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Home My WebLink AboutApplication Applicant 11/16/2023Revised 2023 04 04 slm City of Springfield Development & Public Works 225 Fifth Street Springfield, OR 97477 LAND USE COMPATIBILIITY STATEMENT (LUCS), DEPARTMENT OF MOTOR VEHICLES (DMV) and ZONING VERIFICATION LETTER Application form Permit Type Dept of Motor Vehicles-New: Land Use Compatibility Statement: City: Dept of Motor Vehicles-Renewal: Zoning Verification Letter: UGB: Project Information Applicant Name: Phone: Company: E-mail: Address: Property Owner: Phone: Company: E-mail: Address: ASSESSOR'S MAP NO: TAX LOT NO(S): Property Address: Description of proposal/request: Record Information (Staff to complete) Record No: Date Received: Application Fee: $ Technical Fee: $ TOTAL FEES: $ Assigned Planner: ✔ Laura Skow/Dane Nygaard (714) 919-6533 Montrose Environmental lskow@montrose-env.com / dnygaard@montrose-env.com 1631 E. Saint Andrew Place, Santa Ana, CA 92705 Apro, LLC dba United Pacific (310) 808-6812 United Pacific, c/o Tom Robins Tom.Robins@unitedpacific.com 4130 Cover Street, Long Beach, CA 90808 17023341 1702334101901 5720 Main Street, Springfield, OR 97478 Business is an active retail gas station & convenience store. LUCS is required to support a LRAPA Permit Application for construction/operation of a remediation system for soil and groundwater cleanup under the Oregon DEQ (DEQ LUST# 20-20-0844, United Pacific #5468). Cleanup is related to a release of gasoline from a former UST at the property. LAND USE COMPATIBILITY STATEMENT (LUCS) WHAT IS A LUCS? The LUCS is the process Lane Regional Air Protection Agency (LRAPA) uses to determine that LRAPA permits are consistent with the local government comprehensive plan. WHY IS A LUCS REQUIRED? Oregon law requires that activities that impact land use be consistent with local comprehensive plans. DEQ Division 18 administrative rules identify LRAPA actions that are defined as programs affecting land use and for which LRAPA must have a process for determining local plan consistency. WHEN IS A LUCS REQUIRED? A LUCS is required for nearly all LRAPA permits. In cases where a source needs more than one permit or approval (e.g., DEQ water discharge permit and LRAPA air contaminant discharge permit), a single LUCS may be used. A permit modification requires a LUCS when there is any physical change or change of operation of an air pollutant source that results in a net significant emission rate increase (‘SER’ as defined in LRAPA's rules, Section 12-001). A permit renewal requires a LUCS if one has not previously been submitted, or if there is any physical change or change of operation of an air pollutant source that results in a net significant emission rate increase (‘SER’ as defined in LRAPA's rules Section 12-001). HOW TO COMPLETE A LUCS:  The applicant fills out Section 1 of the LUCS and then submits it to the city or county planning office.  The city or county planning office determines if the business or facility meets all local planning requirements.  The city or county planning office must attach written findings of fact for local reviews or other necessary planning approvals that are required of the applicant.  The applicant includes the completed LUCS and attachments with the permit application or modification form submitted to LRAPA. Note: The LUCS form with the original signature of the planning official is the one which must be submitted to LRAPA. WHERE TO GET HELP WITH A LUCS: Questions can be directed to LRAPA staff responsible for processing the permit application or modification at (541) 736-1056. SECTION 1 -- TO BE FILLED OUT BY APPLICANT 1. Name of Applicant ____________________________________________________________________________ Contact Person (Name & Title) _________________________________________________________________ _________________________________________________________________ Telephone Number ___________________________________ Location Address: Mailing Address: ___________________________________________ ______________________________________________ ___________________________________________ ______________________________________________ ___________________________________________ ______________________________________________ Land Use Compatibility Statement (LUCS) Page 2 Tax Account # ______________________________ Tax Lot # ________________________________ Township __________________ Range ____________________ Section _______________________ Latitude ___________________ Longitude ___________________ 2. Describe type of business or facility and the services or products provided: 3. The type of LRAPA permit applied for at this time is: Notice of Intent to Construct _______ Air Indirect Source Permit _______ Title V Air Permit ________ Air Contaminant Discharge Permit (portable facilities excluded) _______ 4. This application is for a: New Permit ____ Permit Renewal ____ Permit Modification ____ Other (specify) _________________________ SECTION 2 -- TO BE FILLED OUT BY CITY OR COUNTY PLANNING OFFICIAL 5. The facility (for which the applicant is applying for a LUCS) is located: ____ Inside City Limits ____ Inside UGB ___ Outside UGB 6. Name of city or county that has land use jurisdiction*: *jurisdiction means the legal entity that is responsible for land use decisions for the subject property or land use. 7. The facility complies with all applicable local land use requirements: ____ Yes ____ No A. List all local reviews or approvals that were required of the applicant before the LUCS consistency was determined (this does not include past requirements that do not relate to the pending LRAPA permit request): ______________________________________________________________________________________________ ______________________________________________________________________________________________ ______________________________________________________________________________________________ ______________________________________________________________________________________________ ______________________________________________________________________________________________ ______________________________________________________________________________________________ ______________________________________________________________________________________________ Land Use Compatibility Statement (LUCS) Page 3 B. If "No," identify reasons for noncompliance or list requirement(s) that the applicant must comply with before LUCS consistency can be determined: ______________________________________________________________________________________________ ______________________________________________________________________________________________ ______________________________________________________________________________________________ ______________________________________________________________________________________________ ______________________________________________________________________________________________ ______________________________________________________________________________________________ C. Is city or county government currently processing remaining requirements to attain LUCS consistency: ____ Yes ____ No Anticipated Date of Decision: ____________________________________ D. Are public notice and a hearing required ? ____ Yes ____ No If yes, Date of Hearing: _________________________________ 8. Planning official reviewer’s telephone number: __________________________________ SIGNATURE(S): Please use blue ink. ______________________________________________ __________________________________________ Planning Official -- Signature (Print Name) Title _________________________________________ Date _____________________________________ ______________________________________________ __________________________________________ Planning Official -- Signature* (Print Name) Title _________________________________________ Date _____________________________________ * Second signature, if required by the city/county agreement on jurisdiction outside city limits but within UGB) ATTENTION: A LUCS approval cannot be accepted by LRAPA until all local requirements have been met. Written findings of fact for all local decisions addressed under 7A and 7B must be attached to the LUCS.