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HomeMy WebLinkAboutWWP273812 (5)t Denis Law Cityof,- �Y o Mayor �, .. �? _..mot .I -0.0 —0 �NT�� Public Works Department -Gregg Zimmerman, P. E., Administrator May 31, 2016 Ms. Tiffany Bucher Scarsella Bros. Inc. PO Box 68697 Seattle, WA 98168-0697 RE: TALBOT HILL SEWER RELOCATION — NPDES PERMIT TRANSFER Dear Ms. Bucher: Enclosed is the Transfer of Coverage document with my original signature for the Construction Stormwater General Permit for the Talbot Hill Sewer Relocation project. If you have any questions, please contact me at 425-430-7206 or by email at mbenoit@rentonwa.gov. Sincerely, Michael A. Benoit Wastewater Utility Project Manager Enclosure H:\File Sys\WWP - WasteWater\WWP-27-03812 Talbot Hill Sanitary Sewer Relocation\Scarsella Ecology Transfer.doc\MABtp Renton City Hall • 1055 South Grady Way • Renton, Washington 98057 • rentonwa.gov --M Instructions for Transfer of Coverage Construction Stormwater General Permit DEPARTVENT OF ECOLOGY State of Washington Instructions This form is used to process two types of permit transfers: 1) Complete Transfer, or 2) Partial Transfer. Determine which type of transfer applies to your situation before filling out this form. 1.Complete Transfer: The original permittee has sold, or otherwise released control of, the entire site to another party. Required Paperwork for Complete Transfer: • Either the current permittee, or the new permittee(s), must submit a complete and accurate Transfer of Coverage form for each new party to Ecology. The form must be signed by the current permittee and the new permittee. 2.Partial Transfer: The original permittee retains control over some portion of the site after selling or releasing control over a portion of the site. Required Paperwork for Partial Transfer • Either the current permittee or the new permittee(s) must submit a complete and accurate Transfer of Coverage Form for each new operator to Ecology. The form must be signed by the current permittee and the new permittee. • For partial transfers, once all transfers are submitted, the original permittee should submit the Notice of Termination only if the portion(s) they still own or control have undergone final stabilization and meet the criteria for termination. For Your Information • When this form is 1) completed, 2) signed by the current and new permittee, and 3) submitted to Ecology, permit transfers are effective on the date specified at the top page 1 (unless Ecology notifies the current permittee and new permittee of its intention to revoke coverage under the General Permit or if Ecology sends notice that the application is incomplete). • The new permittee should keep a copy of the signed Transfer of Coverage form (which serves as proof of permit coverage) until Ecology sends documentation in the mail. • Following the transfer, the new permittee must either: (1) use the Stormwater Pollution Prevention Plan (SWPPP) developed by the original operator, and modified as necessary, or (2) develop and use a new SWPPP which meets the requirements of the Construction Stormwater General Permit. • For projects for which the original permittee has completed a Proposed New Discharge to an Impaired Waterbody Form (ECY070-399) or for projects that are operating on sites with soil or groundwater contamination: By completing the Transfer of Coverage form, the new permittee will adopt any special provisions made to protect water quality for sites that have existing contamination or that discharge to an impaired waterbody. To ask about the availability ofthis document in a version far the visually impaired, call the Water Quality Program at 360-407-6600. Persons with hearing loss, call 711 for Washington Relay Service. Persons with a speech disability, call 877-833-6341. ECY 020-87a (Rev. 12/2014) Instructions Page 1 Transfer of Coverage Construction Stormwater General Permit DEPARTMENT OF This form transfers permit coverage for all, or a portion Permit # WAR— -?{) 891 ECOLOGY of a site to one or more new operators. State of Washington Type of permit transfer (check one): ❑ Partial transfer ® Complete transfer Specific date that permit responsibility, coverage, and liability, is transferred to new operator. Please see instructions for details on type of transfer. Current Operator/Permittee Information For partial transfers: •List total size of proiect/site remaining under your operational control following transfer: acres. •List total area of soil disturbance remaining under your operational control following transfer: acres. ,Submitting this form meets the requirement to submit an updated NOi (General Permit Condition G9) Current Operator1Permittee Name: Company: Michael Benoit City of Renton - i slness Phone EA: Mailing Address: 425.430.7206 1055 Grady Way Cell Phone: Fax (optional): a e - mbenoit@rentonwa.Pov Renton �_WA 98059 Signature* (see signatory requirements in Section VIII): Title: Date: New Operator/Permittee Information I. New Operator/Permittee (Party with operational control over plans and specifications or day-to-day operational control of activities which ensure compliance with Stormwater Pollution Prevention Plan (SWPPP) and permit conditions. Ecology will send correspondence and permit fee invoices to the permittee on record.) Name:Bob Scarsella _ Business Phone: --- -- --__-- Ext: ---- --- 253-872-7173 Cell Phone (Optional): Fax (Optional): Mailing Address: PO Box 68697 Comp: Scarsella Bros., Inc. Unified Business Identifier (UBI):578035242 (UB1 is a nine -digit number used to identify a business entity. Write "none" if you do not have a UBI number.) E-mail: bob@scarsellabros.com City: Seattle State; I Zip + 4: WA 98168-5801 II. Property Owner (The party listed on the County Assessors records as owner and taxpayer of the parcel[s] for which permit coverage is requested. Ecology will not send correspondence and permit fee invoices to the Property Owner. The Property Owner information will be used for emergency contact purposes.) Name: Gil McNabb Engineering Manager— Eastside Corridor Company: Washin ton State Department of Transportation _ Business Phone: Ext: Unified Business Identifier (UBI): None 245.456.8643 (UBI is a nine -digit number used to identify a business entity Write "none" if you do not have a UBI number.) Cell Phone (Optional): Fax (Optional): E-mail: mcnabbg@wsdot.wa.gov Mailing Address: Mail Stop NB8_2-250, 60010V Ave NE Ste 400 ECY 020-87a (Rev. 12/14) City State: Zip + 4: Bellevue WA 98004 Form Pagel AL III. On -Site Contact Person(s) (Typically the Certified Erosion and Sediment Control Lead or Operator'Permittee) Name: -Troy Modie Business Phone:253-872-7173 Ext: Cell Phone- Fax(Optional). Email:troy.m@scarsellabros.com IV. Site/Project Information Site or Project Name Talbot Hill Sewer Relocation Street Address or Location Description (If the site lacks a street address, list its specific location. For example, Intersection of Highway 61 and 34.) S. 14th Street & Smithers Ave S. Parcel ID#: ..(Optional) Type of Construction Activity (check all that apply). �-J Residential ❑ Commercial ❑ Industrial ❑ Highway or Road (city ,county, state) Utilities (specify): sewer Other (specify): City (or nearest city): Renton Zip Code: Company: Scarsella Bros., Inc. Mailing Address: PO Box 68697 City: Seattle State:WA Zip+4:98168-5801 Site Acreage Total size of your sitelproject (that you 2.02 acres (Note: 1 acre = 43,560 ft2.) Total area of soil disturbance (grading and/or excavating) for your site/project over the life of the project: 2.02 acres. Concrete / Engineered Soils How many yards of concrete will be poured? Oyd3 (estimate) How many yards of recycled concrete will be used? Oyd3 (estimate) Will any engineered soils be used? (For example: cement treated base, ient kiln dpst, etc.) Yes L.4No Estimated project start-up date (mm/dd/yy): May 2016 98057 County: King Estimated project completion date (mm/dd/yy): October 2016 Record the latitude and longitude of the main entrance to the site or the approximate center of site. Latitude: 47.468169 ON Longitude:-122.209701 °W For assistance with latitude and longitude, refer to any of the following websites: www.getlaUon.com or hUp://www.woddatias.com/aatlasfinia,qp_q.litiii. Please convert all latitude and longitude coordinates into decimal degrees format. For help with this process, go to: LUL.-I/wwww.fcc.govlmb/audiolbickel/DDDMfASS-decimal.html. V. Existing Site Conditions 1. Are you aware of contaminated soils present on the site? ❑ Yes ® No 2. Are you aware of groundwater contamination located within the site boundary? ❑ Yes © No 3. If you answered yes to questions 1 or 2, will any contaminated soils be disturbed or will any contaminated groundwater be discharged due to the proposed construction activity? ❑ Yes ❑ No ['Contaminated" and "contamination" here mean containing any hazardous substance (as defined in WAC 173-340-200) that does not occur naturally or occurs at greater than natural background levels.] If you answered yes to Question 3, please explain below or on a separate paper in detail the locations, contaminants, and concentrations, and pollution prevention and/or treatment BMPs proposed to control the discharge of soil/groundwater contaminants. Ecology may request a copy of your SWPPP. ECY 020-87a (Rev. 12/14) Form Page 2 41 VI. WQWebDMR (Electronic Discharge Monitoring Reporting) You must submit monthly discharge monitoring reports using Ecology's WQWebDMR system. To sign up for WQWebDMR, or to register a new site, go to www.ecy.wa.gov/stornnvater, and click on the 'Construction Stormwater" link. You will find information on WQWebDMR under the "WQWebDMR and PARIS" link on the right-hand side. If you are unable to submit your DMRs electronically, you may contact Ecology to request a waiver. Ecology will generally only grant waiver requests to those permittees without interret access. Only a permittee or representative, designated in writing, may request access to or a waiver from WQWebDMR, To have the ability to use the system immediately, you must submit the Electronic Signature Agreement with your transfer of coverage form. If you have questions on this process, contact Ecology's WQWebDI IR staff at WebDMR-Stormwater(r�ecy.wa.gov or 360-407-7097. VII. Discharge/Receiving Water Information Indicate whether your site's stormwater and/or dewatering water could enter surface waters, directly and/or indirectly: x❑ Water will discharge directly or indirectly (through a storm drain system or roadside ditch) into one or more surface waterbodies (wetlands, creeks, lakes, and all other surface waters and water courses). If your discharge is to a storm sewer system, provide the name of the operator of the storm sewer system: (e.g., City of Tacoma): City of Renton (NOTE: If your stormwater discharges to a storm sewer system operated by the City of Seattle, King County, Snohomish County, City of Tacoma, Pierce County, or Clark County, you must also submit a copy of this NOI to the appropriate jurisdiction.) ❑ Water will discharge to ground with 100% infiltration, with no potential to reach surface waters under any conditions. If your project includes dewatering, you must include dewatering plans and discharge locations in your site Stormwater Pollution Prevention Plan. - - n o- -- - -... - - --- - --- - - - - - ---- --- _— — -- ------- ----- - - - - - - - Locatiof Outfall into Surface Waterbody Enter the outfall identifier code, waterbody name, and latitude/longitude of the point(s) where the site has the potential to discharge into a waterbody (the Outfall). Enter all locations. • Include the names and locations of both direct and indirect discharges to surface waterbodies, even if the risk of discharge is low or limited to periods of extreme weather. Attach a separate list if necessary. • Give each point a unique 1-4 digit alpha numeric code. This code will be used for identifying these points in WQWebDMR. • Some large construction projects (for example, subdivisions, roads, or pipelines) may discharge into several waterbodies. • If the creek or tributary is unnamed, use a format such as "unnamed tributary to Deschutes River." • If the site discharges to a stormwater conveyance system that in turn flows to a surface waterbody, include the surface waterbody name and location. Outfall Identifier Code. These Surface Waterbody Name at the Latitude Longitude cannot be symbols. (Maximum Outfall Decimal Degrees Decimal Degrees of 4 characters). Example: 001A Example: Puget Sound I 47.5289247° N-122.31235503 W Rolli [Ii��� Cr,�k. 47.46967 ` N 1-122.2O-15b(, °W °JN_ °W °W If your site discharges to a waterbody that is on the impaired waterbodies list (e g., 303[d] list) for turbidity, fine sediment, high pH, or phosphorus, Ecology will require additional documentation before issuing permit coverage and these sites will be subject to additional sampling and numeric effluent limits (per Permit Condition S8). Ecology will notify you if any additional sampling requirements apply. Information on impaired waterbodies is available online at. hdp.Ilwww�. wa.gou/Qro amslwq,'303cJArrdex.rrtn>t . ECY 020-87a (Rev. 12/14) Form Page 3 Before signing, please use the following checklist to ensure this form is complete: ❑ All spaces on this form have been completed (attach additional sheets if necessary). ❑ The transfer form is signed by both the current permittee and the new permittee(s). ❑ New Opera tor/Pe rmittee: Before you submit this form to Ecology, please retain a copy for your records — this will serve as proof of permit coverage until documentation arrives from Ecology. ❑ For partial transfers: If the original permittee no longer owns or controls any portions of the site that meet the criteria for termination, the original permittee must submit a Notice of Termination to terminate permit coverage. (httpJ/www.ecy.wa.gov/biblio%cy02087.html) ❑ For sites with contaminated soils/groundwater or a new discharger to an impaired waterbody, Any special provisions to protect water quality put in place at the time of initial coverage have been reviewed and adopted by the new permittee. VIII. Certification of Permittee J certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel property gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system or those directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations." Bob Scarsella, VP Scarsella Bros. Inc, PrintedfTyped Name Title VP Date 5/27/16 * Signature of Operator/Permittee requirements: A. For a corporation: By a principal executive officer of at least the level of vice president. B, For a partnership or sole proprietorship: By a general partner or the proprietor, respectively. C. For a municipality, state, federal, or other public facility: By either a principal executive officer or ranking elected official. Please sign and return this document to the following address: Washington Department of Ecology - Stormwater PO Box 47696 Olympia, WA 98504-7696 If you have questions about this form, contact the following Ecology staff: I Contact Name Phone E-mail 1 ity of Seattle, and Kitsap, Pierce, and Thurston counties Josh Klimek 360407-7451 iash.klimek .ecY.wa.gov I land, King, and San Juan counties Clay Keown 360-407-6048 clay.keownQa ecY.wa.gov dams, Asotin, Columbia, Ferry, Franklin, Garfield, Grant, Shawn Hopkins 360-407-6442 shawn.hopkins(o)ecy.wa.gov ncoln, Pend Oreille, Skagit, Snohomish, Spokane, tevens, Walla, Whatcom, and Whitman counties. enton, Chelan, Clallam, Clark, Cowlitz, Douglas, Grays Joyce Smith 360-407-6858 ioyice.smith -ecy.wa.gov arbor, Jefferson, Kittitas, Klickitat, Lewis, Mason, kanogan, Pacific, Skamania, Wahkiakum, and Yakima ounties. To request materials in a format for the visually impaired, call the Water Quality Program at 360-407-6600, Relay Service 711, or TTY 877-833- 6341. ECY 020-87a (Rev. 12/14) Form Page 4 f f Notice of Termination Form DEPARTMENT Of Construction Stormwater General Permit Permit # WAR 303891 ECOLOGY sine of w,:mogmn Use this torn to request termination of permit coverage. I.Operator/Permittee (Party with operational control over plans and specifications, or day-to-day operational control of activities which ensure compliance with SWPPP and permit conditions. Ecology will send correspondence and permit fee invoices to the permit holder on record.) Name: Company: Bob Scarsella Scarsella Brothers Inc Mailing Address: P.O. Box 68697 City: State: Zip + 4: Seattle WA 98168-0697 Business Phone: 253-872-7173 Ext. Cell Phone: E-mail: bob@scarsellabros.com II. Site Location/Address Site name: Total area of soil disturbance for your site/project: Talbot Hill Sewer Relocation 2.02 acres Street address (or location description): S. 14th Street & Smithers Ave S. City (or nearest city): County: Zip: Renton I King 98057 III. Construction Activity The site is eligible for termination by one of the following methods: ❑ Construction was never started. ❑ The site has undergone final stabilization. (Permit Condition SIO.A.1. See instructions for definition.) ® Permit coverage on all portions of the site that have not undergone final stabilization (Permit Condition SIO.A.1) are being, or have been, transferred (Permit Condition G9), and the Permittee no longer has operational control of the construction activity. We provided the new owner Transfer of Coverage form on: (date) Please provide new owner contact info: ❑ All portions of the site that have not undergone final stabilization (Permit Condition S10.A.1) have been sold and the Permittee no longer has operational control of the construction activity. We will not be submitting Transfer of Permit coverage paperwork. (Optional). Please provide new owner contact info: IV. Certification of Permittees Please read the certification statement carefully before signing. "I certify under penalty of law that all stormwater discharges associated with construction activity from the identified site that are authorized by the National Pollutant Discharge Elimination System (NPDES) and State Waste Discharge general permit have been eliminated, or that I no longer own or operate on this site. I understand that by submitting this Notice of Termination that I am no longer authorized to discharge stormwater associated with construction activity by the general permit, and that discharging pollutants in stormwater to waters of the state of Washington is unlawful under the Clean Water Act where the discharge is not authorized by a NPDES permit. I also understand that the submittal of this Notice of Termination does not release the pernuttee from liability for any violations of this permit or the Clean Water Act." Bob Scarsella Permittee printed name Permittee signature Vice President Title 3/21/2017 Date ECY 020-87 (Rev.10/16) Instructions for Notice of Termination Form The permit fees will continue until Ecology terminates the permit coverage. Continue complying with permit conditions until notified that coverage has been terminated. I. Operator/Permittee Give the name, address, and telephone number of the person who is responsible for the permit. This person will also be sent the final fee invoice. II. Site Location/Address Enter the street address or location description, including the city or nearest city and county for the construction site. Construction sites that do not have a street address must also provide a legal description in the space provided, or as an attachment. III. Construction Activity Indicate: ➢ The construction project has not started and there are no other sources of construction stormwater. ➢ That all stormwater discharges associated with construction activity are eliminated and final stabilization of all exposed soils is completed. Final stabilization means the establishment of a permanent vegetative cover, or equivalent permanent stabilization measures which prevent erosion. You are certifying that: • Soils are no longer being disturbed. • All permanent vegetative cover is fully established and growing. • All exposed soils are permanently stabilized to prevent erosion. • All temporary sediment and erosion control BMPs such as catch basin filters and silt fencing, etc. are removed. • All Low Impact Development (LID) Bioretention and Rain Garden facilities are fully functional and free of sediment accumulated during construction. • All stormwater discharges associated with construction activity are eliminated. ➢ That the permit has been transferred to another responsible party(ies) for management. (Provide the information required on the Transfer of Coverage form.) ➢ That all portions of the site that have not undergone final stabilization have been sold. Use this option for residential construction where the permittee has completed temporary stabilization and the homeowners have taken possession of the residences. IV. Certification of Permittee(s) Read this statement carefully. The operator, or authorized representative of the operator, must print his or her name for clarity, then sign and date the document on the lines provided. This form must be signed by one of the following: A. In the case of corporations, by a responsible corporate officer. B. In the case of a partnership, by a general partner of a partnership. C. In the case of sole proprietorship, by the proprietor. D. In the case of a municipality, state, federal, or other public facility, by either a principal executive officer or ranking elected official. ECY 020-87 (Rev.10/16) Please sign and return this original document to the following address and retain a copy for your records: Department of Ecology Permit Fee Unit PO Box 47600 Olympia, WA 98504-7696 Note: Your site remains under permit and subject to all permit conditions until your termination is effective. Continue to comply with permit conditions until the earlier of the following two dates: l) The date you receive written notification from Ecology that termination is effective. 2) The 3 1 " day following Ecology's receipt of a complete NOT form. Questions? Contact Charles Gilman at (360) 407-6425 or charles.gilman@ecy.wa.gov. To request ADA accommodation including materials in a format for the visually impaired, call the Water Quality Program at 360-407-6600. Persons with impaired hearing may call Washington Relay Service at 711. Persons with a speech disability may call 877-833-6341. ECY 020-87 (Rev.10/16) f .., Transfer of Coverage Permit # WAR 3OSFV Construction Stormwater General Permit DEPARTMENT OF This form transfers permit coverage for all, or a portion ECOLOGY of a site to one or more new operators. State of Washington Type of permit transfer (check one): " Partial transfer ❑ Complete transfer Specific date that permit responsibility, coverage, and liability is transferred to new operator: 2120 120 1 7 If no date is indicated Ecology will use date of last signature Please see instructions for details on type of transfer. Current Operator/Permittee Information For partial transfers: •List total size of project/site remaining under your operational control following transfer: D,03 acres. • List total area of soil disturbance remaining under your operational control following transfer: () - 173 acres. • Submitting this form meets the requirement to submit an updated N01(General Permit Condition G9) Current Oper or/Permittee Name: o b �CarS(I I a Company- 3Cc✓ sC, of bras . (.h( . Business Phone: L53-877--71-73 Ext: Mailing Address: (�. o. ��x �96 %% City- State: zip+4: �p tc- W� Cell Phone: Fax (optional): Email: 61)b(dSCr rsebr-os.cn,,\ Signature* (see signatory requirements in Section VIII): Title: Date: New Operator/Permittee Information I. New OperatorlPermittee (Party with operational control over plans and specifications or day-to-day operational control of activities which ensure compliance with Stormwater Pollution Prevention Plan (SWPPP) and permit conditions. Ecology will send correspondence and permit fee invoices to the permittee on record.) Name: or a,- n _ Compaq: 0 t4y rep r c pl. c LCo . Business Phone: Ext: Unified Business 1dentifier (UBI): ( 7 7 0 0 6 3 9 Z 5l�5. 2?7 _ S 2 13 (UBI is a nine -digit number used to identity a business entity. Write "none" if you do not have a UBI number, Cell Phone (Optional): Fax (Optional): E-mail: M orc . I4a, rt & p , c aw, Mailing Address: 27 City: State, Zip + 4: II. Property Owner (The party listed on the County Assessor's records as owner and taxpayer of the parcel[s] for which permit coverage is requested. Ecology will notsend correspondence and permit fee invoices to the Property Owner. The Property Owner information will be used for emergency contact purposes.) Name: Mc7U,-, 66 Company: IJasiu wl slrOx Aee f. cif rcr[s 6y{GHd Business Phone: Ext: Unified Business Identifier (UBI): IJo - s z 5 3 - 3 3 8 (UBI is a nine -digit number used to identify a business entity. Write "none" if you do not have a UBI number. Cell Phone (Optional): Fax (Optional): E-mail: &►cnabb 9 ("?i wsd04, Gift , 9 0✓ Mailing Address: 30oo l:. Vall ��d. y�,s /V63 z--25t� City: � � State: WEB Zi+ 4: 7E�S7 ECY 020-87a (Rev. 10/16) Form Page 1 III.On•Site Contact Person(s) (Typically the Certified Erosion and Sediment Control Lead or Operator/Permittee) Name: l 15a 9 one Company: (3pat0 9 rr)eers Business Phone: Ext: Mailing Address: gyro t S rf r' ,rare roc . 142S - 86 l - Go 9 0 Cell Phone: y25 - N 6 6 5 y 3 5 Fax(Optional): City: �'edm�r d State: tJ;�\ Zip+4: 91r_o �. Email: bvna (d rop.,� rnr rs, Cures IV. Site/Project Information Site or Project Name fa ' a t l ( 4P-rs r (t�ca i rr}v7 :� MOchh-AlTotal Site Acreage size of your site/project (that you own/control): M5 acres. (Note: 1 acre = 43,560 ftz.) Street Address or Location Description (If the site lacks a street address, list its specific location. For example, Intersection of Highway 61 and 34.) Total area of soil disturbance for your site/project over the life of the S h //,, Sf. �' S�-rf�j project: acres. Include grading, equipment staging, . I1UC, - excavation, borrow pit, material storage areas, dump areas, haul roads, side -cast areas, off -site construction support areas, and all Parcel ID#: (Optional) other soil disturbance acreage associated with the project. (Note: 1 acre = 43,560 ft') Type of Construction Activity (check all that apply): ❑ Residential ❑ Commercial ❑ Industrial ❑ Highway or Road (city ,county, state) ® Utilities (specify): Set,,►er ❑ Other (speeci : City (or nearest city): ( Zip Code: Estimated project start-up date (mm/dd/yy): b I 17 Estimated project completion date (mm/dd/yy): 04/ v t County: J Record the latitude and longitude of the main entrance to the site or the approximate center of site. Latitude: !{ -7, t/ o � 10 °N Longitude: l ZZ 2.o y 7o i °VV V. Existing Site Conditions 1. Are you aware of contaminated soils present on the site? ❑ Yes X No 2. Are you aware of groundwater contamination located within the site boundary? ❑ Yes No 3. If you answered yes to questions 1 or 2, will any contaminated soils be disturbed or will any contaminated groundwater be discharged due to the proposed construction activity? ❑ Yes ❑ No ("Contaminated" and "contamination" here mean containing any hazardous substance (as defined in WAC 173-340-200) that does not occur naturally or occurs at greater than natural background levels.) If you answered yes to Question 3, please provide detailed information with the NOI (as known and readily available) on the natures and extent of the contamination (concentrations, locations, and depth), as well as pollution prevention and/or treatment Best Management Practices (BMPs) proposed to control the discharge of soil and/or groundwater contaminants in stormwater. This should include information that would be included in related portions of the Stormwater Pollution Prevention Plan (SWPPP) that describe how contaminated and potentially contaminated construction stormwater and dewatering water will be managed. ECY 020-87a (Rev. 1 Oil6) Form Page 2 VI. WQWebDMR (Electronic Discharge Monitoring Reporting) You must submit monthly discharge monitoring reports using Ecology's WQWebDMR system, To sign up for WQWebDMR, or to register a new site, go to http://www.ecy.wa.gov/programs/wq/permits/paris/portal.html. If you are unable to submit your DMRs electronically, you may contact Ecology to request a waiver. Ecology will generally only grant waiver requests to those permittees without internet access. Only a permittee or representative, designated in writing, may request access to or a waiver from WQWebDMR. To have the ability to use the system immediately, you must submit the Electronic Signature Agreement with your transfer of coverage form. If you have questions on this process. contact Ecology's WQWebDMR staff at Web DMRPortal((Decy.wa.gov or 800/633-6193 or 360-407-7097 (local). VII. Discharge/Receiving Water Information Indicate whether your site's stormwater and/or dewatering water could enter surface waters, directly and/or indirectly. Water will discharge directly or indirectly (through a storm drain system or roadside ditch) into one or more surface waterbodies (wetlands, creeks, lakes, and all other surface waters and water courses). If your discharge is to a storm ewer system, provide the name of the operator of the storm sewer system: (e.g., City of Tacoma): I ✓la 41 C*-Ce J ❑ Water will discharge to ground with 100% infiltration, with no potential to reach surface waters under any conditions. If your project includes dewatering, you must include dewatering plans and discharge locations in your site Stormwater Pollution Prevention Plan, Location of Outfall into Surface Waterbody Enter the outfall identifier code, waterbody name, and latitude/longitude of the point(s) where the site has the potential to discharge into a waterbody (the outfall). Enter all locations. See illustration of Surface Waterbody Outfall locations at the end of this form. • Include the names and locations of both direct and indirect discharges to surface waterbodies, even if the risk of discharge is low or limited to periods of extreme weather. Attach a separate list if necessary. • Give each point a unique 1-4 digit alpha numeric code. This code will be used for identifying these points in WQWebDMR. • Some large construction projects (far example, subdivisions, roads, or pipelines) may discharge into several waterbodies. • If the creek or tributary is unnamed, use a format such as "unnamed tributary to Deschutes River." • If the site discharges to a stormwater conveyance system that in turn flows to a surface waterbody, include the surface waterbody name and location. Outfall Identifier Code. These cannot be Surface Waterbody Name at Latitude Longitude symbols. (Maximum of 4 characters). the Outfall Decimal Degrees Decimal Degrees Example: 001A Example: Puget Sound 47.52892470 N -122.31235500 W J � " N �- / 7.2 , 207 5 0 W °N 0W - -- -- o N ° W If your site discharges to a waterbody that is on the impaired waterbodies list (e.g., 303[d] list) for turbidity, fine sediment, high pH, or phosphorus, Ecology will require additional documentation before issuing permit coverage and these sites will be subject to additional sampling and numeric effluent limits (pe(. Permit Condition S8). Ecology will notify you if any additional sampling requirements apply. Information on impaired waterbodies is available online at: httpJlvrww.ecy.wa.qov/programslwgl303dlindex.html. ECY 020-87a (Rev. 10/16) Form Page 3 11 Before signing, please use the following checklist to ensure this form is complete: tj All spaces on this form have been completed. (Attach additional sheets if necessary) [� The transfer form has been signed by both the current permittee and the new permittee(s), �j The date permit responsibility was transferred is specified. (See Page 1) [� New Operator/Permittee: Before you submit this form to Ecology, please retain a copy for your records — this will serve as proof of permit coverage until documentation arrives from Ecology. [� For partial transfers: If the original permittee no longer owns or controls any portions of the site that meet the criteria for termination, the original permittee must submit a Notice of Termination to terminate permit coverage. (http://www.ecy.wa.gov/blblio/ecy02O87,html) ❑ For sites with contaminated soils/groundwater or a new discharger to an impaired waterbody: Any special provisions to protect water quality put in place at the time of initial coverage have been reviewed and adopted by the new permittee. Administrative Order Docket No. Vill. Certification of Permittee `7 certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system or those directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. l am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations." Printed/Typed Name Signature of OperatorlPermittee -- 0�Ylpis I' ipe Lot- C o . i"re5(r .e,rlt Company (operator/permittee only) Title Date Signature of Operator/Permittee requirements: A. For a corporation: By a responsible corporate officer. B. For a partnership or sole proprietorship: By a general partner or the proprietor, respectively. C. For a municipality, state, federal, or other public facility: By either a principal executive officer or ranking elected official. Please sign and return this document to the following address: Washington Department of Ecology - Stormwater PO Box 47696 Olympia, WA 98504-7696 If you have questions about this form, contact the following Ecology staff: Location Contact Name Phone E-mail City of Seattle, and Kitsap, Pierce, and Thurston counties Josh Klimek 360-407- joshAlimek(a�ecy.wa.gov 7451 Island, King, and San Juan counties RaChelle 360-407- rachelle.stane(aa)ecy.wa.gov Stane 6556 Adams, Asotin, Columbia, Ferry, Franklin, Garfield, Grant, Shawn Hopkins 360-407- shawn.hopkins(a)ecy.wa.gov Lincoln, Pend Oreille, Skagit, Snohomish, Spokane, 6442 Stevens, Walla, Whatcom, and Whitman counties. Benton, Chelan, Clallam, Clark, Cowlitz, Douglas, Grays Joyce Smith 360-407- ioyce.smith(a ecy.wa.gov Harbor, Jefferson, Kittitas, Klickitat, Lewis, Mason, 6858 Okanogan, Pacific, Skamania, Wahkiakum, and Yakima counties. ECY 020-87a (Rev. 10/16) Form Page 4 WAR303891 Issuance Date: November 18, 2015 TALBOT HILL SEWER RELOCATION Effective Date: January 1, 2016 KING COUNTY Expiration Date: December 31, 2020 CONSTRUCTION STORMWATER GENERAL PERMIT National Pollutant Discharge Elimination System (NPDES) and State Waste Discharge General Pennit for Stormwater Discharges Associated with Construction Activity Statc of Washington Department of Ecology Olympia, Washington 98504 In compliance with the provisions of Chapter 90.48 Revised Code of Washington (State of Washington Water Pollution Control Act) and Title 33 United States Code, Section 1251 et seq. The Federal Water Pollution Control Act (The Clean Water Act) Until this permit expires, is modified, or revoked, Permittees that have properly obtained coverage under this general permit are authorized to discharge hi accordance with the special and general conditions that follow. Hea�r R. Bartlett WateY,Ouality Program Manager Washington State Department of Ecology r ti TABLE OF CONTENTS LISTOF TABLES...........................................................................................................................3 SUMMARY OF PERMIT REPORT SUBMITTALS.....................................................................4 SPECIALCONDITIONS................................................................................................................5 S1. PERMIT COVERAGE........................................................................................................5 S2. APPLICATION REQUIREMENTS...................................................................................8 S3. COMPLIANCE WITH STANDARDS.............................................................................12 S4. MONITORING REQUIREMENTS, BENCHMARKS, AND REPORTING TRIGGERS................................................................................................13 S5. REPORTING AND RECORDKEEPING REQUIREMENTS.........................................20 S6. PERMIT FEES...................................................................................................................23 S7. SOLID AND LIQUID WASTE DISPOSAL....................................................................23 S8. DISCHARGES TO 303(d) OR TMDL WATERBODIES................................................23 S9. STORMWATER POLLUTION PREVENTION PLAN...................................................27 S 10. NOTICE OF TERMINATION.........................................................................................37 GENERAL CONDITIONS...........................................................................................................38 G1. DISCHARGE VIOLATIONS...........................................................................................38 G2. SIGNATORY REQUIREMENTS.....................................................................................38 G3. RIGHT OF INSPECTION AND ENTRY.........................................................................39 G4. GENERAL PERMIT MODIFICATION AND REVOCATION......................................39 G5. REVOCATION OF COVERAGE UNDER THE PERMIT.............................................39 G6. REPORTING A CAUSE FOR MODIFICATION............................................................40 G7. COMPLIANCE WITH OTHER LAWS AND STATUTES.............................................40 G8. DUTY TO REAPPLY.......................................................................................................40 G9. TRANSFER OF GENERAL PERMIT COVERAGE.......................................................41 G 10. REMOVED SUBSTANCES.............................................................................................41 G11. DUTY TO PROVIDE INFORMATION...........................................................................41 G 12. OTHER REQUIREMENTS OF 40 CFR...........................................................................41 G13. ADDITIONAL MONITORING........................................................................................41 G14. PENALTIES FOR VIOLATING PERMIT CONDITIONS.............................................41 G15. UPSET...............................................................................................................................42 G 16. PROPERTY RIGHTS........................................................................................................42 Construction Stornn ester Gdncral Permit Page 2 G17. DUTY TO COMPLY........................................................................................................42 GI8. TOXIC POLLUTANTS.....................................................................................................42 G19. PENALTIES FOR TAMPERING.....................................................................................43 G20. REPORTING PLANNED CHANGES.............................................................................43 G21. REPORTING OTHER INFORMATION..........................................................................43 G22. REPORTING ANTICIPATED NON-COMPLIANCE.....................................................43 G23. REQUESTS TO BE EXCLUDED FROM COVERAGE UNDER THE PERMIT .......... 44 G24. APPEALS..........................................................................................................................44 G25. SEVERABILITY...............................................................................................................44 G26. BYPASS PROHIBITED....................................................................................................44 APPENDIXA — DEFINITIONS...................................................................................................47 APPENDIXB — ACRONYMS.....................................................................................................55 LIST OF TABLES Table 1: Summary of Required Submittals................................................................................... 4 Table 2: Summary of Required On -site Documentation............................................................... 4 Table 3: Summary of Primary Monitoring Requirements.......................................................... 15 Table 4: Monitoring and Reporting Requirements..................................................................... 17 Table 5: Turbidity, Fine Sediment & Phosphorus Sampling and Limits for 303(d)-Listed Waters.................................................................................................... 25 Table 6: pH Sampling and Limits for 303(d)-Listed Waters ...................................................... 26 Consiruclion Slorntivater General Pcrnu[ Page 3 SUMMARY OF PERMIT REPORT SUBMITTALS Refer to the Special and General Conditions within this permit for additional submittal requirements. Appendix A provides a list of definitions. Appendix B provides a list of acronyms. Table 1: Summary of Required Submittals Permit Submittal Frequency First Submittal Date Section S5.A and High Turbidity/Transparency Phone As Necessary Within 24 hours S8 Reporting S5.B Discharge Monitoring Report Monthly` Within 15 days following the end of each month S5.F and Noncompliance Notification — As necessary Within 24-hours S8 Telephone Notification S5.F Noncompliance Notification — As necessary Within 5 Days of non - Written Report compliance S9.0 Request for Chemical Treatment As necessary Written approval from Form Ecology is required prior to using chemical treatment (with the exception of dry ice or CO2 to adjust pH) G2 Notice of Change in Authorization As necessary G6 Permit Application for Substantive As necessary Changes to the Discharge G8 Application for Permit Renewal 1/permit cycle I No later than 180 days before expiration G9 Notice of Permit Transfer As necessary G20 Notice of Planned Changes As necessary i G22 Reporting Anticipated Non- i As necessary compliance SPECIAL NOTE: *Permirtees must submit electronic Discharge Monitoring Reports (DMRs) to the Washington State Department of Ecology monthly, regardless of site discharge, for the full duration of permit coverage. Refer to Section S5.13 of this General Permit for more specific information regarding DMRs. Table 2: Summary of Required On -site Documentation Document Title Permit Conditions Permit Coverage Letter See Conditions S2, S5 Construction Stormwater General Permit See Conditions S2, S5 Site Log Book i See Conditions S4, S5 Stormwater Pollution Prevention Plan (SWPPP) See Conditions S9, S5 Consn•uc•tion Slurn m tei- Genci-ul Per -mil Page 4 SPECIAL CONDITIONS S1. PERMIT COVERAGE A. Permit Area This Construction Stormwater General Permit (CSWGP) covers all areas of Washington State, except for federal operators and Indian Country as specified in Special Condition S I .E.3. B. Operators Required to Seek Coverage Under this General Permit: Operators of the following construction activities are required to seek coverage under this CSWGP: a. Clearing, grading and/or excavation that results in the disturbance of one or more acres (including off -site disturbance acreage authorized in SI.C.2) and discharges stormwater to surface waters of the State; and clearing, grading and/or excavation on sites smaller than one acre that are part of a larger common plan of development or sale, if the common plan of development or sale will ultimately disturb one acre or more and discharge stormwater to surface waters of the State. i. This includes forest practices (including, but not limited to, class IV conversions) that are part of a construction activity that will result in the disturbance of one or more acres, and discharge to surface waters of the State (that is, forest practices that prepare a site for construction activities); and b. Any size construction activity discharging stormwater to waters of the State that the Washington State Department of Ecology (Ecology): Determines to be a significant contributor of pollutants to waters of the State of Washington. ii. Reasonably expects to cause a violation of any water quality standard. 2. Operators of the following activities are not required to seek coverage under this CSWGP (unless specifically required under Special Condition SI.B.I.b. above): a. Construction activities that discharge all stormwater and non-stormwater to ground water, sanitary sewer, or combined sewer, and have no point source discharge to either surface water or a storm sewer system that drains to surface waters of the State. b. Construction activities covered under an Erosivity Waiver (Special Condition S2.C). c. Routine maintenance that is performed to maintain the original line and grade, hydraulic capacity, or original purpose of a facility. Construction Slomm.-clier Generul Permit Page 5 C. Authorized Discharges: 1. Stormwater Associated with Construction Activity. Subject to compliance with the terms and conditions of this permit, Permittees are authorized to discharge stormwater associated with construction activity to surface waters of the State or to a storm sewer system that drains to surface waters of the State. (Note that "surface waters of the State" may exist on a construction site as well as off site; for example, a creek running through a site.) 2. Stormwater Associated with Construction Support Activity. This permit also authorizes stonmwater discharge from support activities related to the permitted construction site (for example, an on -site portable rock crusher, off -site equipment staging yards, material storage areas, borrow areas, etc.) provided: a. The support activity relates directly to the permitted construction site that is required to have an NPDES permit; and b. The support activity is not a commercial operation serving multiple unrelated construction projects, and does not operate beyond the completion of the construction activity; and c. Appropriate controls and measures are identified in the Stormwater Pollution Prevention Plan (SWPPP) for the discharges from the support activity areas. 3. Non-Stormwater Discharges. The categories and sources of non-stormwater discharges identified below are authorized conditionally, provided the discharge is consistent with the terns and conditions of this permit: a. Discharges from fire -fighting activities. b. Fire hydrant system flushing. c. Potable water, including uncontaminated water line flushing. d. Hydrostatic test water. e. Uncontaminated air conditioning or compressor condensate. f. Uncontaminated ground water or spring water. g. Uncontaminated excavation dewatering water (in accordance with S9.D.10). h. Uncontaminated discharges from foundation or footing drains. i. Uncontaminated water used to control dust. Permittees must minimize the amount of dust control water used. j. Routine external building wash down that does not use detergents. k. Landscape irrigation water. The SWPPP must adequately address all authorized non-stormwater discharges, except for discharges from fire -fighting activities, and must comply with Special Condition S3. Construction Stornnruter General Permit Page 6 At a minimum, discharges from potable water (including water line flushing), fire hydrant system flushing, and pipeline hydrostatic test water must undergo the following: dechlorination to a concentration of 0.1 parts per million (ppm) or less, and pH adjustment to within 6.5 — 8.5 standard units (su), if necessary. D. Prohibited Discharges: The following discharges to waters of the State, including ground water, are prohibited. Concrete wastewater. Wastewater from washout and clean-up of stucco, paint, form release oils, curing compounds and other construction materials. Process wastewater as defined by 40 Code of Federal Regulations (CFR) 122.2 (see Appendix A of this permit). 4. Slurry materials and waste from shaft drilling, including process wastewater from shaft drilling for construction of building, road, and bridge foundations unless managed according to Special Condition S9.D.9 j. 5. Fuels, oils, or other pollutants used in vehicle and equipment operation and maintenance. Soaps or solvents used in vehicle and equipment washing. Wheel wash wastewater, unless managed according to Special Condition S9.13.9. 8. Discharges from dewatering activities, including discharges from dewatering of trenches and excavations, unless managed according to Special Condition S9.D.10. E. Limits on Coverage Ecology may require any discharger to apply for and obtain coverage under an individual permit or another more specific general permit. Such alternative coverage will be required when Ecology determines that this CSWGP does not provide adequate assurance that water quality will be protected, or there is a reasonable potential for the project to cause or contribute to a violation of water quality standards. The following stormwater discharges are not covered by this permit: 1. Post -construction stormwater discharges that originate from the site after completion of construction activities and the site has undergone final stabilization. 2. Non -point source silvicultural activities such as nursery operations, site preparation, reforestation and subsequent cultural treatment, thinning, prescribed burning, pest and fire control, harvesting operations, surface drainage, or road construction and maintenance, from which there is natural runoff as excluded in 40 CFR Subpart 122. 3. Stormwater from any federal operator. Construction Sdormirwer General Permit Page 7 Stormwater from facilities located on "Indian Country' as defined in 18 U.S.C.§I 151, except portions of the Puyallup Reservation as noted below. Indian Country includes: a. All land within any Indian Reservation notwithstanding the issuance of any patent, and, including rights -of -way running through the reservation. This includes all federal, tribal, and Indian and non -Indian privately owned land within the reservation. b. All off -reservation Indian allotments, the Indian titles to which have not been extinguished, including rights -of -way running through the same. c. All off -reservation federal trust lands held for Native American Tribes. Puyallup Exception: Following the Puyallup Tribes of Indians Land Settlement Act of 1989, 25 U.S.C. §1773; the permit does apply to land within the Puyallup Reservation except for discharges to surface water on land held in trust by the federal government. Stormwater from any site covered under an existing NPDES individual permit in which stormwater management and/or treatment requirements are included for all stonmwater discharges associated with construction activity. 6. Stormwater from a site where an applicable Total Maximum Daily Load (TMDL) requirement specifically precludes or prohibits discharges from construction activity. S2. APPLICATION REQUIREMENTS A. Permit Application Forms Notice of Intent Form/Timeline a. Operators of new or previously unpermitted construction activities must submit a complete and accurate permit application (Notice of Intent, or NOI) to Ecology. b. Operators must apply using the electronic application form (NOI) available on Ecology's website http:/,'www.ecv.wa.gov/programs/wq./storm water/ construction/index.html. Permittees unable to submit electronically (for example, those who do not have an internet connection) must contact Ecology to request a waiver and obtain instructions on how to obtain a paper NO]. Department of Ecology Water Quality Program - Construction Stormwater PO Box 47696 Olympia, Washington 98504-7696 Construction Stvrtinveaer Ueneral Perri! Page 8 The operator must submit the NOI at least 60 days before discharging stormwater from construction activities and must submit it on or before the date of the first public notice (see Special Condition S2.13 below for details). The 30- day public comment period begins on the publication date of the second public notice. Unless Ecology responds to the complete application in writing, based on public comments, or any other relevant factors, coverage under the general permit will automatically commence on the thirty-first day following receipt by Ecology of a completed NOI, or the issuance date of this permit, whichever is later; unless Ecology specifies a later date in writing as required by WAC173- 226-200(2). d. If an applicant intends to use a Best Management Practice (BMP) selected on the basis of Special Condition S9.C.4 ("demonstrably equivalent" BMPs, the applicant must notify Ecology of its selection as part of the NOI. In the event the applicant selects BMPs after submission of the NOI, it must provide notice of the selection of an equivalent BMP to Ecology at least 60 days before intended use of the equivalent BMP. e. Permittees must notify Ecology regarding any changes to the information provided on the NOI by submitting an updated NOI. Examples of such changes include, but are not limited to: i. Changes to the Permittee's mailing address, ii. Changes to the on -site contact person information, and iii. Changes to the area/acreage affected by construction activity. Applicants must notify Ecology if they are aware of contaminated soils and/or groundwater associated with the construction activity. Provide detailed information with the NOI (as known and readily available) on the nature and extent of the contamination (concentrations, locations, and depth), as well as pollution prevention and/or treatment BMPs proposed to control the discharge of soil and/or groundwater contaminants in stormwater. Examples of such detail may include, but are not limited to: i. List or table of all known contaminants with laboratory test results showing concentration and depth, ii. Map with sample locations, iii. Temporary Erosion and Sediment Control (TESC) plans, iv. Related portions of the Stormwater Pollution Prevention Plan (SWPPP) that address the management of contaminated and potentially contaminated construction stormwater and dewatering water, V. Dewatering plan and/or dewatering contingency plan. Construclton Storm vivier Genercil Permit Page 9 2. Transfer of Coverage Form The Permittee can transfer current coverage under this permit to one or more new operators, including operators of sites within a Common Plan of Development, provided the Permittee submits a Transfer of Coverage Form in accordance with General Condition G9. Transfers do not require public notice. B. Public Notice For new or previously unpermitted construction activities, the applicant must publish a public notice at least one time each week for two consecutive weeks, at least 7 days apart, in a newspaper with general circulation in the county where the construction is to take place. The notice must contain: A statement that "The applicant is seeking coverage under the Washington State Department of Ecology's Construction Stormwater NPDES and State Waste Discharge General Permit". 2. The name, address and location of the construction site. The name and address of the applicant. 4. The type of construction activity that will result in a discharge (for example, residential construction, commercial construction, etc.), and the number of acres to be disturbed. 5. The name of the receiving water(s) (that is, the surface water(s) to which the site will discharge), or, if the discharge is through a storm sewer system, the name of the operator of the system. 6. The statement: "Any persons desiring to present their views to the Washington State Department of Ecology regarding this application, or interested in Ecology's action on this application, may notify Ecology in writing no later than 30 days of the last date of publication of this notice. Ecology reviews public comments and considers whether discharges from this project would cause a measurable change in receiving water quality, and, if so, whether the project is necessary and in the overriding public interest according to Tier II antidegradation requirements under WAC I73-20IA-320. Comments can be submitted to: Department of Ecology, PO Box 47696, Olympia, Washington 98504-7696 Attn: Water Quality Program, Construction Stormwater." Consn-dction Sloi-n]wwer General %7c;vzit Paie 10 C. Erosivity Waiver Construction site operators may qualify for an erosivity waiver from the CSWGP if the following conditions are met: l . The site will result in the disturbance of fewer than 5 acres and the site is not a portion of a common plan of development or sale that will disturb 5 acres or greater. 2. Calculation of Erosivity "R" Factor and Regional Timeframe: The project's rainfall erosivity factor ("R" Factor) must be less than 5 during the period of construction activity, as calculated (see the CSWGP homepage http://Nk,wNv.ecy.wa_izov/programs/wg/stonnwater/construction/index.litmi for a link to the EPA's calculator and step by step instructions on computing the "R" Factor in the EPA Erosivity Waiver Fact Sheet). The period of construction activity starts when the land is first disturbed and ends with final stabilization. In addition: b. The entire period of construction activity must fall within the following timeframes: For sites west of the Cascades Crest: June 15 — September 15. ii. For sites east of the Cascades Crest, excluding the Central Basin: June 15 —October 15. iii. For sites east of the Cascades Crest, within the Central Basin: no additional timeframe restrictions apply. The Central Basin is defined as the portions of Eastern Washington with mean annual precipitation of less than 12 inches. For a map of the Central Basin (Average Annual Precipitation Region 2), refer to http://www.ecy.wa.gov/programs/wg/stonnwater/ con struction/resourcesgu idance.htm 1. 3. Construction site operators must submit a complete Erosivity Waiver certification form at least one week before disturbing the land. Certification must include statements that the operator will: a. Comply with applicable local stormwater requirements; and b. Implement appropriate erosion and sediment control BMPs to prevent violations of water quality standards. 4. This waiver is not available for facilities declared significant contributors of pollutants as defined in Special Condition SI .B.l .b. or for any size construction activity that could reasonably expect to cause a violation of any water quality standard as defined in Special Condition SI.B.I.b.ii. 5. This waiver does not apply to construction activities which include non- stormwater discharges listed in Special Condition S1.C.3. Construction Siornti ater General Permit Page I 1 If construction activity extends beyond the certified waiver period for any reason, the operator must either: a. Recalculate the rainfall erosivity "R" factor using the original start date and a new projected ending date and, if the "R" factor is still under 5 and the entire project falls within the applicable regional timeframe in Special Condition S2.C.2.b, complete and submit an amended waiver certification form before the original waiver expires; or b. Submit a complete permit application to Ecology in accordance with Special Condition S2.A and B before the end of the certified waiver period. S3. COMPLIANCE WITH STANDARDS A. Discharges must not cause or contribute to a violation of surface water quality standards (Chapter 173-201 A WAC), ground water quality standards (Chapter 173-200 WAC), sediment management standards (Chapter 173-204 WAC), and human health -based criteria in the National Toxics Rule (40 CFR Part 131.36). Discharges not in compliance with these standards are not authorized. B. Prior to the discharge of stormwater and non-stormwater to waters of the State, the Permittee must apply all known, available, and reasonable methods of prevention, control, and treatment (AKART). This includes the preparation and implementation of an adequate SWPPP, with all appropriate BMPs installed and maintained in accordance with the SWPPP and the terms and conditions of this permit. C. Ecology presumes that a Permittee complies with water quality standards unless discharge monitoring data or other site -specific information demonstrates that a discharge causes or contributes to a violation of water quality standards, when the Permittee complies with the following conditions. The Permittee must fully: 1. Comply with all permit conditions, including planning, sampling, monitoring, reporting, and recordkeeping conditions. 