HomeMy WebLinkAboutReel_0004AMicrofilm Certificate
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TRAFFIC SIGNING PLAN
P,'ojed: No,____
Road Nam~: j)..&~"'~r--.S-~- Road Log No, Z5'()-'P~_ ~,P, ____ to M, P.
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COMMENTS:
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TYPE C-I
COMmERCiAL ROAD APPROACH
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~'R 12"Olomln,co::{vert Eltiating dItch
, ~ Edge of Shoulder
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Il. _ _ - -L 'I County Roo.!! <l.
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PLAN
e of County Rood
Edg. of .hou=rder I
izo'm.n I
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Min4" ballas' ,.
tolln. Z" tap caur.. Min,IZ"CUI,,5
SIGHT DISTANCE REQUIREMENTS
POSTED SIGHT DISTANCE
SPEED LIMIT MINIMUM DESIREABLE
NOTES:
25 160 IT, 200 FT.
30 200 FT. 240 FT,
35 240 FT, 275 FT,
40 275 FT. 350 FT.
H 315 FT, 410 FT.
50 350 FT. 475 FT,
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1.)
Culvert shall meet minimum specifications
for 115-20 loading, Approved types include:
1) concrete
2) corrugated metul
3) corrugoted polyethylene tubinr,--AASIlTO ~: 252 (min,)
County road shoulder shall be lei"t at
existing profile.
2. )
APPROVALS:
Director, Department
of Public Works
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Chai.rman, Board of
County Conun1ssioners
Date 5t/t;}n
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INDEPENDENT ESTIMATE FOR
CONSULTING SERVICES
DIRECT SALARY COST IC_PGlilfl:
....N. AVERAGE ISTIMATlD
I"EAKDOWN DF WORK HOURS RATIE or PAY COST~_
GATHERING FJELD DATA 100 11,50 1,150,00
COMPUTATIONS & LEGAL DESCRIPTIONS 40 11.50 460.00
SECRETARIAL & ADMINISTRATION 12 15,00 180.0:0..
TOTALS --+ 152
OVERHEAD COST llndudine PlJVroU 1CIdl11wtl
~
2,790,00
540.00
NETFlE
DIRECT NON.SALARY COST:
A. TIl:"YEL "NO IttA DIEM
e. 1lIIEtlIlOOUCTIDN IEXP[NJU
C. COMf'VTER IU<'t:NSE
D. COMUUNICATlON
C. IAMtlLING AND TIESTINO
" OUTSIDE CONSULTANTS
O. OTM!:! ill ISHcU"
.
,50 no
,
.25 00
lOTAl.
,75,00
1U8.TOTAL
. 4,195,00
420,00
-CONTINGENCIES
GRAHD TOTAL
. 4.615.00
AOIHCY
JEFFERSON COUNTY PUBLIC WORKS
I'IlOJICT HO.
l'iIlOJICT TITLIE
DOSElVALLlPS ROAD LOCATION, SEC. 30
OAn
2/21/86
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GENEMl PROVISIONS
I. THIS PERMIT IS SUBJECT TO RCN 36.75.130, ,]qO ANB ,]50 AND AMENDMENTS THERETO,
2. TIlE GHANTEE, ITS SUCCESSORS AND ASSIGNS, A(iRElS TO PROTECT J[FFERSON COUNTy ANU SAVE IT HARMLESS fROM ALL
CI.^"1S, ACTIONS OR DAMAGES OF EVERY KINO AND DeSCRIPTION WtllCH MAY ACCRUE TO OR BE SUFFERELJ BY ANY 1'(11:1011,
PER!;OtHi, OR PfWPERTV BY REASoN OF THE PERFORMANCE or ANY SUCH WONK, CHARACTER OF MATERIALS USED OR MANNER
llF INSTAI.LATlorj; IN CASE ANY SUIT OR ACTION IS BROUGtH AGAINST THE COUNTy FOR DAMAGES ARISING OUT OF OR By
RtASOtl OF ANY OF THE ABOVE CAUSES, nlE PETITIONEH, ITS SUCCESSORS OR ASSIGN::! WilL, UPON NOTlC[ OF COMMENCE~
MfNT OF SUCI1 ACTION, DEFEND THE SAME AT ITS SOLE EXf'ENSE AND SATISFY ANY JUDGEMENT ARISING THEREFROM IF
DETERMINED AaVEnSE TO JEFFERSON COUNTV.
3. IF THE GRANTEE ENTERS INTO A COtlTRACT OR AGREEMENT WITH A THIRD PARTY TO PERFORM THE WORK AlJHIORIZED
BY TtflS PERMIT1 HIE THInD PARTY, AS ^ PART OF THE CONSIDERATION FOR ITS CONTRACT WITH GRANTEE, AGREES TO
INDEMNIFY, HOLD HARMLESS AND OEFEND THE COUNTY IN ACCORDANce WITH THE PROVISIONS OF PARAGRAPtl 2, ABOVE.
q, ~~\~~iA~~R~rr^n ~iNm ~g~mmio~N~o~~Q~I~i~~~l~ ~mm ~8ogAyNmU~5B~~dHM~'iE~~I~H~o B~~~m_
LATlON AS HEREltI PROVIDED,
5, DURING THe conSTRUCTION OF THE: FACILrTY, fHE GRANTEE SHAll COMPLY WITH THE I::1ANUALQlL1J1t.lEOBt1...IIlA.flli...!tIftQL
a.t'lli:.fLf.OP. SmEFTS AND H1GffrtAYS. PUBLISHED BY THE U.S, DEPARnlENT OF TRANSPORTATION.
6, ON COMPLETION OF SAID WORK HEREIN CONTEMPLATED, ALL RuaBISH AND nEIlRIS SHALL BE IMMEDIATELY REMOVeo AND
THE ROADWAV ANO ROAD!:iIDE SHALL BE LEFT NEAT AND PRESENTABLE AND SATISFACTORY TO rHE COUNTY.
7. HiE COUNTY RESERVES THE R/GltT TO ORDER THE CIIM/CiE OF LOCATION OR HIE REMOVAL OF ANY STRUCTURE OR STRUCTURES
AUHWRIZED BY THIS PEf<M!r AT ANY TIME, 5AIfJ CIWlnE OR REMOVAL TO BE MADE AT SOLE EXPENSE OF THE PARry OR
PARTIES TO WHOM TIllS PERMIT IS ISSUED, OR THEIR SUCCESSuflS A/HI ASSIGNS,
g, ALL SUCH CHANGES, RCCOtlSTRUCTION OR RELOCATION BY THE GRANTEE SHALL BE DONE IN suetl A MANNER AS Will CAUSE
TIlE I.EAST ItITERFERANCE WITU ANY OF THE COUNTY'S WORK AND JE.FFERSON COUNTY SHALL IN NO WISE Rf HELD LIABLE
FOR ANY DAMAGE TO TIlE GRMHEE BY REASON OF ANy SUCII WORK By JEFFERSON COUNTY, ITS AGENTS OR REFHESENTMIVES,
OR By THE EXERCISE OF ANV RIGlilS BY THE COUNTY UPON ROADS, STREETS, PUBLIC PLACES Ok STRUCTURES IN QUES1ION.
9. TltE GRANTEE SHALL NOTIFY THE COUNTY'S HEPRESENTATlVE UPON COMPLETION OF THE WORK UNDER THIS PERMIT SO HlAT
A FINAL INSPECT/Of' CAN BY MADE,
SPECIAL PROVISIONS
APPLICABLE PROVISIONS ARE DENOTED BY AN (X)
Ao~~~~ug~16~EA~~I~~krzE~A~~ ~~lgNpi~~I~O:I~Aj~'T~~Dcbn~~~~~E~I~~~~O;~~A~~EMENTS' AT ALL TIMES nURING rHE
THE APPROACH~L~E CONSTRUCTED IN ACCQRD6li.CE WITlI THE ATTACHED DESIGN PLATE TYPE_.~=~ _
APPROACH, A _Fr.I.ENGTtI OF -:-:-+_~INCH DIAMETER CULVERT PIPE SHALL BE PLACE~IN
DITCH AND LAID T TIIUE LitlE AND GRADE, THF. APPf<OACH SHALL BE SURFACED TO rHE LIMITS AS SHOWN ON
~~Mi~~G A~~ iU~F~~~D~A~;' T~~oAPmC~rE S~~5~E~~' I~N~gcg~3~W R~J~r'~~:w~~O~:tE ~g~T:~L p~~M;rM;AN,
HtE APPROACH StlAlL BE SUFFICIENTLY SURrACED BACK AN ADEQUATE DISTANCE FROM TIlE EDGE OF THE f'AVEMENT TO
PIiEVENT ANY MUD TRAC)(ING ONTO TIlE COIJNTY ROAD. ANy MUD TRACKED ONTO THE COUNTY ROAD SHALL BE IMMEIlIATELY
CLEANED Uf' By TtI.E GHANTEE OR 'tiS AGENT.
IF NECESSARY TO INCREASE !\IGHT .DISTAI/CE, STUMPS AND ERUSIl SHALL BE REMOVED FROM nOTH SlOts OF TltE
~:r~fA;~^lL T~~TI~~I~f~~~~~~~Eo~U~~~~~yO~o~gR~r~~I~~~~wl;~arR OR DISFIGURING OF ANV FlATuRC OF SCENIC
WORK SHALL BE RESTHICT[Q TO TliE HOURS BETWEEN 9:00A.M. AND ~:OOP,M. UNLESS OTHERWISE AUTHORIZED BY THE
ENGltlEER,
A SURETy BOIm IN TH[ AMOUNT OF $-__._____, WRITTEN BY A SURETY COMPANY AUTHORIZED TO
no BllSINESS IN TltE STATE OF WASHIIlGTON, StlAll BE FURNISHED TO INSURE COMPLIANce WITH ANY AND ALL OF THE
TERH5 AND CONDITIONS OF THIS peRMIT AND SHAll REMAIN IN FORCE UNTIL ALL WORK UNDER THIS PERMIT HAS
liEEN COMPLETED AND ArPROVED BY THC COUNTY,
BEFORE ANY LOG IIAUl../NQ OPEHATIONS BEGIN, A SURETy BONn IN THE AMOUNT OF $ , ,SHAll
8[ FURIlISHED BV THE GRANrEt: ro PlwrrcT THE COUNrv AGAINST ANY DAMAGE TO TtifcOUN'TY-ROADANDTO INSURE
COMPlCTE REMOVAL OF THE APPf<OACIf ArlO CLEANING UP OF TIlE RIGHr-Or-WAY TO THE SAIlSFACTlON OF THE COUtHY.
APPROVAL OF ALL CLEAN UP HaRK SHALL BE SECURED BEFORE HIE BatlO wll.l. 8E RELEASED,
o B. Sf'ECIAL CONSIDERATIONS
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Form 113 b
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GENERAL PPOVISIONS
1. TH" ',"MIT IS SUBJECT TO pew 35.75.130, .I~O ^HD .150 ^HO ^HEHDMEHTS THERETO.
2, TliE GRANTEE, ITS SUCCESSORS AND ASSIGNS, AGREES TO PROTECT JEFFERSON COUNTY /lND SAVE IT HARMLESS FROM ALL
CLAIMS, ACTIONS OR DAMAGES OF EVEflV KINO AND DESCRIPTlOtl WHICH MAV ACCRUE TO OR BE SUFFERElJ BY ANY PEriSotl,
PEflSON!i, OR PROPERTY BY REASON OF THE PERFORMANCE Of ANY SUCH WORK, CH!\RACTER OF MATERIALS USEU OR MANtlER
OF INSTAlLATlotlj Itl CASE ANY SUIT OR ACTiON IS BROUGHT AGAIIIST TIlE COUNT'{ FOR DAMAGES ARrs!tlG OUT OF OR Ih'
REASON OF ANY OF lHE ABOVE CAUSES, THE PE"rlTIONER, ITS SUCCES50RS OR ASSIGIlS WilL, UPON NOTICE OF COMMENC~~
~ENT OF SUCH ACTION. DEFEND THE SAME AT ITS SOLE EXPENSE AND SATISFY ANY JUDGEMeNT ARISWG THEREFROK IF
DETERMINED ADVErlSE TO JEFFERSON cQurny,
3. IF THE GRANTEE ENTERS INTO A CONTRACT OR AGREEMENT WITtI A THIRD PARTY TO PERFURM THE WORK AUTHORIZED
ny TH I S PERMI T, HtE TH IRD PARTY, M ^ PART OF THE CONS !DERA T ION FOR ITS CONTRACT WI TIl GRANTEE, AGREES TO
INDEMNIFY, HOLD HA~MlESS .1ND DEfffjD TUE COU/1Ty IN .4L'COlfliAN~f WITH THE PROVISIONS OF PARAGRAPH 2, ABOVE.
4. ~~Y T~~~A~~R~~ T A~~ ~~ N r~~ ~g~~i~~g~~o~N~O~~Q~J:~~~~i~ ~~~~:~ ~D~Ay~R s~~~tU~~B~~dH~H~~R~E~~lfH~O G~~~~~~ ~
LATlDN AS tlEREIN PROVIDED.
5, DURING THE CONSTRUCTION OF THE FACILITY, THE GRArHEE SHALL COMPLY WITH THE &/IUAI.. ON UNIFORM TR^FFIC cn~TROI
DEVICES FOR srRfFTS AND HIGIJW..S. PUBLISHED BY THE U,S. DEPARTMENT OF TRANSPORTATlotl.
6. OIl COMPLETION OF SAID WORK HEREIN CONTEMPLATEO, ALL RUBBISH AND DEBRIS SHALL BE IMMEDIATELY REMOVED AND
THE ROADWAY AND ROADSIDE SHALL BE LEFT NEAT AND PRESENTABLE Arm SATISFACTORY TO TitE COUNTY.
7. THE COUNTY RESERVES THE RIGtiT TO ORDI:R THE CIIANGE OF LOCATlotl OR HiE REMOVAL OF ANY STRUCTURE OR STRUCTURES
AUTHORIZED BY 1I-IIS PERMIT AT ANY TIME, SAID CHANGE OR REMOVAL TO BE HADE AT SOLE EXPENSE OF THE PARTY OR
PARTIES TO WHOM THIS PERMIT IS ISSUED1 OR THEIR SUCCESSOflS AIlD ASSIGNS,
8. ALL SUC~ CHANGES, RECOflSTRUCTlON OR RELOCATION BY THE GRANTEE SHALL BE DONE IN SUCH A MANNER AS WilL CAUSE
THE LEAST IIHERFERANCE WITH ANY OF THE COUNTY'S WORK ArlO JEFFERSON COUNTY SHALL IN NO WISE BE IIElD LIABLE
FOR ANy DAMAGE TO THE GRANTEE BY REASON OF ANY SUCtl WORK BY JEFFERSOII COUNTV, ITS AGENTS OR REPRESENTATIVES,
OR BY THE EXERCISE OF ANY RIGHTS ay THE COUNTY UPON ROADS, STREETS, PUBLIC PLACES OR STRUCTURES IN QUESTION.
9. THE GRANTEE SHALL NOTIFy TliE COUNTY'S REPRESENTATIVE UPON COMPLETION OF THE WORK UNDER THIS PERMIT SO THAT
A FINAL INSPECTION CAN ~l' MADE.
IF t1ECESSARY ro INCREASE SIGHT DISTA.NCE, STUMPS 1..'10 BRUStt SHALL LIE REMOVED FROM BOTH SIDE!3 OF TItE
~~r~~^~~ALL T::~T I~~ I ~~~~7~~~6E o~IJ~~0~~y O~O~~R~~t~~~~g~:w~~~HER OR 01 SF I GUR ltlG OF ANY FEATURE OF SCEN IC
WOOf SHALL i1E RESTRICTED TO TliE liOURS BETWEEN 9:00A.M. AND 4:00p.M. UNLESS OTHERWISE AUTHORIZED ny THE
ENGINEEr;-,
A SURETy BOlIO IN THE AMOUNT OF $__ __I WRITTEN BY A SURETY COMPANY AUTHORIZED TO
00 BUSINESS IN THE STATE OF WASHINGTON, SHALL BE FURNISHED TO INSURE COMPLIANCE WITH ANy AND ALl. OF THE
TERM~ AND CONDITIONS OF THIS PERMIT AND SHALL REMAIN IN FORCE UNTIL ALL WORK UNDER THIS PERMIT ItAS
BEEN COMPLETED AND APPROVED BY THE COUNTY,
BLFORE AllY LOG HAULING OPERATIONS BEGIN, A SURETY Berm IN THE AMOUNT OF $._______, SHALL
BE FUfltll!itlED BY THI; GRANTEE TO PflOTECT THE COUNTY AGAINST AnY DAMAGE TO THE COUNTY ROAD AND TO ItISURE
COMPLETE REMOVAL OF TIlE APPROACH AND CLEANING UP OF THE RIGHT-Of-WAY TO THE SATISfACTION OF THE COUNTY,
APPROVAL OF ALL CLEAU UP WOR/( SHALL BE SECURED BEfORE THE BOND WILL BE RELEASED.
o 2, SPECIAL CONSIDERATIONS
0 J.
fSQ 2,
0 3.
0 II.
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SPECIAL PPOVISIONS
APPLICABLE PROVISIONS ARE DENOTED BY AN (X)
~o~~~~ug~ Ib~E A~i~~k I Z~~f.~~ ~~I ~N P~~~I~o:1 ;~I~' T~~D c~~~~~C;;E~ I ~~~~O;~~A~:EMENTS, Ai ALL T I/1E5 DURING THE
THE APPROACH SHALL BE CONSTRUCTED IN ACCO~D~CE WITH THE ATTACHED DESIGN PLATE TYPE_~.\.._
~~~~~A~,~D l~ ~TRUE F[ i~~N~~~ g~A~~A~~C~H~~~H~~E~u~~~~~~T r61 ;~E S~t~~ T~E A~L~~~eN I~N
~7~En~~G A~~ ~~~F~~~D~A~~R T~~o~p~=~e~~E S~~~~E~iy I~N~gcg~e~~~E R ~~~~~~~:w~~O~: t~ ~g~T:~L p~~MI~iE~~AN.
TttE APPROACH SHALL BE SUFFICIENTLY SURFACED BACK Arl ADEQUATE DISTANCE FROM THE EDGE OF THE PAVEMENT TO
PRtVENT ANY MUD TRACKING ONTO TltE COU!iTY ROAD, ANY HUD TflACKt:D ONTO THE COUNTY ROAD SHALL BE IMMEDIATELY
CLEANED UP BY THE GRANTEE OR HIS AGE~H.
Form 1131':1
..
.
~
GENERAL PROVISIONS
1. THIS PERMIT IS SUBJECT TO RCW 36.7S.130J ,1QO AND .150 MD .'\MENDMENTS THERETO,
2. THE GRANT!;.!:., ITS SUCCESSORS AND ASSIGNS, AGREES TO PROTECT JEFFERSON COUNT'{ AND SAVE IT HARMLESS FROM ALL
CLAIMS, ACTIONS OR OMlAGES OF EVERY KIND AND DESCRIPTION WH!CIl MAY ACCRUE TO OR BE SUFFEREU BY ANY PERSatl,
PERSONS, OR P/WPERTy BY REASON OF TflE PERFORMANCE OF ANY SUCH WORK, CHAI1ACTER OF MATERIALS USED OR MANNER
OF INSTALL^TIOf~; IN CASE ANY SUIT OR ACTION IS BROUGHT AGAINST THE COUNTY FOR lJAMAGES ARISING OUT Of OR BY
REASotl OF ANY OF THE ABOVE CAUSES, THE PETITIONER, ITS SUCCESSOI(S OR ASSIGNS WILJ., UPON NOTICE Of COMMENCEw
MENT OF 5UCH ACTION, DEFEND THE SAME AT ITS SOLE EXPENSE AND SATISFY MY JUDGEMENT ARISING THEREFROM IF
DETERMINED ADVERSE TO JEFFERSON COUNTY,
3. IF THE GRANTEE EtHERS INTO A CONTRACT OR AGREEMENT Wlnl A THIRD PARTY TO PERFORM THE WORK AUTHORIZED
?~tJ:~~f F~~R~b[D ~~~M[~~~D A~~R6~FE~~ ~H~A~~U~~Y T~~ ~g~~~~~~~ll~~T~O~HJ T~R~~n~~~~ ~:T~^~:~~1~~J2~(i:~~~E;0
q, ~~Y T~~~A~~R~~ T A~~ ~~ N 1~~ gg~~i~~g~ro~N~o~~Q~:J=~C~~~~ ~i~~:~ ~~D~^y~R s~~ttU~5B3~cfH~H~~R~E~~liHio G~~~r~~_
LATION AS HEREIN PROVIDED.
5, DURING THE CONSTRUCTION OF THE FACILITY, THE GRANTEE SHALL COMPLY WITH THE MAriUAL ON UNIFORM ~1iIRlll.
DEVICES FOR STHF.F.TS AND HIGItitAY.S. PUBLISHED BY THE U, S. DEPARTMENT OF TRANSPORTATION.
6. ON COMPLETION OF SAID WORK HEREIN CONTEMPLATED, ALL RUBBISH AND DEilRIS SHALL BE IMMEDIATELY REMOVED AND
THE ROADWAY AND ROADSIDE SHALL BE LEFT NEAT AND PRESENTABLE ArID SATISFACTORY TO THE COUNTY,
7, HIE COUNTY RESERVES THE RIGHT TO ORDER THE CHANGE OF LOCATION OR THE REMOVAL OF ANY STRUCTURE OR STRUCTuRES
AUTHORIZED BY THIS PERMIT AT ANY T1MEJ SAID CHANGE OR REMOVAL TO BE HADE AT SOLE EXPENSE OF THE PARTY OR
PARTIES TO WHOM THIS PERMIT IS ISSUED, OR THEIR SUCCESSORS AND ASSIGNS.
8, ALL SUCH CHAUGES, RECONSTRUCTION OR RELOCATION BY THE GRANTEE StiALl BE DONE IN SUCH A MANtlER AS WILL CAUSE
THE lEAST INTERFERANCE WITH AN'!' OF TltE COUNTY'S WORK AND JEFFERSON COUNTy SHALL IN NO WISE BE IlElD LIABLE
FOR ANY DAMAGE TO THE GRANTEE BY REASON OF ANY SUCH WORK BY JEFfERSON COUNT'l', ITS AGEtHS OR REPRESENTATIVES,
OR BY THE EXERCISE OF Ar~y RIGHTS BY THE COUNTY UPON ROADS, STREETS, PURLIC PLACES OR STRUCTURES IN QUESTION.
9. THE GRANTEE SHALL NOTIFY THE COUNTY'S REPRESENTATIVE UPON COHPlETlON OF THE WORK UNDER THIS PERMIT SO THAT
A FINAL INSPECTION CAN BY MADE.
0 1.
0 2,
D 3.
D ~,
0 5,
D 6.
0 7.
o 8,
SPECIAL PROVISIONS
APf'L1CABLE PROVISIONS ARE DENOTED RY AN (X)
~o~~~~ug~ I ~~E A~~~~kI Z~~A~~ ~~I gN pi~~1 ~O: I i~I~J T~~D c~~~i~~~E~ I~~~~O:~~A~:EHENTS, AT ALL. TIMES DURING THE
THE APPROACH SHAll BE CONSTRUr.TEO IN ACCORDANCE WITH THE ATTACHED OESIGN PLATE TYPE
APPROACH. A __FT.LENGTH OF ItlCH DIAMETER CULVERT PIPE SHALLBEPD\CiJi--Ir-
[lITCH AND LAID TO A TRUE LINE AND GRADE. THE APPROACH SHALL BE SURFACED TO THE LIMITS AS SHOWN ON
07~E~i~~GA~~ ~~~F~~~D~A~~R T~~o~p:=~e~~E S~~6~E~~Y I~N~gcg~~~~~E R ~~~~_~~~W~~OC: t~ ~g~T:~L p~:Hi~~E~:AN.
HiE APPROACH SHALL BE SUFFICIENTL'!' SURFACED BACK AN ADEQUATE DISTANCE FROti THE EDGE OF THE PAVEMENT TO
PREVENT ANY MUD TRACKING ONTO TltE COUNTY ROAD. ANY MUD TRACKED ONTO THE COUNTY ROAD SHALL BE IMMEDIATELY
CLEANED UP BY THE GRANTEE OR tilS AGENT.
If NE~ESSARY TO INCREASE SIGIH DISTANCE, SlUMP!; ArlO BRUSH SHALL BE REMOVED FROM BOTH SIDES OF TltE
~~t~t~~ALL I ::6r I~~ I ~g~7~~~6E o~U~~~~~ Y O~o~5H~~~~i~~~:w1~~B[R OR 01 SF IGUR Itl(, OF ANY FEATURE OF SCEN IC
'WORk StiAll BE RESTRICTED TO TilE HOURS BETWEEN 9:00A,M. AND 4:00P,M, UNLESS OTHERWISE AUTHORIZED BY THE
ENG[flEER.
A SURETY BOND IN THE AMOUNT OF $__._____. WRITTEN BY A SURETY COMPANY AUTHORIZED TO
00 BUSINESS IN TltE STATE OF WASHINGTON, SttALL BE FURNIStlED TO INSURE COMPLIANCE WITH ANY AND ALL OF THE
rERM~ AND CONDITIONS OF THIS PERMIT AND StiALl REMAIN IN FORCE UNTIL ALL WORK urlDI:::R THIS PERMIT tlAS
BEEN COMPLETED AND APPROVED BY THE COUNTY,
BEFORE AllY LOG HAULING OPERATIONS BEGW. A SURETY aONO IN THE AMOuNT OF t___,________~, SHALL
BE FURNISHED BY THE GRANTEE TO PROTECT THE COUNTY AGAINST ANY DAMAGE TO H1E COUNn ROAD .'ND TO IIlSURE
COMPLETE Rlf'lOVAl OF TIlE APPROACH AND CLEANING UP OF THE RIGHT-OF-WAY TO HiE SATISFACTION OF THE COUNTY.
