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04/14/2010 - Packet Completeness Review for Boards, Commissions To ; and Committee Records CITY OF TIGARD Intergovernmental Water Board Name of Board, Commission or Committee /art ( I`{ 2- Date I� Date of Meeting To the best of my knowledge this is the complete meeting packet. I was not the meeting organizer nor did I attend the meeting; I am simply the employee preparing the paper record for archiving. This record came from Greer Gaston's office in the Public Works Building. Kristie Peerman Print Name Signature Date Intergovernmental Water Board Agenda SERVING TIGARD,KING CITY,DURHAM AND TIGARD WATER DISTRICT MEETING DATE: Wednesday,April 14, 2010, 5:30 p.m. MEETING LOCATION: Tigard Public Works Building 8777 SW Burnham Street Tigard, OR 97223 1. Call to Order, Roll Call and Introductions Call the meeting to order, staff to conduct roll call. 2. Approval of Minutes—March 10, 2010 Action: Motion to approve the March 10, 2010 minutes. 3. Public Comments Call for comments from the public. 4. Credit for Leak Adjustment—John Goodrich Valentina Ghigheann and Audrey Castile 5. Water System Master Plan Presentation— Rob Murchison, City of Tigard and Dave Kraska and Nikki Pozos, Carollo Engineers 6. Proposed City of Tigard Water CIP Fund Budget—Dennis Koellermeier Action: Motion to approve Water CIP Fund Budget 7. Water Supply Update -John Goodrich 8. Process of How to Amend/Transfer Groundwater Registration Modification—Deadline Extended to April 25 -John Goodrich Request for signatures 9. Informational Items a. Update from Commissioner Buehner on Lake Oswego/City of Tigard Oversight Committee activities. b. Update from Commissioner Winn on West Bull Mountain Technical Advisory Committee activities. 10. Non-Agenda Items Call for non-agenda items from the Board. INTERGOVERNMENTAL WATER BOARD AGENDA—APRIL 14, 2010 City of Tigard 1 13125 SW Hall Blvd.,Tigard,OR 97223 1 503-718-2591 1 www.tigard-or.gov I Page 1 oft 11. Future Agenda Items Schedule Date Item 6/15/10 Joint Council— IWB Meeting 1) Water Rate Methodology Study Project Introduction 2 Water Treatment Method Selection 7/14/10 Consultant Presentation on Water Rate Study Findings and SDC Findings. 9/8/10 Consultant Presentation on Final Recommendations Water Rate Study and SDC Findings. To Be Announced Additional Tenancy in Common Agreements for Properties within the Tigard Water Service Area. 12. Next Meeting—joint Tigard City Council and IWB: ■June 15, 2010 at 6:30 p.m. Tigard City Hall, 13125 SW Hall Blvd, Tigard, Oregon 13. Adjournment Action: Motion for adjournment. Executive Session The Intergovernmental Water Board may go into Executive Session. If an Executive Session is called to order, the appropriate ORS citation will be announced identifying the applicable statute. All discussions are confidential and those present may disclose nothing from the Session. Representatives of the news media are allowed to attend Executive Sessions, as provided by ORS 192.660(4), but must not disclose any information discussed. No Executive Session may be held for the purpose of taking any final action or making any final decision. Executive Sessions are closed to the public. INTERGOVERNMENTAL WATER BOARD AGENDA-APRIL 14, 2010 City of Tigard 1 13125 SW Hall Blvd.,Tigard,OR 97223 1 503-718-2591 1 www.tigard-or.gov I Page 2 oft Intergovernmental Water Board (IWB) Meeting Minutes April 14, 2010 Tigard Public Works Building 8777 SW Burnham Street Tigard, OR 97223 Members Present: Gretchen Buehner Representing the City of Tigard Ken Henschel Representing the Tigard Water District Dick Winn Representing the City of King City Mike Stone Member At-Large Members Absent: Patrick Carroll Representing the City of Durham Staff Present: Dennis Koellermeier Public Works Director John Goodrich Utility Division Manager Greer Gaston Executive Assistant Rob Murchison Senior Project Engineer Visitors: Nikki Pozos, Corollo Engineering Dave Kraska, Corollo Engineering 1. Call to Order, Roll Call and Introductions Commissioner Winn called the meeting to order at 5:30 p.m. 2. Approval of Minutes — March 10, 2010 Commissioner Buehner motioned to approve the March 10, 2010 minutes as amended; Commissioner Henschel seconded the motion. The minutes were approved by unanimous vote of the Commissioners present, with Commissioners Buehner, Henschel, Stone, and Winn voting yes. 3. Public Comments: None 4. Credit for Leak Adjustment Commissioner Buehner motioned to approve the Valentian Ghigheann credit as recommended by staff. Commissioner Henschel seconded. The credit for the water leak was approved by unanimous vote of the Commissioners present, with Commissioners Buehner, Henschel, Stone, and Winn voting yes. Intergovernmental Water Board Minutes April 14,2010 1 Commissioner Buehner motioned to approve the Audrey Castile credit as recommended by staff. Commissioner Henschel seconded. The credit for the water leak was approved by unanimous vote of the Commissioners present, with Commissioners Buehner, Henschel, Stone, and Winn voting yes. 5. Water System Master Plan Presentation Mr. Koellermeier introduced Senior Project Engineer Rob Murchison. Mr. Murchison introduced the Corollo Engineering team, Nikki Pozos and Dave Kraska. After the IWB presentation, the Water System Master Plan will go to the Tigard City Council for adoption. The Powerpoint is on file in the IWB record. Some information clarified during the presentation is as follows: • The volume in ASR 3 is 2 to 2.5 million gallons per day recovery. • Tigard has terminated the partnership agreement with the Joint Water Commission and are now a wholesale customer able to purchase water if needed. • The Corollo report is at the 50th percentile, the average projection or the midpoint; this is not a worst-case or drought year scenario projection. Tigard would implement mandated curtailment activities for severe climatic change. The City has two days of storage for emergency use with the current reservoirs at average daily demand; this does not include the future Cash Reservoir. • The report incorporated stepped up conservation. Corollo examined prior year's per capita usage and noticed a big reduction. • Corollo did not take into account the additional 6 mgd from the Lake Oswego-Tigard Water Partnership expansion because we are not under contractual obligation. If we could acquire the additional 6 mgd, it would take us to 2040. • Many of the older pump stations could be taken out of service because the older pump stations are low capacity. The network of piping could be designed to have a lot of little pump stations lifting the water from one to the next or replace little pump stations with one reliable, modern designed station that is accessible at ground level and does not have confined space entry and maintenance issues. • The new pump stations are built to have a high level of reliability and redundancies so there is still enough capacity if one pump went out. Maintaining old pump stations is a major maintenance hassle and the capacity is so much smaller than what is needed. • Hi Tor pump station capacity is good, however it does not have great reliability nor is it in the best condition. It will be one of the last ones replaced. • There are not a lot of pipes in poor condition that need replacing now. Properly installed cast iron ductile pipes will last a long time and the Tigard area pipes are made of ductile iron. Pipes that have problems are made of pvc or asbestos. As redevelopment happens (i.e., Burnham and Main Streets), older pipes will be replaced. • Security is addressed while doing projects. For instance, when existing reservoir projects are proposed, all hatches are retrofitted for greater security including alarms; and reservoirs are closely evaluated for other security measures, such as air vents. • The telemetry system was updated in 2005-06. It is a dedicated, wireless radio. When new sites are built, they are connected to this telemetry system. • Tigard has water pipes under Bull Mountain Rd; however, COT does not have the $2 million to complete the improvement shown in the Master Plan. Washington County is paving the road starting Monday. This is the most likely route of the pipeline. COT is looking at alternative routes to avoid that route since it will be two to three years before we can build the pipeline. • A seismic evaluation was completed four years ago. COT does not have enough money to do all the seismic upgrades. When we are working on a reservoir, we do a seismic Intergovernmental Water Board Minutes April 14,2010 2 evaluation and figure out its vulnerabilities as part of the project. We did a vulnerability assessment that identified the most critical facilities; this is where we will spend our money first. Mr. Murchison, Ms. Pozos, and Mr. Kraska David departed at 7:00 pm. 6. Proposed City of Tigard Water Capital Improvement Plan (CIP) Budget Mr. Koellermeier said the CIP budget had not been completed by the City's finance department. 7. Water Supply Update • Mr. Goodrich reported that water demand is currently 4.3 to 4.5 million gallons per day (mgd). COT is still injecting into Aquifer Storage and Recovery(ASR) 1. This will be completed by June 3. The goal is to reach 120 million gallons in storage. • COT is contracting an additional .5 mgd from Portland Water Bureau (PWB) at a summer interruptible water supply. This water will be sold to us at about 66% of wholesale cost for the 60-day period from July through August. This is the maximum capacity we have in our pipeline from PWB. 8. Process of How to Amend/Transfer Groundwater Registration Modification Mr. Goodrich reported that the minor changes requested by TWD were accomplished. Staff requests Member's sign the modification to get it to the Oregon Water Resources Department (OWRD) by the April 25th deadline. 9. Informational Items a. Update from Commissioner Buehner on Lake Oswego/City of Tigard Oversight Committee activities • Commissioner Buehner reported that the oversight committee survey results commissioned by the public outreach program came back positive as far as attitudes, water supply quality, understanding of where their water comes from, what was known about the new project, if they knew their water rates were increasing, etc. Our citizens are more informed than citizens in other areas, think the water system is great, and understand what is going on. However, there was not a lot of support for higher rates. • They have been interviewing applicants to do the water rate study and system development charge update to determine how to finance improvements for the Lake Oswego plant. The committee recommended two firms to go to the next level of interviews on April 20th. The consultant will be hired shortly thereafter. The new rates need to be in place by Jan 2011. b. Update from Commissioner Winn on West Bull Mountain Technical Advisory Committee Activities • Commissioner Winn reported the focus was on transportation this month. There was not any discussion related to water. 10. Non-Agenda Items • Commissioner Winn would like Mr. Goodrich to schedule another tour of the Lake Oswego water treatment plant for the IWB, TWD, and anyone else who would like to be included. • COT will distribute an updated IWB roster once the new Durham representative is appointed. Intergovernmental Water Board Minutes April 14,2010 3 • Commissioner Henschel would like to be added to the IWB agenda to give updates regarding the citizen sounding board. • Mr. Koellermeier stated there are several boards with a lot of information. He suggested we deal with them all from a technology standpoint. COT can email or create a website for projects schedules, information, etc. • Commissioner Winn would like the IWB to pay attention to the Robert's Rules of Order- no side conversations. • Commissioner Buehner announced that when COT gets the new rate study on board, they would give a joint presentation to IWB, Tigard City Council, and Lake Oswego City Council on June 15. She invited the TWD board members to listen to the presentation. • Ms. Gaston stated that May 12 is the next IWB meeting. The regular June meeting has been cancelled so the IWB can attend the June 15 meeting with the councils. • Commissioner Henschel inquired about the status of the IGA. Commissioner Winn informed the Board that COT has sent it to legal. Durham and King City are waiting until COT does their legal review. Commissioner Henschel says TWD will begin reviewing at their board level and may take to legal before COT finishes their legal review. Commissioner Buehner would like to know when the attorneys will get it back. Mr. Koellermeier will inquire and let the IWB know. 11. Future Agenda Items • Future agenda items were not discussed. 12. Next Meeting: • June 15, 2010 at 6:30 p.m. Tigard City Hall, 13125 SW Hall Blvd, Tigard, Oregon 13. Adjournment At 7:23 p.m., Commissioner Stone motioned to adjourn the meeting; Commissioner Henschel seconded the motion. The meeting was adjourned by unanimous vote of the Commissioners present, with Commissioners Buehner, Henschel, Stone and Winn voting yes. IWB Chair Kathy Mo lusky, IWB Recor r Date: \e- Intergovernmental eIntergovernmental Water Board Minutes April 14,2010 4 Agenda Item No.: IWB Meeting Date: W , ,oko\t7 Intergovernmental Water Board (IWB) Meeting Minutes March 10, 2010 Tigard Public Works Building 8777 SW Burnham Street Tigard, OR 97223 Members Present: Gretchen Buehner Representing the City of Tigard Patrick Carroll Representing the City of Durham Ken Henschel Representing the Tigard Water District Dick Winn Representing the City of King City Bill Scheiderich Departing Member At-Large Mike Stone Member At-Large Members Absent: None Staff Present: Public Works Director Dennis Koellermeier Utility Division Manager John Goodrich IWB Recorder Kathy Mollusky 1. Call to Order, Roll Call and Introductions Commissioner Carroll called the meeting to order at 5:33 p.m. Commissioner Henschel arrived at 5:41. Mr. Goodrich arrived at 5:45. 2. Approval of Minutes — February 17, 2010 Commissioner Buehner motioned to approve the February 17, 2010 minutes; Commissioner Winn seconded the motion. The minutes were approved by unanimous vote of the Commissioners present, with Commissioners Buehner, Carroll, Scheiderich, Stone and Winn voting yes. Commissioner Henschel was absent for the vote. 3. Public Comments: None 4. Credit for Leak Adjustment Commissioner Buehner motioned to approve the credit for Lloyd Gilbertson. Commissioner Carroll seconded the motion. The credit for the water leak was approved by unanimous vote of the Commissioners present, with Commissioners Buehner, Carroll, Scheiderich, Stone and Winn voting yes. Commissioner Henschel was absent for the vote. Due to Mr. Goodrich's attendance at the Lake Oswego meeting prior to the IWB meeting, and Commissioner Scheiderich's having to leave early to attend another meeting, the Board skipped to Item 8. Intergovernmental Water Board Minutes March 10,2010 1 5. Proposed City of Tigard Water CIP Fund Budget The budget is not completed. 6. Water Supply Update • Mr. Goodrich reported that water demand is currently 4.5 million gallons per day (mgd). The City of Tigard (COT) is still injecting into Aquifer Storage and Recovery (ASR) 1. This will be completed by May 1. ASR 2 has reached the goal of 160 million gallons of water. • Commissioner Carroll asked what the water storage outlook is for Bull Run Reservoir based on the recent lack of snow pack. Portland Water Bureau does not know what it is going to be like this year and wants the question asked again in August. The current snow pack is a lot less than the two previous year's snow pack. 7. Select New Vice-Chair Former Vice-Chair Commissioner Winn becomes the new Chair. Commissioner Carroll asked for nominations for the new vice-chair. Commissioner Winn nominated Commissioner Buehner. Commissioner Carroll seconded. The nomination was approved by unanimous vote of the Commissioners present, with Commissioners Buehner, Carroll, Henschel, Scheiderich, Stone and Winn voting yes. 8. Process of How to Amend/Transfer Groundwater Registration Modification • Commissioner Scheiderich stated, and Mr. Goodrich supports, that every Member should have its name on the water agreement since everyone has a stake. The ASRs are not an issue. • Mr. Koellermeier acknowledges that more work needs to be done on the groundwater issue. Groundwater rights are straight forward, associated with physical system assets. • Commissioner Henschel stated TWD's legal council had questions. Mr. Goodrich answered some of the questions at TWD's meeting. The TWD is waiting for more information from Mr. Goodrich and TWD's legal. • Commissioner Henschel wants to verify the document in front of the TWD is in conjunction with state laws and regulations. For instance, there was a memo that listed three diversion points and the state had four listed. The TWD is doing due diligence and requests this be postponed until next meeting. • The State of Oregon Water Resources Department (OWRD) gave Mr. Goodrich until March 25 to get this completed, he will ask for an extension. Mr. Goodrich is having Groundwater Solutions and TWD's attorney meet to answer any additional questions and work out any outstanding issues. The Board skipped to Item 11. 9. Informational Items a. Update from Commissioner Buehner on Lake Oswego/City of Tigard Oversight Committee activities • Commissioner Buehner reported Jane Heisler set up a tour of the facilities. Commissioner Buehner has asked for a second tour date. • The meetings will have experts discussing technical requirements regarding what treatment options are available. • Commissioner Buehner met with the group running the outreach program to talk about what happened with the Willamette project. This will help to avoid the communication issues that occurred with the Willamette project. Intergovernmental Water Board Minutes March 10, 2010 2 b. The Lake-Oswego-Tigard Water Partnership Video was shown c. Tigard Water District Board Voting Requirements • This item was not addressed during the meeting. d. Tigard Water District Answer to Signing Groundwater Registration Modification • This item was discussed previously under Item 8. e. Update from Commissioner Winn on West Bull Mountain Technical Advisory Committee Activities Commissioner Winn reported: • It would cost Tualatin Valley Water District (TVWD) $25 million to serve Areas 63 and 64; it would cost COT $8 million. These areas could get water from the east (Tigard) or the south (King City). COT is capable and ready. The decision will be made by Washington County. • Commissioner Henschel stated that COT is not contiguous. TWD could annex the area. There are two entities contiguous, TVWD and TWD. • Commissioner Buehner stated the part in Area 63 that was not brought to the urban growth area last time is now part of the urban reserve area. • TWD is working on annexing a property on 1315` that COT asked TWD to annex. f. Commissioner Henschel Reported on the Citizen Sounding Board • This is a good grouping or citizens, a variety of expertise from different areas. Some have experience with water, some are engineers, some are just citizens, a little of everything. They are pulling out issues that concern the community, some controversial points and other things they want to mitigate. 10. Non-Agenda Items • Commissioner Henschel would like to see steps taken by COT, in order, regarding the list of items that were supposed to be completed. In 1994, COT was asked to make changes to water rights, deeds, etc. The IWB needs COT staff to commit to doing the list. COT was directed to do everything in the City limits - all these buildings, Canterbury, etc., except the ones with any issues. Mr. Goodrich's understanding is that as things developed, money would be spent to change deeds. The IWB wants the items done now. The list includes an inventory of all water assets and property. Mr. Goodrich said he would do a complete inventory of all properties and bring the list back to the Board. Commission Buehner will help with this item. 11. Discussion of Draft 1993 Intergovernmental Agreements between Durham and the City of Tigard, King City and the City of Tigard, and the Tigard Water District and the City of Tigard — Commissioner Scheiderich • Page 9 Section 14 — Execution and Effective date is still to be decided. Is the effective date when signed by Tigard or when all Parties sign? If a Party chooses not to sign, is the old agreement in effect for them and the new one for everyone else? • Page 2 Section 1 A - System assets are further defined as revenues belonging to all Parties no matter where the asset is located. Commissioner Winn wants revenue rather than revenues. For example, it is not appropriate to operating revenue, maintenance, profit, contracts, etc. Tigard staff will review; the Agreement could be more specific. The term system assets, ASR wells, pumps, etc. are included in subsection (i) revenues Intergovernmental Water Board Minutes March 10, 2010 3 generated from sale of the Parties domestic water supply to any person wherever located. This could include wholesale contracts to sell in an emergency to Lake Oswego, Portland, Tualatin, or Beaverton. Mr. Koellermeier will have legal review and offer proposed language for revenues and contracts. It could be modified to say net revenue from sale of property is pledged to go back into the system. • Commissioner Carroll feels the only issue hanging out is system assets that are in and out of the service area. System assets to Commissioner Carroll are anything that has to do with providing water wherever located. All the Members are pledging system assets to the Tigard Water Service Area. Items become Tigard system assets when those assets are paid off or bonds are issued. The Board will let the attorneys come up with the proper language. • Page 5 Section 7A— System assets are all assets within the Parties' service area or where located. This is still undecided. Parties own an equitable, undivided common share as calculated by meter equivalency and other calculation methods of assets that are located within the Parties' combined service area or wherever located. • Page 6 Section 7F —Percentage of annual revenue is not agreed upon. • Page 7 Section 8A - If any Party terminates or withdraws, assets shall be divided using procedures set out in Oregon Statue ORS 222.540 or as renumbered. • Page 9 Section 14 —The Agreement may be executed in multiple signature pages. • Commissioner Winn wants COT and TWD to complete the review of the new IGA before the other cities. Commissioner Henschel feels the Parties are ready to send to entities to work out issues. At some point, the Board will have to agree on the remaining issues. Mr. Koellermeier feels other issues may come up besides the last two the Parties have here. COT will attach exhibits and forward to legal counsel. At 6:06, the meeting was adjourned for a short recess. Commissioner Scheiderich had to leave to attend another meeting. At 6:26, the meeting reconvened. Commissioner Henschel requested the Board go back to page one to complete what language to relay to Commissioner Scheiderich for the final IGA. Page 1 — Ignore the when date. Commissioner Stone has language ODOT puts in their contracts regarding this issue. He will send it to Mr. Koellermeier to insert. Recitals Section A - System assets as further defined herein stays — Parties agree. Page 2 Section 1A —The whole section in italics needs to be returned to Commissioner Scheiderich and Mr. Koellermeier as to what our intention is and they will work out legal. The version that comes back to the Board will have the changes. Commissioner Winn wants the words all revenues and all contracts fixed, needs clarification. Page 2 Section 1A, iii — How are all interests going to be parsed out between surface, in stream or groundwater rights? Will this affect the Willamette rights that are currently in COT's name? Water rights are a system asset if the language is not changed, then Tigard water rights on the Willamette would be considered a system asset. Mr. Goodrich stated one requirement COT had to give up was an application for water rights for 40 cfs. The language needs to be simplified or resolved. Page 5 Section 7A—correct the language to "wherever located". Wherever located is the key issue. Intergovernmental Water Board Minutes March 10,2010 4 Page 7 Section F —TWD wants 3%, currently at 1%. The IWB can support 2%. Have Commissioner Scheiderich put in 2%. Page 7 Section 8A—Commissioner Scheiderich will add "or its successor statute" after ORS 222.540. The italic section, as amended, is good. Page 9 Section 14—is fine as amended. The Board returned to Item 5. 11. Future Agenda Items The Water Rate Study will not be done next month. 12. Next Meeting: ■ April 14, 2010 at 5:30 p.m. Tigard Public Works Auditorium, 8777 SW Burnham Street, Tigard, Oregon 13. Adjournment At 7:17 p.m., Commissioner Buehner motioned to adjourn the meeting; Commissioner Henschel seconded the motion. The meeting was adjourned by unanimous vote of the Commissioners present, with Commissioners Buehner, Carroll, Henschel, Stone and Winn voting yes. IWB Chair Kathy Mollusky, IWB Recorder Date: Intergovernmental Water Board Minutes March 10,2010 5 Sign-in Sheet Intergovernmental Water Board Meeting Date: April 14, 2010 Name Do you wish If yes, please give your address please print to speak to the Board? John Q. Public Yes 13125 SW Hall Blvd. Tigard OR 97223 �`Ck Agenda Item No.: q IWB Meeting Date: r; \y \� CREDIT FOR LEAK ADJUSTMENT V� J The City of Tigard has a policy of issuing partial credits for leaks that are repaired in a timely manner. The city expects leaks to be repaired within ten days of discovery. Credits are based on your average usage for the same period in previous years. This average is deducted from the total consumption used during the time of the leak. The excess usage is charged at the wholesale rate of water,with the difference between wholesale and resale cost deducted from the utility account as the Credit for Leak Please describe the specific circumstances of your request: 1� b coo ��zu C�u Q Date leak found: �/ Date leak repaired: Account#: l 7 `7 7 00 0 Location of Service: q-7 05- S&I 1-1e Z OA,),42-4 '9 F. Customer Name: \/4uF0Ti0 A- Mailing Address: w7�S �w M P�DI.1> e� zt� Street address City State Zip Phone DOCUMENTATION P1 EAcYLf)T8M F'* " COPIES OF PLUMBER'S BILLS AND/OR RECEIPTS FOR PARTS, REQUIRED TO FIX THE LEAK. ` FOR OFFICE USE ONLY f / $2.68 $2.66 $3.13 $2.60 $3.34 - $1.22 RES MUR COM IND I( I r Markup /C) +off J JYJ l Previous years usage: 02 (4 (. D #periods used Average Leak Period Leak ccf Markup Credit Adjustment Total Credit:$ �3� Date Issued (� Issued By: PAGE NO. OF - PAGES AGAPE PLUMBING & CONST., INC. Over 35 Years Experience ' I I CCB Lic. #169013 & Bonded MINg J A I I l4as P.O. Box 3634 HILLSBORO, OR 97123 JOB PHONE `�.._•, ( i -ra ..)..,�h� pAl'E www.agapeplumbing.com �.. •+���^"--;' JOB NAMEALOCATION •`� =�L `%,; -- -- __�_'•.. 4 .._ J.i` `._ll�.__-. . . _.�.-.-....-_--_. JOB NUMBER I Ili 1:4 DIE t • ...... ______-_-__.__tom• DUE ON OR BEFORE $ DUE ON OR BEFORE $ DUE ON OR BEFORE $ DUE ON OR BEFORE FOR THE TOTAL PRICE OF: WORK SHALL START ON: AND SHALL BE COMPLETED WITHIN (NUMBER OF)DAYS. 6411;101019 19. • LICENSE NO.: INSURANCE CO.&POLICY NO.: FEDERAL ID NO.: AMOUNT OF INSURANCE: SUBCONTRACTOR'S SIGNATURE: DATE: CONTRACTOR'S SIGNATURE: DATE: CREDIT FOR LEAK ADJUSTMENT The City of Tigard has a policy of issuing partial credits for leaks that are repaired in a timely p manner. The city expects leaks to be repaired within ten days of discovery. Credits are W based on your average usage for the same period in previous years. This average is deducted from the total consumption used during the time of the leak. The excess usage is charged at the wholesale rate of water,with the difference between wholesale and resale cost deducted from the utility account as the Credit for Leak Please describe the specific circumstances of your request: When we first received the notice two months ago, we went out and checked the meter and for an hour there was no movement. We thought that cause of the high water usage might be a toilet or the irrigation system. We found nothing Upon receiving the recent letter. I went and checked every unit, turning off the water, and still the meter was turning. After exhaustive searching.we found that there was a male adaptor that was screwed into a control valve at the end of the line that had split and was spewing water into the utility ditch that was filled with graveL which was of course the reason why we weren't able to find its because it was draining into the drainfield. Through the gravel. Date leak found: January 18 Date leak repaired: januga 18 Account#: 8100 SW Durham Rd 12307 400 8172— 8198 SW Durham Rd Location of Service: 8100 SW Durham Rd 8172-8198 SW Durham Rd. Customer Name: Audrey Castile,A-1 Ventures of Oregon. S &L Landscaping. Mailing Address: 8100 SW Durham Rd. Tigard, Oregon 97224 503-341-6734 Street address City State Zip Phone DOCUMENTATION YOU MUST SUBMIT COPIES OF PLUMBER'S BILLS AND/OR RECEIPTS FOR PARTS, REQUIRED TO FIX THE LEAK. ----------------------------------------------------------------------------------------------------------------------------------- '3 FOR OFFICE USE ONLY 1 $2.68 $2.66 $3.13 $2.60 $3.34 - $1.22 = $�' RES MUR CO IND IRR Markup I ukp (�1 11 ('a Ce-) s Previous years usage: µ(OLi (O ( Lo C) _ #periods used � X $1 Average Leak Period Leak ccf Markup Credit Adjustment Total Credit:$ 'v Date Issued: Issued By� y ' 1 4r 'r { C< k i;•ry L i� �' � I' t t$ •' r., _� sa, ,� � � ,t ,. y. }} 7� ,,. �,W'"'` x°,� �� �;, �'�'�.�,.r-.` re`s � �� � �, � �,,, ',r-,L'-- L -y-4_ mtS '` ..,. n ,:.. �'.' ,� �:�,.- ...s �,. �^ ,��..