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" :,' 'i.. , '."":>:; ,....C, :," ,,", " , .:".,:;, ,"'.' '. ': c. "', .' ,"', .:,,:...- "./, ,:",' '.':'. ' ,:, ':. '.."', ',' , ~El..EN ~' ~JNn "' ~r-If ~ 1 eTHIiL. ~ ~~ li' I~ ~ G.~. :1IiIf . iii" ~~ R05~~1 ~ I~E"N ~ ~~ ~ :vi ill'i. AOO.~ ~ ~ :-' '45 A.O. ............. ~ II. 'SMA' l Jt ~.., ,"2~ U. .. ~ 5, \Jg~ j.r~~ o .. ~ .". 1': ~LC tW- 4& Q.; t _, ~' r .. .-... .'" LO-:,. ig " 11, ~ G'- ~ ",0 ..1# ".~o- d y. . ~ .'IeR rr" 4" ~.. ."., l- ~~)- .. Z ::J o U -- I Ct ~ ~ f ~ .: cu ~' I: _. "'- ,,' :,1 ',".'; ';-,~:' , ::, ':.",;': ", , : ,:.'.", ::", " """",;",;" " " ," ' ',:, ' " ",:..,", ,: ~'.. " .,'. ""..,; ,: .,' '. ':,:;'. ",""",. ,,',: ." ,',' ,'.' ,': ,'" """ ,;,..;, ':'" ::,':':' ' ", ' ....... .;, "', " ',:'. ',.' .',,"", . :',': ,'. "" ,"'. ,,,,,.'," ':, ' " " ,,,,',' ",...,' ", ,', ',,' : " " , :. "" ,:. . . '.:, , ." ,.':' " " ;'.' ,'. ".':':;"..."" '" .. ", "," ':": ,," . , ","" I .,' , :,),,:,~';:<..':""" ,,' ',: .:' :.,'..,' ;, ,,,' ... ': , " "':' ,:::,,,.' '>',' " '!',.':" '..".':: " ".' ,',..:" ,":' , , ',' ,\ ': , '. '''.' ',I:: , , '..:." "" ",' " ' "':,, " ", ',,' .': 'i,". , : i ,,' ,:.'" , " " , .' ..' , ' ' . ': i:,:. .: i" ' , , ,.' ': :-', ' " ".' :.' ....,.' ':. . ,', .:: ,:, " . . ":, '..', , ':"",,; ",,' ."", "',", '.' ,,: ,: ,:" \. , ", ' ,:" ,.. " " "', " i"" l '. ". ,: , ' ~ E. Fire Protection L Fire lJepartment (Name and Address - Te1ephone)~\L~ Fire Department, P.O. Box 11;2, Quilcene, \'lash, 765-3333 Distance from site One half mile " 2. I<<iM Tank a. Location U.S. Forest Service - ~ mile east of site b. Volume of w"ter 70,000 gallons c. Elevation 3. Soil Stockpile a. Location at site b. Volume Unlimited Water Under Pressure None, a. Location b. Owner c. Volume of lIater d. Pressure e. Distance to l'i re Hydrant 4. 5. C01lUllents Fire Depart.ment has 4 tn~~ 1200 rml.. 500 gal. and 150 gal. capacity. -r~-i-t;.J..e On site Yes or No ,Off site Yes or No L 2. 3. 4. 5. Light Water Sewage Telephone Other (Explain) G. l-1ei{;hin8 and L Scales ~DescriPtion b. I.ocntion COA1'8G8 ,~ ,- " d. StJ..."r.Eau. it.fer.., surface conditions for proper information on soils, geology from deep cuts, borings, a. quarries, natura reps, or locatio ailed description analysis of the s is and gr ater may be determined s, backhoe pits,.strip mines, road or railroad cuts). Uescribe and findings.and locate on ~. ~ llm7~~G!ll:tu:llOOltlll2: 4; "S\l1:face ~later a. Flooding 'hazard frequency is ~ times in --==- years. b. Will there be a discharge of leachate to surface waters? Yes No >0< c. Will leachate collection and treatment facilities be constructed? Yes No xx- (1) If yes, have you applied for Waste Discharge Permit? drop-box station d. Size of watershed above ];:{"ll~:, -1l.- acres Yes -- No -- e. Rainfall - Inches ,(1) Annual value 51 ,(2) Peak 12 Hour value 2,0 (3) Peak 1 hour value 0.4 5. Prevailing Hinds. Furnish wind rose or the following predominate value: a. Winter Direction Sollth ' Intensity 0-5 mph & b. Spring Direction South Intensity 0-5 mph c. Summer Direction Southeast Intensity 0-5 mph & d. FlIll Direction Southeast Intensity~-5 mph 5 l. Estimated per capita daily waste JI.8 w~,~d~ quantities eSIIlfl8GL.J: 2. Maximum daily volume or weight 5 3 3. Average daily volume or weight 4.8 2.9 ~\; 4. Additional comments Using approximately 1200 lbs - 1 cu.yd comnacted D. Daily Number 1. Estimate number of transfer vehicles 1 2. ,Estimated number of municipal collection vehicles o 3. ,Estimated number of private collection vehicles Estimated commercial/industrial/special trucks Estimated residential pickup trucks/station wagons daily o 4, 1 5. No's 5 & 6 combined 6. Estimated residential cars 47 7. Additional comments PART IV SOIL AND GEOLOGICAL CHARACTERISTICS (All Sites) A. Location - Attach copy of USGS ,Topographical map to each copy of Application using 7~5 minute quadrangle map, if published. 1. Plot on topographical map the following On site or within one mile of outer perimeter of site: Checkoff a. b. c. d. e. f. IJ. ~ :i<.J< j<.x kQ< >1<. iii. Wells, water (within t mile of siteERg10~y~t. of Springs Swamps Streams Public Water Supplies Other Bodies of Water Uu<hmgr"'a:ndY=SUl:fa~llxHtllll!J ttmmjpSp'cd:lP<P..tllllC !.~tWm>:<<Ilna:~ ~1an:XP.(UlU ~llXP~n:dXDt"~~~UllXPijtH~1l Qlm:><.Im4Y.O~>Wll];tli' Oth'.n<X(<S~<<llte>,,)c xx None xxx None None xxx ~ D~xth<<Xrapagz<<phtttalY.SBl:l:lI1H ,8. Zoning None 1. ClassificaCion of Sice Area None U"'r,""~.fic-..;. 0"'7) EnforcemenC Agency Jefferson County Planning Dept.. Courthouse. Port 2. 3. RescricCions (If Any) None I,. Use of 'AdjacenC Properties IIi thin a Quarter Hile ...'1; (Check Appropriate Box) North East South Hest a. Residential b. Commercial c. Light Industrial 'd. ' 'Heavy Industrial . e'~" Agriculturai xxx xxx xxx xxx f. ' ~li.xed g. None PART III Solid Waste Characteristics A., Population Served 1.500 B. Source or Type: Description (If necessary) Present Volume Dail (Tons) 1. Garbage 2. Rubbish 0.5 2.4 2.9 3. Ashes 4. Bulky W:>stes be 5. Abandoned vehicles o 0 6. Construction and demolition wnstes o 0 7.' Industrial ,mstes o 0 8. lIaznrdous waste o 0 9. Scwar,e treatment reoidues o 0 10. Street refuse o 0 11. Litter Included in 10. 2 aboye 12. Agricultural waste o 0 "'=, ..... =~:;:l ~ a> ~ os .:! '" gj~" ..... :;'mcE ~ ..... ~ ~":I.. ;:..ell ... d'..o .~ '" ~]~ g ~ '" ~ ..., .S ~-= ~ I, ..c "3 ~ .- .2l [{jeos"O; co ~ ~o~- c::: I I c.. a cu I o -5 ~ s~>>= E--t I 61' s~..Qos en~1lgj ~ I--l I i ~o~e ::E I ~i I zl :"CJt~ I H, 01 o~",.Q ~ ~I :1 H' '" ~ B ~ p:; !:l' ~I ~ . .~ tnl ~i j..91l'a E-.. I:.L1 81 ~I ~I gj'" 1i ~ .s=g!..Cl rl. ~I ~! ~I ..0 ~ ~.~ B 0 = ~ 8 "'I ~i =1"'>> ell u, ,..,' Si Cl, ell- "I Sl Cl,~,.Q Cl, '" 0'1 0"1 os >>e '" ell ~ ..9Sos8 '" .... 1 .... os i .~ s~ S r.::l .~ ~ .... <:l ~ ClI i en'- ~ ,:Q M .s i ~ 'E ell ell ~ < ... .... ClI <:l ~..9 ell'~ ~ " ~ Co 0 ~ 10a ~ 't:l .- Cll...~ ClI 0 .... ""0 ] os 15 19'~ ct en u >< u ~ril ~ j z ~ i:l 0 ~ ell < Cll~ ...Cl ~ = ~ ~.: ~ - =0 = ell 8!:l 0 z . . . '. Date 'December , 1974 Page 1 of -L pages ENGINEERS ESTIMATE , Project Title: Quilcene County: Jefferson Prepared by: Glenn A. Description of ProJect: Drop 'Box station Ba~ley Construction of drop box station and appurtenances , Total Cost: 34,732..00 ithru 4 i::l5~0 BE DONE 'lTITY UNIT 1 2" 3 Gravel Base, Class B Ii Plain Cone. Culvert Pipe, '1211 Dia. 76 C.Y.' 5 Structure Excavation 102.5 6 -.... C.Y. Concrete Clas's B 3680' Lb. i Steel Reinf~rcing Bars 6220' C.Y. 8 Borrow Excavation ' IncI. Haul 62" Hour 9 Compactor Units C.Y. 10 Gravel Base, Class B C,Y. il Screened Gravel from Stocl. He Ton 12 MC 250 & 800 or approved substitute 800 L;F. 13 Chain Link Fence, Type No. 1 4. 50 1 Each 14 ~ouble 40' Wire Gate 450. 00 600 L.F. 15 Wire Fence, Type 2 75 1 L.S. 16 Pre-engineered Metal Building ( er s cs 5 30 .00 1 L.S.. 17 Electrical Service & Lighting, Heat 725 00 1 L.S. 18 Water Heater 125 00 ( ITEMS 1 thru 4 '8.na 15 TO BE DONE BY COUNTY FORCES) .. , :"""""""'" "'" ,.. .. ..,\:' ..... 'f'.:t,,!,I')~ r.hlll:!t: (It" F.n~in~p~'~ F."t1m~tn ..,. . I J.~I mITT -. !TY, 'mm i{O. , :I'r!':!,t PaICF: 1U,:OUfIT , i T: " 19 750 Gal. ~Ia te'r sto'rage Tank, SUPPlY Line & Pump 725 00 725 00 1 L.S. 20 750 Gal. Sentic Tank and Drain Field 51~ 00 ~7~ 00 1 L.S. 21 Permanent S i<miruz (Entrance Signs) 6~0 00 ;;~n on $34,732.00 . ....- -. . -. -, '..' ., ',' , " .. , " , .. , , .' . . . , ~- ., < , ". , .'" " : (. , . " - . " , ' ' " .. " , - - , .. I , , - ! .,. . . . . .. ,.", , , .... . ... Date Dec.' ~975, Rev. March ~975 Page 1 of -L pages ENGINEERS ESTIMATE , Project Title: Quilcene ''Drop Box County: .Jefferson Prepared by: Glenn"A Description of ProJect: Station, "P.ag]pv Construction of DronBox Station and Apl1urtenances . Total Cost: ',$ 16-,539.00' UNIT ~', " Acre '80' C.Y" 2 120 cS. 3 ClAss B 50 L.F. 4, Piairr Cone.' Culvert Pi 12'" Dia: 22 'C:Y" ,5 Concrete.~ . ClAss 'B' ,'. ,6 ' , ~ ...... 630 :Lb. Steei'Reinforcing Bars .. ' , 150 'C.Y. 7 Gr~velB';se, 'Clas~ B' 70 C.Y. "from St oo1<]>l1e 5 Ton a. roved substitute L.F. ,io Chain, Link Fence ," Type N'o: ..- 1 1 Each U ate ( L.F. 12 Wire Fence 1 L.S. 13 3100 C.Y; 14 T Borrow Excavation Incl. Haui 30 Lb. 15 Seed 4: 50 85. 00 40 252 00 2. 5'0 375 00 '5. 00 350 00 120 60' 600 00 6 50 , 450 00' $ 16,539 00 ...-- r r r -r' '""'Ill -, -, L -" L I -' .. , -'-.. r r r L I '""'Il -, ...., l' -' --J. I. , <<! ("1J 0- .,.. -:;'" :5 .'") G <::::r III Cll <il (:~ ...~... .. -, ,".:.... II> ;;::l ""') ill e ~ ~i' <>:> 0- ,,- z ;:) -') '1:? c,') 0- ....:- L786L- '('In! 1786~ 'Nflr , . - ',,; I;] I~, g, i!P ),; \'i :r,~ " ~' .Ii >> Ii; :* .{ " .' - " ,~; I, 4) j X li: ~,;~ 'l;~ ~~' :) '.<> .. ~ I.: ~, H \1. ~ '" .-," .' ~ i', " X ~\: ~,~, t i~ ~~ ~ " ';,; '.~ " " " I; ~d " ~ N I> I"; " I,' 1" Ii< ,~~ I:~ ~ ,. t ~ ~ ~ ~ VI ~ ~ ~ ~ ,...J ~ l4: ~ ~ f.l ~ q ~ o (J f;S ~ .... 5d/;.:t.L -1 ?/{..Kl ?&tnJ.?/;I 0:'" .... . a- ~J @in ::00 VI . 0- ":1- , 0- ro 00 0"- ..... ('of i\J - - - 0 - ~ /' g , v J - - .- - ...... - ~ ~ f{\ - <Xl ~ 0- ~ ~ '0 0 , N 0 Sr~ {./<:] L. 2/"c:;l,-,O -'I'V(?O? ,~7;Y"O/../ p5W<Y...~/tb' ~ a: ), , I' " I , 'I .. l:~' r~ I:' , '; /-.. V7 't Q.. 0- 2 .. ') ,- d D t.J ,- ll.. u.. ~ I.... .J) Q) t1 S -J U ~ ..... - )- < '5 0 \1 , J if q: {: .. :, . /"'1\' , ~ " .. 'JJ " " :' )(. 0: b1" Q.. ., 0 .....~ PART II - BUDGET APPLICANT'S NAME IPROJECT NO. Jefferson County Department of Public Works SECTION A - CALCULATION OF SOLID WASTE GRANT ITEM I ZE ALL ELI G I BLE CAPITAL COSTS TOTAL REQUESTED FROM ESTIMATED DATE OF ITEM UN IT COST PROJECT COST REF. 26 GRANT DELIVERY OR COMPLETION (1) (2) (3) (4) (5) (See ttached ite ized engineers estimate) Hadlock Drop Box 11,947.00 ,5,973.00 June 30, 1975 Station ," . Equipment for Had! ck 26,000.00 13,000.00 JUne 30, ~975 Drop Box Stati n Contingencies 10{. 1,194.00 597.00 June 30, 1975 of Item 1 , " Administration 7"!0 ot' 1 & 3 920.00 Not Eligible Percentages arrived at Engineering 51. ot' 1 & 1,971.00 Not Eligible through past County Road Project experience. Other Indirect Cos ts Not Eligible TOTALS $ 42,032.00 $ 19.570.00 . , 2 3 ECY 110-15-~. (~) .... Date March'1975 .... ". ': '" ;>: ENGINEERS ESTI~1ATE Page 1 of '-L pages , Project Title: Hadlock Drop' Box 'Station' County: Jefferson Prepared by: Glen". A. Bagley Description of ProJect: Construction of Drop Box Station and ' ' , Appurtenances '. . ~ ., . Total Cos~: $'1.l,947~00 (Items',i;'2,'3;. 4,'~ &.'9to"be , . -E.'1 UNIT .< 1m., doiie' by. County. For"es f... .,: ',' ,:'...: :ITEM" ISO'::' : i.>, Acre," ,:',:f,':', ",ci:~:ahnt. ~:i}~b1i:rng":' :,; :' ",:..-,;:'( :"';-. 70 C~Y. 5 " Ton 22' 'c.Y~ '630 Lb. '1 'L.S. 4900.. 'C~Y. " 50" 'Lb. ..' 'CoY. ,: /2 ':.." :; 'Gra.ve-l"'&rse'~:':Ci;,:~;,;'~ ...., 3: "S6ie~i1e;ci:'G~avei 'from Sto~iq,ile'!" ,/4:: .,'.. /.1(:::250' ~.t:iob';~r approvea subst'itUt:'; "',<6:' :-5 ", :cbb6i;et';';cl'a:ss:i .; .. '. ,'.. Street . Reiriforcl~ Bars ';'~'~~:' . ."'., '7;: "p';~~i>.etit S{:il~"" :E:Dtr~;;ce' &' Rate' Si' n ,:':' "D . :'.'8' "<::9')'" .... .... bLOSuRi:'~xPi~SES"{ ,.,". Iiorrbw'E,ica.ia.t:i:~h, 'rncl: He:ul: '.' '.",' .... Seed'" L . ,,:,,<::',:::". ..... . :".~',::":.'. ':? ;.;:'~ ...,' , ,{ .. ':, UN , PRICE :',i;~ob 60.' ~ 2 56' '5.00', '.l20. 0 ........ 'j, . ~ " 'AMOUNT- :". ::::~:450 , : ~". 6;325' 00 ':, '150 00'" $ 'U,,'947 00"'" of Site Area None (Information On1,y) 2. Enforcement Agency Jefferson County Planning Dent., Courthouse, Porl Townsend A. 3. Restrictions (If Any) II one 4. Use of Adjacent Properties Within a Quarter Mile (Check Appropriate Box) North East South West a. Residential :>0< b. Commercial c. -- Ligh t Industrial >DC d. Heavy Indus trial e. Agricultural >DC :>0< f. Mixed g. None PART III Solid Waste Characteristics Population Served 2,500 B. Source or Type: 1. Garbage 0.9 no's 5 5. through'13 not accepted.6. To be hauled to Port Townsend IAnd.fill. 7. Description (If necessa ) Present Volume Dai (Tons) 2. Rubbish 3.9 , 3. Ashes 4. Bulky Wastes Abandoned vehicles o Construction and demolition wastes o Industrial wastes o 8. "Hazardous waste o 9. Sewage treatment residues o 10. Street rcfuse o 11. Litter o 12. Agricultural waste 13. Hining wastes o 1.1 4.9 0 be 0 ,.- 0 0 0 0 0 0 0 1. Es tilllated per capita daily was te '3.B lbs quantities 2. Maximum daily volume or weight. 8.3 cu.yds 4.2 Tons 3. Average daily volume or weight 7.9 Tons 4. Additional .comments Using approx. 1200 Ibs = 1 cu.yd. compacted a D. Daily Custou:er Traffic .... Number 1. .. Estimate number of transfer vehicles 1 2. Est~ted number of municipal collection vehicles o 3. Estimated number of private collection vehicles o 4. 5. Estimated commercial/industrial/special trucks Estimated residential pickup trucks/station wagons daily No's 5 & 6 3 6. Estimated residentiai cars . 135 7. Additional comments ~\RT IV SOIL AND GEOLOGICAL CHARACTERISTICS (All Sites) A. Location - Attach copy of USGS Topographical 'map to each copy of Application using .7~5 minute quadrangle map', if published. 1. Plot on topographical. map the fOLlOWing On site or within one mile of .outer perimeter of site: Checkoff ~..._u . ""'a.-'-'Wells, water (within" 11- mileof'slte b. Springs " C.'-- Swamps ............_--~..._.:-.. d. Streams e. .... Public Water Supplies f. Other Bodies of Water g. ~,,<l--e4 Surface Mines Gravel Pits' '-h~l.Al"8 Sl'oll Pill!&- ~~ ~~t~.... ~~"l!8- 1. Gas And ail 11,,11.. ......-::.:-0 till' .. ( l'r 8C .J f Y ) :>0< xx none xx none xx xx none xx xx per Dept. of ... . Ecology) ~J..ba-c;I"""""'P<>lt".p"l"'l SottLAg. . d. Soos1:I.:rfaee iRCenaatisR (rdetalle::l infsflBatiEH. :1:3 niA:.r:le..a (:1 surface condil:ions for proper analysi5 of I:he si l~S information on soils, geologj and grou er may be determined from deep cuts,) borings, and ~, backhoe pits, strip mines,. quarries. natural ps, or road or railroad cuts). Describe location 4led description and findings and locate on c..-....ii'ei;-.'[-i8S. 1afermat'ie'A' detemit:\ed? 4. Surface'W"tei::"--"--"- -", a. Flooding 'hazar'd- frequency, is ...2.-=. times ill ~ years. b. Will there be a discharge of leachate to surface waters? Yes_ No -l!X.- c. Will leachate collection and treatment facilities be constructed? Yes_ No -l!X.- '(1) If yes, have you applied for Waste Discharge Permit? ~ N.. = d. drop box;siatioll Size of watershed above ~~ ~ acres e. Rainfall - Inches (1) Annual value " , 25 (2),,,_.Peak 12 Hour value 2.0 ,,__{~),...~eak J...hour,val,:,e 0.1 Prevailing Winds;; Furnish wind rose or the following predominate value: .~'.i::l":~~~.'.:i ", !."'):7....:.:-: .... ',::.;,:. .j.:..: '-.' 5. a.' :" JbbttJc% Direction :.;: r:'~l. , All.,Dlrections b. Spring Direction West & Southwest c. Summer Direction & XlI ,Directions d. Fall Direction East & " Southeast Winter ..' , . Intensity o to 3 MPH l1Jf; Intensity4 to 12 MPH 23'1> 13 to31:!.2 4 to 12 MPH 23% 13 to 31 2% Intensity o to 3 MPH 15% Intensity4 to12 MPH 23% 13 to 31 J$ ,4 to 12 MPH 13% 13 to 31 13% 5 E. Fire Prot'ection 1. Fire Department, (Name and Address - Telephone) Chimacum Fire Department, Chimacum, vTashinl'(ton 732-4533.. 2. Distance from site One Mile' Pond Non,: a. Location b. Volume of water c. Elevation Soil Stockpile a. Location At site b. Volume Unlimited 3. 4. Water Under Pressure ,None a. 'Location b. Owner c. Volume of Water d. Pres'sure e. Distance to Fire Hydrant 5. Comments FlreDepartment has 3 trucks, 1285 gal., 1000 gal., and 500 gal. ca~acity. ,~ On site ,Yes or No Off site Yes or No 1. Light 2. Water 3. Sewage 4. Telephone 5. Other (Explnin) G. Weighing and 1. Scales 2. Othe" (El'eeify) 3. TYF" j,. DBEsripti"R ~c T,..,("'.,.,tf.....~ n. Reeerds ~ysteQ (See C~ide ia IRstruetieRs) Yes PREPARED BY' Glenn A: Bagley Jerferson County Dept. of Courthouse ; Pl:>rl Townsend, Wasb. .. 