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HomeMy WebLinkAboutApplication APPLICANT 6/3/2021City of Springfield Development & Public Works 225 Fifth Street Springfield, OR 97477 SPRINGFIELD w * Drinking Water Protection Overlay District Development Required Project Information (Applicant., complete this section) Applicant Name: Zack Reeves Phone 541-729-0045 Company: North Lake Property Management Fax: Address: 36997 Goats Road, Springfield, OR 97478 Applicant's Rep.: Mikael Shields, P.E. Phone 541-338-9483 x1008 Company: Johnson Broderick Engineering Fax: Address: 325 W. 13th Avenue, Eugene, OR 97401 MM Property Owner: Zack Reeves Phone541-729-0045 Company: North Lake Property Management Fax: Address: 36997 Goats Road, Springfield, OR 97478 ASSESSOR'S MAP NO: 17-02-32-23 TAX LOT 400 Property Address: 4155 E Street, Springfield, OR 97478 Size of Property: 0.52 Acres X❑ Square Feet ❑ Zoning: HI Heavy Industrial Existing Use: Vacant Land Description of If you are filling in this form by hand, please attach your proposal description to this application. Proposal: See attached narrative Si natures: Please si n and Drint your name and date in the acicirociriate box on the next page. Required Property Information (City Intake Staff. complete this section) Associated Cases: Case No.: Date: Reviewed by: Application Fee: $ Technical Fee: $ 1 Postage Fee: $0 TOTAL FEES: $ PROJECT NUMBER: Revised 1/15/09 ddk 1 of 5 Signatures The un0essigned a&nowWges tfMt Me Information In MIs apply oo Is mrre and accurate. gate: Signature Date: S nature Rwlsed 1/15/09 Wk 2 of 5 Drinking Water Protection Application Process 1. Applicant Submits a Drinking Water Protection Application to the Development & Public Works Department The application must conform to the Drinking Water Protection Submittal Requirements Checklist on pages 4-5 of this application packet. Planning Division staff screen the submittal at the front counter to determine whether all required items listed in the Drinking Water Protection Submittal Requirements Checklist have been submitted. Applications missing required items will not be accepted for submittal 2. City Staff Conduct Detailed Completeness Check • Planning Division staff conducts a detailed completeness check within 30 days of submittal. • The assigned Planner notifies the applicant in writing regarding the completeness of the application. • An application is not be deemed technically complete until all information necessary to evaluate the proposed development, its impacts, and its compliance with the provisions of the Springfield Development Code and other applicable codes and statutes have been provided. • Incomplete applications, as well as insufficient or unclear data, will delay the application review process and may result in denial. 3. City Staff Review the Application and Issue a Decision • This is a Type I decision and thus is made without public notice and without a public hearing since there are clear and objective approval criteria and/or development standards that do not require the use of discretion. • Decisions address all the applicable approval criteria and/or development standards. • Applications may be approved, approved with conditions, or denied. • The City mails the applicant and any party of standing a copy of the decision, which is effective on the day it is mailed. • The decision issued is the final decision of the City but may be appealed within 15 calendar days to the Hearings Official. Revised 1/15/09 ddk 3 of 5 DWP Overlay District Development Submittal Requirements Checklist NOTE: If you feel an item does not apply, please state the reason why and attach the explanation to this form. ❑ Submitted Concurrently with Site Plan Review or Minimum Development Standards applications, where applicable. ❑ Application Fee - refer to the Development Code Fee Schedule for the appropriate fee calculation formula. A copy of the fee schedule is available at the Development & Public Works Department. The applicable application, technology, and postage fees are collected at the time of complete application submittal. ❑ DWP Overlay District Development Application Form ❑ Copy of the Deed ❑ Copy of a Preliminary Title Report issued within the past 30 days documenting ownership and listing all encumbrances. ❑ Narrative explaining the proposal and any additional information that may have a bearing in determining the action to be taken, including findings demonstrating compliance with the Standards for Hazardous Materials within Time of Travel Zones (TOTZ) listed in SDC 3.3-235. NOTE: Before the Director can approve a DWP Overlay District Development request, information submitted by the applicant