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I~" C ,,'-/1.... i '-~ ,r ,': ('v (F= ,.~.:~.I ~.' .~-, ? v '/1 _i .r'o; ; ~ , " !'}"C. t'-.'...- \.... . , ~-, ; t /' ! '/c.: " l ." I \\ r L .J L .J, ~ --I" . . - .. .... ~ ....... L L r .- I /,' /'=) II:Oc; \, :'0 -, -./I>t" <J 1 1'__ _-'/ /{ /;~_ 0~F,f''ln'S [.;/5colT '/ /". // /// 1 ': jC'-/ ). " ~ 1)/L:7.o" ..:'~.' ,'')-' '.;.- ,/ ~ , '/ " '(,,--_..:. ,I " ;' L \,',CO " I -r / I'~ "'7-~:: (~. { :V"~ I , I;; i l ;}}/ / I I .. f /.',1 / i JIll ,-( (,// . - // _' / _;r L '/ -:" ......'-~-_ 4 .' (. ~. ')'... I'. /.'~,) I....~":-.:') " /' (~ t~: - /'/-~/(~.- /1,: / 'J ' ! ; i< } /' 'J,' '(. ,~'/ -~;.:/ .J - -, .J, -' ~ F r L r L ,.,.-..., ~~ -, )/16 ;- t ,':.\ I \_.., (. ..' Ille f ---/ ' .:::. /',~ ( , :'r:, /{;C, ~~rt(.'f.~' 'II I' (' C, "Cl' r /i(':" 'r'I~(~, I .:.", ")T!LL fZ,;:~ "::.4 J-~/ tlie:- );',,/-," t'j ',,- ",- . l_-( " f,: < c' ~<"., f.'" 8 "/'/(: f 0' ,"' ~ __, , CVe:.-:2? 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"""""';';''-;;;1 l"-~ ~ , , " .... .: ::;';:;:"""',;--~,'!}<'\--.:.'- ~ ",:,~<<.....iil .. Sample No Pit No........,..,....,..........,...., :;;;;;:~~~~:;;;,;;;~;;~;;:?Z~5T Co., NoC!cdo. CCt..J.(//y , " 0,:Sfate ProVIded Source; 0 Contractors Source; CZLlnformatlOnal Sample Only; 0 Mater.al being placed in stockpile; @Sampled at point of acceptance; 0 Field test of Control Sample No.., ......,.. '.., " " o Progress Sample 'No..,....,....................; Total wt, of Sample Taken ........4~ (before split), INSPECTOR'S RECORD OF FIELD TEST ,k~..'.-~<.'?"l/',_, SIZES RETAINED PASSING SPECIFICATIONS FRACTURE 2'1:".. ..,..,..Lbs, ............,..,%..............,..,% 2 " ................., %.............,..., % !l;~..,. " """""""'" %...........,....., % 11;.1 " ..................%....._...........% 1 , " ,................%...,.............% %.."........... %..,......."...... % 78 .......9.....%..................% 787.s-~jiiI,~:: ,j~f",E:::z~::,~ ~I, s~~"iS8.c.,;; ::::'7,I.~,:,i~:::::~::::::: ~ 20..................% 30,....,..,...,....% 40.............,...% 50.............."..% 80.............,...% 100..,.L".$....% 200.......,.........,% :....'i~?9QQ :Q::~j~ ,:5;::.5 .....% ........ )?, 70 70 e, ......./0 c' ......../(' o .............../f' .........5'c ........j: r, .................. ;r ....h...h.......% .n..h...........~-,O Fine Grading ('/." Minus) U,S. NO. RETAINED J7,'S I'S'/7,$ 98.Z. p/,'.<! .;::;"el '102(.,'3 Mois ure Content ::'(;5::::::'::; 4.........."......,Gms, 6....,....., 8 10....,..,.... 16... 20,....... 30.." 40 50,.. 80", 100 200.." Pan, Total.. Organic p,p.m" , Sand Equivalent Fracture Fine .. .........,.... 70 Other""", , Seiving-D Wet; 0 Dry "'...% ,'% ,...% ,...,.,70 ,.."..",,'% .....................% ....,.,% ...,% ..,..,% ..,..,% ,'% "'..% PASSING ,...% ...., ,....., % "..,........% ....,% .................'i~ ,.....% ..........,% ......$'0 ,..".70 .."...,...,...% ..,,'% ..........,..,..70 COARSE AGGREGATEs Wood Waste ........., % Fracture ", ....::,..,......, % SPECIF. ..................,,Max, .....,........Mln, ,..."....% Min, SPECIF. % Max, ,7.5~,...% Min, COMPUTATIONS o Conditionally Accepted, ~ Substandard Material. Rejected; Describe corrective action taken and disposition of non-specification material. Written notification of rejection forwarded to Prime Contractor, (Cana,y copy) -;:"ll'v,\- ""~",;.",, "I ""\ ;l.,.""", REMARKS ['"UuT )l\."C, ';,i( Jefferson County J)f~pa)O t.ml'n t 0 f Pub] Ie wc)!'ks ., P L <'r) (>' r C-cc ,,-,-C-l.'~ ~ ,t; ~ Inspector Contractor: b,\' --~t~-, " -::;;j..:..., , ..,i,.. ..---- .r-, . r.:':,':::':;;',':~::" , . '~'; . ~c INSPECTOR'S RECORD OF FIELD TEST ~ .1/--/ r: t...: "I:~-'Sl:~;;;'j' - 'Sample No.., -~ I I C l/ :-;;:'C>/.. i~~)::'~:;:~~,~;:~;~,::::..~i~;~~;:~:~:.."-""..,,.. C-cv,l./ ;n- O State Provided Source; 0 Contractors Source; [;J Informational Sample Only; G Material placed in stockpile; [2] Sampled a~ point of acceptance; 0 Field testJi. Control Sample No..,.. o Progress Sample No,..........................,..., Total wt, of Sample Taken ....,~....".., (before spIlt). SIZES RETAINED PASSING SPECIFICATIONS FRACTURE 2Y:,... ..........."Lbs, ..............,..,70,.....c .........% 2 ....., n ................,%..,..,..,..,......% 1% n ...........,.....70..............,...% 111.1 II ................-%.....-...._.....9'0 1 , ..........,.....%..,...............% % n .....,...,_.....%,....,...........% i:.z~S":;S n :,Ji.:t::8S:: ~ 7(,"h~~lQ,3Q,,=:' n ,',',','+..' "8."I,,',',..,ZOo',,',..,~,_!,",q.....,,',',',',~o 7 ,I ,'3],1,..1.1.'.1:.1...,(" n 8. t' t' '3'''<, s~~~i"'?:ip.if, ,7, :::,'f;!r'lici::L:::?~::: ~ 20.....,....,.....70 30......,...........% 40.....,..,.........% 50.....,....,.....% 80,.................% 100..1.....7""...70 200,................% :...':..:':9$!0~;,~~~~j::' ...,% ""...% ..,.." ....,70 .......r;{, .........% c' ...........' m/r 0' ............on./f:' ......,..,7c r' ................" e' ..... ... .......Ic .................% ...............~{;. 'l,"')ZI13.7 18,8- .~>,c.\;:'13'J ,7 ,Moisture Cnntent.. COAIlSE AGGREGATES SPECIF. ,..70 Max, ,..% Min, COMPUTATIONS Wood Waste...., .................% Fracture ..........-..........70 ," ,-<I~'~C~ ~,': 1__- "7~J- '~:lT ': u>' , , ~~ ./ t'" / (' /i I. _, REMARKS Pit No......, Cont, No, ::':,:::",9<'", Fine GradIng (';4" Minus) U.S. NO. RETAINED PASSING 4......... .......,Gms, 6 8,.. 10 16..., 20......... 30 40 50 80".. 100,.. , 200 Pan,....., Total Organic p,p,m,. , Sand Equivalent...... Fracture Fine ....., ....70 Other, , . , , , ,. ...................., ..... Seiving-D Wet; 0 Dry "",'% ,...,% ,,'%..,...,% ........70 ...........% .....,...% ......,% ..70....,,% ,..... % ................... % ,.."... % ,.................. % .................% 5b ,'%..,.,% .........,'%...,......,% ........ % ,..., % """..%........,..'/0 SPECIF, ............,....Max, ,.......,.......Min. ,......% Min, {, c' ...."j.-r ,-'" /..1 n t ( . m .~~., T , . I~:'! (/ o Conditionally Accepted, o Substandard Material. o Rejcctcd; Describc corrcctivc action takcn and disposition of non-specification material. o Writtcn notification of rejcction forwarded to Primc Contractor, (Canal';.' copy I f '; /.4., " ~ '..' ( 7,'/''... '; ,'{ i' Jefferson County D0pny.tnH\nt of Pub lie Works -.. '''''''. ",., ..'"'.. ..., .. ~--..."' , i ~ . ,- I' Inspector Contractor: by ." .- being J ., Y-J . .... 1 ~ ~~,. ~ . . . - ~, .... '-.',','1". ':'\1 " , ~:i' ,.,.. . . . . .... ~ "'.COlI ~',..' . . -~ ." ... ~ t-'" . . ~ " .... ~ '" . . ,~ .""' 0- ." .... >.iI"~: >>,~ ~.f"/' .J;" "''' .. - . " .... .:>.'""' , ,.' if '\;"i')"i:' t-: .. - . - ~~ .... , ,: "'"" ,:,':' -!-,>:::>:>:'tIJ~.,; i ~" j~:, ':~'1 III. T.' . . -- ." .... "'- ..'" ;':1/,\,';; ~. ',' _,..d.., . . .. . " .... ~, ~, w '''''. . . . " .... -'" ... ,', ....., , ' , '.' '.' ' " .'.'. ,""> ." "'.',' " ',.,."".,", ". ", ' ',., '.'.'" ',,', ","":" '. , ,:'," ',' ',:,' , ".,' '. " ,,'" "'.,,:' ", ','" ' ,: .,.,', ,'"',, "" ,,', , ',:'" :',,:, ",' " '., " " .., " ,: ," " , ..' , ' , ,', '",' :", , " " ' , ;':' ,,' " ",,:" :::,' .:,,:,' ", , "": ", ,'" '", ,: ,',' "":" "',,' , " ,,"", '. ,,'" '." "', '"",' ,',. '., ',;,.' " ",- , "',' .'.', ' " " ,",.":' ,,' '''' '" ,'. ,'.' ", ,," ,',',' '. ' ' ,','. ":", ','" '", , .'" ",>. "", ", ' ',n , , , ',', .. '. ,',,':,.' ,', " ,',: " ' , ' / /<' , /"(.,1'-:)....,.. ,,,I ~ '";tV.' ,,,,,,~.....; ~/ -r~ 1_ \-" .... 1.- T ) I ,,' '- '3 '-r J ,-, I. _ 7.5 c)d . -S 5775 "._ 1_." .-- 1"'/, J- /, .' "1 t, !--jl F .- /; 0,::'/.5 ~ " -, ." ~./-'~- , ,'.' ,'..' """.',,'.',.., '.' " , ":',.' ".','.,..',,' ',' ',' ,,' ".'".., ",',,' ", " :,.' .' ' ",' ",' .".. ',' ,:' ',";< ',' " "", " "', ':", ' .. ' " ,:" ," ',' , " ',' ,", ." ,',', ' , ," , ,':"","'," ,', ,,' <"',',', ," ,:' ..., ,,:' ",,",' :",:<,' , "" " : '.., " ' , " ." ',' , ": ;', ' ''''., .:, ' :, ,,' ", , ",', , ' ,'.:i:.:....\,~';,:,'. ,'.' ,".',"," -, '", ,:,'.' 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INSPECTOR'S RECORD OF FIELD TEST 'j Sample No,..,.,.., ..,/....,....,.......... Date ...............'...,.. Time..,....................,....,..........,..,.. ~-t'l) / b ,I r:/ If")A ""..",u'.::'.'..'..l;..'I...~';'...........,.........,...,......, ggregate r(_~1 . o State Provided Source; 0 Contractors Source; 0 Informational Sample Only; IZ],Matenal placed in stockpile; Qj Sampled at point of acceptance; 0 Fjeld test of Control Sample No" , o Progress Sample No...., .......; Total wt. of Sample Taken, ) 0 1>1 (before spilt), (/ Pit No. Cont, No,<V.::,:..::f.r:.", SIZES RETAINED PASSING SPECIFICATIONS 2\1:,....,.. 2 11/:,....,....,........., 111t I ry,(J...................... II %~ %' ~8m....O...... ~(~........... Pan .. Total.......... ......,Lbs, ................., %.................. % " .................%....-..........,% " ....._....~..... %....._h.._..... % " ...........~.....%....._...........% ....,....,.....%..,...............% ....,.....,.....%.........,.,....% ...,...%...............,% ,.......,%......"...% ,..,0....... '}'o"/',o.o., % ........,..,%..,.............% ,.....,........'#4......."......% " ..,........,.....10..,..........,..% 20.......,..........% 30.....,..,..,.....% 40......,.....,..% 50..,.............% 80,........,..,..,..% 100,.................% 200..,..,...........% ...................................-....-........... .....-....-....-.............-..................... Moisture Content.. COARSE AccnECATES Wood Waste,.................,....% Fracture ., ............,........,. % SPECIF. ..% Max, ..........'}'o Min, COMPUTA'nONS FRACTURE ,..,% """",r, ~, .. ....fC' .......7'tJ ,..% c' ......../r o ................../C' .......'}'e C! m/( ...h............/f- .................% ........, % Fine Grading (11<" Minus) U.S. NO. - 4....LQ,::'1,.....,Gms, 6.........." - 8.....:J.J,..L... .-10..,...tJ,..?:,.. 16... 20...,.. 30...........",..,.. -- 4o....?i~.~.~... " 50"........",.,...... -80..,?,,~-,U,.., " I003..7.::L.'i,.. " 200..3,S.~'Q,.. " Pan ?,f,~,.'.?.., TotaI3S4-.,.?... " SPECIF. Organic p,p,m" , .............,..,Max, Sand Equivalent ...........,..,....,Min. Fracturc Fine ..,........,.....,?'" ...... ,..% Min, Othcr"""" ..........,.......... ...... Seiving-Q Wet; ~ Dry RETAINED PASSING ......3..., '" % ..97.,..,.., % ::::~:~,,::~ '::f:~::::::~ ....% .....................% ,'% .........,.......... % ::::"f&.:::::::~ :::::?::f:::::::~ :;~~~;.:;;i ;;::/?~;:~;;~ o Conditionally Acccpted, o Substandard Material. o Rejected; Describe corrcctive action takcn and disposition of non-spccification material. o Writtcn notification of rejection fOlwardcd to Primc Contractor, (Canary copy) REMARKS JefferRon County n"part.ment of Pub] i c Work", ';::.':-:',,- ,'." r,~ L" ~ ,_,~ ".:..;:,.,,,, i;:,<{,',' "!"-}' '') Inspector Contractor: b,\' <",:;; " ;..;~ /( 1/ I ", ":,'>^' "_:i') '~,.'i -: )',,-,' :\ ,. , '\;"" 'l,;' -- '" .'.:) being .... .~, INSPECTOR'S RECORD OF FIELD TEST Sample No..""", ""J"..""",,,,,, ';Y6~;~~~:;:::.;.~~;::'~t.:,~i:,::~:i::~!:~:::!;,:;:,~:=::~;~;(" ,/y", ~i:~,~, ~//~) < I c ct.}..</T.l'f~ o State Provided Source; 0 Contractors Source; IE Informational Sample Only; 0 Material placed in stockpile; 0 Sampled at' point of acceptance; 0 Field test of Control Sample No, o Progress Sample No..""...""..."",,,,,,,,,,,; Total wi. of Sample Taken ""',,..2.;>,,":."...., (before split), SIZES RETAINED PASSING FRACTURE SPECIFICATIONS 2 \1:,,,,,,,, """""Lbs, '''''''''''''''''' %""",...,,,..... % 2 " "...,,,,,,...,,'%,,.,,,,,,,,,,,,"% 1'/:,,,,,.......,,,,...,, """".""''''' %"""...".."" % 1';4""..."..."...,,,, " ""...,."'''...%..'''''.,..'''..,% 1 ",....,...,,,%.....,,,..,,......% %'" "..."......,.,"%'"",...,....,.. % =}s................._.. ...... %.................. % 1/.,,,...,,,,,,,..,,,,..,,, ,...%"....,.."""",% :: ~:~f;;,k" " :::::::g::::t~~5.':::: ~ Pan '"..,,,,,,,,,,,,, '''''' .4 '% 7lJ..,;'Total'1.~5JI.~:; ",kL:..:,;o:::3.:1,::::::% 20"""",..."", % 30,,,,...,.......,,, % 40"..""".."..., % 50"..........".. % 80"..."...,,,,,,,,% :'58{,,(,) 1/38.1 9Z, $ 100"]",;;,,,..,,% 200"".",,,,....,,.% PO'>!, 8'3,0 7bml.../ZZt...J MOIsture Con ten!...".",,,,,,,,,..,,,...,,,,,,,,,,,,,,..,., COARSE AGCnEGATES ...................................................... ..,,,'% .......'}!,. ~' .....'/l) ...........7'0 .......% C" "...../,.. C' ................../C' .....% ....j{ e' ..................;c ",...,% .......h......~-,O ...........-................-..........-........... SPECIF. Wood Waste"'".,,,,,,..,....,,,.% Fracture '" "".......,,,,,....,.. % ....,....",,,'..,,,... % Max, "".."""",.....% Min, COMPUTATIONS Pit No,j..~,:,L2,'::::",' Cont, No.C):"-,:,<:(Q... Fine Grading (14" Minus) U.S. NO. RETAINED 4,....." ""..""..Gms, 6""....... 8..,,,,,,... 10"...,..... 16 20 30 40 50, 80 100""",... 200""..""... Pan....,., Total Organic p,p.m.. , Sand Equivalent """"..,,, Fracture Fine .........,....,... 70 Other""", , Seiving-D Wet; 0 Dry ,..,70 .....,...,% ..."..70 ...,...% .........% ,.......,...% ,.........% ....,...,% ......,,,...% ".....,..% ,.....,'% ...".........% o Conditionally Accepted, o Substandard Material. o Rejected; Describe corrective action taken and disposition of non-specification material. o W,"itten notification of rejection forwarded to Prime Contractor, (Cal1ar~' copy) REMARKS JefferRon County Department of PullJ!" "'orkR Jnspector Contractor: by .':'i:;/.:','!;' " i:"" ",'. _ ~ " ",1.-";' :!'.' ,;>",., ., , /':"'ir~:>';- ::,:'-,::'('~\.-:" .,,;::~ . ;..' 'i :,~': '_.",: "" I,/,! " ,. ," .-:!/: ".; 'I,', ':",.',::,,,:'-:',,, .'.,',J J'yi'> ,'-: <.1" .".,. ~lkh '. ,.::: ,",',-,,,', '".': ',J. "', \;'<",:-:;'1:' '. .:' t. ~" ' ';' - - ~- PASSIN'G "....".........% .............% .....,..........,..7'0 ,...............% ,...% '..........,........,% .....................% ~::::::::::::::::~::~ ,.........,'% ,.....,........% "',...,,,,...,% SPECIF. .......,..,Max, .......,Min, ,,,'% Min, ,-r.,';/,>::,'-" ,'r,',-"'" , t',' being .... '".'1 , ';;:i":',::., ,i',,," >.,,:::,:i(':" ',',""-"',: ""':"-'<" ., ',j,: i,<:':' " . ~, "i:~\'" , ,;,,'-:-,".,'1 :, ',:j:\,:i:~:',. 'i'\ '",,:,."--'" " "::', ' ~ ",\,:: . .- (',->, ',/. ",;~<:',,' '\'-' '~ -, '",".::' :;:!;>',Y';:''';' -- ." .... ~","'... . ; ~ ,,:';:/: <,.: '.;.; ) .,,"j ,-,,'. .':':':''''''':''-'; , :""\:;_:,:';,".';,:; ,-, ",~' : ,~." _:' :,: ; :" ";:,:--,",',;",-".-" . . . " L.. ~,- ,",; ,,;,,:." .. " '," i ; ,~ -_, , , .';"; -)-:< ,-::~,::\':",">~ ;; -'-"'/':' i,"',', ,~ '. "Ii;] I"~"~ \'-.',, . , . - ." ..... >,',' . """..'.' ,',." ,', : ,'., .. ", , , ''', '" ',.. ,.' '" " " ,.' '. .:,'> : ,-,",> :,', ":,, ','", ':, , " '.'''" :: ",', ' , ,,:,,': ..: "';q'" ',',.. , ',' C:.,' .' ','" ",.",.' ." '.,' '.,.: ,'\ :,' ,': '.,"","'.,."" " ,', : ",},' ", "" ":, ' , . ",.,.';\, "."",:" :.' .,' '.',' ,..,' ,,',,; ","" ,'~ '.. , ',,', ,',' i: ',:,' " "',' ,..'.. " " " ," :,',. ',' '<' " ".' ." ',"", './::> '; . ','.".. " " :',< ,:', I · INSPECTOR'S RECORD OF FIELD TEST <-f: Pit No.....,~c.:j3.:.:>.-:.. .E~i~:!1:~~~;;~;~:,;:;,-.:=~tCLPe'!K-!j._C::'~:O=:fQ LQ).<.I?Y , lZl State Provided Source; 0 Contractors Source; 0 Informational Sample Only; (ZJ MaterIal being placed in stockpile; LZI Sampled at point of acceptance; 0 Field test o~ontrol Sample No.. ....,......,...... ..'. Ii{I Progress Sample No,,,,,.....J,.....,,,..,,,..; Total wI. of Sample Taken .......,t:I:S,...,.., (before split), f SIZES RETAINED PASSING 2'/:,...."".............Lbs, "........."..... ro........""...... ro 2 ".."..,,,,...,...., " "'......"...,,, %"...u.."""... % 1'/:,,,................... " .....,........", %""".....u...., 7'0 Ill!..................... " .................. %.........._..... % I .....,.....,........, " ".............. % ................. % %"....""......... " '.......,.._..... %.....,....u...., % {~::::Q::'::: :: ::::::::::::::::~::::::::::::::::: ~ ~k::~s~~:) :: :::2~l::::::: ~:::C~;::::: ~ Pan "''''''''''''''' " "........,.....,~4.....,.........., % IzDz,~Total f1"D.,r.;,"j, ,..8.;?,...,10...L:1.",..,% 20......"..,...... % 30......,..,........ % 40",....,......... % 50,........,..,.._ % 80,..........,...... % ZIo7,Q) 20510,2)<',5 100..,..,$.._...% 200,,,..,....u..... % P'IA/ M6i~tt'r~ co~rIJtj~...?J.Co:..?,"~...?,' COARSE AGGREGATES Wood Waste...,.....,.........,....% Fracture ,.. .................u.... ro I" I.j ,L,::1.'l...'L; 17'../,") $8'7,~;::" Ilio '/1,1'> I /'.~) ,"f '1 ( ./Cl SPECIFICATIONS FRACTURE (h'_'" ~ I Fine Grading ('/." Minus) ,.... "'100'" ::=:::::::~:::~r~:: "" .... '.. .....u ro ...............%. ..,..........,70 -. ........ ....~b .........-.....% ..................Cj~ ..................:,}. u,...,% ............ ....~.1 ............ ... It ..................?t' ..,..,..% U.S. NO. RETAINED PASSING ...... , ....... % ...........,... % ............, ,'% ................... % ..".. .........., % ....,....,..,..-.. % .....,..,..."....% ..............,......ro ,......' , "..% .........."......,..% ..................... % ...........m....... % ,............. % .................... % .....................% ..........."........910 ...........,,,,, % .........'..','....., % .......,.....'..... % .......,...".. % ,...,....." % '.......,.....,... % ....",....,% .."""'."'......% ':=:::::::15:=:::U,)::" ::.::::'Q::~::3::.::::::::::::::::,:: SPECIF. :'::~i:<~=::,::~ ~rn~' COMPUTA'nONS REMARKS 4,....... ......, ......Gms, 6............ .......... " 8 ..m..... mm.... " 10,.......,.. .......,.. " 16.. ................. " 20n... ................. " 30.m..... ........... " 40,......... ..,....... " 50.... ."............... " 80..... ............... " 100..........., .......... " 200..........., ,'...... " Pan...... ............. " Total.. ......"...... " SPECIF. Organic p.p,m" ............ '..'.., ..,.. ,..,.............Max. Sand Equivalent ......,.............. ,......................Min, Fracture Fine ....,..........,.. % ..'..........,.. % Min, Other , , , . ....,....,.. ....... ..'....,........ Seiving-D Wet; CKDry o Conditionally Accepted. o Substandard Material. o Rejected; Describe corrective action taken and disposition of non.specification material. o W.'itten notification of rejection forwarded to Prime Contractor. (Canary copy) ( ( I'l'{ l, "/; i,",'~ .~; 1.. l \ t i I -~ I Jeffenwn County I~ Depal'tmc'nt of Puh] ie workR ! ;c (/( , .. \ , " ( " ! 'c ,'; ".... I: I, I ,l~,f..(('/) .:-r.c' ' Tnspector ~.., " ~, Contractor: b,\' , ." ''''"" '" ';',' ,'," "", ,,:;,! " ,...."'...,..,: .'.,. ,.,.,','.. '" , ," ': "':"!" ", .' .',.'..., " ,,'.' ' .. , , ",' ",:: ,', :,',' , " ;"'" ,'.., .' ," . ..., " ...../".., " ':,," , "'..' ," ',.' ';:, '."" ',' ,,',' '..., ," '.. ,,' , -, ! .' . .:..,' , '" "':", , : ' .'. ,..','., ". " "', " ,.', ,', : ",' ',.:,." 'd ", '"',, '"'''' ...,',,' ". '. , '. . '.', '::. ' " ' .' ::' ,.' :,' ': .', ' "<. '.' ,..','. .:' , "C, , " ,,' , , ',' :" .....'.'.. .-. , >'.' , , :".. ,.',', ,...,:.:,'..' , , ,.. .,',' " ,', .., '.,.., . INSPECTOR'S RECORD OF FIELD TEST I /: Sample No.. ..... ........H....~...._._.. Pit No........ ...................... ........ '"::~~4c<fr:il:~:c~~;~~-;;;::!:!_ ." -, -_k_i __ ______ __ _ ____ ____ _____ ~::' .~o: _ __ _:': [3 Stnte Provided S~urce; 0 Contractors Source; 0 Informational Snmple Only; [8 Material being placed in stockpile; G..Samp],ed at point of acceptance; 0 Field test ~f..~ontrol Sample No.., ........ ..,',... 8J Progress Sample No..........,;,:.".........,..; Total wt, of Sample Taken .......::,\C.,>i (before split), SIZES RETAINED PASSING SPECIFICATIONS FRACTURE ".-..-. ....----..---.. ," ( .......,....