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HomeMy WebLinkAboutWTR2702786(1) BEGINNING OF FILE -1 v. l---41111F flow- WATER PROJECT FlLE OAKESDALE CENTER BLACKgNER-MVERTECH LLC J � ■ Shottplat (SHPLA_�_ ) . RSQUESC FOR PROJECT 0 Prelim.Fin( (PPH CAGMG�� ) To: Technical Services Date c KI 3�r 44 WOIf � s GreenM a1G T I; I From: Plan Review/Project Manager C / y v+ /e� � _ o Project Name Gd �f S dale, l z 7--"3 Y - VeVT c— ALL (10dtr�daa marl i Description of Project: G 71T/ c f 4, S A 'B — v Circle Size of Waterline: lo" 12" Circle One: New or Extension C,fiYL In' t Circle Size of Sewedine: 8O" 10" 12" Circle One: ew ,or Extension !Pr'I f C- t (_Ine. Circle Size of Stormline: 12" 18" 24" Circle One: New or Extension SP-r i Val e, Address or Street Names) Oa 1'E 5d -LIF Ave 51W r SVI 1 Dvlpr/Coatractor/OwneClt:: L 0 N A r G t-t 1 I e Gl f P f a G, rei-� j�/-'-e '� A. 3,Lr 9 ' (tadWRMn 4 Check each discipline involved in Project Ur Drwg N of sheets per discipline _ 1 ❑ Trans-Storm ❑ ❑ C Z I fo C2. Y /,l tc C2!•7 (RoadwytDninanc) (Off ciu: (include 7F5c aheeu) ❑ Transportation (sip4iu60N ch, Iiracun unhuny) ❑ ❑ IV A ❑ Wastewater .t ,� ❑ ❑ _s . I +V C�— 5 Saniury Sc" Main(indude buin namc) ly ❑ Water (Mu'u•Vuv¢.Hydnnu) ❑ ❑ r`= 1 t C ' /C 7 / /c C 7 (Inc' mm/pocix&HO(iW-W cut S, i ❑ Suface Water ❑ ❑ Improvements (CLP ONLY)OmIud-basin name) TS u:_only TAD- r 4D �7 avo -lS tF �vwP W7 -_090 1�5w d , �.o . S o, • W-2�-8s RECEIVED + ��NTO� Plat MAR 2 0 20� IN"IFS C Il j'?S MS I CITY OF RENTON U i CITY CLERK DIVISION d MEMORANDUM � 1 3 DATE: March 17,2000 TO: Clinton Morgan,Development Services FROM: Michele Neumann x6521 SUBJECT: Recorded Documents Bill of SaleBlackriver-Rivert:ch/Rec#20000125001313 Utilities Easement/Balckriver-Rivertech/Rec #20000125001314 The attached documents have been recorded with King County,and are being returned to you. Please forward copies to parties of interest,and retain a copy for your file. Thank you. Enclosures: (2) cc: Carrie Olson-Davis,Plan Review Allen C. Wyttenback(per C. Morgan) Abdoul Gafour, Water Division i r W- zq6 seeeeu+�uu Return Address: NI 1�1 City Clerk's Office M City of Renton CITY OF MYON U it." 1055 South Grady Way Renton,WA LOT - 918800-0152-01 LOT - 918800-0143-03 LOT - 918800-0153-00 BILL OF SALE Property Tax Parcel Number: LISTED ABOVE Project Filek: W-2786 Street lntaruction: OAKESDALE AVE SW $ SW Grantor(s): Grantee(s): 7th Streit 1. BLACKRIVER-RIVERTECH L.L.C. 1. City of Renton,a Municipal Corporation The Grantor,as named above,for,and in consideration of mutual benefits,hereby grants,bargains,sells and delivers to the Grantee,as named above,the following described personal property now located at: 600, 602, 604 AND 606 OAKESDALE AVE, SE AND 1300 SW 7TH STREET m in the City of Renton,County of King and State of Washington,io-wit: • Ife�I = WATER DISTRIBUTION SYSTEM IMPROVEMENTS S� • 0 0 .n N eo By this conveyance,Grantor will warrant and defend the sale hereby made unto the Grantee against all and every person or persons,whomsoever,lawfully claiming or to claim the same. This conveyance shall bind the heirs,executors, c administrators and assigns forever. o _ o IN WITNESS WHEREOF,I have hereunto set my hand and seat the day an taros written low. Blaclriver-Rivertech L L.0 (�, Its c Sver o irlgs, Inc. new _ e arty, res t Dean is on, Vice P • i3ent s Y Notary Seal must be within box INDIVIDUAL FO"OFACAN'OWLEDGMENT STATE OF WASHINGTON )SS COUNTY OF KING ) 1 certify that I know or have satisfactory evidence that _ signed this instrument and A acknowledged it to be his/her/their free an,voluntary act for the uses and purposes mentioned in the instrument t Notary Public in and for the State of Washington Notary(Print)_ My appointment expires. Dated: CIC t C, H:IFORNISWCRECORMBOS DOCIbh Page I I i fA'DfV1DUAL FORM O£A"AUWLEDGMENT Notary Seal must be within box STATE OF WASHINGTON )SS COUNTY OF KING ) 1 certify that I know or have satisfactory evidence that E I signed this instrument and acknowledged it to be his/her/their free and voluntary act for the uses and purposes mentioned in the instrument Notary Public in and for the State of Washington Notary(Print) My appointment expires: Dated: REPRESENTATIVE FORAf O£ACENOWLEDWIFLI T Notary Sal must be within box STATE OF WASHINGTON )SS COUNTY OF KING ) I certify that I know or have satisfactory evidence that "•' signed this instrument,on oath stated that he/s`•e/they wavwere authorzed to execute the instrument and acknowledged it as the•_ aid of _to be the free and voluntary act of such patty/parties for the uses and purposes mentioned in the instrument. ! m o Notary Pubhc an and for the State of Washington ,ten N(.my(Print) My appointment expires:_ Dated: f 0 o CORPORATE£ORAIO£ACENOWLEDCFfENT r� Notary Seal must be within box STATE OF WASHINGTON )SS c ate. COUNTY OF KING ) ����xxvtvs tr On this day o c before me personally appeared .