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COPY TO:
A,PFLICATION -- STREET IMPROVEMENTIE=XCAVATION (WHITE)-FILE
ORDINANCE NO. 74-14 'YELLOW)-INSP.
(PINK)•OTHER AGENCY II
(INSTRUCTIONS ON SEPARATE SHEET) (BLUE)-APPLICANT
� APPLIC,'T"-ION N
CITYOF TIGARD, OREGON IEEE AMT- 7 60.004PPROV ED
NO'. APPROVED -�
PENDING FEE. PMT ;j
C11 Y Ei:W, RECEIP j
DATE--i_--1 '
PEN01 r- SECURITY ❑ PUBLICBY WORKS DEPARTMENT K _ _ _ _ _ _ – _ – –
PENDING AGENCY -OK- ❑ .\pplicrtion anti Progress Record MAINTENAPJCE BOND �.
FOR STREET IMPROVEMENT/EXCAVATION AS RSOJIRED
PENDING INFORMATION ❑ ANNUJ,L
_ EXPIRATI,314 DATE: /
PENDING VARIANCE L]
PERMIT NO.: _ 2 — _. DATE ISSUED:
(ONE) GROUNDWATER MONI'T'ORING
(I) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL_ —
WELL AS DESCRIBED HEREIN, IN FULL AC CORDANCF: WITH CITY REQUIREMENTS.
w 7504 SW Bri.dyePort Rd. Portland, OR 97224 _603-6692
APPLICANT neo Engineers, Inc.-'E= CITY
NAME AD01�ES
CONTRACTOR ( oTech Exploration, Inc. 19700 S.W. Teton Tualatin, or 97062 692-64
NAM ADDRESS
PLANS 13y- cant) --
NAME AOORES3
ESTIMATED IMPROVEMENTTOTAL VALUATION ( COSTI: S 1,500.00DOLLARS
FUR Of FIC l MIN,
(2) EXCAVATION DATA: _ 0 04 x s —•--
- DESCRIPTION PROGRESS & INSPECTION STATUS
STREET -- [11T�jjIAL
SURFAG£r� CUT .UT CUT INSTALLED ITEM DATE REMARKS/TYPE BY
NAME TYPE 4LENGTH WIDTH DEPIMM AI QUANTITY STREET
OPENED — ---
_ 1 N5PEC-
Upper Boon s Fry. R -- ae attached ETION
E
ESTIMATED STREET OPENING; DATE: ---------� -- T
ESTIMATED STREET CLOSING DATE:
STREET
;.3) SECURITY NO. __ SECURITY AMT.: S 1,`'00 00 CLOSE
FfNAL
URETY CO.: E TIfN INSPEC. —
C1ED CNECN (:ASN •ONO '_
(4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL
SIPECIAL PROVISIONS /CONDITIONS:
FEATURES: EXCAVATION LOCATION AND EXTUNT.
1�4 1 _ - See attached -
I� I .•-work area I 1
/ I
1 I _��T
UPPER BOCNES FERRY RD.
1 ) N
In 0
7ANT PERMISSION TO APPLICANTS TO CONDUCT WORK WHERE:
[ NOTE THE CITY OF TIGARD DOES NOT, HEREBY. G
RIGHT-CF-WAY JURISDICTION IS THAT OF WASHINGTC)N COUNTY OR THE STATE OF OREGON
THE APPLICANT AGREES TO DEPOSIT THE REQUIRED SECURITIES. TO COMPLY WITH ALL PERTINENT L %'N` AND
CONSTRUCTION SPECIFICATIONS PERTINENT TO CONDUCT OF THE WORK, AND TO SAVE HARMLESS THE CITY Ar:r,
EMPLOYEES AGAINST ANY INJURY OR DAMAGE WHICH MAY RESULT FROM APPLICANTS ACTIONS
r
DATE
APPLICANT!', SIGNATURE
I,.
. ''MIS-L...—.- ,iL'ie1^ ♦' �!'P w a .F...`�.�.1t"� �t-. 'j� 3i �,', TTnn1 ,i
Placed 1 ,500 Feet A,
< 0 4 0 t30
From WG:-k Location I
Q'
---1 Placed 200 and 500 Feet
0 �� SCALE IN FEET From Work Location
IV Q r
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W
-
a - /
0 Cone Taper
Length=200 Feet
Proposed
Monitoring Well
Location
129
01
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.� �-
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Property
Line
*M W-1 !1�
00
R UN FORMER
/ pPE MW-2 UNOCAL NSERVIC E STATION
O
s Sx 5721
11101 SOU / Chevron I l Q
Service � �
� Station *%No. 91411 M WS 9
1-000* EXPLANATION:
TRAFFIC CONTROL SIGN:
"ROAD CONSTRUCTION AHEAD"
v�
o B TRAFFIC CONTROL SIGN: Sherwood Inn
SIDEWALK CLOSED AHEAD" Restaurant
N gyp/ `�../r-�'�✓ "�`.� ,-' `.�. ,•--^�•�._�_ - �.�,���
o Placed 1 .500 Feet
4 From Work Location C TRAFFIC CONTROL SIGN: pv,�s 0r 3.•
RIGHT LANE CLOSED AHEAD" 3� i"'!�-!, v
C4 Note: The locations of all features shown are opproxirnote.
I Referen^es: Drawing entitled, "Figure 2, Offsite Investigation, Unocal Service Station No. 5721 ," dated
co 04/26/94, by Brawn and Caldwell, "Figure 3, Goring Locations, Unocal Service Station PROPOSED MONITORING WELL LOCATION
'���� �''
AND TRAFFIC CONTROL PLAN
No. 5721 ," dated 07/20/94, by Brown and Caldwell, and 1991 aerial photograph. Geo Engineers
FIGURE 1
Upper B oones Ferry Rd
General
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