HomeMy WebLinkAboutApplication APPLICANT 12/24/2009
:City of Springfield
Development Services Departlllent
225 Fifth Street
Springfield, OR 97477
Drinking Water Protection Overlay District Development
. -.
Applicant Name: Konrad Hyle for
Icompany: Verizon Wireless
IAddress: '5430 NE 122nd Avenue, Portland, OR 97230
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IAPPlicant's Rep.: Konrad Hvle
Icompany: Technology Associates International Corvoration
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I Property Owner': Contact: JetTNelson
I Company: city of Springfield, Springfield Utility Board
IAddress:
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I .,' I TAX LOT
ASSESSOR S MAP NO: 17-03-22 "-'LV......
I Property Address:: 3365 Game Fann Road, Springfield
ISize of Property: 2.32
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IZoning: Medium Density Residential (MDR)
I Existing Use: Springfield Utility Board substation
I Description of IF you are Filling in this form by hand, please attach your proposal description to this application.
Proposal: Installation ofa new 65' Wireless Communication Facility and associated ,ground equipment.
I ~hone
I Fax:
541-746-8451
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Associated Cases: ',D\2C2C()Q-QllD5Dj DRC2b{fj - aXf5 (
Icase No.: bp.c iO-otl-frOQ~ I Date: 19-Idd-IOQ I Reviewed by: 1>k.-
IAPPlication Fee: $ IO'J.-O.0D I Technical Fee: ~ 51. (JD I Postage Fee: $0
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Date Received:
,-
--
DEe 2 ~ 2009
Original Submittal
Revised 1(15(09 ddk
~ of 5
Signatures
The unde~signed acknowledges that the information in this application is correct and accurate.
Applicant:
~
Signature =
Konrad' Hyle TAlC for Verizon Wireless
Print
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Date: 12/16/2009
If the applicant is not the owner/ the owner hereby grants permission for the applicant to act in his/her behalf. -
Owner:
Date:
Signature
Jeff Nelson, Springfield Utility Board
Print
08(3
fJ- T'fAU/gtJ
Revised 1/15/09 ddk
, 2 of 5
Signatures;
\ Applicant: ~~.e. Uc,n',.o.~r,5, ;9,' _ n je,d_,: aCk'now;e~g,:,o .""~' \'" '""'~"oo"'." .w"",,.., _'00__
~~ ~ - Da,te: '12/16/2009
,Signature .
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'~~nEall'Hv,le,-AI<: fo..rVerizpn Wireless
:Pcrint
'1(.the:applitarit'ls.not ttle o~'iner/thEfownei-'hereby grants ~~jS.5jo~:j1f!>r-t.tJ~.;~~p\icant to act in his/her behalf. I
Owner:'
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JetfNeiioh~Springfield. Utili!)', Boam
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Dat,e,:. tiV/liD/01
Revised lit 5/09 ddk
. 2 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.
[2<;]
[2<;]
[2<;]
[2<;]
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Submitted Concurrently with Site Plan Review or Minimum Development Standards I
applications, where applicable,
, I
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 Services
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.
[2<;] Three (3) Copies of a Plot Plan reduced to 8 '12" by 11" outlining the applicable TOTZ
boundaries in relationship to the property boundaries
[2<;] Three (3) Copies of the Following:
NAD Use of hazardous materials that pose a risk to groundwater that existed on the
property prior to May 15, 2000, if applicable
[2<;] 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) ,
NAD List of chemicals to be monitored through the analysis of groundwater samples and
a monitoring schedule if groundwater monitoring is anticipated to be required
NAD 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
[2<;] 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
[2<;] 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
[2<;] Description of the procedures for inspection and maintenance of containment devices
, I
and emergency equipment ,
NAD Description of the plan for disposition of unused hazardous materials or hazardous
material waste products over the maximum allowable amounts, including the type o~
,
transportation and proposed routes
Revised 1/15/09 ddk
5 of 5
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
. 'y of Springfield Official Receipt
uevelopment Services Department
Public Works Department
RECEIPT #:
3200900000000000833
Date: 12/23/2009
2:15:13PM
Paid By
TECHNOLOGY ASSOCIATES
INTERNATIONAL CORP
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
1,020,00
51.00
$1,071.00
Job/Journal Number
DRC2009-00052
DRC2009-00052
Description
CTY Drinking Water Protection
+ 5% Technology Fee
Payments:
Type of Payrnent
Check
Amount Paid
ddk
2197
By Mail
$1,07100
Payment Total:
$1,071.00
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Date Received:
DEe 2 4 2009
Original Submittal
cRecclml
Page I of I
12/23/2009
CITY OF SPRINGFIELD
VICINITY MAP
DRC2009-00052
3365 Game Farm Road
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DEe 2 ~ 2009
Original Submittal
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Date Received:
DEe 2 4 2009
Original Submittal
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venmgwireless
Technology "Associates
tntetnlll(oniill (;orporrUicn
VERIZON WIRELESS
DISCRETIONARY USE, SITE PLAN REVIEW AND DRINKING WA TER PROTECTION OVERLA Y
. for
EVG Baldy View
Submitted to the City of Springfield Planning Departme11l
November 21, 2009
L GENERAL INFORMATION
Landowner:
City of Springfield
250 'A' Street, Springfield, OR
Applicant:
Verizon Wireless
Konrad Hyle for Heather Campbell
d .'
5430 NE 122" Avenue; Portland, OR 97230
Agent:
Tax ID Number:
Konrad Hyle, Technology Associates International Corporation
15618 SW 72nd Avenue. Portland OR 97224
Tel: 503-522-0634
17-03-22-00-00904,2.32 Acres2
Medium Density Residential (MDR)
3365 Game Farm Road, Springfield, OR 97477
Springfield Utility Board power substation.
Current Zoning:
Address of Project:
Current Use: .
IL PROPOSAL
A. Project Description
Verizon Wireless (VAW) LLC d/b/a Verizon Wireless,' is requesting approval to install a wireless
communication facility (WCF) on private residential land located in Springfield, OR.
The applicant is proposing to establish a WCF within a 40' x 30' fenced area consisting of a 65-foot
monopole with antennas flush mounted at two levels (55' and 65') on the pole and a 12' x 26' pre-
fabricated equipment shelter. The enclosure will be surfaced with gravel, with all plant materials
removed. The lease area will be surrounded by a six-foot cyclone fence and three strands of barbed
wire for security purposes. The fenced area will be surrounded by a new landscape buffer and will be
accessed by an existing drive off Game Farm Road'. Great care and expense has been taken by the
applicant, Verizon' Wireless, to design the facility to meet or exceed all applicable Code Criteria, and
mil)imize the perceived ~isual impact of this site4. '
. ,~,.2 'See,: Title' Report, Deed & Assessors plat map wlsite location, aI/ached as Exhibit 1,
, 3 See, Architectural Drawings, attached as Exhibit 2.,' .
4 See, Photo, simulations, attached as Exhibit 3.
'''.' ., "
Date Received:
DEe 2 4 2009
: . .-,,'. ~ . j- I -
.' _.... _'~,5}i'llli'd""j:~~t.R.l
Original Submittol
VERIZON WIRELESS
DISCRETIONARY AI'J'j(OVAL - CITY OF SPRINGFiELD
EUG ~ BALDY VIEW
Page 2
B. System Information
Verizon Wireless is upgrading and expanding its physical system network throughout Oregon. Upon
completion of this update, Verizon Wireless will operate a state of the art digital network of wireless
communication sites throughout Oregon, and in connection with other nationwide Verizon Wireless
market areas. Technology Associates International Corporation (TAlC) is responsible for the
development and redevelopment of many of the Verizon Wireless sites and provides a broad range
of professional services; including program management, land use planning, site acquisition,
construction management, and technical services. TAlC, on behalf of Verizon Wireless, has
submitted this application.
The need for specific service is determined by market demand, capacity requirements for a specific
geographic area, and the need to provide continuous coverage from one site to another in a
particular geographic region. Once the need for additional capacity or enhanced coverage in a
particular area has been established,Verizon Wireless Radio Frequency (RF) engineers identify a
target area ("search ring") to locate a new facility.
The required site location and antenna height is determined by an engineering study'- This study
evaluates radio signal propagation over the desired coverage area based on topography,
geographic features and possible signal attenuation due to seasonal changes in vegetation. It is
desirable to have direct line of sight from the base station antennas to the required coverage
objectives.
This proposed development would allow Verizon Wireless to continue to provide the needed service
to the City of Springfield and surrounding area. It is crucial for Verizon Wireless to have adequate
coverage in'this area in order to serve customers in compliance with its FCC license regulations.
C. Network Overview
Since their introduction, wireless telecommunications systems have proved to be an invaluable
communications tool in the event of emergencies (traffic accidents, fires, etc.) and natural disasters
(earthquakes, floods, etc.) where normal land line communications are often disrupted, overlooked,
or inaccessible during and after an event has occurred. This service and similar technology are
utilized by numerous governmental and quasi-governmental agencies that provide emergency
service. Wireless telecommunications systems, including cellular telephones, have also proved to
be invaluable tools in business communications and everyday personal use. In this sense, wireless
telecommunications system networks have proved to be desirable in the i'!terest of public
convenience, health, safety, and welfare.
Wireless communication is' accomplished by linking a network of radio wave transmitting devices
such as portable and car phones, to the conventional telephone system through a series of short-
range, contiguous cells. Similar to a honeycomb pattern, a wireless system is composed of many
neighboring and interconnecting cells called, "cell sites," covering specific geographical areas. Each
cell site contains transmitting/receiving antennas and radio transmitting equipment. As a customer
enters one cell and exits another, the call is transferred between the cells by a computer at the main
switch station. Calls are transmitted or received on, a cell phone, PDA or other wireless devices as
each cell site share a fixed number of frequencies on the network grid. A caller may initiate a call
.' :,,:;. ;}~e, ,t~tt~~ ~~;T;RF Engineer, Mark Tuttle, attached as Exhibit 4. This document details the eB~ntean~~g~lM~:
" coyerage from the site proposed herein and altemate'locations that were rejected. Areas shown in red through yellow
.j;i;;dic'at~ j.d~~i cpverage; green through dark blue is unacceptable coverage as it is weak and degrade~EC 2 4 2009
~."" I'; !I
Original Submittal
VERIZON WIRELESS
DISCRET!ONARY Ap/'ROVAL - City OF SPRINGFIELD
EUG - BALD}" !'IEW
Page 3
from within the radius of one cell antenna, as the caller travels through the network, the call is
transferred from one cell to the next, thus enabling continuous, uninterrupted transmission.
Wireless technology operates on a line of sight, as such, the antennas must be mounted high
enough to overcome challenges posed by local topography, existing vegetation, avoid interference
with other wireless infrastructure, and surrounding structures/development. The distance between
cell sites will normally range from Y:z mile to 9 miles, depending on the population density, consumer
usage, existing vertical elements, and the geographical terrain. The required height for antennas is
usually proportional to a combination of the distance each cell site can service and the customer
demand within their sphere of influence. Typical placement for antennas is on freestanding towers,
guyed towers, and lattice or self-support towers. Antennas can also be placed on rooftops,
integrated into the building's architecture, and other building features if the structure has sufficient
height to meetthe needs of the service area. Wireless facilities located throughout the service area
are intended to provide seamless call coverage, capacity and quality to its network, The following
are some of the basic types of cell sites:
Coveraae sites serve to expand coverage in large areas or in areas with difficult terrain and
to enhance coverage for portable systems. Coverage sites allow users to make and
maintain calls as they travel between cells.
CaDacitv sites serve to increase the capacity when surrounding sites have reached their
practical channel limits. As the years pass, the number of subscribers increases
exponentially creating a strain on the existing network. In order to alleviate this strain,
capacity sites are implemented into the systems network to accommodate the increase in
. customer demand.
D. Site Information
The subject property is zoned MDR and is currently utilized by the Springfield Utility Board for a
power substation. The proposed lease area is vacant and near several evergreens that provide
natural camouflage for the communications facility. The area will be surfacea with gravel, with
minimal plant materials removed. Underground utilities will be run to the lease site and the existing
driveway will be extended to the area, The surrounding area is a mixture of undeveloped parcels,
residential homes, churches, medical care providers and commercial properties including the
Sacred Heart Medical Center at River Bend.
Unlike other land uses, which can be spatially determined through the General Plan or other land
use plans, placement and implementation of wireless telecommunications facilities are based on
technical requirements, which include service area, geographical elevations, alignment with
neighboring sites and customer demand. Site selection within the rural or urban environment is
dependent upon these requirements, as well as, the availability of property within the geographical
area, and willing property owners who will allow the incorporation of an unmanned wireless
telecommunications facility on their property.
Wireless' tele~~mmu~ication facilities are built adjacent to and within all major land use categories
including residential, commercial, industrial, open space, etc. proving to be compatible in a variety of
situation's. Wireless facilities are unmanned, have no impact on existing circulation systems,
generate no noise, odor, smoke.. or any other adverse impacts to adjacent /8lstEl~ceilieelis
facilities will al!o\" .comm.~ters and residents within the coverage area wireless access to the rapidly
expanding .~ommunications infrastructure by providing voice and data transmi!flEv le~ not
Original Submittal
VERlZON WIRELESS
DISCREtiONARY ApPROVAL - en}' OF SPRINGFiELD
EUG - BALDY VIEW
Page 4
currently available by other systems. Wireless telecommunications facilities operate in full
compliance with all state and federal regulations as provided by the Telecommunications Act of
1996,
E. Federal Reaulations
Verizon Wireless is a registered public utility, licensed and regulated by the Federal
Communications Commission (FCC). Verizon will comply with all FCC rules governing construction
requirements, technical standards, interference protection, power and height limitations, and radio'
frequency standards. In addition, the company will comply with all Federal Aviation Administration
(FAA) rules on site locations and operation.
Power levels emitted by the transmitters to be used at the proposed cell site are considered low-
powered. The license the applicant has received from the FCC limits each of the cell sites to 100-
Watts Effected Radiated Power (ERP) or less. The equipment 4sed by the applicant will generate
100-Watts ERP or less and therefore complies with the FCC license requirements.
Further, FCC regulation of radio transmissions mandates that the proposed facility shall not interfere
with surrounding properties or their uses. The FCC has determined that the power levels emitted by
wireless communications facilities (less than an average light bulb - 100 watts) is well below the
minimum safety standards established for continuous exposure to Electro-Magnetic Fields (EMF).
The extremely low output of power from the proposed facility, in conjunction with FCC regulation, will
ensure there is no interference with surrounding properties electronic equipment, 2-way radio
transmissions, computers, satellite antennas, televisions and telephone transmissions.
F. Benefits to the Community.
Wireless technology will provide many benefits to the residents, businesses, and motorists that
travel or live near the proposed project site. These benefits include:
. Quick access to 911 Emergency, even in remote regions, allowing motorists to summon
emergency aid and report dangerous situations.
. Support for emergency services by providing wireless communications access to
paramedics, firefighters, and law enforcement agencies that use this technology.
. A backup system to the land line telephone services in the event of power outages, natural or
man-made disasters.
. The ability to transmit data over the airwaves allowing for immediate access to vital
information to emergency services.
. Provide quality wireless communications including voice, paging, and digital data capabilities
for email, facsimile and Internet access,
. Enhance the communications systems of residents and business around the project
coverage area.
Date Received:
DEe 2 ~ 2009
, ..
. -
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111
Original Submittal
,.:.1"1
. .; ~~l'!' I
VERlZON WIRELESS
DISCRfTlONARY ApPROVAL:- CiTY OF Sf'/UNGFfELD
EUG - BALDY JlIHW
,
Page 5
III. ApPLICABLE CRITERIA -NARRA TIVE
5.9-120 Discretionarv Use Criteria
Wireless telecommunications systems facilities requIring Discretionary Use approval are
exempt from Subsections A.-C., above but shall comply with the approval criteria specified in
Section 4.3-145,.
5.17 -100 Site Plan Review
5.17-105 Purpose and Applicability - Exceptions:
Certain iwireless telecommunications systems facilities. See Section 4.3-145 for sitting
standards and review process for applicable underlying zoning district.
3.3-235 DWP Overlav District
Standards for tlazardous Materials within Time of Travel Zones ITOTZ)
,
The proposed facility is within the 5 year TOTZ boundary (see attached map). The proposed facility
contains an em'ergency backup generator so this critical communication facility will have a power
source in times of per failure or emergency. The proposed generator will be fueled by #2 diesel fuel
which will be contained in an enclosed double walled with secondary containment tank inside a
concrete shelter which will be placed upon a concrete slab. The maximum diesel fuel tank capacity
is 250 gallons.
. .
Applications shall comply with the following standards. Where the following standards are more
restrictive than the standards of the Springfield Fire Code, the following standards apply:
A.
Zero "to One Year TOTZ Standards.
"
Findina:
Not applicable the property is in the 2-5 year TOTZ boundary.
,
,
B. One to Five Year TOTZ Standards.
1. The storage,handling, treatment, use, application, or production or otherwise keeping on
premises of more than 20 gallons of hazardous materials that pose a risk to groundwater
in aggregate quantities not containing DNAPLs are allowed only upon compliance with
containment and safety standards specified by the most recent Fire Code adopted by the
City. .
Date Received:
'. ",Findina: "',,: . . ' .
The facility will have a maximum of 250 gallons diesel fuel at any~ ~iIhJOD~he diesel
f\!~! contains noDNAPLs. No DNAPLs will be contained within the propo~ed facility. The
, . Original Submittal
_ .t.,::! ''''''1'.' .';"''':
VERIZON WIRELESS
DISCRETIONARY ApPROVAL - CITY OF SPRINGFlEI.D
EUe - BALDY FlEW Page 6
diesel fuel (enly hazardeus material at facility) is allewed and is in cempliance with the
centainment and safety standards specified by the mest recent fere Cede adepted by City -
this criteria is met.
2. Unless exempted, all hazardous or ather materials that pase a risk to. graundwater shall
be stared in areas with approved secondary containment in place (Springfield Fire Code
2702,1 and 2704.2.2),
Findina:
This facility and the fuel is exempt per cede hewever Directer may deem the material to.
cemply. The diesel fuel will be stered within a secure cencrete sheer in additien to. having
secendary containment at the belly tank under the generater- this criteria is met.
3. All new use af DNAPLs are prahibited. (Dense Nan-Aqueous Phase Liquids)
Findina:
No. Dense Nen-Aqueeus Phase Liquids are prepesed- this criteria is met.
4. Any change in the type af use ar an increase in maximum daily inventory quantity of any
DNAPL is considered a new use and is prohibited.
Findina:
No. Dense Nen-Aqueeus Phase Liquids are prepesed- this criteria is met.
5. The following certain types af facilities ar changes in chemical use and/ar storage af
hazardaus ar ather materials that pase a risk to. groundwater are prohibited:
a. Hazardeus material product pipelines used to transport the hazardous material off of the
tax lot where it is praduced ar used;
Findina:
No. pipelines er transpert ef any hazardeus material fer this facility - this criteria is met.
b. Injection wells;
Findina:
No. injectien wells fer this facility - this criteria is met.
6. ReqUirements found in Springfield Fire Cade 2704,2.2.5 for a manitoring pragram and
manitariQg: f!lett]od.~'!a detect hazardaus or other materials in the secondary cantainment system
shall be met for all amaunts af hazardous materials that pase a risk to graundwater unless
exempted. Date Received:
./ ..r'f1
I ' ,~:...; :j~":i'
DEe 2 4 2009
Original Submittal
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DISCRET}ONARr'ApPROVAI. - efT]' OF Sl'RINGFfJ:"l.JJ
EUG - SA/,f)}' VIEW
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Findina:
This facility and the fuel is exempt per code; however Director may deem the material to
comply. A monitoring program will be established if required by Director - this criteria is
met.
7. The' follo.wing requirements for inspection and record keeping procedures for monthly in-
house inspection and maintenance of containment and emergency equipment for all
amounts of hazardous or other 'materials that pose a risk to groundwater shall be met
unless exempted: Schedules and procedures for inspecting safety and monitoring and
emergency equipment. The applicant shall develop and follow a written inspection
procedure acceptable to the Director for inspecting the facility for events or practices
which could lead to unauthorized discharges or hazardous materials. An inspection
check sheet shall be developed to be used in conjunction with routine inspections. The
check sheet shall provide for the date, time, and location of inspection; note problems
and dates and times of corrective 'actions taken; and include the name of the inspector
and the countersignature of the designated safety manager for the facility.
Findina:
This facility and the fuel is exempt per code; however Director may deem the material to
comply. A record keeping and inspection program will be established if required by Director
- this criteria is met. Also see attached Exhibit 13 Drinking Water Protection Overlay -
submittal requirements.
4.3-145 Wireless Telecommunications Systems Facilities
Code Section4.3-145 permits this type of development via a Type III revie0!j5rocess. TAlC on
behalf of Verizon Wireless is submitting this narrative and Site Plans for reyiew by''lhe Planning
Department pr!pr to application for a Building Permit. (,
"
The siting and review process for WTS facilities is based on the type of facility (monoDo/e, stealth
design or collocation) and its proposed location in a Preferred Site (SHI, HI, LMI, QMO or PLO, ,
Districts), Acceptable Site (CC or CI Districts or BKMU Plan District) or Conditionallv Suitable Site
(NC, MRC, GO, LOR, MDR and HOR Districts or MS, HD, HS, WG, FP, UF-10 or H Overlay
Districts).
A. The development review process for wireless telecommunications systems (WTS)
faCilities is as follows:
1,
, ,
Date Received:
Building and Electrical Permits Only (Type I Review).
DEe 2 4 2009
a. An attached WTS facility (existing structure, including collocation on
cell tower) on a Preferred Site, including equipment shelters, buildings and
cabinets housing WTS land line switching/connection equipment.
