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Home My WebLink AboutReel_0066A ~ J J -il t :~' 1;>, \ ~. ' t,; f~ ~. 1 ,. ~;~' t Ii t. ~, y ;, i~< ....~ .'. '.. ",' ", .... .' . .... . .','. . .....,.. ,:" ." ....:.:... ..' ...... . . '" .' .....:, ..::......... .....,' ,., ..... : ,... ....' .. :.: " ".:: . .' \ ~'-' ~ """'~' '~'1 /l~~t;:T. JEF~ERSON COUNTY DEPARTMtrH OF PUBLIc WORKS 1820 Jefferson Str"OI P.O. Box 1220 Port Townsend. WA 911'1I1ii (206) 385-9160 GRry A. Rowe, P.E.. Director Robert G. Nesbitt, P.E., COUII'1 '"UltIger MEMORANDUM TO: ~ohn Raymond ~ROM: Robert Nesbitt ;?JI"- DATE: May 24, 1989 I ~~ Land Exchange John. I .1 would like you to determine if the County can exchallU" I d (old gravel pit 3.08 acres), for right of way totaling 3.8~ hcr:~. P IV A _ 0 "2.--' 100% Recycled Paper :' .:'. .'. .... ';~-... ,................ ':,:1, i '.' ..... <",'; '...' ',. .... . .......'.,:.'. '.",' "< :.' <'. . '.' ....:.>':' ......,:' .... .,,: .' , ,,,..... ,. .:...,' '. . '..... "". ......':,,'::.,,.., :. ..-,',..". :.':; :::':" '. ../ . ':;,' :,': ". '. ", ....... ,"'... .. .,'. . ..',':" "..". ',' . "..' .:.. '. ;". ,. . ,'. '.' :..' ">" :", .......:: .'. '.' .... '. '.' '., . .,:" . .... .' " .... . . ., . .:'. ....i... ". .... :.... ,.,'. .. .:. '. . .... ',". .., .:: '.':: :. ' ...: .' ". :. ".:..' " ','.. ". '..; .... '.,,' H' .' '.'" '. .... '.' ". ...., '.' ;.,:,' .,'; . . '..:;;:. .... .. .,. ........ ,.,'...,:....: ';' :: ,.,'. ":.': ...' . .. .....'...;, . ,'.' :,'''.. '''('" .' '.,' '" .., .. .':," .. '..'.' :., . . .... .,.: ",. " .:.,' :.. ..' . ',. ,: , ::; ....: <:., .', .. ' " < '. .,.. .... ':'.:, .,' , ..::.... ...'1. , , ;:.'.". . ....... .' '..,... . .,. .1;:;: ,'. .. '. . ........ I I '" :.." .'. :::'. ~ ..",4 .. ---'~ -. ~,:., >.~' ,"" ': ' . IT . ,~' y,~, .,.:', ;~'.~f~::;:;; 'f.:' ~ w '<,'::,j),! ~ :;;"'c:::"'<' <" ,- '-" :"..:,:.;.;..,:.:..~:..,f':t}l,'.<,~.~-::~", ;"',;,~_"'<'~-~': ,,:;,~::.c;.'" ..:: ;,,1"" ",,"_-1:..:. c,.'>."\~,.".,.",",..~,,'" ,. \ .,--" ~,' "~j",,, ':.:......," '':(;;.53.... (If\,' ~~~~'fj f{~~:tl ~/~ 'yr-"- ... 3, 1969 JEffERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1620 Jefferson Street P.O, Box 1220 Port Townsend. WA 96366 (206) 385-9160 March Gary A. Rowe, P.E., Director Rober' G. Nesbitt. P.E" County Engln6ar Pope Resources 60-M Paradise Bay,Rd. suite 4 Port I.udlow, WA 98365 Attn. Greg McCarry Dear Greg, On Friday the 3rd of March 1969, Scott Kilmer, Planning Engineer and Robert Nesbitt, County Engineer, met with Cecil Cooley of Pope Resources and Bruce Seton of Seton Construction to inspect the asphalt paved road in Division 1 of your Bay View Village, Jefferson County Public Works Department is giving you a substantially complete approval with the following exceptions: 1. The first section of the road next to Paradise Bay Road should be removed and replaced. There are cracks in the asphalt, depressions that are holding water, and the surfacing is raveling due to being put down when the asphalt temperature was to low. The asphalt shall be removed from the culvert that picks up ditch water from the East side of the Paradise Bay Road. 2. All catch basins, grates;and manhole lids shall be adjusted to grade and the asphalt around them leveled so that there are no depressions or humps. 3. The entire road other than that portion being replaced at the beginning, shall be fog sealed or seal coated, This is to prevent any further raveling and to seal minor cracks. If you have any questions, please feel free to contact me, Sincerely, ~~ Robert G. Nesbitt, P.E. County Engineer PWA 03.50.01 cc: Mike Ajax, Building Inspector 100% Recycled Paper &i_ --~ """t' - ?~; .' 1. The Bonneville Power Administration's Cooperative Agreement with the Energy Office is due on March 15, 1989, The Agreement defmes the level of fi'nding and identifies the services to be provided during the following year, The development process begins in January, The Panel established a subcommittee to help prepare the local government portion of the Agreement, The subconunittee will meet on January 18, 1989, The time and location of the meeting are undecided, Participation on the subconunil!ee is open to all members, Staff will distribute material about the program to all Panel members. 2, The Local Govemment Program is developing an Energy Mannger Salary Guarantee Program for local govenunents. Several members expressed an interest in working on the project. Other members are welcome to participate, Guiding Principles The Panel asked what principles guide the formation of new programs and the distribution of funds, Staff stated that principles, such as equal opportunity for service among clients, potential energy savings, and ability to leverage funds direct program decisions, However, the principles are not formally listed or ranked, The Panel reconunended that staff and Pilllel members identify and rank a set of principles to guide program decisions, Maintaining Contact with Other Programs Affecting Local Govenunents Staff agreed to provide written updates on other programs affecting local governments, If time permits at future meetings, representatives from these programs will present their fmdings, Assessinll: Program Results The Panel assessed the services provided by the Program to local governments in the last 15 months. The members felt that the Program performed well, providing a wide a.-ray of services to a diverse client group, Direct client >~~rvices accounted for 88% ($1,338,250) of the $1,518,450 spent by the core programs, , Over 150 local governments received a total of 293 services; Seventy-two local governments received grants amounting to $143,500 to install energJ" 'efficiency measure; and Twelve communities borrowed $475,000 from the-Program and acquired $776,400 from other sources to complete the measures, Staff encouraged the members to review the material in more detail on their own, If necessary, time will be set aside to continue the discussion at the next meeting, Planning for the Future The Panel began examining the staff's plans for the future. Becnuse of time limitations, Panel members will study the material and make recommendations at the next meeting, The Energy Office developed a Tactical Plan which guides future allocations of funds within the agency, According to the Plan, the Local Govemment Program is not a high priority for Power Washington allocations, This is due to the Program's large initial allocation and the opportunity to save energy in other sectors. The Program anticipates continued funding from BP A and is exploring other sources of funds. The Tactical Plan will be sent to Panel members when it is available for general distribution. C.MS.66 2 ~,~. -- - - ~- , ~~e.:il:!~~=,~"~_;.~f:i'l~~~~!''1-' ~~:~-::~'1."':; ::-;-=::.':;:,.:;:;'~,. ...""._~:- ..",:- .': .-:~:~: ~__.__::.;:,"~: :.~'..:~,:...,~;..:,:';. _:.;~~~~~;~~>,,~~.,;~:::~~~~;.~~~i'''~'' ~~;,~,~,;,::{"""~~~.~ " ":' t<. W.shinQ~on a~.te EnerQY Office Local Bi:lVem.."t Advisory P.nel pu.ul Cha~CQ Cindy cu.tar Larry Dtmn1son Rich J)oI.IQher1:y Jake Fey Bob aUle"pi. Dan areca Gt.e"e John"on John Jone" Bu,,"" Kaun ail HaUe,-y Kathy O' conn.,U St.an P,-i'::ii Ji.. Riedy Randy Scot.t. K/:thY YeQ. Dave Willi.." ,.... Washington State Water Resources Association Representing Water Districts Bonneville powe~ Administration Representing Resources for Local Governments Jefferson County Representing Counties City of pullm..n Representing Cities Tacoma City Light Representing Municipal Utilities puget Sound power and Light Representing Investor Owned Utilities Western Wa. Indian Employment and Training Program Representing Tr-ibes Wa. Public Utility Districts Association RepresentinG Public utilities Districts Association of Northwest Gas Utilities Representing Resources for Local Governments Liberty Lake Sewer District Representing Water and Sewer Districts Intergovernmental Resource Center Representing Local Governments City of Bellingham Representing Cities Washington Energy Extension Service Representing Resources for Local Governments city of Richland's Energy Division Represen~ing Municipal Utilities Washington State Association of Counties Representing Counties Department of Energy Representing Resources for Local Governments Association of Washington Cities Representing Cities -1- Ill' ill -. , ,,",," ,';"e' ;~~_:~ ~'^ -, ',~:, ;' /-'.,', -:', <".~':), -, ';~':~2~;d~';;,~:"~::~~~:~;,::;,~~;'~~-',~;~'~:.~L.L~~~~~:..~,;.;:~ . '" .."- ,-, -':' .',; , ~ ._-;.~:Ji..:j",::j~~'(('::~~,~,~~~,L,1'~~'::~~'~~ ~"'_"_:_"~~'_'h. W.=hington StOlte Energy Office Local Government progr.m St.ff. Assistant D~rector: Julie Mer-rich Unit Manager: '8111 Head Program Manager: John L~RocqL(e Energy Management. Francis Sheridan Wa~er Resources; Kim Lyons Wastewater Plants: Greg Ware Buildings: Gwen Haynes Economic Development: Mike Grady Transportation: Jeff James Municipal Sol.id Waste: Jim Kerstetter District Heating/Cooling: Gordon Bloomquist Stl.l Simpson Engineering Services: Karen i'"1eadows Gil McCoy -2- ~l'lIil'P<I""'l """~,,~ .... .... c n:ll r-a: 0 ., ... Q II o II I ,.. ... ... ~1l n II -. 0' - - .~ Z ~- -111 ~... ., - ... c: 0- I.JIII CD,.. "0,.,. ;, 3 .e - -... ., !J)oQ 0' II o 0 o ,.. II III lQ;' < 0 ., ., III ;, 11m ., III l:IDlZ OIllZ l:IlllZ l:IlllZ l:IDlZ l:IlIIZ 311 ;, III III o . c: o IV c: 011 c: o III c: D II c: 0111 c: &I ., 3 '" .... ., _.,3 ....,,, ~"3 ....,,, ....,3 .....,!!l < ,Ill . .. < "'<0' _<0' _<0' "<0' "<0' ...<0' C'" ;, '" <Y III .. ...11 II ...lD .. ...11 III ...11 III .....11 .. ...1lI ;,n "'II ... a. ., n ., ., n ., ., n ., ., n ., ., n , .,n., .... .. III II! III lD U III IV 11111 II II &I III '< II "O/Tl ., II III U III III II III ., ;, III U "0 o III 'tI .. .. ... .... .. .. II .. .. .. "1004~1004 .. .... .... .. ..... ....... ., l<:I ., ., .. .... ... .... .. ... u .. .. .. .. "" ... ......... ......,..... .. .. 0 .,oQ lD A < Ill'< III U ::I ... 3 III 0 II a. C ;, II ;, II ... ... .. R .. III a. ... UI ... II ~ H l<:I /Tl ... UI A UI I II ~ ... n III o ~ I 3 II ., II ~ 0 o 0 I III ., 0 0......... <II DO...... .. .....po ..U1,," I ;, 00 3 c: O.Qc... O~~ no(,l(,l 0..... 0".'" 00"" U "'-c ~ I I ... go ......... ... .. .. D ... .. .. .. ... c: I ... 'tI U R '< ... n I ttI ... .. U I tIl c: :- n (,I D .. .. .. I I.J ... III 0 0 ... ... I.J A UI .. ,.. :' o 0 ... .... I .0 a. ... III o ~ ~ I~ ... .0 a. .::......... I ..... to "" I CD'" ;, CD OUlO 0...... I 0 0...... 0"'''' I 000- oQ ..... n 0........ U UOUlUl OUl(,l BOUl.Q 10Ul.Q III 0 I I D " ,.. c: ......... I ... .. .. I ......... ............. u .......... ...... 0 ~ I U I = '" .. I n I .. III N D D tIl I I N III' II 0 CD I n (,I I I "" 'tI ... ". I U .0 ! I UI '<~ '" D n I I ~ III .. II .... .... I I Z N I I "" ...,.. 9 c: ONpo D . I ... CJI I .. . UI...... ID III 0' ., oc...o- 1000 n ~ omUl 1000 I 0 U1_ 3' II ... I 0 I D , III .......... ... .. ... ......... ........&00<41 .. ..... .. .... a. (,I ... . . ~ n N I.J '" (.ol (.ol EE ... I\l III ... 0 .. .. .0 ~ N Z N "'. m If CJI'" . ... . .. UI II,.. m OOlD 000 ~ 0...... 000 0.0.... ., II ... .. ... ... .. .. .. .... .. .. .. 0-' ... .. "" n UI 0- ~ 0- 0 ~ <"0 CD Z UI UI .... II 0 0(,1_ .. ... Ul 0 UI N_ .,0 00..0 000 ~ 00-". 0...... 0(,1'" III'" .. ... ... ... .. ... .. .. .. .. .. .. .. .... ... .. .. UI "q <II .. .. .... 1 0 '" 0- N m III 0 ..... UI .... .0 "" ri c: II ~ NN 3 n "'N t.! .0 ,.. ,..1 U1..o <II 0'" Ot.! 0'" U10 II om 0(,1 ON OCD 0'" 00 ON ... ,..m .. .. ... ... .. .. .... .... .. .. .. ... .. .. ... .. .... 0 ..."0 II ...., on ,..11 ~ ... CDo- .. ~ 0'" (,10- ....... t.!'" 0-.0 ...'" l"ll"l l"ll"l N;o.: :O:l"l ~~ .. .. .... .. .. .. .. ... .. ....... .. .... ,.- , , -', ~:: \ '1\ ~; f~ ~ !j, ~;-; , I , it " " ,,:-. t ~' .il, "I. ! i ~', " l~, ~ " {, ~ l' f r 1',>,-::;:" $ - f ~ I,' " '" " .,: ,..,.".. " ,'. ',) ,:.. , ~;', " .' ;; , ',,':".' , , " ,.., ',>',:", ',', )" ,',.'., 1\.; ii' 'e .", " . , , ". -.".<... .~~..~~--~"...,,-~,".~._~,... .-.~ Table 2 Loca! Sovornlent progr.. Progro" ~eport on Servic.. .nd Expenditurfs fro. July I, 1987 10 Seph.ber 30, I9SB .a...all...:;iI..a:a:l..a...a......:I:a.II~:a:lIl...;:::r......lnl..:I:I:I.a:.=:.:u:...:II..:I.:I....:I....:I..........=::;I.:a....n........ II 1 II Ptr"nh9" Distribution of Fund, II Slrvic../Adeini,troUvI Costs II II I TDtal I I :;:z==.aaa:nrz:lIa=:aza:;asz:r:s:.lI.u..s:u:... I I :..........n.:n:u:.:ZlI:a:.............1 I II I Prog". II Tlthnicol Fiuncia! II hchnicol Fin.ncia! All II II I Exp,nditufn II Services SefvictS Progrn 11 SIfvicrs Services Seniell 11 I I :1:::=== ============s:a:. _:...::111 Jla=::r:::r= ===a==a===- a:s;!:":. ZE::;:I:=a:l:l1l :1::-1 J 1::lI:a== :n" :I;U..:===:_::II:=III ::1:111 :I.. ....... I I II I II II. I i/. I II. II III J ill 1 HI 1/ J I :=::== ~::======:=;:=====::I======z 1 I =====::1====_:::1 :;;:; ===::llc;::;:;Z:=====:l:Z =:;1:::: J J ===================== ========a:== J I II En.rgy J 1152,300 1/ 193,300 1 115,000 I 144,000 1/ I 1 1/ II llin'9...nt I II 611 I 10% I 291 1/ 2.12 I 0.34 I 2.46 1/ J J ======;:========,:=========::11 I 1==1;====::=============:':==;;1:========:11:==== II ===:r====='iI==============:=======lIJ] II J 1579,800 II 1186,300 J 1309,400 J $84,100 II 1 1 1/ II Building' 1 II 321 1 m 1 m II 2.22 I 3.68 L, 5.89 1/ 1 1===========================1 1=====::1===========;:============::;::====1 J :::======:II:===;:=======z:I;:1I':1I:=====::Il I 1I hier 1 1381,600 1/ 175,400 I 12S4,700 I m,soo 1/ 'I I II II Sy.tus 1 II 201 J m 1 51 II 3.51 1 13.2l 1 16,75" I I ==;::===;:::===================: I I ======:.:===============::================1 I ====Z'l'1:::===:;:===:;az====::======== 11 II W..to..tor I 1327,250 II 172,700 1 1232,250 I 122,300 1/ 1 1 1/ II Sy.t.., I 1/ 221 I 711 1 71 II 3.26 I 10.41 I 13.67 1/, II ==============.=============11 =====================..==============1 J =============-==================== II II Swi.lin9 J 177,500 II 113,300 J 155,900 I 18,300 II I I II II Pool COVlrs 1 II 17% 1 7211 101 II 1.60 I, 6.73 I 8.34 jJ.. J I ========================= II ===================================:2::::= I l==:=:==:==========::==:r-::======::===ll 11 ==:::n===================== I 1==============================::';~==:= I 1 ========:====================== II II Econolic 1 1150,000 II 1113,900 I $0 I $36,100 II I ' I II II hvdcp..nt 1 II 761 J 011 241 II 3.16 I 0.00 1 3.16 II 11===$:====2:=================:1 I I ============~:-.=============:I========== I I ========::_=======3:;:::'=======:1=====11 IIDi.trict Hut I 1114,700 II 161f700 I 120,000 I 133,000 Ii I I II II .nd Cooling I II 541 I m 1 291 II 1.87 I 0.61 1 2.48 II I I ===================:::====== 11 ====;;===============:::.========:1:========= 11=================================1 I II "unitipd I 5111,700 II 133,000 J 175,000 1 13,700 II 1 1 II II Solid hsh I II 301 J 671 I 31 II s.n I 20.27 I 29.19 II II ======================= I J ===:====='============================ II ====================,============ II II I mS,800 II 124,300 I 1280,000 J 171,500 II I I 1/ II Tnn.porticn 1 II 61 I 75% I m II 0.34 I 3.92 I 4.26 II II =====n::====c======C_====== 1 I ================::.;.;:=====a============= 1 1 c========:r=====:ll:===.w=========:rll " "odd I 1261,300" 1107,000 I 1116,000 I 138,300 II I I II " Conmy.tion I II 411 I HI I m II 2.79 I 3.03 1 5.82 II r 1 ;:u::.~~~:..".:==---=============:ll I ===================:c::============= I I =====:::.====================::====== 11 " Sohr I 132,600" 111,400 I $10,000 I 111,200" I I II " Ac"n I II 351 J 3111 341 " 1.02 I 0.89 I 1.91 1/ 11================':========== I 1===================================== 1 1 =================================1 1 " I I1BS ,800" 186,900 I 117 ,000 I 181,900" I I II " Oth.r I "471 I 91 I HI II 1.06 I 0.21 I 1.27 II I 1=:&:1=========:======1::======= I 1========11:==========::11:====-============== 1 1 =========1:========.=s:========~==1 I " I 12,714,250" 1879,200 111,415,250 I 1419,800" I I II " Totd I "321 I 521 1m" 2.09 I 3.37 I 5.47 1/ 11_====1:"n========1:::======-===1I1 1 ======2=============:=======1:=======1:= I 1 ======:1:1::=====:1::==&:::;;::11:===::11:====_===1 I -9- , ',,',' ' ' '.,.:, ',' :'" ' .,', ',.... ,', , ' ,:'" ',:,,' "" : ','" " "'" " :':'" "",' ",'"...., " , ,,', ,'"":.,, . " ,. '" ',,', " ,:' ',,' ',', ' .' ,"", . ,":' , ,,' ",' '."," ". ,". .I, :.'..",.. :' ',:': " . " ",':-:,' ,'.,." , ..,' ,..,..' '., .. ,'. ", ,.',." : ,.' ',", ',;" ,,', ':,,:: ,.,.,", , " ,'. ':- '.. """,' , "...., :,.', ,..,' ,.' : "",:": '" ,'":..",,, ; , , , '" ': '...., ',' ,', ", " " , '_ ,', ','.."',, i' ",.' ',' ',:.: ">. .., : ' ',',,', '..': '..,.. " ,"" .' " ", .,,; , . ' ,,',: ,,' .',' .: ,:, ,,',. .. ,'" """"':,, .' : ',," " .".', ".,', .'..,'-".: ',:: , : " ".,,',.. '" '/ ,', ,., ' , " ,,' ,,'.. ,:' ',..: ... ,,', /"" "',: .,'" ,';, , e," " '" ,',l, . ,,:' , .. ',' ' ,," ',' ::, " '.. ",. ", ': " ..: , ,':',.' , , '.' , " .: ',:. , ,'". ,,'" ....','...: ,'...", '" .., ,", , , .,,::... ,'."";' ), , ,';; d~.. " ..'.". : t, .,', , ", . : ',.' , ,"":".', .. ,,',', ; ,: '.. I . 1 ':..., i _",~3 ;~~~ ~[~~ !:.p", ~ 1":"': :'.i"~ =-:: ! :: ;.~==~ i = Eo? s:: ;; }-:. -~ ~i . j~ ! n !~ ...~ H OJ': )j ~ :==~=====~==============-======================: E .5Ma.----~ _~_._"QM~_ M~___Q_~ E j--!:-!--T~-![-!~:!i~!f= 5:-5--5--5--5-- ~---~ . . .. .. 1: ..... ill .. "3 .. -.. 8 - .. 0 ~ :~ _~_;;:.: ':i. ~=' -=-; .:~. -=.::_ _:_ .s.:. _~. :i.-::.-_~ .: .. i~-i~-i~!i~~i;-i~!ii~i~~-~~-~~:~~~~:-i:~ ~=--i : : :I : : : : : : : : :: !i: ; ; ; ; ; . . ; . . . .. i' 1" :: 5 :: : :: : : : :: ii :: i:: ~;;:=i': i~;I~:li:I~:t~:t!:t!:t~:jl!:f~:t~:I!:t~:I= 1!lil I i:I~:1 ~:I~: 1 I: I ~:I ~:I ~;II 1: I:: li:l! ;I~: I i !~!: I :~: : : : : : : ::.:-o:.:-o:~ :_- : ~i =-: :- -i~ ~f H I; ~~ ! J $ f~ :rr ~~ ... " ~ .. I.> p,'I.+ STATE OF WASHINGTON COUNTY OF JEFFERSON In the Matter of: x Resolution No. 15-83 Establishing a Name for a Private Road: Cliffside Road x x WHEREAS, the Jefferson County Board of Commissioners has been petitioned to establish the name of a private road located in Section 30, Township 30 North, Range 1 ~Iest, W.M., as sho>m on attached Exhibit IIAII, and WHEREAS, a majori ty of property owners using said road are in agreeme~t regarding the name, NOW THEREFORE BE IT RESOLVED, that the road shall be named Cliffoide Road. ADOPTED THIS 13TH DAY OF FEBRUARY, 1989. " -;,;~.::.. , 1.,~:~~i ):~ rr>i.,,;\, j.., ! ~ \', ;,:';',:~~'!~' '. .-} ,.~. .~ SEAL: ......,.:i:.:.~ s ~ J' AT:Ef,T: r)t{I:.." /11 C( Do 1? a1u..l~ Lorna Delaney Deputy Clerk of the Boar, JEFFERSON COUNTY BOARD OF COMMISSIONERS 4....t~-~- t!AS~ George C~Brown, Chairman ~" 7~' ' /Nr/-:'if~ v ~-_.~ ' --~,~~--_._--- Larr,y-' . Dennison, Member v" //./; L/ t -7..J/~~<<)h" B,G. Brown, Member ,..,...."..... l~ r ,,<.~\'~, : \ -=-,'<;"";r:J;~,,, ,,'::' (r.lJ.'S,~.'lZ, "~'5'f~,"'---' ~'f.;:~:t ! .:/~,,~~., ..~. JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS i,,',.', , ('" t.;,":"," 1820 Jefferson Street P,O, 80x 1220 Port Townsend, WA 98368 (206) 385-9160 Gary A. Rowe, P.E., Director Robert G. Nesbitt, P.E., County Engineer March 8, 1989 Hr. Andy Kramer superintendent of Land Management Washington state Parks 'and Recreation Commission 7150 Cleanwater Lane Olympia, WA 98504 HE: North Beach County Park Dear Mr. Kramer, Jefferson County would like to request that the Washington Parks and Recreation Commission ccnsider acquisition of the Beach County park, located adjacent to the Fort Worden state I am enclosing general maps of the area, including the lots by the county. I would be happy to discuss this matter at your convenience. you for your consideration of this request. sincerely yours, state North Park. owned Thank w;;;:Ir;;~~ M. carter Breskin Property Manager PWA 04.10.12 Encl. ~'. "",,",,<"...~tl.. k, ~- !==::t ~ l77 <YJ ~ '>> ~ ~ ~ ~ t ~ ~ <0<~ ~ ~ ~ &,) II ~~, ~ "~ ~ ~ ~ ~ ~ ~~ ~ ~ U rQ ,'... .,i.',...>.ii '..,..."....,.'... ...>ii:..,-.../.... \J '" '4-j- ')1~_~ ~ J j J'.. I\) ~ '? ~ ~ ~ :1 ~fl~~~ ~~~J I ~ '~ ;:: ~, ~ _ ~IV 0 " , ~ ~ ", e..V) "J~ ~"'l' ~~ \~~ ~\\~"'~ v" ,\,' \I,' \) j.. ~'~"'~ '- ~ 'Il ~ "II ' . "', , ,',:',.,"; " , ''''''', J/f3.4c.t..- I\l I , ~ I A r- I L -:-/i I i -; V-~ '_"I ~ i ~ ,~.... - ~ " I. - :;JJ;'T?~---.,..--<~ -:::-- -~ "!f ~ ....~.....~ $" ~~l--.. ~. ~+ -Q ..-~ ~ ") q~" , ~ . --nh---r", ... '~ ~ ~ -= ~, !.~~, ~f:I) ........ ..... \ m'" ~ e;-,,",J~")~ t--... . ") '\I'I~ H.: '<) ~ :;" .,,, ':'~7_f~ ~~~ ~fll ~") ~ -.II<;) '-a Cl ~~ ~~~ ~>-- ~ Cl --.j --.j I t:.. ~' " ?~: 'f.' . .., "\ ~ \,))';_ F.-"'- :' .: ~ Q ~ ~ ~ ,,~ ....~~ .......,~..... <a~ . "Io".;~~i ~ ~~~ I'v ~~.~.. ") 'I ~ L_ \ III :: r l l' ~-~ 11', 1! ~ " ~.. ..... l:" v1~ ...su .t '<: ~ . ~\ ~ " ~~ "' \~~ ~ . ~ " ~ \~ \~-- -~:~f-';~~~~-- ~~ I I \ ~<>:'.I f . I I :,.', -, I, I I . IN \ \----J L___J ..... ~w ~,~ ""'" ":l~ "') ". \ '~~ .~~ f2!: ~: ]~" I' ~"',; Of.' ~ I.. " I I"; ~- ~, , ,.' " '. i~: ,. " '.., . .,,' ::<L:',:,':' , · ,', ':-:-' '. :',:' ..' ',...,"".,,:., .,..",.>..' ",,', ",,' : '.. ',','.'. . .,.'. ,',"'.,' ',,"..,'.,.',.,,'., ," "" " .:. '.,' :,,' ';, <. ' ': ...,. , ','," .." >,; '," ,', ..' .' ,'. :' ':..'.:,i; .. ',:,', ,,".",,'. :', ".", :' "'" .' ...., .,.:',.,.,:.: "" . ,.,' ..".,>}., ',.", ,', ",',.,' ..',..',:.,' ."'..', " "0 :'...,'...:.,'. '.',: ,....., .."'..::' ;,,' . '::,,' '" .,,',: .,' "::, ".,.'.'" ,,;, ':,':.<<'" .". ' '." '.,'",' '""" ," ,> '....'"., " .' ". . , '" ',' :..,' ;, .. ";,.: .... ,"'.: "..' , ',',"i' ."" , . : "" ','. ," ,,"", ' '. ,', .' '. .':','. :: ':', ::";.,,',,,: ..,.,':,.,' , ";;'., ..' '.. " " ': '. '," , :,,', ':'. ," ' ,', " " , " ".::"',. .,'......,.,;c ,. :";',,:' ". .', , .:, , :', ;" '," . ",: ' "'! '. ",', '" , , .... ,:...,':,.. i.., " ,,'. , . ,..' ".. "... " f' ~ f , .'..',,,., ,.'" " i: 'i~' .' 1", t; 1';:-' ,- :';J ..,.:"..,.... , '..., ,'~" ' ';.',',;,., .\.;.:,..... ",0;:,"..', " " ; ..,,'" JAN_ !66 .' 'c'; 'IJj.'.' DEAR SIll. JAN_ 16_ 1989 , ' 1,/1 WRITTING THIS LE'rTER TO YOU ABOUT THE PARKING SPACE AT NORTH BEACH ,':',. 1'1'3 ONE BIG MESS CHUCK HOLES :3 TO 4 INCHES DEEP. ' ':" "'<... THERE IS LOrs OF PEOPLE THAT OIlES 1'HERE ,EVEN IN THE WINTER . ...;.c'.{, IN THE SUM~lER I GO EVERY DAr'fO WALK BUT HAVE TO GO EARLY TO FIND A PLACE TO ;T\' . PARK. ,"", I WISH YOU WOULD TAKE SOME OF YOUR COM MIS lONERS OUT THERE AND YOU CAN SEE ';", FOR YOUR SElF WHAT A MESS THE PARKING IS IN. ALSO THEY NEED COUPLE OF TABLES . IN THE SUMMER MANY OF THEM COME AND HAVE 70" PICNIC TO GET OUT OF THE HEAT. , ALSO WIND SURFING AND BOATING. PLEASE CHECK THE PARKING YOU THEN CAN SEE WllAT A MESS IT IS. , ,'"",' . .','.'/'." , : ,'. If " " .. .. " :i, :; '.. [ : ." 1- ~ '" ~ ~ ~~.. g ~'! "l: "'i I:l ~~~ v~~ :.;. :iQ' ~ :-- 2! '" THANK YOU I WAS BORN HERE LIVED HERE ALL MY LIFE. MARGAHET CRAIG. 'R, :,.. ',:;', :, " ' JD \\\'; / -..........--.-- ~~.,; '~ 'j !' f; ',...,' ":, ',',:::',., "', ,""..' ',', ." ' ':,;:..:, , '.., ',' ,',..", '., ..,;' , ' . '. .' , " . ':,>":,),,', :,'-::;,:..: :, " ." .., "': .'.,', ,,: ,'.,: .', :.,..,).. .,:, " "" ":" '."", . ",... .,..', :::. ," ,,','," ,,', ' ",,' ,':' .," , " ' , '<.. ,", ' . ", .",." " " "",'.... ' , : '....," '..' , ,,<~ > .> ." :,,; ',' .' J " ,:,' '!;'~~f't:kfJ' ", '.,' "... ,; ,':.., . ~' '..'. ' '", ,: .,'. .'. :,' , ; , ,:..:",..' " ' , ., t. ' ~.' " I.: l\ : . .. i' I, t'; '."'L'" ',..",'.',', : ;::, ':':", " , :..;'.", ,,' ," ;'::.. , ",::,.", : ' :.... ,...' " . " .. :'.. "" ' I:', " ..-:- I',;' ,'. ';1.. ",',. i\L";,," ....!"l ",' , ,',''':.','' 'J': ,:" ,':,',::, ',' " .,' .',,''.:..'' ':. 7" ,". "',, .... '.', , ,.','.': " ;.) " ,'...., ',:.: ..,.. , ,,",', . ..., , ',~. ,," ,.' ..'".. . ','..:...:... s..."',,' " .,....', ' ", ,,' " ,': ...... .. , ..'.. '., .. ,....'", '.... , , , ,.... ,:'. ',..;' .. ", .', ',:.. " " . . '," ::, ...,...' ',: '. '" , , " ..,','.. ',.., .,' ,', , " '. ....", , " ';,'.' :::,:,', " ," ..,. .....', ,". ',.,' ': , : .. '...,':" ,.,".,'". '...:'. .,' ,,' . ,':.:: ,.." ," ,'....' " .,' .,..... " :.."" ': , . ','. ' ,:,' -.: ','. " .. "', ,', , ,.." ,",< :, ' : ,', ,.",,', ,. ,::", ", .;, :',: :' "...,:'",. "" ., ,.,",.'. ',..'., '..," .' ' ,: ,...,./"..', , ,:' ,."'. ,,' ,,' , ',.,...' ':.,' , ..,,':, .,.. " .,', .", ,"'J"..; : :", ','" , ,'..'...'.: .' .. " " '....... , ", ", , " , ' . .. ,:"",-, ..',,;-',..,..,.. " .. , ,'i :,.. ..: g I II " : ; ., ,I.:, ,..,.. ',' ',: ',: . '. ',-1J',. . .., ~;t , ($ f, .i ~ " t i. r f. {, \, t r ,,' ....,' . ",..'.,.., , , .:,,, .. ,,', ' , , " .. . " ," " ;' \ ---0...... ~~ "W';/' ,'"" JJ.;;."KiJ:' &:ifNi'~ . r:/~'-,,, ,~ ,,~ JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Jefferson Street p.a, 80x 1220 Port Townsend, WA 98368 (206) 385,9160 March 9, 1989 Gary A. Rowe, P.E., Director Robe,t G. Nesbitt, P.E., County Engineer ,& Ms. Janet Perka, Agent ERA Olympic Real Estate 2219 SinlS Way Port Townsend, WA 98368 Dear Janet, Regarding your question about Gerald Adams property which lies adjacent to the county's property at McPherson St, and Discovery Road intersection in Phillips Addition plat, I have the following information. Bruce Laurie, Construction Engineer, and I inspected the area, and calculated the county property lines based on the survey shown recorded in Vol.6, Pg.122 of surveys, and on-site stakes. and the road right of way. We found that the house itself is not encroaching onto the county property. Because the house is in the city limits, the set-backs are the responsibility of the city, and I have no comments regarding the set-backs. However, the stake showing the northeast corner of the property is set within the county property several feet. Al though this is not of major concern to the county at this time, the county cannot permit any utilization, such as landscaping of the property, or any other improvement, You inquired also about the possibility of the Adams acquiring the property from the county. At this time, the only procedure for the acquisition is as I previously explained, that the applicant must request that the property be placed on the auction rolls, and place a percentage of the bid with the Treasurer, We are in the process of reviewing these procedures, and hope in the near future to make the process more streamlined. If your client is still interested in pursuing the acquisition of the property he/she will have to follow the current procedures. Please contact me if you have further question. Sincerely, U-<-tdu- ~n<. M, Carter Breskin Property Manager 100% Recycled Paper ,," :,' ".. <,',' :,.,.. ",; .,' .", , " :,'" ". ".... '., '<":,'., ': ',..,.',:,..,,,,, '". ':' ," ,:", ',"".., ",..-: ': . ' , : :", " :~ .,,::, ;. " . : ':" .:' .. " ',.' , '." ' .;.,.......,..:' ", ," , :,,:,~" "',.::, '.....'",' ",< " ".," ,: "', .,', :.' .,.' ': :',\ ,~.. . ':' ',; " ,>' '.':,.".,."" ." '-: " .','.., .', .', ','," ,.",: ' ' . '.' '" ,'.'.',. ,,':, ,',. ..., ",. ",',' " ',' ", ',':' , ' ':' , ',' "'."':',','" ".. ,..,.. '. ", ',., ", .,.'.. ,..,,' ,'~",' "',: ,'h,: " ,,:;: ,..: " ,>:, ':,:,' " ,,", " ," ". "::'" '" ,'.', ' ':',' ,:, ' " ,,',. ......', " ,"' ,,' , , " :.. :":" ' ,.', ,,",:",'.- ".' ..' :': ': ' ",' , , ' " ": , .." :~.. " .,,',.'. ,:'" '., ':: :,:" ..,'. : ' . ,,: '" '... ",',,' '"..'. .... " .... " :' ",.::: .., : .'..,'. :,!:: ,:'< ,".'.",' '. " ' , ,,' ;....' ,,' '... '".. ' , ,",.. ,', ' ,: ',.." ',,',',:. , '.' ,:: " .. ::: '" " "',':' 'i,,' ',", """'! ;,<... , , ;. ,'. ,'.":.:,;"'",,.... ' ,~ \ --1,'_~ <~ \">'(1A~t~? "'~"t:t~,z-,'.Jj ~,.,-~:, u rr./~:~, ~")<:;, I. \ .).<,:.t" JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Jellerson Street P.D, Box 1220 Port Townsend, WA 98368 (206) 385-9160 Gary A. Rowe. P.E., Director Robert G, Nesbitt, P.E., County Engineer March 13, 19B9 Denny Lockett Glen Grant Schevrolet ~4400 First Ave. So. Seattle, WA 98168 Dear Mr. Lockett: We herewith return to you the bid bond placed with us for a one- ton flatbed truck. Sincere?r' E j.J~, E.D. Simon Administrative Secretary xc: A02 100% Recycled Paper J~~~r:~~r:~'S(~-~: ~~:,~'~.;~I"{'~- " : ,,~''',:. ,',,' ...." ..,' [' ,: ".' ..'. ,'," ">,>..,;,:"::'~ ..,',' ,,'. '.. ' '," .', -- . ',~ ,,',..': ,,,,;, , " " :',,:, ' , ',' '.. ;; , ......L,YCU{.. Je.~.'t4..e.",--, TO ,..,;Jl3,.,5;11~/ .It,,,. (.~.. -.,- , A fl I ,,,-_.,, (W/f q f3fo! I ~..()".,. ""J'I\'"ISe:1) Wi-, ,)"'''''~;' .... .. .."..I.Ov..r::L~d)'(. /.. ' ..",....'.. (2G6) ~,85..35(J5 ~UBJECT:lfl1-L: J~luL&^- :".. DATE: /2-6'.." 1..(, """ ~oL'!,L,_.......... 1(..fa...{..v....d-<-!1Y~V 1~~ ;t/Vr.M-' d~~M?-JY"-~<V tJ-~, ", ..f,~_2..~ncl,rf;t,~.I~ "'t>...t!:{/J.. ij~._, . ! /ltZLM?..: vi~ j.u..:x,t.Jl.-c..._ ..Af:.J,e.d.&i.,(cL..tofj6 b~/~ \t4..c?:hL.n"(~n.2/IA(rI'''''' /cl./I9....,...... ..,.lJJ ML~..1}M""j&~O:{u~p"7 {Y)J1p,t ",,' U.. IJ;/Vl 'L<<?l , . "," ..",.. . ,. ." ",..~"""" ",-,..,.,....~ --.. FROM Dep2~,!I!l!7'!1 ('1 Pdj:I'" V":,,_-,"":} Co~;rtrloUSB "f ::,~ ":' ';, ~"'~~"~~~~''';~~':~'~~~~:Gt: CcnFG1:~ r~:: c~;:::;1Jt;~~ / ~ REPLY__...... .........,............' ....... ,...'..,.....,.. .. ...... ,....,.. I: I > \ --------_._-----"--~._'- --~_.~---^ -----..---- --,~".... -- \....DATE: SIGNED ./ Item II F72@ Wheeler Group Inc. 1978 .. ~c" , ,<, '. ~ .", " , 1 I 1 I' i "r'" , " .. j '~, : DETACH THIS COPY-RETAIN FOR ANSWER. SEND WHITE AND PINK COPIES INTACT. "" , " " ,< ." ., ' ',' , " ....'_.. .-'" ", ';c>'.' '", ,..., ,,":'.",:'. , ' ..'..' ',c'. . ' , " ,', . :' ,',..' '.." ,;. :: ' ",:", ' , " :,' ',' ' .. ' , " ,::,',' , .. ':', ",': ,"'",' ',' ," .,', ',' '.. ':'.. ..': ,: ',' ",., , ' ": :..,'. ' ,,:. ", ' , <, " , "..',' " '.. . ,,' ' , '. ' ~ ,..' , >,,", :", ':: '.',:" 1.. " "::o, , , ' '..., ,:' , " ,'.."i., .' '... " ,.... . : ' ,..;.. : ".~"" . ..', ' ',,' " .. ,',,".', ' " ';' ,',. '., ".,,', , ' , " '",. ,~i ' , . " '.' 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"".i, .:: '.. -, ":;", " " " ",' ",..' ." '. , ';"1' ",.". " Ilil JI cr( ,:(,?7- ~ ,P(,,-t, !; r \\ " J II 13yo..Y 'J€,,\"s;'<2-IJJ '}"''\'Jj'.)f J~IJ..t"",,::::ii... II '0 ~ - S.2!:,,-Q S"\ WiJJ'R.",):"".)<; '1,/1 ~ ,,\ \ ;;~'~ :5 - ~),. S(Y: I 1""Q q '{oS 11!li - Cd'''' " I, J _ a.l- O'))~S )1'.1' ~' /l A ~:;v 1!II-,~~ . 1{;.('~;";f/~.c~C./u~'e:..u-- /7CXac<.._ Ii/ ' ct 'v ,<. !o 11'1 to r, :i/ f'J o-.{.~ ff7f~~() 1:.0 u_J t,V1~~ "L(^.- ~) u~~ ?';'Ij-C r:rc;J!/ !'L-/, }' ,( ^'V\QIx r"(j\ (I, -, I. /'f/ I" fl (i I" ,[) r I '~i)f'-' y -..... ~ () ('2 (__~~o./nl t? !,; K-<..., ...;.-{' I'! V () , . II ~ II C::--.I,,,",-- ,n I '("1 I ( 1;I,r.,prvl a~~ I W06CA I (f,--.U:.'j) ?':i>'V) rrl.0(L~. - Ir;:.eJe.. I)!A u b.L t'W hJ.Ji, I: II III C~a -I- I-d wA.J-~ 1:I.P0 _~ "'( / \ i'i '-' 'l ( U/c V f/L&~r' / ;J(J A'l ./ 0 "".' ',",...:.""-;'"..'.., ... {/ ',- -(- - '~'.... , ~'" ......' ,', : " . "...',,:, ,",. ~~\<' ,', . ,'., .,:', .~ ....,~', ,":'; ", '.., , : .,','.... ,,'. ." '. "'.. ,',', ,',. ',>': ;", , " ':',', ,..', ,,:, , ' '.."',,',' . ", ,: "..,":','." (', '. ',,": , ..", ,:" .. " '," ", ," " '.... ,;,' " ' ',..,.... ,',."::...",..':'" ,'" .. ,'.. ,<, ,,' '.., , "'.'...",,. ".".., ,.... ;., , ......,,':, '..,...." '",,': .. '......, , ' ,:.., ,',' ,'." , ,.',:..," o", :"'..: .....:, ','.. ..",:"..."" " '::'.", ,,:,.' ", ,,:'. ',', " ,'" .....,' ,',., ,'J <,' ,:: . ': ' '.",: , ...., ;'., ,... ' : ,,: ... ' ' " ,', ",''' , ...., ',' "., , . ; ,'", ..:' . "', , ,', ,,' ..,,',,:<H, ',.,", ." .,' ,.',:.' ," .. .",',' ':..., ,f,.: ',., "..." .."".. . ' " ,'.:,'.. " . .: , ' ...."'..",' , :". .' :'. ".:, ' ,,', ' ....... ' ,Ii:,','..",.".;'",' .' .,' ,;: ':," ", " '., :,,\; ',," ," ; '. '." " .." , ,'..' ',.',,'..'" ...':' ' "',.: ,",:,' I"'.,.'.'.' ,',,' .': '.. ,,'.' ' I" '." ...-:' ,,', ',',', . ..;'..";,.'.". ' ,.'.', :', " '<, . ,,: ,: ,. ".., ' '.:. '",', ' , :..,. ,..., ' .' " ;~~ :;).~~ J '3 ,[ ! I ,j o ";'::' I :1 ,': o,' ,,>.. ,.',,' .,. : :.: ',:,:' ,,' " ,': ,',.,:' , ", " ...,...,,' , , ,.' :,:' '",... .' ::",' '" .. . .... ,"'; , ,',,' '.. ...;,' "...., :..,',.;., , ,', ,'..:, ',', ,'".'. ' , ...... ',:' ,.... ',:,--:-- ,'" ,.,., .,,'..': '::,':'" L; ,,', " !: i ,'::C I I , " ..",; ",' "":':i , . ".... ' " " , ' , .'" c, " '. " , , "".. ,,'.. '," ,",', ,,"'''' " , ',.'..' .".. ':..c : P'U/4 0-0/0,/.:2- ,.,t-/"'/a~//"'/d l';" iEi;FERSON COUNTY ~''''---'''':'<-~ :.,.'/ ~ .'~>i' ....... -.> ." - "'''?~ August 24, 1988 From: Warren Steurer, Director J To: Carter Breskin, Facilities Management Re: Capital Improvement, Memorial Field Jefferson County's Memorial Field is in dire need of a new fence. The current 8 foot wooden fence is structurally unsound and unsafe in many areas, particularly a 240 ft span along Quincy St. Tests on the posts indicate significant rotting throughout the entire fence structure and most all need to be replaced. Since Memorial Field is a "center-piece" park in downtown Port Townsend and a War memorial, its focus as a host of many public events~akes ~Ci't""an appropriate expense for Jefferson County capital i,rnpro.veml'.nt", . hough School Dist,ricts use the facility (and pay rent );;~;:,be1.'i'ev.~\;-r, , ts'-the County's responsibility to take"the lead on thli;i "improve'ment,;, eroject. Currerltuses of the Field include. ..' Autumn. HS Football (PT & Chim) " Little League Football HS Soccer, PT Kinetic Sculpture Race Youth Soccer Mise public events Adult Soccer Winter. lies dormant Dee through Feb Spring. liS BAseball, PT Salmon Bake Senior Little League Misc public use & events Rhody Festival Car Show Summer: Baseball cant Adult softball Circus pickle fam circus ~~~cce~gl~gt~~~~t~S The fence project has many different possibilities. After research and inquiry from fence contractors these are ,the approximate costs that I have determined: , 6 foot wooden fence. $7.50 per ft X 1658 ft $12,435 ~' 8 foot " " . $10.00 X 1658 ft $16,580 Jt 6 foot chain link . 4.75 X 7,875 8 foot " " . 8.00 X " 13,264 * 580 feet of fence on the back side of field is in the best condition and not seen from the street and therefore may not need replacement. Thank you for considering this request. PO, BOX 1211, PORT TOWNSEND, wilSHINGTON 98368 (206) 385,2221 \ ;, .,". , ' ' '., ," Co' .;".. '.. , ''';.' ;'" ,,:....; ',0: ',' : ":, ,,',' , " .'/ .,' ,.." ..,,' . : ..', ',."., , .: :"'[" ,,' ":,'\,' ,',: ';" ," '. .,...", ' ,.. ," ,'...", ' ..,' , ''':', ". '.... ..,',.:....;: ',r "> ,'..' '.,.,.'.' , '.:,t '.', ',' ,,",. ":>.; ,.. " " , ."': I':"~:': '..' " : I:: , '. . .. ..." ,:',' ':" ..,..'....".. ..'" , ...,..., "'.,: "" ' ""," ,..' , " " :,'. ".'. ,'''' :"",' ..,,', " ".'.. '. , ".., , " .'"..':...",: :,', ,,': ,", .,': ,::' "',... '"..." '..,' '" ,....' .',', ,', :.. ,..... ,", ,'" ' '. . ',,' ,',;.. ,; : o' ':, ,',' ,",:' :: , ' .', ' , , ' ' " ,.' .',':.'" . ,,', ;..,.'," .', , ,> ': ' ':, .<:: ,\: " .'".," .'i;'"',>:" ..'.,. ',.., . ," : '., ','., ,.., "'> " " " " ,,!".. '" . ." ,',"." ""..' , .. ..' , , ,i I t: ~, 'it. i-, , " ! :,..' : " ".. ':,. , '.. ':; ,:':'" f' ., I, ~ " . " ,. , ''',. :, : ',;?" , ..' ,H: ", , , ., ,,," ".,'EFFERSON COUNTY , ('API1'AL OUTLAY REQUEST DEPARTMENT: Recreation DATE: Spot 1 Q8R :.. " "', ',. .; ,.,.",' . "': ". ',,' ...,~":,';;:. ".' ,. ';',"', , , ' ." " .... "', , INSTRUCTIONS: ], A capital outlay item is defined as an article having a service life of two years or ~orc and 8 value of 5500.00 or more. -w::: t .. ,,, " I i( I 2, Record information on the form below for each capital request, Indicate the use of and justification for each, Each item needs to be listed in order of orioritv. 3, The requests will be discussed at your budget hearing. The capital requests will 'be compiled into a capital improvement budget. This compiled bUdget will identify the funding source for items requested and the associated r~ntal/lease rates, At this time no inf~rmation ib required for rental/lease amounts. f R I o ITEM DESCRIPTION (INCLUDE USE/JUSTIFICATION BELOW ITEM DESCRIPTION) NEW OR REPLACE (N OR R) PROJECTED IN SERVICE DATE UNIT COST UNIT COST p Fence Memorial Field 8' wooden $10 per ft ,x 1658 ft R MARCH 89 $16,500 to $18,000 ~~ ~~ ~ ~ 'f' [ Phe fence surroundina Mem Field has been in di~e need pf repair for many years. ~here is significant rotting 'n the' majority of post ~nd many section are collap- ~ing to wind and weather amage. ~here are options to the Eence re-construction with =hoice of materials and ections of fence addressed. rhe fence project has the option of being built with apita.l Imp funds or Hotel/ 10tel Tax. Please see ettar attached to Hotel/ ~otel request and with equests made through acility Management with arter Breskin. Thanks W. Steurer J i.i!~:" j", I, " " ," ,'..' ,,',; ".. " "',,.. '",'. ,,:,' ", ....,.",' " " ,',:': " " " " .. .'.... , ,..:', '" ,', ,'" "..,.. ' ," .. ',..,.:, , ': ..',.. "..,..,:"",. . .'.., " ,."': "., ' , ,; , ""':, , ',' ,,, .:. , '.' .". ','..' :':, ',',' .,. , ',,', '. : ': ...' ' " .., :.'..:,' .. ';, .' ,': " '.,', , " "" '.,' " " ,:'...,' .', ...., ...,'. '" '", .'., ' " ' ..' ' ,.:".. ,;", , 'o, .. .,'........; ,"".' .." .'.H"..':,'... \:'".,., .".,', ,;.' '.'.".... ..., .,,:" ',": ",. , ..." " " ' .,.' .., .",,".. " .' ..; ,.,:", ,'. ".::, :', ,'..' ' ',' " " " .,..: , , ;. ":,:" ' .', ", .' ..." ',' <i; ,: " ' ' "",... '" '., ,....,. ',:" "',," ':' ""." '.. ',,' ',": ,:,:';"'" '., " :..:'> ' , .' '" ,',." ',,' ,.,,' ,"" , ":, '. , : . :' .. ".., ,.,. . . ' " ,I' . :,,: '. ",,' .' ". '.' . ",.".,"..../ , ,', : ':':: :..'.,' , " . c...,'.".',','", j. r t . " , "j: ;,~~ ; '.' ~ ?~"~ \ ' .:::" " ..' ," f ~-: "H (, '~, t' } " '~ , j~ ~, f . " N .~~: \",,-. i i, ~~, t :1 ,c " ., ''''n~'''.- ~~,_'u "'eo .'C, ,> ,,' .', ,'", ,'.' '. ..' , , .. , .. ,", ... " .. , ,', ," o,:,..,eo, ":;..,',':,, ...., . ',' " '",i'i ...; . :,',,, ,':, '., ,,', STATE OF WASHINGTON COUNTY OF JEFFERSON In the Matter of: x Resolution No. 26-89 Establishing a Name x For a Private Road: x Hoyt Road x WHEREAS, the Jefferson County Board of Commissioners has been petitioned to establish the name of a private road located in section 4, Township 29 North, Range 1 East, W.N., as shown on attached Exhibit "A", and WHEREAS,' a majority of property owners using said road are in agreement regarding the name, NOW THEREFORE BE IT RESOLVED, that the road shall be named Hoyt Road. ADOPTED THIS 27th DAY OF MARCH, 1989. JEFFERSON COUNTY BOARD OF' C0l1l>IISSIONERS ....-~~..u-~. .0,,:, '/", ~ "',: c ~ v y~~':\...'-"" . ...-::-;1, 'J'" \. 1.",\'lI". ..~n-; \. . .::- . _~,~_,_. '" ] 0.,\\ \ ~,.. ~"/ '.. "'\~ " '~-~t ' ,'~' :'~;,!;,\. \; \ :;,;, , \ ':,.:\-\, i:,.l. // :y-}r J ... .... \ .,~.. " .. ~II' I \.. "',\ l\...._." ,~ - ~ .1/ .! "-:.1' o' .." .). ...; :.::...J:" ...,j/~/, .' SEAL.," .~. "0):'I~"" .. '~.., . =1'..;0.'.... . .(/ ~-r'Y-r - tJ- ~Q~-V--____ George .. Brown, Chairman ~~ -u-. Larr . Dennison, Member .&/~~ B.G. Brown, Member ATTEST: a/~2.r,' CI L\ JlI1./l'J J!J...I Lorna Delaney ^ Deputy Clerk of the Boa~d .,' ,';,:.:,".:: . :" .: ':, ,: '.': '! :' ':, ;':. ",', '" '..,'.":,, ,..':::: :,'" " ,,' ",<' ::' ': .. ", :. " ", ',: '.';...' ," '. '., '.:.. .. '.':', .." ,. '... ..... " . "" , ,,:.. " " .... '::. ',' ': " ,,; ,., :, '.' ," " ..',.. ',., " \o, ',' , " .. : .,...., ,::' ':o",':', ',> " . ' .. ' "",: , , " ': " . '.,', :'.'... ..,... . , "" .. 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Hovt R ..... mp 0.54 ".H~ ----- '-1 ) I '..-'OW" o.ue ... r; I -. ~ I ..J . .,. < tI! .( a z . ... \.. Up t..a~ r ~.. ..... -,.- ?-..- Lif' L.Sf Lane ~ . j. "~ :... ...~ -~ ) l . ~l~~ 'or --- . ...... .. .. ~C.., .... ----" ~... .... '. .; --.;- .." ,,:';:, ':' .. ',".. ',,","..,., " " .. .. , ," ',',',' ,,'. " ,'.'..', ,',,' .. :,'" ..".." , '.." .. ':'':.',', " ,,",...' " "::.','::',,<" """....,'",.., "',,::':c :,:.' ,.' :' .....',','....."",:.,...,.. ..', ",' :.'..o, '.. ',', ,,:, ,,',;.:' " :",.,',: ',,:' ,,:':' ',.' ',':,,,.., ' ','" '" "" ',,'," ",' ",: ": ," " , '. , " ,':',':" ," '.' '. ""'" " ""., < " ' "., ,"". < ".", ," , ,,', ," " ,: ,:,: .' ',' "', ' ..' ' ":'" .' ':: ,',', ",,:,::.'. .<, .::."" ,.."" , ;', ,,:' ' " ,'.. '::,,'" ":" ,: ' '" "",::: ':,' '",','<':..' ':', :, ,'.,: ,/,' ',..':"."" " ':: ,"",', "":,', ",",," ,: ' ," :"" ' "',, ... ".., , ,', :',",', ' ,'.',', . "" ','" , " , ,:"': ' ..:' :..'..,' ;, " ,',: '" . , ,,,', "",'" ,:' "', , '. ' .. '," ':,..,.. :' " ," ...., ,'.. . , ' " "i ,'" :'," ',: ... ,'" , , ,..' " "o, ,..: : .'.. ,.... ..' .. " " ',".' , ." ,"', .,' ..:' . ': .' .. . .',~.;.^ '''r. ..... , . '.: .... 'co' . ..',' ,.,,:" , .'" '",.., , '. '" . . . ' V., ':" . , , :... ,.', .> i" .' .... \.' ."'" ' , ",."" :' , '..': ,','" ...... .... '.. ",' -', ,,:.' ....:....< '.' " .,:,.:", ," ,:' i, t., p~~ &; !/' ':i'c ;; j" t (" e' ~. t t .' ~ >, \" < 1: j, td \ r i~; !, .",' lf~ 'i'<'\ ~, ",. "." ....H...,~.. '...."..' .'C' , ,d '" . " , d , ".,', ' :, '" ',' ," :' . .' ,....:.,'.,.. " ',':'" ,:,' " ') " :,:. " , ' , '..,:' PETITION TO NAME ROAD RECEIVED MAR 1 4 1989 JEFFERSON COUNTY PUBLIC WORKS DEPT WE, THE UNDERSIGNED. representing a majority of the property owners along the road. do hereby petition the Honorable Board of Jefferson County Commissioners to name said road: HOYT R OR tJ PROPERTY OWNER PRINT NAME << ADDRESS SIGNATURE / 0./1. /tOil' : /t/f ,--7t/g,:;;;:f RCj'oO)<,I~r.s- NcR.DI-.fT'J/b: &'(..v If' I .. <7''i's''3<;'''X' : -t..rfllVJ e S C ~ VTC n : U ....J/ -I '?O 13,,, 195 IIlloRd/FlNd: f,~L (P~7" f~ 'l$5!iG : " PROPERTY DESCRIPTION $e.e~ "i?l iT ';"'/ t- ShOC2-T r....fI .....:' ,," , ',/: ,.,.,' :,... ,,' ,,"':' " ':., "',' ..:".. :',::,"" '"., " ' , ..." ',..', t," " ':, ',: .:', ,'., ",' '..' '. :".:'" ,"., ",.' ,', .. '. " '.' .,:;' ,.,' .". .,"'. '., :,: ..' ,,', ,..: " " : ' . ..:: .' ,..." '," " " .:;' ',' :,,' ." ',;, " :',: . ':::','i.' "", , .' .: ,...', ,:',. ,,',::""'" ,::, ',.. ,,', ."'...::,' . . ,'. . " " '. ,',: .', .' ',' " ,,', '.,','" ,...,":', "" , ,,'. . ,', '., > ',', ":, .,"... '" ':.....' ..,:' '..' ," " " "" .' ..-' ,;, .'" ' , . ", "': ',: ,:'. ',' ", .',' ,', ::' '.' , :':. ,.", ., ' ',,' ",".,'....".. ..:,:;:,..,.,,' ,..,',..:..',.,."" "".. " ,'::" '," , ", ':' "'.. ': ..',' '"'.. ',," , ',..,..,u ,:,. ",', .' :":: '" :'; ",'. : " . .' " '. '....:.,' ", :::,:', ,',::. ........:,. i'" '","" :' .....' ,'.: ,,' ': , .. " ,.' ", ',' , , .. '".. ..,..,: , , I I ":' ',)',."..', N" ','.,..' , ,;,.. " ' .. : , ", , )~ " ~ ----'- "-~ ?I L '&:;,~~(.r:,. ", ~.;"."',~, , ~~d~~( {.r("~;,..-;\ ----.J j-,.~,.;> JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Jefferson Street P,O, 80x 1220 Port Townsend, WA 98368 (206) 385-9160 G.ary A. Rowe. P.E., Director Robert G. NeSbitt, P.E., County Engl',eer March 30, 1989 .-; f3 Skip Gibbs P.O. Box 686 Redwood Valley, CA 95470 Re: Railroad Flatcar with Partial Wood Oeck Sir: The Board of Jefferson County Commissioners has awarded you the contract for the above referenced item for your bid of $7,370.00 plus Washington State sales "tax of $574.86, for a total of $7,944.86. Enclosed are three sets of the contract documents for your execution. Please execute and return to this office for further processing, all three copies of the contract and contract bond on the forms provided. If you have any questions, do not hesitate to contact me. Sincerely, ~ Robert G. Nesbitt, P. E. County Engineer Encl. ( 3 ) xc: PWA02 100% Recycled Paper ':.':-....., .,!,' } , ~ (, t ,',',,' ',..:,' ,... .. ". "", ',"..:'", ',,'.. ", ",', ' :, /'.,' ',', i ': '..:, ' .". ,,:i',:,.: ,: ..,:'. ,: ' ':, , '..:,.... ,'" '., , ,..' : ," "':. ,", :,'" ,,''', , ' :. . ',' ;.",,<" ' " ,',', :,", ,', :,' ,,:' .,'..', ,.., ': .c..... ". ...', , ':" ",,:,. ,',"," ': :'..'. :,:'..' "",,'..' ", " ",:'". "...',,',' '.', '.' .',' "',....",'.'.' :, ,..,'. .,., ,'; ';..: .... "; ",., .,,:'>":': ',,',. " ',' " ."'."." ",.:', .,: '.. '" "::, ,'. ,,' '. "-: ..' ': " " ,', " " :,' ': ,:',.. .." ,. '., ' , ", '; '.. : ,', " ':,: ,," . ".'.. ',: '.. , . :,; , .. :'" , .", ' ","",'" " ' ,..,'..' ,'" , '.. ',' " , , '" "'. ',"', , ',' ",: ..." ,,, o,", ;,,' ':::' ,','., , ,,:', \, :<:<'~' :..',' , . ,'.. ,,', . , . ',: ':, .', '>, " " ,'..' ::' , .. it; .:,'; '..: ;,; ,':., " " ....','.. ,',o," ': '...' ,:,',", ': c" :: '::'. ,', : .'; ,,/:,', . '" ..'.. . ".".,,' ,'.',,' : f: , .. ..",', ',' ,c,'.',.., '::c' .' .,;' ,,;, ' ',. ....',,' f Ii, ;-:'''t' "",."::;' , ".',.'::'. .' , ',.' , " , ",' :;:, ',', " :', """"",,', ,,::, " '.".:" . ",'x".,,:' ,:, " \ ~ t,~i-v' .if fr,''1 (, r,\!,., f'''', ,;t.,!, JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Jellerson Street P.O. 80x 1220 Port Townsend, WA 98368 (206) 385,9160 );.(. f~ , f f;'~ Gary A. Rowe, P,C., Director Robert G. N'ISbitt, P.E., County Engineer March 30, 1989 Pioneer Excavating P.O. Box 149 For)<s, WA 98331 Gentlemen: Jefferson County wishes to thank you for recently submitting a bid for a railroad flatcar. Your time and effort were much appreciated by U$. Another vendor was selected to provide the flatcar. Enclosed please find your check for bid bond in the amount of $399.92. Sincerely, ~~ Robert G. Nesbitt, P. E. County Engineer Encl. xc: A02 I~~~ [~I First Federal Savings & ~?~~ ^~~c~:n PORT ANGELES. WASH., No,OS008674 19-50 MAR24-89 62 12;0 . . . . PAY ........................$399 ,DOLLARS: AND 92 CENTS AMOUNT TC' rH E . " .~:? ~.< ~,:, ',~ " x '>>-:,t" >~,/"'"' ~~;:l,/i( ": .J{:::>tu~ ~ij"::~,~;f~;:{.;,.::~~.>:.t..(,1~ OAo"/A r:!<" ..... JEFFERSON COUNTY ,TREASURER .......;1,'.;.;::.:\.., ::':C1"';'<;: ~:,'<':!'?"<:,,::';\t:/..:(,,, ..:;(....$399.92 ,; . .'::t~1!i' /~':~:s1t~:;~~~J'~~ Jj~~ ,,']t~:w::::t,tr.._'~"~ '~~',: ,..', ,RE: P'~'~:~o8~:i~:J~:'~ 2 JJg~:~~ 31:, JjfJ~~p;;.<-J'{j~r ' .:!' % It' i i t. ,','..::.. :',':'", .... ,'...,,"':', " ..', ":':',': '.'.' : ,'..' ,...' ..,'.:': .", , ':, """: ,.~",," '. '. ,', ," "" ,:", ,'.: ': :.:'" ..' , ". :',',... , ,'::' , ,', ".", ,,',' " '. ,': " '.. ,<:...., ':,.,P · ..,.. ' , " ."'" '" ,.,'. ..','.., ,'," ,:,'.':'" ; ,,' , ,",.:,.. ': ":'. .,.' ,":' " ,.':.',', " ,,',' ':, ," " ,>" ,:.,', ':, '.,."" ".','.,...",.,'.., ',: '..,.., .. "':', " , . ,',' .' ',:' ','. ' .' . ," ',. ' ,,, '. " ..' ..",,:', ' ,..' , '" ," '0"" ..':,:,'..':' .'.: '..,:,.., ','" ,',',' ': "..;:..., ',.': ... ",: , "" ..... ,,;, ..' '..':,' " :.'. ,', ' ' ' '.. :' ,::,.", , ','. ",'.)'. ,:",,' ",: ',' ,,' .....'. ' . " ,.', ". """ ":" '.: " ','. '..'" " , ',:" '" ..., :" " o . ,:,"" ''''',,': ":",.. .",.', , "I ':,', ",:;: " : ,',' , . ,,': "." ',,' c;:,,;' ';, ' . ... .,. .,. . , , " :,,: ,-:: "i; ',., " '.,' ',': :' ".,:': ;,' r i,i~ t~), i ';. .' " :,..; ~, tl- 1: -"",.- , ' I ,.. , " ">" ,',., ' ',; ,~i...:, ' ,~\.: "',~ .' \. t , \ l ! b . 'f , # ), I \ . ' ',~' ,..'" '".. .,'" '", ".:' , , " '..', ", ..,' '. " ..', - " , " :" ,", " ',.. ,." .,' '.' -'1 i.~SC:G /<"'( .<llZ"", .L c.." ,,: dl,o"; t 0,~lvlj~ Q,re w "'':!-I.~~j____. (~~~!!!/I.., R7-J?~,~T,.-, 1~,~ - '~'.$k€- /"1cc;;. c2. M c:.l/er : //~'~.:s- r1&1:'r;rm..u/ ~A.If{Y Ff~'17_{~.~ -"- I W,4L~ &"AIv,j C!..,.-e./<,/ , 7/? ytt-..< , I M.4ThcSC''v ; -:t::!'.:t Ti!. ~ /.(.6'1.9" A"71(..r.~..... ..$.~<(..:; S .tC!te Li--h....,._ S/ C/< 1.~" "'c:..- :2 --7-87 /' ..., ;j:\, .,:, :,., ",..,' .. ",,:,', '",' ". ,: ":', " .' :,':' " ,":' ':.. ''', :' , ....,' ..:,..'.:.. ", ..:'"".,,:,'. ,".:,,' .,:'~' \ . ',' ' ",,;':':",",. ".'".,:"'.',;",.",,.,,;, " '" .. . "',::,' " ",", " .:",;, , " .'/' ,...,.. ,:,'::,,-: ,"" " , '" ','. < ,',' .. ,.' '.:,,' .."., .,,':', : ".' ,',', ,',.,',',:' '.;' " , '. ' , ",' , '... ',:' , ':" "", .:,' .", " ,,:....:., ::,' ," " : ,,'.. ,: ''': ' , ',' , , , , , ' ...: " " :'..' .. ;.-' ' .. . .;.. ',' ' ' '" ...: ,', ".', '.. .. ..'. ': .' '" .., '"',, , ,'.,.'... ,:', ;, ::' " ,::, .. , ' . ,; :,'. ': ',."" ", ,.'.. ":.."," " , " '.. "." ,,:,." ',' " " ,: ," , ' ',..:'..', :" "" : ;::, ("'" ,:' ",,'," ,'.":, " ,,', :," .,.' ",.' " ' ".. " ,,', ,,:', , ':." ,: ,',,' "',:-:: ,",' '''', ',', ",: ': , " ' ' ":,' :., ',;;, #\ '. ',' , . , ' ',', ,:' ',' ... .; ~ ,', ': , .. " ,,': , ' ,:':' ': '..... ;', .>",:"'-', , :'" ", ..; .......... t<" ';' 1 , r t ;t' .t , ~' E ,'..',. , ,,', ,',,',,' :':'~:" " ,,,, , '. ,',' " " . ,..;:"p: , , ",,' , ,', ... """ ' ,:,", '.;':,..,........., : 1 \ ,~,~ ~~~".~lJl$i( ~~~ 1J'~~ '-l~ . JEFFERSON COUNTY OEPARTMENT OF PUBLIC WOR~{S 1820 Jeflerson Street P,O, Box 1220 Port Townsend; WA 98368 (206) 385,9160 Oary A. Rowe, P,E,. Dlrect(Jr Robefl G. Nesbitt, P.E., County EngJmJer April 3, 1989 Paul Setne Fleet computing International, Inc. P.O. Box 14698 ~lbuquerque, NM 87191 Dear Mr. Setne: Jefferson county wishes to purchase the Parts Controller (parts room inventory) software. Enclosed you will find a copy of Purchase Order No. 7880 to cover the cost. If you have any questions please feel free to contact me at 206- 385-9166. Sincerely, ~~ Robert G. Nesbitt, P.E. County Engineer Encl. xc: A02 100% Recycled Paper ,'.... ,. ,:.' ',..,..': '....' , ,.., ':'" ,,' :':.," :,' ..:,..:.."..,:..,',... ,;'," ','".. .."',..,<,.' ,.., " ',;: " , ",',,!..', " ,:, .",' " ',::"" ",:,,,."" ':, '" .. " '",it':,> "::" ,,', ",',' ,.,,'. ".. (:::." :", ",:,", ,', ,.'::':. "':' ::', ," <:. :"<";; " ..'>" ".:: " '. i. " ,'.,: ," " , ,..'" ",'.,:' ,::' ''';:: ':,.', ,,"',; :': :,' ,",' ,',;:'" ,..'..',,' .." :....,' ..'..' '.' ;" " ,', ,,' ,'," , ,'", ',:" ' "." : :' ., .>,,'.,':' " .: ',.' o, ">:',, ",., " " :: '..,: .; ..,. ' "'" ',,' " " .: .. '" ' ,; " : ',' .',' ." ,.;, . ':,": ,',..,,',' " . '. ,,' "., :' ',', ':," ;:: ''''', :,." ..:', :: ":"':':,' ,i,", ','", . ,,' .'" , ,,',' " '. :..' .:', "" ' ", "...",:,:,);.'.",::."i' :. '. ". .' '.. , "," ',':.' ,', ,; "."., . ,<~: ,," , ,,", ,:' "~i, , ": ,':' ,;' ' :" ..',':, ", :,: ::: .' ' J" ':' :<,: ... "',''',' ""', : ,'?': "..,.." '..".,': , , ,,":' :,,;::.' "', ',' , ,;,,', ~ ,,:,:' '. ,/ .. , ": '~, ." , , " " "''',' , ;::. ," , !'; ..',.' ..: .' " :'.,,:,. .. . , < ! ...',",.',' ..."", ;',", '. ;~ F' ,,',; .. ':, ... ,..,., I~ " :... ':,', , ,:,",; ",:' ,,' ",' ... ",'" :; , ',' ::, , , , , ,', " ", . ,'.. ',' " '" , :, ' ',,' ',' t Y , " , , ,', ',',':,":, ',.. .',.' ....,o" : "" '.."" , , ,', " ,..,.., , '" , ,," , ..,..."" i ,", I ~, ,:f " ~' ',.. . ' :.,,; .',' ..."., , '..',. ' : ..',,. ,'.. ','. ,; ,', ' :,', ..,'.., ',': '.' " . .' .',.. " ,," , , "', ':",' ..'.' , ' ,,'" " ,: ,/...".' ;',' , '.. " .: ',' :' ' I;, i "" .....'.....,. " ,,: ~.., ,:', '.,', ," " , . ,: '.... '.' ,'" ,.." , " , " '. :: ",;' ,.., .:." , ',' ~,:,:',:,' :;:,::::';,:'''>:'< .'., :' 'L , ',. , ( ,", 1\ I " ; ,.,,' It ',: ' L IL \tt IE l-; En! ED I\PR 2 ii i989 JEFFERSON COUNTY PUBLIC WORKS DEPT . ;';";1<l }"':'l';I.~U FO~ ~DS;" ,,'.,i:)J1u . I:-IctlCe: 1~ t,OI.i$by gh'on that tho Soard., of <;olmty Cs;mjmi~sio~er:o of J~ffor:son ,CO,v)II)'" ,S~atG of Was~in9ton, wHl rocei..'o r.9Ci!6d bios up' until tho hour -of, 10:30 'a.m.~'MondaYI March 27; 1989, at tiie office of the County Commissioners" ,Courthouse, ,: Port Townsend, WQshington 983bS, 10 be:op~ned and pubicly.reod ~t a '!Ieeting of t,he County Comm_issioners to be h.ld ..on thot dote, for supplying Liquid 'Aspholt ,as' specified in tho proposat. _ \': >.,.~:,' ", .: " Bids shall be'sl.,IbmiHed in'accordance 'with the specificolions o~ file at the 'office 'of:'the' Director, of' Public Wo~k~;' ^ ieffe,son ' County :- ,Co'ur- thaus'e, 1820 Jefferson . Street, Port Townsend", Washington, ,98368, ; l~Otmi~~9dl ~~C:"h,~r~copi~,~; m,~y T~~,' Board ~f.'Co:unt~ ~om~i'ssi~ners reserves' the - r~9ht, to reie~ - any.. and all bids, ond 10 accept the bid 'deem- , ed . ~'ost:' advantageous, ~o I Jeff~non ,: County and to wo!ve all informalitites . in the bidding, .," :, ' Board of 'IS!::) . "'r"',""', ", Jefferson' 'Cou"nty ,Comm~ssione.rs: ; G~,or9~ C'lrown.. chcirmo~2; ~:-22 "J,(:","'" , March' 1989: ", .r../,~ ;/u-,r1 0 P; , 'A/ '. ,. .,'. ,'.' --~~;.-;yrj"I;;';";;d I., :he .~';t 01 WO$hing:on. re5iding at Hodlack,:;;'-",'>::,.:\.:, '".,' .'.' "~" ,'..'.... , , :.'. ';,; : ':o,.., " , , ,',. ' , '. ,,' ,:"" ':. , :' , .'.,', ,"..,< "..' , ,:', ",'; .,., " ":" , ",';, '" ...,"".. ' ,':''', '." " ,',.,' ',": '. . ",::, " .';,: ." ',i,"'" '.. ,,' , ,.",,',' ,'.. , ,:,' Affidavit of Publication SlATE Of WASHJNGIONj L:OUtJTY or JEFfERSON) FRANK W, GAkRED, Utting ~worn, 50)'1 I." I~ rht. pvLI"h." tJl Iho Perl Townll,,"d/Jolhll~on COUIII)' t<lud"., II .......~lr nttWlpoptlr whidllan btllln 1I~lubl'lhlld, publi~hl;<d III rh.. En91,~~, longvogu and drcvloltld cOlllinvov~ly 01 (] "'oll~lr n.....lpOI"''' ill Iha 10"''' of Porr Towr,~..nd, in ~C1id Courot)' ond 510r... ond fo. gontHOJ circulOlion in ,aid covnly lor mO'tt thon ~iA (6) month, prior 10 lhu datil of rhe/inl PVil:;tuilon of Iht. No"'" h."t/to vI, tothed, ond thot Ihtl ~oid Pori Town~undlJ"fl..,~on CUUllt,. ttlodm wo~ 01\ Ihe 271h doy of June 1941, oppro,,,J fH 0 l..g...1 nllwlpopef by the Svpllrio, Co....r' of ,oid lell'lIsol1 COV<1t)'. ond Ihor onne,ud is lrl.lt' tOpr vf Ihe Call for Bids supply liquid asphalt os il oppeorod in Ihtl regvlQr ond IInlire invII 01 ~oid pOptH iuell and nol in (] supplomentthereof 10' II p!!riod 0/ ,!v.1Q ______consecutive wee~~. begin"ing on the ~~_.do, ol_~arc.!:..._, 19 89__, a~doendingOnlhe_E1J~of~arCh _____. 89 19_. ond that said newspaper wa~ rogularly dislribvled 10 its 5ubscribou during 011 of Ihh period, That Ihe full omov,,' 1.49.50 h b " o __,_ os een paid In full. iJlhe role of $5.50 p" ,o'omo ."'~ 'o,,"ioo, Ii , CJ'/dJ_~~~ Sub5tribed and 5worn 10 befOTe mfl Ihis 22n9clay of JlllJCiNl.V:~:,:,,:.~ , '., -~.. ","\ ... .' , ..,','" ....., , , "," ',' ,.. ',', ..,'..' '.. " .' " ..'.. .. .. ..' ---,:.-, , , , " ..l' , "I ' ,'.' " ,: , .'",.",..', " ',' ',: , ,,;J .,:.' , .... '" ," , " , ' .. ,,'.' .. ' .',,'. " " , ' , "",": " , " ",., . " ! '.,' .~ : , , '.,',' I ", ..' . .. "," '. ,',., ",'" ..," , " ,', .. 1',1 '.. f ~\, f I,' i f " ~, t l' r ~ ~ ~ ~' I [ ,\: .. '.." ~; ~ .., ':', , :i ..:i'.. " :.. '::" .'...." .."," , '....,.. ," ". " , .,::..:, ' --1. , '," , '.,"2J','::.;;. .. - v-" , ,,:.:,,/..; ',:" -~ /:-..;,:,!;:,;- \-:;::J:i;'i;}(iiJ::::':>.~,.t',:::,:: ,,;:::,~,/,~>j-,;',:. CONTRAd THIS AGREEMENf, made ~::F:::::e:O~:::' t:;:HI;:A day of Ah .~ () , 19~ ' between the COUNTY OF JEFFERSON, acting through the Je-(f~~tY--Com- missioners and the Oirector of Public Works under and by virtue of Title 36, RCW, as amended and_ CHEVRON U.S.A. LIOUID ASPHALTC,f SRA'I"pr,p', WA hereinafter called the Vendor. WITNESSETH: That in consideration of tt,e terms and conditions contained herein and attached and made a part of this agreement, the parties hereto covenant ar.d agree as follows: 1. The Vendor agrees to furnish 1800 tons of Asphalt CMS-2 at S89.75 per ton, 100 tons of Asohalt CRS-2 at SSg.?, pAr tnn. 100 rnn~ nF ~~pnrllr Mr_?~n rlr ----S.131......5~:r.: t-nn .::Inn ~nn +-...."e I""If ~~[\'1"'lt CS:a 1 .:at c;~q 7t; p='l"" -l-l""In in accorddnce with and as described in the attached specifications which are by this reference incorporated herein and made a part hereof. The Vendor shall provide and be at the expense of all equipment, work and labor of any sort whatsoever that may be required for furnishing the goods and equipment described and completing the work provided for in this contr"ct and every part there- of, except such as are mentioned in the specifications to be furnished by the County of Jefferson. II, The County of Jefferson hereby promises and agrees with the Vendor to employ, and does pmploy the Vendor to furnish the goods and equipment described and to furnish the same accol'ding to the attached specifications and the terms and con- ditions herein contained, and hereby contracts to pay for the same according to the attached specifications and the schedule of unit or itemized prices hereto attached, at the time and in the manner and upon the conditions provided for in this contract, The County further agrees to employ the Vendor to perform any alterations in or additions to the goods and equipment provided for in this contract that lIlay be or- dered and to pay for the same under the terms of this contract and the attached specifications. III. The Vendor for himself, and for his heirs, executors, administrators, successors, and assigns, does hereby agree to the full performance of all the cove- nants herein contained upon the part of the Vendor. IV, It is further provided that no liability shall attach to the County by reason of entering into this contract, except as expressly provided herein. IN WITNESS WHEREOF, the Vendor has executed this instrument on the day and year first below written, and the Board of County Convnissioners has caused this instrument to be executed by and in the name of said County of Jefferson the day and year first above written. Executed by the Vendor 3/31/;P., 19____ Foregoing Contract Approved and Ratified 19_. CHEVRON U.S.A., LIOUID ASPHAI"T DIVISION Vendor By: ~"w ~,------ _ Surety By: Attorney-in-Fact COUNTY OF JEFFERSON BOARD OF COMMISSIONERS C-e.-t:---~ SEAL Form 158'0 P"rose - ""',:';;0,..; :"::> ~,;~.:, ,."".',:,::' ;:1[.',;1 i,." ' Proposal To: THE BOARD OF JEFFERSON COUNTY COMMISSIONERS P.O. BOX 1220 PORT TOWNSEND, WASHINGTON 98368 HONORABLE BOARD: We, the undersigned, propose to furnish liquid asphalt products in the approximate quantities and classifications shown below for the total amount shown below for the calendar year 1989. Prices to be F.O.B. refinery, freight to be contracted separately, Jefferson County reserves the right to reduce the quantities or eliminate items from the contract. Liquid asphalt shall meet the requirements of the Washington State Department of Transportation 1988 Standard Specifications for Road, Bridge and Municipal Construction for the grades of asphalt listed below. Item Quantity Unit Description Unit Amount No. Price 1. 1800 Tons Asphalt CMS-2 $R97r; $161 ~~() 00 2. 100 Tons Asphalt CRS-2 $A9 " A 9" 00 3. 100 Tons Asphalt MC-250 --..u.YLS.Q. n 7~0 00 4. 500 Tons Asphalt CSS-l $A9 7~ 44 A7~ 00 Total $729 1 ~O 00 FIRM NAME Chevron U.S.A. Asphalt Division ADDRESS P 0 Box 220 ~PRttlp. W A QR111 Dated this~ay of Special Notes: 1. Frelllht equallzatlon of $5.75/ton will be allowed for deliveries Into Jefferson County. M:nr-n ~'W..-::z n \V S~A..IDll1altDisrT'kt MRnRPer , 1989. SIGNATURE OF AUTHORIZED OFFICIAL (Print) 2. Prices quoted wl11 be maximum for the contract period, ending December 31, 1989. Prices quoted are F.O.B. Chevron'" Reflnerv. Richmond Beach. WashlJ'llton and excludes any applicable taxes, however DOES Include Federal and Washington State Superfund fees. . --' ' i~" ~ ,...... Proposal To: THE BOARD OF 3EFFERSON COUNTY COMMISSIONERS P.O. BOX 1220 PORT TOWNSEND, WASHINGTON 96366 HONORABLE BOARD: We, the undersigned, propose to furnish liquid asphalt products in the approximate quantities and classifications shown below for the total amount shown below for the calendar year 1989. Prices to be F.O.B. refinery, freight to be contracted separately, 3efferson County reserves the right to reduce the quantities or eliminate items from the contract. Liquid asphal~ shall meet the requirements of the Washington State Department of ~ransportation 1988 Standard Specifications for Road, Bridge and Municipal Construction for the grades of asphalt listed below. Item Quantity Unit Description Unit Amount No. Price 1- 1800 Tons Asphalt CMS-2 $R9 7S $161 SSO 00 2. 100 Tons Asphalt CRS-2 $R9 7S R 97<; 00 3. 100 Tons Asphalt MC-250 $1l7 <;0 1 'l,7'in nn 4. 500 Tons Asphalt CSS-1 $R9 7S ~ Total $719 1 SO 00 FIRM NAME Chevron U.S.A, Asphalt Division ADDRESS P 0 Box 220 ~p.At't1p. 'w A 9R 111 Dated this~day of Special Notes: I. Freight equalization of $S.7S/ton wl11 be allowed for deliveries Into Jefferson County. 'MRrrh ~.w~ n w ~A.]'p.l).a1t District M~n~P'Pl" ~ 1989. SIGNATURE OF AUTHORIZED OFFICIAL (Print) Z. Prices quoted wl11 be maximum for the contract perlodf ending December 31, 1989. Prices quoted are F.O.B. Chevron's Refinery. Richmond Beach. WashIngton and excludes any applicable taxes. however DOES Include Federal and WashIngton State Superfund fees. ::=l','e'lI~1"-i~!tfl.lIl(~ Proposal To: THE BOARD OF JEFFERSON COUNTY COMMISSIONERS P.O. BOX 1220 PORT TOWNSEl/D, WASHINGTON 96368 HONORABLE BOARD: We, the undersigned, propose to furnish liquid asphalt products in the approximate quantities and classifications shown below for the 'l:otal amount shol'(n below for the calendar year 1989. Prices to be F.O.B. refinery, freight to be contracted separately. Jefferson County reserves the right to reduce the quantities or eliminate items from the contract. Liquid asphalt shall meet the requirements of the Washington State Department of Transoortation 1988 Standard Specifications ,for Road, Bridge and Municipal Construction for the grades of asphalt listed below. Item Quantity Unit Description Unit Amount No. Price 1. 1800 Tons Asphal't CMS-2 $12500 5225 000 00 2. 100 Tons Asphalt CRS-2 $105.00 10.500,00 3. 100 Tons Asphalt MC-250 5165.00 16 500.00 4. 500 Tons Asphalt CSS-l .$J..Qi..QL 52 500 00 Total 5304 <;00 00 FIRM NAME Albina Fuel Comoanv ADDRESS 3246 NE Broadwav Portl~nd OR 97232 SIGNATURE OF AUTHORIZED OFFICIAL /ta ("", ~1...:1;AT7-1 TrP-R!'lUrer Dated this_-21-day of N"rrh , 1989. \ ---:...., ~'''', ,~.i/: '--'. ,i"h~~$.' '..;j{~ii~- , r) ,~~;..:.. ',~ " ~... ~ JEFFERSON COUNTY DEPP.RTMENT OF PUBLIC WORKS 1820 Jefferson Street P.O, 80x 1220 Port Townsend, WA 98368 (206) 385,9160 Gary A. Rowe, P,E., Director Robert G. Nesbitt, P.E., County Engineer January 27, 1989 Rockey's Road Striping Co. 916 Garden Hill Road Elma, WA 98541 Re: ~roject Number MT0766, ~avement Marking 1988 Dea~' Harold: Jefferson County has received the CertifIcation of ~ayment of State Excise Tax from the Department of Revenue. Attached is the lien detail for liquidated damages in the form of direct engineering costs and penalties for paint application out of tolerance. Your contract with Jefferson County was terminated on November 30, 1988 as per Section 1-08.10 of the Washington State Department of Transportation 1988 Standard Specification for Road, Bridge, and Municipal Construction. Within this section it is stated "The Contractor shall bear any extra expenses incurred by the State in completing the work, including all increased costs for completing the work, and all damages sustained, or which may be sustained, by the State by reason of such refusal, neglect, failure, or discontinuance of work by the Cont,ractor". Your total retainage, less liens, in the amount of $935.09, has been submitted for payment. If you have any questions please contact me. Sincerely, l!iiirS~ Project Engineer xc: MT0766. corres. PWA02 , """'" .. ~ ;,h..'<' ,,>,,,,--';? - --- . ,'.,~,'... , ",', " ;...'. ..' 11\\85 (~~ervr :r: ") '-- - 'l,.aJ::> r / 1Zhc.~" -n+e.' 120M) S,"",", Pee... ( - s- 1M 1:, ~: J 1 Y\'lo.\Ua....4.€ 2 3 · '18)J::>,J:) 5 6 1.fS" "P.>~ 7 !,IJp " S" l:NP ~\P €.t4e Goi<6 ~~p 1 2 3 4 5 ~ 7 e ~S'_ ~~ (nO-58 z.'l.8$ q"G. 0.'2- ;, ~,j;. ; 8 'Z......o;;o :>'<:0 150 2,-'00 -1'5'0 I... ""'D \<><;> "U=D -,J 0...".", "P.><>..o Ir~ WI' /' ~ 1_' T"" l-4~"" uP I Rh.? g 10 0-"D " _1"""':0 "11<.. 11 g~,. j ~ ~ f { " 'I :;'" 1". ~; 12 13 Tb r_~. ... .."''''~~ ,oJ VHI' 14 15 16 17 18 Wl.lrl"t"P_ i, i \' " r ,. I; 3' I '2.Sb SO 8/'''' 1<;;0 I' I ~.:", 'CO .,\c. . I 3><=> Ii 'VO 5~1- 1:,00 I I "El.LI>W I"....... lP\+."tE U(,tlir" ~ f "I;' r::. 19 ----- 20 2' 22 23 24 25 :~;,- 'K 26 27 28 "lent I","'c;~}/) 2S Ie;. 2. '6)0 30 'i,,; ? " r ><.'., 32 33 / .I:n.... r, (/f,,,,- 1/7 , I,,~./ ,t':.L. , /"" ;":', ' " ,'. , ' 8 "','. ,", '.. " ',: "',' . ,.,. ",' ...." 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',' ",', ',' ,..J '. !'" "::~;" ,,',... ': :: ,;" "" , , ,', .' ",.: . ':" . '.' .., if: 'I~""":;{?~ ".'.,., '.', ,. ' ..: ", " " ... " ", I .. . ," "', :,..." -,. A ,', ,',' 2 ..,,, ' <I , " ", " ",,' .,.... .. ,;;,'", :,:',', -, --', . ;,,' ,'" , .' ,:.. ':, ;~ ,,'. "....,:.'; "C ' "..:' , '.: ::' ',c, '.. ,', . ..,( ~ "\'\88 5 .: 6 6 ""~ " ',' "'?'~ -~ ',' , """ ,". , ".' ",. ' . ' ;",.'" .. '; " ,.,.-: , ' ',' , ,'..,. '. ":....'. , " .,..'.' " ..' , ,',..'/ ",,' .', " , '...;..,',:;', ":,',: ,::. ::' .,:', ".', : , . ,'.( ';"",', , ,'.:,:'", , ..,' ,,': .ii. "'..,, ',.:.: '."..'i': I' " -,'! t II "', >l- t.f..l.A\ .fI. 5307,7 . .'. ~ ~.~~~-:'\'~.-: )~i/; '\ "~"'~~.\!.;' ';djJ?$.' ,~,_.. rf'-~ ~~ I,~ \ :/.,~.../-",\ .' ) JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Jefferson Street P.O. Box 1220 Port Townsend, WA 98368 (206) 385.9160 Gary A. Rowe, P.E., Director Robert G. Nesbitt, P.E., County Engineer January 27, 1989 Rockey's Road Striping Co. 916 Garden Hill Road Elma, WA 98541 Re: Project Number MT0766, Pavement Marking 1988 Dear Harold: Jefferson County has received the Certification of Payment of State Excise Tax from the Department of Revenue. Attached is the lien detail for liquidated damages in the form of direct engineering costs and penalties for paint application out of tolerance. Your contract with Jefferson County was terminated on November 3D, 1988 as per Section 1-08.10 of the Washington State Department of Transportation 1988 Standard Specification for Road, Bridge, and Municipal Construction. Within this section it is stated "The Contractor shall bear any extra expenses incurred by the State in completing the work, including all increased costs for completing the work, and all damages sustained, or which may be sustained, by the State by reason of such refusal, neglect, failure, or discontinuance of work by the Contractor", Your total retainage, less liens, in the amount of $935.09, has been subm.i tted for payme!lt, If you have any questions please contact me. Sincerely, ~~ Project Engineer xc: MT0766, corres. 'PWA02 100% Recycled Paper II \ \85 (~A4M..avr -:r "') (' '-- -: ,/,E\.-D ~s TZe>c.IC-'t' -r;+e;' ~ $'rI2-IPae., ~M .... ...... ,:../.. . '.' ......:.,' :. ',,, :.... .::.~,:: - -'--. . ".'. :~ ...~:: .- .:: .... I ~c I j I :.,........ . ". =h...... ..... ;: t, ~>':" :,i< 1 .",'..e....€ :j 2 ~ 3 J ~ -J 8.U>..0 ,] 5 _. 6 'is' ~...............'" I 7 8 V 10 I 11 12 13 $iJP '. 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'. ,,i'':'' ~.' '. , " l. . '\ ~", , I:' 1.' . .',', .: . :'''''. .: . . .' . :,'..' ..' ........ .< ,". .:.' :..:-: ...' \ ...... ' .... . ,.- .. :-. . . " ,', . ':' '::. . _....J """. . . '. .... I .. ". . .; . .' c..' . . ,'" . ,<,:: ': ". . '::' '. . , . '.. '.c . '. .:C'. : :~, . . ,'. :.', " '.: .. . . I' I .' .: ( ''l/,4CJJM €tJr:Jt ) -'---1 'I T?-o~ n\€."IV..w> S"f\(Ape ~ \'\'\88 : c. 1 1 ., ".Co ~ C:!<>.!! 2 JlAeAlo..J 3 V 2 3 6 8 t It <.,;", "3(" . ': 'f..5.~ Lfu.Q1. ! ! .- " IJ. 5"-7,7; 5 ,/Q,7 6 ~~ ",~.I~" 1 f'T" U Il~lA' t;, 8 9 10 1 I I 11 12 AG.!toi:E...- "Tn 13 ~l..>JCC "'eV:> I. c:.cl'l FL<c::r 1'o=w~ 15 131-:."7 \88 - 16 '1ldee. 17 \ 18 19 1 20 21 22 ~": 23 t, 2' Ii: T 25 ~<,- ,. 26 , (e. 27 28 29 30 31 .-..L1J 32 ~<A:,:J'7, V~J ".2 .. --' 33 ./ " /1c.L. /' / ;"".' I - '.' '. . . ..... :"':':'..";.,, :, "',' ':. : "','.. .... ':'.' .' ,', , 'J .......... . ." . .' . ,,'" .:.:;,..' , . .. "..,' . ,":.' :"'.' ..:': '. ,:;'. , ..<. ", . . : , '.... .. - ':'. .," '..,. ' . ','. :. ...,... 'c. . ...' '.' ....:.. ,/ . ." .,,:. '. '.' ., . . .; ....1, "'.: "'. " ..' :' ..,':., I': ... .. '.'.;. '.i.-. I .'. ,'.... '. :: ,"'. '.. ,.'. 1...1' '.... :.. " . " '," . ..... . . .,......... ....,. I' . .. '. ...... I __.n .': '. . ,.. :, .','i- . ~.. -.- .....'... ..' .......:..... , ....' '. '.. .: .' .'. '. :....~ . ( ( ,,/7./7/gE. ,i. /-7TD7IPQ f1w6?-'?GXfT /-7/9jC../C/,{/'U- II Dl~ E>-1EYit'H~~5'tilt..lc, .c.o.,,\'5 ~ ocr 1'5) IgBe, !! ~! . Cfl{.J::.. ~ 7711 illL~ I! ;, !! " 7?rJ7ltS : ~ 77Mb 19. i'[; OV~~ 77MC '1/'5.77 . l;j I" pi 1;' t:.8?~ ,7!JmLer $ /s .(0 ~ZO.I~ ii, fiZ. ~r- i: !' l~ I i &1v"Be1Z-' Li . I:: ~eu ~LES- I:: ,; :; " 1': h j:i I, 1,1f1l-, ~ III I, , ,,' .1 :llVev6?'? B~ ;[ " J!eb tfE5. t!Ne7<-TlnlZ 1J'D'" ' '7-'::> . lol,DO go.so llq.lf> XI3;?7 .j> 559 .,,}'B + 11 / Ii .D~ = i$ lo17.D5 "l.so 'Z-D .I"io ~9D.81 %.OD X. ,15./0 $l"qy.bD 't Ii> ]gS-.<f1 :i .; /9-t- 'ScA1,..JF '-.Oc> )C I '5 -10 . ~qO.60 .!t 90.<00 ~ I 55"3.of TeJ7"1'rt..- => OWNERSHIP - Classify volume and acres by each of the following ownerships A. Private Industry - 1000 acres - with wood processing plant in state (except BN) B. Private Large - 1000 acres + without wood p'}'ocessing plant in state C. Private Small - Less than 1000 acres 0, State - DNR martaged lands E. Other Public - Non-Federal 1) State Park Lands 2) County Lands 3) Public Utilities 4) Ci ty Lands 5) Other State Agencies - Department of Game Land F. Other Federal Lands - Harvest on: 1) U.S. Fish & Wildl He Lands 2) U.S, Army Lands 3) U.S. Navy Lands 4) U.S. Air Force Lands 5) Bureau of Land Martagement Lands 6) National Park Lands a) Rainier b) North Cascades c) Olympic G, BIA - Harvest of Bureau of Indian Affairs Lands H. U.S,D.A, Forest Service Harvest lan~s VOLUME - Thousand board feet, Scribner Scale (MBF) - Nearest MBF, if 500 board feet or less, consider zero volume, SPECIES - Report by Westside or Eastside Counties, A. Westside Counties 1) OF - Douglas fir 2) WH - Western Hemlock 3) Cedar - Red Cedar, Alaska Yellow Cedar, Deador Cedar, others 4) True fir species - Noble fir, silver fir, ,.!~ite fir, gran fir, Sub-A 1 pi ne fi r 5) Other Conifers - Setha spruce, Engleman spruce, Pines (white pine, Ponderosa, Lodge pole), Larch, Mountain hemlock 6) RA - Red Alder 7) Other Hardwood - Maple, Cottonwood, White Oaks B. Eastside Counties 1) OF - Douglas fir, both coast and mountain varieties 2) True fir - hemlock, Noble fir, white fir, grand fir, Sub-Alpine fir, silver fir, western he~lock, mountain he"-lock 3) W.L. - Western larch species 4) P. P. - Ponderosa Pi ne 5) Other conifer - Spruce's (Engleman, Sitka), cedars (Red, Deodar, Yellow) others 6) Other pines - White pine, Lodgepole pine. sugar pine 7) Hardwoods - Alders (Red, Sitka), Cottonwoods, Maples, Oaks PRODUCT CLASS - Report volume by product classes 1) OG - Old growth sound - All sound log grades for conifers 2) YG - Young growth sound - All sound log grades for conifer, all hardwood grade except #4 sawmill (is reported as cull/utility) 3) CU - Cull/uti lity - Special cull or utility log grade, all species plus #4, sal>mi 11 hardwood grade 4) SAL - Salvage - Special forest products of dead material, including cedar shakes, bolts, Shingles, posts (does not include Christmas trees) OWNERSHIP _ Classify volume and acres by each of the following ownerships A. Private Industry - 1000 acres - with wood processing plant in state (except BN) B, Private Large - 1000 acres + without wood processing plant,in state C, Private Small - Less than 1000 acres O. State - ONR managed lands E. Other Public - Non-Federal 1) State Park Lands 2) County Lands 3) Public Utilities 4) City Lands 5) Other State Agencies - Department of Game Land F. Other Federal Lands - Harvest on: 1) U,S, Fish & Wildlife Lands 2) U.S. Army Lands 3) U.S. Navy Lands 4) U,S. Air Force Lands 5) Bureau of Land Management Lands 6) National Park Lands a) Rairtier b) North Cascades c) Olympic G. BIA - Harvest of Bureau of Indian Affairs Lands H. U,S.D.A. Forest Service Harvest lanJs VOLUME _ Thousand board feet, Scribner Scale (MBF) - Nearest MBF, if 500 board feet or less, consider zero volume. SPECIES - Report by Westside or Eastside Counties. A. Westside Counties 1) OF - Douglas fir 2) WH - Western Hemlock 3) Cedar - Red Cedar, Alaska Yellow Cedar, Deador Cedar, others 4) True fir species - Noble fir, ~ilver fir, '.!!1ite fir, gran fir, Sub-Alpine fir 5) Other Conifers - Setha spruce, Engleman spruce, Pines (white pine, Ponderosa, Lodge pole), Larch, Mountain hemlock 6) RA - Red Alder 7) Other Hardwood - Maple, Cottonwood, White Oaks B, Eastside Counties 1) DF - Douglas fir, both coast and mountairt varieties 2) True fir - hemlock, Noble fir, white fir, grand fir, Sub-Alpine fir, silver fir, western hemlock, mountain hemlock 3) W.L. - Western larch species 4) P,P. - Ponderosa Pine 5) Other conifer - Spruce's (Engleman, Sitka), cedars (Red, Deodar, Yellow) others 6) Other pines - White pine, Lodgepole pine, sugar pine 7) Hardwoods - Alders (Red, Sitka), Cottonwoods, Maples, Oaks PRODUCT CLASS - Report volume by product classes 1) OG - Old growth sound - All sound log grades for conifers 2) YG - Young growth sound - All sound log grades for conifer, all hardwood grade except #4 sawmill (is reported as cull/utility) 3) CU _ Cull/utility - Special cull or utility log grade, all species plus #4, sawmill hardwood grade 4) SAL _ Salvage - Special forest products of dead material, including cedar shakes, bolts, shingles, posts (does not include Christmas trees) OWNERSHIP - Classify volume and acres by each of the following ownerships A. Private Industry - 1000 acres - with wood processing plant in state (except BN) B, Private Large - 1000 acres + without wood processing plant in state C. Private Small - Le~s than 1000 acr'es . O. State - DNR managed lands E. Other Publ ic - Non-Federal 1) State Park Lands 2) County Lands 3) Public Utilities 4) Ci ty Lands 5) Other State Agencies - Department of Game Land F, Other Federal Lands - Harvest on: 1) U.S. Fish & Wildlife Lands 2) U.S, Army Lands 3) U,S. Navy Lands 4) U,S, Air Force Lands 5) Bureau of Land Management Lands 6) National Park Lands a) Rainier b) North Cascades c) Olympic G, BIA - Harvest of Bureau of Indian Affairs Lands H, U,S.D.A. Forest Service Harvest lartJs VOLUME - Thousand board feet. Scribner Scale (MBF) - Nearest MBF, if 500 board feet or less. consider zero volume. SPECIES - Report by Westside or Eastside Counties, A. Wes ts ide Counti es 1) OF - Douglas fir 2) WH - Western Hemlock 3) Cedar - Red Cedar, Alaska Yellow Cedar, Deador Cedar. others 4) True fir species - Noble fir, ~ilver fir, "'hite fir, gran fir, Sub-Alpirte fir 5) Other Conifers - Setha spruce, Ertgleman spruce. Pines (white pine, Ponderosa. Lodge pole), Larch, Mourttain hemlock 6) RA - Red Alder 7) Other Hardwood - Maple, Cottonw0ad, White Oaks B. Eastside Counties 1) OF - Douglas fir. both coast and mountain varieties 2) True fir - hemlock. Noble fir, white fir, grand fir, Sub-Alpine fir. silver fir, western hemlock, mountain hemlock 3) W.L. - Western larch species 4) P.P. - Ponderosa Pine 5) Other conifer - Spruce's (Engleman. Sitka). cedars (Red, Deodar, Yellow) others 6) Other pines - White pine, Lodgepole pine, sugar pine 7) Hardwoods - Alders (Red, Sitka), Cottonwoods. Maples, Oaks PRODUCT CLASS - Report volume by product classes 1) OG - Old growth sound - All sound log grades for conifers 2) YG - Young growth sound - All sound log grades for conifer, all hardwood grade except #4 sawmill (is reported as cull/utility) 3) CU - Cull/utility - Special cull or utility log grade, all species plus #4, sav.mi 11 hardwood grade 4) SAL - Salvage - Special forest products of dead material. including cedar shakes, bolts. shingles, posts (does ~ include Christmas trees) 1""'Ill""",:Il.~_: OWNERSHIP - Classify volume and acres by each of the following ownerships A, Private Industry - 1000 acres - with wood processing plant in state (except BN) B. Private Large - 1000 acres + without wood processing plant in state C. Private Small - Less than 1000 acres D. State - DNR managed lands E. Other Publ ic - Non-Federal 1) State Park Lands 2) County Lands 3) Public Utilities 4) Ci ty Lands 5) Other State Agencies - Department of Game Land F, Other Federal Lands - Harvest on: 1) U,S, Fish & Wildlife Lands 2) U.S. Army Lands 3) U.S. Navy Lands 4) U.S. Air Force Lands 5) Bureau of Land Management Lands 6) National Park Lands a) Rainier b) North Cascades c) Olympic G. BIA - Harvest of Bureau of Indian Affairs Lands H. U,S.D.A. Forest Service Harvest lan~s VOLUME - Thousand ,board feet, Scribner Scale (MBF) - Nearest MBF, if 500 board feet or less, cortsider zero volume. SPECIES - Report by Westside or Eastside Counties. A. Westside Counties 1) DF - Douglas fir 2) WH - Western Hemlock 3) Cedar - Red Cedar, Alaska Yellow Cedar, Deador Cedar, others 4) True fir species - Noble fir, silver fir, '.!hite fir, gran fir, Sub-Alpine fir 5) Other Conifers - Setha spruce, Engleman spruce, Pines (white pine, Ponderosa, Lodge pole), Larch, Mountain hemlock 6) RA - Red Alder 7) Other Hardwood - Maple, Cottonwood, White Oaks B. Eastside Counties 1) DF - Douglas fir, both coast and mountain varieties 2) True fir - hemlock, Noble fir, white fir, grand fir, Sub-Alpine fir, silver fir, western hemlock, mountain hemlock 3) W.L, - Western larch species 4) P,P. - Ponderosa Pine 5) Other conifer - Spruce's (Engleman, Sitka) , cedars (Red, Deodar, Yellow) others 6) Other pines - White pine, Lodgepole pine, sugar pine 7) Hardwoods - Alders (Red, Sitka), Cottonwoods, Maples, Oaks PRODUCT CLASS - Report volume, by product classes 1) OG - Old growth sound - All sound log grades for conifers 2) YG - Young growth sound - All sound log grades for conifer, all hardwood grade except #4 sawmill (is reported as cull/utility) 3) CU Cull/utility - Special cull or utility log grade, all species plus #4, sawmill hardwood grade 4) SAL - Salvage - Special forest products of dead material, including cedar shakes, bolts, shingles, posts (does ~ include Christmas trees) , , ~-c.. , "," '..,.. 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It> :E m "" Z"Tl '" --i n I I I C" /ll ..., "Tl 0 .:!. V> I ~ CD [:10 C::ZC:C:C: . Q,t. . . ~~~~Y' o ..,,::I:>2:=- V;'~::;'~ ~ ::r '<'< .".,., cz.-Q,t 0 t I """.,..".." :c~n I I ::V'ct) Q. I I ~"Tl"Tl _. I , ~, It> "- ~ '<'I -< It> '" ..... I "Tl I ~ . , ,'...., "", , ,', ,,'... :'" .JEYFERSCW CXll.a'iTY DEPA.R'1"NLNT OF PUaL i C ~ FILE '.-)6 t0b / A /1, ;;;'0, 0 :L ~. , ACTI ON REQUEST / / REClUESTED BY. ",/,4',~;./ ,(.......-/..././kO-,,-vz.-..e..-/ OATC. /~// 7 /8'1? =15:&- If i? _ ..cr~~/ _ _ PH::lNE NO,' ..y =? '7 -.?<.;2." ., 7 )VA ;(.-L.(..&' /CJl..<../ cJ/J' "7036./ ALT. PH. NO.' NAT~ OF REQlEST& ~ IN PERSa'i [] BY Pl-ta'4E 0 BY LE1'TER TNCEN BY _ c::::::::7: -u. ~ /7. .--;v?, PERTAINING "10& DOF'F'ICE 0 ENG/SUR'VEY 0 ROAD MAINT. 0 EQUIP. MAIN~~tJ ~~ ~AST REQU;:ST FOR- _'-J0'~,' :bY":0-7d-?"'A M"--"7_~"P~ /"~7':. Z- ~y ,,~S . ce- " ''l~r./"> 0 / L.OcAT'OI.- ReAD NAWE. 7;:;"~.-? ROAD NLNBER .'f.A /(A".1 / M.P. AAOJECT N~ER- '.J<Z..",,~ ATrAOf MAP at ~TQi REFER TO. r:Z.., .-:7:;-", ~ &~-<-?-< RESPOND BY- :::~>;~j/t::~'1';~::;;'~7~lLif~::,~ a~ ~dIl1M.iuL ..ea.t'-A- U "..... ~-r;;;.J rl/lA.. tua..t- ~ f{ /, rJOF w-I.tUh J /A.n..-rd tff.e. ~cL ~ ;:--..t, & tUitd.inw-,,;C ~A.e.~~ ~cJ.O~~ tied- /,,2% (AJt.'flc. a... / '1df/llA.- -1>\.0. fR--ttaEij W M;&.l~""f/xt ,71w:; '1f ~~<..V!.- REVIEWED BY- /) DATE. c:rJN'TAC'T'ED REQl.E:STER 0 IN PERsa-J 0 BY PH.:INE 0 BY. LETTER CONTACT~D BY- RE<XlM'oENDAT I 001- PREPARE ESTI_n:, Fa<- ROUTE TO- O DIRECTOR o ASSltrrNrr D'R. o IlOAD Bt.PERV1 SOR INITIAL o <:a'<STRUCTIClN ENG. _ 0 ACCOLNTANT o PLAr*tlING ENGINEER _ 0 o ADMIN. ASSISTANT _ 0 " r ,} Ii .' 1;. ~: iI~ . " \, i (, f \.. ,. J'; i :r ( f' f'} ii.' \ ) ~ ('~ j; } '.'.',. ').'i .,.... ' 'II . ;,~'.,,\,. , .'" ",'.. !..! (:k " Pw/) 0'/.10 I? COo\l"";S'O N t;. P/11IJrJjrJ)' :;' i,:, G. ,,'I;;: .i! t1 !."..,~~" -~~i:Z~f:~~~;S:=.- ~~~::.~~>:':: .JEFFEHSC)'O l'llt':'-:TY CtH'!rI'lHH'~E , ". ,'.' /, , ,'," ,','," , SJ{- .', p''L ,,,:,-,,... '.......::,:< ,,'.'. .JEl~FERSON COUNTY PLANNING AND BUILDING DEPARTMENT P.ll. BII:>'; 1~:!1l 1'0/'1 'liIWI\:.;t'llll, \\'a:-.hilll.:I~IJl H:-.:tlj,..; Planllin/-t (:!IJfi) :JHlj.!Jl-lO Building (:!0Ii) :IHfJ.!J14 1 David (;oldsl\lit h. Oil'f,(.tnr AGENDA The Jefferson County Planning Commission will conduct its regular monthly meeting on WEDNESDAY, MAY 3, 1989 at 7:00 p.m, in the tllird floop conference room of the county courthouse in Port Townsend. Following is the aq~nda for the meeting: OPENING BUSINESS (call to order, roll call, determination of quorum, approval of agenda, and approval of minutes) A. B. C. j D, ! E. I F. G. c: j " '>~I I: . , "..:',..,..,' .,' ':,'.'," ]5 ", ','" :' " .' ':,:', :, ',' " . ,,',', ,:' ," " ::" " " ' .', ;, :':,' ,,",,' ,,' ' ,::, '..'., '., '::,,: . ~!.:: .. FINAL PLAT APPROVALS 1. Kala Heights Phase "B" 2. Bay View Village Division 1 SCHEDULE FOR DEVELOPMENT CODE MAP HEARINGS SET HEARING DATE FOR GARDINER COMMUNITY PLAN MISCELLANEOUS DISCUSSION OF DEVELOPMENT CODE HEARINGS AND LEGAL REVIEW ADJOURNMENT Jefferson County Planning Commission Jefferson County Public Works Department Jefferson County Health Department Port Townsend-Jefferson County Leader Peninsula Daily News Alice King New Kala Point Limited Partnership William Lindeman John Vincent Pope Resources David Cunningham Triad Associates RECEIVED APR 2 B 1989 JEFFERSON COUNTY PUBLIC WORKS DEPT, " " .' ' . ,',' ,....: ..',::'.. ..,,'. . '. '.,' ., .,:, , : , ,.," ,..' , .' ' '. ..',,' '" ',' , " : '" ',', ' ," , , , '. ..'" ".. ,,' ,':,:' ': ." "\",' ,:: ,; , , '..':', ':::. "'. ,,:, '. .."', , , :," " ,. ",'.'.. . .. ,; ',' ': '. ',,;..:, : .' '..' , , ,'". ,:,;'. . ':,:,:....' ' , " " : " ',;' , " , :: ' " '".' '.,.. ';:. ':' :,' ,,',,/, '~:: . " , ,. , :, " , .,:', .,.., . ':' : .." ' > '". .'" / ", .'," , , ' , ':, ,"".' , ;.. " ,',', ,;'".:" .': ,',' ,',,' '. '" , ' ':,' ,.: ',' ..,.,:,.', . ,,:', ':', '. ': , .. ,"', .,: ,,'.; .... , ' " , ': . ' .', ,',','. ," " , ',', '..':' ,.', ..:..: '" " . 