HomeMy WebLinkAboutWTR2702847 WTR-27-2847 � -�
BEGINNING
OF FILE
WATER PROJECT
�, . . LONGS PUT 0k.n.WNI'9 Pbtl
f
FEB-15-2001 THU 06:08 PM KING CO FAX N0, 2968431 F. 02
Laucks Tasting Laboratories,inc. Ir--'
' 9A0 S Hersey Seame,WA 98108
WATER BACTERIOLOGICAL ANALYSIS
SAMPLE COLLEnstmet,on,ON REAu a,, ott JollowedONS ON,"M1116CWilllf GENROD l beaoected. CJPY
DATE CAILECTEO TIME COLLECTED M COUY NAM
I I ��:�
I C/
M L T � ❑AM ®PM Affeig
TYPE OF SYSTEM IF PUBLIC SYSTEM,COMPLETE: —
P5eUBUG Cp G6 UP
a Ir.OrotnML L0.Ne. 7
� I nitle••re
I OF STEM
of
MID EAE PLE COL CfED ELLEPHONE NO.
DAX
O rl EVENNC
SAMPL COLLECTED BY:INama1 SYSTEM OWNEnMG/R.:IN el
W
SOURCE TYPE GRIX:NO WAtI R UNDER SF •E INFLUENCE
••• ••"" S Q ❑SVFUNG❑PURCHASED 01�COMSINA110N
0 SURFACE WELL 0' INTERTIE or,PTHER
WELL FIELD
RTT IP Wl Hame,AEdr and P • .
I f � w fl
TY►E OF SAMPLE lc"e mly+n+m t11N cellMln)
. O DRINKING ❑CFIa�nNW(Residua):_Totnl_.FM)
t NG WRFR
• • lr+ IO,Atmanl �FRMed
•'. �•. ❑REPEAT SAMPLE Pnvbut celdprm om v'o wb F __
DAI
i❑RAW SOURCE WATER Source a ❑Toul COMI+rm
A I --N Feva)Coft�EW CONSTRUCTION or REPAIRS ❑
DTHEn ISo+nM
iREMARKS:�.e
Me USE ONLY)DRINKING WATER RESULTS
LI UNSATL$FACTORY.CMdorme Pmsm't ❑SATISFACTDRY.
CATISFA SATISFACTORY,
1
RERFNT ❑E.Cbll silent ❑E.CoE
SMAPlE3 a Fecal"O"It cc]FUCaI absentbs"t
REQUIRED
OTHER LAOORATORV RESULfTT�S
I TOTAL COUFORM 1100 m1 E CCLI( _1100 ML
FECAL COLIFORM_1100 ml PLATE COUNT
• l ANOTHER SAMPLE REOUIREO
SAMPLE NOT TESTED BECAUSE. TEST UNSUITABLE BECAUSE
❑seeols too ob 1_CVneva l DmwY
e ❑Wgne Cam'. W 1]TNTC
❑NM,PmPIFN IOIm TureM f WtuN
❑ ❑Ewes dow"
r su REVERSE SIDE OF GREEN COPY FOR EXPLANATION Of RESULTS
era tr olertr. paTc IW:alcelvl:b
l afcf,vlo by
DA'E AFnORIEe .
a 15 3a1- 3
MwnF:
lu•Ys.tl:FItY
� nc rF' :FR COPY .—
FEB-15-2001 THU 06:08 PM K:NG CO FAX NO. 2968431 F. U3
Laucics Tasting Laboratories, Inc. / LaucKa Tasting Laboratories, Inc. .--,
F I 9+0 S.Harney Seanle,WA 98108 1 I 940 S.H WneY Saa„le,WA 98108 i
WATER BACTERIOLOGICAL ANALYSIS I WATER BACTERIOLOGICAL ANALYSIS
SAMPLE COLLECTION:READ INSTRUCTIONS ON BACK OF GOLOENRDO COPY SAMPLE COLLECTION:READ INSTRUCTIONS ON BACK OF GOLDENROD COPY
If Instructions am not:allowed,sample will be miectod. 11 instructions am not followed,URVIO WIN be rajacted.