Original Submittl:ll
b. ' A detached WTS facility (monopole designed for collocation) on a
Preferred Site, set back from all property lines a distance equal to or greater
VERIZON WIRELESS
DISCRHT/ONARY ApPROVAL - CITY OF SPRINGFIHLJ)
EVe - BAUJY VIEW
Page 8
than the height of the tower, including equipment shelters, buildings and
cabinets housing WTS land line switching/connection equipment.
c. A detached, stealth design WTS facility on a Preferred Site not
abutting residential districts, observing all setback and height limits of the
underlying zone, and all setback limits of the underlying zOlJe unless it is
demonstrated that locating the proposed facility within the required setback
area will take advantage of an existing natural or artificial feature to conceal
the facility or minimize its visual impacts, including equipment shelters,
buildings and cabinets housing WTS land line itching/connection equipment.
d. An attached WTS facility on an Acceptable Site, including equipment
. shelters, buildings and cabinets housing WTS land line itching/connection
equipment. '
e. A WTS facility, including antennas and switching/connection
equipment to land lines, affixed to an existing utility pole, but no higher
than 10 feet above the height of the pole.
Findina:
The site proposed herein does not comply with a Type I review as it is
identified as a monopole within a Conditionally Suitable Site that
exceeds the underlying zone height requirements.
2. Site Plan Review (Type II Review). In addition to Subsection 1. above, the following
standa'rds apply:
";'~','" "", "ecei\led: ,. A detached, stealth design WTS facility on a Preferred Site, that abuts a
t: ...... ' sidential district, but is not set back a distance equal to or greater than the height of
t, e structure, including equipment shelters, buildings and cabinets housing WTS land
[','-_' ~ '}', ;, 2009
_ " line switching/connection equipment, unless it is demonstrated that locating the
E.[oposed facility within the required setback area will take advantage of an existing
natural or artificial feature to conceal the facility or minimize its visual impacts.
. ' " SubmittaL
~:.\ \';:!~.n::;\: .
b. A detached, stealth design WTS facility on an Acceptable Site, observing all
height limits of the underlying zone, and all setback limits of the underlying zone,
unless it is demonstrated that locating the proposed facility within the required
setback area will take advantage of an existing natural or artificial feature to conceal
the facility or minimize its visual impacts, including equipment shelters, buildings and
cabinets housing WTS land line switching/connection equipment.
c. An attached WTS facility on a Conditionally Suitable Site, no higher than 10
feet above the existing structure, including equipment.shelters,'ouildin'gs"and cabinets
housing WTS land line switching/connection equipment. ,
d:'" 'A detached~ 'stealth design WTS facility on a Conditionall; 'Suitable Site,
observing all height limits of the underlying zone and all setback limits of.the ,
.hl,., .' .,'
underlying zone, unless it is demonstrated that locating the proposed facility within
the required setback area will take advantage of an existing natural or artificial
,
VERIZON WIRELESS
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EUG - BALI))' VIJiW
Page 9
feature to conceal the facility or minimize its visual impacts, including equipment
shelters, buildings and cabinets housing WTS land line switching/connection
equipment.
e. All detached WTS facilities, on any site, within 1,000 feet of an existing
detached WTS facility.
f. All detached WTS facilities 50 feet or taller, on any site, and not designed or
intended for collocation.
Findina:
The site proposed herein does not comply with a Type II review as it is
identified as a monopole within a Conditionally Suitable Site that exceeds the
underlying zone height requirements.
3. Discretionary Approval (Type III Review). In addition to the standards specified in
Subsections 1. and 2. above, the following standards also apply:
a. All WTS facilities in the Willamette River Greenway Overlay District.
Findina:
The site proposed herein is not within the Willamette River Greenway
Overlay District.
b.AII WTS facilities that exceed the height limit of the underlying zoning district
on any site, including equipment shelters, buildings and cabinets housing
WTS land line switching/connection' equipment, unless height limit provisions
are exempted elsewhere in this Code.
Findina:
The monopole proposed herein exceeds the 35' height limit of the
underlying zone (MDR).
c. All detached non-stealtl) design WTS facilities on any site abutting a
residential district when the height of the structure exceeds the height limit of
the residential district and the setback of the WTS facility is less than the
height of the structure, including equipment shelters, buildings and cabinets
housing WTS land line switching/connection equipment.
Findina:
The site proposed herein abuts a residential district (MDR) to the west,
exceeds the 35: height limit; howe'tj~t~~~'f&i~er 80' from the
lNel!t.property Ime.
.' ....i
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DEe 2 4 2009
I'
, -,
..L~;Jl~ ~j".. . '''d,!.T
Original submittal
VERlZON WIRELESS
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EUG - BAUJY VIEW
Page 10
d. All detached WTS facilities on any site located within 1,000 feet of an existing
WTS facility that was designed to accommodate multiple users and that has
space available.
Findina:
There are no other sites located within 1,000 feet of the proposed site
location.
e. All detached WTS facilities located within Public Street or railroad rights-of-
way where the actual location of the proposed WTS facility immediately abuts
residential districts.
Findina:
The site proposed herein is not located within a Public Street or railroad
right-of-way.
1. Lattice towers in any zoning district.
Findina:
A lattice tower is not being proposed.
f. WTSfacilities in the Historic Overlay District subject to the applicable
provisions of Section 3.3-900 and other Sections of this Code.
Findina:
The site proposed herein is not located with a Historic Overlay District.
4. Prohibited WTS Facilities.
a. Any WTS facility, other than whip antennas and switching/connection
equipment mounted on existing poles, in the Historic Overlay District.
b. Any WTS facility in the public right-of-way that severely limits access to
adjoining property, which limits public access or use of the sidewalk, or which
constitutes a vision clearance violation.
c. Any detached WTS facility taller than 150 feet above finished grade at the
base .of the tower.
i._4" ,,": ". "~,: " .~:'
Findina:,
~; Date Received:
DEe 2 4 2009
,III" -f"'
..._--...
", .i
Original Submittal
VERlZON WIRELESS
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EUG - BALDY VJI.iW
Page II
The site proposed herein is not located in the Historic Overlay District or
within a public right-of-way and will not exceed 150 feet above finished
grade.
B. Standards for siting WTS facilities are as follows:
1. All WTS facilities shall observe minimum 10Uparcel size, 10Uparcel coverage, building
height and building setback standards of the underlying zoning district unless specifically
exempted or otherwise regulated by this Section. Underground facilities may encroach upon
required yards or may be placed in appropriate easements.
Findina:
The site proposed meets or exceeds all standards.
2. All WTS facilities shall be landscaped at the base of towers/poles, and completely
around equipment shelters. Lighting of towers shall be as required by the FAA All other
lighting shall be deflected away from adjoining property.
Findina:.
The perimeter of the site will be landscaped as per page L 1.0 in the architectural
drawings. A FAA determination is not required for a site of this height. Attached as
Exhibif7 is the TOWAIR decision showing that the structure does notrequire
registration. No lighting is required by FAA since registration not required. The
applicant is not proposing any free standing lighting. The prefab equipment shelter
has a small exterior attached security light (70 watts) that is shielded by the door
canopy and is deflected from any adjoining property. Attached Exhibit 11- On Site
Lighting Plan documentation. This criterion is satisfied.
3. Any WTS facility sited on, or designed with any of the following attributes shall first
receive FCC approval, as specified in FCC Rules 1.1301 through 1.1319, as a condition of
City approval, prior to construction: Wilderness Area; Wildlife Preserve; Endangered
Species; Historic Site; Indian Religious Site; Flood Plain; Wetlands; High Intensity White
Lights in Residential Neighborhoods; Excessive Radio Frequency Radiation Exposure.
.') ~, ,J.:.
. .":,
Findina:. '
This criterion does not apply.
'-'{
", ..
c.
Application requirements for WTS facilities are as follows:
1'-;JJiI/IlJ"d. ',' . .
, ,'I.."
1. WTS providers whose proposal conforms to the provisions of Subsection A.1., above
requirin'g building arid electrical permits only shall submit the following information with the
application for permits:
Date Received:
r:: ! 4 2009
_U...I._I
J
VERJZON WIRELESS
DlSCRETJONARY ApPIlOVAJ. - CITY OF SPRINGF!H!./J
EUG - BALDY VIEW
Page /2
a. A copy of that portion of the lease agreement (or lease memo) with the
property owner, that includes collocation provisions (where applicable), facility
removal within 90 days of abandonment, and a bond to guarantee removal shall be
submitted for review prior to development permit approval.
Findina:
A copy of the current lease is enclosed herein as Exhibit 5. The last paragraph
of Section 8 of the Lease includes collocation provisions; and Section 14 of the
lease address the removal of the facility within 90 days after abandonment.
Section 37 allows for the Lessor (City of Springfield) to locate on the tower.
A bond for tower removal is enclosed herein. (Exhibit 9)
b. A signed statement from the applicant agreeing to allow collocation on the
applicant's structure (where applicable).
Findina:
See attached collocation agreement letter signed by Verizon Wireless Pacific
Northwest Real Estate Manager and A copy of the current lease is enclosed
herein as Exhibit 5. The last paragraph of Section 8 of the Lease includes
collocation provisions. .
c. A map of the City showing the approximate geographic limits of the "cell" to be
created by the facility. This map shall include the same information for all other
facilities owned or operated by the applicant within the City, or extending within the
City from a distant location, and any existing detached WTS facilities of another
provider within 1,000 feet of the proposed site.
Findina:
See Exhibit 4, attached herein.
d. An engineer's analysis/report of the recommended site location area for the
proposed facility, If an existing structure approved for collocation is within the area
recommended by the engineer's report, reasons for not collocating shall be provided
demonstrating at least one of the following deficiencies:
Date Received:
m::c 2 4 2009
i. The structure is not of sufficient height to meet engineering
requirements;
, 'na\ suomittal-
Orl9'"
lL The structure is not of sufficient structural strength to accommodate
the WTS facility;
III. Electromagnetic interference for one or both WTS facilities will result
from collocation; or
." , '. ~ -' ~'.:..'\.
VERIZON WIRELESS
DISCRETIONARY API'ROI/AL - CITY OF Sl'RINGFIHLlJ
.EUG - SAWY Illl,W
Page 13
iv. The radio frequency coverage objective cannot be adequately met
Findina:
,See Exhibit 4, attached herein. There are no sites within the area that are
available for collocation.
e. A plot plan showing: the lease area; antellna structure; height above grade
and setback.trom property lines; equipment shelters and setback from property lines;
access; connection point with land line system; and all landscape areas intended to
,screen the WTS facility.
'Findina;
,See architectural drawings attached herein as Exhibit 2.
'f. The method of stealth design (where applicable).
'Findina:
'.Not applicable.
:, g. An engineer's statement that the RF emissions at grade, or at nearest
i habitable space when attached to an existing structure complies with FCC rules for
these emissions; the cumulative RF emissions if collocated. "
:'Findina:
"See NIER Report attached herein as Exhibit 6.
"
h. A description of the type of service offered (including, but not limited to: voice,
'data, video) and the consumer receiving equipment.
~, ':',11 .~'
Findina:
',See NIER Report attached herein as Exhibit 6.
..:'1
..'
J.
. Identification of the provider and backhaul provider, if different . ""':;: ,',1. ,
"
,;Findina:
';Qwest
j. Provide the RF range in megaHertz and the wattage output of the equipment
Date, Received:
.Findina,;,
i880 - 890 MHz
1965 -1970 MHz
. 100 Watts
40 Watts
DEe 2 4 2009
Total wattage = 140 Watts
Original Submittal
VERIZON WIRELESS
DiSCRETIONARY AJ'PROVAL ~ ell'}' OF SPRINGFiELD
Eve - BAU)Y Vn:w
Page J 4
k. Provide the facilities maintenance schedule.
Findina:
Typical maintenance occurs once a month.
I. Provide the zoning and Metro Plan designation of proposed site.
Findina:
Zoned: MDR
Metro Plan: MDR
m. Provide any required FAA determination.
Findina:
A FAA determination is not required for a site of this height. Attached as
Exhibit 7 is the TOWAIR decision showing that the structure does not require
registration.
2. WTS providers whose proposals conforms with the provisions of Subsection A.2.,
above requiring Site Plan Review approval shall submit, in addition to the requirements of
Section 5.17-120, the following information.
a. Items a. through d. and f. through m, in Subsection C.1., above.
b.
Photo simulations of the proposed WTS facility from the 4 cardinal compass
points and/or abutting right-of-way, whichever provide the most accurate
representation of the proposed facility from a variety of vantage points.
Date Received:
DEe 2 4 2009
Findina:
Photo simulations are attached herein as Exhibit 3.
The distance from the nearest WTS facility and nearest collocation site.
Original Submittal
Findina:
,Based, on the FCC database, the closest WTS facility is 3.5 miles southwest
owned and operated by Cingular; This site is too distant and is not a viable
collocation location.
3. .: ,;.vyr3,pr?v~qe~s whose proposals conform with the provisions of Subsection A.3"
, above requiring Discretionary Use approval shall submit the following information:
a. Items 1-3 in Subsection C.2., above.
b. Responses to the following Discretionary Use criteria:
,
VERIZON WIRELESS
DISCRfrJONARY ApPROVAl. - CITY OF SI'JUNCiFJEU)
EUG.- BALDY VIEW
Page 15
i. An engineer's statement demonstrating the reasons why the WTS
facility shall be located at the proposed site (including, but not limited to:
service demands; topography dropped coverage);
ii. An engineer's statement demonstrating the reasons why the WTS
facility shall be constructed at the proposed height; and
c,
I!FindinQ:
. :See Exhibit 4, attached herein.
III. Verification of good faith efforts made to locate or design the proposed
WTS facility to qualify for a less rigorous approval process (building permit or
site plan approval).
rFindina:
'No viable collocation facilities are located within 3 miles of the site proposed
herein. The only structure within the area that is of sufficient height to meet
:the coverage objectives is RiverBend Hospital. Peace Health was contacted to
;determine if there was any interest in a rooftop facility." The representative at
,Peace Health indicated that there was currently no interest in leasing space for
a facility of this nature. The site proposed. herein is designed to provide the
. 1;
minimal impact on the surrounding area by proposing the minimal height
'necessary, by locating it near existing vertical elements and flush mounting the
:antennas to the pole.
ADDITIONAL NARRATIVE COMMENTS ADDRESSING CHECKLIST SUBMITTAL
REQUIREMENTS: '
DISCRETIONARY USE - SUBMITTAL CHECKLIST
1, Application Fee $1071-a check attached.
2. Deed -,copy attached
3. Title report - attached
4, 8 Y, x 11 reduced copy site plan - attached
5. Narrative - see above '
,-
Date Received:
DEe 2 4 2009
SITE PLAN REVIEW - SUBMITTAL CHECKLIST
1. Application fee - check attached
2. Deed - copy attached
3. Title report - attached
4. Narrative - see above
5. ROW approach - NA not on ODOT frontage; using ex. driveway.
.6. 3 copies of Stormwater management system and scoping sheet - NA see attached email
from City engineer Matt Stouder. EXHIBIT 12 '
7. Traffic Impact study - NA - 1 trip per month; no onsite employees unmanned facility
8. 18 copies of 11 x17 site plans folded - attached (includes required site assessment of ex
conditions and site plan requirements as applicable, The following are not applicable due to
the nature of the proposed facility: SITE ASSESMENT: watercourses (none affected), 100
- . -'-al aubll'ilt~1
.~l'~'"
VERIZON WIRELESS
DISCRE7'lONARY Al'l'NOVAL - CITY OF SI'RINGFJ/:'/,J)
EUG - BALDY FlEW
Page 16
yr floodplain - none on property, Time of travel zones - this is addressed in the attached
Drinking Water Protection permit application. SITE PLAN: Parking spaces - none existing or
proposed - unmanned facility., solar access-NA, loading and, vehicular & pedestrian
circulation - NA unmanned facility, bicycle parking -NA for this use, transit facilities - NA for
this use, open space etc - NA - none required, phased development plan - NA,
IMPROVEMENT PLAN (all private none public) -street lighting - NA for this use, sidewalks
etc - NA for the proposed use. GRADING PAVING & SWM PLAN - attached - per City
engineer the scope of work only required these plans to show the proposed landscaping and
sheet flow of drainage which is depicted on plans. ON-SITE LIGHTING PLAN - see attached
EXHIBIT 11 On site lighting documentation. The prefab equipment shelter has a small
exterior attached security light (70 watts) that is shielded by the door canopy and is deflected
from any adjoining property.
9. Additional materials may be required: Multifamily-NA, Riparian protection -NA, Geo-technical
report - attached. Overlay district - the property is within a well head drinking water
protection overlay district -a separate concurrent application for the DWP permit is attached
and addressed therein, tree removal - NA only 2 existing shrubs are proposed to be
removed, wetland delineation - NA no wetlands on property, Federal or State permits - none
required, Land & Drainage Alteration permit - to be submitted with Building Permit
application. The amount of grading and excavation will be minimal 1500 sq ft area and
apprx. 30 cubic yards excavation for foundation., Annexation application - NA within City
limits.
DWP OVERLAY DISTRICT - SUBMITTAL CHECKLIST
-a
Cl)
>
'8
Q)
~
Q)
-
ttI
o
1. Submitted concurrent with Site Plan Review
2. application fee submitted -check attached
3. Copy of deed and Title report
4. Narrative - see above
5 3 copies 81/2 x 11 plot plan showing TOTZ and property - attached
6 Three copies of:
~ . a) Hazardous materials prior to 2000 - NA no record of any on property
N <<l b) Hazardous Material Inventory Statement and Material Safety Data Sheet- attached
~,~, ,~ _RU-!st, of_ chemicals to be monitored - NA none proposed '
u .c' d)' Activities if over 500 gallons' - NA under 500 gallons maximum stored,
\;g~ e) Description of primary and secondary containment - attached
'iij f) Hazardous Material Management Plan - attached
'~g) Inspection & Maintenance procedures - attached.
8h), Plan fpr di,sposal of hazardous materials over maximum allowed - NA all used on site
and will be under maximum allowable limits.
':; :,: ~ ;.~, .,
IV. CONCLUSION
Based on the information provided in and with this document the request of Verizon Wireless
should be approved. The site proposed herein has been designed to have minimal impact on
the'surrounding and abutting parcels and complies with the applicable criteria. Further, the
proposal shall enhance basic community functions and provide an essential community
service. All applicable approval criteria have been met.
~'
.
ven~wireless
List of Exhibits
Exhibit 1:
Title Report & Deed (3 copies)
Exhibit 2:
Architectural Drawings - Site Plans, Survey, Grading Paving &
Stormwater Plan, Landscape plan, and Elevation
Exhibit 3:
Photo Simulations
Exhibit 4:
Radio Frequency Engineer Letter
Exhibit 5:
Redacted Draft Lease
Exhibit 6:
NIER
Exhibit 7:
TOWAIR Determination
Exhibit 8:
Geotechnical Report
Exhibit 9:
Tower Removal Bond
Exhibit 10:
Property Owner Land Use Authorization Letter and verification of
Ownership documentation
Date Received:
Exhibit 11 :
On Site Lighting Plan documentation.
DEe 2 4 2009
Exhibit 12:
Stormwater exemption letter from City E_mwsubmittal
Exhibit 13:
Drinking Water Protection Overlay - submittal requirements (3
copies)
Technology4tAssociates
Internellon;1 CorporeUon
EXHIBIT 1
. Fidelity National Title Insurance Company
AMENDED - CORRECT LEGAL STATUS OF RECORD TITLE REPORT
800 Willamette Street, Suite 500, Eugene, OR 97401
(541)683-5422 FAX: (541)344-4534 '
November 9, 2009
TO: Technology Associates International Corp:
15618 SW 72nd Avenue
Portland OR 97224
Title ,Number: 4609011834-FTEUG25
Regarding: Verizon Wireless
Property Address: 3365 Game Farm Rd
, Springfield, Oregon
Lane
October 8, 2009
County:
DATED AS OF:
PROPERTY
We have searched our Tract Indices as to the following described real property:
See Exhibit A Attached Hereto
VESTING
City of Springfield,' a munincipal corporation
RECORDED INFORMATION
Said property is subject to the following on record matter(s):
1. Restrictions; but omitting restrictions, it 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 restriction is permitted by applicable
law, as sho'Yn on that certain plat
Name of Plat: Land P'!rtition Plat No. 2002-P1627
Recording Date: December 10, 2002
Recording No: ' 2002-095796
Matters contained in that certain document
1
2.
Entitled: Waiver of Time Limit on Consent to Annexation, an Addendum to the Consent to
Annexation Document
Dated:
Recording Date:
Recording No:
October 13, 1997
October 17,1997
9771005
3,
Reference is hereby made to said document for full particulars.
Matters contained in that certain document
Date Received:
Entitled:
Notice of Annexation Agreement
DEe 2 4 2009
STATUS OF RECORD TITLE REPORT
FDOR0546.rdw
Original Submittpl
AMENDED - CORRECT LEGAL STATUS OF RECORD TITLE REPORT
(Continued)
Dated:
Recording Date:
Recording No:
October 13, 1997
October 17,1997
9771006
Reference is hereby made to said document for full particulars.
4. Matters contained in that certain document
Entitled:
Dated:
Executed by:
Recording Date'
Recording No:
Annexation Agreement
June 7, 2001
City ot Springfield and Arlie & Company, an Oregon corporation
June 8, 2001
2001-034714
Reference is hereby made to said document for tuli particulars.
