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HomeMy WebLinkAboutApplication APPLICANT 10/8/2013 • City of Springfield SPRINGFIELD Development Services Department 225 Fifth Street Springfield, OR 97477 611116, / Annexation Application Type IV ... ._'Application Type • :;', :.<'&mxk� I r ': e , k d ( < u A i/CBnt. . Check one) Annexation Application Pre-Submittal: R Annexation A. .lication Submittal: * Required Proposal Information 0 ` ', t4 (Applicant Complete This Section) 6 _� Property Owner: Q«( £ �sc /Eciy(, Phone: Address: ' u `, ,' ,, _ l . :. __ is. .Fax: �� ' Lit.c. E-mail: 9Fc..Gr(er��,ec..,L.c:,.Q. Owner Signature: " 9j a f--, POt1oQr O6 fttherhtt— ) Owner Signature: // 0 Agent Name: /�1 .-kL.-�( dcn. ' e Phone Sy/-9// /ipY Company: avi t,. 6.471,Tc,.6 i e•c,8 iieicgg Fax: �— Address: /y7 c9. Stir Lgi* t,X SC Etmail if,,kLt-, ,/)e te-f--a . Agent Signature: 9t,,,y,...L.„.....---- If the applicant is other than the owner, the owner hereby grants permission for the applicant to act in his or her behalf, except where signatures of the owner of record are required, only the owner may sign the petition. ASSESSOR'S MAP NO: I /7-c? -J.6- /i I TAX LOT NO(S): I JtZod Property Address: /�Y( /1r.i2eti 6,LA,! /CN - Sr1L.,)-i4>siev 12,127 Area of Request: Acres: /). / Square Fcet: / Existing Use(s) (S7t(/t A01-,() ASj 11G/ of Property: J J)"1 /� Proposed Use J,�( le 4,,r•. /C.,7 sr-Axe-- of Property: J Required Property Information (City Intake'Staif Complete'Thie Section) Reviewed By: n „ / _ Case No.: An/yCi3 -pp?p6 Date: �al $Iap13 (initials) U( Application Fee: H 55.c-o Postage Fee: 9/3•p-p Total Fee: 161a ‘b-c) Date Received: p+C13-000a4 OCT -.a 2013 Page 8 of 16 Original Submittal • • • Owner Signatures This application form is used for both the required pre-submittal meeting and subsequent complete application submittal. Owner signatures are required at both stages in the application process. An application without the Owner's original signature will not be accepted. Pre-Submittal The undersigned acknowledges that the information in this application is correct and accurate for scheduling of the Pre- Submittal Meeting. If the applicant is not the owner, the owner hereby grants permission for the applicant to act in his/her behalf. I/we do hereby acknowledge that I/we are legally responsible for all statutory timelines, information, requests and requirements conveyed to my representative. Owner: • • Date: Signature Print • Submittal I represent this application to be complete for submittal to the City. Consistent with the completeness check performed on this application at the Pre-Submittal Meeting, I affirm the information identified by the City as necessary for processing the application is provided herein or the information will not be provided if not otherwise contained within the submittal, and the City may begin processing the application with the information as submitted. This statement serves as written notice pursuant to the requirements of ORS 227.178 pertaining to a complete application. Owner: Date: /(03/43 S'• na' e •1 /L> d F Print Date Received: OCT - 8 2013 Original Submittal Page 9 of 16 • .• Fo �-o \ U o j U • Q •\ • C i 6 La a) N Y .. In i., Y o a G V C▪ v w > n 1 u a to to a Q v >- v o > Cr) v' C)) w E v N epv C c Y U l6 CC O 0 C. c c \ a, 0 6 -0 CD t�O vl _J O ` N )..