HomeMy WebLinkAboutReel_0068A
MOTOR VFH1CIF PFPM1T
ISSUED IN "EFFERSON COUNTY
VALID ON COlfiTY ROADS LISTED BEl..O\f
ISSUED AT PClR'T TOlINSEND, .ASHI~~
DATE 4-1;> -9 0
~Ji/;t%:q Irftfrr
I'::RM I T I SSUEO -.0 :s-..s Q / d..
ADDRESS ,t/IF. B.~ /7'1
IN ACCORDANCE .Ini CHAPTER 1.00. LAWS OF 1..7. PERMISSION IS HEREBY GRANTED TO OPERATE
~=~i~?t~(,VEHICLES ~EIN DESCRIB: ::,T~r~~ k
V IA COUNTY ROAD ~ ; ~
n-tIS PERMIT VALID FeR "I'I-E PERIOD OF
4-1,/ - 17
..;.ivv
", ..A , c)- ~ 0
VEHICLE DESCRIPTION
'3 ____AXLE ~~~~-7.:'--f.2~_~ _~_AXLE ~:A-;-L~
Lie, HO. ~~~ ~~ _______
. ~ LIC. NO.
~ERMITTEO AXLE .EIr.HT_~~g_~~__________TIRE SIZE__~Q_~~~_______________
_~?_____FT'___~__~_IN, MAX, .IDTH_~e___FT.~__'N, MAX. HT,'CF.RT,WT,_YE~O
~~ I FT. LENGTH ~ FT. FRONT OVERHANG, REAR ~ FT. GROSS ~T.______
~---r~--- . ---'-"'-- _....I.!_ Lie. C;AP. ___
_________SOLIDTIRES OTHER REASONS__________________ EXCESS WT.
----------------------------------------------------------------------------
-----------------------------------------------------------------------------
RESTRICTIONS
MAX. SPEEO D MPH ON ALL BRIDGES
DAYLIGHT HOURS ONLY. NO ~OVEMENT
DURING INCLEMENT WEATHER
\/ASSUME RESPONSIBILITY ~OR OVER~
/\HEAO OBSTRUCTIONS
NO SATURDAY, SUNDAY OR HOLDIAY
MOVEMENT.
.UB~ECT TO WINTER ROAD RESTRIC-
TIONS
ALLOW NO OTHER VEHICLES ON .RIDGES
TRAVEL CENTERLINE OF ROADWAY ON BRIDGES
X FLAGMEN TO CONTROL TRAf"F I C.
FLAGMAN REQUIRED ON TRUCK
~ED FLAGS DISPLAYED ON LOAD
P I'LOT CAR AHEAD AND I N REAR
MAXIMUM SPEED OF________MPH
----------------------------------------------------------------------------
----------------------------------------------
LIABILITY CLAUSE
IT IS UNDERSYOOD THAT JEFFERSON COUNTY ACCEPTS NO LIABILITY FOR DAMAGE CAUSED
TO OR BY SAID LOADS AND THAT ALL WASHINGTON STATE HIGHWAY STANDARDS AND LAWS
REGARDING THE MOVEMENT OF OVERWIDTH AND/OR OVERWEIGHT LOADS MUST mE STRICTLY
COMPLIED WITH AT ALL TIMES.
-----------------------------------------------------------------------------
-----------------------------------------------------------------------------
COUNTY ROADS ARE ONLY U
...00 FROM PER~TEE C
&IGNATURE_~
AND I, THE UNDERSIGNEn, ACKNOWLEDGE THE RECEIPT Of"
RING THI5: ABOVE DESCRIBED MOVEMENT.
_ ____________TITLE__~_!:lo!'Jt.f~______FEE ._S':?J~_
s "" ,..,
~.
::s- <V ~ N" S """
K :Jh......I....1
pt)R').1 "I
(REVISED ././..)
~;
:'I'
- '~.
"",
,,~.
).,,~
G ..
1,,'"
.i"i'."
<;'i1A
~
,,~, ~
.4lf'f:
TEMPORARY HELP AGREEMENT
THIS AGREEMENT, made this 26th day of March, 1990, by and between the Jefferson County
Public Works Department, hereInafter called .COUNTY. and Loree Chester-Rea, an IndIvidual
hereinafter called .EMPLOYEE..
WIT N E SSE T H:
That for and In consIderation of payments and agreements her~lnafter mentioned:
1, Commencing March 26, 1990, the EMPLOYEE shall begin work for tho COUNTY In the
Public Works Department office under the supervision of Gerl Robison under " full
schedule.
2, The COUNTY agrees to pay the EMPLOYEE $8,01 per hour for the term of this
agreement on the normal pay days, to make appropriate payroll deductions, and to
pay the employer's portion of Social Security and InduGtrla. Insurance,
3, The term of this agreement shall be from March 26, 1990 through June 8, 1990,
4, It Is understood that during the term of this agreement, the EMPLOYEE wlll not be
required to Join the union, It Is further understood that at the end of this agreement,
the EMPLOYEE wlll be free to return to the normal schedule of work If any, which
Is below the requIrement for union membership,
5, Said EMPLOYEE shall no be entitled to any rights or benefits under the current labor
contract.
IN WITNESS WHEREOF, the parties hereto have executed, or caused to be executed by their
duly authorized officials, thIs agreement In trIplicate, each of which shall be deemed an
original on the date first above written,
EMPLOYEE
JEFFERSON COUNTY BOARD OF COMMISSIONERS
Slgnatur l~ '/'IR r::Rt)'ilA --~BY: ~ ,~ e-~
~ ' "V~own, Chairman
TEAMSTERS UNION LOCAL NO, 589
By:
ff~./ ~;a-
1:Vz.2/~P
~.r ,V ::'~-..
MI\R 2:3 i99Cl
. . "UUI'n'
'r="'\~E.h",LJI'" ~c ",1""'-
".I~1 .... 'I\.,f"'\t":)l.
C\'I
.
I!~'j
*
'..
F-j
,~,
~
,
,
"
"
I
'~.. .
~:.:.
I
w.-'
,
t,
r-
i
'/.'
. '
~'
r:":
,
I:
;
I.
.,
I:'
" ,",'
I,
;,
., ,. '..,
I ',....~ .'
",,"..,1, ::
" ,', " .'.. ',;.
, ',' '" '" . ',', , , '
';,)" . ,,": '; " .', ,; .. : ' " " , , ' " , ;' :': ,", ,.',
"," ,.. "'; ,,' ", ,",: , '","'"
.' ,."" ':,:, ,", ..,",' " , .,' ""," , ,',,",
."" ,":' ," '
,,', "> . "',' , ,
,'""', "",...,'" ' ,
.. ' ,i ", ." ,,'
'" ..' '
:", "
".""" ,
, ,..:".,',
"',,: ,',' ",',,' , ' ,
" "", ,
"'::-,,' , '
",
;',',
..
" .: '."
" ", ',"". , "" '
""" '.. ' ',,', ,.: ..' .. ,'"
,: , ' ,
',', ",:'
. ",' ',",,'
, :::,:,'
" i"" .",
:,;:;,' " ",
.",', "...':',
,
,
: "..
.. " : '
" '" ','
;,..',' .. ", ..
" , :, '.' :', ' . "
:,' ",' "
, ," "
, ,'. '
,',,', .'.', ,",' "
,:,:'..,.." " . ,', '
,,' ;,'", "
", "
.', "",..".,.',',.., '.' " ' "
" ,:', ',.'"
,',,' ':' """,,',
",' ' ,,'
'"
'..
" ':',"'"
:'". '"',",,
",,:, "..,
'. : ' ,.."",'
'"..... '",'
':" ,',".'
;".' ",: :', ", '
.. " ' '. ,
,', '. "
,', """',
"', '
,. '"
'., " '
,
" ," ,.' ','
"
, :.', "
,,'.> ", "
, "
"
:':
','.'
.'
, '
~
(?) (!)
" ,,' " . ',' ' "
,,' . ,.' ",. .':;:' ':, ..
" ."", " ,,"
", '. ' ' .:.", ,", .', ,
.' ',"
'",:': '
" ,'. '.., ' ",
.',', '"
:, "","
" ", '
, ,,'
. "',,
, " .'.
." '."
,,' , " "'"
, . ", ',' ,,'.' >"
, . , '
"",',"'< "::'
, ',',':< '",
, ',,'" ,": "
,', ,,', ,,:,;'<,',
, ".' ,',
""" '
,q ',: ','
'" ," ,',..'
:,..:,,' , >
", , . .'.. ,;,,','
, ,',
",; ",', ' , '
, ' " ..,'.',:,
, · ., ' ,"" 'f'
',', ,'.',"".,','."",
" .'
"', '
". " '.,. '
':' ,
:,' ':'
" :: ,',,:
..,.."..-...., ...'..'"",,-.. '.' "" --".... ' :, '
"
..' '. ",:i''',
":"":'" '; ,; ..,;"
" ,".', ",
," "
" ,"
,">'
" '"
,/ '. ""~"",, "
,,' .-,..' ',"".
... ,',:', '...',:i.'", .
..,;'"
" , ,,' "',,', ,', ,
. '.',', :,.,,'::', ,,',','
" ,;,":',',
"",' ",' ,":,),
.. " '
',', ,":."
, ',' "
" ,::
,,', '.'.',,':
./:.~;" ..
, "',.' .'
, .. ' ' .,'
.'
, "
e
I
..
',',' "
", ..
i
, :
;
G
;
e
"
,
'.;;J
,to,
(.)
...,,'.)
'.'
,
:~
,1!!Jl> (~)
(<.;; :...
.. .. I.
~
~
'~
S:0206Y
COUNTY OF JEFFERSON
STATE OF WASHINGTON
In the Matter of:
"
Resolution No, 95 89
Rescinding Resolution "
No, 114-81 and "
Restricting Traffic on a x
Portion of x
Gardiner Beach Road "
WHEREAS, Jefferson County, by Resolution No. 114-81, established a portion
of Gardiner Beach Road, County Road No. 502009, as a one-way road, and
WHEREAS~ the Jefferson County Board of Commissioners has determined that
R~s_o~.u.~i~n.. No_., 114 -.~ 1 ___~~ __.re.~t:!.!!c:!C;:~._.~B~_.___;t_~_._~h~__~nt;~:r.e.s,.t... .9! __pllQl.i,,~._,-s~f~_t.y..."_._~.h~
"'-Ga'I'diner -Be-ach"-"Ro-acC be .'res'tricted to local traffic only and signs be posted
notifying the public of said restriction,
IT IS HEREBY ORDERED that Resolution No, 114-81 be rescinded,
BE IT FURTHER ORDERED that the Department of Public Works is hereby
directed to install signing restricting usage of the above described road at
mileposts 0,70 and 0,92 as required by the manual on Uniform Traffic Control
Devices.
. . \.:) \l' 'f r? l~ '
'" C".:".J" -,. "',.'\
~"':\f -t..,:~~- ,I~\"
;;: ~ ) '.' '~
~ , .. ':"/ - -' I ..'
, ". . . I
~ ,.~..\...~..J, ~. .' .
, ......
SEAL:. )ij't (,J ,.,./
..-.--......
JEFFERSON COUNTY
BOARD OF COMMISSIONERS
~~wn, ~~~
~P~A
Larry , nnison, ember
';A ~....c!'1~
~)
B,G, Brown, Member
ATTEST:
c:fJ cYIA\ C1- JJ. 111.2 CV1~d--
Lorna L. Delaney
Clerk of the Board
r. Iv =!;-c? ?1&;;
~
t:f;;L
[""1\ It": ~...~ if.;. \l1~ g E It'i\
!~ ~. 1\._..... ...........!~ ',-~ ..~ L,.(I
\D:"~T \: ,i:;: [:. \
~ I ~,. ~ t i
,\\.--. .-' (:j ,
\\',
l..;w j U./ i'),-'-:";
401 South Bay Lane
port Ludlow, WA
October 3, 1969
OCT 06 1989
JEFfEk,=>VI" 0uUI\\rV
PUBLIC WOPI':::; Of::!=-'
)I:!~' \'.~'..~" "
r,OpS{l1 Of CD!:: :I~':(+:"
Jefferson county commissioners
Jefferson county courthouse
port Townsend, WA 98368
Dea~ commissioners:
rJX;
It's come to our attention that a request to pave the entire
South Bay Lane Cul-de-sac is before you. As adjaCent property
owners, we would like to spea)< against this proposal.
paving the entire County right-of-way- would present a
stark, sterile appearance in an area of natural suburban beauty.
This would be out of place most anywhere, but especiallY in
Jefferson County.
we know of no other instance where an entire right-of-way
is paved.
The extra cost to the taxpayer of the additional pavement
is difficult to justify. There are many needs of the County's
citizens that far outweigh this project addition which to us
is neither needed or desirable.
FinallY, we are appreciative of the county's interest in
improving our street. Any effort to move the paved area
toward the center of the right-of-Way, within constraints of
aesthetics, time and funds is alSO appreciated. However. we
desire no more in road improvements than any other citizen
of the County has received in similar circumstances.
sincerely, ~'
.pqA, ~~
,?:(! . ..,Q 1
Z)f'f....... ~, c:t~liJi';'{\'t/'
Robert N. Beckman
Elaine E. Beckman
.
\II
Ill>
,..,
!~
6'
:")
l~N
l/II c, '-1/)~() j;i
UU7oC!
port TOImsend, WA. 98368
Augu,qt 31., 1989
i
v:tL
:t:","
j
:~::,) {j ~~29
"~l~,,~--:"':;'~i~. "'\'';'>: .;'\~ '.'
public works Deparcment
Attention: Gary Rowe
Bob Nesbet:
Gentlemen:
pursuant: to our several recent conver8acions regiJrding rounding out
the 90-degree turn neur the waterfront on McMinn ROu", J: hiJve u few neW
suggestions.
Dick vedaa, an excellent Builder/contracter,and .Rsvera.1 of his
neighbors have expressed concern about the extreme dunger of the one-wall
traffic on and near the said curve. Dick ana I agreed la8t night that
authorities 8hould not: p08tpone any longer rounding out the county right-
of-way as waiting is .113 certainty of all iJccldent: sure to happen.
please note: land sale8 have exploded t'rom october '88 and the
early part of 1989. County records show there is no watert'ront: tracts
left, period, und t'ew if any other tracts that McMinn road services.
This includes .land all the way to Cape George colony. Several houses
iJ.renow.in progress from the planning stages to living in them.
Back boes, well drilling machines, lumbertruckB, gravel trucks,
logging equipment, carpent:ers, electricianB, plumbers, Real Estat:e agents,
prospective buyer8 and mailmen have made McMinn road a mUCh-traveled one.
We have a new traffic problem that wasn't thece six months ago.
Several of the above mentioned. resldenr.<:f have children, some are
teenagers who will soon be driving car5~ Need I elaborate?
GiJry, you will remember that you and a Public Work8 crew did the
county survey work five or six years ago when four property owners deeded
land along both side8 of McMinn road in order t'or puget sound power and
Light to Bupply services. Deeding eight to lO-thouBand dollars of land
to the county waS conditional that the Road Depart:ment would round out
the corner mentioned 8bDve~
Gary and Bob, our request is so small that the Public works Dept.
Administrative staff could probably remove a stump or two to round out
the curve as a routine matter of business. Right:? Dick Vedaa and I
discussed having'individuals do t:he work vs the county doing it, but
decided there wefe several reasons why the county would be preferred.
I, .
I suppoBed,~~nd Dick concurred, that YOU would already have done
the work if you ,/lad realized the increa,qed pot:endal for serious accident:s.
Now that you have been int'ormed we hope yoU will act upon our request. soon I
please note: a second bonuS for widening und rounding out the curve
is Dick'S suggestion that it would provide t'or a legal place t'or him--
as well as t'or his neighbors living west of the danger curve--t:o receive
muil. six-hundred feet west ot' the curve is a 60-t'oot eusemant: road
where there is a safe turn arormd on a count:y road. This is required
by the postoffice.
Ple.18e adviRe me soon if you feel this mig/'t be a workable plan.
I will meet with you, on the site, it' yOU Wi8h. Thunking yOU in advance.
Copies to: .
county commimdoners
pORtmaster
Sheriff's Department:
county planning Department
Dick Vedaa
Re1!'~ s.l''f'mitt:~'11A .
~~r;' HCH-rtA i'J1" V' I ~
p,",
""
--wayne RatclJtf
Forest Practice SpecJalist
OlympIa Region
RR 1 Box 1375
Forks WA 9833 t
(206) 374,6131
~~ Home; 28D-2448
~~ WA..<;JiltIGTON ~An; DU'Arm-10~T Of
_ Natural Resources
tlnun [1t'YI" C<UllIl""'''''''/ ," 1'1.1111", Lu"....
.
Cl'
Pc>n> 13'5 \0'1
M,,"'.e CZ\G., i/:l:>,
i
pEPARTMENT OF
tesources
I
I
u
'ea
<. .,.----)
FOREST PRACTICES
ORDER / NOTICE
tiJ GI
.
~$
T~c>.;:1"f'..lS
~,
REIMBURSABLE SERVICES CONTRACT
R!eCEIVED
JAN 29 1990
JEFFERSON COUNTY
r"'1 'n,.,(' \."I(lqK'f=; f")J:'D'"l'
THIS AGREEMENT made and entered into this ?? ~ day of
-;T'/J.NIlAP':;L , 19 90, by and between CLARK COUNTY,
WASHINGTON, (here~nafter, -nc1ark County"), and the
Jefferson Countv ~--
a munic~pa1 corporation duly organ~zed pursuant to the laws
of Washington, (hereinafter, "Municipality.")
WHEREAS, Municipality does not have adequate personnel
or equipment available to do the following work within their
municipal boundaries; and
WHEREAS, Clark County has the necessary personnel and
equipment and is willing to do said work in consideration of
the mutual covenants and agreements herein contained and pur-
suant to RCW 35.77; RCW 47.24; or RCW 39.34, as applicable; now,
therefore,
IT IS COVENANTED AND AGREED as follows:
1. Clark County shall provide those services set forth
in Exhibit "A" of this agreement, either through its employees
or through qualified contractors for Municipality to the same
~tandards provided by Clark County in the unincorporated areas
of the County.
2. All costs to Clark County for its labor, equipment
rental, assigned contractors, and subsistence shall be recovered
under a reimbursable work order number.
3. Upon completion of this project, Municipality agrees
to pay Clark County the amount of the costs under the project
number. Costs are estimated at $90.00 per hour for field work
(including travel); $30.00 per hour for office work (analysis);
and actual subsistence as approved in the County Code.
4. All costs estimates shall include appropriate admin-
istrative overhead rates, insurance costs, and actual charges.
5. Both parties agree that in the performance of this
contract they shall comply with the provisions of RCW 35.77,
RCW 47.24, or RCW 39.34, as applicable.
REIMBURSABLE SERVICES CONTRACT - Page 1 of 2
o
~
,0
~;~
,.~~, r~,
cs
6. It is agreed that Municipa~ity will indemnify, defend
and save harmless c~ark County, its officers, employees and
agents from and against any and al~ liabi~ity, ~oss, damage,
eKpenSe, action, c~aims, including costs and reasonable attor-
neys' fees incurred by c~ark County, its officers, employees
and agents in defense thereof, on account of or arising out
of the performance of this contract, including but not limited
to the rendition of professional services hereunder.
Municipality specifical~y agrees to indemnify and ho~d
the County harmless from any and a~l bodi~Y injury c~aims
brought. byemp~oyees of Municipa~ity and expresslY waives i~s
immun;tyunder the Industrial Insurance Act as to those claLms
which are brought against the county.
~I~ ~ITNESS ~HEREOF, the parties have set their hands this
z.z=- day of :;r;:NLlA'l#- ' ~9 ..2Q.....
Approved as to Form On~Y
AR~aUR D. CURTIS
P 0 cuting Attorn\Y ,
13 . ~.l~-
?rosecutLng Attorney
MUNICIPA1,I~Y
B:::;;:;'^" rv;:;::':-
( Name)
rf-l1:\-lPM1~ I 13tJ{' c.
_ TLtle)
REIMBURSABLE SERVICES CON~RACT - Page 2 of 2
...)
(Oil
e
EXHIBIT "A"
SCOPE OF WORK:
Labor and equipment to perform all necessary testing
associated with the Road Rater System of Pavement Management,
as established by Municipality.
1. To perform such deflection testing and associated
analysis of, said test results as may be agreed upon by
the County Engineer of Jefferson County or his/her
asignee.
2. The project limits ,would be those designated roadways
and/or streets as may be identified by the County
Engineer of Jefferson County or his/her assignee.
3. Those dates of performance would be the activities and
times agreed upon by Clark County and Jefferson County
during the 1990 calendar year.
REIMBURSABLE SERVICES CONTRACT
EXHIBIT "A" - Page 1 of 1
~_____----------------------..-------------------------_______________1
I JEFFERSON COUNTY ROAD RATER LIST FOR 1989-1990 :
,11;2\ 13\89 T. MORELLO 1
1__--------1------------------------1-----------1-----______1_________1
1 ROAD I HOAD I BEGIN END
NtJMBER 1 NAME 1 MILE POST 1 MILE POST: MILES .
. __________ ~ _.__________ I I. I I
~107509 ICLEARWATER ~~~~---------.------~~~~-.------~~~;-.----~:~;-.
1227408 I DUCKABUSH ROAD o.oe> 1. 00 1.00
1250008 IDOCEWALLIPS ROAD 0.00 1.00 1.00
1503008 ILARSON LAKE ROAD 3.60 4.06 0.26
1503609 IPARADISE BAY ROAD 0.00 6.00 6.00
1510109 IOSPREY RIDGE DRIVE 0.00 0.10 0.10
1514009 ISWANSONVILLE ROAD 0.00 0.20 0.20
1514009 ISWANSDNVILLE ROAD 3.00 3.21 0.21
: 523408 1 ANDERSON LAKE ROAD 0.00 2.77 2. 77
1569908 1 OA~: BAY ROAD 0.66 10.60 9.94
1601208 IFOUR CORNERS ROAD 0.00 1.33 1.33
1601508 ISOUTH DISCOVERY ROAD 0.42 0.68 0.26
\601517 ISOUTH DISCOVERY ROAD 0.00 0.42 0.42
:610009 IWALKER WAY 0.00 0.10 0.10
1633009 INESS CORNER ROAD 0.00 1.12 1.12
1914207 IUPPER HOH ROAD 0.00 12.04 12.04
1932507 ICHIMACUM ROAD 0.00 1.57 1.57
\ 933507 : I RON DALE ROAD 0.00 1.93 1.93
1935107 ICENTER ROAD 0.00 15.01 15.01
1940407 IOAK BAY ROAD 0.00 0.86 0.86
1941507 IBEAVER VALLEY ROAD 0.00 9.10 9.10
\951707 IAIRPORT CUT-OFF ROAD 0.00 2.36 2.36
1952007 IRHODY DRIVE 2.36 5.10 2.74
1952707 IFLAGLER ROAD 0.00 7.65 7.85
62.30
TOTAL MILES
c (l 0 ~ 'f F lJc J,CH'
fo tic '" 1..L7
~rk..., Wo. 9i~~1
,PI"'4SV :::' I~ ,/#"L.
~_d 14-/;>-
/$ 77'd>?
V\ !)}~.\.
'/'2..
F<2.b. ,ft., 19<10
Ed<-J.......... 4. &d>V
//tf- A S'T!1 '5"-1-
!i,r'-l ...,;..., n~.." <4 W9.1J'3.{.
"I:::kcl (' C ("l a L ~ '
fj t) U f' ...k I ~ f' ~"'-<-.., &..il...::J / "'r.iI r 'I -1-0
rY"'11 _ ,'" e ~ Ii 0:: c...-+. 0" ::J J an.'-1 U 5.01 'J e..
b2-+J.V ec/) ~ S -+~ D IJ/f~ .J~ A n
.Jcz-t4r~0 Gru~ ~ ~FZ;~'
A--. ' '1 e>w (' e..~, .1 <...AJ Q":' -II.e- J...I/uJ()/) &u....L
En.q.ruu.r> ;...J- ~ -+,~ I" quQ,.':,+'~"'" '"7
/,1-, --U.e... n-"d Iqbo '''::>, ~... r~e/~c1unck' .6'''''7;; W4:>
&!,...da.r-<)ro""c1 Q.'}d C.,(o'Sfl"d -1-0 <...4~a.1e../ ~~ Jah"
F Lfi~ -1-0 -j-."cJ 0.. ~w"1 ~ h'9..h~-.., 10/,
~ DJR c.....Ja..." 0..+ +ha.4 +,----- /,"'t2t:a,,,'1 Ia. .............
Ilf'\.2. I'oa.d -h. -s.~rve. -l-J.-...... ,.,e.~.J:h s~CAM o~+1u.. t-+ory r,Vfl..".
-rh.~ roa.d Conru!.~-J..,,-.,j +O~ oi' Crc:Js"i!>'HI --fIt..c.. Je-f...kr~or'l a<.l~
CJ w I (!("ee...k: pa,a.d, ,J<t......-J. t (YZt~ ~ee k. 74,;) S'e..............f:J
--\-c:, \Q..Q., c:a s '" Lu.A-' 0" --J.e '.J 0 I, Y') F L e -I- d. er 's r rd 6 ( e...-.-. '
--r1u... D tV ~ 0 '" d --I/..<.. &,i1"'L ~ ~d D Ii! f." Q r-f I"TV-n. -+ " I a.
-+f...L. G9~~L .c==1"'L~..,E::..'V ~ DN j{ I'(lfl'e~ e-...J-~.J...lVC.':> -1/"0"'"'
CJ~'-'-"f'a...-d'"1.d. ~k"::. ~ a"Ld q"l~ed a~ ~lI(jw<':
I. -r/-.'l... 69G/.'l-J'j ("1oo..d oJ<20f'ar.J ~-I- uJ~<A.Jc/ he-fe
~~n~<... -H'a.. 'r:::::uJt::. ~,,,,I.n.v (load .I....., ~a..vt,/,~
~ra.U4. { ara-J 91"Q:.d ~~ (a.+ a. (""-1-,, el.....-t.-, -I<L. c~e
roo..v"H:l --J.Iu.. r't\.Q'''lII;'\l.. (load o~cJ.. 'f!t1rJ (- +k- C)u,<1 ~rac~
~. -rt..... DAlR.. \.JouLcl (..0.<2. '(?al':.tj ~ ~4
(!)w I C-req"J( (loa.d a.'":> acC,..Q,...,'";) ('100. -10 DN~ -+I,hl.e,'
"n -Uu"", -+- 0. r C<:.OI, (+fu... () rJ R? (' <2. " u ~t+ IHt.d t a kr
f/a.,,~d -IIuA- ra.~~IOy") (). .J.../IL tJ.tJu.rtA., owl (!rerz.k;' ro",,")
,. .Johr>1 r=L...../.Ch~""':) dl!..(!A.~':> """',u..vL4 Ia. rt"'a..vld.Q.d vIa
.....JIu- ~tl/l..J.'1 C)\.J I Cr",e!< ('lOad O'"1.d +Iu... T:) ^' I!; rna,/I\ 11"'---
fld""d -+0 h, q h v..J ( I() /.
.e.
rv-v.J (19i a r J. ^'1
a 't,..e.a;~....-f- /
FJl2. + c..h e." aad
, J 0 h,.., :;::: 1<2. -J. du_1' ;... el. ~~d -k, n"'V -IIta...J. -)-1,,">
a(l('laI'19~""t+: Wa~ ~CA..-k soJ.,~--/ct.okr1 a"ld LA.J~~
v.J 0 rAkt ~ (9 uA- oJ e. II.
~ '1- ~ re-J-I"'fL~ II? 1174', nd+h'i rY'-OriG. wQ!~
de n.L e7 0. f la ~ n.t..-d.
$, nCU'0 7 '
Eel. I.J "") /I. LJf3 ~~
~ t:f: ~
~ I~.J. aft:. Je-I.l tkf .c~:"
2f'1..
\
r", ~,_
"=":;0\,' y ~,Yifr,..(,'
\~~r.~. ~.F-'
rf~ ,<
'f/k'f$cf"-~
b- 'J)
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Streef
P,O. 80x 1220
Port Townsend. WA S8368
(206) 385.9160
Gery A. Rowe, P.!., Director
Robert G. Nesbitt. P.E.. County Englne<;t(
MF.MORANDUH
r/L:.t:<,. !0ads tfLz&
M{itAlrG-AlI'jAJc.E: "?
/U/l1I f)-66fl1r::"ur ,
tI~ M~"-;;
{:()tfcJp/ (}h.U)
TO:
FROM:
Gary A. Rowe
~
K. Robert Henderson
DATE:
November 22, 1989
..,_'~r~"''\''llll''!mt'~!-
SUBJECT: puget Power Vegetation Management Meeting
Puget power present:
John Goodfellow
Tom Brost
John Klontz
Byron swigard
Jefferson County present:
Bob Nesbitt
Earl Wells
Bill Arey
Bob Henderson
BUSINESS
John Goodfellow opened the meeting with a brief history of why puget
Power was managing their power lines as they were. He stated that
after an extensive study they found that 2/3 of all power outages were
caused by falling trees. The company started a comprehensive program
of vegetation management about five years ago for the 350 miles of
power lines in our area.
They have found that without using an herbicide, cut trees re-sprout
and become a problem later on. They are treating only broad leaf
trees such as maple, alder and willow. The stumps receive t\~O
treatments, once after cutting with a follow-up one year later. The
stump is .t.reated with a light spray on the bark about one foot up from
the ground.
The herbicide used is Garlon-4 which has been extensively tested and
used for quite a number of years. It is an ester based formula which
does not mix well with water, bonds itself to the bark of the stump,
is absorbed into the stumps system, and travels to the roots. Puget
Power colors the herbicide so the people applying it can visually see
how much they are using. All applicators' are licensed by the state
100% Recycled Paper
of Washington and receive continuing education required by the state,
and they are inspected daily while on the job. The herbicide used is
a diluted solution of 25% herbicide to 75% mineral oil and is applied
at a rate of between 10 to 20 gallons a mile. Garlon-4 can be applied
at a rate of 48 gal/mile and still meet EPA requirements.
The long range goal of ,puget Power is to introduce low maintenance
ground covers to the right of way such as salal and rhody's and short
growing shrubs so as to reduce the labor intensive costs that they are
now faced with. They are willing to work with the County and
individual land owners to come up with a maintenance program that is
acceptable to all parties (as much as is practical).
Their vegetation management program was under extensive scrutiny by
the Environmental Committee of Evergreen state College before they
were allowed to use it on campus. It has also been recognized by the
Puget Sound Water Quality Authority as a model program.
",f,
".....~"""""""'.
.-
..---."'.-....-...
r 0G,,6'0
'PIW
cOUNTY OF JEFFERSON
STATE OF WASHINGTON
In the Matter of
x
RESOLUTION NO. 46-90
Establishment of d x
stormwater Management x
Advisory Board K
WHEREAS, the Board of Jefferson county commissioners wishes
to establish a stormwater Management Advisory Board; and
WHEREAS, the Board of county commissioners has responsibility
for the stormwater Management in Jefferson county;
NOW THEREFORE BE IT RESOLVED that the responsibilities and
duties of the stormwater Management Advisory Board shall be to
assist in the development of programs and policies concerning
stormwater Management, to review and comment upon proposed rules,
policies, or ordinances prior to their adoption by the Board of
Jefferson County commissioners, to oversee the development and any
revisions and amendments to the stormwater Management Plan and to
carry out those duties prescribed therein;
BE IT FURTHER RESOLVED, that the stormwater Management
Advisory Board is hereby directed to adopt by-laws governing the
board, and said by-laWs shall be thence adopted by the Jefferson
County as the by-laws of the stormwater Management Advisory Board.
Incorporated in said by-lawS shall be the objectives of the board
and any other procedures the board shall choose to adopt governing
their meetings.
ADOPTED THIS 7th DAYOY MAY, 1990.
)
.,----.~
..~y "f~ rD"~c
~/tI)~~ ~J";':~.w":;',,.
('" \ '~. t '
~.." .J'
'.., f..,
... .. . , ..".- ..
.';: ' I ~;.. /' ~,'
\~' ' r .
~~... ..-
SEXL~~'I.!..":'.., /....
'<---:-.: ~:'~;.~:.: ::,.... -
JEFFERSON COUNTY
BoARD OF COMMISSIONERS
A~~rA J MCU1
Lorna L. Delaney ~
Clerk of the Board
~~~,~
r nn1s0 , Member
~dA--l
B.G. Brown, Member
,,,,,t.',c',:,v,..
..,."",.:,-,-,.:'
I:
, .'
,', ",' ',:,.
,,', .
..>
""" ..' . '.,.",
,', ' ",,, ",","
>:" ',: " "',, '
:::' ,,", " ','. '
,.", .' :,' :,,"
: "
" " : '"",",,
, " " ..,
~: ' .":.,.' , '
.'
.. ' "" '
',',,'
, ..,."" ,.', "
, .. .
.. . '"''
,', ''', ':..' ,
..,,' ,
,'.. :', ' " " ."
. ".',.' '"
" '
, ',',
:'.' ,,: "
:',; ','
"",::' "', "
',''': ..' '...' " :": ", " ,
.. '" ''''" , :
" '
, ,
,:.','" ," "
, ,:
, ""
0;',:, '",' ,""',,', .',
..
t:(
J
&'
,
'?
1.1
I;
-
, ' "
,
.
,"~": WoOD
08.20 TRA, ~
, T' ----- to use ROW
", '," ',', ''''" ,
. , "".'>"..'.. ..:..',,,.....,:,..';r. ",'.".;.~;"i::'t;\"""","~f.cti:,~~.;aWil~'~M\i~lA~.'?!'~~t\}l:~~~IjiI~~litiM.~-'
"",,',.
i"""
~, ,:.., "
.,..," "-,,', ,:,'",., "'"
~,,':) ',", ",," ':,'
/c::..." "" "': i
'L--/i ',," " "',, "
, ',. ',,'
, " ",.".
, "':
'",' "", , "
," .. " ',' ..
"..", ,:,,',' '.'
,', " .'...
, """,..,
'.
,",,': , ..
, .,',,:.. ,','
"
, '"",, "
, ',,'
:' .. " ':
,".:'
, '
, , ....', ",',
",.' ...",:' .." '..
, ' '. :', '
, , ,,' ,
:,"',':, "
, . ". .'.'
, "
" ,
", ,,".'
,':
, ',.'
.',"', "
.',
:C:J~1:~' I
\'';j);:,i:: I
'Y:~""\.."
I
,
,..,
:
,
J
:
,
f]een S\v~CY\ . ,01lUd\4 -2- \gq 0
.jQ\\t,::t>'l ~,-\~(D:pt,%fub\IQ.l0Yl~ 0)
IS20 ;YWV'''C)L~ .
:f.(),69<- \ ncv ' ,
R,'1'\ TtrwNtYLO.J ~&)'\
qS?\oS '
'D~Cl.IJ( <6lQlLK.; I
J2~o.~ 'J\~1A.clet~l.L~~L\ (!J.u O\tttC'lle€(,:42f~- o.<<.c.l/
Of'rUco:t::Lu:.t)1YL O. LlZ:Q'\..6C ----\0 L'c."*- t?co.<.1- RlQ~c\ 1r '
W~ - 'Yl~{\ Cl.}L" UI Iuc,'t "t!'(~'."'-t";f'j C+lli.l.VH''i-~tf\.rtJ .~).
lWi~ \h:!.'i:lJ.,~\ It::> Vl'1 dt\..t~ ) \} lJllll(L.li('-C~ ~~ ) C't't. .:+udo.J'
1)e.of)~\ 'J) Ilt8Ci o.w;l ~l:5ta..('iLC:oL -nn.\ S~trLI.U_) ~G
'-l~:t:f'\\.H~ CL-L--t1w:t Vt-Q.I.."t. ~ v~,o-a'-2f''j -{ked. ct
wt'LLlCl ldiL t\u... lO-Q-t. 1J,.'VLt (LLJ,.)(~t.I.lr.l-e-Ll(j\ :?;eQ k.tlu
~ ' v1fVl~\'(l.\'YLb..Q....J ~~ fXL~U{lc:LCW-.'<'L.'1 ) ~\ ~eo..ttL
~t~"j) ~ Wtd.u.~, 1.c0 J;:te.e'>>\.IX\ \~) \11 ~cl 0.:1::-
fLGYlivw-e-~-I: f.\~\~t-O-\) Y(l.tL~ uJ\t .
'=i?e: ~1-*fk.~'\-LV ~~~\.\lnoCL-t~)\. ~-Tt..l.Il:;:.cl.o.t-"
~J;I.lLLl- ~ Q.. I Cj 11 D t r'\tf' nl!.\'6 L~I.L ~tk.tJ) VWA-~ cb<!c L(-f t'Il:<.a-:
L0b-tL ~MtJu5:~cL V1<LQ. -h ~~~:\. .0'1-L-t--tilL I'lCL\'VLU
tie- QQ.840 C;)~~ ~cJ:--L.(;K Q-kcl rei:D...Hl..,-rtU..;
1f'l.I)\., ~L\.,(~R...~ '0"'2
\. ~'~. ",7', (\hc.~l :.0
JI\N 10 1990
",cr.P.S()I\I COUi~T>:~,()l(I' :u~EO, WH)C'l
. '~'~r:'l~~~ nt~O ,-.3 {J
327769
Kri...th:f,dJ IN
VO~P!.GE~7/
OF OFF ICI/,l Ri: CORDS
() P'QI!ESTZ.~:, W.-L
J'S~ ~21 AM 10: 33
STATE OF WASHINGTON
COUNTY OF JEFFERSON
In the matter of
Mt..iiY C. G!\BOUr1Y
,GFERSOli LOUr/rY AUDITOR
B I --;?1.tf::Y nmn
x
1-1-90
LICENSE NO,
A License to Use and
Maintain County Road
Right of Way:
Nolton Avenue
x
x
x
x
This agreement is between JEFFERSON COUNTY, acting by the Board of County
Commissioners, hereinafter referred to as the "COUNTYII, and ~ and
GEORGINA H, WOOD, hereinafter referred to as "'~ """ WOOD".
WHEREAS, ,~ dfl& WOOD are the owners of Lots 1 through 3 and 12 through
14 of Block 3 at Nolton's East Port Townsend Addition, as recorded in Volume 2,
Page 36 of Plats, records of the Jefferson County Auditor, and
WHEREAS, ~ ~ ~OOD wish to construct a garden upon the right of way
of platted Nolton Avenue. more descriptively shown as attached Exhibit "A" which
by this reference is incorporated herein, and
WHEREAS,"~ Sfid WOOD acknowledge that the garden is on COUNTY right of
way and recognizes that the COUNTY requires protection of its interest in the
right of way; NOW THEREFORE,
IT IS AGREED:
(1) LICENSE, ~ afld WOOD shall have a license to use, operate and
maintain a garden upon the northerly 30 feet of the 60 foot right of way of
Nolton Avenue adjoining Block 3 of Nolton's Addition, as shown on attached
Exhibit nAil for the purpose of a garden and for that purpose only.
(2) COSTS AND EXPENSES, ~ aad WOOD shall pay all costs and expenses
related to the use, operation and maintenance of the garden.
(3) INDEMNIFICATION, ~ aad WOOD shall be responsible for the safe
and proper maintenance of the garden and the garden area. ~ afld WOOD shall,
further, defend and hold the COUNTY harmless from all liability or expense of
litigation in connection with any item of actual or alleged injury or damage
related to ~ ~ WOOD'S use and maintenance of tbe garden.
(4) TERMINATION, This license may be terminated by the COUNTY on ninety
(90) days notice, On termination, ~ ...... WOOD will remove any and all
appurtenances from the right of way, and the right of way restored to a neat and
orderly condition, subject to the approval of the COUNTY, All costs incurred
in restoring the right of way to a neat and orderly condition shall be paid by
~ aad WOOD.
(5) TRANSFER OF LICENSE. This license shall not be transferrable by
REGIS and WOOD without the written consent of the COUNTY specifically referring
to this document.
II
RegisjWood License to Use Right of Way: Nolton Ave,
(6) COUNTY APPROVAL FOR WORK TO BE PE!U'ORMIID, ~ -.l WOOD shall
perform no work within COUNTY right of way without first having presented their
plans in writing to the Jefferson County Director of Public Works, and having
received his approval.
DATED THIS~DAY OF dQ4'<'{~d ,1990.
BOARD OF COUNTY COMMISSIONERS
--~'.
.~"'. ....' y C"" ", '....
/, .' r;- "y.", \.'
/~ ~~ , ....."....~.. ~J \
~ ~ t ..1. ~ \
; ~ ~ -\ I 4~:; /.':,~'--
'.,~'" ,'4',,-,..,,(, :,..
\EA":" ~ t' " ",/
~ .:~ '" \. ~~^.A. ;-_ . ... J
".
ATTEST:
c-/(M/)1~ I1fJc~
Lorna L. Delaney
Clerk of the Board
4-&-&~ ~e~_
George CClBrown, Chairman
~
B. G. Brown, Member
~-f~~~
Larry W D unison. Member
APPROVED AS TO FORM:
veL
287 P~:r277
i
4.
t"
,
i
i
j
!
,Ij
j
1
I
j
j
J
I
I
"
,
I
J
J
'j
.1
t
~ .... ~
~ ca 't'-.~
J d ~f
~~! ~.
..~~ .."
~ ~ ~ !
.... t...:: ~
..U-a.........
n.' "', '" . ~ k~:-
. . ~ -;'';.7 ..
~ \ ~~ ~
%
~W
~ @'@1
~ l~
(g) 0 CJ
~~Jd
[? IF= ~,j!
d ~C)
@.~~
~ ~~
~
,{j
,..
'"
~
... IIIl '" ..
I'
..., Ii' ~ ~ :;t t
~ '~G
. ~ ~.I ~ I.. ~ ..I
'"
p
- -, t . t ~ ~
~ ''\S
.... III ... ..
~
_ ~ t ~ ~ ~ ~
~
'\.s
..1- f ..
~;.. ID .. ..
f
.... t :;;:
~ :::.
'is
... oc .. .. '7 rw
;i.
_.. t :: ~
.'\'~
,'-";) T,.r }--
~ z ~,
~ I ~
~ -X '" x OJ
.,., :J
= Z. :; 0'
- ~<f) 2 U! OJ
~r z < ~
~ - < t- OJ
., '-o,.l "'-- .., '" Ul
Of
,. "2;:... . "'-w !:
=..' III OJ
-==- ! (J,
,..I
~ '" ..J
:::>
., U
...........
EXHIBIT "A"
~ ~
-r ~';: -...",
, . - ~
-
~
f'1
. > " .
1') 1'.'\
... "'. IQ W) ... "'l
p.
~~::::~:::~~~
I\ql\t)1(l
.;) - ,." lID
"
d
~ ~
r<
th e ~ ::: ~ ~ ~. ~ .
.
"'"OtNS
~
'"
...... -
-.?-
I
.1 ~
~ .
,I'
..' ~
.. ,
.3
~ n
. t :::- ~
~ :t ~
No'" '\.Q\.\.G
'" loa ... "'I
ri.
..~::::~:::!~~~
rITIJItnj j
. - ':S ~-'J[[:I\~:ft):..~ .. ~;;
d J';
~ . ~~
I ./ " -'<...~' !ii:
~....--;';;r' .,--.- i
/" ,tf ;
~
;:
veL 297 rh~r278
......"'..........._.,w:........"'.,........""
:i_:
.. .. '
~ -
~
,
~J
.;
.. -:
,
~
"
" " -, .
."" ,'.'.,. "IefFERSOI')-.Q()lINTY
OEf'AR'fMENT Q,F.. ", )el,!C: WORKS
" ,,' ", " ",. courthouea '
POAT TOWNS!:ND., WA 98368
'i7." ," <:;~,
TO~P ". 01/fl a/Ziti ~ "~ a -'-'-----'---~---- ,.
~;'i'104J/" lid! Ave, N,[
Seali &.,wA, 9 y/c;C)
_. 1
,P/dtU-?-kacX.- '/iD _>>rwt~.ot j~a~4-'--:CI.Vu.P~~1<--'"
'.'.,.'.~.,.. " tl,a:-,', ,', . ',.1, " CM1,oC,__ .,A~1.UA..",-" ~ 1l..u; J!l4,~ ujtf.,.IL ;rw" C (j:I/,d;lLff1_~.i!O~r2,",' CL"
", ". ."" ',', "" " Of ",. ' ,-Ii'
r;-ffh
SIGI'U:O
'\,
r-J'4?t le"...../
--
(3)1
II VII
.l181HX3
-<~,"',
~
""
,,,-
~~
. .)
. ...
I~ '\
~ i
j!'"' :=
I .
. ,
..
.~
.~ ~
dID@
),;IDJ r
~ =il .-ll
~ ={] "IJ
" . to" (Q)
~~. Z:S
&;
t~
n
Z
p((V".
~g,..
'"
~--'--
z ~
C'l 1-:z...
M.k>~~
~~ - ~
~ g l/l ;"J
,.... '2 ;:L.. .)>
~.., I cl
:3: ~
Z c..-:
~ J"J
.>
"
~.
J;;'
,_~J 0
,>
JEFf'ERSO'l cxx.t.I'rY FlU:
DEPAR'I'loENT OF PUBL I C WClRt<S
~r2STIO. REQUEST DATE. 1I-'j-Y'1 -
REQUESTED BY. ~f/fIt1 ~
ADDRESS- /qo -{ , IV.E:. PHONE NO, - '3ftJ:;J. - .;:J./::uJ
51" h:f:Kr.. WlI5!"> AI. T , PH. NO.-
/'
NAT'LRE-OfI' REQt.EST- 0 IN PERSCN 0 iN PHC:H.E 0 BY LETfER TAf(EN L""Y.
PEftI'....NING 'roo ~OFFICE 0 ENG/5URVEY 0 ROAD MA'NT, o EQUIP, NAINT. o !;OLIO WASTE
REQl,EST P"OR' . uuIL ll> U4t- (/?f) uJ
LOCATlai- ROAD NA>E: ROAD NLNBER M.P.
=~~~~~~
1'Nt_ r. - .,,~ .2-+B -r . · &
fJ.}(1A7t;J itJ U4L- r fj~ .
A~AC-I NAP OR sta::~ .-J
REFER TO- r:;; ~ RE$fl'OtiD BY-
RESPCf\I$E-
REV I EWED BY- DATE-
CXJN"I"ACT'ED fIEQlESTER 0 IN PERSON 0 BY PHONE 0 BY. LETTER CX)NTACTED BY.
RE~TICN-
FREPARE EsTIMATK.Ft:lR-
ROUI'E To. INITIAL
0 DIREcTCR - 0 OONSTRUCTlc:.f'II ENG. - 0 AC<X)U'IIT ANT -
0 ASSIfn'NW DIR. - 0 PLAl'tWING E:NGINEEA _ 0 -
0 ROAD SUPERVISCR - 0 ADM~N. ASSISTANT - 0 -
'(0
....-
,JlO;."
,~'!!:,
,
..
", :,', "'.,<
, ",",
::,..' ,', ',.., ",
", .. ,',' "",
':,;', ," "
:", ' ,"',' , " ,',,'
, "
'..' ",
: " '
'" ,,; ,~,','"
',: ',"
,', ..
,'" ,'.',.:,' " ,."
:,. ': .' ,'"
'" ',,',, ,',
, ',,' ::" '
:'" ': '
., .,','
:' " .' , C. .
'.. ...." <<::' '
,
, "',, '."
, ' ,",'.':..
,: ,:' "
,';:".. ':.'
.. ",,:, .. , "
,','" .. ':
" .,":: '.: "",' ,
.'",,'.' ,
\ . ',~. "',,'" ,'"
",." ,..' ,
. "'.. ' ,
~: ,
;:' :
~,;;
,"
;
..,
..'- "".
, , ..
,., [~;"~~:;~"
".., '...' .. ,
".'...,"...' ,,',' ,I
":' ..'..,,', ',', ...,'".'; '>" ',';': ,'..
SP7-89'" ,',
", ',',., ,'" ,..,',..',.',
,
, ,
l.. ;" '.....
':..,', ...'.. .. ..
'.' "
, ,,',..
, '." "...
, ,","
:
..', "
"...
.. ,
,
..'
: ,.:
'::, ',,':'
"" "...:
: ,":'
.
". "
:","" '
..', '" ,
, ,".
'...',.' :;
, " "..,', ' "'.
, , ".., "':,",
,
> ". '",'
, '
, ,
" ," '"
..
, "
".'," ",'
, ,.:
.. ....,
, , ",
, ..,.. ..
, ",:"," '.. '
, ..,..'..':'
,
" ,'. " " '.
'"...
''''.
'.'~,A\:I~~r~'t:1:irfi.~l~j.~~':'6t~Mi:l,~.f.*~~'itiii'wi..x,::It'.d,i.U~iffu,)"""""I'''''W');jU)~'~,'Xi.l~m14~'\AJ:i:..,6.f,'if.",d:M:t<;"'~~Ki>l<.l,"i\X'lkIJ.'".t.~~,11~:"'w't).lpiIW.h.." &JU1lM>~.Jl'.;..,".""'",~", ~>-"....,_""""",..,.,'.".. ._. ".
J~FFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
PRELlIUNARY PROJECT REVIEW
1. Project name CflR-pe t>; elVl /Ie r'lfl~ 5 p 7- 99
2. Project proponent /Z>"" BeflveR-"-. Rep. <'1'17nt::
3. Response due
Cj-2-9,-8Sj
4. Preliminary review:
County road; "S.mlJ)/)lePntNT" v;tR.j.)~~1rl> Rd No. ,..(~'7S'"09 8t H.P. ~""r"\
County road IIccess (~is eood. needs cha~ine, ( ) needs llPprovlll
Existine trllffic count is ~. ProJected traffic for project ~.
On site improvements need to be submitted for review llnd llPprovlll.
) A dninal!e pllln needs to submitted far ntview llnd approvlll.
Off site improvements to county rOllds will be required.
Additional Rieht of WllY will need to be dedicated.
Priv;\t"p.r(');:lnlc::;\ in ":h::'\T~'npTTIPnt- rmlC:::+ ~ n~mI=>M
5. Conments.
PrePllred
19
Approved
19
title
by
title
bY
\
--.,;~~~~ iWi/"
\....;,,;<[~"'~~, .
~~t~~~.,
r '! 't::2{~t.!.,
.(~f~~~"5--""~'~
.' ,
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1 B20 Jefferson Street
P.O. Box 1220
Port Townsend. WA 9B368
(2061385.9160
Gary A. Rowe, P.E.. Oirector
Robort G. Nesbitt, 'P,E" County Engineer
MEMORANDUM
TO:
Planning Department
Public Works Department 6 K
September 25, 1989
FROM:
DA'rE:
SUBJECT:Carpe Diem Heights, SP7-89
Public Works has no comments for the Carpe Diem Heights short plat.
PWA 03.30.01
100% Recycled Paper
,.-- l .-
~-
", w""
~iAWt; /
-:?<''i't6n~
if7~~
.v<y~. ~
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jelferson Street
P.O. Box 1220
POri Townsend, WA 98368
(206) 385-9160
Gary A, Rowe, P.E., Direclor
Robert G. Nesbitt, P.E., County Engineer
MEMORANDUM
FROM:
Planning & Building
Public Works Dept.
october 23, 1989
TO:
DATE:
SUBJECT:Tom & Ellen Beavers, Road width variance
Public Works has reviewed the above proposed variance request.
Because of the existing 20' easement running for 1/4 mile before
the Beavers property, we have no objection to granting the variance
as req'..lested.
JEFFERSON COUNTY
SHORT SUBDIVISION SUMMARY APPROVAL
Short Subdivision SP7-89; Tom Beavers; section 6, Township 30 North, Range
1 West, WM
DATE OF APPROVAL: October 3, 1989
CONDITIONS OF APPROVAL: Preliminary approval by Jefferson County has been
granted subject to the requirements of the Jefferson County Subdivision
Ordinance and the following conditions:
1. The final short plat shall be prepared in accordance with the final
short plat checklist (copy attached).
2. Provide a sixty (60) foot width road easement 011 the eastern 385 feet,
plus or minus, dimension of t,he proposed short subdivision per
section 5.202 of the Jefferson cotmty Subdivision Ordinance; OR
3. Apply for and obtain a variance from Section 5.202 of the Jefferson
County Subdivision Ordinance.
4, The following notices shall be required on the face of the plat:
a. wells shall not be located closer than 100 feet to any area
approved for a future sewage disposal system, including reserve
drainfield areas.
b. A Sewage disposal permit has been issued for each lot under
permit numbers (identifY permit number for each lot). The system
must be installed consistent with the provisions of this permit.
The permit is valid for one year from (identify date of permit
issuance). A yearly renewal is permitted for a maximum of two
years. Upon expiration of the sewage disposal permit, approval
of the lot for sewage disposal purposes is not guaranteed and
is subject to further approval of a renewed sewage disposal
application. (Contact the Jefferson County lIealth Department).
c. Lots created herein shall not be further divided in any manner
within a period of five (5) years without the filing of a final
long plat. '
d. Any removal of or major disturbance of soil within the proposed
drainfield areas may crate site conditions that are unacceptable
for the installation of sewage disposal systems and could
invalidate the sewage disposal permit.
EXPIRATION: Summary approval will expire on April 3, 1990 unless an
extension is requested before the date of expiration. ,\ one time extension
may be granted [01' a pel'iod of six (G) months. If summary approval expires,
reapplication may be made.
SUBMISSION: It is the responsibility of the applicant or authorized
representative to ensure the final short plat is submitted in accordance
with the conditions of summary approval, This includes paying all property
taxes and submitting a $53.00 recording fee and a plat certificate, all of
which is outlined in the final short plat checklist.
NOTICE: The sale of lots prior to final short subdivision approval is
unlawful.
~
Associate Planner
Jefferson County Planning and Building Department
c: Jefferson County Health Department
Jefferson County Public Works Department
Tom Beavers
,sP7-g,
3EFFERSON COUNTY
SHORT SUBDXVXSXON APPLXCATXON
The Woshlngton St.te Bounderles .nd P1.t Act (RCW 58,11) requires th.t divisions of l.nd (or "le or 1e... comply wfth the
provisions of the Jefferson County Subdivis1onOrdin-,nce. lhe purpose of this Act end Ordinence is to ensure that potential
purchasers.have lots with "dequata access, w<!:ter ~upply scw~ge d1sposdl. legal descrfption of land, etc.. tlnd the general
taxpayers of the county w111 not. later have to unnecossllr11y contribute toward those development costs. The Ordinance requires
that shol'e subdivisions (the division of l<Jnd fnto four aI' fewer lots, tr'acts. parcels. or sites) within the unincorporate-J .eru
of Jefferson County be reviewed with criteria est.bllshed by the Ordln.nce, A percel 01 l.nd eligfble (or short subdivision
must have existed as an individual parcel at least five years.
APPLICANT: .TTo,,", I3BAiI~)
ADDRESS: :J:2JouJ S;rns f.,JIl7
TELEPHONE: (home) 3f.r~ 3 vr
Po tt,'/b vroser../ t-JIT
(business) Vr--YIIY
AUTHORIZED REPRESENT/WIVE: ABc y\(.-
ADDRESS:
TELEPHONE: (home)
(business)
DXRECTXONS
].
~~;w:id' J~ ~m l~~n~u~o~~I:t:~~i ic~~ i~~..~:i If~r orn~rf.~~t i~~~t~~t I~~~h~;( !j~I~~s~~~~l~/~;~~~~~r:~d r~~~l~~~g t~eg~~~i:~; "
n~o!Igho~~~s~Jd;1tional information (reports, studlE'~. mIJIlS, illustrations. leu;;:es, permits, etc.) that rn~Y further
~~~~ki~itl;h:p~;gg~i:~. d:;:~gf::l\tto oJe~:~m~;e 't"t~t"~r~oJs~~f~~~~~o~~~~~Yre~~I~~~ I ~~~1t \~n~~e ~;:l:~fg;rrp~~g~';ls, An
accepted plat under the Jefferson County Subdivision (wdfnancp. ,101]5 not ext';use il d~....eloper (rom complying with other
local, state, and federal or'dlllances, regulations, or statutes c"Ipplicable to the proposed development.
2 ,
3 ,
PROPERTY DESCRXPTXON
GENERAL LOCATIO~:
tll!'~ "If) r ~-<J
'Tnl1..fUIl<:T',,/(" /fJ U.f'/'l',nl!.l,.tp,r'h~.'i~ i1/J.;n.:J",
(J h J G-f- tf...OI1Y.7 /Jrc;?U-r-, !! J:>."lrArIlt'-,J-. dJl .')0 A L\..h~.Jt?y
I
~ Y .....,..,: 11 0 if' 4" ~ 1'1 t-
,
statement):_f-Ill\tJ' (' 0 ,n ~ It'\n:l.. G-o ..+) ,-.j 2 ;'e"
T ~()JV, fIlA). .,J r?:
LEGAL (from property tax
s, cf\\9+
<;"02 (' I)
OWNERSIIIP:
Applicant: cl5 Owner 0 Lessee 0 contract Purchaser
o Other:
:;,;:} I CI lJ. S; m r I"}'
Owner (n.ame and' add1.'ess):
_---fllft..~ '!""".I..,I;j..}.L~J~
'Tn YY"o ..J ~ ~ r-Ill/"'~
It'Ncur-tnn^ucp;s (.h.1ellury r;uHl nlt:nch f?H.1nl:.lfl[l rnOJ.t,Ul':'g~", UCIlR, l'P-t9\:'I.!CUOIlO, covenants,
I!'ASnm,,)l tr:r. ~ tn.) ~...IVCJ..tV..,'~----~........-.-._-----_...;_.__._-,---_..,-~
~---'_"':"'"""",-,-_,,,:,_.._,"~.-'---'--""'"--;"-'-'.-.'----~'-"'-
~i tJ J~' l:.' :,t't.,/,": t: ~:,..t :,~ t ,,;. ':; n: t=':t t, ~ r:~. :1:' ':1 .,t,. :.: t " ,.,
slHIIHlilrllUtJ IIJ\HI'. tll' kilfil.IlI!i;.nt:.',dJr./'.i )'J.t'iL'.i:L,tl? Id..L:h
!;J\tllJ \lilt!. h,\1I\\\I\\4\+' 1111, 1+;..;\11>>111 !rd; IIlIHI.illl'II, t<it',Jt rUliJl!Uj\",
";:~^<'ci
. I
SEGREGATION:
Total Acreage: (,-, 76 fl C
Total Lots:
:2.
Gross lot size (acres and/or square feet):
Lot 1:.11- }. h Mdt><
Lot 2: 'f, ? _ 8" l( II '-
Lot 4:
SUBDIVISION ACCESS (rfght-of-.,ay name): W "'" " D olx ,90 " dI f-
,
Lot 3:
LOT ACCESS:
o private 0- public (name):
Length (in feet):
c;1.1lt'J
Right-of-.,ay width (in feet): 30
WATER SUPPLY SOURCE: s'!'l Individual .Iells 0 community well
o Extension of existing system (identifY):
SEWAGE DISPOSAL METHOD:
~ Individual septic tanks and drainfields
o Community septic tanl< and drainfield
o Extension of existing system (identifY):
OTHER' IMPROVEMENTS (identify drainage facilities, bridges, signs, etc.):
fZ;:~,:~:; :;'nt::':,~'1!::~~? ~
+'.-E-
GENERAL. The preliminary plat shall consi5t of a vidnity map and site plan, Only one
copy or the original is required. It shall be nO larger than 11 by 17 inches, to scale,
and suitable ,for copying. The map shall identify the subdivision name, developer, legal
description of property (section, township, range), and north direction.
PREr~::r: M:r: NARY p:c..AT
VICINITY MAP, The vicinity map shall be drawn in one corner of the preliminary plat,
and shall indicate the location of the proposed development to the nearest geographical
features (community, water body, major road, mountain, valley, etc,).
SITE PLAIl.
designated:
The site plan shall indicate the following features in the manner
1. Property: Location and length of boundary lines; location and identity of
outstanding physical features, such as a building, well, septic tank and drain field
area, creek, etc.; and total acreage.
2. Lots: Location and length of lot lines, acreage of each lot, and lot numbers,
3. Accesses: Location and identity of subdIvision access and location, length, and
right-of-way widths of. lot accesses (1IlUst label accesses as "existing" or
"proposed ").
'4. Easements: I.oclltion, identity, length, and "ldth of all easement.. (mu..t label
easements as "e1cisting,I or "Pl,,'QpozedU).
1: hereby declare, to the best of my knoNledge and belief, the foregoing inf.ormation and
all attached information is true and correct.
ACX-:::Nc>wr~EDGEMENT
n~~!I/1/€AA---
.~zea signature)
C;'"i!-J
(d'at )
~
...-
......
W fr~>-
- -"F
o ~.A'" '
0~1' J^,
I .)
@O(J<:
~
r..,,\".trt... urr LU)-I1
~>( t I', Wl"{):;J '5; f..ofjfrA -~ "Jv-I/y') .
. \Ir
, vi '2-- ed1"jen
':<00'
,1_ , ,
i& I ...l- - --.: :... -
(:C'j"'l/'''I ! i?
~OhL""~
~c;lrt
6;,~ ;-1,--%." t,". ..
<.':;/' I ~ ~ a,x
e I 'I " lac
. a . .~.'14t
~ ~~~
I 0(" '\
i\j~ .
'-l'~
:;2.0h L
l?{'IS~'
I'
I
tl
tQ
~
/
t.-< \
.?';" ~
< .Op
-..,("
HfI'ST~rl~
x.. ..-I-~ -;; _8J ,.) ,
_L__
-----
-=IF '7':<377
~
~
~
- -:f9,r=-_-
0";;;;, I $'S'
<.) -C,
~(='1S~
_ <l
I --
/"",
&.,I/t",/
,
<l f'r"~
~ -t,~" "t'.;J~J
~ '~Nf!f/
L ::::~.,
~
IO~
C:(J '\.! J'f~
~ "I,
b~
(JCi)
~
<l>
J>p'
0.. ....
\
I
it
~
\
I
SUBDXV~S~ON Dmscn~~TXON
SU13D1VISION NAME (!f I<nown): C 1'1 Jf!. f{! '0 i (! n... I-I.(! ~ J I, tc~ .
LJlND USE (commercial. residential, inuuo tl',\f11. ctc.):.-6L!J_P<,,,,i i.q I
I
.l4
~
11\
,
,
<>.1
\
<?....
~,y
'/,
.~
,
i
~;
",
\
I,
\",
~' "
',,,
~<
'f,
I'
t
,
~
,
i
:
"
I ~
.' " ,.",'"
, \.'
,.'iC: 'ie' :'/ ,.,',',
,..... ' .~,+,-:-_:,>~.,
,', "," '
.',.",., "','" '
,',:" ,,:,,' ',"
" ,,",: " '
,':," "
i,':';..,'" " ',' .',,'
" " :' "
:";,:" ': '. ,,'
',,",' ,
, ': "
" ' ,,'
:'-" ;,<,: , .',' ,',':', ,'"
;',:', ':.'," .' ", ': ,', ;,", " ' ,;
,;;'" , ' "','. ','.
." ,:,'
."..' '
.,,"," ',,-
, " ' :' '
,", ,. ' '
;" ,"".' '" ,',',
':". ',' ,",' ',,", ',",' ',.,.' "
'" ',' ',..' '. ,',,' ,""" "
',' . '" '
, .. '..",",
,', " '.,.,..' " ',' ''':'',
" ',"'" ' ,
.. """, ,.,: ' "",' - '
; "..",:, ".. ',' "
".' ,';",: "
" "',. "
, " ...' ':..
,'" '
" '.: :,
;', ,": '..
',..,:':: ,....,:" ,,", ','
, ,: "', ,'.:.."'" .' '
",> '
:, , ", :..:,'..-. .,
"'; ,.... ,,-:,'" ''''-,' .. ..."
c: ""
i:', :, ' ",'
'''' " ",
:.,'
,:' :,:.....
",', :",',: ' ,"
, .. ':' ,
'," :'
,"
,'.. ,'"
,,:' " ' '
, :'" ,.
""',,,
:_,,:, -
::..'
,", '
~'~~':I,~." :.>" .<
,.",".'
" ,
: I,': ' '
";,
.' ,,';,:' ,
:.. '
, , '
,
-'.' ,,,
;-::/;:':,'i>'.,.
'\;~;:>~~';;';;';:i
....,.'; ,', ,,', ...', ' ;',' ,
,: "
, .' . r
'-.
Rl\))' '
~,.' ,
, '..,
, ,,- ,,";, ..'(-:;,~
~' ,"".i.'
" '" " . '" ;,:
'. ,',"," ',:', .:,::
, ,:".',
-'" "
",' '"~,
',:' ,
..', .'
,. ,: '
.' ,'. "", "';
H,: ,'"
'..", "
, ",.:,'
".""
, ,'.',',,' ";:
'- :' ,,:."
. '> "" :','
" , ",
" " '",
",: " ,
" ,:, ',>:. ' ",'''';'':'
: . ""'..
, ,. '.'
, ' ' ,',i:,'
,'" ':"..,..:..
, :', . ;',' '(. ",:
.".-,", ,:', " ' ,
,': ",'..,. ' ',',:'
, . .- ."
" " " .. ','..",":
'" . ,,', ' ..,
,'.. :,', ,;
'i':'"'
--_.._~:.._- ,,<,: :,'\
'... .':'
,', -", .' "
, ,
" ,,', ':
,", ' ',,',
',' ': ,,:....",'"
".. ; ,..'.',,'
, :. ,'.. ;..'
", ',.','
, _,i,";'
..
-'II
II
II
II
,
;,'
,:
,
*
" ,.'"::,:',,,.. ': ...." -'
, " :' ,
" ,.",' " :,:;,
:.: .' ' ,: " : "
, ,},',
, ':" ,
.."" ,;';:;
,',., "':::,
,..' " ,..',
",' -
:', ",:,..', .'
""
, , ',' ." ,
II
;
:
-0
,:.'
)"t...JJ. I z..-/ 0
~
APPLICATION TO OPEN RIGHT OF WAY
Appl ication is hereby IIlade for a permit to open right of way., Please des-
cribe right of way. (Attach drawing or map) r; ,. Lx, '/r' . ',// .
/. .. '-/)..:>1-" ~./ },~: ::: L/,(. /~////{/ ,...,r:'- /(.{.r4 .;/
.).y/.A-~';:/ ~ r' P C'~'.-.. r-,~~ r;" ....:..~ ",,? // -"
Applicant agrees to perform the work in strict compliance with the terms
and conditions set out herein, and any special provisions attached hereto.
Appl icant Name /",/ .(/ /;,:./?/.t ".-,/
Address_ ,{.:':'/.J /{ /"/, ...r-;/
..,' /'" / -- c/o,>' > ~ .-
,~~;....,~. ..~.~_'~....... Pt-,",:-r.//, ,,/yrJl.7
Signatu;e: ,.,{/__ /.(:Y'>~_~0 ~// Date..4~ ).
. .
/,/)j>-Y
.
***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) .
j-Y Applicant is authorized to construct a private access road to ~Iis or
her property in accordance with applicable standards for pri'vate roads.
The right of way will be located and staked by the County Engineer. The
permit does not prevent other lot owners from using the access road. In
the eventulers 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. '
LS7 Applicant shall construct a roadway to county road standards. The
right of way will be 10cat2d 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.
RECOMMEKDED FOR APPROVAL BY~~~~
DA TE /.t.Ah~
DATE
APPROVED BY
Chairman, Board of County Commissioners
~-
~
EXHIBIT "A"
CondLtLons for approval of applLcatLon to open FrederLck street,
Dale H. Goddard, applLcant.
1, ApplLcant to clear and,grub rLght of way, APplLcant shall pay
county one half the mLlL value of tLmber removed from rLght of
way.
2, AppLLcant to construct roadway to mLnLmUm standard. MLnLmum
standard shall be a 28 foot roadway wLth dLtches on each sLde.
Roadway to be graded and bal lasted wL th SL" Lnches of pL t '"Un
gravel, TypLcal roadway 5cctLon LS attached.
3. ApplLcant shall not construct access to state Route 20 un!:Ll
county obtaLns access permLt from WashLngton state Department
of TransportatLon (WSDDT). ApplLCant shall be responsLble for
all constructLon Lmprovement5 requLred by the WSDOT,
-~---'.--"
',,;
~
'.
',n
!
z
1 Q
i-
&3
.:! Cf)
l ?i
~ '"
..J
'"
0 u
on
<X: ~
~--l.. 0 t-
o
0::: z
....J
<X:
~ <:..)
-
j 0-
>-
i-
I
I
I
Ii
}".,
. ,
"
.t
r
t
t
t,
'1
l"
~"
~
It
~
~
I
~~:
.,::,.... C~.' .~
JEFFERSON ~TY
CEPART~ OF PUBLIC WOfiYS
FILE
ACT! ON REQUEST
REQUESTED BY- 7Q;?f" >7"...."'''''''''''........
ADCRESS .
DATE, ../-6/,//7
ptlONE NO.-
ALT. Pti. NO..
NATlRE OF REQUEST- ~ PERSa"4 0 BY PHONE 0 BY LETrER TAKEN BY. ("-L!:?
PERTAINING TO.. ~FFICE: g.-ENG/SURVEY 0 ROAD MAINT. 0 EQUIP. MAINT. 0 SOLID WASTE
REQUEST FOR- ~~~ k..- ~
LOCATlao<. ROAD NA/oE" ~~~-A'" ~ ROAD NUMBER 0;:9'3-9'/,;r M.P,
PRCUECT-PAO-rEC'I' T .TLE
RROJECT NUMDeR-
DESCRIPTION-- ~~ ~r-..a--:--c.; ,t-d"..--L'A-C'" .6-R..J-~f'.-J 7-r"'~~
r '~./ '''-'77 ,,~-~ ;:;;~4:4~-:;;:-::' )
ATTACH MAP OR SKETOi
REFER TO- ~
RESPCNO BY-
RESP'a"iSE ;.
.
REVIEWED BY- DATE-
c:cNTAcTED FiEQ'..ESTER 0 IN PERSCN 0 BY PI-tO"oIE 0 BY' LETTER CONTACTED BY.
RECX'JINENDAT I a1J..
PREPARE ESTINATE. FCIR..
RDtJI'E TO- INITIAL
0 DIRECTOR - 0 ~TRUCTION ENG. - D. ACCDl.I'lITANT
0 ASSISTNn' DIR, - 0 PLANNING ENGINEER _ 0
0 RClAD SUPERVI $OR - 0 ADMIN. ASSISTANT - 0
,
,)" ",'
,."',',,',,
,', ',' ", ,
/:'/i:> '" "', " .". "
",:: ~'" '" ','~ ,,",., "';
') ',' : ", ",,' ,', ,," ,'.".",', ,'"
"'" '.,' ,,' "
,t.: ,,' ";
i;' : ',',.'," ',> '" ", : "',
',,: ' " ,:"
:,'.,;", '.' '"," ;,'
,," ""d"'.'
'~\~"'~ '
, ' "
, ","
,,'.' :".,', ',' ,',.', .',,:".
, ; :':
:' ' " , ",'" ,
" ' , ",:-
,',:): "'" ',' :', ,.: ""':""
'.':' ' " ," ,', "..:-:,,' '."
l.~)
"
";
.
:,
"
'.. " ,
~" .',:", ", "
" ',', " '.' ",'
.' '"
: ,...
:.'
'0
~
"
,
. to;:,I'i ~'" ; f .
J . J, I
"'" ,.'.., .' ,", ;,k I,,' 1 11: li ,.' l'
" ".~.,;' ""., ,,' ;'f; 't.~, I".' ',' ,<1 ;
'" :," "': "'~ i , ; \ 1 I ,,\, " ',' ~.. " , ,
,": '. " . '" ! " j I' .' , ' ',',:,: ,. r;~,':
.' ,', ,.' , '., , '-i il - 1 ' lll! '.. -; l ," ' '.:' ..'
",' , ,', ',", · ,~, ! t ! ~ it, f '.. 'I " .' ",
. . " , .. " '1 'I' il- ' ',' ,', '
. ';" I H L I ", . ,1
.." " ."l ; l' 'I ,;"... '. .'
, I " 111 :: :"':,, ' .,.' ,',
.. ",..~ i' ;J , .' "11:,," , ," ,.." " ,,'
'i{~1('>' "., ' Ii, . I .,..,'.., ,..', ,,:
," , '. -"", ' ! II - J1: ',' ' .' . '.,'
I , " , t. VIIi · . .' .
I ":::', . I {L: Hi I ,,', >:- ,.'.
I.' ,i . ".. ", '""~,, I -H :{tlli;;,1 " .....,.",'.,,: 'e,
" ":.:",,,.~, IT "'~' ! " '" I'. '. " ,,:.
, I >.'{,: I ' ';;. . ' I I t - q f II'~ . ,
: :,', " , ,. j-::.;' ~ ' I I if' "l J ',,',.
", ,.,', I.;'" , " ", Q :- I j U, ,- ~ I ,.'
" , ~ "., .'> ~ 1,.1 .:{{, In l'~ ~ I ' ,;
: 8 0' :~ JI ~'l' ~: ,1 I .: ",.
, . '" . ~ ~ I I J ' ~ ~, I ' , '
~---'-~r-,-,---.t~FTt-" "{. ~::'~'( ',' '. ,,'
.' ~ ". .' .,. . \. .~:i~I~'I,':~~::' .' .....
r .7-,: ~ - ."'i..:~1~' ..~~_ - ~~."
'.. ' .-.' ; ~--- -"":::>'" /~;.:,
:>:':','~~' - ;~ ,- - -- - - ?~\' ~(( :lj: " .
" ...", .fl-r \"I~'~T; 1 II I ~~
".,'1,,:.",,' '~'I\':j'l /' II :
';' "',':. " " U I ~ 1\ :: I' ;., I j Ii> ';-:;'
:,' I' . ',', :c I ' a I ~ ti
:'- .=.1 ....
;' , ',' .~ - I I " '~I' c.' '
. .:: . : I'.: II -L: It ~ ~
. ," " : ",., 'I i, . I I
.. .' " ",' I I I II'
.' .', "'::' :", I ! I I I
, .' '.,' ,I : J.
, " , "':. I ' '!' T ,< I .',- , -
, '. ,'" ,':\ os ,I ,os:
,'<, : 1 ! \ 1\
" I ' I ! ~
I. ' , ; ~'l II
. : . ,.' ,", I -j "
.-- -~-I.~----_.--:--- P{11T
'. '. .! il I:
I i jl I:
: I 11 i
I' '~l II ili
"~t j. t ,l
/
, ,"
',... ,
. "
...
,
".
I
, ,"..
, "",.,.,
'.," ..
':.
~'
, :..,
..'.
!~
:
,,<
. ..
.
v
'"
" ".: -',
,:", '.'
.,: ", " .',.., ";,
.. ""',, .,'. .,,',
,"i>i... ·
":,,, .,' ,
," ,..,::.:,,,'
.,'" ,
'.
("'.
(,
,,,
, ." ::: ",..,",
",.,.....'.'..,.'... '
.': .."
..
..,.
,
, . I".' "',
.. ..h':1.~:"',..'.... ,.,.
.. r~"t, ..
.', .,.,'" < \
. .. '". ,"~ .:..~$1: ,< '
,..,':..""";,,..:.....,,''',..,~.....'''.".,:~
, '.'
, . I
, :
. I
,'.. ",' ,',
.,
,
.' 0 .', +- ':'.~,...,;::t;:,'i,,~~7;;"l;!;:~/,fiW f,l;-~Pl ,)-;l"",'{, '.
; .
,
, ,
,
, \
,
;,:
..',\, ,'... ,:. '.. '.\ ", ,;'/'
"" ,.....-" " "" '..,'.. ".......
'... , .' .. .. " .,..'.. :'"'' '..,' , "\". .:".,....... "'!e,
,," 1'""",
i.V..o~tI;. /}~t~f\:j/~
'~ :llooeaioN
,~... "-.
". . , " ,1 ' .. . .' ;~..',' j ~' "~ ~..
I, ...,
{>"."
. , . ,'I ~ _'~
':,~.. . "
""', ,.J. ",'
" "
,.-
~'.' ",I .-,..,
"A. I"
, ; ,", 'jI ..).,~. ~ . , "':.: ~',''''''''' ~
~"-'"
"".." ..: "'''';, ' ,": , "'>"", ,.." '',., ',',: ,...." ,...." ....., :
ii.. . .. L i:];~i~i;
..:
, i ..
I
I
.:
"', , '
,..: :, '
,': ':,'~,
,':,:. ~ 'C'. . ,. ,I;, I
)l":' ,;'"",,,,,,..;,,,,}' ;;..-"'/""""""..,"',..,"""....,"':..,' '\ c ,'" ~....
.;~~: >',iy.'?;\.;:.:~~:._,~':_:~(:t?:~:.:bo~ I'~;;<;.~~~i~;~{1:':~)~;i~'.:,:tJ:"t'r~';':~ "\ '. 1"'1' ~ I'.~ " :1. , ,-,'; ~ "
, , '''" : '.. :;:.<',..,>:", 'c.\"l~.:!.' "8'... ':. i ' .. ", 6.-;'" elhv,,,E'''' ~....",l"A<:"l"i.-
;,"::'~..:',{:';"..'\....:..,..;~r...';': ;'>;'.. ': ~':, T~~'?~r~'~"
.\,,~,<,. : ." " .~,iT:Y,J?.'[:C,'A'U':: <, ~6i;\.DWA):.:~~:~,:S EC1>l:'Q)\{";,
/'":'..,,.', "',: ." "" ic :',' ,::", ':.....'..,',..,,;:' " :;':;:,:..'i '".,'",', ..,,:",:-,: ",..>:', ,:' '
,..,:;i~"" ,j,\-.(EST..'FR'E, \)fR1:S-Y-. :5tu''''
" .':" ,:' i .."" '::f'.':':>\' _.. 'I
,;" ",."."; "," ",; :':: "';' '.,' I" ".'.... ., " .,':.... "',' "'~~ -- '::::. J
' .. ,.1., :' _,' ' ,";", -, ,: ,"
~',::i.::".: ,.,~:,... j" $~A.. 4'~"7~:7S :1' ~< -~ -~-", "I: ..
..,....;~..,; ,,-;..... '1.0 ,', " ,,, .. ' 11;;1:'
:",', ' ',.. """ ,:,
'," ,'.: ,j, ,'" :,.
....:, "', ,',,' ',' ,,",,," I ", , ;"',' II
",..:.i ;','" ~..., , ," I'
.:, ,:..' , ".. I " t
"',i:,\> ..,' !, " " ,'" .' "Ii
'i",', .. l1i;$T"i"'f LANE \rlJGl?",' '..' .. II
;"" ..,,> ...,:';< t l " " " " '.'!' '" , .' ";
;<- Ic~.', :;' V~R:no';;;'-f~;~;,. ,':: MA"C~, s~isn""/' ,
;,...',' ",' i,' '...: 'trlPr;RLAI'II:.. ..', ...., ,?\'.:''':~,t>c::R,I'.,
".' "",":":, '.." ",':-:..',',,:" J ,'" ,.....,..."':',.',,'..... ... )"';" ",,>',"'11'" ':"..,1"" ,
.. ...,: '..,..',,".,,,, ; . "", i '....',' ",",,'::.., ~ ,'" ;.. '.', ' , '" ; ,,' ' ,1
"-, '~,i
..< "1'/ I,'",','," ,'" ","":j
:: ",,', ".:; I j '" .,'.:': ,', '\' ,:". .""1
A.C.l'" "cLAs,," , "",,~ .. ,~..' " ,'" , ' , ..':,'
"'.:<,:>,........" ' 0;" ~:;:..~~:,.:.;:;I=^~:rfJ~,OS"'6~A\lF1-1M'~~ci
;::, " '<'.' , .TA?E p~ LA ~E . S'EC. TrON, ' I
"..," :' ;' , , , ", ",' .. ,
':':.. ;'", ',,"" .'~' S,p., ~ '.'2:0, ,I
,::", ""':"," , ," :..., j',\.".;,,,;' ",; "",":', ", ,,'
," " ' ' , "',,' ,~., .. _.. "~-r-:---"-"",- .,'.:" l' __,
.~ ~' ~2C= ~I:~ ;;,::~~~:~~~~,~
I
~: :~~~ '.=~ :~~ ~~ ~..- =.:::; .--- -~ -- .. --- -"--'= .~-_.~ == --- - ~',
~ ....,..,..'::':--;., .... ~.. ,- _..c --......:- ~-----: "....:.. __ __ .- =---.- - -~~~ I
~=~~~~ ~===~~~~-~I
"--. , ' '.- I
.' . .. ~_.. _::::::::::;, -. ..' - -;
":""":":"1--'7- -r- ---' I-- - ' - _..
. ' : I~ __.. .... 1-:= :;:- : _
-., -"'-"-:...:;.:::~~) - --=== --."'"'t :"1--- r--,..Tlrr....: --
: :""'":- ~.: .. - :-~." --.. -- --= -'- 1,--
.. .-_....-:-t: 1--=_ --:: "._~.== --:-:::: =_.;w__..-
- -=- _...... -- ...:: ===- .::__ r:;:--- - =- _,....
- - - " -4: -- "':::"'-, -?;:;~r.:-:-'" -- -'::.'i\ ..-.....'- ~::~: '
, - - -.--+ -' '- -- ---- -. :-..:-'::=-::::. .. -"--=~:-., ':::=:,
'" - _-==I.---:::~....:.::t_._-'ll -'..'- ",- -" -,~'..... ._ '__ _,....
--:;:::'7:: ,- - :-- -:.~ ..--.. :~=~ =...~:... - . ..... :~_..__=~ ~c.;:::,
-"'I., ~ - , ......= ......:.- .'" ---" ' '''-? ".. '" ,......... -" '.,...-,~ -'''1'~, ~: ~
~~....... -- == '-:: ~...-.4:;:...::::::.--'-:==::~=.......~. .'.--'.. ..:., -~l_---,,,...I."~
~, "":~::.~ '- -...,^tf1ri:'~ d;t::,~'" ~.F~7::::;:F: - ,--~" ,.o'--._"_I,c,_,__,,~__ ".;^,"',.~,.
--'- ~- - -:' =~-= ::= ;:_~t ,-_. :' "-'--"~;fi: ;;=~~,,,, - =:=' ..=~'
.....t =.~ =,= :-~ .=: --~'~:~~~.. ~~~ ~~~~. ~:~~~ ~tt~~' .~~:.-~ :~':~-:~ I~I~ ~.~ ~~~T"- r"
. ~.
"
..:;:.
=---..:.. --,
,- --'----
~: .'
'1':t
I
I
II
I
,
"
,
,
"
"
.'
,',
,
...
, ',"':". , '~ "',,. ''',,' '" ",' '."," "" . .-,-", "', , 'w" ".",,~""'" .
':,';:' "" .:'. " ','.: ,:.', '.....
: ',:' :',:,:' ,..,: ,: ", ," ,....," .:' .. ,"", ,.... '.':'.." " ,", ',' '. ,"", ",: ' ": ,e." .,'
.(, . ". :," "'.,.,.,.:.'.......:.'. ' :'.., ..'.. , ."<, ',':,
',;:< ',,: i ,'\,:"~;.. I',.":' ,: ,
:,' :;~::j& ,...,:: ~~l~'~~ "J') ,:~:,.. ,.., ,,::. '.'.,:,::i" ,,' ..
':. '.,:,:i>o;l.1" ; ..: ' , .....'
~ ( .. ': ;'<,"",'J... :,',',,::1, ' '. ;,:,,,'
.. .. ,:;~'
: ..'; ;..' :P,;"
" ,;' "';:' :":,'.' ,- ..:' ":', i',' .'.':' ''':''','
','" ,,'. : <'fit ..
:, '~:': ..'(:C <,
.;, '...: ':" ":' ~ It.,,,,-.q,; :';.' "," . I '..
..: ',.,;"..
I,' '. ,:: \ ,":e:' /',.. . "
'<" " "1.', , '~, ' '.,.'::\. i':' .. I',..'
.:- ,~> ~., -' \~ :.,'.." .! .\1, l '/. 'I
,', "...\ !', V;:\. '
. " '.' ' . ..' . \ '\ "\',
'::/\. :'.'" '/;:..l,,:,~ ''\\. ,)~.;/ '
:, .. " " ,'", ,:' .,:,.",..",..,: .",." " __ I
:': "::< ,,', " "': '"
..", '.. ..,','.. :....:",. ' , :
. '. :''.'' , " '
. ,",." , ' ,,'. j
,:'Xr,:~. :T~~ FF ! c., Pi fiG KA/v\, ~.
:.' ..<'" '" "'" "I.: V1 "Ii
"',' "..:' , " '~ " :
"....,. " AIJ, <."I5l>( vRof'o~.~OJ
:' ",/.: :: ~ A ,"T" o~v"e~~"'J J
~': ,,:...:,,'.;' ':,' "...' '1 ~B
,_,":, .,' ~ VI \(,\
,"":..~" ~ ,'. ~!:;, i
::,'.,>",..,' , ' .. ~3;
,,' " '.. ,,' AnT ,'5356 ,J \. " ' A'i>T 8:>00'j
',:,5R,"2.0~V' ',~ ~:
<:..,. ~:?
','... ''": ":",', "" '"
. ,,, " v,
,'. i
'.":,:",,;,',' .,t~: lj
:, " '. ,,' ;'3 '-'"r.:.,.,~~'ij,:l.' ." .~.\.,"', 1 ','
"~i::::-:>:~~:':-::':":':";.:"':7':..~.,:::.:::::-I._. .... ...'
'.-= . ..-;: .-... -- --. ,.,....-' -,"- ,- " ..,- .. '. .-.-"
~~-:~_=~_:- =-'~~____'.;~/~:~:'1~ -~-'~--:~~,= ~~ ~
.-=-- __ __ - -- --,-- .......:.: r:-:::: ~l ' . . -..-. ..,. , .--- -::- '.:.:.;.;. . , I~'.' ,.'
,,,,",..,,, '-'-:-1=" === '-- - . _.~= ,-,~- ' .: ..... .....~ ..'-" . -.--:: ,:, _.,- --.-:';.. , ~, .., "
.._ _::::::.:::::: _, == :=;:::_ _ ._ -=.: =::::.: 1!': .- .:::..::.:..--... ~ '-.:..~ ~,.:-:"~"'~'
1;4"~C- - ~~~~'=:-n::;;-:~U~~~:~ -==: ~t;<~ - ~:-~
_ ... _ __ ~~__ ::::-..::: :'::.:-::~ -:_:::~;L:':'- -- - .:.: __ 1:'._
__ .. ,_ _. _ T -: __ -. .. '. p..- -
:j:;:: ~- ~;;.:: ~~:: -::1~--"."::= ~- ~~ ..:=~-:::~~ --. ~- -..- ==
.-. .".. -. .---'- .--- tJ..-.,- -.,.... - -- - ===
~':~~~ ~~ -~~==~'_:~~~~=" ~~ -~~-;:p ~;;;~
-. ,-" ,..... ,'---'- ~ --..-' -- - -
.. -..- , -- -- -," -- --' ' --- ....~ -== -- ~ ~"". ~.........
- _. ,- -- ' -- ---; --.-=.. .. .. -.... ..---,
_ _ __ ~ _ .-- ...::::-":: _._........:.-. -=~- F-=:- - .:_, --'---:::::-I_r--
I-~' -- -- ~ ---.- -.., .."- -- -- '
.. 1----..,. - I--=-'" :;..:;;;:::: ---,..-... '-...-.. 1--' ...'- --.--: ,-... -:::... .. - .--=- -~ --'-
. ~_~..::_ = ,,-"; :....,~.':; ~ c---.:',,- ~:=~,:: - == -:;-..,
__ __ ,_ __ _.. .,.,..., ",_ .. a-_...;::;:;::: _-:= ......._ . _--:" ,f--- .-"""'.........-""
," . __:::- _ _ _,,_ ==~.__. __.. --==, ':<r::- :..._:::.." ':: -:. =-:-_ -~ ~~z....
..~ --- -- -- .' -- .._,- ..... . - , , '" ..... .. '"' .'- _.::.-::: ...........- ,
___ ,__ 1- -, -- '--- .:~=......" -- --- -.."'-- -.-, ."',^ ,...'. '
1--" --- - --= ,-,,- --'-- --- -=-~:~: I:::;z::r:: -::::::::::--_.. '--, "-";.'';':;: ~-- -- --... ~
c{ ~ '-:: =--:~ ~ __;:~',~.,~~~ ~;fi~~;"~:==~I;g=~;: =-~ ~~
-~.--- - ". -~
'. .". ..:::::.'..:..... .... -::::::. '~:..... ,'. '" :..:':'-" -- ~~'-_-:.::-
""
, ~
..
" ,
.'..:
:,:
',,'
: '.'
',' "
" '
? '
',' '
, ,
:~.:i
-'-
---..;'..
't"',7~
"
""
"", ';,
" ' :" ,..,:':',.'
'." .,':, ,...'
.:'"
. ..,'1
. :' , '
"., .
. " ':. ,r
. ,'" ...'
.. ",,' ';
, ..':.'"
:< ' ,,",,' ':',
,
", .:"';::.
't ., ',.;;
b R.W
~,'
F;:-SJ,I
i"
.'..'.
, "';".
I
!~, .
:..1
ir
~
I
:"1
.
)(
::
.' ;
~:..:
.'
,.'
I~':: ~": ::?'
, '. ",;:;.,'
: " " ':
.,.... ,;:;:: ;.-',
MATCH< ~',.s~';:"', .,.' ~
'.'~:',:):~>fi~:"YY::;"": "'~
':", ",":,,' ,
,
, " , '.'. ,;
, "I,,'
>
,,'..",',,; ',: '"
, - ':.
" ',' ,:
,
1
I
,j
,
t'
,
-~~~
" _::..... ..
--~
L-JL ._...J
L~ L..-----J L-__..J L .' -J
__.___ _,_ ___...J
!1)8,
~-
~
.JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS
if:r;v:.l
"-
i
I l;!<i
q;; <I::
PRO~~D' r-<:.e"E'.:!;o: Sf ,/ ~
'''",..,~ ,'!I .",."
,
c,,'
, '
c
,,., ",,'" i-""'~_--H"
....,:, "",I
': ,:" ,..-
,,' ,
'..
..' '," ,,'" "'/'
.:, :
',', ,: "1; f
': 'Ii . J
.. .";" ~
, " i <t
',"'.','.,:,"","..", f: 0
,II,
,_J
,. ., "1 ~ .'
'.<1
","\\ I. ~",_..I
, .',.'
, ", ",,', '
, '" ,,: ,
'~,." .' ", ','
, ',,' ", ,; '"
': ,',' "'.'," '."
:,'," ',"'".:, ',""
:': , " ' .,' ,,' , '
',,: ,::...'"',,
"'''.:,< ,:",
, " "
, :
.,'.',<......" ',', ''':
': ',.,:,,,' "
,,' ,;"
", ',', . .' ,
"'" ':", '"
",,' .'
',.: :',,', "', '
"",.'",, ': .
", \', ."', ,
" .'
""'.'. ."'"
,; ,
L
~I',','.':':'"
c;" ,
r '
8'
I;
!
i'
~~I
,
;
t'
~ '
Ii'
,
~~ .
j
to'
'"
;;
Ii
\
,
!
;
r
\
~
1
T
:
/"' /"
I- ~
< '3
'J C1-
;f; :g
"'- ""
r:l. {L
'-' v
o ~
.. ,.. N
~
o
<>
~j
~
'"
...
!..:
I:,
'(
J
"'-vL
I
j
o
N
c!
<Ii
,
!1:'
"
-'1/1
.'
" ,,',
,'" .' ' "'...."
, " , ,....,
, . ' "": . ::;c:;-
,,'o' ,,' ,,,'.'
, ",',:
, ,
,;:
"
.
"I
I " " o" '
. ,." ~' ': ,0:: ,'.. ,,'
"
r .""', '
: t-. ;,," ",;,:,~'
." S" ,,'
~ " " "',~
,....;' " '
, ,<
, ,..' :
I ' ," "
C; ~" ." ' ' , .',
't ',,',
'.' ',i...
~ . :'
E".HiN7 Ft-;11.." " ,."
, .' I " " ,,:;
, I ,
, , ".' I "
! : '",:
.~"
, "
., "':.' .'"
: :<
!'" .:
i'.
'.,
fA
C"l
I
" '
" ',,:,
" "'"
'".". ..: "",
".,,':.:,. ',; "
, :.,
"-, ',' ' " "
" ,,":, "":
,',"".', ': " "
"
, ,': '" '. ,', ...'..
, '", ,':"
, ""
" ,i<
" .' " ,',,', ':",
, "'" ..:,',:.. ",,',
,.", ',,'
'.. ,', ::>,.::":"
, ':::,,:,:
'; '.:";""
',: "".",'
, ""'" ,',: ,.... "
/ ,'..': ,:::'"
"
"", ,
" ,':
" "," ", ,,', ",,,,,'
" ": ,,','
, ,
, '..,'
,
",','
--
,
~, .
,; ,
, ' -::
~'
/, ' "
,
: ",,'
C -~
'~
J
ii. ,i "':;1." <'"
Ii.' I,:. .F; + ',i."
'1 ".,' ',:1:1:1 1+.:,; ,i
xi " .,I.; I": ;,'
",;,11., H,I ii:
H",Li,: If., " i
":i:,:" :i !i; : ,it',."". .'.'
"
TiL,ii; 'i '!' '
",i .. I: ,':::r'" Ii , ' ., ' " ;"
II):r':;;'., . : iT'; , , ,
;", ""," ,-,' ".",,'
1<',' i' :"ii ' ii,', Y " "" ,
IF[',',"" 'T:: !i: : ,,: ,; 'e ·
ILi.:,:!!!;:.!;:;' J'~", ,i '" ' '." ' ,
"........ .... 'iie.,' :,;", ; ~_ . '.~~H:; : .,.,. ,','
't"'! ';:'. ,'j,IL;~: i' .Hw
. ,., C, !'T H '''"~ ." . " . .. "', , ... . ".,.. i~
, :<i' , U ,;"',' 1/' ,'., ","'; ,~--
. L., :", ""i,,; , " ,..I,
:'}' ; 'Hi iT "i I' , .", '",
: .i:;', ;;;,.: iI",' ',".., ',:: .
: .;" i:' ," ,',:' I,'" .-.,.." ,,' ; :,. " '
, , ;..!:! .,: " ' .' .'; .
/.. ..' ",.. ,,; I, I:.' ' f 1?9.'fZ' f7:S Ii
;,' ..""",: :~i:,;i+: +, ",,;, ,',' ,,' .s.R'2.0I1Nb+
;:.,"'",'T!i "T,;,;<H :,. ; .'", ' ' .. ~. t.l(,S 1ST' "
Ii L',' !':,' " " ,., . ,_ h "'" ',. ,: -'...
, , ' ' ", ,"
, ,': ' :,,' ,',
I .:i, "," ",','
,,', , " ' ,,', i.f, I.'; ,', : .'.,'
-fIf:l'I;LI:'! ,', : "/ ."", "i ' ',," :,
,'iF i ': ".; ",' I' ", ,
1'1, j Ii ;,' ",',,: r ,'.,;... ....;: ,i' : ,ii: ': ,i:
J,J:~l li!,!Y'j',":. ,7:' I" 'T I': , ,ili!T: H;
, . j, " " . ': 'I; "!.i
:.:;T'; "H' "~;j . i-, ., .;Hf'
, !'" ' : ,,"
',', ';~"" '", ",', ,.' I '
: :7'7 . ",,;"h I-'-'~- "" ' ": , "
',' d " i .' ,'i" 1~
" : j ,. ",' I .,'; ,. ::' ,.!~
.. .;' J 'i moo r"8c"~1 .. . ." . Ii
. ,. \~ :: I!g:,. ,"" .'" __I' . ' I . , . ". "_._,, . .:i
;\JJ i
i
j
"" i ,."-"
I
I
..1.,,,: ,. '. ,_"~ -.. '.,
I,
I
...,,1" · I '
:
, " ,-' ,
~ .
,," ' ".
" .
" "
, :'/' ~_.- M ,
.
, " ;" ""~" .0_' I:i>. r-
, ,','
,
;~
~'
Ii
11
", :!
',' "
,
,
,,' ,
,.". '
,
, i
,
", '
, ," ,
I ; i'
. ' '
; ':" ,I;"
, '. I ; I.. :
Ii
:1"
:' "
" :f~ '
, 'i ,
, I
I'
I .'
"-,.,,,. ,
" .;,
, ' "
., ,
, .
,I
I f
, ;
. ;:',;
, ,
: 1
I, :'
:' i :
;' I, .
" :::
, I
f
..
. '-r,,!
_........:......~.
I" l'-/'lltd
.. .<~.^~ ~
-,... .,,.-
J
~
.JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS
COURTHOU SE . PORT TOWNSEND. WASHINGTON '3636B . PHONE 385- 3505
..JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS
caURTHOUEC::: . PORT TOWNSEND, WASHINGiON 98368 . PHONE 385-:3505
\
~\\""'/J~"7
~~,~~
~f7~~
.:f/"I)'fi:/I~~
J}. "t-
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
tJF.MOR"'HDUH
TO: - Planning & Building
FROM: pUblic works Dept.
DATE: October 23, 1989
SUBJECT:Ronald C. & Lois R. Bridgeford, Short Plat, SP10~89
Public Works has no comments on the above proposed short plat.
PWA 03'..30.01
100% Recycled Paper
JEFFERSON COUNTY
DEPARTMENT OF ?UBLIC WORKS
PROJECT REVIEW CHECKLIST
1. Project Name RI<.:tl1(",c.,R,l) 'SHoQ.:r yl~,-
2. Project Proponent t<tw...." C '" l";.,, ~ il":"f,oAl,l.O
Add'''ess ~ 7eLo,Alft:l:~e4'" uu~N.fI't~:/:-b.
S j'" 10 -s?
Re~.
'E,
Phone No.
c_ '132.-'1293
C I~e ) '13z -o;3...,a
3. Date received
Date Response Due
4. Preliminary review completed
5. Conditions of Approval sent
/D- 2~ -!Jl
/0 . 23 - ;9
bY
s../(
eP
by
6. Prel~inarY desien reViewed
by
Final desien approved
?-&-C;O
bY
SJL-
7. Prelim. drainaee p lan,rev i.wed '
by
Final drainaee plan approved
bY
8. Construction approval:
Suberade approved
FiniSh el"ade approved
Drainaee approved
Surfacine approved
by
bY
by
by
9. Final review for all conditions,
Conditions have been met on '2,.- 2 J90
by
"9L
Conrnents
JEffERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
PRELltlINARY PROJECT REVIEW
1. Project name iSR.; o~('> Fo/>.~ $""";<<1" "'/14-,
2. Project proponentR,"'-9mc. q.. Lc;." R..~"i>~e"""~e".
:5Plo-89
3. Response due
4. PreJiminar. review,
Count> road: .1?t!,~ yll-tr' R.t>. Rd No. at H.I".
Count. road Dccess C~is ~oodl C I nee~s chaneine. needs approval
Existine traffic count is ________ Projected traffic for project -------
On site improvem~nts need to be submitted for review and approval.
A draina~e plan needs to submitted for review and approval.
Off site improvements to countv roads will be required.
Additional Rieht of Wa. will need to be dedicated.
Pr; vrtrp rn~n (!=: \ ; n np\Tp' npnY3n+ mllC::+ ~ n;::lmon
5. Corrments:
Prepared /)rr,,;/,.e 23 19 ~
b. ../) /.-..H-U ""'" OA
title P!MP/;AJQ GN9f<
f f
Approved
by
title
19
-SPlo-'%9
il'!
:fJ-
JEFFERSON COUNTY
SHORT SUBDIVISION APPLICATION
The Hashingtoo State Boundarfes and Plat Act (RCW 58.17) requires thl!lt divisions of land rUI' sale or le~s~ ~o!flply with the
provisions of the Jefferson County Subdivision OrdiMnce. The purpose of this Act .eJnd Ordinance is to E'nsure that potenthl
purchasers have lots with adequate access, water supply, sewage disposal, legl!l descr1pt~on of hmd, etc., and the general
taxpayers of the county will not later have to unnecessarily contribute toward those development costs. The OrdfMnce requires
th~t shore subdivisions (the division of hod fnto four or fewer lots, tracts, parcels. or sftes) within the unincorporated area
of Jefferson County be reviewed with criteria established by the Ordinance. ^ parcel of land eligible for short subdivision
must h~ve existed as an individual parcel at least five years.
,')
A:?PLICANT: J: NIIL f (I r? a ",I
ADDRESS:.:)'( f SO [2,0 -{-re,d
TELEPHONE: (home) 43 ~ 03 .3 f
1-0/5 ;2 f3r,'dqe{Jc>I-d
,J f! 0
Kan4.s ko..f RrJ .sf.. GlileI/5Cf(de. ul-: /i'057
(business) 4~;) t/-J.. 9 3
AUTHORIZED REPRESEN'l'/I.'l'!VE:
ADDRESS:
TELEPHONE: (home)
(business)
DIREc'rIONS
1.
Answer all questions completely. Please print or type. Contact the Jefferson County Plannin'J and Building Department..
for aid in filling out this llpplication and fOI instructions on further administrative procedures required to complete
n~a~ho~~~Si;Jld'itiOnal inform.tion (reports, studies. maps. illustrations. leases, permits, ete,) that m.y further
describe the proposed development or may be required by Jefferson County, in addition to the preliminary plat.
Check with appropriate agencies to determine if the proposed development requires additional permits or approvals. An
accepted plat under the Jefferson County Subdivision Ordinance does not excuse a developer from complying with other
local, state, and federal ordinances, regulations, or statutes applicable to the proposed development.
2,
3,
GENERAL LOCATION: (2 u b IZva,1
P&l,{ --'t>.uIl.~eJ\d
PROPERTY DESCRIPTION
a..,d IYlllo Qur:-j eel
/-of
-::; ~(hJ / /la:s' e
/ I .
'2, .9, / -rr"n" J'>",,\ I, , r
.13 fa C/:. J3erlr~ .:J 110 r f pia t .;J ,.;l rf tl C-
Ool ~.;ll IV 90
,'7:;(-) A) R CVJ1 (l 0 I ({) 0 JrY"l
-- G
LEGAL (from property tax statement):
:::::>pr -J-: (IY'
OWNERSIIIP:
Applicant: @"'Q~ner 0 Lessee 0 Contract Purchaser 0 Other:
Owner (name and address): 20M /d (! 0",(1 /..o;~ E Bri"J'" ford
"J1.f.50 Pefrc"cd- /4J1(['jl!clf' eel .;sf- 'i?1..'l',1sc/cdt>_, U),l 'l/'o57
ENCUMBRhNCES (identify and attach existing mortgage.., liens, restrictions, covenants,
easements, etc.):
SUBDIVISION DESCRIPTION
SUBDIVISION NAME (if known):
re.5; jPI1 t,-,t.!
LAND USE (commel'cial, residential, indllstrial, etc.):
Q~~ :j:j.~ '-!3f&>6
SEGREGATION:
Total Acreage: :J ,cJJ'
i "0'
Total Lots: d.
Gross lot size (acres and/or square fee>:):
/,14 A-c::
Lot 2: I. 1'1- A C
Lot 4:
ACCESS (right-of-way name):' ri In ;/: Bt"n,.- P{'X/r/
(;YPrivate 0 PubHc (name): (!ub 2(1c/{.{
--''"', {Jj)rne/~
Length (in feet): .30 1- ;LtVi;; AI is Right-of-way width (in feet): {tJ
. - I,
WATER SUPPLY SOURCE: 0 Individual wells 0 Community .,ell
o Extension of existing system (identify):' (1/;1/4 It/iller a ~/':;; I",,r]
(f (j
SEWAGE DISPOSAL METHOD:
~iVidual septic tanks and drainfields
o Community septic tank and drainfield
o Extension of existing system (identity):
OTHER IMPROVEMENTS (identify drainage facilities, bridges, signs, etc.):
of oP<)rtion of NE 1/4ofthGrq,~)/4 ,section;~
"~;';iolE""M~'C~..I#.';';'Af1SCAP, ,,' '" .,.. . j9'118rS'ori " cot.int
.., '/NCOA/l:,1Ur;. :U1' ~Y.l,$.."?l7"f ,.'. ' " ,'. '
Jf";?>~'f.&/A'Wr//-I'I~~~/,~ S~ffS,(~(;"./~:. " ':", .' ',j
... ".Wml~~~'~~'!W. ,.zJJ4'.~"Z9., '. MWYO'.~:'~'8.i/. ". ..;,:,:~q4"
.' ..,.,., :,..,.' ,.~.', '.. "':'.aMlCifit!;7E:,sioN. '., ..-.~
IYC~\', 1~;r.3"5~ 8.3 .... ..':P<f,.... ...;:~~1j
4-0' A~~8dAND 'iT;UT1E~ 'L'~,-!3~,,!/EN . .,:'';i;:::;:';':)( ,
~ .-ft~.i':;".;"~'W ' ....,,.., ~~ ""7'?:: ':'l;)~,:,'",).!
rr 00.. <!i'44. ~O',' {,tIII'~*'- D.. ' .... ...-4It')" """"'-
~ ,.,'....- ~- !50I,:Z$,'
"ti ,f,\ ,-Pr"pc;~e.i '\- ~, ' _',-C)'O
i. Bj~';"F'Mf . '/ .
il~i'~ye ' ~
~\I. :d .~
r"'C;;-..;iJ! .?2B AC. r-as:;,'-~'I ::: 7-08 AC.
--.,._-~ I . - -- ~
"-
'"
<:)
r<l.
1'(\
I
3~O.8"
Noe.'4<J'34"W
3t>O.85
(#.3/.70 .
--
~- -
--
-----.... / -----....'"
I
?//,t 77)'0
, 1\ /\
/ ../
--
Jl\
- "- - -
"-
~
.
"'~:'
Iii
"
..:
~
't
I
\
POPE RESOURCES, UNNAMED
PLAT (refer
filet vacate)
/Itt!
Affidavit of Publicotion
STArt Of WASHINGTON)
COUNTY OF JEFfeRSON)
FRANK W. GARRED. being ~worn. ~oyl he il Ik. publi~her (II
,hll Pon Townu'nd/Jeffer~on County Llltod.r, (I .......",1)'
"......'iFtGPQr which hc~ been el1ryi:'>li.hed, publilhlld in th. English
language Qnd circulated continuoully 01 Q w..kly newlpap.r
in Ih" lown of POtt Townsend. in laid County and SlollI, cnd lor
genoral circulation in loid counly lor more than lill (b) monlhs
prior 10 ,h. dOl. of tho fint publication 01111.0 NOlice hllrolg 01.
loch.d. and thai ,h. loid Por1 T Qwnlond/J.Henon (eunly
~:~~;rQ;:: b; :~: ~:~~~~: C~~~"Oj ~~i~ ljlllf!r:~~to:~~y ~.ognoJ
thaI onno)lod i. IrulI copy of ,h.
~r.;>i"r.;t.\"';;l\"1'.1't'-nn."'" "1'''1) 'Ini.:i::'~;
ni;~'N6na Of ,rilSUCKEARlNG,,,,u,.?\
'('I'l':' PLAt VA-CATION rElItIO~" ;!y)lb~
:, "".,l~,""-C P "fERRY'S PLAl"j j' ;-;. iq
_j~,\%~;;~;j~~t';~ltni~f:;'\~'\
, ," - h' by 9iven that .0 public :,
Nh ~hfe'~~i;rb8held' btlhe'ieffer~~_n 'I
Cea..~!f1ty,9'Board ~of Commissionersp!l'l
~~~ "'vNo'ie'mberJ!'6ih',:t'989 'al~
M~~~c:';Y'~;"'n \heir~'chainbe~s"ot "the 1
~~unt~'Co~rthouse 'in Po'1, IOW"f
lend, Washi.l)gton; fo~thep~!P~~~he'~
k"' ~~testimony.Tconcer.n!~g- ;
to '"I!- f EIIi,'j'Plal" and "C,P.'
~:~~~:~ Pl6t '1'1n 'i5eai~~'~!1 ~ ~::J:l~~rj
R1W .~b-lla;,.c.;.tmu~1~liiI.~12. -:--" , ;-' 7 ,~..i
George C. Brown,' Chal~m~n_..1,f.:~::.;. '\
B 'd f County Comn'1:ISSlonen .ch) ,
:.,7fu~;~~"'Qll;'WOlliu..Jrm167A,l ~
Notice of Public Hearing
Plat vacation petition
C.P. Ferry's plat and Ellis
Plat
MECEIVEO
NOV 2 2 1~o9
JEFFfRSlJN CUuNn
pi t.N~".,~r; .\ F.l.!),j \:'l)T
as jl appeared in the regular and entire iuue of laid paper hself
and nat in a supplement thereof for 0 period of
two
cornecutive ....eeln. beginning on lhe
25th
doy o!october . 19~
andendingonthe~taoyol November
19~ ond Ihot ,oid n.....spaper ....as regularly distribut.d
to its subscribers' during an of thia period. Thotthe full amount
Subscribod and sworn 10 be/ore me this--1..s.:b:Joy of
\
I
\
I
\ - ,,,:,:,,_/,,,':","''''':',~/.,'
\
\
\
\
I"~"~ ,.:.;,",'o;Y'.J::;':""" ":f'
"~'" 't';.~,.;...,..": '~:-,.~.~7;:::, . .l,~. -~
nEe E I V E oS,
NOV 29 t::l ::}
POSTING NOTICE VERIFiCATION
JEfFERSQN COl>Nrr
PLANNING & mot; Of 0'
NOTICE OF PUBLIC HEARING
COUNTY ROAD and PLAT VACATION PETITION
TIlE PLAT OF FERRY'S ADDITION AND ALL STREETS THEREIN
Notice is hereby given that a public hearing will be held by the Jefferson County
Board of Commissioners on Monday, Dec. 11, 1989, at 2:00 p.m. in their chambers
at the County Courthouse in Port Townsend, Washington, for the purpose of taking
testimony concerning the vacation of Ferry's Plat and all unnamed, unopened
streets therein.
I CERTIFY THAT THE ABOVE NOTICE WAS POSTED AS PRESCRIBED BY THE JEFFERSON COUNTY
ROAD VACATION ORDINANCE,
~J ~~__--
U'c.c- Qr..~\J.""'T
(TITLE)
~oJ ,}.y. I 1"1 'O~
....~ ,"
....1,: ",.: I f
.'
:.. .~.
. ~ '': " "
;-.'
,
.: "
: '
'~ 't..~
" i~ ;.
"". "
.'
1f""....
" ,..... \...
".
, ~
~~
r"
~~
?,~ .
......:... ~
~;, :"~
~~,,/t:
...
~ ~1
... t,:
.~ I r,
'>,
~. ,'"
\.;" '"
'"
l'j'
...
--
lllllj~'"
...
~
df........... ,
. u ~ 1!,~f,1li
,~~. . .,[:.r.:i!.V'
I!, ~ ::. cD~ i;i
I "oJ"" '" '"
r L~.: ~~ f'''i
;'" '"
~ Fg
; FJ".
~ >
~ H
~ ~
1':.
~. r.'\~
Go:
,
:: ..
...
~ ~~
~~.,
~' ~
. ..
::..
..
,
J
i
"~
Jefferson County
BOARD OF COUNTY COMMISSIONERS
Port Townsend, Washington 98368
. Phone (206) 385-2016
LARRY W. DENNISON, DISTRICT 1
B.G. BROWN, DISTRICT 2
GEORGE C. BROWN, PISTRICT 3
IN TIlE MATTER OF
RIlS0LUTION NO.~-90
Recommendation for
Vacation of C.P. Ferry )
Plat. )
HHEREAS, the Boundaries and Plats Act (Chapter 58.17.212 RCW) permits
the vacation of lots, blocks, and streets of recorded subdivision plats; and
WHEREAS. the C.P. Ferry Plat was filed with the Jefferson County
Auditor on October 5, 1871 in Volume 1, Page 11, of Plats, records of
Jefferson County. Washington; and
WHEREAS, a petition has been submitted to Jefferson County to vacate
all lots, blocks, and streets for the entirety of the C.P. Ferry Plat; and
WHEREAS, the Jefferson County Planning Commission has recommended
vacation of the C.P. Ferry Plat; and
WHEREAS, the Jefferson County Board of Commissioners finds the
vacation of all lots, blocks, and streets within said Plat to be in the
interest of the public.
NOW, THEREI!'ORE, BE IT RIlS0LVED that the C.P. Ferry Plat be vacated in
its entirety, and further that said Plat vacation be noted upon the original
plat by the Jefferson County Auditor.
PASSED AND ADOPTED THIS ~ DAY OF ;t: ku.<.",-<-v
1990. I
BOARD OF COUN'lY ~lSSlDNJ!:RS
1
p(~;'..;:"", y
7"~"~'~ j~ '.
/~ \ -" . ,
~~.!r: \t /" I '
.. . 41. "
..,'~...-.I...
S r..~'''' I" ~ \ rO'
.......--...". ."
~)
B.G. Brown, Member
""
Member
..
_ffidavit of Publication
STAlf. Of WA::'HINU10N)
COUNTY OF JEFfeRSON)
NOTICE OF PUBUC HEARING
COUNTY ROAD and
PLAT VACATION mlTlON
THE PLAT OF FERRY'S ADDITION and
All STREETS THEREIN and
nus' PLAT
Notice is hereby siven that a public
hoaring will bo hold by tho Jollo"on
County Board of Commistioners on;
Monday, Doc, 11, 1989, at 2:00
p.m. in their chambers at the Counly
CO!Jr!hou!e in Port Townsend..
Washington, for the purpose of tok-:
Ing testimony concerning the vaca-
tion of ferry's Plot and all unnamed,
~~?~ened streets therein, a~on9 with,
~.lls,__P..Igt.__~- '
George C. Brown, Chairman ,
JefflJrson County Board I
of Commillioners
17:2812.6
FRANK w. GARR[D. being '....orn. lUy' hll i, the p....blo,hllf Co!
lh. Pc;.n To~n~lInd/JIlHllr.on Co...nl)' lead.,. 0 ....,".1,
nllW'lpoplll whlth hot been IUlabl"h.d. publi,h.d in lhe fn911~h
~on9uoge ond circulcued conli.nYe~.I)' a. 0 w..ld)' newlpoper
.n lh. lcwn of ParI Tcwnlllnd. In sa,d Caunl)' and STole and lor
gll,ne,ol ti,t...lol.on in ,old to...nl)' fa' male than .iOll (oj mantla
prier Ie Ih. dale ollho I".t publ,tolion of the Notite hll,.'e gl.
lathed, ond Ihol the ~oid Pan Town~.nd/JeHeuon Caunl)
L.ode, wo. on Ihe 271h day of June 19.4 \, app'e....d en 10 legal
~heo~.:na:..-:.~yi:~~u:u~:;~~~~:er1 ol.oid JeHe"on CO\lnly. and
Notice of Public Hearing
County Road and Plat Vacation
Petition
o. it app~ered in Ihe regula, and enli,e iuue ol.aid popel itsell
and nolln a .upplementlhereol lor 0 period 01
two
eon.eculi"e week.. beginning on Ihe
29th
dol' of November . 19~
ondendingonthe 6th dayol2ecernber
19~ and Ihal, laid newlp,op.r wa. regularly diuribut.d
Ie ,Ii lub.cr,ben dunng all allh.. period, Thai Ih. full amounl
01 S 3 3 00 has been pcid in lull.
per column inc , each It
~frJ.,
,"""\\'\':,\"\, I ,
Subscribed and ,w.~\~p,:b,\e!~~' ",,' Ihil 6t!lloy 01
" ,i~ce'lrib~r 19 89
,')'~I,\~
~~:;;;-dl."h'S'.".'~
,."!,,o,lhin~I't.n., r.lidtn9 at Hadlocl..
"'II'/I'l
o
L
~,-v~~.~?
\..;;;;"~,,,~x:{.::._
,~~:~
r~"'<~~:~' .
. ,
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1 820 Jefferson Streel
P.O. Box 1220
Port Townsend. WA 98368
(206) 385,9160
G8ry A. Rowe, P.E" Director
Robert G. NesbJtl, P.E., County Engineer
January 4, 1990
Dave Cunningham
Pope Resources
P.O, Box 1780
Poulsbo, WA
RE: Vacation unnamed streets in Ferry's Plat
Dear Mr. Cunningham:
We have received the final cost on the Ferry's Plat road vacAtions. A bre~kdc~~
is ill::; [ollows:
Staff Time
Filing Fee
Publication
Copying Fees
Compensation
TOTAL
$
23.56
7,00
33,00
1.40
9 000 00
9,064,96
The balance of $9,064.96 remains, When this fee is received by the Jefferson
County Public Works Department, the Resolution will be filed and the vacation
completed.
Sc~~);~
E.D. Simon
Administrative Secretary
------;~-
!@v
Q
'COUNTY ROAl>
VACATION PETITION RVO 841
POPE RESOURCES, PETITIONER
REQUEST
The request is to vacate the unnamed, unopened streets in Ferry's Plat, as
recorded in Vol. I, Page U of Plats. The length of each of the roads requested
for vacation is 1,320 feet and the width is 88 feet, The area is located
approximately three miles southwest ot; the city limits of Port Townsend,
Washington, in Section 19, Township 30N, Range 1 West, W.M. The principal
petitioner is requesting the road vacation in order to r~divide the property,
FINDINGS
1, A petition for vacation of a county road is made pursuant to the Jefferson
County Road Vacation Ordina.nce and is subject to its requirements and
criteria.
2. Notice of the proposed vacation was made to appx.opriateagencies and
adjacent, property owners. R"sponse by agencies is shown under "AGENCY
RESPONSES"; response by property owners under "TESTIKONY".
3, Review of the propooed vacation by the Jefferson County Planning Commission
is scheduled for December 6, 1989. Notice of the meeting was made by mail
to all petitioners and abutting property owners,
4. A public hearing was scheduled by the Jefferson County Board of
Commissioners for Monday, Dec. II, 1989, at 2:00 p.m. in their chambers
at the county courthouse in Port TO'ffisend. Public notice of the hesring
was made by publishing legal notices in the November 22 and November 29,
1989, editions of the Port Townsend Leader.
AGENCY RESPONSES
1. The Jefferson County Public Worko Department has no objection to the
request,
2. The Jefferson County Assessor's Department stated that the assessed value
of the road vacation request is $18,000.00. Compensation for the vacated
area, determined at a rate of 50% of the assessed value of the property
would equal $9,000.00.
3. U.S. West Telephone Company made no response to the request,
4. Jefferson County Sheriff's Office made no response to the requeot.
5. The Fuget Sound Power and Light Company made no reoponse to the request.
6. The Emergency Services Council made no response to the request.
7. The Port Townsend Fire Protection District No.6 made no response to the
request.
8. The Jefferson County Planning and Building Department had no objection to
the request and added that the area of the proposed vacation is designa.ted
as suburban by the Jefferson County Comprehensive Plan.
9. P.U.D, #1 had no objection to the request, while noting that the subject
property is a portion of a large holding which is encumbered with an
assessment for water service.
TESTIMONY
No testimony was received concerning this vscation request,
PLANNING COMMISSION RE~OMMENDATION
The Jefferson County Planning Commission reviewed Lhe request, findings and
agency responses at their meeting on December 6, 1989. The commissLon
recommended unanimously that the vacation request be approved.
G
<:>
BQ~D OF COUNTY COMMISSIONERS ACTION
The Jefferson County Board of Commissioners reviewed the request, findings, and
agency responses at a public hearing during their regular meeting on December
II, 1989, The Board voted unanimously to accept the vacation conditioned upon
receipt from the petitioner of the compensation as recommended by the Jefferson
County Assessor.
-'-
~
'1<\fO'Z1.1 (
.=
:SCL~-.!:J
:=
,sqr::cH:__-B-_~-.!:d
~qrnJ2.._A--s_....:::L
,,- -
.---
Y-J:W' ~
@)
r'r'.ci\~::';~"';;" ,":".
/l;';.:S(_t.~:I~~"~~~::~ ~'l.
4 ~:~~; I, ~~ -:-. 1JJ" . ,i~:~
r;: ..1' .~;,;n.::i1"'" .-' .I,U, ~.'
1!~ ;nt~'~~t', "t,:;r
~"'i, ~.I~~'i:l\~":3::;Y~ln'~ '._ .~~';',
I ..,.~.,......;,.~~#,~\ _.L 'f .. ,. ..l"~
~:J1i~':~1..'!1~I~ ...)-~ i:!:'~
o
JEFFERSON COUNTY
PLANNING AND BUIl,DING DEPARTMENT
P.O. Box 1220
Port Townsend. Washington BH:3ng
Planning (206) 38fi-HJ40
Building (206) 385-9J.11
JEFJ<'ERSON COUNTY COUUl'lIOUSE
David Goldsmith, Director
MEMORANDUM
TO:
Public Works
Detlartment
Associate Plann~
1989
FROM:
Jerry Smith.
DATE:
November 16.
SUBJECT: Pope Resources Road and Plat Vacation
The Jefferson County Planning and BUilding Department has the
following comments on the Ferry' s plat and street vacation request.
1. The area of the proposed vacation is designated as suburban
by the Jefferson County Comprehensive Plan.
2. The department has no objection to the request.
..-
'"
fir)
PUBLIC
NOTICE
NOTiCE OF PUBLIC HEARING
couNTY ROAD and FLAT VACATION PETITION
TIlE PLAT OF FERRY'S ADDITION AND ALL STREETS TllEREIN
AND
Ell.IS' PLAT
Notice is hereby given that a public hearing will be held by the Jefferson County
Board of Commissioners on Monday. Dee, 11. 1989. at 2:00 p.m. in their chambers
at the County courthouse in Port Townsend. Washington, for the purpose of taking
testimony concerning the vacation of Ferry's Plat and all unnamed, unopened
streets therein, along with Ellis' Plat,
r-'?~~-<- ~/l~~
George c. own, Chairman
Jefferson County Board of Commissioners
\'.!' l\;; 1\- \
Il5I tI~ C \?;;: t\ ~1 v:. Jd/
u~ ~k ~C7 ~;,_. r;
NO\} 22.'989
JEFFERSON COU~T~
PUBLIC \N()P.\~S D.P
o
'--"" 'I":'." ".'
" a' ,p.. 0:';' I
f :h",~" ',' ~ ,1 ~'f; 'i{~
,~1~:., .~. ~~.~.. ~,
I, J. ',~'I,t, at :tm' ,.f!;:
,1't",.'..:.j,:~':'1C '.?,l ;.
. ;,.:::. - ::'~'''11.;. .J; .~...l ~/~'
:tt~~I::::..~.:.;~~~
OFFICE OF THE
JEFFERSON COUNTY ASSESSOR
1',0. BOX lUll, CllUICTIIOl;:-;E, 1'0H1' l'tl\\':'\l"J-;r\IJ, WA \lH:Jn~
t~lItj):Jti:HIWr..
JACK Wt;STERMAN Ill, COUNTY ASSESSOR
COliNT\' COLJJrrJJOl'SE JH!l2
November 1, 1989
TO:
JERRY SMITH, SENIOR PLANNER
JEFF CHAPMAN, ASSMT. OPERATIONS MANAGER
FROM:
RE:
REQUEST TO VACATE FERRY'S << ELLIS' PLATS
We have received notice of the request to vacate Ferry's and Ellis'
plats and make the following comments.
1. The plats have never been developed but have been used as
timberlands by Pope Resources. The plat of Ellis' has been valued
under the guidelines of the forest classification program, and
remains in that program. The plat of Ferry's has been historically
valued in the same program, but removal is eminent (a portion of
the compensating tax has already been paid).
2. Both of these plats are in an area that traditionally has been
composed of large timberland parcels with little development.
Currently, it is an area experiencing residential growth in the
form of five acre tract sales. Some of these planned five acre
tracts were surveyed onto Ferry's plat, thus instigating the need
for a vacation of this plat.
3. We in the Assessor's Office support the vacation of both of these
plats. The lack of lot development shows that these plats
historically have not been suited to the type of usage typical with
small lots ownership in more populated areas. Utilities and water
taps in the area are limited, The best use for the area is for
five acre tract ownerships along the road - backed by timberlands.
4. Wi th vacation requests. we often are requested to state our
appraised value of any dedicated public rights of way being
vacated. With Ellis' Plat, no rights of way exist. With Ferry's
Plat, there are 8 acres of platted streets, carrying a value of
$9,000 (8 acres @ $2,250/acre · 50%).
cc: Public Works Department
~
@ CD
Public Utility District #1
43
Of Jefferson Counly
B~-~'d of CC,Mrr:I~~,;or.(;r~
R_':I~afC 1/ ~::.'tl;:n:cirl, D,Slf,ct 1
F,.' ~ "J..' '/,-~"" :0.... D:ht'iCI 2
.1('0'" i. P('~--;) J: DI:;.:r,ct 3
Robert A Leach, Manag~r
October 19, 1989
Jerry Smith
Planning & Building Department
of Jefferson County
P. O. Box 1220
Port Townsend, WA 98368
RE: Plat vacation, Ferry & Ellis Plats, See 19
Twn 30N Rg IW WM
Dear Jerry,
The PUD has no objection to this vacation. Our
only comment is to note that the subject property is a
portion of a large holding which is encumbered with an
assessment for water service. There is no specific
location specified for the water service within the
large parcel, so it is not affected by this vacation.
Thank you for this opportunity to comment upon the
proposed action.
Sincerely,
fiw4d
Manager
,; E. r: ~ 1 ./ F ,,~
oel 2 ~
JnHfI"'"
Pl1...,.~!r.
2.4 Colwell Slrc(:1 I P 0 eo)' 929. Hadl(lC.... \..',:H~t'\ln~!or) 9b339 (20L) 3e:).5eO~
...-
o
@
'-r;:sC~1' :I,~;:.;7: :-:;
/"'r: ,- ',-' ,4-;.r :fr.,
,y ","::, "'~ '. {; '; ,
,fit I 'J' ~~,~;+./~,
'-iI'" "--~'~';ifAP~:,'f'
~" !, ~,,;'c 'A"
",: ',1111." ' ~,..
_1'~1~.":ll J;'~~'
.::ltl~~~_~....._.......
OFFICE OF THE
JEFFERSON COUNTY ASSESSOR
1'.0, BOX 1220, CQUH'l'IIOUSE. I'Olrr 1'()WNSI~NIJ, WA IJH3liH
(206) 3Hn.UlOfi
JACK WESTERMAN III, COUNTY ASSESSOR
COUNTY COURTHOUSE 1892
TO:
November 15, 1989
PUBLIC WORKS DEPARTMENT
FROM:
JEFF CHAPMAN, ASSESSMENT OPERATIONS MGR.
RE:
REQUESTED VACATION OF PLATTED RIGHTS OF WAY IN THE PLAT OF
FERRY'S
BASED ON THE INFORMATION PROVIDED, THE VALUE OF THE RIGHTS OF WAY
IN QUESTION IS $9,000 (0 ACRES @ $2.250jACRE * 50%).
WE HAVE NO OBJECTION TO THE VACATION REQUEST.
J~~p:::::-
,1;0....
.-
,~ .q...,.
.&
Received:
==---'
3EFFERSON COUNTY ROAD VACATION
'1Ju.'r-JI).,/, UrJ-
?M.(/ ~O<(
"P.T.
I;;' -!fJ-?t{Phone: '19 (- j 7;)..(
Business:
PETITION REPORT
principal Petitioner:
Address:
WPA Number: '.. Pet1 tion No." 'R VOS'.l( 3 '
'Tha.t' portion of Atlantic Avenl.le being 60 feet wide and P 9S. 28 hot lons,-
Descr1pt1or lying between ~locks 7 a.nd 8 of: the plat, of COV(l Addition as ,ce:col'ded j.
Volume 2, Page 27 of Plats, Records of the Jefferson Coullty Auditor. aloun-
with,that portion of Pacific Avenue being 60 feet wide and 95.28'f8"1: l(.ln&-
lying between Blocks, 21 and 8 of said plat, along with that: POrtl0n'Q~-
Third Straet bolng 60 feet wide and 51.84 feet long lying bbtween Block:. _
21 anO 22 Df saJ.~ plat. all :dtl,l8ce. in t;he County of, Jefferson Stat f
Was~i"ng_ton. ' ' ' .' e Q -
BCC Public Hearing Date -and Tiiiie',--- '
"';1 ";;lIp"-QO-
Planning Commission Meeting Date: ,;).- 1- 90
Newspaper Publication Dates: ,}-"f ~ ;J-JIf-CfO
Posting property Dates: /-/8-QO
Principal Petitioner Ver1f1cat1on: ~-IO By:
(date)
Assessor's Verif1cation:
Notification Date, Adjoining Property Owners, Agencies: /-/0 -"10
Agencies Notified:
iJit/;;:~~.
frEiA~::f;;;r'<+
."v.'1J_
/'/0 -'70
Adjoining Property Owners
Notified: tf~~~:~$k~
S" 8W ")
Date for Return of Comments:
/-,:)3- qO
Expense Report:
Newspaper Publication Fees:
.f~{~~-) t-}-:!
?r~
-1!1~
85::3- '
------
Filing Fee:
Public Works Fees: (see attached)
Planning Dept. Fees:
Assessor's Dept. Uees:
compensation; ~
Other: ~v1J It- J2--
TOTAL EXPENSES:
'111 ~
11~
ere
100 -
LESS DEPOSIT:
REFUND,
AMOUNT DUE,
DATE FINAL AMOUNT PAID:
Date of Filing Final Resolution:
Final Resolutions to:
Assessor
BCC ===
Plann1ng_
Notice to BCC____
PETITIONER NAME
ROAD VACATION COST BREAKDOWN
NUMBER RVO ffL/3
~
I /piJS (1 ~
hours @ $ Ihr. =
hours @ $ Ihr. =
C) hours @ $ / '3'~ Ihr. = fp(p~
Additional: 15' S'~
Mailing Costs:-~ @ $O.~
,',', lPt#ff +If
Publication Costs:
TOTAL: foq!)
TOTAL: 31~
"7:00
TOTAL: ~
TOTAL: I '3-:j,
q// "'3-
TOTAL:
TOTAL:
TO'l'AL:
GRAND TOTAL: $
Xeroxes: {5'r'J' @,$O.lO each
jH(' /JIf' /J{1 tHr Utf JM< JR( IIff' + 1D
Compensation
,'*''''''..''.- "...
:~~:
'if
I>
~,
j
k}
J~~:'
I
1
i
t
.
"
"
}
"
"
::': " '" ,', "
, , " i , ,:,' '
, ,
," ", ' , ,::'
" ," " ,,' '," '.,', ,,:,
, .:.
,
.."i ,',"" "
,':::',::,; , ,:..
C)
AffidavOof Publication
STAfE OF WASHINGTON)
COUNTY Of JE:FFEP:SONI
. NOTICE, OF PUBUC HEARING :
" COUNTY ROAD VACATION PETITION:,
: A PORTION Of ATlANTICA~lHUE~
,.' '"''',''' PAOFICAVENUE, ' ' '
:: "AND 3RD STREET AND LOT UNES
';, ' " "IN COV~ADDITION:, " ,
Notice'js he'reby, gjve,~ that 0 pubhc
liearing will be held by t~e:Jelferson
C ty ,Boord. of C~mmls~IOne;j" on,
M:unnday';;:' Fe\?r~a~} 20,-,'; 1.~~,' a.t,
',10:45 o:m':,in Jheir chamber~ at the
Cau-nty ::' ~ourt~0~~_8 - i,n '. Port - _10wn.
'send; Washington;, f~r the p,.,.rpose h~
taklng'~, .testimony',! concerning -',! ,8
vocation ;, of .._Atlanti:.,: Avenue IYI...g
bet~ee.n\,BIo~k,s':'; 7,/ond "8,,. Pa~1 Ie
Avenue lying ~8tweGI1 ,Blocks 8 and
2 rand 3rd 5t. lying belween Black.
21"and22,'a~dlo,tline. in Block. 7
'and 8,011 in th" plat oflhe Cove Ad-
dition ,to' port}ownsen~. .'" ".~ ."~' ,
George"C~' Brow~;. Cha'.rm~~
Jefferson County',~", "-::'''''',-'.~,',,::,',~ w'
,:~~~r~ :,~f" ~~~~~~,~~~~~~~,~ :~:' ~':883' 2.2 1
fRANK w. GARRED. be"'9 ""'0'1'1, lO)'l he Il rhe publ'lho:. "I
Ih" p,,{! TownlendIJ.,H"rlc,n (oun,y l.Cld.r, Cl ..,..id,
n''''''lpOper whith hen b..n 'll,obhlhed, publ'llled on rne Engllll>
language and circulaled conhnua...,ly o. Q "",,,,10.1, newlPQ~I"
in .Ile lawn af PorI Tawnlend, in HIIQ Coun.)' and SIOle, anlJ 1"'1
general circulorion in ,aid co...nr)' lor more rnc.n ,," 161 mon'hl
prior '0 Ih. dor. 0' .h. firll p...blicohon ollnlt Nol,ce hel.ra 01.
.ached. and rho. Ih, 5aid Pori Ta....."..nd/J.ff.nan Counr,
l.ad.r _05 on Ih, 271h do)' 01 June 1941, opp,o".d 05 0 l.gol
n.....'pop.r by rh. Superior Courl 01 laid Jeffenon Counl)', ond
Ihol onn.",.d i, Irue cop)' 01 rhe
Notice of public hearing
County Road vaction petition
a port of Atlantic Ave, Pacific
Avenue and 3rd Street and
lot lines
0' i. app.ared in .h. regular and en.ire iuue 015aid paper illell
and no' in 0 luppl.menl In.reo' /ar 0 period 0/
.:t.WO______con5ocu.i". wee"', btlginning on Ihe
14th
do, al_,EeJ::ll::uar,y'9-.90,_,
and ending on rh..1..!.~i<loy ofbALl,1Al~'Y__,
19~, and .hal ,aid n.w'poper wa, regularl)' di,lrib",'ed
'0 iu sublcriber5 during 011 o/Ihi, period. Tho. rh. full amaunr
of S 3_B_..51l_ha5 been paid in:;;::;uu, 'Ihe ,ore 01 S5,50
per column in.Y7'OCh in'erlio~.
.--i~tJ._,,,,,---- --
Subscribed and !_urn Ic. b.fou, me ,t,i,~l~,"tdo)' 01
____E'~"bru"aEy.__. 19,9,,0,
~~ --<~f.I~dl:i1,~,:~~1
u \Vo'hlngron, tuidon9 01 Hodloclo.
: "
.. ". "':, ,',' ,:' , "',, ,,' ", ' " ,....,
" ::,:, ': "c,: ,.,'
'.' :' ':,', c. ';':. :, ': ,'';' "', :r:
...., ;,' '.',' :,
',:, ,:,' :', ".... ..
", ,- ,,' .,.." '.', ": ,<
..'; " ,',
";, i" , ',.. '" ,: " : ',' ,:" ". ','.'.., ,
,i', :;' ,:: " ", :: ....'
,; ."', ".';." ,.',':
C:" .' ,," ,
, "'''' ' ;'" :',..,.. ,,' .,
..., " ",'... ,', ,',,:
, " ' :, , " :: '" ,;, ,:": '",:'
, , "'" , :" "',' ,,,,; ,',
, ,'," ''. '" .",.;
,,', '. ',' ,.:' '..' .',.
;'.. ,',' ' , "," ." ".;
, ,," ,',' .','
,,',.' c,' ' ,:",', '" :,'
'." :' ',"
"'':''.':\:'' '..'"
, ',.',i':'"" ;.:' , ":",
" ".',' :'.'''',
'", ':" :,:" ',':, ','."', ':"'" ..,,','
, " ,..' ":" :"",,,,'
'''; ': ''':' ,:"" ", :':" ' "', ,:: ,.' i' .:,
:':'" i', ,',
:,\,;:" '. ,:;:'",:.::" ,:,;'."," ,::':~t
'" " . .,' "~c. ',''', , ".'::"
.. :".. ," ,:' " , ' , , ' "":,' ,
" ", ,", "" .. ,',..' ," ,;, , ' :, ... .. , ' , '
"
"
:: : ..
,".
,
:' "
",J,",
'i;.."
.'i,
'.
C)
32882:t
~"
\:!JJ,t'
, ~~(j'.{DtJIli.,._
veL PAGf~
OF OFFICIAL RECORDS
/J .J.c~'
t7' ~ ""Aft -5 AU 1/: 40
_" I;!AR Y E Gr,EOUFIY
NO. ..@'f.ffSSCN COUiITY AUDITOR
~-LfPUTr
STATE OF WASHINGTON
COUNTY OF JEFFERSON
In the matter of
x
Vacation of a Portion of x
Atlar..tic Avenue llnd of x
Pacific Avenue in Cove Addition x
RESOLUTION
WHEREAS, the Jefferson County Board of Commissioners has reviewed a road
vacation petition submitted by Michael J, Carr; and
WHEREAS, the Jefferson County Board of Commissioners held a public hearing
on the road vacation petition on February 26, 1990; and
WHEREAS, the Jefferson County Board of Commissioners considered testimony
of the public, comments from applicable departments, agencies and offices. and
recommendation from the Jefferson County Public Works Department and Jefferson
County Planning Commission at the public hearing; and
WHEREAS, the Jefferson County Board of Commissioners determined at the
public hearing that the public will benefit from the vacation of a portion of
the road and such vacation complies with the Jefferson County Comprehensive Plan
and other applicable plans, policies or ordinances; and
WHEREAS, compensation required pursuant to RCW 36.87,120 and Jefferson
County Road Vacation Ordinance No, 3-85 has been met,
NOW, THEREFORE BE IT RESOLVED that the following be vacated and abandoned
pursuant to RCW 36.87,140 and Jefferson County Road Vacation Ordinance No, 3-
85: that portion of Atlantic Avenue lying between Blocks 7 and 8 of Cove Addi tion
as recorded in Vpl. 2. Page 27 of Plats, records of Jefferson County, State of
Washington, and that portion of Pacific Avenue lying between Blocks 8 and 21 of
said plat, along with all lot lines in Blocks 7 and 8 of said plat.
ADOPTED THIS _ r ~ DAY OF "7Jf 1)/.4 ,,~
,1990.
./
.....:..,41
.....
. ' f l) w '."
";0 :';t':"::'"
" -.
!.. . I
BOARD OF COUNTY COMMISSIONERS
:'.{t
1- j." I, ~"
., \ ; ~
"." '.',",: ~ ':- .
'" - ~
s~:.~~:~ ..:~ ;.~ ..~ .', .'
,,/t<I-Ctt' - f!-a~
George C. rown, Chairman
~~~~/~
Larry . ennison, Member
~
B.G. Brown, Member
VOL 300 ~".1352
~~. - ".
'j'
~,~,-, ""
-~
EASEMENT
3238_t9
o vo~pI~~~
QF Ofi'IC!Al RECOiWS
().v,:",JE~ to~
t?1.{ia ~jd':S AM II: 40
Mi ha I J C I M~,Pl" r,tPUURY
1HE UNDERSIGNED. c e . arr. present Y::F~j~'( AUDIlOa
of Tax Lot 18, Section 16, Township 30 North, Ran~ 1 West, ~.h,
W, M,. Lot 2 of Blcx:k 21 of Cove Addition as recodl.a:t-Ill Vul, ~1I
2. Page 27 of Plats, Records of the Jefferson County Auditor.
Washington State. and Lot 1 of Blcx:k 22 of said plat. hereby
creates this easement for Tax Lot 18 in the Cove Addition
described as follows:
A twenty-f=t Wide portion of Third Street between Lot
3 of Blcx:k 21 and Lot 1 of Blcx:k 22 of Cove Addition. as
recorded in Vol. 2. Page 27 of Plats. Records of Jefferson
County. State of Washington. from Ferry Street to Tax
Lot 18. Section 16. Township 30 North. Range 1 West,
W. M,. for the p~ of ingress and egress,
DATED:
An1 ,f? g
1~~-p/~
Sf A 1E OF WASHINGTON) 55
County Of Jefferson
On this day personally appreared before me MICHAa J. CARR.
to me known to be the individual descnbed In and who exe-
cuted the within and foregoing instrument. and acknowledged
that he signed the same as his free and voluntary act and
deed. for the uses and purposes therein mentioned,
GIVEN UNDER MY HAND and official seal this
ruary, 19SiD.
vOL 300, ...,350
\
JEFFERS(~ 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
Robert G. Nesbitt, P.E., County Engineer
February 27, 1990
Michael Carr
P,O, Box 804
Port Townsend, WA 98368
Re: Atlantic and Pacific. Avenues Vacation
Dear Mr. Matson:
We bave received the final cost on your road vacation.
follows:
A breakdown is as
Staff Time
Mailing Fees
Filing Fee
Publication
Copying Fees
Compensation
Deposit
85.50
6,00
14.00
38.50
13.00
--2.ll....2Q.
1,068.60
. 100 00
968,60
The balance of $968.60 remains, When this fee is received by the Jefferson
County Public Works Department, the Resolution will be filed and the vacation
completed,
Thank you for your attention in this matter.
Sincerely,
bJ~
E.D. Simon
Secretary
xc: RVO 843
100% Recycled Paper
~T
;/
COUNTY ROAD
I VACATION PETITION RVO 843
}IICHAEL CARR
.... .. ::::0"" " " ,.om ,'" '00"00 0' "'on," '.onO" ""0' " "" o,~ "...
I 95.28 feet long lying between Blocks 7 and 8 of the plat of Cove Addition as
recorded in Volume 2, Page 27 of Plats, Records of the Jefferson County Auditor,
II along with that portion of Pacific Avenue being 60 feet wide and 95.28 feet long
I lying between Blocks 21 and 8 of said plat, along with that portion of Third
, Street being 60 feet wide and 51.84 feet long lying between Blocks 21 and 22 of
said plat. The area of the request lies approximately one mile south of the city
limits of Port Townsend, Washington, in Section 16, Township 30 North, Range 1
West, W,M,
CD
Q
The principal petitioner is requesting the road vacation in order to develop the
property for a storage complex.
FINDINGS
1. A petition for vacation of a county road is made pursuant to the Jeffsrson
County Road Va.cation Ordinance and is subject to its requirements and
criteria.
2. Notice of the proposed vacation was made to appropriate agencies and
adjacent property owners. Response by agencies is shown under "AGENCY
RESPONSES"; response by property owners under IITESTIMONY".
3. Review of the proposed vacation by the Jefferson County Planning Commission
is scheduled for February 7, 1990, Notice of the meeting was made by mail
to all petitioners and abutting property owners.
4. A public hearing was scheduled by the Jefferson County Board of
Commissioners for Monday, February 26, 1990,at 10:45 a,m, in their chambers
at the county courthouse in Port Townsend. Public notice of the hearing
was made by publishing legal notices in the February 14 and February 21,
1990, editions of the Port Townsend Leader and posting the subject site
with notices.
AGENCY RESPONSES
1, The Jefferson County Public Works Department had the following comments:
1) Vacation could eliminate potential access to the east lots in Block
7 and 8 and to Tax 18, Suggest vacation of lot lines.
2) Rights of way and adjoining property were cleared prior to application
for vacation. No permits were issued for clearing and grading work that
has been done. Compensation should be made for timber removed if it is
determined there was merchantable timber. on the right of way.
3) Rights of way are not required for overall traffic circulation, however
they do serve as access to adjoining properties owned by the petitioner.
4) Third Street is reserved on the plat, and not dedicated to the public,
5) Public Works has no objection to approving the vacation of Atlantic
and Pacific Avenues with the following conditions:
a. Legal access is provided to Tax 18,
b, Lot lines in Blocks 7 & 8 are vacated.
c. Compensation is made for any timber that has been removed.
2. The Jefferson County Assessor's Department stated that the assessed value
of the vacation request is $3,316, Compensation for the vacated area,
detarmined at a rate of 50X of the assessed value of the property would
equal $1,658. (NOTE: This assessment includes 3rd St. The compensatlon
without 3rd St. would be $911,60.)
3. The U.S. West Telephone Company made no response to the rp.quest.
4. Jefferson County Sher.iff's Office made no response to the request.
.-
n
~~...,;.
o
5. The puget Sound Power and Light Company made no response to the request.
6. The Emergency Services Council made no response to the request.
7. The Port Townsend Fire Protection District No.6 made no response to the
request.
8, The Jefferson County Planning and Building Department has no objection to
the request, and makes the following additional comments: The area of
the proposed vacation is designated as an industrial/commercial area by
the County Comprehensive Plan. Approval to construct a 7,200 square foot
rental storage building has been granted under the provisions of the
Jefferson County Development Code.
9, The Jefferson County Parks Advisory Board stated that, although it had no
objections to the vacation request, the concern was raised as to whether
currently used trails exist in the area. There is an abandoned county road
in the vicinity which may currently be a portion of the trail Itsystem" in
the area, although no recorded surveys show the location of the road. The
Board recommends a Comprehensive Trail Plan be a high priority in the
future.
10, Jefferson County P,U,D, #1 has no objections to the request,
TESTIMONY
Adjacent property owner George Bromley stated that he had no objections to the
vacation per se, but he does object to the increased traffic that would pass
through the residential area to the petitiouar's commercial area. He added that
all residences are on private wells, and there is concern about potential
contamination of the waters. Also, there are children in the area and the
additional Craffic is undesirable, He would like to see Frederick St, open to
the beach and So, 6th vacated,
P~J;NING COMMISSION RECOMMENDATION
The Jefferson County Planning Commission reviewed the request, findings and
agency responses at their meeting on February 7, 1990. The commission
recommended by unanimous vote that the vacation request be approved, contingent
upon vacation of the interior lot lines in Blocks 7 & 81 and upon an easement
being granted by the petitioner across 3rd St. to provide access to Tax 18. They
also requested that it be determined whether the old road mentioned by the Parks
Board lies ~ithin the vacation area.
NOTE: Scott Kilmer of Public Works stated that the territorial road in question
does not encroach upon the vacation request area.
BOARD OF COUNTY COMMISSIONERS ACTION
At the scheduled hearing on February 26, 1990, the Board of County Commissioners
voted unanimously to approve the vacation request as conditioned by the Planning
Commission, Lot lines were vacated per petition filed 2/6/90,
'\
REQUEST AREAS ~\
TAX
/I
HAWKS
-,
!
i
I
i
r----i
I I
I /2 :
· COVE!
I
I'
I
I
I
-~-' --;---- '--1- , ---6
I I '
L--, _ __.--1
i1t(a,nUv
I--~
I '
;
CAI'R
_\U___ ----'f'
L---~ ~
13
" /
'(!
9~
~
17 !
ADDITION .
J~d~
1.----1 :- .'.;---l
I /8 , i
20 pARR
N 70'
Tax 31
skookum partnership
Ta x 3 I
(less N 70')
p, T. Paper Co.
Tax 20
Tax
.~
/
/
\
V\~
TAX
/
(
)
39
/
I
/
I
/ Ii
( ,
--------).--- ~.'
