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HomeMy WebLinkAboutWTR2702894 WTR-27-2894 s s 00"ESTATES SEE DRAWING(S) Laucks Testing Laboratories, Inc. 940 S.Harney Seame.WA 98108 WATER BACTERIOLOGICAL ANALYSIS SAMPLE COLLECTION READ INSTRUCTIONS ON BACK OF WLUENROO COPY If instructions are not followed.sample will be rejected. DATE COLLECTED TIME COLLEL IEU COUNTY NAME MONTH DAY YFAA i ( 7 AM TYPE OF SYSTEM IF PUBLIC SYSTEM,COMPLETE- 0 PUBLIC ❑INDIVIOLM 1.0.NB. 7 / i CI( A GEf UP NAME OF SYSTEM SPEOFICLOCRTOI SAMPLE COLLEC!FD TELEPHONE NO. DAY( AL _ EVENING I I SAMPLE COULECI ED BY iNenei SYSjgM OWNEWMGR.:I ) SOURCE TYPE GROUND WATER UNDER SURFOCE INFLUENCE ❑SURFACE ®WELL a SPRING ❑PURCHASED or❑COABINAEK)N WEL. -IELD INTERTIE or OTHER SEND REPORT TO.iPml FUR N eIne Atllleme• Zip C. wgsA .G� TYPE OF SAMPLE Icl e k rNnIV one In I. s colu,.) ❑ROUTINE r omateE JResqual. Total Fren� DRINKING WATER Chl ❑ - check uwlmen, ❑Fllteieo ❑Untrimmed W Omr __.. ❑REPEAT SAMPLE Pr ms cdilOn E praeence Lab e ❑RAW SOURCE WATER Sauce il m ❑roar canon. NEW CONSTRUcTIN/b RERMINs ❑FsoY CoWenn J OTHER M of fy) RE MARK] ILAS USE ONLY)DOMINO WATER RESULTS UNSATISFACTORY,Collteme present SATISFACTORY, REPUT . al ollipme Mleenl SAMPLES ❑E Coll prMeni ❑E.Cdi absent REWIRED ❑Fecal Presets ❑Fecal moment OTHER LABORATORY FASMT1 -- - TOTAL COLIFORM n00 mI E.COLT r 00 ML FECAL COLIFORM _,/100 ml PLATE COUNT /ml ANOTHER SAMPLE RE TESTUPORABIPRlT' —__ SAMPLE NOT TESTED BECAUSE: �QEESTL�U qU;[ El ❑Sample too do ❑^WMN contains ALMemlluFnl h '...1 IncprrplNe axm N fl r f tAe ND(TaaTSI wTE.TIRE AEaervEo REcelaeu By DATE AEPCRTED LAIOAA Ia.selemllr A'In WATER SUPPLIER COPY Laucks Testing Laboratones,Inc. 940 S.Harney Seattle.WA 9B10B WATER BACTERIOLOGICAL ANALYSIS SAMPLE COLLECTION:READ INSTRUCTIONS ON BACK OF GOLDENROD COPY It instructions are not followed,sample will be rejected. DATE COLLECTED I TIME COLLECTF U COUNTY NAME IONrN "Ay vEAR %l i 1 � / - DAM ❑PM R., f .. TYPE OF SYSTEM IF PUBLIC SYSTEM,COMPLETE: Q PUBLIC ❑INDIVIDUAL j,D,s I C. f C CIRCL ROUP NAME OF SYSTEM SPECIFIC LOPmm vA SAIAPLE COLLECTED TELEPHONE NO. wr ) It EVENING SAMPLE COLLECTED BY:(Nw* SYSTEM OWNERMOR. e) SOLACE TYPE Lj GROUND WATER UNDER SURFACE INFLUENCE SURFACE WELL or ❑SPRING ❑PURCHASED or❑COMBNATON WELL FIELD IMERTIE W OTHER REPORT T0;1Pmt FqI Name. "Zip Coa�, TYPE OF SAMPLE(check only one In Bye eolumnl ❑ROUTINE DRINKING WA1E1 ❑Cnlonnete4(Residual. TotalFree) check tiwkl nt ❑Reared ❑Unheated or OMer_. ❑REPEAT SAMPLE Wevwus colKann presence Lb Y / I '{ Date ❑RAW SO R Source e Elm ❑Total Coof""n Q.NOW OBN� / U FI or REPAIRS ❑Fecal CoMonn r❑OTHER ISPeoINI__.