'c:' ,..' ,,' " ..., :,...::: C"" ,:, , ',' :' : , ",-... " . " '. Board of Commissioners Recomm~ndation The Jefferson County Board of Commissioners reviewed the final plat and staff report at their June 8, 1987 meeting. The Board apPI'oved the final plat by formal motion, FINAL LOnG PLAT Agency Responses 1. The Jefferson County Planning and Building Department recommends final approval. The' final plat was found consistent with the provisions of the Jefferson County Subdivision Ordinance and conditions for final approval. 2. The Jefferson County Public Works Department l'eviewed Phase "B" of the Kala Heights development. The plat was found consiotent with PubHc Works Department requirements and conditions of approval. 3. The Jefferson County Health Department reviewed Phase "B" of the Kala Heights Development. The plat was found consistent with Health Department requirements and cond~tions of approval. VICINITY MAP ,-' 7. storm Drainage: Starin water runoff will be detained an-sil:~ and routed to Port Ludlow Bay. The detention pond wili control the rate at >lhich l'IIDOff leaves the sire and will maintain the pre-dti:vt:lopwent :t'ates of flo~'I. 011/~'2ter separators in the stann water system \-lil1 remove some of the suspended polJutants from the surface water before releasinu it to the bay. Access Easements: Reciprocal access and util.i. ty easements \'/i11 be provided among the majority of Lots 1 through 56. The easem"nts >lill accommexiate lots needing access and will ensm'e a limited number af access points on the roads within the development. 8, FINDINGS 1, The proposed developnent has been made pursuant to the Jefferson County Sul.Jl'livision Ordinance and is subject to the requirements and review cri tt..::'cia of Section 6, "Long Sub::livisions. II 2, A variance is requested of Subsection 6.203(5) to allo>l cul-de-sac I'ights-of-way of 90 feet rather than the p,'escribed 100 feet. The val'iaIlce request is subject to the criteria of Subsection 10.302. 3. Tile proposed developnent was I'eviENled in accOl'dance "Ii th the Washington State Environmental Policy Act by Jefferson County as the lead aijency. A determination of non-significance was issued on April 11, 1908 dclclaring that the anticipated envir'ol~nental impacts were adequately addressed in the envirorunental checklist and preparation of an enviro'~nental impact stat~nent was not necessary. 4. '1'110 proposed developnent is subject to the following sections of the Jefferson County Comprehensive Plan: Pages 32-34, "Countyvlide Growth"; Pages 35-38, "Housing and. Residential Develof.tlnentll; and Pages 44-48, "Tl'ansportation/Circulation." The plan's optimum land use map dBsignates the site and adjacent areas as suburban, The proposed project conforms to the density requirements of this designation, The proposal is consistent l'li th the applicable policies of the Comprehensive Plan. 5. A bike trail is designated along Paradise Bay' Road as ideuUfied by the Jetft,rson County Park, Recreation, and Open Space Plan. 6, lIotice of the preliminary long plat was made to applicable agencies aM adjacent property owners wi thin 300 feet of the develof,nent. 7, Notice of the public hearing scheduled tor July 6, 1988 was made by publ ishing a legal notice in the June 22, 1988 edi ticn Df the Port TO\ll1send-Jefferson County Leader, posting the site with notices, am notifying applicable agencies and adjacent property owners by mail. 8. 'I'wo members of the Jefferson COilllty Planning Commission and one staff member conducted a site inspection on July 6, 1988. 9, The adjacent fifteen acres immdiately east of the proposed subdivision is Pl'oposed to be clearcut according to the forest pracUce permit application FP-02-08415. The cOllUnission has stated their concern that the clear-cut and the subdivision projects may have regional impacts on Ludlow Bay. AGENCY RESPONSES 1. The .Tefferson County Public Works Department submitted the folla.dng COllUuen ts : a. TI1e variance request meets the approval of the public 1I01'1<s director. h. Access permits will be required for new roads entel'inij both Ludlow Bay and Paradise Bay Roads, c. A construction drainage plan needs to be submitted t" I:he public I'.Orks department for <lpprovo.l, d, A final drainage plan needs to be subnitted with a desig!1..;tioll of who will be responsible for maintenance of the drainage facility including the oil and water separator, e, The proposed fifty foot right-of-way is acceptable. f. A road construction plan, including intersections, needs to be subnitted to the public works department for approval. g. A pedestrian walkwfJY needs to be provided along the n€'11 l'oadways. h, An additional right-of-way needs to be dedicated at tho intersection of Paradiroe Bay and Ludlow Bay Roads fOI' future iutersect,lon improvements, i. An additional right-of-way on the south side of Lttdlow nay Road may be required to assure that Ludlow Bay Road lies within its right-of- way, 2 rather than selling undeveloP<'.-d parcels. Se.,er hook-up is not proposed for the large'" lots due to the excessive cost and due to 'the quality or the soils in this area, He clarified that cwnership or the open space area is d"eded to the hOlJ\cO'lneL11S associatjon by the covenants and restl'ictions. Mary McClure, who lives in Paradise Bay Estates, voiced concern aoout additional traffic on Paradise Bay Road from the ne., parcels created in Port LudlC/d, She l'equested that the county look into const:l"Ucting a bypass road to route traffic away frQT. Paradise Bay. Lloyd McGaff stated that, for aoout .7 of a mile on Paradis" Bay Road, the houses al'e about 100 feet apart on both sides of the road. lie ,rants the county to look at 'the potential traffic problems on this road. J'olm Chesterly gave the cOllunission the history of water runoff problems experienced along Ludlow Bay Road. lie stated that water runoff must be taken care of. Al Fure, an engineer for the project, stated that his design for storm drainage would reduce the existing runoff through the Chesterly property, He intends on catching the runoff and routing it through the existing drainage way within the county right-of-way. Ann Quantock stated that the cOlmty should be reviewing Pope Resources plans cnmnJatively, rather than one phase at a time, She felt that the propos",] sul:rlivision does not comply with the comprehensive Plan policies, specifically Policy 2 of "Housing and ResIdential," and Policy 5 of "County- wide GrOl'rth." She requested that 14i tigative Measure 14 (regarding pesticides and herbicides from the overall plan review) be placed on this proposal and written into the covenants on the proparty. She stated the condition proposing a buffer along Ludlow Bay Road specify a fifty foot width rather than using the meaningJ"ss phrase of "to the best of its ability," Geor'ge Randolph spoke in favor of the proposal and Pope Resources. Ramp Harvey stated that Ann quantock's comments were immaterial to the review. Genrge Buley stated he is not opposed to the proposal, but is concerned for the water quality of Ludlcw Bay and potential impacts to existing "",lIs from 'the proposed septic systems. He requested that Pope Resources look at putting the larger lots on the se.rer system. David CUnningham responded to several issues addressed in the testimony. Concerning traffic impacts, he stated that options are available to the county for road improvements, The legislature recently allowed for additional real estate excise ta~ collection to assist in off-site transportation impacts once quantified, He had no objection to conditions restricting the open space area from entering the current use tal, assessment program, inclusion of overall Mi tigative Measure 14 (regarding pesticides and herbicides), and a condition requiring a specified buffer along Ludlow Bay Road. A wide buffer, h""ever, may impact the location of the sewer line and inhibit the possible hook-up of Ludlow Beach Tract lots. He stated that Pope Resources would consider, once acJain, th", sewer hook-up for the larger lots. The cOllUnission closed the public testimony portion of the hearing and continued the r",view to July 13, 1988. David Cunningham and Al Fure, in response to the commission's request, explained the storm drainage managerrent techniques to be used on the site. The planning cOllmission unanimously recommended that the Jefferson County Board of' Commissioners approve the variance request and, based on their findings, recommended that preliminary plat approval be granted subject to the conditions. BOARD OF CCt+IISSIONERS ACTION The Jefferson County Board of Commissioners reviel'09d the proposal at their meeting on July 18, 1988, David CUnningham spoke in favor of the project. Ann Quantock discussed the concerns regarding the proposed timber clearing on the 15 acres adjacent to the proposed sul:rlivision, She stated that a cumulative assessment of the potential impacts to Ludlow Bay from Pope Resources' olans should be conducted, Gumlnie Johnson stated that this proposal does not meet the goal arc policies of the "Housing and Residential Development" section in the Comprehensive Plan. The board of commissioners granted, ,the variance request and preliminary approval for the Bay View Village sul:rlivision, subject to the conditions, 6 .:...;;....""-, j g " : (; ; ': q ~ . CONDITIONS Approval of the binding si te plan Is <lUbject requirenents of Jefferson County Camper Club Ordinance and the following conditions: 1. A storm drainage management plan shall be submitted to the Jefferson County Public Warl", Department for approval a~d implemented prior to final approval of the camper club. 2, Road surfaces within the developnent may be gravel surfaced for a period not to p.xceed two> years fran the date of the final binding site plan approval. At such time, the rcads will be asphalt surfaced. The applicant shall fOlmally agree to this condition in writing .Ii th the Jefferson County Public Works Department prior to the final binding site plan approval. 3. Final binding site plan approval shall be subject to the approval of the Jefferscn County Health Department in regard to water supply and SEwage dispo<-...al. 4, All easements or encumbrances of the property shall be shown on the face of the plan, Any covenants or restrictions shall be filed with the Jefferson County Auditor and referenced on the plan. 5. An emergency access shall be developed onto Anderson Lake Road, Regular use of this access shall be restricted, 6, A buffer of trees shall be planted wi thj n the surrounding greenbel t of the site. Jl.dditional open space areas shall be left in a natural state or supplemented by plants, Planting shall be completed within two years of final plan approval, 7. No off-premise signs shall be permitted. Anyon-premise signs shall not be illuminated. 8, All lease holders shall have a 25-foot water hose attached to a water faucet while they are in residence. '9, All automotive repairs, oil changes, etc., shall be performed only in an area designated for such activities, Oil and grease shall be placed in containers and removed to recycle centers, 10. Se=i ty 'and outdoor lighting shall be hooded or directed away from adjacent streets and properties and not create glare to passing traffic or neighboring properties, 11. A fence shall be erected around the site within one year of final binding si te plan approval, PLANNING CCMfiSSION RE:CC:MlENDATION The Jefferson County Planning Carunission reviewed the request at the public hearing held on September 7, 1988. The following additional testimony was taken: Da\'id Germain, owner of the Diamond Point RV Park in Sequim, wrote in opposi tion to the request objecting to "unfair competi tion under the guise of, a non-profit organization." He requested that, if approved, the spaces be, limi ted to resident owners, not rented out on a nightly or weekly basis, no dry camping be allowed, and no facilities for rallies be allowed. Dick Leonard, the spokesman for the project, 'stated the club is O'lI1ed and operated by the members, It is a "senior's club" and they don't compete with the cOlJvnercial market, He said that, as members come into the area, they will travel and use other commercial parks in the Puget Sound region. He said the members are "snow birds" and will be in the southern areas of the states during the winter. Membel's are in the 55 to 85 year old range. He stated there will be two year-round RVs on the site for the club managers. Mr, Leonard said that an electronic gate would eventually be installed at the entrance and the general public would not be admitted, Ralph 'l1leriaul t, an adjacent property owner, stated that he is propooing a project on his property (an RV park) and has no problem with this proposal. Nellie Lee, an adjacent property owner, stated she doesn 1 t want the dump station next to her property and is concerned about traffic impacts, She requested the site be fenced, 3 \ .' r~ -" '-.- ':-;;-: ..-< 4.1j,'Kl.:i( , ~?$.' ~,--. ~:;:'~)'I r:,< 01~'-'~ 'I JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 18~O Jefferson Street P.O. 80x 1220 Pori Townsend, WA 98368 (206) 385.9160 Gary A. Rowe. P.E., Director Robert G. Nesbitt, P.E., County Engineer May 8, 1989 Sahlberg Equipment, Inc. 5950 Fourth Ave. So. Seattle, WA 98106 Re: One (1) New Rex Model SP700 self-propelled Vibratory Roller Gentlemen: The Board of Jefferson County Commissioners has awarded you the contract for the above referenced item for your bid of $57,027.07. Enclosed are three sets of the contract documents for your execution. Please execute and return to this office for further processing, all three copies of the contract and contract bond on the forms provided. If you have any questions, do not hesitate to contact me. Sincerely, ~t~~ -c', httt.~ Robert G. Nesbitt, P. E. County Engineer Enclosure xc: PWA02 100% Recycled Paper \ \ --:-.'\ ",",r';;~J/ ",(('~~~.ih- ;djJ~'" .-.. ('~~~:t'l':", ~<~~f. .10 , ) JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1 ~20 Jeflersor. Street P.O, Box 1220 Port Townsend, WA 98368 (206) 385-9160 Gary A. Rowe, P.E., Director Robert G. Nesbitt, P.E., County Engineer May 9, 1989 ,Donald R. Holm 151 S. Rhododendron Drive Port Townsend, WA 9B36B Dear Mr. Holm: Enclosed you will find a copy of Road Approach Permit #0976, issued to you in March. Please note that Special Provision No. 1 states that the culvert to be installed "shall be a minimum of twelve inches by twenty feet." The ten-foot culvert which has been installed in Port Ludlow at Lot 10 on Rainier Lane does not meet this minimum requirement, which must be satisfied before final approval can be issued. If you have any questions on this matter, please feel free to contact me. Sincerely, -<J~K.~ Scott Kilmer Planning Engineer xc: A 02 100% Recycled Paper 'l!li~jmlfml"mm II ;~." 1 %~;j~' ~ 6~l! ~'i~z~, ' lo'jl!i!ij~" :1 :. !~i=,} =ii ~rQ., ~11i~~'~~ 51 . '. '. ~ ;-.~. 1"C:!~ al fV.....Itt~ . E "- '\'..~ .., r"Al.""'W".PI " s.' . 0 ff nil 0.6;1(1' It . 0 W. M .' J!z clIl l!;) .~;-..... __'I, --1'.n:.lO.l:~i' 'd~~ ~~l;----~------,~~:~'ii . , . ~i 'i!;1 ';.3: % , I .....'001 W 10........ ......... - f I ~l F~ '-1 I ~ ..... . ., t;;:;~T'!" ~ ..... lt~ ea : ~ fO I ~ ~ ~~ ;i ~ /. i ~~;\l I ~ ' ell I ~" ,~~ ~ G) ITl \ 'f"'~;;;'"'J\) ~'r~~~l!;/ ~~;j'-7 reI 'f;.,;r ':.s:. jf'~'ii" JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Jellerson Street P.O. Box 1220 Port Townsend, WA 98368 (206) 385.9160 Gary A. Rowe, P.E., Director Robert G. Ne~bitl. P.F.., County Engineer May 10, 1989 Henry Duvall 11100 - 30th Pl. S.W. Seattle, WA 98146 Dear Mr. Duvall, The following names have been nominated for the private road from which your property will be addressed: *Olympic View Lane Protection Ridge Road *Evergreen Road *Sunset Road West Please indicate your preference. In order to expedite this matter, we request that we received your vote by May 22, 1989. The nominations with asterisks duplicate or nearly duplicate currently used names. Jefferson county requests that you bear this in mind when considering them, as confusion with existing roads may occur. Sincerely, E.D. Simon Administrative Secretary ~r -/rJ ~ \ i:a.:t2- 100% Recycled Paper "'l'll~~~ 1 machine 2 and x- 3 machine 4 direction 5 6 strain at Failure WSDC1T 'fest Method 916 15% 15% 26 Aggregate Cushion for Permanent Erosion Control Geotextile 27 The gradation requirements for aggregate cushion are as follows: 7 8 9 10 '11 Seam Breaking Strength WSDOT Test 110 lbs l1ethod 918 and WSDOT Test Method 916 (Grab Test) 240 lbs 12 13 Burst Strength WSD0'1' 'fest Method 920 200 psi 430 psi 14 15 Puncture Resistance WSDOT Test Method 921 60 i.bs 110 lbs 16 17 18 19 20 21 Tear Strength, min. in machine and x-machine direction WSDOT Test l1ethod 9J9 40 lbs 80 lbs 22 23 24 25 Ultraviolet (UV) Radiation stability ASTM D4355-84 70% Strength Retained 70% strength Retained 28 29 30 31 % Passing the 2 1/2 inch square opening % Passing 1/4 inch square opening % Passing U.s. No. 100 sieve All percentages are by weight 80-100 25-100 0-5 32 Geotextile Approval And Acceptance 33 Geotextile Properties and Test Methods 34 Properties of geotextiles shall be determined by the following test 35 methods: 37 38 AOS Geotexti.le Prooerty WSDOT Test Method 922: Apparent Maximum Opening SIze of Geotextiles 36 Test Method and Ti.tle 98 \ -=-[~"~J).,.(J;jj:,c"""i ~~~?s'f,t( / ~~i.t7 r(;,/)i;.;-.x:> Jt.:,~'\f' .. JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Jelferson Street P.O, Box 1220 Port Townsend. WA 98368 (206) 385.9160 Gary A. Rowe, P.E.. Director Robert G. Nesbitt, P,E., County Engineer May 10, 1989 Glen Smith 7560 Roosevelt N.E. Seattle, WA 98115 Dear Mr. Smith, The following names have been nominated for the private road from which your property will be addressed: Bay Ridge Court *Cape George Boulevard Haley Road Tamanous ("Spirit Being" in peninsula Indian languages) Road *West Mountain View Road Please indicate your preference. In order to expedite this matter, we request that we receive your vote by May 22, 1989. The nominations with asterisks duplicate or nearly duplicate currently used names. Jefferson County requests that you bear this in mind when considering them, as confusion with existing roads may occur. Sincerely, E.D. Simon Administrative secretary Jewt To A-MteSS\ L\ST 100% Recycled Paper ~..,"" . ,;..,. ~:.' .; ...............,1: '.2 ,. .- 1 2 3 4 5 Seam Breaking Strength WSDOT Test Method 918 and WSD01' Test Method 916 (Grab Test) 160 lbs 6 7 Burst strength WSDO~' Test Method 920 290 psi 8 9 Puncture Resistance WSDOT Test Method 921 75 lbs 10 11 12 13 14 15 Tear strength, min. in machine and x-machine direction WSDOT Test l1ethod 919 50 lbs 16 Table 3: Geotextile for permanent erosion control. 17 18 19 20 Geotextile Prooerty Minimum Geotextile' Prooertv Reauirements Test Method' Lo" Survi VF3bi] i tv] High Survivabilitv 21 22 AOS WSDOT Test Method 922 _ 30 mm max_ (#50 sieve) 23 24 Water Permeability .30 mm max (#50 sieve) WSDOT Test Method 924 .04 cm/sec 25 26 27 Tensile Strength rnin. <1n .04 cmlsec WSDOT Test Method 916 270 lbs 130 lbs 28 . All geotextile properties in Tables 1, 2, and 3 are minimum 29 average roll values (i.e., The test results for any sampled roll 30 in a lot shall meet or exceed the minimum values shown in the 31 table). 32 ' WSDOT test methods 916, 919, and 924 are in conformance with 33 ASTM geotextile procedures, except for geotextile sampling and 34 specimen conditioning. Copies of all WSDOT geotextile test methods 35 are available at the Headquarters Materials Laboratory in Tumwater. 36 'Low and High survivability for geotextiles used for 37 underground drainage and permanent erosion control are defined in 38 this Special provision under the r.espective subsections. 97 ".. ,~, ~"," - ,..:,.."..,' :....-::.. ':, ' , -:.. '" " .." ", , ..' ' , ,',' , ~: '".' .'.. "".,' ";, :":':::., ",:', ,'- ,'..',' :,:, (, ' " - -. " :,,:' 0,:' : '.., . , ',', .., :" ,I P-._. _ , : ' , :', " .' ", , .. ",', < , ,...' .- , ' ....,' " JEFFERSON COLINTV R pU T I NG /' TR/>-..NSM....I T TY"'L 'vlEtvIOR/...NDUtvl 1 To: hiu:::..bp\\C Office: (-.1'<L {; ,~/. 1-:/ From: Office: Date: 5J....9/'KCf , 1'..".."F..','..,..,'......,....,,',..~..i,'..'..'..'..'....tr.. ; j:,'WH~!~$III~ . 0 ~ ....'..: 'e:t'ii.l.'n:;W'!:t i~~~~*:!~f " , .." "'" I : " , ,. , :' . , :; ~: .."':" I ! '. ' 1" , " .. '." 1,' , " I Comments: ~:' I 4 .'" ....'".,.', -.... ',', ",,,: ".' , .; "".':." ' :,' , ' ' , ".'."",'.'.,' , ' i " ': ' ~/.. .', ':;. ", " ; , ':',. .,' ':,' ,..;;: ':. ",:' . ,",,,, ':",:,..' , .. : :..'" , ,,' , ',:'::,', " .,' ,'.',' " .. , ..'.. ,::..':, ::,:" " ',", ,". ',,: :' ;.. <. ,,>':> : :..," . :,::::::::lIo,te:::an.d:::nl:e::::, ..,....,.." ,'......,.... ;:;:ii:::~~tas:e '...T;~:~~~:;;:;;,;::::::::::,""" ,::.:.:.:.~~'h::l~~;d~:'~:::r.!p.~t~::::;.:" ......:::"::::: :::::,:::;:::::::: ..... :::::::::: :'":;,,,', Forward to the of f ice and individual as checked ,'..,. , 'i :0 ":.]:..t,,.,:' I i~,;;:~';:~\;::::.,:, I':.... " I li/, l~ $: '";,, ; , L L L .. :::::: ::J,ti.v:enU'e:::Sei',v,ic es,::::::'::':":: ::::.:: ',:,::, ",.."", -:-- Pa.i:'kS/Recreation ,,'. :::::::::..:..' ,..,.... Plan/Building" .. .... '..' " " -::-'" Prosecuting..Atty " " .:::::::::::::::::::::;: :=,PubUc...Wo,rkS:.,:,:. :,', "j:" ..,.. ::::::'::::::: :=:Sne';;:ir:f'n:::::;";:n',:':;:':'. ..,.., "..'..::::::::,:;.::., ":",,.,;:;i ~ ~;;i~ ~;~ i ~~f~i~~:t~f~~;TIit:t:;~~ ~ ~~ ~~j;;: i;~:;;: ;::::::: :;::::;;;..:~. .':::..... ..;: ,~::();~;~#'#:~!!H~~~~i)!ii~~jiij:::~:j:;~~:; ;:::... :......,..~... .. ---~~ .- -::- , ."~"""",, " .'. ',' _' H,:"... '.' , /".' .", ~ , , , ' ", ,:, ",', :' . .-: <." ,"" " ,:'" " , , I _ I I I , ',," ..:"..'" "'i\"~~ ... " :,'.' , I .,' , ',' , ,:-:: " '... ,,; I ..", , '" ", "......." ,< :-'.',,' . ' ". ,,' ',' ','" I 5:" .... :',', ': ,', ..,..,. ,',:' ,': . " ' . , " ." " ,"..'" , ' , :, '-'" . " ,'..' ,': , ,"....':',"... :' ." '".......:.",.'" ' :', :---",:"", , " ." "'''''''' ' ..... .. "" ".' '; '.,.,' , ','; ....,.. ." '.., ''':'<,' ,',',' ", " .. ' " ., ---J :, ". " . ;, " ,',' , " ',;, ',....:, ::, , " ,,' ,':".. ' , ,'" .... , " ,,:', ' , , ," ,: .' '.'; , " ',' ,'..,. '. . :.i,' ,''';':,:.. ;: ,', ,",', " ',: ' ":" ".,,', " ,"" ", " '..'" .... ", ';' '. " " ' :':"e, :...' )!!(t/' (',; .... ~ ", ,".. ~ $tloR-el-~/J:l.S O,lltJ/1-]III"Yot pwlJ &e./ ./O.){ ,J. -- {-j;i)L;:~,~L~{;j:., " ",.~'rl' f' '.l.''f'' ~. 'i,,....,'. " ~~~E~~~i'J:t::~~=f.,. .JEFFERSON COUNTY PLANNiNG AND BUiLDING DEPARTiVlENT P.o. Box l:1:!O Po!'l "!'uWI\S('1lC1. W:bllillhlOll !IS:UiH I'IUlIllillji (:!IHi) :U.;rHH.lll Building (:!Oti) :JHG.HI.l1 ,JEFFEUS()S COO;':T\" COI1UTJlI)LJSE David Uoldsmit h. Direetor AGENDA The Jefferson-Port Townsend Shoreline Management Advisory commission will conduct its r.egular monthly meeting on WEDNESDAY, MAY 17, 1989 at 7:00 p.m. in the third floor conference room of the county courthouse in port Townsend. Following is the agenda for the meeting: A. OPENING BUSINESS (call to order, roll call, determination of quorum, approval of agenda, and approval of minutes) B. SHORELINE SUBSTANTIAL DEVELOPMENT PERMIT APPLICATIONS (public hearings) 1. U.S. Fish & Wildlife Service (SDP69-0004) C, MISCELLANEOUS D, ADJOURNMENT c: Jefferson-Port Townsend Shoreline Management Advisory Commission Jefferson County Public Works Department port Townsend-Jefferson County Leader Peninsula Daily News Alice King U.S. Fish & Wildlife Service Ri.chard Johnson Adjacent Property Owners R E eEl V E D Interested Parties MAY 11 1989 JEFFERSON COUNTY PUBLIC WORKS DEPT. ...........~ ".~ \ JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Jcllcrson 5treet P.O. Box 1220 Port Townsend, WA 98368 (206) 385.9160 Gery A. Rowe, P.E., Director Robert G. Nesbitt, P.E., County Engineer May 11, 1989 Renate Wheeler Kala Square Realty 42 Prospect Ave. Port Townsend, WA 98368 Re: Commercial Sign at Entrance to Kala Square Dear Renate, It has been brought to my attention that there is a sign at the entrance to Kala Square that is a sight obstruction for traffic entering Prospect Avenue from Kala Square, County policies state that no commercial or advertising sign should be placed on the right of way of a public highway. The sign in question is only 20 feet from center line of Prospect Avenue. The right of way on this road is 30 feet. Would you please look into relocating this sign back to the 30 foot right of way line. This would remove the sign from any site line for traffic leaving Kala Square. Your immediate attention on this matter will be greatly appreciated. Thank you. Sincerely, ..<J~ ;(~ Scott Kilmer Planning Engineer PWA 03.10 100% Recycled Paper STATE OF WASHINGTON DEPARTMENT OF NATURAL RESOURCES ANNUAL SURFACE MINING OPERATOR'S REPORT AND ANNUAL BILLING STATEMENT SECTION A PERMIT NO. 10179 SEC._TWN LOCATED IN MINE NAME (if any) DNR COUNTY DESCRIBED AS CAPE GEORGE II RNG COUNTY TAX ACCOUNT NO. AREA DISTRICT OPERATOR: ADDRESS: PHONE NO: SUBMIT NO LATER THAN: 1. FILL OUT AND SIGN SECTION BAND C. 2. SEND ALL 3 COPIES ~~D AMOUNT OF FEE AS INDICATED ON LINE C3. 3. SEND COPY OF BV2 X 11 SKETCH MAPS SHOWING ITEMS B1, 3, 4, 5, & 7. RETURN TO: DEPT. OF NATURAL RESOURCES OLYMPIC AREA Rt. 1 Box 1375 Forks, WA 98331 IN CASE OF QUESTIONS CALL: (206) 374-6131 ....******.............**.........................**..***..***.*.***..******... SECTION B OPERATOR'S STATEMENT 1. TOTAL ACRES PERMITTED: 2 2. DATE OF ,MOST RECENT MINING: 6-88 3. TOTAL ACRES DISTURBED TO DATE: 2 4. TOTAL ACRES DISTURBED LAST 12 MONTHS: 0 5. ACRES TO BE DISTURBED NEXT 12 MONTHS: 0 Pit run borrow on1v 6. HAS RECLAMATION STARTED7 NO -----L- YES DATE 7. NUMBER OF ACRES RECLAIMED 0 B. HAS RECLAMATION BEEN COMPLETED? NO ..1L- YES DATE I CERTIFY TO THE BEST OF MY KNOWLEDGE THE INFORMATION CONTAINED HEREIN IS COMPLETE AND ACCURATE. ,e.,Ad./"'/- ~ d~~)#-/---'~~ TYPED OR PRINTED NAME OPERATOR' 5 SII';NATURE ....................**........................................***..*******..... SECTION C BILLING STATEMENT 1. BASIC FEE $ 250.00 2. A FEE OF $5.00 FOR EACH ACRE DISTURBED IN EXCESS OF 10 ACRES DURING THE LAST 12 MONTHS ' $ 3. TOTAL (LINE I & 2) $ SM-7 (1/84) UNIT STATE OF liASHINGTON DEPARTMENT OF NATURAL RESOURCES ANNUAL SURFACE MINING OPERATOR'S REPORT AND ANNUAL RILLING STATEMENT SECTION A PERMIT NO. 10180 SEC._TWN LOCATED IN COUNTY DESCRIBED AS RNG MINE NAME (if any) QUllCENE DNR COUNTY TAX ACCOUNT NO. AREA DISTRlr=T OPERATOR: ADDRESS: PHONE NO: SUBMIT NO LATER THAN: 1. FILL OUT AND SIGN SECTION BAND C. 2. SEND ALL 3 COPIES AND AMOUNT OF FEE AS INDICATED ON LINE C3. 3. SEND COPY OF aV2 X 11 SKETCH MAPS SHOWING ITEMS Bl, 3, 4, 5, & 7. RETURN TO: DEPT. OF NATURAL RESOURCES OLYMPIC AREA Rt,. 1 Box 1375 Forks, WA 98331 IN CASE OF QUESTIONS CALL: (206) 374-6131 *****.************..***.......***...*.********........**************.********** SECTION B OPERATOR'S STATEMENT 1. TOTAL ACRES PERMITTED: 20 2. DATE OF MOST RECENT MINING: 4-88 3. TOTAL ACRES DISTURBED TO DATE: 13 4. TOTAL ACRES DI STURBED LAST 12 MONTHS: 0.0 a~re 5. ACRES TO HE DISTURBED NEXT 12 MONTHS: 0 6. HAS RECLAHATION STARTED? NO _ YES --X....-- DATE 3-79 7. NUMBER OF ACRES RECLAIMED 5.5 a. HAS RECLAMATION BEEN COHPLETED? NO ---X- YES _ DATE I CERTIFY ,TO THE BEST OF MY KNOWLEOGE THE INFORMATION CONTAINED HEREIN IS CO~'PLETE AND ACCURATE. ~~~ ~ //ksj,.q- ~fI%~/~ TYPED OR PRINTED NAME OPERATOR'S SIGNATURE ...*.*..**.*.*.*,~****.*.*..*.*..**..*..********.....***********.*.....**.****** SECTION C BILLING STATEMENT 1. BASIC FEE S 250.00 2. A FEE OF $5.00 FOR EACH ACRE DISTURBED IN EXCESS OF 10 ACRES DURING THE LAST 12 MONTHS S 3. TOTAL (LINE 1 & 2) S SM-7 (1/84) ''''\\'~ UNIT STATE OF WASHINGTON DEPARTMENT OF NATURAL RESOURCES ANNUAL SURFACE MINING OPERATOR'S REPORT AND ANNUAL BILLING STATEMENT SECTION A PERMIT NO. 10181 LOCATED IN COUNTY DESCRIBED AS SEC._TWN RNG MINE NAME (if any) ANDERSON PIT COmITY TAX ACCOUNT NO. DNR AREA DISTRICT OPERATOR: ADDRESS: PHONE NO: SUBMIT NO LATER THAN: 1. FILL OUT AND 'SIGN SECTION B AND C. 2. SENO ALL 3 COPIES AND AMOUIIT OF FEE AS IIIDICATED 011 LINE C3. 3. SEND COPY OF BV2 X 11 SKETCH MAPS SHOWING ITEMS B1, 3, 4, 5, & 7. RETURN TO: DEPT. OF NATURAL RESOURCES OLYMPIC AREA Rt. 1 Box 1375 Forks. WA 98331 IN CASE OF QUESTIONS CALL: (206) 374-6131 ...*****...................***....**..****..........**......**......******..... SECTION B OPERATOR'S STATEMF.NT TOTAL ACRES PERMITTED: 9 DATE OF MOST RECENT MINING: 5-88 TOTAL ACRES DISTURBED TO DATE: 9 TOT AL ACRES DISTURBED LAST 12 MONTHS: 0 ACRES TO FIE DI STURBED NEXT 12 MONTHS: 1. 2. 3. 4. 5. 6. HAS RECLAMATION STARTED? NO _ YES ---X.- DATE 3-88 7. NUMBER OF ACRES RECLAIMED 1 AC'"T'P B. HAS RECLAMATION BEEN COMPLETED? NO ---1L- YF.S _ DATE I CF.RTIFY TO THE BEST OF MY KNOWLEDGE THE INFORMATION CONTAIN~D HEREIN IS COMPLETE AND ACCURATE. e.L,.,I- 11. ~..~,# ~$_LiV TYPED OR PRINTEO NAME OPERATOR'S'SIGNATURE ...................**................*..**...................**........**...... SECTION C BILLING STATEMENT 1. BASIC FEE $ 250.00 2. A FEE OF $5.00 FOR EACH ACRE DISTURBED IN EXCESS OF 10 ACRES DURING THE LAST 12 MONTHS $ 3. TOTAL (LINE 1 & 2) $ SM-7 (1/84) UNIT STATE OF W~SH!NGTON DEPARTMENT OF NATURAL RESOURCES ANNUAL SURFACE MINING OPERATOR'S REPORT AND ANNUAL BILLING STATEMENT SECTION II PERMIT NO. 10182 LOCATED IN COUNTY DESCRIBED AS SEC._Tim RNG MINE NAME (if any) SHINE PIT COUNTY TAX ACCOUNT NO. DNR AREA DI STR H:T UNIT OPERATOR: ADDRESS: PHONE NO: SUBMIT NO LATER THAN: 1. FILL OUT AND SIGN SECTION BAND C. 2. SEND ALL 3 COPIES AND AMOUNT OF FEE AS INDICATED ON LINE C3. 3. SEND COPY OF SV2 X 11 SKETCH MAPS SHOWING ITEMS B1, 3.4, 5, & 7. RETURN TO: DEPT. OF NATURAL RESOURCES OLYMPIC AREA Rt. 1 Box 1375 Forks, WA 98331 IN CASE OF QUESTIONS CALL: (206) 374-6131 ********.**********************************~~*****************************.**** SECTION B OPERATOR'S STATEMENT 1. TOTAL ACRES PERMITTED: 5 2. DATE OF MOST RECENT MINING: 4-88 3. TOTAL ACRES DISTURBED TO DATE: 5 4. TOTAL ACRES DISTURBED LAST 12 MONTHS: 0 5. ACRES TO BE DISTURBED NEXT 12 MONTHS: 0 Pit run horrow onlv 6. HAS RECLAMATION STARTED? NO --L- YES _ DATE 7. NUMBER OF ACRES RECLAIMED 0 8. HAS RECLAMATION BEEN COMPLETED? NO --X.... YES _ DATE I CIORTIFY TO THE BEST OF MY KNOWLEDGE THE INFORMATION CONTAINED HEREIN IS COMPLETE AND ACCURATE. Lh_rl-d: ~.L.#- ~Yi;f.r~ TYPED OR PRINTED NAME OPERATOR'S SIGNATURE ..*.**..*******.********..*****.****..~*.**.*****.***~****.*.****.*.*********** SECTION C BILLING STATEMENT 1. BASIC FEE S 250.0D 2. II FEE OF $5.00 FOR EACH ACRE DISTURBED IN EXCESS OF 10 ACRES DURING THt: LAST 12 MONTHS $ 3. TOTAL (LINE 1 & 2) $ SM-7 (1/84) ,", . . :~;(:?::~; ~i,\ i: ., 1;;" II, {t:J l'. 1", f, " / ", I' I}." \ }\' "i'; t'. : '. ., , , , STATE OF WASHINGTON DEPARTMENT OF NATURAL RESOURCES ANNUAL SURFACE MINING OPERATOR'S REPORT AND ANNUAL BILLING STATEMENT SECTION A PERMIT NO. 10183 COUNTY DESCRIBED AS IIUtrr PIT SEC._TWN RNG LOCATED IN MINE NAME (,if any) COUNTY TAX ACCOUNT NO. DNR AREA OISTRICT UNIT OPERATOR: ADDRESS: PHONE NO: SUBMIT NO LATER THAN: 1. FILL OUT AND SIGN SECTION B AND C. 2. SEND ALL 3 COPIES lJ~D AMOUNT OF FEE AS INDICATED ON LINE C3. 3. SEND COPY OF aV2 X 11 SKETCH MAPS SHOWING ITEMS Bl, 3, 4, 5, & 7. RETURN TO: DEPT. OF NATURAL RESOURCES OLYMPIC AREA Rt. 1 Box 1375 Forks, WA 98331 IN CASE OF QUESTIONS CALL: (206) 374-6131 ..--**.--......-............-............-...............-......-.............. SECTION B OPERATOR'S STATEMF.NT 1. TOTAL ACRES PERMITTED: 2. DATE OF MOST RECENT MINING: 3. TOTAL ACRES DISTURBED TO DATE: 4. TOTAL ACRES DISTURBED LAST 12 MONTHS: 5. ACRES TO BE DISTURBED NEXT 12 MONTHS: 6. HAS RECLAMATION STARTED? NO YES DATE 7. NUMBER OF ACRF.S RECLAIMED 8. HAS RECLAMATION BEEN COMPLETED? NO YF.S DATE I O~RTIFY TO THE BEST OF MY KNOWLEDGE THE INFORMATION CONTAINED HEREIN IS COMPLETE AND ACCURATE. TYPED OR PRINTED NAME OPERATOR'S SIGNATURE ......***-.......................-......-...................................... i , i SECTION C BILLING STATEMENT 1. BASIC FEE $ 250.00 2. A FEE OF $5.00 FOR EACH ACRE DISTURBED IN EXCESS OF 10 ACRES DURING THE LAST 12 MONTHS $ 3. TOTAL (LINE 1 & 2) $ SM-7 (1/84) ", iii , : . "" .' ......, ,',; , ", :' , , ! " : '.' ' ".'. ," f",.,..,.,. ~ ~<, 1 ~', ~ ", ,;;" ,,",', :",,:, ,', " '.. ,:. , ',., :'..':'"" ' :< ' , ',', . .,: , .',". ..',,: " " ~, .,: " " , " '. ,.',,'.. '... ' ".. " ',' ,..'.. ' ,. ,i:r:' ." :' '.,. :' ,', ,'" ;'.' '" ',,:' ,'; .' " ,:.'" ", : : .. .;. , , .".:...,' ,,',',..',', '.>'; ,.,', ,: ' ,:,', .,' ' ..' '," ", -: :'". ,) " ',," ...' .. ".". ,'" ,,:: ,',' , ',' ,." ':..,.. .,:.. ,', ,', ...", '.,:.'" ", , ,."," ,'-. : ',: ,: , ".'.. ' ': '..' ,.";,, :" ,', .,' , ,,',",' ,'.' " ...,' , . ..'" . : " ,-,: ',,', , ,'," ,',.', : ,'..:' '. .' ": ',' ,: ':. . ',", .'.' ',;,.:,' ",.',',~ " ::: " ..",', ',; , .', ," :'. ,,'..: '.. I: fL " '. ' ,.' , ':.' ;....',..: '.. s " ..: '1,' .: :\ ,. , ,...,,1.. ..- C~'"~ ~(~~,~ ~~,'~.~ --.-J Jf-'\),~l~~ '" JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Jelfe,son Street P.O. 80x 1220 Port Townsend, WA 98368 (206) 385.9160 Gary A. Rowe, P.E., Director Robert G. NesbItt, P.E" County Engineer May 16, 1989 N.C. Machinery Co. P.O. Box 88786 Seattle, WA 98138-2786 Re: One (1) Small Wide-Track Tractor Gentlemen: The Board of Jefferson County Commissioners has awarded you the contract for the above referenced equipment for your bid of $44,885.28. Enclosed are three sets of the contract documents for your execution. Please execute and return to this office for further processing, all three copies of the contract and contract bond on the forms provided. If you have any questions, do not hesitate to contact me. Sincerely, ~(j~ Robert G. Nesbitt County Engineer Enclosure xc: PWA02 100% Recycled Paper \ \ ~R-\ ~ /W>- <.:;~,"" "':J.n??" ,I ~<.)"A~~i;.,.:: ,,~~~?-. *''t.it:( n 17:~,~)o.:.....~\ ,! ''-.'!,"'' JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 JeUerson Street P.O, Box 1220 Port Townsend, WA 98368 (206) 385-9160 Gary A. Rowe, P.E., Director Ro,"Jerl G. Nesblll, P.E., County Engineer MEMORAHDOM TO: Jeffe~son County Sheriff's Offjce FROM: Public Works Department DATE: November 1, 1988 SUBJRCT: Addressing Problem, Eaglemount Rd, Letter of 10/21/88 Attention: Mel Mefford In regards to the addressing problem that Ken Sukert discovered, we have found the following: 1. The mile post markers and addresses do run in the same direction, beginning at SR 20. 2. We found two addresses near the middle of Eaglemount Road that were addressed incorrectly beginning from Center Road. Public Works will correct this problem by changing the two addresses to the correct numbers. Thank you for bringing this error to our attention, Sincerely, ,.{)~~ <~ Scott Kilmer Planning Engineer PWA 02 Co-rr~tX- ,. m~,:u,J.. Q8'f 100% Recycled Paper \ rv" (;}'?) ~,~'$IZ ' ~?$.''''""? , -" %;:tf~ 'I:;:;~~''->. !!~'Y," JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Jel1erson Street P.O. 80x 1220 Port Townsend, WA 98368 (206) 385'9160 Gary A. Rowe, P.E., Director Robert G. Nesbitt, P.E., County Engineer April 3, 1969 Jeff Lucia P.O. Box 321 Quilcene, WA 98376 Dear Mr. Lucia: As you are, awar~, your term as member of the Quilcene Flood Control District Advisory Board has expired, Would you like to have your membership reinstated on the Advisory Board for a new term? If you are willing to serve another term, please contact me in writing by April 21, 1969. As you may know, Jefferson County has received a grant from the Department of Ecology to do a Flood Plain Management Plan, We have selected the engineering firm of Geomax, which specializes in this type of work, to do the study and write the plan. Geomax will be contacting people in the Flood Control Subzones and will be holding public meetings. Geomax has stated that they want to talk to the Advisory Board during their field work and have the Board review the rough draft of the plan after it is written. If you have any questions please contact me in Public Works at 365- 9166. Sincerely, ~U-4~ Robert G. Nesbitt, P.E. County Engineer F 04.50 100% Recycled Paper ;~: , ;; ~, , ~<, " r C ;';'" {, r }: .' \;:~ j, 1; r ~f ,~: ,~I' ,,. 'I: t Z',. t' 1:" I ~! \ii"~ I I } f,t: (f' Ii 7,,' , ,,:<: " ,) ,.,,' " ,c' : ",'" .",' '..<, , ':""" ",,', ',:, " ' ':, \ .:e,: ',','. .. ',,;,: ' , ~",',,~ .... '"'-. ",>-"..,.." '. " ,';:, .", , . ..,,' , , ~ :.~ ~~~ JOB DESCRIPTIQH JOB TITLE: Summer Public Works Department Labor HOST AGENCY: Jefferson co~nty Public Works WORK SITE: Jefferson County # JTPA PARTICIPANTS TO BE EMPLOYED: 4 ADDRESS: P.O. Box 1220, port Townsend, WA 98368 WAGE: $5.20/hr 40 hrs/week SUPERVISOR: Earl Wells, Operations supervisor SCHEDULE: ' 5 days/week 7:00-4:00; June-Aug. ALTERNATE SUPERVISOR: William Arey, Foreman PHONE NO.: 385-0890 I. SUMMARY OF JOB A. GENERAL Work consists of vegetation management along Jefferson County roadways, using manual and mechanical techniques; bridge cleaning and painting; culvert cleaning and marking; parks improvement work. II. PERFORMANCE REQUIREMENTS A. OCCUPATIONAL JOB SKILLS 1. INITIALLY REQUIRED Using hand tools, including weed eaters, for vegetation management along roadsides: cutting, thinning, chipping removing vegetation. Bridge work requiring wirebrushing, scraping and brooming, painting. Culvert cleaning requiring use of shovels, machetes, rakes and weedeaters. Parks work will consist of using general gardening tools. 2. WILL BE LEARNED participants will learn landscaping techniques and will develop an awareness of landscaping maintenance and design including erosion control. They will learn basic carpentry techniques. In bridge work they will learn techniques to " ,::"'",, ',:" "',' ; " ," , ,',' '.,::,'...., "" ,',,",,' ,'", ",": <:::i,' , '" ": :' ", ,", :'i .' " " ,',' , ,'.' , , ',,' ..,' .", ", ' ", ..,' ", ': " " ',"" '.o', '" " " ,,',', ': :::,.': ':, ',' ,\ " , ' ~' , , ' '", ",', ,':, ,', " ". ",\.:;", " :' ,'."'..' ,",>:' "" " ' " ' " . : ,'i ",".": ,', ' : ", " ".... ," ,,;, , ." ',.':' ':.".' ' " " , ,;", ' ,:,:' "'" ': , ..,.,',' , ,,' " ,,:', . ,.:/<:.::.;. \:', >' " , " ' >' i ',i" , ' , ",,:':' "",,",: ,', '," ,,; ,: .", ", ' ,'" '." ' '," " ,:" '" ,".. ' , ' '.. , ":.',:' ...'.:, , , ' ,,', , '." ,," :'.1 , ,',,: .' , , .. ' ',.:..",.. ".. :-:- . ,.:" .,', " ;' , ': .';' .':', , ,', , ';: ~ " ,,',," " :,: ~LO'tHENT PROG~ ~SCRIPTIQH JOB TITLE: Summer Public Works Department Labor WORK SITE: Jefferson County HOST AGENCY: Jefferson county pUblic Works Department # JTPA PARTICIPANTS TO BE EMPLOYEU: 4 ADDRESS: P.O. Box 1220, Port Townsend, WA 98368 WAGE: $5.20/hr 40 hrs/week SUPERVISOR: Earl Wells, operations supervisor SCHEDULE: 5 days/week 7:00 - 4:00; June-Aug. ALTERNATE SUPERVISOR: William Arey PHONE NO.: 385-0890 EMPLOYMENT PROGRAM JOB DESCRIPTION I A. 1. The project will focus upon several maintenance tasks, including park grounds maintenance, culvert cleaning and maintenance, bridge cleaning and painting and vegetation management along county roads. The purpose is to upgrade the county parks by additional landscaping and some trail construction. The vegetation management project is a continuation of our previous efforts to improve intersection erosion control and remove undesirable vegetation along our rights-of-way. Bridge and culvert inspection and cleaning will increase the efficiency of our county road crews by removing from them the additional burden of cleaning and inspection. It will also increase the life and effectiveness of these elements. By performing these tasks the public will be served by an improved parks atmosphere, cleaner and more accessible parks, by better usage of public monies by using more cost effective laborers, and by continuation of a program that the county has been committed to for many years. I B. 1. Parks Maintenance/Landscaping is an on-going process that includes planting, removing unwanted vegetation, some fence and trail building. \ i~,:\';:;.v" ',~,,,,,,:,;fj,W/i ~rg.,~~,/ ~~i}~r h,,~~i;;:.)-.:.:~ J"'1~ JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Jefferson Streel P,O. Box 1220 Port Townsend, WA 98368 (206) 385,9160 Gary A. Rowe, P.E., Director Rober' G. Nesbitt, P.E., County Engineer May 16, 1989 Byran Swigart puget Power P.O. Box 555 Port Townsend, WA 98368 Dear Byran Jefferson County is upgrading and expanding the Recycle Center at our landfill off Jacob Miller Road, We also are upgrading and changing the landfill, We will be building a transfer station before construction of the new landfill which will starts in the Spring of 1990. The upgrading of the Recycle Center will start in July 1989. We are adding 3600 square feet to the present building and purchasing new equipment. All of the new equipment will have 3 pH motors and we will be adding infrared heat at work stations. The new building will have an office with electric heat. The following is a list of the motor size and approximate use: RECYCLE CENTER Equipment New Baler Conveyors Can Blower Can Crusher Shredder Paper Fluffer Size Motor 40 H.P. 5 H.P. 7 1/2 H.P. 7 1/2 H,P. 15 H.P. 15 H.P. Use 30 hrs./wk. 30 hrs./wk. 20 hrs./wk, 20 hrs./wk. 20 hrs./wk. 15 hrs,/wk. New Building - 3600 Square Feet Lights for building Heat for Office Infrared Heat at work stations 2KW 2 KW 3 KW New Transfer Station Garbage Baler Conveyor 2-100 H,P. 2-20 H.P. 24 hrs./wk. 24 hrs,/wk. 100% Recycled Paper There also will be additional cqu.ipmcnt u.sing 3 pH motors when the new lined landfill cell is constructed in 1990. We will have aerators and pumps to operate the leachate ponds. If you need any further information, please feel free to contact me at any time. Sincerely, #L:f54~ Robert G. Nesbitt, P.E. County Engineer ce: John Klautz puget Power 310 Four Corners Rd. Port Townsend, WA 98368 ce: SOL 06.20 . .~.:"''''::'''''-' "~"-''''- f f ) ;t ( !, )1 ".'~" r !: t..: ,,' , , " ' ., . ,'. '\:' ", ..'. ' , , , . , ".. ',' "..,'.. COMMUNICABLE DISEAse CONTROL PUBLIC HEAL HI NURSING Vn,..L STATI:3T1CS ENVIRONMENTAL HEAL! H HEAL TH EDUCATiON __i\~ S'vv 07, i 0,0).. <; ..c::::>>' -"!"'......_;~- - ~--- J. . ~' JEFFERSON COUNTY HEALTH DEPARTMENT "" ~~ ...... 802 SHERIDAN PORT TOWNSEND. WASH. 98366 (2061385.0722 AUGust 1, 1988 ~ Mr. Gary Rowe Director of Public Works Jefferson County Courthouse Port Townsend, WA 98368 Dear Gary: Enclosed please find the 1988 operating permit fnr the .Jefferson County landfill. I regret getting it out so late but I've been rather uneasy about the continued use of the septage lagoon without a viable alternative on the horizon. However, I believe wi th the completion of the Port Townsend secondary waste water treatment plans, which include an allowance for county septage needs, we are well on the way to meeting compliance with the applicable s~ctions of WAC l73-304. Thank you for your diligent work in meeting these needs, Sincerely, 2\L.- "''"'''"'--<....''-~ Rick Miklich Director of Environmental Health RM/cp n~fF:Cf:;;,q'lll~fi''''j; . :'1' c..,,-. . -.... ~ t ; t.....;1 (i-:p ('..i(: P, 1988 Jl:!f.FERSOi\J COUNTY ENGiNEERS OFFICE '"..,: " '" ' : ' .,.... '. ,\ ,< ' ,: ' .. :',;','" ,:, ,... '..." ", " ':,' ~ .",:i: < ',' ,,'.' '.' .,: " ',:', ,,' " : "., , ',..' :;.:.', , ' " ," :: ..', ..,';' , :.,,'.,' ,.'.",.., ,..'", ' ',," ,'. ,,;':, . . ':;:'.. . , ' ' : "..:: '" '" ' ': .. ::' , f.', :.'." , " '. ',', ',:.. " ' ." "', ,: ,', : ;" ' , ," " , , ,': .' : ::;, '.',' .. ',,; ':' ': : ",. ':'; " " ' '. '.... ... ,'::. , ' ;' ,',. .. ' ..'.: .' ...,:,.. .. " ,','.:...,:, . ", . ,": '.' ,',> ," ,'..:' < " , '..' ...'", , .: ..., :', . , ',:','",:::',," . ',.., '.., ':..,", , " ..,',.. , ',' "',, ,", ' , ", .- ,,;' ,'..,' ". ,.., : " ... '" ".' ",:' " ":,,.' "';', ' ' ,', ,'. ", . '" ' '" ,':, , , ....':,', ':.; ::". ," :,;' ,: "":" :', :, ' " ::i-..Jj ,;: ': : ',:, '....,' ,',,/ ,',', " :,' ""..' ",' ,," ,"'., ,..' .. ..,.:, , ,,;...-', .',', ..... :, II ',,' ,.' ,,'>, ,) z c ~f ? z .. 0 ~ 0 ~ c: Z o::S_~ ..... ~ ~('... ~ = '" '" ;.':< a. co ~ CD ~ t'" >-3 ~ n > ~>-3og 0 0 CD "tl::ri;lo n c: ~ Z ~ 0 '" t<:lCD en ~ ;;;'0 a o' "" p.. ~ >< " '-z:l 3 "tl..... co '" >-3 ~ 'Cl t':l .-. ~ ;. ~ ::> ~ .......... ~ I 0 ... .... tDBl'Dl'D \ ~. > '" ~ 0....... ~ :~~~, ! ='" t'" 0910'-' '''' ! 8 00 t':l !o t::Ioo "co ::r ! 0,< txl co :'1 I..... ~ '.... i .gc'~:g I Ct> 16' I \~ ~ _:tI "1_ l-"CJ '< en ~ rr I~ i~ l! c: 0 co (g ~.~ ~C'" IS. \~ Ii t:r:I ~ ;'''',:=;" ~ co ::> '" t'" ,. If:: ::d 'Cl ~ e. co !", ~ 'E!.. p.;' l! I .....0.. cn \> I I:;! $:: ~ ... ~ 0 '", I ~ ~ ~;~;; lel I 1~ I \ I--i ;:! ~ p. '" I t-3 ~ ;" '" 5' en 0 I CIJ p. s- o ~ Q.c'~'-' I I \ ~ '< " ~ . ;.mo I I ~ t::I rn :=g,,~~ ~ i \ ~ ! '" co (\) ~o i ~ e.~~ g!ll I \ ~ :<- J; .'-.-::r \ \ ~ c: Q~~l( ~ '" ~~ 0 0 .... ~ ...... 0" :s \ ~ ,; .. "',< ..... ~ ~ '" ....~e.. ~ 00 ~ ~m 00 ~~~ . ::s p. \ -~'S\""vG};jJ?1, ;<<J ~>r. , '. ~-..., nz'''.!, ~(. II. .'-"'" '~! JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Jefferson Street P.O. Box 1220 Port Townsend, WA 98368 (206) 385.9160 Gary A. Rowt', P.E., Director Robert G. Nesbitt, P.E., Countt Engineer April 7, 1989 Ms. Cynthia Howarth Director of Environmental Health Jefferson County Health Department 802 Sheridan St. Port Townsend, WA 98368 Re: Septage Disposal at the County Landfill Dear Cynthia, We need a clarification of the policy on septage disposal at the County Landfill. I would like to attend the next Health Board meeting to address the issue. The reason I am requesting this is due to allowance of out of county septage waste haulers to dispose at the county septage lagoon, I have reviewed our records and have found an alarming increase in septage disposal: 1986 - approximately 345,000 gallons; 1987 - approximately 385,000 gallons; 1988- approximately 678,000 gallons. This doesn't appear to be growth related but most likely due to the restrictions on dumping septage at neighboring county facilities. At this time we have estimated that the lagoon has between 3,000,000 and 5,000,000 gallons of septage and sewage sludge in it, Our current plan, upon closure, is to bail the lagoon out and apply the sludge on closed landfill area at an estimated cost of $50,000 to $80,000. If the sludge requires treatment (such as the Solganics method) ,or composting, the cost could range from $180,000 to $350,000. By accepting more septage, we can assume the costs for closure of the septage lagoon would be graater. I appreciate your help in searching for solutions to this problem. I would like to go over my notes with you prior to the next meeting of the Health Board. Please call me at your earliest convenience. Sincerely, AOf a.?- Gary A, Rowe, P.E. cc: Board of County Commissioners /,>, 100% Recycled Paper ).'.- :;/.--;'{) \ ", ~tJ-'=1 'l~,l>i "f' , ':--..:,r;'''~';o / \:.iiJ,l"'~~i.'~ ~ "?i.t":.{~ 'r/. y::."",,,,";}c.."\ )j..~, JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Je1ferson Street P.O. Box 1220 Port Townsend. WA 98368 (206) 385.9160 Gary A. Rowe, P,C., Director Rober' G. Nesbitt. P.C., County EngIneer April 7, 1989 Mr, Charles O'Conner Chairman, Solid Waste Advisory Committee Re: Interim Update To Solid Waste Management Plan Dear Chuck, As a follow-up to our meeting last week, I have outlined my thoughts regarding the interim update to the plan. Attached is a perspective on the plans that have been previously done and how we got to where we are today, I belie~e we came down to two issues at our meeting: 1) What the interim plan is intended to do, and ~l when should the recommendations be' implemented. On the latter item, I expect to have some good projections on the life expectancy of the current disposal site by this month's meeting. We'll also look at what the options of expanding the foot print might be., On the first item, the attached information helps to clear that up. I appreciate the time that you, Mark and Agnes took to meet with us and look forward to meeting again soon. Sincerely, 4~ a.1?tY-- Gary A. Rowe, P.E. cc: Mark McCrary Agnes Walker GI;~J,-l~ 100% Recycled Paper ;, t , h';' f ",- w *... r .' , ! ~, , 1 f ;, ";j. ~ t~, <' ,.,. .,'" , '" ; :::',: . , ,',.',." :' :' I'," '.. .\ :;". , ",:'. .., .' ", \,:,: ',,' , ,', , ...", ,',: " . , ,..'", ..".. ':.,,;:..:",',:'-'..' ',,', The following is from the 1983 Plan recommendations: 1. Sanitary Landfill o Updat" t;1,e sanitary landfill plan. The current plan to accommodate vasce loads is adequate to 1995. HOftiBVer,.an in-depth site geology, hydrology, and monitoring study should be developed to assure proper llUldfill management;. Provide 30 yard container un! tll edjacent t.o Dayshore Recycling for use by tho genual public. Thill will eliminate traffic congest.ion Bnd provide ):)",tter service. o Provide adequate weight. 5cales to weigh all "oUd wasto that enter the lend!'!]1- A .y.stem of morf/' complete daily rocordlJ can then be made. o PI en end con5truct II permanent building. facility for the Balid waste landfill operation and office requirements. ~ Institute a groundwater protection program in coordination with the County Health Department: and Depart:ment: of Ecology. T~c draft interim plan is outlined as follows: I IHTRDDUCrION II IHTERIH PLAN AND SOLID JlASl'E IfANACEHEHT PLAN UPDATE III LANDFILLING AND VOWHE REDUCl'ION 1. Existing Practices a. Land Use and OWnerships b. Waste Disposal Operations c. Regulatory Requirements and Permits 2. Needs and Opportunities a. Landfill Gapacit;y b. Landfill Site Select;ion c. Landfill Design and Operations d. Closure and Post-Closure Financial Assurance 3. Al ternatives and Evaluations a. Evaluation of flaste Reduction by Recycling b. Landfill Development; and Closure Alt;ernat;ives c. Leachate lfanagement Alternatives .4. Recommendations a. Landfill Closure and Development b. Financial Assurance c. Waste Reduction Recycliqg 5. Implementation Schedule &pr112,1989 "8,2 :', ", .,.., ,",:,:,. " ", :,' ,...'..~..,' ..." ...." ,,',c~. ..' ,/", ,,' ' ' ,', ',; ,'.,' ',,'" . ..': .,., ". ' ""{,c ", ' ",' '.,' ." ...."..'",. ": ".....,: ,"i .. ' ' , ': ", . ,,' ,",' '. ' ", . ,,' ,',' ',..,:;' : .',,".' " "."",',,,',.,"...,.,, ,': "., :>:,'''.. '" ,: ., , .. ,': .'. ',' , '. :. .. , , .. ,,:'.': '. ....., ' ',' :..~' ',.:"..: ": ' ," ',',..:: '.. , '..' '::-' ,:', "".." " .", .. ",: .,'. , , . ",' ''''".,,. ,',,',,', ',.,',,' '. ," '.' ,"" .,. ,.," " ..' "..: ,', '. '.. ,,' ',.' ,: ,/ ',' ,', " ',' ,: . .',' ,", , " ' ;.'.,,;. .. ,"".':, .' '. ,:,' ",," , '..,:, ': " " :,.."." '.. " ',' " '" ' ," " :i,;': ;,' . '. " , ,".. , ' " ' '" ,'.':" .. " ,...', ' , ", \,' " " ....:' /: ::, "','" : ':. , ",: ;," , , ";", " , ',' ,:" ',' ',: " -',.."." :; ':,': '. .: ' .. " '..' :;-: , ,..;..., , " , ,'. 't... ',' '-:' , , :;,';, '" Jan W. Allen, P. E. engineering 200,'281.4122 Russ Beebe CommLJniCJt!ons 206128'-E953 CraigH. Benton Prog'amP1anning 206/281-5952 Jeffrey MOffis, Ph.D. e~onomics& EccnomerriCAnJI)'sis 205,287.4109 Carl Woestendiek Education 206633-3002 Seallle Washing/Off USA 98136 206/ 932,3404 Fax 282,1280 ~ - - ~ e,R per-! S''^' ot..(o Sound Resource Management Group, Inc. RECEIVED Mal:ch 15, 1989 MAR 1 7 1989 JEFFERSON COUNTY PUBLIC WORKS DEPT. Mr. Jeff Frettingham, Solid Waste Coordinator Jeffel:son County Department of Public Works P. 0, Box 1220 POl:t Townsend, Yashingt~n 98368 RE: ENGINEERING SERVICES FOR COUNTY RECYCLING FACILITIES Dear Jeff: It was a pleasur.e speaking with you on March 14 regarding your plans to enlarge your recycling facility. As a follow- up to OUI: conversation, this letter serves as a tentative wOl:k plan and acknowledgment to proceed, The following tabulation indicates our tentative estimate of time and expenses for your proposed scope of work: Client meeting and fact finding 1 day day 2.5 days 1.5 days 1.5 days 7.5 days 60 hours Task and Task 2 Design Work Task Design Work Task Design Work Project Summary, Document Pl:eparation, and Recommendations Sub-Total x$65.00 per hour $3,900,00 t Miscellaneous Expenses and Travel Costs 7220 Ledroit Court sw We look forward to working with you on this investment in recycling for the county, I will see you at your office on Tuesday morning, March 21. Sincel:ely, INC. ~9 Planning, Engineering. Economics IImf PublIc ~duCllllon IQ! Wlste Reduction, Composllng and Recycling No.. ---l-_ Date January I, 1 989 JEFFERSON COUNTY HEALTH DEPARTMENT PERMIT Issued Ta~!.<:.:_son Co,u~__oo___--.__ To.' Operate_..qlJ~~:en,eT.r~,s!_er__S..l:,~,:1.':'''. ____ _ __________ Lo.catian 00__ Quilcen",~~:,hi".gt,:,~.."... In accardance with applicable Laws af the State af Washingtan, Rules and Regulatians af the State Baard af Health, and Ordinances pramulgated by Jefferson Caunty. This Pennit may be suspended ar revaked by the Health Officer for fail. , ure of the Permitee to. camply with applicable rules and,r~,tia',Yl4 7'7/ .Ii' .I,; /" , V/ - ....;.J''"- ..' NON-TRANSFERABLE " I 'Hea1ccer J.'11f:~li6kDm9 ~tarian ~ No.. Date January I, J.989 2 JEFFERSON COUNTY HEALTH DEPARTMENT PERMIT Issued Ta~.!'!!.g,soN co!!.~__, To. Operate _..c_I:I!!'~!'!~I:E~,,~RI;!l.EI:.~R_,~1:A,,!,,~olL__ _ _u_____ Locatian ___CI:E:AI\~A.1:I!R_..'i~S.!!1!'9.!,ol'l,_", ,__ In accardance with applicable Laws af the State of Washingtan, Rules and Regulatians af the State Baard af Health, and Ordinances pramulgatoo by Jefferson Caunty. This Permit may be suspended or revaked by the He~tf O.(fi~~ far fail. ure af the Permitce to. camply with applicable rules and rV%,QtiP,Il~//.# ~'-"/ " . ~~/ ~':'/i':"~~"~~~/ NON.TRANSFERABLE . Health flcer L December 31, 1989 Expiration Date 'I , I No. __.3-_ Date January 1, 1989 JEFFERSON COUNTY HEALTH DEPARTMENT PERMIT Issued To~!'KKSON C;01,[lfD'_____,_______ To Operate,.,MN.DUl,L. _,_~,____.. _.._ ____ ____ Location ,_. P()~T ~O~S)::~D, ,I!ASH1}IG,!:O~.. In accordance with applicable Laws of the State of Washington, Rules and Regulations of the State Board of Health, and Ordinances promulgated by Jefferson County. This Permit may be suspended or revoked by the Health Officer for. fail. ure of the Permitee to comply with applicable rules and reguUs" ;~/ / NON-TRANSFERABLE J11lli'~ np~pmbpr 31, 1qRq ~~ ~ Expiration Date {j Sanitarian No. Date January I, 1989 JEFFERSON COUNTY HEALTH DEPARTMENT PERMIT Issued To ----IEEF.ERS01L.COUNIY____, To Operate_HADLOCK, TRANS~ER",Sl'AnON. __... _,_____ Location ___ HADLOCK_WASIDi'lGl'ON._..,....,"',...... In accordance with applicable Laws of the State of Washington, Rules and Regulations of the State Board of Health, and Ordinances promulgated by Jefferson County. This Permit may be suspended or revoked by the Health Of",ficer)'or fail. ure of the Permitee to comply with applicable rules and re~, 8(fo)~~\~:(,1 , Vk~~<' ' " NON-TRANSFERABLE He, alth DifFer n December 31,1989 r~t2.:..... ~ Expiration Date . rJ ' Sanitarian 1 I No. 5 Date January 1, 1989 JEFFERSON COUNTY HEALTH DEPARTMENT PERMIT Issued To---=:!B'J'.!!.~~!LGoIm:rL-___,_______ To OperatL,C,Q,!,L~.. TRAN,SI:?R...E:I:AUQ,/i ,__ __,__ _ __________ Location ,__ ,COYLE, WASHINGTON .._.... ...', '" n_ In accordance with applicable Laws of the State of Washington, Rules and Regulations of the State Board of Health, and Ordinances promulgated by Jefferson County. This Permit may be suspended or revoked by the Health Officer for fail- ure of the Permitee to comply with applicable rules and re ,~t}qJl!l", /. /J V N.. ,f/ .. /< :-.;/"'-.,~--:,:I' / ~ ~ Health ricer (I~itari~ NON-TRANSFERABLE December 31. 1989 Expiration Date No. Date January I, 1989 6 JEFFERSON COUNTY HEALTH DEPARTMENT PERMIT Issued To~.fJ;.lj.jlON COlI.I:ITX_____,.. To Operate_,!l~~~o.N_ JRAN.E.FJlB..s_Tl':I:I_O)L ___ _, __,_____ Location ,_, ,Blj.I,NNgN_l:1A.5.!!I,!'G_T9N._,...,_".,___,' In accordance with applicable Laws of the State of Washington, Rules and Regulations of the State Board of Health, and Ordinances promulgated by Jefferson County. This Permit may be suspended or revoked by the H'ealth Offic';f for fail- ure of the Pennitee to comply with applicable rules and r(4{;g:?~ NON-TRANSFERABLE /"l H:alth;.0fficer December 31, 1989 l~~ _~ Expiration Date U - 'Sanitarian -," """;"_~'1:'- ~;: of: ~,~ f: 'i~ J',', \ .- ., " t f t {, r ?',:, "..',/:" " .... .,,', ...'. ". .' ',,~,-,. '.. .. '. ':,.- " . " " '. ....,. , ....' ,'.., ,.." '" ..' ." , COMMUNICABLE j DISEASE CONTROL PUBLIC HEALTH NURSING VITAL STATISTICS ENVIRONMENTAL HfAUH HEAL TH EOUCA TION - A \ .- ...::::.. ~. .,~--~~ - :i.AL..-- -- ~ S:W 07- io -02- ~ ~,. JEFFERSON COUNTY HEALTH DEPARTMENT ~~ ...... 802 SHERIDAN PORT TOWNSEND. WASH. 98368 (206) 385-0722 March 15, 1989 Gary Rowe Public Works Department Jefferson County Courthouse Port Townsend, WA 98368 Dear Gary: I Enclosed are the 1989 permits for the Jefferson County landfill and transfer stations (drop boxes). I have inspected tho drop boxes and found them well-kept and clean, I also noticed there was no trash along nearby access roads, I am glad to see that people are using the drop boxes and that the hours are very visibly posted at the sites, I appreciate your continued work on the landfill in bringing it into compliance with the minimum functional standards. I will be reviewing the variances that you request before sending them onto D.O.E, Don't hesitate to ask for my assistance; I am willing and able to assist you in this process. I have approached D,O.E. on the timing issues and they seem receptive to our position here in Jefferson County. I look forward to working with you in this com.ing year. Sincerely, ;;.(-;.,,~"- r-I-I-k.~ Linda Atkins Solid Waste Technician LA/cp "..,' ~,.", ;,,::-----c;- " ":, ,,'; '" '..... ..' ", ," ',' '. , ,- ',' '. ; '; .,:.; .', ',' . :''', :'-'," ,.'," ", ';, ',,:' ',..:: . ..:".,. ,:"..' ..' ',' , ,':: ,,:,', ,.... . , ,.::,' ',' ',' ';' ,':" ",,; ',:, " " '.,,: , .,: '" .. ,: " '..', '" ",'.' ,; ,';' '" ' '"...,,: '>, . ',', , "., ,..','",....,.,'., ",,",. '.'" ': , ,':' : , ",:>":'; '.: ..';' '. ," .." : ',: '.' , '", ':.,', ' ,,:.', .' '., "';,:" ,'.', ",",'..... "'::,..'""..:" ..":: . '. ":'\, "":,, " '..' ',..: ", ", ,,',",' "i,'; . ;', ",.'" /, ': : ....,,':,.. ..' ; ': '." ' ,:,': ":::'./, . ',' ,','" "... " ..,::, , ........ ",," '"., "., ..,.. :', :,...., , " , ", ,', ' ':. .,:, ,,, :: '.'...:" , .. '," ,:' ',':, ' ' .",. , ,.' '," ,... ,," ,', ".' ,', ',', .', :', ' "." ,..'..' '., ;., '... ': , ,,".. ,::, :, .' '..,,' ,', ":" ',: ,..',:, "," ,,'., .; , ': , ' , , ,'.,', , " ,..'."":;<,, ,'>. :;:: "', :, ' , . ,:,:' :., " ",{ ,', , '.'.,;,',:,.:::,; ,'. ;'. " ,',' .', . ~'. . ; .', ,'rn . . I '~r~s~{(';' ~ { . . ",:~ 1 1 c:. -: , ,....' :'", ':',',:',', ' ' , " .. '.' ' '."'",,: " ":" ,',,: ',: ' ,',','...' ' ,..' .',' . "', " ,',' ,.,'.' "', " ,.;:'," ' . .,',,' '"', ,",:',,-:' ,\' ,.., .:" .. :'''', ' , ","" : ::,,',', :-: " ,,:,: ,".. ,"',:, ',' ",',:'; : r~ .', 1~)li~~;: ,,", ,.. ",: <. ,t' .' ~;,~:);;: : ", ':""':" , , " ,: " " ',' ;, , , ; ':" ',: ,.,", ,,:.. : '. ',' " , ."',',. i :', '" , ", ,',. i" : : . '" .,,', ',,' ", " ,:,-, ',',: "','" ,:: , J," . ,.., .," ,,', ' . ;,.':, , " ' > " ',L L I:, , . ' ": ',', "" ,,: . ,':".,: '.", :'...,. ',,'..', , ' ," " , , , ',', , , , , . ."., No. ?038 CUSTOMER NAME DESCRIPTION DATE /- ~":'7' f!J , ,.. " ".. ~. ',.io',' ,...,."~." JEffERSON COUNTY HEALTH DEPARTMENT ENVIRONM~NTAL HEALTH 802 Sheridan. 2nd Floor Port Townsend, W A 98368 (206) 3B5-0722 _...J, /../"'",'L ~', v' (2.".. 7. r-::',,:,/;', ~/ _".~:~~/; ".-e( /~~.//_I__t:{;/ (" /~_l_"__IO ';~:J TOTAL AMOUNT S I ()o t,,') OCJ CASH S SEPTIC SYSTEM New Installation Repair __ Re.evaluation Designer license Installer License Designer/Installer License Evaluation of existing system Pion Review Renewal Holding Tanks L SOLID WASTE PERMITS New v Renewal PIon Review '''0'- ";,;J(... ~.~'. ., . , . --' ",. . ,...{.-_._-~ CH ECK S WATER __ Site Impaction Samples (per bottle) FOOD SERVICE licensing Grocery 0,50 51-100 __ 101.200 >200 lounge Temporary or Mobile Parmit . Food Hendler Permits Pion Review Transfer of ownership Reinspection fee OTHER .. Specify " 'II , " ~,," ". I . , ~< 7L " '.' ,....., '...' , ' .. , ....".: , " ." ,... '\:'::i:;':~ . , ,', . ' , ", ..:" ..,', . ,'::",:, ,. ' , '..: , ", ;" " ' ,.' ",', , " :,', ' , " .. ~ '" ,"'.' !: , ' , :": " I. ;, '.' ",'.',' I, ,', ,'..',,' ",',. ..'..'.' , ',' .,'.', " " ' ,:",;, . ", .. ' ',' , :,', ,..',' ,', .. ' ,'.'" ,: ',',' '" ',,':' , ',' ". ,".'. ",'... , ,.",'..' :.,,' . ",':'. :,. <', ' '. ,','. ": ,,' . ,." ," ...,'. "':", , ,..,.: ',' '., ...', , ",.', "CO: i::.: : " ", " : :," ;, '.' " " ": ....',.... ,.'... ,,:,., :,.' , . ;'Y~~' . . ., ~.'<:J' .~ . "'"'.'J v"'/ .....' ',1, " " '.',') ".. ; ,:'. " " ',', ',': "..., : ',i:,.: , '::, . .. " ", ,: ',' .,', . ,'"," ',,' . :.', ","", . ' , '.".',.'T?::;t'4;:. ,~ .. ':, ~ " ..", " , ,,' '." . , ". ,,' : , "": " : --.J'.' ...',: .,':" ", i: , " " ~' .. r .'J r."" 'T');; ~r.~",:t:l ,/ Bl~ .' ..'\:'..... , ,JEFFER!,ON CO! INTY PUDL.IC wordq, ~,()I... T [l WASTE VOUCf II::F: WAF~fi:r1NT 'ii~ 4~..B2Lf._. VOUCI'IE,r, ,if 17t;U TO", JC HEAL 1'1-1 [<1,:1"1' 802 BHEI':If.iAN PClf':T TOWNSEND WA 'lB:,6B vr:~l"'nor~ {: .JCH:tOO f"'':l1,JECT DATr~ IN')tHCE NO. NUM[<EF~ ,x....,.................., [lE~;CRIpr[C)N ............,........-.x AMOUI-H -)(.*,~ ~Be' :)(. -)(-. .)(. ').H{..)I; .)(ull. *.J(o o){o';~ .:jEIC' ')H.(' ')H~ 0)(--)(0 '}HC .)(..~. 'IH~ .)e,," *..* '~B( 'X-'W ')(hH .)(. .)(. -1(..){. H"J%- ,0(.1(. ,)(. -i(. .)(. .;ooe .)(..)C. 'j('-)('1(.)f --)o(..,{ .)( .;c. )(-1C' .j(- -)(. ".. -x. )(.)( .i,.)..:; )(. j(..)i ,),( .x.-)(. * * * * 12/~:Si/8f:l .)(. t:1.~3:f.B8 .}(. BWO::-j:37 ~. f;OI...JD Wr-1~:)TE FfD:;:MITS 1( 60().OO * J~ * 1~ .)c. .){..x- .j( .)(- .)(. -)(- .,.;- .J:(. X'A '1(' * -)~ ~ ~ .).(. 1~ ..4~ ".. ~. .),. .)(- 0)(. .M. 1(")of _)\. .J( .)(. -~ .):(. .)(- .)(. "" -1(- .~(. .)(. .J!.. 11': * * M ~ * ~t * -)(. .)t.)f .;.:. * ~ * ~ .)(, .)(..~ '1":' ie. 'X * .,i. .)(- 1t.)f .;.:, .;.(. .)(. .j.(. 1\' .}C. .)f:.J.(- 'x- =).(. .#(. ')(0 -X- i* i~'~ -K .)c. .)(o.)( )\. .)(, 'lI:o -:4' .1(. -)( .,... ,}{- i(- * * * M * *.. * .~ .)~ -~~ ')" * .)~ .)~ :/~' .;.( .)(,.0.;: -A~ :: RECEIVED:: .~ : * .)~ .)t. oX. ~ JAN 2 7'89:: .;: ~. -)(. .)(. 'M. ,){. :: JEFF. COllNTY ~ :;~' : ,,. HEALTH DF-PJ ," ," ," .x- .)~.~ "]f- * M. -}C. 1(. 0)(' .)<:.\t :J~' * * * * .)(. .){, -J.(. .)1;- * * * * * * * * " ". TOTAL " 600.00 .~, .)f; .~( ,~. -M. ~(.*-)H(i ~..)~ .)t:.)(-.)(..)(i .)I;i(' -1(:>)(' "li~(- .)(..\t: .l(--)~ .).(-.)(. .)!. ')(. ~Hf; ii,.){. ')...}(. *..x- .)1:-.~.),f )~ i('~f .)Oe, 1(' X ')(i .s. -j:l--)(. ')(.o)f .)(-0)(. .x..)( -)(..)t. .)t..y'. :)~. ~(. ')(..){. ,)(..)(. ~\. )(. ')H(' * .)(. .)(. * :/(")(- ~'-!,(. .H..)< :w:..){-. )(h~-H' .">UDITED BY .~<;t,e...._._..........,..., DATE ~~::7........ ;, OFmEJ~ED PAID BY ........-..._.___....................,.......... 'I<. D(\TE -....-........,......,.....-, I. THE lJNDI~"SIGNI:.D DO HEJ':EBY CEIHIFY UNtiE!': ;(. PENALTY 01'. f"F,r~,JUI':Y. THAT THe: MATEFn.~LB HAVE ,)( BEEN FLJ!':NISHED, n'II::: S!,-F~t;:[CE~" 1':E:NDEm::D DJ': ,", .......-........_..,...,.._.._..__..............._ THE: I. Al"<m': F'E:F"'.UI,ME.l' AS DF.8CI~Jl<I.r: HI-"E) N. " ANt. TH,">T T: IE CLAH1 113 .JUfJT. DUE AND UNp,"'ID " OBI._IGATID;-I AG,~INBT ..JEFFEI~S()N COUNTY. ,">ND THAT ....................,...,............... ,.....,........,........_....._..,................. I AM ALJTHDfnZED TO AUTHENTICATE fIND CEr~TIFY 'I< TO SAID CLAIM. 'I<' .)(. _~ _..,._ ....._,........ _...... h.,._ ...... _..... ....N.. ._._..".,_ ........ ___. ....H.. _.. ........ 1<. " F'UB;..IC WOF~I,S j(, ,.IEFI"'ER~WN COUNTY COM~llS!HONEF~S \ MEMORANDUM ~''';;-,.w;'''' >:...-.;. ,tlt"j,~l, , ",-";f::~~/.:--' rff ~~,'~ ,/.~~. ,~ JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Jefferson Street P,O, Box 1220 Port Townsend, WA 98368 (206) 385.9160 Gary A. Rowe, P.E., Director Robert G. Nesbitt, P.E., County Engi~eer To: Carter Breskin, Facilities Manager From: K. Robert Henderson, Safety Coordinator Date: March 17, 19B9 Sub;ect: MUlti-Service Building Safety Inspection On January 26 of this year I conducted a follow-up inspection of the MUlti-Service building. You will be happy to know that I found no new discrepancies; however, very few of the problems found in our first inspection have been corrected. I have listed these problems below with what I feel are the highest priority items first. I realize that budgetary constraints are a problem, however, I urge that some method be devloped to address the problems on a monthly or quarterly basis. If I can be of any assistance at all please feel free to contact me. 01-01 01-02 01-03 01-04 01-05 01-06 01-07 01-08 The railing on the stairway leading from the parking lot to the building needs to be rebuilt. Fire extinguisher signs that can be seen from the hallway need be added in the Health Dept. and the Community Action Office. Fire extinguishers need to be added in the Annex and a mounting bracket needs to be added on the second floor. There are exposed wires in the panel box on the first floor foyer. Non-slip surfaces need to be replaced on the outside (North) stairway. Breakers need to be marked as to what they control on the second floor elevator landing. First-aid kit locations need to be marked on the second and third floors. Safety bulletin boards need to be placed on the second and third floors. A permanent solution needs to be found for the throwing of cigarette butts onto the Hospital roof from the North, outside stairway landings. ~~'CU' )~ ~~~bert Hen~, Safety Coor~inator cc: Ella Sandvig, Mental Health Administrator 100% Recycled Paper (~ (1 CROSH - SEAVER VALLEY ROAO - OA~: BAl' SU~MARY OF TOTAL COSTS DIRECT NON-SALARY COSTS DIRECT SALARY COST OVERHEAO COST @ IS6t tlNCL, OVERHEADI SUB -TOTAL NET rEE f 151 OIRECT NON-SALARY CIlST RATE PAY IlEHS $55,27B,OO $B6,233.68 COHHmaCAT IOmELIVERIES REPRODUCTION TRAVEL COHPUTER PER OlE~ $100.00 SIOO.OO $lB0.00 $100,00 $1,470,00 $141,511.6B S21,226.75 $B,290.00 S3, \00.00 SUB-TOTAL SI,950.00 BRANO TOTAL $174,12B.43 RATE PAY ITE~S lllLE REPORTS MATERIAL TESTS $400.00 $300,00 r-"'.:j - ;'7, :l;~', E~ ;,. I! . .;. .....J r".-t: . c;._, Fr;'" 1:1 ~.;"').~? f'./?' ~c','I7'q,G..q 1;' I"PI, It:E.. '"-lz, 'j'll II !:..~I.F':r SUB-TOTAL $700.00 CROBll - BEAVER VALLEY ROAD - lARSON LAKE ROAO "1 \. .;' ~., ; DIRECT NON-SALARY COSTS COMMUNI CAT ION/DELI VERI ES SlOO.OO REPRODUCTION $100.00 TRAVEL SIBO.OO COHPUTER $100.00 PER DIEH $1,155,00 3c.-.. r~!:i.:. ""~ SUB-TOTAL $1,635.00 RATE PAY ITEHS TITLE REPORTS $600.00 HATERIAL TESTS $300.00 SUB-TOTAL $900.00 CRDBt2 - OAY. BAY ROAD DIRECT NON-SALARY COSTS COH~UNJ CAT ION/DEL I VERIES $100,00 REPRODUCTION $150,00 TRAVEL S240,OO COHPUTER $150,00 PER DIE~ $I,6BO.00 57, "'Il', j',? BUB-TOTAL $2,320.00 RATE PAY ITE~S TITLE REPORTS $500.00 MATERIAL TESTS $300.00 SUB-TOTAL SBOO.OO 1'[", :'t/' ".;...... III::!..... /'~:.l~ (:'J o9~\ 1?/-. "'f!"').,,:ilr,,1 Ice- Irr' ,::r. It: "7{!:c, CJ:'"_.,",..J"'" Irt' I t~.'" J~F1 I c,. ~ Co...,.... ",) fC"j If..J I.'l~ I:;'''' /I r; -r1"[7 :: ",.., g~,~~ I.:'~::> 77TLF ;:'I:r-r.2?:: ,;;.~!," .=(l(i ~.. 'r"(' I" r 1,'"'(' ~ ~:r,:-, ",1(\ 1';; o Cl MEMORANDUM DATE: TO: May 22, 19l:i9 FROM: Robert G. Nesbitt, P.E., County Engineer Aubrey Palmer, Office Engineer ~~ SUBJECT: Modification of Preliminary Estimate for consulting engineering services for County Road Projects, CR0579, CROe11, CR0812, CROti13. The scope of >lork has been modified slightly to include a 10 (ten) year Traffic Forecast projection be accomplished on CR0812, Oak Bay Road, and to be included on CR0813, Heaver Valley Road - Swansonville Road lntersection, tying the S1/~, and E1/~ Cor. Sec. 6, T2tiN, R1E, vl.M.. Also, after conferring with Ron Landon of State Aid for Countys, and Earnest Giesler of the County Road Administration Board, the requirement of an Audit Evaluation will not be accomplished for these projects. Attached you will find the revised preliminary estimate for Engineering services required. xc: CR0579, corres. CR0811 CROd12 CR0813 ;:. --;---HI'5 I "'-~l'" (.,-C INCluDES c.c It; I /) "b~~{"'~I~- '?Rr>:oeCTiO..J O'J~ BoB Ii:': d- '-i.....nJc.:.:'::,.:: 1/.( .t C Y~f C-'?R,. ~,EC. c.) ';,.'..;}-. cr-:,.:"~,s 13 ~PEHDIJf. UH.' c,.. ',' f(E \! I S EP ?RE-L 1/.1\ \ N f.~ /< '( . INDEPENDENT ESTIMATE FOR CONSULTING SERVICES DllilrCT ....L.Afly COSY IC.......MI: ."U,KDOWN 0' .-olue ...... ..ou,,' :u".,5 ''1zc.D 75'/.5 -7C,7. CJ .n....4UD co<, 5,8'/6.00 Z:J, 307. CJO IZ, 7"7''1. to 13, 37'/.00. AVC".Gl ....u Of .AY ~,; F"F=\C DE Vt:lDP.tJ\G#~T ~ Kf'F'C';::'I::i L. 0 c" 'no N 0 F R'o,4 DWA ',' P€::516N ?'I1',.I:5 / sP E3' CJ ~I c/171 () 1(:5 TOTALS - 3'1/&.0 . 5.5, Z 78Jr'') . -ee... /.,::: 3. 05'0 :; 1. zzC. 7.5J: DVUIHtAD COST (I~,".G;"I ,~'OIllddll",") /s-c; . '..n'll &. 15?0 ( CIiI"ICT "~,""LAAY COST: ? 99/J I'J) <-/.";""('1.,"-'1'. ..:,/ "-,...-:, ".,...., J/,.,.."..,. r./'I ? /'1/),......."""'1 _ ("1- a. .....vaioAHO....1Il 01(" .. a"".ODUC.'ON ._"NJ&.. C. Ir:ow""..,.,...."'. I). COW"""'ICATlOH .. ...........0....0 ,.anlNO .. OUT.lot CONIUU'AlWTI .. CtT"C" O...elf" I (.....~I', /"'1"\ .OTAL . 1\, 3?O, /')() "'.TOTAL . /7'1., 1'28.'13 -0- . /7'1.12P..'-I.3 -CONTINGEHeIES GillAND TOTAL l PrPPKI7'-F:IJr c:r 7?,?!.LIc. (doel.:;:. ..~~;o:;~.. ('/>/N.Jn' KAFlD i'Ro::rEc.73 ."'M"H~7'ID~M'~'-:-~ p ~",- )::; 42.:::. /;~/:... ~~;' .1o-....;,..;;N"IJIIv'~IWor./~...l ~ ~ ./1----"- ..00aCT "0. ~-79.1 t2Pc>~;J I '.';;::'r>PI2 t!..RD8f.3 IIOT ...... .....,. ,.'u :Jan. 1988 \ 1~(; ~e(.g~,.. J ,:>>:$.." ~!'~ ~~- JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Jefferson Street P.O. Box 1220 Port Towns.nd, WA 98388 (206) 385-9160 Gary A. Rowe, P.E., Director Robert G. Nesbitt, P,E., County Engineer l'~iay 17, 1989 Mr. Ron Nesary, P.L,S. Northw~stern Territories, Inc. 717 South Peabody Port Angeles, WA 98362 Re: Owl Creek Bridge Replacement, CR0719, Fed Aid No. BROS 2016(7) Dear Ron: In accordance with Section V of the Consultant Agreement for the above referenced project you are hereby authorized to begin work. If you have any questions, do not hesitate to contact me. Sincerely, .-? ~ Construction Engineer xc: CR0719, corres. For ease of finding the modifications to the preliminary consultant contract, I have shown the Document name, Pages, Titles and Items that have been modified to encompass the additional work. Consultant Agreement for Preliminary Engineering I Objectives and Scope of Work Page 2, Item 2 III Items to be furnished to the Consultant by the Agency Page 5, Item 2 IV Documents to be furnished by the Consultant Page 6, Item 2 Exhibit "B" Description of Proposed Work For Preliminary Engineering Task 1, Traffic Development and Reports Traffic Forecast Page 3 of ~5 County Road Project CR0812, Labor Requirements Traffic Data Development and Reports Traffic Forecasts Page 3~ of ~5 County Road Project CROe13, Labor Requirements Location Of Roadway Control Survey Page ~2 of ~5 \ JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Jefferson Street P.O. Box 1220 Port Townsend. WA 98368 (206) 385.9160 Gary A. Rowe, P,E., Director Robert G. Ne$bltt, P.E., County Engfn-eer May 10, 1989 Ms. Gladys Cozine, Director Senior Nutrition Program Clallam-Jefferson Community Action Council 802 Jefferson St. Port Townsend, WA 98368 Dear Gladys, Yesterday we met with the architectural firm which is designing the Port Townsend Community Center renovation. As we discussed before, I asked them for a new timeline fo~ when the users had to move. The current date of move has been moved one month, to the first week in July. I am also including the kitchen layout plan as you requested, and a list of kitchen equipment. If you have any questions, please contact me. Sincerely, ~ M. Carter Breskin Property Manager Encl. RO 754 100% Recycled Paper \ L ,=\"\\"'V-,w.l?i ~.,jiJ'l',t(" ii~::}~(; n('J~..'"'-'" /'0\'r'--'" 1.,""\1,; JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Jellerson Street P.O. 80x 1220 Port Townsend. WA 98368 (206) 385.9160 Gary A. Rowe, P,E., Director Rober' G. Nesbitt, P,E., County Engineer May 10, 1989 Ms. Boots Jones Senior Nutrition Coordinator Port Townsend Community Center Lawrence and Tyler St. Port Townsend, WA 98368 Dear Boots, We met yesterday with Norm.--and Julie, discussed was the current timeline. negotiations with the city have taken, first week in July, based upon whether with the city by the end of next week. Gladys Cozine with this information (she ago wanting to know a final deadline). and one of the issues we Due to the time our the new move date is the we can reach an agreement I have sent a letter to called me about two weeks I am also including the latest kitchen layout as.send by Dennis Dobbs. I spoke with Julie about this yesterday, because it did not seem to reflect our latest conversation. Julie told me she had spoken with Dennis about this, and he had very strong reasons for the rearrangement of our input. I'll list his concerns below. 1. Entry into kitchen from dining room: He felt their should be one entry, and the primary use of the entry was to cart or carry in dirty dishes, and that the door should be close to the dish washing facilities. 2. Freezer location: He felt that the freezer should be close to both the. working counter areas, and close to the food pick up area, and that a table had to be close to the freezer for loading/unloading purposes. 100% Recycled Paper ...,."" 3. Rearrangement of utility/pantry area: He felt the original space allocated for pantry storage was adequate, and that increasing the size of the utility room, and separating it from the washer/dryer area was a good plan. I have no problems with his design; I'm not a kitchen expert and he is. If you have any problems with the design. please contact me as soon as possible. Thanks fcr all of your input! Sincerely, Uv(uA M. Carter Breskin Property Manager Encl. APPENDIX III..'" (, "'.' For Breakdown (SEE SPREADS~EETS)' INDEPENDENT ESTIMATE FOR CONSULTING SERVICES OUIIICT SALARY COST (C-,-,Iel: ."IAKOon,. Of WO"K MAN. AVfRAGE ISJlMA'UD HOURS "All Of PAY CO<T 13.0 35.00 4~5.00 81.0 28.00 2,268.00 316.7 18.00 23,701.50 588.7 14.00 8,242.50 175.0 1.4.00 16,450.00 54.5 12.00 654.00 Princ~pal Engineer Senior Engineer Resident Engineer Engineering Support Graphics Clerical TOTAL::_ 3,229 .51,771.00 .80,762.76 ...@15%.19,880 06 OVERHEAO COST Ul\Cludillt Prt.on IlOdlliwd --L'i.li-!! ....... @15%..... ( O.JO'CT NON,SAlARY co51: .. ,.......... AhO HA 01[" .. ,.~~.OOUCTION UIP'lH,1:1 C. 'OW~TIIli &ac...:"s. O. CD.....Uf\lIC..TlON e. 'A"'~l-INO ANO TalTlNO II. OUTSIDC C~JULTANT' O. OT"~A "~.CUJI Title Reports TOT"L . 6,240.00 .1..-!U..U . U 0 *'1B. BB ?()~O~O 1.9UU. UU .9,640.00 SUII.TOTAL .162,053.82 -0- .COHTINGENCIU GA.....O TOTAL .162,053.82 Services for various county road ..OJ&CT ""D. CR0579,CR0811 813 5/4/89 ~- DOT "D... ....... "'11 ..-... ""--~"-""" 3an. 1988 III :..'........ .. '. . " . '. ,...,;......</c "." > ...... .... :."'.....'- '." ""...,-', . . ." : - ",:~<< .:-. .. 'if .'. c' ).",- ,. '" i': ,'.. MEMORANDUM ... DATE: May 2, 1989 TO: Robert G. Nesbitt, P.E., County Engineer Aubrey Palmer, Office Engineer A1~ FROM: I SUBJECT: Request to engage assistance of a consulting engineering firm for County Road Projects, CR0579, CR0811, CR0812, CR0813. The engineering staff hereby requests that Jefferson County Public Works Department engage a qualified consulting engineering firm to provide necessary engineering work for the projects and develop plans, specifications and other documents. This request is being made because Public Works does not have sufficient qualified engineering employees to perform the additional work and prepare the necessary right of way plans, construction plans, and other documents within a reasonable time. Attached is an independent estimate for the consulting service for these projects. r ~. L .1' I t xc: CR0579, corres. CR0811, corres. CH0812, corres. CR0813, corres. ~.:' ;, ! r <; .~ t tc . i. '. . '..... ," . ,', ,:" .:,<".'....i" .. .,:; :,.,.....,' ....,.....,>:. '. " ",". ,'.. ',., ":", '.'. . .' ';..' :,:, . .,:' .'. " .....'. .... .' "' "', , .' . ".- ". .' . . '. .' . . ....' .... .", ".::> . . , ''': ". . " .' .", .,', ':'.' ." " " ", ,.... . ".. . :"', ....... '. .... ".'c' ,: " . ....': ,.,. ',> .. :'.. '. '. ." ....'; .:":"" "': " :'. c.... ,", ........".. '.,' ,.',.' ' .' ...... '.'. ./ ',:' ."........:" ,', ,..:.... :".:" . .:. .: . ''', .: ',," ...... :....c' , ,'.'.. ", :. ',i' ,'''''. '....... "'. ,,", :', :,.::, ;', ...: --~'" .... ,,',". ',,. . ." :,"":' ..':..; \ , . '. '., ::: . :':."., .... ' '. ...,.... '. .' .. '. ' .. '." .... ........ ..: .' .- . '.: ..:-'.. ": ........ ..... ,...::.... \.. . :. . ~ .' "" :.' .: "."'" ,,',: ..... Ii .~:.i. } .. ~ MEMORANDUM DATE: May 2, 1989 Aubrey Palmer, Office Engineer Robert G. Nesbitt, P.E., County Engineer ~ TO: FROM: SUBJECT: Engagement of a consulting engineering, firm for County Road Projects, CR0579, CR0811, CR0812, CR0813. After reviewing the request to engage the assistance of a consulting engineering firm for the above referenced projects, approval is hereby granted. xc: CR0579, corres. CROB11, corres. CR0812, corres. CR0813, corres. ,,:' I ;:',: ",."1' , . .":> U . : . ,'..." . ,...' ',' . ,. , ~,',C' ~ f. 'l' it' ~~ J: ~ l' & ~i f \1: I '. 1::'" t t.;} o;.'~ " f; t: " r'\ ~ } r ; , \/ 1.' { .~:. t.. ~. ~ , , I I ,J ~f t' I 'p ;:-. ! t \ -)<~ ",., , ,. : .. , . ,,' .", ': ,',<c. c' i ", ,', i .,1',' ,', ':' > ' "I'." ..,' , , '1: .:o. I" ' > o o , .. , /I :S 1-10 Ri L1$," 04l2B/Bl 07:57,2l COIISTRUCTlON EN6It:EERING SELECTlO. ICR0579"CROBlI, CROBI2, CROm -"QUALIFlCATIONS AND CRITERIA , +==================================================================================::=============::::======:==============================+ : PROSPECTlVE : TRAfFIC lLOCATlON: : PLANS : :: : CONSULTANT FIRM : OEVEL &: OF : DESIGN: ~ : BONUS : TOTAL : REr.ARKS I : REPORTS : ROADWAY: : SPEC'S : POINTS : : , , : P~f=;"=c-l=,t~~=,==:fJJ~~==================== :':/~=~~~~'='==: =======::= :~.~=;;:.=:=: === ::===== : ==::=;:=;:=::=: ;;:;:::::::: :::::: : =~==;~=7t~==;; ~::== == :::::::: ==: :.\t1'7D Al.J'I() Cl!'fJtr:.f- wily , ' I ~.'~....~ ~1 I I I' pr. n1'" /loJ7"'t:pw> I :~"""'R-.-o'l, wA-. 98.3/,(......;;~i;;.'.: z : ?.. : 1..5: Z : 3 : j().5 : : ; 1?l~JB"'2h.)n~_ZZ:_QQ_L~_}~~~~C:___; __________ ;_mmn 1---------; _m_____ I nmmn ; ___mm; __m_m______________m__n; (""1-;7.(':'I01o<'1 -""'~h'~~J~"",tJ V 'u't:, ,.:.".........,....1 : : 1'1..1'7': rT;",..~#: : ;P'D, e.o>' 7~, JOD:,~~::lt.)t:~;:.~r. .,,""/J,""': : l' . , : I rr: ,,,1' ~.,';.,.,....I'- .:00.<":) j :"'.,V"......,w;:. vM."fo~83 rJ' : I : 2. : 2.. : 2 : 3 : /0 :: '-': """~.~"-'" : ; ;l?!L6"Q~j__M?_:_.2_.?_g._-?n_ __m__; ________ __; __mm_; _____m_; _ _m__n; _nm____; mmm ; __m_ nnm__n___ _nn___ --; : ~7C2~1"T~~;~p.~'J~':\~c:/~:~,;.:t.l~' I Sl'~: :,...':~'._...': : : : ~ ;~ ~~.,..~.C/:. : :~~T"lo"~'t"/). uJA. 'q8~"Z. {J}(: I : 1- : I r:; : ~ : 3 : 9.5 : ~ " ., ~... : '.: ~7~-f!;/;~~~-~;;,~.:,--~(;~~-~.--____n ;.' ----:._--- ;--------- ;--~;(~~--; .n______; ----------; --------. :.: n;np-;:__;;;__;;_~,;~-n-__--__; ...- !::v"'o:j: :'1;". .h'~ ~.I I : : : ,.::-q ":'.'o:.'r7' ....JI'..,. \ ,J,I-, : I '?' I I I : 1- PI': ;;,,-,. ..'...,,;,,", I :,""J::<"'~" '<'-""\, U"" 'ifJl!!) oV: I : I- : 1.5 : ;::. .: 3 : q 5 : : ; ?..1:!._CP"g;'2_.B::f';',_=_ 2..:?_L:Ln_mm; _____m.. ; _____n__ ; _m_m_; ______m; ____m___; _________ ; __n_______m__________ mm; I : : : : : : : , I I I I I I t I I I I , I \ I " I : ------------------------------------------: ---------- : --------- : ---------: ---------: ----------: -------- -: ------------------------------: : : : : : : :: : . , . I I \ I I I I . I I I I I I I I I I : _______ -----------------------------------l----------: --------- : ---------: ---------: ----------1--------- : ------------------------------: I I I I I I I I I I I I , , : ,: I : I : : __________________________________________: __________: --------- : --------- : ------- --: ----------1--------- : -------- ----------------------: I I I I I I I I t I I I I I I I I I : : ::: : I I I I . I I I I I : _____________________ _____________________: __________ : --------- : ---------: ---------1----------1---------: ---- --------------------------: : : I : : : III . +=~=::===================================================================================================================================+ NOiE, TOTAL includes benus peints, POINTS are given as fellew" o points for a no or none answer to the criteria. 1 point for lininl experience or partial capability. 2 points for aeE'ting the requir[lo experienn and capability. Bonus points are given for other qualifications noted in the .Rer,ar~5. tolulln. pag' I " .. , ..' ',,',' "',' ,- , " ", ,', :,' '" .' . ': "",' :\ '", :" :.;'" '.',"" c, ,,' ., .: ,; " ,'. "',," "... '.,' '.' ,.,' ': 'I' ,".. ", ".' ',..;,'...,."". " . , , . :. <",,' " .' , ',', " .,., .,.. "", I, , .', ',,'.,,', , , ',", , , , -:' :,...'