� b s'' 4_ f is -YTS � ss t N fi If �I p 5-, k �b� y w8 I. a ; )0aLJtfP61nt 4/14/2010 iial-ndQ JIin z- Water System Master Plan 1; FIG ARD Intergovernmental Water Board April 14,2010 Tr^r. jj .D 71 ,V rt Ito The water system master plan provides a roadmap to your future water system 1 . Evaluates your future water needs 2. Develops a source of supply plan 3. Evaluates the most effective way to integrate the Lake Oswego-Tigard Joint Water Supply (JWS) 4. Identifies improvements needed to improve your system's capacity s. Identifies projects needed to maintain the level of service you provide to current customers 1 4/14/2010 Water demands within the service area are projected to increase by nearly 500/b by 2030 20.0 18.0 16.0 14.0 y tMa)dmum Day Demands 12.0 10.0 -*-Average Day Demands „ I a 8.0 E 6.0 0 4.0 2.0 2010 2015 2020 2025 2030 Year Additional supplies are needed to meet short term supply shortages through 2016 20.0 - 18.0 16.0 14.0 E12.o Shortage of 2.9 mgd Lake Oswego 10.0 8.0 Portland 6.0 4.0 2.0 ASR Wells 1 &2 Well 2 2010 2015 2020 2025 2030 Yoar 2 4/14/2010 Additional supplies are needed to meet short term supply shortages through 2016 20.0 — 18.0 16.0 14.0 ASR 4 and other supplies E 12.0 17AS�R swego 4 10.0 8 8.0 nd 6.0 4.0 2 o ells 1 &2 W We 112 e 12 2010 2015 2020 2025 2030 Year With ASR Well 3, the JWS will meet the City's needs through 2030 and beyond 20.0 ASR Well 3 18.0 16.0 14.0 V E 12'0 Joint Water 10.0 Supply 4 E 8.0 8 6.0 4.0 2.0 ASR Wells 1 &2 Well 2 - 2010 2015 2020 2025 2030 Year 3 4/14/2010 Planned ASR Projects Will Provide Benefits both Before and After Implementation of the Joint Water Supply Augmenting Providing supply during needed peak potential low-flow day supplies periods on the Clackamas Implementation of the Joint Water ,p.. Supply yM_WSr ate The JWS will change the location at which supply enters the service area N PurtlMtl Supply Lake Oewego Supply 4114/I101 U The existing Portland supply enters the system at Reservoir 10 Alta Bull Mountain New Pump Station 10 Portland I�iT— Reservoir 10 Supply Lower Zone The Joint Water Supply does not have as much pressure as the Portland supply as Bull Mountain New Pump Station 10 O Reservoir 10 Joint Water Supply Lower one t� 4/14/2010 A new pump station will integrate the new supply and make the most of existing infrastructure Bull Mountain [New Pump Station 10 Reservoir 10 New Booster Pump Station Joint f'I Water Supply Lower Zone The new pump station was determined to be the preferred alternative ($1.7 million, saving $3.3 million over the alternative) The master plan also evaluated the capacity of the system's existing infrastructure AL The service area is well-served by existing infrastructure with very few improvements needed 6 4/14/2010 The City's new hydraulic model is a valuable tool for understanding system capacity and operations .. o a,a, ° _ _�_ s n • 8 e 12 11 m e m 12 � N roe a rof2s n124 = z rz s ° 5 Re O e e e� 6 e N 2/e em B 10 .'p e 6 0 r?B ° e s8 ° 6 2/ m �Bef a 81 e e ' 12 O e ,2 4 6 e � a mm H B 5 • o e a E ' ` SM-6 � �? ® 24 e 8 m e 6 12 9 1z 1z 8 12 8 8 tze e o80BJ 1z eR° ` B e T2 R PSM-3- 12 The City's new hydraulic model will provide continuing benefits, including optimizing JWS infrastructure Almost all of the distribution system has sufficient flows to fight fires 0 o pV % ' a/ 4 �` Area 4 ro an�0oa� Ao p 055boq oPj 00 aOEo o ° M..1 opv0o �aoA v 0 boo 00 00OD o 0 0 n o-0 .� ^ n of o ®Oo O��t � s 0 ` OF 530 q°0o 0 7�1 C ? o e 8 o 0 8 ot oB X00 09 0000 d0 %0: 4 b Of$ oP O�. —.0 S5oC �j q�y o 0o a p 0 0 0 q-4 ppo 00. cj' Qo[Q� 'pC q�V' q50-/�" 0 8PQ a°8 DO t B. b o �as . p0 c➢9$ Q Area 2 a8 0� 0 0 0 0 0� ' _ c "� 0 if 0 0 � i Area 3 ��9/GAY O Qs j .• ♦, 00, 7 4/14/2010 Improvements in the Canterbury Hill area can greatly increase available fire flows 1�11✓' Needed fire f flow of 2,500 gpm Canterbury Hill Pump Station 1 Reliable capacity of 1,000 gpm itit Lower Zone Improvements in the Canterbury Hill area can greatly increase available fire flows Reservoir 16 Canterbury HIII Pump Station I Lower Zone The project will increase reliable flows from -650 gpm to the required 2,500 gpm at a cost of$2 million 8 4/14/2010 Other minor fire flow deficiencies can be addressed through an annual allocation �29 P, Additional storage in the upper areas of Bull Mountain would be desirable 30.0 25.0 - 20.0 �o RE 15.0 N 10.0 Upper Zone Requirements Upper Zone Storage 5.0 0.0 2010 2015 2020 2025 2030 Year 9 4/14/2010 Storage needs of the overall service area are met through the planning period 300 Overall System Storage 25.0 -- Overall Requirements � 20,0 f d rn 0 150 in 100 50 0.0 2010 2015 2020 2025 2030 Year Investment in additional storage is not currently a high priority for the water system The City's ongoing and planned pump station improvements will be sufficient to meet capacity needs beyond the planning period i Replacement of Pump Station 8 is a ' recommended due to poor condition A number of older pump stations z can be taken out of service 10 4/14/2010 The system has sufficient capacity to provide service to the West Bull Mountain area There is sufficient transmission and ,���-„�� - pumping capacity 0 2 Required storage :J K capacity of 4.5 MG 713 will further increase deficiency in upper /w.et Bull zones Mounteln Ana Planned CIP through 2016 include $9.6 million in improvements r� W1 - ASR Well 3 Design & Equip $2,200,000 2011 W2 - ASR Well 4 Siting, Drill, Equip $3,004,000 2011-2013 PSI - Replace Pump Station 5 Included in the 2013-2015 JWS budget PS2 - New Booster Pump Station $1,749,000 2012-2015 PRV1 - New PRV from 550G to 410 $105,000 2011 Zone P1 - Pipeline from 550G to 530 Zone $1,967,000 2011-2012 P2 - Annual Fire Flow Improvements $100,000/year 2014-2031 P3 - Pipeline connecting PRV1 $17,000 2011 S1 - Water Master Plan Update $140,000 2016 Very few capital projects are required due to the good condition of the existing water system 11 4/14/2010 Capital Maintenance Projects will maintain performance of the existing system A MM1-Asset Management Program $100,000 2014 RMI-Reservoir Seismic & Condition $100,000 2015 Assessment PSM1-Replacement/Upgrade of PS 8 $2,110,000 2017+ PM1- General Pipeline Replacement $70,000/year 2011-2031 OM1-Meter Replacement $125,000/year 2011-2031 OM2-Hydrant Replacement $120,000/year 2011-2031 Planned CMP projects will maintain the high level of service provided to current customers Questions? Engineers...Nbr*u,y W,,: 12 Conservation Program: Continuing with reimbursement programs Toilet Reimbursement Landscape Reimbursement Youth ed school outreach programs Classroom presentations Conservation calendar Free conservation kits Multifamily outreach Festivals Balloon Children's Fest Regional Water Provider Consortium (Consortium Conservation Committee) Will be chair for one more year Youth ed committee Nursery events Yard, Garden and Patio Show AWWA Conservation Committee member Children's Clean Water Festival Committee � 4045 nta bt)q AIl4 1lD II,Q.�r da- �fin� � Application for Oregon Water Resources Department 725 Summer Street NE,Suite A Permit Amendment Salem Oregon 97301-1266 www wrd.st 00 or Ground Water www.wrd.state.ocus Registration Modification Please type or print legibly in dark ink.Ifyour application is incomplete or inaccurate,we will return it to you.If any requested information does not apply to your application, insert "NIA"to indicate Not Applicable.As you complete this form,please refer to notes and guidance included on the application.A summary of review criteria and procedures that are generally applicable to these applications is available at www.wrdstate.or.us/OWRD/PUBSIforms.shoul. 1.TYPE OF APPLICATION Please check one of the following: ❑ Permit Amendment ® Ground Water Registration Modification 2. APPLICANT INFORMATION Name: City of Tigard,Tigard Water District, Ci of of King City, and City of Durham First Last Address: Contact: City of Tigard, Attn: Dennis Koellermeier, 13125 SW Hall Blvd. Tigard OR 97223 city state zip Phone: 503-639-4171 Home Work Other Fax: 503-684-8840 E-Mail address: dennis_,ti arg d=or.gov 3.AGENT INFORMATION (The agent listed is authorized to represent the applicant in all matters relating to this application) Name: GSI Water Solutions Inc. ATTN: Ted Ressler First Last Address: 55 SW Yamhill St., Suite 400 Portland OR 97204 City state zip Phone: 503-239-8799 Home Work Other Fax: 503-239-8940 E-Mail address: tressler .GSIWaterSolutions.com If an agent is listed above,please check one of the following: ❑ Please send all correspondence to Agent. Send copies of correspondence to Applicant; or ® Please send all correspondence to Applicant. Send copies of correspondence to Agent. Last Updated: 10/30/2006 Permit Amendment or GW Modification1l FS 1 7 1 Permit Amendments ■ If you propose to amend multiple permits under this application, a separate set ofoages 3 through 7 must be provided for each permit. (NOTE: Concurrent changes to a water right must be filed separately on a transfer application.) Ground Water Registration Modifications ■ You may propose modification of only one groundwater registration per application, unless in accordance with OAR 690-382-0300(2), the ground water registrations to be modified are layered. (NOTE: Concurrent changes to a water right must be filed separately on a transfer application.) 4. TYPE OF AMENDMENT OR MODIFICATION PROPOSED Please check all of the following that apply: Point of Diversion or Appropriation Place of Use Character of Use ❑ Change(The old point of ❑ All of the Permit or Not Available for diversion or appropriation will Registration will be Permit Amendments not be used for the portion of exercised at a different Change existing authorized the water right affected by the location than currently amendment or modification.) authorized(Use of water at use to the following proposed the current authorized location new use: ® Additional (Both the old and will be discontinued.) new points of diversion or ❑ Irrigation appropriation will be used for ® Only aoU rtion of the ❑ Municipal the portion of the water right Permit or Registration affected by the amendment or will be exercised atap ❑ Quasi-munici al modification.) different location than ❑ Commercial currently authorized(Use Not Available for of water ataop rtion of the ❑ Industrial Ground Water Registrations current authorized location F-1 Surface Water to Ground will be discontinued.) El Domestic(indicate number of households): Water (A new point of appropriation will be used ❑ Other instead of the old point of diversion. The old point of diversion will not be used.) ■ Reason(s) for amendment/modification(s): The four additional points of appropriation to be added to this groundwater registration will provide increased flexibility and redundancy for the City of Tiaard's municipal water production system. The revision to the place of use for this registration statement will reflect the current extent of the City's water service area. Last Updated: 10130/2006 Permit Amendment or GW Modification12 FS r ti 5. CURRENT PERMIT OR REGISTRATION INFORMATION Permit or Registration to be Amended/Modified(check and complete ga of the following): ❑ Permit to be Amended: Permit Number Current Completion Date of Permit NOTE: Concurrent changes to a ® Ground Water Registration water right must be filed separately to be Modified: GR-616 on a transfer application. Ground Water Registration Number ■ Name on Permit or Registration: Tigard Water District ■ County: Washington County ■ Authorized Use(s) to be affected by this Amendment/Modification: Municipal use ■ Priority Date(s): April 25, 1947 If there are multiple Priority Dates identified on the Permit or Registration, any information provided on pages 4 through 7 must identify which priority date is associated with each of the authorized and proposed points of diversion or appropriation and places of use. ■ All Source(s) of Water to be affected by this Amendment/Modification: groundwater Tributary to: Fanno Creek If there are multiple Sources listed on the Permit or Registration, any information provided on pages 4 through 7 must identify which source is associated with each of the authorized and proposed points of diversion or appropriation and places of use. For an application proposinP a Chan-ce in Place of Use or Character of Use: Are there any other"Layered"Water Rights,Permits, or Ground Water Registrations issued for Irrigation purposes that are appurtenant to the same place of use as the Permit or Registration being Amended/Modified? ❑ Yes ❑No ®N/A If"Yes", pursuant to ORS 540.510,OAR 690-380-2240 and OAR 690-382-0200, the other "layered"water uses subject to transfer must either change concurrently or be cancelled, except as provided in OAR 690-380-2240(5). ■ Remarks: GR 616 is for municipal use Last Updated: 1013012006 Permit Amendment or GW Modificationl3 FS ■ The following information must be provided g!Ulfor those points of diversion or appropriation that are involved in the permit amendment or ground water registration modification (Le., list only the portion of the permit/re>cistradon you propose to amend/modify.) Attach additional pages as necessary. Government lot and donation land claim numbers must be included in the tables below only if the information is reflected on the existing permit or ground water registration. Location of Existing Authorized Point(s) of Diversion or Appropriation to be Changed: (i.e., the allowed points)of diversion/appropriation that will be affected by the proposed amendment/modification, the "FROM" point(s)of diversion/appropriation) If Ground Water, Tax Lot, OWKD Well Log Source and Township Range Mer Sec e 'i< Survey Coordinates recognized ID No.(or Well ID Priority Date DLC or (coordinates from a recognized Gov't Lot survey comer) Tag No.L-____) WASH 11594 groundwater 2 South I West WM 11 SW NW South 00°44'37"West 1,639 WASH 11593 April 25, 1947 feet from the NW corner of WASH 58004 Section 11 (Well 1) ■ Does the permit/registration being amended/modified involve a ground water source(s)? ■ ®Yes ❑No (Surface water source only) If"Yes",for each authorized point of appropriation (well) involved,you must either: A. Supply a copy of the well log(s)for each point of appropriation that is clearly labeled and associated with the corresponding well in the table above and on the accompanying application map. (NOTE: You may search for well logs on the Department's website at:www.wrd.state.or.us) or B. If a well log is not available,you must describe the construction of the authorized point of appropriation by completing the table below. Attach additional copies as necessary. Construction of Existing Authorized Point(s) of Appropriation-(only needed if no well log is available.) Wells in this listing must be clearly tied to corresponding well location(s)described in the table above and shown on the accompanving application map. OWRD Well No.of Intervals Est. Est.depth Type of access No.as identified Diameter Type and size casing is Seal to water port or feet of depth to Total well depth in table above of casing casing Perforated depth water bearing measuring (in feet) stratum device N/A-well logs provided Last Updated: 10130/2006 Permit Amendment or GW ModificationA4 /.S' r , ■ The following information must be provided QLzly for those places of use that are involved in the permit amendment or ground water registration modification (i.e., list only the portion of the perntidre-eistration you propose to amend/inodify.) Attach additional pages as necessary. Government lot and donation land claim numbers must be included in the tables below only if the information is reflected on the existing permit or ground water registration. Location of Existing Authorized Place of Use to be Affected: (i.e., the allowed lands that will be affected by the proposed amendment/modification, the "FROM"lands) Source and % ,� Tax Lot, Township Range Mer Sec DLC or Acres Priority Date Section Gov't Lot (if applicable) Groundwater, April 25, 1947 See Attachment 1 and Map in Attachment 4 Last Updated: 10/30/2006 Permit Amendment or GW Modification/5 FS 6. PROPOSED PERMIT AMENDMENT OR REGISTRATION MODIFICATION ■ Describe proposed changes to the permit or registration involving point(s) of diversion and/or appropriation. Survey coordinates described below should accurately correspond to the points shown on the accompanying application map. Attach additional pages as necessary. Location of Proposed Point(s) of Diversion or Appropriation: (i.e., the '70"point(s)ofdiversion/appropriation) (MOTE: Complete this table only if a Change in Point of Diversion or Appropriation is being proposed.) ,� ,� Tax Lot, Survey Coordinates Source Township Range Mer Sec DLC or Section Gov't Lot (coordinates from a recognized survey corner) Groundwater 2 South 1 West WM 10 SW NW 900 1750 feet South and 100 feet East from (ASR 2) the northwest corner of Section 10. Groundwater 2 South 1 West WM 11 SW NW 2602 South 03° 13'22"East 1,561 feet from (ASR 1) northwest corner of Section 11. Groundwater 2 South 1 West WM 9 SW NE 2600 1,600 feet South and 1,130 feet West (ASR 3) 1 1 from the northeast Comer of Section 9. Groundwater 2 South 1 West WM 10 NW NW 500 610 feet South and 1,270 feet East from (We112) I the northwest corner of Section 10. ■ If there are proposed point(s)of appropriation(wells) listed in the table above, are the well(s) already constructed? ® Yes ❑No ❑N/A-No proposed well(s) listed above. If"Yes", attach and clearly label the corresponding well logs)for each proposed well, or if well log(s) are not available, describe the construction of the well(s) using the table below. (NOTE: You may search for well logs on the Department's website at: www.wrd.state.or.us) If"No", describe the anticipated construction for the proposed well(s) in the following table: Construction of Proposed Point(s) of Appropriation or Well(s): Well numbers in this listing must be clearly tied to corresponding well location(s)described in the table above and shown on the accompanying application map. well If an existing well, Intervals Est. Type of alreadyOWRD Well Lo Type and size No.of Est. depth access port Total g Diameter of casing feet of casing a Seal depth to to water or well built? ID No. perforated depth (Yes/No) (or Well ID Tag casing (in feet) water bearing measuring depth No.L- stratum device Yes WASH 61622 See attached (ASR 2) well logs (Attachment 3) Yes WASH 58003 (ASR 1) Yes WASH 66115 (ASR 3) Yes WASH 11592 (Well 2) Last Updated: 1013012006 Permit Amendment or GW Modification16 FS r � ■ Describe proposed changes to the permit or registration involving place of use. Information described below should accurately correspond to the proposed place of use shown on the accompanying application map. Attach additional pages as necessary. Location of Proposed Place of Use: (i.e.,the "TO"lands) (NOTE: Complete this table only if a Change in Place of Use is being proposed.) Tax Lot, Source Township Range Mer Sec Section '/4 Tax or Acres ction (if applicable) Gov't Lot See Attachment 4 Remarks: The changes requested in this groundwater registration modification primarily reflect changes submitted to OWRD in letters dated August 29,2002 and November 1,2004. In addition, ASR 3 is included as a proposed additional point of appropriation. These changes are now requested under the process provided in OAR chapter 690, Division 382. Last Updated: 10/30/2006 Permit Amendment or GW ModificationI7 FS 7.AFFECTED DISTRICTS AND LOCAL GOVERNMENTS ■ Are any of the Permit(s) or Registration(s)proposed for amendment/modification located within or served by an irrigation or other water district? ® Yes ❑ No ■ Will any of the Permit(s) or Registration(s)be located within or served by an irrigation or other water district after the proposed amendment/modification? ® Yes ❑ No ■ Is water for any of the Permit(s) or Registration(s)supplied under a water service agreement or other contract for stored water with a federal agency? ❑ Yes ® No If"Yes",for any of the above, list the name and mailing address of the district and/or agency: Tigard Water District,PO Box 230281,Portland,OR 97281-0281 ■ List the name and mailing address of all affected local governments (e.g., county, city, municipal corporation, and tribal governments within whose jurisdiction the right(s) are located). The City of Tigard(applicant), 13125 SW Hall Blvd.,Tigard, OR 97223 Washington County, 155 N. First Avenue, Ste. 350,Hillsboro, OR 97124 City of Durham, 17160 SW Upper Boones Ferry, Durham, OR 97224 Ci of f King City, 15300 SW 116a'Ave,King City,OR 97224 8. PERMIT HOLDER OF RECORD This section is to be completed only for Permit Amendment applications. ® N/A — This is a Ground Water Registration Modification application. ■ Is the applicant the permit holder of record? ❑ Yes ❑No If`No", the applicant must either: A. Be assigned as a permit holder of record by submitting a completed Request for Assignment form and the required statutory fee for an assignment; or B. Submit an Affidavit of Consent from the permit holder of record that gives permission for the applicant to amend the permit. Last Updated:1013012006 Permit Amendment or GW ModificationA FS 9. LAND OWNERSHIP If for a Permit Amendment proposing a Change in Place of Use: ■ Does the permit holder of record own or control the land TO which the place of use is being moved? ❑ Yes ❑No ®N/A—Groundwater Registration Modification If"No", the owner of the land TO which the place of use is being moved must be assigned to the permit as a permit holder of record by submitting a completed Request for Assignment form and the required statutoryfee for an assignment. ■ Check one of the following: ❑ The permit holder of record will be responsible for completion of the proposed changes after the final order is issued. All notices and correspondence should be sent to the permit holder of record. ❑ The applicant will remain responsible for completion of changes. Notices and correspondence should continue to be sent to the applicant and applicant's agent. If for a Ground Water Registration Modircation: ■ Does the applicant own the lands FROM which the registration is being moved? ❑Yes ®No If"No",provide the following information: N/A because the applicant is a municipality Names of Current Landowner(s): First Last Address: City State Zip ■ Does the applicant own the lands TO which the registration is being moved? ❑ Yes ® No If"No",provide the following information: N/A because the applicant is a municipality Names of Receiving Landowner(s): First Last Address: City State Zip ■ Check one of the following: ❑ The receiving landowner will be responsible for completion of the proposed changes after the final order is issued. All notices and correspondence should be sent to this landowner. ® The applicant will remain responsible for completion of changes. Notices and correspondence should continue to be sent to the applicant and applicant's agent. Last Updated: 10/30/2006 Permit Amendment or GW Modification1'9 FS 10. ATTACHMENTS Check each of the following attachments included with this application. The application will be returned if all required attachments are not included. Map: Fees: ® A map meeting the requirements of OAR 690- ® Amount enclosed: $ 500 380-3100 must be included but need not be See the Department's Fee Schedule at prepared by a Certified Water Right Examiner. www.wrd.state.or.us/OWRD/PUBS/forms.shtml or call(503)986-0900. Land Use Information Form: ® Enclosed;or For Permit Amendments Only— ❑ Not required if all of the following are met: O In EFU zone or irrigation district; Request for Assignment: © Change in place of use only; © No structural changes needed,including ❑ Enclosed. The applicant is NOT the permit holder of record and needs to be assigned to the diversion works,delivery facilities,other permit; OR the landowner of the proposed place structures;and of use is NOT the permit holder of record and O Irrigation only. needs to be assigned to the permit. The Request for Assignment form is available online at: Water Well Reports/Well Logs: wm!w.wrd.state.or.us/OWRD/PUBS/fonns.shtml;or ® The application involves a change in point of ❑ N/A.The applicant is the permit holder of appropriation or change from surface water to record and owns or controls the proposed place ground water and copies of all water well reports of use;OR the applicant is not the permit are attached. holder of record but is supplying an Affidavit ❑ Water well reports are not available and a of Consent from the permit holder. description of construction details including well depth,static water level,and information Affidavit of Consent: necessary to establish the ground water body ❑ Enclosed. Because the applicant is NOT the developed or proposed to be developed is permit holder of record,an Affidavit of Consent attached. is being supplied that gives permission for the ❑ N/A.The application does not involve a change applicant to amend the permit;or in point of appropriation or a change from ❑ N/A. Not required because the applicant is the surface water to ground water, so water well permit holder of record. reports are not required. Last Updated: 1013012006 Permit Amendment or GW Modifzcation/10 FS Before submitting your application to the Department.be sure you have: • Answered each question completely. • Included all the required attachments. • Provided original signatures for all named deed holders,or other parties,with an interest in the water right. • Included a check payable to the Oregon Water Resources Department for the appropriate amount. 11. SIGNATURES ■ For Ground Water Registration Modification Applications only,check the appropriate one and sign the application in the signature box below: ❑ In accordance with OAR 690-382-0400(16)(a),I(we) understand that prior to Department approval of a permanent modification and upon my receipt of a draft Preliminary Determination for the proposed modification,I (we)will be required[pursuant to OAR 690-382-0700(5)]to provide the following landownership information and evidence demonstrating that I (we) are authorized to pursue the modification: (a) A report of ownership and lien information that has been prepared by a title company within the last three months; (b) A copy of written notification of the proposed modification provided by the applicant to all lien holders on the subject lands unless the report of ownership and lien information shows that a water right conveyance agreement has been recorded for the subject lands. If a water right conveyance agreement has been recorded for the subject lands, a copy of the recorded agreement and a listing of the owner(s) of the lands at the time the agreement was recorded must be submitted; and (c) If the applicant is not both the person named on the ground water registration or the assignee and the owner of the lands to which the registration is appurtenant,as identified in the report of ownership and lien information,then either of the following must be provided: A) Notarized statements consenting to the modification by all persons,other than the applicant,who are named on the ground water registration or identified as landowners in the report of ownership and lien information or who are authorized representatives of an entity to whom the interest in the water right has been conveyed as identified in a water right conveyance agreement;or B) Documentation demonstrating that the applicant is authorized to pursue the modification in the absence of consent of the persons named on the ground water registration or the assignee and the owner of the lands to which the registration is appurtenant. ® I(we)affirm that the applicant is a municipality,as defined in ORS 540.510(3)(b),and that the right is in the name of the municipality or a predecessor. Therefore,pursuant to OAR 690-382-0400(16)(b), the applicant is NOT required to provide the above described report of ownership and lien information. ❑ I (we) affirm that the applicant is an entity with the authority to condemn property and is acquiring the property to which the ground water registration proposed for modification is appurtenant by condemnation. Documentation is provided with this application supporting this statement. Therefore, pursuant to OAR 690-382-0400(16)(c), the applicant is NOT required to provide the above described report of ownership and lien information.(NOTE: Such an entity may only apply for recognition of a modification under this subsection if it has filed a condemnation action to acquire the property and deposited the funds with the court as required by ORS 35.265) ■ For both Permit Amendment and Ground Water Registration Modification Applications, I(we)affirm that the information contained in this application is true and accurate. Last Updated: 1013012006 Permit Amendment or GW Modification/11 FS i City Tigar is ,4 ) ld� t signature name(print) date Tigard Water Dis ct Illei✓ 1�e s Me-1 y . ao� licant signature name(print) date City of 'ng City / L� applicant signature name(print) date City of Durham applicant signature name(print) date Last Updated: 10/30/2006 Permit Amendment or GW Modification/12 F,S' Attachment 1 Groundwater Registration Statement for GR 616 Application for a Groundwater Registration Modification— GR 616 ' '; .4: - •; .� a�.��:�tn�ao„rlo.cfR�...�.�r..�!r/'a1•���:._..:.J..». , ,. �4�T..A' + t+ ^� , •• '•R•Y J,Ys. �} ,1�AiNiYia��-'�O.Q+�w......M��«..+.•.,. ��• y s;fit i7t A e �`y r ;�v�«�;r�:.�,�, •.: _ w.;•�'a � y,,�� �. rJF!s�+•o�iIRV�•��� . 41 s , ,�"�'ei s!A'i'�: ..O!�.O>lE(i0af: >�f.'�ii�-.tRll.�1�4. 7t•' ... •�. 'll ai y'8pasa o� Coamiasi.olo�rs ' �•`y r'` of 1,...�QQ,_ �.�n ��4ert.w.�i$�lCl1�....�.....,..... _ ' �..».Cor<mtyor.»��.�ington,•_� ' •. $tate.of Q i�L!!E;' . ` •' ,do hereby Inaba hppllattlon 1501 a•Certificate of registration as evidence •of�a right to•ap�oPelite ground iirafaz � `• - . L Sod nei rim which�wabr'is withdlaWn is Well'`fir WAWA"U14 .= L.eitkan is.•`Elw1 ;r}iie eotltkAst o= !Liar& •Ors,-;4oa: and ismore parttenLrb dbaiti.d as lcllowe: `.• ., \` (a) 6Pb It�a-A—B"t t.�from_Ng'_ooi�asr o� Se io torw •.l h me of--ft-Q oD.r IN.1 S bad:mm! befits within'` s•t• _- ars.a. 'lr. 1 ,Twp... E s. Br . :tee. 1�niabm.i�tao) •iK.ozoz a.► t:..r w.1 A: .,or. (b) witbia limits of recorded plaited.prosety�lo�tMf'or city:., ,- .:-- .-..... in Lot.»».:.:.:...;. 1odr of tx....ewe�..wewu •»....r»- t t 3. Cani0med 6 W*t bais beSn i qp.-srt- -...� .»..a•: : ..:;a► oomplated, � and the around crater claimed wssfirst bead fpr tM pntposss pet.out bettrar.oa�..ae.� .----:-* Once stihich.time•the water,has been use ».11MI.0 ngi AIR front +i7�i1'�.,r1,�1�242._ to'- 4. o'_4. •Quantity of water claimed and usid is..__ . �G c». :,» Woes per miautai feet.per year: ' K' 5, Purpose or Purposes for w1dc4 WAter is used.. BYO p -• _ »_ ' ,.... »i.'�r...w ......r,rwrr..ww' Y r„•w,wy-wr.r•...'r+.wrwrw.r,,,wr,� r•r»„ 6 DeseripatHl-Cf Wdlt'Depth ., Q •feat. Typo1,� 4A1 _.. . ,diameter.L"-Ai .inche's..Elevatiqq of ground at.weal site, 9 +f/q. .» lest,paean 1bve1. �pth to wratir'table : _. fwet �y%•• '7.'Capacity of Well: .. . with .. !