APPROVAl. OF ALL CLEAN UP WORK SHALL BE SECURED BEFORE THE BOND WilL BE RELEASED.
SPECIAL CONSIDERATIONS
Form 113 b
..
e
...,
GENER^l PROVIS IONS
1. THIS PERMIT IS SUBJECT TO PCW 36.75.130, .140 AND .150 AND AMENDMENTS THERETO.
2. lHE GRANTEr., ITS SUCCESSORS AND ASS1(iNS, AGREES TO PROTECT JEFHRSON COUNTY AND SAVE IT HAHMLESS FROM ALL
l.:I.AJMS, ACfJONS OR DAMAGES OF tllERV KIND AND DESCRIPTION WHICH MAY ACCRUE TO OR BE SUFFEREO BY Ali'i PERsorl,
PEf(SONS, OR PROPERTY BY REASON OF THE PERFORMANCE or ANY SUCH WORK, CHARACTER iJF HATEn IALS USED OR HANNER
OF INSTALLATION; IN CASE ANY SUIT OR ACTION IS BROUGHT AGAINST THE COUNTY FOR DAMAGES ARISIIlG our OF OR BY
REASON OF ANY OF THE ABOVE CAuses, THE PETITIONER, ITS SUCCESSORS OR ASSIGNS Will, UPON NOTICE OF COMMENCE~
MENT OF SUCH ACTION. DEFEND THE SAME AT ITS SOLE EXPENse AND SATISFY ANY JUDGEMENT ARISING TtIEREFROM IF
DETERMINED AOVERSE TO JEFFERSON COUNTY,
3. IF THE GRANTEE ENTERS INTO A CONTRACT OR AGREEMENT WITtl II THIRD PARTY TO PERFORM THE WORK AUTHORIZED
BY THIS PERHIT, THE THIRD PARTY, AS A PART OF TliE CONSIDERATtOf! FOR ITS CONTRACT WITH GRANTEE, AGREES ro
ItlDEMNIFY, HOLD HAIiMLESS AND DEFEND THE COUNTY IN ACCORDANCE WITH THE PROVISIONS OF PARAGRAPH 2, ABOVE,
q, ~~Y T~~iA~~R~~ T A~~ ~f Ii I~~ ~g~~i~~g~~o~Neo~~Q~J~~~~~i~ ~i~~l~ ~D5Ay~R $~~ttU:~B~~ciH~H~~R~E~~I~Hio G~:~~~~_
LATION AS HEREltl PROVIDED,
5, DURING THE CONSTRUCTION OF THE FACILITY, THE GRANTEE SHALL COMPLY WITH THE t1AtlJ.lAL. ON UNIFORM TRAFFIC COliI8.tll.
~R STRFFTS ANll HIr.ttktAY.S, PUBLISHED BY THE U,S. DEPARTMENT OF TiMNSPORTATION,
6. ON COMPLETION OF SAID WORK HEREIN CONTEMPLATED, ALL RUBBISH AND DEBRIS SHALL BE IMMEDIATELY REHOVED AND
THE ROADWAY AND ROADSIDE SHALL BE LEH NEAT AND PRESENTA~LE AND SATISFACTORY TO THE COUNTY,
7, THE COUNn RESERVES THE RIGHT TO ORDER THE CHANGE OF LOCATION OR THE REMOVAL OF ANY STRUCTURE OR STRUCTURES
AUTtlOR I lED BY Tit I S PERMIT AT ANY T IHE, SAID CHANGE OR REMOVAL TO BE HADE AT SOLE EXPENSE OF THE PARTY OR
PARTIES TO WHOM THIS f'ERMlT IS ISSUED, OR THEIR SUCCESSORS AND ASSIGNS.
8, ALL SUCH CHANGES, RECONSTRUCTION OR RELOCATION BY THE GRANTEE SIlALL BE DONE HI SUCII A MANNER AS WILL CAUSE
THE LEAST INTERFERANCE Willi ANY OF THE COUNTY'S 'rlORK AND JEFFERSON COUNTY SHALL IN NO WISE BE HELD L1fIBLE
FOR ANY DAMAGE TO THE GRANTEE BY REASON OF ANY SUCH WORK BY JEFFERSON COUNTY, ITS AGENTS OR REPRESENTATIVES,
OR BY THE EXERCISE OF ANV RIGHTS BY THE COUNTY UPON ROADS, STREETS, PUBLIC PLACES OR STRUCTURES IN QuESTION,
9, THE GRANTEE SH/'LL NOTIFY THE COUNTY'S REPRESENTATIVE UPON COMPLETION OF THE WORK UNu;R THIS PERMIT SO THAT
A FINAL INSPECTION CAN BY MADE.
0 1.
0 2.
0 3.
0 4.
0 5.
0 &.
0 7.
o 8.
SPECIAL PROVISIONS
APPLICABLE PROVISIONS ARE DENOTED BY AN (X)
~o~~~~ug~lri~EA~~~~klz~~A~~ ~~I~Np~~~I~O~lnl~'T~~Dc6~~f~S:~E~I~~~~0;~~A~~EMENTS, AT ALL TIMES DURING THE
THE APPROACH SHALL BE CONSTRUCTED IN ACCORDANCE WITH THE ATTACHED DESIGN PLATE TYPE
APPROACH. A _._FT ,LENGTH OF INCH DIAMETER CULVERT PIPE SHALliiE PLAcE"OI"N"--
DITCH AND LAID TO A TRUE LINE AND GRADE. THE APPROACH SHALL BE SURFACED TO lHE LIMITS AS SHOWN ON
Olli~E~f~~GA~~ ~~~F~~~D~A~~R T~~o~p~~?e;~e S~~a~E~iy I~N~gcg~~~~~E R~~~~_~~~W:~O~: t~ ~g~T:~L p~~Ml~~E~~AN.
TilE APPROACH SHALL BE SUFFICIENTLV SURFACED BACK AN ADEQUATE DISTANCE FROM THE EDGE OF THE PAVEMENT TO
PR(VENT ANY HUD TRACKING ONTO HiE COUNTY ROAD. ANY HUD TRACKED ONTO THE COUNlY ROAD SHALL BE IMMEDIArELV
CLEANED UP BY THE GRANTEE OR HIS AGENT.
IF NECESSARY TO INCREASE SIGHT DISTANCE, STUMPS AIID BRUSH SHALL UE REMOVED FROM BOTH SlOES OF TIlE
e=r~~A~~ALL Tn~T 1~~I~~~~7}~:~E O~U~~~~~Y o~o~5R~~~~i~~~:wl~~B[R OR DI SF IGUR ItlG OF A~IY FEATURE OF seEN Ie
WORK SHALL BE RESTRICTED TO THE liQURS BETWEEN 9:00A.M, AND q:OOf'.H, UNLESS OTHERWISE AUTHORIZED BY THE
ENGINEER.
A SURETy BOND IN THE AMOUNT Of $_____, WRITTEN BY A SURETY COMPAtlY AUTHORIZED TO
DO BUSINESS IN TltE STATE OF WASHINGTON, SHALL BE FURNISHED TO INSURE COHPLlANCE WITH ANy AND ALL OF THE
TERM:> AND COND IT IONS OF TH I S PERMI T AND SHALL REHA IN IN FORCE OOTI L ALL WORK utWER TH I S PERMIT HAS
BEEti COMPLETED AND APPROVED BY THE COUNTY,
BErORE AN" LOG tfAULlNG OPERATIONS BEGIN, A SURETY BOND IN THE AMOUNT OF $.._______._, SHALL
BE FURNISHED BY THE GRANTEE To PROTECT THE COUNTy AGAINST ANY DAMAGE 10 THE COUNTy ROAD AND TO INSURE
COMPLETE RlMOVAL OF THE APPROACH MID CLEANING UP OF THE RIGHT-Of-WAY TO THE SATISFACTION OF THE COUNTY.
APPROVAL Of ALL CLEAll UP WORK SHALL BE SECURED BEFORE THE BONO WILL BE RELEASED.
SPECIAL CONSIDERAtiONS
--------
Form 113 b
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REC,.i.OEU IN VOLU,~E..&L.
2780~6 Df [)(fICll\l1ECOROS_fiF_
pr\"'f.6,L~'8
RE::~:I:: ::~A;:::2 )?~ PH q'~
fORTION OF USEAGE RIGHT-OF-WAY, DOSEWALLIPS ROAD
lj-rn J .qJr'r:Clt'Ou
J~I i'~':IX;\' ';ui~r;lvol Ton
Bl ~
This matter coming to be heard this day upo~" , I" " ~t1::.
Engineer's report and the County Planning Department's report wlth(respect
to the vacation set forth in "Peti tion for vacation of a Coun.;ty Road" sub-
...'
mitted by Stan Johnston, and it appearing to the Board of County Commis-
sioners that notice of hea~ing has been posted and published for the time
and in the manner provided by law, proof of such posting and publication
being now on file herein and said Board having the other evidence adduced,
and being fully advised in the premises does now find and determine that
the public will be benefited by the vacation thereof; Now, Therefore,
.BE IT RESOLVED, and it is HEREBY ORDERED that:
That portion of the existing useage right-
Of-way (approximately 25 feet in width) of
tqe Dosewallips Road, County Road 70, lo-
cated in the SE~ of the SE~, South of the
County Road (Tax 1), in Section 28, Town-
ship 26N, Range 2W, W.M., as replaced by
;" and. shown on the plans of County Road Pro-
ject 344, approved October 14, 1971, said
road being approximately 300 feet in length,
be and the same is her~by vacated and abandoned pursuant to RCW 36.87.140
with the stipulation th~t Jefferson County shall retain an appropriate
utility easement within the old useage road right-of-way.
BE IT FURTHER RESOLVED, that Jefferson County shall maintain
continued use of the area as a crushed rock stockpile site until the exist-
ing stockpile is exhausted. It is anticipated the materials will be com-
pletely used by the end of 1982.
BE IT FURTHER RESOLVED, that compensation for vacation of tpe
above described road shall be paid to the County by the petitioner as per
Ordinance No. 2-76, as defined under (1) Classification, Class I, and for
all expenses incurred by the County for investigation, examination, publi-
catioll. a~<L'ff~t'aading. .J.l
/.p .... _ .~~,~~ ~' day of
..:J.i . ". P \',
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ATTEST: i, ;1,;1,;
J,Ptdine C. Br 9
Clerk of the Boat
June, 1982.
JEFFERSON COUNTY
BOARD OF COUNTY COW1ISSIONERS
j~f47/~<'VH )
B.G. Brown, Chairman
a -9# ,{JJJIi!U/lA /'
A.N.O'Meara, Member
@ f,l/lrwr{l !(~ )rti! /i.cu,
Ca;rroll H,' Ne ccr, Nember .
VOl tG1 ,';.:46~3
t'
8
..
GENER^l PPOV IS IONS
1. TtllS PEHMlT IS SUBJECT TO RCW 3&,75.1301 .11jQ AND ,150 MIO AMENDMENTS THERETO.
2, TIlE GRANTEE. ITS SUCCESSORS AND ASOIGNS, AGREES TO PROTECT JEFFERSON COUNTY AND <AVE IT IlARMLESS FROM ALL
CLAIMS, ACTIONS OR DAMAGES OF EV[BY KIND AlIO UE5CRlPTlOII WHlCIl MAY ACCRUE TO OR GE SUFFERED BY ANY PERSOIl,
"EN SO,," , DR PROPERTY av REASON OF TIlE PERFORIlANCE OF ANY SUCH WORK. CIlARACTER OF "ATERlALS USED OR MAIINER
'}f IIISTALLATlOII; IN CASE ANY SUIT OR ACTlOII IS ,"OUGHT AGAINST THE COUNTY FOR DAMAGES ARISING OUT OF OR BY
RLASOII OF ANY OF ]Ile ABOVE CAuses, THE PETITIO",o. ITS SUCCESSORS OR ASSIGNS WILL, UPON NOT ICE OF COMMENCE-
MElli OF SUCH ACTION, DEFEND THE SAME AT ITS SOLE EXPEllSE AND SATISFY ANY JUDGEMEIIT ARISING THEREFROM IF
DETERMINED AOVERSE TO JEFFERSCtl COUNTY.
3, IF THE GRANTEE EIlTERS IIITO A COIITRACT OR AGREEMENT WITIl A TlIIRO PARTY TO PERFURM THE WORK AUTHORIZED
~~Df~~iF~:N~6~u i,~iM~~;~OA~~R6~iE~g ~H~A~6u~;y T~i ~2~g~g~~gl~~T~0~HiT~Rgem~~; ~!'~A~:~~r~~'2~GmeE;0
4, ~~V,~:~A~~R~iTA~~ ~iNm ~g~m6mo~N~0~;O~m~,~~i~ ~;~~:~ ~8D~Ay~RS~~itU~~B~~ciHM~R;E~~liH;0 G~~~m_
lATlON AS ~IERErN PROVIDED.
5. DURING THE COIISTRUCTlON OF THE FACILITY, THE GRAil TEE SHALL COMPLY WITH THE !WiUALDJ< UNlFoRH TRAFFIUlllUllQ!.
Of.Y.ln.LE..OlLUaff.I5......AtiD-..tlftfA:t.S. PUBLISHED BY THE U,S, DEPARTMENT OF TRANSPORTATION,
6, ON COMPLCTlON OF SAID WORK IlERElN CONTEMPLATED, ALL RUBIlISH AND DEBRIS ,"ALL BE IMMEDIATELY REMOVED AND
HIE ROADWAY ANn ROADSIDE SHALL BE lEFT NEAT AND PRESENTABLE AlIO SATISFACTORY TO THE COUNTY,
7, TIlE COUIITY RESERVES THE RIGHT TO ORDER THE CHANGE OF LOCATION Oil TIlE IIEMOVAL OF Ally STDUCTURE OR STRUCTURES
AUTliORIZEO BY THIS PEIIMIT AT ANY TIME, SAIl, CHANG( OR REMOVAL To BE MADE AT SOLE EXPEllSE OF THE PARTy OR
PARTIES TO WH~M THIS PERMIT IS ISSUED1 OR THEIR SUCCESSOkS AND ASSIGNS,
g, ALL SUCM CHAIIGES, RECOIISTRUCTlON OR RELOCATION BY TilE GRANTEE SIlALL BE DONE II< SUCH A MANNER AS NILL CAUSE
THE LEAST IImRFERANCE W ITM ANY OF THE COUNTY'S HORK AND JEFFERSON COUNTY ,"ALL I N NO WISE BE liELD LI ABLE
FOR ANY DAMAGE TO TIlE GRANTEE BY REASON OF ANY SUCfI WORK BY JEFFERSON COUNTY, ITs AGEIITS OR REPRESENTATIVES,
OR BY THE EXERCISE OF ANY RIGHTS BY THE COUNTV UPOII ROADS, STREETS, PUBLIC PLACES OR STRUCTURES IN OUEST ION.
9, TilE GRANTEE SHALL NOTIFY THE COUNTY'S REPRESEIITATlVE UPON COMPLETION OF THE WORK UNDER TMIS PERMIT SO THAT
A FINAL INSPECTION CAN BY MADE,
SPECIAL PROVISIONS
APPLlCABl.E PROVISIONS ARE DENOTED BY AN (X)
~o~~iiug; 16~'.~i~2~ iz12A~~ ~~Ig" pi~~1 ~O~ I;~ i~' T~~O c6~~i~,;E~ I ~~~~Oi~~A~~EMENTS, AT ALL TIMES OUR ING THE
THE APPROACH SHALL BE CONSTRucreo IN ACCORDANCE WITH THE ATTACHED DESIGN PLATE TVPE'--___
APPROACfI, A -_",'-ENGTH OF INCH DIAMETER CULVERT PIPE SMALL BE PLACED IN
OITCIl AND LAID TO A T.UE L1I1E AlID GRADE, THE APPROACH SHALL BE SURFACED TO THE LIMITS AS SHOWN ON
O\'~E~i:~G A~~ ;~~FX~~O~A ~fR T~~O~P~~?C~~E S~~~~E~iy '~N:gcg~e~~~E R~ 1~~-6~~w~~0~: ~~ ~g~T:~Lp~~MmE6~AN,
TflE APPROACH SHALL BE SUFFlCI'NTLY SURFACED BACK AN ADEOUATE DISTANCE FROM THE EDGe OF THE PAVEMENT TO
PoeVElIT ANy MUD TRACKING OIlTO TIlE COUll TV ROAD. MY MUD 'RACKED ONTO THE COUNTY ROAD SHALL BE IM'iEOIATELY
Cl.EANED UP By TUE GRANTEE OR HIS AGENT,
IF IIECESSARY TO INCReASE SIGHT DISTANCE, STUMPS AIID BRU," ,"ALL BE REMOVED ,"OM BOTH SIDES OF TflE
A~r~~A~~ALL T::~T I~~ I ~g~7 ~~t~ Eo~Ui6~~~y O~o~~R~~~::i~~;~w:~~BER OR 01 SF IGUR 1140 OF ANY FEATURE OF SCEN I C
WDR< SIlALL BE RESTRICTED TO THE HOURS BETWEEN 9:00A,M, AND 4:00P,M, UNLESS OTHERWISE AUTMORlZED BY THE
ENGIIlECR.
^ SUR"Y BOliO III TH( AMOONT OF 1________, WRITTEN BY A SUIIEr" COMPANY AUTflORlZEO TO
"0 RU"'lE" IN TIlE STAre OF HASIlINGTON, SflALL BE FURIIISHED TO IIISURE COMPLIANCE HITIl ANY AlID ALL OF THE
"'M$ AIIO CUNOIf IONS OF TillS PERMIT AND SflALL ReMAII/ IN FORCE UI/TlL ALL HORK Ol/OER TillS PERMIT flAS
tH.fri COMPLETED AND APPROVED By THE COUNTy.
8(FORE AllY LOG flAULlIlG OPERATIONS BEGII,. A SURETy ROllO III TII( AMOUNT or I , SHALL
BE FUHIIISIlED BY TilE GRAN"E TO PIIO"cr THE COUllfY Ar,'I'IST AllY DAMAGE TO TiiCiQi;;,'iY-ROf.ir/"nfri IIISURE
CU",'L(f( RlNOVAL OF "iE APPROACIl ,"0 CLEAIIINO UP OF TIlE RlOhr'OF'WAY ro TlI( SAIISFACTlON OF THE COUNTY,
APf>HOVAL OF ALl. CLEAN UP WOR~ SIIALL BE SECURED BEFORE HIE BOND Will BE RELEASEO,
o R, SP(CIAL CO';SlOERATlONS_______________
0 1.
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STATE OF..".,A(,:::,~4=..".".,,}
ss,
County of..."".......".."""..."....."""".."
On !hisday personally appeared before me"",.."""",A'!d>"f.:,;:"..<,,,.....,,..<:;:~,.,,..,,.("c.,Q,,~..,,.,,,,.,,.."."........."..
..,..,.."".",.."................................,..............."........".....................,."..........,....."""""".,..........""."to me Imown to be the individual....
described in and who executed the within and foregoing instrument and acknowledged that..."..:r.4...."..signed
the same as."...!t.,e,e::...".free and voluntary act and deed fer the uses and purposes therein mentioned.
Given under my hand and official seal thiS.........",:2...~.:..~:~ayo~~:::::.::~-t...., 19..77
.:.::::::=~~...,..=I~-22.,.~.:.........
Notary Public in and for the State of-wammgtmi, residing aa....i~~...L~i(~\............
4(<<..s4
(IndivIdual acknowledgment Corm)
::l~n:: o~~~,.,.,.....~,.~..~,'..~..,.~..~,..'....~..~~,'~....~,'~,'~..~~~~.~ } ss,
(Corporation acknowledgment form)
Vi7 C4>~ 77 (-..? s:- ?P
au this..............."...............day OL......."""..".................".....",.", 19""..", before me personally appeared,.."..".".......,
...........,.'..""h....".".......".....,,,..........,... ....,'"......".........,.....,,,.,,.,,,.and...,...........,,,,,,,,,..........".....",.""......"....".."..",.........., to me known
to be the........,,,.......,,...,........,,......,,..... ......."....."...."..,............"and......,.,................,..,..."..,""......"........".,...,.........of the corporation
that executed the within and foregoing instrument, and acknowledged said instrument to bc the free and vol-
untary act and deed of the corporation, for the uses and purposes therein mentioned. and on oath each stated
that he was authorized to execute said intrument aud that the seal affixed is the corporate seal of the
corporation,
In Witness Whereof I have hereunto set my hond ond affixed my official seal the day and year first
above written.
Notary Public in and for the Slate of Washington, residing at .......................................................................
...................,...........................................................................................
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STATE OFUJ!.rpL~ liiil....}
1j 1 ss,
County of....>. 1)}.~,...
On t s ~y PFsonally appeared before me... ~"-'."'. J" .J.A4;'(.:t/..."",.C1.4J.",...d~!!a""r./.....
. C.""' nti.:tJ..(.""."."...."".".."" ."..."."."..", ..."""t "",..", ,.",..... ".". "to me known to be the individuaI5.
described in ~nd W?O executed the within and foregoing instrument and acknowledged that..:1..i.Q"o/."..signed
the same as"rtv...,:.l!..".free and voluntary act and deed for the uses and purposes therein menti6ned.
Given u'itd~\' my hand and official seal this"....".z2. K..~"? "day of "...~127"....".""..".., 19,,7.7
, ,,"";' ,\', .~~. j t:;;j
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'_ -; \. \~ '(", .: 12 Notary Public in and for the State of Washington, residing at....c;:t,u..{Zc!..i:.-.~...........................
'":./~\:),:;:'{:~:}'.... jl
(Individual acknowledgment Corm)
(Corporation acknowledgment Corm)
::~:; ::::::::::::::.:::::::::::::::::::::::::::::: }ss,
On this"......"...""."".."...".day 01....""........."""."""."..."" ....".". 19."."", before me personally appeared....."""".......
........................................................................................................and.................................................................................., to me known
to be the.......".""",,,.,,...,,.....,,,,,,..,,,,.,,,,,,..,,..,.,,.,,.,,,,,,.,,,,....,,,,,,and......"........."....................."........"..""."."."..."..of the corporation
that executed the within and foregoing instrument, and neknowlp.rlged sairl instrument to be the free and vol-
untary act and deed of the corporation. for the uses and purposes therein mentioned. and on oath each stated
that he was authorized to execute said intrument and that the seal affixed is the corporate seal of tho
corporation,
In Witness \\-'hereof I have hereunto sot my hand and affixed my official seal the day and year first
obovc written.
Notary Public in nod (or the State of Washinglon, residing ut .......................................................................
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233408
QUIT-CLAIM DEED ",~"h' /c/ '):;'l,ii';
:, /. I . r,-.-;t,ct/..duL
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..............................................................................................................................,.................................................................................................
for the consideration oL.Tw.Q".tl.~ndr.e!i."f.Hte~.n...~."NQ!J.9.9.7.:.7.:.7.:,7.:,7.:.7.~J$.f,U,.9,Ql.~.7.~,7.~.7.~.:::::.7.~.:Dollars
and also of benefits to accrue to grantor by reason of laying out and establishing a public road, conveys and
quit-claims to Jefferson County, State of Washington, the following descrihed real estate sitnate in Jefferson
County, Washington, viz:
Jl(l!Hii<llXllI(1';lOO;x.xXXXXXx.xfifu'tl!,l!llliJptimIlM.~X.~X.~X.l\Z.~:t~#):lI,1!liI!Xx.;'IlDll!l'tIl.'{XHfu'QlKltlIl!Xfu'lli>'YlIHl\Xl!l>X
~:tllKlOO(lilll!lllfXfu'eXliliO:V\J(;;;'tW,Wi1:JrMKalOO<Xli~l\IlHXI&~llllKJ(>>XlJi(XlX1\!X1I1lNllIS
That portion of the following described tract of land that lies in Tax 4 and the
S~, NW!z;, NE~ as shown on Exhib'it "A". Said tract of ].:}nd being 60 feet wide, being 30
feet jn w:J.dth on each side of the following described centerline, all in Section 29,
T. 26 N., R. 2 W.W.X.
Beginniag at Eng. Sta. 34+59.9, which is 1074.7 feet South of the Quarter Corner
common to Sections 29 & 20, T. 26 N., R. 2 ~v.H.M.; thence S. 85000'10" E a distance of
349.6 feet; thence on an arc of a 2000' curve to the left a dilitance of 391.66 feet;
thence N 87009'45" E a distance of 443.3 feet; thence on an arc of a 3000' curve to
the right a distance of 97.80 feet to Eng. Sta. 21+77.5.
Except from Eng. Stas. 21+77,5 t026+50, the RN shall be 50 feet 00 the Left
EKcep t from Eng. Stas. 26+50 to 27+50, the R/W shall be 40 feet on the Righ t
Excep t from Eng. Stas. 26+50 to 28+00, the R/l, shall be 60 feet on the Left
Excep t from Eng. Stas. 28+00 to 29+50, the R/l, shall be 40 feet on the Left
Excep t from Eng. Sta. 28+50 to 29+00, the R/I, shall be 75 feet on the Right
Excep t from Eng. Sta. 29+00 to 30+00, the R/W shall be 105 feet on the Right
Except from Eng. Sta. 30+00 to 31+00, the R/W shall be 80 feet on the Right
Excep t from Eng. Stas. 31+50 to 34+59.9, the R/I, shall be 40 feet on the R:lght
Excep t from Eng. Stas. 33+50 to 34.59.9, the R/I' shall be 40 feet on the Left
Less Existing Right of Way
All accordIng to the Plans and Specifications on fi.le in the Office of the
Jefferson County Engineer, Courthouse, Port Townsend, Wash. 98368.