L,/
\~r
------- --
CARRZ Z
23
5
Tax 19
N
o
... r
o
o
PETITIONERS
W:lli.
(Si&D & ~ below)
(principal peti.tioner) p.ci:s 7,6,"-"'.1 2-1 'P-o .13oV: ?CC/
Michael Carr Cvu" tUJ,f;crn P,I,
1..,..."",..".."" ,
'I.
2......" ",.",. ,.""
3, "".."",..,.,.,'"
4"".",."""."", ,
5......."....,.."... ,
PROPERTY DESCRIPTION
(from tax statement;
incl ude Parcel Nwobcr)
I:1AI1..lNQ
~
~,@L~,uoo..)
lA,~qO
(Date)
...-
/
II \
e
0"",
l~
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 29, 1990
Ms. Eileen simon, Administrative Secretary
Jefferson County PUblic Works
RE: Vacation of Streets in Cove Addition
Dear Ms. Simon,
On January 17, 1990, the Parks Advisory Board reviewed County
Road and Lot Line Vacation Petition RVO 843. Although the Board
has no objections to the vacation, the concern was raised as to
whether or not ourrently used trails exist in the area, and are
located in the vacation request. There is also an abandoned county
road in the vicinity, which may currently be a portion of the trail
"system" in the area, although no recorded surveys show the
looation of the road.
The Board recommends that a comprehensive Trail Plan be a high
priority in the future.
sincerely,
Ltur1.w ~M t:/j{'
M. Carter Breskin, Planning Manager
Representing the Parks Advisory Board
100% Recycled Paper
o
(0 ~
~~ .,~C~r' ; ii-~'f ~~. .:~'
~; ~~, ",f ,,,'7,r (f~
~ :)\ ~ ", g~. ..~ .{;~
.J{1i' ""if' ~,~p,,~\,.:.
I,J ~ '.M.'~[;,~'"
""', '. =.' 't"
\J'f. .,;h':< 0'1",'111 ~ .' r
,'~;r.",:,~,,;- Ii ","~,~""
:ii:~Jiii=~~~~~' ~::.~.......
OFFICE OF THE
.JEFFERSON COUNTY ASSESSOR
1'.0. BOX 122(1, COUIITIlOlJSJ.;, ponT TOWNSI-;ND, WA !J~:JliM
(2llfi) 3H5-0HlIi
JACK WESTERMAN III, COUNTY ASSESSOR
COUNTY COUUTUOUSE UHJ2
TO:
January 24, 1990
;;OR-OM:
PUBLIC WORKS DEPARTMENT (EILEEN)
JEFF CHAPMAN, ASSESSMENT OPERATIONS MGR.
RE:
REQUESTED VACATION OF PLATTED
COVE ADDITION, PORT TOWNSEND
RIGHT
OF
WAY
BASED ON THE INFORMATION PROVIDED, THE VALUE OF THE RIGHT OF WAY
IN QUESTION IS $1,658 [(11,400 S.F. @ $0..16/S.F. * .50)+(3,110 S.F.
@ ,48/S.F. * .50)].
WE HAVE NO OBJECTION TO THE VACATION REQUEST.
~,
-
~"Ir.
IN
-
'....
. 0
( ,~,c:;.:(~;~~(V~:;'~j
.;:<; ,~. -, I;" '1 ~..: -"',.
r; ')4,.!;-~<..~~'_. B';~.
);1~ 'j, f~-:"~ :':4:<';,~
rq Ji.J.,~'''~- .J,'. ,!,j!i. ":':"~I
~'j i;}!I~l"'., )~'
.jt ~,.,;,.,,~.~:.:~ llU' :.~ ;..
I ;".~.,.".~,~I(~,1!S1 '_;:iL . Po" .. .~ ...l'...
~~i~:~~'\1~d:- ,..:f~~ L~
~
'~~1
JEFFERSON COUNTY
PLANNING AND BUILDING DEPARTMENT
P.O. Box 12~U
l'orl1bwn....l.nd. WasJlington 98:3fJ8
Planning CWO) :385.9140
Building (206) :385-B141
JEFFERSON COUNTY C'oUU'fllOUSE
David Goldsmith. Director
ME!~ORANDUM
TO:
Public Works Department
:Jerry Smi th <SS
FROM:
DATE: :January 19, 1990
SUB:JECT: Michael Carr Road Vacation
The :Jefferson County Plal,ning and Building Department has the
following comments on the above road vacation request:
1.
The area of the proposed
industrial/commercial area
Comprehensive Plan.
vacation is
by the
designated
.Jefferson
as an
County
2. Approval to construct a 7200 square foot rental storage
building has been granted under the provisions of the
.Jefferson County Development Code.
3. The Department has no objection to the request.
:JS:ak
~,__ ~:. ~ V ~:: '*
JAN 19 1990
: ,:r-FEHSON CO\JNTi
. ,._ "1.",q\(50EP .
~-
-
-~~ -....-
-liPMHlII~'iriIR r:&ai'r~ _ ------
p-r P~'f/ pot; /1500
13';'.JYi'4;... I.'). q:ltt:'J
/('(/7),) (] ?90
L (J(J 1
District Code
, ,
o
o
POSTING NOTICE VERIFICATION
NOTICE OF PUBLIC HEARING
COUNT~ ROAD VACATION PETITION
A PORTION OF ATLANTIC AVENUE. PACIFIC AVENUE
AND 3RD STREET
IN COVE ADDITION
Notice is hereby given that a public hearing will be held by the Jefferson County
Board of Commissioners on Monday, February 26, 1990 at 10:45 a.m. in their
chambers at the County Courthouse in Port Townsend, Washington, for the purpose
of taking testimony concerning the vacation of Atlantic Avenue lying between Lots
7 & 8, Pacific Avenue lying between Lots 8 & 21, and 3rd St, lying between Lots
21 and 22, all in the plat of the Cove Addition to Port Townsend,
I CERTIFY THAT THE ABOVE NOTICE WAS POSTED AS PRESCRIBED BY TilE JEFFERSON COUNTY
ROAD VACATION ORDINANCE,
-Aj /~ <~-'1
J:(~AlI/Jl ETII,9R.
I-If? -~O
(DATE)
o
-~""'-","."'-'_____d""_""""'."'."""":."~.,..;..:.~........,,,,,,,-..~'~;;;:iI~.l.ill'l.or.l,~or,;_:..""....
PUBLICATION NOTICE
PUBLISH TWO TIMES:
2114
2/21
6.
, 1990
BILL: Jefferson County Public Works
P,O. Box 1220
Port Townsend, WA 98368
NOTICE OF PUBLIC HEARING
COUNTY ROAD VACATION PETITION
A PORTION OF ATLANTIC AVENUE. PACIFIC AVENUE
AND 3RD STREET
IN COVE ADDITION
Notice is hereby given that a public hearing will be held by the Jefferson County
Board of Commissioners on Monday, Februarv 26 , 1990 at ~ ~.m. in
their chambers at the County Courthouse in Port Townsend, Washington, for the
purpose of taking testimony concerning the vacation of Atlantic Avenue lying
between Lots 7 6. 8, Pacific Avenue lying between Lots 8 & 21, and 3rd St. lying
betw~en Lots 21 and 22, all in the plat of the Cove Addition to Port Townsend,
-~:."
Jefferson County
iLd:L~-<J-..._'
Chairman
Board of Commissioners
a::....-
-
~
r--p ---
ROAD VACATION Pl;;:;tTION NO. RV() '5Lf5 NAME:E~cJ6 ,/ ('ai,/'-/
Adjoining Property Owners and Petitioners:
Plat Name, Block & Lot, or Tax No. /o-<? Ir.. 316(!k-vG'7-?-'1-;:JtJ-c)/-.2~
,
Parcel NO.
Name:
Address:
Plat Name, Block & Lot, or Tax No. 704. /5, ;:)q, '31
Parcel NO.
Name: ? T 'Pa.iU<;
,
AddresG: 1) fYrl I / :'=)''00
1?cu;"-r;;-ike,, /s.l.o."j Q71/0
o
Plat Name, Block & Lot, or Tax No. Iw../ I q, 31
Parcel NO.
Address:
SkDDku...... 'fa ",-Iner.JJc:'b
,
Je{:r e"ySrrY'-
/ 3.2 0
,?,T.
Name:
Plat Name, Block & Lot, or Tax No. TO/.? 34
Parcel NO.
Name: /'I ell Srrrm &.-,
Address: II So, '(;d
p.T:
Plat Name, Block & Lot, or Tax No. ~~ II
Parcel NO.
Name: ChtJ,dL..J..- IhuJU Jr.
Address: :3 () S'o, "t- o.iA
tp,T
/G -~-/W
., -
~
I~
o
ct. :1-3 /;l(
~ 106 oj-- /!
PETITION FOR VACATION OF A JEFFERSON COUNTY ROAD
Princinal Petitioner:
Michael J, Carr
Authorized Reoresentative'
Same
Mailing Address:
P,O, Box 804
Port Townsend, WA 98368
Teleohone: Home: 797-7721
Business:
Instructions:
1. The principal petitioner shall contact the Jefferson County Public Works
Department for legal description of right.of-~ay to be vacated. A fee of
t~enty-five dollars ($25,00) shall accompany the request,
2. The principal petitioner shall submit to the Jefferson County Public Works
Department a cowplet:e petition,. accompanied by s. .bond in - the penal sum of
one hundred dollars ($100.00) to cover county processing expenses, Checks
or money order shall be made payable to the Jefferson County Public Works
Department.
3. The principal petitioner shall include with the petition a msp suitsble
for reproduction that is no larger than 8" by 11 inches sho~ing to a
reasonable scale: (a) the county road, or portion thereof, to be vacated;
(b) the property location and names of all petitioners; ,(c) the property
location and names of all adjacent property owners who did not sign the
petition. with an attached list of their addresses; and (d) the nearest
constructed county road to the proposed vacation, (This information may
be found in the Jefferson County Public works Department, the Jefferson
County Assessor's Office, and/or a local title company.)
~
TO: The Board of County Commissioners of Jefferson County, Washington:
We, the Undersigned. being ten freeholders residing in Jefferson County,
do hereby respectfully petition the Jefferson County Board of Commissioners for
vacation of the follo~ing described road in Jefferson County (include in. the
description the length and width of right of way to be vacated):
That portion of Atlantic Avenue being 60 feet ~ide and 95,28 feet long
lying bet~een Blocks 7 and 8 of the plat of Cove Addition as recorded in
Volume 2. Page 27 of Plats, Records of the Jefferson County Auditor. along
with that portion of Pacific Avenue being 60 feet wide and 95.28 feet long
lying between Blocks 21 and 8 of said plat, along ~ith that portion of
Third Street being 60 feet ~ido and 51,84 feet long lying bet~een Blocks
21 and 22 of said plat, all aituate in the County of Jefferson, State of
Washington.
State ~he, reason for requesting the vacation:
f j;~~n;~;:~;;;::~n:~~~::;fP
deue/ofllrJ,J -/he pt'oper-ty in-rO a.- .s-r6rCl8e
CbmpJex; an d -!he roa d endS' Q Jre
already vaca+ed hy s+a.-!-u-re. (See
a-t--r-czched ,LavJs o-P /J"cf'9-/S>9d).
-"-
j::';~"':
--
.J;
--_.~.,_.._..----,.,.,-
rv
"
WITIONERS
.
...
:.
..
NOTE: Each petitioner must g:,m property in Jefferson County, Husband ~nd ",ife
may each sign the petition,
~
pROPERTY DESCRIPTION
(from tax statement;
include Parcel Number)
(principal petit~oner~
...r::' ff cx:::~
l.f:~,', "",."".,
I::!AM&.
(Sign & ~ below)
q~3 706 01'1
',1(, (,01
"70/ ,;;2<13 cJll./
)
00 I o<f3 cJ z:z..
)
Pend;,,;:: - 17......,,:;... oS ,/Il/
~ 7, .eL;_4a:l~~
o () I
V Q(((j:r].ch,~~
(;rJ- 0/0
v'5~ 0/1
"70/ 073 0 0/
\j 9Jt.~~~
tt ' '1(;/
~F~CO,~~~
--y \....,../' Er/&maF) "f 'f 1
0/8
3 ;)./
AcknowledS!ement
I:Ia.lJ,Jlill
~
D?c :.r6-;C/"b~ s,.--J "S,
\;:::>,jol'''<,,'\ --r-~~
c .2 (. ~-/-.
,9f/? - It It...
flFfl-1Ot.<J/Il$Cj'L~ a
qo . l~i6q
'I/) 5 q 1;' 'i //0" I 'i'1 ~-
/"'1. C;,92J:,B
~n-t..r~ v.I..v
:J.f),rJ"elvl-"";,o,.; v~
PI
")-1111/ t/f
-
fI'~/ ?'4/t6~~.>J?.eel'
pro
J/S'D -, d?bf ~d<..~1?cf)
~I'
.5 5' r? I oj,! ,!'/mlt;;~r;-/.
p,,-
4~-O 3~cftl:..t,~!2'dJ
(JOt PI'-
GC-t '3 - ~ ~ <;. \J...)C\. ~
~ -
'51l{ \:c=.. '\ \'\:>UJ\.\'SkNt t\ W \ ·
The principal p~titioner hereby acknowledges that: (a) Jefferson County
shall require compensation by the principal petitioner(s) for granting approval
of the petition, pursuant to R,C,W. 36,87.120 and Section 6 of the Jefferson
County Road Vacation Ordinance, COMPENSATION FOR ALL VACATED RIGHT-OF-WAY SHALL
BE DETERMINED AT A RATE OF FIFTY PERCENT (SOX) OF THE ASSESSED VALUE OF THE
VACATED PROPERTY; (b) Jefferson County may retain an easement within the subject
vacated area for the construction, repair, and maintenance of public utilities
and services, pursuant to R.C,W. 36.87,140 and Section 5 of the Jefferson County
Road Vacation Ordinance; and/or (c) Jefferson County may retain an easement
within the subject vacated area for trail or pathway purposes. pursuant to
Section 5 of the Jefferson County Road Vacation Ordinance,
The principal petition"r further acknowledges that he or she shall
compensate the county for. any additional expenses incurred in the processing of
said petition, ",hich may exceed the one hundred dollar ($100,00) bond. Checks
or money orders for said bond shall be made payable to Jeff"rson County Public
~Y/a:'
Signature of Principal Petitioner :r~~
....-
~
~~1~1!Ji~', ~
r~~ \,'~,>l~ll::~
~'-Jth~-q ~~'ll'b!
"~" 4" N'l'''-':'':'
';'ll'jif~ ~Jl... (
~,~ · '~ hl t! ,\,~~.
,.~,! ~ "'c' ll~\,
1'<1 ! 'I ~ \ Ii i\: \,\.
J-J~ \~~~I..~,1.J~'
· l:\>t hi,l ~",.. '':::
,. ~",! Q ri': "\.' ~ ..
-.\ ''''''\j'''<ll''i~~~
\.i II H l~ ~ i\~. :;;:-
}.t] 4 ~ i) ~1""~"~1 ~
'.h~\!.:: \-st ~ l, . ! I t
" " ',' <1'''' -! I
:..:, ~,l".. ~ -s ..!; ,.~\:
~ ~lf~ ~ t~4"_l; '0 l~ l
~\ ~ l~ 11kl~": 1:-.\
1'\' , I,d~.l. ,loll N....~_
,....~') wl'C '~--
/'(///" r::~ "i;~
/_- -I .C'1."'..1. .' . .
/Cn" />..., , ___, ' ,., . ....
/1 I ~Uv ("""I'
~L~ r- - - -I C(;V-e. k';)'l ~ ril. r- . ~ .
LJ L;;__, L",L",L3 ~ .~,. ~- "!3~~' '"~): :
' ,.. ...-"'--1 .<.. 1 Z ." Jiil .
--:] hCH ~, 0-' '~'. ~ '
.' I < I _ _.J B . .:J-O < .
--I 1'":,.... I '15-"(110-(,01 .... (~'''o..;..,,)__
-:- -II 1_2~ -:::1 q, - 0; d,;). -I ()( l" ':":1 m. '.' .
" _ ci.6.;J -=1
--- ,<' I." 'f
--1 r';;-l I -111<1- 00 ~3S') ;' .
I----l 00 Cr~(fCud .. .
--j I .
---1 rP-, << . _
::J l~~ r:"'I~m: ~
r---j . . 1: - . U
--.., <( ~
' 1-----1 << . ~ : '. a:
-~J ~~~ i:":.1 ~ ~.-t.1
I .L_ul.
- -, .. I ..
__J ~ r~-l
_J E ~~--l i.LS
. J '-___.I . m"
- '~I
-~ r---l "
: ~, , . .' , .
--, Ii" . '.
--1 r--- ."., '__
I I _ _, _--.-,___.
-- -i - ....tt-.l --..,,1.....'-
_.1....J._.....:!...-._.- '<11<1.."
I I" 'd<!l.l~
.1.t~" IJ ''1-1~'''l,.
=l"'1.:i' i'11.,\~
OM a... KQ."4'
· " "i \...... ".. " ...";t ~,...
J '\.~l~= ll~~
'\-':l~~ t'; l\"i..1 >. ,.:~
".I"1....I'l.~~, '\
~ i...t~'\t .~ ,q,'l i
~'t~. \~~..~ :t'~1
Ji':~ !\~~" 1~~
.i::...~)';'l4 '~~1
,,~'" '-l" N., ~ ':
'"'' \ )I.) ~ "I ~J"'~ ~'i'
" ~ ", t .. ~ \"'.\
"'4 )~., .~ \".~ 1';
'\!{; .1t,J~ 'l~I1J""\
~l ,...~~"'1.'oth},
"-. '.1 '-..t " ,. ,'" '''..,
~': " ~ .', ',~ -I:l'lt~~
"t....":1'V;''\l.~1~'~' ,
...'~:.,"~iH~ .'ll'll'<l,
.~. ~c.
~
~
~
rn
~ i j
'H.
'1 ~ ~t
E!
~
u
.
C)
~-_._-_..~-
. i ~ h l~ . ,(-
,.~......'~" ~~. ~ 'lI" )~.. . _..... "-
: h.. ~ I..t. Hr."\
:,~~:~t<,~~ h'l~ !
;~ ;';~ I jI": ~~ '. ~'-l/
j mn~~ ~.~
~ ';,'. ~ ~.~ ...:'! ~
' ~'j t~{il1
'..
',I...
,;./
STATE Of W~.N NGrON
, COUNTY Of ( )lOON
,. In the mO"hitr a.
A. I...,;tto Vaiata a Caunty Road
Right .f Way:
i i South Boy Lan.
.. RESOLUTION NO. 9.90
, WHEREAS, after dUG consideration, it
appear.. to '; this ,Board of County
Commissioners that it is not. in the
public Interest to rerain' 01 county
rood right 01 way: .
" Tho portion of the South Boy Lone,
J~.~i~~.l:"~lIo~~Tbe! 508909. '.
That p'orHon of the southwelt quarter.
,01 thei. .outhwe.t quarter 01 Section
,,16;' Township 281'10rth, Range l'
,:.;' ia.." ;,~~(r1,'~ ,~!n:, l~f~~:JO~ ~ CO~!'ty~
i" W. a I h,lng ~on, .>, Jyl.ns,'",. ,wo.torlt~" ,C?:(o,t
~,Lu:dlow,Beach Tracts; a. per Volume,
',3 oIP!ots. Page 27; record. 01 .oid
: JeffenonCounty; lying northerly 01
Paroell... Boy Rood right alway,
,'also known o. County Rood 503609,:.
:'01 'convoyed ,by _ dEoed recorded In
;,Volume 1 of Roa~, ,Walvers,_ Pae'-~'
;':',31,: and recorded',under AudItor,'.
t File Nos. 191355 and 191398;and '
'lying . .outherly.of.,. ,he. lollowlng'
:;_delcr~bed line:, Beginning 'at an, ex..':
. I.llng' 4 Inch by 4 Inch concrote monu-
ment .with a bran pin In the center of
the. cul-de'socadjolning . Lots 8.
,~ t::"na'fnlir.lU'Ch'&ii'bort"6e-nJelj--a's"-soD'n;,
F as po'si,ble. .-._T. he he. ari.n~ date for. the . 'j
! propo~d vacation" is ,February ?, !
, 1990; a"he hour of 10:30 a,m" ,n
1. the:~ ,Commissionen'!" Chambers, I
1 Co u'rt,house".'.<, ~,o,~t ;~::,T,o\~~,n,:se,:n~,
"\ ~~~~~~~~~;~,",I.~~'6th~~Y~FJa~ua:, ,
BOARD OF ""ii""''''''""
COUNTY COMMISSIONERS .
I George C.. B.rown~Choirmon .' .
1 Larry.'W~ Denni.son, Me!'l~er~
~ B. Go' Br~:,:__n" ,~emb.erf'
1SEAL: .......'
-:ATTEST:.... .'i' .
!:Lorna L. Delaney,' "
;I Clerk 01 the Boord :',' . .
R.i. ...,. ..\ i.' .' 1847 1-31
Ol[1.pUR"]OoU otfl 00 S,Ollu.olU! IJU!1J~S 1
I:'n .u. ~ J.:..J.ur~, ~.(n ,u...-i!11.o.J.UQ,u..sJ.!O!.1L'.U!\.'l.;...)
-----o.""'...J?rIl3B/J---<---
11-
,~ .--JlilI
A
Affida'Vii of Publication
STAlE OF WASHINGTON)
COUNTY Of JEFfERSON)
FRANK W, GARREO, blling s....Ofn, HlyS he,~ lhtl publ.~ht., [.<1
Ihe Pc;.f' To....nulndtJIlHllfson County Leader, a .....to"l.,.
new'pClpllr whkh ha, bllton Ilslabli~hlld. p...blished.n .he Engh~h
language and circ...lated co",in"'oll~ly OJ a weekly neWlPOf.oll'
in lhelown of PorI To....n~llnd, in ~o,d Co...nly and Slote, alld 10'
guneral circ...lalion in said ~ounly far mo.e Ihon ~!" 161 monlhs
pliaf to lilt! do.e olthelir~1 publltation of Ihll Nall(to hefvto ot.
toched and 'hot ,he said Parr To_n~endfJeHe"on Co",n''''
leade: wa, on Ihe 27th d~y of June 19041, opproytld a~ a 11I9al
new,paper b.,. Ihe Superior Court 01 ,aid JeHer,on Count.,., and
thaI onne;o:ed i, Ir...e cop.,. o/,he
Resolution #9-90
An intent to vacate a county
road right of way
South Bay Lane
en it appeared in Ihe .eg...lar ond enlire iuue of laid paper illell
and not in a l...pplemenl ,hereol for a period 01
.:~__,____.,___,._,_con'ecutlYe weeh, beginning on !he
24th January 90
~___,_..___.day 01_._________. 19,__.___..
31st January
and ending on thll__doy 01______.___..
192_~. and Iho! said newspaper _0' regularly dillribuled
to itl lubscriber, d...ring all of ,his period. Thatlhe lull omount
of s~J.2....0.0 _has b.een pa~id in lull allhe role 01 55.50
p.' <ol,m" ~ .o<h '"'.";0"')
--~Lu__~_
Subscribed and ,worn to bolore me Ihi,_~1"~t:doy of
______.__. _..:r~n_llar~___, lL~
CL3.J-'-LLl!:..L_~ . el.U^<!.i/
No'ory Public in und ~e of
Washing'on, residing 01 Hadlock.
l.<J , .... ,.
'---'.'--'_.__":~,-...;.....-
In the matter of
STATE OF WAS~INGTON
COUNTY OF JEFFERSON
x
An'Intent to Vacate
a County Road Right
of Way:
South Bay Lane
x
x
x
x
RESOLUTION NO,~
WHEREAS, after due consideration, it appears to this Board of County COlllmissioners that
it is not in the public interest .to retain as COunty road right of way:
The portion of the South Bay Lane. County Road Number 508909, described as follows:
That portion of the southwest quarter of the southwest quarter of Section 16, Township
2B North, Range 1 East. W,M., in Jefferson County, Washington, lying westerly of Ludlow
Beach Tracts, as per Volume 3 of Plats, Page 27, records of said Jefferson County;
lying northerly of Paradise Bay Road right of way. also known as County Road S03609,
as cOnveyed by deed recorded in Volume 1 of Road Waivers, Page 31. and recorded under
AUditor's File Nos, 1913S5 and 19139B; and lying Southerly of the following described
line: Beginning at an existing 4 inch by 4 inch concrete monument with a brass pin
in the center of the cul-de-sac adjoining Lots 8 through 12, Ludlow Point Tracts, as
recorded in Volume 4 of Plats. Page 6, records of said Jefferson County; thence
SS0044'OO"W 309,64 feet to an existing 4 inch by 4 inch concrete monument with a brass
pin on the south shoulder of a gravel road, said monument marking the centerline of
the plalted road in said plat of Ludlow Point Tracts; thence S55022'02"W 161,17 feet
to an eXisting 4 inch by 4 inch concrete monument marking the intersection of West
Ludlow Point Road and South Bay Lane as shown in said plat of Ludlow Point Tracts;
thence SOBoOS' 52"101 along the centerline of said South Bay Lane a distance of 978.29
feet; thence NBl"54'OB"W 17B ,DB feet to the west line of the southwest quarter of the
southwest quarter of said Section 16 and the TRUE POINT OF BEGINNING of this described
line; thence SBPS4'OB"E 72B,24 feet to the west line of said Ludlow Beach Tracts and
the terminus of this described line,
and in contemplation of the language of the statute R,C,W, 36,87.010, same is useless,
NOW, THEREFORE BE IT RESOLVED, and the County Engineer is hereby directed to examine
said road and report his opinion as to whether this county road right of way should be
vaCated and abandoned and all other facts. matters and things which will be of importance
to the Board. and that such report be filed as soon as Possible, The hearing date for the
proposed vacation is J'phr..ory , . 1990. at the hour of 10:30 ~,M" in the
CommiSSioners' Chambers, Courthouse, Port Townsend, Washington,
APPROVED THIS /.t.-0-'DAY OF__1.....,~r..-u.a:.?<1' .1990,
~ OF COU1TY COMMISSIONERS
~,......~~ (It&~<t-<-
George C. B , Chairman
, \' [? v
'i..y,:;r,.
;':1 'f t:-.~ , -..........oIn '
! ~:' '. ~! <; '. I.
\," .\.:,:. . / ..,-
... "t""~" ~,:
": "~.IJ.' ..;, \
~~~A~' L
Larry Dennison, Member
SEAL:
~-,)
B, G. Brown. Member
~:
, cYl/)14 c-!I f1JCV1LC'<L
Lorna L. Delaney cJ'
Clerk of the Board
(: '~'9r~;~~\\~1L:~~'
'):>!i .-..."--: -.tollt II' "':.':'-:' ~..
~ ~~.t4J'r, ~.:~'~'... ~,; .(!.~..: . "~~'~:'~
f-1! ,~. " --;;;~ -' . "',ir;-:,
1:.,:,;',";,;,,~~:_~~~tJ'- "';i{~
I ....~..r-...-:..~If'~'1t'!S1 ___.L~,' ...~>-..
'1:J,i~:~~.;~~~~, -tt:::~
JEFFERSON COUNTY
PLANNING AND BUILDING DEPARTMENT
;~
P.O. Box 1220
Port'lhwllscnd, Washington 08308
~
.t~
.~
~
Planning (20(i) 385-9140
Building (206) :J85.9141
JEFFERSON COUNTY COUUTJJOUSI~
David Goldsmith, Direct.or
MEMORANDUM
TO: :Jefferson County Public Works Study
FROM: Jerry Smith, Associate Planner ~
DATE: :January 25, 1990
SUBJECT: South Bay Lane Vacation
The Jefferson County PLanning << Building Department
fOllowing comments regarding the Pope Resources road
request for a portion of the "usage" portion of South Bay
1. The area of the vacation is, within
designation of the :Jefferson County
2. The department has no objection to the request
:"'-1 ~J..:,:"I:..;..,,: ;;:./\;<:(>, {...,;-::!..... ~;~':t: '",',: ~', J:'\~,.~ ,';" .,...~:,~II;.' {,:>,~
NOTICE OF PUBLIC HEARING
INTENT TO VACATE
A PORTION OF COUNTY ROAD 508909
SOUTH BAY LANE
Notice is heLeby given that a public hearing will be held by the Jefferson County Board of
Commissioners on Monday, February 5, 1990, at 10:30 A,M. in their chambers at the county
courthouse in Port Townsend, Washington, for the purpose of taking testimony concerning the
vacation of a portion of the South Bay Lane, County Road Number 508909, Lying outside the
deeded right of way per Statutory Warranty Deed recorded by Jefferson County Auditor, in
Section 16, Townsbip 28 North, Range 1 East, Y.M., Jefferson County, S~ate of Washington.
I certify that tbe above notice was posted as prescribed by the Jefferson County Road
Vacation Ordinance.
1-17- 90
Date
--<J~ k~
Scott Kilmer
Planning Engineer
\
,.....
, ~~,
.4
Submll to County Tra.."r.r olth.
count)' In which prop.rt)' la localad.
J REAL ESTATE EXCISE TAX \-J
TNa torm i. YOIII r.ce.". whttn 'I.mp~
by C'~I.r. P.y by c.~ or c.rtllled
~k lo~ly Tr..."".r.
PLEASE TYPE OR PRINT
~~
~ ~ Slr..t
Co[
SI.le
ZI
Sam", Cl5 Q blll/e
@'
NEW OWNER'S Nam.
PERMANENT ADDRESS
FOR ALL PROPERTY SI,..I
TAX RELATED
CORRESPONDENCE City/Stal.
CHAPTER 82.46 RCW
CHAPTER 468,61 WAC
G) THROUCH CD ARE FULLY COMPLETED
JeFfe.drn, COUll ~
@ ""mo
"'
ffi~
>-z
"..
.""
..
c"
ALL TAX PARCEL NUMBERS
lip
o LEGAL DESCRIPTION OF PROPERTY SITUATED IN UNINCORPORATED ..!..J@{f~ r:{'if?., COUNTY 0
(!) la thia property currenlly:
Clu,.Ifled or dealgnated aa fore8t land?
Chapter 64.33 RCW
~I~r:~~~~:~:~~~~:t :~I~~::)of~~:&t~;~.34 RCW 0
Exempl trom property tax under nonprofit
organizations Chapter 8.c.ae RCW?
Receiving epecial valuation 8a historic
property under Chapter 84.28 RCW?
Type Propert)': ~ land onl)' 0
Oland wilh previously 0
used building
land with new building.
land with mobile home
SEE TAX OS'-IGAT/ONS ON REVERSE SIDE
@
YES
o
o
o
o
o
o
o
(1) NOTICE OF CONTINUANCE (RCW) 84.33 or RCW i14,3.4)
If the new owner{.) 01 tand Ihsl is classified or designated as cur,enl uae or loresl
land wiah(ea) 10 conlinue the clauilication or designalion 01 auch land. the new
owner{a) mUGI aign below. II Ihe new ownet(lI) do(ea) nOI desire to continue such
clusilicalion or deaignation, all companaating or additionallall. calculalad purauant
to RCW 8<4.33.120 and 140 or ROW 8<4.34,108 shall be dUB and payeble by the seller
or tranaleror al the time ot eal.. The county aaaeaaor musl del ermine II lhe land
tranaterred quallfi.. 10 conlinu. claaalficalion or designation and must ao Indicate
below, Slgnalur.s do nOI necessarily mean the land will remain in classification or
delllgnalion, II It no longer quallli,.a, it will be removed and the compenaating laua
will be appllad. All new ownera mua. algn,
Thlaland 0 doea 0 doea not qualily
lor conlinuance. DEPUTY ~8SESSOA
D~TE
(3) NOTICE OF .COMPLIANCE (Chapler 0.,26 RCW)
If tho new owner(.) ot properly with special valuallon as hisloric property
wlah(a) to conUnu. thl. apecla' valualion the new ownor(a) musl sign below. It
the new owner(a) do(ea) nol de.ire to conlinua auch epecial valuation, all addi.
tlonal tax calculaled purauant to Chapter 84,26 ROW. ehall b. due and payable
by the eell., or Iran.'ero, at th. tlm. ot aale,
(3) OWNER(S) SIGNATURE
(!)
Thllollowlng optional queaUona .r. requeal.d by RCW 82..6, 120
la property al the tima of ..I.:
e, :~:~::I~~;'da'IY, dlaablllly, or phy.lcallmprovttment to
b. ~::t~n:u~~I~:~III~:n:va~:~~ e hlat pump or .olar 10
o. Do.. thl. conveyanc. dlvid.. I aurrent plrcel of land? to
d.. ~::~r;al. Includl cu".nt crop 0' merchanlabl. to
YES
NO
20
20
20
20
QA l/J BIT. or
NO
o OeacrlpUon 01 persona' property i, included in aal., (furniture, ap.
plianc... elc,)
,rexemp';on C'a;m!d, ""'1:1 f.gf 10 tn(~ nt, fk {
(11'l,OCYlit"'J"'rA r -1-- tJ~..., Q.
Oll.',f)a\~ (irJt/ernrn(hl7 -hi2,n.\-fey-
I I 7\~
Type 01 Doc,mon' StO:ke/IWel t...l.J.' r r<< Jl *t U~e.
Date of Documenl . J(J .I'll 'D.llqq ()
Gross Sale Price 1/ S (j -
Pereonal P,operty (deduct) 2/ S - () -
Taxable Sale Price $ - tl
Excise Tax: Stale S - 0
Local 3/ S -C;)-
Delinquent Inler..I: 4/Slate S - 0
Local S - 0
Delinquent Penalty: ./Stale S ... 0 -
Tol810ue $ -0 -
(SEE 1-5 ON REVERSE SIDE)
CD I CERTIFY UNDER PENAL T~F~~~:~JURY UNDER THE LAWS OF
THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE
AND CORRECT ~~ "6 on jo'a)i' ~enalflea),
SIGNATURE G I PUAl . y)f Ik-,
NAME (O"nt) 6;-/~eJl 7J . S}m on
Jcff'.e, (' j
OATE & PLACE OF SIGNING: {JU,V IHl~';'
SP.ECIFY (c!rcl.): grantor/grante./grantor'a agent/grante.'. . agent
Addr.a. 01 ,e.ldene. or placo 0' buain.aa ot pereon' eigning (apeclty):
.. Doea conveyance involva . Irede, partl.1
Inler.at co'porale afflliatea, ,elaled perUe.,
"uat, receiver'hlp Or an .elll.?
f. la the granl.. acting.. a nomln.. 'or. third
party?
g, Principal ua.:
, 0 ."rlGullurat
4 0 apl (. + unit a)
7 0 commerCial
YES NO
,0 20
.0 20
:l 0 condominium
& 0 Induatrllr
8 0 mobile home
3 0 'ecr.ationa'
6 0 r.aidenUa'
9 0 limber
J? ;g;;;;;~ONL~i4
lit. 90 r
'ORW MV "-0001 "'"' <"18) 'Illil'
-
-
-
COUNTY TREASURER
6:(f~3
@
EXHIBIT "
That portion of the southwest Quarter of the southwest
quarter of Section 16, Township 28 North, Range 1 East, W,~.,
in Jefferson County, Washington described as follows:
Beginning at an existing 4 inch by 4 inch concrete monument
with a brass pin'in the center of the cul-de-sac adjoining
Lots 8 thru 12, Ludlow Point Tracts, as recorded in Volume ~
o~ Plats, Page 6, records of said Jefferson County; thence
550044'OO"W 309.64 feet to an existing 4 inch by 4 inch
concrete monument with a brass pin on the south shoulder of a
gravel road, said monument marking the centerline of the
platted road in said plat of Ludlow Point Tracts; thence
555022'02"W 161,17 feet to an existing 4 inch by 4 inch
concrete monument marking the intersection of W. Ludlow Point
Road and South Bay Lane as shown in said plat of Ludlow Point
Tracts; thence 508005'52-W along the centerline of said 50uth
Bay Lane a distance of 97B,29 feet to the TRUE POINT OF
BEGINNING; thence 5B1054'08"E 30,00 feet to a point on a
curve, the center which bears N81054'08"W 703,46 feet, thence
southerly along said curve to the right, thru a central angle
of 14003'48", an arc distance of 172,67 feet to a point of
reverse curve, the center which bears 567050'20"E 300,35
feet, thence southerly along said curve to the left, thru a
central angle of 40044'37", an arc distance of 213.59 feet to
a point of reverse curve, the center which bears 571025'03"W
205,00 feet, thence southerly along said curve to the right,
thru a central angle of 19030'00", an arc distance of 69.77
feetl thence S00055'03"W 131,91 feet to a point of curve,
thence southeasterly along said curve to the left, having a
radius of 25,00 feet, thru a central angle of 90000'00", an
arc distance of 39.27 feet to a point of tangency on the
north margin of Paridise Bay Road Right-of-Way, also known as
County Road No, 6, as conveyed by deed recorded in Volume 1
of Road Waivers, Page 31 and recorded under Auditor's File
Nos. 191355 and 1913gB; thence N89004'S7"W along said
north margin 110,00 feet to a point on a curve, the center
which bears NOo055'03"E 25,00 feet, thence northeasterly
along said curve to the left, thru a central angle of
90000'00", an arc distance of 39,27 feet; thence NOo055'03"E
131,91 feet to a point of curve, thence northerly along said
curve to the left, having a radius of 145,00 feet, thru a
central angle of 19030'00", an arc distance of 49,35 fe~t to
a point of reverse curve, the center which bears N71025~03"E
360,35 feet, thence northerly along said curve to the right,
thru a central angle of 22055'25", an arc distance of 144,17
feet to a point of reverse a curve, the center which bears
N85039'32"W 25,00 feet, thence northwesterly along said curve
to the left, thru a central angle of 81"47'40", an arc
distance of 35.69 feet; thence N77027'12"W 15,75 feet to a
point of curve, thence westerly along said curve to the left,
having a radius of 220,00 feet, thru a contral angle of
_~~,_"_ _..... ...,..__. '4"..1IUf1. .r. '.q.....,.d by RCW 82.45.120""
I. property .1 the tlm. at ..,.:
YES
e. 00.. conv.vanCI Involve I tr.de, partial
\inI8,..t corpor.t. IlImlIO., ,alated panlel,
ru.I, rlcllIiI.r.hlp or In ..Iale?
f, I. 'hi granl.. aCllng II . nomln.. 'or I Ihlrd
Plrty?
Q. Principal u..:
1 0 lorlcultural
4 0 .pl (4 + unit.)
7 0 commercial
NO
.0
.0
.0
.0
e. :~:!:::I~~:ld"IY. dl..bUlty, or phyaic.J Improvement ,0
b. ~::11":U~:U~:OI\~:n:y.r:~~' h.,l pump or 101., to
c. Do.. 'hll convey.nce divldl . cur,ent parcel 0' ,and1 10
d. g:~~~'I' '''olude Cur'lnl crop or merch.ntable ,0
2 0 condominium
5 0 Indu.trl'l
B 0 mobll. ham.
K ;:g;;;;~ONLV Uq
f.l6''f~
"OR" AlV,84<<101 1M ("111) .1116.
COUNTY TREASURER
6:1:1:13
VES NO
,0 .0
,0 .0
3 0 ,lor.lllonll
8 0 r.lld_nll"
a 0 Umber
~ . .....; - '
EXHlbJ1 A-l
12<08'48", an arc distance of 46,64 feet to tha west line of
the southwest quarter of the southwest querter of said
5ection 16; thence NOou17'14"[ along said west line 60,00
feet to a point on e curve, the center which b€ars
500022'33"W 280,00 feet, thence easterly along said curve to
the right, thru a central angle of 12010'15", an arc dl~tance
of 59.48 feetl thence 577027'12"[ 15,75 feet to a point of .
curve, thence northeasterly along said curve to the left,
having a radius of 25,00 feet, thru a central angle of
81047'40", an arc distance of 35,69 feet to a point of
reverse curve, the center which bears 569014'52"[ 360.35
feet, thence northerly along said curve to the right, thru a
central angle of 1024'32", an arc distance of 8,86 feet to a
point of reverse curve, the center Which bears N67050'20"W
643,46 feet, thence northerly along said curve to the left,
thru a central angle of 14003'48", an arc distance of 157,94
feet to a point which bears N810S4'08"W from the TRU[ POINT
OF BEGINNING; thence 581054'08"E 30,00 feet to the TRUE POINT
OF BEGINNING,
; ,
'J
" ~
II property It the ,im. 0' ..,.:
I. :::!::"I~~:'d.rIYI di"blllty, or phy,'cll lmprov.m.nr
b. 00.. buildIng Ir .ny h
h.. ling or COOllno 'Y":~; I ha" pump or 'ol'r
C. Dn",hl. con.....y.nc. dlvidt. curr.nt plrc" or llnd?
d., ~~::r:'" Includ. CU',.nl crop Or mltch.ntab'.
"OAW All\! ,14-000' ... (P IIIJ . t 166.
~~
VES
,0
,0
,0
,0
NO
,0
,0
,0
,0
I. 00", OO""'.yano. lnvolv. t d
i~:~.':~cC.~~~~~~:: ::':~'~~;i;:~.~~::~j~:...
~'.~:?g,.nt.. IOllng II. nomln..,or. third
g. PrincIpII u..:
, 0 -gtlcultur.,
· 00 .pl (H ".".)
7 comm.rCia'
VES
,0
,0
, 00 Condominium
5 'ndullrl"
8 0 mOb!I. ham.
3 0 r.or..Uonal
e 0 r'I'd'nllal
o 0 limbo,
K ~~ONLY ~lf4
lid" 7~
COUNTY TREASURER
61:f:,t3
~,.,~
"-
1200B'4B", an erc distance of 46,64 feet to the west line of
the southwest quarter of the southwest quarter of seid
Section 16; thence N00017'14"E along said west line 60,00
feet to a point on a curve, the center which bears
SOo022'33"W 2Bo,OO feet, thence easterly along said curve to
the right,thru a central angle of 12010'15", an arc distance
of 59.4B feet; thence 577027'12"E 15,75 feet to a point of .
curve, thence northeasterly along said curve to the left,
having a radius of 25,00 feet, thru e central angle of
81047'40", an arc distance of 35.69 feet to a point of
reverse curve, the center which bears 569014'52"E 360.35
feet, thence northerly along said curve to the right, thru a
central angle of 1024'32", an arc distance of 8,B6 feet to a
point of reverse curve, the center which bears N67050'20"W
643,46 feet, thence northerly along said curve to tho left,
thru a central angle of 14003'4B", an arc distance of 157,94
feet to a point which bears NB1054'oB"W from the TRUE POINT
OF BEGINNING; thence 501054'OB"E 30,00 feet to the TRUE POINT
OF BEGINNING,
WRITTEN: WV5
CHECKED: GTJ
C\u,cuJ., ~... ~r;'" 1;;>-1'f~'ll"9
THIAD ASSOCIATES
11415 N,E. 128th Stree.
l(frk1and, WA 98034
!Ift'9!'l"',
r. .
~-
V/w
STATE OF WASHINGTON
COUNTY OF .JEFFERSON
In the matter of
x
RESOLUTION NO.~
Vacation of a Portion
Of South Bay Lane
"
"
WHEREAS, this matter coming to be heard on the fifth day of February, 1990, upon the
reports submitted by the Jefferson County Public Works Depa.rtment with respect to the
vacation set forth in "Intent to Vacate II J Jefferson County Resolution No. 9..90. and it
appearing to the Board of County Commissioners that notice of hearing has been posted and
published for the time and in the manner provided by law. proof of such posting and
publication being now on file herein, and said Board having the other evidence adduced and
being fully advised in the premises, does now find and determine that the public will be
benefited by the vacation thereof;
NOW THEREFORE BE IT RESOLVED, and it is HEREBY ORDERED: that the portion of the South
Bay Lane, County Road Number 508909. described as follows: that portion of the southwest
quarter of the southwest quarter of Section 16, Township 28 Nor~h, Range 1 East, W.K., in
Jefferson County, Washington, lying westerly of Ludlow Beach Tracts, as per Volume 3. of
Plats. Page 27, records of said Jefferson County; lying northerly of Paradise Bay Road right
of way, also known as County Road 503609, as conveyed by deed recorded in Volume 1 of Road
Waivers, Page 31, and recorded under Auditor's File Nos, 191355 and 191398; and lying
southerly of the following described line: Beginning at an existing 4 inch by 4 inch
concrete monument with a brass pin in the center of the cul-de-sac adjoining Lots 8 through
12, Ludlow Point Tracts, aft recorded in Volume 4 of Plats, Page 6, records of said Jefferson
County; thence S50'44'OO"W 309.64 feet to an existing 4 inch by 4 inch concrete monument
with a brass pin on the south shoulder of a gravel road, said monument marking the centerline
of the platted road in said plat of Ludlow Poin~ Tracts; thence S55'22'02"W 161,17 feet to
an existing 4 inch by 4 inch concrete monument marking the intersection of West Ludlow Point
Road and South Bay Lane as shown in said plat of Ludlow point Tracts; thence S08'05'52"W
along the centerline of said South Bay Lane a distance of 978,29 feet; thence N8l'54'08"W
178.08 . feet to the west line of the southwest quarter of the southwest quarter of said
Section 16 and the TRUE POINT OF BEGINNING of this described line; thence S81'54'08"E 728,24
feet to the wes~ line of said Ludlow Beach Tracts and the terminus of this described line,
BE, AND THE SAME IS HEREBY VACATED AND ABANDONED pursuant to RCW 36,87,140,
ORDERED this~day of .:;r-A'~il-t.~<"'-,<!
BOARD OF JEFFERSON COUNTY COMMISSIONERS
.1990,
....,
4~- (j,4e~rzm-'-
George Crown, Chairman
"
~.....
",' 1 '.
. . !. : ~ " ~~"'\',.J
~l.d,..
. ,to
"
,:!,(:..\,
i ::: ,
\ III : J...
\. .';
\ .......,
SEAL: ....'.~:. ~ ~ s ,) 'l
~~k~~~1-'
Larry ,Dennison, Member
-.
...J
~~~/
B.G. Brown, Member
ATTEST:
('){ NM a JJ. /)Qj}(').A~
Lorna L, Delaney q
Deputy Clerk of the Boa~d
~-
ROAD VACATION COST BREAKDOWN
VACATION PRO.JECT NUMBER RVO 83("
PETITIONER NAME LOC.k.I-\A':RT/1':;2"tJ.=::R'S:.
ISO Lc,v,Jey Ad-e.~d. '&:;::Je.h ---:QJ. ,
~.~~~ 9j!3lD8
-I'-/SB
1
hours @ $ /roV- /hr. = / &; '3.!-
hours @ $ Ihr. =
4 II . 1-1 Ihr. .;23 'f!-
Simon: hours @ $ =
~ I~. '3 -4D ~
A,ddi tional :
~ @ $o.i:i
TOTAL: {g,;;'S
TOTAL: ",2;;'. S""
7,00
TOTAL: ~
TOTAL: ,,- ~O
TOTAL: 315 ~
TOTAL:
TOTAL:
GRAND TOTAL:$ 5' (p 0 ':r.:t
Filing Fee:
Xeroxes: 50 @ $0.10 each
Ifif MI IHt tu-r lJff JJir IW" tJlrUlf'1M' I
Compensation
o
f""'::\
\;j,~#
328360
STATE OF WASHINGTON
COUNTY OF JEFFERSON
In the Matter,of
x
RESOLUTION NO, ~
Vacation of Alleys in
Eisenbeis Bayview Addition
x
x
WHEREAS, the Jefferson County Board of Commissioners has reviewed a road
vacation petition submitted by Daniel R, and K,B, Lockhart, and Randy and Renita
poW'ers; and
WHEREAS, the Jefferson County &oard of Commissioners held a public hearing
on the road vacation petition on January 22, 1990; and
WHEREAS, the Jefferson County Board of Commissioners considered tescimony
of the public, comments from applicable departments, agencies and offices, and
recommendation from the Jefferson County Public Works Department and Jefferson
County Planning Commission at the public hearing; and
WHEREAS, the Jefferson County Board of Commissioners determined at the
public hearing that the public will benefit from the vacation of a portion of
the road and such vacation complies with the Jefferson County Comprehensive Plan
and other applicable plans, policies or ordinances; and
WHEREAS, compensation required pursuant to RCW 36.81,120 and Jefferson
County Road Vacetion Ordinance No, 3-85 has been met,
NOW, THEREFORE BE IT RESOLVED that the following be vacated and abandoned
pursuant to RCW 36,81,140 and Jefferson County Road Vacation Ordinance No, 3-
85: that portion of the platted alley being 10 feet in width and 150 feet in
length adjoining Lots 4 through 9 inclusive of Block 17 of Eisenbeis Bayview
Addition, as recorded in VCll. 2, Page 54 of Plats. records of the Jefferson
County Auditor, State of Washington, and that portion of the platted alley being
10 feet in width and 150 feet in length adjoining Lots I, 2, 3, 10, II, and 12
of Block 18 of eaid plat.
ADOPTED THIS~DAY OF ~k (<1,... ,
,/
,1990,
/.----.
/ . .. ,'v,.........
:' . ' ',' . .~,~. . -, '.
I r, . ,
10, <.
i ~' : \
: .
\..... \. Co
SEAJ.. ~, \:-- ~ <-:",
...., -,,''''
BOARD OF COUNTY COHMISSIONERS
4:'1f-" "" [!--:f.'k~~
Ceotl;e C. 0\010, Chairman
~~J
&. G. Bro\OlO, Member
~~~-
rry . enoisoD" Member
ATT,jT:
0I"'0J61Ia .d Dc ({;C"LC-(f-
Lorna !.., Delaney
Clerk of the Board
Ri:('G,(i)r,IJ'I~ ,fa
Vo\~PMiE-
Of-OFF1~:\~L RECOHD~ ^ ~ _")
~,n~~
Mu fEB 14 Ml \I: 09
i~^Ri i.:.. l;,e,[lOUf('l'
.J~ffEf<SO\I CUiJHH AUQltOR
&1_ ~l ~_nt~Un
Vill 299 ~'~t 83
"".._............."J^'-_,.J..'_~_, ""- "-'-'"~',,.'''"'.'''"'---''''
4-<
0
~fil11 I!l; <: <: ] i I ~. 11 ... 01 ]'
0 0 H
'" 'M 'M 0 0, fl O\i ~~
lc~ ~ ij'~{ ~~~ ro ..., <: +.l ~ I i ~
'" ~ J..l...-I...-I 0 .:.0"3
~
,2 0 '" ~ f~ j
c ~flnHH~ P< Ul'" 1'0 t ~ ......1 ~ ..2.r
;>, ;>,<l: o~ r~ ;,~ ~~
.~ +.l ro OJ .~l t .. ~l
<: ..... ;3: ~1
::c ~~~ijZ)~~~~~ ::l <: ..... OJ , ~ ~
::> 1!1~11!1~ 0 0 ro'M 'i~ ~ x.t. ~.~, rj
0- U'M :> 0 ::l j~{
...,'" l~ ~ ~ ... ~! ..
'0 OJ'M OJ ;>, .J ~o ft ~ rj ~~
z z U ..., +.l ro o~ 8 ... 2 I-, z
~ 0 'M OJ ro ,:Q g,i ..." ~.. .~
to I +.l Pol ..... ~l 0 1 'g ~ ~\ .~
z 0 P<Ul ~ ~:g
c ~ :z; <: 'M 0
~ 0 <: OJ ~~ ~j ~
" U'M 'M ,Q 0
~ ~ (; 'M ..., ro <: . 0 ol~ ~
(; ~ ..... ro +.l OJ i'; ..c:: g .
..Q U ~ Ul 0 +.l ~ ~
z ::l ro OJ'M ;3: 0 '" . ~1 j
::> .'l:."'C ~
~ 0 1><:> ur-< +.l r-I ~-;
u o 0 0
Q
Y~~t{~~:~li.i!!l~li!~~i~ "
I", Ii! ~..-', !iL'll ,,,'" ,,.-Jl OQ.,E -='" '='~ '''-,
~ ~ EI e i~~:!U:S&j i~~,l~'~(~
z: ~ 0 5l~~.a,:g :a..;].:',~~" !'~~:,';" ~~~\ t"c-8 ~':~:':'
"'~~,~a' ~'~.!':o,.:a~,.&-.2;.&&.~>._~t,);
9:;== .....~lD-o<:.:.c t:CDE.o-O>O':....::J'.,.,i
o ~ ~'f..a,.~... N ~~.';::I .E'''.;, iii:,o a::3(3 ",::'
:i:" 2 E ~':i,.,'.g:~./:~~8-al.!~i':.,.CDp ~}:...
\'q, ;'I~~'-~~}g;" ~<"
'i~ji!~ .:i~,~"./:,-""' ...:..,^:~\.\,.~:,
<:
0 '" ;3:
'M OJ OJ I - ~j ~~ ...
..., +.l'M
'M +.l :> 0 ~~ ~
'" ..., ro m ~
,2 OJ .....;>, .~ I-l l~
Pol P<m ~ ! OJ
c ,:Q 1'0 I-l ..Q
.~ <: <: .il OJ '" }J
O'M "' ,Q OJ :s
::c 'M ro'M ; '" U o~
::> +.l +.l OJ . 0 . OJ OJ il
0- ro ~,Q ]~ U Cl
U OJ <: OJ
ti ro U OJ Cl 0 a'~ -"
OJ :> Ul . 0 ~ .!
Z H 0 ~i
i2 z U 4-<'M ... ..c::1l 2
I 'M '" 0 r-< ~J.
> '" +.l ro ~ ]1
c z 0 0 <: <:: 0
:;: ~
~ ~ :z; p:; O'M " -"
'M 0 .e 0. ij 0 ~
~ (; U ;>,+.l Ul'M ~ ~ U'l 0
('; ~s~~t~-Eg~8.i 'M ..., I-l ;>,+.l a C 0 r
" ..... <: 0 OJ'M . ,E ..c:: m '" .:; '0
Z g:-g i ..... g
~~ r}~ ill] f~ ..Q ::l P<..... '" 0 +.l co ~ N ~
~ ::> ::l 0 ..... '" ~ "" '8 ~
8 I>< U ..; ro ..; .'l:."O ..... 2: 'i
o 0 1; ~
~
~~~.tti;~.:;l~' :D.~"j]"tl~"i.:'~.~~,
\"5?1 "~,l5~,.t:!....t ~,5 ","" c,"'~:8 ,
;! K:!i,;..'ll "'ili',Jl.eQ.!i-=1!,~ :H!.....
S'Z=D -C~'et-E. CDu_"Q'-'C,,,,,-,
Ot::l~ ';;:>"E'Q 0 .:'i: c o. :,,:g'0 'E ,;:;
~ . ~,...Q _Q- g1i'~i a,'8 c ~'<o e,,:;~,! l"','''''t-,',
,Ii ~ l!i s: '6,~ u ".!: !l-.'c,~,c~ ;13'."; I'
:,',l:S,,>II!1l i~"''''l;'''~o,.f3g gg'&.,i,,~' ~ 1:>.."'..'.',. ,""
Ii! C !.!"E N ,.e'ig,.E. a'a ~-~ !i"~':;'" 7~.1
":1 ~ ti J!~.& N'e..s i h..s u ..s.,> :"''''~
i.'" ',... iC'iii"."'.,',....i5" .; ell 1:> r; Ot~ -:: g .5j .. '1;,'..,."1.
:'--,':'_: ""'::":',;)~.2 ,c c: "1J 0 ;,i tn.,:: ~ c' 2J1!:;'i\-
:,';i~j8!~..s1~J~.a.~l;;0 ,<"
I' ;
(;;I
~,
-
~"~Y,-
\
G
i"7"W0
~"\I?j..~~,_..",,, '.
';jj!.'5.~1.-:::""
t~"m~."'(
(;:Rt'-~. ....-~~
c., "~1.'
';'7>
JEFFER~tJN COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Slreet
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 22. 1990
Daniel Lockhart
150 Lower Adelma Beach Rd,
Port Townsend. WA 98368
Re: Alley Vacation
Dear Mr, Lockhart:
We have received the final cost on the vacation of two alleys in Eisenbeis
Bayview Addition, A breakdown is as follows:
40,22
6,25
7,00
27.50
5,00
375.00
~ ]J
~ ~\)
~"O'~r :\1>0.::11-
The balance of $~7 remains, When this fee is received by the Jefferson
County Public Works Department, the Resolution will be filed and the vacacion
completed.
Staff Time
Mailing Fee
Filing Fee
Publication
Copying Fees
Compensation
Deposit
Thank you for your attention in this matter.
Sincerely,
b,b'~
E,D, Simon
Administrative Secretary
xc: RV0836
'00% RElcycled Paper
.-
:'['-
.....-....,..--
-...
CD
PLANNING COMMISSION RECOMMENDATION
The Jefferson County Planning Commission reviewed the request, findings and
agency responses at their meeting on January 3, 1990. The commission recommended
unanimously that the vacation request be approved, .....ith the condition that
compliance with the SR20 Corridor Policy, as referred to in Agency Response 8,
be required,
BOARD OF COUNTY COMMISSIONERS ACTION
The Jefferson County Board of Commissioners, at their January 22, 1990 meeting,
voted unanimously to approve the request as conditioned by the Jefferson County
Planning Commission,
o
COUNTY ROAD
VACATION PETIT10N RV0836
DANIEL AND K.B, LOCKHART AND RANDY AND RENITA POWERS
REQUEST
The request is to vacate the portion of the platted ..lley adjoining Lots 4
through 9 inclusive of Block 17 and the portion of the platted alley adjoining
Lots 1-3 and Lots 10-12 of Block 18 of the plat of Eisenbeis Bay View Addition,
The total length of the road requested for vacation is 300 feet and the width
is ten feet, The area is located one half mile south of the city limits of Port
Townsend, Washington, in Section 16, Township 30N, Range 1 West, \I.M.
The principal petitioner is requesting the road vacation in order to develop it
for a marine repair and retail facility,
FINDINGS
1. A petition for vacation of 8 county road is made pursuant to the Jefferson
County Road Vacation Ordinance and is subject to its requirements and
criteria.
2. Notice of the proposed vacation was made to appropriate agencies and
adjacent property owners. Response by agencies is shown under tlAGENCY
RESPONSES"; response by property owners under "TESTIMONY",
3, Review of the proposed vacation by the Jefferson County Planning COlDJllission
is scheduled for January 3, 1990, Notice of the meeting was made by mail
to all petitioners and abutting property owners,
4, A public hearing was scheduled by the Jefferson County Board of
COlDJllissioners for Monday, January 22, 1990 at 10:30 a,m, in their chambers
at the county courthouse in Port Townsend. Public notice of the hearing
was made by publishing legal notices in the January 3 and January 10, 1990
editions of the Port Townsend Leader and posting the subject site with
nocices.
AGENCY RESPONSES
1. The Jefferson County Public Works Department has no objection to the
request.
2. The Jefferson Coun~y Assessor's Department stated that the assessed value
of the vacation request is $750,00, Compensation for the vacated area,
determined at a rate of 50X of the assessed value of the property would
equal $375,00,
3. U.S. West Telephone made no response to the request.
4, Jefferson County Sheriff's Office made no response to the request,
5, The Puget Sound Power and Light Company stated that Puget power has no
facilities in the request area and therefore has no objections to the
request.
6. The Emergency Services Council made no response to the request.
7, The Port Townsend Fire Protection District No.6 made no response to the
request.
8. The Jeff~rson County Planning and Building Department made the following
comments: 1) The area of the proposed vacation is designated an
industrial/commercial area by the Jefferson County Development Code;
2) A portion of the road right-of-way lies within the 30-foot wide buffer
as defined by the Highway 20 Corridor Policies; 3) The right of way is
not within the trail corridor of the Jefferson County Park, Recrestion,
and Open Spsce Plan.
TESTIMONY
Adjacent property owner Dick Short stated he had no objections to the request.
0,'
(,:.JZ:-:;~i~:'~t~7:~,:~~~i,
;~_.../ - " .~-, '11 ., .,.. rf.!.~,
t:: :~Y~'f ~l -~. ~ -.' ~~~l-- . ~'j)~
rA' ',f" ....~ -''*'' '"
";t'~~ '_~~~~, :1~'<:'~
~,': _,jJ.i~~f '~,'V\
'I .,:.."'t"...:.::t11;' 11: ' '~$
~~;:':'~~;ii~~~:it ~~ ~.
o
JEFFERSON COUNTY
PLANNING AND BUILDING DEPARTMENT
P.O. Box ] 220
Port 1bwnscnd, Washington 98368
Planning (200) 385-9140
Building (206) 385-9]4]
JEFFERSON COUNTY COUUTIIOUSE
David Goldsmith. Director
MEMORANDUM
TO:
Public Works Department
.Jerry Smith, Associate Planner~
December 19, 1989
FROM:
DATE:
SUBJECT: Lockhart & Powers Road Vacation
The J'effet'son County Planning and Building Department has the
following comments on the above road or alley vacation request.
1. The area of the proposed vacation is designated as an
industrial/commercial area by the .Jefferson County Development
Code.
2. A portion of the road right-of-way lies within the 30 foot
wide buffer as defined by the Highway 20 Corridor Policies.
3. The right-of-way is not within the trail corridor of the
Jefferson County Park, Recreation, and Open Space Plan.
4. The staff report should indicate who owns those portions of
Lots 4 & 9, Block 18, Adjacent to Highway 20.
~,
~-'~'
""~~". w
r
/
~ ~
.'.. qr.~;: ~\;'f:- .,'~'
~; r,. " , ,,:-p'r rf!..
tl~7r~l' ,:.~, ':A'U;~.
'i.1,( ~r,f'~:m~ '8'4
"i" ..;:,.~" ~ :' .'~
~l!:f "-;.'t:: , lU. .' ~ .
~ I ~f~:.',,;- J'~I!!:'
:l2lt~~C'_..~~-==~
OFFICE OF THE
JEFFERSON COUNTY ASSESSOR
1'.0, BOX 1220, counl'IIUUS~:. I'OHT l'OWNSJ-:r-W, WA lI~:li;M
(2UIi) ~Jijr,.1J105
JACK WESTERMAN III. COUNTY ASSESSOII
COUNTY COURTHOUSE J892
TO:
December 18, 1989
PUBLIC WORKS DEPARTMENT
FORM:
.JEFF CHAPMAN, ASSESSMENT OPERATIONS MGR.
RE:
REQUESTED VACATION OF PLATTED ALLEYS IN THE PLAT OF EISENBEIS
BAY VIEW
BASED ON THE INFORMATION PROVIDED, THE VALUE OF THE ALLEYS IN
QUESTION IS $375 (3000 S.F. @ $0.25/S.F. * 50%).
WE HAVE NO OBJECTION TO THE VACATION REQUEST,
JP-~p
~
.-
,.,
"
o
POSTING NOTICE VERIFICATION
NOTICE OF PUBLIC HEARING
COUNTY ROAD VACATIUN PETITION
A PORTION OF CERTAIN
PLATTED ALLEYS IN
EISENBEIS BAY VIEW ADDITION
Notice is hereby given that a public hearing will be held by the Jefferson County
Board of Commissioners on Monday, January 22 ,199..,Q, at 10:30 a,ro,
in their chambers at the County courthouse in Port Townsend, Washington, for the
purpose of taking testimony concerning the vacation of a portion of the platted
alleys in Blocks 17 and 18 of Eisenbeis Bay View Addition,
I CERTIFY THAT THE ABOVE NOTICE WAS POSTED AS PRESCRIBED BY THE JEFFERSON COUNTY
ROAD VACATION ORDINANCE,
A L~/< _-1Zz--r/J4
-r-AlI-tJ6D oll..,....~tDH PI I/-rJ"'e-I?.
(TITLE)l-
12--15-89
(DATE) ,
_. ""'''''';h_,,~ ;~,,,,,,,,,"l '''''''',.....',."~'''"-', . '""'-;..-\.~.,.y,;!,J4..,'.;~;{J1i..':.~i.~.;:..i.i:"i'
\
@
1,s\..., ,~',";-,;:J,:;7.,.~n?
\'St?k~~~;~~J
~~.::!.,
{,/),,,,,,!f' -,
t- '\\;'
~,
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
Robert G. Nesbitt. P.E., County Engineer
KEI10llANDUIf
FROM:
Scott Kilmer, Public Works Department SV
DATE:
December 18, 1989
~ RV0836, Petition to vacate alleys in Blocks 17 and 18 of
Eisenbeis Bayview Addition
The Jefferson County Public Works Department has no objection to the request.
100% Recycled Paper
~"
--
.........
o
PUGET
POWER
December 8, 1989
Jefferson County
Department of Public Works
1820 Jefferson
Port Townsend, Washington 98368
Attn: Eileen
Re: County Road Vacation Petition RV0836
Lockhart/Powers
Dear Eileen:
Please be advised that puget Sound Power & Light Company has
no facilities in the area referenced in the above Petition
that would be affected by this vacation, and therefore, has no
concerns or objections,
Thank you for the opportunity to review this matter,
:~-:;'f!.l.A~,~
~~sociate Real Estate Agent
Western Division
JASlrw
F"'(""", '
'", '"'," k; h 'i\l l:: i
DEe 121989
ci--:r-FERSO
"';'1 !=~ , N COUNT'
!..,...""." \
'" Or=PT,
The Energy Start's Here'"
l!
l~:
,...~
,","
"""
,..~
~.~
-
flU)
o
NOTICE OF PUBLIC HEARING
PUB L I C
NOTICE
COUNTY ROAD VACATION PETITION
A PORTION OF CERTAIN
PLATTED ALLEYS IN
EISENBEIS BAY VIEW ADDITION
Notice is hereby given that a public hearin wIll be held by the Jefferson County
Board of Commissioners on Monday, ~.. 'cfr 1990. at It)' "I" a,m, in
their chambers at the County Courthous 'n Port T,wnsend, Washington, for the
purpose of taking ~estimony concerning the vacation of a portion of the platted
alleys in Blocks 17 and 18 of Eisenbeis Bay View Addition,
~~!~~
Chair, Board of County Commissioners
ROAD VACATION<C!TITION NO, '1(YiJ%.:Jc. NAME:dd~::J:A(ftuM'r
Adjoining Property Owners and Petitioners:
Plat Name, Block & Lot, or Tax NoJ/SuJJeis 1Jau.w~J, '3,1'1- 1..itI.- </ -fp ~ ~- '3
8d jJ/;v.4d u 8.ly&lJJ 1-3.; 16-1:2,
Parcel NO, 9 LfY GOI '102-
Name: VtMr.it>-L ~W /R~ tfLOGr~ <f' "it' t;/JI roL
Address: 1 5"0 ~ ~ ',d~ tf!L
fPt 0 ~AYY1S-PAA..d (AlA (1ic10 r
I /.l
Plat Name, Bloc~ & Lot, or Tax NO.~/;h/i /.:t(Ju-UW; '/jolt I~ 1-3 r/o-/'2
Parcel NO, ~ :'-/~ f:g I:~~~)~~};_
Name: /)ah.- ff.~~ , ~..:l(1 (.q:a, 1-3 r- ItJ .. 0..
Address: din rJ&L :tJu ~ 'PeL,
(1 fJ.-dM-d:. q !'.3 3:Y
Plat Name, Block & Lot, or Tax No, E.!!, V.
Parcel NO. qJ..{ gr-f.,O;;J-("O;;L
Name: ~u 9:&1:wY'
Address: I:LS 1 cfl- T-~ ~ '-Tl u.)
Sudf&_ q %1-11-
~.2(" ,.c. -<;-<1
I
Plat Name, Block & Lot, or Tax No,
Parcel NO, qqg--r"O/-..lfj;J...
Name: t'B.. clccJ/oJ. SM-r-c
Address: jJ 0 ~ t--~
-1f. o...t:lLuI:- q f( 83 <;)
flu...~ ~. If. , 8.k. /;2.. of-1
/
Plat Name, Block & Lot, or Tax No, E,8, V.
'" I
Parcel NO, <1r- k,d,,)-$dr
I/I.fJ WajJ..a ~ liqtMt<.--
Address: /I{()(p-/IJ'f:!:, {/
1J.T
M~i!. .;l5
Name:
....-
'RY06~('"
/!S)
o
PETITION FOR VACATION OF A JEFFERSON COUNTY ROAD
Principal Petitioner:
Daniel R, Lockhart/'R..nJ." MI>l as v- ':R c,u,t", "'P"'-'l <W'S
t<:8 . Lo-<.~ I
......e 'D, Loc.\;:.hart.
Authorized Renresenta1-ive:
Mailin~ Address:
150 Lower Adclma Beach Rd,
Port Townsend, WA 98368
Telephone: Home:
.385-1488
Business:
InstrlJc1-ions.
1. The principal petitioner shall contact the Jefferson County Public Wot:ks
Department for legal description of right-of'way to be vacated. A fee of
twenty' five dollars ($25,00) shall accompany the request.
2. The principal petitioner shall submit to the Jefferson County Public Works
Department a complete petition, accowpanied by a bond in the penal sum of
one hundred dollars ($100,00) to cover county processing expenses. Checks
or money order shall be made payable to the Jefferson County Public Works
Departm7'pt.
,)
The principal petitioner shall include with the petition a map suitable
for reproduction that is no larger than 8'> by 11 ,inches showing' 'to', a
reasonable scale: (a) the county road, or portion thereof, to,bevacated;
(b) the property location and names of all petitioners; (c) the property
location and names. of all adjacent property owners who did not sign the
petition, ,dth an attached list 'of 'their addresses; and (d) the nearest
constructed county road to the proposed vacation. (This informationroay
be found in the Jefferson County Public Works Department, the Jefferson
County Assessor's Office, and/or a local title company.)
~
TO: The Board of County Commissioners of Jefferson County, Washington:
.We, the undersigned, being ten freeholders residing in Jefferson County,
do hereby respectfully petition the Jefferson County Board of Commissioners for
vacation of the following described road in Jefferson County (include in the
des,cription the', length and width of right of way to be vacated): ,
That portion of the platted alley being 10 feet in width and 150 feet in
length adjoining Lots 4 through 9 inclusive of Block 17 of Eisenbeis Vay
View Addition. as recorded on Page 54. Volume 2 of Plats, records 'of the
Jefferson County Auditor, and that portion of the platted alley being 10
feet in width and 150 feet in length adjoining Lots 1 - 3 and Lots 10 .
12 of Block 18 of said plat,
State the reason for requesting the vacation:
REQUEST FOR VACATION IS SO THAT THE PORTION OF BLOCK 17 & III
DESCRIBED ABOVE CAN BE DEVELOPED, WE ARE COING TO BUILD A MARINE
REPAIR & RETAIL FACILITY. EXISTING ALLEYWAYS MAKE IT IMPOSSIBLE to
DEVELOP THIS PROPERTY AS IT IS ZONED,
~tIIJTIJIrD. ~~~IJ1~:[J~e~]'.
to: EL WOO 0
I 12.-...,~.r'1
I .
I ~
It
I .
"
I ">~
I.
, ~
It
~
~'
'0" , .;
>-. .
.s ,
" ., ~ ..s
7 ~ '
~
"l
I:l
<,
l ., ~ .r " 7
;1"
\
",
.
, '
i
w
_.._~r-~~~-I;----':-~I.~T"~- ~Tfu;,;~~,
..;- ., l _ ., .,; " ~
.. It' t..--!
'" .., ....... -- ... 11
. ~ I'~ ~. ~
~.~m~ "~m~.....AtA;~~ 8 :'~m~ ~~~~
~_ ~, "", ."', _or
-''i' ,:),' " "!:I' ~
O. III ' l< . ~ .. .:Il . a
!:i ..~. '~. -;;il.. !:I.
e..... 'of".... ~~.... ...
~. m- m~LlZ~m.sSr m:--- ..~.;
',;) "l:: .... ... '::- :....
~, ~ ;; .... \j ~ ",,-
':'CD . .. . ..
. ~ ,,- "l.... ~ lit
. '4 ...,_... .......
~~ffi mtm~EJ8~EI
~lmi~~~~mI~
~~ w- : m"OTro: ;;' .sr. ; :;; '~~
.L- '-. "m~ ~~ ~
'oJ.. _. . 6 ~
, 't ~ .. tf, . , .
... ~... J;. ro~.
~':t ,~ ,ai' E"'~ENr:"EI.sr ...!!!- . '~
. , t 'It.. 1: "'.. ..
Ot-~ ..., "'II", '"
. 'III ... .. .
) ,,, '" .. ,,".. I\-
.. .. " - .. " II. ... " ~ ... -.
\,li~ ~M._.... -- - .-- -. Vt/L.~;v,4i,.'L-. ,,7":. .0. -..... _ ':....... . ~ .. .,
I
I
i
....
~ ~~
3EFFERSONCOUNTY PETITION REPORT
Principal petitioner:~~
Address: 1'<;71 7tAYI/H'{;t p ,
fJ J.. , q.r,'7:> 5
Phone: Ll37-;:J'1lfO Business: I!W
WPA Number:
Petition No.
(((IOgl Lf
Description:
BCC Public Hearing Date and Time:
Planning COl!lllliSsion Meeting Date: ,.r-;) -8"1
Newspaper l"ublicat10nDates: %-;) ~ g'-q-X"1
Posting Property Dates: 7-C)./ -lr"l
Principal Petitioner Verification:
By:
Assessor's Verification:
(date)
Notification Date,
Agenc ies .. Not i f ied:
Property Owners, Agencies: "/-10 -?'1
f;;,
F.
Ulr ..~.(,.c YP-n
fJU L2..1#T- rO~ .,j-
Adjoining Property Owners NOtifiedL~7 "-. '1'l'L4-rlc./ht".( ).,rvi.41'''J
~~/ ~~'~.~~&
Date for Return of Comments:
'1-;2./-' S'C;
Expense Report:
Newspaper Publication Fees:
J'js.?--
, /:;/
Filing Fee:
Public Works Fees: (see attached)
Planning Dept. Fees:
_L~]..:J3
Assessor's Dept. Fees:
Compensation:
Other: /'~: :3 {9.
TOTAL EXPENSES:
LESS DEPOSIT:
REFUND,
~: C;51!
~ p55
1. fc {j
/r '5 /?1.!-
1M ~
,
AMOUNT DUE:
DATE FINAL AMOUNT PAID:
/f/Sf. .33
Date or Filing Final Resolution:
Final Resolutions to:
Assessor
BCC -
Plann1ng==
Original Posting Nottee to BCC____
',~.~;..,.;'l:i,. ,,;,~
ROAD VACATION COST BREAKDOWN
.Jefferson County Department of Public Works
VACATION PROJECT NUMBER RVO
PETITIONER NAME
ADDRESS
PHONE:
LABOR:
5 hours @ $ /0.3/ Ihr. = 8/.55
hours @ $ /hr. =
C, hours @ $ 1/, '1-<1 /hr. = 70. for
Additional:
~ @ $0..2-2';>5'
Costs:
Filing Fee:
Xeroxes:
;1.1
@ $0.10 each
Compensation
Other:
TOTAL: in. :s:6
TOTfl,L: .:L 1.56
7,OD
TOTAL: ~
TOTAL: 3,/0
TOTAL: 11 :)'5' ~
TOTAL:
TOTAL:
GRAND TOTAL: $ Fl~/. $3
~,' u.rr J.l.W' I.1.H' J.\:!l' J.l'\'! U't'f". I
~,,~l.
:!r
r
},
1
t
~,
~
!'
~"
~
"
,
r
,:;
i
~
".'
...
~.
, ", '" ':,'"',.,,, ..
..',' ..,' ,"
",' .
,';.", "
:.
, "',, ,~. .
',' ',",.'"
,,': '
': " ':.'
" .'
:," ',:' ," ':" ", '..',':'" '
....', ,:,: ;-": ',,'
, , ,','" ,':
" ,. ,.::" :: ',"
:', ,<.' ,",' ::,' " ' .' ,,' ',',
,", ",": , ',. '.,' ',"
'..',', ...' !::.. ",:' ,"...:' ',," ",', '.': "
, .',:": ",' ',:' ",::<,:
.. ..' '. . ':' " " I::
,,:.., <.:: ,', :,j"" ' ',,.... ',:
'.'.; "..' ,I ',: ,:',
, ,::'.. " ", ' ' '" :,':i,~.:~;'.;i':
",,:', I,' ",:: " , ','" :' ,:..', ' .',
, "', \' : .' ." , , '., ... ,',,,:
," ',:' , ,.... ',' "..",' ::' :,,' "": :.,
"." " ,',,' ,..'
" " .', ,.'.:" ,'," ,"", ".....'
"', ", ' :,,:,"
, "", :, '"., ,',' "")
," " " " " " "'" " '" " ,".'
,
d
,-,1 j 0 \~ i'389
: COUNTY ROAD VACATioN PITmON
,';-'; A pORnON Of PlABODY WAY (,:.;"
,t..'",,', IN TRAIL'S END HOMESlTES "",..,'.;,
NOlice is hereby given thai o,p~bllc'
heorlngwUl b. held by Ihe Jeffenon ,
County",.' Board.: of"Cornmisslone_fI on
Mondoy,':AuguSI,14/11989,'0I"II',
a'.r!a'; il1_thei~'.,cha,mber$ ~t the Coul1ty'?
C:ou:rthous,e 'c.1n'-:' Por,t '<T'ownsend,'1
Woshlngton,lor ,he purpose ,01 lak. '
In9 ',:telti~ony'~ ,concernIng i the '; \'cca~, t
,Iono!:o:portion'a!, Peabody Way';
odjainlng'La,s,1 'andd Lol Block '!i;
a'nd:LoIJ6 01 Block 3;inlha pial of
Tr~iI'. End ~omesi'es;' al,recor,dad in')
Vol:~3/P0ge 30 al Pia's, Rec"rds,of'
.he~,Jeff~rson', Co~~ty/Audlt~r~",1t'~'~:f,.k~~:lt
G,~o.rg~ C;., ,B~o~n;' Ch~ir~'~;:~,~~,':~4:f~,~t,~':~'~1r
B~ord of ~o~~ty"Commi_~si_oner.";:';~,-;:".,<
~/'.~'k':i:l~,:aO :.l',r~,: ;!..t~-ijY,f:t,~ N;f.,,~. ::.~J 061 ,8~9,,;:
:'c,
"
;
, ,
"
:':
,"',
,:',
'.'.
"
:};;~L, ,."
Affidavftf Publication
STAT[ Of WASHINGTON)
COUNh Of JEFfERSON)
FRANK W, GARREO, being ~....o.n. \oy\ he ,\ ,he publ"hl"' "I
,h<;t P".' lo....n\ond/JlIlhH\on Counly l~oder. ...",...I~
ntlWlipOpll' whith ho~ belln e~'abh\hlld, publi~hed in 'he E.ngh'fl
language and ci.culOled conlinuou~ly 0\ 0 .....ekly ne_~pOJ''''
in Ihe 10"''' 01 PO.I Towl'Illlnd, in \oid Coun'y ond SIOle, and !t'r
gene.al ci.eulalion in laid eounlt fOI more rhon ~!l'. (ol ",onlh,
prior,o ,he dOle 01 ,he l,r~1 publ,co"on 01 .he NOll'-lI he'"'o 0'.
loched, ond thai Ihe ~aid Port Ta_nliendlJlIlfeHon Coun'"
leader WOli on the 27th day of Junfl 194 I. appro...ed en a IlIgo1
nflwlpoper bt Ihe Superior Courl 01 \oid Jellllf\on Counly. and
Ihal annelled h lrue copy 01 the
County Road Vacation
petition a portion of Peabody
Way in Trail's End homesites
os it appeared in the regular and onlir& iuue of said paper il~ell
and not in 0 ~upplement .hereollor 0 period 01
!WO _.____'anse,utive weeh, beginning on the
~__doy ol~gUSt _. 19~_.
ood ,od;09 o",h. 9 t~_doy 0' Augus t
l'~J_L, and that said newspaper was regulurly distributed
to ils subs,ribers during all of this period. That Ihelull amount
01 $ 27 . 50 __has been paid in lull, allheAole 01 $5.50
p" ,o',mo ;"h 10~''';00' !1
~-~,,--.::'/
Subscribed and sworn to belare me thislLt.~day or
__..__.~-"st___, 19_89
~-p~~
WOlhinston, residing at Hadlock.
", :,'
, "
,.'
~
, .
"..
'\ "
..
.. "
'" "
, ,
"
",'
..', .
';
., '
"" ':", , ,:. }'
< '".,
~.
,..,' ."
_..,...._"---~..""-_.-
~,d,ECEIVED
. ~;(r.~CLC 1'; ~ .
, VOLdfLPAGE~\';,;) . ...,.
; or OFrlCIAL RECORDS 324433
I REOU~r?F,~ ~ "cD 211989 SEP121989
;* l~ 53 STATE OF WASHINGTON' I. 1
1'" II. \' F G' 60URY COUNT'i OF JEF~~~q!'t:Fl:,o.;:):< ,,~Q U i'lT \' MARY f. GABOURY
JEffERSON 'CCUliTY t.UDiTOR P U 13 L \ G \; '0 e, /. S D~U'fERSON COUNlY AUOITOR
In the matter of U:pun x
, al.---"If'~-
Vacation of a Portion of
Peabody Way in the
Trail's End Homesites
RESOLUTION NO,~9
x
x
x
WHEREAS, the Jefferson County Board of Commissioners has reviewed a road
vacation petition submitted by Ar~hur and Kathleen Fields; and
WHEREAS, the Jefferson County Board of Commissioners held a public hearing
on the road vacation petition on August 14, 1989; and
WHEREAS, the Jefferson County Board of Commissioners considered testimony
of the public, comments from applicable departments, agencies and offices, and
recommendation from the Jefferson County Public Works Department and Jefferson
County Planning Commission at the public hearing; and
WHEREAS, the Jefferson County Board of Commissioners determined at the
publiC hearing that the public will benefit from the vacation of a portion of
the road and such vacation complies with the Jefferson County Comprehensive Plan
and other applicable plans, policies or ordinances; and
WHEREAS, compensation required pursuant to RCW 36.87.120 and Jefferson
County Road Vacation Ordinance No, 3-85 has been met,
NOW, THEREFORE BE IT RESOLVED that the following be vacated and abandoned
pursuant to RCW 36,87.140 and Jefferson County Road Vacation Ordinance No, 3-
85: that portion of Peabody Way being 60 feet wide by approxio,ately 170 feet long
lying adjacent to Lots 1 and 11 of Block 5 and Lot 16, Block 3 of Trail's End
Homesites as recorded in Volume 3, Page 30 of Plats, records of Jefferson
County, State of Washington. and lying westerly of a line commencing at ~he
Northeast corner of said Lot II, Black 5, and terminating at the Southeast corner
of said Lot 16. Block 3, A walking trail lying three feer on each side of rhe
cenrerline shall be reserved for use by the public, In compliance wi~h Jefferson
County Ordinance No, 3-85 and R,C,W. 36,87,140, an easemenl: shall also be
retained for the construction. repair, and wainrenance of public utilities,
ADOPTED THIS
11 ",<cts: DAY OF SEPTEMBER, 1989,
, .
~ 0'"", O"'""',IONERS
~ . (I/&---~'
George crown, Chairman
SEAL:
AT~{)JU(CL :111A
Lorna L. Delaney ~
Clerk of the Board
.L~'r
Member
~~
I'"
."
. '',J~I
';CJ' ~':'..r
94
...-
-
3241.21-
WlWMUC-
r.o.lIIlIl22O
lUG JIlIII1CIlI sa.
Port TvwaIQIId. w.. 98361
o E~.~ ~.:""J::i.l i,~
vOldil>,,:~j:!J;;:~
P" ,"-'.'C"I ':'1"""';;-
IJ,;././....J or,,'! '1~_,. :\C ...'../1\.....)
/F'77,,~' ~ ?vJ~
:939 AUG 29 AM 10: 03
__ !.t~h _ L. i_~tL:CUHY
Jel'FEIiSOti COUIITY AUDI10R
u,-3!L:P
DEPUTl
EASEMENT
THE GRANTORS, ARTHUR and KATHLEEN FIELDS, for .md in consideration of benefits
to accrue, convey and warrant to the GRANTEE, U,S, WEST TELEPHONE COMPANY, a
perpetual easement for the purpose of ingress and egress to maintain and repair
GRANTEE' 5 existing facilities. The said easement covers the following described
real property. situated in Jefferson County, State of Washington:
That portion of Peabody Way being 60 feet wide by approximately 170 feet
long lying adjacent to Lots 1 and 11 of Block 5 and Lot 16. Block 3 of
Trail's End Homesites as recorded in Volume 3, Page 30 of Plats, records
of Jefferson County, State of Washington, and lying westerly of a line
commencing at the Northeast corner of said Lot 11, Block 5, and terminating
at the Southeast corner of said Lot 16. Block 3.
The easement granted herein shall be a covenant running with the land, and shall
.be binding upon and the benefits shall inure to the heirs and assigns of the
parties hereto.
Dated this ~ day of
t2u~19B9'
~t!Lr IN P--ej~
~ano_~/':o4-J
1LilMv., ~ .aJ lUI<A<J1.o~ '
r-290t5 ,~1.::;--lU.1i!fzAqf,
((~
~"";',
t::rc.t.
r,u G ",
{., 1989
JEFFEHS'" .
PUBLIC ,:Jt1.IKCOUNTV
,8 DEPT.
VOL ~86 '..c 161
d
Q
JEFFERSO'N' 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 Englne9r
August 22, 1989
Arthur and Kathleen Fields
1571 Thorndyke Rd,
Port Ludlow, WA 98365
Dear Mr. and Mrs. Fields:
We have received the final cost on the Peabody Way vacation, A breakdown is as
follows:
Staff Time
Mailing Fees
Filing Fee
Publication
Copying Fees
Compensation
$ 152,23
6,50
7.00
27.50
3,10
1 755 00
Deposi t
- 100 00
1,851.33
The balance of $1.851.33 remains.
Also enclosed please find an easement for U.S. West Telephone. Please sign it
and return. to me . for recording as soon as possible. When the fee and the
easement are received by the Jefferson County Public Works Department, the
Resolution will be filed and the vacation completed, The reservation of the
walking trail will be in the final resolution,
Thank you for your attention in this matter,
Sincerely,
El~
E.D, Simon
Secretary
Encl.
xc: A 10.30 (RVO 753)
100% Recycled Paper
!'
,
I
I';
I,
B:',
:.,
, '
I ,,'.'.'"
>
I
Ii,
I;
I,i- .'
I
"
i:
11~.
I~
:,.
I;:"~ ..
i :
I
I, "
':
~
:
~, '
'i
:,
;
':,
,
i
.',
,,"," ',': .'
,.: '"
"..' ",
.,'", : ::.,":., '.'" " .
,: ,,'., , '
'.',' .' ,
I : .",', "
I. '.,i , "
::.' "',.'"
" , " ;
ii.'.'" ,',., ,,'
: : .', ','. '.-
, ' " ., ',' , " ,
,': .','"
, ..... '
, .. ,',", I .
, .", ": oi~'J i ~ ~\
, ',' ',' ~ ~ \;; 10 t,
" ,> ~ ~ ~ ~<~~
,',.:1 ~ .s'~ II \
',i,~ ~ ~
," ,:,- '", ',';....., '" I ~ J ~ ~
":, ' ~ ~1i5 ,.....
,::,,' '.".'.' J~ ~'~
""." ".,' ,', c;.s - ~..d
,'",.,',", ~
~:;
',.',' :;~"
, :,::,\>. "
'>.' "
",.', ".., . '
': """:', i '
. ."':';..'
.. . '. ,', "
, , ",,"
...
, "
"."" :,.i:
" "
, ' ".., ,
:'"".,. .', .,.,;
, , ' " .' ' , ' .'
.'i, '" "., '
, ,. '.. .
;,", .,::',:"." ':"
, ",
- :: ,:',',
"/l ",
,', "..' ",' '.. '
, :. ,
: ',., ,."
~~ ,) ,.,'.".
-.;...",........'44
:.-,
,",
.""",'
" ,
.., '~''', '"
::- r-r-U
~::! I- 1..2 c 1-1-1-.... ~.
<tll.:::J IS ~ 0 .. , I~
QO 0 ~ j ~ I;f"'" I ~
~ W ~ 5; r-~t'- ''..: r ~""
, 0: , ..... ~ w () !;;; r- - " ~ ~I.J
' ~~ ~ J j ~ ~ ~ ~'~'~ ~ I,li P '" ~
dJ :::J ~ hN ~ I,s "
('\ E":s r ~~ 1-1-1- fill "\
:"; j:: ~l'~ Jl ::>::> ~I'<' ,\':p
I~~ ~ ~~pJf * u.~, -f~l\ ~ ~
~pt X-.tr:::: 5 if @ ~ ~~I'-~ ~
~ ~ 3)~ 0 [ ~ 5 ~ ~\ 1--'
I
~L. TiI~fI"Rr
..
'.' ,:...::...:..
, ,.-
. " ':
" .'
, '".' ",
",. ,>, ."
- "',. ':'" ' ,'"..'.",
: ",' ',,'-:~ ,
" ':<, :",
I, :',' ",<,:::
rl >,
'," , '. " ".,
','," ",;>" ','
iii'. ",' ", ;:''':,
" '. ' :' ::' ,;"
- ..--.--..- .',
.. .- ' .' "" ....,
~:""~~ ','., ".'
,~_:'."""
'. -', ~ "
'"C''' ,,~ ',:":'.'
(j ':: ... .
:;: !' '
11 I'", .'
~ /., "'"
~ ~ r..,.',...':"
~ ' '", ','.. ' ,
-~~ ~ I,"
~ ~ ~,'
~ be, ~, ".i'" ,"
8 "
, ,'..." "".' ','
-- .11'."""'- r'~-","'::."',, ':,','.. ,
" ";' 'i'
.; . ' , ',' ' ,::' ,:
',:; ," '"."'.':...
, '.,' ,':.. ..'
'.,.'" c,',' ':' ','
'\.,' ;
':. ;: .". "
: " :' ,~.
".. '
" '., :
".' ",> "
, ,', ,,:', ',...
, . '..:"'. "
/, """,'.. .:
" ,". ", '\'
'!,'i
~ I;":'~:'::/
,', "1.,.';.:
o
i~
(Ji
.'
, . '~ ' , " ",
, '.--J" "'1':
" ".' , ,
.' "
, ,'.., '.' ,
;,":',
"" :", ,
, , ' "',
" .'..
, .".: ~;':l
~ .,', ':'.;' ,', "
'.,'
~- ~"'---
I/;) 1T'
'~I \~)
ARTHUR f, KATHLEEN FIELDS
COUNTY ROAD VACATION PETITION RV08I4
REQUEST
The request is to vacate Peabody Way adjoining Lots 1 and 11 of
Block 5 and Lot 16 of Block 3, in the plat of Trail's End
Homesites, as recorded in Vol. 3, Page 30 of Plats, records of the
Jefferson county Auditor, The length of the road requested for
vacation is approximately 170 feet and the width is 60 feet, The
area is located approximately 20 miles south of the city limits of
port Townsend, Washington, in section 16, Township 27 N" Range 1
East, W.K,
The principal petitioner is requesting the road vacation to allow
blOcking of the road to prevent further erosicn and sliding due to
use of the area by dirt bikers and four-wheel drive vehicles,
FINDINGS
1. A petition for vacation of a county road is made pursuant to the
Jefferson County Road Vacation Ordinance and is subject to its
requirements and criteria,
2. Notice of the proposed vacation was made to appropriate agencies
and adjacent property owners, Response by agencies is shown
under "AGENCY RESPONSES"; response by property owners under
"TESTIMONY",
3, Review of the proposed vacation by the Jefferson county Planning
commission is scheduled for Wednesday, August 2, 1989, Notice
of the meeting was made by mail to all petitioners and abutting
property owners.
4, A public hearing was scheduled by the Jefferson county Board of
commissioners for Monday, August 14, 1989 at 11:00 a,m. in their
chambers at the county courthouse in port Townsend. Public
notice of the hearing was made by publishing legal notices in
the August 2 and August 9, 1989 editions of the port Townsend
Leader and posting the subject site with notices,
AGENCY RESPONSES
1, The Jefferson County PUblic Works Department states that after
review the department recommends approval of the request,
Additional comments were: 1, Lots 16-27 all have reasonable
access to Thorndyke Road; 2, Lots 7-15 would have access from
the North on Peabody Way; 3, The existing road is washed out
in the vicinity of Lots 26-27. Because of the very steep
terrain that this right of way lies upon, there is no reasonable
access to any lots abutting Peabody Way,
2, The .Jefferson County Assessor's Department stated that the
assessed value of the vacation request is $3,900, compensation
for the vacated area, determined at a rate of 50% of the
assessed value of the property would equal $1,950,
Addi tionally, the department commented that "this vacation would
effectively cut off any potenti.a1 for connecting south point
Road and Thorndyke Road in this area, However, since the
platted right of way for Peabody Way is quite steep and would
be difficult to fully develOp and maintain, we do not object
to the vacation request,"
3, The Jefferson county planning and Building Oepartment made the
following comments: Platting of the Trail'S End Homesites
occurred prior to the adoption of a subdivision implementing
ordinance in Jefferson county, The lots are small (7,000-10,000
square feet) and were platted on a hillside, which for the most
part is unsuitable for this density, Although the platted
street (peabody way) provides paper access to abOut 25 platted
lots, a portion of it has been closed due to unstable slopes
above and below the platted street, Access to approximately
one-half of the lots could be obtained off of Thorndyke Road,
subject to provisions for access to the remaining lots along the
lower part of peabody Way, the road vacation would be
appropriate,
-"-
n
~~"
4. Jefferson County Sheriff's Office made no response to the request.
5. The Emergency Services Council made no response to the request.
6. Fire Protection District No.3 made no response to the request.
7, D,S, West Communications states that they may have cable facilities in the
request area since the existing cable is on the East and South side of
Thorndyke Rd, They request the right to use and maintain any existing
fadli ties,
8. puget Sound Power and Light has no objection to the request; however, there
are facilities located in the Southerly portion of the vacate area. They
will prepare and mail to tbe property owner an easement enabling pugee Power
to maintain and repair services. Puget Power asks that this easement be a
condition of the request approval.
TESTIMONY
Adjacent property owner Charles Thorne stated that "the northern end of Peabody
way presently is virtually impassable, The eastern border of rhat 750- long
strip of Lot 23 is bordered by other private properties and the land therefore
is not accessible from its eastern border. The approximate 45 degree slope of
.., lot 23 is such that vehicular access from the east is not possible. The
only available vehicular access, therefore, is through the roadway proposed to
be vacated. We have not observed any erosion or sliding along Peabody Way.
Dirt bikers have occasionally used it. We are not awaoo:e of 4~wheel drive
vehicles. using Peabody Way, because until recently large downed trees have
blocked the roadway. We therefore protest the petition to vacate this portion
of Peabody Way, Our property rights will be seriously damaged should this
petition be granted."
PLANNING COMMISSION TESTIMONY
Charles and Marge Thorne, adjacent property owners, stated that their concern
was that they would no longer have access from their lower property to Thorndyke
Road. Mrs, Thorne said that Peabody Way has been used as a walking trail, and
that the trail from Thorndyke Road makes a pleasant walk, She also had a
concern that others in the future finding vacation easy and vacating all of
Peabody Way, leaving no access. Maintaining the pedestrian access is the
Thomes' main interest.
PLANNING COMMISSION RECOMMENDATION
The Jefferson County Planning Commission reviewed the request, findings and
agency responses at their meeting on August 2, 1989. The commission recommended
that the vacation request be approved as proposed in the request with the
conditions that a trail easement and an easement for utilities be reserved.
BOARD OF COUNTY COMMISSIONERS ACTION
The Board of County Commissioners unanimously approved the request as
recommended by the Planning Commission.
/ f'11)
~)
o
~;,
1493 :M Bucklin Hill Road
Bremerton, WA 93310
August S, 1939
10; lli ~ ~ ~ WI It ~f11 i
If\\ ' .I If llJ
l. .. -
h\J::' v J I:;"~:J
Jefferson 80unty Board of CommissionerS
P, O. Boy. 1220
Port Townsend, WA 9836S
Re: Petition RVOS14 for ~ounty Road Vacation
JEFFERSON COUNTY
80,o,RD OF COMMiSSIONERS
3entle:nen:
The Planning Commission, at their August 2nd meeting, decided to
recommend approval of the proposed road vacation. with an easement
across the vacated roadway for a pedestrian trail, We own lot 23
(apprOx. 2 1/4 acres) which includes apprOximately 750 feet along the
east side of PeabodY Way, beginning at the southerly end,
Vacating a county roadway is, for all practical purpoE:eS, an irrevoc-
able action, Vacating this section of roadway virtually forecloses
the option for the ~ounty to improve Peabody Way for vehicular travel
in future years. Peabody Way Provides a 1/4 mile accesS bebleen
Thorndyke Road and South Point Road, rather than the 3 to 4 miles that
is otherwise required,
We cannot agree that the erosion and sliding in the vicinity of lots
26-27 is due to use of the area by dirt bikers and four-wheel drive
vehicles, That portion of Peabody Way is absolutely impassable by
four-wheel drive vehicles: dirt bikers would have to lift their bikes
over several logs from trees that have blocked the roadway for several
years. Except for the heavy growth of underbrush, they would be able
to enter a short distance from either end, and exit from the same end.
The roadway appears to be very stable along our 750 feet of frontage
at the southern end of Peabody Way: there is no evidence of srosion or
sliding. The stated reason for road vacation does not seem to be
supported by the facts,
We did testify to the Planning Commission that an easement for a
walking trail access would be acceptable, however, we would very mu~h
like to see another solution to the problem stated verbally bY the
FieldS, Road vacation will be a permanent solution to what may be
only a temporary prOblem, with perhaps a better solution available.
',Y~',
\1
r-,~D''''
t...,. . 4
~i~
Very truly yours,
-4?~L- ~
Charles Thorne
Ma~~
{,\J G 1 1989
JErH:.\i:-..'-"'" 'A-,UI~T~:
PUBLIC \'lJc-P.\-:S, l)t:P ,
('
,.-.."
, >:' ',' ,:' 'M,P7E~'S .S :;A.'.,G.."~ '.' ,-;:":'1<.': ,:," 'R ~E:..f) '.L<Y'; ";Ai<.:'
TO
I
Jefferson County
",J:lE!P~r.1::J:llE!,fl1::.c:>t:g~I:>:L:i,9.,Wc:>r.Jg;, ",--']
County Courthouse
~9J::1::,:r:c:>wfl"E!fl4,.W~ ,,~JI} I5.IL,. '
DATE
L ",J>.i:1::E!fl1::::i.gf\;~J:LE!E!fl
DATE '" ,..J>.~gll,..t,]L:L,~,?L
, """-.J
...~ll,gE!,1::..~,c>,WE!,r.., h,Clle",.J::.E!c;::E!,;!,Y,E!,q .,:\;,!).lil.,<;!,Cl,..e,ffi<;!flt""
,J'9J::...,i:I,1,E! ",Cl.l~lilCl,..,i:l,1e:i,r....fi'\c;::j,).,:i,tJlil:;L,Cl,J;e, ,
),99 i'\ 1;&q, ,:i"fl".,j:,he, ,P;r::9Po,slilQ, .Y;;\I<,i>t<;!on, "
,~ei'\l:>o4Y, .W,i'\Y.,.
,~le,i'\",e...not,:i.,fY ..!.\", ..,Whe,n ,.,the".yacat,e. ,has...."
. ., .,..!:leliln..jl,ppr.9Y..eQ,...",Q..,we..rn<\Y.,proc,ee,d, "with...
r.e9o;r::,qJng...Qf....the..easernent,..
.,."..Thank,you,., .
BY ".... ,...,Judy...Sleasman
SIGNED,
SENDER: Keep PINK copy - ...nd WHITE and YELLOW copies,
RECEIVER: Keep YELLOW copy - return WHITE ""PY to Sender,
~
~)
~
PUGET
POWER
July 2J., 1989
// U ?" :';~"''J ".
JUt.. ') t,,> Ie ,t})
Jt:- '"'!I. --
p.~,l::f-":::, - 989
uBI ""/~/8'
-Ie I,,'--'IV c "
"'0'9!<:PiJ~v,y
Dt:;:p,:
Jefferson County
Department of Public Works
County Courthouse
Port Townsend, Washington 98368
Attn: Eileen
Re: Vaca'te Petition for Peabody Way
Dear Eileen:
Pug~t Power has reviewed the above vacate proposal. We have
no objection to the proposal; however, there are facilities
located in the Southerly portion of the vacate area, Therefore,
we will be preparing and mailing to that property owner a puget
Power easement for execution and would like it as a condition
of the vacate.
A copy of the easement and correspondence will be forwarded to
you when it is prepared.
Thank you for your assistance in these matters.
r;r:j~~d!:A~
~:tern Division
JASlrw
The Energy Starts Here
Puget Sound Power & Light Company 1300 Sylvan Way P,O, Box 2189 Bremerton, WA 98310 (206) 377,3931
lIn..,
."-~
-
.-
IIIIlIll
o
~
'i.;"Jo'
,r:::/(~.r;-~~(\:~ :~,'~~
',r" ,~"....':" _/' 1:.1 111 J;~.
?'~'~,t:ft, - "..- - :r~ ~'"1 {':;i.
iiiil""j '.""",' 'U-.
~/~. f~ ~.~..~_ " j:!~;~ :' . -''''~''I ,}t:'
~,}J Jk.(~ fi,: ,-,.,
. 1 -,t~rl-l"'.!:f 'r?'- -r 11 ,1,
7z~~~}~i~i- <~:.~~'"
JEFFERSON COUNTY
PLANNING AND BUILDING DEPARTMENT
P.O. Box 12:.W
('on 'nJwlIst'wl. Wasllillgllill HH;jliH
PJalllljll~ CWO) :J>;!).!JJ40
Building (:WIi) :$H!).!JH I
.JEFFERSON COUNT'\' COUUTJIOUSg
David (;olcblllith, Dil'f'ctor
MEMORANDUM
TO:
Public Works Department
Planning Departmen~.
July 20, 1989
FROM:
DATE:
SUBJECT: Road Vacation:
Homesites Plat
Port ion of Peabody Way, Trai Is End
COMMENT: Platting of the Trails End Homesites, including Additions
1-4, occurred prior to the adoption of a subdivision implementing
ordinance in Jefferson County. The lots are small (7000 to 10,000
square feet in area) and were platted on a hillside, which for the
most part is unsuitable for this density, Although the platted
street (Peabody Way) provides paper access to about 25 platted
lots, a portion of it has been closed due to unstable slopes above
and below the platted street. Access to approximately one half of
the lots could be obtained off of Thorndyke Road. Subject to
provisions for access to the remaining lots along the lower part
of Peabody Way, the road vacation would be appropriate.
t;z;
'.
/~;.;E0r;;~h:?;~:Jl '
(i;r~'J "!> ~l,~\A,
'( ,:, ~/titJ~~: ,}
,'l~. ...!J,;'f':1Il- l' ' l
~ ~~"~~i, J:.,..,'?!:.!:l!'
.:::la ~~_'~=-_.-"""
COUNTY COUlt'I'IIOUSE 1692
OFFICE OF THE
JEFFERSON COUNTY ASSESSOR
1',0. UOX 1~2n, coUItTJluUSI<:. I'olrc 1'JWNsl~NU, WA UH3liH
(~(lll) aHr..fH05
JACK WllSTEIlMAN III. COUNTY ASSESSOIl
.July 20, 1969
TO:
PUBLIC WORKS DEPARTMENT
FROM:
JEFF CHAPMAN, ASSMT. OPERATIONS MGR.
RE:
VACATION REQUEST - PEABODY WAY IN TRAIL'S END HOMESITES
1. VALUE,
THE AREA IN QUESTION, LYING BETWEEN LOT 16 OF BLOCK 3 AND LOTS 1
Ii: 11 OF BLOCK 5, HAS A VACATED VALUE OF $1950. (EQUIV. OF 1 LOT
@ $3, 900/LOT · 50% R/W VACATE AD,].).
2. COMMENT.
THIS VACATION WOULD EFFECTIVELY CUT OFF ANY POTENTIAL FOR
CONNECTING S. POINT ROAD &: THORNDYKE RD IN THIS AREA. HOWEVER,
SINCE THE PLATTED RIGHT OF WAY FOR PEABODY WAY IS QUITE STEEP Ii:
WOULD BE DIFFICULT TO FULLY DEVELOP AND MAINTAIN, WE DO NOT OB:JECT
TO THE VACATION REQUEST.
n
~)
POSTING NOTICE VERIFICATION
NOTICE OF PUBLIC HEARING
COPNTY ROAD VACATION PETITION
A PORTION OF PEABODY WAY
IN TRAIL'S END HOMESITES
Notice is hereby given that a public hearing will be held by the
Jefferson County Board of Commissioners on Monday, August 14, 1989
at 11:00 a,m, in their chambers at the County Courthouse in port
Townsend, washington, for the purpose of taking testimony
concerning the vacation of a portion of Peabody Way adjoining Lots
1 and 11 of Block 5 and Lot 16 of Block 3, in the plat of Trail's
End Homesites, as recorded in Vol. 3, Page 30 of Plats, Records of
the Jefferson County AUditor.
I CERTIFY THAT THE ABOVE NOTICE WAS POSTED AS PRESCRIBED BY THE
JEFFERSON COUNTY ROAD VACATION ORDINANCE,
JJ~J(~L/f
P/.-1-,V,v :./J'j
(TITLE)
7-20-
(DATE)
EA/9R. .
,
g9
,
1"':)
~
C'0D
JEFFERSO'N 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
Rober' G. Nesbitt, P.E.. County EngIneer
MEMORANDUM
TO: Public Works
FROM:
Public Works ~
DATE: July 18, 1989
SIJR.'JEC'l': Fields Vacation Request - peabody Way
==============================~=~=======~===========~=~===========
After reviewing Peabody Way in regards to the above proposed road
vacation, PUblic Works recommends approval of the vacation as
requested for the following reasons,
1, Lots 16 thru 27 all have reasonable access to Thorndyke Rd,
2, Lots 7 thru 15 would have access from the North on Peabody Way,
3, The road as exist is washed out in the vicinity of lots 26 or
27, Because of the very steep terrain that this right of way
lies upon, there is no reasonable access to any lots abutting
Peabody Way.
100% Recycled Paper
- -,
""fI......-...
.
1< ,
-,
'. w
{/.~ /).i.PAf (J5r~?, )
~ . :JEFFERSON COUNTY DEPARTMENT OF PUBLIC WORKS .
ia ECE~VED COUNTY COURTHOUSE
PORT TOWNSEND, WA 98368
(206) 385-9160 '.
JUL 191989
I EFFEIiSOI\l.c.U.L.lJl!TXp PETITION TO VACATE A COUNTY ROAD OR ALLEY
UBLlC \!VO "\v UL.' ,
Attached is a d~scription of a proposal to vacate a county road
or alley that comes within your department's jurisdiction, A
recommendation from your department must be made by
/UI ? I IIRq
If you have any questions on the proposed vacation, please
contact this office. "
(j,<. ,~u..:r 6m. r/hc., /,?1~y dv,,1-^e eM-t'~ ~:<!C~ ~
t ..:z/t-eA -" , A .1 '7^4J {1aJ.cIYJ."J /u /-r..-/t..L .-C-Xtaf:Lv/ t!kE~ (/.:; tJz..J
~ ~ bAff tI.s~ ~e- ~ t;..t<n'?1&I<<." 'c!.e~~ _ ,~.. tr/'e/
'1 ~ h ,~ e /7--7'W:.&7--~ CC4.J CZ--7---,-/-C'Kt-~ ~K~ 7(;"'/"'7
." J;lJIH\'fill~(J;
i\e,' ",'>, . ,:i
",'" ',','
',; """,;:!.
..,..
J,", ;,,,C
';>'
;', >,.
'p'
~' ";'
~ i/ .,..... '/
r ./
',i ..
:fj.
? ..., '<< D,;: ,\: ;:
~. .)'i,../.'" ...""
',,: "
, ,..,.','" ,: < "....'. ,>> ',; .:.
f ."" ',>i/':";" :,'
'''. :....,'.".' '"
.'.';':..... ,.,'.',,';,
J;' ,. .> <":C;: >...i;-";.,.'......,, .',.:',';'
.
,i ' " .,'e, ,
f: ;:,W;;":, ..'".';i...:;'.....:"".,.,;.:...! '...>;
f ,>';c' !,'; <.' ;, ;",. ....'..". .:0
i""" ',i/','" ';,"/ )i::.
h '..:" i::"/f;::;;>
'I
\ ; ..,."H,'> ,.';::::.:.;2..:< ...'.."..... ,......,: :i;.1'I,
..,.'....."... >',
, "f"" ",. ........)'.;".,.<.,.,:',. '. '."... >.:,..'..e':..: ;".,;
\,
! >. ""'."'; "."//i>;L;~
,
"
, ".,' '."',"Y;..;'.",,+.:')' '../~;<, '. .' .','.,..'..."..::;,!;;;.
I-'
;"'..;:'.....:,: ..,.i".:/, ,..,.'. ,.,)~t1;;:it'.;,ijYi'
;"'i.i iY",i '....'..,..,.'"..,...,. ...'.,..". ii,/,'"
o'{i;X'., "'...::> .,', i.",... ,:.,',hi.",
i ". "';", ".'" ...,,'.'i"..")' ','
.'..0' 'i"," ,',' .;,...
"X""2x;.': · "
'F',..,.. i, .o'X:';"'o""X :".i)'"
,.,i,X ',' "'.,7Y.,.. .j',
.,.'.'.' ,.... "'i;"i:A'
'~. .i...:Vi}..'...:.. .."..o'i,.,.,'... ,."i:;;'7';! ':' ..(...
i'i:';,V\ ..'...'./i.>;:.', iiii.X';Xo' i,');X": ,;
X, iii" ..,...iXi,..,;;""," ',hfi(,:,t," .., ...... ...,. '." i
;,i .'...."..,./,;X.;.',i ,iil,o',;" e
,.;,.,'.....)'. .'...',,' i.'; ..",., i.',;;,"':,f'i:,',',i
...' .....". ... ii;'?::i' . .,.ii'. ."".... ,.,i'ii ,e: iii,i ..."....,
.
,
. ,.'
-
17 ...
.-r
~.- L ~-_.
-..
-
~,.).'r. ~~..G...! ~~~,-::::!~;;:,_.!.~,\;,,,,,j'" ,:;. ", .(.,;';~~'J:~".'.
Ii!
o
PUBLISH TWO TIMES: Aug, 2, Aug. 9, 1989
BILL: Jefferson county PUblic Works
P,O, BOK 1220
Port Townsend, WA 98368
COUNTY ROAD VACATION PETITION
A PORTION OF PEABODY WAY
IN TRAIL'S ENDS HOMESITES
Notice is hereby given that a pUblic hearing will be held by the
Jefferson County Board of Commissioners on Monday,
a....,*AJ..T 1~/nv , 1989, at It/i:do a,m. in their chambers at the
Coun y Courthouse in Port Townsend, WaShington, for the purpose of
taking testimony concerning the vacation of a portion of Peabody
Way adjoining Lots 1 and 11 of Block 5 and Lot 16 of Block 3, in
the plat of Trail's End Homesites, as recorded in Vol. 3, Page 30
of Plats, Records of the Jefferson county Auditor,
.4~~--<, I!/fl--e~~
George C Brown, Chair
Board of County Commissioners
p/W
,-......,
l,,~)
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
PROJECT/WORK AUTHORIZATION
AREA
'l'HORNI1YKF:
AREA CODE:
P""hrv1Y"Ia;L-PROJECT NO:c:;] 0.814
PROJECT NAME F'Tm.n~ VJ;CJ;'T'P' pP''T'T'T'TnN.
TYPE OF WORK
BREAKDOWN OF WORK ITEMS:
COST ESTIMATE:
TOTAL:
SUBMITTED
(;,-1(. 198~
hZe.e-f0 ~~
APPROVED:
198_
BY;
BY:
DIRECTOR OF PUBLIC WORKS
ROUTE TO;
ASSISTANT DIRECTOR
INITIAL
c6
o
D
BOARD OF COUNTY
COMMISSIONERS
ACCOUNTING
:<<-
ROAD SUPERINTENDENT
CONSTRUCTION ENGINEER
-
I
i " ~~\1EO
Pi EC ,~~
J\j\.. 1 tt \S'09
"uuN'\'
JE.ff:E.I'\C' ~Ybp~s oE.?\' ,
pue.U
b
CERTIFIED MAIL - RETURN RECEIPT
1Y99 NW Bucklin Hill Road
B~eme~ton, WA 98310
July 13, 19B9
Jeffe~son r.ounty Dept. of Public Wo~ks
P. 0, Box 1220
Po~t Townsend, WA 98368
Re: Petition RV081Y fo~ County Road Vaoation
Gentlemen:
Thank you fo~ notifying us of the ~efe~enced petition. We own lot
23, whioh inoludes an app~oximatelY 750 foot long st~ip of land
bo~de~ing Peabody Way, The northe~n end of Peabody Way p~esently
is vi~tually impassable. The easte~n bo~der of that 750 foot long
st~ip of lot 23 is bo~de~ed by othe~ p~ivate p~ope~ties, and the
land therefo~e is not aooessable f~om its eastern bo~de~. The
approximate Y5 deg~ee slope of the mo~e southe~ly po~tion of lot
23 is suoh that vehioular access f~om the east is not possible.
The only available vehicula~ aocess. the~efo~e, is th~ough the
roadway p~oposed to be vacated, We have not obse~ved any e~osion
or sliding along Peabody Way. Dirt bike~s nave oocasionally used
it. We a~e not awa~e of Y-wheel drive vehioles using Peabody Way,
because until reoently, la~ge downed t~ees have blacked the
~oadway.
We the~efore p~otest the petition to vaoate this po~tion of
Peabody Way, Our p~ope~ty ~ignts will be se~iously damaged should
this petition be g~anted. If this is not summarily denied, please
notify us of the time and place of the hea~ing. so that we oan
attend.
u~ t~uly y~
~<zdL.- 'JJ! L -. .
Cha~les M. Tho~ne
AR~UR &- KATHLEEN FIa@s
couNTY ROAD VACATION
PETITION RVQ~14
REQUESf
The request is to vacate peabodY Way adjoining Lots 1 and 11 of
Block 5 and Lot 16 of Block 3, in the plat of Trail's End
Homesites, as recorded in Vol, 3, page 30 of Plats, records of the
Jefferson county Auditor, The length of the road requested for
vacation is approximatelY 170 feet and the width is 60 feet. The
area is located approximately 20 miles south of the city limits of
port Townsend, Washington, in section 16, TownShip 27 N" Range 1
East, W.M.
The principal petitioner is requesting the road vacation to
allow blocking of the road to prevent further erosion and sliding
due to use of the area by dirt bikers and four-wheel drive vehicles.
To.,...hiP 27 North. Ranq. , Ea1ot, Willa",.". Meridian
'" N
of)
~ '"
...
;;; ... 0> ...
....
5l of) '"
....
0> '" r-
... ....
ell '"
... , ....
r- ell
...
'" '"
..
of) ~ t
..
..
.. N
.... ~
..
N ~
.. 1
".
'" ~
....
ill ~
r- !!! ....,
.... ....
'" ~
....
of)
....
~
....
....
N
....
;;; ..
N
~ of)
N
'"
ROAD VACAT@ PBT%TIOK NO. NAHIl. rAJJi~/)5
A4jo1nlng Property Owner. and.. Peti tAon~r.:
Pl.~ Hame, Block' tot, or Tax NO.7ra"I%~
'" parcel NO. '75'() -100 - Sal <I' -S'il
. \u ,/N""'.' iJ;t'fl"dV F~dA:.,
(f Adcln'" /.c::-.:./ '7/' ,I,-rl' jj,jr,) k',{;./
jJ, L , (I (l X,,? f ,':-'
Plat N...., Bloc~ . root. 01' fa>< No.frO,i'') ;:".,-1 13/); _'5, ;t:, II"
l'al"c:.1 HO. qSI;'~11J1J -~?/.I/ -' /
If.... '1?1l!::1:#,l)ft/t:~;;~la
Adcll'...: IYI. I, If?/. f. 9 E.
CDJI):.v IA.JA qrO/t
Plat If...., Blocl< .' Lot, 01' 'lex No, /Y/1..JJJ &..J 13 -3 J.) ':f.
p.rt:.1HO.q..f'O-/~tJ -31l I I
If.... ~'d777 ~ ()~md
Adcln..: ;;U:+S"'), (JuA'<;'/044_ 531-,
), m-JA.7~ W/t- f:?~ ~';2.-
Plat N..... Bl{fcl<. LO~. 01' 'lex 110. i;aA~ r/1<tI" A~ J.1'1.
parc.l 110. Sh./J}J. PM ./ 6. O/t -ic.-u t:s;
N..... q<;o -do ~('? J-
Add...... 15/5, A:11'~ /1.uR. 71 ~
MJ~ AI" q~<)O{d
Plat H....af'ockU. Lo't. or Tax No.
P....c.l NO. q <) ^ - /.1J7) - 5'0.:J-
N..... {:faN; &11,.11;01 '5.&,</1)//1./ !)""W-P}""1
Aclcl...... /5 7-1 -rJuIYIIA",k,,V 0
, !If: Iu JA-ur (J
- _.-----,.,-- .. . ,
::::.:-::: Blq~._ j;; _0;;: .l:'-IJ, S; j .~'v".uA T04/ \'(;;;~~~;
""., r1i'Vv8 oj' .$'ib?1 IIAlv 66-w--flh.
Add...... u" HI /,j., -h) / ",;7'ii7f&- 7 <::J :; / 7"'1
{;, L !-I1;?7'..u.,,'Tu L t 8 k.. '5
11<;" 1.....11 -3k.5",
1)/ .
I
.-j'?' ~-.-' _ c~,. ./ <. ~J
f3~.J.....23
Plat If..., :J.loc:k. Lot. or Tax .0.
'am! ~$O'I(JV-"-I;;'~
II..., ' L U'A,A_
Add...... '( 5' ~. .cYu;,t..4-lh..... rJd:L
J!J. &; ,(J ~
' " II
.lat ..... Block. r.ot. 01' Tall .0.;;: ~ GJJ ~2.
....cd .o-;!}f;,-/rrt) -50 =! '
...., W ,Y ../16 cJ.e4r::;
Add...... {();)3 h",,-~
'?oJ.
). , .).'1-
L.g
rlat ...., alock . Lot, 0" '1'&:11 .0.
'.rcd 110.
.....
Add......
.-
---
May 1, 1989
Arthur & Kathleen Fields
5761 S. 152nd, #627
Tukwila, WA 9a188
Dear Mr. and Mrs. Fields:
Enclosed you will find your petition for vacating a portion of a
county road. Please read carefullY. state your reason for
requesting the vacation, acquire the signatures of ten Jefferson
County property owners, and return to this office with the $IOO,OO
advertising fee, Also, would you please fill in your home and
business phone numbers,
If you have further questions, please contact this office.
sincerelY,
C21,J~
E,D, simon
Administrative Secretary
Encl.
PWA 02
.-
-
;.,......'1 --
CD
o
PETITION FOR VACATION OF A JEFFERSON COUNTY ROAD
~~incipal petitioner:
Arthur W, and Kathleen N, Fields
AYthorized ReDre~entative:
same
~ilina Address:
~Ul'XSX~~
~i<U:y.lW&X~
1571 Thorndyke Rd
Port Ludlow, Wn 98365
~eleDhon~
HOllle: 437-2940
Business: none
Instrllctinns:
1, The principal petitioner shall contact the Jefferson county
pUblic works Departlllent for legal description of right-of-Way
to be vacated, A fee of twenty-five dollars ($25,00) shall
accompany the request,
2, The principal petitioner shall submit to the Jefrerson County
pUblic Works Department a complete petition, accompanied by
a bond in the penal sum of one hundred dollars ($100,00) to
cover county processing expenses, Checks or money order shall
be made payable to the Jefferson county publiC works
Department,
3, The principal petitioner shall include with the petition a
map suitable for reproduction that is no larger than B\ by 11
inches showing to a reasonable scale: (a) the county road,
or portion thereof, to be vacated: (b) the property location
and names of all petitioners: (c) the property location and
nallles of all adjacent property owners who did not sign the
petition, with an attached list of their addresses: and (d)
the nearest constructed county road to the proposed vacation,
(This information may be found in the Jefferson county Public
Works Department, the Jefferson County Assessor's Office,
and/or a local title cOlllpany,)
~quest.
'1'0: The Board of County commissioners of Jefferson county,
Washington:
We, the undersigned, being ten freeholders residing in
Jefferson County, do hereby respectfully petition the Jefferson
County Board of commissioners for vacation of the following
described road in Jefferson county (include in the description the
length and width of right,of waY to be vacated):
That' portion of platted peabodY way adjoining LOts 1 and 11
of Block 5 and LOt 16, Block 3 of Trail's End Homesites, Inc"
as recorded on page 30, VolUBe 3 of plats, records of the
Jefferson County Auditor, Washington state, and lying westerly
of a line commencing at the Northeast corner of said LOt 11,
Block 5, and terminating at the Southeast corner of said LOt
16, Bloclc 3.
~state the reason for requesting the, vacation:
'Approximately ~,i{\h't year'.,'ago 'Pea1>ody Way. a singre ll'ne, dirt road,
was abandond. !heCounty placed a wooden barricade at 'the lower end
(near South point Fetr~ dock}; ~nd pi~ed a'large dirt mo~nd barricade
adjaceni to our propetty"t the upper end (ThorndYke'Ro~d). It vas
never vacated. offically. At this time'it is not passlble by auto
and at least one si?ea.ble slide has ,occU1:r'ld.,
ou~ concern. and reason for req~e~tin~ the vacation, is furtber serious
ero~ion and slides caused ,bY dirt. bikes or 4~wneel drive vehicles some
of whom we have ,alreadY observed' 'in' the area'; Since our' property' is
located on the edhe of t~is ~~ry ~~ndi hill ve are rightfull~
concerned over an, slide tntest~. ",'
No property viII be landlocked by this vacation.
.-
-
Q
o
PETITIONERS
lI1Il!: Each petitioner must own property in Jefferson County. Husband and wife ....y
each sign the petition,
PROPERTY DESCRIPTION
(from tax statement;
include Parcel Number
(principal petitir4. Traiftsend Homesites
Ai' J.fJ n /J. I"ot 11
..." l~v.-',' .':m'..Parcel II 950 100 511
W. Fields Lot I
MAILING ADDRESS
NAME
(~ & print below)
Blk 5
1571 Thorndyke Road
Port Ludlow, Wn. 98365
'J
o 501
Homesites Dllt
Lot 1
950 100 511
1571 Thorndyke Road
Port Ludlow, Wn 98365
fJlo do( Y
17' ..,..,..
Ive -r:. (~) I
I~-'$'D THo/?/J:lJykE /.!P
PlJRr L ,;:t>l-tHV U/P 9,5'5'.6.::)-
IS6CJ -rfloR/lI:J}yKi:- RD
f'cRf/..v:t>).bU), ,Jp 'NS'.6.6-
/J go 'Tf'",;'?;frPl/ /( c f?tJ
r>o/PTI-'l-( tJ LcJlV /WI "1'?X,j-
S(.)ifl{j-I~ ~'Y' 9'l'::b~
1:L3,a; L&eR..T, f?~.
'17d rr.>sl,0;,. A-s-r
/::::>,.// Is t, c> VJ-v1 <( q 3 ? 0
p.;,., r
7?1 -r~ f2<A
ft 1vJ.1nr w.- ~/Jt 1-
(' r
('(
Acknowlede:elDent
The principal petitioner hereby acknowle~es that: (a) Jefferson County shall
require cOllpensation by the principal petitioner(s) for granting approval of the
petition. pursuant to R.C.W. 36.87.120 and Section 6 of the Jefferson County Road
Vacation Ordinance. COMPENSATlON FOR ALL VACATED RIGIIT-QF-WAV SHALL BE DETERMINED
AT A RATE OF PIFTY PERCENT (50'1;) OF THE ASSESSED VALUE OP THE VACATED PROPERTY; (b)
Jefferson County may retain an easement wi thin the subject vacated area for the
construction. repair, and maintenance of public utilities and servlces. pursuant to
R.C.W. 36.67.140 and Section 5 of the Jefferson County Road Vacation Ordlnance;
and/or (c) Jefferson County may retain an easement within the subject vacated area
for traU or pathway purposes, pursuant to Section 5 of the Jefferson County Road
Vacation Ordinance.
The princlpal petitioner further acknowle~es that eh or she shall compensate the
county for any additional expenses incurred In the processing of said petition,
whlch msy eKceed the one hundred dollar ($100.00) bond. Checks or IIlOney orders for
Bald bond shall be made payable to the Jefferson County COJIllIIss1oners Revl>lvIng
Pun~ JJ)
V/~W.7:vU (P-7~B1
SllPUlture of PrIncipal PeU t10ner Date
.-
.......
',.':,
,.,
;;; '"
0 '"
'"
'" '"
'"
CD
...
,..
... CD
'"
... '"
'" ~
...
...
...
,,., !l!
...
N .... ~
...
~
:ll !::
,.. !!!
,.,
'" !!!
,.,
:,.' '" 0
,., N
...
,.,
-;:;-
,.,
N
,.,
,.,
g
-
--~
V-"
I East. Wlllom.tt. M.,ldlan
...
...
,.,
N
"~,I : <fr
,'! ...>~
" '~~
~ -1-~~
/",0
L
-
,.,.-"..-',-- .0
-
T"I1_Im'~.I!~--l'~ I
':, ~,~. 'r, ~\ ~':':.\ ",~ ,..4 ,,:,( ~ ~;~~:; ),::~.',
o
u
:z
,z
,,..0
<J
z
OC/)z
I- W 0
Z I- ~
ot:1~
I-~~~
o O~:
o I5:
.A" 0-'
"'oU5
o Z'5'lIl
a::W5
...
I C/) 1:;
I-:..J"')
4:
a::
I-
: 4..
~,)~ .
'::1 ~~
';1:1
,
i
:
;
-1
,! j
:.nj
~'!.
w JHl!
...... .I;tiP
c{ jlz,l!
?: Jl.i;.
j:: ,~:-/t-;
f5 ~i:i~~
u l..j:;
~ :~~IJ
o 31_' f
~ ill!:
!5 Up!
U1 1'.:....;1
2 ,-t.
4 i~h;
.J '11"
.. ~:..
~di
Ijl~ll!l'l
t'111d :t
d ,Ilf'tf!i 1
"'io,"'
tf:1I1'Hti I =~ ]
-i-'1 11;15 Z ~ ~
liJ'l,'U;," j . . , ~
,. ... t t
~f:fl;~ Ii! I ~ '~;
oF 1 , " I t Cl,.
15 iJilll~-f!j f~! I~' r 8 \
;: :,'l;f' " ;' I . .J ,
j !.llt01,'T,: I' "~~;
_ "'I . t I I ' ' -'
() r r. t' .,. I
w I "'t(l! ~ I ,,~ I
o 'UIJ 'I'l I ';iIi,
I,! 1ii,.Io . ,. ~il
',Hi,I.li : ill · :
I tlr!!:pl/ ~ ~~:
,t; 'f' it, ~
It.tll It.. ~g'
-.
.JEFFERSON COUNTY ROAD VACATION PETITION REPORT
Petitioner: . ~A1;"'- rj(. ~~-:-
Address: ~Ot,O (J-{d, g~;/ !RL.
fPt , UtAJ-?l.dbf ~ fA fA 97.1' bY
Received: q-~-rr1 Phone: 3rS-c;;.%63 Bu..in....s:
WPANwnber: Petition No.---.!?V0835
';~'jJI''i''<~Et2:1~ dW~d~ dN_. +
BCC'PublicHearing Date and Time:
Planning Commission Meeting Date:
New..paper Publication Date..:
Posting Property Date..:
Principal Petitioner Verification:
Assessor'.. Verification:
q-d'S-f'f
(date)
By:
Notification Date, Adjoining Property Owners, Agencies:
Agencies
Date for Return of Comments:
Expense Report:
Newspaper PUblication Fees:
'5''5 ~ +- 'f1-~
7!!
Filing Pee:
PUblic Works Fees: (see attached)
S~ t(^"~ €i.,.,
PI1~ng D~t. Fees:
Assessor's Dept. Fees:
Compensation:
Other: ~rW.a :
,
S"JD'"4€:
TOTAL EXPENSES:
LESS DEPOSIT.
REFUND;
1M wJZ
AMOUNT DUE.
DATE FINAL AMOUNT PAID:
CJ 'l r [L..
Date of Filing Pinal Resolution:
Final Resolutions to: V
~~~esaor--v-
Planning~
Original Posting Notice to BCC____
.sb
,,=l,e
d,.Jt.:;f''1
jl",,,,, ' .J#t' J.HtJ.JH' urI' ~ llI1' JlH'
'?:.r-U4 : JJ'f' JJJf -r ut\' Illll.llf Il\I
/;},. 7: , ./Jff \lit ~
(/C'Xltr . /li1tJ;f ,
ROAD VACATION COST BREAKDOWN
VACATION WPA NO,
PETITIONERS NAME
ADDRESS
PllONE
LABOR:
Kilmer: ~ __hours @
SIN 01() Of
Br~:~hours @
Additional:
'11, 'JB-
Ilq &.1-
/q()5'
TOTAL~
'l1
TOTAL 5 -
Ih:t'.a
I 'j 7:ft-
Ihx-.-
TOTAL
TOTAL
Mailing Costs:
publication Costs:
1100
TOTAL '1
TOTAL /3J. o;!!..
TOTAL 1- !!!
TOTAL..1!f;;J. e-
%21
Filing Fee:
compensation:
Other:
TOTAL
~
TOTAL
TOTAL
'i/
GRAND TOTAL J 0 rr :--
...-
-
~
\
~\'''.';:~;W'1-'':
'::-'.1N~,>jl',
"'Ji~:.{~.
r,;/~~~f ;...~
~! .I:J'~~ ""
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P,O, Box 1220
Port Townsend, WA 9836B
(206) 3B5'9160
Gary A. Rowe, P.E.. Director
Rober' G. Nesbitt. P.E., County Engineer
December 19, 1989
Richard R, Carroll
c/o Sharon Sikes
3025 Wenatchee Ave,
Bakersfield, CA 93306
Re: George Cooper Road Vacation Petition
Dear Mr, Carroll:
I have received a letter from Mr. Cooper stating that he wishes to revise his
road vacation request, eliminating both Broadway and 13th Avenues from his
petition. In view of the fact that you considered vacating your lot lines in
Block 90 to accommodate his request, I have taken no further action on the lot
lines,
If this does: not meet with your approval, or if you have any questions at all,
please feel free to contact me, or have Mrs. Anderson do so if you wish.
I very much appreciate the efforts you made to facilitate Mr. Cooper's road
vacation request.
Sincerely,
G~~
E.D. Simon
Administrative Secretary
3f'S--9/~S
PETITION FOR VACATION OF
LOTS AND/OR BlJOCKS. R.C,\/, 58.11
Prin~ival Petitioner:
Richard Carroll
~uthorized Reoresentative:
Betty Anderson
~ailin~ Address:
S:~-.;lJ )\~I.,.I sf.
?.;et- "/bw",l.$t!-,vd, I..LJ~ 7?jJ~t'
.3f..$: 0/.:7 3 (tl;..J,.ysnv)
1'elenhone
Home:
Business:
REQUEST
To the Board of County Commissioners of Jefferson County, Washington:
I/we, the undersigned , do hereby respe~tfully petition the Jefferson County
Board of Commissioners for vacation of the following described lots/blocks:
All lot lines dividing lots 7 through 12 in Block 90 of the plat of
Junction City, as recorded on page 103, Volume 2 of Plats, records of
Jefferson County, State of Washington.
State the reason for requesting the vacation:
To KI/4I;/ (dndltcK/111 /610; sh..u ifnx:zdwa-y be /l'll.ca1€/,
.
~. t:-- <>- r::=-
~.
......
o
,.
!!Si-V-
o
~ JtJ;;;J~iJr:[) [Ii
VOLP."-,,--_PAGE:dS:S
OF (lfFICI.l.L RECORDS
LJ &..119:1%/ ~~
,?~S30 tWl -s AM \I: 40
323822
STATE O~. WASHINGTON
coUNTY OF JEFFERSON
MAR : f. Gf.BlJURY
JEffEHSQl: caUlHY /.UOITOR
Bl.".,..-,VJ'.k'DEPUll
NO.~
In the IIlAttor of
x
RESOLUTION
Vacation of portions of x
Broadway Avenue, 12th Street, x
And an Alley in the Plat of x
Junction City x
WHEREAS, the Jefferson County Board of commissioners haa reviewed a road
vacation petition submitted by George R. Cooper; and
WHEREAS, the Jefferson County Board of commissioners held a publiC hearing
on the road vacation petition on January 16, 1990; and
WHEREAS, the Jefferson County Board of Commissioners considered testimony
of the public. commentS from applicable departments, agencies and offices, and
reco,wuendation from the Jefferson County Public Works Department and Jefferson
County planning commission at the public hearing; and
WHEREAS, the Jefferson County Board of commissioners determined at the
public hearing that the publiC will benefit from the vacation of a portion of
the road and such vacation complies with the Jefferson County Comprehensiv" Plan
and other applicable plans, policies or ordinanceS; and
WHEREAS, compensation required puxsuant to RCW 36,87,120 and Jefferson
County Road Vacation Ordinance No. 3-85 has been met,
NOW, 'I'lIEREFORE l>E IT RESOLVED that the following be vacated and abandoned
pursuant to RCW 36,81,140 and Jefferson county Road Vacation Ordinance No, 3-
85: that portiOn of unopened 12th Street being 30 feet wide adjoining Lot 1 of
Block 89 of ,the plat of Junction City, as recorded in Vol""'" 2, l'age 103 of
1'1ats, records of Jefferson County, State of Wasl,ington, and extending 40 feet
north of said Block 89, along, with that portion of unopened Broaclway Avenue beins
40 feet in width and 300 feet in length adjoining Block 89 of said plat, along
~ith that porrion of the 20_foot-~ide alley beins 125 feet in length adjoining
LotS 1, 6 and the West one-half of Lot 9 of Block 89 of said plat.
ADOI'TED TillS ~ PAY OF ]fflJ.-!'" Ii.
. 1990.
I'
....----.... ...,
...' 't 'e" ".
/Jt-~-;t:,-:<" ...-
, '.... ~
(~ ,( t ' '.,.
I .~ ~ \ , i .
\:" \ ",
\ . '. \. ",. ;0.,
"~~{~,-;';,:~ ~'
l>oARl> OF COUNt'! COMKlSSlONERS
d-1YtiA' - L'---~
George C. 1\ wn. Ch4iruwon
~~A?/~~
Larry Denn:LSon. Msmber
&/!Z~/
l>.G. Brown, Kember
d:D;M 4 d, IlJ
Lorna L. Dalaney ~
Clerk of the Board
~-~.
o
FILED FOR RECORD AT REQUUT OF
om. Of PIlBUC WORIIS
,.0, 11011220
11120 JelIIl$IlIl ~.".
"" TclwlIIIllCI. WI. ....-
WHEN IIliCORDED RETURH TO
;~"""'~":"cfj.<G~'[)'ljr""'~.r/'-"'''-:--
i TH\'l;,,-r4 "~I\m?!!i'!!.~RDUI"j:
! Or OFFICiAl. RECORDS
I 1 R2~E~ ~2 ,
I, ~ -5 AM II: 40 . i
. i i~,\R)' f" Gt,GOIJRY !
i JEFFERSOli cou:m AUOITOR i
. ~ I
I DI omn I
: j
I i
I !
! I
i........~.....................h.._...U......._..n................u......J
-.................,........,......IlfI"l'Of'I'U8I:ICWOllllS'...................'..'............-.............
P.O. 801 1220 323820
Addt...,......,............................112IHe/f8l$Oll'St....,..,..-..'...........................,........'....,..
I'IIIt fowllMllll, WI. 98368
Cllt. seal., Zlp..........._..~......................._.................................................................--.......
TILE O~TOR George R. Cooper
found lA co.oo.ldarallon or mu tual benef it
Statutory Wan.lnty Deed
the loIIowiD, clM<.rihod rNl _10, ..tualed lA the CouAty or
Jefferson County
. Slala or WubiA&toA:
lA huld ll"id, """'..Y' and wamanlllo
Jefferson
A strip of land for road right of waY,being 30 feet wide and lying 15 feet
on each side of the existing center line of the Discovery Bay Cemetery
Road, 'County Road No. 500609, as it lies over and across Lots 2, 3. 4, 5.
and 6 of Block 89 of the plat of Junction City. as recorded on Page 103.
Volume 2 of Plats, records of the Jefferson County Auditor. State, of
Washington, said lines of said right of way being extended or shortened
to terminate at the north line of the platted alley in said Lot 2 of said
Block 89 and the southwesterly line of Lot 6 in said Block 89,
IEffDlSON CQijNlY f)tlSE W
loft. tto. ~ 1st J> ,
:-Fe~t'Jd4
~;9~~~:::::::::::::::::=::=:::::::::::::
...........................................................................................................
:~:~~:~:.l:~~~j 1&
~J:;*?~~;~
who ..~~!~n ond}orliolnl lnatrwDenl,
IlIId ~~~ 't'h41..n..~ lipid tho ......
.. ..~b~1ARoY~l]d voluntAry aet ond dood,
lor 1"1~":.:'~~ur~ &herein monllonod.
.. ~~ PUB \..,c./ ,?
"...,.., r- ..'.'
Gl~~,.un4....lDl~d ond aIIlcW eeallhil
, ,(", D
~~'..~ .. ..,~,..!....::' ......., !:::~:.~!.:
NotAry P I. In ~'fi~~~4
j/.llI......-.. r~... al.. , , .. . . .
.................................................................................................;'..............................
:=:~:.~~~~~~~n...'.h........J ...
boIo~ ~ ow;..iiNi'~'ni~:.r, 0,: j;j;;'WY"PUbUC"jj;"u;(i"'i;;;:"U;;ns'i&i; ~"w;;b:
lDclon. dilly OOIIUIliIOlonecl and _ ~ appoarod._......_._'_n..n.....
............................................-.....--.---..............--..........-..........--........-.....
and......._.."................n_'....._..............__......_.._n_..._..........,_..................-...........
10 .... known 10 be the ..,_......_........,......PnoicWlI and............n'........,..SOCr.tAry.
rupecti",.ly, of.................................................................................................................
te: :t1f:::=n~:~.~'U.~,:- .!~r::i.:f.~~:m~~t~:dd o~~~~~:o~
a&lon, lor tho ...... and pur_ lhorol" ......tionod. and on oaUl .tAled thol
&iii.;i"G..ir...C;;;;:po:~~,':'i ~~':""::~o":,"l ina_t ond that &he ..el
aboY'f~':;::... my hwI ond aIJlajal eeal berolo dIud tho day and ye.. AnI
.._._..._......N;;;;:p:bi~.i;:;;;;i;,U;;.8;i.-;;;:W~.._...........,.
hOldllI6 al-..__._...___..___.
SubmIt to COUI'o\~ Treasurer oflhe
county In whIch property la located.
Cl REAL ESTATE EXCISE TAX ~
Tt1.ia form i. your receipt when alampo.1
by caahlor. Pay by caah or cenitieo
check to Count)' Tro.aur.r.
PLEASE TYPE OR PRINT
CHAPTER 62.45 RCW
CHAPTER 458.8 t WAC
THIS AFFIDAVIT WIU NOT BE ACCEPTED UNLESS ITEMS <D THROUGH CD ARE FULLY COMPLETED
i / ";/ /i.'./
I
(]) { , ' @
Name , t l " 'I" ,.~ Name
ffie ..
ffi~
:Jz >,z
w"' ""'
.,a: Streel fiOf>O 01rl (;1'\rrlin~r ~d. ala:
'" '"
ell ... ~p rl Slale1'...l Z, QA1~R ell
(!)
NEW OWNER'S Name
PERMANENT ADORESS
FOn ALL PROPERTY Straet
TAX RELATED
CORRESPONDENCE CUy/Slale
o
LEGAL DESCRiPTiON OF PROPERTY SITUATED IN UNINCORPORATED
~.. :-.",1 l
....l..'
)
/....~
Zi ~;.~
I
I
State'
ALL TAX PARCEL NUMBERS
Zip
."-".,_...~,-_.- --'''''
COUNTY 0 OR IN CITY" Of
A STRIP or LAND FOR ROAD RIGllT OF !JAY l'IEING B!lI YEn' IHPE A.'lD LYING 15 I"l'.ET
ml l'ACH SIDE 01" TilE ~:XIstIJlG CElIDlER LINE OF TllE DISCOVf:RY BAY CEHE1'l!RY ROAD,
comITY ROAD NO, 5006D9, M IT LI!"S OVEIl, AND ACROSS LDTS 2,3,4,5, and 6 OF BLOCK
89 OF WE PLAT OF JlJllCTION CIT'{. AS Rl'.CORDED ON PAOE 103,'101,. 2 OF PLATS, RY-CORllS
OF THE JEFl'ER.'ION COlTrIn: AUDITOR, STATE Q1' IoIASIHlIGTO'l, SAID LINES Ol' SAID RIGh"r
nv UAY ""',TNG ,=rE!lDED OR SllORTENEO TO TERMIllATE AT TilE '.tQRTH LINE OF TIlE 'PI..A'ITED
'party if Included In ..Ie (furnllUfe, ap'
(]) '.thl'g~~tr~i\~NL~*I~ ~~TS;I~1?B~~~~ ~~~K 89 AND TilE SOUTHWESTERLY
~~~~~~~:~~u~~~~~:,u:r~II~~~~~.fd~:~~~~4.34 RCW 0
Exempt from property tax under nonprofit
Org601%811009 Chapler 84.36 RCW?
o
o
o
o
o
Recei",lng special ",aluation as historIc
property under Chapler 84.26 RCW?
Type Property:)rs] land only 0 land with new building.
o land with previously 0 land with mobile home
used building
SeE TAX OBLIGATIONS ON REVERSE SIDE
(])
(t) NOTICE OF CONTINUANCE (RCW) 84.33 or RCW ~",34)
II the new owner(s) of land ihal ill classified Of deslgnBt~rl as cunent use or forest
lend wish(ee) to continue the chilssilication or designation 01 such land. the new
owner(s) must sign below. II the nElW owner(a) do(es} not desire to continue such
classlficatlon or designation, all compensating or addltlonaltax calculated pursuant
to RCW 84.33.120 and 140 orRCW 84.34. taB shall be due and payable by the aeller
or trlilnsferor at the time of sale. The county assessor must delermine If the land
transferred qualifIes to contlnue Clo&&i1ica'ion or designation and must so Indicate
below. SIgnatures do not necessarily mean the land will remain In claslllflcatlon or
designation. 1111 no longer quali1les, It witt be removed and the compensating taxes
will be e.pplled. All new owners mUlilt sign,
This land 0 does 0 . does not quality
lor continuance.
DEPUTY ASSESSOA
o~TE
(3) NOTICE OF COMPLIANCE (Chapter 84.26 RCW)
" the new ownor(s) ot propfJrty with epeelal v.lu"Uon a8 historic property
wlsh(s) to eonllnue thla 8p~ei8' "alue.Uol'\ the Ilaw owner(s) must sIgn below. 11
the new owner(s) do(ea) not dealre to continue such speCial valuation, all addi-
tl::I081 tax calculated pursuant to Chapler 84.26 RCW, shall be duo and payable
by the aeller or 'fansteror at the time of sslA,
(3) OWNER(S) SIGNATURE
@)
Tho 'ollowlng optIonal questions are requested by RCW 82.45.120
Is properly al lhe lime of eale:
YES
e. SubJect to elderly, dlubillly. or physlcsllmpftwomen'
exemption'?
b. 0088 bulldlnG, It any, h."e a heat pump or solar
healIng or cooling aystem?
o. 0001 this conveyance divide. ourfent pnrcol o1'and?
d. Ooos 8ale Inolud8 ourrenl crop or merchantable
timber?
,0
,0
,0
,0
deed to municipal copp-
U~."ff,lj\'l''f!i'l'.''tt'<fiJ'~ of ""1 l'uP""~"
Statutory Warranty Deed
Type of Document 1.1 ~t'l1 tV
Date 01 Document ()
Grosa. Sale plice 1/ $ U
Personal Property (deduct) 2/ $ U
laxableSalePrice $ \)
ExciaeTex: Slate $ U
Local 21 $
Delinquent Inlerest: 4/State $ ~
Local $~
Oelinquent Penally; 4/Stale $-0
Total Due $
(SEE 1.5 ON REVERSE SIDE)
(!) , CERTIFY UNDER PENAL f~F~~~~I:JUAY UNDER THE LAWS OF
THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE
AND CORRECT (sea #5 on reverse for penallles).
SIGNATURE .'
NAME (print)
t:i1e..n D. ~illlon
]!5/\HJ ~1e.tt~t'!l;on co.
DATE & PLACE OF SIGNING:
r;""'r..~"",n....
SF!ECIFY (cirC]e): grantor/grantee/granlor's agent/grsntee's agent
Address of residence or place of bu.lnes8 of person signing (specify):
1820 .Jefferson
rt. Tmm"..od, 1,M963Ml
NO
.0
20
20
20
8. Doee conveyance Involve III trade, partial
Intefltsl corporatlll afllllute8, related parlles.
\rust, receivership or IlIn esllllle?
f. Ie the granlee acllng 8S' nomlnBe for. third
porty?
g. Principal use:
, 0 80rlr)ul1ura\
4 0 apt (4 + unlta)
7 0 oommerolel
YES NO
,0 20
,0 20
2 0 condominium
5Dlnduatrlftl
B 0 mobile home
3 0 reoreallonal
e 0 re.ldontlal
9 0 tImber
TAXPAYER
rORM Rtv .,.0001 SI!'I1,/,188l -IU\&'
FOA TREASURER'S USE ONL V
':':'.'33
..-
-
o
Nona OF IlfSCIIEDULED puauc HEARING
,-' COUNTY ROAD VACATION PElITION
',',"'APORTlOH OF 12th, 13th ST.,'
"ANGIOR AND BlOADWAY lVENUES,
";,' ",' A aRTAlN AllEY 0 ,:
o "0" AND VARIOUS LOT UNES
,'::"",,';' IN JilHCTlON on,:: ,
Notice I. hereby glvon that a, pubhc
hoarlng will bohold bY,the,Jeffonon;
: Cou.rity Board :.,C?f CommiSSioners on
'Jan.'16,1990;atl0:30a,m,lntholr
'-chambers at, the--County Courth~use
~tn:Port, ,Tow,uend, ;Washington, for
the purpose: of, t,a~i~9 te:,timony con-
i eerning the ,vacation. of a p~rtion of
13th ,Str~ot and Broadway, Avenue
'adjoining" Block" 89",01 ',ho, pial. of 0
Jundian Oty 'along wllh tho port,on
of .~chor, A~Qln~e. odioining .L9ts ,7,
'08' and the we.t one.halF of, Lot" 9, 01
,'s~id Block;: and, th020-lo~t, w,d~
;' planed ',alloy' In: said, Block,; Add,-
tionally ~ the request is to vO,cate the:
lot lino. between 101. one through 9
,oF Block, 89: ,.Tho aroa islocatod ap-
'proximately', 10 milos, .authwost of,
the city: limits of 1 Port. T ownHn~, '.