� j I a k U C Y O ° i yr O Up N V o .,c, v ,-- E (6 • w E °o - 0 t.1 t, N (0 `c ,L., .0) Ol C o y o (0 C >• ) 'C C 0 Z 0 1Nl. ( L o J 0 .a y o M l� x E v Q U) a) xv K �. ` > v (CC o . w �- (o ° I "(> La E C V T a' -o % 14_, �' o i O qj _ C ' a) t0 1O m C� ` 1.n �' L ° Y N v O 0 ,� H O ` o L F2 Q)N 0 0 N Li/ Y n7 �._S \ , CO 0 Qi CI- � = a W ,� CO a) IA N if m O N _ a1 V .: a) O a0 \ L:_ a) 0 44 y t a CI '- 0 q- c \ > y winN vm a54 S •ao aoL CD CC (0 "! C E Q N f4� x S > to ,� o-0p a IA H -0 N (0 - U a, ti Y N a) Q '� N Co Fc ` + o C �,cu Z In t 4- C. Z" G o O p a.,70, a N _ +- ro K ^n -4 L{ v a OC Z � c = � C 0 c O O c C .L �' a, _ E v 1L HI O N c Ln _ ~ v t F X N v 1 �. o i �� a a) `0 h 'C'° o . ° °o CN 0 i E \, o ] L Cy, Z c N i a) Ct0 �L L LO C N 10 a U, z 1\l` 4 4 �2a •� L o 1, . ln wc f0 a N 1 < ,o V E ° -, A a oy �;� 9 c CU C co • w m a ° Cr Ql ti I C C a) 0, r O �� 1 I\i Q '� C '� C C a/ Y V w 0 o i � - (�V- - a 0pO• E IA IA O. D m C1 �� i = a) ., \1 y C o u E ■ U� o (l o ° ° al ,T+ y ~' L a C) v O 3 a) a`) 0 v^ O � � o c -0 a0 3 C adj G m al 2 L 10 a LL '- � � E �_ o - O. a) y O,u O C L a (N 0' ( c � ° \ Z c ••� °'� a \ U to CJ rn >> m° 0 3i, Q a7 a C' v 3 Q c an o a+ it O ° 0 >" Y U (o L .Z v o o a)c 4-10 0 �\�v .. n 4 \ LL 48 o c v O of 10 a) �. X a) \ -- N H Y ° a) V Ul Y C a) CI CL p_ aj C V w.c a) v i C +°,ro C L N C .1 N hl .4: IA Z m .-. X U I— - 2 J c FORM 2 OWNERSHIP WORKSHEET (This form is NOT the petition) (Please include the name and address of ALL owners regardless of whether they signed an annexation petition or not. OWNERS Property Designation Assessed Imp. Signed Signed (Map/lot number) Name of Owner Acres Value Y/ N Yes No 171,315'3-L-/2 j.C, �tiQ 'r all fit/ di)b !/ 0-o2 P/-/.',2n , c -i 4Ie 1> p /y6,o,>.) TOTALS: Dd17 fie. Dbd 7 TOTAL NUMBER OF OWNERS IN THE PROPOSAL 1 NUMBER OF OWNERS WHO SIGNED d4 PERCENTAGE OF OWNERS WHO SIGNED /64 TOTAL ACREAGE IN PROPOSAL ACREAGE SIGNED FOR PERCENTAGE OF ACREAGE SIGNED FOR O�� a) TOTAL VALUE IN THE PROPOSAL / /// Odes VALUE CONSENTED FOR //4 041> PERCENTAGE OF VALUE CONSENTED FOR Fi/ Date Received:. 13 of 16 OCT - 8 2013 Oriainal Submittal_ _ � • • FORM 3 Date Received: OCT - 82013 SUPPLEMENTAL INFORMATION FORM (Complete all the following questions and provide all the requested infoOrlginal Submittal any responses that require additional space, restating the question c information on additional sheets.) • Contact Person: fitki1eg ✓r.,;`sS E-mail: NalZke,dr/;,r/;4;Q%Eaa (z iv Supply the following information regarding the annexation __ • Estimated Population (at present): • Number of Existing Residential Units: / • Other Uses: /174:- /Je- • Land Area: a /7 total acres • Existing Plan Designation(s): cjn</.' 1n1 / 4s�;��,zii • Existing Zoning(s): • Existing Land Use(s): /o 4/44 7 ' 1^ ,li,� • Applicable Comprehensive Plan(s): ff---� • Applicable Refinement Plan(s): • Provide evidence that the annexation is consistent with the applicable comprehensive plan(s) and any associated refinement plans. ,44) M) r /emit n/an . 4/4)e,/,s / tit- bolo /I,?rdpce / ,it— th/ c, fj 1■5,( C ri/ s C /- / , • Are there development plans associated with this proposed annexation? Yes No If yes, describe. • • Is the proposed use or development allowed on the property under the current plan designation and zoning? Yes �o • Please describe where the proposed annexation is contiguous to the city limits (non-contiguous annexations cannot be approved under 5.7-140, Criteria). �)��) i!�S alp Ot'4 i/ ynii ) lay ,Qn of c.Sk54,0 Page 14 of 16 r • • • Does this applicp tion include all contiguous property under the same ownership? Yes ✓ No If no, state the reasons why all property is not included: • Check the special districts and others that provide service to the annexation area: ❑ Glenwood Water District A Rainbow Water and Fire District ❑ Eugene School District ❑ Pleasant Hill School District Springfield School District ❑ McKenzie Fire & Rescue ❑ Pleasant Hill RFPD ❑ Willakenzie RFPD ❑ EPUD SUB iZ Willamalane Parks and Rec District ❑ Other • Names of persons to whom staff notes and notices should be sent, in addition to .pplicant(s), such as an agent or legal representative. it Jz/i/ (Name) (Name) (Address) (Address) (S72 . de 79`/21 (Ci?y) j j (Zip) (City) (Zip) (Name) (Name) (Address) (Address) (City) (Zip) (City) (Zip) d' , A T ( ./ -6 A A-7.J4d1. 