Download:
pdf |
pdfBPA F 4300.03e
(05-2021)
U.S. DEPARTMENT OF ENERGY - BONNEVILLE POWER ADMINISTRATION (BPA)
APPLICATION FOR PROPOSED USE OF BPA RIGHT-OF-WAY
1-800-282-3713
Ask for Real Property Services or a contact person from web site.
OMB #
Renewal Date:
Date:
www.bpa.gov/goto/LandsCommunity
Privacy Act Statement
Authority: 16 U.S.C. 832a(c) 16 U.S.C. ch. 12B, 2006
Purpose: BPA will use this information to assess whether your proposed use of our right-of-way will interfere with BPA’s land rights.
Routine Uses: This information is authorized to be maintained in Privacy Act system of records DOE-24, “Land Records System.” Other routine uses for which
this information may be disclosed are listed in the Privacy Act system of records notice for DOE-24, which is published in the Federal Register.
Disclosure: Voluntary; however, failure to provide complete information may result in a delay or denial of your application.
Applicant is required to complete all of page 1. If not submitting an attached map, plan or sketch, page 2 is required.
Checks will not be accepted. Remit payment to BPA electronically. To make payment using Google Chrome, Firefox, or Edge browser, navigate to
https://www.bpa.gov/goto/HowtoPay: select the blue hyperlink MAKE PAYMENT NOW; select the blue CONTINUE TO FORM button; under
Purpose of Payment select REALTY APPLICATION FEE and fill out remaining fields with an *; select CONTINUE to submit payment. Please make
sure to select the appropriate box below before making your payment. You should receive a confirmation when finished.
NO APPLICATION FEE
For individual landowners requesting
personal use of BPA Right-of-Way
$250 APPLICATION FEE
For developments or subdivisions. Application fee
is non-refundable.
$2500 APPLICATION FEE
For longitudinal occupancies that require multiple
miles of BPA Right-of-Way. Application fee is
non-refundable.
Applicant
Owner (Complete only if the applicant is not the owner.)
1. NAME
4. NAME
2. ADDRESS, CITY, STATE, ZIP
5. ADDRESS, CITY, STATE, ZIP
3. TELEPHONE NO.
EMAIL ADDRESS:
6. TELEPHONE NO.
EMAIL ADDRESS:
FAX NO:
FAX NO:
7. LOCATION OF PROPERTY (Legal description of the property. This information is on your title, insurance policy, courthouse deed,
or your tax statement.)
(PROVIDE A COUNTY ASSESSOR’S MAP SHOWING THE OWNER’S BOUNDARY LINES AND THE LOCATION OF USE.)
QUARTER SECTION(S)
SECTION(S)
TOWNSHIP
RANGE
COUNTY
STATE
8. PURPOSE FOR WHICH BPA RIGHT-OF-WAY/PROPERTY IS TO BE USED. Check all boxes that apply and complete the information on the
following page. (Include a map, plan or sketch if appropriate.) NOTE: For submission of digital plans please provide a PDF version. BPA will request
larger plans, if needed.
Driveway / Roadway Width
Pipelines
Electric Service Line
Width
Type:
Material
Diameter
Underground
Material
Overhead
PLEASE ATTACH
EXISTING AND
PROPOSED
GRADING PLANS.
Gas
Sewer
Water
Voltage
Buried
Depth
Other Uses:
Narrative: Please describe your intended use in detail. In order to assure safe clearance, please describe any equipment that will be used for
applied use (including equipment intended to construct and maintain the use). Space is provided on page 2 for a drawing. IF GRADING,
PLEASE ATTACH EXISTING AND PROPOSED GRADING PLANS
9. APPLICANT NAME
10. APPLICANT SIGNATURE
11. APPLICANT TITLE
File Code; PA-1300 Retention: Destroy no sooner than 20 years after the records are closed
BPA F 4300.03e
(05-2021)
IF APPLICABLE, ATTACH NAME, COMPANY ADDRESS, AND A CONTACT PERSON FOR ALL UTILITIES
INVOLVED IN PROJECT.
12. RIGHT-OF-WAY Draw in space provided below the location of the proposed use. (Identify structures and show distances and angles from
BPA structures). Diamonds on the line represent BPA structures on the right-of-way. Copy the series of letters and numbers from the
lower half of each BPA structure (see example below) and enter in “BPA Structure Identification” block. Indicate which direction is
“North” in relation to the right-of-way.
BIG E – CHEM 1-81-2
PS2 1-2-A
BPA STRUCTURE IDENTIFICATION
BPA STRUCTURE IDENTIFICATION
Identify structures and show distances and angles from BPA structures
BPA STRUCTURE IDENTIFICATION
BPA STRUCTURE IDENTIFICATION
File Code; PA-1300 Retention;Destroy no sooner than 20 years after the records are closed.