� _ _feetdr�awd;vn: . .:_?�.�:� g:paa.witli....�...'.8�:� »feet drEnvdoVtm.• � I !' Date of test .. -:. . i. � '. . ` .. t r_.yam • .' if Floirb;WOM me discharge on ..........:.. � t Shut is ple�sure.at ground'surftW'.. ... ...w.Y»..» llu.per sq:_fo. Water is controlled by.». », ..- .- .-.. ._.. .::.r _ . ' ' :: ..:., w:s , ,; ap WM=Wl�JaleclUe!tlon a0d depth baloW.glouud surface of each casing ldtlA114�� aim ,to n „bet } L _ liich.dlameter__ _ tq. .. ..fest i >a diameter to.. '. _ „.' 184t aid i�how deaf shos;`plug,adapter.Iiner:Or other detaib:..:. Hpeetai�Nd Cssiwp'of Seseeuet: ' from to _.._. .» »to , from ` /' . »_ , . ... ..:-r..»... ..� »•y «., ...;'::.:.... : . .� ,.from t0 ••. _. .� -*•.-. „» •�^ »from. _..., ,....,»to 16. Log of Well: (Describe each strittakn oaF toamaibali a'laarlY,mite if water bewAng,and give thick: ness and.depth as indicated.) . YiG$ aIi<`OhA� , 777 7. 116 .. • ( - • .' A . ,*:'� W,T'u'• .....n•.µ.. .`•i 1- Y�!.:.._...•.w..w•+r+..rr+.rr•.wnw•r...r..,w.�.r...•.r..� ...k .. .. , It log of well is not available,give name addret4`o�d:liter. ....: �... ....:_.:...._.._..._. _ ... .... ..:�..r..�. �t 11. ItraNeta'henehr Comed e, jiv• a l?imet : length it Minimum dpth _ft. IVistiinwn depth. . .._...'S.' Bottbat width it. _.._... .»,.. gpm. Date of teat...:.»_........:.. ..:.�:..,. .:.__.... Ix71v1R USL•a Type of lin**.. !f1 •.•.:.' r.. s�=.�....»...:_:... ._.. .....;w, . . .» ,. _. .�... IlOL1S: ...._..»...w�...._,:..,,.....�..»«... t4nt1J,,ea. ...am weflaW da) •'""'r'L.•�•`•»-•�- Polltlost of water U*udag stratupp with reference to portal of tunnel 1•..:.:..�..._ ..�. Log of tunnel. (Preceding table for.log of atell;may be W040 dei,red. Give'footage"oi portal' and'chineter of tnateilals,as pertinent) I : IS PgmpiiarEgnimaat: ' : . lb�stage b0 asap Drell turbine 830 F gp ; (b •Dtottor _ Ele ctr i o..120V 1160 rM. lb HP 14 .L,ocaboa•of area irrigated or to be th%ated,.or place of�e if stir purposes other,than irrigation. ' ar••edo L xumd.r Aa., na.m . bum wmm.la awws >nweYiw s>Mi T,s.aft"" ri.e„®.nm "• ' 'i•. ... 1 S. Y•W : X44 Div— A; i[gaitsi a1' ' X - �; •. . ..10 .ti. .r •. 15. If the ground water supply is supplemental to an existigg Witter supply,identification of any appli- cation for a permit permit,certificate or,adjudicated right toappro ti water made or held by the registrant. �_ Tigard'Woll No. 2-be Ina re is'tearbd. _ 1 � �y;�rrpr"' _.. .. ... ... . .�«. sy/�w.wr...-i......:.-._a-•r......rf.�....,..... _L..-..- ....�...,---_...- ...'.�\ {•. y x � .//. -iii • J. A. Lobate well i kid aereage'of nigated boa oa plat Seale;r—1 Mule STATE.OF OP-MON :. County ot.�.Fl&.ehingtc�...-«�:..�....;:,-....'.--...:.. .:.:�#a• ,' / . . C $ _JgNOT... '.._ __ first d • --- .,:....- befog ulY�woen,'domheteby:oa:xity that I:lsave read the foregoing.Registratlon Statetnemt and.thgt.aII,of thr items thmeto'contained an-true to thtsbest of my knowledge and belief•. ` •'. .. .` Chairmen � one Boa d tr6. 8ttbi>w%W:. id iCQaA6 before me this.9 da Hy.•eonnnsfsdm►.eatpde+ei����— . ,�� (OPAL) CERTIFICATE OF IMLSTRATION b :.STA= OF OREGION 7~""ty of Mariam. �' r +J;taaf:to•.ceitify.that the foregoing Registration Stiatemint waa;t+aodpad iu thi Giffin'at tbs,fhate Engineer on.the:.:�th.dty o�. .*AARCemb�...._:,., 16: '1,at, 'g o' :.A. snd has be 1 duly recorded In aaid.ofila In Sb*i?b._ ....�1..:�=-- of Rigietii�tian Statements on paga.::gA-z5 ,�.... . Witoess'my hand tlils'„ ti:. day of...4--✓Qli Cft 2.. ' Attachment 2 Current and Proposed Point of Appropriation Map Application for a Groundwater Registration Modification— GR 616 City of Tigard Additional Points of Appropriation for Groundwater Registration No. GR-616 (Certificate No. GR-588) 17 �� � f• �_`-�•R �J r• /• �II ��� ,{� I� '•rl�l f i fr�_ ,�_ � r��r'�•''r'L ell # r 111 + t���.,�.`.`�- ';''.Y,\� '���\I '"� �f •' J/�� a ;-�" `i45R 1 � �• ;`:t�'��� :• '•.t Wal #V cu IASR;IL "'• N Atj -i r 1 _ i / r''Jam/ hr 1� I *,w !"f •i a ry, ti J/ I r�. i' �'�/• J� 'rr� a'. r�Y . rr ' :l. ;v �1, i• •, +f� �I fr 1 1 y� ri Nor•, / 1'r tlE }- • - r' Township-2 South;Range,l! En West� Meridiwn� =t_`•_ �� :=,��a,,��� �•� ter• .� �'-•--•� � "I •�-�-•.��`�.�!til�r {� F1;'.•"' .!� �T? =? l. •i '�-''�._...._ r...t r., a co ',JCA rL �• [a. f `�`y� Legend �� f�;v T• 4 +��`� Vj r r � Tc ® Point of Appropriation(POA) �•� ._ �) !•,�� _ ► ro POA Legal Description Mao Information Current POA KbP roPjection: Lambert Conformal Conic Well$1:Located South 000 44'37*West 1,639 FMp Datum: D North American 1983 feet from the northwest comer of Section 11,Township Map Date: October 22,2008 2 South,Range 1 West. Prepared By:GSI Water Solutions,Inc. Additional POA Reauested N ASR 1:Located South 030 13'22"East 1,561 NQ.W feet from the northwest comer of Section 11,Township This map was prepared for the purpose of identifying the 2 South,Range 1 West. location of a water right only and it is not intended to provide ASR 2:1-ocated 1,750 feet South and 100 feet East legal dimensions or location of property ownership lines. from the northwest comer of Section 10,Township 2 South,Range 1 West. Scale ASR 3:1-ocated 1,600 feet South and 1130 feet West of the northeast corner of Section 9,Township 2 South, 1 inch= 1,320 feet Range IWest. 0 500 1000 2000 Well#2:Located 61 , , 0 feet South and 1,270 feet East � from the northwest corner of Section 10,Township 2 South,Range 1 West. Feet w•e�rsN.e.�e.m� Weill WASH 11594 Deepening WASH 11593 Reconditioning WASH 58004 Well 2 WASH 11592 ASR 1 WASH 58003 ASR 2 WASH 61622 ASR 3 WASH 66115 Attachment 3 Well Logs Application for a Groundwater Registration Modification — GR 616 �$SEMATION WELL STATE ENGINEER �A1rTt STATE WELL NO. Well-Record Salem,Oregon 011-594 COUNTY APPLICATION NO. � ..... MAILING C'�J-daae OWNER: l/�rtrd-�l�QlCY._-�1. Tr�.�./......................- ----------- CITY AND LOCATION OF WELL: Owner's No. ---------'� ...._..._. STATE: ........ ................................... ■. ■. `50----Y4 I ••-Y4 Sec. ..//__. T. _2------S.,R..../._...W.,W.M. Bearing and distance from section or subdivision corner ..57. x••60-' `��--___4r_�-.....-..Je......e.-A......YOa.Je'e!'� E{l~t ----,---- ot Altitude at well ..-.'irt L1,. - - - - ..........-.-....................... TYPE OF WELL: Q.e�C_'l'MeO0.00' Date Constructed�/ t'/.IA5 ` p�zPENfO 4-a.46 Depth drilled . _ ,l__._.. _Depth cased......-.._._......__.__----- Section.......eZ......... __ CASING RECORD: r FINISH: AQUIFERS: WATER LEVEL: l 2E 1E PUMPING EQUIPMENT: Type .9-0............ H.P. Capacity .... G.P.M. WELL TESTS: Drawdown ....__.._.._ _ 'd ft. after ....... ______ hours _-..... ....._ _-_-.___ 1�.&..V.... G.P.M. Drawdown ....... I_. ft. after ...-_........--- _ hours ._.. .. _._.-------- _-.... - - �Ll�J G.P.M. USE OF WATER ---•--• __. Temp. ........ .. °F. ----•-----------------...............-- SOURCE OF INFORMATIOI DRILLER or DIGGER _ _ - - - - —-- —..... �_ - ADDITIONAL DATA: Log __--z_.___ Water Level Measurements Chemical Analysis .......... __._ Aquifer Test -------------..._ REMARKS: State Printing 89316 AIIWI- WELL #1 �; sr November 18, 191.7 Sounded Ro 1, STRASSER DRILLING COi R 3, Box 594 Portland 6, Oregon- Log regonLog of 12" well drilled for Tigard Water District, Completed April -- 25) 19+7 by R. J, Strasser Drilling Company. Surfaces to 2 ft. Top soil 2 ft• TM 11 it Y'sl.low clay 11 it tt 22 tt Hard pan with some sand 22 " 117 tt Silt and yellow clay Et' tt b4 " Soft lava rock +t ► g Gray and green lava rock $1 166 Black, gray, red rock medium hard 1 6 " tt 1.92 " Black and red rook medium hard 192 tt n 202 It Black hard rock 202 TM tt 212 ft Red and black soft porous rock with some water 212 tt It 220 ft Hard black rock 220 It tt 230 ft Hard black rock 230 n t: 260 " Gray and black medium hard rock 260 " 272 " Gray porous rock with water 272 tt n 309 " Lard black rook some crevices 309 " " 315 " Red rock not so hard 315 " ft 325 is Yellow and gray soft rock showing water 325 n n 345 n Gra hard rock 45 " tt 3 0 tt Medium hard gray rock 7 3 1 Hard gray rook Well cased with 12++ pipe to a depth of 71 feet and a cement grout placed to prevent surface water from entering the well4 Statin water level .$$feet from the surface. Pump test showed 60 G.P.M. with 20 Feet draw down. +t it n 120 tF n 30 n It tt it n n 170 +r ++ 46 It it n tr t+ n 210 et tt 97 tt n tr Would recommend pump. setting of 250 feet column, bowls and 35 feet of suction capacity 1.76 Q.P.M. Your pumping level would be 21.0 feet which would be the most practicable level to pump from as the next 1.0 feet of draw down only adds 40 a.P,M. of water and all of your water would need to be pumped that extra depth. NOTICE TO WATER WELL CONTRACTO*A Z The thisrepand i arerto bey O 115 9 3VATER WELL REPORT I 1 / filed with the State Well STATE ENGINEER, SALEW"VEGM-97310fiTATF• UE QUEGON ^ within 30 days from the date (Please type or print) State Permit No. _.. .-...�...._ .__.. ...... .__.. of well completion, (1) OWNER' (11) WELL TESTS' Drawdown is amount water lev 1 is lowered below static level Bohner Name Tigard Water District Was a pump test made?[XYes No If yea, by whom? 0i Address 88111 �_W_QQMXRRC1AL St. Yield: 165 gal./min. with 17 ft. drawdown after hre. _ Tigard Oregon (2) LOCATION OF WELL: Neetr S.W.103rd.Avee 2 omb 3-2- apd Highway U.S•. 99W �t* gal 4k with ft, drawdown after h _� County WashirlglOn Driller's well number Artesian flow .p.m. Date S.W Si N.W,% Section j_T T. 2S R. 1W W.M. - -- t+d Temperature of water Was a chemical analysis made?[)Yes_ Q.No Bearing and distance from section or subdivision corner (12) WELL LOG: 29 Diameter of well below casing 12,.,,(t � Depth drilled G ft. Depth of completed well 612 ft. rormation:Describe by color,character,size of material and structure,and shote thickness of aquifers and the kind and nature of the material in each stratum penetrated, with at least one entry for each change of formation. MATERIAL FRdM TO (3) TYPE OF WORK (check): Ronk blank 110- Well ❑ Deepening Q( Reconditioning❑ Abandon ❑ Rook rad 1-11 n1 J;PA donment, describe material and procedure in Item 19, (4) PROPOSED USE (check): (5) TYPE OF WELL: Clay Domestic ❑ Industrial ❑ Municipal C]Rotary Driven Q Irrigation Rook red )jQ -50CL [ITest Well C] Other 1:1 Dug M Jetted ❑ Dug ❑ Bored ❑ Rook black 925 IA— . (6) CASING INSTALLED: Threaded Q Welded❑ _.._.._ _..."Dism, from ..............___ft. to _.. ...... ft. Gage .. _ _ .... water bearing 5251 5V __.._...." Diam. from ...._......._........ft. to Y........... ft. Gage _..._ ... _.. " Diam. from ft. to _ _ _ . ...ft. Gage ......_.. _.. (7) PERFORATIONS: perforated?❑Yes ❑No Rack -brownish red: Rook -red soft _c�rae Type of perforator used we to r be Size of perforations in, by In. 5971 610 ...._............_........... perforations from .....__..__„_»._.. _ ft. to . _.._. __.»__.._ ft. __ ..._..._......_. perforations from ........................_.. ft. to ft Note.............­ perforations from _......_....».._.._.,._ ft, to It. TO S tr$:�zht en well, hank -ri 11 ...... perforations from .. . _._._. _ it, to with-b-ouldern & ravel from _..._. _...... ._ ... perforations from ft. to__ _ _. _.„. ft. 383 ft-to 368 ftp I (8) SCREENS: Well screen installed? ❑Yes X)No * Atter p]1ICpi-nct _ Manufacturer's Name Model No. _.... ... Slot size ..............Set from ....................... ft. to _.............._ft. 66 Work started ins► 19 Com leted XPr1118 66 Diam. .........„..... Slot size ............... Set from ._.................... ft. to ..”""""""-' Date well drilling machine moved off of well April. Ifl _ (9) CONSTRUCTION: (13) PUMP: Well seal—Material used in seal ...................._................ Manufacturer's Name ..»..__. ....._..._............................................._................__._.. 15epth of seal ft. Was a packer used? Type: .._.-------- _ �_ .____........._..... r Diameter of well bore to bottom of seal ._...___.._._.... in. Water Well Contractor's Certification: Were any loose strata cemented off?❑Yes ❑No Depth ..................... _._.. Was a drive shoe used?❑ Yes ❑No This well was drilled under my jurisdiction and this report is Was well gravel packed? ❑Yea ❑No Size of gravel:_. ................ true to the best of my knowledge and belief. Gravel placed from...... ..._. ... _...„..„ft, to_..._. it. NAME HAQ,KON BOTTNER DRILLING COMPANY Did any strata contain unusable water? ❑Yes Q No CPeraon,firm or corpo aeon) ( ype or print) Type of water? depth of strata Address a4.4_.s.r. l7 Street Portland Ore. Method of sealing strata off Drilling Machine Operator's icense No. �((}...$G...24bi.._.. ......... (10) WATER LEVELS: �L L (Signed) ............................. ... � . . Static level 222, ft. below land surface Date )+11/66 afro o Artesian pressure lbs, per square inch Date Contractor's License NoXQ9 Date.AP.r,XI 4_........ (USE ADDITIONAL SHEETS IF NECESSARY) RECEIVED RECEIVED wasH 58004 OVER THE COUNTER. l STATE OF OREGON DEC 1 3 ?00� WATER SUPPLY WELL PORT WELL I.D.#L (as required by ORS 517.765) WATEF RESOURCES DEPT START CARD#_114/Zz'7 Instructions for completing this orm. (1) -AN 'R Well Number (9)LOCATION OF WELL.by legal description: Name c Of "r6ARp County lhi,7 7N latitude Longitude Address 1312-1 'S IJr JIM.I, 13 I-Vb, Township Z5 N or S Range E or W WM, City I(JA Slate 096. Zip 9722 3 Section 114 1AJ 1/4 (2)TYPE OF WORK ,--,� Tax L nZ4100 Lot Block Subdivision D New Well ❑Deepening Lynnera[ion(repaidrecondaion) ❑Abandonment Street AAfdrens of Well(or nearest address) IQ"L-) S W. (3)DRILLMETIIOD:• i ("—b hN:2 29 RUQx CJ RotaryAir D Rotary Mud O Cable ❑Auger (10)STATIC WATER LEVEL: ❑Other ft.below land surface. Date OV• ZLt�I (4)PROPOSED USE: Artesian pressure Ib.per square inch Date D lhsmcstic 011 o munity D Industrial ❑Irrigation,,,��AA (I1)WATER BEARING ZONES: El Thermal njection ❑Livestock [a'61her II641 op 0.1 (5)BORE HOLE CONSTRUCTION: Depth at which water was first Gond Special Construction approval Yes[?No Dcplh of Completed Well 692-fl From To Estimated Flow Rate SWI. Explosives used ❑YesCR< Typc Amount IIOLE SEAL Diameter From m Tu , Material Fr T TO c s or pounds n (12)WELL LOG: Now was seal placed. Method D A Oil U?C` ❑D ❑E Ground Elevation ❑Other Backfill placed from (t it)--h, Material Material From To SWI. Gravel placed from -[(.to-fl. Site of gravel - W6 + (6)CASING/LINER: " Pau 1, Diameter From To Gauge Steel Plastic Welded Threaded Casing: r g / n 1.342, L.,� El 1 M Z t o n ❑ ►'n , ❑ ❑ o ❑ Liner: ❑ ❑ ❑ ❑ 1 1 S7 40 S'2 ❑ ❑ ❑ ❑ let c Drive Shoe used Ll Inside ❑Outside (.440555-c Final location of shoe(s) -100 t 40 (7)PERFORATIONS/SCREENS: NOME D Perforations Method D Screens Type Material J t Slot Telelpipe From To size Number Diameler size Casing Liner ❑ ❑ LOG C] ❑ D 11❑ ❑ ti A 1 (R)WELL TESTS: Minimum testing time is I hour Date started No UgjM 6&8l4"iComp1,1cd ,►�+y�y7ti:y�) /� Flowing (unbonded)Water Well Constructor Certitiicalioh: E)Pump R<.iler O Air D Artesian 1 comfy that the work I performed on the construnron,ahcration,or abandon- Yield gal/min Drawdown Drill stem at Time mens of this well is in compliance with Oregon water supply well construction 510 1 hr. standards.Materials used and information reported atwvc are true to the txxst of my knowledge and belief. WWC Nuinhcr Signed Date Temperature of waler !S_�W Depth Artesian Flow Found (bonded)Water Well Constructor Certification: Was a water analysis done'! ❑Yes By whom I accept responsibility for the construction,alieranon,or abandonment work Did an strata contain water not suitable for intended use! Performed on this well during the construction dales reported above.All work y D Too little performed during this time I in compliance with Oregon water supply well O Sally D Muddy D Odor D Colored D Other construe siwWards Thi port is true to the best of my knowledge a d lv�it Depth of strata: W WC Numhc( Signed Dat• 1 ORIGINAL-WATER RESOURCES DEPARTMENT FIRST COPY-CONSTRUCTOR SECOND COPY-CUSTOMER 10155ERVATIUN W" STATE ENGINEER W414 Well Record STATE WELL NO. Salem,Oregon 011592 COUNTY APPLICATION NO MAILING ............ OWNER: . __-----•------ ADDRESS: --- CITY AND LOCATION OF WELL: Owner's No. .._..._7 .......... STATE: ......... ................................... Y. In. 3/4 . 1/4 Sec. T. 2------S.,R. W.,W.M. Bearing and distance from section or subdivision corner X....... ...... A I A ........ ..--•-----.......................................................................................... Altitude at well ............................ TYPE OF WELL -0-1,hAW Date Constructed Depth drilled ------ Depth cased....:��A..... Section.......Zd.......... CASING RECORD: /0- /,07 e W FINISH: AQUIFERS: WATER LEVEL: Z za PUMPING EQUIP NT: Type ..........7Z,.0-A14r'.e.......................... H.P. .Zns ........... Capacity G.P.M. WELL TESTS: Drawdown ...-------......ZA ft. after ................ hours .................................. G.P.M. Drawdown --------------f�� ... ft. after ..........—........ hours .............................. G.P.M. USE OF WATER IWWA.IA.Z<•�;,,>AZ. Temp. ............ OF. .................. Y9._...... SOURCE OF INFORMATION ........... ................................................. DRILLERor DIGGER .........------------------------.—-----------------------—------ ........................ ADDITIONAL DATA: Log Water Level Measurements ............... Chemical Analysis .............. Aquifer Test REMARKS: state Printing 89918 WELL # 2 R. J. STRASSER DRILLING COMPANY 8110 S,E, Sunset Lane Portland 6, Oregon Log of 'wolf # 2 for the Tigard Water District 12 inch well cased with 10 inch to 342 feet deep. Comlated 7/30/49• Surface to 2 Ft Top soil 2 ft " 29 11 Yellow and red clay 29 t1 " 7 1' Decomposed rock 47 :r r1 83 tr Hard ggrray rook 83 " n 97 rr Brownish red medium rock 97 tr '* 192 +' Hard gray rock 192 fr rt 201 ?' Soft brownish red rock with around 100 G.P.M. 209 n n 2129 1r Hard gray rook 209 1r 11 224 rr Porous broYm rock with a little water 224 n 1t 265 " Gray and brown rock 265 " if 274 t1 Porous grown rock a little water 274 'r " 319 1t Hard gray rock Well was tested at 342 feet and furniahed 220 G.P.M.a draw down of 140 .feet. 335 tr rr 362 1r Hard gray rook 362 n " 369 n Brown porous rook 368 11 It 395 11 Hard clay 395 t1 it 400 1' Soft red rock should have some water 400 It it 438 11 Gray rock 438 rr 1t 447 11 Very soft yellow rook with water 447 n 1t 453 11 Gray rook Static water levil 190 feet from the surfaee. Pump test showed 325 G.P.M. with 72 feet draw down 400 11 It 90 it 1t n A cement seal was made around the caeing at a depth of 60 tO 70 feet to prevent any water from entering the well above the 70 ft. level. RMIAb STATE OF OREco DEC 12 2001 A/ � WATER SUPPLY WELL REPORT WELL I.D.i ("rapind g nits$91.? WATER RE50 R S DEPS START CARD M Instructions for rn led a of th form (1) OWNS : , Well Numba (9) LOCATION OF WELLby legal description: Name G County Lmtude Longitude Address Ps S-LAV 14ALL 5LVbl, Township N or S Range JMJ E or W. WM. Qi b State . ZipSection W 1/4 1/4 (2) qW9 OF WORK Tax Lot g6w Lot Block Subdivision [Elgew We0 ❑Deepening❑Alteration(mpair tecoodition)❑Abandonment Street Address of Well(or neareat address) (3) E OD: Lime S [RICotary ❑Rotary Mud ❑Cable ❑Auger (1 ) STAPC WATER LEV EL: ❑Other ft below land surface. Dale ay_ (4) PROPOSE USE: Artesian pressure lb.per square inch. Date E]Domestic ❑Community ❑Iodustial ❑hrigabon (11) WATER BEARINGE.: Tbermal 9lnfecuon ❑Livestock []fl9ner BOREHOLEO TR IO . Depth at which water was first found 3Z3 Special Construdion approval[]'Yes No Depth of Con IcsM Well"ft. Explosives used ❑Yes [jMo Type Amount From To Estimated Flow Rate S WL HOLE SEAL D P Dlamdar From To Malarial rrwn To Seeks orpaods 2 e r G e it IT t t r / r s w e p (12) WELL LO How was seal placed: Method E]A ❑B r3e ❑D ❑E round Elevation ❑ Other Backfill placed from ft to ft. Material Material From To SWL Gravel placed from ft. to ft. Size of grave ( CASING/I.INER: "7 Diameter Prom To/Goose Sled Ptastk WaYod Th"aded Cuing •� ❑ ❑ ❑ ❑ ❑ O ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ Limes ❑ ❑ ❑ ❑ 140 e ❑ ❑ ❑ ❑ J. &M b4sdI4 f Final location of shoe(s) 2_ (•n E ORA O SCRF,ENS: NO Of t ❑perforations Method ❑Screens Type Material Stet nwr4e �2 Flom To size Natober, Dianwor sine Cala` Liner J ❑ ❑ t ❑ ❑ 92 101 ❑ ❑ 4 h i ❑ ❑ ❑ ❑ 2.a 41 co 10V&A (8) WELL TS: Minimum testing time is 1 hour Date versed mp Coleted Flowing (unbooded)Wats Well Constructor CertNkalloo: ���LLL-!!l ❑Bailer [:]Ai, ❑AAitesiaan 1 certify that the wort 1 performed an the construction,alteration,or abandonment YkN Vmla Drywdawa Drill ween n Time o[thin well u in compliance with Oregon water supply well construction standards. Materials used and information reposed above are true to the best of my knowledge 1 hr. and belief. W WC Numbs. Signed Date Temperance of water DepthArtesiam Flow Found (bonded)Water Well Constructor Certification: Was a water analysis done? ❑ Yes By whom I accept respDnsibdity for the eovtruction,alteration,o abandonment work Did any strata contain water not suitable for intended use? ❑Too little performed an this well doing she comstruchon dates reported above. All work performed during quo time is in compliance with Oregon water supply well ❑Salty ❑Muddy ❑Odor ❑Colored ❑Other construction hrds. THs is true to the best of nny knowledge o9d belief. Depth of stra-, C Numbs 33 Sigrned Datc ORIGINAL-WATER RESOURCES DEPARTMENT FIRST COPY-CONSTRUCTOR SECOND COPY-CUSTO ER I REGENEu3 \ STATE OF OREGON DEC 1 2 2001 WATER SUPPLY WELL tEPORT WELL I.D.#L (as required by ORS 537.765) WATER RESOURCES DEPT START CARD it _ Instructions for completing Its repo SA"Imemme of t form. (1)LAND OWNEL� —! I�ArRD Well be (9)LOCATION OF WELL by legal description: Name � _ G L� County latitude Longitude Address Township—N or S Range E or W.WM. City State Zip Section 114114 (2)TYPE OF WORK Tax Lot Lot Block Subdivision ❑New Well ❑Deepening ❑Alteration(repaidrecondltim) ❑Abandonment Street Address of Well(or nearest address) (3)DRILL METHOD: O RotaryAir ❑RotaryMud ❑Cable O Auger (10)STATIC WATER LEVEL: O Other ft.below land surface. Date (4)PROPOSED USE: Artesian pressure Ib.per square inch Date ❑Domestic ❑Community ❑industrial ❑Irrigation 01)WATER BEARING ZONES: O Thermal ❑Injection O Livestock ❑Other (5)BORE HOLE CONSTRUCTION: Depth at which water was first found Special Construction approval ❑Yes❑No Depth of Completed Well_—ft. From To Estimated Flow Rate SWL Explosives used ❑Yes ❑No Type Amount I HOLE SEAL Diameter From To Material From To Sacks or pounds (12)WELL LOG: How was seat placed: Method ❑A ❑B OC O D ❑E Ground Elevation ❑Other Backfill placed from ft.to--ft. Material Material From To SWL r Gravel placed from ft.to ft. Size of gravel TO CASINGILINER: K1 Diameter From To Gauge Steel Plastic Welded Threaded Casing: ❑ ❑ ❑ ❑ f ❑ ❑ ❑ ❑ r.Vffj ivy 514 ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ cc IOWAZ Liner: ❑ Cl ❑ ❑ q bud Z r o ❑ ❑ ❑ midK Drive Shoe used ❑Inside ❑Outside ❑None Final location of shoe(s) (7)PERFORATIONSISCREENS: I, O Perforations Method t 1 t ❑Screens Ty pc Material Slot Tele/plpe From To size Number Diameter size Casing Liner ❑ ❑ ❑ ❑ ❑ ❑ (S)WELL TESTS: Minimum testing time is 1 hour Date started Completed Flowing (unbonded)Water Well Constructor Certification: ❑Pump O Bailer ❑Air ❑Artesian I certify that the work 1 performed on the construction.alteration,or abandon- Yield bandonYield gallmin Drawdown Drill stem al Time Ment of this well is in compliance with Oregon water supply well construction I hr. standards.Materials used and information reported above are true to the best of my knowledge and belief. W WC Number Signed Date Temperature of water Depth Artesian Flow Found (bonded)Water Well Constructor Certification: Was a water analysis done? ❑Yes By whom I accept responsibility for the construction,alteration.or abandonment work Did any strata contain water not suitable for intended use? ❑Too little performed on this well during the construction dates reposed above.All work performed during this time is in compliance with Oregon water supply well O Salty ❑Muddy ❑Odor ❑Colored ❑Other construnr s s.Thi n is cru t the best of my knowledge ef.n' Depth of strata: WC Number Cr'e Signed Date f ORIGINAL-WATER RESOURCES DEPARTMENT FIRST COPY-CONSTRUCTOR SECOND COPY-CUSTOMER --- ----- - - - -- - - - - - -- ------- ------ -WASH- 6_1.622 - - - - - - - --- --- - ---- - -- -- -- - --- - STATE OF OREGON WATER SUPPLY WELL REPORT (WELL I.D.)4 L 68044 tan required by ORS 537.765) (START CARD)# 161746 Instructions for cotrigleting this report are on the last page of this form (1) OWNER: Well Number COT-2R (9) LOCATION OF WELL by legal description: Name City of Tigard County Washington Latitude Longitude Address 13125 SW Hall Blvd. Township 2 S Range 1 W W M. City Tigard State OR Zip 97223 Section 10 SW 1/4 MW 1/4 (2) TYPE OF WORK Tax Lot 900 Lot Block Subdivision 6Z New Well❑Deepening ❑Alteration(repair/recondition)❑Abandonment Street Address of Well(or nearest address) NE corner of SW 125th& (3) DRILL MET14OD: SW Bull Mountain Rd. Rotary Air ❑Rotary Mud ❑Cable ❑Augct (10) STATIC WATER LEVEL: VOther Reverse Circulation _ 308 ft.belov+land surface Date 8!02/04 (4) PROPOSED USE: Artesian pressure Ib.per Square inch. Date E]Domestic WCommunm E)Industrial ❑Irrigation (11) WATER BEARING ZONES: ❑Thermal []Injection ❑Livestock ❑Other (5) BORE HOLE CONSTRUCTION: Depth at which water was first found 312' Special Construction approval❑Yes 0 No Depth of Completed Well 1012 ft Explosives used ❑Yes rV No TYpe Amount_ From To Estimated Flow Rate SWL HOLE SEAL —COMPLETED ON Diameter From To Material From To Sacks or pounds ATTACHED 24" 0 32' 1 Bentonite 10 32' 118 sacks SHEET- 20" 32' 343' Cement 0 351.7 17 yards 16" 343' 1012' How was seal laced: Methal A B C D E (12) WELLLOG: P ❑ ❑ m ❑ ❑ Ground Elevation 66 Other poured chips Backfill placed from it to ft Material Material From To SWL Gravel placed from 351.7 11 to 716 fl Sue of gravel pea —COMPLETED ON ATTACHED SHEET— (6) CASINGILINER: Diameter From To Gauge Steel Plastic Welded Threaded Cusute—*SEE ASS BUILT "" (� ❑ � ❑ ❑ ❑ ❑ ❑ Liner: ❑ ❑ ❑ ❑ Final location of shoef s) (7) PERFORATIONS/SCREENS: ❑Perforations Method wire wrap [ZScreens Type 304 Material B.E. Is— S1.1 Teleipipe From To sic Number Dumetrr size Casing Liner 554.7' 574.7' .050 16" ❑ 679.7' 699.7' 1.050 16" ❑ 0 WATER RES - 779.7' 819.7' .050 16" ❑ ® 8 854.7' 894.7' .050 16" ❑ 964.7' 1004.68' .050 1 16" 0 66 (B) WELL TESTS: Minimum testing time is hour Date started 3110/04 Completed $125104 Flowing (unbooded)Water Well Constructor Certification: ❑Pump ❑Bailer V Air ❑Anestan I certify that the work I performed on the construction.alteration,or abandonment Held KNI/nun Drawdown Drill nem at Time of this well is in compliance with Oregon water supply Hell construction standards Materials used and information reported above are true to the best of my knowledge 428 qpm 28' 1010' 1 hr. and belief % W WC Number 1 Signed A4 Date s, ��•- ��'• Temperature ofwalcr 57 Depth Artesian Flow Found (bonded)Water Well Constructor Certification: Was a++ater anahsis dont" Yes By Wtom I accept responsibility,for the construction,alteration,or abandonment work- Did orkDid am•straw contain water not suitable for intended use ❑Too liuie performed on this well during the construction dates reported above. All work Performed durinj this time is in compliance with Oregon water supply Weil ❑Salty ❑Muddy []Odor ❑Colored ❑Other construction sufndards. Thisteptirt is true to the best of my knowledge and belief Depth of strata f WWC Number_ Signed flLl. � Date C e ORIGINAL K FIRST COPY-WATER RESOURCES DEPARTMENT SECOND COPY-CONSTRUCTOR THIRD COPY-CUSTOMER WASH 61622 Geo-Tech Exploratrono A Division of Boart Longyear 19700 SW Teton Ave Tualatin, OR 97062 503-692-6400 503-692-4759 (fax) Start Card: 161746 Well Label: L68044 Boring # : ASR COT-2R Water Bearing Zones: From To Estimated Flow Rate SWL 554 574 307 679 699 307 779 819 307 854 894 307 964 1004 12.2 gprn /ft 307 Soil Profile Continued from Log: Material From To SWL Gravel base 0 2' Brown silt 2' 12' Brown silt w/weathered basalt 12' 15' Brown silt—soft 15' 18' Brown silt w/weathered basalt 18' 20' Weathered basalt 20' 38' Weathered basalt—broken 38' 65' Basalt med —gray 65' 91' Basalt soft —red 91' 103' Basalt med —weathered 103' 139' Basalt w/seams of brown silt 139' 238' Basalt conglomerate 238' 279' Basalt - gray w/seams 279' 1 380' 307 Weathered broken basalt 380' 420' 307 Basalt(med/hard)-gray 420' 470' 307 Basalt soft - gray& red 470' 481' 307 Weathered basalt med - fractured 481' 497' 307 Basalt - gray 497' 515' 307 Basalt (sfightly(slightlyvesicular)- dark grayRECEVED 515' 532' 307 Basalt—weathered/broken 532' 537' 307 Basalt hard —gray 537' 542' 307 Basalt med/hard)— grayr ` - 542' 549' 307 WASH 61622 Basalt(hard)— light&dark gray 549' 631' 307 Basalt—brown, green& gray 631' 635' 307 Basalt—gray 635' 640' 307 Basalt (slightly vesicular)—brown&gray 640' 648' 307 Basalt d —gray/some pinholes 648' 661' 307 Weatherered basalt-brown, green &gray 661' 678' 307 Basalt fractured -brown,green&gray 678' 680' 307 Vesicular basalt—brown to red 680' 688' 307 Basalt—gray to brown 688' 711' 307 Basalt—gray w/dark gray seams 711' 718' 307 Basalt—brown to gray 718' 724' 307 Basalt fractured — brown to gray 724' 730' 307 Basalt—gray w/dark gray seams 730' 736' 307 Basalt(fractured)—gray to brown& green 736' 786' 307 Basalt(med)—gray to red 786' 788' 307 Basalt—gray to brown & green 788' 795' 307 Fractured basalt and —gray 795' 810' 307 Basalt(very fractured)—gray w/brown& green 810' 819' 307 Basalt(slightly fractured)- gray w/brown 819' 838' 307 Basalt(fractured)—brown to gray 838' 843' 307 Basalt fractured — gray to brown 843' 852' 307 Basalt(hard)—gray 852' 859' 307 Basalt(fractured)— gray to brown 859' 870' 307 Vesicular basalt—brown to gTay 870' 875' 307 Basalt med/hard —gray; slightly vesicular 875' 884' 307 Basalt fractured/hard —brown to gray; slightly vesicular 884' 890' 307 Basalt fractured/med —brown to gray 890' 939' 307 Basalt med/hard —gray 939' 943' 307 Basalt(med /hard)— gray& brown, slightly fractured 943' 1012' 307 RECEIVED OCT 041200 WATER RESUUI _, SALEM,o WASH 61622 0 feet As-Built for COT-2R Start Card: 161746 Label: L68044 50 feet _ 24"boring from 0-32' 20"boring from 32-343' 16"boring from 343'- 1012' 100 feet 24"Backfilled w/ Bentonite Chips 150 feet backfilled cement grout 0-343' 200 feet f 20"permanent casing set+1 to 343' 250 feet 300 feet Static Water: 307' 350 feet ' 16" Mild Steel blank(liner) 400 feet - +1.5' to 554.7' RECEIVED 4 0 feet OCT 04 a WATER RESflUr SALEKOREGON E 500 feet Page 1 of 2 WASH 61622 ' 500 feet - -- - As BuilF&k COT=2R Mild Steel Blank(liner) Start Card: 161746 +1.5'to 554.7' Label: L68044 550 feet Stainless Steel Screen(liner) 554.7'to 574.7' , , 600 feet Mild Steel Blank(liner) 574.7'to 679.7' 650 feet , , , Stainless Steel Screen(liner) 700 feet 679.7'to 699.7' , t Mild Steel Blank(liner) 750 feet 699.7'to 779.7' 800 feet ; !