NO l' CAI. V.~T:.1'E
~~AI F'~ 'J't\V Er:'.fJ; if~\_':n
',:~NTY T::;::,i)[;'li.1t
S 'd t' t ' . gO. 27 acre mo 1 ' /..2.... 8:l:J.<-.L J.u..::::....-.__.
m S rip con amm ................................ S re or ess. -r-t1.~
The Grantor also grants to Jefferson County the right to construct and maintain necessary cut and fill
slopes. cul"erts. speciol ditches, and appurtenances where the same moy extend beyond the limits of the lond
hereby conl'eyed,
nOlted this ........l{ .... ..day Of....2.U.d~.~;-c.;.t.........., A. D. 192.6..
WITNESSES:
/
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Wi. fig ~"A97
fSo'V"~""-fifj--'!f)^
STATE OF."tt.J.r.'4.J1&:~'f.1J5i"",,,}
County OL~f.fr./..&=... ...".." ss, " ,
On this day personally appeared before me"""" @(,'-!:1."".!. c~""."I?-::.!.~?:f~."""."""..".""....""....
.",.,.""".""""""...""""""""...""""""""."""".""."""""""",,.,,""''''''''''''''''''''''''''""" ..,..."""".to me known to be the individual""
described in a'),d, who executed the within and foregoing instrument and acknowledged that.~b!".""""signed
the same as.",~.""""free and voluntary act and deed for the uses and purposes therem mentioned,
Given under my hand and official seal this""""."//.."...".,,.day of "");)J.(,I(J"~.:"!.:::::".,,.,,...l9.,,~,,.
. , "."""""...b:J.~~!:f..."T...:,,;~~,.t;;," .
Notary Public In and Cor the State of Washington, reSiding at......E.....:.~~:.~..........;.;,.....".,.,........,.................
.....:~::~'<:::.
\~.:}-~i ',;;::~~
(IndIVIdual acknowledgment Corm)
(Corporation acknowledgment form)
::::: :::::::::::::::.::::::::::::::::::::::::::::: }ss,
On this"."""..."."..."""."."day oL"."."""""""""."".""".". "".", 19""."., before me personally appeared"."".""""""
..................,.....................................................................................and.................................................................................., to me known
to be the...""".""""",,,,,,,,,,,,,,,,,,,,,,,,,.,,,,,,,,,,,,,,,.,,,,,,,,,,.,,,,,,....,,.and.""".'"'' ."",."."...."."...""""""".".""""......""of the corporation
that executed the within and foregoing instrument, and acl:nolVledged said instrument to be the free and vol-
untary act and deed of the corporation, for the uses and purposes therein mentioned, and on oath each stated
that he was authorized to execute said intrument and that the seal affixed is the corporate seal of the
corporation.
In Witness Whereof I have hereunto set my hand and affixed my official seal the day and year first
above written, .
...............................................................................................................
Notnry Public in and for the State of Washington, residing at ......................................................................
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STATE OF.....!i~~.!!,~~.i,\t9.~.......,.,....}
SS,
County of......,.~,~!?!!.9.~.',~~.!!...............
On this day personally appeared before me.......".................,.........J).QMl.~".U.r.Q),~."g.\1!LE.hh~.+...!:!."..!!,F.9.\'!1.\.....
."...".",.."...".........""...".....""..."......".....""...."............."....".".....""".,......,,,,,...,,....,,,.,,......,,,,...to me known to be the individual.".
described in alld who executed the within alld foregoing instrument and acknowledged that.......they........siglled
the san:\ "I':....:l=:h!':!.L....free and voluntary act and deed for the uses and purposes therein mentioned.
,t~~~~~~~:'~~ hand and official seal thiS...............~,.3:t:d.,......day of .",~~<9tembe:t:..,........... 19...7.1<.
/qfU 8. L\. c~r' i ......... .&lk.?4,i.J.'l!t#~.........."....................
\ .."'~t"...-r, ~"'l,:" .. .,: : .
,::};.~:<';o T' ,;. \"'".' ,,"'.... Not.ry Public in nnd for lbe St.to of 'II Ington. residing .1"............]i;y,e);,e,U.......................................
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(Individual acknowledgment form)
::::: :~::::::::::::::::::::::::::::::::::::::::::: }ss,
(Corporation acknowledgment form)
On this........................"......day 01...."......"..".........,.................".... 19..,....,. bcfore me personally appeared"..,....".........
........................................................................................................and.................................................................................., to me known
to be the.....""..........................,....".."...............,............,...,...,...and......,,,,,....,,.......,,,....................,,,.......,,...............of the corporation
that oxecuted the within and foregoing instrument. and acknowledged said instrum"ntto be the free and vol.
untary act and deed of the corporation. for the uses and purposes therein mentioned. and on oath each stated
that he was authorized to execute said intrument and that the seal affixed is the corporate seal of the
corporaUon.
In Witness Whereof I have hereunto set my hand and affixed my official seal the day and year first
above written.
...................-...........................................................................................
Notary Public In aud (or the State of Washington, residing at ......................................................................
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Juno I, I971,
Jefferson County Engineer
Court House
Port Townsond, Waf
Gentlemen:
I am writinG te you to call your et.tenti,m to an unnnocoseary
culvert on Lot if one Gt t.ho I.ezy c: Proportion. 'rhls lot i8
owned by lJ~ and 801~ to f'-'r.,"" Vrs. IJEms strorr. of forks, Waf
Recently the Coimty ~an1tar:lan ,Randy lJurant I locked a~ this
lot an~ caid thero is no way a septic tank c.n be put on thio
lot with th3t w'lter runninG out of that culvert onto it.
There 1s a natural. <..Irllina.tJ',e ditch J;(l'J::C tht~ Dns':.'wtdlJpN f,'c,ad
to thn creelt nn\i this culvert is net noeded. 'this prohl;:.m 10
caused 'by the way the la::;t ',l.'ork on the DooovmlliY)G Rond waf; donut
lrhis problcn: can be corrected vory oar;y. All t,r.at il:J ueCest.'lD1'j'
io to Clooo up the culvert anci remOV,1 the tho blockage of tho
ditch to the croek. This can bo done in about J day.
If we ha':e to buy thin lot bac!, from Pr.P, ~'r8. ~trom. l'Ie nl'e
Eo1ng to EOO an ettornoy and DOC about selline tot No one
division one Lazy Properties to Jefferoon County.
The san:e preblel!: cxista the lot line betweon lot 6',7 only
it is worno. Thi8 L:f.ln 8:.:_.0 be corrocted just os easy.
sincerely
WV r, Estelle L. Clarl<
Rt. 2 Lot 6I Pnlonino Lnno
IJrinnon. ;'10. 98320
88 ~8UH}Y ~a~rtRFlaBoro
cc ~ount~ ASGcosor
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STA TE OF..!1/~':!'~'!"~'J""L.~:.~~,;.......}
County of..:1.~7?.Lt~..~..~..~~::......... 55.
On this day personally appeared before me.......4....!.'::",:..;,"':..........,.,',>....~:...(!.,:f..,!}...~.....................................
.........,..............,........................,..,.................................................................,.........,.......................to me known to be the individnaL..
described in and who executed the within and foregoing instrument and acknowledged that......Iig.........signed
the same as......II.!..~S........free and voluntary act and deed for the uses and purposes therein mentioned,
. r:''''~r'~'''I" . . . ..1 f.( ,,1- ) " c: / 'J I.(
.' Q)V~n .~~.tmy hand and offiCial seal this.............I.................day of .......1:7...{...,,,.:.,...................., 19.........
...:.:.~=;.~~\?~.~~.:'~~::' '. ,.;
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, ~;;~;::~~~~) "'" '0" "'.~"'m .~:~::::::~.:;:i:.;~:~:~~
(Corporation acknowledgment torm)
(Individual aCknowledgment (orm)
:::n:: o~~:::::::::::::::::::::::::::::::::::::::::::}ss,
On this................................day of.................................................., 19..,....., before me personally appeared....................
............".................."......................,,,............................................,and......,..........................................................................., to me known
10 be lhe....................................,.................................................and......,.... ...... ....................,..................,.................of the corporation
that er.ecnted thc within and foregoing instrumcnt, and ncknowledged said instrument to bc the free and vol-
untary act and deed of the corporation, for the uses and purposes therein mentioned. and on oath each stated
that he was authorized to execute said intrument and that the seal affixed Is the corporate seal of the
corporation.
ln Witness Whereof I have hereunto set my hand and affixed my official seal the day and year first
above written. .
...............................................................................................................
Notnry Public In ::and tor ,the State of Washington, residing at..............................."......................................
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STATE OF.....(.Y.M,..S1..L.~..:.........,..}
.' . 55.
County of...(;~..!::.!~.~J..':...H.(:'.!I,!.U.,.
. ., I ,I,
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..........~.~..~:'.~...~~.~.,~,~.~~.~~.".~I,~..~.~~.~.".~:~~...:.~,f~~.e...=::::::::::::::::::::::::::::.:~.'..::::,',':,.:,.::....,';~.,~~'~~~;~~i~.~.~~~..;~;~~~;~;;~.;::::
descrihed in antl who executed the within and foregoing instrument and acknowledged thal.......5...!.t.<::'..signed
the sarne:~;.o~{:'r~f~~,dree aud voluntary act and deed for the uses and purposes therein mentioned.
. '.::;'-".~r :~$\,,?-;. fl.." - / ~
' :giv~ii ~Mf.'himd and official seal thiS...........l..:!.....:::::.....day of .......{t,;.f!..l.:,.'.................. 19..zH
;\\';:;'?UUL\c'~f,=; f 1.-( - L (J ()J}
... ...:;.,..;. r 2") ,.0........:::: / ..........K~~~~........L::..:..................:~.~::::::::~::::::::~.............
0", (' ~.<.~.>::,;::.)..... (' D' /1" c Jol, <-.
.... ',r. 1.'/'1 r;. \\ '.,." Notary Public in and for the State of Washington, residing at.............,.'-!.............J.............~J.....".................,
"'.,0""..",.,1"'"
(Individual acknowledgment form)
(Corporation acknowledgment form)
STATE DE............................................}
ss,
County of......,..,....................................
On this...............................day of......................................... ......... 19......... before me personally appeared...................
........................................................................................................al1d.................................................................................., to me known
to be the"..,....,....".............."............."..........."..........................alld,........................,..".................."............"..........01 the corporation
that executed the within and loregoing instrument. and acknowledged said instrument to be the free and vol-
untary act and deed of the corporation. for the uses and purposes therein mentioned. and on oath eaeh stated
that he was authorized to execute said intrument and that the seal affixed is the corporate seal 01 the
corporation.
In Witness Whereof I have hereunto set my hand and affixed my official seal the day and year first
above written. .
...............................................................................................................
Notary Publie in and for the State of Washington, residing nt .......................................................................
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On this day personally appeared before me."".".",.... """"'~,\l.gp.~y.""!)"'"..!UJJ".".""...""..."",,.,,",,...,,""""",,..
.""."".",,,..,,........,,......,,..,,..,,,,,,.....,,..,,,,,,,,..,,,,.,,,,,,.,,..,,.,,,,,,,,,.""""""""",,,.,,,,,,,,.,,,,,,,,..,,,,,,,,,,,,,to me known to be the individuaL..
described in and who executed the within ~nd foregoing instrument and acknowledged that.";?'h.~.""."",,signed
the same as...I.!~.f...."...""free and voiuntary act and deed for the uses and purposes therein mentioned,
Given under my hand and official seal thls""12"""".....".".,,.day of ...."."M.aY.......".......""""".. 19,4.3...
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'ore~~""'&"""3.""".H~".""""....."....."......".""..
Not.ry Public in .nd for the State of w..)l~, rc!lding .t.C.o.t.t,ll./j;e.."Gr,O.lI,e......Qr.agcn."...
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My G'o,;;;Lssion Wxpires /oflrrri!f/, s-; /117
(Corporation acknowledgment form)
On this.""...".........""."."".day 01...""""""""."""".....""".........". 19".."", before me personally appeared".."",,,,,,,,,,,.
...""""""."."""...""".."..".""".""".""..."..,........,.."...."..........."...and....""................."........."................"".."............"....... to me known
to be the.."....".."."....................."....."....."...".........".........,...".and.....,,,...,,....................,,.....,....,....,,.......,,,,,,,,,,.....of the eorporatioa
that executed the within and foregoing instrument, and aelmowledged said instrnment to be the free and vol.
untary act and deed of the corporation, for the uses and purposes therein mentioned. and on oath each stated
that he was authorized to execute said intrument and that the seal affixed is the corporate seal of the
corporation.
In Witness Whereof I have herennto set my hand and affixed my official seal the day and year first
above written.
Notary Public In and {or the State of Washington, residing a1.......................................................................
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STATE OF"9,1.,.(.t.clILlI~,Ct!.1!..."J
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County Of/,,, .t(!I'''~'" <.&l{..,,,.. ./) I // (l
(2 On j~s dat:, persona,Yl) appeared before me...."....!J!.(B1U!Li!i.",1fd.(/i:U))/..l.".{{Jd..LL""...."...."..""""
......;;.:t.;.!Lt'../..../)[..,,,,,...!l::J,1..kU:f.J:J....,,,,,,........,.................................................to me known to be tpe individuaL..
described in an~ yho executed the within and foregoing instrument and acknowlcdged that..l1~f.....signed
the samc as.,.tILI!.L.L..rrec and voluntary act and deed for the uses and purposes thercin mentioned,
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Given under my hand and official seal thiS..........I.6.ii(~ ay of 22(f.z!:1..j~./fi.c.(L, 19,7/
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(Individual acknowledgment form)
(Corporation acknowledgment Corm)
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On this........",......................day 01.............................."..."............., 19........, before me personally appeared.................."
......................................."...............,...................,.................,and.......,...............................,....,...................................", to me known
to be the......,............................................................,.................,and......................,..........................,........................of the corporation
that executed the within and foregoing instrument, and acknowledged said instrument to be the free and vol-
untary act and deed of the corporation. for the uses and purposes therein mentioned, and on oath each stated
that he was authorized to execute said tntrument and that the seal affixed is the corporate seal of the
corporation.
In Witness Whereof I have hereunto set my hand and affixed my offieial seal the day and year first
~~hovc written.
...............................................................,...............................................
Notary Public In and for the Stale oC Washington, residing at..............................................................".....~.
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STATE OF.iJ..t!)diLitr-:;-;b.1L}
( I ( 55,
countYo~,#L/i.(U.. ...... ,1 LJ '-
\.l.?9!j this day perso~~ll}: appeared before me....;iI{l:;;fJ7.1. (:/:11../Dd.IJ.f..I.!!1.2....fi!.d.f..i{"..,.......
..u'ILc.!.j1l... ..... .tt5.1.t.21t.!.;d......"........".. ...... .. " " ,.. ". .., ,... to me known to be t~e )ndlvidual....
described I~..'!.W )"h~ executed the within and foregoing instnlment and acknowledged thatA~,,'i.....signed
thc same av.e/l.e.U.)..free and voluntnry act and deed for the uses and purposes therein mentiol1'ed. .
Given nnder my hand and official seal thiS........".!.:s::a~..)a of ....?2~~L~-t,. 19....7/
"'T'~ .. ' .....".."~~fc.'0~{L.J1,f,.._
tlot.,y-Publie In.aIlllfOl:.the State of Wishington;l'cSldl g.,.. "" .,:&"af.l:d."..l:!J./I.:;;J:; f..{.t.41t18i.,
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(Individual acknowledgment Corm)
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(Corporation acknowledgment form)
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On thls."".".""."""".."......day or....""...".""............"..."..."..."..., 19......", before me personally appeared....""".."".."
.....".".""....""..............".",..."".."..".".."",..."..."..........."."""and"....""......,..""..""."............"......""",.....".........."..", to me known
to be the..."..."..,.",,,,,,,,,,.......................,,..............,,,,......,,,,,,.....and".."...""."..."."..."..."...",...."".."...."..".....,...",of the corporation
that oxecuted the within and foregoing Instrument, and acknowledged said inBtrnment to be the free and vol-
untary act and deed of the corporation, for the uses and purposes therein mentioned, and on oath each stated
that he was authorized to execute said intrument and that the seat affixed is the corporate seal of the
corporation,
In Witness Whereof I have hereunto set my hand and affixed my official seal the day and year first
ahove written.
Notary Publlc in and tor the State of Washington, residing nt.......................................................................
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STATE OF............,....,..............,...,.,.....}
55,
County of...,...,............,.,.................",..:
On this day personally appeared hefore me...............,...,...................,.....................,..........................................................
",.,",.,......,.....................,..,...................................................,.............................,...........,...............to me known to he the individual....
described in and who executed the within and foregoing instrnment and acknowledged that........................signed
the same as........................frce and voluntary act and deed for the uses and purposes therein mcntioned,
Givcn under my hand and officiai seal this................................day of ............................................, 19.........
...............................................................................................................
Notary Public in and for the State of WaShington, residing at........................................................................
(Corporation acknowledgment form)
STATE OF.........OREGON................}
55,
County of.....N.\l.U.D.Q,ffi...h...........,.
On this..... S..t.h................day of,NQllembeJ:........................, 1!111..., before me personally appeared....................
................:.~~~~...t:19..p.~,e..J:.".().!'..........................,.......,..,and......,....s.X....F,..().Ci,!'!.~()~"'~.i.................................. to me known
to bc the..,.........y..i..9..\1....p..r.\1.~J.g,~nt.......,........................and....As.s.t...,.Secl:etal:l1........................of the corporation
thot cxccuted the within and forcgoing instrument, and acknowledged said instrument to he the free and vol.
untary act and dccd of the corporation, for the uses and purposes therein mentioned, and on oath each statcd
that he was authorized to execute said intrument nnd that the seal alfixed is the corporate seal of the
corporation.
In Witness Whereof. I have hereunto set my hand and affixed my official seal the day and year first
"~1t~\!~~~ ' , .......sc:?~,~.~............::.............:...........
/:;~:""'.'" I " ~t~{.L~)~ Notary Public in and for the State Of~a~ residing at ........Pe-r.t..1..a.nd........................................
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STATE OF....)(6~.ht.Oet.gll,.............}
55,
County of........n~m9........................ .
On this day personally appeared before me.........~!,\6.~1~.~...g,...,J9))n69.n.....g.j,gh61.'!L~"...J.6.C.9.J1.~~1l..I).OIL.....
.,......~~.'l6..."'....,J:6.9.QP.~".n..,..........................................................................,.................to me known to be the individual.s.
described in and wbo executed the within and foregoing instrument and acknowledged that......t\1~y..........signed
the same as...t.h~.ir......."free and voluntary act and deed for the uses and purposes therein mentioned.
. Given under my hand and official seal this..........:\.?~J:\............day of .........Q.c.t9.11~.r..................., 19.7.1...
.~'::!!:>;:.:..,:\ C=;~-~J&L;~....................
.::~;",:,;, \ Not.ry Public in .nd lor the St.te or w.shtngton,'r~::-"'~.<:,.,;;?"',"'.:k"'~.......................
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(Corporntion acknowledgment Corm)
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On this"..............................day 01.................................................., 19........, before me personally appeared....................
....u................u................................................................................nnd................u................................................................, to me known
to be the........................,...........................,................................,and .........................................................................of the corporation
that executed the within and foregoing instrument, and acknowledged said instrument to be the free and vol-
untary act and deed of the corporation, for the uses and purposes therein mentioned, and on oath each stated
that he was authorized to execute said intrument and that the seal affixed is the corporate seal of the
corporation.
In Witness Whereof I have hereunto set my hand and affixed my official seal the day and year first
above written.
Notary Public in and Cor the State oC Washington, residing nt.......................................................................
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(IndIvIdual acknowledgment torm)
STATE OF............................................}
County OI.....;.~~~gJ:I~.~~~~............... ss.
On this day personally appeared belore me.............ZaO...A....F.a.hr................................................................................
........................................................................................................................................................to me known to be the individuaL..
described in and who executed the within and loregoing instrument and acknowledged that....~.h.Q,............signed
the same as...........~.o.r.......lree and voiuntary act and deed lor the uses and purposes therein mentioned.
Given under my hand and official seal thiS.......~.7.~.~.............lay Ol......~.~:..i.~.........................., 19...68'
~~.}.;.;~. ;;~ ;'0'\ . ..........~~......fl!.............~~..
., ": ,,~i U Y',', .: ~ Notary Public In and for tbe St.te of was~ngton. residing .t.........~.~..,...?!!..~.
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'county 01.............................................. }ss.
(Corporation acknowledgment Corm)
On this................................day 01................................................... 19........, belo!'e me personally appeared....................
........................................................................................................ond................................................................................... to me known
to be the......................................................................................and..........................................................................01 the corporation
t.hat executed the within and foregoing instrument, and acknowledged said instrument to be the free and vol-
nntary act and deed 01 the corporation. for the uses and purposes therein mentioned, aod on oath each stated
that he was authorized to execute said intrument and that the seal affixed is the corporate seal 01 the
corporation.
In Witness Whereol I have hereunto set my hand and affixed my official seal the day and year first
above written.
...............................................................................................................
Notary Public in and ror the Stale or Washi?gton, residing at.......................................................................
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STATE OF..~4.~~;C;;;,,,,.,,.(
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County 01....r,...k.1.tH1ar.I.:Z<:....,;(..)
On this d!!'y-}'ersonally appeared before me..............::r/./..q...f:':...h.......lL.......'t:.1.!./.1t...d!.~-::..!..I~.:!......
.......(f:~<Z..d,~.........P..etf.:T..,6...d:..........l.e./.f.J~.!.!!...,~...(b.......................................to me known to be the individual....
described in a'J.'l. who executed the within and foregoing instrument and acknowledged that.....:7i.l.."../-sigaed
the same as..:?.!.k.l::?'...free and voluntary act and deed fot.. th.e uses and purposes therein mentioned.
'1,pt '/, . 'tJ t'l
GiVen~l;d~~ my hand and official seal thiS..................~.? t.Y.Of .....-c...?lJ::;;:......... 19...........
....;J ..... 0?'A- df.. .?-.ki -'-
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(Individual acknowledgment form)
(Corporation acknowledgment form)
STATE OF...........................................}
ss.
County 01..............................................
On this................................day 01........:........:................................. 19........ before me personally appeared....
........................................................................................................and .................................................................................., to me known
to be the......................................................................................and. ........................................................................of the corporation
that executed the within and foregoing instrument, and acknowlcdged s>lid instrument to he the free nnd vol-
untary act and deed of the corporation, for the uses and purposes therein mentioned, and on oath each .tated
that he was authorized to cxeeute said intrument and that the seal affixed is the corporate .eal of the
corporation.
In Witness Whereof I have hereunto set my hand and affixed my o[ficial seal the day and year first
ahove written.
Notnr)' Public In nnd (or the State of Washington, residing at .......................................................................
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TilE GRANTORS
A Ih'"7 ':Il>'"'
VOL .t.U. ~h"' GO I
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FORIo4 L!5D R
J' .F'. lIartegan and H"lan 1:1. Hart8gan" his \'Iife
J.ckr.vwlt>dged that ;;["11o:y slgnea tr.e s.:lme a,
,lSC5 ~nd purposes ~herein~entioncd.
Gl\'E:\" l;;'~~':'~'Y h..rid and official seallhi.~
;..~/.:('(.."......
for and in consideration of 1.r0n Dollars and Othol~ valuablll consid0rations
convey andquitclnim to L!";o S. Fitaqr('!r and V0re. .A Fitt0r0.r, his \'Jife
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the following described real c:nati,!, situated in the County of Jefforson
State of Washington including any interest therein which grantor may hereafter acquire:
....h. I ',"1~;':~T?OnlJ.'ICN Oii' THE l~OLLO.JI!":Q. "JESC~'UBE:) ~)ROPERTY LYITTG ';~',.';H'r;-r <?b S:HE
:"''::80 dallips, Hi v,:r Road I~ 2fJl RlJX:~I!~G El...S'l A.HD ~.rEST ACHOSS S..!UD PRE?....LSES .