% "",...,5{ ........... .....yo ....... .........7'0 ,......".....% ................~ .................~'C .....-.......% .. ......... ...~/;. ..............~ ..................%: .............% Fine Grading (1/." Minus) 2 y",...."....,..,Lbs, .................. %,.......,....,.... % 2 ....., ............ " ..,............,..%.....,..,........% 1'/:,...........,..,..... " ...........,....,%,.........,....,% 1 '.4.............,...... " ,.........,...,.. %.................. % 1 ,.............,..-.. " .........,....._ %................., ro %',..,...........,.. " ........--..., %......,.......... % 19..................... " % % ];',,<1......, " :::O:::::%:::,::E2ro ~:;{.:,~,1; :: ::J;'~::t::t.9~':~ 9Z1;.S~~~II,kn.) :: :::I:i'.'Q':::::g:::~!'Q:::::~ 20......,...,..... ro 30...,.............. ro 40............,..... % 50...........,...., % 80,................. % 109,<1 ) 17 Ze;", S) %:2,100..,3",13..,% 200......,........., ro PA;.t10{~r~' Con 7liiP.?,=....!.79...$.,'..Q....... U.5. NO. RETAINED PASSING (' c. 4,..,........ ..,.......Gms, 6..........._ ......... " 8........... ........... " 10............ .......... " 16.... ...... ....... " 20... ...... .......... II 30........ ............ " 40...................... " 50.... .................. " 80....".. ......,...... " 100...... .............., " 200..,.........., ,...... " Pan... ................ " Total ..........-..... " SPECIF. Organic p,p,m" , .......'.. ........, ...., ....,.........,..Max, Sand Equivalent ........'..,........, ........................Min, Fmcture Fine ..,...........,..,70 ......,...........% Min, Other .....,............... ........ .......,.., Seiving-D Wet; 0 Dry .............. 70 ..................... ro ..,..-...... ...... % .......,............. '}'O .............., .... % .................,.., 7"0 ....., """.. ,... % .............,., % ......'",'.. ..... % ................... 70 ........... ........ 7"0 ..................... % .....................% .....................5'0 .....................% .....................5'0 ....,.......,,'% .................,'% .....,....".......% ,....,..........% ..., ..""..% ,.......,........% ...,..',,'..... % ...,......,....... % '......, "}D(5'" :::::=:::::.:,9t.X~,T()?~!.:::: ...._........::/2...::.~..2.:::;~:........ COARSE ACGREGATES Wood Waste...,.........,..........ro Fracture , , .....,............... % SPECIF. :::::=::)3:: ~ ~fn~' COMI'UTATlONS ~: f t ~: o Conditionally Accepted, o Substandard Material. o Rejected: Describe corrective action taken and disposition of non'specilication material. o Written notification of rejection forwarded to Prime Cont,.nctor, (Canary copy) REMARKS ;t... /Trf ), : I /,<" 1/. (,'0 ~/)! Inspector ~~,a'''''i~ Contractor: bv " , -- JefferRon County O"pal.t.mC'nt of Public "'arks ,,", ',' .." .....'". :; .':,.,'.', ,", '(<" .'".. " . i.. :, , , " " .' ';. , ;> ". ,'... .:.' .. " ,..' :., .' .'., " .,.. ':, "; ,.,', ,,.' '.... ' . ':'.',,: " '.', " .' ",.,., . ','." '> ..'.". , ',' ...., ,...1: <.: .' , .'..,.. . '. ,'. ". ,,'. ,..".',: '.'.' ~ ", '.' '. '.',. " .., ':,: " , " , .".. " , ". :. ,::, " , ",:, ':, .:,. '..." ,..'... ,:.,., . "" .' . .:, ":"" :' . ':. ,i,'-,..':~ ":,,,,:: '., ',., ;,,1 /"-,,,::,)!' "-:',':i":"; ,:,,'~,C':':::,~<{,::,:,: ';"-'.'"1:',, ':;''",\' ";~' ;:':':,:,:~:, :;: ',.,"'.' ""';'.-"f->:: ., ~ ,- :~",:<",,:--...: .-,'..c': t- ';'.' .,},',.-":.\:! " :\-i-:"':':"":;-" :-1,';,:;" "',{::;:,-,. .- . - ." ....' ".. ,,' ' , , " , : "','," ' ,,' ':' , ..,' 'i "'" "" ' ,",':, ',,' , .", ," ' :' , '".' . ,', ':', , " ". ,. ,," ,,' ,'", ", ,.", ',',., ,,', ",:':" ,: ':: "', '"" '. ' "',:, '. ,',',,', ,,"', '>"" '.' ,">: ,,", :, ':" ' ',',,', ,,', '" " '... ", ' "" : ..:" >" ',',','.. ,:" ..',..:""',, :,':, , ' ',:....,:, ':,' ,,"':,..',,: ,,"., .. ,," "," ,':: :': ""', ,'.' ""., ' , " , , " " ",', " , .. , . ",' ,.,', .- ':, ',': ,'.' ,': '" ", , '. '," "", ",', :,: :' : .. " ,;.. . Sample No.....,..,..~L..,..,.........., Pit No..'T./.,5..5..,..., ~'~ t;:~~~~~~~:~;!.t.~~~~~~:~;~~':'::)<Z(,~:?I"...",..,...,',..,',... ,.... ,,'.. """, ,..." ""',.,...,...,'~~,~t..,,:o':~::~(~~::: UYJlllY IZI State Provided Source; 0 Contractors Source; 0 Informational Sample Only; 0..Material being placed in stockpile; 1LJ Sampled at point of acceptance; 0 Field test of Control Sample No.......... .. ........ .." [l] Progress Sample No,........~'3............; Total wt, of Sample Taken ....,~S=:t::/...., (before split). INSPECTOR'S RECORD OF FIELD TEST SIZES RETAINl!:D PASSING ~~'___..._ .___ ._____..______.. _. n."_ ___.__..~_____. SPECIFICATIONS FRACTURE 21/;,...., ...... ......Lbs, ,...._...,.......'}'o..........,.......'}'o 2 ...... ..,......., " ............,..... %..,........,.... '}'O 1 '/,............... " ....._....,..... %..........,_.... 'Yo 1% ..."............. " ..............,..%...........,.....% 1 ......,.....,.... " ,..,_..........%...,......,.......% %..........,-....,.. " ...,....,.....%,...._..__....,'}'o 78......,Q ....... Q % L C() % 12~',~ ~j~~~~: ~~ ;~~::;::tf.~',:;~ ~:>S':,~~~al !.Q,!$, 0:: ::.9E::::f~::::::t.::::::::~ 20,..,...........,..% 30,..,.............,70 40,.....,....,....,'7"0 50..,.._,...,..,..% 80.........".....% I~:~ ) 20 :'1.:; "18, ~ 100..1.,..5..,..% 200.....,..,........% f">V:'" \ ',I.. 'rom L ., 0'" Z ,q MOisture Con ten L.....,....................,......,...... ......, COARSE AGGREGATES Fine Grading (';''' Minus) ..,.."..,Q..,...:';;".., ..,............. '7"0 ", ",' ...7i ....... ,...... yo ..................7{, ........._, ' % ....... .........~~ ..................C;~ ....... .........~{. ............. ...j'; Ci ..... ...........Ie "..",'% ,...% 4....., .............,Gms, 6............ .......... " 8............ .......... " 10..,.... .............. " 16........ " 20.......... .......... " 30.... ... ........... II 40....... ........... " 50..................... " 80.......... ....,.., " 100........... ......,.. " 200..,.... ,.... ,.... " Pan.. ................. " Total.................. " SPECIF. Organic p,p,m" , ......, ............ ........................Max, Sand Equivalent ............ ......, ,..,.....,..,..........Min. Fracture Fine ..............,..,70 ,. .........,..% Min, Other ,,', ,....,............... Sei\'ing-D Wet; I2g'Dry U.S. NO. RETAINED PASSING ..'..... ".........% .....................7'0 ..'..,....,.......... 70 ......,.............. '7"0 ...........,...,...% ...,.....,........% ................"..% "..............,...70 .......'..'.. ,'.. 70 ...........,......... % ............,........% ,..............,....'7"0 .....................% ............."......9"~ .....................% .....................9'0 ,.........,....% "......,..........% ........'........... % ..................., 'Yo ........ ......"...% ...............,..,..'Yo ...................$"0 ......,..% ":::::::J6ZX"-'::::::' ,......'jS,,-;:...!OQ,... ~:::~~:::::o::::~.1..5~... ":::'c.;::::::::;?':::::::::::::::::::,:: SPECIF. Wood Waste ........... .....,..'7"0 Fracture ....................,. '7"0 ..'::~is:::~ ~~' COMPUTATIONS I ,/)' 'i~ o Conditionally Accepted, o Substandard Material. o Rejected; Describe corrective action taken and disposition of non-specification material. o Writtcn notification of rejection forwarded to p.'ime Contractor, (Cana ry copy) REMARKS J~ffArson County DepuJ.t.m(\nt of PullllC' "'orkR ---"-'(-'" /~,; Inspector f\"~J..z..! I' ;',~.k;"'~ Contractor: b~' }S'j....,j;< t1 """,Vk-:-".. ..:: ",,::, ,:,,' "'.. ' ',:;. , ,,:, ',".. ". ' ;: '.,..' '., ,..'... . " '.' ',' , '>: .... ", .' i "", '" ' : '," ..' ','" "; :'.., ,," , , , :" , , , ,.- "'", ,', " . ',.::" ",." ',': ' :. ' , ,: ..' ':: :" '"':,,,' .' ,': , ." ,..,',.' ',..".. ..,'... '<" .'.,. "', .." ",.,." ,." ',,' :" " .': ,.," ,", ',:",' ,'., ':., ,.... ,,', ',', \', ", , " ,',' " ;'" , "',",-~"'" ,,,,,. ,""','" ll'J""'i -"::',\ ,-:..''>',:,;' ", ;'\,:/.::,:::'~:,;,< ,(, ' '41' :;-:'.:-;::\;:. . " .... .",',',', ,,'. <',;-;--:,;", ...., ,~~," ".., ""'" . ,;- ,,:,~:.. ','. "',:-: ~ ' ',:,: "', .'".-'" '.'" . ~ '" >. ,: ' , .-- .- ..... . r' . . . , . . , . I . ,. I :,,:C., :'_",,';,"',.;',,-". ", . 'r')'::., . .' :', ,::: ',-', ~ ',,',:...:,""', ','. r,:, ",' r ,~"'h~, , ,;'-",'-:J,:" , ,:.-~: '-,;:'~: , ' '~ '-" ---: ' .', I,' i ,:1" .':-,',,"., t '_",' :_,;,~ :,:.,,:,- _;, ':' ': ::;' , \-\,:r>:::;:;'; - .- ...... , .'~, ",'~, ",,i 1'::,'" 'I"~ '<>:";.~:',: ?",': ''':',''''1, ' ,', :':,<"" ,.',',"" " '::";':.:', :'i::,;', ,:;"::: :'':'':'~::-:'<:''::/.' ':":' ;' ):>:::"~ >'i..':::: ',::',i: ,'~ ;"',":,'.;,i:,,' "':'i',;",'i:" ~, I. ". ~\,,:I ': "::', "';'~:"" :'::~;. ,; ,'-., ",', '" ' .::' '" :,:'.:,:' ~:::::>;' :,-',"':'\',,' , 'I,", .. .- '''''':'".-':' . - .- ... t ':, .. .' . ...... . '. ..' " , . " c <: ,,' ,',', ",', '. ..... '. .....', .... ." ".'" .' > .' ...,.., ....' '"..". .....' .... .' ..:': .:.. :.. "',' ::.'C' : '. '. c' .; <. '...... . "..'.':: "'" . ,.' .... ' . ". '" ',',. ". . . ". '" '., .'. .....: ," . '.' ..' .... ,. ,'.' '-:" ...... :.. .. '.... ..' ,'" '.' :' '. ,.,,' .,.. ::. :."'. '.: , . , "';~i~~ .,. "".'..' .....:. ,'. '".. ~~i~~;[,~:f!J .~ ,; '\ INSPECTOR'S RECORD OF FIELD TEST I I- i' Sample No,..........!.?"'............... Pit No......!...::..I..::.~.-:..~;:...... Date]::..LZ........~?..'::/.... Time.........:..!...~.....:..::.(;...:......!/ . Cont. No..C~.::.,.:LC..'..... ;;. '.:,::y'.::;:'gu.::;'!L...L.,...::..::c::.:.~::'Aggregate for/, C".. 7 .:..D._UJ T r- 18l State Provided Source; 0 Contractors Source; 0 Informational Sample Only; !}] Material being placed in stockpile; O'Sampled at' point of acceptance; 0 Field te~ .2~ Control Sample No.... ... ........... ......, o Progress Sample No..........l..L............; Total wt. of Sample Taken ......~i..,..,..:........ (before split). SIZES RETAINED PASSING SPECIFICATIONS FRACTURE '''''u... h'JC ')<;'. :'0 ......... .......70 ..............0/< ....... .....% ..............tj{, ................% ~, .."......'..hh./C' N ..................Ie ..u.!;{,J.....% ,..~........2 .............,..../c ..................% " .......70 Fine Grading ('4" Minus) 2 Y:,.............. .....Lbs. .................. %................ 70 2 ................... " ..................%..................% 1 Y:,............... "................... %................. % l~......... ....... " ..................%..................% I ..................... " ..................%..................% %.................... " ..................%..................% 18..................... % % lj.,....B....<.\... :: ::::Q:::~:::: ~0:::3:'3:,:S.. % L./g7.s~~..':l:g..",.'-f " ....".1.....%....2.2......% 102.'/.'/ ~~..J;;;.~.:;;:.,.s" ....8.1.....%.....J..8....% ~,I ~~~ai.jS:i$..q:: :::':{ii:kfci::c:+.:::~ 20.................% 30................... % 40..................% 50............... % 80..................% 1,$) 153" ,'-I '1'1 100.......L........% 200..................70 PflN Iq./ 'Tcm..)L ISs,',S Moisture Content...................:....................... ....... .....~....~......................_....-........... U.S. NO. RETAINED PASSING ,"', "" 4......................Gms. 6............ .......... II 8........... ........... " 10............ .......... " 16........... ........... " 20".... ................ " 30............ " 40...................... " 50.... .................. " 80......., " 100....... ............... " 200............ ........ " Pan...... ............. " Total,..... .."...... II SPECIF. Organic p.p,m.. . ..................... ............... ......Max. Sand Equivalent ...... ............. ........................Min. Fracture Fine ..................70 ..................% Min. Other.. .... ......... .......... .................. Seiving-D Wet; [?J:Dry ...... . .....70 ............ % ............% ...................% ............% ...................% ........ % ................... % .............% ...............% .......... % ..................70 .....................% .....................% .....................% .....................% ................% .................% ...................% ...............70 ... ...............% .....................70 ........... % ............... % ,:;, - 1<) .e, s COARSE AGCRECATES Wood Waste........................% Fracture ... ......................_ % W' "T,s., S 7 i'-~7J)Ij.J( b SPECIF. .:::~7::'::;::::: ~ ~fn~' COMPUTATIONS , ~ '" '4 IY8..,1 I 'r / " Ptl/J 1615.5 ~"- I "I'~' .J 80 / :h..D/;:; m Conditionally Accepted. o Substandard Material. o Rejected; Describe corrective action taken and disposition of non-specification material. o Written notification of rejection forwarded to Prime Contractor. (Canary copy) REMARKS (01--1"1 kf) ( \() 1(: Hen Ot,../ J JefferRon County Department of Pullli" Works l.zJ I , ( T ~ 1/ ( 1/"//'/( /oll)'r( " '" /.: (,- <: (' .{'c V<2." T ---~7-tY I nspector. /l.dd:- . ........ . 71 " . .....Y./... L Contractor: b~' ...... .,.. . ... ..., a,-.~y , " , " .. .','..: ...; ." c' .. ;',;" " ...... .... ......... ....... ... i '. :. >".' ....' , :""'. '.' , . '; ,.... ," . : .... ......... '.'." ;:. ;.......' : , " ". ' .. . , .' . .." i . . . ., . ;", ',.." '.. '. ':. ...... ..,'.. ',:' , :.:........,'.. . ',' .' ' .. . : .,.' " " . . . '...., . c .':: . '\":1'; ',,'. :" .... '. '. . .': ,.,.... '. ..' ....... . . ,.' . .' .......> ..' .' ". ..' '...., '.. '. , " . '..' ...... '.. '.' '" .. :.,' ',.". .' .:..: ,"".',,' .... ......:.,'.,'.:.. .' ", .' :., .:.' . ...... ". .' : ,i. ." . ";'" ...... ... ." " ': ,,''':'' ',.......... ..' .' ...' '" .... ........ ):i, ...........;...',. ,; '. ,.'.. ...,..... ,-.'.:., :.',,:, ,:'. ".:. ,.... ........ ,. ".'., "', ':"',,... .:.' '" INSPECTOR'S RECORD OF FIELD TEST Sample No.........:!...::................. Pit NO..?~/,~. ............. Date.......7::.../,'5...:....::~../...... Time..........2.,.:.!...:".~................. Cont. No.O.;';:;..J.().. -::'~ !1[$'if,.:;.:-:..'.:,:......<:.....:...:..:..:...Aggregate 'n. . L;.', '7 . ~ State Provided Source; 0 Contractors Source; 0 Informational Sample Only; 0. Material being placed in stockpile; li:JSaj~ at' point of acceptance; 0 Field ~e~t of Control Sample No.. ..................... ...., B Progress Sample No...............................; Total wt. of Sample Taken ......:::to.......... (before spilt). SIZES RETAINED PASSING SPECIFICATIONS FRACTURE i ................% ........,.......%' ....... ....,.. $'0 .. ..... .......7'cJ ................% ,..".. .........c;-f. h..............,.5~ .... ..........% rI ... ................" ................% ....,.............7n '"'' ..70 Fine Grading ('I." Minus) 2'/:,..... .............Lbs. ..................%..................% 2 .................. " ..................%..................% 1'/:,.................. " ................ %................. % I]A......,.............. " ..................%..........._.....% I " ..................%..................% ~;;J~f~ ~:tiiflf~~ 1:;,-t.t>~:;;i..Ti:;3:i.I:: :g:z.::,:'iJci::L:.C:::~ 20.................% 30..................% 40.................% 50.................% 80..................% 2" "1) 11..35' g '7q, I 100..0..,2....% . , -'It' 200.................. % PAM I\;o~~fure 1~;,t~ntl.(~.~::,,?:..~................. U.S. NO. RETAINED PASSING r; ,. .<,: 4....... ..............Gms. 6......... ............. " 8........... ........... " 10....._.. .,..."...... II 16........,. ............ " 20........ ..."......... " 30...... ................ " 40"..... ............... " 50...... ................ " 80........" ,........ II 100........... ........... " 200.... " Pan.... ............... " Total.. .............. " SPECI? Organic p,p,m.. ..................... ....... ...............Max, Sand Equivalent ..................... ........................Min. Fracture Fine ..................70 ..................% Min. Other . .. ... ................ ................ Seiving-Q Wet; B Dry ...... ........ % ............... '}'O .....................% ......................70 .................% ...................% ....... ..........% .....................70 ...... .............% ....._..........",.7~ ...................% .....................0/0 ..................% ..................% .....................9'0 .,...................~{, .....................% .....................70 .....................% ....................'}'o ................% .....................% ..............% ..........,..% :::.:::.:...9../{?~(!.;:j: ................O...::...L.$.............. ( .. "-. COARSE ACGREGATES Wood Waste........................% Fracture . .........................% SPECIF. ':'::::'.7..:5.:: ~ ~~n~' COMPUTATIONS o Conditionally Accepted. o Substandard Material. o Rejllctlld; Describe corrective action taken and disposition of non,specification material. o W,"itten notification of rejection forwarded to Prime Contractor, (CallalY copy) REMARKS JeffprRon County Depal.tmpnt of Puhlic works Inspector Contractor: h~' ~.'}""'" (\Jh~ ... ....... -1';)f=Y ..... :"": ':", ',.,,' .' : . '" .'; ......... ',. ". .... '.. '.:, '. ." ",: >. ,', "" .: '.' ':'" '. ".',' ......" '.,: . '''. :,' '.' ",,' .'.. "":, ,:..' ',", "." .... ' '. ....: ..... '." '. .... ,": " ,.,'. , ., .,:' .' :' . " . '." '-" "'" >.', ,;; '. '.' ::' '.' . . >:"::,',,' . ' :' . "." ': ',,,.' ...., ..' . ". ':':," c" . ~"':'., .. - -- ." . ..... ~" .~ ~ " . ~ ~ \ INSPECTOR'S RECORD OF FIELD TEST ,1-' Sample No......... ......................_.. ~ '~~J.:~:;~?;i:;~;;:~::.,;;:.~:::;.::~.i:~~~~;~~'~:":';L<:: ..'............. .......... , <::~'U..<Ii!-- o State Provided Source; 0 Contractors Source; 0 Informational Sample Only; []' Material being placed in stockpile; [2] Sampled at point of acceptance; 0 Field test.Q!"Control Sample No.. .......... ................, o Progress Sample No..... ...:...~:7..... ......; Total wt. of Sample Taken .......~-!{:)...~..'....... (before spIlt). SIZES RETAINED PASSING SPECIFICATIONS 2Y:,...... ....Lbs. .................7'0..................% 2 " ..................7'0..................% I y:, ................... " .................. 7'0 .................. ro 1 )/.'1....,................ " ...........-.--70..........._..._ % I " ..................%..................% ~so.~~::~i.~~;;..:1 :: ;...~~~;;i1~~;.! ttsz.o1kl/..,!Ci.,..L " ....1:>.8....%.....l?......% N1.J~~ai'';:e:07::'-:: 3:8;;:k;;.ici:::Dq::::~ 20..................% 30..................% 40.................% 50....._...........% 80..................% S.S) IS\~,Y '18." 100...1.,../........% 200.................. % PflN' ~fsi~re ~i:ie'r;t/~.?~:..'.t. COARSE AGGREGATES ~~~~u:a,s.t~j(;:ci:~..:~ SPECIF. "~;E2::::::~ ~~~~. COMPUT,\TlONS REMARKS FRACTURE ......ro .......%, .....y;, .......7f, .......% ?~ .~~ ...1.9..0. ...% rI ...l~6":::~ .......% ..!.q,p .5'0 Pit No....tL..3s" Cont. No.G!S99 Fine Grading ('I." Minus) U.S. NO. RETAINED PASSING ...% .....................% .....% .....................% ...% .....................70 .....% ....................70 .....70.....................% .........% ....................% .....................% .....................% ...............% .............5'0 .....................70.....................% ............% ...............% ......5'0 .........% ............% .........5'0 4.....................Gms. 6............. 8.......... 10.............. 16............. 20......... 30............. 40.... 50. 80.... 100 200.. Pan..... Total SPEctF. Organic p.p.m.. . ...........Max. Sand Equivalent ........ ..............,.........Min. Fracture Fine ..................70 ....... .......... % Min, Other,.", ,.. Seiving-D Wet; IZI Dry o Conditionally Accepted. o Substandard Material. o Rejected; Describe corrective action taken and disposition of non..specification material. o Written notification of rejection forwarded to Prime Contractor. (Canal'Y copy) JefferRon County Dcpnl'tml'nt of Puhlic Works (/:'/;,-; ':::',~ ',<';>:':,;",:: 'c,,_,,' ,i',' ""';' ' ,',),,'.;:,:;,. ""',: ",:" ,"'" , ..""11'"...,,,.... ,';,;:i,.', , '! ;, , '.', _:;:~ ,,.,,,," .. ,"~' :, ' ,,' , \-, , '.,' " l': Inspector Contractor: b~' :.'/':fi:";'< ;':!':I',' :....:',:'; ;" :\',":. 'J-:"); "/'>:!".' ';',,( 1",," -.,..-'" ' /,-. . . . - ..... . . '" '~. ';; "" :::~:'.: ',,';;,~" ',i ~ A,~ .- , ,~ :':'>:'~"','..::.':', :,:' ; "';,il,'i ',:'~ :-': ,-,'1' ';:<:;';< ",-<-''"'''','1 ,'...., ,'-"'i. " ','",,<,-,. ""'J,i; .. - . . ..... Ii . .... .... '. ., . ....... .: ;' " .... . .' ..... '. '. ..... '. .... '.' " .' "', .' '. .', ',." '.,.. "':"" "" '" :;., .", ... .,.,. ...,"... ,., ........ . , ""'. "', :' . .' ,.; .- c.'.." , ". . : .'.' ...., . ' :',o' ':".. '......i...,.. :..'.... .'. ,'. . .,,', '.' ..' .....' .,i.. '.' ..;... .," . . ';, ' .' ..:. :.', ". .. ?: .' .: . INSPECTOR'S RECORD OF FIELD TEST Sample No..",...:~..2...._...._._ yi~lZ~;~~~i~;~:.~:~~~~~~~~~~~:;':';~:'::::L/3.:)T.... ........................... .................... ..... ~ [2]. Stnte"Provided Source; 0 Contractors Source; 0 Informational Sample Only; 18 Material being placed in stockpile; !2J Sa~p~d at' point of acceptance; 0 Field t~~t,..of Control Sample No.. ........................, [L] Progress Sample No.........~.,""'.........; Total wI. of Sample Taken ...........J.::2.......... (before Spilt). Pit No........:~~.. J..3..~{...... Cont. NoJ).S.:+L) ... SIZES RETAINED PASSING SPECIFICATIONS FRACTURE r......... -.--------........ .........- Fine Grading ('I." Minus) t 2'/:,...... ...... ....Lbs. ..................%..................% 2 ................. " ..................%.................% 1'/:,.................... " .................%..................% 1'l4.................. " ..................%..................% 1 .................... " ..................%..................% ~::.:.;g::::::.: :: :..:::.f::::::~:~~:~ .s3D.a~~..~.~j.,?". n ..6.!.:I.....%....1!i?......70 IIOI.S ',"<J.!p'..y'::'!,.J n ....J.&.....%..2...8......'70 '/.. Pan n ................#4................. % S"57.sTotal ??.o~c.F- n ..::/.0..,b...l0.3z\d....'70 20..................% 30.................70 40..................% 50..................% 80.................. '70 7,{,9) j?,R.33.1 Q7,6 100...?,.!!.....% ?f'<1J '\ '1.'?. -r;:.,nL ~ a;;.so,3200.................'70 Moisture Content............................................ ..... COARSE ACCllEGATES U.S. NO. RETAINED PASSING ::.:.:.q~~;;6:.::.::...:: ::::=::9.:.::':J5.':::.:.::::::.::. ':::::::Q:~:::S:~::::::::::::::::::::. ..............% ..,....0/< ... .......% ....... .........1~ ............ ....5~ ~, ................../{" .Jro.::~ r/ mOo, .........." ......'h'......~ ...............$'{:: ......... .......70 4.......................Gms. 6........................ " 8,.......... ..._....... " 10....._....... ........ " 16.... ..... .......... n 20.... ,................. " 30...... ....".......... " 40......... .....h...... " 50..... ..... .......... " 80"...... ............ " 100....... ............... n 200.. .......... ........ " Pan...... ............. n Total.... ..".-..... " SPECIF. Organic p.p.m.. ....................... ....................Max. Sand Equivalent ..................... ........................Min. Fracture Fine ..................% ..................% Min. Other .... ..................... ......... ......... Seiving-D Wet; e8 Dry ............% ...................% ................%...................% ....................%...................% .................% ..................% ....................% .....................% ..................% ...................% ....................% ....................% .................-..% .....................% ..................% ..................% ...................% .....................% .................% ................% .....,........% ..............% :::::~::~:Q::::~::::::::::::::~:..:.. SPECIF. Wood Waste........................'lo Fracture.. .........................% :..::5s:::~ ~f:" COMPUTATIONS \NILL }::C7CS7 /'l 'J " JZ 1'1 -';.I , 1M ,. :;.1:;' ;,.; ~J;J,~ ,RsZ ~:" 1~\;.Cj - I'f ~- ~/:;;.7 ()O?~ -1/':;/J,/ ';11/.,// l'-'t':,.{~. ::!ifO ':~;'Jj iV' (,,'(I,. ~l ~, f;:> '0 Conditionally Accepted. o Substandard Material. o Rejected; Describe corrective action taken and disposition of non..specification material. o \Vritten notification of rejection forwarded to Prime Contractor, (Callar,' copy) REMARKS _L-~'-(Tl't\C1L,r \!~7), i((j -I. /'J I)C TIC,\./ i"If:>..A.f() i /. I ,'I' , 11'\[:; /"'" (' I '{ /.e" 0/_ Jefferson County . . . ".} ('.iI' I..., Dopal't.m<,nt of ",I; '_ Public "'orks ,"-. C.,/' ~-:, t ;'.;!'.. /> '11-)1"': It-f,: (' ,:: l'i:'< ' TI \./t I I (I ( " /.II ( j.' Ii) ( I"J'" () ( r,t.~ , ".'" (." -!'it'...d;' '.-%: /(.' //-<",:, /Jc c:.. 1// i (, C ". .-- h ,."j,,,_,.. /. I Inspector . 7'~':'::...,Q~:-ik:\:::: '~~i,:;".;t_.... Contractor: b~' l:..h:,~;) ft,;;(:} {,....,~:;. ". ....". ',\,. ~,,,,..,,..,,! "~I,"~ ..<.' , '.";'. '. :"'''.': .... ,".' '.' .::" .... .... .,," :' .:"'" .... ' , ' .' : '. :''.''R, r." '. ..' ..... '::~,:< ':" .'. " .'.", :,' '..' ',:' '. .,: ,,"', i." , "','," '. ..'. .. ':. "'.. ". ' . '.' '.... .....'. .','.' .. :.' .': . " ':'; , '> ' :"', " .'" . ,,':: . :" .' '".... .... '.:. '.,' . "." .'. '.,' ,'. ,.". .....' .. , ..',. , "","'" <~:,,, ,',.,< :;; ~:, " ;,Y,:J_< i~: " , ", 4 ,. ~- . . . . " .... "H.':" C"';:'-'ii,?,'(\~:;' :.i1I l INSPECTOR'S RECORD OF FIELD TEST Sample No.........?.?.................. Date....8..:::.6.::::.8...'::L........ Time........~..:..~.L~...................... 'h".~.y::!.~.:.,;;"".'?;;.?.C!;,:...........................Aggregate for.............b..I?:~..r. 1;:ZI"S'ta'U Provided Source; 0 Contractors Source; 0 Informational Sample Only; 0 Material placed in stockpile; 1$1. Sampled at point of acceptance; 0 Field test of Control Sample No... o Progress Sample No........&~l...........; Total wt. of Sample Taken .......?-2......... (before split). Pit No......Y:::/~5......... Cont. No....Q.?~!P.... being ___ _______'___" _._ _o..n__.'_'__"_ .----. SIZES RETAINED PASSING SPECIFICATIONS FRACTURE Fine Grading ('I." Minus) ..............L.O.Q........................ ...........'1.5...:..1..00.................. :::::=:::::Q:::.i~.. .:::::::::::0.::::5.::::........ ..................% ............0/< .....'70 1{, of .............../0 0' ....../(' N :.:.7.:$.:::% ....j{ ,........~ ,...........70 ....'70 4.. ...........Gms. 6............... 8............. 10............ 16. 20......... 30...... 40 50........ 80. 100.......... 200......... Pan.. Total. Organic p.p,m.. . Sand Equivalent. Fracture Fine ..................70 .......... Other. . . . . . ,. .. .................. ........ Sei,'ing-D Wet; l1$J Dry .....'70 ...................% ..................... '70 .....................7'0 ...........70.....................% ...... .... 70 ............. 0/0 ...........9'0 ...........-........% ............7'0 ..................... 0/0 .......% .....................0/0 ........"...........0/0 ~~ ....................0/0.....................% ......... '70 ................. 'Yo ....'70 ..............% ......... '70 .............. '70 21k... .Lbs. ..................%..................0/0 2 " .................. % .................. '70 1 %..................... " ..................0/0..................70 11/'1. " .................. %.................. 70 1 .................%..................% %..................... " ..................%..................70 %........Q......... " .....0........ '7o...L\!.CI..... '70 '/.,...5.':L.1.... ..;>,&..1,. 70..'JJ$ '70 10"(,.;' ~~.J.l..o.4>....... " ....':1.'&......%......28.....'70 1". 'Ii,.. 7 '4..?.35.l.7" ....9.0....... '7o.....LQ....... 70 :Co < ,7 ~~~ai"'i.~:~>i:: :::1.?:id~::::::i.::::::: ~ 20..................% 30.................. 70 40.................. '70 50..................% 80.................. '70 100....1(.1,.1. 70 }:3 1 ",-A'DS,S '\ S.; 200..................'70 'P4,J tj3,..., --(,.1'1\(::' ;~t./2.?.. MOIsture Content............................... COARSE AGOREGATES U.s. NO. RETAINED PASSING m:::.::=Q:~~:::::::::::::::::::::.:: SPECIP'. ........Max. ........Min. .......'70 Min. Wood Waste Fracture ...........70 .......................'70 SPECIF. ::::::i5.::::.::~ ~f:' 1/,1 fi!. .!!.::L..9 5'Q 7:5 " 3/. .' 18 :I~ ,::/~ ~ 85 COMPUTATIONS ~ Y. "C',' 7 /9?, .. ;'1 ;:"';.'2: iflD '(t: I Si'.?" :. 8(, ?, REMARKS o Conditionally Accepted. o Substandard Material. o Rejected; Describe corrective action taken and disposition of non..specification material. o Written notification of rejection forwarded to Prime Contractor. (Canary copy) Jefferson County Depnrtment of Puhlic Works /J ~/. Inspector /I,~"t...;. Contractor: by ~ '-'-':-',:'::"":";,:, ,." " c "!'\/"~' , ~<,i; " ",I, '.1~- .,\-:' ::-'1":'" "-:,)":,, ,I, ',',1',", , , "'~'; ',: -''- :',:,:' :-- ' 'I";,',:' ,.-:. ',1 :,,::,/;,C, '" , /:'.">" ",,' ~ " '.' :-', ," , I __: ',,,i:,.' ,.J .. "r""., . . ~- .- .L 1'-.',',',,_.-.,", I :; ": .~" ~:" ':':""" '(::(, ',:: ;:: :',:, -, :,:~, "i'," ,'~,,.... '. ~'.':{,::}(::',',:-:< t', .::<,:- i~',~d ,"c, '~,' "t ' f'~ ,,- ;~:, ,:,,:' ~,; :; ..'>\ ,:'":,,' ,,( ,: :-:,,":;:::' ", '~'~" " - . - " :,,'. ..,'..'...'.. , ,... '. '. ".,..:" .... ", .,., " . '....... '.,.,.,.,':' , .' .,...' ,'; . ". , .....'.. " ".', ,,': ',...., . "", .," " ,.... . '"'' '...... '...: . " ." ' . -:'"., , '; ,.... .,,' . , . . , ':" ,'. ,..,.. " ". , ." :\ : ... " . ....: '. . ,... l- . ....: .. . , ' .. ." :',,;: " " , :', .',; '" '. , .' INSPECTOR'S RECORD OF FIELD TEST Pit No.......Y.~J:3...~......... Cont. No..<;~...~;:.'t.O.. Sample No.. ......?..::z.............. Date...8..:.2.:::-!2..t...'................. Time.....j~....:.."'-..':'................. p.:'.=..!,/..'i...::c.&'Y'ie.l1.Jf.I:Aggregate for........... ..........J.::.~.~::c::: .... ................. ....................... ~~,J(V )'7, -,>lat<>'Provided Source; 0 Contractors Source; 0 Informational Sample Only; 0 Material placed in stockpile; 0 Sampled at point of acceptance; 0 Field test of Control Sample No... o Progress Sample No,......E..k............; Total wt. of Sample Taken ........l.,...0..... (before split). SIZES RETAINED PASSING SPECIFICATIONS FRACTURE 2\1;,.............. ....Lbs, ..................'10..................% 2 ..................... " ..................%..................% 1 \1;,..................... " .................. %.................. '10 1'A ................... " ..................'10..................% 1 ...... ............. " ..................%..................% %..................... " ..................'10..................% l}g.............,....... " ................,.91'0..................% ,/.,.. ................. " ..................'10..................% 1~,7,7tg.}:i.f.i;. :: :::51.::::.::~:::::iI:::~ '11f~, SPan &..;,r.>.:?,], " .................#4.................. % Total............... " ..................10..................% 20..................% 30..................% 40..................% 50..................% 80..................% 100.................. % 200.................. % ................% ..............% ........ .......yo .. .....,. .....1{, .............% ................% ..................:,.;; :::::::::.:::Q:::=.::i::?:::.:::.:: ... .......... ......'10 ... ............. ...~'; .... .................7c ........% ...........% Moisture Content.. COARSE AGGREGATES Wood Waste........................% Fracture . ........................ % SPECIF. .......... .........,..% Max, .....................% Min, COMPUTATIONS f...-;'/ /..'.://1./ J .:-:-1" '.?f:.:~i:.J.: /~ 0 t) ~~) I A _I'f~-~ F;?/J rl) ----- 1....... .' r"'/'I._!'-,'/ rJ('"/ ,,< -~-};;-",('. ."t ,I; REMARKS .. being '.._, ... .-------. ... Fine Grading ('14" Minus) U.S. NO. RETAINED PASSING ...............% ..................% ................% .....................% ..................% .....................% ..................% ....................% ........... .....% ..........._........70 ..................'10.....................% .....................% .....................70 ........,............% .................. ,9-0 .. .................% .....................% ........ ........... % ................... % .................% .....................% ........ ...........% ....................'10 4........... ...........Gms. 6...........~ ......... II 8....... ............... II 10............ .......... u 16...... .............. u 20,........ ,............ II 30...__.......,.,....... II 40......... ............. u 50.... ................. " 80.....,...... ........ II 100........... ........... u 200.............. ....... " Pan........ ........... II Total.. ........... " SPECIF. Organic p,p,m.. ........ ........... ........... ..........Max. Sand Equivalent ..................... ........................Min. Fracture Fine ..................70 ........ ........'70 Min, Other ..................... ..... .............. Seiving-D Wet; ~ry o - -r - -J;i" I"E: 7 ...~;.s r I rI I.,.. 11/ '/ r, . j ../" ~ ."/~' .r~ ..../ t'5<i Conditionally Accepted. Ei Substandard Material. o Rcjected; Dcscribe corrcctive action taken and disposition of non..specification material.. o Written notification of rcjcction forwarded to Primc Contractor, (Canary copy) Jefferson County Dopal'tmf'nt or Puhl!c Works ." .~.. , /I....,.-:::r..~~. nspector / t ,ltti.......,.;,;:..,.c ..." ................ . .. Contractor: bv ~. ... . t " '. '"..', ::.. ":"', " :,' .. . ." ~'''i'; '" ..;.. "".' .. '.' .... ..' . ..... ." .'. .'" ....: ", '... . '. ..., . ,...: , ", : .... :....,,;:: , , ,.;', .," "'. . ... .'. .' :,. .. ,: .. ". ..,. ..'" ':',', ::, : ' .". " " . . '.', ',"'.., " , .. :'!',':_'" ".i::',,"'> ,.J'''''''''l ~.....~...~. .~,., '" ...., ,C_';'" .:" "-:'i "''''\''':'',:".'-:,::, ,..-, ~_: ";,"': "';i;:; :", ,; ~ ' ": ;" , ',<',:"i' ":",:,,::,',,,::-:-'; ~' ,,' ;.-:', ,',',1 . . ~;, ..... " . .... : ....;..'...'. ' . ", ..... " '" ". . ..... ...... .... . < ; .','... > ."H' ' .... ' . ..... ". . '.' ".' .' '. . ..' .... ".. .:....., ." . ..... .'. :>. ' ..... . ':.' . '.:'; .' '....' ""'; .', .'.'. ',' ..... '...; .'..' .."'.,: ;,. : " .,-\., " ,,' :' .'. ,..: "'::" .... .' ',: ::.' ',' .'.,., .:' '.' ';'.' ....,. . '....... ..." , .... .. ..... ..:', : .,: '.' ": ".' ..'. INSPECTOR'S RECORD OF FIELD TEST Sample No........::::.0-.................. Date.....;:f::::..2::::;;S:7::~........... Time........t.f.1........5..~5:'......._...... . Xc.:.:.:../";!......C.i~.I,,.:;..::::t.2..Aggregate for............/..,/2:5...L..... ..... .............. ..,.. ... .J,.jvNT'f .. 0 'State Provided Source; 0 Contractors Source; 0 Informational Sample Only; 0 Material being placed in stockpile; 0 Sampled at point of acceptance; 0 Field test of Control Sample No... ....... ........... ...., o Progress Sample No........2..9..............; Total wt. of Sample Taken ......../.LJ..I.'r:.",5 (before split), -./ (..,.,.- Pit No.........!.....:........"",..""....... Cont. No...;';?.:..:5.~'(D. .n..." SIZES RETAINED PASSING SPECIFICATIONS FRACTURE Fine Grading ('I." Minus) ) -" ................% ,...... .....,...5? ...........yo ....... .........5'" n..............% ......7r , .......".....~~ ............. ...70 ..,...... "..".j'; ,no u..'... ..7c ...........% ................l{'ci 4.......... ...........Gms. 6............ .......... " 8...... ............... " 10.......... ............ " 16............ .......... " 20....... ............... II 30.., .............. " 40......... ............. " 50.... ............ " 80........ ..., ........ " 100............ ......... " 200....... ..... ...... " Pan........, ........" " Total....., .......... " SPECIF, Organic p. p,m. , .......... ......... ........................Max. Sand Equivalent ........... ... ... ........................Min. Fracture Fine .................. 70 ...... ......... % Min, Other ., ................. Seiving-D Wet; 'S...J?ry ............. ......% .....................7~ ..................70....................% .......... .........70 ..................... 70 ....... ........... 70 .....................70 ...... ............70.....................70 ...............% ..................% ..................... % ..................... '70 ........,.........,.70 .....................9'~ ....................'70.....................% .......... ......... '70 .................... '70 ..................70.....................% ....... ..........'70 .....................0/0 2Y:,....... ..........Lbs. ..................%..................70 2 ........." ..................%.................70 1 'h.............. ..... " ..................70..................0/0 11/1.................... " ..................%..................% 1 .................... " ..................%..................70 SlS, S ~::~~~~:~.. ~~ ::~~(J.i;l~~~j~:.:: ~ 10'1;,,0 '/i...)3.D.~.,~.. " .....3;2......%.....2......70 Pan ...__......_.,... " ................,.;#:4....._...........?'c U1,?' Total J..J.Z?.i:" ....L7..,.7....10...;:..,.::L.. 0/0 20..................% 30..................70 40..................70 50..................70 80................_70 .8 r "1 .,;;'/7 '1".3 100....1..,.2.....70 o . .::> . . _ . 200..................70 ',W-> Jo~~;~re 'cg;i;;nL~I;:.~........ om' .............. COARSE ACiCnEC^1"ES U.S. NO. nETAINED PASSING ::::::::::=::f~.;;?::::::::::::......,....,.,.. .....~....:!..':C:::,J.!?.Q. .............. <",., c- J'- ?, SPEC IF. Wood Waste... ...................% Fracturc ..... .................% ':':::'Z:~~:.::~ ~~~~. COMPUTATIONS /7 /:d;:'!7/. -.....-.-!--/. '-::,":,ir- ~~ e {1J1J'n)/l('T~/:".. '-!('!I",C--r::, -: -j J / /.J':' "T-, (..., II TJ.-:/'Ji-:~0 .-i;fl.....)A) "-rr; /- /It. .',' ~,. 1'~....'c;:-:5=N -r;l -"i>',PP'tJt:/.Fr llt:.'" ~ I ' / YI-, I "/J ,/1,' :'~ ('U:.:;.t ~<;';r',"-lj_L ,.J-!t.,/e:.1 (.',...1 ../i ~':' ll{'~'--I";< /.' r-:rr'",,:? / / !~: r, I ~'.< 'F r:...., .~</~:I:="" /1' /"/"-'~~.J ,. t"_,,"p / /_ ,<t-/ /./..,r _ REMARKS ',"", f' '/''''I! f' )1, ':.~,"!,,~~,1 JE) Conditionally Accepted. t', ',.Ii i 1/../ ",,'*fl (~,,,V'';' t'.^<:,.,r{,"'.!~.;/:"J/~/:l o Substandard Material. ,k ,'/, ".i), /J/o::-r li"),,C o Rejected; Dcscribe corrective action taken and disposition of non-specification material. '..' ')'i:.<;."JC.... ~')') o \Vritten notification of rejection forwarded to Prime ContractOl', (Cana,.:, copy) '.)'" L /' ;'.:'/' o:.:r 'j"""'/ \,','1 '....'1.) ') "'" ,./..//,.,...""" /7 ~_.--"" J~.~~ '-r i<, I r~^J ~I I I"'" I ....... .'~;','I ..... 1 ",'. ';/ ,II,.'~,.', ' .: ,..- In :--,,1... J;'f ,'~I ~ : ~ ,':.. JefferRon County DC'pal't.mt'IH "f Puhlic Work", ~" ) Inspcctor . /~/i>",'~'," "'~'~:~:'f)' Contractor, b~ --.... ...... ...... . d( , ."'::: .. :', ' ',,' . ". ", " ;' '., :. .',1', :",..."'"'' .: ...., :. , . ,'.:" ... I"~ ,: ", ....' . . '. "" . :' . . .. " '.' .. '. .... '. ',':', . .', ....'.::',.,'.:. . :.,',. ".:..' '.' ,0;". .' . "" '" ",.,., ",,,: " .:: ,:':.. ".," ',' ..: ........."".'. ",. .: ,.' .... ,~;,~-:'~! ,,;, f2- ~~ . - . J ._ ..... ;'/;:":' Ii '\"~ ,\ ~,'-;,~: "'j; . .ji,;:~I,~,\,:...iIiI , INSPECTOR'S RECORD OF FIELD TEST Pit No..t.:J;;;S.... Cont. No.<.).'S..~f.(.c? ..,~ \ Sample No.. .........::..L............... I Date.'6..:::..'J.....:..9..y.............. Time.......J..:....!..?:.Jl.!::..<... I, , II -:Z -/::I.fcI.'