2. Implement stormwater BMPs contained in stormwater management manuals published or approved by Ecology, or BMPs that are demonstrably equivalent to BMPs contained in stormwater technical manuals published or approved by Ecology, including the proper selection, implementation, and maintenance of all applicable and appropriate BMPs for on -site pollution control. (For purposes of this section, the stormwater manuals listed in Appendix 10 of the Phase I Municipal Stormwater Permit are approved by Ecology.) D. Where construction sites also discharge to ground water, the ground water discharges must also meet the terms and conditions of this CSWGP. Permittees who discharge to around water through an injection well must also comply with any applicable requirements of the Underground Injection Control (UIC) regulations, Chapter 173-218 WAC. Construriion Stornivrater General Permi! Pate 12 S4. MONITORING REQUIREMENTS, BENCHMARKS, AND REPORTING TRIGGERS A. Site Log Book The Permittee must maintain a site log book that contains a record of the implementation of the SWPPP and other permit requirements, including the installation and maintenance of BMPs, site inspections, and stormwater monitoring. B. Site Inspections The Permittee's site inspections must include all areas disturbed by construction activities, all BMPs, and all stormwater discharge points under the Permittee's operational control. (See Special Conditions S4.13.3 and B.4 below for detailed requirements of the Permittee's Certified Erosion and Sediment Control Lead [CESCL].) Construction sites one acre or larger that discharge stormwater to surface waters of the State must have site inspections conducted by a certified CESCL. Sites less than one acre may have a person without CESCL certification conduct inspections. I . The Permittee must examine stormwater visually for the presence of suspended sediment, turbidity, discoloration, and oil sheen. The Permittee must evaluate the effectiveness of BMPs and determine if it is necessary to install, maintain, or repair BMPs to improve the quality of stormwater discharges. Based on the results of the inspection, the Permittee must correct the problems identified by: a. Reviewing the SWPPP for compliance with Special Condition S9 and making appropriate revisions within 7 days of the inspection. b. Immediately beginning the process of fully implementing and maintaining appropriate source control and/or treatment BMPs as soon as possible, addressing the problems no later than within 10 days of the inspection. If installation of necessary treatment BMPs is not feasible within 10 days, Ecology may approve additional time when an extension is requested by a Permittee within the initial 10-day response period. c. Documenting BMP implementation and maintenance in the site log book. 2. The Permittee must inspect all areas disturbed by construction activities, all BMPs, and all stormwater discharge points at least once every calendar week and within 24 hours of any discharge from the site. (For purposes of this condition, individual discharge events that last more than one day do not require daily inspections. For example, if a stormwater pond discharges continuously over the course of a week, only one inspection is required that week.) The Permittee may reduce the inspection frequency for temporarily stabilized, inactive sites to once every calendar month. C onstruclion Siorniuvuler Gencral Permit Pane 13 The Permittee must have staff knowledgeable in the principles and practices of erosion and sediment control. The CESCL (sites one acre or more) or inspector (sites less than one acre) must have the skills to assess the: a. Site conditions and construction activities that could impact the quality of stormwater, and b. Effectiveness of erosion and sediment control measures used to control the quality of stormwater discharges. The SWPPP must identify the CESCL or inspector, who must be present on site or on -call at all times. The CESCL must obtain this certification through an approved erosion and sediment control training program that meets the minimum training standards established by Ecology (see BMP C160 in the manual referred to in Special Condition S9.C.I and 2). The Permittee must summarize the results of each inspection in an inspection report or checklist and enter the report/checklist into, or attach it to, the site log book. At a minimum, each inspection report or checklist must include: a. Inspection date and time. b. Weather information, the general conditions during inspection and the approximate amount of precipitation since the last inspection, and precipitation within the last 24 hours. c. A summary or list of all implemented BMPs, including observations of all erosion/sediment control structures or practices. d. A description of the locations: i. Of BMPs inspected; ii. Of BMPs that need maintenance and why; iii. Of BMPs that failed to operate as designed or intended; and iv. Where additional or different BMPs are needed, and why. e. A description of stormwater discharged from the site. The Permittee must note the presence of suspended sediment, turbidity, discoloration, and oil sheen, as applicable. f. Any water quality monitoring performed during inspection. g. General comments and notes, including a brief description of any BMP repairs, maintenance or installations made following the inspection. h. A summary report and a schedule of implementation of the remedial actions that the Permittee plans to take if the site inspection indicates that the site is out of compliance. The remedial actions taken must meet the requirements of the SWPPP and the permit. Construction Siormwaier General Pcrnii! Pate 14 i. The name, title, and signature of the person conducting the site inspection, a phone number or other reliable method to reach this person, and the following statement: "I certify that this report is true, accurate, and complete to the best of my knowledge and belief.'' Table 3: Summary of Primary Monitoring Requirements Size of Soil Weekly Site Weekly Weekly Weekly pH CESCL Disturbance} Inspections Sampling w/ Sampling wl Sampling2 Required for Turbidity Transparency Inspections? Meter Tube Sites that disturb Required Not Required Not Required Not Required No less than 1 acre, but are part of a larger Common Plan of Development Sites that disturb 1 Required Sampling Required — Required Yes acre or more, but 1 either method' fewer than 5 acres ' Sites that disturb 5 Required Required Not Required Required Yes acres or more ' Soil disturbance is calculated by adding together all areas that will be affected by construction activity. Construction activity means clearing, grading, excavation, and any other activity that disturbs the surface of the land, including ingress I egress from the site. '- If construction activity results in the disturbance of 1 acre or more, and involves significant concrete work (1,000 cubic yards of poured over the life of a project) or the use of recycled concrete or engineered soils (soil amendments including but not limited to Portland cement -treated base [CTB], cement kiln dust [CKD], or fly ash), and stormwater from the affected area drains to surface waters of the State or to a storm sewer stormwater collection system that drains to other surface waters of the State, the Permittee must conduct pH sampling in accordance with Special Condition S4.D. 3 Sites with one or more acres, but fewer than 5 acres of soil disturbance, must conduct turbidity or transparency sampling in accordance with Special Condition S4.C. 4 Sites equal to or greater than 5 acres of soil disturbance must conduct turbidity sampling using a turbidity meter in accordance with Special Condition S4.C. C017st UCtion Stormirater General Permit paue 15 C. Turbidity/Transparency Sampling Requirements l . Sampling Methods a. If construction activity involves the disturbance of 5 acres or more, the Permittee must conduct turbidity sampling per Special Condition S4.C. b. If construction activity involves I acre or more but fewer than 5 acres of soil disturbance, the Permittee must conduct either transparency sampling or turbidity sampling per Special Condition S4.C. 2. Sampling Frequency a. The Permittee must sample all discharge points at least once every calendar week when stormwater (or authorized non-stormwater) discharges from the site or enters any on -site surface waters of the state (for example, a creek running through a site); sampling is not required on sites that disturb less than an acre. b. Samples must be representative of the flow and characteristics of the discharge. c. Sampling is not required when there is no discharge during a calendar week. d. Sampling is not required outside of normal working hours or during unsafe conditions. e. If the Permittee is unable to sample during a monitoring period, the Permittee must include a brief explanation in the monthly Discharge Monitoring Report (DMR). f. Sampling is not required before construction activity begins. g. The Permittee may reduce the sampling frequency for temporarily stabilized, inactive sites to once every calendar month. Sampling Locations a. Sampling is required at all points where stormwater associated with construction activity (or authorized non-stormwater) is discharged off site, including where it enters any on -site surface waters of the state (for example, a creek running through a site). b. The Permittee may discontinue sampling at discharge points that drain areas of the project that are fully stabilized to prevent erosion. c. The Permittee must identify all sampling point(s) on the SWPPP site map and clearly mark these points in the field with a flag, tape, stake or other visible marker. d. Sampling is not required for discharge that is sent directly to sanitary or combined sewer systems. Cofrstruciion Starnn+ carer General Permit Paure 16 e. The Permittee may discontinue sampling at discharge points in areas of the project where the Permittee no longer has operational control of the construction activity. 4. Sampling and Analysis Methods a. The Permittee performs turbidity analysis with a calibrated turbidity meter (turbidimeter) either on site or at an accredited lab. The Permittee must record the results in the site log book in nephelometric turbidity units (NTUs). b. The Permittee performs transparency analysis on site with a 13/4-inch-diameter, 60-centimeter (cm) -long transparency tube. The Permittee will record the results in the site log book in centimeters (cm). Table 4: Monitoring and Reporting Requirements Parameter Unit Analytical Method Sampling Benchmark Phone Frequency Value Reporting Trigger Value Turbidity NTU SM2130 Weekly, if 25 NTUs 250 NTUs discharging Transparency cm Manufacturer Weekly, if 33 cm 6 cm instructions, or discharging Ecology guidance 5. Turbid ity/Transparency Benchmark Values and Reporting Triggers The benchmark value for turbidity is 25 NTUs or less. The benchmark value for transparency is 33 centimeters (cm). Note: Benchmark values do not apply to discharges to segments of water bodies on Washington State's 303(d) list (Category 5) for turbidity, fine sediment, or phosphorus; these discharges are subject to a numeric effluent limit for turbidity. Refer to Special Condition S8 for more information. a. Turbidity 26 — 249 NTUs, or Transparency 32 — 7 cm: If the discharge turbidity is 26 to 249 NTUs; or if discharge transparency is less than 33 cm, but equal to or greater than 6 cm, the Permittee must: Review the SWPPP for compliance with Special Condition S9 and make appropriate revisions within 7 days of the date the discharge exceeded the benchmark. ii. Immediately begin the process to fully implement and maintain appropriate source control and/or treatment BMPs as soon as possible, addressing the problems within 10 days of the date the discharge exceeded the benchmark. If installation of necessary treatment BMPs is not feasible within 10 days, Ecology may approve additional time when the Permittee requests an extension within the initial 10-day response period. Corzstruction Stormw-aier General Permit Pa,e 17 iii. Document BMP implementation and maintenance in the site log book. b. Turbidity 250 NTUs or greater, or Transparency 6 cm or less: If a discharge point's turbidity is 250 NTUs or greater, or if discharge transparency is less than or equal to 6 cm, the Permittee must complete the reporting and adaptive management process described below. Telephone or submit an electronic report to the applicable Ecology Region's Environmental Report Tracking System (ERTS) number (or through Ecology's Water Quality Permitting Portal [WQWebPortal] — Permit Submittals when the form is available) within 24 hours, in accordance with Special Condition S5.A. • Central Region (Okanogan, Chelan; Douglas, Kittitas, Yakima, Klickitat, Benton): (509) 575-2490 • Eastern Re ion (Adams, Asotin, Columbia, Ferry, Franklin, Garfield, Grant, Lincoln, Pend Oreille, Spokane, Stevens, Walla Walla, Whitman): (509) 329-3400 • Northwest Region (Kitsap, Snohomish, Island, King, San Juan, Skagit, Whatcom): (425) 649-7000 • Southwest Region (Grays Harbor, Lewis, Mason, Thurston, Pierce, CIark, Cowlitz, Skamania, Wahkiakum, Clallam, Jefferson, Pacific): (360) 407-6300 Links to these numbers and the ERTS reporting page are located on the following web site: http://w,vw.ecv.xN,a.gov!proerams/wq/storrmvater/construction/index.litm1. ii. Review the SWPPP for compliance with Special Condition S9 and make appropriate revisions within 7 days of the date the discharge exceeded the benchmark. iii. Immediately begin the process to fully implement and maintain appropriate source control and/or treatment BMPs as soon as possible, addressing the problems within 10 days of the date the discharge exceeded the benchmark. If installation of necessary treatment BMPs is not feasible within 10 days, Ecology may approve additional time when the Permittee requests an extension within the initial 10-day response period. iv. Document BMP implementation and maintenance in the site log book. V. Sample discharges daily until: a) Turbidity is 25 NTUs (or lower); or b) Transparency is 33 cm (or greater); or Construction Siornnrater Gencrai Pconir PaL,e IS c) The Permittee has demonstrated compliance with the water quality limit for turbidity: 1) No more than 5 NTUs over background turbidity, if background is less than 50 NTUs, or 2) No more than 10% over background turbidity, if background is 50 NTUs or greater; or d) The discharge stops or is eliminated. D. pH Sampling Requirements — Significant Concrete Work or Engineered Soils If construction activity results in the disturbance of l acre or more, and involves significant concrete work (significant concrete work means greater than 1000 cubic yards poured concrete used over the life of a project ) or the use of recycled concrete or engineered soils (soil amendments including but not limited to Portland cement -treated base [CTB], cement kiln dust [CKD], or fly ash), and stormwater from the affected area drains to surface waters of the State or to a storm sewer system that drains to surface waters of the State, the Permittee must conduct pH sampling as set forth below. Note: In addition, discharges to segments of water bodies on Washington State's 303(d) list (Category 5) for high pH are subject to a numeric effluent limit for pH; refer to Special Condition S8. For sites with significant concrete work, the Permittee must begin the pH sampling period when the concrete is first poured and exposed to precipitation, and continue weekly throughout and after the concrete pour and curing period, until stormwater pH is in the range of 6.5 to 8.5 (su). 2. For sites with recycled concrete, the Permittee must begin the weekly pH sampling period when the recycled concrete is first exposed to precipitation and must continue until the recycled concrete is fully stabilized and stormwater pH is in the range of 6.5 to 8.5 (su). 3. For sites with engineered soils, the Permittee must begin the pH sampling period when the soil amendments are first exposed to precipitation and must continue until the area of engineered soils is fully stabilized. 4. During the applicable pH monitoring period defined above, the Permittee must obtain a representative sample of stormwater and conduct pH analysis at least once per week. 5. The Permittee must sample pH in the sediment trap/pond(s) or other locations that receive stormwater runoff from the area of significant concrete work or engineered soils before the stormwater discharges to surface waters. 6. The benchmark value for pH is 8.5 standard units. Anytime sampling indicates that pH is 8.5 or greater, the Permittee must either: Construction Stornnruter General Permit Pa,ze 19 Prevent the high pH water (8.5 or above) from entering storm sewer systems or surface waters; or b. If necessary, adjust or neutralize the high pH water until it is in the range of pH 6.5 to 8.5 (su) using an appropriate treatment BMP such as carbon dioxide (CO2) sparging or dry ice. The Permittee must obtain written approval from Ecology before using any form of chemical treatment other than CO2 sparging or dry ice. The Permittee must perform pH analysis on site with a calibrated pH meter, pH test kit, or wide range pH indicator paper. The Permittee must record pH sampling results in the site log book. S5. REPORTING AND RECORDKEEPING REQUIREMENTS A. High Turbidity Reporting Anytime sampling performed in accordance with Special Condition S4.0 indicates turbidity has reached the 250 NTUs or more (or transparency less than or equal to 6 cm) high turbidity reporting level, the Permittee must either tali the applicable Ecology Region's Environmental Report Tracking System (ERTS) number by phone within 24 hours of analysis or submit an electronic ERTS report (or submit an electronic report through Ecology's Water Quality Permitting Portal (WQWebPortal) — Permit Submittals when the form is available). See the CSWGP web site for links to ERTS and the WQWebPortal: http://wvt°w.ecv.wa.2ov/programs/wg/stomiwater/construction/ index.l-itml. Also, see phone numbers in Special Condition S4.C.5.b.i. B. Discharge Monitoring Reports (DMRs) Permittees required to conduct water quality sampling in accordance with Special Conditions S4.0 (Turbid ity/Transparency), S4.13 (pH), S8 (303[d]/TMDL sampling), and/or G13 (Additional Sampling) must submit the results to Ecology. Permittees must submit monitoring data using Ecology's WQWebDMR web application accessed through Ecology's Water Quality Permitting Portal. To find out more information and to sign up for WQWebDMR go to: htt2://wlvA,.ecy.wa.izov/programs/ wa /perm its./paris/portal.lhtm I. Permittees unable to submit electronically (for example, those who do not have an internet connection) must contact Ecology to request a waiver and obtain instructions on how to obtain a paper copy DMR at: Department of Ecology Water Quality Program - Construction Stormwater PO Box 47696 Olympia, Washington 98504-7696 Permittees who obtain a waiver not to use WQWebDMR must use the forms provided to them by Ecology; submittals must be mailed to the address above. Permittees shall Construction 5tornnvuter General Permit Pace 20 submit DMR forms to be received by Ecology within 15 days following the end of each month. If there was no discharge during a given monitoring period, all Permittees must submit a DMR as required with "no discharge" entered in place of the monitoring results. DMRs are required for the full duration of permit coverage (from issuance date to termination). For more information, contact Ecology staff using information provided at the following web site: www.ecv.wa.gov/programstwq/permits/paris/contacts.litml. C. Records Retention The Permittee must retain records of all monitoring information (site log book, sampling results, inspection reports/checklists, etc.), Stormwater Pollution Prevention Plan, copy of the permit coverage letter (including Transfer of Coverage documentation), and any other documentation of compliance with permit requirements for the entire life of the construction project and for a minimum of three years following the termination of permit coverage. Such information must include all calibration and maintenance records, and records of all data used to complete the application for this permit. This period of retention must be extended during the course of any unresolved litigation regarding the discharge of pollutants by the Permittee or when requested by Ecology. D. Recording Results For each measurement or sample taken, the Permittee must record the following information: 1. Date, place, method, and time of sampling or measurement. 2. The first and last name of the individual who performed the sampling or measurement. 3. The date(s) the analyses were performed. 4. The first and last name of the individual who performed the analyses. 5. The analytical techniques or methods used. 6. The results of all analyses. E. Additional Monitoring by the Permittee If the Permittee monitors any pollutant more frequently than required by this permit using test procedures specified by Special Condition S4 of this permit, the results of this monitoring must be included in the calculation and reporting of the data submitted in the Permittee's DMR. F. Noncompliance Notification In the event the Permittee is unable to comply with any part of the terms and conditions of this permit, and the resulting noncompliance may cause a threat to human health or the environment (such as but not limited to spills of fuels or other materials, catastrophic pond or slope failure, and discharges that violate water quality standards), or exceed Construction Stortmrafer General Permit Page ? I numeric effluent limitations (see S8. Discharges to 303(d) or TMDL Waterbodies), the Permittee must, upon becoming aware of the circumstance: l . Notify Ecology within 24-hours of the failure to comply by calling the applicable Regional office ERTS phone number (refer to Special Condition S4.C.5.b.i. or k1-sN?,�4,.ecy,.wa.gov/programs/wq/stormwater/construction/permit.litml#hi2hturbidit�, for Regional ERTS phone numbers). 2. Immediately take action to prevent the discharge/pollution, or otherwise stop or correct the noncompliance, and, if applicable, repeat sampling and analysis of any noncompliance immediately and submit the results to Ecology within five (5) days of becoming aware of the violation. 3. Submit a detailed written report to Ecology within five (5) days, of the time the Permittee becomes aware of the circumstances, unless requested earlier by Ecology. The report must be submitted using Ecology's Water Quality Permitting Portal (WQWebPortal) - Permit Submittals, unless a waiver from electronic reporting has been granted according to S5.13. The report must contain a description of the noncompliance, including exact dates and times, and if the noncompliance has not been corrected, the anticipated time it is expected to continue; and the steps taken or planned to reduce, eliminate, and prevent reoccurrence of the noncompliance. The Permittee must report any unanticipated bypass and/or upset that exceeds any effluent limit in the permit in accordance with the 24-hour reporting requirement contained in 40 C.F.R. 122.41(1)(6). Compliance with these requirements does not relieve the Permittee from responsibility to maintain continuous compliance with the terms and conditions of this permit or the resulting liability for failure to comply. Upon request of the Permittee, Ecology may waive the requirement for a written report on a case -by - case basis, if the immediate notification is received by Ecology within 24 hours. G. Access to Plans and Records 1. The Permittee must retain the following permit documentation (plans and records) on site, or within reasonable access to the site, for use by the operator or for on -site review by Ecology or the local jurisdiction: a. General Permit b. Permit Coverage Letter c. Stormwater Pollution Prevention Plan (S\AIPPP) d. Site Log Book 2. The Permittee must address written requests for plans and records listed above (Special Condition S5.G.1) as follows: Construction Storrr wafer General Permit Paae 22 a. The Permittee must provide a copy of plans and records to Ecology within 14 days of receipt of a written request from Ecology. b. The Permittee must provide a copy of plans and records to the public when requested in writing. Upon receiving a written request from the public for the Permittee's plans and records, the Permittee must either: i. Provide a copy of the plans and records to the requester within 14 days of a receipt of the written request; or ii. Notify the requester within 10 days of receipt of the written request of the location and times within normal business hours when the plans and records may be viewed; and provide access to the plans and records within 14 days of receipt of the written request; or iii. Within 14 days of receipt of the written request, the Permittee may submit a copy of the plans and records to Ecology for viewing and/or copying by the requester at an Ecology office, or a mutually agreed location. If plans and records are viewed and/or copied at a location other than at an Ecology office, the Permittee will provide reasonable access to copying services for which a reasonable fee may be charged. The Permittee must notify the requester within 10 days of receipt of the request where the plans and records may be viewed and/or copied. S6. PERMIT FEES The Permittee must pay permit fees assessed by Ecology. Fees for stormwater discharges covered under this permit are established by Chapter 173-224 WAC. Ecology continues to assess permit fees until the permit is terminated in accordance with Special Condition S10 or revoked in accordance with General Condition G5. S7. SOLID AND LIQUID WASTE DISPOSAL The Permittee must handle and dispose of solid and liquid wastes generated by construction activity, such as demolition debris, construction materials, contaminated materials, and waste materials from maintenance activities, including liquids and solids from cleaning catch basins and other stormwater facilities, in accordance with: A. Special Condition S3, Compliance with Standards B. WAC 173-216-110 C. Other applicable regulations SS. DISCHARGES TO 303(d) OR TMDL WATERBODIES A. Sampling and Numeric Effluent Limits For Certain Discharges to 303(d)-listed Waterbodies Construction Stormwaler General Perniit Paae 23 1. Permittees who discharge to segments of waterbodies listed as impaired by the State of Washington under Section 303(d) of the Clean Water Act for turbidity, fine sediment, high pH, or phosphorus, must conduct water quality sampling according to the requirements of this section, and Special Conditions S4.C.2.b-f and S4.C.3.b-d, and must comply with the applicable numeric effluent limitations in S8.0 and S8.D. 2. All references and requirements associated with Section 303(d) of the Clean Water Act mean the most current listing by Ecology of impaired waters (Category 5) that exists on January 1, 2016, or the date when the operator's complete permit application is received by Ecology, whichever is later. B. Limits on Coverage for New Discharges to TMDL or 303(d)-listed Waters Operators of construction sites that discharge to a TMDL or 303(d)-listed waterbody are not eligible for coverage under this permit unless the operator: Prevents exposing stormwater to pollutants for which the waterbody is impaired, and retains documentation in the SWPPP that details procedures taken to prevent exposure on site; or 2. Documents that the pollutants for which the waterbody is impaired are not present at the site, and retains documentation of this finding within the SWPPP; or Provides Ecology with data indicating the discharge is not expected to cause or contribute to an exceedance of a water quality standard, and retains such data on site with the SWPPP. The operator must provide data and other technical information to Ecology that sufficiently demonstrate: a. For discharges to waters without an EPA -approved or -established TMDL, that the discharge of the pollutant for which the water is impaired will meet in - stream water quality criteria at the point of discharge to the waterbody; or b. For discharges to waters with an EPA -approved or -established TMDL, that there is sufficient remaining wasteload allocation in the TMDL to allow construction stormwater discharge and that existing dischargers to the waterbody are subject to compliance schedules designed to bring the waterbody into attainment with water quality standards. Operators of construction sites are eligible for coverage under this permit if Ecology issues permit coverage based upon an affirmative determination that the discharge will not cause or contribute to the existing impairment. C. Sampling and Numeric Effluent Limits for Discharges to Water Bodies on the 303(d) List for Turbidity, Fine Sediment, or Phosphorus Permittees who discharge to segments of water bodies on the 303(d) list (Category 5) for turbidity, fine sediment, or phosphorus must conduct turbidity sampling in accordance with Special Condition S4.C.2 and comply with either of the numeric effluent limits noted in Table 5 below. Constructian Siornn cuter General Pc;rwil Pa—ve 24 2. As an alternative to the 25 NTUs effluent limit noted in Table 5 below (applied at the point where stormwater [or authorized non-stormwater] is discharged off -site), Permittees may choose to comply with the surface water quality standard for turbidity. The standard is: no more than 5 NTUs over background turbidity when the background turbidity is 50 NTUs or less, or no more than a 10% increase in turbidity when the background turbidity is more than 50 NTUs. In order to use the water quality standard requirement, the sampling must take place at the following locations: a. Background turbidity in the 303(d)-listed receiving water immediately upstream (upgradient) or outside the area of influence of the discharge. b. Turbidity at the point of discharge into the 303(d)-listed receiving water, inside the area of influence of the discharge. Discharges that exceed the numeric effluent limit for turbidity constitute a violation of this permit. 4. Permittees whose discharges exceed the numeric effluent limit shall sample discharges daily until the violation is corrected and comply with the non- compliance notification requirements in Special Condition S51. Table 5: Turbidity, Fine Sediment & Phosphorus Sampling and Limits for 303(d)-Listed Waters Parameter identified in 303(d) listing Parameter Sampled Unit Analytical Method Sampling Frequency Numeric Effluent Limit' • Turbidity Turbidity NTU SM2130 Weekly, if 25 NTUs, at the • Fine Sediment discharging point where • Phosphorus stormwater is discharged from the site; OR In compliance with the surface water quality standard for turbidity (SB.C.2.a) 'Permittees subject to a numeric effluent limit for turbidity may, at their discretion, choose either numeric effluent limitation based on site -specific considerations including, but not limited to, safety, access and convenience. D. Discharges to Water Bodies on the 303(d) List for High pH Permittees who discharge to segments of water bodies on the 303(d) list (Category 5) for high pH must conduct pH sampling in accordance with the table below, and comply with the numeric effluent limit of pH 6.5 to 8.5 su (Table 6). Construction Szornnvaier General Permil Paae 25 Table 6: pH Sampling and Limits for 303(d)-Listed Waters Parameter identified in Parameter Analytical Sampling Numeric Effluent 303(d) listing Sampled/Units Method Frequency Limit High pH pH /Standard pH meter Weekly, if In the range of 6.5 Units discharging — 8.5 At the Permittee's discretion, compliance with the limit shall be assessed at one of the following locations: a. Directly in the 303(d)-listed waterbody segment, inside the immediate area of influence of the discharge; or b. Alternatively, the Permittee may measure pH at the point where the discharge leaves the construction site, rather than in the receiving water. Discharges that exceed the numeric effluent limit for pH (outside the range of 6.5 — 8.5 su) constitute a violation of this permit. 4. Permittees whose discharges exceed the numeric effluent limit shall sample discharges daily until the violation is corrected and comply with the non- compliance notification requirements in Special Condition S5.F. E. Sampling and Limits for Sites Discharging to Waters Covered by a TMDL or Another Pollution Control Plan Discharges to a waterbody that is subject to a Total Maximum Daily Load (TMDL) for turbidity, fine sediment, high pH, or phosphorus must be consistent with the TMDL. Refer to http://w�vw.ecy.wa.pov/programs/wq/tmdl/ TMDLsbyWria/TMDLbvWria.html for more information on TMDLs. a. Where an applicable TMDL sets specific waste load allocations or requirements for discharges covered by this permit, discharges must be consistent with any specific waste load allocations or requirements established by the applicable TMDL. The Permittee must sample discharges weekly or as otherwise specified by the TMDL to evaluate compliance with the specific waste load allocations or requirements. ii. Analytical methods used to meet the monitoring requirements must conform to the latest revision of the Guidelines Establishing Test Procedures for the Analysis of Pollutants contained in 40 CFR Part 136. Turbidity and pH methods need not be accredited or registered unless conducted at a laboratory which must otherwise be accredited or registered. b. Where an applicable TMDL has established a general waste load allocation for construction stormwater discharges, but has not identified specific requirements, Corstruc•lion Stormiruter General Permit Paze 26 compliance with Special Conditions S4 (Monitoring) and S9 (SWPPPs) will constitute compliance with the approved TMDL. c. Where an applicable TMDL has not specified a waste load allocation for construction stormwater discharges, but has not excluded these discharges, compliance with Special Conditions S4 (Monitoring) and S9 (SWPPPs) will constitute compliance with the approved TMDL. d. Where an applicable TMDL specifically precludes or prohibits discharges from construction activity, the operator is not eligible for coverage under this permit. 2. Applicable TMDL means a TMDL for turbidity, fine sediment, high pH, or phosphorus that is completed and approved by EPA before January 1, 2016, or before the date the operator's complete permit application is received by Ecology, whichever is later. TMDLs completed after the operator's complete pen -nit application is received by Ecology become applicable to the Permittee only if they are imposed through an administrative order by Ecology, or through a modification of permit coverage. S9. STORMWATER POLLUTION PREVENTION PLAN The Permittee must prepare and properly implement an adequate Stormwater Pollution Prevention Plan (SWPPP) for construction activity in accordance with the requirements of this permit beginning with initial soil disturbance and until final stabilization. A. The Permittee's SWPPP must meet the following objectives: To implement best management practices (BMPs) to prevent erosion and sedimentation, and to identify, reduce, eliminate or prevent stormwater contamination and water pollution from construction activity. 2. To prevent violations of surface water quality, groundwater quality, or sediment management standards. 3. To control peak volumetric flow rates and velocities of stormwater discharges. B. General Requirements The SWPPP must include a narrative and drawings. All BMPs must be clearly referenced in the narrative and marked on the drawings. The SWPPP narrative must include documentation to explain and justify the pollution prevention decisions made for the project. Documentation must include: a. Information about existing site conditions (topography, drainage, soils, vegetation, etc.). b. Potential erosion problem areas. c. The 13 elements of a SWPPP in Special Condition S9.D.1-13, including BMPs used to address each element. C unstr•uctiun Stornnvaier General Permit Page'_7 d. Construction phasing/sequence and In BMP implementation schedule. e. The actions to be taken if BMP performance goals are not achieved —for example, a contingency plan for additional treatment and/or storage of stormwater that would violate the water quality standards if discharged. f. Engineering calculations for ponds, treatment systems, and any other designed structures. 2. The Permittee must modify the SWPPP if, during inspections or investigations conducted by the owner/operator, or the applicable local or state regulatory authority, it is determined that the SWPPP is, or would be, ineffective in eliminating or significantly minimizing pollutants in Stormwater discharges from the site. The Permittee must then: a. Review the SWPPP for compliance with Special Condition S9 and make appropriate revisions within 7 days of the inspection or investigation. b. Immediately begin the process to fully implement and maintain appropriate source control and/or treatment BMPs as soon as possible, addressing the problems no later than 10 days from the inspection or investigation. If installation of necessary treatment BMPs is not feasible within 10 days, Ecology may approve additional time when an extension is requested by a Permittee within the initial I0-day response period. c. Document BMP implementation and maintenance in the site log book. The Permittee must modify the SWPPP whenever there is a change in design, construction, operation, or maintenance at the construction site that has, or could have, a significant effect on the discharge of pollutants to waters of the State. C. Stormwater Best Management Practices (BMPs) BMPs must be consistent with: Stormwater Management Manual for Western Washington (most current approved edition at the time this permit was issued), for sites west of the crest of the Cascade Mountains; or 2. Stormwater Management Manual for Eastern Washington (most current approved edition at the time this permit was issued), for sites east of the crest of the Cascade Mountains; or Revisions to the manuals listed in Special Condition S9.C.1. & 2., or other Stormwater management guidance documents or manuals which provide an equivalent level of pollution prevention, that are approved by Ecology and incorporated into this permit in accordance with the permit modification requirements of WAC 173-226-230, or Cunsiruc iion Siornnvaler General Permit Paue 28 4. Documentation in the SWPPP that the BMPs selected provide an equivalent level of pollution prevention, compared to the applicable Stormwater Management Manuals, including: a. The technical basis for the selection of all stormwater BMPs (scientific, technical studies, and/or modeling) that support the performance claims for the BMPs being selected. b. An assessment of how the selected BMP will satisfy AKART requirements and the applicable federal technology -based treatment requirements under 40 CFR part 125.3. D. SWPPP —Narrative Contents and Requirements The Permittee must include each of the 13 elements below in Special Condition S9.D.1-13 in the narrative of the SWPPP and implement them unless site conditions render the element unnecessary and the exemption from that element is clearly justified in the SWPPP. 1. Preserve Vegetation/Mark Clearing Limits a. Before beginning land -disturbing activities, including clearing and grading, clearly mark all clearing limits, sensitive areas and their buffers, and trees that are to be preserved within the construction area. b. Retain the duff layer, native topsoil, and natural vegetation in an undisturbed state to the maximum degree practicable. 2. Establish Construction Access a. Limit construction vehicle access and exit to one route, if possible. b. Stabilize access points with a pad of quarry spalls, crushed rock, or other equivalent BMPs, to minimize tracking sediment onto roads. c. Locate wheel wash or tire baths on site, if the stabilized construction entrance is not effective in preventing tracking sediment onto roads. d. If sediment is tracked off site, clean the affected roadway thoroughly at the end of each day, or more frequently as necessary (for example, during wet weather). Remove sediment from roads by shoveling, sweeping, or pickup and transport of the sediment to a controlled sediment disposal area. e. Conduct street washing only after sediment removal in accordance with Special Condition S9.D.2.d. Control street wash wastewater by pumping back on site or otherwise preventing it from discharging into systems tributary to waters of the State. Control Flow Rates a. Protect properties and waterways downstream of development sites from erosion and the associated discharge of turbid waters due to increases in the Construction Stormmater General Permi! Pa=Te'_9 velocity and peak volumetric flow rate of stormwater runoff from the project site, as required by local plan approval authority. b. Where necessary to comply with Special Condition S9.D.3.a, construct stormwater retention or detention facilities as one of the first steps in grading. Assure that detention facilities function properly before constructing site improvements (for example, impervious surfaces). c. If permanent infiltration ponds are used for flow control during construction, protect these facilities from siltation during the construction phase. 4. Install Sediment Controls The Permittee must design, install and maintain effective erosion controls and sediment controls to minimize the discharge of pollutants. At a minimum, the Permittee must design, install and maintain such controls to: a. Construct sediment control BMPs (sediment ponds, traps, filters, infiltration facilities, etc.) as one of the first steps in grading. These BMPs must be functional before other land disturbing activities take place. b. Minimize sediment discharges from the site. The design, installation and maintenance of erosion and sediment controls must address factors such as the amount, frequency, intensity and duration of precipitation, the nature of resulting stormwater runoff, and soil characteristics, including the range of soil particle sizes expected to be present on the site. c. Direct stormwater runoff from disturbed areas through a sediment pond or other appropriate sediment removal BMP, before the runoff leaves a construction site or before discharge to an infiltration facility. Runoff from fully stabilized areas may be discharged without a sediment removal BMP, but must meet the flow control performance standard of Special Condition S9.D.3.a. d. Locate BMPs intended to trap sediment on site in a manner to avoid interference with the movement of juvenile salmonids attempting to enter off -channel areas or drainages. e. Provide and maintain natural buffers around surface waters, direct stormwater to vegetated areas to increase sediment removal and maximize stonnwater infiltration, unless infeasible. f. Where feasible, design outlet structures that withdraw impounded stormwater from the surface to avoid discharging sediment that is still suspended lower in the water column. 5. Stabilize Soils a. The Permittee must stabilize exposed and unworked soils by application of effective BMPs that prevent erosion. Applicable BMPs include, but are not limited to: temporary and permanent seeding, sodding, mulching, plastic covering, erosion control fabrics and matting, soil application of polyacrylamide Construction Stornnr;acr Grneru( Pernrii Pave 30 (PAM), the early application of gravel base on areas to be paved, and dust control. b. The Permittee must control stormwater volume and velocity within the site to minimize soil erosion. c. The Permittee must control stormwater discharges, including both peak flow rates and total stormwater volume, to minimize erosion at outlets and to minimize downstream channel and stream bank erosion. d. Depending on the geographic location of the project, the Permittee must not allow soils to remain exposed and unworked for more than the time periods set forth below to prevent erosion: West of the Cascade Mountains Crest During the dry season (May 1 - September 30): 7 days During the wet season (October 1 - April 30): 2 days East of the Cascade Mountains Crest, except for Central Basin* During the dry season (July 1 - September 30): 10 days During the wet season (October 1 - June 30): 5 days The Central Basin*, East of the Cascade Mountains Crest During the dry season (July 1 - September 30): 30 days During the wet season (October 1 - June 30): 15 days *Note: The Central Basin is defined as the portions of Eastern Washington with mean annual precipitation of less than 12 inches. e. The Permittee must stabilize soils at the end of the shift before a holiday or weekend if needed based on the weather forecast. f. The Permittee must stabilize soil stockpiles from erosion, protected with sediment trapping measures, and where possible, be located away from storm drain inlets, waterways, and drainage channels. g. The Permittee must minimize the amount of soil exposed during construction activity. h. The Permittee must minimize the disturbance of steep slopes. i. The Permittee must minimize soil compaction and, unless infeasible, preserve topsoil. b. Protect Slopes a. The Permittee must design and construct cut -and -fill slopes in a manner to minimize erosion. Applicable practices include, but are not limited to, reducing continuous length of slope with terracing and diversions, reducing slope steepness, and roughening slope surfaces (for example, track walking). Cunstruc°tion Stornaruter General Permit Pa, —Ye 31 b. The Perm ittee must divert off -site stormwater (run-on) or groundwater away from slopes and disturbed areas with interceptor dikes, pipes, and/or swales. Off -site stormwater should be managed separately from stormwater generated on the site. c. At the top of slopes, collect drainage in pipe slope drains or protected channels to prevent erosion. West of the Cascade Mountains Crest: Temporary pipe slope drains must handle the peak 10-minute flow rate from a Type IA, 10-year, 24-hour frequency storm for the developed condition. Alternatively, the 10-year, I -hour flow rate predicted by an approved continuous runoff model, increased by a factor of l .6, may be used. The hydrologic analysis must use the existing land cover condition for predicting flow rates from tributary areas outside the project limits. For tributary areas on the project site, the analysis must use the temporary or permanent project land cover condition, whichever will produce the highest flow rates. If using the Western Washington Hydrology Model (W WHM) to predict flows, bare soil areas should be modeled as "landscaped area." East of the Cascade Mountains Crest: Temporary pipe slope drains must handle the expected peak flow rate from a 6-month, 3-hour storm for the developed condition, referred to as the short duration storm. d. Place excavated material on the uphill side of trenches, consistent with safety and space considerations. e. Place check dams at regular intervals within constructed channels that are cut down a slope. Protect Drain Inlets a. Protect all storm drain inlets made operable during construction so that stormwater runoff does not enter the conveyance system without first being filtered or treated to remove sediment. Clean or remove and replace inlet protection devices when sediment has filled one-third of the available storage (unless a different standard is specified by the product manufacturer). 8. Stabilize Channels and Outlets a. Design, construct and stabilize all on -site conveyance channels to prevent erosion from the following expected peak flows: West of the Cascade Mountains Crest: Channels must handle the peak 10-minute flow rate from a Type IA, 10-year, 24-hour frequency storm for the developed condition. Alternatively, the I 0-year, l -hour flow rate indicated by an approved continuous runoff model, increased by a factor of 1.6, may be used. The hydrologic analysis must use the existing land Construction Stormnruter General Permit PaL,e 32 cover condition for predicting flow rates from tributary areas outside the project limits. For tributary areas on the project site, the analysis must use the temporary or permanent project land cover condition, whichever will produce the highest flow rates. If using the W WHM to predict flows, bare soil areas should be modeled as "landscaped area." ii. East of the Cascade Mountains Crest: Channels must handle the expected peak flow rate from a 6-month, 3-hour storm for the developed condition, referred to as the short duration storm. b. Provide stabilization, including armoring material, adequate to prevent erosion of outlets, adjacent stream banks, slopes, and downstream reaches at the outlets of all conveyance systems. Control Pollutants Design, install, implement and maintain effective pollution prevention measures to minimize the discharge of pollutants. The Permittee must: a. Handle and dispose of all pollutants, including waste materials and demolition debris that occur on site in a manner that does not cause contamination of stor. nwater. b. Provide cover, containment, and protection from vandalism for all chemicals, liquid products, petroleum products, and other materials that have the potential to pose a threat to human health or the environment. On -site fueling tanks must include secondary containment. Secondary containment means placing tanks or containers within an impervious structure capable of containing 110% of the volume contained in the largest tank within the containment structure. Double - walled tanks do not require additional secondary containment. c. Conduct maintenance, fueling, and repair of heavy equipment and vehicles using spill prevention and control measures. Clean contaminated surfaces immediately following any spill incident. d. Discharge wheel wash or tire bath wastewater to a separate on -site treatment system that prevents discharge to surface water, such as closed -loop recirculation or upland land application, or to the sanitary sewer with local sewer district approval. e. Apply fertilizers and pesticides in a manner and at application rates that will not result in loss of chemical to stormwater runoff. Follow manufacturers' label requirements for application rates and procedures. f. Use BMPs to prevent contamination of stormwater runoff by pH -modifying sources. The sources for this contamination include, but are not limited to: bulk cement, cement kiln dust, fly ash, new concrete washing and curing waters, recycled concrete stockpiles, waste streams generated from concrete grinding and sawing, exposed aggregate processes, dewatering concrete vaults, concrete Construction Siornnvater Genera! Permit Pale 33 pumping and mixer washout waters. (Also refer to the definition for "concrete wastewater" in Appendix A --Definitions.) g. Adjust the pH of stormwater or authorized non-stormwater if necessary to prevent an exceedance of groundwater and/or surface water quality standards. h. Assure that washout of concrete trucks is performed off -site or in designated concrete washout areas only. Do not wash out concrete trucks or concrete handling equipment onto the ground, or into storm drains, open ditches, streets, or streams. Do not dump excess concrete on site, except in designated concrete washout areas. Concrete spillage or concrete discharge to surface waters of the State is prohibited. i. Obtain written approval from Ecology before using any chemical treatment, with the exception of CO2 or dry ice used to adjust pH. Uncontaminated water from water -only based shaft drilling for construction of building, road, and bridge foundations may be infiltrated provided the wastewater is managed in a way that prohibits discharge to surface waters. Prior to infiltration, water from water -only based shaft drilling that comes into contact with curing concrete must be neutralized until pH is in the range of 6.5 to 8.5 (su). 10. Control Dewatering a. Permittees must discharge foundation, vault, and trench dewatering water, which have characteristics similar to stormwater runoff at the site, into a controlled conveyance system before discharge to a sediment trap or sediment pond. b. Permittees may discharge clean, non -turbid dewatering water, such as well - point ground water, to systems tributary to, or directly into surface waters of the State, as specified in Special Condition S9.D.8, provided the dewatering flow does not cause erosion or flooding of receiving waters. Do not route clean dewatering water through stormwater sediment ponds. Note that "surface waters of the State" may exist on a construction site as well as off site; for example, a creek running through a site. c. Other dewatering treatment or disposal options may include: i. Infiltration. ii. Transport off site in a vehicle, such as a vacuum flush truck, for legal disposal in a manner that does not pollute state waters. iii. Ecology -approved on -site chemical treatment or other suitable treatment technologies (see S9.D.9.i. regarding chemical treatment written approval). iv. Sanitary or combined sewer discharge with local sewer district approval, if there is no other option. Construclion Stormwater General Permit Paae 34 V. Use of a sedimentation bag with discharge to a ditch or swale for small volumes of localized dewatering. d. Permittees must handle highly turbid or contaminated dewatering water separately from stormwater. H . Maintain BMPs a. Permittees must maintain and repair all temporary and permanent erosion and sediment control BMPs as needed to assure continued performance of their intended function in accordance with BMP specifications. b. Permittees must remove all temporary erosion and sediment control BMPs within 30 days after achieving final site stabilization or after the temporary BMPs are no longer needed. 12. Manage the Project a. Phase development projects to the maximum degree practicable and take into account seasonal work limitations. b. Inspection and monitoring — Inspect, maintain and repair all BMPs as needed to assure continued performance of their intended function. Conduct site inspections and monitoring in accordance with Special Condition S4. c. Maintaining an updated construction SWPPP — Maintain, update, and implement the SWPPP in accordance with Special Conditions S3, S4 and S9. 13. Protect Low Impact Development (LID) BMPs The primary purpose of LID BMPs/On-site LID Stormwater Management BMPs is to reduce the disruption of the natural site hydrology. LID BMPs are permanent facilities. a. Permittees must protect all Bioretention and Rain Garden facilities from sedimentation through installation and maintenance of erosion and sediment control BMPs on portions of the site that drain into the Bioretention and/or Rain Garden facilities. Restore the facilities to their fully functioning condition if they accumulate sediment during construction. Restoring the facility must include removal of sediment and any sediment -laden Bioretention/Rain Garden soils, and replacing the removed soils with soils meeting the design specification. b. Pennittees must maintain the infiltration capabilities of Bioretention and Rain Garden facilities by protecting against compaction by construction equipment and foot traffic. Protect completed lawn and landscaped areas from compaction due to construction equipment. c. Permittees must control erosion and avoid introducing sediment from surrounding land uses onto permeable pavements. Do not allow muddy Construction Stornnviaer Genera! Permit Paue 35 construction equipment on the base material or pavement. Do not allow sediment -laden runoff onto permeable pavements. d. Permittees must clean permeable pavements fouled with sediments or no longer passing an initial infiltration test using local stormwater manual methodology or the manufacturer's procedures. e. Permittees must keep all heavy equipment off existing soils under LID facilities that have been excavated to final grade to retain the infiltration rate of the soils. E. SWPPP — Map Contents and Requirements The Permittee's SWPPP must also include a vicinity map or general location map (for example, a USGS quadrangle map, a portion of a county or city map, or other appropriate map) with enough detail to identify the location of the construction site and receiving waters within one mile of the site. The SWPPP must also include a legible site map (or maps) showing the entire construction site. The following features must be identified, unless not applicable due to site conditions: The direction of north, property lines, and existing structures and roads. 2. Cut and fill slopes indicating the top and bottom of slope catch lines. 3. Approximate slopes, contours, and direction of stormwater flow before and after major grading activities. 4. Areas of soil disturbance and areas that will not be disturbed. Locations of structural and nonstructural controls (BMPs) identified in the SWPPP. 6. Locations of off -site material, stockpiles, waste storage, borrow areas, and vehicle/equipment storage areas. Locations of all surface water bodies, including wetlands. Locations where stormwater or non-stormwater discharges off -site and/or to a surface waterbody, including wetlands. 9. Location of water quality sampling station(s), if sampling is required by state or local permitting authority. 10. Areas where final stabilization has been accomplished and no further construction - phase permit requirements apply. 