Washington, In Section 13, Town$hl~
29 North, Range 2,Wo.t, W,M"
George. C... ,Brown~ ,~airman .:'.,r,
Jeffenon, County :,!:!\, ..',:i:'!: _;,:._'(i' '~: <.:, :;.~
Board of Commlllion~rl'-",'-.'.' ;J'~-,'<
'0 ',.,'," 1765'
Affi~;3h of Publicotion
STArE OF WASHINGTONj
COUNTY Of JEffERSONl
FRANK W, GARRED. being ~wOfn, ~oy' ht! tithe p\fbl;~htt. 01
rho Pc;.f1 TownUlnd/Jeller$on Counry LeodCH, 0 we",.d)'
nllw~popef which hOI blltln tI~robli~hed, publhh\Od in lht! En911~h
lon9uu911 and circulored continuouloly o~ 0 wlleld)' f'Iewlpopltr
;f'1 rhtltown 01 PorI TOWmllnd,;n ll,lid Couf'IIy and Slore, and for
genorol clrculollon in ~o;d coun.y fa, more rhon ~i.. (6) monlhl
pfio, ro rhe dOle allhe lir~1 publicorion of Ihe Noti", her era 01.
lochud, ond Ihor rhe loid PorI Town lend/Jefferson County
Leode, wo~ on the 271h dol' 0/ June 1941, oppro\led o~ Q It'go!
new~poper by thtl Superior Court 01 ~aid Jefferson Counly, and
Ihot anf'lel<ed i~ ~ru" copy 01 ,he
Notice of rescheduled public
hearing-county road vacation
petition a portion of 12th
Street, 13th Street, Anchor
and Broadway Avenues, etc.
01 i. appeared in Ihe regular and enlire iuue allaid paper ihell
and no. if'l a luppremen' rhereollor 0 period 01
-_tl1_J;:-~_,___~MH*:i+ week~, beginning an the
~_day af.December, 19J12_,
a'''x~~~~'~'~'''::'':da~ of: 0 th J all.~D'-,
19~, and Ihalloid neW$poper WOI regularly dillribuled
10 ill lub,criben during all althj, period. Thai rhe lull amounl
01 5_7_7-._0-D_hol been paid in lull, Ollhe rOle 01 5.5.50
p"'a~_~
SUb'Cribed and sworn re before me Ihil~_Q.!:.~ey 01
__________,.:J:~nu~:r.L____o 19J..Q..,
C'--EO;.e<d.d. ~ #d_<'d/
Noror)' Put?rfc~lare of
Wo,hinglen, reliding 01 Hadlock.
L
o
1'i><'.;WJJ:1,,!
"".r;;".~.~
~~;J~
rj'",;r>.- ~
,', "')"
0)
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P,O, Box 1220
Port Townsend, WA 98368
(206) 385'9160
GafY A. Rowe, P,E.. Ditector
Rober' G. NesbJlt, P.E., County Engineer
January 26, 1990
George Cooper
6060 Old Gardiner Rd,
Port Townsend, WA 98368
Re: Road Vacation - Broadway Ave., 12th St" and an alley in Junction City
Dear Mr. Cooper:
We have received the final cost on the Junction City road vacations. A breakdown
is as follows:
Staff Time
Mailing Fees
Fil ing Fee
Publication
Copying Fees
Compensation
i
$ 195,81
4,00
7,00
132,00
8,00
~
1,088,81
- 100 00
988,81
Deposit
The balance of $988,81 remains, When this fee, along with the signed deed for
additional right of way on Discovery Bay Cemetery Road, is received by the
Jefferson County Public Works Department. the Resolution will be filed and the
vacation completed.
If you have any questions, please feel free to contact me.
GC'~
Eileen Simon
Administrative Secretary
xc: RV0835
*This has been adjusted, subtracting the right of way you will deed the County.
100% Recycled Peper
-
.
.
COUNTY ROAD AND LOT LINE
VACATION PETITION RVO 835
CEORGE COOPER, PETITIONER
REQUEST
The request is to vacate a portion of 13th Street and Broadway Avenue
adjoining Block 89 of the plat of Junction City, along with the portion of Anchor
Avenue adjoining Lots 7,8, and the west one-half of Lot 9 of said Block, and the
20-foot wide platted alley in said Block. The length of the portion of 13th St,
requested for vacation is 300 feet and the width is 60 feet; Anchor Ave, is 125
feet in length and 70 feet in width; Broadway Avenue is approximately 330 feet
in length and 80 feet in width; 12th St, is 130 feet in length and 30 feet in
width, Additionally, the request is to vacate the lot lines between lots one
through 9 of Block 89, The area is loe.ated approximately 10 miles southwest of
the city limits of Port Townsend, Washington, in Section 13, Township 29 North,
Range 2 West, W.M,
Tha principal petitioner is requesting ch(~ road vacation to create a usable
building site.
FINDINGS
1. A 'petition for vacation cfa county road is ,made pursuant to the Jefferson
County Road Vacation Ordinance and is subject ~o its requiremencs and
cd teria.
2. Notice of the proposed vacation was made to appropriate agencies and
adjacent property owners. Response by agencies is shown under "AGENCY
RESPONSES"; response by property owners under "TESTIMONY",
3, Review of the proposed vacation by the Jefferson County Planning Commission
is scheduled for December 6, 1989, Notice of the meeting was made by mail
to all petitioners and abutting property owners.
4, A public hearing was scheduled by the Jefferson County Board of
Commissioners for Monday, January 16, 1990, at 10:30 a,m. in their chambers
at the county courthouse in Port Townsend. Public notice of the hearing
was made by publishing legal notices in the,January 3 and January 10, 1990,
editions of the Port Townsend Leader and posting the subject site with
notices.
AGENCY RESPONSES
1. The Jefferson County Public Works Department states that it has no
objection to the vacation providing the following conditions are met:
1) A thirty foot (30') wide right of way shall be dedicated to the County
for Discovery Bay Cemetery Road. 2) Access to Lots 7,8,9,lO,ll,and 12
of Block 90 should be guaranteed by the Washington State Department of
Transportation.
2. The Jefferson County Assessor's Department stated ~hat the assessed value
of the vacation request is $5,980.00, Compensation for the vacated area,
determined at a rate of 50% of the assessed value of the property would
equal $2,990,00.
3. The Jefferson County Planning and Building Department had the following
comments: 1) The area of the proposed vacation is designated as suburban
by the Jefferson County Comprehensive Plan. 2) The adjacent public roads
(State Highway 101 and the Old Gardiner Road) are designated as bike trail
routes by the Jefferson County Park, Recreation, and Open Space Plan. 3)
A suitable means of access to the cemetery (east 1/2 of Lot 9 and Lots 10,
11, and 12 of Block 89) should be maintained for ongoing use. The existing
access (Discovery Bay Cemetery Road) appears to dead-end on t.he
petitioner's land.
4. Jefferson County Sheriff's Office msde no response to the request.
5. U.S. West Telephone made no response to the request,
6. The Emergency Services Council msde no response to the request.
....-
7. Fire Protection District No.5 made no response to the request.
8. puget Sound Power and Light made no response to the request.
9. United Telephone made no response to the request.
10, The Washington State Department of Transportation had the following
comments: "Approaches onto the State Highway need to be kept to a minimwn.
Each a.pproach is a safety problem, turning movement onto and off the
highway. We need to use County intersections and common approaches as much
as possible. If this County road is vacated, property access from the
hack side would have to be by easements. II
TESTIMONY
Adjacent property owner Richard Carroll objected to the vacation of 13th Street,
He stated that in 1977, when a portion of Broadway was vacated, he had been'told
that 13th St. might someday be opened to provide access to the cemetery. Due
to the steepness of the bank, access from SRIOl to Block 90 isifflpractical, and
this virtually landlocks the lots in that block, Granting this request would
also divide Mr. Carroll's property and make it less desirable.
PLANNING COMMISSION RECOMMENDATION
The Jefferson County Planning Cornmission reviewed the request, findings and
agency responses at their meeting on December 6, 1989. The commission
recommended that the vacation request be tabled until the January 3 meeting, when
additional information will be supplied,
At the January 3, 1990, Planning Commission meeting, the Commission recommended
unanimously that the County vacate the ~O-foot wide alley adjoining Lots 7 and
8 and the West half of Lot 9 in Block 89, as well as 12th Street adjoining Lot
land extending 40 feet north of said Block, and the South 40 feet of Broadway
Avenue adjoining Lots 1-6 of said Block. In addition, the Commission recommended
that compensation for the vacated area be reduced, on a square footage basis,
for the additional twenty-foot wide right of way of Discovery Bay Cemetery Road
to be dedicated to Jefferson County.
BOARD OF COUNTY COMMISSIONERS ACT10N
Tqe Jefferson County Board of Commissioners review~d the reques~ at a public
hearing held at 10:30 a,m, on January 16. 1990, The Board unanimously approved
the 'vacation as recommended by the Jefferson County Planning Commission.
0,:..
.'.'
GL.Of::bi'" f"~ ~ C'UUPl::F<
6(l60 Old Gardlner Rd.
Port l"owrlsenlj. W2!~I-\.
:::;EJ:~5 ::.::86'.:::
Dee _ 161 1 (1139
Re: Road 6nd lot vacatiol1 GCpllcatlon.
Deal'" l"ls.. Simon~
1 wlsh tCJ l'"eV1SI.::.' my c-e'cit.:ton {Ot'" r"oc:ld ~nt:)llca:i(JI'1 as
-follows:
Vacateth0 al18Y between lots "7" 8. 3nd tne West 1/2 of lo~
nll"l!;?! df"'1d 10"1:':;;;' 6" ;:; i.\nd lrJGSit :1./2 of lo.t: 4.
Vac~te 12th Sti'"eet.
Slnce the value of the remaining
I 'feel like paying for land that
gat, I do not dssir-e to vacate any
is not erlough that
property owners will
of the otner stree~s.
Since the county is asking for a '30 foot right of way
through my propel~ty for the Discovery Bay Cemetery Road~
request a square footage trade be made for ],and given and
r ancl r ec l:? 3. vl-?d"
l'~'ere is approxin;ately 25() feet af road
ma~~inga square footage of 7500 50" +t~
sq~ ft~ and 12th Street" 3300 saM ftM
an my prooerty~
The alley has 25(10
I certainly do appreciate all the assistance you nave glven
me, thank you very nluch!
Si nC('?I"'el y ~
@.wI.fjz-,\.2 rSJ"r---
Gt.:.~CJr'gf-.? F~" COL1pel'.
1Dl'lI"'f~""
".,-
--
Q
o
12/19/89
Mr~ Karmet Hilson spoke to me in the Public Works Department office about the
Discovery Bay Cemetery in Junction City. He stated that he has taken care of
the cemetery since the late 1940's in an unofficial capacity. There is no
regular or employed caretaker, He said that he and Smokey Stover had been trying
to find out for many years if there was any individual or group responsible for
the cemetery and were'unable to obtain any information. He has been asked, in
the past, by John Brown to go to the site and select burial plots based on his
memory of unused areas. He added that there were no plots laid out, nor was
there, to his knowledge, any charge or system for arranging burial. His only
information was that an "old-timer" told him many years ago that the area was
Bdonation for public use.
~,
.-
\
......,-'...,-,~fJy''''
,\:".,,:> !/',..:.')./1.'(
::::'J~~~",.,,-
.<<t?;}~7.~c
r( /.~'~ ;--. ~
.:'" )"
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P,O, Box 1220
Port Townsend, WA 96368
(206) 365,9160
Gary A. Rowe, P.E., Director
Robert G. Nesbitt, P.E., Cot/my Enpineer
December 16, 1969
l<.8.rUlet Hilson
580 W. Uncas Rd,
Port Townsend. WA 98368
Dear Mr, Hilson:
Peter Badame of the Jefferson County Planning Commiss1on suggested that I might
coneact you for information on the old Discovery Bay Cemetery. I am unable to
find out who actually owns the cemetery or is responsible for it. I would
appreciate it if you could contact me at this department or call me at 385-9165
at your earliest convenience if you are able to help answer these questions.
Thank you for your time,
Sincerely,
6~J~
E.D. Simon
Administrative Secretary
.-
NOTICE OF RESCHEDULED PUBLIC HEARING
COUNTY ROAD VACATION PETITION
A PORTION OF 12~h ST., 13th ST"
ANCHOR AND BROADWAY AVENUES. A CERTAIN ALLEY
AND VARIOUS LOT LINES
IN JUNCTION CITY
Notice is hereby given that be held by the Jefferson County
Board of Commissioners on ~', 1990. at /O:,;d A M
a,m. in their chambers a the County ourt OUBe in Port Townsend, Washington,
for the purpose of taking estimony concerning the vacation of a portion of 13th
Street and Broadway Avenue adjoining Block 89 of the plat of Junction City, along
with the portion of Anchor Avenue adjoining Lots 7,8, and the west one-half of
Lot 9 of said Block. and the 20-foot wide platted alley in said Block,
Additionally, the request is to vacate the lot lines between lots one through
9 of Block 89. The area is located approximately 10 miles southwest of the city
limits of Port Townsend, Washington, in Section 13, Township 29 North, Range 2
West, W.M.
-;::!f~o~,
Jefferson County
(1~_,-,
Chairman
Board of Commissioners
~r""'"
-
x
.IIl::b.
.;: ,-.:.1><".-.-:',-. ~
.'"
'. .
G)
I PARCEL No, 9,;/~ /:;;;. 004
",
I f} ~ ///;/ LiOD (J,,' I ~ITwpl Rge I Block ,
I './t;;, District Code
I
(I 71/'11 !137jrtfd(W l()tfR 1~5tJr5/Ir)l)..
11/1. }d- Jl J..-I- lu)V ISro 1.0<(,.-,/1 Jay c::< (:! 1.// ;tk>-<j )
.// h /F'lUJ
().JV/JJ fl. /:?Ah./'_- if A' l*'h9I3J'/:?9;;~5CJtJ
(;
Description
TBR CO DO
Grade Ac
OS AD OS 0 TO
Grade Ac
Refor 0 Ac
YEAR IMPROVED UNIMPROVED TIMBER LAN D TOTAL IMPS TOTAL Comment
VALUE
- ACRE VALUE ACRE VALUE ACRE VALUE ACRE VALUE VALUE
,f'/ J,O n /350(J /. Or; /3501. .?;?hh /l r.-"1 lL ,.,
A';;z. IN) /37M tOfJ J~ t011'1 :?J't6/l ~/h/J
gJ! 1.00 J ~ 1;(00 J. d(J J? t:::n1 :?,fhklJ k'-:> J/ /l ,
?l,T !tJo I!> 50 0 1.00 135'00 ';1 If? 0 1/-5' & 'lo ,-/e.
"
\
. , . ,
SENIOR CITIZEN EXEMPTION
YEAR
Code I S~ oq r,
~
t;,
I,
...
<
4 "11 (0 1-I('~A,r:-/j
c..
~...-
c:tv
~l'J./\ '\.1' j: ; .IX\
'1-16\"2,
~ 'R. 6\ v,J \;)J:)J'\ E'2 ..n.c. p'l'\
n:iID ,J ' Ij,/~, oW <!-1,]-77
\\i~':c (j.,
Description ,jt ~ I ,I>!.o j,
\-S0"stli L.\
e~, f)Vt.
,~':';"~\: 10175 "ZQ/21 -b
V
(;'~
'C " (.
" ,~T.Ml!' \'L~'"''':C'''
TBR CO DO
:)
o
District Code
r:UYl ~
\ ,,(i):J) IJD.c, 0'~' 5:lv.:"),.).I,rJ_~ O/\)t h<;.J!
\-SD1"5I''2 '-I
Description CY'vJ -"\9 -11
Cth'D
~U"l\tJJ~'l ~ 1J9
9 E'h.. '
QS'I
PARCEL No,
District Code
Wh..;
15(.(')t'.~
. 'i ~ I-SO~S tD!.. I
)u~:{fn ~
II io"kr I 2... '
,( L..e:.s s c::.l!1:M 1I!....""o:a.,.. t +,\..f'T" 1':/"",')
( "'<Tl-4 Ie: R. . 'p<t-J ,B~l<:.. 86')
~,
'i
l:"~:
f
~l"
!;.
~,"
t
~t."
~,
.'
~'
-'t'
;.
'*
j,
f
~'f~,""'" . .......
;<r.;
.
<C.
1',"
C0Wb~;\,
J "
I ',' ,d \,
.11
...1
"; .,.
YEA-Fi,IMPRPYED UNIMPROVED TIMBER LANDTOTAi: -'IMPS
,-" <,' ..-..:1'....., : -'..' i. ,:. ."..';1 f'e'}.::~.-~'~ ;\.! "'''. """.. ,-,' . ;~;, '."- -' -
".X>: "~~.~~ ;vALlIe A~RE V~LU~ IA~~,E VAL~;. ACRE VALUE VALUE
. ",.,','::';':;,'" " " I'" '..',
',>", '., .. ",: \e,: ,'.. . " "
, ".",
, .
,
...... -::':' '
........ -... '-
" '.. >";. "';,;'.' I:';",:.> .';, '>' ," .:,'
'I : ;",:::;'; ":/';:;,:i:";';":;:,:,,~,:,:.I';:,\,,:: I'",':.' ",,-,.;,',;,
'.',',' . ',' ,',. I:,.':',:~!:, .', I ','.': "/',
,: ""f'"I, '...',;.:...,,;,.,.,,:,:,.,.:.
'.,',:";,:.}~;,> ;i,f,'<k;' i';i~~',:':' '\::';:...., f','._ ..'
;.".
"
, I,' ".\ '
,;,',..,":,'..." C.',.:..., :
:' ,~..,/:r:{~{7~&;~}1\~~t~:~,~'.:. :~:'~ :', ;;:!':',/~/. '_:~: ~~?tt.!~:~~~~~~~~;:~~~i ~:f{~ }Y{:.:~\~ 'I~ ~~1i~!J ,';
~~i,;'
'::' :(~),X~~;~::: ",~:~,~{~~\i :;tN:~/j.~~( :,t!~:i;::~ ~~!},,", .::.~' ;,,~..:,:~.I~.'I .::~:/;.::tk~~
U.~~~:(p',ry;C;I~(;" '<,'C '''''''~;f',p.'~,;:r;tA:'':!,:;~j~~:'; :"i;:~;;j~;;!-i
TOTAL
VALUE
-Com'ment:
, ,
,.', ~'i:~;,;,i
'- .,
", '
,
,
.
, ,',.
'" <,," . I':;.,
,
t.,' ,..." ,",,:',':";"..
,,~:,~\~(~:;~.<:,' ~.,/:..~. ?(t.l:.:.;7~du....
~"iS ,,~~~ i\)(tl< ~Ar.i~ 1~1.W :r.til: ~"f.~.
, ' ',..': l,"",~.. ..".;;, ',~,,1," ",.-.0. ..,'~, "'>',f,"" ..:.
~'~>r.l,~J '!;__;:~: ~'-,~;.l,;'~ l;-~ ~~i~g .~t, ~,\,,~~;'.. ','t
;.~,~~~~-e~~';,~L.:i~~g~~?~~.~~~,~,~D_,:;t,:~~~.~'.~+~~~:'~~~'~~~'~~J.~:':_:~<"":' ,., " . -.~
:. ~"",J<"
':' "
',....
,
.
/
:.
:, :.
"
',"',
,;
\'
.."". ,
',' "
;, '.
'::':'\'::,,/!<:,:' .
... ,,:"
':,..' :;': " ,,'"
'.." .." ,,'., ':, ,', .,:,> .' ;;', ""i', ",'"
;:' .'. ,',:, c..'
..,..:".:..., " , ...., .' "',:.' ",'.', '",,'-: ',' "'.
,,' , . ,'," ",' i <: :.. , ,', ..
,,',' ,..
....
-
rr't. (H 1'1' I,! v {7 I
(;) ~J t'!~ U f r",k t'J"'
.. ~: t;j ~T~ , ~ i ,lJ~~ f.t
S. f, f ,'~ --rtf I L
r j. r f1 ~lf JJ t:~r
r>' ~ t r t. ~ t JJ f .
1(~1 H' L-~; f f~~ f. fJ
li/W .~! 1 rL
.f:.. }'
. .
. .'
t-JOI.)-27-"8~r101,J t7:0S ~
\~I
e!:;~'T !~!-i"if;1 F,';', pj:n
'-'-"I"'~,'''-' ~,t;;'::.o"" C7-'-'c.-?"'" ....lg~ Pl'~
,~_,-)-",~}._~""", '___'.J<...~,.~'.' ".0,;) .,.-::
DOT
"(,>f\""t"J':1.mr,(>
~.wlu<J (Pt~ nil ... ,!IV
f)~~~~
iNTRA,DEPARTMENTAl. COMMUNICATION
DA'rl!. NOV4Illbs:r '1.7 J 1989
PFtOM: Bob Lo.ehonkohl
~~ON": 457-1181
:fA 't: 4'57 - ;;;J}:i,:). "(
tiue..:::.c"f: VbC4lt!on Pca.1t.i,)t1 _ liV0335
T(; lHlr.!n
Juffet";io;;JJ{ CoU,lll:,y
h); Q3SS-9l65
A.pprofichee onto the Sta.t.e Highwll)" need to be kept 'to 4 minimun?.. :ill-ell
~pprt)A~hi!la &Af'~t.y problem. 'turning rrlOVtoloWtnt onto and off r.~lcnigh'W~y.
Wtt need to u:o!t~ County int.~l.tteet:ione nod c.OA1Y.)n b).lpro~che:ft 4" much 46
j?olJuiblQ..
! f thl. County ROAd h v",cllt.ed. proper1;y aC""&8 hom the back ftde ',mu1d
'bavl.'!': r.c be by eDeen~t1t.a or eometh1-nt\..
M~
WSlJOT _
1f::-1 p~~
it- t!::, f l'e'l JW
f.o .~ CJ.5D
fJc,~ -
q fS(p7--
"*",,,,
-
A
;. "~'-''-"'.4''.,.~.~;;J,..;,..,'~;';,. ;,~,};,;:;,:,.~<\i':;..'<.:;;~;,~c~~;;;(: )'ii.;._:,';;:;:'~':;'::l'",;,'~'-:;'i:;{,:~i;.0'~~~.:;:.,.B;:',~;'~~;a;:~i;~t;
\
o
~J:~'-W2,-1
'\';;4,\ 17'(0,'</, Y,', " "
~~~~~W.~
~i:l~(
rr/f~~--'-'
P-'\0'):\'O ..
o
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jelterson Street
P,O, Box 1220
Port Townsend, WA 98368
(206) 385-9160
Gery A. Rowe, P.E., Director
Robert G. Nesbitt, P.E., County Engineer
MEMORANDUM
TO:
File
S, Kilmer, Public Works Department~
FROM:
DATE:
November 28, 1989
SUBJECT; Vacation petition RV0835, George Cooper petiLioner
The Jefferson County Public Works Department has no objection to the vacation
providing the following conditions are met:
1) A thirty foot (30') wide right of way shall be dedicated to the County
for Discovery Bay Cemetery Road.
2) Access to Lots 7.8.9.10,ll,and 12 of Block 90 should be guaranteed by
the Washington State Department of Transportation.
100% Aecyclod Flaper
1IJIIU!1""!T" "'
~ ""
-
e
.
POSTING NOTIGE VERIFICATION
NOTICE OF PUBLIC HEARING
COUNTY ROAD VACATION PETITION
A PORTION OF 12th ST,. 13th ST,.
ANCHOR AND BROADWAY AVENUES. A CERTAIN ALLEY
AND VARIOUS LOT LINES
IN JUNCTION CITY
Notice is hereby given that a public hearing will be held by the Jefferson County
Board of Commissioners on Monday, December 18, 1989, at 10:30 a.m. in their
chambers at the County Courthouse in Port Townsend, Washington, for the purpose
of taking testimony concerning the vacation of a portion of, 13th StreelO and
Broadway Avenue adjoining Block 89 of the plat of Junction City, along with the
portion of Anchor Avenue adjoining Lots 7,8, and the west one-half of Lot 9 of
said Block, and lOhe 20,foot wide platted alley in said Block, Additionally,
the request is to vacate the lot lines between lots one through 9 of Block 89,
I CERTIFY THAT THE ABOVE NOTICE WAS POSTED AS PRESCRIBED BY THE JEFFERSON COUNTY
ROAD VACATION ORDINANCE,
/jc4/(.f)~/)
~1ff,1/J:^'i F-N1R
( ITLE)
11-21-'89
(DATE) (
...-
;'""';t'i..,"
e
"
PUBLIC
NOT ICE
NOTICE OF PUBLIC HEARING
COUNTY ROAD VACATION PETITION
A PORTION OF 12th ST,. 13th ST.,
ANCHOR AND BROADIlAY AVENUES, A CERTAIN ALLEY
AND VARIOUS LOT LINES
IN JUNCTION CITY
Notice is hereby given that a public hearing will be held by the Jefferson County
Board of COl1llllissioners on Monday, Dec. 18 , 1989, at 10:30
a.lD." ill their chambers at the County Courthouse in Port Townsend, Washington,
for the purpose of taking testimony concerning the vacation of a portion of 13th
Street and Broadway Avenue adjoining Block 89 of the plat of Junction City, along
with the portion of Anchor Avenue adjoining Lots 7.8, and the west one-half of
Lot 9 of said Block, and the 20-foot wide platted alley in said Block,
Additionally, the request is to vacate the lot lines between lots one through
9 of Block 89.
~..-..~(1___E~~
George c. Br , Chairman
Jefferson County Board of Commissioners
~
--
, e
.r;:;:J7f,,~;~;~f\:~:;'~~.
('...._;..1 ',.... r'o '11".' p.....
(~:~,I~f 't .~>._ .' ;,;.:j'~- f('.~
rJ:i! l#.,,!( .' ~"_i'r ..... ~ ..../,t, , ~.'
'P.('~' ".;;!c~ .'-::,'~ :"'11lf2" ~,:,',_t~
i(:' Ji;. .,,;,;;r.'rJ:,~=,= ,,;;.:,~,'
\-. ,~u;c ,,:' '1~'
; ',:, :r ,. ),~~{3.:1~ ~~. A ~,
~".,..,",,,~..,~~ .. _ '"I" '. . .,)t .
-:Z:.i:~~l~ ~:;.;~~ .~~
e
JEFFERSON COUNTY
PLANNING AND BUILDING DEPARTMENT
p,o, Box 1220
}lort TowJls<.'nd, Washingwn 08:308
Planning (206) 38fHn40
Building (206) 385,!J141
David Goldsmith. Director
JEFFERSON COUNTY COURTHOUSE
MEMORANDUM
DATE;
SUBJECT: George R. Cooper Road and Lot Line Vacation
November 16,
Depart~ent ~_
Associate Planne~
1989
TO:
Public Works
FROM:
.Jerry Smith,
The Jefferson county Planning and Building Department
following comments on the Cooper road and lot line
requ.est.
has the
vacation
1, The area of the proposed vacation is designated as suburban
by the .Jefferson County comprehensive Plan.
2, The adjacent publiC roads (state Highway 101 and the old
Gardiner Road) are designated as bike trail routes by the
.Jefferson County Park, Recreation, and open space plan.
3. A suitable means of access to the cemetery (east 1/2 of Lot
9 and Lots 10, 11, and 12 of Block 89) should be maintained
for ongoing use. The e~isting access (Discovery Bay Cemetery
Road) appears to dead-end on the petitioners land,
.....-
-
e
'" ""~' Co'. - --,
. .r->f --; :.l~7-AJ"."
,. :.;:.;-::. ,...., , ..,.~r J
f!...'-:'I. ~....:" 'J~ tf1
~Hl~,f \,.~ ~ ~~'~' '~.}:}
(,'j-. .,f') ~m'l' ,', :t"
_It. ""~'-,' !
.., \ ~~(;:., )t.!: ,- . J~;!:"
~~C:_~~
OFFICE OF THE
JEFFERSON COUNTY ASSESSOR
P.O. BOX 1220, COUR11tOUSE, POlCT llJ\\'NSEND, WA lHI30M
(200) 385-9106
JA.CK WESTERMAN 1lI. COUNTY ASSESSOn
COUNTY COURTHOUSE 1892
November 1. 1989
TO:
PUBLIC WORKS DEPARTMENT (EILEEN)
.JEFF CHAPMAN. ASSESSMENT OPERATIONS MGR.
FROM:
REQUESTED VACATION OF PLATTED RIGHTS OF WAY AROUND BLOCK 89
OF .JUNCTION CITY
RE:
BASED ON THE INFORMATION PROVIDED. THE VALUE OF THE RIGHTS OF WAY
IN QUESTION WILL BE $2.990 (56,450 S.P. @ $0.106/S,F. · 50%),
WE HAVE NO OBJECTION TO THE VACATION REQUEST,
Cl
-""l'.(~~
CD
PETITION FOR VACATION OF LOTS AND/OR BLOCKS, R,C,W, 58.11
Principal Petitionerl
Georoe C. Coooer
Authorized Representative: Same
Hailing Address:
"c.?t;~
cia J,A. t1aclc~1 Old Gardiner Road
Port Townsend. WA 98368
Telephonel Homel~85-(H.l.4 2&'1;3:
REQUEST
Businessl
To the Board of Commissioners of Jefferson County, Washington I
I (we) the undersigned, do hereby respectfully petition the Jefferson
County Board of Commissioners tor vacation ot the tollowing described
lots/blooksl
lots 1 through 8 inclusive of Block 89 of the Plat of Junction City as recorded
in Volume 2; page 103 of Plats, Records of Jefferson County, State of Washington.
.v
state,,;'the reason tor requesting the vacation:
/~ Cc."'<..J .::r-"r-J("'",r~~ L-J .'.-11 ,;2,.,./:J/i. //~c/_ln.J...-J
.
<<9
PETITION FOR VACATION Or, A JEr,FERSoN COUNTY r:OAlJ
etinclpal PetitIoner: George Ie Cooper
AuthoL.jzed Representative: Same
Malllnp: Address:
,,,~..,
~d
6G4-1 Old Gardiner Road
Port Townsend, WA 98368
;!9,,;
385-00H lIusIness:
Teleohone:
Home:
InstructjO~:
1. The principal petitioner shall contact the Jefferson County Public Works
Department for legal description of right-of-way t.o be vacated, A fee of twent~'-
five dollars {$25,OO) shall accompany the ,'equest.
2, The principal petitioner shall submit to the Jefferson County Public Works
Department a complete petition. accompanied by a bond in the penal swn of one
hundred dollars {$100,OO) to cover county processing expenses. Checks or money
order shall ,be made payable to the Jeffersoll County public Works Department.
3, The principal pet.itioner shall include with the petitjona map suitable for
reproductioll that is no larger than 81> by 11 inches Sl10wing to a reasonable
scale: (a) the county road. or portion t.hereof. to be vacated: (b) the property
location and names of all petitioners; (c) the property location and names of
all adjacent property owners who did not. sign the pet! tion, with an att.ached list
of their addresses: and (d) the nearest constructed county road to the proposed
vacation, (This information may be found in t.he Jefferson' County Public Works
Department. the Jefferson ,County Assessor's Office. and/or a local title
company. )
Request
.TO: The Board of County Commissioners of Jefferson County. Washington:
We. the undersigned, being ten freeholders residing in Jefferson CounW. do
hereby respectfullY petition the Jeffe,'sOll County Board of Commissioners for
vacatioll of the following described road in Jefferson County (include in the
description the length and width of right of way to be vacated):
That portion of 13th street being 60 feet wide by approximately 300 feet long
adjoining Block 89 of the plat of JUllCtiOn City, as recorded on Page 103, Volume
2 of Plats, Records of Jefferson County, State of Washington and extending
southeasterlY to the northeasterly margin of County Road #501109 (Old Gardiner
Road) on the South and extended northwesterlY t.o the southerlY limits of the
vacated porlion of said 13th street adja"ent to Block 90 of said piat: also that
portion of the westerly 125' of Anchor Avenue adjoining said Block 89 and lying
northerly of said County Road No, 501109: also that portion of Broadway Avenue
being 80 feet wide by approximately 330 feet long extending from the easterly
line of 13th Street to the easterly line of 12th Street adjoining said Block 89:
also that portion of 12th Street being 130 feet long by 30 feet wide adjoining
1,01', 1 of said Bloclc 89 and extending to the northwesterly 1111e extended
northeasterly of Lot 12 of said Block 89; also the 300 feet wide by 20 feet wide
platted alley lying In said Illock 89,
EXCEPT any portion of said roads that 1 ie wi thin 30 feet of each side of the
centerline of County Road #500609 (Discovery Bay Cemetery Roed).
State the reason for reques Ung the vecati on,
~,,~.. c:rA't-~;-':,4~
..,..,d,E ""'.....""7 :al-",'.<'~r" ~"f ~,~~~fL
/!"""d .-;J.x.ul4~J 3 r-'fA~~~-.t2I!:1'!21'-bL
.1leAJ2LJ/.d~daJt)~_f<r~"'y",U:1d"""
Q
(1'
PETITIONEllS
l101'E: Each petitioner Must!!!!!! property in Jefferson county, HuslJand and wHe .,ay
each sign the petition,
PIlOPEl/TV DESCIU fYf JON
(from tax ~tl:2 tement;
include Parcel Number)
L.~rJ /-;;; "tP.D ?'-<<- ~~
..{~r ...' ,(3",...e~ G!"';.:
...:Tw~V~. c. "'"'7
~
-/'yMd 2" @,,-EfJ..QP "l'~r "-,,,i? "I"',
-rr /J 'Y1." Jl /J. J.4'rt> I-?.i..J 7-/''-604f OLP 6".Ie/)/Ale.e Ie)>
V 2, ::t-'Ck-;f~'/. ,U: .v,~ B<.oC< If(f ';;".va'cN'C~ r.;9,RrToUW~~N0
y-___L, ,~t!.!!-_ ,;:}!P''Y..~~''L.:!'~[!~~- I' /
'v 09. ,rZ,~, ,,, "'Y-- //
~~- , J.ct--ecd
\ 4.. ....:':'1,.. (/: . /.J.~ 1!-tV>"--
-:JtJ/I", rt BROuJ'tJ
d~L4rcn<-'/~
:~!t~~~
(I /,:,~~I
7cZ,'d,,"'~~
"i ....,- /
~_A. n, a Q 'F,~eX
~ 8"E/~~:;~
~~~U
Wd~~,Il';tw" R,'RI<
10~d.4~vk
'-I Ev /J 13 IV.E'w AI /f" k
~
\~ & m:1!!1 below)
'-i
MAlLING ADDRESS
G:~ c::::... Q i:.~ L.4J <f'/J",t.,->o..nl,.,...' /(J
/p~r ~~....J,~/,) W"........
'9 B' J......
$'8- 13 1 '3"'1 ,e')..LV
,1Id-- T"rtl t--
ts. of {I,d, />"~"f
O/.D tJ.#JI~'. R.cL
WcA.-I.-fJ<:ar-..,clt c.-<.J,.q
q y '3 e>F
S'7'7cJ
/,,,,,,;17
(I
ff
~"r" 7-ro1'). ~~'1'4'
Ju~o^, C'~'1 ~
f\'JC('" " '( fl~ 1~(,,1~
Sc...f "-''-( eLl... I<J.(
1_1.. .. r'- 1Jc.("
,. ;fI>IC fJ fI 2 '-!
6"OlJ/-of) brJRPI/'d. x,;-y
foRI 1r;w~fl
10;,5 /Vld N /Z.o~ sr-
PI-Tow VIS ""4
1\'
"
'/
II
7(,>. AU Fie.. .....,<
/,,/0 Cw <>r AJ)
~ -7'r' 2. ~#:. ~~ z.('"
,4LJ ~7?
/-//9.7 hD<'--"
~
<-
..
Acknowledl!ement
The principal petitioner hereby acknowledges that: (a) Jefferson County shall
require compensation by the principal petltioneris) for granting approval of the
petition. pursuant to R.C,W. 36.87,120 and Section 6 of the Jefferson County Road
Vacation Ordinance. COMPENSATION FOR ALL VACATED RLGI\T-<JF-WAV SHALL BB DETERMINED
AT A RATE OF FIFTY PERCENT (50%) OF THE ASSBSSED VALUE OF THE VACATED PROPERTY; (b)
Jefferson County may retain an easemenL within the subject vacated area for the
construction, repair. and maintenance of public -utilities and servicdS. pursuant to
R.C,W. 36.87.140 and Section 5 of the Jefferson County Road Vacation Ordinance;
and/or (c) Jefferson County may retain an easement within the subject vacated area
for trail or pathway purposes. pursuant to Section 5 of the Jefferson County Road
Vacation' Ordinance. ,
The principal petitioner further acknowledges that eh or she shall compensate the
county for any additional expenses incurred in the processing of said petition.
which may exceed the one hundred dollar ($100,00) bond. Checks or money orders for
said bond shall be made payable to the Jefferson County Commissioners Revolving
Fu
[
~_Q ct2~~
ign tur" of Principal Petitioner
..-
~,L~'"
Date
("7 E'7'
o
.,
~:;-:"/",C~.:J'" {>-:" p/sc.
VACCr!'",,,,! !
-".-./
.ft>s Alo, Zt> ,77
,411 o{' lC>MM,,;t-I<7/ dv.?, O"(W"''''N
BII{, 91 oN -r/'~ iV, w. .5.'tP. /0/ 1/':<.I~"" the .s.;:,/
1Z..r/.'-' ..5;{ ON i'he kF 4 13ffi. 5r. eN r.q..,
S.W.,.. 1/s<> /l,e FN'-(.~e A/I!7 0/511(91" /1// ,/\/11:"
.fYu...L~~_~_<::!~
Mdt-eft Z ~ 1'7 '77
('),1.' /'j/4.J.
-........-.....~
./?"",.No, /,'7-7
/..7""!- pc-r-l/D'v ,,-?' Bl-oadwC'Fy AlIt.'
PlaT "'-(' JI/Nc-f,c',. c. rz. S<"c, 13/2 3/ ~r 2"'1'
-nAJ(' 2'7'N, R z. w /'1/Nt oc>-I =e-<< N 8/;(,:;, '78 ~ n
~rvZ#'~r (.,A..II n; r/7~f I'~I full c-r: 13rLt sl /Y"'~7.
,:Ja-(<-u.u''v -81/(.5,9<>",98. 7C-9<"#'/~ f./Jdi, 7'Aa~
pc>. ,,,,-, .-(C' /'1,!:!t. :r/. /fI'Ml be7c.--~N 81/,':;, '18 ~/IJ>
--Ie. I/" G, Rd II?,'"" 707ct1{,..- ,^",i/' I/..,<:all<-A/"'-P
L,7-.> 9 "'/'~<"'lh IZ, B//c'.9&, L,ds <' -fh,.'v;I.' (,/
jj'1t:: 99
;;:Xc.epr Co. RcI. .I'(I,/oz.;c:.;;seM<ONb ,,+'p'<-~,-J?
usafe. I?d$,
".s t;...B;;-
.__--- 'f
VacoJ:<?8
(l1a.ch ~ 1977
r.-N p/t:rr
.",
VaC-3 I", J
Reo,. Iv' 0" 4-6'",.7.7-- '
f/1<5'T pC.-I-lo'</ C..(. C~MMo!rCIa/ Aw;.
/)/1/\/9 0... -/'-'<><'N S/tts. ':3/ E..3Z 47 f 'rEi' 5/ if-s"Z
/./ "I -.; "
7Tti.. r 8 rf, 5r,:e-e,~ 'f rh,,- .4/1-"7$ /)"% "", /(, fA
Blvc.ks 313'" "'7 ~e 5/.152.. ",i--f/'" P/'Tr ~..p
r "7 I I r :?
'!:-",,--I,o/o! Cdt, dS 1',<><:;,.,../",) ,'" ~,,/. z Ii&~, /,;:rj<' 103
~~",,;I</.< "..( J,~C/). ",,",,5k. _Is" .8lixk, 3t 3?"~~?1"'8,
5"/ 7- 5"-z.. be f -f/,"'- S""...,~, O',~ 1, e"e bl Lbc.al-",d ~:
db.?",,,,!, ~,~<f
.T, , C ,'i ..,.,-
r;'. ?
.-
\
",~Jt}
'f~. ~T-
II' ~~_J"_,,~
.' "r
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1 820 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
Pete A. Butkus, Public Works Manager
Department of Community Development
Ninth & Columbia Building, MS/GH-51
Olympia, WA 98504-4151
Re: Public Works Trust Fund Scope of Work
Dear Pete:
Enclosed is the Scope of Work for Jefferson 'County's Beaver
Valley Road Project.
If you.have any questions, do not hesitate to contact me.
S;gcerelY ~
~~
Robert G. Nesbitt,
County Engineer
/f>--
P.E.
Enclose
xc: DES 01.10, PWTF
'00% Recycled Paper
)'
ROADWAY DESIGN STANDARDS
PROJECTED TRAFFIC VOLUME (1)
DESIGN ELEMENTS ENVIRONMENT(2) 0-100 101-200 201-400 401-750 751-2000 2001-5000 5000_
RURAL 40(3) 60 60 60_ 60_ 60+ 60_
RIGHT OF WAY WIDTH RESIDENTIAL 40(3) 60 60 60_ 60. 60. 60.
URBAN 60 60 60 60_ 60+ 60_ 60_
RURAL 24 28 28 28 38 38 40
ROADWAY WIDTH RESIDENTIAL 24 28 28 34 38 38 40_
URBAN 24 28 28 38 38 38 40+
RURAL N/A 22 22 28 34 38 40
PAVEMENT WIDTH RESIDENTIAL N/A 22 28 34 38 38 40_
URBAN N/A 22 28 38 38 38 40_
RURAL CSTC LBST LBST LBST ACP ACP ACP
SURFACE TYPE(4) RESIDENTIAL CSTC LBST LBST LBST ACP ACP ACP
URBAN CSTC LBST LBST LBST ACP ACP ACP
RURAL 14% 12% 10% 10% 8% 7% 6%
MAXIMUM GRADE RESIDENTIAL 12% 12% l00A, 10% 8% 7% 6%
URBAN 10% 10% 10% 8% B% 7% 6%
RURAL NO NO NO YES YES YES 1\;0
BICYCLE PATHS RESIDENTIAL NO NO YES YES YES YES YES
URBAN NO NO YES YES YES YES YES
RURAL NO NO NO YES YES YES NO
PEDESTRIAN WAU<JNAYS RESIDENTIAL NO NO YES YES YES YES YES
URBAN NO YES YES YES YES YES YES
RURAL 30 40 40 50 50 60 70
MAXIMUM DESIGN SPEED RESIDENTIAL 30 30 30 40 40 40 50
URBAN 30 30 30 40 40 40 50
(1) - ADJUST TRAFFIC COUNT BY 10TO 1 FOR TRUCKS IN EXCESS OF 10%
FOR LONG PLATS USE TRAFFIC COUNT OF 101 AS MINIMUM
(2) - RESIDENTIAL - 50 DRIVEWAYS PER MILE
URBAN - URBAN AREA AND COMMERCIALnNDUSTRIAL AREAS
RURAL - ALL OTHERS
(3) - WITH APPROVAL OF BOARD OF COMMISSIONERS
(4) - SURFACE TYPE:
CSTC - CRUSHED SURFACING TOP COURSE
LBST - LIGHT BITUMINOUS SURFACE TREATMENT
ACP - ASPHALT CONCRETE PAVEMENT
\
'W'
-!:S'7'V~ -;yt
,. .r) }~~:2.,
'-. ~1;.~"f.'=
-tN;"t..'Q~"-I...
(/S':t}~,,..... ~
,i __ ,1-
,,' '\
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
December 19, 1989
Ernest Geissler, P.E.
County Road Administration Board
206 - 10th St. S.E.
Olympia, WA 98504
Re: Annual Construction Program Submittal
Dear Mr. Geissler:
On the enclosed diskette is Jefferson County's Annual
Construction Program. Additionally, a copy of the resolution
addopting the program is enclosed.
If you have any questions, do not hesi tate .~o contact me.
s~nCerel;Y'
d ~
Robert . Nesbitt,
County Engineer
(;:4-..
P.E.
Enc 1-
xc: PWA 04.50
DES 05.40.04-1990 ~
100% Recycled Paper
"-
CDUNTY OF JEFFERSON
STATE OF WASHINGTON
In the Matter of
Adoption of the Annual
current Expense Budget
for 1990
R~=~1~ti~~ N~_~9
WHEREAS, state of Washington Laws of 1971, First Extraordinary
session, Chapter 36 sl, and R.C.W. 36.40.071 provides that an alternate date
for Budget Hearings may be selected by the Board of county Commissioners and
this Board did so deem it necessary to select the alternate date: and
WHEREAS, said laws having been complied with, hearings held at
which taxpayers were given an opportunity to questions any part of the
proposed budget, and the officials in charge of va:t"ious departments were
called in and consulted concerning the budget for their departments;
NOW THEREFORE BE IT RESOLVED, by the Board of county Commissioners,
Jefferson county, Washington, that the following attached budget be, and. it
is hereby adopted as the 1990 CURRENT EXPENSE BUDGET for Jefferson county
including SPECIAL REVENUE FUNDS; and with the PUBLIC WORKS BUDGETS, the HUMAN
SERVICES BUDGETS, FACILITIES MANAGEMENT BUDGET, pARKS BUDGETS and ALL CURRENT
EXPENSE PERSONNEL BENEFITS being adopted at the "object levels."
BE IT FURI'HER RESOLVED, that the JEFFERSON COUNTY ROAD CONSTRUCTION
PROGRAM for 1990 is hereby adopted and the COUNTY PROPERTY TAX LEVY set for
calendar year 1990.
APPROVED ARD SIGNED this ~ day of DF:CEMBER, 19B9.
JEFFERSON COUNTY
BOARD OF COMMISSIONERS
~ "13-
.<._ ~~A'.. f!--:.. :h5.-t: ,.....,'
George c. rown, Chairman
SEAL:
~-
" :. .,'" "'f ': 0 \(
"(,,'~~f'~ :..-..
j ~~ .;." ~ ~. l.:...:.. :, ~ "
...~ ~.,... ..:"..:........ ....."
/~:.\'f'r .:. "~.3 .f..~.\\
i"" -",., ~'" 'I .. '"
\:.;.r~, ';.;' .'. ; __;)
'<~ ~~:.~ ~;-.,;. ~~- '~~ ~ ..'
.. ..: 00 \ ';', '.
.;7 i'i. ,!
./)...........1 ,J/......,uJ"fld"i
iit:~n. ....b.r
~~ .. ~ -A...n'\..
a ry~nniSOn, Member
ATTEST:
COUNTY OF JEFFERSON
STATE OF WASHINGTON
In the Matter of
Adoption of the Annual
Current Expense Budget
for 1990
R~s~~~ti~n N~_~9
WHEREllS, state of Washington Laws of 1971, First Extraordinary
Session. Chapter 36 sl. and R.C.W. 36.40.071 provides that an alternate date
for Budget Hearings may be selected by the Board of County commissioners and
this Board did so deem it necessary to select the alternate date; and
WHEREllS, said laws having been complied with, hearings held at
which taxpayers were given an opportunity to questions any part of the
proposed budget, and the officials in charge of various departments were
called in and consulted concerning the budget for their departments;
NOW. THEREFORE BE IT RESOLVED, by the Board of County commissioners,
Jefferson County, Washington, that the following attached budget be, and it
is hereby adopted as the 1990 CURRENT EXPENSE BUDGET for Jefferson County
including SPECIAL REVENUE FUNDS; and with the PUBLIC WORKS BUDGETS, the HUMAN
SERVICES BUDGETS, FACILITIES MANAGEMENT BUDGET, PARKS BUDGETS and ALL CURRENT
EXPENSE PERSONNEL BENEFITS being adopted at the "object levels."
BE IT FURTHER RESOLVED, that the JEFFERSON COUNTY ROAD CONSTRUCTION
PROGRAM for 1990 is hereby adopted and the COUNTY PROPERTY TAX LEVY set for
calendar year 199D.
SEAL:
-.-
. :..," '1 ': 0"
" . <.;~ 'r'---'" ;,.'
:' ~~ .~~ ~~~..~~ :'.. "
.e:, (....... - -.... .... 0
f... '. 1i:\.< .' '. " ,. s "\.
r~..". '.."I' ,.~ \- . ";,\,
.... '''''\ .J.I II' '"
i....:;..~. , .,;,".. ; . ;i
\... ~_ '. ." I
\:}~ ~L~.:~...'::~ ;'.i
APPROVED AND SIGNED this -12~ day of DECEMBER, 1989.
JEFFERSON COUNTY
BOARD OF COMMISSIONERS
,4~d--<::j!-- ::fJ~t>-t:r>--_L
George C. ...Brown, Chairman
o \ '; _, .~
..P t4.! .
~-...:...:!)/ -L../J-V.,-'
B. G. Brown, Member
~~~ __~A--IN\.
a ry, Dennison, Member
ATTEST:
~11a ~ Co[J~d--
orne L. Delaney,
Clerk of the Board
...-
JEFFERSON COUNTY
1990 ROAD CONSTRUCTION PROGRAM
ENVIRONMENTAL ASSESSMENT
The Jefferson County Department of Public Works is
submitting its Annual Construction Program for the year 1990 for
review pursuant to the State Environmental Policy Act Guidelines
published as Chapter 197-11 of the Washington Administrative Code
and adopted by Ordinance Number 7-84 in accordance with W.A.C.
197-11-904 by the Board ~f Jefferson County Commissioners; and
as W.A.C. 197-11-926 specificallY requires that the lead agency
for any proposal initiated by a governmental unit shall be the
agency making the proposal;
Then, pursuant to W.A.C. 197-11, J~fferson County declares
that:
The following projects associated with the Annual
Construction Program, 1990, are categoricallY exempt by the
W.A.C. noted, and a threshold determination is nbt required:
TITLE
W.A.C.
197-11-800(18)
Item No.4: Tri-Area Transportation
Plan
Item No. S: Safety Projects
Item No.l1: Asphalt Cement Overlays
197-11-800(3)
197-11-800(3)
The activities of the following projects associated with the
Annual Construction Program, 1990, are categoricallY exempt at
this time under W.A.C. 197-11-800(18), and a threshold
determination is not required. However, in accordance with W.A.C.
197-11-055 and 197-11-070, threshold determinations may be
required for some or all of the projects listed:
TITLE ACTIVITY
Item No. 1: Beaver Valley So. Preliminary Engineering
Item No. 3: Beaver Valley No. Preliminary Enliineering
Item No. 5: Four Corners Rd. Int. Preliminary Engineering
Item No. 6: Airport Cut-Off Rd. Preliminary En"ineering
Item No. 9: SR/20-Airport Cut-Off Int. Preliminary Engineering
The following projects associated with the Annual
Construction Program, 1990. require environmental checklists and
threshold determinations / lead agency status in accordance with
SEPA guidelines. The environmental checklists and determinations
of non-significance / lead agency status for each project are
enclosed for your review.
TITLE
Item No.2: Oak Bay Road, Swansonville Rd. t~ Paradise Rd.
are projects
Construction
met for each
Additionally, Items Number 7, 10,' 12, end 13
that have been carried over from previOUS Annual
Programs and the S.E.P.A. Guidelines have been
project. ,
Each project has been individually reviewed by the
Department of Public WOl'lts for its environmental significance, as
it relates to the S.E.P.A. and its guidelines as published in
W.A.C. 197-11.
L:I~~~
~obert G. asbitt, P.E.
County Engineer
~ ,~':"/~--M
~n, Chairman
Board of Jefferson County Commissioners
jj ~~- ~ ~~~~~: ii!l~i l~~
II------------------------------~;;T---;--:T i
I,!, ~~~l~=~~_!~~
~-~~:_---~~:::~-~~~-.!,-~~~~~-I~-~
'1111 ::-:
~ ~~~~~~ ~~~l?g~ 19~
~ll ~~~ ~ a~~!!~ ~~*l________l ~
~~~~~.II~II--~j~-j~--~~~~~~--~~~ I
~ ~~~ ~~ ~~~~~~ ~~~ ~ I
!! -:.:=i: :i:~ ;:.;:.;?::~ ;1.:t~ ~~ !
I,', ~.~~ i~ EE~~~r ~~i ~~ I
~ g::.. :i:" ~ 6 b .,. ~ ~ g" B' ~ ~ -.. ,., I ....
H ~-= ~~ ==~~~ ~~~ ~~ J
II r; _~ ~,~~~~ ~_~~ ~~ II
II ~~ ~ ~ ~~i ~~ == I
!III,~I ~ ~ ~ s: s: ~ ~ I
--~~~---~~~~~~~~--~~~T-------T
!! !~j'~r~ .i~l ~~ g ~~ ::~~! !
II ~~:: ;,~~S-~~~~. ~:'g i I
Ii ~ ~ ~ [g' ~~. ~ ~ ~: ~~ ~! ~ I,
~,ll, ~~~ :~;~~~ ~~:l ~ ~
en u:al!l~=-"" .::0_1 z. I
~ll ~ ='f';:ri..=V-=;J! ';'111::01 I
~I"I . ~::a=.~;;:: '::I I I
~ ~ ~! ~. ~ "" I
~1:,l,II-------------~-:--~--------+~------+
~~~c~~~ : ~!~ !
~~c~~~~ c 81s- I
!I r I
II ~~b~~~~ ~ ~ ~ ~
~ II ~ ~
"
!!
jj
II
II
II
II
II
.. II
.... II
~ II
II
II
II
~ II
II
I'
II
II
II
~I
0-1
~I
.... II
I
:'
-------------:::;;:-------I~~~~~ ~
------------------r-----
I ~~ ~
._.._ :: =:...._ I g5;~
=: ~~t=:~:~ ~~C:::;l
I
I:
:; ~aa:~a a~~'lg
Igj;:l
~~ ~~
!f;l!i'i:
-------------------------------;:;--T_
'!!~~...E..'"' ml9
~~~ = ~~~~~~ aaa __
... !!l
___ ~!i ~ ..
~ ~aae~~ ~oo ~
t:l
M~ ~
IE_
~i
o~
iiS ~
~
~ -
" -
n.1l
11
...
~ .."
" ~
~, 0
~ ~.
n ~
~ n
~- '"
Ou.o
~~~
:=>~:="~?:-'"
~~~~:::;j::;
~~-
0- _ ~
_ '" 0-
---------------------------------
Cl' C" oooc::oooo 000
..... ..... ...........a:I~.....1:EI "O.....IXI
--~~---=-ffff~f-ff~
~~~~~~ ~~n
..
-.... -
~~g!
- .. -
'" ~~
~
~
~
-
Ii
-.. -
00'"
..~
s~:s
-
-
~a:saa~
- ..
- -..
cg~~
..
o
~o
.. -.. - - .... - -........ .. ..:!:
- ~~~
... ~ ~ ~ 0 0000000
~-~
.. ....."
~ ~[;h .. .... 8~
-----.... -- ..
a=a~;;:~::;:s;ji illB;g:
~
.- L
~
::tniCc=';
~~:=~~
-
~
'"
...
x
~
=
~
...
=
'"
o
'"
'"
~
- ~
=:;;!
!::l""
i~
n
~
~':=a f1 ~;-'
~:.z>~t:Q~
~~~~~
_~. 5:~
'" ~o
c: ""0 ~ %>0
~n:;:;;;~~
,.". . ""0
~n ~
en. ;:; a ~
.." IT1 c: _
~ >>::I:t :z:
-= _ c;n_
'" :.: '" :z::
~~ ~
f'":-;Z:~71
"'T1 t:Q ""0 _ U)
,.,,:=0>>:::0_
::0_ _~.::I
:=o-=- ="'",..,
~m::~~
? ~};cn
- --
- ~-
~ --
'" -
"'~
-~
~
~
x
~
~
~
- ---
n 11;;10 :0 ::p
-__ooe:
s
--I C""lI _ r-
CCJCJ:z>
_::Z _1;1:;1
=:~~~
mil
~!r~
s=i~o
~. ~ ~ ~
CICl- . CJI
. . +
~
..
.. .
.. --
- - ~
'" ~ 0-
""""0
rn~=
I"'-m
:;:1;1;1
a::ri"
;-~
~
'"
~g~gM~
UlI___~""
m f"'~""!!i f!5
i!i'il~l;l::'~
:!~~. ~
. ::O"D__ !Ii!
: ~ j!gffj: ..
. ~_.
. .".
. "'.
: j2: 1;1:
. . .
~ ~ ~
~
~
~
.."
~
~
...
~
~
""
~
n
."
~
~
~
=
'"
=
~
r-
~
~
'"
'"
~
=
~
-
-
...
~
=
~
~
'"'
-
~
~
~
i
JEFFERSON COUNTY
1990 ROAD CONSTRUCTION PROGRAM
ENVIRONMENTAL ASSESSMENT
The Jefferson County Department of Public Works is
submitting its Annual Construction Frogram for the year 1990 for
review pursuant to the state Environmental Policy Act Guidelines
published as Chapter 197-11 of the Washington Administrative Code
and adopted by Ordinance Number 7-84 in accordance with W.A.C.
197-11-904 by the Board of Jefferson County Commissioners; and
as W.A.C. 197-11-926 specificallY requires that the lead agencY
for any proposal ~nitiated by a governmental unit shall be the
agency making the proposal;
Then, pursuant to W.A.C. 197-11, Jefferson County declares
that:
The folloWing projects associated with the Annual
Construction Program. 1990, are categorically exempt bY the
W.A.C. noted, and a threshold determination is nbt required:
TITLE
W.A.C.
197-11-800 (18)
Item No.4: Tri-Area Transportation
Plan
Item No.8: Safety Projects
Item No.11: Asphalt Cement Overlays
197-11-800(3)
197-11-800(3)
The activities of the following projects associated with the
Ar,nual Construction Program, 1990, are'categorically exempt at
this time under W.A.C. 197-11-800(18}, and a threshold
determination is not required. However, in accordance with W.A.C.
197-11-055 and 197-11-070. threshold determinations may be
required for some or all of the projects listed:
TITLE ACTIVITY
It.em No. 1: Beaver Valley So. Preliminary Engineering
Item No. 3: Beaver Valley No. Preliminary Engineering
Item No. 5: Four Corners Rd. Int. preliminarY Engineering
Item No. 6: Airport Cut-Off Rd. Preliminary Engineering
Item No.. 9: SR/20-Airport Cut-Off Int. Preliminary Engineering
The following projects associated with the Annual
Construction Program, 1990, require 'environmental checklists and
threshold determinations I lead agency status in accordanco with
SEPA guidelines. The environmental checklists and determinations
of non-significance I lead agency status for each project are
enclosed for your review.
TITLE
Item No.2: Oak Bay Road. Swansonville Rd. to Paradise Rd.
I
are projects
Construction
met for each
Additionally, Items Number 7, 10; 12, ,end 13
that have been carried over from previOUS Annual
Programs and the S.E.P,A. Guidelines have been
project.
Each project has been individually reviewed by the
Department of Public Works for its environmental significance, aa
it relates to the S.E.P.A. and its guidelines as published in
W.A.C. 197-11.
~-"" . a~..fL~/.vr,JBJ
Ge rge 0';:; Brown, airman
Board of Jefferson County Commissioners
...-
u...-
JEFFERSON COUNTY
1990 ROAD CONSTRUCTION PROGRAM
ENVIRONMENTAL ASSESSMENT
The Jefferson County Department of Public Works is
submitting its Annual Construction Program for the year 1990 for
review pursuant to the State Environmental Policy Act Guidelines
pUblished as Chapter 197-11 of the Washinston Administrative Code
and adopted by Ordinance Number 7-84 in accordance with W.A.C.
197-11-904 by the Board of Jefferson County Commissioners; and
as W.A.C. 197-11-926 speCifically requires that the lead agency
for any proposal initiated by a governmental unit shall be the
asency making the proposal;
Then, pursuant to W.A.C. 197-11, Jefferson County declares
that:
The following projects associated with the Annual
Construction Program, 1990, are categorically exempt by the
W.A.C. noted, and a threshold determination is nbt required:
TITLE W.A.C.
Item No. 4: Tri-Area Transportation 197-11-800 (18)
Plan
Item No. 8: Safety Projects 197-11-800(3)
Item No.ll: Asphalt Cement Overlays 197-11-600 (3)
The activities of the following projects associated with the
Annual Construction Program, 1990, are'categorically exempt at
this time under W.A.C. 197-11-800(18), and a threshold
determination is not required. However, in accordance with W.A.C.
197-11-055 and 197-11-070, threshold determinations ~ay be
required for some or all of the projects listed:
TITLE ACTIVITY
Item No. 1: Beaver Valley So. Preliminary Engineering
Item No. 3: Beaver Valley No. Preliminary Enliineering
Item No. 5: Four Corners Rd. Int. Preliminary Engineering
Item No. 6: Airport Cut-Off Rd. Preliminary Ensineering
Item No.,9: SR/20-Airport Cut-Off Int. Preliminary Engineering
The following projects associated with the Annual
Construction Program, 1990, require 'environmental checklists and
threshold determinations / lead agency status in accordance with
SEPA guidelines. The environmental checklists and determinations
of non-significance / lead agency status for each project are
enclosed for your review.
TITLE
Item No.2: Oak Bay Road, Swansonville Rd. to Paradise Rd.
,
Additionally, Items Number 7, 10;' 12, ,and 13
that have been carried over from previOUS Annual
Programs and the S.E.P.A. Guidelines have been
project.
Each project has been individually reviewed by the
Department of Public Works for its environmental significance, as
it relates to the S.E.P.A. and its guidelines as published in
W.A.C. 197-11.
flJ-~~,.LY
~obert G. Nesbitt, F.E.
County Enilineer
are projects
Construction
met for each
.~Z~AJ ,;1--&~..... . ~~ljle:J
George C,tl'Brown, Chairman f'
Board of Jefferson County Commissioners
...-
(}[.. .)(
##(
',...;y
/0. ()2
CHUCK ClARKE
Director
j.) rl. ~
.'j .:>';
I ~ / t,
STAT[ OF WASHINGfON
DEPARTMENT OF COMMUNITY DEVELOPMENT
Ninth & Columbia Building, MSIGH~51 . Olympia, V'./J!ihington 9H504-4151 . (206) 75).2200
September 27, 1989
tI
Mr. Robert G. Nesbitt
Jefferson County
Public Works
Post Office Box 1220
Port Townsend, Washington 9B368
Dear Mr. Nesbitt:
SE;:) 231989
~lE~~::~!~f.~.).O~I"j. Cf)U;\~T'1
! Ub~JC,/jC;;:;':<S DEPT
on behalf of the Public Works Board, I am pleased to inform you
of the inclusion of your road project on the list to be sent to
the 1989 Legislature. A copy of the list of projects is enclosed
for your information.
The next step involves obtaining legislative approval for the
list of projects. The Legislature must review and approve the
list and appropriate funds to cover the recommended loans. As
you may know, the House capital Facilities and Financing
committee and the Senate Ways and Means Committee have statutory
authority to remove projects from the list, but they may not make
any additions to the list. It is difficult to anticipate the
timing of this approval--it could occur any time between mid-
January and April 1989. Once the appropriation has been signed
into law by the Governor, the Public Works unit is able to
initiate loan agreements with affected local governments.
I need to remind you of three essential program requirements that
will impact your project time lines. First, during late December
or early January you will be sent a Scope of Work form which is
to be used to describe your project elements in detail. This
form must be completed and returned to the Department of
Community Development no later than 90 days from the time it is
mailed to you. Secondly, the actual loan agreement, of which the
Scope of Work will be a part, must be formally executed (signed
by both parties) no later than 90 days from the time the entire
loan agreement is mailed to you.
A third key point is that the Trust Fund cannot reimburse you for
any costs incurred prior to the final signing of the loan
agreement. If a local emergency or other situation dictates that
you proceed with the project before a loan agreement can be
executed, please contact the pUblic Works staff prior to
proceeding.
.-
;~~9;:;~",
'7gj'f"~:'
Mr. Robert G. Nesbitt
September 27, 1989
Page two
If your project involves facilities which will use an energy
source _ electricity, gaS, or oil - you are urged to have a
no-cost review of the project elements by the Washington state
Energy Office. Energy Office staff may identify potential
savings to improve your project costs or cash flow without
affecting your Trust Fund eligibility. The Energy Office contact
is Greg Ware and he may be contacted at (206) 586-B060 or
scAN 321-8060.
Again, congratulations on your selection. My staff and I look
forward to working with you. If yoU have any questions, you may
contact the staff at (206) 5B6-0490 or SCAN 321-0490.
sr?E'o. 23~
Pete A. Butkus
pUblic Works Manager
PAB:V1U
Enclosure
cc: The Honorable George Brown
l:-
I
TABLE I. PROJECTS RECO""ENOED BY THE PUBLIC WORKS BDARD FOR FlNANCIN.
PROJECT LOAN LOCAL OTHER
JURISDICTION COUNTY 1YPE REQUEST HATCH FUNDS TDTAL
Elergeney LaIn f803,39I fO fO fB03,391
Airway Heights Spahne Road f900,OOO $100,000 fO fl,OOO,OOO
Battle Braund Clirk SeNer f500,OOO $I,BI6,000 '3,604,000 f5,920,OOO
Bellevue King Starl $1,166,040 fl29,560 fO $1,295,600
Blai ne Whattal SeNer U,235,2B7 f529,40B f500,OOO f2,264,695
Burl ingtan Shgit. CIP '15,000 f5,OOO fO '20,000
Carnation King CIP '15,000 '5,000 fO '20,000
Chehali . Lewis f SeNer $1,27.,533 '664,344 '2, 06B, 005 J4,OIO,B82
Clarhtan Asotin elP f15,OOO f5,OOO fD '20,000
Federal Nay WtrlS.r Oi.t. King Water f2B2,OOO m,300 fO '313,300
Freeland Wtr. Dist. Island elP '6,000 '2,000 fO 'B,OOO
Freeland Wtr. Dist. I.land Water f89,470 19,940 f53,940 $153,350
lane Pend Orei1le f elP '11,25D f3,750 fO fl5,OOO
Jefferson County Jefferson Road J491,900 f62,460 f2\9,B40 f804,200
Kennewi ok Benton' Road $1,500,000 $315,000 fO $I,B75,OOO
King Ca. Wtr. Di.t. 1107 King Nater $913,300 f502,OOO fO $1,415,300
King Ca. Ntr. Di.t. 175 King Water f9BO,OOO 'llO,OOO fO fl,090,OOO
Kittita. CD. Wtr. Dist. 13 Ki tt! tas . Nater '106,395 '12,000 fllB,395 f236,790
Langvi e. Ca.li tz f SeNer $1,273,478 $141,498 '2,980,000 '4,394,976
bnroe Snohali sh Road '542,735 f232,600 fO '775,335
"ases Lake Srant f Se.er f482,OOO f53,700 fO '535,700
"a.es Lake Srant f Nater ft,400,OOO '160,000 $0 fl,560,OOO
llukil tea Snoholish Starl fl54,OOO f154,OOO fO '30B,OOO
N.E. Lake Washington NtrlS.r Di.t. King Nater fl,500,OOO '642,B5B fO $2,142,858
OlYlpia Thurstan Nater $432,000 148,000 fO HBO,OOO
OIYlpit Vie. WtrlS.r Oist. Snohali sh CIP f15,OOO f5,OOO fO '20,000
OlYlpit Vie. WtrlS.r Dist. Snohalish Nater 1906,745 n88,605 fO $1,295,350
Prosser Benton f Nater f868,500 196,500 fO 1965,000
Reardan Lincoln Nater 1306,165 195,000 fO 1401,165
Redland King Road fl,OOO,OOO f5,921,700 fO f6,921,700
Ro.e Hill Ntr. Dist. King Nater $1,500,000 f643,OOO fO f2,143,OOO
Seattle King Bridge fl,126,BOO $125,200 fO fl,252,OOO
Seattle King Road 'B73,OOO 197,000 fO '970,000
Sedra-Waalley Skagit I CIP $15,000 f5,OOO $0 f20,OOO
Selah YaU Ii I CIP $15,000 fl5,000 fO f30,OOO
Snahooi.h Caunly Snoholish BrIdge fl,21B,OOO f522,OOO '6,960,000 fB,700,OOO
Snohali.h Counly Snohali sh Starl f665,OOO f371,OOO fO fl,036,OOO
Spokane Spokane Se.er 1340,900 .467 ,000 $0 f807,900
Spokane Spohne Nater f586,377 f65,153 fO '651,530
Stoven. Ca. PUD II Steve.. I Se.er fl,500,OOO f2,500,OOO f500,OOO '4,500,000
Steve.. Ca. PUD II Sieve.. t Nater f67,950 f7,550 .0 175,500
'.
PROJECT LOAN LOCAL OTHER
JURISDICTION COUNTV TYPE REDUEST MTCH FUNOS TOTAL
Tanasht Okanogan . CIP U5,OOO $15,000 10 130,000
Toppenish hU" . CIP U5,OOO 15,000 10 120,000
Tappen ish Vaki" . Water 1823,500 $9l,500 10 1915,000
Tu..ater Thurston Seiter U,375,841 $l52,872 10 11,521l,713
Union Gap Vakila . Road 184,000 $36,000 $0 $120,000
YincDuver Clark Road 11,000,000 1458,000 10 U,~58,OOO
Washaugal Clark Nater $398,874 1170,946 10 1569.820
White Sahon Klickttat . Nater 1258,128 $30,912 10 1289,040
Woodland Co.1i tz . Se.er 1388,620 143,180 10 1431,800
Yakl.. Yaki" . Road 1803,157 189,240 10 1892,397
TOTAL 132,259,336 118,212,776 117,034,180 167,506,292
. Indicates applicant deter.lned to be econo.ically distressed according to progr.. quldelines,
~,...,
........a
/Me
CHUCK CLARKE
Director
STATE OF WASHINGTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
Ninth & Columbia Building, MSlCH-51 . Olympia, Washington 98504-4151 . (206) 753-2200
July 21,1989
(C.; H ~llE D
JUL 2/11989
JEFFEHi::.ul'J COUNTY
PUBLIC WORI_S DEPT.
Mr. Robert G. Nesbitt
Jefferson County
Post Office Box 1220
Port Townsend, Washington 98368
Dear Mr. Nesbitt:
This letter acknowledges receipt of your road system loan application to the Public Works Trust
Fund.
The Public Works Board will begin its deliberations on the 1990 applications at a meeting on
September 5 and continue its work on September 19, 19B9. A list of those projects recommended
to receive Publio Works Trust Fund loans must be submitted to the Legislature by November 1,
19B9. Should your project be selected for inclusion on this list, you will be contacted by a member
of the Public Works Unit staff prior to November 1 so that pertinent data in your application can be
verified. The Legislature must then review and approve the list and appropriate funds to cover the
recommended loans. This action could occur any time between mid-January and April 1990. Once
the appropriation has been signed into law by the Governor, the Department of Community
Development Is able to initiate loan agreements with affected local governments.
Two program requirements must be brought to your attention now, so that no misunderstanding
occurs. First, the loan agreements between the Department of Community Development and each
approved local government must be formally executed (signed by bOth parties) no later than 90
days from the time the loan agreement becomes available. Secondly, should you begin any work
on the project before a loan agreement is signed and in place, the Trust Fund cannot reimburse
you for any of those costs. if a local emergency or other situation dictates that you proceed with
the project before a loan agreement is executed, please contact the Public Works Unit prior to
proceeding.
The staff of the Public Works Unit looks forward to continuing this positive program between the
state and local governments. If you have any questions, please call the staff at
(206) 5B6.0490,
p~
Pete A. 8utkus
Public Works Manager
iJ~
Q.
cc: The Honorable George Brown
Chairman
.~Wii'
.,,;/.. ....
,= .~
\?:l~t)~:
WASHINGTON's CENTENNIAL YEAR
1989 PUBLIC WORKS TRUST FUND
PARr B: M'PLICATIOO FORM
SECI'IOO 1: GEI>.'ERAL lNFORM1\TIOO
A. APPLICANT ~
1.01 1lpplicant jurisdictioo: Jefferson County
1.02 Address: Public Works Department
P. O. Box 1220
Port Townsend, WA 98368
1.03 Telephone:
206-385-9166
1. 04 Identify a contact person in yoor organization 1o'ho is familiar
enough '!-i.th this project to answer questions:
Robert G. Nesbitt 206-385-9166
Name Teleti10ne Number
1.05 'Iype am location of project (dlec.k one):
:Road ~ Bridge _ Water _ Sanitary Sewer _ storm Sewer _
O:lunty in 1Nh1ch project is located: Jefferson
1.06 Provide a brief project title:
Reconstruction M.P. 6.40 to 7.67
Beaver Vslley
B. 'IHRESHOLD ~
1.07 a:xJNTIl'S J\ND CITIES OOLY (not ~licable to special pnpose
districts)
Have you adcpted a local ~ of one percent (.25%) excise tax
00 the sale of real prq:>erty as permitted by IlCW 82.46. D10 (1)
(am dedicated to capital p.uposes by IlCW 82.46.03D(2))?
No _ Yes----X..- I8te of adoption: 11/15/83
-1-
'i1>
J..OB ALL APPLICANl'S
Has your jurisdiction developed am adopted a capital. ilIprovenent
pJ.an (CIP or its equivalent) for the system for 'Ioh1ic:h this
~~~w~? X '
Yes_ No_
If yes, does your CIP (or equivalent) meet minim.Im Gtandal:ds?
Specifica1ly, did the plarll1iD3 process or does the plan ~lude:
Indicate1:>y d1eck:
Yes No
J..08J. An as;~~~'1t of capital. needs for the specific type X
of system for l<ohic:h the FWl'F loan application .is ~?
J..OB2 An identification, prioritization am ox>rdination
of lII8jor capital. :l:mprovement projects planned to X
meet those needs aver a five- or six-year period?
J..083 An estimation of project costs am identification X
of fina=in;J c:pt:ions?
J..084 Evidence that the document has been created or X
updated at least once in the last five years?
J..OBS Evidence that your plannin:J process in:::l00ed the X
cg;>ortunity for public input?
J..OB6 Evidence that the CIP has been foonally adcpt:ad 1:>y X
the local entity?
N>TE: If your answer is DO to any part of questions J..07 or J..08, ycu are
not . e1igil:>le to participate in the FUbl1c Works '!'rUSt P\Ind program.
J..09 .. PJ.ease provide the title of the p1an:
Six Year Transportation Improvement Program
Date of l.ast plan update:
July 6, 1987
Date of formal. adoption by l.ocal entity:
July 6, 1987
N>TE: Please enclose one COf1'I of your CIP (or its equivalent) Imless an
up-tcH:late COf1'I of. the document .is currently on file with mrF.
J..J.O For informational p.u:poses onJ.y, indicate whether the project
for Iolhic:h ycu seek a l.oan is identified in this capital.
bpravement pl.an: X
Yes _ No
If no, pl.ease state Wny.
J..ll Has your l.ocal ~ body awraved the
~ion of this awlicatioo?
Yes~ No_
-2-
SECTION II: PJlOJECT NEED
A. DESCRIPl'ION OF NEED
2.01 oesCr1be'the p.1blic works prCblem you are proposin;J to solve or the
benefit you wish to achieve thrcugh this project. :For exanple:
_ If the problem identifiEd is a threat to p.1blic hea1th or
safety, describe boW' and to what extent this dan;}er exists.
(If awlicable, :further infonnation is requested :in question 2.04)
_ If the project will :rnaint:a:in or extend the usefu1 life of
an md.stin:J system, describe boW' and why.
_ If the project will reduoe the cost of operations ~
:in::reasin;J system efficiency, describe boW' and to 'What degree.
Be thoroUgh an:! CXIIplete in your response. Attach additional.
sheets if needed.
This section of Beaver Valley Road is in the poorest condition of all sections
of the road due to age and outdated design for present Average Daily Traffic of
3500.
The road i5.~ub-standard for existing conditions in horizontal alignment,
surface condition, width, and drainage. The ADT has 'increased from 2829
in 1985 to 3500 in 1988.
-3-
-'- -
SECTION II: PllOJECT NEED
A. DESCR1PI'IOO' OF NEED - tnn'INUED
2.02 'Ihe existin] situation (described in question 2.01) may have negative
inpacts upon your c:c:armmity. E!cplain how your c:c:armmity is affected.
Be sure to describe who is involved, how often, what is affecting them
ard to what degree.
From January 1986 to April 1988 there have been 18 vehicle accidents
with 6 injuries on 'this section of road. With better alignment and surfacing
some of these accidents could have been prevented.
2.03 :rs this prq;xlSed project coordinated with another
jurisdiction? Yes
NO~
If yes, name the ather jur1sd1ction(s) involved ard describe
the nature of the oooroination (financial, administrative, etc.).
-4-
.....-.- .,.
"-
SECl'ION II: PRO:JElC'I' NEE!>
A. DESCRIPl'IOO OF NEED - CXlN'l'lllUED
2.04 If this project is not ~ as the result of an ~ency,
in:iicate N/A here ~) and go on to question 2.05.
If this project is prc:pose:i as the result of an emergency,
in:iicate INhich of the fol.l~ are applicable (by checJdn;J one
or more statenent(s) as appropriate) and then describe the
ci=Jrnstanee$ 1>elow:
An officially declared emergency or natural. di.saste:r (ill
acco:z:danOO with statutes qovemiIg' emergency actions) ~
A situation presently causin;J substantial hann to life or
prc:perty:
Action by an>ther jurisdiction:
Action by a requ1atoxy agen::y: or
other.
nes=ipt1on of the above dlecked circumstanCeS (Attach additional
sheets if needed):
ox:umerrt:atian is att.ached ~ the cil:'cUnlst:anCe stated
above: Yes _ No -
:If IX) doo.Imentation is attached, explain 'I<h1y this is not
possib1e.
If yes, identify the items attached:
-5-
-'-
------
'.IIIIr'------.M:1lml IIII!IfBI:II
UI'IlI
gll'l:~.N'JlJIiIK
91l1li11_ -----------
~J~-'
SECI'IOO II: PROJECT NEED
A. m:sCRIPrIOO OF NEED - cx:Nl'.rnUED
2.05 Write a Scope of Work for the proposed project in quantified
terms-heM JlDJCh ani \<IDi.c:h system e1eJrents are you proposiIq to
repair or replace (e.g., two wells, 800 linear feet of water
transmission main, etc.)? If any of the project activities are
proposed as an expansion (rather than repair or reconstruction)
of yo..Ir present system, identify these activities ani eJqllain \oIhy
they are neoessaxy to serve the current population.
Be specific in yo.1r response. EleJrents of yo..Ir Scope of Work
should clearly address the need identified un:ler question 2.01.
Attach additional. sheets if needed.
N:I'l'E: Please include a map of yo.1r jurisdiction or service area with the
location of yo..Ir project activities clearly 6IloINn.
Jefferson County plans to improve the horizontal alignment, widen pavement and
shoulders to present LAG Manual standards. Also improve intersection at North
terminus where the 1986 Public Works Trust Fund project for resurfacing started.
This is the intersection of Beaver Valley Road No. 941507 with Larson Lake Road
No. 503008. The drainage would be improved and the roadway and shoulders
would be paved~ith asphaltic concrete.
How ani when have project cost esthnates been made? In:ticate the source
of yo.1r est:lmates; f= E!)(mlple, a 19B6 en;J1neerin] study done by =ty
public works staff = estimates cc:mpleted by a consulting en;J1neer.
Identify the public works stan:lards (e.g., tIAB, AlM\, AWWA, MSHro, etc.)
used to arrive at project sccpe an:! cost. '
'!he usefUl life of these :inprovements is
years.
-6-
SECrION III: PROJECl' FUNDING
A. PROJECl' FUNDING
3.01 Estimated Project costs:
Prel:iJni.nary Erg1neerirg Report
Design Erg1neeriIq
Larrl,IR-O-W Acquisition
Construction
sales or Use Taxes Include
Inspectionjc:ons>-...ruction
En;J1neeriIq
other
Contin;Jency ~ %)
~~
~ionj Total
51,230
33,000
485,000
in const. cost
35,000
:::U."bU
(a) 'lUTAL F.S'l'IHM'ED CXlSTS
$ 655.590
$
$
3.02 Identify funds ot:ber than l=al and Public Works 7hlst FUnds
=mmitted to this project:
Federa1 f\mjs fran:
$
$
other state f\mjs fran:
$
$
other (identify soorce):
$
(b) 'lUTAL (R::IN-I.OCl\L) FCND $ -0-
3.03 UNFUNDED BALANCE (Total estimated costs J.ine (al subtract
total. non-local f\mjs, line (b).) $ '655,590
3.04 IDeal pu-ticipation* f=:
General. f\mds $
Capital. ReseNes $
Federal, state or Private loans.. $
Rates $
AsS'~"'"'('nts (ULIIla, LIDs, RII:6) $
Special Ie.I~es $
other ,Road Fund) $ ';1; 1;';0
(c) 'lUTAL I.OCl\L FllNDS $ ';<;,1;';0
3.05 Proposed Public WOrks Trust Fund 1lmaunt $ SqO mo
3.06 LOCAL PARI'ICIPATION % (Divide total J.ocal f\m::is 11nc (c) by the
sum of the proposed Trust F\m:i and local fuOOs line (e).) ~%
Note: 3.03 shoul.d equal 3.04 (line 0) plus 3.05.
· 'lbe local share of project costs Jm1St equaJ., at a minimum, 10% of the
UNFtlNDED NlIANCE calo.llated above. Arr:l costs related to system eJ/P'UlSion
or g:rcw\:h beyond present service base or population cannot: be =ted as
local share in the project costs,
.* Federal, state or private loans are considered as J.ocal participation, to
the extent they are repaid with locally-generated revernJeS.
-7-
SECrION III: PR01ECl' FUNDING
A. PROJECl' FUNDING - cx:N.l'INU.c:D
Note: Yoo may attach additional sheets of paper if JIlOre space is needed
for ycur answer.
3.07 other than aJ;plying for a l'Ublic WOrks T=.st FUn:i loan at any time,
what attempts have 1:>een made to finance this project? :Inclu:ie
attempts made at local, state and federal levels. '!he status of ycur
project with other furd.i.n] soorces sha11d lle verified. in writirq
I>henever possible.
We have programed FAS money but received only $75,000 a year and the high
costs of this project does not make this type of funding feasible.
We also have applied for RATA funds but do not score high enough within
the reg i on.
3.0B nes=ibe any additialal constraints an the scurces listed under 3.02
and 3.04. ExalIples might lle voter awrovaJ., federal grant receipt or
thne or match l:lmitations associated with a particular fund soorce.
For E!JlaIIIPle, if you willlle using any Jdnd of a local :Inprovement
district as part of ycur local share, how' will you finance this
portion if the LID formation is =fu1?
N/A
3.09 If a l'Ubl1C Works T=.st FUn:i loan is not provided, what :IJnpact will
" this have an the ttJnin;J of ycur project and particularly ycur ability
to utilize alternate fuOOs cc:mnitted. to this project?
The project will be set back for 4 to 5 years due to lack of funds from
other sources.
-B-
SECI'ION III: PROJECT FtlNDlNG
A. PROJECT FUNDING - CXlN'l'lNUED
3.10 Estilrated schedule for oro;ect CClIlV'letion:
:In:licate the JIX:llrt:h an:i year When the activities listed have been
or will be oaxpleted.
Estilrated O:::moletion Oite
Loan Agreem:mt Signed
P.relim.in:u'y En;Jineerm; RepOrt
Design En;Jineerfn:J
IarXl/R-<>-W ACqUisition
Preparation of Bid ~
.l\ward of O:lnStr\JCti.on eontract
Actual. start of o:mstr\Jctioo
Cl:ttpletion of o:mstruction
Project in Use
(anticipated)
1.Dril 19B9
Sept. 1987
Jan. 1990
May 199()
June 199U
Ju1y 199U
Aug. 199U
Nov. 1990
Dee 199U
Note: Public Works 'l'rUSt Rmd J.oan recipients JOUSt sign a loan agreement
within 90 days of legislative approval. Projects JOUSt begin within
3 months of signing the loan agreement an:i be oaxpleted within
24 months.
-9-
SECI'ION IV: ID<:::AL EFFORl'
For the pw:pose of evaluat.in:J Public Works Trust ~ loan applicatians,
local effort is defined as the measure of a local gOVeJ:TJJne1l1: I G
wlllin;ness and ability to raise :revenue fran local I>C>UlXIeS and its
ability to manage those revemles. Effort will be measured in three key
areas: systaD. maintenance, revenue aoquisi tion and financial
management. 'Ihe questions that follcw are designed to generate
information al:xlUt each jurisdiction'S effort in those areas. Attach
additional. sheets if needed to carplet:e your answer. Be sure to clearly
ClU.-ry aver t:h8 apprcpriate question numbers on t:h8 attac:heCl pages.
N:7l'E: Unless ot:hel:Wise stated, all questions relate to the public works
system for Wich this loan awlication is made. Please limit your
responses to information des=ib~ that system.
A. SYSIm MAINI'EN1WCE
4.01 If this system has been acquixed within the last 10 years, ~
did the governin:J body 8SSUIl'e responsibility? I
mo. / yr.
4.02 With the exception of =dific:atians lllo3de solely to ~te
growth, des=ibe up to three major repair and/or .1:mpravE!lll8llt
projects--urrlertaken in the last five years. In::lude a brief,
des=iptive title for the wrk (e.g., ''Replaced the t<leJ.l" or
"Chipsea1ed 3 miles of oamty road 2001"), ~ it was oanpleted
and an estimate of the cost.
Proiect Title
Chip5ealed 1 mile
Patch with cold mix asphalt
Patch with asphaltic concrete
Date
Comoleted
1984
1986
1987
~
$8,000
$ 800
$1,200
4.03 other than repair/~ projects, what is done to ensure
that the system is maintained in proper worJdn:J order (e.g., use
of a maintenance plarvsc:hedule, periodic inspections, invent:oJ:y
of system elements, methods of bJdget1n; - .in::luiin3' maintenance
reseJ:veS)? (Nate: J:f your system is newly acquired, explain how
you anticipate do~ the above.) Attach additional. sheets if
needed.
Annual inspection, Pavement Management Systems Program.
-10-
SECl'ION IV: LOCAL EFFORl'
B. llEVENUE Ao;m::sITIal: AIL SY5TmS
In this section, the questiC&1S are separated into three groups.
OUestions
4.04 - 4.09 answered by all awlicantBi
4.10 - 4.14 an....wered only l:Iy applicants with rata !:lased system projects;
4.1.5 - 4.17 answen-.d only l:Iy S);plicantB with non-rata !:lased system projects.
NJT&: J:f the jurisdiction is not authorized urrler state law to levy any one
of the following taxes or rates, then insert: "N/A" on the awropriate
space.
For systems that do not charge by cubic feet of water, convert ycur
rate into a c:harqe for cubic feet or estimate the charge on that
basis. For stann water utilities, use the residential rate.
4.04 JURISDJ:C1'I:al FJ:SCAL CAPACI'lY: AIL APPLICANI'S
4.041 What is ycur current JllOl1thly rate charged to a sin;lle-famUy
residence for the use of J.,DOO cubic feet of water?
N/A
4.042 What is ycur current JIU1t:hly san!t:al:y sewage utility rate
charged to a sin;lle-famlly residence?
N/A
4.043 What is ycur current regular-levy (11OIl-'YOter ar:proved)
property tax rate per $1,000 asses5e'1 valuation (exclude port,
hospital, fire, cemetezy, etc.).
1.0554 (Road levy)
4.044 Does ycur current rate reflect a tax in::rease equivalent to
the 106% lbdt?
Yes X No
4.045 What is ycur jurisdiction'S maxiJmIm regular-levy property tax-
per $1,000 valuatia1?
$2.25
4.046 Identify the tax rate for (excludin;l' state and transit taxes):
TvDe of Tax
Local 0pt1<n Sales
Real Estate Excise
Electricity
Natw:aJ. Gas
Telephone
Cable TV
B&O
Water
Sewer
Solid Waste
0Jrrent Rate
1. 00 %
.25 %
%
%
%
%
%
%
%
%
sta1:utol:v Maxitmlm
1.00 % *
.75 % *
6.00 %
6.DO %
6.00 %
4.047 FOR CXXJNrI];s auN: J:s the current levy rate for the road
district in 1IIh1ch this project is located equal to $2.25 per
$1,000 of assessed valuation?
Yes No~
* Note:
'Ihe CX1DJ)fned statutoxy lbdt is 1.25.
-11-
.-
SECl'IClN IV: I.OCAL EF'FORl'
B. REVENUE ~rrrCN: AIL lm>TEMS - cx:Nl'INUED
4.05 Explain hew capital costs far your system are f:inan::ed. Attach
ad::i1tional sheets if needed.
Property Tax
Federal Forest Yields Funds
FUS Funds
RAP Fund
Gas Tax
State Timber Tax
BROS Funds
4.06 Wlat has been done :1n the last five years to blpro-.-e the
system's financial base? Attadl addit1ala1 sheets if needed.
Apply for State and Federal Grants
4.07 Identify the last debt .issuanoe (ban:i or loan) issued to suwart
this system. Identify what it was far, lo4len it was issued an:i
its aDDJnt. Br1ci:Je an:i stoJ:m projects may cite road,Istreet
issues. If debt finan:::in:J is not used, irdic:ate N/A.
Desaioticn
Public Works Trust Fund
Date Issued
April 19B6
~
$597.514.12
4.08 Identify up to three debt .issuances, other than the one noted
above, Which have been issued far a:rr:t g'CIIel:T1lmnta pItpOSe :1n the
last five years. Include what they 10Iere for, \oIhen they 10Iere issued
and their anr::unt. If debt financirg is not used, irdicate N/A.
Des=iotion
Date Issued ~
N/A
4.09 Has an improvement district been fOl:1DEld :1n the past ten years to
suwart this system?
Yes-L No_
Bridge an:!. stoJ:m sewer projects may cite local jnpravement
districts (LIDs) and road ~.rement districts (RIDs). other
possibi1it1es include utility improvement districts (ULIDs),
transportation benefit districts (TBrS) or b.1s!ness jJrprovement
areas (BIAs).
:If yes, durin:J what m:mt:h and year was tho last ana fOl:1DEld?
10 I 78
D:). / yr.
-12-
5ECrION IV: JDC:1U.. EFF'ClRI'
C. REVENUE ~ITIOO: :RAXE B1ISED SYSTEMS ONLY
4.10 Descrilie yoor rate set:tin:J process ani indicate heM often yoor
rates are reviewed.
N/A
4. U List the ~ or categories that c:::arprise yoor rate
(maint:enan:lEl an:l. operations, debt ~ioe, utllity costs, etc.).
4.12 Do yoor current rates CJC:Ner yoor costs?
Yes_ No_
:If not, please e>cplain. Attadl additional sheets if needed.
4.13 What other revenue prcd1lcin;J taxes, charges or fees are used to
SlI};!?Ol't this system? List up to foor of the most significant.
Title of Tax. O>arae or Fee
4.U Are tl1ere any local eoonanic oaOOitions or circurnstanoeS which
prevent yoor jurisdiction from usin;J or m:>re fuJ.ly using one or
m:>re revenue sa.lrOeS (barx3s, loans, LIDs, RJDs, rate adjustments,
taxes, pay-as"'YOO"'90, etc.)?
Yes _ No 2-
:If yes, descrilie those oaOOitions or circ::umstanCeS on page 1.5.
-13-
.-
SECl'ION IV': lOCAL EFFORI'
D. REVENUE AO;;.QISl'l'ICN: NOO-RATE BI\SEi) SYSTEMS CNLY
4.15 What revenue producirq taxes, charges or fees are used to ~
this system? List up to four. (Bridge systems JJBY use road
related revenue prodUcirq ite::ns.)
Title of Tax. C1arQe or Fee
State Gas Tax
Property Tax
State Timber Yield Tax
4.16 :Identity any provisions for the t'Un:tin;J of a dedicated reserve
e.coount, fUIxi or interf'\.ln1. transfer ani indicate which public
works system(s) are affected (roads, bridges, stann sewers, etc.).
4.17 Are there any lcca1 eoonanic cx:niitionsor circumstanCes
lIihich prevent. your jurisdiction frcm1 usirq one or ]!pre
fully usin;!' one or more (l:x::IrCs, loans, UI:S, rorB, rate
adjustments, pay-as~-go, taxes, etc.) revenue soorces?
Yes No ..1L-
If yes, desc:r.iba thoe:e conditions or circumstances an page 1.5.
-14-
w:crrON IV: TClCAL ~
C/D. REVENUE AO:PIS:IT1ON: AIL APPU:CANl'S - ~C JiTllIDSHIP
If local eoonanic OCll'DitiCl'lS er c~ prevent yoor jurisdiction
frc:m us~ er :more fully-us~ a1B er 1lOre revenue sources (}xlrr:\S, loans,
LtDs, lUllS, .rate adjustJDm1;s, taxes, pay-as""'jOJ.-qQ, etc.), please
des=ilie arxi support below:
Wl'E: 'Ih:I.s space is fer detaUed zonswexs to q,wstians 4.14 am 4.17.
Jefferson County has one of the highest percentages of retired persons
living on fixed incomes within the State of Washington.
-15-
SECl'ION IV: lOCAL EF.FORl'
E. FINANCIAL~: AU. APPLICAllIS
N:Y1'E: 'nle foUc:Min; questions may ,!:lest be answered by oonsiderirq yoor
jurisdiction's overall f.inan::ial management capabilities ~d1 are
applicable to the public works system ycu are addresSirq with this
application. Go frail the m:>J:e general to the specific. Attach
additional sheets if needed. '
4.18 What has been done at the local level .in the last five years to
maintain or' impJ:'Oll8 the management of the system's finances?
Better management of equipment, up-grading equipment to reduce manpower
needs, and improving methods for road maintenance.
4.1.9 What f.inan::ial strat:eqies or manageuent tools are used (or for
recently acgu1red systems, ant1c1pate::1 to be used) to ensure that
the system has sufficient fUnds (e.g., to operate, maintain,
resparr;l. to ~1es, make iJIproVeIDerlts, etc.)?
Working with P.M.S. (Pavement Management System) and developing a F1eet
Management Program.
-1.6-
~-
~
CERl'IFICATIW
WHEREAS, Jefferson Countv' is SWlyin; to the
Washington state Fublic Works Trust Furxi Program for a la.>-.interest loan for en
eligible project; end '
WHEREAS, it is neoessaxy that certain ocrrliticns be JDet as part of the
appl1ca~an process; end
WHEREAS, Jlao1 43.155.070 requires that CCUI1t:y end city awlicant:s Jm1St have
adopted the local optialal cna-quart.er of one percent real estate e=ise tax,
as des=llied 1n Chapter 82.46 JlCW; end
WHEREAS, Jlao1 43.155.170 requires that awl1cants Jm1St have adq;t-..ed a 1cn:J-te:DD
financin:J plan far public 1oIOrks; end
WHEREAS, JlCW 43.155.160 requires that the project will be advertised far
cxmpetitive bids end administered aooording to standard local procedure: end
WHEREAS, the loan wlll not exceed 9D\ of eligible costs 1ncurred far the
project; end
WHEREAS, any lDaJ)."lU'is1n::J ftan this awl1catial constitutes a debt to be
repaid, end Jl!f'ferson County has reviewed end c:orcluded
it has the neoes.saxy capacity to :repay such a loan; and '
NCM nmRE:FaRE, Jefferson Count v certifies that it
meets these reguirements, and further, that it intends to enter into a loan
agreement with the Department of O:mmIl'lity DeveJ.tpDent, provided that the terms
end ccnditians for a. Fubl1c Works Trust f\In:i loan ere satisfactmy to both
parties .
Signed
8d.L!Z.~.^_)
Name
!l.G. Brown
Chainman. Board of County Commissioners
-~/
Title
Date
ATl'EST
-17-
.i\~'''' > _~~, . ,M' ~--
t
t
~l_
\.'
1.
l'
)i:
(
,\..
t
I
t
I
t
..l:i.
'~
,
t
,
i
,.
t.
(;
t"
r.
'c-~
'~, ~ V;.t;I~.
~;" " \" ..~~
..t~..;. ..\~\':i ,....,,~' au, ~~i':;;;;: ... .,.,., ~-....... 'i""
.. .' PORT I. 0 " .' ....'~.. '.
:4 ,ljI~!' TOWNSENDo,,- '-,.'---. .,., "'~~-::= ~
"~""""~''i'r ;.
......;.; ".. ",' ",.,' /...... ~@ -~~! ;
~, I'....~ i I . ,- .....'.::...."""",",.:.:::....... -9 \ ~ .._....~!
"' __ ~;" l" - .,.....,~ ,,~/ \'~ "(-"
'v- ... ._~" ,,~"! ~'l1~;f ~~.... ..::;;-..~,... \ - _00 .. " .. " ".oo'
d --""".,....~. .., .... "" \ ~ / (
0;" '~J" '" . 1bF. .~ ..' ",.."" ,.... r r
.'+ .j~ . ."=~.... ....... J ",nN" i. '''.-.''
<., ~ J '/J~". tl ~ ~-~~..., . ~ \ ~ :1J?1
_ ':.\ l""j ~~~_:"'ffi . Q.. i''';; i ,~;.~.~. -< !I ~ '
__"'.! . -'#0" " : 2 ," , ......"...,. ;m #f.'\
~ ., J lI-~.' ~i.\;" "" ,,: ..u ~ ',"'''' I J. ~ I
'~. ,~'... I~ ,f..!? '~" If!t~~ \ ~ :;:':1 . ',~.-;'. -' ':!: f.r.
"".'" ._,-, ~"'l~__..t....) ,. ~. ! - Ii. ...
..~ rt~r ;;';..~~ ----nf'.,'l,gAVAl..< '::t. ...~U'\. z I II ~ "
0..0 ~.~~! ro~ ~.'-~"l" \ IronOole I" ". \0" -..... ' a I · ~
"11:'\< - ./ t.o,na,'T '.0 Y- '" '.::-., ] .. ,t:::.:,- I " ".. ~.. "
. ~ tT\ .,V,j ssroo.r... "l' I . , III.~ f - '" "
, : _,.... } "H'''' ".!<. _" r i c if"'.""'"
_ l ,:~....... ..:.....I~t · ' . " I;+\-:}.~~""' .' ~ '~.-. .... ..'~ ::: ;
R _.. . ,~,. ,,~- ~ I ~ ^ . )
f'" . ..... .' n""" ....".... " :.
, 1\'::::' III l W'od"..' .. ,," .'" 0 0 ~
I' ',"~L; ,.1 ". N'~' I \ I"OA m... -I \ ~ (
,::"~l ~I " --~~. .c~:'::""1t -~ s:y 'i~':::'~.-"::;' \ ~" "," .... ......
,,:;;.t-, -.L"o .I!'JI,:;~~ ,I.=<-ri 1 "t>\ j. '.1 '\ ......... ....../
. " T . l' ') 'Ii' ,....... . ,
_/._-::-" ..~~~. f .\ i.~.. l 18 f6\""""" l~". : ...
:l'~I'" ' .. . .\ 1\ "', ~. ,.
~~:.:~~:.Y~::'" I~ jil' 7! .. i' \ ~ 1:J: .@ {~.. .~:
i:-"~ ~ "t:~:"" ..1 .:";::~ ! j.. I \. ~ ~~ J J i~~ ~ · t ~
.- -1 .._, <>., ''(,;,1' / - ,. - ~' . .. ,
_....I~. 17 NT:; , 0 1/-1:.-,., _ ..J ~~,. .
~(\ ~",,A .. ".. 7" . ~ ".1. -' _.,:,~.",..,,~, I /, ....~/y
n. "" 10.,. .. " _I' /3 ~"" \ ! ~ .'" ... /.......~". .. ..
.'_ ,.::;""'" ,",~'1,\ ~"-,....."". t"" ..... / .. .. ~..~
d\ .~ ! '-( 1.'1 ~ ' .lr.\'. . "".. /
'~ . .....l:i. \."~,=<It.. ~.l ~~:;.. r '-:., ,r~)T 7'1-' ~~::. .I 3 ,...... . "
~ .....~ 1(;" ~~,..,~;4..l JJ, ~.:- ~ ... !..., (r,:s-~..~~...
I .,'^ "'-:- '. f'.';'~ I .1".2." ,'"'' I 'DWNSCND ,~ ...... '. ~
.., ~,_"~:' .' ,'".;" ~;r..'-" '" , . \~f.'-" 'ia '1":1"::' ' (~~ ~l>. ....
... . _. "I II . t. ,-~. I 6' ~ ..
_ "', I '.. ~~,".. \, ,." I 0 , ~~
. ,."t. m';;'::;. I! .. \ I..-"__~... '-~.
. I+_~ L~ ":(. ...r.....~:~. ~.;.' ,!' :.... · "::-' }-;t. \ r-it~. ';{' ,l' ,;', a ~ '
~ 1)-;; _ lit-i' \.-';;i~ ':>.--~ <:;;;;i~'::":' H";;t!.'f' "I. ' I:=dI. .~@ '\
~~ .. \.. L(f.. .. ~~8o; ',,'-..'" ~ :-7'<:,:,c ~"'I.h(f-~~;'?"!~! \; - <. j' "" .. /'
. . "''''--1 \\I.""'." " . . ",,'i> , 1 ' ! iY "
~,.~ ..." ""/!=Ii'( \~,- ~l~~~~';~::' ~! fl'.' ~:, .,Y;,.t":71 ~\I~_~ ,=:Wo::, .
..... ~~l\.""" i ...';~, ,;.. '~"" I ,,,.ll "" j:;::.
,/" ", ~ "{i ",.'; I; "Ii:. i ""l"il~" ";' ~~~"~' ~~.~.:..: ~ ~,~~
.' \" " I . '. ' -~ ...... · . ""'~('-
_, -,,-';i:_~. ,... . ." ,,: ~ 11'/ I .."', t . ; ,,:1
--::;.::'~.. . C\ ';';' '~':.., 'fl:1" liOl ",....' ~ · ~
. _ '~""1'<: ~ ~~ . . i'r ...... - " , l1>
, "'." ~ ~,' ,........J' -:::'. .' '. N- T \I
,>\:'. i5";;' 00: c.'," .",,' "0,'00:., -~ j .. .. .....0.
,('./ ..>/....:<i".,/. .,'(,eU'i,/:,iY" .{'ii: ........
./i.' ....>...";i ........ .. ............ ,......
ei.!; ./.:., .....;;i ............e.i). ....i,ij;..........,........!.' .." .i....
."" ..e...; ...........},.,;, ..! ....,..../:... i'.. .......... ..... ., .... ........;,........... ..... ......., '.'[
,;i:" ........ ;',> i./ ......C....
:.J: ." ii;'i >.'ii' .......,. ''iii.'
'c" .'t; .., '. ....Li;.' ...;<.i.iii',2: .. .....
ii;",.!i' .. ......' . .........i..'.,"..i....:;'.'
"i';:;'; '.' .....,. ......;; ........;..:i/i./,.
;i.;,.ytiii,;'" .........i!}j
'i....'... i:iii...... ,,.
....'.';.; ..; ...',;;;:....;':.'.' ..... ...!.. ... ,.;.,.,
..ii.;,:../::..;.... ...>.'\.' ..;,:t
i;' 'i; 'Y.i';'" iji .........j' .... ,..),
..../,........ ; i.i.,........i... .. ...;.;;';i/ jii'
';':'. ..'. ...../.' ....'. :; ;,';' ",., ..... ;".":::":'''''.''''ii;:i'!';~:
,..;..... .......;.. ...,...;;......,...,........ i........ ;;i\;'"
'i'" i.' ......... ........i ,'....:...;. ',i.i': ... i,'f.
/(S'.".!' /o,');i"' ./, ..);'<.;Y"".' >,'o'i."F<:
.(,',i'. ...".'g...../..i. ...ei ........... ........; .......i..Y/ . ii'l'
........,)!. ......i">i,...... ....,; ........i..i:{.:. .. "..".',;.i:;
............. ..... .... ..,: .,.'i, "'..,.,
.......,;.:.;:. '
In-I~o
O!i.
, -
: .~~~
I"
,
.
.
~
'.
EARl' B: APPLICATIOl I'C:e'I
=nON I: GF.NERAL INFORMATION
A. APPLIC1\N'l' SUMM1IRll
J..Dl Applicant jurisdiction: Jefferson County
1.02 AddreSS:
Public Works Department
P.O. Box 1220 / Port Townsend, WA 9B368
206-3B5-9166
J..03 Tel.eIhone:
J..03J. Federal Tax Identification Number
('l'IN)
J..04 Identify a contact person in yoor organization who is familiar
enough with this project to answer questions:
Robert G. Nesbitt 206-385-9166
Name Telephone NurN:>er
J..05 Type and location of project (check one) :
Bridge_
Road~
[)cIIestic Water_
sanitary sewer_ storm sewer
o:>unty in which project is located: Jefferson
J..06 ProVide a brief project title: Beaver Valley
Reconstruction M.P. 6.40 to 7.67
B. 'I1iRESHOU) RB;jUIREMENTS
1.07 CXXJNTIES AND CITIES ONLll (not applicable to special purp:x;e
districts)
Have you adopted a local one-q.>arter of one percent (.25%) excise
tax on the sale of real property as pennitted 'ai RCW 82.46.010(J.)
(and dedicated to capital p.rrposes 'ai RCW 82.46.030(2))1
No_ Yes~ Date of adoption: 11/15/83
1
~-
....,
--
B. 'ItiRESHOlD ~ - roraINUED
1.08 ALL APPLICAmS
Has your jurisdiction developed am adopt.e:1 a capital
ilnprovernent plan (CIP) or its equivalent for the system for lNhich
this application is made?
Yes ~ No_
If yes, does your CIP (or equivalent) meet minimum st.a,rrlards?
Specifically. did the plannirq process or does the plan include
(Indicate by check).
Yes No
1.0S1 An assessment of capital needs for the specific type
of system for lNhich the I'W1'I' loan application is made? ->L-_
1.082 An identification, prioritization, and coordination
of major capital i.lri>roverrent projects planned to
meet those needs over a five- or six-year period?
x
1.083 An estimation of project CDSts and identification
of financirq options?
1.084 El/idence that the document has been creat.e:1 or
updated at least once in the last five years?
1.085 El/idence that your planning process included the
opportunity for p..1blic il1put?
1.086 El/idence that the CIP has been fonnally adopted l:>y
the local entity?
x
x
x
x
--
-------------------------------
If your answer is no to any part of questions 1.07 or 1.08, you are
n:rt: eligible to participate in the Public Works TruSt F\Irxl program.
1.09 please provide the title of the plan:
Six Year Transportation Imorovement Proaram
Date of last plan update:June 26. 1qRq
N:Il'E:
N:Il'E:
Date of formal adoption ):Jy local entity: ,'"n,,?I; , CAC
please enclose 0"(,< col-'Y of your eIP (or its equivalent) unless an
up-t~te coW of the dOC\IDlBl1t is currently on file with 1'WI'F.
---------------------
1.10 For infornlational purposes only, irrlicate whether the project for
lNhich you seek a loan is identified in this capital ilnprovement plan.
Yes ~ No
If no, please stale vmy.
2
B. 'I1iRESIiOlD ~ - o:ffi'WUED
1.11 Has your local governin:3 bcxIy awroved the
subnission of this awlication?
5=ON II: PRnTICI' NEf;l)
A. I:E:SCUP1'ION OF NEED
2.01 Describe the public works problem yeu are prcposirg to solve or
the benefit y~ wish to achieve thro.>gh this project, for exanple:
If the problem identified is a threat to public health or
safety, deSCribe hew and to >ot>at extent this danger exists
(If applicable, further information is requested in
question 2.04).
If the project will maintain or ext.en:t the useful life of
an existirg system, describe how and 1oby.
If the project will reduce the cost of q>eraticns 1>y
in=>aSin;J system efficiency, des=ibe how ard to what degree.
:Identify the system classificatioo; i.e., prilllary arterial,
water storage, sewer treatment, etc.
Be thorough ard CCIll'lete in your response. :Include 1:inaN::ia1 data 1r
necessary to clarify the degree of the problem. Attach additiooal sheetS if
needed.
This section of Beaver Valley Road is in the poorest condition of all sections
of the road due to age and outdated design for present Average Daily Traffic of
3500.
The road is sub-standard for existing conditions in horizontal alignment,
surface condition, width, and d,rainage. The ADT has increased from 2820 in
1985 to 3500 in 1988.
Truck drivers have stated that the intersection at larson lake is to narrow
and large trucks find it difficult to make the turn both from the North and South.
This project will improve this intersection and bring it up to safe standards.
Thi s reconstruction project will up-grade the road to p,'esent day safety
standards. The project will incorporate all of the new Federal and State
Clearzone Standards.
The present surfacing is old and deteriorating. Many of the areas will be dug
out and filled with proper aggregate and a 6" thick asphalt patch.
The traffic is made up of 12% trucks and busses with the remaining 88% cars
and piok-up trucks. 3
..-
SECTION II: PRO.JECI' NEED
A. lESCRIPl'ION OF NEED - cx::NrINlJED
2.02 '1he existin;J situation (desCribed in question 2.01) may have
negative inpac:t.s upon y= cxmnunity. Explain hoW your ccmn.mity
is affecte:l. Be sure to desCribe \o'ho is involved, hoW often, \o'hat
is affectin;J them, and to ..mat degree.
From January 1986 to April 1988 there have been 18 vehicle accidents
with 6 injuries on this section of road. With better alignment and surfacing
some of these accidents could have been prevented.
The reconstruction of this section will provide wide paved shoulders to
m8ke it safer for bicycles and foot traffic. School busses will be able to load
and discharge passengers safer.
2.D3 Is thi.s proposed project coordinate:! with another
jurisdiction? Yes _ No L-
If yes, name the other jurisdicticn(s) involved ancl descril:.e
the nature of the coordinatiCll~ (financial, adrninistrative, etc.).
2.031 Is this a regional project?
Yes --1L..- No _
If yes, please explain hoW this project will significanUy iJlpact
a J1Ll1 ti -jurisdictional area.
This project affects the transportation of material and people to the
conmunities of Hadlock. Chimacum. and Port Townsend. 'Most traffic that comes
across the Hood Canal Bridge with a destination of the above areas will travel
over the proposed project 8rea.
S=rION II: """'= NEED
A. reSauPl'ION OF NEED - IXlNl'lNUED
2.04 If this project is proposed as the ~t of an urgent need,
indicate Wich of the follo.lin;J are applicable (by c::l>e<::kin1 one
or =re statem:mt(s) as appropriate) an:'! then descril:>e the
circumstaJlCeS below.
An officially declared emergency or natural disaster (in
accordaflCe with statutes governin;l emergency actions);
When was it declared?
-L A situation presently c::ausin; E.ubstantial harm to Hfe or
property ;
Action by another jurisdiction;
Action by a regulatory agency; or
other .
Not applicable (Go on to QUestion 2.05)
2.041 ees=iption of the alxNe c:hecI<sd ci.rc:lJrn.stanO (Attach additional
sheets if needed).
This section is the only section of this road that does not meet standards.
There have been 18 vehicle accidents with 6 injuries on this section of road in
two years(January 1986 to April 1988).,
2.042 I)OCUIllentation is attached supportin; the ci.rc:lJrn.stanO stated
above. yes _.l'l01-
If no documentation is attached, explain why this is not
possihle.
The documentation is a series of accident reports by the State Patrol. Sheriff's
Department and individual reports by persons involved in the accidents. All
reports are on file at the Courthouse.
2.043 If yes, identify the itens attached.
5
.-
.......
S:f.CI'ION II: ""","tFCl' Nf.;!;;D
A. DESCRIPrlON OF NEED - CX)N'I'INUFD
2.05 Write a s=pe of work fo. the proposed project in quantified
tenns-hCM much aJ-D which system elements are you proposirq to
repair or replace (e.g., twO _115, 800 linear feet of water
transmission train, etc.). If aT1i of the project activities are
proposed as an expansion (rather than repair or reconstnlction)
of your p;resent system, identify the..<;El activities ard ""Plain why
they are necessary to serve the current pop.1lation.
Be specific in y= response. Elements of y= Sc:ope of work
should clearly address the need identified urder question 2.01.
Attach additional sheets if needed.
}Dl'E:
Please include a trap of y= judsdiction or seIVice area with the
location of y= project activities clearly shCMn.
Jefferson County ~lans to improve the horizontal alignment, widen pavement and
shoulders to present LAG Manula standards. Also improve intersection at
North terminuS where the 1986 Public Works Trust Fund Project for resurfacing
started. This is the intersection of 8eaver Valley Road No. 941507 with
Uar50n Lake Road No. 503008. The Orainage would be improved and the roadway
and shoulders would be paved with asphaltic concrete.
The road safety will be improved to meet the new Federal and State
Claerzone Policy. This road is classified as a major collector under the
Federal Highway System.
2.051 HCM ard when have project cost estilrates been made? Indicate the
source of y= estilrates: for ~le, a 1986 eN;Jineerirq study done
by =unty public \oIOrks staff or estilrates completed by a consultirq
eN;J1neer. Identify the p,lblic \oIOrks staroardS (e.g., UlIB, MW\"
NIMA, N\SIfIO, etc.) used to arrive at project s=pe ard cost.
Cost estimates were derived from a 1989 planning study by county Public
Work Staff. The standards are from the LAG Manual.
2.052 HCM do you intern to repay this loan? If applicable, identify
revenue sources or ac:c:omts.
From General County Road Funds.
2.0S3 'n1e useful life of these iJli>roven-ents is
years.
ln
6
.-
SECTION Ill: PROJECI' FUNDING
A. FI1O.JECl' FUNDDlG
3.01 Estimated PrOject Costs:
Prelirninal:y Engineerin;! RepOrt
Design Engineerin;!
lani/R-o-w 1\CqUisition
constrUction
Sales or use Taxes
InspeCtion/construction
Engineerin;!
other
Contin;!ency L-8..-5%)
(a) '!UrAL ESTIMATED c:ooTS
ExpanSion;
~l"t'"1ooIth
Repair/
ReJ21aoement
16,000
84.000
40.000
S?? ROO
71\,400
TotS1
63.l)nl)
$ 804.200
$
$
3.02 Identify tun:ls other than local and Public WOrks TrUSt 0\JIrlS oc:mmitted to
this project:
Federal Funds fran:
w. state. tun:ls from:
other (identify source):
$
$ 249 .840
$
$ 249 ,8~0
(b) '!UrAL (KN-IDCAL) FUND
3.03 UNFUNDED Bl\IJ\NCE: (Total estimated costs line (a) subtract total non-local..
funds, line (b).) $554.360
3.04 Local participation* fran:
General FundsjRe.Sen'es
Federal, state or Private lJ:lanS
Rates
Assessments (ULIOs, LIW, RIW)
Special LeVies
other
$
$
$
$
$
$ b~ .'10U
(c) '!UrAL IDCAL RJNI:6
$ 62,460
$ 491.900
------------
3.05 PropOSed FUblic Works TrUSt FUrd }\DOJI'It:
3.06 IDCAL PARrICIPATION PERCENl'AGE (Divide total 10<'031 funds line (c) by the sum
of the proposed Trust FUn:l. and local funds line (c). JbL. %
Note: 3.03 shalld ecpal 3.04 (line c) plus 3.05.
O'J'he local share of project costs nust equal, at a minimum, 10 percent of the
UNF\JNDED BlUANCE: calculated aboVe. Any costs related to system expansion or
growth beyon:l present service base or pcp.llation cannot be ooonted as local
share in the project costs.
7
....-
--
SECTION III: PROJEC1' FUNDING
A. ~ FUNDD'lG - a:>NTINUED
Note: You may attach additional sheets of paper if I110re space is needed
for your answer.
--------------------------------------------------------------------
3.07 Other than applying for a Public Works Trust FUnd loan at
anytilne, what atteITpts have been made to finance this project?
Include attenpts made at local, state, and federal levels.
'!he status of your project with other funding sources should
be verified in writing whenever possible.
We have programed FAS money but received only $75,000 a year and the
high cost of this project does not make this type of funding feasible.
We also have applied for RATA funds but do not score high enough within the
region. For the entire length of the section we will recieve $249,800
for construction onlY from the CRAB Board for the South one half mile
of the proj ect.
3.08 Describe any additional constraints on the sources listed
order 3.02 and 3.04. Exa1TPles might be voter awroval,
federal grant receipt, or tiJne or match limitations associated
with a particular fund source. for exa.".,le, if you will be
using any kind of a local :iJrv?rovement district as part of your
local share, how will you finance this portion if the LID
fornation is unsuccessful?
N/A
3.D9 If a Public Works TrUSt f\mCI loan is not provide5, what inpact
will this have on the ti.mirg of your project and particularly
your ability to utilize altemate funds c::amtitted to this
project?
The project will be set back for 4 to 5 years due to l8ck of funds from
other sources.
The traffic is expected to grow rapidly causing health and safety
problems along this section of road. The rate of increase has been
approximatelY 8% per year from 19!5 to 1988.
8
wr.nON nI: mn1F.CT FUNDJNg
A. FROJECl' fUNDmG - CX)NI'INUED
3.10 Estilnated schedule for nroiect lYl!1lO1etion.
Irrlicate the trOnth ani year IHhen the activities l.isted haVe l::leen
or will be oc::arpleted.
f:stilnated O:2ra:>letion ~te
(anticipated)
LOan ~t signed
PreliminarY Engineering Report
Application for required permits obtained
1>.Dril 1990
Sept 1989
Nov. 1989
Feb 1990
Sppt 1qqO
Feb 1991
April 1991
May 1991
Sept 1991
Oct 1991
Design Engineering
tarxl/R-O-w l\Cq.lisition
Preparation of Bid I)oC:UIlents
Award of Construction Contract
Actual. start of ConstrUction
COnTpletion of constrUction
Project in Use
Note: I'Ublic Works TrUSt F\md loan recipients nust sign a loan agreement within
90 days of legislative approval. Projects nust begin within 3 m:>nthS of
signing the loan agreement ani be oc::arpleted within 24 trOnths.
Applicant is responsible for scheduling adequate time to acquire al1 necessaxy
pennits ard approval for the project.; i.e., SEPA, flocxlplain, shore11nes,
etc.
9
SECl'ION IV: lDCI\L EFFORT
For the p.IrpOSe of evaluating Public Worl<s Trust F\1rrl loan awlications, local
effort is defined as the measure of a local government's will~s ard
ability to raise revenue from local sources ard its ability to manage those
revenues. Effort will be measured in three key areas: system maintenance,
reven..>e acq.rlsitien, an:! financial management. The questions that follow are
designed to generate information about each jurisdiction' s effort in those
areas. Attach additional sheets if needed to CClTplete your answer. Ile sure to
clearly carry over the appropriate cpostioo I1JIIbeI:s en the attached pages.
N:Il'E: Unless otherwise stated, all questions relate to the PJblic works
system for w.lich this loan application is made. Please limit your
responses to information describing that system.
A. SYSTEM MAlNI'ENANCE
4.01 If this system has been acquired within the last ten years, wen
did the governing body a5SUl1'e re."POnsibility? ----! _
mo. / yr.
N/A
4.02 List up to three of the IOC>St current major repair an:I/or inprovement
projects undertaken in the last ten years; with the exception of
IlKXtifications made solely to aCCCll1ll'Cldate growth. Include a brief,
descriptive title for the work (e.g., "Replaced the well" or
"Oripsealed three miles of county road 2001"), ..nen it was carpleted,
an:) an est:im3te of the cost.
Date
Pro;ect Title COmpleted ~
Chipsealed 1 mile 1984 $8,000
Patch with cold mix asphalt 1986 $ 800
P.t~h with asohaltic concrete ]9R7 $].200
County wide maintenance 1988 $1.821.600
4.03 Other than repair/brproveJOOnt projects, what is done to ensure
that the system is maintained in proper workin; order (e.g., use
of a maintenance platVschedule, periodic inspections, inventory
of system elements, methods of budgeting - including maintenance
reserves)? (Note: If your system is newly acquired, explain hCM
you anticipate doing the above.) Attach additional sheets if
needed .
Annual inspection. Pavement Management Systems Program.
Annual intersection ratin9 and this is a safety evaluation of each
intersection along the County's major routes or when there is a history of " ;:;
accidents.
The county hires workers during the summer months to cut brush and help do
minor work to improve intersection safety. .
Each year Jefferson County pr09rams'sets aside $120.000 to $140.000 for
safety work.
10
SECTIOO lV: l.QC.l\L EFFORl'
B. ilE'JENUE ACQUISITION: ALL SySTEMS
In this section, the questions are separated into three groJpS.
OJestions
4.04 - 4.09 answered by aU applicants.
4.1.0 _ 4.1.4 answered ally by applicants with rate based system projects;
4.1.5 - 4.17 answered ally by applicants with non-rate based system
proj ects.
wm: If the jurisdiction is not authorized under state law to levy arrt ~
of the follO'oling taxes or rates, then insert "N/A" on the appropriate
space.
For systems that do not c:haJ:ge by cubic foot of water, convert yoJr
rate into a c:haJ:ge for c:ul:>ic feet or estimate the c:haJ:ge on that
basis. For storm water utilities, use the residential rate.
4.04 JURISDIcrICN FISCAL CAPACI'lY: ALL APPLICANrS
4.041 What is your current monthly rate chaJ:ged to a sin]le-family
residence for the use of 1,000 cubic feet of water?
N/A
4.042 What is your current monthly sanitaxy sewage utility rate
charged to a sin]le-family residence? N/ A
4.043 What is your current regular-levy (non-voter approved)
property tax rate per $1.,000 assessed valuation (exclude port,
hospital, fire, cemeterY, etc.)?
1 Q~~4(Road levy)
4.044 D:leS your =rent rate reflect a tax increase equivalent to
the 106 percent limit?
O ~ Wha' . 'sd'ct" . regul 1 ~Z..~~ -
4. 4J t ].S your Jur]. ]. ].on s maxllI1Ull\ ar- evy p-....-=-~.r ...."..
per $1.,000 valuation? $2.25
4.046 Identify the tax rate for (excludin] state aM transit taxes):
TvPe of Tax
current Rate
StatutoN MaXin1Um
IDeal Option Sales 1.00 %
Real Estate E:><c1se . 25 %
Electricity %
~turel~s %
~le~M %
Cable 'IV %
B&O %
Water %
Sewer %
Solid Waste '"
*Note: 'The canbined statutory limit is 1.25.
J.l.
1.00 % *
.75 % *
6.00 %
6.00 "
6.00 %
~ECl'ION IV: lOCAL EFFORr
B. REVENUE ACQUISITION: ALL SYSTEMS - a:>NI'DlUED
4.047 FOR OXJNI'IES ONLY: Is the current levy rate for the road
district in which this project is located at the maxi1m.un allowable
rate?
Yes No-L
4.05 Explain hCM capital costs for your system are financed. Attach
additional sheets if needed. Please i.n:l.icate if financed through
"pay as you go", debt issuance, reserve account, special levies,
etc.
Property Tax Gas Tax
Federal Forest Yields Funds State Timber Tax
FUS Funds 8ROS Funds
RAP Fund O.O.E. Grants
4.06 What has been done in the last five years to iltpI'OVe the system's
financial base? Attach additional sheets if needed.
Apply for State and Federal Grants
:\ Jefferson County has appl ied for and received grants from D.O. E for
program :writing, management plans, and construction grants for recycling and
solid waste. Jefferson County does not divert road funds for other County expenses.
4.07 Identify the last debt issuance (OOrd or loan) issued to support
this system. Identify what it was for, 10tIen it \1aS issued, and its
anount. Bridge and stonn projects may cite road/street issues. If
debt f1nancin;J is not used, i.n:l.icate N/A.
Description
Public Works Trust Fund
Date Issued
~
$597 .514.12
April 1986
4.0B Identify up to three debt issuances, other than the one noted above,
which have been issued for any gavenwental p.upose in the last ten
years. Include t.'!lat they were for, when they were issued, and their
anount. Begin with the most recent. If debt financin;J is not used,
in:licate NjA.
Description Date Issued ~
Summer
Courthouse Re-roofing & Sealing Morta r 1990 $360,000
Fall
Port Townsend Community Center 1989 $475.000
Spring
Solid Waste Landfill 1990 $1.300.000
12
l?F=ON IV: fOCAL EFl'ORr
B. REVEll\JE ACQUISITION: AIL SySTEMS - CXlNTINl1EO
4.09 Has an inprovement district been formed in the past ten years to
support this system?
Yes -L- No_
Bridge and storm sewer projects may cite local inprovement
districts lUllS) aro road inprovement districts (RIllS). other
p:>Ssiliilities include utility inprovernent districts (ULI1lS),
transportation benefit districts (TBOs), or business inrpravernent
areas (BIAs).
If yes, durirg \oIhat month ard year was the last one forne:l?
10 /7R
mo. / yr.
c. REVEll\JE ACQUISITION: AATE-BI\SED S'iSI'EMS CM,;L
4.10 DesCribe your :.:ate E:C:ttirg process aNi L-dicate heM often your
rates are reviewed.
4.11 List the carp:lnents or categories that oalP.rise your rate
(xraintenaflOe arrl operations, debt service, utility costs, etc.).
N/A
4.12 Do your current rates r:J:Ner yo.rr costs?
Yes_ No_
If not, please explain. Attach additional sheets if needed.
13
..-
-
SECI'IOl>I IV: lDC'AL EF'FORI'
C. RE:VE2'llJE AO;;!UISITION: RATE-BASED SYSTEJolS ONLY - a:>m'nlUED
4.13 What other revenue producing taxes, charges, or fees are used to
SlJ!:pOrt this system? List up to four of the IlOSt significant.
Title of Tax. Ol"me, or Fee
4.14 Are there any local e=namic =nditions or circumstances ~ich
prevent your jurisdiction fran u'Sing or Jrore fully using one or
lllOre revenue source (bonds, loans, LIDs, RIDs, rate adjustments,
taxes, pay-as-you-go, etc.)?
Yes _ No-x--
If yes, deScribe those =nditions or circumstances following 4.17.
D. REVENuE AO;;!UISITION: NON-RATE BASED SYSrEMS ONLY
4.15 What revenue producing taxes, charges, or fees are used to support
this system? List up to four. (Bridge systems may use road
related revenue producing items.)
Title of Tax. Olarae. or Fee
State Gas Tax
State Timber Viel d Tax
Permit Fees(work on road by others)
Prooertv Tax
4.16 Identify any provisions for the funding of a dedicated reserve
account, fund or interfun:l transfer, an:! indicate ~ich pilil1c
1olOrks system(s) are affected (roads, bridges, storm sewers, etc.).
Jefferson County set aside for safety work on roads approximately $120,000
to $140,000 each year for safety projects such as, Intersection Lighting,
Guard Rails, Bridge Approach Railings, Intersection Improvements, and other hazard
reduction measures.
14
SECTION IV: l'JX.I\L EFFORl'
D. REVENUE ACQJISITION: NON-RATE Bl\SED SYSTEMS 0NL'i - <XNI'INUED
4 . J. 7 Are there any local ec:onanic cordi tions or ci.rcu1rst:ances \o'hich
prevent your jurisdiction iran usirq, or more fully usirq, one or
IOOre revenue source (bonds, loans, LIOO, =, rate edjust:ment:s,
pay-as-you"9o,. taxes, etc.)?
Yes_ NoL-
If yes, describe those corditions or circumstances below.
N:1IE: 'lhis space is for detailed answers to questions 4. J.4 an:! 4.17.
Jefferson County has one of the higilest percentages of reti red persons
living on fixed incomes within the State of Washington.
Jefferson County will soon feel the effect of the reduced timber harvest
on the Olympic Peninsula, due to the Spotted Owl growth Timber Controversy.
By a reduced timber cut there will be less Federal timber moneys, less timber taxes,
and reduced timber employment.
15
ii,
~..
"-
..."..
.....P'
S;f,CflON IV' lOCAL EFfQRl'
E. FDWlCIAL~: }ILL APpr;reJlNl'S
---------------
N)l'E: 'Ihe following questions nay best be answered by consideriN3 Y=
jurisdiction's overall finanCial rranagement capabilities applicable to
the p..1blic worl<s system this application addreSSeS. Go fran general to
specific. Attach additional sheets if neEded.
--------------------
4.18 What has been done at the local level in the last five years to
maintain or :iJ1t>rove the ma,nagen<mt of the system's finanCeS?
8etter management of equipment, up-grading equipment to reduce
manpower needs. and improving methods for road maintenance.
Jefferson County joined the State Pool for investing funds on the 24th
of JulY 1986. County funds are invested on a daily basis.
The Public Works Department is revising their purchasing standards so
that there are more checks and balances and we are able to obtain better
prices for each item.
4.19 What finanCial strategies or mmagenEnt tools are used (or for
recently acquired systemS, ~ticipated to be used) to ensure that
the system haS sufficient fUnds (e.g.. to ~te, maintain, respon:i
to emergencies. make :iJ1t>rovenEnts, etc.)?
The general trend for Jefferson County Fund is tending to be on an
upwav'd movement. Jefferson County looks at each project by itself and
determines which is the best way to fund the work in a timely maner.
The county uses R.A.P. money, Federal Aid for Secondary Roads(F.A.S.),
for major reconstruction or construction projectS.
Working with P.M.s.(Pavement Management System) and developing a Fleet
Management Program.
16
CERl'IFICATION
WllERE1\S, Jefferson CO!lnty is applyiN;J to the
washington state Public works Tnlst FUnd Progra!l1 for a lC'\1-interest loan for
an eligible project; and
WllERE1\S, it is necessary that certain conditions be met as part of the
application process; and
WliEREI\S, RCW 43.155.070 requires that county and city applicants nulSt have
adopted the local optional one-quarter of one percent real estate excise tax,
as described in Chapter 82.46 RCW; and
IYliEElEAS, RCW 43.155.170 requires that applicants must have adopted a long-tenn
financing plan for public works; and
WliEREI\S, RCW 43.155.160 requires that the project will be advertised for
c:orrpetitive bids and administered a=rdiN;J to standard local procedure; and
WliEREI\S, the loan will not exceed 90 percent of eligible =sts incurred for the
project; and
WHERE1IS, ~;ny 1= arisinq f= this application constitutes a debt to be
repaid, and Jenerson county has reviewed. and concluded
it has the necessary capacity to repay such a loan; and
NOO THEREFORE, Jefferson County certifies that it
n>eets these requirements, and further, that it intends to enter into a loan
agreement with the DepartJnent of eornmunity DeVelopment, provided that the
tenns and conditions for a Public Works Tnlst F\Il1d loan are satisfactory to
both parties.
signeiJ..4~'j'~ # {!/'~
Name ~t:lnl"'ga. Rrm.....n
Title Chairman. Board of County Commissioners
~ :T~~;: ~ _
Lorna Delaney ~~
Clerk of The Board
17
~-
CHUCK ClARKE
Director
STATE OF WASHINGTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
Ninth & Columbia Building. MSICH.51 . Olympia. W3shinglon 98504-4151 . (206) 7SJ.2200
January 26, 1990
,('t It.;. ~ E 9 V E 0
Mr. Robert G. Nesbitt
Jefferson County
Public Works
Post Office Box 1220
Port Townsend, Washington 98368
JAN 3 0 1990
JEFFERSON COUNTY
""1 "~'I~ '^InRKS DEPT,
Dear Mr. Nesbitt:
Before projects on the 1990 Public Works Trust Fund list can receive funding, they must be
approved by the Washington State Legislature. House Bill 2288 has been introduced and
received favorable review by the House Capite.! Facilities and Financing Committee last
week. A copy of the bill is enclosed. Public Works Board policy requires that the
Department of Community Development and each local government complete a loan
agreement In a timely manner.
In order to meet that policy, we are initiating the first step of the loan agreement process,
the Scope of Work. The enclosed Scope of Work form will become a part of the formal
loan agreement for your public works project. The Scope of Work's concise, quantified
description of the project (including length, width, capacities, quantities, etc.) should be
based upon your project scope as indicated in your application. If you can provide a more
concise description of the project than was contained in the project application, please do
so. Your engineer's certification of the expected life of the project will establish the loan
length. If you wish to have the loan payback for less than the expected life of the project,
please indicate in the appropriate space.
It is our intention to execute loan agreements as soon as possible after the Legislature
gives approval and the Governor signs the bill into law. Please return the completed Scope
of Work by February 26, 1990. This will assist the staff in preparing the loan agreement in
a timely manner. Washington Administrative Code CNAC) 399-30-060 requires that the
completed Scope of Work form be returned to the Department no later than April 26, 1990.
A copy of WAC 399-30-060 Is enclosed for your information.
If you have any questions about completing the form, you may call us at (206) 586-0490 or
SCAN 321-0490. We are looking forward to the coming contract year and working with you
to make the 1990 Publlc Works Trust Fund loans successful.
S~u.8~
Pete A. Butkus
Public Works Manager
Enclosures
cc: The Honorable George Brown
-<<"~3
--
-v -.--"""""-1'_ r lfi1l1U --~~ -
O"ilJ().; C1.ARl\l
Dllt.'t,:tOl'
STAl[ or WASHINGTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
Ninth &,. Columbia Building, MS/GH-51 . O/)'mpia, WJ~hin8ton Yl:J5()4~-I'5'f . (206) 753-2200
RECEIVED
January 26, 1990
Mr. Robert G. Nesbitt
Jefferson County
Public Works
Post Office Box 1220
Port Townsend, Washington 98368
JAM 29 1990
JEFFERSON COUNTY
PUBLIC WORKS DEPT.
Dear Mr. Nesbitt:
Before projects on the 1990 Public Works Trust Fund list can receive funding, they must be
approved by the Washington State Legislature. House Bill 2288 has been introduced and
received favorable review by the House Capital Facilities and Financing Committee last
week. A copy of the bill is enclosed. Public Works Board policy requires that the
Department of Community Development and each local government complete a loan
agreement in a timely manner.
In order to meet that policy, we are initiating the first step of the loan agreement process,
the Scope of Work. The enclosed Scope of Work form will become a part of the 10rmal
loan agreement for your public works project. The Scope of Work's concise, quantified
description of the project (including length, width, capacities, quantities, etc.) should be
based upon your project scope as indicated in your application. If you can provide a more
concise description of the project than was contained in the project application, please do
so. Your engineer's certification of the expected life of the project will establish the loan
length. If you wish to have the loan payback for less than the expected life of the project,
please indicate in the appropriate space.
It Is our intention to execute loan agreements as soon as possible after the Legislature
gives approval and the Governor signs the bill into law. Please return the completed Scope
of Work by February 26, 1990. This will assist the staff in preparing the loan agreement in
a timely manner, Washington Administrative Code 0NAC) 399-30-060 requires that the
completed Scope of Work form be returned to the Department no later than April 26, 1990.
A copy of WAC 399-30-060 is enclosed for your Information.
If you have any questions about completing the form, you may call us at (206) 5B6-0490 or
SCAN 321-0490. We are looking forward to the coming contract year and working with you
to make the 1990 Public Works Trust Fund loans successful.
~ Q 8.JX-
Enclosures
cc: The Honorable George Brown
Pete A. Butkus
Public Works Manager
..r~:t
--
...~"'WUr
1ill'I~=-
'..j~
(;?J?j ;;
\.!!o)t>-_
Public Works Trust Fund
ATIACHMENT 1: SCOPE OF WORK
PW.S.90.280.018
Jelferson County
(Jurisdiction)
Beaver Vallev Reconstruction
(Project Tille)
1. Provide a clear description of the project to be financed In part by a Public Works
Trust Fund loan (attach an additional sheet if necessary):
2. The term for this loan will be based cn an engineer's certification of the expected
useful life of the improvements, as stated below, or 20 years, whichever Is less. If
the local government prefers the term of its loan to be ~ than either 20 years or
the useful life of the improvements, the preferred loan term should be Indicated:
years.
3. I, ' licensed engineer, certify that the
average expected useful life for the improvements described above is
years.
Signed
Date
Telephone
SCOPE OF WORK
Page 2
PW-5-90-280-01 B
4. Estimated Prolect Timetable:
(based on the possible execution of a Loan Agreement by April 1, 1990)
Completion of Engineering
Awarding Construction Contract
Completion of Construction
(date)
(date)
(date)
5. Estimated proiect Costs:
Preliminary Engineering Report
Design Engineering
Land or Right-of.Way Acquisition
Sales or Use Taxes
Other Fees
Inspection/ConstrL:ction Engineering
Start-up Costs
Financing Costs
Contingency
Construction
TOTAL ESTIMATED PROJECT COSTS
$
$
6. Anticipated Fund Sources:
Public Works Trust Fund Loan
$491.900
Note: The loan cannot exceed the amount identified above. Local Participation, not
less that 10% from:
General Funds
Capital Reserves
Other Fund_
Rates
Assessments (LID, RID, ULlD)
Special Levies
Federal Funds from
Othar State Funds from
Other (identify source)
TOTAL FUNDS
$
SCOPE OF WORK AND LOAN AGREEMENT TIME UNES
WAC 399-30-060 LOAN AND FINANCING GUARANTEE CONTRACTS. (1) The
board shall not sign loan agreements or otherwise financially obligate funds from the public
works assistance account until the list and accompanying appropriation are approved by
the legislature.
(2) After the legislature has appropriated funds from the public works assistance
account for a specific list of public works projects, the loan funds will be disbursed to the
applicant local government pursuant to a contract therefor, which will be offered to the local
government with such reasonable terms and conditions as the board may determine:
PROVIDED, That the amount loaned to a local government shall not exceed ninety percent
of eligible proposed project cost: PROVIDED FURTHER, That the funds provided by a local
government which are considered local financial participation shall consist of locally
generated revenues and/or federal and/or state-shared revenues subject to discretionary
allocation by the recipient unit 'of local government: PROVIDED FURTHER, That the interest
rate for loans shall not exceed three percent per annum: PROViDED FURTHER, That loans
may be provided at rates of lower than three percent but greater than one percent if the
local government participates to a greater extent than ten percent in financing the project
receiving a trust fund loan: PROVIDED FURTHER, That loans shall not exceed twenty years
in duration, or the useful life of the improvements, whichever is shorter. Exception to these
provisions shall be made only in cases of severe economic distress and/or natural disaster.
(3) Public works project loan and/or financing guarantee agreements offered to local
governments shall be formally executed by the local government and the department of
community development prior to the disbursal of any funds thereunder,
(4) Public works project loan and/or financing guarantee scope of work forms shall
be completed and returned to the department of community development by the local
government within ninety days of the date a scope of work form request is initiated.
(5) Public works project loan and/or financing guarantee contracts offered to local
governments shall be executed by the local government within ninety days of the date a
loan agreement if initiated.
(6) Work on public works projects financed through loans or financing guarantees
offered to local governments must commence prior to October 1 of the year in which the
loan or financing guarantee if offered.
(7) Work on public works projects financed through loans or financing guarantees
offered to local governments must be completed within twenty-four months of the date work
has begun on such projects, unless a written request for extension is approved by the
board.
(8) Funds expended by local governments on projects financed through loans or
financing guarantees by the public works assistance account before an agreement has
been formally executed by the local government and the department of community
development may not be reimbursed wilh funds from the public works assistance account.
Such funds may be used by the local government as an element in its required local
participation in a project financed by the public works assistance account.
Public Works Trust Fund
ATTACHMENT 1: SCOPE OF WORK
PW.5.90.2BO.018
Jefferson County
(Jurisdiction)
Beaver Vallev Reconstruction
(project Title)
1. Provide a clear description of the project to be financed in part by a Public Works
Trust Fund loan (attach an additional sheet if necessary):
The purpose of the project is to improve the Beaver Valley Road, County Road
number 941507, from mile post 6.31 to mile pos~ 7.67, by widening and paving
shoulders,resurfacing existing roadway with asphalt concrete pavement, providing
right. turn tapers, right turn corner'_~deBigns, right turn lanes. and left turn
channelization as required, providing bus pullouts 85 required at various locations,
and by providing safety improvements which include, traffic control, access,
utility pole relocation, illumination, signing, pavement marking and delineation,
Major items of work will be clearing and grubbing, grading, draining, surfaCing,
paving with asphalt concrete, pavement marking, paint striping, permanent signing,
and illumination.
2. The term for this loan will be based on an engineer's certification of the expected
useful life of the improvements. as stated below, or 20 years, whichever is less. If
the local government prefers the term of its loan to be ~ than either 20 years or
the useful life of the improvements, the preferred loan term should be Indicated:
Ten (10) years.
3. I, Robert G. Nesbitt , licensed engineer, certify that the
average expected useful life for the Improvements described above is Ten (10)
years.
Signed ~~~..f.J#
Date ~~~,b /~.?~
Telephone ,,:!ot?'-, '..1x<5""- 9/'-'"
.-
Estimated proiect Timetable:
(based on the possible execution of a Loan Agreement by April 1, 1990)
Completion of Engineering February, 1991
Awarding Construction Contract Apr1i, 1"1
Completion of Construction SePtember. 1991
(date)
(date)
(date)
Estimated Proiect Costs:
Preliminary Engineering Report
Design Engineering
Landor Right-of-Way Acquisition
Sales or Use 'faxes
Other Fees
Inspection/Construction Enginee>ring
Start-up Costs
Financing Costs
Contingency
Construction
TOTAL ESTIMATED PROJECT COSTS
$ 18,000.00
Qo.oon nn
40.000.00
(included in const. coat)
7B,400.00
60.100.00
522, BOO. 00
$ 809,300.00
Anticipated Fund Sources:
Public Works Trust Fund Loan
$491.900
Note: The loan cannot exceed the amount Identified above. Local Participation, not
less that 10% from:
General Funds
Capital Reserves
Other Fund (Road Fund)
Rates
Assessments (LID, RID, ULlD)
Special Levies
Federal Funds from
$ 67,560.00
Other State Funds from
R.A.P.
$ 249.B40.00
Other (identify source)
TOTAL FUNDS
$ 809,300.00
TO~~~~ IIII
.p, toe.' UTI Lrr') ~
-Fa.",,,,,c.I-\I>,,;' .,
IRA
/()!
ATTORNEYS AT LAW
720 CLIVE WAY, SUITE: 1700
SCATTU:, WASHINGTON 96101-le61
F"ACSIMILE IZ06) 6Z04.eg!.1g
TELePHONE: (206) GZ04-5Z5Hil
Jj\!TY TI....OTHY T BLACK
JEPT, CHR~~~~~E~je~~~
PAUL t. BRAIN
RICI-1ARD ,A,LAN COLC*'
VINCENT B OCF'ILL.iS
.......ME:S C q;ARN..JR
5Tf;:Pt-tAN 0 J'" .JE:,-STA.O"
DARIA NACHeF"" HOMCHICK
cc (Q) ~y RE~~~2':~" :,,~~~~~
STANLEY H. RtcvE5l
SUSAN Ii>, St-tYNC
I<.IM 0 STEPHENS
CYNTHIA THOMAS
RusseLL F: TOUSLEY
M...R.... rOSTeR VRBANA(:
KIMBE:RLY KCRNAN WOODS
November 8, 1989
....1.100 Ao",,"TCD IN THe CISTA-lCT C'- c:OI....H..Il'...
.....1.100 ...D....lTTCO IN C.AI.,"OAN'.
*....1..0 AeMITTCC 'N "I:W YO"'"
U"'I..0 "'O..'TTI:O IN 0"'0 "'NO
OISlA'CT 0" c:Ol..u...O....
Mr. G. H. Folquet, president
pope Resources
19351 Eighth Avenue N.E., suite A
P.O. BOX 1780
poulsbo, WA 98370
OJ'" CQUNI>I::1.
STANBeRY F'OSTER..JR
OI..IR riLE NO
S-20328.Bl
Re: utility Service for property at 9071 Oak
Road, port Ludlow
Dear Mr. Folquet:
We have been retained by Larry and Sally
SUllivan, owners of the property at 9071 Oak Bay Road in
port Ludlow to assist in securing utility service for the
property. In a letter dated August 22, 1989, Mr. Sullivan
requested from you a Letter of Availability of Sewer and
water service. By letter dated september 22, 1989 you
rejected his requ~st saying that you have no "moral or
legal responsibility to provide service to adjacent
properties."
We believe that under the terms of the tariff
filed with the state utilities and Transportation
committee for the LudlOW utility company, you are legally
obligated to provide water service to the Sullivan's
property. We further believe that you are prohibited from
denying water or sewer service to the Sullivans by the
State consumer protection Act (RCW 19.86.030 & .040) and
the Sherman Antitrust Act.
We ask that you reconsider your september 22
decision and issue a Letter of Availability as quickly as
possible. The Sullivan's plans for development of their
01
Mr. G. H. Folquet, president
November 8, 1989
page 2
property cannot proceed until they receive the Letter of
Availability from you. The Sullivan's project has already
been delayed several months. Any further delay will kill
the project, causing the Sullivans a substantial economic
loss. If you need additional information or wish to
discuss this further, please feel free to contact me.
very truly yours,
TOUSLEY BRAIN
Q:;e~
JEF/nc
2675G
cc: yohn F. Raymond, Esq.
(Mr. Gary A. Rowe
Mr. James Pearson
~
-
2
AUTOMATED PAVEMENT
CONDITION DATA
COLLECTION EQUIPMENT:
SHRP CONDITION SURVEYS MOVE
INTO IIIGH GEAR
Long Term Pavement Performance (L TPP) studies arc an
important part of the $150.miJIion, 5-ycar Slrategic High-
way Rescarch Program (SHRP). With thc LTPP studies,
SHRP will be able to assess the long-term performance of
different types of pavement under a wide range of loading
and cn\lronmental conditions.
In developing the data colleclion program, SHRP officials
recognized the need for uniform, consistent data. They met
this need with specialized pavemenl data collection equip.
ment,standard data collection procedures, and close quality
control all data collection activities. These processes and,
more importantly, the people involved, have combined to
allow the SHRP pavement data collection process to move
into high gcar. Data collection is undelWay on over 750
pavement sections.
Under the LTPP, inventory data will be collected on such
features as section length and 'mdth, number of lanes,
shoulder types, pavement cross section, materials informa-
tion, construction data, drainage, pavement history, and
functional classification. In addition, data on condilion and
traffic (i.e., loadings) will becollecled periOdically. This data
wilJ provide historical information for developing relation-
ships between distress, performance, traffic and axle loads,
age, maintenance, and costs. To perform the different meas-
urements, SHRP has secured a number of devices.
Pasco USA, Inc., has built and tested two survey vehicles to
collect pavement distress data. The two vehicles, known as
ROADRECONS, surveyed over 150 sites during their
first 3 months in use.
The ROADRECONS opera Ie at night with a specially
designed system of cODlrolled extcrnal lighting. A 35 mm
camera is mounted on a telescoping boom in frmar of the
ROADRECON, about 9.5 feet above the pavement. The
camera continuously photographs the pavement surface.