.,.. ,': " ',' " ,'. ' '..,',,"'. ',... . .,' " '.', " , ",,," .' i:. ,..:,'".,;" , ,: '.":"..i~:'i, ,; ,',.... " , , ,:' ...', :,,: '," ',\' " ,'. ',',", ',' ',',' , ;,'. " : I' ' . ~. .: , '. ", '.:.....:.-- ,'.. ". " " ." , . ' . : ,': ,;.. "" ,",' " '," " ,.., '" .> " , , . , ",,' ,:'!I,:::: , ' .: ',,-::, , .. ,',' ,~ ...,";"" "", , <I :. ~ , , " o (' ,....-.-' SHORT LIST FINALIST SELECTION 'i, CROSH, CROBIl, CROB12. CROB13 Paral2tricl PazooU - Pac.-Tech l"Iaclearnsberry Inc. ~cHenain Engineering ... - ~ - ---.. .-. --. ------ -- -- ---- - - -- ------ ---- -- -... ------ -- ---- -- f- - - - - - - - r:; ,'"';';-'" - --- - - -Wi -::i ".", -- - -- - - --1"';:;. 'i--i- ISurvey done. in the area : 0 : 2.. ..,f._: 'i?,.... ".': J?-,...,{,.,..: : -------------------- ------------------ -------: ----------..---: --------------: --------------: --------~r~---: :Working with local governments 2...:~.. : \ 1 .~, : : ---- ------------------.------- --------------- : -------- --.--- : --------------: -------------- : ----:----;,7.---: :Design reports : 12 : I ~,':; : -;,r'i-, __:_~~~ 1 '.' ~': : ---------------------------------------------,---~-~~~~-----,-------------- .------------ I -----';'~~ -, IRural ro.~ designs 1;2. I i2.- : 12- : I : -------------- ------------------------------- I -------------- : -------------- I --------------: -------------- I IRight of Na}' plans, legals, title reports 1 ;e. : ~ : _E:n_n_;____.?__~~~n: : ---------------------------------------------1--------------,-------------- .---- ~' 't'!- I lPaveli.ent designs and paving I 2. I J 1'-'3 I I ~'.';.> I I ,~;''';- : : ------ --------------------------------------- : -------------- I --------------: --------------: ----- ------,::--, :Ch.nnelil,tion Projects : I?, 2,;2., I ":-~;':, , I ---------------------------------------------: ------------ --1--- ----------- t --------------, --- -----.--';'t.---, IOr.in.g' syster.s : 2 : Z : 2 _____:n_J_~_~~~~:_.: : ------ ---------------------------------------: ---~---- ------ ,-------------- I ---------, , INon-l:ltorized vehicle designs I Z. : 2- , Z '_ _ 2 __I I --,---- ~--------------------------------------: --------------: ------~-~----- I ----------~---, -- -------- , :Retaining walls :?- : ;a : ;?.. n __:_____?-_nn__: : _____n________________________n______n____I______________I____________n, ____~---- _, _ , IPreparation of Plans, Redundant I 2- : 2. I ?- : Z I 1---- -----------------------------------------: -------------- I -------------- I --------------: -------------- I IPlans, Special, Previsions ~ 2 I Z : '2..- _:____..:~ _ __I I --------------------------------------------- I --------------1--------------, --------;.i,;;~ ' -- ;.__- . ICost Estiutes : 2, ? 1 :'( .,.".); I /:~'~':., : : -----~---~-----------------------------------: --------------: -----;:-------: --------:.-/;3- : --------------: ,lllulnat,on , t::. . i::. . I -' , I $-'" : : --------~------------------------------------l--------------: --------------l------~-------: --------------, lSigns and signing plans I 2. I 2. I 1 I J ;:CtJ~: I ---------~--------------------------------~--: --------------: --------------1--------------: --------------: ,! "'f. IAutocad capability : z.. : 9. : 12- : ,?--_1.:;,: I ---- --------------------------------~-------~: -----------;-- I ------~--~-i--l--~----_;;j€:---: --------------: ~ r ";~~ :',. ; ISoils tEsting for road design I I ~l)fj: IS: I _ :_____ J :...,/::._:L;~-...~ I -----~-------~-------------------------------: ------------ --: - -------------, --------- ----, ------. ; _____________._m___m_____n_____~~~~::___; ___~_L____; ___1.1.._____; ___2:7______; ____g.'!..____; NOTE. POINTS are gi yen as follow" o points fer a no or none answer. I point for .ini..l .'perienee or parlil capability. 2 points for meeling the require~ experience and "p.bility. ~ ""._..,.(;-.~~. () i'! 04/27/89 CONSTRUCTION ENSINEERINS SELECTION 14:58:08 CR0579, CROBII, CROBI2, CROB13 OUALlFICATIONS AND CRl1ERIA f=============::====:=======:=:=::==========:==:==::::=======:===:==================::=======:=======================================:====t , PROSPECTlYE I TRAFFIC :LOCATlON I : PLANS I CONSULTANT FIRM I OEm. I, I OF I OESI6N: & : 80NUS : TOTAL : REMARKS I I REPORTS : ROADWAY I : SPEC'S I POINTS I I , : =U~~=.=~===========:============:=========: ========== : ========: : ~~~:~:.:-~:! ::=:=====: ==========: ========= : ==;==;:;'~==;':=:D=:':~===:=========: :~I3'\ F;U:'o,.,-,.\lEO'l :ul1;;: 300: :...; : _: : : , SE",-n.r,. v_'r., "161e:. \ ' 2. . 2 . 2 ' ~ ' I ,C) , i -E;fr~;~,f~~~/i;~~~--------m-! ____m___ i ---------: ~~~~'.-:~=.: ___m___ ; ____hoon: -- mm_! --i--I-_r--;-;;~-;;;mm- m_ i .,:rr:"",c-;~..::...:,u~,v.w"..qB~b?>-(i,39S: 2. ,z. :1.5, Z, :8.5: : i -~~;~~~~t!l)~~~&';I-~;,,--,-----------: --;:~----: --~~-;---: --------- i ______m: ____m___: _____m_: __;_;;,:oo:,_:;:~_;;_,~m_m_oo_: :5rr~~. '1.)1.., ~srOi-t{)Z7 : \ : 2. : Z : 2 : 1 : ~ : : i-,~;,~'}~~~-,~~~~~;[t'J1';~'~:-~:-- j __;.;~_n: ____m__: ~,7~~F:.-~---------;----m---;------m ~ _~--;;--;:~:-:;~---mm-m; l::r:~:..C:'ME" ~JJf-, ~F_');..""': I / ;2.. I.:::'?' Z S-- I . '{+J(20(~\,!~"..-g'-l9'f : : :': I I: : I-A;};ll.--;~:;'-;;f~;~f--;;;;;~;'-;].------------ I -----;--- ,-----;--- '---;Ji--- I ---------: ----------: ---------: --/~;--:;:-,;,;;;;;---------------: I tR"A~ h_(l.~:; '8.... .1...!.iUJ(. ! Su rrE "60 :~,) '"'" : :$0.)... :'~J"","-""1 : :: I : ~~~;,.~~.~~~: :~,~~:utr : I : 2w : L 5 : z. : 0 : ~-~: : ; _eJl_.t:?_tteL'j_:L'-::_Le..~=r_______________; ___~______; ---------; ---------; ---------; ----------; ---------; ------------------------------; I.:rL.dfV\~A ,,:,.,';. /.~~o~1.:.";'IC..)1':"!:. I : ~l}::: (...........': : : I PT. f:/uToc'-"D : I I rOO -"St:? cooP';"" {>&>I#.J'l~, I :OJ.""r/~I~l ~'JA.q8~D~ , ~ I 2.. I 2.. I 2- : I g I , ~ -~~~:~,~!}~~~-~-€"f~~;~/i"l{~!~-~.'c~----- i _m______ i m~::;-- i ..;:-:.'~~-.-.:,i mm___ i ___mm_ i --------- i -i--p:c--,~~;:,,~:-.:u--------m i I -Jf'4 l"Jo'J-:- ,t:. tJ rz'. J ,. ~. I I I I . I I I :.J~;T~C"~6;J(.. ~b'DD5-3'i"'"i : ~ : i?. : /.5: c::...: } : 6.~: : ~ ;~~S;~:~;7~;;~;:;.~P!~;t,------------ i ---------- ; --------- ~il::-:;::-~:;, --------- ; ----------;, - --~ ~~---; ------------------------------; : oyqq ~,P-~ ~'J': '''JC. ~u'''""!i. 60\ I : sua: I I.: . .p-: .~"'..~:...~ I : ""."u:-, .u, <1&'D'/ , 2. : i? : ?- . 2 : I : '1 : : ; _E'_:_(~~l__:-:r.f..~-;:-~F:.{~2--------------; ________~. ; _________ ; _________; _________; __________; _n______ ; --------- ---------------------; :';J~~~f"'~!~~f-;.V[" ".cr. : i": :: I P7. ....'~."~,.~ : :f:!"J.-~,..\,.C-~7$oo..: : 2. : j:. : 2 : 2.. : ! : cr : : 1~{:"t!\.JLJe, VJ?,t:?6()!:'<:l I' I . I 'I I ~:f~~::~?:R:~_k6::~i';=~f::fg====::::==::====~===:======;=::=:::::=::=:;====:=:==~=====:::===~=:========~:========;========:======::===:=========~ NOTE: POINTS are given as folio.;: o points for a no or none an~.er to the criteria. 1 point for lini..I e,perience or parlial capabilily, 2 poinh for I!!eting the required e;'perience ilnd tdpability. Bonus points are given for other qualifications noted in the .Remarks. coluln. TOTAL includes bonus points. ,rJ .":1 f' \\ ~ ,f'" ,',L;,.fi'<' '14128/89 CONSTRUCllON ENGINEERING 5ELECTlON 07,5),29 CRom, CROBII, CROBt2. CROBI3 QUALIFICATlON5 ANO CRllERIA t====:=============================::=====================================================::===========::::::=::=========================::====+ PROSPECTIYE : TRAPFlC :LOCATION: : PLAN5 CONSULTANT FlRt: : OEVEL. ~: OF : OE5IGN: ~ : BONU5 : TOTAL : RE~.ARK5 : : REPORT5 : ROAOWAY : : 5PEC '5 : POINT5 : : : ;~}~'~;'f~=r.~~;:~~;Y:=F/~~j,~l;r&=fl~~~=rN~~=== : ========== : ==,==~~= ==: ~Tt.?;;.== : ;r?::;~== : ==========: ==== =====: ==~==n.?=f~~7~~~=========== : t:CIOI.Ili!."'/.'ll':ll,e".su'T1.::II~ I ,...0_ ,~}.:./... l'~.,.!,..' . I I :s,,",<vur-, OJJ", ~BDO~ : 1- : 2- : I : I : I : 7 :., .. : '?K(Zf\"':5':':-""_~~z.r.' ' I I It' 'Yr4:.L..I"II1'I'......,'"I....J I : -:.n'7~:-~::;;.~";J~r~. ~r.-;,;F~--:-'!-;;;.~------------- : ----------: --------~ : --;-;.---- : -~-:.'"::.----: ______nu: _nnn__: ~--;~--~~;;'-l.-"":C-~-----~~---n~: 11~715 fn.-RF.'!. 'iZ,~.e'~\ $l)ITt:- '''~ : : .::;"r:. :lU~ : :-;(~:,~;.: :: : ; BelLE-We', UJ/., 98007 : 2. : 'C, : I.~ ,: ! : 0 : <6,5: ; ; J:J:L{".:~0.L{'!.!LL:_};_eBL__________; _m______; ______m; m----o'; _____m_; ______.___; _____m_; ____________mm____________: I S,-,'..L. 'n~... t{: C.H",.,.\3f?F~J~)J...\, :r:N.G. I ,.;.... ....~."";. I fr: ;../'l"nut'D : scali t/cl!Y ~-.)lCVMR.I.;. S.E.: I....: : r I I ,C I , : l-~C.f"'l \1.lf~. Qfi503 ; ;:.. ; i:'- : ~ : t::.: : I ; : ~ }f~;,~~~:~~.,;~~.~}i;~~~-~~c, .;----- ---.- ; ----------; -------~- ; -----~~-- i -----.--~; --- ------~; --~------ i --i~~;:;::~;;;-------------~- --; '3Zl'J srcllnt.. ""'E.. SOL"').!, ' :K'l"\~l.f.dtl uJ(.. 9S033..t~87 I ? : ? : 2. : ~ : I : 9 : Ie. j'1J1',.,r;" 1:11...': : : ~ ) ":" ...-: : t:- : f-: : : : : "10 Ill,.,,,, 'Il~- -I), I : _i'-':!__{~_'!.___. _f ~b-..:.f:_?_'?_='__n_____n : __.- __,_n_ : ______n_ : u_______: ______m : __________: _________: __ _____ .___________n_______ n: : k~~~E~T" ~~;;~"';::IJ;'~U€' ~" ,,'1.: !.\~:: :..~"~'..".... : IJ.., I.R",.,,~ : E,"''''''''''-, \I-JP, QB201 : 2 : ~ : ~ : ~ ; C> : B : : : _J:.::__(~-E~t.j__ ~?.=-_:1Z.~;?~__________: __________ : ___~_____: _________ ; _________:__________; ---------; ------------------------------; ; Gc.r X,Je-. ; ~..,~ ; -5;e ('" ';Io......'.t" : I---;:.rr Ac.ir~1> ,'1'11 POUlE'1-L 'Of. ".W, ~!.ll"-e \D~, I' , ':?' l" , ;FE#trnIJj WI" Cj'gOS$ ; ; ~ ; J,5' ; h; ~ 7.5 ; ; : -!1L<{1A~?~:.2ii_~~;~~~?~t----------~- : --!~~--~~ : --------. ~:i~~,-~~~':~: ------~-~ 1----------: ---------: -?,-~-;~---,:-;.:.--;-;;.-;~-------~: : IS'9 V-J\'(.~ L.(l~ '/, ,.:E. : , : . : , I : f- t1,niV"'tl. : ''Bt-'''''''''CX,t' "u.",~, uJ<, 98110 ' I '2. ' IS . i2 ' :;; '95' , ; 'pJj_L,-~f:)__8.:L?:_:_~_~l~:L_________: __m_m_: _m__m: ___~_m_: ____~:m ;m_______; ___~_m_; ___________m______u________; ,fl)'Z.OOY.'.'NC"':"'!tIJ':I'v .? IJV""''''''''('{'' 12- 'PT." 'ou.l-. I 'F:l.\, 'l.,..' 7Z61 1~~3'1 ~Ilvf'.,(~l" vA<( ".1.1).: ~J I I , , nCAp I : -:I/l'J!Z't>;:,&t,t.ljE J ,I!"'. ~8~S3 l':~ t,1;' I I I 2 I Z : ? :.3 : It) : r -,Au I : p 0 ~ \. r: " : : : ~: : : : I - #r;t> ....~-:-::'p h~".1'''- : : G~-;I 1,p' ;;;:~;~~'_;_;;~:~-.~;~______~__n__: ~--~u-€-_n: ---~----- :,:::,:;::~~-::- : n______.: ----------: --~------: --;--;;--~,-;;7,;;:-;:'---u-------: '70{'E:v-!"'f.VE..I).,.71":'.~" I I " I....ff....r'...',..,' I"...! 1-/_ :!r",-;-:,=",vJt.~6'~" 1 : ~ t- 2. 2. 9 :............'I....'.'~.,,-;;; I?-r. I ~,fH,bs~,~d,,!:f:~~;-,i?q;,~~'''''''''''' :,,"'=,="~''''''',,:='''''',,:,,''''',,:,,='''''',:,'''''''=:,,''''''''''''''"""""" ,,; NOTE, TOTAL includes bonus DDints. POINTS are given as follows: o points for a no or nane anSMer to the criteria. 1 point for lIliniul e~perienl:e Dr partial capability. 2 points for leetiny the required e~perience and capability. Bonus points are given fer other qualifications noted in the 'Relfjarks" COllltln. .._.;".,,,,,,':;'~...,-;,..",.~-,",,._,--,,-":__. ADr-i 1 27. 1989 Letter- to the File: Re: ConsLlltant Selection for County Road Projects; CR0579 CR0811, CR0812 CR0813 - Beaver Valley BeHVer" Vall ey Oak Bay Hoad, Beaver '.,laIl ey Road, M.P. 7.03 to M.P. 7.66, Road, M.P. 6.31 to M.P. 7,03. M.P. 8.20 to M.P. 9.61, and - Swansonville Intersection and and Consultarlt Selection, Phase 1: Ttle Consultant selection process for these projects provide~ the oppar-tunity to evaluate the quali.fications r"eceived for fiscal year 1989, and determine an itCCurate description of the technical s~rvice5 provided by the Consultants. The Consult~nt qual if'i.'ci:1tions were to bE~ c.onsistent VJit.h the projec:1;~ scope of ~'>Iork. A technical evaluation o~ ttle statement of qualifications was accomplished utilizing the task requirements of each project that requires professional expertise. An oral discus5ion with each applicant that generally satisfied the projected requirements was accomplished. This discussion enconlpassed; Traffic Development and Reports, Location of Roadway (including land subdivision and right of way plans, Design (including dr"ainage, and illumination), F'la.ns and Spec:ifiC:;,ltians (including the use of AUTOCAD for drafting purposes), and the gener~l scope and nature of the projects for which s~rvices are required. Selecting four Consultants qUGlified to perform the worle was based on areas of e:cpertise and experience, ia. traffic data collection, analysis and reports, land and construction surveying, civil engineering, plans and specifications. The Consultant had to offer depth and diversity of services with technical knowledge and project experience. The Physical J,ocatian of the firnls to the project locations was also considered. From this crit~ria the following Consulting firms were seJ.ected for consideration: 1.. Parametr"i:.:, Inc. 4970 Auto center Way Bremerton, Wa 98312 Ph. (206) -377-0014 2.. Pazooki - McMenamin P. (I. BOl" 728. 10034 Silverdale Way, N.W. 8ilverdale, Wa 98383 Ph. (2<)6) -692-5525 May 1, 1989 Mr. Walt Berschauer Parametric, Inc. ~970 Auto Center Way Bremerton, Wa ~d312 Re: Consultant Selection for County Road Projects; CR0579 _ Beaver Valley Road, M.P. 7.03 to M.P. 7.66, and CROB11 _ Beaver Valley Road, M.P. 6.31 to M.P. 7.03, and CROe12 - Oak Bay Road, M.P. 8.20 to M.P. ~.61, and CH0813 - Beaver Valley Road - Swansonville Intersection Dear Mr. Berschauer: Jefferson County has selected Parametric, Inc. to enter into the second phase of the consultant selection process, negotiation of the consultant agreement, for the above referenced proje~ts. The enclosed draft consul tant agreement has been completed and is ready for your review. After you have reviewed the draft, we will begin the negotiation process. If you have any questions, do not hesitate to contact me. Sincerely, ~~ Robert G. Nesbitt, P.E. County Engineer xc: CR0579, corres. CR0811 CROti12 CR0813 \ 'Y-"'~i"" ~ "~, p "-'. -~y;~~.~.- ~f <} ,~~i!~. ~ I \......\,\~ 110 " j" JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Jefferson Street P,O, Box 1220 Port Townsend, WA 98368 (206) 385-9160 Gary A. Rowe. P.E., Director Robert G. Nesbitt, P.E,. County Engineer April 24, 1989 Ernest Geissler, P.E., Director County Road Administration Board Rural Arterial Program 206 10th Street S.E. Olympia, Wa., 96504 Re: Notification of award of contract for Upper Hoh Road, CR0749, Project No. 914201 Dear Ernie: Jefferson County has awarded the Contract to construot the Upper Hoh Road, CR0749, to Bruch and Bruch Construction, Inc. of Port Angeles for their bid of $435,641.40. Enclosed for your information is 'the bid tabulatiO:1 for the project. If you have any questions, do not hesitate to contact me. Sincerely, ~~~ Construction Engineer enclose. xc:CR0749, corres. {;." S" r'J ';;.'; ~~>;:::.) \ 1~ ~:,~;;}W,'/ . 1l~~ JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Jefferson Street P,O, Box 1220 Port Townsend, WA 98368 (206) 385-9160 Gary A. Rowe, P.E., Director Robert G. Nesbitt, P.E., County Engineer April 24, 1989 Mr. stan Moon, P.E. state Aid Engineer Washington state Department of Transportation Transportation Building KF-Ol Olympia, WA 98504-5201 Re: Portage Canal Bridge Dear stan, Enclosed are photos and related information regarding the Portage Canal Bridge. The photos were taken at some distance so may not show ,the deterioration of the bridge fenders clearly. A description of the photos is enclosed. As I previously discussed with you, Jefferson County is requesting your help to fund the replacement of the fender system for the bridge. When Bill Hordan had previOUSly looked at the bridge, he gave us assurances that we would be able to get funding. Subsequently, Bill has retired and the possibility of funding the project as diminished. We have estimated the work to cost around $300,000. Our annual construction program runs about $1,000,000 with the county portion to match other funds running around $400,000 to $500,000. In order for us to fund a project like replacing the bridge fenders we have to wait till we can get matching money from a source like BROS. I appreciate your help in bringing this matter to the attention of the bridge committee. Sincerely ~7a72- Gary A. Rowe, P.E. Director cc: Marley Young, P.E., Pres. Washington State Association of County Engineers 100% Recycled Paper PORTAGE CANAL BRIDGE PHOTO 1 - View of bridge showing deck geometry. Rating 7. ,PHOTO 2 - Another view. PHOTO 3 - View of bridge from beach showing the adequacy of the underclearance and channel. Rating 9. PHOTO 4 - View from bridge deck showing fender wing. Timbers are deteriorated with some missing. PHOTO 5 - Overhead view of fender wing (typical) showing location of batter piles supporting fender. PHOTO 6 - continuation of PHOTO 5. PHOTO 7 .....iew of batter pi.les showing deterioration of web. Virtually all piles are corroded through the web of the piles. The rock cribs at the ends of the fenders and through the channel will also need to be rebuilt. PHOTO 8 - Another view showing deterioration. PHOTO 9 - Another view showing deterioration. PHOTO 10- Another view showing deterioration. We would have liked to get closeups The pictures show one wing of the My apologies for the pictures. but time did not allow for it. fender system which is typical. We have the substructure rated overall at 4 with pier protection at 2. A copy of the bridge inspection report is attached along with a copy of the SWIBS coding form. ''''...:.;''" ".. ~./"-'f,~ ",~ ..~.. ','-', ...././. /,.."t .~ ,\.(~ \ -,--'~' ""~ <'W!?i ,--,: :r*-~:'!(, , ~'~'.~~1r:"'. ;~1-;;r;~, rf.... <:ff!r ,~ ',- f JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Jefferson Street P,O, Box 1220 Port Townsend, WA 98368 (206) 385-9160 Gary A. Rowe. P,C., Dlreclor Robert G. Nesbitt, P.C., County EngIneer March 17, 1989 Paul S. Running Paul S. Running << Associates P.O. Box 99369 Seattle, WA 98199 Dear Paul, Please accept this letter as your authorization to begin work on the preparation of the Jefferson County Hazardous Waste Management Plan as outlined in the consultant agreement of March 13, 1989. Sincerely, Jf-Rf~~. Jeff Frattingham Solid Waste Coordinator S-w o,{.( \ -..... ~"',.,w.>: ,"' "t?>:."Kiil B ~~S;,~' r:'/ y--P"" ~ ~:. JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Jefferson Street P.O, Box 1220 Port Townsend, WA 98368 (206) 385-9160 Gary A. Rowe, P,E.. Director Robert G, Nesbitt, P,E.. County Engineer March 16, 1989 Transportation Planning and Engineering, INC 2101-112th AVE. N.E., Suite 110 Bellevue, Washington 98004 RE: Statement of Qualifications for the Glen Cove Transportation Plan Dear Vic Bishop: Thank you for interest in the Glen Cove Transportation Plan. .Jefferson County has reviewed all of the Statement of Qualifications, and through the consultant selection process for this project, has selected another firm to enter into the negotiation phase of the consultant selection process. Making a selection of the most qualified consultant for this project was difficult because the firms that expresed interest were all qualified to perform the anticipated work. Thank you again for your firms interest in the project. The County will keep your statement of qualification on file for future reference on other projects. If you have any questions, do not hesitate to contact me. Sincerely, ~.xr~ Robert G. Nesbitt, P.E. County Engineer xc: GA0805 PWA 02 100% Recycled Paper \\ -, ~--, "/~;;., ,--,: ,-tli'Kll:, ,">;"t;.<<,n---- ~~~~~ . r/"~,,, ~~ I, ,... JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Jellerson Street P,O, 80x 1220 Port Townsend, WA 98368 (206) 385-9160 Gary A. Rowe, P.E.. DIrector Robt;lrt G. Nesbitt, P.E., County Engineer March 16, 1969 The TRANSPO Group, Inc. 14715 Bel-Red Road, Suite 100 Bellevue, WA 98007 RE: Glen Cove Transportation Plan, GAOa05, Consultant Selection Dear Mr. Webber: Jefferson County has selected The TRANSPO Group, Inc. to enter into the second phase of the consultant selection process, negotiation of the consultant agreement, for the above referenced project. We need you to contact our off ice to make arrangements for a meeting to outline the scope of project, and draft the consultant agreement. ~f you have any questions, do not hesitate to contact me. Sincerely, ~~ Robert G. Nesbitt, P.E. 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'"..'," , " I " '....,': ,.." ;,' ," " , .:' '.::/ .,,', :., ,-,'" ..' '.... ',,' .. :' :.'...: .:: " :" ::lO m 8 ::lO C o -n to 6~ '" C'" 0;"" n C" ~ m 2: ~ . : " , ",: .' " :-.... '",': JEFFERSON COUNTy--:+2~~c. Wcrl \0 NO, 33825 DATE t - l'l-rt 3'2'$"-0'130 RECEIVED FROM ..)~VO"'€'S" =.33;l S P')'\ ~ 1 \)T . ',' 'T'- .- L L L i .;15 "...- ~ JEFFERSON COUNTY NO, 33859 DATE 9,4~;?v .iL""" ,,:;.., ,/ :../ -r .I/~{"!.J -' /~/~Jf~/'rI.. . /'~<., RECEIVED FROM DESCRIPllON ::7 .-- -/ )~ h;;..__' .,1 :=:;a~-, CURRENCY COIN CHECKS ...,t:: I :~.3:5 TOTAL L 'L ~ -.l. --j ~J pi ~ ~l :::jl --j ! l>' rl ~J I m -0 oJ :U, -<, l ~ I 75#(;\.0 75, rO .-J ,.~,' :', <.'~ 1 ., ,'''';''''.'' ",;.~.:/\ j->.:j.--'.. . " ,"-~,:~, .,.,.~,,~<':' ~;:,;~ttt~~C~'.;:t;;;-;': -~::':, FC~ FLEET COMPUTING INTERNATIONAL INVOICE FLEET COMPUTING INTERNATIONAL, INC. P.O. BOX 14698 ALBUQUERQUE, NM 87191 PHONE 505/275-0626 SOLD TO: SHIP ::'0: Jefferson County WA Public Works - Box 1220 Port Townsend, WA 98368 Jefferson County WA Robert Nesbitt Cnty Engr Public Works - Box 1220 port Townsend, WA 98368 INVOICE DATE INVOICE NO INVOICE DUE 03/22/1989 446 04/13/1989 ANNUAL SERVICE AND MAINTENANCE PLAN $ TERMS: Service Plan commencing on April 13 1989 and continuing in force through April 12 1990 per AGREEMENT. PO 130)0: 14o~M ALflQ _ NfW MUICO Hl1'll f,o!>,n!;(i'r,;>r, '- 350.00 ~ .r %~~: .~.( ~ ~. f. A ~. ,. ':\! , \ f f. \. t. " ~,. I,,' 'li: ./....' .,' ",',' ",' " ,<",' - c' ," ", ','..' ".." " ,".,. ."'.',' -:,,: ":' '., "" , '.',:.: ',,', :".., . " "" ,','; ',' :,..,'" '.d ',", , ,',' 'f CITY, COUNTY, SCHOOLAND UTILITY FLEETS FLEET CONTROLLER'" FEATURES ARE TARGETED TO YOUR NEEDS o The ability to set up the fleet by divisions or departments so that monthly departmental reports of each department's vehicle expenses can be created, . Comprehensive vehicle inventory listings with control of vehicle status (i.e., on-order, on-road, replace, off road, sold), o Advanced preventive maintenance scheduling that allows: o Miles and months or hours intervals o 4 levels of intervals (A,B,C,& D) o Separate schedules for each Department/Vehicle Type o Printed mechanic work order check off sheets of items to service when PM's are due o A PM overdue report for absolute control o Fuel consumption reports by' vehicles and department/vehicle types with the ability to produce a single high vehicle fuel use report for the entire fleet in spite of the wide range of your vehicle type's fuel consumption rates. o The optional ability to interface with selected automated fluid control systems to capture the fueling transaction data without re.entry, o Detailed recall of all repairs done to vehicles that can selectively be searched for research purposes, o A detailed vehicle history screen (or paper report) designed for use at the mechanic level for intelligent current repairs based on an accurate knowledge of the vehicle's repair history and how its expenses compare to similar vehicles in the department, . The ability to inter.mix outside garage repairs with your internal shop repairs in correct date order and to be able to summarize outside repairs by month by vendor, o The ability to make notes in the vehicle history along with the repairs (such as indicating that the rebuilt transmission has a 12 mo/12000 mile warranty), . Mechanic time summaries that simulate a time sheet. . Much more. OPTIONS o PARTS CONTROLLER - A parts room inventory control system with an automated interface to the Fleet Controller™ , o CARD CONTROLLED FUEL SYSTEM INTERFACE - The ability to interface with selected automated fluid control sy'tem, to capture your fueling transaction data without re-keying it, o CREATIVE REPORT MAKER - A sophistic;ated report maker (query in technical terms) that allows: . You to produce most of the standard Fleet Controller™ reports with extensive addi!ional flexibility in exception control. ' . You to create your own reports and lock them into memory to repeat them whenever you wish, o You' to move any informati:ln about your' fleet from the Fleet Controller™ to other pro. grams or computers with either o D I F file output for electronic spreadsheets or o ASCII flat file output for the utmost in flexibility, Fe\' <:.::Icy,'ent ~ 19B2. 33. dol, 8S. ::6. 37 ,:leoroaucllon c... arw melnco 15 S!rIC:ly ~r~"I::ltec Scecdtca\lons SWOlec: 10 cnanee ""ltMUl "el::~ FL.E=r COMPlJTlNG 'NTERNATlONAL ," ',:, ,:" , "."'" ' " '".." ;, '., ::'. ,,' ," ,,". ":, .'.. ,..,> '. ":':<>.',.,::" ':>: ".',' ",.,",. ,;, < ..::: .::: ' ....:, ,', ,",'"," ,: ',": "" ,,"'..:,".', ',; ,i: ::' ': "",., '. y ".. ..", ',..', :,' > ": ',.;' ': <. ,.., .,' ,.. .,," .,,'.,"',...'," " ,.,.,... ' ',' '.':' '...., ' ",' : ',' "::,,"':': ,"",:,:"" '. ..,' '.- , " ",',",' .. "': "'::":: ",~; , ."..." ':','\'/"'."", ", ',' "::', ".i. ,,' ,; , '::. ',: ,'::,':,,;,: ,,',: ::'", ,'.. :'.,' ':'.: ",:""':" .."> ,':.; " ,'" :, " --,: :":: > ',. ' '.:.,',..,' .':" '..... '.., ',', ,'. .,.' ." ".. ,',.., '.' :', ,..,'.', :,' < ',,' ',,:' '. "',' ,',..,:' '" ,/. .,' ':', "" ,:,", , ," " , '." ' ,:,', " ,:", .', ..:.'..'.,':. "': ;: '.", " ".., " " :,.-,: , , , ',.", .." .,,': , ,:.:" ,:..,'( " ,:" " , " , " ' .'.'.:,. . , .. .. ,~' ,,~, '~"~" ."".":..../,,, ',0",:: ,',: ': ., , , " , , ',':'" ,,'" ,," ; ,":, ' .. , , . , .' "., .'.' " ,,' , ..' "., "" ,', \,', FLEET CONTROLLER'S" FULL DEPTH OF FEATURES IS EASILY ACCESSED BY AN EASY TO USE MENU SYSTEM ~ BASIC FLEET SET UP AND ADOI1ION5 VEHICLE REPORT ENTRY INVOICE ENTRY tAl ENTER REPORTS CAl '/EHICLE TYPES (5) DIVISIONS eel VEHICLES (0) VEHICLE ORDERING eEl MECHANICS" VENDORS en DRIVERS eel CATEC:ORIES (H) LABOR RATES (I) tHOI REeT LABOR (J) OEPPECIATION RATES (B) ENTER PH COHPLETED (A) UIVQICE ENTRY (8) MECHANIC R.O. ENTin' ee) ENTER REPORTS. SHORT rORM <0> MONTHLY DEPRECIATION UPDATE ex) RE1'URN TO HAIN KENU 1- I L_ lXl RETURN TO, itA I N HENU l' L- - 'I I /"'AIN MENU I l' I I I I I I (X) RETURN TO HA I N MENU 1---- ~~~ e:~~~l:1 ~:~o~~t e:~~f"Y --1 (R) In...oi~. Entry _ _ - - - - - -1 - ....J CP) Invoic:. Co...r~ction CO) R_cor t Ha.;(er i.nd On-Un_ SCI"'.ens - CU.'''I - ~ E..-EE yvttSE~IOL (I..) Sc,....d'~h..t Int.,..,..C. - OIF Form..t (T) T,.,t,n.':."$ and O.I.Uon, ~~~ .~h~~~:r~~~ ~~~~~~17~:nQ.s - - - - - l---, CV) O..ily O..t..o.... IJ.hiel. R.port ':.l In....oic. ltod4t9 cy) a.acKuc (Z) R.stor. a..cKuC ~ I r I I I I I I I I I ..Jt MA I N MENU SCREEN I I I I I I I I I ...y (5) Stop SEI..ECT FtlNCTION DESIRED 3Y EJ'oIT'E:?ING l.ITTER: Fl..1: Controll.rCtm) Coo...riQht "1782,1983 Fl,,~t ComC'Jtlng Int:l"'r'ltl 5.,-1..1 No. 99999 ~8C Ccmcanv TRANSFERS AND CELETIONS VEHICLE AND DRIVER CHANGES C)() R!:TURN TD HA. [N MENU CA.) VEHICLE: DESCRIP'TION (8) VEHICLE DETAIL CC) BOOK VAL.UE UPDATE CO) L.ICENSE .. RENEWAL. UPDATE (E) CATI!:CORY DESCRIPTION Cf') DRIVER DETAIL CG) MECHANtC s. VENDOR OErAte. CH) RECOMMEND REPLACEMENT C I) VEHICLE TERMINATIONS CJ) INDIRECT l.ABOR DESCRIPTION CX) RETURN TO !'fAIN !'IENU CA) VI!:HICLE TRANSFER ea) VEHICl.E D1!:LE'TION ec) OLe HISTORY OEtoETION CO) VEHICL.E TVPE DELETION Cll;) MECHANIC TRANSFER FC\' CooyrlQMf - 1982,33. 34 35. de. 31 ?eoroouellon ov any "1'1811'100 1$ Strictly :n~n'=:I'!-= 5oecltlcallons $UOleCl to Clunr;e NlIMcul ~Ct:~'! F'\...EET COMPUTING INTERNAll0NAL ~. .~'. ~'(. '~ 'I' I ~' >, '. .~': , J' ..'< ':' ", , '.. ,'-:,: ',... ' .' " ~.' '. : ,......:', "::, , '", '< ",', " .. ",,:' .., '",," ,:, ,', '. :':,', , : ,'.. ,;< ..,.,...... ,'. '.,,:' ", "'" " ,;: .'::, : '. , ':' """,',' , " ::'. " '.'..,' ,. "" :,:',,: ',.,,', "', ,::'. ';. , -: ,:,: ",.', ,', , .... :, ' "," " :' (:, ':,." ,,:,,: , " , "",-:,.., ,": ,.' :,:, ,...,' , :.' .". ': . ,:' '",.'".',..,,:' ,',' <, '.,". ,. " ,', ". :' ': "'.- ',..' ' " "..', '.. , " ....: :'i:,.: .. 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SETTING UP YOUR FLEET IS A LOGICAL PROCESS 1 Set Up Vehicle Types 'IEHICLE mE LIST 04-')2-1987 DC DESC Val LG POLICE CAR '102 S~ POLICE CAR V03 1/2 T PICKUP '104 3/4 T UTILITY vas RIDING MOWER V06 HAND ~OWER V07 SNG AXLE DU~P vas TAN AXLE DUMP '109 SNG AXLE PUMPER VlO CAT RD 'JRADER v- 2 Set Up Divisions & Attach Appropriate Vehicie Types DI'IISION LIST '14-1)2-\987 DV DESCRIPTION VI DESCRIPTION 31 PARK DEPT ')3 1/2 T PICKUP 04 3/4 T UTILI TY 05 RIDING MOWER 0, HAND ~O~ERS 07 SH6 AXLE OUMr- 33 ?DLI':E DEPT 01 UJ POLICE ':AR ')2 1M POLlCE CAR ')3 1/'2 T PICXUP 3' FIRE DEPT ')1 LG POLICE CAR 0'1 1M AILE PUMPER ------------ F'!..EEi C=~1PJT1NQ 1NTE.,::;NAT1CN.-l.1.. :.::o...r'r;~l ~ ~9a2. ~j. 34 ~~, sa. 37 ~ ~~~~ ~~~;:~ ~,: ~..~~c ~ ~~ ~~~ aa ~St;;:: ;1:~6~ ~:; ~ ~t :: FCI' ",' -',:' ,"",' , "', . ," ',: ",">\' '::': ,>,"':'" "',<"'i:: "" ":,: "", ,':- ',',: ,'" ,',':.. ",::,.-',:' ,.... ',',' "",:.. ,. ", ":' . """::,,, ,...." ':',' ';"'" :.",:, "'" ',' ',;, " " ': '""" "'..,0.'."': ,,': "'::' " ,<" ", ,',,: ,'" :" :;,:"', :' ,. -: ',. '" ' " ,,' ',c ::"':,."',' ::.." "',' ,:'. ,,::' ,,"" ,', :', """, ,"" ,':, :' , :. "',' ',."" C>",: : ':' ;',,': :"c .. ,:,:' i," " , , ,",C", i",- " ' . ':': ',..' .. ",' '",,'" ,,',' ,':',',', '. :', ,.:.. ,"" ..: ',.:.. " .....,- .. ' ,,',.' ,:: C ,: " ': ,',':', ' '" ,> "':,' ' , ", ~' , ,;.:':':"':', .. '", ,::, ' " " " , ,,' ,,': ",: "" : ,',...',:' :, , .}L'\::' ',' ,", ',," ", :: , .'" ,,' , :,.' ,: ',,'" '" ':', ':', " ,,: " " ," " : .. ,',' '":,,,,' ,', ,',' .,': ' ":'"'' , ',.., ",.. ,::..: -',: ," , ':, :':".' ,:is, ,', ,;, ,',' ',',', :' :,'; :..:...""::, :":'," ,,"': ,. '. , " , .. " '.' ".., -..::.: ", ' ,:', , :.-.... ",: '"".. " , .. , .-, ;; ,', , ' " ',' , .,', ",~, ',' ' ' " . MONTHLY DEPARTMENTAL COST SUMMARIES DEPARTMENT SUMMARY BY VEHICLE TYPE GROUPING '~;;. POLICE DEPT VEH-T1PE VARIABLE EXPENSE SUHHAR'( FOR APRIL 1133 05.1)5-1 ~83 DV VT DESCR IPTlON lRHO ,~ILES GALLONS ~PG FUELI 'HAINII .PH/OILI H{~E:;S ,'/RaLEI (r'M ~OWI 33 01 L6 POLlCE C.IRS 63'H 323102 1820 177,5 2392,00 145a,OO 241,00 481.')0 4580,00 0.0142 , 33 02 SM POLICE CARS 8304 287604 1815 158,5 22n,OO 1018,00 207,00 101.00 361'1,00 t).()t16 21 33 03 1/2 T PICKUPS 8304 281B82 2029 142,1 2707,00 2171,00 218,00 686,00 5790,00 f),in!)!) , J I '100588 5664 15'),0 73n,OO 4655,')0 614.Or) 1268,00 13'18'1,00 1),0155 2:1 - ...- --- - ~ YOUR REAL AVa. COST PEA MilE CAN ae USED TO ESTABLISH .A BilLING RATE SUMMARY OF EACH VEHICLE WITHIN THE DEPARTMENT POLlCE DEPT VEHICLE VARIABLE EXPENSE SUMMARY F'lR APRIL 1'183 05-05-1')63 DV VT VEHII lRMO HILES 11ALLotlS HPO FUELI .HAINIl 'PM/OILl '!!RESI 'VRaLEI 1:?H oO\m 33 01 4105 83 FO LTD 8304 75795 491.00 154.37 641.00 373,00 5.00 47,00 1066.00 0,0141 2,00 33 01 4106 83 FO LID 8304 68814 347,00 1'18.31 460,01) 2'15.1)1) ]l,')O 28'),0') 1118,00 '),')\62 0,00 33 01 4113 83 FO LIO 8304 59361 331,00 179,34 441.00 239,00 134,00 0,00 814,00 0,0137 0,00 33 01 4114 83 FO LID 8304 64'ln 452,1)0 143.n 586,00 265,00 17,00 67,00 ')35,0') 0,0144 1),l)r) 33 01 4115 83 FO LTD 8304 54140 199,00 272,06 264,00 286.00 11,00 78,00 647,00 0.0120 0,00 323102 1820,00 177.53 23'12,')0 1458,00 Hl,OO 481.00 4580.00 0,')\42 2.00 ....- - THE ACTUAL cas, PER VEHICLE IS AL.SO AVAILABLE FOR BILL BACK REPAIR DETAIL OF EACH VEHICLE DETAILED VEHICLE HISTORY 05-05-1'183 VEHN DV n DESCRIPTION f 4105 33 01 LO POLlCE CARS 83 Fa LTD PARTS I LABORI TDTALI TlHE MECH MECHANIC ROII/!II'1 H.50 ~,5l) 17,00 .2 Mr)() I "LOERS JAMES 1%1 3.7S 1,:5 5.00 ,I HOOI ALmS !A~ES 1055 223,00 (50,!)() :373.l)l) 8,0 MOtH JOHNSON MYlIARD 1034 :71, :5 153.75 425.00 9,2 -- ~ DATE CT HILES CO!MENTS 04130/63 17 56'150 RPL LF TIRE 04/25/83 40 56400 RPL PCV m fER 04111)/63 13 S5000 OVHL FT 8RAKES '- VEHICLE TOTAL FCi' C.:lcvrll~", : '982,3:3. 3.s. 3~. sa. 37 l=lllcro~ucllon 0... any "'el!'l.:lO IS StrtC:ly ::r':~':I:'!-: ScecillC.Ulons suolecllo ,;,"anQe mtncul "'-:1'':" FLEET CCMFVT1NG 1NTE.~NAT10NAL IZ : I' ~, ~ 1 i ~ ::<' ", , . "',.' :', .- ... "" ',' : ",:" , '" .,: '. ': :,":':,:,.- ,''.: c,:,:. . "", ',,";.' -: ,,' , ';:, " , ,,< ::">.' " ':.. , ..:,',". .. ,.' '. '. ".:', ",i, ' .' , ," .;" ':'" ' ,",' ,.., :: ,,' "".' "', ,." ..",', .:': ,..'. ' :',,: ,.'.;'. "", .',' ;'.. .. ...' ';" ';:-"':"" " '" ", ',' ;"".. ,".,.; ',< :: ,'" ') " ',., "\, ,,',,',..' ,', :': ii, " . ',' ..... :,' c" ':, ,':', ' ': " ',": ". '., ,.' . ....,. ""'. ' . '. ,.,. ",", .-" " ", ,..', ,", '.. ,: ',:, , ,'.' ,'"," '. "':,', "', ' ", ", ","": .', :, ,.", " ',:', ,.- '.'" ' :' ;'" '.', :""i:."''''<:'':..:''-'' :,: "",'. "".-': ,:','. "'>'.: ",:' .,.. " .,' ,.,~ ,,' .,' ",., /,: , '.:,".', ..' ' . ','.', ' ".... " '"".' . ,:': :,:':", ': ',;" '. " ':'" .,',"" ,:'..' , ' . " ':','"" ,"'" " " ...', ;', ,". :,' , ',', ,,',', , ..' ,"', " . ", ",'" . " ,,' ", " :' ::. ," ';:,' ,-, ",:, .''',;, ;',' :" , ; t- ,." ",'" * '* * FAST REPORTS * * * PROJECTED MONTHS IN SERVICE =) 36 LEAD TIME IN MONTHS = 3 PROJECTED MILEAGE =) BO~)O C0 REPLACEMENT PROJECTION 10-10-1984 3 MONTHCS) fRO~ NOW fOR 36 MONTHS-tN-SERVICE OR 80000 MilES 0'1 VT VEHN OESCR!PlION LOCATION ORIVER mom OOOMTR MIS PRJ MO ~I PRJ CAP BOOK ~IS MILEAGf 33 02 4101 81 OL CUTLASS POLICE BURNS OAVIO 0710611981 75658 39 42 (m) 81477 6400 1408 33 02 4102 81 Ol CUTLASS POll CE BURNSIOE WILLIA~ 07l0b/1981 ,9582 39 42 (-- 74934 5800 127, 33 02 4103 81 Ol CUTLASS POLICE OAVIS mONO 0710611981 71614 39 42 (-- 77122 5800 127, 33 02 4104 81 Ol CUTLASS POll CE OONAlOSON JAm 07/0b/19BI 70750 39 42 (-- 7,192 6000 1320 33 0\ 4105 81 Ol DELlA 8 POLICE GORDON SAMUEL 07/06l\9B\ 757~5 J~ 42 (---) 81625 59vO 1298 33 01 410, 81 Ol DELTA 8 POLICE HIGGENS WILLIS 07/0b/19Bl ,8814 3~ 42 (-- 74107 ,200 13,4 34 01 4\07 81 Ol DELTA 8 ADMIN ACKER~AN fRANK 07/0b/1981 ,4610 3~ 42 (-- 6~580 7,00 1m 34 01 410B 8\ OL DELTA 8 AO~IN AOA~S ERNESlINA 07I0,1lS81 75m 39 42 (---) 8177, 8500 1870 34 01.4109 81 Ol DELlA 8 AO~IN AHMAO ALI 07/061\981 72858 3~ 42 (-- 78462 6300 1386 34 02 4110 81 Ol CUTLASS AO~IN AKHAVAN SARRAf 07/0b/19Bl 88785 3~ 42 (---) S~61~ 7000 1540 34 02 4111 81 Ol CUTLASS AO~IN ALBERS KELL Y 07/0b/1981 73145 3~ 42 (-- 78771 7200 1584 34 02 4112 8\ Ol CUTLASS ADm ALBERTSON OLIVER 07/06/19BI 71070 39 42 (-- 7653, ,600 1452 ~3 01 4113 81 Ol DEUA 8 POLICE JASPER JIM 07/06/1981 59361 39 42 (-- ,3927 ,200 13,4 no of observitions: 13 FCi' Copyrll;lnt '" 1982.83.84. !!S, S6. 87 ReproouclIon tly any metnop 'S Slrll:lIy pronlOlleo Speclllcallons suOleCt to cnange wltl'lout ~otlce F1..EET COMPUTING INTERNATlONAL . ~; t ~o' r ;fi- t:: .i~;,. " I !' mh ~ r }~ < j'; }:~' j,:;~ , '" 1 " , ~ , l' ,l- I ;' f.' t r,o, ~'.' ',li,li ." " :,.- ,,' ':' ,.,r':~ ' . " " '., " . " .' , ,.- ", , , "'- :"',', ':,' , , ",,' , :; " ',' ;,":: .', .. , I< I< I< FAST REPORTS I< I< I< [; t G , , DETAILED I'[JIICLE HISTORY BY CATEGORY 11-21-119'5 r YEHN DATE CT DY 'II DESCRIPTION mES CD"lIENYS PARIS LABOR mE "ECH "ECHAKIC RON/INY mo 06/13/B4 01340B B3 PLY GRD fURY 64200 RPL "UffLERUAILPIPE III 40 0,0 YOOB ABLE MUfflER C25e4 mo 01/01/B4 On4 DB 83 PLY GRD fURY 51242 RPL U-JlS COKSTANT YELOC 200 125 10.0 "004 JONNSON "AYNARO f3256. 4150 0110llB4 01 34 DB B3 PLY oRO fURY 51242 SlATE IN5PECIlOH IS 0 0.0 Y006 ARROW fORO fm6. mo 07l15/B3 01 34 DB 83 PLY GRO fURY 41001 RPL MUffLER .0 2S 0.0 YOO. GOODYEAR BURLlNGA"E m631 mo 12IISIB2 01 34 DB 83 PLY GRO fURY 23800 STATE INSPECIlON IS 0 0.0 Y002 WANTA6H AUTO SALES I m68 mo 121151B2 013. 08 83 PLY oRO fURY 23BOO RPL WIPER BLAOES 1 3 0,0 Y002 WAWoH AUTO SALES IYma "ISC IlAIHT CATEGORY roTiL 404 113 10.0 @ IItCHAHIC ml SU""ARY 12-20'11BS OY "ECH "ECHAHIC DATE YEHN CT CO""ENTS DIRECT INDIRECT TOTAL PARTSI LABORI TOTAlI i mE lI"E mE 31 "020 JONES INDIANA 1211911185 USI C.S <lL RT YLY COY ilSKT 2.S 2.S 12 36 48 31 M20 JONES INOIANA 12111/118S 135 CLEANING SHOP .S .S 0 7 7 31 "020 JONES INOIANA I2II~1198S USI C.O AP"- OIL' LEAK RT YLY COY 5.0 5.0 42 72 114 DAILY TOTAL 7.S .5 B.O S4 116 170 "ECHANIC TOTAL 7,S ,S B.O S'I 116 170 34 "004 JOHNSON IlA I 34 "004 JOHNSON "A 3. "004 JOHNSON IlA @ 34 M04 JOHNSON "A \ 34 "004 JOHNSON "A 34 "004 JOHNSON "A vtNOOR PURCHASIHG SU"KARY 11-21-11BS YENO VENOOR DATE YEHN CT CO"KENTS PARTS LABOR TOTAL 3S "ODS ADMSON K I Y002 WANTAGH AUTO SALES I 10101/11B5 mo C30 RPL TURN SIG BULB 0 2 2 3S "005 AOAKSON "I Y002 WANT AGH AUTO SALES IIOIOSI11BS mo COl RPL WIPER 8LADES 1 3 12 Y002 WANTAGH AUTO SALES I 10110111BS 1I0B COl STATE INSPECllON ' 17 0 17 ; Y002 WANT AGH AUTO SALES I 10/IS111BS 1130 C30 RPL TURN SIG BULB 0 2 2 I Y002 WANTAGH AUTO SALES I 10/20l19BS m2 COl RPL WIPER BLADES 1 3 12 I 34 "006 SKllH JOHN Y002 WAN TAGH AUTO SALES I 10/2BI118S ,4lO5 COl STATE INSPECTION 15 0 IS , OCT 11BS TOTAL 52 10 62 YENDDR TOTAL S2 10 62 FCI' C-'cym;jMl ~ 1982.63.04. a!, 85. 37 PecrOal.lCllCn ~y aMY melMoa 15 Slflclly :fe/'!le!l~C SceeillcatlC/'!!1 !lUCI8CllC Cl"lIMQ8 .....11''101.11 "'iOllce FLEET CCMPlmNG INTE.QNAilONAL ",::' -'~>,""" ",,: ':' ',", ,'::' "," ", " ' '-: ""':' ", .', ',.' ... ,:'''' ",,::", ;" "" :'''',', , .. ,'.: ',':::, , ::' " ',' ';,',', ;,: ',':' ;, "', ':,' i" " ,,::,;::,., ,", ,.. ',:, .' . .". '., ;', ',',...': ..,' :" '",,'-, :" " ',': ," """,..."... ,', ' ':' " . ' ," '...'. ,',' .. " ,'.' f 'j' ".'.,.. .:,' '.' ..., , . " '... .. ,:"i;' ""',,' ',," ';" ': ';:': : ,:: ,", ,,"," '';' . "" ,",'"" . '(', ':' "., ," , " "':' "" ," "..,' ",', ,fr . '. .. , .... " ,. , : ,:". ":" ' ' , : ..,.' ;, '.'.". ":," ,".. ,. .,... "':', '" ' ," , ' ,. . ".<, .. ,: < ' - .... ,'; ..' . '. '. ::. :,,'0,.), ,," " , , " " , ' , ::; '.:' ,"" ",' , ,'...' " ':';" " ' , ", ", , .' , '.' " ,,", , ...", :,.-,."" '.: ::':'". , "":,' , .- " .,'.., .."., ,'.. :,' ' .;',:: " ", ' :.::, :" . '\ ..' > .'.'...' .',:..., , ' ..,:','...; ,:: ':,:" , ,..",.. ...'~ * * * FAST REPORTS * * * C0 C.lTEGORIlED EXPENSES BT VEHICLE 09-18-1 SB5 DY VT \'EllH mo CT CATEGORY EXPENSE 34 OS 4150 0000 09 mc MAlHT 404.82 34 08 4150 0000 13 BRAKES 250.50 34 DB 4150 0000 17 TIRES 430.4B 34 08 4150 0000 30 me ElECI 63.S0 34 08 4150 0000 40 ml HAINT HO.80 34 08 4150 0000 61 EI RPI PH 62.00 34 08 4150 0000 63 EI Rl'T rUEl 7603.40 34 08 4150 0000 66 ACCID€NI 565.00 !lS20.50 \'EllIClE TOTAl 9820.50 REPORI TOrAl e C.lTEGORIlED EXPENSES BY YEHIClE-TYPE OS-18-lm DV VT YRlIO CT CATEGORY mENSE 34 08 0000 09 me HAINT S42.&4 34 08 0000 13 BRAKES ~4.SO 34 De 0000 17 TIRES 860. S6 34 08 0000 30 mc ELECT 151.00 34 08 0000 40 PRVT HA I NT 8S3.QIl 34 08 0000 61 EI RPT PH 181.0( 34 08 0000 63 EI RPT rUEL 166H.80 34 08 0000 66 ActlDENI 1503.00 22135. SO VEHICLE TYPE TOTAL 22135.90 DIVISION TDIAl 22135.90 REPORT IOTAL Fe\' Copyrl(~nl ; 1982. dJ. 34. 55. 36..iT Flecroauctlon tlv any IT'ElIf'lCO 15 5trl::t!y :ren'=':~-: Sceclflcatlons 5LlCleCl to c.'1ant;e ......1H'lCI"lI "!OlTC! FLEET CCMPUTlNG IN'roRNA110NAL ,. Y..t"""""""7"';'.'-- ~. I " , \ .:,,::',:,;,' :", , . " ..'... .. ,,;"':"':.:: " ". .. . ,", , . .".,'.', , ," ':..:c;. " ,',., ,,: ," " . ',,: , ..,. . . . FAST REPORTS 8 COSI PER HILE 9Y VEHICLE 5/31/1383 OV VI OESCRIPTlON VEHN YR"O fUEL HAINT Hi- TIRES TOIAL 33 01 LG POLICE CARS 410S 8300 0,1088 0.0633 0,0008 0,0080 0,1803 33 'll L6 POUCE CARS 4106 8300 O,OlGl 0.0616 O,OISS 0,0601 0.2336 33 01 L6 POUCE CARS 4113 8300 0,1081 O,OS86 0,0323 0,0000 1).1996 23 01 L6 POUCE CARS Hl4 8300 0.1005 O,H55 0,')02'1 O,'lllS '},16'H 33 01 L6 POUCE CARS ;Il5 8300 0,1032 0,1118 0.0074 O,030S 0.2530 0.1034 0,0682 0,011'1 0.0221 0,2055 av. 33 02 SH POU CE CARS 4101 8300 O,OS81 0,0330 0,0028 0,0000 0,0940 33 02 51 POUCE CARS 4102 8300 0.0752 0,0270 0.0092 0,0061 O,117S 33 02 SH POUCE CARS 4103 8300 0.0746 0,0407 '),0026 0.0000 0.1180 33 02 51 POU CE CARS 4104 8300 ').06'l2 0,0236 0,0098 0,0055 0,1082 0,0693 0,0311 0,0061 0,0029 0.1094 av. 33 03 1/2 I PICKUP 4Il6 a300 0,1047 0,0427 O,OOS7 '),1029 O,Z561 33 03 1/2 I PICKUP 4117 8300 0.0919 0,1425 0.0032 0,0089 O,246S 33 03 1/2 I PICKUP 4118 8300 0.OlG6 0,1018 0,0126 0,035'1 0,246'1 33 03 1/2 I PICKUP 4119 8300 0.1060 0,0527 0,0031 '),0087 O,170S 33 03 1/2 I PICKUP 4120 8300 0.0349 O,02e9 0,0127 0,0077 0,1441 0.098a 0,0737 0,0074 0,0328 0,2128 av. @ COSI PER "ILE 8Y OVI'JEHICLE T'lPE S/31/I'183 DV VT DESCRIPTlDN YR!D fUEL MAINT PM TJ~ES 70TAL 33 .Jl lil POUCE CARS 8300 0,1033 0,0630 ,),OIOa 0,0208 O,I'l79 33 02 SI POUCE CARS S300 0.0693 '),0308 0,0063 0,0031 O.10'3J 33 03 1/2 T PICKUP 8300 0,0'17'1 0,0788 I),OO7'l 0.0 24 8 0,':0-;3 \),0902 (),I)S75 0,0083 0,0162 1).1 722 ~Vo: 3' 01 L'; POLlCE ':ARS 8300 1),1)1)73 0,00'0 0,0010 1).01)06 r).IH2'~ 34 ')2 51 POLlCE CARS 9300 0,0050 0,0041 0,')002 0,000' I). ()!)~7 FCk' C~O'l(rQn{ ! 1982, 83. 34, 95, 36, 37 i=leorOClU':::IOn:lY any melnOClrS smelly :!;~I:rr'!': SoeC1IIC,Urons SUOleCllO Cl'1anc;e wllnOl.ll "er ,:,t Ft..:ET COMPUTING INTERNATIONAl "',,.':::'/> ':.' :,'c, .",:'.: ";, '" ':,' ,',,, .. ' :': ,,:",,:' .."..,':..", "', ',' . ':" ", '. .. ,,:: ".', ,',," ,:'c., ,.."" ;" . "J'., ;.","',' ',' ',' " :"', ,.: , .-: ':"':" ,:', ,,;': ,'". ' , " "...,', ., ': ," ": , ,.:' -",:.. :,,"':,:" ' ", " ':,':',;.....:.- ,',,' '.:":: ,,".. ....': . <" '," ",:,,". " ,',," ',' '. ",', , .,' ,.:,',':',:: ,': :.",",:,'; :', ,', .' ,'.' ,,' :' '..' .' ' ",' ':' .- ',' " , ' ' , . ':' , "',',, : . "..,' , ,;': , ','" '" ' " ",' :, :: ' , " ,:'.'" " "",:,' ",:.,:, '.., .. ' ' " " ' ' ',,',,', .." ;',' , .. ,.' :c": ',..,;,;, .. {" "',i " " .,"';', ,:<':' """'. ' ,,' ," ~': "... , ' ' " ..', ". .',. . ',,:':, "':':-" '",,', " ," ':,', ," ," ..'. ,; ,'.. f( ':.' ,'" ..,' '.,:: .. ",'.::, .....11 * * * FAST REPORTS * * * C0 fUEL REPORT BY VEHiCLE 5/10/1983 DY VT DESCRIPTlOH VEHH YR~O m ~PQT HPQA PHCP~ ~PS THPG r~?s 33 01 lS POLICE CARS 4105 8300 1964.3 1lS4.3 1964.3 0.1 12,0 12,7 14.2 33 01 lS POLICE CARS H06 8300 1595.3 1595.3 1595.3 1.5 13.8 17,7 14,2 33 01 lS POLICE CARS 4113 B300 4079.0 4079.0 407l.0 3.3 12,3 17.7 14.2 33 01 lG POLICE CARS 4114 B300 1943,3 1943.3 1943.3 0.3 12.9 12.7 14.2 33 01 lG POLICE CARS 4115 B300 B52.3 B52.3 852.3 0.7 12.8 12.7 14.2 2086.9 2086. ~ 20.86.9 1.2 12.8 12,7 14.2 ayO 33 02 SN POLICE CARS 4101 8300 2713.3 2713,3 2713.3 0.3 18.5 IB.2 14.2 33 02 SN POLICE CARS 4102 B300 2940.0 1940.0 1940.0 0,9 18.0 18.2 14.2 33 02 SN POLICE CARS 4103 B300 2546,0 2546.0 2546.0 0.3 17.6 18.2 14.2 33 02 SH POLICE CARS 4104 8300 2B26,O 2626.0 2826.0 1.0 18,8 18.2 14.2 2756.3 2756.3 2756.3 0.6 18.2 lB.2 14.2 avo 33 03 1/2 T PICKUP 411S B300 936,0 930,0 936.0 0.6 13,2 13.6 14.2 33 03 112 T PICKUP 4117 B300 2089.3 2089.3 2089.3 0.3 14.1 13,6 14.2 .... .... . .- . ~. ...... @ fUEL REPORT BY OV/VEHIClE TYPE 5110/1983 DV VT DESCRiPTION YR~D HPQ HPQT ~PQA CP~ T~P6 r~ps 33 01 LG POLICE CARS 8300 1780.4 I7BO,4 1780.4 10.3 12.7 14,2 33 02 5H POLICE C~RS B300 2756.3 2756 , 3 2156.3 6.9 18.2 14,2 33 03 1/2 T PICKUP B300 1844.1 1844.1 1844,1 9.8 13.6 14.2 2127.0 2127.0 2127,0 M 14.1 14,2 avo FLEET CCMPUTlNG 'NTERNAll0NAL C.:cvrl~nt f 1982,33.34,35. aa. 37 i=lecrOClUCtlon ov any melt'lr"cl! Slrl<:tly :ronl:.leo: SceCl11eatlOns SU~leellO enanr;l'J wllMaul "enei!' FCI' . ',~, . , ,', ...,' .- '. .,.. ' ," ..... ':~ ,'. , , .. ,.' , " ..,' ",'. , , " " * . . FAST REPORTS I 1 ~ @ " ROLLING MONTHLY flUIO USE 08-28-1984 " /.?, fOR MRCH 1983 - APRil 1983 VEHN OV VT YRMO MPG MPQ MPQT MPQA 4101 33 02 8303 19.1 2813.0 2R13.0 2813.0 4101 33 02 8304 19.1 2812.0 2812;0 2812.0 19.1 2812.5 2812.5 2812.5 av. e 4102 33 02 8303 20.5 3360.0 3360.0 3360.0 4102 33 02 8304 20.5 3362.0 3362.0 3362.0 fUEL TYPE USE SU~MARY fOR APRIL 1983 20.5 3361.0 3361.0 3361.0 av. fUEL TYPE - UNlEAOEO OV VEHN YRMO fQTY COST 4103 33 02 8303 19.4 2811.0 2811.0 2811.0 4103 33 02 8304 19.3 2803.0 2803,0 2803.0 33 4101 5304 147,00 191.00 33 4102 8304 164,00 221.00 19.4 2807,0 2807.0 2807,0 av. 33 41 OS 8304 164,00 214,00 33 4106 8304 116.00 153.00 4104 33 02 8303 21.7 3250.0 3250.0 3150.0 34 4107 8304 165.00 219,00 4104 33 02 8304 21.7 3251,0 3251.0 3251.0 34 4110 8304 152.00 198.00 34 4112 8304 70,00 99,00 21. 7 3250,5 3250,5 3250.5 av. 978,00 1295.00 SUI 4105 33 01 8303 19,1 3131.0 3131.0 3131.0 4105 33 01 8304 19.1 3132,0 3132.0 3132.0 19.1 3131,5 3131.5 3131.5 av. fUEL TYPE - OIESEL 4106 33 01 8303 18.6 2162.0 2162.0 2162.0 DV VEHN YRMO my COST 4106 33 01 8304 18.6 2162.0 2162.0 2162,0 33 41 03 8304 145.00 190,00 i 18.6 2162,0 2162.0 2162.0 iV' 33 4104 8304 150.00 195.00 34 4108 8304 117,00 150,00 f 4107 34 01 8303 1~.4 3202.0 3202.0 3202,0 34 4109 8304 109,00 148,00 ~ 344111 8304 66.00 8~,OO b 587.00 772. 00 SUI 1565,00 '1067,00 SUI I ~ K FCk' Cooyru;lnt ! 1982. 9~. S4. d5. 36. 37 ~ecrOC:IJC:10" oy any mert'loa '5 StrICtly ;re~'\i:lfec Soeclflc311.,ns suOleC! 10 cr',an;e wltnOul ~OIIC~ F1.EET COMP\mNG INTERNATIONAL " ~., , ,~ f fC' I )> , :,'," '., ':," , . , '. .. -: " . ,',.. :" ':, .' '.. ", ' " ','" ',", '.' '.....' '.'-: '. '.'I.:,,,:,, ',: " .," ,'.,.' \',:, , " " :':: ",:. " " " : ',," ", ,',,'.,,' ',::': ";. ,': ..:,,', , . ',:.'. , ' , ".',,'.. ,>. '. ,: ,', ' ..' " ":,," ',,' ". '. ':;:, .,' :': ".. :.. ,";: ,... ..,' ','.' < '.. " ,'," ," . .. ,,' " ,'" ,',..' , " ",', ' '" .,...' . . ,','..' ~:. ..:.'. ": , .:::::;\:';, :: ' . :' ..,.,; , , '" ,.'< " .,'.,. '" '. ", ," ';".' ,.'..", .'.... >..',.', .: .',' :,;:' ".'... .', ", :. ,:: ,', " ~. ',: !': .:,' .:. '. ' .: '.,.:,' ",;" . '.' ".:', ,", '" ' ' , ..' '. ",'. ' ",. ' :. :' ',': ::;, ..'.,. ,<',.'.' ....: .. " .... .. ;:.:- ,"'. ,..,;'):., ',' ,'.' ':" :' ' , .',: ',': . " '....', ':,.,' :" .,'.: " . ..',' :' ';":" "~c. .-, ';' ' ",;:!,,~ , ,:', ",.,. i "", ',., r,:' :' ,;:,.-":,'.: ,": '. .--..--.' ,..'"'!"",......',, " " " .: ,;' ..,>: ,"",- " , , , ' " " "', ,". , ,,' ... ,',' ." ,', ' "," , " " "",' '".. ',,' ,"::' '," ....',,' ,," ~ * k * FAST REPORTS * * k @ I I , SEQUENTIAL HONTHLY VARIABLE EXPE/lSE SUHHARY ')5-05-1 ~83 VEHH YR~O ~ILES GALLONS MPG FUELI 'MINTS .mOILS 'TlRESI 'VR8LEI CP~ DOWN 4107 8302 3164.00 163,00 19.41 219.00 212,00 5.00 14.20 450.20 0.14 0,00 4107 8303 3202.00 165,00 19,41 218,00 20,00 2.00 0.00 240.00 0,07 0,00 4107 8304 3184,00 165,00 19.30 219.00 20,00 2.00 0.00 241.00 0,08 7,00 I @ , POLICE DE?! VEHICLE VARIA8LE EXPENSE SUHMAR) 05-'l5-1'l83 DV VT VEHH YRHO HILES GALLONS HPG FUELS .HAINlI .PH/OILl 'TlRESS 'VR8LES CPH DOWij 33 01 4105 83 FO LTO 8300 93SS m,oo 19.13 641,00 373.00 5,00 47,00 1066.00 0,1135 '/.IlO 33 01 4106 83 fO LID 8300 6~84 347.00 , 18.69 460.00 ~9S,OO 74.00 289,00 1118,00 0,1724 0,00 33 '01 Hl3 83 fO LTD 8300 6361 331.00 19,22 441.00 239,00 134.00 0.00 814,00 0,1280 0,00 33 01 4114 83 fO LID 8300 8492 452.00 18,79 586.00 265.00 17.00 67,00 935,00 0,1101 0,00 3301 4115 83 fO LTC 8300 4141) 191.00 20,80 264,00 286.00 1~,OO 78.00 647.00 0,1563 0.00 '0;' @ POLICE DE?! VEH-TYPE VARIA8LE EXPENSE SUMMARY 05-05~ 1983 DV VT DESCRIPTION YRHO MILES GALLONS t1PG fUELI '~AlHlS ,PH/DIll 'llRESS ,VR8LES CPH DOWN 33 01 LG POLICE CARS 8300 34872 1820,00 19.16 2392.00 1458.00 249.00 481.00 4580,00 0,1313 2,00 33 02 SH POLICE CARS 8300 36684 1815.00 20.21 2293.00 1018,00 207,')0 101.00 361'),00 O,O'l37 '21,00 33 03 1/2 T PICKUPS 8300 39882 2029.00 19,66 2707.00 2179,00 218.00 686.00 57~0. 00 0.1452 5.00 111438 5664.00 1~.67 7312,00 4(,55.00 674,00 1268. 00 13'l8'l.00 0,1255 18.0') FIRE DEPT VEH-TYPE VARIA8LE EXPENSE SUMNARY 05-05-1'183 DV VT DESCR 1 PTlDN YRHD ~ILES 8ALLONS HP8 FUELS 'MAINlI 'PH/OILS + Tl RESI 'VRBLEI (pM DOWN 34 11 L'; ADHIN GAPS 8300 22643 1172.00 1~,J2 1548.00 846,O'l 21~.00 128.2Q 2741.21) .0,1211 2':.01) 34 12 SM ADHIN C.IRS 8300 IB500 863.00 21.44 1159,00 949.00 51,00 ~l. ~O 2250,90 0,1217 11,00 41143 m5.00 20.'12 2707,00 17'l5.00 270.00 220,lil' 4'l'l'l,10 0,1213 ~r), 01) 152581 7699,00 19.82 10099,00 6450,00 944,00 1488,10 18~81.10 0,1244 68,00 : FCI' C~pyrlQm ! 1982. 93. 54, 95, 56. 37 Peoroaucflon ov any mettloa IS smelly cro:n1Oll-!.: "'-EET CCMPUTlNG INTERNATlONAL Soeclflcat\ons suOleCT to CrlanQe "'!Inout ,"lr,:IICIl ~ 1", " i'. ,I ; .- ':- ..: '"..' ,'"..' , " '..:, ", ,: ", " ','o ':.'" , " :',:, ' , :c.' ,) " ,'. :,:' ;:: ,. , "", ' '" , .. ." :,," ,".,' " ,." .. " " , , ;,,' '.'., " .' " '..' .'.,,' ,...'.,',' , ': ",,' ,:,,::': ',',.," "', ,.,.',', .. ,.,:,,: ,'.', ,: ,:: ' '". ". :", ,: ,.i',," ',.', " ".',.'.. :' ,.. J ' . " <,I," '", ,I' :/ ' ''',,',' i' :' ':'," ,:' "', '-: , " . . '. ,','.'".., " " '..,' ., "'" ' , . ' . ' ,', ,.:' , ,," ':' " .. "',': ' " " ," ,.'.- ., : ' ,,' ':' , '" ,',' '...... ,: "'. "".',..". "" ,"'" 'o' ,.." ..', , ',...,...,,,,,',: '," .:' ,:' ',:" ''', " , . .:.. .,<, '., '" '. ' , ' ','" .',." ':,' """,' , ",.., '.':" ;, . .. .',' , , . , ' ' "... ,', " , , " ','- " , : , ,:' I' " . .. :,.' , ' ': '" ".'I, ' "':: ':" ,':,' <' ' .. . ..,.' ',. .. . ..'. ,", ,1' .' . ,': " ' !', , ",' : "'!" " , " ", , ,,:.:-:I . ,'..., ,', t ; C" f j ;' I~ : " ," ", ,"" , ':",,: .. " ".' " , '.. "" I, ': ' ,,' ;' "\"",., ,~ * * * FAST REPORTS * * * @ SEQUENTIAL MONTHLY TOTAL EXPENSE SUMARY 05-05-1983 YEHN YRMO MILES YRBLE I flIEOI INCDNTLI ACCIDI SUBTOTALI CPH OTHERS TOTAL S 1101 B302 2813.00 301.00 302.00 13.00 0.00 616,00 0.22 0,00 016.00 4101 8303 2813.00 232.00 302.00 13.00 0.00 547.00 0.19 0.00 547.00 1101 8304 2812.00 m.oo 302.00 13.00 0.00 547.00 0.19 0.00 m.oo 8 POLICE DEPT VEHICLE TOTAL EXPENSE SUMMARY ')5-05-1983 OV VT YEHN YRMO MILES VR8LEI pmos INCONTLI ACCIDI SU8TOT All CPH OTHER I TOTALl 33 01 4105 B3 PO LID B300 9395 1066.00 91B.00 99,00 0.00 2083.00 0.2217 0,00 20B3,OO 33 01 4106 B3 PO LTO B300 6484 1118,00 711.00 75.00 0,00 1904,00 O,2'l3. 0,00 1904,')0 3301 4113 B3 PO LTO 8300 6361 B14.00 897.00 36,00 0.00 1747.00 0,2146 i). 00 1147,00 <8 POLICE DEPT VEH-TYPE TOTAL EXPENSE SUMMARY 05-05-1983 DV YT DESCRIPTION YiMO HILES VRBLEI pmos INCONTLI ACCIDI SUBTOTALl CPM OTHERI TOT ALl 33 01 La POLICE CARS 8300 34B72 45BO,OO 4119.00 351.00 0,00 '~O50.00 0.:595 0.00 'l050.00 33 0'2 SM POLICE CARS 8300 36684 361'l,OO 3414,0') 423,00 0,,)1) 7456,00 1).2032 0,00 7456,1)1) 33 03 1/2 T PICKUPS 8300 39B82 5790, 00 4353.00 411.00 O,i)O 10554,00 0,2646 0,00 10554,00 111438 13'l89,O') 118S6.00 1185,00 1).f)I) 27060,00 0,2428 I},OO 'l71)t,I),l)c) iUCI PIRE DEPT YEH-TYPE TOTAL EIPENSE SUMMARY ')5")5-\')83 OV YT DESCRIPTION YRMO HILES VR8LEI PIXEDI INCDNTLI ACCIDI SUBTOTALl CPM OTHERS TOTAL I 34 II La ADM IN CAR8 830') '22643 2741.20 '14'l').OO 304,00 430,00 5'l14 , 20 0,2633 713.75 6687. .~s 34 12 SM ADMIN CARS 0300 18500 1250,90 2523.l'O 144,00 0,00 4917,9') 1),2658 15,25 4'l33,15 41143 4'ln,10 5022,00 448,00 430,')0 108n,10 0,2647 7'1'l,O') 1\621.\') '"' 152581 18'l81.10 16908,00 1633,00 430,00 37'152,10 ').H87 72'),00 33631.\0 ,"" R.EET COMPUTlNG INrcFiNATlONAL C~oyrlQnt ~ 1982. a3, 34. 25. 913. 37 F1eoroauCll0n Ov any mllt1'1CQ <S ,lflClly :r-::I'\I:l!e-= Sceclficallons suOleCllO et1ang& NIIMOI,;! I"ClIC" FC~' Fe!' @ * * * FAST REPORTS * * * COST CENTER SU!KART REPORT VR8LEI fIlEDI IHCDNILI COST CEHTER DV TR~O mES 10000 10000 10000 10000 10000 10000 10000 10000 10000 10000 10000 33 8300 33 8300 8438,00 H14.00 10000 8 VEHICLES ON ORDER VEHN DV VT OESCRIPTlON 412. 34 12 86 FO LTO 401. 4127 34 12 86 FO LTD 401. @ VEH I CLES OFF ROAD VEHN OVYT OESCRIPTIOI 4121 34 07 82 FO !UST ANI 4122 34 07 82 FO !USTANI 4123 34 07 82 FO !UST ANI 4124 34 07 82 FO !UST ANI 4125 34 07 82 FO !UST ANI G 7.5,00 '101.00 90.,00 39,00 894,00 0,00 11-12-1985 OROERED EXPECTEO SC 11/0111985 12115/1985 I 1./01/198512115/1985 I VEHN CL ONU~ DRIVER 11-12-1985 ACCIOI 5U8TOTALI m OTHERI TOTALI 0,00 1710.00 0.20 0,00 1710,00 0,00 1795.00 0.21 0,00 m5,OO 1898.00 0,19 0,00 1898.00 2024.00 0.21 15.25 2031.25 1345.90 0,32 0.00 1345,10 1548.00 0,34 0,00 1548,00 1.55.00 0.39 0,00 1655,00 2496.00 0,30 0,00 2l1.,OO 2.94.00 0.27 0,00 2694,00 1829.00 0.22 0.00 1821,00 1880,00 0.22 0.00 1880,00 20874.90 2,87 15,25 20810,15 'UI 1724 RIVERSIOE DRIVE ~URRAT UT 84107 0 63 WEST 50TH ST PARKSVILLE IL 45610 0 IGO IL m5. 0 iROVE IL 44567 0 IGO IL 44502 0 ;ROVE IL 44570 0 IINGTO !N 54367 0 !TOWN ~N S5485 0 IUTH ~N 55433 0 LAKE UT 84105 0 IT UT 84107 0 LAKE UT 8410.0 IGO IL 44.79 0 IRST IL 44512 0 1.0 IL 44312 0 IGO IL Wl'1 0 APOLl ~N 55482 0 5101. ~N 5535.0 0) 11-21-1 'l85 VEHICLE HU!8ER LISTING 4101 2 0007 8URNS,OAVIO H02 2 0008 8URNSIOE,WILLlA! STREET IH2-1985 LICENSE RENEWALS WITHIN 10 OATS LICENSE REi[WAL OV VEHN ORIVER ILl44235 0112011186 33 4104 OONALOSON, JA!ES I L 43%55 01/10/1986 33 4103 DAVIS,ED!ONO IL.,1295 11/30/1985 33 4114 K1NGLET,WALTER IL751211 01/20/198. 33 4l1. LUTTER,CASEY I L71I 274 11/10/198533 410. HIG.ENS,WILLIS IL784231 12/15/1985 33 4105 GURDON,mUEL IL887231 01/31/198.33 4113 JASPER,m !N02H56 12/31/118534 m1 AH~AO,ALl !N4.5923 01/25/198. 34 41C7 ACKERKAN,FRANK F'LEEi COMPUTING 1NTE.l:lNATlONAL" STREET CITY ST I. PARKHURST ELK GROVE IL 445.7 1423. SO BROAOWAY CHICAGO IL 4435. 293. HAZELWOOO LANE EL~HURST IL 44512 4589 SHORELINE ORIVE CHICAGO IL 44711 5805 HWT 101 ELK GROVE IL 44570 5980 ArrON RO CHICAGO IL 44502 462. !ANCHESTER CHICAGO IL 44.71 2800 FOUNTAIN LANE PLY!OUTH !N 55433 3425 !EAOOW LANE BLOO!IN6TO !N 543.7 ,mTOWN !N 55485 CITY ST lIP SC lIP g~~~~~OunC\t~n ':~~'n~3~a:l'n~5c ~S\~~CfIY ororlltll'e~ Soecillcallons suOleCllc enanoe WIII'out nOtice ~~ f t: ~' .~l. ~ f !. t ~, l t f',' .. " f I', ~. ." f' l f ~.. ' . '. ";",>-l~_':",,,,,~ . ",:: :- : , ' ".:"':,, , " " .' ",,' " , .' , ",' ..' , ",":' , " ", ' " " ", , , * * * FAST REPORTS * * * 1 9 VEM1ClE IMVE!1l0~1 lH2-I~9~ CIJ' BOOK 000 pftll TOlll1 OV VI VEllM 5EWl 5~00 5100 77000 ~92 \150 33 02 1101 000OOOf5\CEMHOOO ~~OO 5800 7l O~O 15~1 2\03 \ . .. ,,'0 ^^MM.~ICEXIO~1\ -. ~. , 0<< "QS e ORIVER HUnBER LISTlHG 1l-12-1~85 VEHHCl OHUX DRlVER STREET cm 51 !l? 5 nH 51357 0 nH 55\85 a KH 55\33 0 4107 3 0001 AcmKAH,fRANK 3425 KEAOOY LAHE 4109 3 0002 Aom;ERHE51lKA 174~ YAIERIOYH RO 410~ 3 0003 AHnAO,ALI 28 . ,nuu"" LA~E ~;;~ ~ ~~~~ ~~SARRAr ~ POLICE POllCE ADnIH .... ""lfle; n @ CATEGORY LIST 11-l2-1~85 DC DEse 0) m me nAIHI e 13 BRAKES CI7 lIRES I e21 IRAlISnlSSIOI C30 mCTRICAl cIa PRVT "AIHT e45 EHGIHE m AeCESORIES C50 EI RPT nAIHT YEHICLE TYPE llST lH2-1~85 C51 El RPT P" C52 El ~PT lIRES OC me @)' C53 El RPI rUEl C54 El RPT IHeOHTL YOI LG POLICE CAR C55 E1 RPT AcelO Y02 sn POLICE CAR C55 ACCIOEHT V03 1/2 T PICKUP cIa PARU1I6 V04 3/4 T UTILITY C71 "ASH V05 RIDING nD"ER en TOlLS Y05 HAND nOWER C93 I€ALS V07 SHS AXLE DU"P C~4 LODSING V09 TAH AilE DUKP C9'l E1 RPT OTHER VO~ SHG AXLE PunPER VIO CAI RO ,RAOER VEHOOR IMVEMTOR1 IH2-1~9~ VEMa VE~OOR 0001 Bill ~MOERSOM CHEVYTO A 0002 YAMHGH AUTO S~lE5, I ~ 0003 S. SHORE llRE ~ RUBaE ~ OOO~ Ga001E~R BURLlHGAnE A~ OOO~ BillS 55 A 0005 ~RROW fORO I 0007 JO~H5aH5 ftUrrlE~ ~ 0009 ~BlE ftUfflE~ 000' IKKca TRIHS BURllll5lK ~ 0010 HO OET~ll ,\ no of ObServations; \0 I FCI' ;.:ICYfIQMl ! 1982.33. 84. 35. sa. 3;" s~~~~~~~;:~~so:u~~e~;~nc~ca~s\O:l~7(:~6~;e..n~~~:~ Fl.EET COMPUTlNG IN1ERNATIONAL , ".", '",' ,',' ' ..', '.-~.-': ',' ',::: ,', " .' i, ': .. ,', '.. ,,:..' '. :.,..':,..,,/:':,.., :':' " ':' '..' ,', '/ ',,' ,,:,,',,: ,::,"'",,: ",:,,' ,"", '''', ,:":,:,:"'" ",':' ", '.... ",::, ,;, '"""" ,,' " '",-,:::-,:"" "" , ,.,:: ,,:,:' ."'" .;:." ',',,"",' ,', ,", : ,,: , :" ,',', '.' ,", , ','.:, "', "",:,"",' ,,', , ' , ' , ." ,..'",' :' "~c. ;'.', ": .':- ,',: '." ':.', :' " ;,,' ,,' .' :.-' ': ',: >" ' ..,:,' " , """.' ',:"',-"-','" .. ,c',' :": '".. ','.,' ,0' ..',..,.'" .' , ..:"'".. '." .'.. ..'.'.",." ,..,,'. '" " ".'.' ,..," ,', .".',..,.' "" ,,', ,.".,': .,,',... "..','.''':':,;: ':'., ,": ,...:':' ,",.. ",," :;', .. '" ,', ", " : : ,,:' ,,':'i.>"" ",,:' " ' i : ,,":. "', , ' ',,' ," "., " : ",': " ,'," , , :.' ,:,: ' ,,":,' "", "', :'::.'".' "...,:, , .' " " .' ':', :,' (.. . . . ..:. ... : " ,"" ,'. ..': .', ' : '\ , , ,,',' ,.:' ",': " ,\ ":," ," ",:,," "," '" ,::::. : , "" :-' " :':' , ,: '>,' . " " . , ".:' ': " . ' : , ", ",: ',,' ": ' "',':',..',:, ':' "," ".. --c ';",--'>,,'.. " ; ,,:", ::'.,,', ,',;'...., ::- ': . ,:", , , '::..', " ':': ",. .; , .."', ',c """., ,", ..' ,:;. '.':' ,:, MECHANIC REPORTS HECiWHC l! STING HECH HWti'l1E LISTING BY MECHANIC NUMBER Heel OPEN He82 ACKERI'#I.FPRlK Ma83 GOOHER,BILL H884 JOffiSCN ,~'tN\RO M88,5 ADrtl5a'I,HIKE M880 Sl1ITH, JOfiJ Hm BU~ITZ .AFNIE Mela RCtlERO, JOSE ' , I ~ C f}) ,I a ,I A ,I a ,2 A 11 a 18 A ,2 a 19 HECH HECftI'tIE MECiWlIC SENIORITY l!smlG C f}) HIRE!:l\TE LISTING IN SENIORITY ORDER He8, GOOHER.BILL M982 ACKERI'#I,FR~K M997 BUFl<ITZ ,ARlIIE M884 JOffiSCN ,~'tN\RD M880 Sl1ITH,JOfiJ M88a RCtlERO,JOSE Mees ADrtlSCN,HIKE A ,I 11/22/1970 B 31 89/10/1977 A 32 93/12/197$ a 32 87/23/1979 a 39 83/a 5/1 9$9 e 19 96/39/1999 A 31 81/81/1981 LISTING IN SENIORITY ORDER WITHIN CLASS -- HECH HECitl'I1E HECiWlIC SENIORITY BY CLASS LISTING 18'S) C CLASS!:l\TE f}J HIRE~TE ',:' '''.,',' "'. ,:,:,."" ", "', , "',,' "/::' ' ".. '" <"..:",':,', ..".': ',' ",':"'" ,", , . :, :,,::, ',,:' ' '.[' ,"'" :", " "'" ',' ,,' , "" ".','::' ':; "'" ..", :",' .'..,," " ,':.. ,',' "".",. " ' , "':, ,,' ,"" .,: " " , ", ' .' " '. , , "',::',. " , :,," ,,' >:" " :';,: ,: , .,',: " , ','.. ,," ,.', C,', " '" ':, ::..'. .:: ',,', :'_, <,." ' -:,:,'''c " , " "" :. ", ,,:' , , :: . \':,': ',' '""... " ':":',, ,':',:' ':' ':',c,,' ,", , ,,:, ',': ,,>" ,:::.- ' .. ",','.~ " ::, :,.' , ' ", ': ", ,', "'>'., ' ' , '".', "c ' ,>-' .-:: .', ,,:. ':, ,::' ' , " '.. , . " ,,', ' : ":::" ',,', ," , ,', " , , , , ," .' ",., "c: '::; '::,\ ,,' '",,', ' .',"" , ,'; , ".,"', '" ;', ':<', ":, , .' ':' " ',:', '. , ' ':,' ,'" ..',' ...., .., ' , ';' " ''': ' .- ", , , ' " . ' Hgez ACKERI'#I,FPRlK H99B RlJiERO,JOSE H664 JOffiS(N.~'tN\RO H996 ~ITH.JOftl LISTING OF THE RATES YOU SETUP FOR EACH CLASS THESE ARE USED Wlnl REPAIR OReER HOURS TO COMPUTE LABOR COST - ~ FCI' FlEET CCMPUTlNG INr';;NAll0NAL 'i f. t ~, ., " ~ I, f', l ";I '.' " ',' \:::' . "":,,, ,,' ',' ,:.:' :' ,."" : : ':,' ",. ,c ':'" , :',c,":: :'",' '," ': ':.. ,', ":' f '/' ',:, ~' '!' '::,<' , :', ' , .' , .' 8 89/1d11979 31 Wl.Y!977 B 80/S6/!988 36 96/S6/1988 B WS9/19$9 32 97/23/!979 B 94/29/1984 1e 91/85/!989 I:LASS ?.AiE L!STtNG C PATES A !~. 7~ B 9,89 ,; 0,68 T COOVrlQnl : 1982.33, BoI. 35. 86. 87 ;:l"croouellon cy any I"!"emoo IS Smelly ::lrOr"I:II~C Scee:flcDollons suclltet 10 e~DoI":<le .....1/"01,,11 "ell:e '\,: ," ,-: ,,;'. , '. , ,:,,' ",..:,:,:, ': " . ," "" ...... "'-. - .- '.C,:' ," ; . " ",',.. ,-' , . ' '. '. .- , , ,.'. " ',. ... ',.: ~., 1" " " !.I", l ,. . {' purchase of an additional report generator costing $1100.00. This report generator is the query language of the underlying data base system MDBS. 5. The system is priced and sized to the size of the fleet you are using. The data storage area is fixed at the time the system is configured for you. It is sized for approximately 2 to 3 years of on-line history. When the data area is filled up it must be purged by backing it up to , some other media. If this data is needed again, it must be restored. If the fleet size changes drastically then the system must be reinstalled. /I j " { A major concern expressed by the Public Works Department was the compatibility with other machines. In order to transfer the dollar amounts to another IBM PC requires that the machine running ,the Fleet Controller and the destination machine have a' compatible disk drive, and that a program has been written to move the data into the destination program format. Such a program written in the Revelation system is about three hours work. It should take a little bit longer to write one for the system 36 for a programmer experienced on that machine. Probably the way the system would work is to physically bring the disk from the shop to the court house, and then transfer it to the system 36 using a terminal emulation program. Compatibility with non dollar amount Revelation or system 36 files is still somewhat of a moot question, and depends, among other things, upon the capabilities of the query language that can be bought with, and should be bought with, the main program. The program' comes wi th recommendations from other agencies, and that is a major consideration. - I? I' I:., f' },-;. ,~".: ' ~,>~ l".." ~v I I \'; , t .; " , I f 'The cost of the program does not seem high for what it claims it can do. Certainly it cannot be built as a one-off program for that kind of price in any data base language. The price of the program is only one of many considerations. Considering that this is a several thousand dollar purchase, you might consider putting your understandings about what the system will do in a -letter if you decide to buy it. In particular: 1. It is purchased with the understanding that all dollar figures are output in an ascii file in a manner that is easily read by other programs. 2. A method is provided for calculating depreciation external to the program and facilities are provided for exporting the data needed to calculate numbers that can be importing and for importing the numbers so calculated. 3. That the system can support a fleet of xxxx Vehicles, and that the history of these Vehicles will be online for yyyy years, (These figures should be filled in for what you want, not what was proposed because you may find that they can size the system to your true needs for no extra cost.) 4. That if it is unsatisfactory it may be returned or will 2 ':':-":,: "; :;: ('--';:"'. , " ':. ',..'. ,- .' "', " " "\' ,.,:' '. ",' ': ". :'.'."," ":;> < ',' ',.,.". ,- '.- " : , . ','-:, ," . .. ',,:" ", '" , '.:-".' ,.,,':' ::,.:, ': .,,': .'.....: > , ':, "., ' .- . ':., ., :;; '" '. ,."", . '- .", " " -. ' ,.-','..". :.-',:, .-.' '. . ,\ ," " ::,:;,.. . ":-', . ,'.'::' . ,,' '. "'... ". , ",' " ' ".',-- ':, ..', ' . ", ':, ".. , '.. ' , .', " '-', "'.' ,', .,:":" , ': " ' " .', .-' -, .. , -,' .. ,', ' '. ,'- --' " " " .." ':' .- ": '.. ',., ':. ,--'" " " ,"" .: ."-" , ".' .:'".., . ,: ":. '., . ,;.__: I. " ' " """.: , ." ,.-:, ..' ',,' ,:" ::.' ':, ". "'. ..': '. .' ',-- ':',,:,:: ",'.: ',,'::' :. ":,,~ " " .. " ", ,'. .":,' ,..,. -' ',': ,,: ","., " ';, ". .- ": '. '. .' " ,', >, ~. '-:., " .I , ~~ l .,:.";'" " .,.' :' ".-, .- .." . ," .-:: ' ': "..;;' )t, Ml- 1:'1..;, .'" . L L - PU:ASC: ROUTING - REQUEST e----- ~ Ill; AL fJ. o 'HAHlli.E ~ AUlI///' /"":-- "",,' O J!!l1lOll'- ,'/.';.(1, /,,", - API'IlO\lE ~ IIIlIJCE , ~.,.v- AND 0 CARTEII ~WARll 0 EILU:K GJ---- D EUlNE RETURN 0 ELEAHOIl _ o KEEP OR D1$U1ll) 0 ~I o Rl;:VU;W WITH HE g =- ClATE .3...- :>,,, -,8 '7 O~UF o It IlOll FRO.. S.,,<?rr o MOLLY o scon -sK j!l TOI(I "'f1^^ :-".....,,-- ___;-.."~-_-~"~_+,,,,,'i,..: '" ;'.. . 8SUED IN .":FFERSClN CJ:lUK1Y VAL I D ON c::a....rrv ROADS L I &TED IJIIELD'I"r -;tf" A 06' Sc::;l ! i I I J S'''/7-~~1. L _IT 'SSUED '1"0 AtlDRESS'" r:? - 6 , 'IISUED AT f'ClRT TOwNsDC>. WA5HINGTCIN ~d ()~..-mv/ ~~d ., .6...y '7L~S Q,,.,'\, '~-9r37t.P IN ACc::cJRDANcE .ITH CHAP'TDl aoo. LAWS OF' ...7. PDlMISSICWi IS HEREBY GRANTED TO OPDlATE THE VEHICLE OR 'W:HICLES HET":IN DES<:RIm:D TRANSPoRTIt<<> 1'IDol ::::r--;...6:...r....v /~/<......_ rRCN :;Z::---.......,. "n~ " TO Q",~/~ VIA c:lU'IT'Y I'IOI<D 'I:" d)...: I. ~p( I- ,~....~ #, // a 'nilS _IT VALID I'ClR TH: "",ICX) OF ::J/r/o/ ' DATE S;/Yv-;; 7'0 .6PO...." VEHICLE DESCRIPTION TRUCK TRAILER T~ACTOR-------------- _____AXLE SENI TRAILER_______ L I C. NO. L I C. NO. PE....ITTED AXLE WEIGHT_-LS?+_QZJQ_0-~~Tlr'E SIZE__1_=--::?-..9_______ _-29_rT'___E___'N. MAX, WIDTH__'>S _FT._'::..-IN. MAX. HT. -CF.RT.WT._YI:S_NO GROSS WT.___ _________FT. LENGTH ________FT. FRONT OYERHANr.. REAR_______FT. LIC. CA~.______ tXCESS WT. AXLE ________SOL.D TIRES OTHER REASONS ------------------- RESTRICTIONS MAX. .PEED . MPH ON ALL .RIDGES ALLOW NO OTHER VEHI~L~S ON .RIDGES TRAVEL CENTERL'NE DF ROADWAY ON ....DGE. FLAGMEN TO CONTROL TRAFFIC.ON .RIDGES FLAGMAN REQUIRED ON TRUCK RED FLAGS DISPLAYED ON LOAD PILOT CAR AHEAD AND 'N REAR MAXIMUM .PEED Or________MPH DAYLIGHT HOURS ONLY. NO MOVEMENT DURING INCLEMENT .EATHE" AS.UME RESPONS,.,LITY FO.. OVE... HEAD O.STRUCTIONS ~D .ATURDAY. .UNDAY OR HOLD lAY MOVEMENT. .U.~ECT TO WINTER ROAD WE.TRIC- T.ONS UABIL lTV CLAUSE IT IS UNDERSTOOD THAT JEFFERSON COUNTY ACCEPTS NO LIABILITY FOR DAMAGE CAUSED TO OR .Y .AID LOADS AND THAT ALL WASHINGTON aTATE HIGHWAY STANDARDS AND LAWS REGARDING THE MOVEMENT OF OVERWIDTH AND/OR OVERWEIGHT LOADS MUST SE STRICTLY COMPLIED WITH AT ALL TIMES. --------------------------------- ------- COUNTY ROADS ARE ONLY USED AND I. THE UNDERSIGNED. ACKNOWLEDGE THE RECEIPT OF S. .00 FROM PERM I TTEE COVER I NG THE A.OVE DESCR I.ED MOVEICENT. .'GNATURE::~L.22.~ <>~~~_TITLE~_____..EE -..5:.::;:_ P'bmt I I I (REVISED e/./." l\" ~' 1: f~ f h t \ , i." ~. I.- ~ t, " , . ,.;, '. , ';: ,,'" ,', .' , . ;it"., ;',..;, ,', ',' . "", , .' .,.V" ,', / 73L ;J~ --r---- . /0,.<.)' f I(-'~ ~ C,/l./lr.>' WASHINGTON STATE . / leA I(~ s2~~Rr:r:Ro~8.,AD ADMINIST~~JI~~R, ~~~~~ ~ ~ 1")(, 10TH STREET Sf.. Ol YM~'A' WASH'NGTON 90504 .106-753-5989 RECEIVED '.' April 28, 1989 :::i:o::::,::::n:::.~)l; REVISED DEED LANGUA~R(R'O'W' MAY 4 1989 JEFFERSON COUNTY PUBLIC WORKS DEPT, TO: FROM: SUBJECT: TURNBACKS For quite some time we have been working with WSDOT ROW to reach agreement as to the responsibilities counties will have in the long-term management of excess right of way 'turned back' by the DOT. It wasn't easy, and it took an awfully long time, but thanks to Reid Wheeler's persistence and Bob McIntosh's negotiation skills, we now have a mutually acceptable arrangement. The issue has been what we call the 'reverter' language. This concerns the rules that apply when you wish to dispose of this excess right of , way (and/or access control, if present) to 'non- road purposes'. The attached DOT memo and new clauses represent the official word for all future turnback deeds. Should you have any questions as to their implementation, please first contact your district state aid engineer. If there are still any complications, please let us know. We feel that the new language meets all the necessary requirements of both Federal and State law yet still provides you maximum flexibility. EG:rcw attachment cc: Bob McIntosh, AG Terry Cooper, WSDOT ROW , ," .,',' ,":, ",', ,:: ' . ", ' "., ' ,',,' ,,':, ,...." ", , ',. :, "', ,:',', ",', , .',.. :' "';,, ' ',,;i ;", , ,.. .',:.,", ", " "'," ,'" ;': ,'; '>" """:,, '::' ',' '" '" '.', "': :, :,;"""",,: '''',: ': " ' ':'., ' , ': ',,' , " ..... ,: ,': ","'::' ":", ': ,<',,' , ",; ," ,-,':' , '..',' "-; :' ''', " ' ',','" . " ':' ';, ,:: "":.... " .. :,:' ,'" ; ,,'," ': ~ ' , " ' ' 'i , ' : .', ' :, ,,' '." ' , ,,', :" .,::,;" ,", "':";',:'." "':.: ", ' " ' :,,': ' ";'<,: '':':'' .,' ,,' 'i',:,,:';' " ,:>; """:"',""'"" ',',',,;','," " ,.","':, " i';.', "" '" . .', ,,', ',' ", .>' ',:' -::. :..... ,,'..',' '," :, , ' , , ", "," :,', ,,"," ;""c;':: ::,' "...""" ',' ' ' , " ',.'" ,'", , ,",V '; ',.".", ',..':. ,i >.,'.. . , , ',; , , ',.. "",>",:,, < ",,", " ',' ,"':. ',"':, ':.. "..', ,: :.. ,. " , ' , , '" :" ,': ,:,; ':-.. <',' ,", ':, " , ",,' .... ,'" '.,',', :' " " ',' " .;, ' ., " ';,',:,..,' ," ',', ",I', " "'i:.,".' .. "..' " :" ",....... ': , ""; ":,.' ,,: ,'" -. ,'( ,:"~:;:.<,'~..::L;..~,::'i :::',r":"'" , ',., -,\'/,'. "<:::', '.'<';-"'::',':'11,',:- . ,,' ,',' - ;'.-' . ,',,-:"" '--".'- :,--"':",':-'" ,c,"," ..." ,:,..;~:;",._..,_",i, 'd.,J';t~;;. ~i':~,~:;_;~."':'- "t ~PR :a 5 :aa; J' DOT foORu' r():.)-o:)Oll) il.....e4 elU ox ....218 INTRA_DEPARTMENTAL COMMUNICATION ~--- ." ~oCn-- OATE: April 17. 1989 n Robert C. SChuster~ sueJECT: Turnback Deeds to Local Agencies FRCM: PHONE: TO: R. E. Bockstruck D. S. Senn A. T. Smelser G. F. Oemich R. L. Larson M. D. Tranum nECEiVcD ATTORNEY OfHfRA,'$ om~~ lP.."'"0RTATlON UIVISIOH APR 1 \i 1939 .. .-.-.-.. -- ._..- Over the past year our Land Management Staff has been working closely with the County Road Administration Board (CRAB), the Federal Highway Administration, and our Attorney General's Office on turnback clauses that would satisfy current requirements. The clauses on the attachment have now received all necessary approvals and are ready for immediate use. All new Turnback Agreements shou1d provide for use of the appropriate clause on the forthcoming deed. If you have questions about these clauses or their use, please ca11 Chief Right of Way. Agent, Robert Barnard. RCS:wj Attachment cc: Stan Moon R. H. Barnard Marjorie Smi tch Robert Mcintosh ,"" ,"'""" CONTRACT AWARD SUMMARY 153-86 PART III - SPECIFICATIONS SPECIFICATIONS General Reouirements 1. The glass spheres shall consist of transparent, water-TIGHT glass particles in spherical shape. 2. The refractive index shall not be less than 1.50 when tested by the liquid immersion method at room temperature. 3. The glass spheres shall meet the following requirements for freedom from imperfections when inspected visually: At least 90% by visual count of each separate size fraction of glass spheres when separated on the sieves shall be free of the folloWing imperfections: a. Dark specks of a diameter greater than one-fourth that of the glass sphere, b. Air inclusion of a diameter greater than one-half that of the glass sphere. c, Incipient Fractures. d. Milkiness or surface scoring or scratching. Wateroroof Overlav Glass SDheres Waterproof overlay glass spheres shall consist of glass spheres on which a film of water-repellent material is applied during the process of glass sphere manufacture. 1. The glass spheres shall meeting the folloWing requirements for size when tested in accordance with the Standard Method of Test for Sieve Analysis of Glass Spheres, ASTM Designation 0-12141: Percent by weight passing U.S, No, 20 ............. 100 Percent by weight passing U.S, No. 30 ............. 90-100 Percent by weight passing U.S. No. 50 ............. 10-35 Percent by weight passing U.S. No. 70 ............. 0-15 Percent by weight passing U.S, No. 100 ............ 0-5 2. Waterproof overlay glass spheres shall meet the following requirements for crushing strength when tested in accordance with the Standard Method of Test for Crushing Resistance of Glass Spheres, ASTM Designation 0-1213: ' 20-30 Mesh Size ................................... 30 Lbs. 3. Moisture Resistance: The glass spheres shall not absorb moisture in storage. They shall remain free of clusters and lumps and shall flow freely from dispensing equipment. 21 The glass spheres shall pass the following test for water repellency and free flow: Place two pounds of the glass spheres in a cotton cloth bag and immerse in distilled water until saturated. Remove the bag and squeeze excess water from the sample. Suspend the bag at room temperature for two hours. At the end of this time, shake the bag to mix the sample and pour the glass spheres slowly through a clean, dry 60 degree glass funnel having a stem 4" in length and an inside stem diameter of 3/8". The entire sample must flow through the tunnel without stoppage. At the start of the test the funnel may be tapped slightly to initiate flow, 4. The glass beads when tested for roundness according to ASTM D-1155-52, Procedure A, shall not contain more than 20% irregular particles. Adherence Coated Glass Soheres Adherence coated glass spheres shall consist of glass spheres which have been provided with a silane treatment during the manufacturing pl'ocess to enhance the adherence of glass sphere to traffic line paint. 1. The glass spheres shall meet the following requirements for size when tested in accordance with the Standard Method of Test for Sieve Analysis of Glass Spheres, ASTM Designation 0-12141: Percent by weight passing U.S. No. 20 ............. 100 Percent by weight passing U.S, No. 30 ............. 90-100 Percent by weight passing U.S. No. 50 ............. 10-35 Percent by weight passing U.S. No. 70 ............. 0-15 Percent by weight ,pass i ng U.S. No. 100 ............ 0-5 2. The glass spheres shall meet the following requirements for crushing strength when tested in accordance with the Standard Method of Test for Crushing Resistance of Glass Spheres, ASTM Designation 0-1213: 20-30 Mesh Si ze .................................., 30 Lbs. 3. The glass spheres shall contain a minimum of 90% true spheres by visual count when viewed under a microscope at 20X to 30X magnification. Packina and Shioment (50# Container) Spheres to be packed in moisture-resistant, clean, leak-proof, multi- wall paper bags of pinch bottom construction (glued top and bottom, not stitched). Bag construction to consist of 4-50# extensible plies and one polyethylene (minimum 1 mil. thick) with a 60# extensible exterior play. Bags not to exceed 50# net weight and shall have stenciled on the side the manufacturers name and the designation - "W.P. Glass Spheres." Bags shall be stacked on non-returnable wooden pallets with not more than 2,000# per pallet. 22 shall be applied using a striper with accurate thickness control capable of maintaining a uniform thickness with four (4) lbs. of glass spheres per gallon either dropped or blown onto the stripe. The line shall be dry to no-pick-up within specified time range when the pavement temperature is 55.F. or more and the relative humidity is 50 percent or less, providing that the pavement is dry. Dry to no-pick-up tests will be performed by having a standard size sedan or equivalent test vehicle, coast across the paint stripe (no turning or accelerating). A successful no-pick-up test will be considered one in which at least three out of four samples show no visible paint from the stripe being tracked onto the adjacent pavement when viewed standing fifty (50) feet from the point where the test vehicle crosses the stripe, All paint samples shall have successfully completed all lab tests prior to the no- pick-up test being performed. All field testing shall be performed blind in that the persons conducting the field test shall have no knowledge of which sample is from which manufacturer. All testing shall be performed without the manufacturer's representatives present. Each manufacturer will be provided test results for their sample(s} upon request. 10, Bleeding over asphalt - ASTM standards o 969 using substrate as in Par. 3.2. except reflectance measurement over asphalt paper area is compared to reflectance measurement over taped area. Reflectance over asohalt oaoer area x 100 = Bleeding over asphalt Reflectance over taped area Comoositional Reouirements 1. Pigment Composition Pigments shall be first quality paint grade pigments. Medium chrome yellow for the yellow traffic paint shall meet the requirements of ASTM 0211-67 Type III. The titanium Dioxide for the white traffic paint shall meet the requirements of ASTM 0 476-73 Type II, III or IV. The inert or filler pigments must be of a type and quality generally recognized as first quality paint grade products and shall not contribute to settling of the paint on storage or be so hard as to cause excessive wear of the spray application equ i pment. 2. Vehicle or Resinous Binder Composition The vehicle may be any combination of natural or synthetic resinous materials. Chlorinated rubber combined with other natural and/or synthetic resins and plasticizers is the preferred system. All resins used must be permanently capable of re-dissolving in the solvent combination used in the paint. Therefore, resins which dry by the process of oxidation and/or polymerization such as alkyd resins are specifically excluded as suitable resinous binders in this specification. The purpose of the above requirement is to minimize build-up of the paint on the sides of tanks, paint lines, and clogging of spray equipment from undissolvable skins. 26 Testino 1, Lab testing will require two (2) one pint samples of each color. This paint will be provided at no cost to the state by the vendor within ten (10) days following the bid opening. 2. Field testing, if necessary, will require 50 gallons of each color in five gallon containers. This paint shall be provided by the vendor in unmarked black containers at no cost to the state. Only those samples passing all lab tests will be field tested. 3. Prior to final award at the option of the state, the apparent successful bidder may be required to supply two 50 gallon barrel samples of each color for compatibility testing with the Department's striping equipment, some of which is equipped with airless spray equipment. This paint will be provided by the vendor at the quoted prices. 4. The vendor will be required to pay for testing at the following rates whether the test is successful or not. Lab Tests Field Tests $350 $500 Process The manufacturer shall assume all costs arising from the use of patented materials, equipment, devices or processes used on, or incorporated in the work, and agrees to indemnify and save harmless the department and its duly authorized agents from suits of law, or actions of any nature for, or on account of the use of any patented materials, equipment, devices, or processes. Packaoino The material shall be supplied in new or reconditioned #1 DOT pressure-tested, removable-lid steel drums which shall conform to I.C.C. specification 17-H with silver painted drum heads and/or new or reconditioned DOT pressure-tested steel containers (approximately 350 gallon capacity) conforming to DOT specifications 57 in the combination requested by the state at the time of ordering. Specifications for the containers shall be submitted to the state DOT for approval prior to filling. All container covers and valves shall be such that they can be resealed easily after partial use of contents. The containers shall be plainly labeled with the type and color of material, the manufacturer's batch number, and the date of manufacture. Material may also be orderEd in 5 gallon containers, New 5-gallon containers meeting federal shipping requirements for the appropriate flashpoint must be used. Containers, both 5 gallon and drums, must contain no less U.S. gallons than stated on the container. One U.S. gallon is defined as 231 Cu. in or 3.78533 liters. 27 , " :;.., " :"':", "', ::' "", " "" ',',.', ", "",' ,..:, ,':' " ,', , ,', ,',' ': ':: , ' :: " " " , '.' ' '",."","":"L ,;r:,,;:~;, .'. '. , . ':;::;;:;~:, :,.; " '. , , ' ',' ," "",,',,' ,', ,:' ,,, ,,' , ',~ t, " \:" ,:,L .. ' , ' ~, .f 1/ ~" ; .., ,,;:" "'" : " ',": ': :c.:' '," .' " , " ,', '::: "'.' " ,",' " 'I~'~~AN --l ", IM~__ '_'-,.~-',:'.;'"._:.:'.:_:'::, i =.":" 8 ,::,,':' ", '" .~ , "", \ , "'" -rre...A 10. "2:,0 ' 0 l W~P I~I"'(V !.IlfJI No, n t:: or n n I :< , :, ,I ':. ~ 'STATE OF WASHINGTON 12 ~ POLICE TRAFFIC COLLISION REPORT OAIIOI<:O.~! I N D"'''OI'Olll~IOt. ,_,' liME llCOUNTY ~I r :1'5: g.1 ~-:"":'""~''':""'':~C'', '"12~''' II :rep,:-er->u,J U . I ON oo..f O'r~ CIIY011 IO......N NoWlaNQ OISll/(tlOQH'C,HWAY l4- M"" 0' Ow ii<:Io' G\;,i c:e......e ON Lt,J!X,eJ IJ.! {:f) IN1(IlS[CIINGWlIH SIIIU1QIIRQAO IINONINTlII!.ICTION 1-_ :) - lilfTWHN ~0.I:l,O SP~ sum & ~Rlt) I SUllO I DIS'''''NC! &O~~ ION 1l0MIlUt [NCI:CIIOSSSlllltTOII N[A~ISTMlll ACCIDENT . S"n~~'~~S ;, A ~ ';, OJ ~(\A~ spf\ M~~~E COlLl~~,::~~lVlD rh ~~(l~~:lp~o INJUIlED-!- 0 ~~~~AG[ 0 HI! & IlUN ...,~ aVtHIClES L..l.J 0 PIlOPlIlTYDAMAGtONlY 0 5/!SUlnO 0~1~1~~1 '9 OIlJEWTI!UCI<;INAM!~~JECIST5/UCrf"DO""'N[5/'S~1 Is EST.~f tcWei' 1-1\\0.. YJlre\ ~()vJ--f/\ II --<=-' UNIT NO.1 UNIT NO.2 7t; I""NO {;;f":;': "I'OU~'~-;;';'~ P~UIl\ If 0, rMl(tPOSt I 2....0\- llANo IOl"'~I.IAI'" IN'lI' 11~I'I.lI.-/i'O I~ Ii 1~~!R!~T_C?'lllO..wOllRUtlitr.a liP. CIS ICI!OS~Il~T2:~o sPtCIAl COOING USE PAGI { or l ~ TRAFFICWAY o PRIVATE WAY POl.ICf CO.....P\.A1NT t<uhQlEIl ~ ;<. g o VEHIOE 0 PEDESTRIAN 0 PfOAlCYClISl l.~";;:":~:,, ~ '"''''N''''' 17':"~A" i3;:Vif\ 'A'" ''''''',"'''''",'' "'" "''''''/ .. JC';' r;::- """AD,,'" ~8'l5 L .va.... 1-l.LL r:;n ""'AD"'" ,,,,,.., j/7,.~ I ~;, ~ CITY /"'\. STAll IIPCODt PHONfNO D CITY SIAlI ~___. ...,.. r-~ _ u',Uc'.,e,. Vvv.\ 9&'3"7b i(,b-TICI R .:F t= DI!IVII!'~~S~~DA~3~f)4 l,;~~ 1M I ilEi~T7~~ ~ IVWHICtNstNO I SIATt 171 NODr~~~elllf~. ~ ~ c'''u,~ I'~;;~~~~~ 11 I~;'; I~~'I~~~' ~ OC'U"HON "'MNm'''"ONlNo/ ,m I"''''"'I'''G"' = '.",',. L-- 0 CHECK (....) IFSt~,~~:'l~'Z~'.e,~~~1f ~f'i::c:,..r'fl'''''l 0 CHECK (..'j If vt"~f ,A..,'ZN rM~ci~l~ ~::tJi~/iIAI ~COOES" l' 3 ~~~~~y A ~~~~::.....t I 5 [JICl'O<\I 16 iB:~.~'Cll CODES"'''' 3 ;;~~~~ I 4 ~~~;~:.'''' / 5 111(1.0... c:2. Lt;)./Pf" n,,_\ ~~0'i~lt<.OI / .' .18 ......BUI...'1 0 ~~C1 0 ~~~'U 0 :i;:,~:: 0 \"8.1N~~ ~~~'1~uo'" 0 .....1lUI.....CI 0 '.J!~'-I 0 '~~ll~ 0 ~::-~:: 0 \"'li~'''!of' ~ 'CfK3r~Mqc~s I MOOHSD;j...AI ISTYYD~""'1 E tlH,HA,1l IMAA lDODCot'CHtV/, MODEI/DART.NOVA) ... ~-.COr>Iv_1 ~ l!:l. vS~: 1~1:,::"'~ool2l"~ 1'''''''",-=0 1"':- ~ ""''"0' I" ''7 _ ' I"'''''~''NO I'" ~ ~ V[MICUIDlNTlf,CATlONNO l VEHIClIIQtNTlftCAIlONNO / 2. ',,:T fiRST MIDOll I PHONE NO. ::::t '-'- ~DbM, 01/. Wl'..l~ w!.LM- 7~S--J707 WO / - Li.._"1 l~ AOOllIS~~::1l A~ NE "DIlE::.saOWNlY _W cJ.. ,JV""-- "D~IU~;:' / ~ NAME & ADOIlISS a INSUIlANcr co 011 AGENT NAME & A......7~ IN U AN A N ~ ~ STPfT-t::, -;:;,...."" R / ---r- L- o~~~~b'Al!tA !lli,~",:;;''':~'l 'TI'!. MiON I ~.,i~,~,,--;,~~f ~.~':!~9,!,.., ..:J ~AM~) IN A. --s5 F=-- l" ~~~f~'~~c~1 CHAQGf .... I ') CHJo,IIl'c;r 11-01 ~f:'~~ - 1f--r .!.'.o..".::1!l ts:,.DAMAGJJD OIlIV(N 011 ED DDIlIVfN DIllMA1NtD Is ItS! DAMAGE l~o~c:-~:1!l::::;:; ~w~~080"O~ $Y..olYS tsa lWi~8Y SfW~A; tJ ~~W.