... . .. --~
~~.;(;c..,tin[; thnrcfrorn .:~17 ;j.::.s~r.3::';'r :b"OR 'oi.A.'rEH TlIA..rr j,llIE G1~.;'i:.y.rORS RElEAIN FOH
'~j'. ':):~L'V}:S ....JT:,) 1r:IEIH .\. ':::-3rmrs. ~
':::~r~.Iv l)O::'ticn of th,;; Soutrl;'leZ~ ~ of Section 2!h To..:;nnhip 26 Ho!.'th,
~1':"~Go 3 rler.rb of tho Yfillar:",$t;.c0 EElridian) dG3Cl"ibs,l as 1'ollows, to-rti t:
B'~cinnil1::: at the m':'a1'tor C01--:'ler oli the :::cction line bO"\Jy:c0n Sections 24-
end 25, TO;'inship 26 1701't11, HenGo 3 Went, .L'. l.-~.; thence North 1320 feetj
t~onoe ';,rest 660 feet; tl1onoe South 660 foet; t21011CO YIezt 660 feot; .
thence South 660 feet; ther,ce Ec.ot, 1:320 feet to the point of beGinninG;
}:':CEPTIXG ~H3l{EJ:l10r.': tl1.0 follo';'Jine clcoc::oibcd. tro.ct.3, to-y;i t:
(c.) Becirwin~ lZ:.t n point on the Section line bGt~:;,eGr. Sections 21~
il.l'ld 25 of su.id To\'m.?l~:1.:9 t.~ld. Ra::g6, v:horo c::du, COCtiOl1. linG in illt.ercectccl
by the bridGe ovm." the D05C\7C.llilJ::l Dive:-; thenco i'ro!.l the :':ont aide or
sc..id 'bridGe continue Earth 200 feet; thanco 3:c.~t }!a!'ullel to ~a.icl cection.
line, 435.6 fect; t:lenco ~;ou-ch 200 foet to nnid section line; thence
~':c~:rt, alone ~~j.li lir:c, hJ5.6 feet; to tl:c plo..ce of.' boCinning;
(b) :nu~innin,~, at 0. Doir"t on tho Section line bot\'toon SccJ~io:~s 21;. end
25 0;'[" s:.-tid'" TO\':Uf3hi';} .:'..:~c!~ ;]G.;,~G.,... -\?~1Cl'e Gc.id cc?tion lin~ 10' intersc~tod
C31 tho uridr-'.c O\"C::' -. .~C:::"C;'::~ :~:.:..:_;s.:~ivc:., ~~~ld :;ci:r'~ aaing o.PIn.o:cll"'.o.tely
580 foet "~':U$t. ..... ~~" ~ c..._ \,0..'_ .....~_"._.' oot',:C.v.l ~:::.i(: :Jectionn 24 c.nd 25
(boir~~ the .s::i:1."~:~~:;0::~~ :::.' 01' .C:"' .... e--'. .J.,_, 'y "~J.l'1" l'e.r'"0"" 11
by dODO rccc~_~:5.ca i:: ~."';l:'.'. -.': 2.27 ~.' ,,' ~Od;':-':n.:~~~,; ~C7 ::;~~d :'58~) ~de;;i ,
AULiitorl a Fila !fa. 119943); t.i_c:.-:<. lio::-t.rJ.- ~~:one sr:id Hill tract
660 i'eet; thc:!.co ~'tc:.:t 740 feo.;:, _.:....:':0 0::' 10:':;::; t to t.he V;ont line of
~l~o Southoast ~ of -'c~~e ~'~Ol..\tin'lost i~ of' no.id section 24; tto1l.Ce South
ocO foot to t::o South line 0:" sn:!.d Scction 24 j thonce 2:.s.:;t, 740 foot
;:;O:"'C o!' leD::;, to tho .. co 0"':- bcc.{ h..Li"~. '
(0) nir;.~~i of \'m.'j 0_ ' ,,_ ~U)it~~ H~~d.) Project 1.70. 20:'~) :.".s convoyod
to Ul;.itcd. st.::..,s of ~'1.r.:C:.:'::::' ','.y doed rocorded Hay 15, 1962 i!l VoluIJO
158 01' Docd:;, 3S0S 165 u., 16<0, undor AUditor's }'i1e j.io. 1'/2107;
All oit:u:.to in tho COU.:1t:i" of JOfferson, state 01' Weshinc.ton.
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--7 ',,;-,':-(:.1:,,&'1...". ~"jt:(.?;...('7:'" ..
,-/,-/Xutary ?:Jb!ic : ,')Jfld ,/..7ii~ AtiJ:C p-f WaJ/.I1/i't.:m,
rtli::illlal (j:-,(..<%-''-~~1 {1,_'1-;1-(,
STATE OF WASHINGTON,} .. C.fj'
Count)' of JcfTcnmn f,~. V~t '152 \'.~' l h
011 thc..........h...'r~:..<Iay 01........ /~'::.~............................., In ~t.;,: heforc Ille, a Notary Puhlic ill
and for the State of W:lshingtoll, (il"~ .COllllUi5SiollCd nn~t.0worl.~, ~lcrsollillly CilIllC..................................................................
..............,..................................:...............,).{!.~~~~f.{.~.../t/z...tU~............,......to me lmown to be individuaL...
described in the within instrumt'nt and ndmowlcdgcd to me that.........y~.............sigllcd
unci sealed the Silme
and voluntary act and deed for the uses and purposes therein mentioned.
the day and year first nho\'c written.
J~.Wdk:~..~'!.~~"T...T..~.................h"
fur thc-St~tc t;i w~~ilihgt~n, residing nt\J:~....'tA'Y~(_.
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ST.\'m OF IV,\SIIIX';TON. 1 "I,,~,.1,'l 1~_.l:iJ:.~
COIl11ly of JeJl'cr:-;ol1 J ~..;. I'~~l
tt1 ,. ., I fFRSON COUNTY AVOITOH
Onlhe..,J9...............,dny of......,1L~:0..I.,lLtA... ,'.. ". Iii.!;].. hc!ore lI1e. ;HI1e'ary Pl1hli<-;n
and (or the Slate of \Vashillgton, duly l'()l1lll1issiOlll'd and s\\'orn, pcrsoll<llly l'allle..tr'.7'-!r...,:,,:~e:.L\...l..a;~
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descrihed in al"L...~~......,.exCCllted the within il1slnl1nen' all<l acknowledged 10 lI1e Ihat.~....,......,signed
and scaled the Slime as.~....frcc and \'OIUlllilI'Y .act and deed for the 11SCS and purposes lhcrci<<:~Il:lltiol1cd.
official seal the day amI year lil'st above written.
JEFfERSON I TYAD"~/~"U'
. ~~IOMe Slate of Washing
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5'1':1'1'1> OF IVASIJINGTON.}
County of J ciTcrsoll S~.
0" Ihe.?:1..~.....d"y or...ff{f?:..((,.."..........................................................., lwr.~cfore me, a Notary Puhlic in
and for the Slate of \Vashingtoll, duly cOlllmissioned and sworn, personally call1c.....t:(~:ltf';r...:L.K.~~J~~,,.Jb..Y.rnO.nd.......
~:i!)g~J~.~:..:::.mL.~.9.b!.l...Y.~...P.~g.~r.:'?Jm........................................... .............. ....................,.......to me known to be individual.":!.-
described in and....Xhc.;y.'................cxccutcd the within instrument and aclmowlcdgcd to me tbat....Jh2Y..................signcd
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and scaled the same as.....tho:tr........frcc and volulltary act and dced for the llSCS and purposes therein mentioned.
Witn~s'i!ly-halld and official selll the day and year first above written.
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-': ;~':l',/' 0 .,." .", ";'\,' .; Notary Public 1II and for the State of \\ aslullg-lol1, reslIllIIg' at.........v-.i\!.tro.6.......................................
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JEffERSON COUN1Y
Tf.~!lSAr;T10fi EXG:SE TAX
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~ir\Y a- 1952
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STATE OF WASHINGTON,}
Coullty of Jefferson ~~.
On the, ..........2.t!1.....day of.......................J.Il..~It!Il..~},'..............................................., 10,1.~.~f~~S~~ ~~~lTOl1.
and fol' the Slate of Washington, duly cOlllmissioned and sworn, personally call1c........Rg,g,~.r....ft.."!...p.g..J.l?.n......................
.......................and...Ba'Ziel..PQ91e:n................................................ ...........................................to me known to he illdividual..fil...
described in nnd....tbe.y.................cxcctltcd the within instrument and nckno\\:lcdgcd to me tllat.....~~~.!...................signcd
and scaled the Same as.......tb.eir......frcc nnrl voluntary act <lnd dced for the uses and purposes therein mentioned.
\Vitness my hand and official scnl the <lay and year first nbo\.'(> written.
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STATE OF WASHINGTON,}
County of }Cll'CfSOIl :-is.
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JEFFERSON COUNTY AUDIT
On the......9.th...........c1ay of......................:}~~.9:"'!:Y...................................,.........., 10.P.:?.., before me, ak'\'atul; PLll~l;c in
and for the Slate of \Vn!ihingtoll. duly l~Ol1ll1lissiol1cd find sworn, pCf5oll,rIly call1c............c!.g.~.~Ph.....~......1?.9.r..:r.....,,............
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...........................to me I-;Il0Wll to be individuaL...
described in and.........he......... ......executed the within instrulllent and admowlcdgcc1 to me that.......he....................signcu
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Witness my hand and official seal the day and year first ab 'C written.
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STATE OF WASIIINGTON,} "
Coullty of Jefferson ,..
lFr:rr.T1~nN (:om,'TY AUDITOR
On tllc.........3r.cl........llay of..............Dece.mbe.r......................................................, l!J.~!.., before me, a1~lie-ii<
and for the State of Washington, duly cOl1l1uissiollCcl and sworn, pcrsollally call1c..............~~..~~...~!~.;:!.~~.......~~9.....
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described in all(I....:~Hi!:y.................excclltcd the within instrument and acknowledged to me lhat.....~h.~Y.:.................5igned
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Witness my hand and official sc:li the dny and year first a (l\,C written.
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QUIT- CLAIM DEED
Th e gran tor.. ..... .hel'ei 11 ........ ............. i!.,... .t... ..Q)!.~...t.o.u... (.F.J.\~ J;>.l\n!;l, 1.. ,e.n,d.......... .........,......... .............. '.......
............... ........ ............ ...... ........... Q)!..;~r.t.QIJ...... i.Wi.i: e.J. ..... ............. ...... .......,... .................... ................... ..............
for th e consi d ern ti on of... ..o.n~..., ..an.d.. ."... ".. ."... "..~. ..".. .~..~....~. ...". ..".. ~....~..."..~.. ..~... 0.0.1 ~OO..... Do liars
and 11lso of benefits to HCCl'tlC to.....the.m.................... b~' reason of laying out ancl (!stublishing a public
· road through.....tn~JJ.'.....................property, and which is hereaftel' described, convey...., release.... and
quit-elaim....to the County of...........;r!1.f.f.<;l.r..~.R!L.....................State of Wasbington, for Use of tbe Publie
fOl'e\'CJo, as a public I'oad llJ1d highway, nil interest in the following described renl estate, \'iz:
A strip of land 60 feet wide, being 30 ft. on ee.oh side of the
oenter line of the Dosewallips Hill Revision as the same is now located
over and across Lots 1 and 2, Soction,$4, Twp. 26 N" R. 2 W. W.M., all
aa shown on plans of said road on file in the County Road Engineer's
Office, Jefferson County and e.pproved by the Board of County Commissioners,
Jefferson County.
.
.itullted in the County of ...... ..........[~f.f.~;l;:\\91:\...................., Slllte of Wllshil1glon.
Dnted this.... .....................day of..... ........ ......................................., A. D. 193.......
WITNESSES:
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STATE or,' WASHrNGTON, I .
County of Jefferson i so.
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On the... ................da~r of... ........................................................, 193...., befDl'c me, a Notary Public in
and for the State of \Vashington, clul,)' commissioned Hnd 8\\'01'11, pcrRonally came....................................
......................................................................................................................to me lcno\vn to be the individual....
described in and..................cxccutcc1 the within instrument and acknowledged to me that................signcd
and scaled the same as....... ..............frce 1l1ld voJuntlll',v net tlnd deed fOJ' the uses and purposes therein
mentioned.
'Vitnes~ mr hand and official seal the day and year 'first above written.
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UNI:ri<.TArES DEPAR'rllfE11'r Q>' AGRI4ru!lE,',. .:.,., , j
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COOPERATIVE AGR~EMENT OJ..Y/>.,rIA, \V..\jHINO,-';ON
for ,lUll 1(; 1930
TEE co~~rp.UCTION ~~
NATIONAL FOREST AND COOPERATIVE ROADS
Forest ~ervice, District 6
State cf Washingtcn
County of Jefferson
Name of Prcject: Dosewallips Road
Date of Application: !.lay 10, 1930
Date of execution by
Loc!!l Authority: June 14, 1930
THIS AGREEMENT made this 14th d!lY of June ,1930, by and between
the Board of Oounty Commissioners for Jefferson County, State of
Washin~ton, hereinafter called the Local Authority, and the Forest
Supervisor, Olympic National Forest, Olympia, Washington, herein-
after oalled the Supervisor, WITNESSETH, That:
WHEREAS, the Looal Allthority desires to cooperate with the
Sllpervisor in constructing one mile of this road hereinafter d~soribed
for developing the resouroes of the County and facilitating the
execution of public businese of the Forest Service;
NOW, THEREFORE, in consideration of the premises and of the
severnl promises to be faithfully performed by eaoh as hereinafter
set :forth, the Local Allthority and the Supervisor do hereby mutllally
agree ne follows:
DESC!lIPTIOII OF PROnCT
ARTICLE 1. This agreement oovers the oonstruction of one mile
of the Dosewallips Road, beginning at the end of the present completed
road and extending approximately to Elk C~~p, being approxi~ately
on water ITrade along the Dosewa11ips River. This section of road is
located in Sec. 16-17 & 20, T. 26 N., R. 3 W., within Jefferson
COIUlty and wi thin the Olympic Ilational Forest.
ARTICLE 2, The Local Authority agrees to contribute toward the
construction 0 f :thta. ro,ad' ;."~ $1000.00. Sal.t1. payment to be made in
advanoe of July 1, 1930, drawn to the order 0 e the Portland BranCh
of the Federal Reserve Hank of San Francisoo, but mailed to the
District ;;'isoal Agent, Forest :Jervioe, Portland, Oregon, to be
nluced to the credit of the United States in accordance wi th the
pro'l'isions of the Act of June 30, 1914, (35 Stat. 415) providing for,
oooperative contriblltions to the Forest Servlce,
ARTICLE 3. After the cOllstrllotiOIl worl: ie completed on this
pro,Ject, the Porest Supervisor l'iill maintain annually.
ARl'rCLE 4. All of the wod: will be done by the b'orest Ser\'ice
after the Local n.llthorlty has deposited Hs share of the costs.
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Attest: ~
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hili 1# '. 1930.
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Forest ~upervisor.
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ARTICLE 5. All rights of way not on land of the United States
neoessary for this projeot shall be provided and all expenses there-
fore or inoidental damage to adjoining property paid by the Looal
Authority, and no part of suoh expense or damage shall be paid by the
United Sta,tes.
ARTICLE 6. It is mutually underst ood and agreed that nothing in
this agreement shall be oonstrued as obligating the Forest Servioe to
expend any money or as involving the United states in any obligation
for the futu re payment of money in exoess of appropriations authorized
by law. '
IN VI ITllESS WHERE OF the partie s hereto have hereunder affixed
their signatures and official seals, the Looal Authority on the day and
year first above written, and the Supervisor on the 16th day of June ,
1930. ------
(SEAL)
Board of County Co~missioners
~ Jefferson County,
By 6il&1. t1~
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JeFFERSON COLr-lTY
OEPARTNENT OF PUBL I C WORKS
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REQt.n::STED BY. H4A/.J:S" Ad ro/T1tJn v'e-
ADDRESs. #/ a#,,~ 6hn; Ro
DATE- ('/I1"-r-
PHONE NO. - 7r~ - #/0
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ALT. PH. NO..
NATURE OF REQl...EST: 0 IN PE~ 0 BY PHC:X'iE 0 BY LETI'ER TAKEN BY. 6tt-
PERTAINING TO- 0 OFFICE 0 ENG/SURVEY ill ROAD MA/NT. 0 EQUIP. MAINT. 0 SOL.ID WASTE
REQIJEST FOR- 7JH9" Co.ur..:.t> t.-
LOCATIOO. ROAD NAM::
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ROAD NUMBER
M.P.
PROJECT. PROJECT TITLE
RROJEC'T NlA\ol.BER-
DESCRIPTIOO.
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RESPO'iD BY.
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REVIEWED BY. DATE.
CCNrACTED REQlESTER 0 IN PER5O'l 0 BY PI"tCrolE 0 BY LETTER COl\ITACTED BY.
RECOM"IENOAT 100. '
PREPARE EST I MATE.. Fm.
ROUTE TO.
o DIRECTOR
o ASSISTANT DIR.
o FlJAD SUPERVISOR
INITIAL
0 CONSTRUCTION ENG. 0 ACOOLNT ANT
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JEFFER5CX'I COlJ'lTY
DEPARTMENT OF PUBL.I C WORKS
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DATE-
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NATURE OF REQI..EST: 0 IN PERSCl'l G~y PHCf\IE 0 BY LETTER TAKEN BV- C8
PERTAINING TO- DOFFICE OENG/SURVEY g~AD MAINT. DEQUIP. MAINT. o SOLID WASTE
REQUEST ~_ .c:?//////7 CA/-/r~h /d
LOCATIOO- ROAD NANEV CZ.h4"r"r-h Kd ROAD NUMBER z..~//O,? M.P. t?C:tJ -t:P...sZ-
PROJECT- PROJECT T~.:iE.6'r/nr.lb"'" /1//.4 .P.ROJEC'T N~BER-
DESCRIPTIO'I. ,q>",i' o,.,.<~,<, ~//.O?~ ~,4' '/-6,- read ?/a", ~ ='/'>;1,L//4'///>'S
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REVIEWED BY- DATE.
CCNrACTED REQ::;;':R 0 IN PER5O'I 0 BY ~E 0 BY LETTER CXlNTACTED BY- f)J1-/e.-x.';.?'~
7/iu.a.k:, aw.C&<!-C' >J.U~' (7.t/t9,.a_ad7W" /'..d:b ~ C/k-::Ta-o.-C
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(Individual acknowledgment form)
STATE OF............................................}
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County 01..............................................
On this day personally appeared before me.............. .........................................................................................................
,.......................................................................................................................................................to me known to be the individual....
described in and who executed the within and foregoing instrument and acknowledged that........................signed
the same as........................free and voluntary act and deed for the uses and purposes therein mcntioned.
Given under my hand and official seal this................................day of ............................................, 19.........
...............................................................................................................
Notary Public in and {or the State of WaShington, residing at.......................................................................
(Corporation acknowledgment Corm)
:::~:: ::::::::::::::::::::::::::::::::::::::::::::: }ss.
On this................................day 01........................................ ........., 19........, before me personally appeared....................
................................................ ....................................................h.ancl..... ....................................................., to me kno\vn
to be the....................................................................................,.and,............. ...........................................................of thc corporation
that ey.ccnted the within and foregoing iastrument, and acknowledged said instrument to bc the free and vol-
untary act and deed of thc corporatioa, for the uses and purposes thcrein mentioned, and on oath cach stated
that he was authorized to execute said intrument and that the seal affixed is the corporate seal of the
corporation.
In Witness Whereof I have hereunto set my hand and affixed my official seal the day and ycar first
above written.
Notnry Public in nnd {or the Stat,e of Wa~hington, residing nt..................
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STATE OF..~~........}
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County of..../<.lJt:J.~..................
On this day personally appeared before me....~I.(-I!flJ:.'D.....?:>..,....~.il.t;,................................................. ..............
....,..........................................~~~................................................................................to me known to be tho individual....
described in and who executed the within and foregoing instrument and aoknowledged that...A&..............signed
the same as.AM.........free and voluntary act and deed for the uses and purposes ther<;.ip;,~;m;~n~?..
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Given under my hand and official seal this................................day Of~ltl~f.h ' :...,
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(Individual acknowledgment Corm)
(Corporation acknowledgment form)
::~:: ::::::::::.:::::::::::::::::::::::::::::::::: }ss.
On this................................day 01.................................................., 19........, before me personally appeared....................
........................................................................................................and.................................................................................., to me known
to be the......................................................................................aad"........................................................................of the oorporation
that executed the within and foregoing instrument, and aoknowledged said instrument to be the free and vol-
untary act and deed of the corporation, for the uses and purposes therein mentioned, and on oath eaoh stated
that he was authorized to execute said intrument and that the seal affixed is the corporate seal of the
corporation.
In Witness Whereof I have hereunto set my hand and affixed my official seal the day and year iirst
above written.
Notary Public in and for the State DC Washington, residing at ..................................................................."..
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STATE OF... ......~.1.z..... ...............}
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County of. .:.LLl.Y..y................... r
On this day p~rsonallY appeared before me.... h.t. ~ &...... i)/.2.t/.t../2,Ff';).,.1..L........................................
........................................................................................................................................................to me known..tO.,'b~'~lli~'iriaivi~IUal....
described in and who executed the within and fOreg,Oing instl'ument and acknowl,ed~~.~.:~~~~,.. :li.~:.~~i~ned
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the same as........................free and voluntary act and dee'Vot:Jhe uses and purposes t~.rGin :n~nt]$l~' ~ ~
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Given under my hand and official seal this..~...................day of ....t..(.L~~~"(-' ~...,..~/Il O:..J.,,'J!;
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Notary Public in and for the State of Washington, residing al.......A::'~.~~~~~t.'i:$.':.5..:....
:::~: :~:.:::::::::::::::::::::::::::::::.:::::::::}ss.
(Corporation acknowledgment form)
On this................................day of.................................................., 19........, before me personally appeared.........
........................................................................................................and.................................................................................., to me .kno\vn
to be the.....................................................................................,ancI .,..... ................................................................of the corparation
that executed the within and foregoing instrument, and aeknowledgecI said instrumont to be the free and vol-
untary act and deed of the corporation, for the uses and purposes therein mentioned, ancI on oath each stated
that he was authorized to execute said intrument ancI that the seal affixecI is the corporate seal of the
corporation.
In Witness Whereof I have heriJunto set my hand and affixed my official seal the day and year first
above written.
...............................................................................................................
Notary Public in and lor the State or Washington, residing at .......................................................................
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Form IIJ b
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GENERAL PROVISIONS
l. THIS PERHIT IS SUBJECT TO RCli 36,75,lJO, ,J~O A'" ,J50 AH' AHEH'HE"" THERETO,
2. THE GRANTEE. ITS SUCCESSORS MID ASSIGNS, AGREES TO PROTECT JEFFERSON COUNTY AND SAVE IT HARMLESS FROM Al.L
CLAIMS, ACTIONS OR DAMAGES OF EVERY KINO AND DESCRIPTION WHICH MAY ACCRUE TO OR BE SUF~EREll BY ANy PERSatl,
PERSONS. OR PROPERTY BY REASON OF THE PERFORMANCE OF ANY SUCH WORK, CHARACTER OF MATERIALS USED OR MANNER
OF INSTALL.ATlON; IN CASE ANY SUIT OR ACTION IS BROUGrH AGAINST THE COUNTY FOR DAMAGES ARISING OUT OF OR BY
REASON OF ANY OF THE ABOVE CAUses. THE PETITIONER, ITS SUCCESSORS OR ASSIGNS WILL, UPON NOTICE OF COMMENCE.
MENT OF SUCH ACTION, DEFEND THE SAME AT ITS SOLE EXPENSE AND SATISFY ANY JUDGEMENT ARISING THEREFROM IF
DETERMINED ADVERSE TO JEFFERSON COUNTY,
1. IF THE GRANTEE ENTERS INTO A CONTRACT OR AGREEMENT WITH A THIRD PARTY TO PERFORM THE WORK AUTHORIZED
BY THIS PERMIT, THE THIRD PARTY, AS A PART OF THE CONSIDERATION FOR ITS CONTRACT WITH GRANTEE, AGREES TO
INDEMNIFY, HOLD HARMLESS AND DEFEND THE COUNTY IN ACCORDANCE WITH THE PROVISIONS OF PARAGRAPH 2, ABOVE,
JI, ANY BREACH OF ANY OF THE CONDITIONS Arm REQUIREMENTS HEREJtj HADE, OR FAILURE ON THE PART OF THE GRANTEE
OF THIS PERMIT TO FINISH CONSTRUCTION WORK HEREUNDER WITHIN 90 DAYS SHALL SUBJECT THIS PERMIT TO CANCEL.
LATlON AS HEREIN PROVIDED,
5. DURING THE CONSTRUCTION OF THE FACILITY, THE GRAtHEE SHALL COMPLY WITH THE MANIlAI ON UNIFl'lRH. rRAF~'C: CONTROl
DEVICf'S FnR STRFFTS AND Hlr.HWAY~ PUBLISHED BY THE U.S. DEPARTMENT OF TRANSPORTATION.
5. ON COMPLETION OF SAID WORK HEREIN CONTEMPLATED, All RUBBISH AND DEBRIS SHALL BE IMMEDIATEl.Y REMOVED AND
THE ROADWAY AND ROADSIDE SHALl. BE l.EFT NEAT AND PRESENTABLE AND SATISFACTORY TO THE COUNTy,
7. THE COUNTY RESERVES THE RIGHT TO ORDER THE CHArUiE OF LOCATION OR THE REMOVAL OF ANY STRUCTURE OR STRUCTURES
AUTHORIZED By THIS PEkMIT AT ANY TIME, SAIn CHANGE OR REMOVAL TO BE MADE AT SOLE EXPENSE OF THE PARTy OR
PARTIES TO WHOM THIS PERMIT IS ISSUED, OR THEIR SUCCESSORS ArID ASSIGNS.
B. ALl. SUCH CHANGES, Rf:CONSTRUCTION OR RELOCATION BY THE GRAIITEE SHAl.L BE DONE IN SUCH A MANnER AS WILL CAUSE
THE LEAST IIHERFERANCE WITH ANY OF THE COUNTy's WORI( AND JEFFERSOrl COUNTY SHALL IN NO WISE BE" HEl.D LIABl.E
FOR ANY DAMAGE TO THE GRANTEE BY REASON OF ANY SUCH WORK BY JEFFERSON COUNTY, ITs AGEt/TS OR REPHESENTATlVE5,
OR BY THE EXERCise OF ANY RIGHTS BY THE COUNTY UPON ROADS, STREETS, PUBLIC PLACES OR STRUCTUllES IN QUESTION,
9, THE GRAr'TEE SHAl.l. NOTIFY THE COUNTY'S REPRESENTATIVE UPON COMPLETION OF THE WORK UNDER THIS PERMIT SO THAT
A FINAL INSPECTlOtl CAN BY /'lADE.
0 J,
0 2,
0 3.