5 l!`ace dii7 d4 J,/ /rr '--7 (4. „Li_ D `et 4�l- CJfilendn.>n-'64, --fie 4 /)tc&- % Date Received:ti-7)j jai � OCT - 8 2013 Original Submittal • • • FORM 4 Date Received: WAIVER OF ONE YEAR TIME LIMIT OCT - 8 2013 FOR ANNEXATION PURSUANT TO ORS 222.173 Original Submittal This waiver of the time limit is for the following described property: 7- 3-a5-J(-I35co 1n/ fiend/i. �.4' Ace C�,1 �,�C��� crW77 Map and Tax Lot Number Street Address Property (i address b s ¢glen assigned) ONE WAIVER OF TIME LIMIT FOR EACH PARCEL, PLEASE We, the owner(s) of the property described above understand the annexation process can take more than one year but desire to annex to have City services. Therefore, we agree to waive the one-year time limitation on this petition to annex established by Oregon Revised Statutes 222.173, and further agree that this contract shall be effective ID.Q indefinitely or [ J until Date Sid natures of Les al Owners • Please print or t pe name Si•nature Date Si•ned InardWile ♦ !tI _ 1- ligingliffaIMEMENOI 111. 10W .. der:974 jay . 4 / 41,1111111 LCOG: L:113C12000 BOUNCHANGE TA,NSO/ONIAPPLI CATION EORMSISPRINGFIEL0110-03-08 UPDATED FORMSIPRE-SUBMTTAL ANNEXA LION APPLICATION 10-07-08.WC Last Saved: October 27,2010 Page 16 of 16 • .74 • • -Branch ENGINEERING= Since 1977 September 13, 2013 civil • transportation structural geotechnical SURVEYING ANNEXATION LEGAL DESCRIPTION 1891 Hayden Bridge Rd, Springfield TM 17-03-25-21 TL 13200 Branch Engineering Inc. Project No. 13-208 SITUATED in Lane County, State of Oregon in the Northwest 1/4 of Section 25, Township 17 South, Range 3 West,Willamette Meridian,being more particularly described as follows: BEING all those lands conveyed to Cathy Lee Stark in that Warranty Deed recorded on June 3, 2009 as Reception Number 2009-030109 in the Lane County Oregon Official Records; the outer boundary of said lands being more particularly described as follows: COMMENCING at the centerline-centerline intersection of Hayden Bridge Road and 19th Street; • THENCE North 89°21'oo" West, 145.62 feet along the centerline of Hayden Bridge Road; THENCE South o0°14'00"West, 30.0o feet to the Initial Point of Loughead Tract as platted and recorded in Book 16 on Page 14 in the Lane County Oregon Plat Records, said point being the POINT of BEGINNING; THENCE continuing along the east boundary of said Loughead Tract the following numbered course(s): 1. South o0°14'00" West, 65.0o feet; THENCE leaving said east boundary the following numbered course(s): 2. South 89°21'00" East, 116.00 feet to the west right-of-way margin of 19th Street; THENCE along the west right-of-way margin of 19th Street the following numbered course(s): 3. North, 48.78 feet, 4. North 51°24'59"West, 26.39 feet to the south margin of Hayden Bridge Road; THENCE along the south margin of Hayden Bridge Road the following numbered course(s): • 5. North 89°21'oo" West, 95.11 feet, RETURNING to the POINT of BEGINNING. r REGISTERED PROFESSIONAL LAND SURVEYOR Date Received: OCT - 3 2013 OREGON NOVEMBER 30.2007 RENEE CLOUGH Original Submittal - 6918218 04 C 27- runes I .RENEWAL DATE: 12/31/20IS J EUGENE-SPRINGFIELD SALEM-KEIZER 310 5th Street, Springfield,OR 97477 I p: 541.746.0637 I f: 541.746.0389 I www.branchengineering.com 140' N. C lt (� 0000o T 0 A ' o _a S T C0 co , � `I\ 0 c.' . �� C� 0 n 30' \r 35' 0 K z) o7 ' z ) //,// 