(~ BY ,.WAY I ~ ~ ~ ~ t::: D, IAGRAMO,'CO, LlIsIO~' ..e,..(U!oISUPP\lM, fN1Al !NOIC.....lINOIlTH DESCRIPTION Of COL\lsION: [U!>fSUf>PltMfNTA1SHEfTl'tdCES~IIYI J~ ,. "[' "1" ii' "i' ,~ov"'"'P'I"'l=r"n~W -"ef\"'-'''I'J r'-',TT,;-;::J~""---"-RO--~'Cer-- = "+''';'-1' "..ILl ''''lJ''r~''.'' -,-lJ ,JA~"I3"..o"u_,.lT,""...,I_IdLu...,,_R,V_- ~ , , , ' ' , ' ! ',' l.aJ, ,,-L L.1..+,+...~;"I"}.:.OlLuP\~O,_"kJlru'._P-m7,^J(~,_m?s._.l!-1i(>--=" ~ j.J ;1'.,--++ +++.J ,.-t~U;"-"T'T-{i\2t",-.._5W~~bL,,_veHL~~"rcr.?B"TI'.l2--'J~:=:J cttk, :, :=1j,!F~3!ttl1~jrtf::'~~~-?~~=-~::.~B~~_~, ! ' , ,J 1.l:TjH~"H.-tt~ .L+ L.. ,.." "....--..-..''. ~ ~ ' NAME: ADD~ESS & INJURIES O~ P~RSO~S INVOlVED +CODE:_I ,,1 '1",:,.1 ..2,) "~" "._1 S T,~c. ~ I OCCUPANTS I WITNESSES tfUJ: ~~~~~~~~~~,.s:n: SIll: "r~c.(- kTATUsl,",...n "'1.:;", -I ~L';.'~ IlESTII EJlci-I~II,. ( PHor~E I I I T l'~, ~i~~I,OI I ~1~~I\Y ....0,.,...11 0~~~1I O"l'~,p OCi':t o~~...\. "u" 'l I I ~1~~r~ol ~H\.?rvJrllo.... 0""'11 Dr~~'lI D~~~'!.j__O ~t~ O~C~'w 0/0() ~~~l~~lso~' ~w.;tJy .... 0 -'110\11 0 ~~q D~g~TI~ .,.. I~~~~~ tUI.NS'p' I t\1'~''J''. IPTi~'A1CHtO 'Y~1~~IPID-'I~o'ill~~~ 1";P~~~P81/1 1T1;::l L.U I ~ /}3 I ~.OOHIlS ~.OOHPS IJ /J'3/'iF1 1.( "'O.oo.oc.C'1 o ~"lIh S; " , , '. ;. :,:, ;' '.' " " " , ,',' ", " . i...'. .. ,':' ,,:' ,'::' .':,',': ,,:,: ,.:,' ' , " .' " '." ;..'... .", ,., .,~' ,;: " ',: .' ..' .' ': " "" ',":', ,',: ....: ,,', ,'..": J"i' J,;..',. , ',..'. , C' " ',;' , " ' , ':,: ,', ",: I: ,', "I".. ..... ," .".:..'..'1,.:.:: ,,--J " .. , ,: A(l{}lIr~s -[NOM' X'I "ruw,',~, NAMI "O!lIlISS X r';~~C(;C,I~N"MI ~ ~~ 0;<;;',.. OC~~ : ,': . " '.,,' " ",0 . e. ) I!: ' " ,...... .., ,'. , ':,:, , , ". , ; , , ,." '.'"., , .'.. ,..... ? "..,. ,,'-:':' .. , .' , f' " f ~. ' \:' , ~: .~ 'f';, ,\, l I :: , , .. , ',' :' '. ," , ,:: . , " '.' 1(, ; , ' " ',..' " , ",,! ',:: ' ' ' , ~ ;~:~;~J!,' " !;.;,;..}).(\)< ' ,: " "".'" <; , ,lV,': ".":,, '" " I" ',' " ,', ,::', ... ",',' '.' I; :.,. , ' ' 1,,";'- I". '.'" " I,"" I, " ;, i' I :,','.'... , , ':'. , , , ',' '," ,,' Lf1 ~.. ' '. :::J , ".,,:' ~ .", '" .::t l, ,: I ,,:, -J" '.: ':: ' "':- ":, ' .. ,', PAGE ( 01 ~ TRAfFICWAY o PRIVATE WAY TiC A \,0 ."be) WYt~(~fv 1,8Vl "r-"Y"^"Y POtICtCOMPLAINTNUMf't1ot v ~ / ~ STATE OF WASHINGTON rtr ~ POLICE TRAFFIC COLLISION REPORT DAu.orCOLLl N, I. ",y U'I ,N'.lI llMt I IlCOUNTY COV/NTjNO' ICITtNO ' l~f.HWA [' r' : /;81 (~:~c.. M~,~"fl) ;~~.lfh ;x.UIU5i2:o1I1 II .:re~~rJ L..P I 1t;1~::: ). ON DE DIN CllvOIlTQWN I N~l&NO Of:;ll1![IOIIHIGHWAY 'jlo.!.lr~.J:':" 1\ l"OU~OR~il/l'llT ~o 1 (,., M"" 12'l.' ow go, 041 ,~1Ar., "" ION I~ V 1\1t..-..I L.9 r./ I -, '-t; u lNl(lI!.fCI1NG WlIH !olllfll Oil roAD INON INHI1~(CTION PIl'{f'.Il. i'IIJ. IMILI PC.I!.lr_, :> 5 - 18ETW(EN S JP....l'Jo;lv,HiI !.IIlLH & I r... ^"., J~ SII/HI I 'C:) ~ J I DISIANCI & O~~II N IIlOMRlffll(NCI. ClIO!o!oSlllU 011 MAllIS! MIL( POS ACCIDENT lIAMP I'DIAGRAM tM.TA c:;- .fi~I~:S ~ 0 n n Of LAN.. \ Lt' Mt~~E COUI~~~:~~O"'ItD ~g\~~I:D~o INJUI1ID~O ~~~~AGI 0 HIT & IlUN >fJ~'~~O~"~ IN1t"1117JNrl ~~ 1~~E!~Jl~~QII~ftrtlM;l ()fVI~ICU!. OJ '~~"OP(lllVDAMAGfONl'l' 0 I1ISUlllD O~II~I~~f I X I I 1.9 oe()T:I;~~IN~(Joe~~;;~:~,O~N(Il'sc~ I, IS~ SptC~,ODING~1 UNIT NO.1 UNIT NO.2 0 VEHiClE 0 PfOESHHAN 0 PEDAL CYCLIST I.~ r:- '''.''CRel''''~''. ~b~ j M'"" D"."'N"" "". '"'' "'."', /t.=J ro==j ''''''''~?- E W~LCoW, "''''''''''' 7 rp.':;. ~ CITY TW{'\~ ~n 9i~ I ~:7'if).'1 ~ CIIV IAll tlPCODl ~ I 11= !,:,::,' :.'-: I~ DIl!V(Il'SlICfNSlNQ I !.TAlf I" 1..PAIl?'811~ I IVIIl'SL1((N!.lNO I IAlf V DA10f8111IH L- 1.-..' L- CkLL.2L(--lL--....l1 L.tA, 1'1 'It'i;;li.i~v """"I" D!. ...".' IS "G;'%~"""nf"L:::-;."~:,N::. IWu,.Vl le;:JI~:'";: ~ O"U''''ON '''''N''''''HON'HO / "" I""'H' ""H'~ i.'g L-- 0 CHE.CK (,....) I'~'~IC~( A~'ZN IZ~'8~lr& Ar:~t:';~!Al 0 CHECi< ({) I vllollc'lllfs'ZN f.M~'8~~ll~,y'tt':tiT".."iJAl s; i ~.;) CODE5~':~ 1,:~\\:~"4 '''''',~ .:'3:?,~'''1 CODE5~' 3~~:~:' .:~\\:~~I 5U'''OH .::'~:?~'''' :~'-, f,'j - 0 u"'^"" 0 t'I~" 0 1&:,,, 0 :::~,;:: ;;!H8~v ~ 0 ~~.."" 0'." 0 1&;,,, 0 :::~~:: 0 ~.~~v :/ ,c:-I""TD;'~'v, I MO'pZ!"',NO..' 1'''''aD~v, E ~ I"" '<H'V,/ ..,,,,,,"",NO.', I'"'''''' ,COON, I~"i ~>~O<~' IL:~~::-:} 1'!:Ui 1"""'=':0 I"~ 7 .'H<O<O' \,,"N'''"7 ." I"'''"'NO I" 5 ii, r.""=" "'l~ICll'OENIIFI(.AlION ~ , ,_ I Vf~IClfIDtNTIIICA I....... "Iv / ~ 1-~::-;'; '3::r;nLl:I<INlb'Oi..$':8'irI5i(7)I/I"Ic-"'1:-':o~vk A5 oz\;,,~ ~ -",wo7 ~) r:-:-- NAMf6~DIl[S!:tOfINSUI1ANCfCO QOlAGfNT NAMI! A"'/~' IN U AN...1 A N ~ I~ r.::.r--f'lrJl:c_ R I -t- c= DAM"a%AAU !!4I~TION I A'ro:",'"~,'.~,~~~, DAM'lGEOIZRfA ---",., rr-L?-7 :"'~, <H"'" <H' , ... n_;',_~,_-j.:::1-> rllR_~Dilo-n~;..~\l~ $1 Br€~~81" ,gJQlMAINID 1f1~~~I~av D~~~'vN OQfMAINfO I~STOAMAG( 1~"~ ~ o,,'~,6.~Rf;:o,,!,,__ q.~ .f9Ll~tSI5?~: _'I_-l::f,llW~~.~~} ,ND~~1T:R~~~'~ OESCRIPTIO.~ Q.FiJco.t!~StO_N: ~__.!.~~:,u~~~.~~~l.~.SHf[TIFNf,<,I~~___ ~ . t:: J--+--i ' li+ 1L._ iLI..,-J-.. ~H"_ :=\'41"1. .16!3e<,,~,~v.f.\I.I,.~._,i?D=:DRJ\}~_Lo~L- 3 L.. '~, Cu. j., ~".I:: ' I..,~.j._! 11_, '-t .,,[i __ ..CorJTNI5Qf--"b." ,_Vf? H",u..___L~I~II:-o,s..-,~, - E' , ", , , '1.0,+;,-..---10 1e...,iU:\, __("\.l<.-...V~"c....Ri&Je~.::.__'iO_____. ~. pr- ~,.~,'+J,~" ,:., !~::1'r, -r\~H~$~~~~I~~~~t'::~~~o:~~~l~~ W~~~~~~~=z~. c. -. :,. r i 'Ii' ,( i T ]-1 -11-+:': "1 1;;. " " '" -- .._-- -----,..------.- ,,-.--.- - -..--- -s~ ~ ..; ~~.7'''~--~- -+:"--r.'--,.-.(-T-~!~.--~-~~-~ --. .._-- . --'" .--- .-.--. .,----...- ____.____._.u_..~___ -~-_. ~~^~(\' : liON AeA Ie:: I '~~~rsR~~0fr~~~, ~~~E~,~F.::~,l,,~,'O&N;~.,'~N~.'~MH,!,t'i, VOL VED ' ' -. +C9PES-I-lu I~":,"-;~;.-I~,~,:--~'.I., ~' .~. 3- <"', v~ ...... soe I AGI' !..TATusl' ..0 ..I-....~".-I tl.'~ IIls,i I fJfCT s."" ..... ~)"'- C~~"'" ';;, 'HD"~,-?'G,:-llj/<J" 1_ 1 d ... I ...,:>: ADf)PI~~ -~~~ ';~'~'D<':.iv.q! ." "".~';:' i~l~'O' Ab~~ ~W~"~~ MOAI'J'.8 O~~<-l O"h~~o:nr--=6i!.u..v :":':' '~__,~ ~ :;~:,,' ( ~1~1,0' ') fW~.,~"OM D'M' O;~:" O;~;". 0 ~~ m~~.. ..,i, ::::I~~ I i~~~~lsO~ -, ~CrNI~~~ ~ OJU.~8 D~~Cl O~g~fli lA~t~ 0 ~n~,~':'::::':'.. X 1'~~l.'C'to\l,,~O"z...ICIIlSNAMf:'::~N:"_ 1'18~g~~IlI~Gf:-:" u"'~j:' 1~0IICID'~J>A.1C~ID POIICIAIlIlI"'ETOA'IOf'~l IArpl1~vf~aVl LlAH ,.';::~,< 11\1...> loA. <1'11'"- 14i<;-lL...N-- '~/3 II?,;,Q, I}.;j~, 1/1W7 ~~~I.I' //.,1'9 No, F , , " ": " '~": '..' :',' "'. , . ,..., " , " , ,~' , :"., ':..,,',':.,.. .' ....". -:: . ": ' . ,..,::' ',::1.: . ,'.: . . ,"'.', . :' :,-" " ..' , ,...., ..>,' > , ,,', :, ", '., .,.,':.."" ,...' , <, " :' " ,,', : :.' '. ,1.. ..:...J . : , "DOll'''!. ",.- ..~. ~ "pt'llll!.~ ',.',> L'~' ':":-.':' ANIIl'I!oS ,'-' X rnrr":'~Cr~;N"MI&~~ --:-" / '.'.." ' ",', :.' :", "", .: .', ;:-' ,,:, : ',.., ".'; " ": , '.. "', ;', ""/: , ",: ',.', ,'.' ': ,,':' ':',,-,, , ' ,': .",,' ".,"L , ," '.' ; ,',' " :" . ' , '.', ", ',,:,'j" , ' : '<;, ,:. l: . Ii' .',,', i:" ? I~L"" " , " :i' ',: :, ' ::.t " , ' , :' " ; ": "', .....-';, , ,', , --' ",,' .', ",' \ ,...... ':',". ',", , ': n/(~ ~ STATE OF WASHINGTON " 1/ fI 8 POLICE TRAFFIC COLLISION REPORT ,:,:~: DAltOI OHI!.ION I" OAVO! COLLI~ ''''''1 IIC01Jt.n1 :: FI 2. -I';;' 8l1I'.' X 'On .co :~., ", 'u 'U'jlf'Q';", II .:TI'FH'1l5i>.1 ::":';/:,; II I ON 01 DIN CIIYOIlIQW,.,. I NA.MI&NOOl~UIUIOIlIiIC;HWA' 'i'> CL.M""O'owr;z;o,I-I.I\O~ IONr".....,, I<n ~:.~::;{::i,.' ".III'1~CIlNG WlIH !,fll((IOIlIlOAO I"WON INTU1!.lCTIQN . -- lefTwtlN E.~'N.~ SlkttT & t"'lA~ It.A..1 S"'UJ 1'1 DI!.T"NCI & O':';I~"ON Hl~M 51HlllfN I CIlO!.~;"'IIHIOQ NIAIl!:!,1 Mill PO:!.! A.CClOENT IIAMP L ."2.-. R-~':~S ;:, ~ /, ~ Of OAV- RA..I M~~~E COllIS'O'O".'.~~OO(VID ~~fJ~~~;O ./d'"' NO INJUIlIO ~ 0 ~'l~"'C;[ 00 "",'~&"c~,',"" ~_~..~~~..~ IN l I t~ I x "0 1~~6~~~~~r:rJ~'i{1 IlllQ~OlI RU("E""( OfVIM;CUS [2J 'lJi'PIlOPlIlTYOAMAC;(ONl"''''-...c:- 0 ~"lUlIfO' ': no fA I CIS ICA09,,~Tifo"OAO "'cr OBJICTSIIIUI.~ (NAMI 0' 06J(CI ~IIIUC. ANOOWN(II'~ NAM[j I S f~1 ~( ~P1ClAl COO'NGlhf. UN" NO. I UNHNo. '1 rKVEHIClE 0 PEDESTRIAN MIDUl! OlllVllI'~NAMf LA~T \ I~!;T D luel/ r~M~ :n>~ IIIlT N)3~' S UI~ ~() IIY S1"''''', IPCOOf. P\ Lun"" \ 1.A4 i ~5" '''~~~~sGIJ!PH// I ~ Ih' oce=:. Ifl~:~I~OI~:J~D o CHECK (I"" I ....!HIC~' "'~:'N IM~~~~~;( ~(,.~~~1r''''1 CODES" -t 3 ~i~~' . m~~"'" lJ S IIIC1'0....... fro ~~~.II';-'ClI I~~!~~!.l' IVO~ ~r~r1f'~o'" 0 ~"'IIoJ''''''~1 0 ~~~tI 0 ~g;". 0 ::::::: l5'{.,"'~'..y , __f<~"". 10,-::'0 WS"....1I1~9 "...C;( 1 01 J rR:J TRAFflCWAY o PRIVATE WAY No, n fJ 11 st o 7 J'OllCl CQMlo\AIW NU""btll ~. Hi....... 1~~~:~,.. C7'h 11:110'0 'b'13 'I "I'9'~"'l;" "III 'IX 1"0 1'''''''ltf'OSl o.~o ,''''C;I/'''MOA'A I"""'" h-;.;, ~ , ': :', Te~: 11 o PEDALCYCUST -,,""" M S'1 OIl'VI~F~~ LAST !>TIIUI"'OOIlH!> r;-;;;;- IZ/., ~,~o..J ~"~ Ve.n..~.l t.V~' q ~~~ 13~:.oZ2l5" ~ ~ D""F;;~:;~'iiSNT 1 ~ h' I ~.''.J;;'''":!:2 ~ ~1~'ea.I"r~'NO tv.:! L IB;:; I~:'I~';"~ ~ ~~CK("') I Vl"'lIC~I"'!. t.jIM~b~IItw-C::A~tit~~'i/"'l ~~CODES" l' J 6i~~' , .. r.~~~:.'..'? I S UIO."'" 10 r.?:?IP(1't .;) ".... 1->'1- ./. ", o ..MB\.H.....~' 0 ~(I 0 ~g~'I. 0 ::....,~:: . ~l'1l'~, ~ 1911 l~k~CHIVI I ;~OART~VAI 1~I~Q~'7,a [,~~~ I':-';;:~;' I'~ l'm~A~~ I~~ Ii"i=- ~HIACl( IDl~"hC\AH~, "0 "V I I I"~ - -J ,-... rr 'q:o''1' ~_ nr IIfGISlllIlPOWNfA lAST fill!.' MIDOLl IPH?~~ G. CI"<mU- hiLL. I ln1.- 5511 '~ ADD':;:;;: ""-'1\Pf' RoO (rr\ \ I~~,J ~ I Ii Q3,...2.3 1]' - 0'" 101'11111 H r'; 1,'0 :;: 4 I ! l~ ~~I~b~ - I ~=< NAMI t-t:;;;;!.UIIAG~:~~ I g~- ~^" ""A' ~ LJ I'''''' DA,MAGIOARI'" o,~...ftI,..c. INn ~ I _ I F 1 ) .. 6~(~'~;'t': CH...IlCif I~ ,~.!.".o.'.-:-:-i:>lf!.' o............C;t 1&~III""EN OAlMAINro ~o.on~ I $~ce. ro iiV;\~8Y DIAGRAM OF COLltSION: !..1 : ~~ EI\VP~i~~t~ ~l {j..NO~~~'H , j1 ~, ' , CM..RGf --. I~~~~~~ ~~~FAJll"'. P ~:;'~y'" DJ![M...,NIO 1$"2' ~,--r. lD:~'~~.':;:;; D~c;.,~"o8Y I: 1.C1'f'\I~ ~ OEVeK;\.OF~t6SI0Ctl'~"'OS:E:,,NlR,,;(IIf~c;~lI; Z ,#Ji6 ~_-: ~ 6-t, "'~ t..... ~D. el1lf I Soups IN Po~ == \Jel-t't?s"W> ~~,",O V€~IfL VeH~/"8eGM,,j~ ~ --;;J :ID UI<-"-.4Si.-.jlC.d\,l-e1+1t2. ':_ ,. ,'= ,._~' -E E" .~.' ~, I F' r- " e" I' , 'i ,l-JiT;1.l~ ,; : j I I , I , ' Ii! i ' , . ij l-i;~i~~TT~-I=I::r=+~',':Tr~;,; ,--I-,j '''-'IT f::.~"'~ j2D," - -" It-- ,-j 11 till" n~"__'~Co""'''D - n NAME, ADDRESS & INJURIES OF PERSONS IN\JOLVED t CODES L 1 I - I 2 T 3 . J 5 T 6 W OCCUPANTS I WITNESSES W~ .ll:~~~:~~l'~l...S:W . sOl-I toGI 1At1l~1 ,.....vJ..J ~.,: (l,~~~ afro'" (JfCT I \~~c~. T"il..w~~ ,p__ _ l...X~...... :.<!?" ~~23"-' F II:R.I -, ~ I I u I _ c::A.1l.Q.", .~~ ,n\l)(,.,' W7 ~"T'i~!~OI 1\Jo,....t... fNlV~' 0"'''''8 Or,;:~'(l O~!:';... O:r:: ~'i"'", ... -.....I..~...:. 1~,HO' l IIIMOvlPfllOM I ..(' ll~'i "~ . ) .- !.CIN,e" I O"'Mt O~~(. O~~;"D 0::: D~~:"\. <<l ..._..__.__..___......_)..__.__.0...._...__ ~r:~~hO' --.-wI ..--- !>CINrvl\" O...MIl o~~C1-6~~;Tt: n~:: D;'.~:"", IB~g~J>,"I"'C;t~C~ I O,~!,IIUI~jl r~IS5DICHIDlj~7vtOIO~!~O'rj;~ I;:U~,I ~I\ll I 4<;-S::1 L.l.ji?_L~,Ltl~,,"".. I...","{, 12ftJ 1/: 'I..LfJj",fi? , .' , i '.... ,~ , .~, , , : ,: .. :,', :.: :: , ''': :,' '" : ....... . ,."..', ,::. "..'.:: :, f ":"'.' ::: . ,', ::.:. I : . "",:) "<' .:,' -"',!',' ::,:, "" ...' ILl' :" ~ STATE OF WASHINGTON "0< I 0'/ ~ ~ POLICE TRAFFIC COLLISION REPORT ~ TRAffiCWAY 1'( 0 PRIVATE WAY ~OICOll'~~~.,I" O,ll.V <::0111 I 1 JIMI IICOUNTY COVJ'''r ICIT1t.o r ';<('., g/IW' .0. '''".'"'~ ",~, /?~" II ~~N I ,&;:7 I '.")) LL ON'lSi(t D'N Cllv011 Iq'M. . ~I ~t~O'Slll((I0IlHIGHWAY (;: ,", / ""U.,;;a-. hw~~,~.erc'.v;:><'.". 'ION/';?/r,-Q'.6&" ~4v '(j. INlIII!:.lCTINC,wnH $IIIHIOll RO.AO INONINllllSolCHON -7 ~ I""'''N'''''''''/ A:A,/"",,~, ~~~"" / O':'I"NCI&~,1,'0t-j'1l0MIIHIIIINCI CIlO:':' 50uru I OIl N("'Ii1I~'.'lIltPOSl , I ACCIDENT l&? / R~'~~S ;; ~.)o; ;; Of ~/ ~ /~ M~'-6~E COILI~;;>I~:~~Ol"'IOm ~';..~~r;O_NO lNJUIIIO~ 0 ~~\...c.( O:;~&I~UN I =H~ l2 Of VI H1CLlS ~-P6l'OPf.1I11DAM"'GIONIY 0 IIt!ioUlllO OVll-IlCU 4 06JlCl!ioIIlUC~IO'OMICI!io'IlUC"'~WNIIl!io~ . _ I ES1D........,t.Gf ~.,....,.::; __ :T<""'".&~..J COe..>,J/} IS- UNIT NO. I ' UNIT NO.2 !io_ DIl172~~ ~W~';:~ L~~ D~~NAMl ~ !iol /;i~;;/ //r;S~?5 I~W~ c::l.L ~r-:;;;;:;';'~'{~7? ;.5# 9J}J;'S 136S-~1 ~ '" '\. DIlIVIIl'SIICIN~ NO ~ I SlAT{, I ;~J....._~"',1l ()J_ 1I1111H I I'll n.lICfN~ NO "- /R/.~..:; Oc. C:;;;.%KI Iv-JA .r':::'/2 ~7 .57 v "\ 8 OCCUPATION ~ I fl~N""""'1 & PHON! NO ,;f'--,,,--~- ~5 ~HI~~' E OCCUP...TlON T"11o'I ~l & PHONI NO ~~~""'.-I$...,v.~A~ r-'I-::S-I ~ R "\ - 0 CHECK (,...) ;.J:~I~~:~~' L 0 CHECK hI) I V'H!C~1 !ioA"'WP:O~[[~Ci>::m'.:I)IAL ~CODES" 3 {'A~~ J $HII.... 5 111e-loON 6 !>A'''' ~ CODES"'" 3 ;;~~~' \..~\~::.., 51.11(100.. 6 ~~~::"'I . 0.' ~ ;;~.:.'.~ 0 ~I" 0 r~;". '>(f ::~,;:: ~;~~:... ;:;;:~;~~. 0 _M"" ci, ," 0 r1/:" 0 ::~~:: 0 ~~'.~ _ IMAlfCOODCoIC"'IVI IMOOI;.ID~l'r<WA1 l!iolYlf)3-'Ll)CONVI H II !'NIJV, I :r:cl-ifVI 1~ICD"'"t'NOVAI I~" C lI.eOl'II) ~. 79 /<voTd S-e-s- Vt.l. E 1"\ I ~ " . b VH~Ol9'!: . 111c.f~rp~"'fNO l!iol:n. A Irll...IIIIlA....1fNO l!iolAU H IIfHCOlOQ -llICEN~PI. 5A '\.1 ILfllPI.AltNO II"" 3}r,.., IHF'.5f.57 I ~ - - ~ I 'I ~ "f:;:j~;;12..0o :;2-.o.a.52.L) . l VfHlcn IDf""IFI~A I 1 I ; '\, i ~ IlEGI5nlllDOWNIIl lA!io1 flllSI MIDDLI IPHQNfNO 0 IlIGI51fIlIOOWNEIl lASl FlR51 MIDOt:, I PHONfNO c=- -5"./.:?~~ G; ~..-7"_,,"c;:: '\. I Il~ AODllf5~OfOWN!1l W" l C1foYo'Nfli "\. ~ c;;-~____~ ~ '\. E N~~_OFIN!ioUIlA"'C!Cc;.?AC;{NI IAMI&ADOIlES:;.CIfIN U ANClCO OIlA.GIN "\.. 32 ,. <5//JY'.c;:' ~"i<~h' - ~.-./S_--''"J::> R '\. - .a~~~k': ~l"""""{'l If~MION. ~'i I ..~~~~~_. I OAMAGfDAAEA '~.Ill''''G - DISoA"'''G ~AMAGF:r'\."'EA. ~ ~' ~l ) . o~~:'g:t.: CHAIlGf CH"RGf ~~:'g::.:r."t ~ I __ OP _. !>It~' tlAM~O ~~VIN OllfMAINfO DDIlIVIN DIlIMAI"lm 1151 DAMAGl I,Vl.~.1.0:_'),.~~ 5 ~ I s ~ <;"~ Igli~~flY ';4~:l. c:./7l/ 0 ~~v.:~ IlY AWAY S I'k ~o.ono~~ ~ DIAGRAMOFCOLl..ISION: IIJU!>lJfP~"" Nl." '.ND'.CA'~...~ll-l DESCRIPTIO~OFCOt.llS10N' IU5E!iouPPllMlN1Al!ioliEfTlfNECf5!ioAIlYI J~ 16 . i .j1!iolitlllf,NfCm....."....'1 8Y~,~OW -- ,r, ~.-".. .,:.----:--. ...-",-. ._~~. ;;.;..__r--"--"'~ -'up,,/ttL,~ j-H'l 'i;..t..~,-,~ %j;~:'" ~.R#_:'...sC%?' /'6-'~ . ....-....- 5 ~ I '.' I . . I ..\-1j..I....I- .....?--"~."-C"".._...P',7;:.....AR'L::>...,.,,,,~Z>__.::r;;""~_---' 1':-;;' . j>.-'F 1&;V..e?i t:0'i~=i'(-j+ ~~-:::...=.~:::~-:.~:~~:-::.:;9:-== ~ ..' , , : ; i-i.~+.~..-1..1~I_l'-' - ;:9:;>'"'<!'..-..~,.,_c..?"..s.~,.::__v,P".-<5~~.~__. ~ I"d 1- - ~./.i) 1 "1~~'-"1 M' .~'-J' 1t:'\\.t!.a<>"-F_'-AJT..e,.(._:=.~--~/,/~-~._. - c 'i-'jfr.d~-:,~.;..'J.,"l. +-r IdT'l~ ..!,,;-;~.._...rl'P""~,_.7c;1___.r;e._.. .-::;: _ e:::- ~~ ~~~ i+;-rf:.l:~l T'1" '-:.. . "':~:-:-:~--=-~=::::::::-:'_-:::::_---".::. - --..... ....- ~ I" NAME, ADDRESS & INJURIES OF PERSONS INVOLVED + CODES I 1 I - I 2 13 I . I 5 I 6 ---, L= OCCUPANTS I WITNESSES tF~~;~~~~~I'~lA5:m '-sf.-~f',.cj-' hA"UJ"~..Yf"1 u_,~ '{~js~lliEi,.1 i'Jjc', I~~'~.. ---J f.to N I I. .-. :-:.f1<f:IPF .'" fNf8Y DAMII Or'..\,ll O~';"u D:~ O~"'\f' ,,;aUN I I I ..... ~""1u,~lpl ..--.- I~~\,'~~'no... 0....11.8 D~~tI Dt~~TIR O~:.r D~~'''\f .c) NbONl I I I --- .. -.....--....... ~._---_._.._-._._."'_._'-- ~~l~~I~or ..,- ..------- ';"'V<V O".....ll D~~tl O~g:.'I. Cl:~ 0 ;:.c;,'''\f' Ib,AOC.IOU_IAGINC' UN" OR r'':>''CI OI~PAT(H[.t> 'VlO OAIf ~ IlIPOJ' Af~1l0VIO~ OAII /.~ ./.1. . ,/" ~N97"/.,,-,2~~"":"'I~",lZ3..,,.;s::o . ~J"'I.:"'-- .... . ....d;.>r> "if ..>, "...Y' ..' :'" ,,','. :',> '.' i.:........'...", '1:. .....'.'..',,:) '. i.F' ......,,".: "i'. ':;V' '..'Y'..iiC' .............." .... .................1:'.:.........; . .';"2J. -:.~i:>.,.... " ::',f........... , "r;' . . Aiu.:::.i ,." </1".,>.\"" ,'( ..~)i,;, :, .,' .........,. ..... I' ,.,' ,', x I.....;::;:;..., ", , ", i' ,:" ' , ' ",,' "'.' ,,::; ',':." ,:., '" : ~~~~~f;: .,' ............., i,''''' " ,.q ", , '. '.: . . .. ..... I " .'........ ... ..'1. . ......:.' . '.. ,,' ',> " ,', ," " I ...... " .,..... ~ ~'" i.' ' " .... 1'<' , - " )., , '. iN"" t d '. ~,' ; " :' ,:~ .. '"~ :, .'"'' 'i' )\. <,:: . , '. " , ';' .. , " I.'. . -n<2:.A \0.30 " 7 o o ~ No. o !'OLICf COMI>I.AI'~' NU.....Ill11 I Ii '"N' In'VIl8A"< 1a.'fIlUIlAl. !5(CTtOf', 'r~ 1'3 II r5~_~~~~c~ PIlHl"TQ Ir.ooUI'051 I O.9Jr IlAMP rIAc,g"M CA.IA 'N 111';fi'i~ I :KilO I~"< "51.;~I~; It!! g IlOAOO5I Rtlllit""::f IXIlI eL5 ICIl~~((90;o 5PlCI"1 CODING IJ..I ;. o PlDESTRIAN '"'' o PfDALCVCllST o VEHICLE "'" I lIPC.ODE IPHOI't"lO I :'I~ I I :.t... I MO ,. f;:.81~1~. I frt5\WlICoHII...IGHI =:::. 'T" lOll .. ,. ADDllr"~ r=N'M' 70 a,DOllf~~ N~' ADDI1I"~ " , ',:, " " , . ," '~~j~1II , .' . .', : 231i \" .'. ! .d i. .. ...... ::~ .' i " ".' . . ...... , ''','.' .';'. 1" .'. :1 ", ... ~ -"-, I lj ...." ,t. :2' ;. ..' - ',' ',", '; .' ; ; , ; c' l( : ' 5 ::.Q d - :LJ <; ..i.': .... ," ':,'- ", :.:'-': ...- ." '.': .'1' ". . ;.:.. " .~' ~, ":, " ": '.. i.;, , , <:',' , , " f i r , h .... ,', " ..':. ,'f ,: .......... " :,:", : i i.., L ", ' i',:' " .' ',. ," ,:,,':" ,,, ; ........ , , . ,....' ,', :; f" '. " ':' , ,',', ",. " \~'lr~i I, .' .0" I" ',:. " ) "",' ',:,; . ;, .:', . ,'. ..;. ':~, ....."" , ,'. ' , " . '.' , -.- L""'" ,L . , , . PAGE J o' J. [2g TRAFFICWAY o PRIVATE WAY , T(<.P.. '.?, '2, 0 .,' ." ..: .;.. , '.., " '".' " .,,', ;, i' "..', ':,1 i'. , I ." " 1< ". ,', '".' i .~ .. , , " .', ': ..., :,: " : WsP1SQPHY l.bOl No, nc::.,~i-'I" , ....' .' ( '" I : '. " , , \:?F:~f LA1TuJ....;~ I ~~~ I C~~JJil.~~ I IJ;'I I~~~~ -.-J \-- IL.K; ..I. :1 '2. I 1 ~ ~Cf"lr !l' M 0 ".....e 0 rl~( I 0 ..~~, ~ 0 ~~:r 0 ;<'~'..~, T ..1.1 17 J , , ~ '. " .' ' \', " ,,', '; ',: ,,' ," :,~' '.: -,,;, " ' '." : , . ,.' " ': '. . ..,...,..... , '';' RtMOVIOIRQM 0'''' 0......"10"1" 0 ~p,\ 0"0' .:r ~Cf"'III' '" {U Cl"lrTlP VI" IU.." I 1 I " ':'f":, , , ", , , ',', , "f "'I" "': ,. ::"'1, .' .'::i " ','.", '" :'",,; , , ,'" ,", " ,,', , ':, .,"',:, ) ;::' , 'J' -',"" . ....... .: .. ,',' " . ':.. "'\"1, ......... I....... i-;;L 1<.'" ". I:=I-<i/) ..... ,/;" .,'i' i/',..... UNIT N03 UNIT NO.2 0 VEHiClE 0 PEDESTRIAN 0 PEDAl, C,YClIST I ~ ...... "',~", > F --'''"ST((:r:~ ;jQ~~ ;'M '''''''N''''""" / P ............. i' ~ ::":"'OO"POB~("\ ,,'u ~ 1~~~782i, 0 ':,~"'''.." "'" "Do' ~ I ~ . .h; E OI<I~fil~~1:"r.OC('"~() bJ,. I S,lAH I'" 1.~"'Tt~' III.H i IV! U([Ns.ENO 1 ,,,Ally DATl,:-:,llll!lH I----5:l "_/ SCfuD31a..-'ML III/A- "^' "1~' '$ v c ~ i ou I" 1-:':) 8 ~Lf)A~ 1"IlM;:'~1&Pt10NEN~ IB"ll,S.,Iv.:I'1UGHH111~~IGHII: OCCUPATION fIIIMNl.MlI.PHQN(NQ / 11'1S,IWEIGHTI-lEIGHI,-", ~ (~ I ~\~W ~~:"\.(~JrAl JIISt:J~ I o CHECK '.-1 V!HICt! MAN ,,,"PLOY!{ Of ANOIHIII 0 CHECK (vi lf~IC~'~~""Nf.M':.\t-;~'r&'-~~I~NAI 5'~{~, ~CODES....... 3 '''lJU.' 4 ~~~~~:.''''2. I S IJ""o-. \ I 0 ~;?'-';''.IJ..- CODES" ... 13 '''M' . "~'""''''Y 5 IJlCf'O.. 6 ~:~.IICT(:LI 1,-\ ~ .,;OC~ ~ CI"~~ ~'~I!"" I 0.... 0 ......6u,......CI 0 ri~CI 0 ~!j~"1I 0 ~~~,~:: g \"8.'...v ~o.... 0 _~I"''''CI t't~t1 0 r'%I~ 0 ..::;::~:~ 0 \,,~';l...!>p F~ \ ~-, 1....1}~Hh',) 140~A~loNO"Al 15TVr;;rNI/J I~ 1/ Il r ( 10CHE/, MOtlEl{DAIlToNOl/A) ntl2 Il ~'''I I~ Il2 VTA:) ,~:n 1'lAw '''''''''.:::'"0 I{~ ~ "H'~O' \""N'''''7 I"'" I'"""~"'NO ,...., h, ~ V,H;q'~C;~~NtO~i ~l.ar.s' j r I . I I I~ VIHI~ltjDlINWI~"'IV~~ r ! 1 I I I I I I I I ~ I!:: IlIGI51lllfOOW~~T k..fllm()\:!.ll..1"tr MIOO~1 1~;~;f2.b ~ IllGI5RIltOOWNUlj L-'Sl fl1l5T MIO~1 I Hvf,jfNV. ~~ " AOOIlE55()fOWNtll "LJO"'I~lJ'OWr ol. SP.~11.z...'~ !),<.\w ~ / fl N~E&C~E~:,~~:~~ICNG~;A~U2.- CAL~ R ~7 IN~U"NC.~v" N F?1- L.-. I a.... V...Y....o.;l I~" I N I M'~,::",",M,~';.' .....1'l~'i~I~D' ~' .t:,o1~;:I:o~:jE". ~~~~;!i,~~t,\ ICHAIlGl CH ~l" ~~f"g~ W~~~:3:::;jlA,. ~ 1 .-..--.. ~]151 O~AG~l&~III1/EN DlllMAINEO DoIIIII1N DIlEM"INEo \151 DAM....GE 1 __...... 'I---.r-: loaono,," 1$~lo-ii~~8Y ~~~~E~8Y AWAY 5 ~o.:"~. ~ 16 ~~~C;;~~~"f',qF. Cpl.l,l:;olQ.~~,_.. _:-_.-r_.,~~iM~~ihMi;;Jti'dNo~~'lTJR~WTH ~~S~~~TI<?~~! S~~~~~~L_o:~..:5~~~E_~~~~~.~~"~_____.1 ~ ~i_'ft~~~~~:~f I:':"" NAME,ADDREsS& INJURIES OF PERSONS INVOLVED 'CODES I .' I-I 213 1415 16 -1 ' I - OCCUPANTS / WITNESSES 'N~J ~~6~i~~~~~^~~:~~ 'sE:'T "Gt' bT.ATU51',"...~:H I ~,~:. ("',':.J~!.IR[STIl.1 fJfCT I ~~~~~ NA,,",I ~'bON( j' I I I . ~-,~:: :""~E,O' ",";'i~ .v. 0 ,.. 0 rll" 0 ""~" 0 ;:~ 0 ~~',,, 'c ~o\).... I I I :<, ~"'!~~'..or ~~r.svJ~ fllO,,", 0 .......8 0 ~(~~'Cl D~~~'IR 0 ~r;.v 0 ~c.:~,~. .o:,.;:"~:, ""' I I I i~L~~hor 0 .' ~~r~IIJ~ ~......... 0 ........8 0 ~~u 0 ~~~'l... 0 ~~;." 0 :-'(~1...,. I nn';':'l, /POtt3"...TCHtcJ T:tLj'L'Plr'l..OIIl'l~ l"prilOlllDtlY I OAff IX r:\ I ~.O'l..6? '.OO"R~ 11(1/07 , ",'," ::>;,,' . .' .... c.- ..:' ..;,. .." ,: p " ','".,', .'".- .,."> ... . ..... .." . "...,:' , ,.;' ...... " ...... .: "". .... , .' ';" " ' : . ..': ",'i"",> , " :"" '.,' '. ',," , ,.',' . .: ,: '.: " ....... .... -.J ....... .. ,;>;,.. ..L,....__c."" c> - '." ~.'.'; STATE OF WASHINGTON "OE :;l.. O,~ " rr.- ~ POLICE TRAFFIC COLLISION REPORT J8ljRAfflCWAY :' 11 -'" ..,. ' 0 PR'VATE WAY o"'IP'COlLl~I\)N I. A10f.COUl5'ON 0 ,II IMl IIc.OUNH' LL r ~7 891\IJ" ~~bIUI\;..to:~.I"Wt, I .11 (1Il~~oOUilJ II 3efTerL5o,J \ I ON Ot DIN CITVO~TUWN I (\AMt&NOOI~TIlIIIOI/HIGHW"1 l/J ..."" &' Ow 1&0' ('HIM"'....^^ ION K1'AV"" i/It,(,,,/ INTf :'[(IINGWilH 5TI/HI011 I/QAO INONINTEl::'ICIION ( - 18HwHN<;'dArJ'SrAJ),/(P_ mEET & L^'t'("~1.1 LK- 5HIElI 1'1 OI~IAN('("I.l~'f..:1 NlllOMllf fllEN t.CIlO~:,:,llllil 51 NI.AIII:,T MIlE KlH I ACCIDENT I . t;"" ff~'~~5 ~ Ann Of v~~.urJ Ll Mt~~~E COLLI~~~:~~lV{O ~;;~~{~:O.:::f:2::'"NO INJUllfD~ 0 ;~~\"C.l 0 ~;~r~UN 1 HJ":.'~~~~"~ Ol'VIHIClU G "6ZlPIlOPlIl1YOAMAGEONlY o 1l[5UI II 0 o "IHleu - q OIlJrCT511/~1C;(NAMfo'oeJ CI~lIlUCl ANOOWNll/'5NAM(j I (51 D~"'Cf I - 15- -r~,R \() .~~c WVI$9lRf" 1.IlOJ No. 8 2 n 5 ? 3 ,~'" jqJ IOVR'8AN P 10 RUIlAJ. I ::>c.C'I...... COON If NO l'ltvt.oO I C1CL51~MU.~; .....,,ll:IIlOIJIl'-"l~'..U'........... Pl/lflX r...' l....lLE~T i1~P !"1.......IlA....d"'I" INHIf 11';"ii'.~ I )t.llr, 1~:.Il!:*.c.!I~?~~ilU.1.~1l rl'Co/.OOIlWllltNU IINlU I CL$ ICIl~5T11UTOIlI/OAD :'PlCIALCOoING~l ~,:.- O).~ r tc:' t ,. ':' '; "cOllrs~ po N"'MI .. "!lOI/'~~ L:- NM'o{ "OOllf~~ X rVk(~o'G~~&IlTnx~ I 18~g~OR I4GEN~Y I Lli';1C0~ 1- '. .. " , ;,' , " ' " ;' ,"", . " .'. .,.",' .", ", ' " , ,:' ," ""., , , " ""." ..' ,::.' "",.'" '. ",',:',';, , ,'" "', .. ':,""',' , \L .,;,':., .", '; " "" ,;,. ",,':" .,- ',.: ,,:.,,: ;', ,:," " I.. ,.. , ", '., ,,> ,'" .' ,,' , ... I " ," ". \ , " '", , ,I ,: ", :', .." l':~ , " ';', I ' i , : "',',', "",' ,,;'.;, " , ,,,;' ....:,:,.: ""k',;', 1 ~ 'J I" ',i,', : '" , \ -',~- .,.w;;.: ''';''; frA>K'i'.,("" , " "'':'~'~-''--, .-;';:1.;,;.o-i!'1 11~"- r~/"7~'''-''~ JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Jelferson Street P.O. 80x 1220 Port Townsend, WA 98368 (206) 385-9160 Gary A. Rowe, P.E., Director Rober' G. Nesbitt, P,E., County Engineer March 14, 1989 U.S. West Communications Area Claims Office 1600 7th Ave., Rm. 1813 Seattle, WA 98191 Re: Damage Claim No. 1890167 Attn. Y.D. Spellman Dear Sir, In regards to your billing Jefferson County for damage to a buried cable at 153 Olympus, Port Ludlow, Washington. I have investigated the incident and found that Jefferson County Public Works Department called for a one call locate in this area. The locator marked one cable in the area. When the crew was excavating to place a culvert the located cable was found. The operator then started to continue the trench and about 18" to 24" away from the located cable there were two additional cables that were not marked and these were damaged. Jefferson County feels that they took the proper steps and that the locate should have marked the additional cables. Therefore the County does not feel that we are liable for the repair to the damaged cable. If you have further questions, please feel free to contact me. Sincerely, ~~ County Engineer -r---R.A CJ l 100% Recycled Paper ~ ROUTING - REQUEST Gi!JlWII AI. eEl ~ ~ ,/\":.~f.r tJ AI'fllQV~ :a: AND CIoIITEIl OFOIlWNlll ~ o ~_ ELEAHOIl ---.:.. o lIEU Ollllli(;.Wl =~ o Jli:Vii:. WITH Mi: GUll il<'TE -? -fJ-&f olUF /9!L ~ FIlOM - - /lil:QTT ~ TOliI ~':J '~1 ~'W>'- L L State of Washington ~l~ T~~~!!~fie~!~~;on Improvement Board t : _, J Olympia, WashinglOf/98S04 (206) 153.1198 SCAN 234,1198 ftECEfVED F..le: 'JI<fl 09./0.03 tA.t1.I:/ T.r. 8. February 27, 1989 MAR - C 1989 JEFFERSON COUNTY PUBLIC WORKS DEPT. ~J::::.e-."~'.~"""~J...H:~~~':;fX:'.i~'r"'1:~'lI::.w;.y.;~lli, To: Mayors, Conunissioners, City and county Officials, and Other Interested Parties Recently you received Administrative Code (WAC) Transportation Improvement by the exc~llent response around the state. copies of the proposed washington Rules For Implementation of the the Account Program. We were very pleased and constructive input from agencies We are now in the process of establishing the project application and selection procedures. Enclosed are the following: 1. Urban and Small Cities Program pre-application Form 2. Urban Program Application Form 3. Small Cities Program Application Form 4. Urban Program Project Rating Worksheet 5. Small Cities Program Rating Worksheet Please review the enclosed forms and provide us with your conunents. We will be reviewing your responses prior to our next board meeting so we will need your input by March 10, 1989. If you have any questions please contact your Area Engineer. SECTION III: MULTI.MODAL PROJECTS 3.0 Does this project include more than one mode of transportation? Yes No If yes, describ~ the other modes of transportation and their relationship to the project. SECTION IV . CONGESTIONISAFETY MEASURES. Improvements necessitated by existing or foreseeable congestion or safety problems due to economic development or growth. Congestion and safety is measured by the use of three factors. The congestion measure includes factors for the Level of Service (LOS) and the volume capacity ratio (v/c). Safety is measured by the number of equivalent accidents per mile (EAM). (For projects on new alignments, provide information on the adjacent roadway(s) with projected traffic volumes), 4.1 Congestion. For projects with controlled intersections, the LOS criteria (existing or reasonably foreseeable) are stated in terms of the average stopped delay per vehicle per signal"controlled intersection for a Ii fteen minute analysis period. For projects without controlled intersections, the LOS will be determined using the average running speed at peak flow. Dela)' or operating speed may be measured in the field, or you may submit the geometric and signalized intersection data on the Arterial Work Sheet Data form (DOT 190-002 REV 4/87). What is the Average Stopped Delay per Intersection? What is the Average Running Speed? seconds or, mph. 4.2 VIC Ratio. The vie ratio is the ~ctual or projected rate of flow on an approach or designated group of lanes during a peak fifteen minute interval divided by the capacity of the approach or designated group of lanes. The vie ratio must be calculated using the procedures presented in Chapter 9 of the Highway Capacity Manual (Special Report 209) or the TIB will calculate the vie ratio from the in formation supplied on the Arterial Work Sheet Data Form (DOT 190"002 REV 4/87). What is the volume/capacity (v/c) ratio? no Fonn 190-003 Urban 2/89 2 SECTION III: MULTI"MODAL PROJECTS 3.0 Does this project include morc than onc mode of transportation? Yes No_ If yes, describe the other modes of transportation and their relationship to the project. SECTION IV . CONGESTIONISAFETY MEASURES. Improvements necessitated by existing or foreseeable congestion or safety problems due to economic development or growth. Congestion and safety is measured by the use of three factors. The congestion measure includes factors for the Level of Service (LOS) and the volume capacity ratio (v/c). Safety is measured by the number of equivalent accidents per mile (EAM). (For projects on new alignments, provide in formation on the adjacent roadways with the projected traffic volumes). 4.1 Congestion: For projects with controlled intersections, the LOS criteria (existing or reasonably foreseeable) are stated in terms of the average stopped delay per vehicle per signal-controlled intersection Cor a fifteen minute analysis period. For projects without controlled intersections, the LOS will be determined using the average running speed at peak flow. Delay or operating speed may be measured in the field, or you may submit the geometric and signalized intersection data on the Arterial Work Sheet Data form (DOT 190-002 REV 4/87). What is the Average Stopped Delay per Intersection? What is the Average Running Speed? seconds or, mph. 4.2 V IC Ratio: The vie ratio is the actual or projected rale of flow on an approach or designated group of lanes during a peak fifteen minute interval divided by the capacity of the approach or designated group of lanes. The vie ratio must be calculatcd using the procedures presented in Chapter 9, of the Highway Capacity Manual (Special Report 209) or the TlD will calculate the vlc ratio from the information supplied on the Arterial Work Sheet Data Form (DOT 190.002 REV 4/87). What is the volumelcapacity (v Ie) ratio? TlD Form 190-003 Small CIII" 2I1l9 2 4.3 Accidents: The rating of accidents, both fatal and non"fatal, will be done on a basis of economic loss. The accident ratc and the projected reduction of accidents will be considered. The terms "fatal" and "injury" refer to the occurrence of a fataJity or injury, not to the number of fatalities involved in any given encounler. The accident experience should be based on a three- year period, How many years of accident history is presented? What is the number of Property Damage Only Accidents? What is the number of injury accidents? What is the number of falaI accidents? What is the length of project (miles) Attach sheets indicating the Type of Improvements and the Accident Reduction Faclors for each type of accident. (Refer to the 1989-91 Biennium, UAB Six-Year Transportation Improvement Program Booklet, Appendix C for details concerning Accident Reduction Factors.) T1B staff will be refining this form for case in providing this detail. SECTION V: ECONOMIC DEVELOPMENT 5.1 If this project is related to economic development, provide a brief narrative describing the proposed development. Economic development can include new development, redevelopment to a higher use or reinvestment for retention of jobs. Include items such as project description, private sector capital investment, jobs to be created, relationship of transportalion improvements to development, status of project and schedule for completion. Provide any additional information that you feel would be helpful in our evaluation. nn Form 19()..()O3 Small Cities 2/89 SECTION VI: PERCENTAGE OF LOCAL MATCHING FUNDS 6.0 Local match is considered to be all funds other than TIB funds. The minimum local match is 20% of the total project cost. A greater match will earn a higher priority. Also, projects that have a private match of at least 200/0 of the local malch will carn a higher priotity. What is the Total Project Cost Estimate? Source and amount of local matching funds(ldentify Private Match): Private Mateh (Y or N) Local Mutch 1. 2, 3, 4. 5. Total J.ocal Mateh SECTION VII: OTHER FACTORS 7.0 Provide any additional information about the project that is unique and should be considered in the evaluation of this applieation. SECTION VIII: STRUCTURAL AND GEOMETRIC FACTORS 8.0 Describe any structural or geometric deficiencies on the proposed project. SUBMITTED BY: SIgnature I Date Lead Agency Approving Authority TIn fonn 191).003 Small Chi" 2189 4 Transportation Improvement Board Address Verification for JEffERSON COUNTY Listed below are the officials, addresses and phone number that the Transportation Improvement Board database lists. I f any of the entries are incorrect, please wrile in the actual information in the space given and return the form to the TIB. If all . entries are correct, please sign the bottom of the form and return to the TIB. PLEASE RETURN FORM TO THE TIB BY MARCH 10, 1989. Chairman. B. G. Brown Chairman G €.oR'le.. C. t1.RovJ;,t - clfll; iUYJl'HV Public Wks Director - Gary Rowe Public Works Director '5.4/11': County Engineer" Robert Nesbitt County Engineer ';;~"..,E Mailing Address d: Phone Number: New Addr~ss and/or Phone Number: 1820 Jefferson Street Port Townsend, WA 98368 Street or Post Office Box SCAN 576"7064 Po. ~O)<.. ,"1.<'0 rOK' 7O.....,...seAJD ",,1'/ New Zipcode ge368 New Phone Number(2o~) 3\;/5- /'ho V ouchers Sent to: New Voucher Information: .;.4..,... r>5 /7 f30 Vr=. NO ADDRESSEE LISTED Allocations Sent to: New Allocation Information: NO ADDRESSEE LISTED The information lisled above for JEfFERSON COUNTY is correct: .-<J.-c~ J(~ Name ?/.4~,.,u~ t;,,'})? . Tille February 14, 1989 Page 1 TRANSPORTATION IMPROVEMENT BOARD AGENCY ROUTE LISTING FOR JEFFERSON COUNTY Agency Federal Control Route Arterial and Termini Length in Miles MOT P<3lJt Uidth Rd_a)' Uidth RN Uidth ======================================================::0====::0============================;"====== 00200011 0020 OLYMPIC HIGHIIAY SR-20 I S UA BORY to S CITY LIMIT 0.76 7,200 24 40 100 21 " 003BOO13 7627 DISCOVERY ROAD 601517 I U UA BDRY to S CITY LIMIT 0.36 --T;-78Q' 20 24 60 00400013 7624 HASTINGS AVE WEST 691017 I U UA BORY to 1.1 CITY LIMIT 0.50 "'~ 24 34 60 00460013 7622 COOK AVE EXTEN 629317 I HASTINGS RD to U CITY LIMIT 0.62 :;3' 18 22 -236 100 Agency Segment l1i les: 2.24 report: RTELIST FEDE~ALAID- SYSTEMS FAP/FAln. FEDERAL AID PRIMARY I INTERSTATE ,.' Numerh; 1- 999. . . 'FAS _~"_~.. FEDERAL AID SECONDARY '," '_"~~_".c.:,... Alpha.numefic AOOO. 2000 . . .. (''S''and "RH Reserved for Sta'tc Rout .'. 'FAMc"o""c, FEDERAL AID URBAN . ":,';',.~,; ,: Numeric 1000.9899 ~ ~ , URBAN FUNCTIONAL CLASSIFICAT 122050'00" STATEWIDE NATIONAL FUNCTIONAL CLASSIFICATION SYSTEM JAliUARY 1976 PREPARED BY Washington State Department of Tr sporta@rF :vAI'I DE CLASS SYMBOL INTERSTATE PRINCIPAL ARTliRlAL -, - - - MINOR AfjTERIAL COLLECTOR CONNECTING LINK >- n_ a:: " o z o m ~.:. R'_ . ~ 5 " W lr " .7624 ~ ! E il 4 ~ ..=-1!!':;:~ /J ' ~- ...- --~ ." '.. I 8uh~':NS i lJ) (lnlfl'""itt.,.,1 Ii ,J 1>- ,!:: u + STRA....GERS (lnl~J!..ffl'~i)"~~, -..~ <l-~1 ~ lr :> , e... o G- 7 B 9 ~~ ~ ~ N _ "'''' 18 I'IlUletl'. liD 19 21 ...........~..... "'---"'--,- ~. ~ i:: ti .'1 f.," "J~-"'''' "",uJN~t'NL, .tfj'l, ~ _~~:-::.;.~...:.~~__a..~~ __..._",.___ ::_J.2~::~J:30" ~l Cl.ASSI~ICATIONS l.< SyMBOL....... ,..~-- > I:l ~ ';l:l > I:'"' ,.." ~ .... Point Hudson //.// ,h \SID ~~/ -____.".J~ '7 , i PORT TOWNSEND t60Cl '200 I I ,l,PPROIl'I,AATltc1<LIINfHT LEGEND c:v . IN"ASTA" HIGHWAV NOHD'A @) u... MIGHWAV NUMflER @ ITATI HIGHWAV NUMBER t....JJ2--. MILEAGE I!l!TWU:'" ,.OINTI ITATE: HIGHWAV IVIUM elT'" STRUT I COUNTV ROAO PROpOSED ROAD ~&~ URBAN AREA IOUN!)"'''''' (,HW,t,j eonPORAU 1.1"'ITI III JIOIT O""ICI l!tl . COUNTY COUltT HOU'E: . 'ITV HALl. . 1I01-ICIITATION III rlflE ITATION 11 IC:HOOI. . HO,'ITAL J INDUSTRV [II 8HO,.,.ING CENTER POW';" 8U08TATtON WAr"R IUPPLY ICW...OE TR!!.......M"NT pl-...NT '\ 1170 CtTY POPULATION ',2'1 1.77 ESTIMATED CITY POPULATION 1,6511 1.77 UTIMAT[D U"BAH AREA POPULATION 1,900 llIIIolU'IIIII'''II.,,'.IQIIIII''''\I'''' URRAN AREA MAP PORT TOWNSEND & VICINITY JEFFERSON COUNTY . 1978 "II ,,1\\nN("j1'ON S1'^"U 111!rAJtTMI!NT or 'TRM'fll'ORTATlON I)!VIRION or IIUIII,IC1'tlM'o/"II(UtTATIOJll AND l'I.A!o/N1NCI CAltTOOItArtllC "RAl'lell I/lIIllJPlWlfllllflll'n . U.., Dl!I'.A.RTMI!NTOI1TM^NIlII(1It"A,TION l't!Ol'RAL 11lOllWAV ADMIN151'flATltlN 'HIlI.""'" 111,,1' I'" ~ .... JC:FFERSON C,"'UNTY 'C""",,'t"" ";-r:;r:1.::' "I';.l<1,<~"""'-'~'~""'C'" ~: ,-. 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I A~';~:' ;:, A b ;; Of t:mJjODY M~l6't1E coul~f~~~~VID [I] N~l~:~~~~:l:~:(o-L~ ~ ~l~~~~ g~l~~~~Nl '.:::~~~M~ [2..-. 06JI(1 !.IIlUClIN........1 Of 06JfCT STllwe'" ANDOWNIIl !tw..M11 I I:" OAMAGE .()) 77'1/ Hff'o A't){!,kS I. - UNIl NO. I UNIT NO.2 111l:" MIODU OIl....III.:,NAMI " " : , , ',.' .,... : :," : , I: t: ; " , ,: "".',. " " :' ',' :', 'ii' " .' . , , ,.. :,,' : , :', , ,':" .',' .' ,,' ,', , ,: ',: . ,",' ,,' ',': ": .' ":,." ., i' i' II I. ., " :. 'c"',,'::,. '.".... I', ''': ' , I: i.,. ',' . i : I " ' . ;'" ,,\ . ....... I';:: .' i I. ':; I," :.... .' I;: <'., i',:,,':, " " ; .', " I> : ..' --::- " " l'L , ~ N"'-M[" "'DD~[~S (J IN~UI1"'NCE co Qf;lAGINI I'~ D/K L.-- ~1~%IAAI"" Illl'b~~..~':c..1 I~'" I I~ 1 J .. I R~~~;'g.:c..",; ICHAllCE ~ _~.'.o."_::-l~ 1$10.........""1.10 DAlIiIN DREMAINtO "",\l-.fto.O"O~ s~.~ l~ri~~lIv BiLLS. m- OIAGRAMOFCO}i S'70N: IU~I~UPl'LIM[NI"'\ INDIC...UNOlflH ~ _L; I '~! -'I tott~ll1:N[!~$irl i ; ~w '--~. . f~}'" .~':ni., n,~,: , r;r: . ~~'~'Y"~l" r!I~;rc~' L:::: ,/ ,I I ! ,I I J I I '; I :' '..LI_~1 L t+++-t-H'+'+++~.-I .. ~j..,,~F,c1 J;At;:}~-kk++++~ ,- ._,-'-' NA~E: A~DIRf~S ~ I~J~R:ES 0: P~R~O~S INVOLVED -. .,., 'C~':~~"-1 - 2 3 . 5 n~tj OCCUPANTS I WITNESSES ',U;; ~~~~cr~z~~...!l;m sl:i-:: I' ....GE L....'u!lI,...."J" I .'f'.: I C',~JU IIlE!llll I (J'Ec,1 ~',~ir ~t I I I I ~""~~].o' ~"OJi<-O"'MI\ O~~('l D~~;". o:~ 0;'8',.", ~ON .._~__. .... I ';l=~~~10I IIM~V~~.IIOMO"''''''I D~~('D~:':~... 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"""O"-;"CII ~..O(.. o .....IlU'....CI 0 ~~t1 0 ~H;.l1R 0 \II::;:: 0 ;-.~'..\f' ..~ ;" ,."" o IIIGoI~nlllDOWN(1l ~ ADDIl!>> II OWNIII E R 7 : ~Ec;,~ I ~_~~'~tA. ~ D~:~.,.N O'I........'NIO ISI~l OAM"GoI Il~. 'oio'~~.' _ D~"w~;>ft.,. I - ~~. DESCRiPtiON Of COLUSION: tU!>E ~uPPtIM.!"""1 sHIn If NtO:S!oAIII') ..,J;j VEIl/eLf /2//8 13G<lvE/f'.'V..l9{tL--Y'/f~.1>. 3"'" E./I./TFb /fCi/9.D 7Z) A'/<'!;H:r. 6"~/.NC JA/Zl ...>> F1 D)~H. .._ ,..' . ,..', . ~ ~ C...AIlCol " r; - " .... AOOIlI~~ r= N....' 10 "O(lllIM. "''''MI AODIIISS ~ F~vt~t'C'AI''''C.OI''Clll!o "'"....., & IIA"'J X TIf I'.,D~~T L ....-~P "'11 1:,1 j -,.. /<. -,; " :,", , .. , ,:i' .. .. ,", ...- .. '., ,.'.. ." .'. ... ... ,',':'''''' ",' .. --::-1.: " , " ,',.'" " ,;, c' '" I '5:J ''7 :' ~ "'.:' ==j;, ~ "- UJ -"l " ,,', >.," ',','C I I ,::;,': ',' , .""" ", ,,' ",,,:.. , " ~ '.' ", -..I . , .. . ,," ,,', """", "','" :' ,; :o", : ; , " '.. I"~ Ii I; ,', ,: ", ,'" " :,' " I M'~,~&~ I ....a~~~f..IN I U ?:;:~:;;;", ~""""AGi:)O AREA . ---r3 'no,"",~, ~ '- o OJ/IVEN DIlEMAlNED \H.T,OolWoAGE-\1 .!_T_C!,... ~ ~ o ~~V:.f ft'!' AWA.Y $ I. 108:"0"'. -= INDICAll NOll''"' DESCRIPTION OF COLLISION: (U$E Sl./PPlEMENTAL SHUT If NECfSSAlll'1 JS BV~ ~ ~ V~lll"LL. ""~I/?~ wA5 'V~5T "AJ .Lc.vU'- .:::: t HoIIICP, /l-RWl,f! ..LDsT CoNn'!.#. eN ICE.. ;tl I:: c."vE,tf. t:." ':',,,,-c F/9<=G. I CICOSS "Al~ :YtST &.""p -6J ~ l.A..vi.)A7JJ:JST//!....c.K.A r~~L"'" ~ouTH S,p~ --;m I CF~o"I.1J' ~ -_ PII.If'vc' /tNP I'4-SSF"v(,.u<: ~E..Fr r$ .$c r."""" "1, ~.' ..,..,.,p ,r;/TP~ NO -'f7"TV1"?;"/77' t:Lfi:>r:.T ""C"-,PlNT' " \ .,' I" VN71,! c".v~TEP .fiy OF/'?cEfi,.. 0' I ~",nE.".J< - .., F L,,$IhoL uSE 'A V.rH/U.E.. ' NAME. ADDRESS & INJURIES OF PERSONS INVOlVED +CODES Ll I - I 2 13 14 I 5 16 - OCCUPANTS / WITNESSES W~ ~6~{~g~~~~\A~l~~ SEX -'j I'GE TAlUS! 1P....vt.. I ~~,~ (I~J~~ IllES"'. I ufc11 ~~1~.. N......' ST~Vtf';') f'(/t./N ::J!fN - r111JJ-3::L I ,,', 7 / I AOOI!H.S;;C';'~ fi,.)( Q"9!"'J';;1Lu ~"""",' .c.......''f V..ll91'.'2,r;/~'\,n~~f<.Of,;,rI'\L""A.J J:;~Y..r~ 5oC.fNffll'" OAMIl O~~'l OHu~i.Ai~:t or.'l1,.,.~ ~ :::m ~~~Ilf Of ~r~V~~,fIlOM DAM8 0 ~~Cl ~~g~. o::~ 0 I~'l""!. <<l LNA.MI JJbN I I ADOIlES!> ~~U~~lsOf ~cm\l~y. M 0 AMII 0 ~~Cl 0 ~g:.n. O~:r 0 ;-'~!",..,. TIN ;?Vf,S1IGAIINGOlfICfll'S NAMI' Il"'N~ I'~AO'GI 011' ~f~NCY U"'., 01 rOlI~DIS~"lCH(o pQua AI1I1IVlDDI :AU Of IIfPClIi/! lIAP~llovt:o IIY I DAn X 10 NO DI~I'l>I' "7:5'1 IOC':r .. /c/( ), S/J'1iTI7 C CS~ 1<I'i-ST ",D'"'' "OOH" :L-II.tl<l,,"': 'o. ..., '.. .,(,,"; ...,";:../........,1..... . .2"':, r '. .,.............{/.f".. :"f"i.i ..:.... ")';. ....<:',. ,....:i.i/>. '," ''''...:"';:i ....... i:.' ..:'i: ;'if ii' .'i; I ". i ,';".,<,:!" '...:.,....:. i:.::;i...! .::........:':'...':,..:', ...:'.:.,::; :i'.'.;..... !.::{:)',~'~'vl.?!' ........ ...... "..::t'!';~:.i.:;,:;: .,~..... ,.,.." .......',.,i......:. i .....-.J .,.:' :..,....... ~..y.~llll.,( 1.801 ~@'''''' . , "..' I ~.' It W"-- STATE OF WASHINGTON ? (-, A f.. ;' , PAG[ I or I 1Sj TRAffiCWAY o PRIVATE WAY OAltOICOlll~~~ I. DAYUtCOU1lION '.' 11'M! II COUNTY COUNTY1P I ICITYNO ri: -2 ljY ~IW~ ,,(,l~ HII~ ~IO l~URi '" 'XII :;~3~;OU"l II Tf~,c~~50N '(d I ON 0t DIN CIIYO~IOWN I N........t&NOOI~IPttTOIIHlc;HWAY ~s- ..."" 0' Ow l!!lo, I/O/{ J:'t:5E",,/,I/77~1I/ IONLolV<e U-1I1!.l>An INt(Il~C"NG"""H :'11I((IOIlIlOAO INONINTIIl~ctION Holt RUEA:!v"'frU::'N IBETWElN (,I..5~ ItP I :!.tQ[[l a"ffE..r IA."~..shV~TI!Hl ,- DISTANCE & ~c ION fllOM IIlHIlENC ,CIl05!.S1l1llIOR N(AWES! MIl! POST 1 ACCIDENT o ~ "fl~1~:5 f; ~ h t:::r Of U,S". 10 I M~\~~E CanlSION INVOLVED ~611(~~~~O NO INJUIUO--1- 0 J:l~AG( 0 HIT & IIUNl K.I"Zt~o~..~ . ci.,O~f~,~R5 CO ~ PROP'l~"'GlONl,( 0 tr~ULTfD O~~~,~~t a 08JEC1 SllllJCk\NAMlOf otIJECT STIIUCK ANDOWN!Il"S NAME) I EST. DAMAGE I Tt:<:L I. - UNIT NO. I UNIT NO.2 r=-o.;V"~.::R 0 ;;~) W,4L';;--e m...."O" D"''''N.....' STIIHT AOOllE55 511111T AOOllt5~ ro=- J-IC s?'o Box "1(;3 ~ 0.:. ~I...Tl ZIPCODt: I PI'IONlNO 0 II,.. r Fo.<:-K.5 IVA, '7 r331 13711-&91/7 R L. :~'~I;N:N:'P1 //7e'~c:- v:;,;! ~~K IJig"'E,:;' ::3 ~ MW'~lICEN~tNO 8 ~~T~~p' I flWMNAMI ~ P~ONf NO I EY[~ 1Wf.IGH11....IGHI E OCCUP...IION ::z.. FlS/r ;A'':;' I IY' / A IE,('o 15"-o51/<eC R ~ 0 CHECK(""-) I\lEI'IIC~'AS"'NE.a~~~R~c~::tiHflll"'L 0 CHECK(r') l"ft-O./iEAS"'N(M~~~fi~C~~.f(1!"'1 9 CODES....... 3 ~~:"'1.~' 7" I.. ~~~~;:""T J 5 1)1(1,0>. Jib ::'B:<;'t'ClI CODES.... ... 13 ~i:"~~' .. mW:;..l 5 IJlClIO'" I b ~;'i'.IIC.C~1 :2- I ~"j~"kI!S I'f) .$0: 'N) :t.1 S f L.- ~~~"'~~fWM 0 ......eu\....cl 0 t':i~C.1 0 ~gP'I. ~ ~:~t~:: 0 ~1t..!>p ~~~'i~f~O.... D.......euL.....c' 0 ~~~CI 0 tg~lI. 0 :;~::: 0 ;t.~1",!>" ~9 ;A~ r'A;~~;CI'IE~'1 I ~~L:;:;;;""') I S;ll;:;,ONIII E"" VEAII I" ~ t E,C"!lIl I~DUIDARI'NOII"'1 Imu l4DW..CONII I f1" ... COlOW I liCENSE PlAU NO. rSTAn I TWAIIUI PlAtE NO I ~T"'U 7 lit.. COIOI/ IULtN:.t l 1f"A" I II. ....A't NV 1 IAt[ Lt. &R.Jl! 11/.11 J 1'04.vA - I - ~ "j""'2..D';;'''IiDNi?.D C ~ 9 "-I 7 g T ""'''' 'D'N""'" N N i'C'" REGIST[REDOWNEIl: LA~l flllSI MIDDLE I PHO_NE NO II! ISltll!DOWNUI - ('fA/N ST:E l/s'tV I 0 '2. AD:;~g;;'Gox 9/f 0" Fo .<:-If$" ',vA, '7 S' 33 1 ~ ADD"" OWN" ~ NAMI & ADDIl(S~ Of INSUIlANCE co OR AGENT AME & All"':" IN",U AN E f~ N"Ni: R '-- Ilf~" &.......", ILIIA I N - OAMAGEO AREA p.s..ft"...c. I ....... ~~ .Vl J ~. ~~~'~~: ICHAIlGE -- lL.. \io~~.~oj,,:.:t!o lIST. DAMA(;!.-J 0 ~~'2yN l8:IIlEMAIN!D I $~OC'O-ID l~.t'A\DB"" DIAGRAM Of COLLISION: ~~M~::EL~~Il~\ n A JlOt.IC~ COMPlAINT NUMbt'W No. tiJ" IFi~H"N'" Ullfl....... IlUIlAl I YCTiON ~ POLICE TRAffiC COLLISION REPORT I ""{:,I ~'I """I'J'2~h PItlflX ro rlLEl'Oj t(O RAMP rIACIl""" D.ATA I.,to' Irr ',IJl,.IlD~fIi!ilCI~~YI/HIOIlIlOAOOIlIll.'tIlENct Il~1I I CIS loOSS~:t~RRQAl), 0 J s,Pf.CW CODING loG! o VEHICLE "''' o PEDESTRIAN o PEDAlCYCLlST MoODI 1 nw " " , L; E E 1; .''' .... : ,. - ':' I~' I ': ':', ','.-- ." ,", ",.': ,"", , <:'" ' "',,,.',',' .', I ; L , '.' .;. :':. ' './ '. ,'.' ',. ...... ..' .' :','" '.-", ",,", '. :. :,,' , , ' I .: L.'" ". .: \ ".-, I"~: : }. \ ,".' '.':"\,lL {" ," -" 'I, "" t. · ;,; ""',> ", ,;, " , l" " "." , . L TI ~ ~ .iI ~ '''''' ' , . -'1' :", , '.:, ,", - """':' , :: ,', ,," ':" ,.' ".>: ,',' .:, : .'., I , i " I:"~ " : : ':" ,,, .''' ~;1 '7 ," ;: :; ;. .',' ". ,~ ;',. ~ ~ ~ ~ - ","I ~ , i i ',".' I,' .". . ,.; ..: , ,"," , ~ NN~O;:r~:N~U"'ANCfCO OIl,.,"t""! ~~""""'ID" 1\:\,,"ON."'(.,Ll~..,,",q 1~ 1 J ' ICHoU G.. G. I ~. "..lD ~~~yN 0 flfM.....tN!O . l~":fP8Y~I2..Jc...t<.sO t-.JS C DIAGRAMorCOLI[I~ I (U!o(!oUPPUM(NIA.l .NDICAIENCl'IlH ~ SHHllflNlCE!o!o RYl ,8VAIIROW4 ' . :; .). .G{ F ' 'i~~ 'A1~Po';'- t::: ...., i- L 1 -j" -; I"i _ _ ~oJT'N' ~ -n:<-Ef"H.'t.~-:=:..\;\ 1,'1 - - r::. . ~. 'I tl. ~ ,I ~ I : C. .1.': ,. ':0 ! 1 1 i ;-J ui! -- n NAME,ADDRESS&TNJURIESOF PERSONS INVOLVED . CODES 11,,1.- 1213 1".1 5.16 p OCCUPANTS I WITNESSES (f~ ~~;~~~~~~~IA!o:n: .Slll-j Am b'ATU!o '....VJ..I ,".,: cl,~j\\ IIl!sl!! (JEC', I~~~r. N....' RLI\ISo. KRI~S. . ::<?" .38S'i't50. Iu\ I",,,) '2. 1 :<:I I I ADOIlI\!.-'O;:;" _tl!;.i.i~~eu-, ,..(A-{)LDc..K.qA~ ~.!l?o~l<,o'- t:J~~~E: " ~mvJ~ '~~ 0 AMe D~~o O~;... o:;~ S\"8~\II ro=N'.' MAR"'I~, NAt-Jc.Y M. _ :w'" 3S5~c31,38 F" I...?L - - - - C 'oo",:';';':i.~' ......x. oi',~- -1>10 ~..u~'o' -...,;;.;;.re. ~"'.\l'I~"o. DA.' D;'l'.<> D~;" D::~ Iii.~~~" '" "lAoMf ~ - !.CINfIlY oAM8 O~~Cl O~:;;'r,,~~;: D~~'..\, XI>>A"YJ~A~I"E~ I~~I;;;S~ I~~' r2.&~~HIDI~J~~01/A:2i:BtIA7~~11 ~ATI_~ '>i:i.., ............. ,'... ,':.,;2,.,. "",. "ii";i ..i' }'~"""ll'j"i" . ,./C .:.....;.: )>"':""i \:.;< ,;. '.i', ., ,);: ,,;';""/"'/'i >.: ..i;)..i.....'.{i .:. L ,.i " f:.:(' '.' '... i . ..' !./.i:':/li., l .'.....'..:'.,.... : J:t "i:. , .'i"'i' ; .'-- " ......; J;' ,f .i...i..... I, -c '< . . ............ ,,'. It '., ' ',,, ,'.,'., .i '. :' , i. ...,'; , .. ". : , : " " ,: . '., ....,.., It .:. :. : \ 'i: ;., " '. , '.. ,",' . ..:",i , . ;, ." ',,', " .. " " l~ STATE OF WASHINGTON "0' J 0,1 rj ~ POLICE TRAFFIC COLLISION REPORT ~ TRAffiCWAY I I 0 PRIVATE WAY OA'I 01 (OUI~ 1'01 I. DAY ,( lLl)IVN I B TIMl --ll'OUrdf I'll 01 2..2. 8;" IW'; .,. "''' '" ,~" ", ,., II '2~.;{~' II :::r<:PPf3f2.Sot-:::. ~ ON 01 DIN n CllYO~IOIl'lN I AN"-MI&NO ()I!>I~IIIOlltIIGHW"'Y I ...,,,, Il!l' DW lSiIo'l6/l:r 7o.JNss::N^IONtJ.,IJP"12T.{I>-rr.PF IMlro!>l(IINGW.IH !>llIlllOIlIlOAO INONINTlIl5olCIION .. - I&[,wlt:-r;t€"'~ Sl~lll& Li.1R.PolL-r-Sll1ll1 1.1, OI~IANCt & O~~110N .1I0M 1l1'llltN~'- (1I0S!>Sll1t11 0fI MAIIISI Mllll'OSl r-') I ACCtOlNT ~ . 2 ~~t;~$ ;;..?-,:,;; Of A/RPO~ Kf"\ M~6~Gf COlll~~,~:~~OI.VtD ~ovt~~;::O~NO INJUIHDO- 0 ~~llAC.t 0 ~;~t~lJN-1 KJ'::~~~H~ aV(HI(ltS CD [)g 1'1I01'l1l1'l'O"","'CfONlY 0 IIlSu\IIO OVtHICU I N/A Q 06JI(I$IIII,)(~CN"-MIO' 06J(Cl$IIIUC~N400WNIII'$NAMl) I ISI D~AGI -I DITCH $ -0- UNIT NO, I UNIT NO.2 0 VEHICLE 0 PfDESTRIAN 0 PEDA, lCYCl7'ST ~ $ lWIVIII~N"-M! lASI flllSJ MiooH OIlIV(II'$N~l 1.'$1 '1"~1 -- De:FFLEY Po8€Rr IHOMA"- 1'-72 "2;:~'Z. AN.r-.E~ lJ.. eo_ '''''ADO'''' /I = ~rLJ'''^~'''^ It,,;:': qR325 r73'Z:4L.7 ~ '" .." """'" 1'7 I;!. l::: "6~FFNU<.T287CI-/ 1 ;i'A M I ~']}';z ~ '-"'" 'N~'" I ..." I ~. Y""DA",.."..~. I':? 2. exN~;:;e I"'...N......"'"~ 1~1~f-;~.: ~ ex'u""'" I"'...N......'''''''"'"0 / 1 ''''I''''''T'<>''~ o CHECK (J") I VtHIC~:c.l.~ 'Z~.e':.rS~8 ~C~~3i~~1i"'\ 0 CHECK Ii) If ~HlC~1 AS AN lMP~ci~11 ~(.~~I""IAI .~ I"~ CODES.... of 3 ~i~~~' .. ~\~~:.'.., I 5 lilCIt()O.l 0 ;:,~:~..~.tll CODES'" + 3 ~~~~. .. ~W~::.., If I.W'O.. 6 ~~?Ill;;'~U ~'l I / INAJU~i!S --NO~e I~~~~~'('o' / L....- m'~'\~~~'~o" 0 A'-'&UIA..tl 0 ~\.:~I 0 ~li~,I~ 0 ~~~,~:: Q?;l ;-~'...... ~r:;:i~'.u... O......IkJlA..tl 0 t~~(1 A" ~g~llt 0 ~~::: 0 ;:'~'...!.I' 10 VIH72- l~p~;;IV) RC:~J I$IY~'/~~VI ,~HY(AII I~ C HHtVI -17qOAR1~V"'1 rlYUI VI ~ IT "B~v 1B8G:~A;:cr. "'~A.I .....'::::0 1":- 7 ". "". I"_CN~" '" /1" I" 1 ".. "3 z'R"'i"':'z'; I ,t,'Z /'1 ~ i r ".,,,,,,,",,,, ..",,, " ~ / . E IIS;:ME ~s D~ V Eri'ODil r~::- 0 IIfClsnlllD WNIII 7 flll$' Ml~t I '~ .oo".."'o~" ~".D">> o~'/ R / IN~U ANeE co 0; N 'No. n ~ n "1 .., t') I'()(ICI COMI'l.A.IN' NU.... I~ ,... ~ I...,'~,,~,~ Usrr;UIIA.1. C7;;: ICllyr~ I '/:';; I,..~.'I "1"9~77'~" 1 ~"Q '" -\'" I"''''''''' 0 . " c... IlAMP 10'..."IIA>oI OAI'" ItjltllllN5:J!~lIIl.IID I~N IlSol....I....... IIlllvlll/O"'L1O'1MVIII1N::1 l;r I Cl$ ICII~'1l8Tg;z.O SPlCI"'l COLliNG \hI s ~ " ; .... .' ... I C"~'foA":'Nc:. I OM\N:>fDINltA --;3 -, R~f:= I :'0'" = DDIII~"" ORtM"'NfO IE!.TOA.M""IIIK-L__n..~!o, (] ~~":~ BY AWAY s I ~O.:"~ ~ DESCRIPTION OF COLLISION: t~( $UPP\(MtNI...\ SHUt It NICI~IlYI 3$ V E: H ~ IN /8 e>;.J H A d~.PolL"'" -c..\ftoFF ~ RfJ:J A""1IiZM. p-r;:s TO PAS S. liE i-/ '. .... = _,. ... '. ..___m~ VtJ"-. VEl-{.. siB orJ A-lepo.e:r-c.vTi>f';:::-~ ~ VEl-/. *1L:OSE5,CD,.J#OI.-f)r I/e-I-/.> ._, t::iL...ANc..e.s _._..e~L-e: ___. ~D ._f<c~. ..vEI.f. -- CHAII~1 , " '.)' ,'.,~' " '" "'" , ,,;-:,,',,:: , " ,," .... ':' I....... . " " : ."',:: "";. .',:' , g Z' , ,,: : ~ 'e " , ,:< .::', ,: ';', """": ", i '. .'. , .... : ... ':' '".' , '" .'." . ,,:e..., ',' ~,':- " ' ,( ,"', ," .,' .' .... ;,:,': ':, , i., .' ," ',; " .',,' , " . ':', " ',', ' , ' " ", , " , , ,,,' . "', " .'. ': . ,," " " ",,;,.' , ": . :-:. . 'i .,"',' , ...,.. ': \ . ! t lf~~;\, " " , ,', , , '....".' :.' I i' .~. , ,,' \ ',':", :" ",:, .' , " " , ' "" ' :, .,'. .." ,,,: ' ;',' ,.::,' "..,'" , ::, ", :'" :'",' , ".:. ..,' ",' :,'"" "':' " , ".' ".' .,'. ".',.' , , ':, '.,..'..,', ''',' :, '. . ': .. ',',',': ",:,: , '.'.",'''''',' I::';" : ".,...... . " ",' " ""," .-.' "" '::,. ..', :: j :'.: " ,.:~"> , ','"'",::, .. WYI!l'f[i(1f I !IV) ~ STATE OF WASHINGTON ['If ~ POLICE TRAFFIC COLLISION REPORT No. ", :,: PACI Of t8J TRAfFICWAY' o PRIVATE WAY ~i ;;'tOlll~~: ~~.:..I~~ .....Q' :D;t;.:~U~~~~I\ ~;;':I~I-~ (~!>~~~~~OUIlI lICOUN~ ,__ Iri'2. 0-/ RY I-! 'X: . t ~ II /~~.~ II . lc;.ppe:,prc.')J..,) I Oti ~(DIN . C;lY011 IOWN I NAMt&NQ Ol!ollllllQQHlufiWAY . s=>. M"" 0' Ow 180' l-II'--r-.LOG\<. ION /'lA/<' Popy I?n. INll~~(C1ING WIIH 5HI!(T 01111011.0 INON INlll/!>EC110N .-' R laETwllNr,un.RL.".-:. 11~/i. k ~(1u..P. ~ I', OI~'AN([ &D~,IION' OMIlUllltN I,CIlO~~!olI!UI _~IAW(l>' MI<( K)!ol r""\ 1 ACCIQENT I ~",~12:~'~:~ ~ F, ~ ~ 0' ~I ~(:"'Lf..Q k'n M!:~';itE COlll!oIQNINVOIV{O ~~fJ;~::;O NO INJU~IO 0 ~ll~"CE OHIl&~UN I >4J~'b~~~~..\ ~O~f~I~~~ ITJ OS PJ.!OI'(~ACE ON! 'f - 0 t':~UlllO 0 ~It~I~~ OllllCl ~IJ.!UC" lNAME Of OlllECT ~lJ.!UCJ; ANDOWNIII.~N,II.M(J I $ E~l OAM"'GE o PEDAl CYCLIST =1 M' / ;:J /f = I'''''''Y"'' IZ' I - 'OAItO/IlIJ.!li'< , ,NiJ I eu iu ~ E1'E~ IMIVH111'flGI'1T ~ - ~ ( 'I A n POLICE COM.PlAlNT NLliloIbEll 4"l I~~: i2J I '"'''''' ;---m g 7?~:' r""" (;" ~'" I ~"" \'''ft7~~o -\",""0"0 AS RAMP rlAGIIAM DATA INHII I~~ I_,'l{) 1:,,!1!~~_qlt.oGS1RUI05lIlQAtlOllMlHQl"""J 1ft I Cl$ lca~~~n, SPECl"'l CooING!Al " I'q ~ (,1;'1"'1" ~ NAMI LASI fl5l$l MIODlI 1- ESP\.{ ntJR:LS I.Df'- 6 1~I~OO;~;/4J Iv. T;s11'\J U1 10 f. :#- S IkltlADo:m ~ cm S1.iT~\ ,,"Z~:ODf. PI'10Nl NO 0 CII' \. _ Br<..~ LU\)L.O...0 wCl, UK3(,S- 437-9-::'01 R" l:::: ~~~~~:'~: S I Lj UI( I::-;~ I ~ l(iL'~ r~"~'~<-, ~ "'''''''N''NO", ~1~\C~PAII0N I flIlMNof,M( & Pi'<OMNO Ilvt~ IWlIC,H'II'11!GHl E OCc;UPl<IlON IlkMNAJvI.f & PHONl NO '2 ~;;;H'W I IBWI\2015'OI R . '" o CHECK (V') I 'o'IHIC~f~~~NEMP:'g~H ~ ,,~~~i.''''~ 0 CHECK (....) 11~~C~:'i'$'Z~'P~'g~H ~ A::fj;~W"'l ~CODES.... +TJ ~~:.~~. I 4 m',~:.''''r--o:l 5 IJIC1,QO'>. 6 ~;::~.iPC''.:!.-- ;~... 3 ~~:.~~. \01 ~~~'T~~"'" 5 111(1'0'" 2- INJU~II~ ~ 0 ,,"'&\.I(....CI 0 ~~tl 0 ~g~'l~ ~ :i~,::: 0 t'8.'..,..~ tl:~"iWuo'" 0 ......MJ\....CI 0 "W'~tl 0 ~H~ll.. 0 :~~~,: 0 ;O"~....!.I' " IMAJr;~t.CH(VJ I. MOOEqDAIII-NO......) ISln{(2oll.~~'''1 Vll'flAIl 1............( OUE.CH[",) -lfolQ'\.~LlOAIlI,NO.......) \:"'fUP ONV) I~ ~ . "-5 ~.f'_p ~\\,,(,.O,...)€..LRI' E I I'\. I '" 2. 'oI~OIl \lICtN$[PlAI{NU I$TAll IlIlAllH~"'lIN~. \ I!.,,,,n H VIHCO-OIl Illl.tN~lPLA1tNO 11;;.. '\. IHI...lllIIPl.AlNO I~TA{ \A"-\ 12G:>\ (?,~V \-OA I \\ I ~ I ,I ',I. I ~ ffi""\'H;~7C;U~C":'I/'SI(,'IU!Fi""I051ql'1!bi Ilq L "'H"""'IN"";'''U~HUI 1 1 I I ! \, ! I I I I ~ ~ RfG~1l100WNIR LA~ flll~l MIOOlt IPHONINO 0 IlIGI~ltkIOOWNEII LA$T flll~1 MIODl.t II Pt+O/'.ENO ::::I 1= l-:.<.D..... I.. ,,,,.,...,-.C' L, Y-/37-9S()7 w "'- I~~ "'DDI!E~~OfOWNtll N "'DDllf$~OfOWN(1l '\ m t!2- S-~.I'$. 0.:; ~'L'1E.9_ E " ........--~ANt/l.AOOIl(~~()fIN$UIl...NClCO OIlAc.fNTGEQ. ~E.(1A.N :.36::;-0'10 R III........E &... '''0<1:0:0 V IN U AN...t<..u UW"'l.rIN \---n:t ~HlR...IH'.< T~j' ~~ IIJA':;L:t.l--l ~,.c,,\ \ --i L- I';:~A IN. I ~';.,P.".~,~I '-.~~~.N ---nI l~ ~AMAr:.fDAJI(A. CMAIIC( __ C......IIC( ~::~~:z ~A.M,It,(;Ep.~(". ~ ~ I~~~" 0 ~U~l'fN _DlIlMAINEO DPIl'VEN DlllMA'NIP IE~I'OA.M"'9E 1.1') L_~_'_0"""~!l~ I_'~r.oai;"li..~, $. l'3.'1.(.pP,'f,~-"'~_("'J'C:'~Jt\.I....., ,,"'\. 01c;..~;o8'f AWAV $ r~_lIOI:"O~,::::::.I ~ DIAGRAM OF COLLISION: lUSt SUp. PllMlN1AL INDICAT! NOlllt-l DESCRIPTIO. N OF COLLISION: lUS( ~UPPlIMtN1Al SHEET If N(CfSY,Q'f1 -.:.:J 16 I----'""'--r-'- 1--' -----...-, l!oHU11f..Nf:aS~'f'1-r ll'fAIlIlOW -\J':'''--.e,-'' - ..::::::J ,'_+ .., -~.- .j +--ti-+I-Ll---l.'l-t -..!J:l:. __ (.",.._Lv:>.ps_.E.,.___i30u.M!>."N__O_"'l<._8P~LR.C>~".fI.blO_=iii ~i !!--l__I..L I..." __1.' L. j' ,fW'R-~ $R::;,:"t.f~___W~"__CONI8C.l__C~Ll:..<:'~~_C"lv.,s_~_N..G-___.=J I~ .L'.~. i.-~-L1.U-. ",'-1_.;..;_,_1,,,,; -~ ,\-$_.$<:."'.__TO.__SP'.I.I),L_I\"<.Qu-t~D._160!~__11I!.._._-m c::. ....,.-l-O""-f:''\y~.''t i--j'~ ' -. 1"'(+'1' v~H, THU'~I.5r....r.{l",,,OF-F_rn!.._I'?"I1DWfl'LI/fJ.9.J>Jf.,;i.=:j ri;.'- _: -, ~-~ "'-i~:' Ll.,J.J-+ 1- :--. C?~f::R fl ,,(to..l .Er,....EM8I1N1fM!.NT::, _O!"..T.Hf.. .,-,0 "..T"H_-;;1 ...- '~ -11.~ 1+-7-\":" ,i--j--;~ -1"7-1' .JJ,,"f." q':' TI-IE.,f<. .0. Afl,~ ._. f1/:1..P... Ro..r....L.e.. .0 __OYE:R... d(. ?t:'f._ =:l 1'0 ".', T9 !' 1 i 'I Tvf.W) COf.A~NC~ no ResT" o'v THE- A1SS(,NG-E.J!. L .~." j-l,,~--Lq-l-.i-j.";g,,;: L..J-...i....H ' ~._CXDE.. .''',-0 ":~:_""::~-=-:-_:_~'__~'__'H:~' !..-J-J-(-j'-l'~ --i-i.~,. .--1-1..1, 1.\),'!:tV(.\<. ~u.~T~:~...,,'-'H(:" .1;JR~~AV<-t..l'."'G- .---J---.;.. I , ,:! I' '" I I I j ,lo.'POO.CV ,-.~ MI-'I.J I ""I NAME. ADDRESS & INJURIES OF PERSONS INVOLVED . rOCES I 1 I I 2 I 3 4 I 5 I 6 ~ OCCUPANTS I WITNESSES r,UJ: ~~;;{~6~~~~~A$:W ~~~~f Aci ~ bi""lUd 'oJ,.;"1 ~~,: +1 r'~~, R(~;Q I (J'Et;l (..'.~i. ~Nl I ~:T~~l..OI ..CfNl....~~ ~ 0 "Mil 0 ~~t1 0 ~g;.. Q 0 ~~ 0 I\~'..~. NbUN I I I ~^'~fP' ~t~i\lJ~IIlOM 0...".1\ D~(~~'~l Dcg~,u 0 ~~~ O;-'(~'''''' 401 ~OU" I I I I 1 ~l}~~/~0' ~t~""d~Ho'OM o "Mil D~~~~l o~g~'1~ o~r: O~~IW Itl~~~QI~c-.I"C' 11"'1"'" 1I'(JIICID'~P""C."w PO,IS'....IlIlI"'IOID...I{OflllPOQI~~ I 0.0.'1 c,...c: I F-? Cft:...Sc; I r':j~('~ I -;:::;!. /:t~Dr II'I? r,7...c:g1 ~ 1;2.. f) 0 I UNIT NO, I UNIT NO.2 O~I\lt./"~NAMl o VEHIQE ...." o PEDESTRIAN '" Z,PCDOt I "'" I~' . ....0.00.:;0'" ~"'Ih \:... AOMII~" r::::- NA"'" 1:10_ Aot>"m LNAMf Arlllll ~~ x ~z~~l;:rJiil ./ ". L I" ."':. ' . .. .......... " ." ,',:; ,. '" \ ',:,..' " , ; " , . .'.:" '", .: , :' , , . .':': ':, ", ..; '. 577 ~ "., I ;', , ," ' ,,' " , ' ",:~, i", " ,:,", ',,", ,.i, :' ,', '.,' , ':'. ::::', ' ,,:, . , ,".'. "',' ."',,, ,', ",", ""'.. ,,' """,,' I ,:.,1,,1 ,'I , '..",:,:' ':' "'" :', ' ii'" . '."'., } ~ ' ," , , " ., ,',' , , ":- .... :", , i' ':' :.,' , ;"",,,,,,-, : ',:-' ':"," ; , ~: .' .' "".' '.' '" .:: I',: '. ", . .:.":: .', ' I,,' " """, ' " ,:' " , ," , ,',,:' ' ,:,,' , ',"..., :""".".,,: : ' , "', , . ,',; I',," ',' . W~P ,,..(~[... 1,1101 :', ..' o STATE OF WASHINGTON pi ~ POLICE TRAFFIC COLLISION REPORT DAH m COlll>'ON I.' ~ ' In OICOllll>ION n,' n _ IIM[ rOut'" [0:2' 011 1 8'91" ....'''.:.'':...'','''i~i([li''1b'6OO"OU'' JEFFERSON J . ON Of DIN CllYOlllQWN I NA.Mt~NOOI~lI!HIOIilHIC;HWAY 1 Mlm 05 CXIW X)OF Port'IbWnsend IOrr-Discoverv Rd INTfl<!.lctlNG >NITti STP!ll 011 IIOAO r"ON INHII5tCTION _ IIIHWUN Cap:a George511111T "Nelson Lan~g 1/ D'~IANct & O~~110N f~OM I!UIQIN L. (110:'5511:1(11 011 N'....1I(51 Mill ~05 I ACCIDENT b 600 ~~'~~5 ;:, F, ~ ~ OF N.P. #1 M~~~( COUl~~I~:~~"VIO m ~~~~~nO_NO. 'NJUIIIO_ 0 ~~~~~AGI 0 ;;~&(~UN I HJ':.:~~~"5 7' aVIHlCU5 I::J EJ PIIOPlIIIYOAMA(;EONIY OIl15U\1(D DVlH,cl! I q OB)[(1 511<U<K eNAME or OflJECI 5Tllut;,. ANDOWNEIl'5 NAMt) I E51 DIoM"'!;;1 Fir Tree- Jeff. Co. Public Works !X>pt. Inone UNIT NO. I UNIT NO.2 o VEHICLE u", o PEDESTRIAN "'" o PEOAlCYCLlST ..., , fl<C( 1 OF 1 ~TRAFflCWAY o PRIVATE WAY No. 8 5 3 n .a 1 POliCE COMPIAlN, ""UMtElI lli~-. VI/DAN "URAl. , : '/''C r"'NO I T: I~~' I '"1''6'';'50<0<N........( HC"'~ARD BRICE l:."\1ERETr !>H;UITAOOIII:>S I rip COOt I PHONI NO I ".U I ,,, 1 ~"i'o..''':~. ~ 1 ('l1$INt'c.H'IH(IG~T _ .O>D~"" "7" 6 ~...,.. j~1 :,' ,\" STlIH'....DtlIIlSS F> 932 PIERCE ST. EtZ.. "~RT 'ID'lNSEND. ~''''98368 ",,"Of. I ;;~N~927 ~ ," -- WIVI""SLlCIN:.lNO I STAll 1l>IX 1_...:;":ll,?,fjlk,!H 1 ilIVIII"SlI IN:.tNC-' HCWARBE3090Z WA M 109' 6"9 1715 v 8 OCCUPATION I IIIIMNAMI &PHONI NO L IY~~ 1~IGHI HEIGHT E OCCUPATION 2. STUDENT Ipt. 'IO\'JNSEND HIGH J3ro 1125 509 R - 0 CHECK("") I vll-llc~I~~'Z~.s~r~j~H~A~ai,..[~""l 0 CHECK(....) I Vll-llClfA~:-NfMPi6~1l0~A::m~i}AI ~21 C~D;,S ~. ,~~:;;. . m\:~'1j 5 ''''''ON.l . rp.:?,~"" - CODES ~ . 13 ~~:~:' . :\;;;~.. 5 '''''ON state none I ~l~ll<, ~ I Wl'.... 0 ......&Ul...m 0 ~~(1 0 ~~~IIQ 0 ~~~,~:: 0 ~'...~~ m1'.:~~'WOM 0 _&1."....." 0 t'i'~U 0 rt;;'". 0 ~~,~:: 0 ;t~'..~ rr- "86 I""'~;'~~"'" I C="NO'" 1"4&:""0..' I~ ,,".,.. 1"""""'''''''''"0.'' IMOOI"""'''''''' I"""'''',' ~, ~': ~ ~I;:; ~;;INO. ~~I IIRAjLEH~A1fNO IS1AI1 7 ~E,..CotOR ILlUN L I~A r~AIL~Wf\AENO. ISIAf ~ '3' ~';"~':';''';'~'~N;;'ll 2tE 12 'G 10 14 13 1715 ill 2 ~ .'"';""'IN"";'''~N i I I 1 I ! t I I I I I ~ ~ lIfG'$TtllfDOWNtll l.ASl flP$l MIDDLE I'PHONtNO W(uISnIlIDOWMIl LAst flllSI MIODLI I'HONtNO ~ :-- HOWARD WILLIAM & GWEN sarre 0 1_ I~ ADDlll$SOl'OWNUl ~ AOcRIS OOWNtll ~ N~~OIl~~OI'~~~~~O #~AC;fNr E N I~NC( 'OWALOINl 37 ~ PEMCO- SEA~~~ ,., N R ." ... , L:::. O-'MAGEOAAtA II dO'~"lIl'''C; I~!.!." ""/:=0 " I~, o~':Rb'~lA -m E. l ) .. I R 6~::::f~'g~t; CHAllGf CHAIlGE I H J 1 ....::3 $ ,tJo~'~~~'lt$1.0AMAC;[ ID~t~~ DIlEMAIMD lOwfD D~~~'yN DIlEMA'NEO I' I~O~~'~?~$~ _ _ 15 IQ;] AWAV IIY. EIUCKSCN 'ICWING 0 "WAY IIY 15 ~~ ...:::.J ~ .P~~IR~~~~f~~IS'l~':. ~J~~~L&M1.,Jt,,"yl _1ND~~~IU6W'''' .~.~R_'~!!.c:?~_~_~~_l~l~~_~~~~E_~~~lAl~~e~_~~~.~:S!.~~~~__,___ ____ ~ L .,..1., L.j-,L.~~;~~~tiT~Y _VEHICLE_H J1b!?_~'!BOllND_ON_DI:;COYERX.~,_YEJ:l!,C;~Fiii ~ +!*~i,,~j~J+~llP~tl'X6>@~~@~~W~~~~~~-~~~pk~ L j ~-~-4-Hu! -j.,L~ *,1-;-rV,:)4.i 1-" qJRVE. RIM"",J'1AS,OIL_'\"I:l<:.l-JNHll.LGRlIDEj\S,_WE~;:,;;:;:;;:~ _! .1--1"'1 -r+' ul ++_L+,~ J....j...U_l1!"\l. _VEHICLE, SLID,.BRCAOOILlE .OFF:ROI'\O"1AY_~..EAS'l',.B,-"",~!-;;, ~C' ~'I 'L:~"t-'\...I . I; , )Il!~kSHOOLDER.TRA~D...!)(W-l...,DI'ICHANQ,roLLED...OVEP..- \.=:J , " t.' -1:f1 '11 ' 1 1 j ;. TOP AND ONTO IT S DRIVERSIDE SIDE,_RESTING -- i '--r+tI. -l- -+ ,.!-i+H+ JlGAINST.A FIR"TREE. , -"".- ,--..-...-"" --- .-- _ --" . 'h - ,- ;-1 .. t-" "i- ~-j 1 i ~ .- ,.....' -'-' - h ] W - _ NAME, ADDRESS & INJURIE~u~t:~~L~~9~rl-l~h1VOlVED ~.~O?ES _I ~. 1- 1_ 2 I} _T 4 .~I ._~ I 6 OCCUPANTS / WITNESSES ,em ADOll10NAL NAMf$1 $f)( I Aoe-bwus! '....116..1 ~.,i CI':.J\~ Illes,~-1 [JfClI~~~~... ~~"'I I ;'IA:pp~f..OI ~~~V~y.'l/u"", 0 ,t,Me 0 ~~ll 0 ""~I ~ 0 ~~ 0 :-'.9.'..~ ~t<t I :t.,t,I;~:f.of ~r~IIJ~ HIOM 0 Af'.Afl 0 ~.i.~'1 0 ~g~," 0 ~~ 0 ;-:'~i,.,\~ ~NI I ';t:iU~~f[~OI ~cr~II~~ II/V'l 0 ""'e 0 ~(~~U 0 ~g~,,, 0 ~~ 0 ~~'w 1I,'~'~i' Il~7~,~:::c.~w PO~7;i~~'cI2~5~~89P' ~ I ~D", ~ .. AtJORr~" E'^"' ~ AOt'!PIV ..."....1 "N'~I~<; X r~;;~~ol;;:~;;~";: IbADc.IO"'TCo1NC" DEP. I ''7''0 JCSD "\' . " , ,', ,",: .. . " "'.:',:.,,' .,",' " ~ " ','.-';:, : ," '" " '. , " ":: ,', ,', In 1 o ~ " > '. , , ,', ," .:' < ': " "" ..... i, ',: '. ..... ", , ....,: ,,' ".',' c' :',' ',''''' :: ',,' " .:,' . " " ,,',' , ',', ,", , . ~.,. ,,' :' --.J ." , --'-==:,..;- --)7;-' /: _~1 /, --' PUBLIC UTILITY DISTRICT NO. 1 ~ ~ ..0 ~\ II""'t ~~ ~ ~ ~~ '"'.... ~~..:.. o if' .p 'P-I' ~9z, ~ ~ ,%0 'A <Jl 0", '-' 0-(\ ~ '..o~ A OF JEFFERSON COUNTY, WASHINGTON NOTICE OF FINAL HEARING ON ASSESSMENTS LOCAL UTILITY DISTRICT NO. 3 NOTICE IS GIVEN that the final assessment roll for Local Utility District No. 3 ("LUD No.3"), established for the purpose of acquiring, constructing and installing water mains and water utility improvements within Public Utility District No. 1 of Jefferson County, Washington ("the District"), as ordered by Resolution No. 85-241 'of the District, as amended by Resolution No. 85-241 of the District, and as amended by Resolution No. 88- 274, has been prepared as required by law and is on file and open to inspection at the office of the Secretary of the Commission of the District, 24 Colwell Street, Hadlock, Wash~ngton. NOTICE FURTHER IS GIVEN that the Commission of the District has fixed the time for the hearing upon the final assessment roll for 1:00 P. M., local time, on January 28, 1989, in the Tri-Area Community Center, Basement Meeting Room, Chimacum, Washington. . Any person desiring to object to a~y assessment appearing on the final assessment roll for LUD No. 3 is notified to make all objections in writing and to file them with the Secretary of the Commission of the District on or before 12 noon on the date fixed for the hearing on the final assessment roll. All objections must state clearly the grounds of the objections and should contain lot, block and addition, section, tax number, or other identifying description of the property, At the time and place fixed, and at such other times to which the hearing may be adjourned, the Commission will sit as a board of equalization for the purpose of considering objections duly filed, together with all information and evidence in support of those objections, and for the purpose of considering such assessment roll. At the hearing, or adjournment thereof, the Commission may correct, revise, raise, lower, change or modify the roll or any part thereof, or set aside the roll and order a new assessment. Following the hearing, the Commission will confirm the assessment roll by resolution,. When property has been entered originally upon the roll, and the assessment thereon is not raised, no objection shall be considered by the Commission or by any court on appeal unless the objection is made in writing at or prior to the date fixed for the original hearing upon the roll. The amount set forth below is the amount of the assessment shown on the assessment roll against your property, described on the attached list, as the apportionate share of the cost of the improvements constructed in LUD No. 3 to be borne by such property. Amount: $ 0.00 Dated I~+~\ day of December, 1988. PUBLIC UTILITY DISTRICT NO.1 OF JEFFERSON COUNTY, WASHINGTON W. H. PEDERSON, SECRETARY OF THE COMMISSION NOTICE: If there has been a change in ownership, or if there is a contract purchaser or mortgagor, please forward a copy of this notice to the responsible party. ., .".' "" ,,,' ':. lif~1[ ",' .: . !; . ," .' ,; , .. ....... --- ", :' J:,C;..... i',. " : .'. . '. '" .' ~'.'.' . ....'., ',"',' : ,'. . , '.'.: ....' :..' ,,', . '. ........... '. ':',' [', Owner cd' . I :" '.',' \1 _________________________________________________________________ " " ',' \ ..............:...,.~ , .' '". :. ........:.... . ..' I,.' .':. li;,/' . I.,:""':" '. IU'f:\t;i,;i; ..... :',' ...:,'..... . , .... ,',,:.;'.. ,:, (...;.. . ,.> ' ". ~ : ,', ;' '." ' ',:' ',' , ",'"..' , '<,' ," , ,"', ' ',' " ' ''', . ": '.',,', '. ,'.'" ':" ,',' " ,.':'.- , ',. .,.' ,".", ',', ".' "," :;", I; "".'" '. I, ....... ....., . :, >:,' .,...,. .' " :' ",:' " " ", " , ;.i" . ...'.': ',." : . . . ,,:" ,: I,'.. . , "'.': I:, . ',' I ' Pr-.f:lli:f Utility District Nurnbey" One elf Jefff:ElI....5C.'('r F i na 1 Assessmerlt LUD #3 -- Hastings Lc,cJp S':luth - Watl~rrn3.iY"ls ..:._-_.:,,~~: " . . :..-'---------------------------,------------,--,-.--------, Ce'llnty Parcel Number: 977100216 Tap NUMber: Legal Desc: Lot 18, Blk 2 in Ocean Grove Estates (Division I) '. ... '. \ .'. Asse!ssmeY,t Br~al-<dclwn: 1. Sc,ul""ce arid TraY'lSrni 55 i on ------- 2. Storage --------------_________ ~. Beckett Pc. i l"',t Il~.tt:-?r)...a 1 -------- 4. D i scc1very I nvestc.rs I r.t erna 1 -- 5. Ocean Grove III Ir)terl~al ------ 6. High Pressure Distribution 7. Serv i ce Cc.yw'u:ct ic.n --.----.---..:..__ B. Port iCll~1 e.F Ce.rnrnLtY"lity Le.t; -_____ i ...: I ... II " , .,',. I,...'.. !' ',',' '.' ' ASSESSMENT TOTAL Rece.rd : Jefferson Cnty. Rd Righ~ of Way 1820 Jefferson The County CCIL\'l."the'use PClrt Tc,wrlse.....d WA 98368 , ,',' I '. !. 1." :'. . {: " I"" \, , I ~ . . : L 1 . L L 0.00 0.00 0.00 O~OO 0.00 (J~OO 0.00 0..00 0.00 -......-..- - , . . ,....., , . .~.... .' "'; " "",. .' ,';, , , .''' .. ,;',"" .... '. .... ,.,'., 1 .' . ....: .' .... .' . . , ",,' : . I.. , I '. '. J .: ... " . ',' ! '.' . r : I ... r. .... !.'.' . I' '. ." . i' .' i'.. , .' :' ,: ' ". ...'<' .' >' '.:' ',:' , ' , .. .' '" ......' , ';',' , '. ,;, , .,"...., .' . ,:.' ">. :. '. ........ . .....'. "." " '''. , ",'" , ",' ... ",,: ",: , ',' " ,,',,:. ". '.'" " " ,". .' ',.' , ..... ',/' ,," ",', ,,' ,',' ,/.,:' '. . ". " \ ,''- " .. .' " " ". " '" ," . ; ','< '.. " . " ," . .,',' ':"':;:' ',,,:" , " "" ':," " , .' ,', ',,',., ' ,:' " " '" ' . ".:':. ,', . ", ,:., " ,:: , > , ", , ;', ' ",,: , ... ~.. , _J ~ ... PACt I 01/ I2S'"TIi!AFFICWAY D PRIVATE WAY O/lo'1 OO);;COl'll~~IUt., ----O...'Y"i5fc:O~U~IO.~N, ~ .!2:~""'I~q.11' COUNTY [L "of'!) u .,.,~ .."'" tuf\. "f~ '....") .....,~..I l~ ~..ooHOUgl ~~ '"?~ . .;.c 'X' ,/_.. --'=--"F<!='....-=>-... I ON 01 D'N PP...2...!r-- 'I N........I&NDOf:!>II/UTORHIGHW...V....-:: ~8..."" z, Ow g~, 7C~->,.v---,"'D ION ~/7E ~k- ir. INIIIIYCI'NC,W,11'l ~TgUIOI1~"'O INONI~I~IQ!::I ..~ ....h ~ 11l(1~~ p....sC:c;'%((f &/7'd..:A//..J~S'Sll!Ul jJ/ Ol~ ANO &~C ION 'iOMIl( (RIN I.CIlOSS~III[llvo< .N';.YoMt)~ I ACCIDENT lip ,.:2 'R~'~:S ;; ~ ;.,-~- 0' ~-~j/~ )~R i R-r, M~L6~f (onl~~~::~'\'IO ~cJll~:~;O_NO INJUfllO-L- 0 ~~\"'Gl 0 ~:~I~lN I ~~i IN 'I :~:';'I 'c~fl~~S;~Il~~:ADOQ ~111I1~1 O....IHICIlS [l) DPllOptllIYOAM~G(ONlY Olll!>UlIIO OVIHlCLI I I.A I a oeJICI !>IIHJC~lNAMEO' OIlJfCl !>111UCk ANOOWNlll:;' NAMII I I!>l O_AGt ~PlCI~l't:O 'NCiUSI r --n,,p;-- 6~;;:d!"v/.,~~-;;"':;;-- s - - UNIT NO. I I'UNIT NO, 2 0 VEHICLE 0 PEDESTRIAN 0 PEDALCVCUST j' ~ Oll~AM./' Lo'51 '1I1~1 MIOOH Oll~'~N_1 Lo'!>1 fl,,,., MIOOtI ~ ,...J<:;/(-..'5<-.-) ~c.. bJ/~.-J~__ "- To;) ''''/'':';' /v,.>~/2' ,;,';- "..'"'''''{''' A L-.!) cP /.5> C Ci/IE/21/ )?CJ. \.1 ~.:z LE:S. ~___ ~IAIt ,J~P~t I~ONt~__...... 0 prv-- v / _ /'/ _ /<'J<.~S,5:'...::::v L,/H =--.x'.gT"25'~ R 1'_ OllIVlll!>lICI,?" NO I 51,,1( I (k D-~fOi' elll.'M I ~ /'1 t1 tAJ ~ f-; L- J OM.5e....[59t:"C3 I-J# -,:' .!L/&- d.'1 v 15 1'.1> ,?,,;..:i'P:!c= I "'MN,,^,' ""O"NO ~~ I"'G"'I~'G"' E IoiTuwi /) /.5 c. a Jc.f?V j(t). ':"', =: I..z. .e"'~~~F~1 ~~':.!r ;:;g..:..c--~~~ ~0-ts;.G R ~ :5 u / - o CHECK("') IVIHIC~I,l,!>'Z~.e':.:V!~n~c~~o-;:rirIAl ~'j :--~~ .. CODES..... J ;:~~~' L_ .. ~~;~:':'" W I !I IJI("ON_I 6 ~:~'C'&-- ~CODfS l 10 ~ INAJU~II!> '.#I6~~#;;-;~,.J -:--2, -.Jc:::>..:s.fS= ' i ~ t!~~:~>RO'" ~.....e'""""'Cl 0 ~\,'(1 0 E'tj~lU 0 ~~~::l 0 I"'il'..y ~ [0 ~;B r'-'::~~ I hl;;~VA) ~1?7V' I~ II u"I~---' -r-"---~ lO28 I '~7L Ilc37oJt'L:J;1 I""'~NO I"~ ~ "",,,0< I' Tm-'\J"'''''M''~ I'" ~ ~ V~!CLIIOlNlII'C~l.,1"NNO . VIHICltIDlNllfl,-~lI '\. ~ ';2 r It//.' L be 7/ rt':J ,L,; i' ' L I I I r I I I I:'\. ' I -.oj ~ llIGI~nllEOOWNIQ Lo'!>1 flll~l MIOOll rHON1 NO 0 Rlul~ll11IDOWN(R LA!.I f.ll~1 MID~ I PHOl'II NO .=J - ~.-.-- =-- ~-'~ w 7]" il~ AODRt~~CfOWNlll N I~DOIlI:.sOfOWNUl '\. . ~ .:$:.7'~ <!:~ " ~ NlWlf&"'~~9?"'Ull~NCICO OllAGINl _______~ _: ~)"'l:rINS-u ~",~NT '\. 31 L.:: .."e:.ff/4.-h~- .- ;~/""".:-;J "6""'/./ "- - 2D~~'AAI~. I~:::N. ~ ~ CHARCd ~8~~!r:~~ I Ei,.a~LA. ~ F~ ... In01..Utl....:>1 ,o~, II -1,k~o~~.~oJ~ -"1~ ~~::~ D~MA'~% D~:~.\N DR(M~NEO I(!>ID.-.M~C.( Ilkbii;D"O~~5 s9'~~. AWAY e'!' ;tt:::"---f?Jc,G.5rC.l/J 0 i~~;' &'1' s.. fib OI"A~RA1:^ OF COLLISION: : T _, ~~ml)~~~i~~~;:":;~)_., ,..,_lND~~~~C:TH ~~SCRIPT~O~ CO~.lI~'e!':: __.__._~'::'~~u:_":'.~~>4(.~~.~_j.C.(~ll_~~__._ ,.- - -----.~ --.: C . 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ADDRESS & INJURIES OF PERSONS INVOLVED + CODES I 1 I - I 2 1/3 1 ~ I 5 I 6 - OCCUPANTS / WIT,NE5SES lf~ ~~{~~~':;:~~A~~W - S:U["71-"c;i'" ki'.\iu~1 ''t.\1''1 ,...,~. Ict~J\~lifslR I "tic I I~~~~" :::~.. . '. ~~IO' --..--.-...-. INfvlIY OA~e O~u O~~. o:;~ D;o.~...!.l' r:::~:I"" -.....-"..... ._-~--~-_.~~~~-~- "'--~~~~Ior .....-.,. u:~v~~'llOMDA-:~ OI'i":.~uO~;"IO:::' D;o.~'..\, M;) CN~f ~~ I ,l,otwm ..-.." .,---..- --. ~~1~~f~O' ~trr5l"l~ 0,1,'-'\(1 Or::~tl O~~ll'.l:J::.:' O:-.~'..\. : ': ':,'; , X I~I"'IC.COOII~"C_ 'loN~;' 'le~~cr~lACtIN.C". -lD~~'~~~I. r~~'l.~3~PJ<~01~.;H'j'(jf"'lTc.J"~II2J~~"~1 A.: ~ATI , <'> '17'.-k, ~_TI-??7"~.4I8;~\..1N.sz:. :8--31~ ,,,"'",,.- I' "00"" r/;'D/~)/..~)'9 t'>//;,<'i .:... ..' ".., ' "" . . .' Ci ....... \. :<:;;.!, ):.. '/" ' <'.:<.:, , ,,..),',:..:"'.':.":,... '>/ .."". .' 'i. "f> :........,'.'....', , , "... " :.. ,,',' ';':' " ',:,' .,.' '. ", : I' ;. : , ," . ", :;~, ~;, " f,' ,B~;t J : .. ,': " ..: ".,: ,:, " Ii ',,/.' .' I! , , .' ,,: ", I I. I j,.' <: . :...............L . ',; ", .,.:.,':.., " " ' , .~ . I,: ":".' I. ': i.. , " I, , : --:- ,; I F ~ ; . , ", :, .' !:' wG 72: I""'"' I "G: r?~'1 "1'62Z"io~ Plt{IlJl r.~- r""'ll K>>I,,') 2. 0 Il...MP (Jl"CiI!~.y, OA'A I~":.' 0511...... IlUIlA.l. 1""0' ~ ST ATE OF WASHINGTON 7 7 No. o ? 3 POLICE TRAFFIC COLLISION REPORT l'Out! COo'l.l'l.~lNI"'uMell! \' " ; :.' 'ii, ill'.i' 71 ~ , .......~l,.., . ". " ,'. . , '.. . ' --::-- , ..'. .:" ...... , "." , ".' , I .' .' :,:' n ..' [I,: . "" ... i, .' '.' . ',.',' ,', , "'. '. .......... I 'c. .. Co' ,,;, ! I, I. 'r. I,' I: '.., '.C' :: , . I"'" .' ,I " .': '."-"',";,\', . ,.,' '. ,( " ,:: ..:. ' ,,. . ',' .' \'.'. . " .- '..' , .' , ..' " ' ""i" .':'. ",'," , ...., .... .' ,:, . ..', ...... .... . . . :. 'i., ..", ,.'. .;': , ',' '" : ,. ' . .:; " ',. .. ,'",.' ,11-,' . .,.' ti, ~.'",':,.,:,'.' " '....: '" ~,'..'" , , :',\ , " iJ ., .'" 'ft,-. '........ . ..<i' \ '\, (j'~' STATEOFWASHINGTON "01 I 0r.':.,,': r ~"r POLICE TRAFFIC COLLISION REPORT ~TRAFFICWAY KMLCOM......."~lNU,...6t~ ~ 1:2.. '.... 0 PRIVATE WAY <,~: :t.:',:,1,><., c""IO'colll~'ON--l. o......,orc.Olll~_'ON H TI~I~l 1I:0UN" Co.y;.~ ~ \,""NO I Ir{~uK::.:::" .,...... [l l' f'( g''iIW- .00 '"" "j('~" .. '" II "S~" 1I~r-&~",.l / ~ Iffi-;, -:: ;,__. ON 0' l{]IN env011 '?",",N NI<MI&NO OI:'llIlllOIHlIG~W"''' K;.:.:' I/)~;I PII(II.IIlOlJ'~_~~'~ I"""'" ."" 0' ow'-oo.cWlhfPIJ<A.I'11 ON f<Ho'J:>r/ b{JtJ€ I" I" ~'I I '1',",,~ 11'1 'N'III~CIINC.WI't< !OTllflTOU'OA;' 1::w;~;V"ucC(~& C!c.N~ Iia Pit" I)' ra IMIII~I 4, lt5 ~ 1,--, OI~'~C1-&~~',I.~'''OM'IIH''tN l.C~~~~'ltH'OR NlA"'(~' Mill PO~l I ACCIOINl "AMI> \OIAGrlAM Dolo'''' Il ,.r- 'P1~I~~!. n ~ n ~ O' C~z.. P.o. Mgg~E COl ONIN "'\1[0 t\llrllll U( -I .."1.\.... 'N""l::f''' T 1"'Ttmrl!.l(III'.I(;~~(lOIlRQ"tI06lRl'IIt(N(t (., , (1:'1'" ~oi:."'ll.tb NO INJUlltD 0 !.Plll...C,1 OIolI111IlU.. ........D~D...\ IN"! CI~ CII""'~)l~I!!Ol~..oO ~O~f~tt~~ ~ DQ"Opt~"'C,tON\Y - 0 ~"~UlTlD O~~~lt~1 - ,?,'f'fv -- Iq Oh~;';;;;V.b~:OOWN"'NAM" I. "'0.0' ,",..,'WO'NO'" UNIT NO, I UNIT NO, 'J VEHICLE 0 PfOESTRIAN 0 PEDAlCVCUST l;J' l'q O"D'OC.,.o~~ t TZ- 01tML.~ ""::5, O'''''':;:y N:1r-.. ~'/1'1,J ""'L. 7 I . '7(;0'13 Qc..{(n>,ocw:... J...."v I ''''''~~ IY/v'c~ '--N ro:< ,n, , _ "'" '''COOl '"ON'NO 0" "'" ."". ~"""' "". ..." ~ ~ ff/+O~~k WI'r q:i339 lif5::'?~" R et-lr/1fM.lWn t---4- <?Y,S,lS- V3.J-~bcl' = ~ "'13'~C;;w:>s.y~br<.1 c~ I';' i"l9~ ~ Ty;JER.JLSOI P7 k.,;~l:: lif1;"~'Q ~ ~ "'l':::.tON I"'.N~'''"ON'ND I#~' 1'j!~O"'I'!:-"i:' E ?!:'-"""PN . l'e,N":''''HON'''.O. la:'1"t'''''I~~ ~t.;.~ IPOP6 +-77Tt-L?",-II"k-I'Cblll R7.'~ll""'<::-1' L~~Y&~ 17?i1~~'" CJ~ o CHECK (,I) I \lllol'(~l A"~~~l'; ~\.~::~HIl1tA.l 0 CHECK (f"l I v:J.:c~i~~:'~~I:"I'~IC:':"(~~I~~"'L ~~ r CODES...... J ~~:;.~. J . :~~~- I ~ Ill,,,,/. 0 ~:~ CODES" .. 13 ~~~~~. / . :'.\I;:':~ ~ 1.c",I. 6 ~~ ,J 21 I" 'N~~lllo ';1'\/.... ,../c- INJU~~.I..O' A.l c:; rvC ' - L-.-,;. m":..~"~~I"O'" 0 .....BJ......ct 0 rl~CI 0 rg~lfR 0 ~;~,~:: 0 t'8'...!o<' ~t~l1.:J'''O'''' 0 _",,~....CI 0 ~~pll 0 ~g~n. 0 :~;\: 0 ;<..';'.0 , "H~D I~~';:" I t;';;';''o~'''' 1 ":5{b(Z" 1 E f)"( 11SA7S;';~ l'57A2,"".A) rE1();e''' ~: CLBR"~ In)(~D 1~~A- I'''''''~''~ \": 7 ~:~ r~Ol-~I;;tl-l"""::'NO r::' ~ ~;:;..':::CI~IDlNI",CA.lIONNO.., c IIIHtClIIDtNTIFIC...TIONNO I ::..::... 1';3 X" I A()!OD 7;' ...,..~ I ~ ft-,S"'t CeJ,;J.i'lf],"''-/ I I , , I ::-:<a- r.;:;:: l11c,llonIlIDOWNI" LIIloT FIl1~.l MIDDll 'IolONINO l1 I~Tll1l00WN(l1 lilo.51 FIIl~1 _. ~M,'ocx.l -L"~lNO ~ ~ <::;-A-rvt'e:- - ~At-.L( SoN LOY!) $,--c,'17(o ~ AOD"""O_" ~ f;o~"15<>X S/<a ~I-Qa:. ~3t? 3J 'r:-:--- N~&A.~Dl1l!.!.OIIN!.UIl"'NCICO OllAGINT R '':;:::C A I.....~~ ~ 1'_" ~mb"<~ ......."'., I .."'- l. ,.- ~ .. _ I 'II ~ DA..MA.GtDA.IH'" ~';'.,~Ill''''t;. ~ . . I n'o.1oAfII''''G I ~A.MAGfD""LA. ----m E' ~2 '\0"" 1'R~~;'g:1t:~~~~~ CH...IlGl '~;= ~)TO" .. ~ , ._...... !>II!.I.~A.G{ 10 ~"IVlN -O-IlIM...IN[O Dl1I\1lN - ~IlIM"'INtD 1l!>IO-"'C,{ I, ........ !> =in ~~.ISIXOD ~li~~8Y KI'-'-S O~c;.."':~8Y \-,I"'WAY ~ S~oo I ~. =.I ~ oIA~RA~ ~f -<"F!~..,.st1"-.'1 ~~Ul~~P~ll[C~~Nlt1 ; 'mlND~~~W~lH D~RIPTION OF COlliSION: (USl !.~~MlNI"'L !'~(1 ~._~~_~~___ .------ -- ~ ,.-. . I I , "~~~J .' . : : : H~:2,e l ,oze..:A-S ST""fl"-=>,. SF'AJI't'<-,.""<-,,.f'l_~_ '" ~ ..;:;;., _ ~, , --:---- ..7:!-',...,N I'" '7Y6 a<.t-!;-'h<<M."""C?~,..., - , - ,-.......--.::0-.., ' i: i "P'M.I<I.-.JrJ-~-r-, "'/"'Swtl':"C-O,T'O.,,,,_= L : , ,~~_:..... , ,.itIlOI C .... ~ 8<-<-"-S~(_C-k !!..~"~N,_,, .:=J C ' J~, I ,'" i ~. : '. ~ ~<~K A- rl,1e It'Yl)R~~~~~~_~~~~=~~,,~ ~ I"-~ L: NAME, AD~is's ~~1t;R~S~~~O~S INVOLVED + CODES 1 _' 2 "-~"-; 5 "";"::J r OCCUPANTS / WITNESSES Wi: ~i:.l~ti'~~:~..:n: '" .1'01 Ld ....~.I.'(:.r I ~::d,;,~, k", I ::.w:, ~ . NA.'T oyz> 1lI-J-(s.a~ ~rS--~.(7\O f'\ rr<:i I ;;;)- ,,-< I I I'" ...oomp,")-tsD l(1~ ~"T~~toi.A..J-O~"'--= !oCIM\lS' OA.M6 ort.". o~~. o:;~. ~,.....v E......MI ..... ',' "._,.~.::. :3:~:C'IOI 1 --I I ,-... "pr'~f~S ' ~, ~r~\I~~'"oo,\ 0....""'" D~~"I o~~". D:~ 0 ~1c:.1...\. <<J ~A.""l A ~ I "t'P~m /? /J ~~1'i~1~Of ~b~lIl\~ HO'o'o 0 "MD 0 ~~(. 0 ~~.,' 0:::- 0 ~~'....... xTN"'~'Y1fC'lf.'C1V'.~~"vC- 1~"O~OOIAOIN';, <t!\'~~~"::''J1O '1U7'~'J.."OI~A"J'''7.''...lm~or';! I "''' ".... l".i..,.... ./J/r l:rfO'I~~f' 0/...;'1' '''""'' "oo~, II/hU?1 j{{J'> J :::u,''(,J (i ............ . ...... .' '.' ". -.-. ~ - .... '... ~-~i)..;:!;< ,<' c .' ..< (.' . ..' ....'..i'>!( ......,..(>: .... ....,.,i ....i/......,.. i..::... . ,,> ',,', , .,ii i..'..... > ...... :....:i' ,;.". ....,. ..,..''', ;'. ,', ':{" .; \ ...............,'. .. ..... ../: .'.. i.'" "'.. ,............/ .:......,..............i ....//.., .... .' 'J.' d.....;:". ......... ,/",' .,.,...... :~" , " ,,, '. "':"', '. ;," '. , :.' . .", ,,:'. :.: . ..:. ..... , ' , ' , , , . i :' ~. . t .1' f' , ',: .. .. '.'~"il[).;:i?;::~ .'; Ii '.,':. : 1\ '. : . i ;, /,:r:: ! " t/ I: .': I . I: ". " . .......... '. ;" .' , ,............. ......... ,;"',' " ".', . ..' 1:,.1:,1 '1." Ii "..: L i . . ',: . " ..; 'i .... .... .' ......... . .,.'... \. '.,-: ',," ",' '" ",,; '. ..' .... :::. . : ""'.,.:- : , ' "', , . ' ',', ',',', '., ' ........ " .' " " ' "":"', .." L , ',": ' ,,',' " . :: . ~ , ", " ' , ." ,:.. " '," '. .... ,'... ,,' ! ...., '.: ". ...... .' , "',". .' '.' " , ,.' L',' ,< ",' - " ," i' i, .,'. ,": ,.:. .. '. ".''', ;. ", '",.' : . , ,;,' :. ."jJ , ,. , , i"',,:,, , "" ' I ~ , ,,"',:', ,', < , ..'C ~,', , ,':,','-: '~:" ' :,' ,," ... ,:' ~ : i ,',,' "' q : , . '; !<" &1,' ;.t' PA,Ct I 01 \ No. ~lRAFfICWAY o PRIVATE WAY I)'" 101 COUI:!>' N A'" (II IN. ft 11M! llCOUt<T.. ~I;;~. ICIlY r..o IT I ~ ~. z.i w..~ "''' ." ~.. "' D '11:.'7;,.""'" II J~ff'e-s..,,J / c ~N 01 D'N ,\ CHYQlllOWN I NAMIINO Of$IIIHIOIIH'C.HW...... cy:l5 L~~lW(TI.'Rov'~0lI5.:.':~ I ..."" 0' O' iiijo' \-11\01 ...c.\<.. ION '^ e",-I (:? r ~ I ~ </.",;-7) IN!I\r~;!~'.:"::lH ~lI1HTOIlIlO"'D NONINlfll~CIION _ _ PIIIwr. IfQ I'MllI~1 .1\..00 ( t'.\) t:a..r!- e[tWlIN :!tUlIlI & $TIIUl V I Dl~!""Nct &O';lC ION 1I0MII! IlIlN I,CII055511l1l10ll N[.I.IIE5IMII.I PO:!> 1 ACCIDENT IIAMP ~!...c.Il1"''''' OAI... .c::r H ~'~:5 N 5 f W 01 C pOAfl M~l6~( I COlll~~I~:~~"[D ~ ~;I.~:~:O~t>.O INJUIIID~ 0 ~\L...c.t DH'I&IIUN I >4J~"g:,~~..~ ";~(;'I:NTtlll ~~~o 1~~I~r~\~W~II~~~lIl1O....tlOlIillfllllr*,1 orVI"'ICll~ tl::.I .~PIIOPlllT"'OAM""Ci'(c)Nl'" o III !>Ul 110 O~~~'~~l - }. I I 1- L < '"(~ li OBJ(Cl~IIIUC"II';AMIOf~IIUC"N.lOOWI';III-~NAMII Is 1!o1~.'G( I41.CI....lCOo'''-'GLJ<..I. UNIT NO. I UNIT NO. '1 VEHICLE 0 PEDESTRIAN 0 PEDAlC'I'CllST 8" ~9 OIlIVIIl!oNAMSMI~ M'~~Ae..\ pMIDon DIlIVllr!oN;::I~1 j ~l, ..r:.. ~\/i n ;;:1 =. ~II<Ul"'OO~I!o!o lillll AOOIlI!o!o ~ . ro;:;- 1:'\ "D I' fOB '3~</ u, "l, r {I,." ,. i= Lz.. ellV I , ... ...... !oT",l( d~:co~... I ~ONlNO 0 I... . \ !.....I! III lOt II'HONI I ~ ; ~ 1-l.A\11 i (;I~ ,~'"53, I~S-C;o(",Il", R 1JAlli&'l '"i'AAI\ '13,:.3~ 1"8'5-1721 l10 D"."'.~~~~f\'lf'1Uf{,. I ~ I~ 1'6~~r"~ 0 ""c":;;.~ . 17.:': T;f ~~..o~.",~~ 8 OCCUP....TION I '1IIMNAMIlPHONl NO i:"'Yl!o.IWlIGl-ilj!-4;IGHI E OCCUP....lION I'IR~"""( I. PtiO!'llNO I h't~ IWl1GoH111'tl(,Hl 2- lAb.,." II ~.0<;S~... '.'"0' "'M'" I,~ (." R Lr>.f..W V,,~ ~ '.' . PAkI &J11'l~C:, ~ o CHECI( (....) . ~'c~:~~-:-.Ni,::~'OVf! ~(.~t;O!HIII 0 CHEC~ (r') "'N::~Hltl....!o....~::.~j,~1f ~ ....,'tm...III'...1 ..oto",=y~~,- s;., ~ CODES" + 3 ~ii~~' I.. ~~~ri:'''.'U 5 111(1,00. I 6 ~W.fI<::'cw..... CODES'" 3 CI"~~ .., .. ~.~"... ' LI sl.IIclloo.l 16 ~I(I' 10, 2 'NJl~lf!o tJDtJ€,.. r~~T!i~!.Of No A~_ I nr:.~"~~'8U'" 0 ......ft",....CI 0 ~~~I 0 r!:l~I/A 0 ~:,~:: 0:1.i.'..~p 81O"'-"'"0ll<O'" O_Iu'....CI 0 po.'(1 D~' 0 P8'."" 51..01 " v\~(. nq;~"O" I""'''S:D~VA' I''';;:D~ON'' 1~lv~~i"l 11~"f)'.'" i':'D<R>'~~;"l~'~"~~ ~ . [v~ I';;t:~;:~ I"'~ I""'''':~:."o I""~ ~ -;;;.;; 1'41~J1L 11':.\ I' "~ I' ~ : ~ ~:'\':J3":;tF'~-,> 'g"':l, ;aiC;- I~ I;"'F"":;':~ t::;t Ie ,f-.'~ E' c' ~;;l ~ =< L- ~ 1*- IIfGI5nRrOOWNI5I V,!ol Jill!>! MIOOII I PHONI NO IllGI5nllEOOWMIl lA51 fill!.' MIOOU I NO ~ :.:s. ~l~ A~J ~Iutn 13'6s-ti-Il.-. ~ CALl...J\w"- Le'~i,,-:-;- 5?s-P..i'7,--- 12.- ....OOIlI!.!O()fSO;::~;,... AOollmOfOWNl1l ( ; j 311 l""~ AS C\!.\\Je~ ~ 'SI'\lW2- 'M ()::.,I-;'G~ f-J-J (iJ;"""" I';AMII.....OoIl15S(:IIN!oUIl....NCICO O'l"'GfNT " IN:.U ....N(.I~U N ~ ~ r ~\ou: L.. \-1."" ~~_n R \ '''-I'IA '-tl p~~:6'NI'''''. 1~~~~f~~~,I~:~...U- ,'_c;' -I~~I:~'~~,"-I ~AM~OIASlIA. ~ t=' iJ ''';j 0'....'., ,...eo 0'."_" "''1, .~...... ~ f51 DAMAGE 100111111"1 jiZllltMAtNIO ~8'V1"" DlIlMAINfO II!.! OAoM"'CiI ~t(l bi!u",io:J~ ~olon~ $ :(y..~IO :i~fB'" O~~"':~BY w...... $7~ I I tOIOnOM. DIAGRAMOFCO~1 I lu~t:'UPPUMtN"". IN~511~.'i:.'H DESCRIPTlONOFCpLllSION: lU$f~uPP\.IMlN!""lS"f~"Nltl~R'I. _ _ _ _ _ ,-E . . ' . . J -;, '"""''''''Tr -~~..,. tJIgCeDi'lc"Velt"2. WJB-~-Mo~y. 5 :~ <.-d '.l, ; :1 I' '~I\R \ FA'ltO ib 11'.'~ ,Sf!P-5WAT", .- ,t h1..Abt:. !)1 ,-"I ~ v OM.. (dMOl.lr60.0.</J--I . VCtt"1 STn....,j<. ..---,..", ~ : ,. ell""1 l,j.~ ...W E. ~f>J(. c.r-fi'ryJTl:u<\,,/, c.::::t' :/.::;t.: : ~_ e i _: . ........,....'.,., - __ ..'.~ ., _.: I ' , , I I I ."..1 II j ._...1 -t-~ -I ., -y--'-i-'~ i. .;1"'''"1 I I 1 ,. -,. .- NAME. ADDRESS & INJURIES OF PERSONS INVOLVED . CODES TIT - T 2 T 3 T · J 5 OCCUPANTS I WITNESSES lf~ ll:;;~~g~Zi~l....~W "-Si. :'"1"....01 b1A,-u~1 'N..~>ll ~~,:. cl..:.~.'IRii.;" fitii "., \N,IIII'I/I~_},\ _ I'ol\::{ .~ ::r.::.~oS':"13'f'i .. M"X'I T"il. I u.l I AD[lllf~:2i..;'; . UI~ D",-tr' '. ~~'.",l.. I 1J:.!.c "'J~ ~J.m"'J~'~OM 0 AM8 Dr..~o D~';". \It.. "'i:"~ E:::~:f!oS I ,. .':_.I'::':'l_~__ t''::'1-' ~1~~1,0' ~ --.- ~mlli~,"oMIDAMlfl DIr:~(tDt"r:~". Dd~ D:-'~'..\P .o~ LI';AMf \ .._. -i:1~;:ro~.( "+'---..--gIMOVf?J~~OTO~)&'("O"I"I-r;:;)!.~. "~":'_, ....!lolll!.!. ., l INJul"'f~ ~rl""ll ....1\1\1 cu COI'I'I "'.. XI f '.' <,:: ;r1.,/.....'),;,... ..",... ....,.....,....'i ',"'... "',. .'i\',;..i'; ",..ii.'> "....... ""'<"""':""': .....d ,.,. ."., .. '.":"., ";' " ,i.', ....>\'i..': '..'......y ,..'..,.,.,...'.'",: ", , I:. ,.'1," ---' " , ~o .....~P_...~.I~'f STATE OF WASHINGTON o 7?7?fl POLICE TRAFFIC COLLISION REPORT lfi:..' ~ Ull1JoNW IIUIlAl. ",,,>ON /" , , "d':': :',; , ',,' ;'...'. :: ' ~ " , .. &. .t~" . ~\, ,. L r r= r= F. - CeDA~ ~ ~evJ ~:: ; .,,' , I. " ' " \ ", ,', ,: ,", , ....', .' ,:::" " :f '..., :', ".,,', """, iL ',' " "'''.'' ',' ,i', :',,' i' , ",,"'" , " ' ,',,,;,' " \', 'L. .. ' " i;:L' '. .': :.' .... " !:.,. .... ',t ;: , ", ,," , , ',,"', ': , ",'.. ,"" ,::, '.' .' __ ;'1, ':",.: .~ ,,: " ., :,. >,aN, L ,,,o"o~~':,ON . fl,::;~, II'QU'''' 'OU'j~ I""NO I~'.~,N. /-' ,:>':',: r1 _=< '7 Wlw~ ..(~ lutl ..H)'X ",. -\01 U t/~/;~gl II ~~tt?/J /&- I~:::N ~ >:< L1.. ON 01 )<fIN ~Y~10WN N.......I...N<;/"~UIlIlOIlHIG...W....y ~C~:.I~Cl~1 IA ll/o.:!1o:.~~I';O~ -15rClO,T ~ .0, "',," 0' OW 00' //d'2?c'o~ ON r#;~ $/- 1':"",,1" j I I '-."'7Kn I _ 1N1II1~CIlNGWll~"IiQA:;) INONINIIII:.tClI0J-.l f'kl'l" I'Q IM!l(f'O~1 """. ~ ~ .13 --6 .:S,,/ IllllVYffN - ~TRflT & - ~'''Hl I c.....,...r ....'5X ./ D'~I"'NCt&D'II(~tLl~ fQO::"lf~II(N;I.C~5!.!.'IIHI0Il Nl"'II(5IMlllt'V5 I ACCIDENT II#.MP ID....GMMOA.J... B JUT 0 0 0 0 01 - M~l6~E I COIU~~/~::~I"lD ~ ~;~~::lD_NO INJUII[D~ 0 ~~~M~l 0 ~11&RlJN 1 t<<)~'~~~'i..!. ',171 :N/'" I ~~~ 1~~~r5~WJ~%~Il..o""00l1l:l'1"I~t IJ 4 C>>"IHICLI5~ o PROPlRIY D...........C.1 ONlY OIl:l!.UIHD O~II;:'~';"I - )(1 I Ih~/2.t":) /0 2 06JICI5IRl./CI<INIl.MIOi06JlCI51IlUCl<IoNDOWN(1i5N.M'oII Is (5'~"'GI PlCI"'ICOO,N(olJ>1 .- UNIT NO, I UNIT NO.2 VEHICLE 0 PfDEST~IAN 0 PEOAlCVCUST ~-" ~9 D?;~~f~~:J /?&~ ~'D Ll :;e~ ~51 -rL;'c;; ~~D2 ~IIl(?~!. ~llItll?D_D -' I !Sf e,,, c;;g 3~.." ~'::'O'" '"ON'~ _ D '''',./ f.:.?O ""~_ I~~ 'NO ,_ ~ ~ Y/_ t:...i'D/o<",-, /,.J& ~~I~s~St>3 R L/A7;,)"d .,.4 .%.337 1?~:57.r7.;-<J"" :f2...01lIVI'l'5IlClt./51NO ..~ ~1"'1I115o(.I( o::""';:":~'.H I D'l'IV1.R~!.INO I 5''''1l,1 50(.1( I O"'I(}fB'"'~~ ~ ?~P"?D&7-1~1.v4~ 'Y,/9 ~'- v ~J.,3/37?~~ J.,#ldll/.ft"l::.5';:-2 8~ ~UP"lION ,IJIQMNA.MI&PHON'No...../ ~~.~.;~'~GH' E OCCUP...IION "IlMt./.......I&PHQNINO I~~ ~~':'"l~HT :2.. ....... ;;:J{_~j21 ~,J/S ?.r,,,,,.a::--,,,c - R NtJ-iG. "Jo-^"C:= ~<...It"~'j-'?'6 ==- r2: _JS ':HECK(,.'j 1t~::-':'i"'!.'ZNLM~~~II~rij1W"'1 0 CHECK (1"'1 ';~H'C~I"'S"'NLMr:'f:~~II~.~:t;j'i""I~"'1 ~( ~ CODES.~...;] ~~~~~. 7- .. ~~~~~,..., ""!2!"5 IllCIoOO'< / 6 ~:~ COOlS p..;. 