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Report RECEIVED /35eD W4 APR 2 1 202:' CITY OF TIGARD CleanWate\ Services BUILDING DIVISION SENSITIVE AREA PRE-SCREENING SITE ASSESSMENT Clean Water Services File Number 20-001036 1. Jurisdiction: Tigard 2. Property Information(example: 15234AB01400) 3. Owner Information Tax lot ID(s): Name: Tigard 2S101 CA00500 Company: City of Tigard Address: 13125 SW Hall Blvd OR Site Address: 13125 SW Hall Blvd City, State,Zip: Tigard,Oregon,97223 City,State,Zip:Tigard,Oregon,97223 Phone/fax: 5037182466 Nearest cross street: Hall Boulevard Email: jeffp@tigard-or.gov 4. Development Activity(check all that apply) 4. Applicant Information ❑ Addition to single family residence(rooms,deck,garage) Name: Jeff Peck ❑ Lot line adjustment 0 Minor land partition Company: City of Tigard ❑ Residential condominium 0 Commercial condominium Address: 13125 SW Hall Blvd ❑ Residential subdivision 0 Commercial subdivision City, State,Zip: Tigard,Oregon,97223 ❑ Single lot commercial Q Multi lot commercial Phoneffax: 5037182466 Other Pave gravel parking lot Email: jeffp@tigard-or.gov 6. Will the project involve any off-site work? oyes 0 No 0 Unknown Location and description of off-site work: 7. Additional comments or information that may be needed to understand your project: City prefers to pay fee in lieu for wq and hydromod. Lot is adjacent to veg corridor in good condition being maintained. This application does NOT replace Grading and Erosion Control Permits,Connection Permits,Building Permits,Site Development Permits,DEQ 1200-C Permit or other permits as issued by the Department of Environmental Quality, Department of State Lands and/or Department of the Army COE. All required permits and approvals must be obtained and completed under applicable local,state,and federal law. By signing this form,the Owner or Owner's authorized agent or representative, acknowledges and agrees that employees of Clean Water Services have authority to enter the project site at all reasonable times for the purpose of inspecting project site conditions and gathering information related to the project site. I certify that I am familiar with the information contained in this document,and to the best of my knowledge and belief,this information is true,complete,and accurate. Print/type name Jeff Peck Print/type title Project Manager Signature ONLINE SUBMITTAL Date 4/3/2020 FOR DISTRICT USE ONLY ❑ Sensitive areas potentially exist on site or within 200'of the site.THE APPLICANT MUST PERFORM A SITE ASSESSMENT PRIOR TO ISSUANCE OF A SERVICE PROVIDER LETTER. If Sensitive Areas exist on the site or within 200 feet on adjacent properties,a Natural Resources Assessment Report may also be required. ❑ Based on review of the submitted materials and best available information sensitive areas do not appear to exist on site or within 200'of the site.This Sensitive Area Pre-Screening Site Assessment does NOT eliminate the