0 ;,
0 5,
0 6,
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~
SPECIAL PROVISIONS
APPLICABLE PROVfSIONS ARE DENOTED BY AN (X)
2o~~~~Ug~I~~(A~i~~~iz~~A~~ :~lgNp~~~I~O:I~~I~'T~~DC~~~i~~~E~I~~~~0~~~A~7EMENTS' AT ALl. TIMES DURING THE
THE APPROACH SHAl.L BE CONSTRUCTED IN ACCORDANCE WITH THE ATTACHED DESIGN Pl.ATE TYPE
APPROACH. A~Fr.LENGTH OF IIiCH DIAMETER CULVERT PIPE SHALLBE PLACED-I~
DITCH AND LAID r.o A TRUE LINE AliD GRADE. THE APPROACH SHAl.L BE SURFACED TO THE LIMITS AS SHOWN ON
D7iE~i:~, AZ~ :~iF~~:DiA~~R T~io~P~~1C~~E S~:~~E~i, IZ,,:gcg~~~~~ER7i~~_~~:W:~'~: t~ ~g~T:~Lp~~HmE~;A",
TItE APPROACH SHALl. BE SUFFICIENTL'i SURFACED BACK AN ADEQUATE DISTANCE FROM THE EDGE OF THE PAVEMENT TO
PREVENT AliY MUD TRACKING ONTO THE COl1llTY ROAD. ANY MUD TRACKED ONTO THE COUNTY ROAD SHAl.L BE 1!1.~ED1ATELY
CLEANED UP BY THE GRANTEE OR HIS AGENT.
IF NECESSARY TO INCREASE SIGHT DISTANCE. STUMPS AND BRUSH SHALL BE REMOVED FROM BOTH SIDES OF THE
e~r~~A~~ALL T~5T I~~' ~~~~7~~~~E o~U~b~~~y O~O~BR~r~~~~~~:W~,~~B(R OR DlltF I GURlt{G OF ArlY FEATURE OF SCEN IC
,"aRK SHAl.L BE RESTRICTED TO THE HOURS BETWEEN 9:00A.M, AND q:OOP.M. UNLESS OTHERWISE AUTHORIZeO BY THE
ENGII/EER.
A SURETy BOND IN THE AMOUNT OF S , WRITTEN 9'1' A SURETY COMPANY AUTHORIZED TO
DO BUSINESS IN TltE STATE OF WASHINGTOn, SHALl. BE FURNISHED TO INSURE COMPLIANCE WITH ANY ArlO ALl. OF THE
TERM~ ArlO CONDITIONS OF THIS PER~IIT AND SHALL REMAIN IN FORCE UNTIL ALL 1I0RK urlOER TI1IS PERHIT HAS
BEEI' COHPLETED AND APPROVED BY fHE COUNTY,
BEFORE AllY LOG HAULlric. OPE RATIO/IS BEGIN. A SURETY BONO IN THE AMOllNT OF S. _, SHALL
BE FURNISHED B" THE GRANTEE TO PROTECT THE COlltlTy AGAINST ANY DAMAGE TO THE COUNry ROAD AND TO INSURE
CO~PlETE REMOVAL OF THE APPROACH AND ';LEA/IING UP OF THE RIGHT-Or.WAY TO THE SATISFACTION OF THE COUNT'"
APPROVAL OF ALL CLEAN UP WORK SHALL BE SECURED BEFORE THE BOND WIl.L BE RELEASED.
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~' (~
Jefferson County Department of Public Works
Courthouse
PORT TOWNSEND, WA. 98368
206-385-3505
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GENERAL PROVISIONS
L THIS PEHHIT IS SUBJECT TO RCW 36.75,130, ,1~0 A"D ,150 AHD AHE"DHE"TS THERETD,
2. THE GRANTEE, ITS SUCCESSORS AND ASSIGNS, AGREES TO PROTECT JEFFERSON CCUNT'1 AND SAVE IT HARMI.ESS FROM ALL
CLAIMS, ACTIONS OR DAMAGES OF EVERY KIND AND DESCRIPTION WHICH HAY ACCRUE TO OR BE SUFFERED BY ANY PERSON,
PERSONS.. OR PROPERTY BY REASON OF THE PERFORMANCE OF ANY SUCH WORK, CHARACTER OF MATERIALS USED OR MANNER
OF INSTAL.LATION; IN CASE ANY SUIT OR ACTION IS BROUGHT AGAINST THE COUNTY FOR DAMAGES ARISING OUT OF OR BY
REASON OF ANY OF THE ABOVE CAUS(S, THE PETITIONER, ITS SUCCESSORS OR ASSIGNS WilL, UPON NOTICE OF COMMENCE-
MENT OF SUCH ACTION.. DEFEND THE SAME AT ITS SOLE EXPENSE AND SATISFY ANY JUDGEMENT ARISING THEREFROM IF
DETERMINED ADVERSE TO JEFFERSON COUNTY,
3. IF THE GRANTEE ENTERS JHTD A CONTRACT OR AGREEMENT WITH A THIRD PARTY TO PERFORM THE WORK AUTHORIZED
BY THIS PERMIT, THE THIRD PARTY, AS A PART OF THE CONSIDERATION FOR ITS CONTRACT WITH GRANTEE, AGREES TO
INDEMNIFY, HOLD tlARMLESS AND DEFEND THE COUNTY IN ACCORDANCE WITH THE PROVISIONS OF PAFlAGRAPH 2, ABOVE.
~, ~~'rmA;~R~r,.n ~rNI~~ gg~~mmD~"~D~~Q~m~~m m~l~ ~6D5Ay~RS~~1tu~5B~~dHM~R~E~~I~Hi"~~~~~~_
LATlaN AS HEREIN PROVIDED.
5. DURING THE CONSTRUCTION OF THE FACILITY, THE GRANTEE S~lALL COMPl.v WITH THE twt.UAL ON UNIFORM TRAFFl.C......tSlliI
DEVICB FOR STREns AND HlliHWAVS PUBLISHED BY THE U.S. DEPARTMENT OF TRANSPORTATION.
6. ON COMPLETION OF SAID WORK HEREIN CONTEMPLATED, ALL RUBBIS~I AND DEBRIS SHALL BE IMMEDIATELY REMOVED AND
THE ROADWAY AND ROADSIDE SHALL BE LEFT NEAT AND PRESENTAllLE AND SATISFACTORY TO THE COUNTY.
7. TH::' COUNTY ReSeRVE::; tilE RIGHT TO OROER TI1E CHANGE UF LOCATION OR THE REMOVAL OF ANY STRUCTURE OR STRUCTURES
AUTHORIZED flY THIS PERMIT AT ANY TIME, SAID CHANGE OR REMOVAL TO BE MADE AT SOLE EXPENSE OF THE PARTY OR
PARTIES TO WHOM THIS PERMIT IS ISSUED, OR THEIR SUCCESSORS AND ASSIGNS.
8. ALL SUCH CHANGES, RECONSTRUCTION OR RELOCATION BY THE GRANTEE SHALL BE DONE IN SUCH A MANNER AS WILL CAUSE
THE LEAST INTERFERANCE WITH ANY OF THE COUNTY'S WORK AND JEFFERSON COUNTY SHALL IN NO WISE BE tiELD LIABLE
FOR ANY DAMAGE TO THE GRANTEE BY REASON OF ANY SUCH WORK BY JEFFERSON COUtHY, ITS AGENTS OR REPflESENTATlVESj
OR By THE EXERCISE OF ANY RIGHTS BY THE COUNTY UPON ROADS, STREETS, PUBLIC PLACES OR STRUCTURES IN QUESTION.
9. THE GRANTEE SHALL NOTIFY THE COUNTY'S REPRESENTATIVE UPON COMPLETION OF THE WORK UNDER THIS PERMIT SO THAT
A FINAL INSPECTION CAN SY MADE.
0 L
l5; 2,
~ 3,
1St 4,
0 5.
0 fJ.
0 7.
~ 8,
SPECIAL PROVISIONS
APPLICABLE PROVISIONS ARE DENOTED BY AN (Xl
~0~2~~ug~ J~nE A~~~~kI Z~~A~~ ~~lgN P~~~I ~O:I ~~n' T~~D c~~~~~~~E~ I ~~~~O~~~A~~EMENTS, AT ALL TIMES OUR ING THE
THE APPRDACH SHALL BE CDHSTRUCTED '" ACCDHDl,CE WITH THE ATTACtlED DESlG" PLATE TYPE_~~\ __
APPROACH. A --L...R._FT.LENGTH OF__ INCH DIAMETER CULVERT PIPE SHALL BE PLACED Ifj
DITCH AND LAID TO A TRUE liNE AND GRADE. T lE APPROACH StlALl BE SURFACED TO THE LIMITS AS SHOWN ON
mEnf~G A~~ ;~iF~~:D~A~~R T~iD~p;~?e~~E S~~~~E~iy '~,,:gcg~~~W R~i~~_~~~H:~D~ I t~ ~g~T:~L p~~HmEb;AN,
TltE APPROACH SHALL BE SUFFICIENTLY SURFACED BACK AN ADEQUATE DISTANCE FROM THE EOGE or THE PAVEMENT TO
PREVENT !In> MUD TRACKING ONTO THE COUNTY ROAD. ANY HUD TRACKED ONTO THE COUNTy ROAD SHALL BE IMMEDIATELY
CLEANED UP BY THE GRANTEE OR H IS AGENT.
IF NECESSARY TO INCREASE SIGHT DISTANCE, STUMPS AND BRIJSH SHALL BE REMOVED FROM BOTH SIDES OF nlE
e:r~fA~~ALL T~~T I:~ I ~~:~N~:6E o~UlJ~~~y o~o~gR~r~~~~~F:wr~~BeR OR 01 SF IGURING OF ANY FE^TUHE OF SCEN I C
WORK SHALL BE RESTRICTED TO THE HOURS BETwEEN 9:00A.M. AND ll:OQp,M. UNLESS OTHERWISE AUTHc/RIZED BY THE
ENGINEER.
A SUP.ETy BCNO HI THt AMOUNT OF t_ , WRITTEfI BY A SURETy COMPANY AUTHORIZED TO
00 BUSWESS IN THE STATE OF WAStllNGTON, SHALL BE FURNISHED TO INSURE COMPLIANCE WITH ANY AND ALL OF THE
TERM!; AllD CONDITIONS OF THIS PERMIT AND SttALL REMAIN IN FORCE UNTIL ALL WORK UNDER THIS PERMIT HAS
BEEN COMPLETED AND APPROVED BY Tue COUNTy.
BEFORE ANY lOG HAULING OPERATIONS BEGIN, A SURETY BONO IN THE AMOUNT OF l______, SHALL
BE FURNISHED BY THE GRANrEE TO PflOTECT THE COUNTy AGAINST ANY DAMAGE TO THE COUNTy ROAD AND TO INSURE
COMPUTE REMOVAL OF THE APPROACIl AND CLEANING UP OF THE RIGHT.or.WAY TO THE SATISFACTION OF THE COUNTY.
APPROVAL OF ALL CLEAN UP WORK SHALL BE SECURED BEFORE THE BONO WilL BE kELEASED.
SPEC'AL CD"S1DERATlD"S Nee 14 L \I '? h \
Form 1131'1
IZ"Oia min. Culvert
Edge of shoulder
t
~
II of Coun t y Rood
Mln.4"ballost /
Min. 2" top course
Edqe of Sho=rlder
r 20'min
t Z%
. .. '4- "!~.,.
Min.12" culvert J
~ !!!~I!!d
PROFILE
SIGIIT DISTANCE REQUIREMENTS
POSTED SIGIIT DISTANCE
SPEED LIMIT MINIMUM DESIREABLE
NOTES:
1.)
Culvert shall meet mInImum specifications
for HS-20 loading. Approved types inc I ude:
1) concrete
2) corrugated metal
3) corrugated polyethylene tubing--AASHTO ~~?~)
County road shoulder shall be left at
existing profile,
25 160 FT, 200 FT.
30 200 FT. 240 FT.
35 240 FT. 275 FT.
40 275 FT. 350 FT.
45 315 FT. 410 FT.
50 350 FT. 475 FT,
2, )
APPROVALS:
de; (), ~t'1M-
~~~~~;a~~'::~~o~:rs (rl, ')1( . (?/JIL'fL1 ~ __
Director, Department
of Public .Works
Date 9A,k?
Date9~6 -~3
e
.
GENCIIAL PIIOVISIOIiS
TilE GRANTEE. ITS SUCCESSURS A"D ASSlG"S, AGREES TO PROTECT JEFFERSO" ,"U"TY A"D SAVE IT HARHlESS FROH All
ClAlHS, ACTlD"S DR DAHAGES OF EVERY KIND A"D DESCRIPTIO" WH!CII HAY ACCRUE TO DR BE SUFFERED BY A"y PER SOli,
PE"SO"S, OR PIlOPERTY BY REASO" OF TilE PERFORHA"CE OF A"y SUCH WDRK, CIIARACTER OF HATERIAlS USED DR HM"ER
UF 'NSTAllATlD", '" CASE A"y SUIT DR ACTlDH Is BROUGHT AGAINST TIlE COUNTY FOR DAtlAGES ARISING OuT OF DR BY
REASON OF A"y OF THE AUDVE CAUSES, TilE PETITIONER, ITS SUCCESSDRS DR ASSIGNS WILL, UPD" "DTlCE OF CDHHENCE_
MENT OF SUCM AcrlON, DEFEIID THE SAME AT ITS SOLE EXPE"SE AND SATISFY MY JUDGEHENT ARISIHG THEREFRDH IF
DETERMINED ADVERSE TO JEFFERSON COUNTY.
3, IF THE GRA"TEE E"TERS I"TO A ,""TRACT DR AGREEHEHT HITII A TtlIRD PARTY ,TO PERFURH THE HDRK AUTHDRIZED
~~Di~~ i F~;R~gO ~~iH[~f;~DA~~Rl~FE~~ ~H~A~lUZ~y T~~ ~g~g~g~~til~~ T~D~HJ'~R~em~~i ~t T~A~Zt~lg~'2~GZiieE ~D
0, ~',,~:r':oMX II.m "~::'.~:'":"~~~rl::: ~:::: !!",;,r ":::~:"~,:"M:'I'~':'I. 'f::m.
LATION AS HEREIN PROVIDED,
5, DURI"G THE CO"STRUCTlO" OF THE FACILITY, THE GRA"TEE SHAll CDHPlY HITH THE IlAI!lIAl DN U"IFDRH TRAFFIC CO"TJlQJ..
llf.Ut~ill A"D HIr.HWm PUBlISHED By THE U,S, DEPARTHEHT DF TRAHSPDRTATlD",
6, D" CDHPlETlDN OF SAID WORK HERE'" CD"TEHPlATED, All RU'RISH AND DEBRIS 51lAll RE IHHEDlATElY REHDVED AHD
THE "DADWAY A"D RDADSlDE SHAll BE lEFT NEAT AND PRESE"TAUlE A"D "TlSFAcrORY TO TilE CDU"TY,
7, "IE 'OU"TY RESERVES THE RIGHT TO DRDER THE CHA"GE OF lDCATlD" DR TilE REHDVAl OF AtIY STRUCTURE DR STRUCTURES
AUTiIDRlZED By flf/S PERHIT AT ANy TlHE, SA'D CHA"GE DR REHDVAl TO BE MADE AT SOLE EXPENSE OF THE PARTy DR
PARTIES TO WHDH THIS PERHIT IS ISSUED, DR THEIR SUCCESSORS AND ASSIGNS.
8, All SUCH CHANGES, RECDNSTRUCTIDN DR RElOCATlD" By THE GRA"TEE SIIAll BE DDHE '" SUCH A HA""ER AS WILL CAUSE
TilE lEAST I"TERFERA"CE HITH A"y DF THE CDU"Ty'S WDRK AtID JEFFERSON CDU"Ty SHAll '" "D HISE BE IIElD LIABlE
TDR A"y DAHAGE TO TilE G"A"TEE By REASON OF A"y SUCII WDRK By JEFFERSO" CDUNTY, ITs AG'''TS DR REPRESE"TATlVES,
0" By THE EXERCISE OF My RIGHTs By THE CDU"Ty UPD" RDADS, STREETS, PUBLIC PlACES DR STRUCTURES '" DUESTlDN,
9, TilE GTlAt/TEE SHAll "OTlFy THE CDU"TY'S REPRESE"TATlVE UPD" COHPlETlDN OF THE WDRK UHDER THIS PERHIT SO THAT
A FINAL INSPECTION CAN By MADE.
0 1.
0 2,
0 3,
0 '/,
0 5,
0 f"
0 7,
SPECIAL PROVISIONS
APPLICABLE PROVISIONS ARE DENOTED By AN ex)
~D~mug~'6~EA~i,~S~iz~~Ak~ :~lgNpi~~,~D~li~ih~~DC~~Zii';EZ'~~?~D;~~A;:EHENTS' AT All T1HES DUR'HG THE
THE APPRDACH SHAll BE CONSTRUCTED", ACCDROAHCE HITH THE ATTACHED DESlG" PlATE TYPE_~___~
APPROACH, A~_Fr.lE"GTH OF_ _"'CH DlAHETER CULVERT PIPE SHAll BE PLACED '"
UITCII A"D lAID TO A TRUE LI"E A"D GRADE, THE APPRDACII SHAll BE SURFACED TO THE lIHITS AS SHDWN D"
mE2i:~G A~~ i~iF~~:O~A~:R T~iD~P~~?C~;IE S~~~~EZiy '~H:~cgge~:~E" ~!~~_~~:w:~D~ I ~~ ~g~T~~" p~~Hi:iE~:AlI,
"lZ APPRDACH "lAll DE SUFFICIENTlY SURFACED BACK A" ADEDUATE DISTA"CE FRDH THE EDGE OF THE PAVEHE"T TO
PREVENT ANy HUD TRAC""G OIlTO TilE COUIITY RUAD. Ally HUD T"ACKEU D"TO THE CDU"TY RDAD SHAll BE IHHEDlATElY
CLEAlIEO UP By TtlE GRANTEE OR HIS AGENT.
IF NECESSARY TO 'HC"CASE SIGHT DISTAHCE, STUN,S AlID BRUSH SHAll "' REMVED F"DM DOTH SIDES OF TIrE
AT-r"OACH, THE '''DISCIIIHINATE CUTTING OF H'RCHAIITATolE rrH"R OR DISF/GURI", UF A"y FEATURE OF SCE"!C
"WC SHALL 1I0r ItE P[HH'fTED DN COUNTY ROAD "IGHT-OF-HAY,
WDRK SHAll BE REST"JeTED To THE HDURS BETWEEN 9,OOA.H, A"D ~,OOP,H. U"LESS OTHERWISE AUTHDRIZED By THE
(NGIIIEER.
A 'URFTY BOliO '" THE A,,"U"T OF I____~_____, WRITTE" By A SURETy COHPAHY AUTHDRIZED TO
Do RUS/"ESS III TilE SlATE OF WASH"'GTO", SHAll RE FURNISIIED TO '''SURE CDHPl/ANCE WITH ANY AND All OF THE
TEWH' AND CU"UITID,iS OF THIS PERHIT AND SHAll REHAIII It, FORCE U"TIL All WDRK UIID<R "lIS PERHIT HAS
bEEN COMPLOED AND APPROVED By rHE COUNTY,
BETORE ANY lDG HAUl/IIG DPE"AT/OIiS BEG''', A SURETy BD"D '" THE AMDUNT OF I_________~____, SHAll
B' FURI.IS"'D Sf THC GRANTEE To PROTECT THE CDUIITy AGAI"ST ANY DAHAG( TO TilE COUNTY RDAD AlID TO ""URE
COMPlCTE "lMOVAl OF "IE APPRDACH Arm CleAt/it', U" OF "IE RIGH'-OF-WAY To TilE SAIISFACTIDN 0' THE CDU"TY,
AI'''''OVAl or All CLCAN UP WO"K "IALL BE srCu"ED BCFORE TIlE 80NO WILL BE "ELEASCD,
o 8, sPECiAl CONS/DERATlC"S____~_____
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TO
JEFFERSON COUNTY OEPARTMENT OF PUBLIC WORKS
COURTHOUSE
PORT TOWNSEND WASHINGTON 98368
PHONE - 385-3505
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SUBJECT ,<{),;.Jf
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SIGNED ."<I()",,,., i,,'
REPI"Y..
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DATE
D81
REMOVE PART 2 ANO FORWARD PARTS 1 AND 3, ISIGNED
PART 3 WILL BE AErURNEDWITH REPLY. I
LIFT THIS SHEET TO REMOVE. FilE FOR FOLLOW.UP
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220601
DEED
THIS EASEl.lENT. dated this d.5_ day of .o..c.~. 19 n... from
the UNITED STATES OF AHERICA. acting by and through the Forest Service.
Department of Agriculture, hereinafter cD,lled Grantor, to Jefferson County,
Washington, hereinafter called Grantee.
WITNESSETH,
\.fl-lEREAS, the Grantee has applied for a grant of an easement under
the Act of October 13. 1964 (78 Stat. 1089. 16 U. S. C. 532-538). for a
road over assignable easements OiV'ned by the United States in the County
of Jefferson, State of Hashington, and administered by the Forest Service,
Department of Agriculture.
NOli THEREFORE. Grantor docs hereby grant to Grantee all right. title
and interest in the following easements and rights-of-way recorded in
the deed records of Jefferson County, Washington:
Date
~ Y_.o!.~ ~ !!.e.Eorded
1. Keith and Madalynne Brol-m 120 27 1/7/47
2. Harvey Boyce. and Kathryn
Boyce 119 636 12/20/46
3. Archie Thomas and
llinnifred Thomas 119 605 12/17/46
Said easement and rights-of-way being over and across the following-described
land in Jefferson County. \Vashington:
Township 26 North. Range 2 \Vest. llillamette Meridian
Section 34. NE1/4NEl/4N111/4. Nl/2N11l/4NEl/4. SEl/4NlIl/4NE1/4
and NEi/4S\Vi/4NE1/4
The grantee does by the acceptance of this document covenant and agree for
itself, its assigns, and its successors in interest to the propert)' herein
conveyed or any part thereof, that the covenants set forth below shall attach
to and run with the easements and rights-of-way:
(1) That the. described property, and its appurtenant areas and its
building and facilities, whether or not on the land herein conveyed will be
operated as a public road. in full compliance with Title VI of the Civil
RIghts Act of 1964 and all requirements imposed by or pursuant to the
regulations issued thereunder by the Department of Agriculture and in effect
on the date of this document to the end that no person in the United States
shall, on the ground of race, color, or national origin, be excluded from
participation in, be denied the benefits of. or be subjected to discrimination
under any programs or activities provided thereon; and
VOL <H)~.i ::::30
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(I
GENEIlAL PROVIS IONS
1. THIS PERHIT IS SURJECT TO RCW 36,75,130, ,1~0 A"D ,150 A"D AHEHDHE"TS THERETO,
2. TIlE GRANTEE, ITS SUCCESSORS AND ASSIGNS, AGREES TO PROTECT JEFFERSON COUNTY AND SAVE IT HARMLESS FRO~l ALL
CLAIMS. ACTIONS OR DAMAGES OF EVERY KINO AND DESCRIPTION WHICH MAY ACCRUE TO OR BE SUFFEREU BV ANY Pf:IlS0tl,
PEIlSONS, OR PROPERTY BY REASON OF THE PERFORMANCE OF ANY SUCH WORK, CHARACTER OF MATERIALS USED all MANNER
OF INSTALLATION; IN CASE ANY SUIT OR ACTION IS BROUGHT AGAINST THE COUNTY FOR DAMAGES MUSING OUT OF OR By
REASON OF ANY OF THE ABOVE CAUSES, THE PETITIONER, ITS SUCCESSORS OR ASSIGNS HILL, UPON NOTICE: OF COMHENCE-
HUH OF SUCH ACTION, nr:.FEND THE SAME AT ITS SOLE EXPENSE AND SATISFY ANY JUDGEMENT ARISING THEREFROM IF
DETErlMINED AOVERSE TO JEFFEHSON COUNTY,
3. IF THE GRANTEE ErHERS INTO A CONTRACT OR AGREEMENT WITH A TItIRD PARTY TO PERfORM THE WORK AUTHORIZED
BY TillS PERMIT, TIlE THIRO PARTY, AS A PART OF THE CONSIDERATION fOR ITS CONTRACT WITH GRANTEE, AGREES TO
JNDEHNJFV, HOLD HARMLESS AND DEFEND THE COUNTY IN ACCORDANCE. WITH THE PROVISIONS OF PARAGRAPH 2, ABovE,
q, ~~Y T~~~A~~R~~ T An ~~N T~~ ~g~~f~~g~~o~N~O~~Q~~~~~~~i~ ~i~~:~ ij60gAy~R s~~ttU~~B~~C~HiH~~R~t~~1 ~Hio G~~~~~~_
LAflarl AS HEREIN PROVIDED.
5. DURING THE CONSTRUCTION OF THE FACILITY, THE GRAllTEE SHALL COMPLY WITH THE MAHUA.LQtL~J.ftAEf..1LWil&ll.
DEVICES FOR STREETS AND HlmlliAY..S. PUBLISHED BY THE U,S, DEPARTMENT OF TRANSPORTATION,
6, ON COMPLETION OF SAID WORK HEREIN CONTEMPLATED, ALL RUBBISH AND DEBRIS SHALL BE IMMEDIATELY REMOVED AND
THE ROADWAY AND ROAD~IDE SliALL BE LEFT NEAT ArlO PRESENT,o!o.BLF. "NO SATISFACTORY TO THE COUNTY,
7, TltE COUNTY RESERVES THE RIGHT TO ORDER THE CHANliE OF LOCATION OR THE REMOVAL OF ANY STRUCTURE OR STRUCTURES
AUTllORIZED BY THIS PERMIT AT ANY TIME, SAIn CHANGE OR REMOVAL TO BE MADE AT SOLE EXPENSE OF THE PARTY OR
PARTIES TO WHOM THIS PERMIT IS ISSUED, OR THEIR SUCCES~ORS Arm ASSIGNS.