140' SCeNoow-1 ) � � L 65' 7/ + r 0 D . ' i 1 as O €) 9 N w M O N) Ca -• O j I�DO ' � NCr ' ff o N �70 N n0 0 8.W N n 0 ,E , - a- r ( C 2 o GPI k I C Ko k w ti • 45.76' 75' U) 48.7B \' W ,{S'QA i o S;� ao I o =t-©:v @- @-°772= C T •tun _ 1 oe I C14' Si- 4 D aa , TO rn le 0 ii r 0 N _s � mz = _ Q m ,� to r7 X 0 wco � + m ? o D /_1 ?O) W fi W to C- O . a ' -t' D oil v O w O H 0 w V 2ofZ1296 • • Mitchell Janisse Building Contractor 2425 N.34th St. Springfield,OR 97477 CCB# 103548 541-912-1324 September 27th 2013 City of Springfield Development Services RE: 1891 Hayden Bridge Road - Private Utility Plan and Justification of annexation City staff: Private Utility Plan My annexation proposal /application is for the sole purpose of connection this residence to city sewer service. The listed house and septic system was built approximately in 1950 and has a failing septic tank. The property is already serviced by SUB electric and Rainbow water Dist. There are two (2) sewer stubs inside the property, one form 19th St and one from Hayden Bridge Rd. I would like to connect this house and property to one of these sewer stubs. No other services are needed and no other changes to the property are will take place. with this application. Narrative Justification The affected terititory proposed to be annexed Is in The Urban Growth Boundary of Springfield Is separated from city limits by Hayden Bridge Road to the immediate north. Is near to city limits on the west and south separated by several city blocks The proposed annexation is consistent with policies in the Metro and refinement plans. The proposed annexation will result in the final urban facility and service (sewer) being provided to this property, all other services are currently resident there. Sewer connection services can be provided in an efficeient and timely manner due to (2) sewer stubs existing inside the property already. There is no fiscal impact to the City of Springfield other than the application process and has been mitigated by the annexation agreement and associated fees. Thank you for your help and consideration. Date Received: OCT - 82013 • • Mitch Janisse Original Submittal Power of Attorney Effective Date: September 17, 2013 I, Randy L. Fodder, US citizen, currently residing in China, on 223-3 Ming Shui Street, Changchun, Jilin Province, People's Republic of China. 130021 And Jessica Fackler, US citizen, currently residing in China, on 223-3 Ming Shui Street,Changchun, Jilin, Province, People's Republic of China. Zip code 130021 Do Hereby Appoint Mitchell Paul Janisse, a resident of Springfield, Lane County, OR Located at 2425 N 34th Street, Springfield, OR 97477 As my attorney-in-fact to act on my behalf for the following purpose(s): For all business related to and including management of the real property at 1891 Hayden Bridge Road, Springfield, Oregon 97477, excluding selling the property. This power of attorney is to start to be effective on September 17, 2013, and shall remain effective until terminated by principle. I do hereby grant my attorney-in-fact complete and full authority to act in any reasonable and necessary manner for the purpose of exercising the above-mentioned powers. I also, ratify all the lawfully performed acts by my attorney-in-fact in exercising those powers. I fully understand and agree that any third party who is given a copy of this Power of Attorney may act relying on it. I also, agree that revocation of this Power of Attorney is effective as to a third party only when they receive receipt of an actual notice by the principle. Applicable Law This contract shall be governed by the laws of the State of Oregon, in Lane County and any applicable Federal