HomeMy WebLinkAboutPermit Land Drainage Alteration 1997-4-8
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. ,'t ,~ Lana And DrainageoAb.cration' Permit
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SCANNED
C i t Y 0 f S P r i n g fi e I d
22$ Fifth ~lreel, Springfield, Oregon 97477 - Oevelopme~l services
Date ?~ Application 4-/8/.., 1
Expiration Date:
Property Owner
Address :
liill:. ~e"-l~eN ca. ~l'I.Y
<0 '27 H. 9r~r
Phone: (7G>() cl 1 r; - ~Q \
City'E.c..l~. State:sa.Zip~,) '2.
Site Address: :;?7??7 ~/~/ ?7;:'5'C=Y-
o UGB TaltMapNo: 17-<:)'2.-3.3-4-\
11- Cl-L~:<' 3"14
,Springfield, Oregon
Tax Lot: :=!.400
'00
Q:1 FILL, Quentity.5"??t::' _.' Source Location r~ 1}a//t...Z)/~ ~?/
Supplier ~ -<~I MA"~ Meterlal~~~ g~
GRADING, Quantity . --:-A __
EXCAVATION, Quantity' '5'00 ct.l'~~Destination: LI N.1CJo'.Cl)WN ~.
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SUPPlier:~~/Y'L: ,Project Supervisor t;; Bf'i. \.,.,.....plllMl~
Address q. m.RH 97.. ?~. ,Phone 726-7/-;;"0
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SITE PLAN Reql.Jired Deta:Quantity of material, Property lines and descriptions, Tax map and
lot number, Site address, Existing contour Jines, Proposed contour lines, Existing drainage
waya, Prol'osed drainage ways, Significant trees and foliege, Ground cover, Soli types.
Byildlngs, Septic l\ystems, Sewers, Areas subject to f1oodlOg, Utilities. Areas subjec~ to land
shdes, Proposed sIte Improvements. I . . .': ' I /J /,
o CROSS SECTIONS, 't-J. / /:>. S~ ~D\""c...p~I,J'Aff~~J{~') r
..... . .
. ~)jOIL~ & GEOLOGY PLAN, N/ A ~~.... IS BC11~c:. Fl.n R..<-L-
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. ~..RA~~~, POLLUTION AND EROSION C~NTRO~ PLAN 50E. 1" ~,wb...m',?
.'~ REPLANTING PLAN
o ADDITIONAL INI'ORMATION. S I-r= IS ~w GXF-rrI"lQ;::. f=',..ra.t::J~ L-<oT
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\Y 1'\ H C"'l N L.::t (Y) \ t-J..O e ~~ ADJI-\:> I "JCIil.T<;
COMPANY NAME: Fr~ AeDI f'T'ECTS . 'P......It-.... PHONE o!5G'!!o- G.~ ....e'2:z.
.
PROJECT SUPERVISOR: -;<." I!>>ellT t::U.('
ADDRESS: G.,....::>':; <;:" \v II (1''' ~
COMPANY NAME: N/ /.>"
PROJECT SUPERVISOR: Lfia"a!I~~F i;;Jt-;,o'" ~
ADDRESS: ->A(1')& ,Ac; Ae.cv~
CITY. ~"v=.~1'..\J
, PHONE
STATE C~
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CITY
STATE
CONTRACTOR NAME: T0 I!.E... 'D~1!Se..CY'l11ol.e..o [, . . r.
P..t'l.9J~g_~_~\.!.EERVJSQ.R:~[;'AH ('I1)C.1 N'N~ PHONE -sq.I- ~7 -?~-I
(~.e.~i~~~~on .~~er: C)~_...- llo~ 0560 , Expiration Date: U>/ /lJ/I '!)"f
AI'.iDRESS: ...-W' ~ '2~2S ,CITY: .€LIc:.I!;.NIt::.
STATE: Ort! . ZIP: ":)'1qQ7 OFFICE PHONE ~'7-?'" 11 FAX ,*?-<O1'51.
MOBilE PHONE: ~ --z.e4-1 , EMERGEN.CY PHONE: <:<'20, - ~4-1
C41'1'T"a..x:::r"f.. Sob.., So I-I-E:. 1$ \!!:ocl' ~ ~e.~
By sigl'laturs, I stats .and egree. that I havs carofully examined the completad application and do hereby cattify that all
Information herein is true end correct. and I further certify that Bny and all work performed shall be done In aceordance with
the Ordlneneo$ of the City of Springfield, epplioable City Standard specificatlcn, end Orawinge, end the law, cllho Stoto 01
Oragon purtalnlng to tho work da~crjbed herein. I !Urlher c::ertHy that only conttactor& and employees who Gte in compliance
with ORS 701.055 will bo used on this prOject.
Tho City muy inspoct the work slta dascribed in this permit at !ny time during a one year pAtiod following the recBlpt by the
City of notice of completion of the de6cribed work and specify, at the CiW'$ sola desecration. BOY additional restoration work
required to return tha site to 8 standard acceptable to the City. The permitteo will be notifiod in writing of any work reQuired
end wlll have thirty 1301 doye from Ihe dale of Ihe nOlioe 10 completo tho work. Work not oompleted ot Iho end 01 tho Ihirty
deys will be performod by the City ,end the costs wlll be billed to. the permitteo.
.
I funher egree to ensure that all reQuired inspections ere roquB$ted at tho ptoper timo, that project address is readable from
the street, and the 8pprovod tiet of plans will rema..g., oS~,~ at all times during contitructlon.
Slgnewr. _~~~~ . Oat. 4-/8/1:1);