must adequately support the request. All of the Standards for Hazardous Materials within TOTZ must be addressed. Incomplete applications, as well as insufficient or unclear data, will delay the application review process and may result in denial. In certain circumstances, it is advisable to hire a professional planner or land use attorney to prepare the required findings. ❑ Three (3) Copies of a Plot Plan reduced to 8 1/2' by 11" outlining the applicable TOTZ boundaries in relationship to the property boundaries ❑ Three (3) Copies of the Following: ❑ Use of hazardous materials that pose a risk to groundwater that existed on the property prior to May 15, 2000, if applicable ❑ Hazardous Material Inventory Statement and Material Safety Data Sheet for all materials entered on the Statement. Hazardous material weights shall be converted to volume measurement for purposes of determining amounts (i.e. 10 pounds shall be considered equal to one gallon) ❑ List of chemicals to be monitored through the analysis of groundwater samples and a monitoring schedule if groundwater monitoring is anticipated to be required ❑ Detailed description of the activities conducted at the facility that involve the storage, handling, treatment, use, or production of hazardous materials in aggregate quantities greater than 500 gallons ❑ Description of the primary and any secondary containment devices proposed, and, if applicable, clearly identified as to whether the devices will drain to the sanitary sewer or stormwater system Revised 1/15/09 ddk 4 of 5 ❑ Proposed Hazardous Material Management Plan for the facility that indicates procedures to be followed to prevent, control, collect, and dispose of any unauthorized release of a hazardous material ❑ Description of the procedures for inspection and maintenance of containment devices and emergency equipment ❑ Description of the plan for disposition of unused hazardous materials or hazardous material waste products over the maximum allowable amounts, including the type of transportation and proposed routes Revised 1/15/09 ddk 5 of 5 NEW STORAGE FACILITY FOR OOC STORAGE DRINKING WATER PROTECTION OVERLAY DISTRICT In accordance with the DWP Overlay District submittal requirements, this written statement and the enclosed attachments demonstrate that the proposal complies with the relevant criteria under Springfield Development Code (SDC) 3.3-200. Project Information: DOC Storage (OOCS) proposes to construct a vehicle and equipment storage facility on currently undeveloped property located at 4155 E Street in Springfield. The proposed building footprint is approximately 4728 S.F. and includes an attached two-story office area that is approximately 848 S.F. in size. Uses that will occur on the property will include storage of vehicles and equipment primarily those used for other businesses such as landscape maintenance and construction. The storage spaces will be rented or leased individual units within the same structure. Tenants will be required to declare and inspect storage of any hazardous materials in their leased spaces. Site Information: The subject site is located at 4155 E Street, (Tax Lot 17-02-32-23-00400) comprising approximately 0.52 acres. The property is zoned Heavy Industrial (H I). The site is located within the 20 - year Time of Travel Zone for SUB wellhead protection. The most recent use of the property was residential housing. To the best of our knowledge, no known use of hazardous materials that pose a risk to groundwater existed on the property prior to May 15, 2000. Approval Criteria: Springfield Development Code 3.3-135 Criteria D. Ten to Twenty Year TOTZ Standards. The storage, handling, treatment, use, production or keeping on premises of more than 10 gallons of hazardous materials that pose a risk to groundwater in aggregate quantities is allowed only upon containment and safety standards specified by the mast recent Fire Code adapted by the City. (6138) No more than 20 gallons of hazardous materials will be stored or used on the site, therefore the proposal complies with this section of the code. Conclusion: Based on the information provided and findings contained in this written statement, associated drawings, and Hazardous Materials Management Plan, the proposed storage facility meets the Drinking Water Protection Overlay District review criteria contained in the Springfield Development Code. Therefore, the applicant requests that the City of Springfield approve the proposal. If you have any questions about this written statement or associated materials, please contact Mikael Shields at (541) 338-9488 x1008 or email at: mike@jbe.us.com. T CASCADE TYTLE GD. STATUS OF RECORD TITLE REPORT SUPPLEMENTAL TAMMY REEVES Date: OCTOBER 29, 2020 36997 GOATS ROAD Our No: CT -0321635 SPRINGFIELD, OR 97478 Charge: $300.00 As requested, Cascade Title Co. has searched our tract indices as to the following described real property: ( A T T A C H E D) and as of: OCTOBER 21, 2020 at 8:00 A.M., we find the following: Vestee: ZACHARY REEVES AND TAMERA KJAR as tenants by the entirety Said property is subject to the following on record matters: 1. Taxes, Account No. 0983559, Assessor's Map No. 17 02 32 2 3, 4400, Code 19-00, 2020-2021, in the amount of $1,056.48, NOW DUE AND PAYABLE. 