Film speed is synchronil.cd with vehicle speed to expose a
continuous strip of film. McanwhiJe, on a similar rear-
mounted boom, a pulse camera photographs the transverse
profile oflhe pavemeDl al50.foot intervals. This camera is
synchronized with a nashing hairline slrobe projector
mounted on the rear bumper. The resulting photograph
contains the image of the projected hairline. The hairline
parallels the roadway surface, permitting an accurate
mcasure of rut deplh.
TRrJ
03, Lj.O
To perform the roughness surveys, SHRP plans ~o use four
specially designed profiling devices. Afler extensIVe evalua.
tion, K. J. Law Engineers, Inc., delivered two recreational
vehicle-style M690DNC Profilometers to SHRP. They can
measure the longitudinal profile in both wheeJpaths and
compute the Internalional Roughness Index.
The hardware and software on a third machine, on loan from
Ihe Federal Highway Adminislralion, are being improved.
It will supplrment the two new devices. A fourth device,
scheduled for delivery in early spring 1990, will allow each
of Ihe four SHRP regions to have a profilometer.
Four new Falling Weight DeOectometers (FWD's), one for
each SHRP region, are collecting pavemeDl deOection data.
Dynatest Consulting, Inc., furnished Ihese specially Cabri-
cated model 8000E FWD's. Shakedown and Iraining were
compleled in May 1988, and the four devices were calibrated
using a system that SHRP designed.
The four FWD's include unique software options to meet
SHRP's data collection needs. The trailer.mounted devices
deliver a transient force impulse to the pavement surface.
They do this by dropping standardized weights from dif.
ferent heights. The force is transmitted to the pavement
through a rubber buffer system and a loading plate. Seven
velocity transducers, mounted on a bar, measure thedeOec-
tion basins. Deflection testing is being performed concur-
rently with drilling and sampling operalions. The samples
are analyzed to assess the materials at the site of the deflec-
tion tests.
CONTACT: For more information on Ihe SHRP data col-
lection process, contact Ms. Cheryl Richter, Strategic High.
way Research Program,. 818 Connecticut. Avenue, NW.,
Washington, D.C. 20006, or call (202) 334-3774.
Iowa's "Fast Track" Now Even
Faster
It isn't "faster than a speeding bullet," but Iowa's fast Irack
portland cement concrete (PCC) has become even faster.
This new mixwilJ set quickly and the resulting pavement can
be reopened to traffic in as little as 6 hours. The new fasl,
fasl track PCC will be used on a project in Cedar Rapids,
because reopening the roadway to traffic is cspeciaUy criti-
cal. "Fast, fast track" mix will be placed in nine critical
intersection and business entrance areas on a 2-mile section
of State Route 100 westbound where daytime Iraffic must
be maintained. This route is used by 15.400 vehicles a day,
4 percent of which are Irucks.
Continued on next page
FAST TRACK Cont'd from page 2
At these criticalloca lions, the contraCtor will be given up to
two 12~hour periods to remove and replace the existing
pavemenl.lfa section cannot be reopened to t,"ffic during
the first 12~houT period, the contractor will construct a
tcmporary hard surface for use the next day. The second
12-hour period will then be used to remove the tcmporary
seetion and complete the fast, fastllack PCC placement. In
addition, a two~lane, lwo.way detour, in the existing
eastbound lanes, will be permitted to com pie Ie pavement
construi.,;tion between intersections and entrances within 3
days.
Last fall, the Iowa Department of Transportalion (lOOT)
performed a trial operation, simulating concrete mixing,
transport, placement, finishing, and anticipated conditions
at the Cedar Rapids site. The goal was to be sure the new
pavement mix is feasible. This test was successful.
The Federal Highway Administration's (FHWA)
Demonstration Projects Division will help with the ovcrall
evaluation of the concrete. The Division will use the
agency's mobile concrete testing trailer. This trailer, staffed
by engineers working under contract with the FHWA, is
being provided as part of the Division's Special Project No.
201: 'Accelerated Rigid Pavement Techniques.' State high-
way agencies interested in theoUlcome of these evaluations
should contact the lOOT, directly, for information on how
to obtain a copy of the final report.
In 1986, Iowa had its first experience with fast track concrete
on a State highway. The work involved rehabililating an old
pavement, which included a 4-inch bonded concrcteoverlay.
The projeetwas completed and opened to traffic in less than
1 day. Moreover, the overall condition of the pavement and
its performance on the project has been satisfactory, accord-
ing to IDOT engineers.
CONTACT: For more information on the "fast, fast track"
paving process, contact Mr. Jerry Dickinson, Iowa Depart-
ment of Transportation, 800 Lincoln Way, Ames, Iowa
50010, or call him at (515) 239.1667.
Training: Road Surface Management
for Local Governments
The Federal Highway Administration (FHWA) has up.
daled the course: 'Road Surface Managemenl for Local
Governments." The original course, developed in 1985
under the Rural Technical Assistance Program (RTAP),
was presentcd over 40 times.
The rcvised course emphasizes improved pavement
management at the local Icvel. II is desigl1ed to demonstrate
how local governments can use road surface management
TrrJ O::"t/-{)
systems and is aimed at county and city engineers and other
officials who arc responsibJe for constructing and maintain~
ing road networks.
The 2~day course topics include an introduction to road
surface management; pavement design; road surface inven~
tory; pavement condition surveys; maintenance and
rehabilitation; as well as guidance on prioritizing, program~
ming, and budgeting projcct activities. Case studies of suc~
ccsslul road surface management systems are used to
HlUSlralC the value received from a comprchensivemanage~
ment system.
The University of Maryland Technology Transfer Center
hosted a pilotl'resentation of the new course on June 13-15
in College Park, Betwecn Septcmber 1989 and April 1990
the FHW A will hold additional presentations. In fact, each
FHW A Region will have the opportunity to host one ses.
sian of thc course. In addition, the FHW A is developing an
"Executive Overview" session. This I-dayvcrsion is expected
to be available some time in 1990.
CONTACT: Please contact the FHWA Division Office in
your Slate for more information on "Road Surface Manage~
ment for Local Governmcnts' and the 1989-1990 course
schedule. Your local Technology Transfer Center also has
information on the course.
Videotape: Prevention of Rutting and
Stripping in Asphalt Pavements
To promote bcner mix design and field control practices,
the Federal Highway Administration has produced a new
videotape entilled Prevention of Ruttine- and ~trippin2' in
Ao;;phalt Pavements. The videotape provides a brief over-
view of such topics as the importance of aggregate selection,
proper mix design, and propcr compaclion procedures. In
addition, special emphasis is given to the causes of runing
and stripping, and how to mitigate them.
CONTACT: Copies of the video may be purchas'i'! from
the National Audio VisRal Center (NA VC). The 12 inch
tapesells for S80and the /4 inch tape sells for $110. Orders
should be scntlO the Attention of the NA VC 's Customer
SeNice Scction, 8700 Edgcworth Drive, Capitol Heights,
Maryland 20743-3301. The NA VC's phone number is:
(301 )763-1896.
To obtain additional information on the prevention of
Tuning and stripping or technical assistance concerning
the con lent of the vidcotape contacl Mr. Tom Fudaly,
Federat Highway Administration, 400 Seventh Street, SW.,
Washington, D.C. 20590, or call him directly at (202) 366-
1338,
\
:",-f}",~
="'-';;:::!'~ ,
"~:;:~~~~.
f!!.,~~..J"!--'
1/1,.:~,;.Jr-"-I)
,;-'or
-"IRA 09. 10.03
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P,O, Box 1220
Port Townsend, WA 98368
(206) 385.9160
Gary A. Rowe, p,E" Director
Robert G. Ne$bitt. p, E., County Engineer
August 31, 1989
Charles Gibson, Area Engineer
Transportation Improvement Board
Transportation Building KF-01
Olympia, Wa 98504
Dear Charles:
Jefferson County is sending in three application forms for proposed
projects in our area.
We are working with the City of Port Townsend and the Washington
state Department of Transportation on two of the projects.
Project descriptions are as follows:
Discovery Road county road #601517 will be a joint
project with the city of Port Townsend. The total length
is 1.91 miles long with 1.49 miles within the city.
Based on the type of construction, Jefferson county will
have 43% of the cost and port Townsend will have 57%.
The preliminary cost estimate for all phases is $497,000.
Paper Mill - Glen cove truck route will be constructed
to reduce the congestion at three intersections along SR-
20. Two of the intersections are within the city of Port
Townsend but the roads become county roads within a few
blocks. One intersection will be eliminated and the main
traffic will be routed over the new route. This will
reduce the amount of traffic at the other intersection
and will eliminate all truck traffic from these
intersections as well. The preliminary total cost for
the project is $436,000. The cost covers construction
of half the route on an old railroad grade and the other
half will be to upgrade an existing road. This new route
will have mixed tnodes of transportation (trucks, cars,
transit buses, and bicycles).
100% Recycled Pllper
I If!'" I
cook Avenue Extension will be constructed by Jefferson
County. The traffic is a mix of local traffic and city
as this is an extension of a city street. The traffic
is cars and school buses. The project is 0.62 miles long
and the estimated cost for all work is $335,000.
application forms will be sent the first week of
If you have any questions please feel free to contact
The final
september.
me.
sincerely,
~~
Robert G. Nesbitt, P.E./L.S.
County Engineer
xc: TRA 09.10.03
....-
-
..,-:"
SI7aE a.> ~
a:oaY ~ oJ~
In the matter of Yo
LIc::IK>E 10. 1-I0~S 9
A License to use am Yo
Maintain County Road Yo
Right of Way: Yo
SoUth Bay lane ' x
'lhis agreenent is between ~ CDJNI'i, acting ~ the I30artl of County
eamnissioners, hereinafter referred to as the "axMl'i''', and roWD \'I. MU JANE
RErnHARI', hereinafter referred to as the ''REINHARl'S''.
WHERFAS, the REINHARl'S are the o.mers of Tract 12 of Iullaw Point Tracts, as
recorde::l in Volume 4, Page 6 of Plats, records of the Jefferson County AUditor,
am
WHERFAS, the REINHARl'S have a rock wan am ~ steps within the
CXXJNl"{ right of way adjacent to Tract 12 of Iu:ilaw ~int Tracts, Section 16,
'I.'oI/nShi.p 28 North, Range 1 East, \'I.M., m:>re descriptively shown as attached
Exhibit "A" which ~ this reference is incorporated herein, am
WHERFAS, the REINHARl'S ackn::f,/led:]e that the rock wan am corx:rete steps are
on aJUNl'Y rights of way and recognize that the CXXlNlY requires protection of
its intereSt in the rights of way: 1m 'IHEREFQRE,
rr IS AGREED:
(1l. L:IC8HSE. 'Ihe REINHARI'S shall have a license to use, operate am
maintain the rock wall am ooncrete steps on the right of way of SoUth Bay
lane, as shotm on attached Exhibit "A" for the pn:p:>se of a rock wall am
con:::rete steps and for those p.n:poses only.
(2) o::ms NI) EXPtNSBS. '!he REINlIAR1'S shall pay all costs am expenses
related to the use, operation, ard maintenaJlCe of the rock wall am corx:rete
steps .
(3) JKBoIH]Y.Ic:ATllJi. '!he RElN}IARI'S shall be resp::oswle for the safe am
proper maintenance of the rock wall ard corcret:e steps. '!he REINHARIS shall,
further, defend am hold the cx:llNN harJOless fran all liability or expense of
litigation in oonnection with any item of actual or alleged injury or dalTIage
related to the REINHARl'S' use am maintenance of the rock wall am ~
steps.
(4) ~. 'Ihis license may be tenninated ~ the CXXllffl on ninety
(90) days n:>tioe. en termination, the REINHARIS will renove any and all
a~ fran the right of way, arxi the right of way restored to a neat
arxi orderly cxmlltion, subject to the awroval of the CXXllffl. All costs
~ in restoring the right of way to a neat am orderly condition shall
be paid ~ the REINHARIS.
(5) 'JJWlSf11R (F L'IQ!lEE. 'lbi.s license shall oot be transferrable bJ
RErnHARl'S without the written consent of the cx:l.Jlm specificallY referrin:3 to
this doC::I.1IDeI1t.
(6) a:omc N!f!POlliL l'CR NBC '10 BE~' '!he RErnHARl'S shal.l perf=
00 work within the o:x>Nl"i right of way witlloUt first havin:J presented their
plans in writin;! to the Jefferson County Direc\:Or of Public WorkS, arxi havino
reoeived arxi havino received his apprava1.
o.>mD 'lHIs.;L ~y OF t1'",,6::(&.A'--t / ,19B9.
OOARD OF cx:l.Jlm CXJolMISSl~
~ VA,,4~
~ GeOrge C. <BrcJ,.ln, c:tJainlan
~~/
B. G. arown, MeuiJer
.;<:;:;.~,.~.~ '~""~"
/ ....~ {"~,. ~" ....
./ ~~./ C .,'~_~J c:.. .
! ~'M.' .,",.~;. ,\
: ~. {I /':'~
. :.:. .!.~.. )j
~"."'" I) .l~-:. /,
.....~.... 1iI':iI' rt.~. t l'~ .",/ ~
. .
MTE'Sr:
~A1d J Dd~~<r
I.Drna L. Delaney
Clerk of the soard
~4~ .
'7~ N4/'./ <2/11"""";""-
. 'J)ennlSOTl, Meober
~A5~~: /.~? ...
F. Ra
. Atto i
~~t2k
~dW.RaWMrt .
REIN1ihRl'License to use Right of Way: SoUth Bay une
.-...
!.\!
"-
<<;:)
'ol
!; .
"<:
~
~
Ili:
l:!
\,\
~
~
~ \..:
l;)~
. a.
,~
~ ~
hQ
~~
~~
\J
"-
\
\
ll.,J
'<"
't
--l
~
~
::I:
......
~
tr)
STATE Of IIASHINGTON
COUN'cY OF JEFFERSON
In t.he matter of
"
LIC~NSE NO. 1-5-90
A License to Use and ~
Maintain County Road x
Right of "~ay: x
Platted Alley in the "
Plat of South Port ~
To\'msend x
This agreement is between JEFFERSON COUNTY, acting by the Board of County
Commissioners, hereinafter refeyre:d to as the "COUNTY", and fLEATICE and DONALD
WHITLEY. hereinafter referred to as the "WHITLEYS".
.1HEREAS, the WHITLEYS are the owners of Lots 4 AND, of Block 3 of the Plat
of South Port To~~send. as recorded in Volume 1. Page 10 of Plats. records of
the Jefferson County Auditor, State of Washington. and
~~EREAS, the ~~ITLEYS wish to construct a fence upon the right of way of
the platted alley in Block 3 of said plat, more descriptively sho~~ as BttBched
Exhibi t "An which b:r this reference is incorpora.t.ed herein, and
WHEREAS, the "HITLEYS acknowledge that the fence is on COUNTY right of
~ay and recognizes that the COUNTY requires protection of its interest in the
right of way; NOW THEREFORE,
IT IS AGREED:
(1) LICENSE. The ,mlTl.EYS shall have a license to use, operate and
maintain the fence on the east 8 feet of the 16 foot right of ~ay of the platted
alley in Block 3 of South Part To\o."1lsend plat. as sho\>;n on attached Exhibit IIA"
for the purpose of a fence and for that purpose only.
(2) COSTS AND EXPENSES. The ~~ITLEY5 shall pay all costs and expenses
related to the use. operation and maintenance of t:.he fence a.nd fe.nced area.
(3) INDEMNIFICATION. The WHITLEYS shall be responsible for the safe and
proper maintenance of the fence and fenred area. The WHITLElS shall. further,
defend and hold the COUNTY harmless from all liability or expense of litigation
in connection with any item of actual or alleged injury or damage related to the
IDHTLEY'S use and mai,ntenance of the fenc(:'! Bnd fenced are.S.
(4) TERMINATION. This license may be terminated by the COU~TY on ninety
(90) days notice. On termination. the .mJTLE'iS will remove any and all
appurtenances from the right of \I'ay. and shall restore the right of \\'ay to a nest
and order! y condi tion. subject to t.he approval of the COUNTY. All costs incurred
in restoring the right of way to a neat and oxderly condit-ion shall be paid by
the ,7IiITLEYS.
...-
-
(S) TRANSfER OF LICgNSE. This license shall not be t.ransferrable by
,;HlTLE,S "ithout the ~'ritten consent of the COD!'T'>' specHically roten'inb to
this document.
(6) COUNTY APPROVAL FOR WORK TO liE I>ER~'ORMED. The \oIHlTLE1S shall perform
no "ork ~'ithin COU~Tl right of "ay "ithout first having presented their plans
in "ri ting to the Jefferson Count)' Director of pubI ir. ',;orks. and hadng received
his approval.
DATED THIS f~~; DAY OF
'7~."
'.. "'.'?
1" "'.... 4-i
(
,1990,
JEFfERSO~ COU!'Tl
BOARD Of Cor-C1ISSI0:"ERS
~/
/' /L;.. A. ,. (
.."..../ ( j,..-;...... ...;,.1 ~.
George C. Bro,,:n.
(1.,.I;/;'....tJ ~"h Co
chairma;..... ... ~
,-'
.:,.~..:~~...~.... ..'
,,-', ~ 1 Y C, ,," "
,', '. . "-1 <-
, '" ." :..:
'ciil<fi;;:r$J~~A'~
Larry . ennison, Mr:mber
,: ,~.'~. \t
" \' ,.. "\ '
I" . ." :
\ .... "':, .
SE\t.,':," ~, ..
. ~.: .ju.':v'
ATTEST: -'--..-
~,;a iff1PrYA~
Lorna L. Delaney
Clerk of. the l\o~rd
~~
B.G. Bro~~, M~mber
PROSECUTING ATTORNEY:
-~~
John F. Raymond
APPLl CAl,T :
~fijJ.b~~-V~
aeatice ,:'hitle)' .
...-
-
~
g
I Exhibit 'A'
$oPJ!tf-,
YtJri ,T@l/IJ111hN11lUJ W. T.
'::
...
~
.;;
'"'
't
License Area
...
....
....
"
~
...
..,
..,
~
\
'~~ \/gc;'. <f''-'.3O:'~?l';'~''~-;'~ .,....." ~':~ V",,('..!S..? ",
Jj ~ ' ;,..t ~ \ ' ., .. ,. ,
, ....2- -'-- ,. ')1
~ ~:1 '0\ ~ ~ ~ ,. . ~,
~ J ~ " J " " .....J"
oi '. . '. . " J '.
"11
~ ~ " ~ ., or " or ~
... , -=- ~ '. , ,J ; ;
t
,or , ....:::- -2.- " , ,or 1 ,
.. f " -!..- ., f .. , }
-
. 7,HII'rD JI .
,t. -"'- '. "
. , .-:- . . ,
\.. \.. -
~ ,. ~ -:;- ~ .... ,. , \.. ,. .
. . ..
. " ~ ~ " . ~ ~ ~ " J ~
~- ~ . ~
. .. . " '. J 10 J . ,. J ,
~ ~ ~ ... ...
~ ~ ., or ~ ~ ~ " ~ ~
~ ~ ,J . ~ ~ --.:::- .
-
~ ~ .or , ---=- ~ ~ --..-!..-.
-i-, ---!..- ,. , " , .-:::...- ~
":::,." ~ \S,L' C 0_.0 .r. ';
.:------, ,..---
. , . ~ f-~
.. , ~ ~ .. . ~ ~
... " J <l ~ ~ " -~: " III
"
" . " ., J . o. J
or , " ,,' .J ~
., ., ". or
,. , .. , ,. , .. .
or , ,~ 1 " 7 ,or , ,
~ " , ., , " 1 " , ','
~k:'i.; ... ,. ..' ..'
", rl ~ J"" Jr.'
....
:z
l:.
...
..
'::
'<
"
'"
...
"
"
'::
.,
'"
...
~
'>
""
~
"
....
<II
'::
"
i::
\J
"
.., '"
...
"
"-
...
"
...
"
~
~
.;
-'~6 ~.~~
-!-........
~
;~...~".
~
..........
......
c.--....,.l\
\, .
5 ~~ .,l, ~1<~'Oc~ ..~, .
~..;.,:....~ ""; . ,~_~, 1. S, c::., ~ D..v-~ u...."'-"~
""_ d,_~ -0-~,'.1 ~ <j)...,.~ ~ . o-l. 0r->- .
~ ~ ~!,-o~o.J- ~ ~l ~ ~ QJ:r::::::.::...o.):....er-v... 5 v..rv-C.......
.I_~ ,.......:,.I~.L~, ,.;.k.""" cl0... ........>.J-,......,.,., ~)v ~'~O"o;....""
^""' 'Y~~ ~. """""'~ ".~ 0....'""-', ,,) 0... Yh~~
~ .:;.,.l.aJ.;. .L.~'.).' ............... "'YV~.HD..1-\...I. ,~1 . \
\' '~.' ,
.....-
,--,T<.A-
Of ,)0,01./-
\I\'L'
i - ~}
\ j~ _. . _ MOT J",."ON OU","'" CooROm,"mG Co<men
January 30, 1990
Minutes for East Jefferson County Utility Coordinating Meeting
Meeting was called to order at 12:00.
OLD BUSINESS
------------
There was' no old business.
NEW 8USINESS
.-.-----------
1. Mike Langley moved to make the' ad, in the Pt.' Townsend Leader
more visible. This was seconded. 'Terrie Comstock, to look into
this.
2. Mailing 'calendars directly to' contr",ctor-s w"'s di'scussed.
Terrie Comstock to come up with a contractors list.
3. Placing a sign at the airport reminding people to call before
you dig waS discussed. Joe Rempe to talk .to the Port of Port
Townsend about this.
4. 'Jim Engle moved that we go to quarterlY meetings on the last
Tuesday of the beginning month of the quarter - i.e.: January,
April, July, and October. Tom 800th seconded. This was carried
by 100% of the vote.'
5. Tom 800th asked if painting the proposed route in white helped.
Jeff Aquilar answered yes with feeling.
b. 'Jim Engle mentioned that service wire locate reqclests need
better descriptions. Dick Wheeler to brin9 up to the crew.
7. , Mike Lang ley suggested sending " letter to the City of port
Townsend concerning .our appreciation of Ted Strick 1 in. This waS
approved. Joe Rempe to send.
II
\\ ~~ EAST JE'FERSO' QT'S'T"S COORO"AT,'G COUNC'S
Page 2 of 2
F'ROJECTS
puget is planning a plow job on the last section of Ikidge"View
Estates, in Pt~' Ludlow, open cCltting for- Mr-. Seton's development
at ,the air-por-t, and has r-eceived plans for- Mr-. Seton's development.
City of Pt.' Townsend is co'ntinuing with the storm 'sewer proj ect and
the 'new tr-eatment plant.
".. City ~ate.r>',.ha$ a pro~ec.~ at Four .Corner""s and SR 20.
Meeting adjour-ned at 1:10. Next meeting is A~r-~l 24. 1990.
) 0'.'
\;)..1,,--2.':;";. '1- CoYi/l-.Jrfcc.iL.--
~)yj.,.;'Ad7:'1._.( I dLI!.J.~:i.L{^'~~
, /- 3()-9-o
T~I~ ~roc./:=-
UJ vJui &r11 '
f..p {( 0 t-=- oS i-
8Rvnu2f-.rr., v/<4- 96" 3/0
~/-r,\ f"':' r:
..s-~c:J ~-rr:!-
?:.rT 7i="...,.~.r<.,.., "" '<-'3~..}-
~~ ..5r;--"c~;;_
./.Ji~ tEl1:?/e.. '
(YIy r,r U/d'It"r D~/
1$'''0 IUdtl-..rsr
/=-' T' 1''i5 .3&.c;.-
AGrU/'-A~
LDf!A.T/P6 I}..)C-
'S"/:(.L-;, 0 rna::::::"
U$Va,. eCl........,
,,'t / J1f./5l1!.( ~ry.;,
iPo"-T't.""'>IV$.;;NO
'l.~c."
W HGaG"iR.
/ 'Slv:>.\.oUY'- ~sd \
L~..... ()J,..:b:... ~
Q:,.J l..wA/():...J
, d Ii:.. ,iI' Y /l-I(JI? ro e..
Lur1(ow vJder Co.
fo r+ Ludlow
(~~ ~~\,,~
~ 0'<'''''' u,\ I{ c,<,,\ ,,\0,," w;~'" ~
~17Ii:e. ~1'
1::J:J1-P.- RI Iff i.1fU., . C b .
,.J..:re, f? eWlf' e-
p~ "Por.v~r
3/0 Four Cov/'IeY5 /lJ.
'PI 7Own:.e",.4 7"'6 SGo.;{
/~~~
()/-# u) ,
?;-~;5~ f?dJr
8, ~-b~ r t;)a<r 9<1"370
MMMJ e,., (J, u.,;j t:I= I
Aj",;},IQ7(
S t-JE L-TO IJ I VU.A- 9 ~ .s-~ '-I
/fJ.v.f) Io.J 6: IL/,o} Li.1- .,
1IlII'l""'""'."~
-
.. ,
.;~
l!
47? -'?6r??"
..:? h-~..:: P ')C
u-{r:, If. e
3 ~--::Z7Q 0
.51$0 -.38'6-- 7/3 'i1'
392. -fct.//'2-
YrJ?-/~3
:l\r-~5'35"
If -; '? -.2.::1.1;>
437-7.'-/3
s'b5" - ~ '2.\\
3;::.'S-2~~
3'55 --f.3-S~
tf,? 7-.5/JZ-
'?;7,/ -5~'-(q
EAST JEFFERSON COUNTY UTILITY COORDINATING COUNCIL
MEMBERS LIST AID 4-24-90
373-6107
Bob PrOL\Se
North Perry Water
2921 Perry Ave.
Bremerton, Wa. 98310
(representative to state meetings)
1-800-562-2263
???????
Port Townsend
P.O. Bo" 811
Port Townsend,
Cable TV
Wa . 98:.":,68
437-2213
Shawn RLlssel1
Jerry Monroe
LLldlow utilties Co.
c/o Pope Resou~ces
781 Walker Way
Port LLldow, Wa. 98365
385-2866
Mike Langley
Kala Point Utility Co.
260 Kala Pt.
Port Townsend, Wa. 98368
385-5800
Bob Leach
PLlblic Utility Dist. No. 1
P.O. Bo>< 929
Hadlock, Wa. 96339
392-6412
David Brown
Locating ~ Inc.
,165 NE Jctniper
I ssaqLlah, Wa. 98027
696-1363
Jeff AgLlilar
Locating, Inc.
9030 Pacific NW
Silverdale, Wa. 98383
385-2355
Will iam Toskey
Port of Port Townsend
2539 Washington St.
Port Townsend, Wa. 98368
Ken Radon
Port of Port Townsend
2539 Washington St.
Port Townsend, Wa. 98368
385-6211
-
-
Page 2 of .;;,
385-9160
Gary Row~
Robert Nesbitt
Scott Kilmer-
Jeffer-son County P\.'bl ic Wor-I<s
County Engineer-'s Office
COL\rthol.\se
Por-t Townsend, Wa. 98368
385-2700
Jim Engle
City Water- Department
540 Water St.
Por-t Townsend, Wa. 98368
385-2700
Jim Or-sbor-n
City Street Depar-tment
540 Water ST.
Port Townsend, W.. 98368
697-5152
Tom Booth
United Telephone
75 NW Thompson Rd.
Poulsbo, Wa. 98370
877-5249
DL'clne Naul t
Mason County PUD No. 1
N-21971
Shelton, Washington 98584
478-5797
Ken Putnam
US West Communications, Inc.
4920 Kean st.
Br-emerton, Wa. 98312
(placing supervisor-)
478-6653
8r-eg Peter-son
US West Communications, Inc.
4920 Kean St.
8r-emer-ton, Wa. 98312
(maintainence supervisor)
478-:5740
Sandy Bird
US West Communications, Inc.
4920 Kean st. '
Bremerton, Wa. 98310
(contract supervisor)
Terrie Comstock
US West Communications, Inc.
611 6th st. '
Bremerton, Wa. 98362
(engineer for Pt. Ludlow)
478-:5688
Pa.ge 3 of 3
Bob Robinson
US West Communications~ Inc.
611 6th St.
Bremerton, Wa. 98310
(Pt. Townsend engineer)
478-4442
Dick Wheeler
US West Communications~ Inc.
641 Harrison
Pt. Townsend, Wa. 98368
(maintainence splicer)
Brian Zeigler
Department of
Bo:< 250
Port Angeles,
457-4292
Transportation
Wa. 98362
Dick Anderson
Department of
P.O. Bo:< 327
Olympia, Wa.
753-7215
Transportation
98504
Joe Rempe
Puget Power
310 Four Corners Rd.
Port Townsend, Wa. 98368
385-4352
Jo Williams
puget Power
1300 Sylvan
Bremertcn, Wa.
478-7608
98310
"'4
~~J
.-
CONTRACTOR LIST AIO 1-31-90
Able 8uilding and Imp~ovement Co.
915 Taylo~
Pt. Townsend, Wa~ 98368
385-2049
Benton G. Builde~
1031 Cente~ Rd.
Chima~um, Wa. 98325
73:2-4030
Blue He~on Const~u~tion
PO 80x 718
Pt. Townsend, Wa. 98368
385-7172
385-6280
Boland Constru~tion
PO 80x 158
Pt. Townsend, Wa. 98368
Campbell Const~u~tion
120 Curtis
Hadlo~k, Wa. 98339
385-1655
Cha~awell Const~u~tion Inc.
7441 Oak Bay Rd.
Pt. Ludlow, Wa. 98365
437-2244
Coulte~ Construction, In~.
140 5th
Hadlock, Wa. 96339
385-2641
Eld~idge Custom Homes
Rt. 1 Box 558
Pt. Ludlow, Wa. 98365
437-2120
Formost Construction Co., Inc.
842 E. Washington
Sequim, Wa. 98382
683-3181
385-5850
Hea~tland Company
941 25th
Pt. Townsend, Wa.
98368
Inside Out Design and Construction Inc.
606 Roosevelt
Pt. Townsend, Wa. 98368
385-0540
Kelley Shields Inc.
42 Prospect
Pt. Townsend, Wa. 98368
385-7156
Page 2 of 3
Little and Little Construction 385-5606
3535 McNeil Ave
Pt. Townsend, Wa. 98368
Lund's Contruction and Plumbing 452-3046
114 W 5th
Pt. Angeles, Wa. 98362
James A. Martin Construction, Inc.
PO SOl< 508
Hadlock, Wa. 98339
437-2894
385-6609
Pacific Metal Buildings
704 Discovery Rd.
Pt. Townsend, Wa. 98368
437-9133
Quality Construction
PO SOl< 203
Pt. Ludlow, Wa. 98365
Derek C. Reijnen Design and Construction
1530 32nd
Pt. Townsend, Wa. 98368
385-6324
385-3199
Stapf Construction
2727 Hastings Ave.
Pt. Townsend, Wa. 98368
385-3210
Sukert Construction
927 Tyler
Pt. Townsend, Wa. 98368
385-3051
Timbercraft Homes
85 Martin Rd.
Pt. Townsend, Wa. 98368
Tollshark Construction and Custom Woodwork
1132 Van Trojen Rd.
Ch1macum, Wa. 98325
732-4080
385-1938
Townsend Builders
812 Harrison
Pt. Townsend, Wa.
98368
385-0897
Wilson-Michel, Inc.
1651 Hastings Ave. W
Pt. Townsend, Wa. 98368
Bishop Trucking and El<cavating
321 Four Corners Rd.
Pt. Townsend, Wa. 98368
385-6244
~-
t ' " "
....
Page 3 01 3
Denny's Excavating
1314 22nd
Pt. Townsend, Wa. 98368
385-3492
George E. Dickinson Construction
122 Barnes Rd.
Sequim, Wa. 98382
683-8332
Nels Johnson and Sons Dozer Service
64 Garden Club Rd.
Nordland, Wa. 98358
385-6301
Gary Kvinsland Construction
1808 Maple
Pt. Townsend, Wa. 98368
385-1541
Larrance Trucking and Excavating
7641 St. Hwy 101
Pt. Townsend, Wa. 98368
385-7007
Leavitt Trucking, Inc.
581 Airport Cut Off Rd.
Pt. Townsend, Wa.' 98368
385-0461
Bernt Ericsen Excavating
2289 Hastings W.
Pt. Townsend, Wa. 98368
385-3602
M. G. Backhoe Service, Inc.
191 Hayden
Hadlock, Wa. 98339
385-0358
Hand J Minnihan Co., Inc.
3659 Oak Bay Rd.
Hadlock, Wa. 98339
437-2104
S. and T. Construction
6940 Beaver Valley Rd.
Pt. Ludlow, Wa. 98365
732-4923
Seton Construction, Inc.
4640 Discovery Rd.
Pt. Townsend, Wa. 98368
385-0213
Shold Excavating, Inc.
644 Old Hadlock Rd.
Hadlock, Wa. 98339
385-0480
Tri-Area Contracting
?????7???
?????7??
385-3368
~."'.^
"-
------>-
W5ol'15'l(..,....' 10)
STATE OF WASHINGTON "0'
0./
No,
..i
'J
9 6
.-
--
..n.},.'........ .~~" .~-
~;
r
~.
f
't
"
i
\
.;
"
'I
Y..,
~
i':
~
W~llNl_'fV 1101
~ STATE OF WASHINGTON "'01/ 0''/
Q ~ POLICE TRAFFIC COLLISION REPORT (21l TRAFfiCWAY
/. . 0 PRIVA.1E WAY
O".T1 0' COUI:'OON lit OA~ 01 (,;OII'~'UN .,.,...1\ !of 2~':;'~ rOUNIV.. CO....j' ~ rCHVl.o
r'-- ~ /!2.vt'.~ '"" ."'~,, 00' XII ,,)'Y;"t' ::J;:.//",ZSc,v' 1"
LIoN 01 DIN ~rOllIO""'N N~llN~O':':.?110IIH'C.IiWA~ ',..CI!o I......~:..ul
-~ 1!. M'''' 0' i;iw ;;Z-o. /~,J):::>/c<"~ ON ij-c('4..cff ~ / I . I
'N'I..~!(I'NC,Wl'1i !>HHI'O~Io'UAO NON'Nlli~l'~...., A'" I'Wl'r)l 1'0
- IlflWUN....~.:;~ -:::~~.:.;. !>1~'" & .:s,c' ;::!.::' !ol"'UI
O~;"'Y' O,!!!{;,.,\:9~ HICJ:M"'IHIII''':1 (I.'O~:':' IIlf 0lI N(AIII!.IM!lf 1'0!.1 ACCIDENT IIAM OIAC,U.... ....IA
/ ~;: ~~III:!> 0 0 ;.., ;S o,4~1?r~z/C ....'/-..&/~:;.r. ,e;:; M~l6~C>l
(Olll~~::~~IV(O NbVi~~:;O_NO INJURIO ~. 0 ~~IIACI 0 ~"~&f~UN ..;::~~~..\ IN 1';ti"1-1 ~~50 ~~~~\\~I!~~/':(,'7~0lI~'Url""f /'~
aVIHIClf!> 12: OPI.'OPfRIYOAMACIONlY OIlt~iJl1f" D....I..'Cll - X I /t:J. V j
I? OIlJICI !>lInJC~ lNlVt\f 0' OIlJIC! S";UCk II\NOO.....Nf'" S NAM1l I $ (5!~AMACf 5Pl('AI COO'NG IJ..I
UNIT NO. I UNIT NO, 2 VEHtCLE 0 PfDESTRIAN 0 PEOAlCYCUST ...,.
5 lNIIVI"'SNAMI J.A,:>1 Ill!>' MllJVlI O'"....lll.S~AMI /. V.:>I I /IM5! /' M~OOlI
<)' '!a~-..,k5 c.c:-.-vj ...:::JZ;~P.r/ 7O#~s</-, /-,/,,-,b /d.4',e:
ro:::; "''';9~ CoaL #L/~ ;;;~"'::1Pd~,,/.4 I3'G4C,,// ~
a......-. I Y STAlE liP coot I ~~Nf NO P CIIY A I ...."""" I=::"'
;:;::: p;: ~~ ~ 9S:J'/~'1-J'?}~3030 R ;?;.--;t;;..;;.Jse::::z, 1..;,4 983.?S Lf.J.i.5J"..>0,:2
~ 2':::~C~9/d- ::41;; ~'}/:;/ ~ ;Z/2;~#4";<.7~1 h:';l; :; y;;'2.f~
r-=- OCCUPATION I flllMNAMf &I'HONI NO ~S t'~HII~Gt-tT E .....C.UI'ATIQN l'IIlMNAMI&,PHONlNO 1.z::~:~S ~1~1~~H1 .:z.
I~ ,t.._~"CI ~"""/C: ",*-r:.o"'r>"R /l/e....Jc -",'c:,)C: K-ir.J"6t-"-.J:::"
o CHECK (.....) V!HICII AS ~N"'}:Pi~~ i ~"~NOIHIIlIAl 0 CHECK I....) VEHlm AS AN ~O"'I OF ANOT...~AI ~7'
~ODES ... + 13 t.i~~. .. ml~:"'" 17 5 IJIClloo. 6 ~w~OC~tIl- CODES"'" 3 ~;i~:. I I.. ~~~ri:"".' ~ !i UCIIOf< / I tl :>lfl~ ~~ ,0.}1
/l/O,-o.)~ ::'~:~:I,u, /l/t:>".J~ .;J
o A_oJl.....CI 0 ~I.'CI 0 ~b'~"" 0 ::~~:I ~8.!..~P ~~~":~'IIQ... 0 _IIUI....." 0 ~~." 0 ::-8",,, 0 ""~~l: ~11~1,.y
rro:- /9?~~IMA~dDV' I :C;A';;-:;l STY~J~VJ E ;;;J/l/Zl;~ Ic;~;;J ..;;;,;~ 7:
II 77";:"'vr.'7 lJ.U~~5(PI.A'tNI-' .,ISTAl( TIlAllfJ/Pl.ATENO I STAlL H Vf.:.;j I I -':OlA" I'....'l. .......'lNV 1:01All :3
~/;?'v/TI,;<"5Y,.2"..J I /,jA - I - ~ /5L<.J~ LpJ060/'1 iJ.,f' ~ I-==;;
2. ")2'/"'"?7Z.8.:2.? ;r / (f - l 5Ji:~' :)"7s 0/'3 7 [,)' c ) <; 7./ .:z:!;
\ in IlEGISl'EllfO~7_ 1AS1 fl"'ST . MIODl( I~ONENO 0 IlE Isn fJI-'WN[1l lAST flllST MIDDLE I "HQNINO ~
== cA~...s G. ~/ C, B'0S'..s;;1& W 54/?.?€" 5/?_~
~"
11, ADOIlESS OF OWNEIl AuU..t:>:o..... OWNIIl ,..
./oif Ct:::'ev/ ~.PC: _ ?M2~A..bJ5=-'7-- ~ 5#p;?CE':.
~ NAMI & AfjDI.'ESS Of IN~UIlANCE CO~ AGENT R ~ 'l if AN...~...I-'.... A....lN
1"'2 /.//V./C ~~,:.::.r&s.5"v~ - S~.z;;r;;t6" IJ
~ O~'.\G'i'b'AAlA 1$~o7~..:::,.:gl I~A I 3. l.ii" I) AGE L--
2 J LAI::I "or:r...,~"i.,:o,1."', 2AM JDASlfA.. ~
r . ;'~~f~'~~t,' (I'iAIlGl 66.. ~~....~/_....- CHA"'GF IT1' .... ~
1 ,r,;--L.~.'_':"u~.~lm OAMAGE 10 DIlMN DI.'EMAtNEO QOIlMN DIlEMA'NW E510_~L~_T.~"_~,,~
'~~O'OT1Dq I$(/~/LID ri~{Dev D~~~\?8" , AWAV s/9~ f~~O'O"O~' ~
~ DIAGRAM OF COLLIStON: ~~~~lS~P~i'Cr~~~ NO~i~~~TM nESCRIPTtON OF COlllStON (US! SUPPIEMlMAl SMfIIIF ""lcrSSoA"'''1 _3~
'~ 0 -:7 ,....J ~ 8<'4/ ,,?/&J'//"S A6/k a,?~ c,/" 0N4?~=;.
.-.:s/(.)~. s.-~ #,..,:.,,:,,D /_.../// /6// ~ fi/t";6'.~/...? ~-'L:// ::::::.
r:s --E-- ~ r<=I~ ~ - 1';,/.o::P. <"d's /X-./'/ ~ "0.4,-""..6- -=vJ
~ --7 6'4'c..e::","-+'~~/7/ #?/7",~> ~~z: b.....,c -.l
ti.(A;"t...-,,;YZ-5 ~""'/7""<'" h/'-".c5 /p"...-p ..-'7/a-.,. .5/<o/? "3il
r;; ~J v'a// d'/ 66'?~_ 7t. .8.<>"<"/-....,,'/ ,,;I-v -==::J
~~"-:._<:..._ ..5.- <;>,-z;> vdd ~ /,... ;#vr:..n d~~,;;p
_ '<......, g6--~"- ~..:r:- Y&// ""/ r/&--- .:v;/"'c:/L
"'-- ......." J/c;r/?" -,.:2 .., -""
.. ":'~ - /V~~ '"'=",/,...._ Go"";",,? ~d.-6 ) -=:J
r NAME, ADDRESS & INJURIES OF PERSONS INVOlVED ' CODES 1 - 2 13 . I 5 6 ~
1- OCCUPANTS I WITNESSES I,UJ: ~~;~~~ZI'~IA5~n; m' - ,- AGf TAlUS '....~.. ~~,: C~~. ""m IIJlCT ~~~i.
"~'/\-,jr.;,...c",," ~ ...::JCA?~S(':~' :"1,0':;"0':> :3'.::>-1/;; / J ;-L Id< 1 3 J 51 J
AOOlif'" /h", 'AD"!/. I~~ -/~~e.// J?-r.... :t....''I,~I?1 ~v/."..Jc ~;;'~IV~~'I/""'" A"',. O~Cll O~;.,. D~:: ~'It.O......
~' "'AMI ~~U""'" 0' I I
'''''',".' ~ '" :!:-:slW"O~ 0'.' 0;<;:" 0;:;:" o::~ O~';~.. ""I
"'A"'I NiY'" I I
AN'iI'" ;:.~:~~g)r !.(r~"~v 0""," O~~~'I D~g;.1l1.0~.: O~(~~,.
X. 1":;~'''('(.l,''Y''..,......~ "~:::~'I' ./ I"i~.!; "'I;'~.~;~? u.."a~ r'.....'t! P~P....{..tt)1 POI'CI AIIIl...,,, tlA'~."'JloI()OlIAPP"'O"'IOlY I DAll
I/L'r .,L:.J n<ZV",'.4Q' '."5';',.. .~, ,o;;~ '.3" I/~?~ I /~,- 3~.:2..t-d "'~. J' 11'/9
No,
3
4
o i.l
I'(.l, '(.I COM....A.....I ~lJ...IUi
I~:H~. ~
UIl'''''''' 3:2J
""'..
I ~,,~
Routt...... ''''''''V1A
6(>/2(>
",+.1 PO~I
/.3/
./
.'; ': '.' ....' ..... ".. '. ' , '.
'.', ,
.':":Cr', .... .'. . .' "'.:. ","
.... . .'
.'., . : ",. ',.' '"
"... ,'.. '....".. ....
".
:. ..,".. c..',
..:" :, '.".' : '"
<< ',"'.. : '.
".;' " '.'
.: ,.' ...... .
. I. .
.'...,'.'. ." c':
, .
..',
::... .
,..',. c.
. ,
'.
: ..' .'.
':", .:':' ,
".. ......
'. ...
, "
... :," '..:.' .
..' ,',' ..'..,'
.. ":..,': >'
, ."..,., ,', :.' .'.. " ',:", ...' ,...:
. .. '.,: '. .
" .' ':
:; :'
,.' ....
."'., ',.."
,'.....,.. ...... "".':..'
:..' ",: ":,, ,:
,
,
"
i y. ',"',
'.
rn
~
-=
...
-
~
'~
'J:,:
i
~.
r
tI\
~.
,
t
,
1.,
,
-",
...,"''''. .,,~'..."
~ STATE OF WASHINGTON
rT ~ POLICE TRAFFIC COLLISION REPORT
p...r;;, 1 01 1
[Jl TRAff lCWAY
o PRIVATE WAY
O"'I( O' c.OUl:>'UN ..o:.~ D,:,: ():,~ ~~~'~~., I ft l1MI Ill.OUNl1
P"I s' 1'9 89 ~~ Xl ~ OUi49 HOUIl: ~ JEFFERSOO
~ ~N 0' 0"" C'IY~'OWN I N_t......oor~llltlTOIlHIC.""""'y
3 ....,(I!. O!. 0"'" ~o'HACI...CCJ< ION Planler Rd
IN'IIl!.lCI,,,,,, """'11 !.Tkll' (III ~AD 1'""0'" "'<ltlll!ttC1IO'"
Robbins lID 18l1wHN !.l1lHI ..
~ O':50'''''''CI &0':;'; ION' 0'" 1l1'11l1"'~1 cilo!.!. !,111111 061 "'l",lIt!.! MIlI..o!t
-1 H~!:~!. ;; ~ M ;., or (M.P. 2.86)
COUl~~~:~~OIViO ~;I~~~~;O_"IO INJURW_ 0 !>I'1(~"'C;1 OH"&IlUN .....':.t~~~..~
4 OflllHIC,'!' ~ ~ PIIQPlIlTf OAMAC,I ONLY 0 ~"~U1no O~~~,t~
Cf ~UCPOLE/'GtriW.[RE~smill/p.s.P.L.C. s m~AG(
UNIT NO. I UNIT NO.2
No. " .) C' I
~'CI COM"''''''; ....i\fT ~-
m
'7'(: r11~ I I~':::N ~
fceL!.1 ~ ~1~I~T"OtJI'<>"~ 1--,;m;0i7
. -- 1 75270
""" 1'0 1""'''0'' z. ok,
",.,,,,,p lbTAC.II"...OI>'...
'N I IIRO !~N ~<:'~' 1I'lIIIleQAt>Oft.ltl'IIltNCI
'KIl Cl~ 1C.IlOSH1iU6~~O
!oPlelAl CODING I..6f
lonoH!
ACCIDENT
MILEAGf
CODl
o VEHICLE
"'''
o PEDESTRIAN 0 PEDAlCYClIST
"50 ."'0"
~ OIlIVlll!oN"'-M1 LJI,!,' flll!ol
- HUMPHREY, CHRIS B!O'JS=
MltlO\f
!,TRH,...ODlll!olo
I
~ -/,,,,,",NO
I ,,^' I ~, I ~ At...
~ ~~2l Flagler Rd
r Nordland WA
~ ;~~493P7
S''''U ZIPCOOE I PHON! NO b 1'(
9835B 3B5-4BOO R
!oTAn ~J( I A'I,?,III_1'l I
WA M i'O 2'7 i51 v
1 (.'(($ ~~~T 1'i[lGHT E OCCUPATION IflllM NAMI & PHONE NO
1J1U 1230 602 R
o CHECK lr"') VFHIClf AS","" v.o.~01lf Of AN01Mfll'Al
CODeS'" + 3 ~:{~. .. ~~'.;'::"" 5 111'100"
IN ~~!.Ol
~~1?'O'O".
H YlA
"" I
. UCIN:.ENO
T11'ls:rIGfoUI,.IGHT...:::
'. OCCUPATION l'IIlMN.a.M( &PHQNI NO
- -
'-- 0 CHECK ,....) II ~,'::~l~~ 'ZN1.::'~~~ff ~ ...~OIHIIl'Al
'2 CODES" + 13 ri~~~' 1 /.. ~~i~::N' 1 5 WCIION 116 :::~.IICV(\I_
'NJU~'I!o Sta'tec none
'-- ~!~~~?no... 0 ......e...'....." QtI ~~(l 0 rl::~TI' 0 :~~:: 0 t'8'..!."
1 '7iVIAIl 10000lXK'CHfV) WUOAlll.NOVAI ISTTLlUOll.CONVI
[ ~,X<,. I~~~~B N ;~' "^,,"~AnNO I "An
r;;:::- V(H'CL( IDENWICA1IQN NO
1'2 C E ,2 :3 ,1 2:6 6, 4 9 11 0 I I I I i
rq;: IIIGIST'fl/IOOWNElI lAST FllIS.T MIOOlf I_ NO
sarre
12 AOOlllSSOfOWNElI
. """ "l.f
\""1"
o _.....~..Cl 0 ~~tl 0 ~v;".. 0 YI:~,: 0 ;:.~'..v
\DUDG(.CH v I I MODtL ,OART.NQV"/ I :'TT I I
E
711(HCOlOll IL
f VIHICL( IDlNHf"AlION NO
I I 1
o R(Gl$Tt loOWNElI lAST
W A ClOWNf~
N
E
rr;- NAME" AoOll(:'S ~ INSUIfANC( CO OR AGINT INSUllA~N n
11.__ none R -
DAM"-GIoAAt,. Ji'1;X....6",-~c:l.b ~ o........foGIOAllIA ~
15 1 , . -~.f~'t;t1i:t.,' ~- I:WI CH,.IIGt I ) . Jl1
I,~_~~~ 1ST OAMAGf DDll'VfN ~IIIMA'MO DOIl'VIN ORfMA'NfO Ts . I '~o~~~;:).'5,_
l''--Blo.no~' ~ DfcE~fl\f at- dr's n=>n. D~~V:~fl\f AWAV ~ ~_
r= DIAG.A:~CQ~~ ,~7,~~P~~1 ~~::l ND~~&;'tJ:IH ~~~~~~N ~lC~.l~~O~~b (~~~fi:~T~;{1~~'s~~iC{lE? lost g
C I"PN ~ J.;, '1' control on curve travellllg approx. 101 III a e=-
~ (G ,,'" ' semi broadside condition, accross sib lane. Vehi b
C ~, l<J uSosCsl:t'c!c-) then struck pole and guywire strut. At this poin P
I TO ;, <.' vehicle spun aro\IDd, loosing rear end. Vehicle b
po-- ~.\ - _ ="', . OJ'' carre to rest faclllg south. ~
1_ W::. ~ ./ ,<it vehicle #1 was being pursued by Sheriff I:eputy
"--r--- ".~, :~ I: , prior to accident..
'of' - ,-:I Pursuing unit, JCSO #}.O ~'lH.-: SuI;jecj; ,ap"es.t~d B
r>' EludinQ' and n.w.I. ......,2.-0:;-/."'..... HoI.......\J/.
:;... NAME,ADDRESS&INJURIE50fPERSONSINVOlVED 'COOES 1 T-T 2T3T -.I ST6 -
OCCUPANTS I WITNESSES \~ ~~~t~~~~~IA~I~: SIX I AC.t 'A'u:.l'''..''.!" I.!~: c'.":.'~ illfSIR (.lfef I::'~i~.
NA~' lUCK S1I'Ili I:eputy #10 ::?" 3B5-383l M _ TT T T
Jefferson Co. Sheriff's D3pt ~,!~~tl.Cll ~OA""e Or'.\'U 9"";". O~:r o;-.c;'..v
~"ll~~I,n' ~~VJ~H'O'" 0,."", D~t' Oti~~". 0 ~~ o:-..c:;,~~. ..:
N'0......' I
~..,~~~lt" ~~~~O.....e O~~" O~g;,tI D~;: O~~'.....
U""OI '014'9''''''H'OI OiC49~'Y1.PIO''''EQfefl'Oll' I"~ lOA"
Dl~N"!3' '''X,''Il~ I a.eooHl5 I 8-19-891(""""" I g- 2/ ~
I
~"I"A"
,
I'
AOll"'\'
~. N'~'
.... "'1,r.III'"
..."'....,
"'lllll/I~'. '^
x 1"1.~ei;~~;
l'AP<oI O'l..c."~r.
,or 1 JCSO
-
, ' ,::' " "
..,'." ,":: . ,~.
:,' ".',:
.,'
" '.,':
, " . 'i . . '. . .".:
'"il' i "~ .:,
. "...: ' ':..,
. '..
, .'.
:'."".
,.'
;' , ..'
,
". .'
,', , '" '."":
'..'.: '. ,:
,,:'.: :':,:'. ,'.. ...' . .;~?' "
.: . " >, " '.
. ,.' '". ", . . ':,'>',' . .
~
, '
-
- ,
~
~
-
~
'~,
'0,
-
,.
m
=;;
~
:=1
II
IIG
[L
'l\i~I~11t11l 1110'
STATE OF WASHINGTON
-1),
l
f:
~i'~
I
N'C.,t \ QI I
o TRAfFICWAY
~ PRIVATE WAY
0'" t QI COlli:!>")'" pA.(), C.~'L(l~I('''' IU~I 2~t"QUJ,: COU'~'Y COU"")I\lO. rCllYNQ
1 jg t~ " .,. "" .., '"-" ~"' '"';h~\?- __~r-r ,) / C:
10 MI.I~ i1~ ~:~ ~:~~ b.":.h;;;~(kN ""7).'''^"'' "':':"".4_ 4J. r:::~>I'"'' :;:;;.;;:;;~
1...(It:'ICIH..C.W,'...~lPfll(.WP,,'''L' INON''''TlIt:!ioIC1IOI, ~ 7/1I'H r~,.ec-J/~rQ MU.lPO!.l
- II:lJl~~-t,.c; :,c:> ~[fl" -, f-... :!>llt;l-;- - ?~ /.>
J 1~'A,NI.t~O~~,' "" Mlo'l'fJ(INU CIiO~"!>'ItH''?ItMAIlIl>''''''\{P~' ./') _ I ACCtO[NT RAMP OIAGIl........~I...
~/.o) tn~~::!> 2J &- n n 01 tJ~.K- L).4..,.r.LJ. M~l66r[
COll'~~,::~~Oi.YLD I1J ~~VI~~~::O_NO INJUfHO-L- O'~(~AC.I 0 ~,t~I~UN I ~~:!>
OIV(HICll~ OPIlOl'fll'l'fDAMAGIONl'f 0 IIfSUI1fD OVII-II((I
"8 OBJIC151:LJ;;o~J{CTS'IlUCkANDOW"llIl'SNAMf) Is~
POLICE TRAFFIC COLLISION REPORT
I'OI.lCr':OMI"I.A"ll"'~1I -
No,
I
", ..,
I - I~'= t!J
I ~,,~, r-m
U
"... :~: I~~.o I I ~l.,:..""-""UOllIIIHR1NCl
;7 ClS CR~$:r;S~ ~
SPECiAl COOING l.6l
I"
f;'
t.
j'
t
..
:~,
"
f:
t
\
j,;,
f
) O~I"'UI:' NA.....[ tAlIl fill!:>' ~'"'rl~ DIoII\lI/l'$N.......,1
$'KE( {~~ ~/C.I.S'T7 k71~Vl
:'l~Ht AOO/l(:':' r lIun AOD//[$:'
ro.:; Z 707-"Z. ~./dCJL:J~LJer ..eo,. ;
~ "" KlAJd' J:77:JA/. '':;v/l_ 1~ :;t;;;:-UIl, ~ "
t: DRIVp.J.UCtNYNO ').J SAT[.I ~ ._~A'II.!:_UI/l.lt-i I '\ll"-~UCtN~NO I
~Kt:;U.KK ?h6/h.-ru41f- 7'dJ^2Jdt V
2~ IF'RM~,&Z,;~~.J~qt~li~l?;' ~ OCCUPATION l'I/lMNAM(&PHON[NO~LV'
o CHECK (J"') ~~S;l-IfIlIAl 0 (HEe: (I") ''''Iu~l. V''''lel' A:' A ! HOf...~'i:'t'p''''L
0= CODES.....,. 13 ~~~~~~ 5 IJ\("O'" / 6 ~~:S'.I1C.ClI CODES" 3 Cl"~~ A ~. '.'" 5 UC"Of',j
l ~~L'l.~l:,Ut l:7; . /~ ~U~~:SUI./
m~nw'I/OM 0 ......eul....cl 0 ~~CI 0 ~8~T1" (~~ i~,~:: 0 \""%9 ~~f"'.\~IRO... 0 ""JHl&:./LI 0 ~.'(.f 0 ~~;'T1' 0 :~::f 0 ~~~ '''0lIl
I vtH;q IMAfiJ~:':01 MOOm""l ISTVLf.;:jpONVl E HYtA/l 1........~t!UIf.JHI-lIVl IMOotLIOAIlH'''''VA' I::"YU(~U".\"~VJ !O:18
[[,~ l'ICEN~tPlA~(N1)/fl~An ~ITI~AllERF\...nNO STATE H vtl"l ~OR y'" I)'''''' I ,Lu< 1'.....(
. '35iIVClV ~ ~ I
~ICl(ICl!~IC~?N^O, IIEHICL(IDlN11~"'1 NN
rg-",:::r.'7I"'I"l~,e.tlJO~OI51lj.:7iS;;- 1 L : 1/1 I II! I I I III
i!:'" flEGISrell[:S~;:;r:- k';e/~71 R:LE PHON[NO 0 liE IS'7<.JWNEIl LAST
".4... ADD"" CO OWN" ~ ^"")' " ~ OWN"
~ NAME" ADDIlESS Of INSUIlANCE CO OI1ACENT R
r- NOA-l,;:
~ PIf;... ~"~'A t U A . .IN I ~'Ij" .....,.~ I ,^", ,
DAMAGED AREA.. ~ ,..~ '.c,.~ A " , DI~.III''''G CA.MAC;[D AALA ---:;;
r; ,Q::'}'!r.-,~, ~,~f,g:';.: C_"Of ..-,.,:. CH^'O' 6':::f:'~~~~' "0.' ~
I v.~p_.." EST Do<W...C,( 0 ~1I'Vi U}.l 0 ClIlVEN 0 EST OAMAGE I' =
101l0no.. IA.V7:''''..... f91t€f~lI'" /-!,"^;~~~77"~~~v' O~~w,.I.Oey AWAY REMAINED S ' . Hj~O."O".." ~
b: DIAGRAM OF COLLISION: . (uS! 5UPPlf EN Al '. 'NDIC~1 NORll-l DESCRIPTIO. N OF COLLISION: IV!.. .(SUP. "'.M.'.NlAl .5.... [I IfNEC.."....IlYl. Jl>
10 ' I} loHUTI' NtCfu.AllYI B ~ow ". . "-'. u,....._ ..' .=
~ _:=:.....~:::::."'<:.r~..a:.,.,. tc;-;~'dU"'~1'-4:tJ;i'.77/>,.vh4~'/f;, ~
p- - ~- -"-.~)>'4 L;/:~'/!}'A'L>...Qr~~ef'/a;~;~~n:_.,u/ ::J!j
c:::.&~, C~t-..",.:..:'r- - '" /f/.G"~/'7.,w~:.v5Q~..rs~~ .
.-:-- L-"-'~, ..:.',~ 'I>:/~.:' lI.s;,,~;'".:i:.f.LJ.r;tz;t'(~K. ../::;iI
r ~-,.,,::- ~-'t1"" ~-,"':-:I @:liZ~ ---!
c .&:..kwT--- ".'-',__,,- *~~*jiffjh~;; . -,
1"- NAME, ADDRESS & INJU1>IES OF PERSONS INVO;["t '. CODES I 1 - I 2 13 I . 15 I 6 -=:1
t-- OCCUPANTS,I WITNESSES I,~ ;~~~'::.r,:~\'~~!>:,'~' sr.-f.G' b,.,us '....~..I..w,.~: {',':-t.lIn5'''' f,lf':' I.'':.~~:.
...~"". ~~,.v;- :.;auto1
E ~._- ~:,;~?'~'
L I....."I.'!.,
",l.' I'
", ,
o PEDESTRIAN 0 Pf:DAlCVQIST 1.....ll.I
M"~'/~
/1 ~
"..~ /I J~
^.. 1?^ I ~T'':''r' ~
I [VIS r'GHTItt:IGHT_
UNITNQ.I
UNJTNQ.2
o VEHiClE
..."
. 'oeo:;'(1J
~.".
'I'r
,;!i'
J
=;<
I 1
I ~,~
~
1J
11'1.1 U AI'\j........ .......A...~
':4
,.
ii'
r
'r'.
MO'
srr';llh
OJ D.~f\ or.~''-I 0":-:;... C~...
O";~"
~~5;"~~d"0OJ O"OJfI D~~~" D;O:;~". C ~~
0::'.".,
I
:'/
tis
,:,
~~r;~;"'~i "I C.W1 :J'~~" O:'~~,,' ~'~i': O;i~~...
~z:3?l~~.2ff:r~ ~~ I./~P^"
x 1~-7.~;~~:;;;'
1'1"':"1.'" .'.,1'_'
':~~('
'/
:
'"
.
, ..
,
"c
-:: ,..'
. "',
. "
"" 0'."'."
. .
,:
,,:, ..
'c".
'..
:,:,:, ..'
'.;'" '. C.,
,
:"
,,' '., ",
'.. ,". , ,
.'. ,",:': ""., :,:' ,,'
, .., '. ,Y '. ""':
.. .", '..:'.:','.. ,'." "".
. .' . .'.-:..,':,'
. ' ..,"..'
~
f,:,.;
:~
!.\'
f
1;,
1
!
,
.~
~,
t
.'
t
~,
,'"
\"
r
,,It:_:,
.
1
L'
\
i
-
"^""I' ,;.:-....~'" . <.
..
~ STATE OF WASHINGTON "0' / 0' t" N ;; ., I '/ 3
CI- ~ POliCE TRAFFIC COlliSION REPORT ~. TRArflCWAY 1'O'~;COMI'1."'I'" ....U....l!olli .)
1$ 0 PRIVATE WAY
~1(li('OlLb"""l'\j 10Y ._':....ll''"-'_U'> ~!.~ll; COuM" Cvvy~ 1'"YI.o I
~ 7 /I ?l7 "" .~ "" ." ,~" X"' '/'~v~:... :JG~?.:;,.>_,-..J / l.~
I C") 0"" 1)(1 0''''' ~";-ogIOWN I NAMI&NOOI!oT~105lHIGHW"" l(t~_11O.O"Io5J..!.1 ."I,u'I"OoJI (lII~It1~t:QDf
c><.. M"" ii'. ow .;a'o; ~-n'C'-"<~lION =-I--C /.>t'-,/ ,..0..;, C""I > I 1S"6? 70
.Nltll~clINc;W1IH !ollUITOII...O INO"lINlIlI!>fCl'ON C. ~ LC':> o...-P.-c: PfltI!~ /,u rM1l1PO:oI
.--- - Bfl~f~7.) ~/; ~;;(' & 8::'/ /c-~ lolRUl 2. /-?
/_ OI!>1"'NCl4~';;,'ON'~ HIIN;l CRO!o!.!>IIIH OllNIAII(!olMIUPu!> ACCIDeNT UI\\!' OIAC,IlAM[)o&.I"
4"" ,.,:( ft~'::!> f; ~ ~ M Of ~"/G ~~;:- 5 M~~~G(
COlll~~~::~IVIO N;~~~~:D_NO INJUIIED..G"l 0 ~1~"'GI 0 H!lUUN ~~..~ II'>;
Olvt"'ICU~ ~ DPIlOPlIlTYO~AGIO'>lIY D:JIl!>~llfO D~~~,~~
? OlIJICI!>IIlUCI(IN~fO'OBJIC1!>T~OWN[Il-~IiAMIJ
"..-.., .
.... '. . ~ ....." ; .;::
W~ All ,.'>" ;","',::',:::
8
lEi:'" f;l
...wDA/;j~
IllJllA,(
I woo... Id
I~T OMlAG(
!;;'fJ;.I..IlO I~I'>; I "'<" UO"tlORJIVHlt""-l
1/\ I cu ICRo:.HTS~Il~ D"
!oPlCW COOI~ \.151
-"
I
S
UNIT NO. I UNIT NO 2 HIClE 0 PEDESTRIAN 0 PEDAlCYClIST ~
h OIlIVII1!o""""'t ~I _ Jl1!ol MIi.llJl IIIVLIl!oN,<\"M1 lA!>T ~I')'< f\l\li.lO\.l .
7 h's~ c/T"J4..:; A2~.....JG' -Vo~o v'A-..J ::...JC;/..-".j ~~/=: "
~TRm~OO/i'fSS ~ / h /.9' ,J,... IllliADOR!!o!t ~2_ J
rw / 3/ -- '3 ff/o;:;./,,€;..~wo ~j~ 'f/S?o 5.4~~-.J /-66 ..?3.n -=
~ '" / "",' ,''co,", ;'O<<'NO- D" .. 6.~ <Z-l' ,:
(g/?,7~"-'7X'c..-J l.v,4 7&..%,:;- :V'3~3 R /~'~.J..~c~L::> L..//9- .........3.J.c.OI~53,;:Y;. ~!
'f2.. 00"" ""'N'" NO "." "0'" ~.'" I """''''f'NW NO ,I ''''', I W'_ 0" _~ .,,,, Q
c./e>//O ~c:> aA,.c;r :A9?~ V JA:;....Jot/../L' 763;0/1 ~"4 W 3:.5'-7 JJ7' -;'
fB6l OCCUPATI~ fll1:J!f'!)-?'t:Jb/~ l..1yt~ e;:GHT ~l E OC5'l"ON~. I' '"IIlMNAME& PHONlNO ~YJ!o vGt-lTI~T ;J.
L:Z tv,4-,,-y~~5 ".,. ,/ pF.(v 1 So -> R ..J/ .oW/,(<""n - ~, r ~I- :;_
o CHECK(", ~ANOIHfIlIAL 0 CHECKC,...) VfHIClfA~AN(M~OYHOJANOIHl~IAI r
['.;71~~O;;:. 3 ;::C".--'.s- · """~ . ~:\,:,.<lL- 1 ~~~;I~O~' 3 ~:~~ ~\~:~.. w" . ""~ / I. ~"~.~.,"'-- ,"
~ '" 0 ...~UI...NCI 0 rl'~CI 0 ~S:'I" 0 ::~,~:I ~ :1fl'",!oI' :treiS"~ 0 _B<JW"CI 0 rl'JCI 0 ~I" 0 :~:ll ~I>N'
All, /, IMI.l(lIDOOGE: CH!V I I MOO":l~111 NOVA) ISTYLf {7D/1 CO'>lV I H Y A l H V I I MOOf.LlOAIII.NQVAJ I:>TYUI70 .(...... J ?
~'~ a.J~1 7A:P'P<:-c h'./C/G-5. ~~ E /,;73.:; /-.6~ I ~.v/c.. 1 ct'2'D/7 ......
A V H ;'l IUClNM PLAH /;j ._--t-:"AII I JIlAlll/1 PL....n NO !oTAll H VlH COLOIl L "':.II LI<11 1'01..1 --.1'" A I: A ..",
13cvtE- 13.5C.~ I I-"",fl I - - ~ I ;;g/v~ ?'?":7 .4f??1 L..,W I - I - ~
r;pt;;T VEHICL( IOf.NWICAHQN NO Vll~l! IfJ-N IIII.Ar~UI' ~ ./'
I~ 1!)5' 3;.3(D 1"t',?P i / ;G,'-:AI !c::>;s:-e:3 ~ :J)/ #lfi'6-/3 /=:;-/;05 0 /',;;:2, 7';,9f-o,5
liFT" IlIGI~nl1[DOWNII1 LAST _ ,fl/15T MIDDLE PHON[ NO IllGI!tn EOOWNII1 LAST fl/1S1 MIDlX( I ~l ~ ~
~ ./-'l~~ s/..4.....JLv/4-d /C .Y..-f'~.p6' ~ ..:;-~/'"?~ ~--?o<:::: "
''l AOOllf5!tOfOWNIIl _ N A ....,:>~..... (11 IL/'I
Y' :>.:4''''''' c:;;- E 54 __P cZ: f-LJ
~ NAME&ADOI1I~~OfrNSU~A"'CtCO OllAG(NI .A "''''-''''II..Ai.lL>>j I U ANI..II.I.I ~I<UIN
I~ /.I'C".~A7 -54'..-J A"___h"",-,,~ ~H?~ R 5'~rC::c; -/z,.R.;--;:;:G._,;-J~c5-T-::;:' "'I'
<....:- ~~fbr~ ld'n7~..:.-'.:c;l I~A'IUl'>; In~f..~~~ I ~~O'A,l1tA. -=3i
r=s 2 J I ~O~~(~'g.:;'t: ICHAIlGt C"'AIlGt OI''''O...-GI
--. 'C~o~~-:;oJ ~ (!oT OAM"~:;r~::1::''il...N 0 I1IMA.rNED I i:::j; IlIVlN O//,[MAINIO 1m D~~~Lf./.T_~.. J~ =:;;
vt?t:-'(? In l~w,..~OBY 0 ~~~ BY AWAY I v~~. 10.onoOll.
- DIAG..A~. Of O. llISI0.N'. . 1",.!~U'..'lIMIN1"'1 NOICATl/;jOllTH DESCRIPHONOFCOlllSrON: IU!oI!tUPPLfMlNfAtr.HlfT;;/:'NlCU IlYIJ .....
~ ,'1-. -:,), .St1UIIINICU!tAll\') ~ ~ow I ----' J....., ""'" =
C h ./-'L'. :z ' :/',.. --'. ~ .P'~#' 'Y"/ "v-S ---"",~,,""" a-- ~~ "::;<
C::' :.tPA~~-?e-.-<tf,J. , . ~~.co 7;;;:;.~....;.....",- .IP/,h.!C_, .~,..v~ r=-
,\'~\ /.;.I#t:=~.5 &-/- ~..4"'~-c;:."y~....j /~/~ ~ 13"
;~ ~ \'.~_--T <:=-_ e::;:;'~ .~,T~~ "'......,"2:> ...s'...T"a-J~ - 7.:>.....:7_....:
~" =":>1"-' ~.. >. . ''L;'' \..d i:::;--i..~~- 4"7~~""~.?Z=> /"5~~ ,...,..-A", .......~,...yi:::>>J
~ c:-:::~~~......-....~:. ...............as.:.~,?C::l $..-?-J e::'~ ~
I'~ . ~... ?/~1V. ,/,;?:;>' C'~ r--<'"~~c:_ ....-.- /;;e...~-,..-=
L ' I !, I; tf/~/./ ~ ,,'.vA, /-0/-""".5 .5<:',,,,,,-;#'" C<-v
Ci:?'./ ~~ ~ 1.:2'1
f': NAME,ADDRESS&INJUR'ESOFPERSONSI;~lV;;"""i'''''''>:A/ -":.r......o.= ~:~y.1 31":1~1 6 u
L OCCUPANTS I WITNESSES W~ ~~~~fc:~t'~A~'l:~ + S~O~~~I TATU!./ '.....~..I ~:,i c~':.J\~ 111t51l I (.lfCT I~W:.
~~Nf I
~AI~~lpl ~cml"'~~''''UI\I\ 0 AMB 0 ~o(.l 0..11;".0::." 0 :-8~v
, "
NO
~~";~~~/pl
'::O:.JN1
NATl)lIrOf
AOlllln~ INJlJ~!I~
,1''''~~''tC.~~~''''''I~''''''' /11l~r~cf~IAG'I~c", U"!I0~
X JifF ~ r-r-~., /;.~..."<<.~/ l,s;aYI~.5/'" I,~ &~"
~
ADClIII~~
CN'M'
~ ADClel~~
N~'
~":?VJe'IIUM 0,1,,..,11 D~"{' O~;". D:;~
O:;'~I...\.
I
I
~~~...~~ II/OM 0 AMIl 0 ~\,(I 0 ~~Ilt ~;.: 0 ':'c~:"v
CI!~ or!>p/JC"'WI ~'CI~/1<)::&.P 0""1 OI51IP01lT A"!~~ID.JY/I OAY ~
~;'~~r I'~.oo~ '7-7'-3J /./ ~JJJl q ~ d7
.;,,,..):
......... ,
';.,
.". ",'.,' . ".' ;.'. .,{'
.' . .....:..
" : . . . , '. ,,;. ::'
'.. ,':. '.., ,.','. ,'.. :" ;'..'
" ..'...,. ,"
,.'" ....,'.. ,'. ":',:'. ',.,
. .. :.
.,,, .. """'" ,'::' .,: " ,.' '.' .'. ".,".
. ". ,"::
,. . \. "':'..'
., ..' .
""'" .' -':,
':
,,'
. .
" ....: "
,
..,:'
:., .'
:.
...: '
. " .' '';'.
': ",'
.
.'
.:
,:,
.'"
. :"
. .:
. ;:" :,';
......'..:
.' .'" .: '.
:... ,"',.' ,".:
:."". ':..:: ,'" . :., ....'J.., 'I"
" .,' ',:" .: ,'. ;;: " . '.. .,.'
< '. '., ," .' :.~. ..' .', ~, "" .': . .
"
:: ..
. :'::,>"\i' "
,:',,'.',:',:.
.
~,
~ 5T ATE OF W A5HINGTON
~ POLICE TRAffiC COLLISION REPORT
~-
No,
322d6
_..~
-
~.
t
t
;.
1;,
t
.\.
J,
1:
i
i
1
t
t
;:,>: "1
......
,..:....
~ STATE OF WASHINGTON '.G' 1 0' 1
r.- ~ POLICE TRAFFIC COLLISION REPORT Q lRAffl(WAV
I' 0 PRIVATE WAY
U" I.....'(VH'~"-'N I, A'V' ",,!Of', T II/w'll COU"'I~
P"I '8' 24 891~1~ ..o~ 'Ul' "'I; l~X ..' Vo' (iS4DOiOUfll JEFFERSON
~ ON 0' o'N (,I'I"O/IIO\,>,I>I N.v.'It'.....O()f!r.T6ItfIOIl0iIG>1WAV
1 ",," 0' G:lw QO'Pr """,,.~son" ON p,1
""~""!olC"NG W>l... 5111'" OJ.> ~"'D NON INlIlI!tl(l'ON
",~f ..... l~"
6
:.;
u
4
r,
"-
?
No,
~'o COM"'''''',! NUMIH"
Irl'::'~:, ~ i
Im;VIIAl.
1"'''''''-
:!
Ja=b Hiller Rd
5111UT&
!IoUUlI
ACCIDENT
Mtl[AG(
coO(
COUN'Ti ~ (I''{r..o I
JC1ClS I'" M 'I IJ ROVltD'/511l111COUf
&1 .3 1 6t!>/~/
1'IIl11,J I'y IMlll~1
1 C;,3/
IIA"''' r'...GII....... OAI...
IN . I; r 1..110 IN JlloI r r.1 II AlJCl'rIll'liltP<1
X IINl", CL5 CIl6T2~3/
Y'lCIA.I COOING USl
1'1
81tWUN
O'51"'NCf&O~I;1' NIII MIII'f ,..... I (1I0!.S!.UIU oPNlAItI!r.1MlIII'O!.
H71';~5 f; M ;., ~ 0'
COUI~~~:~~OiVED r;:, N~V~~;:;D_NO INJUII(P 1 0 ~l~AC.1
OIVft1ICII!I ~ DPIlOPlR1YOAMAC.[QP\ItY - O~IlI!>[UI1(O
06J!C15'IlUC~ ,NAMf 0' 06J(CI !I'IlUCI< ""~DOWN!Il'!I NAMf)
o t111. I1UN ....":.'~~~..~
o ~~~1';"1
15 I!lT O........AGf
tl
~
o PWAl.CVCUSl ~
:!IUIUI ADDllt>> . litO AOORI:!l:!l T .::::J
r.:;- NE 575 Tiger Mission Rd;p.lr.'tJ~a5273WA : 22 Arana Circle ~
LA en, :!.IAn llPCOOf. I'HONfNO 0 :IIY )lAI lIPl;;OOl I"~ Ie:::
I".z ..~~~N, WA ~n";A~' I~. :P5-6745 R Sausalito, CA 94965 >>15-332-. 65lJ=
~ I.AASCCG494O\f I WA 1M O"g I 16! 51 V 008'66209 .1 "A I I .: I ^~ A~~. ""~. T.:li
8 OCCUPATION I fUIMNAM(' Pt1QN( NO (Yl5 F.:""~GI-lI I-f:IGHT E OCClJP...UON IIRM N1W.1 & PHON( NO I [YI:!. JWI~TI ~~, (2
2. shipfittej: PSNS! Brerrertan Br<l195 601 R I b1tl1751507 =
'---- 0 CHECK {.....} I V1t1IC~j~~:'~PiVl"'l AN01HIR'Al 0 CHECK (,I) t VfHICtlA~ANIM";OYffOfANOTH(R''''1 ~
~2~ ~~D;,S u' + J ~~:(:. . ::\\:~"' 4 5 """~ 1 ,. ::'.:~""- CODES" + , ~:::' 1 . ::\':~'" 4 ,,"'~ 1 I. ~.:.. "" - '0 "
stated none -::.~~r.Df statea nane I
M 0 "'_W'''Cl 0 ~~C, 0 ~~;"lJ 0 :~~a 0 ~8'..!>'" ~J'''~-'1~'w,y. 0 ......1lUI...NCI 0 ~~('I 0 (W.n. 0 ::::'1 0 ~~"'!OI'
~<l 85 1_~;;;Ct1fVI ~;GERI5T4X4DIl'CONVI E 73tAr r-E~ce~sVBeq;XXDI0220VAI r'" 41 ~l ~
jj VU". COIoUIl I IICfN51 Pl... t NO l:;TATf 'RAMIl Pl....!(~ STAn H VIl-1 COI. I' II "."
Red/silVllr LW026 \'IA 'J \ ~ I ~~n 1 o:"s' ~? rA I
r;-;;;;;;; VEHICL( tOENWICAT1ON NO , ,.... """ l [VtHICU I()[NlIriUiilioN"Nl:r""
1'-< ,A 4 b'W I '2.. TxFi l;'lhI4i1 :4ib:SIF 1'1 IS- \ 'iG6 ( (/, 3 if '1,'77 S
rrPir Il'fG!!lnRfCOWNH/ IASI FIR~r MIDDlI PHON!: NO 0 RIG1!lTlR1DOWNIR LAST FIIl'5T ~IDOU I PI'ION[ NO
~ sane W sarre 1_
I~ ADOllf5~OfO'NN(1l' N A~E5S()fOWN"'1 Yl
E
ri G"':'ltI~c.o~/"sil~r&le, \\IF. R United Se:Vires s..;; Antonio Texas ~
- D........,o.G1D.-.R(A .1~riON-5758 IM~u.":'~c. I D.......~'.-.RtA --:-n
f'=-' tJ' ,3,O';J. '~::r:.l' C.....IIC-t .al CHAIIGf IH=;'=: er,' ~\o . ~
I .._n.._ ~ ...,,, [3 DRIVIN OA!M""NlO DORI\lfN o RfMAI",m EST OAM..."t.;1 -!.-......,:::::;;
- ~o.O"~ s600.000 iWZ&B... r;.%~~B'" Allwe:"'it\.,''lbwint;; 53,000 I ~~~. --
~ DIAGRAM OF COlliSION' rU~1 ~UpmM(N ...1 NOI;lJjA ~Tl-1 DESCRIPTION OF COllIStON- lU!.f !lLlPf'ifMlN''''l 51-1((1 If ~CI~h'l ~
16 - ~t1Hll1 N!CH~"'R"'1 .... IIOW' _
_ I Acd. H:ll,...ll.l vehicle #2 was e/b an Discovery Rd. Vehicle #1 5
I Iwas NIB on Jacob I,tiller Rd. Vehicle #1 went thru _
", ' ntersection and was struck bv #2 vehicle. Dr #l I--vt
~~~ l>1"'~? ~ stated he did not see .Stop Sign at the 1otersectibrd'
r---~ r .' - - - - - - - lor vehicle #2 ttrltil just before i:n;>act. r-;o,
E ill - ' , . ie alro stated that .tl. le sun was sh101o9 directly ~
':" ~. in his eyes(r!o noted sarre),
1 ~ W I "'SF("a.)- - "
~ I ' 1.......6W ~\lsM S";{~\
':" NAME, ADDRESS & INJURIES OF PERSONS INVOLVED . CODES I I I - I 2 I' I . I 5 16 0
.. OCCUPANTS/WITNESSES \~~~~~:f~~:: 51. 1...c.1 b'A'U~'"",,~"1 ~~.~ (~':/uiRl!l,.1 (IIC1 ~~~~.
'."T~ I t;g" _ .. ;:r.,;;.y'Sll--~370 -.:;' 12.1
Af't'''''''~ 1:'.rA r..,1. (ArSu.I.'A I.... III' __ 5CH"fvll~II1OMOA"'1l O~o{' 0"";'.0:;':." O~'.....
('.M' N; I f.N-\. NO' - M "_17..1 " 1;Z I ICJ' I' ----
..r>I'''I,{J2.ci~,CJ.;.~.~. .:7i ~"'H:'I.n' _ :C~V~~ 1It;W DAMIl D~' D~~"" :;-~ Oi.~~\1 0101
- ~""""-Ai~ ~r~l~d .'0 -. ~ I~I 2. '2. r... So. '1 , I - -.or
.---,. . -,-' , j -, .^,O"O'Am ~"w"" 0 ~.., 0'= 0'" D.o.
...t'll"t~~ "':A.M~ .....,. I....JLJ".,~ !r._fJ. f !.cINltl"---' ""'11 _>>... 'ic.'l' "".. .....,.
X rv fh''''''"'.. ~ I'~~' ~~ ~ ~S't ~?'17~. .., 'Y""::'i2l <g- if ~
'."y>,
'2
UNllNO, I
~ Olllvtll~ NAM( L.A.5T ""'~'
, IJIRSON, CHARLES GREER
UNIT NO.2 tgcVEHIClE 0 PEDESTRIAN
[>Il'\lfR-~""1W.l ~T '16)1
RICKARD, OiARLES MAYNARD
M'OOU
i"1
,. ....
,... ','/
,-:....
:}i '
....:., '...
. ......
, "~.... '..'
d.
...'
',',
.....'.
~ ,
. .
'.'
'..'
'.
.
..'
,.:.
,'.:'. . .';..
.',.... .(
..'
:
.
.::....
'..
:.: .:,. '"
.,).'.
.',
,
''-';'' .;.
. ./:1,"" ,:' ,'.":::,'.
.....::. .....: :1. .' :'.':: ..:
'... .... :,.' . .... .... .'....
.. ' : . .... ..,. .. , ,.'.<
, . ... ,> ,....... ,........ . ." ,.. '" ..,.... ':. ..... ..' .....
::".,:':
.:. ....
'--
~
~;
},'
$1'
~'
t
,.'
'.
r
l'
f/
'i"
1
~
"
,
,
\
,
L
t~,
I
. "i- -~'-'-' ~-
...~~~
\
~ Il!~ ~...4. f.IlS~ '- MIDDl(
?t. '7!'O":(go>< P/3 11-;::J.
r.=
L
~
F-
'1"10'<(":0
~1b1-_ J
~ 1:..->
. :', '. " " ",: ,\: " . ,. , " ",. ."
" .,;. ',' " ' .. ...'.'.. ,. , '.,
,..' .' ,;), ", ", ','.. >:.\ '.','
" '..;-". ':', ,',......'..:..;. ':.'" ,;'.., ,
. , .;, .: ',:;'. o" '. .. " .... ", '."" ,"',
., . t ' .'. .', ..-.;, ' :' . ,. ...
,', .'.' '.' ":: ,. . ,", :, 'c. '. c' .
; .:;: ."" .,. < '. . "'.. '. .'
',,,' .:.., :. ....".. .' "
. ':,. ':' ".
.. . . .. " ' : .'. . '''''. ,:"
. ': '. ..:., . ,:.,
.;.' .., ". ,i ,'. ,." .
,J . '::, .;,~
.... . ,. . '.'.',:
'. ,." 'o'
, . '.: '>. ", '.. ,C", .-:.
'.'. ',: ..::::. '.': ':',' " '," ".', .... .", ,: ."",
:,: .::..,:': :..' ':. ",..:',.. " "",,,..:,.
'" ""', ":.".. '. ..' ,.;.;,', , .,':'.'. ,',
. ,',.' '; . :,' ""," ,.... ,".' , .', ..,....,..,..:.., ,,':
. . , .':. . ....
'.' '.
. c,' '.....,
..
::,
>::'
~
;,..,.", ~.''''
.:>
1
;'f'
ruP:-, \ ",.,.,.It:vrvv,.,.~...........TON;;;.' / 0'1 No. 3 j ! I
f'71 -;,..., "....,J' POLICE TRAFFIC COLLISION REPORT A-J TRAFFICWAY f'OI.lCICOMP\.AIN1N!JMfl(1I
I I 0 PRIVATE WAY
tJA1'OICU(ll~"':~ I. Arvl~v:ll'I.V'" IU~..~:M(, U~. "'UVZ,fNO ClTf...u I
IT ~ 2.i/~'11".~ '''' "'")(''' '" '/I.~OO;O"" W-Je-".rimS'GJ~ /~:;
\ . . llJ"'" Of DIN CI~YOI/IOW~, NA""&NOOI!-llillIOIlHIGHW",Y t~.Cl.~ I';UM.~:'I""L"'IIo'OUII ~~f
2 t,;, 0' ow /;:10' fr.rL L(C,: O/oJ ON oAk 6~ /lh .....,. ,0'/ I I 56 '1'0
INTI1l5lCM~CWlIH SHlftlOllllOAD Nct.'I~Il;!c.;IO}'- /?/\ ,~ I'Ilffl)t r~u IMIll~T...r." ,;,
- fu=:~rN/'Y~~C"ti~l /~4 t:J1..G=Z <?' .wa., I _J. 0 ~
[I D'S'A;~11l DN,fM'I,....~ .n"',,"M~ I I fN7(. CIIOSS~TIIE(lOIl MAlIl:.T Mil Pv:>l I ACCIDENT f/Jo.MP IDI...l"oIlAMOAT...
fl.;" M~I~~S fj,f ~ ;., ;; 01 ~5,f-zr tf:.#rr-'4/ ,<(1) ~~~[ I
COLll!.lONINVOIVlD [v[lIlTr 0 0 WID I ""II~'N INTEIl I,~~ )t-RO I~ :.:<~~l;;:~~~ Of/~CWlll:I:fllltNC!
~o~~~,~3s [] It:~~~~:I~~~~lO- o~~J~~:~ o~i~~t~iUN I-='::H~ ,')il Cl~ ICll~~lfI~;:'OCD
1.0 OIl)fCI ~II1UCK (NAMI Of CleJ(Cl SlIWCK ANI _h . I 151, OAMA'" ~ClAl. COOING US(
1-' $(<<:;: /)iTa:? -. '" ~.rA}t..r e5'6'lC,y ,e.LJ. 1$-
UNI1N ,t).Jet, ".)Or- <.-r,Sr UNI1NO.2 o VEHICLE
15 Olllllfrl"':!'~ lAST l~fl1'~NAMI lJ<51
r--' HOS>,4C.k.. ~ IAJ 7"/(1$ C"~7' : I "-
~l/L;~I1E~ IIlHl ~~
~ C"r,.!2.-3 G,e~ h "
r V"",r''T'EiWAf.5,g ~
t::::: D"J/;;S;~S7'1i<4 w41 "",I M~ '; ib;; ~
r2.a:~ "lllMNAME4PHONE~ ~~~~~l"o~ ~
o CHECK (,...) ts,~~~~~~i'AI
~L CODESIIJlo~~~ .. JS IJIthOti I O~:?;~
o ...,..&U\ANtI 0 ~~(! 0 },8~1l~ 0 ~::'~i: ~ ~8.1,.v
~.-, I~JI(~.~~,1 ~;~ANOVA) 15TYLI1f~V)
. [p~ 1Ji';;77;;~ I "'W/1 I"'''::':::: '::'-
--= v<~'c'l "''"''''.C7'~~~0 /? l[.u . 9 1'7. f) If I
~ 11/15'01-711'/11 I,Q,/; libr ,I
l"l"II"""- IIlGl51IIlfDOWNfll LASI FII1ST MIDDLE I'P;;~:~ __
~~AM..,p -"""~
12 S;;;;;fll
E N~l_& "'r~IlESS Of INSURANCE CO OAAGINT
. N()JoI€
OAM"'GfDAIIIA~IAIN
~ 1 J. CHAIlGE
E~ illCllJlI>J77A ~ - i 0 ~~~yN c;l;EM....INEO
~ StOOD ...~~~op.'( DlLJ..-~
t; DIAGRAM OF CO lLISION: IU5f 5U.PPIEM. 'N.... ' !NOIC.....I[ NOll. '"
16 . '1/ '~..,,' 5HUTlrN{.Cf~'(1 I ~1l0W
t://I,... Vvr /to/M,! I i I : '.:
111 .~~",. . . .~ .~ '. ..' _. "-"C .t.. a:.
~,.-- " ~' ~ ~.<':J
'~
5 . "4-'" ./
7a Ii
Inf=~d
J~;uu,j,
,'" .
I ~,,~
~
I'
.:-
o PEDESTRIAN
.""
o PfDALCYClIST
"'o~,
I
S
1711
1'-
'"
.--~ ,.
IVhl':'UIN!.fNO, ''''''I_O'.IOfIl'''II"l,
'\. WJ J o..y IY' _
CUPATrON FIIIM N~ PHONE NO 11'([5 1w[IGHlj HEIG'"I1 _
o CHECK (f"'l I V[Hlm...s "l fMPlOYH Of ...t::m~W""1 5
CODES ~. 3 ~:'':' , ;JiC:~"' , ""~ . ~:~.~"" ::j'
~ 0 _~'N" 0 ~~"\ 0 t~;". 0 ';~;" 0 ~~\.~
E ~ rOI-'C"'VI MO""""NOV" ","""O"WN' ::;
~ V'"CO<O' r"~"'" "",, I~","NV I ,,, ~
l VEHICUlDENTlFI... IN........, '"'\ 7f:.;.
IE I I I I I II I I I i 1'\1 I J h.
o 1I[I"oI~TUnOOWNlll; lAST flllST MIDOt{ "t\HUNI NU. 0
w 1'\,
~A~I~~Il", ~
R "'<.A......"'t:>>....'N ....N..., N "'" ~
1"
L
-.. .~....~: .-:.~....~...:l-~ __ ....;:.-:-'.:;;i.-~-...
'- ~ '- i>nu.;
I n'~,~"':'~Go I O,,^^~fOrA/l["" ~
I H~~f~= I ) or . :::J
o D"IVIN ~...J.....15T DAMAGE 11cr:---' .!.'...;j ~ ~
O~~":.:'8,( "'W"''( ~.. I $ ~~ :=J
0'SC.IPTlO'j010lLlSION"_._".,,_,~.'uo>..'.U~.N'''~H~'.'''N'm. 5...11'(1 " .__ ~
V6k";~:~/~~;<I0 -_ ... ~
~,d:7;li' oAid/f1< /.S+Y~4-IJ. .. --;l]
l/GN-~~~~,tf ..~ ....=:l
%~ L1;;.;e;v . .'::J 7HE?J. --- ~
-
f-
:2'1
NAME. ADDRESS & INJURIES OF PERSONS INVOLVED . COOES 1 I J 2 13 I . I 5 I 6 -.-J
OCCUPANTS / WITNESSES W~: ~~6~n~~~~~IA~W 'su-j "'c, T.uusl '....;H I ~~,: (!,~;~ 1"(SIP I fJfCT I\~~~i.
~ ~'60Nl I
"'Or'll.'m ------- ~L'i~f~O' ~m""~~ .1/0.... 0 ...MII 0 t'...~u Di~~,. D~::' 0 :'8,1,."..
~"'''Ml ____ NO'N I I
JlO "!'mum ::''''li.~l 01 ~rovJ~ HIO.... 0 "....8 0 ~~(. D;;;~". 0 ~~ 0 ;:'~I...V 0101
Lt.;......' ~ I l
AN'llm rtJji~~ho' ____ ~1:r~l""~'( 0 "''''8 0 r;:~n 0 ~::~!I. 0 ':.t~ 0 ;:.c:.:......
, 1".vI~IoC>AI'NC.OIfI(I"''' "'......, II 1,/01<1, 8AO,,! 01.' I '-Co1 "'CY )1 ,""" 01 r'01',/ b~PA'JCHlP POY5Jt')"tttol 0." 01 "fK.l~...J "'P~: I o".!
X L(Vl. COUl::.'I' 'jRuoPert Yt,o"l w.,p 'fn' I ~;OOHt, '9 1,1x,"" I~ .2.l/~~'1 (ut,;)j 'is'' U'~
-
1" ..... , , ': '.' . .
\ . .. 'I<
:~" . <
7' ,:' >::<..:: .'.
I , .. "
V ,,'.
,. >
~ :"'.", , .. ','. .,".:j,
" ..:;'...' . ' .:.
':', : . :. . ,;,; .,' .'.'
".:"':. .', ........-
...': "., ,',: "::',.:'.' '.
.., ...... :""\,,, .' :'-',
:..": . ".,:., ."''-''''., ":
"\3';,; :.
, .. v',
.'.
'. .,..: . ..
. :".':.':. ',," ;~:~;~::,:".'.
..
. '.'; "
-< ' ",i: . '.
'." . : '.,.: " '\' " "';'.
.:. "'\,':.: :, ...'...,..: .....,... :'.' ..,.'::.:. ., .: ..... .. 'e
,
-
.
STATE OF WASHINGTOr,r- 0' I
~'TRAFF1CWAY
o PRIVATE WAY
No,
r
~ STATE OF WASHINGTON
~ POLICE TRAFFIC COLLISION REPORT
{
o TRAFFICWAY
o PRIVATE WAY
No,
STATE OF WASHINGTON /
~ lRAFF1CWAY
o PRIVATE WAY
No,
J
;;:
')
f.
'j
-'/?SON
~ STATE OF WASHINGTON
~ POLICE TRAFFIC COLLISION REPORT
I 0.1
No,
3:;2900
~ STATE OF WASHINGTON '-or / 0' /
~ POLICE TRAFFIC COLLISION REPORT )2J',.':'''CWAV
o PRIVATE WAY
COUNI1
"Wh':",,'::'&CJ.-- ./
No. :)
,
"
'I
s
1''''''1< I~~
OO"}" (
. t'\~o('r~Jc''V
STATE OF WASHINGTON "0' / 0'/ No.
~lRAffICWAY
o PRIVATE WA Y
3 7
7
g!Ij"'~"" STATE OF WASHINGTON >>01 / 00 / N
rv1' o.
\, ....."" POLICE TRAFFIC COlliSION REPORT ~ lRArflCWAY
o PRIVATE WAY
3 7
6~P.-~" l~.
W!>I'Il"jll,... 1&'))
,
l-
P.>:,;! 1 OJ 1
~ TRAFfICWAY
o PRIVATE WAY
OA.UOJ(()\\IIN .t:"'~OI(LI"'(.~"". 'MI nc.OUNh COUt~HNCf/-I'IT'I't.oO
to 2: ~ w~,'Q'TLJI~ "1~t"<J~~:'~' w Of44Wl1111 ~-c.iU I~
ON Ot DIN C'IVOl/IO.....N NAMI"NOO'~II([!IOII~lc.J-IWA.Y FClClf M~"::I Pf/VI"IRO\)loe~l'l t:o~
2.. N"" 1'9' Ow D!o"' CUf/'l'Mc::.<JV>1 ON ~oAJ t<D h ~ 1 I ..5~/ I"
INllf/~fClIN"W1I~ !.TkU10I1110A.D INON'Nlll/~E'lION PIIIII... fCl -IM'~I~/'JT _ ._
C.....~ RIO l!lLTwlEN !.TIIHl & !.1l11[1 \ - &;. '-'
, tl'!.TA,Ncr&tl~:I.I,I;l~fll Ml1llt t . CI10!.!. !.l11HI 011 MA.lIt!.TMlllP05" \ ACCIDENT RAM IOIA.GRI-MDA.IA.
_" H~~~!. ;; M ~;; Of ,..._-~ TeP M~lb~l,
COlll~~I~:~V:VltJ ~~~:~~O~NO INJUlIlO~ 0 !.~lliAOI OHllAI1UN I""~'i~;~~..~ lNl[f/ I~ 1'c~D ~~!.T~T~RIlt/~';.O~' ~fll.Jf.lIf.NCJ 1 n
ClVLl'4IClf!. @ 'r;(~f/OP!R1YOAMA.c:.IONlY 0 U:~Ul\[O D~r~',~t,j \X I 1c5 ~ -
"0 OIlJI'1 !.IRUCK INAM! Of oeJECI !,TIIUCK ANO OWN(I;r'~ NAM!) -,-- l~T OM\1>Ct SoPtCIA.l. COOING U5E
I _ 1$-
'UNIT NO.1 "m5l,f I UNIT NO.2 0 VEHiClE 0 PEDESTRIAN 0 PEDAlCYCLlST ]"
Ollllffll-!,NAN.t LAST '11I~1 ""______ Ol;rlllfll-!.NJ\M1 L.A.!.' 1":::" MlOO\1
Cj I<A-\s.~ ~ y D $ \ 1t'~~ fi ICHM1'l- A
I . "'H~D;:3 L Awrv..o..rrt>"- 'S'-. ';;;:r l5~~ v~ AeO b
, ~ 'p,rrt:I~'ol../A ~'.i.~ IS8S-Nl~"7 ~ 6tIMA<;I..J/41WA '1-n,'i; 73Z.-4"sz. -
1'2.. 0 IlfE'nllCEN~Nu_ 1_ !,l...T p: --:'I,:~~I' l'4 I 15lIT'llll.HICtN!.I.N{J I AI l.~l( C"'lQf6'RI-< ~
; L...= KA\~~~OW \"'A.A1 511<: IL./4 v I3Irt'Nt'1A~""G>O "'-'A ~ t; !.i'a~S'l~
[ 8 ~o\'ION VIRMNIW(&PHONI NO .E:!: .1":'}G~I~IGt'l1 E OCCuPA.TION fiRM NAMI & P~ONt NO ~~ lv.;'~~~~7~
\ 2. ~....... :!."8:'S'- 'II/<{ ~YllicOlS--JO RUN/WIt' - 13""ilsq"'I<.-==
( '---- 0 CHECK (....) It ..Yt'H'Cd~ 'Z'" rM~~'1.!~a ~t:~~g,~tli"'l 0 CHECK (,,) I'$'HIC~f"'~ "'''' (!II\~riY!l ~c~~J-Ifl;rl"" l""f"
~2.IECODES ~ -..T3 cii~~' I .. mii~"":-::\ I 5 IJIC1,oo.o 0 ~B:~~"'~(~ CODES" .t I 3 ~ii~~' f I.. ~~~i".'~"" I 5 tACTION' 0 :='~TY well '~
INJ ~~:SUf _ ~
." 0 ""'~Ul""'(1 0 ~~CI 0 ~~:.r18 0 ~;.:'.~:: ~ \'i8',.!>" ~~r:;]1~IPO'" 0 .....WI......" 0 ~~~q 0 ~~~"8 D ",:.";\1 ~~~'..,....
~ %&" r~o I ~w.~;;' ''';:;: D" E' 'i.; "'" c.:l;:; I """'Pj;;OVAI '2:::0' 1 :;..:
b If H t;.OlOR Il1CEN!.E LA.lt N, 1_ 1 ~TA.H TRAILER F\"'H NO !,tA.lE H Vll'4 cOlOIl 1I l ~f"'1( I TJlA.ILE/ll'l.A. 1 NU. I :.,A. b
l3\..,v 1130 (,5"" WJ'.>. - - ~ 13hACI<:.. 1V7.3~ ~ I - 1 - ..::
~ VEHICLEIOENTlfICA.TIONNC), . l VEl'4ICl.IIOEN ItICA.lI0NNO. -
'~ I!F IAlnlT' 1S'1%'IV!OI:)Ic;,.! 2.IS't"j I ~ 12.!G. . 2..IG'iClD'C) \ IY!DiGIIS: llll'iS"OIIIG.t'2n
~ RfGl!,TtJlEDOWNER, lAST flJ15-1 MIOClE ~NlNO JlEGI!.lERf.JVWNIR. tA.l>t flJl~T MIDOLE I p~l~ ~
.3 ~.AS. AI3C.s- - ~ ~ AS. A~ovo.er - [-;-;;;1
's" A""""'O,,"" N ~WN" ~
- E
~NA.ME&A.OORI5s-OfIN~UIIA.NCECOOl<AGENT \LJa~ CA~~ R N A.DOlIl~~OfINS-UA.NClCO:OI<"G[N ,p
''S' ~ co~ .~~~ S;rp,-rz.( A r; V/~IJt"... ~ SA\..b?>1~. -r
FAMAGrb'AAlA.. 1i[i~!i"6~'" l~c"AI?"" ,. &.4 ""L~ n~JF~i~A\ p'.-l..~pl~EA...-ai
F tJ ~ ~..."'" - CH.'O' -~. 0'"'""''' .V-I "o.~,~
1 .~_T.o.".._ 5 f!.1.0A....A"~~I1IVEN OI;rEMAIMO ~OJl!v!N DI;rEMAIN!O Il~ltl-"'C.tJ.!.u. "o.,o.,;oi.; ~=ii
- ~o.on~ S ~ ~~D t.i~~8,( lsa ~c;..."':~!lY ~WA.Y I $ . 6 =-
ro- OI!,.GO'O.^^. "'.Cc>L\'S!<;'!:'.' '-r ...._..J~,~::!~,'.'1.~',.,.-r'w.'~,o'" O'.SCOIPI.IOr-.J5?F .~_qll!~~_,I~~:"P~':..~~T.~I.~~.NfCl!'~.IlJl~L. -.---"-.- ---.. ~
t.= _J .. .J.. i 1; ..1 +_L.l.i...;_1 ~.-1 LI'~- .1"Yc~"-'l"::o pA>i''''-f'R<:>''L'Tl1\!"_4F_n.rwr.OF. Yo!!""H".2..~
E -~, .\,~_....~..~ . \ -~ .l.-l-~-...\ '1 .~. ~... L 1_; l.>-. '}."."^ ,~ .i JRt... SHo~"e:~ '11-4.4ol..r:._VC;!U"~__~A.. .S..,AF..t"'xt:>,....._.2. j,...' F~__ ==
I~ ';p2~~_~'~ ,~~ ..~ ~,~~:' ~<S J.J-..-,::r..:sH.uuL.O~.'-'wltlf.k.J rr ~.R;, t.~~~-m
";':l..l ~.,t.,..;.~..-4. -1-"'<-\ ,. \ . L..: +.+..~...\ l __: __ Vt,51-(.-P '. e.~Q .A~/1.01'C 2'1:'_l3<Ff"'O?Vr '-~~Ac..rp..,>G,).,<::"!~J. .=J
::E L 1 " ! _ _ ___1...' ' !,. 1<L.lp II~€' .OF. V~ ....2."""~ AP!"Ro)O.z'Pt:D.... 'Nit ,.--- "
~. ; 'J- . -i ,-, ~ll::r .. ~ I I.. N1 , i ~""c.si<:... P<<' /"","AO"" .R:",.;r; """..... ,*-.:t. sJ../P....I'ff<'c..><S
\ _.,~ ",' :33'Cl"'Fo~ 1....,.~Nc.\A54'*'2. Ve~!I-.J. R~"'A.1"""
, , I _ J:. ;~~. I. ,,"r""""<:'y<'2:'I"="'.~Ic;....~..:'K"U""""~
I. '1' ji i"('- .' 8
~~~Jp~~~~~SJv~~~~~~~E~.u"'~~~Df"'~'o0S'.,l~.~MHll,~.VOLVED ~~OpES 1. 1....:,..llI~f II~I of I S ,".~"",."-
.... .. ,~.. ~IX I A.GI T"'IU~I"..... '11O:"w, <,.\, 1i'{~1~ I./fC!
N'M' t<~V~ (3IJOn(,R".A :;00"87/_ 3170 AI T2.3 :z. 2. ... , I Z. I I -
,.t>rwl....'.;:uCr.~1 Pt-,,~ ~C'T~ ft'" t€'1"f: Pr. o.a~ ~,,",'it~I,~)1 - ~t~~ <..<J. .~A D~'Cq D..~:;.. ~ O::i;~ &.uw
: t= ::::I~' ~;~~f.o! ~~~\{~JI1(J"" O"I.'f1 D:";~'~t D~~~,,~ 0 ~~;; o:.'t.... >IOj
N...... ...Jr.
NO
.('!."'I" ~::I:~iI.1.,('1 ~~1~r'Jf1J;D'", 0"0,<" [J~l~{' D~~:~." O~,~~ 0:-:....:.."
V I"~ " ~ ~c':J;"I"~':.: C.:.; r.~2il''''r' '~.r("l"'"r~~''''' 111'JJt;;> I. U."
-. I~p"-SO "'''"'' "'''' i10Z(s'1 I~ lit; z.. $"
II~
IT
STATE OF WASHINGTON
No,
3 I
~~
2
POLICE TRAFFIC COLUSION REPORT
POuCI COMPlAINT NUM," II
P1
h-:~~ ~
I.Wf;UIlA.J.
l~"~ ~
"
-
l'
1.
. ,
'. '. ;;,\~l .' · '. ".
,,' ,...:'..:".........
".' .:
,;...'...;:... \. '
"," ,
.. .,.
..... :, '
.... .': ".';"
!"
',.
"
1
~
,
.
"
.
.'
"
:',,<....
,.' ,.
"",.
'::',
"
..
:''-,':; .
. ':. '.'."
. , :',,' .,' . '.. ... ,'.',
.::. .. '" " :" . "
.' .',: ..' " ':.' :," ,"
.........:.':.........,.'..:.:
>
."
.:
': '
.. "
"
.... '! " " :'
--::'
'. _I
STATE OF WASHINGTON----
.-
.........III
~~ STATE OF WASHINGTON
~ POLICE TRAFFIC COLLISION REPORT
No.
v
.1
"/
o.J
~ STATE OF WASHINGTON
~ POLICE TRAFFIC COLLISION REPORT
....~I~IIII~ I 110.
~ TRAFf-ICWAY
o PR1VAll WAY
No.
",
,;,i
~
t.
~.
""
~
t,
t
~f
,".1-'
t.,;
r
,~,
\
f
!
.:,
f
1
f
-
"' ~.._~ .~
~
~~
w~,.~ I~
STATE OF WASHINGTON
1'''''0' / 01 / No.
f2:TTRAFfICWAY
o PRIVATE WAY
OAII 01 (Ol(l~.....r. _I. ",AT l1!~ION >1011 COUNTY
r::::- /8 ftb 8~lw, .~ "" ." ,~" X '''~3';;;'' ~~/$~So.-J
~ C'l ON Of DIN Ct~OWN J N........I&NOOl~IIIII'OIlHlC.~W...~
-?C- M"" 0' ~;, ~o'/-::&Z/ Lv);>4....)IONS'.,v.1.-JS"..) v/ <,LG:r
INljl/!>ICI'NGW111'l !ITJUfl011 RQAO 1~.NTtIl!>t~~ 3~4;..Ja=1'(:::.
.--- l~fI~~.g::::::n-...'~S....) !IUIUl & V.4Li~/ ~1
IJ /_ DI~ "'''ICI &D~I~.l.I.V;- '''U.~IUffIUN:1 CIlO~!I!1IIlH NtAIlI~lMIUK1;" /1 ACCIDENT
P H~'(l:S ;; Ann 0' _ M~~~E
COU1!olON INVOlvEO ~I~~~:;D NO INJUl!f~ 0 !.pn~"'GE 0 HI! & I!U"41 ~':.'~~~M~
~O~~,~3$ IZl 0 PI!OPl.~AGI Ot>ll y - 0 ~R~IUI HO 0 ~tl~,m -
PO OIlJ1Ct!o'I!UC~~OfoeJICI$'I!UC~W"'lI!'$NAM() 1'$1D_AGI
LZ /'Z.s.::r-S I __...........-~....J COv-,J'T '" . -
UNIT NO. I r UNIT NO, 2 0 VEHIQE
~_ DIIIS:;//~::'~/~ ;;;d/~4 ~M- 10~"4_1 LAS'
ro= ""';;;;' ,Ai'7::>/t$V/V/~6:.e ~'''''' ~
~ ;?";ZjLu2'L",,--' '2",4 ~;;s- ~;;,;,/?/ ~ '" \..
L=S~&~~g9P5 I~#. ;- /~!~~11I8~ ~ I nULIN~NO",
II OCC~ON I f1I!MNAMf &])'ONf NO ~/ ~S ~~GI-l'~~Hl E OCCUPAllOt>l fII!M,,\AME&PHONlNO
.::z. <:;"Z:P~ c,A<;-d~u4 ",4<.S I ~I""'l',r~ R "-
I.- 0 CHECK("') VfHIClfMAN(M~~Wi~ANDlH(IlIAl 0 CHECk I""') VfHICH S"'NlMPl.o...n~"'NOTHfI!I"'l
.COD[S.... + ;j~~~ l~ . ~~W:""" Y I 5 IjIClIQl\l/ 6 ~:~~ ~CODES .... + I 3 ~i~~~ 1'\.Z.1W~I'" 1 5 (JlCIOON 16 ::'~~~"'.(lf
~ 0 .....IlU\..NCI 0 ~~C1 0 ~g~l!~ 0 :~~:l la";-'r8.'...!.J' 0 _IlUlA'"iC1 0 ~(1 0 ~~, 0 ",::~.: 0 ;-.~'-
J-....-;- IMA':[~OGl.CHfV) MODIl(D~V"'1 IS'Yl'12DIlCONVI IV (LIUI.>t..ol.....<tV,1 l~lIDMT.NOV...1 r'Yl-lI....".L......VI
[21/78'7' k1/7o;",)l;/~ W .-?:7",k-tft;a= .::27:>/2 E I "-
/ V<~I! Il'C'N$1 Pl"". Nu !olAll I TI!AllII! Pl...n NO I StAll H VlH COlOl! I'l l "I l I !oT""1
/LtQ:) 60P-,c.L4 1../19 I - - ~ '\I I
~ ~l(IOlNIlfIC...IrONNO, . ../ ... l VU1ICUI0l"l1lfl AlIVI'oINU, "-
~)JA3,CU.:Z~><9^idI/IO,71.:2..'~/I. ! I I I I I : I I ! '\. I
fC I!IGI!.l'll!(DO~_ IAST,)?>T MIDDI( PHQN(NO 0 "l$TlI!ID WNlll: ~t fll!$t ItA! ,........ ,......,
'-- SC#~/&;/:? 4EG/Z;/ LvI . ">A_e=. w "-
I'~ "'OOI!IS!.OfOWNEll '" IItI:.:oVUWI'IlI! "-
i..o<:. S-A~c=. ~ "-
~ NAMI....ODlllSSOIIN$UIl...NCICO OI!"'GINT ./ R I U -'N ... I'll "-
I~ C;;&:.....c.~ - .A/#S/~....,,,,..r,,,,^,",, -".C. "-
L--.- . ""'A I I AlIUI' I..:!IM _ I '",,""...
~ D........AGEO NlE'" 16?I~AIIlINC. - I U Dts...",,,,C. ~-AoGI:~lA t--;;:
IS 1, - J .. 1b'~~~c~'g:t.1 CHMGf CH"'ItGf 'UNCTlO"'.... J.:JJ
"\I'f'".- L~.T.C:_.:J!oIW DAM"'~D OIlIl,lEN c::r'IIIMAIN(O OOl!lVfN OIl(#MINfD lu~I=':: II~~.~_T_O.,,"-~,~
.~..........J'D'O"D~ 1$3~'bti~~,... P' O~~V:';>'Y ...w"'... s r\t.........\lo.onO~.I~
E DIAGRAM OF COLLISION' luu!ouPPlIMIN''''l .NO'C",T(NOI!TH D.'.SC.RIPTlOPjO.'..CO. l...l.'.S...'O..N.'.. (U!o.'.''''''''_. Mf.N.'...'.......tlf.N(Ct~l!yl ... _"
C. ':~~?.;;'~?~~ ~~ ~:k~~~~~;;:~aJ~E~
r= C?4A-'~..ji/.a<F ~ i ".t'tjG5F 1-;;~;,~/~~($:;::1/f1:'z;:;~ ~
'. .:---9. ' i ; .~; /4'"",??.v~ _,;;reo .,!~. -.-=;-.s-~......c'-'';;:' i'-;;J
-C21 ~- -;~~ - .......-/f"~ .~c=... P
. 1'. :! i :):
NAME, ADDRESS & INJURIES OF PERSONS INVOLVED
OCCUPANTS / WITNESSES ~~ ~~~~~::It~...~n:
~N
~~1~~1 01
..;)V"I1
i"""~~IOI
" N
NO
~~L~~l~or l~t~Ve~'''''''''''' O"'MS D~~~' O~~~IU ~~ o~~;..\.
IfI~g~1l JAGINCY UNf1 m rOlI(,10ISP...1CtltD POl'CI "'I!IIII1l~IDAlIOlItP'OI!~ .l...PPflOlIl!"I/ I O"'TI
Ih~,!',.I5? g:3 I c::;(.,~,f c;'~f'I/""~..5'A/./~~I~:Ald";
4
2
~
o
o
POI.ICE TRAFFIC COLLISION REPORT
I'OIlCl COM"'-AINT ,,"Ut'Olll
Jil'
I,.,f~~:.. ~ ;
IM"\JII""
C~'Y/. CIIY~
/ r./
'C;C.'.'. -:,'to_,.........~I.......I,.I/lOVIIOl!$'6tt
{-;;, " I I c51</OO
PIIIII'" MJlt"O!ol
I ~"'~
~
/ 2-1
IIAM rlAVI<AM DAT...
INII" I NUI'oi"llI. 610 1~"'l(lIst(HNG ""11.1' OIlI/OA.tICMlRUIIIl"-C1
11)(1 Cl!lICl!o:.!lS~~/~O-
$PlClAICOOl"IG USE
-"
I
o PEDESTRIAN
""
o PEDAl-CYCliST
"'~,
~
P
v..<
So
!oTAII
I
I'~'~
,'"cOO<
I
.. I~' I _I;IA'l_":"_.I"'~
MO (l.Io.~ ~.
I ("'($ rl~TI"IG~T ~
'~1
''3
~
'0 ..
=;; \
d
~
~
"
-
~-
. COIDES I 1.. ~:." I .~, I.,~, . I s I.~.:;;]
~Ill "'ul bt",'u$ ... ,', " C,A lIl!.tlll fJfCT I~.."
I
AOOI!I~\
~"M'
~"tlDIII\\
N~'
A['l(lltISS
X ~;';A7~~;::;':'::4
r
!o(fNleY........ O"'M'
I
,-.-. ~~v~~ 110M O"'Me
I I
omu O~;.,.. 0:::
0:-8',....,
O~~'tl D~c:~,,' D~:.:'
o:'.~'..v
",',.' ,
" ~., :
" .:
.
'C .'.. '::.: ;
',,' .",.
':' ....::' '.
'.' ....: ..'
,<
,"
:' ',"
.....
':
.',
.:,
'.
, .
" '.
. :",
"
, ".:,
. . ',,: ...
,': ;.
," '<. ..'
"."
. '
.' ,':;:~t:.
'!"",,:
::,' .. '.:
. '.
.', ,.
,'.
.,: '.,:, ....
."":.,.
.' . "i,. , ,,<;;
;'" '" .,. . :'." ,:". ". ,.,"
. ,'., .' :' . ',,' " '
,.' ..'
:.," ,'. ,,'
.." . ,',,' ,....,'
." . '",; ',:
. .' ' . '.;,' '..
"
..... ,,,~,,,,~.., ",....~
I ,./......',..,.
i:<I~ STATE OF WASHINGTON ,'c, ) 0'1 No. 4 I 0 9';;',
. :\~. ~ POLICE TRAFFIC COLLISION REPORT ~RAFfICWA Y !'Ollel COMP\.Alo.!l N\JMIM'- ~ ;:'-~:'::,:"
of 0 PRIVATE WAY .5_1 ,;
D"'lo'eQl.l.'~lQN l~ O.....OfC.OIII~1 "'11M! IICOU""" '. . <7"7' rCITYWJ I "-.:>1
I tf" 5;: . ~ IW' .,. '.., ." 'j( 00' '"' /:?"C5'~ u:!?fFl::sc",J (",::; -
'/I ON 01 DIN WYilOWN I. N~NO~~I,~1I1011)"'l-<"""'v, :l:l~ I .~ 'I u' I'/iOU11~:"1Il
~...-<2M"" Q-' Ow q;~'C/-r.:::"-,,,'..4C,.......r1bN P(:P'1.f,ry;::;,~ /2'1- (~ ? I '7i'/$O ~
INTlIIYCTlNC WI ~HI((IOI1I1O"'D INONIN1tll~CIION _ ----. "1It'11l I'IY MIll PO:lI .
- 11l!'WUN/ c:;::,::...~ /C ~IIHfI ~-t-~'II((' .2 I Z. "}
IJ /' Dt~'A~>I)"~I' "u.~ E IIIIN;;'I,CI10~~~11l1('()Il MAI1I~IMIUt'U:.' I ACCIDENT 11...1\'> DI...c;IlA.....Ooll...
IV' ,,~t'i:I;~~ ;;~;., ~ o,/?///~ .::;::?;.:s;:;- -2. M~Lg:f
COUI~~~::~Ol\/tD 1?"1 ~~~~:~;O_NO INJU/iW-L 0 J"liAGt o HllAllUN 1...,~:1.i;b~..~ IN l;;tft ~Q:f ~";~~S'j~;(j'O~~I.~IlROADOUI.HRf~1 --.'
C""IHICl(~ ,~ 0 PiOP'lI1I"DAMAGIOI'~lV 0 ~1l~UlTED D~~~,t~ - IX I --6/6';:0 t..-..
,4q 08J1CI~I/iUCKINM'.(OFOfIJICI~fiuc.KANOO""NEI1'~NAMfl Is 1501 ~AGf SPlClAlCOOINGUSl _
UNIT NO.1 UNIT NO.2 VEHICLE 0 PEDESTRIAN 0 PEDAlCYClIST '!--.1"
J~ "'V:"BAL;'~.N\ W'p..jD~ ;;' 1n::E/,rzz"JI<"LL. ~lJ I ~ 8
r;;;;:; ''''''.''''iG...., I BPAlJ<:R VAliN 1'<0 ~'-tYJ A-JOtf'.X,,J l\:.. RO fV~ Llo,..., P
~" C' I ~T'" E ZIPCO~ "HONlNg,::.o,,-..c;:. 0 en.. s,..." .I~...,^" I;""';:: I~.
,.,...,. . 1-\ lWlA( ,.i\., l.M4 Cf-J<.j'3 7~-?;:.-'2...0 R Ct+O"",A(OA.I.A.A.; q<;-,Z ";' 153.)-""/~'V;;<
I~ 'VfQ:'~lICIN!>lNO ~1"'''--Is.t.. ~'~'::':~'I.H I IY'.'II...~N""N.... I AII~.I A"!;'f'IRTH ~
=: .;;>., 0 ~11<pj QtV1 F i I (~ Ii;"" V 1~1 (.\.,zu> PI<:. "KTlf11iJ [;04 Ifl 17 i ii- !7< I-"
[i""'/ OCCuPATION If'R~'\NA.M~PH?NINO ['T'[~ IWI:lGHTI~IGH' E !WI;;CUP...,ION I "11M N........I.. PHONE NO . I.EYU rl~llHt:1GH r;-
I~ lSlI J~ld.. R ~'/~"""""'~"" c;i'P Il-Illl/le-I<::--
I;..- 0 CHECK (I"') ~"'~~O'HtQ:IAl 0 CHECK (.-') I' ~:a(... ~"'A:..o,~'i1I.t.J. '7.
9 CODES"'" 3 -I 5 IJICI!()I< 6 ~:?..IICItlL- CODES" + 3 ~~~~. I I... I 5 UC'IO"< 6 ~~... II~
::10' lJM IN ~~:c.'-' Nl\AJe.. I"::>
o "-.t\"NC! 0 ~I.'CI 0 ~mllR 0 :~,~:: ElI"Jl'..!.P ~'"'S1~no... 0 .....tu\....CI 0 ~CI 0 ~R ~::~l: 0 I".~'~
[2;, I~~ IM'Kf~~~.OIV' I SO^rJNOVA1 ~1n4D(Z'\/1 E lV'1,<~rp~~:.::~IWQ~SDJNOVAI rYl/D~ ) I;"
il .~-_.- Ill"'(N~Pl.A'ENO ~1~1"'1I IlIlA'lfIlI\AnNO 1~1"'11 H \/IHCOI.OII l~tr'I:.t~l"'!tNV I"" I I 11""
" b"U.,J 1 $<...LC,nf'l LdA - / I I ell)<. 4..JA./f.:."t l1J4- - - f:7.
r:21";F7A';B"~P~ ~~Iun kl7~ t l":l' ~ U4:C: f 1;'7p~;:'~'61;;'1..i1 IIFI4 CISI.~II 17 P,:<r5
l'TW 1l~1~IlRfOOWN):', lA$1 '111~' MIDDlE P~!..JN( NO .'~~-~11' "':., Ill", r:..'":' ~ flllST MiDDlE I 'NO ....'-'1
~ _-)A;t'Y\c-;' k<. f)7" H.n ~ ") "'<.rov, '-LA- -JA,11v." H <A.,,-a:- r--
Il~ "'ODllmc:.-OWPII!1l (Q: i ".II
~ S0v""'-. k:, D.<1\K1<.. ~ 5./nl.R..... I~ D~;tX'c. i+-'
~ N-.M(..~t:>SOf'NSUI1"'NC(CO OQ"C(NT IN:'UIlANC(CO OIl"'lJo~ / r--:nJ
1';'" ?"'" ~ S7;?1,?€ ~ ~,d/7/C' R c::7;9ra;- ~/c......,... -?'0.",'?-K"'C'-;:::? l!Lt
cr;z:;::::. -~ #t.G1fDAAI... Id"O~~".:':""~I~ - - Irl~O:"',~!.I:;~ I ~~I-.wtA. ~"
"0" -.j, l~~~;'g;'t: H ?e" :%i' - CH"'IlGf: ... ...-.. _ .'0'
'" 'k ......~,IIS -~ N D.,M.,NID DO"VI" D"M""'O 1'''o~!W,n 1........-:1,CF1
,. lo.ono.. I~""CJ 0 l~v-;.f.,fevl ~~VDIlY -n"';//<; ~a "j ~luono~- c:J
F DIAGRAM OF COLLISION. .1Us[~UPPltMi'N."l ~NOIC"1(NOIlIH DESCRtPTIONOFCOLlISION: 1l1.>fSuPpt[WNt"'l~"('lfNEa?ll~t\ .... ..._. -!~I
~ .::j~:~. :~j .1-[+1; i.i' ;'"~"r'c~m~'" i .:~. o~ ~..:.:7/ d dR ~S ...,,)0/2/7-'/ C<--.J ~~. =5i
I" -.1 .-.--l.j '.' "~~.' '>=-/ :. J-~.I. ..,t t.',!"...) .~ ,i oeAri:F./Z t /4U ~ ~.I::> ~
t:: I jou' ' I ' . ,~It?- ,,'/c.<// ~ .5~.//# <'l--' /3c.=..7''''~~=--~
- ~:Jh. L _. .~: · . . "~-,~. ./'/f'c~c15/ fi"!:;> ,r.??rz;>~,X? /"""'~Z-=hi1
f' ++..+< ' ,......, '/ . :, /v/.';J' "",-,/ Co;:t!;; /-'l4...~T,C' 7:>~""'E P
C ""~j......I.. i0:'a;;;(' . y. .:,' . 7~.:>,,::;;: :.&~;r7.!~~~
=J-Ju ;V~V :~.~ Ii ' 'i .v.::r.h"" ~/. .~ .. g
"-' , " I' I , ' : I"" :'77ve.s.:" -"<,,"=_.....:. #' / ~. """/~ .<;,,;....??G"
NAME, ADDRESS & INJURIES OF PERSONS INVOlVED + CODES I 1 1 - 1 2 13 I . I 5 6
OCCUPA..r)),TS I WITNESSES \~ ~~~i~~ZlT~',,~W ~tll I AOf b,,t.1U~1 '....."6..1 ~.,i ~J .llItSTI I fJfCT ~~c~.
NAM~c.;;,..€~,.......5_ "...'7/;' /'-4~~ ::,'60"'11 .733~;;'~;;;;r;1 /""
...tTl>I1I$~~/~ (h.3 ~ Atl!E3 ~::7-5t:P;;'~ ~:':',1~~l~OI .""/...,...,..J~ !oC1NEIo'Il.. 0 ........Il Or;.\'<l O""~. O~:.." rs; '~~Y'
po ::~:m ~~~~},ol ~r,sIlJ~'"0",1 o A"" 01::::" O~~~I1' 0 ~I~ O~~'..? <<l
CN-.MI NO I I I I -
"'ODRm.----'" ~~'u~~t~Cl' ~CrNl"II~...Q.Y 0"''''11 O~~O O~~~.lI'lD~~ O~~'..~
, 1:~~'''lC'O'Y(::'::'''''''t~W .......r_...O("~OOJ...C.I"lC. OI.l"'I~~~~ r'')'~...,~r....'f''UJ pqtl~~~. i'IO~'I~IPOil "'PPIlO"'I~-? I..... :I~ ~c.
X 1/ ~p ..?,'"7 -/7/;-.-e<..cq Ie3'YI.lJ.5/o:? 3" '3 r <~,~;;-' /~:r;;:;t;l' Vc. N' I/U..c" ~ 7
, ' i. ,> ..,. I ..'.. :'i~>~;,:
! : . .'.
~ .. ' .... i 'i'::
".'-:' .," i' ":" ' .i.'
~ '): '. '''i
.'
. .\' ....: ' ';.
'"
j: . ".' .,;:~<o;.... .r ..: .'
,::.. '.
'~ '., :: ,,' . ;.. . ....
".
.. . .' '." '. " .
, . ,'. .' "
.; :,' '.'
'fi '." .'.: '"ii'
.i..,.,
.', ,
,,' '. ..' '. ."
'". "
":
....:..i, . .. ,
.' , . .' . "',
. , ',' :
, .,', . ,"', . :.:': ", .. . . ,
i " .. ....:
. ",. <"""." ...., ..... '
.,' "','.,:<:\" ..' '," . ......:......... .... ....:-:':.
. . '.' .... '" . .' . i'..' '.,."
~
,!;":: l
....
~ STATE OF WASHINGTON
~ POLICE TRAFFIC COLLISION REPORT
~-
I', - .. .. .,." '.,':, ....-..\~..., 'c,: , ":'0"":;';>-.:"" ',,;
~
STATE OF WASHINGTON "0' 1 O'
~ TRAFFICWAY
o PRIVATE WAY
~-
-
.t\J
~
t
~
,
t
~
~
.~~
'\
i
~,
,
~
j,
,
'.;
:"'. .~......'..,.-
1Jr,- ~Bj) :> I A II: --c>F WASHINGTON ;;'~.A:"C:~/
~ POLICE TRAFFIC COLLISION REPORT IC>J
I 0 PRIVATE WAY
DA I 01 CVl.l,'~'V'" .... -:1)..., rr' ~O~(lSlq'" _.,.. ~ 'M' II 'COUNTY
~- No!:' OA",. \IJ..i"l/OO,lul\,I..w '..u~~:"" ;\,01 (USE20600HOUIl) -r-:: ___. I
10 II ~"I ,,; ~! I I 0700 ..JC'Fr<-7!.SOIV
I JKlN 0' DIN cn.ORIOWN NAM'&NO 01 !.lIlHTOIl HIC,HWAY
11~ ""'" 0' Ow ;go, ('/'///J;?Ar'rll'H ON h'/RPVRr 7,),..'
IN~!.[Cll"'Ci WI!H: :mlttT OIlIlOAO INON INllII!>l.Cl10N
rr- h/J!ZPo1!.r- Ct..,r tJptc" IIIHWUN SlIlUT..
1;1 DI!.TANCE a D/!,H;':I~ Mill [ N . CliO!.!. STIIEf I 011 N(AII[~ Mill PU~I
I I H ~"~~!. ;:, A ;, ;; or
CO~t1~~~:~~I\llD f?J'I ~;.~~~:;O_NO INJUIlEO_ 0 ~lilAGI OHll&IIUN ~~'~~~H~
oil orV(HICl(!. "" "'Dil:3: pr,oOPUTY DAMAGt ONLY 0 IlISUlUD o~1~t'j
4 OBJECT STRUCK IN........[Of 08J C1 STIlUCK ANOOWN[Il'S NAME) EST DAMAGI
-i
l,~~
WSP.AA-l!l~
;<,,'-.:.:
r-,('::';"
(Ii] i^-.
!!2.J i'
No.
" " I ~ "'7 n
PO!.ICt COMP'Jo,lNl NOMlu
j"Z I""NO I
I'cn:L$ M:OI I~ 11fOU1lVOl:O" l,...vut
b 3 I I 95"/.r7..~
PR[n.. rQ MltlPC>>JL ,2~
RI>.M OI~GRAM OAI" I
1!ii~_A
0""-
"."AI.
I ~L""N
~
~HlUl
ACCIDENT
MILEAGE
COD<
, 'I: 'IX-RD .'.UII~aING!>T1n IORIlGADORf<<IUltNCI
INJUI CU CROOSTRE[TOR ~ . --- - . ----
X I.. ''';;'g'o.6/';>
$PlClA1 COOING USl
~'
$
UNIT NO. I UNIT NO.2 VEHIQE 0 PEDESTRIAN 0 PEDALCYCLlSJ J'
~9 Dii;;;~/J LA~J 7JG.';;:V/fJA 7i ~;:~r7rLA~I u.J/~A/,1( 4,'v\l 1_"
~U~[~ &~ll~~~ I
~ 7?O:i'>>x- q'83 D -:JoBS {,(.-/J1/Xod;eO -S
~ elJ//1/.4I'VI?t d;; 7'~q;S9 73Z:VZ35~ 70A'T ,4AJz;,r<<.';' idA 933(,,2. ~';uc> Ii!.
~ ;;;;;;';;;:r?8IP:3 'lZI ~A F l(iii~fli2. ~ ~~A5YLim ,("I~; I; 0...;rr~'!~1 ~
OCCUP"TION fIRMNAME&Pt-iONlNO. 1 m~ )wt:IGt-iTIf<f:IGHl E ~CUP"HON _ I~MNAMl&PHONEN038:J'':.02/3 l.lYl~ l'::;;IGHTI~IGHT /2-
2. ~ 'D<:'7aN' (bNSr, ~I;& f't.:i"OI _
~ 0 CHE( &otS.'.!' 7664 "Post II" Roullng.Request Pad I V(HICLlA~ AN EMP[OVH OJ ~NOTH(~"l '''OM
~2 CODES~M' ROUTING _ REQUEST ~~:'. m~~"'" ,..,,~" . :'.?~~"u_ ~"
Please 10 .......&lJI~...CI 0 ~~Cf 0 ~m'"R 0 ::::,Ctl 0 ~~I..~
O t:V~,...-", r~(VI IMODEIIDAIlJ'NUV"1 ..I' n (..u............v.) 'O'OY-
IT ~V/Hq. 7'1, READ To ,-"""""V l14Ck' ~ BoK 17;?t;l<:i'ZJI?.. 4,.
:::::_~u< 0 HANDLE TH',!;/ C),t'/Gl,f r~ ~~"""'NQ II "." JI""'''''A''MO I'''''~'' ;[.,
~ 0 APPROVE ;{. IF 0. W'/(JEJo W.4 I -rr:., ~
~ VlHICL{lDENT and 1/'6 /c 0)'" < /?Uh/7 (;.;i ~
,',3 /rQi@ 0 /uro /J p~/u..F_ 71'-iSITl315!'!),2j3: I I ,~i1 ~
ri']:;"" Rf~snREDO\ 0 FORWARD - , -- WoT flRSI MIDDLE. l'toUr...... ~
1:.:1 /I. RETURN //"~LJo~,'r ,p<"A;) /,5 /?C8:>$S WcfSoAJS tbAJST. to.
"2 '00'''''''0 0 .L'"A~M_ ,7""" 7J. L{]
KEEP OR DISCARD T "'u_~ ,or. "I
S~m 0 bo~~;t'y ~b . ;to;~.o alA '
NAMf& ADDRI REVIEW WITH ME U ANetCO OA~mNT c/'2
~&~~ 'D.'. /~,1.) From /(': ff''''6.>~/'' 4.AJ~~, 1,'\'" '" 'I .a'l7!i.':'.
pAMAGJE . , , F t ~ ~~f"~= ~.w.AGfJD NlfA. ::n
r'10 L_.'_~_o:...l~ t~T~';;';~~; 10 DRIVEN O'UMAINED' . I"X'fORlvEN O"fMA1NlO 1$l51.o~~Gl 1'~~o~-~~-;;o~J;::;:;
L~\.oeo"o~ ~ l[iZfri~fey,~/CK"SON I ID~~~IIY ~"WAV P '~{iO ~.~
f6.::' DIAGRAM OF COLLISION (U~ UPPlfM N "I NOICAnNOIlTH DESCRIPTION OF COllISION (iJ.>ES\JPPlfMlNTAlSHEf'IFMCf~IlVI ~~
L J ~j~~. .+i= ~1-t+Jj--I~B~f['O_W _ ~'j}~~~~~l{k{~1-J!t()~~:~~~~
rc *1,-1'Y!r:~-;rl;.- 'I ,1rw- !. '-f1'1;~;vli.f'~~t?-~~~~~_T2? 'P1If~
C ,l?/f:'.,:@ " '17'.1 ,~_ __.___ n_ ..__..4. ._ .zUU~~~~
-i- ' , 1 J' , .J I." " 'll!:jj,(/~ _~4"j#~ff(~_~-X f!l;',It".I.t.e:Z:;,..!<?j1 .~=- >i1
f': -~- : l' 'j-- -j.-t~: I j"~- -. . - . -+-1-' /~_"!yIlf"M<;:;;/C;JJ1,4Cl",,;;wa:.t2':l?Q/_70j'~SS/A!:_..::J
C .-: I -- j- _I Jd: _L - - it s;:Jmc' TI/?IC_#e. S/..-.71V_nt.d0l,_~L~_A's.o
-~- 7 -;- -"-rl'- I' ; ~f 1~rMr- - v.:r 7 ~' . -" 'fU~7? ::A~~../.v -"'~~.. ~m_aur~~~_
..,. . ,- - j, . '1' "'1- ..1- j-I_I.. TP< f'j( _.... - _ __..... ___]
I ! I I l r I 1
.. NAME. ADDRESS & INJURIES OF PERSONS INVOLVED + CODES 11 .. I 2 13 I . I 5 1 6 -
- OCCUPANTS / WITNESSES l,UJ: ~;~~g'~~~~l"S:m !'Et'r "Gf IAIUi 't.I.;~H I.!.l~~ c"~~~' 1.iii1;'I'iJtCTI~~~ty
III !)"MI7Jc-C"_"'-:, ./lc";iliJIfICCSON ::6UN~.~:) 5'0.1"1.,. ..... 1""12& I h I I
\;,;; Aooms'6w /Ot!id ~/t?nlt!. .- ~A'~~,[~or I~L~'~~'1l0MO"Me O~~CI OHlL;'p O~:r D:1a~~.
[NAM' :!).O" I I I I
"'_ AOOllf~~ . n. ~'~~f..Of . .._-~ - ~m:lVJ~'ROM OAMII o~~c. O~~,,~ O~:r o;'.~~~~ <<l
NAMI NOUN III I .......,
AP[l"'f~S ~1~~tsOj ~ ..,,- ~~f""''''II'f OA.....II D~~~CI O~g~l,p D~:::- O~~'......
. IU~,?~l'''A'lr:::l!~~SNAMI''IlAN'' 11~~~"I~I.~:' /) ...''''1'' OIl'IOj~I>Al't-iWP'CIl~ AIIl!!vtO OAlIOfRII>()~l I"PP~ I ~AII
X It,( (r..ra /f1/J,,-,--e..t-Z- IL,,:>k' I c.,.<.J~r Oig'~? O,?lHa lo~ooqf? 1011 8'11 ~ (D \tn ~
~ .- . -"'-'
.~',,'"
.-':........"..... .,' ".,'"
" .,,"'. ,. .' "'.
);:""'r;!, , ' '. ',c
.
,,'. . c. , ,
.
. ',. ',: 'i'.< , ',: c.,.'
, .... .' '; ... .
.c c' :-':
: .- . :.
'..
", ',.' .. , ..
;,i':i!; ,..
',. ,_.C'
.
-."
.
'..
:
:..',.
". .',
'"
'; "'; .:,...
.,.
'.' ,C' '..:' ;,',:'
..,. '.' '. ."0:1'
.",:' ." ". ...." ':',,,,,<. ..'
-"
.
+~"'.,.,.-...--- - -,
.
r
~i,
1~
(~) STATE OF WASHINGTON "0' I 0'1
r ~ POLICE TRAFFIC COLLISION REPORT BJ TRAFfiCWAY
12. 0 PR'VATE WAY
OA ! Of OU~l>IUN}.. AY HI I ~,., IMI COUNTY
r:- WJ; II..... I ~.__ W.. -..~.. 'U'I'I'W'D h,U.II'II,.V,' ~!o(1.00HOUPJ
~ ii i ]. :!rG! 'X' ';'<'O(r ;:r<=~{'..,,,....
2- J MillS g~ ~~ ~~Ifi~;~:R:W; ON ;'~~&:;I;T:l0P~~AY
INlfli~C1ING WIT: STRUT OIlIlOAO lNON INllR!.(CTION
I? D b J.,.. rl r ..- IJ B!lW[tN - !;TRHl & - STIlUl
13/, Ol!. ANCl oOr;I;TI II MIU EIiENCI.CIlOSS5TIlElT011 NEAl;:lSI Mil! POS I ACCIDENT
~ - ._M~'::S ;; I:" ~ ;; 01 - tI~'6~f
COUl~~::~lVEO[j] -rg'~~~:lO~NO,INJUlllP-L_ 0 ~~~~AGt OHlT&l/U~ 11tJ~'g.}j~~..~
. OFVElilCLES 0 PPOPEPTYOAMAGEQ+.,IlY 0 IIlSlIlHO O~~~lt\i: -
g OllJICl SIl/l)Cl( INAM10f Oll)(Cl !;TIll./Cl( ANDOWNEl/'5 NAM(I I $. 1ST, D........AGE
UNIT NO.1 UNIT NO.2
:- D:;:Nje~~S~L k~l: J ~/::"E ~c.. ~Ii'SN~l
F:""" S~l~A7i:! J rfi',.... PI- ~. ~!>5
~ CITY rot;.:. + It;" ~ ;-e.... STAU liP CODE 'i~I':!~6"7 0 I!Y ,---
vAL 'i,i-oYl 7U-ffo( R '\.
1'_ DRIVEP'S llCENSl NO, I STAT! I SlX ~A t Of IIIHH I IVllI.S lIC!N5E N'
t.::::..A/IIOG"PfcG /.I/7pel 1.../#-11'1 Mil ';'I';?V '\.
OCCUPAtION 7PMNAMl &PHONl NO, / (VlS wtlGHTll-ff.IC7t E OC(UPAIION f~M\l&PHONENO
~ E(<"<-t"t:(;J~ ';;'~Sd~. /try'e#. f?('f ffOjt€-R '\.
o CHECK (,.t) ~'ZNlM:':~~H~A::OTH!pIAl 0 CHECK (~ I VEHlC ASANfMP~dWW~~~IA(
~CODES .. + 3 t:~;'7 14 :~~W:.'..~ 5 (J!CIl(lN I tJ ~:~..lIC'CU_ CODES'" + 3 ~i~~' \... :~~',~:'I"'-r5 IIICIIO..
2. '0 r eo. (-?~ 4 .... _ ~~1~~<r~or
110M ~ ",.,,'U\....Ct 0 ~~CI 0 ~m"l 0 :;~,~:: 0 \~l..~p ~m'1~'IIOM O.....IIlA"..CI r POliti 0 ~~II' 0 vr::':.! 0 ;-~~'..SI' '1000'
VEg;; l~l~;:::.HlV,1 I M;El;;,NOVA) STnEI;/~ONVI E H,YlAR I' lOODGE,CHlv,' ~"IOAAT.NOVA' ISTYUI~OIl_.~UNV_1 ~
F6iV';"HCOI.OIl I'IC[~~.EP;AlN I StATE I TPAlllR F\ATE NO, STATE H VlHCOI.OR II lA,'\. I (A I .
~ ~("/J,/ flY?f(21 w-A--l - 0 ~ \.1
fIT] ~";,~7~';c~~;01t ILJI61.2IPIOIII 1;'111 ,{I~!t..{ ~ "H':'"~N""I'" ~ I I I I I"" I I 1 I I
~ IIfGISnlllOOWNEIl: lAS:" flR5t MIDDLE PHONlNO REGISlEIlEOOWl'olU; lASt fl1l5t MID~ I""""NO
- v;, 4 11 $t:1~, / t:--~.'- ~ e/~e.rr-,~ 0 "-
13 AOORE55 Of OWNER ~ AODII(~OfOWl'olEIi "-
2.. :2. (0 (0 66-1'1 Ave /....;" L""~~"Q E \.
- rr.- N:; ~Ak:::~5:ANCECO OIIAGENT R IN U AN AN'" ...2~
L o~~~bl.:k1A r~-'Yo(o. ~;'.v.":.~~f.1 D~~I~nE'" --=
l 3 .. . , 'o~...',.~~" i......."""';,',". 23
r= 'TOI' AIIGt. ell:!: .... ~ ~r CHAIlGE " ......'
_Ilk-! ~~O"o?i5 0 ~~-:Y 0 In.M:I~EO 0 DRIVEN DlTlM....NEO IslS1 DAMAGE ITVl,oi~~~. .:::;:;
i'~.tili! ~I..A. fifE; 1~'1.~D8Y' nt/Is O~c;..~8Y' AWAY I'~f'i ro":)t_
Jii":"" DIAGRAM OF COlliSION IUS!.S_':iPr:~ N Al rDICAH NORTH DESCRIPTION OF COLLISION IU5E 5UPPlEMlNTAl. SHUT., NlCE:!.SAIlYj ~!.
~ Ti' ~j']~ TT1=1=1:]"1'''~ r,r.' ':j '~J1''''OW - ::-IZ", h "'::i:~:Z:~ -"-'J//J_..L"-.e.(~'f'L"-: __':.<L.__ '5
r:= +- - .. ]'H-1" J J' _T]_ lV-J . .. - Ve' -,r. _f'.r" /...t/__t:.G.._....ej_"'_T.f".<t~_...___
,(",.. i .. -'I--I--J. - - - - -- q--...,?-I,-( ".~."~__~""~_ve._~..c.-,,~_,,,,-~..t_="I
,- -- -~ J i t - LJ.j ~i:I~J' ,,' ...j - . - r4 e <..e~ T~.!::_.._I.!.'",_e,_,,___q___,",<-e..!.'.~:L-L~:::...J
-j F/. -J/.I-r. :J-j-I .y 1- .-1 - - u t::."" ,oft '1' ~ 4 --"0 -_./___r....Li:.~_G{'_o v_e",,_ =:3i1
....- i <i~'.., r . 1'- , I--i'" I~ ~ <<"-7 "-, __ct"J_,_'"<.1, "" e.,LI_,v/-4_.__~
'- -~'!!'1 j.! j j ~'!~'f ...1.. ~-j-l-'-"-' . ..-'::-"':==~-~==~~=====
1 -', -", 1- I I I I 1 1\1\' f'i! l... ;..,+ .. -.. -- ... ,,- -- '''7 -----. - tJ
t I I I.~I !"-I T HCI'J.J.-_' ,.~,,~- Y'~/(,,_ ';0.,/"",,,_ 9-2>,-pl,
NAME, ADDRESS & INJURIE1u<?a~J;~~~~!H~~VOLVED ~ c:.<??Es.I., 1,__. _ -'1 ~" 1 ..! I ~_~ .., I,_~~I No~ Y
....... OCCUPANTS I WITNESSES FOR AODll10NAl NAMlS' S(l,-rAGf. b'AtUS '''"..~''I ~'" {,..J\: IRuu,' I "fJ1C;I~",~,,,
~'60N( I I I I
1:t.~~lb~.l..OF SCINIV(lY 0,1,.....8 0 r1~'<l O~:, ~ 0:;:."' OW1'..\p
,.J60"", I I I I
f'"Al'l.~IOI tt~VJ~FIlOM OAMIl O~~<l O~:1l11 0 ~~~ O:-'~~"" <10
NCiN r -, I I
~~L~~f~O' ~~V~~ IIIOM OAMIl 0 ~~CI 0 ~g:'!1 0 :;;:- 0 ~~"',p
!lAO"'! 011 ACoINC' ....'." I/O 1"011(( DI~J>A1ClilO1POIICI Afo'PIVlC10AlI '" IlIPOIIT APP /IDA)' Of)
~:;') wjp t;,,~~ 12.,~oo~sO 1.2;:oo.c( I/I-?'-rt bQ1
WsP.,I,.R,ISoa
No.
.<l~?.dln
POl.IQ COM/'Vt.lNl '~UMHEIl
m
I~~~~
72:: 'T''' NO I
. c<' I \0.5 llllilO>Jtt
(." ~ ..../ 1 9.52-70
PllEflX-To-:- Mll.f~T2 ,.80
JI DIAGIUoM IA
I ~,,~,
~Tfll .~. ~ I Jl_.JI,D I 011 WtRl"-Cl
xlT I cu CROSHTRUS;~2n
.!MClAl COOING USl
OVEHIOE
"'''
o PEDESTRIAN
o PEDAlCYCLlST
"'"~
I
'''COD< I"'O"'NO
I ".. 1 '" 1 ~T~'" I~'
I EVES IWEIGHTI HEIGHT .::..
. >fQOfl\:.CU
~HN
AOOllfSS
L: N'M'
'XI AOIJRfSS
N......1o(
ADO~I~S
. Ilt~Vl~I'C;IoTINC;OII'crli' ~NAMI 'bN~
X I;AA . Ill< ~ + (~ < +..-r:;"r
~"",',.".'" . ..... .' .'
....,'.....; .;~ ;'. . :
, i,'. .,
l . .. ", ..~.:"r
'.":'
, ,'.." :, ,: ",'
,
, .", ..
" :". '~
.':
....
.:.. .
, .
, .'
.'
.
i " " ,
., ',' <,
.... ;', ,',:: ',. ,.' "'" '.,. . . "
". .'
'H':'>.' ;;
"" " """ .'..':
v
- -
td
,"
j
";:8
{4
=
-.!,'
"i
1~1
~
~
~
LiJ
.
.....L...,.'.." "--,~--,-
i
t
~
.
h
if'
t:."
1'''
f'
~
f
I
r
t:}i
.1,
/,..
t
f..
t
lll,.
l
r
i
'.
,.
>.
","
t
F'
:-/' ........
' ;~.
