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HomeMy WebLinkAboutWTR2702848 WTR-27-2848 ( s7 � BEGINNING OF FILE o r WATER PROJECT ELVABETH PUCE PLAT • r - Laucks Testing Laboratories, Inc. 940 S.Harney Searle.WA 98108 WATER BACTERIOLOGICAL ANALYSIS SAMPLE COLLECTION:REM INSTRUCTIONS ON BACK OF GOLDENROD COPY N(nalauctions am riot Tollowil sample will be ral acted. DATE COLLECTED TIME COLLECTED COUNTY NAMIE k TN DAY YEAR ' t �� I .k[s ❑AM ©PM kt� TYPE OF SYSTEM IF PL BLIC SYSTEM.COMPLETE PUBLIC �OfgI1P I ❑INDIVIDUALLD.No, 7 p (, CAJ a van I+•eerl NAME OF SYSTEM { C,•i �K�C YAeRE SEI,i1E COLLECTED TELEPHONE NO "4}ai., V.,4 12 DAY EVENING I SAMPLE COLLECTED BY.Wane) SYSTEM OWNER/MGR INamel /1 Ci J �(.� SOURCE TYPEry GROUND WATER UNDER SURFACE INFLUENCE ❑SURFACE W WELL FIELD❑SPRING ❑PURCHINTERTASED or❑a OTHER • S'WD REPORT TO(Punt Full Narla.AtlbNs Ana Z,p Code) —. TYPE OF SAMPLE(check wry"b Ylla Calwlatl ❑ROUTINE ❑ChlarNWee(Reeltlual- Total Fatal DRINKING WATER -_.. Crock V mbbent FMered ❑Unireaetl a Otber ❑REPEAT SAMPLE Pvwous col,tana pretence Leh a,. Data r I ❑RAW SOURCE WATER Source u ❑T.W Cdaonn Q NEW CONSTRUCTIppN�or REPAIRS y7 .yA���� ,y//�A1-Fn}.FecalCdBonn ❑OTHER ISpecl/�l_w t?af.ftQ k t-aA[X—eJ i= l HEMARItS:ly•U .r `.-( W-Z9 (LAB use ONLY)0111111140142 WATTaI MMX" ❑UNSATISFACTORY.Coktame present SATISFACTORY, /'T Cdiromm ebwnt REPEAT ❑E.CdI pesent ❑E.Cd,abwnt SAMPLES REQUIRED ❑Fecal present ❑Feed*beat CTMR LABORATORY RESULTS TOTAL COLIFORM_1100 al E.COU __../100 ML FECAL COLIFORM /100 ml PLATE COUNT Iml ANOTHER SAMPLE REOINRED SAMPLE NOT TESTED BECAUSE' TEST UNSUITABLE BECAUSE: ❑Sample too NO ]Cansuent growth ❑Wrong contnma L]TNTC ❑HrompMe tam ❑TurbW eobuea ❑ __. ._.__.. ❑Eecaas eebs SEE REVERSE SIDE OF GREEN COPY FOR E%PL ANATION OF RESULTS LAa N0 a DINTS) DA.E.TIME REMWO peceyFD BY DATEREKWTED tABORAtDRY T Poll,m t WrI fOECPi 1lEV NN WATER SUPPLIER COPY Loucks Testing Laboratories,Inc. 960 S.Hamey Seattle.WA 98108 WATER BACTERIOLOGICAL ANALYSIS SAMPLE COI I FCTIDN:HEAD INSTRUCTIONS ON BUCK OF GOLDENROD COPY N inetructions art not followed,sample will be rtlected. DATE COLLECTED TIMECOLLECTED COUNTYNAME 'aONm 1 DAY / YEAR I Z < , I ❑AM ®PM lG l F TYPE OF SYSTEM K PUBLIC SYSTEM,CtOMPLEI6: 0 PUBLIC C��.`GNIg1P f ❑INDIVIDUAL LD.No. -1 I L L V B leaw>A't�ee.sr NAME of SYSTEM tPBLWC pN �1�1ESAr LECIED TELEPFIONE NO. r -rL 1 - EVENING _ COLLECTED BY.(Nima) SYSTEM OWNEWMGR./�N.mel L. ^ l,-'- fit'O _ SOURCE TYPE Lj GROUND WATER UNDER S E INFLUENCE ❑SURFACE 13WELL m ❑SPRING ❑PURCHASED m❑COMBINATION WELLF' _D INTERTIE wOTHER SEND REPORT TO'P "FUN NU„e.Addm w and Zip CwNI us ^/PE OF SAMPI E Ichwit only ono In Pot Oak"t ❑ROUTINE ❑Chlpmntad IR"Oual'. TotM_Fmy DRINXING WATER cn ck tne:ment ❑FIMwW ❑LAm.Med a.01nw. ❑REPEAT SAMPLE — Pevioua colllom,pnxtele:e Lab E Dote —_ ❑RAW SOURCE WATER "Source t S Tow Cohwm NEW CONSTRUCTION or rEPAIRS rljta Comm ❑OTHER(S�l__p REMARXS,,,O• O S^S (LAB USE ONLY)DRINIGNO WATER REWITI l i ❑UNSARSFACTOFK CoLtamt pmX t T SATISFACTORY, I REPEAT ❑E.CON plerEnt ❑E,C.$,seesColilams.bnrM REQUIRE ❑Fton P,ttEnt ❑Fecal aDeent OTHER LASCRINTORY RESULT'B j TOTAL COLIFORM—1100 ml E.COLT_ n00 M4 FECAL COUFORM_1100 ml PLATE COUNT /mI ANOTHER SAMPLE REQUIRED -- SAMPLE NOT TESTED BECAUSE: TEST UNSUITABLE BECAUSE: - ❑Sample too oM ❑C fiw t y,owm ❑W,wv co u-X ❑TNTC ❑Inconvwe tort" ❑Tudd CW .. ❑_,__ Cl Ekwt dells SEE REVERSE SmE OF GREEN COPY FOR EXPLANATION OF RESULTS LAS NO p OIOti81 CMTE.THE RECMD AECENEOeY TE REPORTED U20rMrOPY tw,ve nP:kXv wi LNATER SUPPLIER COPY ShdrtPlat'(SEP(.