�to me known to be Of the corporation that -U �_� 'M� ; executed the wnhm instrument,and acknowledge the said instrument to be the free and voluntary act and deed of said corporation,for the uses and purposes therein fI �% ASS F mentioned,and each on oath stated that he/she was authorized to execute said ' r'a�`th•OQ,r` - instrument end That the seal fixed is the corporate sal of said corporation. rr No rpo tOF W AEON _ Public to aAd for the State of Washington N tary(Print): f-7 Q�7�pt f appointment expires: _ aced: <j=jaAj1 3 ICIFORMSU:CRECORD1Bos.DOC,�bn page 2 t LOT 1 - 918800-0152-01 LOT 2 - 918800-0143-03 LOT 3 - 918800-0153-00 S Property Tax Parcel BILL OF SALE Number. '.I STED ABOVE t Project File N: W_2786 ^120itm-�E i SW 7TH ST. Addrea: I Reference Number(.)of Documents aedgned or released:Additional reference nrm...ss are on page_ r Grantor(S): Grantee(s): 1. BLACKRIVER-RIVERTEU L.L.C. 1. City of Renton,a Municipal Corporation 2. The Grantor,u named above,for,and in consideration of mutual benefits,hereby gnats,bargains,sells and delivers to the Grantee,as named above,the following described personal property WATER SYSTEM: Sim I 1600 L.F.of 10 D T 52 Water Main —�� L.F.of —" DI 52 Water Main _ 660 LF.of DI 52 water Main lu each of 1" Gate Valves --7T— eachof Gate Valves c„ — each of Fire Hydrant Assemblies m SANITARY SEWER SYSTEM: I&Czb aFi7& Ion 0 L.F.of Sewer Main o N/A _ L.F.of Sewer Main _ L.F.of Sewer Main each of " Diameter Manholes N " each of " Diameter Manholes o each of " Diameter Manholes o STORM DRAINAGE SYSTEM: Una 10 ins' a L.F.of Storm Line L.F.of _ Storm Line N/A L.F.of _ Storm Line each of Storm Inlet/Outlet each of Storm Catch Ilasia each of Manhole STREET IMPROVEMENTS: (Including Curb,Gutter.Sidewalk,Asphalt Pavement) PI/A Curb,Gutter,Sidewalk L.F. Asphalt Pavemmt: SY or L.F.of Width STREET LIGFTTING: N/A N of Poles-- by this conveyance.Grantor will warrant and dctend the sale hereby made unto the Grantee against all and every person err persona,whomwever,lawfully claiming or to claim the same. This conveyance shall bind the heirs,executors, administryvs and assigns forever. H:rFRESYSFHMrNHNDOUr,BnlSAlEDOCWAB P&P t PROJECT CLOSING 04 Final Cost Data FINAL COST DATA AND INVENTORY pnd Inventory SLB1ECf: WATER LINE Cf1YPROJECINUMBERS: WIT. W-2786 W Wp. ~ OAKESDALE CENTER Swp- Name of project TRO- TED- TO: City of Renton FROM: LPN ARCHITECTS AND PLANNERS - PlanReviewSection .. TDflt 80TH AVE SE Pluming/ il i ou Work! sao Mill Avenue South �LKODR A WIV8 . L.C. Renton,WA 99055 DATE: 17 22 99 Per the request of the City of Renton,the following information is furnished concerning final costs for improvements ir-•alled for the above referenced project. WATER SYSTEM COF1STRUCf1UN COSTS: Length Siae Type 1600 LF.of 10 _ DI 52 WATERMAIN fifi0 L.F.of 6 ` DI 59 WATERMAW 71D LF.of 8 DI 52 WATERMAN LF.of WATFRMAIN _ 10 EACH of 1_ ' MH GATE VALVES 13 EACH of 6 . MH GATE VALVES EACHof GATE VALVES _ EACH of FIRE HYDRANT ASSEMBLIES S U.fiBO HYDRANTS (Cost of Pi.Hydranu must be listed separately) - S 121.75R WATER MAIN (Include Englneuing and Sales T&A If applicable S TOTAL COST FOR WATER SYSTEM S 1-41_1SR.DD SANITARY SE_LUR SYSTEM. NIA ARM DRAINAGE SYSTEM: N/A length Sizc Type Length Size - Type LF.or SLwER MAIN L.F.of STOW OLLINT LF.of SEwERMAIN LF.of STOIUI LINT L.F.of SENTA FV.P! LF.of STOW LINE EAef DIAMEIFA FIAtA101FS EA of -_ STOMtINT£IroVDl:T EA of DlAMSTEAFLN'HOLES EA of STORM CATCHBASLI (laludn(Fn{Lwerin{uM SaleaTu FA of STORM CATCHBASIN Cry If appli<Slp 3 (Indudmt Enpneuin{nd Silu T. I TOTALCOSTFORSANITARYS�a SYSTEM 3 VapW'ceMe) 3 (+'a TOTAL COST FOR STORM DRAINAGE SYSTEM $ STREET IMPROVEMENTS: (including Curb.Gutter.Sidewalk,Asphilt Pavement and Street Lighting) ,,Xi N/A N CSIGNALVATION. (Including EnS.Design Cam,City Permit Fe..,WA St Sales TAO N/A 0 C? STREET LIGHTING: (Including Eng.Dign Cosu,Gty Perth Fe..,WAS,Sal..Tas) o N/A Print signawry,name —day Phone R W[L�g3M1+- ( NATURE) fs ..=STDAT]DOMI, CSigm ry an I be suNariica agent or owve'of wbj tdevelopmenp •`n rb": r e • tFx Ri PROJECT CLOSING Ma Final Cost Data FINAL COST DATA AND INVENTORY and inventory StBIECT: WATER LINE CITY PROJECT NUMBERS: WM. W-2786 OAKESDALE CENTER �. Name of project TRO TED- TO: City of Renton FROM:Plan Feview Section B LPNCHI R AVE SE ARCHITECTS AANDPI ANNFRS Planning,B -Luilding/Public Works MFRCFR 1CI AND- WA 9R040 200 Mill Avenue South FOR BLA K IV H L.L"C. 1 Renton,WA 98055 DATE: 12 22 99 Per the request of the City of Renton,the following information is furnished concerning final costs for improvements installed for the above referenced project. W A R SY57EM CONS CTI N COSTS: Length Size Type 1600 L.F.of _ 0 " DI 52 WATERMAW 6fi0 L.F.of 6 • III S7 WATERMABJ _ 210 L.F.of _ 8 _ 111 52 WATERMABJ L.F.of WATERMAIN 1 D r, Hof 10 MH GATE VALVES 13 EACH of _ 6 _ ^ Md GATE VALVES EACH of GATE VALVES _ 6 EACHof - FIRE HYDRANT ASSEMBLIES S 9-MY) HYDRANTS (Cost of Fire Hydrants must be listed separately) S 191_75R WATER, MAIN (Include Engineering and Sales Tax if applicable S TOTAL COST FORWATER SYSTEM $ 111,358_O0 SANITARY SEINER SYSTEM: NIA STORMDRAINA SYSTEM- N/A Length Size Type Length Size Type { L.F.of SEWER MAIN L.F.of STORM LINE L.F.of ^ SEWER MAIN L.F.of • STORM LINE ) L.F.or SEWER MAW L.F.of " STORM.LINE EA of ^ DIAMETER MANHOLES EA of _ ' STORM.NI-Er/OUTLET FAof ^ DIAMETER MANHOLES EA of STORM CATCHBASLN (Including Engineering and Sales Tax EAof STORM CATCHBASIN if opplicable) 1 gncl uding Engineeringand Salo Tax TOTAL COST FOR SANITARY SEWER SYSTEM S if applicable) 1 TOTAL COST FOR STORM DRAINAGE SYSTEM S STRrETIMPROVEMENTS: (Including Curb,Gutter,Sidewalk.Asphalt Pavement and Street Lighting) N/A SIGNALI ATION: (Including Eng.Design Costs,City Permit Fees,WA St Sales Tax) _N/A STREET LIGHTING (Including Eng.Design Costs,City Permit Fee S.WA St Sales Tax) N/A Prim signatory name ay phone N 4 ( .NATURE) ,I Ionns/COSTUATi.DOpbh (Signa ry must be authorized agent or owner of subject development) r 1 . Return Address: t ; City Clerk's Office CITY OF RENTON [AS 16.N City of Renton 1055 S Grady Way Renton, WA 98055 LOT 1 - 918800-0152-01 LOT 2 - 918800-0143-03 Title: UTILITIES EASEMENT Property