3 ~;~~~' / I.. ~~,:::....,." 5 IJlCIIO.. / 6 :='~?y""~ ,') ~ 'N~Jt/lIS J"l. '0..-)':;;:' INJ U'~!LUI ....., ~1/7~J IE. ,:;;) L.....-.- n~"'~~'~o'" 0 ......~"B....(I 0 ~~(. 0 ~g~,,~ 0 ::::,~:: ~""~I> ~~1~1~1."" 0 ......IIVI....CI 0 ~~~I.. 0 ~t"'1l 0 ::::,: m<1....v "1~11\.1I I"""Kl1OOl>G1 CHlv I I ~"'''I NOV"" I~TYlI ~~ 'CON~ VI~;:'l~." ~""""I< ( .C~I~1 I MODhIO"'Rf.NO"'''', II STyli 12C'l' 5f1NV' ~ [ZI H,?? 1-n<"j7&'~ j/t/. ~'P......;,: E,/"/lf,5 I ,<;;/gr1~,/ I GL-S....J S./J '" V .. c.o;.c;, IIIC~S( Pl"'lI "'0 IS''''Tl . 1111...UIQ f\"'U NO 151"'1( H i V~~()Q 1 tI~Lr7 I'~ fltU .1 5 ... I' IL ~ "10, I'" I ~ /J/-//Tc- 1#9c6.;;3 W#'I - - I L,Le:J) W,urv~1 M? I - - 5 "3' JVIH:,C.....~ "OI~.C"'~ON~? Q .; J / .,"" , f "'IHICU 'o:"N~C."" "ju -.' c- ~ .:J 9-r' /oJ. '/'''''/,r ~, l.:f")::- .:L~,J c;33;2/6 ~c)s-:-~/ ,~r----.. ~ II(G;S~:O)WN/. ~ ~~.. _. 'III';. . J/ MIUDLf PHQN1NO RIGISnIlEOOWN[Q l~T JIIlST MIDCllI ENO ~ -2. /.k..... ~ }'/C.",,~ P'"'"-'c.- ~f':.5-.:s::s9 ~,~.....-fP.-??e: S4''''''-C= '---- ~ "'~SQlOWNIIl,,/.. N ......".E OJOWNIIl ld] ~E /.'5/ /-.';7>/t:>C'-C NA'- E' $4r-r.'"c rrr=- NA.M~OIl~'N5UIl...~r.;:o OII~- IN U ...NC.llU VI< '"-'IN ~ I~ P-~//~d!$e.~"M"0t-~::/.>/3C:;I'7' R ~7.......J6 "/1 ~ '...I.P...J:..'1c.W.&JII... 10'6.\.."".." I':!.!!' '~I'I':.-?Cot5: ... 1~~,!tA":'~11 OA.M~IN!LA ~ E~ :). J..F.(~~'~~;'g:;'I' CH"'IIG1:~ /. . ./;c/~~~,./ CH...IIGI cr..:f~T1= lJ.' ~'. ~ 1~IO~~.~o~!Iop!lo'. lJ........~f5q~~~tY,.. -trIUM...,NIO I F;l{~"lVIN DIlIM...,NW II!.lO.<l,/o\ I _!_'.o."~..!Io5 ,'~f'o ~'ls3.?~. IFil~ti.~OBy~.&vGL- O~c;."":~8V r~/,~JJ~--..a s/~;. lo.ono..._ r= DIAGRAM Of COLLIStON' IU!Io! !iollP'lIMINI"I, ,t./O'C~'.N"'. '" D._E_SC~IPT/N Of COLLI.SION: .,..., ..' "".PLIMl,.. NT"I &,"._". ;.~ .'."'"'.'. .. .-..2~ " ) . SHIJEllf Nll!lo~iYl 01 "_., BY 1I0W ", _ ____ ~.!,..oI _. ~ ~ - );.^ .111'-1......1 ,.,' ]/G/ .;:( u~.s cU$/.,:w .:sr-~... _ ~ r= ' _,",,-/, I ,,_..., '1 .,t/&/?' A/. ._../vr'-'" .5.?fc~~~. ..>'/J?-:'? .. e:::.. "_ J ;"! '. i: I ' !. S/""~..) /c,,/;~_. 0_.) D ,",Sr ..., 6,-<T~;:;,.... ::m . U; ~'..." .L..;~ ..........-/<:!Z'....,s'E-.:J ;.W 0;0:: .r/~/.?;;> /'vL~,J6. ... :::J -/........ , t j."....I,.....L: ", -1" C!<'/ .'...,) A-'&~.;:r- .,.;.;:-,. .P'.:;g.h/~..::? ,..::;il [:'_ . V; ,....~ ;~//........;2 #/~""""'P~..::0. ~ - ...=J , ~_: : In!';.."/:; 'j Z1'J'- s.c..p "'_.J ,S...;o.:J-=-:s.;;;Z.,,",c:.. AI.... ,.,...j .. :.t/,:::i,-/ .-:-- . .j- [1 -r l!J -i-'!ft i i NAME. ADDRESS & INJURIES OF PERSONS INVOLveD OCCUPANTS I WITNESSES f,UJ: ~;~t~g~~II~,,~n: PHONI NO ~~n~~l..o' ~(.lNl ~"'~~fOI " N NO ~~L~~fsO' ...~ !.~mV~~'1I0Mo"M8 O~~(1 o~m" o:~ o~':.~\. UNllO' t'ollClp$>p..,r.HID P01I5IAIIIV1.0Io;:lo'RIPOln,l",p~llr;;:f~1J 1 ~...Tt.A'_ R-~3 I /:r. te~ I~~:( 1ft-9-B~1 /:HhIIl~ l/,;/r7 ":'::/, "'- ..i">>" ,.....i ", % Yi.>.,,>;. ..,...... .::\'.,c: ...... ...... ) \;':i.....< ':., .....' ...., <...............r....... i...... ,I. .'f.. ii .<.:? .....,'..'>; ..,i>:', i IS( i ____ii! .... ')i'ii; .... .'/<.( ')"'. />:. .',.....:;;, .~: ........'.. ... 'c ."".", ....' ,'," .. j ".. ."'11' "'/",.-' : ''',.:,.' ~, r r, t , I I" \ l' 1, i~ f ! , \ t '., ' '., ........... ...." .' "': ..<." .......... '.' '" ' ;',: ',.' ' .' ,'. .... ..... ..... :~> ,i .' ,} ..... ..' ..... ' .... ". :.> :,;; " ' , ;:,. :". .' ;, ....' ,,'" :L : " " ','. ,,' 'i "..') , '." ':: I i I .':,. .1 .- , ; .' > ,.... ./., ; ,-", , "" ,. ", ' ..'. . ;, ,: :. ." .. ie; .., :. " '. , .,' 0;;-- :J ., ", . ~;.I(OF:~f l,.\J ,~;" I ~~~ .I(~J\~ If~J-fJ;C'I~~~; I I T J~VJ~ fllOM 0 ........B 0 m~' 0 MI';' . 0 :~ 0 ;<8'..", I I I I - .. " "'DDIlI!lo~ r:;- N'.' 1~"'ODPI5~ L"''''-'J.' "'O(lIlIS5 I'NV(~'c....."NC.OI~~:1UN. ./ IB~oc.,kOIlIAGtN(V X 17.L'~ /7'" r:1-7.&!.~L 1P.'&-i,l1 iJSP ".- . . . . < , ~r~v~~ IIIOM 0 "'-"8 0 ~~1I 0 ~~~". 0 ::: I I , o~~...~. T .,' ,'; ..... ..... ......'. .'. .... " , ' . ' . ,... :". ':. ~ STATE OF WASHINGTON ;:;" I 0' / No. 0 7 2 7 3 0""" r ~ POLICE TRAFFIC COLLISION REPORT ~ tRAffiCWAY loQuU (O""I'L1."1I NUM~I~ -;-n\ 1'1 D PRIVATE WAY '71 I ~1~~O\~~:"L OM ~~~~l)'~ _ ,I "Ml IlCOUNlf fi-OVN}'r \,ClI'l'",Q I P-;-I;;L... '7 ;--}'71....~ "" ." 'X ,.. ~'II~ I";i:C~" II J'~r~/..so.-J / t ::> ~ '" ON Mt D'N p;;,9.}-.'~ I ~1&BOI~lImTOllHIGHW""f 1'('.ClS ~"'.~}o.~1 '1I[1IJ l'''OVUOIt:.'rtIICOD( .r-....."" 0' 'Ow d~' L-...D/o.<-J ION k;~/dZVJ.e ~f./ G.') ,<;o~n() INIIII!>tC1INGWUt-l :!,lllllTOII AD INONINl{T~ ~'- P..tll~ IQ r.....,lIKl~I.., leHW'EIN .;:S..;A-.l!c.-::: STRUT" t.,4/Lc;:: S111((! ~. aD -/ DI~l"'N(~ &~,1'ON '1l0MIl'IIIIl[N;L_C~OS::'Slllltlc.w NlAIIIST""',1 ~ I ACCID(NT R"MP IDI..GR...... DATA {.? t. I f9~I~~~ ;; (, w ~ OI~tI'L'~ ~S;- ~ M~l6~E I COlll!oIO,."INVQlVW !>t.....IRly, ~ 0 Ul 0 1 ..."U". INI'"I: lfjllJl.IIDI;l ~NCt--~Ilt(I.'.~IIIlOAOOIllltlIOlI~oIC.l c'.O~~~~S!o III ""~:~~~:f ~~:W 0 ~~~~~~~ 0 i~~h{"" ~~ I: T~ I CI!o I CRO!>~:5611 c5-~ 0 1'9 08JICl!>1IlUCkIN....",.lOfotlJltl!ouIUnA.NOOWNIII~~tJ./ I I!oT OAMAG[ !>PlCI."ICO It./Glhl ~ -="../2'-;- e:--"':?S.4'~"""6</.~ " Is- UNIT NO. I UNIT NO,:1 !>- O::~':;U/J;~ ~~:;;o ~~~~~ O~NMU ro-n !lTII~~!> ~/~E,..J .#tt16 ~ ~P6 TIlItI~!> ~EC~~ j,/,4AH 7'c;?~? ~~;~/oO ~ IY " _ Ollllllll!>IICIN!.fNO _I ~TAlt I Sl~ ...~1t 1 H I POIII{(OI'!oll IN!.lNO'\.. 1.-?;1...f';Ju~.5'fi.....'??'//15 14.,..f ~ "/...c'? -X; v '\. 8 QCCUPAIIO!'o 1"IIMN....",.t~PHON'NO J:D,;..J.....",c:.fi~ E OCCUPATION l'IIIM"\....",.I~PHONlNO 'f<. ..5~'L6'? vI.::; .-../Hv''if 41;;:::..;l'-"", r.::J' R I '\. o CHECK (Y') 1'~fC~:~.e',:t:~~~~OIHIIIIAl 0 (HECK (,t) j "'HICI ~ANlM':O~H~...:tm~lrl r:;:; CODES,," :) ~i~~' J .. m~i:.'''' /..I 5 IJlCIION/ 6 rB:~.lPC~ CODES....:) ~i~,{~' ~\~~~..., 5 IlIC"O" \2:::r::m.",u, "" J<:FE I ~' ~~m'iWllo'" .....8\J'.....n 0 rl~CI 0 ~g~IIR 0 ~::-,~:l ~8"'\. 0 ....IOI....CI 0, -,,~u 0 C;;~"II 0 ~::,~:: D;-'~'..Y' .toO'" ~~ ....tlMkll~~yHtvl IMOOH(O"Rl~.? I~TYlll~O .C~ V II r IOOOGEc;Htll) ~lIOART.P-.I()VAJ I!>TYUI1tlJi.CQPIII F'/ r/;;;5 I C./Y5-t../ C!/72./ I~. E '\. I ~ '" ~ "&?Z:.,; I'''''~''''NO l".~ I""''''.''NO TOO" 7 VOH"'''''' j" 'u,,"~ ""\J ",.~.,,~ I'.' ~7'GO</":Y:;;cY$eJ3FihJ/~ /,c,../ Ol~ VOH'''''O<N''''~.'' ~ ". ~ IIIGI:ltll~~WNEII WT . fiRST ""OOll IPHONtNO. 0 IlfCtl!oltl1EOOWNl1l lAl'>1 flll~l MIO~ I PMUI'INO _ c,A'~ p:'t'C#'"",~.L- 2- ~~5cy<,c.> '\. I 13"1 "'OOl1l~!oOfOWf'.ltll $;- ~ "'OOllt!o!oOfOWNIII '\.. JJ'l ~ /9~fl?./ ""fVl!': _ft/L.>Go E '\. .:LJ ,r=NAMI&AOOllf!o!oOfIN!oUZA fCoOllAGINT A INUNAN...,..U~" N '\. ~ \ l~ V..-.}/' R '\. -I OAM.4.GIDAJlIA 1.xf~\"~':GI I;:OAr,u"5""3~ff"?/_. . ~D.,",,":I~'I DAM~V. --= F!> 1 l. .. rRri~'~';>.::t,' ICI-IAllCl -~ ,;Tt:':I ~"""'..$T CI-IARGI .......CllO..... l) .....u lt1o~...o:.~1!l11~~0AM~ ~IIIVfN DIIIMA1NtO DDlIlYlN DREM-""NtDl"~'~::':~: l'Uo~~:';~' 5: ,orono... l$<.5Z'o ~}~..h?"..>......6-a...J 0 ~~~;> BY AWM S I . . E DIAGRAM OF COLLISION Iu~t ~U"(tMI"'T", NOlc,,-n NOlllH D.ESCO. IPTION OF CO.ll.'S.'ON.' '."'. """'. . tMINT"'1 ~I-I[" If NCt!.!>... .., . .' " '.!.-,~" ':"1 !, :'~-I"'UI'''IN''t~...I''''': '.If..oow . .= , . --I ~ t/e.Ht:..~S'.d,~_'t--;7'.,;...J ;V,..~..'{),.5~,.{l"Y~. ~ , , _ , .1 :, I ,I I I I /I...rv $.T//~.. ~. 6"'~-,-z.-. ,4IC.d?I<F .- I"':: '-, t 1'.0.1"'" "1, ' : ?V "..7:$ ~~;-e:r- ~ ,/?S. p~#'S7""'~~<::> :. rm C J . :o.~17I~1 ' ' I~~' .._. ~,- ) _ I 1 c:..R-.'E ~ '&"";'-"'''' ~ s/.. t:>&- d'_J /t::.G...., P 1t1:. J -z;;,z,'VOI""c-nm L~,.:5'; ~ <:'"o;.I,?-A~ ,. . __,~~. ~-:.~# - r---3i1 E" .~' j.'-" "'/- :"':".'; : .'~.' ~. p~~ /.,=rP-...&,..........~ ,7'" .c~:;-- .P ,_ ~'_~ .s?;e~? ...o"..,e".. ~_~.-..'4,....:>=.~.. , ,I"",,,,,,:;:!, .. i ' c;... , ~ \ . 1-'--(f H-H- h + . ,,~'" .. "l po- NAME. ADDRESS & INJURIES OF PERSONS INVOLVED 'CODES I 1 I - I 2 I 3 I . I 5 6-=.J L OCCUPANTS I WITNESSES c,UJ: ~~~H~~~~~o\~~ni '$(-':"1...61 bIATU~I'~~"1 ~~.~.I'CI,~~~ III!~TR 11~1Ic1 e.~~~. N'.'@=,~qt!F- O.._,y'h""~''-) . ~'1?~.5-.:?/&O /.>1'1971.'7 /1'... j ~Ij "'OIWC!o<' U'~~, -;' ..-p_. ;.~~;J. ,_"'-i..-..;:;."."..Zr- ~Al'i~I"t: "",,<;v'~ -., ~~~"'J~'liIOMD"M~ or...'~(j O~~. 0:;:' Q'N....... r;o- N"'O.""" .. .,.... "_ . . - _._' ~.._ .;....c_:,-.-__ - ~':~:'~"o, I IN _ __po .--~ ~~V~~IIIOM 0 A""II 0 ~~~I(.t O~~"II O~;:- 0 ~~'..\. ~ LN'.' .._.' , ,___..___. ~r.:;,o, ..'..__......., ~." .... .... .0' 'I.>i "-OORf55 INJ\JIII'~ ~~~V~~fIlOMOA""1 0,... OCO"III~~" 0,........,':::: ,'< ,I'NIII~I~"-lI01,jG~'ClII\NAMI&II"'N. 1~,,-oc.IClRIAC.INC:Y_ 1~"~IPI:JZ.J;!;~I~ID"-llo'lil'PO'n LAPPIIO..'.!.".'1B/1 A ~~~.--..' ......,. X In?P ,4:. ::rP,i!:.V~ ISIV ItvS/" Jj;:f I ~';"'H" J'- 'OMH'(' IP-'?-8? I:WJ7ll/I.r Y."Jr? ;:i"y,;;>i; , . - - " -- -" " '"~ii"~; ......,e:'ii<' ......... i... '. "',,\/</i? . '.' ....< ,Y./i' .......<./.i. ..,.... ..............,i..:...i.... / .... , :. ; , 'i; k , i" l \ .,' ~ ;, : '-,' ':, ". ,,,,,.. "....,',.' /," " """" " , ,"', c.' I.. ....... ,.' . '. " ','...; ,'", :':". ; ': i, : ',",;' '" " ~ ' '. '.. " ",' , ,.;'. , ,"," .1 '. '. . ':: ":" I '; , " "', " ~ . ..~~,,:<:~ . , . '. -," .'c' :...". ." .. ... " ',: i..:i ....... . I~H:.. ~ UIIII"". ~UR"'" -I SlChO'. o VEHICLE .." o PEDESTRIAN "''' o PEDAlCY(llST .,~, : l' 1 "." I '" I ~"" '{;:,'''~. ::E IlV'l~ rlCoH1 "IGHT _= '"<" -,,, :.'; 6 ;:;:'~~.lPC'CU , '.' L :d ..'i':, ...., , .,. ":'. i.", . .' -;. I'" [ . -'... " ..' .....'... ". ..... " , . . '. . : ::.' '..,', , "'. " ; J' 7' j = 1.;2, I I ". ",> , , </ :..... :. =;; ~ ':=1 i',,;, "', " ',' , "'"", .', ,i' .. ~'" . "- : -' ',' , I'""" .::. .'.". .);>,.. '.' . :.,."'" '." ,'. " ",', ","..;, ," ,"" " . ',' ;; ,.,:, :1 7 .' . ....I~(t~ ',j", ' _I:.' -, ' " ..OOlll!.!. r.c- N'M' 1;10 "POllI!.!. L"".""'I "0('11155 X Iir':G~:e;:er~jJ.~, '.: ." .:: .......... ".' , ",', ",,, ,', ': ,..",:" ' " " ..:....'.. '.. ".",' .., ',' 'C", , ' "..' ,/' , , ...L :', ..,..,.','; '.,....... ' " ; " :"::", " ' .' . .. . , -', :,.;' : ", ... ,,' " ,,'. ;; :~" t ~~~ ~ t' r ',........ "",' ','; \ \" I; .". Ii' . , I;,,' I' ',' I:, " ' .':, ;L : d """;. ..., , '.:.. . ,'.' .<', I' "',", " ,.".' , , ,', '. ,",' , ;' I.,".... ":, ,".. :.,' ,", .:.. "',"."', , " : "', > '. d', ;:" . ,<. . . 8 STATE OF WASHINGTON ~O< I 0' I No. 0 7 ? 7 3 w,;"" H "'" ,...~-,~ POLICE TRAFFIC COLLISION REPORT 0 ::~~:I:::y J'OIICtCOM""""N1NUM6t1l U",ltOIt:OlLI!.KJN I.. I.JA~V...Q(LI' .... I 111011 lICOUNIY \ COlf'}NO l'lIYNO 1 IT O~ I'b ~'ll'" .~ "''' .., '~"')( ." 11','2..30" II 0Ef'fE.j?SotJ I (? I ON 01 D'N C,TY011 IOWN I ~"""I&NOOfSUrU1Rll_HlG+-tWA'f fC'}IS~: 1j(IItOUIl~!.IIllI-c.:Uut &... .,... 'ii, OW WO' Potr J...u1\L"I)ION 1'AR.i'l1)\~ bII'I t11') (r I' ") I I .:5(:),-?~o INlfll~"'NGWITH SllIlllOil IlOAO Ib'ARc~'\J RJ) ~L L..K.. f?]) ....."',11 Ito rMILI~1 - 18HWUN 1 SIlIlO& 5'IIIU I ~ .,1Ii?(!) I O'SI"'NCl&~~I.'.l?!" 1I0MlItfflH"":-1 CIIOSSS'IIH'CXlMAIHS'MiL~I'QS' I ACCIO[NT flAM!> IOI...CII........O'O'I... . "2... '?1 ~~~li ~ ~ ;., bd Of r~'L 0 ~ M:.~:;f I COllllil()/IlI/llYOlV[O .~....VIIII",,-.. 0 0 l 0 I ....tI~"" l/ll' I~ 'li.IJlflD I:"" 1 IrU IIRQoIl,OOlIIll'I.I/f"";;1 ~O~~~,~3li m NO ~~~~~:[~~:[O_ 0 ~~l~~~: D~i~~;~ ~"~~I"~ Ilx I elli ICflO:;~S,=(TOfl~ 1Oo .'1 08JECllilflUC..IN........IOI06JIClliIIlUCIlA,NOO....Nffl'loNAMtl I, ~ANI...c[ ~CI"'lo(:O INGU:>I :" I~:"N' ~ U"B.......~ fllJll.... 1""~ 8 ',' .... . :: '." '. ",:.' UNIT NO. I UNIJ NO.2 0 VEHJQf :..- D"!VI1l3........~ t-::>~I PA-rfl~11 ~I.^ MIOc. 1~Ii.loNANll lA!ol ~ !olllf;oO,Wm ~ E.-w S-r loUIl"~Itf.~ ~ 11" liT..." liP COO( r- IPHONI NO .,_ 0 nv '- _loolM' ~1)L!l~ w" q<L~b=> 'f!.7-9/3 R ....... C DC5~~'~~OP C. 71.LD 1\\l9 I :;.~' 1 f' l'f,'~'ii.Lj ~ ID<<"""K'"~-"",\ OCCUI>..IION 1'111..... NAME ",PHONf NO Ilnli IWlICHT ....1G1-i1 E OCCUP...TION I flli"\N........t & PHONE NO 62.. Rf:T - I&~o II~O ScJ., R I " o CHECK(,..") 1'~~II(~l~~:~.e.~~~~:1&(~~~~W..1 0 CHECK(,,) IVlHlC ,,!o..NfM~"BiN~(~::m:t~'...1 l/ CODES"'" 3 ''''iU~' I .. .E~'U"""..:::L I 5 IJICIIQO.I J 6 ~:~HLl -' CODES'" .... I 3 .....'un 1\... Wt~IUI"'1 5 lJIClIOP< () .IIo\OIOIoCYCU 2. ~-:'u~1H ~~~~_, C ~o~ll'" lI''''::~~'''v' Cl"~~ --:o~".. \"-'1'0 ~~~":~flO'" 0 ......eul.....CI 0 ~~CI 0 ~l::;.I.. ::~_~:: 0 ;'il1,.v ~~":~'IIOM 0 _.........CI 0 "'Oo_u 0 ~;'1I1 0 :::~.: 0 ;;'~'..-v 10 VI)"'gY(; D I.......r;( VWH1V I I .....OOSoNOV..1 I !oIYl~3hCOt>lV I E I-i n"'ll IM.A.J; - (OODCI. I-ifV I '\.110..111 NOV"1 r'VLlC~U""'U"'" J :: ~ 'i~;;. ~BDBEv I".WA I".":,::NO T:::. 7 ~H'''CW I'<<N~" ~ '"''''\.1''''' - I'" ~ rr= VI ""ICII tDlNllfIC...TtONNO r\ f Vll-itClf IO(NTI'IC'" 1 " -!.:: ':3;1..1,2.("'8 O'1-i-l- ;-'-:-'-:-1-1- 'I' 1 I , , , 1'\; i'; "l ~ IItCI~::o:; lASl flllloT MIDOlf 1:t37~q '3-:1 0 lliutlolllllOOWNlll lA!ol flllloT MI"\. I'..........E ..::::J W ~ 17- "OO~;:~~EII ~ "~I~C>>OWNIR "-1.J ~ NAMMRlpOfI;~IlSNC::O 0I!~~6rJ R INW~A.NCtCO~~tN '" 32 L- O...........cIOA,l/f.. ~p~..:;':'.:GI I';J({' 'N!;3 '{... In'~\"-"''''G I DAM~AAtA r-:n r-= I J . I H"~~~(;'g;ti CI-i"IlGl: A.. 'tA.~ ("'I~~ t;A\~ CH....Gl: I H ~~C;= ~ J . 3J I ,~L.~.1.0.I'~j~II!oT OA.M"vl,IO OIlI"IN OlltM..INfO 0 DIlIVlN DIl[M..'NED 1'!oT DAMAuf Iln ~o~~-~~~~ j[~olon~ 1'5COCl't)I~ii~~Il1" 'E.f,\~~ Tov.) O~C:::'IlY AW..Y S j~'t "~'I...c; F DIAGRAM OF COLLISION'. ,~~b~~P~ircr~~:~I1"_' _lNO~S1IU~::11-i ~.SC,.,_ ~ltJ~~ ~,j~~.l~".I,~;.N,'/i_. -._ r;/;-~p~~.~T.~:r-,...S~/J~,-'~~0~~-.o N _ _ __ ~ t::: : . .~'. . ....;1_J,:lL. .t""". 11,'-1-[1--6>:::'>1.. "~n _ "- .:x>V'N,oo,.'"<.J "'= .. ",- . .'" .~'";".r"'l:-:j"I.-!-ll'" ~A/<,A.1)IS:~,J){'I,,/,f'o!>:D l_SL/1:J...ON Ie<:) .A",D, I- r::: ' '; , . ' . . i -' J,: ! I t- 'i _I ~~(..t-)'T t,,::_:~_-~=~:-S::, 1)ric::.~. . l3 ij-!~<D ~I ~:: =_::-:- ___:~___,___.___:..,-~-: - ~ " o PfDESJRJAN 8 ~ l2. r. o PfDAlCYCUSJ ..~, .."XX 1 ,'HON"'" I ." I~' 1 -I)" [Of Ill"'~ OlIO tIA~ o' I (l'U IWlICHTI....tC;HI ~ 7';, '~I , . f"" C -::"Jl_J,J " :LL, , 1 , I . . : I: 1"1 iTlj'i 'i-J- I-I -,!-ri r.:/.j.r-t--T -. :~O...i~~~,-l _1_;,/'-::,102,' ":J .; IS, I 0- ~ IN....... ""J ""tc..W lif. AG' ,..'U~...o "CI.~~ IItliU [)fe' '.I.'EIr '. ., I. I , I <tF-- PAP.Jn'\ st. jBrA"~ !f."'h~ .j-! I I ! I ....-.----.. ,,-----.- u. ~ NAME, ADDRESS & INJURIES OF PERSONS INVOLVED I. _ OCCUPANTS / WITNESSES c,UJ: ~~~~Z~~~1li ~l I~~.!\-!'~!.Of .~T "_._'.._'.W_ ~~~IOf ~~V~~U'OM OAMB O~~~I D~~,,. O:r~ D;'.~'...~, I..:J ~~nt~l~Of- ..~.....- ._n__... 1:~~VJ~fflOMO"'MIl O~~"Otg;.". ",.. Oi'.~l,.u L ~~I{CPlT rl~3~3cHEt>1 jl~2.2:1;i1f I'D~Q 1";P~~'1LJ A ~j\:',,,_ d/..a O'Ml1HfIlo 1 ...ooHIf~ -I - J V~..yOJWLr Y..!:'J'6.f,,:},:::.::; .' :"::"""",,,:,,,,:":-'>. } ',)', "i" ;;<...,.:C:.. /..,.": .............................................. "..S': .....:......./: p, ',., ;,:' ",: ,'i 1~~~Yl~ '110M 0 .......B 0 ~C1 O~;.. I D::.w D:-8~~ " ',' ~ ,"~ .: ~ . II~CI O~INC.1"f r7~O 1(,.)5 " ,', ~ ,,',"".: , ' . ,'.. " . " ',: "'. .',,:' , ..: ".' , >,' :":.' '- :', ;,'" " ....l~:: ~.y. I), .',. -, I ,,' ,," r r .~; ; ,(" I ~ . ::,-,:, ,:,.', I:':>"'. . I' .: ,,' , Ii:: ., , ' ", ,,\;; ': Ii 1,'\ .' " "I ': .' I j< ':, '<, ", :i .', ",,: .', .. , ' ',' ',,' :: ':' "', "', .,:' ,'........,' , ',,' '," , " ',,',. "," :;" ,,' " " .... ," " , '. ',::: , ' "., :, , ":':, ;:',:' , " ,,',,' .'., ,,' " ," , ,:,,;,:,,", ':'--',', ..,"..': ',' ,," , ',',,' ,i .. ,'. , , .~.,.'."""':'" I. .',: ,. .',,'.: . "',:',: , ',"." " ,.', ,'.., " ,', 1, ': , " -':"", ""',, ',,. -",'."" ,', ',". ' " ", r,,' , '.1> ',", " .'. , WS~.:"Il,I~~ '-, ~ STATE OF WASHINGTON "01 10. J I'l] ~ POLICE TRAFFIC COLLISION REPORT '@ TRAffiCWAY I 't 0 PRIVATE WAY OilollO'COlll)IVN ~l, ""VOl QUilliaN I IIM( IICouNt1 IT 0'::'" 1'6 SCllw, .~ "''' ." ,~..-~ ~'II"4''O"O'" II 0E..rf~ctJ J ON Of 0'''' CIT'I'()llIOW"l I PA~rsl~t:.lIl1TYSA~W..., ;:)... .,,,, '!ill' Ow :;;;'~,roR.-r l..urq..cW ION _"",,I:l 'NTH~CIINC.WllH $"'UIOI1I/O"O INOO"'T1tl:ClION -rf.f\.L J,..A$.c.. __ 18[fWlQ BA"J I\])sulll & ....a~.... SHIUl I') OIS .N...t'~;ll N IIOMIlHI5l'N I,CllOSSSI1I1IIO'l Nf...IlISIMlllPOS I ACCIDENT I j .3 f'1~I;:S UJ ~~.:;r Of 1"\.01 J M~~~[ COLlI~~~::~l"IO r71 N~\I~~;:;6~NO INJUlllO...Q.....- 0 ~~~...C;[ 0 ~1'::-'I~UN 1 ~~~ aVIHICIIS LJ..J 0 PIlQl'llllYOAMAGfONlV OIllSULIIO OVIHICIl '0 oaJI.C'!l'IIUC~IN""""IO'OIWCI!oIl~UCl(A.NOOWNIII!lNAMII I 1!.IOAMAGI -} __ Is - UNI1 NO.1 UNIT hlO, :1 r- OIlIVIII !l;;l r. J> ~1 'J P LTE ~ nlDOI ~IIV~.',Ml ~"'73'~2 34"1+\ N,$.J. """~" ~ "S"<.--ATTI-E_ IJj'~ q:n; 7118;:'740l ~.. ."" 1:"'- O~IVIII!lUCIf'.j~NO 1 !ll...n I" I !l"1C>>6111,1~'r...... I '1Vl.Il!lLlCIN!.I~ L- I'V\\J/U>ll (l'/) 51 (H BE' V:>f'- IY\ r S' ,-1, V '\. 6? ~U;(l~ 1'1IIMN;&~HONINO ~Ii~~sct ~ OCCUP"'TlON r~I&Pt<>NINO o CHECK (....) I \l1I~i~~~2,Il~~-twC~~~~IIII"'1 0 CHECK (r'l I "'HIC;':'i';.:f'.jl.M~'fj~fl Of"'f'.jQIHI~"'1 @; CODES..... I J ti~~~. I . :~~~~i:""':;! 5 IJI(I,QN 6 .w.l'O~'CU - CODES....... 3 ~~~' lvc ~\~~,.. 51llCI<Ot< '2- INJU~Il!. tJ c fo.) 1:. \"'"' ~~J~~!~O' "- ~~~"~~'"0'" D.."'-&U\...." D~~Cl D~!-:~lIl1 0 ~~,~:: ""}ig:".fl'..\. ~tr:.l'1~u",,,, 0-""-',....C10 o-.'ll 0 ~H~"~ 'D:;-::~,: D;:'~""~ I \~lg51~.:r~yl~HI\lJ I ~Ur~~~V") 1!lI25)CC)IWI E OiYI...1I I' ~ll ~1.OiIVI 1~IOAII1_NOV"'1 rHU(101l'C~V' :: ~ wlln-~ lu'~'~r:~"'\,)~l"A"~'NO I"A~ 7 ""'''0' T' ,~ .. '\.1 " lA' C -:-= \lIHICIl'O(~:I'IC"'IIONf'.jO l vl"'I(U,I)(f'.j'I'IC...hOf> NO " :3 ;j J 't R N l... (p 5' 2.. ' f 5 : 0, 8 i 4 : 19 q 3 ", 1 , ' '\. JI:: IIIGI!lnIlIOO_11l LAST JlIISI MIDOU ~~f'.j( NO 1I1\,,;'S 1I100WNlll lAST flll$' MI~ IIJolOI' NO ~ t-'lc.l-SO,J 1>AI-lA L, InY-Q875 ~ " I t;J "'00111!l!. 01 O_!II "'ODllI~ 01 OWN!II '\. .2:. ~s7 5PfV:l<?,u[. sr - aMb~ \).),4, ~ " ~ N5~';~1I~0I~;fZ~O r~Gs' R i~r&~OOR(~OI'N~U"N A~,N '" ~ I.....- OA,M...GIOAoRI" ~~7~..~':c-/ I~AI N 1n'~,~":;..Go I 'i-.-.c;.(~l"'.. --:;<;_" r 1 ) .. rR6~::.c~'g~: C"'AIIGl: CO D "-> (......IIG( ::::f~'~~ l.= 'n~;j'1 ~?,;~~' I~ ri~t il~~~";~/.h -relY 0 ~"wW:;'" 0 ~~~,N D.....~N'" I;" D~AO'T~J.~'~~~' ~ r= DIAGRAM OF COLliSION . cu~t!.UPPIU'I"lAl INOICAIlN()iII'" DESCRIPTION OF COLLISION IUSfSUPP1.1Mf.Nl...t!tl-ltIl"N(C{~RYI ......u I'~ _ 1 j .Lr!rJ~~'I:~:C:'''''''nfeOW_ Ve~Ic.u:-'~~ I WAS-S6UTJ.J80uJJ;D eN - -,=- ~~. ,I I : l i..j-C'1W, I I /hg".1JISl- SAj fuA"D) SUb ON Ic.c..) ckrsCD n~ E' ~~ .. 1 j ;,~~. j t-i-lil1n.uJ- ~U'.j..IN"-1 S"TR.\lc..[( ctJNcS(q(.. Sf-l>JE..t. \ AN/) '." b1 . I I ~t':..i'~~J j,Cc>>-'1I~l)f..1j ("'To ,(J..Ali/.<JE.. _.uP r - j. . (~rn~ ;--H{l~ -'- ' _.' -.j~) =.: r j ;_: '~H~FF~-~ ,. - - ,- _n~t=J .. NAME. ADDRESS & INJURIES OF PERSONS INVOLVED + COOES I I I I 2 131.. I 5 I 6 - OCCUPANTS / WITNESSES \'ti: l.::6;l:~~~:~A'.::n: '5,,1 AO' ~,..u.1 '':.~" I ~.: ,:~\,..'" I ,,;c; I ;~:. ..::. N"'MI .. .. _ f.;6ONl I I ",po~m :t"'~~,lpl ~IlV '"UM 0 ~""Il 0 m" 0 "'I~, I O:r~ 0 I".~'..y po- :::~m . : ..,1 "~"'~'~::'::":-':::"~ >,.: .',;', 'r ~T~~!O' .-. ~~V~~'1I0M D~Mfl D~~" D~~"I 0 ~~ O;-'~'..~P .0 L ""AM! . ..._.. NOU~ ~I ..l'l[llll!l!l ~~m~f!.O' ....- :~~~ BlUM 0 AM8 0 ~~t1 0 ~g~!ful."::~ 0 ;-.~t...~. xct~,u:JJO'''Cn~1Jrl,r;f'.j. A .~ .1:t~III~~p I~~~~I r'!~~HtOI r~~!lV10F:/o:'r~ 17!4~ I~ ~'~ No. o 7 7 ;) " &. 3 IQiIC( CQMi\""NI NUMBIII ~ fHIN... I~~~::f'.j 1""<>< 3 COj'.'!NO CHtt..o I /0- 'Ct:,r;'" I "'''' I's;;:~~'~" f>IIlflll ra 1'""1ll~1 16 II...MJ> rIAGIi'~M bAl'" tN . l:t~ IltllO I~N !;>t.\~I~YVU OIlIlOAOOIIIll'(IIINCI Ily I CL!l ICIIO!l~~~O~~n SPlCIAI~Otf'.lGtf.ol :.> .,.... ::" o VEHICLE .." o PEDESTRIAN '"'' o PEDALCYCUST .."." 1 !ltAU I' " I SI.." I !.I:x I *"OO"IDC:.8tIlT~1 I uu rl~lr~"'I-= . :-;'~?....'" :~ ,.' " " :, ,', " '. ", ", ' . '. ,.:, ' -'~-_. , L J -oJ I"' -.. " .' ,'. ..... I ". , ,';', "';',:,1 ';, " :.,"', . " .,' ..IJ ',' ',' '.',: ",', :,. ",,' ',' , I . ':. ..,. .' .. :...... ..... : ..... .. ~ . . . ! : ! ....... : . I , I :..... " .' '.. ~. ~ ..fJ ,: ','.,' . ',:" ,'. ,C, :' ',:, ",,' .'" ,,', ..... , .. ;, ,"'.',' RECE~\fED 'J'J IOJ\1 AS .IAUI{SON MAR 2 1 1989 A'I"I'('ltNr.:\' A'J' I.AW l'OltT 'l'O\\'NHf~NlI, WA lItl:lUIi JEFFERSON COUNTY PUBLIC WORKS DEPT John Raymond, Esq. Jefferson County Prosecutor Jefferson County Court HouDe 1820 Jefferson Street Port rrownsend, Wasllington 98368 March 20, 1989 Re: Craig Ritchie Letter to Robert G. Nesbitt March 1.3, 1989 Dear Mr. Raymond: I represen t ~lrs. Audrey Seide 1 whom the Coun ty has li~ensed to use a portion of the area to which Mr. Ritchie refers in his letter to Mr. Nesbitt, a copy of which was sent to you. Mrs, Seidel urgently requires her licensed area because of the lack of set-back from hers and other propertieson Hiller Drive, among other reasons. She has asked me to advise her regarding the position taken by Mr. Ritchie on behalf of his clients. I address this analysis of his letter to you at her request. '1'0 begin wi th, it is strange indeed tha t the Dugan license, for which Mr Ritchie signed the application on behalf of John J. Dugan, is regarded as unconstitutional after having been issued in accordance with their request. In any event, ~assil~!:!-''!tchee, (Which Mr. Rl,tchie cites) is factually distinguishable and therefore inapplicable to the situation at hand. There, the City purchased options on certain property in 1975 and rezoned and took title to much of it in February of 1976. Just two weeks later the property was declared surplus and sold to a private developer three days after that. The supreme court notes "with some interest that the surplus property comprised a total [area] which is approximately the same area contemplated for sale to [the private developer] as far back as July of 1975." The court's holding that the City's purchase of property with inteni to sell it to a private party is a loan of credit violative of the Washington, Article 8, Section 7, thus comes as no surprise. I understand that the area comprising the Seidel/Dugan licenses was acquired for road purposes many years ago. Certainly, tt was not acquired with the idea of any dealinga wI th eI ther Ucennee In mind and an far as I Imow, 110 sale in contemplated. John Raymond l1arch 23, 1989 Page Two to an individual for pasturage for horses. The Auditor's report pointed out that the proper bidding procedures had not been gone through, an appraisal of the value of the license or lease was not made and that the Port Commissioners or officers authorizing such license or lease could be personally liable., The purpose of the bidding statutes is to avoid the very problems that exist here. It is to avoid the commissioners or someone else having to make a decision, favoring or disfavoring a particular party. The decision is to be only an economic decision. As you have spen no doubt from the cases, the commissioners are deemed to be holding these rights of way in a public trust. It is difficult to see how the public trust is being maintained by these licenses. While it is obvious that the intent of the commissioners is ro tru to please its constituents with the use of these licenses, that does not make it legal. My client believes that she and her property rights are being interfered with by the license granted to I1rs. Seidel. In addition, the li~ense is probably an illegal subdivision of land. The County ~s not privileged to make such illegal subdivisions anymore than a private individual. My clients do not wish to file suit to enjoin these practices or to declare the law or to prohibit the leases or licenses. They wish to have the County review its policies, change them immediately and cancel the license. Please let me know your feelings on this matter and your decision as soon as possible. Yours truly, ~/ A tvr CRAIG 1\. RITCHIE Attorney for John and Deena Duga n CAR/bjw cc: Thomas Jackson Robert G. Nesbitt, P. E. Clients .' .", :: '.. ,'; ":' ' :'::'., ,,' - '" .""" " "', .,,'....'- .' ",':", ....::'1 :,,' '.,'"" ' " : ',', , " ,.' ',,, ' ,', ,"" :' " :,~'" (0, J., 4P~ " :, \".: }.; r ~, !i)' t. ( ~: , '::: .,', , '.. , ",,:, " .. 'c' ..,..,' ".':'." ',. ',''"'','' '.: ,", ",' ':,: ';....,: " , ,',', .' :,:' .. :", ,', ',":,..,': :: ; , ' .' , ." , , " ''', . " '.', , W!'pI~("('~ l.tIO) .t~ ," ~.:':.) STATE Of WASHINGTON O"o~RA~flC:~Y 1 rr:- ~ POLICE TRAFFIC COLLISION REPORT I \ ". 'n -" 0 PRIVATE WAY .01\0 t 0' !;Oll~~I,O~,_ ,_. _ __,ut!'_Y'~U~l!~IOt-l"__.1I IIMl II'OUNT,. F:- 03" 16'5 j 89 x !"O"I!III~'!"W'rOOUII!U" I\U 112uiooooHOUIII II Jefferson ~ ~ Of D'N (II V 011 10""I'lol NAM(&N"OI~I/lU10lltM;'I1>NA" 6 ..."" 0' OW ~o,Port '.l'aNnsend ON Caoo (;eorce Dr. IN'('~fCIING Wllto :roIIlElI 011 C/QAD INON )Nltll~CTION Cape George Rd IBOWfEN ~ll/m<< - '-I P,:'I...",,(( on;" IIIOM PHfll[N~l. CIlO!>!>~'II[[1 OR Nt"'l!t~l MIL{ PO~I i 50 ~~'~~~ 2J n 0 ~ Of("~TY=> ~ 'D~ COLU~~~:~~LV(o ~~II~~:~;O_NO INJUR(O-L 0 ~~~iAGf orvU"UCLE~ ill 0 PIlOP(1I1Y DAMA.Ct ONlY OIlI!'>UlUO .9 oibl3k~':lNOl~OB~~~ge;wH;~~is Assoc. ~'~~.A 7"l UIlBAN ~ llultAl. I ''"''~ :J No. q 1 r. 9 n 0 P01.1C(COMI'\AIN''''UM.bf~ CJN'r:' rHY ~ ~w 1"3 I (OO~[VII:'lfiur~ Pf!H1X It... JMll.[PO:ll :'II/EH .n I I AWOEN" C/TL)fi!:. 6E.O"l:'9& \ MILEAGE { . / CODE o '''",UN 1 ~~:~\\,~"' r, d}1<1t/f. 1.5 "i 1"""""'" o ~',<"~,t~ " I I "'DAMAG' . ~l?nM r~ lIt::>;>fcl \' 1$50.00 UNIT NO.2 0 UNITNO.l PJ.CYClIST J.'" II)ULI .. I'~'NO I 12 IKJDiTlD,,:.IlI~Y~1 ~ , ! lYlSI'MIGtiIIH:IGMt_ "?, .1 ;'j~ ~ O~Wlll!oNIWI! lJfo.!ol - BRENNAN, DANIEL KEVIN SllIlETAtlOIo'H!o ['::; 221 No. Rhododendron Dr ~ CITV SlATE IIPCODt. PHON[NO 0 ,TV ~ Port Townsend, WA 98368 385- 0779 R ....- LlII,vun UCIN!oE NO I !>lAI( I :.Il<. .__~~ [~f_ lllH,TH I IIlVU1'S LI INS! NO BRENNDK465Q5 11A M 1':[ I~S" 1511 V II 2 oc~:~:t. I fIR.... NAME" PHON! NO I ~~i4G5T 507 ~ OCCUPATION I fIIIM NAME" PHONE NO a...- 0 CHECK (....) I V!HIClfAS'ZNfMPl~~'f~A~~Hfl!'AI 0 CHECK (,'l I VfHlc~rAs'Zt'HMP~'8Y1f~f~'~il:fll'Al ~ CODES" ~ 3 ''''Ju''' 6 I ol 1!1~'UI"'T 1 5 IJI(I,o>< 1 tJ MOIOI(,U! CODES ~ + 3 ~~~~~' I 4 ~~;.',~~'''' 5 IJlC1oO.. I 0 ~..~:?y"".t;'l 2~ la~;ations ~~~ for~" ead ~;:lll;;f'~o~ve 'N\~~l~Of XJ ...MIlUl....C1 0 c.... 0 c!lPTl~ 0 VlH'C,' 0 lli"'''~1' ~tr2~~~'~o'" 0 M'IlU'''''''CI 0 ~~~Ct 0 ~S~,,~ 0 ~;::::: 0 ;'.~'N? ~o 66 IMAV~OO.CHEII'1 =~~.NOIIA) I~TY2&.CONIII E III"<UAII 1.........~l(OUlX.ol.CHlIIJ I~DUIOA~T.NOVA) I:>,n.t.( 011.1.......111 b IIM.COlOR ItIClN~(P~AHNU, MAlt I TRAlllR F\AlE NO I~TA1t HI II~HCOLO~ Itl'-'N~'~'A I" I" F\...l....... I" bro I GFJ564 WA I r:=- VlHICLEID[NlIfIC"ltONNO 'f IIfH'CLlIPlNllfICATI NN '3 1: 11 6, 6 I 4,9 I 715 I 8 I I I I ! I I IE: I I I I I I ! I I I ['1!:: ~lG15TElnDowNtR LA5T f1~5T .MIDDLl PHQt.i.NO 0 ~l'-'ISn~EDOWNER LA~T fiRST ::::. GLENN, Richard A. (past o.-mer) - '2. AOOR[5~OFOWNlR ~ A{.)l)W[~5aO""'N(R 17419 24th Ave SE BO'IHELL, WA 98012 ",o~ 1 "A" I ~, I I I I r 'NO E R A '...~~.....IN U AN l ~ NAMI&AOORES5OfrN~URANClCO ~NT I~ non~ /,,( / 10991 ~ lat~'fg: IA,'vN 10990 d I...!..H "M ,HA.l->~IN OAMAGIO AIlEA ~ '.. an . , I n ~o"",'..",'.':,~~~., ~AMAGlp A.IIIA .. ~ I ~ .: 93 ,OP" ~, t)....t: CMARCE CHARGt -.. ~ ,rL____~~~ I~T~MAGl DORMN o RlMAINEO DOIlIIIEN o RlMAINEO I$E~T OA.MA~t ~_\"'D"D~ $ JOlAf... IXI ri'~~" Bills Towina 0 ~~";.'~" AW., '~i~~'::;O\i '::E' E DIAGRAMOFColtlSION: -- (U l UPP,tMfN.A~~NOIC~lNOR1H DESCRIPTION OF co. lLlSloN: (U5tSUf'PLlMENIAISHElllfNECf5~RYI I''''' . f'-rTl'--:m.'-'~ ]1~~''''''"''''''''1'' . 'Ow --...--.- - .,'" ---1-1'- '-' - -; : ,..,...1 L:rd -:1'''- _vehi.;:le-llJ..was...westboU1d.on~~..('""orge_p+.afte~ rH-L~'-.J~.'- '-r-Ll- r-, ~__t;1J!:l1~!}9_c;>,~f..2..f.E'pe_~~;g~.._-,- Ve}ucl~_J"<;'J.led .....::: p:; .-. '~-r.- I-+-. 11:.. :'.. ;"'-1' '. ! ,. --1--'.-1-,. -. - -~~..!'.i~.-i...~!:i.-.th.a e.t~.-.Er.~~~~t.lJi.urve.--d. aJn'Ul.--. ~.r~~~.t. .' an.r~. ~ L'~~T-=~~l.::1 d.. ,~ ~;; 1~-tfTJ+ _, ....:~~ledO,,1;q:~it::s.i:"iiij~:-=-DriVe~_W<i~_,d.tedfO~,_~=~ ~ E'_I._j~~'-L . _,~,..,i:C:J. T1-1.- __. . '. ..,_...,...___...,__._.._..,_, .-.-...--__..,..__..___ ___21 ,:I+YFtt~~;A~!ffl.rL~,,,~- ~. -~;~~,-, =~~,~.~:=: ~ 'OCcUPANTs/.W'IT'NE'ssEs tU~[5UPP~EMfN1AL!>t;(11 - -. :-:,., __I_..._.I,.....,H I SIA'+-,'" ..d_ 1"..- .IIjT'~ ~ .. . ., fOIl ADDITIONAL NAMr~1 SE)! I AGt'b;Anis!" NO 'I..."" (,.j!~ R[51111 "f JICT ~."..- ~~ON( I I I ~AT\i~r~o' t~rNiV~~ ~WI.lM OAMII 0 t~~lI 0 Hh~, ~ D:;;;t 0 ;t':i,~~p NOUNI I I J -- ~A'~~I..o' . - ~trt$IIJ~ fllO.... 0 AMe 0 r:~~'~1 0 ~~~T(' D~:.r 0 ;-'~'N~P .0 -- ~~1~hor s~r,~N~ II/U'" 0 A~B 0 ~-;~.t 0 ~g~l'~ 0 ~~ 0 ;-"~~~I' - U'j"U. I~OllctOI!tPATCH[OL~Ir:I...RI!III[OIDA'IOIR[POII' IT'/~)IIY I. 001.11 'N~r' I 2:j.M" 12J.~~ '" I 3-5-89 ~ _~ /... ,~ AOOj;,>r~~ ["...' to ADOPESo, NjIl,MI AOtlj;,>r~o, , I'NVl!)l'C;"!INC; Ol"ClII'!t NA""l & RANK X I R. Haynes ~. Deputy I IbM,C,IOP AC;lNCV I "i NO JCSD " ,..:, :. . :' ,': ..' '. ........'.. ...... " ,:" " ..'.. "- . i', ' " :' , " ,,' ,." ': . " """,' '. ......'.,:.......... .... '.".; .. ',.' ,,:, " , , ,""" " ,", ',C ' , ".' ". '. ':,.:, , " ,', . ....,:: .' .' .'. .." .' ,~' . " ,. ',' : , .' ',,-: ... :," ..... ." ,:'.'. , I" ~s;~ "7 ;078 ~ ~ :=] ~ ....cJ .... :.. _J:" "', ,'. ":", , , '" ~."" " ' , "i' " ~ STATE OF WASHINGTON ,^c, I 0' I r-:-, ~ POLICE TRAFFIC COLLISION REPORT .t8J TRAffiCWAY I 1 0 PRIVATE WAY DAltOICOlLISION I, UAVlJ'~UUI~1 N . M 1M! IICOUNT' \ IT 630"1.0 891W" )( "''' ." ,~" u,.", II 'l'7ZS"" ';3E.ffcRSo/V I ON 01 0'" CIIYQilQWN I NAMllNO()J$11I111QIlHlGI-\W"Y 3 ..."" 0' ]lgw Cl(o' ci-\II\'\.<\CUM ION \NesT 'JAt..LGi R.b INllfI!'[CTlNc.'MIH $lI!HlORllOAO INOG,NnrB~N LAY.1.. Rb R)..1cb ~\V( - IBrTWIIN STIlHT & 'I STIIUT , DISTANCI & ~I~}:ON fROM IIH(I/(N..I, CIIQSSSIllill 01/ M....III$T Mill PaS I ACCIDENT .3 r1 ~'~~S n ~ n .;a 01 ", I LC POST 2.. Mt~~E COUlSIQN1N\lOI.\I[O (V(lIllY,,.., .I 0 ~~,~ 0 fur 1 ","n,N ~o~f~'~~$ CD (] ~~~~~~~f ~~,RlD----L- 0 ~~~~~l~~ 0 ~~~Itt~ ~!..~ ra- OEIJICI s.rlllJCl( (N........tOf otlJICT SU1UCIl ANDOWMII'$ NANllj I 1ST DAM4G1 L2- _. IS - UNJl NO. J UNIJ NO.2 $_ OlllvIZ;RuZST AN/~~tJ V MIE "~'~N~l ro;:;- $5~07~O ~I VALlLy. f:.:b 1It1'''S~ ~ ;;:~ IMAc..0 M v;;;;: 9B'?'C;::S- 17;2:.:"42.lk ~""'- "... 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" ~ "a IR 2..'7 c.'8LJ ):615",09101-'-:-;-[ I Iii' 1 ! ; '\.', -="1 ~ IlIGISfflllOOWNtll LAST flll~T MIOOU I:HON1 NO ll.ul~lllllDO""","EIl IA$T flllST MID, II .~, NO =.i - SA /VI L 1732.-42.1 (,; 0 "\ '~ "'OOllt~~OJOWN(1l ~ AUUO!I:':'I..I'~lll '\. LJ1J ~ bAM~ E " ~ ~ N.......! Ii ...OOIl[$S Of IN~UIlANCl co OR AGENT IN~u .."1..1...... A...,N "_''I I':'" No I~S . R " J "A.M..~'i'b'AA'__ oo:,~\...~.:c.' 1~'IUNS-'-u..I~ 9,9'2... 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LX 1 C'~ICIl~~7S~Ob ~ptCl"'l coo,r,Kj USI ~ o VEHICLE """ j -,; 4 -.0 o PEDESTRJAN ,.., o PfDALCYCllSJ ..,--. ,'" ....., , :: ~ u::' :. ,', ,.., : " ,",' , :,',' " ','" ", , ,', ',': ' , ",,,", l , "".', ,:.' '. ',,:- ..'.... ,.,: , ,;: '... ',.., " , ,.-:',:,' ", ",',',' ',: 1- : , .. p....c,l \ 01 \ 81RAfFlCWAY o PRlVA1E WAY <0' <0"'''''" T.,. .=,,,;;1ON T "..., lICOU"" :; ~~ \W. .,. "''' .<0 ,~" ,)(~' % tU'" ,,,,,NOU'1 II :re;::;:=ei'S",~ ON 0' 0 'N C", O"Ow" \ NAM" NO '" """ 0' N'ONwA' =:; ...".. i!l.' Ow ~o> 0..1"0 I,.n;' ION PN'::,OI'><. 5'..1 ,",,,NO W"" ",," 0' >>0'0 ,NON ,"n."C'.oN " ___ 1,,,""'N"lfIlA c:;~.-e.. """ & S, t'iI-l ....NU..O~~ ION~1l1l11l[N I,CIIO!o!o!>1Illtl(>(l Nl...\l[!ol....l~tl'O!> 3::l r\~:~~' ~ ~ ;., ;; 0' ThLi" 'S~"€.- ',I'~~~,~~':'~VlD \D r1~I:I~t:;;:a::::.NO INJURED.-\.- 0 ~~I....c.l O'o'll"llCl.l!> OPIIOPllllVO..."......c.t0N1Y OlK!>UlllD ,,,,,'''ucn;:::''''''''':r~;~::J-'' (0 UN\1NO.1 .....'N....' "", "'" ..., "" C\J(2.:\,S G\C,,) _ \) ,'''''ADO''~?-.\ /'lW H"V~("~() c"'- \ '"'' '0'"'''' '''' S \vttO"l<>. V~ 9'i~~..,,\;::~ 03=' ~ ,,, Oll,,,(Il'!. ~lClN~ NO T !ol...n r-- T 0.... ~H I 1\1\ l'!o IICtN~ NO 'C\ ,('"\"r (".1) $\c,P'S VV'l \I'vl 110 II;' \4z. V ",Cu.."ON 1'''''' "AM,,'"ON'NO 1 '''''l''''''''''''''\'"' E ",,,,..,,ON , L.J>.\, ,"-'^ \ Oe.L:- ~,J 'C...-.J I \)s Ie:' q R o M~"' . "".,. .".."""".......". 0 ~~ ~ . ..to "-,",,,,,~,,,,..' '" 0,,",. ." .,,_ ,To ."~" "..._ no _~ -, . '"T, .. "...'9" T,,"'- T. ",",'. ;.. --c::?.;;,~;. "",. V..,. IG ,,," "7 1'1 . D.... 0". 0'." ="' o~- . 0...' cr"" 0"" 0'" O'~ '= " \<~i",r,.;:;;';;' \ -N-l':;;;;;:~' "i' 'r -7 r"'~~. r'"'' -" ,i- e:.: TL:S:;";:;'" lVI, r'''~ ..~ ~ ..... iT r r'~<- 0"" 6i ,,,,~....~.___. " ' ........-7" f"c 3U,Jb"O.,."9''''W~,''-'''-'3''''''~ ' , , /, , , , , .. ~ "0,,,"00,,"" "'" ,," ,",00" 'I,""N,"O """""007' <." ,,," ..."", 1 ,",,"' NO P _ SA""-''''' D""'^ 1~9>4<," 0 I 8J ':>" _"._. w _.,... " SJw""-- ~ W\\J<J\ N I. E-~"~:'-'-~._' : 7 .-~.-_. C'\- D~...c:.lO.-.Jll"'_~I"..:),"'" Ti'I~,'::,:;;' 1 OAM""'O'..,. ~ '~ . ." ::: .... '""'''''1',n-' s'o,-j~I~ \" ,~tlP'7Ol. ".,' o~':.:.':~ o,,"'~N'D oo,,"'N o"M~N<D T!:.10....,...~Gl, -~---.,~..P , < ~~'d ,""'" ~ "",.. """ {b"",.. .... , . ....... - .= DI.AGRA,~ Of COll,!)\ON~ _ __," _ ~~t\1~p;ti~~~~~~1 t"';Wl~'N DESCRIPTION Of COlLISION' t"'"....."'........ ,,,,,,,, ..cm'''1 ~ >- L ' 1 ,~ D",,' 1~:=' ".;i"1'\ ~~j!:"4"~Y~~'i~~:~ g~ E ,10',', ' 'J.;, "8{{!10 '-\.1 j + ''i;';,..,:'t.:;':;jJ''J~~",L t/'<';.;-'3.">> . e- E' t>lo jet> IL.UJ-::Str,1:'I~. T ",-"",:,:::"":' B-- , "I \ t ,I ." \ ' ..J'; 't :':' I If: \'11 \ \:~\ tt1t\:~'::-: ::: ~ ~~"~~:;"'f,::,~~~1:a\<,\i'~~\JF~' '.j?i"11.!J,":i i,J.~.J";. .:. I';' 0- ",...""1 ( ~' ~'" 'l T _" .,,,. \' ..=, 0..0""0-_0= O~. E- ....' , , ._. I .. ,""" ., ",--' ~.,." - 0- 0"" 0"''' 0 = 0"'- ~ .._ ,'" ,TT T" _" ,_ '" .." ,"',. .._,,_ ""'..... D.. 0"," 0"." "" 0 ,,- . _,,,,,, N,."..N' \:'t.~'\t.." 0 \ pt<;,J'<' OYI'~:;'C"ii\itZi""Oj~'jo>?~'l'/PPflo;;!t-/A -' rl~.n- ~, ,,,:~,,,,_ II f5 ~" I ,,,,,",, \~3Iirl I. o-f~'1J'B7 .... ~'----~ No. o 8 o 3 7 ~) 51 A 1E Of W A5HlNG10N 'Z) POliCE TRAffiC COLliSION REPORT ~ICI c.OMI'\",'tll NuMI:Il~ Tf\ cCiiN)'''', I'''''''' \ lQ~::AN ~ / (0::- \ I \~~",.. '(; \~)) '\ "\,~;'M \"'~ r-m """\ T"""'? ,s-S': a ",.,MP TjZil,.,...OI<l,. li~ll~'~~lIlIl:O-\~' ("~ 11".c;S~wt(i~IlGlO.o.1lQll:I4.11IlIN(.t \'* \ Cl~ \(R~~;;19/?J !oP\cwcoo,N(, \,& 8 ',:" ,; t<' r I; . !ol1lU1 ",celOiNT MlllAGl COOl : '. " Ol-m &IlUN ~g;,~~..~ o ~ta,~~( - \s 7AGl UN INO.2 OI",.lll!>NItMI o VEHIClE "'" !ol...n IIIlMN,.,..,I..PtO'!(NO ~ -~,' , L 'l' ';;:': , : ! :: " '.'.....;'.' " ",' ,'.,'" ,'~ , . . '. ...' ",'.' .; , " :' ,',' ,:",', >, , ",'".'" ,:.":' ., ; ,,' ,," ",' '.,'. ',: ""', , ' " ' , ., , ",'.:: :."" , .' . " ,: : ."." ,,;. '.. I: ---:-l . ,'.,'....' .,. ..,'. ' . '. ..", ',' ,.,' .. ,d' . : .' ';\:: ,"': .:,': ~I' .. ,:,": :', : ' , " ':' , ,:', " :',',:"'", ' ':' "," .,'", ,:',,,," :", , ' : ...'...'.',: " , ",'.. :' , ."""" " '. " '. ,'.' ...., , :,iJ , '" '......., ","', ..:;'" It': ""~~,i:~ .?; 1 . li1:':. ' " " -, , .' ".", ,d " .' I:;':..""'" ' : ',' .:. .' .' , I' ' ' I;: ;.~. :, "" " '" l;;;I'~....'." ' . l\ '. ': " ,'", " " " , , ' ......,. ......, .... 'i ..:, :. ,. , . " , , , ' " ",.'i';' ".: I~ ..; . ... . '. ,; . .' : ... .... "-" , '., . ,.i, , ..... ~ STATE OF WASHINGTON "G,I 0,1 r ~ POLICE TRAFFIC COLLISION REPORT IZl TRAfflCWA Y I Z 0 PRIVATE WAY 0/1. t 01 COU~~lUt~ I OA' Of OIW.ION _, I TIMl !I~OVNr, ~ 3 r,' is:iCt WI, 0Itl'l lun I"ID ~OOJ.\ 'I' X II o'lisllJ II;:::JE:FF~ Z. ON 0' ojN () ~'OWN I aNAMI&NO (If!llllIIIOllHIGMW,t,y 7 M"" rill' ow ~o> fOer-J~IONAIRfbRT"./":tTnFF INlIIl!.l:CI1NC. WITH !lll1tllOIlIi'QAD INO"IINltll,5lf"ON ......- r-c-- IBITWUN J-IwY 20 ~HtllT & !llllHl " Oroo&D~~~:!o fll~Il(~I~C~!o!l:IlHl~:;~TMIZ~ A~~~~~~l COIll;~I~:~~OI"'ID ~O"'IIl~::;O..D-NO INJUIIIO--1- 0 ~U"'GI 0 HII&IlUN ....~'~~..s O....'HIClI!o ill OPIIOPlIIIYOAM/l.GfON,V O~"~UIl(D O~~~I~~ NJA. q 08JDriucTNC:I~06J[CI$lI1UCltA.NDOwNtll'!oNAMlj I$':o~ UN/7 NO. I UNIJ NO. 'I No. o o o 3 7 ~ POllet COMI'\"'",' NUMIIIIl ~" fH~" Ur;~~:: I ~CIIU"~ E1 '7b I""NO Cb I~>I "I""~s-t,; PI/(lI.. ra ro\lll~ t!J . l:~t ~ Il.o.MP rIAc.IIAMo..,... IN , 1,%tUr1):1l0 1~.t!~~51~t~J~~~IIOIo.tI()(IRlfllllM:1 IA'" I CIS I'"os~~(rr~;s" SPlCI.l CODING U!:ol II" i. : ... \\ " ~- DW~s(e LAST o~\J I ~ E Li'{;Z5 HwY 20 E~ ~Fe:r /OlN"'''~''Wt., 9'g3G:8 13B5~7J I - W'\s~~o;:r1i13PL{ W~IM l,iTiii':~q IBR~[iib~~; R MIUUlI JOHN OWI~llI'SN.v.I1 o VEHICLE ~" o PEDESTRIAN 0 PEOALC'r'ClIST i~r "" "'.~, /Q A ~ 7 - Sf,. lI'OA'I~,I'~. i"'o 1 ""'. / nts rl~'I"'lGl'il f.= s Illl1AOOJnSS ',' O.....tul...CI O!5?'~(1 I ~mfl' D'::::,: O;<.1....y E H Yl...IlIMA1.n I. H Vl 17 (CAlIt.NOVAI rTYlI Inlll .(,.QP-.III I ~ 7 II(H COI.OII I U((Ns.rP~ ..11 S All I; Mil PlAIl ~ 1 :.,A I C l VIHI~UIOlINTlfI~"'11 IN /; I o lI,ul!.IH/(COWNlll 7 ~ ~"""""/ E ~ NNo~rNSUIIA~C(:A~AG::', R 7 INSU AN A N ~ i '-- CA.Mil>.(;(C "'HA II .?'~.ft"NC. ~' [h""D.~"':'NC. I OAMAGfO''''''EA :is S;; Fs 1 3 . IH6~~:~~: CMAIIGf O.\A.I. . CHAIlc.( IC=:og.:::i: 1 .1'0". 2: l~'C~~~!I~OAMAG!...DDIlI\l1N OllfM,&..tNfD DOllIII'N O"IM,Io,INEO !tslOAMAGlhl'\ L----.::i~--T::F .~ lIOlc-no...-..:r! li~;oflY EQ..,c..tt:.Sc>>...lS'~~ r7f~c;.."":~flY AWAY ! s I ~ \10ICnO~ = (1 ~t.>lAG.RA.M. 0.'. ~~LL.ISI~N:~t. [UU $UI'f'UM~NI"l INDICAU NOJlTH DESCRIPTION Of COLLISION 1U!.1 SUV"UMf.NTAI SH(ft If N(055AIlYI ,)~ ~ r=c" '. '.,.' :,..' i,' '.', '~,i\ . 1'""1 rrtl~-~'@~'" -,lEU .J&, 6/8 ON AI(<.PaR.T-CUT"D~_-~ ====i ~ 1- A,R.r>OI!:r r1-1 ' --. Rb. LOSes CO~I.. OF vC/./ ....____ == c: . , I~'''''' L, t.. : . , . ... D. ..0/2..IVe:s - OFP Rc~vJAY -ro -nJE . = a , ',...,....:1 .T"," 1. "., : ! . CL1"7jOFF: f'..b -.- ~~GX-r. - ->1S~I~ D 1-n:..U .....__ _ _ ----I" r~1 ,;. 1- :--+ :-.i.~Ji-l ~I ~ u ~~ _v~~. .., .--.- - ---- .....~~:- ~.~j'.i '-:-.~. ~[ 1 :1:--j~i:.l:1J ~~I~.:o. '..-.-: -- _-='- '.' - t' NAME, ADDRESS & INJURIES OF PERSONS INVOLVED 'CODES 11 I _ 1 " . I 5 16 ~ C. OCCUPANTS / WITNESSES ~~ ~;~~~C:~~~l....~::: .'so(-I.G( kTA'usl ,...."J..I.v~,: CI~1 RUlit! U(C, I~~c~~ ----1 I N.I,\I . _ _____ ~.... --+- AOOl'm . H ...-.-....-..... ...... .~' 1~..Jnt~hO' SINl"'tIY DAMtI O~~(I~. :~Y O~~:"... r:= ::::", ----- . ...... ~~~f.O> '..,~ D.~;<;:"D<I:;"' D::~ m~:." ~I C .....\\1 H ________ _ N'hU'.'__ _~ I -I ~~ .A ....-..1 ~ ... !>CINf"'I\Y D..MtI Or;~(ID~~It.~~;." O;-'~1",,, X ~l'1Z:I'~\N:~I:;4vIlT,L 11i;;~ I~ ~:~~T ro<~~(.HfC ~iVlDI3:11e.7 I /~~~ j;i n .~ Z OCCUPAtiON I FllIM NAMI .. PI'iONt NO o CHECK <") I VlHIC~l~:'~~~~~ ~cft"~~W"'l y CODES" --I- 13 ~~i~~< ...., . m'I~::N' LJ.. I 5 IIIC"l)t><' 6 ~:~'C'I Z ~JJtIl(S . kICc...K. m~:,:~)fRO'" . S .....II'-"...,CI D ~~('I 0 rg~llll 0 ~::,~:I D ;'8'..~. 10 VI~O IMAF-~1iDVI I ~l~~ rTYl2"0~1 ~ v't&-'D ~2O:A~t>I'v:JA I""::::::ND I'::: ~~'c."'~Ce'AOR55158BO, 1 t ~ SAM€! As D;.r\J€R- MIOOll I~~ I,) AOORI~S Of OWNllI Z D " R I iWHi:'I1l ENSlNO V , E OCCUPAIION !>T"'l! FIIlM NAMt .. "o-;()NI NO o CHECK (,.t) If ~~~I~r~N lM"~O~1f ~ A:rt:.'LipIAI CODES.... --1-1 3 ~~'";,~. .. :~~':~"';' I Y-IItf.'OO... ~ / ll....:>o1".RO... ...o'OIl'C<'LI o !>AOf', r 5' ~ , ! I'HON'~ S LlJ 1;' ," ..~.. ,,', .' I'. ;:: " " ~ ' ~. I":...: :'.' I,. ':,!, ',.. ,. {" ", ~ .!. ." ': ' '.. " :, .'''', ",' '.:\' : '. .... .i".. ::.' .. ',', , ,'" " ""'", '..' " ':"',. ' :,,: " ::" ,',. ' ... } . ;.. ,'.'.L- ....: ...... ..... ,'. ,,: , '........... : . ", ,;." " : '\ ' :' .......' J ....... I \ . .,:i,:"i " ~ " .: ."': ,.,"."::: , ' ,"" .....,:. ....: ,"'" " i '. , ,., ,', , ". ' ", :.'\, .' ..' ... .,....... . " ,H ',' '.-'. :' I', , :.. .'. ......:. " ... ...' ,', " :, ,'" '.',:,,, ._'~:, .;' .:. " .:';.i : :- , . ,'. .i, ..' '"~ " '" . . ~..",,,,. .;,;,:......,;.;..,....."..,;:-...;j<'.' , ' , , .....~~ .;. l~~ ; ~ STATE OF WASHINGTON "0' 1 0' J r-:- ~ POLICE TRAFFIC COLLISION REPORT ~ TRAffiCWAY I l 0 PRIVATE WAY 0...11 01 CO~II!,'ON 0""101 COLll!,1 N ,~U~I ~~~ ~COUNT1 _ CO\.Jf"<It NO / 1',1". NO 1 r::::- ':9 ISM w. .~ "''' \; .~" ..~, II,u'r...;)r-' II ~ ,n / IP I ~ 1/ ON 15<.' DIN IJ.... CITYOli'O.....N I NAMt&NOQf~TIIH10II...IC;HW....Y '" 'CTC1} IAOM~I 1..IIIDV~f~,'IlII'c:9{l1 y1-M"" 0' bw ~O. ' f\ ION >).)tp 1:. . l.d..:31 I 9.') 2 70 INHII~T::~~Il'i^!tll1ltlOIl~O.. INONINHI/!.tCHCTh PIIIIUI ifQ TMILlPO:01 / UAt::... ~ J:-I) IIHTWUN - Sll1UT & - !tlllUl t) ....., 1"1 DI!.'''''''Cl &0';';11 N'1I0~ftlllllNC::I,C:1l0S!tSllIHIOR N,....II!S1MIIII'OSl I ACCIO[NT I/"MI' 101..."[/...... (Ul.,.... II _H~'~~s ;:"~;";; Of - M~~( I COUl~~l~::~;U""ID ~~t"~:~:O_:JO INJUlltO_'Z- 0 ~~{I"'CI OH!l&ilUN I ",::"~~iH~ IIj~('lI,~:n-Xcff 1~~l~~~~IIii';~%:.gj;~OIIRl'IIo"t...c:l O"'(HICI(~ f2- o PIIOPlIITY OM'o...GI ONlY OIll!>UI'[P ot~~,m - iX I IH9Vn~CJ b OElJ!(1 ~'IIur.1( (...mE 01 cellCI ~'IIUCl Al'oIOowNlII'!o NolMII l!ol om"'G( ~PlCI"'1 COPING lr.il i.::J - ,- No. 5 To '"N' ~ ~~:::~ I"'''~' => ~ 6 7 rl ? o I'OIICICQH,I"I....I..rNu"'IlIP . : I 7"1 ..- """,",,0"," zl ~41r.-&' ""'""0'5'700 M.?~....&/A67:1- ~ tz... "" !bLJU",.1!''-t:t/-4. 91#:3913lS:~/,j~ ~ ,.. AJ~/"';"';/; -zl/&!.. ~J3S;l5.tr:~~~"G: 1Z:>"'U;;:eL> ~ Lh~ ~I ~\ If;'# :i~ ~ ""'U::';;'d~iI- '&7Af;;Z1 ~ ;;;')';;"';7 12 ~ ""u= 1"'MN~m;e-zl I&:li;;'~~ ""U'~'ON "....2::::;-;:-,. I2hT"'" ":;f--. o CHECK (....) I. ~,~~j~!.:N IM~'8YII ~~"'l 0 CHECK ({) I V!Hlt, ...!....~ IM"',b~(( ~(~~,::,~I"'l 1- 9 (00E5"" + 13 ~i:;~'. . :~\~~~'''' 7- 5 WCI,()t< 6 r';:J?,IICYI:'C-. CODES"" + 3 ~i~~~' I A ~~\~~:."., LlI 5 uthO'" I 6 ~~'i'::'l::11 1'0/" Z \"'N~~Up~[!.Of ~P?//a _ ~~:~~,I...OI .,...",.;::::- I/n m~:"~~UO'" 0 ""'8.11""'0 0 ~~CI 0 rM~lI~ 0 ~~,~:: ~:'.a',,~~ ~~ra~~uo'" 0 .........."...l::1 0 ~~r' 0 ~~~II. 0 ::~.::\: V1;<'~'...!oI' L-. E:'" ""7Z. 1''''''fJ:KO' 7'':~~'''''' I"~'ON" E Hnj~ ~;:" l...o~;;:;;'" r~' 'J;. ~ ""~~ I'c::r@f~, I"":::NO T"" 7 ""'J1b/. rZ:36A'Af*~"'""~ j'''' ~, ~ f5"t'O'l)7'oj) t/o / 55 C """,,,~N,,,,,""'N , ,.q ~ ~"D''"''':<'~'h~ll' rOH'NO ~..!,,~/dN1'm..:~!;.J 6M...,,!, 517 ,,.,76~ iZ .,""'''0_'' /} /7.,. ~ .~,'>>~OWN" ~ :9/2 ~i.LJ~ C</, h;;: './. E ~ NAMI&...OOIlI!.!.O#It?UIl.......ClCO QIl"'GI~l 11',1 U #ON E.CO.OR_"'C,lN ,ll iZ. ,IJ, I!. R Ci"t' /?'Jt./.:t <!F '"T 0...,...""[0 olSll'" d'o7~~:::".:tl I~ I '" )JPAJ,t;;' ~~/ ~ K ('" I ?if('o~"5:o~... ~...,...';ZfP'AAI"'..---;5 ~' 'C'}.i,lTO'~., 11~~::;J'g.:t,' "H"'Il~ C~"'IlGf 1~/...ud'"H'O'''I'D...c' - '10"~,-= , ........ ~ lSl.O...........~),II2S.~'II!N o Rl........l...[O DOll'l\{lN DRIM....,NEO m.o,A,M"'?~]'W' b---.... ~::::i 1010"0 ,c:5zP~'li~~eY OO~~'"i'~ BY -A/ /...wO.l7Z-'1....... '-#JLtJ $" 1010no... - c: O',AG,RAM, o.'j.j$ .'~O:N'. . '.. .IU~'{'U"..I~"'(Nr".. ,~OIC.,..,'.ND'llH DE5CRIPTl~NOfCOlLlSION. (u!.l~iJP.PIIMlN'...IS,...(llfNfC(s.s....RYI . ~ 16 . 1 .' f . I. S,HUlI.I NlC.HS"R1) ! e1 POW .. - -/ J ...... Ifil- .. . - - "J'.:: - , :[,1," ".,~,." "=-?-: ,~: :, ._v'e7l1()iG .. I-~;(S U/.&77P[~~7X/lh1.~ ~ ! , : : j \.j.:" ~',j: .tPA/ tt74-kMo/ ~ALJre~/?s~ -= " "::: ..' :.'i'.j'l'.\o....~ . i . , ,UI.-1SSI'~,ptJ~/~Ja/A#..-I.:;;-~. .3" I) i ., 1 ~'I I, ! :,",~ . :':'mK~":' ()~/~7~~a~ff"a-'rwPc=#- ;b,i.lJ)~~, ./~. '1' . ",I . .' "-I/-z../M~,vU>,~ 'p-'" ~j--= n~~, ,;"':, I ;-',";'l'~-i." -j'.'1', " ':,' 'I, r, /=n//./'? ';J~A'7C~~"'..77.n=~ L~~I"~-' '., ' ....:.:" (/J.~' ~E./,U7t! '/f,#'{/~/./#K~~,R./'~ ~..,; ,-"r ~~,' "..... ' .... ' " ,j./If'7I-,v/ ~//#Z1 w;,e. tr .p' /CJ~..s ~/AI \~"~r{p),'~'';-:-:-.<'"' ~~~#Z, /(J,':'-' "'..........!lP'/4"h.....:=1 po-,~ NAME, ADDRESS g INJURIES OF PERSONS il-jVOLVED /,p~ :yzp ~ . , ' " ----' L=. OCCUPANTS I WITNESSES W~ ~~;~~~~~~~...!.:m . SEl ...Gf ~""u!.l ,.....YJ..I-~~,\ 1 ~1,';JJIl,!.1Rl.lJ,c, I~,,'r:. H'M'h/tp~...P.1J.L :;l,oH17;:12-1,/:>9.1 ~ ~ ~ , ":>. , ., .[lPRI!.~ rq/~ -1t~A:'~' ~. ~,./~ _ ~:,~~~I.OI ~i~.I'.Ji:"' !. ~ III! 0 AMS ,. 'O~~I 0"'" 0 'w,~ '10 rH~M' JJ;?L.t::.. iTe;. '>0~' .;oOH 'f'J z-fq'f8 " ~1-cF'" (' 'UHY L ."",,'" ,~A ~';.n' . ~"~~I.& ~ ~:l~ ~~M D'M' O~;" 0;:;;.. D::~ 1l1!~~'".. "'I - N.m "" _~~_ ,.6 ~M _, /J ~~':"~"';; "7-/'1'77 ...'l!,,~~~ M I ~, ~" ,,~ ~ ",...~I 'J!'JI , S,CfN"(tiV... O.&MIl D(,,~~ O:;g~'IIIIUN~~ o~.".:....~, IIl~gG:cf'tC,(N(YU/~hD:Y~ ~;~HloIP02~~I:.;k~'~~II~~/1 _ ~"'11.~ UNll NO.1 l3 DIIMIl~N~1 ~A~ ~C;;"ll.e-A. UNIT NO, 2 VEHICLE 0 PfDeSTRIAN 0 PEDALCYCUSJ """'Vk/';;.6tt1.1J,.!7 '&/ALJ'hS."""'" , : I il < ~, ;f.; {' t f r " i I' ,', ". i , x r=:;;I:G";ClIl~~""M"RA.I',I. . . : ".. '. ..... I,' . , ,,' ',",:."," :'. ','. ,:", .' ......... '..,' .... ..' ".,' '.' , ", """" .:..:........'L ,"': :','.: ','.')"{.' ',." , . ,..' '::.' .' ~' .... . . . .... . . '. ,', ,:..... , .. "'" .. '.': ..' l';:L"J ,- , .'." ".' . ::. . I ~ ....., '~,........., . .:" , ..';'., , " . .....:; ....:.. '.: . , . .: , , . lq ." '.', " . .' . ~,....... ." . . '. ....... " ,:,.., , .. '. , ,.. ", , , ;. .. ..... ", ...., ."..' ....... ~".'.." .'. ,..:, " '" " " ",..' , " " :/, .,: ~..; ::. " ::'" ',: :: : "" {': ':" . . ': .",' ',',:.'. , "i, ',,/' :', :" ., ',;', :-. .,' :", -~ \~ '~"{ , '... . ::'..'..'i.',' ~ STATE OF WASHINGTON ,,". I 0' I r::;- ~ POLICE TRAFFIC COLLISION REPORT e8!.'RAFFiCWAY '-:5, 0 PRIVATE WAY r:;- ,~";O'r~"i~IW"i~;' i';;;;Xi~';'~~;'T"'11 11iE'oOU" II'OU:S-C'ffi'\,S<,.J ~ ON O~ 0'''' ^ Cll'l'O~10""'N I ~AMI&NO Of51I1H10IlHIGth\':"1' LJ ...""fiZi, Riw i;i;0,1-I~ 1h.v...1i>",nlON IWl.1.1!f\ (',r\/~ INll~~ CliNG WlIH 51111 1 all ROAD INO"lINHIIs.tCIlON ^ - I BfTWHN ~~ K.O 5111[[1 & ^ lfA.l"l !itllUl f OI~IANt( & ~;':IION HIO"'" IlUIIIIN t. CI10!:o!:o!:oll/[[T all MAIII!>! MILE PO!>! I ACCIDENT "==' ... ,,' rct~I~~!i :; ~ :-, ~ 01 Th.I~ M~16~E COU1~~~:~~LVEO ~~'~~~~;p fX NO INJUrtEO-l- ~~~E~~AC.t 0 :;~(~tl I H.J~'~~":..~ INI~" I r:4rJ I ~fsD 1~~~s)i:rrJ~Il~~OIt 14f(J?lNO _ CWVll-l\Clf!i rn Dpllo~~.cfONLY O~SULllO 0.,,11-1101 -- I"'" I I b Jtljt:Ju .9 OBJICt!iT\15I~~f08JEC1$1I!UCKANOOWN[~NAM[) r 0 Is [~l;;:AG[ ~CIA~OO1NG~ UNIT NO. I UNlt'NO.2 0 VEHICLE 0 PEDESTRIAN 0 PEDAlCYCLlST I ~." l.r- '''''''NB'I .1:... :;SL-.J C~', '" J'''''U D'M""....'..." " ., '/ t::r 1':::;- "''''''';3\'1 ,.J ""OMS ''''''0'''' / I "" ~ CllY ~ \ ~TA'( q;g.~ I PHON~ 0 cnv :;. An IF y:JNlNO .!- S- """,uc~~~, rl\.\ ~VA I, "AH '''' I "O~. ~~'II!lH~~ ~ '''l'''LlC(N~[NO I ~lAl! 17 OAIlOf a'I1I" =...0 ~ D,d~..rrl "<.>'-toF llAM I"" ,"'fIt.;;:/:8 V V ~! ,"' \" -'" .~ oc.r;~'~ I"'C~::~'NO fl.o~LL~rI':J~~Z ~ ",'"",,"ON, "'.N........"O"NO 7 ''',\,,''""'1'''""'-== L....:...- J!'q})CHECK (,....) Ir.s:~~C~F AS AN fM~'8~( ~A~~t.~~'''l 0 CHECK (,I) I VFHI(,~f A~"'N [MP~'g~f~~~"FfI'''l' 1 ~ ~DES ~. 3 "".. . "'..,,,, I '''''''~, I I. ~"~'JI-,- CODES ~ . 13 """ . :~\\:~'" / , ..""',, . ~>O~"" :"';', ~ ~1.M s.~TI.y SAA ,_ ;. I ::"A,:~~t..OI CL"'~~ / SA'''''~ ~A"""UjA"CI 0 ~~u 0 ~~~I~ 0 ~;~,~:: 0 ~..'1'..),t/ m"8..w~o.y. 0 _aul...." 0 ~..~" 0 ~~~Il~ 0 :;~,~:: 0 \\<r..!./> , 01"11 I~~'" T "'00" ~'" I "'~o,;;;~rl ~' " .... r ,oo'"",.,""/' ""0" "''''NO''' I"'U" D'.'~" , ::;; B:'~i~,,}: 1"~~~';;LrM 1""'''n~lt.::A 7 ""'''0' r ""''''7 " I' "..~..NO rAH ~ I"I"'t='"" VII-IIcn IDlNlIflCATlON NO r V[HIClt IDINllflCAlIOI'> Nv / ~ (~I~)d..:31.;;l1~!&,(...:A' IIS13101~1 ! I I I )' I I I I I I I , I I I n ~ """n"'C'~,'-:" ~~O:;;LL ""0'"' I'"ON'~ 0 "G"""'OWM' 1"" "'" .'00<' I ,~'NO t::r w lLt"j ~ AO''''.:)';j'' Se:: gl~I~' ~D SlkcmJ ~ AOD",,,,,ow7 ~ E: N.....' wb::~:\~~' ~:, ~ AD.':', N R "AM" """'r" 'N U AN 'w AN" 'N 4 c: OAM...ztOAAlA 1Gt;~IIl,~l~l,uN, ':t.-.'-F1<d/i1 , ':;l~~:~~'f:~ o4M...G~b'AAEA 3il F!t 2 .\op. J:1 ~~~'g~: ICHAI1Gt' rTh."'1I & cH....i-a{ ! 1-1 ~h.IPDAA(';t tJ2 '\0";:3' :::J ~k=f-~.__._.::1!tIE~l OAM"'~ ~~~EyN ORIM.AINEO OOIlIVfN Dl1fMAINEO TI~T.OAMA9'[' ..u._p. !t =iil ~6eono~-I$2Sn,,}",,1fil11~w,..~DaY .';;D,-,iI,' .'- Iril'1~f~llv' ....WAV $ ~O.:"~. =r ~ DIAGRAM OF COlLISION: ,tU~!_~_':lPPlIM. tN"t jNDICAHNORTH ~ES RIPTlON OF COLLISION; IU!.E~UPPUM.fNTAL.SH'fI"fNICE~S""'V) .....J.:l.L " -'-{:'i"-'i-Tf"'TTrn'"'fUMC1"'''h- '''''DW - \\'!l- ;]-=:J\-A-.----...-~ -, +kJ., ! .i-1-rJ h~-t--H -t'-HT~T' -- : _$..; 'L .. !B\}"-rr" ..s..n:.Q")j,~,.. '<!V5.'-J ..2' Ell I ' I.. ~__(o 1Jl))L__-\_~___J~_fL~_l__,_.:::t ':50 T1--~ +l+Lt}e.', L-Lf~: +_S\f"\4~,_;',.l_'\l._DIJc l-l'_-li"TR"(.Lt-'tjZ,l.~~1___-:::9- ~~.r ;--j-i-l~h~F71. '-i,~_,~=+J+jiJ=:~:.:'~~=-GI()4L!.x.._.~~~~~.-=~~=:::==-", r~ ~ : +-H::o{lJ++-I--j++'\--i--!-i-f ~ -'Oe'T:':','.._------ ,-. -~, -----, .-,-..,----.- ,- ._-- - ._.::=r- I " , , ~ 7R. 1\' ""-' ~P_Ch':("II~.... ...,,-, .....",..'. -.--'" _ .:2 _T(T iTr-; -j ,j:-.: -rrrT-r; ..; i i-:.-'-----'~:-::~:-~'=~--' "-:--':..'::~::. '1 I" _ NAME, ADDRESS & INJURIES OF PERSONS INVOLVED . CODES I 1 I I 2 I 3 . I 5 I 6 p- I OCCUPANTS / WITNESSES Cf~ ~~~~t~O^~~~~,,~W ""'ilx :fAG'- kiA1U'~1 '....;.. t ~~,~ -I ~'~~~ ~-i;i'~'1 ~iJfcll ~~~~, t.AMI ..._._._.____....__ .-I:.-~:..l:..: ,_, ~~~~(Ol '1 ~i"~~J~IIl\JMO,,~1l or'l~" O~,,~,~ O~~ O~'i~,~,. \ "UN I I I I .. ;r'p:'1~o, U.~VJ~1I10"" 0"""'11 O~~~'I O~~~'U 0 ~r~ O;t.c;.'..\~ <<l I ~1>" \1 :t..~1Y~f.pr ~cn~vJ~IIIOMO"....1l D~~~'l O~~~" ...." O~~~,~~ 11I.~~~...Iw:.L::: _ O,~:I" ((".' r0l1t1 ~2~"[Q ~"'rlol ~"~Ipf '~I---pP.:~V!oy/ I ~Al~ 1LfC1<;11.....1l.J ~7~ ??i,"" '''''"'' 13/I{n V.~I.?//-.J=9 "' No. n n ? ""II .. . ....' ....' " ... ,. .~. . . . . , A 7 w;,.." "', .. .., ...... .. '.. . ..' :r1 : . .... .~ I~: kJ{~... ,,' ... ," 'c. ,,' , , '" , " , POllet COMPlAIUI NWbH' " CjYz, ICITYNO ~~I~'''I "1"'"9,';';"'70 I~" ~lflX r~ IMIU ~ _ s/7 RAMP OI....GIIAM OAIA -,." ::::I- ,,', " ",' . ..; '. " .. < , g .. jF Jo > ~# ' ~ i '".. \; ...';' ., 1. , \ , "f1r)"1~5 EN'.' ' >, "DO"I~~ NAMI At'[)"f~5 X rf<(;'INGG~"~"""1 ;:Rr~ I I , ., , . :,;", ,,',',,' .' . ',:"......... . , ~ 'i . ;~:,' , ,: , ,," , " "..\ , ", '., " . , ... ;.............. .., :;' ; ... . ";i. ',":'L"" ',,"', ,. .. ' : , , , , ..' ' ;, ." :'.. ; " ..: :" ."."., , , " , ' .', . .' ,'" ".' " I, ::' ,;" :,:" :', ' ii"""" .,:"" "'; I ", I" , " ",: .:, ." ,',. . , ':,. ':'" , , ' ': . .... , ""'," ..': . ",' ',', '." ' ,:' ,,' "" ' '. ... '":.,, .' ' ~.,'..' ',:':'",:' ;:':: '," .,,,, , ". ,:' ;.' ' , , " ',:"",:,,:,", '.": , ' . ":';, ' " ',', , ',",' , '" " ': " : ,\;.. ,;:, .." . , f.,: , .; :: . , '. '. . ',>\ ": ".~: .... ..,.' " .: ':""'. ' ,',: ",.' '", '" ':' .." " '. .... ',.:; '. :,", ' ',. , ", ',;-:, , .~ } k; , r (. , ~. ~, ., \ ,~ .:: :,:.', , > , !,'f , :: ',:.. " " :.i:;;f.!:y::::,,::-, .i I ",\:;/'.>/ .' . ':. ..... i> .' ..,..~ ;c{J} ". ''':''::' ' , , ,.,' ',: Ii.'''.... r .' ." I; ". ", ,,"....; , I!'I . ','. ..... l" I . , , : . ...., "",,"~~i : '.....: ,: , " '.... '.. ' ,':,' ", ........,. , , " ':," ;' , ";"" ", ,.,',: ~...,.. .... ....., ..,( ..'............., ." ,; :, , ' ,', .., : .: , ',' '. , I . ....;...J , , ',' " ,.', '. W~PAII '~9 Gfi It,t~ [: STATE OF WASHINGTON " P"'"CI J 01 1 [Xl TRAFFICWAY D PRIVATE WAY D"'110'COlll~lQN L AYOICUHllilOf'>! 11M! IICOUN'" ) '''"''/''/., TCIl'NO 'S; ;"_:j~ 1'olJ~ ..."" 'UI\ 1",10 :~,'" \AI CU~D..ooHOUIII II--':;':"--/',/I ~ ~N 01 DIN 1IV011 10WN -I 2)"\IU-:OO'~'1I11'OIl...'G;........'( z<..;.j I~'CL~I 1.If/OUqO:~/:~;"" 7.0;;;', in, ow Mo, tiJhA1/1-6UMON~~a . ./ I /7lvv IN1(IIMCIlNCiWllH ~1Il(ITOIlI/OAO INONINIlIIS}CIiON ~ ~A A .A.",,,,/lP'; II lMlltK>:iol I ,"","N U:L;se;cJL4I.;w - v,,1tf:: _ I "1 fX) OI!o~A'.1' &~ClIONU10MIlI.IIIIN~I,CIIOli!>!>TlIH"i'J MAII!:'TMI((PO!ol ~ A I ACCttlE~1 "AMP 1",,,c:.IIAMo,t.,,,, ..:5/,t.. ,,~';~!> ;:, ~ :-, n 0' .J.~ 'rL--' I~~ M~~~( COILI!>IONINVCXVtO!1J _~_Vllllh', ~ 0" -"'0 l "'"l~'" INrfll]IT1"01!~.'~~.\!.I.~..:-~lItE.l_~lIKJ.a.oQQII('!~NCI NO KILLlD NO INJUlIlD....ML... SJ'ILI"'C.I I l HII & IIUN ",..O'tlOh'l t 1 Cl!> ClIO!>!>!>TIIIIIOIIIIQIt.O ~O~~~I~Pt!> 0 PIIOPl.~"C.ION\Y 0 :Al/tUPID o~l~I~~ - 06JICI!>'IHJC~lN"""'(0'06JlCl!>1~~~!oNAN\11 I$~ !lpt""'l OQINGUSol No. o lJ 3 7 o o KlllCl (Oh',I'I.A'NI NU'-'IlI11 In',".' '3 lfil,~::: ~ 1 "" POLICE TRAFfiC COLLISION REPORT 18 o VEHICLE "'" o PEDESTRIAN o Pf.DAlC'r'CUST "'>DD" UN1TNO, 2 .. UNlTNO.\ !> DIIIVIII!>N....,.."I l,.to.f" bl1fl!>f MID It 7U6 j:!~ AI/. . -r=- !>1I1U1ADDllt!>!> .J...J __ !>HIIOIt.ODIII!o!o J ro;;- ..::0./4<&-/..-' :Z:S<:-. ~ l?~.~7JS ~ e", hGlL1//Jor "~u".4 19~_:d '"3JT--z..fz ~ "" ." w,~ I ~7 L:: DIIIVllI'!oIIClNYNO I !>lAIl I !>Ell' ~ArlOJellllM I I !lLlCtN~NO I ;:>'A~.,l)' I L,,.IOle,1I H ntUt>- ~,f.:-_~Z761.Itl.\nt~ .q Z',.; l.~ v ,,., v-,.... 8-Z occ~~:r,AVA;;;(&PMON'NO ~ 1iJi;~:~~ OCCUPA.IION I'IIIMNM'''PHONINO \" / [~!> rlGo1TI~~.d_ o CHECK (....) I vtMIC~I~:'~J:'~'S~ ~'-~~mHIr:.II>.L 0 CHECK (,I) I V''''IC~1 A.!>'Z~~~a S,'-~~~I~'''L .:-~ ~ CODES" + 3 ~i:~~' 4 :~~'.~::"'ILL- 5 IIf("ON 6 W'lIOO(:'(l1 CODES" + 3 ::";~~~' .~.f ~5 lJI~I,O" (I """0'-;"(11 __Co,. z.. IN"':.L~ll!> A.J O;,!)~ ,...... INJ ~~.I<U' ,~. t' / \....." ~c:::: m..~~~:~,go... 0....."...'.."'0 D~\,'C.' DC'!J~lI~ r2':~~,~:: 0\"8.'...,. t~r2"W'~O'" O-llUIq.-l'O~.'l OC'H~u o...;;~:: o;-.~...~ - I VIMYd'~t 1MA.~OOO;Q:1 I MOO~~~"'1 !>1YL1~1 E HYI"~ r ~l:,.oHTVI~~LID"~I''<UVA.. I VI ,~ ~ "".bf.<. r~;;Z?lkt':;::-e/.4.I'::"""ND I'"'' ~ """'0' I"'v'/ I'''' I"""'~'''NO I"" ~ no- VlMICL[IOl-N!lfICA.HONNO L VltilCL!IDENlIIiC,.lIUNNU/ ~ ~ / ~ / :L.17 5' J : J 12 .::r:e-ss- 'i7;6 30 / ~ ::: 1l1c.I!onlllooWN~;"':;'~ 111l!.! MIDOLI IPI-IONENO 0 glGl!oTTIIloo7 ll>.!ol flll!.T MIOlXI jPHQfl..o ~ Z, '0"'''' '" OWN" ~. "7 .. 19j ~ NA.MI&AOD~CW. IN!oUIII>.NCICO Q'lI>.CIN! IN U I>.NI..I'-' A. N r3iI u Ve'7a.o _ R ;' II I~~.. -.. f I'" I .. .". ..~~~9t1 D...........c.ID Nit... 0""&""'(,' I ri.~~(~.'6~... ~...,..,,<r,(ifp A,C![..... t-:::f r;;- ~l ) p~O""""A.C.~lO ~1I1"'N ~RE,6.,tNIO -:-; ODlIlVlN DIIEMA.INlD If!>! DM\A.C.1 l~o~~~~?1\~ _ lei n ~~~ li~}flY' O~<;'~~eY AWAY $ ~ ~ ~ DI..AGRAMOF C.OlllSI0N' CUU~UPrlI/." ",1,.1 ,NDIC...HNOIIlH DESCRIPTION OF Col1l51oN: 1lJ!.1!>Uf'PllMf.N1A.L!oHllllfNlCE~IIYI I J!. . " 'i j I i 1'1 '1-'I-T-r"'U>UN""'''''',.." ""'0", '.th. '~~A'~:~.--E"~~;;;-'~.' A"~:~ r;-;--L 1.. ~ : i,-jrllj-l14T~.d,,' J2'-:'''~ ~ ~ ~-: O"'r-r. ~~= . ~ ~11~-S ..LY~.'lt!l.~! : , J .. '.' . ~/5V~~ ~ ~.,9/./ A'~7 ~ ~. ~1._;.p'3#;'i 11,ljl,:. tP t&ff~.vro ko#.,(.haez?~v~ .. ";:Jil [' ~~,,"1-r.-i.l++i+-+-!i.-'-';.. i. tf!H#e r1'.;ee.sr 1I'''v.JtI~,.....::J - . ~~ T '~'" " ~_ _ /\ /J .. . ~~'Ab [l:~-+:~' rrf,-:1. i';' ..~ ..; ~~;i)A1M /'P.e.ZZ2e- ..H'4".vJ' h~ NAME,ADDRESS&INJURIESOFPERSONSINVOLVED . CODES 11 I -';' ~ 13 . I s I 6 ~ OCCUPANTS / WITNESSES I,~ ~~;t~~~~~,,!>~m sf~-I-AC:1 ~TA.TU~I '....VJ.., ~~.1 c',';/u .ni" IIJICT I~~~~. N'~' ~ .:::r..?t-fe'~. :;;?" - ,J ~." I I_~ '" ., "'DOII{~S '_~-e' .. --- ~!~ ",rJV'IlO"'-D"",-B O~~~t D"u~. "'.. O~...uo EN.~. .77' 'H~~.. :f?" -. . MI;Z.. I J .,..,., J 10 "DDIlIS!> ' '.<f.e.. rJ" .. . - . NA.1U""":-, :!'t?;'.J~ ':; ~vJ~ '1I0M 0........8 0 ~~~I D~~~TJ' VI" 0 ;0.<:;'..\. <<>1 N......,/I.41/9;VLJfi.;r.}1I~~~""'N_- .L ~I (,. fA 1_ ...OOIlI!>!> -~.,~ I I J, . ~O.......B D~~"O~~Il' VI" D;-'~"'... X I'";;:t~~'~'t-~""N' 1'~OG.:o"~I",,'N" ..1 o'lli r"I,:?1f6Tl,S;f.oT:5(37"!"~~~o",~ ~'::.' 110 C>>IIVI""~N,AMI ., f:. , ....... :, li1 t=t .' . . .' : ~ '.' , "',,.':, :-': """,' I .... f, .' '" ; , '.....'." , ..... " . i : :,,; " ';,', :.' , l' n f--' rr'4- -.:? ....... :;, .... < ., ,; '.. : ~, ", '," ,0,",' , "':' '" ," " , .'';.' " . ". " . ':,., " .., ";," , "'" ,:,: ", ,': ' ,.::' . .'. .",." : I ,"\ .;:~::;;:'\'c,>. . .__ I""~: ", ,,""",', ",' , ,..', , ~. . .' ." ',<::;:/ I";', :; , \,},\, :-:- " , ,", , ;' I:", .,'"'.:-' ':iL"'" "," ' i ,,;~, , <',', ",' ,V" it~^ I'; l!; 'l', ,!' , "" ",," , , W~P_"'~_1~9 r.J . ST~~~~A~F~~~S~~~:~~N C;;11.Ar~,c:~Y \ L~ '...~ 0 PRIVATE WAY ~. t>""IO'COLll~ N I. O"'YO.<;OUl~IUN ,R J$l:p~IHOUlll IICOu~lIt C~I~ l'IlYNQ l"f,HNA ;.r- ~ ?"'!to IW~ '.,(00 IUI\ wW:y\ !I,. '\a' " IU$f3Q;. II ~~ 1'""",,) / V I I~~:::N L ~~ O~ DIN C1T"OIl'O't.~$S.S"(~~~or$'I!Hl0I!HI~HW"''' "lft!> 1>}Io ~I IJ IllOlJ~$l.:,:'~ l~'-" . /,I,s;;;,,, 0' IKIw iliio' IIA'EI...,,.::<:,J;~ .J/2.!A-Io.:-9L~ k>~ (p I ? I /S,sDCI INIIIIMCII~GWlIH S'"ll011 llOAD INOI'./INHIIs.tCTION _ Plllfl,ll r'- r.....IUPO$! .t- XTlJ ~~~ lartwElN SllIlIT. - STRUT '" ,'V I 01~1""'(.! & O~~IIQI~ IIIOM 1I1IIIrlro:l, CRO~~~UlllI Off M"II[~I Mill ~I I ACCIDfNT IIAMP IOI"C.II"..... DA.IA .1 M~l~:~ f; t, n M 0' . 7n! /k.1e- M~~:;~ I COlll!>lON 1',NOI\lW ~\lllllr'r. _ 'OU L 0 I "",l~'" I'" 1 ;;"':!jJ Ill,IIU 1~'~'..!.:'~.I.;:!.,::,~~~I,I.r.:.IlIlO.-.oOllRllllltf'4C1 ~O~~~I~~!> [J '0 k~~~;;~:'f ~~;IO-1- 0 ~~~~~~~ D ~~~~;:'" == II" 1 CI!> 1 CII~~61~s70 ~ 06J'7/O;P~7Joc;;.~:~07l/d~ PPUle=;e ISZT(7j,1tt' !>~CI"lCODING~[ UNlT NO. I UNIT NO.2 0 VEHICLE ~ OIlIVIII'!> "''''''''1 L.-tl',);;,/J . S.;zp/1;!>~'--- #_ MIDDLI Olll"IR'~N~1 .....~T r;:::; !>TIlHl "ODllt~ 31 _ &, 'P -f.;;- IRUT AODII(!>!> Lf. CITV ,/ '- ,!oT"U llPCQllt I.PHON! NO D. . 'r ~ rr/f',()te?,i.e', -a-'A,-1/J"33Q 3tr:""7:r3r R DIlNIIl'lII1CIN~NO ,--1 !>T"H 1'.....1( I . ',::,:8111.H I I LlCIN~NO lUI/ Lhl'- SA U?;v A "!I/'/!. 17l? 't;t-iJ' j:" v Z. OCCUP~'J:: NAMI & PHONE NO Vii ji4P :;'~.H; ~ OCCUP""0N r;M NAMf& PH0N1 "'0 i ~ /' o CHECK(....) 1.~,c~:~'Z~.::~'2~iit"L..~~rm.ii'''l 0 CHECKt,,) I \lfHICLI"!>"'" l'ru()l"NOI>1l~"l 9 CODES" >t J ~~~. .. :~tW::'" .5 IJIC1'ON' 16 ~:~.UI CODES.... + J ~~~~. A :~.';"...";Y oS IIICI,O.. 6 ~~~.IIC.C" Z IN"':.U'tI!$ I\.'~" E" ~ .11'1 / L-- t~~~~~'WO'" 0 ....aul...O ~\:Cl 0 rN'Il~ 0 :~,~:: !II ;"8.'..Y' 1<0'" 0 ......1lUl...tl''' [J'('fo'C' D tS'T1~ D ::~;:: 0 ;','i''''!oI' 10 II1Hb! lM.A.kt~fVI I MOO[Ph~-NO""1 1!>"LI~::"CONVI E HV"1l r 1'^'~V7 lMODtLIO"IITNOV'" r'Y t..... VI ~ IS VHh~~ I'I:fNlIlPLATtNO ..I~JAli I 11l"llfR P\"" NO I!>T"I( H VI'''COl.OII ILl\..lN;,.ry."T~U I"" I" 1~I"TI =1_ ~ DLv.. L{ Ilr. ~Z<'",... ~..I^, I - I I I / I ~~ ~f:7.rs:;~T:.D 2./i6iO;~1 I I I I I ~ V1HI~LlIDt.NTIf':"l7. I;: ~ :=:' O"""DO~" ~~ M'''''U I'''''N'NO 0 ",0"""'U7 "'" "", ""D'" I ''''''''NO ~ Z. "OOIl(~~ 0' OWNtIl ~ AODllf7wNtR ...Qj ~ N~"ADf3D'A)E"""O D'''OO", ~., 'N U ""YO ~'U.N ~ I '---- O.-.M"C.lOA,lll" l'tr,';'.,~:.^':~' I~.AII""'" 55"c;;;,/;z.. ~ O~O'IlIlE.A --;n r 2 l . I R1~~C:'g.:t: CHAAG! CH"IfGf l l . ~ ; i B~t.O;~:;OJ'I~~~"~ ~~},,1.l0'1:"'N"...,.& I 0:';,"1."" m~~," o ""'''N'' ;' 'qo;~~~' ~ ~ DIAGRAM OF COlltS~"~ ruu ~UPPltM[N'''1 JND"~NOffIH DE~RIPTION OF COlliSION IIJ!oE SuPPllMfNlA\ SHElT If NECE$$A.lfYJ ~ 10 1 - I' j OlH T.sttutIfN1Cm....'1 - IIY OW -'JI .. . ~A, - , - i j 11'ij/l ~P~Q -T 'j F.7-}, tU.E I~,W~ D,v~Ml~ rr- ~~ :;J; l' ~ rJl--j ,r~[-=-1' i -), ~_"'WAS. oPeClmp~ U~aui 'WL'11/ ~vt~ t:::...l>&~-: I . 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'>'."",'":,}'C": >"'> "",/;"" ......,.i ........,'......... ./' .........................i... ,i." )... .....,.. ::,;':\ .........',., '!'i;} ..:\i,.~i.i'.I'. ;. ...: ~ . : ......... , ," -rn . ,;" < -.J .' r ... '" J " , " " 1" .', " No. o G 3 7 2 () , o PEDESTRIAN '"'' o PEDAlCYCUST /' I ,lP L..VUl ./I P......., ..... 010 "'A'~;;:.IIIR~. I~~' I '''' r'O><'I"'O"' -.,. }l i.. -.0 ,. :~ A['lORlll~ EN...., :lO "Dt"JRr!.~ N~' IlOCllllSS X r;;e;'(7:':;;":;;~~ ,', ;: , ." , , , .. . .: ...c"it .' " ,,""" ....;' ",,' -:::- ";,' :',,;' .' , .. '" '" :.. ,,' " " ",'",, .." '_:J ",' " , " -: , J.. t\'. I( li~::,: j: l , ii,,' r<-: .i .. '. \" , I I~' ~ , " , .,....'.... '. ..., ....... . :.. '': ....;'. .,,, ' '.... STATE OF WASHINGTON Ilf . ~'POLlCE TRAFFIC COLLISION REPORT .. "" '. .~,~,..<, ~, r I '" ,.: -: . ,','" '\ ' ,,' \ . ........... .' . ;'",.'\ .' '," , '.. ....,. ..: , '" , " PACt \ 01 \ ~TRAfF1CWAY o PRIVATE WAY IT 1.~J'~!3:lLll~ I~j';!;~'; ;:'~~!~!O~r~f;-I~~I~~~ ll~l~~~~l IICO:T~ I "..- 0'" Or DIN n C11101lfO.....N l NM',l 10 NO Of!.UIUIOIII-IIGHW"1' .'J ...",,;';'; Ow f;5.t; Vo~~JlbN o.,nr.M,-r:rr,""C INlt~~(C'INGWlI"l !.nl!(IO~p J:NON1Nlfll:.fCT1o.:.' .. "j"""""" - 8l1WHN AIRtl.~ !.TIIHI & 1)..10.1'"0 !.TIlf!T lEt, DIS1ANCl" ~;':ION fkOM IIIHIIINC(. CliO!.!. !.IIlUl 011 NtAllt!.1 MIl! POS ACCIDENT ~ .'7r'\ rif~!~:S ~ 0 ~ ;; Of tl.,f..Al(\\ M~~~E COIII~~~:7.~OlVlD ~ ~~~~~::D~NO INJUIIEO...;l.- 0 ~~\Am 0 Hll t.l!UN ..:~:~~~~..~ ~ Of VIHICllS la).. 0 PIIOPEIITVDAMAGrONLV OIlISUIHO 0 ~W~t~ fl OfIJtcl SlIlUC" INAMI Of OtIJECl STIIUCk AND O....'NIII.S Nl\MI) I EST OAMAc;l -- Is- -I ~CIION ~ No. o [J (1 3 POLlCl COMI'LAINI NU/"-t111l ~~NA m VII8ANP u", jt' I""NO I 'Cl/~ I~:'''I ' "1''''9s77'c'; PlIErll('j -r"'U~l O. '}b RAMP r'Ac.IIAM 0.0.'" , 1::1:1 I )I;-lIr~ I:r~ UI~C!'!~~SHIU100r 11O~0ll "Hlllf'..cJ. III I CL~ !cRoo~6~o9~&1 $Pt.CiM'COOING U5l. . ': UNIT NO.1 UNIT NO.2 VEHIOE 0 PEDESTRIAN 0 PEDAlCYClIST ~..f' q Pkl..t"'.:;....AMIRr\\J v..St k'p.f:!.~'O\ ~'Ol)LI DO/IVIIl'~N~~~l\tJ I=~r".:r R MI Dlt ~1111t1 ADDllt~~ ~II!HI AOOIII$$ I ~ "" ~ L.loSI' O"'~ ,,~~ 9..0 ""00< I 'HON'NO D '" 1~IO;J. ~,~O c;.,- ''''00' I'HO.."., T! - Hvq- I"n'_,'~ "1'(%I;:"1'i3"l-Z.~-"R rwb6.' li-'l C-iiJ76 1(..ff)-3?-i2.- ~ O~:::: CI<1DI' I W~ I M I il 'r~{i~ ~ ov" 3 ';~:..nl~' II~: I il;'f""~7. ~ 2 occu:= rIlMu:;;;P}:Jen IB~ljC:I~'I~~: ~;A~ T'IlMc~t&~A~J b~~sl~~ll::~'.- -- 0 CHECK {v) I "'~H:t~~~~~8.~ '~~s,'~~~1JrrA.L 0 CHECK ({) '~H:C~I~~-Z~,r::t~ifrir;::fN~l~AI I 9 CODES" oj- 3 ~~~~~' 4 :~~',i~'" , I 5 Illtl'oo. 6 ~...~:<i'."'~ CODES'" ... I 3 ~~i;~T I 4 ~~\~:.-"" iJ- I 5 !lleno... 6 ~;~-."'H" ::';, ~ IN'jL~'E!. kJ~~ p".,.), I I ~j:~~tsm '" '\",.;,p .s m:.5~'~S'uo'" hL......~-.JI......o 0 ~~Cl 0 ~g~"D 0 ~i.~,i:l 0 t'.<;':"'~~ ~~""'.lDHO... 0 ......."",.....C1 0 ro"l.l 0 "l:~nD 0 ~~''''''" ~.1""!.I' , V1lq~~ I....Cu;;rV' l"'vA:)"NO<A' 1 "'3'02:V, Ir "i~~5 l....'P;D~' I:''''~~<AI I<:;'~o~"? ;r: ["'e\::'~ I~~~~ l"A~"i T'A""~A';/(1""~ 7 vl:.,'~0~_1~2~d' 1~$r'51 " ::::.. I" ~~ ~ 'f'"1;;'(~~r.:;E'~(:i;;l.ISlCII ID 14 II II ~i ?il5 i~ ~1'lni"~N4'~P~tl.211 i&I~!gil? 1'12. nl / 13 tz.~ -r "o,,~o.:i': \(e~:"i1l ::'w,1I1'l":'00" 1'~3'1:z.v'U. ~ """""UwS' ;;~'VJ "'" ""00<1 1:~ON~:u.fi~!.':D ~ ADDIlE!.!.C: I ~..:: 0'" ".... .'0 AIiO m a OWN!" I 3'11 ~ l"'~"'(l.." I-'.on..., "" ~~wOW \.t.'1 ~ CSf....q 0I...\.'l.t<- IAH q<n,,, I-d-J p:r-- N....MEfiOOIlE!.SOfI"',!.UIlANCECO OflAGHI R AM A.VI-' INS~ANCTCOCl'IAGH'l :Jifi ~ f1'c("r.,.o;SIUG I'" (-t,)I/-r- I ~~AG OAA)t. ~ I '. 7"iTy).b~ I ~1~:;:;~6.e,,~ I ~""';'~~l~I~EA. ~ E$ .frA-Jl _of~, l'>",(Q CHAIlGt ~p CHAIlGE.J(,., ~ C10\.k 1_L.S~,..t.DMG' -..::: I 1_/00' ~lf!.~D.\MA~..ID ~~:-:"[vN DIlEMAINED ~~~\.N ORfMA-;-'/EO Tt~DAM...:tldr ~-i~-~o;j~~ ~ '~D I $/~-'6tJ.l~"'t.EJ>6v.AI'-r Cl t-/ 0 ~~v-;.[.;'8V' $/~A.Lj ~\'O ~.-ll: E :DH'AGRAMQ..rc COLLISION: C\J!,~-~I,lPp(tMENr~( NO AHNQRH1 DESCRIPTIONOFC~LLISION: JB!!.UPPlfM(N1AlSHE(T'fNItE!.~RYI J~ .. .. - ~--TT-r: IT r u"""~ "mow -;1e!4lfr-"- ==:3 -^-'---CV-~'--:V' _h__= - +Wo~+ I-Jid.p~'d-H--j- ,er-T ~_V-se"--- 2_ o.,,{ll~. 00-"--- ili'!J_'3' - . ~_('oN1I}c;L._.__r_.,,_..__ Ie._ -,..rt;l-- f ~.i:i~;~l~~}~Lfpj-:ff:l-JrJ::L+:: -- ~?1tD~~.~I"~,~_~::~~..-~~)..=--= ~ ._~--~...."..t'--1 'j-l-J' l' "";'+'-1 4::t+'T . .s $- i(\T:__B.il->.1:... _"l_Ii'()I/$_..O.J:hL_LTI.__V>P__-= ~ J,)~I~'.Lf-' I. --_ -+ -1'.1 -1--1__ .--i..,,;,- ._COM.We.._..])).. _ J2P. .r. '_"./,..1 J1le... ___~.I(!'.._. '.~_');::h"~ I" I!, ..,--r, , , I . . , , I' : i I f\, Ilf"..-r- (...l1>FF. _, Wit l!' 7. _ @ Ilcw.M'.~, W/tllj '''.'e'l.. h.I._.l u'~lT<;l!.<::1_..L_: J-J.-!-J-t-'-L-...I-j- h~,_uU,~~IL:r()_s:@p__q_... ,Sl7!.t1<,~ 'illt. ..- -i.j. : .,,--h+ i j-j-.i-i..1 ++r--ii i 'i-'~~ CXf.:-;~:1.Jg.~(,}tLlFF('''Jr:..;:J.v.The.. .. "1 I" NAME, ADDRESS & INJURIE7u<?,~J,:~,fJ:8~~HIt'iVOLVED : CODE~,_I. 1..1- I ~. 1_3 I,. -I 5 I 6 -=.J 'I- OCCUPANTS I WITNESSES fCl'l AOOITIO"-AI NAMt$l sDc.....l AG[*k'ATU!. ,.....~..I~" /.~\ !QE!.IIl' I EJECT I.:-:'~~:. "MI. FlBScrrr- ~~"'I=I L . ... :"1,0" 'f'rl-2ii'1J:,. t: Ie:" .~ I < c... L A~O~~S" .~-AN.c.' ';:"~JtiL-JiI----.--'-'" ~tT~::'..oFI'I<::.~....-;;n.;;;:" SfN,"'flY ""g"M8 O~~~IO"h' o~.,.. O~O' po ::~:",,, ( .. -,- I~:~:"~' ~r~Vw,"M DAM' D;~:" m~;:,: D :r~ D~~'::: "1. eN"""E I "'~l"" I 1 "[l(I~f~! - ( ~'l~rY:.rso' .--- ~C'r~r"J~1 u..... 0"0,18 O~~O O~g;'l~ J:\1~t~ o~~'w X I"PtAl"7~:'~""M"~t2. 1.8t~<:;Sr I o~~l~ 1''''/,~~H'I''''J.Jl~IOA~'f17mI7%~l? :;""" ,i , , . " . ......,.. " " ,: ...L )'::;J\ ',,'." .... J;, :::, ' i.... " . .... '",,,,,; : ,".: " .. ,; " .... !;, .. ..' I,' . .... " I" r . ',' . ',. .':/ ..' ,,' ',"',':i .; ..... .....'. . . : ;',:,.,; , . . << , ",' " .: :;> i ", : ;' ":" " "..," ..' .1,':,,;/ \'1 IllIII ',.'",,.,'''' ~'.. .. . '.:.' '?' ~,; t< , J' t,. ~ i" i ii~': I 1\ ',: I, " . ",.. , ;,' , '. ....... ~.,. IT ;. 't"'..: lif ~'....~ [ STATE OF WASHINGTON No. o " ',} POLICE TRAFFIC COLLISION REPORT I'Ol!CI COMI1."I'H NU"'.bfl/ . ~ OIlIVllI'~"':P./;~7/ ~,.e"'C;;7"..t,?,~l~ ~f/lI(1"'DOlIl!.!. A LZ "" /.J _ (:::1.6 69f,." ""00< Al'"eN~':i 0 " rr- r-r: 7?k/J~../L2 -:,.</.4- ;i!~,..,..r R C. "''''''''6'''gt:lCl /7 go l)Jk I M "?}'7!.0 ~ 8 OC:CUP""'ON I fl~MNA.M( & PHON! NO .IJll.l~G~IJI-I.'GHI Z. - -ro-u...:e'Cl~./r~$LI'I/Zl-2lt15-d R L.- 0 CHECK (,....) "~IC~I'i~:-NlM~~~f&"'~~~lit'\ 9 CODES....... I 3 ti~~~. . ~~W~.., I 5 tllCIOON . ~ lr>l"'jutt~t$o' /i}.fA);:: . l.- tH~~"~~'"o''' 0 ..."'BUI....CI 0 ~C(l 0 ~.!;~".. IX :~~,~:: 'O..."".8.'..~~ o PfDES TRIAN "." IYllr!tu IN!./: NO , ~ 6 4 2 In'~.' !-:ql ~~:::~ W rl ~(lIV"o I -", ~ E OCCUPAtiON f 111M NMlI & PHQN( NO I .Aft !1:Y1Y. D"'IOf81"'~ ~ l:\l)V' )'1 "" ,.. .. ..:. ~ j/ I ""I""'""""'""' ~ "1: c ;:-~:?liI:'C<l 10 VlH:J3 I~h~=-..I WXJ'1l6'M)VAI I?~;;;w~ '8 '" li''''' IUCINSofPLAIINO, .l-~T"'" I'tITII...,lllIPl....'tNt:7"" I~T.\:.. ~ /.Jl./le- -zc/3161t1 -;:'(14.1 - I I rz.1'J:'3"'7"'f/"'R7too 1!'65, I , .. I .... - , ' I o PEDALCYCUST ""~, l'PCOOl. /1 ,17~ . ., ...o'OIO':.CII l) ~~~" ,,' . '....:..:....... ...:" . ". ,.;,.'.'. :'."l II . ,,' " ' ~ ' " "::' . ",' ....." I ....... .. '1, , .,' ,.... , . '.,' .. ,,,, "',:, " r !. :' ;., ;' :.:." . .... . ..: . '"", :.:, :.', , .'<',",,' .'" , .", ::',:, ',.', :,'., '" :",'," '.. ' ,'... ......:. ',',,', '. , ,'..' '.', " ;'.;, ' .': ... . :,',--:-. .. , ;.., ':" ...... 'I J I .' ,,', ,', .', ..' '."'" .' , .......- r: ....',::.. ,": " ": 1:/ "':,': '. .' " I "",, ; I: .' , :' L...;. . p....c;t I 0.1 D(! TRAffiCWAY o PRIVATE WA'f D""I 0' COUI!>ION ....,. 1l'~1 N . fl "M( COUNI1 COON1'lKJ IC'Il,."o 3 Z J21' w. .~"'"." '')(' ",~, II '"',S"-ro" ...::re/~...J / fa n qN 0' O'N I)" ,CI,.,Ol/lOWN ~~"..NOOf~'II!"OIlHlc;HW"'''~ fCTCI) ~MU)I"';'>III)' I ~OV;OfI)IIl!l!.CODl Z.7M"" 00' O. ~ooh-;77UtU.1.Mt/~ ON (J#;Pcn:ft::z'....ed'E.-<L bl"S I hZZ?O ___ INlllI~CTINc;':::={lOl/llO""O 1:~;~CZ'.~r- ~eE~ PII(IlJ( rQ rlll'2 .68 "1' DI~I""NCf "Dnl~'IONf~v~~IIHIII!NCI.CIiIO!>!>!>'II!I'OII MAII!$lMMPO::'1 j ACCIDENT II""~'P IOI....vIlAMO'O"... I ~~ 'Rf~I~:S ;; t, ~ ;; OJ ~eGe?~~ GM~~~GE I COlll!>IONINVOl.VlP r-I-. ~VllO'lll. 0 U ( 0 I "'''LI~''' IN II~ I X 5/0 I~NI(II~CI_'~_!>&lIib~~III1OAO~R1JI"'lN<.1 po- ~O~~~I~~S W ~~pl~~~~:(:~:LO_ 0 ~~J~~~~ O~i~~~;~N ~~ IA I CIS ICII~~C:2~7l? '8 O~JIClSIIO'UC"IN~IO'06J!C~!.T"UC"~OOWMII'$N.lWofl I IS! O.........AGI SPlCIA CODINc;U5! '7;rt!.~ Is -e- UNIT NO. I UNIT NO.2 0 VEHICLE DIIIIIIII'~NAMt IASI J [\Z '0 .., II I '::,' , " " ' , '..,,':" / . . .. .. I':' J ,.' , ":" ': , . , "',,,., ..,':,: , " " .." , " .,' , "," ".1 <"~~ "'... , . ., s)........... /? ...."",.... " <:,'; 8f~'; STATE OF WASHINGTON No." ('\ f"'I ..,. " w~..'" >.1.-- ,". POLlCETRAFFICCOLLI~IONREPORT "''''''OM"..N'N....'''' "" tgJ ,,'Z. ' ".. :'>: 0""10, C:O~ll!>:::';: Ie DAY C 1I.!>iQN 1 ""0,1 I\COUr,TY r /' ....". I COVtllyNO ICilY NO I -I~f.~::'" > :3 S BPlIW' .00 '"" 'X.'~" ",.. '.zm"n \JEt~ /f:? I I~::::' ..io,H 1 I'I/'N 0' O'N ......""O"OWN I N....'.NO OO"'!.'IO'"'O"." ~'1...l,r5" "T'OU';:''''';::';:;'", -rrrr"'" '.\ IL!- 2.."" A, jiii... neo' {vv(l Ll1e;>USON ltt/bv.D VALLc=z:. j I.,'<,I.::)'/V I '" INH~!>fCIINc.W1IH !.lRtlI 011 IlOAD TNONlNHIl!>ICltON J J}~ MIIX It~ 1""'lIPO:oI ,_ _" ---r .-r-- I&ETWHN ~#1"/!>1Il(1I& lFr~JLJ-- 'CA_ I ...."'S .-s'S .--J J DI!>'A"'C! & ~,I;:I,?~' OM~lHlI!N t CliO!>!> !l111t1 I 011 ~.r.:.!>.,MIII PO!> ACCIDENT fI"Yf 101...G"'........ [)o\.IA I t:J .8 F'~'~~S ~ f, :-, ;; 0' ~~ IO} M~~~( COlliSION IN"O,\I(O ~ !.(VlllllY. 0 :~.f.~ 0 ",,,1\0'1'1 IN' I i:t~v-llt-1l0 1~~I!~~_'-~'!"9)~~I' ,?1I51Q#.Ll0ll11'.lH.t~1 ~O~~~,~?t!. I' j ~':~~~~~I~~~:ED_ 0 ~~~~~~~ D~i~~;~'::=~ Ilk I CIS ICR0:5RlftR/O I rn- o""""""N""OO""'l\"';::""'~rN""NAM" -\ '" .~AG' ,..."''''O.'NO",' UNIlNO.l ~ ."'''''''ij'ouI'JJCrJ.WO';e.'nJ, -SM;;:' L. "}:,' ~T5Illl "'DDW'~~ . I Ifltll...ooRt~~ LZ: "" ~.lt:.3 Htv7,~ lO~"COD< '"3'l'~ ~ '" r ~u l La 7A/J-, VJ'f:;,'"71:, "lj-,'-37~ c "'RI1"7.7/#I/ N ~!;; fb"~~"iz. ~ "",,"N"ND Z fJA;:t~''''~E' D. l,..,mT1~ ~ D"U''''ON "'.N....'..HON'N~J\6-'7 o CHECK (....) If 5l~~~~'i~~~~~'g~H ~C~::bi\.li~''''1 0 CHECK (....) t VfH1CU ...S...N ~~.~Qfc'i::/j.l:.t1]...1 ~ CODES." 3 ~~~'{~. . ~~~~~::--z.. I 5 IlIel'''''' , 0 ~:?:CY(:'I CODES. + 3 ~~'{~' 1111'1,:; a.1t 5 IlIellO'" Z. INAJUURltSV1 I '\n j h:- 1~~'u~~.I..OI J U I \ v , ~~~"'~?'"rl''' 0 .......Il\JI......CI J ~~(( ~~".. 0 ~~~:: 'Iil \"8.'...~. tl:~"l?I..O... 0 ..,.......II.'*N/ rx~J\'" 0 ~'". 0 :::~:: 0 \".~"'\P , ""'Yj~ r"~hG~I...~[,.,"" I'''v~;'"'~ ~"M I-I \)'"7 \",,,",,...,m,,, r ~v, ~'"BWe<I";:':Szt5J'):W4-l":::"'NO 11'\ r""'''' I' -/ \'."1'''''"'''''' I"'" ~ ~ICt: lorNTIJlC:'"ON~' .1 V,HICUIOlNlIflC...1IONY [',,=,,; K I I Po. B5 VD5 , i.3 'Z-'4-! I ! I I~ : i I / I ' , ' I" E "0'''''.0_'' ~e- "." ...>D." ""'N'N. 0 "'Y"'''.07 "" "'" .">0" T""".."" & '.0"'''' 0_" 'Z '"""T" E m- NAMI & "'OPllESS (J IN~U:~NC:I co Oll...GENl "IN~Il"NCI CO OR ""iN I~ /Uo,ue R ' L.- D...",,'."'IA ~'I''';;'' ~"'I ....Zi'.'.... 81 r= ;, ). CH...llc.l C "IlGf ' " a''fO~ ." _ ' ,oi"oY,o"" $ 00 In ',.o"".!:....,. rlRfM....IN!D _ _ s 'I~,....,,,.-.- ...l ~~~":~"' m~':.';, 0".".<0 I~ ,qob;;}s ~ DIAGRAM O..F COlLISION: . lU~l ~utPl(M"''''1 ND'C~.N04lTH. DESCRlP1ION Of COLLISION' 1U!.(~UI'PlIMl.NI"'I:!.Hn'ltNtc(~R"1 ~ t:..E" I~. ...: .. ~~~;Jrll~;f;D::--~.~~ehil'U~jj;;?~~. i/i/ii;..iD-..,... ~ " ' ~,i " '. I.. J L'.. !". Iff; ,G'UI iJ.~.:.};k~~U)e;z!.. .iI ::21 i , ' i :/.Gr.tW.o~d,.J(~: U:.E2:Jtw7P..H.IJE. - _: ...,.. ,-_.-" J;: r~w n ~<tJ :'~ .' ;P,l',';' ,;:'';';,&"", "" $""";;'<//"";:"';" B , : : .::c?~ ' : . : I: : ..1]-..1 'vGXr:941",€:S"_h..w7A/~- .... po- . ~~:RE~S ~ I~J~R\ES!~t~~RiONS INVOLVED " CODES 1.= ":-3- ..S "6 Gl C OCCUPANTS / WITNESSES ',~ lli~Hcr~~:~.'.:'n: '",Cj"AO; LJ '".:'" I ":'~ I <,,~\; I..;,; I.... I::.'.':. N''''' c..l"e-~ . ~"' ~E WI 7_1 I.... 17 I "'OOFir~\ ' ,- ~/ti";~~'\ u,_ - .-- r-''''l~~!~O'A 'n..,c .-..- ~~~\I~~fl/U"'" 0 "'MIl 0 ~~tl 0"10;", o:;~ ~ 1~'"'''' ~ :::~m -I~!~'''OI'- .--. . .,-..---..-. ~~"'~~fIlOM O"MlI O~~~I O~~~'" 0::: O;-,';.~~, I ~ ~~ ~N NO ACltllllSS --.,. '1 -.. . ~~Ut~l~or ._". ~C~V~~fRo,y.OAMB O~~CI D~g;.'11I ~:: O;-'';,T..~. X rvtSI'G...~~v~11l ~.:AMI & UN_ Ib~g~J>IlI~INCY L~~'~iAt'a7~ ~13/,t7;~.1 AP;~"}::V I "1;;~ "" , '.", , ". .... '. .', ..... .......... . ,.,', .." ',' " , .,:," , .',' " , , " ',.:, .... ..... ~~ . ..... '.'. .'....: :tiTcC "\. :' ..... ' ~. ....:.. . '. ii' ,'. '",' ,,"''''i , '!, ,; .. ,'," " ~:;. I . . . " ',' }: t/, yJ; t, 1!' ; i, i '.' , I "', "'", {. , " , , " o PEDESTRIAN "''' o PEDALCVClISr """"'f ',', UNIT NO.2 O~IVIII'SN""""l o VEHICLE ~:>, 7 llP'COOI. ./l I "J" V" I DAO 00 '" " lI, .11 ...0 DAY VI I (1'1~- r1c.>4! HflvHl --: o ~~~y~.t>l ::.s > ,i , ,; .'. :', , , ........ ,i. '..: ..............i\ 'j .'.'i!": .. ,;:I "i,"';,:' r , " "' " " . ....ii , " , :,''''''" " ,.", , ': ',::"'i " '" 1 J TI ~~ - ~ :. ~h 3 ~ ~ ~ :::'.. : ' " ,..' ," ",',' '. .:" :'.. ......... "i " " ' ':" ,: ....... '::" "':. , ";,", ' ", '.. '. ," " I ',' " ", , .' ' . ; '" , : : . ..' . . , " "", " ' I ,,,':"". ' " ' ,'",,'.' ". . ..... ...... - ',: It! I 1" i~~ , , 1;, ,. " , ~ :i::' J.: ..,,\ y " j .t:' , t ~.'-. 1. '.; " ~ ,'. '\ !,: ,U<i: Xii<,. , !"~ . F-'; &> ST~~~:;':',~~;~~~:~~N [ii,L:./ ~,~_,~_.~ I 3 3 t"'" LS 0 PRIVATE WAY ......... r;::;-:~~' 1'7~riti;;' :.;,; P'~~Ti:;;;f ", 1;;; 1/~q.~~' r~t:H~Su N ""'7.:.-- c,"'''' I L2. faN D. 0."1 CITYQlITOWN -I N........U..N~ Of~~lOR..c;H""'M ICTrS ?1~ iK'(lllt liOU1tQQ!ifOttE cOOt' I M""o,owiio.IR\),.;)~ IONA1Rl-b",;-e......'i't>h". (p :;, 195/7t) _ 'N'''~'''NG...~O.'''.O r:::j'1~p~ A./", ~o,.;;;-11J;J ...", '0 1"''''''''''/. t:. if 1'/ OI~T...NCE.D~~11 '"-II"I~I,CIlO~~1IlU1Ql1M..llt~lMIlIPO~1 I ACCIDENT 1l,t.MP IOI...t.IlAMo.o..l... L 5l:b l:i.:'::' ~ ~ ;.., ;; '" np~<::-p~,q,/. M~6'ri:' I COUI~~I~:':oO\VlD r---t ~~::;O_NO INJUIlIO""':"'- 0 r.J~\"'GI 0 ~;;:I~UN I ...:~~~..!o IN1111\1 ~J I 'cff 1~r:,~~~:tf~~~0It.II~NC1_\~) . Ot'/IHICll~ 11J t)&tPl/OI'lIlTYD.A.M.-.GIONI' 0 ~~UlTlO O'/IH'C11 - I ^ I I --.< KIJc"C/ -=- Iq 06HW"UC'lNM""'O",,"'''UCUNOO-''''''''''' Is :.::"" ....,"",""..0"'-' - UNIT NO. I UNIT NO.2 0 VEHIQE 0 PEDESTRIAN 0 PEOALCYClIST m' r-'~""?J1'l!cn/JAc.wIfE.""AU"DR&./,DD<15. r\:"N""'..... "" "DD<' /.::- . ''''''V? 5cltt//C:W ~ :#-I/M~ P'r- ""1~" /1 ~"'POI<.\TVL.WsbJ"W4~- B~7.;tO~ ~ '" '" "... ,.,~ 17~ ifJ; E7lIdio";.;/'rfl,7W/zfY1 W~'1Fl,M'l;{ ~ ~"" ,......" 1 'f"'17~01"~'~'i~' p1 r,,-- OWW'x 1"'...N....."""'.x Ilt r.bT?'i' ~ OCCU""ON """",,'''''''',.0 / I "'T'GH'I'...... == L..-. 0 CHECK (I"') 't ~:t~:~:N1~~'g"1 ~C~~~il...l 0 CHECK (I"") I VlH' ! "'!>"'N lM~O'lI ~c~::tJt.:IlI~ Cf: ~' CODES'" 13 ~:(';. "" . r.\'~:h{ I, "HK,. . ~' CODES'" 3 ~:(:. 'I, ::\'~~" iI!, ..,,~ I. ~~\':'.,. :" .,L- t>C ~~~!~Ut '\. / X ~o... O..N&JI......c1 Kro"tI 0"11' 0 """.11 0 NO' 1Pt....:>\I'lDI~ 0 ......1Il~.....c1 r ':'If':U/O ~&nl 0 =:::~ 0 ;:1'_ , 1) ITbYDm 1cT~~ZA" l~tj)R;;:~~ E ,~..,:;. \- , ,"""H(V I P\:""....O'" r ,,",=-1 ::;. [R~~~ 1q.:r9'BatI'~~ 1'''''''::'.0 I"~ 7 "HC"'" \" '/ "''''-I ' \''''' ~ F(:r:T'i::;:;'R.Tf\"'~ HIC->o ID 1(.,,1/1l1c;, i~ 1 O,} ~ "H':"'''',N''''~'' I !;-;' I I ! 1""- I I 1 I I ~ ~ ~GI~TtIlIOOW'NlR lA$ol flll~' MIOO\I IpHONINO 0 IlIG'!>nlltDOWNt:1l ~,.., f'~1 Iro\'cIIit.! I r tt..o l= S'f}yY?c I - w / '\. I ;:1 ~ '00"""'_" _ ~ '~'~0""""7 '\.:::LJ E::: N,,"' &AD""" '" 'N'U"","O "'P<::' R / 'N N ""- ~ '--' O~~D'AA~'" -1 O';~..:':'':~ I~'" '10f'0, 1...,j;,1J:'...G I ~~ -= r ' :'0" Ij;l,:::".;:'.\':c~ ,..,,," (H"O< IH~';~ ' . ...!; t=1't1~;o,;oJ'\,;'5V:; I~*L 21~;k~:'N~ I O~~:,,, O~~'Z," D"""N'O 1;"0"""" 1'90~-~~' ==ij r= DI.AGRAMOFCOlllSION: . 'lUU~UPPU"'l~I"'l h'C...HNClQ1H DE~RIPTIONOfCOl.lIS'ON I~EStJ'PUMlN1"1~n"NlaSSARYI ~--J.." , -TTTT-T'l-rT~'Uj""t".r "~>>OW -W ,- ---N\JILf1( -;::;:~,,-",5.r CJ<,iVm,T"- -t11~J'-~i~1-1-. rTY+iCE]-r 0 ...J- .)j~~sli)o-:J :~O ~Z'-70 rU~ -= .,- T I I Tl i 1 I I I I ,~, I " /..,..J TT...."-~-,rffl- ~...J- /'r ',$ -:s,p~- - -----;;> C -jj+H 1 +J--1-1 -1 -!-i:-1-!-jtIit- =~ ~~-- ---~=-~-.-~-=--- --=- ----- - ~ E: +H +-H-H-t+H+i-l++-t-+-j .---- ---- --- ----,- - ----- -- --=' r:: ~1~~t47:~Mi~ES~~s',~1;Jrb.~J;~:=~~~/=-~.~:~~~t.~,-, · I ,~:) 1- HlR NlO"10,......~ N"Mt~1 (,.~V.'-~l.o'r, YIl. I ...Gl ,...,.u-J- .oo~ I~ ,f -i-(....~~I.;;s;;i~ f1fc,I~"I'~ N,,"' L:I"...c:.I-tlS c.. tS'FlRItL(.. .. .~' r'1 1'f111 "'Otltf~"Pc{rt';;;;- - '1";~r'TutJ;...J.c..~'; .... - -~. :t"',~~~~.IP' -.. ~rtiv~~ POl' DAMB 0 r':\'(1 0"":". O::t 0;0.1'..... r;oN....~~~,.W~~.!TH .... _ ... ,.. .... _. ~N. _----.. ~ /l-1 0'0' -"j Itv a.oollr~~ . c. O~A_L ~... ~!.o.- ~~"'~~'IlOM OAMIl Dr.".'" O~:~'" 0 ~~ t........-=t C NAMI L--- .._ /:.._. _ _"_._'__'.'_'_~ ------H---l ._,.. ..., ....___. ~~TlJDror __~.. I I I I ,,('lOlll!>!> "'"' --/"-' 'NJUlllIll ~_mV~~IIlOMO"'~B O~:{l O~~ll. O':~ O':~~"" X t/J <.'t~"~'Or&':.. ~..:J'~~ - I~' r"t>~ "ll'}''rl''''f,f'''''' 11'':7''''' I DAn! M 15W7 1W>f" IO/,cfl I' ,J,;;;, ' ,"".... I~ iN1 11'\W:) 31/3'A"J ,..:~:... , "." '.... ". '.I , : , ""::' :" ': , '.' " , I~':;:,w.:..~ I~~", T''''''' ~ . -: " , .. " .. ,,:: "".'i ';; , ",'.."" ':' " ,,"', ; ',:' i i'" ',>,; , 'i' " " '::.: .,',., .. h" i' ' , :,',' ': ", : ,,' ",' ..' I,:" . : . ' :: :" ", ,. , ,,' " .' - , . . ' ,',. ,', ".', ',,'. . , ' . ' "..' .,' , " , "." ,;,".: ,.'. '.,:' " ,.."', .': ' -:'-.' I',' "",,:,.,.; , """ . " """". ;-" ,.' ,,'. ",' ,", .. . ' I'",: - ': ' , ' ~ .', " ,~' '" '..'. . '" . " :' ::,' ,:, .:' : , , . ',' , " ," , ,," ':" ,: ",:".." " " :" ,,(J'.i>:>L' , I. " " I;:, , ,-:', " , .- . [i .' ,; ., I\',~ I ':,' >:. "" '" . ,,' ". .',' ",",.' . .., " ::-, .." ',' ,,".', .,:",,"", ,.' . ,,' ',::, ". ." . /. . '.<.::' . ,:,' """,, ,': ,"" , . ,,",.-' ': "'.""', ,'~ ....,. " ,,' , ' "',' , , , , ,:'" .; . ," ,. :'" ' ,,' ,," , , (' I ti. t' ~ ,\ l'., ~:. , ,': ',,': , , , ': ~ .' l:;: I " .' W~P ly.l(51(Y.I.&Ol " ~"\ STATE OF WASHINGTON ",0' I 0' I Ir:- ~ POLICE TRAFFIC COLLISION REPORT ~lRAffICWAY 12 d~'VME~Y PA1fP'_(;OHI I r,. L _ AY ,f l\I' ~ , ~~- IIM[ lICOUN'Y CCtUNlY,NO/ ICHYNO r;- -~I'fi,:~tlw.!.;t";;!"';r"":"l;;' 11'~'.jOO{;~'1I :YC"~y,..!. .....1 Ll? ON Of DIN CIIVQRIO.....N I NA.Mt&NOOf"lll(II~.IIHIC.HWA,( fetC'7 I ADM':; I 1It11T~C::iI~I~~O'" M'a'~' Ow r-io, r~L""A'''~ ION ri'.moZ. IfAIk',J 1~1.51 7..'f h'd II~THl>IC1ING'MIH l>TlIlllOJ;rRQAO NONINIII/!>IC1ION "IIUI~ rl~' IMlLl~J2.__ -- Il[lW[[N R"(:' t ~ SIIILH & R~, 5111[(1 I rr,..J J f OI:,IANCI "O~~IION flCOM IItflJii'IN~f. CIIO:':'Sllllll 011 NIAIII:" Mill J'fJ~ ACCIDEN! RAMP IDIAGflAM [MIA 'C .. 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"';.--;:- -:-:""- ~ : L.!.~:_,._..:::2:J:.. --C..-___::::r-r 1 Wi ;1 I l ~ I ~J}l~J '" ~ !i1 I I I I I I ~-"R~j~..~~ ~ ~ ~ ~ ~ ~ I'" '" '" ~ '" '" :-,.:r.T.'~'''' ~t:,:.,_,c.'", .. ~ .. , ,~ , ' , ... " ',C' ," : ..'.,;: , , .' .'. /:: '" " .i J, .. ' 1"' , ,,' , f ( ; ( ,'. ( .... ( :. ;'; ( ( . '- ( ( ( . ;, , ~"" ::. )'" ~, , ", r ,'.i STATE OF WASHINGTON ABSTRACT OF MOTOR VEHICLE TRAFFIC COLLISIONS CITY COUNTY TYPfOF NUMBER OF ACCIDENTS MOTOR VEHICle TOTAl. FATAL NON PROPERTY ACCIDENT fATAL DAMAGE ~~ ~~~~_~UN~:~OLL 43 1 21 21 ,i,l 0 ,1 0 PEDESTRIAN 4 0 4 0 0 M,II.INTRANSPORT '89 ~ .... 38 49 z M II ON OTHER ROAD 0 0 0 ~ ~ PARKED M V. 5 0 4 1 RAILWAVTRAIN 0 0 0 0 z PEOALCYCLIST " 2 0 2 0 0 !1i ANIMAL 41 0 5 3. ~ FIXEOOBJ[;CT 175 2 78 95 OTHER OBJECT 1 0 ~ 1 TOTALS 361 5 153 203 c lNTERSTATESYSTEM 0 0 0 OTHER FULL CONTROL C 0 0 Z U.S. ROUTE NO. 121 1 54 0 STATE ROUTE NO. .5 1 26 ~ g COUNTY ROAD 158 2 .7 ClTVSTFlEET 0 0 0 OTHER TRAFFIC WAYS 17 1 4 TOTALS 301 5 153 AGEDF TOTAL PERSONS PEDESTRIANS PEDALCYCLISTS CASUALTY lUllED INJURED KILLED INJURED KILLED INJURED 001004 D 4 0 0 0 D 051009 0 6 0 1 0 0 10T014 0 , 0 1 0 I 1ST018 D 52 0 0 0 0 2OT024 0 24 0 0 I 2510304 5 46 0 ',: 0 0 0 35T044 1 26 0 1 0 0 45 TO S4 0 17 0 0 0 0 ~T064 0 1, gl 1 0 , 65T074 0 .11 0 0 0 75& OLDER D 13 0 0 NOT STATeD 0 '5 0 0 ~ 0 TOTALS . ". 0 4 2 TIME MON.1nruTHURS FRIO"Y SATURD"Y HOUR .u. FATAL loLl. F"TAL m FAT"L REPORTING 0_ MIDNIGHT ~I 1 2 0 3 0 ,. '"" 0 ,. ':""1 :-:0 3 0 " ,."" 2 0 0 0 0 0 3 3:00 3 0 :"':1 0 0 0 . .."" 4 0 0 0 2 0 ., .."" 4 0 ",. :::~ I, g I'. 0 0 . ."" 2 0 2 0 7, 7"" 9 '0 -"':2 0 I. 1 0 . ."" . 0 3 ". 0 2 0 . ."" 8 0 ":::3 0 4 0 " 10:00 . 0 5 .. .g 7 0 n, ":00 7 0 . '0 3 0 " 12:00 9 0 1 0 3 0 ,", 13:00 9 0 :::1' 0 .,6 0 .. "'00 6 0 . '0 3 0 " 15:00 10 0 ':::..:4 :'," 0 31 0 " """ 17 :0 7 :C:::H 2 0 ", "':00 , 12 '0 :[~":~:B ~: ~,,: 0 5 .. '0 " """ 5 ',0 4 0 3 .' 0 .. '0,00 6 ' 0 "','':'4 0 .. ,4 0 "' "''''' 11 0 3 . 0 .. .... 5 1 ". 21:00 ,7 "1 ,,:'~;,3 ';:0 . ~::,:',,,, 5 '0 22 22"" 3 .i . 0 5 ';',,<,:,:1 7 0 113..':!.:23,00 .': ':"i6 ",.0 :,:(<'((,:~.1' ';; 0 ,::',',:'.0. 0 2"NOTSTATEP ,"""~..., : TOTALS 166 ,," 2 ""'''67 ....'... 2 ,"", '73 ;1 ~ .. FIGURES REFLECT INVESTIGATED ACCIDENTS ONLY PREPARED BY: RECORDS SECTION WASHINGTON STATE PATROL. " ," ",' .,...."., . ...., . ',,"; ", .'. :."i... ',',.,:,:": " , ,'I', : : ,:'':', . ..... , ,... ........ ". .; ,: ,,'i, " " '. ',', ;:,i(," . . :":, .',",,' ' , .. i; :~1;,~ ........, , , ; ", L)>: . " " :...; '" :,';" , "" ' l;~ . o 0 o 0 66 1 3. 2 89 2 , 0 ~~ ,"'" ,1 JEFFE~SON TOTAL KILlEO Tor"L ~ INJURED . 1 o o 3 g :.. o o o 2 o 6 3i ", 4 ::'74 o 7 o 2 7 '103 o 229 o o .7 42 . 94 o .. .:~ IMNNEfl OF TWO TOTAL FlorAL. M.V. COLLISION' ACC-IDENTS ACC. HEAD ON , , _4 0 REAR-END ~~'::.:;'~:;~-:Ji;;i :,~';.y:'~-"3 1" 1 :~~~~'PE~MEETING: I.~";,;: i ~ I,,'" g SIOESWIPE-P~~~I~G, _, _ ,. _, 1 0 ~~T~~~~:~ -.: ;:" Z ~ I,' '~ '. TOTALS,':. .,:...."'~ 2 SACKING ft SUNDAY ALL FATAL 4 C 2 0 I 0 o 0 c 0 2 0 1 0 ,3 0 2 0 2 0 3 0 4 0 3 0 1 0 3 ,0 3 0 ." 2 - ~.: 0 ",'~ ,.g :C:'.~' ',. g ::>i;;:;g ;:;:cc:.l X'!i,~ ", 5 5 ~~'~:D (RURAL ~OR PERIOD OF 01/01-12/31 t 1988 NUMBER Of' PER$ONS 'TYPE Of' INJURY NON' INJURY 8 1 2 ',,'., ,30 o .. '.._,,, , ~ ~ 1 1 ,- 23 C 70 39 o , ",195 o 4 o 2 35 148 1 U9 <~ ",,:~gl:'L:J: o 2 ,8 ,:;36 o 0 o ';"3 g '.' ~ 3 3 11 63 , 0 29 130 o o 12 5 12 o o '0 ,.0 ... o 47 24 :: 53 o , ,~~ ,01 o 2. 13 29 o o " CONDITION OF DRIVER IN TOTAl. IN FATAl. SOBRIETY . ACCIDENTS ACC, H"O BEEN DRINKtrm ....S.LITYIMPA1RED 53 '. . HAD SEEN DRINK.NG ABIL.ITY NOT IMPAIRED .:,15 0 H....C BEEN DRINKING ". SOBRIETY UNKNOWN 1. 0 ~~~;I::N' :' '. , 301 1 DRINKING NOT STATED .. 8 0 TOTAL DRIVERS 39. 7 < OF~~~~~g~~~~~.'.:,,:'.': A~g:~S~:S UNDER INFLUENCE OF ALCOHOL UNDER INFLUENCE OF DRUG _^>. _ < '..' ,"~:~:. EXCEEDING ST ATEO SPEED LIMIT EXCeEOING REASONABLE SAFE SPEED : :~,. ",._..'~ ..,.... .'i ~ 19 0 ",129 2 2 0 o 0 o 0 .. ... "'0 0 010 NOT VIELO TO VEHICLE 11 0 ~~~:~pTE~l~~~~~~DESTRIANORBICVCLISr,.';::;---' . ".'-:.:'1~ I::', .-~ FOllOWING TOO CLOSEL't . -":;.:'::"~:~': "::':':~~'.- _ ^ 158 I.,. .01 OVER CENTER LINE 1"-; FAILtNGToS.GN....LORIMPA~8IGNAL';;:: ,~. "5 0 IMPROPER TURNING ' Z 0 IMPROPERUTURN,. "', _..:_.."'~~~~~~:::~: .~>' 0 0 DISREG....RDING STOP "ND GO LIGHT , 0 ~::::~::~:~.~:~~~~~~~N~INGRED_.~,.;... ~ 1>:-':, :g _APPARENTLY,ASLEEP "::;~\t;,::::-,;..;~':C.:~~:~:'\T::~:-,~';:,;:>. .'^' '.1 B . 0 IMPROPER P....RKING LOC....TlON 0 0 '~~~~~lci~~~CT!ye EQUI.F~E~ ~.~'~~',.::],::'~:-~ " ~:; _,-:" 'g ~...~~~~~s"'::z;-:.'1';:r.1.F';rL~':',7;:'-:'[ Y, ;:'~:':'_1' "0 ~1lt,..!,~,l"'!r-ftj';'0".:.lI:m',\1'""~:1!-'-::-~'::""TOT...L8.. ::.' '342 ~"-11 .......ii.: i :', '. ' ... ,,','" ,",~' ,',:, , .... ..... . .., . .' ...... ..;::; "; , :.. "" ';,'" ",", ", ," '. .:: , , ..... , '.. ...' ............ .'... '. .: , " .,' , ," , :,in,. . .." , "" .: '. I ,,' ,:,.:, ,',,' o o 149 95 .172 o 13 ":; ": ;'; < ',:',;',"', "", ",', "", . , " ',., . .......... ......: , ' ,:,,:.. "; , ;, :. 'J,,: ,'" 'I .":.' ~>" "":.' ',.....' ,,', " ,.' ':. " . ".':"',". l" " . .' ":. '" , .:....J", '; ',',., " -- APPLICATION TO OPEN RIGHT OF WAY Application is hereby made for a permit to open right of Please des ribe right o~ way (attach drawing qr map ~ s7':: .M e.... ~ ....., Moo2€. way, ~o.vdotG iI,,) or 0 ~y Applicant agrees to perform the work in strict compliance with the terms and conditions set out herein, and any special provisions attached hereto. Applicant Name I!LFA/N JJ-, !3,IJI:::E.R Address "1>. d, Bll.