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Storm Water Connection Permit Authorization
41:
018
CleanWater Services
Our commitment is clear.
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I Permit Number I
CUP 2013-00001 /SLR 2013-00002
This Authorization to issue a Storm Water Connection Permit,in accordance with the requirements of Resolution
and Order 17-5,including section 3.01.2,when signed and dated by the District,verifies that the District has
reviewed the construction plans,as submitted by the City,and concurs that they are in accordance with the
previously identified design standards and either, 1)the Service Provider Letter(SPL)or, 2)the Sensitive Area
Pre-Screening Site Assessment acting as the SPL issued for project and is in compliance with the District's water
quality protection standards. This authorizes the Jurisdictional City to issue a Stormwater Connection Permit for
the project.
If modifications occur after the issuance of this letter which create a violation of the Service Provider Letter,then
the Permit becomes null and void.
It is the responsibility of the Jurisdictional City to notify Clean Water Services of changes that effect
the Service Provider Letter.
Service Provider Letter Number: 13-000529 Date of Service Provider Letter: November 5,2014
Map and Tax Lot#:1S134DD01000;2S103AA00200 Project Name: Dirksen Nature Park Interpretive Shelter&Nature Play
Developer/Applicant: City of Tigard Jurisdictional City: Tigard
Comments:
Insure final plans_permitted_bythe City include the following:_ _
1.)CWS Line-Tap-permitas-required-prior-to-connection-withsataitat trunkaine. -
2.)1-200-Cilnelude standard-Grading/Utility-ESC-Notes as-well as-ESCBMP-Implementation-notes-from-
standardternplate: - -- - -
CONCLUSION
The-City,in accepting-this-Authorization-fo,permit-,and-authorizing construction of-pa itted-activities;certifies-that-
-alf portionsof-this-project-have-been-designed-to-CW&Design-end-Genstruetien-Standards;R,&O 17-5,and-have
been reviewed and-approved-by-the Jurisdictional-City.
Storm Water Connection Permit authorized by: Date:
6/4/2018
Steve Olson
b/1 11/207
E:\Development Svcs\Plan Review\Storm Water Connection\StormWaterConnectionPermits archives\2018\Tigard-Dirksen Nature Park
Interpretive Shelter and Nature Play-06-04-2018.xls
City of Tigard F
1111
13125 SW Hall Blvd
r.,
•illiiI _ Tigard OR 97223
' Phone(503)639-4171i 9 '1_018
:CITY 4 , i( f',_
Fax: (503)684-7298 3dfLD NG I JI ti;,
T I GARD
Letter of Transmittal
Date July 9, 2018 Transmitted By:
Project: Dirksen Nature Park ❑ Mail
File No. CUP 2013-00001 ❑ Will Call
To: City of Tigard Building Department ® Other
Address: 13125 SW Hall Blvd
Tigard, OR 97223
We are Sending you..
❑ Drawings D Prints ® For Approval
❑ Specifications ® Plans ❑ As Requested
❑ Copy of Letter ❑ Samples ❑ For Your Use
❑ Change Order ❑ Other ❑ Comment
#of Copies Description
1 Building Permit Application-Site Works
3 Construction Drawings (Including Existing Conditions, Utilities, Grading,Landscape)
1 1200-C Plan Set (Erosion/Sediment Control Plans) amended for this phase of work
1 CWS Stormwater Connection Authorization Letter for this phase of work.
1 Master Stormwater Calculations
Items Are... ® Attached ❑ Under Separate Cover
Remarks:
Included are the application,plans and calculations for the Building Permit Submittal—Siteworks to
construct the Dirksen Nature Park Interpretive Shelter/Restroom and Nature Play project. Please
let me know if you require additional information to process the Building permit.
Thank you for your time and assistance with this project.
From: Jeff Peck