----Stainless Steel.Screen(liner) 779.7'to 819.7' Mild Steel Blank(liner) 819.7'-854.7' 850 feet , Stainless Steel Screen(liner) 854.7'to 894.7' 900 feet ' ; Mild Steel Blank(liner) RECEIVED , 894.7'-964.7' 950 feet OCT 04 M , WATER RESOU, SAt.EK O.REt A Mild Steel Stainless Steel Screen(liner) Blank&Shoe 964.7'- 1004.68' 1000 feet 1004.7-1009.5' Page 2 of 2 STATE OFOREGON WASH 66115 WATER SUPPLY WEl I,REPORT WELL LABEL#1. 89315 � (as required by ORS 537.765&OAR 690-2050210) START CARD# 177457 (1)LAND OWNER owner Well I.D.189515 (9)LOCATION OF KrELL(legal description) First Name Last Name County WASHING' T'wp 2 S NIS Range 1 W E/W WW C-vany City of Tigard Sec 9 SW 114 ofthe "1 1/4 T.Lot 2500 Address 13125 SW Hall Blvd Tax Map Number Lot Cin Tigard M Soli OR Zip 97273 lit 0 "or J WAS or DD (2)TYPE OF WORK[X New Well n Deep«tmg D (.00version Long ° 0 "or DMS or DD Alteration(repair/reoondilion) 0 Abandonment tri Fstreet address of well ( Ncamt addreas Vcvcroc RILL METHOD 13001 SW Bull Mooatsin Rd,Tigard,OR 97224 otary Ai RotaryMud Cable E]Auger Cable Mud (10)STATIC WATER LEVEL Rotary D Othcr Dam SWL(pai) + S m4ft) (4)PROPOSED USE[]Domeetie DIrrigstion NC.o unity xrating Well/1'rodccperung p--� mrlvted Wcll 08-12-2007 348.7 olndtxtriail Comaterieial U Livmurcl E]Dewater* - Flowing Artesian? Thy Hole?D OThcrrual E]Inlecsaon [:]Other WATER BEARING ZONES Depth water was first found (5)BORE HOLE CONSTRUCTION Special Standard Attach cTyj SWLDau From TO + surt IRl_ flepth of Completed Well 1,100 fL 08-12-2007 370 400 BORE HOLE SEAL sacks/ 08.12-2007 436 460 Din From To Material From To Amt lbs 08-12-2007 490 490 I 24 0 420 Cement 0 417 272 S 08-12-2007 510 535 19 42p 1 104 0&12-2007 575 605 (11)WELL LOG Gtound L'ksvation How wan seal placed: Method [--JA aB XC [:]D ❑E Nfatenal From To GlOther Soil 0 1 Sae{d'ill placed from ft,to fl. Materia] Clay Soft Brown 1 16 Filta pack from R to ft.Material Size Weathered Rock 16 21 Explosive used: Des Tyyc Amount — Brown with Black Basalt 21 190 Brown Basalt 190 210 T)CA.SING/LTNER Brown wilt Black Basalt 210 305 ming liner Dia + From To Gauge Stl Plate Wld Thrd Black:Basalt•3.5 m._per ft 305 350 • 20 .5 417 .375 • X Black with Brown Basalt .1 440 • 16LXJ 3 1 375 .375 • r1i X Basalt GT&y Brown Red Soft 440 455 Basalt Gray&Brown Hard 455 473 Basalt Brown&Gny Soft 473 490 BasaltGra y&Brown Mcd 490 515 Basalt Brown& Brown Soft 515 530 Shoe❑Inside OOut9idc Other Location of ehoe(s) 420 Basalt GTay&Brown Hud 530 550 Tcmp casing E Yes Dia From To Basalt Cffay Hard 550 580 (7)PERFORATIONSISCR EENS Basalt Gray&Brow Broken 580 635 Basalt Gn hard 635 715 Perforations Method Basalt Gray&Brown Broken 715 740 Serene Type: V-Wap Material Stainias Steel Basalt Gray Broken _ 740 775 PcrfS Caring1scrccn Srnt/slot Slot N of Tete1 Datc SWtod 04-27.2007 Completed 09-17-2007 Breen Lina Dia From To width len 'lots outP Scrtxvt caging 16 575 605 .05 (unbonded)Water Well Constructor Certification Screen Lina 16 605 655 .05 I certify that the work I performed on the construction. docpening,ali ratiom or Screen C aia 16 655 675 .05 abandonment of this well is in compliance wills Oregon watts supply well (Screen Lina 16 675 955 .05' comtruction standards. Materials used and information reported above are true to Screen Caain 16 755 765 .05 the best of my kn ledge and belief. (8)WELL TESTS:Minimum testing time Is I hour License Numb 1530 Date 1008.2007 ce Pump U Hai{er O Air O Rowing Artesian Password:(' ing Yield al'min Drawdow Dn1i stamrl'um�epth Duration(hr) Signed 1 500 173.8 620 120 (bonded)Water Well Constructor Cerlification 1 accept responaibithy for the construction, du.�pcnuig.alteratim. or abandonment wcni:performed on thi*well during the construction dater reported above. All work Ternpnatwe 53 °F Labanalysis[:]Yes By performed during this time is in compliance with Oregon water supply well Water quality conoem? E]Ym(describe below) construction aundards. This report is true tc best f my dodge and belief --12� Arnotint Liceruc Number 1523 Dau Password:(if filing electronically) Signed Contact Info(Optional) ORIGINAL-WAIER RESOURCES DEPARTN(FNf THIS REPORT MUST BE SUBMITTED TO TH't�'�{�l�Rl�t71(I(-'S DEPARTMENT WITHIN 30 DAYS OF COMPLETION OF WORT �,t�t r•• � Form Version: 0.89 WATER RESCIURGES DEPT SALEM OREGON WASH 66115 NVATER SUPPLYVIrELL REPORT- WELL I.D.#I. 89515 continuation page START('ARD# 177457 (S)BORE HOLE CONSTRUCTION (10)STATIC WATER LEVEL BORE HOLE SEAL sacks! Hater Beating Zones Dia From To matclia SR'L Date From To Est Flow SWL( i) + SA' fl 08-12-2007 635 670 06.12-2007 755 765 08-12-2007 850 885 t 09-12-2007 975 1,005 08-12-2007 1,030 1.065 1,500 *-71 I FILTER PACK Front To Material Size i _ (11)WELL LOG (6)CASINGILMR From 70 CasinF Liner Dia + From To Gauge Sit Plstc A'ld Thrd B,asah Gray Hud I 775 ( 785 1 Basalt Gray&Brown 11ard 785 i 825 Basalt Gray Hard 825 860 Basalt Gray&Brown Med.aomo cinder looking rock 860 865 I �^ Basalt Gray&Brown Broken 865 875 Basalt GrAy Hard 875 970 Basalt Gny Broken 970 995 Bsuh Gray 995 1,020 Bsull Gary Broken 1,020 1.063 Basalt Greon&Gray Sall 1,06. I'068-1 Basalt Gray Hard 1 068 1 1 070 Basalt Gray Broken 1,U7-0—i 1,075 Baull Gray Hard 1,075 i 1.100 (7)PERFORATIONS/SCREENS PcrPS Casinpl Screen San4101 Slot k of Telr1 erten Linc Du From To width lawffi slob pme ave Scrorn Lina 1 16 765 850 i .05 1 _ ;Screen Casingl 16 850 890 .05 I Swots Linc 1 16 890 975 .05 Screen Casing16 975 1,005 .OS Screen Lina 16 1,005 1,050 .05 Screen Gain 16 1,050 1,070 OS !Sa=Lino 16 1,070 1,100 .05 --- (8)WELL TESTS: Minimum testing time Is 1 hour Yield PaVmin praudownd Durstiori r Comments/Remarks i Water Quality Concerns From To Description Amount Units Gi,1 2, 3 2007 WATER RESUURCES DEPT SALEM OREGON Attachment 4 Current and Proposed Place of Use Application for a Groundwater Registration Modification— GR 616 Kim Grigsby prom: Kelly Starnes[starnepk@wrd,state.or.us] Sent: Thursday, December 18, 2008 9:28 AM To: Kim Grigsby Subject: RE: Map scale waivers Kim - I have reviewed the map and the Department can accept it as part of the transfer application. Please include a copy of this e-mail with the transfer application. Kelly -----Original Message----- From: Kim Grigsby [mai Ito:KGrigsby@GSIWaterSolutions.coni] Sent: Wednesday, December 17, 2008 12:33 PM To: Kelly Starnes Subject: Map scale waivers Kelly, We are developing GR modification applications for the City of Tigard. We would like to use the attached maps for the place of use maps. Could we get a map scale waiver for these maps? i Thank you, Kira Kimberly Grigsby Water Resources Consultant GSI Water Solutions, Inc. 1600 Western Blvd., Suite 240 Corvallis, OR 97333 Phone: 541-753-0745 ext. 13 -----Original Message----- From: CVO-Printer@gsiwatersolutions.com [mailto:CVO-Printer@gsiwatersolutions.com] Sent: Wednesday, December 17, 2008 9:03 AM To: Kim Grigsby Subject: This E-mail was sent from "CVO-P-RICOHC2500" (Aficio MP C2500) . Scan Date: 12.17.2008 12:03:24 (-0500) Queries to: CVO-Printer(@gsiwatersolutions.com 1 Place of Use Groundwtae r Registration GR-616 30 1,30 0 City of Tigard 2V --z7- Ci C 0: F1 ---31 31--- EGEND proposed Place of Use(POU) City of Tigard Water Service Area Township I South 4 Authorized POU for Registration GR-61 Township Streets nWPWAC6 EG Watercourses 1. Waterbodies I 3 2, m, Ammo . N RR A 112 -7- d"' Is 15, 14 N Scale 1:33,600 ...... 0 0.25 0.5 0.75 1 Miles LJ ft— AD 1"I AR. v6sl —P-Dout' d.r.RAtToU_d'D.M j-,,6-- AM Attachment 5 Groundwater Registration No. GR-616(Certificate No. GR-588) Location of Revised Place of Use Tsi , .d int 1/41/4 Tax Lot i LG Section Number Acres 1 W 27 SE SE 1 W 33 SW SW 1 W 33 NW SW is 1 W 33 SE SW is 1 W 33 NE SW is 1 W 33 SE NW is 1 W 33 SW SE is 1 W 33 NW SE is 1 W 33 SE SE is 1 W 33 NE SE is 1 W 33 SW NE is 1 W 33 SE NE is 1 W 33 NE NE is 1 W 34 SW SW is 1 W 34 NW SW is 1 W 34 SE SW is 1 W 34 NE SW is 1 W 34 SW NW is 1 W 34 NW NW is 1 W 34 SE NW is 1 W 34 NE NW is 1 W 34 SW SE 1 S 1 W 34 NW SE is 1 W 34 SE SE 1S 1W 34 NE SE 1S 1W 34 SW NE is 1 W 34 NW NE is 1 W 34 SE NE 1S 1W 34 NE NE is 1 W 35 SW SW is 1 W 35 NW SW is 1 W 35 SE SW is 1 W 35 NE SW is 1 W 35 SW NW 1 S 1 W 35 NW NW is 1 W 35 SW SE is 1 W 35 NW SE is 1 W 35 SE SE is 1 W 36 SW SW 2S 1 W 6 SE SE 2S 1 W 6 NE SE 2S 1 W 6 SE NE 2S 1 W 5 SW SW 2S 1 W 5 NW SW 2S 1 W 5 SE SW 2S 1 W 5 NE SW PAPortland\103-Tigard\005-10MG Site\1.2 Water Rights\GR 616(GR 588)\Attachment 5-GR 616 Revised POU.xIs 1 of 6 Location of Revised Place of Use OY TIM TAS ophi 2S 1 W 5 SW NW 2S 1 W 5 SE NW 2S 1 W 5 SW SE 2S 1 W 5 NW SE 2S 1 W 5 SE SE 2S 1 W 5 NE SE 2S 1 W 5 SW NE 2S 1 W 5 SE NE 2S 1 W 5 NE NE 2S 1 W 4 SW SW 2S 1 W 4 NW SW 2S 1 W 4 SE SW 2S 1 W 4 NE SW 2S 1 W 4 SW NW 2S 1 W 4 NW NW 2S 1 W 4 SE NW 2S 1 W 4 NE NW 2S 1 W 4 SW SE 2S 1 W 4 NW SE 2S 1 W 4 SE SE 2S 1 W 4 NE SE 2S 1 W 4 SW NE 2S 1 W 4 NW NE 2S 1 W 4 SE NE 2S 1 W 4 NE NE 2S 1 W 3 SW SW 2S 1 W 3 NW SW 2S 1 W 3 SE SW 2S 1 W 3 NE SW 2S 1 W 3 SW NW 2S 1 W 3 NW NW 2S 1 W 3 SE NW 2S 1 W 3 NE NW 2S 1 W 3 SW SE 2S 1 W 3 NW SE 2S 1 W 3 SE SE 2S 1 W 3 NE SE 2S 1 W 3 SW NE 2S 1 W 3 NW NE 2S 1 W 3 SE NE 2S 1 W 3 NE NE 2S 1 W 2 SW SW 2S 1 W 2 NW SW 2S 1 W 2 SE SW 2S 1 W 2 NE SW 2S 1 W 2 SW NW 2S 1 W 2 NW NW 2S 1 W 2 SE NW 2S 1W 2 NE NW PAPortland\103-Tigard\005- 10MG Site\1.2 Water Rights\GR 616(GR 588)\Attachment 5-GR 616 Revised POU.xIs 2 of 6 Location of Revised Place of Use Government 1/41/4 Tax Lot Township Range Section Lot or DLC Section Number Acres 2S 1 W 2 SW SE 2S 1 W 2 NW SE 2S 1 W 2 SE SE 2S 1 W 2 NE SE 2S 1 W 2 SW NE 2S 1 W 2 NW NE 2S 1 W 2 SE NE 2S 1 W 2 NE NE 2S 1 W 1 SW SW 2S 1 W 1 NW SW 2S 1 W 1 SE SW 2S 1 W 1 NE SW 2S 1 W 1 SW NW 2S 1 W 1 NW NW 2S 1 W 1 SE NW 2S 1 W 1 NE NW 2S 1 W 7 NE SE 2S 1 W 7 SE NE 2S 1 W 7 NE NE 2S 1 W 8 NW SW 2S 1 W 8 NE SW 2S 1 W 8 SW NW 2S 1 W 8 NW NW 2S 1 W 8 SE NW 2S 1 W 8 NE NW 2S 1 W 8 SW SE 2S 1 W 8 NW SE 2S 1 W 8 SE SE 2S 1 W 8 NE SE 2S 1 W 8 SW NE 2S 1 W 8 NW NE 2S 1 W 8 SE NE 2S 1 W 8 NE NE 2S 1 W 9 SW SW 2S 1 W 9 NW SW 2S 1 W 9 SE SW 2S 1 W 9 NE SW 2S 1 W 9 SW NW 2S 1 W 9 NW NW 2S 1 W 9 SE NW 2S 1 W 9 NE NW 2S 1 W 9 SW SE 2S 1 W 9 NW SE 2S 1 W 9 SE SE 2S 1 W 9 NE SE 2S 1 W 9 SW NE 2S 1 W 9 NW NE 2S 1 W 9 SE NE 2S 1 W 9 NE NE PAPortland1103-Tigard1005-10MG Site11.2 Water Rights\GR 616(GR 588)\Attachment 5-GR 616 Revised POU.xIs 3 of 6 Location of Revised Place of Use Government 1A 114 Tax Lot Township Range Section Lot or DLC Section Number Acres 2S 1 W 10 SW SW 2S 1 W 10 NW SW 2S 1 W 10 SE SW 2S 1 W 10 NE SW 2S 1 W 10 SW NW 2S 1 W 10 NW NW 2S 1 W 10 SE NW 2S 1 W 10 NE NW 2S 1 W 10 SW SE 2S 1 W 10 NW SE 2S 1 W 10 SE SE 2S 1 W 10 NE SE 2S 1 W 10 SW NE 2S 1 W 10 NW NE 2S 1 W 10 SE NE 2S 1 W 10 NE NE 2S 1 W 11 SW SW 2S 1 W 11 NW SW 2S 1 W 11 SE SW 2S 1 W 11 NE SW 2S 1 W 11 SW NW 2S 1 W 11 NW NW 2S 1 W 11 SE NW 2S 1 W 11 NE NW 2S 1 W 11 SW SE 2S 1 W 11 NW SE 2S 1 W 11 SE SE 2S 1 W 11 NE SE 2S 1 W 11 SW NE 2S 1 W 11 NW NE 2S 1 W 11 SE NE 2S 1 W 11 NE NE 2S 1 W 12 SW SW 2S 1 W 12 NW SW 2S 1 W 12 SE SW 2S 1 W 12 NE SW 2S 1 W 12 SW NW 2S 1 W 12 NW NW 2S 1 W 12 SE NW 2S 1 W 12 NE NW 2S 1 W 12 SW SE 2S 1 W 12 NW SE 2S 1 W 12 SE SE 2S 1 W 12 NE SE 2S 1 W 12 SW NE 2S 1 W 12 NW NE 2S 1 W 17 NW NE 2S 1 W 17 NE NE 2S 1W 16 SE SW P:1Portland1103-Tigard1005-10MG Site11.2 Water Rights\GR 616(GR 588)1Attachment 5-GR 616 Revised POU.xIs 4 of 6 Location of Revised Place of Use Government 1141/4 Tax Lot Township Range Section Lot or DLC Section Number Acres 2S 1 W 16 NE SW 2S 1 W 16 NW NW 2S 1 W 16 SE NW 2S 1 W 16 NE NW 2S 1 W 16 SW SE 2S 1 W 16 NW SE 2S 1 W 16 SE SE 2S 1 W 16 NE SE 2S 1 W 16 SW NE 2S 1 W 16 NW NE 2S 1 W 16 SE NE 2S 1 W 16 NE NE 2S 1 W 15 SW SW 2S 1 W 15 NW SW 2S 1 W 15 NE SW 2S 1 W 15 SW NW 2S 1 W 15 NW NW 2S 1 W 15 SE NW 2S 1 W 15 NE NW 2S 1 W 15 NW SE 2S 1 W 15 SW NE 2S 1 W 15 NW NE 2S 1 W 15 SE NE 2S 1 W 15 NE NE 2S 1 W 14 NE SW 2S 1 W 14 SW NW 2S 1 W 14 NW NW 2S 1 W 14 SE NW 2S 1 W 14 NE NW 2S 1 W 14 SW SE 2S 1 W 14 NW SE 2S 1 W 14 SE SE 2S 1 W 14 NE SE 2S 1 W 14 SW NE 2S 1 W 14 NW NE 2S 1 W 14 SE NE 2S 1 W 14 NE NE 2S 1 W 13 SW SW 2S 1 W 13 NW SW 2S 1 W 13 SE SW 2S 1 W 13 NE SW 2S 1 W 13 SW NW 2S 1 W 13 NW NW 2S 1 W 13 SE NW 2S 1 W 13 NE NW 2S 1 W 13 SW SE 2S 1 W 13 NW SE 2S 1 W 13 SE SE 2S 1 W 13 NE SE PAPortland1103-Tigard1005-10MG Site11.2 Water Rights\GR 616(GR 588)1Attachment 5-GR 616 Revised POU.xIs 5 of 6 Location of Revised Place of Use Government 1/41/4 Tax Lot Township Range Section Lot or DLC Section Number Acres 2S 1 W 13 SW NE 2S 1 W 13 NW NE 2S 1 W 13 SE NE 2S 1 W 13 NE NE 2S 1 W 24 NW NW 2S 1 W 24 SE NW 2S 1 W 24 NE NW 2S 1 W 24 SW NE 2S 1W 24 NW NE PAPortland1103-Tigard1005- 10MG Site11.2 Water RightslGR 616(GR 588)1Attachment 5-GR 616 Revised POU.xIs 6 of 6 Attachment 5 Land Use Information Form Application for a Groundwater Registration Modification— GR 616 1 re on Water Resources Department =�' " •�%� North Mall Office Building rh�t+.iorr K.Kulu��t;a»ki,Gu�erni�r 725 SunlinCl'Street N�,Suite A'q p Salem,OR 97301-1266 503-986-0900 FAX 503-956-M04 NOTE TO APPLICANTS In order for your application to be processed by the Water Resources Department(WRD),this Land Use Information Form must be completed by a local government planning official in the jurisdictions where your water tight will be used and developed.The planning official may choose to complete the form while you wait,or return the receipt stub to you.Applications received by WRD without the Land Ilse Form or the receipt stub will be returned to you. NOTE TO LOCAL GOVERNMENTS The person presenting the attached Land Use Information Form is applying for a water right. The Water Resources Department(WRD)requires its applicants to obtain land-use information to be sure the water rights do not result in land uses that are incompatible with your comprehensive plan. Please complete the form or detach the receipt stub and return it to the applicant for inclusion in their water right application. You will receive notice once the applicant formally submits his or her request to the WRD.The notice will give more information about WRD's water rights process and provide additional comment opportunities. You will have 30 days from the date of the notice to complete the land-use form and return it to the WRD. If no land-use information is received from you within that 30-day period,the WRD may presume the land use associated with the proposed water right is compatible with your comprehensive plan. Your attention to this request for information is greatly appreciated by the Water Resources Department.If you have any questions concerning this form, please contact the WRD's Customer Service Group at 503-986-0801. Oregon Water Resources Department Land Use Information Form THIS FORMIS NOT REQUIRED lF.•I)water is to be diverted conveyed,and/or used only on federal lands,or 1)the application is jor a water-right transfer,allocation of conserved water, exchange, pennit amendment,or ground water registration mWiicalimt,and all of the following apply:a)only the place of Luse is proposed for change,b)there are no structural changes,c)the use of taater Is for irrigarion,and d)the use is located in an irrigation district or exclusive form-use tone. Applicant Name: City of Tieard Mailing Address: 13125 SW Hall Blvd. City: Tivard State: OR Zip: 97223 Day Phone: 503-639-1554 This application is related to a Measure 37 claim. r Yes 1% No A.Land and Location Please include the following information for all tax lots where water will be diverted(taken from its source),conveyed (transported),or used. Applicants for municipal use,or irrigation uses within irrigation districts may substitute existing and proposed service-area boundaries for the tax-lot information requested below, Township Range Section '/M Tax Lot N Plan Designation(o.g. Water to be: Proposed Rural ResidentialMR-5) Land Use: See maps attached. 0 Diverted 0 Conveyed 0 Used municipal ❑Diverted ❑Conveyed ❑Used D Diverted ❑Conveyed D Used D Diverted ❑Conveyed D Used List all counties and cities where water is proposed to be diverted,conveyed,or used. . City of Tigard B.Description of Proposed Use Type of application to be filed with the Water Resources Department: ❑Permit to Use or Store Water ❑Water-Right Transfer ❑Exchange of Water ❑Allocation of Conserved Water ❑Limited Water Use License la Permit Amendment or Ground Plater Registration Modification Source of water: ❑Reservoir/Pond (a Ground Water ❑Surface Water(name) Estimated quantity of water needed: 200 ❑cubic feet per second 0 gallons per minute ❑acre-feet Intended use of water: O Irrigation 0 Commercial O Industrial ❑Domestic for household(s) D Municipal ❑Quasi-municipal ❑Iostream O Other Briefly describe: The City of Tigard is sibrnbling a groundwater rerishatinn modefication application to Add four wells as points of alimonda[ion and to idlentifv the current service Area as the claimed Rlac a of use for this groundwater registration. Note to applicant: If the Land Use Lrfw7nation Form cannot be completed while you waft,please have a local government representative sign the receipt below and include it with the application filed with the Water Resources Department. Receiut for Request for Land Use Information I State of Oregon Water Resources Department 725 Summer Street NE,Suite A Salem,OR 97301-1266 For Local Government Use Only The following section must be completed by a planning ggIcial front each county and city listed unless the project mill be located entirely ivithin the city limits.In Thor case,only the cit),plcnntirtg agency must complete this form. This deals only with the local land-use plan. Do trot include approval for-activities such as building or grading permits. Please check the appropriate box below and provide the requested information Land uses to be served by proposed water uses(including proposed construction)are allowed outright or are not regulated by your comprehensive plan. Cite applicable ordinance section(s): 0 Land uses to be served by proposed water uses(including proposed construction)involve discretionary land-use approvals as listed in the table below. (Please attach documentation of applicable land-use approvals which have already been obtained, Record of Action/land-use decision and accompanying findings are sufficient.) If approvals have been obtained but all appeal periods have not ended,check"Being pursued". Type of Land-Use Approval Needed Cite MOSt Significant,Applicable Plan (e.g.plan amendments,rezones, Policies&Ordinance Section References Land-Use Approval: condilional-use permits,etc.) _ D Obtained D Being pursued 0 Denied 0 Not being pursued D Obtained 0 Being pursued O Denied u_Not being pursued 0 Obtained D Being pursued D Denied 0 Not being pursued 0 Obtained D Being pursued 0 Denied D Not being pursued D Obtained 0 Being pursued 0 Denied 0 Not bcinR pursued Local governments are invited to express special land-use concerns or make recommendations to the Water Resources Department regarding this proposed use of water below,or on a separate sheet. Name: and.io ,t _ _Title: City Administrator _ Signature: d --- Phone: 503 639 6851 Date: Government Entity: CiTY OF DURHAis4 _ Note to local government representative: Please complete this form or sign the receipt beloiv and return it In the applicant. ifyov sign the receipt,you will have 30 days ft-om the Water Resources Department's notice date to relurn the completed Land Use htfortnation Form or WRD niay pres-unre the land use associated with the proposed use of water is compatible with local comprehensive plaits. Receipt for Request for Land Use Information Applicant name: City or County: Staff contact: Signature: Phone: Date: Last updated 12/22/06 WR Oregon Water Resources Department Land Use Information Form THIS FOAM 1S NOT REQUIRED IF])nater is to be diverted,conveyed,and/or used only on federal lands;or 7)the application is for a water-right transfer,allocation of conserved mater exchange, per snit amendment,or ground water registration tnodtfication,and all of the following apply:a)only the place of use is proposed for change,b)there are no structural changes,c)the use of water is for irrigation,and d)the use is located in an Irrigation district or exchtsive jarm-use sone. Applicant Name: City of Tigard Mailing Address:. 13125 SW Hall Blvd. City: Tieard —State: OR Zip: 97223 Day Phone: 503-639-1554 This application is related to a Measure 37 claim. r Yes p No A.Land and Location Please include the following information for all tax lots where water will be diverted(taken from its source),conveyed (transported),or used. Applicants for municipal use,or irrigation uses within irrigation districts may substitute existing and proposed service-area boundaries for the tax-lot information requested below. Township Range Section Y.'/. Tax Lot A Plan Designation(e.g. Water to be: Proposed Rural ResidentiaVRR-5) Land Use: See maps attached. 0 Diverted la Conveyed ra Uscd municipal 0 Diverted 0 Conveyed 0 Used 0 Diverted 0 Conveyed 0 Used 0 Diverted 0 Conveyed 0 Used List all counties and cities where water is proposed to be diverted,conveyed,or used. City of Tigard B.Description of Proposed Use Type of application to be filed with the Water Resources Department: 0 Permit to Use or Store Water 0 Water-Right Transfer ❑Exchange of Water 0 Allocation of Conserved Water 0 Limited Water Use License 0 Permit Amendment or Ground Water Registration Modiftcatlon Source of water: 0 Reservoir/Pond 9 Ground Water 0 Surface Water(name) Estimated quantity of water needed: 200 0 cubic feet per second v gallons per minute 0 acre-feet Intended use of water: ❑Irrigation 0 Commercial ❑Industrial 0 Domestic for household(s) El Municipal 0 Quasi-municipal O Instream 0 Other Briefly describe: The City of Tigard is submitting a otntmdwater registration modification armli�tlon to add fain wells as prints of ypnronriation and to identify the city's current service area as the claimed mage of ase for This emnndwater regigration. (Vote to applicant: If the Land Use Information Form cannot be completed while you wait,please have a local government representative sign the recelpt below and Include it widi the application filed with the Kater Resources Department. Receipt for Request for Land Use Information State of Oregon Water Resources Department 725 Summer Street NE,Suite A Salem,OR 97301-1266 For Local Government Use Only The following section must be completed by a planning ofcial front each county and city listed unless the project will be located entirely within the city limits.In that case,only the city planning agency must complete this form. This deals only with the local land-use plan. Do not include approval for activities such as building or grading permits. Please check the appropriate box below and provide the reouested information Land uses to be served by proposed water uses(including proposed construction)are allowed outright or are not regulated by your comprehensive plan. Cite applicable ordinance section($): G Land uses to be served by proposed wrater uses(including proposed construction)involve discretionary land-use approvals as listed in the table below. (Please attach documentation of applicable land-use approvals which have already been obtained. Record of Action/land-use decision and accompanying findings are sufficient.) If approvals have been obtained but all appeal periods have not ended,check"Being pursued". Type of Land•Use Approval Needed Cite Most Significant,Applicable Plan (e.g.plan amendments,rezones, Policies&Ordinance Section References Land-Use Approval: conditional-une pennits,etc) 0Obtained a Being pursued 0 Denied 0 Not being pursued 0 Obtained 0 Being pursued 0 Denied 0 Not bein tusued 0 Obtained 0 Being pursued 0 Denied 0 Not being pursued C.Obtained n Being pursued 0 Denied 0 Not being pursued 0 Obtained 0 Being pursued 0 Denied 0 Not being pursued Local governments are invited to express special land-use concerns or make recommendations to the Water Resources Department regarding this proposed use of water below,or on a separate sheet, Name: 1 David M&11' Title:_ City Manaecr S i gi ia t u r sd)-A e, Y-7Y `'a Phone: 5036394082 Date: Government Entity: CITY OF KING CITY Note to local government representative: Please complete this form or sign the recelpt below and return it to the applicant. If you sign the receipt,you uvill have 30 days from the Water Resources Depattnent's notice dote to return the completed Land Use hrformation Form or 13'RD may presurne the land use associated with the proposed use of tenter is compatible with local comprehensive plans. Receipt for Request for Land Use Information Applicant name: City or County: Staff contact: Signature: Phone: Date: Last updated 12122/06 SVR w Oregon Water Resources Department Land Use Information Form THIS FORM IS NOT REQUIRED 1F:1)water is to he diverted,con-veyed,and/or used only on federal lands;or 2)the application is for a water-right transfer,allocation of conserved mater, exchange, permit amencbnent,or ground water registration modification,artd all of the folloiving apply:a)only the place of use is proposedfor-charge,b)there are no structural changes,c)the use of water is for irrigation,and d)the use is located in an irrigation district or exclusive farm-use zone. Applicant Name: City of Tigard Mailing Address: 13125 SW Hall Blvd. Citv: Tigard State: OR Zip: 97223 Day Phone: 503-639-1554 This application is related to a Measure 37 claim. a Yes 1;No A.Land and Location Please include the followiro information for all tax lots where water will be diverted(taken from its source),conveyed (transported),or used. Applicants for municipal use,or irrigation uses within irrigation districts may substitute existing and proposed service-area boundaries for the tax-lot information requested below. Township I Range Section /.'/. Tax Lot 9 Plan Designation(e.g. water to be: Proposed Rural Residentisl/RR-S) Land Use: See maps lattached. 0 Diverted 0 Conveyed 0 Used municipal TJJ 0 Diverted 0 Conveyed 0 Used 0 Dk erted 0 Conveyed O Used --- ------------------ — O Diverted 0 Convcved 0 Used List all counties and cities where water is proposed to be diverted,conveyed,or used. City of Tigard S.Description of Proposed Use Type of application to be filed with the Water Resources Department: 0 Penuit to Use or Store Water 0 Water-Right Transfer 0 Exchange of Water ❑Allocation of Conserved Water 0 Limited Water Use License 0 Permit Amendment or Ground Water Registration Modification Source of water: 0 Reservoir/Pond 91 Ground Water 0 Surface Water(name) Estimated quantity of xvater needed: =00 0 cubic feet per second 0 gallons per minute 0 acre-feet Intended use of water: ❑Irrigation 0 Commercial 0Industrial 0 Domestic for household(s) 0 Municipal 0 Quasi-municipal 0 Instream 0 Other Briefly describe: je City nr_jcard is sutmtitting a groundwater rcoist-ation modification applichtion to add fou rwells m Paints of EprLnt iat ion and to identify the city's current service area as the cl a imej place of use for this ereundwater re visit a ii on. Mote to npplican t: !f the Land Use Information Forth cannot be completed while you woit,please have a local government representative sign the receipt below and include it with the opplicatior filed with the]Pater Resources Department. Receipt for Request for Land Use Information State of Oregon Water Resources Department 725 Summer Street NE,Suite A Salem,OR 97301-1266 For Local Government Use Only The following section must be completed by a planning official from each county and city listed unless rhe project will be located entirely within the city limits.In that case,only the city platoon.-agency must coaplere this form. This deals only with the local land-use plan. Do not include approval for activities such as building or grading permits. Please check the appropriate box below and provide the requested Information Land uses to be served by proposed water uses(including proposed construction)are allowed outright or are not regulated by your comprehensive plan. Cite applicable ordinance section(s): ❑ Land uses to be served by proposed water uses(including proposed construction)involve discretionary land-use approvals as listed in the table below. (Please attach documentation of applicable land-use approvals which have already been obtained. Record of Action land-use decision and accompanying findings are sufficient) If approvals have been obtained but all appeal periods have not ended,check"Being pursued". Type of Land-Use Approval Needed Cite Most Signifia�nt,Applicable Plan (e.g.plan amendments,rezones, Policies&Ordinance Section References Land-Use Approval: conditional-use pcmits,etc.) 0Obtained 0 Being pursued 0 Denied 0 Not biting pursued 0Obtained 0 Being pursued 0 Denied 0 Not being pursued 0 Obtained 0 Being parsucd 0 Denied it Not beiaiiyurstwq C Obtained O Being pursued 0 Denied 0 Not being pursued 0 Obtained 0 Being pursued 0 Denied 0 Not being pursued Local governments are invited to express special land-use concerns or make recommendations to the Yater Resources Department regarding this proposed use of water below,or on a separate sheet. Name: 'opgr Title: City vtanaeer Signature: Phone: 5036394171 Date: Government Entity: CITY OF TIGARD -_ Note to local government representative: Please complete this form or sign the receipt below and return it to the applicant. If you sign the receipt;you will have 30 days from the Woter Resotu ces Departments notice date to return the completed Land Use Infortnarion Form or IM may presunre the land use associated with the proposed use of tracer is conpolible with local comprehensive plans. Receipt for Request for Land Use Information Applicant name; City or County: _ Staff contact: Signature: _ Phone: _Date: Last updated]222106 WR S Oregon Water Resources Department Land Use Information Form TH/S FORM 1S NOT REQUIRED 1F.