•p- REQUEST FOR PROJECT N Prelim.Nat (PPO L-C�G p tiN T To: Technical Services Date � WOp 8aS5S CaalEfip UpgO,�jZ From: Plan Review/Project Manager 1,KrTT VZAct(-. Project Name GL ()0 duraaua nau) Description of Project: 17-LoT PL47 �iTUCNa P� AV�wI�) SMEET U6t+s'S nC�..:g..slS.s''iD&C A ,Z c n Circle Size of Waterline: 10" 12" Circle One: New or Extension Circle Size of Sewerline: 10" 12. Circle One' ew or Extension Circle Size of Stormline: 01T> 15" 18" 24" Circle One: ew or Extension Address or Street Name(s) erNAouM 0.Ve NF 4 NV- IZµ I 1„1aJC Gwoizs h Dvlpr/Contractor/Owner/Cnsir: A(�CR1U\�S HpVh[S l�fLpD Old kwFc y-L p0 CIunC-:.nua) Check each discipline involved in Project Ltr Drwg p of sheets per discipline Trans-Storm aZ (aead.ar/poinaK) (Off aia:�mDrv.cmentaXndudcbssin namc) (inctudc TESC Ihmss) Transportation (Slpssl uden.Q+an Chuden,tlrhdnr) O Ef T 5E> �1 Wastewater 0 Saniury Scrcr.Main Include bolo name)) Water (Ma:w.VAlu,Hyd.u) 0 ,• _ r (I'd.&mmpmiu 4 Hodmnul CN S—) Suface Water 0 3 Improvements )include bssln namq -TC, D-yo-agy TS List Only -V?,Q- y\_ seLAI -(_a$ v�u�P a�- agy� Sa,6Lk L W—aR�8 _ SOP a��� 1 a-a �t ` LR- O /-�gL fleltEl ea W-2848 BEGINNING OF FILE 284f Return Address: City Clerk's Office City of Renton 1055 South Grady Way Renton,WA 98055 So -fit 7,A1AFsYHvcA7— BILL OF SALE Property Tu Parcel Number: 334390-0322- ? Project rile a: Street Intersection:rAq IA, _ Address 334390-0324-JO Reference Number(s)of Documents assigned or released:Additional reference numbers are on page__ Grantor(s):ARCARIUS HOMES, LLC Grantee(s): I• 1. City of Renton,a MuniLipal Corporation c� 2. The Grantor,as named above,for,and in consideration of mutual benefits,hereby grants,bargains,sells and delivers to e- the Grantee,as named above,the following described personal property- WATER SYSTEM: Length Size Typt 0 35g._ L.F.of Rat DT Wartime., L F.of _ Water Main L.F.of Water Main each of — Gate Valves ems. each of Gate Valves each of Fire Hydrant Assemblies SANITARY SEWER SYSTEM: Lm tfn Size Tj�e _(,1 H L.F.of tom_" 1,Y C Sewer Main L.F,of Sewer Main L.F.of Sewer edam _ each of L$ Diameter Manholes each of Diameter Manholes each of " Diameter Manholes STO.At DRAINAGE.SYSTEM: Lensth Size Dke 371- L.F.of tin ad& Storm Line L.F.of Stomt Line L.F.of Storm Line �— each of QNE__ Storm InIeVOutlet _2 each of ___" TWO Storm Catch Basin eact of Manhole STREET IMPROVEMENTS: (Including r urb,Gutter,Sidewalk,Asphalt Pavement) Curb,Gutter,Sidewalk A 2n L.F. ----- Asphalt Pavement __- _SY or 312 I-F.of -yfl f}. Width STREET LIGHTING: it of poles S _ By this conveyance,Grantor will warrant arrd defend the sale hereby node unto the Grr.r. against all and every person or persons,whorns"ver,lawfully claiming or to claim the same. This conveyance shall bind the heirs,executors, administrators and assigns forever. KTILE,SYSVRW94HNIXAITBILISALE.DOC\PAAB Page I r into as 000Mh IN ESS WHERE I v reunt set d and seal the day and year as written below. INDIVIDUAL FORM OF ACKNOWLEDGMEN Notary Seal must be within box STATE OF WASHINGTON )SS COUNTY OF KING ) ' I certify that 1 know or have satisfactory evidence