___ REMARKS: --- (LAB USE ONLY)DMMROO WXM ROBUAts ❑UNSATISFACT®RY,Col orme pi Bent fgBATIBFAC1pFY, REPEAT ❑E.Col,present ❑E,Coal abwH Y� y j SAMPLES REOUIRED ❑Fecal meant ❑Fecal ebvint OTHM LABORATORY RBBMTO TOTAL COLIFORM 1100 ml E.COLT__ItOO ML FECAL COLIFORM-._11001w PLATE COUNT _—Aft ANOTHER SAMPI/BOpAREp' SAMPLE NOT TESTED BECAUSE ����ee l�V'$sBTLL.e�BECAUSE. ❑❑Wm% tea Wmre conteaMr ob Alai WOW", ' ❑❑klpeny— form CITY n SEE RFVENSE SIOf.Ut cBFLN COPY FJH EXPLANATION OF RESULTS LA81,10 a Darn DATE.TALE RECENFD IOCENFD Br DATE f*VOMD uapyr t wRwa [kl,t wn wRev s111 WATER SUPPLIER COPY Laucks Testing Laboratories,Inc. 940 S.Hamey Seattle,WA 98108 WATER BACTERIOLOGICAL ANALYSIS SMIRf COLLECTION:READ INSTRUCTIONS ON BACK OF GOLDENROD COPY R b0b l tigta ele,wt tolloWed,sample will Ge rcfeeted. DATE COLLECTED TIME COLLECTED COUNIY NAME AlO DATE DAY YEM .J / S 61 AM ❑PM TVPE OF$VSiEM IF PUBLIC SYSTEM,COMPLETE: PUBLIDIVIDUAL C O .Q Its. I p 5 L ME `911 GROUP NA OF SYSTEM `('.all — c eA�LA TELEPHONE NO. l.I�l. sl� "O I It I EVENING 9AAIF4E COLLECTED BY:(NemN SYSTEM OWNEPoMGR,:t�,) / I . SOURCE TYPE OROl/ND WAFER UNDER SURF E INFLUENCE ❑SURFACE ®WELL w ❑SPRING ❑PURCHASED w❑COMBINATION _ WELL FIELD INTERTIE POTHER . OSN nTO jPft,,2 R /yd ZM Code) h A, TYPE OF SAMPLE(dI only o,w m M4 caW )ROUTI ♦\�]Fre�� ❑DRINK NG WATER ❑Chlw�natotl,' 611/�g1eAa�� F,rv) l theca tnalmenl ❑rotM ^nn Uniroated Pr Uep.V 2 LUL� ❑REPEAT SAMPLE �1111 j Pnvwua col&rm Peaence Lab A YOF RENTON Date _ _�_�I 1 TY SYSTEMS ❑RAW SOURCE WATER SPU1Ce A ti ❑Taal C'ft. NEW CONSTRUCTION w REPAIRS lJ J ❑FwW CoMwm REAARI(Su_L_ CD 3 C. (US USE ONLYI DNNWM WATER ROULTS — ❑UNSATISFACTORY CoNMma pews []SATISFACTORY. REPEAT Colilomu ab=i R RE PEES ❑E Cull P It ❑E.Cdi amens REGUMEU ❑fecal pedant ❑Fscel ahaent OTNSR LAEURIATORY RESULTS TOTAL COLIFORM_ n00 ml E.COLI 11p0 ML FECAL COLIFORM I100 ml PLATE COUNT Iml ANOTHER SAMPLE REQUIRED SAMPLE NOT TESTED BECAUSE'. TEST UNSUITABLE BECAUSE Y ]SamPb taP P1d ❑CPMl.1 gK, M L wm.q rot— ❑TNTC ❑InoomlVNe ann ❑TWW wAlwe ❑--_____.. ❑EAoen debm SEE REVERSE SIDE OF GREEN COPY FOR EXPLANATION OF RESULTS NO.R 1110" GATE,TIME AEOE-- REC[IVED 6. DATE woMTORr ...�iO 'T I(' ' wN at faiylY NR WATER SUPPLIER COPY MAR-14-2001 WED 05 47 PM KING 00 FAX NO. 2968431 F. 03 �.. Laucks Testing Laboratories, Inc. I Laucks Testing Laboratories,Inc. SAU S Homey Seanlo,WA 9R10S t 940 S.Harney S"Itle.WA 9B10a WATER BACTERIOLOGICAL ANALYSIS WATER BACTERIOLOGICAL ANALYSIS SAMPLE MLECTION:READ INSTRUCTIONS ON BACK OF GOLOE41110.7 COT' SAMPLE COLLECTION:READ INSTRUCTIONS ON BACK OF GOLDENROD COPY N Instructions are not followed,aamp]*will be rejected. N InaWolions are not followed,sample will be reiectad. 617E COLLECTED TIME COLLECTED COUNTY NAME MOWN Dfr Yll ^ DATE COLLECTED TIME COLLECrTV O011ffiY NAME �:.1[� moomi DAY YM,R �� ) ❑AM �Poor 'Li J 13 /01 ❑AM R!'^' �LI �1 TYPE OF SYSTCM IF PUBUC SYSTEkL COMPLETF: TYPE OF SYSTEM Ir PUBLIC SYSTEM,COMPLETE: aM1BL.IC PUBUC Clgga�7�[E�E GROUP ❑INCI nitia ,D.N0. 7 4 S o C ( A ,B ❑INDIVIDUAL LD.N0. 7 I g S O CIFYIfDe R ewrey rrwrel . l V NAME �/•j J IewM ear,,eWan,K D 1 R.Q�70 AI NAME OF STEM s"FFEEDcPp�l� �c�sy.