Assignment of Annexation Agreement
Recording Date: December 31, 2001
Recording No: 2001-088566
Amendments to Peacehealth Annexation Agreement to Allow Issuance of Land and Drainage Alteration
Permit
Recording Date: October 8, 2003
Recording No: 2003-098507
5, Matters contained in that certain document
Entitled:
Dated:
Executed by:
Recording Date:
Recording No:
Improvement Agreement Including Notice of Potential Assessment Lien
August 20, 2002
City ot Springfield
August 29, 2002
2002-067274
Reterence i,s hereby made to said document for full particulars,
END OF EXCEPTIONS
A, Note' Property taxes for the fiscal year shown below (Cities & Towns Exemption)
Fiscal Year:
Levy, Code:
Account No.:
Map No.:
STATUS OF RECORD TITLE REPORT
FDOR0546,rdw
2008-2009
4-78
1693868
17 -03-22-00-00904
Date Received:
DEe 2 4 2009
Origi,nal SUbmittal
AMENDED - CORRECT LEGAL STATUS OF RECORD TITLE REPORT
(Continued)
, ,
THIS REPORT 15:<10 BE UTILIZED FOR INFORMATION ONLY.
Any use of this report as a basis for transferring, encumbering or foreclosing the real property described will
require payment in an amount equivalent to applicable./itle insurance premium as required by the rating schedule
on file with the Oregon Insurance Division,
The liability for Fidelity National Title Insurance Company is limited to the addressee and shall not exceed the
$200:00 paid hereunder.
Ii
Fidelity National Title Insurance Company
Patty Smith
Pattv. Sm ithaI> TitleGrouo, FNTG. COn}
Date Received:
DEe 2 4 2009
Original submittal
5T A TU5 OF RECORD TITLE REPORT
FDOR0546.rdw
Order No.: 4609011834-FTEUG25
EXHIBIT "A"
Parcel 2 of Land Partition Plat No, 2002-P1627, Filed December 10, 2002, County Surveyor's File No, 37813 and
filed December 10, 2002, Reception No. 2002-095796, Lane County Deeds and Records,
D~te Received:
DEe 2 4 2009
FDOR0553.rdw
Original Submittal
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FIDELITY NATIONAL TITLE COMPANY
This ~ketch above is made solely for the purpose of assisting in locating said premises and the company assumes
no liability for variations, ifany, in dimensions and location ascertained by actual survey.
Map # 17 03 22 00 00904 000
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Date Received:
.DEe 2 ~ 2009
Original Submittal
SECTION 22. T.175. R..3 W W.M.
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DEe 2 4 2009
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LOCATED IN THE NORTHEAST 1/4 Of SECTlON 22 or
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)}I APPjlOVALS
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OWNER'S DEClARATION
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NOTES
llEVUOPloIDnU- P.IJlI::D.: 1 IS PRDH:81tO l.Ml1 PB:)IIELII PARnt.Y
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REFER~CES
[1} lIr~ INI"OIIWATICN PERCSF NIt. 3Jn1
['2)IICCllftD.
(3) IlfCORD .
(~) REtDRQ
f'(Ji! C9' NO .)11_
p{JIlCSTNO ,]~
PERC'5'F""O-:J2~
(S}PlD.I!4JR,INS1RLUENfND.7U2BI.
lHI[DJUll'IYlJED)RED:lII'DS
ACKNOWLLDGMENT
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ST,I,T[UCIIIDOCIN)
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eoulm' Cf LANE ]
1HSS -rn rtJm'Y I'HIoI '=" JHG ~ cr ~
l!IIJtIRC lIE AIlIOTIRl' "'l.8.lC IN' 110 ra;! SUI CDtIN'IY"'-"O s:IA1l.,.
"lJISOII.OllY.ll"POll[D~~Km'l'I'OR1tlEClTYor5PRlhl71UD
.n-01$1l~T'tlurKl8(lHElDO'fTIl".AL.~NAlMIIIN
AND IJI'IoO D:EClIlED 'IHC rtIIIEGOorfC DO:I.AAiUION NfO
IDC~ED- TO t.IE DW tit oxantD ,lit.'SJ,WlE Io'ClUINrMlLT.
OM e&W.F Of Tr-f[qrt CF SI'I'lNlIElD-, RIA IHr use.MID
PURPOSES HEIIUI. NMlED
gl11~ ~. L'!l:~"-.l...c:l.-.:'I
iIIOI'Ml'rRJILI::
lIl'~oPRES
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SUR'ID'OR'S CERTIFICATE
1,!iTL'lENE.IM)lHlS.~IIl[Cl5TDlEJlof'lllCf'(SSI(INt.lLlJllI)SIJ~11I'
rI€ SUI[ or CAOODN llCI l€fl(HI' comry llIAr I KIll'[: CU!1ID:Tty
9JRV!:'rDJ JHJ tWtkED WFTH PROI'[JI M:lIIUWlIII'S T'HIi; w.o msc::IhRfD
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LAND PARTITION FOR CITY OF SPRINGFIELD
LOCATED IN THE NORTHEAST 1/4 OF SECTION 22 OF
TOWNSHIP 17 SOUTH, RANGE 3 WEST, WILLAMETTE MERIDIAN'
CITY OF SPRINGFIELD. LANE COUNTY, OREGON
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~rltteb ~.lv'r of ftme Limit Document fo~Pf thl ~ne-Yalr plri~ or PteRcriblng
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Dlpat'Clltnt &tthe 1.anca . Coliflt)' CourthQl.1118, Tho orirlnal of tbil DoeUltent shill lte
[eftlrned. to tbe: OeVOlOPlIlIlIRt Sl!hi.CtI, Il'I-pu't.IM, Cit, of IipE'irI.f101d, 115 tHc)!.
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eorFor.ttQ~~f the tar. of OrGg~n. he~,l~ttr rele:~Qd ro as the Clty, on \he/~
day of J!' . I 199-.7. i8Aten4 !n~o 8Q "teetlM gClYern1ng In BfIlili:Xi'i'IG'1
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of thi COl)uM to MneklltlOA dOtUDleDt dgnld by thCll O\l'l\er arid thl Cit)'. The Con.1'ent
to AhhexatlOn doeuloent is filed i~ tbt DtYel0~~~ Serviocs Dlv18~ of the City, to
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4
After Recording, Return to:
Lany Reed
Arlie & Company
722 Counlly Club Road
Eugene, Oregon 9740 I
ANNEXATION AGREEMENT
This Anneution Agreement ("Agreement'') is made between the City of
Springfield, an Oregon mWlicipal corporation ("City") and Arlie & Company, an Oregon
corporation ("Arlie").
RECITALS
A, Arlie tlWl1S the pllI\lelsofland shown on the map attached as Exhibit I and legally
described ill Exhibit 2 (the "Property"), These exhibits arc inc..'/M~,ed herein by
reference. The Propeny is proximate to the jurisdictional limits of the City and is $Ubject
to annexation by the Lane County Local GovemmClll Boundury Commission (UBoundaIy
Commis5ion'') ftlllowing minor boundaIy change processes.
B. Arlie wishes to annex the Property to me City and seeks support from the City for
the IIIIDcxation before me BoundaIy Commission, The Springfield City Council bas
adopted Resolution No, 01-28 conditionally supporting the lIIUIcution "based upon thc
assumption that city staffbas Or will reach agreement with the property owner for the
provision of key urban services and a Mastco- Plan pursuant to Springfield Development
Code Article 37, satisfactory to the City staff, prior to the BoundaIy Commission public
hearing on lhis lIIUIelUltion request."
C, The Property is cWYlmlly designated as Medium Density Residential on the Metro
Plan and Gateway Refinement Plan diagrams, Arlie shall develop the r ....~;i cOllllislent
with a master plan ("Master Plan") to be approved by City WIder Article 37 of the
Springfield Development Code ("SDC"). '
D. Annexation of the 1'__....;, l'lXjuires a showing under SDC 6.030(2) that the
r ,~,,_ 'J can be provided the minimum level of key urban facilities and services as
defined in Metro Plan Policy 71. p. II-B4. The provision oflhis level offacilitill5 and
services will require extension of a sanitary sewer trwtk line including maintenance holes
and stubs for lateral lines to provide sanitary sewer service to serve the F.-"-"J and
colllltruction of ~ecl improvements and development of drainage and Slonn water
quality facilities, The purpose of this Agreement is to memorialize agreements
concerning the allocation of financial responsibility for public facilities and services for
the Property and other users oflbe facilities, sufficient to meet the City's requirements
for the provision of key utban serviees necessary for I1Il affinnativc City recommendation
for the lIIUIcxalion request,
Date Received:
ANNEXATlON AGREEMENT. Page 1
DEe 2 4 2009
IIIlIIIIk
Original Submittal
J
~~~.:....::--- .QI!!.
E. Under its adopted public facilitiesplllllS, the City plans to extend a 12 to 21 inch
sanitmy sewe.- line from ils present end point On Game Farm Road into and through the
F". ~ ,..; ("Sanital)' Sewer Project"), A description of this sanitary sewer pri:Jject is
attached as Exhibit 3 and incorporated herein by reference, The cost of lhis improvement
project is estimated to be $1,200,000,
F. Under its adopted lranSpOrtlltion and public facilities plans, the City plans to
construct an extension of Pioneer Parl<way, a minor arterial street as defined'in the
Springfield Development Code, including streets, sidewalks, curbs, gutters, storm sewers,
street lights, and street b'CCB through the Property to Belt Line Road ("Pioneer Parkway
Project", A description oflhis transportation improvement is attached 8!1 EXhibit 4 and
inco!1'orated herein by,. .:L ....:.i:e, The cost oflhis improvemenr, together with ilS
improvement south oflbe Property, related L.~....;:on improvements and land
lICQuisition, is now estimated to be $8,700,000,
Q, In order to consttuct the Pioneer Parkway Project, the City needs to acquire
additional right of way. Arlie is prepared to donate the right of way for the Pioneer
Parlcway Project lying within the boundaries of the Property and within two iidjacent
parcels to the r .~~~;) also owned by Arlie, A description ofthi: Pioneer Parkway
Projl:ct right of way to be donated by Arlie to the City ("Right of Way Property'~ is
attached as Exhibit 5 and in_...".~.~ herein by reference.
H. Tn order to facilitate ordedy development ofthe Property and insure the provision
of key urban services and meet the City's conditions for an affirmative recommendation
for annexation to the BO\llldary Commission, and in exchange for Ibe obligations of the
City., set forth below, Arlie shall: donate the Right-of-Way '7 ,~.....; to the City; contribute
to the cost of the construction of the Sanilluy Sewer Proj eel; construct the storm water
drainage and water quality management systems needed 10 serve the Property; contribute
to the cost of construction of the Pioneer Parkway Project including streets, sidewalks,
curbs, gullers, stonn sewers, streetlights, street trees, bike lanes, and intersection
improvements; and contribute to the cost of public improvements located outside the
boundaries of the P. _ .....J. These contributions are proportionate to the demands the
development of the Property will place on key urban services including specifically Ibe
need for the construction of Pioneer Parkway and the Sanital)' Sewer Project, as well as
the anticipated benefits derived by the Property from these public improvements.
I. Arlie shall receive sanitary sewer systems development charges credits for Arlie's
contribution 10 the Sanitary Sewer Project and transportation systems development
charge credits for Arlie's contribution to the construction of transportation improvements
located outside the boundaries of the Property and the RightofWa)' P._. _. ;.. To the
extent any heir, successor or assign of Arlie provides contribution to the Sanitary Sewer
Project or the contribution to the construction of transportation improvements located
outside thc boundaries of the Property and the Right of Way "':.v....;J, the heir, successor
or assign shall receive equivalent systctndeveL~...~.._ ebarge credits in the smuc manner
as Arlie.
Date Received:
DEe 2 4 2009
ANNEXA TJON AGREEMENT - Page 2
Original Submittal
III'
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J. . Subject to City of Springfield Cornmon Council llPproval and the requirements of
tIie Oregon Revised Statutes for the disposition of real property owned by the City, City
Will convey to Arlie a parcel approximately two lICI'cs In size. A description of this
property is attached as Exhibit 6 and incorporated herein by . .:... ...ce, The conveyance
of the property described in Exhibit 6 is in partial consideration for Arlie's donation of
the Right-of-Way Property. In the event that the City Council chooses not to convey the
property described In Exhibit 6 to Arlie, the City of Springfield shall reduce the
maximum amount of the Arlie oIDite contributions by $55;000. In the event that City
Council approves said conveyance, the City of Springfield Will cooperate With Arlie in
any qualification of the property excbange UDder section 1031 of the Internal Revenue
Code, provided, however, that such cooperation shall be at no cost to the aty.
K. The City bas analyzed and considered the likely financial impacts on the City of
Springfield's municipal activities and operations of providing full urban services 10 the
land designated as Medium Density Residential (MDR) in the Gateway anoa,east of
Game Farm Road. The review by the City Council and the Lane Council of
Governments' analysis, conducted in the fall of 2000, sbowed that the full MDR
development would generate sufficient property taxes, ongoing fees, and staie shared ami
local revenues to cover the annual and long-tenn operatiouo1 costs for the full range of
urban services provided by the City. Development of the Property by Arlie likely would
financially support at least its proportionate share of the total needed urban services.
Now, therefore based on the foregoing Recitals which are specifically made a pan
of this Agreement, the parties agree as follows:
AGREEMENT
I. Oblieations of Arlie. Consistent With the above recitals, Arlie agrees to perform
the following obligations:
1.1. Donate the Right-of-Way Property for the Pioneer Pmkway Project
located on the Property and adjacent lands owned by Arlie as more
particularly described ami set forth in Exhibit 5;
1.2 Contribute $600,000 toward conslnlction of the SanilllfY Sewer Project as
more particularly desedbed and set forth in Exhibit 3:
1.3 Contribute $2,750,000 toward conslr\lction of the Pioneer Parkway
Project;
1.4 ConslrUct all stonnWlltcr conveyance and water quality facilities needed
for service of its development as required in any Master Plan approval;
1,5 Contribute amounts not to exceed a total of $500,000 for conslr\lction of
transportation improvements located outside of the boundaries of the
Date Received:
ANNEXATION AGREEMENT - Page3
DEe 2 4 2009
Orininal Submittpol
.~.
,;
Property, as more particularly required by individual approvals for
developments on the F.y!,y.;,; and,
1.6 Seek and use its best business efforts to obtain Master Plan approval for
development of the 7,~!,~;j as provided in paragraph 4 of this
Agreement.
2, T~ of Arlie's Oblia:ations. The donation IIlld I;QDtributions by Arlie described
in paragraph 1 of this Agreement shall occur in accordance with the following timetable: .
2,] Donation of the RighI of Way Property shall occur al the time. of final
Master Plan approval, inllluding resolution of any appeals, or not later than
two yelltll from the date of this Agreement whichever shall first occur;
2.2 Contribution of the $600,000 toward the construction of the Sanitary
Sewer Projellt shall OC\l1lf at the time of Master Plan Approvali inllluding
resolution of any appeals, or nollater than two years from the date of this
Agreement, whichever shall first 0\l\lUr;
2.3 Contribution of $2,750,000 toward the construction of Pioneer Parlcway
shall o<:c:ur not later than July I, 2003 or issuance of any building permit
for development on the Property, whichever shall first occur;
2,4 ContributiOn not to exceed a total of $500,000 for constnu;tion of
transportation improvements required by the City located outside of the
property, shall OCCUr at the time of contnllU\ions toward these offsile
improvements are required by tinal land use and developlllent approval of
developlllents on the Property. It is understood that these contributions
may occur in in=ents depending on the requirements of the specific
development approvals.
2.5 In lieu oflbe contributions as specified in paragrapllll2,2, 2.3 and 2.5, the
City shall ac:cept, at the time of the contribution obligation, sufficient
security for payment of these obligations, such as perfonn&nce bonds,
letters of credit, dedicated accounts or funds, penronal guat1UIteell, or
mortgages. The City is not obligated to IICl,:cpt as substitute for payment
any security that does not fully secure the obligation ofpaymenl in the
judgment of the City, Arlie's ability to substitute security for the
obligation ofpaymenl shall he extinguished at the time ofCily Council
approval and award of a construction contract fOr the particular
improvement for which the contnoulion is owed, i.e., the Pioneer Parkway
Project and the Sanitaty Sewer Project. At that time Arlie shall make the
payment toward the improvement ifit is otherwise owed.
2,6 The City may incOrpOOlte the obligations impoSed herein in any Master
Plan, Date Received:
ANNEXATION AGREEMENT - Page 4
DEe 2 4 2009
Original Submittal
-:.:-.:...:..... .~
3. Contn'butions and Svstem Develooment Cblltl!e Credits. The parties agr" that
the contnbutiol) of $600,000 toward the SlIIIitary Sewer Project and $500,000 for the
constroction oftraJulportation improvements located outside the boundaries of the
Property shall receive system development charge credits under Springfield Municipal
Code 3.416(2). The Cil}' of Springfield will review any otisite stonnwater
improvements constructed by Arlie and if appropriate provide SDC credits for thal
portion of the improvements which may be eligible for SDC credits.
4. Master Plan. Following annexation oflbe F._ro.:/, Arlie will apply for approval
of a Master Plan for the Property under Article 37 of the Springfield Development Code.
As provided by SDC 37.040. that Master Plan will contain provisions assuring that the
proposed on-site llIId off-site public and private improvements are sufficient to
accommodate the proposed phased development and any capacity requirements of public
facilities plllJls. The Master Plan shall contain provisions for dedication and resoW'ce
zoning of properly adjacent to the McKenzie River. Arlie will submit an application for
Master Plan approval within one year from the date of annexation approval. The Master
,
Plan application and approval shall be consistent with the terms of this Agreement. The
City ijhall not impose or approve exactions on the Property for transportation; sanitary
sewer and offsite tnIJIsportation improvemenl5 through the Master PlllJl or thiougb local
improvement district assessments for the Pioneer Parkwliy that exceed the obligations
imposed UpOI1 Arlie by paragraph 1 ofthis Agreement and obligations to consb'llet local
streets, sidewalks, curbs, gutters, storm sewers, streetlights, street IIee9 and sanitary
SCWefs within the boundaries of the Property,
5. ObliJ1ations of City. Consistent with the above Recitals, City agrees to:
5.1 RccomD'lend and support annexation of the Property to the City of
Springfield before the BoundllI)' Commission and participate in the
defense of any appeal of a decision of the BoundaJy Commission
lIIUlexing the Property to the City;
5.2 Assist Arlie in'the preparation of a Master Plan for the Property and funit
the e)l;actions imposed IIDder the Master Plan or through local
improvement district assessments for the Pioneer PllIkway for
lTllIISJlOrtation and sanitary sewer improvements 10 the obligations
imposed by this Agreement and the,construction of streets, sidewalks,
curbs, gutters, stonn sewers, street lights, street trees and sanitary sewers
within the boundaries of the Property;
5.3 Use good faith in the review and decision making on the MllStcr Plan for
the Property;
5.4 Take all reasonable actions necessary to commence collS\nlCtion of the
Pioneer Parkway Project 011 or before June I, 2005;
Date Received:
ANNEXATION AGREEMENT - Page 5
DEe 2 4 2009
Original submittal
~~ .~
S.S Subject to City of Springfield Common Councilapprov,a1 and the
requirements of the Oregon Revised Statutes for the disjlQsition ofreal
property owned by the City, convey to Arlie the parcel described in
Exhibit 6, The conveyance of the property described in Exhibit 6 is in
partial consideration for Arlie's donation of the Right-of-Way Property,
In the event that the City Council fails to convey the property descrilled in
Exhibit 6 to Arlie, the City of Springfield shall reduce the amount of the
Arlie off site contribution specified in paragraph I.S oflhis Ag,.eemcnt by
$55,000. In the event that City Council approves said __..'., Mice, the
City of Springfield will cooperate with Arlie in any qualification of the
property exchange under section 1031 of the Internal Revenue Code,
provided, however, that such cooperation shall be at no cost to the City.
This conveyance will occur al the lime of the conveyance to the City of
the Right of Way Property under paragraph 2,1 of this Agreement.
6, "Constrnctiori of the Pioneer Parkwav Protect. The parties will explore the
feasibility of private construction to City standards of all or portions of the Pioneer
Parkway Project by Arlie lIS part of Arlie's consllUction ofstreet improvements to the
Property. The City will hold a hearing to consider exempting the construction project
from,the requirement of public bidding under ORS 279.0IS(2){3) if the City detennines:
private consllUction would be in conformance with applicable roles and regulations
attached to funding dollars used for the Project; private constrUction would be in
conformance with Oregon Revised Statutes applicable to the C01lllttuction of such
projects and public bidding requirements; and, if substantial cost savings would result
and there would be no diminution of competition for public conttaclll.
7. Covenants R~ With the Land. II is the intention of the parties thllt the
covenants herein shall mn with the !\yr"':" and shall be binding upon the heirs,
executors, assigns, administrators, and successors of the parties hereto, and shall be
construed to be a benefit and burdeit upon the Property. This Agreement shall be
recoriled upon its execution in the Lane COUlIty Deed Records. This Agreemenl may be
assigned by Arlie and shall benefit and burden any assigns Or successors in interest to
Arlici:, Execution of this Agreement is a ....~__<Iition to the support of the City of
Springfield for BDneltalion of the property described in Exhibit I for the City of
Springfield. Accordingly, the City retains all rights for enforcement oflhis Agreement.
.8. Waiver ofConstillltional RilZhts. Arlie waives llI1Y claim it might /ulve that the
requirements of this Agreement create an lDIcons1itutional taking or condition to .
development of the ''.v",'..;/.
9. Limitations on Develooment of the prooCJlV Follil)"in}! Annexation, Except as
provided herein, no part of the Property may be developed prior to City approval of a
Master PIWl as provided in paragraph 4 of this Agreement. In the event Arlie seeks
Master Plan approval in good faith and that approval is delayed or withheld for a period
longer than two years from the date oflhis Agreement, Arlie may develop the Property
WIder the zoning existing al that future time, provided, however, that all obligations of
Date Received:
ANNEXATION AGREEMENT - Page 6
DEe 2 4 2009
Original ::;UOlIlllli:l'
-~. .~
Arlie l:t forth in Section r of this agreemenl shall remain in full force and effect including
specifically but not limited to.the donation ofland for Pioneer Parkway, the contribution
of $600,000 toward the construction of the Sanitary Sewer Project, the contribution ,of
$2,750,000 for construction of Pioneer Parkway Project, and the contributionof$500,OOO
for consttuction of public improvements located outside the bOWldaries of the ,..",,-.J.