DATE COLLECTED 'nME COLLECT�D COUNTY NAME DATE COLLECTED TIME COLL COUNTY NAME
a1@RTN DAY YEAP ��:�_ a MONTH pAr YEAR � L 4A
/ /r/ 6/ ❑AM ®%A ,G/✓L __ /4 0 C]A" �"" I hl J�_
TYPE OF SYSTEM IF PUBLIC SYSTEM.COMPLETE: TYPE Of SYSTEM .F PUBLIC SYSTEM,COMPLETE:
APUBL:C CHIC GROUP PUBLIC CIgc�GROUP
NDA I.a Na. 7 1 8 s (Do ❑ ND W I.D.No. 8 O tJ B
NAME OF YSTEM 1w � � NAME OF SYSTEM - -
LOU LE wyTFD TEUiPIbNE NO. l tQl1 Wr[eE GMGE OOLLFCT� TELEP110NE N0.
l WC L et C' DAY? 9 4- /YJ3 �^ �11�0.yt�PP o' `.IO�ESyEi( aY y544�1
06,11 �A Im. /!Mt Rf
A4, EVENING I /ya I"�— ��O�k mK NE ENING
SAMPLEVill Wt BY.(Name) SY MOWNEWhH3R/ mn a00kowmal IsryZEM OWNfWxAGR.:M el
SOURCE T'PE GRauNO VM/ER LIIaoER SVRFA EINFLIIENor -SOVpcE TYPE GROUND WATER UNDER SURFAC INFLUENCE
❑SURFACE 23 WCu FIELD O SPRING ❑PURCHASEDINTE w❑COOMBINATION GO SLAIFACE ?,THER I W4u W ❑SPRING ❑ NL�HFSED W❑CIC �RTION
SE REP T TO'.l I f N .Adaraa a ay c de) SF 0 REPORT TO:(Pm1 Fuu Name!, Nss w P cam.) l w
r �fCltl
I ! ro T r
NMp pP �o S'S : A ..Np.TA B05S
TYPE OF SAMPLE(crux poly one In Mlt column) PE OF SAMPLE IeMex orW ona m M,a pow")
❑ROUTINE ❑Cn.odnteo Pleeldu•L`TOW_Flea) ROUTINE ❑
DRWKMG WATER �!ViIFKInG WATER
CNo'WNd lRaaldual TPW
.
Netk tnMNwn1 FYlenio Mttx lraatmMt ❑ I"Nwou
❑U"7le loa or cme. Jx
_ ❑Um.uted n Oma.__.__
❑REPEAT SA-'PLC ❑REPEAT SAMPLE
Pell cm.olm onw" Las a __ PoY coo,cclearm PNaYnaa Leb a —
❑PAW SOURCE WATL'R Soune a❑S m ❑Taw CWibIml ❑RAW SOURCE WATER swmo P �� [J�a'W Celnom,
®.NEW CONSTRUCTION or REPAIRS ❑Focal Cox'orm .NEW CONSTRUCTION or REPAIRS ❑F.Ce CQUom"
O OTHER tSPMIM ❑OTHER
REMARKS /1.0. Q _— REMARKS
(us USE ONLY)DRINKING WATER RESULTS "a USE ONLTT DRINKING WATER RESULTS
❑UNSATISFACTORY CCfla.mt Peeem ❑SATISFACTORY, ❑UNSATISFACTORY,Coieorme me-1 ❑SAT ISI ACTORY,
k COIN,..]Went Cd"orme al,sont
REPEAT ❑E.CoE Peeenl Cl E Ca.abaenl I REPEAT (❑T E.Col,," l ❑E.COL ADasm
OU RCD ❑FocY Pmcant ❑Fecal ebewt ROOU RED LJ Fecal p�pteM ❑Fepl MRent
OTHER LABORATORY RESULTS RESULTS
LAEORATORY RESULeS
TOTAL COUFORM _I,00 ml E.COU t100 NIL TOTAu COLIFORN /100 mI E.COLT R O W Mt
FECAL COLIFORM_1100 ml PLATE COUNT_mill I FECAL COLI,`ORM__I100 mI PLATE COUNT.__rmi
ANOTHER SAMPLE REOUIII ANOTHER SAMPLE REQUIRED