..9.,;!.t1.SJ;>.......L:2.IA.l.L.....Aggregate for...........U::y;JJ........ <:..ovN r r \ ~ State Provided Source; 0 Contractors Source; 0 Informational Sample Only; 0 Material placed in stockpile; 8J Sampled at point of acceptance; 0 Field test~.Control Sample No... 5J Progress Sample No.......;'~.q.... ......, Total wt. of Sample Taken ....~.7.............. (before split). SIZES RETAINED PASSING SPECIFICATIONS 2\1:,....... ....Lbs. ..................5'0..................5'0 2 ..................%..................5'0 1\1:,. " ..................%.................% 1%..................... " ..................5'0..................% 1 ..................%..................% %...... ..................%.................. % {1::::ij6;.:~:~ :: qg ~~'~~~1~.~;; Ji::.l~i:::::~ 12? .J:~ai"i'}:?;~ ,.;. ::::9)~:~ici::z;.::z.;;:.: ~ 20..................% 30..................% 40..................5'0 50..................% 80..................5'0 8.'/) 11133.\ '18.'- 100....\.,.!>....% 200..................% PI"1"k61~~~e C;;:mt...'..~]}>.::? :::::::::::=:::::7QC~:::~::::::::::::::::: ..............'].5.~LQ.9............. :::::::::.::6.::~js..::.::::.:::::. COARSE AGOnEGATES Wood Waste........................% Fracture ., ....................... % -31.S .. I" I ~ ----7810 '1'1.- ~.. 'fD. 't> SPECIF. ::'::::zS::.:: ~ ~~~~. /II.", 'I- .:c 78 COMPUTATIONS ISO ". ZoI.'J. '1" s :- .lilo,S' . ~7.... ::'4,7 -~:81 REMARKS FRACTURE .................% ....l)?, ,.......yo ........t]'c, ,............7c ....~(' N .:5s.::: % SZ- r/ ::5:};:::::: i- .....7c ::::6::t .....~~ Fine Grading ('I." Minus) U.S. NO. RETAINED 4 6............ 8 10................ 16.... 20...... 30 40 50. 80. 100.......... 200........ Pan..... Total...... Organic p.p,m.. . Sand Equivalent. Fracture Fine ..................70 Other . . , , . . .. ..................... ....... Seiving-D Wet; C8'. Dry ..........Gms. ................% .........% ....5'0 ...........% ..........% ....................% ............ro ..............% ................5'0 ................% .............% .............ro o Conditionally Accepted. o Substandard Material. o Rejected; Describe corrective nction taken and disposition of non-specification material. o Written notification of rejection forwarded to Prime Contractor, (Canal'~' copy) JE't"ferRon County Dropa r t.mf.'n t. 0 f Publ Ie "'orks 0:;";,,,:,>" ;':";",, ':;" J, ._, '''7'' '., "'<f'. ~...;',:<.~;"'~; :', (" , , PASSING ....................% ....................% .....................5'0 .....................5'0 .....................% .....................% ................ro .,..............q'c ..................% ..............% ......% ..............% SPECIF. .....................Max. ........................Min. .........5'0 Min. T nspcctor Contractor: j /17 .' .. b~-1Jl;:4)t J~if:.; . . , - being J'" ','" "'.": "Ir "'~ .....4 ,." , "',' .' ;': ~ 1,,-':: ",:>' ,',' \ ' ,c', ,..' >:,:,;:"",,:::' '",",,:'-: t,":.,'(, "" ,I ':" ~ I:': . , . ~ . - . ..,. . . ...'...... '.. ,. .. : .' . .' .' ,:'. " .':'. .,'" '.. ,.,:'," . ..... .' '..' '.'. ", .... .' . .".,.. . .'. .....'... .'. .... .... """ .... '..:' '.. < .... ....... ..; .. ' '. . .' '.' . .'. .... . '. '. .... '" ,'., .>, .,; ." ',' ........ ..'.. '. ........ ...., ........, ,,:" . ',......,. ,. ,.":: " ." '. '/',' .,....' ;' .,.' . ,,<.... .' ",;, . ',"x :.. ., ,,' l INSPECTOR'S RECORD OF FIELD TEST sam~le No. -.g Pit NO...7.~:..l~..'?.... 1, pr~~f,%i~;:~~~~;'~~;;:~ZE._;iL_..___.......- .............._"":;"-::~:j(' [[] State Provided Source; 0 Contractors Source; ~ Informational Sample Only; tzt Material being placed in stockpile; 'IIl.SamJ'l~d at point of acceptance; 0 Field !,est o~ontrol Sample No.............. ...... .., o Progress Sample No........",?,.].........; Total wt, of Sample Taken ........k.S........ (before Spilt). .n__._ .______.___. ............-.....--.. FRACTURE Fine Grading ('/." Minus) SIZES RETAINED PASSING SPECIFICATIONS '$:Y l 2'/:.,............ ...Lbs. ..................$'0..................% ...................................................... 2 "..................%..................$'o ...................................................... 1'/:.,..................... "..................%..................% ...................................................... 1'4..................... "..................%..................'}'o ..................................................... 1 ..................... "..................%..................% ..................................................... ~~:~~"il~ H~1l~~fg~;~5jif:Ij- Total~.l1J.).l " .... ........10........ .. 0 f'''''' ,~ 20.................. $'0 ......................................... ..... 30.................. '70 ...................................................... 40.................. $'0 ..................................................... 50..................$'0 ...................................................... l~g:::::::::::::::::: ~ .:...::::Z:;::.::::::::;.::::::::::::::::: 200..................% ........................... ........................ ..................'}'o .. ...........0/< ....'70 ..... .........~'c, .................,$-6 .........,'" .7(' ...........)~ ...............'7c .. ......... ...~{ ................j~ ......% ...,.... ,...~{:. 4............... ...Gms. 6..........._,... ..... " 8............... ....... 11 10............... ....... " 16.............. ........ " 20............... .".... " 30.............. ...... " 40............... ....... " 50... .."........ " 80,............... ...... " 100............... ....... " 200.................. " Pan........... ........ " Total........ ........ " SPECIF. Organic p.p.m.. ....................... .............. ....Max. Sand Equivalent ..................... ........................Min. Fracture Fine ..................70 .................. '}'o Min. Other .... .. ................. ..................... Seiving-o Wet; j]j Dry RETAINED PASSING ............".. ..% .....................7d .................... 70 ..................... '}"O ............. ...... 7c ..................... '}"O ....................70 .....................'10 ................"...<)0 ...................,.7'0 .....................70 ..................... '}'o .....................'70 .....................'70 .....................9'0 .....~............,,~~ .....................$'o .....................% ..................... $'0 ..................... '}'O ....... .... ...... '}'o ..................... '70 .......... ......... $'0 .................... '}'o U.S. NO. Moisture Content... , /7//", Ii ;." SPECIF. ..':::5.5::.:: ~ ~f:" COMPUT^,TlONS I<~ '/~< 'Ii: r../////(/( III{ Z -rr)~"3'// 1(, COARSE AGGREGATES Wood Waste....................... '70 Fracture . . ..... ................ % I I':" " //(l C\/~ "sn L t.. I'll' e.__'T C) 1 --rHe \ " /{r '-:, C ('-' i. ( ),. REM^,RKS o Conditionally Accepted. o Substandard Material. o Rejected; Describe corrective action taken and disposition of non-specification material. o \Vl'itten notification of rejection forwarded to Prime Contractor. (Cannry copy) / 'I - " .' '/.~ ,'.. .. I"'; cr r ,1 ~ !'( ( .~ ,; I .., f j <: ;I; "\'> " '-- l' I ./ !--II ~~ ,-::;(/,(.< IV '. I" ! ('.. I::; j") (' I .' I (1./', )'" Tnspector d:L~~_I\.~"-P3......~ Contractor: b~'~ /~~I .' ]J{ ).~,"".")"/ /1. /-1) ,"w" Jefferson County nepartm(~nt of 1 Public "'ork" ! /.' c. ... l // ..,( /,)( (' .... / "'. ',' .... :', i'.:','; .......... '. ,i'(~:., I .> .' .." ' ,': " . . ,,:' .':"c'. . ' '. ...'" .'. . ",;. .,,',..' ",. ,'. .' ". ,',' .',' ' . ,:. -.. ... .,'., :. ".,..' .,:,..:. ':,", ,'. . . ....." .' ",<' , '.'. .'.. :..,' '.. "";, ], i ':', ", :'/., '..:.'.. '.".::: .. :. ....'..... ... ..,',~.';)ii"'.' " : i'~ I ~ ' """",,, ., - -- " ..;, .,,'" :..0lIl 0' ,,> ~ . , . - - ..... ....... ' " ... , ' " . . " :,.. .,..",:>, .... ..., "'.' ...'... .'. '.' .'. . '.' ..... ',' , : '.,' ", .',. , . '.' .;-.. ';, ':....: .t" ",..,", ,'.t, .' ':,' "j' ' " ..J. ":.; , ".. , ... .' " ".' '. '. ..' .,'... .: ,.'''. .. . ,.'. '.'. .'.,' ." '" . ' ':,".:, .. . ". ,.' ". .'. ".', ..' .....:. . ..' .' ...,.' .. ..'.: .' ,., .,.. ,','...., '. ..'. . . '.'''''''' .... . ;....;. ". " . :. ", ...,,'.' ".:.' " ....,..: :.',:... ...'. ..,. ," "". "," ','. . .'. ','. '" .':". .: ..., ' -- '" " l e. INSPECTOR'S RECORD OF FIELD TEST "-/3 Pit No.....':r../.;;.>-..... ~::~~~~::TQ::~:~~:::y;;~e......L<X..:L.~.... ConI. No.CJ,:::"j(). ~ ~1::~lfS;.~:.tLC.J?.................Aggregate for........!./;\~,..I......"........ ............ ............................ .............. 121 Stnte' Provided Source; 0 Contractors Source; 0 Informational Sample Only; I2l Material being placed in stockpile; [i] Sampled at' point of acceptance; 0 Field test '1fontrol Sample No...... ........ ............., IX) Progress Sample No........':+/..............; Total wt. of Sample Taken ......3S......~ (before split). SIZES RETAINED PASSING SPECIFICATIONS r+--.- -', -+-'-__'___,__.. FRACTURE I I ...............% ....,.... .......$?, ......% ..................i)"f, ......., ..................% ...,.... ........5'~ ,.................$~ ...............% ....... .........j,; CI ............... 'Ie .....% ...............% Fine Grading (1/.a" Minus) 'I~ 2'/:,........ ...........Lbs. .................%..................% 2 ................... " .................%..................% 1 '/:,................... " .................. %.................. 70 1 '.4..................... " .................. %................. 70 1 " ................%.................% %.................. " ..........-.....%.................% l}~................._.. " ....._..."......%....._............% ,,1.,....1,,.$........ " ...2O'~.~......%...lp..~% ,;&9, 0 ~~.s.2Q.'.8 " ......7..'.,..3.. ......... %00...... ........J.~.....o1.oQ:-, ,/,S 9, z.1kJ5.!';.C:. 0 "'i. I' 3o'f,~;~~ai'i8k;I;:~;; 9JE= '.~:5~::j?'% 20::=......% 30.................% 40..................% 50..................% 80..........0....% </70 19/I,S 97./ 100..?:..,..:].....% , 200..................% pn t{~i~&-reb7,r.;h'?':....'.~1.~.?~5... ........ ...'...............................-................. ...........-......'.........-....-,................ U.S. NO. RETAINED PASSING .. <-, 4........... ...........Gms. 6............ .......... II 8,.......... ........... /I 10....._................. " 16.......... .......... " 20...... ............... " 30....... ........... /I 40...................... /I 50...................... " 80..........._......... /I 100..... ............... " 200............. " Pan...... ............. " Total...... .......... " SPECIF. Organic p,p,m.. .. ..................... ........... ...........Max. Sand Equivalent ..................... ........................Min. Fracture Fine ..................% ..................% Min, Other........ .................... ........... ....... Seiving-D Wet; (2J Dry ...............% ..................70 ................% .................% .................70.....................% ..............% .................% ..............% ...................% ...............% .................% ..... ..............% .....................5'~ ...................% .....................9{, .................% ....................% ...................% .............% ...........% ................% ................% ...............% .....-..........................,.-.,..-....-..... ::..:=:.;.~1~5.bQ:::: :::::=:::c:i~J.::.;; ..'..............-.....................,............. ( ,.. COARSE ACCRECATES SPEC IF. '1;,: ~:' -Ji' Wood Waste.......................70 .........~Z.......<'............~oM M,a.nx,' Fracture .. ....................... % .... I' " //~u)nONs ,k I '; (Ct~/;, I, " ~v <.j ,2-.. 7'" 0/ 71'.1(_ b /"v/s 101-./ 7" (,t-:- I'f-I <:, -l I C'., /'f- '/c, ~ (:",( r',"~--...... z~:'i.,,~. K>,.l/ 61<"1)1/(" L ////1..:;, :SL. f"PPE7~; 0.' .. o~/;. " ') ,....c....;: (" (~O::..,c:: :C'f('/c i':'..n/.Jc.... r7CftE.. .~ ':;:~'i'" 15/{, /;r/o ~~7,\ f.. <"'I-'ft/I' I':('f)(;r,'/.}_,.{'c 7 Ill... If.! _ .. i, "-"7-;:7- REMARK~ i"" t ..,', 'c. /,(f,,-; 7 II F' F;I:~O!>U<...l, gCOnditiOnaUy Accepted. '5;I)/"/' FC ]', r\ee. 1 /l/( "t,r-(.. 1 l"H1YI l\f\D 'Substandard Material. ,:;'(! ,.'.' r. C( <:,C ~1I/1C:.'1 {<..JE-~G ;;:(-jc (( 'le:, 'Rejected; Describe corrective action taken and dispOSItion of non.specification material. '! 1(, k'I/lr) <...... o Written notIfication of rejection forwarded to Prime Con!r'aclor, (Cannl~' copy) -::r ' f', tC{, !..~,0__; 1/ / CCUll-r1c.70t?- f::,e){::. C~11 VE:' Ac,,:n CJ-N.. '."e,"o" CO""" .;ff ~~ :~r,;;;m~~;"~' ~~::~~,. ",'":: .~ "";'.::" :,.." . , ',. . :.J: ;. .'. :"t .:- .., ..." ' ., ',',. .' , . ' '.. ',,'.: ::,.':.'.., '. " " " '. .." " .. ,,',,: "', ,'. .,.<..:: ." . .... .'.. '..' , . .. , '. " : .'. ", . "':'.,, .'. :'. .. '" ' '.' '. .'''.' ' '.' ." ..... .. ........' ,. . '.'< . '. :.'..' , .... i '.. ,'" , ' ..' '.' " ", " ,.. .."'" , . " . ... ': : . ",; ...........: , . :.... ,'. .~. , ,,''','' ',: ' r F L L ) 9 {it{ CBU:SHbv 5CJ2EEAJ/jJ6.-5 PeOCIcc-T /--I. G. Q DO S L{- 0 \. "- "'"" - ., , / i ~ -' CALL fOR BIDS . Notice is hereby given that the Board of County Commissioners of Jef- ferson County, State of Washington, will receive sealed bids up until the hour of 10:30 a.m. Tuesday, April 3, 1984, at the office of the County Commissioners, Courthouse, Port Townsend, Washington 98368, to be opened and read at that date and time for crushing and stockpiling aggregates, and various other work as set forth in the specifications. Major items of work will be crushing and stockpiling: 2000 Tons of crushed screenings 5/d" to 1/4" 6000 Tons of crushed sc.reenings 1/2" to 1/4" 150 Tons of crushed screenings 3/8" to ul0 8ids shall be submitted in accordance with the plans and specifica- tions on file at the office of the Director of Public Works, Court- house, Port Townsend, Washington, where copies may be obtained. . Each bid shall be accompanied by a surety bond, postal money order, cash, cashier's check or certified check payable to the Treasurer of Jefferson County in the sum of 5~ of the amount bid to be forfeited to Jefferson County by the successful bidder if he fails to enter into a contract and file an acceptable surety bond in the amount of 100% of the contract price within ten (10) days of the award. The Board of County Commissioners reserves the right to reject any or all bids, and to accept the bid deemed most advantageous to Jefferson County and to waive all informalities in the bidding. J .-t/./]"),} / Dated this /,1./ -- day of ////.{\? ,(.{/\ 1984. BOARD OF JEFFERSON COUNTY COMMISSIONERS , ~I~ C1 . (, ,'7/1; ;>J/i( I1i /l.. . M, O'Meara, Chairman / SEAL: ATTEST: Jardine C. Bragg, Clerk of the 80a rd . '----,,----- . 'l' ., .- ,., . - ,'. '..... a. b. c. . d. e, f. g. deletion of any po~tion of the wo~k; increases or decreases in quantities; changes in specifications and/or designs; the method or manner of performance of the work; addition of any new work; State-furnished facilities, equipment, materials, se~vices, sites; directing acceleration in the perfo~mance of the wo~k. Changes will be set fo~th in a written change order except as provided herein. Deleted work, item "a" above, will be paid for as p~ovided in Sections 1-09.4 and 1-09.5. Increased or decreased quantities, item Db" above, in excess of 25 percent of the original cont~act or of a major item will be paid for as pro- vided in section 1-04.6. Overruns or unde~runs 25 percent or less of the original contract or of a major item need not be evidenced by written change o~de~ and shall be performed at applicable unit prices and within the cont~act time. The equitable adjustment for any change order will be by ag~eement of the parties. If the pa~ties are unable to agree, the Engineer will determine the costs for the equitable adjustment by using unit con- tract prices, or by establishing the costs by other means, o~ by using force account, and adjust the time as he deems appropriate. . Any claim by the Contractor for additional entitlement because of any direction, instruction, inte~p~etation o~ dete~mination f~om the Engi- nee~ other than a change o~de~ will be evaluated by the Engineer pro- vided that the Cont~actor gives w~itten notice of protest as p~ovided in section 1-04.5. The Contractor shall proceed with the work upon receipt of a change orde~ approved by the Engineer. If ordered orally by the Engineer, the Cont~actor shall proceed with the work before actual ~eceipt of an approved change o~de~. Changes which are no~mally noted on field stakes need not be evidenced by written change o~de~ and shall be pe~fo~med at applicable unit p~ices and within the cont~act time. The Cont~actor shall conform his work to that indicated on the field stakes without further notice o~ delay. P~ocedure and P~otest by the Cont~actor Section 1-04,5 of the standa~d specifications is ~evised to read: 1-04.5 Procedure and Protest by the Contracto~. The Cont~actor accepts the terms and conditions of a change orde~ by endorsement thereon, by a sepa~ate writing, or by failure to protest as provided in this section. Any change order accepted by the Con- tractor shall constitute full equitable adjustment for any work changed and all wo~k required to be performed under the change order. . 1Y84 CRUSHING AND STOCKPILING SPECIFICATIONS 2 ',.,;:,\' :' i_: ',-i__:~:: ,-',:' ':;:,; "';":<<,;::.';;.:,::::/p.::~:: > ref} ;,c,':"> ~'-:;,~I' , >',~~,';,<:,:;,:;(:/-:::;c :'",':, ":;":,:,::'::,:}':S..ti,::'/::<,',:".'";':: ;":',""'," ",(1' "':"" cn~ ~:::Joo aca... . G a:z::.., iIIti= u:::Jc ::J8_ CD . :::J~o ~ci G. z: ~z ....:::J"" l/) o8~ h.. l'lj 8_~ i ~ ~~- ~ acac ift:!~ ..... ...."- 0.... ~~ .... 0<0 W 2 "t "l- e::( Ou; -I is a.. ;: ~ C) <( ~ l..u u 2 c ~ ~ ..J i= ~ I- en \!, w ~ ~ . ~ ~ ~ .. ~ ci e e z @ J_ ell "l:: ~ ~ ::r: VI 6 v) .y, ~ 1:- ~ .::. (j . 0 ~ 0 1>1. \.l k :z. \J <) ~ ~ '" ~'! -.l u it ~ In ~ ~ rS: w 0 ,1 ~ ~ ':>.L I I~I .~ ~ n--.I>O ~ lJJ ~ U1 ~r.t) 0 "2 v1 -f" 1 > - ~ >- F /..:: f...: ~ \I) t- z I- ~ ~ :i ~ I.l.. I- 0 1 8 ~ ~ 0 ~ !\J ~~ . w ~~ ..... .... t() ;:: N .... u w 0 a: ... ,.,.... ., .- .- , - ..... ..;;. :-' ~~'<'" ::' "1 ~ v' ',."" . "",,,..,.' L ^". "," "" ""po". ~ . . , - ..... ..... :... , I ~ .' l.I I . . I , ..,._~_ r r l r -, 1/:;;.:":;' !~ ,D,~'~-:-:,:,',) L .J - .~ ..J -I' J~" . , ,w~ < >,'; ':', ....,':'i;:,:~::"'::\:',':;:",X-::: , ' :.." '..' '~", , -,..' , ~ .- : ' " "'. ," .-,,',,' .- I,:"~'J (, - ~ " , " ..:' ' , , ,,~ ';, ',~ ',I . " ..... -- ,"','. :: '. .., ' .' ':">i' . ,.. ':.;.' ;', ..' , ., SHOLD EXCAVATIN. , COUNTY OF JEFFERSON TO ST ATE OF WASHINGTON P.O. Box 145 Hadlock, WA 98339 AcJdress Work done to September 12, 1984 County Road Project 000540 Date~tember 12, 1984 Estimate No. 4th and fenal I Una Prices QIUlnUly Tella! Prevloua Present I TJ 8100 ;. c':'..- , 4~o~911 08 /0 1. 5/8"..1/4" crushed screentngs 1761.4 '14,091 08 0 ~:,p 8!60 .~: :-:''')'; ,c; C,V 8,12~ 88 11.;1 ~ 2. 1/2"..1/,4" crushed screenLngs 5595.8 8,123 88 3.3/8"-#10 Ie-Po .:")1.,':. ~~oJ 73 y ')~ crushed screenLngs T,I{> 13 25 151,3 , . 0 0 ,004 73 4. - 5. 6. 7. 8. 9. - 10, T 11. ,--_. 12. 13. 14. ---- IS. - --- j-..- ---.- 16, --- ,------- 17. - 18. --. ----,--_.._- ,----- 19. -- _n. --- - -.- ---~ _.,-_...,-- .--- ..----- -- -- 20. Totals ,4,219 69 62,2'14 96 2,004 73 -.---S-,;;"---------.,-'~ --.-- --_..- -- ..-.'-".'--."--.- ..,,--...----- -- -- - ,1t)('>; rctnincd as per contract 3,210 98 3,110 74 100 24 ,~008i 71 59,104122 1,9041 49 i IVnrrant No.. .._____..__.__ Total Aml._Ji...l.,jl04 . 