File Code; LA-12 Retention: Retain while Active + 12 years, and then dispose. Active period ends upon the sale of the property or at the end of BPA's interest in the property, whichever is longer. VITAL RECORD
BPA F 4300.03e
(07-2019)
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.
www.bpa.gov/goto/LandsCommunity
Date:
Privacy Act Statement
Authority: 42 USC § 7101 and 50 USC § 2401
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.
6. TELEPHONE NO.
EMAIL ADDRESS
:
EMAIL ADDRESS
:
FAX NO:
FAX NO:
7. LOCATION OF PROPERTY (
QUARTER SECTION(S)
SECTION(S)
TOWNSHIP
RANGE
COUNTY
STATE
following page. (Include a map, plan or sketch if appropriate.) NOTE: For submission of digital plans please provide a PDF version. BPA will request
Driveway / Roadway Width
Pipelines
Electric Service Line
Width
Type:
Gas
Sewer
Water
Voltage
Material
Diameter
Underground
PLEASE ATTACH
EXISTING AND
PROPOSED
GRADING PLANS.
Material
Overhead
Buried
Depth
Other Uses:
applied use (including equipment intended to construct and maintain the use). Space is provided on page 2 for a drawing. IF GRADING,
9. APPLICANT NAME
10. APPLICANT SIGNATURE
11. APPLICANT TITLE
click to sign
signature
click to edit
File Code; LA-12 Retention: Retain while Active + 12 years, and then dispose. Active period ends upon the sale of the property or at the end of BPA's interest in the property, whichever is longer. VITAL RECORD
BPA F 4300.03e
(07-2019)
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; LA-12 Retention: Retain while Active + 12 years, and then dispose. Active period ends upon the sale of the property or at the end of BPA's interest in the property, whichever is longer. VITAL RECORD
C
L Gnd E l _________
Cond E l
Str No.___________
BPA __________
ELEVATION BPA LINE
d
1
Pole 1
d
2
d
3
d
4
d
2
d
1
C
L Gnd E l _______________
C
L Gnd E l _______________
d
4
Cond E l ___________
BPA C
L Cond E l __________
@
Foreign C
L
Cond El
@ °F
BPA F 4300.03
(07-2019)
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.
BPA
Str No.
d
3
°F
POLES
LENGTH
DEPTH SET
CLASS POLE
POLE 1
POLE 1
POLE 2
F
I
X
T
U
R
E
S
SIZE OF CROSSARMS
MAKE AND CATALOG NUMBER OF INSULATORS
PO
LE 2
CO
NFIGURATIONS
C
O
N
D
U
C
T
O
R
S
NUMBER
SIZE
KIND
VOLTAGE
MWT
LOADING
COMMENTS
Pole 2
°(Angle)
°(Angle)
Measured Clockwise from Foreign Line
PLAN
A
P
P
L
I
C
A
N
T
File Code; LA-12 Retention: Retain while Active + 12 years, and then dispose. Active period ends upon the sale of the property or at the end of BPA's interest in the property, whichever is longer. VITAL RECORD
BPA F 4300.03e
(07-2019)
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)
No
rth Bend Area, (see Portland for mailing address)
EASTERN WASHINGTON, IDAHO AND MONTANA
Location and Address Phone Number
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