�l000ECTED TELEPHONE v�c� �+IEREy1MvlEcpµ�i� TfLlPXONENO. pule^ ISe/ne-L EVENINGGAvz 7 - /83 Sj G« o� hhrl+ V wrL iLnLc[4-/$?3 nLa.J hlya� 9 f7S t{fld. SAY .�+gZ. cVENING L SAMPLE COLLECTED BY:Munn) SYS M OVINE A:IN nI SAMPL COLLECTED"Y.9Nrl y SY TL'M OWNE y SOURCE TYPE GROUND WATER UNOER SURF CE INFLUENCE Y"1 I SOVPCETYPF LJGROUNOWATFRIANOERS ACE WFLUENCE []SURFACE JKWELL or ❑SPRING ❑PURCHASEDa❑COMBINATION ❑SURFACE RWELLor LSPRING ❑PURCHASED of❑COMOINITION _ WELL FIELD INTERr1E a OTHER WELL FIELD INTERTIE or OTHER §FjfO PORT TO: FUN me,A wca and L y� $Ff,IQ gEPORf T(y{PMI,F�IA Nap Mdmf ivo LD�Cpdnl w�.»en,N aw.,Mntroa 9 Fos " TYPE OF SAMPLE(check only pM in INA colYmnl TYPE OF SAMPLE{:Neck poly orw In tNic coL.mn) ❑ROUTINE DRINKING WATER ❑CnIPIMaIed(Raadum.___TI W_Frey ❑ROUrINE ❑Chlorinated(Ro.elva._TocN_Freel cnoek tm".l Faaerid DRINKING WATER ❑ Mack lMfnnenl ❑Folerod ClUntreated or Alper ClUntm fed re,or",--- Pn ❑REPEAT SAMPLE ❑REPEAT SAMPLE ^--- vlme cosbm,pruapnce LOD M_,- Prevldd Cdlkm,pnaar,co L:E I_,,,, Date _—_/ Dole—_._.1_I_ ❑RAW SOURCE WA•ER $pVrw a $ = ❑Tola Coteoal ❑RAW SOURCE WATER Souna a a m ❑TOM Cdrtcrm NEW CONSTRUCTION a REPAIRS ❑Guce Co dorm 914EW CONSTRUCTION Or REPAIRS ❑FpaM Cc dwm OTHERrspecNrl ❑OTHER REWIPKS. 0 JA p�0 j/ REMARKS' 7D I 7T O _ �.O' (LAB USE ONLY)DRINKING WATER RESULTS —U r1 TUB USE OMLYI DRINKING WATER RESULTS ❑UNF.ATISFACrORY,Cddamf Wsam ❑$11rISFACTORY, UNSATISFACTORY,C011lam fnl s piva ❑SATISFACTORY. Cdillrms absem Cotfom,f abfenl w REPEAT ❑E.Carl aant ❑E.CON sbw%SAMPLESREPEAT ❑E.Car Prefanl ❑E.Coo aDmnt REOUIPEO ❑F-CAdreamt ❑FACeIabfenl ❑ REOU EO ❑Eecal present FwA server OTHER LABORATORY RESULTS OTHER LABORATORY RESULTS TOTAL COUfORM. _11pQ m1 E.COU-6l,00 Aft, TOTAL CO1IFORN I100 mI E.COLA /100 MI FECAL COLIFORM_/100 m1 PLATE COUNT—Imt FECALCOUFORM_1100ml PLATE COUNT_Imt ANOTHER SAMPLE REWIRED ANOTIIEA SAMPLE REOUIRED SAMPLE No TESTED BECAUSE. TEST UNSUITABLE BECAUSE. SAMPLE NOT TESTED OCCAUSE. TEST UNSUITABLE BECAUSE'. ❑Simple too.10 ❑COM'.wl 9n,YlN ❑Sample toe old ❑COnNvenl 9rowtN ❑"contanw ❑�'-1TNTC ❑Wall comamor ❑TNTC Incamdalu lam 1__I TNnId c WUn ❑Inca owe roan ❑%111d t0l.no ❑EAeaae debts ❑ _.— ❑hc.w delrh SK REVERSE SIDE OF GREEN Cop,FM"%PLANATION OF RESULTS SEE REVERSE SIDE OF GREEN COPY FOR EXPLANATION OF RE�VIILTS W ND PDIGIISI aAT[T..t"feeN0 PECOVEa Dv I LM NO VO4TSI OATF.T.ME REClI nF.CEMD aY a'a�n v 0?17YkyS wneePM WORAr RY � RLMnt KVYwe /u'- pa,AP Mt Maane . "...J 3 3—.Z 311a �,«Y.roI 3U �L , It, MAR-14-2001 WED 05:47 PM KING CO FAX NO. 2968431 F. 03 ral Latacks Testing Laboratories,Inc. e«k, I mow, L NUcks Testi g Laboratories,Inc. sdD S.Harney Seatne,iA RB,OB 1, I Baas.;+arney Seams,WA Be10e WATER BACTERIOLOGICAL ANALYSIS WATER BACTERIOLOGICAL ANALYSIS SAMPLE COLLECTION:READ INSTRUCTIONS ON BACK OF GOLDENROD COPY SAMPLE COLLECTION:READ INSTRUCTIONS ON BACK OF GOLDENROD COPY Ir Instructions aft not meowed,soTnPle will be relecAd. N Instructions are not tollowad,sempla will be rejected. MiE COLLECTED TIM,COL