8, ~h~ ~~~~T c~~~~~~ER:~E~Il~I~~Cr~~N O~R T~~Lgg~M~~ S B~O~~E A~~A~~~~E~~~~L Cg~N~~N~H1~L S~~HN~ ~~~~E=f A~E~~ Lt I ~:~iE
FOR ANV DAMAGE TO TilE GRANTEE BY REASON Of ANY SUCH WORK BY JEFFERSON COUNTY, ITS AGENTS OR REPRESENTATIVES,
OR BY THE EXERCISE OF ANY RIGHTS BY THE COUNTY UPON ROADS, STREETS, PUBLIC PLACES OR SlllUCTURES IN QUESTION,
9, THE GRANTEE SHALL NOTlFV TIlE COUNTY'S REPRESENTATIVE UPON COMPLETION OF THE WORK UNDER THI~ PERMIT SO lIlAY
A FINAL INSPECTlOtl CAN BY MADE,
01.
~ 2,
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SPECIAL PROVISIONS
APPLICABLE PROVISIONS ARE DENOTED 8'1 AN (X) .:':Li', 1('
, ',J-'
~o~~~~ug~ 1~~[A~i~~~ lz~~A~~ ~~I ~N pi~~1 ~O~I~M~' T~~D c~~~i~)~E~ I ~~~~O~~~A~~EI1(NTS, AT ALL T II1ES OUR I~G :~IlE
TfiE APPROACH ~~BE CONSTRUCTED IN ACCOR~AtLC,E WITH THE ATTACttED DESIGN PLATE TYPE_.. r::>~:._\.___
APPROACH, A _._FT ,I.ENGTH OF _<---INCH DIAMETER CULVERT PIPE SHALL BrnACED IN
DITCtl AND LAID TO A TRUE l.INE AND GRADE, TliE APPROACH SHALL BE SURFACED TO THE LIMITS AS SHOWN ON
D~~E~f~~G A~~ ~~~F~~:D~A~~R T~~o~p;~~e~~E S~~~~E~iy I~N~gcg~e~~~E R~~~~-6~~w:~O::t~ ~g~T:~l P~~Ml~~Eh~AN.
TIlE APPROACH SHALL BE :;UFFICIENTLY SURFACED BACK AN ADEQUATE DISTANCE FROM HIE EDGE OF THE PAVEMENT TO
PR[VENT ANY MUD TRACKING ONTO TIlE COUNTY ROAD, ANY MUD TRACKED ONTO THE COUNry ROAD SHALL BE IMMEDIATELY
CLEANED UP BY HIE GRANTlE OR HIS AGENT,
IF NEC~SSARV TO INCREASE SIGHT DISTANCE, STUMPS AND BRUSH SHALL DE REMOVED FROM BOTH SIDES OF TIlE
e:r~~^~~ALL T~~T I~~ I ~~:~7~~~bE O~U~~~~~Y o~o~gR~~~~i~~~~wl~~Il(R OR 01 SF IGUR IIlG OF ANY FEATURE OF SCEN IC
WORK SHALL BE RESTRICTED TO THE HOURS BETWEEN 9:00A,M, AND q:OUP,M, UNLESS OTHERWISE AUTHORIZED BY THE
ENGlIiEER,
A SUReTY BOND IN TH[ AMOUNT OF ,______, WRITTEN UY A SURETY COMPANY AUTHORIZED TO
no BUSINESS IN TIlE STATE OF WASHINGTON, SHALL BE FURNISHED TO INSURE COMPLIANCE wITH ANY AND ALL OF THE
TERMS AND CONDITIONS OF THIS PERmT AND SUAlL REMAIN IN FORCE UNTIL ALL WORK UNDER TIllS PERMIT HAS
BEEN COMPLETED AND APPROVED BY THE COUNTY,
BEFORE ANV LOG HAULING OPERATIONS BEGiN, A SURETY BONn IN THE AMOUNT OF $.___~____.. SHALL
B( FURtllSHED 0'1 HiE GRANrEE TO PHOTfCT THE COUllTY AGAINST ANV DAMAGE TO THE COUNTY ROo\D AND TO IIlSURE
COMPUTE REHQVAL OF TilE APPROACtt MID CLEANING UP OF THE RIGHT-Of-WAY TO THE SATISFACTION OF THE COUNTY,
APPROVAL OF ALL CLEAN UP WORK SIlAI.L. BE SECURED BEFORE THE BOlIO WILL BE RELEASED,
D 8, SPECIAL CONSIDERATlONS_.
fJ
e
GENEIIAl Pi'OVISIONS
1. THIS PERMIT IS SUBJECT TO RCW 36.75.130, ,jI.JO ArlO ,J50 AND AMENDMENTS THERETO,
2. HtE GRANTEE, ITS SUCCESSORS AND ASSIGNa, AGREI:S TO PROTECT JEFFERSON COUNTY AND SAVE IT HARMLESS FROM ALL
CLAIMS. ACTlorlS OR DAMAGES OF EVERY KINO Arm DESCRIPTION WHICH MAY ACCRUE TO OR BE SUFFER[IJ BY ANY l'EIiSO~I.
PERSON!>, OR PROPERT\' BY REASON OF THE PERFORMANCE or ANY SUCl1 WOfU:, CHARACTER OF MATERIAl.S USED OR MAli/lEA
OF INSTALLATION; IN CASE ANY SUIT OR ACTION IS DROUGHT AGAltlST THE COUNTY FOR DAMAGES ARISING OUT OF OR BY
REASON OF ANY OF THE ABOVE CAUSES, TliE PETITIONER, ITS SUCCESSORS OR ASSIGNS WILL, UPON NOTICE Of COMMENCE-
MEIH OF SUCH ACTION, DEFEND THE SAME AT ITS SOLE EXPENSE AND SATISFY ANY JUD(i[M(NT ARISING THEREFROM IF
DETERMINEO ADVERSE TO JEFFEH~ON COUNTY.
3, IF THE GRANTEE ENTERS INTO A corHRACT OR AGREEMl:.tH WITH A HlIRD PARTY TO PERFORM THE WOAI\, AUTHORIZED
~~DJ~~ f F~;R~6[ii ~~~M[~~~D A~~R6~FE~~ ~H~A~~U~~Y T7~ ~g~g~g~~tl r~~ T~O~HiT~R~en~~~~ ~:T~A~:~~~~~'2~G:~~~E:0
Ij, ~~Y T~~~A~~R~f T A~~ ~r N r~~ gg~~f~~~~~ o~N~o~~Q~~~~~~~i~ ~7~~1~ ~eD~Ay~R s~:ttU~5B~~c~HiH~~R~E~~liHio G~~~~~~_
LATlON AS HEREIN PROVIDED,
5, DURING THE CONSTRUCTION OF THE FACILITY. THE CiRArlTEE SHALL COMPLY ',UTH THE MArtUALOJLUl:i..1.!.n&t1.J.RAEf..lt.....LQtU.&I1.
DEVICFS FOR STRFFTS AND HIr.Ift!AY.i PUBLISHED BY THE U,S, DEPARTMENT OF TRANSPORTATION,
6, ON COMPLETION OF SAID WORK HEREIN CONTEMPLATED. ALL RUBBISH AND DCBRIS SHALL BE IMMEDIATELY REMOVED AND
THE.ROA~WAY AND ROADSIDE SHALL BE LEFT NEAT AND PRESENTAllLE AND SATISFACTORY .TO THE COUNTY.
7. HtE Cowny RESERVES THE RIGtiT TO ORDER THE CllANr.E OF LOCATION Ok THE REMOVAL OF ANY STRUCTURE OR STRUCTURES
AUHiORIZED BY THIS PEkMIT AT ANY TIME. SAl/I CttANGE OR tiEMuVAL To BE MADE AT SOLE EXPEN!lE' OF\ TH!:. PAnTY OR
PARTIES TO WHOM THIS PERMIT IS ISSUED, OR THtIR SUtCES!luHS ArllJ ASSIGNS,
g, ALL SUCH CHANGES. RECorlSTRUCT/ON OR RELOCATION BY THE GRAtlTEE SHALL BE [JaNE ltI SUCH A MANNER AS HILL CAUSE
THE LEAST IIITERFERANCE WlTti AllY OF !tiE COUNTY'S WlJru; ANIJ JEFFERSorl COUflTy SHALL IN NO WISE Bf II[LD LIABLE
FOR ANY DAMAGE TO TIlE GRANTEE BY PEASON OF, ANY SUCtj WORK BY JUFERSON COUNTY~ ITS AGENTS OR REPHESEtlTATIVE5,
OR BY THE EXEKCISE OF ANY RIGHTS BY HIE COUfnv UPON ROADS, STREETS. PUBLIC PLACES OR STRUCTu~ES IN QUlSlIoN,
9, THE GRANTEE SHALl. NOTIFY !tiE COUNTY'S REPRESENTATIVE UPON COMPLETiON OF THE WORK UNDER THIS PERMIT SO THAT
A FINAL INSPECT ION CAN BY MADE.
0 J.
~ 2,
~ 3.
OJ ~,
0 5.
0 6.
0 7,
o 8,
5PECIAL PROVISIONS
APPLICABLE PROVISIONS ARE DENOTED BY AN (X)
A COPy OF THE PERMIT SHALL BE ON THE JOB SITE. AND PROTl:liTED FROM THE ELEMENTS. AT ALL TIMES DURING THE
CONSTRUCTION AUTHORIZED BY SAID PERr11T WITtON THE CQUNTY S RIGHTwOF-WAY, 0
THE APPROA(.H SIiALLIBE CONSTRUCTED IN ACCORI)AN?E WITH THE ATTACHED DESIGN PLATE TYPE_..L:J.__
APPROACH, A--'--l)_FT.LENGTli OF_.---1_. INCH DIAMETER CULVERT PIPE SHALL BE PLACED IN
BITCH AND LAID TO A TRUE LINE Arm GRAIlE, THE APPROACH SHALL BE SURFACED To THE LIMITS AS SHOWtl ON
O~~En~~G A~~ ~~~F~~:D~A~~R T~~Q~p~~~e~~E S~~~~E~~Y I~N~~C~~~~~~E R ~~~~_~~~w:~O~: t~ ~g~T:~L p~~Mi~~E~~AN,
TIlE APPROACH SHALL BE SUFFICIENTLY SURrACED BACK AN ADEOUATE DISTANCE FROM TH!:: EDGE OF THE PAVEMENT TO
PREVENT ANY MUD TRACKING ONTO HiE COUNTY ROAD. ANY MUD TRACKED ONTO THE COUNTy FlOAD SHALL BE IMMEDIATELY
CLEANED UP BY THE GRANTlE OR HIS AGENT.
IF rjEC~SSARV TO INCREASE SIGHT DISTANCE. SlUMPS Arm BRlISH StiALL fiE REMOVEn FROM BOTH SIDES OF TilE
e:r~~A~~^ll T~~T I~r I ~~~~~~~:'6E o~U~6~~~/~o~&R~~~~i~~~:wl{~B(R OR PI SF I Gur.lNG OF AllY HATURE OF SCEN IC
WORK SHALL BE RESTRICTED TO THE HOURS BETWEEN 9:00A.M. AND 4:00P,M, UNLESS OTHERWISE AUTHORIZED BY THE
ENGINEER,
A SURETy BOND IN THE AMOUNT OF tm___.__.__~. WRITTEtt By A SURETy COMPANY AUTHORIZED TO
DO BUSINESS IN HIE STATE OF WASHlflGTOrl, SHALL 8E FURNISttED TO INSURE COMPLIANCE HIT/l ANY ArlO ALL OF THE
TERHC AltO (.'JNOITIONS Of THIS PER~\IT AtlO SIlAlL REm,IN IN FORCE UNTIL ALL WORK UNDER THIS PERMIT HAS
BEEN CO/'iPLLi"ED AND APPRO....E.D BY hIt COUrny.
BEFORE AllY LOG tjAUlING OPERATlorlS BEGW. A SURETy BONO IN THE AMOUNT OF t_______, SHALL
BE FURrn SHED BY THE GRAt/TEE TO PkOTECT THE COUtHY AGAlIlST ANY DAMAGE TO THE COUNfY ROAD MID TO IIlSURE
COMPUTE REMOVAL OF THE APPROACtt AriD (LEANING UP OF THE RIGHT-Of-WAY TO THE SATlSFAClION OF THE CQurlTY.
APPROVJ.L OF ALL CLEAN UP WORK SHALL BE SECURED BEFORE TilE BOrlO WILL BE RELEASED,
SPEC I AL CONS I DERA TlONS
----------------._~----
..--------------
-------.------
-----------.-----
Form Ir3 b
8
.
12"Oia min. Culvert
Edge of shoulder
i
~
<lof County Road
MIn. q"ballast ~
Min. 2" top coor"!
SIGHT DISTANCE REQUIREMENTS
POSTED SIGHT DISTANCE
SPEED LIMlT mNnlU~l DES1REABLE
NOTES:
L)
Culvert shall meet minimum specifications
for HS-20 loading, Approved types include:
1) concrete
2) corrugated metal
3) corrugated polyethylene tubing--AASHTO l'~n)
County road shoulder shall be left at
existing profile,
2S 160 FT, 200 FT,
30 200 FT, 240 FT,
35 240 FT, 275 FT,
40 275 FT, 350 FT,
45 315 FT, 410 FT,
50 350 FT. 475 FT,
2. )
APPROVALS:
4e4'! (2, ~t'<-'-
I
'I /) r'\
Chairman. Board of I I ."}.r ;, 1)/ j,
Count)' Commissioners l (. /" < t II (LilA <:: _
Director, Department
of Public Works
Date 9A,k?
Date 9'6 -~3
Form 113.c
.
..
G[N[IW PPOVISIONS
1. THIS PERMIT IS SUBJECT TO RCW 36.75.130, ,140 ArlO .150 AND AMENflMENTS THERETO.
2, TilE G"'''TEE, ITs SUCCESSDRS AI.. ASSlG"', AORElS TO PRDTEcT JUFERSO" CDUlHY A"D SAVE IT H"HLESS FROM ALL
CLAIMS, At,lIONS OR DAMAGES OF EVERY XINn AlHl DESCRIPTION WHICH MAY ACCRUE TO OR BE SUFFEREtJ BY AtIY PEfiSOtl,
PEfISON:i, OR PROPERTY BY REAsorl OF TltE PERFORMMCE Of ANY suet'! WORK, CHARACTER OF MATERIALS USED OR MArINER
OF INSTALLATION; IN CASE ANY SUIT OR ACTION IS BROUGHT AGAItIST HIE COUNTy FOR DAMAGES ARISING OUT OF Ok BY
RlASON OF ANY OF THE ABOVE CAU5[S, HiE PETITIONEA, IHi SUCCESSORS OR ASSIGNS WII.L, UPON NOTICE OF COMMENCE-
MENT OF SUCH ACTION, UfFEND HiE SAME AT ITS SOLE EXPENSE AND SATISFY ANV JUDGEMENT ARISING THEREFROM IF
DETERMINED ADVERSE To JEFFERSON COUNTY,
3, IF THE GRAIITEE E"TERS INTO A CDI/TRACT DR AGREEH!IIT HITII A ""RD PARTY TO PERFU"< THE WO~K AIITHDRI1(D
BY HilS PERMIT. HIE THIRD PARTY, AS A PART Of THE CONSIDERATION FOR ITS CONTRACT WITH GRANTEE. AGREES TO
!NOEMNI FY, HOLD HAR~ILESS ArlO DEFEND THE COUNTY IN ACCORDANCE WITH THE PRaVI S IONS OF PARAGRAPH 2. AfIOVE,
;, ~~'r~:~A;~R~:T A~6 ~:"I~~ ig~m~mD~"~D~;o~m~~~l~ m~l~ ~aDgAy~R s:~itu:~,~~c~H;H:~R~E~~liHio'~~~m_
LATION AS HEREIN PROVIDED,
\, DUR,,,, THE CO"STRUCTlD" OF THE FACILITV, THE GRAtnH SHALL COHPLV WITH THE tlAUU~lllilWll1JJlAWLWilBllL
D..E.VICEs FOR STREns AND fjl(,;Hl:lAY.S PUBLISHED By THE U,S, DEPARTMENT OF TRANSPORTATION.
6, D" COHPLETlo" OF SAID HDRK ""'EI" CO"TEHPLATED, ALL AtJBn"" AND nEBR" SHALL 'E 'HHlDIAH!.V REHDV(D A""
TIlE ROADWAY AND ROADSIDE SHALL BE LEfT NEAT AND PRESI:NTABLE AND SATISFACTORY TO THE COUNTY,
7, WE COU"TV RESERVES THE RIGtlT TO DRDER TH' C"A"GE OF LOCATlDN 011 THE REMOVAL OF A"y STRUCTURE OR STRUCTU""
AUTttoR I ZED &'1' THI S PEkMIT Al AtlY T 1/1[, SA trJ CHANG( OR kEMOvAL TO BE MADE AT SOLE EXPENSE OF THE PART Y OR
PARTIES TO WHON THIS PERMIT I!. ISSUED. ClR THtlR succeS::'Oli!; AIHl ASSIGNS,
S, ALL SUCH CHA"GES, RECO"STRUCTlD" OR RELOCAT 10" BY TH' ORA"", SHALL BE I"'" '" SUCH A HA""ER AS WILL CAUSE
HIE LEAST IIITERFERIINCE WITtI t,Ny OF THE COUNTY'S wrJRI( ANO JEFFF.kSOIl COUNTY SHALL IN NO WISE Br lI[lD L1ADLC
FOR A"Y OAHAG' TO T"E 'RA"TEE BY BEASD" OF AI/y SUCH WDRK By JeFFERSD" CO""TV, ITS AGE"TS DR RE'''E''''TAIIVES,
OR BY THE EXERCIS[ OF ANy klGHTs BY Hll; (;OUNTY UPOtl ROADS, STREETS. PUBLIC PLACES OR STRUCTURES IN QU~STIUN,
9, THE GRA"TEE SHALL NOTlFV TilE cou"rv's REPRE""TATIVE UPD" CD>lPLETlD" DF THE WDRK UNDER THIS PERHIT SD THAT
A FINAL INSPECT I 011 CAN _ BY MADE,
OJ.
E.2,
.0J
9 ~,
0 5.
0 0.
0 7,
SPE[IAL PROVIS IONS
APPLICABLE PROVISIONS ARE DENOTED BY AN (X)
A CDPY OF THE PERMIT SHALt BE 0" THE ,IDB SITE, A"D PROTECTED FROH THE ElEM"'," , AT All. TlH" OliRl", THE
CUNSlflUCTION AUTHORIZEU fly SAID PERMIT WITHIN TI1I:": COUNn'S RIGHT-Dr-WAY,
THE APPROACH S~^LL BE.CONSTRLJCTEO IN. ACCOflUlCE WITH THE ATTACHED DESIGN PLATE TYPr:._~L.__
APPROACH, A~._FT,lENr.TH OF ~~INCtI DIAMETER CULVERT PIPE SHALL BE PLACED IN
DITCH AND LAIO TO A TfiUE LINC Arm GRAUE, HIE APPROACH SHALL BE SURFACED TO THE LIMITS AS SHOWN ON
o~~E~~f~G A~~ i~~FmD~A~iR T~~o~p~~?e~~E S~~~~E:iy '~,,~~cg~e~~;E R~~~~_~~:w:~D~: t~ ~g~T~~L p~~HmE~:A1',
TIlE ;,PPROACH SHALL BE SUFFICIENTLY SURfACED BACK AN ADEQUATE DISTANCE FROM THE EDGe: OF THE PAVEMENT TO
PREVENT ANY HUD TRAO:ING ONTO Till COUIITY ROAD, ANy MUD Tf/ACKEe ONTO THE COUIITY ROAD SHALL BE IMMEDIATELY
CLEANED UP BY HIE GRANTEE OR HIS AGEtlT.
It,um~:AR::HiD IJ~f:W~I~mJ'c~in~:~cgi ~i~~~~I/~~~t~R~;~"f~A~~ ~~ s~~~ennGF~~HAn~T~lm~f gi l~'i" IC
VALue SHALL NOT BE PtkMlrrEtJ ON (Ouray ROAD RIGHT-OF-WAY,
WDRK StlALL BE RESTRICTED TO THE "DURS BETHEE" 9,OOA,H, A"O ~,OOP,H, ""LEss DTHERHISE AUTHORIZED BY THE
ENGIt/EER,
A SURfTf BONO IN THE Al10U/I'f Of $---___ ____.__. WRITTEII 9':' f, SURETy COMPA/IY !.UTHORlzeO TO
DO BUSINESS IN TIlE STATE OF WASHlIlGTON, S'tALL BE FURNISttED TO IIlSURE COMPLIANCE WITH AtlY AND ALL OF THE
TERM:; AND CONDITIONS OF THIS P(R~llT AtlO SHALL REMAIN IN FORCE UNTIL ALL WORK UNDER THIS PERMIT HAS
B;:'Etl COMPLETED AND APPROVlD BY ni[ COUNT)',
BEFORE ANY LOG ItAUlltlG OPERATIONS BEGIN, A SURETY BOND IfI THE AMOUriT OF S.____...~ SHALL
SE FURNISHED By HtE: GRAtHEE TO PkOJ[CT THE COUfUY AGAJ/lST AllY DAMAGE TO TltE COUNTY ROAD AND TO ItlSUHE
COMPHTE REMOVAL OF THE APPROAClt AND CLEA!WIG UP Of THE fHGHT-OF-WAY TO THe SATISFACTION OF THE cownv,
APPROVAL OF ALL CLEAN UP WORK SIIALL Bt: ~[CUREO BEFORE Ht[ BOlIO WilL BE RELEAS(O.
o 8. SPECIAL COHSIDERATlONS~___~
--.------.---------------.---
--~--------
--------~
------_.._.__._-_._------_.._-~_._._----_._.
Form 113 b
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DEPARTMENT OF GAME
600 Capitol Way North
Olympia, Washington 99504
(206) 753'5897
[;m ~~~";~RSON COUNTY
~;T~~T. OR ~~~ R;U;E20
CITY
PORT TOI~NSEND,
(!l]WATER
UNNAMED
. .
HYDRAULIC PROJECT
APPLlCA TION
(R.C.W. 75.20.100)
PLEASE PRINT OR TYPE
DO NOT WRITE IN SHADED AREA
GiI t!1"O'gT)'"Oj\\'S_3505
PUBLIC WORKS DEPT. SGAN~
FIRST
OEPARTMENT OF FISHERIES
Goneral AdmIn. Bldg.
Olympia, WashIng Ion 98504
(2D6) 753.665D
~~t~~Jb~R
SECTION
STATE ZIP ABeD
WA 98368
TRIBUTARY TO IW [;m GiI
DOSEL~ALL I P RIVER F
G
TOWNSHIP RANGE (E,Wl COUNTY fill TYPE OF PROJECT
26~~ 2W Jefferson ditch cLeani.ng
[iJ [!]
1 23. [iJ
[!] I!J
I!J WIllA
34
DESCRIPTION OF WORK METHOD AND EQUIPMENT
CLean di.tch of accumuLated graveL and debri.s to a depth of up to 1.5 feet
by approxi.mateLy 450' i.n Length, Materi.aL lVi.ll be removed IVlth backhoe
and hauLed alVay by truck, No equlpment lVi.lL be placed i.n di.tch. Di.tch
i.s dry at thi.s tlme.
PRO"OSEO STMm,jG OATE
9/15/86
PROPOSED FINISHlllG DATE
r::1 SEPA AGENCY/OATE OF DETERMINATION
@J
9/30/86
~ OTHER PERMITS NONE
IT IS UNDERSTOOD THAT NO WORK WILL ~
BE STARTED UNTIL A SIGNED APPROVAL
IS RECEIVED <' -; -".. __ __
,
TIME LIMITATIONS:
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..
.
GENERAL PROVISIONS
1. THIS PERHIT IS SURJECT TO RCW 36,75,130, ,1~0 AND ,150 A"D AHEHDHE"rs THERETO,
2. TliE GRANTEE, ITS SUCCESSORS AND ASSIGNS, AGRUS TO PROTECT JEFFERSON COUNTY AND SAVE IT HARMLESS FROM ALL
CLAIMS. ACTIONS OR DAMAGES OF EVERY KIND AND DeSCRIPTION WHICH MAY ACCRUE TO OR BE SUFFEREtJ BY ANY l'EIISutl,
PEf/SONS, OR PROPERTY By REASUN OF THE PERFORMANCE OF ANY SUCH WOHK, CHARACTER Of MATER IALS USED OR MANNER
OF INSTAllATION; IN CASE ANY SUIT OR ACTION IS BROUGHT AGAINST THE COUNTY FOR DAMAGES ARISING OUT OF Of( BY
REASON OF ANY OF nlE ABOVE CAUSl:S, TttE PETITIONER, ITS SUCCESSORS OR ASSIGNS WILL. UPON NOTlC[ OF CUMHEliCE-
MENT OF SUCH ACTION, llF.FEtiD HIE SAME AT ITS SOLE EXPENSE AND SATISFY ANY JUDG!:MEtiT ARISING THEREFROM IF
DETERMI NED ADvERSE TO JEFFERSON COUNTY I
3, IF THE GRMHEE EtiTeRS INTO A COtlTRACT OR AliREEMcNT WlTH II THIRD PARTY TO PERFORM THE WORK AUTHORIZf;O
~~D~~~ ~ F~~R~~[D ~~~M[~~~D A~~Rl~FE~~ ~H~A~~U~~Y T~~ ~g~~~~~~~i I~~ T~O;H~ T~Rg~~~~~~~ ~~ T~A~~~~1~~'2~G:~~~E ~o
4. ~~Y T~~;A~~R~~ T A~~ ~~ N I~~ gg~~f~~g~~o~N~O~~Q~~~~~~~~~ ~i~~l~ ~eD5Ay~R s~:LtU:~B~~c~H~H~~R~E~~I~Hio G~~~~~~ ~
LATlON AS HEREIN PROVIDED.