Tax Parcel Number LISTED ABOVE Project Ft�•a W-2786 Street Intersection or Project Name. a sw rea tTaQt Reference Numbers)of Documents assigned or released:Additional reference numbers are on page_ y Gran(or(s): Gran¢ee(s): VY{ 1.BLACKRIVER—RIVERTECH, LLC I. City of Renton,a Mun::ipal Corporation 2. The Creator,as named above,for or and in consideration of mutwl benefits,hereby grants,bug.ms, Its and delivers la the above named Cranice.the following described personal property now located•1: Additional legal is on pagaS V. ev'a of document. (AbOreriared tetat derufprion AfUSTgo hue) 0 LEGAL DESCRIPTION. G an A PORTION OF LOTS 1, 2 AND 3 OF CITY OF RENTON SHORT PLAT NO. LUA-98-074—SHPL AS RECORDED UNDER KING COUNTY RECORDING NO. 9809109004. o $t tu4re tN S�cnOAl 2`-l) T�aN, is Y6t µ/, ref. 0 o_ N IIIFORMSV:CRECORO''LA)cmr.NTDO,I Pagel r0fh10300WbNCA771-97 EXCISE TAX NOT MUIHED 'i King Go.Records Division By �t' ulizl Deputy .• 1 I %f t That said Grantor(s),for and in consideration of mutual benefits,do by these presents,grant,bargain,sell, convey,and warrants unto the said Grantee,its successors and assigns,an easement for public utilities (including water,wastewater,and surface water)with necessary appurtenances over,under,through,across and upon the following described property(the right-of-way)in King County,Washington,more particularly described on page 1. (or if full legal is not on page I--Exhibit A.) For the purpose of constructing,reconstructing,installing,repairing,replacing,enlarging,operating and maintaining utilities and utility pipelines,including,but not limited to,water,sewer and storm drainage lines, together with the right of ingress and egress thereto without prior institution of any suit of proceedings of law and without incurring any legal obligation or liability therefor. Following the initial construction of its facilities. Grantee may from time to time construct: A additional facilities as it may require. This easement is granted subject to the following terms and conditions: I. The Grantee shall,upon completion of any work within the property covered by the easeme,t.restore the surface of the easement,and any private improvements disturbed or destroyed during execution of the work,as;nearly as practicable to the condition they were in imiscdiatcy before commencement of the%,ork or cr:ry by the Grantee. 2. Grantor shall retain the right to use the surface of the statement as long as such use dues not irnerl'cre with the easement rights granted to thcfbrantee. Grantor shall not,however,have the right to a. nr Erect or maintain any buildings or uolurci within the easement;or InPlant tress.shrubs or vegetation havit•deep root patterns which may cause damag:to or interfere with the utilities to be placed within the casein by the Grantee;or c. Dc--lop,landscape,or beautify the casement area in my way which would unreasonably increase the costs to the Granice of testo•ing the easement wa and my private improvements therein. ' d Dig,tunnel or perform other forms of construction activities on the property which r,ould disturb the c.a compaction or unearth Grantee's facilities on the right-of-way,or endanger the lateral suppon facilities e. Blast within fifteen(15)feet of the right-or-way. 0 a This easement shall run with the land described herein,and shah be bmd,ng upon the panes,their heirs, successors in interest and assigns. Grantors covenant that they are the lawful owners of the above properties and that they have a good and lawful right to execute this agreement. o By this conveyance,Grantor will warrant and defend the sale hereby made unto the Grantee against all and every person or persons,whomsoever,lawfully claiming or to claim the same. This con evince shall bind the o heirs,executors,administrators and assigns farever. e IN WITNESS WHEREOF,said Grantor has caused this instrument to be executed this -94-dn of�� -VY Blackriver-Rivertech L.L.C. 8 By: Blackriver Holdings, Ire V- llmry, Pres' nt Its Manager 6w LNDs]DUAL FO&V OFACKN—hkAfEAT en—F .ric n, Vice Notary Seal must be within bo< STATE OF WASHINGTON )SS President COUNTY OF KING ) I certify that I know or have satisfactory evidence than c in,,instrument and acknowledged it to be htsMedthetr free and soluman -it uses and purposes mentioned in the instrument Notary Public in and for the State of Wasliii,v Notary(Print) My appointment expires:_ i - Dated: t I INDIVIDUAL FORM OFACKNOWLEDGMENT Notary Seal must be w.thin box STATC OF WASHINGTON )SS COUNTY OF KING ) 1 certify that I know or have satisfactory evidence that signed this instrument and acknowledged it to be his/her/their Gee and voluntary act for the uses and purposes mentioned in the instrument . i g Notary Public in and for the State of Washington ! Notary (Print) My appointment expires: Dated: REPREfEATATIVE FORAf OFACKNOR'LEDGArEIVT Notary Sal must be wilh[.n boa STATE OF WASHINGTON )SS COUNTY OF KING ) certify that I know or have satisfactory evidence that signed this instrument,on oath stated that helshdthey was/were authorized to execute the instrument and acknowledged it as the and _y. of to be(he free and voluntary act of such panylpanies for the uses and purposes mentioned in the instrument. c�s 0 ,U Notay Public in and for the State of Washington Notary(Print) cv • My appointment expires: Dated: 1 0 0 o CORPORATE FORT f OFACKNOWLEDGMENT N Notary Seal must be satltm boa STATE OF WASHINGTON )SS COUNTY Of KING ) 90 I C.", wvvatt Onthi.�=daa o.