need to evaluate and protect water quality sensitive areas if they are subsequently discovered.This document will serve as your Service Provider Letter as required by Resolution and Order 19-5, Section 3.02.1,as amended by Resolution and Order 19-22.All required permits and approvals must be obtained and completed under applicable local,State and federal law. Based on review of the submitted materials and best available information the above referenced project will not significantly impact the existing or potentially sensitive area(s)found near the site.This Sensitive Area Pre-Screening Site Assessment does NOT eliminate the need to evaluate and protect additional water quality sensitive areas if they are subsequently discovered.This document will serve as your Service Provider Letter as required by Resolution and Order 19-5,Section 3.02,1,as amended by Resolution and Order 19-22.All required permits and approvals must be obtained and completed under applicable local,state and federal law. ❑ THIS SERVICE PROVIDER LETTER IS NOT VALID UNLESS CWS APPROVED SITE PLAN(S)ARE ATTACHED. ❑ The proposed activity does not meet the definition of development or the lot was platted after 9/9/95 ORS 92.040(2). NO SITE ASSESSMENT OR SERVICE PROVIDER LETTER IS REQUIRED. Reviewed by � 6f..vl. .�.G�L� Date 4/18/2020 Once complete,email to:SPLReviewecleanwaterservices.org • Fax: (503) 681-4439 OR mail to: SPL Review, Clean Water Services, 2550 SW Hillsboro Highway, Hillsboro,Oregon 97123 f 4a U fice • 2550 W;liiisuuro Hiyinvay • iiilisbo;o Gieyon 97123 • p 503.681 3600 L 503 681.3603 • cleanwaiew. CITY OF TIGARD mar OREGON NI ° n�3 roue FOR PROJECT F��+''1� i POTSO DOG PARK , �' 1 'i 0/10110 PARKING LOT IMPROVEMENTS `i DONNA IRD jry py TO OE f9IPPLn I1' Da i CRY TIMID TD DEB10N ®STANDARDS DAT JULY 16,KISS .KE, _RP...-- dr - ; �. r 1U-%- ' U *PROJECT LOCATION V VICINITY MAP INDEX OF SHEETS ipt ND. NAME BILE ,(J Cl EXISTING CONDITIONS/DEMOLITION PLAN e� ti may,• � C2 GRADING & EROSION CONTROL 4/410�I/+/ C3 SITE LAYOUT ff C4 TREE PROTECTION PLAN i C5 LANDSCAPE & IRRIGATION PLAN D1 SITE DETAILS 8 3: 02 SIGNING AND STRIPING DETAILS 1 #17:t 03 EROSION CONTROL DETAILS 88 ` D4 EROSION CONTROL NOTES & TREE € , PLANTING DETAIL 1 I 1 NOTES_ p 11 PROJECT LOCATION I. BEARINGS BASED ON PARTITION PLANT 2007-084, y,R i' L L. AP R WASHINGTON COUNTY PLAT RECORDS P,i 2. ELEVATIONS ARE BASED ON GEODETIC CONTROL POINT 'WSW PER SURVEY DC-40, WASHINGTON COUNTY SURVEY RECORDS.ELEVATION-181.443 FEET,NCVD29. ATTENTION.Oregon low .M you to follow robs �QFF9� 3. FIELD SURVEYED(WNE 19 &20,2013) ad0PMd hY re 05950 U0Sfy MSIOC WOS CMHr. Thma �CJ�$lyG i Ndd. 952 an Set 0 r a,OAR➢52-0Ol-WO Mnuyh CAR uz-wT-weo ro,may abs.,Papa a,M.,we q Ty 14,D21 9 y 1q„�IE Oregocarol,n er �L� ) r teleploon•number aja C a'ATTENNON NplIN NW natural al(S0 220-Y415 who, ORECIGON AAGI.1'Cf Ot , ••�� EA�1�DIVISION 1. a.aaw(A,O aft&&of on mxiM MOT,moors an OR'C au\90° LORI FORA ASSISTANT CITY ENGINEERINfa qR/0lAlrllmir March 90, 2020 � ' £aae oN NUL 9fl23 pp � CALL BEFORE YOU DM mo DATE r�r RICE 503-711-2467 8 t 1-eaG-882-2su SEMEN CIP 2020-92063_ FAX: S0J'°Z4 0"2 2. I TIN.