49 I hereby certily on honor that the abo\'e estimate Is based ~n actl~~~and that the same Is trlle nnd correct, r t!, __.!!!~~;..1~_ _ ~. _, /.:..e-l-.. _ _.. __~ _~ _ ___. County F':na:lnc.'l!r I. the undersigned. having first bcen duly s\\'orn, do h"reby depose and say that the above bl1l is true and correct; that the work was actually performed and material IlIrniRhed as therein charged; and that there Is due me this date, according to contract, the slim or $..,....I_,-''J.Q~-'..:l.9_...._, and that the same or Any part "m.' ,,, "" 0'" "". 4~ (Sign I1erc~Zr-_' . _ _ _ror...,....!;;.1!.Q!,[Ls.XC,WATING Subscribed and sworn to before me this Date_______...._, 19_ ____..__day 01________, 19__. Ordered Paid .----_.,--~---"'-_.,-_._-------- Ill' ~-"^_. --~.'"~..__._.'-,_.._._._---, County Audll(lf Ch.llrm.lln, nO.llrd or Count)' Cornml,,'oncrI (SEA!.) , ';,'-:',;' ,!' ,,:',,",' ....:';.,.., ,,' . ;;? , '...."~~"',fI'l '" ;" >~: i:;,\'r:;.'::\i':':'.',:." '''',,; "- . - ..... COUNTY OF JEFFERSON STATE of WASHINGTON . TO S1n..D EXCAVATI:-JG" __ Address P.O. OOX '145 HadLock, W\ 9B339 Work done lo._,..I\L.%ust 3", 19M Counly Road Proiect~-_h' Date~t",'g~~ 4, '1954 . ___._____Eslimalc No. 'I 1. 5/B"-1/4" "",,shod screeni.ng Unit Prices T. 8\00 T. ~ T. *~ N/ QU;anlit)' Total Prevlol.li PrUient 2. 1/2"..1/4" 5595.8 8,123 01 o ~ ~~85:(0 5,26: r= ~ =t= o '1761.4 14,091 08 14,09'1 108 3. 3/B" -#10 o 4.1\1:.1i.ntenance Sand o o 5. 6. 7. B. ~- ~_1==-- ~ I -, 1 l- --,~--~--------,--_._'-'-_.._--"-- --.~.__.- -....- --..-- _...._--~_.._-_.-_._-------_._.._-_.- ..- .-- ---' Totnls '-5%"-"--'-'-'---"'--' :te'X. retained us pel' contrnct ~~=-=~_.--- _._-~-- 62,2'14 96 6,949 l!l 5,265 08 --------.- .- ----- - ---' 3,11074 1,Il479 1.263 i25 59, 104 22~9 4,001 1ii3 Warrant No,..... ...._...__h ,,'olnl AmL.~4.:..D9.1~_ I herehy certify on hunor that lhl' alJ(Jvt.~ L'stinwlc is based upon uctuuJ meUSlIl' 'n 'ols and thut the sumc is trtH'! anti correct. _~. ~ CQunl)' .;nllpm'rr I. the undersigned. having first heen duly 5\\'Orn, do herehy dl'POSC and say that the uhovt! bill is true and correct; lhat lhe wurk was aclually perfol'l1ll.d and maleria) furnished us therein charged; and that there is due 111(' this date, ;lccording to contracl, lhe sum or $- thereof hns not been paid. 1,/' U (Sign "erc)cd1~7/L~r----........,.f{)r SubSCrlhed nnd swornol to lHdorc me t1d~ .~:L5?(]1.,,{\3._.._..., and that the same or any pnrt ~ I n D I'Xr,W,\T I N.'; Date .c -/_.. ---, H~Y ._day of , 19....._, Ordl'md Paid By Ch..lrrT,..n, U""rcl 1:1' L....lllly COlllIllU,\lUllt.'r>> ,-"..wi) Awdllur (SEAL) 1..' ~ """ ~". ~~ .- .- ~. ,.,L.. ~" ...... . '., .. ",.. " ,., COUNTY OF JEFFERSON . TO ,I- I i . I STATE OF WASHINGTON " Address I :'( I ,! " " --.. i ","'.' I :1' ~, ,,,/ Road ..- 'i., j Work done to , ' County Project 'Ii .J . ' , - " ; " I J : -I ( Date Estimate No, Unit Prices Quantity Total Prevloua Present ~.~ ' , T 1. ," "/:..: '-';"1 ,', c.', ,', ' :. " . , ,. c '~" ' . .' ILl ,([1; 0<:'"'; - -- -,.1 " , 1'i ,Otr ()?, 2. Y- IJ I;" " , T, c:' L " .' ::"~i5.c..2_ :.t3,lt.~, '2~ 1', q'~-":-,I?_P.) ~~:~ ,- -.-'. z. -/'1 (I :e).....) I -. ,,~ - 3, % - -10 II /, ~r / ~,; 2.0: i.1 ;:, ?or)' I -I ?J (' () :;/{)()' I 7?J - 4. 5. - 6, 7. 8. - 9. 10. I 11. T~ I -- 12. 13. - 14. - - 15. -- -.-- -- 16. -- --------- -- -- 17. - 18. -- -- --------- -_..- 19. -, - -_._---.._-- ----- -- - 20. - Totats J::~;;~_ ~l,2Ji CJt, :C:()()'L T~ --~-.---- - ---- I-. -..--.-...---- -10"% retained ns per contract 3,"i{),~ "ill (' . -,cl 10(, 7, 'I . I, I r ('Y: !'i I '~ ' ,I ("I 7. :~,_~ (0/0'(- Lf<f Warrunt No._,____ Total Amt. I 'r(^0::J~ I hereby certify on honor that the above cstimntc is bused upon actual measurements and that the same Is true and correct. -----------.---.--- _.- _.+--- _._-- Counly Enll'lncer J, t1w undersigned, having first been duly sworn, do hereby r!~pose and say that the above bill is true and correct; that lhe work was actually perfonned and mnterial furnished ns therein charged; and that there is due me this dale, according to contrnct, the sum of' : ' I, q J and that the same or any part thereof has not been pair!, (Sign Ilere)______ for._____ , SlIbscrib~d and Sworn to beCore me this Date ,19_ __day of 19_. Ordered Paid ___M - fly. .. "--"- ...-..----" .....,- Count)' AudllC'lr Cturlrmjln, noard .)1' Count)' CommlulnMfI (SEAL) , . _..' ", , ' ....,.' '.' ' ";::>,'. ' ::", .' ,-' " , ". "." '"".. . 'c:,....',. ,.,. "',- " COUNTY OF JEFFERSON . TO ""';;> 1rl()L..D .~X G 'f-l\.)-llT\ "-\ (,- STATE OF WASHINGTON P.O. 12,(.'N. I.../-S H Rl')WCJC I l01f1. Address Ave. , ~ ~:..__1"..s ..; (:) 005'-\0 OJ '0-::' "':,9 Work done 10 Counly Road Project Date c:;~'"":JT, '-f-Bcf Estimate No. ::;, I Unit Price. Quantity Total Previous Present SI " ~ 'I c.:-e"US+!f1) C-/DEJ:'J./i/lY, T. -SbD lilr,(,'-j 1<1,0'11 of> doO I 1. '^ - <}- I 'f) Cf'lll o{', 2. lz'-/.} · " II T. ~1G.o [",C;q "~.B_ ~Il? 88 ~-'" "'~ ze:: 71.oS1 o~ ~ " :!I. " I( / /2, 2.5 C ~ jrv"> r. I,..., (') 3.~ _ Je) ~....l2tJ/~c2:" 'Sn 1.../ D - ;..; c.... - - - - - - - 5, 6. 7. 8. 9. 10. t- 11. 12. 13. 14. 15. -- J-" - 16. -- ----.--.---- 17. 18. ! -. .._-_._~ .- 19. ---~---_._---- -- ,- --.-----,------" --~---- - --' 20, -- Totals t..z.)'2./~ ji.- ?6..W ~ 1,5J.U5k- --'-~rctnincd as pcr contract --- --- -----.- -- .--.----------.- , ':l., III) '4-. _';.8'17 <f'l I z.Co 3 iz.S .-m_ e::'" IOL,lzz" ~lo7 ,~ 2.<1- 001 83 Warrant No.___,_-- Total Amt.___ I hereby certify on honor that the above estimate is based upon actual measurements and that the same is , true and correct. _w____.__. - _.' - ~. ..- ,_._~_.._-_.__. County Enllnt.er ; I. the underslgnL'd, having first heen duly sworn, do hereby depose and say that the above bill is true and correct; that the work was actually performed and material furnished as therein charged; and that there is due mo this date. according to contract, the sum of $. ________ ------,, and that the same or any part thereof has not been paid. (Sign Ilere).______________for__ ...-. --, Subscribed and sworn to before mo this Date , 19_ ____da>' oL__ - .19_. Ordered Paid -~,,-~-.~..., -..--.-.,--..-. -- - ny. -,_.,--_._-~-_..--~.--_._--_._._'----- Count)' Audllof Ch;urm.lln, BOllrQ of CO~,"I)' Commlnloncn (SEAL) , ." '" >; '"", ,. ' . , COUNTY OF JEFFERSON W STATE OF WASHINGTON TO "J!.j(j \~ '.''-/''''''~r~','' ,._ )\ ( ,. :l,! , ''-../ (__ '--""".. I ", ,,,_- II,,} C. Address "P.O, ?x') X I '-IS Work done to (,,-211-1")'-1- County-Rood-Project o C:;cfO I-II') DLCC Ie , L<..,..V} q s 2;:;,.'} Date (,.., - Z i _. 9, c( Estimate No. <...'1 I 'I "'. - A CI2Ue,liCD :,":'!"'.,''.:i.J .'/. ',' 2. i'-~'--I" I' 3, %"- :tfIO I' I' 4. J/"f7//.../.:.r:..~)J/~; /-../c__r.-. ~'~, J:'f/../ :-"':> Unit Price. Qu.antlty Tafil' Prevlou. S ()() i7(.,1,3.35 I'-ID91 08 OOD J 8 ,{c;;O ..-1;'5'-/.2..1 ....l0.Z &; 21 n . /) 'r FGS () I ..) '--" (~~ '(-) (.~()(.> .JJ/ 5. 6. 7. 8. 9. 10. t- 11. 12. 13. 14. 15. 16. 17. 18. . 19. 20. Totals -----pr,----------- -,,--... -......--. ..J.e% retnined as per contract .J5)'::1J..J.....z:L Warrant No........._______ Total Amt...I.!:/.J1d.L~ ~> I hereby certify on honor that the above estimate is based upon actual measurements and that the same is true and correct. County t:nllnt't'r I. the undersigned. having first been duly sworn, do hereby d<'pose and say that the above bill is true and correct; that the work was actually performed and material furnished as therein charged; and that there Is due me this date, according to contract, the sum of $J!: L)_~,,~ll:..:_~C'd_, and that the same or any part thereof has not bcen paid. (Sign Ilore).........____,,____,____,,__for..., Subscribed and sworn to before me this Date___ ,19_ ___.__ _ ,day of____, ,19,_. Ordered Paid By County "'udltor Ch.lIlrrn..", nonrd of Counl)' Commlllloncu (SEAL) . . , ~ I I 0; . __ ..." ' . ,,, -..., . fit jl'J1"ccr ~A~ '/1;6<:-, ~"'':>. r:- _ ~ .'-"'-'''''-/-/IO&' /C..) r. 0. ~r(' /C-cP,s ~"e.r~ W/l, 9/,,73/ /' // .. . . ., ? r. 1 f I I ~ t, ! I, I I 1 I: I t I I I r. f I t i I !. I r . J .., -, --' .... ..... ~ O..eUSH"'AI& ~ 6Tl'JCJtr"'~AJ& . 3-01.2, (4) 4.J4~)J/fl/t?:f .R6::<-9.N'U"'6 Or 7;-.,/6 !i?6oTC'CT "'1'97"'6"e",~ ~ A-A/J';) .sud :;;'~Q~6...y7 I'9DI>,/r,/O'V Or ~/S ml"f.r. t'=€.ou. 70 Trl ~ P,/c.)#'.S/~~r.J ~';u.crS U,.JIG~ t()o r .a~ ..4~C,Qo.-,J~ 't;'.!;lcf;;~~~CI':/C":;,-c..y "ri-~l-#-c..ell.e:D /.4 ~eJrl<()t? d)l rH~ ~IZPL~ 5c.rl.e:l:..v",,v&s Vl'sl""c.T ,c.lZorn R~6cr;:~ .;sc/J GP,.. A./tJ,. .3-oJ.:;,~ C-O...vTtt...;>JC-TOILf ~.o.e.k. ;:>(.4""... 3-01.;,(z) 1Zr:;T6c.r - :;;.v.S;rC::cr TO DISl'OSHl.. "':S PIA,cr~ ~'7 ~;.Jt!r/~&~fl- 2>'0/.3(3) .su.aO>e,"1S "sca.G",,,,,J/,-s Jefferson County Department of Public Works COlJrthousp 1:>()f1T TOWNSEND, WA 98:368 20f3. :~a~;-J50S ,~" ..,. "'...,, ,. ,','>~ CiCUS;/dl' c:oA/7/44c.-r 17/84- .. ;<"00 T ~or /50 r .:5"';" "- YI''' ~ ,1 _ Yo? r, -0/,,- - "'/0 ~ -r,,~u .4 s.sU/n e .30% ~ CO.(.JVS.e,sro...,J /.4C7V"~ "/5"0-;' /.;3 ';.<69 ,., 6,300 C .y. ,F'u)"'1 oSNo~L> 80'P~ ?,gSS65 34' >.il/1"" 4-<11> C.t2~sAl -r,s:5r ~"',PO""T Pt:..4A/S ro ,SGHC,.r ;rrl~"'''''<On.~ .' ~ 300 .2 .3 II $'00 i!A.J c.y, '';''NrC:,oVh< ,AI&~l>eb .31, ""0 - ~~>c:o .2.5; 2-00 -RNb;::T' (.p/.r' - ) S/l>>o ,st'~c 9 :$",/00 P"''"5'/'/ ;#. 50! 7. l"<9:"CES ?;t" sce<!."'AJ /"","'/ resr KIY'O,e r ~?"'k rh,;;,;",s ~ - -'/v" R<=r"kv"''' ON ,,( """ _ .,{7 /4 BO<S (. ) 31,~OOY,$2:: /~e~ "N'vf>~, ~""/I,f.s/,,<c. lea'~/I? Z'ILea'/?,3ed BIB-?OC./. ,$I.."-~' 'va"/',,,/' ,....."'~. (4ao"r/~) /1,80.:5"' t /ct;o;=il$O c,/ a: /."~ .-./Z(;,t.M,ov - r~~~~ ...~"I/ ..-i" s<;.-od.. Jefferson County Department of Public Works COLn t/iO(lS,-" 1'()ln : OWNSnJD W,\ 98:1(;[, 2(lt~i ,FF; :":l~Y; ~. r, i, t I l ! f i I f [ f ~, f I t f ~ I' 1 t I ! ! I' f i: ! ! ~: ~ ..... ...... ~ . C,4446-e O,eM,e. tI- / ;4;/)L> /7C,l1"l A0. jl'. ~ /!Z,j) $P~c/" L ?/20v'I,S/a,J. No. ~ hl~~<4Ir6-#4.ve.C- 64,111) 4P'p'2.0K,h7lA7t: QlA~u7/"':/ /-1", aoo c,y. - /1)0 cH4~. ~~~~ Att. '- ;fC; ..nffCT Hl-? rGe,l;! <- 'THe ,;Sf'/6'C,I /_/c.../.)r/C>,<J'" ,co/t -I- SrI.-Jt.1-- -'bL! ,...... ;Sce-a",.,t! c;F cc;;v.,.~c:.7e;/2... ,.v'd7 ;>?-/<!:c 7/v6 ,1r&"'s / -t''<'''''crA '7n'd ;?,eo,>6-oI'LT'y COlJrtllUlj~)C' Jefferson County Department of Public Works f'OHl TOWNSEND WA 98366 ?Dfi- Jn~)-.Jf.)05 "...,J.,.", .,,,,,"- .,,,....- . . .' " .7] ~.'/.,. ....J'.,/ I f \ I i f \ l. I i ! t t , , ~. t t I, t ! t t i I I 1 '.,..:,'t' i"j,!"";' --, 1':;:;:',/,.:,'\ ,,"- ,:,/ " : ';;l'<>~ :~ ',\\;' 'r": ->1: " "".', \", ;'i?~(;:, 1 ';,'! ... ..... ~ r L.. L L ~. _. ,_1_.\' ~ I '" . ',,"llu ~UMBIA CEMENT CORPORATION ~, Bellevue 206.455.5335 Portland 503.288.7045 * /OO/v 1"'5:'/:" 3>/6" /'~ (, tj- -AX) jJe<:55//I:7 :/-7 .. - ..., -, -, --1 --1' J" . . ..... ~ ... . .J ' . '--" - ~\ --~ r r -, r ~1O.~~IA ~ ~ I!'" COLUMBIA CEMENT CORPORATION Bellevue 206-455-5335 Portland 503-288-7045 l<t<;t/ t)(/erZ- I /, :SGe~c.(/ ..5c., id! ,v/=/e..,;"'1 =7.;/, 8.c /;/ ;; 8j..,o To"" 2. 0,60G '" '"'5 "" f ",,,,.J.c,.;,,,.I Itc,..,flc1 (. '[ M' . 4vc; () !f- c- + "e_.j ~c.I '/-0 c.o,,-f <'7:0.<: (-'~, a...{;.~ __c. rc(~'- /'~d C'C) I", I. C >'- ,'ee 'I c cI' C;,.- S'cv,.1J/ c; II {/ 11t.;:. - ,Ie (c" I,-a.<- /0. ' , /...............-,'---- _.-_.---.----~- 11(( l '-'((c ""'1 ~;>a.lld L --1 . . --1 -1' ~ ~ t-. .... . . VEqur:-"s.~J- i='tJtL 40 IlLIA E ~uiSJ I?C;- IJ.JOrL f( IV C, TO 'rt-l-C" l:J r~ " E " r~ u Ti OPJ cJ F r~()C LOu..) lv_J C., 6(,f! F ::?Ut.. (;_ ~ i:9::~:~~'rE i.J ~:""" y:w,;(' "~'.~~ 4':.'2!:!. . - - _._._-_.[i?(:::;~~.L:..c!...~___fl~!2:_ ..LTE:<-1 C");.J. QilAIJ ~~.1 JA~ __ 4//z 8/3/ I _:/ II sa! " Xi " - 2,000 J' {7&t/ et. I /7':;'; (7,f,/ 2)000 Yz. " ~ " 0, ... - 000 T ";5{'Z 2,000 4') ()t) (j I ,~o CJ 4ClOO 0'; U " p./O - /50 T () D D 0 /5'0 * .paOJC:~ re (.J 1112. d;:; OF 7'-10-34 +:3(h.4 Q /5oror'0~'1 IF A ,lID TH E ,.:l ">0 c! E :5':::..// E jj () l- ~ I~ Io.ld, NET, o E-LI'I<.{ :::, 'To TI-+\;: CO U U ,... t r. S S<:' fl E (.) u {.. (~ f') LtJ 0 'ILK.. I1ll c:: CI"lU6 E 0 B'I LiClU': ()F 4JP. '(I?!':'I/~:'- BE 'I".) c: ~ 1'2(."\ U (j _: IS: I:;) U i"J Io;,J E 1/ '1"1-1, -S .:: O"-)T"~'~G T r '- \ Q VI iO"l 1" E tJ o A /1....1 f"::J -1.,' r~".~ 5 ~~t iAY DE' O'X-T E /) FiCo...... TH~ (,OI..J....'\2 I'-'l(., t.:Jt-'LI c.:)tj '-tIr r:J-s V f2.() U I iJ c I) E3Y "5E:CTlod 1.') (4 (,<-< (04 (, F S ! OF- 1,09,"1 THE: L / QUNJkT r; I';) 6.-.7/.<....)0 F~ ~_v.J T ~ '," ........""! -" ", ," -- ." "..... - ... .... ~ ,....".,,>: "'\ ';";'.:.'" " ;'~',' >:'; ~ ;::;,':':.::"-:' <:'i' "j',; j.:"-,'-- :::'<:".')"" c'.'.....,-, ,:;:-<:>;':; ,.;;"" ~,.( "'j' ,......,.:,:-.;,.;-:.-.;,.,... ':::::'::<':'; :'.:'<i;'::~"')';' ~ .. '-J' ORIGINAL Sheel~ of~ WASHINGTON STATE DEPARTMENT OF TRANSPORTATION Dole 7.'1l/S4 CHANGE ORDER Chonge Order Numbor o Ordere~fbl~~nS~~nned~r~nS~::c::Ii~~I~Oo~~ See lion [i] Chonge propo~ed by ConlrOClor I .04, .4 Cunl, 1l~1 h,. Q00540 r" CRUSIlIN.<; ~D. _S:I'(lCl<!,ILING - 1984 Endor:l.ed by: SHOLD EXCAVATING Cun'roM:lur Firm N~...~ jjJtI..Ullrtl V",'e '::.iu" i(()"'h' Tille r,',h..'"i 1\;,1 r~o. Curu.,,' x;vr" by Surllly: (u'bnl r"'t/u;ruJ) , "'''I<J<llilk By: " uu,..,y-;,,1;u;, V.ue . . ....... ........ ._........... ...................._ ...,...,............DESeRIPTtON OF WORK ..................................... You ore ordered 10 perform Ihe following de~cribed work upon receipt of on approved copy of this. change order: Change Special Provision - Time for Completion The time for completion extended 40 working days to September II, 1984, subject to the following produetion schedule: ITEM CONTRACT UNIT DESCRIPTION ~~~~;;:ED 7/22/84 8/12/84 8/31/84 9/11/84 NO. 1 2,000 tons 5/8"-1/4" 1761 T. 1761 T. 1761 T. 1761 T. 2000 T crushed sc,een- 2 6,000 tons ~"- ~," crushed 1112 T. 2000 T. 4000 T. 6000, T. 6000 T. screeninl.!s 3 150 tons 3/8" 1110 crus- o T. 0 T. o T. o T. 150 T. hed s::reeninl!s 4 10 , 000 :!: cu.yds maintenance 4000:!: not on sc~ 'dule 10,OOO:!: cy sand cy Required Quantity @ date If any delays to the county's scheduled work are eausalby less production of the required quantity, liquidated damages, as specified in Section 1.08.9 of the standard specif1cacions, may be deducted from the contract amount. All wod., mOlotiol, ond mOOll...roment 10 b. In Qccoldonce With the prOVIIIO'" 01 the Stondord SpotlfiCollo", and SpeCial Provl\ron, lor rhe typo of con.ltuc. "on involvll'CL DIUIICl o ::~~~~~L HUOOUA'lln o ::~~~~~L ORIGINAL CONTRACT AMOUNT CURR[NT CONTRACT ESTIMATED NET CHANGE ESTIMATED CONTRACT AMOUNT THIS ORDER TOTAl AFTER CHANGE I 69,587.50 DIU IleT USE APPROVAl J;>ECOMrWNOlO 69,587.50 0 69,587.50 HEADQUARTU'S USE APPROVED ,.'..,...'1,.(,...." 0",.. ~'---,T(iihil-'IJ)' C"n,ilruct.f'" 1:'nRin(.(.r /J.d,' Apf'~VAl fUCO,y"y.1NDfD APPRovED DOl" ."".~. r" .'.~"," -.; . .. ,....".I"l...,.," .- -- .... .. , i" . "'..'.,...,..,..... '... ....... ..... ....... · ........ ...i;>,.y,yL '.iN, ii,,: ';.;....'..:::..,.y.,.:::".,.... '.', ........i. ".i ,..:......."........' ,,' '.'iC'" "'y ." '-'''c. ii. ~ ,,,.. ',' fi;ii',H .i,';;)i2j~f;W ii",:"". i"',, ""}, ;. : 'f;.,;;, 'c' ","" . . COUNTY OF JEFFERSON SHOLD EXCAVATING TO ST A TE OF WASHINGTON 145 Address P.O. BOX HADLOCK. WA q8~~q . Work done JULY 31, 1984 County Road Q00540 to --- Project Date AUGUST 1, 1984 Estimate No. 2 Unit Price, Quantity Tota.l PrevIous Present , L 5/8"-1!t;" CRUSHED SCREENINGS T 8 00 1761.4 14,09 108 14,09 I 08 01 00 2. ~" - ~" CRUSHED SCREENINGS T 8 160 2658.0 22,851 80 1,32 E 21 21,53 59 3. 3/8"- << 1 0 CRUSHED SCREENINGS T 13 25 0 ( 00 ( 00 ( 00 - 4, MAINTENANCE SAND - N/C - - -- -- - -- _._-- 5, 6. 7. 8. 9. 10. ---t-: 11. ,_. 12. 13. 1 14. 15. ...- 0-_*- -- 16, ---- .----...-- ,-- 17. --- 18. " ---._- ".-'."- 19. ------------------.- - --- _.'- --,-- .......--....- -.---...---.- - 20. Totals 36,949 88 5,417 29 21,532 59 --"5~-'-----'----- ----.. ,.------- - f---- -- 111911 retained as per contract 1,847 49 770 86 1,076 63 . ! 2 0, 4 5 51 9 6 ! Warrant No......... ...._..._...___ Total Amt.......1..Q,-':!..5 5 . 96 I I hereby certify on honor that the above estimate Is bUSe(~n Dctu~~'md thnt the same is true nnd correct. . ~ . - ----------- - -'.--.-.--.- County Enclnl?cr , I. the undersigncd. hnving first been duly sworn, do hcreby depose nnd say that the above bill is true llnd corrcct; that the work was actuully performed and material furnished as therein charged; and that there , ., '"' m. "., '"'e, "e~n';'" '" ~"m";D."' , 2 .o..J_~_5.5_,Jl..~_ ___, and that the same or any part thereof has not be~n p~d. ~ , (Sign "ere~ _ ,_for SHOLD EXCAVATING ~ ---- ----~ Subscribcd and sworn to before me this D:>te,_______.__, 19_ I ~__day OL~ __, I9f_~ ~, Ordered Paid I. -,-"-~._,--.~..._--_._-~.,.<-------_.._-----_.__._...-.-'-"-' ny -.-,. .-, ~-- ". ------.'...,---.---....,----.-.-.--- ~ County AudUQr Ch~lrm"n. noard of County Commllillon(!rI f. (SEAL) , " >', ,i.,> i".". ,/'0"... i -,. ,<<, , , , ' ' ,", COUNTY OF JEFFERSON STATE OF WASHINGTON ., TO SHOLD EXCAVP.TING .. Address P.O. Box 145 Hadlock, WA 98339 Work done to 6/29/84 County Road Project Q540 Dale 6/29/84 Estimate No. [ 1. 5/8"-1/4" crushed screenLngs 2. 1/2"-1/4" crushed screenLngs T T Prien Quantity Total PrevIous Present 8 00 1761.38'14,09108 0 00 4,09108 8! 60 154.21 1,32~21 0 00 1,32E 21 --- -era 13 25 0 0 00 ( 00 N/ -- - - - - - - Unit 3. 3/8"-#10 crushed screenLngs T 4. MaLntenance Sand 5. 6. 7. 8. 9. 10, -,---t--, 11. ,---- 12. 13. 14. 15. -- ,,- 16. \---, -11- 17. 18. 19. ----f- ---- --- "-------1- 20. Totals 5~ >!Q<;I; retained ns per contract ---"--1--- 15,41729 ....,....-------. ------1--- 77(186 Ir4,64d 43 i o 00 ---- - 2..5,41~ 77~ 86 14,64~ 43 Wurrunt No...!%4..:Lb___ Totul AmLI-=-I;JIa.LL~r"':, I hereby certiCy on honor that the ubove estimate is bused uJlon uetual me?/V't';, a~ that the same is true and correct. ____~~,~~.._..___,___.___ County Engineer I, the undersigned, having first been duly sworn, do hereby depose and say that the above bill is true and correct; that the work wus actuall)' performed and material furnished as therein charged; and that there is due me this date, according to contruct. the sum of $,_L~/J_!e..:.l(~.:_:1 :.;. and that the same or any part thereof has not been paid. ,/ J (Sign Here).A~II-x:-~p_cor,JI!~d~~- Subscribed und sworn to beCore me this Date_.2- ,:::k.-__, IJ~ __day of ,19_. Ordered Paid Ily County Auditor Chllirman, no:ard 01 County Comml..loncn (SEAL) " ,.:.:.. ~ ~ . ORIGINAL Sheel~ of~ WASII/J\;GTON STATE DEI'Ali'nIEJ\;T OF TIiANSI'OI!TATION Dale 7/11/3', CHANGE ORDER Change Order Number o !iJ Ordered by Engineer under terms of Section of the Stondard Specifications 1 - 04. 4 Change proposed by Contraclor Q00540 CRUSHING AND STOCKPILING _ 1984 ~ SHOLD E~ING C..,.,. .,,,,1-;", ^'<I"'" - ---~ .'- . __u 2-Le .\ill"olfun' lJ<llt' Tille Cu.m-,.t R;"I'OI hy SUtc,:v: (11''''''' ,.."..ir..J) By: tlll""""y.i"1uCI IJ.u.., DESCRIPTION OF WORK You arc ordered 10 perform the fol/owing described work upon receipt of on approved copy of Ihis chonge order; Change Special Provision - Time for Completion The time for completion extended 40 'mrking days to September 1/, 1984, subject to the following production schedule: ITEN NO. 3 Required Quantity @ date CONTRACT UNIT DESCRIPTION CONPLETED 7/22/84 8/12/84 8/31/84 0 1 84 9/1//84 2,000 tons 5/8"-1/4" 1761 T. 1761 T. 1761 T. 1761 T. 2000 T crushed sCJ;'ccf!