98368 DATE 14arch 10, 1975 11 Ne .'j DE~AKTMENT OF ECULUGY APPLICATION FOR DISPOSAL SITE PEID1IT , PART I (All Shes) Name of 'Site Brinnon Drop Box Station Site I 2 3 4 5 6 7 8 r1410Illl,161 I Card Solid S ta te Form \~ as te 9 10 11 12 13 lI,umber I 1 I 6 I I I I County Serial (Toner of Record .Jefferson County Add,ess Jefferson County Dept. of Public Works Courthouse, Port Townsend, Wn. 9g368 Address Courthouse Port ,Townsend, Wash. ~368 Application Daee '= Day Honrl!, Y'tar Location 14 15 il./ SEC 17 16 17 18 19' 20, 1----0=0 E=O W=l TWP RANGE 25 N 2 IVWM Check Type of Site: , Sanitary L;mdfi"ll.. . Garbage Feeding Operation Transfer Seation ------Incinerator -------Rural Container System xx Drop Box System Compost Plant ~Reclamation Site -------Processing Site Nonconforming 200. 210 220 230 240 250 260 270 280 290 Site Acquisition Box 21: Q I S~lect li 2', 3,- or 4 from Below Presently owned 1 lUll purchase 2 ' Will lease 3 Will rent 4 Yes Is this an existing site? No PART II Governmental Approval Has a Pe~it Beea Approved by: A'. Municipal! ty Planning Commission Shorelines Management - County County Solid Waste Management Plan Meeta County Solid \~a.~te Standards Department of Game/Fisheries" Hydraulic Permit 23 24 25 26 I I I Community Code Yes l' No 0 27 @,Department of Ecology 28l.llil.J Covers Haste Discharge Permit I><:md:xlk<r.l:cntltc:etllxllia:nm(ng 291m- Meets Minimum Standards Flood Control Permit Shorelinea Managoment 30 lL.1 Hydrogeology Yes 1 No 0 31 LJJ Department oC Natural Resources Surface ~Iining 32UilLJ Fire Control Other (I.ocal Health Department Use Only) 43 44 45 46 47 48 Final Approval Date J I I I I r Day MOnth Year 1. Classification of Site Area None.--_____ (Information Only) 2.. Enforcement: Agency Je.fferson Countv Pl:1nn;ng nP.pt'r r.oUl:..tl1w.1~p~ PnT"t- 3. Restrictions (If Any) None 4. Use of Adjacent Properties Within a Quarter Hile< (Cneck Appropriate Box) North a. ,Residential .... D. Commercial c. Light, Industri.al d. Heavy Industrial' Agricultural' l. e. x>C: f.. Mixed East South West ........ XX I':"~ g. None PART III Solid Waste Characteristics A., population Served 500 B. Source or TYP<7: 1. Garbage 2. Rubbish ,3. Ashes 4. Bulky Wastes 5. "Abandoned vehicles 6. Construction and demolition wastes 7. Industrial wastcs 6. Hazardous waDte 9. Sewage trcatment residues 10. Strcet rcfu.qe 11. Littcr 12. Agricultural waDtc 13. , 0~3 , 0.9 0 0 Small 0' 0 0 0 0 0 0 0 0 0 0 0 Includcd in No 2 abovc 0 0 C. L Estimated per capita daily was te quantities 3.8 lbs Maximum daily volume or weight 1.9 1.1 Average daily volume or weight 1.7 1.0 Additional 'co~menta Using approy.. 1200 lbs - 1 cu. yd. compacted , 2., '3. 4. 1 ton - 1.7 cu. yd. D. Daily Customer Traffic l. Estimate number of transfer vehicles . 2. Estimated number of municipal collection vehicles 3. Estimated n~ber of private. collection vehicles I . '. . . .~. I 4. Estimated commercial/industrial/special tru\:ks' 5. Estimated residential pickup trucks/station' wagons daily 6. Estimated residential cars 7,' Additional comments PART IV SOIL AND GEOLOGI~\L GI~CTERISTICS (All Sites) A. Locatiotl - Attach copy of USGS 'Topographical \lk~p to each copy of Appli.cation using 7.5 minute quadrangle map~ if published. L Plot Otl topographical map the following on site or within one mile of outer perimeter of site: Checkoff n." Uells, water' (within I, mile of.:,site per D.O. E.) b. Spritlgs c..., 'SwalDJls '.' d. Streams e. Public Water S\~plies f. Other lIodies of Water g. ~~"lla~1< Surface Hines ~~H-e.... -i-.--,-k...,isaUaR C~ ,-j. In'ig:>l!-~ -J<...--Mine-~ftd-D~Mn"",", .-h-{l.._tl-Gi-l-We-H:<t- .-t."'--OIi'Hl'<'-~pe Q 1 fy) -4.--Da"Q.JOJ.b~~et-Mng-- xx xx Nonp xx Nonp X~ xx Nonp xx xx EI ~WHH:lrfaee j'flfgrr'''lt.:fQ:R (dct3ilea i.nfel'1::::l.at?Gn i'" tl99<l9cl ~ ~ surface conditions for proper anillysis of t.he sit ~ information on soils, geology and grou er may be determined from deep cutS;t borings,. and ~, backhoe pi ts, s trip mines, quarries, natural ps, or road or railroad cuts). Describe' locatio ~ ed description and findings and locate on . e. Hell ,,;,S iRferma't~gR 'd~~e_ineQ? 4.' Surface 'Water a. Flooding hazard frequency is _L time" in -==-- years. b. Will there be a discharge of leachate to surface waters? Yes_ No --1Ei c. Will leachate collection and treatment facilities be constructed? Yes No xx (1) If yes, have you applied for Waste Discharge Permit? . "' d. Size of watershed aboved'l'~NlH~lhted acres Yes No, --:;;;; e. Rainfall - Inches (1) An~ual value 65 (2) Peak 12 Hour value 2.5 (3) Peak 1 hour value 0.5 ,,5. Prevailing Hinds. Furnish wind rose or the following predominate value: a. Winter Di rection South Intensity 0 to 10 MPIl b. Spring Direction South Intensity 0 to 5 MPH c. Swarner Direction North IntenRity 0 to 5 NPII d. Fal.l Direction North Intensity 0 to 7 HPH E. Fire Protection 1. Fire Department (Name and Aduress - Telephonc)~nnon Fi~~ 2. Brinnon~ Wash. 796-4700 Distance from site 4 miles Pond None a. Loca ticr" b. Volume of w8ter c. Elevation . Soil Stockpile None 3. a. Locatio,} b. Volume 4. Water Under Pressure None a. Location b. Owner c~ Volume of I,ater d. Pressure ."'. e. Distance to Fire Hydrant 5. Comments Fire Department'has 3 trucks. 1500 Ral.. 1000 gal.. and 500 gal. capacities. F. PI1 On site Yes or No Off site Yes or No 1. Light 2. Water 3. Sewage I.. Telephone 5. Other (Explain) G. Weighing and L ~ " .., . .... , ~'. ,.. '. . ".' , -.'. .' .... " ". ".. .. '. .. .' '. '. , ' . . ".; '. .' '" . .. . . .. ; . . ..; -. . .:" . " ". . . . . , . .. . .. ,::-. ." . ..... "'. " . '" ' ..., ' . .. . '. .. '" ,'. . '. ,.... f'" , . .' " . ...., . c. 0... . .. .. :. ... " ';. '; .;. : . :"';"<:' '.:;":> .. . ; '-'< :,' ......: ': ....:;.... '.::....::.... ;". ;,.... . ".. 'o' ........ '.. :'. ':: o':: .. .:o'. ." :"..::.. :', '. ..,.m,....:..:......' . '...:..' :.,:- q " "1,'" ~ "',. 1,( -,':~ ~. .... ~ -- -. y . . )1' U4~h~ I~ l.O. LOPe:~M IJ. I 2. ~. ~\~N .,td r- ~\.AIl ~ .. ~tlfi" (j r 3. c:~...\. \ I J ~ to"h~~( .,~ ~~ 0'" ty.:..... ~. IJ;a;AL~'" ~ .,~! r !&ll~b:1 ~~t .'/'1; ! ~ . ,,/ . ~ Iff'v Ii. :: t~.." '''"L ~. ~ '... '. .':.'. ..... '(':i"i,>" .' ' . "'" '.' ..c...'. ':::"'.':, "::..' :: ........... ,:. .. . ,'. .,.... ,:'.' .' ".':: ..... . "1.. ',' '.:' ." .':. .. ..:.: . .:., ..... , '. ...:. ,: ":':', , ..:':. . ".,; . i' .. .". . .. '.. .:,:: . ..:. .....'; ........ ,: . '..: " ...':. . :...., .' ..".'. .,' ; .... . ':/ '.>. ; 'c. . .. ..' o':. .:.',. ',' . "'. . ." ,." .'. il:,: ..'. . ;:'. ~ ';",.':'.:' ..' '.,', ". . . '. ".'" . . ',' ..';."., "".. ." '.' ....', " ,'. . .' ::: .. .'.......: :: '..::'...: . .::...., 'J '. . . : " .: .. "" . ..; :'.' ::......... , .... . .' ',.'.;:: ......... "'" . ".."',.'..:'. :.,' . ';,' ,. :"'" ,....:...:.:,.. ',':' ' .... . .. . '. .:. .... . ';, ..' ':, ... ". .:: '. . i'. '. . . '.. "" , .. ... . . '. . .. " :"j.., -. '" . ::- .... \.. ,:: /:; . . '.. ' '.; ':.. ..... '" , 'v." ';," .... . . '. ......:..., ,',"":, ':.: /. ....:1 . '.' .....' :' , .~ O.~ ~~ rJ' .:;. ...1 ~ , . . ~~ ~. oJ ~ ))'10. ......~ l~OU.... .,~ JI '1 ~ i!'~ " .. D . '~.J;!' ?~~~~ ~ :J i:.J 'O.D.O t. ; " ~J .'.~ '\; ':, . ".'. ,: .., _u_--....... ., --, .J L ~:..--::~ t'.'J C... "';';:- ~~ ~:5 ...., or. Ci z -" =:; ....:1. m 0.. '<7" ~ CO 0' '<;;- ;~ f3 ".." '<i" CO ~:.: ,io G c:"yt:.'"".iF:S7r-~"--""-;" ~~ ~J CO 0- ..... i ~i Z ::J -') ''"J CO ~.:: -;:. :5 -, III ~'t (if c,:) CI 0'. ,,- II> ....)~ a ,,:.- <l :::') "'." .0 "".';; I/> ...",J 0 O. "co'" . ",:;:;J :::> tll --, (; "Cl I: . .... ;j~~ co ~ '" ~ ~ .. .... ..; -c;tf ~ &!'":>.. ~ >>OJ ~"..Q .~ ~ 0].... ~ ~ ~ 0 .., Q:; .S ~-5 .J!l ~ ~'3c;' ~s~ j:l I I .... ~ OJ . ::Il o ~-= ~ es E---i I s j s~i:;; :i ~ "Cl ~ 00. OJ OJ ~ I--t .8 -ae ::E I H' :~t~ ~I z ~ t en 1 ~ 0;"'= ::z:= 0:: 8/ ~ I z ~ -!;.~ ~ H ~-5al'a == j:J:.:J ~ j 1!"Cl ~ ~ ~I ~ I ~::Il [-5 O-t ~I ~! ~ ,Q c.... CZ).- :::5 '" Q ~ ~]iil>> 8 ~I 8! 8 ~ OJ- .... i ! ~~~S' co i ~.21 ~ I -=.21"'8 CIl ril ....c::l i .~ S~.3 ~ ~ oo.~ MI': .'!l i ,:Q ~.s ~ ~ i'2 OJOJE! < "'... I': ~ -5 '~ ~ 1J~ .. Q ~ ~ "Cl Co ~ "l:l....~ E "Co 0 ~ .. Q ~ 00 6~ ::s 8 l(j' ~ '^ ~ l! ~ ..s U Q III ~ as ~ .-= ~ oS j ~~ ~ ::s 41 Z cS~ 0 z . . . B. ,;';on.ing 2. Classification of Site Area' (Information only) .Enforcement Agency Jefferson County Planni~~~2YrthfL~~~~~nsend L 3. 'Restrictions (If Any) None , North 4. Use of Adjacent Properties IUthin a Quarter HUe (Check Appropriate Box) East a. 'Residential b. Commerci.al c. . Ligh t, Indus trial' . d. Heavy Industrial e. Ag,icultural, ' " f.. Mixed g. None ." . A., Population Served 500 PART III Solid Waste Characteristics B. Source or Type: Description If necessa ) 1. Garbage 2. Rubbish ,3. Ashes 4. BUlky Uastes 5. Abandoned vehicles 6. Construction and demolition wasteS 7. Industrial wastes 8. Hazardous waste 9. Scwage trcatment residues 10. Street refuse 11. Litter 12. Agricultural wastc Present Volume ail (Tons) ,(1.0) 0.2 0.8 o Small amount yet to be d t rm oed o o o o o South ,We~~ P,ojected Volume a~t~n Years) To~s (1.2) 0.3 0.9 o o o o o o o o Included in No. 2 above o C. Daily Waste Quantities Volume Wei 11.1;.., 1. Es tilllated per capita daily waste quantities 3.8 lbs 2. Naximum daily volume or weigh t 1.9 1.1 '3. Average daily volume or weight 1.7 1.0 4. Additional .comments Uslng approx. 1200 lbs 3. cu. yd. compacted 1, ton = 1. 7..cu. yd. D. Daily Customer Traffic 1. . Estimate number of t;a~f~r v~icles 2. Ese~ated number of municipal collection vehic~es 3. Estimat~d numb~r of privat~ ~ollection vehicles' .. ~ 4. Es eimated commercial/ indus trial/ sp ecial trucks 5. Estimated residential pickup trucks/stati~~ wagons daily Number ~~k' o o 1 No's 5 &'6.comb~ned 6. Eseimated residential cars 15 7. Additional comments PART IV SOIL AND GEOLOGICAL CIU\RACTERISTICS (All Sites) A. Location - Attach copy of USGS Topographical map to each copy of Applicotio~ using 7.5 minute ljuadrangle map', if published. . 1. Ploe on topographical map the following On site or within one mile of outer perimeter of site: .Checkoff 'a.'-" Wells, water"'- (within .i,;'m:l:3.e 'of site per D.O.E.) b. Springs .. c~--'" Swamps ................ d. Streams e. Public Water Supplies f.' Other Bodies of Water g. Un~~EQURUXaX Surface ~Unes .-~M!MIlfl-S~j,..J..i!.a- -h---I-i.'r-~afh'>1.a. .j IJ:rlBRtioR Poo1.lo-- -tn--l4in<>-llo<>-ll>-iN.d-4l-1. aha r 8" r.. !1>l;4l- -).....-Ga9-fln<l-e.~H<t- -m-.----(kfte.l'4st->-Hrl- x Noo"e None x x x x None x None' ---x--N0ii'C -r..--ne<terl"-tn-e-:r"OJ>":lr,,~h tc. 3. Ect-t-l'ft&-- d. Stlhsdrfaee inEe1c,.'al:!e.. (eletaile,j iHferlP.8ti(~ surface conditions for proper nnnlyoin of ctle si .~s . informat.ion on soils. geology and grou er may be determined from deep cuts, borings, and , backhoe pits, strip mines, quarries, natural ps, or road or railroad cuts). Uescribe locatio 1. ad description nnd findings and locate on ~l1Q.! u;8-it:lf9rm::l';i9~ d'9te~iRea7 4. ...Surfhc;;Waier..... a. Flooding' hazard frequency is ~u...:.. times in --==- years. b. Will ,there be a discharge of leachate to surface waters? Yes No~ c. Will leachate collection and treatment facilities be constructed? Yes No~ (1) If yes, have you applied for Waste Discharge Permit? y(.s No --;;-- d. Size of watershed above ~rtation 0 acres e. Rainfall - Inches (1) Annual value 120 (2) , Peak 12 Hour value 4 (3) ~eak 1 hour value 0.6 5., Prevailing Winds. Furnish wind rose or the following predominate value: ,,' I.V ".1". , a.' ~moct: Dlrection b. Spring Direction & c. Summer Direction d. Fnl1 Direction & Winter , ,",' Intensity o to 3 MPH 10% Intensity I, to 15 MPlI 52%;16 to 4~ MPIl Intensity All direc Cion. Southwest Sou III All Oi rcc t ions Northwest lIest Intensity 0 to 3 MPlI 21% , on-.;-nr.m1l% 4 to 15 }fi'1I 30% E. Fire Protection r...---Pu 1. Fire Vepartment (~a~e and Address - Te1ephone)___SL~Hasp;ng"nn Department of Natural Resources Forks Wash., ROO ~n?-fin'n 2. Distance from site Pond None a. Location" b. Volume of water c. Elevation Soil Stockpile None a. La cflt ion' b. Volume 11 miles 3. 4. Water Under Pressure None a. Location b. Owner c. Volume of Water " d. PrC3surc e. 'Distance to ~'ire Hydrant Comments 5. On site Yes or No Off site Yes or No 1. I.inh t 2. Water 3: Sewage 4. Telephone 5. Other (Explain) G. Weighing nnd 1. Scales " ,B. 'l,on1.ng None ~. C~assification of Site Area None (Informat~on Only) 2. Enforcement Agency Jefferson County Plannin~ Dept. Courthouse. Port Townsend 3. Restrictions (If Any)' None 4. Use of Adjacent Properties Within a Quarter 11110 (Check Appropriate Box) North East South West a. Residential b. Commercial c. Light: Industria~ d. Heavy Industrial, e. Agricultural f. Mixed g. None x x x x PART III Solid Waste Characteristics A. Population Served 500 B. Source or Type: '", Description Present Volume (If necessa ) Daily(Tons) 1. Garbage (l.O) 0.2 (1.2) 0.3 2. Rubbish 0.8 0.9 ,3. Ashes 0 0 4; Bulky Wastes Small "moun yet to be determir d 5. Abandoned vehicles 0 0 6. Construction and " demolition wastes 0 0 7. Industrial wastes 0 0 8. Hazardous was to 0 0 9. Sewage treatment residues 0 0 10. Street refuse 0 0 11. Litter 0 0 12. Agricultural wnstc 0 0 Volume Wei h.e... 1. Estimated per capita daily waste quantities 3.B lbs 2. Maximum daily volume or weigh t , '3. Average daily volume or weight 1.7 1.0 4. Additional ,comments Uslng approximately 1200 lbs 1 cu.yd. compacted, 1 ton =1.7 cu.yd. D. Daily Customer Traffic , Number 1. Estimate number of transfer vehicles . 1 once a week 2.'. Estimated number of municipal collection vehicles o 3. Estimated number of private collection vehicles o 4." Estimated commercial/industrial/special trucks 1 5. Estimated residential pickup trucks/station wagons daily NO'S 5 & 6 combined 6. 't5 Estimated residential cars 7. Additional comments PART IV SOIL AND GEOLOGICAL CHARACTERISTICS (All Sites) A. Location - Attach copy of USGS'Topographical map to each copy of Application using 7.5 minute quadranglemap~ if published. ..1. Plot on topographical map the following On site or within one mile of outer perimeter of site: Checkoff .......,.. a." Wells. water'" (within t'mne of 'site per D.O.E.) b. Springs ,_. c.'.'" Swamps "'.'---"'":" d. Streams ..., e. Pub1ic Water Supplies f. Other Bodies of Water g. ~ Surface Mines ~~-PH-es- -i. Irrigatlo~~ j Irr18atlo~ -k-r---Htne-Po&.lfJ-a~Itl"ge-PMM_ 1. Gas "rtd-eil '.ldb ~~er (Sreeify) x None None x x x x -4r--1)........4be-t~~-i-M-- surface conditions for proper information on soils, geology from deep cuts, borings, an quarries, natural ops, or locatio ailed description analysis of the si and grou er may be determined , backhoe pits, strip ttdnes, road or railroad cuts). Describe and findings and locate on e. He" "as'iafenaa'liien aelien.iaeEl1 4.' Surface'Hater'''''. a. Flooding 'hazard frequency is ~ tilllcs in ~ years. ,b. Will there be a discharge of leachate to surface waters? ,Yes No -;;- c. Will leachate collection and treatment facilities be cons tructed? Yes No -;x- (1) If yes, have you applied for Waste Discharge permt? Yes,- No- d. drop box 'station Size of ,watershed above ,J"'~11+~,hH: 10 acres e. Rainfall - Inches (1) Annual value (2), . ,Pea~ 12 Hour value (3) Peak l,hour,value 45 2;0 0.4 , 5. Prevailing-Winds. Furnish wind rose or the following predominate value: .' ~ :; a. Winter 'Direction S'outh Intensity 0-10 I~PH b. Spring Direction South Intensity 0-5 MPH c. Summer Direction Northwest Intensity 0-5 MPH d. Fall Direction Northwest Intensity 0-5 MPH Route or Street Name Location l-lidth lIei ht 5. Other Restrictions (Curves, Lines" etc. ~ Trees, Telephone Lines, Power Route or Street 'L Alternate Route Yes No DescriPtion C. Employee Facilities (WAC 248-62) None Checkoff l. Shelter 2. Drinking llater 3; Toilet Facilities 4. Lavatories ...., -- 5. Showers 6. Sewage Disposal 7. Screened 8. Heat 9. Ligh ts 10. Other (Explain) Not needed, unmanned facility D. Control Program (Briefly describ~ prozram ~ be specific if chemicals or pesticides are,to be used). 1. Rodent Control See 3elow' 5: Odor Control See Below Greenbelt wlll muffle lloise Control any sounda ,to the outside 2. Fly COntrol See :!elo.", 6. 