` ]b �Qd .tafore r..e persana9y appeared i ss ��'(P NL Q� t,r �E7}l ✓ /AV ti' l0 me kno•,en to 510N"' rrr beA ME 4PjFSM�tf the corporation that JQ =�? a' :1. '• 9 evecutcd the within instrument,and acknowledge the said instrument to be the fret and voluntap act and deed of said corporation•for the uses and purposes therein :O mentioned.and each on oa!h stated that he/she was authorized to execute said �eeLU instrument and that the seal affixed Is the corporate seal otsaid eorpotat,on 0 1 rrtf lit OF WAe+N�O~`� (sssxxv�.." N ry Public in'taiid/To—r Me tat:of\Vashin / A t' o n�(Print �1�- iq t r,ritQ�.�.V(------- 1 appal unen(expire,. ed. t E*U BIT"A" LEGAL DESCRIPTION WATERLINE EASEMENT DESCRIPTION A STRIP OF LAND 15 FEET IN WIDTH BEING 7.50 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED CENTERLINE. OVER LOTS 1, 2 AND 3 OF CITY OF RENTON SHORT PLAT NO. LL'A-98-074—SHPL, ALSO KNOWN AS BLACKRIVER TRACT B SHORT PLAT, AS RECORDED UNDER KING COUNTY RECORDING NO. 9809109004; COMMENCING AT THE MOST SOUTHERLY CORNER OF SAID LOT 3, ALSO BEING A POINT ON THE NORTHWESTERLY MARGIN OF SOUTHWEST 7TH STREET; THENCE NORTH 48'09'19" EAST ALONG THE SOUTHEASTERLY BOUNDARY OF SAID LOT 3 ALSO BEING THE NORTHWESTERLY MARGIN OF SOUTHWEST 7TH STREET 76.54 FEET TO THE TRUE POINT OF BEGINNING; THENCE NORTH ,38-48'C-- WEST 46.37 FEET TO POINT "A"; THENCE SOUTHf47'51'59" WEST 68.81 FEET TO POINT "B"; THENCE NORTH 41'50'00" WEST 194.99 FEET TO POINT "C"; THENCE NORTH 41-50100" WEST 2.87 FEET TO POINT "D"; THENCE NORTH 41050'00" WEST 38.93 FEET TO POINT "E"; THENCE NORTH 41050'00" WEST 3.81 FEET TO POINT "F"; THENCE NORTH 41050'00" WEST 93.78 FEE:' TO POINT "G"; THENCE NORTH 48022'54" EAST 178.57 FEET; cn THENCE NORTH 41039'48" WEST 14.18 FEET TO POINT "H"; THENCE NORTH 41'39'46" WEST 223.33 FEET TO POINT "J"; o THENCE NORTH 41'39'48" WEST 11.91 FEET; cz THENCE SOUTH 48'14'55" WEST 29.28 FEET TO POINT "K"• `^ THENCE SOUTH 48014'55" WEST 199.86 FEET TO POINT "L ; THENCE SOUTH 48014 '55" WEST 5.41 FEET TO POINT "M"; THENCE SOUTH 48014'55" WEST 40.87 FEET TO POINT "N"; o THENCE SOUTH 48020'58" WEST 55.02 FEET TO POINT "P"; THENCE SOUTH 48'20'58" WEST 10.92 FEET TO POINT "Q"; o THENCE SOUTH 48020'58" WEST 174.24 FEET; 0o THENCE SOUTH O1-12134" EAST 74.34 FEET; cv THENCE SOUTH 40027159" EAST 116.46 FEET; THENCE SOUTH 14005'25" WEST 22.48 FEET TO POINT "R"; THENCE SOUTH 14005'25" WEST 9.17 FEET TO THE TERMINUS OF SAID STRIP; THE SIDELINES OF THIS EASEMENT AT THE TRUE POINT OF BEGINNINGI SHALL BE SO SHORTENED OR LENGTHENED SO AS TO TERMINATE AT THE SOUTHEASTERLY BOUNDARY OF SAID LOT 3 ALSO BEING THE NORTHWESTERLY MARGIN OF SOUTHWEST 7TH STREET; THE SIDELINES OF THIS EASEMENT STRIP AT THE TERMINUS SHALL BE SO SHORTENED OR LENGTHENED SO AS TO TERMINATE AT THE SOUTHWESTERLY I BOUNDARY OF SAID LOT 1 ALSO BEING THE NORTHEASTERLY MARGIN OF OAKESDALE AVENUE SOUTHWEST; ALSO BEGINNING AT PREVIOUSLY DESCRIBED POINT "A"; THENCE NORTH 47051159" EAST 49.33 FEET; THENCE NORTH 03043031" EAST 133.64 FEET; THENCE NORTH 84004'58" WEST 10.20 FEET TO THE TERMING''' OF SAID STRIP; i EXHIBIT"A" LEGAL DESCRIPTION) WATERLINE EASEMENT DESCRIPTION A STRIP OF LAND 15 FEET IN WIDTH BEING 7.50 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED CENTERLINE OVER LOTS 1, 2 AND 3 OF CITY OF RENTON SHORT PLAT NO. LUA-98-074—SHPL, ALSO KNOWN AS BLACKRIVER TRACT B SHORT PLAT, AS RECORDED UNDER KING COUNTY RECORDING NO. 9809109004; COMMENCING AT THE MOST SOUTHERLY CORNER OF SAID LOT 3, ALSO BEING A POINT ON THE NORTHWESTERLY MARGIN OF SOUTHWEST 7TH STREET; THENCE NORTH 48*09119" EAST ALONG THE SOUTHEASTERLY BOUNDARY OF SAID LOT 3 ALSO BEING THE NORTHWESTERLY MARGIN OF SOUTHWEST 7TH STREET 76.54 FEET TO THE TRUE POINT OF BEGINNING; THENCE NORTH .38°48'05" WEST 46.37 FEET TO POINT "A"; THENCE SOUTH (47051'59" WEST 68.81 FEET TO POINT "B"; ) THENCE NORTH 41-50100" WEST 194.99 FEET TO POINT "C"; THENCE NORTH 41050100" WEST 2.87 FEET TO POINT "D"; THENCE NORTH 41050100" WEST 38.93 FEET TO POINT "E"; THENCE NORTH 41°50'00" WEST 3.81 FEET TO POINT "F"; THENCE NORTH 41-50100" WFST 93.78 FEET TO POINT "G"; : THENCE NORTH 48"22'54" EAST 178.57 FEET; THENCE NORTH 41°39'48" WEST 14.18 FEET TO POINT "H"; THENCE NORTH 41039'48" WEST 223.33 FEET TO POINT "J"; o THENCE NORTH 41039'48" WEST 11.91 FEET; o THENCE SOUTH 48014'55" WEST 29.28 FEET 7v POINT "K"; `^ THENCE SOUTH 48*14155" WEST 199.86 FEET TO POINT "L"; cv THENCE SOUTH 48"14 '55" WEST 5.41 FEET TO POINT "M"; THENCE SOUTH 48-14 *55" WEST 40.87 FEET TO POINT "N"; o THENCE SOUTH 48°20'58" WEST 55.02 FEET TO POINT "P"; THENCE SOUTH 48°20'58" WEST 10.92 FEET TO POINT "Q"; o THENCE SOUTH 48020158" WEST 174.24 FEET; o THENCE SOUTH 01-12 -34" EAST 74.34 FEET; cv THENCE SOUTH 40°27'59" EAST 116.46 FEET; THENCE SOUTH 14005125" WEST 22.48 FEET TO POINT "R"; THENCE SOUTH 14*05125" WEST 9.17 FEET TO THE TERMINUS OF SAID STRIP; THE SIDELINES OF THIS EASEMENT AT THE TRUE POINT OF BEGINNING1 SHALL BE SO SHORTENED OR LENGTHENED SO AS TO TERMINATE AT THE SOUTHEASTERLY BOUNDARY OF SAID LOT 3 ALSO BEING THE NORTHWESTERLY MARGIN OF SOUTHWEST 7TH STREET; THE SIDELINES OF THIS EASEMENT STRIP AT THE TERMINUS SHALL BE SO SHORTENED OR LENGTHENED SO AS TO TERMINATE AT THE SOUTHWESTERLY BOUNDARY OF SAID LOT 1 ALSO BEING THE NORTHEASTERLY MARGIN OFI OAKESDALE AVENUE SOUTHWEST; i ALSO BEGINNING AT PREVIOUSLY DESCRIBED POINT "A"; THENCE NORTH 47'91159" EAST 49.33 FEET; THENCE NORTH 0' "31" EAST 133.64 FEET; THENCE NORTH 8• 158" WEST 10.20 FEET TO THE TERMINUS OF SAIDI STRIP; I 1 EXHIBIT"A'• LEGAL DESCRIPTION ALSO BEGINNING AT PREVIOUSLY DESCRIBED POINT "B"; THENCE SOUTH 47-51159" WEST 24.15 