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HomeMy WebLinkAboutPermit Septic Tank 1995-11-14 . \ ". . .' DEPARTMENT OF ENVIRONMENTAL QUALITY LAND USE COMPATIBILITY STATEMENT (LUeS) WHAT IS A LUCS? The lUCS is the process DEQ uses to determine that DEQ permits and other approvals that affect land use are consistent with the local government comprehensive plan. WHY IS A LUCS REQUIRED? Oregon law requires that state agency activities that impact land use be consistent with local comprehensive plans. DEQ Division 18 administrative rules identify agency actions that are defined as programs affecting land use, These I'."~'ams must have a process for determining local plan consistency, WHEN IS A LUCS REQUIRED? A LUes is required for nearly all DEQ permits, some general permits, and certain . approvals of plans or relat~ activities that affect land use. These activities are listed in this form. In cases where ' a source needs more than one DEQ permit or approval, a single LUCS may be used. A permit modification requires a LUeS when: there is a physical expansion on the property or the use of additional land is proposed there is a significant increase in discharges to water' , there is a, relocation of an outfall outside of the source property, or there is any physical change or change of operation of an air pollutant source that results in a net significant emission rate increase as defined in OAR 340-28-110. A permit renewal requires a lUeS if one has not previously been submitted, or if one of the above four permit modification factors apply. HOW TO COMPLETE A LUCS: The LUeS form is included in the DEQ permit application or approval packet Applicant fills out Section 1 of the LUCS and then submits it to the city or county planning office. The local planning office determines if the business or facility meets all local planning requirements. The local 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 LUes and attachments with the permit application or approval request submittal. WHERE TO GET HELP: Questions on the LUCS are to be directed to region staff responsible for processing the source permit or other approval application or, to Management Services Division at 800-452-4011 or (503) 229-6408. SECTION 1 - TO BE FILLED OUT BY APPLICANT 1. Name of applicant AT Hotlo= EY.G4vlvlc. k?,P€k::eontactperson /)c !?Uf};;J:::. Telephone .4l?"3- A.,~'1 I Ma~b ad~s~ &Vb_ OR. 5'D/7.-b C) 7'10<) Location address: if- fill r; f/lfi,H ~,?::f.5 If P ,)J-'it/$v"c//;2/? C/{ Tax Acct.# latitude TaxLot# 2<:?Oo Longitude . Township /7 Range 02. Section 2 9 . Describe type of business or facility and the services or products provided: /C ES I P E;..C.I=- . 'lALBRYOUNG\l..UCS\MJRO,OOC Cxvdr~.-{I- S P DO -7D 'Iv ~ ,etyM~.~r J4i171c. ~J~ . . , . i . YJ. lIludek AI u Home EXCAVATING Septic Systems & Sewer Hookup Leveling . Trenching Land Development . Site Preparetion Personalized Setvice CeLL 7;1.'7 '?> 'l''1t.. Free Estimates 683.2aa4 P. O. a.x 50176 lug..., OR 97405 CCB 122444 ,. " '. . . 3. Circle the type of DEQ permits or approvals being applied for at this time: Air Notice 01 Const. SW DisplAuth Permit Fed. Permit WQ Cert. Air Discharge Permit" Waste Tire Storage Permit WQ NPDESIWPCF Permit.. Trtle V Air Permit HWIPCB StoragelTrmUDisch Permit WQ Stormwater General Permit Air Indirett Source Permit Pollution Control Bond Request Wastewater/Sewer Facility Plan""" Par1<inglTraffic Circ. Plan Wastewater,56' 7/1~Uy~ 7~~~~P4irmit # . " exeluding porlable (~/ity pelm~S - for ensile oonst-instelletion pelmits use OEO (onn F.1W1.ANOUSE.OSS f\ - includes I8VieW o( pilln chengBs /he! requite use ,'new /and ~ lI"nenJI penn~s,600, 700. 12OOCA, end 1500 "'" exempt. , 4. This application is for a: new permit~ permit renewal_ permit modification_ other ~ I, Co <;'1Sl1..m .... I2-ffp. ,r<- SECTION 2 - TO IlE FILLED OUT BY CITY OR COUNTY PLANNING OFFICIAL 5. The facility proposal is IDqlted: _inside city limits linside UGB outside UGB 6, Name of city or county that has land use jurisdiction":_GI7W' ~~ ~.R/~r~ 'urisdict.ion means tho legal entity that Is tfJsponsible for land use decisions lor 1h6 IUbjecl property or /aoo US6. 7, The business or facility 'comPlies ;"'ith all applicable local land use requirements: bes _no 7a, List all local reviews or approvals that were required of the applicant before th.e LUCS consistency was determined(This does not include pest requitements /het do not l8/ele 10 Ihe pending OEO pelm~ request.): -I/IJV r 7b. If no, identify reasons for noncompliance, or list requirement(s) that ttie applicant must comply with before LUCS consistency can be determined: 7c, Is local government currently processing remaining requirements to attain LUeS consistency: ---Y;s 1no Anticipated date of decision 7d. Is a public notice and hearing required? ---yes / no hearing date 8. Planning official reviewer's telephone number: 7J.{. c/o.O S SIGNATURES ~ d?JV~ /1/ ~,.r/ tv,vd print planning official's name TitlenAJAJ/"'''' 'f;cj, I Date 2/IK/200V Planning Official . Planning Official print planning official's name IdtJpending upon city/county agreel7ltJnt en Jurisdiction outside city IIm~s but within UGB} ATTENTION: A LUeS approval cannot be accepted by DEQ until all local requirements have been met. Written findings of fact for all local decisions addreSsed under 7 thru 7b must be attached to the LUCS. ' Title Date )t"OALE\RYOUNG\lUCSY.<>RO,OOC ...~:.:.. ':-.'.\~; '" , "~". '::1;';':;::::;'::; .,. ,....... .......,.,.,.-..,-",'. '-"" '....,.. .... ....,.. " . ...-',. .:-: . ',,- ...~.. " "", , ',,- '""" " 1 .:-...,....,.. ....'-........ ..-.'. ,"'~:':':;'_:::: :.: .'~ .' l.ne~ County, 1!$" ~~ /~Il~" Public Works 541/682,3752 FAX: 541/682.3947 bill.martin@co.lane.or.us I'rimM 1m Recycled SI"d BILL MARTIN, R.S. 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