•1)hater is to be dAwried,conveyed,and/crus-ed only on federal!mads;op-2)the application is for a coater-right transfer,allocation of conserved water, exchange, permit amendment,or ground mater registration rrrodication,andall of the following apply;o)only the place of use is proposed for change,b)there ore no structural changes,c)the use of water is for irrigation,and d)the use is located in an ir•igation district or exclusive fornn-use=ane. Applicant Name: ____ City of Tigard Mailing Address: 13125 SW Hall Blvd. City: Tigard State: OR Zip: 97223 Day Phone: 503-639-1554 This application is related to a Measure 37 claim. V Yes F No A. Land and Location Please include the foiloNOng information for all tax lots where water will be diverted(tahen from its source),conveyed (transported),or used. Applicants for municipal use,or irrigation uses within irrigation districts may substitute existing and proposed service-area boundaries for the tax-lot information requested below. Township Ftange Section '/.Si Tax Lot R Plan Designation(e.g. Water to be: Proposed Rural ResidentiaVRR-5) Land Use' See maps attached. la Diverted O Conveyed O Used municipal 0 Diverted 0 Conveyed 0 Used 0 Diverted 0 Conveyed 0 Used 0 Diverted 0 Conveyed 0 Used List all counties and cities where water is proposed to be diverted,conveyed,or used. City of Tigard B. Description of Proposed Use Type of application to be filed with the Water Resources Department: 0 Permit to Use or Store Water G Water-Right Transfer 0 Exchange of Water 0 Allocation of Conserved Water 0 Limited Water Use License B Permit Amendment or Ground Water Registration\Modification Source of water: D Reservoir/Pond B Ground Water 0 Surface Water(name) Estimated quantity of water needed: 100 __ 0 cubic feet per second 0 gallons per minute 0 acre-feet Intended use of water: D irrigation 0 Commercial 0 Industrial 0 Domestic for households) l]Municipal 0 Quasi-municipal D Instream 0 Other Briefly describe: The City of Tigrard is suhminingagroundwater regi lrarlun modification spplicatirm to add four wells m points of__.._ anvmprialion and to idcnti)_v the city's mrrenl service area at the claimed place of use for ibis groundwater registration Note to applicant: If the Land Use firfornnation Form carrot be completed while you wait,please have a local government representative sigh the receipt below and include it with the application filed with the lVoter Resources Department, Receipt for Request for Land Use Information State of Oregon Water Resources Department 725 Summer Street NE,Suite A Salem,OR 97301-1266 For Local Government Use Only The following section must be completed by a planning offlcial from each county and city listed carless the project will be located entirely within the city limits.In that case,only the city planning agency must complete this forme. 777is deals only with the local land-use plan. Do not include approval for activities such as building or grading permits. Please check the appropriate box below and provide the requested information Land uses to be served by proposed water uses(including proposed construction)are allowed outright or are not regulated by your comprehensive plan. Cite applicable ordbiance section(s): 0 Land uses to be served by proposed water uses(including proposed construction)involve discretionary land-use approvals as listed in the table below. (Please attach documentation of applicable land-use approvals which have already been obtained. Record of Action/land-use decision and accompanying findings are sufficient.) If approvals have been obtained but all appeal periods have not ended,check"Being pursued". Type of Land-Use Approval Needed Cite Most Significant,Applicable Plan (e.g.plan amendments,rezones, Policies 8c Ordinance Section References Land-Use Approval: eonditional-use permits,etc. 0 Obtained 0 Being pursued 0 Denied 0 Not being d 0 Obtained 0 Being pursued 0 Denied 0 Not being pursued 0 Obtained 0 Being pursued 0 Denied 0 Not being rswd 0 Obtained 0 Being pursued 0 Denied 0 Not beingpm-sued 307 Obtained 0 Being pursued 0 Denied 1 0 Not beinZ pursued Local governments are invited to express special land-use concems or make recommendations to the Water Resources Department regarding this proposed use of water below,or on a separate sheet. Name: P t t i Title: Director_Land Use and Tramwrtation Signature: _4t Phone: 503 8464530 Date: L Government Entity:_ WASTMOTON COUNTY Note to local government representative: Please complete this form or sign the receipt below and return it to the applicant. Ifyou sign the receipt,you will have 30 days from the Water Resources Departments notice date to return the completed Land Use Information Forin or WRD may presinne the land use associated with the proposed use of mvater is compatible with local comprehensive plans. Receipt for Request for Land Use Information Applicant name: City or County: Staff contact: Signature: Phone: Date: Last updated 12/22106 WR Application for Oregon Water Resources Department 725 Summer Street NE,Suite A Permit Amendment Salem Oregon 97301-1266 986-0900 www.wrtl.state.or.us Ground Water www.wrd.state.or.us Registration Modification Please type or print legibly in dark ink If your application is incomplete or inaccurate, we will return it to you.If any requested information does not apply to your application, insert "NIA"to indicate Not Applicable.As you complete this form,please refer to notes and guidance included on the application.A summary of review criteria and procedures that are generally applicable to these applications is available at www.wrdstate.or.us/OWRD/PUBSIforms.shoul. 1. TYPE OF APPLICATION Please check one of the following: ❑ Permit Amendment ® Ground Water Registration Modification 2. APPLICANT INFORMATION Name: City of Tigard, Tigard Water District,Ci orting City, and City of Durham First Last Address: Contact: City of Tigard, Attn: Dennis Koellermeier. 13125 SW Hall Blvd. Tigard OR 97223 city state zip Phone: 503-639-4171 Home Work Other Fax: 503-684-8840 E-Mail address: dennisna,tigard-ongov 3.AGENT INFORMATION (The agent listed is authorized to represent the applicant in all matters relating to this application) Name: GSI Water Solutions, Inc. ATTN: Ted Ressler First Last Address: 55 SW Yamhill St., Suite 400 Portland OR 97204 City State Zip Phone: 503-239-8799 Home Work Other Fax: 503-239-8940 E-Mail address: tresslerna.GSIWaterSolutions.com If an agent is listed above,please check one of the following: ❑ Please send all correspondence to Agent. Send copies of correspondence to Applicant;or ® Please send all correspondence to Applicant. Send copies of correspondence to Agent. Last Updated: 1013012006 Permit Amendment or GW Modification/1 FS Permit Amendments ■ Ifyou propose to amend multiple permits under this application, a separate set ofnages 3 through 7 must be provided for each permit. (NOTE: Concurrent changes to a water right must be filed separately on a transfer application.) Ground Water Registration Modifications ■ You may propose modification of only one groundwater registration per application, unless in accordance with OAR 690-382-0300(2), the ground water registrations to be modified are layered. (NOTE: Concurrent changes to a water right must be filed separately on a transfer application.) 4.TYPE OF AMENDMENT OR MODIFICATION PROPOSED Please check all of the following that apply: Point of Diversion or A PP P ro riation Place of Use Character of Use ❑ Change(The old point of ❑ All of the Permit or NotAvailable for diversion or appropriation will Registration will be Permit Amendments not be used for the portion of exercised at a different Chan a existin authorized Te water right affected by the location than currently g g amendment or modification.) authorized(Use of water at use to the following proposed the current authorized location new use: ® Additional (Both the old and will be discontinued.) new points of diversion or ❑ Irrigation appropriation will be used for ® Only a portion of the the portion of the water right E] Municipal Permit or Registration affected by the amendment or will be exercised at a ❑ Quasi-municipal modification.) different location than ❑ Commercial currently authorized(Use Not Available for of water ataon rtion of the ❑ Industrial Ground Water Registrations current authorized location ❑ Surface Water to Ground will be discontinued.) E] Domestic(indicate number of households): Water(A new point of appropriation will be used ❑ Other instead of the old point of diversion. The old point of diversion will not be used.) ■ Reason(s) for amendment/modification(s): The three additional points of appropriation to be added to this groundwater registration will provide increased flexibility and redundancy for the City of Tigard's municipal water production system. The revision to the place of use for this registration statement will reflect the current extent of the City's water service area. Last Updated: 1013012006 Permit Amendment or GW Modification12 FS IV 5. CURRENT PERMIT OR REGISTRATION INFORMATION Permit or Registration to be Amended/Modified(check and complete one of the following): ❑ Permit to be Amended: Permit Number Current Completion Date of Permit NOTE: Concurrent changes to a ® Ground Water Registration water right must be filed separately to be Modified: GR-615 on a transfer application. Ground Water Registration Number ■ Name on Permit or Registration: Tigard Water District ■ County: _Washington County ■ Authorized Use(s)to be affected by this Amendment/Modification: Municipal use ■ Priority Date(s): July 30, 1949 If there are multiple Priority Dates identified on the Permit or Registration, any information provided on pages 4 through 7 must identify which priority date is associated with each of the authorized and proposed points of diversion or appropriation and places of use. ■ All Source(s) of Water to be affected by this Amendment/Modification: Zroundwater Tributary to: Fanno Creek If there are multiple Sources listed on the Permit or Registration, any information provided on pages 4 through 7 must identify which source is associated with each of the authorized and proposed points of diversion or appropriation and places of use. For an application proposing a Change in Place of Use or Character of Use: Are there any other"Layered"Water Rights, Permits, or Ground Water Registrations issued for Irrigation purposes that are appurtenant to the same place of use as the Permit or Registration being Amended/Modified? ❑Yes ❑ No ® N/A If"Yes", pursuant to ORS 540.510, OAR 690-380-2240 and OAR 690-382-0200, the other "layered"water uses subject to transfer must either change concurrently or be cancelled, except as provided in OAR 690-380-2240(5). ■ Remarks: GR 615 is for municipal use Last Updated: 10/3012006 Permit Amendment or GW Modification/3 FS ■ The following information must be provided onl for those points of diversion or appropriation that are involved in the permit amendment or ground water registration modification (i.e., list only the Portion of the nermidreristration you propose to amend/modify.) Attach additional pages as necessary. Government lot and donation land claim numbers must be included in the tables below only if the information is reflected on the existing permit or ground water registration. Location of Existing Authorized Point(s) of Diversion or Appropriation to be Changed: (i.e.,the allowedpoint(s)of diversion/appropriation that will be affected by the proposed amendmenthnodif cation, the "FROM" point(s)ofdiversion/appropriation) If Ground Water, Tax Lot, OWRD Well Log Source and Township Range Mer Sec '/. '/, Survey Coordinates DLC ID No.(or Well 1D Priority Date or (coordinates from a recognized Tag No.L- ) Gov't Lot survey corner) WASH 11592 Groundwater 2 South 1 West WM 10 NW NW 610 ft South and 1,270 ft East July 30,1949 from the northwest corner of Section 10 ■ Does the permit/registration being amended/modified involve a ground water source(s)? ■ ®Yes ❑No (Surface water source only) If"Yes",for each authorized point of appropriation (well) involved,you must either: A. Supply a copy of the well logs)for each point of appropriation that is clearly labeled and associated with the corresponding well in the table above and on the accompanying application map. (NOTE: You may search for well logs on the Department's website at: www.wrd.state.or.us) or. B. If a well log is not available,you must describe the construction of the authorized point of appropriation by completing the table below. Attach additional copies as necessary. Construction of Existing Authorized Point(s) of Appropriation-(Only needed if no well log is available.) Wells in this listing must be clearly tied to corresponding well loeation(s)described in the table above and shown on the accompanying application Wrap. OWRD Well No of Intervals Est. Est.depth Type of access No,as identified Diameter Type and size casing is Sealto water port or feet of depth to Total well depth in table above of casing perforated depth bearing measuring casing (in feet) stratum stratum device N/A—well log provided Last Updated: 10/30/2006 Permit Amendment or GW Modification/4 FS 4 } The following information must be provided only for those places of use that are involved in the permit amendment or groundwater registration modification rLe.,list only the Portion of the Permidrecistration you Propose to amend/modifi.) Attach additional pages as necessary. Government lot and donation land claim numbers must be included in the tables below only if the information is reflected on the existing permit or ground water registration. Location of Existing Authorized Place of Use to be Affected: (i.e., the allowed lands that will be affected by the proposed amendment/modification,the "FROM"lands) Tax Lot, Source and Township Range Mer Sec '/4 Tax or Acres Priority Date Section Gov't Lot Cif applicable) Groundwater, July 30, 1949 See Attachment 1 and Map in Attachment 4 Last Updated: 10/30/2006 Permit Amendment or GW Modification/5 FS t v 6. PROPOSED PERMIT AMENDMENT OR REGISTRATION MODIFICATION ■ Describe proposed changes to the permit or registration involving points) of diversion and/or appropriation. Survey coordinates described below should accurately correspond to the points shown on the accompanying application map. Attach additional pages as necessary. Location of Proposed Point(s) of Diversion or Appropriation: (i.e., the "TO"point(s)ofdiversion/appropriation) (NOTE: Complete this table only if a Change in Point of Diversion or Appropriation is being proposed.) 1/4 V4 Tax Lot, Survey Coordinates Source Township Range Mer Sec Section DLC or (coordinates from a recognized survey corner) Gov't Lot Groundwater 2 South 1 West WM 10 SW NW 900 1750 feet South and 100 feet East from (ASR 2) the northwest corner of Section 10. Groundwater 2 South 1 West WM 1 l SW NW 2602 South 03° 13'22"East 1,561 feet from (ASR 1) northwest corner of Section 11. Groundwater 2 South 1 West WM 9 SW NE 2600 1,600 feet South and 1,130 feet West (ASR 3) from the northeast Comer of Section 9. ■ If there are proposed point(s) of appropriation (wells) listed in the table above, are the well(s) already constructed? ® Yes ❑No ❑N/A-No proposed well(s) listed above. If"Yes", attach and clearly label the corresponding well logs)for each proposed well, or if well logs)are trot available, describe the construction of the well(s) using the table below. (NOTE: You may search for well logs on the Department's website at: www.wrd.state.or.us) If"No", describe the anticipated construction for the proposed well(s) in the following table: Construction of Proposed Point(s) of Appropriation or Well(s): Well numbers in this listing must be clearly tied to corresponding well location(s)described in the table above and shown on the accompanying application map. Well If an existing well, Intervals Est. Type of alreadyQWRD Well Lo Type and size No.of Est. depth access port Total 8 Diameter of casing feet of casing a Seal depth to to water or well Quilt? 1D No. perforated depth p (Yes/No) (or Well 1D Tag casing (in feet) water bearing measuring depth No L- stratum device Yes WASH 61622 See attached (ASR 2) well logs (Attachment 3) Yes WASH 58003 (ASR 1) Yes WASH 66115 (ASR 3) Last Updated: 10130/2006 Permit Amendment or GW Modification16 FS t / ■ Describe proposed changes to the permit or registration involving place of use. Information described below should accurately correspond to the proposed place of use shown on the accompanying application map. Attach additional pages as necessary. Location of Proposed Place of Use: (i.e., the "TO"lands) (NOTE: Complete this table only if a Change in Place of Use is being proposed.) Tax Lot, Source Township Range Mer Sec �e V4Tax or Acres Section Gov't Lot (if applicable) See Attachment 4 Remarks: The changes requested in the groundwater registration modification reflect changes submitted to OWRD in a letter dated November 1, 2004. In addition, the City is rgquesting_an additional new point of appropriation. These changes are now being requested under the process provided in OAR chapter 690, Division 382. Last Updated: 10/30/2006 Permit Amendment or GW Modiftcation/7 FS v � 7. AFFECTED DISTRICTS AND LOCAL GOVERNMENTS ■ Are any of the Permit(s) or Registration(s)proposed for amendment/modification located within or served by an irrigation or other water district? ® Yes ❑ No ■ Will any of the Permit(s) or Registration(s) be located within or served by an irrigation or other water district after the proposed amendment/modification? ®Yes [:]No ■ Is water for any of the Permit(s) or Registration(s) supplied under a water service agreement or other contract for stored water with a federal agency? ❑Yes ® No If"Yes",for any of the above, list the name and mailing address of the district and/or agency: Tigard Water District, PO Box 230281, Portland, OR 97281-0281 ■ List the name and mailing address of all affected local governments (e.g., county, city, municipal corporation, and tribal governments within whose jurisdiction the right(s) are located). The Cily of Tigard (applicant), 13125 SW Hall Blvd., Tigard,OR 97223 Washington County, 155 N. First Avenue, Ste. 350, Hillsboro, OR 97124 City of Durham, 17160 SW Upper Boones Ferry,Durham, OR 97224 Ci of f King City, 15300 SW 116'b Ave, King City, OR 97224 8. PERMIT HOLDER OF RECORD This section is to be completed only for Permit Amendment applications. ® N/A — This is a Ground Water Registration Modification application. ■ Is the applicant the permit holder of record? ❑ Yes ❑No If"No", the applicant must either: A. Be assigned as a permit holder of record by submitting a completed Request for Assignment form and the required statutory fee for an assignment; or B. Submit an Affidavit of Consent from the permit holder of record that gives permission for the applicant to amend the permit. Last Updated: 10130/2006 Permit Amendment or GW ModificationB FS 9.LAND OWNERSHIP If for a Permit Amendment proposing a Change in Place of Use. ■ Does the permit holder of record own or control the land TO which the place of use is being moved? ❑Yes ❑No ®N/A-Groundwater Registration Modification If"No", the owner of the land TO which the place of use is being moved must be assigned to the permit as a permit holder of record by submitting a completed Request for Assignment form and the required statutoryfee for an assignment. ■ Check one of the following: ❑ The permit holder of record will be responsible for completion of the proposed changes after the final order is issued. All notices and correspondence should be sent to the permit holder of record. ❑ The applicant will remain responsible for completion of changes.Notices and correspondence should continue to be sent to the applicant and applicant's agent. If for a Ground Water Registration Modification: ■ Does the applicant own the lands FROM which the registration is being moved? ❑ Yes ®No If"No",provide the following information: N/A because the applicant is a municipality Names of Current Landowner(s): First Last Address: City State Zip ■ Does the applicant own the lands TO which the registration is being moved? ❑Yes ® No If"No",provide the following information: N/A because the applicant is a municipality Names of Receiving Landowner(s): First Last Address: City State Zip ■ Check one of the following: ❑ The receiving landowner will be responsible for completion of the proposed changes after the final order is issued. All notices and correspondence should be sent to this landowner. ® The applicant will remain responsible for completion of changes. Notices and correspondence should continue to be sent to the applicant and applicant's agent. Last Updated: 10/30/1006 Permit Amendment or GW Modification/9 FS 10.ATTACHMENTS Check each of the following attachments included with this application. The application will be returned if all required attachments are not included. Map: Fees: ® A map meeting the requirements of OAR 690- ® Amount enclosed: $_500 380-3100 must be included but need not be See the Department's Fee Schedule at prepared by a Certified Water Right Examiner. www.wrd.state.or.us/OWRD/PUBS/fomis.shtml or call(503)986-0900. Land Use Information Form: ® Enclosed;or For Permit Amendments Only... ❑ Not required if all of the following are met: O In EFU zone or irrigation district; Request for Assignment: ® Change in place of use only; © No structural changes needed,including ❑ Enclosed. The applicant is NOT the permit holder of record and needs to be assigned to the diversion works,delivery facilities, other permit; OR the landowner of the proposed place structures;and of use is NOT the permit holder of record and O Irrigation only. needs to be assigned to the permit. The Request for Assignment form is available online at: Water Well Reports/Well Logs: www.wid.state.or.us/OWRD/PUBS/forms.shtnat;gr ® The application involves a change in point of ❑ N/A. The applicant is the pen-nit holder of appropriation or change from surface water to record and owns or controls the proposed place ground water and copies of all water well reports of use; OR the applicant is not the permit are attached. holder of record but is supplying an Affidavit ❑ Water well reports are not available and a of Consent from the permit holder. description of construction details including well depth,static water level,and information Affidavit of Consent: necessary to establish the ground water body ❑ Enclosed. Because the applicant is NOT the developed or proposed to be developed is permit holder of record,an Affidavit of Consent attached. is being supplied that gives permission for the ❑ N/A. The application does not involve a change applicant to amend the permit;or in point of appropriation or a change from ❑ N/A. Not required because the applicant is the surface water to ground water,so water well permit holder of record. reports are not required. Last Updated:1013012006 Permit Amendment or GW Modification/10 FS Before submitting your application to the Department,be sure you have: • Answered each question completely, • Included all the required attachments. • Provided original signatures for all named deed holders,or other parties,with an interest in the water right. • Included a check payable to the Oregon Water Resources Department for the appropriate amount. 11. SIGNATURES ■ For Ground Water Registration Modification Applications only,check the appropriate one and sign the application in the signature box below: ❑ In accordance with OAR 690-382-0400(16)(a),I (we) understand that prior to Department approval of a permanent modification and upon my receipt of a draft Preliminary Determination for the proposed modification,I (we)will be required[pursuant to OAR 690-382-0700(5)]to provide the following landownership information and evidence demonstrating that I (we)are authorized to pursue the modification: (a) A report of ownership and lien information that has been prepared by a title company within the last three months; (b) A copy of written notification of the proposed modification provided by the applicant to all lien holders on the subject lands unless the report of ownership and lien information shows that a water right conveyance agreement has been recorded for the subject lands. If a water right conveyance agreement has been recorded for the subject lands, a copy of the recorded agreement and a listing of the owners) of the lands at the time the agreement was recorded must be submitted;and (c) If the applicant is not both the person named on the ground water registration or the assignee and the owner of the lands to which the registration is appurtenant,as identified in the report of ownership and lien information,then either of the following must be provided: A) Notarized statements consenting to the modification by all persons,other than the applicant,who are named on the ground water registration or identified as landowners in the report of ownership and lien information or who are authorized representatives of an entity to whom the interest in the water right has been conveyed as identified in a water right conveyance agreement;or B) Documentation demonstrating that the applicant is authorized to pursue the modification in the absence of consent of the persons named on the ground water registration or the assignee and the owner of the lands to which the registration is appurtenant. ® I(we)affirm that the applicant is a municipality,as defined in ORS 540.510(3)(b), and that the right is in the name of the municipality or a predecessor. Therefore,pursuant to OAR 690-382-0400(16)(b), the applicant is NOT required to provide the above described report of ownership and lien information. ❑ 1(we) affirm that the applicant is an entity with the authority to condemn property and is acquiring the property to which the ground water registration proposed for modification is appurtenant by condemnation. Documentation is provided with this application supporting this statement. Therefore, pursuant to OAR 690-382-0400(16)(c),the applicant is NOT required to provide the above described report of ownership and lien information.(NOTE: Such an entity may only apply for recognition of a modification under this subsection if it has filed a condemnation action to acquire the property and deposited the funds with the court as required by ORS 35.265) • For both Permit Amendment and Ground Water Registration Modification Applications, I(we)affirm that the information contained in this application Is true and accurate. Last Updated:1013012006 Permit Amendment or GW Modif cation/11 FS 1 City Tigard /,!;,x A/,(/ /—/,/, - ) . - Sia v/v licant s,gn name(print) 9file Tigard Water District e-i", - ov//9'. applicant signature name(print) date City ing City applicant signature name(print) &fe City of Durham applicant signature name(print) date Last Updated: 10/30/2006 Permit Amendment or GW Modiftcation/12 FS Attachment 1 Groundwater Registration Statement for GR 615 Application for a Groundwater Registration Modification— GR 615 Registration No: o R............%7 Reg istcati0a' sStal6 Rent Certificate N ..G ......... - OF CLAIMA9T OF RIGHT TO.APPROPRIATE GROUND WATER' TO THS,STATS SNGDMM OF OREGON: 8e: Tigard Well No. $ TIGARD WAT= DISTRICT -8 ; Z..,JgNOE; Chairman.. Board.of'Com'miesi onere 690C_SWC ....._...........Cotinty of'X11;@d1A$ 4J14:.._.. State of�Orl�oxk ,,'do-hereby make application lor a certificate'of registration as evidence- of aright to approprbts Sir und.water. _ L.Source from.whit&water is withdrawn is.. B1iP Re1,i #Z w.. Mawft we%PMP Won.I.mw+i a�.eab.i �2 :Lolon is c I :miles•eo>ahsreet -of Tiard� Oreton T• .. .. _ '••r. �� (Avo.+d..w�IwMe:.na lh.eYee bom a..if ad.r wwn) ;i .end is aide-partictilaely'deacrilied es fouowrs: . r� South' 610' fte. auk Last i2yo Yt,`-from NW corner ,.of Section 10.- _ (a) _�.J.................... .�-.alai e Mruiee lk"Dwr6R:a emwr N 0"UM at A*M leaf a°'�' --. !wine arithin _ of .A►Q. :;Tovp..?�.s ari. _ ,Figs.•:.1:JU_, . ts..uru.ii:ueam:ni 1 i.or. (b) -within limits of recorded platted-propertt town-or city: C `Mn Loi._ ,Block _ _ of.._._ F _,..... ......._..... County of........_._. 1. 1 (n wilaw av a le.a,a"wwe) -- •. . 3. Constrgction Work was begun on.......... l�Y�: was completed.on an$the ground water'claimed was.fiest used for.the,purposss set out below on..:?IS";bar, 1949 .. .._.7; since which time the'water ha's Been used.:.QOnti 11110u8 1►. _ -.. ,r-�� . - . . .. (lbetleYMWr ar lebrmlHeeQrl , - _—.from--..�eP.��_.,.�.949 ..-to-...Sel�tµa...�.�s.?_ - -- ,� - -•- � ----- ---- -- • (Data - 4:.Quantity.of water claimed and used is_ Q...:.::......:.....:e..:gallons..per In .feet per yelkr. '5. Purligse or•Parposes for Which mater is used.-. DitiIIiCip9 _.......... _ ............ ....:._.._..... _...:..._ _ :..._._:M... .. ....:............._,__.:..... ti:.. . . .. - .:.IDemnue,lcrleNlon.mmlel0a4 nvnutaciu.lna.I dustilNl.EIl.I- 6.•Description of.Wen'. Depth.-AU._....._feet. T�Pe _... diameter........ _......._.inches..Elevation of ground at-Nell site 37S feet,'mean sea level. 1 (Almer u"dwn) Depth to�q•�ater table.... 1 HiQ.:....... ....feet.. 7. .Capacity of-Well: :$ye _. ..._ .g p m:with ____...7. .: �..feet drawdown. Q ��ppsri with ..�feet drawdown: ' Pukged 700 8P41 for 94 hre. 'Date of test If Rowing Well: Measured discharge.:_..,.......w..:.._...g p m..on'. Shut-in pressure at ground surface',-...--'-..... _.... lbs.per sq.ins on...... .............. • (Date) Water is'controlled _.......... :.... 8. Gstor. (Clive diameter,VommercW:vpMdOW iMW and depth,below-gegsnd: of sub Codas size.) is ......__lo _,inch.diruaitgr ataadard i alai ,wrtao to_ $: .»»feet. • ,. - inch dt�nNler . frorq..�..,..._.•.»....».to......._.......::..�fep! ....:,.•w._..r. iach'.d1M��-- .....•' _ . "�'........•f......:from....... inch diamaRfr. ».,::_,,. ..x _: _+ .,.:;, from...... ti .,• ..to. . .. . . feet y Dere�and alsovii depoh.od�pi%!daPbf�Ihiv*or otlter d":.» .:,. »......»... _. ._.Y._.. ...»: .... _..:. ......... _. . �. »:. _w ,:. ..,.. ..::............... ...»....». . i 9 Perforated»Qur�fUp•or 9ereeeufrm to Y 11 'MW�M�1�e/r MI�N Nf M�yfw�W�.R MeM rO�al . ' '' q »» ^r t. ».« _ �.. .».. _ «« a. •._ .r:.« frM:..,a.. .i. _ »to frdla. to .».,� ,._.».. ...�• from.. ._:.L_.._.to ...: _.«. L -of Wells (Describe each stratum or formation clearly.indicate if-water bearing.and give th& view and depth as indicate.) Log attaohed . . }•.•, . xnrntun n„�k,,... zkvw w BO"- W•) m=.0 j s' saw{{ i f -:�,.. . . • . . ,, � It.log b well lent a*ailable,gine'name and.addreat of driller: ' 1L Ynliltradan Tench: coveted or open. .�». ....� . .