FEET; THENCE SOUTH 43034159" EAST 25.01 FEET TO THE TERMINUS OF SAID STRIP; ALSO BEGINNING AT PREVIOUSLY DESCRIBED POINT "C"; THENCE NORTH 42912027" EAST 21.08 FEET TO THE TERMINUS OF SAID STRIP; ALSO BEGINNING AT PREVIOUSLY DESCRIBED POINT "D"; THENCE NORTH 44*02,30" EAST 29.25 FEET TO THE TERMINUS OF SAID STRIP; f THE SIDELINES OF THIS EASEMENT STRIP AT THE TERMINUS SHALL BE SO SHORTENED AS NECESSARY TO TERMINATE AT THE FACE OF THE EXISTING BUILDING; ALSO BEGINNING AT PREVIOUSLY DESCRIBED POINT "E"; THENCE SOUTH 54810'42" WEST 44.19 FEET TO THE TERMINUS OF SAID STRIP; `Y ALSO BEGINNING AT PREVIOUSLY DESCRIBED POINT "F"; M THENCE SOUTH 56022140" WEST 50.11 FEET TO THE TERMINUS OF SAID STRIP; 0 o THE SIDELINES OF THIS EASEMENT STRIP AT THE TERMINUS SHALL BE SO '^ SHORTENED AS NECESSARY TO TERMINATE AT THE FACE OF THE EXISTING �•, BUILDING; o ALSO BEGINNING AT PREVIOUSLY DESCRIBED POINT "G"; THENCE SOUT'. 48022'54" WEST 12.34 FEET; o THENCE NORTH 39036'06" WEST 71.06 FEET; o. THENCE NORTH 02042'19" EAST 11.18 FEET TO THE TERMINUS OF SAID' c STRIP; ALSO BEGINNING AT PREVIOUSLY DESCRIBED POINT "H"; THENCE SOUTH 47"09'27" WEST 27.06 FEET TO THE TERMINUS OF SAID STRIP; it ALSO BEGINNING AT PREVIOUSLY DESCRIBED POINT "J"; THENCE NORTH 48003148" EAST 133.84 FEET; THENCE SOUTH 43051155" EAST 26.09 FEET TO POINT "S"; THENCE SOUTH 43-51155" EAST 10.92 FEET TO THE TERMINUS OF SAID+ STRIP; THE SIDELINL!, OF THIS EASEMENT STRIP SHALL BE SO SHORTENED OR LENGTHENED AS NECESSARY TO TERMINATE AT THE FACE OF THE FUTURE BUILDING; I ALSO BEGINNING AT FPSVIOUSLY DESCRIBED POINT "S"; THENCE NORTH 17046', " EAST 46.58 FEET TO THE TERMINUS OF SAID STRIP; 1 EXHIBI'1"'A" LEGAL DESCRIPTION ALSO BEGINNING AT PREVIOUSLY DESCRIBED POINT "K"; THENCE SOUTH 36002143" EAST 12.46 FEET TO THE TERMINUS OF SAID STRIP; ALSO BEGINNING AT PREVIOUSLY DESCRIBED POINT "L"; THENCE SOUTH 43*35147" EAST 28.43 FEET TO THE TERMINUS OF SAID STRIP; THE SIDELINES OF THIS EASEMENT STRIP SHALL BE SO SHORTENED OR LENGTHENED AS NECESSARY TO TERMINATE AT THE FACE OF THE FUTURE BUILDING; ALSO BEGINNING AT PREVIOUSLY DESCRIBED POINT "M"; THENCE SOUTH I39.36'15" EAST 28.45 FEET TO THE TERMINUS OF SAID ,,TRIP; THE SIDELINES OF THIS EASEMENT STRIP SHALL BE SO SHORTENED OR LENGTHENED AS NECESSARY TO TERMINATE AT THE FACE OF THE FUTURE BUILDING; ALSO BEGINNING AT PREVIOUSLY DESCRIBED POINT "N"; THENCE NORTH 42.16'39" WEST 26.40 FEET; THENCE SOUTH 33.55'30" WEST 12.40 FEET TO THE TERMINUS OF SAID STRIP; cn ALSO BEGINNING AT PREVIOUSLY DESCRIBED POINT "P"; THENCE SOUTH 37°38'10" EAST 28.76 FEET TO THE TERMINUS OF SAID STRIP; c� THE SIDELINES OF THIS EASEMENT STRIP SHALL BE SO SHORTENED OR LENGTHENED AS NECESSARY TO TERMINATE AT THE FACE OF THE FUTURE -- BUILDING; 0 o ALSO BEGINNING AT PREVIOUSLY DESCRIBED POINT "Q"; o THENCE SOUTH 47007101" EAST 28.84 FEET TO THE TERMINUS OF SAID o STRIP; I THE SIDELINES OF THIS EASEMENT STRIP SHALL BE SO SHORTENED OR LENGTHENED AS NECESSARY TO TERMINATE AT THE FACE OF THE FUTURE BUILDING; ALSO BEGINNING AT PREVIOUSLY DESCRIBED POINT "R"; THENCE NORTH 79^56'03" WEST 13.50 FEET TO THE TERMINUS OF SAID STRIP; HE SIDELINES OF THIS EASEMENT SHALL BE SO SHORTENED OR LENGTHENED SO AS TO MEET AT ANGLE POINTS; ALL SITUATE IN THE CITY OF RENTON, KING COUNTY, WASHINGTON STATE. i 1 '1 i 7000 Oil 5001311, N90'00'00"W 274.74' N90.00'00-W S00'00100-W 48.97 — S48.18'15"W ( '•. 220.36' 2 ry 'K- 36 OSZ NUN tt- 33���yyy,,,QY 3\ �N ¢O� Off• "O /� v LAC ,y 21 l39 / i) w 42 L 18 //18 �•L Q�' ....-4?- © Q11 RI 12 �.0 dJ;...F tlll 1 .�. 19 17a` -p' 1 R a 460.00' 16 le 1 1 n. z2 1r28 14 i �0 max.�� 1 L=178./6' Z I Q 14 \ I I 45 \\ S85'tY58'W j3 A _ C' \ 3 1 cam•/. 13 11 9 'A' NJ ? 0 ` (C ,I 7 TP.0.8. S73.04.46E�f SO4�f R-47.E60*O a- 6 1 299.98' - •4 L =49.88' _ �� �—P.O.C. R- 580'00 419-42'OT•E R L a 238.37 • ' N40-27.46-E(R) / I c �. I Map Exhibit U H48-09'19"E 76.54 11 N41-50'00"W 2.87 25 MS-03.44-E 133.84' 61 S48.20-58"W 10.92' 20 N38'48'05"W 46.37' 12 N44'02'30-E 29.25' 26:S43'51'55"E 26,09 42 S47-07 01-E 28.84' T N47-51'59-E 49.33' 13 N41.50'00"W 38.93" 2711447'46'44"E 46.58' 43 S48.20'58-W 174.24 4�H03.43'31-E 133.64' 14 S54.10-42"W 44.19' 26 S43-51-55-E 10.92' 44 S01-12'34-E 74.34' 1�5)N84-04.58`W 10.20' 15 N4T5O'00"W 3.81' ®N41.39'48-W 1191' 45 S40-27-59'E 116.46' ©S47'5T59"W 68.81, FB S56.22'40'W SO.If ®S48'14'55'W 29.28' ®S14'05'25-W 22.48' 0 S47'51'59"W 26.15' 17 N41'50'00"W 93.78' 31 S36'02'43"E 12.46' {7 14179-56-03"W 13.50' C)S43'34'59'E 25.01' 18 S48-22'54"W 12.34' gS48-14'55-W 199.86' 4S14.05'25-W 9.17' (9)N41'50'00"W 194.99' 19 N39'38'06-W 71.06' ©S43'35'47-E 28.03' m 10 N42-12'27-E 21.08' CN02-42'19"E 11.15" © 33 S48.14.55-W 5.4T 6;01'357 c 21 N48'22 WE 178.57' 35 S39'36'15-E 28.45' L- 15.85' `� 22 N41'39'48"W 14.18' ®S48'1455-W 40.87 ®N48 0919-E 188.84' ©3 S47'09'27-W 27.05' 37 N42'16'39'W 26.40' ®N480919-E 170,72' 24 N41.39'48"W 223.33' A ' 38 533.55 30"W 12.d0 ® - 25,0y 28- L= 35.92' 0 39 S48120'58"W 55.02' o N11.58'43-W 84.81" 4CO01 S37'3810-E 28,76 FF N51'07'26'E 95,26' L. Cq�O BUSH,ROED & HITCHINGS,INC. bf W� CIVIL ENGINEERS 6 LAND SURVEYORS >L 2009 MINOR AVE.E 4 •F� '`1 SEATTLE.WA 98102-3513 2�)323-4144 BAH JOB NO. 9934300 12-22-99 j 4f ""' E`• �� WATER EASEMENT SKETCH 'ON'1C L.aNOSJ/ PREPARED FOR BLACKRIVER-RIVERTECH L L.C. EXPIRES(AII&PO PROJECT: BLACKRIVER TRACT 8 SHORT PLAT 1 a-' Z1'99 i Laucks Testing Laboratories, Inc. Laucks Testing Laboratories,Inc. 940 S.Harney Seattle,WA 98108 940 S.Harney Seattle.WA 98108 WATER BACTERIOLOGICAL ANALYSIS WATER BACTERIOLOGICAL ANALYSIS SAMPLE COLLECTION:READ INSTRUCTIONS ON BACK OF GOLDENROD COPY SAMPLE COLLECTION READ INSTRUCTIONS ON BACK OF GOLDENROD COPY If InstrueBorls ene not ioDpwed,"MIDW will be rejected. N Mntrwtions are not followed,sample will be rejected. DATE COLLECTED TIq.E,ECTi4 COUNTY NAME DATE COLLECTED TIME COLL�fi G UNTV NAME MOUTH Wr YEAR }D MONTH Dpr yawR TYPE OF SYSTEM j IF PUBLIC SYSTEM,COMPLETE. r OF SYSTEM IF PUBLIC SYSTEM,COMPLETE: PUBLIC PL B7 ❑21VIOUAL I.D.ND. ' 8 I CI AE CRBOUP ❑INDIVIDUAL I.B.