11. Location or proposed location of LID facilities. Construc-tion Slorniu.uter Generul Permit Pane 36 S10. NOTICE OF TERMINATION A. The site is eligible for termination of coverage when it has met any of the following conditions: 1. The site has undergone final stabilization, the Permittee has removed all temporary BMPs (except biodegradable BMPs clearly manufactured with the intention for the material to be left in place and not interfere with maintenance or land use), and all stormwater discharges associated with construction activity have been eliminated; or 2. All portions of the site that have not undergone final stabilization per Special Condition S I O.A.1 have been sold and/or transferred (per General Condition G9), and the Permittee no longer has operational control of the construction activity; or 3. For residential construction only, the Permittee has completed temporary stabilization and the homeowners have taken possession of the residences. B. When the site is eligible for termination, the Permittee must submit a complete and accurate Notice of Termination (NOT) form, signed in accordance with General Condition G2, to: Department of Ecology Water Quality Program — Construction Stormwater PO Box 47696 Olympia, Washington 98504-7696 When an electronic termination form is available, the Permittee may choose to submit a complete and accurate Notice of Termination (NOT) form through the Water Quality Permitting Portal rather than mailing a hardcopy as noted above. The termination is effective on the thirty-first calendar day following the date Ecology receives a complete NOT form, unless Ecology notifies the Permittee that the termination request is denied because the Permittee has not met the eligibility requirements in Special Condition SIO.A. Permittees are required to comply with all conditions and effluent limitations in the permit until the permit has been terminated. Permittees transferring the property to a new property owner or operator/Permittee are required to complete and submit the Notice of Transfer form to Ecology, but are not required to submit a Notice of Termination form for this type of transaction. Construction Srornivrene r General Permit PaL7e 37 GENERAL CONDITIONS GI. DISCHARGE VIOLATIONS All discharges and activities authorized by this general permit must be consistent with the terms and conditions of this general permit. Any discharge of any pollutant more frequent than or at a level in excess of that identified and authorized by the general permit must constitute a violation of the terms and conditions of this permit. G2. SIGNATORY REQUIREMENTS A. All permit applications must bear a certification of correctness to be signed: In the case of corporations, by a responsible corporate officer; 2. In the case of a partnership, by a general partner of a partnership; 3. In the case of sole proprietorship, by the proprietor; or 4. In the case of a municipal, state, or other public facility, by either a principal executive officer or ranking elected official. B. All reports required by this permit and other information requested by Ecology (including NOIs, NOTs, and Transfer of Coverage forms) must be signed by a person described above or by a duly authorized representative of that person. A person is a duly authorized representative only if. The authorization is made in writing by a person described above and submitted to Ecology. The authorization specifies either an individual or a position having responsibility for the overall operation of the regulated facility, such as the position of plant manager, superintendent, position of equivalent responsibility, or an individual or position having overall responsibility for environmental matters. C. Changes to authorization. If an authorization under paragraph G2.B.2 above is no longer accurate because a different individual or position has responsibility for the overall operation of the facility, a new authorization satisfying the requirements of paragraph G2.B.2 above must be submitted to Ecology prior to or together with any reports, information, or applications to be signed by an authorized representative. D. Certification. Any person signing a document under this section must make the following certification: "I certify under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering information, the information submitted is, to the best of my Contsrruction Stortm cater General Pernut Pau, e 38 knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations." G3. RIGHT OF INSPECTION AND ENTRY The Permittee must allow an authorized representative of Ecology, upon the presentation of credentials and such other documents as may be required by law: A. To enter upon the premises where a discharge is located or where any records are kept under the terms and conditions of this permit. B. To have access to and copy — at reasonable times and at reasonable cost — any records required to be kept under the terms and conditions of this permit. C. To inspect — at reasonable times — any facilities, equipment (including monitoring and control equipment), practices, methods, or operations regulated or required under this permit. D. To sample or monitor — at reasonable times — any substances or parameters at any location for purposes of assuring permit compliance or as otherwise authorized by the Clean Water Act. G4. GENERAL PERMIT MODIFICATION AND REVOCATION This permit may be modified, revoked and reissued, or terminated in accordance with the provisions of Chapter 173-226 WAC. Grounds for modification, revocation and reissuance, or termination include, but are not limited to, the following: A. When a change occurs in the technology or practices for control or abatement of pollutants applicable to the category of dischargers covered under this permit. B. When effluent limitation guidelines or standards are promulgated pursuant to the CWA or Chapter 90.48 RCW, for the category of dischargers covered under this permit. C. When a water quality management plan containing requirements applicable to the category of dischargers covered under this permit is approved, or D. When information is obtained that indicates cumulative effects on the environment from dischargers covered under this permit are unacceptable. G5. REVOCATION OF COVERAGE UNDER THE PERMIT Pursuant to Chapter 43.21 B RCW and Chapter 173-226 WAC, the Director may terminate coverage for any discharger under this permit for cause. Cases where coverage may be tenninated include, but are not limited to, the following: A. Violation of any term or condition of this permit. B. Obtaining coverage under this permit by misrepresentation or failure to disclose fully all relevant facts. Construc-tion Storniw afer Genera! Permit Pa_e 39 C. A change in any condition that requires either a temporary or permanent reduction or elimination of the permitted discharge. D. Failure or refusal of the Permittee to allow entry as required in RCW 90.48.090. E. A determination that the permitted activity endangers human health or the environment, or contributes to water quality standards violations. F. Nonpayment of permit fees or penalties assessed pursuant to RCW 90.48.465 and Chapter 173-224 WAC. G. Failure of the Permittee to satisfy the public notice requirements of WAC 173-226- 130(5), when applicable. The Director may require any discharger under this permit to apply for and obtain coverage under an individual permit or another more specific general permit. Permittees who have their coverage revoked for cause according to WAC 173-226-240 may request temporary coverage under this permit during the time an individual permit is being developed, provided the request is made within ninety (90) days from the time of revocation and is submitted along with a complete individual permit application form. G6. REPORTING A CAUSE FOR MODIFICATION The Permittee must submit a new application, or a supplement to the previous application, whenever a material change to the construction activity or in the quantity or type of discharge is anticipated which is not specifically authorized by this permit. This application must be submitted at least sixty (60) days prior to any proposed changes. Filing a request for a permit modification, revocation and reissuance, or termination, or a notification of planned changes or anticipated noncompliance does not relieve the Permittee of the duty to comply with the existing permit until it is modified or reissued. G7. COMPLIANCE WITH OTHER LAWS AND STATUTES Nothing in this permit will be construed as excusing the Permittee from compliance with any applicable federal, state, or local statutes, ordinances, or regulations. G8. DUTY TO REAPPLY The Permittee must apply for permit renewal at least 180 days prior to the specified expiration date of this permit. The Permittee must reapply using the electronic application form (NOI) available on Ecology's website. Permittees unable to submit electronically (for example, those who do not have an internet connection) must contact Ecology to request a waiver and obtain instructions on how to obtain a paper N01. Department of Ecology Water Quality Program - Construction Stormwater PO Box 47696 Olympia, Washington 98504-7696 Construction Stortnnruler General Permi! Pare 40 G9. TRANSFER OF GENERAL PERMIT COVERAGE Coverage under this general permit is automatically transferred to a new discharger, including operators of lots/parcels within a common plan of development or sale, if: A. A written agreement (Transfer of Coverage Form) between the current discharger (Permittee) and new discharger, signed by both parties and containing a specific date for transfer of permit responsibility, coverage, and liability (including any Administrative Orders associated with the Permit) is submitted to the Director; and B. The Director does not notify the current discharger and new discharger of the Director's intent to revoke coverage under the general permit. If this notice is not given, the transfer is effective on the date specified in the written agreement. When a current discharger (Permittee) transfers a portion of a permitted site, the current discharger must also submit an updated application form (NO]) to the Director indicating the remaining permitted acreage after the transfer. G10. REMOVED SUBSTANCES The Permittee must not re -suspend or reintroduce collected screenings, grit, solids, sludges, filter backwash, or other pollutants removed in the course of treatment or control of stormwater to the final effluent stream for discharge to state waters. G11. DUTY TO PROVIDE INFORMATION The Permittee must submit to Ecology, within a reasonable time, all information that Ecology may request to determine whether cause exists for modifying, revoking and reissuing, or terminating this permit or to determine compliance with this permit. The Permittee must also submit to Ecology, upon request, copies of records required to be kept by this permit [40 CFR 122.41(h)]. G12. OTHER REQUIREMENTS OF 40 CFR All other requirements of 40 CFR 122.41 and 122.42 are incorporated in this pen -nit by reference. G13. ADDITIONAL MONITORING Ecology may establish specific monitoring requirements in addition to those contained in this permit by administrative order or permit modification. G14. PENALTIES FOR VIOLATING PERMIT CONDITIONS Any person who is found guilty of willfully violating the terms and conditions of this permit shall be deemed guilty of a crime, and upon conviction thereof shall be punished by a fine of up to ten thousand dollars ($10,000) and costs of prosecution, or by imprisonment at the discretion of the court. Each day upon which a willful violation occurs may be deemed a separate and additional violation. Construction Stornnvater General Permit Pai_e 41 Any person who violates the terms and conditions of a waste discharge permit shall incur, in addition to any other penalty as provided by law, a civil penalty in the amount of up to ten thousand dollars ($10,000) for every such violation. Each and every such violation shall be a separate and distinct offense, and in case of a continuing violation, every day's continuance shall be deemed to be a separate and distinct violation. G15. UPSET Definition — "Upset" means an exceptional incident in which there is unintentional and temporary noncompliance with technology -based permit effluent limitations because of factors beyond the reasonable control of the Permittee. An upset does not include noncompliance to the extent caused by operational error, improperly designed treatment facilities, inadequate treatment facilities, lack of preventive maintenance, or careless or improper operation. An upset constitutes an affirmative defense to an action brought for noncompliance with such technology -based permit effluent limitations if the requirements of the following paragraph are met. A Permittee who wishes to establish the affirmative defense of upset must demonstrate, through properly signed, contemporaneous operating logs or other relevant evidence that: 1) an upset occurred and that the Permittee can identify the cause(s) of the upset; 2) the permitted facility was being properly operated at the time of the upset; 3) the Permittee submitted notice of the upset as required in Special Condition S51, and; 4) the Permittee complied with any remedial measures required under this permit. In any enforcement proceeding, the Permittee seeking to establish the occurrence of an upset has the burden of proof. G16. PROPERTY RIGHTS This permit does not convey any property rights of any sort, or any exclusive privilege. G17. DUTY TO COMPLY The Permittee must comply with all conditions of this permit. Any permit noncompliance constitutes a violation of the Clean Water Act and is grounds for enforcement action; for permit termination, revocation and reissuance, or modification; or denial of a permit renewal application. G18. TOXIC POLLUTANTS The Permittee must comply with effluent standards or prohibitions established under Section 307(a) of the Clean Water Act for toxic pollutants within the time provided in the regulations that establish those standards or prohibitions, even if this permit has not yet been modified to incorporate the requirement. Constr •than Slor•nnvuter General Per nzil Paige 42 G19. PENALTIES FOR TAMPERING The Clean Water Act provides that any person who falsifies, tampers with, or knowingly renders inaccurate any monitoring device or method required to be maintained under this permit shall, upon conviction, be punished by a fine of not more than $10,000 per violation, or by imprisonment for not more than two years per violation, or by both. If a conviction of a person is for a violation committed after a first conviction of such person under this condition, punishment shall be a fine of not more than $20,000 per day of violation, or imprisonment of not more than four (4) years, or both. G20. REPORTING PLANNED CHANGES The Permittee must, as soon as possible, give notice to Ecology of planned physical alterations, modifications or additions to the permitted construction activity. The Permittee should be aware that, depending on the nature and size of the changes to the original permit, a new public notice and other permit process requirements may be required. Changes in activities that require reporting to Ecology include those that will result in: A. The permitted facility being determined to be a new source pursuant to 40 CFR 122.29(b). B. A significant change in the nature or an increase in quantity of pollutants discharged, including but not limited to: for sites 5 acres or larger, a 20% or greater increase in acreage disturbed by construction activity. C. A change in or addition of surface water(s) receiving stormwater or non-stormwater from the construction activity. D. A change in the construction plans and/or activity that affects the Permittee's monitoring requirements in Special Condition S4. Following such notice, permit coverage may be modified, or revoked and reissued pursuant to 40 CFR 122.62(a) to specify and limit any pollutants not previously limited. Until such modification is effective, any new or increased discharge in excess of permit limits or not specifically authorized by this permit constitutes a violation. G21. REPORTING OTHER INFORMATION Where the Permittee becomes aware that it failed to submit any relevant facts in a permit application, or submitted incorrect information in a permit application or in any report to Ecology, it must promptly submit such facts or information. G22. REPORTING ANTICIPATED NON-COMPLIANCE The Permittee must give advance notice to Ecology by submission of a new application or supplement thereto at least forty-five (45) days prior to commencement of such discharges, of any facility expansions, production increases, or other planned changes, such as process modifications, in the permitted facility or activity which may result in noncompliance with permit limits or conditions. Any maintenance of facilities, which might necessitate Construction SlornrN.crler Genercil Permit Page 43 unavoidable interruption of operation and degradation of effluent quality, must be scheduled during non -critical water quality periods and carried out in a manner approved by Ecology. G23. REQUESTS TO BE EXCLUDED FROM COVERAGE UNDER THE PERMIT Any discharger authorized by this permit may request to be excluded from coverage under the general permit by applying for an individual permit. The discharger must submit to the Director an application as described in WAC 173-220-040 or WAC 173-216-070, whichever is applicable, with reasons supporting the request. These reasons will fully document how an individual permit will apply to the applicant in a way that the general permit cannot. Ecology may make specific requests for information to support the request. The Director will either issue an individual permit or deny the request with a statement explaining the reason for the denial. When an individual permit is issued to a discharger otherwise subject to the construction stormwater general permit, the applicability of the construction stormwater general permit to that Permittee is automatically terminated on the effective date of the individual permit. G24. APPEALS A. The terms and conditions of this general permit, as they apply to the appropriate class of dischargers, are subject to appeal by any person within 30 days of issuance of this general permit, in accordance with Chapter 43.21 B RCW, and Chapter 173-226 WAC. B. The terms and conditions of this general permit, as they apply to an individual discharger, are appealable in accordance with Chapter 43.21 B RCW within 30 days of the effective date of coverage of that discharger. Consideration of an appeal of general permit coverage of an individual discharger is limited to the general permit's applicability or nonapplicability to that individual discharger. C. The appeal of general permit coverage of an individual discharger does not affect any other dischargers covered under this general permit. If the terms and conditions of this general permit are found to be inapplicable to any individual discharger(s), the matter shall be remanded to Ecology for consideration of issuance of an individual permit or permits. G25. SEVERABILITY The provisions of this permit are severable, and if any provision of this permit, or application of any provision of this permit to any circumstance, is held invalid, the application of such provision to other circumstances, and the remainder of this permit shall not be affected thereby. G26. BYPASS PROHIBITED A. Bypass Procedures Bypass, which is the intentional diversion of waste streams from any portion of a treatment facility, is prohibited for stormwater events below the design criteria for Construction Storniwvier General Permit Paae 44 stormwater management. Ecology may take enforcement action against a Permittee for bypass unless one of the following circumstances (1, 2, 3 or 4) is applicable. 1. Bypass of stormwater is consistent with the design criteria and part of an approved management practice in the applicable stormwater management manual. 2. Bypass for essential maintenance without the potential to cause violation of permit limits or conditions. Bypass is authorized if it is for essential maintenance and does not have the potential to cause violations of limitations or other conditions of this permit, or adversely impact public health. 3. Bypass of stormwater is unavoidable, unanticipated, and results in noncompliance of this permit. This bypass is permitted only if: a. Bypass is unavoidable to prevent loss of life, personal injury, or severe property damage. "Severe property damage" means substantial physical damage to property, damage to the treatment facilities which would cause them to become inoperable, or substantial and permanent loss of natural resources which can reasonably be expected to occur in the absence of a bypass. b. There are no feasible alternatives to the bypass, such as the use of auxiliary treatment facilities, retention of untreated wastes, maintenance during normal periods of equipment downtime (but not if adequate backup equipment should have been installed in the exercise of reasonable engineering judgment to prevent a bypass which occurred during normal periods of equipment downtime or preventative maintenance), or transport of untreated wastes to another treatment facility. c. Ecology is properly notified of the bypass as required in Special Condition S51 of this permit. 4. A planned action that would cause bypass of stormwater and has the potential to result in noncompliance of this permit during a storm event. The Permittee must notify Ecology at least thirty (30) days before the planned date of bypass. The notice must contain: a. A description of the bypass and its cause. b. An analysis of all known alternatives which would eliminate, reduce, or mitigate the need for bypassing. c. A cost-effectiveness analysis of alternatives including comparative resource damage assessment. d. The minimum and maximum duration of bypass under each alternative. e. A recommendation as to the preferred alternative for conducting the bypass. Construction Stornnruter Goierul Permit Page 45 f. The projected date of bypass initiation. g. A statement of compliance with SEPA. h. A request for modification of water quality standards as provided for in WAC 173-201 A-] 10, if an exceedance of any water quality standard is anticipated. Steps taken or planned to reduce, eliminate, and prevent reoccurrence of the bypass. For probable construction bypasses, the need to bypass is to be identified as early in the planning process as possible. The analysis required above must be considered during preparation of the Stormwater Pollution Prevention Plan (SWPPP) and must be included to the extent practical. In cases where the probable need to bypass is determined early, continued analysis is necessary up to and including the construction period in an effort to minimize or eliminate the bypass. Ecology will consider the following before issuing an administrative order for this type bypass: a. If the bypass is necessary to perform construction or maintenance -related activities essential to meet the requirements of this permit. b. If there are feasible alternatives to bypass, such as the use of auxiliary treatment facilities, retention of untreated wastes, stopping production, maintenance during normal periods of equipment down time, or transport of untreated wastes to another treatment facility. c. If the bypass is planned and scheduled to minimize adverse effects on the public and the environment. After consideration of the above and the adverse effects of the proposed bypass and any other relevant factors, Ecology will approve, conditionally approve, or deny the request. The public must be notified and given an opportunity to comment on bypass incidents of significant duration, to the extent feasible. Approval of a request to bypass will be by administrative order issued by Ecology under RCW 90.48.120. B. Duty to Mitigate The Permittee is required to take all reasonable steps to minimize or prevent any discharge or sludge use or disposal in violation of this permit that has a reasonable likelihood of adversely affecting human health or the environment. C onstl'1{C' ion Slornm ier General PernIfl Pace 46 APPENDIX A - DEFINITIONS AKART is an acronym for "all known, available, and reasonable methods of prevention, control, and treatment." AKART represents the most current methodology that can be reasonably required for preventing, controlling, or abating the pollutants and controlling pollution associated with a discharge. Applicable TMDL means a TMDL for turbidity, fine sediment, high pH, or phosphorus, which was completed and approved by EPA before January 1, 2016, or before the date the operator's complete permit application is received by Ecology, whichever is later. Applicant means an operator seeking coverage under this permit. Benchmark means a pollutant concentration used as a permit threshold, below which a pollutant is considered unlikely to cause a water quality violation, and above which it may. When pollutant concentrations exceed benchmarks, corrective action requirements take effect. Benchmark values are not water quality standards and are not numeric effluent limitations; they are indicator values. Best Management Practices (BMPs) means schedules of activities, prohibitions of practices, maintenance procedures, and other physical, structural and/or managerial practices to prevent or reduce the pollution of waters of the State. BMPs include treatment systems, operating procedures, and practices to control: stormwater associated with construction activity, spillage or leaks, sludge or waste disposal, or drainage from raw material storage. Buffer means an area designated by a Iocal jurisdiction that is contiguous to and intended to protect a sensitive area. Bypass means the intentional diversion of waste streams from any portion of a treatment facility. Calendar Day A period of 24 consecutive hours starting at 12:00 midnight and ending the following 12:00 midnight. Calendar Week (same as Week) means a period of seven consecutive days starting at 12:01 a.m. (0:01 hours) on Sunday. Certified Erosion and Sediment Control Lead (CESCL) means a person who has current certification through an approved erosion and sediment control training program that meets the minimum training standards established by Ecology (see BMP C160 in the SWMM). Chemical Treatment means the addition of chemicals to stormwater and/or authorized non- stormwater prior to filtration and discharge to surface waters. Clean Water Act (CWA) means the Federal Water Pollution Control Act enacted by Public Law 92-500, as amended by Public Laws 95-217, 95-576, 96-483, and 97-117; USC 1251 et seq. Combined Sewer means a sewer which has been designed to serve as a sanitary sewer and a storm sewer, and into which inflow is allowed by local ordinance. Consnwction Stornivvater Crencral Permit Pa-e 47 Common Plan of Development or Sale means a site where multiple separate and distinct construction activities may be taking place at different times on different schedules and/or by different contractors, but still under a single plan. Examples include: 1) phased projects and projects with multiple filings or lots, even if the separate phases or filings/lots will be constructed under separate contract or by separate owners (e.g., a development where lots are sold to separate builders); 2) a development plan that may be phased over multiple years, but is still under a consistent plan for long-term development; 3) projects in a contiguous area that may be unrelated but still under the same contract, such as construction of a building extension and a new parking lot at the same facility; and 4) linear projects such as roads, pipelines, or utilities. If the project is part of a common plan of development or sale, the disturbed area of the entire plan must be used in determining permit requirements. Composite Sample means a mixture of grab samples collected at the same sampling point at different times, formed either by continuous sampling or by mixing discrete samples. May be "time -composite" (collected at constant time intervals) or "flow -proportional" (collected either as a constant sample volume at time intervals proportional to stream flow, or collected by increasing the volume of each aliquot as the flow increases while maintaining a constant time interval between the aliquots. Concrete Wastewater means any water used in the production, pouring and/or clean-up of concrete or concrete products, and any water used to cut, grind, wash, or otherwise modify concrete or concrete products. Examples include water used for or resulting from concrete truck/mixer/pumper/tool/chute rinsing or washing, concrete saw cutting and surfacing (sawing, coring, grinding, roughening, hydro -demolition, bridge and road surfacing). When stormwater comingles with concrete wastewater, the resulting water is considered concrete wastewater and must be managed to prevent discharge to waters of the State, including groundwater. Construction Activity means land disturbing operations including clearing, grading or excavation which disturbs the surface of the land. Such activities may include road construction, construction of residential houses, office buildings, or industrial buildings, site preparation, soil compaction, movement and stockpiling of topsoils, and demolition activity. Contaminant means any hazardous substance that does not occur naturally or occurs at greater than natural background levels. See definition of "hazardous substance" and WAC 173-340-200. Contaminated Soil means soil which contains contaminants, pollutants, or hazardous substances that do not occur naturally or occur at levels greater than natural background. Contaminated Groundwater means groundwater which contains contaminants, pollutants, or hazardous substances that do not occur naturally or occur at levels greater than natural background. Demonstrably Equivalent means that the technical basis for the selection of all stormwater BMPs is documented within a SWPPP, including: 1. The method and reasons for choosing the stormwater BMPs selected. Construction Sternnvaier General Permit Paue 48 2. The pollutant removal performance expected from the BMPs selected. 3. The technical basis supporting the performance claims for the BMPs selected, including any available data concerning field performance of the BMPs selected. 4. An assessment of how the selected BMPs will comply with state water quality standards. 5. An assessment of how the selected BMPs will satisfy both applicable federal technology - based treatment requirements and state requirements to use all known, available, and reasonable methods of prevention, control, and treatment (AKART). Department means the Washington State Department of Ecology. Detention means the temporary storage of stormwater to improve quality and/or to reduce the mass flow rate of discharge. Dewatering means the act of pumping groundwater or stormwater away from an active construction site. Director means the Director of the Washington State Department of Ecology or his/her authorized representative. Discharger means an owner or operator of any facility or activity subject to regulation under Chapter 90.48 RCW or the Federal Clean Water Act. Domestic Wastewater means water carrying human wastes, including kitchen, bath, and laundry wastes from residences, buildings, industrial establishments, or other places, together with such ground water infiltration or surface waters as may be present. Ecology means the Washington State Department of Ecology. Engineered Soils means the use of soil amendments including, but not limited, to Portland cement treated base (CTB), cement kiln dust (CKD), or fly ash to achieve certain desirable soil characteristics. Equivalent BMPs means operational, source control, treatment, or innovative BMPs which result in equal or better quality of stormwater discharge to surface water or to groundwater than BMPs selected from the SWMM. Erosion means the wearing away of the land surface by running water, wind, ice, or other geological agents, including such processes as gravitational creep. Erosion and Sediment Control BMPs means BMPs intended to prevent erosion and sedimentation, such as preserving natural vegetation, seeding, mulching and matting, plastic covering, filter fences, sediment traps, and ponds. Erosion and sediment control BMPs are synonymous with stabilization and structural BMPs. Federal Operator is an entity that meets the definition of "Operator" in this permit and is either any department, agency or instrumentality of the executive, legislative, and judicial branches of Construc lion StorntFrafer General Permit Patle 49 the Federal government of the United States, or another entity, such as a private contractor, performing construction activity for any such department, agency, or instrumentality. Final Stabilization (same as fully stabilized or full stabilization) means the establishment of a permanent vegetative cover, or equivalent permanent stabilization measures (examples of permanent non -vegetative stabilization methods include, but are not limited to riprap, gabions or geotextiles) which prevents erosion. Ground Water means water in a saturated zone or stratum beneath the land surface or a surface waterbody. Hazardous Substance means any dangerous or extremely hazardous waste as defined in RCW 70.105.010 (5) and (6), or any dangerous or extremely dangerous waste as designated by rule under chapter 70.105 RCW; any hazardous substance as defined in RCW 70.105.010(10) or any hazardous substance as defined by rule under chapter 70.105 RCW; any substance that, on the effective date of this section, is a hazardous substance under section 101(14) of the federal cleanup law, 42 U.S.C., Sec. 9601(14); petroleum or petroleum products; and any substance or category of substances, including solid waste decomposition products, determined by the director by rule to present a threat to human health or the environment if released into the environment. The term hazardous substance does not include any of the following when contained in an underground storage tank from which there is not a release: crude oil or any fraction thereof or petroleum, if the tank is in compliance with all applicable federal, state, and local law. Injection Well means a well that is used for the subsurface emplacement of fluids. (See Well.) Jurisdiction means a political unit such as a city, town or county; incorporated for local self- government. National Pollutant Discharge Elimination System (NPDES) means the national program for issuing, modifying, revoking and reissuing, terminating, monitoring, and enforcing permits, and imposing and enforcing pretreatment requirements, under sections 307, 402, 318, and 405 of the Federal Clean Water Act, for the discharge of pollutants to surface waters of the State from point sources. These permits are referred to as NPDES permits and, in Washington State, are administered by the Washington State Department of Ecology. Notice of Intent (NOI) means the application for, or a request for coverage under this general permit pursuant to WAC 173-226-200. Notice of Termination (NOT) means a request for termination of coverage under this general permit as specified by Special Condition S10 of this permit. Operator means any party associated with a construction project that meets either of the following two criteria: The party has operational control over construction plans and specifications, including the ability to make modifications to those plans and specifications; or Consmurtion Siornivrarer General Permit Pat__>e iO • The party has day-to-day operational control of those activities at a project that are necessary to ensure compliance with a SWPPP for the site or other pen -nit conditions (e.g., they are authorized to direct workers at a site to carry out activities required by the SWPPP or comply with other permit conditions). Permittee means individual or entity that receives notice of coverage under this general permit. pH means a liquid's measure of acidity or alkalinity. A pH of 7 is defined as neutral. Large variations above or below this value are considered harmful to most aquatic life. pH Monitoring Period means the time period in which the pH of stormwater runoff from a site must be tested a minimum of once every seven days to determine if stormwater pH is between 6.5 and 8.5. Point Source means any discernible, confined, and discrete conveyance, including but not limited to, any pipe, ditch, channel, tunnel, conduit, well, discrete fissure, and container from which pollutants are or may be discharged to surface waters of the State. This term does not include return flows from irrigated agriculture. (See Fact Sheet for further explanation.) Pollutant means dredged spoil, solid waste, incinerator residue, filter backwash, sewage, garbage, domestic sewage sludge (biosolids), munitions, chemical wastes, biological materials, radioactive materials, heat, wrecked or discarded equipment, rock, sand, cellar dirt, and industrial, municipal, and agricultural waste. This term does not include sewage from vessels within the meaning of section 312 of the CWA, nor does it include dredged or fill material discharged in accordance with a permit issued under section 404 of the CWA. Pollution means contamination or other alteration of the physical, chemical, or biological properties of waters of the State; including change in temperature, taste, color, turbidity, or odor of the waters; or such discharge of any liquid, gaseous, solid, radioactive or other substance into any waters of the State as will or is likely to create a nuisance or render such waters han-riful, detrimental or injurious to the public health, safety or welfare; or to domestic, commercial, industrial, agricultural, recreational, or other legitimate beneficial uses; or to livestock, wild animals, birds, fish or other aquatic life. Process Wastewater means any water which, during manufacturing or processing, comes into direct contact with or results from the production or use of any raw material, intermediate product, finished product, byproduct, or waste product. If stormwater commingles with process wastewater, the commingled water is considered process wastewater. Receiving Water means the waterbody at the point of discharge. If the discharge is to a storm sewer system, either surface or subsurface, the receiving water is the waterbody to which the stone system discharges. Systems designed primarily for other purposes such as for ground water drainage, redirecting stream natural flows, or for conveyance of irrigation water/return flows that coincidentally convey stormwater are considered the receiving water. Construction Slornnvuier General Permit Paue 51 Representative means a stormwater or wastewater sample which represents the flow and characteristics of the discharge. Representative samples may be a grab sample, a time - proportionate composite sample, or a flow proportionate sample. Ecology's Construction Stormwater Monitoring Manual provides guidance on representative sampling. Responsible Corporate Officer for the purpose of signatory authority means: (i) a president, secretary, treasurer, or vice-president of the corporation in charge of a principal business function, or any other person who performs similar policy- or decision -making functions for the corporation, or (ii) the manager of one or more manufacturing, production, or operating facilities, provided, the manager is authorized to make management decisions which govern the operation of the regulated facility including having the explicit or implicit duty of making major capital investment recommendations, and initiating and directing other comprehensive measures to assure long term environmental compliance with environmental laws and regulations; the manager can ensure that the necessary systems are established or actions taken to gather complete and accurate information for permit application requirements; and where authority to sign documents has been assigned or delegated to the manager in accordance with corporate procedures (40 CFR 122.22). Sanitary Sewer means a sewer which is designed to convey domestic wastewater. Sediment means the fragmented material that originates from the weathering and erosion of rocks or unconsolidated deposits, and is transported by, suspended in, or deposited by water. Sedimentation means the depositing or formation of sediment. Sensitive Area means a waterbody, wetland, stream, aquifer recharge area, or channel migration zone. SEPA (State Environmental Policy Act) means the Washington State Law, RCW 43.21C.020, intended to prevent or eliminate damage to the environment. Significant Amount means an amount of a pollutant in a discharge that is amenable to available and reasonable methods of prevention or treatment; or an amount of a pollutant that has a reasonable potential to cause a violation of surface or ground water quality or sediment management standards. Significant Concrete Work means greater than 1000 cubic yards poured concrete used over the life of a project. Significant Contributor of Pollutants means a facility determined by Ecology to be a contributor of a significant amount(s) of a pollutant(s) to waters of the State of Washington. Site means the land or water area where any "facility or activity" is physically located or conducted. Source Control BMPs means physical, structural or mechanical devices or facilities that are intended to prevent pollutants from entering stormwater. A few examples of source control Construction Stornnvater General Permil Passe 5? BMPs are erosion control practices, maintenance of stormwater facilities, constructing roofs over storage and working areas, and directing wash water and similar discharges to the sanitary sewer or a dead end sump. Stabilization means the application of appropriate BMPs to prevent the erosion of soils, such as, temporary and permanent seeding, vegetative covers, mulching and matting, plastic covering and sodding. See also the definition of Erosion and Sediment Control BMPs. Storm Drain means any drain which drains directly into a storm sewer system, usually found along roadways or in parking lots. Storm Sewer System means a means a conveyance, or system of conveyances (including roads with drainage systems, municipal streets, catch basins, curbs, gutters, ditches, manmade channels, or storm drains designed or used for collecting or conveying stormwater. This does not include systems which are part of a combined sewer or Publicly Owned Treatment Works (POTW) as defined at 40 CFR 122.2. Stormwater means that portion of precipitation that does not naturally percolate into the ground or evaporate, but flows via overland flow, interflow, pipes, and other features of a stormwater drainage system into a defined surface waterbody, or a constructed infiltration facility. Stormwater Management Manual (SWMM) or Manual means the technical Manual published by Ecology for use by local governments that contain descriptions of and design criteria for BMPs to prevent, control, or treat pollutants in stormwater. Stormwater Pollution Prevention Plan (SWPPP) means a documented plan to implement measures to identify, prevent, and control the contamination of point source discharges of stormwater. Surface Waters of the State includes lakes, rivers, ponds, streams, inland waters, salt waters, and all other surface waters and water courses within the jurisdiction of the State of Washington. Temporary Stabilization means the exposed ground surface has been covered with appropriate materials to provide temporary stabilization of the surface from water or wind erosion. Materials include, but are not limited to, mulch, riprap, erosion control mats or blankets and temporary cover crops. Seeding alone is not considered stabilization. Temporary stabilization is not a substitute for the more permanent "final stabilization." Total Maximum Daily Load (TMDL) means a calculation of the maximum amount of a pollutant that a waterbody can receive and still meet state water quality standards. Percentages of the total maximum daily load are allocated to the various pollutant sources. A TMDL is the sum of the allowable loads of a single pollutant from all contributing point and nonpoint sources. The TMDL calculations must include a "margin of safety" to ensure that the waterbody can be protected in case there are unforeseen events or unknown sources of the pollutant. The calculation must also account for seasonable variation in water quality. Construction Stormvrctter General Permit Pave �;3 Transfer of Coverage (TOC) means a request for transfer of coverage under this general permit as specified by General Condition G9 of this permit. Treatment BMPs means BMPs that are intended to remove pollutants from stormwater. A few examples of treatment BMPs are detention ponds, oil/water separators, biofiltration, and constructed wetlands. Transparency means a measurement of water clarity in centimeters (cm), using a 60 cm transparency tube. The transparency tube is used to estimate the relative clarity or transparency of water by noting the depth at which a black and white Secchi disc becomes visible when water is released from a value in the bottom of the tube. A transparency tube is sometimes referred to as a "turbidity tube." Turbidity means the clarity of water expressed as nephelometric turbidity units (NTUs) and measured with a calibrated turbidimeter. Uncontaminated means free from any contaminant. See definition of "contaminant" and WAC 173-340-200. Waste Load Allocation (WLA) means the portion of a receiving water's loading capacity that is allocated to one of its existing or future point sources of pollution. WLAs constitute a type of water quality based effluent limitation (40 CFR 130.2[h]). Water -only Based Shaft Drilling is a shaft drilling process that uses water only and no additives are involved in the drilling of shafts for construction of building, road, or bridge foundations. Water quality means the chemical, physical, and biological characteristics of water, usually with respect to its suitability for a particular purpose. Waters of the State includes those waters as defined as "waters of the United States" in 40 CFR Subpart 122.2 within the geographic boundaries of Washington State and "waters of the State" as defined in Chapter 90.48 RCW, which include lakes, rivers, ponds, streams, inland waters, underground waters, salt waters, and all other surface waters and water courses within the jurisdiction of the state of Washington. Well means a bored, drilled or driven shaft, or dug hole whose depth is greater than the largest surface dimension. (See Injection well.) Wheel Wash Wastewater means any water used in, or resulting from the operation of, a tire bath or wheel wash (BMP C106: Wheel Wash), or other structure or practice that uses water to physically remove mud and debris from vehicles leaving a construction site and prevent track - out onto roads. When stormwater comingles with wheel wash wastewater, the resulting water is considered wheel wash wastewater and must be managed according to Special Condition S9.D.9. C 012SN'UC1bJ17 Siornnrater General Permit Paue 54 APPENDIX B — ACRONYMS AKART All Known, Available, and Reasonable Methods of Prevention, Control, and Treatment BMP Best Management Practice CESCL Certified Erosion and Sediment Control Lead CFR Code of Federal Regulations CKD Cement Kiln Dust ern Centimeters CTB Cement -Treated Base CWA Clean Water Act DMR Discharge Monitoring Report EPA Environmental Protection Agency ERTS Environmental Report Tracking System ESC Erosion and Sediment Control FR Federal Register LID Low Impact Development NOI Notice of Intent NOT Notice of Termination NPDES National Pollutant Discharge Elimination System NTU Nephelometric Turbidity Unit RCW Revised Code of Washington SEPA State Environmental Policy Act SWMM Stormwater Management Manual SWPPP Stormwater Pollution Prevention Plan TMDL Total Maximum Daily Load UIC Underground Injection Control USC United States Code USEPA United States Environmental Protection Agency WAC Washington Administrative Code WQ Water Quality WYMM Western Washington Hydrology Model Construction Stornivraler General Permit Paze 55 Transfer of Coverage Permit # WAR 3038y Construction Stormwater General Permit DEPARTMENT OF This form transfers permit coverage for all, or a portion ECOLOGY of a site to one or more new operators. State of Washington Type of permit transfer (check one): 0 Partial transfer ❑ Complete transfer Specific date that permit responsibility, coverage, and liability Is transferred to new operator. ( 12 a 17 'It no date is Indicated Ecology will use date of last slgnaturo Please see Instructions for details on type of transfer. Current Operator/Pennittee Information For partial transfers: • List total size of project/slte remaining under your operational control following transfer: D, 94 acres. • List total area of soil disturbance remaining under your operational control following transfer: 0 17 V acres. •Submitting this form meets the requirement to submit an updated N01(General Permit Condition G9) Current Op rator/Permfttee Name: 1306 cruse► (a Company: Sco.rseI1c, 13roi. (hc, Business Phone: Ext: Mailing Address: 253-8-73 P D , Qox %V677 Cell Phone: Fax (optional): Email: bob �sc"_;e.l lc, by-os . cov-1 City: Sen--H Le State:' WFl Zip+4: Wz- S &01 Signature (see signatory requirements In Section VI11): Title: Date: �%� '/'r 7 New Operator/Permittee Information 1. New Operator/Permittee (Party with operational control over plans and specifications or day -today operational control of activities which ensure compliance with Stormwater Pollution Prevention Plan (SWPPP) and permit conditions. Ecology will send correspondence and permit fee invoices to the permittee on record.) Name; cy-c Horn Company: m i c f e I- ivLk Business Phone: Ext: Unified Business Identifier (UBI): 17-7 00 6 3�2 Y L5 LZ 5,Z 1 3 (UBI Is a nine -digit number used to Identify a business entity. "none" Write if you do not have a UBI number, Cell Phone (Optional): Fax (Optional): E-mail: Marc' c 0— Mailing Address: 1000 5�-_ iq St. Ciiv: KEnlor� State: WH Zip + 4: 9bo5-7 II. Property Owner (The party listed on the County Assessor's records as owner and taxpayer of the parcel[s] for which permit coverage Is requested, Ecology will not send correspondence and permit fee Invoices to the Property Owner. The Property Owner Information will be used for emergency contact purposes.) Name: */ cNa ►� En sneer M4, company: wA'„ lnn .S/oQ (le. f.of 7rGrst�u�l Business Phone: Ext: Unified Business Identi er (UBI): fVorlo. J S 3 - U i -33 r6 > (UBI Is a nine -digit number used to Identify a business entity. Write "none" If you do not have a UBI number. Cell Phone (Optional): _ Fax (Optional): E-mail: Mcrla6b g(9 wsd�l, wa-gv✓ Mailing Address: City State: Zip + 4: 3000 VOLII � 12 MS $2--- SO ��e,��on V,la 98oS7 ECY 020-87a (Rev. 10l16) Form Page 1 , /I/y) Ill. On -Site Contact Person(s) (Typically the Certified Erosion and Sediment Control lead or Operator/Permittee) Name: ISM o✓rC� Company €19 1r,MIS, t it - Business Phone: 025-961-&090 Ext: Malling Address: evlo rc;,/fr, Avc wF Cell Phone: `f ZS - Ua6 - 54 5 Fax(Optional): City: State: �'��� Zlp+4: /�f4}�Z. Email: �bDnpp�Po�rrn�ers.COmrlosfon, N. Site/Project Information Site or Project Name Site Acreage ct 1601 0 -11 1 C-,Cu,eJ- !fie i ucO-}r Total size of your site/project (that you own1control):7, 3S acres, Street Address or Location Description (If the site lacks a (Note: 1 acre = 43,560V.) street address, list its specific location, For example, Intersection of Highway 61 and 34.) Total area of soil disturbance for your sitelproject over the life of the project: '✓' J O acres. Include grading, equipment staging, K Srn 6---s A S. r u e excavation, borrow pit, material storage areas, dump areas, haul roads, side -cast areas, off -site construction support areas, and all Parcel ID#: (Optional) other soil disturbance acreage associated with the project. (Note:1 acre = 43,560 ft1) Type of Construction Activity (check all that apply): ❑ Residential ❑ Commercial ❑ industrial ❑ Highway or Road (city ,county, state) ® Utilities (specify): sexier pr t-rul euw, pR pe llm Other (specify):. -- City (or nearest city): �, � Zip Code: Estimated project start-up date (mmldd/yy): or l 7 kI 17 County: Estimated project completion date (mmldd/yy): 0 y /)8 J17 Record the latitude and longitude of the main entrance to the site or the approximate center of site. Latitude: 7,g6 & 16 9 ON Longitude: — I 2-2 , Z09701 °W V. Existing Site Conditions 1. Are you aware of contaminated soils present on the site? ❑ Yes ® No 2. Are you aware of groundwater contamination located within the site boundary? ❑ Yes 0 No 3. If you answered yes to questions 1 or 2, will any contaminated soils be disturbed or will any contaminated groundwater be discharged due to the proposed construction activity? ❑ Yes ❑ No ("Contaminated" and 'contamination" here mean containing any hazardous substance (as defined In WAC 173-340-200) that does not occur naturally or occurs at greater than natural background levels.) If you answered yes to Question 3, please provide detailed Information with the NOI (as known and readily available) on the natures and extent of the contamination (concentrations, locations, and depth), as well as pollution prevention and/or treatment Best Management Practices (BMPs) proposed to control the discharge of soil and/or groundwater contaminants In stormwater. This should include Information that would be included in related portions of the Stormwater Pollution Prevention Plan (SWPPP) that describe how contaminated and potentially contaminated construction stormwater and dewatering water will be managed. ECY 020-87a (Rev. 10/16) Form Page 2 VI. WQWebDMR (Electronic Discharge Monitoring Reporting) You must submit monthly discharge monitoring reports using Ecology's WQWebDMR system. To sign up for WQWebDMR, or to register a new site, go to littp://www.ecy.wa. oq vlprograms/wq/permits/pads/portal.litml. If you are unable to submit your DMRs electronically, you may contact Ecology to request a waiver. Ecology will generally only grant waiver requests to those permittees without internet access. Only a permittee or representative, designated in writing, may request access to or a waiver from WQWebDMR, To have the ability to use the system immediately, you must submit the Electronic Signature Agreement with your transfer of coverage form. If you have questions on this process, contact Ecology's WQWebDMR staff at WebDMRPortal@ecy,wa.gov or 800/633-6193 or 360-407-7097 (local). VII. Discharge/Receiving Water Information Indicate whether your site's stormwater and/or dewatering water could enter surface waters, directly and/or Indirectly. ® Water will discharge directly or indirectly (through a storm drain system or roadside ditch) into one or more surface waterbodies (wetlands, creeks, lakes, and all other surface waters and water courses). If your discharge is to a storm sewer system, provide the name of the operator of the storm sewer system: (e.g., City of Tacoma): �f t2Anln,•i ❑ Water will discharge to ground with 100% infiltration, with no potential to reach surface waters under any conditions. If your project includes dewatering, you must include dewatering plans and discharge locations in your site Stormwater Pollution Prevention Plan. Location of Outfall Into Surface Waterbody Enter the outfall identifier code, waterbody name, and latitude/longitude of the point(s) where the site has the potential to discharge into a waterbody (the outfall). Enter all locations. See Illustration of Surface Waterbody Outfall locations at the end of this form. • include the names and locations of both direct and indirect discharges to surface waterbodies, even if the risk of discharge is low or limited to periods of extreme weather. Attach a separate list If necessary. • Give each point a unique 1-4 digit alpha numeric code. This code will be used for identifying these points in WQWebDMR. • Some large construction projects (for example, subdivisions, roads, or pipelines) may discharge into several waterbodies. • If the creek or tributary is unnamed, use a format such as "unnamed tributary to Deschutes River." • If the site discharges to a stormwater conveyance system that In turn flows to a surface waterbody, include the surface waterbody name and location. Outfall Identifier Code. These cannot be symbols. (Maximum of 4 characters). Example:001A Surface Waterbody Name at Latitude Longitude the Outfall Decimal Degrees Decimal Degrees Example: Puget Sound 47.5289247° N-122.3123550° W 01. 117•'A967 oN—/2Z.c�"0W ON OW ON I UW If your site discharges to a waterbody that is on the impaired waterbodies list (e.g., 303[d] list) for turbidity, fine sediment, high pH, or phosphorus, Ecology will require additional documentation before issuing permit coverage and these sites will be subject to additional sampling and numeric effluent limits (per Permit Condition S9). Ecology will notify you if any additional sampling requirements apply. Information on impaired waterbodies is available online at: jittp'l/www.ecy.wa.govlprograms/wa1303dlrndex.html. ECY 020-87a (Rev. 10/16) Form Page 3 a Before p!VYsV Niter, tt. fv!ivnu'g �iioinil ei iv cilSura liij iV1111 M 1.V111pIClC. ® All spaces on this form have been completed. (Attach additional sheets if necessary) © The transfer form has been signed by both the current permittee and the new permittee(s). The date permit responsibility was transferred Is spectfied. (See Page 1) ❑ New Operator/Permittee: Before you submit this form to Ecology, please retain a copy for your records — this will serve as proof of permit coverage until documentation arrives from Ecology. ❑ For partial transfers: If the original permittee no longer owns or controls any portions of the site that meet the criteria for termination, the original permittee must submit a Notice of Termination to terminate permit coverage. (http:!Avww.e2Lwa.goy/biblio/ecv02087.htmll ❑ For sites with contaminated soils/groundwater or a new discharger to an Impalred waterbody: Any special provisions to protect water quality put In place at the time of initial coverage have been reviewed and adopted by the new permittee. Administrative Order Docket No, Vill. Certification of Permlttee `I certify under penalty of law that this document and all allachments were prepared under my direction or supervision In accordance w8h a system designed to assure that qualified personnel properly gather and evaluate the Information submitted. Based on my inquiry of the person or persons who manage the system or those directly responsible for gathering the information, the Information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are slgnifrcant penalties for submitting false information, including the possibility of fine and Imprisonment for knowing violations." Mcwc Hnrrl Printedqyped t�aJ�e Signature of Operstor/Penmittee Company (operatoripermlttes only) Title Date Signature of OperatorlPermittee requlrements: A. For a corporation: By a responsible corporate officer. B. For a partnership or sole proprietorship: By a general partner or the proprietor, respectively, C. For a municipality, state, federal, or other public facility: By either a principal executive officer or ranking elected official. Please sign and return this document to the following address: Washington Department of Ecology - Stormwater PO Box 47696 Olympia, WA 98504-7696 If you have questions about this form, contact the following Ecology staff: Location Contact Name Phone City of Seattle, and Kitsap, Pierce, and Thurston counties I Josh Klimek Island, King, and San Juan counties RaChelle Stane 3604107- 7451 360-407- 6556 Adams, Asodn, Columbia, Ferry, Franklin, Garfield, Grant, Shawn Hopkins 360-407- Lincoln, Pend Oreille, Skagit, Snohomish, Spokane, 8442 Stevens, Walla, Whatcom, and Whitman counties. E-mail —~ 1osh,klImekflecy,wa.qovgov rachelle. staneta�.ecv.wa.gov 0awn.hookins0ecy,wa.gov Benton, Chelan, Cballam, Clark, Cowlitz, Douglas, Grays Joyce Smith 360-407- o ce.smith9ecy.wwgovov Harbor, Jefferson, Kitt4as, Klickitat, LeWs, Mason, 6858 Okanogan, Pacific, Skamanla, Wahk!aKum, and Yakima counties. ECY 020-87a (Rev. 10116) Four, Page 4 STATE Of WASHINGTON DEPARTMENT OF ECOLOGY PO Box 47600 • Olympia, IVA 98SO4-7600 a 360-407-6000 711 for Washington Relay Service • Persons with a speech disability can call 877-833-6341 June 22, 2016 Bob Scarsella Scarsella Bros., Inc. PO Box 68697 Seattle, WA 98168-5801 RE: Transfer of coverage under the Construction Stormwater General Permit Permit number: Site Name: Location: Disturbed Acres: Dear Mr. Scarsella: WAR303891 Talbot Hill Sewer Relocation S 14'" Street & Smithers Ave S Renton, WA County: King 2.02 The Washington State Department of Ecology (Ecology) received your Transfer of Coverage form for coverage under the Construction Stormwater General Permit. Our records have been updated to show Scarsella Bros., Inc. as responsible for permit coverage effective June 22, 2016. Please retain this transfer of permit coverage letter with your permit (enclosed), stormwater pollution prevention plan (SWPPP), and site log book. These materials are the official record of permit coverage for your site. Please take time to read the entire permit and contact Ecology if you have any questions. Electronic Discharge Monitoring Reports (WQWebDMR) This permit requires that Permittees submit monthly discharge monitoring reports (DMRs) electronically using Ecology's secure online system, WQWebDMR. To sign up for WQWebDMR go to: www.ecy.wa.gov/programs/wq/perrnits/paris/webdmr.html. If you have questions, contact the portal staff at (360) 407-7097 (Olympia area), or (800) 633-6193/option 3, or email WQWebPortal@ecy.wa.gov. A t� Bob Scarsella June 22, 20i6 Page 2 Ecology Field Inspector Assistance If you have questions regarding stormwater management at your construction site, please contact Tracie Walters of Ecology's Northwest Regional Office in Bellevue at tracie.walters@ecy.wa.gov, or (425) 649-4484. Questions or Additional Information Ecology is committed to providing assistance. Please review our web page at: www.ecy.wa.gov/programs/wq/stormwater/construction/. If you have questions about the construction stormwater general permit, please contact Melinda Wilson at melinda.wilson@ecy.wa.gov or (360) 407-6556. Sincerely, r Bill Moore, P.E., Manager Program Development Services Section Water Quality Program Enclosure --� Instructions for Transfer of Coverage 'C Construction Stormwater General Permit DEPARTMENT OF ECOLOGY State of Washington+ Instructions This form is used to process two types of permit transfers: 1) Complete Transfer, or 2) Partial Transfer. Determine which type of transfer applies to your situation before filling out this form. 1.Comulete Transfer: The original permittee has sold, or otherwise released control of, the entire site to another party. Required Paperwork for Complete Transfer: • Either the current permittee, or the new permittee(s), must submit a complete and accurate Transfer of Coverage form for each new party to Ecology. The form must be signed by the current permittee and the new permittee. 