No building pennit shall be issued for development of the Property until the obligations
of Arlie to contribute $600,000 toward COnsll'UCtiOD oflbe SaniUlly Sewer Project and
$2, 750,000 toward construction of the Pioneer Parkway Project have been paid or
secured and donation of the Right of Way Property has oCCUlTed.
10. Mutual CooDernlion. Springfield IliId Arlie shllll endeavor to mutually cooperate
with ciach other in implementing the various matters contained herein,
11, Exoeditious Anoroval Process,
11.1. If funding for staffing allows, the Springfield Development Services
Department Director IDay expedite the proceIlS for all applications; and,
ammge for coordination with agencies involved in the review and
approval process for development of tile Property;,
11.2 In order to expedite the review process, Arlie concurrently may submit
applicable land USe applications in a single application.
12, ,Waiver of Right to Remonstrance, Arlie agrees to sign any and all waivers,
petitions, consents and all other documents necessary to obtain the Pioneer Parkway
Project and SllIlitary Sewer Project on Or adjacent to the Property, under any
Improvement Act Or prollCCding of the Stale of Oregon, Lane County or the City of
Springfield and to waive all rights to remonstrate against these improvements. Arlie
does not waive the right to prolest the amount or manner of spreading the assessment
thereof, if the assessment appears to Arlie to be inequitable or operate \lO!airly upon the
Property. Arlie waives any and all righliJ to file a written remonstrance againat these
improvements. Arlie does not waive its.right to conunent upon any proposed local
improvemenl district or any related matters orally or in writing,
13, Modification of Aereement, This Agreement may only be modified by a writing
signed by both parties,
14. 'SCODe of Al!TCCItlent. Notwithstanding anything in this Agreemenl to the
contrary:
14.1 This Agreement does not limit the authority of Lane County to impose
assessments upon the Property for the improvement of Game F IImI Road
or obligate the City 10 pay any such assessment; lIIUi .
14.2 This Agreement does not require the City to pay the costs of any offsite
improvements required or desired by the Oregon DeplU'tment of Trans-
Date Received:
ANNEXATION AGREEMENT - Page 7
DEe 2 4 2009
:. :;,ifl8\ S",bl'R!~~~'
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portation (''ODOT'') in order to obtain approval or support by ooor for
development on the Property, .
15, Invlllidirv. If any provision ofthisAgreeme:nt shall be deemed unenfurceable or
invalid, such enforceability or invalidity shall not affect the enfurceability of validity of
any other provision of the Agreement The validity, meaning, enforceability, and effect
of the Agreement and the rights and liabiJjties of the parties hereto shall be determined in
accordance with the law5 of the Slatc ofiliegon.
., i.....
DATED this _ day of June, 2001.
ARLIE & CO
STATE OF OREGON )
) 55.
COUNTY OF LANE )
, The foregoing inlll1'llrnent was acknowledged before mC this"j~day of
]Wle, 2001, by9ta-,,-,-. ",4II.A.. 'd" the0~;.o... -I- _ of Arlie & COmpany, an
Oregon ~~",",.';on, on behalfofth. corporation,
,-_---- OFFICIAL'SeAL' ......"
PATRICIA A. BOLES
" NOTA~V PUBLIC.QREGON
COMMISSION NO. 327639
MY COMMISSION EXP'~ES SEPT. 30, 2003,
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Not8IY Public fur Oregon
My Commission Expires: ~30( 2.ao"3
DA TED this _ day of June, 2001.
CITY OF SPRINGFIELD, OJU;GON
By:\~\\jL4../C.~ ~
Its: {!.t1'l M ~(<~ ~
STATE OF OREGON
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COUNTY OF LANE
The fore,going instrument was acknowledged before me this7'l- day of
JWle, 2001, by M't"1.<.. Q. A, '-'.00..... the .(!:;.~ IJ/v' ;~ftheCityofSpringfield,
an Oregon municipal corporati.;;;:;rbehaifOi'iiii:1 COI])OI1ll/on.
Date Received:
ANNEXATION AGREEMENT. Page B
DEe 2 4 2009
Oriainal Submittal
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~. OFFICIAl SEAL . '\
PATRICIA A. BOLES I.
. NOTARV PUBUC-oAeaON.
. COMM'SSION NO. 327639
, MY COMMISSIQN}~PJ!lES SEPl30. 2003,.
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IC.:I,&4SOB\DOIlO1\TJS\T~S_A2IlI)I,
ANNEXATION AGREEMENT. Page 9
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Notary Public for Oregon
My Commission Expires:S-. r" _~o, 2. 00 '3
Date Received:
DEe 2 4 2009
Original Submittal
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EXHJB;IT I
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Date Received:
DEe 2 4 2009
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EXHIBIT 2
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River Bend Park
DescriptioD for ADDesolioD
to the
City Df Springfield
Beginning at. point on the Westerly margin ot"BaldyViow Lane, (25,00 t"eer from, wbcn
meOsured III right anglelto Lhe cOllterlinO), ,aid poinl be... South 26" 41' 37" East a dist"""" DC
981.42 fect arul South 89" 56' 00" West. dist8llCe of27.97 feel fi'olllth. Northeast comer ofth.
'. Wolliam SIe.... Douation Land ClaiIII NUIIlbcr 46, IocalCd in Township 11 South, Rang" 3 Wo..,
W.D4mttto Meridian; th.nce leavillg said Westerly margin and fIIllIIills South 89" 56' 00" Wesl
porollcllo the north liIIe of said Donation LIIItd Claillla dist..,ce of 1893.91 fool 10 a point on the
Easterly margin of Oamo Fonn Road (County Roed No. 3), (30.00 fect from, whe1l measured al
riglll qlcs to tho centerline); thence leaving said parallollin. and running South 04" II' 56" East
along ,aid Easterly ~. dlslatlc. of78,32li:ct and South 02' 54' 56" East. diat"""" of
1] 0,28 feet to a point on the North boundaty of that certain tract oHand conveyad t~ the Cicy of
Sprinsfield by deed recorded April IS, 1977. Reel 84JR, Insb'lunent Number 7722SJ I, Lane
County om.ia1 Records; thence ICa.ing ..id margin and runninll North 89' 56' 00" Eost poraJI.1
to the north lino of.aid Do...tion LlIIId Claim a dlslllllce of 415.4g feel to the Northeast comer of
that propertyde...ibed in '151 said deed; th..... lo.ving said.pMaJleJ lino and1llMing Soulh 03"
53' ,20" East along the cut boundary of ofo..,aid proporty a distanco of 411.65 feet to the
South.Nt comer of oforcsaid proporty; thl:IlCC leaving ,aid .ast bouodlll)' and ruruting SOllth 89'
56' 00" W;S1 parol1clto the north line of ,aid Dan8lion Land Claim, . dislllllCe of 427.58 fcetlo a
point of the "..terl)' margin of ,aid Gam. Flltlll Road (35.00 feet from, wh.n m.lI5Ul'cd .t ri&ht
onglel to the centerlin.); thcncelcaving .aid porallclline and running a101lg ,Bid Easterly margin
th. followinrl COUlK' and distllllCCS: South 01' 54' 56" EllIl a distOllce of28. \J feet, South 03'
36'.56" Basl B distallCC of746.7S feet. South 89' 54' 08" We". diolBDl:c of 5,00 feel. South 03'
36'.56" Easl a distance of415.58 ....1, South 89"27' 15" East S,OI feellllld South 03' 36 56" Easl
. distance of 123.16 feet to B point on tho Northerly margin of the vacated Southcm'Pacific
Railroad ri8ht-of-way; thence leaving ,aid East.rly road margin and running along the Northerly
and Easterly .llUlcd right-ar-way ohail! roilrood South 41" 52' 17" East 0 distllllCO ?f 228,95
feet and alonsth. arc of 985.04 foot radiwl eurv. righl. having . contralongl. of 19' \3' OS. and
. chord bearing South 32' IS' 43" E""1328,87 feet, a dislom:o of 330.4 1 ....t to the Northwesl
comer oftl1c rust Addilion to Buena Vista III platted and reC()rded in Book 10, Page 2), Lane
County Orceon Plat RccordJ, Lam: County, Oregon; thenc. leaving said right-of-way and running
South 89" S8' 00"East alOll8 Ih. North boundlll)' of said plat and an .asterly projection thereof, a
distance of 1136.76 f'eel more or less 10 the center oflh. weslerly channel of the MeKeIl2ieRi-:
then.. leoviog ,aid boundlll)' and Il1nning down_ alone; the conlc:rlincof said river chllllJlCl in
. northeasterly 4ilcction to a point on the W.sterlybollOdlll)' otlhat ..n'""tfaCt of land
des.cnbed in deed record.d in Reel 63 I, ln5lnlmentNu.mbor 13809, Lane County Olf..ial
RcCOrdJ, ,oid point Ii.. westerly of and 225.00 feet,OppO,;I. by perpendicular "'o........""'nl of a
souLh.rly projection of the centerline of af'ore-d.,.ribcd Baldy View L..... said point also boars
North 26' 25' 09" Ea,u dist.... of 1421.58 feet ronn th.l..t clolCtibcd point; tbene.leaving
Date Received:
DEe 2 4 2009
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Original Submittal
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,aidMeKetWe !ljyOt ehannellllld I1IIlIling Nonh 26' 41' 37" W..t .;!ong o line punllel to and
225.00 westerly by perpOll(\ic\l1ar measuremenl of the ccn\el'line ofsaid Balcly View Lane 0
dislllllCe of660.20 feet 10 lheNorthwe.l ",,~r ofthal property de,enDed in last llliddeod;
thence lelll'ing said parallel line lU1d lUlUIinK alOPB Iho Nonherly boundary ofla$l ,aid deed North
63' 18' 23" Easl perpendicular to ",id cenler\inC a disllU'lCe of 200.00 fecI 10 a poinl on the
Weuerly margin of uid Baldy View Lillie; thettce running alnng ,aid Westerly margin Nonh 26'
41' 37" West. dUlanoe of457,55 feel to \he Point oiB.ginning, aU in L.... County, Oregon.
Conloioing 94 m:Ie$ mO'" or Its"
The bearings lIS u,od herein are based upon CoUnty Surwy fiID NUIIlbers 32308 and 32309, Iiled
OClober 10, 1994 with the L.... County SUN.,..,r', Olf....
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Date Received:
DEe 2 4 2009
Original Submittal
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EXHIBiIT 3
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Tbe Pioaeer parkwA)' Sanl.1ll')' Sewer EJ;teasloa
Is a 11 .021lach diamet.r, 6 to 20 foot d.ep
ssailAry truak sewer 10 be co~Slruct.d from lbe curreal
lumiDl at Gam. Farm Road n..r Kirk Avenue to
,SEWER tbc intersection of Game Farm Road aad Deltltn.
""-- . EN! ,ION ROlld. Th. sewer roole will starlin public rigbt.of-wl\)'
in Kirk Aveau., h.lld east aDd .nl.; the rlghl-of-way of
futare Plo..e.r Parkway Road ED....lon, and contlnu. In.
the EJlteasion rigbt-of-way to Beltlip. Road, .. sbown.
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E~IT 3Date Received
DEe 2 4 2009
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EXHIBiIT 4
Pioneer Parkway Extension
Description and Purpose
June 2001
TbeProject
The Pioneer ParkwllY Extension (PPE) is Il limited access minor arterial from the HarJowlHayden
Bridge WaylPioneerParkway intersection to the Beltline/Game Fann Road South intersection, It is a
Slane typical urban cross section that includes two travel lanes in each direction with a median,
drainage, landscaping and sidewalks. Bike lanes a.-e proposed for Game Farm Road South. The
Extension will include two major intersection improvements (}{arlow/Hayden eridge Way and
Beltline/Game Pann South), an intersection with the Medium Density Residential site and sound
barriers along the railroad right of way.
Purpose and' Benefits of tbe Project
. \" . .
. Allow development of vacant parcels in the Oatewayarea
· Create economic development opportunities
. Reduce traffic on Gateway, Game Fann Road South, Highway 126 and Interstate 5
· . Improve traffic operations at the GatewaylBeltline intersection
. . Improve the regional movement of people, goods and senrices
The Estimated Cost and Timing
The project is estimated to cost $8.7 million and begin construction on or before June 2005. (Estimate
does not include bike lanes on Game Farm Road Smith or PPE, or a possible north link at the
Belt/jIle/Garne Farm Road South intersection.)
Bxistin~ntributiqm
. City purchased right of way: railroad Ii,.,e ($260,000) and a home ($107,000)
. Lall<; County Board Capital Improvement Program ($1.9 million in 04/05 for PPE)
fsl,<.ible Sn~J:"\Indinr,:
. Lane County Capital Project Partnership Progrmn, July 2001
. Oregon Department of Transportation project funds, December 2001
. State of Oregon infrastructure loan programs
PPE in Adopted Plaus
TrllllSPIan; the regional transpQrtation plan, and the Gateway Refinement Plan adopted the PPE in
1992. The Springfield City Council adopted by resolution the PPE cotlceptual alignment in June 5,
1998, which included the conceptual length and widths of the project.
Current StalUs and N ellt Steps
Council directed staff to develop a funding package and strategy that seeks funds from " variety of
sources including private, COWlty, Slate and Federal sources. The City goal is to secure these funds by
2004 and be able to construct the project in 2005.
Date Received:
DEe 2 ~ 2009
Original ::;UDmmaJ
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EXHIB:IT 5
PIONEER PARKWAY EXTENSION.
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DEe 2 4 2009
. ~, i _ __ ..I
qriginal Submittal
EXHIBIT 6
AAl.IE ANNEXATION AGREEMENT
BegirJling at a point on the oenterline of Game Farm Road South, said
point being South 26'42' East 981.42 feet and South 89'56' West
146S.79 feet, South 00.04' East 18S.2 ,feet, and South 89'56' West
457.5 feet from the Northeast corner of the William Stevens Donation
l.and CI~irn No. 46 in Township 17 South, Range 3 West of the Wi11amette
Meridian; from said point of beginning run South ]'52' East along the
oenterline of County Road No.3 a distance' of 430.4s'feet; thence
North 85.56' East 457.5 feet; thenoe North 3'52' West 430.48 feet;
thence south 89'56' West 457.5 feet to the point of beginning, all in
l.ane County, Oregon.
EXCEPT: The Westerly ]5,0 feet thereof dedicated as publio right-of-
way and lying within Game Farm Road South
ALSO EXCEPT: The Easterly 226 feet thereof lying within the
springfield Utility ,Board Electrical substation,
Date Received:
DEe 2 4 2009
Original Submittal
Alter Reeo..diog RetH.... To:
I
28&1_
1111I~1II11 ~'llllllllllllllllllIIllm IIII $46,80
'il2478112200 ll08S!l811ellS0l!l53'1Z13112801 88:17:2& fill
RPR-AGRE Cnt:l Stn4 CA$HIER es
S211,00 SiIl.00 $11,00
4
Division or Chl.r Doputv CI.rk
L.... e.....ty 0..01. and R.o.......
PeaceHeallb Oregon Region
c/o RogerM, Saydack
AznoldQallagber Saydack
P.O. Box 1758
Eugene, OR 97440-1758
Parties:
Arlie & C......_.y, an
Oregon c....~r...oI4~:on
722 Country Club Rd,
Eugene, OR 97401
PeaeeHealth Oregon Region, a
Washington corporation
P,O, Box 1479 .
Bugene, OR 9,7401
After Recording Return To:
Weelern Tille III Escrow Company
4W1llakwoy Ild SuiIl340, EugIIII OR 97401
30 -D'D'", ",
ASSIGNMENT OF ANNEXATION AGREEMENT
Arlie & Company, an Oregon corporation ("Assignor") hereby assigns to
PeaceHealllJ, a Washington non-profit o..,.....;;on ("Assignee''), all of Assignor's
interest in Ibc Annexation Agreement wilb Ibe City of Springfield, Oregon ("City'') dated
June 7, 2001 ("AnneXation Agreement") whieh relates to the real property described in
Exhibit A hereto,
Assignor warrants and represents that the Annexation Agreement is in full force
and etT~t, Ibat Assignor is not in default or breach oflhe Annexation Agreement, and
has no' knowledge of any defaults, breaches, claims, offsets or defenses of the City under
the AnnexatiOll Agreement, nor any basis for asserting the same,
Assignee asl!lllJ\CS Ihe obligations of Assignor \lDder the Aim""ation Agreement
and shall indemnitY, defend and hold Assignor barm1esstherefrom.
Effective Date: 'b6~ lOa. ~I. ~o \
Date Received:
[SIGNATIJREBLOCKS ON NEXT PAGE]
DEe 2 4 2009
ASSlGNMENTOF AJ'INEXATION AGREEMENT-I
N:\t'-l': i ~,I,II ICIIOnp.~"O.1396'7\A.rlIe&C......,.)3967"'."
Original Submittal
I\NE'WI..a..dp ...eutldD ..rwment-~(I
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ASSIGNOR:
ASSI....,.al...:
ASSIGNMENT OF ANNEXATION -'GREEMENT-2
N:" ..1\PcacellMhh Orqoll Reaton 13!t67IArtk &. (Amp..)' 1396'7-00,
-
Date Received:
DEe 2 4 2009
Original Submittal
" , .\NEW\aadgDUlMlndall .~ ro'. ..Ldoc
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STATE OF fl.-,..J )
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COUNTY OF _l.4..; ,,--)
, This inslIument was acknowledged before me on 12-/31} 2.00 I
by Sott.A-"(.",~ K. AD",/!!. PI!~S'lJ"'..rr of Arlie &
CompllIlY, an Oregon cOlpOration.
STATE OF OREGON
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Notary Pllblic for 0 e~G;o.v
My commission expires:
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OFFlC~ SEAL
IlARel EICHELllfIlileR
, _ NOTARTPi.llUC,lJlEGON
~ MY COt.9.I1~SBlON NO 13lI91O
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COUNTY OF LANE
This instrument was acknowledged before me on I ./ J I 1 ~ClO 1
by Alan R. Yordy, Senior Vice President ofpeaceHeallh, a Washfngtoh nonprofit
cmporalion,
4L~
Notary Public for 0 fl t:<G,....0
My commission expires:
- - _._---_.~.
_ OFFIClALSEAl.
KAREN ElaiEL8ERGER
tlO"RT P\ItlLIC- OREGON
COMtoIISSION NO 3319'0
." COMMISSIoN elll'llll!S OCT, 13 _
~"'-"'a-'~ - I
Date Received:
DEe 2 4 2009
Original Submittal
ASSIGNJIaNr OF ANNEXATION AGRJ:EMENT-3
llh\p -T\PeaceQMItb ()repD R....D lJ961\.\rU" &. COIllpIlllY '13"'..oDCH'IDoculDll!aQ\NEW\uslllaIlMUttou .pnntalLdlK'
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River Bend Park
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III Ill.
Cit, of Spriacfidd
Bcginaing at opoiDl 011 110: Woolerly ""';;'arllaldy'V~ Lano, (2.5,001i:d&-,......
-= 01 ricbllDl:"'to tI.: ocolaIiuG). oai4poinllx:on Saalh W 41.]7",Easl.dist..... of
"1.42 filot and Solllh 19. 56' 00' Will . ~ of27,97 rcct &om lllo Norlhcast all1lOl" of II",
'. WiIli= Slm:as DoIl2lioG Loa4 Qaim N....... 46, Joomd ill ToWlUhlp 17 Sautb, lUnge J;Wcst,
~ Iofcridi=; lIlalc:c bvioa sold WeSlerty.....p. IIIId 'IIIIIIilI1 Soulll 19" 56' 00" WqI
panJld.Ill dIo aardl "'" ofnid DoIllllil>DLoad Oalm .dist.... ofI893.91.feet to opaiAt On the
Bmarty 1lIIIIll"' ofGama F.....1tllod (CauaIr 1tllod)llo, 3). (30.00 k "'''' whca -= 01
riahl ""lies III lIle .........); W:aco IoIIvioa "'"'- ponlIcI'" and IIlllIliac Solllh 04" 1\' 56' Bul
1lIoq; Pi4 ~lIIl1'1li...dktallceor7l.:J2 r.et.... S",,1h 02. 54' 56' Ear . dl&tllllOO of
1\0.21 foot 10 . pam 0" lhdlri baatuIIly ofl1lll OOItIiIIlnCl ofllllll.....veyad to the City of
SpriD&lidd by deed roc:onled Al>riII8, 1977, bcl143R, 1Dm=em \II.....bel' 77W31, Lana
Colini)' OlllclallU:cords: dIeace 1onilI& aid IIIIIJiD ODd IlIIlIliIlg Nania 89" 56' 00" East p.oIIo!
III lbonallll1iaoofraldDollllloa LoncI ou.. otlistaaloc of42.MI foot CO lhc NollllcaslCOr=-of
IhIIl ,.." ." t.....-:.~. ill Ion oald deed; lhaloo Ioniac .old Parollel n... ad tuIIlIiIIg SoIIlhOJ" .
53'20" Ear IIolla Iho -'bauaclaryof,""""",""", .'. odiRato .C411.65 filotlo IIlo
s..u1bcutcolllOtofllillali4p.. '. .. .Ihcaoo~ pijeutbollDllll)' and IlIlIIllos Soutb 89.
H,' OO~ W. Poro1lellO ilia aollll.liIIc of.old DoaotloD Lud Claim, 0 cIistaco of 427.58 .feet to .
pai1lofdlo I!osto.iymaqia of.U1 o.e FOIlII Rood {.l5.00 r.otfiolll, wbonlllOllllm! /II richt
m&Ia to lIIo oeIUCtIiDo); lhr:.= IcaviDg raid pardollble and IlIlIIIiDg aIG",.oid Easl<<iJ aaargiD
IIle l'oUowlag........ and 4istoaca: SwlII OZ" 54' 56'I!ast . diswl<>o of2B.l3 tioot, SGlIlh OJ.