SAMPLE NOT TfSTEO BECAUSE TEST UNSUITABLE BECAUSE SAMPLE NOT TESTED BECAUSE_ TtST UNSUITABLE BECAUSE:
❑Semple Ix old ❑Connuam Vo w ❑Sample I.old ❑conauam pNrlx
❑Wrong mmamer ❑TNTC ❑wnm9 canmmnr ❑^TNIr
❑Hc.,o4to bon TUo.0 cwture GI momPlare Iom1 `J Lrbd CaIWn
_- ❑Exce a dapNt I ❑ ❑Eapoq Coons
SEE REVERat SIDE OF GREEN COPY FOR OKPLA"noN Or RESULTS SEE REVERSE MDe Or GREEN COPY FOR EXPLANATION OF RES L
Ufa W.P D,OIT:I DATE.T.Mi NtCI�IC5 RfC[IVFO eY ✓.Oho(`DG'1% OAre T.ME AFC"D PECOAD aY
OC6 `C}1 I. 1 �44
Va"Ia 10� W OIM OArf qaP 0 , U UTO
17 al - I
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REQUEST FOR PROJECT k Prelim Plat (PP#
/ CAG# )
To: Technical Services Date 5/;//hm'D WON 8630 Green#
From: Plan Review/Project Manager te,�n'T'(uo ,
Project Name -or:�C,S k�U�T CYI�C W6( S ��l1
(70 du.•accn nu)
Description of Project: 2_1-�1- $?.LAT WIN WA'f1;Ry SA"rA64✓SC= (. Si7j2H
AAVhyv , .5M--ET 1-14mrs a niA.d wcz12Anr)L I 7 -�
Circle Size of Waterline: 10" 12" Circle One: ew or Extension
Circle Size of Sewerline: 10" 12" Circle One: or Extension
Circle Size of Stormline: IS" 18" 24" Circle One: or Extension
Address or Street Names) L)L)tON A%IL-lj,, Iyl
DvIpr/COnUHctor/Owner/CnsIt:: TLX>AA EA1htO TItS _
(70 rha =n mu)
Check each discipline involved in Project Ltr Drwg N of sheets per discipline
! J
M' Trans-Storm ®' Q' 7
(KcA.ayMnln p) (Off rim irrynnvcmuruXndudc buin nu ) (inctadc MC sh"u)
(6' Transportation (sipul"imU.umdiufian,tiahug) Lr a 3
GY Wastewater fY V
,_,/ Sa 4.y S<.0 hlrin(Ktude buin name)
lY Water (14.1m,va)vru.Hydnnu) t!1 3
(In d<wmporimG Hanw-w Cut Ywcul
G✓ Suface Water fd�
Improvements ( )Gnduac buin nam<)
Tv,D yt 38�� a8til
TS Use Only T►1C 41 aE4l Y �EY7
W V0 P-,i1- '1341�— S-31194-7
64-7 w-dg4-1
W-2847
BEGINNING
� OF FILE
ReturnAc tress: I
AFTER RECORDING RETURN TO: I t
CITY OF RENTON '
CITY CLERK'S OFFICE 200A
1055 S.GRADY WAY pao¢ el RVT 311000 2
RENTON,WA 98055-2189 KINGICOUK?yePQe tl.»
Ge�/GS PC.Ii
Please print or t information W'ASHINGTON STATE RECORDER'S Cover Sheet(RCW 63.04)
Document Title(s)For transactions contained therein): (all areas applicable to your dmumcm must be filled in).
I. [fill of Sale
1 a„ Reference Number(s)of Documents assigned or released:
0
e=a
0
r.� O Additional reference numbers are en f age .