S. DURING THE CONSTRUCTION Of THE FACILITY, THE GRAtlTEE SHALL COMPLY WITH THE IiAtiUALUtLJJlU.f.QBlLI.RAE.E!~J..
DEVICES FOR STREETS M'D HIGfftiAY..S. PUBLISHED BY THE U,S, DEPARTMENT OF TRANSPORTATION.
6. ON COMPLETION OF SAID WORK HEREIN CONTEMPLATED, ALL RUBRISli AND DEBRIS SHALL BE IMMEDIATELY REMOVED AND
THE ROADWAY AND ROADSIDE SHALL BE LEFT NEAT AND PRESENTABLE AND SATISFACTORY TO THE COUNTY,
7, HIE COUNTY RESERVES THE RIGHT TO ORDER THE CtiANGE OF LOCATION OR THE REMOVAL OF ANY STRUCTURE OR STRUCTURES
AuTHORIZED BY THIS PEkMIT AT ANY TIME, SAW CHANGE OR REMOVAL TO BE MADE AT SOLE EXPENSE OF HIE PARTY OR
PAI1T1ES TO WHOM THIS PERMIT IS ISSUED, OR THEIR SUCCESSORS AllD ASSIGI~S,
8. ~~~ ~~~~T c~~~~~~ER:~g~Il~I~~Cl~~N o~R T~~Lg~~~i~~ S B~O~~E A~~A~I~~E~~~~L cg5N~~N;Hl~L S~~H N~ :~~~E:f A~Et~Lt I ~~~~E
FOR ANY DAMAGE TO TtIE GRANTEE BY ElEASON OF ANY SUCH WORK BY J~FFE.RSON COUNTY, ITS AGENTS OR REPRESENTATIVES.
OR BY THE EXERCISE OF ANY RIGIlTS BY THE COUNTY UPON HOAOS. STREETS, PUBLIC PLACES OR STRUCTURES IN QUESTION.
9, THE GRAIlTEE SHALL NOTIFY THE COUNTY'S REPRESENTATIVE UPON COMPLETION OF THE WORK UNDER THIS PERMIT SO HiAT
A FINAL INSPECTION CAN BY MADE,
Sll.
&LZ,
'$].,,3,
~ 'I,
0 5,
0 &,
0 7,
SPECIAL PROVISIONS
APPLICABLE PROVISIONS AR~ DENOTED BY AN (X)
~o~~~~ug~lb~[^~~~~klz~~A~~ ~~lgNp~~~liO:I~~1ij'T~~Dc~n~+~r1E~I~~~~O~~~A~~EMEIHS' AT Al.L T~MES DURING ruE
f:.'.L
THE APPROACH~L~CONSTRUCTEn IN ACC~RD~(;E WITH THE ATTACHED DESIGN PLATE TYPE_ -.--
APPROACH. A ._ FT .LENGTH OF INCH DIAMETER CULVERT PiPE SHALL B PLA EO IN
OITCH AND LAID T A tUE LINE AND GRAUE. THE APPROACH SHALL BE SURFACED TO THE LIMITS AS SHOWN ON
D~~E~~~~GA~~ ~~~F~g~D~^~~R T~~O~P~~~~~~E S~~~~E~~Y I~N~~cg~~~~~E R~A~~_~~~w~~O~: t~ ~g~T~~L P~:MI~~E~:AN.
TltE APPROACH StiALL liE SUFF 1 C IENTLY SURrACED BACK AN ADEQUATE 01 !HANCE fROM THE EDGE OF THE PAVEMEIlT TO
PREVENT AllY MUD TRAr.KING ONTO TIlE COUNTY ROAD. ANY MUD TRACKEli ONTO THE COUNTY ROAD SHALL BE IMMEDIATELY
CLEANEO UP BY HIE GRANHE OR HIS AGENT,
IF NECESSARY TO INCREASE SIGUT DISTANCE, STUMPS MlD BRUSH SHALL BE REMOVED FROM BOTII SIDES OF TIlE
APPROACH. THE INDlscrnMINATE CUTTING OF MrRCHArHAOLE TIMBER OR IlISF1GURING OF ANY FEATURE OF SCENIC
VALUE SHALL NOT DE PERMI TTED ort COUNTY ROAD RIGltT-OF-WAY,
WORK SHALL BE RESTRICTED TO THE tlOURS BETWEEN 9:00A.M. AND 4:00P,M. UNLESS OTtIERWISE AUTHORIZED BY THE
ENGINEER.
A SUR(JY BOND IN THE AMOUNT OF ,_.____. WRITTEN BY A SURETY COMPANY AUTHORIZED TO
00 aUSINEss IN TltE SlATE OF WASHINGTON, SHALL BE FURNISHED TO INSURE COMPLIANCE WITH ,\NY ArlO ALL OF THE
TERMC AIW CONDITIONS OF THIS PERMIT AND SHALL REMAIN IN FORCE UNTIL ALL WORK UNDER THIS PERMIT HAS
bEEN COMPLETED AND APPROVED BY HtE COUNTY.
BEFORE AllY LOG IIAULUIG OPERATIONS BEGIN, A SURETY BOND IN TIlE AMOUNT OF t._____.____., SHALL
Bf. FURIIISHEO BY THE liRANrEE TO PRoTECT THE COUNTY AGA!ttST ANY DAMAGE TO THE COUNTY ROAD AND TO INSURE
COMPLH€ REMO....Al OF THE APPROACIl AND CLEAIlING UP OF TliE RIGHr.or-WAY TO THE SATISFACTION OF THE COUNTY.
APPROVAL OF ALL CLEAN UP WORK SIlALL BE SECURED BEFORE THl: BOND WILL BE RELEASED.
D 8. SPECIAL CIlNSIOERATlONS
--..------------
----.-------.--------------
.
.
GENERAL PROVIS IONS
I. THIS PERHIT IS SUBJECT TO RCW 36,75.130, ,1~0 AHD ,150 A"D AHEHDHE"TS THERETO,
2. THE GRAtHEE, ITS SUCCESSORS AND ASSIGNS, AGREES TO PROTECT JEFFERSON COUNT'( AND SAVE IT HARMLESS FROM ALL
CLAIMS. ACTIONS OR DAMAGES OF EVERY KINO AND DESCRIPTION WHICH HAY ACCRUE TO OR BE SUFFERED BY ANY PEHSml,
PERSONS, OR PROPERTY BY REASON OF THE PERFORMANCE Of ANY SUCH .....ORK, CHARACTER OF HATER IALS USED OR MANNER
OF INSTALLATION; IN CASE ANY SUIT OR ACTION IS BROUGHT AGAINST THE COUNTY FOR [)AHAGES ARISING OUT OF OR BY
REASON OF ANY OF THE ABOVE CAUSES, TtIE PETIlIONER, ITS SUCCESSORS OR ASSIGNS ....ILL, UPON NOTICE OF COMMENCE-
MENT OF SUCH ACTION, DEFEND THE SAME AT ITS SOLE EXPENSE AND SATISFY ANY JUDGEMENT ARISING THEREFROM IF
DETERMINED ADVERSE TO JEFFERSON COUNTY,
3, JF THE GRANTEE ENTERS INTO A CONTRACT OR AGREEMENT WrTfI A THIRD PARTY TO PERFORM THE WORK AUTHORIZE!)
~~D~~~r F~~R~~[D ~~~M[~~~D A~~R~~FE~g ~H:A~bU~~Y T~~ ~g~5A~~~~i I~~ T~O~HJT~Rge~~~~~~ ~~ T~A~~~~l~~'2~G~~~eE:0
4. ~~Y T~~iA~~R~~ T An ~~N I~~ ~g~~U~~~r O~N~O~~Q~~~~~~~~~ ~i~~:~ OODfiAy~R s~~ttU~~B~~ci~liH~~R~E~~liHio G~~~~~~8
LATlON AS HEREIN PROVIDED,
5, DURING THE CONSTRUCTION OF THE FACILITY, THE GRANTEE SHALL COMPLY WITH THE fWtllA.L. ON UNIFORM TRAFFlr. COtUHQJ..
DEVICES FOR STRHTS AND HIG~ PUBLISHED BY THE U.S. DEPARTMENT OF TRANSPORTATION,
6. ON COHPLETlON OF SAID WORK HEREIN CONTEHPLATED, ALL RUBBISH AND DEBRIS SHALL BE IMMEDIATELY REMOVED AND
THE ROADWAY AND ROADSIDE SHALL BE LEFT NEAT AND PRESENTABLE AND SATISFACTORY TO THE COUNTY,
7. THE COUNTY RESERVES THE RIGHT TO ORDER THE CHANGE OF LOCATION OR THE REMOVAL OF ANY STRUCTURE OR STRUCTURES
AUTHORIZED BY THIS PERMIT AT ANi TIME, SAID CHANGE OR REMOVAL TO BE MADE AT SOLE EXPENSE OF THE PARTY OR
PARTIES TO WHOM THIS PERMIT IS ISSUED, OR THEIR SUCCESSOf(S AND ASSIGNS.
8. ALL SUCH CHANGES, RECONSTRUCTION OR RELOCATION BY THE GHANTEE SHALL BE DOliE IN SUCH A MANNER AS WILL CAUSE
THE lEAST IIHERFERANCE WITH ANY OF THE COUNTY'S WORK AND JEFFERSON COUNTY SHALL IN NO WISE BE 'tElD LIABLE
FOR ANY DAMAGE TO THE GRANTEE BY REASON OF ANY SUCH WORK BY JEFFERSON COUNTY, ITS AGENTS OR REPRESENTATIVES,
OR BY THE EXERCISE OF ANY RIGHTS BY THE COUNTY UPON ROADS, STREETS, PUBLIC PLACES OR STRUCTURES IN QUESTION.
g. HIE GRANTEE SHALL NOTIFY THE COUNTY'S REPRESENTATIVE UPON COMPLETION OF THE WORK UNDER THIS PERMIT so THAT
A FINAL INSPECTION CAN BY MADE.
SPECIAL PROVISIONS
APPLICABLE PROVISIONS ARE DENOTED BY AN ex)
to~~~~ug~ I ~~EA~i~~~ T Z~~A~~ ~~lgNp~~~1 ~O:I nl~' T~~D c~~~}~~~E~1 ~~~~O~~~^~7EMENTS, AT All TIMES OUR ING THE
THE APPROACH SHALL BE CONSTRUCTED IN ACCORDANCE WITH THE ATTACttED DESIGN PLATE TYPE________
APPROACH. A _FT.LENGTH OF INCH DIMETER CULVERT PIPE SHALL BE PLACED IN
DITCH AND LA 10 TO A TRUE liNE AND GRADE. THE APPROACH SHALL BE SURFACED TO THE LIMITS AS SHOWN ON
D~t~E~it~G A~~ ~~~F~~~D~A~~R T~~o~p~=?e~~E S~:~~E~fy I~N~gcg~~~~~E R ~~~~_~~~w:~O~: tf ~g~T:~L p~~Mi~iE~7AN,
HiE APPROACH SHALL BE SUFFICIENTLY SURFACED BACK AN ADEQUATE DISTANCE FROM THE EDGE OF THE PA\'(MENT TO
PREVENT ANY MUO TRACKING ONTO TIlE COUNTY ROAD. Ar~y MUD TRACKED ONTO THE COUNTY ROAD SHALL BE IMMEDIATELY
ClEA/IED UP BY THE GRANTEE OR HIS AGENT.
IF NECESSARY TO INCREASE SIGHT DISTANCE, STUr-lf'S MID BRlISH SHALL BE REMOVED FROM BOTH SIDES or TIlE
~:r~~A~~"LL T~aT I~~ I ~~:hN~:6E o~IJ~~~~~y O~o~gR~~~~~~~~:wr~~B(R OR 01 SF IGUR I tlG OF ANY F[ATURE OF SCEN I C
WORK SHALL BE RESTRICTED TO HiE HOURS BETWEEN 9:00A.M. AND 4:00p.M. UNLESS OTHERWISE AUrl10RlZED BY THE
ENGINEER.
A SURETY BallO IN THE AMOUNT OF S , WRITTEN BY A SURETY COMPANY AUTHORIZED TO
r.o BUSINESS IN TItE SlATE OF WASHINGTO/i, SHALL BE FURNISHED TO I/iSURE COMPLIANCE WITt! .\NY AND ALL OF 1I1E
TERM!; AlID CONDITIONS OF THIS PERMIT AIlD SHALL REMAIN IN FORCE UNTIL ALL '....ORK IJflDE1: THiS PERMIT HAS
BEEN COMPLETED AND APPROVED BY THE COUllTY.
&EFCRE ANY LOG HAULING OPERATIONS BEGIN. A SURETY BONO IN THE AMOUNT OF Sh_____~_____, SHALL
BF. FUIlNISItED BY THE GRANTEE TO PUOJ'ECT THE COUNTY AGAINST ANY DAMAGE TO THE COUNTY ROAD AND TO 1t15URE
COMPLETE REMOVAL OF THE APPROACU AND CLEANIIlG UP OF THE RIGHT-OF-WAY TO THE SATISFACTION OF THE COUNTY,
APPROVAL OF ALL CLEAN UP WORK SHALL BE SECURED BEFORE THE BONO WILL BE RELEASED.
D 8. SPECIAL CONSIDERATIONS
0 I.
0 2.
0 3,
0 q,
0 5,
0 6.
0 7,
Form 113 D
,:~: _.~.~,~ ::",' :": ~~~': '~,~I
V' .>'.":' ,:;', . \. :'
,. ,f ~ r: ,~ " "
~.(\.'~r: ~.:,_.-,,..:..,~ ,
..
.
GENEllAL PHOVISIONS
1. THIS pERMIT IS SUBJECT TO RC\i 3G.75.130, ,}IIO MID ,150 AND AMEN[JMENTS THERETO.
2. TtlE GRANH.E, ITS SUCCESSORS AIm ASSIGNS, ACiRElS TO PRoueT Ji:FFERSON COUNTY AND SAVE IT IIMlMLF.SS FRUM ALL
CLAIMS, ACTIONS OR DAMAGES OF t:VERV KINO AND DESCRIPTION 'rIHICli MAY ACCRUE TO OR BE SUFFEREU BY ANY !'EII5OtI.
PERSONS, OR PROPERTY BY REASUN OF HtE PERFORMNCE OF ANY SUCH WORK, CHARACTER OF MATER IAlS USEO OR MAImER
OF INSTALLATlONl IN CASE ANY SUIT OR ACTION IS BHOLlGIIT AGAUlST THE COUNTY FOR DAMAGES ARISING our OF a[t BY
RlASON OF ANY OF THE ABOVE CAUSES, THE PETITIONER, ITS SUCCESSORS OR ASSIGNS WILl.. UPON NOTICE OF COMMENCE-
Mt::NT OF SUCH ACTION, tlEFEND THE SAME AT ITS SOLE EXPENSE AND SATlSFV ANY JUDGEMENT ARISING THEREFROM IF
DETERMINED I\OVERSE TO JEFFERSON COUNTY.
3, IF THE GRANTEE ENTERS INTO A CONTRACT OR AGREEMENT WITH ^ THIRD PARTY TO PERFOR~I THE WORK AUTHORIZED
~~Di~~ r F~~R~6[D ~~~M~~~~D A~~R~~Fe~g ~H~A~bu~~y Tlli~ ~g~g~g~~~I I~~ T~O~H~ T~Rg~~~~~~~ ~~T~A~~~~1~~'2~G~~~eE;0
4, ~~Y T~~~A~~R~~ TA~~ ~rN r~~ ~g~~i~~gno~N~o~~Q~~:~~~~i~ ~~~~~~ ~8Dg^y~R s~~LtU~~B3~c1H~H~~R~E~~liH~0 G~~~~~~~
LATlON AS HEREIN PROVIDED.
5. DURING THE CONSTRUCTION OF THE FACILITY, THE GRfltlTEE SHALL COMPLY WITH THE MArt\JAL.mLutilf.QRljJ.RAf.f.l~RQL.
IlEV!CES FOR STREETS AND HIGilltAY.1 PUBLISHED BY THE U.S, DEPARTMENT OF TRANSPORTATION,
6. orl COMPLETION OF SAID WORK HEREIN' CONTEMPLATED, ALL RUBnlSH AND DEBRIS SHALL BE IMMEDIATELY REMOVED AND
THE ROADWAY AND ROADSIDE SHALL BE LEFT NEAT AND PRESENTAhLE AND SATISFACTORY TO THE COUNTY,
7. TIlE COUNTY RESERVES THE RIGHT TO ORDER THE. CttANGE OF LOCATION OR THE REMOVAL OF ANY STRUCTURE OR STRUCTURES
AUTtIORIZED BY THIS PEf(MIT AT ANY TIME, SAW CltANGE OR REMOVAL TO BE MADE AT SOLE EXPENSE OF THE PARTY OR
PARTIES TO WHOM THIS PERMIT IS ISSUED, OR THEIR SUCCES501lS AUD ASSIGNS.
~, ~~~ t~~~T C~~~~~~ER~~~~rl~1~~Cr~~N O~R T~~Lgg~~i~~ S B~O~~E A~~A~~~~E~~~~L Cg5N~~N~Hl~L S~~H N~ ~~~~E:fA~E~~ Lt I ~~~~E
FOR ANY DAMAGE TO TIlE GRANTEE BY REASON OF ANY SUCt! WORt< BY JEFFERSON COUNTY, ITS AGENTS OR REPHESENTAHVES,
OR BY TliE EXERCISE OF ANY RIGHTS BY THE COUNTY UPON ROADS, STREETS} PUBLIC PLACES Ok STRUCTURES IN QUEslION,
g, THE GRANTEE SHALL NOTIFY TIlf COUIlTY'S REPRESENTATIVE UPON COMPLETION OF THE WORK UNDER THIS PERMIT SO THAT
A FINAL INSPECTION CAN BY MADE,
OJ.
B-2.
~ 3,
~ q,
0 5,
0 G,
0 7,
SPECIAL PROVISIONS
APPLICABLE PROVISIOIIS AHE DENOTED BY AN (X)
~o~~~~ug~ I~~r. A~i~~ki Z~~A~~ ~~lg'\~~~I~O~ I nl~' T~~n c~~~i~l(~f~ I~~~~O~~~A~:F.MENTS, AT ALL TIMES OUR ING TIle
THE APPROACH~Cp, CONSTRUCTED IN ACCQR[~E WITH THE ATlACUED DESIGN PLATE TYPE_.. P.=\... -
API'ROACH. A _ ~_ rr.LENGTlI OF_ -L INCH DIAMETER CULVERT PIPE SHALL BE PLACEb IN
lIlTCII AND LAID - TleUE LlllE AND GRAUE. TH APPROACH SHALL BE SURFACED TO THE LIMITS AS StlOWN ON
otll~E~~~~GA~~ ~~~F~~~D~A~~R T~~o~p~~~e~~( S~~~~E~~V I~N~gcg~~~~~E R ~~~~~~~~w~~o~ 1 t~ ~g~T:~L P~~Ml~~E~:AIl,
TltE APPROACH SHALL BE SUFFICIENTLY SURfACED BACK All ADEOUATE DISTANCE FROM TI1E EDGE OF THE PAVEMEtH TO
PULVENT ANY MUD TRACKING ONTO THE COUNTY ROAD. AllY MUD TRACKED ONTO THE COUNTY kOMI SHALL BE IMMEDIATELY
CLEANED UP BY TuE GRANTEE OR tns AGENT,
If NEC~SSARY TO INCR[ASE ~i1G~T DISTANCE, STuMP'i ftllO BRUSH StlALL BE REMOVED Ff(OM neTH SIOlS OF TIlE
e~~~~A~~:^LL T~~T I~~~I ~~~h7}~~~E O~U~~~~~Y O~o~~R~~~~j~g~~wr~~B[R OR 01 ~F IGUR lUG OF AllY FlA'fURE or t;C[N Ie
WORK SHALL BE RESTRICTED TO THE HOURS BETWEEN 9:00A,M, AND ~:OOf'.M, UNLESS OTHERWISE AUTHORIZED BY THE
ENGINEER.
A SURrTY BONO IN Tll[ AMOUNT OF $_______-.., WRITTEN BY A SURET'{ COMPANY AUTHORIZED TO
DO auSINESS III TltE STATE OF WASHINGTON, SHALL BE FURNISHED TO INSURE COMPLlANC[ WITH ANY AND ALL OF THE
TERM~ AIlD CONDI TIONS OF THIS PERMIT AllO StlALL REMAIN IN rORCE UNTIL ALL WORK UNDER THIS PERMIT HAS
filEr. COMPLETED AND APPROVED BY Tut COUNTY,
B[FORE ^NY LOG ItAULWG OPERATIONS BEGIN, A SURUY BONO IN TH[ AMOlJrlT OF $.._._______dU_. , SHAll.
BE fURtllSIIED BY TilE GRANTEE TO PEloTEer TIlE COUtHY AGAINST Atn DAMAGE TO THE COUNTY ROAD AND TO IIl!,URE
COMI'LE:TE REMOVAL OF TIlE APPROACIl AND CLEANING UP OF TIlE RIGHr-Or-WAY TO THE SATISFACTION OF THE COUNTY,
APPROVAL OF ALL CLlAN UP WORK StlALL BE SECUHEO BEFORE TIlL: BartO WILL liE RELEASED.
o 8, SPECIAL CONSIDEIlATlONS
---------..----
-..--------.--.---
-I>,
;, ~
..
II
GENERAL PROVISIONS
I. THIS PERMIT IS SUBJECT TO RCW 36.75.130, .]~O ANa ,]50 AND AMENDMENTS THERETD.
2. THE GRANTEEJ ITS SUCCESSORS AND ASSIGNS, AGREES TO PROTECT JEFFERSON COUNTY AND SAVE IT HARMLESS FROM ALL
CLAIMS, ACTIONS OR DAMAGES OF EVERY KINO AND DESCRIPTION WHICH MAY ACCRUE TO OR BE SUFFERED BY ANY PERson,
PERSONS, OR PROPERTY BY REASON OF THE PERFORMANCE OF ANY SUCH WORK, CHARACTER OF MATERIALS USED OR MANNER
OF INSTALLATION; IN CASE ANY SUIT OR ACTION IS BROUGHT AGAINST THE COUNTy FOR DAMAGES ARISING OUT OF OR BY
REASON OF ANY OF THE ABOVE CAuses, THE PETITIONER, ITS SUCCESSORS OR ASSIGNS WilL. UPON NOTICE OF COMMENCEw
MENT OF SUCH ACTION, DEFEND THE SAME AT ITS SOLE EXPENSE AND SATISFY ANY JUDGEMENT ARISING THEREFROM IF
DETERMINED ADVERSE TO JEFFERSON COUNTY I
3, IF THE GRANTEE EtHERS INTO A CONTRACT OR AGREEMENT WITH A THIRD PARTY TO PERFORM THE WORK AUTHORIZED
BY THIS PERHIT~ HIE THJRD PARrY~ AS,., PART OF THE CONSIDERATION FOR ITS CONTRACT WITH GRANTEE~ AGREES TO
CUDEMNIFV, HOLD HARMLESS AND DEFEND THE COUNTY IN ACCORDANCE WITH THE PROVISIONS OF PARAGRAPH 2. ABOVE.
~. ~~\~:~A~~R~jr'~6 ~jNr~~ gg~m~m~N~D~~o~mC:m ~ml~ ~DgAy~RS~~ltU:5B~~dH~Hj:R~E~~I~H~D G~~~m_
LATlON AS HEREIN PROVIDED,
5. DURING THE CONSTRUCTION OF THE FACILITY, THE GRANTEE SHALL CDMPLY WITH THE IlAlIUAL ON UNIFORM TRAFFIC CORTROL
DEVICF~ FOR STRFFT~ AND HI(;tfrfA:t-S. PUBLISHED BY THE U.S, DEPARTMENT OF TRANSPORTATION,
6. ON COMPLETION OF SAID WORK HEREIN CONTEMPLATED. ALL RUBR/SH AND DEBRIS SHALL BE IMMEDIATELV REMOVED AND
THE ROADWAY AND ROADSIDE SHALL BE LEFT NEAT AND PRESENTABLE AND SATlSFACTORV TO THE COUNTY.
7. THE COUNTY RESERVES THE RIGHT TO ORDER THE CMANGE OF LOCATION OR THE REMOVAL OF ANY STRUCTURE OR STRUCTURES
AUTHORIZED BV THIS PERMIT AT ANV TIME~ SAID CHANGE OR REMOVAL TO SE MADE AT SOLE EXPENSE OF THE PARTY OR
PARTIES TO WHOM THIS PERMIT IS ISSUED, OR THEIR SUCCESSOflS AND ASSIGNS,
8. ALL SUCH CHAlIGES, RECONSTRUCTION OR RELOCATION BY THE GRANTEE SHALL BE DONE IN SUCH A MANNER AS WILL CAUSE
THE LEAST INHRFERANCE WITH ANY OF THE COUNTY'S WORK MID JEFFI:.RSON COUNTY SHALL IN NO WISE BE fJELD LIABLE
FOR ANV DAMAGE TO THE GRANTEE BY REASON OF ANY SUCH WORK BY JEFFERSON COUNTY~ ITS AGENTS OR REPRESENTATIVES.
OR BY THE EXERCISE OF ANY RIGHTS BY THE COUNTY UPON ROADS, STREETS~ PUBLIC PLACES OR STRUCTURES IN aUESTlON,
9. TtiE GRANTEE SHALL NOTIFY THE COUNTV's REPRESENTATIVE UPON COMPLETION OF THE WDRK UNDER THIS PERMIT SO THAT
A FINAL INSPECTION CAN BY MADE,
SPECIAL PROVISIONS
,\PPLICABLE PROVISlor~s ARE DENOTED BY AN (X)
~0~~i~ug~16~EA:~~~~rz1~Ak; :~lgNpi~~I~D:lni:'T~~Dc~:m,;E~I~~~~O;~~A~;EMENTS, AT ALL TIMES DURING THE
THE APPROACH SHALL BE CONSTRUCTED IN ACCORDANCE WI1H THE ATTACHED DESIGN PLATE TYPE____
APPROACH, A --__FT ,LENGTH OF INCH DIAMETER CULVERT PIPE SHALL BE PLACED IN
DITCH AND LAID TO A TRUE LINE AND GRADE, THE APPROACH SHALL BE SURf-'ACED TO THE LIMITS AS SHOWN ON
mE~i~~G A~~ ;CiF~W~AnR T~io~P~~?C~~E S~~5~E~~Y ':N:~cg~~~~~E R ~~~~-6~~w~~0~1 tE ~g~T:~L p~~Mr~~E~;AN.