�. j_Dlmemlo= t hgth _ , . ft.bdir miwn depth -_ .ft Maximum depth.. -- ft. . k Bottom width ft: Dlsebarge Date of test _ �• 12• Tannek Tyne of IIdng._ y• • w :': Position of coater bearing stratum.with rate""to portal.of tunnel. — ,•- Log of tunnel (Preceding table'for log of well may.be used,if desired Give footage hotn poitil . and eharaawr of material,as.pertinent) ; ,, 18, Pdmpi�ot 8gs+lpment: ' W. e e Curb iiia 800_ ( ) Pump GPadtq_ ]�_�..-.g.p m e om&trww,u.i CP p 14. Location of a"*irrigated or to be irrigated,'or place of use if for.purposes other than irrigation. Me - XMIUr Alm 1 Wi'-. . 94 S M�:nioi' al I S S, 1 NO d11 ' S 311 1; 10 Nir A ' • 4•. i 15. If the ground,water supply is supplemental to an.ung water-supply.identification-bf any appu cation for a permit,permit,certificate or adjudicated rightto appropriate water made or held by the'registran), _._:... .•� ara ��i1_rza.. �_>; >u era lis gra .,� w __..-_.._...........-------IN . i 1 � _ .:; a •!. ... � •.y �t • '� _ .- � �� ti • ! 1. 1 • weU and acreage.of i ilgated land on plat. - ' Soalei 2"•.. Mile . STATZ OF OREGON r'ot>asy � aashin_.�B.Zi�'•.:. � . first. worn,do hereby.per that I have. r road-ft foregoing Registration Statement aittftt a o1 the mems ih contained are true to OW beat od, mp lcnowledge and belief. Irmark 8os3rdo to rse • 8absiaeihad�' •-b�.me �y _ (AL) ' ; r'. •CERTIFICATE-OF REGISTBATION STAT& OF OREGON Z. cqtnty of• +�+ Thia..is to'certify that tbe�forgJoing ReSb ration Statement was received in the office pf ftStafe E llll e r 41W.I e...i,:.a&Jldsy of �Pteetsthex J.--:r 1";A •Rt t.�.� o'clbckAL .. ._�and bae bii6 duly recorded-in said adfioe in Ha .. of Reglstratlop Staeisnt on page Otl-�59't C Witniss'my hand this....16th .day of . ?rte .qru» 1 Attachment 2 Current and Proposed Point of Appropriation Map Application for a Groundwater Registration Modification —GR 615 City of Tigard Additional Points of Appropriation for Groundwater Registration No. GR-615 (Certificate No. GR-587) . � ` �,'�D�� :� res ���,��• �' • � . . �, �"� ,J.• .,, 1'r.� syr ` � _ 1 ' i'!'�����;�`�--=;•����1�' �yam` �'' j'% :;--; �_ '�. .� x u r 'r- ` J;/ �� `.r�.+ 1�: )`r f i ` �✓:./ / .�s^ E ` �t`''Ys ' w i.='=14SR=Z+ `��i�t. �`ll� 1..��,..� ,� � [� ..•.. .i�...fff��� _ 'ASR�1° �.r o • i ` � ti E r;;� f �:� ;\�\ti� i.�.Jf�f.rte f��f�J•�� f'::^ r • ( 1 r;:,�,�,� •r �. .t tl LID Ir r {/,rJ .� f '�``':-- f.�rf;f.- y/rr �:.-'�.. 1 •.� -.!� t r;—L! �•'' "'I Township,2 SoutIR&ngs,l;_Wsat HISMetts Meridiani 1R �._'�U ,r��!/ � .�� ,ti — )��► '•..� �� rte.. �.—+• m 17 �' :.. �.: • 1 _ "fir �r '�._✓� / 1 •� .. C L - /J �}\1[.- j� ter. r �� _: ��• _ .. ■ �� �• t �° �r - Qr ti Legend Point of Appropriation (POA) (-� 1 LL POA Legal Description Mao Information Current POA h6p Projection: Lambert Conformal Conic Well 12:Located 610 feet South and 1,270 feet East Map Datum: D North American 1983 from the northwest corner of Section 10,Township 2 Map Date: October 23,2008 South,Range 1 West. Prepared By:GSI Water Solutions,Inc. N Additional POA Reauested Note ASR 1:Located South 030 13'22'East 1,561 This map was prepared for the purpose of identifying the feet from the northwest comer of Section 11,Township location of a water right only and it is not intended to provide 2 South,Range 1 West. legal dimensions or location of property ownership lines. ASR 2:Located 1,750 feet South and 100 feet East Scale from the northwest comer of Section 10,Township 2 South,Range t West 1 Inch = 1,320 feet ASR 3:1-ocated 1,600 feet South and 1130 feet West 0 500 1,000 2,000 from the northeast comer of Section 9,Township 2 South, VGS1 Range 1 West. Feet �yy � 1 Well WASH 11592 ASR 1 WASH 58003 ASR 2 WASH 61622 ASR 3 WASH 66115 Attachment 3 Well Logs Application for a Groundwater Registration Modification— GR 615 DB5ERVATIUN WE" STATE ENGINEERWkqg4 Well Record STATE WELL NO. Salem,Oregon 011592 COUNTY _,WaS,4' /Z 1"� --------* APPLICATION NO A MAILING C E. J-4 n.0 e- 4-7 . . ......... OWNER: .... ADDRESS: ............. CITY AND LOCATION OF WELL: Owner's No. ............ STATE: .........;�,_ __Z........................... Ald...1/4 __lW- .,.Y4 Sec. _1_1L.T. S.,R. W.,W.M. .V6) Bearing and distance from section or subdivision corner ...,S-o.... ...... -----------S-le-CA...../10........ ..................... ............­­­­......... ............................... .................................................. Altitude at well ............................_../-.._.__. TYPE OF WELL: dj_AA1 Date Constructed Depth drilled ......._Depth eased ... gr-----.---- Section....... .......... CASING RECORD: /A /,;v &� FINISH: AQUIFERS: WATER LEVEL: Z za - P=ING EQUIP NT: Type ........?Z,*4AW_ir.......................... H.P. ------- Capacity __ DJ....... G.P.M._ WELL TESTS: Drawdown ........ ft. after _-____.. hours -----------.......... G.P.M. Drawdown --------------t ---- ft. after ................__....... hours ..........................1W 41 .............. G.P.M. USE OF WATER MwdvvkllegTemp. ....._.... °F. ........---•-----.._.................................119........ SOURCE OF INFORMATION ..S., ................ --------------------------------------------------- DRILLERor DIGGER -_------------------------_--------------------------------- ...................... ADDITIONAL DATA: Log Water Level Measurements Chemical Analysis ..............— Aquifer Test REMARKS: state PrintIng 89316 , WELL # 2 R. J. STRASSER, DRILLING COMPANY 8110 S.E. Sunset Lane Portland 6, Oregon Log of well # 2 for the Tigard Water District 12 inch well cased with 10 inch to 342 feet deep. Comleted 7/30/49. Surface to 2 Ft Top soil 2 ft it 29 " Yellow and red clay 29 tr t, 7 tt Decomposed rock 47 tt tr 3 tt Hard gray rock 83 " " 97 " Browniah red medium rock 97 rr tr 192 tr Hard gray rock 192 " " 201 " Soft brownish red rock with around 100 C .P.M. 209 rr n 209 rr Hard gray rock 209 'r +' 224 " Porous brown rock with a little water 224 " " 265 " Gray and brown rock 265 " " 274 " Porous brown rock a little water 274 rr tr 319 tr Hard gray rock Well was tested at 342 feet and furnished 220 G.P.M.a draw down of 140 feet. 335 " " 362 'r Hard gray rook 362 " " 368 " Brown porous rock 368 " " 395 " Hard clay 395 " " 400 " Soft red rook should have some water 400 tr tr 438 t► Gray rook 438 rt tr 447 tr Very soft yellow rook with water 447 rr tr 453 rr Gray rook Static water levil 190 feet from the surface. Pump test showed 325 G.P.M. with 72 feet draw down 400 er it 90 it it » A cement seal was made around the casing at a depth of 60 tO 70 feet tor event any water from entering the well above the 70 .ft. levee, RE � � b STATE OF OREGOh DEC 12 2001 WATER SUPPLY WK,L REPORT �� WELL I.D.N (aa raq.iree by ORS s37.7 WATER RESO R S pEa form. START CARD N 141 Instructions for comytedoothis (1) OWNE : , Well Number (9) LOCATION OF WELL by legal description: Name G eountyY�I�s�N&IM Latitude Longitude Address Pq r2 5-LAP. 14ALL 5L-Vbl Township.—, a N S RE or W. WM. ei D state zipSection �t�1 an N� les (,2-) OF WORK Tax Lot Lot Block Subdivision L7 ew Well ❑Deepening❑Alteration(repardecondition)❑Abandonment Sheet Address of Well(or nearest address) `— Q ��/�-2e{j MJ Q y ( O . LS otaryAir ❑Rotary Mud ❑Cable [)Auger (10) STATICWA LEVEL: ❑Other 941ft,below land surface. Date jga.Aq, (4) PROPOSED USE: Artesian pressure Ib.per square uuh. Date T C]Dotnestic ❑Community ❑Industrial []Irrigation (11) WATER BEARING Thermal &Tjoction [Livestock gmer ` r BoRE HOLEO TR C IO . Depth at which water was first found 323 Special Construction approval❑Yes No Depth of Completed Wen"ft. Explosives used ❑Yes (jMo Type Amount From To Estimated Flow Rate San IF HOLE SEAL 1:1001 A42,146- Diameurr From To Material Pner To NotberposeWsSp {j s 11 r ► / + / , 1 +i—�d I - ' 6 p How was seal placed: Metbod C3 E]H ❑D ❑E (12) WELL LOG:Ground Elevation ❑ Other Backfill placed from IL to ft Material Material From To S WL Gravel placed from ft to fl. Size of gravel (6) A NER: Dianeser From To/Came Steel PleAk Wd1ad Tihmded JAI Casing' '� ❑ ❑ IA ❑ ❑ ❑ ❑ 1 ❑ ❑ ❑ ❑ ' ❑ ❑ ❑ ❑ Loner: ❑ ❑ ❑ ❑ 1 Z49 r ❑ ❑ ❑ ❑ &a lmsdI4 / 1 Final location of shoe(s) j. (7) E ORA O SCRE NS: grg,6,AI ❑Perforations Method ❑Screens Type Material slot 7klde 3 44 From To An Namaer IHameter alae Casiq Lher 1, 41041 ❑ ❑ 14jal ❑ ❑ ❑ ❑ L ftalffica6a4 1 ❑ ❑ kfibiI ❑ ❑ if bleum /Z (8) WEL[ IN: Minimum testing time is I hour Date started Completed Flowing (tnbonded)Water Well Constructor Certificauen: 0 Hailer ❑Air ❑Artesian I catity that the wort I performed on the construction,alteration,or abandonment Ykld Ven■ Drar►dewa Dral stew at 7%ft this well is in compliance with Oregon water supply well construction standards. Materials used and information reported above are true to the beat of my knowledge 1 hr. and belief. WWC Number Signed Date Temperature of water Depth Artesian Flow Found (bonded)Water Well Cons"mcLor Certlflcadon: Was a water analysis done? ❑ Yes By whom 1 accept re+por►s'bdity for the construction,alteration,or abandonment wort Did any strata contain water not suitable for intended use? ❑Too little p�ormed oo tltls well during the conArstdion dates reported above. All work performed during this time is in compliance with Oregon water supply well ❑Salty []Muddy ❑Oda ❑Colored []Other construction . 7waysport is true to the best of my knowledkgLm Depth of strata C Numbersigned j ORIGINAL-WATER RESOURCES DEPARTMENT FIRST COPY-CONSTRUCTOR SECOND COPY-CUSTO ER R EUPVP v3 \ STATE OF OREGON DEC 1 2 2001 WATER SUPPLY WELL IFPORT WELL I.D.N L (as required by ORS 537.765) WATER RESOURCES DEPTSTART CARD# I Instructions for completing tilis repogAm ft4ftme oft ' form. (1)LAND OW NE �' Well f){y be 7� (9)LOCATION OF WELL by legal description: Name �/Q �! 1raa4b r G County Latitude Longitude Address 'township N or S Range E or W.WM. City State Zip Section 114_1/4 (2)TYPE OF WORK Tax Lot Lot Block Subdivision a ❑New Well ❑Deepening ❑Alteration(repaidrecondmon) ❑Abandonment i Street Address of Well(or nearest address) (3)DRILL METHOD: ❑RotaryAir ❑RotaryMud ❑Cable ❑Auger (10)STATIC WATER LEVEL: ❑Other ft,below land surface. Dale i (4)PROPOSED USE: Artesian pressure Ib.per square inch Date ❑Domestic ❑Community ❑Industrial ❑Irrigation (11)WATER BEARING ZONES: ❑Thermal ❑Injection ❑Livestock ❑Other (5)BORE HOLE CONSTRUCTION: Depth at which water was first found ` i Special Construction approval ❑Yes❑No Depth of Completed Well_ft. From To Fstimated Flow Rate SWL Explosives used ❑Yes ❑No Type Amount yey'r HOLE SEAL Diameter From To Material From To Sachs or pounds 1 r (12)WELL LOG: How was seal placed: Method ❑A O B ❑C ❑D ❑E Ground Elevation = ❑Other Backfill placed from ft.to ft- Material Material From To SWL Gravel placed from ft.to ft. Size of gravel (6)CASING/LINER: k1 Diameter From To Gauge Steel Plastic Welded Threaded Casing: ❑ ❑ ❑ ❑ f 1l ❑ ❑ ❑ ❑ ' ❑ ❑ ❑ ❑ f ❑ ❑ ❑ ❑ ccZ l (.foci: ❑ ❑ ❑ ❑ L! t ❑ ❑ ❑ ❑ Drive Shoe used ❑Inside ❑Outside ❑None Final location of shoes) Sat (7)PERFORATIONS/SCREENS: ❑Perforations Method f ❑Screens Type Material I Slot Tele/pipe i From To size Number Diameter size Casing Liner ❑ ❑ ❑ ❑ ❑ a (8)WELL TESTS: Minimum testing time is 1 hour Date started Completed Flowing (unbonded)Water Well Constructor Certification: ❑Pump ❑Bailer ❑Air ❑Artesian I certify that the work I performed on the construction,alteration,or abandon- Yield bandonYield gakimim Drawdown Drill stem at Time mem of this well is in compliance with Oregon water supply well construction hr. standards.Materials used and information reported above are true to the best of my knowledge and belief. W WC Number � Signed Date ZZ Temperature of water Depth Artesian Flow Found (bonded)Water Well Constructor Certification: Was a water analysis done? E3 Yes By whom accept responsibility I ace t res nsibilit for the construction,alteration,or abandonment work performed on this well during the construction dates reported above.All work Did any svau contain water not suitable for intended use? El Too little performed during this time is in compliance with Oregon water supply well ❑Sally ❑Muddy ❑Odor ❑Colored ❑Other construc"sdaai*�� f myknowledge el. Depth of strata WC Number Signed Date f ORIGINAL—WATER RESOURCES DEPARTMENT FIRST COPY—CONSTRUCTOR SECOND COPY—CUSTOMER ------ --- -- - - - - - - - -- - - ------ -- --- -WASH _ 6.1.622 - - -- - -- --- --- - -- -- - - - -- - - - -- -- STATE OF OREGON WATER SUPPLY WELL REPORT (WELL I.D.)4 L 68044 las required by ORS 537.765) (START CARD)# 161748 Instructions for completing thLs report are on the last P2gt of this form. (1) OWNER: Well Number COT-2R (9) LOCATION OF WELL by legal description: Name City of Tigard County Washington Latitude Longitude Address 13125 SW Hall Blvd. Township 2 S Rnnge 1 W WM Cites Tigard State OR Zip 97223 Section 10 SW 1/4 MW 114 (2) TYPE OF WORK Tax Lot 900 Lot Block Subdivision — V New Well❑Deepening ❑Alteration(repair/recondition)❑Abandonment Street Address of Well(or nearest address) NE comer of SW 125th& (3) DRILL MET14OD: SW Bull Mountain Rd. 21Rotary Air ❑Rotary Mud ❑Cable ❑Auger (10) STATIC WATER LEVEL: &60ther Reverse Circulation 308 ft.below land surface Date 8102104 (4) PROPOSED USE: Artesian pressure Ib.per square inch. Date []Domestic 6ZCommunrtL ❑Industnal C]Irrigation (11) WATER REARING ZONES: F]Thermal E]Injection ❑Livestock E]Other (5) BOREHOLE CONSTRUCTION: Depth at which water was first found 312' Special Construction approval❑Yes 0 No Depth of Completed Well 1012 R Fxplosives used ❑Yes +1_rJ No Type Amount From To Estimated Flow Rate S WL BOLE SEAL —COMPLETED ON Diameter From To Material From To Sacks or pounds ATTACHED 24" 0 32' 1 Bentonite 10 32' 118 sacks SHEET- 20" 32' 343' Cement 0 351.7 17 yards 16" UT 1012' (12) WELLLOG: How was seal placed Method ❑A E]B V C ❑D ❑£ Ground Elevation 9 Other poured chips Backfill placed from A to ft Material Material From To SWL Gravel ptaced from 351.7 tl to 716 ft Size of gravel pea ""COMPLETED ON ATTACHED SHEET"" (6) CASING/LINER: Diameter From To Gauge Steel Plastic Welded Threaded Casing"`SEE AS BUILT "" 5z ❑ 66 ❑ ❑ ❑ ❑ ❑ -- ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ Liner ❑ ❑ ❑ ❑ Final location of shoels) (7) PERFORI,TIONS/SCREENS: ❑Perforations Method Wire wrap (Screens Type 304 Material S.S. Sint Telelpipe From To size Number Diameter size Casing Liner 554.7' 574.7' 050 16" lrY7Jf 679.7' 699.7' .050 16" ❑ e WATER RE3 — PT- 779.7' 819.7' .050 16" ❑ ® S 854.7 894.7' .050 16" ❑ 964.7 1004.68' .050 16" 1 ❑ V (8) WELL TESTS: Minimum testing time is I hour Date started 3/10104 Completed 8125104 Flowing (unbosded)Water Well Constructor Certification: ❑Pump ❑Bader GZAir ❑Artestan I certify that the work I performed on the construction,alteration,or abandonment 1 idd eaVa in Dm down Drill stem at Time of this well is to compliance with Oregon water supply well construction standards Materials used and information reported above arc true to the best of my knowledge 428 qpm 28' 1010' 1 fir. and belief ' WWC Number (0,� . Signed '" Y � Date 7 i p-� Tcmperaiure ofwater 57 Depth Artesian Flow Found (loaded)Water Well Constructor Certification: Was awalcr analysis done? ❑ Yes By wtmom I aaxpt responsibility for the construction,alteration,or abandonment work Did any strata contain water not suitable for intended use? ❑Too little performed on thi well during the construction dates reported above. All work performed durin'j this time is in compliance with Oregon water supply well ❑Salty []Muddy ❑Odor ❑Colored ❑Other constructionlsrnxbrd. Thisilteptlrt is true to the best of my knowledge and belief Depth ofstratis f t WWC Number Signed F� Date C a ORIGINAL&FIRST COPY-WATER RESOURCES DEPARTMENT SECOND COPY-CONSTRUCTOR THIRD COPY-CUSTOMER WASH 61622 ' Geo-Tech Exploratrono A Division of Boart Longyear 19700 SW Teton Ave Tualatin, OR 97062 503-692-6400 503-692-4759 (fax) Start Card: 161746 Well Label: L68044 Boring # : ASR COT-2R Water Bearing Zones: From To Estimated Flow Rate SWL 554 574 307 679 699 307 779 819 307 854 894 307 964 1004 12.2 gpm /ft 307 Soil Profile Continued from Log: Material From To SWL Gravel base 0 2' Brown silt 2' 12' Brown silt w/weathered basalt 12' 15' Brown silt—soft 15' 18' Brown silt w/weathered basalt 18' 20' Weathered basalt 20' 38' Weathered basalt—broken 38' 1 65' Basalt med —gray 65' 91' Basalt soft —red 91' 103' Basalt med —weathered 103' 139' Basalt w/ seams of brown silt 139' 238' Basalt conglomerate 238' 279' Basalt- gray w/seams 279' 1 380' 307 Weathered broken basalt 380' 1 420' 307 Basalt(med /hard)-gray 420' 470' 307 Basalt soft - gray & red 470' 481' 307 Weathered basalt(med)- fractured 481' 497' 307 Basalt - gray 497' 515' 307 Basalt (slightly vesicular)-dark grayRECEVED 515' 532' 307 Basalt—weathered/broken @GT 0 4 M4 532 537' 307 Basalt and —gray WAI LH 537' 542' 307 Basalt med/hard)—gray542' 549' 307 WASH 61622 Basalt and — light&dark gray 549' 631' 307 Basalt—brown,green& gray 631' 635' 307 Basalt—gray 635' 640' 307 Basalt (slightly vesicular)—brown&gray 640' 648' 307 Basalt and —gray/some pinholes 648' 1 661' 307 Weatherered basalt-brown,green & gray 661' 678' 307 Basalt fractured -brown, green&gray 678' 680' 307 Vesicular basalt—brown to red 680' 688' 307 Basalt—gray to brown 688' 711' 307 Basalt—gray w/dark gray seams 711' 718' 307 Basalt—brown to gray 718' 724' 307 Basalt fractured —brown to gray 724' 730' 307 Basalt—gray w/dark gray seams 730' 736' 307 Basalt(fractured)— gray to brown& green 736' 786' 307 Basalt med —gray to red 786' 788' 307 Basalt—gray to brown & green 788' 795' 307 Fractured basalt and —gray 795' 810' 307 Basalt(very fractured)—gray w/brown& green 810' 819' 307 Basalt(slightly fractured)—gray w/brown 819' 838' 307 Basalt fractured —brown to gray 838' 843' 307 Basalt fractured — gray to brown 843' 852' 307 Basalt hard —gray 852' 859' 307 Basalt fractured — gray to brown 859' 870' 307 Vesicular basalt—brown to gray 870' 1 875' 307 Basalt med/hard — gray; slightly vesicular 875' 884' 307 Basalt fractured/hard —brown to ray; slightly vesicular 884' 890' 307 Basalt fractured/med —brown to gray 890' 939' 307 Basalt med/hard —gray 939' 943' 307 Basalt(med/hard)— gray& brown, slightly fractured 943' 1012' 307 RECEIVED OCT 04 2A WATER RESOUr. - SALEM,ORES W SH 61622 feet - :,x, - As-Built for COT-2R Start Card: 161746 Label:L68044 50 feet - . .._ -------- -------- 24"boring from 0-32' 20"boring from 32-343' 16"boring from 343'- 1012' 100 feet 24"Backfilled w/ Bentonite Chips 150 feet backfilled cement grout 0-343' 200 feet 20"permanent casing set+1 to 343' 250 feet 300 feet Static Water: 307' 350 feet 16" Mild Steel blank(liner) 400 feet 1 - +1.5' to 554.7' RECEIVED 450 feet OCT 04 M WATER RESOUr . - .A SALEM,OREW Page ] of 2 500 feet WASH 61622 500 feet 1 Mild Steel Blank(liner) Start Card: 161746Label:L68044 +1.5'to 554.7' 550 feet -; 1 , Stainless Steel Screen(liner) 554.7'to 574.7' 1 , 1 , 1 , 1 , 600 feet ' � 1- . 1 ' 1 Mild Steel Blank(liner) 574.7'to 679.7' 650 feet ' 1 ' 1 ' 1 ' 1 ' 1 ' 1 , Stainless Steel Screen(liner) 700 t 679.7'to 699.7' 1 ' 1 ' 1 ' 1 ' 1 ' 1 e , Mild Steel Blank(liner) 750 feet 699.7'to 779.7' 1 , � 1 1 , ; 1 1 ' � 1 1 ' 1 ' 1 ' 800 feet ; f--Stainless Steel.Screen(liner) 779.7'to 819.7' 1 ' 1 ' 1 ' 1 ' Mild Steel Blank(liner) ; 819.7'-854.7' 850 feet _ 1 ' 1 1 , 1 , 1 , 1 , Stainless Steel Screen(liner) 854.7'to 894.7' 1 , 900 feet ' 1 , 1 , 1 , 1 , 1 , Mild Steel Blank(liner) RECEIVED -964.7' 950 feet OCT 04 S4 1 ' WATER RESOU, . SALEM,QRE4i* 1 Mild Steel Stainless Steel Screen(liner) Blank&Shoe 964.7'- 1004.68' 1000 feet 1004.7-1009.5' Page 2 of 2 ............................................................................................................................. STATE OF OREGON WASH 66115 WATER StIPPLY WELL REPORT (as required by ORS 531.765&OAR 690-205-0210) START CARD is 1 177457 (1)LAPID ONNWER Owner Well I.D..LM 15 (9)LOCATION OF WELL(legal description) First Name Last Name County WASHING' Twp 2 S NIS Range I A? E/W WM C-V-Y City of Tigard see 9 SW 114 of the NW 1/4 Tax Lot 2500 Address 13125SWIlallBlvd Tax Map Number Lot City Tigard State OR zip -97273 L&I 0 or DMS or DD (2)TYPE OF WORK [KNew Well [:)Deepcu n cmvcniom L-2 — DMS mDD DAlteration(repairhvwnditiott) El Abandonment (*— Street address of well Nearest addras 31 DRILL KE THOD 1 13001 SA'Bull Mouintai Rd,Tigard,OR 97223 WR atay Air DRatary Mud [:]Cable [:]Auger [:]Cable Mud Reverse Rotary Doth- (10)STATIC WATER LEVEL Date S%XrL(PAi) + S'A7.(11) (4)PROPOSED USEE]Domcztic nIrrisation 5flCommunity IL—LtinF Well I --pcning I I I 109- 1 nI.dt.triat'COnMOiCiAl n Livestock ElDe-awing r-ompletod Well 12- 2007 348.7 Hole: Q E]Tlicrmal E]Weetion E]Other Flowing Artc-400 Dry WATER BEARING ZONES Depth water was finit found (5)BOREHOLE CONSTRUCTION Special Standard ElAttAch copy) SWL Datr From TO F-51 + SWIJM Depth u(Completed Well LIN & 08-12-2007 1 370 1 400 BORE IAOIX SEAL GACkS/ 08-12-2007 436 460 Dia From TO material From To Amt IIK 09-12-2007 490 490 24 0 420 Cement 0 417272 08.12-2007 510 515 19 _1 1 S S 08-12-2007 575 605 J E (11)WELL LOG Cr..d Elevation Hou was Beal placed, Method RA [:)B MC nD QI aterial From To L]Oth- sail 0 1 11 Backfill placed from — ft.to ft, Material Cls y Soft Brown 1 16 Filter pack-from ft-to ft MW.'i.I Size Weathered Rock 16 21 Explosives used: Oves Type— Amount Brown With Bled BAbAll 21 190 Brown Basalt 190 210 CASINGILINER Brown wih Black Basalt 210 305 ming Liner Dia + From To Gauge Stl Plate WW Thid Black-Basalt-3.5 min M ft 305 350 (•) (, 20 .5 417 .375 (0) () x -61—Ackwith Brown Basalt 350 440 i•5 16 3 575 .375 Basalt Gray Brown Red Soft 440 455 Li I Basalt Gray&Brown Hard 455 473 — Basalt Brown&Chay Soft 473 490 W I BasaftGray&Brown Mod 490 515 U —1 Basalt Brown& Brown Soft 515 530 Shoe L]Inside gOutBide []Other Location of thoe(s) 420 Basalt Guy&Brown Hard 530 550 Temp casing Cl Ye. Dia From TO Bault Cmy Hard 550 590 Basalt Gray&Brow Bta-cn 580 635 (7)PERFORATIONS/SCREENS Basalt Cmy Hard 635 715 Perforations Method BualtGra y&Brown Broken 715 740 Screens Type V-Wrap material Stainiss Steel Basalt Gray Broken 740 775 Pcrf7S Casing/Screen Scrn/alot Slot #of 'role) Date Started 04-27-2007 Completed 09-17-2007 creep Liner Dia From TO width lcnpth slob pipemize Scresxt Casing 16 575 605 .05 1 1 1 (unbunded)Water Well Constructor Certification Screen Liner 16 - 605 655 .05 1 ratify that the work-I performed on the construction, deepening,ahcration. or -SC—rcm Casin 16 655 675 .05 Abandonment of this -Aell is in compliance with Oregon water supply well 16 --L_ Screen Liner 16 675 755 .05 construction standards. Materials used And information reported above Are true to Screen Casin 16 755 7611 -- best of tnyk-n ledgevWbelief. J: � #�,"belief (8)WELL TESTS:Annintum testing time is I hour License Numb 153 Data .10-08-Woli d� Pump 0 Bailer 0 Air 0 Flowing Artesian Password: sling * — I Abe Yield P&I'min Drawdown Drill alcm/Pumn detuh SigrA(hr) 1,500 173.8 620 120 (bonded)Water Well Constructor Certification I accept responsibility for the construction, docpr ring, alteration-or abandonment work performed on thin well during the construction dates reported above. All work Tcmpualaric 53 *F Lab analysis E]Ym By performed during this time is in compliancc, with Oregon water supply well Water quality cow-xm? nYes(describe below) construction standards. This report is true e best?f MY la ledge and belief. To Amourit Units MenseNumbor 1523 7�Date Password:(if filing electronically) X I Signed Contact Info(rTtional) s 3*1 tow lot ORIGINAL-WATER RESOURCES DEPARn4RNI, THIS REPORT MUST BE SUBMITT71)TO TN) 11jAy`I F RT CT , DEPARTMENT WITHIN 30 DAYS OF COMM,EIION OF WORK Form Version: 0.89 WATER RESUMCES DEPT SALEM OREGON WASH 66115 WELL I.D.#L 84515 WATER SUPPLY WELL REPORT- continuation page START CARD# 177457 (5)BORE HOLE CONSTRUCTION (10)STATIC WATER LEVEL BORE HOLE SEAL sacks/ Water Bearing Zones Dia From To n Jbfi- SWL Date From To Fat Flow SWi i + SWUM 08.12-2007 635 670 06-12-2007 755 765 08-12-2D07 850 885 08-12-2D07 97$ 1005 08-12-2007 1.030 1065 1$00 348.7 FILTER PACK_ From To Malerial Size (11)WELL LOG (6)CASING/LINER mattrial From TO Casing Liner Dia + From To Gauge Stl Phtc Rid 'Mrd Bach Gray Hard 775 785 --i Basalt Gray&Brown Maud 785 825 Basalt Gray Hard 825 860 Basalt Gray&Brown Med.sotno cinder lookiris rock 860 865 Basalt Gray&Brown Broken 865 875 00 Basalt Gray Hard - 875 970 Basalt Cy Broken 970 995 Basan GUY 995 1,020 Baull Gary Broker 1020 1,063 Basalt Green&any Salt 1063 1,068 Basalt Gra Hard 1,069 1.070 Basalt Gray Broken 1070 1,075 Basalt Guy Hard 1075 1,100 (7)PERFORATIONS/SCREENS Pc&S Casing/Screen Scrrdska Slot k of We/ creep Lina Dia Ffwn To width laurth slots ' size Scram Lina 16 761 850 .05 Screen Cas' 16 850 890 .05 Screw Linea 16 890 975 .05 Screen Casio 16 975 1,005 OS Screen Liner 16 1005 1,050 .05 - Screen Cas' 16 1,050 1,070 .05 Screen Lina 16 1,070, 1 100 .05 — (8)WELL TESTS: Minimum testing time is 1 hour Yield / rm Comments/Remarks I Water Quality Concerns From To Description Amottat Units JIMPt 2007 WATER RESUURCES DEPS SALEM OREGON Attachment 4 Current and Proposed Place of Use Application for a Groundwater Registration Modification— GR 615 Kim GrigsbX r•rom: Kelly Starnes[starnepk@wrd.state.or.us] Sent: Thursday, December 18, 2008 9:28 AM To: Kim Grigsby Subject: RE: Map scale waivers Kim - I have reviewed the map and the Department can accept it as part of the transfer application. Please include a copy of this e-mail with the transfer application. Kelly -----Original Message----- From: Kim Grigsby [mailto:KGrigsby@GSIWaterSolutions.com] Sent: Wednesday, December 17, 2008 12:33 PM To: Kelly Starnes Subject: Map scale waivers Kelly, We are developing GR modification applications for the City of Tigard. We would like to use the attached maps for the place of use maps. Could we get a map scale waiver for these maps? Thank you, Kim Kimberly Grigsby Water Resources Consultant GSI Water Solutions, Inc. 1600 Western Blvd., Suite 240 Corvallis, OR 97333 Phone: 541-753-0745 ext. 13 -----Original Message----- From: CVO-Printer@gsiwatersolutions.corn [mailto:CVO-Printer@gsiwatersolutions.com] Sent: Wednesday, December 17, 2008 9:03 41 To: Kim Grigsby Subject: This E-mail was sent from "CVO-P-RIC0HC2500" (Aficic MP C2500). Scan Date: 12.17.2008 12:03:24 (-0500) Queries to: CVO-Printer(@Rsiwatersolutions.com 1 -0- Place of Use - �11E 3: W Groundwtaer Registration GR-615 0 —ZS 30 29 �17 26 City of Tigard or m 3;- 31- EGEND Proposed P12CO Of Use(POU) CRY Of T19.11rd Water Service Area 7/— Township 1 South Aultiorized POU for Regisbaftri GR-61 Township 2 South S Watercourses 6E 1, South V*ftrbocies I -T 7 12-- aw wamr.EtIm 14--F- N scale 16 1:33,600 0 0.25 0.5 0.75 1 MAP NOTES: 2122 24, 19 oar RPCiRlM+PP� F 1 F T IT -I -26-2-OVTZ229i Attachment 4 Groundwater Registration No. GR-615(Certificate No. GR-587) Location of Revised Place of Use Government 114 114 Tax Lot Township Range Section Lot or DLC Section Number Acres is 1 W 27 SE SE is 1 W 33 SW SW is 1 W 33 NW SW is 1 W 33 SE SW is 1 W 33 NE SW is 1 W 33 SE NW is 1 W 33 SW SE 1 S 1 W 33 NW SE 1 S 1 W 33 SE SE 1S 1W 33 NE SE 1 S 1 W 33 SW NE 1 S 1 W 33 SE NE is 1 W 33 NE NE is 1 W 34 SW SW is 1 W 34 NW SW is 1 W 34 SE SW is 1 W 34 NE SW is 1 W 34 SW NW is 1 W 34 NW NW is 1 W 34 SE NW 1S 1W 34 NE NW is 1 W 34 SW SE is 1 W 34 NW SE is 1 W 34 SE SE is 1 W 34 NE SE 1S 1W 34 SW NE 1 S 1 W 34 NW NE 1S 1W 34 SE NE is 1 W 34 NE NE is 1 W 35 SW SW is 1 W 35 NW SW is 1 W 35 SE SW is 1 W 35 NE SW is 1 W 35 SW NW is 1 W 35 NW NW is 1 W 35 SW SE is 1 W 35 NW SE is 1 W 35 SE SE is 1 W 36 SW SW 2S 1 W 6 SE SE 2S 1 W 6 NE SE 2S 1 W 6 SE NE 2S 1 W 5 SW SW 2S 1 W 5 NW SW 2S 1W 5 SE SW 2S 1W 5 NE SW PAPortland1103-Tigard1005- 10MG Site11.2 Water Rights\GR 615(GR 587)1Attachment 4-GR 615 Revised POU.xIs 1 of 6 Location of Revised Place of Use Government 1141/4 Tax Lot Township Range Section Lot or DLC Section Number Acres 2S 1 W 5 SW NW 2S 1 W 5 SE NW 2S 1 W 5 SW SE 2S 1 W 5 NW SE 2S 1 W 5 SE SE 2S 1 W 5 NE SE 2S 1 W 5 SW NE 2S 1 W 5 SE NE 2S 1 W 5 NE NE 2S 1 W 4 SW SW 2S 1 W 4 NW SW 2S 1 W 4 SE SW 2S 1 W 4 NE SW 2S 1 W 4 SW NW 2S 1 W 4 NW NW 2S 1 W 4 SE NW 2S 1 W 4 NE NW 2S 1 W 4 SW SE 2S 1 W 4 NW SE 2S 1 W 4 SE SE 2S 1 W 4 NE SE 2S 1 W 4 SW NE 2S 1 W 4 NW NE 2S 1 W 4 SE NE 2S 1 W 4 NE NE 2S 1 W 3 SW SW 2S 1 W 3 NW SW 2S 1 W 3 SE SW 2S 1 W 3 NE SW 2S 1 W 3 SW NW 2S 1 W 3 NW NW 2S 1 W 3 SE NW 2S 1 W 3 NE NW 2S 1 W 3 SW SE 2S 1 W 3 NW SE 2S 1 W 3 SE SE 2S 1 W 3 NE SE 2S 1 W 3 SW NE 2S 1 W 3 NW NE 2S 1 W 3 SE NE 2S 1 W 3 NE NE 2S 1 W 2 SW SW 2S 1 W 2 NW SW 2S 1 W 2 SE SW 2S 1 W 2 NE SW 2S 1 W 2 SW NW 2S 1 W 2 NW NW 2S 1 W 2 SE NW 2S 1 W 2 NE NW P:IPortland1103-Tigard1005- IOMG Site11.2 Water Rights\GR 615(GR 587)1Attachment 4-GR 615 Revised POU.xIs 2 of 6 Location of Revised Place of Use Government 1/4114 Tax Lot ,Township, Range Section Lot or DLC Section Number Acres 2S 1 W 2 SW SE 2S 1 W 2 NW SE 2S 1 W 2 SE SE 2S 1 W 2 NE SE 2S 1 W 2 SW NE 2S 1 W 2 NW NE 2S 1 W 2 SE NE 2S 1 W 2 NE NE 2S 1 W 1 SW SW 2S 1 W 1 NW SW 2S 1 W 1 SE SW 2S 1 W 1 NE SW 2S 1 W 1 SW NW 2S 1 W 1 NW NW 2S 1 W 1 SE NW 2S 1 W 1 NE NW 2S 1 W 7 NE SE 2S 1 W 7 SE NE 2S 1 W 7 NE NE 2S 1 W 8 NW SW 2S 1 W 8 NE SW 2S 1 W 8 SW NW 2S 1 W 8 NW NW 2S 1 W 8 SE NW 2S 1 W 8 NE NW 2S 1 W 8 SW SE 2S 1 W 8 NW SE 2S 1 W 8 SE SE 2S 1 W 8 NE SE 2S 1 W 8 SW NE 2S 1 W 8 NW NE 2S 1 W 8 SE NE 2S 1 W 8 NE NE 2S 1 W 9 SW SW 2S 1 W 9 NW SW 2S 1 W 9 SE SW 2S 1 W 9 NE SW 2S 1 W 9 SW NW 2S 1 W 9 NW NW 2S 1 W 9 SE NW 2S 1 W 9 NE NW 2S 1 W 9 SW SE 2S 1 W 9 NW SE 2S 1 W 9 SE SE 2S 1 W 9 NE SE 2S 1 W 9 SW NE 2S 1 W 9 NW NE 2S 1W 9 SE NE 2S 1W 9 NE NE PAPortland\103-Tigard\005-10MG Site\1.2 Water Rights\GR 615(GR 5B7)\Attachment 4-GR 615 Revised POLIAs 3 of 6 Location of Revised Place of Use Government 1/4114 Tax Lot Township Range Section Lot or DLC Section Number Acres 2S 1 W 10 SW SW 2S 1 W 10 NW SW 2S 1 W 10 SE SW 2S 1 W 10 NE SW 2S 1 W 10 SW NW 2S 1 W 10 NW NW 2S 1 W 10 SE NW 2S 1 W 10 NE NW 2S 1 W 10 SW SE 2S 1 W 10 NW SE 2S 1 W 10 SE SE 2S 1 W 10 NE SE 2S 1 W 10 SW NE 2S 1 W 10 NW NE 2S 1 W 10 SE NE 2S 1 W 10 NE NE 2S 1 W 11 SW SW 2S 1 W 11 NW SW 2S 1 W 11 SE SW 2S 1 W 11 NE SW 2S 1 W 11 SW NW 2S 1 W 11 NW NW 2S 1 W 11 SE NW 2S 1 W 11 NE NW 2S 1 W 11 SW SE 2S 1 W 11 NW SE 2S 1 W 11 SE SE 2S 1 W 11 NE SE 2S 1 W 11 SW NE 2S 1 W 11 NW NE 2S 1 W 11 SE NE 2S 1 W 11 NE NE 2S 1 W 12 SW SW 2S 1 W 12 NW SW 2S 1 W 12 SE SW 2S 1 W 12 NE SW 2S 1 W 12 SW NW 2S 1 W 12 NW NW 2S 1 W 12 SE NW 2S 1 W 12 NE NW 2S 1 W 12 SW SE 2S 1 W 12 NW SE 2S 1 W 12 SE SE 2S 1 W 12 NE SE 2S 1 W 12 SW NE 2S 1 W 12 NW NE 2S 1 W 17 NW NE 2S 1 W 17 NE NE 2S 1W 16 SE SW P1Portland1103-Tigard1005- 