3. Bird Control Sce I:elow 7. Other (Specify)-=-_ Travcled areaa to be oiled and 4. Duat ControlBreenbelt will help control~~~~_____________ 1, 2, 3 & 5 Airtight metal containers, with n caretaker and regular pickup ahould eliminate the neeesnitj' of controls. Any further controls will be sUpervised by tho O~vmple Health Dlstrict. E. Fire Protection 1. Fire Department (Name and Address - Telephone) C1uilcene Fire Department, P.O. Box 142, Quilcene - 765-3333 & the Dept. of Natural Resources Distance from site lB miles 2. Pond None a. Location b. Volume of water C. "Elevation 3. Soil Stockpile None a. Location b. Volume 4. Water Under Pressure None a. Location b. Owner c. Volume of Water - d. Pressure e. Distance to Fire Hydrant 5. Comments Fire Department has 4 trucks. 2000 ",,-1.. 1200 l!a1.. 500 Ra~. and 150 Ral. caDacities. On site Yes or No Off site Yes or No 1. Light 2. Water 3. Sewage 4. Telephone 5. Other (Explain) C. Weighing and Measuring 1. Scales . .. at any time during the term of this 1ease any part or a11 of the corporate shares or partnership interests of the Lessee shall be transferred by sale, assignment, or other disposition so as to result in a change in the present control of the lease by the person or persons now owning a majority of the corporate shares or change in the holding of the partnership interests, the transfer shall be deemed as requiring an assignment. In the event the leasehold interest is transfe~red by bequest, inheritance, or otherwise by operation of law the exercise of such rights of the Lessee shall be subject to the approval by the State which will be given in the event the State determines that the State's interest is adequately, protected. Further, in the event this lease or portions thereof is sublet, the sub-lease conditions shall include but not be limited to requiring the continuance of monthly and/or annual payments, in the amount necessary to insure payment of the annual lease payments required herein. All of the rights in favor of either party hereby created or reserved and a11 the covenants, obligations and restrictions set forth in this lease shall run with the lands and with each and every part or parcel thereof, and shall be binding upon all successors in interest of the Lessee and all suh-lessees and their successors in interest. 5.02 Condition of Premises and Liability. The premises have been inspected by the Lessee and are accepted in their present condition. Lessee will protect, save and hold harmless the State', its authorized agents and employees, from all claims, costs, damages or expenses of any nature whatsoever arising out of or in connection with the use of the leased premises. Further the Lessee will be responsible for the payment of any fines or penalties charged against the prem- ises as a result of his action in not comp1ying with laws or regulations affecting the premises. 5.03 Default. If the Lessee shall violate or defau1t any of the covenants and agreements herein contained, then the State may cancel this lease, provided that the Lessee has been notified of the violation or defau1t sixty (60) days prior to such cancellation and such violation or default has not been corrected in the specified period of time. In the event the State cancels this 1ease in accordance with the provisions of this section, all authorized improvements and buildings located thereon, shall become the property of the State as provided for by law. 5.04 State's Right to Cure Defaults. If the Lessee is in default by failure to perform any covenant(s) of this lease, as may be required by the terms of this lease, the State shall have the option to correct the default or cancel the lease after sixty (60) days' written notice to the Lessee. All of the State's expenditure to correct the default shall be reimbursed by the Lessee on demand with interest at the rate of eight percent (8%) per annum from the date of expenditure by the State. The written notice shall have no effect if the Lessee cures the default specified in the notice during the sixty (60) day period. Provided that, if the default is injurious to the publiC health or safety, the State shal1 have the right to im- mediately enter upon the site and cure said default and require reimbursement of the State's cxpenditure as provided above. 5.05 Liens. (~e Lessee shall not have the right to file or place any lien of any kind or character upon the land or improvements or the leasehold estate within the leasehold premises without the prior written consent of the State. (2) In the event liens or other charges are placed on the leasehold premises, including land or improvements, arising out of the Lessce's actions directly or in- directly, the Lessee shall immediately cause such liens or charges to be discharged. The State may forthwith cancel this lease if Lessee fails to discharge such liens or charges after sixty (60) days' notice to do so by the State. The Lessee shall pay and indemnify the State for all costs, damages or charges of whatsocver naturc, including attorneys' fees, necessary to discharge such liens or charges, whether such costs, damages or charges are incurred prior or subsequent to any cancellation of this lease. However, any cancellation of the lease would be delayed in the event an action was commenced within sixty (60) days of the notice provided for hercin dis- puting the validity of the lien or lieas, except as may be provided in any Security Agreement agreed to by the State. 5.06 Insolvency of Lessee. If the Lessee becomes insolvent, bankrupt, receiver appointed, or his interest is transferred by operation of law, the State may cancel this lease at its option. Insolvency as used herein will mean the inability of the Lessee t( . "t obligations under this lease as they come due. App. No. 61472 -3- 83 .~., 99 .., *. . 5.07 Lessee Termination. If the Lessee is not in default and wishes to terminate this lease, then by written request and with the written concurrence of the State, such action may take place. Such termination shall be without prejudice to either party. 5.08 Improvement Bond. Before commencement of construction of any improvement costing in excess of $2,500.00 on the leased site, Lessee agrees to provide security which will guarantee completion of the improvement, and payment in full of claims of all persons for work performed in or materials furnished for con- struction. Lessee may provide said security by either: (1) Posting a surety bond in an amount equal to the cost of each improvement, said bond to be deposited with the State and to remain in effect until the new improvements shall have been insured as provided in the lease and the entire cost of improvement shall have been paid in full free from all liens and claims of contractors, subcontractors, mechanics, laborers and material men. Said bond shall be conditioned upon the faithful performance of the provisions of the lease by Lessee, and give all claimants the right of action to recover upon said bond. (2) Any other method first approved in writing by the State. 5.09 Assessments. The Lessee shall pay the payments on all assessments that are legally required to be paid now or may be charged during the lease term to the State land or the improvements thereon. 5.10 Status of Sub-leases in Cessation of Lease. A cessation of this lease, by cancellation or otherwise, prior to the lease expiration date, shall not serve to cancel approved sub-leases, but upon written directive by the State, such cessation shall operate as an assignment to the State of any and all such sub-leases together with the unrestricted right of the State to receive all sub-lease payments provided for from the date of said assignment. Such assignment shall not operate to convey any rights to the sub-lessee beyond the end of the term of this lease. Such sub- leases shall be subject to the covenants of the master lease and in the case of any conflict, the provisions of the master lease will control. The continuation of such sub-leases creates no rights in the sub-lessee to improvements formerly owned by the Lessee. Further, such continuation creates no rights in the sub-lessee to release the leased premises after the termination date of this lease. SECTION 6 OPERATION OF SITE 6.01 Operational Uses and Responslbilites. In conjunction with the operation of the site, the follOWing uses shall be allowed: (1) Sub-leasing of buildings, building si tes and/or facilities to be built on the site as indicated in original or amended plan of development, providing such plans and sub-leases have been first approved in writing by the State; (2) Construction, improvements, operation, repair, etc., made or perfonned under the lease shall be at the sole cost of the Lessee or sub-lessees. The Lessee or his sub-lessee shall furnish all utilities and shall obtain all Federal, State and local permits, approvals and licenses necessary to perform the terms, conditions and covenants of this lease; (3) Easements which are necessary for the Lessee or sub-lessees full enjoy- ment of the leased site and the development thereof may be acquired from the State, provided such casements are applied for by and through the appropriate third party in accordance with State law and in accordance with terms, conditions, and specifications proposed by the State. SECTION 7 IMPROVEMENTS 7.01 Development Plan. Prior to any development or the construction of any and all improvements, the Lessee must submit a completed plan of development to the State for its written approval. The State's approval will be contingent upon acceptancc of the development plan by the applicablo planning and sanitation authorities. The develop- ment plan, as approved by the State, shall determine the ownermlip of authorized improvements during the term of the lease. 7.02 Unauthori~ed Improvements. All improvements not included in the original or amended plan of development as approved by the State, made on or to the site, with- out the written consent of the State shall immedIately become the property of the State or at the Stato's option may bc requirod to be removcd by thn Lessee at the Lcssee'o oole coat. App. No. 61472 -4- V" ,. 83 TOO ...:.... ~, '" .~ .. 7.03 Severance of Improvements not on State Land. If any of the Lessee's authorized improvements that are or have become the property of the State utilize, in addition to State land, other adjoining lands not owned by the State, the State shall have at the expiration>> te~ination, cancellation, surrender of the leasehold or at the end of the period for removal, if applicable, the right to enter upon adjoining land to physically sever at the ownership boundary, without liability for damage as a result thereof, the improvements; thereafter, to use the severed improvements remaining on State land for any purpose. 7.04 Ownership of Authorized Improvements. Unless modified as approved in writing by the State: (1) All authorized improvements on the premises at the expiration of the term or sooner termination of this lease shall then become State property free and clear of all claims to or against them by Lessee or third party, and Lessee shall defend and indemnify the State against all liability and loss arising from such claims or from the State's exercise of the rights conferred by this paragraph, except (2) The Lessee is entitled to remove all buildings and improvements owned by the Lessee on or before the termination of the lease which have been authorized for removal in writing by the State and which can be removed without injury to the land within sixty (60) days after the term of this lease. (3) The premises are to be left at the expiration of the lease in a safe and sanitary condition as approved in writing by the State. 7.05 Duty. The Lessee, at his sole cost and expense, shall at all times keep or cause all improvements, including landscaping, installed pursuant to this lease regardless of ownership to be kept in as good condition and repair as originally constructed or as thereafter put, except for reasonable wear and tear. The State, or any agency authorized by law shall have the right to inspect the premises and improvements thereon~ The Lessee shall carry or cause to be carried with a respon- sible company or companies satisfactory to the State, an amount of fire and casualty insurance sufficient to cover the replacement cost of any or all improve- ments located on the leased premises. A copy of such insurance policy or policies are to be endorsed and delivered to the State with provisions for the insurer to give State hereto thirty (30) days' notice of change, expiration and/or cancellation to the State. In the event of fire or casualty damage to any and all'improvements located on the lease premises, regardless of ownership, the State shall have the right to require the insurance proceeds to be used to: (1) Require immediate replacement or reconstruction of the improvements or suitable replacement thereof in a manner subject to reasonable approval, or (2) Require restoration of the area in a manner suitable to the State. Any insurance proceeds relating to State-owned improvements not utilized in restoration, reconstruction or replacement shall be paid to the State. Any insurance proceeds not so utilized in restoration or reconstruction or replace- mentof improvements constructed by the Lessee or sub-lessees and which are to remain as State property on the premises at the expiration of the term of this lease shall be apportioned between the parties at the time the insurance proceeds are to be paid as follows: To the State that portion of in8urable interest share based on a formula which assures total liquidation of the Lessee's or sub-lessee's insurable interest prior to or at the expiration of the lease. Such formula shall be specified by the State at the time of State approval of Lessee's develop- ment plan or construction of the improvement. The remaining portion of the insurablc interest share shall be returned to Lessee or sub-lessees except for those required to be paid pursuant to any loan security agreemcnt on third parties. The Lessee shall guarantee that all 9ub-lossces shall have provisions to either replace their own damaged improvements or to restore the area as defined above. 7.06 TIle site shall be fenced, as directed by the State, to assure containment of scattering debris. 7.07 Drainage Control. Drainage channels should be ins taIled around the periphery of the site to prevent ground water run off from entering the site. 7.08 Water Contamination. Necessary steps shall be taken to prevent any water run off from the site from contaminating the surrounding streams and ground water. 7.09 Compliance. Comply with all r~quirements of the solid waste division of th" DepartMent of Ecolngy. App. No. 61472 -5- \ equally by the Lessee and the State. The majority decision of this Appraisal RevIew Board shall, be binding on both parties. Notwiths tanding submission of the evaluation to the Review Board. the Lessee shall pay the rental amount as proposed by the State on the due dates as required if no decision by the Review' Board has been made. If additional payments or refunds are required as a result of this review, such monies shall be due and payable within thirty (30) days after such review decision. SECTION 4 RESERVATIONS 4.01 Compliance. TIle State shall have access to the site at all reasonable times for the purpose of securing compliance with the terms and conditions of this lease. 