2. Easement to Eugene -Springfield Land 6 Water Company for irrigation purposes, including the terms and provisions thereof, as disclosed in deed recorded June 20, 1940, Reception No. b205 p023, Lane County Oregon Deed Records. 3. Right of way to use slough for irrigation, including the terms and provisions thereof, as disclosed in deed recorded August 21, 1912, Reception No. b094 p634, Lane County Oregon Deed Records. 4. Covenants, conditions, easements and restrictions, including the terms and provisions thereof (but omitting covenants or restrictions, if any, based upon race, color, religion, sex, sexual orientation, familial status, marital status, disability, handicap, national origin, ancestry, or source of income, as set forth in applicable state or federal laws, except to the extent that said covenant or restriction is permitted by applicable law) in Deed recorded April 27, 1953, Reception No. 1953-002495, Lane County Oregon Deed Records. MAW OFHCE FLORENCE OFFICE VILLAGEPLAZAOFFICE 811W LA TTESM 915 HWY 101' FLORENCE OREGON 97439 47M VE,LAGE PLAZA LOOP SUITE 100 EUGENE, OREGON 97401 MAN.ING: PO BOX 508' FLORENCE OREGON 97439 EUGENE OREGON 97401 PH: (541) 689-2233 * FAX: (541)185-0309 PH: (541) 99]341] * FAX: (541)9978246 PH: (541) 653-8622 * FAX: (541) 8444626 Order No. 0321635 Page 2 NOTE: This report is being supplemented to update taxes This report is to be utilized for information only. This report is not to be used as a basis for transferring, encumbering or foreclosing the real property described. The liability of Cascade Title Co. is limited to the addressee and shall not exceed the premium paid hereunder. CASCADE TITLE CO., by: mm: Title Officer: DOUG PIERCE Order No. 0321635 Page 3 PROPERTY DESCRIPTION Lot 2, in Block 3, of MORROW PLAT, as platted and recorded in Book 19, Page 6, Lane County Oregon Plat Records, in Lane County, Oregon. EXCEPT: Beginning at the Northwest corner of Lot 2, Block 3, MORROW PLAT, as platted and recorded in Book 19, Page 6, Lane County Oregon Plat Records, in Lane County, Oregon; run thence Easterly along the Northerly line of said Lot 2 on the arc of a 256.40 foot radius curve right (the long chord of which bears South 71° 10' 30" East 77.66 feet) a distance of 77.93 feet to the end of curve as located in said MORROW PLAT; thence leaving the North line of said Lot 2 and run South 19° 00' 30" West 193.49 feet to a point on the South line of said Lot 2 that is 10.0 feet North 89° 52' East of the Southwest corner of said Lot 2; thence South 89° 52' West 10.0 feet to said Southwest corner; thence North 0° 08' West along the West line of said Lot 2, 200.03 feet to the point of beginning in Lane County, Oregon. T CASCADE TITLE CO. MAP NO. 17-02-32-23 2 1M, 5 400 AVENUE 2 e ,- 300 SE COR LCOMEGYS D -L -C- NO.81 I I 3 I I THIS MAP/PLAT IS BEING FURNISHED AS AN AID IN LOCATING THE HEREIN DESCRIBED LAND IN RELATION TO ADJOINING STREETS, NATURAL BOUNDARIES AND OTHER LAND, AND IS NOT A SURVEY OF THE LAND DEPICTED. EXCEPT TO THE EXTENT A POLICY OF TITLE INSURANCE IS EXPRESSLY MODIFIED BY ENDORSEMENT, IF ANY, THE COMPANY DOES NOT INSURE DIMENSIONS, DISTANCES, LOCATION OF EASEMENTS, ACREAGE OR OTHER MATTERS SHOWN THEREON. h9 zh1.It •n51n« 9Azj n.. I:BaC F �F:1�1 iv ivn1R oaz 9 o,t..... cxn aFt on Yonvrit t, TrmY.� 4( .,1: stlt a up 1:P.� sc n d Met ebG"A _ c(d v. 'iu1tt t,, n', �. h 17-14 1 `N( Qrvo>A 1}q, eo A3mo rv. =rr ri. r G i . anotia. cCad i '.1(uc uahl -9,( f -yfe of rvcy hva stn: _ Arifl It, -I, 1,111i"i�.�} Il, x.i Jp0 ,. ebA+i A 114 x( B n r hti'jY ..ebLL to: v „ 4nd�'e31 P3 J ur. .% � m tarn, I - yk341cyn. t, 1. 6v F. .ice t Otii {Lpa ePL. p L C ti .¢q pn yyd��jU�iO 1,e 1a[iz Id iv21i. uSe ..N uit,r :R .D.' .xrt] 6.�ffi .:ptC. W. I,l : pe aIllrvs' 1, k L ex2s 9 Oatic u ssR 70.