10MG Site11.2 Water Rights\GR 615(GR 587)1Attachment 4-GR 615 Revised POU.xIs 4 of 6 Location of Revised Place of Use Government 1/41/4 Tax Lot Township Range Section Lot or DLC Section Number Acres 2S 1 W 16 NE SW 2S 1 W 16 NW NW 2S 1 W 16 SE NW 2S 1 W 16 NE NW 2S 1 W 16 SW SE 2S 1 W 16 NW SE 2S 1 W 16 SE SE 2S 1 W 16 NE SE 2S 1 W 16 SW NE 2S 1 W 16 NW NE 2S 1 W 16 SE NE 2S 1 W 16 NE NE 2S 1 W 15 SW SW 2S 1 W 15 NW SW 2S 1 W 15 NE SW 2S 1 W 15 SW NW 2S 1 W 15 NW NW 2S 1 W 15 SE NW 2S 1 W 15 NE NW 2S 1 W 15 NW SE 2S 1 W 15 SW NE 2S 1 W 15 NW NE 2S 1 W 15 SE NE 2S 1 W 15 NE NE 2S 1 W 14 NE SW 2S 1 W 14 SW NW 2S 1 W 14 NW NW 2S 1 W 14 SE NW 2S 1 W 14 NE NW 2S 1 W 14 SW SE 2S 1 W 14 NW SE 2S 1 W 14 SE SE 2S 1 W 14 NE SE 2S 1 W 14 SW NE 2S 1 W 14 NW NE 2S 1 W 14 SE NE 2S 1 W 14 NE NE 2S 1 W 13 SW SW 2S 1 W 13 NW SW 2S 1 W 13 SE SW 2S 1 W 13 NE SW 2S 1 W 13 SW NW 2S 1 W 13 NW NW 2S 1 W 13 SE NW 2S 1 W 13 NE NW 2S 1 W 13 SW SE 2S 1 W 13 NW SE 2S 1 W 13 SE SE 2S 1 W 13 NE SE PAPortland\103-Tigard\005- 10MG Site\1.2 Water Rights\GR 615(GR 587)\Attachment 4-GR 615 Revised POU.xIs 5 of 6 Location of Revised Place of Use Government 1141/4 Tax Lot Township Range Section Lot or DLC Section Number Acres 2S 1 W 13 SW NE 2S 1 W 13 NW NE 2S 1 W 13 SE NE 2S 1 W 13 NE NE 2S 1 W 24 NW NW 2S 1 W 24 SE NW 2S 1 W 24 NE NW 2S 1 W 24 SW NE 2S 1 W 24 NW NE PAPortland\103-Tigard\005-10MG Site\1.2 Water Rights\GR 615(GR 587)\Attachment 4-GR 615 Revised POU.xIs 6 of 6 Attachment 5 Land Use Information Form Application for a Groundwater Registration Modification— GR 615 Uregon Water Resources Department �sTM4:. North Mall Office Building • 725 Summer Street NE,Suite A fhr,xium R.KulongoFki,Gmrm��r Salem,OR 97301-1266 503-9,%-1)90[1 FAX 503-986-0904 NOTE TO APPLICANTS In order for your application to be processed by the Water Resources Department(WRD),this Land Use Information Form must be completed by a local government planning official in the jurisdictions where your water right will be used and developed.The planning official may choose to complete the form while you wait, or return the receipt stub to you. Applications received by WRD without the Land Use Form or the receipt stub will be returned to you. NOTE TO LOCAL GOVERNMENTS The person presenting the attached Land Use Information Form is applying for a water right. The Water Resources Department(WRD)requires its applicants to obtain land-use information to be sure the water rights do not result in Iand uses that are incompatible with your comprehensive plan. Please complete the form or detach the receipt stub and return it to the applicant for inclusion in their water right application. You will receive notice once the applicant formally submits his or her request to the WRD. The notice will give more information about WRD's water rights process and provide additional comment opportunities. You will have 30 days from the date of the notice to complete the land-use form and return it to the WRD. If no land-use information is received from you within that 30-day period,the WRD may presume the land use associated with the proposed water right is compatible with your comprehensive plan. Your attention to this request for information is greatly appreciated by the Water Resources Department. If you have any questions concerning this form,please contact the WRD's Customer Service Group at 503-986-0801. Oregon Water Resources Department Land Use Information Form THIS FORMIS NOT REQUIRED IF])water is to be diverted,conveyed,andlor used only on federal lands;or 2)the application is for a water-right transfer,allocation of conserved water; exchange, permit amendment,or ground waler registration modification,and all of the following apply:a)only the place of use is proposed for change,h)there are no structural chonges,c)the use of water is for irrigation,and d)the use is located in an irrigation district or exclusive farm-use=one, Applicant Name: City of Tigard,Attn:Dennis Koellermcier Mailing Address: _ 13125 SW Hall Blvd. —_ City: Tieard State: OR Zip: 97223 Day Phone: 503-639-4171 This application is related to a Measure 37 claim. r Yes r No A.Land and Location Please include the following information for all tax lots where water will be diverted(taken from its source),conveyed (transported),or used. Applicants for municipal use,or irrigation uses within irrigation districts may substitute existing and proposed service-area boundaries for the tax-lot information requested below. Township Range Section /.!4 Tax Lot 4 Plan Designation(e.g. Water to be: Proposed Rural Residential/RR-5) Land Use: See maps attached. 0 Diverted 0 Conveyed Fi Used municipal — .. 0 Diverted 0 Conveyed D Used D Diveticd 0 Conveyed 0 Used D Diverted D Conveyed 0 Used List all counties and cities where water is proposed to be diverted,conveyed,or used. City ofTigard B.Description of Proposed Use Type of application to be filed with the Water Resources Department: 0 Pennit to Use or Store Water 0 Water-Right Transfer 0 Exchange of Water 0 Allocation of Conserved Water C Limited Water Use License 0 Permit Amendment or Ground Water Registration Modification Source of water: 0 Reservoir/Pond 12 Ground Water 0 Surface Water(name) Estimated quantity of water needed:______500 C cubic feet per second 0 gallons per minute 0 acre-feet Intended use of water: O Irrigation C Commercial ❑Industrial 0 Domestic for household(s) 21 Municipal 0 Quasi-municipal 0 Instream 0 Other Briefly describe: The City of Tieard is submitting a groundwater regizir3hon madi&ntion aRbion to add three wells ason intS_pf__. npl2ropr iation and to identify the city's cu-rent service area as the claimed place of use for this groundwater registration Note to applicant: If the Land Use Information Form cannot be completed while you wait,please have a local govermnew representative sign the receipt below and include it with the application filed with the i oter Resources Department. Receipt for Request for Land Use Information State of Oregon Water Resources Department 725 Summer Street NE,Suite A Salem,OR 97301-1266 For Local Government Use Only The folloiring section must be completed by a planning oj)(ilcial fi•ow each county and city listed unless the project will be located entirely within the city limits.ht that case,only dze city plaruting agency must complele thin form. This deals only with the local land-use plan. Do not include approval for activities such as building or grading permits. Please check the appropriate box below and provide the requested information XLand uses to be served by proposed water uses(including proposed construction)are allowed outright or are not regulated by your comprehensive plan. Cite applicable ordinance section(s): 0 Land uses to be served by proposed water uses(including proposed construction)involve discretionary land-use approvals as listed in the table below. (Please attach documentation of applicable land-use approvals which have already been obtained. Record of Action/land-use decision and accompanying findings are sufficient.) If approvals have been obtained but all appeal periods have not ended,check"tieing pursued". Type of Lend-Use Approval Needed Cite Most Significant,Applicable Plan (e.g.plan arnendments,rezones, Policies&Ordinance Section References Land-Use Approval: conditional-use perrnits_e_te.) 0 Obtained 0 Being pursued 0 Denied 0 Nut being pursued 0 Obtained 0 Being pursued 0 Denied 0 Not being pursued G Obtained 0 Being pursued ODenied ONot being ursued 0 Obtained 0 Being pursued 0 Denied O Not being pursued 0 Obtained 0 Being pursued 0 Denied 0 Not beintr pursued Local governments are invited to express special land-use concerns or make recommendations to the Water Resources Department regarding this proposed use of water below,or on a separate sheet. i Name: Roland Sivucffl y Title: City Administrator Signature: 1/ , , yam.—�^^� Phone: 503 6396851 Date: 7— Government Entity: CITY OF DURHAM Note to local government representative: Please complete tints form or sign the receipt belotr andreturn it to the applicant. f yar sign the receipt,you will have 30 days fi-onr the Water Resources Depot Rnent's notice dale to return the completed Land Use Information Form or IVRD may presume the land use associated ividr fire proposed use of voter is compatible with local comprehensive plans. Receipt for Request for Land Use Information Applicant name: City or County: _ _Staff contact: Signature: _. Phone: Last updated 12/22/06 WR Oregon Water Resources Department Land Use Information Form THIS FORMIS NOT REQUIRED IF.-1)water is to be diverted,conveyed,and�or used only on federal lands;or 2)the application is for a Crater-right transfer,allocation of conserved water, exchange, permit amendment,or ground water registration modification,and all of rhe following apply:a)only the place of use is proposed for change,b)there are no structural changes,c)the use of tvaler is for it Ligation,and d)the use is located in an irrigation district or exclusive farm-use cone. Applicant Name:_ City of Tigard,Atm:Dennis Koelletmeier Mailing Address: 13125 SW Hall Blvd. City: Tigard State: OR Zip: 97223 Day Phone: 503-639-4171 This application is related to a Measure 37 claim. r Yes F No A.Land and Location Please include the following information for all tax lots where water will be diverted(taken from its source),conveyed (transported),or used. Applicants for municipal use,or irrigation uses within irrigation districts may substitute existing and proposed service-area boundaries for the tax-lot information requested below. 'rownship Range Section 1A V. Tax Lot# Plan Designation(e.g Nater to be: Proposed Rural Residential/RR-5) Land Use: See maps attached. c Diverted 0 Conveyed 0 Used municipal n Diverted 0 Conveyed U Used G Diverted 0 Conveyed 0 Used 0 Diverted 0 Conveyed U Used List all counties and cities where water is proposed to be diverted,conveyed,or used. City of Tigard B.Description of Proposed Use Type of application to be filed with the Water Resources Department: 0 Permit to Use or Store Water 0 Water-Right Transfer 0 Exchange of Water 0 Allocation of Conserved Water 0 Limited Water Use License D Permit Amendment or Ground Water Registration Modification Source of water: 0 Reservoir/Pond 12 Ground Water 0 Surface Water(name) Estimated quantity of water needed: 500 0 cubic feet per second 0 gallons per minute 0 acre-feet Intended use of water: D Irrigation 0 Commercial 0 Industrial G Domestic for household(s) 0 Municipal 0 Quasi-municipal D Instream 0 Other Briefly describe.: The CiIX of Tigard is submitting a gmundwater rcgistratlon modiftcation.ap licatinn to a I three wells as Points of anrrr�riation and to identify the city's current service area as the claimed place of use for this crourdwater revistution Note to applicant: If the land Use lnformation Form cannot be completed while you wait,please have a local government representative sign the receipt below cmd include it with the application filed with the lirater Resources Department. Receipt for Request for Land Use Information State of Oregon Water Resources Department 725 Summer Street NE,Suite A Salem,OR 97301-1266 For Local Government Use Only The following section must be completed by a planning official from each county and city listed unless the project will be located entirely within the city limits.In that case,only the cityplanning agency must complete this form. This deals only with the local land-use plan. Do not include approval for activities such as building or grading pernrits, Please check the aouropriaie box below anti provide the requested informa ion Land uses to be served by proposed water uses(including proposed construction)are allowed outright or are not regulated by your comprehensive plan. Cite applicable ordinance section(s): ❑ Land uses to be served by proposed water uses(including proposed construction)involve discretionary land-use approvals as listed in the table below. (Please attach documentation of applicable land-use approvals which have already been obtained. Record of Action/land-use decision and accompanying findings are sufficient.) If approvals have been obtained but all appeal periods have not ended,check"Being pursued". Type of Land•Use Approval Needed Cite Most significant,Applicable Plan (e.g.plan amendments,rezones, Policies&Ordinance Section References Land-Use Approval: conditional-use permits,etc. 0Obtained DBeing pwsued O Denied O Not being pursued 0 Obtained O Being pursued 0 Denied O Not being pursued 0 Obtained D Being pursued D Denied 1 O Not beinit vursued 0 Obtained 0 Being pursued 0 Denied O Not being pursued 0 Obtained O Being pursued U Denied O Not being pursued Local governments are invited to express special land-use concerns or make recommendations to the Water Resources Department regarding this proposed use of water below,or on a separate sheet Name: ry' vid Wells Title: City Manager Signature: Phone: 503 639 4082 Date: f Z�_Z% Government Entity: -MY-OFFING CITY Note to local government representative: Please complete this form,or sign the receipt below and return it to the applicont. If you sigh the receipt,you will have 30 days front the Water Resources Departments notice date to return the completed Land Use Information Form or WRD may presume the land use associated with the proposed use of water is compatible with local comprehensive plans. Receipt for Request for Land Use Information Applicant name: City or County: Staff contact: Signature: Phone: Date: Last updated 12/22/06 WR o�o Oregon Water Resources Department Land Use Information Form THIS FORM 1 S NOT REQUIRED IF:I)water is to be diverted,conveyed,andror used only on federal lands;or 2)the application is for a water-right transfer,allocation of conserved ivater, exchange, permit amendment,or ground water registration modification,and all of the following apply:a)only the place of use is proposedfor change,b)there are no structural changes,c)the use of water is for irrigation,and d)the use is located irr on irrigation district or exclusive farm-use=one. Applicant Name: City of Tigard,Attn:Dermis Koellenneier Mailing Address: 13125 SW Hall Blvd. City. Tigard State: OR Zip: 97223 Day Phone: 503-639-4171 This application is related to a Measure 37 claim. r Yes 17 No A.Land and Location Please include the following information for all tax lots where water will be diverted(taken from its source),conveyed (transported),or used. Applicants for municipal use,or irrigation uses within irrigation districts may substitute existing and proposed service-area boundaries for the tax-lot information requested below. Township Range Section /.!. Tax Lot 4 Plan Designation(e.g. Water to be: Proposed Rural Residential/RR-5) Land Use: Z Diverted Z Conve ed V Used See utas attached. Y municipal Q Diverted D Conveyed ❑Used ❑Diverted D Conveyed O Used ❑Diverted D Conveyed ❑Used List all counties and cities where water is proposed to be diverted,conveyed,or used. City of Tigard ( B.Description of Proposed Use Type of application to be filed with the Water Resources Department: ❑Permit to Use or Store Water ❑Water-Right Transfer ❑Exchange of Water ❑Allocation of Conserved Water ❑Limited Water Use License rd Permit Amendment or Ground Water Registration Modification Source of water: ❑Reservoir/Pond [2 Ground Nater ❑Surface Water(name) Estimated quantity of water needed: 500 ❑cubic feet per second B gallons per minute ❑acre-feet intended use of water: ❑Irrigation ❑Commercial ❑Industrial ❑Domestic for household(s) 0Municipal ❑Quasi-[municipal ❑Instream 0Othm Briefly describe: She-C1fy4f Tltard.i5�At mining a rrnlmdn•atcisnatinn modification application to add three wells as nnints of appropriation and to identify the city's current service area as the claimed olace of use for this groundwater registration. Note to npplicant: If the Land Use In00 rmation Form cannot be completed while you wait,please have a local government representative sign the receipt below and include it with the applicationfiled with the Water Resources Department. Receipt for Request for Land Use Information State of Oregon Water Resources Department 725 Summer Street NE,Suite A Salem,OR 97301-1266 For Local Government Use Only The following section must be completed by a planning officialfrom each county and city listed unless the project will be located entirely within the city limits.In that case,only the cityplanning agency must complete this fpm. This deals only with the local land-use plan. Do not include approval for activities such as building or grading permits. Please check the appropriate box below and provide the reauested information �I Land uses to be served by proposed water uses(including proposed construction)are allowed outright or are not regulated by your comprehensive plan. Cite applicable ordinance section(s): 0 Land uses to be served by proposed water uses(including proposed construction)involve discretionary land-use approvals as listed in the table below. (Please attach documentation of applicable land-use approvals which have already been obtained. Record of Action/land-use decision and accompanying findings are sufficient.) If approvals have been obtained but all appeal periods have not ended,check"Being ptn:sued". Type or Laud-Use Approval Needed Cite Most Significant,Applicable Plan (e.g.plan amendments,rezones, Policies it Ordlinance Section References Land-Use Approval: conditional-use permits,eta.) 0 Obtained D Being pursued D Denied G Not being pwsued 0 Obtained 0 Being pursued D Denied 0 Not being pursued 0 Obtained 0 Being pursued 0 Denied 1 0 Not being pursued 0 Obtained 0 Being pursued D Denied 0 Not beinp.pursued 0 Obtained 0 Being pursued 0 DinzDursued Local governments are invited to express special land-use concerns or[Hake recommendations to the Nater Resources Department regarding this proposed use of water below,or on a separate sheet Name: iq prate Title: city Manaver Signature: Phone: 5036394171 Date: Government Entity: IV CrrY OF TIGARD Note to local government representative: Please complete this form or sign the receipt below and return it to the applicant. If you sign rhe receipt,you will have 30 days from the Water Resources Department's notice date to return the completed Land Use btformation Form or WRD may presume the land use associated with the proposed use of water is compatible with local comprehensive plans. Receipt for Request for Land Use Information Applicant name: City or County: Staff contact: Signature: Phone: Date: Last updated 12/22/06 WR ,r. Oregon Water Resources Department Land Use Information Form THIS FORbf iS A'OT REQUIRED 1F.•1)hater is to be diverted,conveyed,and/or used only on federal lands;or 2)the application is for a water-right transfer,allocation of conserved water, exchange, permit antendinenf,or ground water registration nrodificarion,and all of the follmving apply.•a)only the place of use is proposed for change,b)there are no structural changes,c)the use of)voter is for irrfgation,acrd d)the use is located in on irrigation district or exclusive farm-use x-one. Applicant Naine: City of Tigard,Attn:Dennis Koellermeier Mailing Address: 13125 SW Hall Blvd, City: _ Tigard State: OR Zip: 97223 Day Phone: 503-639-1171 This application is related to a Measure 37 claim. f-Yes V No A.Land and Location Please include the following information for all tax lots where water will be diverted(taken from its source),conveyed (transported),or used. Applicants for municipal use,or irrigation uses within irrigation districts may substitute existing and proposed service-area boundaries for the tax-lot information requested below. Township Range Section Z'/. Tex Lot k Plan Designation(e.g. Water to be: Proposed _ Rural ResidentiaLRR-5) Land Use: See maps attached. Z Diverted ilConveyed 0 Used tnunici sl 0 Diverted D Conveyed O Used 0 Diverted O Conveyed 0 Used 0 Diverted 0 Conveyed 0 Used List all counties and cities where water is proposed to be diverted,conveyed,or used. City of Tigard B.Description of Proposed Use Type of application to be filed with the Water Resources Department: 0 Pennit to Use or Store Water D Water-Right Transfer 0 Exchange of Water D Allocation of Conserved Water 0 Limited Water Use License .. Permit Amendment or Ground Water Registration Modification Source of water: ❑Reservoir/Pond D Ground Water 0 Surface Water(name) Estimated quantity of water needed: 500 _ 0 cubic feet per second 0 gallons per minute 0 acre-feet intended use of water: O Irrigation 0 Commercial ❑Industrial D Domestic for households) O Municipal ❑Quasi-municipal D Instream D Other Briefly describe: 'the Citv of Tigard is suhmininv a v mindHn&&rcoisuatinn modification application to add three wells 2s Points of 3Pptypriatinn and to identi fy the.cites current service area as the claimed place of use for this eroundwater rcgistratinn Note to applicant: If the Land Use Information Fornr cannot be completed while)ym wait,please hwe a local government rep esentolive sign the receipt below and include it with the application fled with the Water Resources Department. Receipt for Request for Land Use Information State of Oregon Water Resources Department 725 Summer Street NE,Suite A Salem,OR 97301-1266 For Local Government Use Only The following section mutt be completed by a planning q@7cial from each county and clo,listed unless the project will be located entirely within the city limits.In that case,only the city planning agency must complete this form. This deals only with the local land-usa plan. Do not include approval for activities such as building or grading permits. Please check the appropriate box below and provlde the requested Information Land uses to be served by proposed water uses(including proposed construction)are allowed outright or are not regulated by your comprehensive plan. Cite applicable ordinance scalon(s): 0 Land uses to be served by proposed water uses(including proposed construction)involve discretionary land-use approvals as listed In the table below. (Please attach documentation of applicable land-use approvals which have already been obtained. Record of Action/land-use decision and accompanying findings are sufficient.) If approvals have been obtained but all appeal periods bave not ended,check"Being pursued". Type o Land•Use Approval Needed Cite Most Significant,Applicable Plan (a.g,plan amendments,rezones, Policies&Ordinance Section References Land-Use Approval: conditiww-use pernilts,etc. 0 obtained 0 Being pursued 0 Denied O Not being pursued 0 Obtained 0 Being pursued 0 Denied 0 Not being pursued 0 Obtained 0 Being pursued 0 Denied 0 Not being pursued O Obtained 0 Being pursued 0 Denied 0 Not beinz Pursued 0 Obtained 0 Befog pursued 0 Denied 0 Not being ed Local governments are invited to express special land-use concerns or make recommendations to the Water Resources Department regarding this proposed use of water below,or on a separate sheet. Name: Z q Kai L&PA e Title:. Director.Land Use and Transportntlon Signature: .� .{Ef .s� Phone: 503 8464530 Date: Government Entity: J WASHR1GTON COUNTY ]Vote to local government representative: Please complete this form or sign the receipt below and return it to the applicant. If you sign the receipt,you will hove 30 days from the Water Resources Department's notice date to return the completed Land Use Information Form or WRD pray presume the land use associated with the proposed use of water is compatible with local comprehensive plans. Receipt for Request for Land Use Information Applicant name: City or County: Staff contact-. Signature. Phone: Date: Lad updated lznztoe WR Distributed to IWB Members y-//-/V/_:+ Via: E-mail Mail ) ln-person at meeting AMENDED AND RESTATED INTERGOVERNMENTAL AGREEMENT BETWEEN DURHAM, KING CITY AND THE TIGARD WATER DISTRICT AND THE CITY OF TIGARD FOR WATER SUPPLY 6th Draft 411412010 This Agreement is made and entered into under authority of Chapter 190, Oregon Revised Statutes, by and between the cities of Durham and King City and the Tigard Water District, an ORS Chapter district ("District") and the City of Tigard ("Tigard"), all Oregon municipal corporations ("the Parties"), in Washington County, Oregon. This Agreement is an amendment and restatement of those individual agreements entered between Tigard and each of the other two other cities and the District in or about 1993 This Agreement shall be effective as between Tigard and each other Party as of the date that Tigard and that other Party have executed this Agreement by signatures of their authorized representatives. [or substitute other effective date] RECITALS: A. The three cities withdrew the areas included within their boundaries from the political boundary of the District effective July 1 , 1993. In consideration of their separate contracts with Tigard for the operation and maintenance of a water supply to serve all four Parties, Tigard granted to Durham, King City and the Tigard Water District (all Parties other than Tigard being the "Served Parties") an equitable interest in those assets (described as "system assets" in those contracts) located within the combined service area. Water supply, storage and distribution facilities ("system assets", as further defined herein) were not divided between the cities and the District as provided for by ORS 222.540 and instead, all such assets wherever located were pledged to the use of the City of Tigard for the operation and maintenance of a single water supply, storage and distribution system to serve all four Parties. All Parties now desire to clarify the method to determine the value of those assets and the Parties' equitable ownership interest in same and to establish the methods for valuation of both real and personal property. B. The Parties intend that Tigard continue to provide and manage a water supply system serving all Parties for the duration of this Agreement including use of assets and facilities not within the combined service area that are owned by Tigard and other entities that are not parties to this Agreement. C. The Parties desire to clarify the role of the Intergovernmental Water Board ("IWB") as to those matters where its actions are advisory to Tigard or are binding on Tigard. In consideration of those premises as generally recited the Parties now AGREE: 1. Purpose and Scope. Tigard Water Supply Agreement 6th Draft 04/14/2010 Page 1 1A. Tigard shall continue to furnish and maintain a domestic water supply, storage and distribution system serving all Parties to this Agreement. All Parties pledge the use and benefit of all assets of that system, wherever located whether inside or outside the Parties combined service area, as they now exist and hereafter are constructed or accrue, for the duration of this Agreement as to each Party served. Each Party's equitable interest in any and all system assets located within the combined service area shall be deemed held as an undivided common interest until the Party terminates this Agreement or until the Agreement is dissolved. The term "system assets" as used in this Agreement includes, but is not limited to: i) all interests in real property, all improvements on that property and all other personal property and facilities wherever located that is used by any Party for the supply, treatment, storage, transmission or distribution of potable water to that Party or to any other person or entity; and, ii) all revenue generated from the sale of any portion of the Parties' domestic water supply to any person wherever located, including connection and systems development charges; and, iii) all rights to the use of surface-, instream- or groundwater held by- or for the beneficial use of any Party to this Agreement, notwithstanding that the formal certification or other evidence of that right may name fewer than all Parties to this Agreement as the holder or owner of that right; iv) all contracts held by Tigard or any other party with any entity not a party to this Agreement for a supply of water for the Parties' joint use. 1 B. All other Parties delegate to Tigard the authority to enact water system rates and charges, including systems development or connection charges, with the advice of the IWB and as limited by state law, in such amounts as are necessary to maintain the system for the benefit of all Parties. Any and all such rates and charges shall be applied evenly to all customers in similar rate classes throughout the area now served by the system and each Party agrees to enforce those rates and charges without exception within that Party's political boundary. 1C. Tigard shall enter into all contracts necessary or desirable to operate the system in its own name whether or not any such contract is subject to IWB approval. Tigard shall issue and make provisions for repayment of any and all municipal bonds issued to finance capital improvements to the system and may pledge any and all system revenues for repayment of such bonds except those shares of system revenues that are to be disbursed annually to each other Party under Section 7E of this Agreement. Tigard shall prepare and issue all statements and filings necessary to issue such bonds and shall make all continuing disclosures regarding the bonds as may be required by state and federal law. A served Party may not issue or contract for any debt that is to be secured by any assets that are necessary to operate or maintain the water supply system. 1D. A served Party shall consider any request by Tigard to exercise powers of eminent Tigard Water Supply Agreement 6th Draft 04/14/2010 Page 2 domain if needed to acquire property within that Party's political boundary for use for the water supply system. A Party shall not unreasonably withhold its consent to such a request. A Party may condition its exercise of such authority on Tigard's agreement to pay all attorney fees and costs incurred in any such proceedings. 2. Term of Agreement. 2A. The term of this Agreement shall be perpetual. Any served Party may terminate this agreement as between that Party and all other Parties by delivering written notice to the other Parties not less than 5 years prior so as to allow the Parties to reconfigure the supply, storage and distribution system serving the remaining Parties after any division of assets that may result from such termination. 