2, Partial Transfer; The original permittee retains control over some portion of the site after selling or releasing control over a portion of the site. Required Paperwork for Partial Transfer • Either the current permittee or the new permittee(s) must submit a complete and accurate Transfer of Coverage Form for each new operator to Ecology. The form must be signed by the current permittee and the new permittee. • For partial transfers, once all transfers are submitted, the original permittee should submit the Notice of Termination only if the portion(s) they still own or control have undergone final stabilization and meet the criteria for termination. For Your Information • When this form is 1) completed, 2) signed by the current and new permittee, and 3) submitted to Ecology, permit transfers are effective on the date specified at the top page (unless Ecology notifies the current permittee and new permittee of its intention to revoke coverage under the General Permit or if Ecology sends notice that the application is incomplete). • The new permittee should keep a copy of the signed Transfer of Coverage form (which serves as proof of permit coverage) until Ecology sends documentation in the mail. • Following the transfer, the new permittee must either: (1) use the Stormwater Pollution Prevention Plan (SWPPP) developed by the original operator, and modified as necessary, or (2) develop and use a new SWPPP which meets the requirements of the Construction Stormwater General Permit. • For projects for which the original permittee has completed a Proposed New Discharge to an Impaired Waterbody Form (ECY070-399) or for projects that are operating on sites with soil or groundwater contamination: By completing the Transfer of Coverage form, the new permittee will adopt any special provisions made to protect water quality for sites that have existing contamination or that discharge to an impaired waterbody. To ask ubout the availability of this document in a version for the visually impaired, call the Water Quality Program at 360-407-6600. Persons with hearing loss, call 711 for Washington Relay Service. Persons with a speech disability, call 877-833-6341. ECY 020-87a (Rev. 12/2014) Instructions Page 1 Transfer of Coverage Construction Stormwater General Permit DEPARTMENT of This form transfers permit coverage for all, or a portion Permit # WAR- 03891 ECOLOGY of a site to one or more new operators. State of wa;h!ngton Type of permit transfer (check one): ❑ Partial transfer ® Complete transfer Specific date that permit responsibility, coverage, and liability, is transferred to new operator. Please see instructions for details on type of transfer. Current Operator/Permittee Information For partial transfers: •List total size of projectlsite remaining under your operational control following transfer: acres. •List total area of soil disturbance remaining under your operational control following transfer: acres. •Submitting this form meets the requirement to submit an updated NOI (General Permit Condition G9) Current dperatoNPermitfee Name: Company: Michael Benoit Cite of Renton Business Pfione - - - - - - - -- — ----- Ext: Mailing Address: 425.430.7206 _ _.._ 1055 Grady Way Cell Phone: Fax (optional): - -- - - - - -- - - --- -- Email: a e Ip+ : mbenoit@rentonwa.gov Renton WA 98059 Signature' (see signatory requirements in Section vlll): Title: Date: New OperatorlPermittee Information I. New OperatorlPermittee (Party with operational control over plans and specifications or day-to-day operational control of activities which ensure compliance with Stormwater Pollution Prevention Plan (SWPPP) and permit conditions. Ecology will send correspondence and permit fee invoices to the permittee on record.) --- - -- ---- — -- Name:Bob Scarsella _ _ _ Company: Scarsella Bros., Inc. _ Business Phone: Ext: Unified Business Identifier (UBI):578035242 253-872-7173 (UB1 is a nine -digit number used to identify a business entity. Write "none" if you do not have a UBI number.) Cell Phone (Optional): Fax (Optional): E-mail: bob@scarsellabros.com Mailing Address: PO Box 68697 City: State: Zip + 4: Seattle I W) 1 98168-5801 II. Property Owner (The party listed on the County Assessor's records as owner and taxpayer of the parcel[s] for which permit coverage is requested. Ecology will not send correspondence and permit fee invoices to the Property Owner. The Property Owner information will be used for emergency contact purposes.) Name: Gil McNabb Engineering Manager- Eastside Corridor Business Phone Ext: 245.456.8643 Cell Phone (Optional): Fax (Optional): - a-il-i--------- -s- --- ---- --- --- I - -- - - -- -- - . - --- -- Mailing Address: Mail Stop NB82-250, 600 10811 Ave NE Ste 400 ECY 020-87a (Rev. 12/14) Company:Washinqton State Department of Trans rtation _ Unified Business Identifier (UBI): None (UBI is a nine -digit number used to identify a business entity Write "none" if you do not have a UBI number.) E-mail: mcnabbg@wsdot.wa.gov City: State: Zip + 4 Bellevue WA-1 98004 Form Pagel 111.On•Site Contact Person(s) (Typically the Certified Erosion and Sediment Control Lead or Operator/Permittee) Name: Troy Modie Business Phone: 253-872-7173 Cell Phone Email:troy.m@scarsellabros.com Ext: Fax(Optional). IV. Site/Project Information Site or Project Name Talbot Hill Sewer Relocation Street Address or Location Description (If the site lacks a street address, list its specific location. For example, Intersection of Highway 61 and 34.) S. 14th Street & Smithers Avc S. Parcel ID#: y e of Construction Activity (check all that apply). -� Residential j� Commercial U Industrial ❑ Highway or Road (city ,county, state) Utilities (specify): sewer Other (specify): Company: Scarsella Bros., Inc. Mailing Address: PO Box 68697 City: Seattle State:WA Zip+4:98168-5801 Site Acreage Total size of your site!project (that you 2.02 acres (Note: 1 acre = 43,560 ftz.) Total area of soil disturbance (grading and/or excavating) for your site/project over the life of the project; 2.02 acres. Concrete / Engineered Soils How many yards of concrete will be poured? O03 (estimate) How many yards of recycled concrete will be used? Oyd3 (estimate) Will any engineered soils be used? (For example: cement treated base, dent kiln Est, etc.) Yes L)d No City (or nearest city): Renton Zip Code: Estimated project start -update (mm/ddlyy): May 2016 King County: 98057 Estimated project completion date (mm/dd/yy): October 2016 Record the latitude and longitude of the main entrance to the site or the approximate center of site. Latitude: 47.468169 ON Longitude:-122.209701 °W For assistance with latitude and longitude, refer to any of the following websites: www.getlatlon.com.or http:l/www.woddatlas.corn aatlas/imaq_q htm. Please convert all latitude and longitude coordinates into decimal degrees format. For help with this process, go to: http:liwww.fcc._qov/riiblaudiolbickel/DDDMMSS-decimal.html. V. Existing Site Conditions 1. Are you aware of contaminated soils present on the site? ❑ Yes ® No 2. Are you aware of groundwater contamination located within the site boundary? ❑ Yes © No 3. If you answered yes to questions 1 or 2, will any contaminated soils be disturbed or will any contaminated groundwater be discharged due to the proposed construction activity? ❑ Yes ❑ No ("Contaminated" and "contamination" here mean containing any hazardous substance (as defined in WAC 173-340-200) that does not occur naturally or occurs at greater than natural background levels.) If you answered yes to (Question 3, please explain below or on a separate paper in detail the locations, contaminants, and concentrations, and pollution prevention and/or treatment BMPs proposed to control the discharge of soil/groundwater contaminants. Ecology may request a copy of your SWPPP. ECY 020-87a (Rev. 12/14) Form Page 2 I VI. WQWebDMR (Electronic Discharge Monitoring Reporting) You must submit monthly discharge monitoring reports using Ecology's WQWebDMR system. To sign up for WQV%febDMR, or to register a new site, go to w vvl.ecy.wa.govr'stormwater, and click on the' Construction Stormwater" link. You will find information on WQWebDMR under the "WQWebDMR and PARIS" link on the right-hand side. If you are unable to submit your DMRs electronically, you may contact Ecology to request a waiver. Ecology will generally only grant waiver requests to those permittees without internet access. Only a permittee or representative, designated in writing, may request access to or a waiver from WQWebDMR. To have the ability to use the system immediately, you must submit the Electronic Signature Agreement with your transfer of coverage form. If you have questions on this process, contact Ecology's WQWebDIVIR staff at Web DMR-Stormwatera-ecy.w&goy or 360-407-7097. VII. Discharge/Receiving Water Information Indicate whether your site's stormwater and/or dewatering water could enter surface waters, directly and/or indirectly: Water will discharge directly or indirectly (through a storm drain system or roadside ditch) into one or more surface waterbodies (wetlands, creeks, lakes, and all other surface waters and water courses). If your discharge is to a storm sewer system, provide the name of the operator of the storm sewer system: (e.g., City of Tacoma): City oJR ntoji (NOTE: If your stormwater discharges to a storm sewer system operated by the City of Seattle, King County, Snohomish County, City of Tacoma, Pierce County, or Clark County, you must also submit a copy of this NOI to the appropriate jurisdiction ) ❑ Water will discharge to ground with 100% infiltration, with no potential to reach surface waters under any conditions. If your project includes dewatering, you must include dewatering plans and discharge locations in your site Stormwater Pollution Prevention Plan. Location of Outfall into Surface Waterbody Enter the outfall identifier code, waterbody name, and latitude/longitude of the point(s) where the site has the potential to discharge into a waterbody (the outfall). Enter all locations. • Include the names and locations of both direct and indirect discharges to surface waterbodies, even if the risk of discharge is low or limited to periods of extreme weather. Attach a separate list if necessary. • Give each point a unique 1-4 digit alpha numeric code. This code will be used for identifying these points in WQWebDMR. • Some large construction projects (for example, subdivisions, roads, or pipelines) may discharge into several waterbodies. • If the creek or tributary is unnamed, use a format such as "unnamed tributary to Deschutes River." • If the site discharges to a stormwater conveyance system that in turn flows to a surface waterbody, include the surface waterbody name and location. Outfall Identifier Code. These Surface Waterbody Name at the Latitude Longitude cannot be symbols. (Maximum Outfall Decimal Degrees Decimal Degrees of 4 characters)._ _ Example: 001A Example: Puget Sound i 47.5289247" N-122.3123550-" W I Rolling hills Creek 47.46967 � N-122.207566 J W - ON OW If your site discharges to a waterbody that is on the impaired waterbodies list (e.g., 303[d] list) for turbidity, fine sediment, high pH, or phosphorus, Ecology will require additional documentation before issuing permit coverage and these sites will be subject to additional sampling and numeric effluent limits (per Permit Condition S8). Ecology will notify you if any additional sampling requirements apply Information on impaired waterbodies is available online at Mttp.,/Avww.ecy.wa.you/nrogramslwgl303d4fidex.hlmf . ECY 020-87 a (Rev. 12/14) Form Page 3 Before signing, please use the following checklist to ensure this form is complete: ❑ All spaces on this form have been completed (attach additional sheets if necessary). ❑ The transfer form is signed by both the current permittee and the new permittee(s). ❑ New Operaton'Permittee: Before you submit this form to Ecology, please retain a copy for your records — this will serve as proof of permit coverage until documentation arrives from Ecology. ❑ For partial transfers: If the original permittee no longer owns or controls any portions of the site that meet the criteria for termination, the original permittee must submit a Notice of Termination to terminate permit coverage. (httpJ/www.ecy.wa.gov/biblio/ecY02087.html) ❑ For sites with contaminated soils/groundwater or a new discharger to an impaired waterbody: Any special provisions to protect water quality put in place at the time of initial coverage have been reviewed and adopted by the new permittee. VIiI, Certification of Permittee 3 certify underpenalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system or those directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. l am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations." Bob Scarsella, VP Scarsella Bros. Inc. Printed/Typed Name Title VP Date 5127/16 * Signature of Operator/Permittee requirements: A. For a corporation: By a principal executive officer of at least the level of vice president. B. For a partnership or sole proprietorship: By a general partner or the proprietor, respectively. C. For a municipality, state, federal, or other public facility: By either a principal executive officer or ranking elected official. Please sign and return this document to the following address: Washington Department of Ecology - Stormwater PO Box 47696 Olympia, WA 98504-7696 If you have questions about this form, contact the following Ecology staff: I Contact Name Phone E-mail 1 ity of Seattle, and Kitsap, Pierce, and Thurston counties Josh Klimek 360A07-7451 iosh.klimek ecy.wa:_q I land, King, and San Juan counties Clay Keown 360-407-6048 clay.keownt-ecy.wa.gov dams, Asotin, Columbia, Ferry, Franklin, Garfield, Grant, Shawn Hopkins 360-407-6442 shawn.hopkins cbecy.wa.gov ncoln, Pend Oreille, Skagit, Snohomish, Spokane, tevens, Walla, Whatcom, and Whitman counties. enton, Chelan, Clallam, Clark, Cowlitz, Douglas, Grays Joyce Smith 360-407-6858 loyce.smith@ecy.wa.gov arbor, Jefferson, Kittitas, Klickitat, Lewis, Mason, kanogan, Pacific, Skamania, Wahkiakum, and Yakima ounties. To request materials in a format for the visually impaired, call the Water Quality Program at 360-407-6600, Relay Service 711, or TTY 877-833- 6341. ECY 020-87a (Rev. 12/14) Form Page 4 STATE OF WASHINGTON DEPARTMENT OF ECOLOGY PO Box 47600 • Olympia, WA 98504-7600 • 360-407-6000 711 for Washington Relay Service • Persons with a speech disability can call 877-833-6341 April 4, 2016 RECEIVED Michael Benoit APR 11 2016 City of Renton 1055 S Grady Way CITY OF RENTON Renton, WA 98057-3232 UTILITY SYSTEMS RE: Coverage under the Construction Stormwater General Permit Permit number: Site Name: Location: Disturbed Acres: Dear Mr. Benoit: WAR303891 Talbot Hill Sewer Relocation S 14'h Street & Smithers Ave S Renton, WA County: King 2.02 The Washington State Department of Ecology (Ecology) received your Notice of Intent for coverage under Ecology's Construction Stormwater General Permit (permit). This is your permit coverage letter. Your permit coverage is effective on April 4, 2016. Please retain this permit coverage letter with your permit (enclosed), stormwater pollution prevention plan (SWPPP), and site log book. These materials are the official record of permit coverage for your site. Please take time to read the entire permit and contact Ecology if you have any questions. Appeal Process You have a right to appeal coverage under the general permit to the Pollution Control Hearing Board (PCHB) within 30 days of the date of receipt of this letter. This appeal is limited to the general permit's applicability or non -applicability to a specific discharger. The appeal process is governed by chapter 43.21B RCW and chapter 371-08 WAC. "Date of receipt" is defined in RCW 43.21B.001(2). To appeal, you must do the following within 30 days of the date of receipt of this letter: • File your appeal and a copy of the permit cover page with the PCHB (see addresses below). Filing means actual receipt by the PCHB during regular business hours. • Serve a copy of your appeal and the permit cover page on Ecology in paper form - by mail or in person (see addresses below). E-mail is not accepted. Co Michael Benoit April 4, 2016 Page 2 You must also comply with other applicable requirements in chapter 43.21 B RCW and chapter 371- 08 WAC. Address and Location Information: Street Addresses: Department of Ecology Attn: Appeals Processing Desk 300 Desmond Drive SE Lacey, WA 98503 Pollution Control Hearings Board (PCHB) 11 I 1 Israel Road SW, Suite 301 Tumwater, WA 98501 Mailing Addresses: Department of Ecology Attn: Appeals Processing Desk PO Box 47608 Olympia, WA 98504-7608 Pollution Control Hearings Board PO Box 40903 Olympia, WA 98504-0903 Electronic Discharge Monitoring Reports (WQWebDMR) This permit requires that Pem-ittees submit monthly discharge monitoring reports (DMRs) electronically using Ecology's secure online system, WQWebDMR. To sign up for WQWebDMR go to: www.ecy.wa.gov/programs/wq/permits/pans/webdmr.html. If you have questions, contact the portal staff at (360) 407-7097 (Olympia area), or (800) 633-6193/option 3, or email WQWebPortal@ecy.wa.gov. Ecology Field Inspector Assistance If you have questions regarding stormwater management at your construction site, please contact Tracie Walters of Ecology's Northwest Regional Office in Bellevue at tracie.walters@ecy.wa.gov or (425) 649-4484. Questions or Additional Information Ecology is committed to providing assistance. Please review our web page at: www.ecy.wa.gov/programs/wq/stormwater/construction. If you have questions about the construction stormwater general permit, please contact Melinda Wilson at melinda.wilson@ecy.wa.gov or (360) 407-6556. Sincerely Bill Moore, P.E., Manager Program Development Services Section Water Quality Program Enclosure What do I need to use the WQWebDMR system? The WQWebDMR system requires a few common computer components: • PC or Mac. • DSL or Broadband Internet connection. • Web browser (Internet Explorer 7.0 or higher, Chrome, FireFox, etc.). • Personal e-mail account. • Printer. So how do I get started? Step by step registration instructions, with screen shots, are provided at: www.ecy.wa.gov/programs/wq/permits/paris/we bdmr.html Click on the "How to register for WQWebDMR" link to download the registration instructions. The steps are summarized here: l . Sign up for a Secure Access Washington (SAW) account or use an existing SAW account. 2. In SAW, register for a new service: Water Quality Permitting Portal (WQWebDMR). 3. Define a "role" under your permit. 4. Create an electronic signature account (if required). 5. Fill out the electronic signature agreement form (ESAF), print it, and mail to Ecology (if required). 6. Look for your approval e-mail and follow the instructions contained in it. Need help? Please feel free to contact Ecology if you have any questions about WQWebDMR. For technical assistance and help getting registered, contact the WQWebDMR help staff at: E-mail: WQWebPortal u,ecy.wa.gov Phone: 1-800-633-6193/Option 3 or 360-407-7097 (Olympia Area) For permit -specific or urgent issues, please contact the one of the Ecology offices below: Central Regional Office - Yakima WOWebDMR-CRO a,ecy.wa.gov Eastern Regional Office - Spokane WQWebDMR-ERO(a)ecy.wa.gov Northwest Regional Office - Bellevue WQWebDMR-NWRO a,ecy.wa.,gv Southwest Regional Office - Lacey WQWebDMR-S W ROAecy.wa.gov Major Industrial Unit (Ecology HQ) WOWebDMR-Industrial( Stormwater Unit (Ecology HQ) WOW ebDMR-Stormwater a,ecy.wa.gov If you need this document in a version for the visually impaired, call the Water Quality Program at 360-407-6600.. Persons with hearing loss, call 711 for Washington Relay Service. Persons with a speech disability, call 877-833-6341. Water Quality Permitting Portal (WQWebDMR) Washington State Department of Ecology U.MC11111 1111111011111111111 UEPAR IMtN1 Of ECOLOGY State of Washington Publication No. l 1-10-013 Rev. 09/2013 What is WQWebDMR? WQWebDMR is a new approach to submitting your Discharge Monitoring Reports (DMRs) to the Department of Ecology. Unlike the current paper method, this new system is fast, available 24/7 over the Internet, and customized for your facility and permit(s). There is no longer a need to calculate the delay for mailing your paper DMRs. Instead, log onto the Internet, select your permit information, select the begin date, enter your values, and then submit the data. We'll even store your data for you after you submit the DMR, just in case you need to redo or reprint it. How much does it cost? There are no fees for registering for and using the WQWebDMR system. Must all DMR submittals be by WQWebDMR? The WQWebDMR is currently voluntary for most permits. As Ecology reissues permits it is requiring use of WQWebDMR; for example facilities covered by the construction stormwater general permit must submit DMRs electronically. We encourage all facilities to try WQWebDMR and find out how easy it is to submit a DMR. Who can have access & what does that access allow? There are four different roles to choose from when you sign up for WQWebDMR. They are: Facility Coordinator — Can assign staff to the signer and preparer roles to work on DMRs, and can sign and prepare DMRs themselves. Examples: permittee, responsible official, delegated authority (environmental manager) Facility Signer — Can sign and prepare DMRs, and is usually granted access to WQWebDMR by a Facility Coordinator. Example: delegated authority (plant supervisor, CESCL). Facility Preparer — Can prepare DMRs and is granted access to WQWebDMR only by a Facility Coordinator. Examples: contractors, secretaries, data entry staff. Facility Administrator — Can assist Facility Coordinator with assigning others to prepare and sign DMRs and can also prepare DMRs. Examples: administrative assistant and project leads. If I sign DMRs for more than one facility/permit, do I need a WQWebDMR account for each? You can register more than one facility/permit under one account. All we ask is that when you register (as a coordinator or signer), you provide proof that you are responsible for each of your listed facilities/permits. What sort of proof do I need to register? Proof comes in the form of a copy of one of the following: • A previously submitted DMR. • A permit's cover sheet. • A permit's letter of coverage. • Mail from Ecology that includes both the facility's name and the permit number. • Signature authority delegation letter signed by the permittee (responsible official). What do I get out of this? With this system you will have the following benefits: • Available 24/7. • Enter both daily and summarized data together. • Enter your data over time or all at once. • No delay between mailing the DMR and Ecology receiving it. • Fill in the data at one location then inform your supervisor in another location to view and submit the DMR. • Electronic DMRs are customized for both the facility and the permit, including specific reporting requirements for your permit. • Person signing DMR gets immediate e-mail confirmation. • Submitted DMRs can be accessed online for re -printing or re -submitting. • You can add attachments (lab sheets, etc.) to your DMR submission. • System tracks by whom and when a DMR was submitted. • Notifies signatory the DMR is ready to sign. • Add monitoring points when you need them (construction stormwater and sand & gravel general permits only). NOTE: The WAWebDMR name changed to WQWebDMR on June 20 • The banner on the main WQWebDMR page has changed • New web address is https://secureaccess,wa.gov/ecy/ wgwebportal Construction Stormwater General Permit High Turbidity / Low Transparency Reporting ft0L0G1' REMINDER: Sites covered under the Construction Stormwater General Permit (Permit) must take specific reporting and adaptive management actions in order to comply with permit requirements when obtaining high turbidity results (greater than or equal to 250 Nephelometric Turbidity Units (NTUs)) or low transparency results (less than or equal to 6 centimeters). Within 24 hours: Call the applicable Ecology Region's Environmental Report Tracking System (ERTS)* stating, "I am reporting a (high turbidity or low transparencyconstruction stormwater discharge of our sample result in NTUs or centimeters)." Include the following information: 1. Your Name / Phone Number 4. Date / Time of Call 2. Permit Number 5. Date / Time of Sample 3. City / County of Project 6. Project Name Daily: Continue to sample your stormwater discharge every day until: ❑ Your discharge turbidity sample result is 25 NTUs or lower; or, ❑ Your transparency sample result is 33 centimeters or greater; or, ❑ Your discharge turbidity is no more than five NTUs over background (if the receiving water background is less than 50 NTUs); or, ❑ Your discharge turbidity is no more than ten percent over background (if the receiving water background is 50 NTUs or greater); or, ❑ Your discharge stops or is eliminated. Within Seven days: Review your Stormwater Pollution Prevention Plan (SWPPP) for compliance with Permit Condition S9, and make appropriate revisions. Within Ten days: Fully implement and maintain appropriate source control best management practices (BMPs) and/or treatment to address the problem. If ten days is not feasible, Ecology may approve an extension provided the request is filed with Ecology within the initial ten-day response period. Within Fourteen days (Upon Request): Upon receipt of a written request from Ecology, provide a copy of your plans and records containing the responsive actions taken and planned to address high turbidity / low transparency results, including the sample result(s), SWPPP revisions, and site log book documentation of BMP installation and maintenance. *ERTS Phone Numbers & Counties Central Region (Okanogan, Chelan, Douglas, Kittitas, Yakima, Klickitat, Benton): (509) 575-2490 Eastern Region (Adams, Asotin, Columbia, Ferry, Franklin, Garfield, Grant, Lincoln, Pend Oreille, Spokane, Stevens, Walla Walla, Whitman): (509) 329-3400 Northwest Region (Kitsap, Snohomish, Island, King, San Juan, Skagit, Whatcom): (425) 649-7000 Southwest Region (Grays Harbor, Lewis, Mason, Thurston, Pierce, Clark, Cowlitz, Skamania, Wahkiakum, Clallam, Jefferson, Pacific): (360) 407-6300 Submit the Notice of Termination when your site meets one of the following conditions: 1. The site has undergone final stabilization, the Permittee has removed all temporary BMPs (except biodegradable BMPs clearly manufactured with the intention for the material to be left in place and not interfere with maintenance or land use), and all stormwater discharges associated with construction activity have been eliminated; or 2. All portions of the site that have not undergone final stabilization per Special Condition S10.A.1 have been sold and/or transferred (per General Condition G9), and the Permittee no longer has operational control of the construction activity; or 3. For residential construction only, the Permittee has completed temporary stabilization and the homeowners have taken possession of the residences. Notice of Termination Form Construction Stormwater General Permit # WAR DEPARTMENT OF Permit ECOLOGY State of Washington Use this form to request termination of permit coverage I. Operator/Permittee (Party with operational control over plans and specifications, or day-to-day operational control of activities which ensure compliance with SWPPP and permit conditions. Ecology will send correspondence and permit fee invoices to the permit holder on record.) Name: Company: Business Phone: Ext. Cell Phone (Optional): Fax (Optional): E-mail: Mailing Address: City: State: Zip + 4: II. Site Location/Address Site name: Total area of soil disturbance for your site/project: acres Street address (or location description): City (or nearest city): Zip: County: Ill. Construction Activity- The site is eligible for termination by one of the following methods: ❑ The site has undergone final stabilization. The operator has permanently stabilized all exposed soils, removed all temporary BMPs, and eliminated all stormwater discharges associated with construction activity. ❑ Permit coverage on all portions of the site that have not undergone final stabilization (Permit Condition S10.A.1) are being, or have been, transferred (Permit Condition G9), and the Permittee no longer has operational control of the construction activity. We provided the new owner Transfer of Coverage paperwork on: ❑ All portions of the site that have not undergone final stabilization (Permit Condition S10.A.1) have been sold and the Permittee no longer has operational control of the construction activity. We will not be submitting Transfer of Permit coverage paperwork. (Optional). Please provide new owner contact info: IV. Certification of Permittees. Please read the certification statement carefully before signing. "I certify under penalty of law that all stormwater discharges associated with construction activity from the identified site that are authorized by the National Pollution Discharge Elimination System (NPDES) and State Waste Discharge general permit have been eliminated, or that I no longer own or operate on this site. I understand that by submitting this Notice of Termination that I am no longer authorized to discharge stormwater associated with construction activity by the general permit, and that discharging pollutants in stormwater to waters of the State of Washington is unlawful under the Clean Water Act where the discharge is not authorized by a NPDES permit. I also understand that the submittal of this Notice of Termination does not release the permittee from liability for any violations of this permit or the Clean Water Act." Operator printed name Operator signature Title Date ECY 020-87 (Rev. 04/10) Instructions for Notice of Termination Form Submit a Notice of Termination Form to the Department of Ecology when 1.) All stormwater discharges from a construction site are eliminated, and the site has undergone final stabilization. 2.) The site has been sold or transferred to a different operator(s). The permit fees will continue until the permit is terminated. I. Operator Give the name, address, and telephone number of the person who is responsible for the permit. This person will also be sent the final fee invoice. II. Site Location Enter the street address or location description, including the city or nearest city and county for the construction site. Construction sites that do not have a street address must also provide a legal description in the space provided, or as an attachment. III. Construction Activity Indicate: 1. That all stormwater discharges associated with construction activity are eliminated and final stabilization of all exposed soils is completed. Final stabilization means the establishment of a permanent vegetative cover, or equivalent permanent stabilization measures, that prevents erosion. 2. That the permit has been transferred to another responsible party(ies) for management. (Provide the information required on the Transfer of Coverage form.) 3. That all portions of the site that have not undergone final stabilization have been sold. IV. Certification of Permittee(s) Read this statement carefully. The operator, or authorized representative of the operator, must print his or her name for clarity, then sign and date the document on the lines provided. (Refer to General Condition G2 in the permit for signatory requirements.) Please sign and return this original document to the following address and retain a copy for your records: Department of Ecology Stormwater Unit — Construction PO Box 47696 Olympia, WA 98504-7696 Note: Your site remains under permit and subject to all permit conditions until your termination is effective. Continue to comply with permit conditions until the earlier of the following two dates: 1) The date you receive written notification from Ecology that termination is effective. 2) The 3 1 ' day following Ecology's receipt of this form. Questions? Call: • 360-407-7451 Josh Klimek for city of Seattle or counties: Kitsap, Pierce, and Thurston. • 360-407-6048 Clay Keownfor counties: King, Island, San Juan. • 360-407-6442 Shawn Hopkins for counties: Whatcom, Skagit, Snohomish, Ferry, Stevens, Pend Oreille, Lincoln, Spokane, Grant, Adams, Whitman, Franklin, Walla Walla, Columbia, Garfield, and Asotin. • 360-407-6858 Joyce Smith for counties: Okanogan, Chelan, Douglas, Kittitas, Yakima, Benton, Klickitat, Skamania, Clark, Cowlitz, Wahkiakum, Lewis, Pacific, Grays Harbor, Mason, Jefferson, and Clallam. To ask about the availability of this document in a version for the visually impaired, call the Water Quality Program at 360-407-6401. Persons with hearing loss may call 711 for Washington Relay Service. Persons with a speech disability may call 877-833-6341. ECY 020-87 (Rev. 04/10) WAR303891 issuance Date: November 18, 2015 TALBOT HILL SEWER RELOCATION Effective Date: January 1, 2016 KING COUNTY Expiration Date: December 31, 2020 CONSTRUCTION STORMWATER GENERAL PERMIT National Pollutant Discharge Elimination System (NPDES) and State Waste Discharge General Permit for Stormwater Discharges Associated with Construction Activity State of Washington Department of Ecology Olympia, Washington 98504 In compliance with the provisions of Chapter 90.48 Revised Code of Washington (State of Washington Water Pollution Control Act) and Title 33 United States Code, Section 1251 et seq. The Federal Water Pollution Control Act (The Clean Water Act) Until this pennit expires, is modified, or revoked, Permittees that have properly obtained coverage under this general permit are authorized to discharge in accordance with the special and general conditions that follow. Hea r R. Bartlett Wate utility Program Manager Washington State Department of Ecology TABLE OF CONTENTS LISTOF TABLES...........................................................................................................................3 SUMMARY OF PERMIT REPORT SUBMITTALS.....................................................................4 SPECIALCONDITIONS ................................................................................................................5 S 1. PERMIT COVERAGE........................................................................................................5 S2. APPLICATION REQUIREMENTS...................................................................................8 S3. COMPLIANCE WITH STANDARDS.............................................................................12 S4. MONITORING REQUIREMENTS, BENCHMARKS, AND REPORTING TRIGGERS................................................................................................13 S5. REPORTING AND RECORDKEEPING REQUIREMENTS.........................................20 S6. PERMIT FEES...................................................................................................................23 S7. SOLID AND LIQUID WASTE DISPOSAL....................................................................23 S8. DISCHARGES TO 303(d) OR TMDL WATERBODIES................................................23 S9. STORMWATER POLLUTION PREVENTION PLAN...................................................27 S 10. NOTICE OF TERMINATION.........................................................................................37 GENERALCONDITIONS...........................................................................................................38 G1. DISCHARGE VIOLATIONS...........................................................................................38 G2. SIGNATORY REQUIREMENTS.....................................................................................38 G3. RIGHT OF INSPECTION AND ENTRY.........................................................................39 G4. GENERAL PERMIT MODIFICATION AND REVOCATION ......................................39 G5. REVOCATION OF COVERAGE UNDER THE PERMIT.............................................39 G6. REPORTING A CAUSE FOR MODIFICATION............................................................40 G7. COMPLIANCE WITH OTHER LAWS AND STATUTES.............................................40 G8. DUTY TO REAPPLY.......................................................................................................40 G9. TRANSFER OF GENERAL PERMIT COVERAGE.......................................................41 G10. REMOVED SUBSTANCES.............................................................................................41 GI 1. DUTY TO PROVIDE INFORMATION...........................................................................41 G12. OTHER REQUIREMENTS OF 40 CFR...........................................................................41 G13. ADDITIONAL MONITORING........................................................................................41 G14. PENALTIES FOR VIOLATING PERMIT CONDITIONS.............................................41 G15. UPSET...............................................................................................................................42 G16. PROPERTY RIGHTS........................................................................................................42 Construction Stornmater General Permit Page 2 ft G17. DUTY TO COMPLY........................................................................................................42 G18. TOXIC POLLUTANTS.....................................................................................................42 G 19. PENALTIES FOR TAMPERING.....................................................................................43 G20. REPORTING PLANNED CHANGES.............................................................................43 G21. REPORTING OTHER INFORMATION..........................................................................43 G22. REPORTING ANTICIPATED NON-COMPLIANCE.....................................................43 G23. REQUESTS TO BE EXCLUDED FROM COVERAGE UNDER THE PERMIT .......... 44 G24. APPEALS..........................................................................................................................44 G25. SEVERABILITY...............................................................................................................44 G26. BYPASS PROHIBITED....................................................................................................44 APPENDIXA — DEFINITIONS...................................................................................................47 APPENDIX B — ACRONYMS.....................................................................................................55 LIST OF TABLES Table 1: Summary of Required Submittals................................................................................... 4 Table 2: Summary of Required On -site Documentation............................................................... 4 Table 3: Summary of Primary Monitoring Requirements.......................................................... 15 Table 4: Monitoring and Reporting Requirements..................................................................... 17 Table 5: Turbidity, Fine Sediment & Phosphorus Sampling and Limits for 303(d)-Listed Waters.................................................................................................... 25 Table 6: pH Sampling and Limits for 303(d)-Listed Waters ...................................................... 26 Construction Stornnvai er General Permit Page 3 SUMMARY OF PERMIT REPORT SUBMITTALS Refer to the Special and General Conditions within this permit for additional submittal requirements. Appendix A provides a list of definitions. Appendix B provides a list of acronyms. Table 1: Summary of Required Submittals Permit Submittal Frequency First Submittal Date Section S5.A and High Turbidity/Transparency Phone As Necessary Within 24 hours S8 Reporting S5.B Discharge Monitoring Report Monthly` Within 15 days following the end of each month S51 and Noncompliance Notification — As necessary Within 24-hours S8 Telephone Notification S5.F Noncompliance Notification — As necessary Within 5 Days of non - Written Report compliance S9.0 Request for Chemical Treatment As necessary Written approval from Form Ecology is required prior to using chemical treatment (with the exception of dry ice or CO2 to adjust pH) G2 Notice of Change in Authorization As necessary G6 Permit Application for Substantive As necessary Changes to the Discharge G8 Application for Permit Renewal 1/permit cycle No later than 180 days before expiration G9 Notice of Permit Transfer As necessary G20 Notice of Planned Changes As necessary G22 Reporting Anticipated Non- As necessary compliance SPECIAL NOTE: *Permittees must submit electronic Discharge Monitoring Reports (DMRs) to the Washington State Department of Ecology monthly, regardless of site discharge, for the full duration of permit coverage. Refer to Section S5.13 of this General Permit for more specific information regarding DMRs. Table 2: Summary of Required On -site Documentation Document Title Permit Conditions Permit Coverage Letter See Conditions S2, S5 Construction Stormwater General Permit See Conditions S2, S5 Site Log Book See Conditions S4, S5 Stormwater Pollution Prevention Plan (SWPPP) See Conditions S9, S5 Construction Stormwater General Permit Page 4 SPECIAL CONDITIONS S1. PERMIT COVERAGE A. Permit Area This Construction Stormwater General Permit (CSWGP) covers all areas of Washington State, except for federal operators and Indian Country as specified in Special Condition S 1.E.3. B. Operators Required to Seek Coverage Under this General Permit: Operators of the following construction activities are required to seek coverage under this CSWGP: a. Clearing, grading and/or excavation that results in the disturbance of one or more acres (including off -site disturbance acreage authorized in S1.C.2) and discharges stormwater to surface waters of the State; and clearing, grading and/or excavation on sites smaller than one acre that are part of a larger common plan of development or sale, if the common plan of development or sale will ultimately disturb one acre or more and discharge stormwater to surface waters of the State. i. This includes forest practices (including, but not limited to, class IV conversions) that are part of a construction activity that will result in the disturbance of one or more acres, and discharge to surface waters of the State (that is, forest practices that prepare a site for construction activities); and b. Any size construction activity discharging stormwater to waters of the State that the Washington State Department of Ecology (Ecology): i. Determines to be a significant contributor of pollutants to waters of the State of Washington. ii. Reasonably expects to cause a violation of any water quality standard. 2. Operators of the following activities are not required to seek coverage under this CSWGP (unless specifically required under Special Condition S1.B.I.b. above): a. Construction activities that discharge all stormwater and non-stormwater to ground water, sanitary sewer, or combined sewer, and have no point source discharge to either surface water or a storm sewer system that drains to surface waters of the State. b. Construction activities covered under an Erosivity Waiver (Special Condition S2.C). c. Routine maintenance that is performed to maintain the original line and grade, hydraulic capacity, or original purpose of a facility. Construction Stornt►rater General Permit Page 5 C. Authorized Discharges: Stormwater Associated with Construction Activity. Subject to compliance with the terms and conditions of this permit, Permittees are authorized to discharge stormwater associated with construction activity to surface waters of the State or to a storm sewer system that drains to surface waters of the State. (Note that "surface waters of the State" may exist on a construction site as well as off site; for example, a creek running through a site.) 2. Stormwater Associated with Construction Support Activity. This permit also authorizes stormwater discharge from support activities related to the permitted construction site (for example, an on -site portable rock crusher, off -site equipment staging yards, material storage areas, borrow areas, etc.) provided: a. The support activity relates directly to the permitted construction site that is required to have an NPDES permit; and b. The support activity is not a commercial operation serving multiple unrelated construction projects, and does not operate beyond the completion of the construction activity; and c. Appropriate controls and measures are identified in the Stormwater Pollution Prevention Plan (SWPPP) for the discharges from the support activity areas. 3. Non-Stormwater Discharges. The categories and sources of non-stormwater discharges identified below are authorized conditionally, provided the discharge is consistent with the terms and conditions of this permit: a. Discharges from fire -fighting activities. b. Fire hydrant system flushing. c. Potable water, including uncontaminated water line flushing. d. Hydrostatic test water. e. Uncontaminated air conditioning or compressor condensate. f. Uncontaminated ground water or spring water. g. Uncontaminated excavation dewatering water (in accordance with S9.D.10). h. Uncontaminated discharges from foundation or footing drains. i. Uncontaminated water used to control dust. Permittees must minimize the amount of dust control water used. j. Routine external building wash down that does not use detergents. k. Landscape irrigation water. The SWPPP must adequately address all authorized non-stormwater discharges, except for discharges from fire -fighting activities, and must comply with Special Condition S3. Construction Stornnrater General Permit Page 6 At a minimum, discharges from potable water (including water line flushing), fire hydrant system flushing, and pipeline hydrostatic test water must undergo the following: dechlorination to a concentration of 0.1 parts per million (ppm) or less, and pH adjustment to within 6.5 — 8.5 standard units (su), if necessary. D. Prohibited Discharges: The following discharges to waters of the State, including ground water, are prohibited. Concrete wastewater. 2. Wastewater from washout and clean-up of stucco, paint, form release oils, curing compounds and other construction materials. Process wastewater as defined by 40 Code of Federal Regulations (CFR) 122.2 (see Appendix A of this permit). 4. Slurry materials and waste from shaft drilling, including process wastewater from shaft drilling for construction of building, road, and bridge foundations unless managed according to Special Condition S9.13.9 j. 5. Fuels, oils, or other pollutants used in vehicle and equipment operation and maintenance. 6. Soaps or solvents used in vehicle and equipment washing. Wheel wash wastewater, unless managed according to Special Condition S9.13.9. 8. Discharges from dewatering activities, including discharges from dewatering of trenches and excavations, unless managed according to Special Condition S9.13.10. E. Limits on Coverage Ecology may require any discharger to apply for and obtain coverage under an individual permit or another more specific general permit. Such alternative coverage will be required when Ecology determines that this CSWGP does not provide adequate assurance that water quality will be protected, or there is a reasonable potential for the project to cause or contribute to a violation of water quality standards. The following stormwater discharges are not covered by this permit: Post -construction stormwater discharges that originate from the site after completion of construction activities and the site has undergone final stabilization. 2. Non -point source silvicultural activities such as nursery operations, site preparation, reforestation and subsequent cultural treatment, thinning, prescribed burning, pest and fire control, harvesting operations, surface drainage, or road construction and maintenance, from which there is natural runoff as excluded in 40 CFR Subpart 122. 3. Stormwater from any federal operator. Consimetion Stornnoater General Permit Page 7 4. Stormwater from facilities located on "Indian Country" as defined in 18 U.S.C.§ 1151, except portions of the Puyallup Reservation as noted below. Indian Country includes: a. All land within any Indian Reservation notwithstanding the issuance of any patent, and, including rights -of -way running through the reservation. This includes all federal, tribal, and Indian and non -Indian privately owned land within the reservation. b. All off -reservation Indian allotments, the Indian titles to which have not been extinguished, including rights -of -way running through the same. c. All off -reservation federal trust lands held for Native American Tribes. Puyallup Exception: Following the Puyallup Tribes of Indians Land Settlement Act of 1989, 25 U.S.C. § 1773; the permit does apply to land within the Puyallup Reservation except for discharges to surface water on land held in trust by the federal government. Stormwater from any site covered under an existing NPDES individual permit in which stormwater management and/or treatment requirements are included for all stormwater discharges associated with construction activity. Stormwater from a site where an applicable Total Maximum Daily Load (TMDL) requirement specifically precludes or prohibits discharges from construction activity. S2. APPLICATION REQUIREMENTS A. Permit Application Forms Notice of Intent Form/Timeline a. Operators of new or previously unpermitted construction activities must submit a complete and accurate permit application (Notice of Intent, or NOI) to Ecology. b. Operators must apply using the electronic application form (NOI) available on Ecology's website littp://www.ecy.wa.gov/programs/wq/stormwater/ construction/index.html. Permittees unable to submit electronically (for example, those who do not have an internet connection) must contact Ecology to request a waiver and obtain instructions on how to obtain a paper NOI. Department of Ecology Water Quality Program - Construction Stormwater PO Box 47696 Olympia, Washington 98504-7696 Construction Stormwater General Permit Page 8 c. The operator must submit the NOI at least 60 days before discharging stormwater from construction activities and must submit it on or before the date of the first public notice (see Special Condition S2.13 below for details). The 30- day public comment period begins on the publication date of the second public notice. Unless Ecology responds to the complete application in writing, based on public comments, or any other relevant factors, coverage under the general permit will automatically commence on the thirty-first day following receipt by Ecology of a completed NOI, or the issuance date of this permit, whichever is later; unless Ecology specifies a later date in writing as required by WAC 173- 226-200(2). d. If an applicant intends to use a Best Management Practice (BMP) selected on the basis of Special Condition S9.C.4 ("demonstrably equivalent" BMPs), the applicant must notify Ecology of its selection as part of the NOI. In the event the applicant selects BMPs after submission of the NOI, it must provide notice of the selection of an equivalent BMP to Ecology at least 60 days before intended use of the equivalent BMP. e. Perm ittees must notify Ecology regarding any changes to the information provided on the NOI by submitting an updated NOI. Examples of such changes include, but are not limited to: i. Changes to the Permittee's mailing address, ii. Changes to the on -site contact person information, and iii. Changes to the area/acreage affected by construction activity. f. Applicants must notify Ecology if they are aware of contaminated soils and/or groundwater associated with the construction activity. Provide detailed information with the NOI (as known and readily available) on the nature and extent of the contamination (concentrations, locations, and depth), as well as pollution prevention and/or treatment BMPs proposed to control the discharge of soil and/or groundwater contaminants in stormwater. Examples of such detail may include, but are not limited to: i. List or table of all known contaminants with laboratory test results showing concentration and depth, ii. Map with sample locations, iii. Temporary Erosion and Sediment Control (TESC) plans, iv. Related portions of the Stormwater Pollution Prevention Plan (SWPPP) that address the management of contaminated and potentially contaminated construction stormwater and dewatering water, V. Dewatering plan and/or dewatering contingency plan. Construction Stornn ater General Perntit Page 9 2. Transfer of Coverage Form The Permittee can transfer current coverage under this permit to one or more new operators, including operators of sites within a Common Plan of Development, provided the Permittee submits a Transfer of Coverage Form in accordance with General Condition G9. Transfers do not require public notice. B. Public Notice For new or previously unpermitted construction activities, the applicant must publish a public notice at least one time each week for two consecutive weeks, at least 7 days apart, in a newspaper with general circulation in the county where the construction is to take place. The notice must contain: A statement that "The applicant is seeking coverage under the Washington State Department of Ecology's Construction Stormwater NPDES and State Waste Discharge General Permit". The name, address and location of the construction site. The name and address of the applicant. 4. The type of construction activity that will result in a discharge (for example, residential construction, commercial construction, etc.), and the number of acres to be disturbed. 5. The name of the receiving water(s) (that is, the surface water(s) to which the site will discharge), or, if the discharge is through a storm sewer system, the name of the operator of the system. 6. The statement: "Any persons desiring to present their views to the Washington State Department of Ecology regarding this application, or interested in Ecology's action on this application, may notify Ecology in writing no later than 30 days of the last date of publication of this notice. Ecology reviews public comments and considers whether discharges from this project would cause a measurable change in receiving water quality, and, if so, whether the project is necessary and in the overriding public interest according to Tier II antidegradation requirements under WAC 173-201 A-320. Comments can be submitted to: Department of Ecology, PO Box 47696, Olympia, Washington 98504-7696 Attn: Water Quality Program, Construction Stormwater." Construction Stornnsater Genera! Permit Page 10 C. Erosivity Waiver Construction site operators may qualify for an erosivity waiver from the CSWGP if the following conditions are met: The site will result in the disturbance of fewer than 5 acres and the site is not a portion of a common plan of development or sale that will disturb 5 acres or greater. 2. Calculation of Erosivity "R" Factor and Regional Timeframe: The project's rainfall erosivity factor ("R" Factor) must be less than 5 during the period of construction activity, as calculated (see the CSWGP homepage http://www.ecy.wa. ov/programs/wq/stormwater/construction/index.htm] for a link to the EPA's calculator and step by step instructions on computing the "R" Factor in the EPA Erosivity Waiver Fact Sheet). The period of construction activity starts when the land is first disturbed and ends with final stabilization. In addition: b. The entire period of construction activity must fall within the following timeframes: For sites west of the Cascades Crest: June 15 — September 15. ii. For sites east of the Cascades Crest, excluding the Central Basin: June 15 —October 15. iii. For sites east of the Cascades Crest, within the Central Basin: no additional timeframe restrictions apply. The Central Basin is defined as the portions of Eastern Washington with mean annual precipitation of less than 12 inches. For a map of the Central Basin (Average Annual Precipitation Region 2), refer to http://www.ecy.wa.gov/proarams/wq/stormwater/ construction/resourcesguidance.htm l . 3. Construction site operators must submit a complete Erosivity Waiver certification form at least one week before disturbing the land. Certification must include statements that the operator will: a. Comply with applicable local stormwater requirements; and b. Implement appropriate erosion and sediment control BMPs to prevent violations of water quality standards. 4. This waiver is not available for facilities declared significant contributors of pollutants as defined in Special Condition S I.B. l .b. or for any size construction activity that could reasonably expect to cause a violation of any water quality standard as defined in Special Condition S1.B.1.b.ii. This waiver does not apply to construction activities which include non- stormwater discharges listed in Special Condition S1.C.3. Construction Storntivater General Permit Page 1 1 6. If construction activity extends beyond the certified waiver period for any reason, the operator must either: a. Recalculate the rainfall erosivity "R" factor using the original start date and a new projected ending date and, if the "R" factor is still under 5 and the entire project falls within the applicable regional timeframe in Special Condition S2.C.2.b, complete and submit an amended waiver certification form before the original waiver expires; or b. Submit a complete permit application to Ecology in accordance with Special Condition S2.A and B before the end of the certified waiver period. S3. COMPLIANCE WITH STANDARDS A. Discharges must not cause or contribute to a violation of surface water quality standards (Chapter 173-201A WAC), ground water quality standards (Chapter 173-200 WAC), sediment management standards (Chapter 173-204 WAC), and human health -based criteria in the National Toxics Rule (40 CFR Part 131.36). Discharges not in compliance with these standards are not authorized. B. Prior to the discharge of stormwater and non-stormwater to waters of the State, the Permittee must apply all known, available, and reasonable methods of prevention, control, and treatment (AKART). This includes the preparation and implementation of an adequate SWPPP, with all appropriate BMPs installed and maintained in accordance with the SWPPP and the terms and conditions of this permit. C. Ecology presumes that a Permittee complies with water quality standards unless discharge monitoring data or other site -specific information demonstrates that a discharge causes or contributes to a violation of water quality standards, when the Permittee complies with the following conditions. The Permittee must fully: 1. Comply with all permit conditions, including planning, sampling, monitoring, reporting, and recordkeeping conditions. 2. Implement stormwater BMPs contained in stormwater management manuals published or approved by Ecology, or BMPs that are demonstrably equivalent to BMPs contained in stormwater technical manuals published or approved by Ecology, including the proper selection, implementation, and maintenance of all applicable and appropriate BMPs for on -site pollution control. (For purposes of this section, the stormwater manuals listed in Appendix 10 of the Phase I Municipal Stormwater Permit are approved by Ecology.) ' D. Where construction sites also discharge to ground water, the ground water discharges must also meet the terms and conditions of this CSWGP. Permittees who discharge to ground water through an injection well must also comply with any applicable requirements of the Underground Injection Control (UIC) regulations, Chapter 173-218 WAC. Construclion Stornnvwer General Permit Page 12 S4. MONITORING REQUIREMENTS, BENCHMARKS, AND REPORTING TRIGGERS A. Site Log Book The Permittee must maintain a site log book that contains a record of the implementation of the SWPPP and other permit requirements, including the installation and maintenance of BMPs, site inspections, and stormwater monitoring. B. Site Inspections The Permittee's site inspections must include all areas disturbed by construction activities, all BMPs, and all stormwater discharge points under the Permittee's operational control. (See Special Conditions S4.13.3 and B.4 below for detailed requirements of the Permittee's Certified Erosion and Sediment Control Lead [CESCL].) Construction sites one acre or larger that discharge stormwater to surface waters of the State must have site inspections conducted by a certified CESCL. Sites less than one acre may have a person without CESCL certification conduct inspections. 