COLLECTED CAUNN NAME NO'DATE COLLECTED TIM'COLLECTCD OWMTYP t LIO''NPM COLLECTED YEAR EC LpECI YEAR [�y�1/�+�.._ 3 13 ) ❑AM gall kI �� 3 I3 O 1 []AM � RI'^ (GI �I TYPEDFSYSTCM PPVBUG SYSTEM.COMPLETE: TYPEOFSYSTEM ar PUBLIC SYSTEM,COMPLETE. PUBLIC �,A INDMOLWL CI�GROUP W PUBLIC ❑ LD.ND. ] 1 Q $ O C ITS B ❑INDIVIDUAL LD.ND. $ S O cIg GRBo u aaw«a4 «urw („ V ""',wall NAME OF SYSTEM NAME OF STEM t� ,. EPE�EPEacEF�� D ON YA E syArLE CO> TELEPHONE N S�� `�N (yMLe /3eoe[ — /83 svfpgcL EERe IsAAw Erp LEcrEp TELEPHONE No. n Nv�-�t�s DAY g4461.. s4c, 1 +'W--LN..Et Y 873 IND EVENING L SAMPIE COLLECTED BY:Merrill SYS M OWNER/�1 R:(N q SAMPLE COLECTED BY:S y^ Manwl EY�FM OWN _ .:BYF aI O~' / Oy r K ?7 aJ SOURCE TYPE GROUND WATER UNDER SURF INFLUENCE SOURCE TYPE GROUND WATER UNOEH S ACE INFLUENCE ❑SURFACE �WELLp ❑SPPrNG ❑PURCHASED or❑COMBINATION SURFACE WELL or WELL FIELD INTERTIE n OTHER ❑ ❑SPRING ❑PURCHASED Or❑COMBINATION WELL FIELD INTEATE or OTHER SFJID PORT TO:( FW ma erld TI �!Q�E�PORTI�l IPMI ai .ddma ab.n )I JrLd S �U T�Q,�7..ft9.. f<tZ/< LAeILLe wa namN po ss ..wi 9 FOs' P'OF SAMPLE ICN.ek waY one In Dvk ealUlnn) TYPF OF SAMPLE(ek.ek evil,a"In Pill cdwnn) UROUTNE Cnlarinaed _ reel ❑ �-T DRINKING WATER ❑ IFlee:dual: TCW F ROUTINE U CMonnmad IAaGduW:_TorAl nee CnecA lmm,art ❑FA.ryd DRINKIln~t R M etk treelmeni ❑F.ilHdtl ❑Untnalw or OmAr ❑Unvaaled or Ot1nr_-- _ ❑RFPFA:SAMPLE REPEAT SAMPLE -- PrevlowcdibrmOraaonu LAba_, _ Plploua tdlbrm PneaKo Laba_-„- Date - _._// Date-_-_-r_I_ ❑RAW SOURCE WATER CONSTRUCTION SW,CSaud a❑$ m ❑Tau ColooTm ❑RAW SOURCE WATER Soolce a❑$ m ❑Total Coalgm .NEW DDNETRUDTION p REPAIRS ❑Faaa Carfai RNFW CONSTRUCTION or REPAIRS ❑Parts,Cddo.m ❑OTHER ISoaeltyl_ _ ❑OTHER RoeaM`__ __.-_ Pf MAR"SCJ O,# 8�03/ _ _ - PEMAAkS: d 70 31 (LAB USE ONLY)DRIM UNG WATER RESUITS (LAB USE ONLV1 DRINKING WATER RESULTS ❑UNSATISFACTORY,Colnorma protanl ❑SATISFACTORY UNSATISFACTORY.Coolorms areal [,15ATIEFACTORY. CLOWMa absent CaLlovin.obaanl REPEAT ❑E.Cl prasml ❑E.CdI abaett SAMPLES SAMPLES REPEAT CD E,Cal ormanl ❑E Cal,atsnN REOUIRf,D F.tal❑ PmAnl ❑Feel abaenl REOU ED ❑Focal P'Aa•-I ❑focal WLvn OTHER LABORATORY RESULTS OTHER .JRATORY RESULTS 701'aU.COLIfORM Ut DD mI E.LOV$nW MiL, r —_ OTAL CJLIFOAM noomI E.COLI npD ML FECAL GDLIFDRM�npp ml PLATE COUNT /ml c _ fCAtCWFORM_nOo ml PLATE COUNT_UmI ANOTHER SAMPLE REOUIRED ANOTHER SAMPLE REOUIREO SAMPLE No r TESTED BECAUSE. TEST UNSUITABLE BECAUSE SAMPLE NOT TESTED BECAUSE. TEST UNSUITABLE BECAUSE. ❑SamP6,too ole ❑Co,it"M Drowm ❑SamON be old Cl CoMboM Dnwm ❑W"contan« TNTC ❑Wmnp tanla,ndr []TNTC ❑r coAPI@A Ionvi T.,,blo C,,i un ❑mcrmPlola,ann ❑TITtd whin, ❑ .