4.02 Access. TIle State reserves the right to grant easements and other land uses on the~to itself and others when the easement or other land uses will not unduly interfere wi th the use to which the Lessee is putting the site or inter- fere unduly with the plan of development for the site. No easement or other land uses shall be granted until damages to the leasehold shall firs t have been ascertained by the State and paid to the Lessee by the applicant for the easement or other land use. TIle Lessee's plan of development and placement of improvements must be such that access to the State's adjacent ownership, if any, will not be prohibi ted. 4.03 Public Hunting. All State lands leased for recreational purposes shall be open and available to the public for purposes of hunting and fishing unless closed to public entry because of: (1) Fire hazard; (2) It being necessary to close the area to avoid undue interference with the carrying forward of a departmental or agency program; (3) TIle Lessee having been given written approval by the Department of Natural Resources to lawfully post the area to prohibit hunting and fishing thereon in order to protect: (a) land cover, (b) improvements on the land, (c) the Lessee, (d) the general. pub lic. 4.04 Restrictions on Use. In connection with use of the site the Lessee shall: (1) Conform to all public authority and State and local laws concerning plan- ning, zoning and other requirements which may affect the leased site in the same manner as if the land was leased from a private owner. (2) TIle Lessee shall cut no State timber or remove State-owned valuable material without prior written consent of the State. Prior to th~ State granting authorization for the cutting of timber or removal of valuable material, the Lessee must pny to the State the fair market value of the timber or valuable material. as determined by the State. (3) Take all reasonable precautions to protect the land and improvements on the lensed sHe from fire. mal,e every reasonable effort to report and suppress such firas as may affect the leased site, and shall be subject to applicable fire 1m,s affecting the leased site. (4) Not allow debris or refuse to accumulate on the leased site. (5) Use the site only for the purposes as set forth in Section 2 _ 2.01 of this lease unless otherwise approved in writing by the State. (6) In thc exercise of the rights granted by this lease, agrees to abide by the Department's Rcsource Nnnagement Operating Specifications in effect at the time of execution of this lease. Subsequent changes in specifications proposed by the State, necessary to reasonably protect the cnvironment, will be mutually agreed upon. Costs for such subsequent changes will be borne by the Lessee. If the State and the Lessee fail to agree as to the changes in specifiCations necessary, II committee comprised of three individuals will be formed. Said committee to ba made up of one member nppointcd by the State. one member appointed by the Lessee. .1nd one member to be appointed by the two aforementioned members. The decision of the committee will be final and binding on all parties. SECTlON 5 REQUlRENENTS 5.0l ASSignment, Sub-lease and Corporate Control. TIlis lcase or any portion there- of or interest therain may not be .:tHai-gned. mortgngad, sublet or otherwise trans- ferrod without the prior wr1.tt:cn conSent of the Stata. With such consent the State reserves the right to change the terms and condItions of this lease os it may affect tho ntJsJgncL!. Purthcr. if the Lesaco shall bo n cl')rporlltion or partnership and if API'. No. 61472 -2- V~L R3 '~.r 88 \ at any time during the term of this lease any part or all of the corporate shares or partnership interests of the Lessee shall be transferred by sale" assignment, or other disposi tion so as to result in a change in the present control of the lease by the person or persons now owning a majority of the corporate shares or change in the holding of the partnership interes ts, the transfer shall be deemed as requiring on assignment. In the eVent the leasehold interest is transferred by bequest, inheritance, or otherwise by operation of 1m. the exercise of such rights of the Lessee shall be subject to the approval by the State which will be given in the event the State determines that the State's interest is adequately protected. Further, in the event this lease or portions thereof is sublet, the sub-lease conditions shall include but not be limited to requiring the continuance of monthly and/or annual payments, in the amount necessary to insure payment of the annual lease payments required herein. All of the rights in favor of either party hereby created or reserved and all the covenants, obligations and restrictions set forth in this lease shall run with the lands and with each and every part or parcel thereof, and shall be binding upon all successors in interest of the Lessee and all sub-lessees and their successors in interest. 5.02 Condition of Premises and Liabilitv. The premises have been inspected by the Lessee and are accepted in their present condition. Lessee will protect, save and hold harmless the State, its authorized agents and employees, from all claims, costs, damages or expenses of any nature whatsoever arising out of or in connection with the use of the Icased premises. Further ,the Lessee will be responsible for the payment of any fines or penalties charged against the prem- ises as a result of his action' in not complying with laws or regulations affecting the premises. 5.03 Default. If the Lessee shall violate or default any of the covenants and D.greem~rein contained, then the State may cancel this lease, provided that the Lessee has been notified of the violation or default sixty (60) days prior to such cancellation and such violation or default has not been corrected in the specified period of time. In the event the State cancels this lease in accordance l,;V'ith the provisions of this section, all authorized improvements and buildings located thereon, shall become the property of the State as provided for by law. 5.04 State's Right to Cure Defaults. If the Lessee is in default by failure to perforDl any covenant(s) of this lcase, as may be required by the terms of this lease, the State shall have the Option to correct the default or cancel the lease after sixty (60) days' written notice to the Lessee. All of the State's expenditure to correct the default shall be reimbursed by the Lessee on demand with interest at the rate of eight percent (8%) per annum from the date of expenditure by the State. "111e written notice shall have no effect if the Lessee cures the default specified in the notice during the sixty (60) day period. Provided that, if the default is injurious to the public health or safety, the State shall have the right to im- mediately enter upon the site and cure said default and require reimbursement of the State's expenditure as provided above. 5.05 Liens. (I)-1he Lessee shall not have the righ t to file or place any lien of any kind or character upon the land or improvements or the leasehold cstate within the leasehold premises without the prior written consent of the State. (2) In the eVent liens or other charges are placed on the leasehold premises, including land or improvements, arlsing out of the Lessee's actions directly or in- directly, the Lessee shall immcdiately cause such licns or charges to be discharged. '111e State Clay forthWith cancel this lease if Lessee fails to discharge such liens or chal'ges ufter sixty (60) dllYs' notice to do so by the State. The Lessce shall pay and 'indemnify the State for all cos ts, damages or charges of whatsoever nature, including 11 t torl1cys' fces, necessary to dischnrge such liens or charges. Whether such cos ts t damages or charges are incurred prior or subse,!uent to any cancellation of this lease. However, any cancellation of the lease would be delayed in the event an action was commenced Within sixty (60) days of thc notice providod for herein dis- puting the validity of the lien or liens, except as may be provided in any Security Agreement agreed to by the State. 5.06 Insolvencv of Lessee. If the l.essee becomes inSOlvent, bankrupt, receiver appolnted, Or his interest Is transferred by operation of law, the State may cancel this lease at Its option. Insolvency as used herein will mean the inability of the Lesace to meet ol)lJgfltions under cilia louse os they come due. !,pp. No. 61/.72 -3- VOL 83 ';'.: 99 . 7.03 Severance of Improvements not on State Land. If 'any of the Lessee's authoriz~d iOlprovements that are or have become the property of the State utilize, in addition to State land, other adjoining lands not owned by the State, the State shall have at the expiratj.on, termination, cancellation, surrender of the leasehold or at the end of the period for removal, if applicable, the right to enter upon adjoining land to physically sever at the ownership boundary, without liability for damage as a result thereof, the improvements; thereafter, to use the severed improvements remaining on State land for any purpose. 7.04 Olmership of Au thorized Improvements. Unless modified as approved in writing by the State: (1) All authorized improvements on the premises at the expiration of the term or sooner termination of this lease shall then become State property free and clear of all claims to or against them by Lessee or third party, and Lessee shall defend and indemnify the State against all liability and loss arising from such claims or from the State's exercise of the rights conferred by this paragraph, except (2) The Lessee is entitled to remove all buildings and improvements owned by the Lessee on or before the termination of the lease which have been authorized for removal in writing by the State and which can be removed without injury to the land within sixty (60) days after the term of this lease. (3) The premises are to be left at the expiration of the 'lease in a safe and sanitary condition as approved in writing by,the State. 7.05 Duty. The Lessee, at his sole cost and expense, shall at all times keep or cause all improvements, including landscaping, installed pursuant to this lease regardless of ownership to be kept in as good condition and repair as originally constructed or as thereafter put, except for reasonable wear and tear. The State, or any agency authorized by law shall have the right to inspect the premises and improvements thereon. The Lessee shall carry or cause to be carried with a respon- sible company or companies satisfactory to the State, an amount of fire and casualty insurance sufficient to cover the replacement cost of any or all improve- ments located on the leased premises. A copy of such insurance policy 'or policies are to be endorsed and delivered to the State.with proviSions for the insurer to give State hereto thirty (30) days' notice of change, expiration and/or cancellation to the State. In the event of fire or casualty damage to any and all improvements located on the lease premises, regardless of ownership, the State shall have the right to require the insurance proceeds to be used to: (1) Require immediate replacement or reconstruction of the improvements or suitable replacement thereof in a manner subject to reasonable approval, or (2) Require restoration of the area in a manner suitable to the State. Any insurance proceeds relating to State-owned improvements not utilized in res toration, reconstruction or replacement shall be paid to the State. Any insurance proceeds not so utilized in res toracian ar reconstruction or replace- ment of improveme.nts constructed by the Lessee or sub-lessees and which are to remain llS State property on the premises at the expiration of the term of this lease shall be apportioned between the parties at the ti.me the insurance proceeds are to be paid as follows: To the State that portion of insuruble interest share based on a formula which assures total liquidation of the Lessee's or sub-lessee's insurable interest prior to or lit the expiration of the leasc. Such formula shall be specified by the State at the time of State approval of Lessee's develop- ment plan or construction of the improvement. 'n", remaining portion of the insurable interest share shall be returned to Lessee or sub-lessees except for those required to be paid pursuant to any loan security agreement on thil'd parties. The Lessee shall guarantee that nIl sub-lessee" shall have provisions to either replace their own damaged improvements or to restore tho llrCa liS defined above. 7.06 11", .ire shall be fenced, as directed by the State, to assure containment of scattcring debris. 7.07 pralnnr,e Control. Drainage channels should be in'ntalled around the periphery of the nite to prevent ground water run off from entering the site. 7.08 l~ater ContllmfnntJon. Necessary steps shall be taken to prevent any water run off f..am the nHe from tontaminating the surrounding streams and ground water. 7.09 .9!!'!P...!.!!!!lE.!!.. Comply with nll re~lIircmcnta of the solid waste diviaion of the Depurtment o( !.::cology. ApI'. 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Q) =:I = == IlL- - - - ..:: .... j:: ..,:: 11.- a j i ~ .~ e. 51 .; ~ fl8 .S! ,,~., ~ ;~5 ;j" ;9H:?' E ~ < j ~ c o .= ~ a. o .2 E ~ ;j ~ .c 'l: o Z a 1 t~ ~ .!; 11~! 1l i~ ~ H =5 ~J ~ ~ o ~ ~~ ~;t J: .- .~ ';:;,. r J i: ~ t;i,!8 OlE l~~ .'. ~ rg~ o :.,:; "'u- J ~ 0 '"c :;;:g l i! o j:;; .- i~ ~ ~ ;g l~ ~:. ~." ~:i J .~ ~ e ~ .., x. = 0 o ~ 00 ! ~ ~ ~ .. 2 o l a. o c ~ d ~ o ~- ~:;! l:'i; ~; 10 ~~ ~ 2 o ." e 8- o 1 z c i a. o c o go :s ;jl o "0 e ~ u . 0_ ~~ i~ ~~ . ~~ : 2 ~~ ~ l~; l ~~~ o 01-'0 G i i~ ~ ~j~ -., - . ~Ul!~S /AJ A.<:5:',+ 6" (, J [ III /(, ~ / 5 r'i~ c:S- - ofi:- / 1/ /67 -oJ!.- e ,If? ~ oJ'- 2- ;; /6;0 - 0<:-- c:3 't. /7J _of{. . .:-- . .\-- f 'I m 17 Ih 27.5 1400 260 740 1900 50 O,ltc M:::IY ~, 1 Q7, .'. ENGINEERS ESTIf1ATE . Page of -L pages PI'oject Ti tle: Brinnon Drop Box Station Cl1\lllty: Jefferson Pn~pan~d by: Glenn A. Bagley Description orc-ProJect: Construction of Drop Box Station & Appurtenances Tota 1 Cos t: $27;335,00 UNIT Items 2 thru 5 and 12 to be done by County Forces ITEf.l 1 Acre 525 C.Y. 300 C.Y. 90 C.Y. C.Y. Lb. 1 ,L.S. Ton I.. F. 1 Each 1 L.S. C.Y. Lb. L.S. 13 14 TEM NO. 1 Site Acquisition 2 C1earin & Grubbin 3 Roadwa Excavation. Incl. Haul 4 Gravel Base, Class B 5 Screened Gravel from Stockpile 6 Concrete, Class B 7 Steel Reinforcing'Bars 8 9 Electrical Class F. Asphalt 10 Chain Link Fenc;' T e No. I 11 Double 40' Wire Gate 12 Permanent Signing Borrow Escavation, Inc1. Hnu1 Seedin -- N T PRICE 2,50 .00 1.800.00 Iloo il50 I 5 00 150 00 70 750 00 25 00 6 00 .625 00 350 00 2 00 2 00 $ '.-'~I.:., A:10UNT ' 525 750 450 , 4,12,5 980 750 6,500 4 440 625 350 3,800 <.~,," ~ ..:.....~ e' . 0,\ te--.Mav 3. 1976 Page of -!-- pilgcS ENGINEERS ESTIt11~TE Project Title: Coyle Drop Box Station County: Jefferson PI"cpal"cd by: Glenn A. Bagley Description of ProJect: Construction of Drop Box Station and Appurtenances Total Cost: $ 21,510.00 I terns 1 'thru 4 to be done by County Forces TEM UNIT UNIT NO. !TEN PRICE 0.6 Acre 1 Clearin & Grubbin 1,800.00 540 C.Y. 2 Roadway Ex.cava tion t lncl. Haul 1 00 320 C.Y. 3 Gravel Base, Class B 2 50 95 C.Y. 4 Screened Gravel from Stockpile .5 00 27.5 C.Y. 5 Concrete, Class B 150 00 1400 Lb. 6 Steel Reinforcing Bars 70 1 L.S. 7 Electrical 750 00 290 Ton 8 Class F Asphalt 25 00 7 710 I..F. 9 Chain Link Fence T e No. 1 6 00 2 Ene 1 L.S. 11 Permnnent Si nin ~-.....""'~ , :..~'J'C .' .. 0,\ te MIlY 3 1976 Page 1 of --:--!- pages EilGItlEERS ESTH1ATE Pl'oject Ti tl e: Brinnon & Coyle Drop Box Stations Cll;/Il ty: 'Jefferson rr.l~p;lrcd by: Glenn A. Bagle Description ot ProJect: Equipment for Brinnon & Coy e rop ox tat~ons Iota 1 Cos t: $86,500 :00 UNIT TEM tlO. 2 Each 1 !TEl-I Compactor Drop Box - Complete w/C6in~bp N T PRICE M.10UNT 11,500 00. 23,000. 2 Each 2 Compacto'(' Drop Box Only 8,000 00 16,000. Each I 3 43 boo GVW Til t Cab GMC Truck com le.te 39,OO~joo 39,000. with rails to pick up & haul boxes ~.'- . 1 Each 4 Hi h Pressure Hot Water Washer fo'r 2,500 00 2,500. Cleaning Drop Boxe.s .'. 1 Each 5 Axel Load Scale 6',000.00 6,000. $ {l6,500. I . i .~-.I ! I - , . . AGENCY RESPONSE FORM DATE: ~--11- 11 M.~ M 0 RAN D ,U M TO: State Clearinghouse Attention: Peter Shepherd Assistant Director for Policy and Planning Office of Community Development Office of the Governor Olympia, Washington 9850~. FROH: Name: Wi 11 iam Baxter Title: Env i ronmen ta 1 Forester _ Agency: Depa rtmen t of Natu'ra 1 Resources SUBJECT: Review of Summary Notification 0.11 01 02 03 NunC:I: ot: IHTf-:NT CLE^l\fNCliOl1.5f!: In, ON r1'NlllSG A,'rl.ll:.\TIOSS A"j'I.IC:M.; r 1'j(OJI~l:l' T111.1~ 11a" Brinnon Solid Waste Drop Box Station At'I't.ICAI'Ii"1' ACot;:t..,:'( J l.~.\ Jeffer::on County AI'n.ICAS r AllUiCt:.!'a.\ (SU~~'I) 1:l"U Courth9!.l:;e (,) L/ 0 (11 . CARD TYPE 9 We do not have an-interest in the above project ~ We have an interest in and support the project We have a question and are conferring witQ the applicant We ~ish to ~ke the fOllowing commen~s: (Attach additional sheets if necessary), orhCt ", '(>'<l','I,;,i,ty l:1,..n("f'Mt.' JUN - .1 197~ ',' . . AGJ:r-;CY IU.:~PO:-::.F. FOm,f DATE: ____J'lJ..n.lL.5..._1.'