HomeMy WebLinkAboutPermit Land Drainage Alteration 1999-09-07This permit is required for any sito activity in the flood plain and ovorywhere site alteration consists of
fifty (5O) cubic yards of material or more and/or if a drainageway is affected, within City limits and
) ,This Be Filled Oit'by Applicant
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City
-7 Permit Expiration Date:Date of Application
Springfield, Oregon
State:
Phone:Property O
Address :
Journal numbor applloablo Land Usc Appllcatlon :
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Suppllcr: , ProJeBt Supervl
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EROSION CONTROL PLANk
ADDITIONAL INFORMATION,
SOILS & GEOLOGY PLAN,
CROSS SECTIONS,
DRAINAGE, POLLUTION AN
BEPLANTING PLAN
COMPANY NAME: ,
PROJECT SUPEBVISOR:
PHONE
PHONE
STATE
CITY
CITY
STATE-
ADDRESS
PROJECT SUPERVISOR:
ADDBESS:
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CONTRACTOR NAME:
Expiration
CITY:ADDRESS:
PHO
STATE:
MOBILE
lunderstand that l.or my Buccossors may have future plans formy property.which may be antic.ipated or r{nanticipated-at.
inII ti,ii. i'n,ii;rs6;d'ihat auctr tutuie ritans may require permitsahd devilopementrbprovgllflg.m.lhg City of Sprinefield
i understand that notwithstanding any a'pproval of this Land and Drainage.Alteration_Permit {LDAPI, that at the timE ot
;;;lE;ii,;;fiiiila;arhts-6i iiproliiiitre city may revlew and rccoirldcr.all lctlons-whlch I or my .uoca.sor. hav€
;frt;'n-,ii-e;;'€;;u;'nt ia'iiiiluriAF.-i unliritand that the City may a8 a condition of any future-apProval, requir-6 ths . ^ - -undoing, chinging, or modification of any actions which I have undertaken as a result of tho Clty's approval oT Inls LUAr.
Bv sionature, I stste and asree, that I hate carefully examined the completed application and do hereby cortify tha-t all
iniorfiation herein ie true and correct, and I further certify that any and all work performod-shall-bo done in accordance
;itti'i'n;'ddillriijei 6i ttre Citv oiSdrinstield, applicable'City Standard specifications and Drawings, and the laws of the
ifii;;i diffi'piniiirliig to ihe w-dri dlsCribedherein. I fuither certity that only contractors and employees who are in
compliance with ORS 7Oi.O66 will be used on this projea.
The Citv mav lnsoect the work slte described in this permit 8t any timo during a one year period following the receipt by.iif Cii./ di nbiiijoitomoteiion of the described woik and speclfy, at the City's eole dececration,.any addhional restoration
*Jrt-iiorlrija iolJiuin tie siti to a standard acceptable to itre City. The peni'tittee will be notified in wrhing of any work -
iio,ii,,ert-ina wi[ hat€ thirtv l30l days from the date of thq notico to complete the work. Work not compl€tod at tho end of
itrd tirirtv OivJ wifl Uo pertrirmed byitre City and the costE will be bllled to the permlttee.
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the site at all timec during construction,that all -qr7-7
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COMPANY NAME: ,
oFFlcE PHONE_ FAX_
EMERGENCY PHONE:
oRegistration
PROJECT PH}NE 7 /L- d3A /
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Date:
DRAINAGE, 0 Storm,E Ditch, El Culvert, El Natural
WETLANDS, Description Nma
FLOODWAY, FEMA Community Panel No.:
FLOOD PLAIN, ZO FEMA Community Panel No.
$2o.oo i
$30.00
$40.00
$40.00 For the first 10,000 cubic yards, plus
$20.00 for each additional 1O,O0O cubic yards or fraction ther€of.
$22O.OO For th6 first 'l 00,001 cubic yards, plus
$20.00 for each additional 10,000 cubic yards or fraction thereof.
$340 For the first 200,001 cubic yards, plus
$6.00 for each additional 10,000 cubid yards or fraction thereof,
$30.00
$30.00 For the first 100 cubic yards, plus
$14.00 for each additional 100 cubic yards or fraction ther6of.
$156.00 For the first 1,000 cublc yards, plus
$12.00 for each additional 1,000 cubic yards or fraction thereof.
$264.00 For th6 first 1O,O0O cubic yards, plus
$54.00 for each additional 10,000 cubic yards or fraction thereof'
$750.00 For the fkst 100,001 cubic yards, plus
$30.00 for each additional 10,000 cubic yards or fraction thereof.
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Date:7/2/77
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Date '773ReceiptNo,i.>35?fl
Receipt No,3555t)
Date
Date .1 /rs /qq6,?o
100,001 To 200,000
2OO,OO1 CUBIC YARDS OR MOBE
10o,oo1 ro zoo,ooo
Estimated Volume:
Grading Permit fee:
Received by:
Plan Check Fee:
Received By:
PLAN CHECK FEES:
UP TO lOO CUBIC YARDS
101 TO l,OOO CUBIC YARDS
1,001 TO 10,000 cuBlc YARDS
10,000 To 100,000 cuBlc YARDS
GRADING PERMIT FEES:
UP TO lOO CUBIC YARDS
101 TO l,OOO CUBIC YABDS
1,001 TO 10,OOO CUB|C YARDS
lo,ooo To 100,000 cuBlc YARDS
Plannid
DateEl--engineering
Date:
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Date
Planning:
Engineering:
Building:
Maintenance:
Permit Number lssued by:Date
Date
Date
Required Final lnspeetions,'
Date
Date:
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Land and Drainage.activity.as outlined in this permit has been completed in accordance'withtne provrsrons oI tnts permt.
h,11$,?.;;dfr6?t3fdg.,"r%qtlyltJf&p.,y,,tin"a in this permit has not been completed in accordance
tr Land and Drainage activity was performed prior to application for this permit.
Accepted by, Dat"
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A.N,IBLESIDE MEADOWS SUDD.
This property is located in an arca ofhcavy clay
91""(:Ip"l.i:: clays)- A liccnsc,r cnginecr sh"oilvenry the slability ofthe soils in thc pioposcd
ourtdlng arca and makc any rccomrncndations
necessary to assurc thc continued stability oftlrcsoil. Acopyofthe enginecr'sreport shall bcsubmitted to rhc Building Olliciai prior toDc&nnlng conskuclion of thc structurc.
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