-,h.., llT. a_We n.. I:BaC F �F:1�1 iv ivn1R oaz 9 o,t..... cxn .... .......FI'd in m�fdsotsn of the �mn oL... PLN n..n ./IQD'. Dallexav to t1r9m palA.a d5 liealeb9 bax£SSa. xsell sad Aonv¢9 .unto .aid. L. M—.,,the f.11.ong do¢¢nlb.d pxamlee§.:to-mite All of Lot L, Sa¢tion 32, T.1orlp 17 South, Reinge 2 Wert of 1'1113emette nonidim, oonbri.in, 5.31 sodas, :m ne on las ep ' Also All of Lot'4 nna ell thnt -pa,, of Lot l Ya Section 32, Tomf¢h1p 19 9onm, A, 2: Watt oP Talloisotte Mexldlans:'in Lens C¢nnt, oxegonj aging Toot of too East line of tho Ranson R. Hax'pex ana lfe D. L, G, 57, oxteadedtNortN to tins North lino of scold lot 1e "oosteloing 7.23 saran more or less, all be1nE is Lade County, F,..on -'ubl ¢t to aeaeNant oY EI}gcbo-5pningpleld Fort and flat., i3—perr7 f r—tlght of no, fol'. Snxigetion ..I of 40 feet mldth over azffi faros¢ Lot 4 and neat of Lot 1. TO K4pG AND TO BOLD....thB._ said premisee, with theiry ePPnttr :niece, and asoigne _mevr. i -on, vneenent to and with tlm acid__.._,Q aal.al Eur............ Leis end mearns, tLaL_thRy....ara___1'M1annnee9.__.in Pee xlmple of nvltlo,_ the, __________._nNl wan'aN madefend the eom e'tmm vll iN WITYSSS WHEREOC,..S.bays. hexavnto..set my_hmp..rnA.oeal. thix_26th. zn_thr,:messncr of... ar£nent fro,,iyor _._ MAL) (2-$2-D. 5. T. R.) La. o. Bnxghor IS➢AL) (6tvmaBcC-sr.lra) _ (A.") 1. (d.AL) .TOFOREGON ` ¢s.. to it npmamllBPod tbft o¢ EILO 2-EILLOy of 3nas A. 9y 194Qx 00[1NTY pE LANE ) ompe[ ally "me he...Notary PaL11. _In nnd£rc sail Jde n _ Gtg......_ _ttnwAhin nameC Aer46LtrtBveyhex Yw13oTTaT of 3Sertlo A. HvrgheS-.aodnDe&... . 0. Sughgn _� to mn on0i, Inion , to be the'id tl 1 11"InIa.--imomild in andwho axe ted la th 1UL-1.1no. o4ost1o06o£ W methsttbgy ,e a steJtt¢enme Seely d oluntardy........_Soetho nage jaaa, Witness my hand and's¢nl thie'26tri day ¢£ oss. A. F., 194, o. G. Davis Notary PabLlo for Onoyon NOtflrial 6ea1 Ny Covm3s¢iOn Rssire¢ I]Bnember 26th, 1S COMPANY, a Washington corporation, of Tacoma, Washington, Grantor, in consideration of the aum of Ten Dollars ($10,00) and other good . and valuable consideration, -receipt sof which is hereby acknowledged, has bargained and sold and by these presents does grant, bargain, sell and convey unto KENNETH X. WILY and MARY MARGARET W=, husband and Wife, of 4155 E. Street,Springfield, Oregon, as tenants by the entirety, Grantees, all the following described real property, situated in County of Lane State of Oregon: - Lot 2 of Block 3, Morrow Plat, Lane County, Oregon, according to the map and plat thereof on file and of . record in the office of the County Clerk of said County. Subject to: (1) The right of the Grantor, which is hereby reserved in the Grantor, to eatabllsh, constrnot, maintain and conduct, on any and all of the real property by it noir owned, situated in - Sections 19, 20 and 28 to 33, inclusive, Township 17 South, Range 2 West of W, M., and Sections 4 and 5. Township 18 South, Range 2 West of W. M.., said Lane County, or hereafter acquired by it in said sections, operations of any and every nature, without limitation, for the manufacture and processing of products from wood, by any means, .process or processes now or hereafter (mown to the Grantor and in any mill, plant or other structure presently existing orhereafter constructed on said property. In consideration'bf the conveyance hereby made, Grantees specifically covenant and agree, and without which covenant and agreement Grantor would not make this conveyance, that neither of said Grantees, nor any person or persons whomsoever for them or in their names, shall at any time hereafter make or assert 1. maintain ang `suit, action or prooaadingbased. upon, growing out of or resulting .from any manufacturing or processing oper- ations conducted by the Grantor pursuant to its reserved rights;,_:-, hereinabove set forth, including but not limited to operations of the -Grantor resultingin the discharge of chemicals,,_..$sea,.._ __.. smoke or fumes from the Grantorts mills and plantae The fora- - going covenants and agreements made by the Grantees are and shall be annexed to, inherent In and connected with the real property hereby conveyed and the occupancy arfd enjoyment thereof by the Grantees, and it 1s the intention and agreement of the parties hereto that such covenants and agreements shall run with the land, that is, the property hereby conveyed, and become and remain binding upon the Grantees and their respective heirs, representatives, vendees, successors and assigns; and --. (2) All rights of and easements to Eugene -Springfield Land and Water Company of record in theoffice of the Clerk of said Lane County, together with all and singular the tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining. The terms, agreements, covenants, reservations and conditions of this deed shall inure to the benefit of and be and become binding on the respective heirs, representatives, vendees, successors and assigns of the parties hereto, To have and to hold, the