[I ;~~}
.~
__-..-o--:-~:~ .
f\ 0 '"7 L
STATE OF WASHINGTON
P....Gt , 01 I
~ TRAfFICWA Y
o PRIVATE WAY
\J~'IV'._",^ll"''''''~. i~'.~~' ..'" ",-A:,,:,:~V~~I::I."lN 'i. n IIMt COUNTY
i'O . /T ,&11~~ : lutl, i~~"IJllll."l\.i'III/~V~UI/J -:Te:rFt:7l:50,J
ON Of DIN CI1YOllIOWN NAM(&:~~TRHlO~~W""Y
, I M"" ii, Ililw 00; J.!/J7Jlnc.<.. ON eJl1K.. DJ'3'f /J.-(?
t~'[I/~fClING ":)Ij SIR!!101lIlOAO INON INHI/~(ClION
.......-- l()~ I-d-APl1JCf{.. 7<.0 jl!(IWUN ~TRHl & SlllHl
I J OI~IANCE & L>~E~.'.l.Y!'l ~KO~ KLt.lll N E, CRO~~~"UfI 011 NIAIII~T MilE PO~I ACCIDENT
i H ~~:S (; t, ~ n 0' M~L6~E
COUI~~';.:~~LVIO Ng'~~~::D_NO lNJUIUP_ 0 ;;'I\~AGE 0 HI' & I/UN I ~~'~~~..~
Of VfHICLfSz.. mil ii:.~'~OP(1l1V DAMAGE ONL Y 0 tJIISIU.1(O 0 ~~%t~1
q OIlJlCl SIIlIJCK lNAMfOf 08JlCl SlRUCK ANOOWN(II'5 NAMEj' l~r OAM....GE
No.
A A
POUCE COMPlAINI NuMlllM
POLICE TRAFFIC COLLISION REPORT
CQ'JNTYNQ to CITV'-'O
Cb,
I !A;j.HW'
""....
RUI/Al.
::;- ~..'" OOU..::::'~~".7 II ~,,~
.::/ 9'r'CJ '7'0 '
MIHl>01 r:!') /4/
RAMI' r'A IlAMtloIl.TA
I'N'" I: 1.11'110 1 I Rl!.I.~IoVo'WOMI4fiIllNC1
X IINTU C~ CK~S~USZ~<- /)
:ioJ-t:C"""COOIN(;W
$
UNIT NO, 2 ~ VEHlaE D PEDESTRIAN D PEDAlCVQIST W3'1.~~
OIlI"'U/'~N""""1 IA~I flll~' "'I".....f ..
70 YNL~ /,1;1l';?v/d G.
?';~B'V 'IS- - 5Y73€U6' I In
;b;-Os:.~ ~ !MZXClCI" tlJ:a 983'"39 1335-';'93/ /2-
I I\It~~UCfN:M.NV, I ~IAIl ;:.tX I NOD~'t;;:vDI..!~. ~
\' TVYNcI1tG(p(J1(.2 IWA I11loG.lz.z Va I -
E OCCUPATION .1 ~IIIM NAME & PHONE NO __I lYl:io WlI~H~:*IGl1r /2
R t?1t(S1(,II?~JJ 5czr- .b'?I& 1'7~~1 c-
o CHEC+K C"'l ONJUkl.. YEHICLfA~A~'~~N~mOfANOll1f~ a"
CODES" ,.. I 3 (l.~~ I . ~"~II'" 2... 5 UtllO" ~ 6 ~?..O(..tl.l 10
~... 0 ......"-'I......tl D ~tl 0 ~Wll. 0 ~:::~ DI".<i'..!oI'
E ~ Icil<"".V "'v, 7;;",/'"'V" .,"';':;;" ..~.,
H \/EH COLOII ~'':':'c~~'~' .... lL I A,.
I Gt7rJ PTS-8h3 W!J.
C VEHIClE lOEN 1ft A,I...N ....,
I .~ CoiL 1.d1/1'l1:>1812101/17 /719'1 1 I I
1I<~~nIlEOvWNfR LAST flllST MIDDLE 1'"'-""........'
~ 'S,;gmc I
N AL>L>II'S",,,, OWNER
/ E
~ N~&AOOII[~50fINSURANCECO OIlAGENT ..., R I"-;""J~ A"",,::~.....IN..u AN..... A
12. Ii-IUD.) I,n/Od" ~'
~ OAMAGEOAIHA !!I~AI N59"3Z53o./ ~ :)"'::>Z;>5~- , I~';,~-:,~ I o....;,~fbIAREA -:E
E 1 ,3'0P~" CHARGE "C~r-~I'.LM""_7JIk:k:/~ CH....IIGf :- IJIIh~f:'~~ I .\01'. 33
,K-l..unnn ! : t6!J..~~'::yN o REMAINED ~~'tVN DREMAlNEO I ES1.0AMAGf Itti; k.n.n_.-:1$ ~
- ~OIO"~ ,Bv In1~"l\.DaY I Ol~"':,:\v s(8oo I ~\'O.O"O~
t r!: DIAGRAM OF COLliSION __~T~'f'P'EMEN AL N01CAIENOIITH DESCRIPTION OF COLliSION (US1SlJPPiEMlNlAlSHfE1lfNECfS!tARYI .,.:!
C: T'I I r 1"1 T-rr::L I I'"lfl"! "0'0:__ -rrL77:4VC'aI-;<;"fL7iW41j()..#...4~~I(_!7AJ J?$(Zi'-?..t' ~'=r.
, tla-.;t' 'f'rY~E' -]1 +il_Lj"-J-+-I+iJ~-11~'~4".-1;%~~:{~o5~- =-
E +:: ..f."t:i~ '::T :::L-H 1;1~kF- ~ cJ1t/N:;.rr:>.. sro~ o;i) ~/'~SZf,J7.r=-:s'lp',,"- ~
.. T "~1I~]c.;.J =1+11' ~ -. /?<;On1<.1?JT .ft G .~1fl'!'W.!'l)j~@~~"'?'.J?q-<!..'pN :Jil
~tl -11 j -l'-\j-t~ 4 , ,_ ,'4>< ~ =-,1~WiV'$j/!{f1l't"$;il..-StTfi>10fto~ =.J
.tffl-~~~il.> lqi l~f~t~lllll ~J/:J;~ 7~iM21fi~f/:-~~~ S
" NAME, ADDRESS & INJURIES OF PERSONS INVOlVED + CODES 1 _ I 2 I 3 I . I 5 I 6 -
- OCCUPANTS I WITNESSES ~~ ~~~~~cr~~Ll~lA~n: -SE.~'- AGE lATUS ,,~..\I(I<f '....rl C\'~/,~l,..fi,r;.1 iJfCll~~~:..
NAME ,$1 If I.t!'y , J~. #.4.A(~~1 ~~:;f m .. .. F 1-'8 M P I f(1~1 HIli L N'.' IN;
AOOllm IN ~~:..' 1~~VJ~fRO' DAMa Dc..\: 0 .Ig Ovt.. 01......!"
E N'M'7JIa'J ~~K/N::;ON NO N .:i,CJ';-.5dt.J/. L..m..L:J:]! I
:xl AOOl1f~S . .. .._,,,. ~A'~~(OI .." 1~~vJ~'IICtM DAloia O~;ClOC~~". 0 ~~ O;-'~IW <<:l
NAMI NbuN I I
",p(lltrs~ ~ ~L~~f!.or '.'--I~c';';:;f"'Jy MO_M8 O~~ClD~~lIi'Ot-:'.... O~~I..\,
, I'N.?A".r1~11i ~NAMI &R"'Nr 116~~1 011 I~f~ __ V'.,I ".. OII~I'pl~PAlCHIllI PO~I)1 ....IIR'yE~1 O"'IlOf 1111>0111. I A~Y I DATI
X IU/~./ /1.I1ue.t:z.. 1t"~"0~/ '~:';:' 1f.f1,'? I/~.~::? '1/0//$'1 VI~ I It) '((o~
UNIT NO. 1
5 ORIVEII'!.NAME LA:>1 IllS
2... 111/-1/../::'1.// C.o:sn
Sl11111AOORI:o::.
ro::- 20Z"3 v.huow tAN.or VJ.
~ CITY STAn ZIPCODt
- '1iic~/'''.4 UJA '7 tv""
~ ';::;;;;~~.c5ZC7'Z)P I(~' ,; o~i /i '';8
OCCUPAl~~f' I ~III':N"""';E&PHONENO. lYl~ IWE'G~TI~'GHr
2. "'iif.Ji,-i' 1h'BC'~ ->-.I(! ~ 'OiI.I/JC7IW!,
'-- 0 CHECK (pi) VfHlCl( AS A~Bi~~~tAL
~2. CODES.... + 3 ~~~~. I. . I 5 IJIC1,ON J 6 ~:cr.II(:Cllf-;
... 0 ...MllUl......CI 0 ~~CI 0 ~8~"" 0 ~::,~:: 0 \"8'N~1\. I
\ 1978 I~~~;,;;;/; I MOOf2;;TiooVAI m;:;'~c;t. I
[W;;; ';;8;';;m I'W,1. I""'''~'''NO I"'"
1'2 F;47;;;c~~F~ '71 v' IGll8 1<119 19 I ~ I I 1
rz= RS~;~R'!AS' fiRST MlDOL~ PHONE NO
12, AOORESSOFOY\'NEII
MIL>UL
r
""".
."... .' ." c, .'..:.:.. ".
.:.< '>'.,.,,,/' .:
, .: ...:
'. .' . '. '. :'.' , ,: ~ ' ..." , .'
.:' ,..:', .
, .::" : :. :....' ."" ..' .
:' '. ' ,,' . '. " ,.
".,,: '.' . .:: ' .
... ,;": :.. . .........
.':', . ,. ,.': ';".,' ....
,', ...:': ..',.'.
, ',..
.l'
.r
.
..
.:'..
.
, . ..: :.. ". :: '
" ."'..:.: '.'.: '.', .',
. ,'. : . \, .... .,': ,.:', " " .'
~" ., .,.. ..',:, .', "" ',.' . '. . '"
.... ,r' .: . . ',:- ::<.: '. :., '. ,,' .",. . .'
:.' . .'.' ..' '. . .
"" ':' .'.' '. ' . ...".':.. ,
. ."<"'.";'" ,.""
'. :.: '" .'. ,.'.. . :.., .'."...., ,.' . .
,.,':' :
. ,'.,
. . .."
'.........
.;;' : :,',
5"1
~
~
1':>-
II:
b
-;;
~
~
~
:'.. .
.
::
W$I'1Y<IHV,I_llOj
STATEOFWASHINGTON 'AO' /0'
POLICE TRAFFIC COLLISION REPORT ~ lRAFflCWAY
o PRIVATE WAY
No.
...-
STATE OF WASHINGTON
/
No,
4 5 0 2 6 SA""
~~
~~'OI.80'
tL
p
~,
l
~ STATE OF WASHINGTON "0. I 00/
r-;- ~ POLICE TRAFFIC COLUSION REPORT lXITDAFflCWAV
I t 0 PRIVATE WAY
QATi 'f.cOU)>_~).f:'l. ".." .OAY 1t_~~y'~~~~I~N, '-r fl TIMI IICOUN1Y
IT -ii\k-~1.). w~T~O~.'!UI~.I~~~'~I""~:~' II (US[2400HQUil n V~~A.I
, ,/ ON Dl DIN /J_ CIIYOR1QWN '~1 ~AM(~NQO'SINU10RHlc.H""'AY
~ M'''' ~, Ow iiiJo. ;' , "'-' N #~/t7.c-r-
INlfll~(C1INCW1IH'STRUtOlliOAD INONINltll~~t.);)N . /7_ _ / ~~AIEU
1"'WEEN~e:dr__..t - ~&>~-<=
J OI$TANCf.Dri';]..~':':. II MiE [lItN ,CiO$~SlllllTOIl NfARlS1MIlEPOS I ACCIDENT IIAMP rD1100 RAMOA."
" H ~I~~S (; ~ n n Of Mt~~E
COlll~~'~:r:.~lVID rI1 ~~~~:~;D_NO.INJUlltD_ 0 ~~\"GI 0 =,I;:,~UN I ...,~'~~~..~
O'lfHICll!. L1.J 0 PROPlRIY DAMAGf ONlY 0 WSU\I',,) OViHICLf
I.q 06JlC1STiUC~lNAM(Of08JEC~Nl",.:>NAMtI I$~AOE
UNIT NO. I UNIT NO.2 0 VEHlaE
S DRlVUi'SNAMt lAST flllST MluU\.[ Dill/li'SNAME lASt
-W~t:?/rr: LA~ A. ...::t',e. (k&: ltl ~i
rc- "'*OOR~/!f ....e-d~ ...&, '''''WD",'' ./ I
Lk. CIIY A StATE ZIPCOO{ IPHONfNO 0 II' SAIf ,IY\UI.It II'HVNlr<<.>,
~ "v6-7"....e/< M. f'23?~ - R "I!- \ I
t:. "'V'ZtZ'/S3.f5z I; I~ .~.(I;'~':r~ " '''"""0 ~~ '" 'I~l""'''( b
OCCUPI.(~ flll:MNAME &::NE NO. . 6,t1i5~5~ ~ OCCUPATION fIRMNAMf&;&V't) I EYt.:!.IWlIC"I-HII-€IGHl
k 0 CHECK (J1 I' ~'ClPtS 'Z~]3.~~~f'E &'\..;:~~Wl\l 0 CHECK (,I) 1 vr I' AI'lM~6~[( Or"};'::m~,1/A~
9 ..eegES iii-- + 13 ~i~;v .. ri~~~'H 5 lJIC110N 16 ;:?:~.~VCLt i!CODES,''''U. + 3 ~~~~.\ lV I .. ~~~~~tjl I 5 IAChON
Z. I~E:!. J V
~~~"1~'~ON. 0 ...MBUI"''''Cf 0 ~~CI 0 ~13:.r,e 0 ~~~~:~ 0 \"'8.TN~P . ~BU''''''''' 0 t~" 0 ~8~,1Il' 0 :::~L1 0 ;t.<l~Sf'
VlHJa IMAI:E~t;.~V'1 I MOO~\lA) :!.lY~'CONV) E Ut'OO E. H[VI I MOPllIOA.RT. I/A) j"'Y I VI::
~ n">.r,~, "aN~'''ENU ~l""E ""'''''''"0 I"'" H "'"C"'''' / "'<N~'''''NV 1 ",,, 111......'lUC~lll'<<). II"'"
~ O/h. 16~/I-?:aq M. '- I ~ / 1 =]j
'33i7T2;A;'Gr71Z.1e-r7iOl'Zl~1317171"1"'~ ""'(i" "',"'INUI 1 1 1 I I I 1 I I 1 I ~
1!:" RfGI:!.TtiEOOWNEi' lA:!.T flR:!.t MIDDlE IPI-tONfNO IIlt>ISItREOQWNEi LMl fIRST MIDDlE II ,~~ S
'- ~G' I ~
13 ADORfSSOfOWNfR R ~ OWNER 3'11
~ - ~ ~
r.r:: NAMO'~::"'D"'~:O""'E"".SU"""CO' OR~:,~:', R N_'.'''U",>>~'">U '"mv,~_," ~
L .......,....,..... I NO .. t I O';'SAB<''''G I' OAMAGIOIARf.A --=;:;
r; 2 ). ~ CHARGf CHAiGf I H ~m~~ 2 ) . -'"
S I~L_~f_O!.':-:i5 GE DOi'VEN rx.iEMAlNEO OOIlIVEN o REMAINED I.E:!.l DAMAGE 1,k-1'D,~"o'-On:'o~.' =;:;
'~IOllb"o~- ~D ii~~ev ,. D~r;..,~~IIY AWA.Y I ~ ~ ~
t; D~("nl~Q..t( , , ;;c ER';()QTH DESCRIPTlONOFCQlllSION: IUS(:!.uPP~EMt:N1"l:!.HUllfNlas.:>ARYI ':"'A/ 3
,', 4' ~ .. I P " 'I" W =-~~~ ~ - qv..-=
r.r-~~, '-Ll_,D1--~,~k".-F=-~'''-=:;#~~~~~'' :~
I:"" --L..:I:'""++- I I ,.~ ..,..,. '.I#-.f~e=-.A.e-B;1(~J/.!.. 'Y~:2l
I I , 'I I j' _ ~ _ -.Jb:.;.u.u/-4f,t:,4&~.r- ~ ~
(..i:t1+ Ii:t.:l:i.-$~Jitfrl=: '.:..:.~~4J€~~Z~_~~
-1, ..j'.1-t-TTI,j-+++-H,"1W-.j'!'-':n- tb).1(",~~~/~$1J:S ... :e-'~.r~~ W
.. L!..-L '_1_ -"'-='h;;fJtE-~'I'i:/<!:z::Ui/~_~d77P4'.-,
-H-*I~/#~,# r-l.+++! +i-J.?;1 ~-,<~A'4etd'7 ('rl/~) -'- hL.;i;b-'.'-----..,
" NAME, ADDRESS & INJURIES OF PERSONS J&!YRJ,~ -P_ :, ~QCJ'S, ' 6 --l
- OCCUPANTS I WITNESSES vgng~~~~~~~:~...\..'n; ~ /s >S~....~ ~ ~ ."",, ~J...J.iulll fJfc;I.:-'.'!~~"
~ON( .. '1
:-'''''I~~{ 0' p--. -- " ~mI"J~ filUM 0 "'MII 0 rl~" 0 ~~l e 0 :;~ 0 ;<8....!tI'
"""
NO
-- f'l"II~~I~Of
""
,"0
~tLlf.~gl~ :tr~VJ~ M 0 ......" 0 ~~r.1 0 ~g;."~ 0 t;: 0 ~~c;."'~r
I~~~~~ b~l~ rt):r.G;fl, I~ O/0~/~/J1f~III:;O?7
No,
A~()266
~':"W' ~
VRI\AN~
.UiAl
I x,
f'O\.lCE COMPIA'NT NUM",,'"
~"j(", r"'NO 1
'c"'l,,1 "01 '175~'lo
1"''''0''/ 73
h;I
-, /0
." II;TiR .II.RO 1~~I~~~I~~~~.'.~IIVo'I;IORw-t6/ENCl
IIX CLS ICR~S:<fM6o
!>PlCIAl. 'COOING U$~
o PEDESTRIAN
"
o PEDAlCYCUST
"'"~,
. ...olO-CYClJ
\4f1'V
~
fe'
.
f
.~,
"Otoll!:!.!.
NA......'
r::=- "UtoQI ~~
eN".....'
""1'1l''''r~~
X rV=;G07~~N"'MtU.t.~
~~miVJ~fNUlY' 0".....8 D~~cl D~~lI, O:~
O;-'~~,,,
~
0,
'c'
\
, ,', ';':: .' ,,', , , ..~ " , ',: " , . ,," ',"
, ~";<:'" " " ..' 't" ,,:", "
",' ',:
:':' ""\'?~~i ',".",
, ::,:,' ":,
... ,"., , " . ~ ":
'",' , , "
v.
i
.
I
~.i
~.
"",'
,',"
,'" ,,'
'" " .' .> '
i', ~, :':;' " : '>>' ,
..,', ,
",' ',', ",;/{'
, c'"
:,' " ",,,
" ", ,,' ",
"::.:":,",''':,, ",,' , " , ''',', ":: ",:,..,.."'''.'",,, , ,
, '
--
,
I'
D
~
i"
-J
ClJ",..ry (,.ly
1<0 ..0
>OC
,.'
STATE OF WASHINGTON
No.
c:: n ()
~
3
7
-
-:-.
",'...
,
~
t.
\
L
L,
PA.CtI I 01 I
r-/ "'. ... " POLICE TRAFFIC COLliSION REPORT .0 TRAFfiCWAY
.1 / 0 PRIVATE WAY
DA I fCo+'ll!>IO'" I."L DAY lit IN. R HMt I H~
IT l~: r7 I.~;'~ lib. ..~.. lull. "Ie 1""~~ ,.. \.1 II (~!.~ ~ ;~Ul1) II U-...{f I.; -( r.",*(-1-,
.ON ~( DIN J' CIIYOIlTOWN I ~MlI'tl.rmQf:lllul':.IlHlG"'W"Y
? Mm 0' Ow 1if~'/.))ll.t';II.'~ ION (I/)Y/.C- k!J
1~Il5lCII"'G'Nl~ !.11l1l10:IIOAJJ TNONINHIlYCIION
- jJ~ i30(,,) A 0. F't'!4::J IIlOWI(N SIII(fI &
I OISIANC(&O~I;],I,l?:'lHiOMIlE~(lIfN ,CIIOSS:'UlEI 0fI N(AlliSIMllIPOST
H~~~S ;; A;" ;, Of
COUI~~::~~OlV[o r7I ~O't~~~~;O_NO 'NJUllfo-L 0 ~~~"GI
.. QfVIHICtH. LL.J 0 PIIOPUlIY OAMAGf ONLY 0 Af!,uITfO
2. ~5i6S~~~KL?:::~,-~~~~;:~~Da~~I1'SZ;? J}r:rr,
UNIT NO. 1
P DlllVlIn. NAML /. LASl ----;:::- fll/~I ',' MI l .
, +- /'..L;i'7d;'>j"M~'} , ,./..WJ?aflrJ JO::v-lOA"
~II/UTADDln~~ /} v
r.:::-7 5J~t, ,7aA:."--tfl7 rL SL
l=:{. ClJ~~ _ _A ~TATE f L. ZI~~O~ PHONE NO 0 11'1' \
- ({Vl7lt.'~ /r.,.] (..;;. '-1 f 311') k....,,~ R
I~ ."V<R''''',"''"O , "AU I"': .AUU' H I ~"""Z
C- /t/ijtJ{/2_/),T </15.,111 t.A 1/'1 -=71 7ls'~' V '\
rr- oc,~C~P"'ON......-:.:.---;P-lIm-NAME&PHONENO t!:s I~T~IGHJ E [OCCUPATION 11"\"'NAME&~fNO
t/ 1<"J"2Wl, T - f; JI] 'it R 1 '\
'-- 0 CHECK (,I) Ir~I~'ZNEM~'g~''n~1o.t I 0 CHECK (JI') I Vf UA~ANlM"\O"'Ef~AmnHflll"'l _
~ CODES" + 3 ~~i~~' / .. mi:~'''' / 5 IJICT,oo.o 16 ~:~vIl(;VC\L-- I CODES" + 3 ~i~' '\. I .. m~~::NI 5IAC'IO.. 6 ;:.::'J{?~.Cll
~~" 0 _"'H" 0 m" 0 t8~... 0 ::~t::l/2lf:'.~\,~ ~ 0 _~'H'': /1;1 ~i" 0 t8~". 0 ":::.. 0 :'.~\,~
F7 ~ Ip~;;'CH'V' :4;Z:;'^' "~'CONV' E ~ r 'ov<,..v, 'K"" (.ARTNQvA, I' ( v,
~ ~ T'iI.o'?;.so "~~/4' "A""~A""O r'^" ~ VOHCM' I' 1"'\1 " A""" 1 "A"
~ [Vt:1ifC~ )OENTlFICAJ,lON NO,' j) L VU11ClE lOEN11fl A I I NO. '\.
1~')IP/1;<I!~,;L,O ),2i2i~:/;/:3i , ;! . ' ! I I I I I i 11'\; I I I I I
r.;=: IlfGISTEIlEOOWNEIl- lAST FIIlST , MIDDlE PHONE NO 0 liE ISnlltO-OWNEII lAST flln.J --~orr T'HON'""
~ r,(?{;6HLlc.fI 64.(2 V w '\
13, ADD~~SOFOWN(1l _ ;'. 7/f7;; N AOOilE~OF()WNEII ~
J.... 1 <<-(,/,I /llq, ICJI /')t/lLC',A.Y;/ul.,~ E '\
.,...,....- NAME&ADDIlE~~OFINSUIIANCECO OIlAGENT R INSU........ ,,--
~. ) J J.! ~:.\ i.'A} '\..
L- OAMAGEDAAEA I~[~i:er ~!.!.iiJiN" J"/J. Lo,'_
rr- ~f?7 .~~,_o:.:-!1 ~ jtST6 ~~:E 6A~~"EN ,~MAlNEO
r- .'~f'OIlO"O~; I $-1(r;/JL- n lWi~1l1'
E DIAGRAM OF COLLISION ] IUSE UPPUMfMAl NOICA1E NORTH
16 j I I . 11 :~Hlfllf i"fi" ~r-J BY tiJllOW
'" 'r o~ll'-""'I"'('
( /' - "'-+-,-
r:r- , . I 'LJ Tl i"JJ'7T I !-:-
t= ,: : Ii^-! fr'FTT+ ! -'''7-
~J~l'f.t- l' ~L tu ii,,: I '
LI;,;7t:,1~7f".~, ' I -+ ,I i . : I , ,
/;~;P i I :-- '-t0t'.Ict4,;Jp,/ ,_ _.._~
i J... I! (j' : ! I ' I _I
r= ~~Jp~~?: ~~~~~~~~E1~~~~~~A~!~VOlVED ~~2f'~~. L~u,.,..~.T .!!~:l;(l~.,I..~iL~~:, f:-J
, "AM'7F7t.:tr,;::, JD!). . :.0"' ,VcJ.<.'," ;:' L',-/ z:.. 2. T I T7 r=
ADOIlI~~r b{~";;"""1,/:; /)/.; L-( ~'''''r- /.J4 ~"T'i.~I,~1 i,.",,-;- ~m-VIl'" oAMI Drl~O o..u;,. o:~ aJ.1".~t.~
r;o- N"''''I ~L..L t.h--,) ~V'~~~'f..... ./}'1~~ ~':~IQ' !;'.il,.~~, ,. Ai I;?(.:) z..;' :J.' I /.. I I 1:::::: OX.'~.
1';- OllPI!.!./'['.....'"n..( r_/~'" r,. /"':-.;01 I tfl,,".I~'I'" ,./j- ~~V~~fQOM.IR..."'8 D~~tI..D~;".D::.r O:~'..~. "'L~~
L- N"'M' NO.... , T--,--
...t'>l,lIfS~, ~~'u~~l?' ~~E"'fV~'T' '1I(.1j OAMI\ D~~" O~g~". :.t;:' D:".~~....
,.l'~tl"..y..."OIl',t"'..AYI.."AI.. "f1A:":'IO" """,,",C_ .,',. ~'~'(ltl'~J'A'(.HIO PO\lClAllll.VlP rl"'lo.IIIPOIfT1AP:~VIDI\VI DATf
XIj.....H~C.J),'.,(- -;/(',,/"{,./, ,."" III'J.<' 'f'-";' lil,],fnt, II,,<<?,, l?f)JC: ~A.J./~..(bAj
f'OllC(CO/N'LAlmNUl'o\flUl
~~:..E1
1&4~ItAl
I'~ r'''"'' 1
KIf;, 17;'0'1 ~"~I~~';?C;;
""'~ ra
1 ",c.
.-."
~
MlI..rl'O$I
SIIIUT
ACCIDlNT
MlllAGl
COOL
11).06
o HI' & IlUN ",mOWlDl"~
o ~~~.t~
T E~T, OAMACI
IsS../:"J
UNIT NO, 2
/.AMP 10U\GIlAM [WI. III.
yR I ;NJE~ I ~ff CMC6$~_r~Jr
oPlCIAlCOOWGLGl
~_M~ LJ
J br-bE-
,.1'('0.11 ,17: [j
t!;f c(Jd1~~ F [7t
;OaT !)/f,<:€,. Ji) ~ =
DIlIV! II'S NAME
O\IEHh
..."
IlE(lAOOIUS~
"
I fY'U IWEIGMTI HEIGI-IT _
',"~
~7
~I
.""
I~"
I=ii
~
ho
=::r
.4J
~
}.
i
\I?'
~~~ I O~~pl~EA ~
I~~~c~'g~ 't'1i:%o~:j" ..::::
0.'''''" 0""""'. 1 '''._AO' I' ,~.. .... ,=
o ~~"':~ 8'1" AWAY $ a loa: Ill. ~
DESCRIPTfi; OF COL,US10N: (u;jE SIJPf>l(M.!NT~ SI-IEH If Nt:CE~!1 I ~
, , I" ,",( '~r:-II?);;7'T"-1-/'~"-'l':"'--' . '--Jj -..,-- _
--v1 It <:,.~~/"/L..U-':J_'-"uy=.,'.6rt~ ,,____ ::::;;
1:{ t '&' ~f--o;;;,iZ,""-"~;2--'----n- .=
- ' ,,,,' '" -1DJ.U..Y_~t'>;:?i.(.t'-,ck',,!:!:-it~::.:?__n___ =-
-Ii ,:.;.. - ~~;iJ!iz~~;:-"AI7i,>7';';'--;':~~:'----_..r
1 t. (;;r2,;;b(J,]___'_;,';'J. ,,(-:,a<r"""---"j3-
C({, ,..li1t~~ 7J' ~~~~?!-~~~_~_..__--:==~:~~~:~~=
CI-IAIl(;f
t
l.
t
, ..' .c.: " "'i:::.':
.I.
? :::: ."
l. ',', ' , ':', '< '..
,:! : ',:'" I, ", ,::
, , , .:' '. i
~' "" ,
,(, ",". ," '
,
. ". :'ii:
~I :
, ""', " '"
r.
.. , ;~ .;';~3';:
.~'.
:'..,'
,:' ',',""
"i"",C" 'i, , .,;:"
. ,',:" ,,'" ..."..,' ,'::; ,,," ":,, . .,..:' , .::i:i.
":", ,;,
~.
~~.:
"
>
, ~
t
I
r
.~,
V
,;'
\
4..
t
, ,
I
~
.
>
,
--'''io ;,,,,..u "~
""..",,'.
. ,.,.,
~.');i:
C<XIf,lI'(NQ ICIYYNO In',Oi"'~ ~-'i/~.'
I L 1m ~~:: ;;u;',
'7:' " I ,.~~~;:rio I ~C'~ ..J>
,..." 'w M""O"?:), ~o d
flA.MP rlAVIlAM C\ol\.t...
'" I ,,"v 1]1(110 I~N 1/ I II( 011 ADOllIlUIIIlNC.t
IX Ct$ I'R~fl2.0i~c
~CIAlCODlN(>~
~ STATE OF WASHINGTON 'AGI' O' I
r ~ POLICE TRAFFIC COLLISION REPORT IRl'RAH'CWAY
II 0 PRIVATE WAY
OAlIOfCQ\Il!.ION A,y <'VlIII IMI COUN!"
IT 17.. ii' ~ Ill" ..~ lUll *10 l~ '.' yl 1~~j60URl J'eFt='e,.,sOVl
I ON 01 DIN tlTYOIllQWN NAoMI&NO 0I$11l1ll01lHIGHW1Y
.5 M""~' oW lllIo' Cl,i..,"'r"'..... oNWesrv..lleY Rd.
IN'[Il!>lCHNC. Wll;.1 $1IIH101l1lO"0 INON IN1U15ofCTlON ~
1~,wu"tI,^11 r,-dIO"o.. """, w..k5 L(Jof """
1'6 01$ ~}f&L.D~I; IONfllQMflUI"lN I O/O$$$llIlI!...Ul/N1"."I$IMI\( J.OOP RD ACCIDENT
I 7'~n~'ll:$ f!, J:1 ;., ;; 01 {It I. 'l'\. M~~~f
C.OUl~~~:~~O\VfO ~IJ~::lD--'L-NO INJURW...Q... 0 ;"''1(~AGI 0 HI!' RUN .....~'~~~..~
C>>VtHICU~ rn fiI P6IOPllll't'DAMAGI0N1't' 0 ~lllULUD ot~~,m
'''0 oeJI'TS~UC~INAMIOfoeJtC1S'IlUCI\N>lDOWN(R.~NAMII IISTDAMAGl
I I 111-rcl, f:lI1b"'~~M<"T' S7trl'A./
UNIT NO. I UNIT NO.2 0 V[HIClE
~ DllIV(IlSNAMI Lo:'CL.. D.e,~Il~ISp ;:;1 llIVIR.~NAMI lA~1
~ '''''''i'(; I G.t..; ~~ [Je r Lo...u 0 ""ADO''''
_ cu, I-Io..d 10,/0; w;:. 9'83,,, ~'s"': {,7'rJ R "
t: i;~C;"~"nM :2. 75 lP I ~o.. F o,i F.;'J"-r~ ~ . ""'"".0
rll OCCUPATION I FIRM NAMI & PHONI NO IVl~ ~lGHT "!GHT E (XCUPA"QN
-:z. fv-.S PeN.'lII'dI"f-/+o.dlP~,(,M""'~", 6~~'1/J2. $-03 R
o CHECK(r"') IVf~K.~:~:'~~~~~C~~WAl o CHECK (I") VfH1CllASANW~O"'HOfANOTHlJI'
[ I ~~D~,S:' 3 ~:::. , '::\\:~.. '~ ,,,.,,~ 1 · ::l:~ COD<S ~. 3 ~:~' I ' ::\~~.. , .><,~
I 1. No 11 D IN"':~~:.:J'
No 0 "''''''UIANCl 0 ~~r;1 0 ~m". II" :::'::~: Ia :"B.'''!oI' ~~'1~,oo... 0 AMlIUI.....r;l 0 ~~t1 D:!mn. 0 :::-.ctl 0 ;3'-
r;;: J7S-0 IMAn::;;;;" ~;;M:",NOVAI SlY2:..':...llpi<:1 E HY (,^,,><.H(1I1 INOOUIOAllT.NOVA, I~"..t ........ I I:;
~ vy;Jjow 1'2';;:cz;:.f'i:,^- 1:"'''''A''.o "An 7 ".""" I I I I'.A"
m- VlHICU10lNTlfl,'''''/ONNO f V(HICUlOlNll.h.....,I...............
1'2- </ /I,2,il.{lk,A:l{i 51()i2.l~ I 'if I S'i I I , ! I I' : {
E R~GI~I'EIlEOOr[;'v...ch K:~-eJ1 A( ~~IIL. 0 JlIGISllREOOWN(ll LAST fIRST M.........(
[3 , "'ODIl{~S Of' OSJl 'Z A 01 OWNf.R
~ '^-7 Ab(Jv~ E
~ NAMI a AOORI!oSOI INSUIlANCfCO OR.r.Gf:NI A '....1 R I A -nt
Ii.!- S",r:e..Co - r?1G"h1e./tf~. r/:geVfC 7 -r
'-- O~AG'OA"A III',:,...,;.! I.~' ~ ~AMAG<o'.... --.
F' .~.IR~':"~~~....lt....... ""Of :,." . -"I-
1_~~ ~:;;;'7' ~ ~~eY g;~:D... 7"'eH.J;t}J D~~.,.oeY D~~~'t'N o RfMAINIO S 11no.Ori~~ ~
F DIAGRAM Of COLLISION (u~I,,'~U~~~I"'l INDICAn NORTH DESCRIPTION OF COUISION (~( SiS'NMl,. ~T"", SI1lIT IF N(a~IlYI . " _
t:: . . CHi:' ["'j' "'f'\ d' .~€?'X V~h:c.I.. 50141"\1 e....,J~tfw. I/o../kf "J. -f1f,'oX:.~' 51-
1+ ; , '~t. : i 1>1" Fr."" <:~jll1"'':''''''' Or;,",er.5, r.., ,.."" J 5~~wo--S6cI'P_
~ . L _6-), \. I ' . II ....6D...~- To "1..l,iI, ......1<\." ' r L~ f r. 'The. nee .lI.J....y , n
c... .;"<--':-,yf-' L/! 'f.J ~rOI(T"<-We~r5~""'Je,r;,G.i'Y,,...~ot="c."rnl' I=""
/1.1.- . ~~ . I... t!lF ( <>J.] 1.ITc T~ di~", srr"lKi'1.!' '" 'i F.cr r-ar-
E';/' ~.- ~~~-'" I .-e:!..1$. ",e/l{ba.~t<...,..'t, ~ Koll; fly, 0\.19....." ...~c/ (''''''li~ "f-l
,~ i ,i .~ 'j _ ',. 7l:Jv.. r"t!.n'_h_<<..t<. ""'I 'T'~ lv'LEr:.lS' O'l,.:rll-e lV/zfT
, .. ~p ~', ' Il:rV~ 1',1 L ,Sho""dll.(",oF_7"<l. p.,oo..J.,IV"'Y'. No 11\Jv.t".'<'l '
'~Yi 1-t' "'t..iJ I ! !, .....~;cle eST;r11..Te/.... r.T..I L-SS h
I" !~<,ADDRE~S~INJURIESOFP~RSO~SINVOlVED 'CODES I 1 1- 2 3 . I 5 6~-
r \. CUPANTS / WITNESSES ~~ ~~~~Z'~~~: w_ I "'GE h.,.ATU~I'~~.. ~",l (~' 1tI~" rUE'T .-'e...
"'M' S"wrl'\ .:r~"'e/l1i R I:;r"' 7'f~-l(1.7 M I" 1 '2. I , 1.;1 3 I I ---
A[lnlll~~ 'Po .'Riy' ';:;'-i":i. "IP._.~ ."e.v uJI'-. '19"71:, ~"'Jt~':l~OI 'f.1.,rti!- INf(lY 0 ...MII O~\,(l O~l. O::r I:: ;o.a~...
=- "AM' ....."'1,1'1 c"'''..!r'.....1, G, ;;r.7Sz..-~'1'1z., /OfI III" I -.z I I 1'1 , ,I I .
IXl ...orll'I!'~"'-2..bo.l~lWls..,.U. ...q9-~< ~A'~I,Ol f'\I1'JVlP 1~~VJ~ff'OMOA""e O~.l(,ID~~".O:~ ~~~~\, .0
L :::.~~ ~:::.tt' ~1"4f1l1l1't' IOA~t1 DIi'":.~O~:;'I~D=;: D~~~~
X 1"~j;~~ir:'De~, t1r;~ ~zr5o ~~'~~~1 "':~!e~(HfP ~~.::~~D 12::2i~o/ I[w' IIIoU ft(
~2 ,.i..;,,'<' ,'.,...',.",..; c;, ~i!,~~!
J,U, '",';;.,"'/"'i,.i ,:
',,',.', ':,;'.i '?"
..''c "'"i,,; ...."";'..,..r,LJi" i,;"
r;,r ",.",.""i;., ,.'.,\"...;,i' i'ji'. ,.'.".,...!
:' i,."" ","".::
.',', .ie.'....,".;'!,.".,. .i".),'i"'.,.,.. ,,;. ","'.
".i.';',;,' "';i'i '.',.i.",., .,,::'[,;1\'
:Vi; j, i ..,..j '';;,,' i',
"'i',ii Ii',",>' iii'
;;'.':.': :i,'i
;":i"ii 'i''>i .,: ...,ii:.'."
;',i '""
i;,i";""
','. '," ,'i' "')\,i .".....',.,.
," ,,',/, ..)i.";'.....',,.,..,.','
., ii,.,... ,., ..,. ,.....
.. "..,.' '....". "",,:i,.; ''''');
i\i' )"'i', i;..,}!
"i j,/ '.""." .,i.....'.',..'. ..', '..'."'..'.,'..',...",." i '.....: .".."'" ,'.' 'i,
'.:'. iiii,!:, ."...........'i.. .....'..,."., ,.."i',
"ei"""" ",."'..,, "i' .'..'. '.i' ,.""
No.
4
4
7
7
9
POlI(.I C.OM.......'.'" NUM!l11I
I"
o PEDESTRIAN
..,.
o PEDAlCYCLlST
"-.
j
i2!
.~~
I ,..,
MO ~ DAylll .. P
..., r'IGl-lT H:IGt.nl- ~
~
.~
6 ~Ff~Y"U L17
"5
d
F=;
~
1"'1
!:-I
.i:J
/',.': 'i'"
'"
.'
",
,.....',.'
,...: ..',
,: :
..:.. ,:i ;'..
, ..' .'",.'
;, '..."..." ' . '" ,
':i~,.' " ii,
" , ',"
~
t,
:It
oj.
~.
"
t
1
f"
"
t;:
1.
y..
.
l'
/I;"
,
't
i
},
A
-"
:jl.'<l'N""4 ,>;M._.
rl ~ STATE OF WASHINGTON ;:;~ I 0' \ No. 5 0 0 2 7 3""'"
, (~ POLICE TRAFFIC COLLISION REPORT lZ::f-l'RAfF1CWAV J'OUCI COM""....","NU...1I111
o PRIVATE WAY
0....110' l' N i ....'Of OIIl~ION tlM! COU...." ~ COtJN~'f~ Clt'fM> I
PI i"j ./Pi; 8:, I '" "1- '"" ." ,~" ,,, ~, ~ ~7rO' ::r e j ~<:.r-II I (,
~ , rl ON ~ DIN .-CiI'f 011 TOWN ....,.....,I&NOOf~lIlUTOIIHlGHW.... It\.;TCl$ I~~Y~I ....., 11l1"OVltOi ............ I""
I, Mm il3-' Ow [.io, L"" ~ lC "-, ONCL.<!' V' ''I-<.V' ':,A I; ~ I I /0 7.5'~
IMfll$lCIINGWlIt< SIIIIlIOIlIlO....O INONINTllIstClION , J Pfll.'I.l r'" IMlllPO!lI .
IBltWUNJ./~':2cPcJ STIlul~H-/DoG StllHT I I
I. DI~ ANCf&Or:;:I~ON'flOMIIIH rN~(,CflO~!olllll'O:/ofIAllf!oIMll(t'V$ ACCIOfNl IIA.M rl.......I1A.....OAI...
'P ..5' MH~:J> n ~ M ~o, H- loea -r-c:1. M~~~f
COIll~~~:~~OWIO rn ~O"I~~~::O__NO INJUIIIO-6- 0 ~~llAGI OHIl&llUN .....':.'~~~H~ 'N't" li':ili~ ~~e 1~~~!o$T~W'J~~~j;!QAlJOIIlII.jIIlH"'1
~ VIHIClIJ> u..J 0 PIlO",-'1T'f DAMAGt ONl'f 0 ;n-J;UlIfD 0 ~~~It~ - X I
4i 06JICT$!lIl.iCII;IN,.....,tO'06J~SnIl;AJ~NAMlI Is ($~AG( SPlCIAICOOI"""USI i
UNIT NO, , UNIINO, 2 OV AlCc..ldE.V/ a.J4f ~~
l "''''''"51uo.,~'~''\A '" 5Q.l-Tu-( M'"'P O"V""AM' ...,~ /lc1~e.tr ,v,~. t,S ^'
rc "'~Of< \' {,2,,.., '" 30 S" '" ADD"" CtCA,eQ)4~~ 1/1tl ~ rT'1i
~ C11r- 51",1( ZIPCOlX PHONE NO 0 I'" t.7CJZJ.. O,,;J1y ('t, ~J<....
~ rClyKS We, 9~\'1:;1 '37<(-~ R /
I' / D11IVUI"SUCfNYN" . __ _I $TAll I:'X .::" ',;:,:~I"'H I "LI tNYND ""jJ. ~ /:1 I ~7
4,.- I-I-UG;(; i::Jr'<L/'US ~ V..... l.if!,;; s<; V
8 OCCUP...llQN 1'IR~N~E&PHONE":': ~1f('~e,.,f.p3 Ins fWl'G+lJI~'GHT E OCCUP....TION !'IRMNAMf& PHONE NO I""T """TtC:IG""L
2 ~ L' .A.h vK I-l-o,,~" I B.~I/"',. k.., R I _
o CHECK (,I) 1'~laf'''''J>:~.e.oP:.'~:Yff~''~OIHfRIAl 0 CHECK (,I) VfH.Clt....S....NlM,.iO"'Of...NOlo.lf~A. . '~"Cl.l 1
g CODES'" + 3 ~i~~~' 6 A ~~'::'IN' I I 5 11K11()o< 6 ~:~..IIC..C'Y CODES. + 3 ti:-'~' I A m~:.""' 15 IIICI.oo. ~"h ~~7
Z ~N!.~~~~~o." Pi... Ic7 v........,;~.... ... _~"'Il I.:,~:~:~~ ~
~!iNi ".. 0 ...MIIUI"'NCI 0 W 0 ~"''' "ld VOlt'Klf 0 t'.8.IN.... ~~'1r'~o.... 0 _1UI......CI 0 ~.:CI 0 ~~. 0 "'::~ 0 ;"'<i'.-
1 jHc(7q I~~(A~C~? I I ;;l~ARp:p ST'f~rd.C~~:'i ~ H 'f1....R ( ~"KEV I INOOlllOARU~V"'1 I ( I
" '8 ~'/'f':''''' I "C,"" ,..." ~ , -.J ".n ....." '^n NO ""I' '_,!:f "" C"'~ 'M"~ ,-" ~ II "." , I .
L.Q. t:X-v.'f I0833G,..rl WC/ - c I
i'i'::::'" vt....IClf '~~!ICAIION NO, l VI...IClt lutN I I Alluro......
':5 C j.( I<'~ ! 4' q i'") I"? 10 Ii t.:2 1::1. L<;": I IF' ' , It'
Z "G''"''IT~V\,;:~ AL~K M'OO" 1~:;~"3/ ~ . '''''00'''''' .."
'2 .oo,~_~ is'() r-:..'YK:..s WC( ~ '00""""""'"
ri77'" N.......t & ?,Y>S Of INSURANCt co 011 "'GlN' IN A
1'/ }-o. Y' vz-..-e ... So (AJ f R
4- ~';.c;('b'ZRtA 1~~~':GI I~AI
) . I ~~~~~~.:.": C...AJlCf J.otc. Ld"t".' rn..1..'~ ~
"111~~~.T.O:_~~lt$l O_AGl 0 ~"':'~yN o RfMAlNfO
l"~ llo.O"O~...r I St/.Ol::lGJ 1~C::'fDIl'l' we..s.':-G,...Jc;!
Jii7 DIAGRAM~fCOllIS'~N: '-'1--1~~'~~~ _"IN)~~~Wb~''''
LL ' , , ! J, . Ljjd!-1 .~_~
w - C(E<>.""~<>.~..:r-:~IM~~:~'J,;',
L.L _ ' ", !,'~, '" I""j I. .
~~~-. :~~:!::L~
f{ ~~" ,::-;.:-;.
L!.. , i ' 'j'~ :iTl--l
(_.~ "In_-f' w1 ,; "-~ '1"+ .. ;
NAME, ADDRESS & INJURIES OF PERSONS INVOLVED
OCCUPANTS / WITNESSES (,~ ~~~~~::i:f:;
"M' -::>Cc...... ~t=' <C. '" c. -f r:r'.3 7'f ~?? 2. I
"ODII,~~ ~t:..""K.s. -lJ.....n- la-","2.'2. ~"'T~~I<OI,o. '.fr~ c, ~I. 5oCtNfll'
..,..'
~"'I~~',Qf
~
[g~. . I
vall_ ~-"
.URAl
, , ,
, ,
I~'~
I ~~~.'~G I ~~'brz,f""
O DIIIVEN o RfMAINfO I ,l$~=' IIJr---L!~'.~"__-;~
AWAY r~\'o.ono~
o ~~V:.f 1I'f s
DESCRIPTION OF COLLISION: (USE Sl.IPPLlMlNTAl S~f1.' NfCf~YI
\Je1~~c.L-.Q ',E c"-- <:.Leu'>-\.MI>.f-",-V' '_ddl=!
..-vA........... t..~'",,-e- ,:b.....'V-f '" t'1k1 0 "/0,
.s/"~v.ld.",__ '0/-" )-AJ~t ,,,s-r-:-'T:, 1~1'7'c.~\---;.l
c.c."...,..,r.v~ 1'~ r--e.,b> ,';U ~,'''l''''. "___ __ J.-LJ
.",::' t+J
~
"(
"lJ
1-23.56
,.,u,I,':.~.I.~: /,,,:,./..,,,1 i;."I::.~;.
,N I"" I (; l l/ /
0......... Om(1 O~;".oQ1:~ D;-g..~
I
. CODES
.'$1)(-' AGf
/lit I;>'p,
Ll ;;~;'"
41'1'111 ~~ J ,
X 1~~jtll~N"'M~~ ~4 ~
:,iX: .,'....,'
ts:~""J~ '110M 0 "Me 0 ~"I O~~:"" 0::':- 0 ~'......
I
, "". .
""'. ,,'
.0
~~0~~I.P' ~).~v~~ .,,~ D.,.... 0 ~~q 0 ~'n 0:;: 0 ~~'.......
'~Oll ...c.1~. ~~I~~:, ~oe;IOliO!tqVlD O"'IQfIlI~'j"''':'f':lf^' I. "Lo",',
(Df \CIs.(' C-(" ,.ro." I ,,,,,oh /)...,9 /,'7, r ffiV II r
:"," ':/.""',
. ." ~ ". ,:, ' ,\, '"
:. ' , ... ,', ... .',."., ,.. ..'..
. """, ,
,', ,',"" "
:,:":, '",.. ': ,"
,,':'; ~'.'''..'',.'.'',.. '..',' . ""
",:, , "', '" ',:
, :.:.. " ,:'
, , :,' ,
". :' :" : ' , :'
, '. ", ,',' ..."." :..'
,', 'J'.'F<:~""':'::;:"
. , , ':' ":. ,"
.":> "'.,,," '.., , ..,.' '. ' .." .', '. '., :::
'.... ; , ,.' ',.', , . ,"',".. ' ,,',' ..'"
'...;,:', ,,', ..",'" , ..'; '.' '. ,,',,, ,,' ,," " I",
, ." ..".. .' .' '. . . ,.' ;', "'...',.'.. ,',,' ,
, ." , ' : . , ' ,,",' " " ,,' ,::"'" ,''',' ,',; " '" ;
",,', "'"
, ",' ",
ZJ
I"
~
i
t-;;,
~
~
!:fJ
:zJ
'I
"
, .
_.>.'1>..:..... "e 1
1
L
'~i'
~
t
t,'-'
:';:0
f
"
f J
~
Ii
"
.'
)1
."
"
'~
-;
~
J
.
f
~.
t'
.
~ STATE OF WASHINGTON
[)f ~ POLICE TRAFFIC COLLISION REPORT
,.", J 0' J
~ tIlAFfICWA'(
o PRIVATE WAY
No.9' 5 iJ 2 I 2 0
~
~
OA'IOI OLII I N i CAY ':.....~U~.'.""N T'MI COU"TY CCXJNF' 'f~'. ICilY No
[ ~ (0 ;;" Ix "QOo 'VII "'ll '...."\ ..' ~I l~~:~;fU~1 .J<.+!-r:.V$O"'f I LO
.N .' o'N CITY Of/TOW" ...........IINOOl~IWIITO~H'GHWAY ~Cl~$ MUlo
1/ M''''O,(J''6iI0<L.&<->'''~IL....s. ONcI~"loJo,t_M..,~Ii....., {,.?
'Nl(W~ICT1NGWlN'~A.:J/IlOAO ::~~:J/~~'701 Jl.1,IJ~ $TJ/E11 J-11~+:...l&C i\;..12.d ~I ""'ll, J' IMll(~T/JI'tI /
~ O'~IANCI'O~I~!,~~ IilOMJ/IH IN;' 010:':':'IJ/UlOllN'AWI:'IMlll"O~ ACCIDENT l rf/J c1.?/t::J '/ '
(p V'2- 1"1~';:' (; ~ ~ ;; 0'U5 /0/ Jl,I.."t';'.L",P /U ) M~'6~' $,,) ~.y t:'"",,.l!',
COIl':'IONINVOI.\(IO ~g'~~~:;O NO INJUII:ID-L 0 J1,.\AGI OHII&J/UN ,...,1:'." " '1'A//- 1') ~ rJlVI"fNCI ~~
~O~:~,~3$ [[] 0 PROPf~"'G(ONIY 0 :JlI:lULHP OW~,~~ :Lj""~,,~, ~~, 7,f~ ~:.A.I. .0.1,--- I
19 i'$~:ilN:;~O~9'~"~'~"'i~:;';;?;;.,~ SS~AC' ~:/___h} ,0 u/;.n \
UNIT NO. 1 UNJTNO.2 O' ....- -( ~;]~4
~_ PI1IVtR~NAMI A;:~ij.i ~At.,O L~~V\. 'DOl.I OI1'\((R'~NAM" LA~ , /
E;' 'S';r~OV\ Dv-. /P-O 8,,?, '36h '"''''0''''' \ / I ~
~C"FOV'\L.$ W~ '{~3;"'1 3;;::;'d6 ~ " \ ,." ""~ r~ I:J..
c. AR~'U~N~Ds.s-~Fc. ;;;;:. 1M r"~~"~s- ~ ,",,,"'NoNO \ I ..." 17 ~'.";;:,""~. ~
F:z ~::~~15;~r~~(zo lApot'C0.4eJB~I~I~~~' ; OCCUPAHQN r:I1MN.........',HONfNO / fYU 1~IGHTr~Hl_
~ 0 CHECK (,.I) I. ~,C~f~S 'ZNIM~'8:,H & "''''OTHEII:'AL 0 CHECK (,I) I \(fHICtl...:. [M~OYII Of 114.111.... i'-"
r:;- coors... 3 "'IU"~ A .1~T.....'...r# 5 (11("0<< I 6 MOIOllCY(lI CODES'" + 3 6':'~. . ~I~:""" /1 5 U1C100t\i 6 ~Of,?:,YCU T
~~ MI~'~.~"'1' ~~~;6~~;~ ~'~~f.i" 'i~ 't:;;.':J[;~:o. O-~'"." 0 ,,'U 0 ~!I:.. 0 .~:J O~~...~ 1?5
, ~ 1#/;;.4.:::/' r;;;::?>'.' I';:;;'~':~"" E """ '"".....1 \'0. ,"',., I"'.'''''~'' ~
~ ""~O, I""N""."NU "." I""'''~.''NO I"." H "'.0((" IL. :'TATl.\ I . I .
~ Sfl..Vet. 17fltltQ-'f' tJA- I ~ / ~
n::- \(EHICLE 100NTlflCAlION, NO, l \/H1IClE Il)(Nllfl A I N... / \ ~
'~ I ,.., . NO. I 1,$ ,Lf,KC3!.\. / 4 B 8' /! r1ilI
rr I1fGIA;~~/B;W L~'1n DU :;;;:;C~, wO 1I11:'TIJ/IOOWNf/,lA:.1 FIIl:'T \I I' ......-.. !::.J
!:[I
;z. .~'i;"~;"})~./&.&'~3~6 R-;vks W,4. ~ .""">>"7' \...:...J
r;:- N~:;'ii:;;$UR~AGE/ ~flolL R / IN U AN.....u "'GIN \ 32
c.. .p.........AG~ A.llIA l,.g)~~...:;..."'C. I t "',lvl-; NON t- ~ 8'~~c~~~'" ~AZl'f'.~R{A.-;::j3
~ ,rR~~~(;g;;: CHAI!CoI: CHARG( In O'....OOlGI t] IO~;J
, "~'~lfIt\'.l.o~"..:1,:.IISI 0............._"10 OQIVlN OIl:EMAINED OOll'VlN DJlEMA'NfO 1$1 a_AGE, .~.._... ~ ~
'k ~ono~' I s <J. ()OU 1i57a ri~~FlV W;'"I- e.v1. ~tu;. fi 0 ~~":~ BY AWAY $ ~D.on~. -::
E DIAGRAM, OF COLLISION' (USI ~U'. PW"'[NIAl NPIC,I,I[ NORTH DESCRIPTION OF COlliSION' (USE $uPP.fMENT....... S":OIf NIC(S$.IoIt"'1 -.t~
l~ , ' iH~!TIf:7t~~,.1 B"@R\l 'Q...iv.e.V' &..1M. kJeST&~ dlA 2t:>ttd..t.qtut~"'1No1d~ =::i
E . 5-111///1 )~;;~/ ~, ' ......,.. ..I,G"I~ lJJit-l<\R.~\<,,'t'S!;,c,il~~t-c>c.k"'" 13.."ke,.VC/f- -
~ 1:>,4-<> =,'" '\ \I<y' Y<lloJeo CG...........MIJ15.. "t-IOI~ B,...k.p"!'" tJ!<;l!aO ~. ;;i!'l
- ~ g 0 Vel+ Lefr 1!.oa.,lw"y "'" So~S'D"'S1"ltl"'~"'''T~SI''6 :=::..J
.-:::- 7"~::;'\' .1\1)) /)~ o~ 0,+<-1-1., VIi<U '$'/..ID S'iD~w.Y5'J,PP()~16"5T1l.jl1~ ::>iI
[::'";?' ~ -" G .. l)} ,c.S'':I~ p,~t-\OtAl\'t. V~1,f RoU~ "..+4T~~St-l!) iA'Wlft'10".t/ .=..J
- '~o."'~~)) 5T/I.j/,..i':',5S",,,jf5n...,:t.+C4clil'.-r Rolh...., Vf>H"f"J<360" ,
~ ) rt..... ~ MIL 1....;.,{.."S "~/W6'l4.UTlT$ $/..10 c.-I. f!<:,lIu
It'--/ B'%./~..... " >u ~""'\..')/ l~oO O~f.{) A-,D~ "'/'l'gs.:Ct>...~::s Tt> ~ 0'1 /T5WH.a[S.
;;- l,.-- 87 ~ -l2o..olw....., wev. =~ 0.- 5_1l"f/.&.<;We"V/iP"",",W Ii<t..V/f t:1
NAME, ADDRESS & INJURIES OF PERSONS INVOLVED . CODES l,l - I 2 13 . I S I 6 ~
OCCUPANTS I WITNESSES w~,n~~:~~~Z\T~...~I:; SIll AGf ''''V$ '....111..1 ,,,,...~ c~~ lIE$TR ItJf" U~~c~.
~NI I I I I I
~,,"!:~~lpf I:~~\(J~I~OMD"'MII O~CIO;o:.:;"'IO::': O\"8....~
NO~' I I I
~,t,l~~IOI I~H~\(~~'~OM OAMIl D~""O~~,," 0::':- D;-'~"'~ _~
NO I I I I I
~n:'II:.O' I~~~V~~ M O"'~8 O~~CI O;~~,.. D,::r O~t~:"\1
u....n O~ ol'el OI~P"'("'~1'1 POII(I "1I",VlO OATI Of III~J ...~P"OvtOIlY 1 DAn
a; 011 C'(!~~IC>/~ 1~-1/~'IrI.
-
Ig:'.. ~
vile...... r--
fU_""
I~"~w
1
IJ J/OU1(vo,:.,......,'"v....
"'DOWI:'~
[N'M'
:.. ol,Ol'lJ/f!.~
N..Mr
"PIlI'I!.!.
~I
x 19"tu)':"cLU;Q;;;;:;;:"'
"
j;i~' P'~a.
,', ,..,'
" . /.',. '," ::." : ' /,:,':,
.'., .. . " '. " \"~,
, ".,- '::' " "....""
'.: '.: "",' :' ',', ",' ','
: ' ':..,,' , ,: ,.
", "
': ,.'." '... .", ,. .,':
",.'. >","'. ',:
',:' ': "
",'"
<
"
,,;,C' '.
"
,'"
,""',.,
...,
,
.. ',:'
",' :,. ',:
," : ,.."
'; ': ,. !, '
:", ',,'. ,i
.;,'. ,'.", ',.. . ,',' '.
',,," ,.., :", :,,.", ,,' . "', ,
" " ,,'.." ,', ',', ,,:,' ,
". ..,:,' ,," ," :"
.. ""..',": " ","..,
, ,., ,', '.
,", "., ' :, ,,' ",:,,"".. ,
:,:::" ,::
:'. ',:'.' '
",', :'.'
,
,,'<,"
"
,.,,,.
,.,
,
',,, ',.'
:' / ,',' '.
,. . ":'.,'. ." , d
,'.
.' ,
",
,
~
f'
f
1
'ft
~
t"
l'
~"
~.
~
;.>
" ~
\
"Il
t,
}'
1
,
'1,
f
,
"~'.''':~'"'.'
(A) STATE OF WASHINGTON '<0' / 0' /
f-;/ ~ POLICE TRAFFIC COLLISION REPORT t2l TOAFflCWAY
I f 0 PRIVATE WAY
0....101 Olll~IQN _I, CiA'O!(OL,'~ION 1M! C~ 4.1 j',NO I'UYP>IO I
IT 17 "JCl 5itllw, "~ '''' .w ,~,,-/i:, '" '/!J7tJu" J.p-!fX/pl..(}:YYJ / C,
J . ON 01 DIN AtCIIyornO,^N I N7"("""/OI_!.11I~1101l,"_""A'I' ,r.;'.Cl.$ II,,?'":~I .....1 IltOUnVOl~'lIll.I.ll,.U\Jt.
//, :3M"" ti' Ow fiijo' C/)1I)14C-tl)11 ION Oil [tr."-(,-.Ki!'J{, ~f. (- I -';; I I '3t/3'Yo
INTiR5~'ING~>l 5111U'?1_IlO"'O.A INONIN1tll5lCTION PilflX I..... IMIU~T
/au..-fJt, fCIJ71../1/ IllfTWUN S1Rm, 511111l I I 6". .?3
I~ J 0I101AN(' & Or;f';.',I, N f MIl(I[II( ~;-l Cl10555U1Hlvll NlA~[51 MIl( Sf I ACCIDENT AMIi IU1.......rv.MUA.l...
l.~ r1~I:~S ~ ~ n n Ot M~~~[ I
COlllSIONINVOL\I[D IVIIIIIl' 0 .~,,',,_, DHII&II"N I In... 'NTt~1 X-liD Ii
~O~~~I~~S [l] N~~~~~~~~(~~:lO_ 0 ~1l~UI:O O~l~I~~" ....~'u.tb,H~ X INUIl ClS ICIl~S~O.iS~
~. OBJ!Cl STRUCK (NAME or OBJECT STRUCK AND OWNER'S NAMfl lSf DAMAGE SI'lCIAL CODING USE
No.
2
5
o
PCA.lCl COMPlAINT NI,JM8(R
OlIWUIINQ
.
UNIT NO. 2
CRIII[Ii'SNAM(
UNIT NO, 1
r- "ZO~"'iZ:A "{E:2 jJ;;&.,;/;, V"
~ '''/':J]q /...R/'u.-VI/'J L../of<' D
~ ::Ji:zp JA'U_ ~ "2l' Q5/z'2....'" ?~N';5qi/.. R "
..- DRIIIUI'!>UCl 51N STAT( I ...X .:::A,t';:'~~11 H'-l. I
'--- -- If? i~!;; 't:; V
~ ~CUPAlIDN I flllM NAMl & PIiQN( NO, t>~E5 IjlGHT S~Hf E
p< :It&1f:- I - '1' ~/I !Ie} / I R
&...-;,.. 0 CHECK (VI 1~~I't~:'i~~~~IWI~8~Cf~~~~iIAI
.CODES...."'I- :1 ti~~~> I . :~~W:""I '.J 5 IJICIION I 6 ;;;;i~.II(>clI -
III /r>u'_
00.\ 0 ...MB\JI....NCI 0 ~~CI 0 t!iP'IP 0 ::~,~:: ~ \"8'N!oP
rv- ,.~ '7 1-Z;~:IC~~f 71;;;;;;; 1",~;:;vl
.l!e- VlIdJ F2f;~N731 !>TA(?~ I'RAllEllPlATlNO SlATE
n:;:::;r VEtilC IDlNlIFICATIDN'}Ij <:? 5
'., /{oy,ilnr:Z.I ;J,c'1/fL;/,ZC,;7 .s
II:: REGISTillfDOWNEll lAST
_ ~;-?'t-L..
~ ADDll(!>SOfOWNEIl
~ NAMI & ADO~S OF INSUIlANCE CO 011 AGENT
e- LPv;./!A-rtJ;n'>7 ,
L-- tfIAMAGIOAAE.... ~~~~A:I~.:gl I~ I >N{"",'1L1-'2z41
15 ~ J . I ~6~~~'~~.o.; CHAIlGf .
L~--ho~~_~o~!tIES1.OAMAGI 10 ~~~yN DlllMAINEO 1
L I Ct:lm I~ l~~FfBv. 2W/'/J/'I&V1
(USE SUPPI!.~~N Al INDII'AT! NORTH
rH(U"N(~- Y): 'BY.ARROW
Uf'Z1..' ;"~
I
o VEHIQE
IA"
o PEDESTRIAN
""
o PfDAlCYClIST
M'~'
STIIllf AOOlo/h~
<lvt...:.liCENS( NO
\.
I"......... I "....... l ~"'"
I ,," I I ~ ~,"'H
OCCUPATION fiRM ~ & PHON! NO
o CHECK (tI) I VfHICU AN lM~O"(( Of A:rtrlHfll'AI
CODES.... + 3 ~:x~. I >....m~:....1 5 UC'ION
w~~~~N'" "\
PIMOllltllrtO""
SCINrB'
v H.YlAI1
I EYf~ IINtIGHT I--llGMI
. "'*'O'OIo\:>CII
\AFth
o ......Ilo.M.Ncr 0 C :>\>CI 0 tWo". 0 :::::,1 0 \"P'i'..~
MAJt..t(U\JI.Xjl.CH(V) 1~(DAIlT.NOV.A1 I:'TYUC"~lI .'-ur.I....,
\.1 Ie,. n'" No I""
'\.
E
H ....fH COI.Oll
I
C
l ....lHICLll~NHfI!.A I I
,.."
o IIt(;IStfHfDuWNER
~ !"UURl:.:>Of OWN!1l
E
R
MID~
I 'H~!NU
F DIAGRAM OF COLLISION:
t::: '\
r;r IJ& 6t.6: '
1::,-
I": ~ [,3,---==,
c..
I";"!:' /W.1< I H'
: ~ ~~c~:ri~.... ~",,^AGE3D MEA.. ~
, "o,.,,~,' t}. "o.~ I=:
DOllr....lN DIlEMAINED lEST O........AGI II .....-.. ~~
D~~~.:'&y AWAY $ I ~o.on~. 1-
OWJntu~f:'1;;2~~]J;;;;'IX;'ori- ~.~ ~
J?cmcl f!~;/}tE(fl!t'l'~~Y ;(U~7 S
af &A-'t,.~ /(k!f<D tf?[;i<,~t#[, P
~t.'vJ"c~(~ '.h:~,C:ff2;./G" ,<2/f~()'
o<.w.e,
L 1.> -:--
L>
.ff) I r
~ \ 1
.t:..... NAME, ADDRESS & INJURIES OF PERSONS INVOLVED
I . OCCUPANTS / WITNESSES W~ ~~;n~~~IT~....~W L./l1.r
N>MI 1-1 (!j .5'5 t'h4A/ I' ::r: _ _ ~5-/lf ~NO '7 Z '3 27'1:3
'00';1.,,;' i '(-;" ';/ ",/'if',.: ,4,,":: \-'./ 7" ,n, ~,,~~,6,
~N"""'l
1~""D()I1I~S
LNAMI
ADtJlII!o5
"ON
NO
~,t,j~~~l..o'
'::o-.lN!
N....'iJRIO'
'NJulI,r~
:~~""~~IIlOMOAM8 D~"~~IO~;IU D~~ D~~l..\.
X r::?i!:J/;";'!t~71lu!rJIYI..1 I'~ t;)~
v
';'},
I
, v,
SCfNI8V
Ckl.Lf2,:t41O /7.( AIlllr\l!C> PAIl 01 RfPOIU_1 ~:O~~/ I _ D....TI
,.00." ,,~V~~ V-f JI.1'7
0"1.18 D~~(. O~g~ll~
"'.. Di.':.l..!.l'
," :,;' " ." , ,',', . " " ,
;,
" ;"':'., '. "'..,'
," <. .
,.;,' , .. .' ,'.', ',;,
,," .
," ,. , ,
'" ,,;..,
" " ' " " :
,',
':' " !: ,:,
'" .',
'" ",
'..
"" " ..:
,...
'" .,,'
:", ' :';' ,
, ':";
',.:":.,!(
','.,,'. ',',;".,;,",
:,'>;(,; . ',', " " ,,' :, ..'
.. '" ,.,. ,
',:, "',: " ",
, .""..', ',';', ',:'.' . ',',
,
.. . ".:.', "
. ,"
"';.,-::"
."
,;
: "
I.;'
~P-AA.l!>g
~
Inf~~
I~RUII.f.I,
r~co~ d
I'
-.'J'
~
I7:z!
D
::5'
"
'7
,,"
~
p
gJ
PI
"'I
I
..
...
,;-.., ,
2
WSP'AA,l~~
.-
=>
rr~\\ STATE OF WASHINGTON "0' ;' 0' / 'No, 5"l I
f':l ~ POLICE TRAFFIC COLLISION REPORT ~ lRAf:flCWAV "'"Cl,,,,",,,,,,",NuM''' ' J
p<. 0 PRIVATE WAY ~
O....IIO'C.OI\l.,O~J. IUOI' UI~ION ,ll "MI lfC9t'NI1IJ, '711'NO CIIYNO
CZ l2. Yo J"i1W' "" '"" "" ,~" " ~: II ",)'1-';c;>>" IIn. /1. '~'., 1:--
I ON 01 D'N ~YQl('Ow", n\ N^",,('f,NOO~~lIit"%~IC.H""";' os '';.~<..l.~lIoflE'I'" rlOUIE;,I....~'.."""'"' I
'/2- M"" il' Ow [JIo,~/(J((lt1.<lh?(yION/)t.O<'lJ1.,4-.,..ti I~ ' /4ffL .1"-1 -~, I 6o/.1' /
~1l!>tC"N(; WI\H,1>lIlE(l 011 "AD fJ NON INIlIl!otCTlQN {J V pj;/(fIX 1<<0 Mw.l P<n.T
"7A/IJ.lJ~f::Ct:t..cY IH1WE!N !oTIlHT& !,IIlHl I C>, 3 J
13 I 1!.IANCI&I.l';t'N' N MIIU,IIl(N~f'CIlO!>!.!.'kutOI!NIAllt!>'MIUPO!. I ACCIDENT RAMP 101... RAN-OAT,.
U__. H ~'~~S ;; A ~ (] 01 M~l6~E I
COUI!.IONlI";-JOlVIO !.1....tll'J'f 0 !o~f.TAGt 0 HI1" IIUN I >u...tJ'IlO'''~ '''1:1,/ l:ti. ~.1l0 !'.!! I ~~l.~ llOAtlOlil WllliNCl
~O~~'~~5 c2l N~~p'~~~~:~E:~:lO- 0 ~~~~~llfO O~1~,~~[ ""U~'" X ,INTER 0$ C11C6S~U:"~~~/
I~ OBJECT S'IIUC~ INAM! Of OtIJ[CI :,IIIUCI( ANDOWN(II-:' NAME I 1:.1 OAM..."I S"",,CIAl C~l"",, US!.
~
ID=~~
1~;~R.t.l
t
~
k.
$
UNIT NO.,2 VEHIQE 0 PEDESTRIAN 0 PfDAlCVCU$T O'
IZ0Rd!toeLf I:h~A fl ~41-U~
. "i'i'07JUlH1 tbVY1L JL- ''jO'''''IIou7l7n/ tJ_uJ th- .:# 7 I r=
~ CIJ), STp.TE ZIP COOl T~O~tNO 0 ~11~~ SI", [} IP _ ~HON~NU
p-:::;-f"'T Jen...l~"?,.O lL/1U Qr/3t.8 w51-2.:2-1<' R 17/0i-1,.'Ylrli'-""'cfl t<.JA. 9t 361> 13'15 7/'/3
~ o(5'S'/301~6,.I 77 3 Of.- I w;' I; I ,tiLt" !i.3 ~ Clr~'Btvff::r 7 t. (. 4J~lIX~' !J"' ~"';4!il'
\2/u7:~[~"'MN~"'"O"'NO f?~ 1/;~1'L': :;:~:"'.LJ''';E;;;r'NO .:tf~ Iry~'F~'-
L.:::: 0 CHECK{....) vf~,c"...s'ZN[Mplv'~.1'~ci'~6T~fR' L 0 CHECK(r'l I V!HlmA,SA,NEM~O~~~~:'OI~[II''''L ~
~CODES'" T 3 ~jU~' 4 ~1~illA'''!""" S IJICI,ON I 16 .,'c)!o...I/C~CU CODES" + 3 ~~~~; / 4 :~~W:.'Nl"""" I 5 IJIC"ON I 6 ~~l(~II(.'CU 21
L '"" ~.:' '"'" ~ fi.'f.""-'- OIl
M 0 ......BUL.....CI 0 ~~CL 0 ~!i~ll" 0 ~:~,~:: ~ ~$,'...!.O' 0 .......BcJI.....CI 0 t~~Cl 0 ~mTl~ 0 ::::-;:: B ;-,,~'..\I'
T.oMY;(~"CH~V~ iL.jOOH,OrH-NQV...) ~TYlEI:lOR.COIWI V (XlUl.>l.-I.HEV, MOlXL1P_ART'NOVAJ l~lYLlI'lL.>:"'I.~"""'VI IPO'"
ro:- . (jlb(/'/.(I-Cq( i.. oil'/"! 'f IJv E '"7' '~;jO I P &( : "
~ "m~J 1657'/!I~1I ''^kltv I ""'''M'' "0 I"'" 7 {;;l:11z I"Yr't,/2ZJ f~~~r""~"'NO I"'" ~
c
r,=-"~'''''I>E'''''''t:''ONN05, LI '2,JJ:z-,o CI I 2..,0 Ol ','rJ'.''''f.''''''''N~t7,
r'o<{ l!y,J''r,K; ,1'7,v.rJ,L.i !", i ' ,Il KNZ.,3o~ 2./,7,4 ! i : ' , . :::;.
IT "G"d;;:~ "'" '"'' MiD'" ,"ON'NO ~ " "::~;:.->-~' '"'' M""" "~,~ ~
., ~ "'DORE~SOFOWNfll N "'lJLJ'l~ OWNER ..:t:J
~ N~~'';T~1I,^N7J ~Ar:.~_/wvJA" /' J Tf
~ Op.Mp.(;(f,';;j({... .. .. ~l!UN
ts l J" C.."'RG
l~ r---r .!_'_~".~ ~ ~ DIlIV(N 0 REMAINIO
~oeon~ s6aJ 0 L~vtf~v
p.- D':AGRA~ ~f C?llfSfONJ J, ,J51V'~P1r~':f. ~'"
1:= lY.otlrtM.1<<" I I . i ,
EI &~(j' 4d.
UNIT NO. I
..... MiDOl
lli _ _-'
.Iq O'QSAok!.'J;;; Ma~jA
~.
(i
~,
i\
r=
l~,>
C\_
1"-
l
~
!'
~
~~r~\I~~'1I0M OA,MIl o~~tl O~g~,(~ ~~ O~~'..v
I~/'~:~II?'''DI/~:~:~V{[' ;:Z~j~~~p';;%l / D~'l '7~
1
ol!'i
,
'..' !' . I'. ,..,,-- :," ,:'i"
'; ':" ',', . " i ".', .. '. : "'':;'",,',.
" ;',.," .'
" ',., :,',
';, ' ",': '," ". " "
, , .'....... ,.',
. ' . ',.., '.": " '\',:,
,,' :."... '. . '" ",
..' .'" ,....~~;
;, ,'.. ".
'1''':-'''' '
,.'
~,
\
.
~
1>:
I:
i" .'
,:" \' '
"
" " :, <,ii,
", ',' . '.
': ' .
".,. ',.'
"",;" .',;".
,
:,
,
,.
: , .,',: ".'
',.'. i '. " ..
" " ',', '.' ",
, ..'... "..I ,'..,:... ..', '. "
,":, '."",' ' . ,< " ,,' ' .' ,.' :"
..,'. . ,,' .', .. ,.', '. :: ",:" :i,.. '. . .. :'.. ,:.: '. ,.,. ' .:':
" . ,:. :',.". ..,.,:: ...' ' .': /" .
,.,. '.. ',,'.' ., " ,', ,... ',.... , .. . '., . ',,' ". . , ' ,'. "., ". ", ,.
. .'.".: \,' . ,.' ,"'.',,'.. ',. i..
, '
,"
.,.;
, .
, '.
: "
.;
..
~
f'
..
";"'11
.~---
----
-, ........
STATE OF WASHINGTON
No.
5
() 666
~~
~, STATE OF WASHINGTON
~ POLICE TRAffIC COLLISION REPORT
P.o."l
No.
5
o
6
6
6
...-
r.
t,
~"
t~
i,
.~
/'
1
~
,
'..,
1\"
"
!
I
f.
~\,
r"
,
,
.,'
".''/).','',-.- .-..
'j
~1;
1
I
.....51' l!09l~f'" I.eo)
~,\ STATE OF WASHINGTON "0' I 0' I
r ~ POLICE TRAFFIC COLLISION REPORT 00
It- '..,...' D::~~:'~W::y
_P'" r.OI t.91I!~lOt~ _I; .,.__...tlA.' ?~~.;~~'~IClN '," _ ~ 2';;t~ nCOUN11
LL n'J:z.:ttl-I"";""''"''~!''"'',''"' 'Vj5;];'1I JE/~/lJ
31 CJN 01 DIN L~I"OlllOWN NMI~~OOf~'1I1110IlHI""W"'Y
(tOM"" 0' ~~ iio' ...L.." '~1l1/ ON r~A>_ /Jot"/ue
IN~III?C"NG WIT';. $IIlH OllllOAtl - I';.ON INTUll>fCI'ON r
A/Ei'3S ~..e4I~ .A:dWftN Solf1l(1 & - loll1(rl
I O':"I\.N t&O~t~1 NHI M/lEfl IN ,CIlO:':'SoIHHIOIINIAllfSoTMIIIPU& ACCIDENT
- H ~t;~& P, ~ M ;; or - Mt~~E
COLlI~~Tt;:~~OIVto CiJi1 ~:J(K~:~:D_NO.'NJUII(O--L- 0 ~~~tAG( O..HUUN ~=i..~
01 '.'IMleus lLJ 0 PIIOPlll1Y OAMA.c';f ONI y 0 IlI!>UlllD 0 ~~~,~'l1
'lr OBJlCUf'):~IN""""'[O~S.TIlUC _KANOOWNtll'&NAMtl (&1 DAMAGE
'1 J::' $, -e-
No, .Il Cl n 'l n a
POliCE CQMPlAIf.{T NUMMI<
I,,':;"~~
IM;ut....
1 "CliON -aol
~
COVNn T C11'1' hO
""
O} I...OM~I 1'1<[11'" IItOVllOM:'I1Wcoor-
1...1 31 I 9;>2..00
..lilt 11\ IIQ, Ml(l~t..:i,~?
Il"'-MP r'A(,IlAN.o.o.l"
INll"' Jl..:k.D INrf~;-t.~I~_:'kt.( OflIlOAOOQIIVfictNd-~"
X IWIIl CL$ 0l0!.$S~3~RO~O -
$Pt:ClAI COOING I,I!,f. -.
UNIT NO.1 UNIT NO.2 VEHIClE 0 PEDESTRIAN 0 PEDAlCYClIST 11~
'2. O"""N1Jt:l~/ ,/JAt;:~I/PE' v";;U~e7;tz:~""~~.6~""-Sr/..l, cl~~?'/5''s~~)1
E'""' ''''''AOO'!IJ 4.~.,,~ &"c,.,~..-,,::s ~""'_ 'H';!~? /Ik~ AG I ~
Ih. ,1'1' /) .. _ SlAl~ _:'PC~Ol . ...I~ONl.;_ ~ Ill' II..," SAU A .~IP(;OOf 'HONINO j.
_ ;7_ -n:"d"-,U.;-.,-~,ZJ -:'/$. <i&1Y 3oJ'::Ut; /77177Ud,k, ~-(lh-- ~1<f?-5~'
1'z.. OfINIII'$)3N~N :-T sl....n IX 1.~~ll~~BI1I1H I l)HIVL~lICIN~NO ,I _ :"""1 L~;l\.. 0"" 101 Bill H --..
L=. ",tJb' e?V'v-d-rt,fdeT '"P{//; I' ~ 1.5" 1:3',{. v ~Cl6e?'"....:a'J/''/?J'S,I)? 1-""'4, [TV! 'h: 0, Ii'? 1'2
8 OCCUPATION I fl~NAM{ 'PHONE NO, E';!>J 1w(1~~Tll'<<:lGHl E OCC,UPAI1ON fl~M NM'o~ 'LHO~E NO A -1~Wt'GH11i-t:~GI-i'
17 ~m.o 1 H.;2l ;LA5-!fI ~d~d;7/ rvro(~dK/If.tJ~N..tJ)LI/!DIS-?_
L..-. 0 CHECK ("') I VfI-iIC~:~~ \ 0 CHECK (,I) I V!I-iICL! AS AN LMP~dvrE ~Cf'~~~AI 'l:::
E CODES" + 3 ~~~~y 7 IJlC"C)N /16 r.s:~"IIC~ CODES'" + 3 ~~.:..~~. . ~~t',~~'''? 15 I./lCT""," 1 6 ~:~~I 10/"
Z. 'NJU~lrS './r ~ I~U't.I:~U' IIA~I~
ur~N~'~O""'f)i!''''Me'''L''NCI 0 ri~CI 0 ~!:~'fP 0 ::~,~:: 0 r8'..loJ> v:m-"W~o'" 0 ......au,......" 0 ~~~tl 0 ~g~f1P 0 ::~:l: ~1'N\ol'
V[H;r~ -lfMKE-hr~[V'1 1 MOO~t.NO\J1" BAR;';:;.~ E H 111 ~~;J~[V) NCDl~;OVAV1TYLZ;~ l ~
[lH~OR. ItIC\.~~[Pl':tl\1?p")l!>lAH'J! TRAIL[II PlATE NO. STAlE H VEHCO\OIl 1I l. j~ 15>lAlf .ITR"llH~Pl.ATNO ~t .=J
DI!N, I r.U'f1J) '1-W't7 - ~ ty.L~" ~S'?1,&~eT 'l'ZIA:1 - I ~
r:;: 7;c'AMC'Z;;~ 111..f: Ti11a -t/ A II (71" 11/ L A~3DI~Z;AolllG.1 X I 113' 5: ql qi II I I I :;
~ RGIS~&E~T A)/JM'IMI;:'OL~ I PHOM NO 0 WEGI~THI~;~t flll~T MIDDLE M EN ~
13 AODIl[~~ ~ o"'~Nrli-/- ~ Auun:.:. u OWN(1l J 3)j
z. d'11-0&"e.:,~ ~ 7"ir.t:&W'-k?; '{ -:
~ NANH....~~~SOflN~UIlANC(CO OllAGE:h R fINJYIlANctCt_~_....:[,.,_... r~-i.:-J - z
" ~E72-J:..- rr-- ~~C t/..l-/l.,..,... i .-r.//W7r:Y.....,.", 72'X. f&f'"XI
z.. I~r ..",,,,,1 ~ ~ ~L~ I C'~,!o.::'NG I ~_~b'All("" 2;;;;
rrri,ti~:~O~~'I,,[Y~J!i:J~AOO~V'N o "M^,NIO CHAOOI ~/ D"M^,",DI',,(.J_u~.~: _~~l,'l~iJ~':;oj~~
1- - 1080"01ll I t7.hNn~I~'li~~IIY 0 l~~ lIY AWM I s.x~ I. .
[:;: DIAGRAM OF COlll~~~:. _ ... (U~E ~UPPl(M(NlAl IN01C.Alt NOIITH DESCRIPTION OF COLLISION- (~(SuPPUMfNTAl St1f(1lf N(C(!.SAIlV) J3
~ TT~'~, '~, ~"',N'~"":"'11 "mow '-n_'--~--'''#/~-A''''~J:;A--.-.".-,-,--::J)-'--'-'''lI:J>T-'E---=
-I ' j '..J I ~it' ; , , I i (~l _l/t:::IT1Cl..l..E__"_,..-,,<.,,../l'r~LJ,J;.WA7~(.I ,,',.- :::::;;--"
[;' --:-'r~'1 '1-1''1' I" :,' 'T-!-j'lTT-i T ,--v.~' aLifli-z.-::'---'iii!3I1l,' --':)2-'-";'&,"---"
" , , ' I~'t'--t- - ,-1 ' +-r', . I I ..-, ~ '" "'", ......s7Z'/A ,,~~~AI-Ll.c"-- 3'i1
+'11--JI-I""~ 'i"..-t '-i-,-l"~1-t-"1-' __aHS'/pesr...aP~,OI'~._p17U!:Z)__ d
..' , ,:'i-~'-ffi" J. "--7Z>V='C:~/~d#~I/eaL..f/LI_--~c'73il
E~ '++i,-'i<Y"j,t,/T,t'!, ' ,~.j,'+1 If:;, ua~"..(h'z) "~AV. tJsr:z!P
I'j" \. , .R! ~d,C ~r1fLL".eI "q,tt:.g.4~." '
,j,-,;, !.-.LL1"~l' '''r-t'''''I} ,~~W+r --.vI::*a.a;;,#/~M~~/~':"/-,
-1+1,I..j, I +",ijJ "w,. ,-' /(PtLGZ:).1>~.p'~.&?h7, -- 3'
I' 1 1, I I An. I ~A I I I
I" NAME, AD~~-& INJURIES.9f PER~Q~S INVOlVED . CODES I 1 - I. 2 13 . I 5 I 6
r- /') OCCUPANTS / WITNESSES l,~ ~~~j~~~~~~,,~n; -;(). "j-"GI..1ST....' .~ ''':.~.. ~~~ (','lJ~. I.'(STli 1 lJ!CT t:,..~~;.
N.A,M' ,A:P~ ~J'5(..f :O'CfN' .;;:SKr-7.3fl. M ,Q-..K u, I
AO['lpm '~.;"' '~ :V, ~"'~~I~O' SC(NIIIY 0.....1\ D~~{/ O~~~~.I~ Q~~ O:-8.....y
~ ;;;'" ~~;;~"o, :t::S'W'OM O'M' 0 ;~~" mg~" 0 ~~ O~'''' "'1
L ~~I I 1
^OD"I~!> NATli,"I.ol. ~~-n~\I~~ 'OM D.....t\ 0 ~~~" 0 ~~~"~ ~\~ 0 ;:'~"'"
X 1;;0~.ra4""'''I':6'~.,o'r'N''Jn,.'N:i~ ';5&'HIO I~:;o 1~;~'''~.:e1 ~o::;;
.
, " ~/i " ,
,'...: ,.',':
. ''', -" "",',;.. '..:.'."...:,
,', " " .' , " "':
,.", " ,',:', ',' ... ",:
:,.:' ..,' ,,',' J, ' .".., ',',' ' ,
. ,".:, ,,', ,,', ".," ': .,', ;'"
.:,.' . c' ',' ", "
" ',:' , ,'" ",..'.., ",:
": " .'.' '.:
" ',' "
,';'.. ' .
.': ", ""
,... ',,' .";. '.. ,',
:,'" " ,,} ,", ' ' , ' "',,,
,..' ':".",;: ' " .
'.," ",' .' ,," "": ' :
. :. ..." '" " " ',' ".,:"
: '," " ,', ,'..,'" ,', ' " '". " ,'....., .",.",
'" '.' ,,',,',", , " '" , ..,': ':,.,..', ,
"" " ,':'" '..,', ',', '" ",.,' ,', ,',' '." : ""'''",:..: ""': :"
, ",';"~. " ' ','. " ' , ': " , " .', i '., ' , .. '>,,'
'. ,'"."" .. .'" . ' ',,' " " ,,' ,. '.
, '
"
:'"
,:',.,'
':'
, "
,',
';
'"
:,
,.."":,,,
, ",:,' ',,: ~
"
"
...,..,"
,
1
1'~
,\ ,
',,,
~,
i
~:
"OOI1H~
E"M'
:. "ODli'l~!l
"AM'
IIPPIIISS
, I'N~'''Alt'''~j~I~~1 & UN'
x,;;2? ~.::;: /?q~
~ STATE OF WASHINGTON
~ ~ POLICE TRAFFIC COLLISION REPORT
~v~O~Ilg;i~' '~O- ,:,: :.0 ;~.'\ ~., )/ ~)~~~:::l rOu~","":~~c.-j CO\INIY1Ce, C"Y'~
~ ,..?.P...z. ON]iff D'N Cj~II'OWN NM'ol'NO OfSlIl11101l..,(,HW....,
-3 M"" 0' Ow ~o, /r??PL'..~ ON/b~.E""~2' /;?;;:'
INlll1!.lCHNG WITH STlltll 011110"0 INON IN1U1Sl(hON .,;I,,~,,/"T>"''''''~
nr-- IB{1WE~C> /c.a..-,y ~TlltE1.. ./ ~~_~ SUI[(I
/_ DISI"NCI.Dnl~,~~fI/OMlnH"'IN {CIlOSS!.TJlUIOIl N(....lItSlMll( S ACCIDENT
~1/'SVtr~~~S ~ A ;., n Of o~u ,cd:~f'........../~ M~~~f
COllISIONIN....OlVEO,..,., ~~~~:~;D NO 'NJU'UO./ 0 ;;:'~~"'Cl 0 H!lIIlUN I NJ~'!~D~Hi
~o~f~,~as)LJ OPIlO""~...c;.(ONL... - o~lIlutTlD O~~~&~ -
q OBJECT Sl~ IN.......r 0' 06JICi ',UllJC. ANOOWN[II"S NAMII (Sf DAMAGE
;' orYF.G'_5 -~h""..",.f~...-J Q><).-.)/~./ $_
UNIT NO. I UNIT NO. :1
~ PilvlIn. NAMf LAST HllloT MIUl)lf O"'XI!'lo N-'M[
- L /d..'.47~5 --..., ........~ k-c "
(i';.; STIlU'?;13 /...Ro~:r" IT~
1,,::;;,(, :~.w~/ STAn IIPCODi: I ~HONINO 0 r y '\.
r /"r,n;;,,{,C/ ~'.//f' 98339 B"~5a3S7 R '\
C /;:LL~~L 37-;;2. CZ; ;;;; [;1ldAl~'i/ ~ ,.'U,,"~~ \.
. ~ 7;;B':Z I ;;~~L;N(&z,c{~ $)p$ p;;lJ2; ~ OCCUPATION fiRM ~ & P~l NO
o CHECK (f") I V[HIc:~I...s'ZNrM~~~Ht>rA~olHrRIAI 0 CHECI( (,1j I VH.,el loAN IM~dy(( Of ANeTHflll'"
~CODES + 3 ~:;~. b .. ~~~.;.'NT / 5 IjIC"ON / 16 ::::~~t<;'CI'-- CODES.... 3 tii~~' I'~.. m'ri~'"' 5 UChO...
c.. S ,"'7:; .A:;:'/",;.,//" ~:;-?./ M-:';,... '\.
o ......IM......el ~~CI 0 ~g~I.., 0 ~~~:: 0 ;'il....~P l/OOoO 0 -~.....Cl 0 (\).'1'..1 0 ~81'n. 0 "":::LI 0 ;-.c:.~
!'MAUlDOOGICHEv, IMOOEl(O~V"'l SIYl!(201/ CONv} I~ 11 ,. I HV) ~tID"'''''''''''''VAI I STYU I I ><<W
~ /fFd-(j 'z;;t:>7;>,",,:', C"c4~ ~~/'2. E '\ I ~
I:, VtH 011 ../ItlCENMPI...TfNO .ISTAn ITRAILUIPl...lENO 151::- HI VlH 0l0Jl' It .~.....l '\. I I Ila'A'1
~c~ IOe7~ 1.4.Vf! - I '\J I 5'
~ V[HICLflD(NTlflC""IONNQ f Vl"'ICLflOfNTlfIC""IUNNu '\. ~
i'~ tJ;?!.2.13~8i/?I/IOi.7\71~7"i ,IE I I I I I I i I I ! '" , I I 13
~ IlEGISnllfOOWNU! lA!o' fillS' MIOOH PHQN[NO wO ISTlllfD WNEIl lA!oT flllST MID"" I P
- ""':>...-9_.s ~_~ '\
~'
11h? "'DOIlHH)I'QWNlll N Ell '\. J
t-< .5>;;>"-.6 "\
m-- NAA\E&A~Ofl[S~SUIl"'NClCO OIl"'GENI : '.;oo"o~A.....~....... ... '\. r->>J_"
I~ P'/"?'...J~<~ - ~~,~ ,;;:;;;..v....J~-'"<::> '\ .=J
- OM\...a.'iO'AAfA l';JOA,tu~ 3S?..9y . I n';';''';,;::G'J DA.Y.AGE,"*tA ~
I ,. C"'All~r-1:> ~~.;c:...s ~~~F c......IlGl: f~C"ON"'I I , . ~
I'~ ':~;:J;:~'~oi1' $;.'<"" 0 r~}., S;;2:....6a..- 0 ~';.";';>" 0 ~:;~~" o "MAONID ~'~;.,::':;;: I'~;:~~~'::l:
t::[lMIAGRAM OF COLLISION (USE S\JPP\I NI"'~ NOI;A1JIl~'H D, ',SCR IPYION Of,C 0, LlI"S, ',0, "N, " " '''',,',',..., '., "'," T "',. ,"',,',"", Nt", """.",' .',' , ',', ~
~ ' i : ! ~ J : : n 1'"~".1 ti"1 j ~ -~.2"";,i-""/'~S;.:,.:;;.:;,v/j~;-a.j>4.,:2,,,";C S
! '1 j i ' Pi)' J. I'; ..Rb r:-.-&-4 _ ..-T....J>-.;'-.J /$'/~~. j~ ,"'/. -=.J
rr- . I 'I' ~-1. ~ /';.&>' I ; I ' ;. ,..c--.,/.,...",~.4P""'~, "..-?, ,c",P,.J,d: ;7Cl, d:s: -;;]
C" 'I " I ;J;;jP' ,-d?""~J - < i I ?~;;--::<<<F~-t:.. ,7~/ ;::"'3" $;';#'.;=
, I ',I' '-i ~ 0, ; I ' . i'~"""..??/~""'."'J>,u-z::o.,'J::9? y,.k;;:::-~~,..~
~: "O/,,"V ' 1""""'-'-" -;-.-1." ~~';;-,L/""=" ,~V""ue/c:" ..:s.F__~~L p
- "~~~~ ~',~ I,~~.F-S,._, ____..
iftIJ ~V/."-~~ ~ I~~~ *",,,,;.&/4i>, .s...;4!i,;.,)~;c- "/.PB",j';";;~f
,t I ?~I , I ~ i"i-.. e",-. ....... .s.c/?~7;;""'-F-<- 'Tc. .R.:-&~ ~......':2:. "
~~ME,ADDRESS&INJl!RIE~u?,~,J;~~.1j9!:i~H~:-iVOLVED ~CODES",I_,l,,1 - I 2, 13 I .'I..s.l.~.--.J
OCCUPANTS / WITNESSES fOJl ...oDIIIO"l'" NAME~1 M.- lAG''" b;',uusl '''''..'(1''I.w"" c"lj~~ l"sTIl (.lfC'; I. ./:..
~N' I I I
~"'TlWOf !J:j;Jf'e'l' OAMl'l Dr;:~" 0"";". D~:.r D:tl~",
NO f>j, I I I
I ~lr~~/~OI .,.---- -~. - I~mv~~ IIlOM 0 AM8 0 ~~I D~~". o:z 0 ::.~...v 010
,'" ~~:;ror I I I
INJUlllfS :t'j;itv~~ '.UO 0 "Mil 0 ~~<I 0 ~~II' a:.::.r 0 ~~'w
Itl~~IOIl "'CoINCY I UNIlD_ OlI(IOt!oPA'(HIO POI'Cl"llll~oID"'"orIlIPOll~"'PPItOVIOIlY/1 0""1
IR8'V .us? ~~~-Sl cf:/!.? o~~,;( V"'?o;ot>-3>1 -/1i~~1 t) ~J9
P"'C;I I Of,/
~ TRAffiCWAY'
o PRIVATE WAY
....SP....I)Y
No.
4
9
o
2
o
$Ql'Ct COMJ'l....'NI NUM&E Il
I
'HW" 0
lo'~"A" f2J
1Pt1~UU.i
I ~<"o..
~
'C~I' ""3 I~ IlOV;;z;o
PIlHUl rQ MlLlPOSI o,~t1/
II..."" tllA Il"'MOA'A
1"1'.... 1.';1j,ii Jl.IlD I~N Il I lIT. IltlOAtoOJlIlHIkT.P>IC.'
IXIl CI$ ICIl~S~150S30
SPECIAL CODlNe; USJ.
I
o VEHrOE
u"',
"An
o ~~~STR'AN 0 PEI~::~;;'Cllsr IJ
Ip
'n~ I' "'~ i-'~
I ..., I d I ",A~"i" ~
1['1"($ rIGH'll'<<lGl-il...::::...
6 !oIl....~.(U 3:;'1
b
"I,
'> " /. ,.,!'I,::,n,
,'~', " ,', :"",',:,')""
, " ," ,.;' ,:..:, ",)
:""',' ...."1' .": '.'.....,..," ,
,', :,'" "." "..' , '
': " . '<, ",
" ,',",
, ',' :', '," 'I,'''
,:', ':' , ;' ,: "". ":,:,
" ",., .'. ". '.
"",
, ',:"'..'
:; ..' ";, ,
i'
,,"
.~, '
!
" "
..
.'
\
"
,
",'
;'..,,i"....,'
: '
,I'
" .. ,',..:.:
" '''',., "
,. :,'
, , :,' ..',' ,...':, :
',.' , . ".':,::., ',. ,...:.. '. ' . ':":",,'..
>.: ,,','" ...' : ' , ' ,
,
,,<
:', "
, ,
..
",
" ',',
.',
,
:'
, "
,
,',
, :..
"...'.',....' ,
",' , "
, '
,
,
t:
f
If
t'
f
~I
7
k
~,
v
,~
'j'.
1
t
r
~:
k
{<,
~
t
,~,
"
f
~
l
.'
, ,
-'..k"":.,;"."';'>""'-"
~ STATE OF WASHINGTON ,"0' / 0> / N I I
. r 'U1 POLICE TRAFFIC COLLISION REPORT (E(TRAFFICWAY PO(~;COM"""""NU",^6f"
II 0 P.'VAIE WAY
D"'I I Ollll N ill. O"'OIl0tll,I\..lO'ol r ~ lMf ~ IlcDUN"
[Z 7 :r 7'o("~ '"" .",~" ;l(~'i~:::?1I ~/'~~
I ON Of DIN ~~.." N""'I"NOQJ~TIIU:OIl;G~W""
.:2. M'''' 0' gw go, ~-P/cJ ON5'~..J5.,..)~~
INIIIl5lCIINC.WI'M SIIII(TOIlIlOo\.D NONIN~~oz..d'/z _ ./
8HW(fN V.4'UC'/ S,UI[(J &O?~ ~/ !oU!lIT
D':.'''....CI '~I: .1I,":":,,""'Il:N~l CI!OS.S.S.Ullll(W NI""t!.IMIU ~:>T 1 ACCID[NT
b , 3 n,,~(~li (; (; ~;; OIP.?/.?G" /~..:S/ / M~~~f
(O(ll:>ION IN'IOtvLO ~c:~~:::o NO INJUI!ID ~ 0 ;"'~l~AGI 0 om.. 6rUN I ..:.'~~~..~
d-O~t~I~S!. 0 0 PlIOfIt-;;;O;::AGIONI'l' - 0 ~"~U(1(O OW~i~~ _
(:) 06JICTSIII)?"'....AMlOI08J~kANDOWN~NAMIJ II~T D,o.,y."C,1
o :r.-e~.s :7...,-//...,.12'"'~ C?o~Tv .-
UNIT NO. I UNIT NO. ')
~ DM~~~;'AJ.-J ;~1 A ~... J D~~N~{
. "':;/;::~ W,4;t;a;:g J8:; ;?g 7? ''''~
~E;2 "/4,~<:v/ .0~ 9;'33;; J;;~.70 ~ "" "-
- o;;Z;;;~fS7"'-V.4 I::; /; I ~fCY?'~3 ~ "m"MN \.
l2 ~~~c IF!RM.~~=~ f%s~;: OCCUP"'!OO f1RM~I&P~INO
..... 0 CHECK(..-) "\ifHIC~f';r.;:NfM~Vl.,.Ef" A~~1'R1Al. 0 CHECK (,I) 1 VfH1Cl ~At.lIMPlO.,.ffOFA"K)THf~AI
~CODES'" 1" 13 J:':'~~' I A ~~'::.'.., I I 5 IJICIoo.. I 6 ~:~vlPC'c'!- CODfS.... + 3 6~~' IX ::'~ii:"'" S U1CfIC)/oO 16 "",..~"cu
-- 0,.:) ~ IN~~;;~t~ut \.
o "'~'-'l......cl 'W1 ~~Cl 0 ~~". 0 :r:.i:: 0 ~'...!>I' th"'S'1~11lOII/I 0 _IIU''''><C1 0 C '" 0 ~"'. 0 "'::::: 0 ;'.1~ ~
rf:o /97..r1M'~~ 1&:~IS'fl;;;Z ,~H.,.l" r--tt~'~HVI ~(DAR1,NU.,.A' r'" ( ,~~vl lOa
? v H--=",:OII. I LlCI",~ Pl"'U N ,I ~l"'H TRAILER F\,t,u NO IST...U H VlH COl ,l '\. I I :),.....Tl
.&! tJtz rvL.) 7.?/ I ~ - - ~ \l I
~;:JD(gF~17/~o:.s~3'I?i~' L VIHI~lll~N"'I...11 1 ",.,
~ RIC,I~IlRIOOWNfR lAST FIRST MlDPU IPHONI NO R ISllRl.OvWNIR lAST fIRS' Ml"""', 1 '
'-- .5/;?.-?<:Z:' <;'"...?-""'=- 0 '\
p~ ,t,DORI~~OfOWNUI ~ " ...""....l.I'NNtll '\.
I-"'- 5.4_.:::: E '\
m- t.lAMf I. "'OORISS Of INWR"'NCI co Oll...C,fNT I...;>U~........,....... '\.:0
I'~ .,Jo""':>cz R '\. _
i.--- OA.MAGIOA.RI'" l.@o';;....~....c.1 1~"n..J,.-_ ~~~__r-, Iri';'~":.::G'J D~AGf:~tA ~
15 I '\01'. I H~~~C~'~;'.;"': CM J G:.S _,.,~ CM...RG( I H ~~~'= l .),,,....
;Q:::JO.Ci,;oJ!o II~' OAM"'~O r~:;;."...N OR~"dO 0 ORIVfN o RfMA1NlO ISl o.w...c;.t IltJ;---~~~
I s.flc~o tf?Z;: lW'f1.,.oev ~~~,.j 0 ~c::~ e.,. .....W...Y S 101l0nOllll.
. ~ DIACRAM OF CP, "',ISION: . ", " ".'_,',Il:::"ll~~,P~~'O., :~~",':I ,"_ 1~~~I{~'M DESCRIPTION Of COLLISION: (USI5~lfMENT"'1 SMUT IF NtCI~"'1
c-. 'lit z~::~ ....~ :;:~~~~~..; 5
~ V i AI IEJ C,'Y /"/P, fi j/":$:;.. ~;e;r" ~/.,/~. ~
~c,_- ~ft;jl' . '7(,":' ;r-. :, '-:.d.,::"~~.'c._.,':'.,;~P.!, .~, ~~~ ~~~r-~ c~~- .=.J
- ~;;;~'~..z-",,?-~ ~ :s ~
, 5. . , I ~~f-~~~ ~;="
, i ~7" : ~'~.., "':~..,.,),L ~&<";..5. , 8
I : ' :' j
I" NAME, ADDRESS & INJURIES OF PERSONS INVOLVED . CODES I I _ I 2 I 3 I . I 5 I 6
I- OCCUPANTS / WITNESSES ~~ ~~~(~:'l'~~:: -5I1c" ....(;.1 1ATUrJ.....w..1 "...,: L~lul.u"t I ucll~~i.
"'0'"
NO
:-t:'':'itt"Oi
:;0"'" I
"'''''~IOI --,. ~m:....~~IRcw. O"'AAe D~.Il;' D~~... O:r~ O~~....... <<l
,z-"" I
~~'t;:,t~t)f 1:!~~~flOt.oD...AAtI O~~('O~". ""..
"""II OJ r:'o.;,H .!!-I.~~'c"lOl ~~ ARR'VlOI 0...11 01 "tllOll~ 1""Ii'Olfto..
~~I~I.~n ~~O r1~:Z 1.I-:;;.~9L
9
4
C7,'.'KJ Clln.o
/ ~..::'
>,e<> 1:,,~_a'l
..., I ~j I
"".., r
I
Iii:".'
UIit....N
111,/1"4
I~ I:~;;"o
Mlll~1
r~"~ d
t:).7~
RAMP rl...GR...M 0...''''''
IN... I~;'I n, I:'~ );;:".1!~I,(lQ~~!...A~IIIlOAOOU'l'flrt,~1
1/\ I CtS ICR~5/:j/7;;
!tI'tCIAICQDIP\lGv..f
o VEHICLE
...",
o PEDESTRIAN
"'>>
o PEDAlCVCLISl
,~,
'0<001
I
I'~~
>>AU I~' 1 '".,,:.'''
.IlI'IO DAY n
11~Sr'~11~~I~
7:7
::<
M)Dlif~~
(N'M'
x'
"'nr"',~~
- .....""1
"'l'l'''l~'
AMI OW(I 0"";.,.0::..-
o~....'"
r
O~~',~
P""
x~;"7I~~ J)~ ::;~?
""",,; ,.
?&
,,', ',''''' '
,
", ,"
",
::','oo
":,:"
:,;';' "
..,' .,:'
< i,' " '
'" ,
, > " ',,,:
" , ",
::..: ":, ,.." ":
',' ":,.'
"
,
, ;.',:
, .'
,
,'," ,':;
: ~':
>.
'.'
"
,', "
" .'
'''', .'
"
',';' ' ',":"'c':'.
, ,",' ,'.'
,. ,<': .",. ,." ,"... :" " c,', , ' ' , ' :,
,.',"
:, ",'
':"',
'.' c,
..'
',', ,,!''',
'.." ,'oo
, ,':.'
?J
""""
I'
~
j
=
~
::!'
~
~
lL1
..
, "
STATE OF WASHINGTON
, 0.1
.....SP.AA.l~!I
No.
9
(-
_r
STATE OF WASHINGTON
No,
20595
~-
i
1\'
}'"
1
f:
~:;
t"
i
"
t
.'< ,
" ,
~"
lir
"
!
f
t
$'
\
.
"
t
\
.
.~,
~ STATE OF WASHINGTON '-c.,
rt ~ POLICE TRAFFIC COLLISION REPORT
.~ OA Iml.OUl~L()N DAYOI C;Oll'>'Of'- \A' l~t '~~(~O\JJ;/ COUNTY
oQi t,' i~ \;J~ lit;/< '~t~i&( '"~.~I'.' Je~re";.;....'/
I ON 1(51 DIN CIl'l'Qlll0W"I NAMI'''O O'~llll(l()IlHI"H""'AY
. ~ M'''' 0' 0'" Do. f"r'r lu-lt",-, ONI'4~"u':rr 12" rX./
INHI/SlellNG .....11H SlIiH I Oil 110#\0 NON INlIlfYC110N
ftflWHNtA.t 4. S'/rdn! SlllHl & l oJ J./oLv /.f"..t.~l#lfT
L OISTANCI & o~,;p_S'~ IIIOM IIflllHN I. CIlOS:.Slll{f I 011 NIAI11S1 MIU PUS' ACCIDENT
2. :{oo t:i ~lll~S ;:, ~ ~ ~ 01 /1 r ~ Mt~~?E
COLtli~~:~~Ol"'[D rn ~6"fl\~:~:D-12-No INJUIlW-'L.. 0 S~llllAC.1 0 l-ll! lIIU"- ...,~~~~..~
'7 OeJf~:T~~~(~NMUO'OlIJI~S::~C::::::~;'~:::ll 0 t4\EUl11D O~~~J~tlf ISIDI>MACI
W!.PI~lRtv I bOl
No.
III TRArflCWA Y
o PRIVATE WAY
1'1r\t:"71
POLICI COMPl"AI"-I' N\,lII/Illtll
lri:-'
o \,IIIt._
"'...
7'(; c.",.,
'9c", 1'"-"'..;':" ,,,' ""'''~
~ ? I 5'.031#0
Pll1fUt-rO r'L.l POlIT 2. 0 e/
flA.H. r".......flANlOo\I
I x..~p Ir..~;-t~~~.:~' .'.";..fI Oll'Jllft'l1NCJ. (73
''')Oil CIS ('~.S~;;~~.t.O-i'~ ._
SPlCW COO'NG U5E
I'"''
"t
I
UNIT NO, I UNIT NO, 2 0 VEHIQE
~ Ofllll'l'" S N.........I tA!>f "flS If DII"'ZII'S NAMI LAS
- . I-1l5n/'./!nr .Jvlrr;, ~~AY,~~ '\
[::S'flf~O;;f9>' /JW /l1fSrv JI{~tJ(;A' t.,.v SI"lIT~S
~ !IV SIA ( ltPCODf PI10Nf NO 0 I I \
_ .s:("-e"e",le. J~A '7i':Jf1:J (,'7-J..OJ"'(:J',
Ci;;'~";;';:r/1 JOt'- T :.::' ;' ;;{ 1.'G'tt"'( ~ """'C"""O\.
I OCCUPATION I flllMNAMI &P!-iONf NO, I_IVIS Wf:IGHlltiE.GHI E QCI.UPAIION 'lfI~""""I&PHONINO
l ,1.."',"I,',..J s~: ~'" /"',J.!~'r.' c !CIA! s-..>r1lf5' R ' \,
_ 0 CH~CK(""l Vf~ICLf""S'Z~~~'i:l~r&"'~OIH[fllAl 0 CHECK(." I \/EH,e ...S...NUo'....oVrf... ...:::tfrv:r~l...L
~ODES + 13 ~~~. I. m~i~"l 5 IIIC1'0f-j I 6 ~W~l/(YCII 'X. CODES'" + I 3 ri~~' ,. 1... ~~~;::Nl / 1 5 I.HCIION
2- ~:~~!~Of '\. ;'
M 0 AMIlU,......CI 0 ~~(1 0 ~mflll 0 ~~~::f ms. ~~SfI ~~~"WIIO"'" 0 .....1lUI......CI r: CI 0 ~H;'Tf~ 0 :;z~" 0 :-''if...~
[ In:> ,lf~I;;:IV'1 ;;~~~NOLI 1:;~;:€CONII'.1 E HlAfI .MAA lOODGl,Cl1fV) / ~Il AflT.NOV"l IST'fLfI10fl_'COO> I
'Vl;.l.l.Il.Ofl ,uctN~PLJ!'l[NO. SIAll I TfI....lltfl f\AH NO sT....n 7 II'I~C:OlO;lf ~i M.J,/ ::Of"'l!'\. 1IIt,o,uo< AIlNO I:'"
$,1"'<1'1. 1<17' I5zl'1 WA - - c I /'" I
~ VfHICLflP(NTlFICATlONNO., l II'IMlmIDfNIlFI(AH NNQ- / '\.
1':; Jl.: L I I I D I f I 0 10 I~. 'I; . d I I I I I I I I I I I / I I I, I I '\! I I I I I
~ flfGISnRfOOWNlfI lAST fiRST MIDDLf PHON[ NO 0 IGISnllfOOWNl1< ~ fiRST MI~ I PHUfloI NO,
SA-.....~ A-S IJI1CUel'? W/ "
'~ AODJlf!>S Of OWNElI N ....ODflfS::. Of OWN.l'l \.
S,w" e E / "
_. ~ NAMI6A\>DIlfSSOfINSUfI"'NCfCO OIIAGENT ">307 PIC,'fl"" e.'.' rr RAM"""/, tN5~ "'NC:(CO-Olo/..."t"'l "\.. 32
r:::- C S(: 1{A.te..,!.~ A(..'c,./f'oIS ~N...s..-);;;..,A. / ' ' .. \'.-
L=. ..""'.,X...... II d'",",.." 1,!)t"0' ~ ~..A~'AA" -
pi-.If' "~.r;I;h,~,~~::!:f:rEr'~M" ~"M"NEO c..,yo. m:;~," D"M"NEO'" 1,1?1_~.'~~. ~
I ~ ~l,o.ono~ I $"tDCO In tW?fllV n~~~'~6V $ 1'\l:--~I58Cl"~' -=
~ DIAGRAMOf-COLUSION ~11J!, SUPPLlMENT/t.L _JNOICAlINOIITM DESCRIPTlONOFCOLUSION IUS(SUf"P~MINTAL511f(T"NfCf~...IIVl 3::.
C H ~~t4J7; '~Ti~. FT;f--r"";-r1 ';f~- ~ ~;~;~r- tif~?:"-.f2';::~;:~~?i~~-'--=-~ ~
E 'j " 1-/,;;; :V1,--L-J~Ij ~~ ,_1 i Ii r JJ~rn"r.f;'_O_V;:t<:'~ ~:__-fi~-,:./.rf_;""/~ dl
, _ .. J_p; _. Lh,'S _ -I : _' _-,NOLlfll"!',,, _S~I{_ _l>I.J/<t<: ..(o/U.,-".cr_5J'_____ -
_ "~_; ';;1 4-j..lcli'l .... - ". \ ~ ;;M~ sr.....vC({ ,t'?(&, _ I...I-"~r .rr:/~. fl.4",r.:....-:;::iiI
E' l-, .,. -;:-,;u; j p.~,. " 11f~ IIr-Hf,c.t.r., If",f(t!:~ e:>.,.J, <t 0;<< eo_ " -, .:...J
_.; ~ ,: I ,.: j j 13Ac/( t>NTC' ,If'.s w<<t:e-.-/,..f _,_,~_..'~,.".....~-
o PEDESTRIAN 0 pfOAlCValST
,'" f/
/1
.-coo. ,,1""'
I "'f J 7"
,/
0""(01111",11 5
NO (DA':U ~
[VlSIWllGMTIf'iIGI1'~
. ...ofOIlo:.'C\\
\.....fT.
t-...~
+ CODES L 1 J -.1. 2 1,3 ., I 5,L 6 ::J
'''Vf'' \I....., . ""fev
Sf.-...r....c,r ''''U!. .." ...." (,..~~ 1I1~'R (Jler .....,IT~
I I
; \
,
! I :
;;
NAME, ADDRESS & INJURIES OF PERSONS INVOl VED
OCCUPANTS / WITNESSES IF~ ~~~~~~~II~L~S:n'
:::0""
"''''11.11.<1';''
,,,,,If'
..~,'.l
",.
;....,.~t,., -"
S<~1""1I1 ...,"'" 0 "M6 0 ~~" O::'::~T ~ O~: 0 ;-''i.~..,
I I
IIIM0....111 ,po,", 0 ...'"'" D ..~'" ooot.. 0 I'H 0 :-:"~~,,"
Yf'll ~l' u 1 ("'''II ..... I
~~y:;;.~..,..N :::;""',, D.~'.' 0"'",.. O~~,: C-::':,..
:..,[ ~~~:~"I: ;;~;;~~;~ I;:?& v 0;8 9
"Drlr!~"
E"'M'
::.... "D:'III"
"""'i
"-",'
",
'~t;:;,fF'
] .,',,;,:.1 .(J~ ,.:., '.' ,
Fi' Jc5.1
,".;.",'"
"'r.f~,
x 1 "'r;;;;; ;. ;'''' "'.'
~t..
of' ~
..;
, ',,/,', '
"",' ,'c,'" ,: ',' ,",,:, '."
", ' "', ",
',':;' ,",,', 'J" ,',"
,; :".':,' ..',
,": .':" " , ''', ,,' c, ' :; ,
, ",':' ",,>
":' ":, " .' "',' " ',,:
;, !' ',', ;", , ,,',:,;
,', ,,' ",." "".
" ... ,,": "
" ',,;,
:,:,: ,,' ',:,',':' ,...,:
'"' ,'" 'i":' ,"' ;", ,
, ,', '. ,,' " ,'" '
..' '.',' " "':', ,(,',
" " "'. ,,'.,: ..' ,'.
", '",', ,': "
,i .' ". ' , ,'.,', .'i:;,'''', ' .. '
,:'; ','.'..'" ,':_'., . ".. , ,,":;,'...' ',' '"....:", '.;" i,.' i', "
:', , " ,,, ,':',:' ,,' ',' "',
, ' " , ' ' , ,:::,.., .. " , ,,"
,',,:
:,"':
,,'
,,'
,'" .,'. ."'.,
-'-
",.. "
~
~
Q
b
,~
,~
,:21
7
1=
",'"
~
~
g
EJ
""
"I!"
........
,j..',;
~
1
'{"
~
~ STATE OF WASHINGTON "'0' 1 0' I I ?
r-r ~ POLICE TRAFFIC COLLISION REPORT (j] TRAFFICWAY ~~;COMPlAIN1NUHblR
I If 0 PRIVATE WAY
O""(OIC.Olll~IO'" I A'U''.'jLI'l>'V'''," I'M( COUN11 C:~YNO
IT 7 z.;, '9olw. "". '"" ." ..,,, "" X 1I'''';~'~;u, ve/J H, / 6.
_ 0 N 0 I QO IN C'l'jA"IO~N' - . L N~E 4 N(J "f 111((' O~ HIC>...W...' ;r.; I..... ~ u.:
M"" 0' OW DO. ~41/M.A'.A'ON ~"''''_'I./..,
IN'Ul~ltll"'GWllH$lIIHIOI1~OA.O r...ONINIUI$(CjIj.... A.. k PIIHlxT MIl,E~f
16E1WElN . ~HIlE' & . A, '/. ;J 0
r,-/ OI~IAN~'t~;},~?!:'HIOMl1lf}"(N:l CIIO~~~'W((IOIl Nl.!"l!l~lMIl(I'O~1 ACC.IDtNl ~P OI......RAMtlo'IA
I f If R ~';:$ ;; r=, ,,, ~ 0' ..le# /01 M~~~rE
COI.,;~::~~OlYIO N:,v(K~::Io_NO ''''JUWIO_ 0 W,1ILLAC>1 0 HIIUVN ><<.J':;'i:::~:..~ IN
~V1HICt[S [l] i! 'PlIOPlR1YOAMACE ONLY 0 lA~ULIID O~~~,~~
I.;') 06JICT~IIlUCo;lNAMEoroaJ CI~lRUt"'AN00J1lEI1SNA.M!1 1'$IOAMAGI
I i /..K'rt!.1I $ -
UNIT NO. I UNIT NO.2 0 VEI"'UOE 0 PEDESTRIAN 0 PEDA1CYClIST I ~
'- O"Y"'''AM~O;~ K"q,e~ I/v~"u roo" "VI',"AM' u"', '"'' MOy~, LJ
r-::- '''''''''''''''.:2ti?1 f)?I.$-e7(I/1l-U,?J.( M. . ""AD'"'' I 7"12
lb CllY L') _ SIAn ZIP COot PHO~N.O,_ J.. 0 I Y $''''U ~!"IO.
E ,UrUAPtJi!I/!/, "(.(1.4, 1rb..<;Izr. R /I
- DRlvlN'eiZ1.~gll I~l 17 ~u~?~~~ ~ lICN51NO I $IATl V M)U7fD~.6'1~. ~
~ OCSU'J'IION_ ~ I f!RMN~l&Pt10N(NO L YlS I'MIGHT HEIGHT E OCCUPAIION '111M NAMI & PHONE NO / 1'15 iwt:GI-l1IHlICOH1_
z.. /'7"""""~//"i=- t[.k I/U, r-4' R ' _ I I
o CHECK (V') If ~~,c~:~rz~z.':.:~~(~ ~C.i'~~~~ii l 0 CHECK (~l I "~Hltl~"'$ t" A~H(QlAI ,I";.....
. ~CODES.... + 13 ~~i~. I" mi~:'''''''U 5 U"l'ON' 6 rB:'i'..."'.Clf CODES'" + I 3 ~~~~. .. ~. _ /1 5 UCIIO" 6 ~;~:c<w .r/11
Z. AIhAj~ 'e ..::;j
... 0 ......B\J~...NCI 0 ~~CI 0 ~,lJ~nll 0 ~~:.~:: ----wI ~8.'..? Yo 0 _aul....Cf 0 ~~~<:.I 0 ~~~II. 0 :;:."~l: 0 :".1'..?
IMA.K( (DODGE CHEV I M~Y)..OAI1! NOVA) $TYlf,(~? CONY) V MAl. (DODGf.eH(V I MODU (DART NOV"') Il>o1YU (;11.1".............. I _
~ I ~YtJ ~.-e.. S)'z.() E I ~~
l=: ~ l~ht?ogzyTM, l'I!AllERf\ATlNO I SIAl[ 7 vtHC~Ol1 III / :,.'" I II A I' A ~_
r;? JT3'CJf.'l/" ,611Jz., K 00 36,( ('0 I~ V<H'C"'~",",~A"7, : : I ! I I I ; I I I ~
;:::;:::::: l1lGI$TlR!OOWNll1 LAST MIST MIDDlE PHON[NO I1EGI$1!IlWOWN;,Y' LAST ~11!$1 MI:lOll I' I. I
I~ ~U~ 0 / ~
'z. AO""'OIO_" ~ "O"TN" L1l
.~. NAM(~~OR(SS~IN$UI1ANC(eO OIlAGfNT. A R I ~ IN$UIIANa:CO~AG(N ~
~ ~~.&"",c. 7fv,4.. " I...,.
'--- DAMo\GfOAAt... *1'f:lnA IN 1JY:JU-3/JU ~ "". I ,;'~.;",'.':O,~?~"
E 1 J. ICHAI!Gl tH"'I!GE V' .....'
~ .~ f 'TOP "I, (ST J.[ DI1IV(N n lEMA DDIII.....EN 0 [SID...MA(;E
'~ ~oio'TTo..~ ~ '~', ri~~BY d~;':(f~ ~_.... 0 ~~"':,;' BY AWAY R(MA'N(O $
C D,',AGRAM O,F COlLlSIO, N'" IU$}",l>YPPUM(N ......L INO~C r NOIU'" DESCRIPTION OF COLLISION' (U$( $uPPUM!N1Al SIIUT If NECESSARYj
.. . ' " ': ,'''''''':'''1'''':'''1 -I ".ow ,lIe:J9tt2i.Jitl"'/~~SiiitSi:iS.i&-A;;ii2Jo~;"-~._' -, ~
. '; " ;' I i4:n:M>',;7 ii' ,.;J_ ,;A~ A ~-;",,~....
E' '~~~~~.:. .A: " " s~~.t'~~~~J;~
. ' ,. _~ .,~\. ~.:..............., ., ;! '" #e;'1.Ut:!!?'!7C~<r ~~-"~-"'t#N?p'
- -:-.", -:--:;':-v;-:-, ,.::;:~ ~ - '-o.l.~,-, ~'~~olW.a--/~~
F' .,: ~ ;,,:, "':~~k1j ~~/~~.au~;~~~~~~
r:: ~AU./~.r,' '~, ,.",.. . ",'--. IF ~:::t&",e.fU~~lIuf#=f!..kJez;;p.--
, , .:;;: : : : :' 7I-/!f; r:.~~#' (~~&r/.t'.E"--'3
NAME, ADDRESS & INJURIES OF PERSONS INVOLVED + CODES l' _ I 2 I 3. IS I 6 .:J
OCCUPANTS / WITNESSES (~~ ll:~~~~g~~,'~l...~:n,' . s!)!-f AG( TA1U~ '~vl,"1 "....i 'I.~~~I~~ It('si~ I iJfCil~~~~~
-/l/~A)c ::o"N' I I I I I
~~lli,~IC'lr ~(NfIl1 Oll.M8 O~~"l O~~,. 0::: 0:-8'..101
N6"'....1 I I I I I
:;~~~l 01 ~r:t.v~rJ/oo.o., 0 ...,..t 0 ~~ct ~~~' 0:::- 0 ~~....... ~
".'.,PIOI
'''I.,II,,!
n c::: Q I.
I Ig=~
I~"'o"
25~o"
""""
''>!'
I
i(.
I
~t
f
).
~
:l~:':,
',,!,Y" ~~ ~~~:A.S~~r;:;ORRri:;;t,R.........uOll14HIIlr.ra
X 2:' /J"tJ
SPlClAl. COOING IXoI
~AMAGEpA,l1(". ~
t] "";:J f--
I 10.0.";0"'" $~
. .~
.~
t
J
1$
! ~
I
AOtll11 ~~
E NOM'
70 AON'lt'
",...o,lr
AI'I.I/I'.
x I"',J:';U:"?,, .
!
h,
,: ".,~
, ~. :', , ".
. " .,','.,.,
..', ',,' " ','
: ....'.' ,,' ,:' ,
. , ..: '. , ' ,
, '<;,:':'
:',::'
',,'
,
F\;:~.::.,
':,
,,' ,,;
" " '.. ,~-~ .'.:""
, ,
:", . ,
'"
,:'.
):".::,
'l
',,',
, ,
:',:
, ""
, '
,:
",,),
)::
','
, :. (,'
....')
, ..
':,' '..'
,.'
, ,
, ,,'
...." ". ,",
'i ",;
, ','" ,," ...,:"', ...,. :, '"
,.."".,', " ' '":,.',, ':, "':'" "."'"
, :. ,':' ,.:' ",'
, ',' " ..',
:", .', ". '.,', "::','
'" .' ',: ", "i....', ,\ ::",,::' ' "',
, ','. '. " " ',', '... ..,. "
"
.. .':' , ,
,<', )';'>, ",:
rm
U
{'
!
I
,
"
~ STATE OF WASHINGTON '-", I 0'/
r ~ POLICE TRAFFIC COLLISION REPORT ~ lRAH'CWAY
I J .... 0 PRIVATE WAY
0..... i 'COl\I,......~ ;. ,..'.....':."'11'-:'.....' .,...., COuNl~
li 0; .17 c,~ lilj~ "'0>0 'UI\ ~ '.....1 ... \A' !/g.i~~oul'l :J e,r/~",'J""""""
~N 01 D'N CllY01l10....N NAMt&NOOI~UlIlIOll~IC.>iW".,.
L( M.", 0' Ow 00' Qv:(ce."vl!:- ON P/J/fo;::! /f.f
'NT[lI:.fCTlN(; WITH ~'IIUI OW ~AO INON 'NTII/SotellON
18ITWUNJlA'tL'1 /11'_ !o11l!!1& L~_c .Jr;!/'f'. !oTIIEIl
II J / OI!.TANCJ & Dr;I~!.'.~ '''~M ...~!lItN~1 CIlO!.!.!.lIHf,....... NlAIII!.l Mill PO~ ACCID[NT
~ 11o.;J tA~~~!. (; ~ n ~ OfIU/I'J /'1r # Il;A~ M~l6~[
COltl~~~:~~Ol.VID N;II(~::;O~NO INJUIHO-'2. 0 ~~lIAGl 0 ...lIUUN ...."Z~p~,,~
OIV(HICll!. [lJ OPIlOPl,,,,OI\MAGfONIY OIlt!'U(l(D O~~~,~';i
141 06JI(1 !.llIUCK INM'l1 0' OIIJECl :>'IIUCI( ANOOWNtll':> NAME I
No.
7
4
4
[g:".. ~
UIl6""'~
iV'''''
3
1'OI1'IC~Pl.""NINU.y.1l11l
e7(; I""'" I
'';Ie" I~~'I W''''I'O'''''''''~'''~
f _? ./) I 1 d'f/B8=
'0'''' I' IM''''''''J 6-$
01......11"'101 OAT...
I~"~ ~
ON I'~ X 110 It'll 11 lit II 'ADO" Jll.fUI'l...c.1
::x' CLS IU05~~:II(?~:}t)
loPlCIAICCO,NC.W
lST PAM.-.c;1
UNIT NO. I
.
UNIT NO.2
~;~~';r ~ r. A' //. 'D PlO.~:C"sr 1:1
/.1 ,;'f /,R,';;A r.6 \ I ~
;f'rNfJ. ~&>r \I"~'~ ~
C"'W"/7J' -toP, \ ~~';;:"'.. -5
I (Y(S rj~TI~~~' ~
,~
7"
"'7
#<
;i.
l
1,
iI\
,
J:- OIlIV(II;'~~~C r::~( AN'/:J;;/?
loTllH1ADuJUlolo
r-:- /700 k'/J z,/! t. 1"-: "'" r K.!
~ IIY STAll IIPCODl J PHQNINO
~ (), : (CeA/1!:.-- ev,+ '1.1'.:17(. 11('r-n,:zs'
t::. ~rV(Il'SIlCiN5lNO STAT( I 'I .... "__IHI, H
I?A~./c 1. /J~ ~ '701:1 C /,-,/~ r- ,;; i O';7'~
r OCCUPATION /flll.....NAMI..PI-lONINO Ill'lS JMI~I-iT "'IGHI
~ - - 1~..vII'(J "'7 R
o CHECK (.-') IIfH,c:7i~5 'ZN":t~..~YI~~ ~"'~~Bi~f'k'Al
r-:- CODES" + 3 ~~~. -, . ~~',::.'''' "I 5 111(1.01< I 6 ~WyIlCYCll
,~ i~;;:;~~~R,~ ~ AMllU::':-CI ~~~:-"~ ~8'TIR 0 ::~::: ~ ~8'..~
VlH;:; ;;~h~('CH[VI I ;';~;;;AI IS'~(~2:CONVI
~ VtH Ol.UIf I UCHlllo[ Pl......,. Nv ISTAT[ TIlAllUlI\Al( NO SI"'I(
l3.. S;/V"'tr 11/4'f1F"( W~ - -
rrr- V(I-iICLI IOl:NlIfIC...1ION NO
I'j J :J A 0: ~ 1 '" ';z. ?, (i n ' , 1 : i
r.r- IlIGISTtIlEOOWN[1l lAS1 flllS1 MIDDlE I PHONE NO
c:... ~H;</CZ; UI /f.LI.d" 1'/ 170'-.1~(~
[3 ...oorm.s Of OWNIIl
1.. /7"0 tI~cd/ r.,:..vr If.!
r;-:-- No\Ml & "'DDllESS Of INSUIl"'''''CI co OQ "'GENT
I" PV1I'CoJ ("30,) -r;',? -7yro
'---1,~"",;a1b'''''. II Ji:.7,::::-':o' 1;:;0'"
i-=!I J" I Rri'r..f~'g;t: Ct-i"'RGf
, --'-- . ~I($~ ONoIAGI 10 DRIVEN OllIM...INED
.ono.. I 53 0:;:; 1&1 rrE~~e'l' S'A-'V~'Y'J
~ DIAGRAM OF COLLISION: l~~~l~P~il~~~~1 INO~~~TU6~:1t-i
~ q: "":'.;i~
~
~-
IN::>v~A
LlIlIV(Il'SNAM(
Pon/'?'/
o "
R
~ IUWllo'1w':,u IN5oIN< A
E OCCUP...IIC)N
o CHECK (,...j ~1'ttf"'S""HM~O'l'ffOf""'o()lH111''''t
CODES" + I 3 ~:..~:v .oj ~;'ri::N! I $ UC'IO.. 6 ~...cr.'vCtt
~ 0................(;1 0 ~pCI D~. 0 "':~II D;-.~'_
~~ I"'" I "'I IMO"'''D.'''~''' I"'"".' "_., ,
7 "" r ,~, ~ I' ." I I"."
f Vlt1ICtEIOt:NWI ... I
i : : : i
~
,,"
~
h;
'10
~
o
I
2)
'Z "'uLlWE~ VI' OWNEIl
E
R
,~
!,
I n.O'!.A.....G I ~~DARtA r-:::Y
Ct-i...RGI lH=;'g::c.~ "'0," ..
. . 0 ~~~N ORIMAIN(D IsIST DAMAGE ~'k~Oi(j"D~~ 2
O~~~Il'l' 1-
DESCRIPTION OF COLLISION: (USE SUPPlfMENTAI St-i(lT" """C(~"'I !,.s
n4N'~C"', E. 'Ji>.J~.J .-v t?~/.JJ/.J ,1t'.4.1_ ~
ki,<vf J.p. """ ~_J t:C( 0....... K.#, -=:::
VCJ(:'"~ S(:J -1',1: /foAl !J-v.{, ,1f'.II<,! _ 0
J. .... "-' ::Ie ('/ iJA.v I: ' :.=J
~
~~'
- ~
. <:b
- I
, j
,
L
(
F-
11) I ~
1; I i
NAME,ADDRESS& INJURIES OF PERSONS INVOLVED . CODES I I I - I 2 13 I. I s I 6 -
OCCUPANTS I WITNESSES ~~ ~~~~~~~~t...~~:; -"." AGf'1 T';'1tJ~'~vr"l ~t.i c:-:'t\ 1111$111 UCII:"''?i.
~f I I
~"'T~~f 01 !oCf"" IV "'MIl 0 ~~u o..e.. I 0:: 0 ;<8',.\#
~)~r I I
:,"""~f.Ol ~mV~~'IlQoY. 0"''''. D~.!(" D~. 0::':- 0..01 <<II
,,;()~r I I t...,,\. -1
~~~~!~CI' ~~r:.:..tI~''''UI'o''O...y.1l O~~C10~...O::.: o:~~,\#
UNIIO. ~'~';f~:":'''''''{''ICI POI'(....,,'....o O""'OOIll1"C)81 I~~v 1_ 0"''1
OI:~Dlr 10;.!-:,: I o)U~'a {)P.,)f~J U~ 1,;L:;2. ~t..
...t'['1IPI\'
F"MI
..
. '''(It'IlI''~
c.. ~......t
"'N'IoI"
x r'"f'~;;~;~''''>})':';'~
Il...oc.l011 IACtI....(.
I/~ I ,,""_"~
~
..,.
';:
}
i
,', ,'",'
,,'..:: ..,..,:.:..'..\
"',' ': "I ,','
,;;' " "~-~,> i
.," ,
'.. " ",,:'
:' ',,:
i :. ""', ..",
",' "
, , .,'.",.,'"
',', '".
>"
~ .
,
'~,
,
f
~,
. , ' : ,e. >,,',
" .
,I,
,:i.',:
,'." ",
',I,',
:,:' "
,
,
':,'
,
':".', ,
"""
" ,'," ;"
:.
", ...."
, 00'
..
':
,:'
'.'
,
'..
, '.
. ,,"',',
',' "','....,,,'"
':.." :', ',,) ,
"'...,' ','. ',., ,',.
"
"
""'" '
",'.:,
,', ",':':
, ':' .
:.
',:,:.::"" .
,", ,'., "
," "
..
'.,.
,
"
-
,
I
t
F
t
t
I,
f
I
i ,
f
1)
.\
,
t
~
r::- G ST~~~~~FI~~~s~~~~~~N fi':RLc:~~
12 0 PRIVATE WAY
D""IU'(.onl~IU'" ...mO-L1I5iO~ 1 "MI, IICOUMt )Jj O.
r:- '1 2:1 9~ 19 .~ '"" ." '"'" " ~, '"/f}/:f:''' II vc..l~,Ji,!',J
L1- II ON ol 0 IN /1"'1' 011 10.....N I NAIv\llNO or~'IIUIOIlI-i'G~W....y
"I'Z- M"" ii/i, Ow 000' h;~W~N PC/.1 .4J~<;'.e;;i
&O:'~H"~CIINV WI1I-i ~llltllOIlIlOAO JNON INltllMCll0N
~ 5) \.J?f&tl-"> '";Y1..t J LJ (~IWHN - ~T/ltI' 01 - ~111H1
13 OI!>IANCIII.O~I~"QNfijQMJ,/I'IO/IN('I,CIIO!.!'!.llltll 1/ N1"III~I""'lIPO:' ACCIDfNl
I - H ~~:S ;, ;, l. ;; 01 - M~~~G[
COWSIDNIfWQl.VID ~~:~IlI1;D NO INJURIO 0 ~;~AG( 0 l-\IIUU,," ...,i.'~~~:::..~
~O~~~,~3s ~ N~'~~~I'[~AGIONLY - OllfSUllfO 0 ~l~I~';';
'q ~jlJICI SIIIUCP; lNo\M( Of 08JICI STRUC'" ANtlOWNO'-S NAMI) I ISl DAMAGE
- Is'-
W$P.AA.ll>ll
No, l.;j (l I n "l
I'Ol.'Cf COMPlAIN! NUM811l
lai:~' ~l
UIi'$.......P
Ruil.....
1 '''''ON I-m
I~
C/(NO '''YNO
a, I",!?M as ""Vlt (ROUT( OQ' SUI((T COO(
',,,, I.?O/'>/
HI'" I r",li.r ~1 . ~
&"31
R",^"P 01" RAMtlAl"
H(~ l.:.tID I~ l I RUT II IoOIUOR
X lN1U ClS ICRCMS6'253/
SPECIAl COOING ~[ .
Hoa.>-40
UNIT NO. I UNIT NO.2 VEHIQE 0 PEDESTRIAN 0 PEOAlCVCUST I 1"/"
t- "1V'~"v'/~'e=s,k1 '~4'fi.:". /:"" '''''''JAa :'::-'-) 77,i~d ffi;~U
ro- ''''''7'8/ Ac.~ ,eo. ~J>r- '''''''it' I ;E'~,l1~. 4--e./h.6 7:5 zll ~
LLC'TY /) StAlE IlPCOOl/~tJ~H5'N[NO Ol"'---n 51"" ~~1'5~ .,~(~, ~
- 1"77'riH-1/.(.~LJ,.#'A- 7 r~i Std~ /'r. 77r~;..J..e/(/~ "./R-i'.t5~.5 3-fr=~,,"a ......
lZ IVEIl'SllC~N!>lNO SIAn ~)J DAltO(III!',IHH I 'D"jV!If'~IIC!N:.I.NO I SIA(,I SEX _OAIl_OffIlIlU1 ~
ktJ.()/c;;.-eL';/<)vA.-1 -a#, T ,;/,'11'" v ,&;tf'~77Ife/l,p::T 1~'IY-'1 ~. i, :I'z_/(,
8 OCCUPA1IONt) I fUlMNAMf & PHONf NO (~ WEIGHT ~I~"H E OCCUPAIIONP_ l!'RMNAMt&PHONfNO ~.;I'^i~J~GMI
2 ^e'il-" , .o/./"?5- R A'E7r- ,.ocVd'J:I6"':'Z'-
L...- 0 CHECK (t") 1~'fN tMP~'8~d ~C~~OlHH/Al. 0 CHECl( (....) I \If'''IC~f M "'N~~:~~:r~~~8,I"'L .~
9 CODES" "t 3 ~~i~~. T . m\~:."'" LJ. I 5 IJI{.',oo. J 16 ~:~.~ CODES'" + 3 6i~~' I I. ::~\~::"'! a s IJlC"O" I 6 ~:~II'(Yc'l I;;;'
Z INJU~l(s ----zJ"o.~ .~ A "~ b
U~f":~IIlO"" 0 ........aull."'cl 0 ~~'I 0 tg~T111 0 ~~,~:I Rl:'8''''.... ~~~i~.IIOM 0 _eu,ANCI 0 ~u 0 t~~"R 0 1If:r:,: ~II~""~
ff: V{HYR~ MAK{IL;~a, MOOytii2'::7 STnE(2Z2 E VHYZ,e I~EVl ~Z;;VAl Imsr~vl ~
,- v H,C~OR IUCEN~[PlAHN<;' I SlATE . ",1'RA'l,fIlF\Af[NO I!tTAlt 7 VEt1 c;JDR LlC~5J ~.~l~~ IYA.W ~LllH\A ,.. ~
L- k ZOo;JJ?Ai -uJ#j - C .oIU. </,tl'/lt'I NY -tWA.1 - '5
'S? TM"~';B'7NPi q e.t:.=:z. e>~k' c.J:'?i4Q U L ':f4"'6'!~!C I :3058;3;3 I : I I i ~
~ II[GI!t~~;~~~, A'~ t.L.1.~DDlL, PHQN(NO ~ IlEGISTEIl[OQWNEIl ~~fIIlST MIODlE ENO ~
t~ AODRESS Of OWNER ('" ~_ N ADDIIESS Of OWNEII 1'JI
L ~M C E /---fJ
~~ N""~'::;;;':"'~"7~N':CO"'~N:"A' t>-7~ ~A./d.." R '","AN ''''~(N IYlI
"-...:., ~ r- <AI h 4 =:J roL.J '""<1-, /'- ./PLLf7?l-rt: ~ ,(77_ ~/4.;;?L:J~ IN I <f1
O..J.'i.G(bl~EA I dh7~"":';".GI 1C::!.!.A'IOt> AJ~,I..Ie ., "",, ., ~ I n'~!>o'I<I"G D........N;;fDARE... ~
15 1 )' . I Q{~~~J'~~~: CHAIIGt C~""RGr _1.P~ . I. ~~f:'= 1 ,J,o";j', .2!
r--,~_~_T.O-"_~~~DM"'AGf ~~~':..fN DREM.A.'NEO ItiIDRlllf~ DllfMA.INlD f~1G~AG~JiTf {..__...... ,=:::;;
t-- '~ (1jj.ono~' I~"O 0 l'a,~~BY 0 ~~~;' BY ye.J. AWAY I~E;. ~\IOIOnO"', -&
~ DIAGRAM Of COllISION: (UM UPPlfMfN AI ,NDI~WAT(~ OQ1H DESCRtPTIONOF CO, LlIsrON,' ~E SUPPlEMENTAl SIiE(l If NiCfS,..., ,,",,' " '" ,."
." " , '" " " "''''''''f~'f''''.x,'' ,'" ow /.Ie7kac.t#:1. ":'S/4,pA/t::/uJ,';Ik:r;'&:-~-~-.' -==:
j~ '??1ILL~ 'Y i '. ! . !( -P~,.eu:rf/.z- 'ri'C4f"'V'/~ ""/~4/.~:_:::
~ v.-;;L>#G '", 1 ; ,,::,~i :. : ;(k~d..E'o ,__ ~
~,/i:,' ',\'tu:." " .,.~,' ,,:-~,IT;., ::;~ ~~~fr%e11~,~i!if;=~
E : '~ . . 'rX . '.' #m:~~f;:e:J;~/~..f~3~' ~
_' .-"i'~': i:' , , 1AS~~,w_'___m..__~
I" ..,AY' NAME, )(~Egs & INJURIES OF PERSONS INVOLVED . CODES 1 I 2/. 3 . I 5 6--.J
J-- /' OCCUPA~TS / WITNESSES W:~ ~~:~~~Z,'~I....~'1:~ . u)(....I~ -'G! T.t,TUSI '~;"I ~;".i et.'~/\\ &fS"I-r (j('CT ~~~r.
N..':,'"f,V./J .'tM,?/ 4&>.,t$ ~ _ _ ~: oy.tt?P?S'" ~'I....., Zoo I I~ A U. I
""~.';"n.;l,, A_A J....~-'L"L' A"A ~"".lAt!!:' '",'ay ......O.,MaO~~':O~~". :~lit,........,
E;;;.".,~" I:::,'~'v,';~,'l'or" IIlo,.QIIIDlJfOMO.M' O~K'O~" 0.... 0'0' I~
"'~~ I,..", '''~ V N'~' (u en.'I' VI" "......
Io;~~". I I I
';f.~:~fllt'f r~rt5:"~; \;""O....M& O::'~(!O~~tt.r;n.~.: O~(~~.....
X 1::;;'::;';;~;;:;':;;011'l.J~~ ~"tv.s:flIl!s "l~r"1 (Z.~p V';~'1J~ I":~'~~ /;?i.
:". i;,.,',.)> .:':i'"i>"'~__>>'
ii'. .",..., .i;',.[. "..........<. '" '. ';;.,: '/ " '. ..~;;-).f.(\i:,.
", ii' ,;"i"':o:,l n.{)i: '..,.'.,.
.i '. ,..,..,:.""..'i,.'., .i"
:....:,.. 'ii...'"' . .'.
',:,., ..,. '..i" .,'., .iiiii ""
i '..,."" '."'..,ii..: . ".,',
.'...,' 'I:: i. ,!i.,' '/i ii,.,'.,',..
i.,i ".,'" ii';..'.,i. i
,,',' :,.i.,'.... '.,
if";.' '.,i.: :,i.ii
. .i'i;.'/ ,i;., > '..'.
':;'.,;',,'.','
iie:. i:;. ,{ . ,",. ,..i;(,.""."'",
:.it '.'.,.;/ 'i:,:.,' ,,',' ..,..:" ',,".'.'
"i' ;ii......: .},.,
;...!:;'!':?'; ."..',,' ...,,'
, ,\,."/"\. ".'/'. ...""...'.
,/,.. ,. "i~": ...', "".j ..,.i' '.., i,
;..".:;..i .,".,"',.,'.".';i:: '. .i'~'f
,j ii/i':i .,"..,.',:..,.",:/i".
:,..,.i,i,' '/I',"..;'.;'>,';.'i ,..,.. "i ,..ii,' i:':.
',,',','. '. .' .""':"'i,.:.:'/:i""" · i' . ...' i, '."i'" "i'/
'.'h'. ii "id'.;iii"'.."",.'".,,/. .".."..,.'. ..'.'i:i",." '.'.'i,,'.,:.'/..' ,/ ",'ii,...:.., ,...",,/i., ," ."'.'.i,
,.{
':
;
,'. .'
. ."",::"
""
:
. .'1,',,<
i'
! '. ..,.
''',~..;..< -'.,~'--
i
1
t:
~'.
~
;
,
I,
~
~~
;;,:~r.~AL U",E "'N~Y."
No. , 4 0
~=
..; t;~~I';ION REPORT
I.O'f:.:~~~~r;~r" IX' to""':O'~~;Oi:: ,u;'EFf'ERJON
O",OE~'" C"..OllIO....., I ,."~.I'..(J"f!o'''II'OIl..'O..w"..
".m "",,0,0.00, HAD<-OCr'- ONWI\'f1';R.., S-r:
'Nl[ASEC"N" ...".. SlA[[1 OA HO"O I ..ON '''''' RSEClIO'"
I III ,...UN ~T""T' STRHl
l:un (]] I S..O....NI.."lS"..'fllSlCI'Nl>ST"IIT H'(o.....". "l'Ubl ..".....111 1I"'Ol;Ol
:::::EC1ION 10 ,[[,,1m ~ 10' 11+€" Af4)(cC~Aa;'e:OS'OH'OI"'I"""'(H""'O"'''''~
;g~;~s~o~ '''I/Oll/foO 2. 0 ~~i~Ual 0 ~~~lt~ HB~:::~:'~~'~~=;~S 8[lNBG ;:::~::I":[O oU., Oil'''' 00'''1''
or \I["'C~[S ... D"Is.u~l(O O\lIHIC(( CO"""~'I.-'''''''l'''''' .......0,.,. O"'l).u.rl'vl"''''I".".b
OBJECT STRUCK jN"'ME Or 08~ECf $TRUt"'l OWNER OF OBJECTS NAME AND A"ODRIE~1 ~~T:r:l~ooc.<tb_
c::. t+~,J '1 c..J1MI'\~O P~ULA Wc.I<e: '-/ 3i ~vA~~,(gJ)
_.~=t;HItof.::a"I'_.",('l'I..'" ,:1. pr. pL..J)\JJ _.I:t:IIItof.=-..r.....{.),:J:t;.., ';1_
O C~jrct< ("') If YOU WERE DRIVING A COMMERCI"'l lHCW OEfINlTION Of A CO~MERCt"'t VEtuCtE I~ ANY IIEHICLE THE PAINC1P,lt.l USE Of WHICH IS THE Tr.ANS,
VEHICLE AS AN EMPLOYEE OF ANOTHER PORTlATION, Of COMMODIfiES, M[RCHANDISE- PROouCE_ fR[IG""T. ANII,4",~S OR P"'$SE"'CfRS fOR ..'Rt l
DRIVER'S LAST NAME fIRST NAME ""IDDlE I DRIVER'S LAST NAME FIRST NAME MIDOLE
Ne..,h~ 'Rebl1JJ LEE:" ~:~o~~~~f;o LOCK€ PAUL-A- :y
STREET ADDRESS ROUTe NO, AND sox NO, I I Ik '''IS STREET ADDRESS .JlOUTENO ANOBOJlt NOl
"3q2- Mf2P..P..'"f ~~, "~~~';~~~~w"o 4~1 QJAR..R.7' RD,
crry STATt.: ZIP CODE DRIVERS OCCUPATION PERSONS W[RE CITY STATE ZIP CODE' DRIVERS OCCUPATION
NbP--{)I.-I'IN'C.- wA <q'i;%.g \lllhP'lE':O:>S '"~~',':,~::' Pl. t.-..JD....v..,,) wPr 16'001::. r<..e€PeR-
DRIVER'S L1~ENSt: NO, . I STATE '~~~J I CATrE Of B:R~~ I AGE COLLISION ","IVcA'.. L1....liNSE Nu 1ST ATE I,~~X I D"~E OF B.l'tTH AGE
Ne:\I\LR,U..i !'UP') IvJA- "ptl rO I O,j' I~.tl '.37 ':~~:' I"]' MO 10" I'-
VEHICLE YR'I MAKE ICHI:V OODGEII totODEL (NOVA-DARn BODY STYLE (2 DR J ','." ;,~ VEHICLE YR I MAKE (CHEV DOOCiEII MODEL (NOVA,CARTI I BODY STYLE 12 OR I
fn I P<.lNTIAC-.! 'FIREP.HRO :;l-l)R. . .... (P') I eft!;:\! I CAMA'P..O I -:LOR..
