HomeMy WebLinkAboutMiscellaneous APPLICANT 9/11/2008
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Department of Environmental Quality
LAND USE COMPATIBILITY STATEMENT (LUCS)
WHAT IS A LUCS? The Land Use Compatibility Statement is the process used by the DEQ to determine whether DEQ
permits and other approvals affecting land use are consistent with local government comprehensive plans.
WHY IS A LUeS REQUIRED? Oregon law requires state agency activities that impact land use be consistent with local
comprehensive plans. DEQ Oregon Administrative Rules (OAR) Chapter 340, Division 18 identifies agency activities or programs
that significantly affect land use and must have a process for determining local plan consistency.
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State Oi OrEl\Pl
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Environmental
QuaIlIy ,
WHEN IS A LUCS REQUIRED? A LUCS is required for nearly all DEQ pemUts and certain approvals of plans or related
activities that affect land use. These permits and activities are listed on p. 2 of this form. A single Lues can be used ifmore than .
one DEQ permit/approval is being applied for concurrently.
A permit modification requires a LUeS when any of the following applies:
1. Physical expansion on the property or proposed use of additional land;
2. A significant increase in discharges to water;
3. A relocation of an outfall outside of the source property; or
4. Any physical change or change of operation of an air pollutant source that results in a net significant emission rate increase as
defined in OAR 340-200-0020. ..
A permit renewal requires a LUeS if one has not previously been submitted, or if any of the above"modification factors apply.
HOW TO COMPLETE A LUCS:
SteD Who Does It What Haooens
1 Applicant Completes Section I of the LUeS and submits it to the appropriate city or county planning office.
2 City or County .Completes Section 2 of the LUCS by determining if the activity or use meets all local planning requirements, and
. Planning Office returns to the applicant the signed and dated LUCS fonn with findin~s of fact for any local reviews or necessary
olannin!! aoorovals.
3 Applicant Includes the completed LUeS with findin!?s of fact with the DEQ permit or approval submittal application to the
DEQ. ..
WHERE TO GET HELP: For questions about the LUeS process, contact the DEQ staff responsible for processing the permit/approval.
Headquarters and regional staff may be reached using DEQ's toll-free telephone number 1-800-452-4011. For general questions, pleas~ contact'
DEQ land use staff listed at: www.deQ.state.or.us/oubs/ocrmithandbook/1ucs.htm.
CULTURAL RESOURCES PROTECTION LA WS: Applicants involved in ground-disturbing activities should be aware of federal and
state cultural resources protection laws: ORS 358.920 prohibits the excavation, injury, destruCtion, or alteration of an archeological site or
object, or remc}val of archeological objects Fom public and private lallds without an archeological permit issued by the State Historic
Preservation Office. 16 use 470 Section 106 National Histoi.ic Preservation Act of 1966 requires afederal agency, prior to any
undertaking, to take into account the effect of the unde11aking that is included on or eligible for inclusion in the National Re<zister. For
further ~llformation, contact the State Historic Preservation Office at 503-378-4168, extension 232.
A. Applicant Name: Peace Health
Contact Name: Philip Farrington
Mailing Address: 123 International Way
City, St.ate, Zip: Springfield, OR 97477
Telephone: 541-686-3828
Tax Account No,: 0150514
B. Project Name: PeaceHealth Medical Group Nursing Midwifery Birth Center
Physical Address: 353 Deadmond Ferry.Rd.
City, State, Zip: Springfield, OR 97477
Tax Lot No.: 40-02200
Township: ~ Range: 03W
Latitude: 44' 5'7.41 "N
Section: ~
Longitude: 123' 1 '54.33"W
(ij) For latitude/longitude, use the DEQ Location Finder at httD://dea12.dea.state.or.lIs/website/tlndloc.
C. Describe the type of business or facility and services or products provided:
0ate Received:
Planner: AL
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Applicant Name: PeaceHealth
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Project Name: PeaceHealth Medical Group Nursing Midwifery Birth Center
D. Check the type of DEQ permit(s) or approval(s) heing applied for at this lime.
o Air Notice of Construction
o Air Discharge Permit (excludes p(J11ablefacility
permits)
D Title V Air Permit
D ParkingfTraffic Circulation Plan.
D Air Indirect Source Pennit
D Solid Waste Disposal Permit
D Solid Waste Treatment Permit
D Solid Waste Compost Registration or Permit
o Solid Waste Letter Authorization Permit
D Solid Waste Material Recovery Facility Permit
D Solid Waste Transfer Station Permit
D Solid Waste Tire Storage Permit
o Pollution Control Bond Request
o Hazardous Waste Treatment, Storage, or Disposal Pemit
D Clean Water State Revolving Fund Loan Request
D Wastewater/Sewer Construction Plan/Specifications (includes
review of plan changes that require use a/new land)
D Water Quality NPDES Individual Permit
o Water Quality WPCF Individual Permit (for onsite COllstruction-
installation permits llse DEQ 's GI/site LUeS form)
D Water Quality NPDES Stormwater General Permit (1200-A, 1200-
e, 1200-CA, 1200-COLS, and 1200-2)
o Water Quality General Permit (all general permits, except 600,
700-PM, 1700-A, and 1700-8 when they are mobile.)
o Water Quality 401 Certification for federal permit
E. This application is for: 0 permit renewal [!] ne.w permit D permit modification D other:
Please Note: A LUCS approval cannot be accepted by DEQ until all local requirements have been met. Written findings offact for all
local decisions addressed under Item C below are required. Written findings for an activity or use addressed by ~e acknowledged
comprehensive plan in accordance with OAR 660-031-0020 may simply reference the specific plan policies, criteria, or standard~ that were
relied upon in rendering the decision and indicate why the decision is justified based on the plan policies, criteria, or standards.
A. The facility proposal is located: ~ inside city limits D inside UGB D outside UGB
B. Name of the city or county that has land use jurisdiction (the legal entity responsible for land use decisions for the subject property
orland"se): C.\"\'1 OF S?R.\NGF'EL-b
C. Does the activity or use comply with all applicable local land use requirements (as required by OAR Chapter 660, Division 31)?
IT YES, you must complete below or attach findings to support the affirmative compliance decision .
i) Relevant specific plan policies, criteria, or standards:
MET1Z.o PLAN ,GA>EWA'1 ~/NE1"1E"N T PLAN .. "K,~!> MA~ PLAN
ii) Provide the reasons for the decision:
"'5= ATTACA1E!> "5,AFF /?:EPoR--r .f ~6tSION
o NO, you must complete below or attach findings for noncompliance, and identify requirements the applicant must comply with
before LUeS compatibility can be determined. -
i) Relevant specific plan policies, criteria, or standards:
ii) Provide the reasons for the decision:
D.
Print Name:
Title: t'L.A,J,J"El2.-'r
Telephone No,: 5""'-1 t -7;l&, -37'6t-f Date: q /11/:;>00$
E. If necessary, depending UpOIl city/collnty agreement on jurisdiction outside city limits but within UGB:
Planning Official Signature:
Print Name:
Title:
Date:
Telephone No.:_
Date. R.eceived:
Planner: AL
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