� ❑Eacesy Mbda M REVERSE SIDE OF GREEN COPY FOrt eXPLAH T,OON OF RESULTS SEE REYEIISE SIDE OF GREEN COPY FOR EXPLANATION OF RESULTS WND 0DIGIIS; DATC THE RECENED PtCErvED O, LAS NO.P WGR$I 1 DATE.T ME RECDVEO nECEMED eY o�l��i�y�l al,�v o�� 7Ykys of 1,6R DATE REPDR IAO0AAi RY v DATE RE", LAaDMT IRA AEr«AA. T2731 S I �- F 3Ua -3 , ll, MAY-16-2001 WED 01:55 PH KING CO FAX NO. 2968431 P. 02102 -'� Laucks Testing Laboratories,Inc. f 9405 Hamey SGARIe,WA 26I08 WATER BACTERIOLOGICAL ANALYSIS SAMPLE COLLECTION:READ INSTRUCTIONS ON AACK OF GOLDENROD COPY ' I II InsUUC"One are not IaIIOMIetl,EamPIG W*be rejected, � I DATE COLLfCTEO TREIE1LLACTCO -0 COUNTY NAME . I apNnl de, vrMt -p�� I�: OD I S 1 S I pI AM ❑PM TYPE OF SYSTEM IF PUDUC SYSTEM,COMPLm. PU0uC I 1 awr�IDUAL I.O. I $ S O L CA BAOUP NAME OF SYSTEM /^. � 4 . 1 r ✓✓ECwC dti SAMPLETEJ'1ELEPNONE 40. 1-Too C.c 4T4a4'AS �DA,Y 06 Code. e144r131/vrJ F e_.. , EVENING' _ I EACOUECTED eY INvnq SYSTEM OWNEWMGR IN, a) S SOURCE TYPE�1 hGROUNO WATFR UNDER SURf E INPLUENC ^- C SURFACE W WELL w $PRM1G PURCNASEO or Q GaMBIwT ON WELL FIELD WTERTE aOTHER j 5 0 EPOATTO. n t u 4AWnsa �1 w R pM J N �L-S NPE OF$AMPLE(cntCA omf one In 1nr<ob.�p j . I ROUTINE DRINKING WATER ❑CnlamataO lAaWuel:_'eta Fnal ' UeCk IMaIMnt �Fdlantl Untroata0 a Dinar � ❑REPEAT$AMPLE - PmbeW be'"Pmaenca LAb A Dale J—l__ J RAW SOURCE WATER SOIme F 15 / q Tam Colllenn 1 NEW CONSTRLCTIONVREPAIRS - � OFOCw COW&, ❑OTNEll R ISpacHyl_ REMARKS G 3 2 Ma USE ONLYI ORINKINO WATER RESULTS 'I I,�UNSATS kCTORY..CCINormapMant Col SATISFAC roRY, REPEAT E.C6 C: C.100 'Ia abfont SAMPLES Mesant C E.CoN abN^' REOU'HED ❑Fec.FPrefOnt �FeW4bl m OTNERLAeORATORYRESULTS —_ TOTAL COUFOAId I100 m1 E.COU Ep00 ML I FECAL COUFORM_.,1100 ml P'ATE COUNT_IM ANOTr ER SAMPLE REOUIRED t SAMPLE NOT TESTED BECAUSE TEST UNSUITABLE GECAUSE Sa we too old C4,m~l g.ewm Wrong ConlaiMr C TNTC O lneoq Plwo tone ❑Tureen c,Ilum O E-F dabna YE REVERSE SIDE Or ORfEN DOPY FOR EXPLANATION OF RESULTS I.MI rep R D.&TI, OAR,nMf WENLD ftc nwoa 08 �75 t 97 /s,r 2;20 ) OaR PAN;A INDWT m. j W-2894 BEGINNING OF FILE IT- i W,- d � Rehr»Address: 2002 40400 City Clerk's Office nacE of IltsrTON CAS :4.of 62 City of Renton e4ie4/ sea 1055 S. Grady Way Krrc c r10ua7 Renton WA 98055 Please print or type information �duGdA/ �;r 7YES Document Titie(s): Water Utility Easement Ref erence Number(s)or Documents assigned or released: (on page_of document(s)i Grantor(s)(Last name first,then first name and initials): L Edward Babbitt 2.Scott Evans 3. •" 4. ❑ Additional names on page_of document a�+ an o Grautee(s)(last mine first,then first name and initials): 0 1. The City of Renton + 2. 0 3. _s 4. ❑ Additional names on page—of document 0 ry Legal Description(abbreviated: i.e.lot,block,plat or section,township,range): 0 'env A strip of land, 15 feet in width, over a portion of Parcel "A" as depicted on City of Renton Boundary Line Adjustment LUA-00-093-LLA. .. and portions of Lake liew Boulevard abutting thereto. . . Further legal description found on Page 3 of Exhibit "A" 33 Additional legal is on page_'_of document Assessor's Properly Tax Parcel/Account Number: 334450-0445-01 ❑ Additional legal is on page___of document The Auditor/Recorder tNill rely on the information prosided on the form The staff will not read the document to verify the accuracy or completeness of the indeming information proNided herein. I Return Address: City Clerk's Office City of Renton 1055 South Grady Way Renton WA 98055 Title: UTILITIES EASEMENT Tp roperty Tax Parcel Number: 334450-M5-01 Project File Jl: LUA 00.09J ? gq 4. 