0
Crantor(s) (Last name fast,then fins none and initials)
o 1. Long Classic Homes
N
O
O
N
❑ Additional names on page__of document.
Grantee(s) (Last time first,then first name and initials)
1. CITY OF RENTON
❑ Additional times. page_of document.
Legal description(abbreviated: i.c.lot,block.plat or section,township,range)
North 264 feet of the Northwest '/.of Government Lot 4,in Section 3,Township23 North,
Range 5 East W.M. in King County EXCEPT the West 30 feet for road(132 Ave SE)
❑ Additional legal on page_ of document.
Assessor's Property Tax Parcel/Account Number:
❑ Assessor Tax a not ct assigned Prop Mgmt Inr
C MNWWS\ucsttopU:C COVER.DOC
i
t
Return Address:
City Clerk's Office
City of Renton
1055 South Grady Way
Renton,WA 98055
BILL OF SALE Property Tax Parcel Number: CA Z3INS•9C>3'1
Project FileInlersedion: Address:
R fereaee Number(s)of Documents assigned or released:Additional reference numbers are on page
Grrntor(s): Graatee(s):
1.Lc,Nr, C laysl L W c me5 1. City of Renton,a Municipal Corporation
2.
The Graator,as named above,for,and to cousdention of mutual 4nefits,hereby grants,bargains,sells and delivers to
s, the Grantee,as named above,the following described personal property:
o _
cn WATER SYSTEM: L-
(k) Attt Size 7�e
a, '1$lr-] 38S L.F.of 114 PL Water Main
o (aLV5 F.of $ Di Water Main
t7 . _ L.
�- L.F.of Water Main
_ 2 earh of 12 Gate Valves
an _j_ each of 6 Gate Valves
e - each of Fire Hydrant Assemblies
N SANITARY SEWER SYSTEM: Length Size 11T�
�I 'L L.F.of WE Sewer Mein
M S "✓-g'1? - L.F,of � Sewer Main
L.F.of Sewer Main
4— each of - 4 Di a elet Manholes
I each of K)UPle-Y. Li 64 a IN'I Os\
each of Diameter Manholes
STORM DRAINAGE SYSTEM: Lenkih Size Type
y5V7_ L.P.of IZ _ .Q Storm Line
L.F.of Storm Line
L.F.of _ Storm Line
each of Storm Inlet/Outlet
(,o each of Cam Storm Catch Basin
Z_ each of _ e, Manhole
STREET IMPROVEMENTS: (Including Curb,Gutter,Sidewalk,Asphalt Pavement)
Curb,Gutter,Sidewalk1�_L.F.
Asphalt Pavements 119,$ SY or _ L.F.of Width
STREET LIGHTING:
a of Pot" _ ;DOa Col` nAk v-
By this eonveyanu,Grantor will warrant a.d defend the we 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,
administrators and assigns forever.
11%FILE SYSTRM\1141N blfTVnLISALE.DOCWAI Pags 1
e i
Form 94 ODOM
IN--Wlll�b S$FRER".I have hereunto set my hand and seat the day and year as written below.
lNDMOUAL FOAM OFACINOWLEDGMENT
Notary Seal must be within box STATE OF WASHINGTON )yS
COUNTY OF KING )
1 cenify that I know or hsve satiafitdory evidence that_
_ _signed this instrument and
acknowledged it to be his/hernheir free and v aintary,act for the uses and purposes
mentioned in the insiournartt
Notary Public in and for the State of Washington
Notary(Print) _
My appointirtent expires:_
Dated:
AEFAESEN AME FOAM OFACINOWLEDGMSNT
sv Notary Seal rn.>:be within box STATE OF WASHINGTON )SS
m COUNfYOFKfNG )
0 1 Certify shalt know or have:stisfae.ory evidence that
n
c __ signed this inauttment,on oath
stated that hdshelibey washvere authorized to execute the instrument and
acknowledged it a the__ And
aro of_ tr be the free and voluntary ad of such
o patty/parues for the uses and purposes mentioned in the instrument.