that 8 r tiB pvy_ C -e F$ 1C1 _signed this instrument-and acknowledged it to be his/her/their free and voluntary act for the uses and purposes mentioned in the instnunent Notary Public in and for the State of Washington Notary(Print) My appointment expires: Dated: REPRESENTATIVE FORM OFACKNOWLEDGMENT Notary Seal must be within box STATE OF WASHINGTON )SS -� COUNTY OF KING ) r" I certify that 1 know or have satisfactory evidence that signed this instnanent,on oath stated that he/she/they was/were authorized to execute the instrument and s acknowledged it as the and_ of _to be the free and voluntary act of such patty/pties or e uses and u � ar f the purposes mentioned in the insnu,umt. c Notary Public in and for the State of Washington c Notary(Print) CJ My appointment expires:_ Dated: CORPORATE FORM OF ACKNOWLEDGMENT Notary Seal must be within box STATE OF WASHINGTON )SS �...vwsttt COI1N1'lLt]p G ) pQ/ 0,80104 ttlf On thrs �oLL00 T�daY of r� �,before me personally appeared b0'+, ���'ti, sIII f r_5 Gk r('S r In me known to I ;•,C`%� trG be "Cr of the corporation that executed the within instrument,and acknowledge the said instrument to be the nee X �O and voluntary act and deed of said corporation,for th•uses and purposes therein '•,A mentioned,and each on oath stated that he/she was authorized to execute said M�?O�_ in ment and that the seal affixed is the corporates seal of said corporation. � bal9O1 - Note blic in d for the State of Washingtopp Notary(Print) Lp b My appointment expires:_.q o o/ Dated. greg a-ij O -- Page 2 PROJECT'CLOSING /0 Finat cost Data FINAL COST DATA AND INVENTORY rand In ten SUBJECT,. CITY PROJECT NUMBERS: wtR• WWP SWP- Name of project ,MQ TBD• TO: City of Renton FROM: Plan Review Section Planning/Building/Public Works 200 Mill Avenue South Renton.WA 98055 DATE� Per the request of the City of Renton,the following information is furnished concerning final costs for improvements installed for the Above referenced project. WATER SYSTEM CONSTRLICTION QQM, Length Sim S „ .LF.of Type , WAT®tMA1N LF.of • WATERMAIN LF.of WATERMAIN _ LF.of ��— WATHRMAIN EACH of -.0_.__ •,R.a ay, GATE VALVES EACH of GATE VALVES EACH of GATS VALVES Z EACH of _ FIRE HYDRANT ASSEMBLIES $ 39 e-11. 2 3 (Cost of Fire Hydrants must be listed tepvately) S (include Engineering and Sala Tax If applicable $ y TOTAL COSp FOP WATER SYSTEM S NriARYSEWER SYSTEM, EIO M D AINA6 Svcraas_ I Size�� - b'ty,p�e�/ h LF.of —_ ' SbWERMAIN ��% 4F.of Size /yH/Ty�ppee LF.of SEWER MAIN — L.F.of 1Z srORM LINE L.F.of STORM IMP. SEWER MAIN LF.of STORM tJh1E EA of y • DIAM6TFR MANHOLES EA of DIAMETER MANHOLE'S � EA of � STORM INL Erx)7RET (Includi of _— �_ STORM CATCHBASIN itappliuble) K Engiroedng uW Salts Tax �— EA of _�� STORM CATCHBASIN Tss TOTAL COST'K)R SANITARY SEWER SYSTE S [7$ (Inelunk.g Engineering and sales ifarThcable) S TOTAL COST FOR STORM DRAINAGE SYSTEM STREET IMPROVEMENT'S: (Including,Curb,Gutter.Sidewalk.Asphalt Pavement and Street Lighting) Co rB I` G v� �soo S ..%ear 8zoy = liov,,r a zx-,5 = SIGNALIT.ATION: (Including Eng.Design Costs City Permit Fees,WA St Sala Tax) STREET LIGHTING: Unciuding Eng.Design Costs,City Permit Fees.WA St Sala Tax) �/I,g� ��SCG/M'S/C'.t. �e� S-7y6' -S' •7/ Print signatory name it -T - r/ InnodCOSTDAT2.DO0bh (SIGNA (Signatory must be authodrod agent r or n.r of alh,.n dw.Jn.,,,,.or)