1 Street Intersection or Project Famc:Coulon Estates Condominium v Reference Nambe s of Documents assi ed or relased: Additional reference numbers are on pay Grantor(s): Grantee(s): 1. Coulon LL C 1. City of Renton,a Municipal Corporation The Grantor,as named above,for or and in consideration of mutual benefits,hereby grants,barbams,sells and deli ccn to the above named Grantee,the following described property. LEGAL DESCRIPTION.See Attached Exhibit"A",Situate in Section 5,Township 23 N.,Range 5 E.,W.M., In King County,Washington. For the purpose of constructing,reconstructing,installing,repairing,replacing,enlarging,operatuig and maintaining utilities and utility pipelines,including,but not limited to,water,sewer and star drainage lines,together with the right of ingress and egress thereto without prior institution of any suit or proceedings of ttw and without incurring any legal obligation or ev liability therefor. Following the initial construction of its facilities,Gras tee may from time to time construct such additional an facilities as it may require. This casement is granted subject to the followine terms and conditions: 1 ao o I. The Grantee shall,upon completion of any work within the property covered by the easement,restore the surface of o the easement,and any private im,rovemcnls disturbed or destroyed during execution of the work,as nearly as i ov practicable to the condition they were in immediately before commencement of the work or entry by the Grantee. 2. Grantor shall retain the right to use the surface of the easement as long as such use does not interfere with the easement t� rights granted to the Grantee. 0 3. Grantor shall not,however,have the rig: to: a. Erect or maintain any buildings or structures within the easement;or ev b. Plant trees,shrubs or vegetation having deep root patterns which may cause damage to or interfere with the O utilities to be placed within the easement by the Grantee;or N C Develop,landscape,or beautify the easement area in any way which would unreasonably increase the costs to the Grantee of restoring the casement area and any private improvements thercm. d. Dig,tunnel or perform other forms of construction activities on the property which would disturb the compaction or unearth Grantee's facilities on the right-of-way,or endanger the lateral suppon facilities. o. Blast within fifteen(15)feet of the right-of-way. This easement shall run with the land described herein,and shall be binding upon the parties,their heirs, successors in interest and assigns. Ccanturs covenant that they are the lawful owners of the