�. CI(g \GRpUP u....aer T wd.,oe v L nw+ �m. t �/ B NAME OF SYSTEM Ni _ 2- 7 �(f NAME OF SYSTEM \ 1 _- 6 �4 C `4 1 I a ( W LC- ✓� SPECIFIC LOCATION WHERE SAMPLE COLLECTED TELEPHONENO. SPCIFICl. WHERE SAMPLE COLLECTED IELEPHONENO 'f' �7 oAY DAY rf' - {-VXj 1 EVENING C" F1 EVENING TED B .PNora1 SYSTEM OWIEAIMGR.:()erne) SAMPLE EC D BY:(Name) SYSTEM OWNEw .:INen101 r \ M RA 5!ED . JLET7 SOURCE TYPE Lj GROUND WATER LINDER SURFACE INFLUENCE SOURCE TYPE GROUND WATER 11NDER SI1iK INFLU1tE��NAACE - ❑SURFACE i;I*LL or ❑SPRING ❑PURCHASED or$COMBINATION ❑SURFACE U.or ❑SPRING ❑PURCHASED o n'COMBINATION LL FIELD INTEFE IE or OTHER LL FIEI I INTERRE T -or OTHER REPORT TO:(Pant Full Name.Adoeu Zp Coea D REPORT 70: F Zip C 1"Ty ,�. ti•�. '�_�� "''�,"C _�°i11_I-TYwy-Q . NUS=� r � w/51WIOTPI r � W:TOH FJ'/ TYPE OF SAMPLE(CM k only one In vile column) TYTRE OF SAMPLE(eheck 0*ow In*As column)ROUTI w ❑DRINKING WATER ❑Chlonnated IReadual Torel Frat ❑DRRINKNNG WATER ❑Chlamateo(Res,d.W:__Toai__ F., cheek trealmcnt ❑Fleered check treatment ❑NtmeE ❑IlntreNoo or OMx..____ ❑11M,eatad o Ohs_._._. REPEAT SAMPLE PWIMS Cailorn, Lab ❑REPEAT SAMPLE presence Laba y Prevrous co-tom pesence Labe Date__._.-.../_.. /_ Date_I /_ .A SOURCE WATER Sourceaam ❑TONCoWom ❑RAW SOURCE WATER Swroe0Im ❑Tble coNwm NEW CONSTRUCEIIXJ or NIPM ❑Fad CoMkne NEW CONSTRUCTION or"FIRWI16 ❑Feel CaWwm OTHER ISpeciNl _ OTHER(SpeciN)__.___ _ REMARKS: I c' REMARKS: Z OF (LAB USE ONLY)DRINKING WATER RESULTS (LAS USE ONLY)DRINKING WATER RESULTS ❑UNSATISFACTORY,Coliforma Present ❑SATISFACTOiiV, ❑UNSATISFACTORY,CdOom.presentEOC.T�RY, Ca4lams abeam sent REPEAT ❑E.Cob present ❑E Col,absent REPEAT ❑E.Cal preeern ❑E.Cok sloven) SAMPLES ES ❑Feu)present ❑Fecal absent RAMPLESEOUIRED ❑FBW prevent ❑FeW eoasnr 011idl LAeOMTORY RESULTS OT/ER LAaDRATTOM RESULTS TOTALCOUFORM.�/10D m1 FCOLT./ . /1W ML TOTALCOLIFORM yy _1100 ml E.COLT I_.MD0 MIL FECAL COLIFORM_-?too ml PLATE COUNT __/ml FECAL COUFORM_/loo ml PLATE COUNT /ml ANOTHER SAMPLE gEOUIRED ANOTHER SAMPLE REQUIRED SAMPLE NOT TESTED BECAUSE: TEST UNSUITABLE BECAUSE: SAMPLE NOT TESTED BECAUSE: TEST UNSUITABLE BECAUSE. ❑Sample too aid ❑CenAuent growth ❑salnpe too ofo ❑COnnuent growth ❑Wrong container ❑TNTC ❑Wi owtame, ❑TNTC ❑IncompMe form ❑Turba cueure ❑rr c plete ipnn ❑Turo,d Cana ❑ _- ❑Eaoass doom ❑.- __-. -__-__ ❑Esroef SEE REVERSE 5B)E.OF GREEN COPY FOR EXPLANATION OF RE LTS SEE REVERSE SIDE OF GREEN COPY FOP EXPLANATION le RESULTS INS NO,p DKErl DATE.TIME RECEIVED Day LAB NO.11 DIGITSI DATE,TIME RECEIVED RECENEDSY It DATE REPORTED lABORrITORf DATE REROfjTED lAb(RUTOR,` .a�INS � = 6 'K IIEMVMl6 MF MMM'.S aQl RaeM PfY N]I Opt YG W2 MEV A9TI I' WATER SUPPLIER COPY WATER SUPPUFR COPY 0 Laucks Testing Laboratories,Inc. Laucks Testing Laboratories,Inc. 940 S.Harney Seattle,WA 98108 940 S.Harney Seattle,WA 98108 WATER BACTERIOLOGICAL ANALYSIS WATER BACTERIOLOGICAL ANALYSIS SAMPLE COLLECTION.READ INSTRUCTIONS ON BACK OF GOLDENROD COPY SAMPLE COLLECTION:READ INSTRUCTIONS ON BACK OF GOLDFNROD COPY If instructions ere not followed,ampler Will be rejected. N BnaeRBuonesne not followed,sample Will be rejected. DATE COLLECTED 71 OLL COUNTY NAMF DATE COLLECTED T COLLECTED COUNTY NAME 1 'I rAOmH pAv YEAR ��I �[ MONTH DAY YEAR IT . EC(ED I � - AM ❑PM 1\1 �� 'Nt ❑p'M 1�T.,Y.PE OF SYSTEM ;;;LIC SYSTEM.COMPLETE TYPE OF SYSTEM If URI.IC SYSTEM.COM%,ETEPUBLIC❑INOVIDl1AL I �- CIgOAE GROUP ❑INDIVIDUAL LD.No. DE GROUP UImo..a+r/ «u..al `^ NAME OF SYSTEM �� _ NAME OF SYS ` ' + - 2--7 y: &- I• f r- r L`AOt lTD�KI--- BPEGFICLOLA YMERE SAMPLE COLLECTED TELEPHONE NO. SPECIFIC LOCATIONBNERE SAMPLE CO-IECTED TELE.'HUNE NO. DAV 1 r- DAY C_ C EVENING I 1 EVENING SAMPLE T BY:(Name) SYSTEM OWNERRAGR.:(NaYB SAMPLE COL BY: ) SYSTEM OWNERIMGFI. Name) ' G _ .-'��..- R E TYPE GROUND WATER UNDER SURFACE INFLUENCE SOURCE TYPE G 14D WATE UNDER SURFA INFLUENCE ❑SURFACE>4%U-or ❑SPRING ❑PURCHASED ar�COMBINATION ❑SURFACe: WELL or ❑SPRING ❑PURCHASE*)j�COMSINATION WELL FIELD INTERTIE or OTHER ^"�1 L FIELD INTERTIE v OTHER �ry1D EPOAT TO'.(Pn ull Nano.Address a W Zip Catlal SAND REPORT TO,(Pr%1 yll Name, aW C�� r s. ,wt— {,�-tE' 1Ti.,_� '.�Li` s"�F If L`R' °� ( lilt tTY ENCirC jnc�C) 1�2L?JO , �j2AL��( 1iJAY w.eHR. .'. ' ea. TYPE OF SAMPLE(Cbeck only one in this column) TYPE OF SFMPLE(cNsok only one In Mle cobmm) ❑ROUTINE [I ROL TINE DRINKING WATER ❑ChbnnalM IR"Oual _ Total. . Fecal DRINKING WATER ❑Chlu,naleu(Raudue._Tole_F, N check treatment ❑FAtered check treatment ❑Fihaled ❑Untreated or OR __ rer _ ❑UntnMlW or ONr __ ❑REPEAT SAMPLE ❑REPEAT SAMPLE Prevrous cdAorm preawrpe Labe PrevNJes cdaorm pmserlce Lab Y DW—C_/_ Date ❑RAW SOURCE WATER Sourp Yam ❑Tou,CoYilam ❑-y�RAW SOURCE WATER Source I m ❑Total Cdlbrm NEW CONSTRUCTION owWAMR& ❑Fecal Cdeam -)?NEW CONSTRUCTION IWARMS ❑Fecal Cdibrm ❑OTHER(Specify) _... . ❑OTHER(Swo) ...._._. _._._. _ REMARKS: REMARKS: C PAS USE ONLY)DRINKING WATER RESULTS (LAB USE ONLY)ORMUM am NEBULTS' ❑UNSATISFACTORY.Cokforms present ❑SATISFACTORY, ❑UNSATISFACTORY.Cdeama presentT[:]REPEAT ❑E.Coh present ❑E.Coll absent Coll/orma Moment REPEAT ❑E.CM present ❑E Coh mmon Waent SAMPLES SAMPLES EQUIRED ❑Fecal present ❑Fecal Boma" REQUI ED ❑Fecal present ❑Fecal a OTHER LABORATORY RESULTS �OTNE�R LABORATORY RESULTS T TOTALCWIFORM L(A� OAL COl IFORM /P 1 pp ml E . .'