�RD FAX. 505-62449V REMOVE TIE , • \ \ \ S. 5 ` \ \ L ± TERRA\ '� -:T.., \ � &ANCHOR CURB 2oLF) 7920SW HUNZIKER ST l RGUY EMAIN \ ' ASPRAL I -»FOUND ON ROD G,s a I:'M c - �. PARKING W/PC MARKED-- 7.\`‘\ �\���\ ` NQRTHMEST SVREIN4 0ry- •aINE � '� ' - \ PROPERTY ` '-� PLUM / OVERHEAD Po 8" NA 1 LL • P.P.2007-06F\ i V A �/ u tm POLE _ ' 1•,. �_ - Vps.. . \ �} _ { SANITARY SEWER EASEMENT ,\- 7JJ DRAIN AL TARP (y . -. /DEMO LIMIT C PER 00C9 -. `I DRAINAGE ��� PROTECT `\ y 75•_ . _re--- / N'648144.72 1007-0 9321&2007-019.77P ,,,,',I __ -_ __ .� __ SlYALE- _ URII/ ` 7��� Ir T-j- I E.:7621819.68 _ te- � —.. h c PoLE�� `DEMO LIMIT I -- - _,_ 1. • _.�� r50- MO LIMIT 1\ �q Ns4s0ssae• • `To S. -`• N• 9069.28 /F• 7 E.'76218E1443 -- 76.B84_4T^, art, \.. -— 25, 175' _ l DEMO LIM? \ 0...0 LIMIT I '- - I/ E:76218J8.69 a \JL.49083.� �! E-7. 1:98.9T I 835 75 REMOVE.PORT�E MARKER. DIRECTION OF \ ( ` -Ls DEMO LIMIT I RETURNR TO PARK � FLOW(TYP) \ N:64910390 ..: RE (n'P)\ wwr t Intl.'I � 8762188 1 i � _• °-'K' vi.;M1. CHAIN LINK ` K x REMOVE SIGN. -REMOVE SIGN. REMOVE SIGN. RETURN TO ` I RETURN TO \ RETURN TO PW PARKS u:(- x PW PARKS � I Pw PARKs DEPARTMENT ;1"T �� DEPARTMENT �� °z 'Is' nEPAmMENr a \� � �� ��� s. REMOVE AND DISPOSE OF CREOSOTE 1 sTy COATED UTILITY POLES AT AN ;; 3 \ A\ \\ I. wE� APPROVED DUMP S/IE ltl 3 (m'1 \ \ ``# (74 POLES TOTAL) \--- ------ tl2 `� \\ \ A).\k, \\ ` _'S\5 �_ POTSO DOG PARK \ 7960 SW HUNZIKER ���� \ w, 2.59 ACRES 0. � FFsB/� s ` \\\ GRAVEL AREA (11,640 SF) RG PER P.P. 2007-064 4' GO __ ACCESS EASEMENT �/ tK O \\ 1//// EXCAVATION LIMITS: REMOVE 11.SECTION. AREA 2,350 SF 0]L x� } v` \ \ 6'ECECIRICAL POKE' r EXCAVATION VOLUME: 80 CY I. \ t. L1NE EASEMENT %` PER DK. 835, PO 506 0 Revisions and Addendum* Dan.. lry SCALE: t• = zo• °aN°" POTSO DOG PARK "MI' 11 _.... --! - - —....— IJ1A9N0.SIC ORESONa°1imgi Id zD' D zo' VOICE 503-0.79-4171 PARKING LOT IMPROVEMENTS Cl ee ""FAT 5a1-1124-0752 " °"�"`a°" EXISTING CONDITIONS/DEMOLITION PLAN "'NO D[MYiJP IDRAWIL JP !CHEM LF PROJECT NOI CIP 2020-92053 92053 , ) , 8, 1 --, - G- G , 1"- _-,-___ - :),._.‘ 21_,_.._.--L 7-'*:,--_ _____ ---r--- \\ \ . , , „,... .\\.___ __ '5- P'NE 1,,,, NL 71"PLu.V 8.'"'N..k104 \‘ NO \ \ ...... . 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G \ \ , ‘ ik \-:”„ z;... \• \ APR \ , , 152.4H -‘ , ,,. , '--.-', MATC \\ 151.7 - \ $1 . \ \ , , \i \\\\ , . 1 t \ \ \ \ \ \, ----1.5---.. .,.. , \ NI A \ A GRADING AND EROSION CONTROL NOTES 3, r2 1 0 INSTALL CHECK DAM STRAW WATTLES IN DITCH LINE AS&VOW SEE DETAIL ON SHT. DJ 4!)s I N se 4 Ken . 