above described and granted premises unto the said Grantees, their heirs and assigns, forever, IN WITNESS WtIENEOF, said 'Granaor has caused these presents to be signed and Its corporate seal to be hereunto affixed by its _Z_ WSYEUAE! TMER- COKPANY •. ET, ce res Atte a-.; A Seeretar STATE OF V OTON) - ) Be. COUNTY OF PIERCE ) _...._...._.. _.. _._ On this 17th day of Apri1,1953, before me personally _. appeared Chas. H. Ingram, to me known to be the Vice President of" - Weyerhaeuser Timber Company, the corporation that executed the within and foregoing instrument, and acknowledged said instrument to be the free and voluntary act .and deed of said corporation, for the uses and purposes therein mentioned, and on oath stated that he was authorized to execute said instrument and that the seal affixed is the corporate seal of said corporation. IN WITNESS WHEREOF, I have hereunto set my hand and affixed my. official seal the day and year first above written. ,r No'Ejy<. PUblIcin and'iorifiie Sisk of Washington, residing at Tacoma. MY commission expires 10/21/54 IN WITNESS WHEREOF, the Grantees above named have hereunto -_ set their hands and seals this /$fhday of ✓i/ 1953. STM OF ORMON > — .-- ) Be. COUNTY on LANG Personally appeared the above named Kenneth N. Wiley and Mary Margaret Wiley, husband and wife,. and acknowledged the foregoing instrument to be their: voluntary act and deed. Before me: rM�-�L.. _.. Notary Public for Oregon My .commission expires Va, Af 194J . PJ ii � o ' ps ' •" s uwak m P b G 0 i q 4 h vii .r ft 5�c� `s: s . PJ ii � o ' ps ' m P b `s: s Win Title CUBT�6 � Q4. INVOICE TAMMY REEVES 36997 GOATS ROAD SPRINGFIELD, OR 97478 ATTN: EMAIL: OREGONATIVE68@GMAIL.COM PAGE OUR NO: 0321635 YOUR NO: -- DATE DATE: 08/11/2020 OFFICER: DOUG PIERCE SELLER: 1.10X1 t7 A.VwO/AWat7elONIC61 Description Policy Amount Premium Amount 08/06/20 Status of Record Tide Rep 300.00 Grand Total PLEASE SHOW OUR NUMBER ON YOUR REMITTANCE 811 Willamette Street ♦ Eugene, Oregon 97401 Phone: (541) 687-2233 ♦ Fax: (541) 485-0307 ♦ email: info@cascadetide.com 300.00 LEGEND — DIRECTION OF FLOW \" \� DWP SIGN H , RIM nfN,=463.8E AIr STORMWATER PLANTER \ v f 10-20 YR. TOTZ <-- _ PAVED PARKING 'a ' AREA F, ,� f DWP SIGN � a i n a � OFFICEISTORAGE e BUILDING s ii i s sr 811 i"CCP i NV ELEV= 482 C2.1 1, 30. NORTH JBEJOHNSON pate 2021.04.09 BRODERICK OOC STORAGE FACILITY Pmied A. 20031.03 ENGINEERING 4155 E STREET Orewn By CMR Civil and Structural Engineers SPRINGFIELD, OREGON 97478 ch -Ned ar' AVE 325 W. 13th Ave Tel (541) 338-9488 RI. Eugene, OR 97401-3402 Fax (541) 338-9483 www.JBE.US.com Tlue: SITE PLAN Sheet. C2.1 92021 JOHNSON BROGEWCK ENGINEERING. No fan of Nk d¢umeiM1—M.,.u.dMH.Uthe woft Nev.— ho. JSE. 1325 WEST 13TH A NUE EUGENE OREGON 97401.(511)3%M u(az(1133S81 1 SPRINGFIELD UTILITY BOARD HAZARDOUS MATERIALS MANAGEMENT PLAN OOC STORAGE FACILITY OOC Storage (DOCS) Facility is located within the 10 to 20 -year time -of -travel zone to one of Springfield's municipal drinking water wells as shown on the map below. This means that chemicals that spill or leak onto the ground surface have the potential to contaminate the well between 10 and 20 years' time. DOCS is a committed partner in the effort to protect Springfield's drinking water supply. Our hazardous materials management program emphasizes the importance of preventing chemical leaks and spills and responding promptly and effectwely should a release occur. We strive to increase awareness that the property lies within a sensitive drinking water protection area among our employees and the public who visit our business. This hazardous materials management plan outlines OOCS's protocol for preventing, controlling, collecting, and disposing of any unauthorized releases of hazardous materials. The plan also identifies the greatest areas of risk within our facility and outlines the steps we take to reduce the risk. Any questions about this plan or how DOCS manages its hazardous materials should be directed to Zack Reeves, OOCS's Owner/Operator, at 541-729-0045. a�mw.vQrr�erm�es W ®A.