BPA F 4300.03
(05-2021)
U.S. DEPARTMENT OF ENERGY - BONNEVILLE POWER ADMINISTRATION (BPA)
APPLICATION FOR PROPOSED USE OF BPA RIGHT-OF-WAY
APPLICANT NAME
Complete ONLY if overhead or underground foreign line crosses an overhead BPA line. If the foreign line crosses more than one BPA line use additional
sheets.
Pole 2
d4
°(Angle)
d1
d2
d3
d1
BPA
BPA __________
d2
Str No.
d3
Pole 1
Str No.___________
d4
A
°(Angle)
P
Measured Clockwise from Foreign Line
P
PLAN
L
Cond E l ___________
BPA C
L Cond E l __________
@
°F
I
Cond E l
C
A
N
T
Foreign C
L Cond El
@
C
L Gnd E l _________
°F
C
L Gnd E l _______________
C
L Gnd E l _______________
ELEVATION BPA LINE
F
I
X
T
U
R
E
S
C
O
N
D
U
C
T
O
R
S
POLES
LENGTH
POLE 1
POLE 2
SIZE OF CROSSARMS
DEPTH SET
CLASS POLE
MAKE AND CATALOG NUMBER OF INSULATORS
POLE 1
NUMBER
KIND
MWT
COMMENTS
SIZE
VOLTAGE
LOADING
POLE 2
CONFIGURATIONS
File Code; PA-1300 Retention: Destroy no sooner than 20 years after the records are closed.
BPA F 4300.03e
(05-2021)
U.S. DEPARTMENT OF ENERGY- BONNEVILLE POWER ADMINISTRATION (BPA)
APPLICATION FOR PROPOSED USE OF BPA RIGHT-OF-WAY
Mail your application to the location nearest to your project:
WESTERN WASHINGTON
Location and Address
Phone Number
Snohomish District Office, 914 Ave D, Snohomish, WA 98290
360.563.3640
Covington District Office, PO Box 3621, Portland, OR 97208-3621
253.638.3741
Olympia District Office, 5240 Trosper St SW, Olympia, WA 98512
360.570.4352, 360.570.4333 OR 360.570.4332
Ross Maint. Hdqt. Office, PO Box 3621, Portland, OR 97208-3621
800.836.6691
OREGON
Location and Address
Phone Number
Redmond District Office, 3655 SW Highland Ave., Redmond, OR 97756
541.516.3200
Eugene District Office, 86000 Hwy 99S, Eugene, OR 97405
541.988.7432
Salem District Office, 2715 Tepper Lane, Keizer, OR 97303
503.304.5900
Portland Office, PO Box 3621, Portland, OR 97208-3621
800.836.6619
Hood River, (see Portland for mailing address)
North Bend Area, (see Portland for mailing address)
EASTERN WASHINGTON, IDAHO AND MONTANA
Phone Number
Location and Address
Idaho Falls District Office, (see Tri-Cities Pasco, WA mailing address)
509.544.4747
Tri-Cities District Office, (OR Side), 2211 North Commercial Avenue, Pasco, WA 99301
509.544.4747
Tri-Cities (WA side), 2211 North Commercial Avenue, Pasco, WA 99301
503.230.5510
Spokane District Office, 2410 E. Hawthorne Rd., Mead, WA 99021-9594
509.468.3081
Grand Coulee Area, PO Box 24, Grand Coulee, WA 99133
509.378.7447
Ellensburg Area, PO Box 3621, Portland, OR 97208-3621
503.230.5611
Kalispell Maintenance District Office, 2520 US Hwy 2 East, Kalispell, MT 59901
406.751.7824
Paperwork Reduction Act Burden Disclosure Statement:
This data is being collected to complete an application for proposed use of BPA right-of-way to assess whether it will interfere with BPA’s land rights. The
information you provide will be used by realty and finance personnel to make a determination regarding the use BPA’s right-of-way as per your request.
Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching
exiting data sources, gathering and maintaining that data needed, and completing and reviewing the collection of information. Send comments regarding this
burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Office of the Chief Information Officer,
Enterprise Policy Development & Implementation Office, IM-22, Paperwork Reduction Project this is a new collection and currently does not have an
assigned OMB control number. U.S. Department of Energy, 1000 Independence Ave SW, Washington, DC, 20585-1290; and to the Office of Management
and Budget (OMB), OIRA, Paperwork Reduction Project (OMB control number:XXXXXX), Washington, DC 20503.
Notwithstanding any other provision of the law, no person is required to respond to, nor shall any person be subject to a penalty for failure to comply with a
collection of information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a currently valid OMB
control number.
The Paperwork Reduction Act (PRA) of 1995 requires each Federal agency to seek and obtain approval from the Office of Management and Budget (OMB)
before undertaking a collection of information directed to 10 or more persons of the general public, including persons involved in or supporting the operations
of Government-owned, contractor-operated facilities.
Submission of this information is voluntary.
File Code; PA-1300
Retention: Destroy no sooner than 20 years after the records are closed.
| File Type | application/pdf |
| Author | BPA User |
| File Modified | 2023-05-24 |
| File Created | 2019-05-22 |