J6' 56' Eat odiowK:c of746.7S bt, SoIItlIIP" 54' 01" W. 0 ulaIlI:c of5.00 feel, ScnIIh 03"
]6' 56' Ear odlsllmoe of4U.sllioat, SaIllllI9"1T 15" BasI 5.011.,ulI4 SoIIlh OJ' 36 56" Ear
odiotalloo or 123.26 feet to opam do. tile NorlIoalt "'"'BiD ofdta -*<I Soutbota'ooilic
RoilnIod ricbMf_ *""'" ....... Uid Ilutorly mod ....p. bd......... 010..Il1o \IIonbody
IIIllII!Utcrlr nc/IIecI riahl<o"WOf ofllid..... SOIIda 41" $1' 17" Bat. ~ afUU5
liool.......'" tile... af9&S.04lhotfOlliaa........1I&hl.1Iavio& 0-........ oflgo \3' 00" ODd
acllonl \Iooriaa Scndh32"U' 43'1!aot 32...7 foot, IIliIllmca ot330,41 fool to \lIoNarthwost
comcI-oflboFlrot Addillolllo Ilocaa V'1Sto.. platte.fa ~oted iI Book 20, Pa&o2.5,1.euo
CoIIIIIy o.-o'le& Ra:alllr, LaIIo Collllt)', Qrqoa; u..-Ioavlos Aid n..:.. .~" ay oad I'uonIo,s
Saulh 89" 58" 00" Eat IIoag 1IIe \110"" boundlry oCraid pllllllld ea oIIIlCIty pmJaotiua tbaraa( 0
disl...... at I 136.76__I...r ....10 lbo __ .Clba wCIIlaly.........l of tile MeK=z;a RiYor;
lLeuo=lcavills Aid bouudory.... RllIlins do_ oIang 1be...... or"'"'- rivw ell_I ill'
ollllrlluoulaly,dbc<:doa to. paill olllllo Wcllcr1ybolllldlrJofdw ClIrbiD.ln:lll ofloo.d
cICilIoribcd la cIccd noooted iA RocI6J 1,IiImuaIelll Number 13809, Luo CauDIy 0&lci0I
Roca...... nidpoiot IieI wallr\yofllll4 US.OO 1m opparllo by, ""..,,;icWar _lIlOalOra
....lhcrIy projoeJiaA aflho ocntcrIioc of otoRl-4C1cribed Blidy V_ Lane. .oid paiDl IIlo tiws
\IIonti16. 2.5' 09. Bast admncoaC 1421.58 feotlbnD.lIIcl&at doscn1>cdpaial; IbcncC Icavlng
Date Received: EXHI8~ A
PAGE . OF :l
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DEe 2 4 2009
Original Submittpi
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qjd McK.cmio ana- c:haaIlCI"""......... Nonfl 26' 41' 3,. WOIl 11011& & &na p...u.J to ud
W.OO -y lIy~lclll."'Il_ot....c:aalllrIlae ofllid Bol4y V_!.au.
.uu-. of"lUO foot to l1lo ~ OlInIp"oClba ptOp<fty dcscribecI i111at Ail1 "cod;
dlcIlOC '""'" niol pm\la1 _ _ <IIIIlIiD& .....l",.. ,.,...:, bowoIaoy oCIat Aid IIoell Nonb
63'lS'2J"l!atl*P""'":eut.r1G .eltl__odia!aaof200,OO Cecllo opoiDIaa....
Wc:stcrly .....p, of.1id. Bd4y VIeW l.aIc: ~ lIIIlpioa aIaas .oid Wcstcl\Y m. Nollh 26"
41' 31" West.__ of451," CeclIO Ibc Poiol: ot~. 011 bl LIIIe CoIl1\l)', O_a.
CoOllinio&'4 ......mace or.....
n.:", .J'",..;.. uscd.1l<oela...ll8I<ld upon Ooiud)'SllMy fiIoNumbon 32308111l132309,liIcd
Octci.....10. 1994 wiIb dull.- Co1lllly S....".,... om.z"
,
Date Received:
DEe 2 4 2009'
Original Submittal
EXJl/8IT
PAG!'
fI
I
OF ';2
.
,
, Dlvlel.... 0' ChloF D.plllv Clerk 2OOUM~7
Lano COllllly D_d. and R...... ~"WlliN
.W1Il1~II~nl ~~1\!~~!~~3 IO:~~:':
IlPR-1lIIEN Cnld Slnd CIlSNID 08
120,00 $10.00 $11,00 $20,00
Af~er Recording, Return to:
Unless re~ested otherwise,
send all tax statements to:
Harold, Leahy & Kieran
223 A 'Street, Suite 0
Springfield, OR 97477
Philip Farrington
Peacellealth
677 East 12'. Avenue
Suite N.225
Eugene., OR 97401
Date Received:
DEe 2 4 2009
Original Submittal
5ap"12-0~ 09:40A
P.02
AMENDMENTS TO PEACEIlEALTK ANNSXATION AGREEMENTS TO ALLOW ISSUANCE
OF LAND AND DRAINAGE ALTERATION PERMIT (LDAP)
Paragraph 9 of that Annexation Agreement betwein Arlie & Company
and the City of Springfield dated June ?, 2001' subsequently
assigned to PeaceHealth and Paragraph 5 of the Annexation
Agreement between peaceHealth and the City of Springfield dateci
June 4, 20022are hereby amended respectively as follows:
1, Paragraph ~ of the June 7, 2001 Annexation Agreement:
9; LimirMt1nn, on Develonmenc of the PrO~8r~V
Followim:r An.n~xa.ri~n. Except for grading act.ivities
authorized under a Land and Drainage Alteration Permit
approved by the City of Springfield and except as
provided herein, no part of the Property may be
developed prior to City approval of a Master plan as
provided in Paragraph 4 of this Agreement, In the
event Arlie seeks Master Plan approval in good faith
and that approval is delayed Or withheld for a period
lor.gar than two years from the date of this Agreement,
Arlie may develop the Property under the zoning
exieting at that future time, provided however. that
all obligations of Arlie set forth in Section 1 of this
Agreement shall remain in full force and effect
including specifically but not limited to the dona~ion
of land for Pioneer Parkway, the contribution of
$600,000 toward the construction of the Sanitary Sewer
Project, the contribution of $2,750,000 for
construction of Pioneer Parkway Project, and the
contribution Df $500,000 for construction of public
improvements located outside the boundaries of the
property. No building permit shall be issued tor '
development of the property until the obligations of
Arlie to COntribute $600,000 toward construction of the
Sal'\itary Sewer P:r:oject andS2,?50,000 toward
eonscruc~ion of the Pione~r Parkway Project have been
paid o:r: secured and donation of the Right of Way
Property has ocCurred.
2. Paragraph 5 of the Annexation Agreement dated June 4, 2002:
5. ~imitdticns on O@v@!ocm9nt. Except for grading
activities authorized under a Land and Drainage
Alteration Permit approved by the City of Springfield
no part of the Property may be,developed prior to City
1.
~MENOMENTS TO PEACEHBALTH ANNEXATION ACREEMENTS Pags -1-
l1ecorded Jcme a, 2001; r~...,~..:er's Reception NO. 2001-034714; Lane Comtt!l.>e Received:
Deeds and Realms. nO-IllL
~,1~J~~~002; Recorder's !eoept:ion No. 2002-043161; Lane Coun~EC 2 4 2009
2.
Original SubmittaL
Sep-12C03 09:41A
P.03
approval of a. Maseer plan. In the event peaceHealth
fails to seek Master plan approval of a. hospital
facility or such final a9proval is delayed or wiehheld
for a period longe~ ehan 3 years from the date of this
Agreement, the obligations of PeaceHealth under this
AgreemenL shall be void and. new analysis of off-~ite
improv~ments related to any Master Plan shall be a new
requirement of any subsequent Master Plan approval, In,
th~ event the City and PeaceHealth or its succe5Sors
and assigns as applicant for a nEW Master Plan approval
cannot agree to a type and SCOpE for off-site
improvements the City may at its ~ole discretion deny
the application for Master plan Approval or commence
withdrawal of this land fro~ the City limits pursuant
to ORS 222.460 and PeaceHealth shall not object to auch
with-draw..l, No o""upancy permit ahall be issued for
the development of the property until the obligations
as set forth in Section ,1 of th-e Annexation Agreement
dated Ju~e 7, 2001, recorded June 8, 2001, Recorder'S
Reception No, 2001-034714 and Cardinal Way or an
equivalent east/west conne"tor between Game Farm Road
and 9aldy View Lane lor an equivalent north/south
connector) has been completed "e set foroh in Se"tion 1
of this A9reement.
3. Except as specifically modified herein or other amendmenos
previously entered into, all terms and conditions of the
respective Annexation Agreements set forth herein above
shall remain in tu1I force and effect.
pATED this ~'day of September, Z003.
PDCF;HEALTil
CITY OF SPRrNGFIE~O
Its:
\)
$-
.
BY:~~ I
ItS:'~
Ily:
/
AcUng 1n Capacity-~I-/~-e1
...NOT~IKS TO APPEAa ON FO~~owINQ PACE...
AMI::NDMt=:NTS '1'0 PEACEHEALl'H ANNEXATION AGREEMl>NTS Pa9E -2'.
Date Received;
DEe 2 4 2009
ungmElI :SUbmittal.
Sep-12-03 09'41A
P_04
STATE OF OREGON
County oE Lan"
s..
Personally appeared the al:>9ve named .4?/<l-rl (.I..d U as
t?~O for P"aceHealth and a~knowlBdged th'e
fore9oing instrument to be hislher voluntary act and deed on this
/~day of a~eW7t~" _u_' 2003,
~/n~~
~otary Public Eor Ofegon
My COlMli95ion Expir"s; Hf~t. A,(I(1f;
. Personally appeared the above named ~unHHh,~, P~Pfa~
,As,Sj.. l',Lt)..<~ Eor the City of Sp~ld and'
acknowledged the~ore90in9 instrument to be hislher voluntary
and deed on this ~ day of .~~ , 2003.
- , -
~ ;/.,..J.tnt.n.-
Notary Pub~ic for Oregon
My Commi:os ion El';pi res, II- ~d-~DOS
f'~"""j...'''''- ""'';'''...~.LoolooLio'IooIl.I',C,jjIL, ..'~4.lol,;,o ,~.,......I~U.
I 0I'ftICIALs&AL .
QLSNDA M KOYAMA l
NOTARY PUBLIC. OREGON ~
COMMISSION NO. 34lI225 I
~ If i.. '" ....",~ fJPIIS IM..It.. 2GOII
-. ..r..~.......~"''''''-~' '. n II .".,~ .~... ~1'-".
STATE OF OREGOi\
County of Lane
;_~__ _ __ __ u __,. _._ ,,_ _.,.-..
'~.. OFfiCIAL SEAL '
" , AMY L 80WA
~,' NOlARY PlJBLIC OREGON
(.'" ,COMMISSION NO, a62109
;~ .. MV~~:S~~UP~tsNOV:~2005
ss
as
act
AMBNDMENTS TO PEACEHEALTH ANNEXATION AGREEMENTS Page -3-
Date Received:
DEe 2 4 2009
ungl""i Ju\,,,,ill.:.1
~ ___\1.
IMPROVEMENT AGREEMENT
INCLUDING NOTICE OF, PO'T1:NT1AL ASSESSMENT LIEN
(In lieu of tmm~ete COntitnJcllon 01 Public ImprQve:ment; Include. WfJkver of Right lo Ramonlitrate)
IN CONSIDERATION of tt\e eovenants herein reclled, the eny of SprlrlgfiGId. hereinafter referr8d to ElEl
City, and ttJ~.r-:1lv.r::f Hi:I~r'M'lfiO"'- f1I)'1II~ r:!.-____~__~__: 1 hBl'1linaftet l'Ofen'edto as Appllctltlt(s), do
covenant and egl'\?fl wllh respect to ~ reeJ Pl1JPertyCl8SC1":\bed below &aI tonows:
1. Applicant(s) warl'ilnl~ 8I'Id represenls \0 the City ot Sprlngfiekl ttlat it ilil the owner of ~ ~1'Op8nv
more pzrtlcularty deseribeU ond sat fottl"l n Paragr!lph 7 befow BOd. ilS owner, tles the autnority to enter
Inlo this ( t . , ,.J Agreement wl.th the City of Sprngfie1d,
2. A!ll>Ilcant(s) d..... Development ApproWI from 1Il0 Clly..1Il re5llecllo lIlo fO"Owlng
OeveSopment-AppNcallon
J. The devefopmentwtIJ cause Dotn an lmmeoJale and long-lenTl demand on the various pub~c
fc:Ii;i1itios or cJty and lll1'l8 Counly inClUding ltle speolf~ public: improvements necossltated by th8
d8l1t11opmenlIH set forth In peragraph 8.
4. ThitllMf. Agrument Is an 8Itemalive lo imposing s condlUon on Applicant's
developmenl'8pprova11h8\ tile App~QDfI1Illt1ke jrnm$(\l$l$ CQi\StnJc11on of soy publk;.lmprovement thvt tI1e
devl;tlgpmenl r'lec:eGsitGIQB. The OblAeti've Is 10 pl'Omote effJclency, coordlnstlon, and spread cos\s by
ptovldlng an oppOl1unltj for a district wlde Improvement mltdllln~JTIw11ere (:Or'I1iltuctjon OOCUI'S in a
coordinated proJed wI1h ltle PB~1pat1or1 of ildJecent and l;Ilhur propei'til!l~""lt'ce atea, insle8c:l of requiring
IrTImediale Improvement in Otlnjunclion with 00Ch development ~pllcatlon. Ttaere is no guaranlee,
however, \tiel suitl g coordinated ~ro;ect will be po&SitlJe and the City reserves \he right lo require
conStruetion.or the irnpn:l'~emfJl'llt In the fubJt. al City dlstrellon.
S. (a) AppllcanL and City agree thai Applicant will pay the COil of Itle fOllowing pu~liC facility
Improvemonts d~bed in Paragraph e in ~dance with respecliv" t;;Oi:5t IiIlilliumplion policy ~Iablihd
by City at the linltt the City delermines to UIlOerl~~e and complete aud'l pu!)Ue iMI)l'tWemtnts.
(b) AppliCanl and oily acknDWladge end BQl'99 IhBIIh8 00;;1 of $ouch i'nprove""8I'lts and tt'le portion
IMreot to be paid by Appliean1 ara presently unknown and maybe greater ttw,t ttle COit:& thet would be
apportioned iflbe improvements were constructed immediDtely or by AppliCelnl now Or later,
(c) Applleanl acknowledges Ihat the tJmlng of tne construeUoo of such Improvements 18 wtlhln thu
sole and elCclusive direction of the CItY.
6. (e) STREET IMPROVEM"~S along lIle frontog. of Go"\,, _.""R"""
10 Indudtt: ( X ) surface paving: ( X ) slorm sewers, (X) sanitary sewers; ( X ) clJ"bSi
(X) guhers: (X ),plonl., ,~lps: (X) ,~oet "oes; (X) ,.oet light" (X) .id....tko.
(.) TRAFFIC SIGNALS.. tI1. 'nteroect;on or
(0) OTHER IMPROVEMENTS
Applican~ ~1l;;knDwlsdgB&; th8Ilhl;t lief crmar1ce(t imprvvernenta re~ IIwse lhat woutd currently be
required under thi 3pproprlatll City CO(I8.S al'lc:l ordlnanc&S. Applicant i!lClcn0'M8dges lh3t It I '. _ ,., ,..
that the IfIlPTovernents made will belhosfl r6C:Iulr8d 10 brIfll1 the slre8t 10 fun lnban standards fOf the then
currenl funCltOnat dasilf~ioo of the street 8S these standards exlsl at ttle lime the Improvements arB
mi!tc:le and may, IhBrefol'tf, dltfer1rom Ihe lilt of irnprovemeot&; c:tuilct;ed herBin.
(
01....... .t Chi" OoouLV Cl...~ 2002. ~,
".". CounlvD.... and It_De"'" -w'"
W_WJUllllmm $41,00
OBI29/Z00203:28:28P1l
III'II-llfJII c.e..2 It",.' cASillD 08,
11,00 111,00 '10.00"11.00
.
7,
LEGAl DESCRIPTION:
(SEE EXHIBIT "An)
RRroItN're>.
CITY Of' SPIUNOflELlJ. PUBUC WORKS DEPT. - 225 FrFTH ST'REET -SPRlNGPIELD, OREGON. fJ1477
I
5
Date Received:
DEe 2 4 2009
Original Submittal
..... '..
AJ<A
t7~22..oo.-onQ01
Tax l,01 NO_
Property Address
8. Cll)l ~ thai Applicanl', BXl!cuLion und perfgrmwu:e of tI1e terms of the Agreement win be
deemedta be in ComplIance with Cil'y's policy perna;nlllQ lo irnpro\lBrTlBnl reQUiremes1t5" and If Applicant
compli&tl in e~: respect with uII other applicable law:!; of the SIBle or Oregon, Lane Count-y, and City,
~I~nt shall bl entitled to Oev&lopmenl Approvel, $ubl8<:1 to lhe terms and oondillons of appt"ovel ell
(orththen:irI.
G. Thia ~reetft$I\lls enJorcelbJOby tI'Io St&te o'Orv~n. Lane COuritYOf City.
10, APPLICANT AGREES TO SIGN AN'( AND ALL WAIVERS, PETTTlONS.-OONSEtITS AND Au. OTHeR.
POCUMENTS NECESSARY TO OBTAlN THE ABOVO US.,.C '....RoVeMENTS UNDeR _ IMI'ROVEUENl
ACT OR PROCEEDING OF THE STATE OF OREGON. lANE COUNTY, OR CITY AND TO WAIVE ALL R'GIiT TO
~I\.o\ONSTRAre AGAINST SUCH IMPROVeMENTS. AwI~ dooc not 'I!l3t\ICI al'l)' tignt to prot&51 ihB Bn"OUfllof
mMnerof Ipnl8l;fl'lg ttle aU6umel'lil tnel'8Of, if Ula l5amB !ihell B4JP88T II;llhe Appli~nll.a bearlneql.t~ltlry Of unfair
'-'DO" said oropllrty of Applicant. Appacant'a aeeoptarleo of Iftt nllin-~ cor'ldltlon Is In oonelderatlon to'
!he Cily's WilNer of the roq"trenwlt for lhe Immadlars DDfUltructlon of the ~bllc ~1C"'omont:s that the development
necessitates, TNB iltJpfQvemem i'9'Mrn&M ,,8iYe:5 lhe property owner'1!i rQhl to file B w~n rerno~trltlon. . It doa
not welve ~ ptOQeI'ty ownw's ri{;tit to ccmmeo1 on tIte PfOpolH aln1cl or i1~ ralated ma'lWll'& orally or In writing,
t 1, It It. tho Itllention of the parUes hereto INit 11'10 eo'Ytnal\l& 1'Ia11Jln~, _, L ,'~ shaD run with the I" Mrtlrl
duscrb3d. end 1Ihl!i1, 013 '*'-~ ~ Ihe hen, uecutnr.a, 9a8Igno, .~n1nl\orl., anli '\IWlSMJl"$ o11ha parielJ
hBrero, ~ .sMII bD oonRued 10 be B bB~'1 aJ'lClI ~Dn upon 1.1'18 pmpm1y hemin descrtbBcl. Tnts Agf8ll'l'l8f'lt
.shilll be n1colrled In \he Lane County Dud Recorda.
, NOTICE TO APPLICANT/PROSPECTIVE PURCHASER
tfyou are the a~i~1 Dr iii prospective purchaser 0' Ihis property, you ~re acMsed to dlseuss this
AgreemlJnl with' an Anomey of )'Cur cIloice, ElClicuDon and reeordatlan oflJ'liS Agreement wll place
requll1ilmen1.s on tI'Il Own<< and any l'Jubseq~enl purdlaser of I.h8 Real ProPerty dOl'Jr;ribed In Section
7 and !:heir heirs. SUcce8Sors end Malgn9. These requlrements IndUd8 bul at&- 1'\01 IIm'Aad \0 the
paymenf for the'pU;llic improvements dl!lCribGd in Section ti. Thill may relullln an M&l!Il!illiment lien
on lhe Real Pmperty described in S6ctlQn 7 and significan1 oo,t5 to lhe OWner and Purchasel'G, en<I
their heirs, SUcce&lSOt& and a5/liillni,. Iv1 Apptlcant's signetura on IIl;s Agreemenllndlcates lhat me
App(Ic.anl nas Ihoraughly rl!lad th" Agreemen1, unOOrstan<J$l~ hes hGCI U\e oppgrtunny 10 eonsl.Jlt legal
colJnsel prior to Ils IJI;ecutlon. and un(lerslands that execution of the AQl'GeMent muy r8lurt In
signlfJeMt ,",n~ia1 obligatIons impOSed \lpgn tI'1e Owner oJ tI1e Reef I'l'Operty. My praflpoctive
PUfenaset' of the proPGl1y bl.R8ned by l1'Iis ~provemsnl Agreemenl sJ10uld also thoroogl'!ly fevlew
this Agreemenl.. COnAult With 1e9iJ1 QOun5el prior 10 purenaslng the property, atld undersiand tnat thia
Ag~l may result m a slgniftCal'\\ ~e.I obIlga\\oo lmpou~ opon ...y Owner of the Real
propeny described in Ss~iof17, .
WHEREFORE.thBpBltleS have selltlelr I'\8I'Id Ulla <<0 cHIyof
~.
/h.u.U. sf
,200.l
,
a,l
STATe OFORE;GON )
) as.