@AD PRO]SCI'ION AP E1 FM4 Wn Section I: Facility Description Part A —General Information 1. Business Name: DOC Storage Facility Phone: 541-729-0045 Address: 4155 E Street, Springfield, OR 97478 2. Person Responsible for the Business: Name Title Phone Zack Reeves Owner/Operator 541-729-0045 3. Emergency Contacts: Name Title Home Phone Zack Reeves Owner/Operator 541-729-0045 Tamara Reeves On-site Manager 541-554-3384 4. Person Responsible for the HMMP: Name Title Phone Zack Reeves Owner/Operator 541-729-0045 5. Property Owner: Name Address Phone Zack Reeves 36997 Goats Road 541-729-0045 Springfield, OR 97478 6. Principle Business Activity: Storage facility for vehicles and equipment 7. Number of Employees: Two 8. Number of Shifts: One 9. Hours of Operation: 7:00 am — 6:00 pm, Monday — Friday Work Phone 541-729-0045 541-554-3384 I certify that the information above and on the following parts is true and correct to the best of my knowledge. Signature:Date: 57— lf7 Print Name: Z-GLkFr- ' `eCV eS Title: V W ,-Er Page 2 of 14 Part B — General Facility Description/Site Plan The site occupies 0.52 acres of Heavy Industrial zoned land at 4155 E Street in Springfield. The primary business is rental/lease of space for storage of vehicles and equipment within a 4728 S.F. building. The eastern portion of the storage area is reserved for the owner's personal use. The western portion of the building contains a two-story office. The site includes a 7231 S.F. paved parking and driveway area. All stormwater runoff from the building and paved areas is directed to a stormwater planter area for treatment and infiltration. Tenants of the leased spaces will be responsible for declaring use and storage of hazardous materials using a tenant intake form (example attached). The tenant intake form be received by OOC management staff at the beginning of tenancy and will be kept on file in the management office. Part C — Facility Maps/Hazardous Material Storage Locations Page 3 of 17 LEGEND — DIRECTION OF FLOW \w �: \" \� DWP SIGN he "� cH'ssa w, r H , RIM nFN,=463.8E AIr STORMWATER PLANTER \ v f 10-20 YR. TOTZ <-- _ hot PAVED PARKING 'a ' AREA F, ,� f DWP SIGN � a i n a � OFFICEISTORAGE e BUILDING s ii i s sr 811 i"CCP i NV ELEV= 482 C2.1 1, 30. NORTH JBEJOHNSON oaa 2021.04.09 BRODERICK OOC STORAGE FACILITY Preied A. 20031.03 ENGINEERING 4155 E STREET Grown By CMR Civil and Structural Engineers SPRINGFIELD, OREGON 97478 cheered ar' AVE 325 W. 13th Ave Tel (541) 338-9488 Reumnn. Eugene, OR 97401-3402 Fax (541) 338-9483 www.JBE.US.com Tlue: SITE PLAN Sheet. C2.1 ®2021 JOHNSON BRooEWCK ENGINEERING No Not of this dmumeno mn be reprWumd wlNow the when permislon hem aeE 1325 WEST 13TH A NUE EUGENE OREGON 9]401.(541)3339009 m(az(5I)338ex*81 Page 4 of 17 LDN �11ST FLOOR OFFICE �12ND FLOOR OFFICE 52.1 1"= 10' 52.1 1"= 10' OWN Pe qTnpArp Apph OFFICE SEE 3152.1 HAZARDOUS MATERIAL STORAGE CONTAINER SPILL KIT X11 ST FLOOR PLAN 1^=20' JBEJOHNSON owe 20210. BRODERICK NORTH LAKE PROPERTY MANAGEMENT vmiec u: 200311.0303 ENGINEERING 4155 E STREET Dnewh By: CMR CiVll and Structural Engineers SPRINGFIELD, OREGON 97478 checked 9y: AMB 325 W. 13th Ave Tel (541) 338-9488 xemsiee. Eugene, OR 97401-3402 Fax (541) 338-9483 www.JBE.US.com Txe: FLOOR PLAN sheet. S2.1 ® zozi aexrvsory axooxwcxxrvcirveexirva No mnmmtsdacoreemreo be reprmem U d wnne"unesdne" zsnntame More aeE I aze wxsT isrxnvxrvux xuoexe oxxeoryscam{sm)aze saeea<rar(uilaassaaai Page 5 of 17 Section II: Hazardous Materials Inventory Statement PRODUCTS STORED ON-SITE Hazardous storage Llass.des n Maximum Apprpx. ManufaRurer's Hazardous Lodes Chemical Quanfity Paazge of Coazdtioazs OPed NFPA 764 lAralionof Name&Product u Ingredientsartd Amari fsmv&Table (Survey Ta le Unit Contmner Material M4enf Us Lbsed Use Llassifirafion Chemical Stared Narne Lpnrenhalion N) Services No. Noted sires N&V) Ethaml 6417-5; A& Toluene 6&3; 95!36; Mnmz's S[arage Area Gasoliue(All Grades) 1,3,4Iri,oetbYlbenzene ]1.43-Y; 110 5G�� SGallanar Liquid Open aneatemof Benzene 54.3 less building In Fluor n hexane Tihuimn Biaxide 1346.3.6]-]; gynez's S[arage Area Litex Print Amorphous Motorcar—Earth 61]90-53-3; 5]- SGallen 1Gallonor Liquid Open mzeat end of Propylene Glycol 551;64]4365- Less building 1 -Floor Hear, Paraffinic Oil 0 PRODUCTS USED ON-SITE AND STORED OFF-SITE (examples include landscape chemicals and/or fertilizers and janitorial supplies) hazardous material inventory changes, this HMIS shall be updated to reflect those changes and provided to SUB for review for compliance with SDC 3.3-200 on an annual basis. Page 6 of 17 Section III: Separation, Secondary Containment, and Monitoring Part A - Above Ground Storage Areas Storage Area Identification (as shown on Site plan and Floor Plan): Owner's Storage Area (see Floor Plan) 1. Storage Type: X Original Containers Inside Machinery 55 -Gallon Drums Pressurized Vessel 2. Storage Location: X Inside Building 3. Separation: All Materials X Compatible Separated by 20 feet 4. Secondary Containment*: X Approved Cabinet X Tray Vaulted Tank 5. Monitoring: X Visual 6. Monitoring Frequency: Daily X Monthly X Safety Cans Bulk Tank Outside Barrels Other: Outside Building Secured One -Hour Separation Wall Approved Cabinets Other: Secondary Drums Bermed, Coated Floor Double -Wall Tank Other: N/A