1. The Permittee must examine stormwater visually for the presence of suspended sediment, turbidity, discoloration, and oil sheen. The Permittee must evaluate the effectiveness of BMPs and determine if it is necessary to install, maintain, or repair BMPs to improve the quality of stormwater discharges. Based on the results of the inspection, the Permittee must correct the problems identified by: a. Reviewing the SWPPP for compliance with Special Condition S9 and making appropriate revisions within 7 days of the inspection. b. Immediately beginning the process of fully implementing and maintaining appropriate source control and/or treatment BMPs as soon as possible, addressing the problems no later than within 10 days of the inspection. If installation of necessary treatment BMPs is not feasible within 10 days, Ecology may approve additional time when an extension is requested by a Permittee within the initial 10-day response period. c. Documenting BMP implementation and maintenance in the site log book. 2. The Permittee must inspect all areas disturbed by construction activities, all BMPs, and all stormwater discharge points at least once every calendar week and within 24 hours of any discharge from the site. (For purposes of this condition, individual discharge events that last more than one day do not require daily inspections. For example, if a stormwater pond discharges continuously over the course of a week, only one inspection is required that week.) The Permittee may reduce the inspection frequency for temporarily stabilized, inactive sites to once every calendar month. Construction Stornnvater General Permit Page 13 3. The Permittee must have staff knowledgeable in the principles and practices of erosion and sediment control. The CESCL (sites one acre or more) or inspector (sites less than one acre) must have the skills to assess the: a. Site conditions and construction activities that could impact the quality of stormwater, and b. Effectiveness of erosion and sediment control measures used to control the quality of stormwater discharges. 4. The SWPPP must identify the CESCL or inspector, who must be present on site or on -call at all times. The CESCL must obtain this certification through an approved erosion and sediment control training program that meets the minimum training standards established by Ecology (see BMP C160 in the manual referred to in Special Condition S9.C.1 and 2). The Permittee must summarize the results of each inspection in an inspection report or checklist and enter the report/checklist into, or attach it to, the site log book. At a minimum, each inspection report or checklist must include: a. Inspection date and time. b. Weather information, the general conditions during inspection and the approximate amount of precipitation since the last inspection, and precipitation within the last 24 hours. c. A summary or list of all implemented BMPs, including observations of all erosion/sediment control structures or practices. d. A description of the locations: i. Of BMPs inspected; ii. Of BMPs that need maintenance and why; iii. Of BMPs that failed to operate as designed or intended; and iv. Where additional or different BMPs are needed, and why. e. A description of stormwater discharged from the site. The Permittee must note the presence of suspended sediment, turbidity, discoloration, and oil sheen, as applicable. f. Any water quality monitoring performed during inspection. g. General comments and notes, including a brief description of any BMP repairs, maintenance or installations made following the inspection. h. A summary report and a schedule of implementation of the remedial actions that the Permittee plans to take if the site inspection indicates that the site is out of compliance. The remedial actions taken must meet the requirements of the SWPPP and the permit. Construction Stornmater General Permit Page 14 i. The name, title, and signature of the person conducting the site inspection, a phone number or other reliable method to reach this person, and the following statement: "I certify that this report is true, accurate, and complete to the best of my knowledge and belief." Table 3: Summary of Primary Monitoring Requirements Size of Soil Weekly Site Weekly Weekly Weekly pH CESCL Disturbance Inspections Sampling w/ Sampling w/ Sampling Required for Turbidity Transparency Inspections? Meter Tube Sites that disturb Required Not Required Not Required Not Required No less than 1 acre, but are part of a larger Common Plan of Development Sites that disturb 1 Required Sampling Required — Required Yes acre or more, but either method3 fewer than 5 acres Sites that disturb 5 Required Required Not Required° Required Yes acres or more ' Soil disturbance is calculated by adding together all areas that will be affected by construction activity. Construction activity means clearing, grading, excavation, and any other activity that disturbs the surface of the land, including ingress/egress from the site. '- If construction activity results in the disturbance of 1 acre or more, and involves significant concrete work (1,000 cubic yards of poured over the life of a project) or the use of recycled concrete or engineered soils (soil amendments including but not limited to Portland cement -treated base [CTB], cement kiln dust [CKD], or fly ash), and stormwater from the affected area drains to surface waters of the State or to a storm sewer stormwater collection system that drains to other surface waters of the State, the Permittee must conduct pH sampling in accordance with Special Condition S4.13. ' Sites with one or more acres, but fewer than 5 acres of soil disturbance, must conduct turbidity or transparency sampling in accordance with Special Condition S4.C. a Sites equal to or greater than 5 acres of soil disturbance must conduct turbidity sampling using a turbidity meter in accordance with Special Condition S4.C. Consnruction Slorm►t-wer General Permit Page 15 C. Turbid ity/Transparency Sampling Requirements 1. Sampling Methods a. If construction activity involves the disturbance of 5 acres or more, the Pennittee must conduct turbidity sampling per Special Condition S4.C. b. If construction activity involves 1 acre or more but fewer than 5 acres of soil disturbance, the Permittee must conduct either transparency sampling or turbidity sampling per Special Condition S4.C. 2. Sampling Frequency a. The Permittee must sample all discharge points at least once every calendar week when stormwater (or authorized non-stormwater) discharges from the site or enters any on -site surface waters of the state (for example, a creek running through a site); sampling is not required on sites that disturb less than an acre. b. Samples must be representative of the flow and characteristics of the discharge. c. Sampling is not required when there is no discharge during a calendar week. d. Sampling is not required outside of normal working hours or during unsafe conditions. e. If the Permittee is unable to sample during a monitoring period, the Permittee must include a brief explanation in the monthly Discharge Monitoring Report (DMR). f. Sampling is not required before construction activity begins. g. The Permittee may reduce the sampling frequency for temporarily stabilized, inactive sites to once every calendar month. Sampling Locations a. Sampling is required at all points where stormwater associated with construction activity (or authorized non-stormwater) is discharged off site, including where it enters any on -site surface waters of the state (for example, a creek running through a site). b. The Permittee may discontinue sampling at discharge points that drain areas of the project that are fully stabilized to prevent erosion. c. The Permittee must identify all sampling point(s) on the SWPPP site map and clearly mark these points in the field with a flag, tape, stake or other visible marker. d. Sampling is not required for discharge that is sent directly to sanitary or combined sewer systems. Construction Stornnrater General Permit Page 16 e. The Permittee may discontinue sampling at discharge points in areas of the project where the Permittee no longer has operational control of the construction activity. 4. Sampling and Analysis Methods a. The Permittee performs turbidity analysis with a calibrated turbidity meter (turbidimeter) either on site or at an accredited lab. The Permittee must record the results in the site log book in nephelometric turbidity units (NTUs). b. The Permittee performs transparency analysis on site with a 1'/4-inch-diameter, 60-centimeter (cm) -long transparency tube. The Permittee will record the results in the site log book in centimeters (cm). Table 4: Monitoring and Reporting Requirements Parameter Unit Analytical Method Sampling Benchmark Phone Frequency Value Reporting Trigger Value Turbidity NTU SM2130 Weekly, if 25 NTUs 250 NTUs discharging Transparency cm Manufacturer Weekly, if 33 cm 6 cm instructions, or discharging Ecology guidance Turbidity/Transparency Benchmark Values and Reporting Triggers The benchmark value for turbidity is 25 NTUs or less. The benchmark value for transparency is 33 centimeters (cm). Note: Benchmark values do not apply to discharges to segments of water bodies on Washington State's 303(d) list (Category 5) for turbidity, fine sediment, or phosphorus; these discharges are subject to a numeric effluent limit for turbidity. Refer to Special Condition S8 for more information. a. Turbidity 26 — 249 NTUs, or Transparency 32 — 7 cm: If the discharge turbidity is 26 to 249 NTUs; or if discharge transparency is less than 33 cm, but equal to or greater than 6 cm, the Permittee must: i. Review the SWPPP for compliance with Special Condition S9 and make appropriate revisions within 7 days of the date the discharge exceeded the benchmark. ii. Immediately begin the process to fully implement and maintain appropriate source control and/or treatment BMPs as soon as possible, addressing the problems within 10 days of the date the discharge exceeded the benchmark. If installation of necessary treatment BMPs is not feasible within 10 days, Ecology may approve additional time when the Permittee requests an extension within the initial 10-day response period. Construction Stornr►rcrter Genet -al Permit Page 17 iii. Document BMP implementation and maintenance in the site log book. b. Turbidity 250 NTUs or greater, or Transparency 6 cm or less: If a discharge point's turbidity is 250 NTUs or greater, or if discharge transparency is less than or equal to 6 cm, the Permittee must complete the reporting and adaptive management process described below. Telephone or submit an electronic report to the applicable Ecology Region's Environmental Report Tracking System (ERTS) number (or through Ecology's Water Quality Permitting Portal [WQWebPortal] — Permit Submittals when the form is available) within 24 hours, in accordance with Special Condition S5.A. • Central Region (Okanogan, Chelan, Douglas, Kittitas, Yakima, Klickitat, Benton): (509) 575-2490 • Eastern Region (Adams, Asotin, Columbia, Ferry, Franklin, Garfield, Grant, Lincoln, Pend Oreille, Spokane, Stevens, Walla Walla, Whitman): (509) 329-3400 • Northwest Region (Kitsap, Snohomish, Island, King, San Juan, Skagit, Whatcom): (425) 649-7000 • Southwest Region (Grays Harbor, Lewis, Mason, Thurston, Pierce, Clark, Cowlitz, Skamania, Wahkiakum, Clallam, Jefferson, Pacific): (360) 407-6300 Links to these numbers and the ERTS reporting page are located on the following web site: http://www.ecy.wa.gov/programs/wg/stormwater/construction/index.htm 1. ii. Review the SWPPP for compliance with Special Condition S9 and make appropriate revisions within 7 days of the date the discharge exceeded the benchmark. iii. Immediately begin the process to fully implement and maintain appropriate source control and/or treatment BMPs as soon as possible, addressing the problems within 10 days of the date the discharge exceeded the benchmark. If installation of necessary treatment BMPs is not feasible within 10 days, Ecology may approve additional time when the Perm ittee requests an extension within the initial 10-day response period. iv. Document BMP implementation and maintenance in the site log book. V. Sample discharges daily until: a) Turbidity is 25 NTUs (or lower); or b) Transparency is 33 cm (or greater); or Construction Stornmetter General Permit Page 18 c) The Permittee has demonstrated compliance with the water quality limit for turbidity: 1) No more than 5 NTUs over background turbidity, if background is less than 50 NTUs, or 2) No more than 10% over background turbidity, if background is 50 NTUs or greater; or d) The discharge stops or is eliminated. D. pH Sampling Requirements — Significant Concrete Work or Engineered Soils If construction activity results in the disturbance of 1 acre or more, and involves significant concrete work (significant concrete work means greater than 1000 cubic yards poured concrete used over the life of a project ) or the use of recycled concrete or engineered soils (soil amendments including but not limited to Portland cement -treated base [CTB], cement kiln dust [CKD], or fly ash), and stormwater from the affected area drains to surface waters of the State or to a storm sewer system that drains to surface waters of the State, the Permittee must conduct pH sampling as set forth below. Note: In addition, discharges to segments of water bodies on Washington State's 303(d) list (Category 5) for high pH are subject to a numeric effluent limit for pH; refer to Special Condition S8. 1. For sites with significant concrete work, the Permittee must begin the pH sampling period when the concrete is first poured and exposed to precipitation, and continue weekly throughout and after the concrete pour and curing period, until stormwater pH is in the range of 6.5 to 8.5 (su). 2. For sites with recycled concrete, the Permittee must begin the weekly pH sampling period when the recycled concrete is first exposed to precipitation and must continue until the recycled concrete is fully stabilized and stormwater pH is in the range of 6.5 to 8.5 (su). 3. For sites with engineered soils, the Permittee must begin the pH sampling period when the soil amendments are first exposed to precipitation and must continue until the area of engineered soils is fully stabilized. 4. During the applicable pH monitoring period defined above, the Permittee must obtain a representative sample of stormwater and conduct pH analysis at least once per week. 5. The Permittee must sample pH in the sediment trap/pond(s) or other locations that receive stormwater runoff from the area of significant concrete work or engineered soils before the stormwater discharges to surface waters. 6. The benchmark value for pH is 8.5 standard units. Anytime sampling indicates that pH is 8.5 or greater, the Permittee must either: Construction Storni ater General Permit Page 19 a. Prevent the high pH water (8.5 or above) from entering storm sewer systems or surface waters; or b. If necessary, adjust or neutralize the high pH water until it is in the range of pH 6.5 to 8.5 (su) using an appropriate treatment BMP such as carbon dioxide (CO2) sparging or dry ice. The Permittee must obtain written approval from Ecology before using any form of chemical treatment other than CO2 sparging or dry ice. 7. The Permittee must perform pH analysis on site with a calibrated pH meter, pH test kit, or wide range pH indicator paper. The Permittee must record pH sampling results in the site log book. S5. REPORTING AND RECORDKEEPING REQUIREMENTS A. High Turbidity Reporting Anytime sampling performed in accordance with Special Condition S4.0 indicates turbidity has reached the 250 NTUs or more (or transparency less than or equal to 6 cm) high turbidity reporting level, the Permittee must either call the applicable Ecology Region's Environmental Report Tracking System (ERTS) number by phone within 24 hours of analysis or submit an electronic ERTS report (or submit an electronic report through Ecology's Water Quality Permitting Portal (WQWebPortal) — Permit Submittals when the form is available). See the CSWGP web site for links to ERTS and the WQWebPortal: http://www.ecy.wa.pov/programs/wq/stortnwater/construction/ index.html. Also, see phone numbers in Special Condition S4.C.5.b.i. B. Discharge Monitoring Reports (DMRs) Permittees required to conduct water quality sampling in accordance with Special Conditions S4.0 (Turbidity/Transparency), S4.13 (pH), S8 (303[d]/TMDL sampling), and/or G 13 (Additional Sampling) must submit the results to Ecology. Permittees must submit monitoring data using Ecology's WQWebDMR web application accessed through Ecology's Water Quality Permitting Portal. To find out more information and to sign up for WQWebDMR go to: http://www.ecy.wa.Pov/pro rg ams/ wg/12ermits/12aris/portal.html. Permittees unable to submit electronically (for example, those who do not have an internet connection) must contact Ecology to request a waiver and obtain instructions on how to obtain a paper copy DMR at: Department of Ecology Water Quality Program - Construction Stormwater PO Box 47696 Olympia, Washington 98504-7696 Permittees who obtain a waiver not to use WQWebDMR must use the forms provided to them by Ecology; submittals must be mailed to the address above. Permittees shall Construction Storm ater General Permit Page 20 submit DMR forms to be received by Ecology within 15 days following the end of each month. If there was no discharge during a given monitoring period, all Permittees must submit a DMR as required with "no discharge" entered in place of the monitoring results. DMRs are required for the full duration of permit coverage (from issuance date to termination). For more information, contact Ecology staff using information provided at the following web site: www.ecy.wa.gov/programstwgpermits/paris/contacts.litmi. C. Records Retention The Permittee must retain records of all monitoring information (site log book, sampling results, inspection reports/checklists, etc.), Stormwater Pollution Prevention Plan, copy of the permit coverage letter (including Transfer of Coverage documentation), and any other documentation of compliance with permit requirements for the entire life of the construction project and for a minimum of three years following the termination of permit coverage. Such information must include all calibration and maintenance records, and records of all data used to complete the application for this permit. This period of retention must be extended during the course of any unresolved litigation regarding the discharge of pollutants by the Permittee or when requested by Ecology. D. Recording Results For each measurement or sample taken, the Permittee must record the following information: 1. Date, place, method, and time of sampling or measurement. 2. The first and last name of the individual who performed the sampling or measurement. 3. The date(s) the analyses were performed. 4. The first and last name of the individual who performed the analyses. 5. The analytical techniques or methods used. 6. The results of all analyses. E. Additional Monitoring by the Permittee If the Permittee monitors any pollutant more frequently than required by this permit using test procedures specified by Special Condition S4 of this permit, the results of this monitoring must be included in the calculation and reporting of the data submitted in the Permittee's DMR. F. Noncompliance Notification In the event the Permittee is unable to comply with any part of the terms and conditions of this permit, and the resulting noncompliance may cause a threat to human health or the environment (such as but not limited to spills of fuels or other materials, catastrophic pond or slope failure, and discharges that violate water quality standards), or exceed Construction Stornimaer General Permit Page 21 numeric effluent limitations (see S8. Discharges to 303(d) or TMDL Waterbodies), the Permittee must, upon becoming aware of the circumstance: 1. Notify Ecology within 24-hours of the failure to comply by calling the applicable Regional office ERTS phone number (refer to Special Condition S4.C.5.b.i. or www.ecy.wa.gov/programs/wq/stormwater/construction/perm it.html#h ighturbidity for Regional ERTS phone numbers). 2. Immediately take action to prevent the discharge/pollution, or otherwise stop or correct the noncompliance, and, if applicable, repeat sampling and analysis of any noncompliance immediately and submit the results to Ecology within five (5) days of becoming aware of the violation. 3. Submit a detailed written report to Ecology within five (5) days, of the time the Permittee becomes aware of the circumstances, unless requested earlier by Ecology. The report must be submitted using Ecology's Water Quality Permitting Portal (WQWebPortal) - Permit Submittals, unless a waiver from electronic reporting has been granted according to S5.13. The report must contain a description of the noncompliance, including exact dates and times, and if the noncompliance has not been corrected, the anticipated time it is expected to continue; and the steps taken or planned to reduce, eliminate, and prevent reoccurrence of the noncompliance. The Pennittee must report any unanticipated bypass and/or upset that exceeds any effluent limit in the permit in accordance with the 24-hour reporting requirement contained in 40 C.F.R. 122.41(l)(6). Compliance with these requirements does not relieve the Permittee from responsibility to maintain continuous compliance with the terms and conditions of this permit or the resulting liability for failure to comply. Upon request of the Permittee, Ecology may waive the requirement for a written report on a case -by - case basis, if the immediate notification is received by Ecology within 24 hours. G. Access to Plans and Records The Permittee must retain the following permit documentation (plans and records) on site, or within reasonable access to the site, for use by the operator or for on -site review by Ecology or the local jurisdiction: a. General Permit b. Permit Coverage Letter c. Stormwater Pollution Prevention Plan (SWPPP) d. Site Log Book 2. The Permittee must address written requests for plans and records listed above (Special Condition S5.G.1) as follows: Construction Stormtirater General Permit Page 22 a. The Permittee must provide a copy of plans and records to Ecology within 14 days of receipt of a written request from Ecology. b. The Permittee must provide a copy of plans and records to the public when requested in writing. Upon receiving a written request from the public for the Permittee's plans and records, the Permittee must either: i. Provide a copy of the plans and records to the requester within 14 days of a receipt of the written request; or ii. Notify the requester within 10 days of receipt of the written request of the location and times within normal business hours when the plans and records may be viewed; and provide access to the plans and records within 14 days of receipt of the written request; or iii. Within 14 days of receipt of the written request, the Permittee may submit a copy of the plans and records to Ecology for viewing and/or copying by the requester at an Ecology office, or a mutually agreed location. If plans and records are viewed and/or copied at a location other than at an Ecology office, the Permittee will provide reasonable access to copying services for which a reasonable fee may be charged. The Permittee must notify the requester within 10 days of receipt of the request where the plans and records may be viewed and/or copied. S6. PERMIT FEES The Permittee must pay permit fees assessed by Ecology. Fees for stormwater discharges covered under this permit are established by Chapter 173-224 WAC. Ecology continues to assess permit fees until the permit is terminated in accordance with Special Condition S10 or revoked in accordance with General Condition G5. S7. SOLID AND LIQUID WASTE DISPOSAL The Permittee must handle and dispose of solid and liquid wastes generated by construction activity, such as demolition debris, construction materials, contaminated materials, and waste materials from maintenance activities, including liquids and solids from cleaning catch basins and other stormwater facilities, in accordance with: A. Special Condition S3, Compliance with Standards B. WAC 173-216-110 C. Other applicable regulations S8. DISCHARGES TO 303(d) OR TMDL WATERBODIES A. Sampling and Numeric Effluent Limits For Certain Discharges to 303(d)-listed Waterbodies Construction Sta-rmrater General Permit Page 23 l . Permittees who discharge to segments of waterbodies listed as impaired by the State of Washington under Section 303(d) of the Clean Water Act for turbidity, fine sediment, high pH, or phosphorus, must conduct water quality sampling according to the requirements of this section, and Special Conditions S4.C.2.b-f and S4.C.3.b-d, and must comply with the applicable numeric effluent limitations in S8.0 and S8.D. 2. All references and requirements associated with Section 303(d) of the Clean Water Act mean the most current listing by Ecology of impaired waters (Category 5) that exists on January 1, 2016, or the date when the operator's complete permit application is received by Ecology, whichever is later. B. Limits on Coverage for New Discharges to TMDL or 303(d)-listed Waters Operators of construction sites that discharge to a TMDL or 303(d)-listed waterbody are not eligible for coverage under this permit unless the operator: Prevents exposing stormwater to pollutants for which the waterbody is impaired, and retains documentation in the SWPPP that details procedures taken to prevent exposure on site; or Documents that the pollutants for which the waterbody is impaired are not present at the site, and retains documentation of this finding within the SWPPP; or 3. Provides Ecology with data indicating the discharge is not expected to cause or contribute to an exceedance of a water quality standard, and retains such data on site with the SWPPP. The operator must provide data and other technical information to Ecology that sufficiently demonstrate: a. For discharges to waters without an EPA -approved or -established TMDL, that the discharge of the pollutant for which the water is impaired will meet in - stream water quality criteria at the point of discharge to the waterbody; or b. For discharges to waters with an EPA -approved or -established TMDL, that there is sufficient remaining wasteload allocation in the TMDL to allow construction stormwater discharge and that existing dischargers to the waterbody are subject to compliance schedules designed to bring the waterbody into attainment with water quality standards. Operators of construction sites are eligible for coverage under this permit if Ecology issues permit coverage based upon an affirmative determination that the discharge will not cause or contribute to the existing impairment. C. Sampling and Numeric Effluent Limits for Discharges to Water Bodies on the 303(d) List for Turbidity, Fine Sediment, or Phosphorus Permittees who discharge to segments of water bodies on the 303(d) list (Category 5) for turbidity, fine sediment, or phosphorus must conduct turbidity sampling in accordance with Special Condition S4.C.2 and comply with either of the numeric effluent limits noted in Table 5 below. Construction Stornnrater General Permit Page 24 2. As an alternative to the 25 NTUs effluent limit noted in Table 5 below (applied at the point where stormwater [or authorized non-stormwater] is discharged off -site), Permittees may choose to comply with the surface water quality standard for turbidity. The standard is: no more than 5 NTUs over background turbidity when the background turbidity is 50 NTUs or less, or no more than a 10% increase in turbidity when the background turbidity is more than 50 NTUs. In order to use the water quality standard requirement, the sampling must take place at the following locations: a. Background turbidity in the 303(d)-listed receiving water immediately upstream (upgradient) or outside the area of influence of the discharge. b. Turbidity at the point of discharge into the 303(d)-listed receiving water, inside the area of influence of the discharge. 3. Discharges that exceed the numeric effluent limit for turbidity constitute a violation of this permit. 4. Permittees whose discharges exceed the numeric effluent limit shall sample discharges daily until the violation is corrected and comply with the non- compliance notification requirements in Special Condition S5.F. Table 5: Turbidity, Fine Sediment & Phosphorus Sampling and Limits for 303(d)-Listed Waters Parameter identified in 303(d) listing Parameter Sampled Unit Analytical Method Sampling Frequency Numeric Effluent Limit' • Turbidity Turbidity NTU SM2130 Weekly, if 25 NTUs, at the • Fine Sediment discharging point where • Phosphorus stormwater is discharged from the site; OR In compliance with the surface water quality standard for turbidity (S8.C.2.a) 'Permittees subject to a numeric effluent limit for turbidity may, at their discretion, choose either numeric effluent limitation based on site -specific considerations including, but not limited to, safety, access and convenience. D. Discharges to Water Bodies on the 303(d) List for High pH 1. Permittees who discharge to segments of water bodies on the 303(d) list (Category 5) for high pH must conduct pH sampling in accordance with the table below, and comply with the numeric effluent limit of pH 6.5 to 8.5 su (Table 6). Construction Storntwater General Permit Page 25 Table 6: pH Sampling and Limits for 303(d)-Listed Waters Parameter identified in Parameter Analytical Sampling Numeric Effluent 303(d) listing Sampled/Units Method Frequency Limit High pH pH /Standard pH meter Weekly, if In the range of 6.5 Units discharging — 8.5 2. At the Permittee's discretion, compliance with the limit shall be assessed at one of the following locations: a. Directly in the 303(d)-listed waterbody segment. inside the immediate area of influence of the discharge; or b. Alternatively, the Permittee may measure pH at the point where the discharge leaves the construction site, rather than in the receiving water. 3. Discharges that exceed the numeric effluent limit for pH (outside the range of 6.5 — 8.5 su) constitute a violation of this permit. 4. Permittees whose discharges exceed the numeric effluent limit shall sample discharges daily until the violation is corrected and comply with the non- compliance notification requirements in Special Condition S5.F. E. Sampling and Limits for Sites Discharging to Waters Covered by a TMDL or Another Pollution Control Plan Discharges to a waterbody that is subject to a Total Maximum Daily Load (TMDL) for turbidity, fine sediment, high pH, or phosphorus must be consistent with the TMDL. Refer to http://www.ecy.wa.gov/programs/wq/tmdl/ TMDLsbyWria/TMDLbyWria.html for more information on TMDLs. a. Where an applicable TMDL sets specific waste load allocations or requirements for discharges covered by this permit, discharges must be consistent with any specific waste load allocations or requirements established by the applicable TMDL. i. The Permittee must sample discharges weekly or as otherwise specified by the TMDL to evaluate compliance with the specific waste load allocations or requirements. ii. Analytical methods used to meet the monitoring requirements must conform to the latest revision of the Guidelines Establishing Test Procedures for the Analysis of Pollutants contained in 40 CFR Part 136. Turbidity and pH methods need not be accredited or registered unless conducted at a laboratory which must otherwise be accredited or registered. b. Where an applicable TMDL has established a general waste load allocation for construction stormwater discharges, but has not identified specific requirements, Construction Stormw•ater General Permit Page 26 compliance with Special Conditions S4 (Monitoring) and S9 (SWPPPs) will constitute compliance with the approved TMDL. c. Where an applicable TMDL has not specified a waste load allocation for construction stormwater discharges, but has not excluded these discharges, compliance with Special Conditions S4 (Monitoring) and S9 (SWPPPs) will constitute compliance with the approved TMDL. d. Where an applicable TMDL specifically precludes or prohibits discharges from construction activity, the operator is not eligible for coverage under this permit. 2. Applicable TMDL means a TMDL for turbidity, fine sediment, high pH, or phosphorus that is completed and approved by EPA before January 1, 2016, or before the date the operator's complete permit application is received by Ecology, whichever is later. TMDLs completed after the operator's complete permit application is received by Ecology become applicable to the Permittee only if they are imposed through an administrative order by Ecology, or through a modification of permit coverage. S9. STORMWATER POLLUTION PREVENTION PLAN The Permittee must prepare and properly implement an adequate Stormwater Pollution Prevention Plan (SWPPP) for construction activity in accordance with the requirements of this permit beginning with initial soil disturbance and until final stabilization. A. The Permittee's SWPPP must meet the following objectives: To implement best management practices (BMPs) to prevent erosion and sedimentation, and to identify, reduce, eliminate or prevent stormwater contamination and water pollution from construction activity. 2. To prevent violations of surface water quality, ground water quality, or sediment management standards. 3. To control peak volumetric flow rates and velocities of stormwater discharges. B. General Requirements 1. The SWPPP must include a narrative and drawings. All BMPs must be clearly referenced in the narrative and marked on the drawings. The SWPPP narrative must include documentation to explain and justify the pollution prevention decisions made for the project. Documentation must include: Information about existing site conditions (topography, drainage, soils, vegetation, etc.). b. Potential erosion problem areas. c. The 13 elements of a SWPPP in Special Condition S9.D.1-13, including BMPs used to address each element. Construction Stormwater General Permit Page 27 d. Construction phasing/sequence and general BMP implementation schedule. e. The actions to be taken if BMP performance goals are not achieved —for example, a contingency plan for additional treatment and/or storage of stormwater that would violate the water quality standards if discharged. f. Engineering calculations for ponds, treatment systems, and any other designed structures. 2. The Permittee must modify the SWPPP if, during inspections or investigations conducted by the owner/operator, or the applicable local or state regulatory authority, it is determined that the SWPPP is, or would be, ineffective in eliminating or significantly minimizing pollutants in stormwater discharges from the site. The Permittee must then: a. Review the SWPPP for compliance with Special Condition S9 and make appropriate revisions within 7 days of the inspection or investigation. b. Immediately begin the process to fully implement and maintain appropriate source control and/or treatment BMPs as soon as possible, addressing the problems no later than 10 days from the inspection or investigation. If installation of necessary treatment BMPs is not feasible within 10 days, Ecology may approve additional time when an extension is requested by a Permittee within the initial 10-day response period. c. Document BMP implementation and maintenance in the site log book. The Permittee must modify the SWPPP whenever there is a change in design, construction, operation, or maintenance at the construction site that has, or could have, a significant effect on the discharge of pollutants to waters of the State. C. Stormwater Best Management Practices (BMPs) BMPs must be consistent with: Stormwater Management Manual for Western Washington (most current approved edition at the time this permit was issued), for sites west of the crest of the Cascade Mountains; or Stormwater Management Manual for Eastern Washington (most current approved edition at the time this permit was issued), for sites east of the crest of the Cascade Mountains; or 3. Revisions to the manuals listed in Special Condition S9.C.1. & 2., or other stormwater management guidance documents or manuals which provide an equivalent level of pollution prevention, that are approved by Ecology and incorporated into this permit in accordance with the permit modification requirements of WAC 173-226-230; or Construction Stornnrater General Permit Page 28 4. Documentation in the SWPPP that the BMPs selected provide an equivalent level of pollution prevention, compared to the applicable Stormwater Management Manuals, including: a. The technical basis for the selection of all stormwater BMPs (scientific, technical studies, and/or modeling) that support the performance claims for the BMPs being selected. b. An assessment of how the selected BMP will satisfy AKART requirements and the applicable federal technology -based treatment requirements under 40 CFR part 125.3. D. SWPPP —Narrative Contents and Requirements The Permittee must include each of the 13 elements below in Special Condition S9.D.1-13 in the narrative of the SWPPP and implement them unless site conditions render the element unnecessary and the exemption from that element is clearly justified in the SWPPP. 1. Preserve Vegetation/Mark Clearing Limits a. Before beginning land -disturbing activities, including clearing and grading, clearly mark all clearing limits, sensitive areas and their buffers, and trees that are to be preserved within the construction area. b. Retain the duff layer, native topsoil, and natural vegetation in an undisturbed state to the maximum degree practicable. 2. Establish Construction Access a. Limit construction vehicle access and exit to one route, if possible. b. Stabilize access points with a pad of quarry spalls, crushed rock, or other equivalent BMPs, to minimize tracking sediment onto roads. c. Locate wheel wash or tire baths on site, if the stabilized construction entrance is not effective in preventing tracking sediment onto roads. d. If sediment is tracked off site, clean the affected roadway thoroughly at the end of each day, or more frequently as necessary (for example, during wet weather). Remove sediment from roads by shoveling, sweeping, or pickup and transport of the sediment to a controlled sediment disposal area. e. Conduct street washing only after sediment removal in accordance with Special Condition S9.D.2.d. Control street wash wastewater by pumping back on site or otherwise preventing it from discharging into systems tributary to waters of the State. 3. Control Flow Rates a. Protect properties and waterways downstream of development sites from erosion and the associated discharge of turbid waters due to increases in the Consn•uction Stornavwer Genera! Permit Page 29 velocity and peak volumetric flow rate of stormwater runoff from the project site, as required by local plan approval authority. b. Where necessary to comply with Special Condition S9.D.3.a, construct stormwater retention or detention facilities as one of the first steps in grading. Assure that detention facilities function properly before constructing site improvements (for example, impervious surfaces). c. If permanent infiltration ponds are used for flow control during construction, protect these facilities from siltation during the construction phase. 4. Install Sediment Controls The Permittee must design, install and maintain effective erosion controls and sediment controls to minimize the discharge of pollutants. At a minimum, the Permittee must design, install and maintain such controls to: a. Construct sediment control BMPs (sediment ponds, traps, filters, infiltration facilities, etc.) as one of the first steps in grading. These BMPs must be functional before other land disturbing activities take place. b. Minimize sediment discharges from the site. The design, installation and maintenance of erosion and sediment controls must address factors such as the amount, frequency, intensity and duration of precipitation, the nature of resulting stormwater runoff, and soil characteristics, including the range of soil particle sizes expected to be present on the site. c. Direct stormwater runoff from disturbed areas through a sediment pond or other appropriate sediment removal BMP, before the runoff leaves a construction site or before discharge to an infiltration facility. Runoff from fully stabilized areas may be discharged without a sediment removal BMP, but must meet the flow control performance standard of Special Condition S9.D.3.a. d. Locate BMPs intended to trap sediment on site in a manner to avoid interference with the movement of juvenile salmonids attempting to enter off -channel areas or drainages. e. Provide and maintain natural buffers around surface waters, direct stormwater to vegetated areas to increase sediment removal and maximize stormwater infiltration, unless infeasible. f. Where feasible, design outlet structures that withdraw impounded stormwater from the surface to avoid discharging sediment that is still suspended lower in the water column. Stabilize Soils a. The Permittee must stabilize exposed and unworked soils by application of effective BMPs that prevent erosion. Applicable BMPs include, but are not limited to: temporary and permanent seeding, sodding, mulching, plastic covering, erosion control fabrics and matting, soil application of polyacrylamide Construction Stornmater Genera! Permit Page 30 (PAM), the early application of gravel base on areas to be paved, and dust control. b. The Permittee must control stormwater volume and velocity within the site to minimize soil erosion. c. The Permittee must control stormwater discharges, including both peak flow rates and total stormwater volume, to minimize erosion at outlets and to minimize downstream channel and stream bank erosion. d. Depending on the geographic location of the project, the Permittee must not allow soils to remain exposed and unworked for more than the time periods set forth below to prevent erosion: West of the Cascade Mountains Crest During the dry season (May 1 - September 30): 7 days During the wet season (October 1 - April 30): 2 days East of the Cascade Mountains Crest, except for Central Basin* During the dry season (July 1 - September 30): 10 days During the wet season (October 1 - June 30): 5 days The Central Basin*, East of the Cascade Mountains Crest During the dry season (July 1 - September 30): 30 days During the wet season (October 1 - June 30): 15 days *Note: The Central Basin is defined as the portions of Eastern Washington with mean annual precipitation of less than 12 inches. The Permittee must stabilize soils at the end of the shift before a holiday or weekend if needed based on the weather forecast. f. The Permittee must stabilize soil stockpiles from erosion, protected with sediment trapping measures, and where possible, be located away from storm drain inlets, waterways, and drainage channels. g. The Permittee must minimize the amount of soil exposed during construction activity. h. The Permittee must minimize the disturbance of steep slopes. i. The Permittee must minimize soil compaction and, unless infeasible, preserve topsoil. 6. Protect Slopes a. The Permittee must design and construct cut -and -fill slopes in a manner to minimize erosion. Applicable practices include, but are not limited to, reducing continuous length of slope with terracing and diversions, reducing slope steepness, and roughening slope surfaces (for example, track walking). Construction Stornnrater General Permit Page 31 b. The Permittee must divert off -site stormwater (run-on) or ground water away from slopes and disturbed areas with interceptor dikes, pipes, and/or swales. Off -site stormwater should be managed separately from stormwater generated on the site. c. At the top of slopes, collect drainage in pipe slope drains or protected channels to prevent erosion. West of the Cascade Mountains Crest: Temporary pipe slope drains must handle the peak 10-minute flow rate from a Type IA, 10-year, 24-hour frequency storm for the developed condition. Alternatively, the 10-year, I -hour flow rate predicted by an approved continuous runoff model, increased by a factor of 1.6, may be used. The hydrologic analysis must use the existing land cover condition for predicting flow rates from tributary areas outside the project limits. For tributary areas on the project site, the analysis must use the temporary or permanent project land cover condition, whichever will produce the highest flow rates. If using the Western Washington Hydrology Model (WWHM) to predict flows, bare soil areas should be modeled as "landscaped area." ii. East of the Cascade Mountains Crest: Temporary pipe slope drains must handle the expected peak flow rate from a 6-month, 3-hour storm for the developed condition, referred to as the short duration storm. d. Place excavated material on the uphill side of trenches, consistent with safety and space considerations. Place check dams at regular intervals within constructed channels that are cut down a slope. 7. Protect Drain Inlets a. Protect all storm drain inlets made operable during construction so that stormwater runoff does not enter the conveyance system without first being filtered or treated to remove sediment. b. Clean or remove and replace inlet protection devices when sediment has filled one-third of the available storage (unless a different standard is specified by the product manufacturer). Stabilize Channels and Outlets a. Design, construct and stabilize all on -site conveyance channels to prevent erosion from the following expected peak flows: i. West of the Cascade Mountains Crest: Channels must handle the peak 10-minute flow rate from a Type I A, 10-year, 24-hour frequency storm for the developed condition. Alternatively, the I 0-year, I -hour flow rate indicated by an approved continuous runoff model, increased by a factor of 1.6, may be used. The hydrologic analysis must use the existing land Consnruction Stornnvater General Permit Page 3 2 cover condition for predicting flow rates from tributary areas outside the project limits. For tributary areas on the project site, the analysis must use the temporary or permanent project land cover condition, whichever will produce the highest flow rates. If using the WWHM to predict flows, bare soil areas should be modeled as "landscaped area." ii. East of the Cascade Mountains Crest: Channels must handle the expected peak flow rate from a 6-month, 3-hour storm for the developed condition, referred to as the short duration storm. b. Provide stabilization, including armoring material, adequate to prevent erosion of outlets, adjacent stream banks, slopes, and downstream reaches at the outlets of all conveyance systems. 9. Control Pollutants Design, install, implement and maintain effective pollution prevention measures to minimize the discharge of pollutants. The Permittee must: a. Handle and dispose of all pollutants, including waste materials and demolition debris that occur on site in a manner that does not cause contamination of stormwater. b. Provide cover, containment, and protection from vandalism for all chemicals, liquid products, petroleum products, and other materials that have the potential to pose a threat to human health or the environment. On -site fueling tanks must include secondary containment. Secondary containment means placing tanks or containers within an impervious structure capable of containing 110% of the volume contained in the largest tank within the containment structure. Double - walled tanks do not require additional secondary containment. c. Conduct maintenance, fueling, and repair of heavy equipment and vehicles using spill prevention and control measures. Clean contaminated surfaces immediately following any spill incident. d. Discharge wheel wash or tire bath wastewater to a separate on -site treatment system that prevents discharge to surface water, such as closed -loop recirculation or upland land application, or to the sanitary sewer with local sewer district approval. e. Apply fertilizers and pesticides in a manner and at application rates that will not result in loss of chemical to stormwater runoff. Follow manufacturers' label requirements for application rates and procedures. f. Use BMPs to prevent contamination of stormwater runoff by pH -modifying sources. The sources for this contamination include, but are not limited to: bulk cement, cement kiln dust, fly ash, new concrete washing and curing waters, recycled concrete stockpiles, waste streams generated from concrete grinding and sawing, exposed aggregate processes, dewatering concrete vaults, concrete Construction Storniwaler General Permit Page 33 pumping and mixer washout waters. (Also refer to the definition for "concrete wastewater" in Appendix A --Definitions.) g. Adjust the pH of stormwater or authorized non-stormwater if necessary to prevent an exceedance of groundwater and/or surface water quality standards. h. Assure that washout of concrete trucks is performed off -site or in designated concrete washout areas only. Do not wash out concrete trucks or concrete handling equipment onto the ground, or into storm drains, open ditches, streets, or streams. Do not dump excess concrete on site, except in designated concrete washout areas. Concrete spillage or concrete discharge to surface waters of the State is prohibited. i. Obtain written approval from Ecology before using any chemical treatment, with the exception of COz or dry ice used to adjust pH. j. Uncontaminated water from water -only based shaft drilling for construction of building, road, and bridge foundations may be infiltrated provided the wastewater is managed in a way that prohibits discharge to surface waters. Prior to infiltration, water from water -only based shaft drilling that comes into contact with curing concrete must be neutralized until pH is in the range of 6.5 to 8.5 (su). 10. Control Dewatering a. Permittees must discharge foundation, vault, and trench dewatering water, which have characteristics similar to stormwater runoff at the site, into a controlled conveyance system before discharge to a sediment trap or sediment pond. b. Pennittees may discharge clean, non -turbid dewatering water, such as well - point ground water, to systems tributary to, or directly into surface waters of the State, as specified in Special Condition S9.D.8, provided the dewatering flow does not cause erosion or flooding of receiving waters. Do not route clean dewatering water through stormwater sediment ponds. Note that "surface waters of the State" may exist on a construction site as well as off site; for example, a creek running through a site. c. Other dewatering treatment or disposal options may include: i. Infiltration. ii. Transport off site in a vehicle, such as a vacuum flush truck, for legal disposal in a manner that does not pollute state waters. iii. Ecology -approved on -site chemical treatment or other suitable treatment technologies (see S9.D.9.i. regarding chemical treatment written approval). iv. Sanitary or combined sewer discharge with local sewer district approval, if there is no other option. Construction Stornr►valer General Permit Page 34 V. Use of a sedimentation bag with discharge to a ditch or swale for small volumes of localized dewatering. d. Permittees must handle highly turbid or contaminated dewatering water separately from stormwater. IL Maintain BMPs a. Permittees must maintain and repair all temporary and permanent erosion and sediment control BMPs as needed to assure continued performance of their intended function in accordance with BMP specifications. b. Permittees must remove all temporary erosion and sediment control BMPs within 30 days after achieving final site stabilization or after the temporary BMPs are no longer needed. 12. Manage the Project a. Phase development projects to the maximum degree practicable and take into account seasonal work limitations. b. Inspection and monitoring — Inspect, maintain and repair all BMPs as needed to assure continued performance of their intended function. Conduct site inspections and monitoring in accordance with Special Condition S4. c. Maintaining an updated construction SWPPP — Maintain, update, and implement the SWPPP in accordance with Special Conditions S3, S4 and S9. 13. Protect Low Impact Development (LID) BMPs The primary purpose of LID BMPs/On-site LID Stormwater Management BMPs is to reduce the disruption of the natural site hydrology. LID BMPs are permanent facilities. a. Permittees must protect all Bioretention and Rain Garden facilities from sedimentation through installation and maintenance of erosion and sediment control BMPs on portions of the site that drain into the Bioretention and/or Rain Garden facilities. Restore the facilities to their fully functioning condition if they accumulate sediment during construction. Restoring the facility must include removal of sediment and any sediment -laden Bioretention/Rain Garden soils, and replacing the removed soils with soils meeting the design specification. b. Permittees must maintain the infiltration capabilities of Bioretention and Rain Garden facilities by protecting against compaction by construction equipment and foot traffic. Protect completed lawn and landscaped areas from compaction due to construction equipment. c. Permittees must control erosion and avoid introducing sediment from surrounding land uses onto permeable pavements. Do not allow muddy Construction Stornnrater General Permit Page 35 construction equipment on the base material or pavement. Do not allow sediment -laden runoff onto permeable pavements. d. Permittees must clean permeable pavements fouled with sediments or no longer passing an initial infiltration test using local stormwater manual methodology or the manufacturer's procedures. e. Pennittees must keep all heavy equipment off existing soils under LID facilities that have been excavated to final grade to retain the infiltration rate of the soils. E. SWPPP — Map Contents and Requirements The Permittee's SWPPP must also include a vicinity map or general location map (for example, a USGS quadrangle map, a portion of a county or city map, or other appropriate map) with enough detail to identify the location of the construction site and receiving waters within one mile of the site. The SWPPP must also include a legible site map (or maps) showing the entire construction site. The following features must be identified, unless not applicable due to site conditions: The direction of north, property lines, and existing structures and roads. 2. Cut and fill slopes indicating the top and bottom of slope catch lines. Approximate slopes, contours, and direction of stonrwater flow before and after major grading activities. 4. Areas of soil disturbance and areas that will not be disturbed. Locations of structural and nonstructural controls (BMPs) identified in the S W PPP. Locations of off -site material, stockpiles, waste storage, borrow areas, and vehicle/equipment storage areas. Locations of all surface water bodies, including wetlands. 8. Locations where stormwater or non-stormwater discharges off -site and/or to a surface waterbody, including wetlands. Location of water quality sampling station(s), if sampling is required by state or local permitting authority. 10. Areas where final stabilization has been accomplished and no further construction - phase permit requirements apply. 11. Location or proposed location of LID facilities. Construction Stornti ater Genera! Permit Page 36 510. NOTICE OF TERMINATION A. The site is eligible for termination of coverage when it has met any of the following conditions: The site has undergone final stabilization, the Permittee has removed all temporary BMPs (except biodegradable BMPs clearly manufactured with the intention for the material to be left in place and not interfere with maintenance or land use), and all stormwater discharges associated with construction activity have been eliminated; or 2. All portions of the site that have not undergone final stabilization per Special Condition S 10.A.1 have been sold and/or transferred (per General Condition G9), and the Permittee no longer has operational control of the construction activity; or For residential construction only, the Permittee has completed temporary stabilization and the homeowners have taken possession of the residences. B. When the site is eligible for termination, the Permittee must submit a complete and accurate Notice of Termination (NOT) form, signed in accordance with General Condition G2, to: Department of Ecology Water Quality Program — Construction Stormwater PO Box 47696 Olympia, Washington 98504-7696 When an electronic termination form is available, the Permittee may choose to submit a complete and accurate Notice of Termination (NOT) form through the Water Quality Permitting Portal rather than mailing a hardcopy as noted above. The termination is effective on the thirty-first calendar day following the date Ecology receives a complete NOT form, unless Ecology notifies the Permittee that the termination request is denied because the Permittee has not met the eligibility requirements in Special Condition S 1 O.A. Permittees are required to comply with all conditions and effluent limitations in the permit until the permit has been terminated. Permittees transferring the property to a new property owner or operator/Permittee are required to complete and submit the Notice of Transfer form to Ecology, but are not required to submit a Notice of Termination form for this type of transaction. Construction Stormmater General Permit Page 3 7 GENERAL CONDITIONS G1. DISCHARGE VIOLATIONS All discharges and activities authorized by this general permit must be consistent with the terms and conditions of this general permit. Any discharge of any pollutant more frequent than or at a level in excess of that identified and authorized by the general permit must constitute a violation of the terms and conditions of this permit. G2. SIGNATORY REQUIREMENTS A. All permit applications must bear a certification of correctness to be signed: 1. In the case of corporations, by a responsible corporate officer; 2. In the case of a partnership, by a general partner of a partnership; 3. In the case of sole proprietorship, by the proprietor; or 4. In the case of a municipal, state, or other public facility, by either a principal executive officer or ranking elected official. B. All reports required by this permit and other information requested by Ecology (including NOIs, NOTs, and Transfer of Coverage forms) must be signed by a person described above or by a duly authorized representative of that person. A person is a duly authorized representative only if: 1. The authorization is made in writing by a person described above and submitted to Ecology. 