\" B/3 1>0 ,e T"" 10 ,...II1JS<z',u cJ Signature: ~__ t:9 -~ Date: 3/zlh9 / I ****PERMIT*** Subject to the terms and conditions below, permission is hereby granted to applicant to open right of way. Applicable provisions are denoted by an (X). -.>L Applicant is authorized to construct a private access road to his or her property in accordance with applicable standards for private roads. ~~~~~~~l~ lloXl!K1!:1!l\llrnl::I:l:~kl!!<Kxti\tXltlW!XCtiIllJI:t:lY~1l . The permi t does not prevent other lot owners from using the access road. In the event users of the road wish to have the road maintained by the county, the users shall improve the street to minimum county road standards, or may form a road improvement district per RCW 36.88 to pay for the costs for improvements. The right of way shall be located and staked by a licensed land surveyor at the expense of the applicant. Applicant shall construct a roadway to county road standards. The right of way will be located and staked by the County Engineer. After construction to county road standards, the new road will be maintained by the county. *Note: Applicant shall pay the county one-half the mill value of timber removed from right of way in order to offset costs to the county for future improvements. RECOMMENDED FOR APPROVAL BY,dY-~~ DATE ~/.:J/?;; APPROVED BY~o--t:~a.--tf;h~'VI-- DATE AJ/31s--t ~..'..'on.'. "7 I ,"'" j>>{ ;lj;[' ...... </ . '."... .. ..__"i;:('; ,'{' "rr-II" )J 'I 1(1111 illlllllllllllllllill~WllWW 111111111I111~I!fjo.~ ~fi 'J \\; HORTON I ?i. [[II )1 . ; "..'. .... ie, L ',~ 1 j,y j<.j;,. ~ )i... ,...... "'l' ~ [? ( r;: ~i:~,;; ARDEN 'i';,,') I '- ~- __ T _ I I Jl T -1111'../ r ~-r ,v ~; 'j: l: " . !' !' ~ \ , ' ;; ':;, ......... ,; :. / ,," '','.. ~,:,ir' " "~ . .;:;.:,:..... . .... ,\ . :...;<<:'.,:.". ",: , '" ','; ;., .'" ' ",', '. , '--- " ,.... ' "," " . ". .' I I I /5/ /52 r= I I I ~ th, I '" I ".,,:, .:t.\...,"l"iU1~~ ifM', ,. .".. ~, ~.I~'i:::';i,1 :'::I~~' ,~ r I I ~ ~... SEC.b . .~40'~. I ~~ 14~T~ ~ -I I II I I Tnll II I IIUI~ W~ 85 84 I \ L.. --------- ~ : /60 /59 /58 h \ 86 r3 \ 87 L I -Moo t? E "- ~ ~ :x: 1- I~ 0 1;- 0) "/ V ~ ~ ~ ~ ~ ~' 11\ ~ ill' ~. I:::rJ ~ """'-L /6/ /56 "'3 /55 88 /54 /47 ~ ~\h ~~..~ 'C> /~~~'\/J~89 Ia:.tl.:::!l , /46 /45 /44 42 .~'. 90 ^\ r.Pb li")) ~ 'C -^\ (i~ll:lrP~ ~"'=:::) . !.I "~ ~<:(R1-~ /4/ .:.~ 9/ /48 .~ /40::t: l:1n ,.'i~!.<~,~ , " : ~ Q;) ~J : ~~\l ! \\ II I I i " : \;: 76 '.< ,'.:, ,. . 751 i. j' .' I, ;., 92 i I I l .'. IT . . .. , I ""...,\1'\ ',:,:. ! '(~;' ........,.. 'Ii " ' ... ... .. .. ,':' " ,,' ". ,::i , ':,. " .. ,.' .:; - ;.: ....... ......, . . ,---,. ........ :., .:,;.q , . : .... :i(;;:'~::':!,;'L::., " .'. ,.>" " :,' '. .' :\ ,G STATE OF WASHINGTON [~ POLICE TRAFFIC COLLISION REPORT IT I'"~ fd.->L 1;,' o o ~~EST"'AN 0 PEDAlC7CLlST g ''''00' I'~ 'NO j tt I- I .." I'" I ,D~'~ ""H l-- ~y" i" 1-'" W!'pI)9liljV l.bOl PAcr \ 01 J ~RAFFICWAY o PRIVATE WAY ..OAJ~IOI ~OUI) ,N~_I: -.p~,:-9:~Q~'~'~~QN '1;::-11 TIMI nCQUNtl' 3. It i3~-I;":1~""":I;;'i.";'I-";;]XIIIU(!;tCZI II ~j{':;CIJ cioN 01 D'N CllYOWIU I NAM!&NOO'~lRHIOI/HIGHWAY "/1 "'''IS Ds--rJw 51-0' Pot\\" LuDlrY... \ ION 01'. ~ - 12.""- INTIIi~(CTIN~:::,::ET OR ROAD INON INll~CII0.N I . 16nwuNt1\''\IOt~ ~ $lI1Eft& ~IjO' V^llc.iw.llT ( DI$IANC.t&O~(C IONI OMl/lfllltNCl.CIIQ$$$II1~IOII,MAIIH'MILIPU$T I I ACCI,~f._t<.jT _ \" ft ~'~:S ;; ~ n ~ Of Hv\: Ol~ Nu M~~~E COlll$IONINVOI.VEO ~~ITY.: ~ ~ b U l 0 I .....1l1~I.. ~ ~O~~~,~a~ [[J rrxl:~~~~~~I ~~~:lO_ 0 ~~~~~~~ 0 ~;(~~~UN ~"P~Ol~~ I r:I OeJU:~IIIUCI'.CNAMlO'OBJ ...T~TIIUC"ANDOWN(II'~NAM(I l~I_~~A(;( 1 -I ()d.Ct-\ ,':R'FF~W (0 . Ql UNIT NO.1 UNIT NO. 2 0 VEHIOE 15 DIIIVIII-5 NAMl 1A5l 'jll~l. MIDDll DIIIVIII 5 NAME lA~l r STe"X:>>?" DA-,lIec P r=;- 5I1H[lAODRH5 ~ 3CO 1).L.C~ S"\ ~ CITY r\ 51AH ZjP~_. _-I PHONE NO 0 HY ~ tol\' \bt.u-..:l~, 0 V""" '1 'Ii ~ I - R C DIIIV[ln.llClN!olNO 15TAH 15lX DAlfOfl\lIl.IH~ I 1\l11I51IClN~INO 'SI~,,)6- of 2.1 C"">"i INA M qo 12~' Ibt, V . "'LCUPAIlON ItIIlM~~t&PHONlNO EYE~ 1w(IG~~t1lIGHl E oc.CUP...HON IflllMNAMl & PHONI NO ,-96IWlIGl-lllH:lC>HI,=_ .:< ..AbJ~ I N'>oO~\ SlkLL B~I ~q ~I R Y I I a-..- 0 CHECK (~AS 'ZN (M~~~~H ~'-;?~t:HHiAL 0 CHECK h') "~~~~'i~ 'Z~~I'~~~" ~C~::fjl~~"Y 89 CODES.... 'f"...:~ 4 ~~;W:"'" I I 5 IJI"'Oo.I 6 ~:?yiK'~ CODES.... -+- I 3 ~t~~~' ~ m~~:.,"" 5 IJll':"O'" 6 ;:";i;?~ >CLI 0<.. ,.... ,'-"- ,':',~~I,O' / 110... 0 ......II...l.....'1 0 ~lj(1 0 ~~~ltl! ~ ~~::,~:I 0 ;-.8.!..~P ~~-;~'I!u... D.&.MIWl.......CI 0 t~~(1 """cB~lll! 0 :;-::~,: 0 t'.'l.T..? [I ,J9-r~ 1"""""[IOOpL.::1v.1 I MOOf~p':IOV"1 ~lYL~DD;i""VI E VHYI...II IMAA tOU~l'C."(VI 17"'RI-NOV~) I~Y 12 NI I~ . v,::;\o; I~''';~~~... fkrA I''''''':'::: I~' ~ """"0' I""N""'"NO/r''' T"""'''''fNO I"" I=:;i r:r1~'i.~Q";c.;:'~4:~lb::l.:d.Y'\ 1~lqlc-,I";--+--1 L ""';""~N>"';'''7NOI /1 I I I I I I I I I ~ rz:::: RlGI~llllfDOWNlR _\.AST f'II~' MIDDLE IP"ONlNO 0 Rf IJofHOOWNfR 7"" ,f1Jo:51 MIDDU 1fPHONlNO [....J S!l.}I,c... 1'\<. 1X,ut:-J I '-- w ~I ~ ADDR(!.SClfOWNf~ Sq,t\..Lo frs O'<h)"<';"\ ~ "DDlllJoHJfOWN,/ W-J f= N~"'~D""OO'N'U'~0:~::', N ~ N...."AD7""N'U.H"'0 ""O(N ~ DAMAC;ED.AJlEA I d~'~"'&ol"l.i I't::~"u'" I O'~'!o.&"':'~Ci I ~~I~EA ~ ~' :t.:J20 :'O";j", Ij".II.....~;:f;'~~"1 CHAIIGf CH"rI6r 1~6'Cf;'~~ n :'O";j' i= I .....-.. s!15T.DA.MA'dwJO ?IIIVlN OP.EMAINtD 0 DRIVEN DIIEMAINfC 1(51 DAMAGt II lo.'()no..- ~t:::::: 080nolol I SC:;CO l&li"z~ey.ATL'_ c,"h./ n 1~V:~8Y AWAY S I .-- , -. ~ E DIAGRAM OF COlliSION:. =+fiUjSf 5U~PPLEMI"" A~'d'N~S'~T( NOlllH DESCRIPTION OF COLLISION: IUSE SuPPLEMENTAl SHEll If NlCESS...IlYI 35 " I'n" I' '"~''''r''' ";gjjf -''''''g- -~ ~---n7\----rr; I+i-+-t++~-L - -H- -1'9~--"",t\"\ 1I_0li!..__ -,-JW_v,E'li"c.z.__pl- _ 'n'ViUTI,"TrW;' ~~;'-r~rltl--1'''-~'''''':'''' ~17~-;fu-- 1f',t..~__WJ~-D~i.:.H_1-- r- - j .-WH~,..Jr_C:~l"\L__ ._~~r._ -m '- :-}j=Lli~=l:t- -11+]:..:1- ~L ~ +-:=. -:::::~~::-_-====-=--===-===~___-=-== =: E 'ffiT-l-i-j-+'i++-Hti=t1+- .--,.. - --.----...-----.----.--------- ~ F-' ~:19~-~ltt1j:l~t11~~~~~~\;V~l~:D.. -.~~.~=:=~_C;:~-~~'-~.:~:~~I~~~~~-~~::~ I~L:~ J OCCUPANTS I WITNESSES fOR ADDiTIONAL NAMESI SIll I AQ( ~1~l"l11~I'\~\..I~t,: ..I~II~{\1iIIS11l EJICT I~~,~;. P"ONI NO N,,'ulIlO' IN 'III ~ "UN NO --.. .- ~Al:-k~f,or ~"\J" NO NATUllrOf INJUIlI!& No. I I n (3 4 6 PouCt COMI>IAINI NlJMlIlll tm IIi:Hw.... l.::=:t UlleAN IlUlloA.l. j"'t. 1""''"0 I '7~' 1';.""'1 "1":'~"~'7'; P~f.fIX I(Q --r"'IlE~l7. S.2... IIA.MP rtACoIlAM OATA II-/lE1I 1.~-I".IlD 11~J'il~Il~c;tu~~t1rt~l~iOAtICWJ5I1JEkll'O IIX -I CLS CIlO$$STRr<~~L,., SPf.ClAlCOOlNGUSl. i ~ " > . '.:.: i',', ., < l .\.. .', ,. ! .l I .,. .,-_. .... ~ffi'RffROMD"'-'-'a O~~CI O~!.:;"'I! O~~ T o~c;,:.-" AtlOIlI~~ e-""II.....t '" -.. . ADORns L..: "'AMI "ODlIr~~ , ,.. ....,-. ~r..?rVJ~ fllOM OAMIL O~~~" 9~g~1l1! 0 ~~:.r 0 ;<"~'w -,- --.-_. ~ OAM8 D~~(I O(~~lt'~~!:.r Oi:.'~!..\. 14~:n I APPlll'VlOllf/1 ;~R:; x I'NV<R'Go"t~:~~" ";~fI- - 1~K:f)~Y{J ,.;!zJ I~ ''k'J3 ~ , '.' " ' " ',' ',," ,.,>.,' '. '. . o'. .." , .'. : .:'.' .... " , ",' ": .' ......: '.: , : , ,', " .. " "', o", .' , ," ',,"',' .. . '.': ',' :,,':"1 . .....LJ " " , ,: '" " f,.....;' ' .., " , ',' ,:." .'. .... . . ':,,' ,:. :.' , ... , , '.: : '.', ...:. 'I' '. :" ',".0 , ..' ,-- ", ", , '.''''". "",,.... .'.<' '.' ". I ~ '''., .,,' " '.'," " ."."i;,: Ir: : .' , I': ': :" ' ' I; I,':' L..:. . . " , ':'",o' >,,. .. .'. ,,: . ,: If' ,,;,: ,,' .< : ,',;, ..',...'..... ,'....,:...' ,', . ',: ','. - - ,:..:. :-:-,' '.'- " '.;..: , ":' , :.,,:..: i.. '..' [. , "i. i;: ',-,. ,.:; "',, " . ..', ......': : ..' .' . --" '... , . ' ," , ......., /> -, " " I"" t I ,,:,~,::,,': "" It" ',' :,,' I'" ' " I~' .' I, I: ..", " :,','" ,,' ...: "", '" ,,, " " ",'.: ," ."-' ,,', i" :: ,"", :',,''':'', ,', ,:" " , ' - ," ",,',, ':,"', ...: ",., ' ", ',,' ", ,: ' ." , ,,' ", , , :':,"" ,,", , ',': " " " ",:' '" ',',,: "I ,,' .' :, ".. ,.' ", , ',' ',,': " : '", , :, " " , ,', ' ' I' ",", 21"';',":, " ,: '.:. "" ' :/, -'",:'''', , .""", ~ [2 '~' W~PI!>Yl~lv '.1101 ST ATE OF WASHINGTON ",c, I 0' t POLICE TRAFFIC COLLISION REPORT ~TRAFflCWAY o PRIVATE WAY ..t>~.1for<;ol\l~l9.N ,LlAY9f~~I~,I.q~. ' !'M! UCOUN11 1'I1...r: j Il'; f~ "''' ;;;;;'""1'''")""''; "'B( 'U,'e;;'''' II ::m-F'E1Z.'.:."'-.\ L..!. ON Qt" DIN ClTVOlllQWN NAMt&NOO'STIiI[TO~HIGH""AV "C; ,7 Mm Ci!.' oW ~O, kklllb'-L ON Co... P.A / 'Nll;':~IING WlIH MIlEIT Oil !lOAD INON IN~[IlMCHON '~J.>.( Lot IBETWHN - STRUt & - STj;>HI 1'\ DISIANCI ~ OM~!"'l;'~ '1lU.~ IlEHIiEN:t.CIlOSSSII1ltT ull NIAIl[!>' Mil! PSI ACCIDENT L ~ M~I~:S ;;.bJ:, n Of ~t-\ M~~~~E COlllSIONINVOL\lEO SEVIWII".....R!..... ~ 0 U ( OHI1&IlUN II :...r>"'Oh'~ 1'f{Trl~rrll'Il~9:CfiNCOsr~~llllQAtlOQlllml'tNC1 _23 &o~t~,~R~ [2 NO K:~~~lll"DAM~~(~~~:fD 0 ~~l~~~: O~V~m1 I ~ ~~~ 11\ I~" C(~ 1C1lC6~~(:~r~tJ - I~ OBJ[Cl~!D:~NC~lOfOllJICI~~;;:j~NAMll Is '~cyA"1 ~CIAC"'Z)lW6USt - UNIT NO. I UNIT NO, 2 VEHICLE 0 PfDESTRIAN 0 PEOAlCYCLlST 2.1 "q D"',"'NL I~" Or:;:~ ;;: D"""N~' D:e~JJ '~)bo-cr a: ::1 ~ ~'IlHTADDIlI!>~k:.1 "3 SkJII. ~ !>IWHlADOIlI~!> lo"i.... il~ Sl 1 ~ .~ cm fbm- ~ ,~$lAIl 1M4 Zq~:y 1~~~~d'"7 ~ CIIY PD1\ ~ ~~lf _ lAIA 19'1t~ IPHONINQ :- ~ OWc.:~:N:Nt:~LfI~r~ I ~ I ~ ~ri~'TH~ ~ 'V[[);~~~H'tI~OI I ~ I ~~ I Cfo~f/lll~i ~ r'~ /':;:::, I ''''''N:''''''"O'''ND .... ~ 7qdt:~ ~ ,:b:.:," "'fb~'L:~;: 6.>) f l~II~I;;~~-= o CHECK (~) I 0 CHECK (,I) ".sr~~'Z~~~~f~'~::8'f!,1:-"'l :1;1 ~""\ CODES.-.+ 3 ~~i.'t.~' 5 tJIC110">l')_ 6 ;:'~;~:C'ClI CODES" ot 3 ~i~~~T r A m'r~~'''l' 5 I.IICI'ON I Cl ~:~:""('I I" 0<... IN~jLlf~ C:;:~'\J\~:' II ~~;~~.l~OI ~tJ{.... .I.~. ( m\8."J~I~o'" 0 .......8....'.....0 0 rl~u 0 tg~TI~ ~ ::.:',~:: '[!)~!i1 ~~(~~.~(I'" 0 _&vI...." 0 ~~(f 0 ~g~lIe 5-::::,~:: .., r:~ IqY:;; 1~'~OO~~HEVI I MSU:;;~~~AI $'Y~;.:: I E VlqY~ IN~~~/C;~.) I~M(/:I.NO~A) r ~ 9;~~~1 :r: rs ~IHCOI.OR IlICEN~tP(AlINU. 1~'AtE I TWAIl.fRPl.AlENO 151AH H ~lHCOI.OR ILlCfN!>[P~Al[N-O:- T!>ATr ~"'ENO. 1'~1"'( ~ ~ Bit, IN_?U_7~ ~ - I - ~ {3i~ I '-Ir.f'SL'i2- lt14 1- - =;, VEHIClEIDl.NTIIICAlIONNO l VIHICL!IDENlIIIC"'''ONN ~ F'31:::)il4.'I~'1..1 '-II A 1013' /..1.1 hi3,lo 11 13 p '2. ;;;P:~iIA 1.::!I'i 1""1,( I?< A I Dill 10( Ia( 13 n 12 11. -= ~ IlfGISltRIDO~. (AS~ AibT~ MIDDLE ~';':q~ I ~ 0 RtGI~Tl tD;;:~:~,r -, 'r:'~~'te~ M~DU T~~ gJ Il~ ADDRfS!>OfOWNEIl W ADDIl!5!>C>>CJlNEIl ~ L-< SA~ k:, I\ILv<.. ~ 14/-, r., ~. i IAn, ~ L. l/V)4 - ~ N~E&A~~:~U~:..':'O ""~1:', ~,~' \ R ~ \)I""!-" 'N'U"N'''O "".c,"' ~ :t1 L-- O~AGfDARI'" D'~'" 1~~""'U"'5 ? .,.. ~/'\;).Jt..t -" T O~~E'" -=_ E. 2 . 'UN CHARGE " ,,.)IT" CMAR,,! -lI...tJ/IoCl", l-f:l...SI~(" z , .-.-u 1$ ,;Q:1loltID, ~ ~,D fO~:l"ND :J IlEMAIN[O . DRIVlN OQIM...INfO ..~' IJj-7fl.YJl."_J:l s"/J\D:>1ii5"'WMBY: ~Vp.k.. PJ r;?I~~~IlV.-~V;;;" P"~l-~P" SIt'1tv,'I'W,. e'!W"~ ~ C DIAGRAM OF COlliSION: CUSI UPPL MfN AL NDIC"'lE NORlH DESCRIPTION OF COLLISION 1lr.>1 ~UPPL(MlNTAL ~HU1If N{Ct~RVI ]!> .. - "'l"::'iTir "'f'l'-f"i ",,"ow -.r. ~I'f 3~-I'B---IT>J+l'" CfUI/ 1~1l-~-dJ'H-t-+1'+Tr --=r&: -1~\\-: --$- --~1:,,1>~;,i-R 'til~ .-l-S1o~-=::E ,)1_ - -1. , - /',l, f, _.v,~,_ -X: _\lfH U__ - . r--- I!!:' . J-+-1_+ I +~_ ~W.~,.)(r_.CA~__V-etL'!,L_AJ!.o_Y,)U~-i,J4oY IJ._ ~ c. ?1'...+.J-;--I,..,--H.J..-;.. :1~.. r..; _vv-"- ThO' "}~__S)<>JuMov,,,)~__(A.c._I_S""r~..k'__ \}:T:j.-H- - t-j-t:i.i. --t- b .. VOl I\" 2,,__.g>lij __/!:lotOS,l'(l.lI\_'sJ.:/)_tL__N. 0..___= .E: ,~ H-H- --;--j-, -t .t++-r-ji' -P'!E. DI~CIL" ,- --_._ -_'"__ - -_,,___. __.__--1 L.~-.l,l-i-~-i\~':.J...;-1$1_:trq:::iJ:..:...:.::..--.-.. .-..:- -,--'~~--":=-~-":._'~':':'':'''::' ...:~-=:...~ _ t-i - Ii ~ 'd--J-i i'-j"l r "ill-lu,~.-1' - ....... u ---"""] I~ NAME, ADDRESS & INJURIES OF PEfll;oNS INVOLVED + CODES I 1 I - I 2 I J I 4 J .s. I 6 .=:r I OCCUPANTS / WITNESSES ~UJJ ig~~}~~~~ll~l...~W - suc:':'1 p.ci-ki-A'i"U"!>1 ,....\I~..I ~~,~,. '~',":.;~ IPIS.Hi .rJIc.j'! :'.~~~" :~:,fm ---.. -...-/ - -...,.-..- ----... ...... ~~~~I.or ) SCr~I\lI\" MDAMB Ot';.:l.''' D~~~l~ o::'~ O\".'".:.~.~~ r.:o-- "l,'D'."'", .. ~ _.,.,. .._ ___.... _,. ._. ~,'MA~:",,'.~f { (I I I~ ",' \. ~crr5lvll~.WOM DAMn D~~" O~~~"e 0 ~r~ Di'r';.',.v ..0 L N"" J NouN I I AD{lIl'S~ -,pi - , - ,.. ~~1~~I!"Of ~~r~vJ~ I UI-I' O.....1l 0 ~~~q 0 ~g~,I~ r' ~:t 0 ~~'..~. x, 1II"lI'ri'C.l._',I.....C.Ol~I~~::,..AMI ~~ln 1.8~';! OR -'G1.....<.Y O~N" ()~l. I"O<.I'-J tll~A1C.HlD POJy.:12....~\/(OI D"lIf'_f1~lll I"'P~~"'~~I _ ~"_Il. __ . I '" ~~ ~ \ ""._ 14"l~ k,,5P it!) I '::J.~:, l;:oo~, I 3{J'rIi'i 2 AA S1 ~''''IROO';~'9'1;; 1 y" ~H" 1'" 1"'''>0>'-;:5. 2.8 RAMP O:...GRAMO'O"I.... ;', " :, :'" ;, " .- ... , "; .' , , "',,"':' :',:. ":" ".", ' "::,:,"'" ," ", ,,:' . ", " , ,:i.. 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DIN CIlYORIOWN NAMI&NO Qf!.Ul'tITORH'GHWA.. /~M"" 0' OW &(O:t2t,//J/'''--:-'' G ON COvL6 .f2D INlll."XCI,NG W11H $IIIH1 011110"'0 t:ONINflW~ClI0N . r:lZ:.-:7 ~ -- IltTW!lN -/ c,.,,~?~<;Hlll' & hA, ./ 511ll(1 1 DI!.IMKI&b~,'ON RO.....IlIHRINCI,CII0$!.$1J<Il10ll lAW ~IMILtPO$1 ACCIDENT '3 fl,_('~~$ -t;( ~ ;-, n 0' />h?~ ~.5/ /C I M~~~( COUI~~,~:~~OIVIO I2J ~:,vll~~~;D_"IO INJVIIIO-L 0 ~~\"'Gl 0 ~:~'I~UN I ~'~~~..!. 0' IIIHICIH 0 PROPlIlTV OAMM;1 ONLY 0 l1t!.UITlO 0 VEHIClI I ~?~ 4t!fJ OaJICT5'IlUCY"........[0'OOJICT51IlUC..ANDOWNt~I) I I' DA,MM;[ (:> /~,!~ ~Z~,..;c:::;-.~~ 'S - UNll NO, I UNIT NO.2 0 VEHICLE ~_ DRI~~:~~ IA5T ~/?J11l5' C~...J;:.-'j O~NA,M1 Lo'51 I~UIAOOII(55 1I1tll~55 r::; /3.:2 &: _ 00 a.lld "- ~ ';;:" L,,:~.\-= 4:; 983;t.- 1;;;5-~=,o ~ '" '\. 1'_ DIlMIl;;ICIN5ENO ,~ 5TAn .I:'u .~AI~f11 H I 'VUI':'llCINSolNO, L- Yov~.:Tc?'..-Bz:.L//I.4-'#I~ ~I t;~iv "- E OCCUPATION Iflll.....~..Pt1ONI~~~5 ~lCol'iT~HT E OCCUPATION flIlM,,\AMIlPt1ONINO IL" A7~/..r;-1 "e't'!"?o"'?cL:'; ~,"'-- I~,I-"-<- R "- o CHECK(") I 0 CHECK(r') 1 'IIMICl 5ANt.MplO~,,~l}:'~,*~A( ~ CODES" ot I 3 c:~~~. ~.~Il'" 5 lJlCIIQN 6 ~:c;:"~ CODES" .. I 3 ;:~~~. 1'\ ~\~:""! I S IJIChO" 2 INI~IIS '//~ _.R..;1,~.A"": .$~~',;J'D~~. -LG~ r:..~:~~".UI '\. ~lr:.l~:~,.r<J'" -- 'it'!' ....e..."'.." 0 ~~Cl 0 rg"u 0 :;~,~:: 0 ;'8'..!.I' ~~1~'1oO'" 0 _1IUI....CI 0 "'~I 0 rtl,nl 0 :~.::: 0 ;-'~"'!oI' , Ij9~I""c:4'd7 I;'~~~ 1'9;~e' E I"""" r ' '"'" """'0'_'" I"'"".' " ~ r=r"'~O\I I~P~AH!;lO_ 151An ITJlAIIlllKAlfNO IS'ATl H 'IIHCOl.OJI 111C1' I rlNO 51 All '\. II IIIR AliNa II"" l:?...1 'AGD L-J VS.,:J.S'I I t.;r4 - - ~ '\J ~ V~HICL( IOI.NTI'I'AT~ON:'~ '.. J . J ~ 3 l V(HICIlIO(NTIII,Allf.)I', '\. U:< 113'0'8/- 873,/17'17'-"-1 ; ~ I! I I !, I '. "- Iil AfGI~nllfD~~t>: ~l f111~T MIODlf IPI-IONE NO Il(Glsn..toOWNIA lAST flll~1 ~I~ I' C ~~..5..vG.<:" "J/~ G I /./.AJ/C: 0 '\. I 'h AO""''''O~~ -c? ~.$~ ~ .~"uOWN" '\. ..c.. A/......r4~j;) - ~c,C4,.;v /~ E '\. ~ NA.M[&AOOIl[S5OJIN~UAANClCO OIlAGlNI /' IN~U ANelCO OIlAGtN '\. 32 '4 ,J<,,;oJ':::;:;' R '\. - . D~,:,aYVAJl(A 1.@'.,7~r~':yl I~ATIO,~V.4-9.5 ~ OAMAGf~LA -= r=~ I ) ", I}l~~~'g'~t'; CldJl~ ?~ ~.:ST - 'HAIG! I ) .. ~ Iff h~~~p5T o,t..M~O~,~~~"NO o RfMAINIO ~ ,0~0 OOIlI'llN OR[MAIN[O I 1,k-'lIl)~~.~~)::Fl ~~ I~:!/ ~1~V6Y ...5';"?~v:S.. o AW-;"YflY _WAY S I'~[tc :'o~. E OIAGRAM Of COlllSION lU~f ~U'PUMtN "I illllO~';ATl NOIl'~ DESCRIPTION OF COlliSION IU5[ !ol.)PPU,.UNTAl 5Hl(T II Nla~f!YI 31 " ,'i!; I' ;"'~"t'jT'L _~ _ -1/bZ="'-"/A.~-~.Z;:;rH .c:;::J Co/LC. ~- ~ : .' .',: if." i' I I I j d.Nr:> ~$;;- $',z?-~""~ ;;-?;' c.-~g '#;::::..J f.C" ~ :' '{, 'IIe.::- -~ : "L~ '1 r~= c::<;./;?:;~__.z:z:;-=./;;:::?- /__~-"J>.'6. ~~ ./~~b> c.. .: .~! ,.1. :11- -E?~~-_-P;c:?~o/- _L,,:.s:;;-:<~~"'c"__~_i:::J ~!' I: -!.J', m' ~ II ...L W'~_.I~-'/.- .../..,.--~_/~..._rl'.;V/_hi1 E ' - . L,__ - "', -I J :>o_~~~......-"'<::_//'rL'/'__6"""~~&4'6'jF-J _/-1 . .' J i 1 '...,,~......~ ";;:~~___%;/-(~9 e=o...-'~Ai? .&e"Z 04'"""'_ / .r, !. . , j ! - j l-l j .,~' ,\ //:::: _/.r/k4':C..s:. -.- --- -. - - - - --- .---- : ! _ ;-. I' ! -I j I ,- .t'-' I. -""".~_,c..J:!...:-._./..5."""''''e/'''I>.4~-~.#a;/.>''~8 I" ' I I I 1 I .........., """,,/7.#' e'v.c?o/e _..a.v~CJd -, orc;._",.,v -, ':"'" NAME,ADDRESS& INJURIESOUERsQNSINVOLVED + CODES I 1 I - I 2 13 I . I S I 6 - OCCUPANTS I WITNESSES l,~ ~~;1~~~~~~LAs;m Sii-=-rAGt'. b'.A;u~I,,,,,,Vf"I,wli Cl,~l~~ lrit:sli-I (-jfc11.1ol..~~~. 1'1101."'" ~I I I AOO~[S~ . --,..-.. ..-- :tA,!~~I~OI -,~.._.__.._- !.CfNtV~':i'''VI' 001."'8 O~~'l O~l~. o:~ 0:-.:1'..", r ::::m ...__m__.'.. ~~~!,ol. --. .- - U:~\ll~'~O"'" 001.""6 O~;Cl Dc~~n" D:~ O;-.~'..~. 010 eNA""1 !iON "flC1I/IS~ _,..,__u_ [~nL~lsor .---.. -- SClNl\l~~'''UIII'DAM6 O~~CI D~g:.'ll ".,.. O;-.~'W' ,IIN...t~AI'~c.O'~~IlAt.j. ; 16~~OIlIAUIN'Y UN\~e4 ro~~~'O POII~~Il~IO~I~~JAPP~~lo..IlY./'1 OATI X 17'".KP/""F ,.-1"/.:''//1!'c,L 1;.;>';;,/1.0-<7 )1-.;, l-q'.;iI..e o,...~, LV-'//'2':~1 /.?'~/I '5 i~/fl? 2 4 'o\i~J>.A~ l~'" 3 No. 2 I'OI.ICI COM""A'M ,..u....~(1/ ; '7',& 1'''''''0 I I~~::~N '7~ 1'1) "\,OO;&;'~9; w,,, r \"",'K>>' 9, 1tJ IlAMP tOIAGIIAM DAIA I~. rlllRO IINI~~s~~fjISI~~I_~I/IlOAUOIl~'ll/tNCI 11ft I Cl5 ICIIOSI</21/g.00 SI1CIAtCODIN(';U""...I. , I"~ d o PEDESTRIAN o PEDAlCYClIST .,,0> I I" ~.. I '" I~' I o. '''' .',," ...0 D"" in I ('f1~ !Wl1c..ill...GHT :::::.. . ~'o~ '''' :Q;', ~...... t.. 1.-, D" ~ ~ , t:J - ~ i' t ,} ?>. r i. :i-1, " f\ ~, \ I 't, t." l~, , I ;'1 Wl ;2J .. , ',', '. .,..,.~'J , . :':': ' :, ,,: ,,', .' . , . '? I ,":':~ \. 'I '..' ,., '..' . :..', ,.. 'c,: , ", "',, :.... .'.' ',: i .' 8 ! ,,: "" .: ": . .. ~ ',: " -s .5" ~ ..,', . " :' , ....-" ,....:.' ", " ',,' ", '..: '.. ,', "'~ " , "," >'.:,: . ',.';,'.:;"'"',, ',' < ': ': " ,"': .: ..... '. ",', : .., '. ,', ';-:" ,: . "', :.~. ':: . , " ..: " : ' .. ' ~ .: " ,'. ". ',' .'. ,.", ,,', "":',' ';.' ,,', >. ;'. >.. . j' ,',' ":"'" '",',", 1': ,....,.......'.' .' I'" ..' 'L-"','" , .., . ' ' ",' ',,' ':: " , , ',',','. ' , ':.,' ';' ,: .... , , .. ' ,.', ,.': ...., " ,'" :",- ....,'. :.. .....,' "" ":: "': ';' :', " ''', I' ,'. ",.' , " ':,' .' ..,..:)i ' , " , ,"'" " .....': ....., I ' , , :,' . ", , , .' r " :' . :.:-,';, ~;' , [: (:"-' 'ct.,... \ I.:,; ''''. IIIIlIII . NAME, ADDRESS & INJURIES OF PERSONS INVOLVED OCCUPANTS I WITNESSES 1,UJ: ~~~~~~~~\'~~~~: N'.' C~H1~:i"~ ft.W.Q(,^, A ~. ~: ~"'"'.5 ADlIllm ~i? SOtll\ K~. ~,.t'i~I.o.J.r:,JI. l1ru,u. sCfM"'n ~N'.' J $"' r/ ~DD"m N.1",!!-/,~I~O' ,.._1 N~N ,'<~' .proms ~~L~~'[SOf s~~~;mIO.y. 0........1 0 ~~tl 1~:':~~1I D~~ 0 ;"'~""K 'Ii xfP;"7t~'l:'1'N''''' '2:(1 1~'lwJf '~Z' rti!l,r'DI t~i~,"'I3:';/:er I';~]}' I~ :~) ~'~ ;i;t 7I. .".r.;.'.~... ....' '." ..i' ;'.', .' ':,,;, .'.,' ~ ~= .,< '" "..., ',', ' .......... '," .. " , ! '.' " :" . . , .....' i ...... .~. ':", , ! ~ ,:', . ": i '.: ,:', , " ,', l,. , ! ':'. ...,. "",;:v:'ii(",,,:i:/::~ ....'.. ',',;'" ' :,', ,', ':' ',:,' . >. ' ,'" '. '. , I:,:' " ". "..' .; I';:", "", ',':,." , , Ii'; ',', " .... .,' .... {" ,.' . .;, , '" ",' \ ", ',", ": ), ,..... , . .-:-- ,:" ",',',', " '.: .... " " .....VI~(ll'rv_l.aol ", , " " ' ,: .i,' ~ ST ATE OF WASHINGTON "0' I 0' I rr:-I ~ POLICE TRAFFIC COLLISION REPORT ~ TRAFfiCWAY I 1 0 PRIVATE WAY O""'Of'Olll N O....VOf'OL\1 IN, H TIM! IlCOUNTY ~;iNO l'llyr..o r.- t)~,e"~ifJ W" .~ "''' ""'~" ", 'S('II'~O" II ~1l.rSd) / (/.? U- ON 01 DIN ()_JCIIYOIl10WN. -IJ 71 _NA}IIIj"NOOf~TIlJ}I"OIl~HIGHW"'T, /_CL~ IAO~1 "IIIOUll0l11~tICUI.lt___l Slc;1I0 9.2. ",,,,,.a, D~)2;o' r1l>'TT~tMJlfIOIlfi>A.v Vt)//-'W I?t>ild ..::- I-=" I I 93ISl:'-"4?1' INTlIl~(ClINGWlIH ~'IlUTOIlIlO"'O INOCJ;'.'_n.'wU1 -:.J PRl'IJl( 1"" I'MI(IPOST ,/, leUWHN ~IIlHl .. ~IIlHT 2., G T ./ Ot;TTCf ..~t;:,ION '1l0MIlHI IN~I,CIlO~l:o~Il/tI'OIl NlAllf~'...Ml(t ';Ol:ol J I ACCIDENT Il"'MP 1'1.... 1I",.....o...IA b "I-Jln ~I;~~ ~ ~ h ;; Of tolte. IJostelI -#-- ~ M~~~E : ca'(U~IONINYOLY'O ''...'A_1I11T. /_ 0 u ( 0 -I ..."n'" ""(1/11 ::.g~1 ~.I/O I~N =:~s~~;:;'J~Ilt(101/ 5/0...0 011 lltHIlt"-Ct 6rO~~~I~~~ rn '0 ~~~~~~~I~~:(O-=- 0 ~~l;~~ O~;I~~;UN I ?o~..~ IX I CLS ICIlC6cl:i/~o C 06JTf{{'Il\JC~O'oeJ(jl~'rf~~OOWNIIl~NAIJ!.I" I UI DAM....G[ ~P{CI....(CODINGL.b1 () . ..,{I ~ L 1t>U/~ IM~ .ISOO. II UNIT NO. I UNIT NO. '1 0 VEHICLE / OlliVtff'Si:>~c:;:, ..... 7'I1tttI~~ R _ MIDOiI OIlIYIIl'~N.o.M1 .....l:ol o ~IIl[l+7;lr ~ bt.Ic:Iwe.W IC~ III({l ~DI/(~~ ~w /ol.ItseN/ ~ 1rjjt& ~~"l~?6" ~ '" IZ ~'~~L3k. t..{l-Q.3Z) I;;P; .It-A' b;j'~~~'~ ~ ""'fiT, 'N~ NO I ~ ~fiu, 1E;;r';;;t~~O ffl,1Yt#lL 16~ li1SlriC ~ OCCUPAlI~ 1'11110'. N~I& PK)N1 NO L.-- 0 CHECK ("'l I' ~'~IC~I Al:o'Z~~~~C" I ~ ...::biHf,r\ 0 CHECK (.....l "f>lleu M.A:\jLMP~O~I'O' ...::ttr!.:.'iA( <; CODES" + 3 tiiu~' 5- .. "1~~::'''''':L 5 !,IC"ON 0 ~:?:'.cu CODES .. ~ 3 rii~~' .. ~\~:.:'" ~ Ut',e.. L INJ~'I!:. ;'t"'/~ 1'tJ ~r..of L.-- t~~I~~r..e... D .......eJ'....Cl 0 ~~Cl 0 r~."1 0 ~:::.~:: 0 ;-'8'..!.I' ~~1~I"o... 0 _fk.II....CI 0 ~~CJ D 2,g"u 0 II'I~~': 0 ;-"~""!oJ' ;rf7Lf 1~~JHtVI I C::;R=...) l!:.f~~C~.p ~ >lYl~1l I~~ I .HVI 1~~qO"'lll~V"') l~lT I ~l IT '~U7T)CJ.IID7il/:.L l'UiA I "''''',,''NO \"'" 7 ""OC"" I'~'~"~ I' I" I"'" ~ ~";:'''r'';qONp S 1.'lON[ NO 0 !tti>I~I1Il{Q WN(1l lAST FIII~' MlOOl.I I P>lON( NO ?l-, AO~IlI~S Of O'NNtll "Z "'OOl/l:.s l OWNIIl A+ll:>"E E IT77 N"""'[&~D~1l1~~OfIN~_IlAN tCO OllAGINl IN U AN "'GIN ~ 1/ """K~ 'T.f'k. R /'1 L- ~'loi'''''. 1;::'o<~"'S.. 'HI'" :~ ~~'''''. b V~~~~o:j, .9.100. ~ri~r?'."N!D"TN o~~-.:~" m~~," O"~'N" I?,'~~lr::r.o~~~,:~'~ ~ DtAGRAMOFCOll1S10N' luu~umt""iNT"" NDICAT'Il~ DESCRIPTION OF COlliSION' tU!:.I!.IJPPL.EM(NTA.l!.>1InlfN'/C(~IlTI fls . ~"tH If NICUS...IITI ey Afl) --=-- .. '. - - -- ---. ~ _~~~~ @ :~tldJc1e floril1 Qf....r!tut/r;;-YAt~ Ifottrl.... ~~~.~ [2- 4'Or.;e4 ~~ /I".e ~/(t7 I~ fck r:ZJ V -- . - - -),''''''1 ~O'JHt b;;@/ IdlH? ~ sftt/eLI :cI ht .(?lIt f'ir'/~. _. +,C,OI~ES,', I, 1, I,:~," I "~, I ,~, I · I 5 "I.e. ZJ It A. b,... usl' ..,.;"1 ~ " ,':,JM.IIlfSTlll UtC' I:"" h ~ 1 LI- I"L rTT~~ I..... Q. 1 I No. <1 I I '- f'Ol.lC( COMPl....INT NUMfl.l.ll I~"~W. I.,.., U/olIlAN~ lrURAl. o PEDESTRIAN r,,,. o PEOAlCYClIST W - ".. .. ~ lYl!:.I-MIGtiTI......GMT :.....- --r.PCUOt I I"~''''' T""" I~' . ""O.C>lIC.I;;U ~""'tT - V o AMB 0 ti~CI 0 .."'~. o:;~ I O~"'\I' 1~.w~~vJ~nOM DAMB O~~1(1 O~~". O:;~ O;',c:.I..~. ?1 ..... . . , ' :. . ,,',',' , i ' :, i' . ' "" .. '.;, I " :. " ',.': ..' ;'C; .; . ,c., -:-:.'l ' '. ,.1::,.'; Z1 :~ ~ '3' 2J - ~ ,'.", ,': \. ; , ;':: ':' ..', :. .... I.....' I: 11 ..': ',', ; ";'. ::' .: ." .... , . ..... ........', . .,' .............. . .......:.. ,: "'" ':' " (i' ,:.'Ie .,:";;,:,,, "":,,.,:, " . L '1'... '" ,,', ..' ....,.' -", ,'" . ......., ..', ,'.' '.' ".:' ..' '... ' " ' " ". ..I -J ~:..., I '.": , Ii'"'' ----' " . .' ~. . ) .', ,'s...... '(,' ,':.' ;';i:':'"i'., '. :'<-, . :.. .... . . ,", . ',> " '" " ii," ... . ,; .',' ", .' .... , ii, , ':', " .. . .,: 'i:' .' .... ... .' ....... " , .' ,'," ':,' "" ;: I',' to' ~;., -1'; '!to " to, ir- e ! i. t f; I I \' , \ ~- " \ ',. i i.. "~,I } I '., ; :' '~i' '. ':.: ..... ! ' ,. ',' ',.', . .-:-.' I ~.. L- 'i ~ STATE OF WASHINGTON "G' / 0'/ No. '2 I 2 4 w4^"" r-:- ~ POLICE TRAFFIC COLLISION REPORT ~TRAFFICWAY POt'CICOMI'l.~IM"'U....t>t& ~." II 0 PRIVATE WAY ~ D." ""''' N .1. ",J,:' O'''',ON . ~I "..., 11'0'"" J '''1'J''::! C""'" I In':,,".' 3 'i. -r-;-.3 :Jl:7:89IW~~:M\ ..,tll....~,."' ~ln~olIl5~/;'"~o~ / lV IM~::~'" Ll. i I ON Of D'N CITYOIlTQWN I ~t~~OQf$~IOIlH'GHW"''f C1f~$I:""~ 1.llt~l~o;/$Tr..tI'J'~ lU' '7 ..."" ii, Ow 6:i'0,/?:", ,tu'1:>LaJ ION ~v~ t/~d6i/ UJ I) I 7~1 V v ~_,: INltll~CTINGWlIH $'1l1110~"OAD INONjNII~!.l~I~ 0 ': f'QI'I,l( IIQ IMll~ - ~ &; 181TWlIS/h /o;/' !l1~lIT~,AZ/~ ~~ I I - ~ 0 It) 'I OI!>lANCI & ~~,ION fllOM "HI "IN I. CliO!>!> !lllllt I 011 MA"I!>1 Mill f'O~ I ACCIOfNl "AMI' OIAC.~AM 0",'. Ef.)[i1l" ,,' I ffH'~~!o ~ F, ;.., ;; 0' p?"t e- ;::bs7?( M~lg:f - V COUl!olONINVQlVlD -.!..~VI"'1Y. ~ 0 !~,l 0 I ..."n". INTI~ I,~Y: I 1l'.IlD 1~~I!~~5:.~I~:~lIf.ll01lI!QiOA IllHIttNCt i.o~t~~Rs [Z] R-l'.~~~~~:I~~:ID- D~~l:~~ O~~~t~ -===~ I'~ ICl!o i'1I0!0!o!o13AlOjOI/ "a 08JICl ~'IlUC" CNA.MI 0' 08JICI !l1"'UCIC. N>lDOWNIII'!o NAoMI) I I!oT PAMAGI !lptC"Al ~v"IG us.l I -=~/2-:;- "",,~?;ff'-"'?::"-E/,r;- I> - UNIT NO. I I'UNIT NO. '1 ~_ o~'/A/k 5 TC7/ZJ ~j;);LoP/T' O~N"""l '''857~ /4p/ b.-JC= ,N.t-J ''''~ ~ "',// _ \ "..~ ~50'" I;"ON"NO 0 '" '\. _3~~~ /v}a- "7.215/0 Y-7':?-$;7,?;7 R '\. !'_OIl...'I,-!olICINl>I.NO l-!o'AII L:.t:k ~ I ~LlIN!olNO'\.. '- //$2-f20 - ~.7~ - ~-38)l /L .#' it> ~ '1.3 v "- 2- ~;~r 1"'t7s'~~:;v f6:L~~~3 ~ """'."0. "'...~"HON'NO o CHECK (J"l It ~,t~:~S ~N IM~~~II s.,Ci'~&.~'it'AL 0 CHECK (r') I vtHIClf .,..N LMP~riYII ~cr;:Sgl::/ii"'L 12~~1.:'='-T;':~-= . ::\',:~"''''' ""'''~ I .:?:~.<""- CODES~' 3~:':' I..::\~~'" "","~ I. :-:';~,~.'" ~ mWI~"D. 0 ..."'..." 0 t'll" 0 tH.,,, 0 ::~,~:: ~8.'w ~ 0 _w.." ~"" 0 tH.... 0 ::~~,: 0 ;;~\", , /9:70- rc;;~' 1 U;;';l r~:;:;-.Q E ~ I_"~~""'v, """,0.""".' T" "u'w" :: ~ v3/;cA'I'q9;3~I"h;,4 \"...,~ I".~ 7 """",. I" ".n '\j"." ,".,' _ VI~ICH 1t'ltN1I1IC""IONNO CL VlHICLIIOlN1!fIC...lIQNNU '\. "2T~.lV!g;8/'Si/lb/lb,.:?, I. I i I I I I I I I I ;-.. ,; I' fTC' IltGl~nllloOWNtll LA~' flll!o' MIDOll IPI-lONtNO 0 II l~nIlIO()WNIIl lAST flll!oT MIOOl'I'''''''''''' - $/p..aV6" ]S".-::9....r.7<S' "- '23 "'DOlll!o!oOfOWNIR 'Z ..DOllI~OfUWl'lIIl '" ..5:..-9....??C!= E "- p.-. NA.MI&A,ODllISSOJI_NSUII...NCICO O1AGINI ,/ 4... E&A Illl~OIIN!oUIlAN N '\. L=. C;. 6...... C".C". - .5/?t./~,.-t:'</h'c'E R " O........A.GtDA..III. ~\...;;;.....tl I~TI()N. In';'~":'''G I ~"-MA.GI~EA.. -m " 0' :'0;1" lR~~~'g:t,: CHAAG! - CH....IlGl IH~..f;= .10...=J I IOB'OYioj,,- !'tll!>',oAM~ID ~'O~~~D OIlIM...,N(D 'OWlD DOIlMN DIlIM...'NlO \lSIDAMAc.lll[) ~o.o";~!'t::::rn_ _ ~_ I $~~ ~lw1.y 8Y I?I U S 0 AWAY 8Y AW.Y S j t---1" 'O~.....:'I ~ D'..AGRAMOFCOLlISION:. tU~t~UP'II/o\EN1A.l INlIICAIINOliTH DESCRIPlION Of COLLISION: 11.6(&uP. 'UMlNT"'I$HI.fTlfNEC1~RYI __~&I '~ .' ii. II 111 fj...lJ'u1."'....."'.-. ,w,ow_-_jA1' ~.s";":;;''j?;h/''ci-,5- .. d_:': ~---. = .", "I'jji ,.'... 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'---~mvfROMD"'Me om~lo~~.o~~ O;'8....y ~ ::::", ".... ~:~!.o, .. ,,-, -....--. n~V:~"DM 0'.' o'~:" o~:". 0 ~~ o\',~,,,,, ., -N~ I I - ...'F~v<~"-."'GOr~".~:' '.. .'-;,,=;~ I"';'~:s' ?.... ~~:;.(1~, r~:~~:;;~_~,~~~:~~Jj.7LI: D~ ~~.i,:jii,: X I77,r ~':T 1Z::!./&>~.'~ In.'&'i? I "v I ~ 3 I" '.00"" ,.00 "" 13....?>J"A .9/ dY"tC ,~; - ... - ,-~-,> '>'>~Xn /<>it>.! ',:.'>,'.i ...,' ':'O' ....' ,<,'ii> , ".' , ii:..'... .'....>i. ,....,..... ..)....:>it.. ....,...,..,...ii"" i?i.,.,.. .' .i, :i ;", "', ....,.... :;, ," ".i' ,.' ....:"i" '".,'.':,:.;..',";/.i'i. '., ?,i;i 1\;.:., '.;"" , " ,:' o VEHICLE "''' o PEDESTRIAN " o PEDAlCVClISl "0'''' " I I'~'~ I "., I~' I "U.. '-~'" .. - ...0: c.o._ ,n ...!! I ''''r''''''I'''''''::::.. sl...rt '''~ '. ........ ;' , .,.. "" ~'I ~ j -..: , ",e, ....' '.. ."" '.. .~:",b~:f,l;1 ~- Ft ,,' ':' , " .i, ", 'o" '. . ,,", ~.'... ,I '-:',' f".: .' :,:;,: ", ' "" ,.,,,', ,.' i) I /I . " I J >".: , ' '~ SO' '0; , ' . , '. ~ ; !lJ~< 'd.,. ':' ., .: i''i < '''.. 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'~""... ~ ',' f .., ",. ..' 0( ...- '''''-'''')'''I~'i"tV I..,.jl ST ATE OF WASHINGTON , "01 \ 0' \ No. I 3 I 0 6 6 ~ TRAFFICWAY J'OU(( COMP\Alr~1 NUMbtlt o PRIVATE WAY R'l _OA t9fC.Ptll>!O!:'~I;.:::: QA~.?~'Q\U~IQr~ ;-11 IIM~ IlCOUNT1 COr?NO I'ClI1'NO I I,..,',"::"A ~ [ -~~ltr l~-I5(';~~'W;~I;;iD'f~'ll'~;:-l;;;-1I (8f300U~) II rf1~({ScJ Iv I~::: \ ON Of DIN CII1'O~'OWN I NA.Ml&t~O.o;!>111.tf101l"'IGHWAY f~J:L~ 1"':;..)0:'1 ....u';l't60'.lTl;2~~'~toCOOC "'1"'''''''' 7, ..."" l!S..' ow ;;00 Po^, 'Th<@.,:e.,OION {Aile.., r.....e~ L...- I..,' I 1 <.. ~lr, -", IN'II!~tCI!NGWlIH.~1I1H10lilIiOAO INONINI(I!~(CIION f PlilflX 1'0 rli.f~T/ '7,/ ::::J .--- - 18fTWHN r^tft't...~1<:. ~TUUl & ULl.ri"i..:&-':.t 5TIlHT /b =..J It DI~IANCI"D~I~ ION JoIOMIlUtlllNC ,CIlO~~~TIlUTOIlMAIl!51MIlIPO~T I AC.CIDENT R,/>.MP rl~I<AM~T'" I~ .'~ ~~j~~~ ;:, ~ ~ ~ Of C-n.o1'tH er... M~~~rE COlll~)ONINVOL\/(O ~tvlllllT: . ~ 2.. 0 ~,\\ 0""" I ""lI~'''' IN 11:~Tl(,"C FNT!~~C~.~_S!j;!(UQ'lQOAOC.llll1fiIliNCi- ~ 101A1NO m NO I.lLUO..-:t:l-NO INJUllfO_ SPillAGE UN ......:;w!C!..~ I ClS CII05!t!"~J[(bOOIlRO"&.~ .-/-~ 4 Qf\/IHICl(S 0 PROPUHYOAMAGfONlY 0 ~1I~(UlTfD D~V~'lm - A&- () V ;g 06JfC'Sl~OFoeJ(C~~~~:_;SNAM[{(\,\ 1$ mpG[ 5Pt:CI.ycoDlrIGUSI -=r UNIT NO. I UNIT NO.2 0 VEHIQE 0 PEDESTRIAN 0 PEOAlCVCUST ,.:::1 . F- CIlI"tll'~NAH[:~A ~lp~LC\. f'C"E M;- OIlMfnNANlI LAST )IIS1 MICO(I /_ rs- STIlU1At!PlllSS fbB,t..tU TIlIf ADOlIlSS 1/ -;;;: :;= "" POm Th...)~:::~ V,,'l-\ 9i(~ 13~~:~31 ~ ~ ," "An ''''001 I'HON'''l I~ l=:.OI/IYIJo/'s;.::N~'c.-S-~LN I~T; Ih I ~r(~It7~ ~ lytll'$lICINSINQ. I STAll I SlX I ~lD':/'IlF~ ~ 8;( (:~l~ I fjJol~;:;; NO \LXAlo I B7~ li@~~: ~ OCCUPAlI~ .IIIM NAMl.. P~N[ NO 1/5 r~II~T~IGH' = '-- 0 CHECK (V') IF~~~~a~~'%~H~~IAL 0 CHECK <....) I ...IHIClf ASAN IMl,llci~H ~Cf~\~fiAL/ ~ CODES ~ .,. I J ~~~~~. 4 m~:~"'''''' 5 UIC1,Ot'l 6 ~B:~y""~ CODES.....,. 3 ~~~"i.~' 4 ~~;',~~'''' S U(~.. of.. INJIJ~I{SUI up...n I"'~:~~ ~ f / '-- nr.?":~fROM 0 .....~...~.....Cl 0 rl~(! 0 ~~Pll~ P~''''''I 0 ;<8i..~P t~r:;.i?'~O'" 0 .....&v\.....CI 0 ~'t.'U 0 Zi'MI. 0 ~~;~: 0 ;-'.~........ \/,tfi'il IMAn&DG~[\/'1 I MODs~;3NO""A) 151YlQ.D~ON"") E H YlA~ 1MAl.' (oo[X;,t.CI-l(\/,1 IMODl71.NO....AI 151Y('[ 1701l..CO'N I .:;, ~ VS1V' I"~~:;';[ T'~ T'A""~~ I'~' 7 ""'''0' I" N. , Y I'''' = r ~ f.f ;7~7;";~'~'2',2' 14(?, II (,. III 't 1 g I +--+--i""' ~ ""'~" '"'"''''1''' ~N I ,/I' I I I I I I I I I ~ ~ IIIGISrtll(DQ~G~~ N~'N~-e ;YE F3i:0/31~ ~ Qt 151111l0UWNtll l'l flll~1 MIDDl( If [ c::1~, !J.. ADDII(S50fCl'M>lE~ __' N AOORl5SOJOWNIII/ J -<, Si>.~ M LH \ V<:J1.. E IN ANCl CO CI'IAGENl E NAM"Ao;.:':.':.':~u.~mn;S~N~lL R / 1 D~~~~I~EA ~~"6il"'G '...LTl9' In'D'~"6i'''G I OM\AG[CA,Il(A ~ F ~- . ~~';f;;~1 . I CH"RGY' .. ~~;;;~ 2 H ) I ~. 33 I ~!u.~___ 5 H:-.OAMAGE nlllMAINEO oOIlIYE'" DIIEMAINEO I EST.DA.'.\....Gl 11~~5~ ~ $'1 ~,.. lWfN'tiY, ~LL C\.~ rA1~~~6Y ....WAY $ I ~~ CJ E DIAGRAM OF COll.ISION: IUSl5UPPllMlN'..AL -10ISTJ,NOIITH DEseRIP ON~F co U$10N: (USE SUPPUMENTAl SHH11f N[C15S....RYI 3S ,. m---~llts=E......'1......".- "~w "1let\T ,- -- . - _La.. j--- --1-~..-.!-+~~~~':'- =8-';\~' lL~l'<-~~~-BP,~J1W(~..~TIP_ ~ . E \ l<D~'- -W-H-W .:..J+- ,_\.2h~J.._q,_LJ<JmO_0:t-l1b___W_LLStlw.lM.~.=r . :j~:1~:.<EJ'H<d~. ,--++ ~w.~T--~J&~~.~l~c.~if'~~~ .~ E*;1=L~ =A~JJ' ..-:t!.1+1+J+i =~~;..__~~ ,.~~~~~':~;:._,~.=~.=___,_==::r I" ~9~~.t.:i~~t:;1.f.:Jj-;.:1,;:::-=~ -~ ''''~-l':'-:~=~-:~-:=I~'I 6 3- r OCCUPANTS / WITNESSES W~J ~g~~}lf~~~~~LA~m --iiX T AGi-bTAiusl'~~~"1 ~~,i' I-~'L':.{~ 1;[5';' (-Jl.c11 ,~;~1y ~~;~.. ~J\,I 1:\1> 1''t'6~ .. '.' ,,,,...., ' '.. . ,. ~'O~N:f ~ '1 S~':1i>'i'" M I ~ ..J I ~ 1 L.. IT j - AOrlRlSS hb F\L~\ 'lt~~-".'''~iL.,f ~""URI 1'Lj;;'(j'" ~W5r'ri~,FIlOMOAMe. o~~lt OH"p,U~::' Ol\';.'..~. E ::~:rs' . --.----..--..--.-..:..'-~,~: -f '.-.. ..-..--".. ~. __u. ~~~:~fO'''~' - ~ . - "-~~'-'IIIMO"'OfIlOM DAN' OI>'0"'L O"ll! 10 po,.. 0 "0' 4- .,' , I I~"~ ."'J'- '>CINf~.( r,.. (OPII~ \/I.. I.....~. "AM' ) N'O" ( I 1 I "'l'>l>PIH .--- -., ~M -.---.-. - u~._ ~~1~~hO' .___,.,_.u_ S i^rJ:"JyfIlOM 0""'11 or~~C10~g~,,~-m~ O~~i"". X rl"r<GNGOG~~N"'MI~~(t I~~" 1~;Yp c'~l~ rO:~~~lCHIDI tliiii$\/LDloqlr;;;~ I;~Z~:;' fl7 POLICE TRAFFIC COLLISION REPORT ':: . . 6 ;;'..':;'?~'~u " ' ;' .:, :<, ". ',. " .. .. " ' '., '." , ...... ,................... ,... ...... " " ,,' ' . . ............. ..' " " " ...... , "" ", . , ..>. :< ,.. ""...,.: . : .;, ....... ... ..... ::,.......~ .. .... ... ..... ..L i . ,. ' '''.' " i L ,.'" - , ..... .... / ... .... ~--,...,.( I...:. .:;.. . .. .......... ,. ".'''. , , '., . ;.': : c>,. ".,,,, ", ", '," ," " ;'., ,..;:': , " .. :, , .. ':. . ,..' ,,'. ,C ",'; :' ..:.. :,', ",... , ; <: ] '\... ~ \ 3, '7 , ;. "'. ,.'. " ',"" ',I,'; ..t. '.. : IIlIIII ,., .. ...., , ." , " : ... . ::.! ;', '. . ce.' .... , , ',' '.'. . > ..; .. " .', .. '. ..;~ i ,,', .- . .';';: , .>. , " ""'; , :,' '., ". .... ,,' .JEFFERSON ~TY DEPAR'Jlr,IENT OF PUBL I C 'MaIK5 1"1 u: T cJj':r~ ACTI ON REQUEST ::::D BYJ37Yj:f::;/!}1/r. 'P. T. IU.T. PH. NO.' NATl.Rf:: OF REQUEST- &N PERSa'i 0 BY PHONE 0 BY LETTER TAXEN BY- F~ PERTAINING TO. [j~FFICE 0 ENG/SURVEY 0 ROAD MAINT. 0 EQUIP. IotA I NT. 0 SOL.ID WASTE DATE- 3/;20/rct - 7"152. PH:JI"IlIE NO.. ',- , REQUEST FOR.. LOCAT 1 all . ROAD""'" j( ala- Pt . :J)n'~ ROAD NlNBER M.P. PRO.JEcT.. PRO.JECT TITLE FJROJECT Nt.A'4JCR- DESCRIPTlaII" (AJ-A nA; ;, AXii:t;;:;.4- ~ .-??1 rx,'.-.-... r;;;.", a-.. r.L-- ~e~ 1</1 v.t._ ~.:.r 7J~t t:; - ~,J_ Pic 1k,.~? U/<U J: :"r{ .~ ~;c. '. #r ~~r% y~dU . '0 , ....f ... , , " , ATTACH MAP OR Sl<ETOi REFER TO- , .". ... RESfIQ"iD BY- ~,~ .1;, '~'I ~L. RESPONSE .. ")= ~-f+::ld"z::J ;'. .. . " ': , i~' f f t *. r REVIEWED BY- _.. DATE- cc:HTAcTED AEQlESTER ~ IN PE~ 0 BY PHONE 0 BY' LETTER CCNTACTEO BY. RE~TICI'II.. PREPARE EST IIMTK. FaI- fIOUI'E TO- INITIAL 0 DIRECTOR - 0 CXlNSTRUCT 'ON ENG. - 0 ACCIJU'\ITANT 0 ASSISTANT DIR. - 0 Pl...AM'lI.NG ENGINEER _ 0 0 ROAD st.PERV I SClR - 0 ADMIN. ASSISTANT - 0 : :" '.. ..::' , :' " "- , i'.. '.' . .,.. ..'., '..: '" '," '. . . ,'.", q. "', ,.': . ,.. .;,,-.,'," .' . "",:" ':....". ,," "" " """), "':'::,' ' ,,,;:,', ", ,;" , ,'" I. ..... . I' , , ': \. " , ,f" t .'. , .:','i:' . '::::-:: ::' ..,. . "':,,':i,", .:', , '.' ':': '.:; ..... > ',' . .~ \ : . .' ". .' :;, .,' :.,,' . . .: ......... .' .:. '" '... . ',".. ", .;,' , ,'.. , . , " .;; , ..: '. ." :., ::, , ,', ,,:':' I .' " " ': ''', :. "'. !, . .... . 'l "'o. j , : ,.' " l(c:L.:.. ',:' ,.: .. :, .: .. ,.': .; ,'" "..... .;. ,:' ,.' ...::;": ... '.; " " , , , ' """: '::,: ,," ... .". ":". , Irrlf ccf!s F )! oJ.a.. Pi: . .;4;,,,- - ()'W'"1U;r S ~. i ; l'>RTTCLE XY. STREETS. ~~ ~ ~ SYSTEMS ~~ ~ capita~ Improvements. The water system will be designed, constructed and installed by Declarant. Declarant may retain the same and either provide for maintenance and operation in the furnishing of water by means of Declarant's officers, agents, employees, or licensees, or may, at Declarant's election, lease said system to the Association or provide the utility service upon such terms and conditions as may be agreed upon. S~ction ~ operation and Maintenance. Declarant shall fix a monthly service charge to be collected which shall be assessed against each and every Lot, Unit or TSU within any of the platted isu~ivisions for the purpose of deferring operation and !~intenance costs for the water system. Such assessment shall be ',leviad and coilected against each Lot, Unit or TSU cOlD1l\encing on the first day of the month following date of purchase by an Owner or purchaser I provided, that at the election of the Declarant or the Association, as the case may be, the levying of the assessment may be deferred 'until such time as improvements are placed upon the affected Lot. Provided, further, only Lot OWners shall be required to connect to the water system at the Lot OWner's expense. section :L.. community Streets. The streets within the overall plan shall be private streets maintained and operated by the Association. Provided, however, that the Commission of the County shall have the right at any time after it has authorized the improvement of its connecting right of way from the North boundary of the subdivision to any connecting arterial, to require Declarant and/or the Association to dedicate that portion of Kala Point Drive within the project, or any future divisions to the public, and Declarant and/or the Association hereby covenant and agree to execute such documents as may be necessary to convey a Sixty (60) foot right of way along Kala point Drive to the' county and carry out the purposes and intent of this provision. section ~ Easements ~ Health. ~ and Welfare Agencies. Declarant hereby grants an easement of ingress and egress over, on or upon all common areas including its private streets, paths and Common Areas to all municipal or governmental health, safety or welfare agencies and their employees, vehicles and equipment for the general health, safety and welfare of Association Members. ,jf;~i::~ ~:~~~~~o~ Cl:~~~te~~nc~r~i~ ~s~~~I~~ ~n :~~;;~ont~~ ,~, Association has made an agreement with Jefferson County 'i...l<<'::., Commissioners to continuously maintain Kala Point Drive to County " road specifications. To insure this, the Association agrees to k set aside a maintenance fund of no less than One Thousand Dollars .,;i'~rt ($1000.00) per year per mile of Kala point Ddve that is platted. .~,~, Current road repairs and maintenance may be deducted from this 1 fund. The unexpended balance shall be kept in a separate account ~ that shall revert to the County upon its exercise of its ~ reversion rights from private to County under Article XV, Section ~ 3 above. A report of maintenance expenditures and maintenance '\li'. fund balance shall be submitted to the County Engineer by June .t(,,~.30th of each year. ..'t..fi*~'~' ARTICI,E KllI CONVEYANCE Qf ~ AREAS. liliIl IMPROVEMENTS m ASSQCIATION Developer has previously constructed a swimming pool, tennis courts, nature trails and private streets within the Covered Property. These facilities, as they are completed, are to be maint~ined and operated by the Association at its expense. Declarant agrees to convey to the Association all such facilities not previously conveyed and the land upon which same are RESTATED MASTER DECLARATION - Page 23 L.AW OFFICE OF BENJAMIN A. LUCHINI 4201 RUCKER BANK OLeG. ROOM 311 . EVERETT. WASHINGTON . 2!H~.OOBB September 4, 1975 William Howard Jefferson County Prosecuting Attorney Jefferson County Courthouse Port Townsend, Washington Re: Kala Point Division I - Maintenance of Kala Point Drive Dear Mr. Howard: My client, Kala Point Company, the developer of the above referenced plat, has requested that I provide you with the following data regarding maintenance of the relocated Kala Point Drive." . My understanding is that the county's concern is two- fold: First, that Kala Point Drive may not be maintained during its private ownership by Kala Point Swim & Racquet Club and second, that upon its decision to exercise the option to dedicate Kala Point Drive as a public road, it might encounter legal difficulties. With respect to the maintenance question, I have been advised by Mr. Hendrick, professional engineer of Triad Associates and the developer's project manager, that maintenance of all streets within Division I will not exceed $5,000 per year under normal circumstances. Further, Mr. Hendrick has advised that Kala Point Drive represents approximately 15% of the total road system in Division I. My client has authorized me to represent that it will guarantee that an amount equal to 15% of $5,000 or the exact percentage of the road system will be deposited to a special fund each year for maintenance of Kala Point Drive. This fund will be expended for no purpose other than use as indicated above. It will be used only as needed for maintenance of Kala Point Drive. The date of the annual deposit and the name of the depository is subject to the agreement of the county. Naturally, if no maintenance is required, .as agreed between the road engineer and the project manager, it may not be necessary to .olN).'IMIN A. LUCHINI Page 2. make such a deposit. However, in view of the county's position I do not know how tllat contingency can be handled. With respect to ownership of Kala Point Drive, the present plan and schedule is that the developer has agreed to convey to Kala Point Swim & Racquet Club the co~non areas and facilities as they are completed. This requirement is set forth within the covenants and other contract documents between the developer, its utility company (Kala Point Maintenance and Utility Company) and the owners' club. It is the writer's responsibility to see that these conveyances occur in accordance with the developer's commitments. For example, upon completion by the contractor and acceptance by Kala Point company of the recreation center, the roads or the boat launch area, deeds will be prepared and executed conveying these common facilities to Kala Point Swim & Racquet Club. It will be the record owner of these facilities. To further ensure that there will be no unforeseen problems with respect to future execution of these conveyances which might hinder the county's option to require dedication of Kala Point Drive, Mr. Howard and I have agreed that an escrow containing a duly executed deed from Kala Point Swim & Racquet Club to Jefferson County will be established for the purpose of conveying Kala Point Drive to the county. Under this plan upon the county's election to exercise its option to dedicate the road as a public road, the deed of conveyance will be in readiness under instructions prepared Mr. Howard and myself. Hopefully, the above will be sufficient to satisfy the concerns of the county and yourself. I do believe that while the precise details are not contained within this letter, sufficient guidelines have been agreed upon so that the plat can be processed and recorded at the next meeting of the county commissioners. Should you have any questions, please don't hesitate to contact me. BAL/rs cc: Kala Point Company cc: Bill Hendrick cc: County Commissioners "'"":...";,,,.;,,,-.-, "",,,, .-.' ..~ , 4. ~ . ~ KAlA POINr a:JMPAN'{, Q.!ncral Partner for Kala Point D..'"VClcptelt: COrplny JE::f'FEls:::t1 <XX.r-llY OOARD OF a::M1.ISSIO'-a:ps By:~1. l k~ _UI . ;:J~/.::i:.. <,--<>A.,/' B. G. Bro.m., ClaUlrUn KAlA FODIl' 1lrILI'N AND MlUNI'ENA.'l:E mJPAN{ By: ~$~~ w~ am M. f 1., Prcsi.d~ ?..~ ,.~ 1.~" .,. . '4....~." . M. ara ~ /';;.,1 I f'.r.:,..'i 1111'1. (iI(, earroll ~rcer, l-brOCr .\'01. 1 i!'.~ 0 1/1:;, -------"'-~ ilJrWW'l: __ _IlT~T _ d. "" c(/~/75 .7J72:M..fu ' t~e Boara find tnJ.t mooring buoys ue classified as not e:>o:cmpt from the Shoro- l1.ne Act in that they cannot. be consiuercci. a navigational aid. Doosrd concurs. Cna.irman dro.....n signec.1 notice to the Corps tholt a Shorelin~ Han.Jgcment Permit. is requireu. - Notice from the Dept. of e.hc Army Corps of Engineers re: 071- OYd-l-OOlij78, Pleas<lnt 'l'ides Properties. CortJs file on the subject. applicat.ion is C<1I&ncelled ancJ closea as p~r applicants request.. . - Action tieport; Short Subdivision No. 522-75, Juel! - submitted : for Hoard's files. ". Ben I..uchini, Attny. and Ed Croorn. owner and developer of Kala Point Plat, .; appeared co present a letter of agreement relating to the Board1s concern for .,: tne maine~nl1llce of 1\ala Point Orive <lnd the conveY':lnce of said road to the : .:'\county ill an effort to enable the signing of Kala Point Div. I final plat. : . !!ros. "ttnt. Ho.....ard said he had discussed their proposal .....ith them and although .: ~\!the letter states he is in agreement, he cautions toeir proposal "is a way of ' :-:;poi:entially handeling the proulern", but ne is not in full agrcer.;cnt. Cr.airman : : "Brown adviseu that. the Boar<l requires that assur<1nce be given, in the forr.1 of '~'i t1 leqal instrument. - not. a letter - that .....:'cn the couney gives up one right-of- lo,JJ.iay that another right.-of-.....ay .....ill in fact be given to the county in e:~change. : ... After fUrther discussion and explaining by the Board of their requirements . .~~ertainiu9 to .j{ala Poine Drive, an escrow agreement was drafted by Pros. lottny. :, .';Howard and ~resented to the Board for accept<lnce. Said agreemene was read by , i'Jall concerned and found to r:-.eet the demands of the county and ...'as acceptable ~. :-...to tne de....elotler. Plan. oir. Cunningham advised that all requirements of the '.i,~.\~~eal~n, .Planning, and En9ineering l.1cpartments had been met and the Plann~ng :: ~ ,<.:or'Ull.1.ss1.on r~commendeti f1.nal a~proval. 1ng. Becker statec.J. that all bond1.ng ;, " :nati Le~n satisfied. lJue to all the requirements having been met anci upon .j ~ ~recorr.menc1atiol1 of the Plannir.g Conunission, it was moved by Commissioner O'Heara . 'tlna seconaea by Commissioner {,tercer to sign the Deposit and Escro.... Agreement .., r '.;relating to t<ala Point Drive, and the final plat of Kala Point Division No.1- '~~'Unanimous (Deposit and Escro..... Agreement as fOllows.) John Singleton from QuiJ.cene School appeared re: School I s solid .....aste problem. Tileir concern is .....i th the bookkeeping procedures for payment of dumping. Auditor Betty TCr:lple suggested that the schools set up a small revolving fund to nanci.le coses and for reimbursement. No definite ans.....er to the jJrobleo was: resolveu at this time. Bill BcCoy from Allied Oata presented a summarized list of services an:! costs to provide it:tpref:1entation ane;, processing services for the Assessor and Treasurer; and a "letter of intent" for reimbursement by the county to Allied Data for work periorr.led prior to tne actual signing of the contract. The Board stated toat all of their r~searcn inca the various systems indicated that the county woula be rr.ost benefited by making a contractual arrangeClent .....ith Allied Data. Also, ie waula ue beneficial to start implementation ae. this time, and the councy .....oulu noe. be bound to enter into contract if sufficient funds are not availaole ill the 1976 buciget. Discussion .....as cone luc.led .....i th a motion by Com- missioner ..tercer ana seconued by Comnissioner 0 'l>ieara to sign the "letter of in!:\.!nc" ior reimbursement to Allied Uata. Unanimous C.1UC;.; ;"iere.el, AtCI1Y. for ~vergreen Development Corp. apt'aared re: Herr.litage <..:a.hlt,-ler Cll;W. n~ auvisea tney are forr:lerly withdr.:lwing their Shoreline r-Ianage- ment atlt'l1.cation for the proposed boat launch facility and the dredging of a sr.lall lake. ne saia their reason for with..:irawal is to show the people of that area tney are "trying to be goou neighbors". lie also auvised they ara compris- ing a "cost benefit report" for oresp.ntation to the Board because of all the tiuestiolls askec specifically aO:.h..t. i..j"\~ economic impact the proposed cievelop- {ilen::' ....ill l'..l.rc....a the count.y. Hr. Hertel will send a letter verifying .....itil- rirawal of t.le Siloreline :-lanagcment at'plication. Two copies of tile con!:ract between David A. Joonston, Architect, and the County .f,!r tne SCiler.latic tiesign phase or: a Community Center for the lIadlock.-Chimacutl u1.strict was receiveu for alJproval ana si~ning. Cnairman Brown signed the Contract U~n moc.ion i.ly Commissioner Hercer and second by Commissioner OI:.1eara. A leeter Wa.3 received fror.l Erwin P. Jones, Jr. Attny. re: Proposed C<lpe George t.:o~ony l.J.ub Sewer District. Leteer states his client, Ralph P. Anderson, 'ICL 1 1:'7 ()WSl .. . . '.~. ,: ,',' , . (, ',,' '" ,: :': ,', " ," . ,"" , '.' ,. ~ . , , , " .' " " , " '. : . .1 :. , I ,: .~. ..... " ,': :' ";. . .... , . . i/:}................... / ,:.,,';t; :., ;;.' J ~ 8 ST ~~~:?~F~~~s~~~:o~~N i5i',.J,:~! ,., ~ 0 PR'VATE WAY :/:>: ClAlt 01 COlll~'V1'< I..... UAY U' ~Ul\l:'IU~j , fl TIMI IICOUNTY \ ...... ~,~ s cjq I\: ... "''' ." ,~" " '''II '/'O'z.~J II ::::/e;r:; r<:f'K.St:N _, t:::.. / f)!IN 0' DIN Cll'fOfilOWN I ....o.MI..NQ Of lol5/fllOllHIGHW"" :. ..."" 0' Ow 1ll0' <:.H.mil.c.,-,W\ IONlRtbD'-( DI2. .'(,' IN11I!>lC"NGWIII-I SIIIIITOIIIlO"'O INO"IINllll~Cl'ON ~ IlltTWIINtJc!:"9i' <.o'Wcl'ltflllfl" ~ "-I'["';..rR... loII/UT 1'/ Ot..t..."'C1&Or;I~IIQP>lHIOMlIl'llIfN I CfiO:':'S'fiU10ll NI...llf:"Mill PO:' I ACCIDENT crY'} ~~I~::' ;; ~ ;, ;; O'N~$"6J u:.n."ufl,. RD M~~~E (0(11:.10"111'.'101....'0 :""11111.. J 0 un 0 I .....n,.. NO "lurD NO INJUIlIO-l- !'pIllA-C., M,I&IIU'" .......D<IlorH~ ~O~~~I~~:. [] 0 PI<OPf~""GIONL'f 0 :AlIlulHD 0 ~~~,~~ - 13 DEIlICT $IIlUCk 1f'>lA.ME 0' OEI)tCl Slllun ANDOWNIIl':' "lAM11" I 1ST DAMAGl I .fxJ/<..t>.NG- l f:l1Z..- 00 H.-.j.so~.J IS3c,o~ UNIT NO. I UNIT NO. '1 ") I,(UIIq:lt.-~ w~j!1ffiIAN V '''''''''''2J'LH~:tr'"T' f</::'~1l1<D ;.'" """'N~Li);: '5"gl;:"I<;~ !loT"'HI"'Otl~I~~ sF'. N..as I IllflAOtnr..,. rs-NAV'(!j:-' ',^&..p-? Is. i'xIR.:#1I RMYoIl 35-S2. R~t,o<yJ i) Z ~ ~K I1fJfl.M.. :;;;, C6<~~0~ 1~;~"r3'1. ~ '~,QJJu:.d<. '~. Qr.i3 3R ~, ~ ~V;:;'~~:;~/~_Z1d_J-ros-I;~ I~ Ir," b~1 ~lg ~ '~U~IIIN~NO I ~....( -~ 8;2 OC(U~"'II~ I "~M N~ &;'0;00 ~~ I~~::: ~ OCCUPAfI~ I "~M N~l & PHONI NO --- 0 CHECK!"') VrHI(~f...!.-::'~.~'8~I'~...~~ti~!li...l 0 CHECKl,,) 1.~~('i!.;:~~d~(j&...};'NOI,.:'I~I...1 r:z1~?,D;,S:.~.:;:~~:J' ~~~ '+I~~;; ~;']z;.;- ~oe~!~u~' ,~~:~:. .:~\~~.. ,..,,~, I.~~~.~"" t::.. '" 0 .......IU\.....'I lfl ~~C1 t ~~"R 0 :~~,~:: 0 ;-8....~, n.m'1~'~o... D.....eu'.....cl 0 ~~u 0 ~~,TlI 0 ::;::~,: O;-,~1",~ I ~q r:n~~~ I M;:JIO"'~I'NO"'AI 1"'T'f~POztONVI E HV" { 1'^'''''''I......nvl IMODUIO...RT......VAI r" I VI cz:'~ I'~~'i:;:~ NI'~ I"'''''~'::O 1''': 7 ""'~'" I'~~ I"'" I " r" 'ii"'f"" V(HICL( 100NlIIICAHON NO f Vll-ilCU fOEN1,fl A 11\."'" Nv ............... .~ 16 {,F Llob y";fn!J<,.$lc!'1'b::2.Lj,o , ' ! 1 .......... ; flllST """ MIIJUlI "'" '"'" No. rJ U 4 4 ,~ KllI(l (.OMI1....'..l NUMbl" 71.;'''' ,''''NO 'ClelS J...~~U"I ""'oI~TOUfl()J/"'i\I'I..UUl Q I /-) L 9S.:>ca ~~III~ 1'U IMIL/~~ I ""'MP IOI...CU..... OATA IN',~ I; IXIlO It' ~~ IINGS~II.....IlIlO.o.tI~IIl'III'!'.c.1 I~ CIS I(Il~H6.?~00 ~PlCI"ICOOI"'c;U!>1 li":W' UldS...N RUIliIU l~"~ \' o PEDAlCVCUST 1'\.1 "'V~, W 1m ,"ti-' 000" ',,,"";. K" (Y't!o IWl.Gt1Tll'f.lCoHTLJ '(f, ,01 . r~',' " :;;' Il(GI~THI1DOWNIII LAST flll~T '-- :<:: ,t:\ "" cr ~ ....OOIlIS~OIOWf'.llll .,,~~ ri77 NAMI & AOOlll~5 Of INS... ....NCI CO 011 AGINI V L'-o '-oN I f:lL 1N...5 ~ 0A.MM:>lDAA1'" IV.)7v.~';'..&t' I:~"" I N~-:t.oQ I cio,~'i:'''G jz' Q'~).op. I H~~~:'~:t; CH...Il!Jt R I l)~ ~ ~ tJ.67<.. CldllG! I t':l6':f:'~~ , . .._.....51151 DAM"'G[ 10 OIlI....IN DIlIMAlN1D DORMN OIl(M...,NEO ISESTOA.M"GI 10(10110,," 1 SbOoo IrxI f~~BY' 1:.1 '- L ' C- l""''1'''' 0 ~~~~ BY' ....W....Y DIAGRAM OF COLLISION' lU51 5UPPllMEN &l NtllC.,Il,Ti NOATH DESCRIPTION Of COLLISION' lU5f 5I.1PPUMlNT"'L SHUTlfNIICISS...IlY, . , . :'";."":'~'...rIL:.;e."~.\lt:~ILL~ . pJ8 ~ ~Hot:lY MILl<!"". '. "'" . ! j l,l{tryr '-::a~~A\V<!P-. 'S'T'f:lTC'D HtS:Fe-t...L fJ'OU!.tH'. _,_ " .~ i \I~H''-L<!' ...LGF"-- l<.cAC...AY 'TO ~_:.~ ! '." ,';Q:j'-1~..Lj-P-:- P-Ic.. ,*T~"rA:l(<'\V'V- T,,~f~'t>JJl..(' .::J"""".......:,:-,,! - -;--'..--.--;0- I ,'- j".c j-~ :7""::";", I ,..1 --:- ~ F'lNl:>. fJ ""'~. rt!'.. . \)1'2.\u-'tt. A'^">~t:I' ~ " ' I.-' I .,;., ~~ "o,! flrV.A ~tSp.~, ve"IHC-LIf "" Ltrl''"f''r". _~ 1"/ ~ ~. Q., 0 ,0 O.:sdJ?.Jt. u4.s..' i. .'1. '1+11. I i Vtl' I-JIc:.UF . <=- "O~.~. .~.D.'" . IZ-ot'U>. l.~A-r:J l...U NO.." I.L- or./ j : 1 i! ~ ;. i it,] ! 'orr- "'" tl<>-ll.l).5"](. ,:TO.._ _. L.....B:- -A.-..u C;'t-Rw: "" 3s"Vz. ' ,,' I ! !, I :, ! J, 8'-\lLJ:>INV" ':] k-" 7<...0... -".. I" c. . ., !, " NAME, ADDRESS & INJURIES OF PERSONS INVOLVED 'CODES .11 I - I 2 3 . I 5 I 6 OCCUPANTS / WITNESSES ~~ ~~~~~~~~\T~...~n: Sill I AGE' ~-''''U51 '.....~..I ~:,: ('t:'JS\ !lUTIl I (.ltC' I::"rc~. ( N'.' "'t>.D S, -:::r=Rw w :;.?" .3'bS'-='Z.'lS I"" - 1 \/:l - 1 - ~ - 1 - r .loom!. ~-j- K7r""...k.ii\y ~iih'. '1--(.1Ol)L..:Zi.-\< i"N"',:~~I!.o' - l;c'fM"e;'"...... 0....0.111 O~"I 0"";".0::: 0:13....\1' lL N'.' , .s~ .j~' I\J l:!"l-SoN ;:;;u.. "''3S"- 4'177 ,., - I'" '- - - 1- 1- Xl ........11'" '.---'...b. :-~ --~ "---" ..."TUlli'Of _" ,. IlIMO....IOfIlO.....O... O"tJ'Il.IOHllt O~" 0'0' \J ...,' 1"9."2. :-"""~...\ ~ I III !lCf"'fBY CAP (('I.". vt.. ,......\. N'.' " . v~~"T~'>oO ~~I .. '\. , , .lio,,,,..,,.,I, 1,0, "[lOIlI!>!> ~~~Vi~ n......., 0 .......11 0 u. 0 ro"" 0...... 0 "...\. XI- ^ 11 ~ ,rl>"'>J/~ l]~J~'~ J;(t~:;1"'cl7'l:f:.~"T-i"5.~l...V;n I~![' ~~ I PHONI NO o wfl.,;l THOEO WNI~ I.~I~ w. , N E R F. ;{' ~j l:. IN..U "'Nl..ll..U .............N , -, ~,' (2 J2 f. '}\' ...... I" r; i" ", ",:' : .. " .', ' " '." ,', "," .,'.,' . ,.- ',.' '.\ ':' " "', .' ,: i'. ,.'",',' '.i, :'."" , : ,>,,' . .....' ". ,''"" " ,".' .'. i" -: ':;, " ' ' .: ,.".... ,",". .' '".: ,L- ',: ; ."",.. " " '" : :', ',' :, , ' " ",' i '/ ," . ," , , ,', , ':' ,,' ': :"" " " :.. " ~ ',.c. , '" '":i.:",,: , ',:: ; .',,' : .', '" " ..': . ",' , ',..:.' :',;, .., , ,'.: SJ .. :':<: I~ h, ~ ~ p:J '\' " ',' .', :y ."....,.. , . " '0.: , ' ., . b'< ..........:.. ','i' ~ STATE OF WASHINGTON "0 '. ,.., O>CO""y", I, 0" '" 'ON . ,I """. lIooU'''' --- C""'7' '''J I'C"'",O I Iri::W' ">., ", IT .2.' 3..' 'if1IW, "00 "''' ." Xi' ''''''I:2'~~D' II 0' d'fItRtp.-) ~ I~~:::~ 1'--< , .,. :"f~ '_> ~ ON Of 'rj!1~. CllYOQIOWN c- I ~&NO()f!>HtlllOIlI1lC.t1W"'Y ~C1CI!> 1=':'....&;01....' l"I"OV;lC;~ ll"~ I:><e......... . ':>':-, .,,,, 0' OW tl'dR~AW? ION -, Rr:JJDAw.:- Kb. e',~,:> I I "I..,:j.5't) ~';'.....,....i..'...' '....; .:> INHJf!>ICIINCWIIH !>IWH'OIl_~"'D, . INONINIUI!llCHON of l' ____ Plflfl,l( i'Q IMlll~1 ~ ~ L -h<<iwtl.A'~M.q- ~;II& /' STItH! I 0.,,;) (/ ,:~_<',: 1_ D'~'''''''ct &D~I; HON "0....11,'.''''.... LC6/0:':'~'IIH'.}Oi NI.."t~'....,l( PO~' V ACCIOfNJ 6/AMP 101......"........0...,.. , :';,:.~,- "'.,,;,_:, I{J ..s- f'i:"!~ 0 *' ;; 0r0J~'I.P-......'T- c:....,..-o17 I<b. ~', ........ COlll~IONINV(.llV(D ):.tVUlIlY luJD I\. 0 UI 0 ,1 ~ IN Ili~j,illl 01,'''' 6/~SC~;i?~~II1.!.I_~6/5IQ.6.tIOUll'I6/INC.1 11 )ii" .. 6.0i~~,~~ CD b ~~~~mo;:;;~, ~~,\ D~),O ~;j~~,~: 0 ~\~:l~N 1\---; i X I m I ""'''fj'g'r"7 0 r '. ... ...... Cj OBJICTS'IIUOIN~tOF~~'STlf\JCkANDOWNlIIS""""",\ .J I (~ "'CE ~PlCIA~ODINGUS(:.:_:,_,_" --,-p(l'" e "'-. , _ V 0""" 'N~' ...." UNIT NO, 1 "'" ""vl'" "'~~~~/ ~,~HIC1E 0 ~DES1RIAN 0 PED~,YClISl \'I..ii; (\AA r<. QV\1\f\."r c.+/{!" I\. 1M......... -1 .is ~ ''''73'~ -:::::Lr:.C>lJMur P.u. ".."""""'>>~ I ~,f/ .. L::.. ~ S'''H llPCODl PHONE NO 0 I' ~ ll~c.~ I"HONt NV \"7 __;.:<,'/.': :-,::,':~' r: :LN"'.Dth.te WA, q~3}'1 ",CN:J R ""-- I . ~ !\"X DII'V'II'SlICtN~NO S'''''ll_~.ll ..~.....'::':!''''H I IVl""llfN~NO ~"'AII~'I~""I~~_8'''': 1\ M4\..(l..QL.\.c.w\ Vvl\lf .q !Z.'Z: 5"6 v I......... ~. ,.,'~. 0 ;. 2 h~:'; IL,~J;;~AM~HHONtNO _ I~X:'I~~ ~ occUP"'Tl~ rIlMN~I&P~INO ~ IIYU 1"'.~'I~IGM' ~ ~':'. 0.....-.. 0 CHECK (....) ), VrH,C~I'is'Z~.z'!~'S~W ~ ...:t'OIl'ifIlIAl 0 CHECK 1,1) I V1HIClI .It.!> ""HMP~~:;ir 0, ..:rmf~'d"l '/... '-." '2 CODES...... J ~i~~~' (00 . m~~~"" I I ~ IJI(IO{)O< l 16 ~:~Y(l'-- CODES'" .. I J ""lUg. 4 lII~tU'Nl I ~ U(1OON 6 ::,~~.oo::YtH I 17 t'\:'::.-: IN~~~':~u, I.,J"O"-.-Jr.r; INJU~~:!>U', (l"~!> ~nn... 10~ j,(.:....: '---- m..~~..~~,&-O... 0 ."'8....1..." rl~CI 0 ('~~11&- 0 :~,~:: 0 ~~!>. ~r:.:'6~IIPO............. 0 ....8U\.....t1 0 ~(.l 0 ~l:I~n& 0 ::::::: 0 ~~'..!OP l \ 10 '~~k3I~kl~:IDVI I ~~~1f1.~V"1 1~'~(:bZVI E HYl"'~ I'~' H~I 1~~lIDAII1~V"1 1~'YUI~"''''~~~1 ~: ['6L\11 I2fX'q~bl~, I'''''''~ I"~ ~ ""<c'"'' r'"'-'''''"'''-J''''' I'''''' 1" '"\ ['2;t3"'KOIq";'~C, ,5""171<;/.0 1 I I I I L "'"':"'~N"":'''i I I i i~' I" :\! 1ft::: ~tC.I!>~fD~~ KS:; ,f ~1I:;'-1C.u.. K , MIDDlI PtiQNI NO 0 III ImrtlDOWNIIl LAS! fiRST ~ I f NO ~ 'i '2. 'Op'.:;.OBoX ., b{, /~A[)'-Oc...k l.N'A. ~ '~'~~OWN<' ~~. Sy N~"'OO""""N'UO'N"v. AIK:: I I ) R 'N ~uw ~_,N, """ ['\]-/ .~ OAMAGtO'AAIA [1~7!>~:::'...c.' 1';.J;t' 3~-1Cft,/ .lo'~,!.A";'''c. I O.-.MAC:l'D'AlI'I'" ~ I O lZo 1 ) .. l ~~~::'C~'g~~: CH..RGf 1:)\..o...J CH...tet I H ~~..;~~.:;-: 1 ) .. I 0' I lM~O~~.~?3\IIr.l OAM"GI IDO"O~W'~,lr O~IMAINID O~~;t,N ORfM...tNED IfSTDA,M...Glll((-L.~.'.~':~"~ . 1 ~ ~ I S ~lrKlAW.lt.y"'e' Al..L- c... lTY 0 ~<;':"':;'8' s I ~o.on~ ~ Z DIAGRAMOF co. lUSION' IU\.' .\U"~ll.". tN'....'.. ~NDIC..".N..Cl'l!H D.ESC..'VR, IPT).,;'O.N~C,_O,l.lI,S.IO..N.",,_ I."'..'.,'..... . "".W.N.". """'''-:I:'fNlCl~'''IIYI.. ,. ..,. ,( "'ij:ll '1" l........ ,-r-I_:"'~~. "".,.r'I""'l,N"""".'''''''I,''.lj';.'_'''.~_.'r'(.DOW. ... ._, _ T'U __~~V Il,b.,. 'V .'.. ...... 1.<-. ...EA.~:-r. '1.."H...tD.. yJ. ..'-'-"O'2..~.'-JDI<;ILcJ"..., ,~ '7 _ ,1tL!'"~ ,'-': ,.t-. "n" ..+ -'1,I.l-"1-~ P-oAb,. ~"-~ l'vT""'O ,_d,\G-~ c...~~- ,,-'l- ~l- '7 0 i -'~ . C::>11'!" , ... J::.,'1'.r<tf") .(Zd:.s~fI.~~' .P/V-c.'~ TO~:tc:..lH"" r( , I !':'-:---'-' I : ;W;;~'i-;"S:<:.'<:'W:"NIr,-:r<':?€"f:, ,-- ......-. .,. ~ )j1Z - ~....:.... ,. ;;.:J-+-C:.:":,-!:-.j '!i'J...- . ,......,...., IV' V" ., " '....t .~I..j'-I'~: '....-___.._.__m__. n {(f7: ~,~fctEn.~jEE,,~~,-:(y~~~,:~~,~' "3 ~.~-I-~ 1'6:" L OCCUPANTS / WITNESSeS l,~ ~~~g~~~...~W .uCJ_"" J\ -SIIl::'....C.1 lr.'AlU!>I'~'-ri"1 ~~.: (~~'s, hnslt I(JtCII::.~C~y ~ N'.' +!-tr'P.r>lANN.~. .....B' IS 4,lop. .. fft.:"0~S5"-31'P1', ,.,~ z ~ '" I - :: :" I -H!' - APOII'!>!> ~n..oQNQc;.L,.i- vV-A. I~JUPl !oCfNlllY 0...M8000 0 ,.,,0..,.. oM.....y ~ "., <J EJ"P.R.'i'.p. V If'O.....c, .. il';-'N /!;"i.S'.,. !>:7'::/:U >"1 3,>,' -, -I -+ _ <'fl "'DOIIISS r+1D ~nwol:!.ur -t'ii;.-. ":L-:-~...'."'..'../Il.LI ~Af~~fOf .".. ,. -. IIt~v~~flI0M0"'M8 o~~~to~~". 0::':- o~~~s. ,.-01 N'.' m"rt'i'L.~N VLf'.,ND N1l'N .!'&S"-'!o''t'l FISr..I.c.. _ - t' ,- '::'_\J J AC10ms LI~Q :t:fl. ...\......ru~- ilr-. ":I:a.;:';',o1QL..tr ~~D'~ho' .-.:..:.. - -,. :~(I,,/!~ o"MII O~~~I 0~~~'1J O~:r o:".~...\~ :1 ~ur,c.""''''''COHlctll ~ ......Mt' II"'....W 11IA~c?~ lA.CifNCY UNI~ ~tl. rOil" DI~"Al~HtDI POllel "'C/II!VlDI~A"Of "'IPOIII IAPP"'Of{~8f\.1 ~~ ,.71) I^II, ,A, -,,< '1~/~1 ~"~/~.!'::>,oLr 1;2:?3~ lJ. I \fxwl'1.,'-1~'1 ~'---) .1 ,-A, hlou(-:s,,;J "I P I."l w"''f'' 'is ,,,,,",, r..,"" ':<.'5"). I,' , ",.. ,,' ",', " ...... : : ~', ,.. .. .. .....,. .,:,} .' " >;'" ".' " " ,:' ::, ....... .,,' ..' . .":":" .,' " ...' ".. ',' ,," '--- ,',", ",", "'.' . ,", ,,' ",' ',,'.''',' " , ' ", ,..,.'," ","""." ...l ", )- "".::.>"" ,,~. .,', '" I ~ fi Ii l: h. .~" t " c i:.' < " : ,',,' ,'" ) "" ',".' ;;, . " ,~1 .1 ....... . "; , , , .'.~:" , . , '. ., " ". I, :,' j.'. '.' .' '.. '" "," /: ", :'. ... ',: " : ,,:'. >'0:,.. "" , ":., :. ,': ...."" '.<.,.: '.' ..' .'. '. , "':,: J{ ... · .....' .. '., ", ",:, ,'.:' ;: , -,', ';. .' . I ."" I .,,: . ': ", , '; I ,'/, ., ',,. ~ ' :;" '.' ".,' .', '<, ,,': " ,,'.' ,'.' ',:: " " > ... '. "., ..... ", ... ',"'. . .. :'. '. . ... , .,'", ""''', ,'.' , ".,:1, ' , ::,'< . .:)':'...."...L " .: . <" ','.' ','., ,,: '",' .. . ''': ... ..: .. "":'.,';" . ,', '.' ,:"i' ... '.. . :1"".' ,', , '..: ,. ~, " i .' I; I:. .... ;'.,' ",: . " :'; \.....<:,;::;,... ;\. .. .' .. I': ,.":,,, ':, " ',.,' '.' I' ''', ".,' > .. " '. ....,'. '.. '.' , ' ", ".' .. , " ,:', : ',','-;: ':':"':,' :,;-.;, ,", ,;,,' ':;' , ''- . ,\ "i ... ..,., . '. I; , " .' -:- : .': ' " , :'::, . " ",,',: , ':, "" ..i " , " . , : '." " , : . , ' 'i,;.~ " ,; J ~ STATE OF WASHINGTON "01 / 0' I I~ ~ POLICE TRAFFIC COLLISION REPORT ~ TRAffiCWAY ~ I t1 0 PRIVAlE WAY O""IO'(OLLI:' .. I. "yC>>Conl:!oIQN, R IIMI I1COU'ollY r-::: ~ .;;,' ~ jW' "~ "" ." ,~;, ..' ~'II 0920'" II ::J2rrc.est>N ~ ON 0' ~lN ~. cnvORIOWN N~'NO f":!oIlHII~Hlc."'W"'Y "'>US 0' OW oo'hfALJtL/C;::' ON ~~,.l /liZ/lI,r:' lNllil:!oICT'N(iWllH :"~f1101lI/QAD NO.N_"flll!.tCllOO J/ &,M6N~S7~e :!oll1l(l & E#'AWcLJY:'fllftl I DI:.tA,"'CI&O~I~'ON IIOMlllf! IN I CliO:':' !.111111 QR N!Alll:!o1 Mill PO:' I ACetOINT //.)'J nt~'~::!o ;; ~ ~ ;; ob> hJ57e/Z M~l6~( COIlI~~~:~~OLV(D ~~~i:::O_NO INJUIIED_ 0 ~1,\"'Cl DH,:;;,~UNlE~-;":, 4 a....'HICLI!l lZJ .~PIIOI1.III'O,t.M"C.(ONl' 0 IIlSULTlO OVIH'CLI ~q OBJI(1 SlllUClllN.o.M1 01 OIIJ(C! :'lI1UC~ ......OO....NIII':. NAMlj I $ ~,o.,.y.AGt ..,.MP IDI"GII"M~TA '" [X'I: "l:M ,'-"SfClI !> IItI.l.~1I lIQAOOk II:I.IIII(NCI I CL~ CIIO!o!>~TIIUl 011 DOAO 5.31l>C ~P1CIAl'OD'NG1.hl No. I 4 n 9 4 I <eNN" 71..1'''' "" ." <;,,1 >0"'31 " l,w~;5 2'00 ..1I1fl,o( (Q l'l(~1 2.'10 I~:".. VIISAN "u"'" 1 ''''~ ~ , ~ UNIT NO.1 UNIT NO, 2 VEHICLE 0 PEDESTRIAN 0 PWAlCYClIST I ,,~.I '''/ '''''''N&V;~n7A'ft/ ~/VI!/Y:ro~ '''''''N~#,,;;;.B€K'& &.iZLV i".'" lLJ LZ:::~::;;;>9 4~€., "t~~Z7~"...,NO 0 :;::'i~o ~f.J?J?ISS~~~ .~, I ~ _ .!M1)(.()CL w~ y>gg3Cj I~.s: /))2 R H/l~~X"..Y 1<//1 ~33"7 38S"O~ 1'1 l2.. "&~;L):r<"o /1/ hi;;';; I; If.171 ';0 ~ ~:;;;''';~D ~Jorl,J I ;;;; I; :i' ';~"'2'9 ~ II ~UPA'ION 1 'IIIMN""'I &PI-10"" NO lz:;:,"S Ij~GH'I~I_~_M' E OCCUPATION ~'IIiMN"""'I&PH()N(N038S: /39:> ~~SM~GHTI~IGMTl 7 ~AG'"",'I PT-7OW/VScNO M7VFv I'~ ~ R E/r"{"kANL . W ;j..;:.k,c ~ 1'7s'I' 'ii' o CHE:K (,II "'1".:' ~,~~:~r:-~~~~:7H s.c~~~~i'Al ...oIO~.r" 0 CHEC: hI) W::m~1tAl ...oIO-':'C:II 7" CODES" 3 c,..~~ I . ~~~ll'" ~ I 5 Ill(IION I 6 ~..",. CODES" 13 c ~.1oIt... 5 Ill"""" 16 10"01" ~ 2- IN-:'U"t'IS HOPE IN. ~~I\U J.//'JA.. .-.., ~~m";l~1I0'" 0 ....e'.Il"..O 0 ~~Cl 0 ~m'lg I5i:l ::~::: 0 ;"Z'..? ~~1~'.O'" 0 _&on...." 0 ~~~u 0 2l::~.u 0 :.:~~:: 0 :-.~I...? r;o- V/M~R3 I~;;;;;;:;; I ~R,.~~AI IS1YL~;~VI E ;91;7 IMAk kR';VI 17:;;~A' r?/~ VI :78 1', V H-CCkOl/ IllCIN~1 PIA ( NO ISTAT' ITII...ILtIl "'AII NO \STA" H VlH COt tICtN:.t...~ 1 I ." II STAll 3... LL UAWTE 1#"c"",,,P<17 w.4 - - I Ket'l 17C967& IU# - - ~ ~ VIMIClt I()(NTlfICAUQN NO i ~IMICU IDlNT"1 A 1 NV ~ r''i-:\m/,.l.Jc.2'2 IIOIU:O,710IGI/!37FP/Lf SRO (,Z(:>? / . """'" ~ "O"~?cw~F/VO'''~~&c''';:; '""~L, ~ ""n":&~~~ ;;:d~E;orxA :~. ~ 'z. .D'''''.:q,~ X' // f" ,P.7 ~.5C4cL t<A- ~ .OOO';P;;"g OX ..3// /? /"~~(/d7 tv/!. 1] Ii"i""""" N.o...MI~AOOllll.l.~ 'NSU"ANC( Fa (W;lAGEN' IN:'UI/~ l,.V ow A~tN -;;i~ IZ- /Jr>i2/Z001J _F ~~/ t:.,.., ?,#C- S"cn'7T~r R S7h'7-"" ~n"7 -,?7 /Ct.t.nY'r-td. ' '1 OAMAGIOA,ll(A 1.d~7~~;;,..c:. ..'f!!! - 1 ~~~":."G D.o...M"k01AAI.A 0:"'"';; rrI n )'o~ . ~~'.:.f:'~':~: CHAC/Gf CHAIIG! ......c;'o:i' I J . ~ [L '~;~o.;;J'I~';;' IEHi-f.}" l&"MNN" O~c;,~~" ~:~'.. D"M.'N" I~'~;;;: l~o~~~;}'S rz DIAGRAM OF COLLISION. IU~ISUP'U"'I...l"" 'NO!C.~I NOIITM OESCRIPTIONQFCOlllSION: (US(SuPPllM/.NTAl~"'OIFNlC(~Il"l .....3~ 16 n. ,.A..t ~ ~ S~"11 Nlef.SS.,RYj ; e,. ow,/. I -'>, r<~v'7' :p.8't/ff"LJ -1-, N" :~Y6AIIC<'cS / Z- ~. .7 CfvV. ,b..c&." ..... ~ : Iii Ii, I ,~II&' I -"- F7 '. ' 11-I.j. H.--KIJ ,_. VeHlC.c.t: . "" I S/o..ueie:> ...fJ_/Ve.."" .-rm If- - I t-;-;-_U'!P+l" - ,.,_AtPH7 ..' ~ 61. ,k, sic ~ 1"/ IQ>, CI:V i :~.I+::>j =~cie 'j..3,'d..- "Z/'- .. .-- ~.~ lL i : r' r 1-1-1 -j-+-\'I-+i1-Ltl.- .. -==-.-- r 13115iAlGSSd=S-[17 +-l+'i i "ll"1 ~~~Jp~~~~~S~~~~~~~~E~~~~~~~}:l~VOLVED + ,;.O~~~, 1..U,~" I {,: I i~'" ,,~,li;<.I~~~ IiJ .~.<::-"--~...-_.__.._.__.,..... ...,,~~~IO' (~~~J~rpOMo2: O~~'I D"II~,:O:;~ O:"8~~ r ,.'1,0- r II III , ,-, - . --.. ~A'U~!.O' ) ~~Vl~"'OM 0 A"'1I 0 ~~'I O~~:It. 0 ~~ 0 :-'~l..\~ ..:;l fiKmf.l!tor ':") --- !>~~\le,. O"~1l Dlr~~t1 O~~!I~ o:;~ OIi'.~I...\. I ,D",~~<, t'''''''81~\l;"''1 "'I'" """'1""0' ,,0>00' .h'fI'R,"I"T 1"7 ~,~" ('A I ~~?' I ~.OOHllt I /f~~ 13-Z..MIVllft-' I"" i"'?AI ,....... ,; - II "'DORll.!. J2 _.M' :l'O AOD"ll.!. N.....' "ODDI!.!. X IIN~I'::';:";,t"2/~~A.o,\I&RANr IB~O:-~" AUINe,. '.v:.... . ~~ l~i2. ~ \- , ..,,- ,,' -, '., ~ ..". .'", " '-,' ,::, " ,'. '.... , ' ....' ' , .. "'0 " .... .,,': .- i' .., "', .... :, .- ;, ,', 'I' I" " :3 , '," :" :',' 'i:, ,: ,;' p', '; ;". :: ''-'. : , '" 'e. ..I ,',:. . "'".' .'. . . ... "... .. . ':':;' .'!r' '",I ," ,," .\.......... ,',;>','", " ' ,,~ .' , ,,,,:, " . , .1- , " , . ",' "....., , .' ......,.. " ' ..... :"" ',,' '.':, .," .. . . " ~. f i" " ' : <, , .' ", , " ',"': "'" ;,' .......: .' :, ",,:".' " , :.. .' ", " ' I .' .' ,.,: I"~ . '.- . -- ':, ",' , ,'.. .' .....',:";:: ,..' ..... .' ,.'. . " ......,.,.. '.' ','," ..': ',""" , "..... .. ." ~L ,0" " :."':.. " ': ': " ',,: ' .' ' .. .' .:" --".'" ...:. .:'.' " I " ,', ' ,'., ~ STATE OF WASHINGTON ~"G' / 0'/ No. i r-;- ~ POLICE TRAFFIC COLLISION REPORT TRAFFICWAY ~ ..) II 0 PRIVATE WAY ~1I0'(Ol\I~ION ...Lo"'''O'COLl'!>'ON R l'M( II COUNTY _ /:J COUNIY'jitO/ ICilO..o P-;- /7-.2- 8'/1"1""' "''' "'. ,~" ," ~'II ::1i>i2/".?:' II :TG,r-:-~G'~50~..J (p 1 LL- -? ON ~I DIN C~OWN ~[&NOOl~TIIHIOIIHIGHW"'Y /' Mm ~; Ow ~~, C/'-:-..-rC.,,,d ON .J:';r:P'nl-'e!/Z' ,,~:" IN1111~ICIINC>WITI-1 $!IIH10IlIlOAD INON;"~~f'I~~~/;: ~c).....J " leuwllN ~/;'~-./ $111111& ~~~~ !Ill/tiT /_ DI~'''''Cf&OW..110',' OM II II IN I CI10SSSIIlHIOQNIAHS'MILlF>~ I ACCIOtNT W , ~ t4"~I~~:' f;(A ;., ;; Of~/c'~ a5/ "7 M~~~E CO~II~~,~::~~VlO ~:;ll~~[;O_NO INJUl110 c5> 0 ~~\...C' 0 ~::;I~UN I'.':-:.'~~~"~ 0' VlH'CLI!. [2] ~:~OPlJl'YOAM"'GIONlY 0 IlI!.UlTlO O....IHICU I/:> OIlJI(' !.'III.IC~ INAMf Of OllJfCT ~II1UC" A/'.IOOWNt~.:. NA.M~ I IS1 OAMAGl 17 --c;;>~"e:;-- &.-.-:"g.-:?~.,;<>;?.e;._,.;r- $- UNIT NO. I UNIT NO.2 0 VEHICLE !. OIlI..lIlSN.......l lAS' -- -~'l" flll!.l II/lI O~l O~II'!.NAMI LA.501 - ...-l d;'-J~':;; ..-k/4'hA7:> fi2L/e:;.J '\. !.TiUI"'OOIlIS!. . ~ .1- 11lI11~l!o!o IE7 30/'& ~,30 .,J.,J 3'..:.<'05"1 '\. ~ lTY ./ / ~ !oIAfI ~oot PHONINO D: I Y '\. ~ .:Jd"/L /r~.?&t<? w./ 7~~ V4>"9/a.-1 R \. 1'_01l1"li'SlIClN!.lNO_1/_ I 501""1 ,I !olll..... _~A1t~_,II""M I IVlI'5oIlCIN:!.INO, L- Jd;J ~):-i' .$"/C?z;~ "!.;4 ~7 :55 ~y v '\. ~OCCUP"'TION A IHIIMN...Ml&PHONINO ~ ~,~H11~H1 E CUP...lION 'liM,,\AMI&PMQNINO 1.Z ! 5/N~:/( I t/, S ....#Vy ~I ~ 'c R '\. o CHECK("') . IIIHI~:<i~'Z~M~6~R~...~tiHf/i"'L 0 CHECK(",) 1 VfHICI S"'NLM~'g~H~"'~HfII'AL 9 CODES'" + 3 ~i~~~' J I.. :~~l,i:.''''' I 5 IJI."o../ 16 ~:?~.(...... CODfS"," 3 ;:~~~. I". ~\~:"'<1 151J1CI,0'" Tb ~~?"':'C'I .z ~~U~'I:' -'" ~ C')_)<E.- i:.,~~~~II\ot t:...= ~!~~~~uo... 0 .....aiJ..,"'cl 0 ~~CI 0 ('!;~1I" 0 :;::-::: S:'8.'..~ :t~'1~'IIQo\'l 0 _1l<J\">..el 0 1 1::98iI~;;;;:4 T~IJ1;~"'1 ISTY~;;21 ~ HVI"''' r ~11~I.HIII F.;; YO??,... I ""N" '" ':;'/ I,..n 1111AIUII F\.All NO I !.J...Tt H \(fl-i COlOll l t:: /?&P V'JS/-t~1 h'H - I - ~ r.T"'::: ....fHIC.l[./Ol!NTI~lIONNO . " l \/II-iICUIPlN1II1CA110NP'K) :Je I ,yy:GD 3) C. ~J' S:-/ :/ 1j2,o;..::z,8 'I! 1 I i r.c IltGl!oIlIlIOOWN(1I lA$T "11$1 MIOOII PHONI NO 1I(''''501l1l(00WN(1I lAST - 5.-7'_/'G 5&.-::'e- ~ p~ AOOllt!o5ClFOWNlII N "'DVNI!o!oOfOWl'.lfi p: $/??/.--;:;'t:E3' E ~ NAM(&~OIlI!O!O(lf'N$UII"'NCfCO OII"'GINI ..../ ~/ C r/,t..LSl/;/C' - C:~-?A /#?/1'8CyL R ~~~~b''''A ~' I,'!" N ). CH...IIC> - r:- 1(1o~.;.~oJ5o f!olg~~':yN OI1(MAINfO vb''''.;.' 0 l'>.w,,'J'.. 6P.4.'..-IG..2.- ~ DIAGRAM OF CO, lllSION' IU~( !.UPPLI"'E"lAL INDIC...." NOIIIH 16_ : ; ; ).,4tL' !.H~'U:NI~!>$!~YI'r -I 8Y~W , , , , €,.-~~d,'"'i ;-; I , I r-c-' -. - - - - -';"'.-:'--:-7 ,- - - -1~0=1- ;- c f'';::~ Gill ':! ~:i!)~ +.t~ ~. C5~~_-H ,~ ""~T' -l'-'C.l~ _ i''=--'''...''---'''''''I t j, j ,-;;or: I " .~ ": : "j ". :'I+!~'rrl';-- ... t::,/oc...'"".::=> 5. I, r: ::ct-'"PE~':2'. .. .. NAME, ADDRESS & INJURIES OF PERSONS INVOLVED + CODES l",\ I - I 7. 13 I . 15 I 6 OCCUPANTS / WITNESSES W~ ~~~~~~~~~~,.5~n: - sri( - I i.e.r T,.Tusl '....IIJ..I ~..~ c~':j\~ Ifll50TI fJfCT I\":.~~~. N"""'I . .._".. __._~...._. ~l . _ _ I I ADOPlSS ~""~~l 01 SoCfNlIIY 0 "''''''8 0 r'-~~'(I 0 "h~. 0:;::' 0 ;o.~"'\I' r=N'O'MO"'" ~f:III_0' --- - IUI\llOIII~'iOM OA.' 01P'U"" O~" O~. o NO' _ INI"Il"" ~ NI8Y C..~ CO."I VI.. """'\1 "''''''''' NOUNI I I A[I[llllS!. . ~,,o' -- - SbN'VflY O"'1I/l1I D~~" O~~~"I :.to: O~~...~, X lor~~(~,..;!t~C.~I~1:.N' --lti~C;~;I,.C.'NC.Y _ r~~~o ~~~IO_AlIZ...il':9"~)I"'~P;.;'V';'IIJ/1 0"'" tr,Z,. ".c...::r. ,.;:i:.v&c:4 1>1~",' I,t...<$?' 1'""';""",, ''''H.;'~~Vb''';I/.''''l''/h/l ~ 1.I,po:;. -- --.--.--.-- ,I 1 9 n 4 I fC1Cl~ I A1i~!. I PII '''I'IOU~Qf(~ "1HCODf fal 31 7WS-,.-, .."" 1'0 IM"''''''~. 70 I/AMP rIAGI...M ~I'" It~ 11r:,p~ I~IIO Itl ~!A:C.!:~_Sll/I~IO~IIOAOOIIIlHllIlN(.1 IIX I CLS ICI/~~~;;~IIO;;O :.ptCIALtoOlNCUSl o PEDESTRIAN '"'' o PEDAlCVClIST ""'" 0> COO< I T~ I $1"'11 I :.lll.1 MOOATltJC:y8'1I1~. ~ I 'VIS IWl1Gti1lt<llGHi ::.. ~tl 0 ~~"" 0 ::::1: 0 ;".~"'\l' ~[O"'III'NOV"'1 15TH! 1201~ONIII , An '\I " I "AU IN!oUIANCf CO Ul AGol" 1"- ...,p"'\. I 'nON' NO '\. '" I n'~\...a;,,,,C. I D~~All'EA r-nl ~f:'g~ l M.fj()D....... . l.=:J o OlllvtN O.HM,.INfO liST OAM"'GI Ilk-! .!_t.o_~--:-i ~ ~ D~~~;'8Y "'W"'Y S 1'~ftoIO"O~'I~1 DESCRIPTION OF COLLISION: _ .llAf!>IJ'P1.IMt~T""'5oHUTlfNICIs:.AIIYI . p i/ ar/ " " #/. .s"~THo;:.> 'Z-~Rp~G)::" Fiii h... ~.//';:;;>;"/-:b;;~z 4......; n'",;z..6.50 ....e...,-.'2>...,~ _ ""2>... ",.<2."'''''.. :/2. "::;:'-:"'<.'~~ ",/=# I-m Tc:-..'. Ay'"..7;:> __ '::pE$'"'t.. . - .?.,P~""_.e ~..-t:""K~~_ ~ """..Y-. ~.. v,:::;,"'..... ..- P..'",,",. ...'H. ..'...t<<"fr';-. -a v.~~..l--""'. . .. -;;J ;:r-i:-> .......-..;Y"'.s=- .._/....?"~ ~~.e:. /~dZ _...=:J ~".4./'~5'"""d;;::::.,-.-=-~ ._. ...., ....., CH...IGE , o Ig:".A "" ~I U"8"'N~ lUll..... T'woO>> , : '~'" 1 . ' .' , ...., Ii.. I i " ':~< ~ I ' ': , ":' ~ : .. .... ..... " ,"".",' ",' .' . .. . .,. . ~ = , " n ~" " , ',''', "," ." " ''':.w I" s:- ~ ~ ~ o - liJ r ~ , " , "I' .. ':.J. :> " ..', " : 11. 'ti~. ~ . ~ t , t: l ;::.~ >'},jl'::"'.J: ;,i, i;': , , , II ~/ "" I~_ If;,,.~... l ;-, .'. .... , l~~'."",""'" ".. " .," " ", "'''''', , ,:, .': : " ": ! . ,I;,.', ;- , f , i \ . ~ ' , .: .... :1 ,,' :' :,:, rJ ' .... ...'.., I. : !.. '. /" I:' . , of - I : ...... ,: - - :,., ','" f--J ~ )!!. ,'" '. ';; ~ ST ATE OF WASHINGTON "0' I 0' / r-:- ~ POLICE TRAFFIC COLLISION REPORT I2Q'RAfflCWAY II b PRIVATE WAY I ~j'IOf'OUI~ N ~l. ,,"YOf On':!oI~.,.1 ,.1 II~LnllD' nCOUNT,. CO<J,)'YjID -1"11".0 I Irlf~~"" rJ I ~ /' 8;? I~~ ..~ Tun ..,~ ,....~x. ~., II /S::b~~~..:.J6~~G4CJ_J / (p I IM~::::- LL ON 181 DIN ClljPlllOWN NANllNO Oi!:>'IHIIO"~'~~~""Y le;Ct!. I~ M 1.lI51OUIIOJlSIIUI (;001 1"'" C.2M'''' ~ ow t8'0' C./~",/".1Cw-? ON h.v~.-c. J~lG,_'( /? I r.J I I ,,/y/OO IN111l!:>[CI,NGWll... !:>lIHllOIlI/OAO INON"'lHlI!.lCIION v'. . A./ I'1IU,,l 1'1"" I'MIUPO::oT 18[f~JA"";.5"'''''') tt.c~llfll& ~~ ~.>'!IItUI 5,)...() I DIS A,Nell ~1Il?~ 1I0""I1(f~I1~NCI. CIIO~~ ~T~(IT Ofi M....III~T Mil! PO~ I ACCIDENT ~""MP 1"1...e;"....,... DAT.... "ft- r9~';~~ ;, U:-' [] 0' ..s~vA;-"SC'_..,Itr/.,Lt.6 MtLb~E cOUI~IONINVOl....IO --srVIIIIIY. ~ 0 ~~I O..,T&C1UN I ""1I~'''' INI(1I 1::.JIIIJ(rlD li~' !.l.";:''1J~%'i rlII'OAOOl1I1l'IIIINCI . ~O~f~,~~~ [1] ~~~~~~I~~:LD- 0 ~~J;~~ o~V~'~~1 MJ;::.oI~~ '1\ III CI~ ICR~~~/YOO I-a otIJ1C1~H~UC"IN""""lO~08JICT~TIlUC"ANOOWN(~~N.AM11 _ II~I~""I ~ptCI""lCOP'NGv..l 1-/ --o,"'~ /-="-"'Po""".-/,46..J/ · UNIT NO. I UNIT NO.2 s OIlI"fIlSN"'~ LASf 11I1S1 4 ~~' DII~I1'SNAMJ - -r-~~?-S"a.-J ~~7...L.0.J YVA..,,.,,z " ~TIIIII""DD:(:'~/ T IlUI~I!>:' I ro.0 ~3y...-J' / 7/ ~ . '\. ~ CllT ~T""l( ~co~ ,I P~MNO D ," '\. liT"''' .tIP,-,^", I' IN:! r=...5L!?4/'72'~ t..,-,& /o,'.3'3l-;)7'...2-~.)/R" I OIlII{IIIS)7"lII.NO I ST....ll, I ~I ..?....IlOfIH H I I Dl1II11Il' IICINlII.NO'\. I ~T""U I ""I"",O"'I~.D'II~. h 74,,..p~.-Jfi?'~~.A' f"-I}J /fj.z:. v '\. I ~ ~ occup","QN 1"'IlMNMI>:,,",,?INO ~ ~.1 J:!'G.-llI~'~HI E OCCUP...TION 1 IIRM '\.-1 & P~INO IITl~ l>M.l(ioHTI~IG"TI= 1% .........-......"6:: /'-"'r.....-Y.#"'c:--;:> ~I~r':;.,; R I \. I I - '-- 0 CHECK("") Ir~~~f...!>:N"E::~'8~u~",r:g;"IR''''1 0 CHECK(",) l....t..IC~1 ~...NIM~c::YII~'-~:t$.:t'il'...1 .~ rr:- CODES..... 3 ~~~~~. I~ ~~~W:.'.... '-'7 s 1/'(1''''''--'' b ~:~~..-.-. CODES'" + 3 ~~~~' I\..~;~:.'''' S 111(1,00. 0 ~~~.:r.'(LI '017 100/ ~,i"jL~~:~u, S,p,,~6 '- -...4'/Y':/ ~//,,..;? INJl.~~"<''"' '\. / '--- ~~~~~5"~'" 0 ......Bu'....." 0 ~~CI 0 ~g;"l~ 0 ~~,::: ~;'8'..~. ~~-:;'IIlO.. 0 _1lUI.....C. 0 ~'ll 0 ~'V;..u 0 ...:~~,: 0 i'.~'..!o" \I1..Y'....1I l'M"t,ltjOO~YMIVt I~J.~"'~~ ~nU_~CCll""'l IV ..y....1I IfMS-E\OODGf.C..fVI ~l(D"""T'NOV"'1 I~Y 12DR.CONI{' ~ 1":1/..9..75 C-0~1/ /:';'7/-:;; ,KD/-:? E I \. I "," ~ V'M5;o.7 .111'tN~IPL-"'V' 0 I!.T....h I TII""lfj;! P1....U NO 1~T"'1I H II1HCOI.~ IUllN I :.-;o;rr'\.I'...,'lll/l'I....UNV I~'''''E 6/'-'6 16-n:~,/.t "v'.'" -- - ~ I '\l I l'i'i"::::: VfHICUID(NT'''C'''T!~.~ / c;}.."'7. VI..,Cll.Df.NWI,,,,,, I~ 1..:z3,/:-J-;t"..e':S7':<1 /.;.....5j' L, I , ..c, No. I A 11 n 7 7 :: ',. , ," .. o VEHICLE ..... o PEDE50TRIAN "" o PEDAlCVCUSl .",,'" . ;;,~ ,,', ",.' i ~ ~ L..-. ~ '" ," I'i'C 1I1(;'$llIlEDOWNfj;! ~T mIST MIDDLI PHON[NO 0 IIful!>lllltDOWNlII LAST fiRST ""~ II ''''''''NO C. S4.P:?c~ G::?:9.....~..::Z" \. lib:) "'DDRI~$QfOWN!1l 'Z ....DOIlf~OfOWNfll '\. ~ ...5" 4.....-:"e=: E '\ ~ N~"'DDlll!.$Qf'N5Ull"'NCl'O ~...e;'NT ~ R IN u...N N '\. 32 1'.:...r"'6?P,c' ~ - .5~,'l~ \. - '--- OAMAGtOAAt... ~''''' N I~~~':,~f I ~....a~v.. ~ ~ ). C.....I1Cif C......IlCif --, ~ ~('.o..,,\ 1 -- C!> .K--L.'TO"~:) O'Hl'O""'" -L..TO~.~ l~tioi;o-tio~~ 1ST DAM ~ -, r:t.:I,'oN DllfM....INIO DOIIIV!N OJ;!fM...,NEO IIS1DAM...(;E I'k. ('Oi,[irio~'l.~ 5 V~t:' ....W...YBY t::::J1~_....,....~/C O~<;'~~DY ...w....Y S I. . ~ DIAGRAMOFCOlll510N IUU~"PPllM1NI"'1 INOI,...nNOQ'TM DESCRIP71 NOFCOlUSION ju:.ISUI'Plfl'''H~T...tS~fllfNfCI~IIY) 3~ '6 ,J SIIElIlI Nt(E~~"'RYI t DY...1I1I0W - ----" - >. . -:/ - - - ~ _ /flt'- ~t91' 1: I j '~ J/~A ""/ .J..H..5 ,,-.J..,At/i' ,d-J ~r -,0 vlfyf/" .--:-..' I 1 1 j I Y/.'-U'G'y' ,A~lj /,,/V'i;>~ _/ C..,/4.'e' ~ rc~~ . ." -.., .., -, _ I I ; .?f'~/ ~ /"""~ -Ph~'$"'''-: _...s.M'~<:;> -. p,r L- . .__ ' >,. _ _ 5~t& ~~."'~' _ ...-1'.5/~7~P--- Le).s,,',A.J~. ~ . -.. JI j :;kUG'./ ,2.;;:i., I-t::s;! - Ct:?~.-.T,/,c<>.?,~<""..-": - //V6: . ..........::;-;:t""~.-}!t:{/ S E:...v~~.I-~ t'I-~~l-j,.,L~i.' ~~/k1:.~--:7/~~$~~j,.- V-~..l I,' I II t ' : . ~A~;AL~E:S~;~J~L)~LJo~SINvOLVED . - '''+-C~DES-I'I - ~ 2 I :'-I'~'-I-:";'6' ~ OCCUPANTS I WITNESSES W~ ll:ti~~~~~~~...~~n: .-s,x~f ....c;.,. bl",u~1 '...."'J~ I' "....~ (~I~ l.mA 1 fJfCT 1 :-'...',~i~ ~"'I I I ...--.-.-. ..''''" ~~.!P!,1.0' ..----" -1~J.ml{l~rRol 0....",,11 O~litl o~~.O::t O;"8'w H N I I . -.. 1;,N~IP' - .. -,---~.... . ~~VJ~'1I0"" 0"'''''' O~~~I oC1:~". O::r O;-'~'..\. ., N'O N I I I ~~,~~~l$or . .--. .-.-.- 1:~nwlS-'IOM 0...",,11 0 ~~tI OC~Il' :;:: 0 ;-'~1,.~, LID~~IIIAGI"'CY _ I ()~('~ '6U,. r0l5'..%!.PT~DI u~~DI O"'U O~I"9'T I"'~d~-"/I .6 O"'TI ,__ ... .,.;\ ", ')'i, ", " , t~MI "'DOI1I~\ ~N'M' 'XI "'DDlll~~ N...MI "'[lDIIIS~ 'It I'N~~~C.~~ ..' I -,~: ....... ",,>,< .. ... ........; ., .. "." .' :, .' :...., ,,:: , ". . .",' ':', ,,,' :' ",' ),"" .., :", ..... . ," , ' " """',: ' .- .;, ,,; , .' . I'" '" I ' . . '""":":- ",,:' ", '-: . , .- ': ", " ';' .>.: ,,' '; ',.' ., "" . ..... ,'"',,,: ;:', ,.': ',' ", ',"'" :.',',' ;,:, < , ;, :',', ...' .. ...".... ", ",' " ' ,: ... <. ",; , ,,:., I \', ---I.."... . . ::",:... , .' ' "".: .- .. .. I: .. ~J., ," . ,- ::' ..... ;:,' . '""",,--' ,,:"'" (:':''': :':,., <,,,,,"i',,""':"" " ';':, :," " ',; .... , LiNIT NO. I UNIT NO.2 VEHICLE 0 Pt:DESTIlIAN PEDAlCVCUST] 'Q """'N~l "''' ~~".,,~_ --=7 "M"';~ "''' _~ /" // M'''''.:- 7; / -r::>".,-/,c k;........ ~~h<--'"'/ ~<,___;J.s v"",,/../ V .:J o/'/'-) ;c.,.J)S-e-~ _ ~1~lll"'D0Ii1I~~" rk .tiltl.1AOOI/I.~~ ~ ~:.<c''1~ 4.D;-~~ b;",~" -1?oNlNO D ;15"3>:/ ~~?-: ~~~ ' ~ [g CAI,:...".-f".<':"--1' M4 733..:2':> tY27i:-7../ R /,j1~Ns. ;;t..L'~ /.-4(1 %~ 6~-7 ~rY9 .::! tfi') DIi1IVIII!>UClN!.INO .11 !l,...n _I U ""O""I~~'lllH~a I 11/'1 - UH"'~""O I .:'~')-;11 :lolJ\_ IN;) AID~.lllIl~. 5 ~~cL,,~/--:::9K:?C// I... #l~ J:2- J!j 2? Vlv",,/?'C0"::i?G;?<t.:T..:e 1/.//"" ~ ~/~/<!?- 8 OC(UP....lION A I fIR"'N........(&PHO~O ~!o ~'C.MI~Kl E rucCUP....llON IIIIIMNM'I& P...oNI NO ~!o .1!1.'CoH'L~H' ;2.. u&:/'" I.c:?/y"~;'-';;:.? C..y.sz<?,2' "C-I'-&'J~ R /.),::/,..JtE!: /\/0....; ~I~~I-::S>~ o CHECK (.....) I VIHIC~f~t:-~::~~~1I ~{.}t:::g;"'lfil"L 0 CHECK (....) I VIHICU"S ~c:l~r:{ir' ::! ~ CODES...... :J ~~i~~' -- J . :~~'.~::"l 1 1.5 UIClIoo. I b ~:~::'C'I CODES.... ... I 3 ~~. . L/ I 5 IJlCTlO" / I b ~..~~~'(.:.l.- 17 Mr,o' _1'ft,J &. 'N' ~:.'<U, -J '/~) 4_ '7 ~V'~o"" 0 ......e.."....cI 0 ~~tl ~g~.I. 0 ~:~,~:: --~...~'..~P ~~~-:~uo... 0 _1lUI...CI 0 t?~CI 0 Z!;,f1t 0 ::~~I: ~'~~Y' [I I#?-},~~ jE;A:::;;3 ""'f?Z? I~I/"m 1?:~~V)17;;;:"; '~~;7' i~ I VIHCOtr IUC~N~IPl"HNO IST..n I'TIl..llu/Pl..nNo IS'..11 H vt....COlOfl JlIC!N:.t l I" 1.~_ll ..nNO II ST" t ::i.. 1:?Wb b7//7'L h./# - I - 115/.::.16'2177- ,/"",;;' !Jr1 r;:;.D""::;20P'::? 4.# 5- VI_~ DtNl'C"IlONNO , / C VIt-tlCLllotNll'IC~lI~~ IYt7 ~Z;;i:-;.'~o..t//'.31y38 L -'?iSSx,C::.#1;.;<5~ b, ~ ';ZZ.R.-& &......-r L"'" 'HONl~ ~ " "..00_.. 5A~;;;' ""DO<' I~::'G ~ ~ AOD~3" /.57 ~k><:// ~ Au~.>>"OWN" 5.;7'4-6 liJ I'i1J N~" ADW" 'N'U"N" co 'l"""'P' _____ /J ON"" AN''5' ""N ,/ _ / < Y ~ &/Ed-Jc;,.E ~/r",,/:;?> /7"",/.?,p~~..s R c::::e-/""-',....L ~-:.-) - y/-"...'c.4DG///Y-...r- 't' 0..A';"G10AllI" IdF.~""c." I~I N . ~ ~2::"" In'~J:'tr:6~... ~"M.t.GE)DAALo.. ~ r 1 ) .. I-R~~~f~'g~c~: Ct-t..IlGf C......RGE?':"" ~~ O'~.D.vGI I.~ ~l- -1_ Do:~.;;o~!orl_S' .OA.M::ft~:~.::~ DII[MA,'NlO TOW[O ~ ~:"Z'I'N DII[MA'N[o ISI OM\~I'v.:!'(i11r~~llp I S//~...., 10 "W"'" BY 0 ..WI.'" BY Ye".~&'. OIAGQAMOFCOlll ION' lUll! ~vpm"'["l"'l NO~;~TJ,..'b~IH OESCRIPTlONOFCOlllSION (lA[SUPPUM[N'''LSH[(1lJNIC[S~Il'''1 J..2! t:. .0/<m " . . ~;-& /d.9'~ .t.~$ S''',~ ""...j /...4/ ~v~ ~ , _ _ _ _ /f'~? /00/;4/.....&0 .-1' ? E,~~': c.-"'~ /.J~~' -= " ////I//AL~.-'L~~ . C<>~: ...->p - /' -3 --.::;.. I,: \ : I . I , ! I 4 v"::-;; v#'~ '-.>="'-0",) "'-;5'.:;::.' "'"'..~ 1'21:> -~ I" l ~. - .~ /p;>?~.,f~....x- .T~ ../-'7.;.-~"";;;;;'....J ,-- c::l C ' i., 1'\W:,,~;~..~~~L: ~.~ ~ r;0.....;.i4?:-jP8? c~.;..~~j_~5'",t::? I I. """ '.$:;W ~<FG~ 1/'...) '" 6z>s:::rfl'7.;-~f/c,;.;3VS,:7.!!;:-; ~ , ~ ,t:~.e-.G./Z. ' ~I NAME. ADDRESS & INJURIES OF PERSONS INVOLVED . CODES I '. I - I 2 13. 15. 6 P OCCUPANTS / WITNESSES W:~ ii:~~*~g~~lT~l..S:n: SIX~ I" AGf h:T"Tusl'~';!;"1 ~:,: c~J~ Ru"IIJfCT ~..~c~. "AMl/?ries~:4,4 ~;;?;y ~N'6~9'-~~S.'-"'" V_SI~I~ ''S ../ '''/ ../ AtlDm~$S--;;;; ~-."h""'_~-: _~~ -~~..~,t/.-e-~J"''i.~tOI 'j,.,.....j~ !tCf""vey oAMB O~~uO"";".O:;~ I?! o'..y ",.' r: "'-::.::.rA~P#'. -= ;:;"".,..,........,1<"'",..,.... .. .:0 ;;:"!t.s 3/'.:-23. ,.1"," ,,e.. I !!;! ~~ I J) "OtJfilsS~q;;; Cr.-.J~e:" .A.:.-..e_ ''?'7''~_.,J.'p:'::::;-I:-:'~!~',IOI .I1v......j~.- .. ~~VJ~FPQ.Y.oAMB O~~IC'DC'ci~". D~~ ~.~'.." 40 I~ N~I ~I I I I I ;.",; ",;/ ttf[JII!!>S ';,.~D'~,{sO' < uO<' -.. ~C1Nl"'IIV DAMII 0 ~~" O~~,t, ...... 0 ;o,c;,'..,p I.. ", <"i-.',:. IIt-jVI~h(."l't-j"~'::11I ~ ""1.1',11" ""NO ~ 1!I~~C,f 0& \"o."''f I VNl1 O. fOt'tl OI!o~':~OI POlICt "UI\lf.[lIOA1;~I%~ AP~POVloeV./1 O"TI 1("" .\ (' X l.-.1? /' -r 0"''' .... ,,_ L 1.:J1,.;;f',J! J 1 ".;::> 0:1.l-_'.!j' I ./.:i~::> I/..;>:;'-;? I. 4<f~I"""'H PQ I': < ,;"~<"'" -~. .' ..'...... SiC II ",' ';,<.', ,( " ......,iii ............... .........?' ',/ "",<;'\i" "'it ) i" ,',",:,,;i";', .../(,'.; , ". ......!':'>':' Il;~j'lr' "y:: "" ," "" ..,...< I r.X ,..;.}</i\;i..../yi,... / .~ 'h.. ., 't........:, ./y . ";;,,, ;..';"'., ,"" .',", !Y" ii:;;'; ...'.... "" (,ii,;:!..... ".', : !:,;,..ii" L ;.;, ,'.;: Ilt";E:.'~ ,<,;.\ ,; !".',,; ... ,.' ......,..., '.' .... ....' ..'..... ,'.., .it:,?, 11it,,;;;,.;i,: <,v , I' "..?> ~ T." I.:';',' II;' '. i.! > . '.ii/i') "".", ',"";" ",,' " :' ,.,..",',,;; .......i..;;,i.j.".;; ",. ;,.}. ,'", , ii. ,;'",.. ," ~. . } " r ;, ,." , , \:' '.,;, , ". .. fl. IT W~P..k I~\l' '-1 STATE OF WASHINGTON No. t1 (1 [3 7 :": ,..": ,:" , , P"C,1 / Of) [)STRAFFICWA Y o PRIVATE WAY O"IIO"OlLl!o~~_:. OA'f~I~O\lI~IOt-j R T~["'.DIJ lICOUNTf ~ I i) -i7'5f},I~~ ..o~ ;K .ID '~II .t. \.1 \I :i.:!V2>1 11 ~/~ ON Of ~It-j ~YOIIIOW""./ I NM'l"NO..OfSUII[I~Hw;.,y Mm n, OW oo'/Mvloe.rC- ION.J,G:s5 cc:;;c....6i:'~ Ir.jllfi~I~.'t"Y STIIUT Oll 1/0....0 INONlNT1fi!.lCliON ~~')>../ -p./'C lellWflN - !>llllll" - SlllHT ) OIS ....CI "o,:::,t~~ UIOMllIHfi(N I CROSS~T&HTOfI M"&HTMIlE POS I ACCIO(NT H .;;I;~S :; A ~ n 0' _ M~l~cirE COlll~~T~:~~O\VID ~ ~o"'~~~~;O_NO .NJUIlIO ~ 0 ~~\"GI OHIUIIUNl +CJi..'~~i..s QlvlO'lICUS ~ ~PI10P[PIYOAM""(ONlY 0 k1SUlTID D~Vi~\~~ I - if) 06JtCISUIUCJ.INMlI 0' 06I[CI STIlIJCII. N<OO"'NIIl-~NAMII I l!>lO_AGf ^ - Is - '7'C I'''''~ 1 '(;; I~QSIII IJ 1l:2~~[~o PHf'l( rQ . lM'lfF'OST O. 0/ IlAMP IOI..C.II......,tJ,lo.l.. ~:';TNOfI.;TllIlD-rN ~~s;~~J:Ir(l!.~III<'OAOOIIIll'llllt-ICI )\ INlIP I Ct!. Icll~~s'~i~1I5oo PlCI..tCOOlNCl,,(,[ POLICE TRAFFIC COLLISION REPORT 1'Q1ICI COM~"'JM NU"'!I11l IYJ I~:"HA c<Z '" 1J1I6AN f---- ,U&A). f"'w, ~ ,..." " " ", , ' I """,,,::,!,.,::'''' I, Ii 1 ..' ..... I -7~ , ..... \ '-,,'" ......., f : .... ..... ''':: ! ,............. ...... .... ,) '.." .'.. ~ ..... ;' '" . : .... AOO~I~~ [ ;;~;m "tlODISS i::';'/'~,;;': V I',.....~.,,"'C.Z~:DIU..,~ ", ':,",',', ", ' ' , '.-. '.' ';,,', , :.': " .:. . '.,:, " '-.: ' ',' ' ":', .''' ',:" .', ',J',' V;'.' .... .',' ",.'" ','" ;."', .' '. . .,' 1;: .' ':"> ' I,', .',,"', I, '.' {,,':: ' I:', j:; .:.' ......' . ' , ',' I' "" 1 I, ;" ". 1,1 ......,...... ~', "'"'"- ", L ~ " . '.:r}:i',r;r::?,,': " ':, , '.,' " , , " ' , .. " " " . '.': ',' ,.' .,' ,::"~ , ~ STATE OF WASHINGTON ;';'/ 0'/ No. I 4 (] 8 7 5""" i r ~ POLICE TRAfFIC COLLISION REPORT ,.elRAFfICWAY '"'.>i.I(tCOM"'...."...'NUM!I!~ ~ I) '....- 0 PR'VATE WAY l/j '::;)O',"''''''.'N ,L OAWCU'''''UN ,ft "M' II'ou"" COWrY' IC'"'''' I I~',~,.' p:- h' /0 ffll~~ ~, h"~ ",0 '-uU It. ~.. 1l6~S ~~cR:s-o-') / l,.O I I~:::' L.L ON ~ YVOR.fOWN I NM\t~NC;Y!>HllITOll~IG"W."f fqCI!> I" M '''IIl~()QJ'~llIt~')...V~ 1~" /,j2....".. 0' I5w ~o,/-M=/",c/C ION a7"...-c- .;R;q,/ /.?t;> Co ;'/) I '1 $to "1'0 ['l '7Z;';;.:e"'A2,.j::,:~'~'''0"- """. - """ """ r r"""" o. 8;5 I O'~'''NCI & D~';.,,',19~ 1110..... Illl1 III "':'1. CIlO~~~lIlUl 0'1 NlAI/I:" 10'01(1 1'0:' I AcelOINT 11"'''''1' IOII'C.IlJt.M o,a.,.... H ~';::' ~ ~ {Ii ~ 01 - Mg~;~E COlll!o'QN INIiOl....ID :'I_VIIIIIV. ~ 0 U \ 0 I ...".:.... 1"11(11 I,~ Ill; 110 1~,,!1..!."Y5.!~;:t..4~1/~1~f.21l ~or< I/lfllll""l 6.0~f~,~3:. -l[] ~~~~~:(~~:IO O~~l~~~~ O~~~~~;~N::::"~ IA I CI:' ICR~:':'lltU~l~~ 7~ I~ 106)1(1 ~(N........tOf OllJrtl :.II1U(1( AND OWN! II :. NAME) I 1!o10f>N.-.c;t !oPlCIAICOOIJi(, USl 1'7 I ~.7"-<; ~~/...c~~....j c:A-e...--'?-~ 1$ - UNIT NO. I [~NIl NO. '1 I) _IOIlIYIIl':;'AMI lA!ol t'll:'1 MI~_ll O~NMllt I Lb., ~.44"= ~~.:- ~/ A'-J '\. :.UlI'AtlOllt:.:. ; /? 1I1HI~ ~. 3::>3'&: 4.:e.o/:z;, -z;,~, 56 . '\. .;< em C /. ~ !llA11 dCOOf I~ONI"lO ~ IV '\. rY"/' , /A 43't?? ~?.(~ R "\. L= QQ'''?':'l''.IN!:./: NO I !of""l I LX I~""I~' 81 H I iIvfIi il (N5I NO '\. 0,"'j;4L.:J"h1:33oCG 1.?v:41...r' I~ ??;.. V "\. (i CX:CU"","ON I '1I1MJAMI &PHONI NO t:' ~~"'.3~HT E OCCUPATION "IlM~I&PHONINO 1;:2. c:;;/.!"v./.2j:> vJd~}G:5 5~p7......pt;ij:.~o p;:s R '\. L.:....- 0 CHECK (....) I "'IHIC~:c;,~~t~~~~~ ~C~~b'i!:lit"'l . 