}]~___.. To': M RHO It ^ N DUM FROM: Sub.1 ect: !j'tt!. tC Clcnrinr.ho1tfic Attention: Communi.ty ^sn:f.~r:nncc nivi.::;f.nn Office o'f 'C:o"""unl,ty Deve10pmerlt Office nf the ~ovcTnor 01Y11'pin. \~nshir.r.ton 9R5r)4 ..Gs:NLPl:!;!;\!!!"U!!i_,_., _ _ ___.,____ ___.____.,--- Ti t1e: .nll.b~.Fj,.!'l!_.!}~9J9gj,1'!:__.__,_ ___ __ ___.~____~ Name: Agency: "'p_e.p.~rj:!!!!!p_t_9LHl'!t!H'j.!;!L_____ ________.._______ Revie>1 of ~ummnry :-loti fl."" tinn Applicnnt: _~~-=;~,!'_~:',~~:t.__ ______-'--________ l'ro.1ect: .!rinn~ ~:,_l~~ .,~~::=-=_~~<;L~<;'::~~~~.~~~__. 5tn.tc Clcttrinr,housc Nurnbnr.: 267404091 He do not h:::vc an interest In the nb'ovr nro.1cet -~~---' \~e h"ve :In interes't in .,ncl ~:;upport the p\"o:lcct ______w . We h:l)le " question :md nrc- confcrrin~ .,Uh th.. :;prHc:::nt ..___' We wish to tnnkc the followlnr. "omments: <Att""h :;,:c1it:lo"nl cheets if necessary). O",CI CF tg,o\MU..." c.(VfLOPlAt,,1 JUN - '11974 / " Page 4. . DETAIL 1. Container/Packer a. Internal Volume b. Length c. Width d. Height e. Overall Empty Weight f. Sides g. Paint 2. ~ SPECIFIED OR PREFERRED . 30 Yards Approximately 256 inch 96" Maximum B8" Maximum 8200 Pounds Shall taper for easy release of material ..~ One coat primer - 2 coats enamel. Color to be specified a. Door. At rear of container b. Hinlle At top of box c. Hinge Pins 2" diameter d. Closing Pin 1-1/4" diameter - quick .... ,release eye bolt e. Hydraulic Opening 3" Bore, 2" chrome rod Cylinders (2) easily removable f. Waterproof Seal 20" high 3. Container n. Construction b. Sides and top c. Floor d. Side a~d top reinforcement e. Floor reinforcement r. Im"wl,tlnn hnlM g. Capacity ~ h. Type Interior and all horizontal: outside bracing welded water- tight. 12 gauge steel .: 7 gauge steel 3" x 6" .x 12 gauge formed steel channel 24" c/c.' 3" x 1,.1 1bs./ft. channel Cross sills 18" c/c 2 - 1" diameter ho1oH with covers each aide of box 30 cubic yards Tapered box for easy unloading EXACT SPECIFICATIONS BIDDER TO STATE Page 5.. PETATI. I.. Subs tructure a. Substr~cture shall fit (name of local carrier) Tilt Frame Hoist or Con- tractor's off-on equip~ ment. b. Long Sills C':. RollcrH R" clin. 5. Packer a. Hopper Capacity b. Rated Volume Dis- placement c. Hopper Clear Opening d. Ram e. Ram Cylinder Frame . SPECIFIED OR PREFERRED . 7" x 9.8 1b/ft. channel Steel Rollers shall be provided under back end' of lonR sills to facilitate loading .9 cu. yd. 100 cu. yd/hr. Approximate 53" x 28" 1. Cylinders Four 3" Dia: Bore 1-1/2" Chrome Rod 2. Normal Force 42,400 1bs. 3. Max. Force 49,500 1bs. 4~ Normal Average Ram Pressure 17.7 1b9. . 5. Max. Average Ram Pressure 20.7 1bs. 6. Rem shell be constructed of 3" x 1-1/2" x 1/8 rectangular tubing 3/8" x 4" flat 7 gauge face plate 7. Frame constructed of 31' x 3" x 1/4 steel tube Ram Cylinder Frame constructed of 7" x 3" x 3/8" Rectangular Tubing l~ACT SPECIFICATIONS . BIDDER TO STATE Page 6 . DETAIL 6. Hopper a. Lid b. Latch .~: I" c. Safety_ Valve d: Directional Control and LOKic e. Safety .Contro1s in Logic f. Cycle time '", . SPECIFIED OR PREFERRED Hinged 12 gauge plate 1" x 14 gauge rectangular tubing Safety Latch to prevent lid being opened during operation Hydraulic Safety Valve linked . to lid to prevent operation \' with lid open Coin machine to energize logic control. Packer blade to move from forward rest position to user position and release lid. When user deposits refuse and closes lid, packer blade moves to forwa~d resting' position and shuts power off awaiting another' coin drop. 1. Packer blade must not operate when lid is open or when the lid handle is held in the open I?osition. 2~ All electric lines to the packer must not exceed 24 . volts. 3. Thermal couplings must be in- stalled to shut down system in case of overloads Or overruns. 4. Must be equipped with'n blade directional Gafety switch for servicing. ' 5. Must be equipped with n stop/ start switch without changing cycle for Gervicing. 6. Must use plug-in type rc1ays for servicinll. 32 seconds EXACT SPECIFICATIONS' BIDDER TO STATE \' ... / Page 7 . .' DETAIL ::~.\:: : ,', ....1'... 7. Power a. liotor' ," b. e. ReserVoir. d. St'!rter: e. Hydra':'iic E1ectri,c Line. f.. Storage.. . . SPECIFIED 'OR PREFERRED (: . 7-1/2 h.p.60 cycle, 3 phase 208 or 230 or 460 Volt Westing- ,house motor shall be coupled . ~ 11,ec t1y' to' pump. '5.6 gal/min. ' high 'pressure gear pump <:) . 10 gal. capacity with dip with 110 Volt heater Power Unit shall have a manual starter t~ operate electric motor Complete wet lines 'and shock proof e1ectrie lines reaching a packer on either side shall be furnished. '" An adequate and attractive locker made from 12 ga. steel shall house motor-pump, hydraulic tank and control logic. Locker to tip back easily by one service person., Locker and equipment to be mounted on a 3/8 plate, approximately 30" wide and long enough that both the power unit and coin machine be firm1y~attached. liust be equipped with hasp and lock, lifting eyes and hose wrap on R. H. side. 8. Coin-Operated Mechanism .', a. The'cabinet shall be of we~ther proof, heavy gauge welded 'steel with internal angle iron framing. Cabinet base shall be designed so thst it is mounted back from the curbin~ edRe to prevent collision damage. The coin slot shall be within essy resch and it, shall be protected from the weather. b. c. d. The cabinet SbA11 be finished with a white automotive enamel. f. The coin slot panel shall be illuminated by indirect, internal lighting. I..lllht bulb cnn be used for hestinll nnd drying. ,;. J.. Separately coded locks ohal1 be provided for Sccess to the oervice area and the coin receptacle area. e. g. .. The service door shall fit flush with the cabinet surface to prevent prying. MlIXlclUl. oecurity lock assembly utilizing tubular t:IIPe lock shall be used on cabinet DCC~SR door. Page 8 . . EXACT SPECIFICATIONS BIDDER TO STATE ~ SPECIFIED OR PREFERRED 8. f_oin-Operatcd Hechunism (c~ntinucd) h. '1'wo (2) larRe (npproximutely'200 cubic inches) self-:-locklng' coin boxes arc to'be supplied as sta'ndard equipment. i. Coin mechanism shall be A1800 series National Rejectors Unit (or equal) capable to receiving nickels. dimes, and quarters in any combination. Accumulator can be set to collect fees in five cent steps from 'five cents to one dollar and thirty-five cents. Gate shall operate with coin or employees' key. Must be capable of handling Canadian coins. j. Mounting bolt holes shall be located inside the cabinet base to prevent tampering or removal of the unit. k. Coin mechanism unit shall be as manufactured by Automatic Parking Devices, Inc., ox: equal. 1. Coin unit shall be installed integrally' with the transfer box to provide a completely operable coin-operated transfer box meeting the approval of the Engineer. The operation shall conform to the follOWing: l. 2. 3. 4. 5. 6. 7. Insert coins Hopper Blade moves to rear and release lid lock Raise lid and deposit refuse, Close lid and' relc:J.se handle '. By User By Control By User By User Automatic, Control Logic. Contro1'Logic. Lid lock. Hopper blade returns to forward rest position Shut down ; . . 9. Installation Shop Drawings: Before d~livery; the contractor shall prepare complete shop' , drnwings to show the arrangement, method of operation, ,required wiring, equipment bases, anchor bolt locations, etc. These drawings shall be ~pproved ~y the Engin<:er before fabrication. ' 1 . .~: ~, ).. .:. ~ 'f.::~ ~; " ";" :\:~n'. ':',~: ..... .' 0: . , ' . , , > .' , . , . ' . , ' , , , , , C' '; '; .' ,.. ",' ':':;', .' " ., , ." . ',,' " , , '" . ", "', :.' '.: " . .' :" "" , "', . " ' '. .', ;, ;" . ", ':'.' .., . . .' :"'i;'. .,., >, . . . ", '" , ,. " , '. : ,,',., . . " ", ' .',' . , ' . " ",". :'. :';, " .',. ,"', \, . , " .';',' ". ' " , ,. .... 'ill!!I! . , -.- .' r-~~ ~S:----@ J. ~ ~. ;:~ ,,' ~.- "'''C''''TT ",,"',", t' I 7~ T"',"Z ~I p, ,~I ~ -~ ' '....... oS' "So 1... ; -:'- -:; ~ ... C -~O~ , ~~O~ t J~i - - .J~l -. f ~,..- '.. ..t'~"1 .~~~ ~ MI T~l_ I '~ .. ~ .... I '" -~'.A ~ _ _ ~~~I - - -1t-, - ~'\ 1... )y r, 4~t , '~. '1-)0.; , I '. 1 . ~~ - ~ {o ~"~~~ f '. ~ 6. 4 I : ..".., ~ , . ,'. ::' .\ '.:, ..'..:','. . ", .: ..' ,,' "" :..:. (' '. " ". '. ..., ..... ". ., ..:'..,:: ':.. ".....,;. :::";::"" .;: '. .,'. ,... . ''',' " . '. " . .".- . '. ,,: ,:. ':"'''' .'......., ..;/,.',.,' .' ;:.... ",. .' .'...'.: ." 0'" " , , ... .: ,,' ',;! . '. ",.. '" " " : . ,: '0" : . '\:' :'.: . "': . '.,\ ...,.:. ,:;.,... .... ,'.: .."., ,...... :.....', ;':: .,' ./;::;:" . '.0" :" , " '" '. ' :. '.' ':",;',L'" "." " :.'" '. ;': /,. .0 ".' . ", ." ,'. . '" . ,. . , . " ,., .. ;'. . ..',: ,,' . . i:' ": .'\, "'.,.' '.; '. '..... " . . '. '.Y', ".:, ;,.:: I:...,',., "::. :'. ..', '. ".' . . .''",'i'' :. o. " ". . '" : .' '" : " . , '. " . .. ." .. .0',:. . . . ,:'0' " . . . 0 . '-' .,', ;.'., '. :" i:',: , ,',' / , ..,., '.' , ,<'. ;"'>',", I .... r.. ~ ---... ~ ~ , "~; ELECTRIC SERIES 1500 fflftJT! 1JJ1l1Jl!ll. featuring NEW MODULAR FLEXIBILITY One Basic Frame Many Different Systems "HOT BLITZ" makes the most difficult cleaning job easier than can be imag- ined, Unique modular design altows you to order the cleaning system designed to meet your own requirements at a price you can afford. interchangeable standard components in a single frame permit us to give you more cleaning power for the money, ,. 3SEO 3,S 2. 2' SOE15 GOE1' STYLE VOLUME-GPM 30E7 3,0 4,0 5,0 6,0 ----------- PRESSURE 700 800 1000 1500 1200 --.-----.- HORSE-POWER 1 V2 ------------- VOLTAGE " 110 110/220 220/440 220/440 220/440 -~._--_._----- PHASE Now you can specify components to heat 3 to 6 gpm of water to 150' rise, You can apply chemicals with Hot water at pressures from 700 to 1500 psi, THAT'S CLEANING I It's several times faster than steam or cold water, 1-3 150' 3 COil LENGTH ,. 140' 150' 180' 180' -----------.---- FUEL 3' (Spoclfy when ordorlng) KEROSENE (K) K K K K K NATURAL GAS IN) N N N N N LPG GAS (ll L L L l l ----.------ HOT BLITZ offers a complete cleaning system that means profitable business when It comes to saving labor costs , , , and, It's simple to operate, HOT BLITZ ,. ENERGY UNITS 126,000 168,000 240,000 450,000 432,000 ,. Style 30E1 'nctUdell 25 It, 3/e" 1.0. of prOUUlft hOle. II do.,. nOI 1'1_...." lhflrm:)ll", or Irlgoe, gun. Include' 50 II, 3/8" 1.0. pIC/nur" hOle, 'rigger gun wind control end thermo.t.t. 3' ~~O Vol! machlnilll IlYllllable in cat lired unit. Drily. Eline, NAlural INI Dr LPQ ILl. 011 burnbg unlll mUll bQ ordered ror ellhar 110 or 220 V power IUPP!lll.. Burner' are nOl field convertlblo with regard 10 vol,ago. .;I' All coil. 01 ",.., .chedule <10 IS/B" 1.0,1 Slee! pipe. 5' Hol Bl,lz ene,oy unit. _ VOlume X Ptll"ure X GO. All units of sturdy steel construction, Fuel storage tank, wheel kit and chem- ical storage space are standard equip- ment On all 1500 Series units, Gasollno DriVon PART II - BUOGET APPLICANT'S NAME PROJECT NO., Jefferson County Dept. 01' Public ,Iorks 267404093 SECTION A - CALCULATION OF SOLI D \lASTE GRArlT ITEMIZE ALL ELIGIBLE CAPITAL COSTS TOTAL REQUESTEO FROM ESTIMATED DATE OF ITEM liNIT COST PROJECT COST REF. 26 GRANT OELIVERY OR COMPLETION (1) (2) (3) (4) (5) 1. Port Townsend Sani ary Land:f'il 60,936.00 30,468.00 Oct. 1, 1975 2. Equipment for Land ill 76,050.00 38,025.00 April 1, ~975 3. Qui1cene Drop Box' tation ' ~6,539.00 8,269.00 July 1, 1975 11. " ~7,128.00 8,564.00 Aug. 1, 1975 Equipment for Dro 52,000.00 26,000.00 July 1, 1975 Contingencies - 1 9,460.00 4,730.00 Oct. 1, 1975 Items 1, 3 & 4 Administration 7i f 1,3,4 &6 Englneerln9 ~5~ of ~,3,4 & Other Indirect Costs 7,284.00 tlot Eligible 15,609.00 Not Eligible (percentages arrived at through past county road project experience) TOTALS ~~y 110-15-SO (2) Not Eligible 255,006.00 116,056.00 EXHIBIT A-l VOL 1 fACt' 242 Page 1 of 7 :" , " , Date December 1974 Page::' of ---L- pages : ENGINEERS ESTIMATE ,Project Title: Port Toi<nsend Sanitary Land:f'ill Site County: Jefferson Prepared by: Glenn A. Bag1ev Description of ProJect: Landfill Site ureuaration and construction of ' ' permanent facilities . Total Cost: $ 60:.935.50 (ITIDlS 1. thru' 7; '1.3, 16 & 1.7 to be done bv com.'TY FORCES) E.'1 UNIT NO. Acre ,..... l' .. 'C..1. ' 2'" C;"Y. - 3 C.Y." 4, " '.C,Y'. 5 '730 C.Y. ,6 ~;o, ' "C.Y. ,. T' 930 Ton 8 'L.F. 9 1 Each 10 1 Each 11 .300 Co, 12 L..F'. 13 . ~ 111 J..."'l. r..f, . Jr, ~, :') ., .' .', '-ITEM AW1~! j 7,20. .00 C1earing&,Gruhbing A:' Road~;;'Y 'Ex~~vatiori;' lric1:Ha~1 2,010 00 'A. Gravel Base, 'Class' B , . . 1,362 50 A. ": Screened Gravel from Stockpile B; , RoadwaY'Excavation, Incl. Haul , " B. Gravel Base, Class B"''''- 50 0 23,250 00 4. 50 5,3~: (m 250.1 00 250 08 350. 0 ~SO uti 4-, 50 25Q 00 75 1.5'90 00 ,00 5 ,SGC 00 B. Screeneq'Grave1 'from Stockpile A,& B ~ A~uha1t Cone. Pavement. Class F. , " or approved 'sub. Chain Link Fence,' Type ;10. '1 Double 20', Hire Gate - 'Doub1e 30' Wire Gate '?'~:'''_:'":''-:I! ~,:'~'~,,:" "~,", "" ," " Wire renee. r~pe 2 1."':" ;{ :"'0' F~1:-~."1.;':':" G:"':":':'"" ~1;,". r:':;~':,: H.... (;'~r 0;),,"=) ------- ~"::it.(1or ~~~'~!~~~:.:.!::.:l_, I ;"i5', 2:2...___.._~..?!. fiL. ~ I I :C.C:;) J':~l. ';;-'ct"r ,::oc;c,'e 2.;\~_~::.:!..2..._,_:~,Q.:..C).o_,_-1.~J:rq, PEl,. Bupply line EXHIBIT A-l ~ 'mlIT i,ro. :m:-.U 1U,:oum , r L.S'. "'17 '150 gal. Septic Ta~k and Drain Fie~d 475 1 L.S. 18 Permanent' S'igning : (Entrance Signs) '~':"--:=:-':.. * 60.~35 . ....... .' . '.... ';.,-:: " . .; . '1..' . .'.. :':. .' . '.' .'~" .. '" ;, " . ,...... "- '..--:" .. ;.~(..: : .... I . ==3' I - . .' ' / -- :_.:.__~_ .__.1 . J=JJ==I=:i ", ... . '-I J I I. , I I U--I---.'..--...... -.----..-,---....,. --,.. '-....--.,., .... I I .~ " " .' , L_l_L______,._ I I I I -~-'_.--'~.r-I-i~----I.- -~---r~- [r...--------.C=: lJ -_L_.: 1 fAGE 244 P<l<JC VOL "f 7 -EXHI!l'lT A-I Date Dec."1975, Rev. Me:rch~975 Page 1 of'~ pages . " '., ,... ..:: EI/GINEERS ESTIl1ATE , Project Title: Quilcene Drop Box Station, County:, .Tef'f'erson Prepared by: G1enn'A Description of ProJect: -< ':=- . Total 'Rag]pv Construction of' DroD Rs;>x Station, and .,' "AD<>llrtenance.!,' ~ ......... Cost: ",$ 16,539.00'" mlIT 1'. Acre '80'-'" C.Y; 120 C'~Y'., ,,' 50 'L.F. , 'C;'Y. L;B. 'C,Y." 70 C;Y. '5 Ton L.F'... 1 ., Each L.F. " 1 L'.S. 3100 c.y; 30 Lb. ".:1:::1': .- '2".' -, ':. :'. '<..'~" "-JTm 'ci~~~in ...,e;, -6'~b~'irl ;' ',:' ,,: " . "'~',:' ' : ,. '. '~ . a "" '3' ' Gravel, "BaS'e C1B:ss 'B L,: .';"':'4.':' 'PIairi:ccin(,., Cu~ve:i-t Pipe 1:2'" Dill.; ,: ::6 :'.',.,..7'. ':">8 "~;ib: ., ":11' ~.'.'5 .-.. ... c6ric~~te~.; ci.a:ss':i1:".:'"' 85. ,00 4i)' , 2. 5'0' "5.00, . .,.,'.~". 'ste'ei"Re1nfor'~i:~ :Bars .l;,....:::... . . ...." 'GravEii :Bi,se ~'i:lass B" ~ . ..: .'- '. . ~ '. . : Screened.' Gravel '.t'rcitn StocJ<pile . "." . '.. : ~" . .' '.. . . , MC"250 8; 800'';r a r';ved Sl.1b~titute . . .' . .';. .. ;'" '-.' ~ . . . ..',;' .". . ' Chain,tilik Fi;nce~" TyPe '!to; "i ,-, .' ..... , " 120 60' .. '6 50' '450 00' '~;'h~l~\o ;:;i;j\~~: '~'ate .!, 12' "13 Dm.1F Cli€>SuRE, EXPENSES:''' ' ' '15 Seed 14 ' ' Borrow Excavation Incl. Haui "I, . , $ 16,539 00 .... Date De e. "i974 - Rev. ~!arch' 1975 .: ENGINEERS ESTIMATE .... -. , Project Title: Clearwate': DrOD Box Station Co un ty: Jef'f'erson Prepared by: Glenn A.' Ba.p;ley ", Description of ProJect: Construction of' Drop Box Station ,. , and.Appurtenances . Total Cost: ..... Eli UNIT 110. 1', ,Acre '.",:.:::{. C.r. :,"2 '. 21 ttQur " 3' 290', C~Y. ;' 4,: 105 t.Y; '5 '. 5.5" : ';;6::' Ton 22 : 'c.Y. " " 7:: 630 Lb ,:',';'a 1 ; 'L;S. ::'.9, "i;iiMP ' '. 'C~Y; "10'"' 20 Lb. " 'h ,.t. $,'17,128.00" ":'::. : ',' ''',-:, '1m", 'ci~~~ih; 'id:,\i~birir': ,',', ,> ,,' ".. "'~ ,y' Bbrtow'l&da.vati~n;::'i:ncI: 'H~ul " , comb;,;~i~;"u~i~s" ,. . G~~.k';' Ba~i;: ,'Ciass'~ 'scr~eried d~a;'iU .'if-o;' "Stockph~ Me' 256 '~&. 800" ~~ '~pproved' '~~{;~t.i tut~ Con6;'ete :::'Cltisi/ ~ '.:' Ste~i .Re"iiiror"Cing.'i38:-rs ';"J .PeriDan~nt Sigbii1g:' (Entranc'~:Sign~ OSllRE '~XPENS~~: . ,':\'. :. .;~.. . :.. ~ -....,., , . B~rrci'; 'E;Ccalrat'i'On " ' Se\,d" , ., . I . ! Page 1 of -L- pages .