/100 ml E.COLI._�1100ML T -.. COLII :1OOML FECAL COUFORM _../100 ml PLATE CWNT /ml FECAL COLIFORM__ /100 ml PLATE COUNT /ml ANOTHER SAMPLE REQUIRED ANOTHER SAMPLE REWIRED SAMPLE NOT TESTED BECAUSE: TEST UNSUITABLE BECAUSE. SAMPLE NOT TESTED BECAUSE TEST�UNSUITABLE BECAUSE: ❑Sample too old ❑Codluenl growth ❑Sample too olel LJ Cenlllled growth ❑Wrong cowlaa ❑TNTC ❑Wrong contaewr [j TNTC ❑Incomplete Toms ❑Turbid culture ❑Incomplete form ❑Turbd cuboe ❑- _. __.. ❑E.o debna ❑-_._. .___._ ❑Eace6f doom, SEE REVERSE SIDE OF GREEN COPY FOR EKPLAt1ATION OF PA&L75 SEE REVERSE SIDE OF GREEN C^^FDA EXPLANATION OF LTS LAB NO.(T WITS) DATE.TIME RECEIVED EIVED 01 LAS NO IT MIT51 GATE.LIME RFCOVEO `EIVE0 BY DATE REPORTED LABORATORY W DATE REPORTED LA90MTgry I ax �'"� 1 3 Ga4 aRMsas � AENN«e gpNaesesev rna paN Weoelay aaa R WATER SUPPLIER COPY WATER SUPPLIER COPY Loucks Testing Laboratories, Inc. { Loucks Testing Laboratories,Inc. 940 S Harney Seattle.WA 98108 { 940 S.Harney Seattle.WA 98108 WATER BACTERIOLOGICAL ANALYSIS WATER BACTERIOLOGICAL ANALYSIS SAMPLE COLLECTION.READ INSTRULi IONS ON BACK OF GOLDENROD COPY SAMPLE COLLECTION.READ INSTRUCTIONS ON BACK Of GOLDENROD COPY If Instructions ere not followed,sample will be rejected. N instructions are not followed,sample will be rejected. DATE COLLECTED TIJy1f MC OLLECTED COUNTY NAME DATE COLLECTED T11 COLLECTED COUNT Y NAME MONTR DAy VFAN L MONTF, DAY VFM L -TT'PE OF 3YSTEM IF PUBLIC SYSTEM.COMPLETE: TWQ} OF SYSTEM IF PUBLIC SYSTEM.COMPLETE: PVBLIC pUgL� ❑INDIVIDUPL j,g,�. ' _ C)RCL'q BB - ❑INDIVIDUAL LD.Ng. , ' C C GROUP i rww wvtn,...a CT -�f� A B NAME OF SYSTEM v NAME OF SYSTEM L•, , E SPECIFIC LOCATIONWHERE SAMPLE COLLECTED TELEPHONE NO. SPECIFIC CA710N WHERE SAMPLE COLLECTED TELEPHONE ,\ 4 ,-^ 74- 1 ' EVENING IEVENING SAMPLE COLLECTED BY:(Narre) SYSTEM OWNERNGFL:Marro) I E COLLECTED BY(Name) SYSTEMOWNERiMGR..(Hanel SOURCE TYPE LJ GROUNDWATER NDER SURFACIE INFLUENCE I SOURCE TYPE GROUND WATER HOER SU E INFLUENCE ❑SURFACE ❑WELL or ❑SPRING []PURCHASED or COMBINATION I ❑SURFACE ❑WELL or ❑SPRING ❑PUR CHASED-XcomBNaATIDH WELL FIELD INTERTIE or OTHER WELL FIELD INTERTIE POTHER SEUP ITYREPORT TO: Pml ,L(11 Name,Address erd➢ C de FiFJC'pSEND REPORT TO (Pent Ful Aodms and 21p wxeme�oTpl 1 TYPE OF SAMPLE(eheck only one In eNs columnl TYPE OF SAMPLEItheok only px In ihts column) ❑ROUTINE Chlortele0(Rrxlual:__.Total_. Fee) ❑ROUTINE DRINKING WATER ❑ DRINKING WATER ❑Chlo ri tW(Readuel Total Fecal check teatmenl - ❑Filtered cMrA oaatmsnt ❑Fnered ❑UMrrlotl IX Gllror__—_-_.._. ❑lMtleUed�OYw__._ ❑REPEAT SAMPLE ❑REPEAT SAMPLE f _-- Pravrous Coldorm PHaenco Lab 1, _.- Previous tddprrn Presence Lab a Data le'-"c A�'i/- CoTCII� 1�RAW SOURCE WATER Souro,A�$ m ❑TnW CeMym ❑RAW SOURCE WATER Spate a® m Tay CaMp,n A NEW CONSTRUCTION orRIN��MR..S��11--s -- ❑Fay Deyym �NEW CDNSTRUCTIGH / QFew Demean ❑OTHER(SpJAecdy)__...11L'.d212LE'_. _-_ ❑OTHER(Spetily)_��rc' jT� REMMKS---t`�. — C»�— r.^ REMAfMS: J A r1 2 O i- �••h — - M1Aa LIFE GHLn fNTMWLVG WAT[R Rt1SILn ILAN USE ONLY)DLMMe1O WATER MU&TS ❑UNSATISFACT . .1pms pevenl ❑SATISFACTORY� !, ❑UN.SAnsFAc RY Coalorrns peoent ❑SAtISFACTORV. Cddorms norm REPEAT E L ok prrMn ❑E.Cei eDeNn REPEAT ❑E.Coo preealit ❑E Cdi abeenl REQUIRESANPIJD Focal peamrl ❑Fey abeerlt REQUIRED ❑Fecal gesNll ❑Face absent OTHER LABORATORY RENATE OTHMI LAMORATORT REWLTS TOTAL COLIFORM -_/100 ml E.COL /l0O ML TOTAL COLIFORM 1100 mI E.COLT /DOD ML --� FECAL COLIFORM_ --./100 ml PLATE COUNT /mI FECAL COLIFORM-__./lOO mi PLATE COUNT /ml _- A ANOTHER SAMPLE REWIRED NOTINER SA MPLE REQUIRED ._ . .- SAMPLE NOT TESTED BECAUSE'. TEST UNSUITABLE BECAUSE SAMPLE NOT TESTED BECAUSE: TEST UNSUITABLE BECAUSE- ❑SanPH too old ❑conluent gmwth ❑sample too old ❑(:onnuant 9,odh ❑wrong conunna ❑TNTC ❑Wrong Contene, ❑TNTC ❑Incomplete tom ❑Tpbd Cunue ❑Incomplete kmn ❑F.,P d tuaue ❑-_._._.__.____ ❑Ex debris ❑ ❑Excer doom SEE REVERSE SIDE OF GREEN Copy FOR EIPLANATION OF RESULTS SEE REVERSE SIDE OF GREEN COPY FOR EXPLANATION OF RESULTS LAB NO Ir Ponel I DATE,TIME Kanto RECENED By LAB ND.IT DICJTEI DATE,Y,W RECOVED REa'778v p�51(d1hS(e �`;r�ti ? `l! 516LI l�) VIVIE REPORTED LABORATORY DATE RFPOFIFo IAECMTDRr awws 4 1 1 1 nFrwxa (-I larfoeos eev wo PaR»FmT seY van tl WATER SUPPLIER COPY WATER SUPPLIER COPY Laucks Testing Laboratories, Inc. Laucks Testing Laboratories,Inc. 940 5.Harney Seattle.WA 981 OR 940 S.Harney Seattle.WA 98108 WATER BACTERIOLOGICAL ANALYSIS WATER BACTERIOLOGICAL ANALYSIS SAMPLE COLLECTION.READ INSTRUCTIONS ON BACK OF GOLDENROD COPY SAMPLE COLLECTION:READ INSTRUCTIONS ON BACK OF GOLDENROD COPY N instructions An,not followed,sarllpfe win be rejected. If instructions ere not followed,movie win be rejected. DATE COLLECTED T --7/��Q Imo; COUNTY NAME MONTH DAv YFAR � DATE COLLECTED yyE C D COUNTY NAME R JAI DAM PM KI ,V KID LL) ❑AM FM OF SYSTEM I E PUBLIC SYSTEM,COMPLETE. rvOF SYSTEM IF PUBLIC SYSTEM.COMPLETE: %JBLIC 913K PUBLIC p7maWOUAL I.B.NO. ( ( A\08 � INDIVIDUAL EB.ND. ( ( a,OR _J v NAME OF SYSTEM \J-N• v766bif> NAME OF SYSTEM i Cal 3 � w - -� �"n5 SPECWICL INHERE ERE SAMPLE COLLECTED TELEPHONE NO, s lt1 E rJ 1, -T FIC LOCATID4 TIERE$AApLE O0J.ECTED TELE NO DAY" ' �-• `i 0 +E-J C DAY 1. c c _ I(=;z'..l , EVENING EVENING SAMP ECOLLECTED BV.INemal SYSTEM OWNERrMOR.:INemal _xjSAM E COLLECTED BY:INaal SYSTEM OWNER/"..INarrw) ��r m SOl1HCE