0 CHECK ({) If ~:ttN.lo<':N tMp~'g~i1 ~C~~{~l ~IAl [9 CODES" + 3 't::t~. .. ~\~~:.'''i' 5 IlleftOf'~~~II(.(11 I~ r-N~JIlII;S"'" :;/1.-J/~ .~~:~~II..Ot L-.. ~l~v~~,~o'" 0 ......~ul.....C1 0 ~~(l 0 ~!:~!I~ 0 ~~,~:: Q ;<81,..1>. ~t~1~uo'" 0 _1oJI.....(1 0 ("!(I 0 ~:g~"~ 0 :~~t: 0 ;',~'..~ po;- 'I;;,' IMA':.c:~' I~:;'~"~';:;;' E ",., I-"~~'''''' ~OA"NO'" T" ""'W" :: Ll )iJ!.J JZ:;~;yd ,oN>> I "...,~o I "A~ 7 '" "'0' '" ,An '\l ,.." A IAn ~ 'J"7;?i8;::;0"3..%:X..z"..J;/~,:"''''cY/;!. ~ "''''''''''"'''','''''''N'' , ,"'- " ~ lllGISnlllJOWNlll LAST ././"""llSl MICClI IPHONINO ~lsnlllbOWNlll LASt 'IllS! MIOOt., 11''''''''1..0 L:=: /.Jt.,::",,,'U!',; 4,.;;,w,r;- /fl ~7 -sase 0 "\. II)/."':; AO[)IlISSOI'OWNIIl' 4' ~/ W~OWNlll ~ k::S1/o88')- o..L<:,?~h7j;> .4v~.sc: _o<"..,.a4 ~ '\. ~ NA.MI&ADCll(S!t()fINSUllANCI~OIl",c;tNt .--, fi7 _/ NAMI&AOOIlISSOCINSU ANC(CO~AGt~ '\.)1 1':-' S7A7M:; .-?~, -r/,.?: o.y~"{/,,.:'/::-V R "\. - L-.. o..a~~bA.IIIA I~...~~...;:,.."'(;'I l~lION" ~;' I C~~~I.A ~~ r=s 2 J . 1 Rri~~:'~~'~l' CHAIIGt CHAIIGt 11-1 .o.t 2 J ._TJ _'tJO~~.~O~~pSl O:~ID fo~::~ OIlIM~ _ D05/llI'tN DlllMAINIO I 1 Joi~~~~ ~ I V'.5C~;.o I~~WA'" flY ;.:pU:;""./heJ...--' 0 ~c~:..:;> (I'" AW#<Y S . . t;: DIAGRA. MOF COll.tSION: (U~! ~U'Pl!.." .AI INDIC~NOlllH DESCRIPTl70F COLLISION: 105."7'" ... N!AI rt......"..... NtCt~RYI. . ' " " ~ ,_rtHHTI' NLCUSAIlYI -1 e w ' , - ,- -, .~." . - .-. '-'~ i== ...,. .: '1 I ~. " , , t/~/ N/f.5 ":;;"'-'" . 4-,1. ~ /~,r ""..0,. 5 . . ~," \./~ 4...-7/ 4"'/~?//""""" -4. ,,,,,/~;:r.:;~/ ~ f1 . ., ""'. i . , I' <7....J/C> e:v.?...e:"..;.8~..R1::>, -p%~4' ....,?...,' r=1 L:: ~. .;._",.1- "'/-7L'_."L!~.: ~-e:~#"~"e.~,:,-/~c-~?"""""<-:f~f-..J r;:' ~~\~~~~~rt V; , t:.4.L ;1;1,,' ~7/ ';;c%>~qr-.o:-;ef!;::?~~~~~~-.'.~ - 1\ JJ' (I I 'I: I.: 'j"; , .cC~~?~ ./ ~'~~7~~~-, ". V/'?1 :;'p,0,,~/~i ~,.t'p"1' /_/"'/ "-";';~'___--#'H'_~ ,~-==-,:-, S ~ 'f./' I I I I 11 I . I'~ NAME. ADDRESS & INJURIES OF PERSONS INVOlVED + CODES I 1 I - I 2 I 3 I . I 5 I 6 I" OCCUPANTS / WITNESSES ~u~ ~ti~~~~~l!~\A~W '~(Il~ I";Gi' ktA;usl ,....vT..lv.,~ 'i r'~"~ IRts,1l I (-Jicl-I~!,c~'. ~"'( I I I I ~,~~~l Of . ~ ..-. ru~ rROM 0 AMe 0 r;:~1I 0 ~~, . 0 ~:: 0 ~'..Y' l~O"f I I I INAtURfOf ~ ~II'J~fllOI.\ DAMe D~~C.' Dc~~". D:t~ O;'.~'...~. 40 ,,~~~J~;'S 1[~1~~/sO' SClNlII'IIY I DA~e D\~~(I O~~~II~ ,.~v 0 ;-'~'..~, le~g~ooIlIA.C.INCY UN110~ r'0I't'a!t~~1s.s101 POllct"'Il~'!L.rIOAllOf"I'O~. IA A.PPIIOII'lPflYA OAlI ? ~L.,,,_"_,, r.::? P~.o!,l.IO-,/....- IO~~Ylolt:"""6~LC,'t,/UMLl& Ii'" D'C_>',:>.'. .. -:-;'U' ,..:....,.., ,".' . ...~'i'..., ..... .....,;':.,' .':' .....i.i.. .,:. ....... ".' .....:./:,: i.,' >('{;" ..i)" .'.....'.........:.i>,..' 'i:.:;:": ::,:' ""'. C.,' .i ! \'/i, .';;: ..~ ';1.', :f, 'i', ..,,'.2] ......',. . " " o VEHICLE ,...., o PEDESTRIAN ""'" o PEDALCVClIST -~'o"" .... . l I'~'~ "'~ I "A" I ll--' ~b"!T::'.BIIl~. _ I (Y(S rl~!Ip(IC~l ~ "1" '.::7 ',' "': .... : .., ..... " :,;,', , .; , ;' '. ? i,:: i' ,'.' , L GJ , ." :i;'. ,'.:" ..-' .' ....:. i ":i. :'" '," :'," I, . ...... ..... '. .: ".'" ' ': " " j : ..... . ~ ..... G' ~ I,: N ::,'.' -=;, ..... '. '. '" " '0 '. ' '.~ . '.' I:, . :. ~ ~ f--;< ,:: ! ... I" I : ~ .i:.: ", " ....... , " ' . .' " , '<; : ::: ... ',' ',:: '" '',< .,,:,:.' ,\ - ;; ""'",,' ", , ,,:,' ',",'" .."l":" ,:',., ' :" ,<' " ."', .,'.:i "", ",,' ... "'" ';";.,'.""'" '.', " :' :,,".'" ~!, ~"~;:':;:.;,, ,. ,', I 1:/::::':': "'.,' ,'~ "'.' ::\<':::;., " , ,:'.':\:,',' .:> ': ',,' ,:' , " ". ,,:' ':. "', ~'. """" ,.:, .' l:''-- 1'. .. ':, ::;. " ,," .', . ' ':" ::: ' .. , I " , I: ," ',., 1( {:, };, ~' t , t f, " t,( t' <{-, I: r ,,'I,. 1 I. -r,>: \', 1" '(. t"; J'i \. ',.; '" ,,:, ,"i'" ' I', i, i'.'~:,:,' ;:, " ,'. :,'. : '"'' "", - ",.' '",,' :,",,' " , /:"'::":," . .:' "",': " '. i "" , '," , ,,\'" ,.- ,", ,'.,:, '" , "" .,', " " " ,,' ---I, :., " ' , ,.,' ". " .'..,.c;. ,', , " '. ", :. ,":-- :..' " , ',. f " " , ' -, " /~ STATE OF WASHINGTON t ~ POLICE TRAFFIC COLLISION REPORT , PACI / o...!? No. ~TRAfflCWAY o PRIVATE WAY ~l~OICOUI j "...,. ...,." ,1"v~L1!o1 N ,R TIM! "COUN!' 4 [L q 17 ~JI~~ j(!vI1 "'Cl '~I\ It!. ~'H ;;:570111 II ..::T?//t&/?So_-.J / ON 01 ~'N f"OIl10WN I NA.M~N~ YJ!oIIlI!10IlHj~HW.,,, M'''' 0' OW OO'/MDL"<?~ ION ..-R".p;:;:",- "Z;;Y.;? INI(Il~C"NC Willi !olllltlO)JOA.O INON INnll~CIION NG-$.,:j' Cr...~c:::R 18llWllN - !.TlIlfl & - ~IlIllI ~I OI!.l",.,.CI & '!:llIpt ~.I.~!'l 110M I/ll,tO' N~t, CIIO!.!.!.llltlT 011 NtAl/(!o1 MILll'O!. -j ACCIDENT MIl(!. N !. I w MILEAGE Ifl! n n n n Of - COot: CO(tl!.IONINVO:~ IVtllIT~ / u, I "'1I~"" IOI"lNO \ NOIlILUO_"iOINJUl!(O_ O!.PILl"Gf OHII&lIUN .......O/lIO'..~ "VI"'ICL!~ 0 PllOPllll\"OAMAGH)NL~ 0 ~lIlullIO 0 ~Tl~'I~~1 - b OBJICT ~1"IJC"tNA.MIOI cellCl !.TlIUCIl ANOOWNllI!. NAMII l'~T O.........ACol 7 . ~U) UNIT NO.1 UNU.NQ..2< 0 VEHICLE 0 PEDESTRIAN ~PEOAlCY'ClIST lJ-; ~9 DP~z>U~ a~:~ Lof~:~~ G;;~t te;T~./ ~Ae~~ ;'DOlI !.Tlltll AOO"(~!. . . / # !.urUI AOOIII~~ r;;;; d-S-.:s3 ~..............::?O ~/ ?03/c:;;' /-:::><"....8 ;YfiO'/ / b t.:=:.. ClI~ ./ .-/ !.TA.I! liP COOl L.!.~ONfNO _._ 0 ITV ~...It '..A \'~fIPCOD 1'2>/.?:<'l>~.L.-!J47 9'>'-~7 1s'85'~ R 8:./~~, L ~(~.3''::Z; .,.)n,Je ..:<!. ~ D"I"'Il!~IN:>lNO I ~T""1 _I IX .p...l 811l1H I vtll!.1IC!N5olNO \,' \ \ I "'Tl I:: D"lfOf&1l H b :;?,k:,iUGt:' .v...so.!.~IL,/.4lr Z,1~.:r$ V /I.Io,.~d Ii,./'4 V- 9/'? J,~-' 8 oc.CU:'ATIQN ~lflllM~&P,.I;tCWN2::' ~~~ . -L1!{~.~I"";IC.H~Hl E OC(uf"'~% 1'!IlM"tA.MI&flHONINO /:l, teJ..!..t;"IGHllii'::i"T /.2 :2. "'../eR..L" I ~C;"';;~-" u~;~ [<urtrPl:;;. R .Jj{:;;j~,z vP/c.J,.) ~,.::;,.~ -~l~ ,";;t= '--- 0 CHECK (r) I IIfHIC~1 ....S:'N IM~'8~ff ~Ci?~t;~ii"'L 0 CHECK hI) I \l1~IC~f...!.....N w.~6~r~ &l;.Y~:llj,l"'L '7';, 9~ ~?~ES'" "'T3 ~i:'~~' /.. ~~\~~::"T / I 5 IJlCllOO< I 10 ~:~."OCU- CODES" -t I 3 ~:.~~. ~ .. m,:::"" / 5 rJlc"o"'~ I 0 ~~~."I:,t~ 10"3- ,.... INJUIIIl!. ~d....JcEE :? ".....15 LJ.. - - iL4~:C~ '--- ~~r;5r"~~'~o'" 0 .......a'M.Ncl 0 ~~tl 0 ~8'TU 0 ~::-,~:: ~~IN~P H ......1lV\......CI 0 ~W(l 0 r'd',TIl 0 ~::'::l: 0 ;-"~""!oI' [D ::;;26 I~KI7~:'~ I I MOO;.?~""1 r:Q'~ E / ,~y r;Z2;;~~:'Z: E~.::;~ ~ I ....1~0Il 111'-INl.{PLAIlN I!""'u 1'l!AILIIlP\"'"NO 1!.1....1[ H vtH"~ 1'''''" I' , 11"_'" ./?/._t:f: LS...Z:r..;?~S1 ~'/..:1 - I - I ,KED - - I - F=;; ~ 'TI''6:c;7733?O, r ';;;;'~~'i~OZ-i.?' ~ ~. IlIGI!.f!RfDOWN!1l LA!.! '11l!.T MIOOll PHONI NO III 1!.t1l110UWNIIl lA!tl 'IIl!.T MIDOLI I PHONE NO Cl X .s-..-9,-,7C;;;- s;;.P'--'''''C=:- ~ --5"---P","", l..<~~ U'l ~ "DOlll~HlI'OWNfl! ~,?~...~ ~...! OWNtll ~P.-r'~ .LJ r.-:-- NAM! & ....ODII~ IN~UIl"NCI CO QIl"'GINl IN U ...N..... ... N ~ ~ I~ J/'..-c.....;c- ;;:;::'~;;:--7 -,#-"__.s.,,..-...;J:::, R ,.,.J,;-..-.J -- '1' l:....- d.DA.MAG!DI'JlI'" I Q~~VR"-;"~C;" I~A.. ';!s7:;y69E.K" tir;,!o.t.":....G DA.MAGf:OAAlA l-:" r=~ I ~ ,\op~_I~~f:-g.::Gi ICHA.R~.........,t' 7'cl l4.c..?:> ~ ;0::. CHAIlGl IH6~f;'g= l ,"r.Pfll--" Il~ r.......)..-j~II~! O"M~OIlIVIN DIlIMAINtD ODIlIVI:N DIlEM"INIO IE!.! D~!f:f'~~~D lo.ono.. I $~ 10 li~f}flv .e?....--~ 0 ~~~~ &V ':::;/',.:;z ~OCJ" I ~ : 0 . .~ OIAGRA~~F COLlISI9N: IU~! l>UPP~tMlNT"'L IN(')lC...1I NOllTH DESCRIPTION OF COLLISION' 1~ISUf'PLlM1NT"'1 !....fTlf:,ItCEY...lIYl ]!> .(~_ SHltIl':NIC,usrLi--'-; flYeOW ~ '~.:$ ..-/;,....Ii?....-w o-~_, ./~~ ..p...-f?!.. ~ ~ eE- I2/j- - ~2 'j j Ij j . .''-'" ---" ... ~ (:.... <'''Y 'il ~: -l 1/-7- --3 ",,-.$ ~,.;:-;;.~ _r- .r-,,-~ .5'/",;'.:s,;' S ---'? I ~. i'l7;l I ' I I I I: ;p"/.t"#..5 :;;".,;-,.v......-v #~ ~..4-'O ..+;;7"'n [f6~ ~ : ~ _:!!"1 1 1 I E.-;.....'7..-;,;~ ;~ ~.""-=;:- ;r:-~..J GV"'~ ~.s:;." ~ t::' , .'----1~1 . '_'l.-~~.:-I "j II I' I ~c""~fG'Z /2'4> l?'..u.,.,.;.,:;. O..1'.-...-v ~{('",..~~ ., r 1-, i- - ~ '- -i -1- - - 1 ""..- -~- --""" '...5,., o,.<::.?'<:AG ~,N',c:../ 4Nf'. , , : : J f ,l" '''''~$<., 1- ~,...~.....74e.,.o;;: .s-.?/e'-'-~;r~ ~_...z:> c:::...-= 8 : I j ! r I <eI./'-'6..-'2.. I ~ -:?' NAME, ADDRESS & INJURIES OF PERSONS INVOLVED + CODES 1.1. I - I 2 1.3 . Is. 6 OCCUPANTS I WITNESSES ~~ ~~;~g-~ZLI~...~n: -.si~ -1...Gf bT,,!u!.1 '\"2" I ~:,: CI,~J RESlIi I fJ!Cl ~',~~. ~"''''f~A~.eL~S. ..~: _7h~;3~.~-:,_.. ~:~fc(.3??.5?/ 1A'?...I.r/ ~ / ~~~ J" I .,L I "01 "'DDRf!.VC/60 "....~....c:::::~.:;.....;.;~_7j ~tc'\... ,,!~,!!~~.I.O ,..,)C'l.,.J~ S fNfflV D"'MB Dt...~ 0 "'1 0",.. )l:IlII.....~ ~N.M'-Z..,P"~.y...e.... 8e.~r;-. . ., .J6~F.~4-='? fir ..r..<J &>1 " .-0.":'<-;'- ....... ~"~ ~'9.':Z> .-' N~.~.tsI -- IIIMOVIO'IIOMO'''' 0"0"'10"''' O"Y toI:lI"'OI .0 _ ....... '-J J, . ...- ,- 1l!'IC'~ I III ~ ~Nflll' ...... C.... CC'''"I ...... lR.....\. N~':;:s:t;{.~"""" c:::;o...........,.e-..,...-7"" NCO", ?..Y..2~.. 9,;/, (~ "'OOQIS5 c-.;7< ~"...y e4~~~".4~ ~'.".J~;"';-C: 1'..00'0'0.......& D~~"O~~;". t,f':: ~~'..\P X I'N....t~.C.AII..."O~I1~A,.,. JI8:~Olll.I.QINCI' _ r/s~.....3~lO 'IOlRr~d...PPIl~(OBI'M ~....n 1_ '~".c-:t;- /7"'~&<"<:.6' I.S;",-"I..!.IS? - I' ,,,"'H" ''';H' ~7'.?"_ V? ~ .- I ~ I l::: < 0 J'Ol,e.1 c.QM~""'./1 '~vllbt~ I~H:N" :<:." ulla........ ------ VRAI "( $H.IoO CDU1J'f Nt;) I ClfOoD / &;:- I 'b 1;9~ 'I "1''''51,~2'ro """ 1'0 1"""'0>' f tj"} fl"'MP rIAc.IlA....~I" 1~'';-I,~I:~11 XRO It' 1I!.l.~!,I'1~II~~III1OAtlOllllHlll!tooCl x. IINllllICl~ ICllO!.!.!.6{1_-?~AOOO !.PlCIAI cOO.NG ~l }. , ,:.. , i:. ..- I '. '. ",!', .' '.:~'" '. '.' .'.. :'. < ',' . n . ,'. ....,. ,..... .' . ':, ~ ,...../, : ,..' ........ " ",:. '." ~ ...... ',:.' ", , " '.." ,X , . '. :"'. , ...... '.:, ,', ".' '.' '. .' . ,'. .... i;, . '.. ',.'. . ,;;;/, ".' .." .""'..' ....... .'. :: ,.' .... .:,....,. ',' ".:v'.,!". ., ' '" '..;' :,."'.. ',", ' .,', " "" I,'" .' L '., '< " ~i I~ :', .. ',",: ,'!: i i I' ;'.'. ". :', " ,", .'. .., . . ',.' .... . ":: ':'i ",':.." ,:. : , , I ::,:'., ' 1..."-- ,. " ,\: " : , ":"","' ' ,'::". :' ;',' :,.'.<,:' ::': .. ....:., . :.': ,." ". .' " ':"', '" ....,.......' ,". . ',';', " " ,:: ::' " .", <" .' .',':< I""':. ,,'" . ....,' ,< , , ' :.". ..: " .... ':' - "<' , ::', ',' , ':' """"'" ,',' , , - , ,". :'. ,,' " ,.:'.".' " , ": ...... ~ ST~~C~~A~F~~~S~~~:O~ON r " : " [l / :, : , > "" . .. "0,:2 0';:2. ~ TRAHlCWA Y o PRIVATE WAY DA , 01 COlll~I()'" ~ i > OA~ (0111$'....1'01 ~ ,'.....! COUNTY L0) tJ'-? QIc.~ \V~ ~".J'M\ "'0 '''IJ~\ It. \., IUS;~_HOU5/j II' _ .-? " ,/ 0/ )( ""--)";0 1I-1~,..ce~sc-.J ON 01 &rlt" l/lIYOf/.IOWN /" I N"":.;.&~~'$15/1lI0"'Hl~t<WAV "''''' 0' OW"O'O' #,.;oz:>Lo c/L ION .$.A4>~,/'--Z;V':? IN"fl.~C1't.C. WIT... SHin 10'')....0 lNO'" INTll1:>1CI,ON ~/'1r5.:5$'C"o~d. 18lTWUN - SlllUT& - 5111111 I O'SI""'(I&Or;I~"O'~ lIOMIIHI...'i'lCI.CIIOSSSHI(IT.....M....llfSIMllIPOS J ACCIDENT M~~~S 0 0 0 {; 0' - Mg6~G( COlliSION 'NVOlV~O N'.;~~'h, ,/ U I I "'"H'N ~O~~~,~3s ~ .. p'~~~~:[ ~~:lO4- g ~~~~~:: g ~i~~~r "~'H~ ~ OISJIC! SI~UC~ 1"'.......[Of otlJ CI SIIIUC~ ANDO.....NllI-~ N.l.Mll I (SIO_ACiI S - 1 ",-UNIT NO.2 ON1~N_,""l IIl1I1~ W~P,"'i,I:'''' No. I 5 "O,'Cl c"'"'........I...1 NVYtll~ I ~ ~ A I~H.' I~ ulle"..~ v'... eOl.Jfo..,r,.o CII'tw;J I .,,'" r.~'1 ''1'';:;2''00 Willi! fa r'L[~T ~_ vC) JlM~P 101jl,GII...""0A.1... ~:': I ''x liD I~t~~rsw:? Sl6l1(I.~1I "".-.vOl! Rl/UrtNCt X IMIII ClS (U:J'~:'?,'~':Jt'~6a ~PlCIAtCOOIN(jlJS.l -<.~ UNI1NOX L~ '?~~,2'';~_j c ;~~,,(~ -];;~...J :'IRfIIAODII~"""""" ./ fO:;:? 7"''' /"?n?A>c/~.8 .$2~ ~ ~ . :""'1( l!PeoOt. PHON[NQ 0 I Y '\ E .r61Z; ./. L.z,t.,< j ",-.)/-1 %:i6s17/..:.-,-s.;>35 R " - DIII"'III:'1IC1NSlN~4 _ I :'Tjl,1( L "I,~"'(':..~''''Hn I Jill IICIN~NO '\. 1;.:---c:z>e.Lc..Jfl:Be'bOl L...,f r :5/8 ~~ V '\ re:::;; oc.eUf'AlION .. I."IIM "',",-:",ljl"10M NO ~ / ~~-fO'~Hlt!..:~Hl E OCCUPATION j'IIIM ~I & PIiQN{ NO l.Z ff.k'Vc;'y'T c/.,?....,.;;<'C'~~ // S 1~'-{S'I::.s- R '\ o CHECK (....) "'IHIC~I~'ZNIM~'8~f1 S- A~~~WAl 0 CHECK (,I) 1 VfHIClf !>....... W.~dYfforA:t!J;Hf~"'1 r;;) CODES...... 3 If.'"".. I.. ~1~IU""N' "/I 5 Illelo.. / 6 MO'OU<;."", CODES" .... 13 rii~' I~~~~~'NT 5 I-'lCII()" 6 ~~.lII;.t:" ~~. ~'~':.:.'.;;:~'::: mg;". ~ ::~;:: ':'~'w '::,,~:>V' O~"'~, 0: 'co 0 1!1;". 0 ~~;,: m~..v _ ~ ~;2 r~/JB I "'c;:~';' C~;;)? E "". I -,,~, 'I """,""NOV" I' I....~v I ,," LL ~~v 12;;.J~~.3j;:~ I""'''~O I'~ 7 ""C~~ i' . '\1'" ..,., /'"'' 'i"'i"::;:;"' ~ICl(_~~'C"'TI~ f V(HICllIO(",,"~.,-A'I.........NU '\. ~:;A,t;/r8rio/.:2')('C'.cX:}lb:o,J3':o I I I I I I I : I I ~! I ! I i -rr= ~i[OOW"Il~ lAST 1""7'111:'1 M,OOl( ~N(NO III ISTlIIED WN(II LASI "IISI MIUl.>l' I E_ ::::. r~k':x;;j /.<>SE".-.:'/'/// T<liS";?:!l;:-.L7 ~ " I~ AOOlIlSSorOWl'dll ,~? / A ...."".....OWNIA '\. 6. 702:$ .9f/l3" ;'",,/2;:;-.t? v:z:;./ocj ~ '\. ~ NAMI'~OH~~uiA....elco OI!AG(NI ~_ ~~ __ IN...... AN..., N '\.:n ,'':- ",.?AV_~ -. :r.o/""/=:,,,,~= R '\ _ O""""'GIDAIlI'" I QP~~..:';':c.'l I~A'I,"",. I n~~"':,ZO I OAM~I.A --=i1I Es 2 J ", -t"'R'~~~f~'&,:~,' CHAIl CH...IlGf ~C:,&,~ 2 \ .. ~ l~o~;-~;jsl(_:'IJ'O~~c?.E~ OIlIMAINIO O~:~yN Ot(M...'N[O 1[~TOAM"'Gt IlltJo~o-~~'~ - - Iy~c) 10 ~~AYB'" O~~~BY S, .. -I ~ DIAG~AM ~F COlliSION.) ,. ~~~}I~~;~~(e~~~~~l j_ _ jr--.r::~:~~~IM ~_E_~RIPTION OF C~l!..I.S.lp~:_. ~.':-'(!~~~.~~:~~_~.:Tlf NlCEr.s.-.iYI . _.___ -!...s I.::. , ! i ' : ; '~. C."). I, ~ i."--'----'-- H__. '- -- :5 E ,;, ! -1 -l -1 ~ ~ ..( . 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';'VN_.as-Co3.:SC. .r-1-i7~ "'--'''ODllf:'S/9~~ -:2ir.p..y' .:S;-~-:'~..'.".""'J5f-:....r~ :"ATl~~IO' -....i.~c...;:;.;..~-.. -v:m"'J~f1'OMOAMe O~.IC'D~~u-b~~ ~ .~'..." ..01 N"'''''I c...".....r;::,/ r~c~a,...... ;,roU""7C::..,:; 3;':J..;S;: /" '//16:::> .., "'ODllm p('J ~ .. .-f!iJ.~,..'A- p..r: C~l:-~ ~~L'i~r':.or ~~....:;::.-' l~tm\l~~'UUM O"'Me Dr:~CI O~~IU D~:.r .....uo , ~c."","'c.~~ >,~.,~I' II...",. ...IIIADGJo"IIIAGl""CV UNIIOII rOtICl ~"'ICHIOI POllet "':'II~~I 0"'11 OII1'-POR~ APPIIOVlOBY OAT( X.J7,<:'P /.:u ~....-&~1~8Y1?")5?1.P.~_~ I/,~;;;.,:s I"'~..r. I ~7?--0'f ! i o VEHICLE "''' o PEDESTRIAN ,." o PEDAlCYCLlSI t3 P IP~lNV :: j( I M()O"'l;;:.BIR ~, t!O IlYU r'GHT HlIGMT -=_ :3;, ~ 51AT( lIP,-UI)t I ..." I =;; ~ Q t-- dJ " , ' ..:; , '. ',,::,..', ':.~.' " .. (;..' ',' ;,',' .. . ' , :' " ~ , .'; " -"'. ,.' f i:~; t 1-1 ',.' '. ,I" ;;"'" , III ~ ~",', tic :.: r t ~ 1: ?: t if, f:' r ~ , r, I..c' '''''''''' ' ,:',;. ;., ," .. " : 1!l1 ONIVIII~NAMtl2_ t.A~1 ;51 /.L. !llIlH1ADDII(!lf> / ro= /74/S ~eog B!. ~ "6l./kMe M @37(. T73Z~WO~ ~ " LL "Ab:~;7::l ~//"l,OJ71 :;"Im l.:j'''~~':;q ~ '''''''''.''NO fz /'~""ON 1:4.;; '&:;[".....:63:145514: Itf.:' 'd;' ~ o CHECk (.....) .. ~~IC~I A~'Z~'::~'g~I~ s.~~::~~W""l ~2. CODES.... 3 ~":~~~. .-; I.. ~~'.i:''''l !l IJl(looo. I 6 ~:~'l4- ~~7V~ . J~- ,,~,.r.,,""- I.l-A '" g....lIu,....<t 0 ~I.'(I 0 ~~lU 0 :~,~:: 0 ;'8.'w ro:: i9'~ 1~2);;:;~; I ~'~lv~VAl 1~'y~~VI ~~:~Oll vc(;;2~S-ISWJ;1 ITR....IIIUl"UNO S~ F3IJ.'i."''Z'';;,'':'i 0 / ''2'2. ~ 1/1/1 I I I I r2I1IGI:;qlltOrU LAST ~d~Mef I~u~ ~ '''''''::q;,6 3.zR OJ'/#Me AA Y8.sx. F? N.v.II&....DOII~~SUIl...NClCO Of/';'CtM k"R~~'e. LL- O...a':..GWAAtA I 1101'1 :57:>4'7 2 J. CMARCif I II!lJ~~ .~" IO:t::~ ~IMAJNfD II S A17,a< 10 ..WAY f1'( . C2 O'.AGRAMOf COLLISION:' lUSt !lUPPlIM(N1AI ;NDI~~NOIIIH 16 ;, --.~.~;5ri~UI1~:r::lJ..lll~OW N#CC" i, I ~ '. '--'- ! I r;z.~": ,;:~~:.~;.;~-.z~7 [2 ..,!-;..~.~- i1-j.'1.+~. k'J.1Yj.':F .u._....________.___, i '/.~, r-:r~ .TT T':-I_l!c4,'], : ".--. ~-~~-_._.- IJ"/ NAME, ADDRESS & INJURIES OF PERSONS INVOLVED II OCCUPANTS / WITNESSES ~~ ~~~~~Z:~lA~~~: PHONI t'" .....~, ...~ c:; 1;1.!~~J.Of.~ ---.-- !tC~lIl~'IIOMDAMIl D~~<.I 0::0:.:;", D~~ O~'l'..\f' '> ;,'" <; -"- :!:r.:il",l~"o... D'o' D;<:;" D;~;", D::~ D;;~~" \ '" ..5 i~L;I~or .-) ..- _.. ~m\ltl~I/lOM DAMIl O'ti~~1 O(~Tt' o:~ D ;",~'.." L.I~9~OOIlI~~~s~ ~ ,~~I~~jf r2/C::t'!~O r(:f~;OIDA~OIl1fPOU IAP:lli~_o.}\'.' J.'} r;;~c<J. '7V'- I""", r Y-G I' ',,>0." ,,"'..., 19-a~ L.Jilt!J.J _':J~L'" .,. ...... "',y it......,."t ..;,i; {,~.;i .......<i\,<} ", " ;,"i',,'" j,<. .,;.i "'" .." ;':'/: )" , '>. ',. .i] .'. , , fie STATE OF WASHINGTON ,; PAGI I 01 I 0'WAFrlCWAY o PRIVATE WAY (),I,1I0ICO~LI N:. DAYUICOlll~ION ,I TI.....l COUNTy [1.l7ii' 8'71'. W' .~ "''' ." ,~" x"'! ';1;000"" -S€.r::FCf5c)x.J J ON ~I DIN .;1;'YOR10WN I N~I&NO Of~"'1110/l'HIC.HWAY 9 ...,,,, iX., ow roo> (J1,....,"ICU1Y1 ION /)14(308 INlIIlMC'IN~IIOAD INONINfllls.l.91J.N __ _ IllIfwUN f 71f/Tl?'Z.. 51/lltT ,rID /I'9(!oO ~l"ltf I / OI~'ANCt'Of.:i;!ION /lO...../lIIlI1IN;l C/l05~~'/l'H'~NIAl11~IMllIPO~ --,1 I ACCID[NT ~ /.3 fi~;:' f; ~ ~ n 0< r ~A~L:e 1/44-/, rei, M~~:' 'OLLI~~,~:';.~Otllto ~~~i{:;O_NO INJUIIID-L.. 0 i':'~~~A(;;( 0 ~:::X&f~UN I ~~~ a....fMlclf~ [Z) 0 P,,"OPfll'VDAMAc.lONlY 0 1ll5UlIID oIlIH'(1l ''''q OeJIC1~'IIUCKI"'''''''lO'~€G!:lOWNIII'5NAMII Is 15f D'7A\of UNIT NO. I UNIT NO.2 POLICE TRAFFIC COLLISION REPORT :': ; :::::Y. '. f~?c;":M,^""~"O~: I 5 I 8 7& I"""> I ;;::: I?)'''I '''''' I'J~;J~uA I~' ",,,. r 1"''''>'0>' /, .z tj f........." rIAc.II........OAIA 'N I ~ I UD I:'~ !:--.~~:u:J~~~I.~/lIIQAlIQlIlIl"lilN(1 I;f' I 'l~ (1~~~ll/l~,.l/~' 0 !.PICIAl CODIP-IG USI ~H:.' m liIAN~ llUIIAL o VEHICLE ...." o PEDESTRIAN ,.." o PEOAlCYClIST """""/ /1 17'~ I "." I ~/f ~o..,;:.'''~, 1/ OCCUPA'ION '1IIMNAMI I. PHCNI NO / I (YI~ IWllc.oilIMlIGH'll- o CHECK (,I) I VlMIC~IA5ANlM,td~(fQ,"'};'t")~'iIMlrl CODES,,"" 3 ~~. 41 m'.::.'''<! ~ ~ I.W,O.. :-;.,~r~~.I~Of / I I I I o III 1~lllltDO""'NU 7' ~ ADOIlI~0IO>NN7 : / IN ANClCO 011.....1" !oC1'" ~. M "flAil E H II(HCOLO/l' I C L IIP{.VVI . ....0.0.-;."'.1 \."10 I" I' o _1oJI.....CI 0 ri'~(V D ~~~lU 0 ...;:;;,: D ;-'~'..y I III YDElIDA~l-NOVAI I~ y I ..........V I ,....,,'/ I "." I' ""~'''NO I"'" I~ I ! I ! ~ : i i ,;,. ~ ~ 71 I n~,f..t',~1 I DAMAGED AAUo ~ I Q 6':f:'g~"j ~ ) '" ~ o "IMAINIO I ;Sl DAMAGE jltJO~:-;;D~~ =zl MIODl.I I "","'NO o ~:~N Y1 ~~~~ IIY DESCRIPTION OF COLLISION: {lAf ~uPPlEMtN1Al 5"4((1 If NfCE~~AIIVI --f/cHI(.t..E-n,'N 'E'rn7 0"'" _U. /),4(!.{Jf.!, --. ..JzJ.- ... CO>7 ("o-..7~f)'- ::___g:;';+~~f~~"~~d CU~C~ -k,,<< :.:_. ~'J?d,~Tt'~:~.d~"':.._ .. A/t.'lml S;;o", of ,', "oollr~~ N"'MI F/ AOOIII ~~ LL N"....f "DOlil ~~ 1''Y~'';;;';''''''O:::'(I~)7'' II~.. X ~.///, Ceh4'....... , ..'.... '-. . .:' '. '. ,:', . .< " . '" ': " , .... , , " "" '," ':':,..' :", " ''':, ,," ' " , ;... . ,," ," '" , " :. "': p;- I" '..'; L~' I' , '. ; 1\ .'.' :" "':": " .,':" '''''', ...:.... "', '" '" ' + CODE~-I' 1 I - I 2 13 I . I 5 1 6"" SJ -Sill::":':1 Ac.i~ b;A"U~1 '~"'J" I "...~ c',";/u IIIf~fll I (JIClI:"l,C~. ~ .... 11 :s:J :~ , :,- .;,;; '.' '."'" . co- I .... .....:... ." " " " , . " ", ':..' ,,: " ,,' , ~ l' I l2J r>< '~7 ,O~ i ", , . " " ..'.' .: I,""": ". ."'; ,,' ,', .: , " " , ,;' ,,, ,'.:,:'; ," I,' , ' .' .' -, :''': :" , ,," "".:: .2J ....i: "'[,'Il'lL>!!.!> ~::::I!t!> C"'''''''l ::~.';:( I ~~~~I!t!t ':"';,j1..--. x l71?r~~'~~I\..-I~.wJ\05 p. <:.,'"'S......'..... .. ,"',i.' ,:" ',' " ...... ;, d .~. :; ':,:":.. ":i '," ',,", '"~ I, ::., .... . ,:::. ,,"".:.':' '. ',I . ...... i,.'.."':"; " '.e,' I " (:~;':"""; '. ,,;r",." i'. ,,', ,'"~ " ,"', ,i, ' ",', ," ',I I. ': . , " .;..... . ," ",' " . '.'" " ':',..., Ii' , I',. " ',.' ,": . " ;> ',', }~ I' ; I. t I: I; , .' , ,\ , "," .. '~ , .:" l'" I.-- UNIT NO. I UNIT NO.:1 VEHICLE 0 PEOESTRIAN 0 PfDALCYCllST I ~., '.2. 0"''';;': K /i'L.A KA T'HfZY tJ .':2) D"''''NO&:RT' Kt.NtJqrJ ""0'" E ~ r::;- '''2~0'30 EAe.C:..o~ sT "'''~''';... FouR c.o/UJus (0::, I,.. ~ 'F'ov I..S 60 .,J,A' qB'~7o Tr;q~ 3c~ ~ "~o"-\ Tc~~~]; WA q~:::'l&'1: 1365"':.2.78' ).2. L2, ~'~ ~:"IZ ~o 1< D I.W (g P G, I ~'~ I F.I d'" ~~",:i(" ~ I o~'~~ R~K E tp \ \ L. T I ~~ r~ I ~'~;.. ~ q :' ',2. "";';t 1"'.N~I;';ZNtNO I1R~fi;';;'~ ~ "''"1;;'1<:. I ,.....N1;'K'",,"lNO '&~I"i~s~~~ o CHECK{.....) I VIHtC~."!>'Zr..t"~~~~.N~I...~~Wf~'''L 0 CHECk({) I V'HIC~,~l.~.....lMPlOY~,,~l~::g;~,.:~1 .~ 9 CODES....... 13 ~~~~. t . ~~\~::"" 2. ~ IlICI,,,,,, I 0 ;:.f::~::'C'1 CODES" -t 3 ~~~~. I . ~~i:::"" 0 5 IlICI,O... I I 0 ~~~:c,.t'l J'17 '2. lN~U~j'l. N ONE.... I ~~0~~l..o' t-Jc NC 's- '--- ~~~~:~.~o'" 0 .......U'......Cl 0 ~~tl 0 ~l:l~ru 0 :::',~:: M :-'8.....!>. ~~~~~uo'" 0 _IUI......" 0 ~~~tl 0 r!:~II' 0 "'~:,: ~ ;'.';'''!ol' CI vr9'73IMAUF6tG,(bVJ I ~T$.M)VAI ISIYL1~:b~vI E \qY~D IMMp:;ibvl 1~~LR:IR;j~VAI r;'/:D VI 7: I VHt.Ol....... I'L1ClN!>f:PlA!':'lV.. )IST,Io1l IIlIAIlUII'\AHNO ISI""I H VlI-ICOlOIl LI '1)t1 ........ I:'I"',L l'II....,l AIINO IS1Al ':S- G,R.u..rJ ND\:r{,,821 LNA - I - I G~E..tJ \'fq bAc..1 v-.) A, I _ I-I=';; .........- VfH'CL(IO(NII"CATIONNO C VIHICIl'D!NUII...., '" ~ 1'3 3<:f1 (0:2.,5: I , /ILJI3',7131-1-1- ,- ,- 1 - ~ 0,8,;:"1<,, Fr I, 0,4 ,to 4:8-,-,-;- !- i-I=;, rr,:::::- IlfGI',nIlIDOWNfll LAST fill!>' MlOOLf I PHON! NO III I TlIlIOOWNIR LA!>T flll!>1 ~IDOU I!HON( NO ~ L..:5 SAM L 1&87-300'-/ ~ S.AM"i.:... fS'l S"-2..7 BS 1) ADOllfl.l.Of OW'Nfll AODIl!!>!> Of OWNIIl I '-I'I '2 SA M .E ~ SA Ir\ ~ ~ F2 "'AMf&~~;!ZllANC((O DHGIN' R G:;W'~U 7~~Al>tN ~ ~"";'';.1ib'ASlIA ldp~~...~..."'c:.' I~'I N No"'" ..c:: (D~1.o7 '1, Lri'o,~-:,~~I-I D~D'A,lII'" --:;:; ~.!. J. f*~~f~'~~r~: CMARGE C~~IlGI rAIL. c ...L.. K/D/I,>.) I N~~f:'g.:i: I ,'101>. ~ 'kt.o.(inod~ '!of D........AGI Itsa ~~~~ DlIlMA.INfD aDlllVlN ORIM....,NIO 1m D.v.I.AGf 1,k-L_!.l.~,:-":-':-t ~ s2.POO Ib~w""YIlY D~c;,..~DIlY AWAY slDOb I~ ..::::: E O.'.AGRAM. O.F COlllSlg':( . ~~l ~~P~PLlw"'!NI"'L I NOIC....T1 NOlIII-I DESCRIPTION OF COLLISION' (lJ!>1 SuPf'tlMlNTAL !>liIn" NlCIS!.ot.IlYI )~ ~ . 1--: : -, ;. j -(-_.;-T-[jt4!IN1'f!o~rYT-- 8Y~ - \IEI-1Ic..lL -1:}j :.v.<. c:::.....'-.un.....V,." 0" ....^K. ;; ': i i ;1 !'~1'~I_t. ~~~ /!Ai ReAl:>. , .,...,.., ~I"",,~ "'.... '~""" ~ 0;;- , , , : : ri:'€l't"i'I-! i Ii ~1'\lEI-l)C:..L.E.. "2. WAS'EAST&NrJD ON. S,-,,^"'So"',:-I"::::m t= ,',:, I, i,'~i~rl'1,=!,-1_~q.,_i_II,. I ~/L.l.L- R:bAfoJbS'TcPPc.Jl,.AT..,STOP51G,rJ. ,__.P I 'i;~" 'i'+-l''f''',T! ..,\)E-!-IICJ.E., i1~. TVP../-l'-D_SoUTI-l. CiJ'fOOAI(..,t':::a1 h ..\!,A~ R)).. AIJ'.'bS7~U~!(VL~I.CLL *1_,,1"'>. ..._,P H ;;' "'J' ,Ii-I.+t'-j-+-H'++i ... ,So trTi-l. !lPUtJ1;> -fj.,J...A I-l!.. -, ,_ '._.",_, .., "'''__. ,'Ii': 1- 'I IT+'!-ITf-j--j-rT':' -,-,,,V5:-HICLL..,_';J....,..~r.-r..N:-C/l:JLNT:__scu:>l:. ,,_ ,~o'" !RAY R.l)~ r r 1 I !, Pf1..IOp" To MY J'.f<..+cIl-OID\JEAsL l,'l 'J'" "-'.1.'2 T..3','.'........,. " 5J6' :=1 NAME, ADDRESS & INJURIES OF PERSONS INVOlVED '. . OCCUPANTS/WITNESSES ~~~~~~~~zt~LA~HW '-sl~/I:"Gf 1....1U~ '~~.. "",: Cl,':l~~ lIUllI [..fci ~~~rr,. NoJJi:... _<_. _. __ ....____. ._..._~_._...___~ ... ,_._. ~ON I I I ~~l~~l.o' I :~;~\I~~ tllUM 0 AM& 0 ~(f 0 ~'!':,:,.. O::.r 0 :18'..\1' ~N I I i"......'~~~,[~O' ----- . [tl-~V!O fll(),y. OAMe Dl'OI't1 0"''' 0 ...,v 0 :~~~. oil' NOONI Nifty I I t' ,_CrI.l1. VI" '." - ~~U/N~or ...- !>~r~\I~~ fllO~ 0 ~~Il 0 ~~t1 0 ~~~r" 't,,, 0 ~(~~!>. D,~!'~ph rl'll~r~::.1-I1P1 POJ'~ tt~ol D....,1 0111'.:0:'--1 ~~"1I0\l1~~ DA~I_, n,... 81.31,,,,,",, I "ooN..Il-j-IS'8'j1/..g~.M1"II/.r;:> ''''. ':>">>::' .i '>'/i<':}, '.' .'.....)>, ..,.,'..... .."'';> , ., i....,.:i.............f. ,.i., '.>" . iF" ":I:,.)K, .>" ...........'....... ,,'" .'...,...,..........,..........,;, ....... ')C. .', 'S' 'i; ......:'.,C}f:'....i ii'''''; .' "':;.)i/1/ .,ii>,'I? ",:.'., ....... I';,,> ,,' ',:;' '.' .. i' ~>... ~ ~ ST ATE OF WASHINGTON "0' I 0' I r1 ~ POLICE TRAFFIC COLLISION REPORT IZJ 10A>FICWAY I J 0 PRIVATE WAY O...lio'cow~~;_l, O"'YOI'C \LI!o'ON , _..i.1 tl.....' /l'OUNTY . \ r;- O.q r~ 8'1lw, .0...."." ,~"'" "$(11 'YJ'4'OOU" "J~ffuSON LL ON Of D'N CllYOIIIO'^':/r N"'-"^t&NO or~fIlUIOIII-IIGH""AY 8 ...,,,. ij, ow Eo' PADkCCA ION OAK BA.'! (<J) IN111I!>lClINC,i WIlH !.!IIUIO"IIQ~D INON 1~~IU/!>lClION 5~AN.sCN\lIL1....l:.. R.l> I BlTWUN - !>'RHt&- I" 'I DI!oI~NCI & Dr;!~HON '"0''''' III , IN I. CllO~~~lIlHl 011 N1....Ii(SI .....,LI PO~t- , 1I 2.0 'l;\7,::' :; ~ h ;; 0' SwA/:JSot>:lVILLC. 1(.1) COLlI!>'ONIN\lOtVlD tV!IlI'" ~ --.0... 0 :!:",!,~ . ~O~f~,~R!> [g] N~ ~~~lIIYOAM:(:~:IO 0 ~~~~I~~ - 9 OBJ!Cl~'lIUC..INAM'O'Oll/(CI!>IIlUC..ANDOWNIIl'!>...........tl No, I ~ICI cO.....""'.."~1 NUIII'IlfIl <1 ? 4 (-, !>11I1[! ACCIO(NT MILfAGE COD< ,ouo'" 7(,..1'''' NO 'Cl<~I"';";1 'T"";:~";?o .."" r ,""'''''' g-, .5 'j II....MP r'A 1l.........O"IA 'NX IIN ~ 111.110 I~:'.'~~~%~l l.I_~llllO.wOl< 5/lFl'1NCI ,'Mfll, CLl. ICllrr..~~/~o !>PECI....L CODlPoK> W I 'I ""ll~'" o HI' & IlUN ttJ"'DVI0h.~ Dtt~,!~ - I nl O.v.l.~GI ,- :. , , :,,' ',' L c:: -j ~ E:= ""':, ' , /,-- /(... '. , ", ' ",'" " , ,......., : :' .' .... . , .', , ../...:' .:, , '" .', .,: " .. ;' '..',..:. .... ....' ,'" .', .' : ',:,," ", .. ..... "', i.,' : 'i , .JEFFERSa'oI c::xx..t'lITY DEPA.RTJoE:NT OF PUBL I C WORKS F" u: Y' -4 <~ '9 i .~. J _ :'"),.:;: L ACTI ON REQUEST REQUES"I1l:D BY. ~~is;;; DATE. ></-.2/-1') ADDRESS" 1/ e,. gOY; &, PHONE NO.' q (,,:2 -.;l. JI ;;L a w fA). l' f33/ ALT. PH. NO.' NATURE OF REQlEST. ~ IN PERSON 0 BY PHONE 0 BY LE1TER TN<EN BY. {t-r1P,,~' PERTAINING TO- D OFFICE ENG/SURVEY ROAD MAINT. 0 EQUIP, MAINT. 0 SOl.ID WASTE REQlEST F'CR" !IV W a:;{;bv LOCATION" ROAD NAME -e~-fs ROAD NLNBER M.P. =:.:;,::,.a~a ~::5 ~7latn~""' ~~:~~~k: hL~~f~-:;:OA~wf:;'f;~ H'f. TF V-l ~ a...v kL /M-U;- {l.ij..L. -h c..a.IA / >i- k ' --Iu d- U .~ M^"", A~ACH MAP QI ~T~b REFER TO" ~ 7i ' RESPOND BY. .q - .:21.( RESPONSE. ..:z:i:,. ~:~ ~:;~;< ~::: /~://;-5;~;:~ J '1~;~.. ~~f/: t'l" REVIEWED BY" LL.--~~ /S;?}/ DATE. ft'1" ~//./ /flf?77 CClNTACTED REQt..ESTER 0 IN PER.sa.I 0 BY PHONE 0 BY' LETTER CX)NTAcTED BY. RECIOMoENDAT ION. PREPARE EST I MATE. F'CR. AO<1I'E TO- o DIRECTCR o ASSISTANT DIR. o ROAD Sl.FERVI SOR INITIAL o CCNSTRUCTION ENG. _ 0 ACCOU'>lTANT o P~ING ENGINEER _ 0 o ADMIN. ASSISTANT _ 0 '...... ,': ' , ........ " " , , ",",' .....' .'.,":,:','. , '.., "." ' ',,' '.' :,..'" ' ......'. ", :.... 'J. .." .:. :: , '( i ."", I.' ,: ,,.. :. ( ~ .; I: ", .." , . ",' , , ':',':: ',: .' ,", '}',: ',' , ' ',:::, ,"',<" ',,! ',".' ',:" ' ',':" ... "" .; .. , " "': .", ',: .. '. ..'.....' "..:,'. .,"', '::::' . , Ii I ~'!:" ':.. f ":' , li:- I' f . . 1''1 I~ 0'''''' Nj( z.L ~~ M If;~ /1 U M~ SHun ADORess !,rp(H AOC~(SS L2: ,,,,J-/ C 55V 'P! (J)( ,r.? /IV "",001 I PHONe NO 0 ellY r -" '5 '.";A <1'('33/ ,AlON(.. R L= DRlVl~ ~ l;;;~ ~ z- I ::.t I ~ 17gAl[d~Hli~7 ~ ~.~ LlCINSl NO r'21::::~2!~f'~V I .", "~";~ : .~.- ...-..-.. o CHECK (.-I) 1 VIHIC~I~~ ~r~~~HI~IAL 0 CHECK(,...) I VU"4ICLfASAN(MP~6YH~A~"'( ~ CODES.... + 3)' M I 5 (JlCl,ON 6 ~'::::~yO(Yc. CODES'" + 13 ~~~~~. . m',;~".r 5 IJfChON :2. fiA"k' L ^'I I O~\!ct O~mll~ 0 ~~~,~:~ ,[! r3.I~./ DowBu'......,1 O~~C.I 0 ~g;.Ttg D~'i'~,~:: Ot'~<l"'Y> ,.""" 10 JQ;'2 INA~~~p~l I ~;D;~A~ISTm%om') [! -jMAAl1OODGl"CHEV.1 I~DH(DART'NOVAI rTYLEt2 ..C~V) :-~ '5 vtt<.CUl.OII I llCtNSt PlAH NO. ISIATE I TI!Alltf;> P1....1i: NO: IS1ATl H vtl-iCO\OH I'Ul;.lN. I: Il AtN I: At lQ..1J11.4,faaAl 1"'3~~23 W..-'l I I I I ~1;IC~'Dt;';;O~O 0 J 0 'S" C /11 .2 0 '4 o.~ K ~ vtl-ilCLtlDtNllfl All NN m::- I!EGI!l~I!~D~WNtll ..-.&+ ~//J/[,.tvC1~t:ICIPI-iONENO lit ISllltoOWNtl! lAST L H/tZ E..L OI3I/''/, Kf,L.L.} 0 113 ADOIIESS Of. OWNER 'Z AOt>lItSH:. owNtI/ l5" t'JL(CC7""j IA)f),,,,,-J ~"'<;"el/ATIO~ E E~ N~~;;K;;;;~N:~~A;CECO- DR AGENT R IN~U ANl;.tW.~A N .2' ." 1,_YI" .........(,1 ICllAl!ON Is':"~' I !'.I-i IN OANoAGEDAAEA 1~,ve""G 1"10 "~" .,~",., Dt!oABl'''G DAMAGfDAAEA ---= t=!> 2') . IH~~fJ'~~~,' CI-iAI/Gt I II/} CI-iAIlGE 6~fJlg~'i I.P,- 3 ~,~ ,~o~~-~o~ s I ES1.~~'?:rJ 0 ~~~EyN I&fIlEMAINtD 0 ~:~;.N DIlEMAINED I SEST DAMAGE1Il\l- f'oi~-~o~ s ~ 'lsva:r=9Dl~w",t.pBY' O~~~f;.OBV' I J " ~ DIAGRAM OF COLLISION: ~~;M~';:i~[N Al INDB~"'W~~IH DESCRIF'TIONOF'COlllS10N' (U!>[SUPPLEMENlAlSHf(TIFNECE!.SAIlYj , ...!!> ::.... !Jt!,/O SC;'T:t.& I "fN'~ ':if!\' JJI'IJtli.~ .,..f19S5EAlc:..~1:. #UPI'''':;' SOWn/W[.S/ t:>,u ~ ~/ /-~ 1, !1VTP-EAJD~!y OutrteP"fJJ HT G>o+,mPII -= r:- C.t!>"'NT'f !:P. mA"" :32 LI7='O"J>I_ 7?J WtTNZ;SS).OR'VCJe sr-'rTMJ S/LEJ) -:m L::. ~ -;. -?>: <It' 'I~" ".,J,~ hJITS g-(? ""';/. P,..,Wbe F"'I.?l-p ~ Jl/E6.o7NI-n: ~ , ,'T....' tr-r:;-l- Pf~ CLotV[;, srJeucK A- te.()cK ffT Tift. EJ)t:;E- oF" '" "'= 1..'kl,~'lI>VI'~'1-"IY'.>" "0<:1( :J<.. 77/1.- 1Z11IE:.e 8~K,"1-NP ,f':Lfi-W <>'<T oVE.-e Tris:... .=::J L f3.fiff~H - (; 1fZ~;: 'j~~ ~:;~~;:r.PR~:~~;:~,r::;ZJ:; . /91.0./"7, leoe-A'> Ph$~UJ,,^Ee.~...PEj) ]1" Fro 6<<"""'.... ~OCO:'] " 'IIQILE<,'r,,:,:rrr Ie IV>./? ..,. Iv n"''''''''':31 Fr. =~..;. P()C1.; , "lbrroS 'A-V~AJ _ 1"_ NAME, ADDRESS & INJURIE NVOlVED + CODES L 1 I - 2 T3141 5 I 6 OCCUPANTS / WITNESSES \~ NAI NAMt~J S'EI( -i~GE' lATusl'....~'" ~:;~-I..I:lJ~~ IlU'TR I EJEcT I~~~~... N>M' ~O/..i/t.![i 'S/1!;1 Tf/O/11/JS ~N' 1?l11:2.. ~41~ 17)- ~ :2- ADDRESS at.{ec~ '/un/AN R-~:~;~t/,+..6/.'nJ ~A,!~~EOr 11('.......,0... $~M'_ . !>CENfAV' AMB, 0 ~~l DHtI" e o:;:t 0 Wl'''!of> r::N...., /tIfRo/./ G, Ol!;X ,J60Nf _ 1111}71 r" I, :10.,.- ADOllfSS 'ilc. (tb- ~O)("I2.";t.. au~rrs VIJ .Qq_~~) NA11{IlfOf ....'<"1.111.- ~~~v~~,fIlOMDAMB. o~~nD~:';'. ot;~ ~~.~'..~r .fOl NAME: NO I I I ' I AOOllr~s ~~~~~fsO' ShN(v8V' M 0 AMB 0 ~~C1 0 t~:.u. o:~ 0 ~'~~~p / 18AOUE OR IAGENCY II UN'! r;w FOlICfOISPATCl-ifO pqLlO AIlIlIVlDI DAltOF IlH>OIlTTAPPIIOVf:DIlY T DAn X I aN .To -- /'''''~U'T''' I 'it l.:rc.so I "w"" I Jf.~f., If.~!l;, 1'f--.:<1-811 ~tl;j · .., .--jn,"~i.t: ..' :;' '......},</'j': ..i ., '.,,'/i/".,i. iti".:: < .,.....'.. ,..i":;,,'; .,};. i. .............., ........., 'ii. ..}';I .....i~< ':'}i' ......,.,. r~ ~l~ Lt: -;-,~/- I ~ ':). ,~.'. :..) v.:,P l!>~ l~.tV I 1:101 STATE OF WASHiNGTON ~ "I PAGt I 01 / I2?J TRAFfICWAY o PRIVATE WAY OAIl Of COll151O'" I AY HI IN, II 111,11 IICOUNT1 "- ~~ ~1\lJ" "0" 'V ..'0 '''''1\ I~I ~.'ll (~~~OU~) IIT~ ~PUSCN ON 01 ~IN el1YOI/TOWN I ;zIj>>~O m;;'IlHTOIlI'iIGHWAY ..."" 0' OW Do' l"Ju~E.T" IONCAitI~.-I", y Ii? 'NIII/SECHNG WITH. S1I1[(1 OIlI1OAO I"'ON INTEIlSECTION I"OW"NU,W!-" c:tu.<ET:'''''''' /7u..T "I~.c DISTANCE & D~l~"ON 110M I!tf(1l ,N:E. CIlO!l!l!lTl/tl1 011 NtAIlES1 MILl ACCIDENT .3 f'I~'::' (;~, h Ii:1 0' LaW"" ~,-<<"T" tf'j) M~\5"JE COllt~~~:~~OLVED'm N~vtK~{~[o-'L-NO_INJUIlEO-6... 0 ~~tAGf O~,'~!~UN KJ't.'~O~"~ (y\lEHICl[:!i 0 PROPEI/IVDAMAG(ONlV 0 RESULlIO 0 V(I-iIClf OElJlCT ;.TIlUCK (NAME O~J(CT STI/Ue,.: AAlOOWNll1'S NAM[) I 151, DAMAGE '::ocK /R)'rK-tf . - UNIT NO.1 UNIT NO.2 o VEHICLE ..." o PfDESTRIAN "" o PEOALCYCLlST "00' No. 4 3 6 5 POLICE TRAFFIC COLLISION REPORT KWct COI/IPl.AIIH NUM!ll;j @n1 Ir-l'~~~ G:J 1ffi?;UIlA1 l~""" GJ COUN"jL:.I''''NO I FOCl/~ AD3~ I ~1_fIX Il!o;IOJ'~~ Pl/{ftJl: rQ IMllEPOST &, 0/0 fJ.ANoP r;....~R.AM OAT. , 111~1)(.ROIIINEI/ ~ROAOOII~HRfr<1 IX I CLS ICROSS~~E~lO..s~ -'0/ SPEClA(CODING \hE DI/IVlR'~I~IW.E I .ifiCODE 1l'HONf NO ,- I TAn I {.II: I NODATfoo:./~II!I~~ ~ I fYlS\'M1Gi-iT...,GHl == . MQlo....yC'1 ~...lifY II-i0000ENO. .' :",' . i ': " ,"'. ' , ' -"~'. . " ..1' , ". , ; , :- , I''':.'''' ," : .. " ;,. :.... ,... t . ...'.. :. i. ..... ," " :=.., -" ?;, 'i;, =;;; ~ - dJ , ...~. ...., , ,: ; ',., "",, " ,..... :. . '.:.: , '. I ..' _.:.J , " .. " .' ,:'" , , , l ',' \ ,~7E-r"';:"~~AlI 5 ~ 4 3 6 em No OJ Iii i!; ~?-~ i~';G?O SUBJECT: CONTINUATION OF 0 Of:FICER'S REPORT REGAROING 0 'i;1 /i!.C'L.tL "Rrcf"ENr-(';)u:U~ , ' "i"';:("" '.. '.' . , ..'.... ......: I ...... I ,. ; , ,,:' ' - ...., ":':.-- " ,',:", '. ,," ". .,.' . . :, .....:... ">.-:" 'c" '.. ,,:,,' ":": ,. ';, ~', .'. .. '. ,', :', , I,',..' .;.'.' ..... I,i. ......'. ; ..... '. ' I:: .', ':'. I" ,. " I' . . I... ..' :,," " ~ . ":' ! . , Ii' \; I;' I ',:i, ': " .. Ii 1 I: .' I.;' " [' t .,,c. < " " "'., " , " " ,'.' , , ... "'. .. , : ',' ...., ; '.' ,,' " '. . . .. ' . ". ,......... ,"'., ";' i .:.- , : ;' . , , ,,' , , " .: ,. ~ STATE OF WASHINGTON "0' , 00 I r:- ~ POLICE TRAFFIC COLLISION REPORT [AJ TRAfflCWAV II 0 P"VATE WAY 1) i~(K~ 'l~ :~.~..,J.j~r~~~~::~r~~~J rOU~'V~ef~ u= ,/. ON O. O'""'-''l~';'O::OWN zr''''N~'''''':'}O;;G.::: 33It,1,,, {ii', O. Cilo'(}mn1l?t1U.4/J ON~a' INlH.!.IClI....C.WlIH !ll"(1l0~flO...P 1~IN1Ul:.lClI0N . _ L fl.' - IIl(f'NIl~IJ7/1tJ11A1!11RfIT.ei1& ~r4fT I Ot!oI"'N:'-~I.~' ~" I" . i.CIIO>>S.UI.ttl()6l,.t"'llt!l~~lr.o:'l I ACCIDENT 3.7~~';:' 'O:O{:h:b'~;t1th~Ai1UJIA M~\\~' COIU~~:::-:vtO m ~bl,".~:::O'---=---..b Ip,fJUt110~ 0 ~\\"GI O~;~II~L.IN I =~':.., 0$1"'(1(:' UJ 0 PROPlIlTVOAMAc;rONIT 0 RI.!>ULlID O...IHI(II .q oeJICI!oIIlU:.Z;mH7~;~'!o~1i Is ~C;I UNll NO.1 UNIT NO.2 !I [)i'...'II:>N.........1 LA!.l '111:'1 NIl I DIIIVI"'!>N"",,",I - -tV,.e;4"#7; 77mP7?;l4 ./hWLJ !>Hill''''~~ . g CO>, ?f !C)O ",.. ",.~'7~ ~''''' D " ~ ^1.u/.hp,(./,*#,q~3H' 'Z~'1-ZU;'9 1'- ~1"(RlollCfN!.INO I sl...n I. J; _..~""I'::"_ 1 H 1\11 I'I..IN\.(NQ L- "t'P,IC/'/#n!)38zK.:r ~,I);1 3 }l62. v 82- C:=2:'1ON --l"R~.sS&~/M{ 2lo ~[5~1 : o CHECK (Y') I V10l1(~1"'~:~ f"'~~Y11 ~ ...::m"IR'AJ r;- coors..... , ~::.~. 7 '" ~~~~,.., 5 IIIClo. 16 ~~~Otll '-=~. IlS. ._,..-" 0 ~I" 0 t!i:,,, 0 ::~;:: 0 \'\'l'.~ ,2 r% I~~~/;l I ~~'" '"~Ae.~''' [v,~ "311'M&":W~ I"':::::::' I"'" rc:- VI...ICU IOt:N"IIC"'II~NO .3 S/J1Kz.t1.t.R4-il-'.31 I I I I I I i'C" RIGlloT'lRIOOWNIR ~~ No. (, 320 1'0"(.1 COMI'l....,'" N$MIll'" m C~Iy,~ (" CII, w.J I IIfif~:::~ rul ""'1, ~ I .. r'^'9;;;S:; I ~,,~ " ....!fl.. la IM1U~1 ~ I c3. 7~ W RAM 101... ...""0#>-'''' .rlW I ,~"~ I..QD I~~l..!! I"'IG S k"l .. CMi lIl:l'I5/lNCI I~ I CIS IC.~lo~$~~~~ lo"CIAICOD"'~\.I!ol o PEDESTRIAN 0 PEOALCY'CLlST I ~ 7' U ...~ /{~,~ I ~ I ."/1~' "'" "~."" r-o-. CUP""'ON I 'Ii'" N""'^t & PHONI NO 10 o CHECK!....) VI...r(ll...!....N ~;-:::~~~'pl...l CODES .... ~ 3 (:i~~' A"f:T12:11 ~ IACloO>. IN ~.I~V' "" 10 " :t.~'"':r""'" []' Jl-IG.... .. I rnf ~t' D~. 0 Y'I::~u 0 ;'.~~ E ""'rl'" r I.-V'" '"tDhID V"'l 1;>'Vwl.............VI ~ 7 "'. 'u~ i' ... I'''''''~'' ~ 1"'" :;ij C"I...rcIIIOt:NI"""7 -= I~ I I j I I I : I i I I I I : ' "'1_ o """"'" 7....' ..... ...,"". I' ~ · ~ "'OOIlI~~()1 0........111 ~ "'OOIII~TIR JJ r= N~"AD:2i.'K."'U"""O ""DO"' : / 'N U '...." ~ _N ~ '-- DAMAGIDAR('" IIK-,7\.::':'':c.~ I~'!V"I .~? .~/60 I ri';.t..':...c; I ~.t.MA,G(D""lA '7 /;' ~J'D " IH6'Ct!;;'&'~tI. (H...IIGf CH,UGI ~.:;~ .\OP~. (.,.j , ,_10."0""0..- ~I~~~_"'C..~ID_~~~ D~MA~"l[O_... .'_ oo.rVlN O"lJlo\Al"lIO IUTO............C.lllkt.i'-....~' ~ l~r..!I~Aw...yey ~tJ~,,(),r... O~~~~ey AW...v S 10.0"011 t- ~ OIAGRAM OF COlLISION. IU~.I ~\IP~'h'l"'l.." j.NOrC....II N(WTH D. ESCRIPTION OF COLLISION. llJ!,f SuPPUMlNlAl ~o" "O$.!oAiYl \. ~~~ ~e~~.~~~:~;~;:E~:~ifS~~~ I. UI. ....<t-.....~.- . ,; -.I..,l.~..~ ~.- _1-1)J.v~~_~__"..ev.7&I L~.,6~-~..: ...:-J i ~~-~"'~-:-, .i:.... lS~-.q--~~;'.tsJe;.9]h'~n=s .,..", i < ~. '.", ~t::'U. "". '1.,--1 -j'i---j-i-'-j' /9i'UA'Sm/.u/~.57~/#./"'!/~P~".e#tse = .. . , ; "! :~/'T I ii '~-h~--j 4- ~Rt'~.~(d/.#.s:~~t'dI&t4i:4'#.C?/.tUitJ '1.( , . "; .. . '1':-','r--I!--I----d,L .n~--;'7.1'~u~;p/#~~.v~,.5;j~~~ '';0' .... -. : :-hl'l,d-j r-!+- ~1/#ss~.w/i/~tb~JP.k'/.v~ W..l~ ~ I J:.!- NAME. ADDRESS & INJURIES OF PERSONS l~~5i1I<=z1 . CODES 1 I I 2 3 ~ 5 I 6 .=:J L OCCUPANTS/WITNESSES \~~~:c:~~:..~~ll -Si;~'i-'''G' ;-;;;UJ.....vr..1 "t,: ":.J~~ .tiTt" .iJfctl~~~~. N'.' , . ~A1z,I.ftPL. ~ '''''''' - 7":l L'J 1:;Z , ,~oS , ",,'" .. ""'A-t)~/j, ~'~t'c f,kJJ~~'~'.' om" OM':', O:;~ 01'8~~ "'Jl'I"tm ~~ We- .!II.. ~Pr:,!35"1t- ' ~. I L1O~m .:.,~-~'~ /, ," ~~"G~L# ~'Ufl~~:'- O'..O"{lI"tOMn OM. 0'"01 40 L N~' :ez: f./iJ2s'- ~oo~".- ?:3z, ~ .&..., 0'" ~. ;..... .to[lD"m ~,d~~"~~1~/~J.:t'A' ;:;'t'~~lr~o'.~ DAMe O~~UO~lI.[;;:1t.t.: D;'.~i..\. X rN;;;t.7.7;'4~k7fl~~oo;t:..qo ,,~rr).3f"/'li!,R (~I ~7A/.#~.? V h .", ,. o VEHIOE "''' 5/111 AOO5/lS~ ,IAI I'IU '~ll"tCoOl'~ . OOO'~'UI 1;J ..... 's , , ,L" " " , - , I ',." , , I , ..... '. ',: ' t " , i ,,"""", :',,' . .; , .:- " :.' ........ ..... ... ........ . , , ". """ " . ',: , . ',:,': '" " ,.,,"'. . ........ , .- ,','" '-', "" . " " "., . .: , , ':" .' , " , '.,:: :: ' " :' '" .:.- '.' .:. , ,', " ,~, , ': ; .C., .,'. ,,' ' ';',,:' " .'.. .,' '.' ::' ,"., . ' ',:, ",', , ',,' " ,," '. . ,': . /.'< ',,' " " , :. ,",:, , ,,' ,:", c.: '....1 .,' I ." , i.". \ 'J . '. - . . ,.':',:'.:-, ". .~ ", I~z PIIIVIII~~ -a/l"lL;~ Ll MIUDU r;::,- "''''Afg .1mm-~.(~'~#'~~ ~~ ,," IJ;;t?Md~~, f,r.;~'" I:;;::/..f~ ~ " ^' ,.,~~,~ Z [)lIlvlll~lICtN~NO I ~~:A I.' I P'."tOtIlIIlII'i I iVlll.!>\IC(N~NO I :>,,0,'( ::><l\ .0.00 A 1;:~1I1 1'1 .......,." ~-SW,e56I1C.tf- ~. ,w .~:2I,t.l4t V X' 18z OC~PATI()N 1"IlMN",,",~ >>;:lliJ6~~ OCCUPATION fIIlMNJ.N1 & PHONINO 11'1~I'MICoo-ilHlIG"T_ - 0 CHEC'I") 'V,",,:i';(';Z~::"":\';~, ~'~::~",.'''' 0 CHEC'I"J ~"""A'AN"''':O!"t.'~~~A' :.go, [CODES....4o J ...'''~. .. "'~I"''''U I 5 I ,{ION I (, ...olo.:.r'l CODES.... J ...'u~, .. 81~'''''''' 5 UC".;l.. b ~?~.t" ~: "Z. if '"'' A;-;: G " ,...- ~N "." "". b (W 0 ......llu~..NCI 0 ~~tl 0 ~~1I8 0 ~:..",~:: 0 ;'8'...... 0 ......1lVI....'. 0 ~Wtl 0 Z~~Tl~ 0 ....~.(:: 0 ;-"~'...s. " i6 I....o~ 1"'7>);;'.0,., 1"""'"""'" ~ ,:;" I-(f~' I...oO<IN';'NO'AI (n~.a'~" '8~ ct,'" ~ '';;;;?;e I'ZP?S3~':;/A,I:;Y~~ I"A'~ H ~C~i'93'q6t.nr;"A-'''A''''~''NO I"AI ~ F-i 'i1K'L<Z-"~ b " I ,<1,5 I ,8,"" , " 'TP~';;:2::i1, q, A I ,9 I, q , Z '2 , ' ,i , 'F'./ ~ "D""'ll;~/.S/;, ~,6eer""".i I'"DNENO 0 "'""rr"'" '~' U1;;~""K. ' ~ .(, '.' [Z. AD":n6U; J: ,4-. /p,/Ja~~.#.?~s- ~ ^'j'q3S" PtU:;eoT ~ e, m~ 7,6~~~.\ IZ N~'6;;;a'N'U'ANC"0 "'AG.':', N ~ R 'N 'N ''''AUIN. ,~(it E:~ .~;,b~~fA. ~:"' a '~..L CHA~G( ~I.~~)::.;~ ~ '~X'oi"o'"cj,,' ~ :1~:~~lyN O"I"".....'NID ~~:.::Zv... OIlIIo\...INIO rl 11~iO.O-";~~ ~ ',",'{!':'i:, ::':}" , o l~~~DflY 0 ~~v.:.f fly S., . A :," E D'.AG..RAMOFCOLllSIC"'If'J"""". . (U~t~up.m"'INI"1 IND~~~7()/'>1" O.ESCR'IPTlONOFCOLlISION: (USfSuPPlfM(Nf"'I!>H((1t'NfC[~II"1 . "', i 1 C . , · 1~:M~~;~~~~~ow, ,'%f~~~:t/f~=~~~ ~ii' E" I' " 1 ; , : , -viI::," C:-C<r)F- =r;-~~~ ~~~~,~~t.f~~~t~:,v!;!;kS~ =:j . i;;' E.,.~. . .~. ' . '.-. ,!.;I?" m z.d;. ~V;~~H._---------q---~i -., i;, i:) ;:~I(~~~r ~~~~~~Q:-.vMr~~.,./,:): ~ ff'lr~.:n~.4"u,~:~;;l : .t'.s~;-:'"y~/>!I}I*z..~~~/PW#~ .. -I. ~~...,.". ': [' ~t:<' ~ nu'G; 'T.1C!A :', .'Xf,; '.. "y' ...:,>..- - NAME,ADDRESS& INJURrc~uca~~~l~~9tt~H!t':'VOLVED ".~~~ES. '1.1.,,1.- 1 2 3.. 4~ I_~ ~. ~ .,;' "." OCCUPANTS I WITNESSES '011 ADOI1IONAI N........r~1 5r.: i 'AGf' bu"u~ '.....'g..1 Sf",; ci:.j~ IllSTlI UfCl ~I~~. ..... N'., .LJI'.t.I,:::LI9r/U /I /. r:5'N',:t='7-Z'??O rn 1.'5i- ~. , ,....., :',;: ::,.;::: Aooms-.,}1' . ZAt _'J . N"'llf,~l..o' _ l~;V~~ ,",MOAMe om" O"IL~. D:;~ ;"8'..~ ".:; ,.:; :\:":"~;',';':~ < I, E" N'.' ~~A/G"'..;;r. ~e5s l~' - +- I .,. , . .i? ii." '::'; C ADO~IS~ iNilltil..... 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'. ~\ :"',:^'.' L1 .... ST ATE OF WASHINGTON 'AOI I 0< I POLICE TRAFFIC COLLISION REPORT IXI'RAfflCWAY o PRIVATE WAY r::.JIO'COl~'~'lJN l~ O"'YOIC (I':"ON ~ (U~I~;/H IlCOUNI'f [[ Q~;.j A"a. .l'w~ ~!'''. !.'~~\ ~,I~. .:...,.~\::' tX. II (j:Arl II v;, -J" L ... I l ,~';." ....l::JN-.Qq,. O~~...\;:,j.'i~OJ1;'OfN I ~.J~~O>1~llItlIO~"'~H"'AY '/i.h.'l'~ 0 S .ow j}Of ION tPIr ~- PA, 'NIIIISf5lilNc.W'IM loTH.IID. ~AD . .1~"N'Nllll!ilCI'ON IT'""- CE~es kl~IfWl[N - SIR([T & - STlllEl I 'It D'!>I""CI ~~~" I OMllflllIlN I (110:':':'1/11110loI NI"'III~IMlllPO:' I ACCIDENT U -' H.~i~:' ~r; r-,'.n ri"'O"~" ~:'. M~~~( COl\l~~~:~60llJ(.D.. ! ~~.rlr~'~:;~~~ 'NJ~~(o_ 0 ~IL~AGI lOU'l & IIUN I ~'::~~~..~ ~ (;1 V(HICLll> f2l' ~"P~OPlIITY O.........a.cl ONI y 0 ~II~UL IW ~~It~l - ti. OaJ(CI~IIIUC"IN.a.MlOfOflJ CI:'~LJClANOOW:::"NAMII Is ISI=.ac.1 UNIT NO.1 UNIT NO. 'l No. tJc I ~ (, ~~ COUNllJ/p IC111'.o ..'. .''::, ,'. " '. .... '" ...... .' '.. ..' '.. . " ',". I. ..' , "'. :.''''', '<'t' " .' , : . ...... '. . ....... .. 'CTCL~ I'" M~~I l'IIICI\.JllOll;>lIl1J\..V1At '" I ..) I I 5?~t.:-,y'o "~lll" ra r"'lll~1 CJ, 8c!J IlAMP rl......II...MO'O'IA l~lI;..I.'!~'. IXIIO 1~~~?"5.!!~:~",!:~I.~II~AOO'IIll.'llItNCI X (mil Ct~ ICII~b"'S$C/~ ~ptCI""1 COOING USl In . o PfDAlCVCUST o PEDESTRIAN ,." j TO'; VEHICLE ..." t..; " : :,; .' ." , ",' ,"., ----c ,... ... .' ........ '." ' "'. ''', .. ,'. i(.:C' : ,: " ' " :"':" ,"'-.:' ",:", '.. .. ,', ' .' ,",'. "'" :,:r',r . '" ,', ','" , ,'. .~. __J., .' ".. ~"..,.,: . ....... " , ',' ',;':',' 'I" -I"" ,. ';'1 " i:,}~,..,<:'i, ':"(',' , i ~ ;',', ;, ~.. ': /," " ,:/,'!:, ~ ,,' ' ;':;,'/,..:-':; '.'i,:,\ ":",:':" ~ .;,;,i;;' '\' I',.' , ' ~, ,;:: ;:' ,,. \ ' \'.:~':, ;:',':'I:;,:,.:::'>(:',:_,:," ':;i\"" }" .i"" 't:' ::- (~:--':^.,.' '-,:" :.' ;'j' :: ~,. 'o( .-:'.;":1. , "::. ' .~ , '-1. 6 3 6 ~ STATE OF WASHINGTON ~ POLICE lRAfflC COLLISION REPORl No. ,',','",> ,,"':', '. ';.;:- . ".-::.,:;i,'.' ::< ",.; ';, ,:'~" :'" ;-;1:,',,1,' ,:',j' 1liliiii "- .. '-::.. ';', . " :.' .- -';'" . :--, " ' . ,. '-'..' .-' ~~--j~ ." ,'. ,', , " f" :.::.:: '", ., ," , ',: '. ", '.. ;".:,: .... ;: ,., .-;. ;, . . " '.,.,'" :.. " ,:.:, , > " ",.'..., : ,.' .,' .', ; ", .' .,' ". ',' ',' " . .J. '" '.- ,,'. : , ,,: .." " .,.:.:. "':.'-' ':": I( \'~~;~\c~" L .- ,'> I:," .; .;..... ",_ , 'Ii' .', ' -,,' , ,.- "", \, :';'" ,"c. '> " .( :/:; -,< ,'." " '. ',\:'. ' ' I; .. . ',.:,' .." ",. . . ;'" " ,....., ,', ": ","" " " ,',.,'.' , ,<., ... ,'" ':,. ',; :"', " ':', " , '."'" -- ',' , '. . " , ',. L P....GI 1 0' I No. ~ TRAHICWAY o PRIVATE WAY AIIOle "'SION I; , O.~f";'QIC:Olll!l:lo...r. ,..B I,No1 IlcourolY r' COVNIt'.IO (111'.0 :s t; q'~ ,;.;; ;;,;. :;"/~,;~".: "'. ~1I1~it~' II .::ru:- \":~l2.sa N //", ON Of o'N CI1"O\llOWU -, N-'MI&NO OI:'III[IIOIIHlv~WAY fetCl1,AP""';!}1 ," IIlOU1loorS!litllCOtlt 7M""~' owmo' 14A'D1-.c>Q.,K. ION ::5flND-..J S/-JcPLt! (_1.)1 1502--'7&> IN'{II!.fClING IMIH :,II1(1101lIlOAO (NON IN'III$I(1I0N , .l\ iI ~ _ I PI/III.ll 1'" I'Mnl POSI _ 18~/~.SON ~f\t... Sflllff&.:s~ }O'--l Sll/l11 I~ 23 IJ 1_ O'SIA'N't&~~llOI:'ff"OM 1I1'IIlIN t. CIlOSSSIII((1 Oli Nt AllIS' MIlII'OSI I ACCID[Nl 11"""1' \D'AC.UM OA'A \ to \.CoR-~'::' (; ~ ;-, ;; 0' l..J"Mt>r..> ~'I.L. e:/) M:!6':' I CQlllSIONIN....Ol\lID !>IVIIIIIY. 0 0 0 Ul o Hill IIUNn I "'''I~'~ INl(lil~:.il)l,IIO-I~Iiy-e_~)'I<fI~rowOl1"'.tIltNCi ~O~~~I~~S fD O:I~~~~~I~~:\O- 0 ~~~~~~~ D~~<;:I~~j I KJ:::::S I')! I CtS ICIl~~~~'~~oll>>O;~.y '9 OBJ[CT SIIIUCK lNAME Of 06JICI STl/UCk ........OOwNIII'S NAoMI} llSI O........AGf !optCI"'1 COO'NG Lhl - $ - UNll NO, t UNIT NO, 2 0 VHllCtE 0 PfDESTRIAN 0 PEOALCYClISf r- '''~GR'''~ BI~ I MAR" M"'''t=: I~'",^,' '^" "" """ LZ "~\''''~1l.RG,ru-\ l.i:JA--I ..,,~" I f=;' '\-Ai\1> 1-0<:")(. w';" "~'~3 \ li<i;s:'?,:,6% ~ I'''~ '\. 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IIW...,LU<"""ll' If'T''' 'if..l.-L.J;,~I L>IA'l73 I wA I _ _ I '" i::::;; fiL::"'" VIMICLI1DtNTI'I.C...TIONNO. C V(HICl(IOfNTI"...'" I ~ ~ l:.::s 1!Q.:8'IG.9:L:(o''3;g,5,(g,9.'-j-I-\-L I 1 I I I I. , I I \ '\. I ' I I I Fi1 ~ "o;';:;~~ '^" rYI;;; MOO'" liS5':531c~ 0,""""'0-" ,,,,, "'" M'""" I"~ ~ 'II "''''''''0_'' W AOO ""'OWN" '\. I i'l L" I lR l fYlAfl.G,(lE;...-r- l.MC~ _ ~A']jt..ecK ~ '\. f...!-J V< ~ NB.M{&....OOlllS!.(:JfIN!.UIl...NCICO (;WAulM IN U ....N:t~U,VO ~,N "31 I>~';: .. !I\\Yi\)I'L... of E..Nu"'c-r....A~ R "I', o...b~~IAil[.... ~ 1'Lt!,ATlUl 5-r J r, Q b ~ sr~!7~~ I ~...M~tA. ~ " U.~:..o::j. I~"';"'" O;'M""E' <,,"G' 0"""'" 0".""" Is(!o~';":':~r,lrr' ~jj~~-;;~~~ 1080no.. $:'000 I~ tca..~:Ofl'l' JiQ.j~c::..N'..S 0 ~o::~ IV ...w""v I-~ \" o~ l:- E:: DIAG.AM OF COL"SION ,"" ,,,,,,">N'" \'""'" """'" DESC.IPHONO' COL"S'ON' I"'''"''''''''.'''''''''' ''''''''''1 " C:._~~Mf! 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W!oP....51,1!>9 0)-."".. ~ f\ ..~., IT STATE OF WASHINGTON o :2 I lln,~:;':.,.1]J IMIIUII...l I ~""'" \3 7 o 5 POLICE lRAf~IC COLLISION REPORT ~1(.(COMI'L...,NJ,.U,..tlllI to ~~'?Ti'('CLI "'AMI "OOI/I~~ ~"'M' 10 "OOIlI~!o ~""Ml "OOIlI~S X r~RP~"'~"~~ 1~~III~~p " . L i.." 'I 'I;, 'OS -~ .,: . , ~"" ,< .' . " . ..~" '.' .:.:,. .:' .". ,..,' ,", ,'-." ',; '-: '.'. " " l. .:. .' '--, ,<" . 1:.' ", '., ~ . .,. Ii, '-: j........ ....... ':, ,": r .' ,; :. ,'. , .'. ".' , '.'- " ':', :.. . , , ...... .> ," .', . ~. ..... -. , '~1~;a . .." "'" ' :.''-', .' . " ".., ;.-' . .-, ~.... f '..' . , . ,'; " \:' ;....... . ..:,.; .' ':s?r;?'l:~" · ..... -- ,.'/:' .. :: <': '. '.," ',- ..' ::. i ....... '. :,.',,' -'..- '-: , '. :.,. " . .',' . .- ,"., .;' , I.'.. -- ! i;~";K') 1 .:\:;,... .' ~ ; , . , , . ::. , . :.: ..... . ',". ;. .,' : i, -", ; '. '" . : .': '. --: .,' ,:,":, .' '.: .' ; .:......:...,> .... " ',--. '.. ,". ",: ; .- ',:- '-:, :',- '", ''-,:, ", .' ,: :: . ',,' '.' .' 'i', . . L ;,-' L ~ STATE OF WASHINGTON ""' i 0' I r:::; ~ POLICE lRAFFIC COLLISION ~EPO~l J5S WAffleWAY I-L 0 PRIVATE WAY ._P~J.o'J:Y.\..\'>'<.In .-1 ~ ',-, ,- OA,i:!~~O,lLI~'~~~:;~'-;--H I'MI IlCOUNT, I'll ~, 5: <6-71" 1""['"''1"'' ['<" 'x i'" II ''01!J'':.c;Q'" II ~'S.:,..,) Ll \ Ot~ ~ D'N ClI~Oj/lOWN I t~;:::::&NO Of~I~UIOI/HIGHW"'Y M"" 0' Ow 6/io: I-hOl.r.t.1C. ION 1-1 f'k,ler IWIII~IC1ING WllH !:oIl/HI 01/ IlUAD NON INIIII!>fC1l0'_ SIlWErN Clt\ t: tJ.A.../ , I Ql!:olANU & ~I; ION fllOM Ii(HlIlN~l. CliO!:.!> $111111 011 NlAII[!>T Mill PlI.1 Ir'> ~~~:!:o ;; (-, (-, iXr or lAuML COlll~~~:~~OI"'ro f'5I ~g'~~;~;O~NO, INJUflfO...=L. O-~i~"'C.1 (Y\lII--lICll!:o L..l::.L 0 PIlOPElIlVDAMAGfONlY Ollt!>ULl/D Iq 06JE(1 !:or"'UCl( (NAMI Of 06JfCl !:oIl/we.. ANDOWNIIi'~ .....S"I~r"IV l,bell No. I 7 n 7 {- ., 7D' I"""" I '(; I~;'I """I''''rS1!2'~ PkUl}l. r IMlLl~l C> ~ 0 II-'MP rl...c.~A.Mo.o.IA INIf~ II';'J?t~ )l.RO It"r C H ..;),11([ OlIkOAPOIlIIHfIlU"':;l II'}? Cl!. ICR~!.6(SSs/" :OPIelA!. CODING USt In~~II~~N ~ l{j:hUIlAl. I~CHOf' -r::;-;1 ~ 5TlIlfl I. lAuML 5111HI I ACCID[NT MILlAGE CODE 1 .",,,. DH11&l!utl/ .,"'DIIlOI"~ o ~~~~'j - 1$~A.M""'Gf '" Q '''''''",/:,^, ~MI UN:O"'"'' M."" ,,~~::~~,2 ...,;"HlaE O';;DEST.'AN DPE~~~~7CLlST I~ I IYI.......,,,,'IA>-,,- LI!~' l.:J KA"-T";^^, '(,A ~h-n^~H:r" 1Jt-cr p M ''''''''"~:lt ~~..v,v.-\ ~l"n' Sw ""....,~<Io'l 1$'&11\ AIli: ".3C I, t?l ~ cn, "T'Pc.o~,~ ~ '1'~ 1;;g~2 ~ '" ~lku()<. tA.k q~:;' 1 fief,"':: 'b/J1:: l2 0litIVU/'5~C~:5.{.N.;:-OAI' \ __, ^~ I !.IAlE I'" I O...ItOf&IIIH I 1111 '!.UC1N5(NO 1 :>1AI( l:>l'- I OA'lOf8'O/lH ~ I"W., n-o.'"' . n, I'M L\A- M b t. i;,.:; V IA ~- 0 l:: 1ttJ~ I 1-1 I ~ I,J'" ~; I rl 2. O:CU"A~ "'~R~~pN:"'"".M'" lci~ U;'I:;~~ ~ OCB:~::sr 1"'M~~;;.w~"<~ Ig::; I;;;:'~"' ~ o CHECK e.') u~P~,~c'f'i~'Z~'U~~ol'rf&C:~~~M'i/' 0 CHfC:f.-') '''jU"I:~I~C~IAS'Z~~:~~~:-;~{.~::t;j~,i!AI ~,", ~2 CODES ~ ~ 3 ~~i~~. 4 :~~W:"'" '1-1 5 IJICI,oo. 6 ::-;::'jl.,..O(H.,1 ~~~EIS()~ 3 tl"~~ 4 ~Y~"'" l L,J, 5 IJIt',O... I 0 ;"P.i~::YC" m; ~,~ "JJI,IP'I', k.}e 1 ~ "0.... 0 .........aul......cl 0 ~l.!CI 0 ~.!:I~1l" 0 ~;;',~:: fV':-'.1'..}o .'''"'''''01"(,.1.... ~.......IIVI......CI 0 P01'll 0 ..", 0 ~~'Y"'l 0 "01 1 .I~ I....~:D'C"'" I MOO\=U"NO<A1 n~D;:co",1 E '7~i- I....,~u?;'" )::OoSo~~:., 1~~'~4"ofN:, ;:z: [>~71o.) ""fR~~U I"C~>,- I"..~~~..'"O I'"'' 7 '~~rJ' I"';'~~..~A I'w), I'"'' . -I':; ~ "3 f;;i'7~'N~~'tiA I ~'.RI { II 1'<.1 f ;~"'l",~icl.~.,~,\ Iliklll"irloIDI31"31-'~ ~ QfGlmQEoos::~ LAS~ ~Q;~ MIOOLE 1~~i~4sL- 0 Ql"I~I!S;: ~! ~l;: MIDOH I H~tMJ ~ '2 A"""C>~ v'r5 ~(ve, ~ A '''<5::' p.;: DRI~ ~ r;;- NAMf&AOORl~~ANCECO, CRAGEN! R I;I-J 1&J";^ANr.;.({.o ()IjAvtr. ~ 2 .~~ ~. -,.., " . I~' ~ I "'" O.......A(;EOAAEA Nn ..", . ---- O'~lI<t"'G OAMAGlOAAEA----;: E' fi' .\0". CI-lAIlGf b:)lLos.. ..;,t:: ~D , CI-lM~Gt o':f:'g~ 2 .\o,,~. "-"' ______-::-1. R'~~""" 0"....'".. . 0 .",," D"M""" I "'.~."' I,K-L...-... . =;; ~o8on~ s~'C>Q:! ffii~~el': IQ:~~~eY'~~(~~~"-'\ 'ID-J.~Crls~~I~o8:n~. ....;,; E:: DIAGRAM OF COLUS10N: tUS!.:',:'PPL[:.-"'~N At NDICATl NORH1 DESCRIPTION OF COlliSION; (~! $UPPLfMENlAl S,*f1lf "If ESSAIIYl ~ '. '-rr-m=f-I--mp'''''B'Tl~'''''OW f,;'-,;,,- A.:~~~,,--j~-~ ------ TT' 1-1 +-1- -tr- '1-I-y,gI:l~-ei:._R6~"fo2.--!~e.-lP-. ,:jj,.,_O.f._ ---'-A-::C- ~ r;r Til i. II rl- . '-h::-l.N'~,-~o'-r -&W~ _0__, - -- ,j_--,,J,, . ___~.---~H_(_- t::.. ~ flk.~ee;~-r-_lvg-np.e..- _AVOL.o_ ::9 ~~~-j-+~ij~=i-* =-i-- 1~,1',X-__ ~(-~~=-~~~'~====___ =- r':" :::r-'-1:i::1. -ft~Tj=-i:i=I.Ct -+ _____,_________._____n -______ .......J == ~~~1~~~f~FT1~f-11-;--!'- -~~~:--,:----==~~- -~--~~~-~~---~:-'~~ --==~:~:- - --- :n I" NAME, ADDRESS & INJURIES OF PERSONS INVOLVED + CODES 1 I -- I 2 I 3 I . I 5 I 6 1==J 1- . ' OCCUPANTS / WITNfSSES IF~ ~~~~~~~ZlT~A~lll~ -M~':"i ~';Gt. 'T;iU~ll~W'1 ~~,:'--, ~1,';.j~~111i'SIl; I E~CT'I~~lM. ~~~_"+..J!\,""'\Il..D._:_.._.:...,.: ~)_W\ r ~'tPN ....:5 A.e.. F" 1':.1 .~ h 'I 1 I- "OOIlISS"--"~"\C.(:. '-~=.,.~ .~ 'ii-2t:\,-----... ~.!~~r~o' ~LY s~;vJ~ ""SZAMf\ O~~'Ll DHII;".O~~"" O;""'l~\. po- "'~'__,_._,_K V.,. ". I ,~'n n . _ ._..:<;" "j ;>- "l:.~'l'i ..I fA 1_ I 4 _ ~ "'onl1(ss.~ ;U- fu-r-"~ N.TlJ.~'-Of -c'-~ II~MO\l~D'ItOM~A...e DK,,'~' 0"1" 0 '.'Y 0"'01 I~ ~2;;-~~-\~~'d~,f) ~~IlN_Uh ~~~~Wc ~1't7-r :f;'~ ~'57'M' Ol~~. o'f..: r (~.; O~;~:: X r\lt~~r: Oll'~~~: & ~A;;:1~" '1~~cfW rAW SP ~:~i~' pr'''~;(''I~1 POI~!~\ltOI ~)i;J~! l/J;;~ Lro~~ th ,-- . " : , L c, _ _ro-"I<! ,~ IItI " ' . - QJ " 1 I ! ~ I. .' 1'<: ! ' [ . .. ". . ;'i ~ ......- ..... il . ..", :. · ...; ..,' '..' ,-' . '. ......... " '. '. I . i.:.... .: --." . ..-,,','..'- , . -- -.' : .- '.' .....' ..... . --:.;"... i...>"" , . --, ,,:--- ,'. " .... .- ;",' ",. :; .- .- .........-. .:--.-.: .,.-;,-,: " . "," " In .'", I :.... .."11:',,.......: ... ~ .~ .~ I11III , '. , . .:;, , '" :: I .'- ,:' .:., .' \' I. , I; , > 1\ ,': " . I ' . '" ,;' i . ~. , " :' ..... \ .'. " .' i " i " It.: :. i' I. I' L.L .'" ~ STATE OF WASHINGTON "01 I 0' J I 7 7. 6 n"'~'" rl ~ POllCE1RAFFICCOLlIsIONREPORl 01 TRAfFICWAY ~~;C"""'"''"UM''' ~" I I 0 PRIVATE WAY Oll-IIOI' LLI~,,-,N 1l"'-'O'C.Oll'l N u'" 11.....1 IICOUI'.IT1 I(~I')'O 1"1"r.o Inf~N" r h5;r;, 5S9 w.. ~~.. IV'~ "'0 '''111\ II. XIIIU~(~r;~~u'tl II ~c-"':'"I=.-6CO..u 1/ 0 IM~:::" [ LL ON 01 DIN (1IYOIlI WN --I' --NM\t&NOOf!ol~lflOIlI1IC."hV"" 'o/L!l 1'~-l,'1 II' lio..;'oOU~!II1~/O~ I~(IIO'" ~ /.5 M,'" ~, 0Iw ldlo';>r =., ,~~ ,,,- ION &? I ::::. I 17 I,:) 1 ~." ~;~;~~WIl::[:'Oi:A~O 1::~:=R~tC"ON Sli((l & Slim filll~ If(~ IMIII~T 0 _.:r I ~ ' I J I '~I"'Nct & D,:!r;l'ON IkOM iUllIlNCI CiO~5 SllIlt 10i M...I/IST M'lt POSI 1 ACCIDENT II"'Mf )1;""'''11'''''''' o,.I.lA r L H~'~:S ;; ~ n n 0' M~~~[ I r COllISIONINVOLV(D 5Iv!i'll. c:- 0 U I O...'I&IIUN I ""I:..';~~ ~ IN 'I:' 1)1.110 1~~'~;'-.\!,I~::!<II}-.l.I:?II"0.o.t1OO1"'lII6r!""'::1 13 ~ I~ ~o~~~.~3s (gJ NO~:~~~~:I:~:IO~ 0 U~l~~:~ O~lr~,m ..... H J? (4111 CIS I(II~SSrfi612S-d I - J 1 "( OlIJICI SIIlUCl,jNM'lf t;'f 06)ICI STIIUC~ ANDOWNIIIS NAMIJ 1$ 1510AM"'GI SI'(CI"'l COD'NG ~I f ~ :~ii-:::'~:::'ff~ ::2 ,;r o~"~;;'~;~~:~~ D"~~;'" J ,r r= 1"/.4I)t!()~ ~ 9.$]<:.:: 3$5-7/55 R ..-\/67' -.- IN,<::77/ J>,C ,.,~//.:; 5Q-5/7 f'" ~ ~;;SUClN~N~~ ~ ~ I ~A)? I~l I~ 1,;~"'~~;r;'IQ ~ 'Vtl/;;;,c~~~olk~ IR~T~ [; ~~~~~~'Il~~ ~ ' , ~~~~~::'~,., "" ,--"._, ~"~. I"""-"-'~ ,'"',,-,"- " 1"2.. ~J?iil.hEr-<.. .'~77A.ll.P..'oINtllSl) R ~ :..;.' ~ ~/f li?u 1t.351~1- o CHECK (") ~~1W..., 0 CHt:CK (,t) I ""H'!;" "'5 (~..'tNoh~Hi"" s'" ~ CODES" -+ 3 I .5 111C"0.. r I 0 ~:~..:.t1L CODES" -+ I 3 ~~~~' ? --r.. ~ ",' I 5 IAC"O.. I 0 ~~:'HII TO 11 ! 2. f:--:C INll~~,t..or qL f<J{'l.AS~>";' i r ~ I .....0' .....~UI....CI 0 ~~CI 0 ~m"IR 0 ~~:,~i: 0 \"8.'...~. ~~~1?u()'y t?'"......a..o'....C1 0 ti"~Cl 0 ~~". 0 ..:,~.<i: 0 ;t~;.y I vtM7~ IWJ;:~;lVI I M~IITNOVA) r';;;; C~V) E H;:' 1~;~;t;;:1 I~~I{;II~:V~I r~~~:W)~~NI :;: LL ":&~ 1'::;;;;~9I'~ I"A"".:~""O r"::. 7 ~;T I';i?::r.,r,> 1~-A4- I "~::- I"'. ~ ~ ....1111C.IIID(Nl.,.C..."ONNO r C Vf....,CUI~NIII( ""'ONNO ~ ,''3rLl'/1418-,j,/.'-'''';:>i''-:::.2iS07' I Lz.'4'5'rl'52'<'rJ/~i91&i2...' I' I ~ fi]'::::;- IltGI51lRfOOWNtIl lAST IlllSI MIDDLl ~""tNO ISTfllfDOWP\llll LASl flIISt MIDOlf .........t"iO ~ Q 7Wa A~~ 7h>A7ES- 1~5-S1V9~ 0 C::""~4', [~ "'ODlllS5OfOWT>l(II W "'DDIlt:"SOJOWNfll ~ ""' "'....., F N ,..., _ _ -- ~ NAMt&"'ODlltSSOlINSUllANCtCO Oll"'GlNl E IN U AN ... N ~ i'~ S.#A.=- -, R 7C>AC. y, '-'" ...,".",~o -m~" ,,,..,, ~ ~ --- . - ...'n"",,'. rl"I'""::A.DAAt... P'~&II.,"" I..... ~ .:;iI1'- Y """"7 --- 'S7A.GfyARI...... ~ c;s hrL!,10~~. ~~f:'g~r~" CH...iUf c.......IlG! 'S/C:AT ~ ~~co."o~!l t5'W.M~IOOlllvtN DifM...,NEo 'ODIIlIftN DIl(M~INID I .!~~.z~=1: 1080no.. s9M l~r~~~BY NL.r I~ r3C1~~~8V J,-;l-;A~ s~. ~ ~\A(Y~t~f_~t<;flll~~IOI' ~:I~~,'-~'!.~?~~IT'i~~T"" ~~.~I!,~IO!'l Of C~SIC?N.: _(~~s~~~,~~~~~.~~~~s.~~~_ _'_'__'_'-'_0__'_'_ ~ C,. 1 j 'Jx.~~~ <!>-.- ve///C'LF ,., ._.z..., .u-'/g,()~...;JAi'"'::>.& .--. ...:..,-. E :;~:Lj;y:i~'~h-:~ '?}5M's;::;_~~::.-~~?1~~: 2J r:,'.~ ~,.I__..! ___,1.1.11_ '1'. --r: I:' .ti'(:"",vl~/.~dl".~I,j:/~~I%,:-~l.'!~~li.: ~ j~=~~.: '~~- ~ --'~;=:::~-~:~~~_:~~;:~~~--~:~-===:~~ ~ _' t~'I' "'i\.l\i"i'\:~ .... ---...'-'-------.--.-.---.--.------.." .' ~ : NAME, ADDRESS & INJURIES QfPERSONs INVOlVED . CODES 1 I .J -.1 2 13 :1. .; I 5 J 6 - I {. " 1.- OCCUPANTS/WITNESSES cusEsUPPU.....!NI...t!>HflT < .-: . - -+,..., VI SlI-"1 . ---. ---. ",I('Y ----' '011 ADDITION"'L N"'MlSl srll I AC,t tATUS '~e>" :', c,':;~ llH,TIl t)lCT ~..".w "'. "_.~.M,~"r.;;"0'.-(I/al./9~_ ,I'(()Y . T. ....., ~..38 S... c:~ 71 PI IR' 2. .. I..,. '+ / ",'-' ~ U/Ju ~7'.... - ~""~~IOI .JJ,:' < n.. ,-. SCfNlv(I' "'" 0 AMII O~(1 0"";" .Jia:;:r o:-.s.~~ ":' ~ -._.~~/oIt:.S?:~~7J,/,.!'1't:' .... .;0"'" Selc..'--I."?E.7 ::. '30 -" z.. ~ 1 ,':::":'::- :::~fSS "","2"Z ~TL.' e,7-_ .frJ, 6" ~'LJ,~'OI ~~~V~~'IIOM.,a....MIL o~~C1orn~"1 0 ~~ O~~~~. ~.. ;;;':/'.:'::\: ......... :~~_SA/OOkL C"/77HY: :_.. - __ ~~:flr-tZZ" Si 71 . 11l~ v 7'''' L 2.. ":~CI I~" I ".R'V I "0' I "<;,\, . ,. ~('ll'llll~'i '-2.$" -K'T:J.l->Z: >>S~1e;, ~ '....lUIl'I.. -~.,.._ 'iCfNIflV ~""'a 0(&. Dro.lI.@VlHOI....\.._;">:,,;,::,-,_,,:::,J;,,:, ",-,';:",,:::.:'::',t,: X I ':I~"~,"""~~OIlIC~'N:I" '_:~ ]1 bp~~t I"'CfNCY _ D,~r'~~~1-f'!?7cHrDI il'srD1 0"'11 o. :;::J/f~Z I ~ATl ~ i : ,:",>,,::::,,~,:"" : ":',',:, "':"y:j ,_ 'INr. n P ,-,n... 1~6 I/"",,p 8':/" I, '''''"'' I '""'"" bJ....... '1""'-/01 A7 _ ,:':< '~".:' '----.----~I, .:",.i. .... .. .... !'..............~';:.;....,/.::'.:'. " . . ':C/'.'::' ." ",':',''':'" . .......:.....:..-.....'...;...:.."i; 'i>"', "". .-/'.i'.';'" .;(./!/;:f!i, )...:.........i>.....:iH,; .. .."" """"'! .:..i;:> if' .!.:" , . >.' ". :,' '. " u,." .--,':" "" '. : '. , ::" '. : " . ,: .'} . - :':' .. ip '". . , ".,C, '. i '""," ,-; '.' " :',' , .. ..L . .- .,~.:'.....'. , . .;; ~ '~',."'-. .; . , , ':': - c. ". ,'.' .: , , .' "".'" ; .' .' .'. ", ! '. ':. ',:. ." '. ..,- ; ".' . " ' : '.'-., ," . ,.'. ,,' '" .... , "'" " ,". .', ...... , ,.. ....:.. ..... " :. ..,...... ", '.,' , ". .' '. ,'. .." ",,' , '.: ': > ".- '. . , "',' " I. '. '.' ". ... ..>.., .'.,. , :'-", '.' i :,.' ,.'!' .' , '.' .:, '. " "P.- .',' .'.:'. " ': "., .:.' i',. ':'..:' ",,:' : .,.,': . '. " . ,', ;', .;:',r~.,:~ . ...r:,:~:/? -- . ',>: / .: ; ...... " .- .,\,,"::i;:< ;.'/:~"'f:'. ,--"<.., .~ i~~ ." "", ',:. " .,-: " 'i..-'; . I':: --.J .' ..... :' '.' ~. ' APPLICATION TO OPEN RIGHT OF WAY Application is hereby made for a permit to open right of way. Please des- cribe right of way. (Attach drawing or map) F;S"'" Be;.., /luP t-:~om C>r-;-c 'ST. /l:PpRO-"" ~OO' -In -f--j,,, E~s-r- , ,qwN,9 BlocK :>" ,..,r: ,;;";.".PIU~P\..:':> \3,qil'J,'<i?v../ ~\')~.., ~o^l. Applicant agrees to perform the work in strict compliance and conditions set out herein. and any special provisions Appl fcant Name P1Sc.vJ,~~ TI N"-f.~ co Address 4-6'76> Ol:.,-"J~ ~'::J_ l?o~'" E.Jr;;::> ......,,../. ~\~\r ~ with the terms attached hereto. Signature '?fH(..'t! Da te I 7 1'>""7 L ~8'7. ***~*** Subject to the terms and conditions below. permission is hereby granted to applicant to open right of way. Applicable provisions are denoted by an (X). ~ Applicant is authprized to. construct a private access road to his or ~ property in accordance w1~h applicable standards for private roads. T 1 _I r _ I' I 1 1 I I 1 ~ ~ _, - . _ - _ I L . The permit does not prevent other lot owners from using the access road. In the event u~ers of the road wish to have the road mafntained by the county. the users shall improve the street to minimum county road standards, or may form a road imll.rovement district per RCW 36.88 to pay for the costs for /J improvements.7he tlJ.lrf of w~ S/1a.t( be suoe.yetl a.nPl s;f-a-/:L/ b'1 t/; /'-c..e.t1!:.l-tf' land S(J.rll~t7r- cd 'l-lie.. tJ.ffJl;'ca,n t''S e.ltfM1CJe. f-r Applicant shall construct a roadway to county road standards. The rIght of way will be located and staked by the County Engineer. After con- struction to county road standards. the new road will be maintained by the county *Note: Applicant shall pay the county one half the mill value of timber removed from right of way in order to offset costs to the county for future improvements. RECOMMENOED FOR APPROVAL BYT~~3Y<7:~~ APPROVED BY A~""-",, rJ..--/h'----&-rA.J...-4 th"a~~, Board ~oT' County Co,,!missi oners DATE 19/1"7 /;1~ DATE ,s;~ a../",' l' / / ,.\\1,_.. '... r;:.~/(JO<-I >'?<[,"-C/~'1() .~. 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II'" grIlRNEY'S /fL.AT l \ \\ i viI. I I jJ 16 I '\ ~ , :' ' -:- ,.., ,.:, .::', '.-' ,,:,:,.-',: , '..,..: :'" " " .":'' :,' .',,', ,:.,',:: " " ',', .- "."'. c,' , ,'". .', ,... " "" :', , -- '.',',," , ' :', ',. " . " , ", .' , ,. "'" I' , --... ..... ': . .,',... ,,: , r v,' 1;,' .' ',\ I' ~o ~" ~.i':, 1.': L a ! i. I i I i~ i . ! -.'.-.-'1' /..-. 12 -' I , f-, .. 'h , i - ! I , " --:<.' ' :>;: '.... q. --,..... ' ,.' . " , ", :".-- ' " ... ", ' " .'...'....,... '..'. ..... -- .,... . ",', "'" :1" ::..,~ , '.. ",.-.,.:' --., >i . ':' .' ,'" ' " .,.;',<:': " '. , ;, .,' -- ,I , , , I! -, t .. .t," '. :,' " '..: ; ,,': ""; I~ : \"'/"L'::::"'" ':' , " .:', ': ~, ' , -- :' ' fJ: 9 ".--.., ,,-- . ":,.,;' , '-";'---;: ", , ,,,< '; " ,j,' " I" , , ',- <)' ..': '," ':: .,: [ : '.,' " I. ; " .,.... :, '. , . " ... 1 ~ ~ t . .!~~ 'l ~ ~ . .... l ~jtJi') 1 :i ~i l ~., , ~ ~ . '- ~ -t} .' ~ ~ t 1 ~] ~ ~ 1 ~ ' l t ~ f ~ ~ ~ 1 I f ~ ~ ~ ~ ~ q i, J ~ ~~_. 1 ~ 1 ~ ~ l' '. H l ,d i ~ ~ n I ~ '" i " '\ ,l!~l:!'t\J)",! .\~ "S!! ~ Ql& 'i',f,s: -~~ "'~\ l,~~),.\d .~~ r~~ ti~ !oj 'p lh ,I ~ ~, ilJii~!i! it~I~I~~~~!t ~ fltf~J] JfJ ~ ~ ' it . ~~.~~e.P~ .q~i::.'qPl\~~ t~lIlli! 1 t \ ~ 11 ~ i } {: J ~ H l ~ ~ q~ d H . ~ ~ III I {l n ~ ~ C) I:. ~, ~ ~ ~ d . ~ l I ~ ~ ~. ~ L t I ~ : '" "':. ~ t -t'} l' ~ l . ::: t ~ ~q\'-<;U~~@-~~..i ~~lil--l~.. itq-i.ll i. t t ;:;\,- -t"'< "'\>""<<i! '~<'1~':,,\ t '" l l ...... , ~ ~ .~ H fq p' \ \, ~ n t jJ ~ 1 ~ p~ l,q q i l i i Ud ~~!1~~j~}~~~~j lli~~t~l :tlil.I!~~t 1 l t~~ .~~~~~HH ~h '<!~t l~~ ~H~dtll ~ ~ ~ ,'h I~ 81" -c: !If'-''' ~/~:i !C I::.: I@.... hl.-/I: . . <~! ~1; "'i j \ :~ ~il ~I ~i '~I I ~ La! . .. , r-....-----:~~h..---...---.-i , ~ t ~ c.. : . It ! ~~~~ l.___n_____..__.~_~__._____.___ i ',.. ,- I. I ~~~:-oo I %.","'- 11 .. -.._~~---..-...---.u'1:::~~:~:.~.:;;. _ M' <" ...,,1.,).. ~ -:A "'1" 03.L.Lt:-' :Tr/I'.//"i L',zo,,;, -"" ,,;a' -." N .,.... .... .- . . . : ;- ~ . . ~ ! t ~ ("~~ '<-":. ~i '? , . , . rnrnrn., . · DIJJ · : " ~ ~ i ~ ~ ~ : ; . !! ! !J! ,. ~ :Af......PIV __ _.~. ~ . __,._,__l131.J.l:t'.JJA:tJ..._, _,., -:~'t c :..: ::~ . . ~ ,s,_. r-- -,' \ ~".~-- :tfi}"i "~, ~~q~7J.:/ '~~=.I.~-' ~-:trifi.)~:J ' rr(?'~:r~' ..~ : r JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Jeflerson Street P.O. Box 1220 Port Townsend, WA 98368 (206) 385-9160 Gary A. Rowe, P.E., Director Rober' G. Nesbitt, P.E., County Engineer MEMORANDUM t Cd) \p,\( TO: Board of County Commissioners FROM: Public Works Department 51(. DATE: May 19, 1989 SUB3ECT: Open Right-Of-Way Permi~/Hays St., Irondale Acre Tracts PROPOSAL The proposal from Discovery Timber Company is',.to open Hays St. in Irondale Acre Tracts from Cleveland St., 225 I .'to the West to obtain access to their property. Applicant wishes to open to private road standards. COMMENTS 1. The terrain in this area is flat. 2. The majority of trees in this area are willow with some alder and a few firs and cedars. 3. The right-of-way for Hays St. is 30' DONe. ;=-: k TI'2.fl o '6 :~6 D ;-;,~ov..p.y r: "'neC2. Co. I APPLICATION TO OPEN RIGHT OF WAY Application is hereby made for a permit to open right of way. Please des- cribe right of way. (Attach drawing or map) #/Qv<, ST ;,.,,; ,:I=;:l...ONOAL<:' ,4c:R€ .,f<lt1crS Fi<.o,"" cle..,veV/^,'O sr, "22~' +0 -r-/,~ '^-Jr:- ~,-. Applicant agrees to perform the work in strict compliance with the terms and conditions set out herein. and any special provisions attached hereto. Applicant Name PIS.=./~1' J.i,^",,?:~, Address 4=e"tD \;>1 ~'--"./.~ ~ ,("'1<.:< '"J"ZI"-'J-rT--"'? , v'-J,CjJ-3c..JY Signature I ~ J~ Date Ill^1,.oj'tC]B"'l' ***PERHIT*** Subject to the terms and conditions below. permission is hereby granted to applicant to open right of way. Applicable provisions are denoted by an (X) . lXr Applicant is authorized to. construct a private access road to his or ~~ property in accordance wi~h applicable standards for private roads. I--Ae-. i~"t ~# "~I ..Ill ~e lo~~ sJ u~ Jtll!~ ~_ ,I,s Count)' r.. 9 1............-. The permit does not prevent other lot owners from using the access road. In the event u~ers of the road wish to have the road maintained by the county. the users shall improve the street to minimum county road standards. or may form a road improvement district per RCW 36.88 to pay for the costs for improvements. tf'fMl- ({""'7 ~~:I., .:$'~,,.<-,/ J,y... /;'!,__J S-#,"~#'y""" ...t- :l-A~ y"oht!....~~ .J..t<Pei,I;.2" l-r Applicant shall construct a roadway to county road standards. The rIght of way will be located and staked by the County Engineer. After con- struction to county road standards. the new road will be maintained by the county *Note: Applicant shall pay the county one half the mill value of timber removed from right of way in order to offset costs to the county for future improvements. RECOMMENDED FOR APPROVALSY~.~~~~~ APPROVED 8Y -----4~~~(}../~_A~ ~ ch--;1r~~ B,g;6 rd of County COn!m1 S$foners DATE /9117 /jf'~ DATE ;p.,i ~1;/;tJ'l' ! ~. l ~t . .\~~ -l' >i . ~ . I H., l " ~. . : . ~} ~tl!i,,;; (i l\ ~ t t , . ... l ~ \. . -\ ~ ,,' u 1 tl '" ~ I -t., l t ~ I ~ <4" 1 \ t t H ~ . t\ 1 ~ ~ ~ 1---'" ~ i 1 ~ ~ l' ~. H ~ ,d t ~ d ~I ~ ~ I '0; '1.~p,~\~<: d~~ t-tl ~! .. 'll "l\ t ~ v: i h 1 ~ H q ~ ~ ~ 1 l! ~ I)tl ~ ~I h H' {l ~ ~ i (t , ~ I. ; q . ~ ~ " ~ .. ~ ~ ~ " 111) ~ , ~ ~ ~ ~ \" -l 1 " " I ~ !~~~~~~!t~ ~~l-l~'\~'li' ~ i~l-)li 1 1 ~ ll!~i~~~!~ H\i~tHht~~a ~lj"ql n ~ \ ()l:. u , ~ ~ . t < ~ ~' I'" t it ~ I " :;, ,4 ~ ",' l ,-... > . .., '" Ill' il1~~~~ ~ 'i~'Q{,\.I" ~ ..l...' tfq!' ;... ~t" ~....~\....{,-.!,.~.l!'~'n ~~~it",., ~ tqll, i' "" "'\~- ~ ~ i ~ .~ 1 H!.l i h ~ .. { h t d i l' !-~ t~-~.l' 11 H r- ~ H~ ~~$.-q:l"""iP~ ,'HH l \,q\ttd-l;\ II ~~\.J: ;~l!,~f,dQl~ut "'h~-l;nt Ut~l~Ut t ~ ~~t I~- "~;!s:':.:,' t.!~. . -c: '. ~:?:' ::. ~ "Ib':::'':.. . ii- --.... ~~<:i! - . ~ l ~: . .... ~ ~1~ '"'j 1 . \, \:: C"~ S\t ......~~, ..". ~i ~. . Sj '''s i . ~ Id !, f3 t-.....n....mmm.......m.n.. , l <;\ j , : , : \ .~~~. ::~ : ,<.:- t._.._...66.6._6._.._.....__.____.._~,--... ,. I ;'b~ ,. , i '){:;-"'oc. . i ~-1:'~ 11 "'... ..~~n.-~..n-n.-_~~:.,;~.:~~~~.;;, ,~ _. - ~ ". .u.' " .'~ a~~.1.J.:.'7dNI''''' ~'r~-:~ .#:~ -./ ~.... . - .. ..~ ".'~"'''''' ,)fI~;".;' # ; , . . . t " . ... t .... rnrnrn. -. o:IEJ' ~ ~ ~ :: ~ ~ " ; ~ : " ~ ~ i" . . ~ ~ ' i ~' ,,,,,,,, ;4f..,...,,/III ~. ..__,_ .. .,__.i;J:U..J...'U'.::),-,." ":~l .'.. ,,~,--'; ,..' ,-,'~' -" c .....'-. ", '....:', :: , '. ,'>. ' ';' '. ...., :": I . , ."'- r -' . " i:~ tr Xl ,~ G " .~,~ , t',,', f I l ~ t J' ,,"',. t ....,., , ' ,,' , , I ~~ , , ' " ~ ! l' I- i \ iC, l:: I ,'.' " '" .', ',.,' ':' ,,'" l:.I. III ~ f I'. ~ '[.: ~I ~ ~ ~ () V 0 A Zi ,~ C> "";--"-"'--"'~"":'" ':, ' ':, .,' ',' ' ".'",:' """'-:';, .- " ," ',.-,' , " " , ',:, ' :,": ,": " '",,',' ,', "', ' ' ":' , , ' ''', " , ::,,' . ""':""" '-, "'.' , " , ", " ' '",", :''-' ", ":' '-":." ',,' " , ", ' '., -- ','.' ,'." ,.'- ,:," , . ',' " , . ' ",.,".'-- ",: " ,', '" ,-,' . " .-;, ,,,, '::: "C' ' , :':'-" , ", ',:: "" :'" " ',', ',,:,,"" "'" ,;,",: .- , ," , '" ,:',,';' ":,' ," ':','" : ',:, ',' "" .-::' , "',' , J-""" " "', ',"'" . ,:" "',., ,--:';, .',' ' , " ',:-' :,'" ".' "::.' ,.' ,', , :"', '-,", -"," ' , ",,": ',,' :;" ",. '-"."".,,':;,.i, ',<'-,: , ' "-,, ':,,--: , "," ,:' ' .,:",' ',' -,,',', ,:,' ','--, '. " ,',',", ',-: :' :', ,"""",'" , -' ", "".' "'liliiii ",' " ;j,-- :':,: .', , " " '...' , '" """ ' :, ".",','.'" ,", , i:.::, ':, ':' \ r,::, ---'W'", ~ 'J;W)..,," "". ~;;rl!~,::~~ rf5 ~f'.):-'( .;~ " ~r~;>-J---~'ao JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Jeflerson Street P.O. Box 1220 Port Townsend, WA 98368 (206) 385.9160 Gary A. Rowe, P.E., Director Rober' G. Nesbitt, P.E., Coun'y Engineer MEMORANDUM t((){PY TO: Board of County Commissioners FROM: Publ j c Works Department ~"- DATE: May 18, 1989 SUBJECT: Open Right-Of-Way Permit, Eisenbeis Ave, in Eisenbeis Bayview Addition, Discovery Timber Company. PROPOSAL To open Eisenbejs Avenue along Block 37 of Eisenbeis Bayview Addition, from Otto ST. 300' to the East. The road would be constructed to prjvate road standards and would be used to access' property, fjrst for logging and secondly for re-sale. COMMENTS 1. This right-of-way is within the study area jn the Glen Cove Transportation Study, however, the study should have no effect on thjs segment of right-of-way. 2. Terrain is basically flat. 3. The right-of-way has no timber, prevjously logged. RECOMMENDATION .. _ : ,; .~ ,:,~",0:~,'~ ... Approve permit to open ~,~~,~nbeis"Avenue"to":'private road standardG as requested. ~ :,,:::',:',''-'', ~, ", APPLICATION YO OPEN RIGHT OF WAY Application is hereby made for a permit to open right of way. Please des- cribe right of way. (Attach drawing or map) j:;seN Be;.., /luF ~P-tJ/YI (Yr-1-o -Sr. ,<ippi2o,:<. '300' *- -1-1,,,. t=:I'1ST') /iWNJ BlocK ~7 ,-,1= ~;~@..uRP\~ \3AvlI,'Elv..1 ~\');~ .'oA' Applicant agrees to perform the work in strict compliance and conditions set out herein. and any special provisions Applicant Name PISCoJ.~~ 7" fV'{~ c..o Address 4~o Ol;,,-,,J~ ~-:> pu~ E.fi;::> ..,..,,J. -\~r ~ with the terms attached hereto. Signature '7!H" Ie Date 17 ~ l~e';1' ***~*** Subject to the terms and conditions below. permission i$ hereby granted to (~~~icant to open right of way. Applicable provisions are denoted by an ~ Applicant is authorized to. construct a private access road to his or ~r property in accordance wi~h applicable standards for prtvate roads~ TIl .1 r _ 1 I I I " _ I - '_ - . J . The permit does not prevent other lot owners from using the access road. . In' the event u~ers of the road wish to have the road maintained by the county... the users shall improve the street to minimum county road standards. ~rmay . form a road im~rovement district per RCW 36.BB to pay for the costs forA improvements.7/1e I'lJ.lrf of wr;::r. ~/itU1 be ,uOeq-eti' anti ~tu1 bl} a.- /"C<U1utY " land Surlle:Jor cd 'Me- tJ.ff/,"c.a'l1t"'S eYflhlcU-e. ' 1:7 Applicant shall construct a roadway to county road standards. The rTght of way will be located and staked by the County Engineer. After con- struction to county road standards. the new road will be maintained by the county *Note: Applicant shall pay the county one half the mill value of timber removed from right of way in order to offset costs to the county for future improvements. RECOMMENDED FOR APPROVAL BY~~~~~~~ APPROVED BY ~~.......... {l,/J:?---~ th"i1~~. Board ~Of/i:ounty COll!m1ss1oners DATE /9/17/flgy DATE :;,~ a../J' f' / / : , ,'. ,.' .".,' . .,'." .,' .. ,'~' , , ," ,',' ;"".': ", ',' .' .' '., ,'" , "";',':',:,',' "''- "" "", ,-:: ,:- :,i, "" , .,' ii' ','i ~r."'.",, ,',::.:'. , " ':" , ;;' " " , ," , '.',. ;,,11.....,_ r;:.<:J/{io,? :>f'';:;'-O~I '/'(), ~ ",' /1- r-;-::;-r:;-~!, , J .J .. ..., ,~... ~ .S' .. I, ,I" ~ .". S.. ; ,/,: ,-' Ii! r ,I ~ ;' ri ;-1;J-,U . ,i'?' I .' : , ... 1,\" 7 ; :,.: /I : ,J JI J' I: ,~ /I 10 q r 7 I~ 1/ ,. ~ I' i 7 1/ ,. , r ;:: RICK' ! i i AJ/C:Nl./~ . )p" i:..dltiCk../ -: : .... '.... ~ ,'1 , . .. '... !.,.. -;"1 q I, '-;.. oJ '" .; , I.. J "'" ~'I' I .. oJ .,. y' I , ' h.: !. " 'If. I ,. ,. I .l. "7' Ii' '~ j , U l.. 'I,,,,, ~" _ . I~ . ~ f-! ,== .,.~,==r=~-f::~=rt '? '? 1~ -~ I . , i . . ;'! I ! ~ I " I' ,'. '/' " .r .' "'rf:1:::C/J-III,nJ"""',;;, 1~/rlc.I,,~., ".~IIQ"'J'11~ IlIa' Ii ~w ~. r AV~N(JE ~ I .: i~ . F;.:rcrifl:~I":3J,:rl(. ~, ..... "'1.1' I'!" " "''' 'I '" "I~I" or. ~ ' . I " : i I j ~ ~,! 0 I ~ I _ : :/..j ~~~~~jl"~ -t. I~ "/ ,:~ i I ," :: I I "I I 0 , 'I.... I I! .. I ~?- ~':..t.:..JJ.'I.:.tJ.. ~_'~ '" I)." 1.1" V 7 ''''I,/A ~l~ :,; \J ,,1.le~"'F.". I..€S ! I'Ttrb' AVENI/I:' I "'''.:;; ; ~.71 ~~ ' J'''''''' or, ,.. '" fC' oS 'I .. ... II- ,i-" I I. :' " II ,I 1;'0.,., .pI I ! I ~ --1.-: I} !..., ! 1) '" - ... I '1" - - .. l.,...,.,......, r-.-=t9'1"'i-'m <:S f I : ; , 'i: I I:' l ~;:'f Ii' t I ~ ~I-. (..',..,' 1"i~/" n ,.. . , ,'!.~." 1.1", 1".. ""'0"": l3E:/S ill AV,cNUE: - _ J I .; ; :=r=.nn .~~... I I ''''' "~~ oF · II ~.. .. ... 0 ) I! ,; 1-3......! ! .13 'I I. J 0)" ~ . '. I' .:5 . : . ,r.I,r.,.'1' ':~.::.,1:-':ols:." ~~:",,:!~!e . ...=1.... f' ......, ,... .. .-. ,... .'" ....0 .l'il.. ",~~.._ e 01". .....r. . _ . , , ]' r;S~I~R. '1~," ,., ! iT ! i' L.ot / .. I /. S,/"''i: , I, s.P.,: '! '!,':" ~~y -,r- I I OOI2/201~ I : :Esp ~ 'I> . ':~" ''.\.''\(0-.. ) 7 ! 1--+--'. " '''~ / \i' ,",I. I 2 ! !' . II'! '"', "-, *"~, : ."" I I /, ''1\...', ! Z,1:.Af.7J?lN i I ;.;:'VW NENW; ~,_, ~--i.!'.5!_ Lor 2 I I:, (res,; PI",red) ,~ ; -/ -.J i ! ': OO/;?I;?OO6. . i '., 'f ',.VI " t. 'I !.1;:.(;::. '; ;i ;.!' ::~) i 2,'i ,i ; , l 1.0';' II !:":;:lr;;.~{/;-i:::11;kod ../'e,i'ti'.. , , 'O'"'/"/~.O/'" I ('/.';, '!~.I;,T:.':.)1(",;"-j,' :'''':'.\I.o',~ , ,I I 'wi "'. '" ~"":~,.;,-\;I/.:'J..,,".:t,''1''o !.. : 1'1 ! I ' ' I \:l'~."',~" '".1'......."..;./ I :'1' \ ~ ,,;,...... .~..'''!'';''.-:CIV,I.I'::# "',--"-.:"T'!' '-r-.- ,/:" I \i :1' ':11 ! ,! ; /2 :\ \ // : I ~~"I ','/0 i 1\ 1'\ grARNt"'/'S ALAr ! \ \ ' , v~/, / , ? ~ 6 I '\ ~ \ n~_ I .." ' ..". ~fr ", f,', ", } J>..' 1 ;. /, l ! ; 1:: ; t ,. , . /, i \ \ " "". .' l", / ;- I j I I ! 8.: t- -':"-.,' 9 I, 7 I I , I! jI s , """":'"'.',, ,,! " .,','.--, ,'. ': ::i.' ",.'" ',., , ':'., .. ,.,'.:'. ,':! " ' ,:',' " .: ,',,:" "',:, .:.', ' ,', ," " , " . ': "'.', ' ,-,'" " , " ':, , " ',: , .- ,,: , , :,...", ',l :......::" ,:, " ',,' ,', ., , , ,':',':',' , , --- ",..", I( ',' ',' ",'.', ",:,.j !,', , I",};,':,t:' I '" """" .- ,.:,;.,':> ,., ' ;L~'-' " " '." . ,'....,....: .:' , " , " ,:', " '., ,', " '.: , " ,'..,.,. -:-::- , .. '.' :,-",.", ," <: ': :'---,' ,', I I I. ;~s). ", ''',',i, '-'", .- ',; , , '-'-" , , :,' " Ii:',:, " -,,"."",'; _J.'''' .. e-~.( Oi'.Jo.'e;fJ ,/'" Jefferson County Jail P.O. Box 1220 port Townsend, Wa. 98368 Attn: Ms. Carter Breskin 4/19/89 Maintenance service will be furnished by Scott & From Co., Inc. during the period 4-89 through 3-90 inclusive, for the sums listed subject to terms and conditions specified herein. ~ Preventive Maintenance Inspections: MlDITIVE #1 Labor and parts necessary for routine repair, excluding comp- ressor and heat exchanging coils: ADDITIVE #2 Full labor and material, includin~ compressor and heat exchanging coils. This agreement may be withdrawn if not accepted within sixty days. ~/?;/ ~~ Larry Law Service Department This proposal as set forth is hereby accepted this day of , with the understanding that there are no verbal alterations to the terms and conditions as set forth herein. This agreement shall consist of the following elements as initialed by customer's representative. BASIC BID $580.07 ADDITIVE #l $698.71 with belts ,../ ,,; i !:,:,.':~':t;,;, ,', .(<)::.J ,'.,;:,,'";:,_.~ \ MEMORANDUM ~ee_ C/c;;,_"yo ~'''''-''w.,., ":.....,. 'I;J'~/"<',' , ,1.,~. },,~ 0if~'!'r. ,-- ::,~~' :~:;t- r rJ>' /<..'i,:\~~ '.~ , 'i"' JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Jellerson Street P.O. Box 1220 Port Townsend. WA 9B36B (206) 385.9160 Gary A. Rowe, P.!:., Director Robert G. Nesbitt, P.!:., County Engineer To: Carter Breskin, Facilities Manager From: K. Robert Henderson, Safety Coordinator Date: March 17, 1989 Sub;ect: Multi-service Building Safety Inspection On January 26 of this year I conducted a follow-up inspection of the MUlti-service building. You will be happy to know that I found no new discrepancies; however, very few of the problems found in our first inspection have been corrected. I have listed these problems below with what I feel are the highest priority items first. I realize that budgetary constraints are a problem, however, I urge that some method be devloped to address the problems on a monthly or quarterly basis. If I can be of any assistance at all please feel free to contact me. 01-01 01-02 01-03 01-04 01-05 01-06 01-07 01-08 The railing on the stairway leading from the parking lot to the building needs to be rebuilt. Fire extinguisher signs that can be seen from the hallway need be added in the Heal th Dept. and the community Action Office. Fire extinguishers need to be added in the Annex and a mounting bracket needs to be added on the second floor. There are exposed wires in the panel box on the first floor foyer. Non-slip surfaces need to be replaced on the outside (North) stairway. Breakers need to be marked as to what they control on the second floor elevator landing. First-aid kit locations need to be marked on the second and third floors. Safety bulletin boards need to be placed on the second and third floors. A permanent solution needs to be found for the throwin~ of cigarette butts onto the Hospital roof from the North; outside stairway landings. y~~'c? J~ ~ Robert Hen~, Safety Coordinator cc: Ella Sandvig, Mental Health Administrator ",:",','0''-': RECEIVED 611 BACHELOR ROAD GARDINER, WA, 98382 APRIL 10,1989 APR 1 2 1989 JEFFERSON COUNTY PUBLIC WORKS DEPT. MS. M. CAraER E'RESIGN JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS P.O. BOX 1220 PORT TOWNSEND, ~JA. 98368 DEAR CARTER, ENCLOSED IS A LETTER TO THE DEPAraMENT OF SOCIAL AND HEAL.TH SERVICES SHOWING OUR COMPLIANCE WITH THEIR I~ECENT INSPECTION OF THE GARDINER Col1MUN I TY CENTER. ALSO ENCLOSED ARE nJo PACI(l NG SLI F'S FROM oL YMP I A PAPER CDt1PANY FOR RECENT COMMUNITY PURCHASES. ELYj~~ GEORG. L, GATCHET PRESIDENT GARDINER COMMUNITY CENTER "'XI',,~'(.1'_ ,",~ "..'"' 611 B?\CHELOR FWAD GARDINER, WA.98382 APR I L. 1 I), 1989 ""'l ~' - I ( , ';, , I ~ \ I }, ! . I ,,'. , , '.. " " .:' . '"., ". "., ;; l:" '~<. ~': I' ''',' " , , ", <, 'o; " ,.' ;..,"...,..' ,'" ,"'.' ..,.'., " .,.':" '.,., ",< '.., " ," " ,", . I, , L....-.. , ,.-' ,,' : " ' , ';, ,.-'-" .-, ,., ',:.,.',..., ' , ' ".: '.' ...' .- " '::-', ',' ., ',: .- .,..'.. '.".,. ,'.,,: "," '.. .,',.. . ,,' .......,.. ,'. ' ",'" ; , . ", " '.." . ,-~ ". :'; ...",'. ,', " '".. " "'. .:.< . , ' , ',' ,'/<;'\:. ',/ ">:., ,.' ','" , " " " ',', ''-.',; '>", , "':" ",' ' ,--, , ,,' ,: 'i. ".,' : ' '" .-, ," ',',,:' .' ',".,.. .: ,,' -I,.,','...' .,.... , ","-",' . ..., , .; , ,:" ,,', ,": "':",.", . --'.' '" ',.. ..,' -.J< ..'. , ~.<: ":', ',', ','..,' " ',.' ...: ,. " , , :.:' , , . .,.. ,....,'... ,... . ,..".'." ..', , , , -- , , .-. , , "",,' .' .':: .'. ,:'".'. [ -- "'"',,, -' "-,-,', t .', " !" ;". I ..,. . " .' / " r" ,,': ',' , :"",,,:" ",' ,:.- " , '," ':", ',", , ' ,. ' " , , GWEN ~I. HOWARD DEPT. OF SOCIAL. HEALTH SERVICES 802 SHERIDAN PORT TOWNSEND, WA. 98368 DEAR MRS. HOWARD: THE CEILING ON THE MICROWAVE OVEN HAS BEEN PROPER CLEANED AND BAR MATS PURCHASED AND INSTALLED ON SIX SHELVES THAT STORE CUPS AND GLASSES. THESE ARE THE TWO BLUE ITEMS LISTED ON YOUR APRIL 5. 1989 INSPECTION REPORT. THE COMMUNITY CENTER IS NOW IN COMPLIANCE WITH PART TWO OF THAT REPORT. :r)~ GEORGE L. GATCHET PRESIDENT GARDINER COMMUNITY CENTER i<-' j:. 1;"" , ce: CARTER BRESKIN ~ DEPARTMENT OF PUBLIC WORKS , ( ( 1 J, \ --:", ' ::'., , : " ' " ':,.'." " -- --, ., > 'I" ,." I . --- I:;, , '/ :', <" ,', ,':, :" ' .-', ,,,", ,", ,,'. , " , :Ii~i;~i ;",::~,:~(; ',':,,'-;,:, ': < . / .- , " .- ' , ';.-, ',' .- j t' ! Ir 'f,_' r \, , c, , " ( ":', " , I ,"':", ,,' ',' :", ,', ',' ',,: ,':,"', ::"" ,'" . ", ''', ", " , 'i, ' --, ,"i ~' ,.:. .; . " . '; " ',,",: ',' ':"', ''', , ',:' ,,":,',--'.-: , ,': ' ' '. ' ,'i,' ,: ',:.' " I :" ".-," , :," i: . " "':L I, ,'L _ _.._ __,.___ ..,~~ _~..,__., ,.,_,..____._,_ n .__ .._. ',' , .-' .-' " @f3iJCS OLYMPIC PAPER COMPANY ~ ';:'. ;: . ">r . "..,.., r '.....",,1 " ' :', ,,;, "': , ,", ,.,'. ,....,. :',,' ..- ,'.i . :" ,.- ',; , .' SANITARY MAINTENANCE SUPPLIES & EQUIPMENT 2BOQAcorn Lane . P.O. Box 760 . Port Angeles, WA 98362 . 452.9211 BILL 10 JEf'F CD FUBL 1 C vJOI"I(,J JEFF. CO. CDLlJ~THQUSE F' 0 BDX 1 :~2(i P[JI"T TOvJNf;;["NlJ, Wi,' 'IlT::;dJ 9\J~:r! ~,CCT;,NO. I PURCHASE ORDER NO. .SAL;E~~~!'I"90DE " '.....", I r~ " SERVICEREP, " CI' OTY.ORO'O OrY. SHIP'O , :. ,,\,:;,' " ':: : " . PIEces, SHIPPED ,':~ DATE RECEIVED L I OTY. BfC SPECIAL INSTRUCTIONS I y U/M LF PRODUCT CODE r~r-l-'l.bUOF: , , , I -- ., . 1-800-552.7294 SHIP TO SP~CIAI.: TE~~S . SALES ORDER - '," " iii' " --: '.- " f::,:, ,'. 1;-- ~ II ' ~' .' , ,'. i:.: .-'.:, l) .,,' '. " '".., "", r ,,>' f'" ," .., '" " ,,~, , ',,:,:':',' " \ ,.'..:.., , ' ',,' ,'''', , :,,:,': . ",: ,,,", ' , ',:, ,:" :' , " :' ....,. .-- -- ._--,~ - -.' ----'._~ _..- .~-- ."-- I ~'rfEs,.W., r ORDEROA1E 1.,/I/(\<'.,,)i:{C, , ,', " " , , . FREIGHT I DELIVERED \ BY(/S r~(\wc ! 01' J O!',f-iD II\lE/~ CiJ/1/'J. CENTEF' 1'1'1 It)! E<LD[,BI'10666 I nRE9l!IR,ED SHIP DATE ORDEI1 DATE l -- .,","'" '1"~'" 1 I F.O.B. I SHIP VIA I WlL.L/CALL DESCRIPTION (iEF<[JL.li'IE'~ nE D ::4" X4U ' '-UH LOCAT!ON UNI:,I-WI'Jl1 , j, . .- '. .,'.. ',' I ('" / cI Jc:'/vhu7 ;;; MERCHANDISE RECEIV;.I;l/~/ IN GOOD CON?~:~fl-.v1-Y:-. MERCHANDISE RETURNABLE QNL Y WITH PRIOR AUTHORIZATION. BACK ORDERED ITEMS WILL BE SHIPPED AS SOON AS POSSIBLE. .," I I " , c ,-, - '..' __, , ..' ''',' ,,', " ,,' :', :.-'; , ""',,:",: , ,', ' "" " ' ' , , ',,' ;, ,; , .' .' .: < .. ',' '.., ..,,'. ':.-, ",:,,-, -":',', ' ,-- '.' :'-'-:, ',,-', ',,'...: ,'" ,- "," " " "'i .- '..',' .. '. ',': , :'..:: ..,..<.': " ' "/"',' ',' ,',-",' ,,' ',..' .' '" ': ':,' ", :: ':,':. . ,''':.' , ,''',,:' ',' ,<: ,.,,',: , ,,::' .. '.,;' , ,',' .: :'.., .. -1',......"...,' .(:; , ' " i.~ "1:W!j!I0[::' "< '" : :",,:,,; ",' ','., .., ,,'-. : . ,<, ," , ' " ,::": ", . .,: .:'., , .' :". " , '--:' .. ',.' "i :,-- :', " ," .2J I11III > ',,"' , " , ': ,", :, ,... ,....,.". ", '.:" .- i/<".';",",,: ',,- "." , ," , . , .. ,;!;~~~ . ..,'...,X..,.- , \,:::: ,;.".,......' .,' " ,', . .""',, ,,: ",' ",' " ,': .' '..', ' , .... ',' '. " '. .' '. " ii' : '''.",. ";':;'~ "~I: - .) .',. 'J j ::..i,,:\':".'::,,::(:I~r-' .') "-:;- . .:.1'1 " '.,.. ,', ' . . . , ' , -- ,.-" .- ..' ',". .';' , , ,,:' . ',' ' :', :', ; . ":.::', :;~1;: \' /j1?f,:J,: " ",' :, .....,:. '..' '. '., " -- ':" I ; ": :"; !. ',' ,,', :, ", ,::: ,.';, , ,', " ,,' : " "",,' I:' ",' " '. ,', : '.' i .;,~ "..""." I,; ,~, ',."" ':' "",:. " I." , I", . L L , , , , "'" " I CJ./~[5 OLYMPIC PAPER COMPANY ~ SANITARY MAINTENANCE SUPPLIES & EQUIPMENT 2000 Acorn Lane . P.O. Box 760 . Port Angeles, WA 98362 . 452.9211 BILL 10 JEFF CO PUE<L I C ,101'''<8 JEFF. CO. COlJl~THOUSE F' 0 EiOi{ 1.220 r-'OnT TO,SNSE:ND, W\ ';>0:",,;,, 1-,. CUST. ACCT. NO...:" I, PURCHASe ORDER NO. ,I SALESMAN CODE >JU2'i'i4-j I GEOF<I,E l:ifHCH 10/, HOl'FI1 I (\jET .- ,.:- SERVICE REP. SPECIAL INS1RUC110NS or.;: I PLEASE LEA'IE ON POf'~C1j AN'- 1\ ~ QTY.ORO'O arv.sHI,:"'D OTY,BJO UlM PRODUCT CODE ," 1 I .' ":" 1"" 1 " , ,', ", rL : :' ,.,'> ,1 ) ':"':',1',., ' ''', , ,:~\, I'. . , , ,: 81._ _(]r::'.-'oOO:.~. JE1<76X cs C~3 ,.11=';020 , ',,, ":, " '" j ,'.1 i ":' I ~ ,-C PIECES",>:.:,: ~,I~rED,:~",\, , DATE RECEIVED " .3 FREIGHT ,:,'.,' ID3E~DB ^ IBW-- " MERCHANDISE RETURNABLE ON!.. Y WITH PRIOR AUTHORIZATION. BACK OROERED 11EMS WILL BE SHIPPED AS SOON AS POSSIBLE. . 1.800.552.7294 SHIP TO/ / / r '.. MERCHANDISE RECEIVED IN GOOD CONDITION -- ," " L I SALES ORDER ~( .A(1JVY// I) f' c_ 11"11:.: r ~-'.J.LI..L tH\'LI',lb I::'" 0 F.; Bl_DG :81'10666 J.l'-l LoH I t.:_h .' .11"".' .-J :::, -:-. ' ; ", " ',,' ":;'.; ,.....",.1. , .- :::', "".'. ,....';, " ", " .-J " " 'H 11'8/11Oi# NO ~.l.I1'''~' 7JJ.J.S <7HlKl,f ',,"OI.J:1~f; ~O:1 iN Q .. ~~~~ ''0 \l\>()~ .', 'to i;j ,,~Ill... '~Ill~(S~~~ ~~"'~..~~ ...~~ ~~~ 'Il'<j,'k~h~1-.. 1..:....l:l...1Il II: ~::t"....>Il...() ~~~~Cll;;:l\. Q~~I\:~~" ~I..."<:"'\:)'~ ~ ~.~ (), CI ~ ~ '" ~~'''' ..... :'t \J 1.0,' ~,""~" ~~~q:'~~~~ " I...,~ ~'<::> ~ ~ "...~"'" Cl~ () "" ~ ...' ,'Q '!. ~ " ~~~~~I:i~~ !:l L ... () "" III '" ~ ~;:;:~...~~ :s lI:'v~ .~ () I-.. ~ ~~~~'1::~1/I ".... '11: " llc I;:: . ~ \j ~ ..!j) ~ .. ~ S\ ~!;:\~' !<I~ ~~,,~,,~~"" ~I:i"'''-~''I:i ,~ ,~I:i?i'll~ ;)1':. "~"I~ ~ ,,~ ~U~ C:j,. ~ I';'<;\c I;::~~!\: ,~\j~~"'~~. ......1:1 ...11;; III 'I; ~- ~ ~~"~ !:llCO~ l:I~lQ,~~ \!l ... ~ '.. ... .1:\....;1: ... ~ ~ ~ () ~ III ~ ,.IIIQ , ~ -':-"'1/1 !c~~~~,~~~ \J~ S~ 'S~;o, 1:I1.'l\i,,1:\ ~.: ~ ~ ~,~ 'Ii ~ ~ ~ ~ ..~~~,~,~ 'l\~~~~1 .. ~ \i ." ~ ~ \. ~ ~~~~~,,~~~ ~ IIIt'1i~"\o;"'Il ...~\C~~~.~~ ~ ~~l/)(a'll~ ~~~~~~~~!!i ~~ "'" \) "i l:; "! I r---- ----- hi.. .,r.O,! .0/'1 ,\ 't:"i.: /- ~ ~~ ~~::<.... '-:~~... ~"'~~ ....~:::':l: ~~..S) ~~~~ ..~~~ .....'\,0 ... ~.~ ~ \> .. ~~l\:~ ~~~~ ~~e~ ~ ~... .....~~ ~:::lQl/I ~::~~ ;:V1~~ ~~. ~ ~ :>:'0<:)"" ~~~.. t~~~ ~~~~ ~,\>'< ~ ~ ,;: III ~,,~~ \ . ,.... ~ ~~ ~ ~,~ {,j) ~~ ~l:\ '" ~~ '" ~a ;i (2 ~~- '<i ~ ~~l~ 'li ~~~Sl I~ ~ ~'< ~~~.~ ~ ~~c:i~ ~ ."1 ,,~~ .. :'\ '" ~ ~ "i1' - \.t' . o Thl. lorm I. )'ol.lr r~CtrjPI ""hon ;tamped ',:" ' by c"'.hl.... PIIY by enh Of c:on.illed check to Count)' T~...urtlr. " ' No. i.134 ,.",.'",'..', :,..". ,,< ,', . "",,,;\'c"":"r6"~" ":;:~';':"'"-~'-<');':;/:7'1"::f:;r'::7'''"'2~2'i;~i;,;~/,;z. JEFFERSON COUNTY HEALTH DEPARTMENT pa4L-A-~ ENVIRONMENTAL HEALTH 802 Sheridon, 2nd Floor Port Townsend. W A 98368 , !206) 385-0722 /1 --_~ ; /JI (,; ,,' LA;,.J '..,;. ~'~ "" C. /. .'_ ~;:, ,:/:~:~( >p . ,;,> '. , " :', -- , : , " "; ,:'" .' >, ....' .. , ...