Continuous Weekly *All hazardous materials and wastes, regardless of container size, must be kept in secondary containment. **All hazardous materials shall be property labeled Page 7 of 17 Section IV: Waste Disposal Discharge to Sanitary Sewer Wastes: X Licensed Waste Hauler Wastes: General office waste material Describe Method: Wastes: nrnraFrr; Pretreatment Wastes: X Recycle Wastes: Pacer, glass, metal Page 8 of 17 Section V: Record Keeping (Inspection and Maintenance) Description of our Inspection Program: Inspection of the owners' storage space will take place on a monthly basis. Any materials stored in tenant spaces are required to be identified on the HMIS Tenant Intake Form with required monthly inspections and documentation on that form (example form attached). The owner will be responsible for inspecting his personal storage area and documenting the inspections on the attached form. Tenants are required to perform inspections of their spaces with documentation recorded on the HMIS Tenant Intake Form. The owner will review the HMIS Tenant Intake Form for compliance every 6 months. Completed inspection forms will be kept on site in the DOCS management office for a period of 7 years. All secondary containment devices will be inspected on a monthly basis. Any detected problems will require correction within 24 hours. Page 9 of 17 EXAMPLE HMIS TENANT INTAKE FORM OOC Storage HM IS Tenant Intake and Reporting Form -Drinking Water Protection Required Information (To he completedby tenant) Name: Phone: Business Name: Shop 7t: Date of commencement of tenancy: Describe the nature of the use or business: The undersigned acknowledges that the information included on this form is correct and accurate. The undersigned also certifies that the inventory of hazardous materials inventory kept in the unit will not exceed or differ from the list below. If the inventory changes, this form shall be updated and resubmitted to CDC Storage management. Tenant Signature Date Tenant Print Name List all hazardous materials that are used, stored, or produced in the unit (e.g., household & industrial cleaners, paint and paint products, pesticides, fertilizers, maintenance supplies, petroleum products, automotive chemicals, solvents, pharmaceuticals, printing chemicals, laboratory chemicals, hobby chemicals). Attach additional sheets if necessary. TOTAL QUANTITY = . fbzordous materiol weights shop be converted to mbme measurementfor purposes ofdeterminirg amounts, 10 pounds shah be considered equal tome galbn as specified in Springfield Fire Code 2703.1.2. To be completed by OOC Storage management: Exempt from DWP: Yes" O No (Proceed to Page 2) O Date of review: Reviewed by: "Exempt businesses shall submit updated form on an annual basis FName: Phone: Business Name: DOCS Sho p: Page 10 of 17 MONTHLY COMPLIANCE & INSPECTION: Year: January—June ❑ July - December ❑ Provide the information requested below and inspect monthly. Tenant Tenant Printed Name January - June (year): 71 Date of July -December (year): ❑ Reviewed by: Date Page 11 of 17 What kind of secondary containment are your chemicals F Z stored in? JAN FEB MAR APR MAY JUN JAN FEB MAR APR MAY JUN g H ❑ ❑ ❑ ❑ ❑ ❑ z Y J d R JUL O AUG O SEPT ❑ OCT ❑ NOV ❑ DEC ❑ H NOTES: z z O JUL AUG SEPT OCT NOV DEC Inspect that all secondary containment is in place and check ❑ ❑ ❑ ❑ ❑ ❑ y C for leaking containers. Fix problems if applicable. Q Z NOTES: O u un !n Tenant Tenant Printed Name January - June (year): 71 Date of July -December (year): ❑ Reviewed by: Date Page 11 of 17 What is the location of your spill ll JAN FEB MAR APR MAY JUN ❑ ❑ ❑ ❑ ❑ ❑ H Y J d Inspect that spill kit is easily accessible, fully stocked, and signed. Fix problems if applicable. JUL O AUG O SEPT ❑ OCT ❑ NOV ❑ DEC ❑ H NOTES: Tenant Tenant Printed Name January - June (year): 71 Date of July -December (year): ❑ Reviewed by: Date Page 11 of 17 Section VI: Spill Prevention Measures that the business will take to prevent spills include storing containers at eye -level, securing shelves to walls, segregating incompatible materials, using and monitoring secondary containment, maintaining all containers in good condition, conducting regular employee training, storing all chemicals inside, and requiring tenants to comply with these spill prevention measures. The business will protect the storm drain system by monitoring the paved area that drains to the stormwater facility and containing and cleaning up any spills before they reach that area. The trash enclosure is hydraulicly isolated from the storm drain system and includes a catch basin connected to the wastewater system. The trash enclosure area will be inspected for spills on a