kitchen) accommodations Iorwork crew El Horne occupation(s) (specify) IIIAncillary structure(s)/use(s) (specify) i commercm/indu$ma (specify) Additional temporary camp inlrastructure water tanks, lignling,gravel parking area IIIOther (specify)

2 E(3!?H?[- I-NYSUNRISE DEVELOPMENTINFOR ATlON CON Peiligce _ Ba 1300 River AB TSS 1Y9 Phone: Fax: Building Size: Length (ft/m) Width (ft/m) Height (grade to peak) (ft/m) Sq2 (it/ml other (it/m) TBD TBD TBD TBD Sea typel' sla plan alleched. indicate the proposed setback from the property line: Front Yard (it/m) Rear Yard (it/ml side Yard (1) (ft/ml Side Yard (2) (ft/ml 5m 5m 1Om 1Om Demibe Wm, supp, Above-ground tanked potable water supply, suitable for drinking and washing. Deming sewagedismsah Above~groundtanked black-water I gray~waler storage. setbacks From: Top of Bank (it/m) House/Shop/Other Facilities (it/m) Water Body (it/m) N/A N/A N/A Development cost & projected timeiines: Commencement Date Completion Date Construction Costs Set-up Stan: December Operating: January 10, 2017 $s.ouo,ooo(esl), lnclm?ng Camp Servicesconlract Attached is: (alsite Plan: 5 Yes El No Cl N/A (b)flour Plan: El Yes [I No El N/A DECLARATION l/wehereby make application under the provisions of the LandUse Bylaw for a Development Permit in accordance with the plans and supporting information submitted herewith and form part of this application. I/we understand that this application will not be accepted without the following: a) Application fee in) Site plan sketch that Includes all relevant detail to the proposed development (i.e.: proposed and existing structures, property lines, creeks/ravines, parking and vehicle access, building plans, etc.) c) The application checklist completed and all supporting documentation supplied as required by the development. I/Wedeclare that the above information is, to the best of my/our knowledge, factual and correct "/w G //I, DATE " I fl.-:i. (4.i:",i,,..,v f- ' SIGNATUREOFAPPLICANT ii/lit,/l'v4.*ta.~ 7:<v -~.Lu"?- l\l'v~'\ 5lGNATUl(E OF REGlSTEREDLANDOWNER l;;' l\._/ V.m, I - ii/, /3" J NOTE:Signature of Registered Land Owner is required if different than the applicant

3 Bag 1300 Peace River AB T85 1Y9 EI:I3I-lrJHt\Iir-III-IIYSUNHISE Phone: Fax: ~0023 RIGHT OF ENTRYBYAN AUTHORIZEDPERSON OF THE NORTHERN SUNRISE COUNTYFOR THE PURPOSES OF A SITE INSPECTIONOF THE LANDAFFECTEDBYAN APPLICATION FOR A DEVELOPMENTPERMIT. The Municipal Government Act, Section 542(1)(a) states: A designated officer of the County may "enter such land or structure at any reasonable time, and carry out the Inspection, enforcement or action authorized or required by the enactment or bylaw". IN ACCORDANCEWITHSECTION542 OF THEMUNICIPALGOVERNMENTACT, PLEASECOMPLETE THE FOLLOWINGRIGHTOF ENTRYFORM ANDSUBMIT WITHYOURAPPLICATIONFOR A DEVELOPMENTPERMIT. I do I or do not I give consent for an authorized person of Northern Sunrise County to enter upon the land that is subject to an application for development permit, for the purposes of making a site inspection in order to evaluate the proposed development permit application. LEGALDESCRIPTIONor LAND SE W5 8 SW11'91_16 W5 Anthony Ramos.Otter B Projecl Manager forhanscanada PRINTNAME IN BLOCKCAPITALS Pipelines Ltd.