COUNTY OF LANe. )
On thI,.....s3.L. day or:~.sf ,20 0 ;,l.. before me sppeartdJtotik!;, KEI!.N. the
City Ms"pgclr for !he City of Spr\ngfIeJl2. 3"" Sfat he liig~ the sbove doc:umtInt on Iho behelr Dr lhe City Of
Springfield, & muolclpal cctpOl'3tlon. Beh;ve me:
'" """ iJ
O"..CIAL sEAt""
. AllY L 80WA
ItOTAJly ptj8UC IJftEGON
.'~~'I:.~..~IJ~
1:- _11 Mw-P.-
Notal')' Pub!. for Oragon
"'Co", ,El<.IM.J:I.ttlI,"':I,,;ZOO~
RBTIJRN TO:
CITY OF SPlUNGFl~W" FUB Lie WORKS DEPT, ,225 FIPTH STRIlaT . ~PI\lNGFIELD, OREGON. 97477
Date Received:
DEe 2 4 2009
Original Submittal
- .... ~
By
Doii~~s~,
srATE OP OREGON )
)...
COUNTY OF LAtE )
OnlhlS ZQ_dayof ~...("~"",,, .20O'~lhereperlO
OeRn., P. emst, lh8 8CIng CIty s~. tor ItIs Clly of Spl1ng~ 80 I9nec- N
. .........,... ... 'oPRClAl'~"'-"'" 1
I'. BRONDA JONES i
" N01AAV PlI alle . Ofl~Ou j'
" COMMISS10N N1i32473
"~U"I ~~ i
.......... ... i:li:III:"
EXHIBIT "A"
That tract of land, conveyed by deed from Ed.aJ Wayne Chose and Fn'f' Lenore Chase 10 lne
City of Springfield, 0 munlc;pal oorporaUon, recorded for public record April1S, 1977 In Rool
843R al Reception No. 7722531, Deed Ro""'ds of Leno County, Orogon, bein91TlOre fully
dBScribod as follows:
Boglnnln9 ot 0 poinl on the oentertlne 01 County Rood No.3, said point being South 26' 42'
east 981.42 feet. SoLJth 99' 56' Wesl t468.79 reot; South o. 04' Wost 189.2 feet, and South
89' 56'West457,5 reet from lne _....1 comar of the WI~am Stoven. Donation.....d Claim
No. 46 In Township 17 South, Rongo 3 West, Wlllamene Meridian: from said point of beginning
run South 3. 52' east 0lon9 the cantortine of County Road No. 3 a distance of 430.48 feel;
the""" North e9' 56' Ea.1457,5 reel: thence North 3' 52' We.1430.4lI1.01; thence South 8e'
55' West 451.5 feel 10 the point of beginning, an In Lane Co""ty, Oregon,
excepting tho South 20 feel Ih6reof.
Together with an 88Sement for ingress and egra.s over said South 20 foot.
fu::rrURN TO;
Cl'TY OF iiPRINOFIELD . PUHLlC WOIlX.S P5J'T, ' 225 FIFTH STl\F.UT, S1'lUNGFlOl.D, OREGoN, 97.,7
Date Received:
DEe 2 4 2009
Original Submittal
...,.,.I><!>,,-;:
. - .. ~
.... ,'.~~:
. .."",,'
. ~~~ @ VI""~ANrr DttP
rt~I1' '. ..
:~f.~' ~;"'rJ EDSEL W"YNi.~tt~n.D"d_..!~~.~.~~'~.O!tPIA~~,.." ,
'.ll' .J . ~ hU!lb.n~ Gmt wi '~-'~iTf"O""'SPlni'i;i'fTETD'''''~'':~''~''':''''
:!!" : c;' 1iI~.~~I~ tc, "':')~'.iiiu:n1:((p.9:.[~:;Lo=r:~:b.i~i:::' ..: ':. :..' ::: :'- '"
'Il,'"
ItJ\j'. ~~
""').z.sa 1
,J, 1'1.1"
",tA qo()
. ...Glant""
'.'- .. ,~. .".."..~...._--,
.......
.... 'lI!towlnG ....ul6M r.a1 Pl'O"rtv fr. .. IIM:,UlIlw&llf.:1 ~ ;; t~hI:'l\y ,.. fet1h Itcr;In Ifllmtd In
L. n. . ,tovnlr, 0...-. '-"hi
Otglllnl"'lJ Dt ~ palfltoon tllo ean\orll;.o of COilntv "oPg 110. ), uld
point Italn., Ssvth lG 'U' tnt ,SI.H fut, Salll~ 8! 561 Ve... 1.6fI.1,
'ut, South 0 0'" EDU 11cl.2 hot, and Sou~h 49 56' Unt _57.5 fOClt
frOtll the "orlllc.u cClr,U!r 0' tho Willi.... stl"'cnt. 00"0,1011 L.ud C:hhl
"Q, It'll' Towuhlp 17 SouCh, hnve A Won, Wl1luuhI J\orldlanj frOIl
s~ld point of boolA"ln9 run 50Ulh J 52. i.lt .lon8 tho tlnt!,.ln. D'
'uul\tr ROld liD, '3 Ir dlst.."cc g'o"JD.ljll full thDnultorth U S6'
har 1157,S 'Dot; thonco lIort") 51' ~ou ')O.U flll9(, thence Soulh
8, 56' West "S7.S h~( to thl! poln( of hl!AhAlnp, ~II In lU4! County.
Orl';o'1.
[~c.ptlng th. South 2Q raot thereof.
fogether "Ith .In I l'ICllIcnt for 109,uI nd 'I'eU over Iilld IOYlh 20 fut.
8
~
~
"
g ~ , . ""WI "bHO
~
,. ii th.llliIIll...,.'">'..'....Ir_.IIIW"'bc_.A~p.I, c;q...dltloos, nlstrlc:tlons ...no OillOllenCe
8i 0' l"Qc;ord.
f"- I,... co~IId.,ollllln lot' lhl, connyolln It $ '1 . ~1.5,. 00
(H,'. .conIp!)' ....II~ .... r"'lIlf._,~ .. 00 tlUl30) ......
bollld ltok. 31":1f '''d~ ~~:. ,..url;~".. .'-i,'f1:
'ii.:~;{':(~~' t,4,.,(, .l.."
U$E\. VA1"IIE CIIAU
\:~y.~'~!If.l. 1:.<.I"'h:.L.ht1:;(,'~L..
fUll LEllOnE '"AU
-" ....... ,Llm. J H:.r.." 'J1.l'" ,,71
5t.4<.,~~ :w"'l' '-O..."tt., . d' 'Ih\r -- ,~. ".. .. ...-_..........~...... -
/~'11; II 1m. .!.IM _mod ~. s.a~ ._~:('!t ._!l.u ."~~ F.r~~n ~.c,,'l2.!:c. ~!!.o!l'_~. ._._.
(If~~ i-'~'oI';~Jr;.~;r'N:. .~~~!.',~~ ,'~ VlIlu....;.;.,.:~d:d:-......_'~..-~.-
\~.!"tI'll'~\. & ~l(/iilll.._,. ... ,,___ _ ... tfJ "l;;l'.8Ct....,_._..___
......... .. (i a",'ub~fa,O~ M,c:elPllll'.leIlfilpllwl
~,,,~~.,.,,,,,... \= ' '
G"b~8r,.I:'r.n. J 2S...~I.c;:I!.~.h .l~~:l." ~.U.e.~ L..t.._~.r.!..i.!:'.lI!..lS!U.r....!?r.l9C!n ..: ..... .... ...
Date R.eceived: .
L
DEe 2 If 21)89
.:-
Original Submittal__
.'
~
;~ :
! .
d .~
~ ~I
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DEe 7. ~ 2009
;
;""
Original Submittal
:~ :'
. ~1 !
.....
After Recordinq Return to:
Springfield-Public Works Depl.
225 Fifth Street .
Springfield, OR 97477
Until Requested Otherwise
Send All Tax Statements to:
City of Springfield-Finance Dept.
225 Fifth Street
Springfield, OR 97477
"
Division of Chief Deputy CI...k '009 ^1661A
lene County Deeds snd Reco..ds ,"V,
-11-111111111111"1111 rlllll 1"1111111111111111111 $26,00
'1'62613200.:00116740 '1001304/01/2009 03:09:07 PM
RPR-DEED Cnt=1 Stn=8 CASHIER 02
$5.00 $11,00 $10.00
BARGAIN AND SALE DEED.
KNOW ALL BY THESE PRESENTS, that City of Springfield, Grantor(s), in consideration of the aCceptance by
the City of Springfield acting by and through the Springfield Utility Board, Grantee, and the use or holding of
said property for present or future public use by Grantee, Grantor hereby grants, bargains, sells and conveys
unto the said Grantee, its successors and assigns, all the following real property, with the tenements,
hereditaments and appurtenances, situated in the County of Lane and State of Oregon: bounded and'
described as follows: '
, "
Parcel 2 of Land Partition Plat No. 2002-P1627, Filed December 10, 2002,
County Surveyor's File No. 37813 and filed December 10, 2002,
Reception No. 2002-095796, Lane County Deeds and Records
THE SAME IS HEREBY and forever dedicated to the public to be used as public'road.
,
TO HAVE AND HOLD, the above described and granted premises unto the said grantee, its successors and
assigns forever, , ,
THE CONSIDERAnON for, this conveyance is other than monetary.
IN WITNESS WHEREOF, the Grantors above named have hereunto set their hands and seals this day
1>\(.> (T-:rl- " 2009. .
Si,"~m ~ tl
Print name: Gino Grimaldr
City Manager, City of Springfield
Date Received:
DEC2 4 2009
STATE OF OREGON ) Or'r'ir'<;! Submit!nL..
) ss,
COUNTY OF LANE )
On this \ % day of f>..lli.. t , 2009, before me appeared Gino Grimaldi and to me personally known,
who being duly sworn, did' say that he is the City Manager of the City of Springfield, and that thoe said instrument
was signed and seEded on behalf of the City of Springfield,
IN TESTIMONY WHEREOF, I'have set my hand and affixed my official seal the day and year last written above,
v-- -- - --- - - -----.-----___,,-.
r. OFFICIAL SEAL I,
I JULIE M WilSON ' I
I, , NOTARY PUBLIC' OREGON I
I '". ,- COMMISSION NO. 397943 I
te.- _ _ _ _ ~Y ~O~~S~IO.:' ~~R:S ~~:~ ';}~=~
..::n,.:.\~.c. ~ - l0lJ..A<-0
Notary Public for Oregon 0 C\
M C I i E. \'0_11 -. .
y omm ss on xplres: ,
THE CONVEYANCE set forth in'this instrument conveying title or Interest to the Sprln9field utilily Board by and
through the City of Springfield, a Municipal Corporation of the State of Oregon, is hereby approved, and the title or
interest conveyed therein is hereby accepted.
SPRINGFIELD UTILITY BOARD
by:
~'~A-'
Rober! C, Linahan, General Manager
~ ~ bod 7
Date I
r." ..~_..
After Recordinil Return to:
Springfield-Public Works Dept
225 Fifth Street .
Springfield, OR 97477
Division of Chief Dep"ltv Clerk 2M9.016m .
. Lane County Deeds and Records UV
II \\1 1\1111\ \\ 111\\ IllIl "'\1111111\\111 $26,00
11 ,6..il.0~ 1090.J1 ;673001001804/0112009 03:09:01 PM
RPR-DEED Cnt:l Stn:8 CASHIER 02
$5.00 $11.00 $10.00
Until Requested Otherwise
Send All Tax Statements to:
City of Springfield-Finance Dept.
225 Fifth Street
Springfield, OR 97477
QUITCLAIM DEED
KNOW ALL BY THESE PRESENTS, that the City of Springfield acting by and through the Springfield
Utility Board, Grantor(s), do hereby remise, release, and forever Quitclaim unto the City of Springfield,
Oregon, Grantee, its successors and assigns, all the following real property, with the tenements,
hereditaments'and appurtenances, situated in the County of Lane, State of Oregon, bounded and
described as fOllows:
PARCEL 1 of Land Partition Plat No. 2002-P1627, flied December 10, 2002,
, County Surveyor's Flte No. 37813 arid flied December 10, 2002,
Reception No. 2002-095796, Lane County Deeds and Records
TO HAVE AND HOLD, the above described and granted premises unto the said Grantee, Its
successors an'(j assigns forever.
THE CONSIDERATION for this conveyance is olher than monetary.
H
DEe 2 4 2009
STATE OF OREGON )
)55,
COUNTY OF LANE . )
,---,.---.---- . ";al
I. OFFICIAL AL
I, ,MARILYN R BARKER
I \ ./ ' NOTARY PUBLIC - OREGON
I COMMISSION NO, . 405345
~~~~~~O~~~~=-U~E~~~_
BE IT REMEMBERED that on this 30lh day of March, 2009, before me, the undersigned; a notary
public In and: for said County and State, personally appeared the within named Robert C, Linahan
whose identity was proved to me on the basis of satisfactory evidence and who by me duly sworn, did
say that he is the General Manager of the Springfield' Utility Board and does acknowledge said
instrument to be the free act and deed of said Springfield Utility Board.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my official seal the day and
year last above wrillen.
YJ"U~'--Ir! Q rf.?,/J/>.4,,--,
NCIl'tary PlMlic for Otegon
My Commission Expires: y?, .-~.tJ"a
THE CONVEYANCE set forth in this Instrument conveying title or Interest to the City of Springfield, a
Municipal Corporation of the State of Oregon, is hereby approved, and the title or Interest conveyed
therein is hereby accepted.
,
I'
CITY OF SPRINGFIELD
By:
jLL~~
A P/z 1'- I, 2 (u:J;
Date
Dennis p, Ernst - City of Springfield Surveyor
Section I: Facility Description
Part A-General Information
1. Business Name:
Address:
Verizon Wireless
5430 NE 122nd Ave,
Portland, OR 97230
Phone: 503-408-3800
2. Person Responsible for the Business
NamE',
Joe Russell
Title
Operations Manager
Phone
541-517-0001
3. Emergency Contacts:
Name Title
[f.oe.RI!Ss'eII OW!ratlOnsManager
Elias Guerrero Cell Tech
r~ _ ~ ~ r~'
~- ...--''-'-
l1I"Ilr""""
Home Phone Work Phone
5~1~.1~()'O'O.1w- :,\f.1~5.l720.o.0J-
541-357-5878 541-357-5878
4I--~:t~,i,~~I.h~
4. Person Responsible for the HMMP:
Nam!'
Joe Russell
Iitl.e
Operations Manager
Phon!'
541-517-0001
5. Property Owner:
Name
Springfield Utility Board
Address
202 South 18th St.
Springfield, OR 97477
Phon!'
541-746-8451
6. Principle Business Activity: Cellular Communications
7. Number of Employees (maximum number expected): "unmanned cell site" cell tech visits once a month
on average.
8. Number of Shifts: NI A
9. Hours of Operation: 24/7
10. Declaration:
I certify that the information above and on the following parts is true and correct to the best of my
knowledge. (Must be sign~wner/operator or designated representative)
Signature: ~ ~/- - - Date: 1211R/200'l 0
I't-- ~ / __ ate Received:
Print Name: B!'nfa'min Fr!'!'man Title: Proiect r.onrdinator
DEe 2 4 2009
Original Submittal
Revised: April!, 20091Jimmy Joe)
Part B -- General Facility Description/Site Plan
(Can use the site plan submittal reduced in size to 8th x 11 or 11x17 papers with a written
description of the facility.)
See attachment A
Part C -- Facility Map/Hazardous Material Storage Locations
(This is a floor plan on a separate sheet that illustrates the location of all hazardous material
storage areas, including hazardous waste storage or holding areas, and spill kits. The storage
areas identified on the map should correspond with those listed in the HMIS in Section II. Spill
kits should be placed strategically so they can be accessed in areas where spills are most likely to
occur,)
See attachment B
Date Received:
DEe 2 4 2009
Original Submittal
Revised: April t, 2009 (Jimmy loe)
NEW ROUTE OF POWER
\
EXIST. TRANSFORMER
/'=
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--
----
,.
-- ---- //.// \.
---- /.......,// ..\-
------- ----- -~....._/ ///
I \ _/~..2-- Verizon Wireless proposes to install a unmanned cell
: I (/ ////- site it will consist of an equipment shelter (inside will be
LY ,-/ - _ radio cabinets, back-up batteries, and a back-up diesel
I I / / generator) within the compound spa~e will be a 65'
I \ : : / / _// monopole,
I I \ / / I _---~'SO- \ __./.// ..... b,::,rj--\
I I / / / _-- - ADJACENT PARCEL ~....../\ ....._ J'~::'_-_J. \
I I I I \ / \
\ I I I I I _I LOT # 3500 I ./~ , Q~ \ \ ..
_~ -6~ / / / 1--- ZONING. MIXED USE COMMERCIAL .,./\ ,\~Q- \ \ \ \
1 I I I I ..... \ J \ \ \ 0-
TYP' \ I I I I _---__ ./.......... _------ \ \, I I \
EXISTING UTlLl1Y POLES, ~ 1 I I I I ,.. tF>. --./ \ ---- \ \
I "'" _ 1..,_ -1.,_ _~"'::!: .!:!N~ _.... ~ ------.......... '___--'-- ------ 0 \ \ \ \ ~
\ ~ I \ " ", "", / \ _-=.- ./.....I/-:;=i:::-=~~~~~~-::::;.,;--====-::::~::?"==:===--=~\>:,\
. " " r. I / / " / ~ =---"'",----"'\-- =-==~------- ---_ ~\.
o , , ' I \J-. 'r" ..... /..... j.... ..... ./ ~- /- )11)':'----_\ ,,;,iooo:~---440 ----lL- \ \
EXISTING OVERHEAD L1NES~'<D , , \ /\..___J~.......J I '/ I (~- ..;;;.,-~~_-::"_:- -4'!i:.--~ --,-------------:..-,1..__--\ I \
1 " ,/ .............. I / I ,~----~ - -, 7 ------- -
1 I ' \ \ ,/ 1::::"'/1 I III.'~:':-"", ],'i"i- p p p p \
\ ' " ' '_L_____~_..J /r~ I 1'1 rl ~C:::-_ < \ * I - ,,-, \ -I \ \
I \ ,,/ / I.... ,I~... "- ,..---, \ ......... \
'-.:- ,\ / / I "'\ \1 \ . . ~ .", '<. -.\..1 '\ /- , 'I ~ \
~ ," Al' " T:""""T::....-..t--T4"! \ I , "
\ ----/----------/-" I ,'. "1''''' " 'm \ I I '\ '.
I I ,', " / I 1\,\1 \ t/r------\--&..._____ I', \ { )
I ,," I 11:l.J1 I I \ -'tit. ~~~ f~ \ \ \
1,./ I , ' ------/---440----7'----- ,[ ~ ~..Jii -t~"-- ..1il'-_ ~ .!:!-iiIi:.; A'''''''' <<, I I I
60'-0" I \ / ,/ 1111..:-"'l''1 ~ lo'__ ,... \,..,.. U \ \1 (
'i' R'GHT-OF-~W; \ '-:::-------/----------./'-------\'llIill \~!:;::: . ---=:-'.=:-- ,_9- '1 ) (, :
o \ -__ I ' 1,1 V x x-' >II t' I I'
\ I I ---,'-- / I 'r \ I I 1
I 0'-0". \: ----___ / \ I I \ I
__I, \ I f-_ I II II I I ,
I \ T "AVED' CD " --- I II I >< "I I
'ROAD I \ ,:"- i ------" I' I NEW VER'ZON W'RELESS I'"
\ ! \ --~--_ l-~l I, PROJECT AREA@'i'
\ , \ ! --- ,,' " , '
" , --- I' 'I '
o I \: \: ---L , ALl I' , ,
I I : \ I I ~ I I I I
\ <( is I \: \ I \-__ I 1 I :( >< 1 I \
o \ ADJ~CENT PiRCEL \ i \ --1\-_\.- I l~ PROJECT PARCEL i i \ \
0': ' I "\ I' '\'
I LOT # 903 I" , I LOT # 904 ) I I
I I ' ZONING. MEDIUM DENS11Y RESIDENTIAL \ I \ t~1 ZONING. MEDIUM DENSI1Y RESIDENTIAL " I 6 l J.
