View Complete Regulation

Link to consolidated regulation (PDF)

Link to Point in Time

[Last amended July 7, 2021 by B.C. Reg. 179/2021]

Schedule 8

[am. B.C. Reg. 201/2007, s. 7.]

Application for a Contaminated Soil
Relocation Agreement

Notes / Instructions

One (1) application may be completed for a single source site requiring many soil relocations to a single receiving site, provided that both sites are adequately identified and the relocated soils are accurately described.

Anything submitted in relation to this Contaminated Soil Relocation Agreement application will become part of the public record and may be made available to the public through the Site Registry as established under the Waste Management Act.

PART I

To be completed by or for the owner of the source site from which contaminated soil is to be relocated.

SECTION A: Source Site Information

1. Name of source site owner:

Last .................................................... First ....................................... Middle Initial(s) ................... (and / or, if applicable)

Company .........................................................................................................................................................................

2. Name of source site contact person:

Last .................................................... First ....................................... Middle Initial(s) ................... (and / or, if applicable)

Company .........................................................................................................................................................................

Mailing Address ...............................................................................................................................................................

City ...................................................................... Province / State ..............................................................

Country ........................................................................ Postal Code / ZIP ....................................................

Telephone (.............) ...............-......................................... Fax (.............) ............-......................................

SOURCE SITE IDENTIFICATION

Site Identification Number (if available) .........................................................................................................

If Legally Titled, Registered Property

Site Street Address .......................................................................................................................................................

City .................................................................................... Postal Code ......................................................

PID numbers and associated legal descriptions. Attach an additional sheet if necessary.

If Untitled Crown Land

1. PIN numbers and associated Land Description (if applicable). Attach an additional sheet if necessary 

OR

1. Coordinates (using the North American Datum 1983 convention) for the centre of the site:

Latitude: Degrees ....................... Minutes .................... Seconds ...........................

Longitude:  Degrees ....................... Minutes .................... Seconds ...........................

Please attach a map of appropriate scale showing the boundaries of the site.

(and, if available)

Crown land file numbers. Attach an additional sheet if necessary. 

................... ................... ................... ................... ................... ...................

SECTION B: Contaminated Soil Information

1. Soil characterization. Attach an additional sheet if necessary.

• Soil volumes to be relocated in cubic metres (m³).

• Soil test results summary. Include contaminant concentrations and supporting information. 

.........................................................................................................................................................................................

.........................................................................................................................................................................................

.........................................................................................................................................................................................

.........................................................................................................................................................................................

.........................................................................................................................................................................................

2. Soil characterization method. Attach an additional sheet if necessary.

.........................................................................................................................................................................................

.........................................................................................................................................................................................

.........................................................................................................................................................................................

.........................................................................................................................................................................................

.........................................................................................................................................................................................

3. Current type of soil storage (e.g. stockpiled, in situ) ..........................................................................................................

4. Soil relocation start date (YY-MM-DD) .............................................................................................................................

5. Estimated completion date (YY-MM-DD) .........................................................................................................................

6. Relocation method (e.g. truck, barge, train) .....................................................................................................................

7. Number of loads ...........................................................................................................................................................

PART II

To be completed by or for the owner or operator of the receiving site to which contaminated soil is to be relocated.

SECTION A: Receiving Site Information

1. Name of receiving site owner / operator:

Last .................................................... First ....................................... Middle Initial(s) ................... (and / or, if applicable)

Company .........................................................................................................................................................................

2. Name of receiving site contact person:

Last .................................................... First ....................................... Middle Initial(s) ................... (and / or, if applicable)

Company .........................................................................................................................................................................

Mailing Address ................................................................................................................................................................

City ............................................................................ Province / State ........................................................

Country ...................................................................... Postal Code / ZIP ......................................................

Telephone (..............) .................-.................................... .Fax (..............) ..............-.....................................

RECEIVING SITE IDENTIFICATION

Site Identification Number (if available) ..............................................................................................................................

If Legally Titled, Registered Property

Site Street Address ..........................................................................................................................................................

City ........................................................................................ Postal Code .................................................

PID numbers and associated legal descriptions. Attach an additional sheet if necessary.

If Untitled Crown Land

1. PIN numbers and associated Land Description (if applicable). Attach an additional sheet if necessary 

OR

2. Coordinates (using the North American Datum 1983 convention) for the centre of the site:

Latitude: Degrees ....................... Minutes .................... Seconds ...........................

Longitude:  Degrees ....................... Minutes .................... Seconds ...........................

Please attach a map of appropriate scale showing the boundaries of the site.

(and, if available)

Crown land file numbers. Attach an additional sheet if necessary. 

................... ................... ................... ................... ................... ...................

3. Receiving site primary land use. Write in one of commercial, industrial, residential, agricultural or urban park. If none apply, specify the current and anticipated land use.

.........................................................................................................................................................................................

4. Relocated soil use at the receiving site (e.g. fill, cover) ...........................................................................

PART III

Contaminated Soil Relocation Agreement: To be completed and signed by all parties. 

1. The above information accurately reflects the volume and quality of the soil to be relocated. I know of no regulation, bylaw or other legal restriction which might prohibit the relocation of the soil, as described in Part I, Section B, to the indicated receiving site. Further, I will ensure that all permits, manifests and other regulatory and safety requirements that may apply are met.

Signature of Source site owner ...........................................................................................

Print name ...........................................................................................................

Date (YY-MM-DD) ................................................................................................

2. I am prepared to receive the soil as described in Part I, Section B on the indicated site described in Part II, Section A. I know of no regulation, bylaw or other legal restriction which might prohibit the relocation of this soil to this site. The answers provided in Part II are accurate to the best of my knowledge.

Signature of Receiving site owner/operator ..........................................................................

Print name ...........................................................................................................

Date (YY-MM-DD) ................................................................................................

3. Signature of Director ............................................................................

Print name ...........................................................................................................

Date (YY-MM-DD) ................................................................................................

Contents | Parts 1 to 20 | Schedule 1 | Schedule 1.1 | Schedule 2 | Schedule 2.1 | Schedule 3 | Schedule 3.1 | Schedule 3.2 | Schedule 3.3 | Schedule 3.4 | Schedules 4 to 7 | Schedule 8 | Schedules 9 to 11

Copyright © King's Printer, Victoria, British Columbia, Canada