- 6,000 tons ~"- ~" crushed 1/12 T. 2000 T. 4000 T. 6000 T. 6000 T. screen!n s 150 tons 3/8" 1110 crus- 0 T. 0 T. 0 T. 0 T. 150 T. hed s::rcenin s + malntenance 4 00 a:!: sch"dulc 10 , OOO:!: 10,000 _ eu. yd s sand c~, not on cy If an)' delays to the county I 5 scheduled work "Ire caused by less production of the required qUlllltity, liquidated damages, as specified in Section 1.08.9 of tIle standard specifications, may be deducted from the contract amOunt. All w",'. mO'."ol, ond "H'O'"'o",on' '0 [", '" ""0"'0",'" w"h ,h,. ,,,n"Hnm 0' II.n Sh.ndo,d 5'''''''''0''0"'' "m' SP'" '0' p,O""'"", I,,, II,,, 'YP" of '0""'"" I,on 'nvolvf'd o o DISTRICT APPROVAl IfEQUIII:O HI:ADQUARTUr$ APPIOVAl II:Olll'I:D ORIGINAL CONTJO'ACT AMOUJ\jT CU"''''fNI CONT"'ACT AMOUNT fSTlMATm Nfl CHANGE THIS ORDfR FSTlMATro CONTRACT TOTAl AfHR CHANGE 69,587.50 69,587.50 o 69,587.50 OISU1CTUS( APrr,>OVAI ~'fCOMMr NOlO....:" A,.,..'/ < '_ t ,,~~~::,:' r~?A..... ",......../.."-, ',,~ I."..,....,'f..........., D Af'P"OV....1 Io'fCO......o\\I"oOro ----.0 APr"OVfD //./:1 I)..,.. APP.OV'4 .a~ II,.~"~C'I',\',."(-'ifl" Fn,~i"~'('r HEADQUARTU'S USE 7P#'1- /i.", OISI"'Cl ADMINISTRATelL' II, -_..E~_... ()()1 " " .. , ,', " I .' ...'. . , '.. '. ,'......... ....,. .... ...,. , .". "': ,..." ',..,.,.,',.,: ," ,',",' C ,',',,' ',' ,C,Ad" , , ' , ' .>,," :, ,,::',' .': .'. .. , ' .' .....',. '. .'"',, .' <'':;" "',-: >. ,"':' ~ '1 I. ~ .. HEADQUARTERS Sh..'~ .r--L- r DOle 7/11/04 WASIIlNG'l'ON STATE DEPAHnlENT OF TllANSI'OI{'J'ATION CHANGE ORDER I Chong. Order Number 2 o Ordered by Engineer under terms of Section of the Standard Specifications 1 . 04. ~ GJ Chango proposed by Contractor Q00540 CRUSHIIlG AlID STOCKPILING - 1984 Endo,~ ---"sJillLP_EXqbJlAT:tNL-,_,_ J,U ~"\. / / r..~::, "I"'I',/," ",'""'" ...., ?_U ~ - <~j'=n-'/::L~ .~ :2 -~ C....ilt V .\i.l:llulllrt- " IJ"h' ~ Tille .... emu....' ,(i,.,",. b.v .\'url"Y: (11''''''' r",/"j,...J) By: Atl""""y.i"1uct ---u;;;;-- .. DESCRIPTION OF WORK You orc ordered 10 perform the following described work upon receipt 01 an approved copy of this change order; Change Special Provision - Time for Completion The time for completion extended 40 working days to September II, 1984, subject to the follOwing production schedule: ~equired Quantity @ date ITEH CONTRACT utlIT DESCRIPTION COMPLETEDf:7i 8/12/84 8/31/84 9/11/84 NO. OUANTITY 7/10/84 ./22/84 1 2,000 tons ~~sh~jl~cf~en- 1761 T. 1761 T. 1761 T. 1761 T. 2000 T , I;:;os 2 6,000 tons ~It_ J.t;1I crushed 1112 T. 2QOOOT. 4000 T. 6000 T. 6000 T. screeni.ngs. 3 150 tons 3/8 UI0 crus- 0 T. 0 T. 0 T. 0 T. 150 T. , , hed s:reenings i 10,000 ! ma1.ntennnce sch~dule 4 c\l.yds sand 4000- cy not on 10,000- cy If any delays to the county's scheduled work are causcdby less production of the required quantity, liquidated damages, as specified in Section 1.08.9 of the standard specifications, may be deducted from the contract amount. }, ~;::~ t ~'I' All walk, mOhtrlol, and mlm~V'{Hnl'!nI 10 btl W. (lcco,dQr\c~ ,^,,'h lh~ prOV'~IOI1" of Ih{\ SI{llldmd Spnc,f,C(jlton~ rHlf:l Sp....clol P'ov'~Ion~ 10' rhu Iype of con!>!rl.lC- lion mvolved DISTRICT I [ 1.. I APPROVAl O~IGIN""L CONTRACT CUIi'PfNT CONlIMCI lSTIMAT[D NET CHANG!" o IfEQUlltrO AMOUNT AMOUNT THIS ORDE~ HEADQUAIfTElfS O APPROVAl I[OU'I[O S 69 587.50 s 69_2!l2~_ s 0 $ DISTRICT USE HEADQUARTER"S USE d-;;::CO:[~~~ 7 /; l./~ f- Arp"OVf4 --':) . 1',,,,.rZ..t3!-~ ".,.' ___lh,",,':f7 i:"q"~r::;;;;;;;",.,,, o A"P~\)IJAL "'I lOM"',[N!:.lf.D 0 APP'"'OVfD [SW....ATfD CONTRACT TOT AI. t.r TrR CHANGE 69,587.50 7 A-}&:+ /I..,. DISTl<'lCT AOMlNIS'''A10'' .. O'"l'e -- OOT I, ""... .~, "".J .., ..' '.-I r"~ '" ",,' .. ',,,.. ", ,:": ' , ' ': " '":,, ,',:.. .. .. .'.; .' . ,.' ."., ", .,' .., " "', ..', ,'", " C, ", ,", ."., " " '. ,', ' " ':'" ,.: ,.':: .":", ", . '.. ,,' " , '.' ",' ;" '"..... , " ,.' '....' . ':".- '. .' :. :.. ..'.. '.'.".,' ,', ' ,.... :' ' " ... ":, ',,' '" ''':;' .:. ..,'. , .., ... .'....' ..:,. . .' ,: ", " :,' ,:' ,.'" "'" '., ""'': '. " : ':'," ", ',' " , ,. ," , ':::.. " ", ".' ,",.' . " ....:, . ,.' . .,:' , ,'" '" .., ';,,' '":':,,....., ", ',.', .' " ' , :. ". "'c,', ..' ': """', ",', ':, " " ' , " ' , "" '. .'.',. '.'., <,', '.' ' , , ',..' \ " :. ", i . ',... ::.c:" ~ -.""',, l!:Ei!J. Sheel~ of~ WASHINGTON STATE J)EPART~IENT OF TRANSPORTATION Dole CHANGE ORDER Change Ordor Number o bJ Ordered by Engineer under terms of SeClion of the Standard Specifications 1 .04,4 Q00540 Change proposed by Contractor Crushing and Stockpiling - 1984 Endo".d bye _Ji~.,P ~~)-:)-,'~____ 7-f:-:/i:--fL )t~';.;:'l;";;;;'"'' 6~' b ....1'" ~~~(;.ltnutll"" Ti - ---0:;;;:-- Tille ./ emu"',I,lti,'",. by .~Il"'''V: (u"",,, n,.,,,;r.'';) By: DESCRIPTION OF WORK .......'.""..,.. You ore ordered 10 perform the follOWIng described work upon receipt of on approved copy of this chonge order; t1tJ",.".'.\~i"1,j..t --,),,/,.,- Add Item No.4: No.4 - maintenance sand, approximate quantity 10,000 Cu. Yd. Price: no charge Add special provision: Maintenance sand shall meet.the following sppcifications: 100% passing .'3/8" 95-100% passing 1/4" 0-15% passing #40 0-3% passing"#lOO Add special provision: , All reject material remaining after production of ,Item No.'s 1,2,3 and 4 (new itenl) shall become the property of the contractor. All .....or~, '1\01("'01$ l'lnd m(~O"\JI"m...,,1 10 h., OIl ntco.dnn,,,,, ......11, lhtl pro~,.,,()n\ of rill) Strllldmd Sp"( ,1'('01'0"" Ilnd 5p~~(,ol pff)VIMon.. 1m Ihl) Iypn 01 (on..lruc- 1'0'1 "'vol...",d o o OISlRICl ..,.,.RO.....l It[OUlltro IU"OOUARUItS A"'''O...Al RrOUIRrD O~'IGlr-.jAl CON1~:ICl ~~~I1(Nl CON1PACT - M"'OUNT AMOUNT ....!...EJl--'...?~J-'-~~_ L_~_~7 .50_..> DISTRICT US( fSW~AlfD NF.1 CHANG! !HIS O~f)[P rSTIMATrD CONTRACT TOTAl. MT(J;' CHANG( o 69,587.50 41/,4 HEADQUARTER'S USE ArrpOV'D, A/ 15/4-' t,~l</~t::- .. ~ 1/:'''.l.!i1H'f'r (,.. -';~t<f /J,.t,. [)'ST];)I(T AD'.'J~.lS1~'ATO'" 22_______._ __~_______ ',;,-"':'!':;' i;<":," ,-' i,:,'.~,.! _<':' '_ ,", "'"",,,~ -\:::', "'\' ,~, . ,'>" \-, . ,:., ;,' ,',,' i::\' ,',',::;,::Y-- i',\;,O ":i",'::,</:,', "',:-" -.'~?'" ;,::1,,'" 1': : (" ,- .. -~~~ . - '" - ... , , ..... ,. ... Affidavit or"Publication STATE OF WASHINGTON) " COUNTY OF JEFfeRSON) FRANK W. GAR RED, be,ng liwern, liay' he Iii Ihe publl,her of the PorI Townumd leoder, 0 weekly newlipaper which hOli been .Sloblllihed, publilih&d In The fngl"" language cnd circuloled con. ,in!,lOUli')' as 0 weekly newlipoper tn the lawn of PorI Townliend, in iQid County cnd Slate, and 'or general circulclI.on in liaid (01.1'11'1' for more Ihon liix (6) monthli prior 10 Ihe dale ollhe fjrlil pvblicQ. CALL FOR BIOS :~c:::'o~nJ~~:~II~~~,li~~dp~::;:::n~ NOTICE IS HEREBY GIVEN that the Board of County Commissioners of Jef. erior Courl of liaid Jell.fion County, ferson County, State of Washington, will receive sealed bids up until the hour :opy 01 lhe of: 10:30 a.m. Tuesday, April 3, 1984, at the oHice of the County Commis.ls _ C "ushin" and sioners, Courthouse, Port Townsend, Washington 98368, to be opened and a. re'" a t.e b read at thot date and time for crushing and stockpiling be opened and read at gg g 5 that date and time for crushing arid stockpiling aggregates, and various ather work as set forth in the specifications. Major items of work will be crushing and stockpiling: 2000 Tons of crushed screenings 5/8" to 114" 6000 Tons of crushed screenings T /2" t'o T 14" , T50 Tons of crushed screenings 3/8" to #TO. Bids shall be submitted in accordance with the plans and specifications on file at the office of the Director of Public Works, Courthouse, Port Townsend, Washington, where copies may be obtained. r orod entire iu...e of 'o,d popar ihell Each bid sholl be accompanied by 0 surety bond, postal money order, cash, m~of lor 0 perIod of cashier's check or certified check payable to the Treasurer of Jefferson County in the tltm ~fl~~9~~.!lJ9f"OUn~i1bidl!loi.~.~ ~oJtei~.:d to Je~~~son <;~~~ty b.y.~he,.coro'acu""u we"ks. beginnIng on the sUCCe5S~ bictde.ITI' ~y:s,tJails to ei"l trllOfo a chnffa~ and fife I,~ ':Icceptab.l.elsure~ iv- ty bond in the amount of TOO% of the Conlract price within ten (TOJ days aftha Ol:~!.~_~___ ._~_. lq 84 award. The Board of Coun'y Commissioners reserves the right to reject any or all bids, and to accept ,he bid deemed most advantageous to Jefferson County t.ll f\let rch and to waive all informalities in the bidding. _____._ day of '_. ____u_u.___. DATED .hi. 19th doy of March, 1984. BOARD OF JEFFERSON COUNTY COMMISSIONERS '..,pop., w.. '...'.", d"",b.'.d A.M. O'Meara, Chairman of 'I'm pll"od ThaI 'he lull omo...nt 01 13222-28 :lId ,rol...lI,o' Ih. ratool SJ.50per col umn InCh for each ~on, ,'... ...i. ....'1 !.ub"ulb..d and 'worn '0 b"'D'O m.. Ih" 21st i'!a r'c h " 84 /~ " Nc.lo,'y PlJhhr 111 ('",d fOf the SIole of Wo~h,roill(m '''''dUl'J 01 PCrI lown,."d ~. . , ~ " .r , " ~. day 01 , . .... .....,j -- 'it> ':~~ ~ ~ ! II '" e 0 ~ .. .. C M '" 0 ffi N .... 0 0 c '. 1\ ~ \.. '" "> ":> - '" ~ ~ Ul ffi Ul .. I- :l; " ~ ~ Iv) '-.ll r-- 0 ffi ~ \ ~ ~ z , '\\ :l; tu '\\. ,\oi \'; - ~ \\ u Ul 0 0 ... 01- - --. --- --- --. ziJ: "- --. ....... wp 1-1- Cw 00; I- wO in ~~ ~ 0 4'0::> 0; )!;)a~:> 0 w I- w Z "- ~ ------ ----- ------ ------ ------ ----- ----- ----- ------ - 0 :l; C I- ffi 1',) Q;:l; 8~i ~ t~ ~~8 "- --. <) lY) I ::: ~ 0 . ...... ~ c z ~ 'I, ~ ~ -1. :;;wo:t ,<) ~~] <;:) "'- 'vJ ~ , ;-. 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"/ "L",;;) '1'.1 /J II '73'1/-,,)<,/<. fi )C;(:;'" :'/. '", ,..1 ( D / },,' /; J"'lfJ 1'1) "7 l~','", n "J I' ,~l {, ,p I; .. / Iiii.iaJ "i/( /(- .J /G /3- ('Aw G? ?/~ " '/d ~;>.'-- pt.", c....... Ii ,2- / f{u "_.t__.y ,-' </,V 'c..l i)' II. (..1- {;, i~./i ,.' ;,: (~. ; ~_) If ,~_/V -_~ ;::' h"~l ~ ';;.'11, V:, i) ) (,." '! ,) ;:/ Iv..... ,) f:~o 1.3 j- 3.!;e. .'5./0 ,,-," /)1 ~ Z2.e /t.~ ,-, yo~ ;.g5~ ) '/0 ? jG2:}. 1~ LI6 73- 17 ~..c- ~ It,d 3) '11- .~ ...;-;''' "co 7 () <? ~ S::.=:-- IU~' -..--.---.------...-... It 17/1:!Zi- -;::~- -_..~...~. Jefferson County Department of Public Works Courtt10use ~10RT TOWNSEND, WA 98368 ~~OGw 385 .-J ~)os ~ - '. --' ... ........... ~ . .. REQUEST AND AGREEMENT FOR REIMBURSABLE WORK BY JEFFERSON COUNTY TO: The Boa rd Of County Commi ss i oners Jefferson County Courthouse Port Townsend, WA 9B36B In accord with Resolution No. 34-75 It is requested that the fOllowing work be performed by the Jefferson County Department of Public Works, on a reimbursable basis, for the undersigned public agency: Desirable Completion Date: March 26, 1984 Total Authorized: $1,220,00 The undersigned agrees to pay within thirty days for the above services at regular Jefferson County costs including but not 1 imited to 1 abor fringe benefits, overhead, and administration costs. The undersigned further agrees to provide all necessary easements, permits, rights of way, and to protect Jefferson County and save it harmless from all claims for damages against the County which lIlay result from said work, except actual negligence by the County in effecting the desired work. Dated this 16th day of April .19~. AGENCY: Jefferson County Public Horks SIGNED: uept. ADDRESS: Courthouse T ITL E : Director of Parks Port Townsend, HA 98368 PHONE: 385-2221 t.......*..*....*..*.***~******************'***k**********~*.***.************************* .............,---...-.--......-.*-.-....-----..--...--************..********************* RLCOMMENDATION or COUNTY ENGINEER: .. .. JEFFERSON COU~ITY DEPARTMENT OF PUBLIC WORKS PROJECT/WORK AUTHORIZATION AREA /:I"J)<o~ 4<:>..<T"/ AREA CODE: CJ""6 PROJECT NO:~ ~n54~ ?/2.In1t!- I T,fc,e, CO-'/T PROJECT NAME ~/,,/Alt5 Z.<?&AltJlh!.L .-;-r,e6.!:75 TYPE OF WORK LI.?I'7T .6/Tum/ot/Ous s'(;LJ';'Jc/A/,F BREAKDOWN OF WORK ITEMS: COST EST/MATE: .3// 7?1nAIMi'-A7/<:>N (/i''Z ) 384 ~"'D/"';/T (P"'''''lldA'T/D-V) .;'3Z ?<!/IC/N4- 5"~AI~o G",4Vc"- r P.e.,;p..g.o.m,o"") .3'3':: l&l'Jrc/2. ( ?~,.) 31/ ~ t:J/.c.htl",.. - PRJ~.? ~Ar-{,c/-<"'rS/lD7} 342- 0/"-./-<16- - S~,qL COAT (,;' -:!..D 'sH<:>T) 0113 7/J-AFFIt:. "-"PT.tUJt- - A~L ?HASt!S 3iJ? U/f - 9 ..= 7StJ 00 .e.;toA~J' G......;l~,~~.12_ .......~~""'> ~ /..?~."'o ..::.Z/?t..&d ~A,.s & J-1.05: ;,3,",t..o /6 An @ .il~S/.<,. "&;0 .. stt!oo ~c)/in '" /.2.(;,,!.. &'i';/. =' ~7/~S.. 71 "C,....+-- _ 'I ~ ('- 00) 791 C./I,_ If! -,;.' L7<1C.II..r *' _~. , 8.J5'() if -/110= ; '.M'7 ;:r. ~ 0115-2 (u) ) (/.00) ~~ro'T')l,-.. ~ I-S;~~~.BO /4'SS ." /~-t1.,... B~.St>.., 9;/'11" ~ 21:) 798 "1P1)41- mu&4~ /.~a 'Y'/. ;:/,;,.H~ ;!. d4-fs ti>". t.QL-A .3J,,'f-, TOTAL: .3,:., 31!:4!. &0 SUBMITTED A"A"4 .30 BY:_~O.?__ 19R..t.. APPROVED : I)" -. /0 .-,-,' f/. .LL- BY: 'i~ti.<t ,'~'If(A..J)e;..... DIRECTOR Or--PUBLlC WORKS 19RJ'7"" ROUTE TO: ~ASSISTN<T D1Ri:CTOR ~.. RO~ SUPERINTENDENT [3-' ror-.STRUCT/C'N UJG1UII'R INITIAL .LYft ~ 0"'/ ACCOUNTING JV- o o A()ARr'l OF COUNTY erH'" I S~ I OI~r:RS "",:, )'ii,'" ;:"",;(( . "'r",.\) :,,::. ' :",. " ;i"'- i',oJ ; , ~:-; " ~-, ':.' '.',',', "ri ,", ::,,"",',,' ::,:',... I ',1 ~ ;'-':""'i' }",:: " i' .'~ ..: ! '. ~ ".. . .. u..,._~ . . . J . , - '. 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"'~ :>: ['...:0 " "1l \j---~0'" ,~ ~ ~'I '-. ~ Q (' 1.< (j-- :J- --..: \ \ .... ... i 21 r-.\ r:-.\ "\ "~\ 1'1)\ .::l 'ti ~\ ,; <,\, "I ~ ~ ':)- ,.}- ::r- s ; ~ : V '-::b -{; '8 >. ~ ~-~---:> ", .... -.....,,)--...J ''\ ::~ '0 ..j lX., i;'i --: \,-J- 0 ..... i 1 li ~ S I ~ '" -g ',"- 13~ ~ J~~'~ ~ " --.;;:> ~-..... ~~ '-' '" ~ , " ::!: { "l ~ I li i ~ '\ .. i l '~ ::) " "- ,,' : : '~ - ~ "- \\ , ~ ,~ ~ "- ~ '<:. ',-< e'i ) S d '~ . " (,:l: .o,,-,.t ~ ~ .~<~~~: \~ '~,,':: ''-':; ,,2:: ,::... " ~--... .... C'\ ~ " ',J '-.> ......... . . >. "" " :, ,\' , '"..., , " ': '.',' " ',,': . ,,',: " ,', :":"":.,'.' ..'., , , " . ,.' " ,.' '. .",' :.':.' " ,', '::, . . ,', ' . :' "',' , ' ,'. "'::, ',' " . . :'.o' :", 0< ' " , """ .' ". , .: ..', ., ,;'.,. '. " ..'. ' ,,' ',0' ,'".', ,"':' ',,":.' " , ':"'.., .;:, :.',...;,..... "'., ,,:, '>, . ".,' ' ,,. """:", .', '" "... "". , ' ',': ' ,,' :' , ',,:::: ': " ,-: ,J ,:, ' ,': "0', " ': .. , " " ":: : :. ": '.' ',,' ", .', , ,I: " " <' ~" e 8 JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS PROJECT/WORK AUTHORIZATION AREA Rq CJtt,l.f1""-,(I> / PROJECT NAME ~j Of.! ,j TYPE OF WORK 1<~v71 ~~<" I-<;'U ~,If If, 0 A' A- JtJ I ' ,qO ~ 1< AREA CODE: PROJECT No:lH.f) ~;i~555 .d't/ 2., :3 f BREAKDOWN OF WORK ITEMS: 7RU/l IrS' LtfA.,) ~ II L 4(." {I. Lo ~~O M 'ol.A' (. R/I( k ,(J_,,1-. ( -~ nci.K,,', 7,<, Y '5 ;<' COST ESTIMATE: , <;-:2. 8' , s-? tr; /tJ?c7 7<50 -;:;.2 0 -# :75' /' ~ TOTAL: ~/ ' l::> J7:>n / SUBMITTED. Frb /tJ BY: 'R/// !feCV' I 198.s; APPROVED: .:2//0 I'lR~ BY: ..y~O.RI7l-- DIRECTOR Of. PUBLIC WORKS ROUT (., TO: ' INIT IAL ./ n [~(' (011,01"'(" r;;,v<:::/PeE/:. ~ o ACCOUNTING V JI~ 111,R ra ROAD SUPERINTENDENT -- 0 BOAR!) OF r.oUNTY 3& C()"V~ISSIONERS 121 Cev,STRUCTIlY, ENGINEER [:2J " EL-LitE K : ':. ~~~ ",. " '.",' . ,." ',,:- .:' ';' , -;'"", , ,",: ':",:' " :, ' ." ',\': ,,' . ,':: . ," "', ;', " ",," " " " """",',: " ,',:, ",.. .. , ,;: ":'..,,',,' '." "', ' "." ",,, ' ,;,' 0<' , '.. : " "", ,." ': :..,.'::, ',' ," :., " " .", ,,', ,"" ,'.' :: :', ,'/:~,:::::iO, " " . ',' '0< "::"",:"" .. :,' " ", " .':'. "". " " "',', ' ',' . . ,,' ",,",L '.,' ,"."., . '. ". ..,.. '.. '..,. .,';> . ",', '.....", . ',".'. ' :< ..' . . " ..... '. .' ". . !~: '.. '. ':.:., ... .......' .. ;,', :,' .,. " ...' .'. ...' ..< ;,. . ,.':.' .. ..:,'" ..,':: :. " "" ' '... '.:, .,' .' '., " ,... ", " ,..'.,.. ..".'., ..,. !,:: :1 . "';: :.:, '.. : '., , ", :... ':'" .' ..' . ,::: '".. :, '. , "', '. : ':', ..' ':" .. :, :: . '..,,:, .. . ,',.. : .. '. '. : :.. :' .. 8 JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS PROJECT/WORK AUTHORIZATION ; AREA (~oc/if' 'RoAd ,rVl,""" 0, ?r It) H.p- S- L/ AREA CODE: / I I , PROJECT NO:lL.f( .I00~557 PROJECT NAME ;{.,od ShAJt'<! I TYPE OF WORK PLM,';vy bAiJ /I (T .~~/ ...P-II BREAKDOWN OF WORK ITEMS: COST F.STIMATE: : zr:1~r (,. // t7cJ ~ '~O/? .- Tl?tlO /C~ I~ :Z'Y/J I<dL~1I. 3X-/'a Fl.~,v7A.J ~1f',1t1. Qrr1.(/<;' L f?r Rtt"u I.t:N J ~ ~ C) :LJ~/ <=t fl4./I,' l ~a.. / ~ :~?O : 0-'7 (lA! -r 1 .4 b<"l" ;S,~r?s- J+ TrlTAI. : -11 Sf 3'/3.~ SUBMITTED /-I P;<'I L 7 19R_0' APPROVED: 19R - BY: g( r!I !Lit BY: : DIRECTOR or PUBLIC WORKS I ROUTE TO: INlT I AI. It-lITIAI. , Ais~rkg1~ttr1i{ 0' I f2l ~ ',CCOUNT! NG - ~ ROAD sureR II,TE~IDENT :~C;~ ,4 0 nOIl.po OF COUNTY ,bt- C()'.1f.q 5~ I o/.IERS - !21 COI,STRUC11 C'tT EN'; p,rFR Cl ?II~~- '!-,.,'-,} . I :\ .. ".' . ,"",:" ,. ..' '::' ',,' :; ':. '., i .' .' ",.,."...".: "> ,'. I,:' :. "':'" ':.: ,::' i.' " , ", ':', ."..,':.',',' ". ".'., "",. :'.' ",'\ '.'; '..,',:' '. ',' '.,'" .:' "':. .,... .! . . . ....:. . . :,' .;.:'. ," . ':' . .,. :,..:' '. ," ' ., ' , ' ", ' 'i. ' Iii...... ,:' 'W"" ,';', . ,"j. , ' V I , .... '" ..., '. '" . . ~ ,.,.-.......- r - r -, r --, L --.J L --.J L --1' , , " . , ,I - . --.........,... r r ~ L l~ till.. I F~' r --, L -.J . ~ '. - , " I -, -.J -1. .... ~ ,- fllo.~ .,.~, , "''-'' ,.,....,"""'....."'- ~ " -~; , \t \ ' ,'< <( ~ \,~ ! ,~ \ ,.... ,( \: \j ~, '.j l,-J ), ':..) '., ': " "j '1\ ~~ " ,; " ;::'., ~~ ~, ~-! oj. , '. '. J ~. " . "\ . ~ ..... . . >" I . I" ': ' J i ' , _' ___ r r 11 , r -, L -' L L ~, ."" .--'""',','.-.,, '- , .... ~ ...... '" "r~ ,..",..., "."" " o HYDRAULIC PROJECT APPLICATION (R,C. W. 75,20.100) DEPARTMENT OF GAME 600 Capitol Way North Olympia, Washington 98504 (206) 753-5897 PLEASE PRINT OR TYPE pO NOT WRITE IN SHADED AREA r.:l LAst NAME t!2l Jefferson County Q STREET OR RURAL AOUTE l!!l Courthouse [!;] ('2\'ll)'l311'5"!:fS05 'k;:m ')7fi_7nfiLl Publ ic Horks CITY Port Townsend HA 98368 [W WATER TRIBUTAIlY TO " Big Quilcene River Quilcene Ray GlJ ~~t~6~R SE.CTI~TOWNSt:-;'P----.--RANG-E-(E~W~--- . COUNTY NW\i Sec. 24 T, 27 N, R. HI Jefferson DEPARTMENT OF FISHERIES Genural Adfnin. Bldg. Olymplll, Washington 98504 (206) 75')-6650 GJ [!] , 2 3 " [i] [!] iii iii WRIA ABC U liil liil liil [i:i] F G WJ TYP~ OF PHOJEct Oebri s Removal DESCRIPTION, OF WORK METHOD AND EQUIPMENT 1) Remove two gravel bars, the first being just upstream of the Rogers Street Bridge on the south side of the river with dimensions of approximately 180'x35', the second is 150' upstream of the first and on north side of river with dimensions of 100'x40', 2) Remove portion of partially buried snag located near center of first bar, 3) Remove root wads, stumps, etc" on north bank of river opposite of first bar, -Pf:i'Oi'OSEO-.~tARTlNG p'ATi-----..----'--- 8/6/84 /'I'HCJt'OSl:O--FINISHING--OATE--.--- ! 9/8/84 ~ SEe> 'S'~'e'~:'A 0' ~ecl~Y'fSt attached, ------,----'.-.---.-'.-- -~---+---_._,.. -.---------- ~ OTtlLH l'EfllolltS None IT IS UNDERSTOOD THAT NO WORK WILL SIGNA TURE OA TE BE STARTED UNTIL A SIGNED APPROVAL 15 RECflVfO TIME LI~ITATIO~S: .':',) ,:\..",:,.;:,;'::" .. ~'-: '-(:, ':,; ,',.' ::.,:::;'.::':..!/~ ", I i< ,~"<'J : 'i"" t:-_,', :''':':::,' :,;,) :\"\ , :"',', <<',',: . ~:' ',:<'" '. ""i._''-:,,-, '-/,"J ,\, '-. " ,', '" " "~I';,"~," ~',;-. \-~,:", ;< ;c",j"'" ,,' ,.~,~ '\~':;'::,\',:.\,<:::: J~"- , -- .~ ...." 7c; &"""'OI..lC- '7ra.I.J~J. !3A-r.r /C?C)CJ reiv-, -1f ~ T/"~tlt-IC :J,.y c:1? (.J t? ,-/01"1".0-;::; 'J...1?(,t)p 9S~c.4r '1..26'01 OP C!>f'l"M7er ~S7'''/ I 1M J...ol ~.........., # 1fc:"...,.,.t)I,).!:.- ~...u~ ?',>1/ '70s- C,/tT .3.2. 0, 6 Ci ~ ~.!:"" '/It r ;1"/3 ~ ' I) 0 ,;(, I/wM's I ,?,c, ~ ~ OI>,iJ:'r.r ;if.:<. ?;Z ,OD hH.r O""-Y-f ~1,4/ #6; 3/'?',0" ;. :'.,' , ," ,/ . .."." '. '.; .: , .. " ',: ," , ;,..., .' :,',' . . . ....', " ." .' . " ,,' '" ,',. ,,' .' ''':. ..,... ..' .....' , " .' ,'. "" ....." '. : '..'.' ,i., '.' :. ..' . . .' " '. '" , ...". ..' , ' .', ...,.,. .,.... ,', '.,.,.,'. . " ". .'..: " " ' '.' ..".,.. .., .',,:.,; ',-,'.. . ' . , '. ...,.....'.'