2. The authorization specifies either an individual or a position having responsibility for the overall operation of the regulated facility, such as the position of plant manager, superintendent, position of equivalent responsibility, or an individual or position having overall responsibility for environmental matters. C. Changes to authorization. If an authorization under paragraph G2.13.2 above is no longer accurate because a different individual or position has responsibility for the overall operation of the facility, a new authorization satisfying the requirements of paragraph G2.13.2 above must be submitted to Ecology prior to or together with any reports, information, or applications to be signed by an authorized representative. D. Certification. Any person signing a document under this section must make the following certification: "I certify under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering information, the information submitted is, to the best of my Construction Stornnsater General Permit Page 38 knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations." G3. RIGHT OF INSPECTION AND ENTRY The Permittee must allow an authorized representative of Ecology, upon the presentation of credentials and such other documents as may be required by law: A. To enter upon the premises where a discharge is located or where any records are kept under the terms and conditions of this permit. B. To have access to and copy — at reasonable times and at reasonable cost — any records required to be kept under the terms and conditions of this permit. C. To inspect — at reasonable times — any facilities, equipment (including monitoring and control equipment), practices, methods, or operations regulated or required under this permit. D. To sample or monitor — at reasonable times — any substances or parameters at any location for purposes of assuring permit compliance or as otherwise authorized by the Clean Water Act. G4. GENERAL PERMIT MODIFICATION AND REVOCATION This permit may be modified, revoked and reissued, or terminated in accordance with the provisions of Chapter 173-226 WAC. Grounds for modification, revocation and reissuance, or termination include, but are not limited to, the following: A. When a change occurs in the technology or practices for control or abatement of pollutants applicable to the category of dischargers covered under this permit. B. When effluent limitation guidelines or standards are promulgated pursuant to the CWA or Chapter 90.48 RCW, for the category of dischargers covered under this permit. C. When a water quality management plan containing requirements applicable to the category of dischargers covered under this permit is approved, or D. When information is obtained that indicates cumulative effects on the environment from dischargers covered under this permit are unacceptable. G5. REVOCATION OF COVERAGE UNDER THE PERMIT Pursuant to Chapter 43.21B RCW and Chapter 173-226 WAC, the Director may terminate coverage for any discharger under this permit for cause. Cases where coverage may be terminated include, but are not limited to, the following: A. Violation of any term or condition of this permit. B. Obtaining coverage under this permit by misrepresentation or failure to disclose fully all relevant facts. Construction Storntncater General Permit Page 39 C. A change in any condition that requires either a temporary or permanent reduction or elimination of the permitted discharge. D. Failure or refusal of the Permittee to allow entry as required in RCW 90.48.090. E. A determination that the permitted activity endangers human health or the environment, or contributes to water quality standards violations. F. Nonpayment of permit fees or penalties assessed pursuant to RCW 90.48.465 and Chapter 173-224 WAC. G. Failure of the Permittee to satisfy the public notice requirements of WAC 173-226- 130(5), when applicable. The Director may require any discharger under this permit to apply for and obtain coverage under an individual permit or another more specific general permit. Permittees who have their coverage revoked for cause according to WAC 173-226-240 may request temporary coverage under this permit during the time an individual permit is being developed, provided the request is made within ninety (90) days from the time of revocation and is submitted along with a complete individual permit application form. G6. REPORTING A CAUSE FOR MODIFICATION The Permittee must submit a new application, or a supplement to the previous application, whenever a material change to the construction activity or in the quantity or type of discharge is anticipated which is not specifically authorized by this permit. This application must be submitted at least sixty (60) days prior to any proposed changes. Filing a request for a permit modification, revocation and reissuance, or termination, or a notification of planned changes or anticipated noncompliance does not relieve the Permittee of the duty to comply with the existing permit until it is modified or reissued. G7. COMPLIANCE WITH OTHER LAWS AND STATUTES Nothing in this permit will be construed as excusing the Permittee from compliance with any applicable federal, state, or local statutes, ordinances, or regulations. G8. DUTY TO REAPPLY The Permittee must apply for permit renewal at least 180 days prior to the specified expiration date of this permit. The Permittee must reapply using the electronic application form (NOI) available on Ecology's website. Permittees unable to submit electronically (for example, those who do not have an internet connection) must contact Ecology to request a waiver and obtain instructions on how to obtain a paper NOI. Department of Ecology Water Quality Program - Construction Stormwater PO Box 47696 Olympia, Washington 98504-7696 Construction Stornnruter General Permit Page 40 G9. TRANSFER OF GENERAL PERMIT COVERAGE Coverage under this general permit is automatically transferred to a new discharger, including operators of lots/parcels within a common plan of development or sale, if: A. A written agreement (Transfer of Coverage Form) between the current discharger (Permittee) and new discharger, signed by both parties and containing a specific date for transfer of permit responsibility, coverage, and liability (including any Administrative Orders associated with the Permit) is submitted to the Director; and B. The Director does not notify the current discharger and new discharger of the Director's intent to revoke coverage under the general permit. If this notice is not given, the transfer is effective on the date specified in the written agreement. When a current discharger (Permittee) transfers a portion of a permitted site, the current discharger must also submit an updated application form (NOI) to the Director indicating the remaining permitted acreage after the transfer. G 10. REMOVED SUBSTANCES The Permittee must not re -suspend or reintroduce collected screenings, grit, solids, sludges, filter backwash, or other pollutants removed in the course of treatment or control of stormwater to the final effluent stream for discharge to state waters. GIL DUTY TO PROVIDE INFORMATION The Permittee must submit to Ecology, within a reasonable time, all information that Ecology may request to determine whether cause exists for modifying, revoking and reissuing, or terminating this permit or to determine compliance with this permit. The Permittee must also submit to Ecology, upon request, copies of records required to be kept by this permit [40 CFR 122.41(h)]. G12. OTHER REQUIREMENTS OF 40 CFR All other requirements of 40 CFR 122.41 and 122.42 are incorporated in this permit by reference. G13. ADDITIONAL MONITORING Ecology may establish specific monitoring requirements in addition to those contained in this permit by administrative order or permit modification. G14. PENALTIES FOR VIOLATING PERMIT CONDITIONS Any person who is found guilty of willfully violating the terms and conditions of this permit shall be deemed guilty of a crime, and upon conviction thereof shall be punished by a fine of up to ten thousand dollars ($10,000) and costs of prosecution, or by imprisonment at the discretion of the court. Each day upon which a willful violation occurs may be deemed a separate and additional violation. Construction Stornnvater General Permit Page 41 Any person who violates the terms and conditions of a waste discharge permit shall incur, in addition to any other penalty as provided by law, a civil penalty in the amount of up to ten thousand dollars ($10,000) for every such violation. Each and every such violation shall be a separate and distinct offense, and in case of a continuing violation, every day's continuance shall be deemed to be a separate and distinct violation. G15. UPSET Definition — "Upset" means an exceptional incident in which there is unintentional and temporary noncompliance with technology -based permit effluent limitations because of factors beyond the reasonable control of the Permittee. An upset does not include noncompliance to the extent caused by operational error, improperly designed treatment facilities, inadequate treatment facilities, lack of preventive maintenance, or careless or improper operation. An upset constitutes an affirmative defense to an action brought for noncompliance with such technology -based permit effluent limitations if the requirements of the following paragraph are met. A Penmittee who wishes to establish the affirmative defense of upset must demonstrate, through properly signed, contemporaneous operating logs or other relevant evidence that: 1) an upset occurred and that the Permittee can identify the cause(s) of the upset; 2) the permitted facility was being properly operated at the time of the upset; 3) the Permittee submitted notice of the upset as required in Special Condition S5.F, and; 4) the Permittee complied with any remedial measures required under this permit. In any enforcement proceeding, the Permittee seeking to establish the occurrence of an upset has the burden of proof. G16. PROPERTY RIGHTS This permit does not convey any property rights of any sort, or any exclusive privilege. G17. DUTY TO COMPLY The Permittee must comply with all conditions of this permit. Any permit noncompliance constitutes a violation of the Clean Water Act and is grounds for enforcement action; for permit termination, revocation and reissuance, or modification; or denial of a permit renewal application. G18. TOXIC POLLUTANTS The Permittee must comply with effluent standards or prohibitions established under Section 307(a) of the Clean Water Act for toxic pollutants within the time provided in the regulations that establish those standards or prohibitions, even if this permit has not yet been modified to incorporate the requirement. Construction Stornnvater General Permit Page 42 G19. PENALTIES FOR TAMPERING The Clean Water Act provides that any person who falsifies, tampers with, or knowingly renders inaccurate any monitoring device or method required to be maintained under this permit shall, upon conviction, be punished by a fine of not more than $10,000 per violation, or by imprisonment for not more than two years per violation, or by both. If a conviction of a person is for a violation committed after a first conviction of such person under this condition, punishment shall be a fine of not more than $20,000 per day of violation, or imprisonment of not more than four (4) years, or both. G20. REPORTING PLANNED CHANGES The Permittee must, as soon as possible, give notice to Ecology of planned physical alterations, modifications or additions to the permitted construction activity. The Permittee should be aware that, depending on the nature and size of the changes to the original permit, a new public notice and other permit process requirements may be required. Changes in activities that require reporting to Ecology include those that will result in: A. The permitted facility being determined to be a new source pursuant to 40 CFR 122.29(b). B. A significant change in the nature or an increase in quantity of pollutants discharged, including but not limited to: for sites 5 acres or larger, a 20% or greater increase in acreage disturbed by construction activity. C. A change in or addition of surface water(s) receiving stormwater or non-stormwater from the construction activity. D. A change in the construction plans and/or activity that affects the Permittee's monitoring requirements in Special Condition S4. Following such notice, permit coverage may be modified, or revoked and reissued pursuant to 40 CFR 122.62(a) to specify and limit any pollutants not previously limited. Until such modification is effective, any new or increased discharge in excess of permit limits or not specifically authorized by this permit constitutes a violation. G21. REPORTING OTHER INFORMATION Where the Permittee becomes aware that it failed to submit any relevant facts in a permit application, or submitted incorrect information in a permit application or in any report to Ecology, it must promptly submit such facts or information. G22. REPORTING ANTICIPATED NON-COMPLIANCE The Permittee must give advance notice to Ecology by submission of a new application or supplement thereto at least forty-five (45) days prior to commencement of such discharges, of any facility expansions, production increases, or other planned changes, such as process modifications, in the permitted facility or activity which may result in noncompliance with permit limits or conditions. Any maintenance of facilities, which might necessitate Construction Stornnvaler General Permit Page 43 unavoidable interruption of operation and degradation of effluent quality, must be scheduled during non -critical water quality periods and carried out in a manner approved by Ecology. G23. REQUESTS TO BE EXCLUDED FROM COVERAGE UNDER THE PERMIT Any discharger authorized by this permit may request to be excluded from coverage under the general permit by applying for an individual permit. The discharger must submit to the Director an application as described in WAC 173-220-040 or WAC 173-216-070, whichever is applicable, with reasons supporting the request. These reasons will fully document how an individual permit will apply to the applicant in a way that the general permit cannot. Ecology may make specific requests for information to support the request. The Director will either issue an individual permit or deny the request with a statement explaining the reason for the denial. When an individual permit is issued to a discharger otherwise subject to the construction stormwater general permit, the applicability of the construction stormwater general permit to that Permittee is automatically terminated on the effective date of the individual permit. G24. APPEALS A. The terms and conditions of this general permit, as they apply to the appropriate class of dischargers, are subject to appeal by any person within 30 days of issuance of this general permit, in accordance with Chapter 43.21 B RCW, and Chapter 173-226 WAC. B. The terms and conditions of this general permit, as they apply to an individual discharger, are appealable in accordance with Chapter 43.21 B RC W within 30 days of the effective date of coverage of that discharger. Consideration of an appeal of general permit coverage of an individual discharger is limited to the general permit's applicability or nonapplicability to that individual discharger. C. The appeal of general permit coverage of an individual discharger does not affect any other dischargers covered under this general permit. If the terms and conditions of this general permit are found to be inapplicable to any individual discharger(s), the matter shall be remanded to Ecology for consideration of issuance of an individual permit or permits. G25. SEVERABILITY The provisions of this permit are severable, and if any provision of this permit, or application of any provision of this permit to any circumstance, is held invalid, the application of such provision to other circumstances, and the remainder of this permit shall not be affected thereby. G26. BYPASS PROHIBITED A. Bypass Procedures Bypass, which is the intentional diversion of waste streams from any portion of a treatment facility, is prohibited for stormwater events below the design criteria for Construction Stornnvater General Permit Page 44 stormwater management. Ecology may take enforcement action against a Permittee for bypass unless one of the following circumstances (1, 2, 3 or 4) is applicable. 1. Bypass of stormwater is consistent with the design criteria and part of an approved management practice in the applicable stormwater management manual. 2. Bypass for essential maintenance without the potential to cause violation of permit limits or conditions. Bypass is authorized if it is for essential maintenance and does not have the potential to cause violations of limitations or other conditions of this permit, or adversely impact public health. 3. Bypass of stormwater is unavoidable, unanticipated, and results in noncompliance of this permit. This bypass is permitted only if. a. Bypass is unavoidable to prevent loss of life, personal injury, or severe property damage. "Severe property damage" means substantial physical damage to property, damage to the treatment facilities which would cause them to become inoperable, or substantial and permanent loss of natural resources which can reasonably be expected to occur in the absence of a bypass. b. There are no feasible alternatives to the bypass, such as the use of auxiliary treatment facilities, retention of untreated wastes, maintenance during normal periods of equipment downtime (but not if adequate backup equipment should have been installed in the exercise of reasonable engineering judgment to prevent a bypass which occurred during normal periods of equipment downtime or preventative maintenance), or transport of untreated wastes to another treatment facility. c. Ecology is properly notified of the bypass as required in Special Condition S5.F of this permit. 4. A planned action that would cause bypass of stormwater and has the potential to result in noncompliance of this permit during a storm event. The Permittee must notify Ecology at least thirty (30) days before the planned date of bypass. The notice must contain: a. A description of the bypass and its cause. b. An analysis of all known alternatives which would eliminate, reduce, or mitigate the need for bypassing. c. A cost-effectiveness analysis of alternatives including comparative resource damage assessment. d. The minimum and maximum duration of bypass under each alternative. e. A recommendation as to the preferred alternative for conducting the bypass. Construction Stornnuater General Permit Page 45 f. The projected date of bypass initiation. g. A statement of compliance with SEPA. h. A request for modification of water quality standards as provided for in WAC 173-201A-110, if an exceedance of any water quality standard is anticipated. i. Steps taken or planned to reduce, eliminate, and prevent reoccurrence of the bypass. For probable construction bypasses, the need to bypass is to be identified as early in the planning process as possible. The analysis required above must be considered during preparation of the Stormwater Pollution Prevention Plan (SWPPP) and must be included to the extent practical. In cases where the probable need to bypass is determined early, continued analysis is necessary up to and including the construction period in an effort to minimize or eliminate the bypass. Ecology will consider the following before issuing an administrative order for this type bypass: a. If the bypass is necessary to perform construction or maintenance -related activities essential to meet the requirements of this permit. b. If there are feasible alternatives to bypass, such as the use of auxiliary treatment facilities, retention of untreated wastes, stopping production, maintenance during normal periods of equipment down time, or transport of untreated wastes to another treatment facility. c. If the bypass is planned and scheduled to minimize adverse effects on the public and the environment. After consideration of the above and the adverse effects of the proposed bypass and any other relevant factors, Ecology will approve, conditionally approve, or deny the request. The public must be notified and given an opportunity to comment on bypass incidents of significant duration, to the extent feasible. Approval of a request to bypass will be by administrative order issued by Ecology under RCW 90.48.120. B. Duty to Mitigate The Permittee is required to take all reasonable steps to minimize or prevent any discharge or sludge use or disposal in violation of this permit that has a reasonable likelihood of adversely affecting human health or the environment. Construction Stornnvater General Permit Page 46 APPENDIX A — DEFINITIONS AKART is an acronym for "all known, available, and reasonable methods of prevention, control, and treatment." AKART represents the most current methodology that can be reasonably required for preventing, controlling, or abating the pollutants and controlling pollution associated with a discharge. Applicable TMDL means a TMDL for turbidity, fine sediment, high pH, or phosphorus, which was completed and approved by EPA before January 1, 2016, or before the date the operator's complete permit application is received by Ecology, whichever is later. Applicant means an operator seeking coverage under this permit. Benchmark means a pollutant concentration used as a permit threshold, below which a pollutant is considered unlikely to cause a water quality violation, and above which it may. When pollutant concentrations exceed benchmarks, corrective action requirements take effect. Benchmark values are not water quality standards and are not numeric effluent limitations; they are indicator values. Best Management Practices (BMPs) means schedules of activities, prohibitions of practices, maintenance procedures, and other physical, structural and/or managerial practices to prevent or reduce the pollution of waters of the State. BMPs include treatment systems, operating procedures, and practices to control: stormwater associated with construction activity, spillage or leaks, sludge or waste disposal, or drainage from raw material storage. Buffer means an area designated by a local jurisdiction that is contiguous to and intended to protect a sensitive area. Bypass means the intentional diversion of waste streams from any portion of a treatment facility. Calendar Day A period of 24 consecutive hours starting at 12:00 midnight and ending the following 12:00 midnight. Calendar Week (same as Week) means a period of seven consecutive days starting at 12:01 a.m. (0:01 hours) on Sunday. Certified Erosion and Sediment Control Lead (CESCL) means a person who has current certification through an approved erosion and sediment control training program that meets the minimum training standards established by Ecology (see BMP C160 in the SWMM). Chemical Treatment means the addition of chemicals to stormwater and/or authorized non- stormwater prior to filtration and discharge to surface waters. Clean Water Act (CWA) means the Federal Water Pollution Control Act enacted by Public Law 92-500, as amended by Public Laws 95-217, 95-576, 96-483, and 97-117; USC 1251 et seq. Combined Sewer means a sewer which has been designed to serve as a sanitary sewer and a storm sewer, and into which inflow is allowed by local ordinance. Construction Slornmwer General Permit Page 47 Common Plan of Development or Sale means a site where multiple separate and distinct construction activities may be taking place at different times on different schedules and/or by different contractors, but still under a single plan. Examples include: 1) phased projects and projects with multiple filings or lots, even if the separate phases or filings/lots will be constructed under separate contract or by separate owners (e.g., a development where lots are sold to separate builders); 2) a development plan that may be phased over multiple years, but is still under a consistent plan for long-term development; 3) projects in a contiguous area that may be unrelated but still under the same contract, such as construction of a building extension and a new parking lot at the same facility; and 4) linear projects such as roads, pipelines, or utilities. If the project is part of a common plan of development or sale, the disturbed area of the entire plan must be used in determining permit requirements. Composite Sample means a mixture of grab samples collected at the same sampling point at different times, formed either by continuous sampling or by mixing discrete samples. May be "time -composite" (collected at constant time intervals) or "flow -proportional" (collected either as a constant sample volume at time intervals proportional to stream flow, or collected by increasing the volume of each aliquot as the flow increases while maintaining a constant time interval between the aliquots. Concrete Wastewater means any water used in the production, pouring and/or clean-up of concrete or concrete products, and any water used to cut, grind, wash, or otherwise modify concrete or concrete products. Examples include water used for or resulting from concrete truck/mixer/pumper/tool/chute rinsing or washing, concrete saw cutting and surfacing (sawing, coring, grinding, roughening, hydro -demolition, bridge and road surfacing). When stormwater comingles with concrete wastewater, the resulting water is considered concrete wastewater and must be managed to prevent discharge to waters of the State, including ground water. Construction Activity means land disturbing operations including clearing, grading or excavation which disturbs the surface of the land. Such activities may include road construction, construction of residential houses, office buildings, or industrial buildings, site preparation, soil compaction, movement and stockpiling of topsoils, and demolition activity. Contaminant means any hazardous substance that does not occur naturally or occurs at greater than natural background levels. See definition of "hazardous substance" and WAC 173-340-200. Contaminated Soil means soil which contains contaminants, pollutants, or hazardous substances that do not occur naturally or occur at levels greater than natural background. Contaminated Groundwater means groundwater which contains contaminants, pollutants, or hazardous substances that do not occur naturally or occur at levels greater than natural background. Demonstrably Equivalent means that the technical basis for the selection of all stormwater BMPs is documented within a SWPPP, including: 1. The method and reasons for choosing the stormwater BMPs selected. Construction Stormwater General Permit Page 48 2. The pollutant removal performance expected from the BMPs selected. 3. The technical basis supporting the performance claims for the BMPs selected, including any available data concerning field performance of the BMPs selected. 4. An assessment of how the selected BMPs will comply with state water quality standards. 5. An assessment of how the selected BMPs will satisfy both applicable federal technology - based treatment requirements and state requirements to use all known, available, and reasonable methods of prevention, control, and treatment (AKART). Department means the Washington State Department of Ecology. Detention means the temporary storage of stormwater to improve quality and/or to reduce the mass flow rate of discharge. Dewatering means the act of pumping ground water or stormwater away from an active construction site. Director means the Director of the Washington State Department of Ecology or his/her authorized representative. Discharger means an owner or operator of any facility or activity subject to regulation under Chapter 90.48 RCW or the Federal Clean Water Act. Domestic Wastewater means water carrying human wastes, including kitchen, bath, and laundry wastes from residences, buildings, industrial establishments, or other places, together with such ground water infiltration or surface waters as may be present. Ecology means the Washington State Department of Ecology. Engineered Soils means the use of soil amendments including, but not limited, to Portland cement treated base (CTB), cement kiln dust (CKD), or fly ash to achieve certain desirable soil characteristics. Equivalent BMPs means operational, source control, treatment, or innovative BMPs which result in equal or better quality of stormwater discharge to surface water or to groundwater than BMPs selected from the SWMM. Erosion means the wearing away of the land surface by running water, wind, ice, or other geological agents, including such processes as gravitational creep. Erosion and Sediment Control BMPs means BMPs intended to prevent erosion and sedimentation, such as preserving natural vegetation, seeding, mulching and matting, plastic covering, filter fences, sediment traps, and ponds. Erosion and sediment control BMPs are synonymous with stabilization and structural BMPs. Federal Operator is an entity that meets the definition of "Operator" in this permit and is either any department, agency or instrumentality of the executive, legislative, and judicial branches of Construction Storrnwater General Permit Page 49 the Federal government of the United States, or another entity, such as a private contractor, performing construction activity for any such department, agency, or instrumentality. Final Stabilization (same as fully stabilized or full stabilization) means the establishment of a permanent vegetative cover, or equivalent permanent stabilization measures (examples of permanent non -vegetative stabilization methods include, but are not limited to riprap, gabions or geotextiles) which prevents erosion. Ground Water means water in a saturated zone or stratum beneath the land surface or a surface waterbody. Hazardous Substance means any dangerous or extremely hazardous waste as defined in RCW 70.105.010 (5) and (6), or any dangerous or extremely dangerous waste as designated by rule under chapter 70.105 RCW; any hazardous substance as defined in RCW 70.105.010(10) or any hazardous substance as defined by rule under chapter 70.105 RCW; any substance that, on the effective date of this section, is a hazardous substance under section 101(14) of the federal cleanup law, 42 U.S.C., Sec. 9601(14); petroleum or petroleum products; and any substance or category of substances, including solid waste decomposition products, determined by the director by rule to present a threat to human health or the environment if released into the environment. The term hazardous substance does not include any of the following when contained in an underground storage tank from which there is not a release: crude oil or any fraction thereof or petroleum, if the tank is in compliance with all applicable federal, state, and local law. Injection Well means a well that is used for the subsurface emplacement of fluids. (See Well.) Jurisdiction means a political unit such as a city, town or county; incorporated for local self- government. National Pollutant Discharge Elimination System (NPDES) means the national program for issuing, modifying, revoking and reissuing, terminating, monitoring, and enforcing permits, and imposing and enforcing pretreatment requirements, under sections 307, 402, 318, and 405 of the Federal Clean Water Act, for the discharge of pollutants to surface waters of the State from point sources. These permits are referred to as NPDES permits and, in Washington State, are administered by the Washington State Department of Ecology. Notice of Intent (NOI) means the application for, or a request for coverage under this general permit pursuant to WAC 173-226-200. Notice of Termination (NOT) means a request for termination of coverage under this general permit as specified by Special Condition S10 of this permit. Operator means any party associated with a construction project that meets either of the following two criteria: • The party has operational control over construction plans and specifications, including the ability to make modifications to those plans and specifications; or Construction Stornnvater General Permit Page 50 • The party has day-to-day operational control of those activities at a project that are necessary to ensure compliance with a SWPPP for the site or other permit conditions (e.g., they are authorized to direct workers at a site to carry out activities required by the SWPPP or comply with other permit conditions). Permittee means individual or entity that receives notice of coverage under this general permit. pH means a liquid's measure of acidity or alkalinity. A pH of 7 is defined as neutral. Large variations above or below this value are considered harmful to most aquatic life. pH Monitoring Period means the time period in which the pH of stormwater runoff from a site must be tested a minimum of once every seven days to determine if stormwater pH is between 6.5 and 8.5. Point Source means any discernible, confined, and discrete conveyance, including but not limited to, any pipe, ditch, channel, tunnel, conduit, well, discrete fissure, and container from which pollutants are or may be discharged to surface waters of the State. This term does not include return flows from irrigated agriculture. (See Fact Sheet for further explanation.) Pollutant means dredged spoil, solid waste, incinerator residue, filter backwash, sewage, garbage, domestic sewage sludge (biosolids), munitions, chemical wastes, biological materials, radioactive materials, heat, wrecked or discarded equipment, rock, sand, cellar dirt, and industrial, municipal, and agricultural waste. This term does not include sewage from vessels within the meaning of section 312 of the CWA, nor does it include dredged or fill material discharged in accordance with a permit issued under section 404 of the CWA. Pollution means contamination or other alteration of the physical, chemical, or biological properties of waters of the State; including change in temperature, taste, color, turbidity, or odor of the waters; or such discharge of any liquid, gaseous, solid, radioactive or other substance into any waters of the State as will or is likely to create a nuisance or render such waters harmful, detrimental or injurious to the public health, safety or welfare; or to domestic, commercial, industrial, agricultural, recreational, or other legitimate beneficial uses; or to livestock, wild animals, birds, fish or other aquatic life. Process Wastewater means any water which, during manufacturing or processing, comes into direct contact with or results from the production or use of any raw material, intermediate product, finished product, byproduct, or waste product. If stormwater commingles with process wastewater, the commingled water is considered process wastewater. Receiving Water means the waterbody at the point of discharge. If the discharge is to a storm sewer system, either surface or subsurface, the receiving water is the waterbody to which the storm system discharges. Systems designed primarily for other purposes such as for ground water drainage, redirecting stream natural flows, or for conveyance of irrigation water/return flows that coincidentally convey stormwater are considered the receiving water. Construction Stornnsater General Permit Page 51 Representative means a stormwater or wastewater sample which represents the flow and characteristics of the discharge. Representative samples may be a grab sample, a time - proportionate composite sample, or a flow proportionate sample. Ecology's Construction Stormwater Monitoring Manual provides guidance on representative sampling. Responsible Corporate Officer for the purpose of signatory authority means: (i) a president, secretary, treasurer, or vice-president of the corporation in charge of a principal business function, or any other person who performs similar policy- or decision -making functions for the corporation, or (ii) the manager of one or more manufacturing, production, or operating facilities, provided, the manager is authorized to make management decisions which govern the operation of the regulated facility including having the explicit or implicit duty of making major capital investment recommendations, and initiating and directing other comprehensive measures to assure long term environmental compliance with environmental laws and regulations; the manager can ensure that the necessary systems are established or actions taken to gather complete and accurate information for permit application requirements; and where authority to sign documents has been assigned or delegated to the manager in accordance with corporate procedures (40 CFR 122.22). Sanitary Sewer means a sewer which is designed to convey domestic wastewater. Sediment means the fragmented material that originates from the weathering and erosion of rocks or unconsolidated deposits, and is transported by, suspended in, or deposited by water. Sedimentation means the depositing or formation of sediment. Sensitive Area means a waterbody, wetland, stream, aquifer recharge area, or channel migration zone. SEPA (State Environmental Policy Act) means the Washington State Law, RCW 43.21 C.020, intended to prevent or eliminate damage to the environment. Significant Amount means an amount of a pollutant in a discharge that is amenable to available and reasonable methods of prevention or treatment; or an amount of a pollutant that has a reasonable potential to cause a violation of surface or ground water quality or sediment management standards. Significant Concrete Work means greater than 1000 cubic yards poured concrete used over the life of a project. Significant Contributor of Pollutants means a facility determined by Ecology to be a contributor of a significant amount(s) of a pollutants) to waters of the State of Washington. Site means the land or water area where any "facility or activity" is physically located or conducted. Source Control BMPs means physical, structural or mechanical devices or facilities that are intended to prevent pollutants from entering stormwater. A few examples of source control Construction Stormwater General Permit Page 52 BMPs are erosion control practices, maintenance of stormwater facilities, constructing roofs over storage and working areas, and directing wash water and similar discharges to the sanitary sewer or a dead end sump. Stabilization means the application of appropriate BMPs to prevent the erosion of soils, such as, temporary and permanent seeding, vegetative covers, mulching and matting, plastic covering and sodding. See also the definition of Erosion and Sediment Control BMPs. Storm Drain means any drain which drains directly into a storm sewer system, usually found along roadways or in parking lots. Storm Sewer System means a means a conveyance, or system of conveyances (including roads with drainage systems, municipal streets, catch basins, curbs, gutters, ditches, manmade channels, or storm drains designed or used for collecting or conveying stormwater. This does not include systems which are part of a combined sewer or Publicly Owned Treatment Works (POTW) as defined at 40 CFR 122.2. Stormwater means that portion of precipitation that does not naturally percolate into the ground or evaporate, but flows via overland flow, interflow, pipes, and other features of a stormwater drainage system into a defined surface waterbody, or a constructed infiltration facility. Stormwater Management Manual (SWMM) or Manual means the technical Manual published by Ecology for use by local governments that contain descriptions of and design criteria for BMPs to prevent, control, or treat pollutants in stormwater. Stormwater Pollution Prevention Plan (SWPPP) means a documented plan to implement measures to identify, prevent, and control the contamination of point source discharges of stormwater. Surface Waters of the State includes lakes, rivers, ponds, streams, inland waters, salt waters, and all other surface waters and water courses within the jurisdiction of the State of Washington. Temporary Stabilization means the exposed ground surface has been covered with appropriate materials to provide temporary stabilization of the surface from water or wind erosion. Materials include, but are not limited to, mulch, riprap, erosion control mats or blankets and temporary cover crops. Seeding alone is not considered stabilization. Temporary stabilization is not a substitute for the more permanent "final stabilization." '* Total Maximum Daily Load (TMDL) means a calculation of the maximum amount of a pollutant that a waterbody can receive and still meet state water quality standards. Percentages of the total maximum daily load are allocated to the various pollutant sources. A TMDL is the sum of the allowable loads of a single pollutant from all contributing point and nonpoint sources. The TMDL calculations must include a "margin of safety" to ensure that the waterbody can be protected in case there are unforeseen events or unknown sources of the pollutant. The calculation must also account for seasonable variation in water quality. Construction Stornnvater General Permit Page 53 Transfer of Coverage (TOC) means a request for transfer of coverage under this general permit as specified by General Condition G9 of this permit. Treatment BMPs means BMPs that are intended to remove pollutants from stormwater. A few examples of treatment 13MPs are detention ponds, oil/water separators, biofiltration, and constructed wetlands. Transparency means a measurement of water clarity in centimeters (cm), using a 60 cm transparency tube. The transparency tube is used to estimate the relative clarity or transparency of water by noting the depth at which a black and white Secchi disc becomes visible when water is released from a value in the bottom of the tube. A transparency tube is sometimes referred to as a "turbidity tube." Turbidity means the clarity of water expressed as nephelometric turbidity units (NTUs) and measured with a calibrated turbidimeter. Uncontaminated means free from any contaminant. See definition of "contaminant" and WAC 173-340-200. Waste Load Allocation (WLA) means the portion of a receiving water's loading capacity that is allocated to one of its existing or future point sources of pollution. WLAs constitute a type of water quality based effluent limitation (40 CFR 130.2[h]). Water -only Based Shaft Drilling is a shaft drilling process that uses water only and no additives are involved in the drilling of shafts for construction of building, road, or bridge foundations. Water quality means the chemical, physical, and biological characteristics of water, usually with respect to its suitability for a particular purpose. Waters of the State includes those waters as defined as "waters of the United States" in 40 CFR Subpart 122.2 within the geographic boundaries of Washington State and "waters of the State" as defined in Chapter 90.48 RCW, which include lakes, rivers, ponds, streams, inland waters, underground waters, salt waters, and all other surface waters and water courses within the jurisdiction of the state of Washington. Well means a bored, drilled or driven shaft, or dug hole whose depth is greater than the largest surface dimension. (See Injection well.) Wheel Wash Wastewater means any water used in, or resulting from the operation of, a tire bath or wheel wash (BMP C106: Wheel Wash), or other structure or practice that uses water to physically remove mud and debris from vehicles leaving a construction site and prevent track - out onto roads. When stormwater comingles with wheel wash wastewater, the resulting water is considered wheel wash wastewater and must be managed according to Special Condition S9.D.9. Construction Stormwater General Permit Page 54 APPENDIX B — ACRONYMS AKART All Known, Available, and Reasonable Methods of Prevention, Control, and Treatment BMP Best Management Practice CESCL Certified Erosion and Sediment Control Lead CFR Code of Federal Regulations CKD Cement Kiln Dust em Centimeters CTB Cement -Treated Base CWA Clean Water Act DMR Discharge Monitoring Report EPA Environmental Protection Agency ERTS Environmental Report Tracking System ESC Erosion and Sediment Control FR Federal Register LID Low Impact Development NOI Notice of Intent NOT Notice of Termination NPDES National Pollutant Discharge Elimination System NTU Nephelometric Turbidity Unit RCW Revised Code of Washington SEPA State Environmental Policy Act SWMM Stormwater Management Manual SWPPP Stormwater Pollution Prevention Plan TMDL Total Maximum Daily Load UIC Underground Injection Control USC United States Code USEPA United States Environmental Protection Agency WAC Washington Administrative Code WQ Water Quality WWHM Western Washington Hydrology Model Construction Stormwater General Permit Page 55 C a l i b r a t i o n C e r t i f i c a t e ME)71D1A1%1 SCALE 8702 South 222nd Street • Kent, WA 98031-1915 • (253) 872-4803 • Fax (253) 872-4805 • www.meridianscale.com Customer: Scarsella Brothers Address: PO box 68697 City, State Zip: Seattle. WASHINGTON 98168 Indicator Mfg. Base Mfg. Rice Lake N/A Indicator Model Base Model 720i N/A Indicator Serial Base Serial 1718300156 N/A Test Interval Base Dimensions 6 Months Approach 2 Approach 1 N/A NIA EQUIPMENT CONDITIONS [Clean] Water In Pit Needs Cleaning Certificate ID: 1718300156162904 ISO Number: Date 4/29/2016 Cal Date Scale ID 4/29/2016 1718300156 Due Date Scale Class 10/31/2016 III/L Procedure Scale Status Handbook 44 In Service Approaches Acceptable? CLC N/A N/A All tolerances calculated in conformance with Handbook 44 Table 6. 1 nAn TFCT As -Found As Left Section Test Wt. Tolerance Reading Error Reading Error Section 1 3000 lb 2980 - 3020 lb 3000 lb 0 lb 3000 lb 0 lb Section 1 6000 lb 5980 - 6020 lb 6020 lb 20 lb 6000 lb 0 lb Section 1 9000 lb 8980 - 9020 lb 9060 lb 60 lb 9000 lb 0 lb Section 1 12000 lb 11960 - 12040 lb 12100 lb 100 lb 12000 lb 0 lb Section 1 15000 lb 14960 - 15040 lb 15160 lb 160 lb 15000 lb 0 lb In l oierance-r N In 1 oierance r T CFrT1f M TFCT Weight: 15000 lb Weight: 15000 lb Reading Error Reading Error Section 1: 15000 lb 0 15000 lb 0 Section 2: 15000 lb 0 15000 lb 0 Section 3: 15000 lb 0 15000 lb 0 Section 4: 14900 lb -100 14980 lb -20 Section 5: 14980 lb -20 15000 lb 0 Section 6: 15000 lb 0 15020 lb 20 In Tolerance? N In folerance-t N TEST INFORMATION Test Weight Classification: Traceability Certificate Number(s): Standards Used: Expanded Uncertainty: Test Location: Overall Result: Was the scale within customers required accuracy? Environmental Conditions: Temperature: Humidity: Comments / Notes: Technician: Scale Location N.W Parks Scale Range 0 - 120000 lb x 20 lb Approach Material N/A NIST Class-F L3718-1 Cal Date: 9/17/2015 Recal Date: 9/17/2017, L3718-2 Cal Date: 9/18/2015 Recal Date: 9/18/2017 lklb#10-1, lklb#10-10, lklb#10-11, lklb#10-12, lklb#10-2, lklb#10-3, lklb #10-4, lklb #10-5, lklb #10-6, lklb #10-7, lklb #10-8, lklb #10-9, Cart #30301 Available on Request or Reported on this Document [Onsite] Offsite Pass Fail [Adjust] Could Not Locate [Yes] No Could Not Locate N/A [Acceptable] Unacceptable 67`F 46% Scale had broken chair on middle section, customer repaired and I retested scale. Jim Hague This device is calibrated within the manufacturer's specifications or as otherwise stated above. All standards used are traceable to the National Institute of Standards and Technology (NIST). Testing and calibration was performed in accordance with NIST Handbook-44, ANSI/NCSL Z540-1, and ISO 17025. No warranty for the future performance of this device is implied or given. This document may not be reproduced, except in full, without the written approval of Meridian Scale. Form. CRS-T-To/001 Page 1 of 1 G �d( 4�� �Q ;�''1 No. 621 646 ml��—albml - SELLER BUYER _ ( � ` � __ GROSS V _ ADDRESS_ 1�` _ TARE 161 CITY _ STATE _ ZIP _ NET�[1��• COMMODITY _ Gl(a 1 T V ���� `3� • PRICE REMARKS � 0 DRIVER VON ❑ OFF WEIGHER Form ES-04 ELECTRONIC SCALE TICKET No. 621647 SELLER [ Lz- BUYERGROSS C.yL)% ADDRESS �/� TARE CITY STATE ZIP NET 1 2 COMMODITY 6;ie a ► p� PRICES M ^� REMARKS DRIVER VON ❑ OFF WEIGHER Form ES-04 rl ELECTRONIC SCALE TICKET DATE No. 621 648 SELLER —7 BUYER Ca V GROSS ! V / i ��..f�LJ eJ% q/(J�ADDRESS�` / TARE 1 VV CITY STATE ZIP NET L COMMODITY�'7 PRICE REMARKS = R -=W 153 DRIVER ON ❑ OFF a WEIGHER Form ES-04 ELECTRONIC SCALE TICKET DATE Qe2 Z,/,A=Pj NO, 621653 BUYER / 2;3_ 1 _ __ __ - _ __ ___ GROSS 116 ! i C 4046 ADDRESS / �L' 14;� TARE CITY STATE ZIP NET 60 1 . (p 6 COMMODITY �/L�71� C•� AP,�/ PRICE REMARKS �-, �� DRIVER V "N ❑ OFF WEIGHER Jza4Anr Form ES-04 ELECTRONIC SCALE TICKET NO. 621658 DATE SELLER BUYER a. I O y l , ADDRESS_�04 _ CITY STATE ZIP PRICE REMARKS =�al.. ? DRIVER JXN ❑ OFF WEIGHER Form ES-04 GROSS I (l t-5 1 b l D TARE I (J NET 40 ELECTRONIC SCALE TICKET No. 621660 SELLER BUYER ADDRESS CITY STATE ZIP COMMODITY.&A 79' t k PRICE REMARKS DRIVER VN ❑ OFF i WEIGHER Form ES-04 GROSS b 2 O TARE NET Coo z 5,-,I 0 ELECTRONIC SCALE TICKET DATE SELLER h BUYER V j ADDRESS CITY PRICE STATE ZIP REMARKS7L4uml- - - `wt53 DRIVER ON ❑ OFF WEIGHER Form ES-04 NO. 621 662 GROSS I V ✓) Q 0 TARE c• ©D NET 59 ELECTRONIC SCALE TICKET DATE �/ ��' SELLER � b 3� BUYER �'� ADDRESS 10.Q -w " CITY STATE ZIP PRICE REMARKS J DRIVER VON ❑ OFF WEIGHERc � Form ES-04 NO. 621663 GROSS / 3 j TARE V7O V NET 6? 1 aD ELECTRONIC SCALE TICKET DATE • SELLER e� ' BUYER � � D ADDRESS /,�� CITY STATE ) ZIP COMMODITY 15 —41�eMa, r� PRICE REMARKS �`r/l� O-Lx DRIVER VON ❑ OFF WEIGHER Form ES-04 NO. 621668 GROSS TARE 441 NET & 1 A ELECTRONIC SCALE TICKET DATE NO. 621 670 SELLER BUYER �� �J ` GROSS i V �a4b� U/41-62 ADDRESS TARE � CITY STATE ZIP NET {(// 1 04O COMMODITY Na X;,// l D a It PRICE LL/I REMARKS ! �T✓ �� 7kt 1 Co 0 DRIVER ON ❑ OFF WEIGHER Form ES-04 ELECTRONIC SCALE TICKET NO. 621673 SELLER GROSS / 0� fffO BUYER A //(J (J {1 ADDRESS �� �-I r- LT T !'� TARE CITY STATE ' ZIP NET 10�1 V COMMODITY Ge,4NIo /; f• i^ ,D4-- PRICE REMARKS i- ,`i a-47-g -=� 15� DRIVER Vr ON ❑ OFF • ��� - - 1.�. �' Form ES-04 ELECTRONIC SCALE TICKET No. 621 674 SELLER � / D �p GROSS ZV _-2 v BUYER j �Q �/ ADDRESS �Q QIV 1 �kik TARE I/f ) `/"P10 CITY STATE ZIP NET COMMODITY Y~� v! d�/r�C�i PRICE REMARKS --v K- o+.l] DRIVER VON 0 OFF ELECTRONIC SCALE TICKET 0. , SELLER e� BUYER • ADDRESS _ L bliI CITY STATE ZIP r PRICE REMARKS �_L�/ "�"� ax -97 / (0 a - DRIVER VON ❑ OFF _ r WEIGHE Form ES-04 No. 621 679 GROSS /,�_ TARE r 106 NET / QZ SELLER BUYER ADDRESS CITY STATE ZIP COMMODITY _ 2--,qxor PRICE REMARKS DRIVER VON ❑ OFF WEIGHER • L L/ Form ES-04� K40 621684 GROSS / 0 ,. ) 12— TARE 4V'b 1 U `- lJ NET �8 (J ELECTRONIC SCALE TICKET DATE 2-t) 149 SELLER �� p BUYER � f a ADDRESS 41 / CITY STATE ZIP COMMODITY G "r- i f'% PRICE REMARKS h- 2 DRIVER aQ ON ❑ OFF WEIGHE Form ES -Old 621686 NO. GROSS L TARE l / vV NET�� 2 V "-�- 31.15+ ELECTRONIC SCALE TICKET DATE.,Z SELLER .7 BUYER 2 L-- ADDRESSwl CITY STATE ZIP COMMODITY C� PRICE REMARKS ...i— g DRIVER ON ❑ OFF -D&A--rdift0l, J�- I WEIGHE Form ES-04 NO. 621 687 GROSS V TARE 411410) NET —�3 1 I� ELECTRONIC SCALE TICKET DATE L SELLER BUYER ADDRESS / !20!tL A CITY STATE ZIP COMMODITY C-v g=!"TV q F `,L l PRICE REMARKS DRIVER VON ❑ OFF WEIGHER Form ES-04 No. 621 691 GROSS TARE NET ELECTRONIC SCALE TICKET DATE 17I 5Z,2_O! No. 621819 SELLER n y��` BUYER i / GROSS (� ADDRESS r% �^�G /'�f/ !7� TARE CITY STATE_ ZIP_ NET I�V COMMODITY PRICE REMARKS DRIVER �ON ❑ OFF WEIGHER Form ES-04 ELECTRONIC SCALE TICKET NO. 621820 DATE SELLER "2I� BUYER �[, � /�_ ADDRESS Al �J9 CITY STATE ZIP COMMODITY ts�,-wV2-z- Tl / PRICE REMARKS �4� a� DRIVER ON ❑ OFF WEIGHER Form ES-04 GROSS 157, n ,l TARE U V NET �(// Y O0 ELECTRONIC SCALE TICKET DATE 71/ S /3--b/ CO SELLER �-7 D I BUYER ADDRESS CITY STATE ZIP COMMODITY �f - r�L , 1 PRICE REMARKS DRIVER Pi_KN ❑ OFF kWE I G H E �gd No. 621 844 GROSS TARE , 966 NET -r" _ S6.11 - ELECTRONIC SCALE TICKET DATE S /�m� 6- SELLER IF 422 BUYER ADDRESS /mac./ �O / A CITY STATE ZIP COMMODITY PRICE REMARKS _ DRIVER ON ❑ OFF WEIGHER Form ES-0d NO. 621 845 GROSS 05 I (P TARE NET ELECTRONIC SCALE TICKET DATE 7 5 --L-N O SELLER BUYER ADDRESS ✓ WIZ o4 A// CITY ,� STATE ZIP COMMODITY �/� N� — W �"/ / PRICE REMARKS =a4 4 o!:_ DRIVER ON ❑ OFF WEIGHER Form ES-04 NO. 621866 GROSS 16)' 1 TARE NET ELECTRONIC SCALE TICKET NO. 621867 DATE -7/ -5 / 2�/ SELLER O � BUYER ADDRESS a /6 ',-� CITY STATE ZIP COMMODITY (:5k a 7 „/ PRICE REMARKS �L 67y DRIVER �N ❑ OFF WEIGHER Form ES-04 GROSS. IC)l � TARE �Z 7ao NET (yI a446 -3d• I�;4, ELECTRONIC SCALE TICKET No. 621881 DATE SELLER D J BUYER ADDRESS CITY STATE ZIP COMMODITY �lRA'✓a�%� _ PRICE REMARKS off(] zjtt� J D0 DRIVER [� ❑ OFF WEIGHER / Form ES-04 GROSS TARE 560 NET ro L `70 d ELECTRONIC SCALE TICKET DATE .7/o2.0/G SELLER �Q BUYER ADDRESS. CITY STATE_ ZIP COMMODITY_Y�c PRICE REMARKS a� ay DRIVER ON ❑ OFF WEIGHER ' Form ES-04 NO. 621 882 GROSS TAREL% - NET_��V ELECTRONIC SCALE TICKET DATE NO. 621894 SELLER BUYER _ GROSS �D v2 3 oo ADDRESS ,G!�?A_f // ._ TARE gad CITY STATE _ ZIP NET Cob, 56D _ COMMODITY ` -, lI30' �� PRICE REMARKS DRIVER N2 UN ❑ OFF WEIGHER Form ES-04 ELECTRONIC SCALE TICKET DATE--7,/-/ 1 __. SELLER 2 BUYER D �J _ ADDRESS — CITY STAT E ZIP COMMODITY PRICE _ REMARKS DRIVER VON ❑ OFF WEIGHER Form ES-04 No 621 895 GROSS / TARE :7 D 0 _ NET () 5&D ELECTRONIC SCALE TICKET DATE :ZZ 7Za-014, SELLER o_� I BUYER ADDRESS O 4 d T fl CITY STATE ZIP COMMODITY PRICE REMARKS DRIVER VON ❑ OFF WEIGHER Form ES-04 No. 622046 GROSS / V T) d o� 0 TARE 4L-Z j� O NET &l/) a �p V(T) _T"- 3��� ELECTRONIC SCALE TICKET DATE ° /7 SELLER -y BUYER __ ! ADDRESS �"� i ! f 7i CITY STATE ZIP COMMODITY PRICE REMARKS ��`t4� q 3 DRIVER k ON ❑ OFF WEIGHER Form ES-04 NO 622047 GROSS ! �) TARE �700 _ NET a ELECTRONIC SCALE TICKET DATE �/�Z ZO/ SELLER BUYER�2 ADDRESS CITY STATE ZIP COMMODITY PRICE REMARKS DRIVER ON ❑ OFF WEIGHER Form ES-04 NO. 622056 GROSS _ V TARE 4/-I. ;Z2 O NET_ 1p_L1_ -F" - -2-T�1 S 3 ELECTRONIC SCALE TICKET DATE 7Z 7 Z —2-Ol 6 SELLER y BUYER ADDRESS �GLL'�J /v L� CITY STATE ZIP COMMODITY - �J' YA.(� +d II PRICE REMARKS '�'�� DRIVER N? ON ❑ OFF WEIGHER Form ES-04 NO. 622064 GROSS 12 �� d TARE NET Q �� ELECTRONIC SCALE TICKET DATE :Z Zfzgze)/ SELLER Q BUYER ADDRESS CITY STATE ZIP COMMODITY �L ✓�I��i( -}-t, 14 PRICE REMARKS �`�K call-3 DRIVER 1?'O'N ❑ OFF WEIGHER Form ES-04 No. 622073 GROSS TARE NET% --T-" - 01"g . c' 3 ELECTRONIC SCALE TICKET DATE _7Z77 ZI 0, P1(:�, SELLER —� BUYER — _L31 ---- -- - --- — ADDRESS 777� CITY STATE — ZIP COMMODITY r�V PRICE REMARKS = C�D DRIVER ON ❑ OFF WEIGHER Form ES-04 NO. 622074 GROSS ! V 3 0S 0 — TARE / 741 , % Dy _ NET 500 r%- 30-Po� ELECTRONIC SCALE TICKET DATE —` / 7 /�_ No. 622093 SELLER BUYER !� _ - GROSS ADDRESS ��'i /J�/T !'77 _ TARE CITY STATE ZIP_ NET COMMODITY ✓DCV ` ��� — �q +�� PRICE REMARKS � DRIVER kel ON ❑ OFF WEIGHER _ Form ES-04 ELECTRONIC SCALE TICKET DATE SELLER 021 - --- - BUYER �, ADDRESS CITY STATE ZIP COMMODITY cj PRICE REMARKS ajar DRIVER )L6 ON ❑ OFF WEIGHER 1 , Form ES-04 622096 1140. GROSS f 0,Q TARE NET�� I D ELECTRONIC SCALE TICKET DATE 7z:z z a-D / 6 SELLER �� I o?. BUYER ,� / l �,/_ ADDRESS /f �'J CITY__ STATE ZIP COMMODITY �YR'✓�1 -Hy' "PRICE REMARKS DRIVER N ❑ OFF WEIGHER Form ES-04 NO. GROSS I O 1 U V TARE NET 5 SGa 622105 ELECTRONIC SCALE TICKET DATEZ�� No. 622785 SELER BULYER � GROSS ADDRESS TARE �o( ) �� CITY STATE ZIP NET � J D V V COMMODITY PRICE REMARKS T! I �.:r� hTeri t" / F�✓l� J DRIVER ON ❑ OFF WEIGHER Form ES-04 ELECTRONIC SCALE TICKET DATE :;1I 2b SELLER � p Q- 3 / BUYER p^ %��t ADDRESS / "�,,// 1� 4a CITY STATE ZIP COMMODITY PRICE REMARKS DRIVER ON ❑ OFF � 9 / WEIGHER Zl-vi ✓- Form ES-04 NO. 622786 GROSS TARE h`L�� NET V 9 W ELECTRONIC SCALE TICKET NO. 622787 DATE ` " l y�` SELLER BUYER �7 03 Z GROSS ADDRESS ✓ IWO TARE CITY STATE ZIP NET (1, %1�0 COMMODITY PRICE REMARKS�`t'��� DRIVER ON ❑ OFF WEIGHER Form ES-04 ELECTRONIC SCALE TICKET DATE 7/%/ /a2_ SELLER 2`7) � BUYER ADDRESS CITY STATE ZIP COMMODITYY/�II` PRICE REMARKS �� cz() DRIVER ON ❑ OFF �� J WEIGHER Form ES-04 NO. 622813 GROSS — TARE 44.2 NET rT� ELECTRONIC SCALE TICKET DATE / I� _ SELLER 2 BUYER �� D J ' ADDRESS CITY STATE _ ZIP COMMODITY��✓c�f '"�► r PRICE REMARKS ��- DRIVER ON ❑ OFF WEIGHER Form ES-04 NO 622814 GROSS ` 0 �T D TARE 41 V NET �! 1 ten7) -T-&'"& -- 3b ,73 ELECTRONIC SCALE TICKET No 622816 DATE 7,&- /,;:�z SELLER BUYER c,2- -70 Z-, � _ GROSS ADDRESS /77 / _ TARE ��) -7 d CJ CITY STATE ZIP NET ((� {) 3 V COMMODITY PRICE REMARKS DRIVER X?tN ❑ OFF /44Z WEIGHER Form ES-04 DATE / Z /-2-01( SELLER / BUYER �f� ADDRESS ✓ CITY STATE ZIP COMMODITY PRICE REMARKS � / 44-,vt— Q=% DRIVER ON ❑ OFF WEIGHER Form ES-04 2UO GROSS TARE�C� NET {p 1 (l ........... 31,5" 622829 ELECTRONIC SCALE TICKET DATE SELLER � BUYER ADDRESS ✓' ✓ CITY STATE ZIP COMMODITYa�✓�-1 PRICE REMARKS OC,D DRIVER ON ❑ OFF WEIGHER r Form ES-04 NO. 622832 GROSS / 0 7 ) r--7 TARE ) /J NET l!! tI (Q ELECTRONIC SCALE TICKET NO 622837 DATE ` /,//S SELLER 2 BUYER �7 a 3 ar� GROSS /�? ] J.D-D ADDRESS �G�af /�T7// TARE CITY STATE ZIP NET cp co o- COMMODITY i�d/✓�- l'1`i / L-j PRICE REMARKS -7;6-L DRIVER ON ❑ OFF WEIGHER _. Form ES-04 ELECTRONIC SCALE TICKET DATE 7 // i Za; �—pz iP SELLER BUYER ��� -2 ADDRESS J CITY STATE ZIP COMMODITY `� r��✓�-�1 -Yf �� PRICE REMARKS = a�? DRIVER [�ONr ❑ OFF WEIGHER Form ES-04 No. 622851 GROSS TARE 44 NET -V3 - 3 O , —1 ELECTRONIC SCALE TICKET DATE ` /iZ Z -; O dl SELLER BUYER ADDRESS CITY STATE ZIP COMMODITY - , / PRICE REMARKS aT DRIVER ON ❑ OFF !J WEIGHER Form ES-O4 NO. 622853 GROSS ` 1 CP 0 TARE NET �C/o2 9Ro TN^s - 31 LH ELECTRONIC SCALE TICKET DATE / /// /oZ-O l F SELLER -p BUYER �.�ZO � O ADDRESS CITY STATE ZIP COMMODITY (�a✓---Y PRICE REMARKS 7S DRIVER ON ❑ OFF �� WEIGHER / Form ES-04 No 622859 GROSS TARE _ `�'� `7 D O NET SCJ� ADO ELECTRONIC SCALE TICKET NO 622874 DATE !%/ %i�I SELLER �p BUYER i�� O � � GROSS ADDRESS 1 _0.XX�d J +11E- /-tlyVI TARE CITY STATE ZIP NETS C /N' (�J COMMODITY PRICE REMARKS�'�' -- DRIVER ON ❑OFF q V WEIGHER Form ES-04 ELECTRONIC SCALE TICKET NO. 622878 DATE ZZ& "-�� ER BUY BUYER ADDRESS CITY STATE STATE ZIP COMMODITYa✓I PRICE REMARKS _ 7 DRIVER ON ❑ OFF. WEIGHER Form ES-04 GROSS TARE 4z )3,36 NET D ELECTRONIC SCALE TICKET DATE SELLER BUYER 2 -703 ?la ADDRESS '-7a--_� CITY STATE ZIP COMMODITY_ PRICE REMARKS__ DRIVER , N E OFF _ 41 WEIGHER Form ES-04 No 622883 GROSS TARE Q_� n tO NET 4) () G D ELECTRONIC SCALE TICKET DATE No. 625807 SELLER d BUYER GROSS a ADDRESS�TARE 47:o) 1 CITY STATE ZIP NET l e ?2 COMMODITY PRICE REMARKS D p ,rks DRIVER lklOON ❑ OFF A�/ WEIGHER , Form ES-04 ELECTRONIC SCALE TICKET DATE :Z%-2 SELLER BUYER n -7C>3 D�j/ �L�. ADDRESS %- 1 CITY_ STATE _ ZIP COMMODITY �k-,xve—lG� PRICE REMARKS DRIVER ON ❑ OFF -* !T <0 WEIGHER Form ES-04 NO.625808 GROSS /a 3) TARE NET IOVi� -r - 3 C) ELECTRONIC SCALE TICKET DATE :7_/-/---' A - SELLER BUYER 2 ADDRESS CITY STATE ZIP COMMODITY PRICE REMARKS DRIVER ON ❑ OFF 4� _ WEIGHER Form ES-0d No.625809 GROSS /o <kL TARE Y7,q) 3 s 0 NET 6� / 1 7 _ ELECTRONIC SCALE TICKET NO. 625853 DATE 7//Z 7-D! SELLER BUYER ADDRESS CITY STATE ZIP COMMODITY (:!;rwA -I"l.! I PRICE REMARKS -? - at� DRIVER ON ❑ OFF WEIGHER Form ES-04 GROSS TARE ��ZA Tv NET ( 9 (-0 Try-3a-9`3 ELECTRONIC SCALE TICKE i DATE 1Z_'2-V1 _ SELLER BUYER Z %7 03-gi-a- _ ADDRESS / _�hd:1- _ CITY _ STATE _ ZIP COMMODITY ( ! ✓ow Aj -4; N PRICE REMARKS�`� DRIVER ON ❑ OFF WEIGHER ,��--�'`� ' _ Form ES-04 NO 625860 GROSS I o a) 3 G U TARE4:2�:Q _0 V _ NET T-" - 3 o•�d3 ELECTRONIC SCALE TICKET DATE SELLER /� q BUYER —7 D 3 D 1Z)- ADDRESS CITY STATE _ ZIP COMMODITY ' PRICE REMARKS 2s=- a,� DRIVER ON ❑ OFF WEIGHER Form ES-0d No 625904 GROSS / V 3 ) 0 G Ci TARE NET L{/ C) (Q b ELECTRONIC SCALE TICKET DATE 7//? �-�dI (42 No. 625921 SELLER - BUYER a_ _ GROSS / V �) i (/ lJ ADDRESS Lyt �j _ TARE J C-kJ J CITY STATE ZIP NET COMMODITY_1��1��- F�X. To Kss - O • (4P 3 PRICE REMARKS a�h� c:;,,, C) DRIVER ON ❑ OFF -�� !75 W-422 A&W.1 .7611, TIM, A IN i M.WA M ELECTRONIC SCALE TICKET DATE 7-Z����D1_ No 625932 SELLER GROSS �_o n BUYER / ADDRESS '�-f �JU T �� TARE �f"�� 44�40 CITY STATE ZIP NET & a -7c;LU T COMMODITYra PRICE REMARKS TIE-w` ;Z$ DRIVER ON ❑ OFF WEIGHER Form ES-04 ELECTRONIC SCALE TICKET DATE No. 625945 SELLER BUYER 3 I GROSS D ADDRESS /F� TARE CITY STATE ZIP NET 1 U V COMMODITY �-�Ii1' �'✓�� i I —TOKS - I ' wq PRICE REMARKS�•1?.Ltti �; La DRIVER ON ❑ OFF 7;�f= J�? WEIGHER Form ES-04 ELECTRONIC SCALE TICKET No. 626001 DATE ' 1,.-4= Q1 G_ SELLER 7 d 3 B 2 BUYER ADDRESS ^��,�' CITY STATE ZIP COMMODITY-H L� PRICE REMARKS_ 77 Q- a�� _ lilt 0 P4�Z,41k5 DRiVER , VON ❑ OFF_. WEIGHER Form ES-04 GROSS I 0 & 11 / Vy TARE NET 1 (O -r"-31.