weekly basis. Any spills detected will be cleaned up immediately. A spill kit will be located in the owners storage area and each tenant will be required to keep on hand a spill kit appropriate for the type of materials stored in the leased spaces. Page 12 of 17 Section VII: Emergency Response Plan 1. In the event of an emergency, the following shall be notified: A On -Site Responders: Name Title Phone Tamara Reeves On -Site Manager 541-554-3384 Zack Reeves Operations Manaqer 541-729-0045 10 C. Method of Notification to Responders: Automatic Alarm Manual Alarm Other: X Telephone Verbal Agency Phone Number Fire Department 911* Oregon Emergency Response System 1-800-452-0311 Other Dial 911 in the event of an emergency or hazardous material spill * The standard procedure for notification of a hazardous material release in Springfield is to call 911. The first responder will dispatch information to Springfield Utility Board, which must be notified as soon as possible if a chemical release has the potential to contaminate municipal wells. 2. Designated Local Emergency Medical Facilities: Name Address Phone Peace Health Riverbend 3333 Riverbend Dr., Springfield, OR 97477 541-686-6931 McKenzie Willamette 1460 G Street, SDrinafield, OR 97477 541-726-4400 Page 13 of 17 3. Mitigation Equipment: A Monitoring Devices: Toxic or flammable gas detection X Fluid detection Other: B. Spill Containment: X Absorbents C. Spill Control and Treatment: Vapor Scrubber Pumps/Vacuums Neutralizer Other: Mechanical Ventilation X Secondary Containment Other: 4. Evacuation: X Immediate area evacuation routes posted Entire building evacuation procedures developed Assembly areas pre -planned Evacuation maps posted Other: 5. Supplemental Hazardous Materials Emergency Response Plan on Site: Location: DOCS management office Responsible Person: Zack Reeves Phone: 541-729-0045 Page 14 of 17 Section XIII: Emergency -Response Training Plan 1. Person Responsible for the Emergency -Response Training Plan: Name Title Phone Zack Reeves Operations Manager 541-729-0045 2. Training Requirements: A All employees trained in the following as indicated: X Procedures for internal alarm/notification X Procedures for notification of external emergency -response organizations X Location and content of the emergency -response plan X Awareness of the facility's proximity to sensitive drinking water protection area X Drinking water protection presentation (contact SUB Water Quality Protection Coordinator, Amy Chinrtz, at 541-744-3745) B. Chemical handlers are trained in the following as indicated: X Safe methods for handling and storage of hazardous materials Proper use of personal protective equipment X Locations and proper use of fire- and spill -control equipment Specific hazards of each chemical to which they may be exposed C. Emergency -response team members are trained in the following: Procedures for shutdown of operations X Procedures for using, maintaining and replacing facility emergency and monitoring equipment 3. The Following Records are Maintained for All Employees: X Verification that training was completed by the employee Description of the type and amount of introductory and continuing training Documentation on and description of emergency -response drills conducted at the facility 4. Amore comprehensive and detailed emergency -response training plan is maintained on site. Location: DOCS Management Office Responsible Person: Zack Reeves Phone: 541-729-0045 Page 15 of 17 Section IX: Process for Updating HMMP The HMMP will be reviewed annually by OOCS management and updated as required. Copies of the HMMP will be kept on-site in the OOCS management office. Section X: Notes Wellhead protection signs are installed on-site to inform staff and visitors of the importance of reporting and cleaning up spills. These signs are located at the building entrance and the covered trash enclosure. Damaged or missing signs should be replaced. EXAMPLE OWNER INSPECTION FORM Page 16 of 17 HAZARDOUS MATERIAL STORAGE MONTHLY INSPECTION FORM Completed inspection sheets are to he maintained in the inspection log for at least threeyears Storage Area Date & Time Inspector Name Reviewedby Instructions: INSPECTION TOPIC OK COMMENTS PROBLEMS DETECTED RESOLUTION (Include dates and times corrective actions taken Area is free ofleaks and/or spills Secondary containment devices intact and secured to shelves Original containers not leaking, rusted bulging or damaged Hazardous material containers me properly labeled Containers closed and sealed Spill kit accessible with signage and instructions Incompatible materials are stored separately Floor free of cracks and other dam e NOTES: Page 17 of 17