-." :5. '00 ,130. 00- ., " : MOUllT; ;,:" '3 '000. " .' '125. 0'0' ,..,': '2' 750. .".715. 60, 650. ob, '2 00' 3 00 " '378 : "650 $ 17,i.2a. /d.f <ts Z7 ,152~:JS- Z""", A?t? '-'.'~ ". D,lte M"y " 1 q7~ ENGINEERS ESTlI1ATE Pa!Je of ~ pagcs P,"oject Ti tle: Brinnon, Drop Box Station County: 'Jefferson I'I'cparcd by: Glenn A. Bagley Dcscription of ProJect: Construction of Drop Box Station & Appurtenances .. 'Total Cost: $27;335.00- df;o?;",~.47' Items 2 thru 5 and 12 to be done by County Forces TEM NO. UNIT ITEf.! 1 (tJ"..4') {7l"""i-""'A;'~ <76:5', (r.;:.., S4;..~) ("?;'..~ .:r;:."i,j r-ave-1-B~ C17"_;" ~/~)..;(r;n;,d'.) el'e<>Hed-Gr-avel---ko ""',"", "",,), ('<-0, ~.J . IT.-S . (/...tI.~;'i"O '~,,;.:!/~/.:7?.-f.z Ele<>I>r'i-eac vr"". <-'irl.) uble-40' Wire ~ate ('kod""';~ ) ""~,,t Sit."I".. ('17;".."-?.._",,,,_~ 1':.,.,......1") -I>-(i!".I'?_f7 -1(, C-~) eavat:-ion,-4ne-1-.-1la ("A,''''r) <.'<ld4-ng UNiT PRICE ",t/~ ?O 7/7 Z so - - Si!l 7'777. ' S.7:;' 7,? n ,,/J .3// /d --"-35(1- 1 3/-: 1 / {f;'?'?1 -2.00 '$ ??4.4 ~- ", D.ltc Mav 3 1976 ENGINEERS ESTIMATE 'PI"oJect Title: Coyle Drop Box Station CllUII ty: Jefferson pl"(~p'arcCl by: Glenn Description of ProJect: Page 1 of -L...-.:. panes A. Bagley Construction of Drop Box Station and Appurtenances Total ~ost: ~-G-rOO' 4/.;>, ;c?<': -'.9, Items I 'thru 4 to be done b 'Count Forces TEM UN IT NO. ITEI'\ (I'~' .1'"/-",:,-) (7T~;' .5,1,,;.r) / .5'{.8 ('P;,,...s~..j . ~() c7/-';- .:;"1".,..'r.J.4?S<l!.I'J 27 (,<0., c.,,') /J;1"() I' ~I''''' <!?rl')' eel ReiRfer~aF ./9'01:.';: ("'",~"9 ./1''''lItll';') UNIT PRI CE MOUNT ///0 70 a-" ;!. ~d " 69 ..... IN' as '2Z'o 7(JJ;;~ /Z-Zd 1?37 :rg i?'> 'J J// /d COUNTY OF JEFFERSON TO Brumbaugh Construction STATE OF WASHINGTON Box 526:; lIoodsport, Washington 98548 Address P.O. ~(JY<G" Work done to January 31, 1977 County Road Project Concrete Slab - ~ Drop Box Station Dale February 1, 1977 Estimate No, 1 - Final : Unit Price. Quantity Total Previous Prucnt 1. Steel Reinforcing Bara Lb. ~6 1350 1,161 00 - -- 1,161 0 2, Concreto, C1aas A C.Y. 80 00 27 2,160 00 -- - 2,160 pO 3, : 4. 5, 6, 7. 8. 9. 10, 11. 12, 13. 14. 15. - 16. 17, 18, 19. "--- - - 20. Totals 3,3iZl 00 ~ StAte Sales Tax 169 37 - f--- ----,. 332 10 10% retained as per contract 3,158 27 Warrant No, Total Amt,$3,l58. 27 & $332,10 1 hereby eerlify on honor that the above estimate Is based upon actual measurements and that the some Is true and correct. ~ .. County Enllneer I, the undersigned, having first been duly sworn, do hereby depose and say that the above bill Is true and correct; that the work was actually performed and material furnished os therein charged; and that there ~o is due me this dllte, according to contract, the sum of $ :1 ~ 21 ') , and that the some or nny part thereof has not been paid. &~ C' ,j--' /7/' for_&..:..--=...,-C:" .--."",("" C""";"t-,_L/ (Sign Here) "'/' -y 1"~ ___# r "" v~'" Subscribed and sworn to before me this Date --c;.,-/i' ,;' . 194Z: day of ,19_. Ordered Paid ny _..__....____.. County Auditor Chairman, Board of County Commlulontlu (SEAL) . ,,~,.""'.., ~ ':...'., .,.. ,.'. COUNTY OF JEFFERSON TO /YN/~ -I ~"'g4 &_~.,....,.".. ~e';; STATE OF WASHINGTON ;&?d~ ao-t" .:>.;0<;' Address ~_,h/?rl__+- . h))ooo ~R..7~6' , Work done to l~""'i''''''"''''-:'''' 7/ r'777 GOttnty RUdJ PU.ljecr. r;;f,.. r'r":r'~ 57'_.4_ &;n~"'~ . ~'2 Z(vr ..:ryll'y,....., Date "c;;; -I", -,,., .....: /.r,?:>"') Estimate No, ,/ ,L:;;,;../ UnIt Prices Quantity TDtaJ Previous Present 1, , , "'-/~./ '" /.' %_, ~ /.&. ""',..". /J"-", - ///-/ &4 7' 2, &"'<",,r<t!"-r"'" c"/. .d .-, -""'" e 27 C'/...,;'o co - 2/""d --'/'.J 3. 4, 5, 6, 7, 8, 9, 10. 11, 12. 13. 14, 15, 16. 17. 18. 19. - 20. Z?7/.. 3:7."/ "'0 "Fet3Ir ..:r.,l~ //' -r:...<'-_ == ~'Z. :!.2.- 10% retained as per contract ~,' .,. /'" J/n:! .<'7 Warrant No, Total Amt.~~ .T.1.?,"C7 1 hereby certlCy on honor that the above estimate Is based upon actual measurements and that the same Is true nnd correct. County EnIJnC!C!l' I, the undersIgned, havIng first been duly sworn, do hereby depose and say that the above bill Is true and correct; that Ihe work was actually performed and materIal furnIshed as thereIn charged; and that there Is due me this date, according to contract, the sum oC $ , and that the same or any part thereoC has not been paid. (SIgn Here) Cor Subscribed and sworn to before mo this Datn ,19_ day oC ,19_. Ordered Paid By County Auditor ChaJrmAn, noord 01 County Comml.lloner. (SEAL) .. , :~:" COUNTY OF JEFFERSON TO g~~ -<"'~.7,4 C~n:drL";""*d;" STATE OF WASHINGTON ;q"". 8-x ,;r.,;> <f. Address /..?~d.'7'~-; /"J_ ~?.54d Work done to ",-?;'y".Apr .?~ ,...,,~ CgUotr Read Preject arl"rn'" .5%./- A"n~:",,~ .?7~ ..a'a<' ...:rm.........d-'7 Date 4~,/p~.A'...~ -::/~'76 Estimate No. /- ;&:;;;;;;/ Unit Prices Quantity Total PrevlOUI Present 1, , q"._./ ~/~ -,D' /.7, - .,r,.< '74- r~~", e>'<7o "" - '- ~~- , 2, ~ ._. .....7"...... C"~__ .4 (":y ~ <?<? -""7 ./6"/2 <70 - - /_r, dO 3, 4. 5. 6. 7, 8. 9. 10, 11. 12, 13. 14. 15, 16. 17. - - 18, -- 19. '-' 20. 7.:""....".,& - - I...- <~.....// """" 'i'&tab ..."., J_ - ~~ =-- -I- /28 <7~ -I---, 10% retained as per contract -I- "'.-, ./A - :...- ,.,,~ n/ lVarrant No, TotalAmt~~~ 1 hereby certify on honor thot the above esUmate is based upon actual measurements and that the same is tme 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; thntthe work was actually performed nnd material furnished os therein charged; ond that there Is due me this dote, according to contract, the sum of $___, and that the same or any part thereof has not been paid. (Sign lIere) for Subscribed and sworn to before mo this Date ,19_ day 0' ,19_. Ordered Paid - ny__,___ County Auditor ChaIrmAn, DOllrd or County Cnmmllllonor. (SEAL) '~,:;.> .~:' .~ .~ -_/ ......r COUNTY OF JEFFERSON TO BruDbau&b Conatruction Co, STATE OF WASHINGTON P,O.~1t 524 98548 Address B spon, Waold.ngtoD Work done to Oet:o'b.r 29, 1976 t'tIUlIlY Il:uod PI\.Jjtll.( Concrste Slab - Brill1>OZl Drop acnr:: D~C10D Date Hoveaber 1, 1976 Estimate No, 1 - Pinal. Unit Prices Quantity Total Previous Present 1, Sted-lIainforc1nll: liars Lb, 74 1350 1199 00 - - 999 110 2, Concrete Class A C,Y 56 00 27 1.512 00 - - :1512 110 3. 4, 5. 6, -- r- 7, 8. 9, 10. 11. 12, 13, 14, 15, 16. 17. 18. 19. - 20. Totala 2,511 00 -I- 2,511 00 ~otals State Bale. Tu: -I- 128 06 - - 10% retained as per contract -I- 251 10 - I- 2,387 96 Warrant No. Tolal Amt.-1..!,,!1l7. 96 1 hereby certify on honor that the above esUmate Is based upon actual measurements and that the same Is lrue nnd correct. ~(.;"-,,tt ~~ County EnA'lnCler I, the undersigned, having first been duly sworn, do hereby depose and say that the abovo bill Is true and correct; thatlhe work was actually performed and material furnished as therein charged; and thai there Is due me this date, according to contract, the sum of $ , and that the same or any part thereof has Ben paid. (Sign Here) ~ r~---~~'~~"""~r_~/AJ'~""'Y/ ~~~ e....r_ Subscribed /tnd sworn to ,re me this Date_ _ dL, 1~ ~da)' of /m/', 1& . Ordered Paid _ . '21L"a t'/ ;(~Lc-1:~,~~~r By.".___.._ Chtlrmlln. noard 01 County Commllllontfl (SEAL) . : .'. . ..... '. . '0':' , ,\.', .. ' >, '. . " , " :""'" " C' "" . "'. :' '.' ' ", . , . " :. ' , .','" , . " "" , .....:.'." .' , ,;...,.... ' " : 0 . . ' . ,,'''' ':',. , " ", ...... '."'...:.~' ..:'.' ...... ..:u'... .':>. ". . '... ".' ... ....... . .' '. '. ' . {., . ." , , . . " ..:' ,:.., ..... ..... .... ...: .: '..... .. ", ........ .... ...., ., "'..: .'. ". '.., ".:" ....' . '. .. . .:'. . .' .'. . . :.. " '. ...... '.' ...... ." ..... .....: ..... . .:. :. ". . ". ....:., :........ "" ',c. " ,.:, '.. ::.: ., .,'. : . '. ..'." :.. . . . . '. :' ....' >"'. , ", '..' . ...;-....,. ..:...... , . . '. ..... . .... '.: ',::" ".... .:: ':. "'.' . . Ii,' ..;", .... , :.. :....' '.':.' . . .:. . -c. .' .,' ':",' ... .' :: ...... .'. .' ....': .;. : ..,::::.....:..'. '.:;' '. . . '.; .,. ..'..... .:':.:" . .:,-. .: .' ". .. ;::". :'" '., . '.' .' ". - ... ..' :::;::G .... '..: '.. '. . . . .: ..;.. . ~.', ';1'"'''' ";"""," " ~ ." , '~ . .. .,~:..... .' ;I.~ L:.... . ',: '::'..i :: .... '. , .:: .' ~ii: ! ',. ft' ~ :. LIMITED WARRANTY Hydro SynemJ Co. W.!trams ~<l(:h nc:w producr manui.1crun..J by it 10 he'! free from defects In n>.1!en.1h, paru, .:IOU workrn.lnsllJp undl'r nf)trn.l/ U~ .1nd service, such obllgadon under r/u.~ .....In.\ur). bem~ lllnlled [0 rnOlklng good at tile f-Iydro Sptcorn'J faCIOf}" any pare 01 p;l.rh dll~n'of ",'hlCh Sh.l/1, WH!HII nmery (90) .lilYs atler "fupping d.He 10 till" orrgin.:!1 purdl.l~r. be returned to Hydro Sy"rem~ CO. \o.'HI1 tr;l.nJoporr.1tiun char.-:...~ prr:. p;lld .lnd wh,ch Hydro S}'~r"'m'" "'X,lmJn.1tIOll 111.1/1 di;s. do~e ro ir.) l..ltilf.U:'tioll (0 1l.1"r: been drf...rrlve; d,il W.jr. t.lllry hrmg eJrpteMly in l'r:u of .1/1 Or/l"'r W.1rr.10Ut"li, C"Xpt"'li~C"d Or impllC"d .lnd o( 01.11 othr:t tJbll~,lll<lIU or !t.ahllmeli on rh... p.iifl of Hydro S)'Henu; and Hydro SYlitrrn.lO n..uhf'r .1S_~IlIOC".lO nor .lUtllcnz"li any p"r~()n ro .1UUIil'" (or If ;lily odlcr li.1hdllY In conll('(llun I\lll, the ule 0/ III products. WIo..t 1'lIi. 1I'''~~''''f,,, /),,~. S", I"d~".. TIllS w.1rrOl.nty dO('li nOt CO"('r .lny 1000bor dUt..:,." (or r('pl.lcrn1t'nt o( pOl.flS, .1dJusrm..nlJ, rl"p,lin, or .lny atlit"r work Jon.. on Hydro S~'nt"nl'J pro,luns, 'nulI I\>,ur.1nry doe! nor apply [0 .1ny prodll(t ....hldl $/1.11/ h.w... ~"'''n t"'p.1;r,.d or .llrl:'r..d lllHMd.. o( J-lydro SY$[..,n's (.1elo'), or .ludJurl/rd .1,1:rIlQ' m oHl\' Way ~n .11. In 1 fydrn SYlfll"'m'li Jlld~IIJ"Il!, to .1(["'1 Hs If.1hdll\' IlOt ...llIth lu, h...rn sllhJen In II1UIl....... n..~1t~...llrr, .let'I,I..nl, UlIPtoprr '"U.lIIOl!lf)n, IIIlPt",,,"r "prr.lrlt'n, 110r rl... (rrr ro:'pl.1r.. mr,,! o( p.1rlllllt'pl"r.If".. l"ll"'rJlJlI'" nf "'I'M ('(""Hu'nl'd hI :,. .- i..... '. "'..' ',' ,: . '. ;' ..., ...... .. :. ". .': ,. . ::" .:: " .. .... .,. . -" . '.. ". r'" ',::. "'. i' ': .: f..\ '\'.'.' ... ..' . -. ...,': :'. .". ,'.......: .,: -.,"i,',::. . :..... '.' .. .".'. ." . ....... . '.' , . ". ..... '. '.' '. ": .', . "::,' :.'. . .' . ','. . .' ..: ."': . ....:: , ." ",..... '. .' . . i..;' '.: ., .'1 . , HYDJ.lO SYSTEMS CO,'.1PANY CrNClNNATI, OHJO "~n7 , : '.. .-' . .: ':.".' ":;, :i.' ':'. :C. '. . . ..... ;" ....,..: '" .: ':.... :::'.:: . '..., .... .' . ':" :.. "'. '. : ~". ':'. ", . ........,.;.. (~t>;'1 /.i-~"/ V ., /Jl9'.sre COUNTY OF JEFFERSON TO k/..,....;-/"" "'-;:"_r'-_ _ ~ ,.;.~--,-:...y/,.h:._/ STATE OF WASHINGTON /7~ 4~..,.. ,...;,..,,,,,..:;//- Address ?7~'7 ,-;;';; ~,}~... ?,~'/5'4 , Work done to ;'~,"",'7'-'" ,4"",- 7d 797,.,- Cowlly-Road-Project ~ n..........'7"",.._ ""',,''''r'..r... /;;~." ,-~ &rrl.::f Date f""7~ ~,.-rAPr / /""1"7''';- Estimate No. Z. - ,c;~~1 Unit Prices Quantity Total Previous prcacnt 1. /~- k......... ..0_.,.."(.-",,,.. ~J ~...;'._..._J - //,.,.--.//...."'/ L"";:J. /.-4 .,~/ "" , At -"7/ 4"'-, -I- /~ A"7/ .d.-'l 2, 7?~/.._ 0......./"'",..;._ -#,d'/..,/. 7t!:J.r/:? / ?.:/4':' ,,'" ~;4" ,,- - 1"'.-/ ,1:;;, c~, 3. rt_../<",,,,,,,,, Po../," ,,,' "-,:.;.:.,,.,~ - .:;'; ./-,-- "'. .,....7/ 00 / h~/ dd /" -;-7/ dO "- c,., 4. R""./,;. ~_.,..,,_~'__ d..../. ~,..,./--;..-....~ ""'''';! , "7(1"'1' N7 "7,d4~ "d r..., 7;'4? 5. ~_ 4''1''~ P....-/...,........ ,'?~,,::" . J ~ P4-"...."...''7":''''.....___ /:,;. /e' ~'nl ...,.,../ / /.::1 -f77/ ..,.., hI -l'? / ,,0'" 6. #",....6..... r?..-.....,....;..._". c.../. - ';?/'/.7,rnl,... "'" "-,0 70...." d 7~4''2' r:-,;;, I--- """7d4./ AO 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. Il!,: ?:?'N/.,. ..E..ez2. I_~ 74 /.? - ;1"" "'74- d,-) ----- .20: f?_ ~4_ no..- '4 'I " ~. r'?h~.,. ,.l:f.....,._.'.,~..",~/ ,('].. "-",:/",....:. / ~z.. 112....- 10% retained as per contract -? .. <?(J .M'd/.- $<.., Warrant No, Total AmI. 1 hereby cerlify on honor that the above estimate is based upon actual measurements and that the same is tme and correct. County En,lneer I, the undersigned, having first been duly sworn, do hereby depose and say that the above blll 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 $___. and that the same or any part thereof has not been paid. (Sign lIero) for Subscribed and sworn to before 1'00 thIs Date ,19_ day of ,19_. Ordered PaId Dy___.. County Audllor Chairman, noard 01 Count)' Commluloncn (SEAL) 1l. TO: ' Board of' Je.ff'erson County- Col!lllli.ssioners Courthouse Port Townsend, 'Washington 98366 Gentlemen: 'T~e undersigned hereby- certif'ies that he has examined the three locations in Jefferson County- on the Olympic Peninsula a.nd has read and thoroughly understands the items of' work a!td, the specification. governing the ~Tork embraced in this improvement and the method of payment for same. ,The undersigned prolloses 'to do the work as specified' for the following' unit' pr.ices: Item Iro. Quantity Item HADLOCK ./1 1400 steel Reinforcing'Bars V2 ,26..... , Concrete Clas s A QUILCE.."lE v3 1400 Steel Reinforcing Bars \/,'4 . 26 Concrete Class A CLEAlmATER 5 140q steel Reinforcing Bars 6 26 Concrete Class A Unit Price Amount Lll . S"o 700."0, C.Y. '.0 "0 << G?p. do Lll .So 700. 00 C.Y. /0.3','0 Lll .:.yo 56.0.00 ~ano .;zoo. "'; ;;':.sl6.J;: "'- ., r" , J'.. :1/ .!2G'.(5o ~ 7,:. _~J"; . -Q' /3 11', Ilo ~ C.Y. Total ,State Sales Tax I3ld' Grand To~aJ. "/ A proposal guaranty in the amount of' 5% of' the total bid s attached hereto in the amount of' 4; t,68 ".- Firm Name , ,/;. .' ,."",..{/ Address e. ><<1 ~".,;t;;,.....C::;'.., h> Jr . / SiBtlature Dated this '-... " ~!lQ~Q~~!! TO: Board of Jefferson County Commissioners Courthouse Port To-offisend, 'Washington 98368 Gent~emen: The undersigned hereby certifies that he has examined the three ~ocations in Jefferson County on the O~pic Peninsula and has read and'thoroughJ.y understands, the items of work and, the specifications governing the work embraced in this improvement and the method of payment for same. The undersigned proposes to do the work as specified for the following unit prices: c ozt:)o."~ . Y. ' .;z 00, "0 ' ,5.4'6'Y';o ,(}, . rz.... ~/((;. 60 1-.;b.J;-~-4 <J c:> 2ZJ(.~~o I 0, /41, 80 '.w:=- Grand Tota1. ;t;I / .';;':f~'O'T02 0' J,t~,,- 7b~...!. zt.:'-... "{;",,..4u/ .a<14, ,Z;.:e.Ya,.-w 4.';I~,..,/,Zuut~ <!.JL-~. ' A proposaJ. gttaranty in the amount of 5% of the tota~ bid is attached hereto in the amount of $ (,,68. '" . Item 110. Quantity HADLOCK ./~ ~4oo V2 ,26 ...- QUILCEI'lE v3 ~4oo v4 26 CLEARVTATER 5 ~400 6 26 ( . Firm Nnme .,:/.,,, " ~.1 /" Address Item I un~t Amount PrJ.ce stee~ Reinforcing'Bars LB 700,"<:) Concrete C~ass A C.Y. c2 ~ '7 y, o:ft:) stee~ Reinforcing Bars LB Concrete C~ass A C.Y. stee~ Reinforcing Bars LB .'40 SGoO.t>o Concrete C~ass A Tota1. State Sa~es Tax Signature of authorized official Dated this <.} T:l day of /l,n H'r i. '" C,16.1 .. o z ~ u E! " 5 z .'. g .. 1;1 : : : : : : J m ~ > . ~ iU : . : . . : ~J ~ , ; oj ! ! > , . 1;1 . . . . " ! W =:.c : : : :;1 . . . ~ ~ , =i ~ -, . . 0 0 .1':'; :; Ii! . . . j -:rp ~ Hi . , . . . ! " ~ : : ~ OJ . . . 2:. ,;! . , ~.: , i Hi . . . ~.. ;2;-=>01 ~ - + . - . ! ! '0 z ~ " E! " .. o z ,~ ~ ~ ~ 5 j g ~ t i. . f. ~ ,~ r ~ .s [ It ~E H ri ~! i I" :~,=.:_;i 81h~ .; !P' ~ =:.(~.!5 (:.";JI ,IC~ ~: J '11 I .. .. ... o z ~ t; z ~, ~ I ..', I,..j 1; !"}!;i;~ g I _.... 'M:'''.. -... . ..,.;-t-- z o g " ,lij 12 " .~" II C-16J ~ .' : . .' HOURLY MINIMUM HAGE RATE JEFFERSON COUNTY: The fo~lowing c~assifications and rates of wage are for all counties in the Northwestern Washington area. In addition to the wage rates designated, the emp~oyer shal~ contribute for each compensable hour the fringe benefits listed herein. If the Contractor makes use of apprentices on the job, they must be registered and approved by the Washington state Apprenticeship Counci~ pursuant to Chapter 49.04 Rm~ and must be paid not ~ess than the approved progression apprentice hour1.y rate in the trade. ' HOURLY MINIMUM WAGE R'iTE - BUILDING TRADES , LABORERS: Labor Code Occupation ~ Fringe Benefits ll-O~OO Laborer 6.90 H&W .60-Pen. .80 ApFd .06 05-0070 Ironworkers-Fence Erectors 9.