TttE APPROACH SHALL BE SUFFICIENTLY SURFACED BACK AN ADEaUATE DISTANCE FROM HiE EDGE OF THE PAVEMENT TO
PREVENT ANY MUD TRACKING ONTO TilE COUNTY ROAD, AIlV MUD TRACKED ONTO THE COUNTY ROAD SHALL BE IMMEDIATELY
CLEANED UP BY THE GRANTEE OR HIS AGENT.
IF NECESSAR'r' TO INCREASE SI(',HT DISTANCE, STU.'1?S AND BRUSH SHALL OE RE~tOVED FROM BOTH SIDES OF TilE
c~r:~A~~ALL Tn6r I:~ I ~~:~7i~:6E 0~U~6~~~y 0~D~~N~7~~~~g~~wl~~\BER OR OISFlGUR ING OF ANY FEATURE OF SCEN IC
WORK StlALL BE RESTRICTED TO THE HOURS BETWEEN 9:00A,M. AND 4:00p.M, UNLESS OTHERWISE AUTHORIZEDSY THE
ENGINEER.
A SURETY BOND IN THE AMOUNT OF $_____, WRITTEN BY A SURETy COMPANY AUTHORiZED TO
DO BUSINESS IN litE STATE OF WASHINGTON, StlALl BE FURNISHED TO INSURE COMPLIANCE WITH ANY AND ALL OF THE
TERMS AND CONDITIONS OF THIS PERMIT AND SHALL REMAIN IN FORCE WHIL ALL WORK UNDER THIS PERMIT HAS
BEEN COMPLETED AND APPROVED BV THE COUNTy.
BEFOFlE Afjy LOG HAULING OPERATIONS BEGIN, A SURETy BOND IN THE AMOUNT OF \. , SHALL
BE FURNIStlED BV THE GRANTEE TO PROTECT THE COUNTy AGAINST ANY DAMAGE TO TIlE COUNTy ROAD AND TO INSURE
COMPUTE REMOVAL OF THE APPROACH A.ND CLEANING UP OF THE RIGHT-OF-WAY TO THE SATISFACTION OF THE COUNTY.
APPROVAL OF ALL ClEAN UP WORK StlA.lL BE SECURED BEFORE Tue BONO WILL SE RELEASED,
o 8, SPECIAL CONSIOERAT IONS
0 I.
0 2.
0 3.
0 ~.
0 5.
0 6.
0 7.
Form 113 b
.
GENER^L PROV IS IONS
I. THIS PERMIT IS SUBJECT TD RCW 36.75.130, .]~O AND ,]50 AND AMENDMENTS THERETO,
2. THE GRANTEE. ITS SUCCESSORS AND ASSIGNS, AGREES TO PROTF.CT JEFFERSON COUNTY AND SAVE IT HARMLESS FROM ALL
CLAIMS, ACTIONS OR DAMAGES OF EVERV KIND AND DESCRIPTION WHICH HAY ACCRUE TO OR BE SUFFr:.REO BV AtIY PERSOtI,
PERSONS, OR PROPERTY BY REASON OF HIE PERFORMANCE OF ANY SUCH WORK, CHARACTER OF HATER IALS USED OR MANNER
OF INSTALLATION; IN CASE ANY SUIT OR ACTION IS BROUGHT AGAItlST THE COUNTY FOR DAMAGES ARISING our OF OR BY
REASON OF ANY OF THE ABOVE CAUSES, THE PETITIONER, ITS SUCCESSORS OR ASSIGNS WILL, UPON NOTICE OF COMMENCE-
MENT OF SUCH ACTION, DEFEND THE SAME AT ITS SOLE EXPENSE AND SATISFY ANY JUDGEMENT ARISING THEREFROM JF
DETERMINED ADVERSE TO JEFFEHSON COUNTY,
3. IF THE GRANTEE EfHERS INTO A CONTRACT OR AGREEMENT WITtl A THIRD PARTY TO PERFURM THE WORK AUTHORIZED
BY THIS PERMIT, HtE THIRD PARTY, AS A PART OF THE CONSIDERATION FOR ITS CONTRACT WITH GRANTEE, AGREES TO
INDEMNIFY, HOLD H.'\n~LcSS AND DEFEND THE COUNTy IN ACCORDANCE WITH THE PROVISIONS OF PARAGRAPH 2, ABOVE,
~. ~~'r~~~A~~R~; TAn ~;Nm gg~m~mo~NeD:~Q~m~~m ~i~~:~ ~aD5Ay~R s~~L~U~5B3~clH;H;~R;E~~11H;D G~~~m.
LATlON AS HEREIN PROVIDED.
5, DURING THE CONSTRUCTION OF THE FACILITY, THE GRANTEE SIiALL COMPLY WITH THE t:IAlll.!AL ON UNIFORM TRAFFI~
DEVICFS FOR STREEH AND HIG~ PUBLISHED BY THE U,S, DEPARTMENT OF TRANSPORTATION.
6. ON COMPLETION OF SAID WORK HEREIN CONTEMPLATED. ALL RUBBISH AND DEBRIS SHALL BE IMMEDIATELY REMOVED AND
THE ROADWAY AND ROADSIDE SHALL BE LEFT NEAT AND PRESENTABLE AND SATISFACTORY TO THE COUjilY.
7. THE COUNTY RESERVES THE RIGtH TO ORDER THE CflANGE OF LOCATION OR THE REMOVAL OF ANY STRUCTURE OR STRucrURE5
AUHtORIZEO BY THIS PERMIT AT ANY TIME, SAID CHANGE OR REMOVAL TO BE HADE AT SOLE EXPENSE OF THE PARTY OR
PARTIES TO WHOM THIS PERMIT IS ISSUED, OR THEIR SUCCESSorfS MIO ASSIGNS.
8. ALL SUCH CHANGES, RECONSTRUCTION OR RELOCATION BY THE GRANTEE SHALL BE DONE IN SUCH A MANNER AS WILL CAUSE
THE LEAST INTERFERANCE WITIi ANY OF THE COUNTY'S WORK AND JEFFERSON COUNTY SHALL IN NO WISE BE ItElO t.IABLE
FOR ANV DAMAGE TO THE GRANTEE BV REASON OF ANy SUCH WORK BY JEFfERSON COUNTY, ITS AGENTS OR REPRESENTATIVES,
OR BY THE EXERCISE OF ANY RIGHTs BY THE COUNTY UPON ROADS, STREETS, PUBLIC PLACES OR STRUCTURES IN QUESTION.
9. THE GRANTEE SHALL NOTIFY THE COUNTylS REPRESENTATIVE UPON COMPLETION OF THE WORK UNDER THIS PERMIT SO THAT
A fINAL INSPECTION CAN BY MADE,
0 I.
0 2.
0 3.
0 ~.
0 5.
0 6.
0 7.
o a.
SPECIAL PROVISIONS
APPLICABLE PROVISIONS ARE DENOTED BY AN (X)
~o~~~~ug~ 16~E A~~~~~ i Z~~A~~ ~~I gN pi~~1 iO:1 i~i~' T~~D c~~~i~~~E~ I ~~~~O~~~^~~EMENTS, AT All TIMES OUR ING THE
THE APPROACH SHALL BE COtlSTRUCTED Ul ACCORDANCE WITH THE ATTACHED DESIGN PLATE TYPE
APPROACH. A_FT.LENGTH OF INCH DIAMETER CULVERT PIPE SHAlrafiiiJ;'CE'Di~
DITCH ANO LAID TO A TRUE LINE Arm GRADE. THE APPROACH SHALL BE SURFACED TO THE lIMITS AS SHOWN ON
D7~E~f:~G A~~ ~~~F~~~O~^~:R T~~o~p~=?e~~E S~~~~I:~~Y I~N~gcg~e~~~E R 1~~~_~~:w:~O~: t~ ~g~T:~l p~~Mi~iE~~AN.
TtlE APf'ROACH SHALL BE SUFFICIENTLV SURFACED BACK AN ADECUATE DISTANCE FROM THE EDGE OF THE PAVEMENT TO
PREVENT ANY MUD TRACKING ONTO HiE (OUIlTy ROAD. AtlY MUD TRACKED ONTO THE COUNTY ROAD SHALL BE IMMEDIATELY
CLEANED Uf' BY HIE GRANTEE OR HIS AGENT.
IF NECESSARY TO INCREASE SIGHT DISTANCE, sru..,PS !.1m BRUSH SHALL IlE REMOVED FROM DOTH SlOts OF TIlE
e:r~~.\~~;'LL T~j~T I~~ I ~~~~7~ ~~~E 0~tJ~6~J~~Y O~O~~R~~~~+~~~:w~~~BER OR 0 [SF I GUFf I/IG OF MY FE,HURE OF SCEN IC
WORK SHALL BE RESTRICTED TO THE /lOURS B[JWEEN 9:00A.M. AND 4:00p.M. UtlLESS OTHERWISE AUTHORIZED BY THE
ENGINEER.
A SURETy BallO IN THE AMOUNT OF $________. WRITTEN BY A SURETy COMPANY AUTHORIZED TO
00 BUSINESS [N TIlE STATE OF WASHINGTON, SHALL BE. FURNISHED TO INSURE COMPLIANCE WIJH ANY AND ALL OF THE
TERM~ AND CONDITIONS OF THIS PERMIT AND SHALL REMAIN IN FORCE UNTIL ALL WORK WIDER THIS PERMIT HAS
BEW COMPLETED AND APPROVED BY THE COUNTY.
BEFORE MIl' LOG HAULING OPERATIONS BEGIN, A SURETY BONO IN TIlE AMOUNT OF $..______, SHALL
BE FURNISHEO BY THE GRANrEE TO PflOTEeT THE COUNTY AGAINST ANV DAMAGE TO THE COUPiTY ROAD AND TO INSURE
CO/'\PLHE REMOVAL OF THE APPffOACli AND CLEANING UP OF THE RIGHT~OF~WAY TO THE S,\TISFACTION OF THE COUNTY.
APPROVAL OF ALL CLEA/j UP WORK SHALL BE SECURED BEFORF. TilE BOND WILl.. BE RELEASED.
SPEC I AL CONS IDERA TlONS
Form IIJ b
8
..
GENERAL PROVISIONS
I. THIS PERMIT IS SunJECT To RCil 36.75.130, .]~O AND .150 AND AMENDMENTS THERETD.
2. TIlE GRANTEE, ITS SUCCESSORS AND ASSIGNS. AGREES TO PROJF.CT JEFFERSON COUNTY AND SAVE IT HAIlMlESS FRoM ALL
CLAIMS. ACTIONS OR DAMAGES OF EVERY KINO AND DESCRIPTION WHICH MAY ACCRUE TO OR BE SUFFERElJ BY AtlV I'EII~OIJ,
PERSON!;, OR PROPERTY BY REASON OF THE PERFORMANCE OF ANY SUCH WORK, CHARACTER OF MATERIALS USED au HANNER
Of INSTALLATION; IN CASE At,y SUIT OR ACTION IS DROUGHT AGAINST THE COUNTY FOR DAMAGES ARISING OUT OF OR BY
REASON OF ANY OF THE ABOVE CAUSr.:S, THE PETITIONER, ITS SUCCESSORS OR ASSIGNS WilL, UPON NOTICE OF COMHENCE~
MENT OF SUCH ACTION, DEFEND THE SAME AT ITS SOLE EXPENSE AND SATISFY ANy JUDGEMENT ARISING THEREFROM IF
OnERMINED ADVEIlSE TO JEFFERSON COUNTY,
3. IF THE GRANTEE EIHERS INTO II COJHRACT OR AGREEMeNT h'lTfI A TllIRD PARTY TO PERFORM THE WORK AUTtlORIZ!:D
BY nus PERMIT, TttE THIRD PARTY, AS ^ PART OF THE CONSIDERATION FOR ITS CONTRACT WITH GRANTEE, AGREES TO
INDEMNIFY, HOLD HARMLESS ArlO DEfEND THE COUNTY IN ACCORDANCE WITH THE PROVl!ilONS Of PARAGRAPH 2, ABOVE.
~. ~~v T~W~~R~: TA~~ ~:Nm ig~m~mo~N~D~io~m~~m ~mi~ ~8DgAv~R S~mu~5B~~c~HM~R~E~~,iHfo G~~~m_
LATlON AS HEREIN PROVIDED.
5, DURING THE CO/ISTRUCTION Of TIlE fACILITY, THE GRAtlTEE SHALL COMPLY WITH THE tlAttlJALQILUltl.f..QIilLIBAEEJt....C.QtURt.l1.
~~..s. PUBLISHED BY THE U.S. DEPARTMENT Of TRANSPORTATION.
6. ON COMPLETION OF SAID WORK HEREIN CONTEMPLATED, ALL RUBnlSH AND DEBRIS SHALL BE IMMEDIATELY REMOVED ArlD
THE ROADWAY AND ROADSIDE SHALL BE LEFT NEAT AND PRESENTABLE AND SATISFACTORY TO THE COUNTY.
7. TilE COUNTy RESERVES THE RIGHT TO ORDER THE CIIANGE OF LOCATION OR THE REMOVAL OF ANY STRUCTURE OR STRUCTURES
AUTllORIZED BY THIS PERMIT AT ANY TIME, SAW CIWlGE OR REMOVAL TO BE MADE AT SOLE EXPENSE OF THE PARTY OR
PAlHIES 10 WHOM THIS PERMIT IS ISSUED, OR THEIR SUCCES~ORS ArID ASSIGNS.
IL AI.L SUCH CHANGES, RECO/ISTAUCTlON OR RELOCATION BY THE GRANTEE SHALL BE DONE Itl SUCH A MANNER AS WILL CAUSE
TilE LEAST ItHERFERANCE WITH ANY OF THE COUNTY'S WO/(K AtlO JEFFERSON COUNTY SHALL IN NO WISE BE HHD I.IABLE
FOR ANY DAMAGE TO TIlE GRANTEE BY REASON OF ANY SUCH WORK BY JEFFERSON COUNTY, ITs AG[NTS OR REPRESENIA"rIVES,
OR BY HIE EXERCISE OF ANY RIGHTS BY THE COUNTY UPON ROADS, STREETS, PUBLIC PLACES OR STRUCTURES IN QUf:STlON.
9. TilE GRAr/TEE SHALL NOTIFY HIE COUNTY'S REPRESENTATIVE UPON COMPLETION OF THE WORK UNDER THIS PERMIT SO mAT
A FINAL INSPECTION CAN BY MADE.
SPECIAL PROVISIONS
APPLICABLE PROVISIONS ARt DEtlOTED llY AN (X)
~o~~~~ug~ I ~~I:A~~n~~; Z~~A~~ ~~I gNpi~~1 ~O:I ~tIII~' T~~D c6~~i~~~E~/~~~~O~~~A~~EMENTS, AT ALL TIMES OUR ING THE
THE APPROACH SHALL BE CONSTRUCT'En .IN ^CCORDA~CE WITH THE ATTACHED DESIGN PLATE JYPE_L__..l._ '_
~~~~~A~~D Lilrt-PTiiUEf [i~~N~~~ ~~~flf: APPROA~~C~H~[~M~~E~u~~~~~~T T~ I ~~E S~~~~ T~E A~L~~~~N I ~N
D~~E~;f~G A~~ ~U~f~~:D~A~~R T~~o~P~=?C~~E S~~~~E~iv '~N~gcg~e:~~E R ~~~~_~~:~I:~O:: ~E ~g~T~~L P~~M;~~E~~AN.
TltE APPROACH SHALL BE SUfFICIENTLY SURfACED BACK AN ADEQUATE DISTANCE FROM THE EOGE OF THE PAVEM!:NT TO
PRt:VENT ANY MUD TRACKING ONTO THE COUNTY ROAD, ANY MUD TfIACKED ONTO THE COUNTY ROAD SHALL BE IMMEDIATELY
CLEANED UP BY THE GRANHE OR His AGENT,
IF NECESSARY TO INcrlEASE SIGHT DISTANCE, STUMPS AIlD BRllSH SHALL BE REMOVED Ff<OM BOTti SITlt:s OF TtIE
c=r~gA~~ALL T~I~T I~~I ~~~~7:~~JE o~U~6~~~y o~o~gR~~I~~i~gF:wl~~BER OR III Sf IGUR ItlG OF ANY f[ATURE OF SCEN Ie
WORK ~IIALL BE RESTRICTCO TO THE !lOURS OETWCEN 9:00A,tl. MID lj:OOP.M, UNLESS OTtIERHISE AUTHORIZED BY THE
ENGIrlCER.
A SUR[h' BctlD III Tilt: AMOUNT or $______..__., WRITTEfl BY A SURETY COMPANY AUTtIORIZED TO
no BUSINESS IN TIlE STATE OF WASHINGTON, SIIALL BE FURNISttED TO INSURE COMPLIANCE WITH ANY AND All OF THE
TERMS AND CONDITIONS OF THIS PER,'11T MID StlAlL REMAIN IN FORCE UNTIL ALL WORK UNDER TltlS PERMIT HAS
BUtl COMPLETED AND APPROVED BY THE COUNTy.
BEfORE AllY LOG IIAULlNG OPERATIONS BEGIN, A SURETy BONO IN TtiE AMOUNT OF $.._.____..._. , SUALI.
BE FUfmlStl[O BY TilE GRANrre TO PIIOTECT THE (OUIlTy AGAIIlST AllY DAMAGE TO THE COUNTY, ROAD AND TO INSURE
COMPUTE REMOVAL OF TtIE APPHOACll AND CLEANHlG UP OF THE fUGHT.or-WAY TO THE SATISF.4,CTlOli OF THE COUNTY.
APPROVAL OF ALL CLEAN UP WORK SUALl BE SECURED BEFORE THE BONO WILL BE REL[ASED. .
o B. SPECIAL CONSIDERATIONS
0 I.
g) 2.
~ 3.
gj ~.
0 S.
0 5.
0 7.
--------
------.---
---..-----.----.
------.--
...
.
)
..
GENERAL PROVIS IONS
], THIS PERMIT IS SUBJECT TD RC'A 36.75.130, .1~0 AND .150 AND AMENDMENTS THERETD.
2. THE GRANTEE, ITS SUCCESSORS AND ASSIGNS, AGREeS TO PROTECT JEFFERSON COUNTY AND SAVE IT HARMLESS FROM ALL
CLAIMS, ACTIONS OR DAMAGES OF EVERY KINO AND DESCRIPTION WHICH MAY ACCRUE TO OR BE SUFFERED BY ANY PERSOH,
PERSONS, OR PROPERTV BY REASON OF THE PERFORMANCE OF ANY SUCH WORK, CHARACTER OF MATERIALS USED OR HANNER
OF INSTAllATION' IH CASE ANY SUIT OR ACTION 15 BROUGHT AGAINST THE COUNTY FOR DAMAGES ARISING our OF OR BY .
REASON OF ANY OF THE ABOVE CAUSES, THE PETITIONER, ITS SUCCESSORS OR ASSIGNS WilL, UPON NOTICE OF COMMENCE-
MENT OF SUCH ACTION, DEFEND THE SAME AT ITS SOLE EXPENSE AND SATISFY ANY JUDGEMENT ARISING THEREFROH IF
DETERMINED ADVERSE TO JEFFERSON COUNTY.
3. IF THE GRANTEE EHTERS INTO A CONTRACT OR AGREEMENT HeTff A THIRD PARTy TO PERFORM THE tiORK AUTHORIZED
~~D~~~~ F~~R~~[6 ~~~M[~~~D A~~R~~Fe~g ~H~A~~U~~Y T7~ ~g~~~g~~il~~ T~O~H~T~Rge7;'~~~~ ~:T~A~:~=1~~'2~G:~~~E:0
4. ~~Y T~~~A~~R~~T~~ ~~NI~~ ~g~~{~~~~10~N~O~~Q~~~~C~~~~ ~i~~:: ijaD~Ay~R S~:ltU~~B3~dH~H~~R~E~~I~H~O G~~~i~..
LATlON AS HEREIN PROVIDED.
5. DURING THE CONSTRUCTIOtt OF THE FACILITY, THE GRANTEE SHALL COMPLY WITH THE MANUAL ON UNIFORM TRAFFI~ CONTROL,
DEVI~F.S FOR STAHl!; AND HIr.HWAY!I PUBLISHED BY THE U.S. DEPARTMENT OF TRANSPORTATION.
6. ON COMPLETION OF SAID WORK HEREIN CONTEMPLATED, ALL RUBSISH AND DEBRIS SHALL BE IMMEDIATELY REMOVED AND
THE ROADWAY AND ROADSIDE SHALL BE lEFT NEAT AND PRESENTABLE AND SATISFACTORY TO THE COUNTY.
T. THE .cOUNTY RESERVES THE RlllHT TO ORDER THE CHANGE OF lOCATION OR THE REMOVAL OF ANY STRUCTURE OR STRUCTURES
AUTHORIZED BY THIS PERMIT AT ANy TIME, SAID CHANGE OR REMOVAL TO BE MADE AT SOLE EXPENSE 0' THE PARTY OR .',
PARTIES TO WHOM THIS PERMIT IS ISSUED, OR THEIR SUCCESSORS AND ASSIGNS.
~~~ ~~~~T C~~~~~~ER:~~~N:I~~cI~~rIO~R T~~Lg~C~{~~ S B~O~~EA~~A~~~iE~~~~Lcg~ti~~N~Hl~L S~~~'i~ ~~~E:e"~EULtl~:~iE
FOR ANY DAMAGE TO THE GRANTEE 8y REASON OF ANY SUCH WORK BY JEFFERSON COUlITY, 113 AGENTS OR REPRESENTA.TlVES..
OR 8'1 THE EXERCISE OF ANY RIGHTS BY THE COUNTY UPON ROADS, STREETS, PUBLIC :'LACES OR STRUCTURES IN QUESTION..
9. THE GRANTEE SHALL NOTIFY THE COUNTY'S REPRESENTATIVE UPON COMPLETION OF THE 'WORK UNDE~ THIS PERMIT SO THAT
A FINAL INSPECTION eM BY MADE..
SPECIAL PROVISIONS
APPLICASLE PROVISIONS ARE DENOTED BY AN (X)
~o~g;~Ug~I~~E A~i~~~I Z~~A~~ ~~lgN P~=~I~O:I ~AI~' T~~D C~~~~~~E~I~~~~O~~~A~~E.MEtlTS.. AT ALL T IHES DURI,tiG THE,
. THE APPROACH SH~Lr' CDNSTRUCTED IN ACC 0 CEINITH THE ATTACHED DESIGN PLATE TVPE~~ .
APPROACH. .. FT.lEHGTH OF \ INCH DIAMETER CULVERT PIPE SHALL BE PLACED lit .
DITCH AND LAID T TRUE LINE AND GRADE. 1H APPROACH SHALL BE SURFACED TO THE LIMITS AS SHOWN ON
6~~EnmG A~~ ~~~F~~~D~A~~R T~~o~P~=~~~~E S~:~~E~iy I~N~~cg~e~~~E R~~~~.~~~W:~O::t~ ~g~T:~Lp~=HI~iEh~AH.
litE APPROACH SHALL BE SUFFICIENTLY SURFACED BACK AN .\DEaUAfE DISTANce FROM THE EDGE OF THE PAVEHENT TO
PREVENT MY HUD TRACkiNG ONTO THE COUNTY ROAD. AHY HUD TRACKED ONTO THE COUNTY ROAD SIiALL BE IMl1EDIATELY
CLfANED UP BY THE GRANTEE OR HIS AGENT.
1~p~a~~~~AR1H~O I ~~f:E:f~ I ~1 ~~T C~:::-I~C~F ~~~2~N~~~L~R~i~Bi~A~~ g~ s~i~~~~~G Fg~\~~T~El {~~: g~ ~~~N IC
VALUE SHALL Nor DE PERMITTED ON COUNTY ROAD RIGHT-OF-WAY.
WORK SHALL BE RESTRICTED TO THE HOURS BETWEEN 9:ooA./'I. AliD 4:00p.M. UNLESS OTHERWISE AUTHORIZED BY THE
ENGINEER.
A SURETY BOND IN THE AMOUNT OF , , WRITTEN BY A SURETY COMPANY AUTHORIZED TO
DO BUSINESS IN TtIE STATE OF WASHINGTON, SHALL BE FURNISHED TO INSURE COMPLIANCE WIlH ANY AND ALL OF THE
TERMS AND CONDITIONS OF THIS PERMIT AND SHALL REMAIN IN FORCE U/HIL ALL WORK UNDER THIS PERMIT HAS
SEEN COKPLETED AHD o\PPROVED BY THE COUNTY.
BEFORE ANY LOG HAULING OPERATIONS BEGIN, A SURETY BOND IN THE AMOUNT OF $~ , SHALL
BE FURNISHED BY THE GRANTEE TO PROTECT THE COUNTY AGAINST ANY DAMAGE TO THE COUNTy ROAD AND TO INSURE
COMPLETE REMOVAL OF THE APPROACH AND CLEANING UP OF THE RIGHT.OF~WAY TO THE SATISFACTION OF THE COUNTY.
APPROVAL or ALL CLEAN UP WORK SHALL BE SECUREQ BEFORE THE BONO WILL BE RELEASED.
o a. SPECIAL CONSIDERATIONS
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