TYPEk- -1 GROUND WAWA ,NDER SURFACE INFLUENCE ❑SURFACE WELL a �y SOURCE TYPE GROUND WATER DER SURF INFLUENCE -- ❑ ❑ ' ❑PURCHASED°r 11{LCOMAINATION []SURFACE [:]WELL m ❑SPRING PURCHASED or�,COMBINATKYI WELL FIELD INTERPE /-'or OTHER WELL FIELD PURCHASED BOTHER §END REPORT TO'. Prot FFAIT Name Mks yq Zfq Cyq� �CY. t, �1�C (�l - 111 j 1 rrl.. f" �i s�tDREPORT TO:IPbnt F.,peAaWa.. ?gyp Pop,_ , f ,I fr.TTs+F+,.. E- - - wAa,Ncr n TYPE OF SAMPLEIcback only omwelfi teelunnl TYPE OF SAMPLEkhack enly one in e,ie column) ❑ROUTINE DRINKING WATER ❑CKgroated)ResWual: Total Fret) ❑ROUTINE I check tioatment ❑FUN ee DRINKING WATER E]ChWnnmed(Ree,dual. Total RK�_F O IA Maud a OVW check IRNrnare ❑Filtered ❑Untn -W a Other_ I ❑RL�EAT SAMPLE REPEAT SAMPLE PtelseLR poMam pretNlee let If _ ❑P,eY s cddw presence L.,b e Oft I-I _J_/ Data RAW SOURCE WATER specs a F§1 m ❑TOW Cob" f,RAW SOURCE WATER Source e Q m ❑Tey DoWbFn NEW CONSTRUCTION ❑Faetl COslarrn .yy�I NEW CONSTRUCTION op"EI�MIRI��/� ❑FeW COMOrm ❑OTHER ISpeciNl ._l8� ❑OTHERISpedlyl-__-.-YJ[�Lft.fL__- C-�,r_ REMARKS: �- .+r P RAB USE ONLY)OMNK"WATER RESULTS I iu8 USE ONLY)DPMWM4 WAYM REAILTS --- --- ❑UNSATISFACTORY.Cdibrme PnaenT ❑CAS� ❑uNSATISFACTORY,CoMamt present ❑SATISFACTORY, REPEAT ❑E.Gdl onesent ❑SAMPLES E.Cbh absent REPEAT Cdifama eNaxn REQUIRED ❑Fecal Present ❑1 Fecal absent EQUI ES ❑E Cot,pnnar,t CIE .Cd,abtlBn,t REQUIRED ❑Fecal plaw,t ❑Focal abtant OTHER LABORATORY RESULTS i OTHER LABORATORY FANIML.TS _TOTAL COLIFORM 1100m1 E.COLIA-,IOOML I TOTAL GOLIFORM /iDDTI E.COLI�noo ML FECAL COLIFORM /mI FORM_. MOD ml PLATf COUNT_..-. FECAL COLIFORM /100 mI RATE COUNT "I _ ANOTHER SAMPLE REQUIRED ANOTHER SAMPLEREQLIIREO SAMPLE NOT TESTED BECAUSE: TEST UNSUITABLE BECAUSE. SAMPLE NOT TESTED BECAUSE'. TEST UNSUITABLE BECAUSE. ❑sample too old []Connuent growth ❑Si too ow ❑Wrap container ❑TNTC ❑Wrong contee,e, ❑C--Rion grows, ❑kv0.Wme Lam „ ❑TNTC ❑Turbo.1. ❑kwompiote loin, ❑Tuldd M^n ❑_-__- ____ ❑Eecen dsdie ❑____.__. _ ❑Excew Beefs SEE REVERSE SIDE OF GREEN COPY FIRL EXP ATTON OF RESULTS SEE REVERSE SIDE OF GREEN COPY FOR EXPLANATION Or RESULTS LAB NO.P win) DATE,TRIP FAC&M RECEIVED Br ue No IT o101T31 DATE.TIME RECENED FWQWD eY 04 Ii ' b S $ �� ,/ Y; CIS L'Q� OK 1��Ib 5�1 //a /r;� ys ,'� DATE REPORTED LAepNTORYw--_ MrE REOMTEo UBpMTpM AtiM" son stoop Pre L.R »xn:JPL RFY.M WATER SUPPLIER COPY _ WA TER SUPPLIER COPY r I Laucks Testing Laboratories,Inc. -- _ 940 S.Harney Seattle.VIA 98108 WATER BACTERIOLOGICAL ANALYSIS SAMPLE COLLECTION.READ INSTRUCTIONS ON BACK OF GOLDENROD COPY H inatr boirs am not followed,sample will be rejected. DATE NAM COLLECTED Tlt�{'OLL COUNTY E MONTH OLDAY YEAR - ? _ AM ❑�M K, ti� TYpE OF SYSTEM IF UBLIC SYSTEM,COMPLETE: Y�`I I Pt1BLIC i INOMDUAL C C"b GROUP ❑ LD.No. / A B j ��' NAME Oc SYSTE" SPECIFICLOCA 0111WIEf1EWILC COLLECTED TElEM1011E NO. GAY Q I t I St A. l+ n EVENING 1 SAMPLE CAD BY:(Name) SYSTEM OWNER/MGR.:(Name) A-n A( SLR i7 SOURCE TYPE Lj GROUND WATER UNDER SURF E INFLU`EN�CE ❑SURFACE WELL or ❑SPRING ❑PI iRCHASEOIor M COM84NATION LL FIELDDeny sF aP INTERTIE JJJ�""""w OTHER(/^ �D R TO. o' �I I L—,Nr .'`�-_ TYPE OF SAMPLE(chock only one In lnis cokmn) ❑ROUTINE ❑ChMmuid(Residue"._.TOW Free) DRINKING WATER clrock treatment ❑Flared ❑Untreated or Oowr__. ❑P PFAT SAMPLE P, ous caldortn gesence Lae e Date / / RAW SOURCE WATER SoWcesFs-1m oTMY CDIXorm NEW CONSTRICTION urnE IRSE, FWW Colleen �LrJI OTHER ISpaciryl___._ ___ REMARKS:islool"G Q t BJtB USE Of NLY)DRINKING WATER RE PATS [;UNSATISFACTORY.Coklorms present ❑SATISFACTORYt REPEAT ❑E.GN,preewd ❑E.Coi,absent SAMPLES REQUIRED ❑FBCM present ❑Fecal absent i OTHER LABORATORY RESULTS TOTAL COLIFORM_..../100 ml E.COLT_.. MID ML FECAL COLIFORM_.--/100 ml PLATE COUNT _/ea ANOTHER SAMPLE REQUIRED SAMPLE NOT TESTED BECAUSE. TEST UNSUITABLE BECAUSE: ❑Sample too cld ❑Confluent growth ❑Wrong conimner ❑TNTC U Incomplete form ❑Turbid culture j ❑ ❑Facets delve SEE REVERSE SIDE OF GREEN COPY FOR EXPLANATION Of RESOS LAB ND IT DIGITSI DATE,nME RECEIVED �] ZE L.).S ) &t +lci �/ 7/(� I ) /DATE REPORTED IABOBATM r m.dos AV Hn WATER SUPPLIER COPY -- I Laucks Testing Laboratories,Inc. 940 S.Manny Seanle,WA 98108 WATER BACTERIOLOGICAL ANALYSIS SAMPLE COLLECTION READ INSTRUCTIONS ON BACK OF GOLDENROD COPY N ktebwUa ere not followed,WITIPle WIN be reiected. DATE COLLECTEU T ECOLL TED C37NTY tDgNrH ;w ❑AM PM KIN . TYPE OF SYSTEM K PUBLIC SYSTEM.COMPLETE: X'PUBLIC INDIVIDUALIA.N0. C A GB UP INAME OF SYSTEM /- I ZWHERE I l� sPEaFIc LOCOLLECTEDTE DA ER/MGR.:(Name)-- SOURCENFLUEENCCCE []SURFACE ❑WELL w ❑SPRING ❑PURCHASED w yO COMBINATION WELL FIELD INTERTIE a OTHER 1. l rDRINKING MPLE(c"ck only orra In Mts cotI TINECMametetl ) WATER ❑ (RlkkW: TOW Fraek treatment ❑FlReree Eluneeatw a Omer-_-___ ❑REPEAT SAMPLE Prevwus cOlKonn Preaerwe LeD a Del. RAW SOURCE WATER Source a E m ❑Tdal Callorrtt I NEW CONSTRUCTION H%RAige ❑OTHER(SD ,ty) _W_ Z %. FeralCdlbm (LAB USE ONLY)DRM UNG WATER RESULT ❑uNSAnsFAcroRY caRonne PaaWrt ❑SATISFACTORY t REPEAr ❑E.cal peeent ❑E.Call aWent Wftnnk alien j SAMPLES REWIRED ❑Facal Present ❑Facal abaanl I e OTNER LABORATORY RENAT i TOTAL' )LIFORM /100m1 E.COL , /IOOML FECAL LOLIFORM__- moo ml PLATE COUNT_ hM ANOTHER SAMPLE REQUIRED SAMPLE NOT TESTED BECAUSE. TEST UNSUITABLE BECAUSE: ❑SwWe two old ❑cwff a tgr ❑Wrong container ❑TNTC ❑lnc nvlete fwm ❑TurdO cuaun ❑_________ ❑Eacaas sears SEE REVERSE SIDE OF GREEN COPY FOR EXPLANATION OF RESULTS lA/e NDyIT DINTS, /� pAtE 11NE RECENEp RECEIVED 8v ��l.r ']�c)C�CY� DATE REPORTED UepINTOfM v owaRmFeY wcn WA`FIR SUPPLIER COPY