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~ ~ JOINT ~ <br /> PERMIT APPLICATION FORM <br /> US Army Corps This Application Will Meet The Requirements of Both Agencies N <br /> of Engineers <br /> Portland District AGENCIES WILL ASSIGN NUMBERS ~ <br /> Corps Action ID Number 1999-01575 Oregon Division of State Lands Number 34526-RF <br /> SEND ONE SIGNED COPY OF YOUR APPLICATION TO EACH AGENCY <br /> District Engineer State of Oregon <br /> ATTN: CENPP-OP-GP Division of State Lands <br /> PO Box 2946 775 Summer Street NE <br /> Portland, OR 97208-2946 Salem, OR 97301-1279 <br /> 503-808-4373 503-378-3805 <br /> 1. Applicant Name ity o Eugene irport Business P one 41) 8 -8 <br /> 'and Address 244 East Broadway Avenue Cellular Phone # (541) 954-4844 <br /> Eugene, Oregon 97401 Fax # (541) 682-8410 <br /> Attn: Teri Hi ins, Pro ect Mana er <br /> 10 Co-Applicant Coyote Creek Emironmenta! Services, Inc. Business Phone # (541) 521-2806 <br /> 'X Authorized Agent 27661 Crow Road Home Phone # (541) 484-7336 <br /> 'O Contractor Eugene, Oregon 97402 Fax # (541) 484-1233 <br /> '~O Name and Address Attn: Michael W. Shi , Princi a! <br /> ,Property Owner Eugene Airport Business Phone # <br /> !{if different than applicant) Home Phone # <br /> ~~Name and Address Fax # <br /> Project Location <br /> treCt, Road, or other descriptive location Le al Descri tion <br /> ~~Realgnment of existing Airport Road, west of hwy 99 and Quarter Section Township Range <br /> ast o Greenhill Road S, 8 17 South 04 West <br /> ~ or Near (City or Town) County Tax Map # Tax Lot # - <br /> est and north o the Ci o Eu ene Lane 17-04-OS, -08 -1000, -1401, -1500 <br /> at~rway River Mile Latitude Longitude <br /> IUnnemed drama es trlbuta to Amazon stem N/A 44°06'3S'7V 123°12'28"W <br /> ~s consent to enter property granted to the Corps and the Division of State Lands? X Yes <br /> Proposed Project Information <br /> Activity Type: X Fill X Excavation (removal) X In-Water Structure O Maintain /Repair an Existing Structure <br /> Brief Description: Realignment of existing Airport Road to south • new intersections with New and Old Greenhill Roads <br /> Fill <br /> Ri ra O Rock X Gravel O Sand O Silt O Cla O Or epics X Other av inept culverts <br /> 'WVetlwnds Permanent 5,500 Tem 0 Total Fill S 500 <br /> ( ) Im act Area in Acres 3.89 L' 200' -.900' W' 0 -100' H' 0 - 18" <br /> Waters Permanent Tem Total Fill <br /> ( ) Im act Area in Acres or dimensions feet L' W' Fi' <br /> Removal <br /> Ri ra O Rock O Gravel O Sand X Silt X Cla X Or epics X Other Sub- c. n <br /> Wetlands Permanent 1000 Tem Annual Total Removal 1000 <br /> ( ) hn act Area in Acres 3.89 L' 200' -900' W' 0 -100' H' 0 -12" <br /> ,Waters Permanent Tem Annual Total Removal <br /> (c) Im t Area in Acres or dwensions (feet L' W' H' <br /> llt the Disposal Area: Upland? X Yes O No Wetland /Waterway: O Yes X No <br /> Are you aware of any Endangered Species on the project site? O Yes X No Sequential rare plant surveys have <br /> Are you aware of any Cultural Resources on the project site? O Yes X No been conducted over several years <br /> IS the project site near a Wild and Scenic River? O Yes X No and no protected species have been found <br /> <br /> Coyote Creek E~rvironmenta/ Services, lne. (541) 484-7336 Airport Road Realignment <br /> <br />