LICENSE PLATE NO, , STATE I TRAILERPL.ATENO. I STATE, LICfNSEPlATENO ST"'TE I TRAILERPlATENO-l STATE
IDR.T'i'P->P..O WA
VEMICLGEr;:IC;'~O~.. -I'. H 4> H L- 'i I ~?...J,) 7 VE11~'~t;I;A~N M ~UJ 0 ~ , &J
REGISTERED OWNER (LAST .FIRST .....ODLE NAME) ~, DRIVER'S LICENSE NO, REGISTERED OWNER (LAST.FIRST ....IDDLE NAMEl I DRlIIER'S UCENSE NO
-~e\J1 C-l-E: R601'rN i- N€..J \...(.2.. L48 IJ PO, I
OWNER'S ADDRESS (STREET. CITY AND STATE) I CATE o~ ~IRTH OWNER'S ADDRESS (STREET, CITY AND STATE) ,'. ..,_ DA~E OF TBIRTH
~I~"'IVR ~~OIOQ vR
3
5
3
ClCl., ~ C~i r~m r;',E;;~;E~COO( IWC'
P"H,~ EO r"-IPO" 0 .. .i!-9
I P,"';I""'IoIO"'A
':'W"1I1 .lMO t:..'IMMC,...Q$l11UfOAIIO..OOfl
l'Cr J tir I C~5 I "Hl";;;l..:e~i;loE' ~ ~"O
S"~C COOL U!>(
PARTS OF VEHICLE DAMAGED IATf....CH COPV OF THE ESTIM"'TEI
UND"'fII\.Ab~
PARTS OF VEHICLE DAMAGED f"'TT....C... COPY OF" THE E$TIM"'TEI
fZe I'tA... L.EPY- l""€NDF.R.
l~"~ ..'-OU
1$"~"~'<'
LIABILITY INSURANCE INFORMATlON~VEHJCLE NO.1
LIABILITY INSURANCE INFORMATION~VEHICLE NO, 2
NAME OF INSURANCE COMPANY
1="4-P..MEf.l..S IN S G:>I'ZOJp
POl-ICY NUMBER
'7'1- t~8L((P-L(~vO
'ST INJURY
NAME OF INSURANCE COMPANY
~TAT€" FAAM
POLICV NUMBER
::t. 80 5 Ql.. "71 B I?
'if
IUSE SEPARATE fltPORT fOR "'OtllflOt<l"'t INJ~C:SI
AGE
AGE
:ND INJURY
TO''''l
IN~UREO NAME
SEX I'.. /
ADDRESS M F I... v... ADDRESS
~<T '''< ooro'~~:;i'~"ANO
fk~ AOgCTOR", 8 EJ ~~~~ORS ~ r~~~~ OR"' B EJ ~~~~OR'S
"N~JUAEOI ) I MAAKFIRST, rON';"'T~::~,~.::t.UIES STATUS ']1 MARI<FIRSTlONETMATAPPLllES ,
ODlllI/EA IN VEHICLE ~~~~" '''JUlly ~~~~r OO<W(II I'NVEHIClEI 0/ o.~~~ _~~!OICo ~'
Op UlHGIA KilLED 15(\I[lIr, "'''<011 "I CCl"'''....'.., D""S51OfGllI KILLED 'UIltAE, .......0<11 III COtoI""......,
0";0(5111...". N 0 0<".'" [fC I OPl:OUTAI." NO ------ 0 0 6 0 ~7'''Or'Cl
CJ.. sO 60 70 CJ.,..., S
SE'
M F
00
MOTORCYCLE SAFETY: 0 HELMET USED 0 HELMET NOT USED
MOTORCYCLE SAFETY: 0 HELMET USED 0 HelMET NOT USED
S"'OW NORlH BY "'AllOW 'N CIRCLE
fojOIC.,U ON 1...." DI..QAA",
_..rH..pPf:NEO
l"'Cf lHI OUHI", ''''''AHUC'S
YOUII eOH'S'O'" ~lNf ...R.l,,,,, 'N
~~~:I'A.OA H'O.....,"y "''''.IES 011
, ti.~i~~,ri~ ~~"TX~~fl:y ~~~J;:OW
DESCRIBE BELOW Wk"'T HAPf"ENEO IREfER TO VEHICLES BY NUMBERI
e
\
* nr_-=baikea~~:j;;:fO:---=~-~:~",-
etV~ =-.~~'===.'~~-=~-.~==-- ==--=-,~::=
,1t ,:i,. =:,.w!\€~:--~:r"f':=i.E61\' Ci...~f.i37[iio
\,- "wi'l':>,.. , 'm' ,.. ' ,.' " ,_
rO~ IT\uN~ AT' AfoJe,t..Z,_
6e:l-l V'JC}-* \ )~'nCJ<.I.\.Tt'=o PAA.T1-Y
INn:> R,)""'~) f3uX;;I~)"'fI= '\,
-~ CD-
~ -,.-----~ --,-".".- .'W~
~ ---.----cYb~r
.:...-.-
-
-
jSfRf[lOl'l..."......._
!'----: '
" .\'i
..'
" ,',:
" ",
" ':,".., .' ,.' ,', i ", .." '" ,,,.,
,'" <. ,':: :." . " '
'" " '-,' '\" ' .' . ,:" "
. : '.:, ': '.." ',,'
':.' ":.' ,..,: ....::' \',' .. ":'.'
"":, ,",' .' "
..,"" "':: " ,';
..' .',', ':
" ' ,." ,;
" '.' ,;,' ,;:. ',: '" .,'.
','
.',... ...
',;' " , ..', : :
:,'.. :., .
..' '. ':,,: .,' " "
,,' ,
',. .'
.' :,' '!
'" ,: "
:,' ..
,
,<>
'.'
>
"",:
.,:'
, .: '."
. .'
'''.
" ',:"
,"',,: , '
. :: " ":' ":,, ,.' :. ') ':' ',' ',:,
::. ':,', < "'.",',. ",;
. ;,',".. ,':: '.' , C' ' :',
.,'" ',' ..' '.... :" ": ,.." ". i', .',' ':: :, ':.' "
'..' : . ..., ' " , .. ' " '.:..., "
,.' .'" " '-, ' " , " .'. '..., ,..'..
,
.'
',:,
"
"
:......
I:
[.;
).,
:~
\.}.
~
,ij.
(
~:
"; ~
~,
~
I
',i~!
\
\
7::.'"\
~'
"1 jl~ffl IAL.U~EONl." O~
'\1 ~VHI'f I (d ~~.. a;~
V~ No, I 4 "U -.5 5 - S
c'(;j AD~ c~31-u'~I~'~~t;~O~-r'c'
,..... r r'''''' /\ 2 '1
1000GJI,U,IO,.U.
:-r "'o"':-r.llltll~'llIII'[C"HG5TMt['Qflflo.o.oOA
!Het I 1Sr I Clli I Rlf[L.HC~ c.i7 :';l\Llf Oil 1l0AO
$PlC COOf 1,1:'[
j
ftJ. "O~TOR VEHICLE COLLISION REPORl', ./
""",0' ,~' I ,', ,,f,;'~: 'gl~"::'" . ,..,I;'j~,- '''''''''~D 'O":::'~"
oO/lai~Qblsu"(o"llI.It~(lOtUl''''''IYI ~/j : ~'jf:;" iQ:: _f;lltl?k~' v--
f'LAr.I.o--" : -, 0, r;;;;;(. 0 Cl1YDR10",'" T ....."",..0 Of liolh'-' 1 0" ".t>H"''''
~~l:~oW;i . ~::U 0: 0: EJ:, j-./(.~ li /~)f') ON 1)" I." :.1 .
'HTtHSEC11NO WI't< "FlEET 0/1 110,/100 NO" 'NHASI.rTlON
Ct..,(1 ~.":,.-:,/.-"~ 'I l ttP"'UN 5",jl-l& !;1I<lll
\fINO' _" I @(!]\ J'] 5"O.....Nl....UM'N~~ICT...US".r1, ..,e.......", "O,,~l ,,"V"'"I." 11",,,,(.;[
:'IUIUCTION /!" H[111!] ~ IOf /-1'>'1. ;AllR7p'ir;.;Slj "'~I;.l!'IORjOL"""''''UlA''LJ'''.Il''
~~~:l:~~;:'o~'" L EE~l~:~,', Em~:t,~ &;~;~t~~~t::"~8~~;';~;:" B~:';.~-::'"" .",p.,~:='.
OBJECT STRUCK I,,""""'E Of Ol\J\;Cl &lP.\lClI.\ OWNEI1 OF ODJECTS NAME AND ADDRESS \gl:t~~J~f~t~,
_'j~:II~.=-a.JIl.'I..ll\".w."a. I ....l..:nMI!=-~I.,.....(.U;:I;:(..., ,:1-
O CHECK ,"" IF yOU wERE DRIVING A COMMERCIAL cRCW D[fINITION Of A COMM,EFlCIAL VEHICLE'S "N'!' VEHlCl-E THE PAINCIPAL USE or WHICH IS THE tRANS,
VEHICLE AS AN EMPLOYEE OF ANOTHER POPoTT""ON OF COMMOOITLES. MERCHANDISE PRODUCt. FREIGHT. ANIIolALS 0, R PASSENGERS FOP. MIRe I
PRI\lER'SI."ST NAME FIRST NAME MIDDLE I DRIVER'S LAST NAME FIRST NAME t.'lIDOLE
/....ce.K(;- 'tA((j,,... roT ",':";~:;:' ncviL(s. 1Z,DhC> n
WEREltWVOlVlD .
STAEET ADDRESS ~ ;. FlOU1E NO. AND BOX NO, I I'" HIlS STREET ADDRESS -" rOUTf, NO AND 80)( NO
'I" {:>, If."h,'f /I I-.C' I.'i.~;':~~: ~:o '~Qf, 01 r I? (7' I V (' .
;!..TY L S}frf.. ~t.CODE j D~'Vf~ OCCUPATION PERSONS WH~E C~T: _ Sl""E~. 1.IPCODE I DRI\I~S ~;UPAfl_ON
,.,~", Ilrilol,~V t...);:/ 'ikJ'::..'1 u.;l,'U (;/[...l!J:: ''',~':,~~::' I\lM'r!ff) ",d I,)/q ar:~/;;\" hjH.1f.5S
DRIVER'S LICE-.!"'Sf NO. ......... I ::;TA~ .~~'}.l DATIE OF e:R1H AGE CO,"-LISlON ORI,VEflS LlC"TE~SE NO. _ t STAT~ I.~~..J < D~~E OF ~:R,~'::' I AGE
[/J'>"'Kr:,"'''wnr?1 )/Vf'" MIVJ'lf 1~~/11l> ,OJ ':~~:' 1\',,; I .:/X'~f/\It<JI1IMVlrb)b';>Itt/131
"E~l7L~ YR.l-MAKE ICHtV. DODGEll MODEL (NOVA-DART) eDDY STYLE (2 DR ) _ ,_ VE~Cl::R ~,E (CH!OV DODGE I ( ~DU.1NOVA.DAfI!) I BODY STY}E ~ OR)
I(~C} I ChclI lC'ao.rf.l.'() ;J. d;3.,. 'X./ f...:." I Hl/(Lite- (' I :;z. cJ I
',tCENSEPLATENO_\ STATE 1 TAAILEf}Pi~ATENO"'S'TfTE L\CENSEPLA~ENO. ,STIotE T TRAILE~'P':':.ENO. I 5TAJ~.
'/;"1 ,.' u-:>;:1~ i , 1'1 I'J/ 1-1 oJ'r:/ hI /: '-' ',pi IV u~ !.' /1-.
VEHIC'EI~'7~;"~N';OQ /\// ,,///'3 ? (.f "VEH'CLE'0~7~~~7:N,"~> I/./{ ,.1-./:. ;'/ ,'" '.f) ;./
EGtSTERED OWNER (,lAST~FIRST-f.1100LE NAMEJ -::- DAiV?A'S LICENSE NO. AEGISTERED OWNER ,LAST.FIRST-MIDDlE NAMEI jORIVf.A'S uUNSE NO,-,.:
/....OcJ0'"";,,j{', C, "oC'l:'f,"5C/~"/"//. ~f,((\t.... >\', , ,~l;")r~'...1
DWNfR'SADORESS ISTR~,.CIT~ND~l~TE). .\. OA;EO~~IRT'" OWNER'S AOORESS ISTAEEf.C1TYANDSTAfEI "c 1 DA~~OF~IRTH
"3 ,-t:>u/=1/'.t?<..t !?dl/>s'"l.Ilrllol<J fA WI.~9,1 D'\I 1,!;" 00 ID" I"
fl"RT$OF.v~IClEOAM~D (AT1"ACH COPY OF tHE ESTIMATE, ( I'lEPAlII IIf.HICLl . PARTS OF VE'iU~;E DAMAGED tAnACH COPY Of THE EBTlMAUI ," >-, liolsP p'AIRVi'ttiC~~:-_
Un ff(II'(,(I(I,'.i~/'D('lni sJ.3J./1.5/), nil.; IS (7)
llAalLlTV INSURANCE INfORMATION.VEHICLE NO.1 LIABILITY INSURANCE INFORMATION-VEHICLE NO.2
NAME OF INSUR~?:, C';~NY;::; ~ "'7/]
POJ~VfnER r,2.Q / - ?,f:'2, - / J rl
v
NAME OF INSU~c;1C~'~~;( R ~..,
POLlCVN7';r_ ,'1. S> '"II 1- I 1'1.) P ()
2NO INJURY IUSE llEPAqATE REPO'H FOIl ADDfl'lOl\IAl. INJUfIlES,
AGE
TOTAL
N"" SEX ~'''u." "ME
AODRESS M F "CORESS M F
" OOU DO
DID r.1 r.-l OOCTOR S r:1 r.-l DOCTOR S
Ell OR ') ~ c:J NAME BV A OOC'rOR') ~ CJ N..ME
MA~K fiRST ONE T\-i"T ,.PPI..IES UAED M....RK fiRST ONE THAT APPUES
~.'";I :;;r.:i -",," T ..'E:_ g::::.. ._~ ."..1 :;;r.: T -a;- T .:OZ.,
I ~~~i{;:.~"~l 0 I 50 I 60 I ~~'D" g~o":~,', ,NO 0-1 50 I 60 I ~~D"
MOTORCYCLE SAFETY. 0 HEL.MET USED 0 HELMET NOT USEO
MOTORCYCLE SAFETY; 0 HEL.MET USED 0 HELMET NO" USED
lBE Sl:LOW WHA f"kApf'tNf.O tJ\E~M 0 VEI1ICl:.E$ 8'( ~Al ,
H W N H '!' A WIN. CLl
.".01(;.'1 ()l'jTHISDI...OR....
W\"I""M"P9E."'tO
TI'l..Cf"'l C1lJ"INC '...1 Rfll[C1!io
TOufl cou."a.. $C("( WRIT'NG IN
"Rl (I 01'1 ,,'0..""." NU"'!i OR
Muutlf-AS
'1 llUuRfRfAC.....h"c,r AND s..OW
O"UCllON or H''''vll fiT AAROW
o
)1(.11, Dc. l_f..t'.:.'Lr:!'_LC::IQ"::==-'=':=
...:....r..:..LL J...1___._-,-,-_..,~.
\
~ i3~~;/~f4S~~~~~~
......,::,: l-_ ~ -~ -'~.- ...- .------.....-.-.--..-..'
.&TRlf!{I""'O"WU -
-C[:) CD-
_ ""cc:,
///~
I---
-
'--
-
-
I---
''C., :.,'. ' '.". ".' "."",.:, ,: ""... . '",'.
" ...,..
"., '.: ... "; ".. ' ,.' ' .:':" ,
" ,:, '. , '.' "", " :. :".
", :,,';:', '.", ',,'"
.':': :' . ' ' . .,' ..
, ",. ,'.:,'.', ....' '.' .,."... ,',
.,,. ." . ,',.. :':', , " .', ': ",:.
,. :, ,...., '.: :.;' ': ,,0 :''',
,'."..'.,.., ..,
. ,,':, : "." ,.. ,. . ..
,.' :,' .', '
"
, ,. \' ",C
..... . "/,.".'
..' ' ,,>:. ;,' >
.;, :. ',"..., ..', ,..::, >',:: ' :;,
'..,',: ,.,:,' :"," ;t;".,... '"
,.",. ,:":'.',": ',; ";, "..."
. ',' '.' ,.:.: '"" ,
,',":, ,":" ,'.', ''':, ':,' ....' ',' .....,: :,..,
, ,,,' " ' . ". ",.,' ."
".
,', :,:' :,':;, :,.', ',;'
, " :.',.. . .': "c'"
.'.:,...: :,
~-
,
f':
ii,
'-c
AGE
SEX
.,
~
f
Jj;
:(
1
~
,
I
~
~
,.,~", ,"," ,~.- ,,,~ '~,
fi).'..,'
(K;!
13 .....
[
....~l~(lIf...laol
STATE OF WASHINGTON
"Ac;/ 01
ce9 TRAFfiCWAY
o PRIVATE WAY
OA'l...fCOUI~rvN I -o,li:y ILl I IMl IlCOUNIY
~'-- 07 i~ W~"Ch rill~ ';Jo hMI 11, ~A' (6:B~';OUIi) II 0if~iSO.-v
ON Of DIN (l1"'0II10WN I NA,Yo(&NQ Qf!oHllfTOIlHICHW,AY
J (/~ M"" 11'J' Ow [Jl:O' I't:. lvJl-o "'-' ION I'J1..I'A/J:.rc. MV
lNIEIlSJ.ClING WlIH.' $111([1 OIlIlQAO 11'1101'11 INTfIlSJ.CT1QN
..- 'flrTWtlN O~'''' M~ SIII[fI .. i~ I t./C. Q.D,II/EfT
IJI OlSANCt&"MI;.I.~~f I/lll/(N ,(110:':'5111111 NIAIUS It >'V;" ACCIDtNT
I I I t.;Ct~ ~ ~I~:!o (; F, ;.., ;, Of 11/ / Mtlc3~'f'E
COLU~~~I%~OlVlO ~~~t~:6~NO INJUHO-L. 0 ~~tAG[ OHII&I/UN .....~'~~~~..~
a ....U.tlelfS QJ 0 PROPERTV DAM....G( ONl y 0 ~\[UIl[D 0 e~~m
1',.._ 081((1 STRUCk (NAMl or OBJtCI SIIlUCK ANPOWNrll'!o NAME I I f51 DAMAGE
17 Ihl.J<.t2 "ole $ 0
UNIT NO. , UNIT NO.2
No,
..O""COM...."N'Nf'~':::> J ~ .5 'I ~'
COUNTY NO CITY NO I ~~H"""" ~
/ '. U"IIN>l
In... !lUIlAl
7' ~~'I~" < I"""""""~"~ l~qOON
~ l?~ I MtU~~p3bO ~
.....,,7/'. l=J
POLICE TRAFFIC COLLISION REPORT
fJ.I>.M riA RI>.Mo.o.TA
I I I_~!' X..:R..O 1~"!-'!~!>Igl~..s!~!.f.S'6rROAOOf(.lltfU/{NQ
,;S? CU ICMC6SS~;;a~&
~I'I.C~ COOING l.6E
o VEHIClE
~"
o PEDESTRIAN
o PEDAl CYCLIST
'"~,
~
":!'
DRIVfll'~ NAMt; IASI
1f<J.....- r,',A./t; "'.,A./ 1(,t1ft:.A/
STIlHTAl.>ORE~
J6;;- ,! 7 '7 DC> ,1./0// Ie J. ,u, F- D
L!::... . SIAIE ZIP COD( I PHONE NO ITY
- fJo)<.J !StJD w,f cr? 37.:> 1779 -t.r 71 R
C:::. IVEll S UCEN~ N,-" I STATE -!.Ell I A I H I IV U EN~ NO
- !(u^,rVrs '('lIB/ L..I~ I- 107 ;;'ir v
8 OCCUPATION t flllM NAME & PI-lONE NO, ell- ~o3 I fYtS F.'GHT HlIGHT E OCCUPAtION
1-. SAle) Iff-Lullo...... '/J7":J.Jt'2., /21:<'01/<>:> r->! R
~ 0 CHECK (t") VEMICUA 'ZNEMM~~Hs"A~O'''Mi'' L 0 CHECK {,II I VfHICU ASANEM"tOYf OIAI\I01Hf~Al
r=- ~CODES ~ ~~;;;' :~.1 . ~~;~~ 5 o~"oo H:;:~~""- IJ~e;I:;.~ + I 3 ~:~;' T. m~~"' · ''''~ · ::?~~"""
. r;;.. 0 AMIMANef 0 ~~Cl 0 ~8~TI' (j ~~::: 0 :-:a~~ D M\&ul"'''''' D ~CI 0 ~8~" 0 :;;:-:1I 0 ~~~
[ ~~ I~~;~E~M~" I ~::R~~) ISTYLE;2~~~V'1 I~ r ~f(OODGE.CH,V.1 I~L(OART'NOVAI r (Jv'" v.1 :~
?-..-. VtH,c;UOIC I'll ENSEPI.A(NO, I STAn fRAIU:R~ATENO, I Sf ATE H VfH.COI.OR I l II SIAl[ IfllAILUll'VlltNO II SIAl[ ==
S: IUIW. I" 7<> /SA/( I t.JA, ~ 1-,;
_ VfH~CLEID(NTlflCATlONNO_ l VEHIClEll.JtN IfICA110NNO~-
1'3- I 1'1 0 '7'" 'A. 7 I I G :z .. '7 E ,.; ,
Jii: REGIS1(RE[)OWNER LAST flllST MIDDLE I PHONE NO wO III IS fllEOOWNEIl lAST fiRST MIDOl,.E I PHONE NO
'-= IX""l/'" j:ter-,o~ L I
13 ADDIIESS r7 OWNEIl '7 8' ~ I~ N ADDRESS Of- OWNEIl
:2. I J]~ '/~ /oJ, J-oYCO/-,,& r11I:e.1'-I (.VJ'V,v '-#- E
. ~ NAME & ....DDRfSS Of INSURANCE CO. ~ I>.GfNT "7 F" .r. c> Lf,) c:; R
. L;: F,f.rr.~ CJ.J I~""""'.s ~ c'" ,c,!C.,;'f.A./C<.J 0' 1J1f.';tf-_
~' n,oAM~:,OAAEA. .I~~~~~,~~ I~:::N
, .___O!... ~pSt.OAMAG~TO DRIVEN DREMA,'NtD
~ I$'-Ioo~ I~iivi~ev. }ic/f..J Ol~~IlY
~ DIAGRAM OF COlliSION' (USE SUPPUM/:N AL INDICAH NORTH DESCRIPTION OF COLLISION:
16 . SHlET If NECfSSAl!YI 8VAIlllOW
~ l{ojNf:_'~_ t..",t,) t,.......J.!S"....,v1 0-./ -rll'e-
~, ,.,11,.'1 r/l~"I?: Je. /.1,4.y I'.J.. St/C L.J/- Co~f~u ('
. _ 0-./ rvc.. '''CG A..vJ _.s""'~r:/('... A-. f?JLivM /,o/cPp
,j,. f'(< C"",,, /5ov.v<d I:J,..CI'l o.....n rYe Xo~
,- C==>----lcl_ r-.. '~4~ J., ..rt/< J.e~:J~1 /-. b'-'f;.....~.. .~.
~ -, ~ 5. c::::::> '1'1: ",:/e. <".~ ,SO{<:. /rc.~;~ <.:>oJ!-
/::..", )) Co NfNr ~....~ SfoJ ~ ,...-fo fT/e
L 1".'/:!-- ~ ",reN. ,l!C.,,,,I',4..;- .f,vo'-4,...-J
"t(;~~f!c'" n.", 0...</ he x"~ '-Af./. b
NAME, ADDRESS & INJURIES OF PERSONS INVOLVED + COpES 1 I - I 2 I 3 I . I 5 I 6 P
OCCUPANTS /WITNESSES W1:~~rt~~(l~....~l: s(x I AGE TA,uJ'N..I.'t"lu",: cr:;.I.IM:1TIlI fJfC1I::.~~~v
,~""t I
~Al~~l~OI !.CINf 8Y AMe D W" 0 HIli . D:~ D \\'1~~.
~'" I
1rt..~:li.~I.Of 1~~VI~fRo,y. DAMII D~~cl O~:.r,1 O::f~ D;:'~'wl h~1
:::~N I 1'1
~~Ut~f~Of SCIN:vllv'tlOoI DAMe 0 ~~n O~~I o:~ 0 ~(~"'!.I"
I'lIo\PCoI011 IAG1NCV """"ot !Ot'CtOI~PIl'CHIO ~~~OIP"HOIltfJ'OI11 A_ 't'\ \. ~ ..7"
J:fI:-.,.J.O(.><~'II.'12.ct>"'IS ~'I..... V,(,..
M'.D"
.]".J
!:.HlHIADDllt1S
I
I""""'''''
IJ.
"cOO<
I
AlE ,...)( '~DA(DA...8'/l~1 ~
I"" IW"""T"""' ~
''Y"
<.?
flllM NAME & PHONl NO
GJ
p
I ~~!.A":.~~l I ~I>.MAGEDI~EA ---;:;
:'':''..i,~~ .rr7 :,.. -j. ~
D~~~N OREM.-..INED l:t.D.........-.uE 11\l.......{i{j.(ino~5~
(1.::>( SUPPlEMENTAl. SHEfTlf NIC!!oSAIlYI 31
::::::,
--,;;
.=
d:l
~
-
f:-
AODIl(!o~
~N~'
20 Armors!.
.~,
ADn"t!o~
X r~f~:;;~ ICH ~ N4Mf UAN~~/..~ )'
," ,:,.' :'", ",
"., ,.,' ',~."" ..' . '.'
:..., :' :,. '.,':
..'
":'t'
.,. ..,'.",',....
,',
,,:.
: <
,:'
.... .::.
. "
. "
" .. " .,.'..,'
:C," "C",." .:..> :'" ,:' :', ;.'..>,'
.,p'."::,,,' ,.,': '.
,','
,\ ", ...,:;,..:,...:
';: '
'.'
';
..
"
'., ':
,..
,.,
"
.
:'
: .,.' . .,' ',." '
'.' ,.,. ,.;
, :
,
:,....., '"
, .'
:.,":,: .",
:' ,'.,."".,'. ';':
,.'.,': .,,'.
" .,:.: ". ",
'.. '" :", ,'.. .' ....," .'.'
..
-
:-.
POLICE TRAFFIC COLLISION REPORT
I'AC.. J 01 I
!:81 TRMflCWAY
o PRIVATE WAY
No.
i,
I 5 I 0 6 6
I~T:~' ~;;i"
IJ' ROVII06l "" '.......... I :00\.'........
M"'~7:~O 9
.
8'.....',.
[4 ;~;
STATE OF WASHINGTON
J'O\l'(COO'O'.../ld...1NVMl)f~
0#1.11 Of II ION I>.Y QUI I 11MI IICOUNTY COUfoolIY'1O CHY I'wO
~ 02.. l~~ 9.0 w.. .."" X "'0 'M\ ... ~t 080~ulll II J~ft'EI~bN ~
f ON 01 ~I'" ("YOl/TOWN "'/\MIINO or~lllUlml"'C;"'WAY I'ClCl~ "'U.~I
M"" 0' Ow 00' HAJ)Loc.'I:.. ON t,yc';,"J'IS" CbI!<l6'e. ~ 1-31
'''"'llI!.(Cl,N(,WlTH !,llIltTOllltQAD INONINllR!.(CI,l)N ffl'IX I
1811wt!N r~T\~ SUlIlI a :b ST STlIIIT
I') D'S "'Nel &O~: I HI ",aUUI ";' (1I0S!.SIIl1l".... N1A.l1i!.IMllI !. ACCIO{NT "A/VIP
I, \00 ~~~~:. n ~ ~ ;; 01 rt;.t\tJ.9 ~T M~~~E
COlll~~:::~OI....ED _ ~~~~;::D_NO INJUIHO....L. 0 ~ACI 0 HII & IlU'" .....~'~D~H~ IN
OI\1IH'(II:' OJ 0 PIIQPlIITYOAMACIONIV 0 1Il~IUD O~~~,t';1
4' OtlJICI !.llllJCJ.CNAMIQf 08JICl STIlI..IC<<; ...".0 OWNIII'!. NAMtI
OJ,, 11"'''''0.0.1''
ISI DAMACI
! 'j IUD IN !;>t.I";,~I.,:,?:~~'.~"OIVIIO.'OIIIll'UrlNC.(
IX I CL!. CIl~:'613R7/0
:'PlCIAlCODIN(iU"..t
,"
,
(i"
,
S
UNIT NO. I UNIT NO. ')
~_ D~'V{Rt(;5B~V. ML\~S~I~l :Y: l \ MI I DRIVIR~N_I
r-;:;- '''''500' 3'Ct<.:lll..THAt-.J PL 0 """""''''
~ "\-\Ad\cc..l:: WA"'" <18339 3as':'3~ R "
b ""R\SNSBM'! 27'1(T)L) WA F I07A:Ii" lj~ ~ '~""ClN"NO
B OCCUPAtiON FIRM NAMI & PHON! NO-rIyt~r;IGH'IHEIGHt E OCCUP....1ION I fiRM NA.Mt & PHONI NO
2 :3ru~ Ch',lthwM. I--t.~. II-IIIZ.! I R
o CHECK(......) Vl!loilclf';r..:'~~~~ni'S,ANOlloi(RIAl 0 CHECK(.....) Vl!IoiIClfA5ANl.M~OVf(OIAN01,,*I:'Al
~ CODES.... + 13 ci~~~ t-. .. r~~v::."" "4 ~ UICIIQf'\I 6 ~:?~'Cml COOfS" + 3 ti:'~~ .. ~~~:"'" ~ "".0.. 16 ~~~n"
2 INll~!Ifs"A~.I()1..) To ~.\..AAc:YJ IN l!.~!.Of
~~"'l~lltO... 0 A_"ANtI 0 ~~I(;t 0 ~;"III 0 :~::: 3, ~~!>P ~~'1rIlOM 0 _...........Cl 0 ~"C1 0 Wn. 0 VI::-'::'I 0 ~~'- ..coo
po;- vtHoo _y~~IoiIVI MOOEIIDAIlI.NO\/'''', 1~'Y2I;~~VJ E IoiYUo oKtllX)[)G{.uflVI MODEIIDAIlT.NOV"" 1:O'TUllUtl,,-V'O,,,, lOa
~ v I~ ~t,~lR 1l:~nR.zi sWA I ~~UU\...tl NO TST...n 7 Vl!1oi caOR ( I :o,A .I~u I ~,...
VlloilCH I[)fNllfIC...tIONNO f V(HJ(l( IO(NllFIC...1ION NO
~VX,IIB:B 112111'7131\<141112:4,,1) , , I , ,
~ Rt~~~~~\;: I ~ ~ 2siMrt MIOOll 3F;~~3 ~ RI IS REDOV.MR l~T
lz. "'ODRISS"'tII OWNtll N ... .j/1:':'Of :M'N!II
"51\1"\ 'i.. ~ "'}')e...~lSG E
~ NAM~\~~R"'~C~I~ R IN N H ~2
L-- O....A'k:.tD AlII'" I Dl'~'~~~'..c. 1 NO l 1 ~~~"'..c. DA.M~'"o'A.RfA--:;:;:
F 2 ',) I' . IR"~":"'':~'~~ CIolAllCf:5"Df'f;O 10 ~OA.S. CHAIIGf =c:= I.n..)'ol'~ ~
- I~~OJ~ ;~;; ~~~y ~:~~. D~~;>eY D~:~N ORIJAAINEO ;SlDAMAGlllhJ'o.onD~)~
~ DIAGRAM OF COL ~ IUU!.UPPllM(Nl...t .1NO,C...1ENOIITIoi D~SCRIPTION_Of_~O~ltSION: 1U$!S~.~MAls..nIF...a~YI.. _ '-_. _. . ~
':'" 0 i: ,,<wr; li"t'ii"n:'0f:' ~! v>"" ~11!.j,)~~(jr .C'ot'Ull.l<d.Il~L.. Lc>~ cO~7';.L-:- ::::;;
f' ' : 'r\. ,}).I i !~_1," 1.1 .' \~~ (,>,M~. ~~~~ ,~.s.l .....,.... I"" a " .::::J
l:: .' t-~~ ~:lt-t:j~L-!-'h'j" L~ ~~~H~.~~~~~. ~~~~.~~-~
1::), ' " , E) ~ 1 !I~:fX, ~ 1 S\...r'~.(so;c1 ~ToH.\t ~"'..~ .'" :'>-"'J;t"6i:~ "n-.oJ
r:' : -~-~. " L .;,~! ;~_L :, (.l:,141""~- ....Ac~~.t:':'i...;.;,,'!....f'..., '1::, "..,..=J
_ ,,~"s.... Ga,A"",'" 7",;,1/, ' I:>~ t uu.." WAd: I\~~~ ~.....k.,_.,
I .' , " I"ft\.i~ I " \.h<<,
; ~~L:Z-' ,i 1 -rl:"- (.>,*.Il2..~C.,o-:-A '.... -. -. "
;: : I h I 1'11' ;P.1:l:J: ] ,j j- . , M """"""Ii
NAME,ADDRESS&INJURIE~Ja~~~!t.52t'~~t;lVOLVED ~CO~~S I 11 - 2 ~, . 15 I.~.--'
OCCUPANTS / WITNESSES fOQ oIWOlIlONAi NAMI~1 $f)! I AG( b'A'U!.I '...."'H if'"~ ',';:. "15,.1 ..CC' I~.:;~,~
N<M'I) HAi-\.CN\~~ , ~T36'S-SC3:r.. M - I t'. 1- _ I - I - - -
A[)Dm~ 'io 1> "':"/'06. Itfll{ \-\Ab~t. 1A :t,....1vr:1Oi SCINle't' OAMe OM''' o~~.. 0:;::- D~',.,\I
~ ~' WAL~.( c,....JA(:)e ~Int _m ~VID:C/IIIoOI'" - ""...:~ I ..,~I -..,~ - "0'- III
_ "DPII'~!> ""'\ iii 1 V:,O\&: ~u..Ac.. " ~~'IIY D....MfI Dc.... Deo.".O"'H 0.........1 IllI
In'(""'d""",t'~L. NO 7bJ-5b)~ "'I-I't'.. - I -1- I-II
1:~"'I!>:-~J2.. ,"~, Gv..~.wA ~~i'f/t' IN"" O.lIo'fI O~"lo~".O~': D~""\I
,/':....I~h(...'''~f..OI.'ct..~........'.II..N. IfI"'-PC.oI~TAG.I>,j(, UNIIOt '~A1C..tq~h~.'V1,OIPA'10lIltPOll' IA-.IIO D' 0"'1
XI'iG\k, \)~"'\ I 'D.,NO I:i..'>c D7D" ~p I ~~ 1.2-13-i5ll
C(i"i~','" ...',.. .', '..,',',. - :-:',/.,~--,..~:
"'.... ,'. ',' ,:'J, ' ..' .,,', ,',..',. '/.:
.' " . ". ,,' ,. . ,'. " .' .. .' ':' .. ,:,,'.',,,,,' ,,' ',',~' .:- ", ,,' , :' "',
", ,,' , " .,' " , ' ", ',', '.' " ' " ',,' ':, .' ' ''',. ,.' ,
" . ' ,,'.
,,' , ' ., ,-.,',' ',.
,'- ..:' ,,' ,...,-' ., ," ":,
" " ' " " ' ... '.,
;. ..,'..' .' ,'. ',.'."'.'.,...' " , '.' ',. " ,;
, ,,, ",...' , "",,'.::, ""', ",,', :'.'
" ,'.,'" ' ,-" '.., ,',
.: ":' ., ,.., .,' .." " "
,:,' " ,:,. ':. '. :/"",,' ,:'
", " ,,'. <, ,",." :. '.., . .:.';
" ' ,',' , . ,:'.." .:" ,', '.., J ..'., " ',; ':
"'. .' ", '..' "," ",. ' ',.,. '. ,.".
,",'''' ',,', """".,,".,:','.:'.,,": ,', ',... .:i<'."< ",',"
, , ,,' '.: ': .'''''', ,:.' ''':, ,. ' ,",:" " , ", ':,
, ", ,:.'" " ,,'" ,
,.,.'.:",'. ',,', ,.,',' '.' .' ,,' ", ',', . ".., ,"" ..,.".' '-','
o VEHICLE o PEDESTRIAN o PEDAlCYCllST 3
..", '"'' M'~'
I
i2'
". , -
I "., "" MOI1A t;;:,fljlf'~. ;:!'"
,
IVU r1UH11~IGloit _=
7:'1
'5
"
i
~~,
~
",Q
~
-'
, !
. . ,
.iJ
e:
~.
F
bi
~
"
"
t
~
Il(~
~~'
~
,
},
<
~:-
~
\;,
I
~
'"
..
-::
f.'
,(
1,1
i-
t,
~''''
~,
'",
~
~. '
.
,.
,,'
;-
~~',:
-'
",'"""'--."-'1
~ STATE OF WASHINGTON
I';f ~ POLICE TRAFFIC COLLISION REPORT
~"c., I 01 f
00 TRAFFICWAY
o PRIVATE WAY
No,
1.d1111l.d
f'O!.lCt COMJ'lAINT NOM",,1l
1]
0" t'....'-V1U~ :" I~ _ VA' V' o;.Ulll:>'U" I II 11M! II COIJNl , C:OU;'7:,_ CI"NO I Inf:;W"
IT oJ}' ~t; ;jIJIW~ '19 lull ~,~ '~'I, ,~, \Alii o5l1-0UIl.' II - UN / L> ~~~::
I t)QN E,I D'N CI"Oklowr~ NoItMI61~OOf:>lk!lIOkHIGHW"1 a,~ 1:=::7'...."1 ~,...IIlIIlOVTI_'"';................... 1----'
/4 M"" 0' ow riiro. /.')u// AJ"""J/;=" ON &<i'l.. C ...e:" C~ I;';" I "Yo.3 '70 ",
IN111l\lCTINGW'lj.< S'~[[lOQIlOAO NQNINltk:;!CIION At'\.,J' f'.IVl;ll r rMll.11'O:>Y e:> ~ /'/ I
- ""WU"" 7lTO~LJ~~- ~t9A1t?~ ~ I c:...>."" --.J
-z.. O'SIA~JI"O~!~.'.'ON ItOMltt~UI(,..U CIIOSSSlkl/10/o'N!"'d:>lMlllh..:. ACCIDENT IlI\N. IA ~AMo.o.IA
.&f M~';~S ;; ~ ~ ;; Of -nfpAA/LJ?f~ /A . M~L6:l
COUl~~:~~OlVIO rT1 Ng'tK~~~;O_"'O INJU~[o-'- 0 ~~~;i"G' 0 ;:~&I~UN ...~:w.~~..~ N,... I~; I 1 JtC~ 1~Il~STIl~f}/~0'8~O.llQAt)OIWtlltNCf
O\lIHIC~I:> UJ 0 P~OP(~1~OAMAG1ONIY 0 ~f:>UIIIO 0'0'11""([/ 1)( 1 I cr/ r,
<II q 08JICT:>T~UCIi(NAMIO'08JlCT~14,;@~':>NAMI) S ~ 5oPICIAl......., It.r(iUSt
U'''IT NO, I UNIT NO.2 0 VEHIQE 0 PEDESTRIAN 0 f'fDAlCYClIST 0'
I~_ D~IVI~':>N:Z;e:-tJ.~~~ ;:r;A1".&~t:"'(KA tJl!'VI~':>N.w.1 LA:>I I. ..I....... /
:>TlIIHADD~I!.:> . U IlH1AODll1~ / I
~" ~51/ la:;:;-t: ~fo~~ ~NO Ole'" H' h_ 17"- ']!
"tfa~.,t..,6t:I -p,/,4. 1J/'3?tJ ?k-317z. R A'
I.::. o'N'~';;#kK 3/7CV ';;.4.17 2~"}ri~ ~ "...."N~NO I ." V ~O?:':"l~' ~
Z OCC~ IfIRMN&;:;~&,,~ IJl i;;~~ : OCCUPATION I'IIlMNAM(&P~NENO / HI:> I~'CMII~~I_
~ 0 CHECK I'" "~,;:,'t.i~;~?~~\jw.s.'~~g,:.\';''' 0 CHECK (0') 'VOH'W"'NlM~ci,i""~"~H';" ':i;"
~I ~~D;.S!, + 3N~i~ 7- .: ~:W:::~ S tJlCllOOl I 6 ~~~.""cu CODES.... + 3 ~i~~' <II :~~~~:""; 15 ..M(1I0N 6 ;:;::~yM:..cu .~
=~_ V L ,~~ 'N;U'i.7,'sv, uAJe- Y/:'#7aLt: '-
}'" 0 "'~Ul"'N(' 0 ~Cc.l 0 ~SPIlI! 0 ~~~:: 0 \"8....~~ m':_~'1~'''o'''' D ......1Wl...NCI XI ~~c.. 0 rSPlliI 0 ...i:::i 0 ;'I!~'...?
~ !/IMAK[IDOk~ MOO;;;~NO~~5TYU;~ONVJ E Hh" Im.oK~(o.NlX.>~7 J^''DOllrOA~T_NO'''AI I~""("V""'-""""VI ~~
~I'W, l'k.es'~"Z~'~4_"M"~ I'"'' ~"H'O<O' '''7.'U ,..... I . I.'.. ~
r=; 7".lJ'A';"Jj"(;Oi I '58,7!.B, f; /Ib '() I q r7 I () ~ "H'~'''''I''''71 I i I i I I I ! I I I I ~
rr:: RIGj!.l1~EOOWNfR LA5T fIR~T MIDOll PHONE NO 0 Ht"'I~llklrNH ~l flR:>l MIOOI.I I ....- ..:::::J
~-tE:' W /
N ""'Y S:> a OWNER -.fJ
.-- ~ ,_..A"""~~'NU AN W' . ~
!Z. AOORt$:> Of OWNf~
~ NAMI & .D~~ Of INSURANCI CO OR AGIN}.?
1"., "rT'~U!:;;e,.s; - rp<<t!~
. L....:. O"A';Z(b'AAIA. I d67~A:L~""Cl' ';.;;t' I NhL)~"2...ZO . . I ri.fO:....'H";'..~O~~~., o~...GiblAIIIA ~
G ~2 .\O~. 1'B~~~f:'g~: CHMlGl (HARGl -, ~l .\o,.;:::r
I --.---'- !>r~I,DAM"~I..IO DRIVfN DlllMAlNfO OO/o'IIII'N DREMAINIO IfSIOAMAG'. ..-...-- ~-,:;n
10110"0'" 1 s~/~(8'llcE~BYAtu ~ ~ 0 ~~~B'- "WAY S . 101l0no.., ..:::1
DIAGRAM OF COlliSION- . !.i:iNlIP:i~"f~"!.l..Al _ ~~~~lC"lI N ~.IH DESCRIPTION OF COLLISION (lJ:>l SuPPLEMENTAl. SHElf If NlCls:;.t.RYI l....llf
ro- "I' f'; : ,'.' H':" ,""";' .. .,., , /1_1..A"_#/_- "A-;'''::;'.L~-.~_-;-;;-'iil-,'A''''';:'~...&._-_I:::::;;:'
C ~. : j:,~/fi.' ,;i-lI~!rH;l V%~~;~:;~~~~~.;~~__gJ
"C i ...:.uv.. 'i "~ -<I I I ';.: f j -eM~ 'p ~ - P'eY. ~.s:Pr. -1=1
~-, 1V1~.; . i/'- .l."-l'iiJ;'.:'H; eM~~~,~~~~f--l
E~. r;:{!~~~i~; ~~~~~~~A'l:~
.:/"'. ,l.il .+ j~ ,_ ,-' ...t~-at+S~4'4.L#~~/..z<2E-~-
. ~ ".:: Ii! i ; ; , : ~~~~-tAl/J/I?~~Alr ~.-n>q: ,.,
~ l' NAME, ADDRESS & INJURIES OF PERSONS INVOLVED + CODES l' I - I 2 13 . I 5 I 6 8
I OCCUPANTS / WITNESSES W~ ~~~i~~~lT~I,,~.;.n; - m=-f "Gl TAtu'sf;..........1 Sl'~ r;:.J~ IfUll,'l Iwl~~~~y
N~ ~~ ~I I I II I I
"orwm ~"T't.~.O' tNlvflY DAMfI D~~u OHII'~tO:;;;:' Ot':::IW
~ ::~:m :i;~,.OI ~~,/~~H10MLOANlfI Of:....6~;~.LO ~~ Ol~~:.., 40
L.lljA..M, N('l I ~_ _1 I I
.D.,m~ ;:....J~,~~ltl ~b~v~;' ....,)to' 0 "..." 0 ~~(I 0 ~::;.". \/I.. 0 ~(:r,...,
X 1''';;;'''':;.':;;;';:~4M l';~~:o"'.t"''''w.uP' "113 "~~Jt'l '01,!.J'Ii,'" r"lh1~ J:';;;~ l.? ~~' ~
;',
",,, ,. '.' '."
'.' '.' .:..,. ':/. '.: ,
,',,' ','. ,.,'
", .
" ',' ..
'.':., .;.: '
,;,. .
.. ",' '<.
, ' ': .
..' " ' ..
. . "',,,
::::,;, .'.,<
::::': '/ .,':: '".
..,...,'.. ,;,:":.:.:'. .,'" ::..
",' ','
,\. ,.:'"
"
. '
".',
',.' ' ,
,
'::
".
. ,
"
'"
,
.
"
.'" .'
" ".,
,..
'" ,,'
:,
,
,:
"\. ..',
:,
,:
" .", .".
, ,
..".' . '..
",'.
,
. " "', :',', ,.-
,', "
,'.' ,... ',.."...
,', '.'
"',, .0,
'.
;, " .'" '
. ",: .: ".' .'
.' .' :,,' '.""
f'
...
'#IY'IY'IIlIVI.(j()>
STATE OF WASHINGTON
/ 0' /
No.
.-
:-,.~+,'''t, :..-<~. .'.-' -
I;,
11
,,'
I'
1~'
f
I'
't'
'*~
1:.
t
i
i'
~
i '
,~,'
i.'"
.
,
A.,
"
t
'~
'l()
.
~
~ STATE OF WASHINGTON "0' I O' I N I A I fI 6"'""''''
f'J ~ POLICE TRAFFIC COLLISION REPORT IfJ TRAffiCWAY ",,~;,OM"""W."""" 11
14- 0 pRIVATE WAY
OAtOIOHi"'oON I DAVO'e.OLL'!><Ot< I'hlt COUNll ~ Jl COUNlrNO cnrNO
IT ~I ~'4 II';. ~'";'Y''''w '-" ", '" ,u;,t;l'~ :r€'ldZ' y",j / C '
" 0'" 0\ DIN C'IYQftl0.....N.. I NJ1!:) ~NO ()I~llIlI'~llr'~t-I.....A. KfCLS
1.,<\",,00> 0"100' ()H7Ivl/HL!,t/>10N I;J&h1e;e.VAUt'::. (::;, "./
'NTfll~fCl'NG WlIH 5TII[lI QIlI/QAO INON INI!Il!rfCl,O"" DA. h PIlHI}l.
- la"""(lN O~~f":p,N.Jrr-r ..t;,-....~ (Cej"'1\tH1
I OI~TANCt,j,~'i.' kOM VIIIIN;I,CIIO!>~!oI~H'OIlMAW!!>~Il(~O~". r..... I ACCIOH~I IlI>.MP
j' is- ~~1;~5 ;; & n r, 0' /'J1 y J.&... J:J) M~l6~cr
COll(~~I:::v:vto[] N~(J,~~:;O_NO IN.lUIlHl_ fO ~H....c.t D~;::(~u"ll ~'~~~"~'" .
....;.. QlV[H,CHS 'h6PROPlIl11DAMAO[ON\1 OlltSUl1l0 O\lfHI(l! I
I~~ OBJEC1!.IIlUCJ, (NAMfOf Q6J CI.2:fU~~_~DOWN!Il~""AMI) l~1 OAMA(;t
I ., ~I=:-. $ -I'}--
UNIT NO.1 UNIT NO.2 0 VEHiClE
~ Il'Vtll'SN~r.;:;~ I JIV116i~ q-OH~M'''Oll DlllllllI'~N""""( LA!>I
~~:::"A"'t .:::~~~ !,;~~~R'NO*~ R ',':".0"'" ".u
1'_ IlIVl;!>L1~:N,~N~. ..~... ~ ^. fl"" ( r [I( o~Hl?fal ,I"" I OIl'VIIl'~UCtN5 NO I ".. Y
L- .'vn/ll TH-:rJ_ ' ;z: Y'n\/ .tL~ II'l'1 M1, /3 ,:2. v
6 'rij;~~N'f"fP""ONINO ,{ I1E~ 14.f'H1L~~HT E OCCUPAION fIRMN.....Mt..PHONfNO /
'7 'rr,,-;',,'Jh"'7k:E. }" /A/'.b,Ud., /X.1/hn5-'-l R /'
_ 0 CHfCKt.....) I VfHIC~~~S'Z~~~'S~f~~C~~~~W"'l 0 CHECK(....) jf~~~EASAN~rM~d~~AN01HER(A(
r;- CODES"" 3 ~i':.~' \ I.. ~m~:.''''' \I- 5 IlICIIO"" 6 ~:~I CODES.... + 3 ~~':.:. [ A :~\~~~"j' 5 IIICIIO" 16 ~~~:Cf \l
~ ~rf1~~h.O' I "Iu 4__ ~N "Nt V.
n~,vJ;,'eOM 0 A",BUlANCI 0 ~~o 0 ~li~TI~ 0 :::~~:: ~ ~8r...sp 0 _1.......N'. , lZ t~..CI 0 r!:~II. 0 :::::I} 0 ~~',.,1' I~,;w
, "'H "g! IMA"'lt;':D'" I MODP'7t;'MQV" ""'~V~ E 1~"~"''''7 WODU,D.",NQVA, " ";:;;
~V'bC.OI.OIl IlIENSlPAINV,IS'ATl IIlA1LEIlI'I.Al[NO !.olAE HVIH,COI.OIl IUN",,'Y I~'''''' I" ,~ IA
~ DUl. i10 /bt>N 1 -wA. -- ~ I / ~
rn-:::- \IlHICl~OENHf.C~ION NO, l V[HIClt IOfNl!Il :AllrO =-=-
1',1' I: .j-;,k' II ifl'/5:::r;UiD!5:'7! Of ,rIT F I I 1/1 1 I I I I II! i I I I ---;ill
r:: "G"'"DOWN''~r;;:-''''' M'DD" AHON,NO ~""""7" l'" "'" M'DI'" I'HON'MQ, =~
1:1 ADOllfSS Of OWN[1l ,iOODIl7Cf OWNtll
~ ~/
~ NAMf&JV~IlE!.oSOfINSURANClCO OIlAGENT I^- '1"\ IN U AN .... N r--nl
r- r"t~...m~~- Wle-4-1"hUO /T' '/"lU<'~~'~'.J l-i
_ OAMA(;mAA(A~I~A.Nfnnw.3Z/. Ir~';'~":.N" ~.....a~bl~lA ~
I" 'tJ.;i.~~j,~J~'~::~ 0":,,,.1'0 ,.. . I CkA::~D m::~,N O"M^,NW I~,~~~; ,tJ.;i~~;j,~
L ,.WA'i 6,. ~'II.k':...(.OAJ..c '-ri04N 0 AWAY BV $.. =
F DIAGRAM OF COLLISION rU~( UPPLlMfMAI t.N"ID~~~,~ :Jl<lH DESCRIPTION OF CO,Ll,",',ON,: (USE SUPPlEMlNT-"L st-lEn U, NECf!.SA1ll1 , ~
~. . .~r:;;'lY.;1 ~~'~;:Z-~ff~~
E',- ~S~J~ }J>~t:~/ =:~~~~1:~
- _ i~ .., "~.%0jJl _ ~L. Hr4m.5~(3)"""ILe;SA ,p<!7,l~.._--
" ",' " '. , .. , .,;&kIe;:. /;1?;Y.A6-",P~ 'ft! mU.:.HWA .., ",---- '-""
- 'J: I' " "'I
NAME, AI'ORESS & INJURIE7umJ~,~Jj8~~HltiVOLVED . CO!,ES 1, I - 1 2, 1 ~ ,.,1 ,s..l.e, :::J
OCCUPANTS / WITNESSES f~ .-DpITlONA~ N....Mfl>1 SEll I AGt lA'Usl'~~"1 ~~,:.-t-'LI/\ IlfSI81-fJfCl.t~....,
NAMI -A,/tJA.lEr ~I i I I
Atlf'\~m ~Al~~,f~O' !.elNf!lv 0 AMa 0 ~~(. 0"''', g o::~ 01":;:'..\.
r ::~~I~~ ~~~~!,nl -, ~H",~"'~~UOMI OAMII D~t". ~~ri~. 0 ~~ 07.~'.... 4101
1=.....MI ""'n'''l 1 I -T
AI'(II11-' ;-:.AJ~\i.Plt' \~.~vJ; ~w 0""'1) O(~~'" O~g;'lt..@~': 0;'-;:",.
X 1;;'~;t;;;';;;;C'7~r I~l~ .~~ I ":123 '~2er' "'.1z;il"I'k1~I~~I'pDA~9(J
I
'19<;1/.5"~~
'0 r'''''' 7. b 0
DI....c.ll........tlA1A
1-4'-
Inf=~ ..LI
1M-;UflA.l.
lwC'~
2>1
=:j
I ::';;;'f I II RO 1~~T}:;-t.~'~.!'!It!ITOiiIlOA.OOi RlIlll'tNC:l
llX 1 CLS C:Il~~~~';R;;O
!>PlCW COOING ~
o pfDESTRIAN
"
o PEDAl-CYCLIST
~U~'/
/1
r'~
__~A IOIlI'R H
NO \ 0.0.. i U
[I'I:S 1W!IC.HIIHl.Gt-IT~
'1~
i'
-
,.
" ",':
, " ' ,:.: \",'" ',', ','\ .. ,~- "',
:' :. ' , ,,,',
, ':
: ' ,: '}.
:,' .,,":"" ':', ,':',':. '
'..',' , ',' ".':' ;',; ','..' '" C', :' '':' "
,,,, :.:.::"',;",;:.;'..',.' :', " , , '" ,,' ,':;",':, ,'''' ,,';
,..',," " . ". ...."
" ' " '
:,;:, ;,
" ,':
'" , ,"';, ;, '\r~.;.
" .,: '" ;;
, . " ",::~ ',: "", ;',
':' ,,,,'
" .':, ,"':;; " ':.., ,
,,', /t;: ';,', ", .', "'"
,.'; " ,'.: :,,' C',,;', ,',', ' ','...
",./ ':' ,,' .' "',,.."',. '",', :." ,:,'" ,',,' .' ':, ','
",', ",,' ,,'," , ",,' "'"" ',' ,.', ' ' ",
',' ,',,' , ,,' , , ',' "
..
""
,
:,'
:<
LJ
~
,--l
~
p
m
.\f~
:'
,
"
'"
;:'\.:
.
~,
~'.
'~;
r
~'
1
~
~"
1
,
~"
i
I
.
~:,
,
I,
I,~
~ STATE OF WASHINGTON '"0' 10' I I .tJ n
r-- ~ POLICE TRAFFIC COLLISION REPORT ~ TOAfflCWAY ~,~; C""'''''''N'"'...''
I ')( 0 PRIVATF. WAY
OATfO'C. lll!,I':~ I.. D/l.'Uf(<)LI" ,~ ~ "MI CQUNIV COUNTruo I"IYNO
~ ., Zt\ Iflllw, .:;'~ "", "" ,~" ", ,.. /I ,">l ')('"0""' Je{ !e;e.s.-o...J /0::::,/ I
)( 0'" Ol D'N """ C,l~Olnow'~ ~A.Mt4NO Q>!,ll1lflOJ,>HIC;I-OW..... =Jels, '14l!!"})"~1 I' I~ ,T~Sj~nCOOf.
s."" 0' ~;, Rjo'6)UI 11 ="JG ON I fJP/':,S, LA~f3 t...w. " /:/ I ~.~ I I ,.)'''/'230
INI(R!:>lCTINC>W1THSIIIHTOI>IlOAtl INO"'jNTt~:.I:CTI('tf 1)~ / / _ ,Piltfljll 11\0' IMll.t~l
...,.- - [!\.UW(tN ~ IOl~lWT& ~.L.t!JS~. I I 0.. 8A
DIS'ANCl &O~;"i?~ fllOMPllllltti(T CllO"~!.ll'1tl O~~~!~T .....1\1 POST ACCIOENT JlI\MP OIAljli.M'lo.o.lA
'I .8 ,,~'~~S :;;;:..,~, 01 ~ -l*- 10 , Mt6~E
COUI~~l~:r:.\I;>LV{D r+, ~~~~~lO_NQ !/'.jl;lltO_ 0 ~ll\AG( 0 HI! & IIUN =~
OIV(l1:Cl[~ W Gl P~OFt.l1"C."M"'C.(OMV 0 ~1I~IJIIID O~~';},t~
,flj o8JI(afR~~'NAM[rr;:oILLcANv;;,ejll 1$ I:::AGI
UNIT NO. 1 UNIT NO. 2 o VEHiClE
"'''
J.--...a-S--
lci~ EJ
lRt;~RAl
I ~CI'" [j
I HlR I~f'i 1.1(..110 I R IlOAOCMlW~1( <<;;l
IIX'I ClS ICIlOM~Tll~~.IIOAD/OI
~ptCIA/, COOING ust
o PfOESTRIAN 0 PfDALCYClIST
HilS' '7\
/ I
~ IV :""Tl "II!/ P.........
1~'''1l lEX ....nf?IB111"t I n/EIl'~lIClN~""O I ~''''U.A'&E.I( D"E5~lllll'l1 ~
"'0, D"y '1 YII V / I 1#0 ; D,IlY \YI -=.
lZ ,",C,"^"ON I "'MNo>.M' ""ONO NO I'." r""G"' "'G"' ~ ~C"''''ON T"MNo>.M'''NON'NO /
1-- 0 CHECK (V) ir ~,~~:~~f~Z~'St'!r'f ~"'A::/fiHH11'" 0 CHECK (,I) -1'~t.~1f " A::f:N~ti1I'"
~CODES ..'" 13 ~i~~Y )( .. ~~;W::'" 5 1J1(1,o-.o 0 :'2:?yKV((1 CODES"'''' 3 ~i~~r 5 I.WlOl'oI
Z I ~~:~~.[.Of t) c a L f?
,~... 0 "....'..M..Cl 0 ~~(I 0 ~!l~,\1l 0 ~~~,~~ 0 ~'t.~r m:s:'1~IIlO'" 0 ""'flU.""'1 .lJ ~~(I 0 l!~;"11l 0 ::~~.: 0 \"Il~~~
11,11 IMAKE lDODGE,(H[V ) OEllD....IlT.NOv"J ~TYlf.:J:l ::JNY I ~ YtH V II I" l ~OG[.71 I MODEl {D"'n.NQV"J 1~1'tU IJUa .\"V' )
~ "'5' 7 ~ r~ Z:::SJ":VA ".."",^n NO I ".n 7 "" CO"" ""7' ~ I I ""~^" "'" I ".n
~ wCfi7L';cA'~7, 010 ! z;8 'z. 18 13 I I I I ~ "'"'~""',N ''';^;( I I I I Iii i I I I I
~ "G""G;~M~ ~Mt.:; '"ON,NO 0 '""""7 uos' '"'' MOO"" I'NON''''''
'W '" w "
'2. ^00"",;'6"702. JurWAAA' eu ...A)$.l'5-,Z, ~ /
E: NAM(&....DORf~!>OfINsUa"N( co OIl....GENT R / IN U ....NCEc:O CRAGINl
I" X -==
D...A~%'~E"" ~I~I ""l"ntn-..?Z~2.- ",,, Ih'rl-:~~.e~ ~M'AGI)DIAR(". ---;:i
~ ~l, ) <I I(HAIl"E 'JA!r. (H....aG! I HO'''IOO..-c.f -
1~ 1 10.____ ~ IS~^.'."-~JrJ DIlIVEN ^ 0 aEMAINfD 0 DliMN OIlEMAINEO 1$ It!>l O~""~E ItJO~~~~) ~
- 101lC'f"tO'- $I'/rv-.~ li~D J:d:,,,-t.'C' D~<;"~!lV AWAV I~ .- -.-=-
~ DIAGRAM OF COlliSION: {U!>I SU PLlM(N....L. INDI~",~OIlTfo1, DESCRIPTION OF COlliSION' IUSE !>uPPlEMf,.,.t..... SliffJ If NtC(~I1"') ;J!>
t:. " ,I I' \jOV '~lU;""'.'i"'l-i 'I~W j)e;o/t(J. Lt?'P'i ,= W/1.s-'('6'f,JT&W,AI~) ~-~A43,__-=~ =t.
"/~t~:~" J~) +~~-!~~~~
C:.. ~\ ,T ~. . . , " ~//:S'~/;(.1J1 M) ~.</"t."E:VE'; ,.e~iSriS;~
~ ." ., 1b~ y. 'n';!.bb 7n! bill'
. ~,__~~ ~. ' _ ~ . ;. ~ IV6C ~~-cI~ 'l'77U!: "#_9". L!) "~ <~')
,. " -;e;;U.f)~ . i Ir~ ~"::/:!!t,.,,1'71.. {li...:z;v~/4A17,y.'4s.
NAME,ADDRESS&INJURIESOFPERSONSIN)Ifif~9?d'&1i.tl~~ODES 111-121,3 ,.1 516 ::J
OCCUPANTS I WITNESSES ~~ ~~~~tS'~Z,l~lA~HJ~; 'SE.I( :""lAG[ b1.~Tusl '....~o; I ~t,:. c'.':t .i~,iI1 r;'t I::.~~~y
V i~' I I I I
f\ ~~~~~I~OI I ~J.r.s\l~~ laolol 0 "Mil 0 r'l~,(1 0 rOI';, II 0 ~;." 0 :-:.:.~v
~~... I I
:~~:I~D' ~H~\li~'''OM O"~e O:-Z~~I Or'ri~lI' O~: O~~"',':.:l
~."J~~~rl.,.r" ~(I",\\I~~ ~....... Oo\MfI O~.:I O~~'l' .,.. O~~'....,.
,J~~;.o 1'/6 r'''I,~ao~''IT'E{t ";z$;Z'.'T^,:o~~I..t 0:' 9~
, OI/I\lta'SNANlE "'''
- X
!:oTRUT AOORtS~
Li X
'" ~'ATf
~ R.....IR.SLlCtNSf.NO
aHTIU>Dllf~S
ZIPCO[)[
,
tv(~ Iwrl~TIIt:IGI"tI ---:
6~f<r.""f
o\t1[)lIl~~
[N'M'
'l'O olp("1l1l\',
- ..AM'
"t'I:'''f~''
)( I':.".:,~,,,,,,..C."'I';I'
..,', ," '': "" ',' ": ,'"
',. '.., ,: , ::: :' ';;
'::", :,: ,: ,';, ",
, ,/::
....., ,'.'" . : ' , ,.,:,.....,
',,", :,
:...... " '., , .. ,.':.;',
: ".', " , ' ."
.. ' ',.,
',' :' ':.. ",: :.:
, ,
.. " " ," '
,
", 0"
')('
J
""
~~
''2..
'::
'"
~-
~
~
lliJ
m~r~',,;!~'i~: .
, ,:,,"
. ,:, ';" ;,
,,'..",.'.,.' ',',',,"< ii' ,
,", " ;:>
>..' :',,' .',,:', .. ' .. ',"',,:, :
" ' ,", ", ' .
,
...
...-
=-
c...~.._: ,,,~,'"''''
ft.
J
~
i
~~
,,;,:
);i
r:.
Ii
!'
,
I;,
f
,
}
olt.,
i
,
\
,
;.
.
t
r
'Ii!
~ STATE OF WASHINGTON 0,.0' / 0' / No, J A I'l I -.W:'"
rr::; ~ POLICE TRAFFIC COLLISION REPORT ~ TRAffiCWAY 1"01IC.ICOMI\"'''''''u'''ttf~
1;2 D<J PRIVATE WAY
0'" lor Olll~ "'l~o""Q!lQLt':>lv", :;Z;'lol9l'", U(Ou.....," { (OV"jIYNO 'lTY"-O
p:;;;:2.. /' 9olw, .~ '''' ""'3<' ", "";;ej'%/5-1 -J:;-,-,",~.?S-a.-..J Ie
~ ON Of ~'''' _.7'011 ',OW'" "'_'."'0 Of~II/'~17H'C.lol""'" , IClCt~ 1~,m\1
M'LI~ O~ 0"" oor ft/.?:t7?t>e""L' ONkv(.-:;;-'z ~l>&.<,...L,,4;b//. .... I
'''''IIi~C'I'''C.Wlll"1 ~'lIill01/IIOAO NO"II!~1!II~C'1ON b P ./., ? ~ PIIIII,I( 1'.0
_ Cd/~. S..30 ~u,~i;c."S ~ ~'"D ~~;III~'"
IJ/_D'~'A"'C1.~;,,''''fOMlIlllI'''''I(I/O:':':'1I/tl10IlNl''l/l:''MIUP:' I A((ID(N! UMP 1.I1/l,.('.U,ytoA'A
I Ct7 H ~'~~~ ;; ;.., ;.., 1; OJ __ M~I~(
'O(ll~~~LI~~Ol"{O r?:~ ~:':I~~:::O_""'o INJUIIIO-L- 0 ~:\AGI 0 ;:~.,~UN I ~'::~~~..~ IN I'~ ~~e ~""'~~:.\~"':"j'~~jb~~ ....."'O(.JIIl!tlflit...c.t /;1
. 01 "I><,CL(:' d;.:Q 0 PIiOptl/l..0AM"GI0N1' 0 I/l:'UIIIO o "IHI((I . 9~tl/O Y
19 OIlJICl:"IiUC~IN""""IO'OBjt(l:".IlU'~ANOOWNIIl':'NAMlJ S (:'T~""I ~ptCI""'COON..uU!.l -
UNH No.n ""'4J...NIT NO.2 VEHIClE 0 PEDESTRIAN 0 PEDA1CVCUST ~_:;
~_ OIl~;Jtc./k~ ~;;:~J 0J~ DN!\It~ ~:'1 Ill:" ~.~t T
r;; "'R7" r--zv";-Je. ~.<3 3fl.9 "..""""",, ~ ~ I b
12 <"',L.I .Y ".., ~"o'" I~~M~ ,~~ D " 0 ~'::::? ...~ I'll:'
g.4vt'oC:~ .1-,,/.4 70'33;;; 1",~,:,:5~/r R ~_'::::?--= .....
[::-lg;;J;#'~?...:Q7~L l.,.~ 1;-' ~./~;:/ ~ "~"""N"NO C'rv~~ 'I NO ''';:.''~, bo
re= OC~P"llON flllM .....AMI & PlolON~yo . U.11-?1v.;.'~jl~H' E CUP"IION "IIM NMlI & PHONl NO - ~ ~ (VI:. loNllc;;fTItt:'GH~I--::
~ ~&.--~ ;-;;~,IJ-4/ .cc:.-.LS..7-~.r'..:>G>P-~ R ......-...\........ I I
'-- 0 CHECK (t"'> I \II~I':-~! ....!. '::'N !MP:~~('1 ~"'~~S;HIII'''I 0 CHECK (,II I \It'HIClf A!."'" LM~~g~'-~No,w~AI .........
'" CODES'" + 3 ri~~' / A ~~~:::.., / 5 IJ'ChON /' 6 ~j~.IIC'~ CODES'" + J ti:':~' .. :~~'.;:''''' 1 5 UClfC)Oj 6~r:::-'W.
~ 'N~~~".:.'70~G -Ail ~'C.~, ,J _ ~..;-.s""-"" ~ .d,,:..-cL I ~~::i~.l,Or ............
a '=-- :H~I"~~"IO'" 0 "'Mllu\"'N~1 0 ~~~I 0 ~.!I~If~ 0 :::~,~:: Jit~....~~ ra"':.1"iW'NOAA 0 _1lVI....C. 0 ~~(l 0 ~~"' 0 ",,:'::L: 0 ~'-............
ro= /970 l~~OOZ:>' 7;;:w~ ~tnl~~ ~ )HiJ173 Ic~'/;;t'" ;;;;Z)~rTV:;;;;;:?1 ~28
~ VZ;%G 1'~;;9~ ';J",; IG^,,'~"NO ".~ 7~....J lh5"o,4l3? '::;..;1''''''"- ~ I'~" b
rrc- ....[HICU 100~T~~CA'ryONAD _ Q f V~loll U IDlN1IF. ". N ~
:3 )/"Wib'70-1),9,9o.ov" -,--C- &> L:'I'?$,3c;> 07"'0 7~.s::
jJi::" .IlfG':.1tllfOOW"'lEII IA!oT fillS' NlIOOll r....ONENQ .lltulSHJiUIO_11I L...s.,' flllST MIUUlL 1""1 !=:J
S;.;;:7...~~ S,,*Q~ ~ ,;?700~/<~~A -Z:::>JA,.)G; J3'.BSJ'3c6,
IIJ",.... "00.ll1$:.0I0WNI.Il ADDltt~orOWNIIl ,,/, 0
I":> ~-..o...""" e ~ [.,30 l.,....,;v? /h/od /~ /';bg .;:<o?
~ NMlE'''OOIl(:':'OfIN:'U~''NCICO OIl"C.INT IN U "'" .,..-:-- :n
(_ ,/c/C".....J~ R ~.&'/.:-E'.cO ;-.>:5, )?~-::-/P'<-P..I...::iq
'---- O""",AGtD"IU" ~';'.,..:'i'..."c.' I~A"~3....~~9 ~
.... ~........AGtp NItA.
~s I ,)'O~. ,~~::f;'g~.' c ~C!!'7:7 o;q" ~ ,,-;,c"'~6- (lol"IIGI -
~ __....;.._~:.l OAM~D ~lIl\1fN OIl!MAINfD OOIlI\l!:N Q;EM"'NED ,i,f-1.!.'-~~.--::i'6
rrLr-o.ono~ 1L5""2a-> IQfri~IlY ~",L/5 O~~~IlY "W"V S..Jbc:' I'\l--~o.on~'
r=6- DIAGRAf!t OF COt~,tSION: , ~~~l~P~~tc'i~~"';~1 ~~'W$O'~IH DESCRIPTION Of COLLISION: _ ,(USE SuP911,y,fNTAL S>4f(lll Nfa~"t'1 _,' n
_ j : ':';;;'V' _ ~.:;:/ # / ,hi/.".5 ""va/'!"-#' =;) /c....,a<"~ b
{.J:.N,,:!t /I<olN:~;ZD ~ 'Pt'<,"'.....c "","'0 AA::> E-P''''~t>'. A" ~
I'C 'Cvfi~'<f- ~, ,/~ "'Er~ ......."""d ;:",y,~?6..""Pf-:pJ
C ,-;r.l2;;is:: ",); T<" ~.s; -~,r c:</~.c" L~:/7"' /"'c:iP I.=..l
" I, ,~ t"r/ 7,' ,e/"".1/7 S7h~4 # ./?2'.rc-, ?
,t) J Jl' f.' VG// g;..';"v"'-L''J:::, C';<'/ f"~" T~ee .rl'",,?:::>~
i P:'J';' .. I S.3l' /"J?'<'. /? R,....zL'~ ",~,.y
,,,;2; , I......'!:.
'. '! .' .."tu,l. -'
I~"';~:;': ~ I ~'P '1
NAME, ADDRESS & INJURIES OF PERSONS INVOlVED . CODES lJ 2 /3 . I s I 6 .::J
OCCUPANTS/WITNESSES 1,~~~~~ZtT~A~'1~~ 'MI( I....G! ,.1u "....~.. "",: ~j~ 1(:.,.l'i"'Cll:-~~.
~l I
~A,l~~,l...O' I ~rNf Ifl" 0 ,1.,1018 0 m~l 0 ::"..:~ I 0 ::: 0 ~'..",
..:0 I I
NA'u..~!,(}+ . 1~~"'i~'lI'o'" 0....10111 O~.I(.' O"~;". 0::: O~~'...... 110
~6~;' I I
~~~t~or !obNt"Il' D~Me D~~nOrg;.", ..... O;:,~'......
o.tJli.'l (){o r'-~'(ft.'~F~"ll'l Pqo.J,[.lJof'I/'''lfjOll'IOIlllflOl/'.1 "~~o"',!IIY/1 OAT'
S;:~:3' I~~;?\ II ~;:~\OIJ"-I-~JV3'.:f$.yI."" --?9d
I 15t::::" ~
,. '6'5ZffO r"""'~..
Nol( 110:.1 ,0
,,'/, :5,-? C.
"
- C21
;
"
-
..."Ml
"OOIlI~!o
Fe :::I~'
t..=."","M'
"N'II\~'
X ;;&?"'7~Z/_~~~~~]:: :l~(;.;?
-----.
"...
,>'
" """",
, ':," : ' ': ~ ", ",,"'" " " ,',.. , ,: .' " , ,
, " , ' ", ' " ,~ ,
,", ," " ,.,. ,', " ',' :;.', . . .' ' ',:' .
" :', '," .~ C,;', ",:.." ,.."
~:', 0:"', , ;,' ., ,'. ,; ',: - ,
':":', ',. ''''', '" ".':.. ,',
,'," ," " .'",',
":' :' ':
, ,. ':', :',
,: ,', " : ' :~
;:" ,~ ' "', .' , '
. .' . ." '., " :,
",: ,
..,'. ,.',"', ~":'~:" , " ' " ," .. \". ,; .'
, -:. ", ,:':" ',,:':, , "; ",'.',..:::
.. ,:" ,,' :':, :', , : ' , ' :' , ,~,' , : " , ':
, :,' '.. ',': '''", , " " ,',' <" ' " : ~:,
.. . " ':, ' , :' .' ,: : .,' '~ :: .
: ' ',' , ... .. " , ",,:,,'" ' , .: ~ ., ...:, , "',' ," ~:" , ~ " '
: ,', ,', ,,' ';..,.;,:' .' ", ':' " , "':' ":",, "'", , ' ,';, '., ,,' ': '::' "",
: '.
" ..
,
"
'"
, '," ',~,
..
,
, .':
" "
"
.'
, ':
,',.,.. :
",:'.. ':,
,':
..'
I .. '
',.
~;
'I
......
G STATE OF WASHINGTON
fL7 \, ~... _/ POLICE TRAFFIC COLl.lSION REPORT
p,. tV''''UUI' N 1.. DAy-CICOll'!.lC>N 'ME COUNlf
1'1/ ~ lJ'11~ I\U~ "Q~ JP "l~ .....'l\ ,". ~, li&.~~~II' \:7::---;//( i "), /"J
~ ON 01 E'''' .,/l1~O~IOWt. r ~":!J[&"'4'Ol~UrU'O~HlvHW'"
Mm 0' Ow 00' (J11/;li'/f'llin ION)./J(.,(, ,1.})(fL{
IN'IIl~[CTINc;Wll'" !oTIIH10lll1OAO INON1N1tll!otC1ION" .rl/ /J "':/., ft1' ,," 1
1","wtr412JJ;lltL1 C-i(.WIIT .. /lpJ.) c...e'1./1\IIIHI
1/ / Ol~ ANCI &l)~;;,t N I;roMllfflwl"'CI C"O~!o!oTIIHl 011 N,AlI!>! '0\111 F-O!o I ACCIDENT llANo
II H ~~:s ;; ~ ~ ;, Of M~~~E
COW!oION IN...Ol....lO V'II11l' 0 ;"'U:.~AC;[ 0 HIT/l.IIU'" I ....:::~'.;g:..~
~P~~~'~~S 0 ~ :1~~~~,:(~~:[O_ 0 t~lIlUllfD O~~~,~~ I
,q 08JIC1 SIIlUCK INAME Of 08JICI !.lI1UO ANOOWNIII'!, NAMfl I $ HI DAMAOI
"G' / 0' /
(] TRAFFICWA..,
o PRIVAlE WAY
W$P.AR.l!.1l
No,
J [0' I
A
,") l"'\
Iv.:
I,..,'~':.. ~
1E*;ul1.t.L
I'OI.tCl COMl'\AlNl NUM8111
""'")''''''
/C
lffi;"
(CC ~'I
c,tl'NQ
I
, I ROUT! C* ~Hc.t,(H.V
'152.llo
PiI(lIX IlQ-TMIlEPO$l
I I 2. 70
OIA iAMC/oA1A
I ~,,~
I 'I~ ~fso 1~~~:~3SO
s.PEClAl COOINC US!
OI/'IlHIltP<<,.l;
UNIT NO. I
UNIT NO.2
o VEHiClE
..."
o PEDESTRIAN
>ilI5r
o PEDAlCVCUST
M'O""
'.,
t
~\;
!~'
t,:
t:..- DilVii'S NAM( LA!.1 flQSl . MIDDl I/IVUt' "'lIMl
r Tf/O:::rC,2, (;/1< 0.. t(led In Q
~JRur ADo:.(~ J Ii f -:1./: /. z.7 ~rRtcr AOOkrss \-
F1 I~Jo 7 <:,(1..', ~oti(, D \
't::5: ?:(ld{l:iilt.-y~'" 1'1'~:7l., ~76N~~I72.. R '" "\
r, OJ/I [J/'SLlClN5/:N I STATE I E,II; !->AT~~BIJ/lti I !VUI'SIt lN5l:NO \
~ r(/(.;<.:jC.')l'7(11Lv/~ 111 IzIC/' l.ie) v
8 OCCUPAHONt. flJ/"bN~l & PtiO~t NO _ <. f Ij VlS WEIGHTl ~IGHl E OCCUPATION FIIIM NAM( & PHONl"{'lO
;::t. Caifliil 'L /,[ IJiJ/Aj f'tJ;,..Ii,{:_ ,r'u I~" pi, R \
~ 0 CHECK(......) Ir~~'Z.c1~:'!!~8-~~~~Al 0 CHECK (I"') I lIf"'ICllASANf}M 'I'!(OfANOTtifJ/IAI
~CODES ~ + 3 ~~~~. I.. mi~:''''''l'':'; 5 IJIC1IO>< / 16 ~:~.~'j""l( CODES.... 't, I'i 6i~~'I'. :~~~:~". 5 lJIC11O...
1~~~~~J~Of ' T
o .....8U~.....CI 0 rs:~CI 0 ~~~!fg 0 ::~~:: 0 \"8.'...!.I' ~m"1~fgOM 0 AMau...NCI 0 ~~~CI ~". 0 1r1~:lf 0 ~g'i'...~.
I^";;K[I~DGE.O"P..,J _ ,I V\ODEl (DART.NOVA) I STHf 110J/.CONV) v... Y A I (OOOC[. H[VI MODEL I~T-NOVAI 1'~f1"U pOIl..C.UI'>'V I ,g.::
I"G:': 7 '-I C/ih)/./6.:T1 JJC;vJ",- I 41),[.. E \ .0 ~
~ IJJd~S;/)] KJtr22E87~ ~TA/tJq 1TQAIllRPlAlENO I~'AH 7 ~...c~ 11 l:1 IL A I Af ~
VfH Clf 1000NYfICAJ.lON~ f VEHICLE 100"'llfl AllOi' No:- \ i '
'u:? /Xi!?,'CllvlL./,L,/'0If,I,98, I 1<: I! I I I ! I i I ! I , ; I::;'
rrr= J/fG);,TlJ/lDOWNEJ/ LA5T/l fiRST MIDDLE PHONl NO 0 J/iul~ Ul'EDOWNfll lAST FIJ/Sl Mr~! I P i NU, U
~ lI/dlI1} 1-ft.,,(,<1 - \! _
w 21'
U iAOJf(S~OF~(Q " ! I . N IADOlIE~OFOWNEIl \
/ f/.D Ax y-'OtlJ{/Z, t{ir~ Cit3JO E
~ NAME/&ADDJ/ES~OF, IN~UiANC1CO ClIlAGfNl R IN;&iAN A -:m...:.
1,,__ tl(j)'l- . I
'-- DAM...u(DAA(A~' lAIN 4;' '7Cj(,7 . .~ 1~~I!>A":.~c. 10~~h'AREA ---;:;
m- 2 ].. CHA ':-t_~ -(-"'0 ''''..-l-'-~I C...APCf ~':::f~~~ I ) . ~
L,m';t~. $ ~ ~ ,~'rJ2;.7u,-.l,' D~~~" m~~~N D"M"N'D 1~"D~AG'I'q;~~~~' 5
~ DIAGRA~,~F_ C?l,~;ISI,?N:_, __ "._." -~lJ~llf ,Nf.,ClM~~\f_!U~~~lJJ/tt,C:TH D_~~_~~TI~':"lo~C9.:l!~~~:~'~Y~~~~~~~1~~.1 ~.______'_ ~
C-- 'I, ; t-eA it;, y:f J ,,:..~ ",.(/..J:.JL r:.f.C-/",'bt..Lu.'L.(;r&:fL.iI'LY.-P/.7.-'--'---" ===.
'L-(U" , ,.., ~'"' ',,' 1~"1(1 (,1'~~ f 'H, I,' ,:'J;; - /:]",) ''';'c'nrIjj{7;Tr.'Zi;ld~:...'-:---'.-=
I E~I~>:~~~~l~"r.~~~('JJ;/f;~~)~f~~?!i~-~5~= 5
, "" I :, ~ ~ ~ -... ,. ( ~!'-.f,I...;~n2("~7r./{/f.4,.f.,..t.'I'<J.
, ~l':;~~ 1- 1~V;ILiD::YA;~y,~=';;"f.~;;;~.!'-n
P-' NAME, ADDRESS & INJUlIlESQF PERSONS INVOLVED + CODES I 1 I - I 2 13 I . I 5 I 6 i-=1
OCCUPANTS / WITNESSES (f~ ~6~Hcf~~ll~...s~li . SlX""j ACt' k'''Tusl,~~..t .)1"',; ~~~ltf$;lfi 'UtC1I,~~['~.
T ~l I 1 1 I
\ - ~AT'i~,f..Of $CINE 8v 0 A.....e 0 ~~I(.I 0 HI" . 0 :~ 0 ~:.....
-\ 1~,I~~I,O' ';1r;sjV~~Hl~rOA: ~~~(Io~~".od~ O~~~... ~
\ N'O" I I I I I -I
~~'u'i~tt)f -- ~cr:.,I"a'l' O"l,\1!I Or.'~(l o~.,.r~;: O:;.':.~....
U"",,'" r'oyC,.l9.~P"'H:I1/1l POIICI A~p,II[D 01,\1 Of rllPOI1T I AH'''OIlID_1/1 DIo"}
{r~~" II"?)&(. / ZIJ,: z '871,J ,.. 'y',1 ~ /.?,. '1"
I
I'
T""" 1 "'., ~T'~,''',:, P-
I [VfS rIlICoHTIfi[IGI1T,--
. ...oIClIIC'CU
V'lil~
Atl!)IlI~~
r:;:-- N.......'
IXI __ "'1'l['>1I1 ~'.
c.. "I......,
..t'l.III\r.
, Il""I~""7':"1"'''I!O~ ~ "'....., a ~..,.. , IlIAt>C>' ~~ I "'"t.....C.
X 1-11 /,v,t ; /{, e "7,1 (;.1;., C ijJ~ 'lie:' ,:
r "" .' 'I',,:' ' .- 'l
~~. , >' " '::~.
'.," l' : ,":' ";,
\. ;..
' "
\ "
'" ,,;,' ,:',.',:'
" ," .',' ;,
," "", ;~:~~ ,,' ',....
, ,
:' ,
,: '::, '.. "'"
".'
"
,'"
"'.,
,
::",' " . ","
:...'..., "'; ','
',,: ','" "" "
<> ".' , .. <, '.,.
, ,.. ,', .. "", " ,
,: di?":"
," ',' :; ",
, , : ,:
, ,'. '.
"
",
, , ~ ',' . I, ":.',
", "
.'
-:-
':
~
l'
J
~
..~
/"
"3
"
~
t";'
',.:;;
..
r'
'b
l
t
J
,.
,
..i,.
\
I,
l
~,
.:'
i
t
:'
"1',.. '."~---
(j.....,,'
:~.
'~~'
w.........
STATE OF WASHINGTON
"0' I 0' /
[5rlRAfflCWAY
o PRIVATE WAY
VATI I ,:Olll~ ... U.... v' 1;.<.I~~~~v", fl "MI IlCOUt~T' ..4
~ 1) (3' 9C) ~....~ !~I~ "'D X " ~.'Il D?;;;~~fl' U:JE~~E/ZSo",J
~ 3 Mll(~ g: ~: ~:~~:;;.I~~J ONZ;":;&;P:;~E;
IN"II~C1(NG WllH !.TIlIf' OIlItOAO "ION IN!lIl~CIJU"'./
IlllWffN ~/.t: ,. t:o,,/ STRUT ,09/ ~?Y/!.11l1lT
/ OIl> ANC! ~u~io'" flO.y,IIH!"IN!-1 CQO!.B11I1l ()II N!AIIlS'.....jiT~ ACCIDENT
~ /~H';:!. ~~ ;-, ;; o,~/L&.~ U.~ ,q M~~~E
'O'.(I~~:::~Otv(O ",~;'fl~;:;O_NO Ir'lUIl(O ~ 0 ~:\ACI 0 ;:~&I~lJ"j "":::~H~
CfVIHICLf!. fZ} 0 PIIOI'tIlT't'O.......AGI')NI'l' 0 Ilf!.UITfO OVEHICIl
19 OlIJICI!.IIIVCl<lNM'oIOl DeJECT STRUCk ANDOWN(fl SNAMI)
No.
t"
;)
2
6
3
POLICE TRAFFIC COLLISION REPORT
I'OI!(.I COMI'\""'" NU....Slfl
~
'7~ I'''''''' I [i~:::' ~
~~' MI?';;;~;;" I ~,,<>< R
7. 90 kJ
II........P ID1...C.II...MOAI...
IN r I~: ",flP I~N II I 6rt1 IIOAtIOftfll111lt...c' -0;)
Ix ClS ICIl~~~3-~i-~'~O I
:!IPl.C'''ICOO''''IGlhl
f~...Cl~
.--
_.'
(:!IT OMlAGI
$ -
UNll NO. I UNIT NO, '1
~ O:;;;;~/I ~~~~ ~/J':;;;;;;; O~NAM(
L2~/~~ ~1//J:::WU~ s7 ""~'
_1'~-,LS3o [..),<1''' 9j3?O-~:9?S-~~" "'-
. 1:- [lI;l'VIII'~ I'C!N!.I N :!ITAII SUl OAlf ~~~_ H I ~'VlII'$ II IN!.t NO '\.
L-. ./J'S.l?3.:2~/3,;.):1 14 ? o~,t.) V "-
;I~ 1:;;~;'~;J;:i~o~..s/deS ~&T{S~~ ; OCCUPATION rllM~1 & PMONI NO
o CHECK (......1 V(H'Clf A~"'N [MPi~:,. "( ~"""'::cHmi 0 CHECK (....1 I V(HICI !o"'N fMPlOvfI Of ...NOItO'AJ.
'4 ~~D~; :: I, ~~:<;:. / . ::'\~~"'4/ 5 ",,;;0;; · ;-;;:~.~:<oo ~F~;I:O~ + ,~~:. ,'>. ::.\~~"' 5 ..,,~ · ~.;~. .
~ D........."....cl 0 ~~CI 0 ~g;.tll 0 ~::::J ""':"8'..~. 0 ..............1;:1 0 t "'(I 0 t'8n.. 0 "':::1: 0 ;','i'..?
":"';;';::'" _ MAl:! (DOPGf.CHfl,/l MOO~L~IlT.NOV"'1 STn~.CONVI E IMMI(OOOO(.CHVI ~1(OAll'f'#..lV"'1 I~'V I I ........
rrc rTXV ~/c;:::;:;;; 0/'.....)-1) ~ t/ I '\. I :;.,.
~ V H-:Ul7 Il'Cl~ PLAn NO I STAn TIl...llIIII\AT( NO T$TAn- 7 VlH I'Llt.tN:.t I'LATt NU I :'IATI
L- ~v€ w//c:>.7Y" l.t,/.R' - - I
;;:;:::; V~l( IOfNllfl,CAltON, "",' . ".,./ f V(HICIIIDlNIl I A ,
';< .,J13!7o)]'T,/'Y ! I i
~ IIIGI$TlllfOOWl'.lfll 1.AS1 fIIl$1 M100lf PHON( NO 0 III l!o Il(OOWN(1l
- S"..A?~G" ~~5
I~ AODlll!o!oOlOWNIII 'Z AOOI'I::,:)t:WOWN!1l
'- S-.,.a.,o/" 6:.- E
r:: N.o.Mr~~~DflI:!I!oOl~U~ OIl"'GfI'll./" -
":..- ./7,c,cS/,.f'/6 - ~..../.;>3:. ,?Jr;:' R
"^",, It~H "",.. ..,.mON - H
~1.Gi.b All,'" ...,~..ftl'''G Nn I ,.;'o.""..,..c. I ~AMAGl"'REA -::li
r .\o~' ~'::..c;'g':ti CMAIlGf CH"'''Gf I H ~~~= .\0. .
1- 'Q~~~;J I ~.::~~ ~}" ~;:;;:; /",,_-, 0 ~<;,~.." m~~N D"MA"'D I ;'''....". I'\l.j;;.o;~' ~
JiC Dt,AGIR:~fC?,' ll;ISION: '.: I :~llT!o~~\h.,~~f~Jl _(D~,'H DE:~:;~Of~~:;:. )::PU~,N1,~;;;;rI,,~.,~,....., ik-y::,,::i
C 1l6i.~.z '~~y... ;.2;:>." ;;:' p :.JZ..::..z.J;:;;'S----=p.../~ ~f~..kh":z:, ..::::.
~f- _ _~~ H A~~ k, " ~ /~S--::::~_;;:,~~'~, ",:::Z.<J?-,~,~,~,""'" 3
,~ ' ~~:: "~ ;;',0::;',4/ ..r~~./ 3EA........J ;?:>, $,.;?2; >i1
[2' ..cd"~?-/.,;. ",~~"",,~"",:t!:5J-,,"""//'>'" ~ ~,..,//iV,<O':' ~,," ..::.J
- '.~ "P, "'.....,""',"": '~, ~~" -Gf; /E.-e7". '--6'.-4' _ - ",-~-:,,"~....~...,z::.,..
) J _ L ...1., J/~ .il J j ~.,..I~ ,.,;::::::s. _ .- ~~/ . ~"7....";Z::te".. ~..__
~'~~0~~;~0r~~~~~E~~;~~;'~rrVOlVED ~5.~~~. ,~~J~~.I~~:",~\,I"~./.iA'~;.G
........, ~ I I I I
ADCl"I\~ ~"'1UII' (If
~ :::~,,~ ~;!.Clf
c........1 ~
AN'III ~~ ______ ~~~'f.l~/;I'
, ~~"""'(;'''.::t'~'''......, '::},. .../1b~~-.c.I"'(' Ol~~'~~:l
XYP"/" -<.rT ~'/~"..4 1~":./ltJ..5? :0>,,3
o VEHICLE
"'''
o PEDESTRIAN
""
o PEDALCYCUST
,~.
,.,~
I
I'~~
I "An
~. I ~u...~::':. III I-l
1000 o,t.v ...
IIVU rlC;..HIHllCiHl =-
'7
y'
IN U ANo, CO UI< ~tNT
'..n\]'
,~: i I
M' "\ I
\.
'"
.. D"'MS D~o(' 0"'''. o~;:' D~~y
fNflV
I 1
.. ~MO\lJ~ '"0M 0 ......1 O~.O(ID~. 0"" D~~.'..? +0
.. -
I I I
!loC~V~~ D...M8 O~"Oc:::;.... VI" O:-.~~~
0dl D',~P.'(HtOI iI'OI'Cl ...."'Vltol 0"'" 0< III~ ...~"'O~ o...n
q.?:.~,; IO~-!,? 1~-8-~ .;,;: ",...,,?t:1
....
.,',',:,
, '
,': '
',' ,
",' '
"
", ',,'
: " " ..'
'" ',' .I' '.,', ,
'.", ' ,:.
"'-:~." "
',," ,: ':" ":".;)' , :
...', " " "',.,'."
" " ',", ',;. .....",
, ", ,,:...'
.' ", ," ,':: "
'.. '.' "
"
"
,".
"
:
,
,,'. ,:.''' ',,,'...
, " ' ,
".: ..,'
,.:, , ".,".' "
, ': "
, ',:
',I:
,
:':, , ' "":
" .' . "i,',
:';. . /,.
: , .,', .'~, "~', ':' ,:
.>' "', .',' '., ;,:
",' ','..", .',.,",'
',', ,.', ,'. ," , , ',',,', ',I' .,,'..' , ','
" " '.. ".'" "'" ; "", ,:
,",,',' ',,' :':,' , '.' , ".. .', ' , " " "" ,,'... ':, " ", :, ':
,. ""'" ',' "'.',,' ,..'..:.', " '.. . ,:.' ,,' ,'".,. ,::.," ,,' ".,'.,'
, ' , ' : , ',.....:'. ',' : ':, ' ',' ': ':, ..", ""..'." '.
," '. " " . , ,:,',. : '" " ' , :'
.~
",::
8
";:]J
V.:<'
::!'
~
(-
~
.iJ
~
"
;
<
r
;
l
J;~
\"
~
r:; D".:.'"'........','i STATE OF WASHINGTON
1"1 ~ POLICE TRAFFIC COLLISION REPORT
vAt 'C.Oll1 1\0 --0"< .lOII'~IU"" I ~ I~: 1"-11 COUNT. ./ CC>l.Jt-o')~----=:;> CH11'4
~ ,yz '7 $ w' .~ "" si ,~" ". ." "~j;;:~;' ~?-6:-;Z.sa.-'.:;; / f...-
L.L. to ON 0' D'N ?~ .:;AMI&~OOI$lI1H'O~M~AY JS!.PS ,,,,,qsl 'IIH1'IROVI!Cl'i
~ M"" 0' ifW .g~. Z....'D~J<....) ON~,,,,,L } ;4dey "" I '-"..'1 1 9r//$O
I""lfll:.fCflNC WITH slim 011 ~...[) INON IN1!Il!.lCTIQN LA- tZ..:Se:..-...J ' ".. I Mill POll!
18f1WHNO.....,VC &~SI/l!lT' L44 ~ SII/Ell 7. :3 7
I Y I O'~'~NU . D'IIIC""":~' MlIlIIIIINCT c.lloS~S'IlU' ~ MAIII!.1 Mill PO!. I ACCIOfNI II"M 01...(;11....... ~lA
I o//? .Sr:~':~S -A ~ 0 [1 01 t?~/L .6~~ Mtl6~{
COlUSION I,."VO\V'O SIVIIlHY <:::!:> 0 U l 0 ..,r 1111)""1 ..."~,,,
~O~~~,~3s - [2J 0 ~~~:~:l ~~U)_ 0 ~~~~~~~ 0 ~~~,}~ o&J-=:l"~
? OtIJICl J;TAUCIl ("'AMI Of 06JICT :!'>U1UCl AoNOQWNIII'S NAMt) 1ST O_.....CI
w!>~ ",II I~v
~"Gf / 0' /
[)?'T~AffICWAY
tJ PRIVATE WAY
5
6
4
Ig~:::' ~
r ",,00-.
~
No.
2
$oO(,(tCQ.y.Pl..'..IlNU....N."
I
INI,,, I_~'!'!. ltllO I:" Il:.H.II......:."ntlullwuAt!0'l'/5Il111l1t.,(:1
'>:' CLS 1'"~~~S-Z1~O
~P(ClAl COOING tJS,(
_ $-
,/ UNIT 1'j0")1 UNIT NO, 2 0 VEHICLE
S OIlIV')?; Lt;::T !e:d"4-I'/ MIDD( ~1l'SNA.Ml LAST
STIl(fI....ODIl.S5 , ~ Rt'~IlISS
~ ...?0o ..s6~~d.:s~;;;-'P.I2- ;.:12<> y '\.
l:::::::::- I.) /) SU,I, l'PCDDf..1 ~O.~.'l(NO 0 IT" "\.
~&>.s H",..,~.de:5 C/9 9dcl~r~)';J,5;;i>1 R '\.
C &':;Cf;;~~~~oorY hS;) Pi;;.... ~);:,? ~ !tV1nUIN~N~
B' ;;:;;;~.J'IIlMNAMf~~~ ~a~~~: OC~UP""TI~ 'IR~l&P~!NO
-- 0 CHECK(""') 'Z~~,:,~~s.:C~~~i,....t 0 CHECK!,..) V!1oI1 "'S"'N lMP;OYfI Of....'.<(.lhO'...l
9 CODES..... 3 r~lu,,,' .t--/l 5 IJIClION I 6 ro'OIO~ CODfS ~ + 3 ;:i~' . ~~~:"'" ----r;' fJlCloo..
... 10'_':;-;:;; '~Tl'" "'"" ~
!to'" 0 "'M8UI...NtI 0 ~~u 0 ~;lil 0 :~,~:: 01 ~8.~!of' 0 .......1<1\....CI "O.'~l 0 ~I 0 Vf:::U 0 ;:'~'w
--'_kt[OO9l'I,CHIV' IMOOHIL>AIlI.NQII....' STYLI{~VI V ...tl iJI,.ot.IMIII ~t(O....IlT.NQII..1 1:'11'1.1:1111 I H(W
, I ~,^,'T.?A' ell/Ie" 5/""---, E , '\. I ","
~ 1I12'1?~ r(/t3CA~:-'s~ lR....,LI~NO ST....I~ 7 IIIHC~OR S ~. I'....T(
~ V[....IC~f ljfNIIIIC...llON NO ~ ~ ,__ f IIIMICL! I[)ENllflC...HON NO "
~ :T7~.4i6:E-i'Yi7i?:?i-/151010i3 /..s-7. : i I i Ii' '\. I! i
~ RIG'STtRIDOWNHl LAST FIIlSI M,DOl' I~""'(NO RIQISl(IlIJVWNlll lASl FIIlST MI""X I.........
,'- s,;;?;e;..-~ .-J1"tL.Jf.8:5'~~'3, ~ '\. I
Il~ "'OOIlISSOf-OWNtR l"'ULJl'!I~UOWNfR "-
~ 33.35 677r;>v j?r-:;;;;'-r-J5G::::::p ~ '\.
~ NAM( I AODllfSS 0# INSUR....NCE t;O OQAGfNl I NA,NIt I ....OORf:)S Of IN~UIlANcr co O! A.L N "J1
~ .I/_J/L-- R '\.
'--- D........AGlPl\Rl'" ~'..., N_.S;~.y~~...5 In"~~(~,~~~ I 'i........<Gt1'.~u.. ----;j
17 W' .3'0~;J. CHJlJl~IVEN.o ...::.;.f' CIol~IlGf 01f"'l1()MC,1 '~~ -
, 108'Ono.'- ~I '~':'~" l:::.A"'D,,,DIlIMAlNIO DOIlIVfN Dllf/oVt.INfO IUTOAJAAGf,tr1 L~._.. ,::::::;
_ _ I"~...-.._ ':0... O~';..~B'I' ....WAY S I \'-...\1010"0 I ~
C DIAG:rlAM, OF COlliSION: fV~( ~U",(EM(!'l!~l i NDlc...n NC>>lH DESCRIPTION OF COllISION: ._ ~f SuP9UMfNTAJ f>H(fTlf NlCfSSAJ!YI S
~i :' ; i/ ;; l"JI"p~r:p~~ pI~// ...-J<>ffr# ""^' ~J3,.FA/d ~/'?~=i
'-p,~' ,; ! ",,~L,: i i; ;ZD -I--;;':;~ 6'y,:;Ti!5'D ~ tZ vA'E' ~ =
P':: b' 61le, r;F{i?.r-r ~ ';,...4~ ,,?~ L6~~ !e.~ ~7: ./~ -::ill
'-= ~ ,.A' i ~i lTTT"1r', ,~~./-'/~~~ -4t::-~ """"""~
E ' "~)L:' ii, 1\.,' ,'\1 iJ._f-i.4J+c::J Lif;..r7i5>/Z'_j; ,,:-:c> " ... "~ 5~=,.!~S ~ =.J
1-.... _ ~,:.-v_ ;.....l,~ri :- -:- ;/G"#, d..-:'"C>6':D,""',=::-..J ~~$'7::0S
., : :>;: '.. ;~: ;k~T~': ~i ~.:S- k~.....:~$~;;':::2:;'9 - .'" --. "I
~jp~~~:~s~~~~~~:~E~IE!~~~~~...~~VOlVED ~:.C?r:~i 'A~J.~"I "~.:.I ~J..IM:i 1-(:c,I.,;~. u
::?" I 1
~"""I.~!<OI SC"B'I' "'M, O~~((O~,.D::r o;u:..v
I I
o PlOESTRIAN
o PEDAlCYCUS T
M'~'
l3
6,
V:2.
"..
'"''''''
I
1""""""
I "A'
~u I 000 [J....lI~., II' ~I t":!~
I "" r <:.o<'I"K.H'~
6 ~,.,. .t.>l
~1
'f
f
I
~;
'i;
~
~
-iJ
f
r
1:'
t:<
i.
AOrw!\!.
po ;;~;n', ;!~"~
C NCl
"'f'I"-1 ~\ ----.. ~~;~r~or
x9~"'7J~.4~[j~I;:;? ~~. P21.!""
~~V~~ "'OM 0........ 0 ~.'U D~l\r o:~ 0 ~~~ r~
I I I I
:~~I/~~.O- 0........ D~:Cl D~,tl~:;: o;':~~
.,. ~PI tl~l 01 ~~l "lOPII'_OVIO" /1 1),01."
~H'" ~ -?-?2; ,~~ ....,t;~1 ...(' ;,n::J 9"
j
I
\
t
"', '. -,; ,.' ".:,' .,...
".' ,'.'. ",:,' " .,.,.'., .
:', "~i '., ' " ',: ' " , ..' . ..," .:' .': ....., , ,..',,,,'
", .,;, .'" '. ., "',
',: '..,'.' " ,'... , ". ", "', "'.
,",,'.' ....., ',..' ',,' .
".,. :' " ,.' ,." " ...,'
.i', .... :" '
'."'...".<. " "
",i . ':. i ,,',,' ":. '.
.', .':.!.
", ,','
i,'
" .' ...,
'\,',,";
","
< '.,. ,',.. ,',' " ,
, '.:,:, .' ' ,
.....,,",:. ,,' '..", .'"
. '''. . ", ,',',' ',' ,'.. " ..
"
,~
','
.;'1:
.; "
"
"
'\
',',
,..,.,
"" ,'.
" "
, '"''','''
, ',' :.,'.
,....'. , .:
. .'"
, ,'.,., .' ',.' '.'
'''.. ,,': ,'...,.>: ' ,.
" :.:, " .',' ,," > . .',': ,.,.', .
',,' "", , .." ,..,:. ::<;,: ;.,.:..,.,
'. '. " ,,': ,.., ','" ,':", "i ::'
i
.
:
-~
t
f'
~:
t.
}
'~
1
l
i~
V
\.
~
..
~
~
~
'~
{
~~:
~
\~'t
'.,
fiY ....*I)\lI~f"'IIlO\
.~. STATE OF WASHINGTON ;;"'A'(,C':~Y No. I ~ I n I.. 7
~ ',. POLICE TRAFFIC COLLISION REPORT l""J ""OM....'.'.'....m'
o PRtVATE WAY
, c", :: 00"",0. , ,.. '" , . ,U" ,~'~\.o I\'ou." coo." NO "" NO
r-;-/ ~. '"' ~ .. ""V"" '",,"" '" @':I5U".I\~i'='PE<:c:~" 'Zr
LL ON gl D'N CI1VOllIO.....~~ I N.AMf'..N"C)I~lI{!I'O~HIC.H~ FCTCU. ,1t.DM2..~1 PIll'l rtOvlIOJl)IItUlt;OIJ[
.., M"" 0' OWjii:o,....-/...L~.b. fP ON ~M.,.I/."" /r-;:J /,.,' "\1 Q.-;27o
INT(~~rCI'Nc.WlIH ~llcfilO lIQAO " INON'Nlflc!.fCllOl~ / PIltflll (y, .....llI 1'0:1' ~/
lal,wu!'-.V'?' ~lllUl 6 ~lI1H' 0, Or-
IJ) D'~TAN(f .O~I~: ION ,110\1 1l11(lItN ,tllOl.!.l.ll1l(lOIl NlAlIt~I""'1>1 P l. ACCID[NT IlAN\P OlAc.lIAMo.o.1A
110 "j_ ~ J::j~I:~) ~ A~;; Of /Ylk A"v ~~_ M~~~{
tOL\'~ION.NYOIVto !.1....1 !IV 0 l O.m & lluN ...:t:~~~o~..~ N
c!,O;f~I~~!. (ZI ;~~:t ~~~:(D~ 0 ~{~~~1~~ 0 ~l(2\gi
19' OflJ€C.l ~I"'UCK (NANlI or Oll1(CI ~~ AND OWNtll'!. NAMI)
UNIT NO, I
5 DIl'....f~l t j:.~~~ ,/)J1;_~Il;~ \/1}:, l)1;;~..s:
~TIIHT AOD...t!.~ ~
ro:::;- ..:;-// E .I,"""",, ,')<:;;n. J?:
~ I v, J './ !.~"'l\... ~';;.CODt J I ~NI NO L OICIIV
/' J ". ' J_ /A..IG, a ,~, . R
L O...I....(li"S (lC..,,:.l N I '!.l"'U I Sfll I ;~~, t- Of I"''' I (1/ ..:, UClN:.t NO
I C-i;.. I C IV, '::2.'7/ F2.?.!?Jc 1M, I"';' 1;'-7 I~ v
8 lOCCUP...1l0N . rfll/~NAMi"PHON O. [Yf~ WlI HI HEIGHT E OCCUPATION
pl/. I J - ~ , I";, '; I;;"'R
I:-- 0 CHECK(,..') 1'~~lt~fAS A::iltiHEII1AJ 0 CH':CK{r') l....fHIClf...SAN[M..~6vr(&~~~~IAt
r:::;- CODfS ~ + 3 ti~~' I .... S (l/CT,QN t b ~:?v&('c'Y CODES.... + 3 ~i~~' . ml,~:"M S t.IICI'O.. 6 ~,,~'C
t.e~. ......0"::..,:;; "li!l. ~~" 0 rg"" 0 ::~,~:: 0 t8\'" ~ . 0 -~"." 0 ~." 0 rg:". 0 .~~" 0 Wl'...
o ~ I"'=~"" ~;;:":,,^I '~/~;VI ~.~ I 1 "VI MO",'IO'''~v^, r 1.- VI
'Z V," CUI"" I U:.~':'':'' .u, _ I ".n , , _ I "."" ~.".o ".n HI ....IH CCXOIl lICEN:.t PLAn NO, ~ ....If II. I """f
~ -=- " I VL//"Sn_-:>"I /, //411 I I
iT"':::" "'}~LJ~N'lfICAT.ON NO. f VI HI LI lDt:NHfll,....r1UN NU
'~'1IJ<.::;'1 _ ..,.~!5?I~.~I..i-'1 I I I I I F I I I I I I I I I I I I I I I I
rr= R ~~~7~u):". :;:;;'PJ'\/ ML~[ r.;;;;JQL~ OllfGISltllEOOWNEII lAST flR~T MIDDlE IPHON(MJ.
~ 'OO~~'&. .#.0/,"''''''' ./.1- /)" _1/" '.1 /,0, ~ ''''''''''''0","''
NAMf&"'DDF1f~CY<INSUIl"'''"CfCO (lIIAGENI R NAMf....UUllfS:.U1IN u ANCfCO OIl Al..otN'
L O~~!:.-;;:~I;;:;"'V"Y/~ Y_-l' " jj~~";' ~~~o'''''"
[ .. '""'" '""01 I H" ~
'I ~ /J. 10 :t~1 j2if;rEMAINW TOWEO D~~~~N O/IMAIN(O t~o;~.;;~'
$ :;.--10 AWAV BV, / 0 /l4.w...... B'" $ to
DIAGRAM OF COlliS InN: IU~f u PlfMfN "'1 "'PICATl "'OlITH DESCRIPTION OF COlliSION: (U5(!.UPPl.fMJ:NTAL SI1EE11f NiCfS$...Il"'t
",-1-'''','-='=1' r'7i'-r,4'"f"', '''1'''r1 .':"ow :J;J, - -~---~- .!o -~-t'-~-:-:2---JZfC'-
~f l~I-~+j'++Tt"I+h,"';.@--T~-- JC...~..1.. 69_J,)~_~po --7~' -,-
~~ ! -"- k~A..:..'-j-~ Ra.r;t; "J.........,_, ~.f'I"lE.vs..~~'" :>--
-t,"., .'=P"-0, ~-~+-t::::i-l=l.J,T-' ; ~,~ 72i,;;;:a.w-144.p.~~,~~.._~I--_O-;;
""---I-,,-.t"";,l'~l-t-,^-r'-\='r"~"';-r-rj..- .~, ,,~...I..:J:X.a1 ~~~~-
-_. ;;1," -1,- '- , ,-" I , ,. . ,~t-<JAI<2I../&;~J_,Cfh,_,-:77~,,, ,'='<l.s ___
; , . i-'" ~ '~, -~~ - ~.p, i .1/, - taS'~ ~~.z J,,-~l...>T_:Ti~. . ~~":;;;_.-
, , 1 ~, ~"....:,,-."...::..; j-~' II, X. ~),$iL.l&:J __SL>>W :n..~d...jL J<:cJt,,-,..
,~'J.tJ-:~i-! j-;i; I I itit~trL'~~-:~-_.-:~-~,,:_,--" _:,-"--~_:~-~~~
, NAME, ADDRESS 8. INJURIES OF PERSONS INVOLVED
OCCUPANTS / WITNESSES ~~ ~~:1~d'~Zll~A~..W:,l
~l
~"',~~~I!.OI
;.;00'"
~"',';;PII/l'
,;~\".
~j,'.'p, ."',
'''';'''1'
I
I;;;;'.. . 0
11.x' Ct~
~CIA( CODING L.61
~1C6$~~~?o;"~/ ~Oo1llLfUt(foIU
.
UNIT NO.2
o VEHIOE
..."
o pfDESTRIAN
""
o PEDAl.CYQrSl
,
~ 1If(1ADOlll>>
!.l...1t
'''~,
I :"""1 :.I,ll
IrI'IOD:h~",ll~.
! ,
h1.~ IWlIGHllHEIGlol' J=::::
3'7,
'"I
fll/M NAMf & PHONE NO
l
[
[
L
"'Vr-III!'''
.........1
:s~C;>f~~, bA~U~ I~;~ I :~:. (~~I~~ 1Pf:,,-1 ,lc, I~~~.
I
I~H""f....~~'..-'-"Y\O...MB ON.fl D""~,. o:~ o:-.<;....u
I 'I
X I"''':;::.::;:;;~~',''"...
~v-.><.""'f ~-'"
~~~....~~fl;~O... O~""R o~~~'" D~;1\~ O~:: o~';..."
I I I
\~~f....t~"..;.w o.....~ ::J~~-l O~~;~'H O~~.: D~...,.
~"" ~~~'I;;;O;'''(*''~ I;J. "';3 ~o
'z'" :;;<,-: 1 J: .;.,
.:' .',..";',,, ^',',j', ',',','
'.,. ' ", ' ,;, ' "," ,'. """",;.
':' ",' ,:':, ," ,,' ,", ',^, ,,',',
.." ':, ". ." ' '" ',":-, " ;' ''''',::'' ',,',
, " , ": . ',,: ", " " ' ...., " . ':" ',.::::"
"" .' ,..,
, . i, '. :,', ," " i' ,'" ,:'
" '/ ':,' ",',
, " ',:<,'".." """, ,," :,','"
, ' , " " , '.' ' :,,-'
" " "" , ''',:, " ," ",
.:> "'" ,'.. ' ','
:" "."",' ,:':,; '. ',' ". ,', :,:
" , :,' " ': .'", ,
,,':.. ',.. '.' '" ' ":"" "
", ,,' "., ,',;. ,;.":: ,,': :.'
." ^' ",:: " . ',: "',,'
", ,','" ;' "; , '....', ,'".,,"":, .,', . "",' ,:
,/' H,: "", :< ;",',' " " ",,' ,'.',"".'. "', ,: '
y .,' ',' <" ,'" ",.. ',.,' ,',',' ," ': .'"
.': ,', " ' ,,: " " , , ' ,
':
"
,:'
,
:,
. :'
','^
,:
',',
, ".
,
'- "
., .~,.
/ "
,
... ':
, . ,,'
.
, ',,',
~
~!.. v-I
tJIlMl~ -
""'"
w,,~
l;;
" ",.
:" "
--rn
..::J
I"
6
"~I
g
f7'
I-
i"
~
","
~ ,
5
~
~
"
,
'"
~
~
~
,,' ,', i'
...
"''i.Y,#l''~4
M (j)ig\, STATE OF WASHINGTON "0' 1 0' 1
r~ RT ~T~FI~Y
I 2 . .., ." POLlCElRAFflC COLLISION REPO 0 PO'VAl.f WAY
_..Q""{f~, unl .t ,y:-":.y ,~~~~~;~~~ IMf UCOUNf1
r 2' .;0 !ib {.' ~...'",. (" r~;'C'" t..~ ",(NifO""'"" n JEFFERSON
L2.. (IN. Of DIN CI'Y011 TO.....N -I NM\l&NO O#~Tilll'OllHIGHyo',.y
2.3 ..",0' 0'" 100' Port Ludlow ION Oak Ba" Road
'NtElISECTINGW'lTM STiI!lTOllllQ"'P 11oION1t'''TB~~'ONShQre Mats View ari...
_ l!lfTWUN "nr"'I VR ~HI\H , Uitl'
6 PI~ ....N(.I&lJ~~ I .""-'.~ll ClIO~~~'R(l1"(HI Nf"'l!t~lMl~f~l Ac.CIOlNl
. 2 H~'~~~;; ~ n ~~ Bay Shore Or; ve M~~riEGE
COtLI~~I:~~~OLVIP ~;ll(~~~~~~ INJUIUP_ 0 Y'11\"'C.l OIolII&IIVNl ~~~~j..~
CfVEIolICl[S IT] 0 PIlOl'Elll'l'O~M>(ONl'l' 0 ~1I~U,t[D 0 ~'(~~~
. OBJECT ~IIlUCI( INml Of oeJICI ~'IIUCI( """'POWNIII-S f'oWoUl HI PAN.-'G[
No.
,.:r~3i?,:~19 t~~ ~~'[r1
.,"" -"" I ....~ I _ _ , ' ..V',"?"r,
~ r Ir~;~~:' ltC'::[j
- r ..."'..
-
"
INltil 1131 w aQS.$sTMtf()ll~/_
W'lC......~1"U.
8
S
UNIT NO.2
OIlIV(R'$N,,",,{
0_1Cll
..."
o I'{I)fSTIl..... 0 pfDAl,CYCUSl
'illST tOD\.t
(,
{\-y,
"', \ I
\.J
~"A" I '" I ~aA ~. ',:.
~
j
il'
UNIT NO. 1
1'-
=~"
GEOFFREY
DYSON
I
\,
J
,fli'H ...oo-lItSS
\
\ "i(
'\V
-\ 'Y1ST'GHTII1l'IGHT _
g<-
6 ;;,?~~.c'~ 21
;'
$fll'fU...PDII'(SS
~ 60A Paradise
L1.. \ Y
rr- Port'Ludlow
L:. rVlll S UCfN~'"
OYSONG*7080Z
Road. Suite 160
!lo'''' { lIP coot
WA 98365
I "AU I~'
Wa M
2
-I P,..ON( NO 0 CII'I'
1137-9513 R
....~", I).../IIIH'\ n I h'{~':'U IN!,l NO
3 9 . 30 v
lY(~- (WE\GH11~\G""1 E occUP'" ION
,."1,0010'7 R
o CHECK I,..) I vflollCLl ~"'NEM~O"'HOf"'NOflolllll"'4
CODES'" +T3 6i~' '-, : I.:. m~:.''-1 5 1.11'_110"
~/""\/
-/ 0 ~...-.cl 0 ~~C.I 0 ~8~1t. 0 v,:::" 0 j<,~',..y
V I' VI ............,........ ,.. VI 'l1O<oO
~ M-4r5 jI/,f"J ~. /~ '" ~~
~ f>R'.u~ M~'). :r#.t. C~.JeJ.r l-~
5 ~ 'Cou...JZ 19. ?; r4z.- ,;'our'" ~ ~
~ /~ ~",.::,u, 411.1.. 5'2>090 -
N 7./'> t-T. OFr C)-f~tur -..:J
~ cCU)I.ft'/P,L:: d GJ'J L.T. "
flIlM-NANr/:.. PIolON[ NO -\ ...
fill.... Not.ME & PMONE NO
12 OC~;"'TION
L--- 0 CHECK (Y') It ~~'t!o tN lM~~~ ~f~Of~W""l
r:- CODES'" T 3 ~~i~r ,-3 11. ~~;~~~"'" S lnc"OO-; I eo r;:::?:C'C'I...
L.!-~a~""""UI"'NCI O~~(l OtS~", 0 ::."::: O;<8'w
~e lT~~~~CH'" c~'l'i'd~""GT '''''3'~it''''''
6 l-VfH-COI.OII I'.C(N~ Pl..... (N ST... ( TI;I"'ILlll P\....H NO \~l~.'
Silver LTJ435 WA -- -
~ \lEIolICLE Ip(NTlFICATION NO
I'J J T 2,5'T 64 L 4' 6,7 0 0' 4.00
r IlEGIST\lI!DOWNUil V<&1 flllST MlOOLE !PHONlNO
'~ Same as driver. I
\:l #.DDIl[foS,QFO'NNEII
OK
~)n
NAME & ...ODII(~S OF INSUII",NCE CO 0II"'0(N1
~ Allstate Policv #007430568
- O~~%I.-J!I'" 'lti'b7Sf~;?1 I';];,"" N tJnnp ..--...... I ..._~i~EA -=
[~) ., I.~:;.r~,., lol"'lIGf CHAAGE IH~..f:'g'~ ~l ')'0. to gEf1
'I "'I"""'t"!.feI ~::':': 0"....'"10 0'''''" D"MAO"IO I 'so a..<<O' I' ........ ,"'-'<-
_ Istotal IQl'l,":.',!'., All City Tow Dl~':','" 'w" Is I. ".ana. :::::
~ OIAGRAMOFCOl.lISION: ~1~1~~~.'~1 ,NDe~~fUb~TH DESCRIPTtONOFCOlLtSION 1U!.(~lJIP".{MfNT.Al.~Iolf(TlfNt:CfS5"'R'" _ JS
l.=-" '\" ~ Vehicl e northbound ,on Oak Bay Road, fail ed to. ::::;;;
~ ',,- ~ " negotiate a curve to the right, goin9 off left.. "--
I":"" ~ '-. '---- ~ide of roadway into a ditch, flipping onto ..:>'I
L.:... ~ ___ 1 ts top. - .:.....J
["~,~ -:;:'l
0;;- NAME, ADDRESS & INJURIES OF PERSONS INVOLVED + C,OOES 1 I - I 2 I 3 I · 1sT 6 J
_ OCCUPANTS I WITNESSES \,VJ: ~~~~~~~~~....!l~n: \1.-' AGE 1,uU$1 ,.....v1..1 ,101",: I ~~~.IIlf$" I flfeT I~"'~~:.
.....wl ~N T -r I I
...ooll'rS$ ~""~~lOI ~~~RlOM 0....""'1 Ori~~l 0"";,. 0:;:: O~...~
[, ::::m ;:r.~~!,o' ~~"~"OMI o A.." 0\'::' O;'1;;"~ 0 ~~ m~',~ 1
_ N_I ~1?-.;.r , T-
...tlulI'm ':t.~:"~ll?' ~F~ "04/0 0.....11 0 ~~.-I 0 ~.,;-D~... 0 ~~'......
xr;:;;h;';:t\7:: ";~oooer '1ifT"'~~~p 'JA~' C>qu:.r'" "'q12I''' '2'~ l' o~9bl'~;~1 ..? #?d
t
j,<
l
~>'
~
.
',. '" "','.' ' ',,' :"',; ':,' ' ;': ,':'" .i',',,:,' ,:' ,,','
,', ,'. ,,' :
'.' ':: ,"', " " :
" '; '.:',' ,', ' :""" " ,,'" ,....'
,",' " ',;'
":',',.' ,:".', :',:,', ,; ';
, ;,\ ,: :" ,'" "" ,,'.
" ."'.,:', "",
, '. ',' ,,'
" "",,: "
, ,', ,',
.,: '
" "
':' " ',' "':':,.',, : "":"
" ' ' " ',:
':: : , : " ," " '
": ",.' ':, '."" ,'" ,.',' , ' :: :,'.,
',' '",' , " ,,','
,'..' ," " "
',,', "', " ,..' ,.,,:':'" :,', ".'" ,,.".',:/ ," ,'," ',; ..:
, ",' :" .' ''''',' "
,': ",," "'..",: ,'; ::,:" ..' ',' ":"""" ",'
:Y, " " ",':' ,:. ".' ," " , ' '
,
\
,
\
,
)c
,
,
t
:
"
',:
',' .
"
,
"',,, ",
,..,',
, :
" '
~-
: ",'
'"I:
.
-
.,....,.,,..,'. ,~....._-
,
J.
~
',.
i},
l
;-
t
L
t
~
'j,
,
~
!
i
.
'i:c
,.'
~.
~
""
,//0.'",
T I ~ ST~~~~~F~~~S~~~::O~~~- ~~RA!F1C:~Y I
I 1 0 PRiVAlE WI>Y
D....lo'(r."l'.."';~_I. '..'<.) (.O"i..'U', .11 1o"~! CQul.fV "/.. ^,,_ (QVo-,rIVN'J
IT i7 'il j'q I'" x' "" ,." '",,' , ""11 '~. \T~/~/J /1
I . Or.; Ot OH~ C'IVO~lO"" I .ANAMl~NOQt:'l"lll'i'~"'Ie,;"'''''AV 0;1,', I M I I'IKN~':;I'.'"S.'~O
~"I"'M''''IJ<i.'DWiXo, 6,J:fj.l,1,,qI1!.fN'tION 1/.11.1 --~, / 1"7""',
''''ltk~IClIr-"" wn... ='11 ~,-"." INO'~ 'NTIIo'~((HO'" _ / .... J:" 1'll(1'" I"Y IMIU~' ~. / d
l\.{lWI[N @~~(t' & edd..l' ~<<f"~ <-.. "r
L~;;.;;;.t~I7.I:~~'W(~~I~kllh (}~~,~~:~n'0tir~ ~AL7 AS~~~~I Io'~P rAVIIAM0A1A
CO.\I:'IOI.,NVOI\lW (~lWII~, , 0 U\ Do-llltll N ""ll~'.. I"',." ;NTt~!:c~~ l~o;:t5;:;l{t,l'!kll...'.'::.lrkQADO'!Wlllif(NCI
~o~~i'I~~:' 'rn. O~~~~~~~t~:~~:lU----L- o~r~J~~l~~ O~l(~,t~: ~'I~~ 1'V1 15 ICR~:'5T<J..~/3;,
I;' oew lor~.cJ~.;:~'o..."~r~.!.'.~~~ __, J ~ "Tr..~' r-01:CIAICOOINCV5l
1'1 "7)' /.2) ;Qc.c:e;V/C'cVkSO/U J;;l ~~~
, UNIT NO.1 0'I"Il T NO.2 0 VEHla.E: 0 PEDESTRIAN 0 PfDAlCYClIST
~ :lJIIV'~':'~.ILW,LI/t-/'/)5,'IIl:'J/L),{/e:;'UD;./ DIo"\lI5r:'NAMI lA!.l 7
:.lll:Ul ADORI!.:' :.J>>UI ADONt~!.
~ N/.tWlE'S ::rA/L)/~:rSL, / 1
~ '" )./A.cJ~t2K "^-tvA-Jf133'J13i;, 0" Z6/) "^' .'--~'/~'''-
L:;,s~~~/~o/3~~ ';;~.I;C Mii1lw&~~ IV'lIN~N_ ~'A/f_J ~or;;.e'Pi~~ p
8Z ;;V~;~ I' 'R~U.&1:t::v, ~ i~f:;:: ~ QCCVPA1ION fiRM NAMI & Pt1ON;tI' / (YES 1~lGH1"~~T ~
'-- 0 CHECK (y) I, vf"'lc~iAS 'Z~~P:~~~t ~'-i'::mHwAl 0 CHECK (v) h VfHIc';I~~t~~~B:;(j ~ A~.~/r.'A\ 5
9 CODES" + 3 ~ii~~' ..:5 .. ~~~i~:.'''l 5 IJIC"oo.l I 0 ~.?i~:c'cll CODES.... ' I 3 w,,~ I .U~~',~7 5 11((100', b ~';~~'C'l I(J/"
Z. INJU~~ES __ ~~ W...:rU~ ~'.,. ''''~h ~. ~~;'
L...--. w";~;n~no... 0 Afo'~I"A"CI 0 ~~CI 0 ~g;'1(~ 0 ~~t~:t I 0 ~B,'",~~ 0 _~.,\"'~I ~?':\V :J.~mlO~ 0 v:~~\: 0 :'~~IW
, "U/ft9 r~"'" J'-2~4''''' "''';;;:;;''''.' E '0. r"'~'tJ~7 Of"'"O''' NO"., I>"UI'"'''~''' ;~:
IT ";;:~ I"J~2'LJIs r;:v~ ''''''':::' (t~o) ~ """'0' 1""''''7 I '" I" .,..~ 1"-" =;<
;-;:;::r V~IC~DiI'~Tlf'CATlON NO l \If...'I'Lf IOllNTlflC1 A '-.NT1
'.=:2+:,....:"2.'2!l'!lqlt,I'Z1513,bl~i I i I! Y I I I I , Ii! I I I 3
= ,"o"';V;;..6u;:V, t?~,e4" ;4"(~ro_ ~ '__""'"0 7 ''''' '"'' M,OO" ,'"-""- ~
~ A07;~WM;~ 2),1// iH..~/V~I?J9:S01 ~ '"""7~"" ~
l~ NA"'ILWI~~C~~T~. ~.,<~().:liIystti R" INUAN~, N S
r=: OA~'t.c;EbAJ!fA ~:"~~;.~~Aci'l 36UZ- . lo'~,~;,~.(; I O...M~~[DI..u.EA ~
rr;- ,€'~3 .. ~';'.:f:'E~~; ~... ~.s I H~~;Z'~:;: 1 " ;J' "
1'-1 . .~.~o..~._!> (5IDAMAlj, OiflMAINfD D~~~(yN DI1E....A'NFO liS10...........':>! I'K-I.~.?"o.. ~t::Iil
L - l080nOM ~~ l~w,,~\....&u:r fU(..I/AJd 10 ~~"':.I.;\y $ ~o..on~, t-J
E ti""{jl?:~"'" pr S9LlI~N' .A-:: Il,;~l S~lrr'I,,^1 ','1\, Ir-"D'CA1! NOI1T;; DESCRIPTION OF COlliSION' fU!>E :'UPPlfM[N1A: !.HEfT" NfCfSSAIlYl I -1
" ~~ A'~IC':"'~~, ~~~/-....vM'??/;&Ik#~~ ~,~~
E' -~.::::::--,--... ~ "~,'-' ,,~. ./0_.' "l
~~~~ ...-P' 'r--,.-. Nl'qtl~A"//A'~77=L-A'~' =
ftI",,'I1-~~ ~~~_ ~~~~!,.(),e/.v/.t/.tf""#~ ~
r:c -?"Vb -,,",' ~"<. .,S;t'~~ 15q.""~V"c:.T -l
LJ~~---- _ _ _ _ -:- _ ~hU!:~A:V"'~~b<V;.
- .-.--,--
.....~IW(lIfv IlIC'l
No,
.4 7
"'0>1(.1 COM~A.t~1 "'UYbll1
') ~
I... Ii
hi:".' h17
~"AN~
..,.'"
I ~,,~ bll
f--J
"
-
~6!C
NAME, ADDRES~ & INJURIES OF PERSONS INVOI VED
OCCUPANTS I-WITNESSES VJci1. ~~~I-~~~~~I'~~A~';i:"
. ,l'Vi:'..(/l!: ~~')~i';.I.~1
"3.
. COpES 1 1 I.,';) .~, I ,~, · I 5 I.~. --.J
$'. lAm bl,Uusl,'..r'.I.....\. (,A~~ Clt~T"I(JIClI.."..
" I I I
~.rr:lr"I!" -.to"','~ O'''C' O~):~'n (J~::.. 0:'"
E""'..
-~'-
-.;t.W-
''',,',1
'-I',~
'.Io'"q',"
" j,"
".,'.1
'.
',:,M'..'f{"
'"" Il'l "~
1 I I I
U;..~!.~;,.j,.~,... O..t~ D~.":" O~!:;'" O~.; C:"..",
I I I
~~r.~r'~~ f ~...' C ,....~ c.~ ~.~..'l 0 :'~;...,;b.; .;~ 0 ;~'~~."
o,zti.~ ;r)~Il~1 ;';Y~I /./;' ?J
,
x~;;;;;~~~)~'~~
..'.'..
l6
CIi,"k;d .."
:.'." . ':
,':'. '....... ':,.,
:"',
..'.
'C. ..
...."
, ,
)"". ' ','
",' ":""
,";, .'" "
',,'
:'"
" .
',"'" ,"
:,'.
':' "
:. "', .' ^' '".' ",'.. " ,.::. :
..' :,'
.
. " .'
, .
t"
J
TZ
~
]
STATE OF WASHINGTON .." / "' I No,
POLICE TRAFFIC COLLl510N REPORT Kl& "Aff'CWAV
o PIlI'VAl( WAY
46234
-I
I
STATE OF WASHINGTON ..."
No,
L
STATE OF WASHINGTON
j:.":..,~~~,::;..i.,\:".. '..:~,'" '::
'..T~.
,..'
'.' ,
, "I ..
, .. ,>,
.. "',,,'.. "
,'... '. ,', ..,
.:' ,'" '
".. :',
,,' '...' "
", "",., :',.'.., '.
,.... '..,'. ".
" '........ ",',.
I ',' ,,' ,
, , " , '
I ,'..> ' "..',
.. ,'. '.". '.' , .',"
','" ,'" .',' ", ""
I, .' . ,.,.., '
I ,,"., .,'.", ".
: . '.'" ." ',' ."., ":
"..', ,".',.' ,',..,
" ,
i,." : ,...
':: ...."',,, >., '
: ' ",."
'.' ",', ."," ,,": '
I: ',,' .',.'.",. ,', ' ,
" " ,
I ',.,'.. ,,',',
. "..,' "
", . ,".'., '"',, , "
: ,..,'". "
.' '-,.
. "
, :,
,
..
"
, ':.
.". '"
. ' ',:
:',' .' ""'"
, '" >
, ,.... ,.,'..
. .'
,
.
,', .
. ..
I
1..\."
,'..' "
, ,'". .
".
. :: '. ,",
;L"
R
~~.."" STATE OF WASHINGTON ... I ... IN'."""""
, ~ 0, ,1 '/ ') " a
[Z ;.,' _: POLICE TRAFfiC COLLISION REPORT [I)' Ilo'A'fl(>NAV l'O."f'Oi\I."'''''''IJ<oj~IU ~.
J 0 PI/IVAI! WAY tTI
~" ...v".,.,~ I ,.. ,11'''"'''' '1''''7)'''' I"""" I
1'7 " ,,: " "' '" . '-" '5(' '";:;~~o II ::re. 1'1, l 1 10 I 11i=
11. / .'", ~~ g~ ~;: o#;~;;:du.HION "'~':;;;:;;';;;". 'f: I?J,U'! I '1'3/sQ 1""""-..
'''1"'''', ",~.""!H ....,. UV"'''/l l'''''''''jtll'~(Ii('', A 1"'''11 r 1-' _
- 1~Il....tI., OrhlY1/ftJu.tf!.- a~", I 0 ~ 70
1'6I'i"',ft~"~~;:~'f; ~'~ 7;";~"()M:;;;;;;:'-.6~~1.~'H' :l~ r --
O:;Oll...ol........'.f....'''...... Nf:'....~lio Ml ,..~,~tt>=r= [J ;;.~\...{., (1 '''I. ..... .....:,'.:,,::.., 1 ~ C~' Ic.O>>JI~!'9.1OIoD
,~o~~,'tli~ llJ O..~~...c.or..l' O~~":!1I1110 o~'M,I~ - 1/\ I '1~/,)O
I~, OO',!:'i;';iLJ7(d;;)'':.''''V''elX;J;. .6~A~ /~,..,JI '~,;;;., .,'", "
..-kr .,", i. . UNIT NO 1 UNIT NO.2 0 VlHIOE 0 PfOlSTfl',""'" 0 PEDAl.CYCllsr ,.
I~ ""'--zv,/:;',sp.u, 1'f:c:.1I,1.4J &i~e77~ .., ,,-, ~ " 'AA/,
,', ~ ,"'". liS- ~~",a,e, i, ""'''~ / --'
,I."- "J.h k<~'iuH. ?~I'73'7-vllZ " /1 ",
11'::!:; ~4~A1~16R1'il-~.I~I~:~I~~ ' I 'y'l ~! ~"I:'. 7J
1':;~~Gd"ir'~"" !4.NNd~li.$J5~/: "''""'<-< I'_M'~"'"",,'" ^,v/ I '"'I"<-<'~""1:
o CHECKV'! ......'" II... If..... I" 1 0 CHfC"Ir"l '" ,,, ...., 'rlf....OI. .-
'9~;.,S~+I'~::' '~'~~'~tlf(lo(lfoO 6..':'m~"" ,;;~ COOES'" 3::::~' ~U('''''' 6,..... ;,,'!:
Z . .~;;;:;iifa :~ I" .,' .....
'-= 1II-'~' 01\0<0 0 ...." 0 ",,, ".'1"'~' 0 ~-,~ C ',.. 0 [1j;, O'~ O~'
.,~ z- I-'M.... Y ., .';:):11j";~ E .~'~,;, r '~6\""'/ I:......""~: ", I~;"'''''~ "'-, .:;.
~ ("~ I" 1~$21zbf'*"A,I""~''''' I" ~ ". 1'7 I I'"'' =i
,.i:~ll-iZ;~t;7'K,PI~I/I/,311, I I I ,tn," t","'7, I I I I , I I I I I I ;;.
';::: """"")J;::'u;';; u<<J'.IJ/ //;;~ ~d "" ci "7 w '"'' M'''''' I .."'" "" :::r
i't. '-""'fir- .&fq.r/#".o:-;,4e, /f;'"/u.&~ w / - 1]
.f"~ ....,.o;W,t7..?"'O ,"<<ON' R, ~ =4
:~. r-="-"" F"1''''', I~~,)E~~ ,! "'"'" In~!';,)E-:: I I~P'''''' ~)
:, n~.;';:o~"n'. ~I 10 rEt ORt~NIO ',IOWlO OA:~\f'l 01.""""'"'0 l~ 0.......0.(,( IllltJo~~.~o~'F.:i_
I s/. at)- I~ ~w..... 8'1" 11, ~ . 0 "WAY IY S
" ....... Q.!AGRAllLOFJ:QUIS.tOJIf.......Jj~J_ ~';!;,I.:',~ I ~ I..trl;" r~I" eSCRIPT.ONOFCOUlSION~ nA(~LI'I'\I.wN'Al!o>.lll''''ClUAll''1 I )~
~~7,i ~~[-HTlJr,~l:lj-:i~I'J"~ tz~.e-~~~~;~J~
I'~ Sidv,,' ~i, -r-Ci-d::f:ht!.,..u, .s7:Z.<<(fl,c:~"'bL1 ~.v,/JTk77?:7l!" )h
I ", , , _ .ko..vC'c~~/p.;';>t:l..nz,.~i?~",;"r~~C
, f.C =r-;- :"I;'~:~f~ +;: H-I+f:fi'f-i,-~~~=~ik?~; ~
LI-+-:f'-.....,..,..,~kb~.4.?-r-J.--H, L _t,6Hvb</) ,,' , u
.~i_ H-fll-I+l }j'lh+11 1-'1111 ' ",' """r->,
:,:\~::~ .," NAME.ADOReSS&INJURIE~u'3~~~~~9!j~JNVOlVEO ~"~OO(S __l.IL"~" W~' I~. 1 ..1 ~. ,,~y ~
OCCUPANTS/ WITNESSES 1000AlJO'llf"....I.........I\1 w_-r"U1 t"'li~L .", .. ,., "..1."" r llfet '.'..
',', ~;:'/r." 11''''-.11 '..../j"jt2~.- _d :~,:",1pr-37~7 JUI"lt .", 0." f"."
_. . CJI'~" ~,' ~ :;'."..~' - ,,,,,,, ........ . J,... '..-
'.,': . ~ ::~;. ~",'!::I.N ~\MI')V~~II l)">< 0 .....11 0 ........., O'~:" . n~.: 0 ::::." ;~~
"., L .......... ~tl ' t--i
;','1 ~~-5. _.. ....... ".,.. ..-.-. ._~.. ,- ;~~~l~~lt., ~.t';"lIi' , 0...... O:'..~'" :~:;,,,,j:J=;: 0:;::',.
:, l:'~": X 1:;;:;;'....QOI"'m\~.....u....NI _....A.~l.I """.ltIofC' t1:~;:.~~/J'f~~~~1 "'1I1..u'~tll~"~I'1:'y'._I"~"":'''''O~/.1 ,. _ ,_
.;~iH' .<r; tV"'~~..$; '"f!U~1/.3l 'f{.,.... I ,....., Iwl/tflfl./H..IZlYIP ';f1D-
I"
''', '
t. "
I " '
.
~ "
I ..... I
:',,' '.".'
, "'1
,', ' ;
, " " 'C'" :" '
" ,', ,,:", ~I
' .; '.' ", :.:" :,'
I.. '... ". ,::.'
.': . ,":,
.'. ,.,',.., .'..'.'.
,', " ....
, .. " '.' , ".,
'",:' ",' ,
I' .,',,',' "
" '
" ", '
" ,
" .. ,:""......
',.:' ',' ' "..
, '
.' ",.'.',' ",
", '"',, ..'.., ,
'.'.',,' ,"....' ,,'"
, ,," .
" ',...
',.;";
I' ", "',' ,;
I ' _ ..'
I;J;~:",.'
,,!, "'. ,"..'
, ',"'.
'" .....' ~
"
" ,.",. :' ,','.
',,' ,,':.",:.
".,' ','.'. ", .' ",
.
"
, i>:
': .
". ....,'.."
}:
, . ,'."..:;
, ..
~ ',: 'J..
I ".;1;
.' ,\,' " : "
~ ..."
". " ,,'
,
", '
..' ,
.. ..":,
", .,..:, ,:
'~~;;,t.:/ 1".;/:'
~:~\\:::>1:~i..-:..J . .
IIIlII
,
1*"'liIl'"'-'''.~'~ ~ -.:r '1iI"".Jl
"__~__________~r"_"-_~'._
11'" Iti'il'<(tt~~-~'~'~~~
; ,.",.,
": :.
L
" ,::;,.C>" :",'"
!:~
, , '...---
I
. ',,',
, ...'" .',
,
,',,' "
: ,.",
, "',,' ,,"
, : ',' '
.' .. "
" ,:' "," ,
,',::,,'; ,
" ,"<"
:' ,'; '"",: ,
..' ".. ',...."',' ":", ,
, ',', .
I' ", "
, '
I:' ..', ," "
. .. ..... .. . .
, , ""
" ' '
I
I.
,
I,
" ,
, ,,', "
", "
, " "':,'
" '
:
'", ," , , II.
'L,
I
,,'~'';''1
,
~ STATE OF WASHINGTON ..." / ," I N a 4 6 2 '3 .4 7 ..
r ~ POLlCETRAfflCCOLLlSIONRIPORT .{!ill "''',cw., ~ ',. . '._
J / 0 PAI\lATl WAY 3"1
u: ~ ~~"<"C>' i,. .~ ';".:':,~-:::",-;" u' I """~""'" I'~;::-!",,,,. ~ir I"..., 'I..;::" --1
/L _"d ,1'1" 1,.-, I /'-I2~i-, A t/rl/:-('~(,,"'''''' /(~ I Ii*~".....
( U" [J' Q~ . /'~"o':":." 1 --..., '1''''' '~ "~. ;:'. I~, 'I I 0"/0' ,hI') I' .,,~ _
' , S' ..." G' O. li!!'" //Ill/I~r;': ION (1"';'./1/(' (("I',{/' <V I ./ I '/.,., , YG ,M'
":;"'.('''. "I". "! . 1"0'''''''"''<>< v..." I'u r-'~' _ -'0 'If
J/).J1Jl4UJ.:J tll.t.~}:llf IlWfWfl'" ~1.lIla "'"l I ('.J KI
I ,,,~... '......., ""'III'OloT I ,:,:~I(ltNI 1"'"
R~;:' 21 n n 0 Of M~t~( I
(OUI'o(~"'~\)I\1111 ..':.."".~," 0 M'I 'l.Mii!~ 'I, .-.....''''IICII<<;W)~.,tlll'loQ ~
~o~~~~ ~ ~ -,::;;;;:;,: =10_ 0 ~t::() 0 i~~j;~ I ".-.(~!tIN1 X' 11Wf1l1 ,-- IUOUltat;;;':SV/O ~~: 7
',I' l~ OII...(I'r.I,,(.,"'......IOfOllA(l".lJ(l...,..DOwNI.'~, Is 1\ C"""""'" "'l;Wl;~UloI .~
, UNit NO. I... UNI' NO.' V(HIQt: n PlDfsrR'AN 0 PfDAlCYCU5T "Z 7
;I~ '.il&(:!mJ-J' ~c~..;~O (J"1"I,,(}c{('(J ''5'c~f/E;~.;2G'2, "lfj(I-t~, "-. _q
'~'/i:1 "7'0 ISO'>< IS (;;, ; ;it? "j[) &....:1' /JJa4-UWJ?;~t.<_ :::;
;~, ~ BUad o.Lfla?~; he';;') I - ~ R r jfJ1~Ua"1c1 iJ: 1 'U 3":;Y ~ll7.1 n ;'
,:E@r ttOtinf:DAG,qlftl~ .cr:+lf1Io~I'~":i'.I;n, ~,A 70/'5173'/ laf IF Ii! '?;, ,~o ~
'::-,i:P.:l1 OC:(Uf'~IIC)f", I"''''''''-'&~I<<<) l..JfI'MY~'l;!"MI EI......,:""...r 1'~,HM\la~NO~J7'7-22.]_ l.t: "'U,.,_I(OH'~~ .:'~
,.;;.J,;,l1l - 1 - 01",<\.11"_"", L R VlIa.r. tJJ,1, 1//1dlul/".JlZvi,/T, r/, I.j~) "of. .:.-.
:;'1.t 0 CHf~K V) ........ .. ... "':."..~~ I ""'000;:0' 0 OolEC: (r1... . H -. -.~\,....... -., I 0 ~
',.,..,1, ',' coo<s ~ '"", I . ..,.. ".,,~ " ,....- "I~r ' "... . ..". '9. ,..,,~ . -.. ~'
~:';~I/... ~~~_ <I" ""'." ..(I' ::' 0(1 ,,~ ~
r.~, th..... 0...-",.."",' OM O~"I 0........:., G....... ' o-.....-.u O~ O~I 0....-;., .a:t::_
t:tl;l'. ...~.... --.ltOClOGtCHlVI lID ~~~.Al 11)''':lltNI ('UI'IVI I, ;;;..~ ~IIO""~NOVAI r ' ~.
"iO~ ('52 /010 ~-L.- cl( 4:nu E '/ l{lhtJf!lt~ ('ail d?d 'f,j "'/
i!t~ ftt-v 1{O"00'{/~ "l.d9 I'.'" .,,, NO ".... ~ hit/lee IS7t;ijJe. t</-il' I' -" ~ _
"t~,:~F.t ./frf2:;;rC;ZI ',t'i,7IC,315ILfU; hi!>, L "'i{;~i'7-}~CI3!5,f O? Ji3,.5f1,:? CJ, /~
Nr ri'E "~1'!'IDOWN" "/\ _' '~rl\ MlOOll I'PHOfooI NO 0' lA) ~"IUUU S .
iJ.;L.:2 7ffJUnE.S kYm/.(1(t/A-. w 5tc.me......