above properties and that they have a good and lawful right to execute this agreement. IN WITNESS WHEREOF,said Grantor has caused this instrument to be executed this�/Oday ofJyy�j 19'a�'1�., /ND/LTDL'AL FORM OFACRNOWLEDGMENT Notary Seal matt be within box STATE OF WASHINGT'ON )SS COUNTY OF KING ) 1 certify that 1 know or have satisfactory evidence that _ signed this instrument and acknowledged it to be lawberhheir free and voluntary act for the uses and purposes mentioned in the insrurent Notary Public in and for the State of Washington Notary(Print? _ My appointment expires:_ Dated: REPRESENTATIVE FORM OFACRNOwLHDGMENT Notary Seal must be Within box STATE OF WASHINGT'ON )SS COUNTY OF KING ) IItf/ I certify that 1 know or have satisfactory evidence that tSV �Mp PAtTT signed this instrument,on oath Fin � stated That bs(shdthey U11werc authorized to execute the instrument and acknow•led ed it as the 1AENEE R and NOiAR� of L1rU LRN. L L t"- to be the Crt and voluntary act of such e� ♦v /'UBUG ` party/parties for the uses and purposes mentioned in the instrument. o Op WASH\�� o IpU� 11A- Notary Publi 'n an the State of Washington Notary(Print) a Cr:taR� tl My appointment expires: T nnt&gy (f� o Dated: M11,9" I, 2OD2 a r CORPORITE FORM Oi ACKNOWLEDGMENT o Notary Sal must be within box STATE OF WASHINGT•ON )SS 0 N COUNTY OF KING ) On this__day of _.19__,before me personally appeared be _to me known to of the corporation that executed the within Instrument,and acknowledge the said instrument to be the free and voluntary act and deed of said corporation,for the uses and purposes therein motioned,and each on oath stated that he/she was authorized to-xecute said instrument and that the seal affixed is the corporate seal of said corporation. Notary Public in and for the State of Washington Notary(Print)_ My appointment expires: Dated: C.VOBS'A71b9V1iGALSWOStEASF.MC•NT.DOC\ Paget FOWN 03 0000t1,NCA2.21.97 1 a 1 + 1 i INDI1,7DUAL FORM OFACKNOIFLEDGME.NT 1 Notary Seal must be within box STATE OF WASHINGTON )SS COUNTY OF KING ) I certify that I know or have satisfactory evidence that __signed this instrument and acknowledged it to be hrs'her/thur 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 FORM OF ACKNOWLEDGMENT Notary Seal must be within box STATE OF WASHINGTON )SS C" NTY OF KING ) N\\\\\tttlttl/yII, 1 certify that 1 know or have satisfactory evidence that D E11RN� signed this .��```R•a sy'''��i stated that he/she/they .115,were authorized to execute the instrumentinstrument,on oath and acknowlMged itazthe MEM 6ER and oC �'�LLLOIJ. L.L.G to be the free and voluntary act of such •� N; PUB\te 2 party/panics for the uses and purposes mentioned inthe instrument an o /,O o 'Innttp\\ Notary Pu lic in a or the State of Washington v Notary(Print) VIH-1 .SPARKS c My appointment expires: SAAIUAL.Y la a 2MG o — Dated: NIAIRCli I, 2007, ev O CQRPoRATE FORA(OF ACRNORZEDGAIEh'T N Notary Seal must be within box