~5 H&W .48-Pen. .80 ApFd .05 05-0~OO Foreman - 3 men or ~ess .30 hr. over jour. rate 05-0ll0 Foreman - 4 men or more .55 br. over jour. rate !:!l.2.g,2.~~~ TO: Board of Jefferson County Commissioners courthouse port Townsend, Washington 98368 Gentlemen: The undersigned hereby certifies that he has examined the three locations in Jefferson County on the Olympic Peninsula, and has read and thoroughly understands the items of work and the specifications governing the work embraced in thie improvement and the method of payment for same. The undersigned proposes to do the work as specified for the following unit prices: TI Quantity J HOH RIVER SHOP LOCATION: ,[ ~i~e 1- Amount Item 1 '718 Chain Link Fence-Type No. 1 Per L.F. 2 1 Double 20' Chain Link Gate Each 3 1 Double 40' Chain Link Gate Each QUILCENE DROP BOX STATION LOCATION: 4 935 Chain Link Fence-Type No. 1 per L.F. /~ 70 5 ,1 IJouble~ 30,' 'Cl1airCLink Gate Each: 3/b-;,5:- 6 1, Double 40' Chain Link Gate Each 55'(,:, .cc PORT TOIo/NSEND SANITARY LANDFILL LOCATION: 7 2130 Chain Link Fence-Type No. 1 Per L.F. 8 2624 Wire Fence-Type No. 2 Per J,.F. 9 1 Double 20' Chain Link Gate Each l.0 l. Double 30' Chain Link Gate Each Total. "'" .1} )0()'! <'0 ,Q<'~ b. , ,/ 1/ 9. 0 ~'1 ~ <~"~ '70 to )( j /' . bid is attached hereto in state Sales Tax Grand Total. A proposal guaranty in the amount of 5% of the tota.l the amount of $ ! /9 'J.. ,?,II, ,lSlJ> &",r , Firm n..w" ~ c:.fR.,.,,,,~ h-'V'./V.? (:"')' Address ~/.'::,~70-1;t;"t'.jE. ~<<'M7J!fc "?~rYJ 9y/:21) Signature of authorized Official-:' _~ .;; '(, 1f<.Ti~A (j . f.' r 7-:1-4 day of ~/2j"1.-: ) Dated thin , 1975 $,::</-al2.1 , .). -= / DlTRODUCTION The following amendments and special provisions included herein shall be used in con~ junction with the standard spe'ci 'fications of' the De;nartment of' Hi"h"ays, adopted in March, 1974. AMElmMEllTS TO THE STAJ'1DARD SPF:CrFICATIONS The hereinafter contained amendments to the standard specifications are hereby a part of' this contract and supersede any con'nicting provisions of the standard specifications. For inf'orrnational purposes, the date follo"in" each title of' the amendments indicates the implementation date of' the amendment' or the latest date or revision. /, SECTIOlrc,~":02, BID PROCEDURES A~D ,~Il!JI~IOI1S (ApriJ. Ill, 1974) Combination and Multiple Proposals _' The last sentence in section 1-02.11 of the standard specifications' shall be revised, to ,read as follO\ls:' ,,'.. 0, ' , . 'The Commission, regardless of 'any such attachMent;' shall a"ard each contract 'to "homever it deel1'.5 the Imrest responsible bidder but mIl consider such attachl1'.ent in deterMininr.; the responsibility of such bidder to ,?erf'orM eacll con;tract upon :which he hots attached such a proviSion. " SECTION 1-06" COllTROL OF ~t"TERIAL (December 5, 1974) ;...,' .. Samples and Tests - Section '1-06.2 of the stl'U1dard speci hcations 'is hereby sllpple"'..nted by the foll""in.;: . .., ~,.. ,j Other Publications -, Requirements of other publiclltions referred to in thes e specifications or the specinJ: provisions shall be the latest edition of' the publicntion and an,y ,amendments thereto in effect on ,the date of, advertising for bids shall apply ~ ' , American-l~ade Materials Required .. Section 1-06.5 of the standard specifications is hereby supplemented by the following: When non-American made const::-uction materials are utilized, the Contractor in' compliance with Chaptcr 39.25 RClf shall. upon completion of thc "ark, furnish a certified statement settin;; forth thc nltture and source or non-American made materials in excess of t"entY-~ivc hundred dollars (~?,500.00) "hich have been uscd by the Contrnctor in performnnce of the "ark. The state",ent shall be delivered to the Depnrt,...ent of General Administration, Division of Purchasing, ROOt! 216 Generol Adr.1inistrll.tion Building, Olympia, I-Tashington 98504. A copy shall be furnished to the Engineer. -1- HOURLY ,..1 NI MUM WACE RATES HARCH 5. 1975 COUNT IE.i - CLALLA~ MU..; JEFF.eq,SON L\BOP. RATES FRINGE =E !ll;Q./eALlJ)Jj STATF FFn &tlEJ:lll( 11-0190 PC.'l'tucRM!,~j 7.25 H-W' 60. C(NTS 151 11-0200 POWOf.RHANS HELPER 7.00 PEN eo. CENTS 151 11-0210 POWER "'HEEL BARP Ow .Cr< BUGGY ,7.10 ATP 6. CENTS 151 PO~ER TOllLS - Ht:AVV DUTY 11-022:) ~:~~~~g7~~jrt~~~E~~ 1~~t:~nE~EX! i3RA TORS 7.10 11-0230 ,7.10 PUwER TOOLS - LIGHT DUTY 11-0240 CHIPPERS, GHHWERS, TA"'lPERS ANlI SHULAR 7.05 11-0250 RAKER - ASPHALT 7.10 11-OZulJ POOOH 7.15 11-0270 SLOP(R lOVER 20 FEe T) 7,00 11-0290 SP'EAOER (CARRIES GftADE HITH ~ODOERJ 7.15 11-0290 SWING.SCAFFOLD 01< orSN CHAIR ,-OV(I< 2S FT 7.05 11-0300 TlknERrH,N - Sf\ollEP. 7.20 11-0310 WAGON DR ILLER .ANO A II< T~AC 7.20 11-0320 WAGUN DRILLER ArlO A 1M T~AC HELPER 7.00 TUN:-lEL wORK 11-0330 MINeR C INCLUDHlG MUNOLITHIC WORK' 7.20 11-0340 :-c.INSRlISHAFT ANCJ Rl!.ISt: 7.25 ll-U3!J1l sr'AUER 7.20 11-0360 POwl}E RH.AN ' 7.35 11-u31o f~wDERMANS HELV~K 7.1U I1-U3"0 "I:-T 1."'8 Eli MAN 7.20 l-U).,O OILt K. T etllJr:R 7.00 11-0400 MotKt?'R "NO "'A~np ~R 7.00 l.l.-1l410 ~JPf'c" 7.00 11-04ZlJ RI{AKF.'1AN 7.00 11-043Q hlPMM, At-j[.o OUlL (;ASG 6.oJ:i 11-U44U .t~I"'leN':"NCE HA'i 7.20 FWt!::MAN 11-"450 ~~HS~~b~ ~~f,$dVAI Hi~;~-rl~5R!~51 CENTS (LASS IF ICA1ION SUP~.lVI 5'::0 liP !:k,l T I foiG e""~INEEAS III\TCU PLANT t)P:=ttATWt lZ-U.JH) ~f~;~:::~l~~~ :~~g vo~ Pi:tI tlCJlIR ANO U:~Of;R 6.91 I!-W 60. c~m IS I Il-OOI.J vo~ Prl THRU 40u YtlS Ptl 9.2,\ m ~o. EF'.,s IH 1 2-0ll 3J "A.TCH-HlJtl:l( -40,J Y~IS POl rHI{U ~I'JU YI)S PH 9.~4 11. , \ R!!QRQ~~'!! TO: Board of Jefferson County Commissioners Courthouse Port Townsend, Washington 98368 Gentlemen: The undersigned hereby certifies that he has e:<amined the three locations in Jefferson County on the O~pic Peninsula and has read and thoroughly understands the items of work and the specifications governing the work embraced in this improvement and the method of payment for same. undersigned proposes to do the work as specified for the following unit Item Mobilization PORT TO\olNSEND 1.5 Asphalt for Tack Coat 1720 Aspha~tic Concrete, Class F QUILCENE 4 Asphaltic Concrete, Class F CLEARWATER 5 Asphaltic Concrete, Class F Um,t Price Amount L.S. $ 2,000.00 Per Ton 225.00 Per Ton 30,100.00 Per Ton 3,900.00 Per Ton 5,100.00 Total $ 41.,325.00, Stah 8~lell""-Tb- Grand Total $ 41,325.00 A proposal guaranty in the amount of 5% of the total bid is attached hereto in the amount of 4; 41,325.00 Firm Name Interstate Asphalt Co. ,Inc. P. o. Box 208 Address Aberdeen. \{ashin~ton 98520 ~ Signature of authorized official Dated this 9th , 1975 June day of, (~ ."~' v_ j .t'resJ.ucnt. . ( If'.i"( )~( J,q)' PfWJECT 110. @ APPLICATION FOR GHANT ASS I STAIICE ~~7'Q4091_q4~ SOUD "'ASTE DA IE RECE I VED PART I - GENERAL II/FORMA TI 011 - J. APPL/ CANT d. Address (Street or P.O. Box Humber, a. Name Town/c i ty. State and Zip Code) Jefferson County Courthouse Port Townsend, l~ash. b. Department/Division 98368 Public W~rks c. Congressional District e. County Third Jefferson 2. PjlOJECT TI TLE Jefferson County Solid Waste Management Plan Brinnon & Covle DroD Box Stations 3. TOTAL COST OF PROJECT 4. TOTAL GRANT REQUESTED $ 150.975.00 $ 70.114.00 5. PROJECT PERIOO "- From: May I, 1976 To: October 31.:", 1976 6. TYPE OF APPLICAtlrTCheck Appropriate Box or Boxesll a,' Governmental Agency b. /longoYernmenta I c. Other o State o 11ul tici ty o /lonprofi t Organization o Individual fi Coun ty o Mul ticounty or Insti tut Ion oCollegeor o City DC i tV-County o Profit-Making Organization University 7. TYPE OF GRANT Continuation (Current Grant /lumber) fia. New 0 b. /;l. PROJECT a. Sta te b. COU!!~'{ferson LOCATI ON Washington c. Munl~~ipal i ty d. Congressional District NA Third 9. PROJECT a. Sta te b. County AREA Washin9.ton Jefferson c. 11un I c i pa I i ty d. Congressional District N/A Third 10. DOES PROJECT REQUIRE CLEARIIIGHOUSE 1l0TlFICATlDN III ACCORDANCE ~ITH a: Ves 0110 ' OFF I CE OF MANAGEMEIIT AND BUDGET CIRCULAR A-95? II. HAS AN ENVIROIIHEIITAL ASSESSMEIIT BEE/I MADE FOR THIS PROJECT OR FOR A 19' Ves DNa COMPREHENSIVE PLAII '\,IHICH INCLUDES THIS PROJECT? 12. HAS AN ENV, RON.~EIITAL IMPACT STATEMENT BEEII HADE FOR TH' S PROJECT OR a: Ves 0110 FOR A CLASS OF PROJECTS ,I/CLUDING THIS PROJECT? 13. IS THE PROJECT COVEREO BV A CURRENT FEDERAllY,APPROVED o Ves fiNo PLAII? 14. GIVE NAME OF CONTACT PERSOll a. lIame Glenn A. Bagley b. TI tIe Assistant County Engineer c. /.ddress (Street, CIty. State t Zip COde)' d. Phone I/o. (include Area Cadi) Courthouse Port Townsend. Wash. 98368 206-385-3505 15. OFF I C I,\L OR AGEIICY TO 1-1110/1 C/lECKS ARE TO BE liA IlED a. Tl t Ie b. Address (Street, City, Edwin A. Becker, P.E. St~te t. Zip Code Director of Public Works Courthouse Port Townsend, l~ash. 98368 16. SUBM I SS I mls TO OTHER FEDERAL AGEIIC' ES -- - APPLI CANT 0 S IIAME Jefferson County Dept.' of Public Works PART II - BUDGET SECT I ON A - CALCULATI 011 OF SOLI 0 \.IASTE GRAIIT PROJECT tWo 267404091-94~ ITEMIZE ALL ELIGIBLE CAPITAL, COSTS ITEM (1) Brinnon Drop Box St' tion Coyle Drop Box Stat on UN IT COST :(2) Equipment for Drop OK Stations Contingencies - 10% of 1 & 2 TOTAL PROJECT COST (3) 27,335.00 21,510.00 86,500.00 4,884.00 REQUESTED FROM REF. 26 GRANT (4) 13,667.00 10,755.00 43,250.00 2',442.00 . (S'ee attache itemized e ineer's estima es) Admi n I strat ton n of i & 2 Engineering 15% of 1 & 2 Other I nd I r eC t Costs TOTALS 8CY 110-15-ti> (i) ESTIMATED DATE OF DELIVERY OR COMPLETION (5) October 31, 1976 October 31, 1976 October 1, 1!j76 3,t.l9.00 tlot Ellgtb! e (Percentages arrived at 7,327.00 lIot El igible through past County Road project experience) lIot Eligible $ 150,975.00 $ 70,114.00 , ., 116 SOLID WASTE ESTI~.L!;TED EXPENDI'IL'EES - 1976 534.50.10 PERSONAL SERVICES 11 Salaries &. Wages OOl-Caretaker - Connty Wide 10,839.00 ' 002-Caretal;:er - Port Tomisend 9,360.00 003-Caretaker - Port To\vnsend 9,360.00 'OQ4-Caretaker - Port To~nsend 9,360.00 005-Extra Hire - Port TOIvnsend 1,550.00 OOB-Caretaker - Hadlock, Quilcene &. Brinnon 2,400.00 O~7-Caretaker - Cleanvater 600.00 11 Total Salaries &. Wages 43,469.00 ,13 Personal Benefits om-O.A.S.I. 002-Reti:r:ement 003-Industrial Insurance OQ4-Medical, Dental &. Life Insurance OC5-Dependent Insurance 13 Total Personal Benefits , 2,543.00 3,065.00 745.00, 1,994.00 1,150.00 9,497.00 534.50.10 'I'OI'AL PEP,SQ)L<\L SERVICES 534.50.20 SUPPLIES 22 Qverating SJpplies OCl-For All Sites 534.50.20 'I'OI'AL SCPI'LIES 534.50.30 arHER SERVICES &. CHARGES 37 Public Utility Services DOl-For All Sites 42 Miscellaneous OOl-Contrac t ,Hauling For. All Sites 534.50.30 'I'OI'AL ornER SERVICES &. CAHRGES 534.50.50 C.QVh'Th"ll1lE1'<"T,u., SERVICES 52 Interfnnd Services OOl-Furnishing Equipment 002-Administration 534.50.50 'IGrAL GOVEBl'<'ME.';TAL SERVICES 534.50.60 CWIT,u., OlJI'LAY 62 Construction Projects OOl-Hadlock Site 002-Port Townsend Site 003-Coyle Site O~1-Drinnon Site 005-Itoh S1 to 62 Total Construction Projects 64 :.lach1nery & Equipnent OOl-Purchase of Truck 53-1.50.60 TOI'AL CAPIT,U, OIrLAY 1,400.00 2,080.00 23,350.00 16,500.00 ' 1,000.00 13,000.00 1,000.00 30,000.00 ' 30,000.00 30,000.00. lQ:l,OOO.OO 24,650.00 116 TOI',U, SOLID WASrE EsrIMATED EXPl-:1>.UI'nmES 52,966.00 1,400.00 25,430. O~ ,17,500.00 128,650.00 225,946.00 APPLICANT'S NAME Jefferson County Dept., of Public Works PART II - BUDGET SECTION A - CALCULATION OF SOLID WASTE GRAlIT ITElllZE ALL ELIGIBLE CAPITAL, COSTS PROJECT NO. 267404091-94~ ITEM (1) UN IT COST :(2) TOTAL PROJECT COST (3) REQUESTED FROM REF. 26 GRANT (4) Brinnon Drop Box St tion 27,335.00 13,667.00 Coyle Drop Box Stat on 21,510.00, 10,755.00 ~7.5~~."d ..tJ;. 7.5'''.",s ox Stations l/~,3gg ee ~,258.8{J Contingencies - 10% of 1 & 2 4,884.00 2,442.00 (See attache itemized e ineer's estima es) Adminlstr"tlon 7% of i & 2 EngineerIng 15% of 1 & 2 Other Ind I rect Costs TOTALS LlO-1S-S\; (i.) 3,419.00 7,327.00 Not EI igi ble Ilot EI iglble lIot Eligible $ 158,975.66 ~ Ill, 97.s;Dl> EXHIBIT A-I $ 7S,li'neQ .s'~, (,./ tf.l>e> ESTIMATED DATE OF DELIVERY OR COMPLETION (5) October 31, 1976 October 31, 1976 October 1, 1976 (Pcrcentages arrived at through past County Road project experience), D,lte--Jlav 3 1976 Paga of -:!- pilgCS ENGINEERS ESTIMATE PI'oject Title: Coyle Drop Box Station COll;1 ty: Jefferson 1',.cp'.1rcCl by: Glenn Description of PrOJect: A. Bagley Construction of Drop Box Station and Appurtenances Total Cost: $ 21,510.00 Items 1 thru 4 to be done by County Forces . , ITEM UNIT UNIT NO. !TEN PRICE 0.6 Acre 1 Clearin & Grubbing 1,800.00 540 C.Y. 2 Road;<lay Excavation, Inc!. Haul 1 00 320 C.Y. 3 Gravel Base, Class B 2 50 95 C.Y. 4 Screened Gravel from Stockpile 5 00 27.5 C.Y. 5 Concrete, Class B 150 00 1400 Lb. 6 Steel Reinforcing Bars 70 1 L.S. 7 Electrical 750 00 290 Ton 8 Class F Asphalt 25 60 7,250 710 L.F. 9 Chain Link Fence T e No. 1 6 00 2 Each 1 L.S. 11 Permanent Si nin -- ____...0_... -- EXHIB ,I..~~_ D,l te MRY P"oject Title: C"wlt)' : rl"Cptt red. by: Description of lq76 Page 1 of -..!..... pilges EilGIIJEERS ESTrr1i\TE Brinnon & Jefferson Glenn A. ProJect: Coyle Drop Box Stations Bagley Equipment for Brinnon & Coyle Drop Box Stat~ons Total Cost: $86,500:00 UNIT 2 Each TEM lW. ITEl-l NIT PRICE MOUNT 23,000. 2 Each 2 Compac toz: Drop Box Only 8,000 00 16,000. N."- ..e-GMC-:l:J;uck...=m c.rlt"h 't"'~i 1 Cl: rn l'iL"'...... '1 boxes 1 Each 4 Hi h Pressure Hot Water Washer fo'r 2,500 00 , Cleaning Drop Boxe.s 1 Each 5 Axel Load Scale 6 ';000. 00 1 Compactor Drop Box - Complete w/Coin~bp 11,500 00 ,~ Page 1 of 3 ~ ---:=._~., PART II - BUDGET APPLICANT'S NAME IPROJECT NO. Jefferson County Department of Public Works SECT ION A - CALCULAT I 011 OF SOLI D WASTE GRA/lT ITEMIZE ALL ELIGIBLE CAP ITAL COSTS TOTAL REQUESTEO FROM ESTIMATED DATE OF ITEM UNIT COST PROJECT COST REF. 26 G RA/lT OELlVERY OR COMPLETI ON (1) (2) (3) (4) (5) " (See ttached ite ized engineers estimate) Had10ek Drop Box 11,947.00 5,973.00 June 30, 1975 Station Equipment for Iladl ck 26,000.00 13,000.00 June 30, 1975 Drop Box Stati n " Contingencies 10% 1,194.00 597.00 June 30, 1975 of Item 1 ',' Administration 71. of 1&'1 920.00 /lot Ellglbl e Percentages arrived at En91neerlng 5% of 1 & 1.971.00 Not EligIble through past County Road Project experience. Other Indirect Cost 5 Not Eligible TOTALS $ 112,032.00 $ 19,570.00 - Bey 110-15-~W (~) Exhibit A-1 "1:..' Date Mareh 1975 .... . Page 2 of -L pages .. '. '.. :: ': ENGINEERS ESTINATE , Project Title: Hadlock Drop' Box stat. ion ' County: Jc1'1'erson. Prepared by: Glenrr A. Jlap:lev Description of Project: Construction 01' Drop Box Station and - Appurtenances Cost:', :I; 'n, 947 .00 '. (Items'i,2,'3.;, 4,'S i. '9 to'be done by County Forc'es) lEM , rlO., , '.. Total UNIT '1 Acre, <,:'i' 180<' . 2 .... :c..Y . .. 70 C~ y, " 3 5 " Ton 4,: 22' 'C.Y~ "5 : " :6: '630 Lb. ,. .1 "L.S, " '7': ... .. '._ 0;" . 'ITEr~ , ',ci~ahn~ 'i:'~~.]iblir;'G" :; .: 'Gravel'..-Thi~se~.,>'ci~~~.'8 .: I . ,'. I. "Screen,,,f'Grave1'from stocKpile':' Me- .250' &' '800':or approvea substitute '-cbbci-ete ;Cl'a:sS'B '; . .;:....=... strc~t'Reiriforcing Bars " Permanent Sip.riin~ :'>DUM' cLOsuroi'EXPENSES"( 4900. 'c. Y. .' '8 ....9" . 50" 'r,b., Entrance &: Ra.te si~n) BbrroW'E~ca~'atioh, 'Incl. ii':~l: Se~ci',' ";.:. ...... . '.. '. ';:~" .. . . . . ......'....;.... .!, :..' ~ ',1;500 450 00 350 ob 600 00 1',870 00' 252 00 . , '650 00 6,J25 00 150 00 $ 11,947 00 .iTITY .5:.$ Dece'mber 1974 ENGIrlEERS ESTIMATE Page 1 of ~ pages Project Title: Port Townsend Sanitary Landfill Site County: Jefferson Prepared by: Glenn A. Baglev Description of,ProJect: Landfill Site ureparation and eo~struction df . permanent facilities. .Total Cost: t 109,935.59 #::r-;>, -<~~h'.6? (ITEMS'~ thru"7/.13,' 16 &' '17: to' be' done EM NO. ' ,'.., ,'. 'ITEM' ./;"rl'~ ..u-~..".......,.../. . '. , . bii.g ,I' /"~Q': ~("t''/_ A/-:~""'fy' ~0;i.,...H<i. (/~(}CI ".~.?~.. ~ 6."~-f.?7...r 41'7..;1+45:)::... a.el"B6.se, EJlae (/"''''''~/?C:'~'Z''':' n ,= ???",C,J l'_4-'Gl'e.vel ':r..e~He (;f/,:,;~/'..) ., "'~.' .;. ~ ./'r--../,-( ....?-:":I"""'!~~.~ . ~O' Ithe Gaile (/.., .J....."r:(). .. ~ ,..(';~/ '~"',,"/,,_.r""-:~'V , r/..,~~./.;.,.) ffie. 81ft!':, a (po.. 8peO.} (-"I"r~",-"<r C'..../;r)r/"...'#n,.