II..i f AOOIIUIoOlOWN'" ~'I
iip!l . ~ --'
~-~f NM'<f.~l.SO'INwt......cICO OUGINI "7l'I
rrill!ffl. (JA<7iIt/lL'r), ~ (!AfJ"'J1u,tJ (~, dJ. '7'
~;.~~ - ,000000b'AAIA. I~~:= ,......ct .~~~( '''AlGI J-v_ 'ri'k~= I ~w. .,
.;:;!",.k"' .~.'~:.::"I'I'" ""'""'" I~ "',.... D"~". . D"~'" -~,.. L.~.'.~.::l,::;;
,}~~~ r ~ .uonoio..:.::t I s ~ In r~~.'t 0 ~r:::~o.., ---, A~V:'" S/'l;tl~ ~~\'Dlonoilo.A'._:
i,~;,~1 , ,D'i'~'AMi ~'C?LLIS'ON1~'j'I~1'7-':\<:';'.U.rj~~~'. ~[)fSC'~ION9'COl, 1IS10N'~"~"fi"'''';''''''4i~'' ..:7. " =
,",ii:Il!" ~' -1-1 t-lf' - ,. A~tl~"i;, i9'''6; l' ,'bttr.'t,;.:? I/O] 'tt:~l1c,n 'v,,? u~,~ /.:Xlf.lf, ~ -''', l.// ',' .2
,.1_ --1" 'i"r,.~' - "&:-1'Y "I' />U", i';,vTl; c. '(J1{i;oCf</'CV'tJj.z",pcu", ,I--
p,1..." I I I ..10. _,_ ',I ,(/.(/<Ic;t{: I.. tJ<. C:U1''j2(p7;.;(J.,J" ~tF7'/".pA/e -CPr
ii;ll'~"" +1--+1.. -,i,t L - -I,,+;{,.k-$t-t-'<:;..' l7}).,y,a~ t/.{/r:.-U<.l-I,at,;':'I(;Pt~ft.;/)~k.. P
~,'" H"-:t.:I. Pi,._, "" I 4"i1- ,t.,'-','I.:<"J,t:t:. tJ;;j.I.'~, "~J.',_"",'y, t/....~r./,~. ,.--I-:m
,;,'IIP'- ,-l'fJ1--'" -1'" 1..;,1 -1'" //-{ti~k ~ "<LJ-~J 'h~~;.? ~I, "./) ,_p
~~Hi.:..' - ',z-<:Jl'vt!;.,,.;r..7'.a"'d'. ;.7.?'f./'......~t:..Ec.rt'A J~v/, --
"v,'.,~,',.;,: ' ' H.. .I,-I-,~ fl' -~~' -).?!9FiM;,I-l- j-'\-' /2}a'l_' ~ JfllL!.,'~~:::t&"".,A{u</..A~ ,.t..,UJte..... .---. _
Y;" . i-I' -1'''1-', ''/IY:I'-j-+- -. -- ';~i(j{J NIt'cIP.i/k!J!'/)JIt.. r';IJ1f7'Y=' .'/ ~ .----- "l
~~:~'Ii NAME,ADDRESS& INJURIES OF PERSONS INVOLVED 'CODES I 1- 2 13 I . IS. I
rt!;~ ,./ OCCUPANTS/WITNESSES W~~~~=':"=:: -,,_IAOI 'A'.,J...- ".,:-'~-:j.I..\..luc', .~.-
f;:t :",' =~ i:.~, ~ ~_... ,---.. ._-~ -.. . .~ ::r;JP'./" -' ~ '" /. -..,.. ~\~l O~' ~ 0:;: ~_
!"'f1E .....rAr.t:i' .:7l)/lAJ :r NO .:/':::>' '1.;_'5 ~" ' I"~ '1 II .q.
fh ~ A~~' AJd~1i'd; Tf- ~ . ...' . "-'1~0l'" - I~"OMO""" O......I<'D~. :: O~ '_":"I
~:;: ~17I/~'..o'" -o/.J(.i\..J.. -"'O~' 'r""-"" ~,':.1S'b ("'<"/ c, 2.... "~I DI~ '"
W.~" ' ~,,/Ol t......d.LJA.t n(>I ,.{(o.." I t-t,f'~ .,.JIf' - 1\!j':~~J~'.OtIt' 0..... 0:'.\"' r.". '.1;: ..._
";;;~L~, " :1..~'~O;:o(~_Z~....~ I'~ -.c.s.~' ~~11!5 't/~,/"HtOI ;flr''''OIOA'li), "-0-1 IA~D1"/1 i'l
(""':::i X -I /1"""4'1,,. ~l,Z7 ICIJ;O J ..l>>... 1/ ....... 1.tl'.I-/'9 "L JI'9
-"'''',,",
'rll:ilOtIU "
L
!":
.\..,....:"..".. "
" ,".
,
,".,' " "
" ' ,
,"
.' "
, , .' ,'"
" .. ':
',.,".., Jh"
:',,<
~ ',"\;','
.~1 .,.
"
, ' ':
,
..
"1 I
":"
" ,
',. ' "
, ,::' 'i ,',
, . "" ,....'
.. i " " '. "',
.,..... '
'.. .' c;:
. ':
, .. ,'.'.
. "
, :'
, ,
, ,::
., :,",'
J' ".
.' , ,",
1 . - ..;.
~':~:~':l ',' ",,,',,,,
,
f~'" ~! I
; .' ..
~'
,
~ STATE OF WASHINGTON '"0' ( 0< / No,
~, POLICE TRAFFIC COLLISION REPORT -gTRA'FlCWAY
b PRIVATE WAY
~<;'O,j
ON~~:~~~~Y
STATE OF WASHINGTON
0'
~ TRAffICWAY
o PRIVATE WAY
No.
~ STATE OF WASHINGTON
~ POLICE TRAFFIC COLLISION REPORT
F-""C.l
No.
WsP.AA.'!>~
-
~ STATE OF WASHINGTON
~ POLICE TRAFFIC COLLISION REPORT
P...GI/ 0'/
~ lRAFFICWAY
o PRII/A1E WAY
No,
"\} 7''''--
~
t,
',~'
l
~
~
,.
j,
!I:!
,
" ~.,','.) STATE OF WASHINGTON ,.,., I o.fl
'r-; ~ POLICE TRAFFIC COLLISION REPORT ~ T."flCWAY
,',/ '~ o PRIVATE WAY
OAI' 1 Ul~":~ :, D~ ~ I tOll!~ION ,., J 'MI rOUNTf
[LIb /'7 <Z-,I" .~ ..".'" ,~" " vII 'U;~' J;;-.//6=-~;.-)..J
/ ON 01 J!!'N ..J:J'vQQ-.!~ I N~..J~"llIlll:;'H.<;dtWM
M'l{~ o~ Ow 00' ~~:;'::t'~/-: ION ,...~~ ~-
INlur!.lCT,Nc. WllH ~H!Hl Oil IIO""D TNON INTlII:.lCltON L.. C .
- III(lwUNo~~ &"'v"'" ~111((1 & -;;;::./';';~-:;;" ~II1Ul
D\~ ""NCl &l~~,l.~~. MII!f!IIIN CIIO~~~IIII!I011 N1""II!~IMIll f'O'S1 I ACCIO[NT
/ H ~I:~~ (; F, ;, ';, 01 _ M~l6~GE
COLllSIONINVOLvto SfYIIIITY, ~ 0 ~:;r~,~
. ~O~t~I~3~ ~ NO ~~~~;;~:I ~~:[O 0 ~~J~~~~
~9' 06J((1 ~HIUC" INAoMI 01 OBJECI S1I1UC.. A.NO OWNI II':' NAMII
w~~ Ail 1~9
No,
I (,
"01'(:1 COM""",,~!..vy-~"
5
9
3
()
"l1
;QJ
c~,~ i~ j"" M>
',~"" AO:Q'I "1"5;:;'~'Z;
1M'" ""t? ;1 CJ
lri~"~'
\Jto'!l.....
.1,111....
I y,,,,,,,
)
PIII'I.. (\01
IIAMP IDIAC."AI-'tw'<'A
'"'" II ",!,~ \.11: IID~'';I1!''l:olCliNG Slill~1 (;j1l1lQ.l.t.>Q6I1Il.'lllttoC.t
I" Ct5 1(/lo:.SS';I;O~~~8 /0
SPlCI,t.ICODIt-./GU!oI
..J'
o ~111 "UN I >4J~'~~~M~
o t~~!~~ -
I ISI DoV.\AC!
11 -
UNll NO 1 UNIT NO, '2 r\'EHICL[ PEDESTRIAN 0 PWAUiiYCLlST ~~.
19.::::N_I,17/21/ ~/C;..?dC ~;~P# :;;:;'~~C~SI ~)~)D ~/
~'2 ~I:":::- ;' -__?.r/ ~) 1lf1lAOOllf:.s
5-,'-, 7.::,.. =<_._ v-' .:J:?I/,?O ~.E /?J'Jf?.R'Ve>;:;:;--.l...} ::!l
_ CITY. ./ JJ ~IATf ~'P~OP( PHONINO 0 IV !oAt IPC.OOl otQf'<
-c?A..c. d..1&A2 /,'~ "'?7?'!Z?717S::>3"2>P5 R :':Zub'8o ,lv'~ qgi;7~ ~9.R~/5.i/~
Ie. OlIIVllI.~UCINSlNO' "I 5f....\( .II: A ,II/IH I 1v:E1l':!>U(I!II~NO /? -./1 !of A I I ::.1-.11:_1 "IOfllllll... -:10
- 'Dv,,,'; :?....)~.:77g? 0..) I t-4! I~;; ;~ 'd.J< V ..,-" ??.i. Z/ c:.o .-? 41 uP" 141 Y..;2/ 'h: -'
e oc.CU,PATloN \ fIRMNA.M1 & PHONI NO ~~~~1 ...-tGHI E OCCUPATI%t_ I~MN~IP~INO ;-I':!:.r!L L.~.;.~l~Hf 12-
.~ $.>//..~:;:: 1 L/ <, _J~A./ 1,,1 ~ c:-~ R' .~ ....,;."t;u,.Ja: _ . ~ C<-9,.....fc::>..::.
~ 0 CHECK (1"") ,~,~~:~~~.f~~~~i;l...t 0 CHECK 1J"') I ...::tl:"C,/Ai ~
'I CODES.... of 3 ~:!.:. ~ I 5 IJ"IOOO< / 6 ~:~~Cll CODES" -t 3 ~~~~. / I '" ~. 5 UCIIQOo ./ 16 ~...~'!.a to 2~
INJI.\iIlIS ~o-J6 ~ J,. ~ I
L- ~~~~:~'1I0'" 0 ..""'1.11...." 0 ri~'1 0 ~8~,U 0 ~:."'~:: 1&;',8,...."" ~ 0 _1lUI.....ct 0 ~~'C.I 0 ~~". 0 VI:."':I: - ~.~'- ;;0;
VEH ~Il TMA..' lOODGl,CHfv I MOOU~OAIII,NO~-') ISTVU [2EIl.CON...) 1H nAII_ l"""""Ol(~VO:/IVI /INOOf.qDAIIT-"IO~ .. P~(}Dll .CO<I~ .5:
~ #89 /If?/o7~ #vij' I /.?t..J E ~a.R'"?1 C...vGv' I /"A'/?Q:;""""" ~/C. ~"
3 v,.,'~ IUC:N:.iP\AHNO Sf,l,~{ ~ 'RAllfll"-"'f(NO \5'.0." H VlHC~ tUl..tN~IL, I I " \1'" f;;
/..y..-;',/ g,:;,,:,;:;/O....J /..J~ - I - ~ ",-:;"Y,<>V 1/"';,',4""'..51 M~ - - "
[rI'l"':":" V{HICU!~TI"C"'~NO . ,-----7 ~ l VIHICtflpt"Nflfl -. liON NO_ }. / ~ i ~/ ' i ::.:::..
:z' -:rr,v1:,J;O li.P7~ ~o :~'5:'73'/ I c;.. /. 8.J 5".1 /./8'// ')L /.3 <.' y,,::z.,..--..
~ IIfGI~llll(oOW"lfll lAST flllST MIODl( PHQNlNO 1I{:"1~1l EDOWNEIl ~ASI fillS' ~f 11't<lN[NO ~
~ ...5"..,;:>__6' ""'v"-..a ~ ..,z;;;<'/A~::> /"'~"$,/.g.~"I~P.:::?~/='U'l
1134 aDDlll55 OF OWN[II AOOIlI>> U' OWMIl .iJ
l~ 5,p.n'P~ ~ /-::b:E /0..5- .5//~~6~~
~ N"^,,I&,t.OD~INSUllANC(CO OllAGfN' / R INWIIANcrCO.QIl,l,GEN . J'
1''5' 'h.z..-.?.:P,A!?"';; 0#// ~~~,/;;? .......'" ,~~~L c...-;1~;",,_.t,.r./ - .&7/~ ';t
'-- ~Of/t';.:c,iDNlla. ~IE!.AIIN~~..3' . .:' In~Ei~~.... ~AM41.lA. 33
~ ,t"J;:j, ,,,.."'~"'~ <>&//-"""'.5.... ,,,..'" I<!';o,~._, VI' '.''''1 -=-
, , .!.'.~'..., '" ~ "'VI" o "M^,"'. . .'010''''" D"M""'D I'" D~:!i>.- '\I...... F!.....~,f::::;;:
- ,080no.. s~ 0 i~J>ev 0 ~';.,"":~ BY ~ "'-WAY S/ .J~f-o 1080no,," .
c: DIAGRAM OF CO" ,~ ,1510, N:, ,'E, ',Sf SU~,PLE"'E"'" '" , NO, "An NOll" IH DESCRIPTION Of COLLISION' IUSI StM'PUWN1,l,L 51'<<(1 I. NlCf~ "I .2'
16 .,.....,... ,--., ,_,5H.UllftUCU54J:Yj, ... 8v:/t.lliOW ,/.__ _ / ~ . "._1/ J"'? .-"? "-
-......., t? +_ '... . J J ~ ~ ~ ~ ; ~ ,_ ..~W V~ JI'?"~ ~.s ,-VtfI:2,T;r ~ /,""/~"'7/'~c:r - ~
J.?'&'V<$E ~~ :..th,~ . '~, , " ,! 1 Sd Y .rv - /o.s,/ ,~C..,.,_-,.;:, c::, c0, ...:=- / ;2v -
"" i C r-...' ~~" _..L..-- =.;. 6v;;c,,/~ ....-;;-Ve "'P_,;r-."..-,,/ ;TZ1 .---/c= "'O1l
1- ., :(..:,~ .'=,,;l~----' u Hd.A"7; P'&V~ -...3, ',J"...i'<'??.,;,o O--'~u'-=.J
r-;:::::-:::J ~ ' '~; i";, ---=:::,. ,!.,;F/:r S~Z>c: C::>/-'" ~"'-(:>..ff./ ,..-"'" ..............e:: "-;;1
I L.::.....:::J ,.. 't>.,\ . ~ ~~" Y$"/,,./~.?.:;o ....,....J~~.r#.o...J,"__.~.._ ...::J
I" ' , .'\, '"7->. ~........ J?h',/?":7;::'~u.s;,,",,/ .(?z>, ...?, ~.-.../7T..,:;';;:> _,
C ; ,/ " ' .::-.- . " /'7'> d.-'o):Z::> .... ~ .s/~c:>~~ /~""..."'"
: ~<'LUr(!rC~5JRi~sl~f ~ 1::ES :~~2'~1.0V;~~6 ]
OCCUPANTS / WITNESSE:> W~ ~~~ti"~ZL1::~~: ~'. I A(if b,a'uJ ,....\-1..1 ~~,i I ..~' IUT. I I JtC" "-'i~.
"M'..::r""A~,/ ;:r ;V",>.c,LG'~, :::?,'J&:;-78.'3 ~.,II.a. J 3 ) 1.1 ,
M)l'IIi'l~~LJ_:S...J (,~~,..,..,) :'~L _~b~e:",..C ~A1U,"J...O' ....J". ',....-::;:;:" ~1I'6~fIlOMOAMIl O~'" D"" to::;::- Q,....y
[....MI ~~".,cv,.;"I ~ .;:r;t::'~/'Z NO t;.~.;:? <.-,,:;r!:r .5"/ I'!.. .4..
_ .Or>III~~ t6!".'.A1__& -z::,.,:!J 4'" _;..,- ~a'~f.OI ,.,..J,:f....J--= .~~~Hlcw.O'"''''''e O~Il(.D~. 0:;-:: "5:Ii ~:." _40
"A""" /r"..-.J ,.,<J_ -V"P?(..:.:: ~~""""'?-9a!3;7" I~VDt.r:;1~ <; ....,:. ;" ~,.
"1'1'lItH ..;,.,..?....,.., A::' ~ rF:.:z ''''Ju'''H ("'};.) - "t~\If11nOoY OA""'II 0 (.... Dccw'I,Q:'.. 'S ...."
r.~I~!>"'t,,,~c,Ot"W':::""I&"'o/ ~J~'OII """I"'C' "'''''010 f':~:~,t"'C"1D POo'C1A.Jr'V1f~D""()IPl~,l JA",'O~ID!'IA D'"'''
X Id? .//:iJ 41-4",....L1 'ltg. ~5P '1r:3 I./'l!",i!''? I~ l,o-I?~;Q / ;U"~,j A ,.t'1!1d
:
'"'ii"
i'~0i.i;;!li~"<'i:.('<
1~!:j::i'"i"\' hit
I'~
",
--,
..'.'"
~ :
,
."
,
'",
, :.
" ..
" ,:,
.' ,,'
"",' '\",
C'\,
<c.' n
".
" :: .
,':.: ,
,'C" ",....
.. ,... ,',
"
" :
..
,"
;, ,:": ",.,....:: ',:
.. '.',' ..
..,' ",:.
: '
"
, ',:,:":'
-
WVI.~ I~"
~;)HINGTON ,"0';'2 0'''::<
_ . HAFFIC COLLISION REPORT ,tS/".""CWAY
o PRIVATE WAY
No,
n
~
::,
9
3
STATE OF WASHINGTON / '" z.... No.
D TRAffICW-,\Y
o P~'IVATE WAY
() IJ S 9 2
. ..ASHINGTON
/
"",<.e"""",",.J... f.,
No.
n
"
"'
q
~ STATE OF WASHINGTON
~ POLICE TRAFFIC COLLISION REPORT
/0>/
No.
6
363
/
No.
WSP.AR.' ~~
60460
",c-u~e-o'",,,, ,
~gUN'" CITV
~-
i>-'-'-'I":.',"''''
~~!~
t
I'
I
r
,
i>.
'I,
I,
t-
l
,~,
'~
f
\
t:
"
t;'
i.
\it) ;..;.,:;R.....;E~~C;~~~~~~ION REPORT
our Of l;.<J'l'S,U" I. "I.. o...~ (H CO'l'~:~~. . I 5 ""'I l" clln'~'o"'""" (.o'iJ,i.l.I'
"n-rqi96 I "'h;"';'"'' '""'1)('''' .::tiP: ~~a 0:': ..Je.+Fzr~c.r1
O",g]( 0.", I J cn~YflH""''' I ~"'~'''O~'~1~1''0'';;;'c:....~....
/""" O,O,Oo,l7ad/Oc:..fo;: ON i-1a.-1er k/,../,
NO'" ''''H 1151 CflO.. -.J
~iS~~:AL J~O~y
~ ~w::.. ~
o
1"\.ACI.
ilVli[R(
~~18:~~ "
'''(!;i:;)'''o;::,H ;"~~ Oil "Rd,
""0' I -;-1B!Il1
~~TEIIS(Cl'O'" f[[ll rn- 8 IOf
COLl'S'O'" ,"'''OLY[O I') 0' ull 0 ~~..' H.....A"00\)5 "'A1LfIIo\LS 8[,,.,0 lHAN5PORT(0
~~':~H~~ts .... - ~ O~~~~~~::(l O~~~Jl~ 8~';":~~~~:~~'~'~''''L 8~:;~~~::IS 8~:~~"~~'"., ".!~,~:;t"
OBJECT STRUCK jN...IoIE Of' 08JECf STflUCKj OWNER OF OBJECTS NAME ANO AOORESS I ;'.:t~~f"OJr,"lb,
I
No. I 7 0 3 0
c, 7J "OM c~ I"u,m R7;;;T;;;CO~ IMC'
r"o:;,. -0-~
RA....p -r O'AG...... 0"",0.
,,,,-,[1<.1 ..0....1 .ll""i'I:"'TLRf,(cn..of,'IIu,onR""OOl'l
'MI ''D''I CLI IIC['~"'.'~~~~LETOHIIOAO
..~c COQ(US(
~'Hll , & 611<11 T
SttO....N(4HISI'..'(..SICT''''C.S1HIII .m...."'... "OUh' "U"'HLR lU"O!.l
R"'''1I0'''0 CIIOSS'"'' "'''((1'051 011 'OH"'''.'..O I ..."'[).......l~
~:II".~~I.M.t..)lI:lltlf,la.
1tI,... =t:llr:ot. ~ ~1.JlJ'.fI"'...:1 :II:..,.,a_
o ~~~I~~~"A~ 1~~~~~~~EE~~:IZ~~;~:MERCIAL ~~~~ ~~~I~'~~~g~~oco~~~;.R~i~c~e;;~~~~Sp:~~~~~ICFL:E~~~T~~~~~~~~ ~: ~:~~~CGHE~SS 1 ;~R' ~7:1~\
ORIVER'S L.AST NAME FIRST NAME MIDDLE 1 I IDRl\IE~'S LAST NAME FIRST NAME ""IDOLE
rqa.nSDf) '_diT-h ("'Ia.;,... ";:'O,;'i:;:;' Lar5Dn H4..rrieT S',
..) LA WE HE INVOLVED'
S~REET AODRESS 1\ "" I~OUTE NO. A~!3.. BO~ NO. I IN TH'S - p~TREET AOD~SS ROUTE NO ANO BOX NO
I~~I E- /VIa.,...rCJWsTOl1e ,<d. M6~~L~~~~~or liDl:) 'J::.~M(J..,..,,-aw~7c.ne /2/.
Ct'tY STATE ZIP CODE I DR~V;RSOCCUPATION P[RSO"'SwEflE elT: I STATE ZIP CODE I DRillERS OCCUPATION
Nc,..d/al1c1. Wa. 9'ii'~$''' ffowtt!Ma.(a '"'.':':.~~~;' ND,..d/a.Y1d hla.9<a'3S"f'1
P~~ER'Sl.ICENSE~O. _' STATE! .~~~ OATIEOFB:R~~ AOE COL.,L.IS'ON OAIV SLI ENSENO ISfATEI,~~ DA~EOFTBIFlTH AGE
KsfJSO,JCSt/?,LA Wa.I"c-1""ID?I.iJ%.t/J ';~~:' 'B3-1~1 IW".I"H1?ll'l Ii 7Z-
VEHICl.e YR; I MAI<E ICHEV. DOOGEII MOOEL (NOIIA.OART! I BODY STYLE:: (2 OR.I ~t~)._' '(:; VEHIC~E YR MA~E,lfHE~. D"OOGEII MODfL (NOVA:~RTq BODY STYLE (2 DR)
1?'1DII/<:>/IIO [~.t/S--.I7L 1S14'f,~"W~" t9'iU> CH~VI{ ICe/eb,..;-rv I 4.:D1<.
1.ICENSEPLATE NO'1 STATE TRAILER PLATE NO, I STATE LICENSE PLATE NO, 'STATE T TRAILER PLfTENO STATE
\J13L 477 W<1' I-IMX 1~ Wa." '
veVc.,o:t.s-"4s-N;r,j, 710 7.F ~, ". ,,' ,''jH'G';"'A'\:.7tqORt.:JJ1i /2/J/7/
ReG~TERED OWNER (LAST .FIRST-MIODLE NAME) , ,I DRIVER'S LICENSE NO, REGISTERED OWNER lL"':eJ.FI~ST -""lODLE NAMEI., I ORIVER'S LICENSE NO
d::~:::~ I <ff-~rTf'c. 1 - a.,s o..JJl} V e. t~~t7 I fi:f-c:!.,..);~1 g..rt:J I
OWNER'S ADORESS (STREET. CITY AND STATE) _'" ;. I. DATE O~ ~IATH OWNER'SAObRESS (STREET. CITY AND STATE).." I DA1E OF j"IRTH
-AS G,...b.,vt!!. ,;'~ID'I~", -CL..5 ~hCJ\I'e.- MCIOAY VR
PAATS OF VEHICLE DAMAGEO CATTACH COPY OF THE ESTIMATEj I ,.....~pllCd.~ PARTS OF VEHICLE DAMAGED IAnACM COPY OF fHE ESTl.....fEI :.-' liIl$pp,...... Vf.HCU:
Le.rT F,...,,,r Fi!,,,der of $,'<;"a./ "'-I'I S ' 1$
LIABILITY INSURANCE INFORMATION-VEHICLE NO.1
LIABILITY INSURANCE INFORMA"TION.VEHICLE NO, 2
NAME OF INSURANCE COMPANY
U.3,17,R
NAME OF ;'SUAA.N:t. COMP.A.NS Ci- t: r ,..,
POl-ICY HUMBER
Hsq, J../e;S7
POLICY NUMBER
079 <0 '7 7frkL
2NO INJURY
IUSE SEPARATE AEPORT fORAODtTIO"'AL ''''JURIES)
1 NJU
.GE
NAME ,~OJ:ip NAME
SEX r\.. ,/ Sf)(
~OORESS M F I_V_~OOAESS M F
~: DO rO' ~:l DO
~~ ADOCl'OR' B EJ ~~S~OR'S U:!.J W~~MINATlON eTOR' 8 EJ ~~S~OflS
'N~JURED I, MARK FIRSTT r NE THAT APPLIES STATLlS OF IN~ I MARK flRSTj"ONE ',""l A!'PLIES
g::~::..."" 'NV'H'Cl.E KI",ol ~;::;~:: ~:~r"" T ,,:~!::'"' g::~:;~," 1~:VEH'C'ElI .,mo/ ~~;~r ~='- T ,,=:.,
Bp(.~~.s"~~~,, ,.N 0 I 50 60 I o. ;-Oe1 Bp[PU'fH~".!ill.- 0 -I 50 60 I ~ ;'0<:1
MOTORCYCLE SAFETY: 0 HELMET USED 0 HELMET NOT useo
MOTORCYCLE SAFETY: 0 HELMET USED 0 HELMET NOT USED
SHOW NORTH 8Y AAflOW IN CIRCLE O(SCRII:iE 8ELOW WHAT ,",APPENED jREFE I TO VEHtQ.ES BY NUMSER}
1 lR::~~;;~:~~!:::UClS ~ :i:J- :< ~ H 1 .._ +J. -~ &/" ~/_-
'0""'0'''''0'''''' W",'''G'' ~ ~ ~ D -;-- D...t...'r~,c:'!:j _. .-I'''' - . .: J
"RUT OR "'OH"''''~ ""',lU Oil . """?".>>.'1' f7 r ....H . A ,r_ rr. .",~-*"
~ ~~~:~:$(...C" Vf"'C~( "'NO 5><01\' . \; I .:Ii "e' - i>~........I~ ~- J.;,J..;;~ . Li;' .~
O!"'(C"O~O"R"'vnll~ARIIO'" ~ I . ......-:,. - r_~. ~_ t:Yo I
-c:::D CD- i"""O'H'GH'''JJ'''~ c..:;..~.,:.r", -;;'~J .._ L ./ ~l.
_ Fla91." 'K" :?"~ ---- ,- :,,"-ne ,,:f ~~r Rf . r,"";.",r 7 ,-:<.
_ !:=:>~~~ _ ,..1:, ,~:.-; ~ .
li(e c.e~1e;:-'/'~e,.I.~'j':;'--.;; ,.;1.... _..:-'0
_ 0 i ", 'the .L. ~1.-. __.r:!:"
_ )~ ~ ",'" t f1,~,., __ ,_,","rj,;'L,,!"~~fi: """-,D 1._,:- _~i.+
= y, :~" ~ ~,.f-~" '~r~~w'" ~r' ii::i~:;~:r. '~i
.~~ ~~..""r
,~, ,Y:' ;:;.. ' '. , ,;
" " ~, :
" '. ': ': ',,' '. ..'
"",:"" ': "". ',: "', ..'
','" " ' '" '.. ,... .' "" .... ,";
" " ::,.::,.': ,. ,',." ') '" "
,',,' :':", :,.,,:, " '"'' '; , ' ".:
',.., "
, .... ,A~
", :i"'>;
..
,',
, ,,'
'"''
" :"
:
,,'
..' ,
,
"
,",:': ."",
'..,
,t
" co'o,
" ,: ,':
;':' ,
, ' '
" '
.. " '.
::~;~,~~; : " : , ' ' '"
, "'" '::.:":," ",',
,', .." " ,,' " '., ,,';',.' "
< " ,,' ',' .,':: ",
" ...., ' " ':" " '::"", ,',:: .' ' ,',. ' : ",' ':'" ,,', ':,\" ' : ",',: ,,'
:
.. :.
", ..
,',;,,: ,...:
.GE
~
-'-
" -
,,"[ ),< ,,,'w.'
"'-
I ~;" 0' OOW"o, I, '" ,~:,:::'. '0''''';',', I ,I' ~c_')'" '" .;,~~~',':"o
1/ li'~ lei;" 1 "'to'IV'!"" "'~I'" '" Ii 7 :~. "':.: J, p.N
o lill 0 "" O. "'"' ION ,"""" '0,0'>' ,"'" :;Ll."'o,",,, '.
~~j~:lo -.s:"ts 0: D~ 0:,10,.. - II ~J~ /-hi.Rr:l
''''H~!:OtC''''O ....',.. S'HfO 0$1 Il0AD -r>-c).. ,..1t "~l 1;1'0" r
ItlIIW",. t>HUll.. !>lHIII
01 I lEl fI) "'..,).....I...:~g~~~~~H;.~('"'..U:>'1ll11 ............. "Ol1M ",UI,OUIH IIIIII)C.I
~TTN["5ECIlON /~I1f:lI[[Illii riJ o,-FAA~ .5~?rM 'uJ>OS'U"'l.ll..I".'..OI.....O.....fl~
;g~;~s~oo" '''Vti,l/to 0 f~r'.Gl 0 ~V~:[.. '8 ~,A ~:~~~ ~~~:.::'$IiEIN~;::...(~:.~~U) 0,,,,,,,,,.., 00'''1 H
Of"'["'1;1[5" :l.. Dlltsu,TfO OIlI"'l;l[ IH~~""(l""\/I....n",., 0......0..,. O..AfI'(l.t"\/I....U..,..,~
OBJECT STRUCK (NAME Of OBJECT STRUCKl OWNtR Of OBJECTS NAME AND ADDRESS 1&.~t;1IJ'J.o;~,.
No, I 7 0 2 9 0
"'t,l "'~';'\r'''.1:33;;~-;;;i''~'
1""lrl'OSl v
/. ,-1 a
I O....GMA... 0""'"
~ I ,::?,....I .R~ 1'...fRS[Cll..G'".I(I~..O...DO'''
'0"1 'MI Cl5 IMl,i,;~..~C\O...g.O~O('O....O..C>
SPEC COOllJS(
,,',=1: II". =- ~I._.' ...111:..", :1_
I ....,=I:l[et.=I..(.....l.U:I=I:~ _._
IRCW O[I"lNITION Of A CO"''''LACIAL VEhiCLE IS ANV VEHICI.E THE PRINCIPAL U~E OF WHIC....S h..E TIl.,,,,~S.
PO"T rATION Of' CO"',J"'ODlTIES' MERCHANDISE, PRODUCE FREIGHT. ANIMALS OR PASS[NGERS FOR HIRE I
MIDDLE I DRIVERS LAST NAME FIRST NAME M'DOLE
Y\ ~:~O~~~~f:o r() .f ~,J-r:. . I ~,J.I,;j-).}
: IN HilS \-rSTREtT AOORE}S ~ J_ AfUTE NO ...NO BOX NO
j",~~~L~~~:~:ol.Wn? ' II I AlLJ..
I PLRSONS W(R~ [CIT~ _ "_All;. - __~IP CODE I DR'VERS OCCUP...TION
INJS~~EA~~;:'" I ..om ~.-i'.... -' lfA' -'H ~7t I
COLLISION RIVER'S LICENSE NO I STATE I.~~)r: I D"'~E OF B~RTH AGE
R:~~~T I 1"'1'...0 I O"'Y I YR
::,:;,: VEHICLE VR.I ":~KE (CHEV. DODGEII MODEL (NOV....OARTI I 2.D~ (2 OR I
~ELVL;;~- :T;HI TRAILERPLATENO I STATE
',' VEHICLE IDENTIFICATION NO.
o ;~~I~~i'...~.~:~~~~RV~~~~'~~()~~~RMMERC.AL
DRIVER'S LAST NAME FIRST NAME
n "
, I., J...J./
Si~;RSS J./IVAcE.J ML;OU~E:1ANOBOXNO
CI~ . STAT~ ZIP COOf bRIVERS OCCUPAT ON
/0'111[.10<:'1.1= v'~ ;
UHIVEJrs LICENSE NO. L' _ ~ I $TATEI ~f)( ur:..ATIE ~F B:R_~~ ...Of
If. ,~...I'" C"7t!J j( IIJAIll.I'::" 1}~I5.-; ~.t
;:;7~VR'IM"'~(;;'OOOGE) ~~~A.OARTI ao..e.YST'r'LE,120AI ..
LICENSE PL"'TE; r I~T)A~ T TRAILER PLATE NO. STATE
VEH'CLE .0ENTlFIC"'TlON NO ._
i
i'
~, .
~,
,
AE~TEREO OWNER ILASTwF!RST;'MIOOLE NAMEI
n>.J"""EH J"~JJ M'
IOW~ER"S ADDRESS -, (~TREET. CITV A':~ ~T~TE) ,. I D~TE o~ ~IRTH OWNER.S ADDRESS
.::z.qr..li/ 'A/~)."S;:-..J ~hJ J R.-I_ "0 I 0.. I '"
PARTS OF VEHICLE DAMAGED IAT"CH C6PV OF THE ESTIMATE, _ '~ I fltP,t,," vE'UCLE PARTS OF VEHICLE OAMAGEO ....n...cH COP" 0' THE ESTIMATE.
L~ <J~ skis- >u7/sf..J.!.l;u&t3
LIABILITY INSURANCE INFORMATION-VEHICLE NO.1 LIABILITY INSURANCE INFORMATION.VEHICLE NO.2
DRIVER'S LICENSE NO.
REGISTERED OWNER (LAST -FIRST-MIDDLE N...MEI
-, DRIVER.S LICENSE NO,
I OAT iE OF TBIRlH
MO 0""" VA
(STREET. CITY AND STATE)
I;'~W"~'
Nc;L'~~;:~COM':;':' J/ I
POL;~~"7 , z:-~ "7 j
J/
NAME OF INS~ANCE COMPANV
z; .P-<
PO IC'!' NUMBER
:dII-'><>- ",liE'
db:
AGE
2NDINJURV
fUSE 6EP...RATE A[PORT'01I AODITlO......L INJURIESI
I
'(>:'
~,
r
TOTllL
I...JURED NAME
SEX ~
"'ODRESS M F ADDRESS
.. 00 r.....1 NATURE'"D
IRE r" r=l DOCTOR'S ~ El El DOCTOR'S
DOCTOR? c.!.::f ~ I\;AMI! EllAM.NATlON TOFl? " ,- .......ME
INe:JUREO I, , I M"'RK FIRST ONE TH...T APPLIES STATUS OF IN~I ) I MARK FIRST ONE THAT APPLIES
OOAI\lfR IN VEHICLE Ool~~~~ "O",.e~~~""G ~~~:~l OOAIV(A IN VEHICLE Oo~'t:,:.':' _~~~~...c ~~~r
o'"..~" KILLED ""'"" '1- '""0"' l' ,,' 'OU"",", o.....~" KILLED ,""M, ',- ,~, T '" ,~""'"'
Bp(~~6'A~N . N 0 50 I 60 0' ;.'OCI Bp[~ISTA"1< NO 0 5 0 I 60 I O';.'OCI
SEX
" F
00
MOTORCYCLE SAFETY: 0 HELMET USED 0 HELMET NOT USED
MOTORCYCLE SAFETY: 0 HELMET USED 0 HELMET NOT USED
!,~,
,
~'H BV ARROW IN CIRCLE
INDOC..T€ ON lHIS 01..0....",
_..'H....PPE..ED
. ~~~~f(~l~~~e,~~~{~::~~':~~8~=
~ "Ufo<t1tA (ACH \/(H,ClE ...D S!'lOW
0I11fC1l0NO' l"....n IIV...RROW
-~ 0]-
OESC'UDE BELOW WHAT "'''f'F>ENEO IRE FER TO VEH.CLES t1V ....UMBERI
B
.E ,...fRw VE./I,C).CF'#.z. /)?/~QI((tfl/h'r
,. >J{;ii~nJ(g ~e4'~.ss,a.E~A.I.;Ht!:. ,.
]" /tlr~&qr-W)(J:.EL ';1' 1/'G7)I~~,#.j
"","0',"'0",'" -//Y-n ~7C./f /94~,4~'l~JAY If~"l)r$"d#f;
_,__ A-VfG~ lI7',nl;<!L~ #.r:.. ~.{V5"~:l.f'M?q. ,
4ft:';. ,p,tIJVS'/{ "r- II'ErTJUJ;: ,,-:l- 411f$_
I...C':-A'~rL9.#'C w# ,..,,,,,4- .;1~"'~..$'~J.)H" .
!MY/A" r~.f1CL~ '#" / 77iL /l-i:-/liT,
/At;;:=
t I---
f; I---
f 1--
I'
i---
I---
I---
1"
t
~,
"
~
"
I
~
,
'.,
,
.
f
It"
t
t,
~{T)<:D-
, I
~
~
I
,', "",' , : , " ,',' ,', " ", ",' ' " ,', ',':','"
" ,> " ","" ,,' , "'," H:. ',',:,
, :' , " ", " ,','.. .:.._",' '; '.:'
" .,', ,...', ,
': ,.:,:: ' "',: ...'...:;,', ,"" "
" ',;'.' ',' ,.., .:' '.
"'''' ,,"..
".,.,> ,,' .'.'.'
',' . "." :'" ' :,;., :.,.. ,,'. '. .,' .;'
,.', , "" " ,;, ,.,.. '. ."
'". ,. ',', "',. ," "", ',",' ""
.:, '"',,
" ,: ': >,\", ",','; ::,'.'\ : ," ',',
" ,;,,:
, ':
':'". ',' ;',' ',', "
:,,,1. '... ",. .' " .'.,
:,< ..'. ".... ,,> . ,,'.,':< ',"
/', ,"> ...'.'.,."..', .".,.,.'.,, ,'. .',
"'; " , ,.' ;,", :' ,,' ,",.' ,C.,.." ", "" ',,,',
d"':.'" ,', ':, ,": ',' ;:. ";," ,:' .,.,' ',; ,..,'.
"'" ,;"..'.' > ,'..', .'"..'".,::... ...".""" ",,' :," ".
,'," ,,", "" ':' , ,'," , ',.',
,..',..:,,, :
'"
-.,.-
i
!
,j
I
~
<.,.''It ,~,."
f
,
t
t
t
r
~~,
.~"
'"
l
.r,
,-
t
.'
1,,'
.
I
r'
d'
. STATE OF WASHINGTON ..'" I 0'/
r;) \, :... .,'; POLlCETRAFFIC COLLISION REPORT ~ TRA'flCWAY
1:1.. 0 PRIVATE WAY
0""10' OUI~IV'" i O..fOfCO'.:,:" N _. n HJo;.(,~llo<j IIcOUNh ~ COUNlf"1/ CIty"",,
r;;:; 3 .3 7'0 W'.~ '"" ''" ,~" '" ':YU ~;:ou" "~,;>:~~ If<;:>
~ ON 01. ~~l :t~'OWN I N........I..;'O Of !.1l1UI011 HIG>lW"'l', t CL~ I ........~~I E III
M"" 0' Ow OO'C...-<<"......C..l.....,.. ION/J, L&t.L<!':'V' 4> fA:...:J I
IN'IIl~CI'NGWI'1o< fl'IlIITOIlIlO"O I:NON'Nl!lls.lCTION J? /.... '\ ~.~.....-: \ Pltttl f~
N/1'i:>.c<S .<C<> //1,,-, T/"'<.~...,)
fltTWUN STIlIIl.. fltllUI
r'J / O'~'''N t&~~'~"l IlUlIl N;-l CIlO~:':"ItH 011 N["I/I:,IM'll fo ACCIDENT Il"MP IOI"vll"....C\AT"
V' .3:1 'H~I::f> ~r=, ;., ;; o,~..../~ ;::?~:;- / M~l6~[ I
CO\l~~~~~p::~EO r2J 1:;~~~:I:~:EOL- g ~~~~~ ~~i~~;UN ~':.'~~~Hl IN l:f r:~f 1~'~~~~~ADOU4't~"'<( -;)
IQ OIl~...'IlIJC~AM[O'06JEC'$'Il~~DOWNlIl.f>NAMII -P...p;~/ " 1_ Ef>1 O_AGl $P(CI"L'COOIr~us.1
I /J ..c>d,LCd~ /v-//tE': ~..xC" -- &r'-';~ ."""'""IT -
UNIT NO.1 f'...UNIT NO.2 0 VEHIQE
I~ O~$:"AM~'/ --"'" U:'/. ,'lll~ IYlll.lPU OIlI~NAMI I"$T
I D .... ~L6/"J....4 --- "
:O'IlUT "ODll~~ /? $1111(1 AOO~ I
I'i&'> 4<'-.(6",:D"""-- c..,F';;;-.5 /-'0.6 // "
e:::: CllY.,/ ./ ./ 5>T"lI ~ ZIP CODE I~ONINO 0 I Y ""-." I L............. I~..................
/..?9V<:'ot:."c- W/P ':7,>?-3.~'i::7 ros:::?/3c R" I
17_ OIlIV(I/'5>lICENYNO ."../ f>'''TE II "~".l[C?'llllllH 11Dl'!!l,IIln.llt:tN!.lNO ""'" I ~'''T1 Id 1110"''' 0../,1 H
L..:- ghV~'-JJ/,.t-9;Sy'..-ce h/.4 /" S1?~::;-1v "
fi OCCUP"TlON IflAMNAM[&PliON[NQ ~~GHf~Ht E I.......CUP"flON '1IlMNAME"P~O IEYUrIGHT"~'__
I"~ A/t:',A.Jt$: .A../O.-J c:F 1 '01 c{3 ~ R "I
~ 0 CHECK ("'l Vf>ll ~I-'~'Z~~~~ S,~~~~~i'''t 0 CHECK ("3) ....~I~ V1HIClf "!o."~~:.?rYf " "N01HlIlI"1 '4;"
~CODES. ... I" r.~~' /;~ I.. ~w:::... oS IlK;IIQOo1 / 6 ~,:~ CODfS" ... e''''ll l'ltl.. -,.", ..ClIOOo 6 }.o.~~.c..1 '0,
~ ~~A:!'.vA'~ ~-L:') INi::il'1 I
"'fiYA_U''''NCI 0 mel 0 ~8~". 0 :~~:: 0 1"2.'..? ~"":i1S'1IOA' 0 _.........NCI 0 mel O~. 'J::] Yi:::lI O::r_
r; /9/~17~U Ccf~(;. $ftbk" I~ vtH'l'LAN I" I VI ~qOAll'.M)V", 1':1 I ~
~ ~ 8~ r~~; gw !o;~41 TA"IU:::ENO I SI~ ~ V1H C~~ ( ~'A'l I'~A'L "K"'l ~
F,'-2w~:'c;'7/ ~ / ! 7,0 /1.91 ?r, _ I ~ V'H'~'''~N'''~'' I ! I ' , 1 , ii' . "" ~
rr::::- llfGlfoTU!DOWNEIl lAS' flllf>' MIO{)l( PtiONENQ Rl"'l~!I~1l lASol flllSt .ZE ....nj;~1'IU .::::..r
L=.. .5""A"'~6: !J.4""'C" ~ ~fl?J~;?,4.J >>..L. 3..:2y8'5-1
P~"ODIl(S$OIOWNEIl "WIIt:':>~OWI"oIIIl r?,/ 1L7'1
~ 5...-:'9"A>? ~ ~ Y"'o .?/4~ ~? /D -c/~_..+'",_t-'-'
rrr-- NAM~ & "O()ll($f> OIINf>UIl~ 011 "'G(r~ ".----- IN N :n
1'~I.4d 5M/c:: -n. /.,...4/,....I.5'-=~ R ~/.4
'-- .......AG,."',. 1,;;lI,;~.,':O\I"';'!'."ON ~J ~............'.... t-;;
rl~ ~O~. r~~~~~~' ,"t<AllGf. CH-'IlG( .\0". ...E
1_":~~51P:~;.I~ri~}eY ~~6~~ O~~~~eY D=~ S 1 n--riDJ'~
t:: DIAGRAM OF COLLISION'. '., ' W',E5UmtMlNf..1 INOICAnNOQTH DESCRIPTlpNOFCOlltSI()fj: ~U!. 5>uPPUMlNtAlfoH[I1I'''Cf~'''1 !o
~ 1 'i:', .!' JfoH~'ItN(cr5".YJj...1 'Y"IlIlOW.,_/ '/ -.~",~;;7.,/ "..-.. .m./.J.'-'-,-ji/~.... -L:7-- ,- ".t:::="
~" ' . , . I"'-f--j-~-- p%1 ..M" """"'(/A----:-7"~ ~ I"::>
" , ' 'i ',;; ': j ,1.' j ! i - .0'c...<,~--,c::- C~.I<!S;r.:" ?b",;:;-- ;D.."-..I~2 t-=-
~ " :,".. 1 '. · ',' i ;',' ;",1, lrLwkr,' 0"'4'--- ~, C~.7./<'::_<"':''i, ,4/15/"/ ~ ..... r::PI
C:1';'_~o' "'!, :' :i~~~-~~..,...YS"......~~~/.......~f--'
~-_:-.:.- :....~-:: "~i?" ."..70 /,,",;;..-',..;r--~,,:-z;::.., ",/.,d/ """-~ ,~
1'11_ :, ' ',' :n:-.J.::'~,:_.. -!--~-~ ,.~..??'"~~~,. .z.:S.-~e_..J._.._~..7.::5 ",~~~
I' . . " :-I.. X , ~l~~i" ,"""''''''''-/6''-'''..~ 'C? '-"'::_'''''~~~/4~
I ~ :'\' ~~ i-.. ;:;:;;,-;"~S.. ..,_. ....n ....__._U_n._~'. _.
t.J VAU<""w ?D1~,j'1 ~"-~ ~/ c..';~' ~ '" ';;u',J,.g,,;'S ~'<. ' <. '<. <. n
I~ NAME, ADDRESS & INJURIES OF PERSONS INVOLVED + CODES I 1, I - I 2 13 J . I 5 I 6 P
I OCCUPANTS / WITNESSES W~ ~ii~~Z'~I,,~.'m Si:.I."Gi-l,.,U!.I......"ZH I ~t,~ I c~t, flU'. I fJlt' I:'~rv
I~' I I I I I
r:.....'U.~.I~Of !oC1.....1I'l' O"MB D~>(I 0"";". 0:;;: D~"'y
NO I I I I I
~:~r.l!.Ol ----- t!-~~I~ ~o,y, 0 AMII 0 ~.1C1 Dri-:;... 0::: 0 ~:..'" .0
;;;;~' I I I I
i':..~~Lf.~l:.(\' !oCI""v~~ ......... 0 "'MII 0 ~~o 0 ~~1I.AJ:': 0 :-:....\f
X ....~.."..."O~~ "l..~~tN:_ ./'1t1AOGIOII """1_,,,, UNIO O~ ,)"CI P'!.''I.l{>lIO ~~~I~OIO"IIQO 8lPOlI_I-'~~o~ 1 A DATI
y; L'~-y- ,;or;......."" ~~ I ~;g'.... ?"J.:!>/-' '~r3' .~~~ ~ 13'.3'~v.d-t!ZY ~ 97Y
.," "..,ii,/ii:;,..",/c,,;.>j,
c: .',<,;;!, ><CiCi ' .i,.i,
C/,' ,',' :"i
,i.iii .......', "'{i. 'i,
, '",.' ,,)i., ",'?
,(.FT," ..'.".',.Cii'iii.:i.,
'..' ..e' x'ii.
...>
,j', :,:i;
:..,
'...:,0'.:.';,
:,,\
Fi""'ii",i' ;,;r
:i"> ......i' i,.,
'i '>'i' "t ii "ii' ,,;
""iii.'::)..>".',,;,:,:.< .".." "i'"
, """".'"..,/ '.",',< .,.,','.' ,U,',
.,.,,'.., .iii",.'};.,; i"....'i:
{'..':; .ii, ,i'ii",i ii,,'.-,
'.'..' ",.,.'{..i ,i;,>".'."" ',,' .'".,....;i>. ,..ii..i,.'. :.,..,ii,...:,,'.,,;,....,:." ...".'..:;'.v;.;..~
',j', i," .ii .' '," i,i"",'.i;..:i; ".". " ",.,' .">, ,i"..,;'
No. I U
~LI(.t COM"...,..., ....UMllllI
9
5
2
I
/a;i:HW'
WII",,"
IURAI
IlOV1EOll:.,.....,...""_
5/r/IO
I\IIllfl'O:.l
I~"'~
~
0, 63
o PfDESTRIAN
o PEDALCYCllST
"OOlfl!o~
['.MI
l'I\ ..!\t'Dr~~
........r
""'['111 ~,
,
"
"
"
,
"
'c.
'.
,', ,
:,'.....;. :', '. .
-
, ,'.' " ,
~
~
~
~
y':::
:
"
,
-..... ,.,..."....,.'--",.
~i"
I)
"J~
II
I
~,
~
.JJ<.
j.,'
t
..
.I.'
~
~'
~
/~ STATE OF WASHINGTON -'0' / 0' /
r ~ POLICE TRAFFIC COLLISION REPORT ~lRAFflCWAY
II 0 PRIVATE WAY
[ ~'fO'~lll;; l":.. "''''" lUf~ "'0 ,:':'.'\ '.'.I~'" fl1lf,).( ..~f>iOUIII IICO~TY. .....?
~ .....- /01' V '11..></.30 L-'~;'~~J
I ON 01 DIN ClI"f 011 TOWN N/~~~~~_OIl>ilG>iW~Y
/ M'''' ii, Ow 15o:n-,-/c,c:---,= ON '7c#-';;-__-,2 ~
INI(IIs.lCllr~G WITH S'IIHIOIIIlQ"'D NON 'NTIII~CIlON
- 8f~;.,J/~;;~ STII[I'& ~~ STII(('
/ O'~,~~l"~~' II Mil 1 (NCCCRO~~~TII((l,()Q NI...RISTM'UPO~ ACCIDENT RIoMI'
~ L::> tfl~';:S ;:, ~:-, ;; OL'E~lh(.Lt.f;" Av6 M~~~t
COIU~~~:';.~OlV(D r"""T'l ~IK~:::O_NO INJUll'tO...2- 0 ~~~"'Gl 0 HI!&IIUN --=~~H)
OVIHICI(S I/J 0 HOPlRIYOAMAGIONlY 0 lIfSUlIIO o~1~1~~
In 06J(CT SIIIUCK (NAM[ 01 06JICI $1IlUCK AND OWNf II'S ............., I liS' OAMAG(
17 -o~/2;-- ~/.';4~.47~/- I -
UNJT NO.1 UNIT NO.2 0 VEHICLE
$- ~'V2:~~;T -J;:~;'~ ~:;~ rD~N_( ~~T
SflUU"ODRlS,. I/((~
[';?c;:&--CJ - ::>G.- ~r/-".5 '=:>....2 \.
EI6.?/. -.4j";'&cd..5 '~'~4 ~j?'.:<'I;;;''S;-o~ ~" '"
DII:lll"SlIW..tN~ --I sT....n I I :.l~I....~~ (,?,..~I. HVR I ~L1lNSl.NO~
/~Z--..L.~-/;:?~4// 1/.....# V-- ?:k>S3 v \.
re=- OCCUP...HOI'"oI Ifill.... NAM( & PHONI NO . J.J...YI:} r-;.lc.HT.l~HT E OCCUMTION IfIIlM,~l .. PHONI NO
1..:2:' ,JO.-JG: ~C..-..-o.J= t'-'0 1/"-'" r>-- R \.
o CHECKC.....) V1...!ct~~r~~~VI~.1-~f~~~...1 0 CHECK{,f) VfHIClf ~"'N(MPlOYfIOl'~NO'HI~"'1
~ CODES'" + 3ri~~' 7' .. :1.~:.''''1l1 5 lm:ltOO>l1 16~:7vltC~ CODES"'+ 3~i~' .I\..m.~~'''' 5uClIQN 16~"r:;:"tll
!?;4"''''''' - ~"Y'/..-.s,.>I<:::. ~ "-
o .......tu~M..c;' -a ~~'l 0 ~l::~I[. 0 :~:~ 0 r8~!ol' ~m1~'~o'" 0 .......1lvI.....c1 0 ~<:., O~. 0 "':::11 0 t'.1'..!ol'
ro: 7;:=r~::J3:~~ I B~;,NO;1 r~;~ E H n....1I ~H v I ~IDAIlI. v....l rnu l~~ v I ~
~ v~....~. 1~~7IS';:'4 TIl...ILERP\.....lINO IST...n 7 V!.>iCOl.OII- lICEt 1,1[1 ST"'ff '\J' 15T~1( ~
~ I V.E'JICU IOt:NTlfICATION, NO f Vll-iIClIl[)(Nllfl ... I '\.
~1h'!L:8';Z/ O,0:-/I/IC>,31G" , '", I I I I' "\. I I: I
P'C 11IGIS'1II(DOWNER lAST flllSl MIDDlI PHONE NO Ilt,",I~IU[DOWN[ll lAST '1IIST 10\1 ...., I'
.:..- ;.JeV/,sZi.3r;>:5 ...:T.4.-1F-,r-.-? ~ \.
p~ AOOflESSOfOWNl1l /4__- J~ N ~ClfOWNUl '\.
~ /':bi3 17':"3 .5~'-'--?~' 0/' ~ E \.
~ N,,^,,(&AOOIlH.SOfINSUIl..."5JCO OIlAGINl I U ~Naco Of A '\. 37
I'~ u..J~ R , _
L....- DAMAGWAA(A W!';~~~I INkO~/'3~/~. 1n'~~~Nc. I O.v.v.u.!~tA ~
IS 2 ,J '0' . (.~ -fC.HAA~ ----z:;:> ~ . CH~RGf 11-1 ~c:= .?-7 ."o..~. 2d[
~ Jrl~.;(:~:l' GI I 0 ~~~yN 0 R(MA1N~ 0 ~~\~\..N DIl'(M...'N(O lIST OMVt.G[ I T\l_.Joio"no.9l' ::::F
t:::::: J"-b/~~~~~~\PBV ..5~-""'"D../'S. O~~~~IIV ~ Is I
_ DIAGRAMOFCOLUSION' IUSlSU','llMlN," " ;NOJCAHNOf!TH DESCRIPTI9"'OFCOLL~SIOJ>V, ''''', SuP9I.t~N1A,l~(1IJNfC(~YI ..,~
C 1 TSH~llfNLCUS:YJ ~-~) ~~ ~d/f', ~_ ~,. .?/~~d;:;e k~~-€.."4> 5
~~. ,',::-0- !~'. "',",'.,,.,",.:,, '.',,1 ",:1 "'E!:i!f,~,~i,.~~,..,~~~~,,1&,'-/-E~,';::,~",'/.,-.,.~
~ "TIm':' :.::: ~~~~~~~~~~
E' 7' ~.q" . ':, ' " ' I.; '; . ' ,,!~/y' ?~-..J #c4-'"",-z::, ,~7.?> ,/..;r;s
/1;:; . :: i' ,t- , 4::/?~:r;-~, .,
:.. " : ~AME;ADD~E~S~L~R:ESOFP~RSONSINVOlVED . 'CO~ES L' -l-i!3 I -I ,5 -'6' 8
OCLUPANTS / WITNESSES W~ ~~:~zt~lA,~~~: SOl-I AGI lA1U '~":!:" 1.!!.",1 (~\ I.UIIII,..C1 ~~C'i.
"M'".?7~ C"'-.:.D ...<-'L",,#! Se!"O// _ :.<?' YS:::..sy..,g I "",I, '7.:z / T'? I.:.. II /
.on.rs"~o-..s-t. ..Be',,","'-:=~.5 ._~;: R..r#~ ~..,1::.~,1~0Js-,.h."..:....k-5 ,,,,,'\IllY 11010 O"MII Or-..\,C1 D~~. 0:';:':- 1ia:<8:"\I'
~N"MI ~ _ I I I I I
c... ~~~~IS!> :l't~.I.oI ~~~Jlt '''Ot.AT 0 AT 0 ~.<tl 9ci1~". 0::':- 0 ~~'..\, .0
.tlI,lIrs~ ~~~~r~(lr "c~'\I~~-'~D.MII O~(ID~:;'I' >II" O:-.~'..""
,1...V~..,'....C.OI~'>~~.. ~oc..lo.,""".c' u...,tOt' r'lI'rlD'SP~',..IOl.POI'CI....."""O D...1I01'"~TA""1I0VltlWI PAfI
X~~ ~ ~4:~LIM/I/...,.s? &_3' I~{oo~.f- I';<,~~.~ s-~- .i~- . L5? ~d
No,
I H I 3 ') 3
I'Oll{.ICQM..."...,...1 U....II'~
In',HW> t71
Iltt~:::"" ~
'/G ''''Me I
'C1]i,~S ~~)I I" "OVII09STI/lITCOOl
L.> /'1 I r30/.30
,QIII.. lQ' ....llI POSt
1 ~'''',..
~
/
0"/
IN 1 I,~~ I..IILl It~ '~!JE_'-!'!'!9_S!lI1lrOIlIlOAOOilllfllllt"4C1
IX" I CIS C"o:.!>STiI~~ii;~O
~., C lAI COOING u:;t
o PEDESTRIAN
o PEDALCYCLlST
.,~,
I
.. "XX I "'0..' Me
"I~'I-P"'~'" .::,
NO ; 0.... "":0
1 uu riGHT tt:lG>iT ~
~ , ,
" .,':,
-,
.. ,:. ".. :.' ',.....,', . .
'. '
'.. .,'< " ': .,.'
.... '
'., .,', ' . .....,: .'.. ,..".,..::.
: .
,.."..,;
',' ::
,
. '.',"
.' " ,.' .....
','
"
::
:
:,
'.',
",::'."
"
. ."
,
'.,
"
.' " '
',,, " ..
'.: :.
.,: " ,', ..."
.', :',' , " ...':'
:, .: :".',< ',' " ' . ..:: ~.,. .'. .,' ,
,,', :.,..., "", , ",
. ' .. ' ' ~: ' :, :, ': ." ':.' , ,': .... "
, ,..'., ' , " . .',' " "..,',,: , . ' " .' .'.., : ~ ", . . ,'" ::.., ' ,
".',
. ".,
"..'
.
"
" "'f
. .,' ~ ,,; . '
.".; , ":",,'.
I
'I
3
=
I::!
'~
.-<.."
S
~
~
.1]
,
, ,
--,
~
:,.
/ ..' ''', STATE OF WASHINGTON "0' I. 01-:- No.
-n POLICE TRAFFIC COLLISION REPORT ~i"RAf"CWAY
I / 0 PRIVATE WAY
[2 $,uri $>0 ~ .~,:,~u~~u:~.', ~h :"; ~ /~~~O' 11~7..erl~-U-;>7 7"(, /,,"NO
1 . / ON 91 DIN /)l':'~YOf/.'OWN "7j"^'(&~pt~H/}'TOI/H;GH""AYh"' .,.~ , lIQoJ'.h......~.~u.
t. M"" tZj, OW'cO'IVU//11f/(''/U'' oNO"Ut,I{'/L (/a>j&. /f'';' 1/,) ~ I I 9~/5o
INT!~!l.I9.'N~#il'H ~TI/W OI/,fl<jAO, ;: j..~rrN'II/~(CHON U PI/UIX r .....Ill POSt
&.Up B(d-lJ..{t 'IICl.t/tt.;;. 1~I1~u~ STRUT .. STR!(T 6. /0
- / OI~"'NC(&"'rrz.:,1 1l"'"~","_IRIN,,,,,:,: ~~~'I/Hl0llN!"'Il{S'MI([PO!l1 I ACClDfNl II........." 1...c;.RIuYoc.......
L t1~~:s Don [] Of Mt~~[
F COlLl~~~!I~~orvlO Ni-J~~~~:O_NO INJUIIIO..:L 0 ~7~~"'G' 0 ;t'~"r~lJN I ...::"~~~~..~ N..~ I~? ~ o~~~~o~!l:.:o I
OfVIHICl(~ (1] OPI1OPllltYOAMAGIONlY O.:!l.SUlTfO OVllilClf IX
r1" OfIJlCl SIl1UCM (NAoM[ Of 08JICl ~'IIUC.~ ANDOWMl1l1. "OAME) $ l~1 D........AGE SPlCLAl CODING US(
, UNIT NO.1 UNIT NO.2 lD VEHIQE 0 PEDESTRIAN 0 PfDAlC'tCUST ~.
f1 "''''XtI ;Z'el 6~" /11112;<:' M'G- ""71:("C / A/I /~G h-0d.-".... ~::, 7
"'//'7~NU ..IY<//' j /2:"; 3 ('~, //.d~ g I -;-n
'~'~/MJJA5f..J~UrJ' qt3'b5~ 3{j'-3J72, ~ f:Jr~~;'Y Wa-7'fJ'i-p lJj'Y77I? r~
If=.SC;I'2;;~t ~ Z72-(1/13 14J~ 01 dt2~Ji;:~ ~ J~"'C"/;~T-S K L/9'1C/J I ~; IF' iY:t;"''i-/ ~
~ ~_, ~AME&PHO"'ENO Y1S 1W1:IGHT ~HT E OCClJP...rION jf"'_NAMI&PHONlN'I' ~~-,../.c<.) YI~ r7:;~.!.JHfIGHT
"2.. )U.(,tf!Rl'"'1' - I tlillLs ~'=; R O,","-ICc- J!I{!;,'T /lit"" ;'''''' Pf'I<I :';,I:l.~ I"'~
o CHECK ("l ',,";,~,.. ~N ",':~:\1 ~c::.:'01~W" 0 CHECK (..) , V'H'''''''N "'':0'" o.c::,:m\:XAI 1'(""
1~r~~Q~;;;"'< "...._, .=".~ ~...,;;;:;". ."...~ "....- / .=-/ )"
~ .. "MIIUl"~CI 0 ~~C, 0 ~l:I~lIg 0 ~~.~:: 0 ~8.'...!>I' M 0 _&.II....~C1 0 t~C1 0 ~l:I~llg 0 Y1~:I: :-..~'..!oI'
7 MAS:;~:3/;'/ M ""'~NOVAI I"'~'ONVI ~ cJ9 ji//S5,~";J MO""5iXV' r'"~tr" ;;:
J[ :,dLU 187~~ l/ '0,.q "A"'''''" NO I ,,.,, r Z1~) '97 LJ7/11/ I "ivl'T- ) ,"^,,,, ~A.. N"j I A ~
F-'i 4:2..~~';L'~b 61~3J917, I I I Ii' I~ ~~Nb}fJ5: /i~ ,y 131.k1 Cj314'<ol7i9R ~
ef 'SJ:.il~~/gB< ~~l?IAM'''''" 'HO~ OC;?;;~ "" '"'' M'''''I{ ~,~ ~
"/ "'OOIl[~S Of OWNEll F : ... OIlISS Of OWNIIl I trl
~'71-." E ~
f'T ~a~"'a~"N"'O OOAO'", R/W? (1';'" ANmu ~ 'ooN TI
LL ,o"..:.'A3'j......,":. I~E\:,~~~"' I~A' N I '7t'M' '/ <./ 'ci';:.::,~:6'~"' ~.....:a't,b''''''.-;;
~ 1~~..I.o...ol CH...Ilc;(~{-i.Q" 7;v) ('!/C':'~~ CH...lIGE lf1or..,gpMC.1
I'~ ~~L_~.'.o_"_::i!o IS~AM"'GI 10 OIlI\o'EN O"EM....NID ~~~\N D"lMAINfO liST DAMAc;.1 11f) --L!.'."..~.~!> =;;;
r- ~~o.O"O~- $T0771Ll1!J rW;~et. c5e/Cfl::Sa \ /0-" 0 l':v"':~BY- I $/~ I ~~O'O"O=.J, .:::
E DIAGRAM OF COlliSION: (':~;.:'.U"PlE""'[N AL JNOIC""l NORTH DESCRIPTIQN Of, COLLISION: IUSl SuPPlIMENtAJ. SHI(1 If NlClS$ARYI -.1.:
" '1';',"~'; l''''''''-''-41'~'''''~''_, !,",,"OW ~'Mta'~/C2~,' .-ti"kU"--".72~~- ,-:2___' =
l-to=!'4",I/.?_I,I.Id1~! ,jh1-&::T' 7{.~ ..,,--~,.,m"UY~ncJ/~,/~ "~'-:::li
_1" "~ : : .r.,.r..lt1<j ~/1'." l' ,'(,I J W~(,C'-O<i"'Q.u,&4"Ig",M::{-C.A.4J ,./'r-<i"'___r--
pr-', 'II, ,., '. CI t:m
c:: """~! -:~'IN <..r~JI"j,LJ" j )."':.0 rh/tt'L:,~i,14~'J2;;'-73Nr4.7i:r;'),:~~f,-6
+ :Li ),L., 17..Y:ck-:l;1::1: c.l1./j.i<'0~k<N<: L-1...e7~LU./uv<-k'ZCZ(h____ r,;"
E'] ;h:-J 'k1h>'+-Fr:rrj',,1--b. -!.I.., ,t'H;"UCiu, ~~U.t<'4,Z,(!~7irt.:t.tllL<.L/',.._lL.J
, ;'j'CZ>h.1', "': J 'I I I J.j" I J, ~-1.A, ..(A._ A28z.L~,~'d.hCP~&"Nf_" ""__
- ;'+'-1" ': I, I :",. ,..,-r,:',A.t.,\{ ,tL~",/,._;J.v..._~'"/'~;,""u>-",.,t.___
: . I I I Ii! ( . I~_l j I ~.(,.: ~. . -r v t..
-' ": ';,' 1I.If' 't'-fi"TTl '. '" - ......-..-.....----,
-f!- NAME, ADDRESS & INJURIES OF PERSONS INVOlVED + CODES 1 2 1.3, 4' 5 I 6 .=J
L~, OCCUPANTS / WITNESSES ~~ l~~:f~~Z('~l...~t~~ .-~fll' i "'Gf- ;..., 's .......~H ~A,: (~Ju "'~,~ I lNC'TlfiHv
"At ~1I<c,' /'If""'l 1 rt :.?" A 1/2. I I I L S / I _
ADOll,.,yt;?ri-1?t.. / /4-. :;::;::2.... ~""~~,[~O' fNlflY OAMe O~~Cl O",l;"g O~:r S~'...\I'
E "MH/.l1.R/J.L"lL~ //)al2b .,lIT ,,~" r- ' II.' ',I' < ';/ I ) L I 1-
~ "'DOIl'~~ ~~lCJ'''''1c" ('..:} -.;:;-,;,:; .. ~~'t"~n7;.1I"r"/CA^ y:~v~~'Il().y.~"'Mfl O~~"I 0(1.:;". D:::~ o;~~.... ~I
N.&.....I ,..7-:'''' I I -,
"'N'II!~~ 'J..~~~~",It" :~~\I~~'flON 0'&""8 D~.:I O~~",.u:~ O~~\.J'
~.\ ""7:::'1":-"""" Y' ;"MI,':-/.:::;.-, /.I.:t;:6"J~N/'~/1 ,", '" r''''l'~'''''''' "t'\' Aj?".~, '" ~"''' 1':;:;0~''''y/ I p."
IV , -r...-?(;h;~ IIt-'CiY~i '1~J:Je;i. .)1./ ('~J I/y?,.~~) I~~~; 1..;"'h:.I'{) IL~' 17 ':/.49t'
I
WsP.AA_1':>i
3
4
9
9
K)j.ICl COMI'\.AlNl NlJMtll:ll
~fu:: ]
I""'" ~
t',
t
.
,
.
't
\
',' .,'. ., ". ' .".,
,:,".'; :.:, ;,' ..:..., "'"
,
, . ,', ;':
.' " ',',
.." '.~' '. . ,', : "
~ .' . '.. . '. : ': .
. ,', . '...' " " ....',.. ,", "'.
.';."... ' ", ..,OJ.
,',. ,': .: :,'
. ,:. ;.'.
":', ,
,o,
;..:' . ,.' , .
',:,'
.,'
",
~,
I
't,
I'
:'Ji
:
,
;
"
." ,".
,
,""
,"
""
1':
,
"
',',' :
"
, .~
',' , '.,'",
" , ",
'.. ," :'"
'.', ':':, :,'; ", '" ',' '.
. : ,,':' ,..,' ':':'''' .. ','.. ',', .." :. ,:' , :
'.," '. '. ,0;" '., '. .. ,'.,. ,:, .: .:. ..' , '," ,:< .,' ", ,":,
.' ','.. : '. ,', ",', , '. ,',' ' . " : :, ."..
".'., '". '. .." ,..,.. " . " . .', ',' .' ."" .
'.'.
.\
,:
':...., "
i
..
,'"
'.'.
, ,
/'
,
"
.~ASHINGTON
...-
......-
f
r
,~,
i
I
I
\
~
,~'
l',
~,
..I;,
'-;1
t
j
l
.
"
.
f,-
I
,
j
.'.......
\I ~",..~..)
STATE OF WASHINGTON
5
9
3
PAC.. / 01/
I)? TRAfFICWAV
tJ PRIVATE WAY
~ :,'IO~~:II~ 1~.~"000 1~,:Ut,.~~:':'~;"n, :,~' IU::'I~~t>i9Ullj IICO~ _,-: 4,.. J
~ '-/.70 I~ t ; O~'}"C; lI.-:Jer'-:E..r.:;.;<J.,-
I ON 01 giN . 'yfY~lOWN N~ Ol~IRHIOllHIC.HW"'V
M"" 0' OW 00' /MvLa~:.L oN.f~"V",u.z.b
INU/l:,lC1INC.....,!H !lllllllOIlIiQAD NQNINIU/s.lC11QN {
...., 8r,~~~&.~5"../t !oIl/HI & .Cl""D~~"IU\.
IJJ} OISI"'Ntl'D~~IONfll M ('~IIIN~( CIIO~S::'lI/lflOflNI"'II(SlMltll'W::'1 .-.J ACCIDENt
I 7 3ot/ 1:::Y~'~~!o ~;; b ;; Of I~S51 ~ CO/;Z~.:? k'b M~\~~E
COHl~~::~OlV(O :~IIt~:~:O_NO 'NJUl!tO~ 0 ~I~~"'G( 0 ~l';:(~UN >f.J~::.J.~~..~
QfVIHICllS 12) 0 PII~I!'>(()A.MAG(ONl' 0 1If~.ul'(tl Dl/fHIClI -
. r. r> 06JI~UC"INAM(Of08JtCl~'ll'l.ICJi(N>lDOWNllI"~NAMI~ . I ISlom""l
,....... ,/Q(',,,-;:- :;:::6<<<.I~.J? ; oLe::; S -
\.INl' NO. , UNIT NO.2 0 VEHICLE
['_ "~Z)~fsa.J .12:..)/ 5z~ D'~NAMI "'''
HUO...OOIl!!ioS ~ tfl'~!~S
~ 7'<:>7 /0// .5/ 5"6: "-
:- 3,#Z;~s,lJLI~ "A..J sZ:?.?o 1;;:~N03?.::b ~" '\.
L:: 7~?";~-yl3>578 L#;; 1;1I/iiii' ~~ ~ "n. <IN" \.
re occup...IION l'IIIMNAMl&PtiONINO ~~ ~GHT~Ht E occup...t'ON l'IIIM"mt&PHONtNO
12 U.5..,.Jn'.,,/1 1.1.5- S ..--'/,-.?"r;?- r--<;o,.,j ~.~-<:: R '\.
_ OCHr.o;(r") ~~~:~~~~~~~S,Cf~OH~i'.lOJ. OCHECI((....) VfHIW S"'N(.Io\PlOYH~Cf~~)''''1 .~
~'- CODES~d~;;~~ c:- "~~ri~~~~t,lA~IJ'<'~~~::E~~ iECODfS..,. 3~~' I&.~\~~'" ~UCI"",, 'b;:::'~~~" 10/'
-~A""'UlANC' 0 ri\rlCl, 0 :':~:: 0 ~~!tI' O_IIUIA..." 0 ~t' 0 ~~. 0 ::::: O....~'...!tI'
, ~ r 26:;:;' I ceo.l?; I''';;;~' E I' v, ~D '" I"'"""'-~' ~
Fj 1/ ~;~ I 1" ":IS,( P~ I NO I StAn TRA'lElI PlAtE NO ISfAn 7 VlH COIVN l ...n '\. '" I' ....n
LL 7/1".; ~,;:2Z>2X WI,.!..,) - - c '\I I
~ 7W;:;;S~ISi7"~I8'I1)Ic::..I/ 16iS"~~91~ Vl",;"'~N""I"I' I I I , I ,"'; I .
ire IIfGI~ltllf/)OWN[1I lAS' f'RST MIOOI.I PHQNlNO 1I!~ISnIl'tOOWNIII lAST flllST MIPOI\.. -~(I\IO
L=.... ,<:;'h'.J?""6 v.;:>.4'P~ ~ " I
'I~ ...OOR(SSOfOWN[1I IAOOIlIS$OfOWNIII '\.
~ 5~~6 ~ "-
~ A1;;Z;It"JNClCO "'-:;/./ _ ",.,;1,#v/~ /..1/.5 R 'N""~ ,,,,,,,,,N' -,,-=:
_ O.......VoGIDAllfA .r~~/~ T./.-"'~J:: ID~~"'''G I ~~~LA ~
rrr- 1 ).. CH#lRGf P~Cl ~ o,..-::::::...c=-..... G~_ CH"'IIG( I ~ ~~"':f:= J" &
1-:l-!Ct.;~.J' ~;H~l~~t S~;d IS D~~~~" m::~," D"M"NIO I~' D_G!1,t}.;~~~~'=F
F OI,AGRAMOF CO,lL1SI,ON' '[::r:r,,"~UM'N',Al 1NOIC,",lINOl1, , ,,'H DESC, RIPTlO,NOfC,O, LLlsrON,','..., (SuPPIJMlN,',...1 SM[(l If,"', ,a...., v, "'>
r;:c~!~~tHlll~~;h, ,'~~l1l~ '~//~~/:;~/,Z~.,..,.. :i,,~;,~,~?~;;;lf~~,~::',/ ~
'_ ' ' ';: ll~ ~ v't:::H:--fd'- ?~/ ..%~e.A/~ T#<!':-::m
7~~"1f"i+l-:r+ig,--:tI1"=T(<:-!-..H ,-4f.;%.""",,-:: ,....r-;-,<- ..L;:/,./~_,_~..,/_.e. ..::J
r= i ;;, J, , I ~ H"ttf 1~J"'1c:Jdp~~ ."..~~_,==_='_:::~_'_u. .. n" :::'j
r:-" ;J,~2~~~"!j~~,~o,," u'u -~:.~~.:',:-;'-,'~ :~,;; ~
L OCCUPANTS I. WfTNESSES l,~ ~~~g-~~l'::1~~~n: -w,;":"~ ACO(' ,...,uJ I....~..I ~~,i' I {~~/<~ Ift$T. I (-.lief 1 ~:ri.
_ ~""72 ""'1'Z,2 ~'" :~- .37"" -' """" ~ I ,,~ , q" -
AtlDllm ~.';;.C;' -;;J/"";~,,,_~,- -...e:~PO, ,....""'99,':m,'Zt!!! 10 ....k_~ ~M, !oCfNf&'f AMI D~\!,'U 0"";". o:~, O~...!."
r=N'M' t..Jt>US /~-:-~" (i: ..t"'....G~ v""3-S7~....,_= I<V It.". ( I (
Xl AtI[\Il'm/~.J ~_ ~.Y~...e" '-'~:~z....,....;:.;.-..C';a.J "JAL .A'G'P~ I~V~~ HtOM '6l''''MIl 0 ~.ICI O~'1. 0::: 0 ;~1,.v .0
N-:~~~,/?-,....R.,.I"'" .:::7?,Ro-~ NO .</-5'74;/" ~ Tl. Ii'. / 1/ -
AN"'t!>~ r;,/ ,..d,1 &"P2"---.j~~;:-~:5 ~NuQ ~/". !IoCl""I/,,, "10111 Dr.;:~cl O~:;;"l. 0:.: O:<;.~...
1~'''''~~~~IlAN' ./ .~~I..c.t~' I cltil~~l rO~~(.noIO~;:?tll~"OI'IJlOlI',T~~/~"
X vt'? /....J, r1'i!i/w&',JC/ ~S~..-1/.v.s? 1.~"..3 I' ,,,,,,.,, I ...,.... I-"-Y-9D -
';,:7
,":/
2
'J
No. c:
~
-
I?l
I I~~I: ~
'''x ....iI,,'\l'
POLICE TRAFFIC COLLISION REPORT
C7?::: CITY ~
',CIS I AD,....,?:. .....lIl I"OUII
/(J I; 9-
pilll'" IIW IMlll PO$f / ~ 8 7
v
~. rl...GII.......OA...
'''''(11 II~j;I"'. 0 It "!:<<fi~_~!lf(fl Ql1O"'OO"I/l'(Io1~1
I'X I Cl~ (II0!i0S!Io'65/6t?
SPlClAn:"oOINGU!Iol
o PlDESTRIAN
,."
o PfDALCYCLlS T
M'~'
."
I
l~COO< -I"'ONlNO
., I 'I _O"',~"" S
lIIIO: "".
1 ""T"'N'I"".'..=.
,
-,/
',;
" "
"
" ,"
, ':
.'-:
" ....,.';: ,: ,
",': :_,; ,;.,' '. i
"
...".'
',',: ,
,", ',,',
'"
,,"
",
"
t'".' .,' ,
,', ,;
",'-
,
":
, ~"
,'"
:::'"'!
, ,,'
,,:",:
~
J
...1.'
..:::...,
=
~
"
'"
~
q
B
Ll1
,,' ',,' '>.;" .' ':,
':--':, { ,",,"
,- " ",',,'
", .'..' , ' ;,
,', ""', ;, ,:, ":{
, , " ,':: ,"
"" " ' " , '" ,j, ,', , ";", ','
"'r,
....-
"I
e'.'..".., STATE OF WASHINGTON
: : E .
~ t' .
'" ,... .,,' POLICE TRAFFIC COLLISION REPORT
No.
')
9
':)
<J
4
t
:l:
;
Iv
I'
f
~.
t
,
~,;
l
I
+
t-
"
~t
,
:' ::.::' ;"
- ,~
, "
..
~ STATE OF WASHINGTON ~' /00/ No, ') " 9 8 ;"'"
[';"" ~ POLICE TRAFFIC COLLISION REPORT ;,:::; TRAffiCWAY"""" 'OM",", N~'" i'77;]
II 0 PRIVATE \vAY '~-.l
[LI ~09lU?~iW' ." ~:,:~~U:::,~,U~" .., ,~~' c~/64o.-J 7(; /",''"0 I ~::: ~
I ON Od 0. ~~N N..........I..N? OF~."lllTOMI-iIGI-i""'AY 1'S"'Cl~ "P7_~1 II, 1"~UOIlo II ~,,~
/ M"" ~ CJw %0' 2;:;r5~,:..) ON t!vVCa../ CWy ~ 0':;1 I -:> <:> 8 <.0 -:=
IN1'"lof,CIIr>lC WI!.. ~lIltfl 011 ""0 INON INllllSl:CllON PIIIHIC (..., Mill ~, I J
- 'S[1WW>I - SlIlIIT& - STRtlI n J 0 P
1"/ D'S'"'' t&O~'i:.,:'1:"'''OM'' III N CIlOS!oSTII:(~)?'II(SIMlllrvS I ACCIDENt IlAMP OIA fU'.Mo.o.r...
"" / .ri~'::S _0 0 ~ 0 ofR~~ &_:y- ~ M~~~GE
COtllSIONINVOIV[O IVf "'I', .....-. 0 :~,',\ 0 '.RUN'I "'''U".
101AlNO ~ NO KILLIO_NC INJUlltO~, sPlllAGI ...1 "-i..OtPlPh'~
iJVIHICLf~ _ 0 PIIOptllTYOAMAGIONIY 0 ~1I~UlllD D~~~t~f _
, I~ 08JICTSfIlVCl<IN....... Of~lIlUCl<AND~W~~~~()./ (~T DIWoAGI
17 --D,.,.t'; 6>p&~c-~"."..;./~ $_
UNIT NO. I ~ .,UNIT NO, 2 0 VEHICLE
I' 0""0"2'.50;) ~. .~/ ~~ 10'\,'N<M1 ~"
. ":~3,(3' .Y~~A"&r '''''''^'\.:'
!5: ~W~A'.v L-..#' 5)fJ8,? ~;'?77~ ~ " '\.
l= O:;/~;J;?;'R~.9?~h.4 V Uf;;j',~/ ~ O"""''''''~NO\.
~ ~:'<<3;~:?; .s2~/~~'~ ~ <>:co..,,"" I"'M,\:"~INO
I::::::. 0 CHECK (~) "Vi'"oc~.., ::'N'~"~N ~'lNO>";"'" 0 CHECK I~) '","OC' H" "":O'l( '" 'NO'",'''
~~OD" +, ~~:::' 1 . :m:~"' "" · I"'''ON" . ~:~.K"" IJ~~I;~ + I' ~:~.. )....~\~~". . ''''~ . ,.,.'1:'''''
. 0 "'MaU~"'''CI 0 ~~CI 0 ~~l. 0 ::::':~: m,8.1..~ 0 _1llJ1.....CI 0 ('(I D~. 0 ....::u 0 ;:.~~ .-.
rMAI<~DG~'CHIV') ~DAIl'.NOVAI SlYlf"12~Il.CON;:?o IY A r~~t(lJUUVH....V' ~~lID....,. VAl ,. 1_..._' ,
~ /-"'~ /~.Ab <YZ?A::: EJ "I ~'"
~ ~;nG~7?7 "~4 ""'~NO r:: J"""'" . \J I ~I-
VfMICUIOCN11FICATtONNO, , 0 J l V(MI UIDtNTltlCArlUNNO. '\. ~
~Vf,..?g,?~-^, .s-:6".:.e1/I/IC>I/IOI~IE I I I I I I I I I I 1\ I I I I I 5J
fi!:" IIf~EIl , lAS'/,/ flRS~ _ 70(( I~o~~o o I "u..ISTlIlEOuWNEIl lAST flllST MI~ I~'~ 0
L /d..J X vr/l'" /7" P5'~7sz,;J/ w '\.
~ a;,'9" ,;2~3 ~ S/C c;;/J4-o/ ~ .uo"'~~"""" , . \. 2J
NAME&AD~~I?~CO~AGIN' r::> ~ _ .~ I U N '\ 'Y1
E ,.JO~ ~~~~,~ N - rM'/~ ~ R _ '\-=-I
L.:. OA.MAGEOAllfA ~~~"fIl'''(i I~AlIU" I D~~"'''(i I -S.vMGf~EA b
~ l J . LH6~C~'~:GtICHAJlGf CHIoRGf IH~C;= J.-.33
~-:-1.~"~~1[~1 DA.M~rOlll~.'v~N OR(~D DDIlIV~N OIlEMAINEO E~' DAMAGI: 111K-L.!.l.~~j,~
~'P""""""-~' I ~~ '~OW~~ ::;:...U'. _..........: TOWlO AWAY [.~O.O~-I__
~yey- O~Y~ S
E DIAGRAM OF COLLISION ruUSUPPllM NI"L INOlcAnNOQTM DESCRIPT IOj>' Of COLLISION Cl,6fSuPPUMEN'Al.SHEE1trNfCf~YI 5
'~ I , , ; I 1"~l~"I~'''j'"ri '~'OW Ke;;lr ~sr.i,:...) Z~t>CC ' -0-4-' :.e't:> - ~
~~ ~ I ' : 1 : ~ ~1 ~ J -r I; ~LJ'JZ~.1 e- bp~LL '-'6= C.lJ~,.,;ri;-..=.
~ , . LCtl ,$/Jy :~illlk' I -: 1 J /7:5 .-~~ -'......."""/A ~~ ~~ 0
C ' 'oJ<' ' : -'.:, j; ;;ro" ~~Q"./ ~7....~,c,---""'- "'>;>-7.,.......- Z!/~__;;=:J
V, , '~ ' I 1 :,' . ;;h~,,;<'-:::;~ C,.a",~....,~. .t'=J/.7r>.~"';;::>~t'>o1
E s.. ';;' I v? "-/Y~~ G/.:._ ""'" .c~,A::'".....s ' .,....;.-&"1:=
~' "~' . t-'~/ ~&L -p.........~ ~-.~$~ ~dWT
:A . ;/tal i i ~:15:/~~/i, ;." c..-;?..eS,,~& ~~_.7Z>' _~.tC __0..,.....;:,<:>__ .
VA 'M.P1-v/Z,!f;..rJ;. ~~ I i """"'-.:$'~'. _ ____ _ ~
~ : I c;I"'H' I I I" ! _
- OCNA~UEp:ND~SR/ESWS I&TNINESJUSERSIE~u~~~~~8.t!~~t1VOlVED ~C:OIDES 1 11 ,::.' .~, I ~,I- ,1.,,5 I.~,
'011 AODITIONAl NA.w:~1 5U AGI'kTAf.u~ '1",. "1.0;" ""I ;;~ 1"'5'.-1' UCT I ,11.." ,~
::?" I I -.1,
~""~J...o' IV.~'I'" 0 AMI 0 met D_C"c;;,,~ 0::;:: 0 l".8:~",
NO "l I I
I~,~~I.OI -,,-. ~~Vl~fIlOM DAM. D~.'CI O~. 0 e;~ O~~~ .::.
~~~' I
~~',}:'l!>or- ~C~I\lJ~ '.1.1" 0...1011 D~i'CI D~,. 0:::: O~~~\#
.~c:.:oOIl14Co1"'(' 1,1""01 /0l'(~'~~7IDI~')l;o'\ltC> O""OfIl~~'.I"":1I~IDn I LJ~ BI
*i'i/I ~.JS? $';3 (...,~~ I' f!;,"" I/-Y-?f:> I Y/NJ IR- '1 7 {;
INTEl! I: ;'llCRO IN , ~ ROAO......lllflli1NCI
1><1 CIS Cllo:.~~6_~~O
SPlCIAICOOtPIIGUSl
~
o PEDESTRIAN 0 PEDAlcvCUST '::1
"." M'~, Q
,~ ,,_._1 ~
I .... I 'I "'1 ,., ' ! ~. P-
I (YTIGMTI~~H' ~
'-';7
'Oq
ADl'>III!.S
PC ::;:",
L"'.......'
all/'ll! ~~ ----...
X~';~"':'"Zh/
- -
~<"'-"O
',' "':', . , """
", '.,;",,' ,', :,',"
'....:
, ' ',., ";
",' '
" ' " ' .' :", ,
" :' , ,,"">' ,:"
, ' ".,' " ,!
:, ,
", , "'.;:
"
,
;:, ' .. ,..""
,',0 ":',
"
..
: '
,', ",
,', :
,",; "
,",
:": ,'., ",:,
.".:' .".
,.'.,' ,'" ,: ".i.
;i, ' '::, ," ,', ,',,:
,
"
i
",i",'
:,' "':'"
, ',,' ",'..."
"
,,::': '"
" ".,., '".,',',
~ STATE OF WASHINGTON
~ POLICE TRAFFIC COLLISION REPORT
W:!.Ply,.\k!V'_IIO'
1'''CoI; Of I
.c8J TRAFFICWAY
o PRIVATE WAY
No.
STATE OF WASHINGTON
No,Q;
220965
.'Ij......,\ STATE OF WASHINGTON
. ~ .!'
'........f POLICE TRAFFIC COLLISION REPORT
No.
WSJ>.AA.l!li
~) S q
lll' "I
;"'l)t< i~;'~' "f~ l..y,\; .... i ~.r
W:,.PI~llt[VlfIQl
STATE OF WASHINGTON
No.
4 2 2 B
WSP.AR.I~iJ
,.",., """""'" '"'''''' ,,'
~ STATE OF WASHINGTON "01 1 0,1
r ~ POLICE TRAFFIC COLLISION REPORT 00 TRAfF'CWAY
I z.. 0 PRIVATE WAY
AIUfC.OUl:O~~ I" AV ....'..111:,1..."1 . IMt nCOUNIY
r "}L Z'Z 9.?(X.~ '"" "'"'~" "u; 'llijbt5"' , II .;;r~J
L:Z. ",// ON D( DIN ~l~c;:;;':;'A.O ION ';2/&NO OI~I"'UI~:H;AY
7 1"Z-,.N.1l(~ (2) Ow Oi Of UII1,'ur~/t1i~
INlIR!MCTINC;WI~l/flTOilROAO INO~llil:'(ClION.A. ...
.ge /~ Illt IN & ':,1~
II " Ol!.';"~l I O,!;tl;':I~~ II/OM 1/11, !lINeL CIlO:':'~IRH lOll NlA~1 MIL( "u~I ACCtOlNT
WJ ~~~:!. ~ ~ t-, ;; Of ~#/~g VV4/dr M~~:E
COUI~~~:%~LVto ~ ~~~~:;O_NO INJlIRtD_ 0 ~;tAC,1 0 ~I~&(~UN ...,=..~
- OIV(HICL(!. L.td- U{PIIOPUIIYOAMAC,IQNLY OI/{!.UlTlD OVlHIClt
I:z.- 06JlCT SlflUCI< INAM( 01 OB)ICI !,IflUC': ANOOWNlfl'!, "lAM! I I ~ (~"C;(
COVNIY~
/C-'
ClIYNO
,
't
UNIT NO. I UNIT NO, 2 VEHIOE 0 PEDESTRIAN 0 PEDAlCVCUST ~
1'9 """''3&.I;:, -.TLd../;" /J~'K/'""U ."'~E ~~uE?J/ ':;;9&7,6 ?H;;;'n=~ ..:J
r,o- """A..""/6tJ/1 /'IN2/1~ A::J.. A/e '''7g'c-~ ..J,!E;;&~V??~h. I~_
~tb"" IJ#t,rAr .;....;;, 9}S7tJ ~.t~,?-~".4. ".4M''';:~ ~A":.;?J3At~&>/-4!>"9
.z.. OI/IVUl"SLIC(N~N... I STAll I [;K .::A.'L,:,:~I",''''' I IV' 1'1"1_"""10 J ::0,,"( j:.ill. DAII_u:'_8IRIIol ~
V'Zt...J'HI-...:TLJt!6rLr "U'~_I/ Z;[s9;;IS'~v ?'Ht!.mIL.:r~3Z "' ;1' 'i'liJ~ /1f-
r ~~"'~ I "'MNAM':;;;'; w; 1:;;;Ir-:S~ I~ 1'''M~:.&t.,.:>n. Z,V1rI:1-;_
..1; 0 ~HECK (01 . WH''''''~' "'~6". ~t.~a'H'" , 0 CHECK I{I ' "H'W"AN "'~~'" '" AN6'..,,'^' "r
~z CODES ~ + 3 ,~:'::' , 4 :~\;::;.,~......;. """~ I · ~.,<;:~~'''' ,F~f:t + 3 r.:~;' I ;;::~:~ Y I' 'A<'~'I , ~.o,;~' ':.;
o ""'&O,I,..NCI 0 ~~C;I 0 ~g~lI. 0 ~~~,~:f rsr\"8.'..~p M 0 _8<A..~.ot;1 C t'i~CI 0 ~h'~lfll 0 :'::;'~ll ~1I~""!oI'
~ 7 r7M~ I M/J;f;j""VAJ 1""'~:aONV' E 1/1 ;;;'%;"J IMO~,^J '"S;<~'J q.
L! "H.JiOt. 1"<q~;.6.z;r:;".A9-)"^,::"NO rAn 7 "G~ "Z7h 9'" ? I "*"'~I'^'::"~' NO, I'" ~
V(MICLl IOfNTjflCAlION NO f VlHICL(...!IXNlmCAIl "I "I... ~
r:3 /1)/;'91 t1!Al5i.5I4:61/hA 1/19 ~ 131519 E 1 ~ I::;"AIAlt: t/:E"I7:CIq1/lbl!S,8B /Z ~
~ ""'"''.0''''' ~;" M'.." 'HO'::O 0 ",G'SIl".O~<~ ."" M'..H I f ::::=r
[? A..'''' 00 0,,"" _ ~ .,,,, '00 """ ~
~ M9r;MI/~B'~7.;t..23'5,;;?L:l_ 90/ R ;;;;:;;:;.;:.. ,6"?"~/"f3 :!l
o~'Aa~b'Ni(" ~ Wi ~ I. I D'D.~"&I'~G' ~AM..Gtb'AA(A --:;:;
It. 2 :Tor. CHAflGE CHAilGf I~;~~",: '\0" . '-21
~ '~.m.::-.:1, 1 I~ ~:::." O"M~",. ~,;~': O"MAINJO II:: .::,' I,~...~'.~J,:::;;
1- f::::JolI:n~ S ISb~ltJ l~~~DBY' 0 ~"w~ BV ,. OOo~ ~o.on~ -==
~ DIAGRAM OF COlliSION (U!'f~UPPL~~~~ AL INOICAT(NOAIH DfSCRJPTJONOFCOllISION ILl!.(SlJPPL(MlNTAt5H(fllfN(CI~RYI J~
C:: J],,-t~~;~J';QI~ D,~j.~ ~~~~~~;v~;;f.::f~~
E l~:~--2 -I~~ ~ ,~rl.t. ~ -J..:1_i 't- ':~~~--=~ -=:~ iJ~---~ _=~-::--=::.:.=~~~
-, I 1"~ I~Li> 'j '; i j,- -I - ~C'~~--r:der:sr..A ~-~-~- >>ftF.cM/., Pi1
E' -; I ~ re. ~ ~ i: j ,t ~ ! '1 ..6. =-bzl4Wn7~~ u~ ~r-.-I-f--J
- -,' I J, j ill J j II j I j ;, f:...v4' 7#'''' ~;:fk rPl!:r'~_~~/f/,_ ,..)
.j ''':J,; ! 'is:roP~I'''Jlj:'' 1"~:-1! 1'1"" ,~~~r4J~_~_~~'~~;~
---' ,r, I, : I :_, I! I I -J
E- ~~~Jp~~~:~S0~~~~~:~E1~~;~~~A~!tOlVED :.f,i;)rfZi ..\0, "",. .l\~:-I ;~j~ ..~;;I.;c;l~~r, W
"'>>!fr;iVJ ,?~771d/Te:~ . dAL; ::0,,::,,';,..::1.. .~lIr'-3.tP/b ~ =- h 'A
~u~ - /J.~ '" i~II~OI I ~~v~~ 'IIUM 0 "',0,18 ~Cl 01<11;",. 0 :;::- 0 ;<8,:"'101'
;.;o""~l I
~""I~~tOF '- ~r~Vd~fPOo,l O...M8 O~~(l D~;",t o:~ D;:''l~v ~I
~(;'" I I II
...z." :t..~'u"t~r'~0I t~r~v~~ 0'''''''1\ O:--'~". O::g;..1t 0::'" O;-,';:~~.
J"~'-.r.;(.i.ft? 'J;& rtJ~;:a''''I';;f.&;'I'''~,r~/J''''t'!N) lu ;.; ~l
"i Ilii
c" i<:
is
"1........(
,.
ADORf ~~
r=",M'
=- "D(>Rf~\
'AM'
...[\(,I.>t ~,
X ~;;.I,t.C'OIl"I~ "~JI,...t I""""
I
1"
i
4,\
\.
~
y
",
"
"< ,',
'" C,:,:',:
,"
, ':"\,
t
.
"
,
~
I
1
',,:
, .',;
",
,,"
,:,,',
: ' " "
,
"
",,: "'."
',," " ," >', " ""',,', ,""'""
,', ","
:" ',):
;,,',
, ':, ,', ,,' ': ",::',,' ,', ", "",'
J'
~
..
f'
~;
~ ~IAIt: vI" YYA~NINuIUN-'AO' \. D' \
r::;- ~ POLICE TRAFFIC COLLISION REPORT ~ IRAfffCWAY
I ~ 0 PRIVATE WAY
A! I" .oll~'l."':~""L.>. ,-...v-~~:1':.~,-,nl)lpN;'K llM~ ~COUNIY COUNj''fi I CITY NO I
~~\i.l \~!c\;Nw~-f~;i'UI\!~lor"".\ktl~~;'1l !U\~~;URI Iffi=~~.:') V I
~ ON I!Qf DIN .~IIY~lOWN. ~f&NOOJ~lHfl"')IiI-iIC.HWAY ....{....CIS1rL1 I T~..:T~(1l.VUl70 IX~'~
:3 M"" 0' Ow So. li.~' .r ON ,\ hI -...~. ..,'J y,)....
IN'ffii~C"NC;WI'H,SHlU'O~ NONINIlll$ECHON PIi[fIX I"D rMllfP<>>T n. B j
~~t;t.\~.......S:..~... BOWfiN 5111HT' STRut ~. y-
\ IS ANeE & Orr~~,j.~ H1U.~ 1l':'!"lN. ,CROSS SHIH Oil MAlIlST MILl P ACCIDENl IIAMP 10lA flAM [)oI.'"
') ~~';~S ;=, ~ h ~ O~ ~ '" r-... R}) Mt~~E I
COlU$IONINVOlVlO lvu~'n; 0 :~.:: O"""UN ...."I!>'.. :~.u' Ie Qflll(.l-flllNCl
NO klLlEO NO INJUIHO SPll~AGl" >tJ..~t.>",~ 1'1""lJ" c~ ~Rcx.s~..5!II'fl!~~.A
J-O~~~1~3~ 1dI -&rPrlOP(~AGlONlY - O~~~lTlO OW~'I~~ 3.CiO ^ -7~~u
B OaJtC! !'!IIVCK [NMlLOf 08Jt:CT !,TIlUCK ANOOWNEIl'S NAME) Is ES1 OAMAG( ~CIA\....OOlNG~
IJNIT NO.1 UNIT NO, 2 VEHIQ.E 0 PEDESTRIAN 0 PEDAl-CYCLIST L~"I
q "~'~:.~" "'I N-\,'::'~ S" D''''''NC~"",,,~~ a~'-~~ ~~' ~
~ ""';;;;;:' ~'="'c'" ~ ";';;'~ ~1.\~"'U7. ~Jt'c>~ '\&"'1 I l""I
~ CO" . ~ u...:." ~,.'~.. c\.gi'Se, ~N~ ~ ~"~,, ~t... qe:;,;"\ L''";::' ~ ~_""
~~:~~~~:ns\l'.s- C:'", Mb;\t.'h~ ~ ~~~:tn~'\-'C;>\\ I~I~' k\I~€3'~I~
G-~~:'~"'MNM"""ON'NO ~ ~~ \:~~"MNm"'HON'ND 1';''''1:-''''"'1'''0''' ",
o CHECK (I"') VEHICLE A AN EM~VI~:1~l,.~~Sj\"W t 0 CHECK (t") I VEHICU AS,o.N lM~OVHOf""NO'HE~ . :2....
~CODES ... + 3 ....JU~. .. 1l1~IIlAI/Oj' 5 (JlClIOI'oI \ I 6 MOTOIlC.ClI CODES ~ + 3 ~i~~~' .. :~~~~:.""I ~ 5 UCllOt< 6 ~~~II(.c~ Ii;; 11
?- ,--.::..::ur- S"'~I1M ~AflT. INjU~7tsU' Io...!) .,,~ I
M 0 AMBU.....Cf 0 ~~CI 0 ~8PrIR 0 ~~t~: & ~8.'....~P :l::m'1:~IIlOM 0 ......r..nA"'Cl 0 ~~Cl 0 ~Il 0 VI::':" .3 \"'.r~.....!of' 'II(W
~ 8s ?~~J I ~~H\OAll'~Q ST:;;C~V) E v~~ ~~Vl 1~~'NOV""1 r~t>'LVI I~
~ '~~~ :;~~~ 1"^bl"A""MTfNO I'~h ~ ~;.~ "Y-.'a~'\ 1c't.1 I'C,A.~
~\"~7';::;~~DI8i1ISI~(VI\..Ic' 14-lbl?.ill~ l ""';~'I\"'t'IYI~IC's-IG:,nl:21 I I I I I ~
rrn= IlfGI$llIlEDOWNER, lAST FIRST 'MIDDLE PHONE NO. 51 IS RfOOWNER lAST FlllST MlOOl.f I'" ,..~""". ~
L..ct: F~~ \.C ~., \ ...... <=-, .~~ ,~~ \..:, <........~ D\..\.;.\O:: l'r- ~o.,- --..<::>'" ,
:? ~~"'~~~ ~"''-=>o~'''\ ' .q~~(;";;:~~qgl ~ ,,\ --I- ~,~~ ~
. ~ ~&""ODRE55ClFINSUIl""NC[CO, ORA~ENT R IN U .... ''PD\..O~ 113"
~ ~ \~ o~ l'\ __G.~="'''''''' ~~"" '1~1>.5/"1SSC:> .,.
~ :'::~'ol~:::,., ~ ~R~N ~~'d-.\.. ~~ CH....RGE I~.~~~~~ ~1,(:I~m}.;zffl~LA~., t::!1
1",,-- _!_l_O_....~s DORIVEN DIlEMAINEO . DOIl'\IJ:N DIlEMAINED Im,OAMA<;>E I' _~.T_o."... s~
lo.onOIl! S"'S..ooo. ~r€~J>8v:'E""'i:'"d o~ ial~"':,:\y, -r=o~w:-:,~ $'3.10Q:) I . 10.0"0111. r::=J
..--- DIAGRAM OF COLLISION' ~5( UPl'lEMEN AI ND1CATf NORTM DESCRIPTION OF COLLISION' IUSE SUf'PtEMfNTM SHEET If NEa~IlYI I~I
~ . l~rr~n l:m'''F':''' "mow --- ' ~~~o-=\:;;-t=:=>
L- ' '\tI: 1i=:~r.h . ;- - ....H I-I~~ ....~_\..~,,~~,.\.::.Cr..s..\.iL ,.',,~'w.~... ~.1. --:-1=
I I ., _. _ 1-11'- J::.~~~_&.t:=.tL~~__~""~"n:.::s:o.,;)~'p
rz:: -+- '.- I-H:'[L ~- _.A\..l'l>D"5l_5,~, _~:1~_1~1f\\E:.!.?~'m:._b1
C .4- @.'f-n-'- .- 1- - ..L.il:.~_oE__ " <e;.&,-.....c.....:ll..:\OQi)--P
I 4l!L"/"_u, ".' _ .+, ,. __\....,.~'_~e.I,}i~_~.~~......~_~s_.__~
OCCUPANTS ~ITNES~~ ~~;~:~~~~~lA~W '-ii71-uAGf-' ,;',";)s ''"...~.. "",r~;~r Il(~TI!- -;JfC; ~~n;
N'M'C~~ ~~""'> r. ~~:') '"ON<~--:\~",,-<. Inl '.'- I
~:-;;~~~oQ=-\.-O~~~-""'=-~~" e. -.. ~~~~/~Of . - "-.;0 sw./av MOAMIl om" 0",1;'.. O~~ D;"8'''I!o1'
[ N'DADM,',,,, .. .__.. .~_. _,_~._.. _. ~,:~:"l,f.m I
~, ,~~r~N'~IIlOM D....Ma O~~tl OC~~IJQ D:~ O~~~1,.\. 010
,.,....M! r:o N I --
A.DDOm ,....:.,.m -+. ~:;1~~,r~o' - ~t(N'j"'Jv'~'-" OAMa O~t10~~'1I O~~ Di:.~""'....
!~II~"'IINC.'(I;"C~ ""~AN~ ~11l~gGIOIl""rNc~ """~" r~t~""C"'LlIPO~~IOAHO'lli~ln~~"1 O...TI
II '& ::S:c:::sc:: "''':' \~D"";;> I \'00"" 't.::>u,,~,,\~ 1 it'1d
No, ') < ') t: ~ "
I'().ICECOMPlAIN'N~f5/ --v---4-- 'X1
I~"~<WA <.>,
UIl'IlAN -
""'"
F
k
~
r
4\;
{
i
',.
, '
, "..'" ;' ','
"', " ,..'.'.' .
. i' ..' ::i
",
." :' "
, .. ' ,', ", .'
""" "
, "c. -'."..., , . ,
" '.. ..,', .... :,,"
,,:,":;'. ",.';.".,
.:
..
,
::,
;
"
.:..
, "
.,:
"':,
: ..
,
,':',;,
.:,..'" "
,
~; ,
'.':: "
'.'
,
'.c
.'
:: ,',
c...' .;,
,
,
,'"
'..
.. "
"" '
"
,;c>'
, ,.',' ','
, "
,'..", ,', ': ..-"
..,.. ,...:'," ,:" '. .. '
;' ...:. ";.,' .; "," '", ", ,':',
.' ,', " ':' ' .. ',",' , :.,,'
'; ,'.
"', . '.,
c.'" :','
"
':, '.
.
,.,," ',' '
"<.c'
,
~
"
'.'_""'..c..'",,~"
fA) STATE OF WASHINGTON "0' /0'
1/ ~ POLICE TRAFFIC COLLISION REPORT ~ TRAFFICWAY
l(- 0 PRIVATE WAY
p~ll,O,F~p\'I~~h,.,,.... -. ..- 'yA:~r..~'1~2!.'-'.~. u _~~fIoiOlAJ IICOUNTY --. _ "- COUfJYYJ'O' ICI''I''''O I
[ ~'ij~~ i.J~.'i;~iT~fl~I$(-l"\I.~ri;;~I;;T-' m~-~ ~"~~.u / U?
/ ON DE DIN //:TYOR10':N / N.........1..N9-'QF~IlUl~WAY I1,;IP$.I~" .......I'lltOUlfOll:.ll/\t............. I
_"'1 M'''''Iil' OW /./-1'.k ON ~k"'/<'~' kC, (..-.IY I "'69'JO
1.......~C1INGw"115H!ftIOR......AD / NQ....N1lll$tC110 ~ o~ ~ / MFI'" IfQ 1'''ll.f~1
,..-- 6[1wEfl>j~~.#17 5111Elt "'", JII I / I b
I '/ OI5IANC.1..O~t'N:I'I~ .1lU.~ "v,tlllN;". CROSS S111H I ~A'U'-F ..Il~ POS ACCIDENT RAN. tOI... RAM L.lO'\IA
Ii ~~~1~~5 ;:, ~ n;; Of //.. ~j.? ~~I _ M~~~f I
COIU$IONUNVOIV1D l"'l~~~ln: ~ :...-., 0 :!:I_~~ 0 M'~HI'" I INltll I :~llIt_"!IP
~O~:~1~35 [Z] NO~~~~~:f~~:I~ O~\~~~~~ O~~~~N ~Nll~ll'~~ 1/\' Cl$.ICRtm$Y5?7~
06JECT SIRUCKINANll 01 OlIJ1C1 SfIlUCl( ANOOWNEJn. NA.M(j 15T.DAMAG[ $Pf.ClAl CODII'llG USt
No.
'>AnAL/...
[fQllCtCOMPl.AJNI _tllR,
r
,
$
UNIT NO. 2
IlIVlll'SNAN\[
o PEDESTRIAN
"'"
o PfDAJ.CYClIST
"'.-.
UNIT NO. I
o VEHIQE
"'"
"
,
f
f
, OIlIVt~~iZ I~~
f? 'T':&ZJr/ / A, I 4'/' 1~7 ""AD"'" I
~ CI Y.b.. / / / $IAT: llPCODl. ~O~NO 0 IIY 51A ( llPCODt I'~' ~
;k ~ 7J(<,~ m'f> 7b$'O R
L ~;;/<;/ 1,,0/:: MOl ,,;.::t.. ~ ''', "C,,~"O I ,,^, I ~, I ""'T",Of'
~.~AI~L.~I~'M"AM'''"O"'NO'./k J~' "'.:,,"TI"~: ~ O<:CU""O" '''MNAM'''HON'"~ .., I ('(l:S'rIGHTI....IGH1~
o CHECK(Jo') A~01IoiERI 0 CHECK(,!) I VlloilClfA$AN(MPIOYHOfANQ1H(1l
~l- CODES" + :;~~ .. I 5 lJlClIOfII 6 ~:?vIlCYCU CODES ~ + 3 ~:'~. I .. ~~~1~~"" 5 UCTJOOool 6 :::;~-'-Cl1 iO "
o AMaUIANCI 0 ~~Ct 0 ~8~TfA R ~~.t:: 0 ~8~!tP M 0 _1Ut"'NCI 0 ~CI 0 ~"'. 0 VI'::': 0 ;t~',.!,/'
1 ~~:V) I A~ART.,';, AI 5~;;:V) E ""t (uvl.lVt4..mV.1 INOOll(DA,RT.,..uV"", j""YI.I: l~""':'''''''' V_I ~
~ ')E2 ~m~'? r^,,"~A"NO I "A" 7 "" <'"OR" I >A I.'" A I ^' ~
~ itt::77";2'~3~1' Iqll;:;l I I I I 1 I I I i~ ""'iU"j""'7A"o;'N01 1 I I I , I I I f I I ~
rr- IlfGI~~DOWNER' LAST fiRST .. MIOOL~ I P~~NE NO. (Glsn to WNIII lAST ftll!.f MlL",.... I ,........ 1....... .::...:.J
' /#/I/.' / ) #~~ W97 ;}/o/'/ WO I ~
!lJ'
ll}!] ADD~ES$ Of QWNll( /'. I A 'b:. Vt UWN!1l J
Lf:: ,:z'... 9 ~~ -~~ ~--d-- ~
F N~~~IIE$$:'NSURANCECO. ORA~lNlr "R NUN j
L D~'Aa~blZ1lA "e1 All.....'" ~ ,,...- I ri'D.!.AlIltNG I P~b'MtA
r 2 3 .. .', '.....CTIONAl <I J .. j
.~ ;~-:;o~!I ~AR~~'iE'I'N OIlEMAINrD CHAIIGE D~:~E't'N OlllMAINED IE5iT~~~: 110 ~oi~-:;o~~. i1
'~jj ~. $ l~w,!'I'D8Y. J /.- D~~~eY: s j t--l" ~., J
DIAG~AM OF COLLISION: IU UPPlfM N Al NOJ~~TJII~ Ii DES RIPTlON OF COlUStON' {USfSuPPUMENTAl SfoifU If NtctWOt.IIVI ~
' L " '" N "?l~~~~LI'9-S=S;~~J!: OJ
I. I 1..."- !iJi ' ~A\-Th;:i~)1..LO~~.s.ltc.'S!>E~~ J
L tit -I ~f"" ~I;l.'- lBB~~~~~k,3tc~~~'~ ~
,-Td--""'::+- -- -, - .cnmJ1fU:;.;::S;:""iT.-$\t,.pv..~~d.::-.so-/~- OJ
F -r+tb~, ~, a: __.t-{.. '-I:::. Lio~IJ06~~" --b=.~'E.'e....::tt.~,O: J
L _,~ ... . I ~~:., .t:t:':+'~i~,-~,~~~~td!J,'--NO-1U.)<,~~---.-,
~~'lt~-=F 1= =/=t'+11tX - '!"It ~~ ---------.-------,,-.----,----.---
\9 NAME. ADDRESS & INJURIE OF PERSONS INVOLVED
OCCUPANTS / WITNESSES W~: ~~;{~~~~~~IAs::~i
PHO"'l
..~,,;s~-- '__'h'__' ..-.-.-----.-.-..-.. .,- "-.-. - . -..-.- -. ~~,~~( Of H" --.-.----.. SCIN( 8Y
N~ ~~f
-..--"..-. -... .----.----...-..-..... --.--..-- ..... N.tij,~rOF
" "
NO
~~m~l..o' --. .. s~~.vi~ ...U' 0 "M!! 0 ~~(f 0 ~g~,,, 0 ~J 0 ~(l~~.
!I~gc.J/'~ AGINt'I' , 1J":'~'i~T rOlI'tOI:'P~ POINAQR'\fIOIPAII.~'.~~~ l~ I PAil
/-.0 T,;"c", '~~-r/r;Z~2' /.(~ Iqq~~1 ~ 1 iJ'l.~
~
Mloolf
:~~f.~~Ati:~uJ~;1i I '~~r~~~j;'~Rt.~I. f J:c; I ~A~:;
o AMB 0 N~'I O~h~ o~:.r
L
ADOD[S';
NAMI
I~~'('DI"~ .-. .~._~ .H .~--.
'1IN"~,~~'I''N~
'>r - ~
~~V~~fDOM O"M!t O~~\:I O~:"~ 0 :::~
- '- /'
\ ..", " ..'," : , ' , " '..' >..::("":,;;
.." C:' . ':.
:1<' " ':'. ',,',',
I ,,: "'.. , '
i!. ,'. ,', "
t ,.. .,.. .,.... . ,..','.. ,'.,). ,
I ,",:; t ">:.:
, ,..,". ' " ',.. .,:\ ,,'.
,i ;.' ,
.:, '" . . , ,."
. " ' .: "
, , ..:"
.'. .,:... '.,:"
::' .',
'., ..','.
"',' ,
, ,"':
, ., <:'
,.' "., :'"
. ': "', '. ..:' ',: ' i"
',,' :. :,' ':.,';
c':< ,! .,">i . ',.,",.:,," ", :..'
, " ". ..,' ::^. ,,'. :.' ..' ':,' ':.., , .:' , .... ......: ..':..', .
..
.
ZJ
d
"
~
~
dt
!--l
~
i"
[g~_A
........
ItUfA.l.
lltf-llttNCl
Ol\~'.."",
O;<'~'..~.
1
g STATE Of WASHINGTON
''!!t.!!!! POLICE TRAFFIC COLLISION ~EPORT
.....SP.AR.l~
rc " ,,':,:..
t
I
.if'
~rl G ST~~~~~F~~~S~I~::O~~N ~'::~L:::yl
40"'1(~f_~~.oNJ .' ~OMOI~~<>tII;lqN__,_.1 IME COUNf1 '.4>,
cL i .o~. I .~.. loll" l"'O..11~~\ ',,111 r.....l\i.., I....' 11 (U!>~OO~IOUIl) -:--at"""
,Ie:; ,C(r' I ,,! I ' "'~r ."...!:I;:, 'lr.
\ ON ~ DIN ~~10WN NAMI&NO Otl>11ll\lQIlH\GtlW...1
/q M",,6ij'owGlD' 1-<>-")<'.5, ON"'''I\~~fJ,..,. ""C-\
tNTEllst'IINGWlIHf,lIlH10IlIlOAO TNONINHIl::,(CTfON (.11., HCJL...:-W'
~ 18[!WHN,A4f> ," StRUT & M P 8 ~Mlm
I l~lAN~~lIt~.tlltNt(.CIlO~SSIIlU10Il NI:.::1Mtt POl> \ Io.CCIOlNl
7, 3 R:~~s ;; ~ ~;; Of ..s 6< 10 J Mg~J[
COUl~~T~~V~lV(O ~6\~~~~O_NO. INJUI!EO-.L 0 ~~~\AC.[ 0 :;~{~UN I ~~t:.:tb~..~
_ Of V(HICl(f, [I] 0 PIlOPlIll'r' OAM,t.G( ONl1 0 RfSUII(O 0 VEH1(ll -.c:::.
48 OlIJtClf,lIlIJCKINAMIOlOf\JICl>TlliJCKANOOWNEq'f,NAM(j $ t~AGE
UNITNO.l UNIT NO. 2 OVEHIQe
'7 O"''''NAM'.~ e""~c. ::rY' r=.:.....p'lA-+' C;:;, 0"""'""''' "'"
rc; '''(;,""-3,''-, G...b 'r~ ~
~ .I".{) __ n folAll z~p;::?~. P~ON[NO 0 mY
rr7 1'07'\ l-f'Yl"J>L....~ U-.JC. 91'1.(&7 4~..,-J42 I R_
.lL IlI~S,lICENstN . ~, J STAn -, SEx OA'n?~~I~,T!-l ) Olollllt
TF /;:u /f'f: WS7(,;.Rc 1AJ<'.< 1M I '::ll";: i4 f V
OCC.\lP"l~ ~,.~~t,-\NAME"PH~N(NO: ~.,'"~..,'t..,.L.,q t'l'[S 1~I~H1IHfIGHl E 5ffij1
2. ~~'t~l 'b.u~'- ~A~k 11?1....,<i/60I6<J~ R h,
L- 'b;(CHECK{t') VEHle A ",,~'b~i'Al . ~
i [C6DES~~ I' ~:;:. , I.' , "''''~ I · ::f~:~:'" I ~
~ Cl.C;..K <' '"rr..L\'''''''' -'id ~
I, 0 AMllVlANtl 0 ~~t1 0 ~81",~ ~ ~~~~:t V ~
FT ',q~, I IT~~::~::I -;u;~,~,^, 1 'b::' ' E::
: lYa~O<:~';,,:~~::.,I'L.:n t['~'~;:4'~73 U~~. ~ "H'
~Vi";'H7T;'A~fiO'1 171S"1c..IH,lh21018141/1 ~ ~
:;;:::;: IltGISfEIlEOOWNlIl: I,Af,T HilS' MlOOLl PHONE NO REGIf,1
,./....... +. .IJ>..~.,....L R.tJ....~......."~....,, _ 4n.4~ol 0
'2 7~;;;oE" R,..,..v, f)\J-e ~->,. ~""-el....~ ~ ~ AO."""OWN"
1"71 ""''S~'r ~,^"Cl co "" AO<" R '"""""" co "" AO"
~ O~'lc;EOAIlEA ~1~.:bA"<JN /LJOI/t..J'-1"" ''', ~ O.-.MAGlDNllA
1"11 br. . - . CH"'O<~ AJ -- CH..G, ' , . J
I'L 'W~~, $(gf'ffl~ 0 ti~t. ~..::;;~ r 0 ~~w:~., 0 ~:'":," D"MAI"EO I $ ,tJ;~~~.~'::l:
F7 DIAGRAM OF COLLISION: -,J~ u~;r_Sl,lPPlE~~:',Al~~NOI~ATfIlNOIlIH DESCRIPTION OF COlllSION: IUSlSUPPl1MEN'"," $HEll If Ntct~VI
i+ l.i~~~'+-~ ;~~Jl43""~~'~~~~li'~-':n"=' ~~~~;tfi-!1<~~~~~,Y-~:~L--1
f'7~' '" -i -+T~' _ _j._ ~+ - -- - ,..-<:.......""- .::f..__-9---=:t:>:$~t-~__,,-....::n-Go.. H-<u::- lJ
LI- --~" t1~1.' '--','. -~- ,... -," ,- ,..' ,..c.",-,..,.,.-,e",_L..c;,-e_~~'fc>,..i"""'1,..l-J,~.b..'I-.Jl '" ,~,
..-:. .__+-+ h-\'" ,,_ __' __ ..".._ ,..' ,_._Sj.,()....,L<.~~,I-_"",_):.-.f 2C:,h,J::,!L<"~J,k.ft--~~- 101
IT '" ,!,1...-,,~ ,- '''f' i~" -- ..,..,"\- ""y,~.~J",L,5 \"l.~.,_~_I,.J~~...,.p.,....L,J.::!:_<L-hl-<tX--f-J
t::l,[ j.~N.:.t, -1---.'1.....1' .." ".., ' "r<'>,<:'\9,_,$"",~_"" ""..",s~..F-e1::y__c..l-.!-<,L~t_~,e,l..sI:-
-4Li'f4~'j/4t;h+~~rt., -.t-"i--:-t W--.f"I.(-----C---------
"T-+-l-,\-!+~:tt~~~~t~ ~JU-~S\j~~~j~N~I;~l~;~~~!;~~7;~~;;.~~f5"~;::-~~)1k5-T 6 []
L OCCUPANTS I WITNESSES ~"6: ~..:\~cr~~~~:,;:n: -,,;;'1,0;'1.,.,;:;;1 "'..~'1 ~~,1-;~d;m;t'iWl :'..'iir;
~N T-T T
~f',!~~I!'.OF m.-.k--...----.-.~nIOMOAMI!l CJ~~t1 O....,~!~ O~~ D*'......
NOON I I
.__ ~"T~~!'O' '-'" .. .__0_- ~~VJ~.fIlOM DAMe o~;t\D~~". ot;~ O':.~l""'1
t,l'ON IT.
........rullror .-.,. "...---
INJUlfllS
No. ... -J ... ., ..., -z
KlI.ICI.COMP\Al"'TN~" - ~.,. - y "'i'el
CXM<'j,t 1'''''"' "I ~fu:~ ~
'Z ."5> '\ 'I"""'~;~ {''''"ON Z1
PllHl'" [Q rill JoOST 7.....3
JAM" 101AClUo.M0.4TA
n"'I~ I 'cf,"F~;J.~/()
fof'lCIoft.I.~l&
0I:l kUtRlNCl
_1:'
f-
f:i
:i.
f,
~:
~'
,
;':
Rl . ~ ,,-~~
o ~~~"AN 0 PWAlCYClIST ,,-rl
I;;;
P?.4fJ/6 c.~ ;lid. ,.-'-- II
~ / J.5" / () \.....- Z
c5T;I~r5 AT "'y' B.~3 CT::,J
o~ r-'lc. "''/ iT 0-# r'
a;/- ~/u ,1/e>-? ~~, ~~,
I
m1 J.
~:=;;;
~30
0-71
:U
71
~'"
~,
\
~
AOnlO'(SS
LI "'M'
'"
",OOIUSS
"~,
"OOlO'ISS ...,
, ~r~ oycy ~ NM.'" & ~AI~r
XI~';;!;": -,..
I/!Jr; :~~
.
I ..;(~',',::"
IH~I~'
~~r;;r"~v. Il()l\ O"'M8 O~~Y\I ~'" O~~ O':.~'",v'
I~"~HIOI '/8~~ol~'~o"~I<O" 1'''1 "t'''i 1.1 ~-~
''''''~, I ''''''H'' 1L{/~9'ol'\ll~ ILl. " r1~
l' II l ,
, >,
C,. ,
~:: '... " . "
" ,"', ," i',',
", ,". ',' .
,
\
..'
" "
"". "
,'. ,,',
','" '
,',
"""""
,.".<,
"
"
i
i','
t
,
"j,.
~
~
1
'l-~
'. ~'
'"
';,
,,',"
:," ,: ,',
" ,'.:
, " " " "...,', '. :. :>,,' ,." .."...
':
. "
" ',',' ','.
";', ; .
, ,
',:
'< ".: " ,
"""
-
~
l
t
f'
~'v
{.:-
..
~,'
it,
}
.~~
,
~~
it'
.,
Ii
.;
b
f
f
'I'
t',
L
"
~..
':
I
I'
'-'..,'c.
':,.'
:
"
,
~i~~n::~9~~S<~Oi~~:P, :
:' ,~...~'"'~~'-' " '.'.' ' ,
','"',.,, ' "
,..' .'.",
" '..;, .
.....,:'-..., ~ -.
, :,' ,
"',. .'..'.' ",
, ',' .: '.
, "..' ,
. ': ,', ". ""... ,:,
,'. .. '" ,
" <:,' , :; ';.' ,
'. "" ""'1',, '..',.,. ' :", ".,
, . ,,,, ',",' :' ' , , ,'. ,'.. " ,', '
,.,,'" "."',:, ':',:, ," '.,-: :,:' " :' ",",' .:::"',
.,. ..': i'~ ',', :',', '. "'~ ' . ,: ,,' " ','
,'.:, ", ':',', .'," :':'." ".".: '.' ,
,.,..'",. :, , " .' "
':',,' '..'
. j.. '" ' " ",
, ,:,::, ,: "
:...'.. ':' '",'.... .,..",:"" '
,..... ',:",'" ',' ", ' ,.
" :'", ,,' ','. "
",:..' .' ",".
':,,: ,': '.,;' '.':'.. "
.. ','..,". ,',"'. ','" ,
" ",..',. ..'
,'..
'" ..
'" ,',:""" '", '.
'>. ".,,' , "
.' "
','" ",,:,;' ,'"
, '
''', :':"" ." ',"
: ',' " '.
''',
":,,,', ".':":,:
.,: "
"",' " ,...'
,,' ,
. ,",
,
'", ,,',' ",
, . ';', ,""'" "'-"
, ...'. .. . ':
.. . ,..'
" . ....
"'t:,' '
,'. "
" '
'.,. ',',
\:,.".. "
~, ' , '.
.' ','.,
'<:'
',,", ''':.'
".
'. .
,: .... ,:'.:
," ,'.' ,':
, '...,
.. ..;.. i
,,': ",:':,.
,.", ,.".'
" '.,.'.
" .
':: "",::'. '
,': ..', .', '
,,' " ',. . .'
, ' " ..: '.
" '
I, .': ",' :" "
" ':" "
: ,.'.,
, .' ','
[.~)
~1!2.
~. -
, ~ (\')
i ~ ·
=t ~ ·
.~ ~ .
~O
~' t;
~
E
!
': ..'
.. "', ,<"
'. ,
" ..'...'" ,:' "
, ,,: " ,..,,','" :.' ::,,' '::'
.,.',,',', ',.'..<,...: ,', ,':
,': :""
.' ' ','
,,' :.',' ,',,'
. .... '/:>.: .' .
,.';. ",',:' ,
',' :,...'. '
, ,,';:,,:, ..
, ,,,,,, :'",.
""., ",.,
. "" ":'" "
" .:', ""
" ',' '::.' ,'",
, ". ..'
, ,::..",
, ',' ,',' "
"',' ":," .
",:"", '.,,' ',',
, "':' ,'"
'.. '. "
" ", .. ",' "
::,"'::::""
" ':' ,",'..'..,;
.. .,,:' ,:,:.,:,
, ',':' ,','
'" :": ....'
i , . _.' " ,
.'" '. ' " "': ," ;
.' ' ' " , ,"'f",
-'
, ":, ',' '
'.. ;, '...
;
," '.. ' ,,'
" ,; ,',
, ",'.:' '",," .:
'. "', :': ';:;..
. " . '.' "." ,',',",
,', ' " :',
, , ,,'.'
: ,',,'.', ,." '. .,: ..' ',: '::':,
' ","...,','
:.. :. "."",,':' ",i ,
,'.;, . ..,.. ;
, , " ';, ..'. . ...,
, ,', ' . . ,'. ,:,'
,
'""..-
)
\,-~
....: ':
",
'...
"
'.
,
:
:
,
, '
..
1
';:"",
..
.,.,':..:',..,
,', .'..
,; .'
...
\
......j,-- " fJ},;-,~
\', '. ':> ~!,1>' '
:-:-':4a:"~~"-
, ;~?Sl~"'-"
'fft; ~..),':(
r:1/{.(~~~" . ~
,,' J
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jetlerson Street
P,O, Box 1220
PorI Townsend, WA 98368
(20G) 385.9160
Gary A. Rowe, P,E.. Director
Robert G. Nesbitt.. P.E" County Engineer
April 11, 1990
Jim Wangler
1510 Highway 101 West
Sequim. WA 98382
Dear Mr. Wangler:
Per your request, I have researched the records on Swansonville Road and the
Kimball access off Otto Street. The information found is as follows:
RIGIIT OF 'WAY SE of S'W 5-28-111
Right of way width is 50' per quit claims executed in 1952. The
volumes/pages of these deeds as recorded in the Auditors Record of Deeds
are: 133/370. 133/364. 133/365. 133/361. 133/456. 133/359.
KTMRI\! L ACCESS OFF" OTTO ST VACATION m D STATION PRAIRIE ROAD
1. Mr. Kimball's access is viss 60' right-of~way deeded to Jefferson
County by Clarence Lammers December 7, 1984, recorded in Volume 197. Page
329 of Deeds. '
2. The portion of Station Prairie Road which ran from the easterly margin
of Otto Street past the Kimball property was vacated April 2, 1985
(Resolution No. 25-85). I am enclosing for your information copies of the
Board of County Commissioners meeting minutes from Nov. 13 and Dec. 10.
1984, which set forth the conditions for the vacation. and of April 2.
1985. when the vacation was approved.
If I may be of further assistance. pleas~ con~ac~ me.
Since(e1Yr ~
G./), ~
E,D. Simon
Administrative Secretary
Enels.
pc: 688319
514009
.JEFFERSCfII ~TY
CEPAR"flr,ENT OF PUBLIC WORKS
FI u:
REQ<ESTED BY-
ADCRESS .
J\~
ACTION REQUEST
IA.J 4-N G u:.12...
DATE- 3 -]O-qo
PHONE NO.' :;; K - ( 2--2 ~
ALT. PH. NO.-
NATlRE OF REQlEST. 0 IN PERSa"II 0 BY PHONE 0 BY LETrER TAKEN BY- hl_______
PERTAINING.TC.. OOFFICE D~G/SURVEY DROAD MAINT. DEQUIP. MAINT. o SOL, I 0 WASTE
REQlEST FeR..
LDCAT I ai- ROAD NA>E: 0 TTO sr
ROAD NLMBER c.'tr:3lf M,P,
FtRO.JECT NLMBER.
-Iu b( i VY\ b ,,1/ ('l'q: r, tto -:
\rorr,:hf)VI (o~ old S-b+;oVj
PRO..JECT. PRO.JECT TITLE
DESCRI~lai" Le.1 QJ a...ec.e.S:-"
1~+;;;e b~ V\PU\ one-?
ATTAOt MAP OR SKETOi /
REFER TO- SUr q.i/~fVA
I
RESfICHD BY.
RESPcr<SE- (]).. }.It> Yel:.Oyo.-eA ".A.Le..vV\....Nd- -\.0 \(\mbo.1l ~""""'" \~ aX':'i.
(av--In V~~aJ.l ~.t-al\.l \~~I -l-o An"","" ~'....... a>L!~~~ 1'tUJl"'('J.~}'-'I'\.o'Y"
\lJe.ve- l!.I\U\ ~O'YV\ S~ ~~. .
~-ft:.'::' : !:;::~~/i;~ ~.~.;'tfJ'~c:~-"
REVIEWED flY- f;;N'MIV\ev-s ~. I'\rf /'?a/3.,;L.'7 DATE- . 0
CCNTAC'TED REQlE:STER 0 IN PERSa\I 0 BY PHCJI'I.IE BY LETTER CXlNTACTED BY,
RE~Tla'lI.
PREPARE ESTIMAn.FaJ.
FJDVTE TO.
o DIRECTOR
o ASSISTNlT DIR.
o ROAD SU'ERVI SOR
INITIAL
o CONSTRUCTla'lI ENG. _ 0 ACCOU"lITAo"lT
o PLANNING ENGINEER _ 0
o ADMIN, ASSISTANT _ 0
~H~
~G)
~z
+~
OZ
oG)
o
on
iJ
r
~
.
o
'"
,.
!"
'"
~
o
+
...
p
&
....
,.'"
"'0::::
......
9~
a~
? ~i
,. ....
; ~
~ ..
'" ..
,.
'"
!"
."
o
"5
<5
-r.
~
ojo
nr"
",0
,."
'"
r" ..
'"
"'....
..
,.
'" '"
C
<II -
""!.
.. ..
..
,.
~
~
...
~
..
,.
'"
1>
\
\
\ ...
r" ..
~~
\ ~~
"''''
-~~ ~
;t~
\
'" 01
\
\
\
\
\
\
'3 .6'/: ,6" .68" \
r
\ \
~ \
\
\
:\
\
\
\
\
\
\
\
\
~
\
\
.\
:y"
~...
~\~-
...-
~~~
':\
\
'3,6<1,6" .68 "
..
~
/
.~~
~E~
I>>o<?
~~~I
",%~
~~;
Clf'~
r"
'?
...
....
..
,.
..
~
\
\
,
\
,
\
,_------:.,L-
,
.-
'?
..
'3
.!
...
~ b
..
i ~
<II
'"
"
n
!>
.~~:.::,'::
:::D
:~;\~::;
";::'
- ;.---:.:-.:..-:'::---
_ :.'~lI :8~":S _ _ ~~ :".:6~ \
(l~ \
\
':~}:r:<:j~f;J,',:"~:
..
~EFFERSCt' CX)Lt<1"Y
DEP~ OF PUBLIC WORKS
FILL
1\C1I ON REQUEST
REQUESTED BY" ,JIM '" \1 IJ(, I Ge.. DATE" 3 - 30 -q 0
ADDRESS- 1510 ~ In\ w~ PHCHE NO,' =<.8'5"- I~')...S"
'S~~./ Q'i?"3<t?- ALT. PH. NO.-
NATl.6E OF Ftie:QLES~. 0 IN PER:5Cf'ot ~ Pt-<<2'4E 0 BY LETTER TAKF.N BY. ?if
PERTAINING "10. DOFFIa: DENG/5UR\.'EY o ROAD MAINT. o EOUIPo MAINT. DSOL.IP wASTE
REQUEST F'CIR.
lDCAT'ON- ROAD NAME ~V~S nY\,\;1I p
PRO.JEcT- PAO.IEcT TITLE 12(1;..)
DESCRIFI'ICH- Ii(!ln Sr~ S(~\
,
ROAD NUMBER t;J400, M.P,
PROJECT NLMPER-
!;"-'l$-/ ~
ATTACH MAP ao~TCH
REFER TO- fAl-e?h
RESPCX'olD BY ~
RESfl'a"ISE ..
~O' )let'" +O\.LO<L~ Q..;+rQn,:..v.,<; ~t>l'U+-e.J lAA 195.2:
r33!3":fo (F.S",;-IJ,) r3:3/3{q1 (c.~,u;&.-t:i.J
133~31A (.I.Jk..Jdc.aiA..J 1'33i45c" (J.t>lse...../-rik ID)
I~ /%5 (0. JsL... r~ ') 1"33135.9 (Ii: aL~"..J)
REVIEWED BY- DATE-
CCltlTAr.:TED REQl.E:STER 0 IN PERSCN 0 BY PHONE 0 BY' L.ETTER CX)I"oITACTEDBY'
REClClN.ENDAT I CH-
""",pARE EST I MATlZ . FCH'
ROlIi'E TO-
O DIREcTOR
o ASSISTANT DIR.
o ROAD Sl.FERVI SCR
INITIAL
o COI'ISTRUcTJON ENG. _ 0 ACCX>U<TANT
o PLANNING ENGINEJ:R _ 0
o ADMIN. ASSISTAN" _ 0
1\'
f'
TO"'Z.O.6P.1~,"
/f +\'
/./ I' I
//
//,.. 7-
/ ioS'~ '
/. 4.f' l'.y /,
/- ~6' /
At SO, ..s'>c /J
/ ~-}1. /
/ ~'
/ /
/ ,I"
/ ,,/
it~ / ,/'
., c...." '
.,(o~"+;oo ' I
,J.: Q . C Co I
<liol'~+"" ,,'
~'f:. "l-oO"""
7',,~/~ 7-
,.~
I ~-t
I~
,"0")0
'O".:c: .00
'h/b~
t.oiS')':;
/~~ ~~"lI.
;,,(,,0'9....
.~Ool<"'"OO
(7u..:.' "~f~..
. +,." . ~
.~~ A}..o~G"
of "',,0 ~
~~. ~
fo c."~
'<OO"t;"o ~o/;
..~,. ''';:''0
~~,","'''''
''It>\- '\-"~
~-/'
G')
:::0
~~
'"2
aG')
"
fl
..;8
~. 0
"
~F
~rr1
;.
<i,)>
z
o
s::
)>
"'0
mr--4Qc.-
)e." II"
;.~::,~o
"':"'l.oIa.~
....
,...
~
,
/
,/
...
~
~
"
~
~
_ CL
__"-jlt"e,.n,'C'" ~ ti"~74.
ti"o%- .so~i.:~J\-
.soft"*" .so~1
~"'~.9
4'0
~
4. ~,,~
7'':~ Y
;t
"<9
~
~~
~$~J\-
,
/
/
/
1
,
/
,.
,
/,'/ //
/
2 ffl
c ."
::0 ."
2 ~
o
i i
!:( ~
~-
,
,/
//1
,.
/
/'
,
/
,
/
/
,
,.
/. .
, /
/ /"
~:":~6
0, ","0 ('l>~'"
...~ f?~.O+.s-6.f.o4-~~"'0
<e "a .:....('''It....''''''e "'tt~
$.5' 1Iytl(s: '1;;/ <oo~ <;' "","'0" ..."""
~.f' OJ\- ~~<j,,,"o$t o:{('c ''':~~''''' a
~ "<l.").q,; "roO .".. ,'"
/ .~",iy. ".o~'4 '" .,~
;r"" '09. "a <,.'
'1 S,:~ ,q;.>t"'"
(ill- '0, S'" /' '9~~ "
:> / ~-f:'~A
I~
31
+
o
o
lTI
Z
o
o ,
"Il/
~
,:0
,0
, c..
J/' ~
/ -i
/
--
@
NT'
5'1 cODCf
i'"i;:~:':"::lJ ltI J
VO~~._PAfj::~
OF OFhC;\:,L f1"COR{)S
j;;(Ji)0;"U ()~= ~ . )
)Y. t<J: ~
iS3u I{I<R -8 PH 3: 0 \
flORTHWESTERN TERRITORIES, INC,
Engineers . Land Surveyors . Planners
Construction Coordination . Mateflals Testing
3289<11
.J::f=Ff~k:~~~r:c C gi~tt~ (~UliJOJTor;
c..41:::?-: . .. "11
JANOAitH'r-;--r$90,ru
LEGAL DESCRIPTION FOR PROPOSED BOUNDARY AGREEMENT
FOR HERBERT W. BRAICKS
LOT W
A TRACT OF LAND IN GOVERNMENT LOTS 4 AND 5 IN SECTION 32.
TOWNSHIP 30 NORTH. RANGE 1 EAST. W.M.. AND THE ABUTTING SECOND
CLASS TIDELANDS IN JEFFERSON COUNTY, WASHINGTON BOUNDED AS
FOLLOWS:
THE SOUTHEASTERLY LINE OF SAID TRACT IS THE SOUTHEASTERLY LINE,
AND ITS NORTHEASTERLY AND SOUTHWESTERLY PROLONGATIONS. OF LOT W
AS SHOWN ON SURVEY RECORDED ON OCTOBER 5. 1989 IN VOLUME 10 OF
SURVEYS, PAGE 162 UNDER AUDITOR'S FILE NUMBER 325108, RECORDS
OF JEFFERSON COUNTY, WASHINGTON; THE NORTHWESTERLY LINE OF SAID
TRACT IS THE NORTHWESTERLY LINE OF SAID LOT W AND ITS
NORTHEASTERLY AND SOUTHWESTERLY PROLONGATIONS; THE
SOUTHWESTERLY LINE OF SAID TRACT IS THE NORTHEASTERLY RIGHT OF
WAY LINE OF GRIFFITH POINT ROAD; AND THE NORTHEASTERLY LINE OF
SAID TRACT IS THE SEAWARD LIMITS OF THE SECOND CLASS TIDELANDS
AS CONVEYED BY THE STATE OF WASHINGTON.
File: Brcks.BdryDesc
Disc 153
f:r:,J!.~...:..~,
~,~\) l. liEj,1....
l'~:'J/~~-~';S~,(:'>\c
)' f('" .- ~ S\ ,.,
, ~.... ~.; \,~
J.... fi<<>~.. "
.,~\ ~':Jl.""" ,;:-
.,~, , I'
~~.. ,..,l!!J4~ ...~(i/:.l'
~~c...{~:.,
'~.(l lA\:~ '>-/
It:,.. "-
......~/V
M,qR 0 l: D.
,,~Ef::F~b 9 7990
If':'!, 'q~"
.....,.U(I/ C'
I'1Q Uu
k,~ ,.,IVI'\
I::oc
~ cf !7,(,()~
Ille/~c>
VOL
300 ",..588
717 SOUTH PEABODY, PORT ANGELES, WA 9B362 (206) 452-11491 1-1l00ol;54.SS45
MOTOR VFHICIF PFPMIT
ISSUED BY ..IEF'FERSON ClOUN1Y
VALID CN c:a...I'lTY ROADS LISTED BELO\f
ISSUED AT PORT TOtIJI.ISD'-ID. WA.SHJNG'T'ai
DATE ?- ').7- 90
PERM I T I SSUED "I'D
ADDRESS r. n,
M 0 VI Y'r1P
KoY h f'.6
lIov.S'e. MOI//i1b
iOviu-"""" V,q
'14'.?76'
=
IN ACCORDANcE .ITH CHAPTER ZOO. LAWS OF '..7. PERMISSION IS ~EBY GRANTED TO 0fl'ERA'TE
THE VEHICLE OR \lEHJCLES I-ERCIN DESCRIBED T"RANSPORTIN:;
I TDl ./..10 V.\I'>'
F'ROM e."d 0 P ao..pov1- flu... Way TO
VIA COUNTY ROAD {j,'rPn"".,. t:,~-oJ4Z.
a I'/" POri- C/.I t=.:>
ni.s PERMIT VALID F'CA THE PERIOD OF
<-,;U-t?D
.5
AXLE
VEHICLE DESCRIPTION
;:~~~OR~~~6~~____ __~_AXLE
LIC. NO.
FyQ'S9 - F-YQ/6a -Fy<?/o /
PERMITTED AXLE WEIGHT TIRE SIZE
-~J!-_--_~T"-________~~~-;~~~-;~~~==Z~==~T'____IN~-~;~~;~~~~;~;~_YES_~~
J' I~ ~T.LENGTH ~T. ~RONT OVERHANr., REAR ~T. GROSS WT._~_~
- -L.JL__ ----- ___ Lie. CAP.
_________BOLID TIRES OTHER REASONS__________________ EXCESS WT.
TRAILER
SEMI TRAILER_______
LIC. "'0.
-----------------------------------------------------------------------------
-------------------------------------------
RESTRICTIONS
MAX. .P~ED . MPH ON ALL BRIDGES
ALLOW NO OTHER VEHICLES ON BRIDGES
)(DAYLIGHT HOURS ONLY. NO MOVEMENT
DURING INCLEMENT WEATHER
TRAVEL CENTERLINE OF ROADWAY ON BRIDGES X:::~M~B:::~~~~~:~LITY FOR OVER~
FLAGMEN TO CONTROL TRAFFIC.ON BRIDGES
)( ~LAGMAN REQU I RED ON TRUCK
X RED ~LAGS DIS~LAYED ON LOAD
X ~ILOT CAR AHEAD AND IN REAR
MAXIMUM SPEED OF________MPH
NO SATURDAY, SUNDAY OR HOLD lAY
MOVEMENT.
SUBJECT TO WINTER ROAD RESTRIC.
TIONS
-----------------------------------------------------------------------------
--------------------------------------------------
LIABILITY CLAUSE
IT IS UNDERSTOOD THAT ~EFFERSON COUNTY ACCEPTS NO LIABILITY FOR DAMAGE CAUSED
TO OR BY SAID LOADS AND THAT ALL WASHINGTON STATE HIGHWAY STANDARDS AND LAWS
REGARDING THE MOVEMEHT OF OVER.IDTH AND/OR OVERWEIGHT LOADS MUST BE STRICTLY
COMPLIED WITH AT ALL TIMES.
----------------------------------------------------------------------------
-----------------------------------------------------------------------------
COUNTY ROADS ARE ONLY USED AND....I, THE UNDERSIGNEn, ACKNOWLEDGE THE RECEIPT OF
'..00 FRON PERMITTEE COVERING THE ABOVE DESCRIBED MOVEMENT.
SIGNATURE_~_~__________________TITLE~----~EE .~~_
MOTOR VFHICI F PFPMIT
I DSUED BY .JEFFERSON cs:AJrn'Y
VAL 1 D ON Cot..N1"Y ROADS LISTED BELOW
..zk~ )1 ()
/ I
ISSUED AT p()RT TOWNSEND. WASHINGTON
DATE:
PERMIT ISSUED TO F,1~- .E '7/.{1/?/--/21,,1'L/ Se.
ADDRESS ;:::? (/, 6!b>L /019'7 /~,~/OC'j , t:A/,A C/B-;;''; 9
, ,.,
IN ACCORDANCE WI'Ili cHAPTER 200, LAWS OF 18.7. PERMISSION IS H&REBY GRANTED TO OPERATE
THE. VEH I CLE OR 'WEH I CLES HERE IN DESCR I BED TRANSPORT I NG
ITDo1~P,i / hew//(;;-
FRaoI 5~ -reEfA-l R I IA! M.<.I<f(u,,-;T,v..N,b
VIA c:outn"Y ROAD '&n"Jr=rY7V?RA//- ('{T~'
J / /
'niJS PERMIT VALID .~ 'J1-E PERIOD Of'
.s3'70 i2CU::JO'j
'1' h ,.,d''j ttl2..
0/2.
VEHICLE DESCRIPTION
TRUCK
TRACTOR--------------
LIC. NO.
PERMITTED AXLE WEIGHT_____________________T1RE SIZE
TRAILER
SEMI TRAILER_______
Lie. NO.
_____AXLE
____AXLE
--------------------------
_________FT.---------IN. MAX. WIDTH_______FT. IN. MAX. HT..CF.RT,WT. yes NO
_________FT.LENGTH ________FT. FRONT OVERHANr.. REAR_______FT, ~~~~SC:;:
_________SOLID TIRES oTHER REASOHS__________________ EXCESS WT.
-----------------------------------------------------------------------------
-----------------------------------------------------------------------------
RESTRICTIONS ,
MAX. SPEED. MPH ON ALL BRIDGES
~LLO. NO OTHER VEHICLES ON BRIDGES
TRAVEL CENTERLINE OF ROADWAY ON BRIDGES
FLAGMEN TO CONTROL TRAFFIC.ON BRIDGES
FLAGMAN REQUIRED ON TRUCK
RED FLAGS DISPLAYED ON LOAD
PI'LOT CAR AHEAD AND IN REAR
MAXiMUM SPEED OF________MPH
DAYLIG~T HOURS ONLY. NO MOVEMENT
DURING INCl.EMENT WEATHER
ASSUME RESPONSIBILIYY FOR OVER-
HEAP OBSTRUCTIONS
NO SATURDAY. SUNDAY OR HOLDIAY
MDVI<ME"T .
SUB~ECT TO WINTER ROAD RESTRIC-
TIONS
-----------------------------------------------------------------------------
-----------------------------------------------------------------------------
LIABILITY CLAU~
IT IS UNDERSTOOD THAT ~EFFERSON COUN"fV ACCEPTS NO ~IAB1LITY FOR DAMAGE CAUSED
TO OR BY SAID LOADS AND THAT ALL WASHINGTON STATE ~IGHWAY SThNDARDS AND LAWS
REGARDING T~E MOVEMENT OF OVERWIDTH AND/OR OVERWEIGHT LOADS MUST BE STRICTLY
COMPLIED WITH AT ALL TIMES.
-----------------------------------------------------------------------------
-----------------------------------------------------------------------------
SIGNED. AC~NOWLEDGE THE RECEIPT OF
CRIBED ~OVEUENT.