STATE OF WASHINGTON )SS COUNTY OF KING ) On this__day of ,19_,before me personally appeared to me known to be of the corporation that executed the within instrument,and acknowledge the said instrument to be the free and voluntary act and deed of said corporation,for the uses and purposes therein mentioned,and each on oath stated that he/she was authonzed to execute said instrument and that the seal affixed Is the corporate seal of said corporation. Notary Public iti and for the State of Washington Notary(Pnnt) _ My appointment expires: Dated: (':VOUS\97169\LEOAIS\DOS\EASEMENT.DOC\ Pug,: FORM 03 0000/6NCAI-21.97 r ' EXHIBIT"A" LEGAL DESCRIPTION i A strip of land, 15.00 feet in width, over a portion of Parcel "A" as depicted on City of Renton Boundary Line Adjustment LUA-00-093-LLA recorded as a survey under King County Recorder's No. 20001018900004, said parcel containing Tract 355 per the Plat of C. D. i Hillman's Lake Washington Garden of Eden, Division No. 5, as recorded in Volume 11 of Plats, page 83, records of King County,Washington, and portions of Lake View Boulevard abutting thereto said Lake View Boulevard vacated by City of Renton Ordinance No. 4029 as recorded under Recording No. 8612031457 and Ordinance 4834 as recorded under I Recording No. 20000321000918, records of said County, all in the southwest quarter of Section 5, Township 23 North, Range 5 East, W.M., in the City of Renton, King County, 4 Washington, said strip having 7.50 feet on each side of the following described centerline: COMMENCING at the northwest corner of said Parcel"A"; thence S18014'33"E along the west line of said Parcel "A" and the easterly right-of-way margin of Lake Washington Boulevard, 30.50 feet to the POINT OF BEGINNING of the herein described centerline; thence N71056'35"E 9.06 feet to Point"A"; thence continuing N71056'35"E 8.01 feet to Point "B"; thence continuing N71056'35"E 10T.95 feet to Point"C"; thence continuing N71056'35"E 23.93 feet; thence N6702811"E 30.05 feet to the northeasterly line of said Parcel "A"; TOGETHER WITH a strip of land 10.00 feet in width, said strip having 5.00 feet on each side .c of the following described centerline; 0 `= AND BEGINNING at Point "A"; thence S18003'25"E 24.00 feet; 0 AND BEGINNING at Point"B"; thence S18003'25"E 24.00 feet; 0 AND BEGINNING at Point"C"; thence S18`03'25"E 12.00 feet to the terminus of the herein �+ described centerline a N The sidelines of the above described strip of land shall be lengthened or shortened, as wrequired, to intersect at all interior angle points, the easterly margin of said Lake Washington Blvd. and the northeasterly line of said Parcel"A". i"Sy. FCRTt1� 'AIL LAto .-La C'JOeS�971e9LLi3GALS\BOS�EASEMCNT.DOC\ PaccI FORM 07 ODOWWCA2-21.97 i I Map Exhibit \ Y�9ZfJ1 _LAKE ViE o ` to /2Q9 � 1 � o 7� , (TP 355� N 6 A � o� Fsy.R�cr�� hw LAND S 30 � z.�a•z�t �\ \ Eaa1[a 9-+400 H'\FORMS\xCRECORD"E6I NT.DOC Pap FORM 03 OOOONWCA2-21.97