~j '~-l> !l'b . ;;; detd (/:"'II"~",....4'I'."" :?.../j1'~ t"/....'......,'l I':<: 'ralll" 8'1',,1, lil,C (rrEMS ~ t~~: 7. ~3, 16 & 17 TQ DE DC~ ,BY ~OUNTY FORCESl ., .....', ',' ,.'. ._.. . ,,0......... . ..,'_.. __. '. . :!!~"'7 ~ -'73& /7 $';0 ~' 7.r ??~ 'r:ls- 3,.- ',:Fe .PI"'" 174!'d ?''7>';t,!j "'2 //5" Qf? .,r-,- ~9 . " Date December 1974 : . : ENGINEERS ESTII1ATE . ."' . ,.'Project Ti~le: ' Port Townsend San'itary Landf'ill Site 'County: Jef"ferson ;, 'Prepared by: Glenn A' Ba",lev . ", Description., Of.. ~roJ2ct: EQuinment for Landfill '.:, '. Total Cost:' $7~';JQJQ 00.0 "..;s:.;.. 4'<-,~ 7~, .:...... .......; .'. "ITTTV .l..~ '":.': -:. '..:; ." -ITEM ~?':;,,,,,w'~(..1'.;'e :.~.rY.~/".i1"';..;e (>""'~"d UNIT ,:',.'1, '(-'fu..';.r~'d'" ",:::. p,:rpos;: , ...... . . ,,;~ " . . :'.r~.:.~.;:;.:.:.~.. . .... , .. .. . .- : ", : .. : .. , !, :-- ....:.:;...' ..,..... .':. ';:, ..... . ".:;': :.. ':i',:.f-." " ," .. '.... I Page 1 of -....:L. pages UN PRICE J.e:ng ?S' : 'Z'lS-,S/ '::'9 ,~ ~. - . .:-- ',: :"',;.. :.:...- ......;... . " ..... Date De~. 1974 - Rev. Narch 1975 Page 1 of'~ pages ~ '. .:~. l' . ',....:: ::: ,ENGINEERS ESTI~1ATE /0."," . '. '. . ,"-' '.' . Project Title: ciearwate; Drbo County:, Jefferson Prepared by: Glenn Description o~.~r~Ject: Box statIon " ' A.-B~lev ". Constrt,ction of Drop Box Station 'and .Appurtenances . Total Cost: $, :L7,lE8.es" '''''';'~ d6',.,->?2. .. . ~ ~..... ." . - .. . ': .:.. ';, ~ .. . I :,:-..r~~:. ':' ':C..' ~ ;.:.: .;:'~"".:~; .iTCH' : " .,' . ~. '.~' ~ '.. '.. " '.,,:.::;'::'.::-~ . .(,A~~:~:{I'~":~f">:i'"~!::f."':P~:::~: :.,~. :',~. :~,,:,,~,:..;:...~.: .:.:;>>:.. ..-..:........ ..(q?~?'y,::~:...f~..~~,-;)....... : ;'~. ': 0; ..... ,,':-:.' . . ~.;.:'.': ::~ : ,',': -: .,' , . I ," . .;: ,... ~. . . , :' ..... '" . ',:, ':)', '. . ',' "'\.' .'.....,: . /6"6', .~r~f~'~~ '-::~"-;O . /..,:rt~~'7"~~': ':':Y"1.7.('/' (?'."Jolr~);~~:~1 3-'/.: :,}'.'"". 'r7/;"/~I..J'..';' ,...,..-;,.,1,1'". 'F:.':~~;D/'.t'f- ';:~"~'. .' Z7 0':f:';: :~-:"'r,,!~,...~::t{ ,.''''-' . ~ '" .,' ....,..#. .....::: ...... :.1'" . /:""r'~""/" .r~:'":r.:~"""'1"':"':~ ~., ...... ". .~.i. r~(J}'r~~Jd"" o....r..v"r;;";;O":"1;r. .,..... .' '..,," ~;iiiMJ:i" .': ". .'. ''', .....:......:.. ';'~'" "': t. osbRE rocPEiNSES: ' ':,'. :',. ..:../:~'.;':.: : ." .... r."~~r~,~:'6~~.::rf:-!;';"'?':'~.'~/~ .F.,?!:"7/~\' ~~/~t."~ .~;:~' ....".7.::... .:..' ".:' r;/"".~"t.~:;. ;~:. . .'~'. '., . . "'. "((.""'''':~~:~~~.... ::.~. .... :'~..;~;~6' :; . .Y_"'4:7:~ ".. . ~.I . .... : '1, ~.:i4- ~~ r/;-"'/"~~~~",!"_.",,~"')r"';"t...,,,.....~ 1....-"'":"-.... f~).......,.-y .---../-"--." ~J.-':"~~~ ._' ___" _. I I ~ : '., . .. .. ~. .'. ':.:.>'>~: ~. UN . PRICE ,': A110UlIT; :,;'; '.. "2J<1 #: .::'.7.;7:"0. <rCJ. .~. '~q,,",,., ,.......:.. v,::: :,e..90 a ~G?:. . ::1"1", 7 ." .' '2.i1(J ,,~ \ .'..'..:...:f.;~ 4~ ...:rstJ ., /77. "1 ;........,17. ., .. ,. . ' , .. . ,..,?,,? 'fa; ;z'z. .'1:e.. :~'i'? ~ HOURLY MINIMUM Iv AGE RATE JEFFERSON COUNTY: The following classifications and rates of wage are for all counties in the Northwestern Washington area. In addition to the wage ratea designated, the employer shall contribute compensable hour the fringe benefits listed herein. If the Contractor makes use of apprentices on the job, they must be registered and approved by the Washington state Apprenticeship Council pursuant to Chapter 49.04 RCW,and must be paid not less than the approved progression aRPrentice hourly rate in the trade. HOURLY MINIMUM WAGE RATE - BUILDING TRADES, LABORERS: Labor Code Oecupation ~ Fringe Benefits 11-0100 Laborer 6.90 H&W .60-Pen. .80 ApFd .06 05-0070 Ironworkers-Fence Erectors 9.15 H&W .48-Pen. .80 ApFd .05 Foreman - 3 men or less .30 hr. over jour. rate Foreman - 4 men or more .55 hr. over jour. rate , I COUNTY OF JEFFERSON TO ~"7~,~....:J1" ~""4.,t,..h....."..;~, t'''!.. STATE OF WASHINGTON r,.d, 8,~ .!-:1f1y$<;;: Address .~......'//€".... . ".J"" "...-:t'/P-.L- Work done to ,./.....J"O,.... /J~ /<776 C<lunly--Roac!..-2toiect ,A;.~~_.......r#'_ f/~ 6'."$'" a"'~",( Date /u_f1' /J!:' /<77,"", Estimate No / ~;'I Unit Prices Quantity Total Previous Present l. \.?,.t'.-..../ ~4........: J!., ;I.."; /l~-;1'r... /.6- .~ /<'4", /, 0/, I-- ,,"7<:> "'0 2. ~_A -,...... ...--t::::-_ d (":y //< '" ,-J '7/. ?'7~.<'I 00 -~ -J~ ,,;:/ 00 H 3. Ii 4. 5. 6. 7. 8. 9. 10. ll. 12. 13. 14. 15. -, 16. 17. 18. 19. . 20. 7,,;<' /, .'~4"....", 00 T-otels- '/'.;", y.#' .1';4.. 7:': /84 ,." 10% retained as per contract 716"" A/'> 34"1 ?/ 3&o,.g", f!!' Warrant No. Total Amt.~.2.,L- I hereby cerllfy all honor that the above estimate is based upon actual measurements and that the same is true and correct. Counly Enll'lncef I, the undersigned, having first been duly sworn, do hereby depose and soy 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 $ , and that the same or any part thereof has not been paid. (Sign Here) for Subscribed and sworn to before me this Date ,19_ day or ,19_. Ordered Paid By.,. County Auditor ChAirmAn, noud of County Commtnlonerl .(SEAL) ~.,~., ..," ,'1 ' " ,..'., : ! &; /!.v ".c;-.._,...... COUNTY OF JEFFERSON TO #.-'~ ......~ STATE OF WASHINGTON /?;:Y-'3d'- /,:r.';C.......A"./...e-~ Address $/.."..r.Vh-~ /.n":;';. "7,,;,/'7--;- ,.1//... "," ~~" ~ ,.~... <7 //,,4 A~).;:- ":.;!..-,.") Work done to -q-,-. /~7.., Gounty-Ro~iect- Date ,,h/...- /, /'77"- Estimate No. / rA?'.,./ ,/:";;. n./.._ ) Unit Prices Quantity Total Prllvloul Pre lent 1. "-?,,{.,,;., //....:t. ~rl~6' - ,7;;""." 44. / c:,<; 0.7-; 7/.t1 57~7 ",,'0 '- :J7r<~ .,.-" 2. /JA~,{'? ..:'''' " """A..,,,,:" "".:./ <::....... ,r;;. ,;:1-r;.~ d,., / ;'.,., N' 0 .?-rl: dO 3. L7"N~/'" 4f')' /"h.:7";' fi,.."/ ,.<?.-7"'.-:::... ?:". ..,::,,, do / 6dt7 ~,., - 6'~ dO 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. ;r;:-,i',k 4,<(/'1 ,', .f /./'7 -ro ~s ~/r?.., 7d~ ..~" '?A' i'~d 9'P - 10% retained as per contract if/' '1,- 4'// 0/"- 41,1,9 ,,3 /:HM ~J 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. County Enclneer I, the undersigned, having first been duly sworn, do hereby depose and say that the above bill Is true and correct; that the work was actually performed nnd material furnished as therein charged; and that there Is due me this date, according to contract, the sum of $ , and that the same or any part thereot has not been paid. (Sign Here) ter ,Subscribed and sworn to betore mo this Date ,19_ day 0' ,19_. Ordered Paid By kL) County AudJlor Ch.lrman, Board 01 County Comml..ioncn , , ~. .. ----~~---~-~--- ~., .; , ,,, ,f " .\; ~.. \.a..c.t.. , ...," ~..":. C:5<7~d' /,,),7."'<:- r;;,,"'/ .J COUNTY OF JEFFERSON .4 #r,-"r/.d'e /"/I,,:'H /-/ c." TO "'. STATE OF WASHINGTON , Address ?d 3/v .-"'('.,4,;:1' 4<f~r_/""~~ . .?I? 74<r?d A--" I' ~ ~v.n':= ,e..-""7',/ ",~~'r..."r'__"..r,., ~'7~d~V/ r -;d~.,;/~".,,?.e- Work done to ,.4...~n.. ~1 /"".r Goun~""d-i>roied: ("7k.."",J_~r,c_ 4...."....-:" L~"" _~r.,,~C,l'7.::r Date <Jf..1' ~/."".- Estimate No. / Unit Price. QuantitY Tot.1 Previous Present 1. A~..1I'//"'~~d~ /-5- II"" dd -?M ';"1 ?/.'~~ "" Pd4t") d" 2. A"""h3/.,t v:~~ ,7;;;./ /!,H-.' 77" /-r/, /~ ;7'?r,- ,," -- .'7 'dO t).-'1 3. 4.m1.",,//;;" &,..,.,4 ("74~.., "c ~";:;", fi" n .,." //,-17 MY7? .,-" /"7'112 :'rd 4. N .- " ,. &.:'?'/.'....d 4:""'." <,'f"Af M~ /-r ..,,, ?~.,. dd dO 5. " ,- r, -- r4ff,..rr...}d~ 7A~ /7 "" - -~ 6. , 7. 8. 9. 10. 11. 12. 13. '., 14. 15. 16. 17. 18. 19. 20. '" / Totals "'A /""' I,..... - 10% retained as per contract ~,;/ 1', 1M" J~ .?, 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. ! County En,lneer I. the undersigned, having first been duly sworn, do hereby depose and say that the above bill Is true and correct: that the work was actually performed nnd material furnished as therein charged; and that there Is due me this date, according to contract, the sum of $ . nnd that the snme or nny pnrt thereof has not been paid. (Sign Here) for Subscribed and sworn to before mo this Date ,19_ day of ,19_. Ordered Paid By County AudUor Chalrmln, DOllrd ot Cnunty CommlnlonClrJ (SEAL) ~----.. ,:~.'_' :J~:';":" '.: ,."}~. :.,J I,' .,...'".,. "t"'" '...~'~'. r.. ,e, ,,:": ":~: , , I (Solid Waste Funds) , COUNTY OF JEFFERSON TO McDr1dAe Fence Co. STATE OF WASHINGTON Addre,' J.2538 - 15th N. F~a.ttle, Wash. 98125 Work done to Mav 31.. 1975 F~1cene Drol1,EOXils~"ti~>i' T i1i'1l.l crw po<rot T'" !'Ipn an .nn " Dale June 2. 1.97'3 Estimate No 1. , , .' Unit Prices Quantity Total PrevIous Present . .~ 1. I, 2. ~ :'" 3. - 4. Chain Link Fenc.. _ 'l'vne No. 1 .F. 4. X> 927 4 542 30 - - 4.542 ,30 5. Double ':\0' Chain Link Gate Ea. 375. )0 1 375. 00 - - 375 00 6. Doubl.e40' Chain Link Ga.te a. 550. b<> 1 550 00 - -, 550 00> 7. Chain Link Fence - TvDe No. 1 L.F. 4.1T5 2026 9.62"1 '30 - - 9,623 .50 8. Wire Fence - TvDe No. 2 .F. .1T5 2624 1.968 00 - . 1.968 00 9. Double 20' Chain Link Gate Ea. 220. bo 1 220 00 -- .220 00' 10. nouble ':10' Chain Link Ga.te Ea. 375. bo 1 375 00 - - 375 .00 11. , 12. 13. ~ 14. 15. 16. 17. 18. . 19. 20. TotalJl 17,653 80 17.65, .80 ~ state Se.1ea Tax 882 69 8& .69 10% retained as per contract 1.765 38 1.76! .38 JfJ ,17 .U Warrant No. Total Amt,$j6.xlLU- I hereby certUy on honor that the above estimate Is based upon actual measurements and that the same Is true and correct. ~f~":' 4. ~..c'~ Count)' En,Jneer I, the undersigned, having Clrst been duly sworn, do hereby depose and say that the above bl\l is true and correct; that th,e work was actually performed and material furnished as therein charged; and that there Is due me this date, according to contract, the sum of $ , anct that the same or any part thereof has no~. , j cor~)'~ ~""A'-<.-R Gv (Sign Here) d sfL ~- "15"" A fJ Subscribed and sworn to beCore me thIs Date I~- ~ , 192:2 day or ,10_. Ordered Paid By ^ County AulSllor Ch~lrman. no:ard or Count)' C4mmllllonCfI (SEAL) / """" ,..;,;, , ,; '., ;.. ..'". ,\'.< - (Solid Waste Funds) COUNTY OF JEFFERSON TO MeBri~e Fence Co. STATE OF WASHINGTON Address 12538 - 15th N. E.. Seattle. Wash. q8125 Work done 10 May ,1. 1975 ~lo:ene Drog"Boxdssatlgn~ r dt"'11 'Pn'Y'"'t: fJ'ln ~pn an a .an ~ Date June 2. lq75 Estimate No 1 ('1::. A.:/ /';"4"''' ,.-;;;",/~ Unit Prices Quantity Total Previous Present 1. 2. 3. 4. Chain Link Fen,.... - ~--,,~ , L.F. 4.90 927 4 542 30 - - 4 542 .30 5. Double <0' Chain Link Gate Ea. 375.00 1 375 00 - - ,75 .00 6. Doub~e 40' Chain Link Gate Ea. 550. be 1 5'50 00 - - 550 .00 7. Chain Link Fence - ~e No. 1 L.F. 4.175 2026 Q,62< 1'50 - - <],62, .50 8. Wire "ence - 'l'vne No. 2 L.F. .175 2624 1.Cl68 00 - - 1- Cl68 .00 9. Doub'e 20' '"hain Link Gate Ea. 220.00 1 220 00 . - 22C .00 10. nouble ,no '""'in T,ink "ate Ea. ':175. 0 1 ':175 00 - - <7' .00 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. TotaJ.s 17,653 80 17,65 .80 'J.'OllOl:l< State SaJ.es Tax 882 69 88, .69 10% retained as per contract 1.765 38 ~,76~ .38 16,77 .11 Warrant No. Total Amt.$.-1.6...'7.7Lll- I hereby certify on honor that the above estimate Is based upon actual measurements and that the same Is true and correct. ~hl:...4,&-d. County Enllneer I, the undersigned, havIng first been 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 me this date, according to contract, the sum of $ , and that the same or any part thereof has not been paid. ~ for;;&" <; ,e ":r:Q I 0"'7<~ ('/0 (SlgnHCr~ ,sf/::?~51?.,,~ Datc~ 5""' Q2!2 Subscribed and sworn to before me this - , 1 day or ,19_. Ordered Paid By County Audj\(lr Chltrmlln, Doard or County CommlllloncrI (SEAL) " "" ...' ..'F.", i"il ~;'.L','I.LJ..t",,("_,,~..... .,.;, ! . - . . COUNTY OF JEFFERSON TO McBride Fence Co. STATE OF WASHINGTON Address 12538 - 15th U.B.. Seatt1e. WeBh. 98125 Work done 10 June 30. 1975 ~~~..~ R..!l River ShoD Date JUly 1. 1975 Estimate No l. (ROI'Ld J'und.) UnIt Prices Quantity Total PrevloulI Present 1. Cba1n L1nk Fence - Tnlo Do. l. L.P' 5.125 718 3.769 50 - - 3.76s .50 2. Doub1.e :!P' Cba1A L1nk Gate Ea. 250 .100 1- 250 00 - - 25( .00 3. Double 40' CbI.1D L1Dk Ga.te Ea. 600 00 l. 600 00 - - 60c .00 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. - 14. 15. 16. 17. 18. 19. 20. Totala 4.6l.9.~0 - - 4.619 50 ~s Sale. 'lax 230.98 - - 230 98 - -- - 10% retained as per contract 461.~ . - 461 95 Tot.a:.I. 4.388.b3 - - 4.388 53 Warrant No. Total Amt. $4.388.'3 I hereby certify on honor that the above estimate Is based upon actual measurements and that the same Is true and correct. ~,~ -::;: &a.......... Count)' &nll"oor - I, the undersigned, having first been 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 me this date, according to contract, the sum of $ , and that the same or any part thereof has~n paid. t ro~~Q..e., 2b~~6 (Sign Here - &~ ')2.....":0 Subscribed and sworn to before me this Date ,19_ day 0' ,19_. Ordered Paid Dy_ County Auditor Chairman. Doard or County Commllllloncra (SEAL) I' ",I ';'.,..:,\' , ", "."..,.'., i...". lo..') ..J. .\ ~ .it. .', ,~,' <W.., ., ~.H_.,:.. . AFFIDAVIT OF WAGES PAID CPr, Of' [fJ f? lA80R IS @ Ii /1'/ I! I" !l (j ~ ;uSrll1fS l(, ~ [f) Ol..i~/P ".! I~/.:J !J O~,._ '... W'l"" ______ Itv.,,, On Public Works Contract ...-_...... 01V Jef'f'erscn County ..___.. Awarding Agency...........De.p.ar..tme.nt......Q.i:....P.ublLc....W..Q~s.... Contract. Number...............Sani.tary......Land...F.i.1J.....E.r..oj.a.c.t... Date Contract A warded....................,Iu.ne......16.......19.7..S................................. Date Contract Completed...............AUg\ls..t.....14........l9.7.S.......................... County in Which Work Performed..........J.:at.t.ar..s.9n....'O'.9.UntY- Location within County........P..Q.;r..j;;.....:r.Q.Wll~.en.d......".....C.le..ar.w.ate I' Was a Statement of Intent Filed? Yes 0 Not] l~IIR.9843 STATE OF WASHINGTON DEPARTMENT OF LABOR AND INDUSTRIES STATE OF WASHINGTON n }ss. COUNTY OF ..__._G:r.aY-/L.RFR.9.l:__........ In compliance with RCW 39.12,040 I, the undersigned, being a duly authorized representative of _..,..__.In.te.r..s.t.a.ta_..A.sPha.l;t...G.Q.-...I.n~;ntr.c~;:-;;~'i;;;i;;;-~ir-.;:;~gx....2.QB"'''''''''-'(AAp,,~f-deen......lda.shing.ton_. do hereby certify that the following rates of hourly wage and hourly fringe benefits have been paid to the laborers, workmen and mechanics employed by me upon the project described above and that no laborer, workman or mechanic has been paid less than the "prevailing rate of wage" as determined by the Indus. trial Statistician of the Department of Labor and Industries. List below each classification of labor employed by you upon the project described above and the rate of hourly pay and hourly fringe benefits paid to each classification. In addition, if apprentices have been em- ployed, list their names and/or registration numbers and their stages of advancement. Classification of Labor Rate of Rate of Hourly Hourly Pay Fringe Benefits Paid Asphalt Paving Machine Operator $ 9.91"'- $ 1.61'" Steelwhee1 Roller Operator 9.91"'- 1.61....- Scree drnan 9.91...... 1.61..... Oil Distributor Driver 9.71...... 1. 54 ,/ Dump Truck Driver 9 C.Y. 9.71/ 1. 54 v Dump Truck Driver 5 C.Y. 9.49./ 1.54/ Asphal t Raker 7 . 86 ./ 1.66 v Asphalt Laborer 7.66/ 1.66 .... NOTE: Atlach Additional Sheela a. Needed. Subscribed and sworn to before me thIS"./~.~)~ __, ~9....... ~ '/ " -.. / -...-.,. . . -.,. .-- Notafl/ Public (n and lor the SUItt!' 01 W4,hlngton, ftltdlnQ In WcuhlnQton. INSTRUCTIONS: I. Pursuant to RCW 39.12.040 copies oC this Corm must be completed by the contractor and each of his sub. contractors. 2. Complete this Corm In triplicate and have it notarized. 3. Submit all Corms Cor certilkalion to: Industrial Relations Division, Department oC Lnbor and Industries, General Adminlstrntion Building, OIympin. Wnshlngton 90504. 4. File a certlflC'd copy with the Awarding Agency. CONTRACTORS ARE RESPONSIBI.E FOR OBTAINING AND FILING AF~'IDAVITS oC the SUB- CONTRACTORS. This is required by law nnd payments can not lawfully be mnde until such affidnvits are flled. I berebr oertlt,r that aooord1nr to tbe .... rates and tTlnao bonefits boro1n s.om to tho prenU11\B wngo roqulrements o~ Bew 3g.12.040 havo boon sa~lotlod. n. ~. JA",lBd. DI . TOR fikZP TllEII'f OJ' " IllDUS Datel..~ 'S:.. Th . spac reserved for