-- , . ,'..,.. .,'. ' ','. '.. .,' , ," :', . . ... "', ,','" ',,, ':' , '. ,', '", :,' , . " ~,~~1' ',', .."'. -.: """':: ,", ': ' " :,,:tti~~;\~:(~:'~<J ". ':. ,~: -- --':, ,,' , CUSTOMER NAME DESCRIPTION .~~! / '" J' I ( .:;. ,( j /:~" ,'....r: -- .-',. ."'" . ':'". ,"" ~,-- ,-,:,: >:71-:// <~ '.'- , "'" DATE -<' ;>. :< 'J' s/ TOTALAMOUNTs //~ .; ~s.,. CASH S CH ECK 5 <./' ',' SEPTIC SYSTEM New Installation Repair Re-evaluation Designer License Installer License Designer/Installer license Evaluation of existing system Plan Review Renewal Holding Tanks WATER , Site Inspection somple, (per bottle) FOOD SERVICE Licensing ",:,:.-, ',':' , 'i'" , "',, SOLID WASTE PERMITS New Renewal Plan Review Grocery 0-50 51-100 RECEIVED __ ~Oio~OO Lounge Temporary or Mobile Permit Food Handler Permits Plan Review Transfer of ownership Reinspection fee r~AR - C 1989 , " ~. ': JEFFERSON COUNTY PUBLIC WORKS DEPT OTHER t.. " If' I %~" Specify <, ;,' f " .. ", ',' . " " ' ", " ,,::,' '.' ',' .' . . ,. ',' '...'...',.... ..'. ,,' ' ',' ' ..'..,': ,', ': . . ,:' .' ,'. :,' " -- " " .' "'.,:' .." ". " ' .' ",:" ,".. " :, .' . , :, .'... > '.' ,."...,... :)'-:.',t";.- .. ',',: " , C"", >,..'. ,"". " ,:", :'." ,:' " ,'. 'I, ,-- ";, ,: ' " ,- .:', ,:' .'. . .: ." "."'..' "',,.-,', ' ' ,.' '. .." " ,',',' ' , .,' .... " ' ,'.,.: ,..:':.:':,.; '.. ,',,' .',' ,.'. .' .', ,", . ...'..." ,.., ..,'. '''.-' " "":"", :,' ',' .. :', .;,' " ".. "., . ,....' '.' "., . :,'1'. __', ", , .- ," ":-- .', " , : , " " ...'..",....,... .'. ..,. ,,,;' .--'-',:';.','-." , ,: .:. ,., ','. '., ," " '. ...-".. ...,'....' .' ",.., ,'.... ..: : ','-' . . '..,. ',. ,.' " ": '-': " "',' " ' -. '..': ~J',.'..". .... " . , , , ", ' ':, ' ',,' "', "'.'., ',' -"" ' ".':.:.. ,:'..-'.' L'., ,,-,,', " ' , ',' :, ,:"" . ',,",:,', ":' , ',:;' ':" '" ,,,, '", , , " ':-- , :, ' ," ' <., ',','..::,,', ,'" ";' "", " I, ",.- ,:" .' ' ' I'l~ " ;..'.. , .-' ,,',; :,... " j 1 . .- " )' , ' ." ,,' , " ',' ',.:' :,: :' ".-J. , " "''',:",,, '..2Ji: .-:,: ........ .:J~-:llct'~QJl L.OUIlc.y ucal.LIl UCjliH"llllClll 802 Sheridan Ave. Port Townsend, WA 98368 206-385-0722 K.CC~Jllt, IoU. "..... J;,.J 7 Fce: 45";:- ;;l.-':>-3 -1'9 Date: EYllLUTlTIai CF INDIVIIXJAL S&W>E DISPOSAL SYS'l>>I ANDleR WATER SUPPf,y ~Individual SEwage Disposal Systen = Water Supply _ Public _ Private '-T' \,Ii r' \ \7 \ \ . "l Applicants Name ),-,-,,1:. <" """ .",\ I" , c~,\.JJ('C !'Hi1 C".anp1eted Report To: Q.-mers Name 1\ /\ Address ( .-', ,......A \.\_ \<" \) ( \ :)., ;L(' l...-...t.; l-r}..~, ,AI \ I, \' \. Information Requested: .'1....1 i Phone: <Jt" C:..-. ~~... l';r.. .l, .11.... il{ t. { Nurnb4:-r pt bedroc:ms (-. , Previous Q.mer (if Known) i'~,c"" IrA" '\l. ,A, ,,~, ~ \ " \ i \,year Installed Legal Description: Section _ Townsliip _ RaOJe_ Street Address Directions to propertY. . S i 0 I : L<1..,/" j' ,\, J Q,. /d) ,) ,"., ..('.,-~" Il.." \e \, , FOR HEALTH DEPAR'l'MENT USE CtlLY - DO f<<)T l>IUTE BELOW THIS LINE 5EK'\GE DISPOSAL SYSTI!M" Penni tted system _ yes _ no Installed prior to pennit requirement _ yes _ no Sewage noted on ground at time of inspection' _ yes _ no House is unoccupied therefore an evaluation of drainfield perfonnance is - not possible at this time. _ A review of our records indicate that this system was designed to service a bedroan residence, This system is not =nsidered a:lequate f;;ra _ bedro:rn residence unless it is sized per current regulations. _ Septic tank should be pumped if not done within past 3 - 5 years. W<TER SllPPLY Well casing 12" above ground _ yes _ no Sanitary seal in place _ yes _ no Well 100' from drainfield _ yes _ no Water sample taken _ yes _ no Sample results Camlents : () -'--S \,' ,',< ,-,~ c1 It - ( ..--,-\..,:' . J) Jc\",,\ ~""1 ".... 'c ";:\,,~~'" \)"';:"" ,.\," LJ _ Date I 1:'/ /,; Time (' II. ,..J( . , Environmental H~lth Speciali$t * Thje; r~t'Ort c1~ not r.on~t:itl1TP <=I lJ11rlri=tn'tf'P. pjthpr writ:tPn or jmp)j~, 'th.9t thf:!' 6'Y'='tem wi]] r;ont'jnm'lo to fllnr.tjnn prnP'?rly. 11,is rpp0rt: r:nnstjtnt'f7"~ Pi $llllllWlry of finr'lin(J$ only, EESFORM 11/88 e-eea.:/,..l(),.,:,;J.... commissioners I Meeting MinutefJ: w~ek of February 27, 1989 Page: Board a.nd then they will make a recommendation regarding th~ policy change? Carter 8:re::::ki n <.:.1dvi~ed that is correct. Aft~r furt}1t~r di~cUS5ioIl of the intcrlt of this resolutiocl and Comrnis~jorler Browflls COflcern for how tilis will t::ffect 'the timelines~ of cf..tablit.;hing poli~y, the Chairman ca.lled for a vote an the motion. The rnoti~n carried by a unaniJnous vote. ;':';, Comparative Bid Purchase re: Air Powered Automatic Tire ChanQer: m"-' Thi:::: purcha:;e is needed to repla.ce the current automatic tire changer that ',:,', th~ does not suit the ueed~ of the depO::;irt:m~nt". Commissioner Dennison movt!d to post ttle notice fer a comparative bid purctlase of a air powered automatic ;'~ tir~ changer aud to appruve the pUrChO:.lfiC it from Northwc~t sales Group, Inc. for $1,525 a 00 after the posting period e~'.E-'ires. Commi:.;sloner Ba G. Brown seconded the motion. The motion c;~rri~d bz' O:l unO:1nimou~ vote. Call for Bids: Two ( 2) Compact Uti I i tv Tractors: Bob Ne~bi t t reported that he has checked for contracts that ather countie~ and cities have for purchasirlO utility tractor~ used to mow lawns. There ~rc rlorlt: that fit the needs of the County. Commis:.;iorler B. G. Brown a~ked to ~ee a copy or the bid cpecifications on the tractor before taking action on this call for bids. Establishment of a Name for a Private Road: SnaQstead Way: Commissioner B. G. Bro~Jn moved to approve and ::Jigrl Resolution No. ~ establishing a private road name Sn<::lgstead Way as requested by Mr. DeChantal. Commissioner Dennison seconded the motion. The motion carried by a unanimous vote. Status of Repairs to Bavshore Motel: The Board advi~ed Carter Breskin th.'lt they have received a l~ttt::r from pett::r Simp~on of CAC, asking that the repair~ to the Brinnon Senior Center/f\olctel building be made by March 31, 1989. Carter Breskin reported tha t she is currently working on the specificatiorls for the repairs and should have a bid call ready for the Board's approval next week. Since there is a person wanting to rent the south apartment the discussion turned to the possibility of declaring the repairs to the apartment an emergency and proceeding witll them immediately. It was a con~ensus of the Board tllat an emergerlcy exists with regard to the repair~ to th~ interior and roof of the south apartment of the Brinnon Senior Center Building and they directed Carter Brcakin to proceed to make !;ure th3t these repairs are made as soon as possible. CONTRACT re: Archi tectural Services: Gifford McVev Arcpi tects: Carter Breskin reported ttlat she hau discus~~d the architecturHl services contract with Frank Gifford of Gifford McV..,y Archit",cts. Gifford McVey estimates that they can do the work necessar.y on the District Court courtroom arld second floor restroom rcmodelirlg for a total f~e of $4,082.50. Cart~r Breokin recommended that the architectural services for ttlis phase of the courthouse rerlovation be contracted with Gifford McVey. Commiasioner B. G. Brown moved to "pprove the coo tract wi th Gi f ford McVey Archi tect" as presented. Commissionc;:r Dennison Gccond~d the motion which carried by a unanimous vote. PLANNING AND BUILDING Shoreline Manaqement Substantial Development Permit SOPBB-0022: Intertidal Shellfish (Racks) Hatcherv: Killapie Beach: Sea Garden. Applicant: A~slutant Planner, Jim pearuon, reported ttl~t thi~ is an ~pplication for a Shoreline Sub"tautial Oev..,lopment Permit to inutall up to 1,000 commercial "hellfi"h cultivation rack.. at Killapie Beach. The total coverage of the intertidal ar..,a by th..,,,.., rank.. would be 1.1 acre". The racks are made of rebar and plastic pipe. This is a primary u,," in the con..ervancy and aquatic designation under tlw shoreline master plan. The upland.. to the site ar.., in 2 t ~i: 1;;' } t ," r '/ .. ~, t' , ~ }- ~ \': " k {, ~.\ l f~ ~i t,: j; -' ",,, , ',' '.-:' ,," c,:" " ,'....'.,'.. ',,':, '".-. " "":, ',.:,," '" '" ;,:',: ,"','. --,' :,<', :.' , --, ...',.",.' ..','..... ". ',' .,:' ':" -- ,,' ',"',:: ",' , ,',', " , ' , ,'" ' " ":, ' ' ,,', "', ,,';' " "),, , ,',' ,," ',,' """..," ,.., ' , "," :' ;" ",", ':,:' :,.,:', " . ': ':. .. --: '" ,,' '" ,.' ' ,'" ': ,,",, ',; ,,' , ,:", '. ',' , ,', "" ' ",.--:,:,',,' ",' ',"'; ': :' ", :,", ",',,':' :" ',"-- ,,',,'.',', '," '. ", ':' ',-- ': "", : ""')' ',' ",: " ,',",',' "," ", '",' ',,' ,,' " ,- ::-- , --", "," ',':, ", ,,' ',':" ...,...',' , '. " ,', ,/ i .' , ',-- , ' " ' :,' , ': ' , , ,,' ,',:' ...'.' ,'. .,.. "'.':' , ".'. ", '. ",.', :'::. ';., :" ',', ' "," ,.- ,.' "', :" ',,' , --, , ,', ,', ',..:i. ' ", ..' '..';, ..,' ,.',., .'. ' . ..'.' .', ." . '. . .' "" ..,.... ".'..".' '.:.. ""... ".'" " , ',':' " , '.,'..'..,.... .- " n. " , JOSEPH A, DEAR Director ,: " " " ',--" ':';,', " __ , . , " , ,": " i:, --:;';' :',', " "//--:',-C,;' J::: ;? 4/':; :,. :;, '; ,.',:----,' "'"," --' :,;' ': , ". ',,', o r........ \,,-,,,;,j "D) IF ((:: ft' n \Y; If. IDu"" n ~ l!:1 ~ !...:, I ..1 t.:::! ~ Li L ) STAlE OF WASHINGTON ',;, l ':' ;388 - DEPARTMENT OF LABOR AND INDUSTRIES -,'Jrr::iSON COUNT'I Genc'rJI Adrninistr.Jtiol1 Building .. Olympia, Washington CJ85().HJ63J DOAr;11 {!r ['Or~MISSIONEnS " .. ~"'~ lA.' .....,... May 13, 1988 Jefferson County Commissioners Jefferson County Court House Port Townsend, WA 98368 ACCOUNT 10: 409,627-00-7 Contract No. B-85-0C-001-8502 Gentlemen: ~ Please be advised that the Oepartment of Labor and Industries does hereby release Jefferson County Commissioners from any further liability pursuant to RCW 51.12.050 and RCW 51.12.070 as would otherwise incur in connection with a contract calling for work at the Brinnon Senior Center. @ This certificate does not release Tollshark Construction from liability for additional contributions which later may be determined to be due with respect to the above mentioned contract or any other contracts said contractor may have performed. Very truly yours, [p Kaye Kjorlaug Administrative Assistant Contractor Compliance Unit Phone: (206) 753-4398 CCU1:25.lw9.1 cc to w Tollshark Construction. 1132 Van Trojen Road Chimacum, WA 98325 RECEilVED r,~.!\Y 1 0 1988 JEFFERSCd\l COUNTY ENGIl\lEEI~S OFFICE ,"0..;, ,', ",:,,,, " '.. .';,' ",-, ,:" , ,,'!,': " "',:: .. ,:';,. '.' , "''''',~'l.;.~,1'~ ,~" \ , I , .k ,:-t;/i; " C', " . , ' '. ~f ,?\;; 'i' ~J, .. t t;" I ,I',,' I .. f': ~ " i } . "i 'k;' r '" . "~; t. ,l, ,; .'" ", <'> '" ,,". '-- -- .< <::~ ","-;.. -- -. 1\' '- .- 4~j0~EJL~;!;? ,. ...f.@J'~' .."'-...' ? ..-.,.r '--f' ~~~~i~1S~t<~~~". .JEFFERSON COUNTY PLANNING AND BUILDING DEPARTMENT P,lJ, Box I~~O Pori 'lhwn:->t'lul, \\'ashillgloll !IH:HiH Planlling (~(Hj) :~S:=,.!) 1.10 Builtlilll4 (~IHj) :!Si).!IJ.ll .JEFI~EnSI}N COUNTY COUltTllOUSE David Goldsmith. Director February 22, 1989 Ms. Ruth Daugherty, Director Quilcene Community Center PO Box 281 Quilcene WA 98376 Re: Quilcene Community Center Fire Safety Inspection Dear Ms. Daugherty: The Jefferson County Fire Marshall was requested by you to make a fire inspection at the Quilcene Community Center on February 21, 1989. The following conditions were noted during the inspection: 1. An airgap must be installed on the waste line to the recently installed dishwasher; it must be mounted above the flood rim of the sink (above the counter top) per Uniform Plumbing code Section 608 (c). 2. The east exit door does not open properly. As soon as these corrections have been made, please contact this office for are-inspection. Sincerely, Michael Ajax Jefferson County Fire Marshal MA:ak c: '.,Jeffer,son.. County., Publlc:.Works -- Department; < :. 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'" Sl'" '" '" ~::! 0 <>:< 0 "'''' * Q= >.... ;0- <>> "', :< no "'''' .. "..... ". ;0'" <> <>, '" "'-< '" o o ~'l.-\II (II Vh\'.ll;; lIoIi li-,: DEP/\RTMENT OF C.Cl'v\/'/lill';li Y IXVIICJI'MENT LOCAl, mVU,O/'MI-I'n NJI) 11<)1 J',lfIC 1 )1\11',101" Ninth .'1:, Cu/lIflIhi" UwkJiflg, ,'I IS,,-U 1-" I .. O/y"'pi,l, IV,J'.!lill,l;:, ,/I 'lil',()! .11', I or i _~('~,) ~.';j..llJO() I" (SC\/\/) .!_I./-./I.II.J() March 16, 1988 r~~~f":i~iV!ED The Honorable B. G. Brown Chair, Jefferson County Board of Commissioners 1820 Jefferson'Street Port Townsend, Washington 98368 MAR 2 1 1~8(l Ji:FFEr:.::-: I <:,>)UNT'I Er-:~G~NE.Sh:..s O!=!=!Cr:. Dear Commissioner Brown: This letter is to report the results of two monitoring visits which I made relating to Jefferson County's Brinnon Senior citizen's Center. Much to my chagrin, I discovered no official letter summarizing the results of my visit in February, 1987. This letter will address that monitoring, as well as the one performed on February 23, 1988. While monitoring the Brinnon senior Center project, I met with Bill Pollack, Gary Rowe, Frank Gifford, and Geri Robison. I have examined recordkeeping, eligible activities, national objectives, environmental review, acquisition and relocation, financial management, and labor standards. I will comment on each area of review. RECORDKEEPING My review of the recordkeeping system satisfied me that it was complete and thorough. It is very easy to examine and all the required pieces of information were readily available and accessible. NATIONAL OBJECTIVES This is a general benefit project designed to primarily benefit low- and moderate-income households. My review of the surveys documenting the percent of benefit revealed that the instrument was appropriate, as was the sample population. ELIGIBLE ACTIVITIES This project consisted of acquisition, renovation, and sewer improvements. My site review and check on documentation found that actual activities were consistent with contracted activities. '\'lho'l!.'olugy .111t! Ih~llul\ 1'1('~"I\'dli')n ~ 1,\1"11:'1,,,: "'1'1 1:," """ '1"""'."II"'I\l.. I',," I'rult'l'liUIl ~t.)rvi{l'" (I IlJc.i1 1)('\'dllpI1ll'11l 011101 1101) .'11',: " '"" "I \,' ,\ "I' ill,'-, II .. 1\,1 II" \.., II ~ . 11. EMPLOYMENT HISTORY (beginning with latest employment): A. Company Name Lo..rrO-l'\.c...Q. -\-r u..c:.\..", I',CLY U kJl\Shi "Atr..... q',n.;,..>;> Ci ty CJ StateV ZIP ~..- 0('<1-"0.\<'''-- I ('r \ Job Title h.a\v.r Immediate Supervisor C. ~'\--\- hafF,>"ca Dates Employed lI)aJMr,n\li' r'" "'~.rr,-/"y Salary 7,<V'", is- nc) From To Beginning Final Duties \< ,cK c.rus '(\( r( ( _ '., ..-vl / ,,'1\ 0. c:. ' (\LX) ,," **..* ....* .-..* ....* -.... B. Company ~ame .5(.L.\,~~ Address (':I"1C>t, )(\'SQ rv' WI1<;h:.tt;lnil City S te Job Title e:,Q~Q.r Dates Employed 'lY/tar. h From c Duties rc ....* ..... ....* .*.** .**.* C. COmpanYN~me~::J~h:.:'l(\p~~Q. R-LK~'1 ('~ Phone '~??S-5\~ Address hi"T I,' a S fn oM '+.0." q'i{~(.. Ci ty Sta ZIP Job Title \5o...t<.oJ- Immediate Supervisor fJIIoll'( t3rc:nKs Dates Employed ;To..... '6'(, 711ar,J, j(!?, Salary "'.(''''' (~,I'>O f\1rb- From Lto Beginning Final Specific Duties P-,c. KG ,-"II A; ncX\.-\- \'\~(\&s rI:. (Sro"ct s" ("7r'),'~ +hQ, hc",,\. i (' n r. ' ...*. ..-.* ..*.* ....* ....* D. Company Name F;s/'; 11 ~ ) IJ 41 CL$ kA Address r:r City Phone State ZIP Job Title Dates Employed From Specific Duties Immediate Supervisor Salary To Beginning Final ...** _...* ....* ...*. ...** 12. Talents or Special Skills 13. Do you have any activities, commitments, or responsibilities that may prevent you from meeting work attendance requirements? NO~ yES_ Comments: 14. Do you have any handicaps that may affect work performance which you feel should be taken into account in determining jOb placements? NO..)(. YES_ If yes, please explain. 15. Do you have any problems becoming lawfully employed in this country because of visa or immigration status? NO~ yES_ Comments: 16. Can you provide proof of citizenship, visa, or alien registration number after being hired? YES--2L-- NO______ Comments: 17. Have you had experience in the following: (a) (b) (c) (d) (e) (f) (g) (h) (i) Carrying out varying job situations Manual labor Outside work Use of general hand tools Use and maintenance of power saws Driving truck Operating small equipment Had others work under your instruction Working with others and the public Yes-X- Yes-X- Yes---.ll- Yes-L Yes-L Yes-L Yes--4.- Yes---x- Yes-X- No No== No_ No No== No_ No No - No== Comments on the above: +0 Kf\ou..) 18. Have you been convicted, or have you served time in a correctional facility within the past seven (7.) years, for any crime which might have some bearing on your qualification and fitness to accept the duties and responsibilities of the position for which you are applying? NO--X- YES______ If yes, please give details. 19. PLEASE READ THE FOLLOWING AND SIGN BELOW: r certify that all statements knowledge. I understand that cause ~Itermin~ rCULrZ C 1(, T Signature of Applicant above are true and to the best of my false statements shall be sufficient l.J - / '"h - '8'1 Date 12. Talents or Special Skills 13. Do you have any activities, commitments, or responsibilities that may prevent you from meeting work attendance requirements? NO~ YES____ Comments: 14. Do you have any handicaps that may affect work performance which you feel should be taken into account in determining job placements? NO..J(... YES____ If yes, please explain. 15. Do you have any problems becoming lawfully employed in this country because of visa or immigration status? NO~ yES_ Comments: 16. Can you provide proof of citizenship, visa, or alien registration number after being hired? YES--2l-- NO______ Comments: 17. Have you had experience in the following: (a) (b) (c) (d) (e) (f) (g) (h) (i) Carrying out varying job situations Manual labor Outside work Use of general hand tools Use and maintenance of power saws Driving truck Operating small equipment Had others work under your instruction Working with others and the public Yes-X- Yes-X- Yes----1L. Yes-L Yes----.:i..- Yes-.:i..-- Yes~ Yes~ Yes-::t-. No____ No_ No_ No_ No_ No_ No No== No_ Comments +0 the above: Kl\Du..) 18. Have you been convicted, or have you served time in a correctional facility within the past seven (7) years, for any crime which might have some bearing on your qualification and fitness to accept the duties and responsibilities of the position for which you are applying? NO~ YES_ If yes, please give details. 19. PLEASE READ THE FOLLOWING AND SIGN BELOW: I certify that all statements knowledge. I understand that cause ~ terminaID fau~ C_ !(, Jr: Signature of Applicant above are true and to the best of my false statements shall be sufficient l.J - I~ - S'i Date 1; t 'fi 'f': }, \, , ~: ~ " f" ~ t .. " ;,~ I >,,:,,;.., " . ..., , " , , , , , " , ' """" ,,", , , \ ...: NOTICE O~ PUBLIC HEARING NOTICE IS HEREBY GIVEN that Jefferson County, in accordance with RCW 3G.34.030, will conduct a public hearing on a proposal to sell timber on portions of Lots 3,4,1,8,9, and 10, Block 6 of Irondale Orchard Tracts, in Section 10, Township 29 North, Range 1 West, W.M., and that said hearing will be held on Monday, April 24, 1989, at the hour of 10:45 a.m. in the Jefferson County Board of Commissioners Chambers, 1820 Jefferson Street, Port Townsend, Washington. DATED this 10thday of April ,1989. F Jefferson County Board of Commissioners ~A~ (~/:h~ George C. rown, Chairman ~~~:UJ/~~?b~~ON BY d"'" -16 ig. ,,~~ IlEPt Of PUBLIC WORKS P.o. eox 1220 1820 Jefferson St. I'IlIt Townsend, WI. 98361 T., ", ,.~-",', "';' ."':,:,," '"./ ",/,' ...,' . ,.' .,.' ",';, ,'. ':' ,---: '.' ",,:" "', " ,,' .;," :',. '::""'- ,',. "",' :,', '" ," ,,",':' '. " .',' ',' ",..., .'."......'.....,.... .', ", ",' '.' ,< --" ; ':;',' . ''', ,--,:, ' ,,' ,;' " ' " ".-' , ' , . ;':,', , "'" ' " ,,' ," "', ",,' , '. .,'...,. ., '. , "'. ..,.., '." . ,...,..... ,,' ...'.." ',: ,..'. ::' ,',,":, /:' ,', ,""':"',"',,' . .:'.' ,'. , . .:" :' , :,':-' ," "",;",' "''''''" '"-, '".' :';, .' ..' . "::,,, ',:' ':' " , ", -- '",,' , ' " .. ,,', .- ",,' , :' ' .. ..... " .'. "'.. .,' ...., ", ," ,:,., .' , ". :.,';,.'-- , ,,' .: , "... ". . ,'. . ".., , .'.::.: " .-,,", '". , ,"",.' ,'; , " -.--;:- ", ",', : .- : """ ' ',,'.,.-,':,,:;, . ':' '" . ,.: ,,' '. :. '",,' -- '. ',:; ,'." , " ",,":':':' ' ',,' .' , ", ",,, ,'",,' , ',,', ,,' , .-.: ,,' " , ' '... , ',' ", , " ; .' H'" ' '. ,':'. ,'....c:' ',.-:,,' , IIIIlI ;"., ','" ,;-,' ',' ," ,", ." , ',": ' , , , , , , ,,: , .... JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS SPECIFICATIONS FOR ONE {ll, FLATCAR BRIDGE Bid call for Monday, 3-. ),'7 1989, for furnishing the Jefferson County Department of Public Works, Road Department, with one (1), Railroad Flatcar. GENERAL SPECIFICATIONS It is the intent of these specifications to describe a railroad flatcar to be used as a temporary bridge in sufficient detail to secure bids on comparable equipment. All items not specifically mentioned, which are necessary to provide a complete flatcar for a temporary bridge. shall be included in the bid and shall conform in strength and quality of material and workmanship to what is Usually provided to the trade in general. Any units not conforming to these specifications will be rejected. It is the responSibility of the bidder to conform with the requirements unless deviations have been specifically cited by the bidder and acceptance made on the basis of the exception. DELIVERY LOCATION Place of delivery will be at the Owl Creek Bridge site located in Section 35 T27N R11W W.M. near the Hoh River. Direction may be obtained from Jefferson County Department of Public Works. DELIVERY TIME Jefferson County wishes to take delivery approximately between the dates of June 15 and July 1, 1989. Delivery time will be coordinated between Jefferson County Department of Public Works and the sUccessful bidder. If the actual delivery date that has been agreed to between the successful bidder and Jefferson County is exceeded a penalty of $100.00 per day for each working day thereafter will be deducted from the final payment. .._'_..._,-". ...,--------,".. ''''''.. , .. ':i ,~i --,,' , ", .. ..~- '. '.,., ,', ," '.-' , ", :-:" " :-." ,:," ': , "':,.. 'e,.:'. ".,'.. '.' 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", ,...,' ,',; ", "c '-, ,',';" ',' """" ,', , PRO P 0 S A L To: Board of Jefferson County Commissioners Courthouse Port Townsend, WA. 98368 Gentlemen: The undersigned hereby certifies that he has read and understands the specifications, and offers to furnish Jefferson County with: ONE, (1), RAILROAD FLATCAR as specified for bid. Any deviation from the specifications is shown on a separate sheet and is made a part of the bid. Manufacturer I3I."nJ ~'.?J JO ,-/--~' Year Manufactured ",/,/,-." /67" (Please attach manufacturer's specifications) Total Price 1, '111 ro Sales Tax @ .())g" % ~-<')'i( "1-"? hP- TOTAL PRICE '7. "i'W. ).1.--- Delivery to Jefferson County within contract. :.?D days after award of 5% Bid Bond is enclosed in the amount of 3 '1'1. '7.)~ /' Company Name 1;0"'''''-/1 L-=' )(: c ~/J I). r,I""/ 1- ~, Address --Ed. R.'Y /'/? _ Fo/v..~' f.,v....1. 9-",~"'.~::-/ Dated this ~") day of P / // /C .---/---.' ~ Signature of Authorized Official 11/~,."'1f'.. (,1-1 , 1989. i, ~., .~ ~; "r- ~".' (' ,I, i:: \ .. , -.,,: . .". ~:"" .:: '.' ":":""" ", "",:,,- ',.,'., <" "., :...'.',; , , , ",...'>. --:. .,' . .,.", :' ,..., , . .' ,', ,.," "...".' ,....'. .' ,'::,' ". '..., " . , ..., .' '.":"'" , , " .,' ,': :.""; " ':, :'....",.:",,', --,' "':', ,', , ..', ...". ,< ".... :' " '. ../, .;, .,... < " ",', " , :, ...'. , :: ,;. .' ,','. ,.' " ". :':. " ' ,::,:>P 'ie.,:':,',. ',". :' ", ' :' ;', "., , , ,', ....'. " ."., ,::' ',', , ',:" ." 0 " ,''- , ',,' " ",' , ,",:.,', __ , ',,', ,':, " ,', ,- --.., " , '. ." ' ' " :" :. :,", ',', ,', , '.' ",.' " '. ,.'......'.. ". "" , ' .', , .... . .:, .. .' ". .' ' :.' , ,,:' .- ' , ,\", -- "0" ".., ," ,:. \ ~(~V-?tJ-p.Pi ~",'~."'~,~.~'~~; / ~'g~ - ~~~,:s, J/ ::r.-:./".... ,:f"''J.~ ' JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Jefferson Street P.O. 80x 1220 Port Townsend. WA 98368 (206) 385-9160 Gary A. Rowe, P,E., Director Rober' G. Nesbitt, P.E., County Engineer MEMORANDUM TO: Board of County Commissioners FROM: Robert Nesbitt, County Engineer ~ DATE: March 29, 1989 SUBJECT: Compact Utility Tractors The Public Works Department has reviewed all bids that were submitted for the two compact utility tractors and recommend the bid be awarded to Auburn Lawn and Garden. The price for Tractor "A" is $15,242.10 and Tractor "B" is $11,026.20. All costs include sales tax. Auburn Lawn and Garden did not cost out the two added items as did the other bidders but the cost was included in the price for Tractor IIAIl. 100% Recycled Paper "" , , .' , ": "', ,:, ,', ',",- .' ":,''- .- .: , " :. ", ,,-. , ,,':' " ",,' \, ,:t ~ " I 1 t ~ '^T,""""'","-"''' ..;..'... ,-.,','",' ,., ,,'" ., .".. .,'.. .,." > ..".,'..'/J .".' .. ., JEFFERSON COUNTY , y~ DEPARTMENT OF PUBLIC WORKS !'{ i< \ 1820 Jefferson Street P.O. 80x 1220 ,} 7f;J1t1 Port Townsend, WA 98368 Pi $'F" - (206) 385-9160 Gary A. Rowe, P.lE., Director Robert G. Nesbitt. P.E., County Engineer MEMORANDUM TO: Board of County Commissioners FROM: Robert G. Nesbitt, County Engineer ~ DATE: March 28 1989 SUBJECT: Liquid Asphalt Contract I have reviewed the three bids that were submitted for the liquid asphalt used by Jefferson County. I recommend that the Board of County Commissioners award the contract to Chevron USA, Asphalt Division 100% Recycled Paper , '," ',.:,,::--.,':, . ',:",',:, '" ,: ",;' , ..- . ," ,.: .,,' ':' , , -- , ,.-:--::,. --.-, ,; ,- '.',,', , ' ',: ,"'" " " , .- " ,- " t. ',., '" ,';' :', :.;, : .-" ',> "'.-- ',... :,:' " ,.., '.." ',;' , ,,',,- '>'. ,',' ,.:,', "'.,', i..',,' , . ...' ,:~ . . :', ' , '.....' , .,', .' , ,':" '. . . .' .'..':,."., ,'" ..' ',.. ',' ,.' ,,'.' " ,.' . >', . :. . ". . '...'./. . "., ' "',,', ,", ,,: .- ",\" "'-- ""':" ":'.':'"",, , " """', ' . ",'- ,':: '-'--:,',-','.-:: ':, ',' :' ':" ,:," ',,' :.' '\ . " . ,', ,'.,: ",..." , ".' :,'. ',' ' . .', .,,' ",' ," ,', , ,,',"., "", ", ': :",",.-"-- ," ,,', : -- " , , " "", ': ' , ,.- :' .,,: ,',', .', ,,',..,., '< , ., ' , ",' :" . '",>,,-,' " ' /, '" : ':',': ::,'" '. ;'" :,',;" ',:. ',.' ", '", :' :,"".' \""-- ,;' ":',: ,,- ,':"',' ::", ':', ,,-,.. .!:::.~'<'>:'- '-:')0" JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS 1820 Jefferson Street P.O. Box 1220 Port Townsend, WA 98366 (206) 385-9160 Gary A. Rowe, P.E., Director Robert G. Nesbitt, P.E., County Engineer March 22, 1989 Mr. Mel Mefford, Sheriff 1610 Fir street port Townsend, WA 98368 Dear Mel, Enclosed is a drawing showing a redesign of the current superior court jury room incorporating the holding cell. As I am sure Ed Sasser has told you, we have spent considerable time trying to incorporate the cell into the second floor. The drawing shows a portion of the jury room divided off, and the holding cell occupying approx. 90 sq. ft. The area being used at the present is approx. 110 sq. ft. I have discussed this matter with Judge Howard (he and I developed the idea) and it has his approval. When I had spoken before with those affected by the placement of the holding cell, Ed Sasser had given quite a lot of input. I tried as much as possible to incorporate the concerns he expressed; no plan solves all of the "problems" inherent with the cell placement. At this point, we do not have a civil deputy office on the second floor. I believe that placing the civil deputy on the basement level should be looked at as temporary only. I would rather place him on the third floor, perhaps in the old credit union office. Currently, the Board of Equalization is using that office; eventually (I believe) they will be moved to the basement meeting room. Could you please look over the plan and contact me regarding your opinions, suggestions, etc.? I really value your input, and I feel that we are getting close to a decision on this issue. Thanks for your time. I hope this letter finds you well. Sincerely, LMr:.( M. Carter Breskin property Manager 100'% Recycled Paper ,~ .;,.,.J,:..,.',. _,.."",.,t-+_ If If 'j; j t ~ f; '.J;~ f' ~ . ,i, l' ~ j ,,; ~ ;. ',:' " >: ," " ! ' ," '.', ,:".r " . , ,:, ':" "" ,,', ,: ' "", .' , :',,", ...'.: ", , " " ',' , " ,:;,,--, ,:, , ..,',), ) ,', !'i)" ".",< .",) ,,' " '" . .".' "", ::';0 ,,""..g Z'" "V....... Ii:?::: --' --' . . --' i! o....-V IV I" I" I" tio =;J~ , , , I IV IV IV I" c" ....~ii! w w w W m.... ;!1 I , , I om 0_.... ~ ~ ~ ~ '1 =S~ ;j ...' cnc:O i <J1 ~~.... 1J1Jtn ;>;--'0 1J'J'" tn-U-U ~ o. C ro <!):P o oro ro ' ro 1:11 "V ,ocr ;j IVr , -1'-' IllOrt" ~ " ;j - C ..,... C M- ~ I M- , ..,... , :;; C/O _SCllll , -I'-Cl :::('D ..,.. 0 -Irocr III :>Olll.... ....ro.... .01: 0 :'-CC o 0 III :;: mtn ~ ' .... ro 0 III = "z .." I;: ;; X :J ;po .... X ;j ;~~ ~ ro ~ Cl ro ~ ~'-O-U < ....ro III :::m _. n m &~ ro "', III ro ~ :>0"'- 3~e- .g ~ '-00 '-0.... ~ 0 w~ om> "'zo a. "0 "'.... . 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",',',' ,,' >"", ' ",--",.,,' ','" :': ""'::,' ',:', , ':' , .'" --', ,', " ',', " ':'", ",'.- ,,', " ::', ',' ,', '." ' , :"":,~.',,,,:,", ;' :':':' ' ",,' :': " :0:' '-,:;,:' ".', ,'," :''-' , . ' .: ',' " ' ,:' " :,',', '" ,'- ',' :', .,.:, " " " . ' :. , " ',;:' .' .", '.:' :' -- :, -- . :' , ,! " ' , ,,' :,' :.- ' ' '.', ':', '.,': '-. ' ' ""', ":',; ':, ' ", ", ."', """'" ",''': ,', ;', :' ' , , ' ,". , :' ..- ",' .," .-:; " ' ," '," " '" ,,', , -,', ' "" ,-",,; ,',: ' '" " " --:':' --, ":" ,: " .: ,"', ,",: ':,' ,', , "', ,':'. :,' ":" ,"" '" :'('" :," ' "'" ,'-,', '., ,', .'.. ".": " .:: .'.,'., , ':,.- -- ",,: -,,' , :,", '.- " .- ", ,', ,,' "', . ,"~::-::--: ~,.,__f ~'" ~, ~', h :;, , '., t " r~ 1 i ~, . ~' -, : j"j'> !' ~' \'f' ,~il -- '.,: --',', ,', ,-,',' " ':,,' ,," ,,' "", ,',' ", ,:"': ,:::,.-:',,::: ',,', " ," ' '. ',: ' .- .' " '-':.-", :,:,',,' , :' ", ',','.,',' ,::, i' ", ',':', ':' ,'; ",' :, ---, ,,, ," ':". · ",: " ,: ' ,',,' '".''-' ';'-":: ',,' ':: .......'...".-. " ',:' , ',,, ,',': "'", ':, '''','' ',' ': " ' ," ':', "", :"',', :',:' ".-:", " , " ',,' ,'" ", , :>:.,' ..",',. .' ..' " .", :' ' __'" '" ':',' , ' ":,, .' ::" :', ',," ii: ,:-:- , ,:';' ,,,': ',,: , ' --: ' ",' -- --, "" " ',' ","," --' -"", ":""', " :.":, ' " , , . .:. ,': '. ,'.' "" . ...,.' '.... . . , " ....,;' ,.,..', .:,', " ", ,',:' " ' , ' ',.- '",', '" " ,: ,,',,', . ' , ',' :, :,', ':' . ,::', "; ',,' ',' ,. -- :,' ,'" ' ' , .- , ' ", .:.' ',' .'" .' ."... .'.' :,.....,.. ':' , . (''::' ;\ -:. .,.:: ,,-"':: i ,--- ':~ ,.' "" . " ;/' . -- , , ' " , J . ' , ,,: pR.OPOSAL The Bidder oroooses to succlv the Je:=erson County Correc~ior. Facility with approximateiy is,oOO gallons of liq;id pro~ane in accordance with the following terms and conditions: TERMS AND CONDITIONS Return bids to the Jefferson County commissioners office, P.O. 3o~ 1220, ?or~ Townsend, Washington 93368 phone (206) 385-9100. Your bid must be received at the Jef=erson County Commissioners office by 10:30 A.M. on January 17, 1989 after which time all bids received will be publicly opened and reac. The price bid shall be F.O.S. 3efferson County Correc~ion ~acili~y, 81 Elkins Road, Hadlock, Washing~on 98339. The price bid shall be the net price including all applicable taxes except State sales ta~. The orice is to be based on the soecified unit and totaled. In case of conflict, the unit price bid will prevail. The orice bid shall be firm from the date of bid opening until delivery has been completed and the product has been placec into the agencyls tank. To be considered, bid orice must be in ink or ~y?ewri~~en on the bid form and signed by-the bidders authorized representative in ink. Add State sales tax as a separate item. Do not include in the unit price bid. All corrections to the bid form must be initialed by the bidders authorized representative. Bid res~onses not 50 comnleted or received afte~ the date/time stipulated herein will b~ rejec~ed. ~o a~teration in any ot the terms, conditions, price, quality, quan~i~y, or specifications of this proposal or contract will be effective without written consent ot the Director or Public Works. Delivery is to be made on or before February 15, 1989. For any exception to the delivery da~e, as specified in this documen~, the Vendor shall give prior notification and obtain written approval thereto from the Director 0= ?ublic Works. Delivery is to be made only during daylight hours and the vendor must coordinate specifics oi delivery with ~el Mefford, Jefferson County Sheriff, or his designated representative, at the Jefferson County Correction Facility, phone (206) 385-3831. '","', " ,:,," <:" ,: '", -- ',: , .-' ",., ,. -', ::' "..' '. ' , --', ',," ,', : .-:, ,', ,,' , .- ','" .' " , "',''-',:. I "", . ''-,: , "'" , , ,;, ''':'''' ,u':.-.." "';IIIIIIIIIIII i'.- ,~,. .! 1"' ~ i+i, ~1\ ~" ~ .. t :,'1 ;, I .', "'''''-- ," ",' '" , " ' ,', , , , " " "-- '",' , , sutfered by the purchaser resulting from the vendor's breach 0: contract. The vendor covenants and agrees that in the event suit is instituted by the purchaser for any de=ault on the part or the vendor, and the vendor is adjudged by a court ot competen~ jurisdiction to be in default, the vendor shall pay to the purchaser all costs, expenses expended or incurred by the purchaser in connection therewith, and reasonable attorney's fees. The vendor agrees that the Superior Court of Washington shall have jurisdiction over any such suit, and that venue shall be laid in Jefferson County. ~he bidder, ~y signing this document, affi~ms having read the terms and conditions noted herein, agrees thereto and has stated he~eon the price at which the bidder will furnish and deliver at the given location the product as specified. The Jefferson County Board of County Commissioners reserves the right to reject any or all bids, to accept the bid deemed most advantageous to the County and to waive ,all in~ormalities in the bidding. 18,000 gallons of liquid propane @ ----per gallon. State sales tax @____% $ Total $ Company Name: Address: City, State: Telephone Number: Authorized Signature: Date: 3 '.'." ,','.," ',...' ":., ..'... ", ~ '. .,...,'.. :..-- .',', i.',; .. 'i''':' ,: ,....,i,:;, ,,", ,',. ',-" , ,-- .; "," .'. "<< .' ','- ,I"'" , ',:' '''-'" ',':'" .: <'... ..'... .;,;" "', ",' : :, :,,:",:, ,', ,,;' .' "" ',: :. ,,',';',, ' "'':',-- , :" ' "" ': ' ",', ':.- ',. ",'-' .. ". ,':',' ':,'> ',' '. ."..,., '" '., ;., '.,.,.." . '., , .-:: -- ".,'~,:' ,:> .,'. ,: ' ,.-' , ' , "; ":, ,,',:, ' ,', --- ','.- ," ',',: "::':' , " ".-' ,,',', ,',,:- , ,:' , ", ':' -- ,-""', ' ',',' ',',,, "."'-',:-: '\ ":'" .. , ',' ,,' " .- , ',' ': .-::- ',-": :' ,'-' ", .. '." ", :'" ;' ." , .....,... '. .', . ,'. , :' '." ',,:. ':. :,,' ' ,''-, ,,', , ."", "", ,:.- ',; ':.- :.-, , -- " " ,,':' " ,:' ", ',::/ ", , .. ,', ,.'. .'....' , . . -- . ..., ,'.. .... ' ',.' , . .':'.", ,," ,"', ",::: . ,.' " . ....",. ."" , 'i.'. , , .. ' ," ' "",-, , " .- ':' . ,,,' " " "',' ' ' ,', .', "..'..,' ,.l , :, ;-- " .-, ' ," ....' , ;:-: ''', " .-:, -- " ,,' liliiii 1.2.5 The Architect shall not hove control or charge of and shall not be responsible for construction means. methods. techniques. sequences or procedures. or for safety precautions and programs In connection wUh the Work. for the acts or omissions of 1he Contractor. Subcontractors or any olher persons performing any or the Work. or for the failure of any of them to carry out the Work In accordance with the Contract Documents, 1.2.6 The Architect shall at all times have access to the Work wherever It Is In preparation or progress. 1.2,7 The Architect shall determine the amounts owing to the Contractor based on observations at the site and on evoluatlons of the Contractor's APplications for Payment. and shall Issue Certificates for Payment In such amounts. as provided In the Contract Documents. 1,2.8 The Issuance of a Certificate for Payment shall constitute a representation by the Architect to the Owner. based on the Architect's observations at the site as provided In Subparagraph 1.2.4 and the data compromising the Contractor's Application for Payment. that the Work has progressed to the point Indicated; that. to the best of the Architect's knowledge. Information and belief. the quality of the Work Is In occordance with the Contract Documents (subject to an evaluation of the Work for conformance with the Contract Documents upon Substantial Completion. to the results of any subsequent tests required by or performed under the Contract Documents. to minor deviations from the Contract Documents correctable prior to completion. and to any specific qualifications stated In the Certificate for Payment); and that the Contractor Is entitled to payment In the amount certified. However. the issuance of a Certificate for Payment shall not be a representation that the Architect has made any exomlnation to ascertain how and for what purpose the Contractor has used the moneys paid on account of the Contract Sum. 1.2.9 The Architect shall be the Interpreter of the requirements of the Contract Documents and the Judge of the performance thereunder by both the Owner and Contractor. The Architect shall render Interpretations necessary for the proper execution or progress of the Work with reasonable promptness on written request of either the Owner or the Contractor. and shall render written decisions. within a reasonable time. on all claims. disputes and other matters In question between the Owner and the Contractor relating to the execution or progress of the Work or the Interpretation of the Contract Documents, 1.2.10 Interpretations and decisions of the Architect shall be consistent with the Intent of and reasonobly Inferable from the Contract Documents and sholl be In written or graphic form. In the capacity of Interpreter and Judge. the Architect shall endeavor to secure faithful performance by both the Owner and the Contractor. shall not show partlollty to either. and shall not be liable for the result of any Interpretation or decision rendered In good faUh In such capacity, 1.2.11 Any dispute concemlng questions of fact In connection wUh work not between the Architect. shall be referred for determination to the Jefferson County Director of Public Works whose decision In the matter shall be final and conclusive on the parties to this Agreement. The Architect's decisions on any other claims. disputes or other matters. Including those In question between the Owner and the Contractor. shall be subject to arbitration as provided In this Agreement and In the Contract Documents. 1.2.12 The Architect shall have authority to reject Wor1< which does not conform to the Contract Documents. Whenever. In the Architect's reasonable opinion. It Is necessary or odvlsable for the Implementation of the Intent of the Contract Documents. the Architect will have authority to require special Inspection or testing of the Work In accordance with the provisions of the Contract Documents. whether or not such Work be then fabricated. Installed or completed, 1.2.13 The Architect shall review and approve or take other appropriate action upon the Contractor's submittals such as Shop Drawings. Product Data. and Samples. but only for conformance with the design concept of the Wor1< and with the Information given In the Contract Documents. Such action shall be taken with reosonable promptness so as to cause no delay. The Architect's approval of a specific Item shall not Indicate approval of an assembly of which the Item Is a component. 1.2.14 The Architect shall prepare Change Orders for the Owner's approval and execution In accordance with the Contract Documents. and shall have authority to order minor changes In the Work not Involving an adjustment In the Contract Sum or on extension of the Contract Time which are not Inconsistent with the Intent of the Contract Documents. 1.2.15 The Architect shall conduct Inspections to determine the Dates of Substantial Completion and final completion. sholl receive and forward to the Owner for the Owne(s review written warranties and related documents required by the Contract Documents and assembled by the Contractor. and shall Issue a final Certificate for Payment. 1.2.16 The extent of the duties. responsibilities. and limitations of authority of the Architect as the Owner's representative during construction shall not be modified or extended without written consent of the Owner and the Architect. 1,3 PROJECT REPRESENTATION BEYOND DESIGNATED SERVICES 1.3.1 If the owner and Architect agree that more extensive representation at the site than Is described In Paragraph 1.2 shall be provided. the Architect shall provide one or more Project Representatives to assist the Architect In carrying out such responsibilities at the site. 1.3.2 Such Project Representotlves shall be selected. employed and directed by the Architect. and the Architect shall be compensated therefor as mutually agreed between the Owner and the Architect as set forth In an exhibit appended to this Agreement. which shall describe the duties. responsibilities and limitations of authority of such Project Representatives. 1,3,3 Through the observations by such Project Representatives. the Architect sholl endeavor to provide further protection for the Owner against defects and deficiencies In the Work. but the furnishing of such project representation shall not modify the rights. responsibilities or Obllgotlons of the Architect as described In Paragroph 1.2, 1.4 ADDITIONAL SERVICES The following Services are note Included as Designated Services unless so Identified In Article 15. These Services and ony other services Identified os Additional Services In the Scope of Designated Services ottached to ond made a part of this Agreement shall be provided If authorized or confirmed In writing by the Owner. and they shall be paid for by the Owner as provided In this Agreement. In addition to the compensation for Deslgnoted Services, 1.4.1 Providing services In connection with the work of a construction manager or seporate consultonts retained by the Owner. See Article 15,0. 1.4,2 Making revisions In Drawings. SpecifIcations or other documents when such revisions are Inconsistent with written approvals or Instructions previously given. ore required by the enactment or revision of codes. laws or regulations subsequent to the preparation of such documents or ore due to other causes not solely within the control of the Architect. 1.4.3 Preparing Drawings. Specifications. supporting dota ond providing other services In connection with Change Orders to the extent thai the adjustment In the Basic Compensation resulting from the adjusted Construction Cost Is not commensurate with the services required of the Architect. provided such Change Orders ore required by causes not solely within the control of the Architect. 1.4,4 Providing conslJltallon concerning replacement of any Work damaged by fire or other cause during construction. and furnishing services as may be required In connection with the replacement of such Work, 1.4,5 Providing services made necessary by the default of the Contractor. or by major defects or deficiencies In the Work of the Contractor. or by failure of performance of either the Owner or Contractor under the Contract for Construction, 1.4,6 Providing services. other than those Identified In the Scope of Designated Services. after Issuance to the Owner of the final Certificate for Payment. or In the absence of a final Certificate for Payment. more than sixty days after the Date of Substantial Completion of the Work. 1.4.7 Providing any other services not otherwise Included in this Agreement or not customarily furnished In accordance with generally accepted architectural pracllce, 1.5 TIME 1.5.1 The Architect shall perform DElslgnaled and Additional Services as expeditiously as is consistent with professional skill and care and the orderly progress of the Work. Upon request of the Owner. the orchltect shall submit for the Owner's approval a schedule for the performance of the Architect's services which shall be adjusted as required as the Project proceeds. and shall Include allowances for periods of time required for the Owner's review and approval of submissions and for approval of authorllles having jurisdiction over the Project, This schedule. when approved by the Owner. sholl not. except for reasonable cause. be exceeded by the Architect, ABrudU THE OWNER'S RESPONSIBILITIES The following responsibilities will be undertaken b'! the Owner. In addition to those Services designated to be performed by the Owner and described In the Scope of Designated Services attached to and made a part of this Agreement. 2,1 The Owner shall provide full Information regarding requirements for the Project, 2.2 If the Owner provides a budget for the Project It shall Include contingencies for bidding. changes In the Work during construction. 2,3 The Owner shall desIgnate. when necessary. a representotJve authorized to act In the Owne(s behalf with respect to the Project, The Owner or such authorized representative sholl examine the documents submitted by the Architect and shall render decisions pertaining thereto promptly. to avoid unreasonable delay In the progress of the Architect's services, 2.4 The Owner she:1 furnish a legal description and a certified land survey of the site. giving. as applicable. grades and lines of streets. alleys. pavements and adjoining property; rights-of-way. restrictions. easements. encroachments. zoning. deed restrictions. boundaries and contours of the site; locations. dimensions and complete data pertaining to existing buildings. other Improvements and trees; and full Information concerning aVailable service and utility lines both public and private. above and below grade. Including Inverts and depths, 25 The Owner sholl furnish the services of soli engineers or other consultants when such services are deemed necessary by the Architect. Such services shall Include test borings. test pits. soli bearing values. percolation tests. air and water pollution tests. ground corrosion and resistivity tests. Including necessary operations for determining sub-soli. air and water conditions. with reports and appropriate professional recommendations, 2.6 The Owner shall furnish structural. mechanical. chemical and other laboratory tests. Inspections and reports as required by law or the Contract Documents. 2.7 The Owner shall furnish all legal. accounting and Insurance counseling services as may be necessary at any time for the Project. Including such auditing services as the Owner may require to verify the Contractor's Applications for Payment or to ascertain how or for what purposes the contractor uses the moneys paid by or on behalt of the Owner. 2.8 The services. Information. surveys and reports required by Paragraphs 2,4 through 2.7 Inclusive shall be furnished at the Owne(s expense. and the Architect shall be entitled to rely upon the accuracy and completeness thereof. 2.9 If the Owner observes or otherwise becomes aware of any fault or defect In the Project or nonconformance with the Contract Documents. prompt written notice thereof sholl be given by the Owner to the Architect, 2,10 The Owner shall furnish required Informotlon and services and shall render approvals and decisions as expeditiously as necessary for the orderly progress of thetArchitect's services and of the Work, ARTICLE 3 CONSTRUCTION COST 3.1 DEFINmON 3.1,1 The Construction Cost shall be the total cost or estimated cost to the Owner of all elements of the Project designed or specified by the Architect. 3,1.2 The Construction Cost shall Include at current market rates. Including a reasonoble allowance for overhead and profrt. the cost of labor ond materials furnished by the Owner and any equipment which has been designed. specified, selected or specially provided for by the Architect. 3,1.3 Construction Cost does not Include the compensation of the Architect and the Archltect's consultants. the cost of the land. rlghts-of-way, or other costs which are the responsibility of the Owner as provided In Article 2, 3.2 RESPONSIBILITY FOR CONSTRUCTION COST 3.2,1 Evaluations of the Owners Project budget, Statements of Probable Construction Cost and Detailed Estimates of Construction Cost, If any, prepared by the Architect, represent the Architect's best judgement as a design professional familiar with the construction Industry, It Is recognized, however. that neither the Architect nor the Owner has control over the cost of labor, materials or equipment, over the Contractors methods of determining bid prices, or over competitive bidding, market or negotiating conditions, Accordingly, the Architect cannot and does not warrant or represent that bids or negotiated prlces will not vary from the Project budget proposed. established or approved by the Owner. If any. or from any Statement of Probable Construction Cost or other cost estimate or evaluation prepared by the Architect. 3.2.2 No fixed limit of Construction Cost shall be established as a condition 0 this Agreement by the furnishing, proposal or establishment of a Project budget under Paragraph 2.2 or otherwise. unless such fixed limit has been agreed upon In wrltlng and signed by the parties hereto. If such a fixed limit has been established, the Architect shall be permitted to Include contingencies for design, bidding and prlce escolatlon. to determine what materials, eqUipment. component systems and types of construction are to be Included In the Contract Documents, to make reosonable adjustments In the scope of the Project and to Include In the Contract Documents alternate bids to adjust the Construction Cost to the fixed limit. Any such fixed limit shall be Increased In the amount of any Increase In the Contract for Construction. 3.2,3 If the Bidding or Negotiations Phase has not commenced within three months otter the Architect submits the Construction Documents to the Owner, any Project budget or fixed limit of Construction Cost shall be adjusted to reflect any change In the general level of prices In the construction Industry belween the date of submission of the Construction Documents to the Owner and the date on which proposals ore sought. 3,2.4 If a Project budget or fixed limit of construction Cost (adjusted os provided In Subparagraph 3,2.3) Is exceeded by the lowest bana fide bid or neootlated propasal. the Owner shall (1) give written approval of on Increase In such fixed limit. (2) authoriz,e rebidding or renegotiating of the Project within a reasonable time. (3) If the Project Is abandoned. terminate In accordance with Paragraph 10,2. or (4) cooperate In revising the Project scope and quality as required to reduce the Construction Cost In the case of (4). provided a fixed limit of Construction Cost has been established as a condition of this Agreement. the architect, without oddltlonal chorge. shall modify the Drawings and Specifications as necessary to comply with the fixed limit. The providing of such service shall be the limit of the Architect's responsibility arising from the establishment of such fixed limit. and having done so. the Architect shall be entnled to compensation for all services performed. In accordance with this Agreement. whether or not the Construction Phase Is commenced, ~ DIRECT SALARY AND DIRECT PERSONNEL EXPENSE 4.1 Direct Salary Expense Is defined as the direct salaries of all the Architect's personnel engaged on the Project. but does not Include the cost of contributions and benefits related thereto. whether mandatory or customary. os described In paragraph 4.2 and Included In Direct Persannel Expense, 4.2 Direct Personnel Expense Is defined as the direct salaries of all the Architect's personnel engaged an the Project, ond the portion of the cost of their mandatory and customary contributions and benefits related thereto. such os employment taxes and other statutory employee benefits, Insurance. sick leave. holidays. vacotlons. pensions and similar contributions and benefits. ~ REIMBURSABLE EXPENSES 5.1 Reimbursable Expenses are In addition to the compensation for Designated and Additional Services and Include actual expenditures made by the Architect and the Architect's employees and consultants In the Interest of the Project for the expenses listed In the following subparagraphs: 5.1.1 Expense of transportation In connection with the Project; living expenses In connection with out-of-town travel; long distance communications. and fees paid for securing approval of authorities having Jurisdiction over the Project, 5,1.2 Expense of reproductions. postage and handling of Drawings. Specifications and other documents. excluding reproductions for the office use of the Architect and the Architect's consultants. 5.1,3 Expense of data processing and photographic production techniques when used In connection with Additional Services, 5.1.4 If authorized In advance by the Owner. expense of overtime work requiring higher than regulor rates, 5.1.5 Expense of any additional Insurance coverage or limits. Including professional liability Insurance. requested by the Owner In excess of that normally carried by the Architect and the Architect's consultants, ",RTIClE 6 PAYMENTS TO THE ARCHITECT 6.1 PAYMENTS ON ACCOUNT OF DESIGNATED SERVICES 6.1.1 An Initial payment os set forth In Paragraph 14.1 Is the minimum payment under this Agreement. 6,1.2 Subsequent payments for Designated Services shall be mode monthly and sholl be In proportion to services performed within each phose of Services. on the basis set forth In Article 14. 6.1,3 if and to the extent that the Contract Time Initially estobllshed In the Contract for Construction Is exceeded or extended through no fault of the Architect. compensation for any DesIgnated Services required for such extended period of Administration of the Construction Contract sholl be computed as set forth in Paragraph 14.4 for Additional Services. 6.1.4 When compensation Is based on a percentage of Construction Cost. and any portions of the' Project ore deleted or otherwise not constructed. compensation for such portions of the Project sholl be payable to the extent services ore performed on such portions. In accordance with the schedule set forth In Subparagraph 14,2,2. based on (1) the lowest bona fide bid or negotiated proposal or. (2) if no such bid or proposal Is received. the most recent statement of Probable Construction Cost for such portions of the Project. 6.2 PAYMENTS ON ACCOUNT OF ADDITIONAL SERVICES 6,2.1 payments on account of the Archltect.s Additional Services as defined In paragraph 1.4 and for Reimbursable Expenses as defined In Article 5 sholl be mode monthly upon presentation of the Architect's statement of services rendered or expenses'lncurred, 6,3 PAYMENTS WITHHELD 6.3,1 No deducllons sholl be mode from the Architect.s compensation on account of penalty. liquidated domages or other sums withheld form poyments to contractors. or on account of the cost of changes In the Work other 1han those for which the Architect Is held legally liable, 6,4 PROJECT SUSPENSION OR TERMINATION 6.4.1 If the Project Is suspended or abandoned in whole ar In port for more than three mon1hs the Architect sholl be compensated for all services performed prior to receipt of written notice from the Owner of such suspension or abandonment. together with Reimbursable Expenses then due. If the Project Is resumed after being suspended for more 1han three months. the Archltect.s compensation sholl be equitably adjusted. ABD.ru.l ARCHITECT'S ACCOUNTING RECORDS 7,1 Records of Reimbursable Expenses and Expenses and expenses pertaining to Additional Services and services performed on the basis of a Multiple of Direct personnel Expense sholl be kept on the basis of generally accepted accounting prlnclples and sholl be available to the OWner or the Owner's authorized representative at mutually convenient times. ~ OWNERSHIP AND USE OF DOCUMENTS 8,1 Drowlngs and Spec~lcatlons os Instruments of service ore and sholl remain the property of the Architect whether the Project for which they are made Is executed or not. The Owner sholl be permitted to retain copies. Including reproducible copies. of Drawings and Specifications for Information and reference In connection with the Owner's use and occupancy of the Project. The Drawings and Specifications shall not be used by the Owner on other projects. for additions to this Project or for completion of this Project by others provided the Architect Is not In default under this Agreement. except by agreement In wrttlng and with appropriate compensation to the Architect. 8.2 Submission or distribution to meet official regUlatory requirements or for other purposes In connection with the Project Is not to be construed as publication In derogation of the Archttect's rlghts. ~ ARBITRATION 9,1 All claims. disputes and other matters In question between the parties to this Agreement. arising out of or relating to this Agreement or the breach thereof. shall be decided by arbitration In accordance wtth the Construction Industry Arbttratlon Rules of the American Arbttratlon Association then obtaining unless the parties mutually agree otherwise. No arbttratlon.,arlslng out of or relating to this Agreement. shall Include. by consolidation. Joinder or In any other manner. any additional person not 0 party to this Agreement except by written consent containing 0 specific reference to this Agreement and signed by the Architect. the OWner. and any other person sought to be Joined. Any consent to arbitration Involving on additional person or persons shall not constttute consent to arbitration of ony dispute not described therein or wtth any person not named or described therein. This Agreement to arbitrate and any agreement to arbttrate wtth on additional person or persons duly consented to by the parties to this Agreement shall be specifically enforceable under the prevailing arbitration low. 9,2 Notice of the demand for arbitration shall be filed In wrlllng wllh the other party to this Agreement and with the American Arbitration Association, The demand sholl be mode wtthln a reasonable time after the claim. dispute or other matter In question hos arisen, In no 'event sholl the demond for arbitration be mode atter the date when Institution of legal or equitable proceedings based on such claim. dispute or other matter In question would be borred by the appllcoble statute of IImttatlons. 9,3 The award rendered by the arbitrators sholl be final. and Judgement may be entered upon It In accordance with applicable low In any court having Jurisdiction thereof. hRTICLE 10. TERMINATION OF AGREEMENT 10.1 this Agreement may be terminated by ellher party upon seven days' written notice should the other party fall substantially to perform In accordance with Its terms through no fault of the party Initiating the termination. 10.2 this Agreement may be terminated by the Owner upon at least seven days' written notice to the Architect In the event that the Project Is permanently abandoned. 10,3 In the event of termination not the fault of the Architect. the Architect shall be compensated for all services performed to termination dote. together with Reimbursable Expenses then due and termination expenses Incurred by Architect shall be equitably adjusted. ARTICLE 11 MISCELLANEOUS PROVISIONS 11.1 Unless otherwise specified. this Agreement sholl be governed by the law of the principal place of business of the Owner, 11.2 Terms In this Agreement shall have the same meaning as those In AlA Document A201. General Conditions of the Contract for Construction. current as of the date of this Agreement. 11.3 As between the parties to this Agreement: as to all acts or failures to oct by either party to this Agreement. any applicable statute of limitations shall commence to run and any alleged cause of action shall be deemed to have accrued In any and all events not later than the relevant Date of Substantial Completion of the Work. and as to any acts or failures to act occurring after the relevant Date of Substantial Completion. not later than the date of Issuance of the final Certificate for Payment, 11,4 The Owner and .the Architect wolve all rights against each other an against the contractors. consultants. agents and employees of the other for damages covered by any property Insurance during construction as set forth In the edition of AlA Document A201. General Conditions. current as of the date of this Agreement. The Owner and the Architect each shall require appropriate similar waivers from their contractors. consultants and agents, ARTICLE 12 SUCCESSORS AND ASSIGNS 12.1 The Owner and the Architect. respectively. bind themselves. their partners. successors. assigns and legal representatives to the other party to this Agreement and to the partners. successors. assigns and legal representatives of such other party with respect to all covenants of this Agreement. Neither the Owner nor the Architect shall assign. sublet or transfer any Interest In this Agreement without the written consent of the other. ~ EXTENT OF AGREEMENT 13.1 This Agreement represents the entire and Integroled agreement between the Owner and the Architect and supersedes all prior negotiations. representations or agreements. either wrltlen or oral. This Agreement may be amended only by written Instrument signed by both Owner and Archnect. AR11CLE 14 COMPENSATION FOR DESIGNATED SERVICES 14.2 COMPENSATION FOR DESIGNATED SERVICES 14.2.1 FOR DESIGNATED SERVICES. as Identified and described In the Scope of Deslgnoled Services attached to and mode a part of this Agreement. and any other services Included In Article 15 as part of Designated Services. compensollon shall be computed by the following methods for the particular Servlces so Indicated In the Scope of Deslgnoled Services: METHOD A: HOURLY BILLING RATES Compensation for services rendered by Principals and employees shall be based on the followtng houriy roles. and for consultants as described In Subparagraph 14,4.2: 1. Any additional services beyond the services listed In Article 15,1 will be billed 01 the hoUrly role of $35.00 per hour. METHOD B: AXED FEE ~ompinsation 'for arc:hi tectural se~ices listed in Article 15.1 will e b lled at the f1xed fees of $4,084.00 for district court and ~2'r36.00 for second floor restrooms, to be billed on a monthly tasths'tbY the hour .or by a percentage of design services completed o a date (arch1tect's choice'). . 14.3 FOR PROJECT REPRESENTATION BEYOND DESIGNATED SERVICES. as described In Paragraph 1.3 and Article 15. Compensation sholl be computed separolely In accordance with Subparagraph 1,3.2, 14.4 COMPENSATION FOR ADDITlONAL SERVICES 14.4,1 FOR ADDITlONAL SERVICES OF THE ARCHITECT. as described In Paragraph 1.4 and Identified In Article 15 as Additional Services. but excluding Additional Services of consultants. compensation sholl be computed based on Method A: HOURLY BILLING RATES as described In Subparograph 14.2.1. 14,4.2 FOR ADDITIONAL SERVICES OF CONSULTANTS. Including additional structural. mechanical and electrlcol engineering services and those Identified In Article 15 or in the Scope of Deslgnoled Services attached to ond mode a port of this Agreement. as port of Additional Services. a multiple of 1,10 times the amounts billed to the Architect for such servlces, ' 14.5 FOR REIMBURSABLE EXPENSES. as described In Article 5. and any other Items Included In Article 15 as Reimbursable Expenses. a multiple of 1.10 times the amounts expended by the Architect. the Architect's employees and consultants In the Interest of the Project. 14.6 Payments due the Architect and unpaid under this Agreement shall bear Interest from the date payment Is due at the rate entered below. or In the obsence thereof. at the legal rate prevailing at the principal place of business of the Architect. 1.5% INTEREST PER MONTH ON PAST DUE ACCOUNTS UNPAID OVER SIXTY DAYS FROM ORIGINAL BILUNG DATE 14.7 The Owner and the Architect agree In accordance with the Terms and Conditions of this Agreement that: 14.7,1 IF THE SCOPE of the Project or of the Arc~lltect's Services Is changed materlolly. the amounts of compensation shall be equitably adjusted, 14.7.2 IF THE SERVICES covered by this Agreement have not been completed within Two months of the date hereof. through no fault of the Architect. the amounts of compensation. rates and mulliples set forth herein shall be equitably adjusted. AllnClE 15 OTHER CONDITIONS OR SERVICES 15,1.0 The contract scope of work Is as follows: Using payment Method B listed In Article 14,2.1. Gifford McVey will provide architectural services as follows; Gifford McVey Architects will provide design development. production drawing; and specifications services as follows: Sheet One . Existing cover sheet (courthouse drawing), Sheet Two . Information sheet consisting of generol project data. general notes. vicinity map. location map. sheet Index and symbol legend. Sheet Three . Combination floor plan and demolition plan. scale: 1/4'=1'. Sheet Four . Interior elevations; restroom elevations (4). hallway elevation (1). District Court elevations (4). scale 1/4" = 1'. 15,5,0 Mileage expenses sholl be reimbursed at the following rate: twenty cents (.20) per mile billed at a direct rate, This agreement entered Into os of the day and year first written obove. OWNER ARCHITECT ~L.J1iy~~_1-A--~ __~~_m__ __~_u__~__ ~ummm___- -~~/~~ ......end of controct...... ..;.-~,-",.....""";,'-,,,,,.,-.,,, '(7{", ,~I;"~""''''7i''''''"' .' \. t LL' L/ k:-f-. e .e-e- CJ.:;> __:/ C:>, ~ .y Jefferson County BOARD OF COUNTY COMMISSIONERS Port Townsend, Washington 98368 . Phone (206) 385.2016 LARRY W. DENNISON, OISTRICl 1 B.G. BROWN, DIS1RICl 2 JEFFERSON COUNTY COUR1HOUSE NATIONAL HISTOAIC sITe PORT TOWNSEND, WASHINGTON GEORGE C. BROWN, DISTRICl 3 February 14, 1989 Mr. George L. Gatchet, President Gardiner Community Center Advisory Board C/O 611 Bachelor Road Gardiner, Wa. 98382 Dear George, The Board of County Commissioners discussed your letter regarding the possibility of having public bingo games at the Community Center, at their meeting on February 13. As I indicated to you on the phone last week, a State gambling license would be required for this activity. Since the County awns the building, the license would have to be issued to the County. It was a consensus of the Board that they do not want the Cpunty to be the licensee. They have no abjection, however, to the Community Center Board researching the possibility of forming a nan-profit organization for this purpose. Please call if you have any questions or jf I can be of any further assistance in this matter. Sincerely, ,'/~/l ,,' f1' !l,h:'1'14r _~~v,(~ ' ~ ~ Lorna Delaney, Deputy Clerk of the Board LLD/ld , ,/"., . " , " , '. , , , ' '-- " ' " , . -.',' ~' " ~';';)' Brinnon Senior Organization 31505 Hwy. 101 Brinnoll Wa. 98320 (206) 796-4350 I. " ',' " ::: ~~ ',\ January 27. 1989 j. t' ft. Hr B.G. Brown Jefferson County Commissioner Port Townsend, Wa 98368 n ~j. rear CommisPioner Brown: After a discussion with Feter Simpson concerning the needed repairs to the motel apartment, we have been told to request the repairs thru your office. It fast approaches the busy season and we have already been told of loss of revenue by not having this expensive unit available for rental. Why has there been this delay? We are anxiou~ for your reply. Sincerely. ~J",.f ~.L.h'1~ Isabel Armstrong Chairwoman Drinnon Senior Center Board l '~; f. l' '", f j,. ,', ;i. ii" " ,'" ",,,'," ',: ,', ",',,', "..,. ..,",. ,.", ;-::," .'"',,-;' ,/,." . ':;" "", ,:' ,;, :', :'-::.': ,",,'., :.::', , ',':: :,," ' ':: ,'. ,,' -- " . ',:, ,,: '",': ."", :..:' ,: --, ",. :,.",' ';.,' ,,' " ,,-- :--.- ',,' ' ,:.:: , :,:, :. ',' ", , ,,' " '.." ' '. , , . ..,... ,',. :, ,,', ", "" "':'", ".", .' "", .-', ';, ,,' ,', ,,--: ' ,,':.' ';,' , .- '" , "', ','" ': .:'.' , .<,,: '....' '. ..".' ',':, ;:: ',.,.,'. ,-' "':'-' "., '... ,...., " .....,..: "'.' < '.' , "':, ,:,,"", ' ' "''',', '''' ' ' ':' '" ", '-''-' :,:::, .' ". ..,,:: " ' . ""'-,' .,' ....' , , <.,,--,' '" " ,i,..,' . .....' "':: " :.. .' . '. '... "..:' .-:--:- .:". .',:'- '." --':, ", ,,' " ' ,', . :--',' " ' ,:"",',, .- ':. ,'.. ,." '. ' '.,', :' ", ", ',,';' ' ...,.."',,, -."': ' ''-:',' "...,\. ":'.,':' .. "'" .'. .,";. ", .:.,...'. " .' ",::' :,', '.::' " , ',' ."... .: ~, ;,\ l ~ f;> I ~, f~t .:;;, ':' ':.:, :':, " ,]l: ~', ~; t ~ h ,\: l r , '" \' '., ~" ..- :, :, __,_,."i...', , , '"," , :::",', ':",:":'>'::,:,_," 'i:~'"'' ",,"," ,':, ,.' ': ' ' , ::; ,~. ,'. ,. '. .. --' ,,:,. .',' , " : , ....,., ,.', . ," i&ft~~',:i~: ,--, . :,1,', ;1 . '" I would like ~o make the following suggestions: Lorna has rearranged your offices, as I have my office. to try and accommodate our needs more easily. With this in mind, I ask you to look at leaving my office as is for common usage between the Assessor, Auditor, Clerk, and Treasurer, a common teaching area, Sta~e examiner work space, and record storage. If you need more room, consider using the curren~ compu~er room for micro-filming and permanent record storage. By moving permanen~ records across the hall, you would be gaining more space wi~hin your office and it could be secured with only your office holding the keys. This could allevia~e some of the crowding within your offices and still leave storage for da~a-processing records. Secondly. I believe long-range-planning should begin. We should look ~owards the addi~ion of an annex to ~his building. We are fast running out of storage space, office space, and becoming overcrowded as the population grows. ,,I' ,'" ,,' ,,:;i " :.''-, .". :. '.,....,. . ..'.'.,., ,.' , " ;, " ..",' ,,,,,', i' , , .;'" ,', ' "":, "." '. "., ,." .., '.' ,:; i": '",:..", ;::', ",,' "" --':: "':, : ' " , ", 'i.', .'. ." ":".,.", .',',,; ',: ::.,"',-- ::.,""".- . ,'.' ",.' '::""> ',' '.' 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':to'; , ' '" ': " .- ; '.., ,):~/ F-- ~: }: , " " ",-,-- ',' '" ",.," '", ",- :' "',"":, E NOTICE TO THE PUBLIC PURSUANT TO RCW 36.32.250 AND JEFFERSON COUNTY RESOLUTION NO. 278 REGARDING PURCHASES BETWEEN $1,000.00 AND $3,500.00 Notice is hereby given that the Jefferson County Public Works Department intends to purchase the following materials, equipment, or services from the lowest responsible bidder: One portable wheel balancer-spin balancer capable of normal- static balance, accurate to within one-quarter ounce. Rim diameter range 13" to 26", rim width range from 4 1/2" to 18". If motorized, motor to be rated for 850 RPM or higher, must be equipped with emergency shut down and have full interlocking hood guard. ~TELEPHONE ~WRITTEN QUOTATIONS were received from the following: Bidder: Address: Snap On Tools 586'2.. So. 19th Kent, WA 98031 $3,446.25 Amount: Bidder: Address: Northwest Sales Group 5718 1st Ave. So. Seattle, WA 98108 $7,555.29 Amount: Bidder: Address: Bills Tire Center 1633 Water Port Townsend, WA 98368 $8,329.43 Amount: Bidder: Address: Amount: After three (3) days from this posting the bid will be awarded to the following bidder for the lowest most responsible bid: BIDDER Snap On Tool Posted .i~~t.-d_, 19~ bY~.s.~ C!- ~~-u-r<- (DepartmcHt Head or responsible official) 14. 1Jc7 ~p&b iJ) :;A;j,)7~~. ~Jt.-~~ ~.-11 ,~ , I) 1\.,,..,., /'r!JuJ ;;;.,/JJli:...",{-,c9CL2CV f_'" f~ ~.c.... -a - -r OS,IQ.I/{ Sl'ATE OF WASHINGrON axJNTY OF JEFFERSON In the natter of x RESOLUl'ION NO.~9 Updating the Official County Road Log x x I'IHERFAS, the Jefferson county Road Log, from time to time, has been revised by the change of various county road names and the addition of roads to the log, and I'IHERFAS, the Official County Road Log was last up:late::l and adopted by Resolution No. 22-87, and I'IHERFAS, the Jefferson County Department of Public WOrks is responsible for the naintenance of =unty roads as listed in the Official County Road Log, NCM 'IHEREFORE BE IT RESOLVED that the Official County Road Log attached hereto as Exhibit "A" is hereby update::l and adopted as the list of county roads and their lengths to be naintained by the =unty. AOOPl'ED this ~daY of ~f tl~~"-; , 1989. JEFFERSON OOUNTY J3O.l\RD OF cnlMISSIONERS . "~","\'6'"'' . ." ~~~" ,'t( C 0 I,f ~>_~ >. 11/ ....';::...'-;1. . '1-.; ~ ,,', II,'.~' ".: .....-:. '_~ o-#:.~ I:I"'~""/ ':-----..~I..--" I:::~: ~(... "-~.\'\I ~~ '\ \~\'::\ \{/!.,) /IJ}) '.', '" '. ' .)- .~,/-:J' .,ij: , '~~(:'~J<~ :. ~ ::~>.>/ A~: ,./ ,,-fi tf) " O' CYl,11 C{ "'.[ M cx..,yu:J' !cma Delaney Dep..tty Clerk of the Board 4-c~_. {!-/;h~-,,-- George C. , Olainnan ~~,~-?P'/~/ Dennison, Member 7rL::7 / LJ:<24.-t1--<-~~, B.G. Brown, Member CR.. /07505 COUNTY OF JEFFERSON STATE OF WASHINGTON In the Matter of: x Resolution No. 20-89 Amending the Ordinance x Regulating Traffic on a x county Road: x Clearwater Road x WHEREAS, R.C.W. 46.61.415 permits local authorities to decrease or increase the maximum legal speed limit on County roads on the basis of an engineering and traffic investigation finding that the maximum speed is greater or less than is reasonably safe, and WHEREAS, the County Engineer has conducted an engineering and traffic investigation and has determined reasonable and safe maximum speed limits on County Roads, and WHEREAS, the County Engineer has specifically identified the currently posted maximum speed to be unsafe on that road known as the Clearwater Road, County Road No. 107509, NOW THEREFORE BE IT RESOLVED that that portion of the Clearwater Road, County Road No. 107509 from milepost 1.03 to milepost 4.13 be posted with a maximum speed of 25 miles per hour, and that the Jefferson County Speed Ordinance be amended accordingly. ADOPTED and signed this {R:- 7.... -1 day of r~a..vd4i-1989. JEFFERSON COUNTY BOARD OF COMMISSIONERS 4~----.f,-L--t!.--@4-~- George C. 8rown, Chairman /1 _ " .~;::;~~~- r',.~,<{ CO/",,' ,,;--. ,/ .....'~')(-;.~~~:.IJJ;....;\"', //({ftt1j:r/, .~:;\ \\ \' ,,,.\,,,,.J..., ;,,)): ;,~'';.''~'I' ;l -'. ;'~- ,'r\\ .,':..- ,I' ,0.: . .' .. Q. I, \ ,~'.. L' -.. _ <, , q\\ _"f.:., , - "",.c;: '. .J, .1" , \\~~"'!J..\!:.);:.-J ...'.../:l s~~~F~}/j-~'~~':: :'~::'..' : '-, ~~ B.G. Brown, Member 0'/, '5"0,0'1 ANNUAL CERTIFICATION (For Calendar Year 1988) COUNTY ROAD ADMINISTRATION BOARD (WAC 136-04) MANAGEMENT AND ADMINISTRATION 1. The county road engineer performed the duties and had the ~ responsibili~ies specified in RCW 36.80.030 . . .~ no (If no, please attach brief explanation) As of December 31, 1988 the management of the County Road Department was in accordance with policies set by the county legislative authority including, but not limited to the following specific policies required by CRAB Standards of Good Practice (WAC 136-10-050): 2. ~ IMPLEMENTED DATES OF SENT .l2.!l..!l :rQ REVISIONS ' QBall (If any) Yes No Yes No Yes No Yes No Regarding Organization ~ No 'Regarding Personnel Practices rsiV No Regarding Handling of complaints ~ No Regarding Work for Others c3 No (If No, Please Attach Pertinent Copies) 3. A written resume of bridge inspection findings was furnished to the legislative authority in 1988 as required by WAC 136-20-060 on ~7s-~?? . Please attach a copy. t(i7ate) 4. The RCW on Annual Road Program for 1988, prepared in accordance with RCW 36.81.130, was adopted by the county legislative authority /~//~/g'? . county's road budget for 1988 was adopted on /~~(~pr 5. The OPERATIONS 1. projects to which construction expenditures were charged were all on the 1988 Annual Program. . . . . .' e no (If not, please attach explanation) This county's day labor limit for 1988, computed in accordance with RCW 36.77.065 was. . . . . . ., ... ..$S~,c~ The actual expenditure for day labor construction as J reported in the 1988 Construction Report was . . . . $~!-- 2. 3. accuracy of the responses given herein (as modified by if any) . / ~rb./ / j7J?'.f1 (Date) JEPFERSON (County) ;,y-- L L, L f- /. r, K r I I ~' i WANTSlO SEE VOU , . , ',' ~ iif:~';:~:~ I I f ---<I6lll!t , 1/ '6 (T' A.M. TIME I I a P.M. S OF PHONE 3RS-/(pjt'2. NUMBER AREA COOE TElEPHONED CAME TO SEE You SIGNED UTHO'NU.SA TOPS' FOAM 3002P --1 ..11'1-.:- ~ ::r. ,- I rl.. cI.L.. -f.. J rr-:JJ's~ c"/ S",?.,~ ...'"' ~f...._'./ . <i\\'illoughbf S~n1ess Steel P1umtJjng FIXtures and Prison Ware . 2210 West Morns SUeeI,! P.O BoI 2Ill06.''''''anapolis. I~na 46221 . (~17) 638.2381 I .' nPICAl. CONSTRUCTlCN fer WLLOOGHBY f'l.U,lBING FIXTURES N..L CONSTllUCTION IS OF TYPE 30. si.uu:ss. EXn'RlCJl suaa:s ~ TO A ... F'MSK INlUIJOR SURfllCES OF CASl'E:T fl'RAYED WIlli SO\H) ~(~'FlAIU CAaNi:T SUl'f'Cm" 1 i SYSTOI '*" Ii ''4l CABINET SUA'ORT SYSTEM AND ANCHOR ING SYSTEM '-RAHSWITS LOADING DIRECTLY TO THE SUPP9RTING WALL ( \ 7--<><;:; -.J>;P"" >~,r'<>i~ ,~'(rr,!'1 ~ Approved for Manufacturing Signarvre Dare Pagy d / o..ct'oIll~ ......... """... .... ~hl, Company """'. ....-- Tille P-IO ... ,,;,' %" (\ r f' 'ft, r I' ~ -; ~ r- ...., a ~~~: ~ ~ ~ ~: ~" . ~ ~ 8 : ...; ~ i,rp i ~ iQ ~ ~ ~ a ~ 0 ..., ~: i ~ ~ ~ ~~ .~ ;g ", 5 ~!'t ;: e ~ - fi)i! ~- J /\; ~ J II ~; ~ ~~; l L ~~ ~. ~ . ~ g~~i ~ -L I ~ ;1 r . w;;; --- I~II I -1- 111111111111 r ,', ""'-' . ,',. ,',!. ;" ;:, r, '/ ..,' I, .' ,':, ':-:" ,<,.,. ., ' 1 ! ,';. "--"''''''~'''~.'''~-'-" -'- ( I ,-"j --- ..0 _ L ___ , r-=' --r- '\J" '..----...,... . ~E ~~ ~.e 1t~ ./>. ~.= ~ , , I \;, 'i,; 't ! 1 .. ~r: f~ -- .0 . ~, . , "',: "',' , ":: :.' :\,:.;,' ' 0'" " '," ,..,' " , ',' :' .' ..,:: .. ... " c' .';, .', ' ,:>:': > .": " " " . " ' , ' "," ..,'..' , ~' " ' '''',. :",',.',: '. '. ' "",; , ,", ; " " " ," . :.. .'" .'::,' ',. " " ',,' , ' , ", ','" '" : :""':" ' 0 ' , .' .... "'. ',' '." ': " ' . ',,', ' " ",.'," ':' ';,' ",c .: ,',: '. ' '.' '.,> " " " ,', ,', ,,' " . ", ." 0 ": 0 " ',..".......:. .,: ;' ,1 '] ,':0> ,',' '. ,'. ",' ': ' , " ,,\" ' ; '" " ", , ' : ,,', I ' "':, ", , ' , ',"':-::, ' " "',' " '" ' ,', " ,', "': '. " .' , ", " ," " , , " "~:':~ . ": ~ .' :1\.:, ' '" " ' '. " " , , " ,", ' '. .. .:',' , .,.','" \ :, , , ; '" Yi f (^. f" *'i", ~", I ': I' .' p-~ ,( ( 'J J'? i . . G\VilJoughby. Sialn',~ss Ste;I'PIUmbing Fixtl.!res and Prison Ware . . , 2210 West Morns Street. p',Q, Box 21006. Illd.anapQlis. Indiana 46221 . (317) 638-2381 _I .' j WAll.. 0lJTI.El' I~~ ~=:~:v ECW 1845 C SEAT LOCATION Loft ~~~r 1845 Series Combination Units SPECIACATIONS and :r~l~~~~~~ ~~~C}~~i~~e';:'f~~:~g$~:::~ ~rJ~=~n~~I~e~ir~~k::c, ~ :::r~~;g~:~~~~:=~~~~~ ~~~j~~tri~:~~ ~~~}~~ ~~~i~~g::1o~w~~~f~ ~~~~~~5p~~i~~Nn~:~~~::~:~~~'~~'~~'n~~~~~~~~r':t~t~~e~~i~~~unT ~:Z~~n~~~s8fo ~~~~~f~~rJ~~n~~~~':,~~~:; i~~l~~~~e~'b~~~~~ 6-point s)/stem; threaded rod. support prates and 'aslenars furnished. Cer1ified les1 repol1s conceming perlormance and bad capabilities up to 5.000 Ibs. available upon request . ECW 1845 C Produc! may Illustrate some op~ I! ~-< !~ ;;:. -~ ~~ o Hi~Joil~ ~:Ie . ~ ~sc., Willoughby 1 Temp Water V.tv. WSC-2 Willoughby 2 Temp Waler Vatves Delany Aush Valve Sloan Rush Valve Wall Sleeve Security Mirror ~tl~"~~~~h~ ~:~~: ~~~ g Accessories FURNISHED FOR WAll.. nnCKNESS 8 Up 10, l' ,..to 7"' o~:r.o.e Spec;ty lYPE OF WAll. ~ Concrele Block Steel ~ Combined Waste System Slow Drain Sink Outlet Recessed Toilel TI$SUB Holder ~ Towel Bar Release Towel H~ Toothbrush Holder Ventilation Grille/s Mirror Finish Seal f- ( ( fi f~ ;1 ,02 i~ U 1l~ it I~ , . Ij }r.. Ell; .l~ I.j eh In Rough-In gn~::~~r~~"~~:;~I~~~~~I~~~UO::=W;~':s~~~ wasle fittings. (g ~...... "Ill."....." 0-&.. ll) ~nlll~T.TO'WSM ([) :::~.,............ c!J~....__IIlInTOa.._ .~ ~:::~~ .C!l:':;:--~frotl i nu._m. ._, , 1'"II-Cl/1'.Cll,IT ~ 1."- 00& "0..11 . ell"'..' ~l/1"lllJT' l .'I.'~'lllJT MII".Oh."T'[DOOTG ~ "'fJoP(J<l" . ~'u .. _t"IOOH',u,v.."" CI\l\tVALVl..,,,,'.lO"lS. i;;l,C:::1.f---4 rL~-.I-:t -4 IH:I-,l--.-L IC.~'-.I~ l~l o' I WUI-;:;rl I, 11----+ "..... ~ "'iZ'1! ...... -i!::::.....=::!I- ~~~ ~~ ~ ~ MCIdiII celli' 1lI.~ L II .,....Ik..1)' .".,11, t.,.,.,.,., cew 18.~ A. ROUCIo4 IN WAil o~ (CW 164~ ROC ( \, ( oall' 0' llio1ove Rt..,,,t'd 5<><'< No Approved for Manufacturing Signature Date pagy of / 8/83 Irem Ou,:m"'r MOOt" Numbt', Title Company 'i"1'I ,JEFF~ <:X>tJ.IITY DEPARTMENT OF PUBLIC WORKS FI u: ~el?. OS', cJO. V'D REQUESTED BY. ~/- ....<~ ACTI ON REQUEST ~:;:'"~/:t /: ..-#"';;";-;..~,.; 7;;".d,:;1~ c~ ..2// PI-Ia>IE NO" X:?'/- ~.s-,q/ DATE- ADDREss - ALT. PH. NO,. NATlRE OF REQl.E:ST. 0 IN PERSCH 0 BY PHC:::f'fE 0 BY LETTER TAKEN BY. c.~;"e: PERTAINING 1'0- 0 OFFICE 0 ENG/SURVEY 0 ROAD MAINT. 0 EQUIP. MAINT, 0 SOLID WASTE REQlEST FOR. I...OCAT I (2lrII.. ROAD NN.E: PRO.JECT~ PRCUECT TITLE DESCRIPTIO'lI- ("&Z"'"L~'~"""~,/ ROAD N~ER M.P, ....~. ~,"Y~/.f-/?/ /,?:f7 .. .../ - 4d/ ,:;{ t/" RRO..JECT Nl..MBER- 6'~ /'-{../?" /:/ //x-;- J~. ATTACH NAP QI SKETa-t HE""'" TO - Cvv "'[i;y RESPO'iD BY- RESPa'iSE _ '-1,-" /IM."'IduL ~-'. Ju... a:z<~ /.or ,P.7e<'t'''''.U-'~ ' --V {)V u REVIEWED BY. DATE. CONTACTED REQt..E:STER 0 IN PERSON 0 BY ~ 0 BY' LETTER CCNTACTED BY. RECXJ)lY.ENDAT ICN. PREPARE ESTIMATII:. F'CH- AOUrE To- O DIRECTcR o ASSISTANT DIR. o ROAD Sl.t'ERV1 SClR INITIAL o c::tJNSTRUCTIClN ENG. _ 0 ACCX)l.I'IITNiT D PLANIIING ENGINEER _ 0 o """'IN, ASSISTANT 0