\ ~ 01 '\ I, ' , \ I \ \ TIME OF TRAVEL ZONE. 1 TO 5 YEAR I::::. I I ~
0': 1 \ ! ~ ! \ \: it -\: : '\: :
I \ ! 1 I I \ I L EXISTING SUBSTATION 7 I I \
I <( I ILl: \ I I ~ "I I
I \ I EXISTING \: I I II II I :
I '"- \ \1 \! STORM \! ) I \ ~ : : I I
\ II DRAINAGE ,: '\' '~I NEW ROUTE OF TELCO xli'"
1 \ 'i EASEMENT 7 Ii I " , '\ '
I W w ' )' I w I v I I w I
I is ~I \ f\ / i / 51 I ~ EXISTING 9' WIDE "'II I 5 ~
I ~ 1...J, \ : \ I I I I II Ii GRAVEL DRIVE I I >- I
<( ~~ \ : I / I I ~I I , ) : 'ir:l I
/' \15 \ J/ I I / ~\ \ I \\V EXISTING SUBSTATION I: I 'it 1 I
I C) (I j, /! / 2?: I ~ PERIMETER FENCE ,) I ~\ 1 :
I='"THAN CT I Cl...l \ II I I I 0.. I II \1 I n. I I
-.. is I II I: I I I I I I
l~ I II / ! / I I I I \:. EXISTING GATE ,) : I : J
y \ 1/1 / fIr / \ \1 (I I " I
EXISTING FIRE HYDRANT-.-/" I \ I 1 ,I J / 1 I \ 1 . ~ ,) I \: :
(APPROX LOCATION) I /1 I i I ; ;' I; I )1 : I I
I 1 I, I 'I -,/~ i I I I
EXISTING 20' WIDE PAVED~ /6 I / ! I!I ,/ .1/1 ~ ~ / I I
SITE ACCESS AND NEW \ ' I \ I, ! / II .../ //1 \, "\ r--j X-X_x_ _ \ I I I
ACCESS EASEMENT 'I I I I I r..""j?j / " ' x ~ - x \' 1 I
- I ! I I I ! / / ',""~" . 0 0 \ I 1\ '
, ~ I L,,/ j__J // \ ' '~ ), \, I I
I \ \ ~ - - -----'- ':=-... ~-l... - ----.E.ROPERTY LINE \ , '> " ::4> I, " / :
NEW TELCO ROUTE TO NEW ~ '" I /,', - - - - -\- t-
CONVERSION CABINET ~ ~I j , \ . -" I I \~-~..;::__ ............., ( /// 'I.//' \ \ ~ I :
APPROX 1300' SOUTH ,J. ' .\ ~ 1'1 1 'J" ~ ---~, /./ .);:> ..... \\1 I
m ,,-,-'.-.-1-.,-'-'____.' ' -~-" ,;// ~/ \' I
~- --:::-~-ii--:::"""~ -L-t . '_, ;.r...~ ...../ \ r
I t"'rj'\ 0..../ : 1..../ // ---.::::::::::::_ .' , '\// // \\\
ADJACENT P~RCEL '}WI."+'....-./ '...../,..... ----l:::::-;. /" ./ \ \
, r\ 6 ./'AOJACE"NT ""PARCEC'.... ~ - ~ - - - - - - -~~= ~ - _ _ _ ~qpERTY L1N,.g _ _ ~ \ \ \
LOT # 6BOO I I r - ------\
ZONING LOW J 1; [ LOT #<3600] EXISTING GATE ,
DENSI1Y RESIDENTIAL I : \,/1 ~ZOtiiING: -MIXED USE COMMERCIAL '
I J ! , )
OVERALL SITE PLAN
ADJACENT PARCEL
\
.
\
.
\
.
LOT # 1911
ZONING: LOW
DENSllY RESIDENTIAL
NICHOLAS DR,
ADJACENT PARCEL
LOT # 1912
ZONING: LOW
DENSI1Y RESIDENTIAL
ADJACENT PARCEL
LOT # 1913
ZONING LOW
DENSI1Y RESIDENTIAL
YO
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8
ADJACENT PARCEL
LOT # 4000 I
ZONIN9: MIXED USE COMMERCIAL
-----------
-----------
-~
-----------
ADJACENT PARCEL
LOT # 4100 I
ZONING: MIXED USE COMMERCIAL .
,~
~
~
~
ADJACENT PARCEL
LOT # 3900
ZONING: MIXED USE
~
COMMERCIAL I
Date Received:
DEe 2 4 2009
Original Submittal
DISTANCES FROM MONOPOLE
TO PROPER1Y LINE:
NORTH: 35':i:
SOUTH: 373':i:
EAST: 124':i:
WEST: 96'::1:
22X34 SCALE:
11X17SCALE;:
l' - 30'-0'11
l' "' 60'-0'
~,
VeTlZ!llJw;reless
Technology-'Assoclates
IftltrUIIOlI,ICorpotllloll
D'owingsProduced8y.
.
l7lJ1NWV""gh~
5"1lc764
Ponland,Or. 972JO
.5032747800
.503l7~ 7B03FtlJ<
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PLOWMAN
ARCHITECTS
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INo. Dotel8y IRevisions
Project #
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Oe.;gnedby
Drown by
Checked by
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"08207
12/08/08
8MK
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Project title:
EUG
BALDY VIEW
PARCEL 17-03-22-0D-D0904
3355 GAME FARM ROAD
SPRINGFlELO. OR 97477
She.ttille
OVERALL
SITE PLAN
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5/3 1/2007 ] 0:53: 12 AM, aal11blll"l1, CONFmENTIAL
WAVEGUIDE
-LOCATION C1 WAVEGUIDE
I."""."",;;,,}t, .,:..:..I':"""'''''''''''''';;f''~~~'~~''''' 'J t ','",' ,LOCAT~O.N C2~_ ..:::;~' " ,
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L
THIS DRAWl G IS THE CONFIDENTIAL
PROPERTY AND CONTAINS TRADE
SECRETS OF CELLXION, LLC. ANY
USE OF THESE DRAWINGS OR THE
INFORMATION CONTAINED HEREIN
FOR ANY REASON OTHER THAN AS
EXPRESSLY AUTHORIZED BY
CELLXION, lLC. IS STRICTLY
PROHIBITED. THIS DRAWING HAS
BEEN DISTRIBUTED WITH THE
UNDERSTANDING THAT ANYONE
RECEIVING OR OTHERWISE OBTAINING
POSSESSION OF IT WILL BE
EXPRESSLY NOTIFIED OF ITS
CONFIDENTIAL NATURE.
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VERIZON WIRELESS ]
]
CUSTOMER:
r~'~f";J~~;~;;';~f;m..m''''.1H DJ1=.~,:.~r i - -
/>- Jr'-_"':"~': ,'. , . ["."....,.."".....:::;:IF',
\ /' /' ______It' ,.~~ ~~~
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<:-.-;/ _ WAVEGUIDE
LOCATION A 1
, PROJECT:
11 -8" X 25'-0"
CONCRETE SHELTER
FLOOR PLAN
_ WAVEGUIDE
LOCATION A2
42"
FILENAME:
VNW/SVNW11
SCALE:
J/8" ~ 1'-0"
ORWN. BY:
W. GILLENTINE
CHK. BY:
Date Recei" J: ~~.SSELL
K. BARNETT
APP. BY:
DEe 2 4 201 8. ROGERS.
SHEET NO.
O ., IS b 'I 2-0
nglOa u mitts -"[ "s~~";tr
E
TOLERANCE:
FLOOR PLAN
303.33 SQ, FT. EXTERIOR AREA
176.52 SQ. FT. EQUIPMENT ROOM AREA
83,56 SQ. FT, GENERATOR ROOM AREA
,~
~:~
.~;:
DATE:
12/09/05
DATE:
12/09/05
DATE:
12/09/05
DATE:
12/09/05
-
-
Section II: Hazardous Materials Inventory Statement
0
...
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(Jl c
co I'T1
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3 .....
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II!. ~
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tRQDUg~ STO~ED ON,SITE
Hazardous Storage
Manufacturer's Hazardous Classification Chemical Maximum Approx. Conditions
Name & Product Ingredients and Codes Abstract Quantity Range of (Survey Table State of Open or NFPA 704 Location of
Name Concentration (Survey Table Services No. Unit Container IV&V) Material Closed Use Classification Chemical Stored
VI) Noted Sizes
(1) (tJ
Diesel Fuel No.2, V, VI. VII, IX, X. V, VI. VII, IX. X, Ht'alth =0 Generator Room
Diesel Fuel #2 #6B175-34-6 225 Gallon 21SGallon LiqUid Closed Fire =2 Ground Floor
Naphthalene XIII. 1t91-20-3 XIII. Reactivity'" 0 EquiprncntShdtcr
1P~9__D-,JlgS__~S~D___Q&SlJ~J\ND~RED..QFf..SIT~.Y"R1li1P. ~~luf"I.:I;aiiitcrDne i ~ffnka1stidTo~ IprtJ~)len 11;"" i~W:lfJrl.al.s"linp"i:l
I
CJ
II)
-
\U
;;0
CD
~
<'
CD
a.
If 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.
Products containing DNAPLS are prohibited, (This section should specify what procedure the business will use to ensure that no DNAPLs are
brought on site. The following sample text describes one approach that businesses have taken.) Any new materials proposed for use or storage on-
site shall be evaluated for DNAPLS by the Springfield Utility Board Water Quality Protection Coordinator (541-744-3745) prior to purchase. See Appendix
A for a list of products previously evaluated for DNAPLs.
Businesses located in a 0 - 1 TOTZ should include the following statement with the HMIS: No more than 500 gallons of hazardous materials can be
kept on the premises. The maximum allowed container size is 5 gallons. No more than 150 gallons of hazardous materials that pose a risk to groundwater
may be on the premises in opened containers for handling, treatment, use, production, or dispensing on site.
Revised: April I, 2009 (Jimmy Joe)
Section III: Separation, Secondary Containment, and Monitoring
(Repeat items 1 - 6 for each above ground hazardous material storage area identified on the
facility map, including hazardous waste storage areas. Monitoring is required for all secondary
containment devices, including floors used as secondary containment,)
Part A-Above Ground Storage Areas
Storage Area Identification (as shown on Site plan and Floor Plan): Generator Room rsee Floor Plan),
1. Storage Type:
Original Containers
Inside Machinery
55-Gallon Drums
Pressurized Vessel
x
Safety Cans
Bulk Tank
Outside Barrels
Other:
2. Storage Location:
X Inside Building
Outside Building
Secured
3. Separation:
All Materials
Compatible
Separated by 20 feet
X One-Hour Separation Wall
Approved Cabinets
Other:
4. Secondary Containment':
Approved Cabinet
X Tray
Vaulted Tank
Other: N / A
Secondary Drums
Bermed, Coated Floor
X Double-Wall Tank
5. Monitoring:
Visual
Continuous
X Other:
6. Monitoring Frequency:
Daily
Weekly
X Other:
*AIl hazardous materials and wastes, regardless of container size, must be kept in
secondary containment.
** All hazardous materials shall be properly labeled.
Date Received:
DEe 2 4 2009
Original Submittal
Revised: April!, 2009 (Jimmy Joe)
I
Part B-Underground Storage Areas - Nj A
SINGLE-WALL TANKS AND PIPING
Tank Area Identification (as shown on facility map):
1.
Backfill Vapor Wells -
Model and Manufacturer:
5.
Continuous or Monthly Testing:
Groundwater Monitoring Wells
Monthly Precision Tank Test
Piping ---
Monitoring Method:
Frequency:
Other:
2.
3.
4.
DOUBLE-WALL TANKS AND PIPING
Tank Area Identification (as shown on facility map):
1. Method of monitoring the annular space:
2. Frequency:
Continuous _ Daily _ Weekly
Other:
3. List the type of secondary containment for piping:
4. List the method of monitoring the secondary containment for piping:
5. Are there incompatible materials within the same vault? _ Yes No
If yes, how is separate secondary containment provided?
(Note: If you have continuous monitoring equipment, you shall maintain copies of all service and
maintenance work. Such reports shall be made available for review on site, and shall be
submitted to the fire prevention bureau upon request.)
Date Received:
DEe 2 ~ 2009
Original Submittal
Revised: April!, 2009 (Jimmy Joe)
Section IV: Waste Disposal- N/ A
(In addition to accounting for how all waste will be disposed of, this section should indicate
whether or not hazardous waste will be kept on site, Any hazardous waste kept on site must be
stored in secondary containment and included the monthly in-house inspections.)
Discharge to Sanitary Sewer
Wastes:
Pretreatment
Wastes:
Licensed Waste Hauler
Wastes:
Recycle
Wastes:
Other
Describe Method:
Wastes:
No Waste
Date Received:
DEe 2 4 2009
Original Submittal
Revised: April!, 2009 (Jimmy IDe)
Section V: Record Keeping (Inspection and Maintenance)
Description of our Inspection Program:
L The inspection shall take place monthly.
2. The cell tech will inspect and sign off on the inspection form,
3, The completed inspection form will be kept in the safety binder, for a period no less
than 3 years, .
4. Visual inspection is required,
5, Cell Tech will depending upon severity call for a immediate-service repair.
6. ,The floor area is the secondary containment measure, if a spill is seen the Spill
Response measures as required must be initiated.
7, Please refer to the attached sample of the Hazardous Materials Storage Monthly
Inspection Form.
Date Received:
DEe 2 4 2009
Original Submittpl
Revised: April 1, 2009 (Jimmy Joe)
Section VI: Spill Prevention
~ verimflwiteless
w. nfN.. .,op working/or you..
Per Verizon Wireless Cell Site Policy:
In the event of a spill or related emergency please immediately contact Onyx
Superior Special Services. Contact them at 1 - 800 - 488 - 7900 the number is
located on the signs just as you see below located as indicated per Verizon
Wireless Policy. Visible on the outside of the shelter located at the cell site. Also
for immediate mobilization call 1 - 800 - 688 - 4005.
EN~RONMENTALEMERGENCY#
I CELL o<?QR
EMERGENCY
On inside of cell site door. Visible without
entering site WIth door open. Battery (acid &
led) Emergency contact info and phone #.
SPILL RESPONSE AND RECOVERY
CALL VERIZON WIRELESS 24-HOUR HOTLINE
DimenStons: 5 314 inches X 3 314 inches
1-800-488-7900
FOR IMO"EDll.Tf fil0HllllATlOfl
4'
1-800-688-4005
I BA TTERVj'
On battery cover or power plant. Smaller
version of above sign.
Dimensions: 3 314 inches X 1518 inches
Date Received:
DEe 2 4 2009
Original submittP1
Revised: Aprill, 2009 (Jimmy Joe)
Section VII: Emergency Response Plan
1. In the event of an emergency, the following shall be notified:
A. On-Site Responders:
Name
LQ!':!YX
oe Russell
Elias Guerrero
Title
Emerg~n.cy_s.p l!.!.,g!!s ponse..$ervi ce
OJlerations Manager
Cell Tech .
Phone
1-800,:188- 'Z900
541-517-0001
541-357-5878
B. Method of Notification to Responders:
Automatic Alarm
Manual Alarm
Other:
x
X
Telephone
Verbal
C.
Agency
LFjre Dep.ID:meIlt
Oregon Emergency Response S>.:stem
ONYX
Other
Phone Number
911*
1-800-452-0311
1-800488"7900
Dial 911 in the event of an emergency I
or hazardous material s ill I
* The standard procedure for notification ofa 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 Facility:
~ .---'
Phone
9..11*
I
I
Date Received:
DEe 2 4 2009
Name
lJY..o.p~d,eJ",gJJ~e
Address
3. Mitigation Equipment:
A. Monitoring Devices:
Toxic or flammable gas detection
X Fluid detection
Other:
Original Submittal
Revised: April t, 2009 (Jimmy Joe)
B. Spill Containment:
X Absorbents
Other:
C. Spill Control and Treatment:
Vapor'Scrubber
Pumps/Vacuums
Neutralizer
X
Mechanical Ventilation
Secondary Containment
Other:
,4. Evacuation:
X Immediate area evacuation routes posted
Entire building evacuation procedures developed
Assembly areas pre-planned
X Evacuation maps posted
Other:
5. Supplemental Hazardous Materials Emergency Response Plan on Site:
Location: Inside the shelter in the Safetv Binder
Responsible Person: (ell Tech
Phone: S41<'lS7-S878
pate Received:
DEe 2 4 2009
Original Submittal
"
Revised: Aprill, 20,99 (Jimmy Joe)
Section XIII: Emergency-Response Training Plan
1. Person Responsible for the Emergency-Response Training Plan:
Name
I 'Joe Russell,
Elias Guerrero
I.
Title
. !'Ooerat'i6hs Manager'
Cell Tech
.!.CeO.:,
Phone
541,517-0001', J
541-357-5878
"
,':]
';,,'.
2. Training Requirements:
A. All employees trained in the following as indicated:
x
X
X
X
X
Procedures for internal alarm/notification
Procedures for notification of external emergency-respons~ organizations
Location and content ofthe emergency-response plan ,i
Awareness ofthe facility's proximity to sensitive drinking water protection area
"
Drinking water protection presentation (contact SUB Water
Quality Protection Coordinator, Amy Chinitz, 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 II
X Procedures for using, maintaining and replacing facility em~rgency and monitoring
equipment'
3. The Following Records are Maintained for All Employees:
,
X Verification that training was completed by the employee I
,
DescrIption of the type and amount of introductory and co'lttinuing training
Documentation on and description of emergency-respons~ drills conducted at the
facility
,4. A more comprehensive and detailed emergency-response training plan is maintained on site,
Location: Inside Eouinml'nt Shelter in the Safl'tv Rindl'r
Responsible Person: Inl'Russell Phone: 541-517-00"01
"
,
Date Received:
,)
"
tiEC 2 4 200~
Original ~ubmittal_
,
"
"
Revised: Aprill, 20'09 (Jimmy Joe)
"
:i
'[
Sec~ion IX: Process for Updating HMMP
"
,
, . ii
Each month the cell tech will make sure that if any additional new hazardous material is introduced to
the cell site it will be added to the HMMP inventory data sheet. Once added to th~ HMMP sheet it will be
. ,
kept in the Safety Binder inside the Equipment Shelter. "
Date Received:
DEe 2 4 2009
Original Submittal
I
il
Revised: April!. 2009 (Jimmy Joe)
"
:!
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 On the nronertv al6n!' the road wav
entrance, Damaged or missing signs should be replaced.
,
. A private service contractor will manage all outdoor landscaping chemicals. The contractor will not
store any landscaping chemicals at the facility. "
\
Date Beceived:
DEC2 4 2009
Original Submittal
Revised: April!, 2009 (Jimmy Joe)
Ii
HAZARDOUS MATERIAL STORAGE MONTHLY INSPECTION FORM
Completed inspection sheets are to be maintained in the inspection log for at least three years
I Storage Area Date & Time
Instructions: Refer to Section VI for instruction if a failure of the storage measures occurs,
Inspector Name
Reviewed bv
(Inspection topics should be modified to match site-specific conditions, Other topics might include hoses and tuhes secured and free of leaks, special
equipment in place. all hazardrus waste in secondary containment, warnine. sil!ns Jroncrlv displaved, etc.)
I INSPECTION TOPIC OK COMMENTS PROBLEMS DETECTED
I Area is free of leaks and/or
spills
I
I Secondary containment devices
intact and secured to shelves
I
I Original containers not leaking,
rusted, bulging, or damaged
I
I Hazardous material containers
are properly labeled
I
I Containers closed and sealed
I
I Spill kit accessible with signage
and instructions
I
!Incompatible materials are
stored separately
I
I Floor free of cracks and other
damage
RESOLUTION (Include dates and times
corrective actions taken)
I (If the floor is used as secondary containment,
inspection should Include this lIem.)
V
:J.
NOTES: CO
5' 0
!!!.
en c II)
-
c: m (1)
Sf n .....
- ...... CD
;::;: --
- ~
!ll. ......
= <"
=
= (1)
Co
Revised: April!, 2009 (Jimmy loe)
j
PRODUCT REVIEW LOG
All prosp_ective new chemical products must be reviewed prior to purchase to determine whether or not they contain DNAPL chemicals, Use
this log to ensure that no DNAPL-containing products are reintroduced into the inventory.
.$" " ','.F> ,-< .:1"." .
':MaIillfacfuier
;' ,;d' ,'~ - ; ,;~.
I. ,.....F.' ,,'..., 'I" 'i,'" ,.' "
,,,'. ; PI"6d'~it N~p~~,:;;/~;'!i'p~A!PL?;
1 - ", I"
DNAPLchemica] ctlmpo'Iient(s)/,'
~_'. - :", ',..'- '. , ',.'_,: -', ": "', ,", ", 'i~ - ..,-: f ,I ,
" SuspectedDNAPL .':: ,;'
'.-Datej~.
.." .".,,'
:reviewed
~ ".
~;:o ;;ni.'~" ;;,'j":~'
. Notes'
~,.~.' i"
1
I
1
1
I
1
, 1
I
I
m,__.I,
----
I
"...0
..,
'c.
:J'
!!!..
((l
c:
C"
3
::+
iii
o
/T1
n
.....
-
.....
=
=
u:>
o
Q)
-
a,
;;:0
CD
o
CD
<'
CD
a.
Revised, April 1, 2009 (Jimmy Joe)
.,\
\
MSDS SUMMARY SHEET
Manufacturer:
Name:i:
Address 1:
Address 2:
Address 3:
CSZ:
Emergency phone: .
Business phone: :
State:
Zipcode:
Product:
Ferndale MSDS#: 1354 Version #: 6
Manufacturer MSDS#: 0041
Current?: 2002
Name:
NO.2 DIESEL FUEL
Synonyms: "
CARB Diesel TF3
CARB Diesel
CARB Diesel 10%
Diesel' Fuel Oil
EP A ~ow Sulfur Diesel Fuel
EPA Low Sulfur Diesel Fucl- Dyed
EP A Off Road High Sulfur Diesel- Dyed
Fuel Qil NO.2 -.CAS # 68476-30-2
No.2 Diesel Fuel Oil
No.2 Fuel Oil ~ Non Hiway - Dyed
No.2 High Sulfur Diesel- Dyed
No.2 Low Sulfur Diesel - Dyed
No.2 Low Sulfur Diesel - Undyed
Crude:'eolunm 3"d IR
Crude,eolunm 3'd side cut
Atmospheric tower 3'd side cut
Ultra Low Sulfur Diesel No.2
Finished Diesel
DHT J3,eacto! Feed
Straight Run Diesel
Diesel'
Middle Distillate
Product/Catalog Numbers:
MSDS Date: 0110112002 (received: 01114/2002)
,
NFPA codes:
Health: 0 Flammability: 2 Reactivity: 0
I
Date Received:
DEe 2 4 2009
Original Submittal
No.2 Diesel Fuel (MSDS #0041)
Page 2of9
MATERIAL SAFETY DATA SHEET
No.2 Diesel Fuel
l; PRODUCT AND COMPANY lDENTIFICA TION
Produ~t Narn~: No.2 Diesel Fuel
Product Code,: Multiple
SAP Code:
Synonyms:
1354
CARS Diesel TF3
CARS Diesel
CARB DieseJIO%
Diesel Fuel Oil
EPA Low Sulfur Diesel Fuel
EPA Low Sulfur Diesel Fuel- Dyed
EPA Off Road High Sulfur Diesel- Dyed
Fuel Oil No.2 - CAS # 68476-30-2
No.2 Diesel Fuel Oil
No.2 Fuel 011- Non Hiway - Dyed
No.2 High Sulfur DieseJ- Dyed
No.2 Low Sulfur Diesel - Dyed
No, 2 Low Sultllf Diesel- Undyed
No, 2 Ultra Low Sulfur Diesel- Dyed
No, 2 Ultra Low Sulfur Diesel - Undyed
Fuel
I ntended Use:
Chemical Family:
,,-
Responsible P~rty:
,
Phillip's Petroleum Comp~lY
BartJesville, Oklahoma 74004
800-762-0942
For Additional MSDSs:
Technicallnt'ormation:
The intended US~ of this product is indicated above. Ifany additional use is known, please contact us at the
Technical Infomlation number listed.