. "',. . , " ".,.,.. . '.....', ,..' , .. ":..:' , ,", . ' . ".'. t. :,' I, TO _~ciM/1____.._._.__,__ F R o M JEFFERSON COUNTY OEPARTMENT OF PUBLIC WORKS COURTHOUSE PORT TOWNSEND WASHINGTON 98368 PHONE, 385.3505 _MESSAGE .__8Jt.Ac.e_,.J';>'..4..:>"iI7;,~6::,..~as.P~~c:",...,~":1... .P~.iZ... o.,.J..m~j?o.jJ4<"7)'.::::.=-<<~~/S6 .p&e./!1rC>......n~ .../.0..#4-<.11).:...... ,...u._____" .. .,,___"_""_'"'' SIG~ED~;~.i.4~"'---; '" "" .,;J,: . ...' '",,'ID~!':a./.l-o/e4.':: REPLY,% ,t::077"..J!~4tz, 7$C..'CI' /rC.7 ;;{- .y.z:;7-~.i....~, ~i::.-.-::.--.. II?/l, ~tt!res. ,((~4 <;;'u;'~,. .~~1" /::;~ ~.s a"~ , Cd><--/...dd ~6~4.- bcfr-<:..- t!U("" ~c:71~/1' dol WZJ>-J-.. /3cb /S >' -C-' k .i?~1 tm....- hdd- tt/.w-.t'S- P/~/J?r7f;- - c.n.t..:/dJ ~ W ~ :5C~-- r {/ / 'w ~~t::Cc:S5, REMOVE PART2AND FORWARO PARTS 1 AND3, ISIGNEtb/..;. ID.ATE . _,;' , PART 3WILL BE RETURNED WITH REPLY, I r;::y~ r ....3'I'..f'y , ~ 01' r'. :';:" , ,'...'" . '. .' . . ',: > . " ' " . :., "'. :":' : ':-'.: . . ':':, , , ,: " '.. '.. .." .:"'" . :'.. , , , .' . : ,- '.. :. ,:' ':" :.,' ,'"..' ,'. '. ':' ,'" ':, ", ". : ':i... " ',,:','.: . c, :', :',;.. ',' " ": "..::". ......' , "..', ,: ". " ':".'. , c. , ..' .: ".., " " ': :, " ;" :'" ' " ". . ...', , :, /, i' "... ,,:' :' ,'" ,; '.. ,,", '..,.'..'.... ..... , , , ".:' , .. I '.;: I'; ~ ..', .., , '.: ,:' " '."', .',' ,,' i', :,,'. '"...' . , I': .,", ' ", ' '~ I . \ I \ . . r ' , '0 , _ ,'\ ___ r ~ L ~,J . , .,-~.",. PHONE DIALOGUE" 1 (N<1flle) 8k'~/<E" __LHCI rl iF a 1. ,)1 ______.:::5:,./V,'-::.:< .'r;" /1~ _, ):z:!~L';:JL "=:,,,', 'Od__ v' 7' /5 f<ll~t'd wolll 2~LL-,,\)c. I <.,';Ii(.d .,.-v: 11,>(" .pA)p~ C.r;u/(,-<:,.-",.-I<: /<--:1<../<'';-- ~-(:'j.:.:,(....1: P::5'I< ---: ../ r'<-:--r:n..I~-::-'dJA) ./0_ CJ,:';',~~ /.:'/.,:y,.,'L/',,~ /\/ AP<lr1V \.,I!I",j SUbJI:f.t /;::r<..9 "',11.,1 I ~>.3,d 1") r O_C(-..;;> -:;::; -:-'"",...., ;----c r'--("" U--C. '7 vC' VJ / b<l.>- /I\..) I!-IJ-P1-- ...-" ,d ;, ;' ~ , (J,-f 10 :.( ~n' j " /-""yJ';'r 'y' /'jr () rV~_ 0 FI..4 "', ./,') ;/ 'LL-",. ' l ~/d :J.~/ /'\ t"l 7"'0 / C.u -J (L l( ()J IL r ,-f--J ;, /) ;> A" 1:)/ t. : ! / . I) 1-';--/1 /,<, ',,' ! j f U , - -, -, --, ~' i I i j, 1 I ! I I I ! ~ i I \ " t --I .L. .... .... 24, TZ7N, R.IW, ViM, ---- Z #0 Sc,o~E I) REMO"': is,,,,,,,,.,,, O"~~ g),('GU~_e ~~~ ~,"'!~ <,/ ~'~ ~~ Z)REMOVE .:SNACV , Roq..-":> Sr: tb '" ~ I; t: " '" <:. 111 ~ <;: l: " , " I~ 1"< I~ I I )::) <. '" N \ JEFFERSON COUNTY OEPT, OF PUBI.IC WR~S, OEEH1'-:, RE/VlOV4L SIC, QU/LCE:NE: RI\". 1084 Jo'a 1\10. MOO 5(P I 1:','/,::",. ' ,oj'" . '-:1 :-':':,;',,',>,," -:,:,' ,",,,',,;.'c,',, ""''''\' < ',--:' ;"'::',:'.;;;: ' ,',i'-,," ''':':1 i'.,,' I' ~ i' "" . ,,' ;:"';;',,"" ,,:," I,:., ;';;;:.r,:,:'. "-'i' . , ,- -- ,~.~ "~. - .... .... O\'P-"Alt PLAN (df~'.r:I'll,.. illlr I'ld/l'~ lor lulfJI" old 01 I I 1"11' . "'I,.ln..I"""'1 (,I. ,',.I.II",j ,,, Ilvllll" Ib.,1 Ifli'l\' itf(f'rl thn pUll"";:ll): _.Ji9~_'h' moo,_ ENVIRONMENTAL IMPACTS EAfiTH Will I, 7, " . , 1111" p,,,pn.;.ll "t'~.l.fl tin; llnf.ldbl,~ '''lrih c:nntllllnns 0f. C'1'.HI",.,; In tho '1,.nl"'II.'o1l !.Uhr,t/"lwtlJr(>...f Ol,,(upilon'.. dl~,pl.'c...mr.nls. (".I oIll!'c1C! l('ln, (ll" 'l"",.("""",.'nfj ')( thl..' ~.f)II? A r:hctll'.Itl In tnr.r.'Jri1I./'Y "r 'JI..uIld '.ftllllf f.,atur"f.? TlIff dt!strlJr:flon, '(lve,.I,ul. nr 1lIl).11 I ICiJt Inn (./ tiny 'Inlrl'm !Jnnl("~llcdl or 'Jh~'<;I(,,'-JI fl'.,lurl"~? Wind ",. ....'tfjr f"'''''; Ion nl o;ollr., ,~I!"'Jr rm r.or off I',... !.llo? 1'f"I"~5Itlnn nr nrrv.lf,n ("If ''''.lell ~.i1n,jo;. or 1"10.11'1". II, ',lltiltlr.n, df'I"islll"n. (,r ,.,....1",. ~:::~~'.m~:. ~,~~~~y ./,(, '''.tnfl('l '1/ h ']vnr (,r str,~",,, ')I"' 1h\~ br"j nf llf\~ "("P,,1l ..r uf'~' I'"y, (" "1'1,1.11.' I.,' "11,, '(I' /"11'1 'I' 1'1 II I~ " n IX !Xl 11 1'1 II " I~ 1" II IX DO 11 I' rxrl.ANATlml: riverbed, ---- 3, removing of gravel in riverbed will change the topography within the 6, This project will modify t-her-i-verbel,--------_.,---- MITIGAT,vr MrA$UnWI, 3 & 6, All work ./ill b~neina:CcOrdancewfthSriife'-(jef)1irtmeiit' of Fisheries/Gam-;Hydraulic Permf~--------------. ---, "(KJNTY (T)M.frNT(~I: _._-----'_._-------....._~,._-----------,.-..---_. .----,-,--... ._, AIR will 1/111 l'fO~~,.,1 rfl""ll 1/1' I, Air ,'ftIlI....I.,,,... (,,. d"','I'!;', ..II"" "f "",ld.-,,,\ .dr '1,1'11 1 tv'i' "'(' ,.r".-tt Inn 01 01, i.... 11,,,,_01 I" ,-"j, ,r', ~ ,,,.. 1l'''lrllll'ln (II :dr' n.tIVtOlI"f,., nod',I",,,. ..t' 1"'1I,,,,,.,,luI 11, or ,'ltll ,r"tfl'I" III ,.1 "",II.., ell',\'" lut'dllv (" ".'jl'll..III,! ", t q'IMlo\THIU: " ,. II fl fl " X, K, K' IT' I~t. I hi I~:I '-111 ,r,Allve 1-1[A$UrU(Sl; (DUlHY cx::>f+lENl(S): WATER will the proposal rosult In: 10. Chenges In the currants, ur thA cour~(~ of or dlrl:lctlor. of .....otur mOVttnlLnts, In elttl_:.r merino or fresh wbturs1 11, Ch<snge~ In the ab!>orptlnn nltes. dr<.llnilgo pattarr.~. or ttH~ rato clOd <lnlount af !ourfacp. _ater run-of f 7 12. Alterations In the course or flow of flood wi':lters? I ~. A chbnge In the tlfllOunt of sur I ;,ceo ..'i.:lt ~r In uny WiJt f~r loady? 14. A diSC/large Into !>urface wdters. c.r In allY edleratl0n of ~urfiJce walur qUidlty. IflClud- Jng but not lImited to ttr.lperolure. (jissolv~d o,~.)"~"m. vI 1urtJldl1y7 15. A change In the quantIty of ground ....<:lters. either through dlroct addItions or wlth- drewo!lll s. or through I ntercupt Ion of dn Clqu 11 er by cut 50 or t:ACavat Ions 7 16. A deterioration 'rl ground water qualIty. eIther through dlr~ct Injection or through the seepage of leac/.atus. phosrJli3to~. deturgents. ....olterharhe virus or b,)cterla. or other substances Into the' ground water57 17. A roductlon of H.e an,aunt of \oo-'ltcr otherwise avallillde for public water !>upplle~? [,,(PlANAT'ON, 10. The project may modify the course of the river within the existing river banks at lower water levels, 12, The project will help contain flood waters within the river banks, 0 I!l 0 f1 n l\J "" n 0 0 0 III 0 0 l\J 0 [1 l.\) 0 0 m 0 0 /jJ MITIGATIVE MEASURE(S): COUNTY rottENT(S): FLORA Will thepropor.al rn".df I,,: Ie, A Chtlllge In ",6 031""r',11.. oi 'il1.fo,I.... Ir n(jmhur~ Ll ;HI',. ',r,I>('ll:'. (')1 Ilorn, In('ludlng "'ttfJ5. shruL!.o. ~l'''''!.. cro:;<;,. mlnuflar.,. .u"j "',ludt/c.; 1.1.1111..7 I". A ruduct'nn (':II tt... lIulIlt,,,,r... 01 1I1'..- ..rJlq",,,. rdr..., rlr ."r,,1,'lli:~I!It!.J ~r",(.II!~ of Ilnril1 n n l\J n n I'l TRANSPORTATION WIll the propos'" ro,>u/1 Itl: J4. A goneratlon of rtlhJltlonal Yf1hlr:ul.,r movctTlwll7 ~5. e"ects on Axlsllnq pllrklnC} fllcll111~s or a dumi1nrl for no.... rt'lrkln~11 36. An Impllct on exist In9 "trlln!'iportat Ion sY!itums? 37, Alterations to rrao:,rmt pelttol"'ns of clrclIl.,tl"n CU' movumant n( pnople omS l1omh.? ,e, Altenl'tlnno; to Iwllt.wbornti. l"'lIJI, or 011'" 1rnfllt:1 J? An Increase In 1re-ftlc hazlIrds to mntor vehIcJe~" blr:ycllst~, or ptldustl'lon~1 EX PLANAr ION: MITIGATIVE MCASURE(!i); aJuNTY co+tENTC S) I PUl1L I C SUN ICES '1'1'; ~'^~ III 1m n n tX rI n IX 11 n IX n n III n II KJ 11 n /<l Will tho propos'" htlV6 lIn afft'lct l,,,nn or rr<!.ult In ., Illlt-'Ij for nflW or (Ilt'Jl"'uO !1tlVal"'nmnnt.l1 sl:'l"'vlr..,c., In /'lny 01 thn '01 low In!'! Ol"'ftllS: 40, I"ra protacflon1 41. PolIce protect lonl 41. ~chOjJI~7 43. Pnd.. or o'lher rttf"r''''l''lf!r.mel 'aclllfltl"i7 44. M"lntnnanr8 of pUflllc 1~c-lllt''''EO, Ineluc1lng rn.lfJs1 45. O'ff1or (lcft'ntlry ~"'r'"I('o): O:PlAtlM ION: Io4lTl(;^TIV[ MCASUHCfS): .~-----_. -.---- -----,---_. roJNTY (:CH<lrNTfS) I -_ ----'-_,0'__- _ ___'__'_____ ____~ _.,_ '._ -------,.---,..----. .,----,-,-- ___,. '_'_"_M__,,_ n 11 00 [1 II Ii(l n 11 00 11 n O<l 11 11 O<l n n O<l ""''''",,, - -,-,..,.-. ---. .----- ---'----_._-----~_._--------- -.--,.--,..,--_____ _ "___"_".-' n,_'____ '...'____~_" ___'_"__~~".__._ _ --.'.'---._-,---_. .,--"._--,,~~,_..- .-.----.-.--,- .- - .---.- .-.-. \1.... MA',Or rW ENEA3Y WIll thu propo~,,1 rus.ul1 In: 4&. The u~a 01 ~l.lo>1t)t,tli;:ll ifJo:JUt.1r.....1 fl..ul or (If't:lrg,'1 47. A dunond "por. d..l~tlng ~ource~ "t ur'I;lf"l)Y. or requlrtl 1/1(; d~....uloprrlont of fib"" ~,.urcu~ 01 entlrgy? o o o o l\J 10 EXPLANATION; M IT IGAT I 'IE MEASURE'( 5): CClJtny c::o-M[NTCS>: UTiliTIES Will the propo!ool result In a nt:led for tho de....elopment. olteratlen, or ~ddltlon of onyof the foll0.01ng lit Illtles: 48, Power or not ur" I 905o? 0 0 I'J 49, Ca/vnunlcatlon? 0 0 I'J 50, woter? 0 0 10 51. Sewer or septic tonk? 0 0 ~ 52, Storm water dralnoge? 0 0 10 53, SolId IJIIAst6 d l!Opos"l? 0 Q /J EXPlmAT ION: MITIGATIVE HEASURECS): cr.'II.mTY (X)+4(NT( S I; , : ,.., " '. c"... .".:..' , '.<: .:,.. " .,..,.'.. ..,. ,'. " .,.,..' :, , ..,.. :" . ...' , , . ".,...>: ',. ,..'...' ....'..:;: ....:..;: .,., :c...,.,,".,", : ': : ". '.,' " ..,,~:', :" .... .,. ...- :,' .:, '.' .....,... ,.' '" ',' :, '..,p.>.'. , " , ". ',:,' ,.' ,.,' '.:, .'.". ,'. ..',... ":.,' ,;, ...: . ..., ,";' "." .. .....: :'. ..::' , '..' ..... ' ..., . ..', ':':" '" c , .. "'" .: ',:: " '.... .,..,'" . C':.' . .>. ...':....:... '.'.. .: " '. .," " '.:'" .', "c . .. .', ': " '. l:i:i€~~};~r;': ?if I. e HYDRAUUC PROJECT APPUCA TION (R.C.W. 75,20,100) 8~ ",~ , < -, ~".. ~ ""'r"i DEPARTMENT OF FISHERIES DEPARTMENT OF GAME 600 Capitol Way North Olympia, WaShington 98504 (206) 753.5897 PLEASE PRINT OR TYPE DO 'NOT WRITE IN SHADED AREA General Admin. Bldg. Olympia, WaShington 98504 (206) 753-6650 '"5 Fe.. GJ ,,0 '. " , 23' [;!] , ,., [i] iii iii wA" . STATE ZIP . ,'. _: ~,:"\':-"c-, I' , AB C,D" " LUICl:'>I-l. .?:~'...~(.d TRIBUTARY TO ill] Gil:'..~, Gil '." r ~':!..'=-!..~___,,_.~ II. (,,-,.JE. e,,cC( I ~ TOWNSHIP FlANGE (f.W) COUNTY ll!!l TYPE OF I'AOJECT Zq. 127 l! I \?'tV J JFF'lc","::,,:Jv DE:'Bt2,S l<f,,-/\)vi'\L DESCRIPTION OF WORK METHOD AND EQUIPMENT .' . ' G2]lAST NAME .JEff F'~ SO 11 ('<jl ) I.ly, [!!J STREET OR RURAL ROUTE ,"("\:) \~ \" W. Q\):~,E CITY pue,Uc IA/IJ C~:' ~ ~ ~~~t~T ~~~;~~~~~~/'''~.':4- POQ\" [g] WATER Sir, -rOvJr-.J -::,;:: r,)v.) QUtLCe,JE [!iJ ~~~~b~R /J vJ Y+ SECTION .. " ' '\; f, ~ Z I) ~F:M('I.'E j"""..lh..1 (l1/rJ,l/(?l... B....J..'~,.. TI.4C- t:rIlST eClu6 Jusr l.lP6ri~f.141A-1 ()p 'Tt4C {It.Jc'l:!4...S :ST". L3tZlc7ti.~ OUll.J,l:, ~cJv.,.~1 SIOI: C'F KIVItI( 'lA-"ITI-4 OE,-1fNSICl'J"3 (J~ I1PPft1v ,[dy35'j TIJC :5r:COrJlO 1:5 l:5'l) I uP -:1fll~,.~;k1 ,,;: T\~C" FI;.!:S7 'o/'J(J OtJ AJQ~TH ~(/}I! O~ frvE-1i? (A'-'ITI../ OEJ-t,t:U:JlrJK)' 01-" /{JI)',( 0: z)eEY'..{<)VE 'POI'2T1r:Hv r.JF f'r..IU'lo1...t..~ !?1)J'tI'::'O -:},j.....c. t-O(.....rC?Q tJE"-R Cf".JTi"IlH': flOr (3~,{. ~~ R\:;r~oVF- ~OO' \A..II::..()~ ,~TU...---t:S ,F:l~, O,J 1,J()r1"t..I, af.,lVI'.- :9~ Q\oJ~e.. OPPt~tTe: OF" FIIZ.~'T "..art, ~AATlNG-6Aie----~~~--------'------------'IPROPOSE'i}-FiNlSHiNGDATE-----------.------- 8- 1- 84 I y- ,<:'<.9Q [ZQ] SEPA AQENCV'DATE OF OfTERMIN....TION 2_____.._._'"_.._,__.c::; .C,.,p. r~. C I-tE..."k L!::'f IiI! OTHER PERMITS iJ 0 rJ E" f}TTI'.J. C I~ e tJ IT IS UNDERSTOOD THAT NO WORK WILL BE STARTED UNTIL A SIGNED APPROVAL IS RECEIVED ~ LIMITATIONS: , . ".' ": .... ,,, "...... ':.'.. ,..,... ....:,'... '" :' SIGNATURE DATE '. ". " . . " " (i"'" ". ~f"" ,'" '" .q;,.. , ," ... . .,....',......~~,.,., '...,' ' ,........ ," ".,....,:.'.; . '" " ;: ., , :' "., " " '" "', .: " ....:', " ' , ",'. : ','" .', ..,...,.,...." '.',' ',..":,,,,": :. ,',' '. .... ..... ",., "..,. " ' ' ' '''':::,..: . '.. :" ',' .." '" ':, :."'" '.:' ,',: '...,.-," , : , . ,.' ".. '., '.' .'..., ',.' . . .,,: ,., ,,:: ' ,: , ,., .', ',::' , ' '. '" ',.. :,' . ,.,.:' . ,..",' ,,' ,'.' ..". '...., .: ' :,: .,...,. '"'' "~'. ,:.".. . ....,. , , , , ,. ovrnAlL PLAN fllll'.l:rll'(' (111'" f,liHlo; for ful4t'1' illl.JIII"n', n)(jI"n!.lrlll~, c.r rp/illqd ;,,'llvllll~!., l'/' ,.1011'" I.,' ,tll"r' Ih"t milY "ffI'Cl tlln p,'ojlll<;:,I): ~-blQ_W,_~_,__. '_________.____'.~_____,______ ._--,.-~---_. ---.-----.,---- --'~'.,-.._------~._._-----,-- -. _..-- .-. - '..- ..,." -------.'--..------.-.---- ~-------,--'.. ENVIRONMENTAL IMPACTS '(f r. "'\YHI I", EAr<TH Will ttlp IH/)I'O,;.ll rl"H4lt In: I. ltnsfdbl>~ (r,)(th conditions (Or d'.Jn'JI'" In tho 'JI'fl'0'1 I l.!'dI 5uh'!'.truc:tIH'C";? '2, Pls('upt Inn'" dl~pl,)r.,.mnn15. cr.rnpacfJ('In. or n'Jl'r("'oyorl"!1 of the !",() I 1 ? 3. A ch.-u".JtI In 1npr"Jrhl,t1y ur 'Jr"~und rellaf ltlaturl.~? 4. Tha dC51ruc:tlon, coverlll!']. or mOdlflcDtlon of {lny unlqllo gnolo!)lcal or physIC':OJI failtur.'~? ~. Wind (Jr "'ilh~r nroo;l..'H\ of 0;0110:;, eIther on or ('II f Iho sIte? 6. 11('11()~ltlon nr oro',lf,n 01 j"',lch 'iitnd... or d'."1".I' '". III ..II tf.ltlon. dfljJoslll''ln, or oro'.lnn which m,,'( Il'odlfy thf' cl.annel nf ~ "Ivor or s1rp,JHI or 1he bAd 01 111l! UCO.lfll.r '-lily hly. Inl~1, 0'. la"t11 n " P< " II J>( ~ n n 1'1 ,') t>i n n )>( )'l n " TbP()f'-I1Af'HY I-'f() (.) I F <.( \?E ;<..{OV,;.) (, a r- 6KA'h::' L IIJ WITH /kJ ...J::.!i.~_iJ FltJlEO, f, TH- E I? I VE'IZ. 8 E-O--,-- PIl/El1.g f<.() ,1-l1'S WI L c... C-I{ i4!::!.~. E;.. .D:!,1t Pad J E (, T 11LLk,4...,:,___, rXPI.ANATION: 3. MITIGATIVr.MfASlJRr.IS1, 3'.fc'IJ.L( IJ,)r1l2lt U)/LL UJITf-+ '~"'A{E 'f)f?"o,"t2-TNF-vJr {)!=- PEt( Mfr, BE IJrlUE MLt1{{0.1.f}AAJe5_ i=161.,EIlIiE.s /6;11141; J../V012AUL/C , COUNTY (l.')f.folF'NT(ljl: AIR Will the rro~n'",.ll rllsull In: I, Mr 1'fn1~~I"w'" lir LJ"','''lnr"llnr. .., lII"tll 111\ 1 .1Ir 1\11:111 ty? t!, Thn crf<..,tlnn 01 nlljflrlllllloll.I" n,j,',rr,7 II, Hilt ,,11..rnl Inn of i'Ilr Ill()vl.,n",,,. "ldr,11Irn. or tf'"1rf'r.,lw"n, or i'Iny cl1nn'lI' In cl "1~11I1, eltPlIlr lut"lJlly or .....'101"111.,1 " II rJ n " " I\( J>I Jo3 I '''lAN~T ION: "----- ----,------ MITIGATIV[ MCASUHf(S>; roUIHY CXlI+lENT ( S) ; WATER Will the propos~1 rosult In: 10. Changos In the curronts, or th6 cour$& of or dlrac1lon of wator movt:lmt:;nts, In elthElr morlna.or tresh "'oters7 II. Changes In the absorptIon rates, dralnago petterns, or thu rato and amount of surface ",oter run-of f ? 12. Alterations In the course or f 10lii of flood liiaters? 13. A change In the amount of surface wCltl:lr In any waler body? 14. A discharge Into surhce waters. or In any alteratlun of surface water quality, Includ- Ing but not limited to tooperoture, d issolvtrd oXY9~n. Clr 1urLddlty? 15. A change In the quantity of ground w.,ters, either through direct lIddltlons or with- drawals, or through Interception of .,n aquifer by cuts or excflvi!ltlons? 16. A delerloralJon In ground water quality, either through direct InJection or through the seepage of lellchates, phos~ates, detergents, walerborne virus or bacteria, or other substances Into the' ground waters? 17. A ~oductlon of the amount of water otherwise available for public water supplies? EXPLANATION: 10. !!-IE- PIlO,IE(T IJI.l4y ......4 E. f<.lVE It ClJITI4 ,<) "II-.\- E:. LCluJP-'1L vJA;-!t:r1. (,.~ VELS. 17 C-O N TIQ Id F=/ no 0 IUlt:l"'r"E ,L:S yrs MAY tiE W) 0 ~ 0 0 0 III lil. 0 0 0 0 pi 0 0 E. 0 0 )II 0 0 Pil 0 0 l!J MO()IFY T/+E: C()u'rc.'SE: D 1= f" Y I f:>T lIVe, It. IIIIY!. BA NI' 'S AT TI-lF PrlIlJr:;:cl' IIJIII.. i-I-fl (.! Ui Ill.. ,,<J Ti+ r=- f? / UictL BA",j/(.$ MITlGAT!VE MEASUREIS), CXlUNTY CXM<ENTCSI, FLORA Will t h. propo50 a I res.ult In, Ie, A change In Ule dl...t1rslt '( of specl....!!. or numbur" r;.f any !.opecles of flora, Including 0 n /!I lr..s, 'hrubs. gr"li~. crops, fIIlcrof loro, IInd aquat Ie pllln1fl? .., A roduc11on of 1ho n~h.r$o of any I.onlq",e, rare, or f1nd"ngorod t;pttClft5 of flora? 0 0 jJ, TRANSPORTATION '1'[$ ~\AYBr 110 n n r.l n n I<! " n l'1 n n Ill' n n r.T n C1 r,j WIl J the propos/jJ re$lJJt 1111 ~4. A gnnaratlon of luJdltlonol vf'hlcull'lr mo....OOIentl ~S. Eftects on Rxlsflnn parking locll 11 1,,\, or D dumar'ld'for ne.... p/u"klng? 36. At'l Impact on exist I"g tronl'iporht Ion systums1 :57. Alterllltlons 10 p,.e~ent patterns 01 clrculllltlon or movument of pf'tOple God ~oon57 .56. Alt.,.eflnnoo In wohrborno, rill 1 I, C)r olr 1rnfflr:1 059. M Increase In traffic hucrds to IOOtor vehicle!'>, bicyclists, pr pede:-trlcnsl EXPLAN,\110N:, MITIGATIVE MCASURE(!i): COONTY CCM<ENTC 5) : PUI3L I C SEfN ICES Will the prnpo!ft I hove 0" offect upon or r8&ult In " I\HfHl 'Cll" nflW or III I tered !lovernment n I scrv I cr>s In rlny of the followln!J Grells: 40, r1re protect lonl n n R 41, PoliCe protect lonl n n I'l' 42. !;chopl~l 0 n f;! 43, Perk' or o1he" ,."r,.,,"tlonol faclll1le~7 n rJ &l 44, Malntflnanc:e of puhllC'I'IClll11fl5, Including rands 7 n n '11\ 45. Other (Idvntlly f,Mvl('o)I n n ....r4. (XPlANAT ION: MITIGATIVE M[ASUNEISI, CXlJNTY CO+lfNTfSll , I , , , . 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I II r t I! ! f II I ! -, I ~~~.I,\~;;)~;;,... j ~ ri .1 (', -'} I i ~ ~.-' , /'-/ . A' , f . I,! ,~ '" " ~; 'F/~~.' ;' /. c i, t, , ,; tLII\1 it i_~~ Ie ."L L,' __ i ~~~)( I" t' 'j C:.. j i ,:' 1,,- Ii (, .J .J. -,., , " ... ...... ~ .... . @ McCULLOUGH'S 805 W. Stote St. P. O. Box 0 ABERDEEN. WASHINGTON 98520 Phone 532.3511 'JA:f'ff~rRon County Lect. of I'ublic '~or'~~:' COl1rthou~::e Fort Tov.:n:::..:cnd >':H. ?P,~)(,~~ CO;ltC~"'Ct I-:CC5(5 .rc~.i:ltlng' ;..emorj;;ll Fjt..:3.d ~., -" '" 1& .. ."0 .., ....... "'''' '''u'' ..,..."..." DATE CHARGES AND CREDITS BALANCE FORWARD ;.~:l~n(':lt I~(-,qt.i~::t ;iO. 1 (Fi n:.t1) '~vntr':('t '}'"{lL;d '/ . \' ;,] /"'. '~. 'l X /,';Cld.t ~,:.... !'l'aLl'.>~' McCULLOUGH'S '-,p;(wJ:.' I 1(,,, ,,/Z/Gif BALANCE (,P50. 00 5~)11 . ~ 0 '? I '.~ ~111. }O '-AT ,...., ''''''",..., '.. ,,,... 'PI"..... r- '.' 1<., ~ -~ . . :l '-' '~~~.~ -r .',","::,"::_r1'" McCULLOUGH'S 805 W. 5t;)le SI. P. O. Box D ABERDEEN, WASHINGTON 98520 Phone 532-3511 'Jefferson County Dept. of Public Works Courthouse Port Townsend WA. 98368 Contract R00565 Fainting Memorial Ficlrl DATE CHARGES AND CREDITS BALANCE ,;:,' ;<:- BALANCE FORWARD Payment Request No. 1 (Final) ,'.::;.- ";/ 7.8% Sales 'rax 6,850. 00 531,. 0 ,;;, :':;;, Contract Total >,_:. -:"J" ""'!.,,i'. ).;r,,'" Amount this request 7.38/,. 30 ',":-,r .-'" , '~"" -'i-,_,' ,- '-('.(~; ,:1': ",', .'_.': I,'.:;) -;, -';"':'-,':; 'j,",,'- . . DUPLlCA TE ((7p;(/j,j~J .If 011 ""V L.....l .....auNT 'N ll-<... cO..,J..... . , ~. ~t_ ',' , ~, ~ .r '". ..~ ,- .... - ~ '" .,. ,i, <,',.".'......,',".,.,. ,"" i'.;, i;...'...'; .."..,"<.t.., L..> '..'.', .,",.i,i .'.".',.',,;;, ..,'../.,/,..;;',...', ,,)' ;.,! ;'</.",:,..\/ ,.. ,. Xi > , <, .: ,.:; COUNTY . McCULLOUGH'S ~ OF JEFFERSON TO--e05-W:-S1:ate-S-tre.. 'P':O:-ilox 0 STATE OF WASHINGTON Aberdeen, WA 98320 Address Work done 10 October 2, 1984 ("unly Road Project ROD565 Dale October 8, 1984 Estimate No. 1st and final Unit Prices Quantity Total Previous Present ~, Paintin9 Grandstand 7,384130 7,3841 30 01 00 I l. Canopy L.S. 100% 7,38/ 30 " 2. ! -- --- 3. .. ---. 4. - 5. 6. 7, 8. . I 9. I 10. -.--t- 11. . ----- , 12. 13. . 14, ---- IS. ..- ----- -_.. -- - 16, - ------~-~._. ~--- 17, .. - 18. --- - -- I-. .- . .---- ......- - - 19. - -.".----.. __n"_'n..'.. -- ----- ----- n ._---~-- ,- --- " 20. , ,. -F Totals --~~ ---..------.------------- ----.- ---'-'-._-- '-- _.~-,----_._- -.---.-----. - :)'%.~ retnilled ns per contract 361 22 < i 7,0l!l 08 I \Varrant NO.m..____.____.___.._._ Totnl ^mLZ.~~.~ I hereby eertiCy on honor that the nbove estimate is based upon nctual measurements nnd that the some is true nnd correct. .------ - - - - - . - . - ~ - - - - -"'---.---.-- COllnty f':nlfinet!r I, the undersigned, having first been duly sworn, do he,'elly depose and say thnt the nbove bill is true and COl'n~ct : that the work wns actually performed nnd materinl Curnished os therein ehnrged; and that there is due me this date, according to contract, the sum oC $ J"QL~.