2B. Tigard may terminate this Agreement as to any served Party only for cause and only after Tigard has served written notice to that Party of that Party's default as to a material term of this Agreement and has allowed that Party not less than 30 days to cure that default. On a Party's continued default Tigard may serve written notice of termination to that Party not less than 5 years prior so as to allow that Party to arrange for a replacement water source and supply system with Tigard or with another supplier. 2C. Tigard agrees to negotiate in good faith a wholesale water supply contract with a terminating Party on that Party's request. Tigard and the terminating Party may mutually agree to a different date of termination. 3. Intergovernmental Water Board. A. The Intergovernmental Water Board (IWB) is continued. The IWB shall consist of five members, with one member to be appointed by each of the four Parties to serve at the pleasure of the appointing Party and a fifth "at large" member who resides in the service area as shown in Exhibit_to this Agreement to be appointed by a majority vote of the other members and who shall represent the interest of the general public. The IWB shall decide the process by which it seeks candidates for and appoints the member at large. A member representing a Party shall hold a current elective office for that Party and shall be deemed to act on behalf of the governing body of that Party when voting on any issue before the IWB. The extent to which that Party's member's vote at the IWB is binding on the Party that the member represents shall be determined by each Party. Each Party may appoint an alternate IWB member who may take the place of the regular member who is absent at any IWB meeting. An alternate member shall have the same qualifications as the regular member. A person appointed to fill a vacancy shall serve the term of the position that was vacated. The IWB by majority vote may declare a position to be vacant for that member's unexcused absence for more than 3 consecutive IWB meetings and shall notify the Party of any such declared vacancy. A Party so notified shall promptly appoint a replacement to fill the term of that vacancy. The Party members shall appoint a member a large for the remainder of the existing term of that position if and when that Tigard Water Supply Agreement 6th Draft 04/14/2010 Page 3 position becomes or is declared to be vacant. 4. Term Of IWB Membership. An IWB member shall continue to occupy the same position on the IWB from and after the adoption of this Agreement for the duration of that member's term. Each IWB position including the Member at Large shall have a term of two years that begins on January 1 and expires on December 31 of the second year of each term. There is no limit on the number of terms that any person may serve in any position. Notwithstanding that the term of a position has expired, the Member occupying that position may continue to serve on the Board until a successor is appointed. 5. Conduct of IWB Meetings. 5A. The IWB shall schedule regular meetings and shall conduct all meetings according to Oregon public meetings law. At its first meeting in every calendar year the IWB shall elect a chairperson for the ensuing calendar year and may elect other officers, all of whom shall have such powers and duties as assigned by the IWB. The Chair shall set the agenda for each meeting. A quorum of the IWB shall be three (3) members and no vote shall be taken on any matter requiring a vote without a quorum. All matters requiring a vote shall be enacted by affirmative vote of at least three (3) members present and voting except where this Agreement provides a different voting requirement. 513. Tigard shall budget for and provide a sufficient number of employees to provide staff support to the IWB during and between meetings. Tigard employees shall serve at the pleasure of Tigard and shall have no voting privileges. Tigard shall provide adequate facilities and equipment for use for all IWB meetings. 5C. Tigard shall provide for at least one public meeting to be held annually between and among the Tigard City Council and the governing bodies of the served Parties on matters relating to the water supply system. 6. Jurisdiction of IWB. 6A. The IWB shall hear and by a majority vote of those members present and voting may advise the Tigard City Council on the following issues: 1) Uniform rates to be charged to all water system customers throughout the system, including connection charges, with different rates to be allowed only for different classes of use (e.g., residential, commercial, industrial, irrigation, high elevation surcharge) and all rates and charges to be limited to the costs of service; 2) Operation and maintenance issues referred to the IWB by Tigard or that a majority of the IWB raise on the IWB's own motion: 3) The proposed annual budget for the Parties' water supply system; 4) Policies and rules for curtailing water consumption in the same manner throughout the service area in cases of emergency: Tigard Water Supply Agreement 6th Draft 04/14/2010 Page 4 5) Billing methods and customer account management, including any contracts with third Parties for meter reading; 6) Capital improvements not listed or scheduled in a capital improvements plan that is adopted as part of Tigard's annual budget for the system; 7) Tigard's proposed issuance of municipal revenue bonds to be used to finance water system capital improvements or to refinance existing water system revenue bonds; 8) Any and all rules and regulations issued by Tigard as to the use of the water system. 6113. The IWB shall hear, and by majority vote of the Parties shall decide the following issues, as to which the IWB's decision shall be final and binding on Tigard: 1) A proposal by Tigard to provide water service to any area or to any public or private reseller of the water that is located outside the Parties' combined service area as shown on Exhibit _ to this Agreement, or a proposal by Tigard to serve by wholesale contract a once-served Party who has terminated this Agreement; 2) A proposal by Tigard to issue municipal revenue bonds to finance capital improvements to serve any area or customer located outside the Parties combined service area as shown on Exhibit _ to this Agreement; 3) A proposal by Tigard to enter a contract or partnership with a water source other than a mutual aid or similar emergency supply agreement; 4) The valuation of a served Party's ownership share(s) of system assets when recalculated from time to time and when calculated at the time of a Party's termination of this Agreement, as further provided in this Agreement; 5) The sale or purchase of any real property used or proposed for use in the water system, and the terms of any such sale or purchase; 6) Tigard's proposed issuance of any debt other than municipal revenue bonds for capital improvements for the water system serving the exising service area, for which repayment is secured by a lien or other encumbrance on system assets. 7) The assignment, sale or other conveyance or transfer of any Party's rights or liabilities under this Agreement to any person or entity other than another Party. 6C. In all cases where an action taken by the IWB shall be advisory to Tigard the City of Tigard shall address and consider the Board's recommendation when taking action or a position on the matter. In all cases where an action by the IWB is final and binding on Tigard, no Party shall unreasonably withhold its consent to such action. 7. Ownership and Valuation of Assets. 7A. In consideration of the 1994 agreement with Tigard for a water supply system, each of the Parties owns an equitable, undivided common share (as calculated per Section 7B of this Agreement) of all capital improvements and real property used in the system wherever located, including those improvements to be constructed by Lake Oswego and Tigard under that certain contract between those cities entered in or about August 2008 that are located within the service area shown on Exhibit _ to this Agreement if constructed using revenues or the proceeds of debt to be repaid from revenues generated by the sale of water within the Parties' combined service area. The Parties' Tigard Water Supply Agreement 6th Draft 04/14/2010 Page 5 equitable shares of ownership of any and all such capital improvements shall be pledged to the repayment of any revenue bonds and shall be subordinated to the interest of the bond holder(s) as to any and all revenue bonds sold by Tigard to finance capital improvements to the Parties' water supply system the extent required by the debt instrument(s). 7B. A Party's equitable share of a system asset, whether real or personal property, shall be calculated using cumulative meter equivalency values. Tigard shall recalculate those shares every two years in the course of Tigard's annual budget process and will recalculate the Parties' shares on any Party's termination or on dissolution of this Agreement. The Parties' shared interests in any system asset that is real property and that Tigard uses in part for purposes other than operation of the water system shall be shown by lease agreements between the Parties and Tigard and recorded in county deed records. The Parties ownership shares of any property subject to a lease agreement with Tigard shall be set out in the lease agreement and any change in those shares (after recalculation as provided for herein) shall be set out by amendment to the lease agreement. 7C. The value of a system asset shall be calculated by one method for assets that are personal property and another method for real property. An asset that is personal property shall have that asset's depreciated value over its useful life using straight line depreciation as are set out in the "Tigard Water District System Assets and Liabilities Final Report" of November 1994 , Section II. The depreciated value shall be based upon the useful life of the capital improvement under generally accepted accounting principles using a straight line method of depreciation. An asset that is real property shall be valued by an independent appraisal at such time as the property or a portion of same is assigned, sold or otherwise conveyed and at the time of any Party's termination or the dissolution of this Agreement. 7D. The proceeds of any sale or other conveyance of any portion or all of a system asset that is real property shall be allocated to each Party according to its current ownership share and shall be held by Tigard in the "Water CIP Fund" or similar other segregated account for use for capital improvements to the Parties' water supply system. 7E. Tigard shall maintain all system assets and shall recommend to the IWB the disposition of any asset that is or becomes surplus to the needs of the water supply system. Tigard shall adequately insure all system assets against all risks of loss. Tigard shall prepare and maintain a current list of all system assets including but not limited to intake facilities, treatment plants, transmission lines and storage and pumping facilities showing the general location relative to major streets and political boundaries, the original date in service and the original cost to acquire or to construct the asset. A list of such facilities that is current as of the date of this Agreement is attached as Exhibit X to this Agreement and incorporated by this reference. Tigard on any served Party's Tigard Water Supply Agreement 6th Draft 04/14/2010 Page 6 request shall calculate the value of that Party's ownership share of a system asset for that Party's use in its annual budget as may be required by General Accounting Standards Board rules. 7F. For the duration of this Agreement each Party shall be entitled to dispose of 2 (two) percent of the annual revenue (pro-rated to the date of the Party's termination, if applicable) collected from customers within that Party's boundary. Tigard shall dispense that amount to a served Party at least once annually. A Party may direct Tigard to hold such revenue in a segregated fund in trust for that Party pending the Party's further direction on the disposition of that revenue. 7G.Tigard shall make the same public meeting space(s) that are used for IWB meetings available to any Party on request free of charge on reasonable advance notice for that Party's occasional use for a public meeting whether or not the meeting is related to the water system. 8. Division of Assets on Termination or Dissolution. 8A. Upon termination of this Agreement, the Parties shall divide assets using the same procedures as are set out in ORS 222.540 (as to partial withdrawals of territory from a water district upon annexation to a city) as amended or renumbered from time to time; or, if applicable, and in lieu of a division of assets, the Parties may negotiate a wholesale water supply agreement between the terminating Party and the remaining Parties. A Served Party that terminates this Agreement shall not thereby be relieved from liabilities and indebtedness previously contracted by Tigard for the benefit of the water supply system and shall assume its share of that liability and debt in the matter provided in that statute or as otherwise agreed by all of the Parties. 8113. Except for the annual distribution of water system revenues provided for in Section 7F of this Agreement, all other revenue generated by operation of the water supply system shall not be subject to distribution or accounting on a served Party's termination and shall not be subject to an equitable- or other claim by that Party. 8C. A terminating Party may offer to convey its ownership share of system assets to Tigard and may waive its rights to a division of assets as provided in this Agreement in consideration of a wholesale contract for water supply between the terminating Party and Tigard. Any such contract is subject to IWB review and approval as provided for herein. If the asset is not essential to the operation of such jurisdictions' water system, Tigard may terminate such jurisdiction's rights in the system asset capital improvement by payment of a sum equal to the Jurisdiction's proportionate Interest in the depreciated value of such system asset. 8D. Tigard shall have the first right of refusal to purchase a served Party's share of a system asset on that Party's termination of this Agreement or on the Parties' decision to sell all or a portion of a system asset, on the same terms and conditions as offered to Tigard Water Supply Agreement 6th Draft 04/14/2010 Page 7 any other person or entity. The offer to purchase and Tigard's exercise of its rights as to that offer shall be on the same terms as in that certain Tenancy in Common agreement between the served Parties and Tigard for the property commonly known as 8777 Burnham Street, Tigard, Washington County, Oregon entered in or about June 2007. 9. Accounting and Records. 9A. Tigard shall account for the operation and maintenance of the water system as an enterprise fund using generally accepted accounting principles applicable to utility enterprises for the recording and identifying of all revenues and expenditures. The IWB may review and make recommendations on the means and methods of such accounting from time to time. 9113. Tigard shall respond in the normal course of business to all requests for public records by persons who are not Parties and shall defend the other Parties and hold them harmless from any and all claims or legal actions made or filed by the person making the records request. Tigard shall make all financial records relating to the supply system available to any Party for inspection and copying on reasonable advance notice and during Tigard's ordinary business hours. 9C. Tigard shall present the proposed annual budget for the water system to the IWB for its consideration and recommendation(s) prior to Tigard's adoption of that budget. Tigard shalll provide a copy of each year-end financial audit of its accounts to any Party upon that Party's request. 10. Annexation and Changes to Service Area. The Parties' combined service area as it exists on the effective date of this Agreement is shown, with relation to the Parties' political boundaries, on Exhibit X to this Agreement, attached and incorporated by this reference. An annexation of new territory to any Party's political boundary and annexation-related changes to political boundary between any of the Parties shall be subject to the process for boundary changes set out in Metro Code and in state law. The determination of what Party or what other entity shall be the water supply provider for the area to be annexed shall be decided by that process. Each Party to this Agreement reserves all of the rights granted by Metro Code and state law to appear and be heard in those proceedings. Each of the Parties agrees in good faith to execute any and all documents as is reasonable and necessary to effectuate a final decision on any boundary change as between any two or more Parties. Any of the served Parties may enter an urban services provider agreement with Tigard as to the water supply provider within all or a portion of that served Party's political boundary by the process set out in state law for such urban service provider agreements. 11. Amendment. No amendment to this Agreement and no substitution of any exhibit to this Agreement shall be effective unless in a writing signed and dated by all Parties. Tigard Water Supply Agreement 6th Draft 04/14/2010 Page 8 12. Severability. If any portion of this Agreement is for any reason held to be invalid or unconstitutional by a court of competent jurisdiction, all remaining portions of this Agreement shall remain in effect until this Agreement is terminated or expired. After any declaration of invalidity or unconstitutionality of a portion of this Franchise, any Party may demand that one or more other Parties meet to discuss amending the terms of this Agreement to conform to the original intent of the Parties. If the Parties are unable to agree on a revised agreement within ninety (90) days after such a court decision is final and binding, any Party whose rights and obligations are affected by the decision shall have cause to terminate this Agreement by delivering one hundred and eighty (180) days notice to the other Party. 13. Property Conveyances. All parties agree in good faith to execute any and all real property conveyances deemed necessary or desirable to show each Party's share of ownership of such property as provided for in this Agreement. 14. Execution and Effective Date. This Agreement may be executed in several counterparts, all of which when taken together shall constitute one agreement binding on all Parties who have signed, notwithstanding that all Parties are not signatories to the same counterpart. Each copy of this Agreement so executed shall constitute a duplicate original. AS OF THE END OF THE MARCH 10, 2010 IWB MEETING THE PARTIES HAVE NOT YET AGREED ON PROVISIONS CONCERNING THE FOLLOWING TOPICS: 1. Effective Date: Should this Agreement be effective between Tigard and each Party who signs, or effective only when all current parties sign? If the former, does the former (current) IGA stay in effect as between Tigard and the party who does not sign the new agreement? 2. System Assets: Do they include only assets within the parties' combined service area or all assets? Do they include assets that Tigard will co-own with Lake Oswego under those cities' separate IGA for a shared water supply system? Should this agreement require that any certificates or other documentation of water rights held by Tigard be revised or amended to name the other parties as having an equitable ownership interest? Note that the process required to amend those certificates has not been researched. 3. What portion of water revenues generated from customers within a Party's boundary should be sent to that Party each year? See Section 7F above. Tigard Water Supply Agreement 6th Draft 04/14/2010 Page 9 Distributed to IWB Members Via: 'E-mail _ Mail XIn-person at meeting Water Savvy yfGC r 6 Learn More s��a :® terAavvy Lake Oswego-Tigard Water Partnership Issue#1 ', WHAT YOU NEED TO KNOW ABOUT YOUR DRINKING WATER March 2010 ,:,;nn;rn�ncs �• Drinking Water Treatment Decision Lake Oswego's Current For more information about the Lake Oswego Tigard Water Partnership and the water treatment decision visit Water Treatment Procesm www.lotigardwater.org or contact: In August 2008,the cities of Lake Oswego and Tigard formally endorsed a partnership agreement for sharing drinking water resources and costs.Lake Jane Heisler Dennis Koellermeier Oswego's water supply system is near capacity and key facilities need • VOIR Communications Director,Water Partnership Public Works Director expansion and upgrades.Tigard residents seek ownership in a water supply plant located in nearby West City of Lake Oswego City of Tigard system.Both cities want to keep water affordable for their customers and Linn has been producing jheisler@ci.oswego.or.us dennis@tigard-or.gov sharing the cost of new infrastructure to serve both communities does that. clean,safe,and reliable 503-697-6573 503-718-2596 The Partnership is planning to expand Lake Oswego's existing drinking water drinking water since 1968. infrastructure to serve both communities. Water from the Clackamas Or you can go online to learn more about drinking water treatment: River is treated through a process called direct 61tration. Selecting the best drinking water treatment method is the first and most important US Environmental Protection Agency City of Lake Oswego-Drinking Water decision in Partnershipplanning.The upgraded The Office of Ground Water and Drinking Water www.ci.oswego.or.us/wtp P 9antinv investment for ent plant will be inservicefor up to 50 years and represents a significant investment for both communities. http://www.epa.gov/safewater Oregon Department of Human Services Clackamas River Provides High Quality Water © 0� Drinking Water Program City of Tigard-Drinking Water The Lake Oswego Tigard partnership in the Clackamas River water source AND INITIAL www.oregon.gov/DHS/ph/dwp www.tigard-or.gov/city-hall/departments/water will benefit from access to a high but are found at low levels,well DISINFECTION -a quality water source:the Clackamas below the federal drinking water .dd.dso tiny River.The 950-acre Clackamas maximum contaminant level For questions about drinking water treatment methods or water quality contact: watershed provides drinking water standards.Natural contaminants, for the cities of Estacada,Gladstone, which can be found in all rivers, Kari Duncan John Goodrich Lake Oswego,Milwaukie,Damascus, include organisms such as harmful Water Treatment Plant Mana Manager Utility DivisionMana Manager 9 Y 9 Happy Valley,Oregon City,and West bacteria,viruses and protozoa City of Lake Oswego ■ City of Tigard Linn and several water service (Giardia/Cryptosporidium). kduncan@ci.oswego.orus johng@tigard-or.gov districts.The Clackamas River is one j 503-635-0394 503-684-8840 of Oregon's high-quality drinking Human-made contaminants are water sources and is protected from products of industry,agriculture and 0 new discharges through a state law other activities and include called the Three Basin Rule. pesticides,herbicides,fertilizers and 1 _ other compounds.Water treatment O The Three Basin Rule applies to the methods are designed to remove Clackamas River and two other rivers in contaminants and produce safe and the region-the North Santiam River pleasant tasting drinking water. ,t. (Salem's drinking water source)and the — McKenzie River(Eugene's source).The Lake a j rule recognizes the high quality of the .—T.% r three rivers,and prohibits any new •" ,•GLADSTONE surface waterdischarges(e.g., ■"" AND FINAL ®• wostewater treatment plants). wm. DISINFECTION Puw fk Being considered ahigh-quality ST wN drinking water source doesn't mean it is free of all contaminants.Natural (la<kamasRiver watencwdhdrawnandpumpedtatile and human-made contaminants existtake Oswego Water treatment Plant inWest(mn. Water(0 Savvy I Water 0 Savvy Drinking Water Regulations Protect Public Health Customer Expectations Treatment Methods to be Considered The federal Safe Drinking Water Act Results of recent surveys conducted There are many drinking water treatment methods Membranes are thin sheets of synthetic material that a, (SDWA)sets standards for drinking in Lake Oswego and Tigard water available.The following methods were selected for separate and sieve particulates based on size. water.Oregon's Drinking Water service areas confirm customers are further study because they are widely used and Contaminants are separated out as water passes through Program administers and enforces satisfied with the current level of appropriate for treating surface water sources such as the membrane. SDWA standards for public water water service.They expect their the Clackamas River.The methods differ in the type and systems across the state.SDWA drinking water to be safe and meet size of contaminants removed as well as cost,complexity Ozone is pumped into water systems to eliminate standards are based on sound state and federal drinking water of operation,facility size,energy use and waste biological contaminants and to oxidize certain types of science to protect public health. standards. by-products.These are briefly described below and unwanted organic and inorganic compounds,primarily They set maximum levels for 93%of Lake Oswego residents displayed'at-a-glance in the table below. to enhance taste and odor and control disinfection contaminants in drinking water and and 95%of Tigard water service by-products. require treatment of water to area residents are very satisfied Fikration systems treat water by passing it through sand remove or inactivate contaminants. or satisfied with their drinking or other granular materials that remove the Powdered andgranularactivated carbon is an water service. contaminants. Disinfectants are also added. adsorption treatment process.As water passes through The SDWA also sets rigorous water 88%of Lake Oswego residents the carbon,contaminants that impart color,taste,and quality testing and reporting and 93%in Tiigard's water Direct filtration(currently used by Lake Oswego) odor to water are adsorbed or captured.This process requirements. Results of testing service area say their city is adds a chemical coagulant to the source water prior removes organic compounds like those described in the must be reported to Oregon's doing a very good or a good job to filtration.The mixture is stirred to create tiny chart below. Drinking Water Program and providing drinking water that is suspended particles thatform larger and more easily annually to customers. pleasant tasting. removed"floc." Ultraviolet(UV)inactivates microbes like Cryptospo- lake Oswego water daily to ensure quality. 9 9o Water Treatment Plant Manager,Kari 86%of Lake Oswego/Tigard oR and Conventional filtration is similar to direct filtration, radium,Giardia,and bacteria. Duncan,tests service area residents say it is but uses sedimentation to allow the heavier"floc"to very important or important to settle out of water prior to filtration. Advanced oxidation uses a series of processes to treat Water Treatment Decision Factors treat drinking water so it is safe High rate conventional filtration process is a water,e.g.,ozone,hydrogen peroxide,and ultraviolet 4_ to drink and meets all state and compact variant of the conventional filtration system radiation.This treatment is useful for removing very federal standards.Fewer that uses rapid flocculation and sedimentation difficult to treat organic compounds. — Current and residents—62%—say it's very processes prior to filtration. Source wore.quality important or important to provide customers with the paring 9 future regulations Com arin Drinking Water Treatment Methods safest possible drinking water at TREATMENT METHOD REMOVES any cost. TREATMENT I COST ^^ app support the partnership Organics Capital and ongoing Olsew, (Peviadc% and COMPARISON Customerexpatatlons improvement.to .The31 water algarGiandiamercury,etc) Odor operating costs improvements.The 31%who Direct Viruses, oppose are chiefly concerned filtration w Low Low about rising costs. Conventional filtration • • • • • Medium Medium Water Treatment Decision High rate • • • • Under the water partnership agreement,Lake Oswego's tee of policymakers from Lake Oswego and Tigard will conventional • Medium Medium existing water treatment plant will be upgraded to serve recommend the best treatment option to both City both communities'needs into the future.The upgraded Councils for their consideration.An evaluation process • High High facility will use a water treatment technology that will be used to compare drinking water treatmentOzone • • • • produces safe,pleasant tasting water that meets/ methods,focusing on the environmental and public Medium Medium exceeds all drinking water regulations and can be health benefits,costs,community impacts and risks of Powdered&granular adapted to meet future regulations. each alternative treatment method. activated carbon Medium Medium National and regional experts in water treatment and The water treatment decision team will participate in Ultraviolet(UV) Medium Low public health are teaming up with staff and Citizen workshops over a four-month period,March-June,2010, Advanced Sounding Board members from Lake Oswego and Tigard concluding with a treatment recommendation High High to evaluate different treatment methods.A subcommit- forwarded to both City Councils by Fall 2010. Prmuaybenefitlrnmoemmmtnxtlad •Some6enefitfromtreatmentmethod 0 City of Tigard 13129 SW Hall Blvd. Tigard, OR 97223 i Phone: 903-639-4171 TIGARD FAx TRANSMITTAL Date April 7, 2010 Number of pages including cover sheet 3 To: Er/The City of King City (Fax No. 503-639-3771) �oZ d The City of Durham (Fax No. 503-598-8595) From: Kathy Mollusky Co: City of Tigard Fax#: 503-684-8840 Ph#: 503-718-2594 SUBJECT: Intergovernmental Water Board Meeting Agenda MESSAGE: Please post the attached agenda for the upcoming meeting of the Intergovernmental Water Board. Thank you. 1AENGIFAX.DOT TRANSMISSION VERIFICATION REPORT TIME 04/06/2010 19:32 NAME COT-PW FAX 5036848840 TEL 5036848840 SER.# 000L9N215453 DATE DIME 04/06 19:31 FAX N0. /NAME *825036393771 DURATION 00:00:49 PAGE(S) 03 RESULT OK MODE STANDARD ECM TRANSMISSION VERIFICATION REPORT TIME 04/06/2010 19:29 NAME COT-PW FAX 5036848840 TEL 5036848840 SER.# 000L9N215453 DATE,TIME 04/06 19:28 FAX N0./NAME 5035988595 DURATION 00:00:49 PAGE(S) 03 RESULT OK MODE STANDARD ECM