Law. 7 " Il au rig -4-4t .12 �'� 7 yL L LA --a(, (E' Date 7-/k! 3 Signature of Principles By accepting this appointment and acting under it, I the attorney-in-fact ("Agent") do hereby assume the legal responsibilities of an agent. Date 2._ Sjghatu e of Attorney-in-Fact / tfk Subscribed and sworn to before me on See -�ey- t ,2eL3 (date) Notary Public, L-c--vt- (County) (State) My commission expires 2- 1(' /7 nf?; OFFICIAL SEAL �. MARISA N REA Date Received: N4.'),' NOTARY PUBLIC-OREGON ,;,>/ COMMISSION NO.475583 MY COMMISSION EXPIRES FEBRUARY11,2017 OCT -•8 2013 Original Submittal • • I rtt:I, LANE COUNTY Property Account Summary nNe COUNTY As Of 9/30/2013 Status:Active Account No.: 0203909 Alternate Property Number: 1703252113200 Account Type: Real Properly TCA: 01903 Situs Address: 1891 HAYDEN BRIDGE RD SPRINGFIELD OR 97477 Legal: Township 17 Range 03 Section 25 Quarter 21 TL 13200 Parties: Role Name&Address Owner FACKLER RANDY L&JESSICA 2425 34TH ST SPRINGFIELD OR 97477 Taxpayer FACKLER RANDY L&JESSICA 2425 34TH ST SPRINGFIELD OR 97477 Property Values: Value Name 2012 2011 2010 MKTTL $116,304 $136,243 $137,693 AVR $101,559 $98,601 $95,729 TVR $101,559 $98,601 $95,729 Property Characteristics: Tax Year Characteristic Value 2012 Property Class 101 Res conforming improved Change Property Ratio 1XX Residential Size 0,17 Code Split N Neighborhood 191300 Exemptions: (End of Report) Date Received: OCT -8 2013 Original Submittal Run:9/30/2013 10:04:40 AM ASC0037[Ascend_Prod_Rptl Page 1 • if • SEPTIC TANK "' "" PUMPING "'Yesterdays"mews on ON-SITE SEWAGE SYSTEM (OSS) vrheeh�� REPORT OF SYSTEM STATUS ) Date of Inspectioi: �/�) /3 Site Address: f� , c4r City: 5i 1 ,a, /;�fit j State:OA Zip: G/,4l7 Operational Status: ❑ Satisfactory ❑Maintenance Needed ailure O55 Source: 9-Single Family ❑ Community ❑Food Service ❑ Other (type) Septic tank pumping recommended? ❑ No ❑Yes Septic Tank //' / • b r Tank Location: S51.4." etc f'4 � Tank Material OC'oncrete.....O,Plastic. 0 Metal 0 Wood 0 Other Volume ( Gallons...,.,..- i. e #of Compartments Depth of Scum ft compartment inches 2nd Compartment inches Depth of sludge 1"compartment )D inches 2nd Compartment inches Inlet baffle Condition OSatisfactory ONeeds Repair to 1044_,/, ✓ Outlet Baffle Condition 0 Satisfactory 0 Needs Repair u 1 Li,"7 Watertight.... O Yes.... Dick Risers/Lids in good condition, lids secure, &watertight OSatisfactory ONeeds Repair ONot Present Comments /.an I /ra e4.rt3 no l`/,... � • - fi - ' 4e V /toil I' / /test- Pump Tank..............Q.NJA Tank Material 0 Concrete OPlastic OMetal O Wood........00ther Volume Gallons Vault Screen 0 Satisfactory 0 Needs Repair......... 0 Not Present OCleaned Watertight Oyes ONo Risers/Lids in good condition,lids secure,&watertight 0 Satisfactory O Needs Repair O Not Present Depth of scum inches Depth of sludge inches Comments Distribution Box....Surface access...OYes (gNo Equal Distribution....OYes ONo Distribution Box service Recommended QYes ONo lallot Accessible Drainfield Flow Test Total Number of Bedrooms Served by 055: Ran test for minutes; Approximately gallons ran through system Level in septic tank rose approximately Returned to original level in minutes nn Evidence of dye and/or effluent surfacing QYes ONo Flo /1.0, d . A 7�tr,l" c ,i / or+^^ 'CI L" Gallons pumped in to drainfield I certify that I have performed the OSS evaluation on the above referenced property.The information submitted in this report is true and correct. Findings and determinations of this evaluation reflect conditions as they existed on the day the OSS was evaluated. ignatu e Print Da e BEST SEPTIC, INC 541-484-0844 PO BOX 40606 Date W v88:97404 OCT - 8 2013 Original