N
rNotary Public in and for the State of Washington
Notary(Print) _
My appointment expires:
Dated:
COAFOAATE FOILN OF ACINOWLEDGMENT
Notary Seal must be within box STATE OF WASHINGTON )SS
..`� COUNTY OF KING ) 1 cs
ND.l �% On this;471L day of N= }q ,before me personally appeared
0� 81 '•.,. SL n !-.n to me known to
33tt� J be_��pS i r'. of the corporation that
�IOTAAy 4P•'; executed the within instrument,and acknowledge the said instrument to be the free
and voluptary act and deed of said corporation,for the uses and purposes therein
�'UFTkID mentioned,and each on oath stated that he/she was authorized to execute said
f inst cot and that the seal affixed is the corporate seal of said corporation.
tyh`Q.yy - he/ nxec
Notary ublic in d for the State of Washington
Notary(Print) 1). ,,. 1. -A)
My appointment expires: k u,
-- Dated: �V�) ✓ a ..be• f _
T
Page 2
r
I
PROJECT CLOSING NO Herat Cost Data
FINAL COST DATA AND INVENTORY and inventory
i
SUn)ECI: [A!D-/D- 0343 CITY PROJECT NUMBERS: WTR-
WWP- ,• ?� 7
SWP-
Name of IProject TRO.
TFD-
T O: City of Renton PROM: 4OV C1,yss/C 1b,"r 6
Plan Review Section
PlanningMuilding/ILblic Works
200 Mill Avenue South L^••�r���• W r9 Yr.4 ate"
Renton.WA 99055 DATE:: 5""mArl!` /1. 11N!
Per tire request of(he City of Renton,the following informRtion is furnished concerning final costs for imptovements
installed for the above referenced project.
WATER SYSTEM CONSIRUCITOI CQSTS:
Len•th Size Type
3J 5 L.F.of 3' D•/• WATERMAiN
L.F.of A/. WATFRMAIN
LF.of WATERMAIN
I.T.of WATFRMAIN
_�_ BACII of /2 C, OATS VALVFS
EACH of _� ' G✓, OATH VALVES
EACH of GATE VALVES
EACH of FIRE HYDRANT ASSEMBLIF-S SZ Oo0
(Cost of Fire Hydrants must be listed separately) i Epp
(Include Engineering and Sales Tax If applicable f OO
TOTAL COST FOR WATER SYSTEM S 3 SA7lJ�
SANITARY SEWER SYSTEM: STORM UAINAGE SYSTEM
Length Size Type Le tir Size Type
LF.of �_ ` _ p✓G SF.WERMAIN L.P.of /T r Soy RTORMIINR
L.P.of ShWER MAIN L.P.of STORM LINE
L.P.of SRN'ER MAIN L.P.of STORM LINE
FA of L - DIAMETER MANIIOLPS —f—' FA of _ STORM INIMIOVrIF.T
EA of ` DIAMFTER MANIIOLES to FA of - �- STORM CATCIIIIASIN
STORM GTf•1ifl ASIN
pacluding F.ngineedng surd Saler TRx �- FA of
If applioblcl
f 7/00•pO (Intlnding Engineering and Saks Tat
—��� f b I Sb.m
TOTAL(DST FOR SANITARY SEW RSYSTEM asa6r�er TOTAL
C1ncl RrW'ps1*4 � /3=,390 TOTAI.CDSTFOR STORM DRAINAGESYSTEM $ Z :ID
S IRI:IiT IMPROVEMEN-1 S: (Including Curb,Gutter,Sidewalk,A.phalt Pavement and Street Lighting)
SIciNAI•IZA'ITON: (Including Eng.Design Costs,City Permit Pees,WA St Sales TRx)
STRP.Gf LIOI ITING: (Including Rng.Design Costs,City Permit Fees.WA St Sates Tax)
_�c►a.�M�oNT ass�o� one
Print signatory name day phone N
(GNAT
P �
formVCDST DATI.D)C/bh r (Slgnalmy nmsl he aaI r red a
nr owner or subjeei develnpme