51 0 INSTALL SEDIMENT CONTROL FENCING PER DETAIL ON SHT. DJ. (LENGTH-55). e. Com R \ 0 INSTALL GRAVEL FLOW SPREADER MIN. 2 IND& 12.DEEP WITH 1-1/2"CLEAN DRAIN ROCK. VOLUME 12.5 CY/4 TON il 0 INSTALL STRAW WATTLES PER DETAIL ON SHT. DJ. (LENG114.x2509 \ *eft i Revisions end Addendum* •111111011111NO OMSK* SHEET Description Date No. By SCALE: 1" = 20' PALM ROM WPM:WM POTSO DOG PARK ___ 1913125 SW.IOLL,B1.10i - 10' 20' 0 20. ••••=,..Jr, MIT 503-839-4171 PARKING LOT IMPROVEMENTS C2 TIGARD inscno:PO-os.cov J$ GRADING & EROSION CONTROL PLAN DEBIIIN:JP IMAMS JP I CISCK:LF 1 PROJECT NO:OP 2020-92Q53 - 92053 , ' 1 , TERRA FIRMAN. N. N. ` 7920 SW HUNZIKER ST \ J y \ CLUSTER OF IRRIGATION -_-- -- _-- ---' - --- \ / VALVES INSTALLED AFTER __. -GI. .-_. .; �I CURB ,- '' CURB 849250.12 \ `, N• 649084.18 CURB f E 7821736,9 E 7621864.12 N: 64910Z97 I j� PROPERTY E 7821738.95 1. r A 1 ` .,✓trt� E 7621843B1 A UNE CURB END TRANS.TRWS. \ BE CUR: \ �- . © PER DETAIL ON SM. D) A , _ - • 7621884. 'E \ % v-`� - - rt ---�- 4' -_ x__ a I - •/; - N40'28' 521Y 226.39• / �'� 1- 4 r• �,G�. �--�� d \�, D 6'---. 8' 247' 1 P g uRO ERTY \`- 1 -'-.. �� 1 r EDGE OF AC -2.5' �\ `� CURB ;' N.• 64926631 \ \ 11 I N.• 649084.92 h D E: 7621B69.52 4 ©to E 7621736.95 BEGIN AC 3 1 l • `� AC IIV AC .94 t o (N: 649095.14 r I r )!` v •9 (nP)i ", 4 6. �� 2 79' E 7621847.41 may. '{ 19" 3 I 2 \ (rm1 ® \ m p 5'- \ E.• 762188 75 5 1 a 702` -:_: c-� AC �' N: 64910 : 540'28'52T 219.09• ,_„ _ �___x \ A - nrcr M -�xT v.-y-.x___-: ___y�- •�7 �', - s---ti-T-' __ -_�i. -. �V I AC ANGLE PT \ EDGE OF AC. :'\ �% EDGE OF\f��/r r!, j m N: 649279.94 - N. 6497 f0.63 PAVEMENT 10 10 I E 7621752.91 �: �� E2 7621897.42 T Ox n B 10 $! (j) \y \ 10 !4 En POTSO DOG NPARK 2IKE 13 8 �\ �\q 7960 SW HUNDKER ii o '`` \ 4\ ;rEr.,E,, CONSTRUCTION NOTES 2.59 ACRES (\" \` 00 n 3" THICK LEVEL 2 i"-DENSE ACP PARKING LOT SECTION PER n INSTALL S' TALL CHAIN LINK FENCE AND POSTS PER DETAIL ON PIT. O1. \i\ \ I I All ON SHL D7. x�\ 11 INSTALL PRECAST CONCRETE RHEELSTOP PER DETAIL ON SHT. DI 0 \ \ 2 INSTALL DRAINAGE CURB PER DETAIL ON SHT. D7. \ *1 - PAVE ASPHALT ADA ACCESSIBLE PAD (6 X10) 4 INSTALL 4"SIDE PRE-MARK WHITE STRIPE(TW). 1 I PER DETAIL ON SYfi. DI �t� PROpee� R \ '- - =?ram __ �5 INSTALL PRE-MARK ADA ACCESSIBLE PARKING STALL STRIPING ❑ C�i4'�`'14 j 8.p �? \ \ y PER DETAIL ON SHT. D2. 14 PAVE ASPHALT ADA ACCESSIBLE PAD (B'X12') QW s ` PER DETAIL Old stir D1 \ INSTALL DOG WASH AREA SIGN \ 6 INSTALL ADA PAVEMENT MARKING SYMBOL PER DETAIL ON WT. 02. CIVIL ¢I" V\ �� 7 INSTALL VAN ACCESSIBLE SIGN(R7-8P)PER DETAIL ON SY1T. 02. pi PER DETAIL ONSHT. 01 ORIONF °c 31.V5 @ \` ` ' ❑g INSTALL ADA SIGN(OR7-8) PER DETAIL ON SHE D2. \\ 1 \ \\ \ \ n INSTALL NO PARKING SIGN PER DETAIL ON SHE D2. SIGNS TO BE PROVIDED BY pTY. CONTRACTOR TO PROVIDE POST AND ANCHORS PAVEMENT AREA: 9.927 SF mro� 8>RavINoae and Addendume -- _ OS D°8011010" D°"- No. er MINOMENNSCALE: 1" = 20' MSS MSS OWNS POTSO DOG PARK SHEET 1 iO125 CE5W.Il/t- PARKING LOT IMPROVEMENTS C3 __ IO' 20' - p. vr>a" '•e OftEiA:W�2Y$J ME 3W-62t-OJ51 -_- WNW k SITE LAYOUT '°A"° DESISPoJP I DRANl6JP !CHECK:IF PROJECT NO:CIP 2020-92053 92053