4 E(E lrjh 5B!- YSUNRISE Bag 1300 Peace River AB TSS 1Y9 Phone: Fax: Additional information may be required depending on the type and location of development. Please complete the checklist below. APPLICABLE ATTACHMENT DETAILS Y/N Rural Addressing Additional form to complete if the development is the first N Application dwelling in any district other than Hamlet Residential Shop Drawings Commercial developments as required by the development N authority Manufactured Home Floor Plans that must include: 1) Roof Pitch N 2) Eaves 3) Width to length ratio Pictures of the siding and proposed skirting Geotechnical Ifthe development application is within the Top of Bank setbacks Assessment identified by the Land Use Bylaw a geotechnical assessment must N be prepared by a qualified professional geotechnical engineer licensed to practice in Alberta. Roadside Development Ifthe development is within 300 meters of a provincial highway Permit from Alberta (i.e. Highways 2, 688, 986, 88, 750, 744, and 683) right-of~way N Transportation boundary, or within 800 meters of the center point of an intersection of the highway with another public road a roadside Cieveiupment pei Abandoned Oil Well If the building/addition is greater than 47 m (505.9 ft ) a map C0? m3'cl0n from the Alberta Energy Regulator (AER)identifying the locations N of, or confirming the absence of, any abandoned oil or gas wells on or within 25m (82 ft) of the site boundary is to be included. Go to for abandoned well location and status information.

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6 Cadastral 7 Quarter Abandoned Well Map: SE lo-91-16w5 6'. / ml i ls l 1 DE w 14 3E HE Legend Cadaslral Right of Way Line Cadastral Blockand Lot Line Survey Plan Line Township Index C Section with Road Allowance Section with Road Allowai Citations Abandoned Wells (large scale) = «W BMER-5 f M 5-" E 1 34 TWP-O90F GE-16 MER-5 n: Govemment of Alberta Monday. August 15.2Dl(i 18:23:40-06:00 1_a Kilometers Map 5C3 ei While every efiarl is made to ensure data fromthis sile is accurate and current. the Government Di Alberta is not liableyulany loss or damage unsung {mm the possession publlcaliun, or use of, that data This lnlarrnalion is provided "as is" without warranty. Note: Any data on the map with licence jurisdiction through A lal S willnot print. m Government Geubiscuver Alberta

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10 NORTHERNSUNRISE llfzagcis?gver AB TSS 1Y9 Phone: Fax: Abandoned Oil Well Confirmation Process 1. Search the subject property using the Alberta Energy Regulator (AER)Abandoned Well Viewer at: berta.ca Does the AERAbandoned Well Viewer identify any abandoned wells in the subject area? No Map A?acheii If no, print a map of the subject area from the Abandoned Well Viewer and submit with the development permit application. Yes N/A If yes, complete the remainder ofthe Abandoned Oil Well Confirmation Process. 2. Using the AERAbandoned Well Viewer, identify the Licensee Name of the abandoned well. The Licensee must be contacted to confirm the exact well location of the well. 3. Locate the Licensee contact information on the AERwebsite at: Codes.pdf 4. Submit the Abandoned Oil Well Confirmation Form to the Licensee and request that they return the completed form prior to submitting the completed development permit application. 5. Submit the completed Abandoned Oil Well Confirmation Form as a part the development permit application. Note: The site plan of the proposed development must include the abandoned oil well and identify necessary setbacks. If the development will result in construction activity within the setback area, a statement confirming that the abandoned wells will be temporarily marked with on site identification during construction must be included with the development permit application.

11 UNRISE Abandoned Oil Well Con?rmation Bag 1300 Peace River AB T8S 1Y9 Phone: Fax: TO BECOMPLETEDBYTHE DEVELOPMENTPERMITAPPLICANT. A development permit application is being made for: LEGALDESCRIPTIONAND AREAOF LANDTO BE DEVELOPED: All/part of the ASec TWP Range West of 5 Meridian Being all/parts of Lot Block Registered Plan No. C.O.T. No. Area of the above parcel of land to be developed hectares (acres). Municipal Address if applicable: N/A Abandoned Oil Well Number has been identified on the subject property. TO BE COMPLETED BYTHEABANDONED WELL LICENSEE. Subject to the Alberta Energy Regulator Directive 079 the development permit applicant is required to obtain confirmation of the exact location of the abandoned well and required setbacks from well from the Well Licensee. Please confirm the exact location of the abandoned well and required setbacks from well. Please return this form to: Name of Applicant: Address: Phone No.: E mail:

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