~.Q~._. "00__' and that the same or nny part thereoC has not been paid, . ~' e.&?" aJU~ r'lcCull ough' s (SIgn H,'rel J;(. _' ,... ..'__...__ __Cor.. ,... .---.........-----. Subseribed.n sworn to beCore me this DntL__.(~a.E___, 19.J'~ i: day 0(_____,__, J~_.... Ordered Pnid .. "-'-.,,-.-- .-".-- -~-~~~---"'_._-----"'_._-- By --.- -.......- ....-.-~._~._._~"---_.__.._--- County Audllbr Cho:tlrmOln. nfJllrd tJ' Cuunly CnmmluJtJnt!rJ t' (SEAL) . I , . ....."'....,......"....',....,.',. ,:,'...,".<<'. ; ,. ,...,' " , . @II Slate of Washington Oepar1ment ot Revenue EXCISE TAX DIVISION Audit Procedures & Review Olympia. Washington 98504 Reg. No.... 14-1 .!!!ill 0.9..~...?~.3........ Certificate of Payment of State Excise Taxes by Public Worl,s Contractor Contractor: Me Cullough's 805 IV. State St. Aberdeen, IV A 98320 PWC 60396 We hereby certify that taxes, increases and penalties due or to become due from the above named contractor under Chapter 180, Laws of 1935, as amended, with respect to the following public works con tract: ...,.....,....P."-i,nti.ng.~.r.iI'O'ds.til.o.':!...c."-n,<:>py....fr"-m,<:' .,.J.eHc.r.,s.<:>n.C.Q~n.tY ..P.~.t>Jic..\Y.Q[!<s togcther with all other taxes, increases and penalties due from such contractor, have been paid in full or that they arc, in the Department's opinion, reacii!y collcctible without recourse to the statc's lien on the retained pcrcentage, This ccrtificate is issued pursu<lnt to thc provisions of Chapter 60.28 Rcvised Code of W<lshington for thc solc purposc of informing thc st<ltc, county or municipal officer charged with thc duty of disbursing or nuthol'izlI1g the payment of public funds to snid contractor that the Department of Re\'enue hereby releases the slat(~'s lien 011 the I'ctnincd percentage provided by this Chapter for cx- cisc taxes due frotn said contractor. This cCl'lificntc does 110t release said contrnctor from linbility for ndditional tax which m,:JY be Intcr dctermined to be due with respect to the abo\'e mentioned contract or othol' nctivitics. natC' at Olympia, Washington, OctobN 16, ,1984 STATE OF' WASIIINGTON ( "\, .~r.P^RT1\1I'~~T o,,~ Rf:VENUr. . /tJd"~':r- /;,7,. - /, - ?~lY?" BC'ckcr~ Cl'rliflllrt(lOf]it'I'T H()UTt~n Whit,.. ("nl1w!\, l)ldlllrl<.n~ OOk('r, C,lnllry <'''11;'0' ('nntrlH'lf)r, Pink ('oP,\' .FIlI', Gphh'nrnd COP;\'-,"S(U'did Flit. <-'9-, , "'<;::" 'i" ,,' <;<,:,\,,:~: , ';; :,,"~ , " ::":, "", \.:'-r:" . ,,--,' ,',.,' "";}.;, ,/,',::,,';'~':;i::;',/"',-, ;")1 i,';',:,:'.','.':,/,. ;, ::': ~'I ' . ,-i;H' :," "';:,',';:, "',',r>,:,:":: " ,<:;T' "A,~,,,,,. . . , " ..... '" ,',' .',.""",),,'. ,I' ... ' '. j t ' , " '.' : ;:' :, ! \. ':" k " I: . L..;.;.:,;' . ......,' :: .'.,.,.. . .::,...' , , > " .".. ..',., : ' .:' '.' :-: '..,. ..." ,..~, '..,',' .:. ..'.. '.' '., ...,'" '" ',' ,,", " . '. . " , ...,. '. ':'" ' '. ',' ' " " . . .' , ... ..' , '..',' '.' :.'" '. ' .'.. "'" . , '., '.,. ,', .',' ,. TO f ~,(. SUBJECT _MESSAGE ?t-1tJ ", r< f<) T ;.' ;':, :.. SIGNED ...6...:::<...<.......-.. REPSY '. .. /' , .., i i I,' tT "'- I! C(JS'~. c;- .. - .' " ... '".. '. ,", , '. ' " .. ."'.'....' :,.,.'.' , ,:. ,'" . " .:' , "...... .' . "'c' '. " ---: ,." . '. ':', " '. " , .' ,',>", . " ,." :.." " " ,,',,' , .' ...' . .' . ,.",... ," " ,.", .<. . ':, .. .,,'.' . ,':" ,;. ':. :" . ..' ,.,. 8 JEFFERSON COUNTY OEPARTMENT OF PUBLIC WORKS F A o M COURTHOUSE PORT TOWNSEND WASHINGTON 98368 PHONE. 385.3505 -'7~L{",.<-..".~-~ . /.7", ,",/r NI...'e,i:." ,t3:J/ ..,.> /1;':,. \.)J. - " .. - 1 .' : " , " .. I, :~; , , ..' ;. ..' I D~.!f /:r ./8.;L, ',. " ~ : -, ./ '.. ,. '::,., ';,-. :..,', /' /r_ - I DATE , ,: ,', ",..,: " :, , REMOVE PART 2 AND FORWARD PARTS' AND 3.ISIGNED. PART 3 WILL BE RETURNED WITH REPLY, I ......=---.--,. 0111 LIFT THIS SHEET TO REMOVE. FILE FOR FOLLOW-UP '/:', '... .'. , """.: '", ". "'. '.., ,:., ' , ;: " ,": ..'...' " : .,'.':' ", I'....,',.: , . :,,: :" ",.:".,'.,'.. .' , /.,'.. ';""':, ":, , . ,: :.'," .. ", , '" :,...' ,. ..', " ". ':",: , ':,', . . .,', . " '/:: . - '..,.. , .',.,..,.. .., :'" ". ,...'" '....' . .., . ,.',.,'.. ..'.: ,,:};~' ,:~'.i , . ~'..', ~. r "- -., ""~., - ." _. :~'l~ GUARA~T~S AND WAR""Nl.S ~ . The ConlOractor shall guarantee all work against pee.ling. flaking. blist,r~~ andd other defects for a one year perIod. All areos WhiClI,',',hilj,' failed withill,this time period shall be repaired with- out cq~ ~o the County . ;, PAYMENT" The p~ifent for paintillg the Memorial Field stadium grandstand canollt,' -.111 be made on a lump sum basis. The lump sum controct priCej5 1;1 be full compensation for all costs in connection with furnish 9 all materials, labor, tools. and equipment necessary for CaUl ~ti on of the work. 1 J :":1 ., <; [ ~... J 'l f'; ",'1, :,,~{ "t~~. :-, ~,l:, ",(; ',' j:j...: ,) >~'. .' 'l , ',f '1 .t: . t~ . ; , , ".~ ~I~ '~. ; :J " :g, l " .~~~ ~ j .. ,. ~ .. "J: ~: ' '. ':1 r{ " ,. . 'j '.I ) ;'J .j \, >,' 1 ~: t;) .' \~~ I ..:- . ).}, " I~~ ,",,' 'J I:~$ ~'i .~ J 6 I ~r. I \'. ..$' .1 " .~. I -', 'I ':t 'j. ,'I PIIONt DIALOGUE" ~ I (Name) U^,{::>~<<_(_t:;_ _ .__ Lr.-:'1 t.//2 1/': 1,,,,,d N,(h ___. JHld. A/:C. i/OL/p,{:'_ of .__;!L~_c..cr!~Y// ~'fr/n',,~ I call;::.{j )< PMty Cillled 1'1!1~;_' /~. ,-7i:... /.:1i~'/ D:III' .::...<!;;'-'_?l-'\_7.94'- Slltll.>r;t H.J"U-'I'VC. _0/2,"1/1.)~T"i-<1"'V'v/1=-::i al't...:'f~i.l(,,-r. INI'dl i ',;11\1 A'J-<: C,:' /...Lf,..., h__-::U",:"t'_ cC::VV ft-Ct <..1 ,45 ?_.Pt,J,<!,[ C.v6 ,,('E~, t//(I.:;> Lu/JiFS C,;C W'ldj.-Jlt'I',.I-;j O~/-t.7 )/~ C-0c.~L.{,/cl'7'-r:.'~ //15" /...7t.j)~.<'",...Jc C::'. ~ f<V-t<.-Jr)/.:!L' /Ir-t /"9-.:J-f/'- C/C~~,l/v;-/rr Cr' c(:'/I..) 7/.",/1.,- T~ ~/?,;. ::;,..1,/_1 /-/< ~ II) 1/ lC'/O',- 1<<,,-; I:> f~.'(11 /:./&'1<11/.1'--;'1'~r>: {-'61'" TlfE /,#?/~11^-,,'" .'j""",cc..:. /~/~,Jr.:.'1 - i'L} 6''-(;'-1 L.(.. c:r-." /1 ,~:"c..'.N..::,.' r- '-....(.)1.::. C',-(?ro~ ,......( II( c",J C....,..'- ......,...2 /::-...)L\'I...'-'C,-; ~'I"~ (""l,t ::'-"""-";'"'J! ,.J(r~ ;'- ~ '';. _/nt,"tt: ,.<1 Ct"L (,"1:::' - I I i I f r ! 1: I. F. I ~ ! f i I I \, ~. , I t , t" 1 . . .. I - II;>. . .. , r L. L L PHONE .()IALOGUE' ... 1 (I ~ ,1:111! i rf?12. T .li~,'d t.i: i, J/.~'1111cJ~/IDHJ /, __... cf-..____.JP-L...:....(",j(o'-.;II ;~''''''-V;lO'' )(.11,1::/'<\ !'.Hly II"'" /.' /">~J'''''\ ej,'/M ~;\d 'i' " t /J!CT7/CJ.e./~)L F/ti-t..p A:?~ej) ///,-;/ /CJ.tt ~;J71(S_ 0"; C"IVT4?.,;C,'5 ~. sc//CP?lU Vdl"l I '.1 '.1 H~:S St'"k'T co;)"../?~c/':l ;;(:) ~L}.......v'6 e~ -- '- ',-',!. t::. 8~ '::'~-"VI- 1~~~P7W ;/-;;.41 It tA.-~ .!4-~/L.(" C:::,.}L..I.. ;,-.'CX, ;}?l1A-l/JAI TO ::>6T (,/1' IL'(! C.vlV;:j/l.!.JJc.71?;;....... {~}..../~. 4L .!'_~/,,'1/17~.S ~JUIJ tv~('_L. ;'7"..-l/L...r ~- ~f)I/...r.' C".'1/C". ~-<(/~~I-' ..{I11<.)((1..'0 ~N't.J C'F" /ncw7,t/ .~.c.p'.'........~~ t t/", .' .-:,'"'( -- ::' ,. I - I ~, [ I f I ; \ I I ! r ! I l , I , ! ! I ! [ ! f ! .J .J, -' . " I .' '. . I _.- r- L l ~, IiIrIlI.. I .", I. ,_ "," "'.~,,",. r }.. ~ " N ~ B B ~ ~ ~ I -, .-, ~ 'V \) b ~ ~ Cl ~ 'll:' !:It \9 \9~ ~'" ~'l. "'J).. "- J''9. ~ .~ ~ ....:. ~ It) ~} "Vi ~ ~ III 011'\ ') ~ ~ ~ ,~ i-~ .~ ~~ ~ \}~ \) ';. ~ \J \I ' ~ ~ (j ~_il ~l:i ~g 'r'~ '-.j ~ 'II ~ 5' .~ ~ \i " ') ,..... ~ ~ ..:: " ~ '1""i, ~ I:: ~ '\t ~ fl <:l~-"': ... Q ")tec!:. 's"n~"w Ot~9b UO.6UI4"DM 'u....pJ.q... '0 MOll '0' d - "'D'5 ....M ~OO ONlJ.~VMl.NO~ .1.NIVd ONll.SV,aON'fc; ONldOOMd>.oJ31VM NOIiV~OHi3M ~NIO'lno S,H~nOl1n)~W . . .J. -'; - ." .L ~ -~ ~' on, r.' t..,. - - . - .... - ...:.. "I',' ;:,:','::':,C;,<" '-~, ,,> ; '-'~ . ':'-,>\'~. " i.-,: ~ ^:::^:':",,; ,';]":?,.;:';" 1 ::'_", ~,',') ;~._,:,,':--:,;;-:,: "::';:":~,\:::;: :: ~ ;'::::{'.: ty"., ,.'~ ,,:-', .,;':.',>":\,,,:;;:.-. !',:',:<,'" ',~" .' -;i',: ;',: .>:',~ " , ~., '. ' ",/ ~. w"~ .'''!-- - . - .... - ....... L L ~. !"\." . ~ , ,"_.I."r<1. ^'''NlJ':L.~ r ~ 1:;) \) b ~ ~~ ~ ~... ~ ~, ~ 1,9 l.ry:).. "- t~ <:::l. '., ~ 1 V) ).. ~ ..... ~ 1:.0 'tJ ~ 1 ::. V) ) ... ~ ~ ,.2 {...~ .~ ~~ ~ IJ~ ~~ ~~ ~ ~ 'l/ 'l\ ~ '~ ~ \l " ) ,...... ~ ~ ..::: " ;) 'J"i I ~ ~ ~ ~ ~~ <) ~ ~ ~} .:; , ~t QV) \) ~.~ \J \1.:: t]-J {it:; o 3 ~)t8Ct.'s"n:>>')w Ot;e6 uOI6UI~'OM 'UOOpJoqV '0 MOe 'O'd - OtOtS "OM ;09 QN1.L:>>VlL1.NO:J lNI'fd ';)NIJ.~\l"90N\f'S ~NI:tOOMdH'31VM NOI1\fHOlS::IM I"JNIO."no S,H9nOl,n)=>>w . . - . " ... ..... ~ 711c.c.uI/c;~#s - " , #t )fI.IP /~ C ~ __ fJuJ';f; , I} 'Bt:,e~I,j' - , ";/ /'/ " IlPff}ft?A c. "Co.,)S;- -~&7T<:'c ;I9/J 1'.4/"'7, /;?,-f '-:<S7c'7~'~s/ ...,""- - ',--- RooT ?/1/,uT c;,. - /lBr!":l2..~t!'~/;'"....;~. ,!3-&- ?,h.-.J r. c;". :5e-9TT'~ '-. h ' ; " ,..:'~ :;,("""'" .- ,JEFFERSON COUNTY OF:PARTMENT OF PUBLIC WORKS CUJjrlrH',IJ"',,-, f'!'HT ()\VN .;f ~,JU Vi /.... , ) ( ) ~ ~ i !: t f ..' t I l ! ! , ~ I I ~ i f ! , r ~ ~, 1 ! ! ! r I ! , r J r I ~ L l~ II1II. I ~, , r L. "" .. ::c C) ::) o - - ::) V u == 00 '" . '" 0'" "'~ 02 o. g' .i. C " Qj ~ . " . ~. ,., '." .'\.~,.,.,,"........ ;>: '- o /'";:; --' Q) U1 ? fd. ,c.j ~ - 00::: .-8 U ~;:; 0= -.J -\---c=i era ~ ~ cJ '5j +- (f) c ~ C c... '3 ~ ~ 10 -rz.: ~ dtt=-'- <.:;, v 't Q.j~0- c:; I / -, t I I ! ! ! I ~ ! I I I 1, ~ 1. ! I ! f ZJ , ::u t ~ :rI r ~ r I gut C.~-g ~ u 0~ "=' 0- ~ I",! T)-_~ :}; I ~ H ;; !J) I',. (I -::T)/--9 0 U -::S' 0 ! q__ \---:' ~ c.c t '-, . '--0 r -J ~ .-a ;;'2. S == '.T, i c.r:o CJ ;:[7' t.::; ! - -=-1~ I.l) I' e: ,'J: c: "6 <.- !' -t -<:) (,.., c.- , ~ (-L ' cD 0J r0 :;S) cr .J I --, .J -1' .... ~ ..... . . ii- . I1t'nutes, Week of July 23, 1984 Page 5: CONTRACT re; Maintenance oE Multi-Services Building; MustHrd Seed Building Ha~ntenance: Comn1tss~150:ts movec ana'-CommJ.ssJ.oner Brown seconded the motion to Hpprove and sign the contract for maintenance wo~k at the Multi-Services Building as presented by Mustard Seed Building Maintenance. (See also minutes of July 16, 1984). Unanimous The meeting 'vas recessed Tuesday afternoon and reconvened Friday morning. All members were present, BID OPENING re; Painting Stadium Grandstand Canopy: Chairman O'Meara adVised that only one bid was rece~ved. CommiSSioner Brown moved to delay the bid opening Co August 6, 1984 at 10:00 a,m, to allow time for additional contractors to look at and bid on the job, Commissions' Pitts ~econded the motion. Unanimous, The Public Works Department will notify the specification holder.s and the one bidder that the bid opening has been delayed. Since the one bid received was not opened, that bidder will be advised of the delay. An addendum to the specifications will be sent which will explain the time allowed for completion will be defined due to activities scheduled at the field. '.h~. Clallam County Commissioners re; Formation of an Economic Development District: A meeting to organize-th"-~mat~on ot an Economic Development D~strict (EDD) to cover Jefferson and Clallam Counties was held in the Commissioner's Chambers with the Board of Clal1am County Commissioners, Evan Jones, Donald Feeley and Lawrence Gaydeski; :~ike \H1son C1allam County Administrator; Bob Levin, Director of the C1allam County. Economic Development Council (EDC); Peter Badame, Director of the Jefferson Co~nty EDC and Rachel Nathanson of the Jefferson County Planning Department. Peter Badame reported that federal funding is available to an EDD that is not available to individual EDC's, A Clallam/Jefferson EDD would be elig- ible for a total of $35,000 in federal funding which would mean macching funds from the two Couties of $11,667.00, The matching funds could be split ib any manner that EDD felt was equitable and part of the funding match could be with "i.n kind" services, An EDD would develop a regional plan w~ich will ta~e the plHce of each County's individual plan,"Mike Wilson explained, Several joint projects that an EDD could look lnto would be: l) lIarbor imp>:'ovement:s, 21 A revolv- ing loan program for small businesses and 3) Provide more lnformR~ion on the retirement populal:ion of bOf:ll COull~ies. what their needs urc ~llld wll~t types of services would serve t~ose needs, After the Board of Clallam County Commissioners approved their motion to proceed with the formation of the joint Clallam/Jefferson Economic DevelopmeQt District and apply for federal funding, the Jefferson County Hoard of'Commissioner approved the same motion made by Co~nissioner' Pitts and seconded by Commissioner Rrown. l[ was agreed that the Executive Hoard of'the EDD will be composed of ':he Boards of Commissioner's of each County Hnd ':he t1ayors of Port Townsend Hnd Port Angeles, The Mayors of Sequlm and Forks will be invited to sit on the Board if they want to participate. An Advisory Board will be established which may include; The P"esiden':s of ehe local I~DC's, Represen- tatives from the followinM: l~e Port Districts, Education. Utilities, and Nar:.t.Y~ Ameri.c.1ns. QlIilcene Community Center re; I~stllbli.shment of IJ SIJvin!>:! Account: Comml 5S 1 oncrJ~r(JWii:iiOV(;d "i!i)(] '-.CommrssTorie-l?JY-rr:~t s seconded ":he riio"~i'oi,to approve K[I~Ollltl(Jn No ')J-ti/, l.'s':nbli.shing <"I s':lvi.ngs i1CCO\Jnt for the Qllilcenc Comlnuni.ty Ci...'nt:L~t". till,i'rl! !I!I")lIS. Saltd Wast~..'.e;. ~':S~.H~li~~l.ing a c;,c~ckjng aeCOU(l~_: He:,t)lurlon No. 52-84 was'~J(r--oll"'.l:le-illo'( ((ill -'(if COllliii-C~:;s-ror\crrrrO\,Jl1 ,-~d!COIH,k.d by CommISsIOner Pitts 1:0 "St"l>ll,sl1 " cilecking account for Sol id WasLe. . . Minutes, Week of July 16, 1984 Page 2: Currently all utilities are installed on Broadway Avenue, not Russell, Rachel Nathanson reported. Since there w~ no other comments for or against, Chairman O'Meara closed the hearing, Commissioner Pitts seconded Commissioner Brown's motion to approve the vacation of County Road right-of-way as requested by Janice Schauer, and recommended by the Planning Commission, Unanimous. HEARING Re; Intent to Vacate portion of the Woodman to Keymes Road (Lower Adelma Beach Road): The ~ntent to vacate a port~on ot the Lower Adelma Beach Road ~n Section 32 Township 1 ~Iest, which would in- clude approximately 2,800 feet of 60 foot right-of-way, was reviewed by Rachel Nathanson for the Board and nine interested area residents. Rachel noted that the Planning Commission recommended against the vacation due to the following three unresolved concerns: 1) three parcels of pro-, perty would be landlocked, 2) The water main running down this road and' , 3) fire protection'for homes along this right-of-way. Chairman O'Meara opened the public hearing and asked for public comment, for the proposal, The following six area residents spoke in favor. of vacating this right-of-way: Stig Osterberg, Thorne Edwards, Arnold Sather~ Nancy Rowe, H,S. Christian and J.D. Simcoe. No one appeared to speak against the intent to vacate, and Chairman O'Meara closed the hearinp,. Due to owning property in the area, Chairman O'Meara advised that he would not vote on this issue. In response to Chairman O'Meara's query regarding the landlocked parcels, Hilan Shelton, Public Works Director, advised that there is a private road connecting the upper and lower roads which is paved. Rachel Nathanson reported that there is no legal ease- ment on record granting any property owner access by that private road. In order to allow time to check into the concerns outlined by the Planning Commission and to resolve easement matters, Commissioner Brown moved to continue this hearing until August 20, 1984 at 11:00 a.m. Commissioner Pitts seconded the motion. Jess Covington re: Rock Crusher, Hadlock area: Jess Covington wl.'o owns property near the s~te ot Shold El(.Cavat~ng ~n Hadlock r.equested that the Board visit his property when Shold's rock crusher is being loaded and operated. Mr, Covington claims that thenoi.se generated by this newly installed rock crusher is so bad that it is hard to live near, It is his opinion that it would he hard for him to sell his property with this rock crusher located where it is, Commissioner Brown reminded ~lr, Covington that Shold Excavati.ng has been operating at that site for a long time, Mr. Covington agreed but advised that until recently Shold's operation consisted of a batch and scr.een- ing plant, not a rock crusher, The Board advised that they would make an effor~ to visit the site when the rock crusher is being loaded and operating, BUSINESS FROM COUNTY DEPARTMENTS~ PUblic Works re: Call for !lids re; Painting Stadium Grandstand fan~p~: i\I'fCr ('eviewtng the speciFi.cations lor I:FiTSTo) w t- Warren Steurer and Tim Black of the Par.ks & Recreation Department, Commissioner Pltts moved to approve the call for bi.ds for palnting the stadium grandstand canopy, The bi~will be opened on July 27, 1984 at 10:00 a,m, Commissioner Brown seconded the motion. Unanimous, Supplemental A!\n"'-'III..:I:!!:..._No. 6 r~; Queets IUver Ilridge:. commTSSTOner llrowl1 seconded ComiiiTSSi.oner Pitts ' motion to approve and sign Supplemental Agreement No, 6 on Project No. UaUS-201b(4) Queets River 8ridge Replacement (CRi' 4Hb) bet",,,,,,,,, J(!ff"rson County anel Alpha Engineers. Inc. for addition;iJ ",orl(. r L. ,''''~ ,~, r ~ . ,'I:l 'l" .".. ,. '" ~ Cc/'</.l'''> / Co-<U>'<//" "'- "'-/,.<>5 . J:?eE:ff7CJv4~ op ~;'~ Gz:::.4>S"" ?-"'Y..vt!C:t::..J- Ce..J;rT .:::vre>~c:./:) j5i'I.? ..P/r=,cc-ec"vT .::>I'/.4-be ~,lJ-Np iJ.!."1>7~ ';;:-c.~ ,,.'/.:0 '-,0 ...._& c;:'p{......-7L-1 p" C.qT/"'-5" #0 7///4'A/61<- / r.3C Uc,R.e ?U/7""-~ Th!: Y "'''-6..., ~-e- ,JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS Courthouso porn TOWNSEND WI\ 'lfJ:]fiB ;>Of:).:1W,- J~()5 - -- r:., (I' t: ~: ~;. i~ I i 1 i , i t I , i: I f ! 1 ! ! I l , I I 1 ~ ! ! i ! t f ~ f ~ ( I 1 j "- .... -......; ~ r I L L ~, r -, . . 11<1 Ii TC'-J2.1 ,~L." 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C';od<. 2/ /0:;- Kt::O ---- Courthouse Jefferson County Department of Public Works porn TOWNSEND WA 98368 ?C)f)-~~H5~3hO~1 , " -1;'; ..... ....01 ~ . . ~ PAYMENT FOR MATERIAL ON IlAND ---------------------------------- 19 PAYMENTS ______________________________________________________ 19 SOURCE OF MATERIALS ______________~____________________________ 20 SANITATION, WATER, ELECTRICAL --------------------------------- 20 SCALING OF PLANS ---------------------------------------------- 20 GUARANTEES AND WARRANTIES ------------------------------------- 20 SPECIAL PROVISION COSTS INCLUDED IN BASE EID AND/OR CONTRACT PRICE _______________________________________________ 20 WASTE SITE FOR EXCESS MATERIALS AND DEBRIS -------------------- 21 STANDARD SPECIFICATIONS --------------------------------------- 21 TRIMMING AND CLEANUP ------------------------------------------ 21 PAINTING ______________________________________________________ 21 FIELD DIME!:SIONS ---------------------------------------------- 26 AMENDMENTS TO TilE STANDARD SPECIFICATIONS SECTION 1-01, DEFINITIONS AND TERMS --------------------------- 27 SECTION 1-02, BID PROCEDURES AND CONDITIONS ------------------- 27 SECTION 1-04, SCOPE OF TilE WORK ------------------------------- 28 SECTION 1-05, CONTROL OF WORK --------------------------------- 32 SECTION 1-07, LEGAL RELATIONS AND RESPONSIBILITIES ------------ 32 SECTION 1-08, PROSECUTION AND PROGRESS ------------------------ 36 SECTION 1-09, MEASUREMENT AND PAYMENT ------------------------- 39 PROPOSAL (IlIFORHATIONAL ONLY) CONTRACT (INFORHATION ONLY) PREQUALIFICATION CONTRACT PLANS Port Angeles Divi5ion Office Exterior and Interior cuilding Painting State project - 1983 B ., ...~ - - - ." ..... ."., " .., ",."'....,"'~~ ,~ ;', ",::::,:!t;-}'; :/;:; ,".'-','.-'.:';, ',:,.:,.;".,.",'.;.',' "';::r;.?'i'C, . 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