$3 ELECTRONIC SCALE TICKET DATE 72'b3/2ol<O NO 626002 SELLER - - 122(e s UT BUYER a 7o a ��� GROSS ADDRESS TARE _ aio CITY STATE ZIP NET COMMODITY �'! _ - 0. via PRICE REMARKS J.V, LA)-' DRIVER t?bN L1 OFF -- -- — - ---- --- WEIGHER - -- -�T—. ----- - Form ES-04 ELECTRONIC SCALE TICKET DATE :Z I c7 /o -DIG SELLER BUYER c2 7 D 3 S 1 Z ADDRESS ✓ o"�� - CITY STATE ZIP COMMODITY l3/✓4r�� -H PRICE REMARKS �`% w a;s DRIVER UQ ON ❑ OFF S �. T 0 WEIGHER ll�j Form 0. - NO. 626003 GROSS IOC) oW TARE�IQD�� NET1 O� �e`'�- 3o•1I ELECTRONIC SCALE TICKET No. 626004 DATE 7Z,l / D I &__ SELLER BUYERD ADDRESSy CITY — STATE _ ZIP COMMODITY PRICE REMARKS __-��' ''•"'v �— — DRIVER L i, ry [� C>FF �__ WEIGHER- — -- Form ES-04 GROSS —/_7� TARE NET�� J(p� Tom- 3 i • �O8 ELECTRONIC SCALE TICKET DATE , e 3/�-ot (P SELLER BUYER 3 1 02 ADDRESS o� CITY STATE ZIP COMMODITY r4�✓+�-t� PRICE REMARKS a A /, k) - 7: � �/, -- -5 DRIVER ON ❑ OFF _ WEIGHER Form ES-04 No. 626017 GROSS /! TARE //`7"' 3) gv:�Q _ NET 1p nu o ELECTRONIC SCALE TICKET DATE SELLER 2 BUYER c;2 J I ADDRESS J a-,blo4- CITY STATE ZIP COMMODITYrO���//' PRICE REMARK.S__���L1� OL(� DRIVER Lk? -ON ❑ OFF % WEIGHER Form ES-04 No. 626020 GROSS TARE NET��!)��gn ELECTRONIC SCALE TICKET NO. 626024 DATE SELLER as BUYER ADDRESS I- L 7llJ CITY STATE ZIP COMMODITY -�aN,� PRICE REMARKS__��'�� _ O` DRIVER ON ❑ OFF WEIGHER _ _L Form ES-04 GROSS L JoZ D TARE �0 A , 44�3 )??���— NET ELECTRONIC SCALE TICKET DATE ,Zzaz�nj a_ SELLER ^ �j BUYER ADDRESS CITY COMMODITY Vim✓ PRICE STATE ZIP REMARKS " Z ". A). L4+ 5 DRIVER ON [I OFF WEIGHER -iAdft 1. �...�- /� �► Form ES-04 NO. 626030 GROSS _L 0 S TARE�)6d1� NET & 'Tekg — Ll ELECTRONIC SCALE TICKET DATE — SELLER �, ,� BUYER �%�� ADDRESS CITY STATE ZIP COMMODITY_-- PRICE REMARKS DRIVER �_ ON ❑ OFF WEIGHER Form ES-04 NO. 626050 GROSS / 077) c2 rj, 7 TARE /Z/- NET (O O -ram 3 0- • LHL , ELECTRONIC SCALE TICKET DATE 7� NO. 626051 SELLER p BUYERS `7 oa 3 0 1 � _ -_ GROSS �C 70 n ADDRESS /O T- _ TARE CITY STATE ZIP NET 1p G 0 COMMODITY � PRICE — REMARKS -- —/ K 0,p-a4/A-:E5- DRIVER ON _] _ OFF WEIGHER - _ Form ES-04 ELECTRONIC SCALE TICKET DATE !�a p/ �;? SELLER .2703 81 a BUYER �'� "' ADDRESS / 61-" CITY STATE ZI? COMMODITY GYGti% PRICE REMARKS �! '— _�_ DRIVER \?--ON ❑ OFF. WEIGHER Form ES-04 NO. 626058 GROSS TARE`J 6D NET 1p�b ELECTRONIC SCALE TICKET DATE 626067 SELLER �� BUYER � 3 O � � _ _ GROSS _` ADDRESS �`� al TARE__/ cJV CITY STATE ZIP -TN-ET I COMMODITY PRICE REMARKS J�LJd2 • P,,43 ._ DRIVER �N ❑ OFF _3__ WEIGHER Form ES-04 ELECTRONIC SCALE TICKET DATE / ly- �201 to SELLER - BUYER ADDRESS CITY STATE ZIP COMMODITY G�i�+[� • �l PRICE REMARKS- ay. DRIVER ON ❑ OFF ;J�t7 WEIGHER Form ES-04 NO_626068 GROSS 0 TARE //7" NET (p ! O 0 ELECTRONIC SCALE TICKET DATE 7'/�3/�O`��_ SELLER BUYER 2 {� 2`703 2 1e: ADDRESS-7 y/-__ JOT X14 L� CITY STATE ZIP COMMODITY �r^V4e �� PRICE REMARKS N, k), 7>,o,*3 DRIVER ON [71 OFF WEIGHER For ES-04 No 626072 GROSS �0(� TARE _ 22 NET 62 S t 160 ELECTRONIC SCALE TICKET DATE _7 SELLER Q -I K BUYER Q-70 3 O 1 ADDRESS CITY STATE ZIP COMMODITY G!o"vk— �41 PRICE REMARKS =�1 OC � DRIVER ON ❑ OFF !3 D WEIGHER form ES-04 NO 626073 GROSS��/i (_f TARE NET -7V ELECTRONIC SCALE TICKET DATE ��p1Tn SELLER BUYER ADDRESS b, / <</ CITY STATE "LIP COMMODITY _�✓O��I/ i / PP,ICE PEMARKS`�L- �� — DRIVER �ON❑ OFF , WEIGHER Form ES-04 NO 626077 GROSS ).-'0V ---- TARE I� I u- NET tP� -T"-3i,�� 626078 ELECTRONIC SCALE TICKET DATE —7 SELLER I BUYER ADDRESS CITY STATE ZIP COMMODITY PRICE REMARKS DRIVER V-ONI ❑ OFF WEIGHER Form ES-04 NO. GROSS /b 71 �OrJ TARE � NET�_✓iD -Fa - 3 a - 4-a 626081 ELECTRONIC SCALE TICKET DATE/I-�2 0Z6 SELLER BUYER 70 -"Aj 3l 2f /J ADDRESS ✓ �O . �!'/ CITY STATE ZIP COMMODITY C7ra-✓e� `*,/1 PRICE DRIVER �❑ OFF WEIGHER Form ES,4 NO. GROSS TARE NET G Tsk6 - 30.,sy- ELECTRONIC SCALE TICKET DATEfs2 SEILER BUYER �'7D 3 .�------..--- ---- --- ADDRESS CITY STATE ZIP COMMODITY PRICE REMARKS Z'eGi�1 a2 _- / V . w. ' O v DRIVER ON ❑ OFF � �-,5 _— WEIGHER-1 --- Form ES-04 626082 GROSS -/-Q _--- _-- TARE !.� 57 dD NET ��► 3 !�� _ -ram - 3a� i$ 626097 ELECTRONIC SCALE TICKET DATE ZO SELLER �-7 BUYER �i� ?2 GROSS _1 n & ) NO. ADDRESS` TAREQ?�C1i(� CITY STATE ZIP NET COMMODITY PRICE REMARKS _L ���v� a),? DRIVER ON ❑ OFF �g �?5 WEIGHER Form ES-04 ELECTRONIC SCALE TICKET DATE/C,L SELLER BUYER i DD ' • CITY STATE ZIP COMMODITY 51; ray PRICE (� REMARKS�'e'Gj'I Ji /y-yq . 71-,-�s DRIVER ON ❑ OFF�� WEIGHER _ Form ES-04 NO. GROSS / O ?2 ) S 6 D TARE 44Q 380 NET � I . U, al) Rvs- -3p,rl I ELECTRONIC SCALE TICKET DATE SELLER r� BUYER ADDRESS CITY STATE ZIP COMMODITY ✓ PRICE REMARKS DRIVER ON ❑ OFF ;3�k 2! WEIGHER Form ES-04 626101 NO. GROSS /C/�0�q-,?, V TARE NET ELECTRONIC SCALE TICKET DATE 7,,�2a/_._ SELLER BUYER ADDRESS CITY STATE ZIP COMMODITY �--�f ra�✓r�7 T% f / PRICE REMARKS C-;), 9 DRIVER VON ❑ OFF 5" WEIGHER —.cl� Form ES-04 NO. GROSS�� TARE -3 , �b d�u6 NET 3 T TTQv�-3� �S�o 626105 ELECTRONIC SCALE TICKET DATE SELLER BUYER `70 3 t� f ,-I- ADDRESS I fTl L� CITY STATE ZIP COMMODITY�� 1�G✓L1/ -{-i 1 I PRICE REMARKS -a� ;Z� DRIVER �6N ❑ OFF WEIGHER Form ES-04 NO. GROSS TARE 4kc //2� NET l0 5 CP _ram `3a-SI 626119 ELECTRONIC SCALE TICKET DATE T,/// , O� _ SELLER BUYER `7pz7 ADDRESS CITY STATE ZIP COMMODITY PRICE REMARKS ,A/ kj, �� DRIVER ON ❑ OFF�� WEIGHER Form ES-04 NO. 626120 GROSS D /,1 �4 O (/ TARE 1' 3 9 V NET��� ELECTRONIC SCALE TICKET DATE l SELLER BUYER ADDRESS CITY STATE ZIP COMMODITY �irOW —6 PRICE REMARKS DRIVER ON ❑ OFF WEIGHER Form ES-04 NO. 626122 GROSS 16 TARE NET V 7AA-8 - 3a,ct ELECTRONIC SCALE TICKET DATE /-?-cvc, SELLER BUYER ADDRESS CITY STATE ZIP COMMODITY , �1 PRICE REMARKS DRIVER ON ❑ OFF WEIGHER e� Form ES-04 NO. 626128 GROSS TARE�� 00 D NET 'T""s ELECTRONIC SCALE TICKET DATE SELLER .p BUYER ADDRESS___�.�lo_—L CITY _ STATE �(� r ZIP COMMODITY PRICE REMARKS ]5 DRIVER 12 ON ❑ OFF 74E !�7 2 WEIGHER Form ES-04 NO_ 626135 GROSS / Q �O 23GO TARE NET CO O T�-31��� ELECTRONIC SCALE TICKET DATE 7 d� SELLER BUYER 2 ADDRESS_ �� :]M�e CITY STgTE ZIP COMMODITY PRICE REMARKS —may. wl 7614� DRIVER ON ❑ OFF ��✓ WEIGHER Form ES-04 NO. 626142 GROSS f V TARE6v7io NET ELECTRONIC SCALE TICKET DATE _/� 20% SELLER BUYER ADDRESS I - CITY STATE ZIP COMMODITY �:. // PRICE �f REMARKS DRIVER ON ❑OFF__ _ WEIGHER Form ES-04 No 626146 GROSS��Gd TARE NET iCZ� 610 7) ELECTRONIC SCALE TICKET NO. 626148 DATE SELLER BUYER - ADDRESS -- CITY STATE ZIP COMMODITY ✓G�l%c-/ -Yl f PRICE REMARKS DRIVER ON ❑ OFF ! WEIGHER r-orm ES-04 GROSS TARE NET 631 �CJV T�'"'s - 31 . -1 ELECTRONIC SCALE TICKET DATE SEDER �� _ , .� - BUYER �-�- �D�L, ADDRESS77-e �42:� 7jw CITY STATE ZIP COMMODITY _ LTl ►�/�✓�{'/ PRICE REMARKS DRIVER ON [] OFF 4L- WEIGHER Form ES-04 NO 626154 GROSS /Q (Q 17766 TARE / 00 NET�Q�_��� �!>-3��g� ELECTRONIC SCALE TICKET DATE 7V/44/--'t�1 C, SELLER Q t BUYER�- ADDRESS CITY STATE ZIP COMMODITY PRICE REMARKS DRIVER ON ❑ OFF _ WEIGHER09 Form ES-04 NO. 626159 GROSS ICE �G TARE NET & . `7ovs-051-1-1 ELECTRONIC SCALE TICKET DATE 7//,V / SELLER BUYER 277 03 'S C �- GROSS 1 lS V ADDRESS A/ TARE CITY STATE ZIP NET COMMODITY U/i-aws--j ;;� {1 76V5 — �C)' U� PRICE REMARKS 7�'QL—` Af, W , �g DRIVER �Ej OFF jlf Z ?2 WEIGHER Form ES-04 ELECTRONIC SCALE TICKET DATE SELLER BUYER ADDRESS CITY STATE ZIP COMMODITY PRICE REMARKS�� . t&-�-� - DRIVER ON ❑ OFF 77— WEIGHER Form ES-04 a ==9 = GROSS TARE�o NET Cp G� ELECTRONIC SCALE TICKET DATE 7�z �,I- Z --l-01- SELLER BUYER ADDRESS_" CITY _ STATE ZIP COMMODITY G✓ PRICE REMARKS��'�^' _4L t,z T�•ro DRIVER IZON [-]OFF WEIGHER Form ES-04 NO. 626173 GROSS / Q S 1 `7� O TARE 41- NET 7-6",� - -31. 6-1 ELECTRONIC SCALE TICKET LATE _ 1 ���_ SELLER BUYER 2� 0 3 g ► Z __ ADDRESS CITY _ STATE _ ZIP COMMODITY _ C �a'✓C�l �! __ PRICE REMARKS t , v/. T.,.,��� DRIVER ON ❑ OFF _ 7 5— WEIGHER Form ES-04 GROSS 10 22 ) i�) D D TARE o d _ NET (��► lOoi� �o - ) O.3 ELECTRONIC SCALE TICKET NO. 626185 DATE 41Zb/� SELLER BUYER �`-`T U ��� I Z GROSS ADDRESS r1� 0.�'�"� I TARE CITY STATE_ ZIP NET COMMODITYall�-mil—'1uC-Y T�� ✓� 1 ` PRICE REMARKS DRIVER VON ❑ OFF WEIGHER 1 Form ES-04 ELECTRONIC SCALE TICKET DATE� ��O! SELLER �p BUYER U D 2- ADDRESS I lT{ fr CITY STATE ZIP COMMODITY PRICE REMARKS ju7o� - ko DRIVER VON ❑ OFF 72�k 7� WEIGHER Form ES-04 �i►.t1iEI� GROSS ! 0 45 q TARE 4A2,T [. •( 1 NET (a '>_, 2 r, n -rt-d`�- 31- (v3 ELECTRONIC SCALE TICKET DATE —711 O/ 6 SELLER BUYER ADDRESS 77�6 -- -- CITY STATE ZIP COMMODITY PRICE REMARKS A/, UL r 7B;��4� DRIVER ON ❑ OFF t O I WEIGHER Form ES-04 No. 626193 GROSS _f V 1 0Q 2 TARE NET 7-n^s - 3 a. q ELECTRONIC SCALE TICKET NO. 626196 DATE SELLER �5 BUYER �%n 3 /�jk��L_ ADDRESS CITY STATE ZIP COMMODITY PRICE REMARKS :7— '��" 5; Al. U-) - -FaA� DRIVER [L?15N ❑ OFF _ WEIGHER Form ES-04 GROSS _QV7�„'O TARE �$ NET � 5� ELECTRONIC SCALE TICKET DATE _ / //L f [&-- SELLER g z BUYER d�U��3 46 _ ADDRESS ���C�K1 _ _ ` d CITY STALE _ ZIP COMMODITY�ali1/� -CX� PRICE REMARKS �7- a� DRIVER VON ❑ OFF_ WEIGHER Form ES-04 No 626200 GROSS D 3 co TARE ) 6++ o NET ELECTRONIC SCALE TICKET DATE -�7 _ I-r,- SELLER BUYER C:P- �n 3 R i ADDRESS ✓ �,/ CITY STATE ZIP COMMODITY PRICE_ REMARKS Al. 0 - �a� 14-) DRIVERVON ❑ OFF I WEIGHER Form ES-04 NO. 626207 GROSS f DSi 66 V TARE � �( NET_ & �r ELECTRONIC SCALE TICKET DATE _:7;7��/ZOl SELLER BUYER .7 / ADDRESS ��OD5�— �_`✓ CITY STATE ZIP COMMODITY PRICE REMARKS 1<7 DRIVER ON ❑ OFF �_7z WEIGHER C Form ES-04 NO. 626211 GROSS TARE � Z NET ELECTRONIC SCALE TICKET DATE ! //-S /�� SELLER S 2 BUYER ADDRESS 7 CITY STATE ZIP COMMODITY PRICE REMARKS �-�iY� — —?"l) � IA 4. F��w-ks DRIVER BON ❑ OFF (J!7 WEIGHER Form ES-04 NO. GROSS TARE NET 626233 ELECTRONIC SCALE TICKET DATE !T S /2 T� I �o SELLER O I BUYER ADDRESS / !, CITY COMMODITY (277 ;-^V PRICE STATE ZIP REMARKS :Lh-fN►- — c;l DRIVER ON ❑ OFF WEIGHER Form ES-04 No. 626232 GROSS / 0&1 & V TARE ��� )Jy O NETS i 3DU csus _ 2J a , 5 ELECTRONIC SCALE TICKET NO. 626234 DATE ,ZZ� � 2 SELLER 2 703 �1 BUYER e ADDRESS CITY STATE ZIP COMMODITY %��'�� 7 ! PRICE REMARKS � '� — c;2- Lv-, Lk/, DRIVER ON ❑ OFF WEIGHER Form ES4 GROSS TARE NET `-F6- 3 a . 5y_ ELECTRONIC SCALE TICKET NO. 626235 DATE 7/ I S ./-?- O /G SE LLE R (� BUYER ��Z�?> O I oZ GROSS'/D���d ADDRESS %T7�� TARE _ 474 CITY STATE ZIP NET 6, s COMMODITY -1, PRICE REMARKS DRIVER k ON ❑ OFF 7:i:�-7 / WEIGHER / Form ES-04 ELECTRONIC SCALE TICKET DATE SELLER BUYER ADDRESS CITY STATE ZIP COMMODITY PRICE REMARKS_ �O /v- V4. DRIVER ON ❑ OFF _J WEIGHER % Form ES-04 NO. 626236 GROSS TARE �GD NET W ICON Materials CUSTOMER COPY Ticket: 13102 01500 - Auburn S&G Date: 12/22/2016 4040 Kersey Way SE Time: 11:32:12AM ' Auburn, WA 98092 / Vehicle: SCAR86 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Disp #: Pounds Tons Address & Instructions: Job: 2703812 Gross 101,180 50.59 s. 15th Street and Whitworth Ave South Renton P.O.: Tare 42,780 21.39 Net 58,400 29.20 Weighmaster: Cassie Conn Produc Loads Total Qjy Ticket Q UOM 2380 4" GRAVEL BORROW 1 29.20 29.20 Ton Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. r ICON Materials CUSTOMER COPY Ticket: 13102 01S00 - Auburn S&G Date: 12/22/2016 4040 Kersey Way SE Time: 11:32:12AM ' Auburn, WA 98092 Vehicle: SCAR86 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Disp #: Pounds Tons Address & Instructions: lob: 2703812 Gross 101,180 50.59 s. 15th Street and Whitworth Ave South Renton P.O.: Tare 42,780 21.39 Net 58,400 29.20 Weighmaster: Cassie Conn Product Loads Total Qty Ticket Qty UOM 2380 4" GRAVEL BORROW 1 29.20 29.20 Ton Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Sellers plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials CUSTOMER COPY Ticket: 13140 01500 - Auburn 5&G Date: 12/22/2016 tj4040 Kersey Way SE Time: 12:49:54PM I Auburn, WA 98092 Vehicle: SCAR098 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Disp #: Pounds Tons Address & Instructions: Job: 2703812 Gross 101,220 50.61 s. 15th Street and Whitworth Ave South Renton P.O.: Tare 42,140 21.07 Net 59,080 29.54 Weighmaster: Cassie Conn Product Loads Total Qtv Ticket Qty UOM 2380 4" GRAVEL BORROW 2 58.74 29.54 Ton Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. ICON Materials CUSTOMER COPY Ticket: 13140 01500 - Auburn S&G Date: 12/22/2016 4040 Kersey Way SE Time: 12:49:54PM I Auburn, WA 98092 Vehicle: SCAR098 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Disp #: Pounds Tons Address & Instructions: Job: 2703812 Gross 101,220 50.61 s. 15th Street and Whitworth Ave South Renton P.O.: Tare 42,140 21.07 Net 59,080 29.54 Weighmaster: Cassie Conn Product Loads Total Qty Ticket Qty UOM 2380 4" GRAVEL BORROW 2 58.74 29.54 Ton Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials CUSTOMER COPY Ticket: 13142 01500 - Auburn S&G Date: 12/22/2016 4040 Kersey Way SE Time: 12:51:06PM ' Auburn, WA 98092 Vehicle: SCAR86 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Disp #: Pounds Tons Address & Instructions: Job: 2703812 Gross 103,040 51.52 s. 15th Street and Whitworth Ave South Renton P.O.: Tare 42,780 21.39 Net 60,260 30.13 Weighmaster: Cassie Conn Product Loads Total Q Ticket UOM 2380 4" GRAVEL BORROW 3 88.87 30.13 Ton Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. r ICON Materials CUSTOMER COPY Ticket: 13142 01500 - Auburn S&G Date: 12/22/2016 4040 Kersey Way SE Time: 12:51:06PM I Auburn, WA 98092 Vehicle: SCAR86 Customer: 60467 order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Disp #: Pounds Tons Address & Instructions: Job: 2703812 Gross 103,040 51.52 s. 15th Street and Whitworth Ave South Renton P.O.: Tare 42,780 21.39 Net 60,260 30.13 Weighmaster: Cassie Conn Product Loads Total Qjy Ticket Qty UOM 2380 4" GRAVEL BORROW 3 88.87 30.13 Ton Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries maybe discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials CUSTOMER COPY Ticket: 13145 01500 - Auburn S&G Date: 12/22/2016 m4040 Kersey Way SE Time: 12:56:09PM Auburn, WA 98092 Vehicle: SCAR81 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Disp tt: Pounds Tons Address & Instructions: Job: Gross 102,180 51.09 s. 15th Street and Whitworth Ave South Renton P.O.: Tare 42,100 21.05 Net 60,080 30.04 Weighmaster: Cassie Conn Product Loads Total Qtv Ticket UOM 2380 4" GRAVEL BORROW 4 118.91 30.04 Ton Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. ICON Materials CUSTOMER COPY Ticket: 13145 01500 - Auburn S&G Date: 12/22/2016 4040 Kersey Way SE Time: 12:56:09PM ' Auburn, WA 98092 Vehicle: SCAR81 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Disp a: Pounds Tons Address & Instructions: Job: Gross 102,180 51.09 s. 15th Street and Whitworth Ave South Renton P.O.: Tare 42,100 21.05 Net 60,080 30.04 Weighmaster: Cassie Conn Product Loads Total Qty Ticket UOM 2380 4" GRAVEL BORROW 4 118.91 30.04 Ton Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warrantv The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries maybe discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials CUSTOMER COPY Ticket: 13154 01500 - Auburn 5&G Date: 12/22/2016 4040 Kersey Way SE Time: 1:02:14PM I Auburn, WA 98092 Vehicle: SCAR30 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Disp #: Pounds Tons Address & Instructions: Job: Gross 102,680 51.34 s. 15th Street and Whitworth Ave South Renton P.O.: Tare 40,260 20.13 Net 62,420 31.21 Weighmaster: Cassie Conn Product Loads Total Qjy Ticket UOM 2380 4" GRAVEL BORROW 5 150.12 31.21 Ton Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. ICON Materials CUSTOMER COPY Ticket: 13154 01500 - Auburn 5&G Date: 12/22/2016 4040 Kersey Way SE Time: 1:02:14PM I Auburn, WA 98092 Vehicle: SCAR30 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Disp #: Pounds Tons Address & Instructions: Job: Gross 102,680 51.34 s. 15th Street and Whitworth Ave South Renton P.O.: Tare 40,260 20.13 Net 62,420 31.21 Weighmaster: Cassie Conn Product Loads Total Qt Ticket Qt UOM 2380 4" GRAVEL BORROW 5 150.12 31.21 Ton Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials CUSTOMER COPY Ticket: 13157 01500 - Auburn S&G Date: 12/22/2016 4040 Kersey Way SE Time: 1:10:22PM I Auburn, WA 98092 Vehicle: SCAR94 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Disp #: Pounds Tons Address & Instructions: Job: 374146 Gross 102,600 51.30 s. 15th Street and Whitworth Ave South Renton P.O.: Tare 42,280 21.14 Net 60,320 30.16 Weighmaster: Cassie Conn Product Loads Total t Ticket Q UOM 2380 4" GRAVEL BORROW 6 180.28 30.16 Ton Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. ICON Materials CUSTOMER COPY Ticket: 13157 01500 - Auburn S&G Date: 12/22/2016 m4040 Kersey Way SE Time: 1:10:22PM Auburn, WA 98092 Vehicle: SCAR94 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Disp #: Pounds Tons Address & Instructions: Job: 374146 Gross 102,600 51.30 s. 15th Street and Whitworth Ave South Renton P.O.: Tare 42,280 21.14 Net 60,320 30.16 Weighmaster: Cassie Conn Product Loads Total Qty Ticket Qty UOM 2380 4" GRAVEL BORROW 6 180.28 30.16 Ton Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials CUSTOMER COPY Ticket: 13161 01500 - Auburn S&G Date: 12/22/2016 4040 Kersey Way SE Time: 1:18:34PM ' Auburn, WA 98092 Vehicle: SCAR82 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Disp #: Pounds Tons Address & Instructions: Job: 374146 Gross 101,220 50.61 s. 15th Street and Whitworth Ave South Renton P.O.: Tare 41,820 20.91 Net 59,400 29.70 Weighmaster: Cassie Conn Prod c Load Total Qt Ticket Qty UOM 2380 4" GRAVEL BORROW 7 209.98 29.70 Ton Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. ICON Materials CUSTOMER COPY Ticket: 13161 01500 - Auburn S&G Date: 12/22/2016 4040 Kersey Way SE Time: 1:18:34PM ' Auburn, WA 98092 Vehicle: SCAR82 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Disp #: Pounds Tons Address & Instructions: Job: 374146 Gross 101,220 50.61 s. 15th Street and Whitworth Ave South Renton P.O.: Tare 41,820 20.91 Net 59,400 29,70 Weighmaster: Cassie Conn Product Loads Total Qty Ticket Qty UOM 2380 4" GRAVEL BORROW 7 209.98 29.70 Ton Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials CUSTOMER COPY Ticket: 13162 01500 - Auburn S&G Date: 12/22/2016 4040 Kersey Way SE Time: 1:19:30PM I Auburn, WA 98092 Vehicle: SCAR83 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Disp #: Pounds Tons Address & Instructions: Job: 374146 Gross 100,280 50.14 s. 15th Street and Whitworth Ave South Renton P.O.: Tare 42,500 21.25 Net 57,780 28.89 Weighmaster: Cassie Conn Prot Las Total Qtv Ticket UOM 2380 4" GRAVEL BORROW 8 238.87 28.89 Ton Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. r ICON Materials CUSTOMER COPY Ticket: 13162 01500 - Auburn S&G Date: 12/22/2016 4040 Kersey Way SE Time: 1:19:30PM I Auburn, WA 98092 Vehicle: SCAR83 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Disp #: Pounds Tons Address & Instructions: Job: 374146 Gross 100,280 50.14 s. 15th Street and Whitworth Ave South Renton P.O.: Tare 42,S00 21.25 Net 57,780 28.89 Weighmaster: Cassie Conn Product Loads Total Qjy Ticket QtyUOM 2380 4" GRAVEL BORROW 8 238.87 28.89 Ton Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials CUSTOMER COPY Ticket: 13164 01500 - Auburn S&G Date: 12/22/2016 4040 Kersey Way SE Time: 1:21:59PM ' Auburn, WA 98092 Vehicle: SCAR100 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Disp #: Pounds Tons Address & Instructions: Job: 374146 Gross 101,100 50.55 s. 15th Street and Whitworth Ave South Renton P.O.: Tare 41,900 20.95 Net 59,200 29.60 Weighmaster: Cassie Conn Produc Loads Total Qtv Ticket Q UOM 2380 4" GRAVEL BORROW 9 268.47 29.60 Ton Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. ICON Materials CUSTOMER COPY Ticket: 13164 01500 - Auburn S&G Date: 12/22/2016 4040 Kersey Way SE Time: 1:21:59PM ' Auburn, WA 98092 Vehicle: SCAR100 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Disp #: Pounds Tons Address & Instructions: Job: 374146 Gross 101,100 S0.55 s. 15th Street and Whitworth Ave South Renton P.O.: Tare 41,900 20.95 Net 59,200 29.60 Weighmaster: Cassie Conn Product Loads Total Qt Ticket Qty UOM 2380 4" GRAVEL BORROW 9 268.47 29.60 Ton Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warrantv The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials CUSTOMER COPY Ticket: 13166 01500 - Auburn S&G Date: 12/22/2016 4040 Kersey Way SE Time: 1:28:01PM ' Auburn, WA 98092 Vehicle: SCAR84 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Disp #: Pounds Tons Address & Instructions: Job: 374146 Gross 102,980 51.49 s. 15th Street and Whitworth Ave South Renton P.O.: Tare 44,220 22.11 Net 58,760 29.38 Weighmaster: Cassie Conn Product Loads Total Qjy Ticket 01 UOM 2380 4" GRAVEL BORROW 10 297.85 29.38 Ton Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. ICON Materials CUSTOMER COPY Ticket: 13166 01500 - Auburn S&G Date: 12/22/2016 4040 Kersey Way SE Time: 1:28:01PM I Auburn, WA 98092 Vehicle: SCAR84 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Disp #: Pounds Tons Address & Instructions: Job: 374146 Gross 102,980 51.49 s. 15th Street and Whitworth Ave South Renton P.O.: Tare 44,220 22.11 Net 58,760 29.38 Weighmaster: Cassie Conn Product Loads Total t Ticket Qjy UOM 2380 4" GRAVEL BORROW 10 297.85 29.38 Ton Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries maybe discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials CUSTOMER COPY Ticket: 13167 01500 - Auburn s&G Date: 12/22/2016 4040 Kersey Way SE Time: 1:29:02PM ' Auburn, WA 98092 Vehicle: SCAR99 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Disp #: Pounds Tons Address & Instructions: Job: 374146 Gross 99,220 49.61 s. 15th Street and Whitworth Ave South Renton P.O.: Tare 41,980 20.99 Net 57,240 28.62 Weighmaster: Cassie Conn Product Loads Total Oty Ticket Q UOM 2380 4" GRAVEL BORROW 11 326.47 28.62 Ton Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. ICON Materials CUSTOMER COPY Ticket: 13167 01500 - Auburn s&G Date: 12/22/2016 4040 Kersey Way SE Time: 1:29:02PM I Auburn, WA 98092 Vehicle: SCAR99 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Disp #: Pounds Tons Address & Instructions: Job: 374146 Gross 99,220 49.61 s. 15th Street and Whitworth Ave South Renton P.O.: Tare 41,980 20.99 Net 57,240 28.62 Weighmaster: Cassie Conn Product Loads Total Qty Ticket Qty UOM 2380 4" GRAVEL BORROW 11 326.47 28.62 Ton Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials CUSTOMER COPY Ticket: 13189 01500 - Auburn S&G Date: 12/22/2016 4040 Kersey Way SE Time: 2:20:33PM I Auburn, WA 98092 Vehicle: SCAR098 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Disp #: Pounds Tons Address & Instructions: Job: 2703812 Gross 104,200 52.10 s. 15th Street and Whitworth Ave South Renton P.O.: Tare 42,140 21.07 Net 62,060 31.03 Weighmaster: Cassie Conn Product Loads Total Qtv Ti ket Qjy UOM 2380 4" GRAVEL BORROW 12 357.50 31.03 Ton Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. ICON Materials CUSTOMER COPY Ticket. 13189 01500 - Auburn S&G Date: 12/22/2016 4040 Kersey Way SE Time: 2:20:33PM ' Auburn, WA 98092 Vehicle: SCAR098 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Disp #: Pounds Tons Address & Instructions: Job: 2703812 Gross 104,200 52.10 s. 1Sth Street and Whitworth Ave South Renton P.O.: Tare 42,140 21.07 Net 62,060 31.03 Weighmaster: Cassie Conn Product Loads Total Qt Ticket Qjy UOM 2380 4" GRAVEL BORROW 12 357.50 31.03 Ton Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials CUSTOMER COPY Ticket: 13191 01500 - Auburn S&G Date: 12/22/2016 4040 Kersey Way SE Time: 2:24:21PM ' Auburn, WA 98092 Vehicle: SCAR86 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Disp #: Pounds Tons Address & Instructions: Job: 2703812 Gross 105,940 52.97 s. 15th Street and Whitworth Ave South Renton P.O.: Tare 42,780 21.39 Net 63,160 31.S8 Weighmaster: Cassie Conn Product Load Total Qty TicketTicketQt UOM 2380 4" GRAVEL BORROW 13 389.08 31.58 Ton Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. ICON Materials CUSTOMER COPY Ticket: 13191 01500 - Auburn S&G Date: 12/22/2016 M4040 Kersey Way SE Time: 2:24:21PM Auburn, WA 98092 Vehicle: SCAR86 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Disp #: Pounds Tons Address & Instructions: Job: 2703812 Gross 105,940 52.97 s. 15th Street and Whitworth Ave South Renton P.O.: Tare 42,780 21.39 Net 63,160 31.58 Weighmaster: Cassie Conn Product Loads Total Q Ticket Q UOM 2380 4" GRAVEL BORROW 13 389.08 31.58 Ton Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order, IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials CUSTOMER COPY Ticket: 13194 01500 - Auburn S&G Date: 12/22/2016 4040 Kersey Way SE Time: 2:34:09PM I Auburn, WA 98092 Vehicle: SCAR81 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Disp #: Pounds Tons Address & Instructions: Job: Gross 104,140 52.07 s. 15th Street and Whitworth Ave South Renton P.O.: Tare 42,100 21.05 Net 62,040 31.02 Weighmaster: Cassie Conn Product Loads Total Qt Ticket UOM 2380 4" GRAVEL BORROW 14 420.10 31.02 Ton Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. ICON Materials CUSTOMER COPY Ticket: 13194 01500 - Auburn S&G Date: 12/22/2016 m4040 Kersey Way SE Time: 2:34:09PM Auburn, WA 98092 Vehicle: SCAR81 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Disp a: Pounds Tons Address & Instructions: Job: Gross 104,140 52.07 s. 15th Street and Whitworth Ave South Renton P.O.: Tare 42,100 21.05 Net 62,040 31.02 Weighmaster: Cassie Conn Product Loads Total Q Ticket UOM 2380 4" GRAVEL BORROW 14 420.10 31.02 Ton Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials CUSTOMER COPY Ticket: 13195 01500 - Auburn S&G Date: 12/22/2016 4040 Kersey Way SE Time: 2:37:27PM I Auburn, WA 98092 Vehicle: SCAR31 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Disp #: Pounds Tons Address & Instructions: Job: Gross 100,900 50.45 s. 15th Street and Whitworth Ave South Renton P.O.: Tare 40,260 20.13 Net 60,640 30.32 Weighmaster: Cassie Conn Product Loads Total Qtv Ticket UOM 2380 4" GRAVEL BORROW 15 450.42 30.32 Ton Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. ICON Materials CUSTOMER COPY Ticket: 13195 01500 - Auburn S&G Date: 12/22/2016 4040 Kersey Way SE Time: 2:37:27PM I Auburn, WA 98092 Vehicle: SCAR31 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Disp #: Pounds Tons Address & Instructions: Job: Gross 100,900 50.45 s. 15th Street and Whitworth Ave South Renton P.O.: Tare 40,260 20.13 Net 60,640 30.32 Weighmaster: Cassie Conn Product Loads Total Qty Ticket Q LIOM 2380 4" GRAVEL BORROW 15 450.42 30.32 Ton Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials CUSTOMER COPY Ticket: 13196 01500 - Auburn S&G Date: 12/22/2016 4040 Kersey Way SE Time: 2:40:59PM ' Auburn, WA 98092 Vehicle: SCAR94 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Disp #: Pounds Tons Address & Instructions: Job: 374146 Gross 105,160 52.58 s. 15th Street and Whitworth Ave South Renton P.O.: Tare 42,280 21.14 Net 62,880 31.44 Weighmaster: Cassie Conn Product Loads Total Qjy Ticket UOM 2380 4" GRAVEL BORROW 16 481.86 31.44 Ton Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. ICON Materials CUSTOMER COPY Ticket: 13196 01500 - Auburn S&G Date: 12/22/2016 4040 Kersey Way SE Time: 2:40:59PM I Auburn, WA 98092 Vehicle: SCAR94 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Disp #: Pounds Tons Address & Instructions: Job: 374146 Gross 105,160 52.58 s. 15th Street and Whitworth Ave South Renton p,0•: Tare 42,280 21.14 Net 62,880 31.44 Weighmaster: Cassie Conn Product Loads Total Qjy Ticket Qty UOM 2380 4" GRAVEL BORROW 16 481.86 31.44 Ton Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials CUSTOMER COPY Ticket: 13201 01500 - Auburn 5&G Date: 12/22/2016 4040 Kersey Way SE Time: 2:53:32PM ' Auburn, WA 98092 Vehicle: SCAR82 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Disp #: Pounds Tons Address & Instructions: Job: 374146 Gross 104,260 52.13 s. 15th Street and Whitworth Ave South Renton P.O.: Tare 41,820 20.91 Net 62,440 31.22 Weighmaster: Cassie Conn Product Loads Total Qt Ticket Qt UOM 2380 4" GRAVEL BORROW 17 513.08 31.22 Ton Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. ICON Materials CUSTOMER COPY Ticket: 13201 01500 - Auburn 5&G Date: 12/22/2016 4040 Kersey Way SE Time: 2:53:32PM I Auburn, WA 98092 Vehicle: SCAR82 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Disp #: Pounds Tons Address & Instructions: Job: 374146 Gross 104,260 52.13 s. 15th Street and Whitworth Ave South Renton P.O.: Tare 41,820 20.91 Net 62,440 31.22 Weighmaster: Cassie Conn Product Loads Total Qt Ticket Qjy UOM 2380 4" GRAVEL BORROW 17 513.08 31.22 Ton Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials CUSTOMER COPY Ticket: 13202 01500 - Auburn S&G Date: 12/22/2016 4040 Kersey Way SE Time: 2:55:14PM ' Auburn, WA 98092 Vehicle: SCAR83 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Disp #: Pounds Tons Address & Instructions: Job: 374146 Gross 105,680 52.84 s. 15th Street and Whitworth Ave South Renton P.O.: Tare 42,500 21.25 Net 63,180 31.59 Weighmaster: Cassie Conn Product Loads Total Qty Ticket UOM 2380 4" GRAVEL BORROW 18 544.67 31.59 Ton Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. ICON Materials CUSTOMER COPY Ticket: 13202 01500 - Auburn S&G Date: 12/22/2016 Kersey Way SE Time: 2:55:14PM M4040 Auburn, WA 98092 Vehicle: SCAR83 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Disp #: Pounds Tons Address & Instructions: Job: 374146 Gross 105,680 52.84 s. 15th Street and Whitworth Ave South Renton P.O.: Tare 42,500 21.25 Net 63,180 31.59 Weighmaster: Cassie Conn Product Loads Total Ticket Qjy UOM 2380 4" GRAVEL BORROW 18 544.67 31.59 Ton Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials CUSTOMER COPY Ticket: 13204 01500 - Auburn S&G Date: 12/22/2016 4040 Kersey Way SE Time: 3:01:21PM I Auburn, WA 98092 Vehicle: SCAR100 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Disp #: Pounds Tons Address & Instructions: Job: 374146 Gross 104,180 52.09 s. 15th Street and Whitworth Ave South Renton P.O.: Tare 41,900 20.95 Net 62,280 31.14 Weighmaster: Cassie Conn Product Loads Total Qtv Ticket Qt UOM 2380 4" GRAVEL BORROW 19 575.81 31.14 Ton Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. ICON Materials CUSTOMER COPY Ticket: 13204 01500 - Auburn S&G Date: 12/22/2016 4040 Kersey Way SE Time: 3:01:21PM ' Auburn, WA 98092 Vehicle: SCAR100 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Disp #: Pounds Tons Address & Instructions: Job: 374146 Gross 104,180 52.09 s. 15th Street and Whitworth Ave South Renton P.O.: Tare 41,900 20.95 Net 62,280 31.14 Weighmaster: Cassie Conn Product Loads Total Qt Ticket Qy UOM 2380 4" GRAVEL BORROW 19 575.81 31.14 Ton Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warrantv The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warrantv The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials CUSTOMER COPY Ticket: 13208 01500 - Auburn S&G Date: 12/22/2016 M4040 Kersey Way SE Time: 3:05:11PM Auburn, WA 98092 Vehicle: SCAR84 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Disp #: Pounds Tons Address & Instructions: Job: 374146 Gross 105,740 52.87 s. 15th Street and Whitworth Ave South Renton P.O.: Tare 44,220 22.11 Net 61,520 30.76 Weighmaster: Cassie Conn Product Loads Total Oty Ticket Qtv UOM 2380 4" GRAVEL BORROW 20 606.57 30.76 Ton Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. ICON Materials CUSTOMER COPY Ticket: 13208 01500 - Auburn S&G Date: 12/22/2016 4040 Kersey Way SE Time: 3:05:11PM I Auburn, WA 98092 Vehicle: SCAR84 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Disp #: Pounds Tons Address & Instructions: Job: 374146 Gross 105,740 52.87 s. 15th Street and Whitworth Ave South Renton P.O.: Tare 44,220 22.11 Net 61,520 30.76 Weighmaster: Cassie Conn Product Loads Total Q Ticket Qty UOM 2380 4" GRAVEL BORROW 20 606.57 30.76 Ton Thank you for your business! WARNING: HOT MIX ASPHALT (HMA( TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Sellers plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. • ICON Materials CUSTOMER COPY Ticket: 13210 01500 - Auburn S&G Date: 12/22/2016 4040 Kersey Way SE Time: 3:11:OOPM ' Auburn, WA 98092 Vehicle: SCAR99 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Disp #: Pounds Tons Address & Instructions: Job: 374146 Gross 104,760 52.38 s. 15th Street and Whitworth Ave South Renton P.O.: Tare 41,980 20.99 Net 62,780 31.39 Weighmaster: Cassie Conn Product Loads Total Qtv Ti k t Qty UQM 2380 4" GRAVEL BORROW 21 637.96 31.39 Ton Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. ICON Materials CUSTOMER COPY Ticket: 13210 01500 - Auburn S&G Date: 12/22/2016 4040 Kersey Way SE Time: 3:11:OOPM I Auburn, WA 98092 Vehicle: SCAR99 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Disp #: Pounds Tons Address & Instructions: Job: 374146 Gross 104,760 52.38 s. 15th Street and Whitworth Ave South Renton P.O.: Tare 41,980 20.99 Net 62,780 31.39 Weighmaster: Cassie Conn Product Loads Total Qty Ticket Qty UOM 2380 4" GRAVEL BORROW 21 637.96 31.39 Ton Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials CUSTOMER COPY Ticket: 13243 01500 - Auburn S&G Date: 12/23/2016 Kersey Way SE Time: 7:16:14AM m4040 Auburn, WA 98092 Vehicle: SCAR098 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Disp #: Pounds Tons Address & Instructions: Job: 374146 Gross 103,940 51.97 s. 15th Street and Whitworth Ave South Renton P.O.: Tare 42,320 21.16 Net 61,620 30.81 Weighmaster: Cassie Conn Product Loads Total Qjy Ticket UOM 2380 4" GRAVEL BORROW 1 30.81 30.81 Ton Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. ICON Materials CUSTOMER COPY Ticket: 13243 01500 - Auburn S&G Date: 12/23/2016 4040 Kersey Way SE Time: 7:16:14AM ' Auburn, WA 98092 Vehicle: SCAR098 Customer: 60467 Order: SCARSE1610 -Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Disp #: Pounds Tons Address & Instructions: Job: 374146 Gross 103,940 51.97 s. 15th Street and Whitworth Ave South Renton P.0.: Tare 42,320 21.16 Net 61,620 30.81 Weighmaster: Cassie Conn Product Loads Total Qt Ticket Qty UOM 2380 4" GRAVEL BORROW 1 30.81 30.81 Ton Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials CUSTOMER COPY Ticket: 13286 01500 - Auburn S&G Date: 12/23/2016 4040 Kersey Way SE Time: 8:37:10AM CH I Auburn, WA 98092 Vehicle: SCAR098 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Disp #: Pounds Tons Address & Instructions: Job: 374146 Gross 104,800 52.40 s. 15th Street and Whitworth Ave South Renton P.O.: Tare 42,320 21.16 Net 62,480 31.24 Weighmaster: Cassie Conn Produc Loads Total t Ti k t Qty UQM 2380 4" GRAVEL BORROW 2 62.05 31.24 Ton Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. ICON Materials CUSTOMER COPY Ticket: 13286 01500 - Auburn S&G Date: 12/23/2016 4040 Kersey Way SE Time: 8:37:10AM I Auburn, WA 98092 Vehicle: SCAR098 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Disp #: Pounds Tons Address & Instructions: Job: 374146 Gross 104,800 52.40 s. 15th Street and Whitworth Ave South Renton P.O.: Tare 42,320 21.16 Net 62,480 31.24 Weighmaster: Cassie Conn Product Loads Total Ticket Qty UOM 2380 4" GRAVEL BORROW 2 62.05 31.24 Ton Thank you for your business! WARNING: HOT MIX ASPHALT )HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials CUSTOMER COPY Ticket: 13331 01500 - Auburn S&G Date: 12/23/2016 4040 Kersey Way SE Time: 9:53:34AM ' Auburn, WA 98092 Vehicle: SCAR098 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Disp #: Pounds Tons Address & Instructions: Job: 374146 Gross 105,740 52.87 s. 15th Street and Whitworth Ave South Renton P.O.: Tare 42,320 21.16 Net 63,420 31.71 Weighmaster: Cassie Conn Product Loads Total Qtv Ticket Qjy UOM 2380 4" GRAVEL BORROW 3 93.76 31.71 Ton Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. ICON Materials CUSTOMER COPY Ticket: 13331 01500 - Auburn S&G Date: 12/23/2016 m4040 Kersey Way SE Time: 9:53:34AM Auburn, WA 98092 Vehicle: SCAR098 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Disp #: Pounds Tons Address & Instructions: lob: 374146 Gross 105,740 52.87 s. 15th Street and Whitworth Ave South Renton P.O.: Tare 42,320 21.16 Net 63,420 31.71 Weighmaster: Cassie Conn Product Loads Total Q Ticket Qty UOM 2380 4" GRAVEL BORROW 3 93.76 31.71 Ton Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warrantv The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warrantv The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials CUSTOMER COPY Ticket: 13354 01500 - Auburn 5&G Date: 12/23/2016 4040 Kersey Way SE Time: 11:11:52AM ' Auburn, WA 98092 Vehicle: SCAR098 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Disp #: Pounds Tons Address & Instructions: Job: 374146 Gross 103,300 51.65 s. 15th Street and Whitworth Ave South Renton P.O.: Tare 42,320 21.16 Net 60,980 30.49 Weighmaster: Cassie Conn Product Loads Total Qty Ticket Qty UOM 2380 4" GRAVEL BORROW 4 124.25 30.49 Ton Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. ICON Materials CUSTOMER COPY Ticket: 13354 01500 - Auburn 5&G Date: 12/23/2016 4040 Kersey Way SE Time: 11:11:52AM I Auburn, WA 98092 Vehicle: SCAR098 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Disp #: Pounds Tons Address & Instructions: Job: 374146 Gross 103,300 51.65 s. 15th Street and Whitworth Ave South Renton P.O.: Tare 42,320 21.16 Net 60,980 30.49 Weighmaster: Cassie Conn Product Loads Total Qt Ticket Qty UOM 2380 4" GRAVEL BORROW 4 124.25 30.49 Ton Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. 14 Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries maybe discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials v Dated 11/15/2016 15C5'$13 01500 - Auburn S&G 4040 Kersey Way SE Time: 7:29:04AM UIAuburn, WA 98092 l7 Vehicle: SCAR141 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Disp #: Pounds Tons Address & Instructions: Job: 270812 Gross 102,120 51.06 s. 15th Street and Whitworth Ave South Renton P.O.: Tare 43,140 21.57 Net 58,980 29.49 Weighmaster: Cassie Conn Product Loads Total Qjy Ticket Qty UOM 2350 5/8" - 0" CRUSHED ROCK 1 29.49 29.49 Ton Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries maybe discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials " "'` "' 150Sg 01500 - Auburn S&G Date: 11/15/2016 3 4040 Kersey Way SE Time: 7:29:39AM I Auburn, WA 98092 Vehicle: SCAR82 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp #: Pounds Tons Address & Instructions: Job: Gross 102,980 51.49 s. 15th Street and Whitworth Ave South Renton P.O.: Tare 43,860 21.93 Net 59,120 29.56 Weighmaster: Cassie Conn Product Loads Total Qty Ticket Qjy UOM 2350 5/8" - 0" CRUSHED ROCK 2 59.05 29.56 Ton Thank you for your business! WARNING'. HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side far warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials rr !lSO59gY 01500 - Auburn 5&G Date: 11/15/2016 4040 Kersey Way SE Time: 10:47:OOAM IAuburn, WA 98092 Vehicle: SCAR141 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Disp #: Pounds Tons Address & Instructions: Job: 270812 Gross 99,960 49.98 s. 15th Street and Whitworth Ave South Renton P.O.: Tare 43,140 21.57 Net 56,820 28.41 Weighmaster: Cassie Conn Product Loads Total Qt Ticket Qty UOM 2350 5/8" - 0" CRUSHED ROCK 3 87.46 28.41 Ton Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01500 - Auburn S&G "'""" """" ' "`"C`. Date: .avuvo" 11/15/2016 �30 �086 4040 Kersey Way SE Time: 12:09:05PM IAuburn, WA 98092 Vehicle: SCAR141 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Disp #: Pounds Tons Address & Instructions: Job: 270812 Gross 101,620 50.81 s. 15th Street and Whitworth Ave South Renton P.O.: Tare 43,140 21.57 Net 58,480 29.24 Weighmaster: Cassie Conn Product Loads Total Qty Ticket Qty UOM 2350 5/8" - 0" CRUSHED ROCK 4 116.70 29.24 Ton Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01500 - Auburn 5&G 4040 Kersey Way SE ' Auburn, WA 98092 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. /J Order: Disp #: OFFICE COPY Ticket: Date: Time: Vehicle: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) 10210 12/7/2016 12:46:32PM SCAR135 Pounds Tons Address & Instructions: Job: Gross 102,000 51.00 s. 15th Street and Whitworth Ave South Renton P.O.: Tare 41,680 20.84 Net 60,320 30.16 Weighmaster: Cassie Conn Product Loads Total Qtv Ticket Qjy U M 2350 5/8'' - 0" CRUSHED ROCK 1 30.16 30.16 Ton Thank you for your business! `J (HMAITEMPFRATURES CAN EXCFE033q Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials OFFICE COPY Ticket: 10391 01500 - Auburn 5&G Date: 12/8/2016 4040 Kersey Way SE Time: 9:52:35AM I Auburn, WA 98092 Vehicle: SCAR135 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Disp k: Pounds Tons Address & Instructions: Job: Gross 103,780 51.89 s. 15th Street and Whitworth Ave South Renton P.O.: Tare 41,700 20.85 Net 62,080 31.04 Weighmaster: Cassie Conn Product Loads Total Qjy Ticket Qty U M 2350 5/8" - 0'' CRUSHED ROCK 1 31.04 31.04 Ton Thank you for your business! _ ,�J Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01500 - Auburn S&G 4040 Kersey Way SE ' Auburn, WA 98092 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Product 2350 5/8" - 0" CRUSHED ROCK Z�r OFFICE COPY Ticket: Date: Time: Vehicle: Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp #: Job: 2703812 P.O.: Loads Total Qty Ticket UOM 1 31.65 31.65 Ton 10648 12/9/2016 8:34:21AM SCAR098 Pounds Tons Gross 105,440 52.72 Tare 42,140 21.07 Net 63,300 31.65 Weighmaster: Cassie Conn Thank you for your business! WARNINCe HOT Mi%ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use ap ive equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries maybe discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01500 - Auburn S&G 4040 Kersey Way SE I Auburn, WA 98092 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 1.5th Street and Whitworth Ave South Renton Product 2350 5/8" - 0" CRUSHED ROCK Zvi OFFICE COPY Ticket: Date: Time: Vehicle Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp a: Job: 2703812 P.O.. Loads Total Q Ticket Q UOM 2 63.43 31.78 Ton 10720 12/9/2016 10:10:18AM SCAR098 Pounds Tons Gross 10S,700 52.85 Tare 42,140 21.07 Net 63,560 31.78 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials OFFICE COPY Ticket: 10798 01500 - Auburn S&G Date: 12/9/2016 4040 Kersey Way SE Time: 11:47:32AM ' Auburn, WA 98092 Vehicle: SCAR140 Customer: 60467 Order: - Cust. Name: Scarsella Brothers, Inc. Disp #: Pounds Tons Address & Instructions: Job: 2703812 Gross 100,140 50.07 RENTON P.O.: 405 WIDENING Tare 40,260 20.13 Net 59,880 29.94 Weighmaster: Cassie Conn Product Loads Total Qty Ticket Qjy UOM 2350 5/8" - 0" CRUSHED ROCK 1 29.94 29.94 Ton Thank you for your business! ` iYG _H01 MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use approoAffibbAsiaga-,rive equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01500 - Auburn 5&G 4040 Kersey Way SE ' Auburn, WA 98092 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: REN"TON Product 2350 5/8" - 0" CRUSHED ROCK Z� OFFICE COPY Order: - Disp #: Job: 2703812 P.O.: 405 WIDENING Loads Total Q Ticket Qty UOM 2 60.58 30.64 Ton Thank you for your business! 0­090-T only n -ALT (HMA( TEMPERATURES CA appr ent when working with HMA. Seer Ticket: 10855 Date: 12/9/2016 Time: 1:11:03PM Vehicle: SCAR140 Pounds Tons Gross 101,540 50.77 Tare 40,260 20.13 Net 61,280 30.64 Weighmaster: Cassie Conn side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01S00 - Auburn S&G 4040 Kersey Way SE ' Auburn, WA 98092 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 1Sth Street and Whitworth Ave South Renton Product 2350 5/8" - 0" CRUSHED ROCK OFFICE COPY Ticket: 15713 Date: 1/11/2017 G Time: 10:39:15AM I/ Vehicle: SCAR098 v Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp #: Pounds Tons Job: 2703812 P.O.: Loads Total Qjy Ticket Qty UOM 1 31.10 31.10 Ton Gross 104,480 S2.24 Tare 42,280 21.14 Net 62,200 31.10 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01500 - Auburn S&G m4040 Kersey Way SE Auburn, WA 98092 G� Customer: 60467 I Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Produc 2350 5/8" - 0" CRUSHED ROCK OFFICE COPY Ticket: Date: Time: Vehicle Order: SCARSE1610 -Talbot Hill Sewer Relocation (FOB) Disp #: Job: 2703812 P.O.: Loads Total Qty Ticket Q UOM 2 61.96 30.86 Ton 15718 1/11/2017 10:44:02AM SCAR87 Pounds Tons Gross 103,740 51.87 Tare 42,020 21.01 Net 61,720 30.86 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty.]p�:�=•,nt delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials OFFICE COPY Ticket: 15720 01500 - Auburn 5&G Date: 1/11/2017 4040 Kersey Way SE I Auburn, WA 98092 2 Time: Vehicle: 10:48:58AM SCAR100 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Disp tt: Pounds Tons Address & Instructions: Job: 2703812 Gross 105,820 52.91 s. 1Sth Street and Whitworth Ave South Renton P.O.: Tare 42,240 21.12 Net 63,580 31.79 Weighmaster: Cassie Conn Produc Loads Total Qty Ticket UOM 2350 5/8" - 0" CRUSHED ROCK 3 93.75 31.79 Ton Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warran•- Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials OFFICE COPY Ticket: 15799 01500 - Auburn S&G Date: 1/11/2017 4040 Kersey Way SE Time: 1:12:59PM ' Auburn, WA 98092 Vehicle: SCAR99 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Product 2350 5/8" - 0" CRUSHED ROCK Disp k: Job: 2703812 P.O.. Loads Total Q Ticket UOM 4 125.30 31.55 Ton Pounds Tons Gross 105,240 52.62 Tare 42,140 21.07 Net 63,100 31.55 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01500 - Auburn 5&G 4040 Kersey Way SE I Auburn, WA 98092 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Produ 2350 5/8" - 0" CRUSHED ROCK OFFICE COPY Ticket: Date: Time: Vehicle Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp #: Job: 2703812 P.O.: Loads Total Qjy Ticket UOM 5 155.59 30.29 Ton 15802 1/11/2017 1:17:09PM SCAR87 Pounds Tons Gross 102,600 S1.30 Tare 42,020 21.01 Net 60,S80 30.29 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01500 - Auburn 5&G 4040 Kersey Way SE I Auburn, WA 98092 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Product 2350 5/8" - 0" CRUSHED ROCK OFFICE COPY Ticket: 15808 Date: 1/11/2017 Z Time: 1:27:39PM Vehicle: SCAR100 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp Jt: Job: 2703812 P.O.. Loads Total Qty Ticket UOM 6 185.76 30.17 Ton Pounds Tons Gross 102,580 51.29 Tare 42,240 21.12 Net 60,340 30.17 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA, See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01500 - Auburn s&G 4040 Kersey Way SE ' Auburn, WA 98092 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Product 2350 5/8" - 0" CRUSHED ROCK OFFICE COPY Ticket: 2 � Date: Time: Vehicle Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp #: Job: 2703812 P.O.: Loads Total Qtv Ticket Q UOM 7 217.55 31.79 Ton 15829 1/11/2017 2:26:40PM SCAR098 Pounds Tons Gross 105,860 52.93 Tare 42,280 21.14 Net 63,580 31.79 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01500 - Auburn S&G I 4040 Kersey Way SE Auburn, WA 98092 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Product 2350 5/8" - 0" CRUSHED ROCK OFFICE COPY Ticket: Date: ZC Time: 7 Vehicle: Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp #: Job: 2703812 P.O.: Loads Total Qtv Ticket UOM 8 249.31 31.76 Ton 15830 1/11/2017 2:32:49PM SCAR87 Pounds Tons Gross 10S,540 52.77 Tare 42,020 21.01 Net 63,520 31.76 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries maybe discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01500 - Auburn S&G 4040 Kersey Way SE I Auburn, WA 98092 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Product 2350 5/8" - 0" CRUSHED ROCK OFFICE COPY Ticket: 29 Date: Time: Vehicle: Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp »: Job: 2703812 P.O.: Loads Total Otv Ticket Qjy UOM 9 278.71 29.40 Ton 15834 1/11/2017 2:39:29PM SCAR100 Pounds Tons Gross 101,040 50.52 Tare 42,240 21.12 Net 58,800 29.40 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01500 - Auburn s&G 4040 Kersey Way SE I Auburn, WA 98092 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Product 2350 5/8" - 0" CRUSHED ROCK OFFICE COPY Ticket: 15889 7 Date: 1/12/2017 Time: 7:36:18AM Vehicle: SCAR87 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp #: Job: 2703812 P.O.. Loads Total Qtv TiCket Qty UOM 1 31.84 31.84 Ton Pounds Tons Gross 105,820 52.91 Tare 42,140 21.07 Net 63,680 31.84 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. r ICON Materials OFFICE COPY Ticket: 16050 01500 - Auburn 5&G Date: 1/12/2017 4040 Kersey Way SE Z 9 Time: 12:41:39PM I Auburn, WA 98092 Vehicle: SCAR87 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Produc 2350 5/8" - 0" CRUSHED ROCK Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp #: Job: 2703812 P.O.: Loads Total Qjy Ticket UOM 2 61.55 29.71 Ton Pounds Tons Gross 101,700 50.85 Tare 42,280 21.14 Net 59,420 29.71 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01500 - Auburn 5&G 4040 Kersey Way SE ' Auburn, WA 98092 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Product 2350 5/8" - 0" CRUSHED ROCK OFFICE COPY Ticket: Date: 2 Time: Vehicle: Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp #: Job: 2703812 P.O.: Loads Total Ticket UOM 3 90.26 28.71 Ton 16094 1/12/2017 1:52:54PM SCAR87 Pounds Tons Gross 99,700 49.85 Tare 42,280 21.14 Net 57,420 28.71 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. -� Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01500 - Auburn S&G 4040 Kersey Way SE I Auburn, WA 98092 2� Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Pr duc 2350 5/8" - 0" CRUSHED ROCK OFFICE COPY Ticket: Date: Time: Vehicle Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp #: Job: 2703812 P.O.. Loads Total Q Ticket UOM 1 14.65 14.65 Ton 16401 1/13/2017 1:14:06PM SCAR098 Pounds Tons Gross 56,780 28.39 Tare 27,480 13.74 Net 29,300 14.65 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials OFFICE COPY Ticket: 16407 01500 - Auburn s&G Date: 1/13/2017 4040 Kersey Way SE I Auburn, WA98092 Z'Cl Time: Vehicle: 1:41:51PM SCAR100 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Produc 2350 5/8" - 0" CRUSHED ROCK Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp #: Pounds Tons Job: 2703812 P.O.: Loads Total Qty Ticket Qty UOM 2 30.05 15.40 Ton Gross 57,540 28.77 Tare 26,740 13.37 Net 30,800 15.40 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01500 - Auburn S&G 4040 Kersey Way SE ' Auburn, WA 98092 29 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Produ 2350 5/8" - 0" CRUSHED ROCK OFFICE COPY Ticket: Date: Time: Vehicle Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp #: Job: 2703812 P.O.: Loads Total Qtv Ticket Qjy UOM 3 44.22 14.17 Ton 16425 1/13/2017 2:18:54PM SCAR098 Pounds Tons Gross 55,820 27.91 Tare 27,480 13.74 Net 28,340 14.17 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01500 - Auburn s&G 4040 Kersey Way SE L ' Auburn, WA 98092 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Prout 2350 5/8" - 0" CRUSHED ROCK OFFICE COPY Ticket: Date: Time: Vehicle Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp #: Job: 2703812 P.O.. Loads Total Qtv Ticket UOM 4 59.50 15.28 Ton 16432 1/13/2017 2:47:36PM SCAR100 Pounds Tons Gross 57,300 28.65 Tare 26,740 13.37 Net 30,560 15.28 Weighmaster: Cassie Conn Thank you for your business! WARNING. HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warrantv The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials a.vasysvl�n%.vrs IICKev 1,u3`JLL 01500 - Auburn 5&G Date: 11/8/2016 4040 Kersey Way SE Time: 1:53:05PM ' Auburn, WA 98092 Vehicle: SCAR100 Customer: 60467 Order: - Cust. Name: Scarsella Brothers, Inc. Disp #: Pounds Tons Address & Instructions: Job: TALPET HILL Gross 56,740 28.37 RENTON P.O.: Tare 26,660 13.33 Net 30,080 15.04 Weighmaster: Cassie Conn Product Loads Total Qt Ticket Qty UOM 2379 1 114" - 0" CRUSHED ROCK 1 15.04 15.04 Ton Thank you for your business! WARNING: HOT M. X ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. IM-T.—v Materials ""'."..`..".. r Mact.. r 01500 - Auburn 5&G Date: 11/15/2016 �50 5gga 4040 Kersey Way SE Time: 10:45:57AM • f Auburn, WA 98092 Vehicle: SCAR82 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Disp #: Pounds Tons Address & Instructions: Job: 2703812 Gross 103,320 51.66 s. 15th Street and Whitworth Ave South Renton P.O.: Tare 43,860 21.93 Net 59,460 29.73 Weighmaster: Cassie Conn Product Loads Total Qty Ticket Qty UOM 2379 1 1/4" - 0" CRUSHED ROCK 1 29.73 29.73 Ton Thank you for your business! WARNING, HOT MIX ASPHALT ;HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials """' " ""' I11-MUI: 1'"o"0' 01500 - Auburn 5&G Date: 11/15/2016 ESQ t'0$ is 4040 Kersey Way SE Time: 12:07:22PM ' Auburn, WA 98092 Vehicle: SCAR82 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Disp #: Pounds Tons Address & Instructions: Job: 2703812 Gross 103,680 51.84 s. 15th Street and Whitworth Ave South Renton P.O.: Tare 43,860 21.93 Net 59,820 29.91 Weighmaster: Cassie Conn Product Loads Total Qty Ticket Qty UOM 2379 1 1/4" - 0" CRUSHED ROCK 2 59.64 29.91 Ton Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries maybe discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials OFFICE COPY Ticket: 14601 01500 - Auburn 5&G Date: 1/5/2017 4040 Kersey Way SE Time: 7:53:58AM ' Auburn, WA 98092 j ` Vehicle: SCAR098 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Disp #: Pounds Tons Address & Instructions: Job: 2703812 Gross 101,200 50.60 s. 15th Street and Whitworth Ave South Renton P.O.: Tare 42,120 21.06 Net 59,080 29.54 Weighmaster: Cassie Conn Product Loads Total Qty TicketVQM 2379 1 1/4" - 0" CRUSHED ROCK 1 29.54 29.54 Ton Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials OFFICE COPY Ticket: 14602 01500 - Auburn S&G Date: 1/5/2017 4040 Kersey Way SE 219 �{ Time: 7:55:50AM ' Auburn, WA 98092 (/ ° Vehicle: SCAR81 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 1Sth Street and Whitworth Ave South Renton Product 2379 1 114" - 0" CRUSHED ROCK Disp #: Job: 2703812 P.O.: Loads Total Qt Ticket UOM 2 58.26 28.72 Ton Pounds Tons Gross 99,940 49.97 Tare 42,500 21.25 Net 57,440 28.72 Weighmaster: Cassie Conn Thank you for your business! WARNING. HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01500 - Auburn 5&G 4040 Kersey Way SE ' Auburn, WA 98092 29 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Product 2379 1 1/4" - 0" CRUSHED ROCK OFFICE COPY Ticket: Date: Time: Vehicle Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp #: Job: 2703812 P.O.. Loads Total Qtv Ticket Qjy UOM 3 88.47 30.21 Ton 14603 1/5/2017 7:56:43AM SCAR83 Pounds Tons Gross 102,840 51.42 Tare 42,420 21.21 Net 60,420 30.21 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. illilk Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01500 - Auburn s&G M4040 Kersey Way SE Auburn, WA 98092 2C� Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Produc 2379 1 1/4" - 0" CRUSHED ROCK OFFICE COPY Ticket: Date: Time: Vehicle: Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp N: Job: 2703812 P.O.: Loads Total Ticket Qjy UOM 4 119.16 30.69 Ton 14649 1/5/2017 9:27:22AM SCAR098 Pounds Tons Gross 103,500 51.75 Tare 42,120 21.06 Net 61,380 30.69 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries maybe discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01500 - Auburn 5&G 4040 Kersey Way SE 2q ' Auburn, WA 98092 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 1Sth Street and Whitworth Ave South Renton Product 2379 1 1/4" - 0" CRUSHED ROCK OFFICE COPY Ticket: Date: Time: Vehicle: Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp N: Job: 2703812 P.O.. Loads Total Q Ticket UOM 5 149.85 30.69 Ton 14656 1/5/2017 9:41:31AM SCAR83 Pounds Tons Gross 103,800 51.90 Tare 42,420 21.21 Net 61,380 30.69 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01500 - Auburn S&G 4040 Kersey Way SE b2 1 Auburn, WA 98092 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Product 2379 1 1/4" - 0" CRUSHED ROCK OFFICE COPY Ticket: Date: Time: Vehicle: Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp M Job: 2703812 P.O.: Loads Total Qty Ticket Otv UOM 6 179.47 29.62 Ton 14671 1/5/2017 10:13:44AM SCAR82 Pounds Tons Gross 101,320 50.66 Tare 42,080 21.04 Net 59,240 29.62 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials OFFICE COPY Ticket: 14682 01500 - Auburn S&G Date: 1/5/2017 4040 Kersey Way SE Time: 10:30:39AM I Auburn, WA 98092 Vehicle: SCAR99 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Product 2379 1 1/4" - 0" CRUSHED ROCK Disp #: Job: 2703812 P.O.: Loads Total Ticket Qt UOM 7 210.30 30.83 Ton Pounds Tons Gross 103,660 51.83 Tare 42,000 21.00 Net 61,660 30.83 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01500 - Auburn 5&G 4040 Kersey Way SE ' Auburn, WA 98092 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Product 2379 1 1/4" - 0" CRUSHED ROCK OFFICE COPY Ticket: Date: Time: Vehicle: 29 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp #: Job: 2703812 P.O.: Loads Total Qly Ticket UOM 8 240.80 30.50 Ton 14699 1/5/2017 10:56:22AM SCAR098 Pounds Tons Gross 103,120 51.56 Tare 42,120 21.06 Net 61,000 30.50 Weighmaster: Cassie Conn Thank you for your business! WARNING HOT MIX ASPHALT (HMA( TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01S00 - Auburn S&G 4040 Kersey Way SE ' Auburn, WA 98092 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. 2 Address & Instructions: s. 15th Street and Whitworth Ave South Renton Produc 2379 1 1/4" - 0" CRUSHED ROCK OFFICE COPY Ticket: Date: Time: Vehicle Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp k: Job: 2703812 P.O.: Loads Total Ticket Qt UOM 9 270.96 30.16 Ton 14702 1/5/2017 11:00:27AM SCAR83 Pounds Tons Gross 102,740 51.37 Tare 42,420 21.21 Net 60,320 30.16 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01500 - Auburn S&G 4040 Kersey Way SE ' Auburn, WA 98092 , L n X�Lc-2,`1 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Product 2379 1 1/4" - 0" CRUSHED ROCK OFFICE COPY Ticket: Date: Time: Vehicle Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp #: Job: 2703812 P.O.: Loads Total Qty Ticket UOM 10 300.17 29.21 Ton 14724 1/5/2017 11:35:04AM SCAR82 Pounds Tons Gross 100,500 50.25 Tare 42,080 21.04 Net 58,420 29.21 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01500 - Auburn S&G M 4040 Kersey Way SE Auburn, WA 98092 71 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Product 2379 1 1/4" - 0" CRUSHED ROCK OFFICE COPY Ticket: Date: Time: Vehicle: Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp k: Job: 2703812 P.O.: Loads Total Qt Ticket UOM 11 330.51 30.34 Ton 14732 1/5/2017 11:44:37AM SCAR99 Pounds Tons Gross 102,680 51.34 Tare 42,000 21.00 Net 60,680 30.34 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01500 - Auburn 5&G 4040 Kersey Way SE I Auburn, WA 98092 ZI Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Product 2379 1 1/4" - 0" CRUSHED ROCK OFFICE COPY Ticket: Date: Time: Vehicle Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp #: Job: 2703812 P.O.: Loads Total Qty Ticket UOM 12 359.99 29.48 Ton 14747 1/5/2017 12:10:59PM SCAR098 Pounds Tons Gross 101,080 50.54 Tare 42,120 21.06 Net 58,960 29.48 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials OFFICE COPY Ticket: 14751 01S00 - Auburn S&G Date: 1/5/2017 4040 Kersey Way SE Time: 12:14:38PM I Auburn, WA 98092 Vehicle: SCAR83 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Product 2379 1 1/4" - 0" CRUSHED ROCK Disp #: Job: 2703812 P.O.. Loads Total Qtv Ticket UOM 13 390.78 30.79 Ton Pounds Tons Gross 104,000 52.00 Tare 42,420 21.21 Net 61,580 30.79 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01500 - Auburn 5&G 4040 Kersey Way SE I Auburn, WA 98092 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Produc 2379 1 1/4" - 0" CRUSHED ROCK OFFICE COPY Ticket: Date: Time: '7 lk Vehicle Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp It: Job: 2703812 P.O.: Loads Total Qtv Ticket Qty UOM 14 420.75 29.97 Ton 14775 1/5/2017 12:50:46PM SCAR82 Pounds Tons Gross 102,020 51.01 Tare 42,080 21.04 Net 59,940 29.97 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials r, 01500 - Auburn S&G '1 '1 4040 Kersey Way SE I Auburn, WA 98092 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton OFFICE COPY Ticket: Date: Time: Vehicle Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp #: Job: 2703812 P.O.. Product Loads Total Qty Ticket Qty UOM 2379 1 1/4" - 0" CRUSHED ROCK 15 451.25 30.50 Ton Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See r 14776 1/5/2017 12:52:27PM SCAR99 Pounds Tons Gross 103,000 51.50 Tare 42,000 21.00 Net 61,000 30.50 Weighmaster: Cassie Conn side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01500 - Auburn 5&G 4040 Kersey Way SE I Auburn, WA 98092 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Product 2379 1 1/4" - 0" CRUSHED ROCK OFFICE COPY Ticket: Date: Time: Vehicle: Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp #: Job: 2703812 P.O.: Loads Total Qtv Ticket UOM 16 480.19 28.94 Ton 14793 1/5/2017 1:27:09PM SCAR098 Pounds Tons Gross 100,000 S0.00 Tare 42,120 21.06 Net 57,880 28.94 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA( TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01500 - Auburn S&G 4040 Kersey Way SE ' Auburn, WA 98092 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Product 2379 1 1/4" - 0" CRUSHED ROCK OFFICE COPY Ticket: Date: Time: Vehicle Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp #: Job: 2703812 P.O.: Loads Total Q Ticket UOM 17 511.41 31.22 Ton 14797 1/5/2017 1:34:22PM SCAR83 Pounds Tons Gross 104,860 52.43 Tare 42,420 21.21 Net 62,440 31.22 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT iHMAI TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01500 - Auburn 5&G 4040 Kersey Way SE I Auburn, WA 98092 �} Customer: 60467 / Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Product 2379 1 1/4" - 0" CRUSHED ROCK OFFICE COPY Ticket: Date: Time: Vehicle Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp p: Job: P.O.: Loads Total Qty Ticket UOM 1 31.11 31.11 Ton 14873 1/6/2017 7:36:34AM SCAR098 Pounds Tons Gross 104,320 52.16 Tare 42,100 21.05 Net 62,220 31.11 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA( TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials OFFICE COPY Ticket: 14897 01500 - Auburn 5&G Date: 1/6/2017 4040 Kersey Way SE Time: 8:03:48AM I Auburn, WA 98092 Vehicle: SCAR87 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Disp #: Pounds Address & Instructions: Job: 2703812 Gross 104,940 s. 1Sth Street and Whitworth Ave South Renton P.O.: Tare 42,420 Net 62,520 Weighmaster: Cassie Conn Product Loads Total Qty Ticket UOM 2379 1 1/4" - 0" CRUSHED ROCK 2 62.37 31.26 Ton u for your business! Tons 52.47 21.21 31.26 Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01500 - Auburn S&G 4040 Kersey Way SE I Auburn, WA 98092 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton OFFICE COPY Ticket: Date: Time: Vehicle Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp #: Job: 2703812 P.O.. Product Loads Total Otv Ticket UOM 2379 1 1/4" - 0" CRUSHED ROCK 3 91.00 28.63 Ton 14899 1/6/2017 8:06:08AM SCAR100 Pounds Tons Gross 99,220 49.61 Tare 41,960 20.98 Net 57,260 28.63 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01500 - Auburn 5&G 4040 Kersey Way SE I Auburn, WA 98092 29 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Produc 2379 1 1/4" - 0" CRUSHED ROCK OFFICE COPY Ticket: Date: Time: Vehicle Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp #: Job: 2703812 P.O.: Loads Total Qtv Ticket UOM 4 120.22 29.22 Ton 14900 1/6/2017 8:06:46AM SCAR82 Pounds Tons Gross 100,480 50.24 Tare 42,040 21.02 Net 58,440 29.22 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. s o tiye equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials OFFICE COPY Ticket: 14904 01500 - Auburn 5&G Date: 1/6/2017 4040 Kersey Way SE Time: 8:12:53AM ' Auburn, WA 98092 Vehicle: SCAR99 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Disp #: Pounds Tons Address & Instructions: Job: 2703812 Gross 100,240 S0.12 s. 15th Street and Whitworth Ave South Renton P.O.: Tare 42,140 21.07 Net 58,100 29.05 Weighmaster: Cassie Conn Product Loads Total Oty Ticket Qt UOM 2379 1 1/4" - 0" CRUSHED ROCK 5 149.27 29.05 Ton u for your business! Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials OFFICE COPY Ticket: 14925 01500 - Auburn S&G Date: 1/6/2017 M4040 Kersey Way SE Time: 8:56:02AM Auburn, WA 98092 9-9 Vehicle: SCAR098 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Product 2379 1 1/4" - 0" CRUSHED ROCK Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp #: Pounds Tons Job: 2703812 P.O.. Loads Total Qty Ticket UOM 6 179.08 29.81 Ton Gross 101,720 50.86 Tare 42,100 21.05 Net 59,620 29.81 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01500 - Auburn S&G 4040 Kersey Way SE I Auburn, WA 98092 lz� Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Produ 2379 1 1/4" - 0" CRUSHED ROCK OFFICE COPY Ticket: Date: Time: Vehicle Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp #: Job: 2703812 P.O.: Loads Total Q Ticket UOM 7 208.68 29.60 Ton 14938 1/6/2017 9:20:32AM SCAR87 Pounds Tons Gross 101,620 50.81 Tare 42,420 21.21 Net 59,200 29.60 Weighmaster: Cassie Conn Thank you for your business! WARNING, HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01S00 - Auburn S&G 4040 Kersey Way SE I Auburn, WA 98092 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Product 2379 1 1/4" - 0" CRUSHED ROCK OFFICE COPY Ticket: Date: Time: Vehicle Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp #. Job: 2703812 P.O.: Loads Total Qtv Ticket UOM 8 239.64 30.96 Ton 14940 1/6/2017 9:23:32AM SCAR100 Pounds Tons Gross 103,880 51.94 Tare 41,960 20.98 Net 61,920 30.96 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01500 - Auburn 5&G 4040 Kersey Way SE I Auburn, WA 98092 Customer: 60467 crust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Product 2379 1 1/4" - 0" CRUSHED ROCK OFFICE COPY Ticket: Date: Time: Z1 Vehicle: Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp tt: Job: 2703812 P.O.. Loads Total Qtv Ticket UOM 9 270.84 31.20 Ton 14942 1/6/2017 9:28:28AM SCAR82 Pounds Tons Gross 104,440 52.22 Tare 42,040 21.02 Net 62,400 31.20 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01500 - Auburn 5&G [�4040 Kersey Way SE Ijj Auburn, WA 98092 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Product 2379 1 1/4" - 0" CRUSHED ROCK OFFICE COPY Ticket: 14945 Date: 1/6/2017 Time: 9:30:35AM 2 Vehicle: SCAR99 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp #: Job: 2703812 P.O.: Loads Total Q Ticket UOM 10 297.19 26.35 Ton Pounds Tons Gross 94,840 47.42 Tare 42,140 21.07 Net 52,700 26.35 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01500 - Auburn 5&G 4040 Kersey Way SE I Auburn, WA 98092 2 l Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Produc 2379 1 1/4" - 0" CRUSHED ROCK OFFICE COPY Ticket: 14963 Date: 1/6/2017 Time: 10:13:24AM Vehicle: SCAR098 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp #: Job: 2703812 P.O.: Loads Total Clt Ticket UOM 11 326.03 28.84 Ton Pounds Tons Gross 99,780 49.89 Tare 42,100 21.05 Net 57,680 28.84 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials OFFICE COPY Ticket: 14981 01500 - Auburn 5&G `/ Date: 1/6/2017 C� 7 4040 Kersey Way SE Time: 10:37:50AM ' Auburn, WA 98092 Vehicle: SCAR100 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Product 2379 1 1/4" - 0" CRUSHED ROCK Disp #: Job: 2703812 P.O.: Loads Total Qt Ticket t UOM 12 354.69 28.66 Ton Pounds Tons Gross 99,280 49.64 Tare 41,960 20.98 Net 57,320 28.66 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials OFFICE COPY Ticket: 14982 01500 - Auburn 5&G Date: 1/6/2017 4040 Kersey Way SE Time: 10:39:02AM I Auburn, WA 98092 Z Vehicle: SCAR87 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Produc 2379 1 1/4" - 0" CRUSHED ROCK Disp #: Job: 2703812 P.O.. Loads Total QtyTicket UOM 13 383.64 28.95 Ton Pounds Tons Gross 100,320 50.16 Tare 42,420 21.21 Net 57,900 28.95 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA( TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01S00 - Auburn S&G M4040 Kersey Way SE Auburn, WA 98092 Z9 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Produ 2379 1 1/4" - 0" CRUSHED ROCK OFFICE COPY Ticket: Date: Time: Vehicle Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp H: Job: 2703812 P.O.. Loads Total Qty Ticket Qtv UOM 14 413.92 30.28 Ton 14990 1/6/2017 10:53:56AM SCAR99 Pounds Tons Gross 102,700 51.35 Tare 42,140 21.07 Net 60,560 30.28 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01500 - Auburn 5&G 4040 Kersey Way SE I Auburn, WA 98092 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Product 2379 1 1/4" - 0" CRUSHED ROCK OFFICE COPY Ticket: 14995 Date: 1/6/2017 Time: 11:01:43AM 2� Vehicle: SCAR82 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp #: Job: 2703812 P.O.. Loads Total QN Ticket Qty UOM 15 445.66 31.74 Ton Pounds Tons Gross 105,520 52.76 Tare 42,040 21.02 Net 63,480 31.74 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials OFFICE COPY Ticket: 15012 01500 - Auburn 5&G Date: 1/6/2017 4040 Kersey Way SE Time: 11:26:53AM ' Auburn, WA 98092 Vehicle: SCAR098 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Produ t 2379 1 1/4" - 0" CRUSHED ROCK Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp #: Pounds Tons Job: 2703812 P.O.: Loads Total Qjy Ticket Qtv UOM 16 475.51 29.85 Ton Gross 101,800 50.90 Tare 42,100 21.05 Net 59,700 29.85 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall these I I er be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01500 - Auburn 5&G 4040 Kersey Way SE I Auburn, WA 98092 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Produ t 2379 1 1/4" - 0" CRUSHED ROCK OFFICE COPY Ticket: Date: (� Time: 2 Cr Vehicle: Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp #: Job: 2703812 P.O.: Loads Total Ticket Qtv UOM 17 505.26 29.75 Ton 15023 1/6/2017 11:52:27AM SCAR100 Pounds Tons Gross 101,460 50.73 Tare 41,960 20.98 Net 59,500 29.75 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See re —s- site f—cranty and shipment delivery conditions. �� Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01500 - Auburn 5&G 1 4040 Kersey Way SE Auburn, WA 98092 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Pr d c 2379 1 1/4" - 0" CRUSHED ROCK 2� OFFICE COPY Ticket: Date: Time: Vehicle: Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp #: Job: 2703812 P.O.: Loads Total Qty Ticket Qty UOM 18 536.67 31.41 Ton 15027 1/6/2017 11:56:12AM SCAR87 Pounds Tons Gross 105,240 52.62 Tare 42,420 21.21 Net 62,820 31.41 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01500 - Auburn 5&G 4040 Kersey Way SE ' Auburn, WA 98092 Customer: 60467 Cl Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton OFFICE COPY Ticket: Date: Time: Vehicle Order: SCARSE1610 -Talbot Hill Sewer Relocation (FOB) Disp #: Job: 2703812 P.O.: Product Loads Total Ticket UOM 2379 1 1/4" - 0" CRUSHED ROCK 19 551.58 14.91 Ton 15032 1/6/2017 12:04:32PM SCAR81 Pounds Tons Gross 56,980 28.49 Tare 27,160 13.58 Net 29,820 14.91 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01500 - Auburn 5&G 4040 Kersey Way SE I Auburn, WA 98092 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Product 2379 1 114" - 0" CRUSHED ROCK OFFICE COPY Ticket: Date: Time: 2C Vehicle: Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp #: Job: 2703812 P.O.. Loa s Total QjyTicket Qty UOM 20 581.79 30.21 Ton 15041 1/6/2017 12:17:09PM SCAR82 Pounds Tons Gross 102,460 51.23 Tare 42,040 21.02 Net 60,420 30.21 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side forwarranry and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01500 - Auburn 5&G m4040 Kersey Way SE 2 q Auburn, WA 98092 ` Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Produc 2379 1 1/4" - 0" CRUSHED ROCK OFFICE COPY Ticket: Date: Time: Vehicle: Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp a: Job: 2703812 P.O.: Loads Total Qtv Ticket UOM 21 611.07 29.28 Ton 15042 1/6/2017 12:18:07PM SCAR99 Pounds Tons Gross 100,700 50.35 Tare 42,140 21.07 Net 58,560 29.28 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01500 - Auburn s&G 4040 Kersey Way SE I Auburn, WA 98092 A G Customer: 60467 f/ I Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Product 2379 1 1/4" - 0" CRUSHED ROCK OFFICE COPY Ticket: Date: Time: Vehicle Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp #: Job: 2703812 P.O.: Loads Total Qtv Ticket Qtv UOM 22 642.64 31.57 Ton 15057 1/6/2017 12:43:00PM SCAR098 Pounds Tons Gross 105,240 52.62 Tare 42,100 21.05 Net 63,140 31.57 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials OFFICE COPY Ticket: 15063 01500 - Auburn S&G 4040 Kersey Way SE Date: Time: 1/6/2017 1:04:03PM ' Auburn, WA 98092 Vehicle: SCAR100 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Pro uct 2379 1 1/4" - 0" CRUSHED ROCK Disp #: Job: 2703812 P.O.. Loads Total Qtv Ticket 0 UOM 23 673.97 31.33 Ton Pounds Tons Gross 104,620 52.31 Tare 41,960 20.98 Net 62,660 31.33 Weighmaster: Cassie Conn Thank you for your business! _ appropriate protective equiomenty+he�•n' - --s - - - _ Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01500 - Auburn S&G 4040 Kersey Way SE —7 9 I Auburn, WA 98092 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Product 2379 1 1/4" - 0" CRUSHED ROCK OFFICE COPY Ticket: Date: Time: Vehicle Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp #: Job: 2703812 P.O.. Loads Total Qtv Ticket UOM 24 704.44 30.47 Ton 15070 1/6/2017 1:12:35PM SCAR87 Pounds Tons Gross 103,360 51.68 Tare 42,420 21.21 Net 60,940 30.47 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials OFFICE COPY Ticket: 15076 01500 - Auburn s&G Date: 1/6/2017 4040 Kersey Way SE �, 9 Time: 1:31:34PM I Auburn, WA 98092 r/ Vehicle: SCAR99 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 1Sth Street and Whitworth Ave South Renton Product 2379 1 1/4" - 0" CRUSHED ROCK Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp #: Pounds Tons Job: 2703812 P.O.: Loads Total Qtv Ticket UOM 25 734.90 30.46 Ton Gross 103,060 51.53 Tare 42,140 21.07 Net 60,920 30.46 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials OFFICE COPY Ticket: 15091 01500 - Auburn 5&G Date: 1/6/2017 4040 Kersey Way SE Time: 2:02:26PM 1 Auburn, WA 98092 Vehicle: SCAR098 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Pro uct 2379 1 1/4" - 0" CRUSHED ROCK Disp #: Job: 2703812 P.O.. Loads Total Qtv Ticket UOM 26 764.57 29.67 Ton Pounds Tons Gross 101,440 50.72 Tare 42,100 21.05 Net 59,340 29.67 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials OFFICE COPY Ticket: 15095 01500 - Auburn S&G Date: 1/6/2017 4040 Kersey Way SE �% Time: 2:05:49PM I Auburn, WA 98092 Z I Vehicle: SCAR81 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Produc 2379 1 1A" - 0" CRUSHED ROCK Disp #: Job: 2703812 P.O.. Loads Total Qtv Ticket UOM 27 802.29 37.72 Ton Pounds Tons Gross 102,600 51.30 Tare 27,160 13.58 Net 75,440 37.72 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials OFFICE COPY Ticket: 15106 01500 - Auburn 5&G Date: 1/6/2017 4040 Kersey Way SE Time: 2:29:49PM I Auburn, WA 98092 Vehicle: SCAR100 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Produc 2379 1 1/4" - 0" CRUSHED ROCK Disp #: Job: 2703812 P.O.. Loads Total Qtv Ticket UOM 28 833.81 31.52 Ton Pounds Tons Gross 105,000 52.50 Tare 41,960 20.98 Net 63,040 31.52 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials OFFICE COPY Ticket: 15110 01500 - Auburn 5&G Date: 1/6/2017 4040 Kersey Way SE Time: 2:42:38PM ' Auburn, WA 98092 Vehicle: SCAR87 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Prot 2379 1 1/4" - 0" CRUSHED ROCK Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp #: Pounds Tons Job: 2703812 P.O.. Loads Total Oty Ticket UOM 29 865.40 31.59 Ton Gross 105,600 52.80 Tare 42,420 21.21 Net 63,180 31.59 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials OFFICE COPY Ticket: 15116 03500 - Auburn S&G Date: 1/6/2017 4040 Kersey Way SE ' Auburn, WA 98092 q Time: 2 r Vehicle: 3:01:50PM SCAR99 / Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Produt 2379 1 1/4" - 0" CRUSHED ROCK Disp #: Job: 2703812 P.O.. Loads Total Qtv Ticket Q UOM 30 897.05 31.65 Ton Pounds Tons Gross 105,440 52.72 Tare 42,140 21.07 Net 63,300 31.65 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01500 - Auburn S&G 4040 Kersey Way SE ' Auburn, WA 98092 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Pr duc 2379 1 1/4" - 0" CRUSHED ROCK OFFICE COPY Ticket: Date: Time: Vehicle Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp #: Job: 2703812 P.O.. Loads Total Qtv Ticket UOM 31 929.26 32.21 Ton 15119 1/6/2017 3:30:38PM SCAR098 Pounds Tons Gross 106,520 53.26 Tare 42,100 21.05 Net 64,420 32.21 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01500 - Auburn S&G M4040 Kersey Way SE Auburn, WA 98092 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Product 2379 1 1/4" - 0" CRUSHED ROCK OFFICE COPY Ticket: 15133 �� Date: 1/9/2017 Time: 7:21:23AM Vehicle: SCAR098 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp #: Pounds Tons Job: 2703812 P.O.: Loads Total Qty Ticket QN UOM 1 31.94 31.94 Ton Gross 106,020 53.01 Tare 42,140 21.07 Net 63,880 31.94 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials OFFICE COPY Ticket: 15134 01500 - Auburn S&G Date: 1/9/2017 4040 Kersey Way SE Time: Time: 7:24:44AM ' Auburn, WA 98092 Vehicle: SCAR100 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Pro u t 2379 1 1/4" - 0" CRUSHED ROCK Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp #: Pounds Tons Job: 2703812 P.O.: Loads Total Qty Ticket UOM 2 62.66 30.72 Ton Gross 103,440 51.72 Tare 42,000 21.00 Net 61,440 30.72 Weighmaster: Cassie Conn Thank you for your business! WARNING. HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials OFFICE COPY Ticket: 15135 01500 - Auburn 5&G 4040 Kersey Way SE Date: Time: 1/9/2017 7:26:50AM I Auburn, WA 98092 Vehicle: SCAR87 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Disp #: Pounds Tons Address & Instructions: Job: 2703812 Gross 105,560 52.78 s. 15th Street and Whitworth Ave South Renton P.O.: Tare 42,220 21.11 Net 63,340 31.67 Weighmaster: Cassie Conn Produ Loads Total, QN Ticket 0tv UOM 2379 1 1/4" - 0" CRUSHED ROCK 3 94.33 31.67 Ton Thank you for your business! r WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01500 - Auburn 5&G 4040 Kersey Way SE ' Auburn, WA 98092 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Product 2379 1 1/4" - 0" CRUSHED ROCK OFFICE COPY Ticket: 2 Date: 15184 1/9/2017 Time: 9:06:32AM Vehicle: SCAR098 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp a: Job: 2703812 P.O.. Loads Total Qtv Ticket UOM 4 125.69 31.36 Ton Pounds Tons Gross 104,860 52.43 Tare 42,140 21.07 Net 62,720 31.36 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA, See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials OFFICE COPY Ticket: 15186 01500 - Auburn 5&G Date: 1/9/2017 Kersey Way SE 2 Time: 9:15:18AM m4040 Auburn, WA 98092 Vehicle: SCAR100 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Produc 2379 1 1/4" - 0" CRUSHED ROCK Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp #: Pounds Tons Job: 2703812 P.O.. Loads Total Qty Ticket UOM 5 155.80 30.11 Ton Gross 102,220 51.11 Tare 42,000 21.00 Net 60,220 30.11 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT iHMAi TEMPERATURES CAN EXCEED 330 DEG REES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01500 - Auburn 5&G C� 4040 Kersey Way SE J I Auburn, WA 98092 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton OFFICE COPY Ticket: Date: Time: Vehicle Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp #: Job: 2703812 P.O.. Product Loads Total Qty Ticket UOM 2379 1 1/4" - 0" CRUSHED ROCK 6 186.82 31.02 Ton 15221 1/9/2017 10:43:05AM SCAR098 Pounds Tons Gross 104,180 52.09 Tare 42,140 21.07 Net 62,040 31.02 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials OFFICE COPY Ticket: 15228 01500 - Auburn S&G Date: 1/9/2017 I 4040 Kersey Way SE Time: 10:51:40AM Auburn, WA 98092 Vehicle: SCAR100 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Produ 2379 1 1/4" - 0" CRUSHED ROCK Disp k: Job: 2703812 P.O.: Loads Total Qtv Ticket UOM 7 217.81 30.99 Ton Pounds Tons Gross 103,980 51.99 Tare 42,000 21.00 Net 61,980 30.99 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials OFFICE COPY Ticket: 15256 01500 - Auburn S&G 2 Date: 1/9/2017 4040 Kersey Way SE Time: 12:02:16PM I Auburn, WA 98092 Vehicle: SCAR098 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Product 2379 1 1/4" - 0" CRUSHED ROCK Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp #: Pounds Tons Job: 2703812 P.O.. Loads Total Qtv Ticket UOM 8 248.55 30.74 Ton Gross 103,620 51.81 Tare 42,140 21.07 Net 61,480 30.74 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA, See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01500 - Auburn 5&G 4040 Kersey Way SE r ' Auburn, WA 98092 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton OFFICE COPY Ticket: Date: Time: Vehicle: Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp #: Job: 2703812 P.O.. Product Loads Totgl Qt Ticket UOM 2379 1 1/4" - 0" CRUSHED ROCK 9 279.23 30.68 Ton 15269 1/9/2017 12:15:54PM SCAR100 Pounds Tons Gross 103,360 51.68 Tare 42,000 21.00 Net 61,360 30.68 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials OFFICE COPY Ticket: 15291 01500 - Auburn 5&G Date: 1/9/2017 4040 Kersey Way SE ' Auburn, WA 98092 Time: Vehicle: 1:14:20PM SCAR098 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Product 2379 1 114" - 0" CRUSHED ROCK Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp #: Pounds Tons Job: 2703812 P.O.. Loads Total Qtv TiCket Qjy UOM 10 310.74 31.51 Ton Gross 105,160 52.58 Tare 42,140 21.07 Net 63,020 31.51 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials OFFICE COPY Ticket: 15298 01500 - Auburn s&G Date: 1/9/2017 I 4040 Kersey Way SE �7 Time: 1:30:18PM Auburn, WA 98092 G Vehicle: SCAR100 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Produ 2379 1 1/4" - 0" CRUSHED ROCK Disp #: Job: 2703812 P.O.. Loads Total Qty Ticket Qty UOM 11 342.22 31.48 Ton Pounds Tons Gross 104,960 52.48 Tare 42,000 21.00 Net 62,960 31.48 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01500 - Auburn 5&G 4040 Kersey Way SE I Auburn, WA 98092 �� ) Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Product 2380 4" GRAVEL BORROW OFFICE COPY Ticket: Date: Time: Vehicle: Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp #: Job: 2703812 P.O.. Loads Total Qty Ticket LIOM 1 30.46 30.46 Ton 14079 1/3/2017 7:42:54AM SCAR100 Pounds Tons Gross 103,000 51.50 Tare 42,080 21.04 Net 60,920 30.46 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01500 - Auburn 5&G 4040 Kersey Way SE I Auburn, WA 98092 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Product 2380 4" GRAVEL BORROW OFFICE COPY Ticket: Date: Time: Vehicle Order: SCARSE1610 -Talbot Hill Sewer Relocation (FOB) Disp #: Job: 2703812 P.O.. Loads Total Qtv Ticket UOM 2 61.00 30.54 Ton 14085 1/3/2017 8:02:28AM SCAR83 Pounds Tons Gross 104,300 52.15 Tare 43,220 21.61 Net 61,080 30.54 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA, See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials OFFICE COPY Ticket: 14097 01500 - Auburn S&G Date: 1/3/2017 4040 Kersey Way SE Time: 8:38:44AM 1 Auburn, WA 98092 i Vehicle: SCAR99 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Product 2380 4" GRAVEL BORROW Disp #: Job: --3, + F 2-70 38P P.O.: Loads Total Qtv Ticket Qty UOM 3 90.99 29.99 Ton Pounds Tons Gross 102,320 51.16 Tare 42,340 21.17 Net 59,980 29.99 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01500 - Auburn 5&G 4040 Kersey Way SE Im Auburn, WA 98092 Z Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 1Sth Street and Whitworth Ave South Renton Product 2380 4" GRAVEL BORROW OFFICE COPY Ticket: Date: Time: Vehicle Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp #: Job: 2703812 P.O.: Loads Total Qtv Ticket UOM 4 121.65 30.66 Ton 14109 1/3/2017 9:11:26AM SCAR100 Pounds Tons Gross 103,400 51.70 Tare 42,080 21.04 Net 61,320 30.66 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials OFFICE COPY Ticket: 14113 01500 - Auburn S&G Date: 1/3/2017 4040 Kersey Way SE Time: 9:19:28AM ' Auburn, WA 98092 Vehicle: SCAR83 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 1Sth Street and Whitworth Ave South Renton Product 2380 4" GRAVEL BORROW Disp #: Job: 2703812 P.O.. Loads Total Qty Ticket Ot UOM 5 154.56 32.91 Ton Pounds Tons Gross 109,040 54.52 Tare 43,220 21.61 Net 65,820 32.91 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01500 - Auburn S&G 4040 Kersey Way SE IAuburn, WA 98092 �, ) Customer: 60467 �0( Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Product 2380 4" GRAVEL BORROW OFFICE COPY Ticket: Date: Time: Vehicle: Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp #: Job: 2803812 P.O.: Loads Total Qty Ticket Q UOM 6 185.16 30.60 Ton 14120 1/3/2017 9:37:25AM SCAR86 Pounds Tons Gross 104,040 52.02 Tare 42,840 21.42 Net 61,200 30.60 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MI%ASPHALT (HMA( TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01500 - Auburn S&G 4040 Kersey Way SE ' Auburn, WA 98092 2� Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Product 2380 4" GRAVEL BORROW OFFICE COPY Ticket: Date: Time: Vehicle: Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp #: Job: 2703812 P.O.: Loads Total Qty Ticket LIOM 7 215.32 30.16 Ton 14133 1/3/2017 9:55:OOAM SCAR99 Pounds Tons Gross 102,660 51.33 Tare 42,340 21.17 Net 60,320 30.16 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01500 - Auburn 5&G 4040 Kersey Way SE I Auburn, WA 98092 Customer: 60467 -2 t4 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Product 2380 4" GRAVEL BORROW OFFICE COPY Ticket: Date: Time: Vehicle Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp #1: Job: 2703812 P.O.. Loads Total Qtv Ticket Qjy LIOM 8 245.69 30.37 Ton 14143 1/3/2017 10:25:38AM SCAR100 Pounds Tons Gross 102,820 51.41 Tare 42,080 21.04 Net 60,740 30.37 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01500 - Auburn 5&G ED4040 Kersey Way SE Auburn, WA 98092 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Product 2380 4" GRAVEL BORROW OFFICE COPY Ticket: Date: Time: Vehicle Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp #: Job: 2703812 P.O.. Loads Total Ticket UOM 9 277.44 31.75 Ton 14148 1/3/2017 10:35:05AM SCAR83 Pounds Tons Gross 106,720 53.36 Tare 43,220 21.61 Net 63,500 31.75 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01500 - Auburn s&G 4040 Kersey Way SE I Auburn, WA 98092 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Prot 2380 4" GRAVEL BORROW OFFICE COPY Ticket: Date: Time: Vehicle Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp #: Job: 2703812 P.O.. Loads Total Qtv Ticket UOM 10 308.19 30.75 Ton 14153 1/3/2017 10:47:09AM SCAR86 Pounds Tons Gross 104,340 52.17 Tare 42,840 21.42 Net 61,500 30.7S Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials OFFICE COPY Ticket: 14163 01500 - Auburn S&G Date: 1/3/2017 4040 Kersey Way SE Time: 11:03:27AM I Auburn, WA 98092 % Vehicle: SCAR99 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Product 2380 4" GRAVEL BORROW Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp #: Pounds Tons Job: 2703812 P.O.: Loads Total Qty Ticket UOM 11 338.77 30.58 Ton Gross 103,500 51.75 Tare 42,340 21.17 Net 61,160 30.58 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials OFFICE COPY Ticket: 14181 01500 - Auburn 5&G Date: 1/3/2017 m4040 Kersey Way SE Time: 11:37:42AM Auburn, WA 98092 Vehicle: SCAR100 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Product 2380 4" GRAVEL BORROW Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp #: Pounds Tons Job: 2703812 P.O.: Loads Total Qtv_ Ticket UOM 12 369.24 30.47 Ton Gross 103,020 51.51 Tare 42,080 21.04 Net 60,940 30.47 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01500 - Auburn 5&G ?S 4040 Kersey Way SE I Auburn, WA 98092 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Product 2380 4" GRAVEL BORROW OFFICE COPY Ticket: 14186 Date: 1/3/2017 Time: 11:52:13AM Vehicle: SCAR83 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp #: Job: 2703812 P.O.: Loads Total t Ticket UOM 13 400.60 31.36 Ton Pounds Tons Gross 105,940 52.97 Tare 43,220 21.61 Net 62,720 31.36 Weighmaster: Cassie Conn Thank you for your business! WARNING. HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials OFFICE COPY Ticket: 14193 01500 - Auburn S&G Date: 1/3/2017 4040 Kersey Way SE I Auburn, WA 98092 7` Time: Vehicle: 12:04:52PM SCAR86 (/ Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Product 2380 4" GRAVEL BORROW Disp M Job: 2703812 P.O.. Loads Total Qjy Ticket t UOM 14 431.78 31.18 Ton Pounds Tons Gross 105,200 52.60 Tare 42,840 21.42 Net 62,360 31.18 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT)HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries maybe discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials l 01500 - Auburn 5&G 4040 Kersey Way SE ' Auburn, WA 98092 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Product 2380 4" GRAVEL BORROW OFFICE COPY Ticket: Date: Time: Vehicle Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp #: Job: 2703812 P.O.. Loads Total t Ticket t LIOM 15 462.59 30.81 Ton 14199 1/3/2017 12:11:21PM SCAR99 Pounds Tons Gross 103,960 51.98 Tare 42,340 21.17 Net 61,620 30.81 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials OFFICE COPY Ticket: 14221 01S00 - Auburn S&G Date: 1/3/2017 4040 Kersey Way SE Z Time: 12:55:52PM I Auburn, WA 98092 Vehicle: SCAR100 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Product 2380 4" GRAVEL BORROW Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp #: Pounds Tons Job: 2703812 P.O.: Loads Total Qty Ticket UOM 16 493.49 30.90 Ton Gross 103,880 51.94 Tare 42,080 21.04 Net 61,800 30.90 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials OFFICE COPY Ticket: 14226 01500 - Auburn 5&G ) Date: 1/3/2017 4040 Kersey Way SE �(7�(w Time: 1:10:47PM I Auburn, WA 98092 Vehicle: SCAR83 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Product 2380 4" GRAVEL BORROW Disp #: Job: 2703812 P.O.. Loads Total Qt Ticket UOM 17 524.48 30.99 Ton Pounds Tons Gross 105,200 52.60 Tare 43,220 21.61 Net 61,980 30.99 Weighmaster: Cassie Conn Thank you for your business! WARNING! HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01500 - Auburn 5&G m4040 Kersey Way SE Auburn, WA 98092 2 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Product 2380 4" GRAVEL BORROW OFFICE COPY Ticket: Date: Time: Vehicle Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp #: Job: 2703812 P.O.: Loads Total Oty Ticket UOM 18 555.05 30.57 Ton 14230 1/3/2017 1:18:52PM SCAR86 Pounds Tons Gross 103,980 51.99 Tare 42,840 21.42 Net 61,140 30.57 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials OFFICE COPY Ticket: 14236 01500 - Auburn 5&G Date: 1/3/2017 M4040 Kersey Way SE / Time: 1:27:13PM Auburn, WA 98092 v Vehicle: SCAR99 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Product 2380 4" GRAVEL BORROW Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp M Pounds Tons Job: 2703812 P.O.: Loads Total 01y Ticket UOM 19 584.87 29.82 Ton Gross 101,980 50.99 Tare 42,340 21.17 Net 59,640 29.82 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials OFFICE COPY Ticket: 14272 01500 - Auburn 5&G �� Date: 1/3/2017 4040 Kersey Way SE Time: 2:53:20PM ' Auburn, WA 98092 Vehicle: SCAR100 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Product 2380 4" GRAVEL BORROW Disp a: Job: 2703812 P.O.: Loads Total Ticket Qt UOM 20 615.04 30.17 Ton Pounds Tons Gross 102,420 51.21 Tare 42,080 21.04 Net 60,340 30.17 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials OFFICE COPY Ticket: 14273 01500 - Auburn 5&G Date: 1/3/2017 4040 Kersey Way SE Time: 2:55:01PM [AIR] Auburn, WA98092 2� Vehicle: SCAR83 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Product 2380 4" GRAVEL BORROW Disp M Job: 2703812 P.O.: Loads Total Q Ticket Qjy UOM 21 645.03 29.99 Ton Pounds Tons Gross 103,200 51.60 Tare 43,220 21.61 Net 59,980 29.99 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01500 - Auburn S&G 4040 Kersey Way SE I Auburn, WA 98092 2 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Produc 2380 4" GRAVEL BORROW OFFICE COPY Ticket: Date: Time: Vehicle: Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp N: Job: 2703812 P.O.: Loads Total Qtv Ticket UOM 22 675.47 30.44 Ton 14281 1/3/2017 3:18:27PM SCAR99 Pounds Tons Gross 103,220 51.61 Tare 42,340 21.17 Net 60,880 30.44 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01500 - Auburn S&G IM4040 Kersey Way SE Auburn, WA 98092 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Produc 2380 4" GRAVEL BORROW OFFICE COPY Ticket: Date: Time: Vehicle: Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp #: Job: 2703812 P.O.. Loads Total Qtv Ticket Qtv UOM 1 30.66 30.66 Ton 14314 1/4/2017 7:32:44AM SCAR098 Pounds Tons Gross 103,480 51.74 Tare 42,160 21.08 Net 61,320 30.66 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01500 - Auburn S&G 4040 Kersey Way SE I Auburn, WA 98092 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Product 2380 4" GRAVEL BORROW OFFICE COPY Ticket: Date: Time: Z Vehicle Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp #: Job: 2703812 P.O.. Loads Total Qty Ticket Qty UOM 2 61.21 30.55 Ton 14320 1/4/2017 7:42:52AM SCAR82 Pounds Tons Gross 103,180 51.S9 Tare 42,080 21.04 Net 61,100 30.55 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return oft he purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01500 - Auburn 5&G 4040 Kersey Way SE I j Auburn, WA 98092 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Product 2380 4" GRAVEL BORROW OFFICE COPY Ticket: Date: Time: Vehicle Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp #: Job: 2703812 P.O.. Loads Total Qt Ticket t UOM 3 91.39 30.18 Ton 14340 1/4/2017 8:24:57AM SCAR100 Pounds Tons Gross 105,260 52.63 Tare 44,900 22.45 Net 60,360 30.18 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01500 - Auburn 5&G 4040 Kersey Way SE ' Auburn, WA 98092 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. OFFICE COPY Ticket: 14346 Date: 1/4/2017 Time: 8:40:50AM Z Vehicle: SCAR83 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp #: Pounds Tons Address & Instructions: s. 15th Street and Whitworth Ave South Renton Produ 2380 4" GRAVEL BORROW Job: 2703812 P.O.: Loads Total Otv Ticket UOM 4 121.57 30.18 Ton Gross 104,380 52.19 Tare 44,020 22.01 Net 60,360 30.18 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA)TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials OFFICE COPY Ticket: 14350 01500 - Auburn 5&G Date: 1/4/2017 4040 Kersey Way SE J Time: 8:44:17AM ' Auburn, WA 98092 Z O Vehicle: SCAR99 Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Product 2380 4" GRAVEL BORROW Disp #: Job: 2703812 P.O.: Loads Total Otv Ticket Qjy UOM 5 152.55 30.98 Ton Pounds Tons Gross 108,160 54.08 Tare 46,200 23.10 Net 61,960 30.98 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01500 - Auburn 5&G 4040 Kersey Way SE ' Auburn, WA 98092 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Product 2380 4" GRAVEL BORROW OFFICE COPY Ticket: Date: Time: Vehicle: Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp ii: Job: 2703812 P.O.. Loads Total Qtv Ticket UOM 6 182.98 30.43 Ton 14362 1/4/2017 9:11:16AM SCAR098 Pounds Tons Gross 103,020 51.51 Tare 42,160 21.08 Net 60,860 30.43 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT IHMAI TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials OFFICE COPY Ticket: 14363 03500 - Auburn 5&G Date: 1/4/2017 Kersey Way SE Time: 9:15:29AM M4040 Auburn, WA 98092 Vehicle: SCAR82 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Product 2380 4" GRAVEL BORROW Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp #: Pounds Tons Job: 2703812 P.O.. Loads Total Qt Ticket Qty UOM 7 213.37 30.39 Ton Gross 102,860 51.43 Tare 42,080 21.04 Net 60,780 30.39 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01500 - Auburn S&G 4040 Kersey Way SE ' Auburn, WA 98092 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Product 2380 4" GRAVEL BORROW OFFICE COPY Ticket: Date: Time: Vehicle: Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp #: Job: 2703812 P.O.. Loads Total Q Ticket UOM 8 243.96 30.59 Ton 14385 1/4/2017 9:50:30AM SCAR100 Pounds Tons Gross 106,080 53.04 Tare 44,900 22.45 Net 61,180 30.59 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01500 - Auburn 5&G m4040 Kersey Way SE Auburn, WA 98092 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Product 2380 4" GRAVEL BORROW r7 OFFICE COPY Ticket: (� Date: Time: Vehicle: Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp #: Job: 2703812 P.O.. Loads Total Ticket UOM 9 274.71 30.75 Ton 14399 1/4/2017 10:12:15AM SCAR99 Pounds Tons Gross 104,780 52.39 Tare 43,280 21.64 Net 61,500 30.75 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery ca^' .'^-- Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01500 - Auburn 5&G 4040 Kersey Way SE ' Auburn, WA 98092 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Product 2380 4" GRAVEL BORROW OFFICE COPY Ticket: 14402 Date: 1/4/2017 Time: 10:16:23AM Vehicle: SCAR83 Order. SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp a: Pounds Tons Job: 2703812 P.O.: Loads Total Qtv Ticket Otv UOM 10 304.44 29.73 Ton Gross 103,480 51.74 Tare 44,020 22.01 Net 59,460 29.73 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01500 - Auburn 5&G 4040 Kersey Way SE I Auburn, WA 98092 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. OFFICE COPY Ticket: 14412 Date: 1/4/2017 Time: 10:31:58AM - l t / 'd Vehicle: SCAR098 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp #: Pounds Tons Address & Instructions: s. 15th Street and Whitworth Ave South Renton Product 2380 4" GRAVEL BORROW Job: 2703812 P.O.. Loads Total Ticket Qty UOM 11 334.59 30.15 Ton Gross 102,460 51.23 Tare 42,160 21.08 Net 60,300 30.15 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01500 - Auburn S&G 4040 Kersey Way SE I Auburn, WA 98092 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Product 2380 4" GRAVEL BORROW OFFICE COPY Ticket: Date: Time: � Vehicle: 2 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp #: Job: 2703812 P.O.: Loads Total Qt Ticket t UOM 12 365.35 30.76 Ton 14416 1/4/2017 10:36:19AM SCAR82 Pounds Tons Gross 103,600 51.80 Tare 42,080 21.04 Net 61,520 30.76 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01500 - Auburn S&G 4040 Kersey Way SE 1 Auburn, WA 98092 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Product 2380 4" GRAVEL BORROW OFFICE COPY Ticket: Date: Time: Vehicle Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp #: Job: 2703812 P.O.: Loads Total Qtv Ticket UOM 13 394.81 29.46 Ton 14437 1/4/2017 11:07:38AM SCAR100 Pounds Tons Gross 103,820 51.91 Tare 44,900 22.45 Net 58,920 29.46 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01500 - Auburn 5&G 4040 Kersey Way SE I Auburn, WA 98092 Z Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Product 2380 4" GRAVEL BORROW OFFICE COPY Ticket: Date: Time: Vehicle: Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp #: Job: 2703812 P.O.: Loads Total Qtv Ticket Qtv UOM 14 425.16 30.35 Ton 14493 1/4/2017 12:41:01PM SCAR99 Pounds Tons Gross 103,980 51.99 Tare 43,280 21.64 Net 60,700 30.35 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01500 - Auburn 5&G Em4040 Kersey Way SE Auburn, WA 98092 -Z Customer: 60467 v Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Prot 2380 4" GRAVEL BORROW OFFICE COPY Ticket: Date: Time: Vehicle Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp #: Job: 2703812 P.O.: Loads Total Qty Ticket Qt UOM 15 455.53 30.37 Ton 14495 1/4/2017 12:42:34PM SCAR83 Pounds Tons Gross 104,760 52.38 Tare 44,020 22.01 Net 60,740 30.37 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01500 - Auburn 5&G 4040 Kersey Way SE ' Auburn, WA 98092 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Product 2380 4" GRAVEL BORROW OFFICE COPY Ticket: Date: Time: Vehicle Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp #: Job: 2703812 P.O.. Loads Total Qtv Ti k t Qty UOM 16 486.47 30.94 Ton 14501 1/4/2017 12:55:03PM SCAR098 Pounds Tons Gross 104,040 52.02 Tare 42,160 21.08 Net 61,880 30.94 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall these I I er be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials OFFICE COPY Ticket: 14506 01500 - Auburn 5&G ) Date: 1/4/2017 4040 Kersey Way SE / Time: 1:05:11PM ' Auburn, WA 98092 Vehicle: SCAR82 2� Customer: 60467 Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Cust. Name: Scarsella Brothers, Inc. Disp #: Pounds Tons Address & Instructions: Job: 2703812 Gross 105,140 52.57 s. 1Sth Street and Whitworth Ave South Renton P.O.: Tare 42,080 21.04 Net 63,060 31.53 Weighmaster: Cassie Conn Produ t Loads Total Qty Ticket Qty UOM 2380 4" GRAVEL BORROW 17 518.00 31.53 Ton Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. ICON Materials 01500 - Auburn 5&G 4040 Kersey Way SE ' Auburn, WA 98092 Customer: 60467 Cust. Name: Scarsella Brothers, Inc. Address & Instructions: s. 15th Street and Whitworth Ave South Renton Product 2380 4" GRAVEL BORROW OFFICE COPY Ticket: Date: Time: Vehicle: Order: SCARSE1610 - Talbot Hill Sewer Relocation (FOB) Disp M Job: 2703812 P.O.. Loads Total Ticket UOM 18 548.44 30.44 Ton 14515 1/4/2017 1:20:14PM SCAR100 Pounds Tons Gross 105,780 52.89 Tare 44,900 22.45 Net 60,880 30.44 Weighmaster: Cassie Conn Thank you for your business! WARNING: HOT MIX ASPHALT (HMA) TEMPERATURES CAN EXCEED 330 DEGREES. Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions, Shipment Delivery Conditions Unless otherwise agreed in writing, all materials purchased by Customer shall be FOB Seller's plant sourcing the Order. IF FOB Destination, the Customer agrees to provide suitable roadways or approaches to points of delivery. Seller reserves the right to cease deliveries if Seller concludes, in its sole opinion, that the roadways or approaches are unsatisfactory. In the event Customer orders delivery beyond curb line, Customer assumes liability for damages to sidewalks, driveways or other property, loss and expense incurred as a result of such deliveries to the maximum extent allowed by law. Prices quoted herein are based on prompt unloading of trucks, and in case repeated delays in unloading, deliveries may be discontinued until conditions are corrected. Delays of more than 20 minutes are subject to an additional charge. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery. We do not assume responsibility for any damage beyond the curb line. I Heavy - Highway Construction Ii /MF1M1�� May 23, 2016 City of Renton 1055 S. Grady Way Renton, WA 98057 Attention: Mike Benoit Project Manager Reference: Contract #2703812 Talbot Hill Sewer Relocation I-405, SR167 IC/DC Project Traffic Control Manager and Traffic Control Supervisor Dear Mike: An Equal Opportunity Employer As per section 1-10.2(1)A and section 1-10.2(1)B of the Contract Provisions, the Traffic Control Manager (TCM), the Traffic Control Supervisor (TCS) and the alternate for the above referenced project will be: TCM: Jay Krier Cell: 253-954-6754 TCS: Tania Lobben Cell: 253-261-5571 Alternate TCS: Jennifer Daly Cell: 206-391-8981 jay.k@scarsellabros.com Should you have any additional questions, please do not hesitate to call. Sincerely, 0"'� obert Scarsella Vice President P.O. Box 68697 Seattle, Washington 98168-0697 • Tel: (253) 872-7173 • Fax: (253) 395-1209 AK Lic. #34714 AZ Lic. #ROC249216 - CA Lic. #779354 • ID Lic. #10394-Unlimited-1-2 MT Lic. #146627 • ND Lic. #44607 - OR Lic. #96884 • UT Lic. #7646917-5551 9 WA Lic. #SCARSBI183B8 WKUPE TANIA L. LOB8814 10738 5792 Aorthwest Laborers:Employers Training Trust 27055 Ohio Ave. I Kingston, WA 98346 (800) 240-9112 Class Date: 12/18/2012 K-Site Class Hours: 8 Certification #: 1 073$ Expires: 12/13/201 f Instructor: ROBIN SMITH A Labor And Management Partnership 253-261-5571 µ.me j ,i SUIll,:RVISO)K JENNIFER DALY 34819 5867 1012017 jA I 710� 206-391-8981 Heavy - Highway Construction 4EN[f4 � e r 9 IYf1�� May 23, 2016 City of Renton 1055 S. Grady Way Renton, WA 98057 Attention: Mike Benoit Project Manager Reference: Contract #2703812 Talbot Hill Sewer Relocation I-405, SRI67 IC/DC Project Lead Personnel Dear Mike: The following lead personnel will be assigned for the above referenced project: Project Superintendent: Project Foreman: Project Manager EEO Officer: Jay Krier Rob Elzig Rick Krier/Sherry Peter Jessica Scarsella An Equal Opportunity Employer Person(s) who will be representing the Contractor in meetings with the Project Engineer regarding interim and final Contractor Performance Reports and who are authorized to sign Change Orders and the Final Contract Voucher Certification are: * Robert Scarsella * A. Don Scarsella * Gino Scarsella * Rick Scarsella In case of emergency (traffic control) please contact the following individuals: * Jay Krier Cell: 253-954-6754 jay.k@scarsellabros.com * Rob Elzig Cell: 206-455-1417 * Rick Krier Cell: 253-261-3716 rick.k@scarsellabros.com * Sherry Peter Cell: 253-329-8483 sherry.p@scarsellabros.com * Robert Scarsella Cell: 206-817-0978 bob@scarsellabros.com * Jessica Scarsella Cell: 360-269-0540 jessica.s@scarsellabros.com Should you have any questions, please do not hesitate to call. Sincerel obert Scarsella Vice President P.O. Box 68697 • Seattle, Washington 98168-0697 • Tel: (253) 872-7173 • Fax: (253) 395-1209 AK Lic. #34714 • AZ Lic. #ROC249216 • CA Lic. #779354 • ID Lic. #10394-Unlimited-1-2 MT Lic. #146627 9 ND Lic. #44607 • OR Lic. #96884 • UT Lic. #7646917-5551 • WA Lic. #SCARS13I183138 SCARSELLA BROS., INC. PO Box 68697 Seattle, WA 98168-0697 (253) 872-7173 (253) 395-1209 fax To City of Renton - Public Works Dept. Attn: Michael Benoit - Wastewater Utility 1055 South Grady Way Renton, WA 98057 We Are Sending You OX Attached Shop Drawings Copy of Letter LETTER OF TRANSMITTAL Date 52/20161 Job No. WWP-27-03812 Attention: Michael Benoit - Wastewater Utility Re: Contract Documents Talbot Hill Sewer Relocation 1-405, SR167 IC/DC Project 0 Under Separate Cover Via: F':�Prints Plans Change Order Specifiactions Copies Date No. Description 2 05/02/16 Signed Contract Documents 2 05/02/16 Contract Bonds to the City of Renton 1 05/02/16 Authorization to Sign - Corporation Letter 1 05/02/16 Fair Practices Policy Affidavit of Compliance 1 05/02/16 Photocopy of Current Washington State Contractors License 1 05/02/16 Certificate of Insurance with Policy Declaration Pages 1 5/2/2016 List of Lead Personnel, Emergency Contact Numbers These Are transmitted as marked below ]As Requested For review and comment Remarks OApproved as noted Submit copies Copy To Signed S'lce��� iVWl rrs 2 S3 Z3 v Contract Administrator Heavy - Highway Construction 4EII(f,4 �4 May 23, 2016 City of Renton 1055 S. Grady Way Renton, WA 98057 Attention: Mike Benoit Project Manager Reference: Contract #2703812 Talbot Hill Sewer Relocation I-405, SR167 IC/DC Project ESC Lead Dear Mike: An Equal Opportunity Employer Scarsella Bros., Inc. has appointed Troy Modie as the ESC lead for the above referenced project. Attached is a copy of Troy's Certificate of Training card. Should you have any additional questions, please do not hesitate to call. ;Sincerely,7 LZ bert Scarsella Vice President P.O. Box 68697 Seattle, Washington 98168-0697 • Tel: (253) 872-7173 • Fax: (253) 395-1209 AK Lic. #34714 AZ Lic. #ROC249216 • CA Lic. #779354 • ID Lic. #10394-Unlimited-1-2 MT Lic. #146627 • ND Lic. #44607 • OR Lic. #96884 • UT Lic. #7646917-5551 • WA Lic. #SCARS13I183138 Troy Modie Successfully Completed: Construction Stormwater Best Managemeot Practices Field Training and is hereby a Certified Erosion & Sediment Control Lead Certification Date: 4-8-15 Expiration Date: 4-8-18 ID # T60080 •®r, Scarsella Bros., Inc. Heavy - Highway Construction 0 May 23, 2016 City of Renton 1055 S. Grady Way Renton, WA 98057 Attention: Mike Benoit Project Manager Reference: Contract #2703812 Talbot Hill Sewer Relocation I-405, SR167 IC/DC Project TESC Plan Dear Mike: An Equal Opportunity Employer Scarsella Bros., Inc. hereby intends to utilize the Temporary Erosion and Sedimentation Control Plan as shown in the Contract Drawings referenced below. Plan Reference No. Plan Title Sheet 11 of l 1 TESC Notes and Details Should you have any additional questions or concerns, please do not hesitate to call. ;Sincerely, ert Scarsella Vice President P.O. Box 68697 Seattle, Washington 98168-0697 • Tel: (253) 872-7173 • Fax: (253) 395-1209 AK Lic. #34714 AZ Lic. #ROC249216 • CA Lic. #779354 • ID Lic. #10394-Unlimited-1-2 MT Lic. #146627 - ND Lic. #44607 - OR Lic. #96884 - UT Lic. #7646917-5551 - WA Lic. #SCARSBI183138 Heavy - Highway Construction atM44 a May 23, 2016 City of Renton 1055 S. Grady Way Renton, WA 98057 Attention: Mike Benoit Project Manager Reference: Contract #2703812 Talbot Hill Sewer Relocation I-405, SR167 IC/DC Project Safety Officer Dear Mike: An Equal Opportunity Employer The Safety Officer for Scarsella Bros., Inc. is Todd Goldberg. Todd can be reached at: Phone: 425-822-8500 Cell: 425-941-7502 Sincerely, Robert Scarsella Vice President P.O. Box 68697 Seattle, Washington 98168-0697 • Tel: (253) 872-7173 • Fax: (253) 395-1209 AK Lic. #34714 AZ Lic. #ROC249216 • CA Lic. #779354 • ID Lic. #10394-Unlimited-1-2 MT Lic. #146627 • ND Lic. #44607 • OR Lic. #96884 • UT Lic. #7646917-5551 • WA Lic. #SCARS13I183138 Aft Washington State To Department of Transportation Roger Millar Acting Secretary of Transportation May 10, 2016 Rebecca McAndrew Senior Scientist Seattle District, Army Corps of Engineers P.O. Box 3755 Seattle, Washington 98124-3755 Northwest Region-Eastside Corridor 1-405 Project Office 600 1081" Avenue NE, Suite 405 Bellevue, WA 98004 (425) 456-8500 / Fax 425-456-8600 TTY: 1-800-833-6388 www.wsdot.wa.gov Ref: Corps NWS-2014-29 and Water Quality Certification #13078 Washington State Department of Transportation, I-405/SR 167 Direct Connector Dear Ms. McAndrew, Please modify Individual Permit NWS-2014-29 to reflect the updates included within this letter and the attachments. This permit modification is necessary because as Olympic Pipeline (OPL) developed detailed construction plans to re -locate the gas pipeline within the Panther Creek wetlands WSDOT determined that additional unavoidable temporary and permanent impacts would be needed. OPL took steps to avoid and minimize impacts to every extent possible while still relocating the pipeline within a single fish window. OPL will use two different staging areas, one will be in the work area within the Panther Creek wetland, and a separate off site staging area will be located in an upland area. Staging for stockpiling excess materials, job trailers, and worker and extra vehicles parking will occur off site to avoid and minimize impacts to the wetland. A single small job trailer be placed upon temporary wetland fill and the quantity of sanitary facilities will be the minimum required by OSHA. OPL evaluated options for site access, and due to site topography, they determined that the only feasible location for accessing the site is from northbound SR 167. Northbound SR 167 is highly congested during most of the day, thereby restricting when and how construction equipment and materials can be delivered to and removed from the site. To maintain an efficient construction operation and complete the pipeline relocation work within the allowable work window, OPL will stage just enough materials in the wetland to complete up to 2 days of work. This will minimize impacts to the wetland. Supplies would be replenished during nighttime or off-peak hours as needed to maintain adequate supplies to support the work for the next day. Changes to Wetland, Stream, and Buffer Impact Quantities The table below compares the currently permitted impacts and the proposed impacts that WSDOT has determined are necessary for OPL to complete their work. Most categories have a slight increase of impact. Impact Comparison after OPL Impacts Wetland Direct Permanent Indirect Permanent Permanent Conversion Long-term Temporary Buffer Permanent Buffer Temporary Impact Permit Current Permit Current Permit Current Permit Current Permit Current Permit Current 24.7R-C 42,580 51,430 137,160 130,780 52,100 52,100 21,460 19,550 20,574 20,120 1,900 2,970 24.711-13 35,681 36,610 0 0 4,190 4,190 17,571 16,650 270 270 210 210 JARPA sheets, dated May 3, 2016, and a revised Wetland Mitigation Memorandum, dated May 5, 2016, are attached. Once you have had the opportunity to review these materials please let me know if you have any questions or concerns. Sincerely, Linda Cooley Proj Env. Mgr. NWR Design -Build Office 2 TRANSMITTAL Date: To: .S4H4 tility From: P-' Subject: Submittal of Storm Drain Inspection CCTV Video & Report Project Number: Project Name: �c %t�,�7' Teti %� WWe-,- Project Location: have reviewed the inspection CCTV video for the above project and the drain line(s) appear to be in acceptable condition at this time. I have reviewed the inspection CCTV video for the above project and the drain line(s) are not in acceptable condition at this time, for the following reasons: N H 164 -h 0 H '/-/ 1?4 b ���� OW SANITARY SEWER SYSTEM LOW PRESSURE AIR TEST PROJECT:: // l) &e,wL,r %Q,�S,/uc l tlon DATE: 111I/L INSPECTOR: _/71Q1F"r ac D,.- c=,-6 LOCATION LENGTH PIPE MATERIAL PIPE SIZE PRESSURE TEST TIME RESULT TO FROM S (53 10 ZS'l f f. P Y-c- P►�c, `4 D S t s Y►r In (� ,tJ ea� S.S ti 1 f //� S-13 P d atacenter/forms/pb pw/u t i l itys ystems/ww/sspressu re.do c 02/2002 bh r HINUTEM CK ARRIEf3iNc. csT. iv�n Corporate Office 21711 103rd Ave. Ct. E. Suite C302 Graham, WA 98338 Phoo#:(253)262-1661 Fax: (253) 262-1664 Kapowsin Quarry Crushed & Landscape Rock 29104 Camp # 1 Road E Phone: (360) 893-5500 Fax: (360) 893-5511 King Creek Pit Sand, Gravel & Topsoil 25009 Brooks Rd E Phone: (360) 893-7701 Fax: (360) 893-7702 NU. . DATE TIME CUSTOMER PRODUCT HAULER TRUCK TAX LOCATION a CUSTOMER NAME Crushed Rock, Sand, Gravel, Round Rock. Topsoil, Landscape Rock & Custom Blends M IM T PRODUCT PRICE AMOUNT i TOTALGHT 7 TAX DUE GROSS: TARE: NET: WEIGHMASTER DRIVER CUSTOMER If Purchaser orders delivery to be made beyond the curb line or off the main roadway, the Purchaser agrees to assume all liability for damages to Seller's equipment, and to sidewalks, driveways. or other property caused by the Seller's trucks in making of such deliveries. Purchaser has 15 minutes to unload truck, after which truck time will be char,ed at the standard stand-by time rate. NSF checks and rejected credit cards will be charged a $30 service fee in addition to the principal balance. I understand and agree to the above terms. Customer Signature Please call (253) 262-1661 with any questions. I rRO HINGTON CK RRIESiNc. E_ -i T. 7990 DATE Corporate Office 21711 103rd Ave. Ct. E Suite C302 Graham, WA 98338 Phone: (253) 262-1661 Fax: (253) 262-1664 Kapowsin Quarry Crushed & Landscape Rock 29104 Camp #1 Road E Phone: (360) 893-5500 Fax: (360) 893-5511 King Creek Pit Sand, Gravel & Topsoil 25009 Brooks Rd E Phone: (360) 893-7701 Fax: (360) 893-7702 TICKET TIME CUSTOMER PRODUCT HAULER TRUCK TAX LOCATION Crushed Rock, Sand, Gravel, Round Rock, Topsoil, Landscape Rock & Custom Blends POUNDS TONS OTY. UNIT PRODUCT PRICE AMOUNT GROSS: Moil TARE: - NET: L L WtICaHMA5I tH UHIVtH UUJ IUMtH If Purchaser orders delivery to be made beyond the curb line or off the main roadway, the Purchaser agrees to assume all liability for damages to Seller's equipment, and to sidewalks, driveways. or other property caused by the Seller's trucks in making of such deliveries. Purchaser has 15 minutes to unload truck, after which truck time will be charged at the standard stand-by time rate. NSF checks and rejected credit cards will. be charged a $30 service fee in addition to the principal balance. I understand and agree to the above terms. Customer Signature Please call (2.53) 262-1661 with any questions. CUSTOMER NAME aCAkSELLN bRuTHERb Dispatch No: 13r^dev, No: 01. Load- Tod ', rotiay: . °0391 L,• HINSTON Corporate Office Kapowsin Quarry � -��King,Creek Pit CK T 21711 103rd Ave. Ct. E. Crushed & Landscape Rock Sand, Gravel & Topsoil ARRIES INC. Suite C302 29104 Camp #1 Road E 893-5500 25009 Brooks Rd E Phone: 893-7701 El". WPM Graham, WA 98338 Phone: (253) 262-1661 Phone: (360) Fax. (360) 893-55 11 (360) Fax: (360) 893-7702 Fax: (253) 262-1664 DATE TIME CUSTOMER PRODUCT HAULER TRUCK TAX LOCATION 41 ' 1 l i 0 Crushed Rock, Sand, Gravel, Round Rock, Topsoil, Landscape Rock & Custom Blends CITY, UNIT PRODUCT PRICEAMOUNT FREIGHT TAX TOTAL DUE 'SLS. ki , -2 -7 GROSS: Its. .-Ai TARE: NET: Wtlli"MHJ 1 tFt L/MI V tM IiVJ I l/MCFS If Purchaser orders delivery to be made beyond the curb line or off the main roadway, the Purchaser agrees to assumc all liability for damages to Seller's equipment. and to sidewalks, driveways. or other property caused by the Seller's trucks in making of such deliveries. Purchaser has 15 minutes to unload truck, after which truck time will be charged at the standard stand-by time rate. NSF checks and rejected credit cards will be charged a $30 service fee in addition to the principal balance. I understand and agree to the above terms. Customer Signature Please call (253) 262-1661 with any questions. WASHINGTON Corporate Office Kapowsin Quarry 'King Creek Pit R O 1 K 21711 103rd Ave. Ct. E. Crushed & Landscape Rock Sand, Gravel & Topsoil Q U A R R I E S I N c. Suite C302 29104 Camp #1 Road E 25009 Brooks Rd E Graham, WA 98338 Phone: (360) 893-5500 Phone: (360) 893-7701 EST, 1990 Phone: (253) 262-1661 Fax: (360) 893-5511 Fax: (360) 893-7702 Fax: (253) 262-1664 • DATE TIME CUSTOMER PRODUCT HAULER TRUCK TAX LOCATION Crushed Rock, Sand, Gravel, Round Rock, Topsoil, Landscape Rock & Custom Blends CUSTOMER NAME Flo t cl t t4 i,, i GROSS TARE: NET: . . t QTY. UNIT PRODUCT PRICE AMOUNT TAX FREIGHT WEIGHMASTER DRIVER CUSTOMER If Purchaser orders delivery to be made beyond the curb line or off the main roadway, the Purchaser agrees to assume all liability for damages to Seller's equipment, and to sidewalks, driveways, or other property caused by 1'1c Seller's trucks in making of such deliveries. Purchaser has 15 minutes to unload truck, after which truck time will be charged at the standard stand-by time rate. NSF checks and rejected credit cards will be charged a $30 service fee in addition to the principal balance. I understand and agree to the above terms. Customer Signature Please call (253) 262-1661 with any questions. d Corporate Office Kapowsin Quarry "Kft'Creek Pit WASHINGTON 103rd Ave. Ct. E. Crushed & Landscape Rock Sand, Gravel & Topsoil ROCK Suite Suite C302 29104 Camp #1 Road E 25009 Brooks Rd E Q U A R R I E S i P4 c- Graham, WA 98338 Phone: (360) 893-5500 Phone: (360) 893-7701 Phone: (253) 262-1661 Fax: (360) 893-5511 Fax: (360) 893-7702 Fax: (253) 262-1664 • DATE TIME CUSTOMER PRODUCT HAULER TRUCK TAX LOCATION Crushed Rock, Sand, Gravel, Round Rock, Topsoil, landscape Rock & Custom Blends CUSTOMER NAME GCtiR 1'"L-1-►a (.sROTllt V. , GROSS: TARE: NET: CITY. UNIT PRODUCT PRICE ! AMOUNT DELIVER TO WEIGHMASTER DRIVER CUSTOMER If Purchaser orders delivery to be made beyond the curb line or off the main roadway, the Purchaser agrees to assume all liability for damages to Seller's equipment, and to sidewalks, driveways, or other property caused by the Seller's trucks in making of such deliveries. Purchaser has 15 minutes to unload truck, after which truck time will be charged at the standard stand-by time rate. NSF checks and rejected credit cards will be charged a $30 service fee in addition to the principal balance. I understand and agree to the above terms. Customer Signature Please call (253) 262-1661 with any questions. HINGTON Corporate Office Kapowsin Quarry C K 21711 103rd Ave. Ct. E. Crushed & Landscape Rock rRIE Suite C302 29104 Camp #1 Road E ARRIES 1I4c- Graham, VGA 98338 Phone: (360) 893-5500 Phone: (253) 262-1661 Fax: (360) 893-5511 Fax: (253) 262-1664 DAi E TIME CUSTOMER PRODUCT HAULER TRUCK CUSTOMER NAME GROSS: TARE: NET: King Creek Pit Sand, Gravel & Topsoil 25009 Brooks Rd E Phone: (360) 893-7701 Fax: (360) 893-7702 E-_ -- --10 TAX LOCATION i1 Crushed Rock, Sand, Gravel, Round Rock, Topsoil, Landscape Rock & Custom Blends WEIGHMA TER DRIVE CUSTOMER , If Purchaser orders delivery to be made beyond the curb line or off the main roadway, the Purchaser agrees to assume all liability for damages to Seller's equipment, and to sidewalks, driveways, or other property caused by the Seller's trucks in making of such deliveries. Purchaser has 15 minutes to unload truck, after which truck time will be charged at the standard stand-by time rate. NSF checks and rejected credit cards will be charged a $30 service fee in addition to the principal balance. I understand and agree to the above terms. Customer Signature Please call (253) 262-1661 with any questions. Li Denis City Of i o � Public Works Department - Gregg Zimmerman, P. E., Administrator May 26, 2016 Mr. Robert Scarsella Scarsella Bros., Inc. PO Box 68697 Seattle, WA 98168-0697 RE: CAG-16-036, TALBOT HILL SEWER RELOCATION NOTICE TO PROCEED Dear Mr. Scarsella: This letter shall serve as your notice to proceed in accordance with the contract specifications. Your first chargeable workday shall be May 31, 2016. All work shall be completed by the date specified in the contract or, if completion date is not specified within the 180 working days allowed by the contract, except as additional days may be granted by the City. If you have any questions, please contact me at 425-430-7206 or by email at mbenoit@rentonwa.gov. Sincere i Y' is ael A. Benoi Wastewater Utility Project Manager H:\File Sys\WWP - WasteWater\WWP-27-03812 Talbot Hill Sanitary Sewer Relocation\Construction\Notice to Proceed CAG-16-036.doc\MABtp Renton City Hall • 1055 South Grady Way • Renton, Washington 98057 • rentonwa.gov