EMERGENCY OVERVIEW
24 Hour Emergency Telephone Numbers:
Spill, Leak, Flre'or Accident
Health Hazards/Prccautionary Measures: Causes severe skin irritatiol1. Aspiration hazard ifswallowed. Can enter
lungs and cause damage. Use with adequate ventilation. Avoid contact with eyes, skin and clothing. Do not
taste or swallow; Wash thoroughly after handling.
"
Ph)'sical Hazar~s/Precautionary Measures: Flammable liquid and vapor. Keep away from heat, sparks, flames,
static electricity or other sources of ignition.
Appea~ance:
Physical Form:
Odor: ~'
Straw-colored to dyed red
Liquid
Characteristic petroleum
Date Received:
DEe 2 4 2009
Original Submittal
No.2 Diesel Fuel (MSDS #0041)
Page 30f9
HFPA Hazard Class:
Health: 0 (Least)
Flammability: 2 (Moderate)
Reactivity: 0 (Least)
HI\IIS Hazard Class
Not Evaluated.
Ii ,
2. COMPOSITION/INFORMATION ON INGREDIENTS
Diesel Fuel No, 2
CAS# 68476-34'6
Limits
100 100. mg/m3
F:X~OSURE GUIDELINE
Aeenev Imf
ACGIH TWA-SKIN
,
HAZARDOUS COMPONENTS
OJ,, VOLUME
Naphthalene
CAS#91-20-3,
<1
IOppm
15ppm
IOppm
250ppm
ACGIH
ACGIH
OSIIA
NIOSH
TWA
STEL
TWA
IDLH
All components.;are listed on theTSCA inventory
'Tasca Low Sulf~r No.2 Diesel meets the specifications of 40 CFR 60.41 for low sulfur dieserfuel.
Note: State, local or other agencies or advisory groups may have established more stringent lirnits.
Consult an industrial hygienist ~r similar professional, or your local agencies, for further infonpation.
.Proposed ACGIH (1999)
Date Received:
3. HAZARDS IDENTIFICATION
Potential Health Effects:
DEe 2 4 2009
Eye: Contact may cause mild eye irritation including stinging, watering, and redness.
Original Submittal
Skin: Severe skin irritant. Contact may cause redness, jtching, buming, and severe skin damage. Prolonged or
repeated contadcan worsen irritation by causing dlying and cracking of the skin, leading to dermatitis
(inflammation). Not actually toxic by skin absorptionl but prolonged or repeated skin Contact may be hamTful (see
Section I I).
'"
Inhalation (Breathing): No infonnation available. Studies.by other exposure routes suggest a low degree of
toxicity by inha(~tion,
Ingestion (Swallowing): Low degree ofloxicity by ingestion. ASPIRA nON HAZARD - This material can enter
lungs during swallowing or vomiting and cause lung inflammation and damage,
i'
Signs and Symptoms: Effects of overexposure may include irritation of the nose and throat, irritation of the
digestive tractl nausea, diarrhea and transient excitation followed by signs of nervous system depression (e.g.,
headache, drowsiness, dizziness, loss of coordination, disorientation and fatigue),
Cancer: Possible skin cancer h~zard (see Sections II and 14).
Target Organs: There is limited evidence from animal studies that overexposu'remay cause injmy to the kidney
, . .
(see Section I I)'
Developmental: Inadequate data available for this material.
,
Pre-Existing l\'l.edical Conditions: Conditions aggravated by exposure may include skin disorders and kidney
disorders. '
~,
No.2 Diesel Fuel (MSDS #0041)
Page 40f9
4. FIRST AID MEASURES
Eye: If irrita:tion or redness develops, move victim away from exposure and into fresh air. Flush eyes with clean
water. If symptoms persist, seek medical attention.
Skin: Immediately remove contaminated shoes, clothing, and constrictive jewelry and tlushj'affected area(s) with
large amounts afwater. If skin surface is damaged, apply a cle'an dressing and seek in}mediate medical
attention. If skin surface is not damaged, cleanse affected area(s) thoroughly by washi,hg with mild soap
and water. If irritation or redness develops, seek immediate medical at~ention. .r
Inhalation (Breathing):. IfrespiratOlY symptoms develop, move victim away from source of;~xposure and into
fresh air. If symptoms persist, seek medical attention. If victim is not breathing, clear airway and
immediately begin artificial respiration. Ifbreathing difficulties develop, oxygen shou'ld be administered by
qualified personnel. Seek immediate medical attention.
Ingestion (Swal.lm\'ing): Aspiration hazard; Do not induce vomiting or give anything by mou!h because this
material cal1 enter the lungs and cause severe lung damage. If victim is drowsy or unconscious and
vomiting, pbce on the left side with the ,head down. If possible, do not I~ave victim upattended and
observe closely for adequacy of breathing. Seek medical attention. ,i,
5. FIRE FIGHTING MEASURES
Flammable Properties:
Flash Poinl: > I 250F/>520
OSHA Flammability Class: Combustibld liquid
LEL %: OJ / UEL %; 10,0
Autoignition Temperature: 500oF/260oC'
"
Unusual Fire &.Explosion Hazards: This material is flammable and can be ignited by heat, sparks, flames; or
other sources of ignition (e.g., static electricity, pilot lights, or mechanical/electrical equipi)lent, and electronic
devices such as cell phones, computers, calculators, and pagers which have not been certiijeq as intrinsically
safe). Vapors may travel considerable distances to a source of ignition where they can ignite, flash back, or
explode. May create vapor/air explosion hazard indoors, in confined spaces, outdoors, or ib sewers. Vapors are
heavier than air and can accumulate in low areas. If container is not properly cooled, it can rupture in the heat of
a fire.
Extinguishing Media: Dry chemical, carbon dioxide, or foam is recommended. Water spray is recommended to
cool or protect exposed materials or structures. Carbon dioxide can displace oxygen. Use daution when applying
carbon dioxide in confined spaces. Water may be ineffective for extinguishment, unless usee under favorable
conditions b'y experienced fire fighters.
Fire Fighting Instructions: For fires beyond the incipient stage, emergency responders in the:immediate hazard
area should wear bunker gear. When the potential chemical hazard is unknown, in enclosed or confined spaces,
or when explicitly required by DOT, a self contained breathing apparatus should be worn."In addition, wear
other appropriate protective equipment as conditions warrant (see Section 8).
Isolate immediate hazard, area, keep unauthorized personnel out. Stop spill/release if it can' be done with
minimal risk. Move undamaged containers from immediate hazard area if it can be done Jith minimal risk.
Water spray may be useful in mininiizing or dispersing vapors and to protect personnel. Cool equipment
exposed to fire with water, if it can be done with minimal risk. A void spreading burning liguid with water used
for cooling purposes. ;,
lDate Received:
DEe 2 4 2009
Original submittal
~'
No.2 Diesel Fuel (MSDS #0041)
,
Page 50f9
6, ACCIDENTAL.RELEASE MEASURES
Flammable. Keep all sources of ignition and hot metal surfaces away from spill/release. The u$e of explosion-proof
equipment is re~ommel1ded.
Stay upwind and away fromspill/release. Notify persons down wind of the spill/release, isolat~ immediate hazard
area and keep unauthorized personliel out. Stop spill/release if it can be done with minimal ris~. Wear
appropriate protective equipment including respiratory protection as conditions warrant (see Sktioll 8).
Prevent spilled rnaterial from entering sewers, storm drains, other unauthorized drainage systej'ns, and natural
waterways. Dike far ahead of spill for later recovery or disposal. Use foam on spills to minil11i_~e vapors (see
Section 5). Spil1,~d material may be absorbed into an appropriate material.
Notify fir~ authorities and appropriate federal, state, and local agencies. Immediate cleanup of;'any spill is
recommended. jf spill of any amount is made into or upon navigable waters, the contiguous zO~le, or adjoining
shorelines, notify the National Response Center (phone number 800A24-8802),
7. HANDLI~G AND STORAGE
Handling: Open. container slowly to relieve any pressure. Bond and ground all equipment wh~n transferring from
one vessel to another. Can accumulate static charge by flow or agitation. Can be ignited by static discharged. The
use of explosion-proof equipment is recommended and may be required (see appropriate fire c'odes). Refer to
;1
NFPA-704 and/or API RP 2001 for specific bonding/grounding requirements, "
Do not enter confined spaces such as tanks or pits without following proper entry procedures sluch ASTM
D-4276 and 29CFR 1910.146. The use of appropriate respiratory protection is advised when d:mcentrations exceed
any established exposure limits (see Sections 2 and 8). '
Do not wear cOI)tarhinated clothing or shoes. Keep conta.minated clothing away from sources 9f ignition such as
sparks or open flames. Use good personal hygiene practices. !I
High pressure injection of hydrocarbon fuels, hydraulic 9i1s or greases under the skin may ha~~ seriolls
consequences even though no symptoms or injUl)' may be apparent. This can happen accident?lly when using high
pressure equipment such as high pressure grease guns, fuel injection apparatus or from pinhol~ leaks in tubing or
high pressure hydraulic oil equipment.
"Empty" containers retain, residue and may be dangerous. Do not pressurize, cut, weld, braze, solder, drill, grind, or
expose such containers to heat, flame, sparks, or other sources of ignition. They may explode ~nd cause injury or
death, "Empty" drums should be completely drained, properly bunged, and promptly shipped to the supplier or a
drum reconditioner. All containers should be disposed of in an environmentally safe manner ahd in accordance with
gove-nlmental regulations. I
"
Before working on or in tanks which contain or have contained this material, refer to OSHA re'gulations, ANSIZ49.1
and other references pertaining to cl~aning, repairing, welding, or other contemplated operatiolls.
Storage: Keep container(s) tightly closed. Use and store,this material in cool,dry. well-ventil<:lted areas away from
heat, direct sunlight, hot metal surfaces, and all sources of ignition. Post area "No Smoking or!Open Flame." Store
only in approved containers. Keep away from incompatible material (see Section] 0). Protect sontainer(s) against
physical damage. Outdoor or detached storage is preferred. Indoor storage should meet OSHA: standards and
appropriate fire codes.
8. EXPOSURE CONTROLS/PERSONAL PROTECTION
Engineering controls: If current ventilation practices are not adequate to maiiltain airborne concentration below
the established exposure limits (see Section 2), additional ventilation or exhaust systems may be required. Where
explosive mixtures may be present, electrical systems safe for such locations must be used (se~ appropriate electrical
codes). Date Received:
CI:!;
DEe 2 4 2009
O,!gln31 Submittal
l
/
No.2 Diesel Fuel (MSDS #0041)
Page 60f9
Personal Protective Equipment (PPE):
Respiratory: A NIOSH certified air purifying respirator with an organic vapor cartridge maybe used under
conditions where airbome concentrations are expected to exceed exposure limits (see'Section 2).
, '
Protection provided by air purifying respirators is limited (see manufacturer's respirat'~r selection guide).
Use a positive pressure air supplied respirator if there is a potential for an ul1controlle<.i release, exposure
levels are not known, or any other circumstances where air purifying respirators may ~ot provide adequate
protection.
A respiratory protection program that meets OSHA's 29 CFR 1910,134 and ANSI Z88.2 requirements
must oe followed whenever workplace conditions wan-ants a respirator's use.
Skin: The use of gloves impervious to the specific material handled is advised to prevent sk~n contact, possible
irritation and skin damage(see glove manufacturer literature for information on pem1eability). Depending
on conqitions of use, apron and/oj; ann covers may be necessary.
Eyes/Face: Approved eye protection to safeguard against potential eye contact, irritation, or il:ljury is
recomn)ended. Depending on conditions of use, a face shield may be'necessary. -
Other Protective Equipment: Eye wash and quick-drench shower facilities should be avaiJabJe in the work area.
Thoroughly clean shoes and wash contaminated clothing before reuse. It is recommed1ded that impervious
clothing be worn when skin contact is possible. i!
9. PHYSICAL AND CHEMICAL PROPERTIES
Note: Unless otherwise stated, values are detennined at 20'C (68'F) and 760 mm Hg (I aim).
Appearance: Straw-colored to dyed red
Physical State: Liquid
Odor: Characteristic petroleum
pH: unavailable
Vapor Pressure (mm Hg): 0.40
Vapor Densisty (aiF!):>3
Boiling Point/Range: 320-700'F /160-371 'C
Freezing/Melting Point: No Data
Solubility in Water: Negligible
Specific Gravity: 0,81-0.88 @ 60'F
Percent Volatile: Negligible
Evaporation Rate (nBuAc~I): <I
Viscosity: 32.6-40,0 SUS@ 1000F
Bulk Density:'7,08 Ibs/gal
Flash Point: > 125'F / >52'C
Flammable/Expolsive Limits (%): LEL: 0,3 / UEL: 10,0
10. STABIL,ITY AND REACTIVITY
Stability: Stable under nonnal ambient and anticipated storage and handling conditions of temperature and pressure.
Flammable liquid and vapor. Vapor can cause flash fire. '
Conditions,ToAvoid: Avoid all possible sources of ignition (see Sections 5 and 7).
Materials to Avoid (Incompatible Materials): Avoid contact with strong oxidants. such as li~uid chlorine,
concentrated oxygen. sodium hypochlorite, calcium hypochlorite, etc. :! Date Received:
DEe 2 4 2009
"
Original Submittal
,
No.2 Diesel Fuel (MSDS #0041)
Page 70f9
Hazardous -Decomposition Products: The use of hydrocarbon fuels in an area without adequate ventilation may
result in hazardous levels of combustion products (e.g., oxides of carbon, sulfur and nitrog1en, benzene and other
hydrocarbons) and/or dangerously low oxygen levels. ACGIH has included a TL V of 0,05, mg/m3 TW A for
diesel exhaust particulate on its 1999 Notice of Intended Changes. See Section 11 for additional information on
hazards of ~~gine exhaust. ' :1
Hazardous Polymerization: Will not occur.
11. TOXICOLOGICAL INFORMATION
Diesel Fuel No.2 ICAS# 68476-34-6),
Carcinogenicity: Chronic derulal application of certain middle distillate streams contained in diesel fuel No.2
resulted in 3n increased incidence of skin tumors in mice. This material has not been identifiedias carcinogen by
NTP, tARe, or OSHA. Diesel exhaust is a probable cancer hazard based on tests with laboratci~ animals.
\ 'I
Target Organ(s): Limited evidence of renal impairment has been noted from a few case repotts involving
- . - . ,
excessive exposure to diesel fuel No.2. '
j'<anhthalene ICAS# 91-20-3)
Carcin~genjcity: Naphthalene has been evaluated in two year inhalation studies in both rats and mice. The National
Toxicology Program (NTP) concluded that there is clear evidence of carcinogenicity in male aild female rats based
on increased incidences of respiratory epithelial adenomas and olfactory epithelial neuroblastotnas of the nose. NTP
found some evidence of carcinogenicity in female mice (alveolar adenomas) and no evidence of carcinogenicity in
male mice. Naphthalene has not been identified as a carcinogen by IARC or OSHA.
12. ECOLOGICAL INFORMATION
Not evaluated at this time
13. DISPOSAL CONSIDERATIONS
This material, if discarded as produced, would be a RCRA "characteristic" hazardous waste dJ:e to the
characteristic(s) ofignitability (DOO I) and benzene (DO 18), If the material is spilled to soil or water, characteristic
testing of the contaminated materials is recommended. Further, this material, once it becomes a waste, is subject to
the land disposal restrictions in 40 CFR 268.40 and may require treatment prior to disposal to iileet specific
standards. Consult state and local regulations to determine whether they are more stringent the~ the federal
requirements.
Container contents should be completely used and containers should be emptied prior to discard. Container ?insate?
could be considered a RCRA hazardous waste and must be disposed of with care and in complhnce with federal,
state and local regulations. Large empty containers, such as drums, should be returned to the distributor or to a drum
reconditioner. To assure proper disposal of smaller containers, consult with state and local regJlations and disposal
authorities.
14. TRANSPORT INFORMATION
Date Received:
DOT Shipping Description:
Non-Bulk Package Marking:
. Diesel Fuel, NA 1983
Diesel Fuel, 3, NA 1993,111
,
"
, DEe 2 4 2009
Original Submittal
.
.
No.2 Diesel Fuel (MSDS #0041)
Page 8of9
15. REGULATORY INFORMATION
EPA SARA 311/312 (Title III Hazard Cateooriesl:
Acute Health: Yes
Chronic Health: Yes
Fire i-Iazard: Yes
Pressure Hazard: No
Reactive Hazard: No
SARA 313 and 40 CFR 372:
This material contains the following chemicals subject to the reporting requirements of SARA) 13 and 40 CFR 372:
Component
CAS Number
Weight 0/0
-- None known --
California ProDosition 651,
\Varning: This material contains the following chemicals which are known to the state of Cali fomi a to cause
cancer, bil1h det~cts or other reproductive harm, and are subject to the requirements of Cali forbi a Proposition 65
(CA Health & Safety Code Section 25249.5):
Component Effect
Benzene Cancer, Developmental and Reproductive Toxicant
Toluene Developmental Toxlcant
Diesel engine exhaust, while 110t a component of this material, is on the Proposition 65 list of c'hemicals known to
the State of Cali fomi a to cause cancer. II
Carcino{!en Identification:
This material has not been identified as a carcinogen by NTP, IARC, or OSHA. See Section 11. for carcinogenicity
information of individual components, if any. Diesel exhaust is a probable cancer hazard based 011 tests in laboratory
animals. It has been identified as carcinogen by IARC.
EPA (CERCLA ReDortable Ouantitv: None
16. OTHER INFORMATION
Previous Product Code: Multiple
MSDS Number: 0041
Disclaimer of Expressed and Implied \Varranties:
The information presented in this l\-1aterial Hata Safety Sheet is based on data belicved"to be accuratc as of the date this Material Data
Sheet was prepared. HOWE:\;ER, NO WARRAN"TY ()J<' ;\lERCHA;";TABlUTY, FITNESS FOR AN"Y PARTICULAR PURPOSE. OR
AN\' OTHER WARRANTY IS EXPRESSI<:O OR IS TO BE l1\lPUEn REGARDING THI<: ACCURACY OR COMPLETENESS OF
TH"~ INFORMATION PROVIDED ABOVE. THE RESULTS TO BE OBTAINED "'ROM TH": USE OFTHIS;INFORMATION OR
THE PRODUCT, THE SAFET\' OF THE PRODUCT, OR TI-IE HAZARDS RELATED TO ITS USE. No resp~nsibility is assumed for
any damage or injury resulting from ahnormal use or from any failure to adh('re to n'('ommended practices. The information provided
above, and the,product. are furnished on the condition that the person recei\'ing them shall make their own dete'~minalion as to the
suitability of the product for their particular purpose and on the condition that they assume the risk of their us~': In addition, no
authorization is given nor implied to practice any patented invention without It license. 'I
Date Received:
DEe 2 4 2009
Original Submittal
"
.
.
No.2 Diesel Fuel (MSDS #0041)
Page 90f9
Tosco Refining Company
Fer,!dale Refinery
UltraLow Sulfur Diesel Product Specification
Fcmdale Product Codc;34380xx (5) Product Codc; ULSD2
(COMETS)
I Specification Unit Limit Test'Procedure Tvpical
Appearance
W 8teT & Sediment Vol % 0.05 Max D 2709
Color Number 3.0 Max 01500
Haze Rating Ratin.g 2 Max D4176
I Composition
Carbon Residue (Rarnsbottom) Wt% 0.35 Max D 524. D 189
Volatility
90% RecoVered Oeg; F 540 Min D 86
Oeg; F 640 Min D 86
Flash Point Oeg; F 125 Min (I) D 93 130F
Gravity API 30 Min D 28,\, D4052
Fluidity 097'
Pour Point Deg; F See Season Table (6)
Cloud Point Deg; F See Season Table (6) D 2500 10 F
Viscosity @ 104F cSt 1.9Min D445
cSt 4,1 Max 0445
Lubricity, SLBOCLE grams 3tOO Mill o 6078 3300gm
Lubricity, HFRR mm .45 o 6079
Combustion
Cetane Index or Cetalle Number Number 40,0 Min D 976, D613 47,0
(3,4)
I Corrosion "
Copper Strip, 3hr (aJ 50 deg C Number 3 Max (2) 0130
I Aromatics (4) Vol% 35 Max D 1319 25 %
Contaminants
Total Sulfur PPM 30 Max o 2622, D4294 t 5-20ppm
Water & Sediment Vol% 0,05 Max 01796
Ash Wt% O.ot Max 0482
Additives
Cetane Improver Lb/MBbl 675 Max
Oye Undyed
I. Minimum release specification is 125 deg. F. The refinery should target 135 deg. F.
2. Test result reported as a number and letter (c.g. I a). Any letter is allowable as long as the number meets the spee
shown.
3. Either specification must be met.
4. 'Either cetane index minimum or aromatics maximum must be rilet.
5. Winter, cloud and pour specifications may be relaxed to the summer specifications by agreement with the customer.
6. Season Table
Month
Jan, Feb, Nov, Dec
Mar-Oct
Pour Point Cloud Point
o max (5) 14 max (5)
15 max 24 max
Product Code
WI
SU
Date Received:
"
DEe 2 4 2009
Original Submittal
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