_________________FI<E $~~112-
~mt tiS
.F<EVISED 8/=/80)
M01'OR VFHIr:I F PFPMtT
llISUI:D IIJY "'D"1"ERlION ~
""'-ID eN co..NTY IIOADS LISTED _LOIr
ISSUED AT KlIrr ~D<D. VASHINGTCIN
_,T I/OSUED To ?u.-k';;, dol-I<. dw!:!!!...~
IlbDm:SS" 1/7/1 .5:,. J'::>iSC6VC:RV'~.
/
IN ACCCIf<D.V<<:E Willi 0iAPTDt aoo. LAWS or nn, PDlHISSICIN
'I'HI: YrHICLE Clft \IE:H.CLES HERE:IN I>EsaUIII:D 'I'IIAl<sPcRTIHG
~N6
DI61'l>V~ 6A t!
r!..li'NrFI?
Do\TE Ll/t~
-Pr , 7&.':JJ1Se..rlD.
"
1& t<<:RE:BY GRANTED '1'0 Cf'DtA-n:
ITDl
"RC1f4
VIA IClCUNTy -..
7?6
'1'0_
eo 'It-&'"
'11<1 IS I'I:H< I T VAL I D P'CR 'IHI: PER I CD or
3.-1'_/- /q<qO
~
AxLE
VEHICLE DESCRIPTION
TRUCK ..LJ C6'6"1 &, 9 ~ . ~AXU
TRACTOR LIC. ~O,
RESTRICTIONS
MAX. .PEED,. MPH ON ALL .RIDGES
ALLOW NO OTHER VEHICLES ON BRIDCES
TRAVEL CENTERLINE 0" ROADWAY ON BRIDCE.
FLAGMEN TO CONTROL TRA....IC.ON .RIDGES
FLAGMAN REQUIRED ON TRUCK
_RED FLAOS a'SPLAYED ON LOAD
PILOT CAR AHEAD AND I~ REAR
DAYLIGHT HOURS ONLY. "0 MOVEMENT
DURING INCLEMENT .EATHER
AS.UME RESPoNSI.,LITY FOR OVER,
HEAD oaSTRUCTIONS
NO .ATURDAY. .UNDAY OR HOLDIAY
"OVEMENT.
.U.~ECT TO .,NTER ROAD RESTRIC'
"'IONS
MAXIMUM .PEED 0"
"PH
LIABILITY ClAUSE
I~ Is UND~RSTOOD ~HAT J~~rERSON COUNTY ACCEPTS NO LIA81LITY FOR DA~AG~ eAUSED
TO OR .Y .AID LOADS AND THAT ALL WASHINGTON aTATE HIGHWAT STANDARDS AND LAWS
RlEGARDING 'rHE MOVEMENT OF' OVERWIDTH ANOIOR OVERWEIGHT LOADS "UST aE ST..ICTLY
COMPLIED .'TH AT ALL TIMES.
COUNTY ROADS ARE DNLY U.ED A~D I. THE UND~R.IG~ED. ACKNO.LEDGE
..... ....0.. ~...! T~EE COVEIUNC THE ASOVE aESC"'SEO MOVE'UNT,
SIGNATURE~.:~a~_TITLE=di:!!. f~Ju
THE RECE I..T 0"
~"PJ~
~"I.
C"EVISEO .1.'..,
-
b'-I";"()()?
APPLICATION TO OPEN RIGHT OF WAY
j,:J0iti~~~~~~~~i~i,,\~~irA\~':~i:,.-
'.':'~""\:'jS
6~J.,(loJ
\
$25.00 fee pil,d
check U 1006'"
8-24-88 S .K. '\j,
APPLICATION TO OPEN RIGHT OF WAY
Application is hereby made for a permit to open right of way.
Please describe right of way (attach drawing or '
. map). A portion of Wasl1ington and Charles Sts. in Irondale Acre Tracts in
Section 12. T29N. R1W in order to construct a road with a 12 toot graveled
runnin~ surface with ditches and culverts as needed.
Applicant agrees to perform the work in strict compliance with
the terms and conditions set out herein, and any special
provisions attached hereto.
Applicant Name
Address
POPE & TALBOT. INC.
P.O. Box 217
, ~ Gamble~ :t;.98370
Signature: tA/ ~
Print Name Here: ST'GVif /Ai IS ?eA,...J
Date:
~ l<'idrn/
....~...
SUbject to the terms and conditions below, permission is hereby
granted to applicant to open right of way. Applicable provisions
are ~enoted by an (X).
~ Applicant is authorized to construct a private access road
to his or her property in accordance with applicable
standards for private roads. Tae Fiat!': -t: lIa~ 1I!11 Be
'i"'vQl"d ana slial.ea B~ t!ke ElI!lIl..t!~ En!li.'_~l\ The permit does
not prevent other lot owners from using the access road. In
the event users of the road wish to have the road maintained
by the county, the users shall improve the street to minimum
county road standards, or may form a roa~ improvement
district per RCW 36.88 to pay for the costs for
improvements.
Applicant shall construct a roadway to county road
standards. The right ot way will be located and staked by
the County Engineer, After construction to county road
standards, the new road will be maintained by the county,
Applicant shall pay the county one-haJ.f the mill value
of timber removed from right of way in order to offset
costs to the county for future improvements.
.I~~60MMENi:llfil'FOR APPROVAL By~~LY:5<Y,/~'/ Jt/ DATE.n' a'~ /P8'&>-
~-<M/
.. lC~sirman, Board of Commissioners
"Note:
APPROVED BY
DATE-Ed2d: 19,1"$
,;. ...., ".'
618707
APPLICATION TO OPEN RIGHT OF WAY
APplication is hereby made for a permit to open right of way.
please describe right of way (attach drawing or
. map). ~~~~ oC ~I~ ~-~~ ~
:\2~~&~': :'ti,;,,<" .~ - ;:.. ~- ~... ~l..., !t.oL
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 Le"..\1'I~\n...\..(-:> ....L'tV
Address --.p.O. ~'" I'::'? L")
l-1.~\o.sJc ~ :2S3..:;>..<=>,l
Signature~~ ..P. ~ c-d~<.;~ Date: 11<'>",3, 1~'O"=')
....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).
____ Applicant is authorized to construct a private access road
to his or her property in accordance with applicable
standards for private roads, JlNXID[~~
~e.~xxne(,J~lll~~~ The permit 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 will be located and staked by a
licensed land surveyor at the applicant's expense.
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.
REC;OMMENDED FOR APPROVAL BY ..dJ~ a K..---:: DATE /1-1:fJ"81'
DATE }/I 3;18'9
APPROVED BY
-"t..--
Commissioners
~-
'::"::::;.':::,"::,;/,
~
Leavitt Trucking Inc.
RECEIVED
Gary Rowe, DIrector
Jefferson County De;;t. of Pub Hc Worl<..s
P.O. Box 1220
Port Townsend, WA 98366
OCT 261989
JEFFERSON COUNTY
PUBLIC WORKS DEPT.
Proponent: Leavitt Trucking Inc.
Permisslon is sought to obta1n a permit to do work on a County R-O-W per
the attached specifications.
PROPOSAL
To construct an access road across County R-O-W to rea I ign private road
access onto Cape George Road. See attached maps
New access road to be constructed by Leavitt Trucking to Jeff. Co. Public
Works road standards with asphalt surface. Three traffic stop sIgns to be
installed as shown on attached map. All costs to be borne by proponent,
Leavitt Trucking Inc.
Existing private road which serves 160+ acres to the soutrl currently
accesses onto Nelson's Landing Rd., then onto Cape George Rd. at a severe
angle with poor vlslbll ity to the west along a curve in Cape George Rd.
Truck traffic is causing damage to Nelson's Landing Rd. in the process of
turning onto Nelson's Landing Rd. By creating a straight approach to Cape
George Rd. the damage to Nelson's Landing road would not occur.
The new access road would move the approach onto Cape George Rd. to the
east thus lnCreaslng Improved viSibllity to the west and lessening the
angle of approach.
Thank you for your conslderatlon in this matter.
~~.?~~
Dale E. Leavitt - President
October 26, 1989
P.O. Box 1020 . Hadlock, WA 98339 . (206) 385'()461
~,
.-
lit
/y ~lf
/1 --' t? !';>/ !i.
~ ~ <;f'V 9
- ,.:-,:.c1:t . /;
1-/
Ij
;GI~~;
;~
\.i
". ~.I'
".I':~/
,
,,'
......'.., 21
':!
'..;:....
1"'1
/TJ
i>
:z
o
/TJ
:u
r.n
o
:z
I
"'U
:U.
o
~
r-
l>.
:z
o
(I)
c:
:u
~ ~
o 6'
:u c
Ul J
Ul
N ~
to 0
" '
c: ~
:r
:z
(I)
.-1
"'U
o
:u
-l
-l
o
:E
:z
(I)
/TJ
:z
.0
4'0~
~""/~.,,t;.
.:~~~ ";:
- ",if", , .
~. :.,;.;~
\:~.,~ .r~ ..,
.....:;::Jl'
[c)1m ....
r~ m .,j p::::
'" )(< W . ~ ' ~ I
~ ~ ~ ::1:, ...
. ~... III "~ :
~i * 8 n~! r
~Ii'~ ~!~i;'
u.6'llJ 0 l~l'!
o 3 ~., ,
.~~ ~l'~
c ~ (~
~ ~ f
~ 'f] ~
F. g l'l
"l ,
;, 0
~I t
,,,-
I,
"",
rt' '..:":'1',/1 ..',~l~".".~ ~"" :.: ,',~'~:/;~,....~, ,\. Ij' ",,' "
~
~ 5
to ~
~
\\
\\
.. I ,~~ . ,,' "
...,r
.,- '.
. .
. .
~
l
.
,
I...
l\>
~
..
t ...
: ~.
. ~
":
'l
c....
h
. ~
, n
..
.'1'.
..
~ ~
.
.
.
.,."'"
.........
'-~...,\
f:: r==- 0-
f:'. <>
ti <>.
;l
~
.-
"
"
~,
".' #II"''''''. '.
t\'\'..... ~.
h ~:l
.....~t '."'.1"_~ __~
'.' 7_,-", ..~. I
~
,:J
}f
~==
" 11
:: N
;; 0
~ .
~r
;,r
:-:-2
_Jr
.~._._._.-.-~
:.
~
~
-Ii
~
~
\Jl
c
r
F
o
~
~
i
7G
o
,.........-,. .
-
.JEFFERSON ~TY
OEP.AR"rMENT OF Plji::lL I C WClRt<S
FILL (,2-7..J80~
. ACTION REQUEST
~S1'1i:D r:JY- <).1-), MldrJl.=-tr!l..l DA1'E' 3-a-9n
ADDRESS- Irl030 (?AP<=- {--,Pn,(")F Rd f"IoO<E NO.' tk~7 q Lf ~q
"P.I. , ALT. PH, NO,'
NATURE OF IIEQt.EST- 01N PERSON 0 BY PHCNE 0 BY LETTER TAKE/'I BY- (!,p
PERTAINING 11)- DOFFICE 0 ENG/SURVEY O.ROA.D MAINT. 0 EQUIP. MAINT. 0 SOL.ID WASTE
IIEQI..EST FOR- / Al V Fsfi G/-J+j(')JJ
LOCAT I~- RQAD NAME:
PRO.JECT _ PflDoJECT TITLE
DESCRIPTleI'<- . ;.::}--7!rir'ES'S
/S hAC'.!:5.) ~r; If?
ROAD NLIrotBER
M.P,
Af(J (t1I? I./()
l\St:=f'n^rrI
FJRO..JECI" NlNBER ~
NFed (7.f}/VF'RT: IJJ/']-f-F'k?
rF9f )~Tt/
ATTACH MAP.at SKETCH
REFER TO- 8{1.m-r-
RESPOND BY-
RESPCI'ISE- ~.oi~."'1l-:1i N~ep'.s f!!it!fIrr...,IveR.:r.
~~:A.I'~ /YIe el2S ~ -14-p,9 t..Je ;, ","V€.
;'" SHe ;-'" 9,,;,.,Q """ ;..J"M'f<,......
I
PeR"",;1- w~ ?ss",eD
,...,14-be. c~~"'r ...uni-H
c:",/veR..'l" '5.~~
REVIEWED BY- -s.1( DATE- 3 - /3. -90
OON'TACl'ED REQL>.ZsTER 0 IN PERSON 5BY PHONE 0 BY' LETn:R cx>NTACTED BY. 4-...
RECXlM'oE:NDAT lei'<-
"""PARE ESTIMATIr,FC:R-
ROCJ1'E TO-
o D I RECTCIR
o ASSISTANT DIR,
o ROAD st.FlERV1 SClR
INITIAL
o CXJNSTRUCTI~ ENG. _ 0 ACClC)U'oITN4T
o PLANNING ENGINEER _ 0
o ADMIN. ASSISTANT _ 0
-
.I
.JEFf'ERSa'\I cx:>t...NTY
DEPARTMENT OF PUBLIC ~S
FILE
....,J-;
REQlESTED BY <:.... ./.A
ADCRESS -
Ji
dd ACTI ON REQUEST
,IV ~)
DAYE. ;f:Zd/9o
PHONE NO.. 1:q'7~ 91$1
ALT. PH. NO..
NAT'-"E OF REQlEST.~ IN PERSON 0 BY PHONE 0 BY LETTER TAKEN BY~~U( ---'
PERTAINING "1'0.. 0 OFFICE 0 ENG/SURVEY 0 ROAD MAINT. 0 EQUIP. MAINT. SOL.tO WASTE
REQUEST f'OR.
LOCAT I ai.Oo ROAD NAt.E
ROAD NUMBER
M.P.
~-;;~;lt;:j!t:;;\ltT:~~~
ATI'AQi MAP ~TOi
REFER TO- /.1 ----/;?JtI:
RESPOND BY.
RES~E..
A/(>eD ~.., "-'O,oJ'r..-rc.'r ~~R.cJI'9 />?e'r"e/2-S
/ff'oI rc, ~ t<J-V r:
/-'<>.12 =-N~~ c../veR-"'t-,
REVIEWED BY- .:;;;fc._ DATE. '2..- L- 'Z. 90
CCNTACTED REQlESTER 0 IN PERSCJI'>lI 0 BY f"tO"4E 0 BY' LETTER CXJNTACTED BY ~
RECl::WaENDAT ION..
PREPARE EST II:'.ATI: . FeR..
AOI.I1'E TO.
o DIRECTcR
o ASS I STAHr DIR.
o RClAD SU'ERVI SOR
INITIAL
o C::C:WSTRUCTION ENG. _ 0 ACCX)U'IITANT
o PLANNING ENGINEER _ 0
o ADMIN. ASSISTANT _ 0
~
(
(
ci( (pC}.- t> 7 t' '1
~ .J- r;,v
PETITiON TO CHflNGE ROllO NIIME
WE. THE UNDERSIGNED,
rOGd oo",ed:
repre5~nting ~ mQJDri~Y of the property owners alonQ thu
1\ \ (... rtl \ v I H R.d '
------------------------------------------------------
do hereby peti~ion ~he Ho~oroble Board of Jefferson County CorulliiMsioners ~o
change the nome of said rOGd to:
_j1u~!.Q:. __~ _h,."l::1j:~:.f.__E.:_L:___ ---- ------ -- -- ----
PROPERTY OWNER
PRINT NIIME , I'II.DRESS SIGNflTURE PROPEHTY DESCRIPTION
~I;~~~;?;;7f-~;~---~~:~.-~""--~~~~-~~~~-.~:&~:!~L.:~~~~~~!_~~~."~:~~~:~~l
. \ ,".- /.. ~ J:>4~I-Hi"W.,... . .....'
"I: ........ \ : <> '(. vv~s~".r7cm\f"/'; I. ';.'"" 1" :
~____':...._~ . _ ___ ~_____wLQ..--LlL,JJL-:Y-;:;.-:..--:..'-:....--'.:.",;--.:...:..:..-;..!-------:..
'~~_q~~~-- C?f!i!Y-~_~lCi~~~^!-~!':'!-~~~-~~l:/:-~~~~~::t:::-1f!~ .
. /1. . '7;_: , r fHflo$3. ;r"o.., ,'" Ii- "';,-' I r' .L~
. A ~ ~'f. '/7 V}?4Jh. p'" . <110 /1/1 }1 . "U"
~ :LJ.f1!!.';t'____h--'::.~1.-------1:~/--------~~-.-~--:------...:~;L,"--:..-id~1};;~~ D~
:t",: , 1- J ~, I I rli ~ I ';'d;;"l'O"~j/,~';i'- rJ,:
',l.~~_~L~g,-~ _C1111A:.Jj.,----:-\k..~-<--~-~Q:!1J.fHfL--:-?-zt?--~lfjf!.!!~----:
I
I
------------------------------------------------------------------------------
------------------------------------------------------------------------------
------------------------------------------------------------------------------
------------------------------------------------------------------------------
------------------------------------------------------------------------------
------------------------------------------------------------------------------
. .
------------------------------------------------------------------------------
.....-
--~
)..
/
STRAIT OF
'AN DE FUCA
GOV'T.
LOT
4
EDGAR F. McMINN
OQI063002
47.68 AC.
6
@
1.,)1
, ,
I I
I I
I I
I :
I
I I
l,-iDl
r;: to/
I~ r
I~ I
JUDITH R. I:' I .
HILDEBRANDT, I ~ ~
0021210026,., I t;-~ ~f~~.
10,06 AC. J' ~of_ I~.e
fif !Ii ~330",.
~ z. lea 60~~~ J..,.4J.:v
) ~ ,,~~o
'Iu ~tJJc,
,~@ 0
.':;
'"
'.~ 'J-\ .
. t: \1~' i:;
1'30
THOMAS J. KELLF.II' .
ET UX
001072014
@
./ '\
.~ '
Mer."
KENNELL
ENT. INC,
002121003
10,06 AC,
IS R.
RSON
2012
_C
@
~ 1
.,
N
.,
FRANK D. FISHER, ET UX
001072002
GOV'
LOT
~g
LESTER V.
LUK/lS, JR,
ET AL
002121001
5.01 -C.
908
331
330
8'9
1323
619
(::)"~ l
pv.fV',A
'BLtt F'F
Pd. t,
l....,~ <~.L.J.~v~~
o
WM. B, OSBORNE, JR
002121005
40.23 _C.
SOUNO PULP
IBER CO.
'~93
J, LESLIE oorWVAI~.
ET ilL
001012001
(;~\
\
~'-'W').r'
'\;..;;", ~J: 7' 7'),/'-,
'. 'i '_.
:'; ~> .;.~,.
r(/f -.~"' ~
,~! \-)~"
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P.O. Box 1220
Port Townsend, WA 98366
(206) 365-9160
Gary A. Rowe, P.E., Director
Robert G. Nesbitt, P.E.. County Engineer
March 26, 1990
Joseph Walden
2621 - 32nd W,
Seattle, WA 96199
Dear Mr. Walden:
On April 9 at 10:30 the Board of County Commissioners will review a petition to
change the name of a portion of McMinn Road to pwna Bluff Road, You are
encouraged to attend should you have comments, or written comments may be sent
in care of this department.
Sincerely,
c.)-~
E,D, Simon
Administrative Secretary
xc: Sheriff's Dept./Ernergency Services
Public Works Department
APO's Walden
McMinn
Couto
Whitman
Vedaa
Petitioners Jaman
Garwood
FPD 116
100% Recycled Paper
..~
cc:epted. the road will be ad~ to the
lished on the road identification map.
:l'ected property G-m.ers shall be reassigned
1st shall be updated.
Within five working days from the date the Coard of county comnissioners
accepts the road name, notice shall be made to affected agencies an:!
property owners. Affected pI'OflE'rty owners shall be given new emergency
number signs for their reassigned number, Agencies shall be given
u);dates to their road identification maps and emergency rr=ters list.
private road name log and
The emergency ll\lIIll:>ers of
8I'ld the emergency numbers
',320 PRIVATE AND COUNtY ROADS. PETITIONS TO C'HANGE NAME
1. A request to change a road name shall be suI::lni tted on a petition
acceptable to the county. The petition shall identify the name that is
chosen for the road, At least fifty percent of the residents along the
road shall sign the petition.
2. Within ten working days from receipt of the petition, the real property
owners along the road, as shown by the county assessor's re=rds, shall
be detennined. ' .
3. A date shall be set with the 1:x:>arcl of county comn.1ssioners to review the
pet! tiOl'l.
4. All property owners along the road and affected agencies shall be
not!fiE.d of the county cOllllllissioners meeting. The notice shall state the
time, date, and place of the meeting.
5. The board of =unty comnissioners shall review the petition at the
scheduled meeting and any c:ormnents by property owners or recomnendatians
by affected agencies. The board shall either accept or reject the
proposed road name.
6. If accepted, the road name will be ~ed by resolution and the private
or county road log, emergency numbers list, and appropriate road
identification map shall be updated.
7, Within five w::>rking days from the date the board of county canmissioners
acts on the petition, notice shall be made to affected agencies and
. property aomers. If the road name ~e was approved, affected agencies
" shall be given updates to the appropriate road identification map and the
;' emergency numbers list.
a. . The county shall not be liable for costs to a property owner relating to
=rrections to their number.
4,40 FEES
Fees for the application of en-ergency numters shall be estabHs.'led by tt-.e
.1efferson County Public Works Department Fee Schedule Ordinance.
8
..-
a+hl. Edee"
April 2, 1990
<)
Honorable Larry Dennison
Honorable B.G. Brown
Honorable G.C. Brown
Jefferson County Courthouse
1820 Jefferson Street
Port Townsend, WA 98368
Re: Road Name Change
Dear Commissioners:
My spouse and I will return to live in Port Townsend in 1993. We
are both "Redskins" of the 1957 class. Nostalgia occupies our
thinking as we plan our retirement home on Porter Lane just off
McMinn Road.
I recall my labors more than thirty years ago clearing land,
running survey lines, blowing stumps and preparing a road bed
parallel to the bluff on a portion of what is now McMinn Road. I
remember deer, bear and raccoon native to the area as well as the
rats we shot at the old dump site (ask Mel Mefford). I do not
recall II puma " in the area.
If you consider anr road name changes in the near future, please
be aware of my obv~ous preference.
Respectfully!
c:::::>-.Q Jvv"\.c.~
~i.fu D. McMinn
JDM/iv
'cc: File
;
;
[..'
f
..
'. ..
)
,
\
I
,',
..
..
.>jo
j
... .
..'....
.. .' . .
..... '..
:,'" .
'" .
".
..': ,:'
":""
. ..."
....
.' ". .' ,':: .'
'--/--8 - 70
........',
..7D.' J&r'7f~5"W Co. lO&ic. t-..jDt.~ ~
" . /rirN: :r:up6 S/,...,;n OA./4 So
, f.'/20,?1.: Jo6 tJ/tCIJ b./; 1'1E'o/~,ery owAfH:-
4r biD /1?f" t11t~,tfJ ,e~.. ,/ ~ T Wt?,
/?.e...: hfr/17W ,LD.e ~NM1/:..J6 /t/5./l1~ p,
TD /Jnf,4 &<.1/7" ~oAiJ.
.........
/2/ ,. ., ,
;e, ..r,.. If/rS t:...D,?1,! 7D ;?1 'I /'I-r-T&vpCYV
.: .. E/!.olf1 ~o;'l/I/t:f-eSAr70/l!S w/17I /'1'1'1
,.j\J~/&f.6r).es. 71Irir /-r t..JoUL~ &f
;,:..: .. Uo5, 70 1-"66;1 7JI! NM/tf 0/
:,/... . 7lI6' ~M /l1~ /If;VAJ ,e'cM ;'W/.J
,.mA-t45' NO c.f/IW<':ifO w1#r.5C6'd~,.e
illl 7JI;1r ,.ecf 6I1#j.J. 7C 7W4r bv,(j"
.. tt:c::r 77i7s JlOc.UMi!7trr If6-~D'I
,..e6V~ /W'-/ /'A5-t//~ uS S/6:-Vf'/7Z/hl.5
O..e. LJi.'J CU M6V'T.5 /'-;/t/U//:J ..
,
.' .
.
:.i,', ..
. .Co
..:..'
'.' ..
" "",:
. ..:" ..
. ..
. .
.' ','.'1'
,....' " :.
.' . ..
.... ,"."',:/ ,
:;/".,..' ..
,". . " .'" .
," .... "." "
',' " ' "".""""
.:-::'. "
';" :' '." '"
';'. ...': .' ":",.,
'. '.
,.... ..... ','.
" "".: ......: "
..' ':' ...... '. .
.... ......, ..' '.' . ""..'"
'. .,..'"."~."
. :.',', ....'.,.., .'.
::" .
.'
'" " "
I":::':.' :".'.'
.':..','..'
'.. .;..
, '<
, :.,:.....,..
.
'. , .
,.' :',
..' ..
~~i{' ......,
/ . ""'?'lII,ilit .; '"",'.,'
.. .,'.
.': \.,',.,.....,..:..: ',"
......... ...... .'.>,,:;:';
" ',":'.., '..,.
, '. ,..,
, . "",:: .
.'..' "
,
", ::'" ....:
:. .
" , " .'
....,... .,....." .-
.. :
. , ,,'.,. :. ,," ..
.. ...) ,),.
.,",:', '..-
.. :.
. ,,' ,.
, . ....
'.
. .'''' ......... '.
t;j;r dt(
.
:;,",
.
'.:
'. ,--::":':""
. .. ". '..:" "':
, ..'. '.. ." .'
":. , "'.. ;'..:
,,',
,;. ,..': ;"
. ..
. . ......,
..' '.' ..'
.... ..'"
":'
. .. ,;'.'.,'
.'.,.' .:',
: . ......
. ,.:..:';
: ",.' "',.
, . ,
.." '.'.'.
, ...... , ':...
. ,
.. ...., '
.'.. ". .:.... ".
....
.',:,., ':'
. :- ;. .' .'
. ;...---' .
.
;.
....
"
". :.'.
..'
..
, "
,
". '. "
:. .";.
,:
.,
~\
~.\'''''V.:',iW}'!
~;"0~~1ii,:
~~~,-
,..''''~.,\~..'''~(
r0~)',"j~'- -,
Jkl'r.</f'5 \ 1f 'Q...
JEFfERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jeflerson Streel
P.O. Box 1220
Port Townsend. WA 98368
(206) 385-9160
March 26, 1990
On April 9 at 10:30 the Board of County Commissioners will review a petition to
change the name of a portion of McMinn Road to Puma Bluff Road. 'fou are
encoureged to attend should you have comments, or written comments msy be sent
in care of this department.
Sincerely,
~
E_D_ Simon
Administrative Secretary
~~ W&J>tf "'~U; f0 fi/""""- ~
~I- 1.-7 /1A.cM/ C~/ fI Mc#(~ j?c1~1
'1v
--------
100% Recycled Paper
......
.-
~. ,
u
/'
\ .'
/ '
...' ...
/
...
. RA1T OF
,AN DE FUCA
GOY'T.
...
/
...
... ...
LOT
EDGAR F. McMINN
OOIOli3002
47.68 AC.
6
- --" .-.-.
l.
KENNELL
ENT, INC,
002121003
10.06 AC,
~
@
Ir.,1
I I
I I
1 1
I I
I :
I
I I
1.-U;1
;;: 'Dl
I. I
l~ I!!. P.
JUDITH R. I;' I .
HILDEBRANDT! I ~ .~
002121002 S'1 I ~ i;'f:(.t.
10.06 AC. Jf,)~ 17I1_1~<f
~ ~330Co'
166 60-'~~ ^-~.....,
~ ,,"'l' ~Q
~ <fJ r..
(i)
1:\30
THOMAS J. KELLEIII'
ET UX
001072014
(j)
iD (i..0 :
..
IS R.
RSON
2012
AC
@>
.,
..
FRANK D. FISHER, ET UX
001072002
Q:
Lj
GOY'
LOT
,
~ 6:J\,
t.' \!:31
~
::-~\..
~ ~I',\i.j
:g
LESTER V
LUKII S. In ,
ET AL
002121001
5.01 AC.
908
331
619
330
619
(0-:)
1323
~'qltM:A'~B~~;;'--~"""D', ~/./ A
~\j~ .,'_U~.._ "Ff:'W...~~ f'tf . I
~::.,""':":::: ";"d.J:,,,/..-:::;'
o
WM. B. OSBORNE, JR
002121005
40,23 AC.
SOUND PULP
IBER CO.
;>\,3
J. LESLIE DONUVAI~,
ET AL
001072001
4
@
Mer,"
\
---,",,- --"CWO'"
'''''-_.' ....~v, "'pP .'.
'-~~.~x~~-~': ~__~
.~ "(
r?:' ~~;.,~.,~
,i!"1~"
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jel1erson Street
P.O. Box 1220
Port Townsend. WA 98368
(206) 385-9160
Gary A. Rowe, P,E" Oireclor
Robert G. Nesbitt, P.E.. County Engineer
MEMORANDUM
TO:
Eileen Simon ~
K. Robert Henderson~
FROM:
DATE:
April 9, 1990
SUBJECT:
Puma road naming
Eileen I would recommend against changing this road name from McMinn
to puma for the following reasons:
1. It has been my observation that a priva'tS: road sign is not
maintained adequately if it is ever put in place.
Changing a roads name in the middle of a travelled way can be
very confusing to emergency responders. The system was put
in place to eliminate confusion not to cause it.
3,
All existing addres$cS after the beginning of Puma would have
to be reassigned using the new mileposts and in the past that
has always been at the County's expense.
Finally, it appears to me that this request is for purely personal
reasons not because it is needed for the betterment of the addressing
system, and I would strongly urge that ~ changes to the system be
made only to improve the existing system.
100% Recycled paper
.-
.JEFFI:RSCfI.l c:::c:;)(J,ITY
CEPARTr.EN'T OF PUBL I C WORKS
FI L.E
ACTI ON REQUEST
REQLESTED BY.
LEROY PETTERSON (pron. Peterson)
DATE-
3/1/90
ADCRESS .
53! SHINE RD.
PHONE NO.-
417_7';6.1:\
PORT LUDLOW ALT. PH. NO,'
NAT.....: OF REQLEST.. Iilii IN PERSa-II 0 BY fItia'lIE 0 BY LETrER TAKEN BY. EDS
PERTAINING TO- IUaOrFICE: 0 ENG/SURVEY 0 ROAD MAINT. 0 EQUIP. MAINT. 0 SOl.ID WASTE
r /w Shine Rd.
REQUEST F'DR-
LOCAT I CIIf - ROAD NAt.E ~ h ; n p
ROAD NLMBER 505409
M.P.
PRO.JECT.. PRO.JECT TITLE ARO.JECT NLNBER.
DESCRIPTION. R/W adjacent Tax 17, 33 28-1E
ATI"AQi MAP CR SKETCi
Connie/Renee/Eileen
RESPOND BY.
REFER TO-
RESPONSE -
81:<:;. 30'
IO-ro-o'l
REVIEWEO BY. 1{&./Oh ...........-
c::cI'fTAC'TED REQlESTER 0 IN PERSON 0 BY Pt<<JNE 0 BY'
DATE-
LETTER CCNTACTED BY-
RECOf4toENDAT 101..
PREPARE EST I MATII: . FCR..
ROUTE TO..
o DIRECTOR
o ASSltrrAHr DIR.
D IDAD 9U'ERV I SOR
INITIAL
o CClNSTRUCTICN ENG.
o PLANNING ENGINEER
o ADMIN. ASSISTANT
o ACCDl.NTANT
o
o
\
~"",,~.,;;,w.itc,:
, . )' ./
~((~~~~. ....'~
'.._':>:t~,.~:--
rlf.~J'(
}<s)~?';-~.~
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jellerson Street
P,O, Box 1220
Port Townsend. WA 9B368
(206) 385-9160
Gary A. Rowe, P.E., Director
Robert G. Nesbitt, P.E.. County Engineer
April 11, 1990
Leroy Petterson
531 Shine Rd.
Port Ludlow, WA 98365
Dear Mr. Petterson:
After researching the records, we have found that Shine Road was established
October 6, 1909 by the Board of County Commissioners at 30 feet in width.
You may be interested to know that at one time the property was indicated on maps
as being .SCHOOUlOUSE" property,
If you have any questions feel free to call me at 385-9160.
Sincerely,
C .'t'OOL.t'
~
Connie Poole
Secretary
100% Recycled Paper
.-
...
/
t. .1
-
------RlB_ ~___~_ m
st
'33 -.!-6--; &-
Tox 74
J
Tox 77
-Tox 22> T~ 2/
,/.
Tox2q'
To 18
Tqx 64 W 220' Tox 3 E'/I0'
"
To 8 Tox~ (less W TO)( 3
220'8 N of
Tax 67 (N of Hwy) E I/O') Hwy,
N of Hwy,
Tox 9-
..,.,.,,,
.-
-"........
--
.JEFFER:SC::W CX)t...tIITY
DEP.AR'TPlENT OF PUBL I C WORKS
FI u:
REQl.ESTED BY..
ADDRESS -
1).
~ ACTION REQUEST
o sI-tJ -H~_J:_
PI-IClNE NO..
DATE.
'1,..3 ,..90
ALT. PH. NO..
NATI..WIE OF REQl.EST. 0 IN PERSa"lI 0 BY PHONE 0 BY LErrEfl TAKEN BY.
PERTAINING TO.. DOFFICE,RENG/SURVEY o ROAD MAINT. o EQUIP. MAINT. o SOLID WASTE
REQl..EST FCR. SO.;) - S:t - V
LOCATIO<. ROAD _ ROAD NlMBER (p;;.if7/9 ....P.
PRO.JECT- PROJECT TITLE
DESCRIPTlaol- . HiJ.fA) IA~ AtJ.4-,...J~ S:t;
AROJECT Nu.tBER.
~""/~/ifr
ATTAOi MAP OR SKETOi
REf"ER TO. {;1/p..., /
RESF'a'<<J BY.
RE;~- ~ _ i4 :;:7:. ~1~ %.~fJu1 !:JIr;dJ
';,; tf;~o-/ ~f!;/~ ~~;.)j;!. ;'/,"}'LT &:::: uft<L'tIv P=dy
REVIEWED BY- DATE.
CClNTACTED.REQLESTER 0 IN PERSON 0 BY PH:::Jf"\IE 0 BY' LETTER CONTACTED BY.
REeot.w.E:NDAT Ic>>i...
PREPARE EST I MATE . FCR" ,
ROUTE TO...
o DIRECI'CR
o ASSlsTAHT DIR.
D ROAn Sl.FERVI SCR
INITIAL
o CONSTRUCTION ENG.
o PLANNING ENGINEER
o ADMIN. ASSISTANT
o ACCOU"IIT Al'fT
o
o
\
-., ---w';/
':.:" JiQ'""<l';.'. .
..i'>t~!~':-
~;;:'.~.j'~-
rf;'l'<i,,'f5.;r-~~~
, ")'.
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P.O. Bo, 1220
Porl1ownsend. WA 98368
(206) 385-9160
Gary A. Rowe, P.E., Director
Robert G. Nesbitt. fJ.E.., Coutlfy Engineer
April 13, 1990
Bill Brown
717 S. Peabody
port Angeles, WA 98362
Dear Mr. -Brown:
In response to your request for road vacation information for Old Anderson Lake
Road in the South 1/2 of the NW SE, Section 10, T29N, RIW, we have researched
the County records and have the following information:
In 1962, the old road was vacated (ResDlution C-505) through Section 10 EXCEPTING
the portions lying in the present right of way llIIl! that portion being the
approach to the Chimacum West Valley Road, The approach to the road in question
lies in the South 1/2 NW SE, and was therefore not vacated. Enclosed for your
information is a segment of a road plan from 1961 showing the vacaced portions
of the old road,
If you have further questions, please contact me.
Sincerely,
&l~
E.D, Simon
Administrative Secretary
Encl.
pc: 522009
100% Recycled PBpel
':, ~t''I,.'" .\,J.':.~;; \')~ l~' :~'.
~EI'I'ERSC1" cx:>U'TY
cEP~ 01' PUBLIC WORKS
I'IU:
~CTlON REQUEST
DATE-
2 - ? 't. qD
452 J'Ljq /
(I,P
REQ..-rEO BY- :fi 1/ I -:p,p.,nWN
ADDRESS" 717 s. Pr-=:.J4 rrd f
p.A-, ALT, PH- NO,-
NATL81E OF' RE~ST.. 0 IN PERSON 0 BY. ~ 0 BY LErrER T.AKEH BY~
PERrAINING TO, DOI'I'ICE qEJ>lGISUFNEY DRCAD MA'NY. o EQUIP, "",'NT. o SOLID WASTE
REQUEsT FOR. lNr.::n ON I~ ""dpr:"'inA' (k Rr/
LOCAT...... RCW> _ 00"" NLNl>ER '51-U>09 M.P.
PtiOt'<IE NO.-
PRO~EcT _ PfIO"IEcT TITLE: ARO.lEcT N.....BER-
~='n'~c;~:;~ ~A I;; 't,; d' [~: '<~ A :;;:f~>+ SF. q<~Ar"'Ff n\'
s 10, T2. ( ) 1 1<' , It)N (J'R[)4fS I F ~
~CA-T;;; ?~i-IONs:. ARe '''-I SE:C.Ti()J-j
ATTACH ...... ao SKETOi
nEf'ER TO'
RESpoND BY.
=:
-~
.~
ANDERSON LK. RD.
RES.C-505
VACATED _ ALL THOSE PORTIONS OF THE OLD WOODMAN TO CHIMACUM
(ANDERSON LK.) ROAD, INCLUDING THE RILEY LOGGING RD., THROUGH SEC.
9, 10, 15, &16 T.29N. R.IW,; OUTSIDE OF THE R/W OF THE PRE~ENT
19,1959 1>.ND C.R.P. #212, APPROVED FEB. 6,1961; .MlD,.,~CE,E.'J:piG,.,~Q.
.t:1Hk~~139~"",,~~,$I!!1_~~~:!:..Yb:J:..~Ji;Y",~Il~ (CO ;RD; #2 2-5045)
JUNE 18,1962 VOL.O, PG-140
...-
~
~
~
........oP"'l?". I\<
,~ ~
,~ \,
N'v'
tI "
~ "
~... ,
-~.. ,
..... -~,
..... ti I"
.....~..... ~ t;V
<! ,f 2r' J:l/
''r 0 vO l'lt
~<.J~'if ~
J! ~ l / .....~~
''foi Ci~" / .\rv \~ ~
'" cJ' A!" / .\ \ ~\ Go ~.... '!'...
'V '" C! ;) ~~~".. ..
/'\"..",0;;, ~~_."
"" ~ 1,,' \,' .~ .-,
~G --:..~
'. ~~,
" If>
'4/v
"
.~
l
"
. . ~ ~. #Q
~ >t,,,,, ~O.)~IIQ ,. 6',t'"
"0'1 ,)(,0 "/,,) ....0",
.06' '1;)4/", "~lS' ".c
~~I) I".;) ~c:f ...,;
~" "'J", '",,,',fJ,,~ .
~"",O'l" ".:> 0".1.,"'"
~I)~ ~b",..., Op_ ''''Ie
Ito} ':>"0 ~ 1,)" -""'I
,,,-,,-:>It/Ol. "/~,
~ ~o".:i";) :,.,,/ ~o{
E,( ~I "0, "(,0 ~o... "....',
6; ":>. '10 :> OJ 1."
.!2 "0) ""0 'll>~ q" o/.
..6'6' ?1"'/~~ 'c'",,;
.y' ~ ....,,, .~~ 0""
CO ~ -li>l)'oJ'~"bl", IS-.o;o
~~;.E ao'E,(. "0 "-I",,~.;>~~~~....~
CO <Z. e. '\1"" ,1~0 ,;) 0. <If;o
'" "o;)t" "'0.". ocrll6'; ~
,:, ..,0' ~?", ~"k,~.i/ '.l,) ("e
~ ~ ~.)!"" ~ZJi PI";:Ir;- '"'
" ".., "b'" b-i.
0'1 . "" 'oJ ;....1 ~ _
, , 0"'0 0,:) ".'~ """,
iI'1l1o ~,)~ 0-,,_ ~bJ"
""c'o 1.,0) f(,)/t. "'0"(>
" 0 00.t'Q'''''0 .
0".9. f(,," "
!:'o-l /!Q iDo{,
,(lit.. 0 00_:0!,).
oJ"'. /qa r: 'e
.", '1/".:> ~ ~
.'<:,.. . ~~;'1I 90
"'/" ' .., " 0.;> ~ ~
.::l ',) "10.:> 0 ..f;, 6: 1.,0)
"0" ~ '.l 0;;'0", II!~~
6""0 ;1<:-';0 ':>"" "'0 ' ,
J'JI) )..~ <!f bJ/C".l' -lS
":Ji.c,'" '" "P/.iO-i))
0" '''.:>, J...." '
00 ':>110 I)
"'" ?-!
01,
+"
.'.
':\.~~~
~.
~
I _~,
. ....
,
"
\'--.... " ,
~',
....
,
,
....
,
....
....
:'0.:> "
~, ,,~~ '
""".,. "'0...... ~!Q'
6;011 ''''''.J '"
.zo,,- "0); "!"~".J;~~-<
~~tJo -so " -"I '1 ...~"
., '''.:>'0 :ill, .
0-,,_ "0' ~<
- G'.. .;-9,
I ~
I
/
/
/
I
I
I
,
I, /
11/
,'/1
1'1
1'1
1'1
,~
1'1
,
,
'/,
zo
!
....
,
-
0::
Z
m
N
~
oC'
Z
C
j:
(.)
UJ
Of)
....
;
o
C(
c
a:
'"
a:
C(
Cl
Z
C(
....
Of)
I
I
/
I
I
,
I . ~
I ~ ........."'''l'&,
'o'S~,;~f.''a
I .,..,.~....... .
....fI).-_N~.,..
I '4oltl-..1
I
I -Sl
I u<-
",OJ 0(1
I ~.. 't'
I &? ~lJI
I ~'r~
....... I ~ i~
"'~ ~cl'
"
~
-',.-
./;:.,...""
".-0...,'"
Q).~~o)..
>" "
~:\\o,...
~~
,
':11.:'
"
",'"
o
~
II)
t ~
i'~1 B
~~
ie
z
...."'...
~~~ j
135 '"
i; ~
t:te
3~
:~
~~
, ...
~~
'.. ~
~
..
o
II:
~
(I'
<011
I. o~
~
(oj
t~~
:lo" ~"
It;
'I--
....
;,~~
",....
....-
\
------',,\..;~ - <W;i':
"-. "''''k~V'/..,)',
~:'~}r.,~~..;t:.,.l_
",,'jlt~,t.. :--
~~/~!4':;,~
r '/ ~)i'"
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1 820 Jellerson Street
P.O. Box 1220
Port Townsend. WA 9836B
(206) 385-9160
Gary A. Rowe, P.E., Directof
Robert G. Nesbitt. P.E., CounfY Engineer
April 17, 1990
Marie Madsen
661 Fairmount Rd.
Port Townsend, WA 98368
Dear Ms. Madsen:
Please excuse the delay in answering your question about the right of way width
of Fairmount Road adjacent co Tax 12, Section 24, T29N, R2W. Records indicace
the road is an old cerritorial road established in May of 18B5, prior Co
scatehood, having a width of 60 feet. lt was originally called the Port
Discovery-Woodman Road.
Sincerely,
C~.~
E.D. Simon
Adminis~rative Secretary
pc: 503209
iAIGHTOnVAYCHECKLIST .....
l" ........'.' " ,.:, .' ..',' ,.,
~.. ' . .' -';' . , >'" ", '.:.'" ," ',,"
~OLllolr ;d.i' /'2. ~4-.J'i..;l.W CHECK
,ROAD FILE
PLAT ~
,SHORT PLATS ~
,VACATIONS ~
,gL1; ~:D FILE DATA ~
.OLD .PAPER FILES v"
,R()ADPLANS /'
:SURVEYS v-::
,DEEDS WITH EXCEPTIONS (ASSESSOR) ~'...
jQUITCLAIMS TO COUNTY (AUDITOR) V '
TITLE COMPANY .... . :/
!1::6Cc...~~~ ....~...
1< e~,)..o.f'K~"'J.s.- V .
FINDINGS
t)vmu vM Q~.i.f'( I!wJ ';" /9'1[': IfI</nt'~
IV/It
/~''Ir
y
Se"- (A,") bel.,u)
"
NONE. / qn
AlON E
;zr
f/ ./Yo~ ?J1'=/~f;jre, er,,,,,,-, r \~'lg)
y ,
jI/P{pS-? ...s:....:.. ctn
COMMENTS:
(.>-J It-'<,A a..:{\;:c.u.l..t- -\o-\-et\ ""'" \91~ rncl.\' u>~v 'l?&., -4A O"Y ?A. '3 '!A
'\~l!- I>W-- ~ 'i)U;~:O\<.-) ~..~'{ ~J. 3 lJ..l0.4. "\,,-b..v ~ '\-1,,- rq.;.lv<>o.j)
't Cl- "lJ<.w en-...... (""fA-?) b.~ Lf ~ -I-k",-" Ab; 0... ~ oi. 0.. la.w s....:".-t
(Su,Mm.-ycL/r<k). ~~~,'( +;~ 'F 10"5,. ~(!...:tJ4'tkD~ ~
'l-k Y'o-oArYlY{l~J b1>Tc(' l>>Cl...!..-, ~YJ i.v.... SE..61 k..:;lA
yo..'ij...ty ~ "'E.... '0 . DJ
~">'-cl...o..:ki",,- ~ f-o~~);""'l'6"t'5/~,4J ~"-*i""-i
~ \u \06' u:i\.~./i/lo'dDMA-tJ-PIh/l.ll1~TjUJ)
-
Ci) (j&.c,. <1, Us. Vn.c0.~"-'~ u.. f\.M>-J (J,J-a.,O F~ F J (" 6 /
(N., l8'1~"Ii'J> ~~ i-~ \oc:O~.
/JIV vk ~ ~~ Ct 0 ~ ~'w...U ,to ~ ~
wA;.d. 1M ~ f~-.J.uu F~r: ~d-~ ~ ;JE-
'1 &'1 ~;;;..c'l-::Icu. ... / oI.tJ ~ r ~ ta ~ Y-i<M (4A)
ifJ, (ff ~ '-'?l+t \.f1u.. ~, () 0 #.
,~ d.<l..u;-:...... ~ /Q1'1.4k.w.Y /po' j.,.". ~'a..~Tu. 1/ (v'l 3/1','[1)) ,M--n<.& ~
30 I p-~ '!6 hv ~ 4. Mea-'.
WvClAt, ~~~~ &U p(Tft1h~1
t<J~~(~,;a.pr.dt'T.; .i;Z;;::Z;:L....#W/no ~-
...RAt~. ~ I~ F '#-22-,
~_A Profile Ca.se ~~o .~;
Plat Eook ho,3, Pg.
ROlli) V:ood..'"!lan-Fs.irx.ount MilJlFilc :0;0. :;
Located jn-Se(n.I-~,-'I'_-2.9 -N.-.R. I.Y;_..\\',,;.,.-B.nd-Se.c..Z4.----
'I', 29 N. R. 2Vi, Vi, '..!. (From,.:f2f>:!; Ran~..J;~u=~L_..._
L~II~th I .._95-=t:-II11les~,_"___\\:i~~':--.---
l~~l~~~__.___.___.._ _~~~!:.~:.~~~~!.--1lar.chJ_9I7 -,-'._-
~~__,__.___~_ Fil,'hl.:".~~l.:S Boo-.ke l~c t S 6g. 69.70
!!lJllrtl\'l'llll'llt~
1,~tI~"
I
( sa c o~v1 3U T\'CY )
'C:i,TJ :'1'" ~:] )
Plat 3k.No.},?g. 2
MupFH.No. 2 pro1'.ile.7F
EeJ.d of ?t ,Disco';,"ery
Roud Viood1:an-Fairrr:oun t
Located fro:lj Woodman t S L2..nding to
Bay
l.englh '3 Miles 424 ft. Width 60 it.
l'etitiollFitl.:fl Nov. 12. 1'::'94..:0'01 (sun'cyccl(f!ntC) Sep. le9S
Acce....'t~a. l6&~~'"
E'lahlrl;hed Oct. '3. lE:g5 F;eld No'.'R. of Roads Vol.l. Pc. 66:,
Improvements Euilt bv cont1'act..Bi::i aCCe",:teo. :!:s..rch 4.1c~5 fer
~;1572.:':' .
---.\
Popm File /0.5'.
Record of Roads Vol,l,Pg. 65~
()~"',te:c to vier,' &: survey ]~tbv~14, ltjlt ,r' 62j- 2:J
rJ-, rp(a:r
ij';
,:;, ,
_/,-;.
//1"'-';/.//";' :.',_.-/.::_M-'::'C'':'''-i) ).,-...;, ,"
"""b::.-~:"
/.'-.
/;.?_" .(~._~'l
rJa; riA
he,:;," /V~ 7, s
n.-~7)/e c...;~::7..se
7/; 7:z./73, /.:.
8-/1/,
.,... ,~.. -.-.
],
:\ti
'~
[
I
t
,.
"
l i--' r T" . -r--
[T-
'.. . 1 wlJ NEWTON
-1 D'L.G. /
\~~L-i j !
(~_ --..I------~B_.--~n ~~
,. : ,;.~ - .-.\
,~'~~_l t. /0'1'1)' J;
(. ,,,,~,o,,I' ,,'.
iJ3' ' ~
r ." :;:-'0;"
~l"~~_'~~L.~~.~~.~2
l' f....' . -" =
I r?'- . ....~: ~~-
_." 'AI/ n"',,>"~
I /.~~' " -- -.t::1!: ......."==.
, 1 " .
..,~ If :
" : <./NO Fi TUKEf OLG -
~ 'J"IOVBUPNSDJ.C'. ..
,- : '
at' 8 . ~ : I.
e> -' ,<' I
~ ..,... .. --.
Jl~' \ ., , jl__'~
___un__.' . :...>Ii.> ~
.... '. ~W1"h ..----~7=~
d' \ V I 60 L I~'\
.~. liP : -~- ~
. ~"/J'I\il! ~.
~~~\-Th.. '
i~ \) \ [
\1 I ~ !
~ i S\ :
It:
~!~ :
'Tn -.,1: --r --~'3brn--- ...---
y.' \1.I~' :1 i
d . .
.It:; .. "
--1 ~~' : ' I
-
-
-
L:..,~""~"
Lt..,~, '..:: :'1'
<:~J~i'~'" ,\"'{\~:>":'"'' .
I..... (C~....' -,' "\ I
". '~;" .~. \ .
. ;"'y,.\f" . .'':0,'.\ ',', ,
<,<,~.,.. JVii/" .' ..
~;s>~"~lH; .'
: ........BIK..~~.. ": I' . '" f .
~...l-
, . ~><'l ..1
i .........Q ,J \1
! 'd..'" ""~. .\' ;\;(,
IL .':~ '
I I."'" '. .' . " \l' ,"~'
,C.~< -{.. F . :.~.
i . ~..", {to
I. .' .....
'I...~T-....l,',.\;"
...... ,: . .....~~':~
.' Ii. ...;~.i -::-j('
It.:~, .~~....'......,!.",
I> ')))' :"'~i
i''':. ....'
1...:..'......./-.".. ,,>
l..........."i.;:-i,.:')' -.(. .......... . .... ".'
.' :. ,\"..:;. ......:.>/~; ~ '
:,,:l ..;,y...~'
"./. :;!'(F:.~ ;:,! ;'~\
I""I/ "'., .. L
~ t:
.ru../.\
,. ";.
.f'9
1" '::..
I ~ '" , .
, .
"
....
-...' .,,',,,:--,
") ..::'.
..... .--:-- .'
":.",:
'. :.: .:" ,,: '
..,::;<
: .' ,
'.'
;," .: ' .
: ,". ,. " '.; '.: ...:
: '
..
;... :'
'. ...
'..,:.,,::;
. ."",': .......
, "', .,,:> .' '," ,
:': .,' ......
. .' ..' ,,:......'
":.:,:':' ,,:,,(.. '. :: . '.' ..'.. ..'....' . .'
.' , ' . ...... ..:.' ". .... ' , ...
'. .' . .' .' " " .: "..: . ,:. '. .'.... :...... .,., ,'.
....... '. '........: .::', .::
.'
"
,
'. "
.:.,
'.
':;: , :.'.
'. :';.
. ..'
. .
::
. .~ p ~.
.....~..-:c~ ..
.....:..;.,.....:<
..,).",:.'
;"(
",1..;-
I '. ~..i,
'."
" .'"
, ~ '
~
'.
r'.
ccr.u"i:;"loners order attornay to notlfy p, '!".S.F..R,co.to
remove. all obS tI'Uctltons frow cqunty 1':,,,,,1" or else '0'11 hi
new rO<:tf~.br<J.'l'" !lot to t:XC.H3,j Iv....aroUllfj hill at Dis-
covery }lay. HOV.I:l.lo90 E 249, ,
CO:"lmlr,Bic)flerS or'l-r Co.At.t.orY1e" ~o 111"111[; s!.1it asaJl1st
rttll-roa/l. to 'b\lild rOll'1 ave.I' hill W1Y !).ll:~9I E 3SlJ.
Attomey to 'bt'iI11;5U1t in sum of ii30. 000 llay 6,1891 Z 36L
Surveyor to survev ond rc't;o'J.t 1)'1 -_"",1 ......' l~ "'f "".n c~
JUll<3 1..1891 E 395 J' - -.. - V"'_ - ~. ",-" ~.
BillS for 5urvey,--sept.8.E9I E 476-1177
-.,.--~,~,..--,.---~ -,-.-.---' ----~
3>-. ..' '. Plat Book No.1 pg.26'"
~ P'.D1,o,".' ",':-W,o'o= Rd. ~,"".. 2.' ........ ......
~~d..f~ head of Pt.Di~c~very Bay northerlY alon~
Sh~~.o .';:t.-n' Wt'lnn1'l"~,.,_~i1 ~ Tr.~t"!"..,.' ""l""\t:I'" (!-, '=!f\ .'U'~ t"!~+'i"'(: A'l:m.r't
of.:;...: o_~ rna.-i of,.,.,,,,,, 'Pt: n1o:l:f"n"tT,s,...y t:n ~tq+'inT1 ~""~."r3A)
Length 5 'li 1 ~ Q Widtb'
PetitloD Filed AnI!! 4, 1,:c!~4.
l!.t.bU.hed :.!a.v 6 .lse'i
Improv~meQb COllGt ruct ion j 2
Old road vao~tA~
. '
Surveyed (dute) Dc t. . 19 ~4
Fie1<l Note.Record Vol,1.. PI<; .101
20.E ilO.oJ.,~6,212\~
'~of-n<'.Y J!;' 1.dlj. .,
Papen,. A'II'? ? ~
_ ~ Record of Roa.ds Vol. 1, PI?;, 220
r1113 road waR after:taKen by the Ru.u-rO!.l,j anli a ro~d 1.
.".1 a bUilt over the mountain by Ole n-raa'l Co. !leI" 1 r... nn
1 t . see . P. 201~
( ov"pr')
-"-
..
/ /
/ /
/ /
/ /
~ !j ( ( ~
N \ \ ..
./> z n
I , \ \ ~
N '"
\D ,; I "~.60 ..
:z 902241014
I
~ N TAX \1l1
~ ,,'10"1 Q,
~ \"'>\ ;! 3
\~\ " I:i
~
~ \""1\ &; g
~
(i) \ \
~ \ ~~~
\~\ !:!lx~
C') \~\ ~ .. ~
(:) i! I~ ",:;l
.. '"
~ ~ \ \ 2
;0 \ \ ,
~ e
't II ..
..
"'( ~
~ \ \
h- \ ;-1\;1 :g
~ I'" x '"
... '"
~ If' ...:!: .02241017
. -0
\ \ ~ TAk TO
~ .29 e.
\ \ 'Ot141000
tAX 10
::ij \ \ ,CIS a.
\ \
\ \
.",:'.\
GO 0
~ ~ ~
U; :: ?!
o
z
VI
19-29N-2W)\
"
a'f.
.~
":,
'"
'"
, . ~ ) ;,; - ;,
,)";i;:"
r~
.JEFFER.SO"II a:x.a-.ITY
DEPAR"JlolENT OF PUBL I C WORt<S
FlU:
'REQUESTED BY-
]1?.Llc.E
ACTI ON REQUEST
5-{
DATE-
ADCRESB -
PHONE NO.'
ALT. PH. NO..
NAT~ OF REQC.EST- 0 IN PERSa-lI 0 BY A<<WE 0 BY LETTER T.AKEN BY.
PERTAINING TO. DOFFI.CE.DENG/SUR'VEY o ROAD MAINT. o EOUIP. MAINT. o SOLID WASTE
REQl.EST FCR- 'RD\JJ
LOCATIOf. ROAD NNoE: ROAD Nl.MBER {"IB1oQ M,P.
PRQ.JECT - PfK).,JEC'r TITLE RROJECT NlNDER.
DESCRIP'I'IOf- L-e<tvi1+s Y'e.c.e.r..:.=J c~-eA1 ~,e.I~{W\I" I a.,^~iV\~ 12.c"-~
llfpV1lnr.i..- OV\+n ~e l-t-e.l'l'3e' <e..w,1".o ,'" \l-~b-lvJ.
"D,d
:::-<::1k.-
NSw
rMIV\~"'U ~(hle 'j<C'u\ i-c cUl~~ %e.W'l-ro db'i-k,'S?
I
A'n"AQf NAP CR SKETOi
?;1~
RESPOND BY.
REF'ER 1'0-
REVIEWED BY. DATE- 5'"-;2-
CXHTACTED REQlESTER 0 IN PERSC:JI'I 0 BY PHONE 0 BY' LETTER CX)NTACTED BY-
RECCMolENDAT IOf.
PREPARE ESTIMAT'IE.FaI..
RJISI'E 1'0-
o DIREcrClR
o ASSISTANT DIR.
o I'IOAD SU'ERVI SOR
INITIAL
o CClNSTRUCTION DIG. _ 0 ACCX)U'\IITANT
o PLANNING ENGINEER 0
o ADMIN, ASSISTANT 0
..
" .
~ .
~ !
..J
...>
~
..;::
A
~
If') ,
~
r<) I R
CO
m
Z
:t
'~ ci'
,/,1... " "\ :z
.,7..W.M.NS tI- I..LI
..'1" '\\
HI /1 ~ \ (I)
" ,It :z
\ ''4' ~
,'It
\ ' , 0
// ....
I ,.,1 .. t
!1fI H ....
I ' " 2 : .
:','1 ~ 'it a:
I /.1 0
,,' : i 0-
I :,'l'
/~'l ~ ~
\ 13 .
': : I. ~
.~'r'."N , ~
I" : " , i
" IJ.~
'I ~ ~! ~
\/ ! ~! .
. "
; ~n ; ~ t
~ I , . II. W
, '
, ......~.. a a.. ~ n, . ~ : ~ !
.: :f..... "':::":::::C ! ' 11 ·
: : I l .. . .'
// t '" .. ~i~l
....
. . ..
\ ~~ii
\
'.,
.,
-=::I <> -=::::c ~
~'\.
-" ..."',,.
HI'.
':2 ~
: ~ 'l:
, f>- a
{ ~
~WI.
~
'l:
'" a
, ~
,....,
.
- .
l ~
- a
'"
, ~
\ ;-."
41 .,~.
.-
'" .~'.'".tN'''
..,'P"
-' ,
...
~,...
\
.......J"", --/iY,w--;
~,(li:~~~~
',;.g~~-'l '
~;~~~"~'1
r(/.0"f~
,:'" '-t
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
Robert G. Nesbitt, P.E., County Engineer
April 3, 1990
David Bibler
Clallam County PUblic Works Dept.
223 East Fourth street
Port Angeles, Wa 98362-3098
Dear David:
Attached is the signed form for the purchase of crushed gravel from
your Quillayute gravel pit.
Jefferson County would like to have a clause stating that if the
price exceeds the amount stated on the form that we may withdraw
from the contract,
If you have any further questions please contact me at either 385-
5754 or 385-9166.
Sincerely,
~..::4'~
Robert G. Nesbitt, P,E.
County Engineer
ERR 03.60
100% RecyCled Paper
REQUEST TO T~E CLALLAM COUNTY ROAD DEPARTMENT
FOR REIMBURSABLE WORK
TO THE CLALLAM COUNTY ENGINEER:
Pursuant to terms of an agreement between Clallam County and Jefferson.
Countv. Washinoton. a municioal carp. adopted and approved on Eebruarv 25. 1986~
the undersigned hereby requests Clallam County to perform the work listed below
at a time and in a manner convenient to Clallam County. The undersigned hereby
guarantees reimbursement to Clallam County far all material as listed:
"1 000 tons of Crushed Surfadn Base Course shall be delivered to Tower Creek
stockpile site for no ~ore than 12,00 per ton or stockpiled in Quillayute
Gravel Pit for no 100re than $5,50 per ton,"
DATES'Rrif/97'.1' SIGNATURE /---r-A~.;/Jt/
TITLE /.lw -f #.-/'./'~--
********************************************************************************
,
TO THE BOARD OF CLALLAM COUNTY COMMISSIONERS:
Date
1 have examined the above request and make the following recommendations:
Clallam County Road Engineer and
Director of Public Works
*********************************************************~**********************
ACTION OF THE BOARD OF COUNTY COMMISSIONERS:
BOARD OF CLALLAM COUNTY COMMISSIONERS
Chairman
Commissioner
Commissioner
A T T EST:
Clerk of the Board
r; 0/.105 .07-
WASH~NGTON COUNTIES R~SK POOL
200 Mottman Building
101 North capitol Way
Olympia, washington 98501
(206) 754-4101 SCAN 463-4101
","; f . !r' Ii ';.? I!;O ~.
.":w x.~:o::? ;~ it ~ ~~.
DEe 181989
November 15, 1989
:,:'FFER~OI" COUNTY
,. ,',:ll ,r- wnRKS DEPT,
Mr. Gary Rowe, P.E.
public Works Director
Jefferson County courthouse
1820 Jefferson Street
port Townsend, Washington 98368
Re: Dale and William Leavitt and stan and Candis Johnston
vs. Jefferson County and Board of County commissioners
Clallam county superior Court No. 89-2-00646-7
Dear Gary:
This letter will acknowledge receipt of a copy of the above lawsuit
against Jefferson County.
A review of the two Claims for Damages, complaint and Certiorari
pleadings indicate the plaintiffs are alleging that the passage of the
Jefferson County Development code implementing the provisions of the
county comprehensive Plan was done improperly and resulted in a decrease
in value of their real property. They are asking for a judicial
declaration that the action was void; damages and other remedies
appropriate for alleged violations of the public Disclosure Laws,
Environmental Policy Act, Planning Enabling Act and Open Public Meetings
Act; attorneys fees and costs; and legal and equitable relief.
The Risk Pool's Joint self-Insurance Policy excludes liability for
any of the following:
a) Actions arising out of, or in any way connected with, any operation
of the principles of eminent domain, condemnation proceedings or inverse
condemnation, by whatever name called \section 6,1),
b) Actions seeking relief or redress in any form other than money
damages, nor the costs or expenses the county is obligated to pay as the
result of an adverse judgment for declaratory relief, i.e., certiorari,
(section 6,W), or
c) Actions arising from the willful and wanton violation of any statute
(Section 6,X),
.-
-
Mr. Gary Rowe, P.E.
December 15, 1989
page 2
Without knowing more about the facts, the Risk Pool is not able to
determine whether there is coverage under the Joint Self-Insurance
policy for the alleged damages or costs of defense. I understand that a
Motion has been filed to quash the writ of Certiorari and a hearing date
has been set. Before then, I will attempt to discuss the defense of the
action with prosecuting Attorney John Raymond,
Please call if you have any questions.
trury)ours , ~
u~
C awford
. ~ve Director
cc: Commissioner B.G. Brown
Prosecuting Attorney John Raymond
IIW"'''''.
'.0
-
.,'
E/..e
@
{).:;; <;;./",1, CJ /
Fda
,-" .-,...j'~' '.
Q)
STArE UF ~oS~lNGrON
CEPART~ENl OF N~TURAL R~SOURCE5
~NNUAL SURFACE ~IN~~gMC~G~e~~R~i/i~~~r T~N~u~~~~~bl~Ii~9~G ~UHMtIH
~gIlQ!J~~
PERMIT NO. 70-Cl10!Y LOCATED IN JEFFFkSON
AS SEC C7 TWN 3C RNG Dl0W ~I~E NAME
COUNTY TAX ACCOUNT NO. _____________ GNR
COLNlY UI:5CRIbEO
(If ~NY >_Cape..Becu;:g.p_!l----------
02 1 2 0
AREA DISTRICT UNIT
OPERATCR: __~efj~r~WL~Ou~~De~~_of_P~lic_~rk~____________________
ADDRESS: __~~~_B2~J2ZQ_________________________________________
\. _,..,etp:.t..JQ~~d ~-~~;:~~--r-:: ..,.--"..---...,-- ;-------- "t~-- - --
\---------------------------------------~-------------
PHOl'-l E - N D :-.::-;,;a85..-.915.L_______~~ ________________________.::_~_~___ .--
SUBMITjNC LATER THAN: C~/Ol/19B9
1. FILL OUT AND SIGN SECTIOIIS 8 AND C.
~: ~~:g ~~~Y3C~O:li'2A~01fM~~~~cgFM~~~ =~c~~~~c~~~~SO:l~I~~ ~~'5,
RETURN TO: OEPT OF NATURAL RESOURCES
OL~MPIC RI:GION OFFICE
PT 1 BOX 137~
fOR~S ,WlA..
IN CASE Of OUESTIO~S CA4'(i~ (2Uo)37~-6131
9~Y~1
/0"
,~
.H!<!!Q!Lla O,fI:RATCR'S SHTEMENT <?!
1. TOT A LAC RES PH MITT I: 0: _____ ___JQt____________ __________ ____ __________'.r
2. DAlE Of MOST RECENT MINING:___l\J)Ci1..~12a~---__-----.;.-/~----~-------:--_;O
3. TOTAL ACRES CISTLRbEO TO DATE: DPwr~~_5._____________~_:~___~_______:~
~. TOTAL ACRES CISTCRBEO CAST 12 MONTHS: JJ~__UtUL~WL~D~~____~"~~-----C)
5. ACRES TO,cE CISTUPBEC NEXT 12 MCNTHS:__~__m~texjglJrom_~w~~~U~_Q~~____
~AS RECLAM'ATIO~ S'TA RHO? Nt! -_J.__ YES __":'_.:"IlATE --'----..:..:'::..:----c;
7. NUMBER OF ACRES RE(L~IMED -----------------------------------'--------
8. HAS RECLAMATION EEEN COMPLETEO? "<O__K__ yES_____ OATE_______~________O
! CEATIF~ TO T~E BEST OF M~ KNO~LEOGE ThE INfORMATION CONTAINEO
MERE~:f::rs~~M;o~~:~ ~ND ACCURATE. P/..~.4/.. t:_~ 0
~O~ -----.nHri''''UrH1tl'ft~-NAil!---------- ~..4tn'jff~!~A'TDl1'E--------- \
, ...... .. . .. ~.... ... .. . ... ... . . . .. .. . . . · ....... ... . · .... . ... .. ... . . .. ....... .... 0,;),
~f[;!!Q!:L[; I5ILLING ST AHI'ENT INVOICE NO:~ 152607 :,
1. BASIC I-H -'i' ! ;2')0.00 0'
2. A FEE of .5.CO fOR EOCH ACRE CIS1URbED IN EXCESS Uf 10 ACRES
DURING THE LAST 12 MONTHS
3. TOlkL (LINE 1 , 2)
RES 9G-1501'1/E~ (5M-7)
..lIt'le lit.. lit *__.. 'Ie*....."..:If.."...,.. .).****"'.-.-**'111'***""" *'**.. \ft."" !lr-.llI.,..'**" '" *.. tr. -* "'II -frl1l:-* *'1\ 11'*_ *....
:>
~
lr r
,; I,
-... .,,\>,c,',(
.:
-
'- . 1 <_{',;, 2,'
,i
} . 0 ~ ; 0 ~y. /C., (/6, ~ ~3 :,
.. 'to"!
STATE OF WASHINGTON
BOARD OF NATURAL RESOURCES -"
ANNUAL INSPECTION REPORT
.-
PERMIT NO. 10-012452 MINE NAME CHIMACUM PIT COUNTY TAX NO.
INACCURACIES Q}' AND RECOMMENDATIONS FOR THE OPERATOR I S ANNUAL REPORT: "
1.
I ~ /(/O')I~
,
~
..,-..~... \
, .
2. CORRECTIVE ACTION TO BE COMPLETED BY: /1/ /A
,
(
/VA "
3. REVISED BOND - $ X ACRES: TOTAL BOND REQUIRED:
$
~ . REQUIRED CHANGE (IF ANY) IN THE AMOU~T OF THE BOND TO BE COMPLETED BY:
#4; , ,:'
A//A "
5. REASON FOR BOND INCREASE:
,
{ INSPEC'rED BY }/i.ro.L",/ A) (L4'>....~~'
1 . ' DNR REPRESENTATIVE
:J / tn..-Jd> ",,~I (:/.-, .'1
~, rcr7 r;.,.... .:, Ie....
TITLE
1-12- 8y -
,
;" DATE
~
t
<}
r
,
~
RES 90-1501 1/8~ SM-7a
t \> '", ',", , ,'~"-" , ,'-;- , , ,', ",' "', "
.(,
: ' '; ,':, ::" ,:",,:' :,':,:, ':::' ': "",:,:':: ..",
I ' ",' ,,:," :'.,.: : '::" ,::: ,
,
" ' "",::" ,:,' ' ....'
~ ,:,,.' ,-' ,'. "; ,.' ':; " '" '
, ,,' ",' '-' "",', .":, " "
~
.~ " :': ' ,: ': ,,:' .': ,.":', " , '"
f ' , "- ":': ' ' ,,'; , ,
:, ',:.. " ,', ': ' <,' "
. "": " ':",'
" " ; ",'.::' "
" ' ; ,'; '"
,,:' '" ,; "'", "
, ", ',: '"
", ", ",",' ';" /' "
" ,"" ,', ' , , ,:';'-,'"
IC": ;'" ",,' 'J
:" ': '\, ...' ",":"':,: :.i',.':'
; '" :,:","" ,:" ,::,: :' ":', ,,' ',: ,,:- ,: :, ':,: " ,
," ': > " ,:, ", ',' """"': ,,',
..,I :, ' ",", :,' ",':::' :', ': , ' , .. "
:.. ", ,', ",', :',:, '::", ,', ,', :,
, ,:':. "" ",', ' ': ',: ' ",'," ',/ ,," ,,' ,'"
:""::.,:,, . ,', "'"::",, ,':..,',," , '''', ,', '"
""::'.',: '" "", ' " , , '
.'
...'
r'
",'\ 1 I
..'~
o
o
Q6.~" i..{;Q ''6!q ,.,
iFHECEnVED
SEP 131989 0
, STATE OF .ASHINGTGN
OEPART~ENT OF NATURAL ReSOURCES
ANNIJAL SURFACE
nNING OPfRATOR'S ~EPCRT ANC AN~UAL bILLJiI;JGFJ;IiiSONEG;OUNTy(D
FROM AUGUST 01, 198" TO AUGUST 01, lPUBlICWORKSDEPT,
o
~-.,
Nl01.~70-C12452 LOCATED IN JEFFERSON COUNTY DESCRIBED
TWN 29 RNG 010W ~I~E NAME (IF ANY)_Cu~umYJt____________
TAX ACCOUNT NO. ____________.., DNR A~~A IlIST~ICT U~lT 0
OPERATCR: _~~fter~Q~~2~Uty________________________________________
ADORESS: _f~~~~2~_~lQL_J2r!J2~n~~~dJ_~~_JQl~~___________________
------------------------------------------------
.~----------------------------------------------------~
PHONE ~O: _gQ[~3~~~~l6~___________________________________________
SUBMIT NO LATER THAN: 08/01/1"89
1. FILL OUT AND SIGN SECTIONS BAND C.
2. SE~O ALL 3 COPIES AND AMOUNT OF FEE AS INDICATED O~ LINE Cl.
's. SE~C COPT OF d 1/2 X 11 S~ETC~ HAPS SrlOW!Nc, ITf:MS 81, 3, 4, 5, <I 7.
RETURN TO: OEPT OF NATURAL RESOURCES
OLYMPIC REGION OFFICE
RT 1 SOX 1375
~FORKS WA 98331
OF1'lJUESTlONS CALL: (206)374-0131
**...*~*****.***.**************+*+************.*+***.*~****...**.****.***
gfI.!Q!Ua
OPE RAT CR' S S TA 'T~M E 1'1 T .. 0
"~ ." .' .... .. ,.' .i. " . ",,11;
1. TOTAL ~CRES PERMITT~O:~__~]t______________________________________~__
2. DATE OF MOST RECENT~INING:_l!la9_____________:______:..;..______::..________O
3. TOTAL ~CRES DISTURBEC TO DATE: _~t~_____________________;..~;..~_________
4. TOTAL ACRES OISHRBED LAST 12 MON'THS: _lL4Lac,t.e..lllit..r.llo.b.nr.rllllll.._____.::..:__O
5. ~CRES TO OE CISTURBEr NEXT 12 MONTHS:___Q___~tQ~t~iULllUUL___~_________
e. HAS RECLAMATION STARTED? r;c ..x.__~ES --::-:-;-DAfE ______________0
7. NU~8ER OF ~CRES RECLAIMeD ________________________~i--L~~-~~rr~~----
8. HAS RECLA'1ATIO~ BEEN COMPLETEC? NC__X__ TE::-_--- DATE______'-_________ Q
~E~~gIi~ ~g~~t~T~E~~Dc~c2GR~~~:LE~,~,~ TrlE 1I~1~f.fr}B~:'S]~lt~.~A-J 0
-----TY~wr~ll"-pHr~~W_FJAP..F--------~::. -A~t?:~~1i~--------
**111:" 111:."''' 111: .** ** ** * JII'''' Jlr ** *!~ ** 'IlI',,'IlI 11.""" .,.'~.;..*...*,;..*.,...~.*~.h.;*.~~1II: II!" '-_.I~!* * -II *. **... *,,+. *... * 0
t' " , I
~~'!IQ~_f BILLING STATEMENT NV&ICENO. 1525~9
1 . 6 A SIC FEE' . .. :.., j
2. A FEE: ~O F > 5 . C 9 FeR E: AC rl A C R E: C T.5 T U R BED IN EXe E S S 0 F 1 q A C R F. S
OUR INl,i, THE LA~T 12 MCNTrlS ',", " "',.. i ~
3. TUTAL(LlNE 1 K 2)" LLU ' : i 1 i]' $
RES 90-1501 I/d4 (SM-7) ~,...L,,___L
$250.00
\
1~
.i~4
~~-
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P,O. Box 1220
Port Townsend, WA 98368
(206) 385-9160
Gary A, Rowe, P.f., Dlreclor
nuber' G. Nesbitt, P.E., County Engineer
August 29, 1989
Jodi Luedeeker
Dept. of Natural Resources
Rt. 1 Box 1375
Forks, WA 98331
Re: Mining Permit I 10898
Dear Jodi:
Jefferson county will accept the pit plan that was submitted by
Carl willrick for permit I 10898. This is for the gravel pit in
Quilcene Washington.
If you have any further questions please feel free to contact me at
385-9166.
Sincerely,
~.><Y~
Robert G Nesbitt P.E./L.S,
County Engineer
ERR 05,40,24
cc:penny Cr. pit
100% Aecvcled Paper
..-
-
o
o
,s-,e.e..o-s; h:1
STATE OF \qASHINGTON
DEPARTMENT OF NATURAL RESOURCES
SURFACE MINING OPERATOR'S REPORT AND ANNUAL BILLING STATEMENT
NO.
10181
SEC._TWN
RNG
LOCATED IN
MINE NAME (if any)
COUNTY DESCRIBED AS
i\NOERSON PIT
ACCOUNT NO.
DNR
;,"5
,f.\!tEA
DISTRICT
UNIT
dCrrEHS9tl COUIIlY 9!:P'!1P"""'T N' PIIRI .r WORK':
LATER THAN:'
FILL OUT AND SIGN SECTION B AND C.
SEND ALL 3 COPIES AND AMOUNT OF FEE AS INDICATED ON LINE C3.
SEND COPY OF aV2 X 11 SKETCH MAPS SHOWING ITEMS B1, 3, 4, 5,
DEPT, OF NATURAL RESOURCES
OLYMPIC AREA
Rt. 1 Box 1375
Forks. WA 98331
IN CASE OF QUESTIONS CALL: (206) 374-6131
*********.*****************.****.**.***.*.***...*.....**.*****.*.*..*******....
B OPERATOR'S STATEMENT
TOTAL ACRES PERMITTED: 9
DATE OF MOST RECENT MINING: 5-88
ACRES DISTURBED TO DATE: 9
ACRES DISTURBED LAST 12 MONTHS: 0
TO BE DISTURBED NEXT 12 MONTHS:
H~ RECLAMATION STARTED?
NUMBER OF ACRES RECLAIMED
NO
YES ---X-
DATE, "3-88;' ,>
1 ltcY'e
HAS RECLAMATION BEEN COMPLETED? NO -!!..- YES _ DATE
I CERTIFY TO THE BEST OF MY KNOWLEDGE THE INFORMATION CONTAINED
IS COMPLETE AND ACCURATE.
.p-.k,...J- r!./f::~//';,/
~:..j(cy,>t t'/, Lu
, -
TYPED OR PRINTED 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) $
(1/84)
'.""',;....+ '-^,',,- ...
"
~.
~:';.
.'
,.
~":
i
4<-
}.
t
i
.
,
~
"
t
\
'\'
~:
t,
~~;
>~;
::
".. ,
, .'
',' -c-, .
o
..'.....~-.'. ""'''''1
D5,tf-{)
',;.:."
..
',:
"Y '.. ", ", '....': .
.. '..." . ',<:,., ..'.,
. " .: " " ." ",' ....".," ..~,
,:. ,', :"......'-: ,.,',.".,....:
, .; , ""<", ' , :,.... ..'..'..
,",., ',""'. .,..". ' ' " ' ""...:,.' '..
" ':. ':'
". ,'... .'",."'.....>
'. ." ,'. '
" ":":" .' .' .'
.' ,', .,'. ":' :,"
, " ,..\" ,;" ~~:. ','
..' '. , ' ..",
.", '., "::"" I ' .' ",>
" . ...,.' '..,' ," ,:,' ,', ,', ,.,..
:' .:, "', ": ,: ", '. ',":, ',,"" ....:. ,':: ;,.' ": ::
.' ':,.," '.',.', ,', '.' '" ' ," '.' ", "
",~ . ,: <, "., , ,r., ,/: ,'. ," ,
. '''..' . " .. '" ,'" ," . '. ,'.' "', " ".:..': ,.
},.,' ", " ," '...... .>',,> "',,:.,:
" ":', .'" , " . '.., " ,,', ' '..' , '..', ,', .~'.." "
o
"
STATE OF liASHINGTON
DEPARTMENT OF NATURAL RESOURCES
ANNUAL SURFACE MINING OPERATOR'S REPORT AND ANNUAL BILLING STATEMENT
SECTION A
PERMIT NO.
10182
LOCATED IN
MINE NM,E (if any)
COUNTY DESCRIBED AS
SHINE PIT
SEC._TWN
RNG
COUNTY TAX ACCOUNT NO.
DNR
"
"'-, . AREA DISTRICT
Jefforson County Depertmnet of Public Works
UNIT
OPERATOR:
ADDRESS:
':" ,P.,."..' . .....
, :'
:.~, '::~:,'. ;,~"j.~-.'..-" ':
-',' . ";~.
-,'
'.
PHONE NO:
<,"L,\ ~:"..
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 8V2 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:
DATE OF MOST RECENT MINING:
5
4-88
2,
3.
4,
5.
...
" 6."
7,
8.
TOTAL ACRES DISTURBED TO DATE: 5
TOTAL ACRES DISTURBED LAST 12 MONTHS:
ACRES TO BE DISTURBED NEXT 12 MONTHS:
o
o Pit run borrow only
Hl\S RECLAMATION STARTED7 ..NO,--l.:-
YES
DATE ','
NUMBER GF ACRES RECLAIMED
o
HAS RECLAMATION BEEN COMPLETED7 NO ---1l- YES
DATE
I ~:RTIFY TO THE BEST OF MY KNOWLEDGE THE INFORMATION CONTAINED HEREIN
IS COMPLETE AND ACCURATE.
/!A-."..;I- d. /);...-1.# _ /,,;,//r-f ::r.~_/~
TYPED OR PRINTED 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)
'., "
OPERATOR:
ADDRESS:
, ,', '.., . ,
',' ..",'
, PHONE NO:
SUBMIT NO LATER THAN:
,~~
1
c:
f"
,f;
~'.
f;
,t
"
.
-, -.',
., '
r
F'
t
{.
..
,
~
,
"
~"-'-
.
r.
,r
, ,
-'
-
Os, qo
,
o
c
STATE OF WASHINGTON
DEPARTMENT OF NATURAL RESOURCES
ANNUAL SURFACE MINING OPERATOR'S REPORT AND ANNUAL BILLING STATEMENT
SECTION A
'PERMIT NO. 10180
SEC._TWN
LOCATED IN COUNTY DESCRIBED AS
RNG MINE NAME (if any) QUILCENE
COUNTY TAX ACCOUNT NO.
DNR
<~ ,~
'~,
Department of Public Works
_,~EA DISTRICT
Jefferson County
UNIT
1. FILL OUT AND SIGN SECTION BAND C.
2. SEND ALL 3 COPIES AND AMOUNT OF FEE AS INDICATED ON LINE C3.
3. SENQCOPY OF eV2 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
1.
2.
3.
4.
5.
6.
7.
e.
TOTAL ,ACRES PERMITTED: 20
DATE OF MOST RECENT MINING: 4-88
TOTAL ACRES DISTURBED TO DATE: 13
TOTAL ACRES DISTURBED LAST 12 MONTHS: 0.0 acre ,
ACRE;S TO BE DISTURBED NEXT 12 MONTHS: 0
NO
YES ~ DATE, 3-'79
HAS RECLAMATION STARTED7
I '
NUMBER OF ACRES RECLAIMED
HAS RECLAMATION BEEN COMPLETED?
,
5.5
NO --1L- YES
DATE
I CF.RTIFY TO THE BEST OF MY KNOWLEDGE THE INFORMATION CONTAINED HEREIN
IS COMPLETE AND ACCURATE.
..Llk/r 4. /d__j,.;-j--
.~2~~f ;;L:.L;;./
r
TYPED OR PRINTED NAME
OPERATOR'S SIGNATURE
...**....*******.*****.*****...*****......*****************************t....***
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) ..
"
!' ,'" .,.." .>..\'.:,..'.',
,,'.' ,\ .....'. .." ,.' . ",:,. ' " "
... ..'~, ' ",.. " .. . "
. " '.,..'
" :' " ,,"", .,,',. '. '::. '; ,.
, .',',. ',,',' ,',.'. ':', :,:' ,", '",
:' , '...', ", .',' ,"
" ", :,'. ."::.. '.. ,.-' '. ,:'
" , " ,,''' i ",',
." . ,. :'
'.'
. , .... : '...." ",' ,
" " ' .
, , ." .
... . :, ".', . . ".<
" ',' ,':: \ ,.', '" ." .',' ,'. ':::
',' ", ..,'..' '..'.' ': ,.... ,
. ' .' ,," " .' ',' '.':'.-
":" ...,' , .', ",)' ,:, :, '.:. ,..' ".", .'
,i".' ':'" '. ',,:' ',;'" .'.' ' '., ......',' " .' .. ,:;
. . ..." . ' ... .,.' " .' . .,', ,.,,',.., ,,:, ',...
. ...," '.'.
"
"
,
, '"
,
~/
o
o
STATE OF WASHINGTON
DEPARTMENT OF NATURAL RESOURCES
SURFACE MINING OPERATOR'S REPORT AND ANNUAL BILLING STATEMENT
NO. 10179 LOCATED IN COUNTY DESCRIBED AS
RNG MINE NAME (if any) GAPF l>FOR(;F .N
TAX ACCOUNT NO. DNR
AREA DISTRICT UNIT
I".f f-,...r~nn r:nlln....y n""'rA,...."......n+ ....+ Ptthll.- ";I''''H'''k~
LATER THAN:
FILL OUT AND SIGN SECTION B AND C.
SEND ALL 3 COPIES AND AMOUNT OF FEE AS INDICATED ON
SEND COPY OF 81/2 X 1 1 SKETCH MAPS SHOWING ITEMS B 1 .
DEPT. OF NATURAL RESOURCES
OLYMPIC AREA
Rt. 1 Box 1375
Forks, WA 98331
IN CASE OF QUESTIONS CALL: (206) 374-6131
,************.********************.*.*.*.*******.*******.*.***.*...*.**.*****...
B OPERATOR'S STATEMENT
TOTAL ACRES PERMITTED: 2
DATE OF MOST RECENT MINING: 6-88
TOTAL ACRES DISTURBED TO DATE: 2
ACRES DISTURBED LAST 12 MONTHS: 0
TO. BE DISTURBED NEXT 12 110NTHS: 0 Pit run borrow onlv
HAS RECLAMATION STARTED? NO ~ YES
RECLAIMED 0
HAS RECLAMATION BEEN COMPLETED? NO ~ YES
DATE
DATE
I CERTIFY TO THE BEST OF MY KNOWLEDGE THE INFORMATION CONTAINED HEREIN
IS COMPLETE AND ACCURATE.
.p..A,,/'~ .4: lu'.,.II/- J?L,J/-;'.k~#/.../~# 1
TYPED OR PRINTED NAME
OPERATOR'S SIGNATURE
.*.*.*****.....**.**....**..*.*......*.**...~**..*.*.*.........................
SECTION C
BILLING STATEMENT
BASIC. FEE $
A FEE OF $5.00 FOR EACH ACRE DISTURBED IN EXCESS OF 10 ACRES
DURING THE LAST 12 MONTHS $
TOTAL (LINE 1 & 2) $
~~tJ
,..
Dl~
-
WASHJNGTON S1'ATE DEPARTh'.ENT OF
Natural Resources
BRIAN BOYLE
Commissioner 01 Public Lands
August 30, 1989
Division of Geology & Earth Resources
Rowesix Bldg. 1. MS:PY-12
4224 6th Ave, SE
Lacey, WA 98503
(206) 459-6372
Jefferson County Road Department
Courthouse
Port Townsend, WA 98368
Gentlemen:
Re: Surface Minin9 Permit No. 10183
This is to advise you that a recent inspection of your site by Department
of Natural Resources' field personnel indicates that the requirements and
conditions of reclamation work specified have been met.
Therefore, per your request, Surface Mining Permit No. 10183 has been
terminated,
~~
William S. Lingley, Jr.
Regulatory Programs Manager
Division of Geology
& Earth Resources
WSL:bp
cc: Olympic Regional Office
RECE~\fED
SEP 05 1989
JEFFERSOI\I COUNTY
PUBLIC WORKS DEPT
Equal Opportunity/Affirmative Action Employer
ee.e O.;l,dCJ
CHRISTOPHER SHEA
ATIORNEY ATt.AW
P,O. BOX 160, SEQUIM, WA 98382
TEt., (206) 683-7705
June 14, 1989
Honorable William Howard
Jefferson County superior Court
P.O. BoX 1220
Port Townsend, WA 98368
Re: Holding Area Now Under Consideration
pear Judge Howa~d:
My comments. upon reviewing the sketch of the holding area,
are two-fold. It appears as if there will be a window
looking into the holding cell, which might create a problem
for jurors entering from that direction, particularly if the
matter is at trial. As you know, the problem, as I see it.
would be that the jurors would get the impression that the
individual defendant is a j ail bird and could very well
prejudice his case, One possibility there would be to put
blinds over the windows, which could be closed off during
certain occasions.
More significant to me is the lacK of a conference room or
two for attorney business. In Clallam county. it is easy to
step into one of the many tables in the law library or the
deposition rooms.
In Jefferson county, the only available space we have is the
jury room, which seems to be diminishing. I would suggest
the Court consider construction that would allow for one or
two small attorney conference rooms.
Thank you for allowing these observations, practicle or not.
Best wishes.
Respectfully yours,
~:.a 0 x1k III.R.
Christopher o. Shea
cos/vr
cc: file
\V~
,-
-
, CAll fOR BIDS
Notice is hereby _ given that the
Board of CO,unty Commissioners, Jef-
ferson _ County," ,Washington, will
receive sealed bid. up unt,il the' hour. :
of 11 :00 a.m. on November 13,:
198.9 at. the,'. o. . ff, .',ce. of t. he. '. co,. u. ,nty.co, m. '. 'If
missioners," the ,JefforJon ,: County
Courthouse~-__:. Port ~_: Townsend,
. Washington, . 98368" to ' be, thon
opened, and .: publicly' reird at. a'
me. eting of the Cau.nt. y.. C.om... .mJ'i.i .0. n. ers II
to, be ,held 'on", that';, dot., for
mec~~n'c!ll;',beatlng and,!lir,,~ontroiJ
'lmprovemenfs~ fo~ the' Jefferson C:o~
'Y She'riH'. Department and Jail, ac..
cording : to . the sped_~i~_~tions
:','prepa.red for th.i~ project." ::"':'-.:..,~'-":i::" :'
;" Bids shall. be 'submitted "rioccord.
~: anc~ .with' ,the' speciFicatio'ns on File at"
~f' the,' oHice ,'of; the': Jeffsrson. County'
Deportment, of ,Public Works, ,,1820
~ Jefferson Street, Port Townsend, W A
. 9836B,telephone (206) 385..9160,
'attention Frank Gifford, Architectural
, P~oieds Coor:dinator,.,- :,:, -'_;:'f'~ ---;,_"'", ~', ;,,;"_'.'
A pr~.bidcanference 'w.i11 be held
~ at; the project ", site', on:,' Wednesday"-
i November 8, 1999.'at 2:.00 p.m:, at
~ the 'Jefferson, Cou'nty: Sheriff's Office
I "arid Correction facility located at 81
: .Elklns Road,J:iadlock-: W A. '.:
..;.~ ',Pre-bid :'::,~pproval of ',,-,product
), $ubstitu~ions",~s ,0' requ~rement. of this
;'~'contract.'''~equest ,for,' approval by.
;:' O:wne~;: must c: be received seven (7)
,,:,or~in9'days prior to_bid dafe..- .'.
':" Each bid shall be accompanied by
~,su~ety_~bond, postal money' order,
. cash,':;':' cashier~$_':;, check '," or~::- certified
: che~k,ip',ay'able, to ,the...rreasurer of
;',' Jefferson County in the sum of 5% of
r the base bid amount, to be fo'rfeited
,:' to Jefferson County by the iuccessfu,1
:, bidder: if he ,fails to enter into',o con-
tract.. and ,file an, acceptable ,surety
'; bond In' the amount of 100% of the
"contract 'price within ten' (10) days of
; the::award,;cThe, Board of. County
:~~om'!1issi~ners,' reserves ,the' ,right to
'l!'8~.ollbIds:.:a~ccao'
iClerkofth~ Bo"ard;;':"..', ' "',1
';";,;:;::",.",,:,. ',,167511.1
,1,';;,:>:.,:" ',c" , .'.. ~ 1
Affidavit of Publication
SlATE Of WASHINGTON)
COUNTY OF JHFERSONl
fRANK W, GARREO, bfl,ng iWOln, \O)'~ he'~ Ihe publ,~t....._ ,,!
Ihlt PC-It Towf\\ltnd/Jellfll~on (ounry L..odll', 0 w"....:,
OtlWipopflr whie:h t,os bueo ulobli,h..d, rubloshlld If! Ih.. Eng"'"
1009u0ge ond e:,r(ulolfld e:ontin~''')u,l)' 0' 0 weekly new,po,",,,,
il1 rhe lowo of PorI TOWlUflOd, In lo,d Coul1l)' und Slole, ond lor
9110fl'ol (,,(...lat;ol1 in soid (OUOr,r for more than Ii... (6) manIt.,
priO'lo rhe dOle ollhe f'rsl publ,(or,oo of Ihfl Norlce herttro ul,
ra(hlld, ood Ihol Ihe ,oid PO.I Town,end/JelfeHon (OUllly
Lltodtt' wo, on the 271h do)' of June 194 I, oppro~tld os Q !fl901
Oflwlpopflr by the SUPllflO' Cout! 01 io,d Jefferson Couo'y. ond
thai onne...ed i~ t,ue ~opr allntl'
Call for Bids
o~ il oppeo,ed in Ihe regulor ond entire iuue of soid paper i"elf
and nol in 0 lupplement Ihereof for 0 period of
__..~!"!9__,____,___, ____..cOo$ecurive weeks, b..gioning on rhe
...., ..2_~:t:..I1____da, al__.Qgj:,9.l?~.-l':., 19 JlJl_,
ood ending on Ihe_,..!-~1::.doy of .l!~~emb~_~_,
19 _~_, and rhat soid newipoper was regularly disrributed
to i" subse:ribers duriog oil of this pflriod. Thai rhe full omounl
or $~Q_1-~~_~ho~ been poid in:g;;;:;UII' 0 e role 01 $5.50
per column iry_oCh insertioo.
__~~tJ.__,_..
Subscribed ood swc;rn to b"fote me Ihi~_"_ ~_;:;_~o)' of
..l':lc)."~I1ll?~..':..,......... 19_ ?.5l
U~",d<-dL4!~H!e'/
<./ Nolor}' Public m arid ,lor ,he Slate of
Woshiogton, residmg 0' Hodlock
ii,"
,.,
o oj. (g6, 01
...
INTERGOVERNMENTAL COOPERATIVE PU~PH~~.~~GRE~~ELIT
Pursus.n~ tc- Ch. 39.3~ R.C.~';. c-.:.c. othEr I;:F'pl;cab.2e lC':....s. Jr:r'FERSC.!\'
COU!;~Y. a:ld PIERCE CODN7Y, a ~unicipa2 CO~~Ol'&t;on O~ o~he~ p~~~~c
&gency. egree ES follows:
JEf~erso:) Cou~ty agreeE' to e%te~d to P~erc~ Cou~ty Jef~erso!~
County's ri~ht~ ~o p~~ch~~e the ~c11ow~nz:
Sjde~C'\:;-.ted .Flajl !.;'Oh'er c.:.nd Tractor. o~1c:"'df?d t'v 't?-;E ~-;E-ff€:=-!'cr~
CO\.l~:t\~ E;c:c.!'c. of C:(l!:".!;'..is,s.:o~er5 c.:; !':c.!"::::: 2E., :S'';'O.
(and as stated on Exhibit A attached hereto - Provisionsl
Specificatjon~/Bid P~oposal o~ the CalJ for Bids) fro~ Sahlberg
Equiprn€r:.t, Ine.
2. Pierce County S!:5~: sub~it it~ curchase ord€~ for the
equip~ent directly to Sahlberg E~uiprnent, Inc.. which shall dEJive~
directJy to F~~rce Cou~ty.
~. Sa~d pU~C~~=E by ?~e~ce Cou~ty is not 0 ru~chase fro~
JefferS0n Cou~ty.
This contract shall create no obligation to Pie~ce
County to p~rchase a!~y partic~!a~ q~a~tity or typ~ cf equipme~t, no=
create to PiercE Co~~~y any &E~Urance, WErr&nty or othe~ obli~aticn with
respect to supplying, deJivE!"ing, 0:'- conc.:.t~o!'.l. of or'.y e:q,u:prr.en"( or
ot:r~er\.-.'ise .
4. Pie!."C'€' C01.:iity shE.1J. p~')' fo:=- equipn.ent o!~derE:c. by .:. t. _.. t:-;e
m&nner requeste~ by Sah1berf E~~ip~e~t, I~c. and wi~! irlde~ni~y E~6 hcJ6
Jef~erson Countv ha~mles~ ~ro~ any liability on thE p~~chaee price o~
any equipment pu~cha5eo by it.
5. ThiS' ag:;:e~;r:e!!t sh&':~ CO!"J't;nue ':':1 force.- unti! cal:C'eJ.leci by
either party. which C2!'lce:11atio:l shz:l bE e~f~ctee upo~ receipt by one
of th~ part~~~ of th~ wrj~ten notice o~ canceJJ&t~on of the ether pa~ty.
Pe.f2E
~,
~
.~v-
.1.' 03J.po. OJ
In~ercovern~e~t~J Coooeratjve ?UrCh8~~nc Agre~ment
RE: ~ierce Cou~ty - ~owEr and Tr~c~0~ ~
6. No s~p~rate legal or adm~nl5trat~ve ent!t~ ';'5 ~ntended to be
created pursuant to this agreement. ~o obligation, BXCB?t ,as stated
herein, shall b~ created between the parties or SL~lberg E~~~pment, !ne,
7, The Jefferson County Engineer/Public Works Director shall be
0: this
Jef ferson county' ~ repreS'enta t i'ttb, f ~~~:~;,g ?~~~h~ 'ten:,c
agre'er..e:-:t" The p:e,rce County E-",,:...,..,:...., \,,:'.',: :-:,:'..-':
$~""a::' be
Pierce County's representative for carrying out the terms of
this
agreement.
8, No real or personal property will be jointly acquired nor
jointlY u$ed in this cooperative undertaking.
9, Jefferson County makes no warranties or other assurances to
pierce County that the bidding procedures followed by Jefferson County,
which led to the bid award set forth in pare,graph #1 above, cor"pl)' with
State of I""shington ar,Q pierce CO'.mty' s bidding procedures e,no.
rec.:uirernents.
PIERCE COUNTY
'Ju:.ct..J- CQJL
ATTEST: ,/ ,-I;u-7::::/'
...7 / ,1'
DATE:
~~;'./: ,~:-I'
.-
JEFFERSON COUNTY
4,/{.~~ (( 'ig,'-6-~ ,~. ,
Che..irrr.e.:i,
Eo&~d o~ C0unty commissioners
ATTEST :~f9-/}Af r~ f>~ j) /tA1 P -' J
c ler-l:: 0:- the Esoere: ~
DATE: 1-:2~-1a
APPROVED AS TO FORM:
~~l ~
Dep~ty prosecu~in~ At~O~:ley
Page? ~,
\
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
Robert G. Nesbitt, P.E., County Engineer
May 10, 1990
Triad Associates
Attn: Alan D. Fure
11415 NE 128th street
Kirkland, WA 98034
Re: Road and Utility Plan, Bayside Short plat
Dear Alan:
pub~ic Works has reviewed the roadway and utility plan submitted
f~c Bayside Short Plat. We approve of plan as submitted.
sincerely,
.A~ ;<~
Scott Kilmer
Planning Engineer
xc: Planning Dept,
PWA 03.40,01
100% Recycled Paper
-
\
1.1if.~..~~f}~/, /
"=-~"'",,~->
ff<r..;j"l!'.Y.':(
:')~~,-.'
l./'...J.~'" -lll
,,/,t
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P.O. 80x 1220
Pori Townsend, WA 98368
(206) 385-9160
Gary A. Rowe, P.E.. Director
Robett G. Nesbitt, P.E., County Engineer
May 10, 1990
David Evans and Associates
Attn: Blair o'conner
3100 NW Bucklin Hill Rd
Silverdale, WA 98383
Re: Olympic Shore, Blue Jay Lane Turn Around
Dear Blair:
PUblic Works has reviewed and approved the proposed change in the
layout of the emergency vehicle turn around at the end of Blue Jay
Lane.
Sincerely,
~.;<~
Scott Kilmer
Planning Engineer
xc: Planning Dept.
PWA 03.50,01
"-
\
r-" G;
""'''''''>-V,':-"Y:
"0';~;,;",,- ,
'. -;:t~~:;' --.
rf'~~'
17'~' ..
,/ ')
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
Robert G. Nesbitt, P.E., County Engineer
April 9, 1990
Washington state Department of Transportation
Attn: Paul Keonitzer
PO Box 9327 KT-ll
Olympia, Wa 98504
'Re: Power hook-up for stop sign beacon, SR l04/Beaver Valley Int.
Dear Paul:
As requested during our recent phone conversation, Jefferson County
authorizes WSDOT to connect power service for a new stop sign
beacon to our existing service box at the Beaver Valley Park and
Ride lot, Jefferson County also agrees to pay for the power fees
for this stop sign beacon,
If you need any more information, please contact me.
Sincerely,
~~~
Scott Kilmer
Planning Engineer
-:PWPr 02
1l'II!"'"::'<.
.-
'~ ' ~Y;.' ;',' 'ft.!:.:.~:'~~~~~:'
. "
~~~:~7 '
. ".
..,_ ';.__~,'...>.",...~~.~ ~ 7~,,~'~'~:"f-.':'" ~
. .4., ,# ~"
~.
\
I'
~"'l,.l
l,
.,.,'.
I
.2' I""
:a
e 'I:
,c.:l
<+ I
'C
Tr
J I.
.r "
t.......'
:: f': '. :.:
:. :: ~."
;." 1'.
.. : ,-., \
, j.'~'1
\ ...... ;'..1
.j.\:~'..J'
\ '
\ .
.~
......:
o
.J.
" '. .....,
" ~. ~
,
...
":"':: ~~;l.~i':'
'-':. ...~-:;:.,l.~. .'";....,;,. . '<:" ~;'~:
"':~,2:,;'.',~~~~~
-::<'<~';'!~/ ~:it~: :::'.::~ " ,.,."..
'.: .
..;{t:;~:.i'.~i.~;~-"~'
i ::" . .,~ ':\Q .::~.. '.
I \ -" ,
:..-.:..~..;i..L.. '
......"
~~ :.:.;/'.,: ":"~
,). '(",:"~ '::'\, :::'~' '"
, ..;' <r~" . l-:O.' '., ~
. ,~.. ..' :,," l'\:
i ~., ", ,....:~: ,'~:~ ~.... .'
. ~"::'. '1::.\'ISl~:,tJ""':;'\' ,....,. ~.f!
-'T" th,,,, ~Tl..' t, ~i
:".~,. 't.Io.',' t. ~' .... '...:' .. .
, ~..~,. ....' .'. .,.... " ' '
\',:: 'l",:',} ,::, "':'i..:~; .~:'i.:", :',5, :,,: '., ,
~ ,," t.. J ''',~,'': '. .~"'..~"......:, ," .'
'.. _..' '.~, ('j "1 '. . "" .,.....\\.
,>J" ..... ~r' ,. :' ~".., ,U~ .,'.
"'~ ~ ....., ,."~ ....... ", ':~. ~'.s:::.,,: 4~"l": .
'Gl CS . . 'I' ", ''*"' ," ',0 ij('''' ....i
" ..." ,I. :..~ .~,;~ : ~".;t: '" 'f' f:.~;~'1.1t I i 'A" ~l~""
" :~" ",' ".~. ".:,..".",,;;;',' . ~:t- -""., .
. "...,">" \~., : ':'->:~:;,h,,,,,,':':.A~:~"':'I:()"
v
',,"
\
1.;.,.~'i.'t~G}tr;,'-1
~~~J,.q,
(IIA~~~'''''~
.:- '<);'
JEFFERSON COUNTY
OEPARTMENT 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$bitt, P.E., County Engineer
March 20, 1990
Ernest Geissler, P.E.
County Road Administration Board
2404 Chandler Ct., S.W,
Olympia, WA 98504-3913
He: Annual Certi:ficat'ion Submittal
Dear Mr. Geissler:
Submitted herewith is Je:f:ferson County's Annual
Certification with attachments.
If you have any questions, do not hesitate to contact me.
Sincerely,
Robert G. Nesbitt, P.E.
County Engineer
by:
~~
Construction Engineer
Encl.
xc: PWA 04.50
100'/, Recycled Paper
'.
ANNUAL CERTIFICATION
(For Calendar Year 1989)
COUNTY ROAD ADMINISTRATION BOARD (WAC 136-04)
I. ~NAGEMENT AND ADMINISTRATION
1. The county road engineer performed the duties and had the
responsibilities specified in RCW 36.80.030 , . (yes) no
(If no, please attach brief explanation)
2. AS of December 31, 1989 the management of the County Road
Department was in accordance with policies set by the
county legislative authority including, but not limited
to the following specific policies required by CRAB
standards of Good Practice (WAC 136-10-050):
~
IMPLEMENTED
DATES OF
1989
REVISIONS
(If any)
12-1~B9
~
:rn
~
(Yes) No
(attached)
Yes No
Regarding organization (Yes) No
Regarding Personnel Practices (Yes) No
Regarding Handling of Complaints (yes) No
Regarding Work for Others (Yes) No
(If No, Please Attach Pertinent copies)
Yes No
Yes No
3. A written resume of bridge inspection findings was furnished to the
legislative authority in 1989 as required by WAC 136-20-060 on
6-15-89 please attach a copy.
(date)
4. The Annual Road Program for 1989, prepared in accordance with RCW
RCW 36,81,130, was adopted by the county legislative authority
on 12-19-88
5. The county's road budget for 1989 was adopted on 12-19-B8
II, OPERATIONS
1. projects to which construction expenditures were charged
were all on the 1989 Annual Program, . ' .yes mo)
(If not, please attach explanation)
2. This county's day labor limit for 1989, computed in
accordance with RCW 36.77.065 was, . . . . , , . ..$~
3. The actual expenditure for day labor construction as
reported in the 1989 construction Report was. . . . , ,. $ 37.440
I hereby certifY to the accuracy of the responses given herein (as modified by
the attached statement, if any).
~~~
~(Signature of "~unty Engineer)
Approved: ---4.......',. 41' f!~ /Zk....:~ ;;j)fH"p
(Chair.man of the Board ~te
or county Executive)
P-~.d- ~9?.d'
(Date)
Jefferson
(County)
PLEASE RETURN TO COUNTY ROAD ADMINISTRATION BOARD NO LATER THAN APRIL 10TH
...-
--
JEFFERSON COUNTY
BOARD OF COMMISSIONERS
DEPARTMENT OF PUBLIC WORKS
Pl.ANNING J<
PIlOGIlAMMING
C.A!'IT AI. PROJECTS
CON STR UCTlON
MAINTENANCE
AND OPERATIONS
ADMINISTRATION
AND SUPPORT
. . . . . . . . .., .
NOTE: Full time positions only.
AOOPTED J)Eamu.tz. Ie, 989
4~ a, ~--
G.,y A, Rowa. P,E.
,,*1C~.s.~TIOf\ICt(A,"
tl..l'bt'"
\
,~'rfJ'
~~~~~r..' ..& "
~.:::J;4,~<
.....a?-"~~~
'<, :> 'l;.;,J;}-
'T.."~'" -c.
." -,t
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jeflerson Street
P.O, Box 1220
POri Townsend. WA 9B368
(206) 3B5-9160
Gary A. Rowe, P,E., Director
Robe" G. Nesbitt, P.E., County Engineer
TO: Jefferson county Board of Commissioners
FROM: Robert G. Nesbitt, County Engineer ~~
DATE: June 15, 1989
1989 BRIDGE INSPECTION REPORT
In accordance with WAC 136-20-060, the biannual bridge inspection
for Jefferson County has been complet~d.
The inspection was made by Robert G. Nesbitt, County Engineer, and
Bruce Laurie, Construction Engineer.
All Jefferson county bridges were inspected and they were found to
be in good condition. All bridges need routine maintenance
(railings need painting, gutters cleaned, and soil and grass
removed from wing walls), The only major items of work that were
found were that the steel girders need painting and the fenders
need to be replaced on Portage Canal Bridge.
OWl Creek Bridge Replacement contract has been awarded and work
should begin about July 1, 1989.
A new federal law will require the County to have some bridges
inspected by certified underwater inspectors in the future,
PUblic Works is putting together a contract to upgrade all bridge
approach rails and bridge guardrails to the updated Federal
Standards.
,,..
. ,~I.
15 jI:: O~- 311.3
'OO~/l Recycled Paper
':
ANNUAL CERTIFICATION
(For Calendar Year 1989)
EXPLANATIONS OF "NO" RESPONSES
Part II.
QEEBb1lQlli2
1. Five Projects, Items 15 through 19, were added to
1989 Annual Program by various Resolutions by the
B.O.C.C. per RCW 36.81.130. The projects were added
because of the time necessary to accomplish the
engineering, acquire right of way and meet the
scheduling of the construction of the various projects.
!IIl!"!"I'lI-'.
.-
\
" ,~.,
~\Fi~ ii"
\"li~~~~~~"
GO' "",'.!',.,J,-~
I? ;<:ff-;"~-'
" ':y
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jellerson Street
P,O. Box 1220
Port Townsend. WA 98368
(206) 385-9160
Gary A. Rowe, P.r... Director
Robert G. Nesbitt,P.E., County Engii1eer
September 25, 1989
Chuck Hornbuckle
Department of Transportation
District # 3 Traffic Engineer
PO Box 9327
Olympia, WA 98504
Re: SR 104 / Beaver Valley Intersection
Dear Mr. Hornbuckle:
Per our earlier telephone conversation, this letter is a request to
the Department of Transportation to look into the possibility of
installing a "stop sign beacon" at Beaver Valley Road / SR 104
Intersection, Jefferson county believes this would help stop some
of the accidents that occur at this location from people not
stopping at the existing stop sign.
If you have any questions or need any more information, please call
me at 385-9160.
SincerelY,
J)CtJ;tf;,~
scott~ilmer
planning Engineer
941507
PWA 02
100% Recycled Paper
-,--
~~
).1JII'
....
\~, W.",
CS:)h-;f~,.',-.:.,-/i~('.
"-.~~~~-:--
~'i;.'J!~,,(
(;/~ ~\"~ ",..~..:~
.> ','),
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Slreet
P.O. Box 1220
Port Townsend. WA 98368
(206) 385-9160
March 15, 1990
Gary A. Rowe. P.E" Director
!iobef/ G. NeSbitt, P.E., County Engineer
Jefferson Transit
1615 W Sims Way
Port Townsend, Wa 98368
Re: Review of Jefferson Transit six Year Development Report.
Thank you for the opportunity to review the Development Report for
Jefferson Transit. We have reviewed the report and have the
following comments:
The number of bus pullouts planned for construction during fiscal
year 1990 were determined to be four (4) along the length of the
Oak Bay Road, within the CR0812 project construction limits. Cor.;ts
were estimated for budgeting purposes to be $5,000.00 / per each.
The number of bus pUllouts planned for construction during fiscal
year 1991-92 were determined to be four (4), Two (2) are to be
constructed at Airport Intersection and two (2) at S.R. 20 _
Airport Road Intersection. Again costs were estimated for
budgeting purposes to be $5,000.00 / per each.
Additional evaluation and coordination for transit bus pUllouts
will be needed for the fallowing projects proposed in the Jefferson
County Department of PUblic Works Six Year Transportation
Improvement Program:
Item No. Name M.P. To M,P.
12 Irondale Road 0.00 to 0.65
13 Chima cum Road 0.08 to 0.35
15 Irondale Road 0.65 to 1.63
16 Rhody Drive 4.70 to 5.10
17 Dosewalips Rd. 0.00 to 0.51.
18 Ness' Corner Rd. 0.28 to 0.68
19 Cook Ave. Ext. 0.00 to 0,62
26 Misc. Projects
If you have any questions do not hesitate to contact me.
Sincerely,
~~GP~~
Gary A. Rowe, P.E,
Pirector of Public Works
PWA 02
100% Recycled Paper
,-,
.-
\
~~~~;~
~~~?;~
f1(;- .:~rt.~:!:::.
,~!, ''')~.
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
Robert G. Nesbitt, P.E., County Enginee.-
March 13, 1990
puget Sound Surfacers Inc.
P,O. Box 1686
Forks, Washington 98331
Re: project # Q00888, crushing and Stockpiling
Gentlemen:
The Jefferson county Board of Commissioners has awarded you the
above referenced contract for your bid amount of $187,685.00.
Enclosed are three originals of the contract documents. Please
execute the contract and contract bond on the forms provided and
return all three copies to this office for execution by the Board
of county Commissioners. After the Commissioners have executed the
contract the County will return your copy of the fully executed
documents. Be sure to indicate how you want your retainage handled
on the enclosed "contractor's Declaration of option for Management
of Statutory Retained Percentage".
SE~
Thomas E. Morello
Project Engineer
xc: Q00888
PWA02
100% Recycled Paper
","-,...,...' ,,-
Ii
1:
I'i'
f
<<
1
r
~
f~
f
~
}
1"
~
..
I
1.
,
~
,
't,
,
If
!
, . ,. .,......
'Pc....).OZ-
JEFFERSON COUNTY
_ DEPARTMENT OF ~u8L1C WORKS
1820 Jeffllrson Street
PORT TOWNSEND, WA 98368
(206) 385-9160
DATE.. _.3!(p.. [90_---.---.- --.--.-----..-
SUB.IEeT _._j:"'.c:Ji!,f:.5T-_ftnc..nc.t5,-_N,e:nc..E..__,
_____.._./.~&,:::20_,._.._"..i;::>IJ.l?c._.___..____.____._.
TO -Cl"&J.6__f-:.~~1-i.E;,~_._-.-..--------
.....?"O__12D><_I-~5'_- --.----.-.-,-
-:F-""~~--3B3.3)-----_-_---
C l' A1&, ----.-------"..-----,-,------.----
- """" ""'- --,' '-{
-k----r_jNf\U:,_~a.!o-'))-..--~_-,::):H-l-S-----,v&7/c..L-_r--././C7Z-C-.--
-I.s._~~ .,------.-------------------------------
:/i/lfl?1. .-,? l!t.{:;-,. C ~
- SIGNED
Item" F380 Grayarc, p.o. Box 2944, Hartford, CT 06104-2944
C Wheeler Group,lnc., 1982
Fold At (_) To Fit Grayarc 2Niew Erwelope" EWYOW
..,.,;.
,,' .,.., , ,
';'.' ", '.,' :. ',:,
" " ,', '.,"
" :,".,>'::r '(<:' "',
.'. ,.,. : .-
'1';" ,: .. ' ","
, ","
,; . '" ',,: ,'," ,',
.," ',",,', , ' ,",
".. ",,' " ,: ',...', '.'
, ',' " ..:.,,..',,,,,,.,'.,
,',',.'" ".", .',".',:,' .
[,,_,' ,',',':, ','.-,,' ",,', '... '"I
". ,i ':,:' ' .", ", , ',.',.'
',,:< :' '~: .. ",,' :', "
.,," ",,:, ,,'.',' ",' '..,
.:', " " ' ",' , ,. " .
',..:" :.' :: ':.-,',' ,;
"," [, .'-> ,,'
',' ,..',' ":" ,
',," , ';-, <';,.'" , :
, ...,., ',:"
,,;,.: "", ' ',':,.', ,.',,' , 'i"
" ': ': ,,',
"', ,,", ",',:,, """" ','
",'.: I, ,. .:' :" "
'," '.:,", ',',' "'/
,'" ""i","" ::,,', ,.. :,'
,',,', " " ",::::,..
I,:: ;: ". ,', ,::", ,
, : ': ' .' \ '., ' , :' '"" :' , ' ,.' " " '
,.' :'," ",'., ': ,...'
,,." "''- '" ",., ' ,,', ' . " '",
.,', ,,:,' "', , .. ',i,',,' ' :,' ,:' ""', ,'i ,:::
"" "'.' , '" " ' ':, ',', "" ',' :', ,:".
:"" :.',:, ,I,.. "," " :', "', ,,:,..: ','" ",', :", , ", ;",,',
,,' ",', '.';',' ' . ,,'" " " "", " ", .' ,':" :' , " , ". ' '
, ',' ,'.,:,', ,'", " , '" ' . " ,.,' " "
';'
,i
, I
..'
.....
" :
.. ',('
"''''';'''
, '..
,,',
...
-Wayne Ratcliff
Forest Pracllce Specialist
- Olympia Region
RR 1 Box 1375
Forks WA 98331
(206) 374.6131
~'"' Home: 288-2448
~~ WASHIl'IGTON STAn: OfJ'AnTMl:t'lT Of
Natural Resources
~ &non IIQVIv . ComrmulO....' ul Put:>llC Lolla~
i<:;m> "'- J 3'5 IO'l
M........e c.z\<.. ~,
I
DEPARTMENT OF
~esources
I
FOREST PRACTICES
ORDER / NOTICE
,-
-..-
~ OJ. 10
RESOLUTION NO. 13-90
1989 BUDGET TRANSFERS
VARIOUS COUNTY DEPARTMENTS
WHEREAS. the Jefferson county Sheriff. Board of Equalization. Civil
Service commission. Facilities Management. centennial Commission. Juvenil~
and Family court Services. Planning and Building. and Superior Court
Departments have requested budget transfers in order to balance their 1989
Budget of Expenditures; and
WHEREAS. due to there being sufficient funds in other categories
within their budgets to allow the requested transfers; now, therefore,
BE IT RESOLVED. that the County Auditor be and she is hereby
authorized to make the transfers as requested on the ~ttached torms tor the
Sheriff, Board of Equalization. Civil Service Commission, Facilities
Management, centennial commission, Juvenile and Family Court Services,
Planning and Building, and superior Court Departments for'their 1989 budget.
'b
APPROVED this ~day of January, 1990.
~,...::...'~.~";'II~' "-
..' \,~ f' -.- ~ '
//~ ..' '.-.'r.,'
J ~ : \.
5EAcl:.. \
. ' ' \
'. . , ~
JEFFERSON COUNTY
BOARD OF COUNTY COMMISSIONERS
I:.
. .
, I
I
~..,--e.-'M~~
George . Brown. Chairman
/.
B. G. Brown. Member
ATT~, J~
rY'!,)o1.{,( ..-.. .
Lorna L. Delaney.
Clerk of the Board
X'
Member
ReceIVED
JAN 2.~ 1990
.;EFFER~
UBLIC wOO" CUUNTY
RKS OEPT,
...-
-
\
~:'. :-V..,Wi/
'" .(h,!,;~.i'
,.~,t-"-
:~~i.J-l. .
r'l' (~~,~ ,.. llo
.' . 'r
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
'820 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'''';:'.If
January 26, 1990
Irving Johnston
Rt. 2 Box 794
Quilcene, Wa 98376
Re: Construction of Private Access
Dear Mr. Johnston:
As we discussed on 1/26/90, Jefferson County will reimburse you for
expenses necessary for the construction of your private access
approach, The position and limits for the construction will be
determined in the field by mutual agreement by you and Jefferson
County.
The intent of this construction is to provide a private approach
access apron (Length to be determined) off of Center Road, onto
your property, This work can be performed either by you or by a
private contractor.
If you have any questions, please feel free to call me, my phone
number is 385-9167.
sincerely,
&fZm~~'-
Office Engineer
xc: PWA02
Eileen Simon
Scott Kilmer
100% Aecycled Paper
..
\
'\.~>.'ii-;:.'.1"W,~n
,'7'~,~l',~iI- /
'. -'l:t:..t:!'?c='
~~if#.;;{
/;~&~.-,.-~
I"\)'
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 Enpif1eer
December 19, 1989
Ernest Geissler, P.E.
County Road Administration Board
206 - 10th St. S.E.
Olympia, WA 98504
Re: Annual Construction Program Submittal
Dear Mr. Geissler:
On the enclosed diskette is Jefferson County's Annual
Construction Program. Additionally, a copy of the resolution
addopting the program is enclosed.
If you have any questions, do not hesitate to contact me.
S~inCerelY'
6- ~
Robert . Nesbitt,
County Engineer
,;4-..
P.E.
Encl.
xc: PWA 04.50 V'
DES 05.40.04-1990
100% Recycled Paper
\
l'~/}I?7i,/
~ @.~~~;'.:::
. OO;q/
'I') ~>-~
tlv' '"
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P,O. Box 1220
Port Townsend. WA 9B36B
(206) 385-9160
Gary A. Rowe, P.E., Director
. Robert G. Nesbitt, P.E.. County Engineer
December 5, 1989
Ernest Geissler
County Road Administration Board
206 lOth street SE
Olympia, Wa 98504
Dear sir:
Enclosed are the overlay and chip seal program forms you requested,
The new program should include preleveling, dig outs with full
depth patching, paving of gravel shoulders, and surface drainage
control. Surface drainage control would be asphalt curbing with
down pipes or flumes to prevent erosion. Also regrading of ditch
slopes to improve safety,
The reconstruction of a road by adding extra lanes should not be
covered. If an additional lane can be constructed within the
existing width (shoulder to shoulder measurement) the lane should
be covered,
I do not feel that there should be any different criteria applied
for the use of ACP or BST.
If you have any further questions please feel free to contact me,
sincerely,
~ffi/J
Robert G. Nesbitt
County Engineer
dC!, ;PaM CJ ~' 50. tJ r;
011'1' r,e6/O'4'/~~ cY
100% Recycled Paper
-
\
~~,..;;_~,,"".?'i..1
~{k'i~'. /
~~?-
fir"; '1;;;'2';:;
/<1'1" ·
JEFFERSON COUNTY
OEPARTMENT OF PUBLIC WORKS
1820 Je1ferson Street
P,O, Box 1220
Port Townsend, WA 98368
(206) 385.9160
Gary A. Rowe, P.E.. Direc;Ior
Robert G. NesbW, P.E., County Engineer
November 16, 1989
Edward Sluys
Washington Fibres
513 A St. N.E.
Auburn, WA 98002
Dear Mr. Sluys:
Last May we established that Washington Fibres owned the hooklift drop-box being
used for U,B.G, by Jefferson Recycling.
We are interested in purchasing the box. Please contact !lie so that we can
establish a fair market value, Thank you.
Sincerely.
~.
Jeff Frettingham
Environmental Planner
pc: A 02
'00% ReCycled paper
\
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Je1ferson Street
P,O, 80x 1220
Port Townsend, WA 98368
(206) 385-9160
Gary A. Rowe, P.E., Director
Robert G. Nesbltl. P.E" county Ens'neer
september 20, 1989
Kala Point Development
260 Kala point Drive
port Townsend, WA 98368
Attn: Mr. Bill Lindermen
Re: storm Drainage Outfall for Piv. No.9, Dated July 18, 1989
Dear Bill:
Jefferson County Public Works has completed the review and
checking of the drainage outfall designed by Triad Associates for
Division 9 and finds it acceptable as submitted.
.., s:cerel~ .
~~
construction Engineer
. :KC: PWA 02
/kY3
\
'~, '%O~
,~,~~
~~~
'I'l~- --..
1/ \!\
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P,O. Box 1220
Pori Townsend, WA 98368
(206) 385.9160
Gary A. Rowe, P.E., Director
Robert G. Nesbitt, P.E., County Engineer
September 15, 1989
MEMORANDUM
TO: Board of County Commissioners
FROM: Gary A, Rowe 4~ a.12_
SUBJECT: Personnel
The current engineering work program requires that employees be assigned to higher levels of work
than what they are currently classified, The program needs cannot be met without these employees
doing the work so I am planning to pay them higher pay for the time they are assigned to those
projects that require the higher level of work,
This practice will continue as needed,
cc: Engineering Staff
Teamster's Local #589
,--
-1lI!l
#15
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
MEMORANDUM
TO:
All Department ~jts
Bob Henderson ~
september 13, 1989
Bomb Threat Class
FROM:
DATE:
SUBJECT:
Do to an unforseen commitment on the part of our instructors, the
previously scheduled classes are now cancelled and will be rescheduled
sometime in October. As soon as I know the schedule, I will let you
know.
Sorry for any inconvenience this may have caused you or your staff.
When we finally do have the class, public humiliation of WSP 884 will
be encouraged.
100'% Recycled Paper
A--
. . ~.
-
\
~' ~ tJ};;.,
"~..... '2>.,"'r.:;'I'. '
. ", <~ '""." ~~'4-..~
,;.#,ftfrjy,
. (II,.'~~;""~,~
.:! 't
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jelterson 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
Septe~oe~ :3, :989
National Transoortation Safety Boare
Washington, D.C. 20594
Attn: Jean Fasone, Investigator-in-Charge
Re: Harrison Road Temporary Bridge Col1a~se
Jefferson County currently has 25 bridges open to venlcular
traffic. One of these bridges is being replaced at this time and
does have d temporary detour bridge in place while construction of
the newst~uctu~e is unde~way. St~ucturally, the te~porary bridge
does meet the current load design of the new bridge and exceeds
that of the old bridge being replaced. The temporary bridge does
not meet current design standards for width, bridge railing,
approach width or approach guard rail.
I hope this information will be helpful.
Sincerely,
~L~'
Construction Engineer
xc: ?WA 04.30 ":O;.':'.5.B."
100% RecyCled Paper
---...-
\
,li}?/i
~\i~M,-.~n
-='l:tw"9t--=-,,
f.p,[-lt~~
Yt1~- .~
\),
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P.Q, Box 1220
Port Townsend, WA 98368
(206) 385-9160
Gary A. Rowe, P.E., Director
Robert G. Nesbitt, P.E., County Engineer
Jl'EMORANDUK
TO: planning and Building Department
FROM: Public Works 4X-....
DATE: september 6, 1.989
IDJR3ECT : Chimacum Post Office Access
public Works has reviewed the access to the new post office in
Chimacum and found the approach acceptable, Two stop signs are not
necessary for the access, so Public Works would like the stop sign
facing Rhody Drive to the east removed.
xc: PWA 03.10
'00% Recycled Paper
...-
--
\
-
~~'-~
JEFFERSON COUNTY
DEPARTMENT OF PUBLIC WORKS
1820 Jefferson Street
P.O. Box 1220
Port Townsend. WA ge368
(206) 385-9160
Gary A. Rowe, P.E., Director
Robert G. Nesbitt, P.E., County Engineer
August 31, 1989
Mr. Art Smelser, Dist, Administrator
W.S.D.O.T., District 3
P.O. Box 9327
olympia, WA, 98504-9327
Dear Mr. Smelser:
Jefferson County pUblic Works Department requests that it be
able to continue to make purchases from District 3 through, the
current and next biennium. The Department also requests that the
District bill monthly as required when purchases occur.
SZ;a k__
Gary A. Rowe, P,E,
Director
xc: PWA 02
---,--" ,- ,-~,
I.
Ilt
f.ij:::;:, i3S9
Rugust 29, 1989
JEFF,
PU3L,
Jefferson County DPW
PO BOM 1220
port Townsend, WR 98368
Gentlemen:
To enable the Department of Transportation to sell items surplus to our
immediate needs to other gouernmental entities, we are required to haue
on file a letter of agreement from the requestor.
If It Is your Intent to haue future requests for serulces from the
Department of Transport8t1on, District 3, ple8se furnish us with 8 letter of
8greement. R sImple letter stating tile period of time couered by the
agreement, how \lou wish to be billed, and the neture of the request
signed by your DIrector or other 8Pproulng authority will be sufficient,
Please m8i1 the agreement to my attention. Thank you.
Sincerely,
flrt Smelser
District Rdminlstnstor
~
by: Eo Greenwalt
District flccountant
cc: File - JC0612
\
'-\~,~
~;,:~i{~{J(
P!(:~.~. ~~
I-(~'- -..,
f>>1 02-
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.
Robert G. Nesbitt, P. E., County Engineer
September 6, 1989
Jeanne Sisneros
P.O. Box 122
Port Ludlow, WA 98365
RE: Road vacation process
Dear Ms. Sisneros:
Please take special note of Section 5 of the Road Vacation Ordinance (enclosed),
which states the c~iteria which are considered in the review of a road vacation
petition,
The steps involved in petitioning for a road vacation are:
1) The prima.ry petitioner makes a forma.l request, in the form of a
letter, for a petition to vacate a road. A dra~ing and description
of the road area to be vacated should be included. A $25.00 petition
fee accompanies this request. The balance of this fee remains to
be paid by you as principal petitioner before the petition is
complete. The drawing and description, particularly of the length
requested, of the area you wish to vacate must also be returned to
us.
2) The Jefferson County Department of Public Works prepares a petition
and sends it to the primary petitioner (you). This petitioner must
obtain the signatures of ten Jefferson County property owners
(titleholders). Property ownership is verified for these
individuals through the Jefferson County Assessor's Office, When
the signatures are obtained I the petl tion is returned to this
department along with a $100.00 publication fee. These monies are
used to cover the costs of advertising the vacation request in the
newspaper.
3) The Jefferson County Department of Public Works notifies all
adjoining property owners, the utility companies. fire districts,
and county agencies that may be affected by or have comments on the
proposed vacation.
4) The petition is placed on the agenda of the Jefferson County Planning
4IIIiIIIIIIii
Commission. The Commission discusses the proposed vacation and makes
s recommendation to the Board of County Commissioners.
5) The Board of County Commissioners will review the petition and
recommend either to approve or deny the request. If approved, the
principal petitioner is charged for any outstanding costs involved
in the vacation plus one-half the assessed value qf the property.
When this compensation is received. the Commissioners will pass a
resolution vacating the road and the process is compl~te, If the
request is denied, the petitioner is charged for outstanding costs
only (i.e" postage, staff time, copy fees, filing fees, and unpaid
publication fees, if any).
A note should be made that, should the vacation be approved by the Board of
County Commissioners, any property owner abutting the vacated area will receive
half the vacated area where it adjoins his or her property.
Enclosed is a petition form for your use. If you have further questions on this
process, please contact Eileen Simon in our office.
Sincerely,
~~~
Scott Kilmer
planning Engineer
xc: A 02
please take special note of section 5 of the Road Vacation
Ordinance (enclosed), which states the criteria which are
considered in the review of a road vacation petition.
The steps involved in petitioning for a road vacation are:
1) The primary petitioner makes a formal request, in the
form of a letter, for a petition to vacate a road. A
drawing and description of the road area to be vacated
should be included. A $25.00 petition fee accompanies
this request,
2) The Jefferson County Department of Public Works
prepares a petition and sends it to the primary
petitioner (you). This petitioner must obtain the
signatures of ten Jefferson County property owners
(titleholders). Property ownership is verified for
these individuals through the Jefferson County
Assessor's Office. When the signatures are obtained,
the petition is returned to this department along with
a $100.00 publication fee. These monies are used to
cover the costs of advertising the vacation request in
the newspaper.
3) The Jefferson county Department of Public Works
notifies all adjoining property owners, the utility
companies, fire districts, and county agencies that may
be affected by or have comments on the proposed
vacation.
4) The petition is placed on the agenda of the Jefferson
County Planning Commission. The Commission discusses
the proposed vacation and makes a recommendation to
the Board of County Commissioners.
5) The Board of county commissioners will review the
petition and recommend either to approve or deny the
request, If approved, the principal petitioner is
charged for any outstanding costs involved in the
vacation plus one-half the assessed value of the
property. When this compensation is received, the
Commissioners will pass a resolution vacating the road
and the process is complete. If the request is denied,
the petitioner is charged for outstanding costs only
(i.e" postage, staff time, copy fees, filing fees, and
unpaid publication fees, if any).
A note should be made that, should the vacation be approved by
the Board of county commissioners, any property owner abutting
the vacated area will receive half the vacated area where it
adjoins his or her property.
~ ..., ''''''''''0 CO""""O', .. ...., n,,'u ,""" ...H... ...
· M~.. c.~" ,,~,.. eo..',,,,, .,.n ,,.;.. ... rood ",,,,,. ,,"H~. ...
written report from the planninll and build in II department and criteria contained
in Section 5 of this ordinance, and receive comments from Interested parties. By
formal motion, the plannlnll commission shall evaluate the petition aDd recommend
to the board of county commissioners approval or denial of the petition, tOllether
with any sunested conditions for approval.
SECTION 5 REVIEW CRITERIA
Road vacation petitions shall be reviewed accordinll to the followinll
criteria:
1, The proposed road vacation complies with the Jefferson County
Comprehensive Plan and any other applicable plans, policies, or
ordinances.
2, Roads should not be closed, vacated, or abandoned when land uses or
development plans, or occurrinc patterns, indicate their usefulness for area
circulation. Prior to a vacation decision, an examination should be made of
Its probable effect on overall area circulation In the neighborhood. Single
or multiple vacations should be considered a positive tool toward Improvinll
nelllhborhood circulation and accesses.
3, The effectiveness of fire, medical, law enforcement, or other emerllency
services should not be Impaired by the closure, vacation, or abandonment. of
county roads. Appropriate authorities sbould be consulted with respect to
this policY.
4. Roads should not be closed, vacated, or abandoned when such routes can
effectively be used for utility corridors, Suitable utility easements could
be retained as a means of satlsfyinll this policy. Public and private
utility companies and their plans should be consulted with respect to this
policy. (In compliance with R.C.W. 36,87.140, the board of county
commissioners may retain an easement within the subiect vacated area for the
construction, repair, end maintenance of public utilities end services,)
5, Roads should not be closed, vacated, or abandoned when such routes csn
effectively be used for trails or pathways. Suitable trail easements could
be retained as II means of satisfyinll this policy. The Jefferson County
Park., Recreation, llIld Open Spece Plan should be used as a cuide to
determine trail needs,
6. In compliance with R,C.W, 36.87.130, no county road or part thereof should
be vacated that abuts on a body of salt or fresh water, unless the vacation
is to enable any public authority to acquire the vacated properly for port
purposes, boat mooralle, or launching sites or for park, viewpoint,
recreational, educationsl. or other public purposes, or unless the property
is zoned for industrial purposes,
7. The proposed vacation will not land lock any parcel of property.
3
-
, ".c-
-
~'
pwtl tJ"/, 5"'0.0'7
""T41~ 0'7""1' .zr /CJ(... z..o
~
W Washington State
~ .. Department of Trflnsportation
. " Office 01 01$1'10: Admlnlslr<llor
5720 Capilol Siva., KT.ll
Tumwalar. Washington
P.O. Bo.K 9327
Olympia. WsshlOglon 98504.9327
Duane Berenlson, Secrelary
September 1, 1989
James L. porter
P. O. Box 974
Port Townsend, WA 98368
Dear Mr. Porter:
Thank you far your letter requesting permission to hold your Toys for Tots
Benefit walk on September 23, 1989. This letter is your authority to hold
the walk along the following route: On State Route 101 from Aggies Motel,
Port Angeles, to SR 20 in Port Townsend.
This authority is granted with the conditions that:
1. Highways must be kept open to traffic at all times with no vehicle
obstruction.
2. Start and finish areas shall be off State Route(s).
3. You shall inform support personnel that they obey all applicable
traffic rules and regulations and that they must not restrict
traffic flow.
If you have any further questions, please call me at 753-7220.
Good luck with your Toys for Tots Benefit walkl
Sincerely,
C. D. HORNBUCKLE
District Traffic Engineer
COM/ cap
GMG-J
c:
B. Loshonkohl
WSP, Bremerton
Clallam County Public Works
Clallam County Sheriff
Jefferson County Public Works "....-
Jefferson County Sheriff
City of Port Angeles Police Dept.
City of Port Angeles Public Works
City of Sequim Police Dept.
City of Sequim Public Works
City of Port Townsend Police Dept.
City of Port Townsend Public Works
Traffic File: Runs & Relays
RECEIVED
SEP 051989
JEFFERSON COUNTY
PUBLIC WORKS DEPT,
...-
/'.:V4 ~/t?,/A
-
PORTO!i1. -
PORT TOWNSEND
- -
2539 Washington Street Port Townsend, Washington 98368 Phone: (206) 385-2355 Seattle: 464-7207 Seft.N: fil6-72JJ7
18July 1989
RECEJ\fED
Ms. Carter Bresk In
Jefferson County Public Works Dept.
County Courthouse
Port Townsend, WA 98368
JUL 19 1989
JEFFER:jlJl'J COUNTY
PUBLIC WORKS DEPT,
Dear Carter:
Last week I met with Rick Tollefson and we discussed a Port and
County cooperative effort in the preparation of a ComprehensIve Parks and
Recreation Plan,
Since that time I have had a change in my project schedule, I will
notbe able to begIn work on the Plan untll October 1; and I also have a new
completion goal of March 1.
I hope that thIs time schedule w1l1 not conflict 'Nith the Advisory
Committee's schedule, As I mentioned to RIck, I would like to attend the
next Advisory Committee meeting, If possible, to discuss a strategy and
specific dates for Joint tasks,
You can reach me at thIs direct number--2357,
Sincerely,
~~.p~<-<<..
Andrea Fontenot
Planning and Research
cc: Bill Toskey
p,w1'1 ?/, /(Jd.:2..
CHEYNE & ASSOCIATES
July 17, 1989
Ms. Carter Breskin
Property Manager
Jefferson County
P.O. Box 1220
Port Townsend, Washington 98368
Dear Carter:
I appreciate the letter of May 24, 1989 and the confidence
the Park Board expressed in my abilities to perform the
task of updating your Parks and Recreation Comprehensive
Plan.
I am anxious for the request for submittals regarding
this scope of work. I know you wanted to start this process
in the fall. With the period of advertisement, review,
and selection of a consultant in addition to design and
distribution of a survey and coordination of a series
of public meetings. I assume that the request will soon
hit the streets.
This is the reason for my contact. I will shortly be
out of town for a couple of weeks and did not want to
miss this exciting opportunity. If you could please give
me a time period for advertisement, I can make sure to
include my submittal.
I look forward to this project. I feel a part of the
study already. If I can address the Park Board with any
additional information, please do not hesitate to call
on me.
~YJ+
MZ~:l Cheyne
RECE~"ED
JUL 181989
JEFFEH::;'UN (;uuNTY
PUBLIC WORKS DEPT.
6849 36th Avenue NE. Seattle. W A 98115. (206) 523-5433
I!III!"'IH'"
-
flIP
STATE OF WASHINGTON
COUNTY OF JEFFERSON
In the matter of
"
RESOLUTION NO.~9
Changing the Name of Hadlock to x
Port Hadlock x
WHEREAS, this matter coming to be heard on the 21st day of August, 1989,
with respect to the name change set forth in "Intent to Change Name", Jefferson
~ounty Resolution No. 63-89, and it appearing to the Board of County
Commissioners that notice of hearing has been published, and said Board having
the other evidence adduced and being fully advised in the premises, does now
find and determine that the public will be benefited by the name change thereof;
NOW THEREFORE BE IT RESOLVED, and it is HEREBY ORDERED : that the name
of Hadlock shall be changed to Port Hadlock, to be effective on all future
official documents, maps, and road signs.
ORDERED this .::J.II.!!.: day of .
a;:!(ur-Z-
1989.
BOARD OF J}FFERSON COUNTY COMMISSIONERS
/4~ p Cl- fBr~~~
George C. Br ,Chairman
~~<'"../~
r . ennison,Member
/?AA?~
B.G. Brown, Member
: '. 'I
..;" :"
. -,,) ,.'
SEAL:
~: dfL1
. 19.../).11 0 ' &1~
Lorna L, Delaney 0
Clerk of the Board
W~ t~;. f~ ~ 0 \l (j re:: IR!
.= ,'7 ~.,. n ';" [I!;;; !t..J'
r,UG 2:J 1989
,JEFFEFlc"Ot. -.-
F'U I:,IJC; ~IO;' (l:9 (t)H,\l rv
. ,"1'" , EPT,
.-
A
A () '5'.'.)0
STATE OF WASHINGTON
COUNTY OF JEFFERSON
In the Matter of: x
Resolution No, 84-89
Establishing a Name x
For Certain Private x
Roads: Alpine Court, x
Bywater Way North, x
Olympic Ridge Drive, x
Ship View Court, x
Hidden Springs Drive x
WHEREAS, the Jefferson County Board of Commissioners has been petitioned
to establish the names of certain private roads located in Section 35, Township
28 North, Range 1 East, W.M., as shown. on attached Exhibit "A", and
WHEREAS, a majority of property owners using said roads 'are in agreement
regarding the names,
NOW THEREFORE BE IT RESOLVED, that the roads shall be named Alpine Court,
Bywater Way North, Olympic Ridge Drive, Ship View Court, Hidden Springs Drive,
ADOPTED THIS JLDAY OF ~~.:)l989.
JEFFERSON COUNTY BOARD OF COMMISSIONERS
". .~.\~,'f" (~\I"
p~ :~:.-:J
, " ('-t' ," 0 :--... " '
~. :\ /., j:f,:
:".,'.' ; oj;, c; <~. ~/
"'~' ~ s'~.~~~.~~::'
SEAL:
.~~-41d. - tl- 4~
George C. Jaown, Chairman /
d~44?~J~
Lar~ison, Member
~/
B.G. Brown, Member
ATTEST:
oPD-VlCL S. f1l~1LLd-
Lorna Delaney
Deputy Clerk of the Board
EXHIBIT 'A'
BRIDGEVIEW ESTATE TRACTS
DIV. II
S. 35. T, 2.8N. R, IE
t'I'J
...f-
Q...
0
z
>< H
:i u
'" :;.
..,
t- '" ....
... >
In ~ ""
ci ....
'" :r:
lIJ
ci-
Ii
...
~
0
u
'"
z
....
0,
~
><
""
;?
'"
..,
...
....
~
'"
<TeRMINATION POIm' VICINITY)
1
N
I
'" Q
"" ...
'" \ri
~
'" ci.-
;:: l-
V" ~
~ ti
0 ci-
E
.-
-
A ()'5,~'o
STATE OF WASHINGTON
COUNTY OF JEFFERSON
In the Matter of:
x
Resolution No. 73-89
Establishing a Name x
For a Private Road: x
Deer Ridge Road x
WHEREAS, the Jefferson county Board of commissioners may, by
ordinance, establish the name of a private road, and
WHEREAS, a majority of property owners using a certain
private road located in section 29, Township 30 North, Range 1
West, W.M., as shown on attached Exhibit "A", are in agreement
regarding the name,
Deer
NOW THEREFORE BE IT RESOLVED, that the road shall be named
Ridge Road.
ADOPTED THIS tbf.!!-DAY OF ~O({/A"A.__;::{f, 1989.
JEFFERSON COUNTY BOARD OF COMMISSIONERS
.--_4-<~A' (0t1k~~
George C. Btbwn, Chairman
-'
,I' -t .. . .. r ~ .
/: '~n;;i;';"'"
,I, -: \.[-':~~Sl"::i).' "<;. \
., " "[fj.J' ~ \
. , ~ " 'i"J:;'~" '-" : ~
~: \ I ;.<.,' ;:"
.... ;, ~""'-:'"_;! ,. ~l
. .... ," ..~:"'..... ,~1t','
SEAL:', c',: ~: 4: .:-
"," '.' o.lo
'........: 1# j.J" :...~ .
ATTEST: . .
~y)/1I~ if b~cu{S!~~
Lorna L. Delaney
Clerk of the Board
&€~~~~
~Lif~J
B.G. Brown, Member
w'~ I~' /J'''' i~ n., \.\ f IE
..Ir~ tt",~ !'t..... 1.1 '<t &-;; D
,l,UG 2:J 1989
JEFFER"O'I! "0
PlJBLlC'~/nq(,:!s g~l+
..-
-
-
-
r- -
E._
IfBII -
EXHIBIT ;4'
s. .c9, T. 30 N., R. / W.
MP. 2.7/
IJIIII"'!
.-
PETITION TO NAME ROAD
WE, THE UNDERSIGNED, representing a majority of the property
owners along the road, do hereby petition the Honorable Board of
3ef~erson County Commissioners to name said road:
D~e. y R I ~.e t 1JJV\e.
tCtJ 5)1.(j..{~.(~ t<J~
PROPERTY OWNER 0
PRINT NAME & ADDRESS
SIGNATURE
PROPERTY DESCRIPTION
/.....e."_ E. tv..j<-Tl''''7
p.().t30rl- 1"f'JL
NoY'.J/'^-~c:J.. WA. '1i3J7
fi"b~f- R,cke..&-fr
117/ p"" / ...... .... D ",
()VJ.......5e ~ ~
s~,'A.;~ 2."f .<.>ft-.J'(~.:JO('
If......'... / ..,....so" : Lot- I
Q.c;r/,;l-.2.Cj I'WJ~..r(y?
~ (1.1/~ ~:Z
~-
c.
In the Matter of:
Establishing the Name
For a Private Road:
Discovery Crest Drive
','l.
SiATE OF ~ASKINGTON
COUNTY OF JEFFERSON
05,50
x
Resolution No. 45-90
x
x
x
WHEREAS, the Jefferson County Board of Co~issioners has been petitioned
to establish the name of certain private roads located in Section 24, Township
30 North, Range 2 West, ~.M., as shown on attached Exhibit "A", and
WHEREAS, a majority of property owners using aaid road are in agreement
regarding the name,
NO~ THEREFORE BE IT RESOLVED, that the roads shall be named
Discovery Crest Drive.
ADOPTED THIS ~DAY OF
" /~"';-';"'"
~/" t..~j:5---' ,f!.~"
I .. t .... -.' ',j
!t'(.. ~~'"
( :{. '~l!:;", I '. ~;;
\....,"' ~ ~i "
". .\...."...-1','
sEAt....._.... ,. .)~'1 ."......~~,.,.'
ATTEST:
~~~y A-~CV1llif-
Deputy Clerk of the Board ~
.-
iz-'l'4a41 1990.
'7 I
JEFFERSON COUNTY BOARD OF
COMMISSIONERS
~4L--f$ ~. rR-.. ./3z-?H~
Ceo ge c. own, Chairman
~/;~)
. rm son,. Member
~/I~
B.G. Brown, Member
'P/IIJ
Cofi
..------
I
c=--.
Exhibit 'A'
524 T29N R2W
~ m.p.O.t4R. ~
/' ")
~ Combs St.
~
~.%
~ct.
Discovery Crest' J:J.::' ,
~-
------
p;w
~
05,SQ
STATE OF WASHINGTON
COUNTY OF JEFFERSON
In the Matter of:
x
Resolution No, 17-90
Establishing the Name
For. a Private Road:
Admiral's Row
x
x
x
WHEREAS) the Jefferson County Board of Commissioners has been petitioned
to establish the name of certain private roads located in Section 9, Township
27 North, Range 1 East, W.M.. as shown on attached Exhibit lIAIl, and
WHEREAS, a majority of property owners using said road are in agreement
regarding the name,
NOW THEREFORE BE IT RESOLVED, that the roads shall be
Admiral's Row,
ADOPTED THIS ~DAY OF~__J..z"f<~-/I'" 1990.
JEFFERSON COUNTY BOARD OF COMMISSIONERS
~~ a..g~.-~
George C. atown, Chairman
named
_.,.~j,(.!'.~.,
, "'''~
....,~ '" .. \,~;.........
~~/ ' ,- . :.1.'::{,':"~,'
;"11;.1 ' ' : ~ J
\:.t'~. ..f. ~::\~/
S~L<.... ' . ')' ~', ,,/
'" .-.,..-"
~-'~') ,
.. /~ ~'h__~
Larr ~Dennison, Member
~
B.G. Brown. Member
ATTEST:
NI~1a.d~~'
Lorna L, Delaney
Deputy Clerk of the Board
EXHIBIT:4 .
<l..
..a
~
N
l
~
ADMIRAL'S ROW
:.ti
c<;
....
,~
~
~
<ll
.-
j)/W
a. () s: fjt:J
STATE OF WASHINGTON
COUNTY OF JEFFERSON
In the Matter of:
x
Resolution No. 8-90
Establishing the Name x
For Certain Private aoads: x
Woodland Drive, Parkridge x
Drive, Cottonwood Court, x
RidgevieW Court x
WHEREAS, the Jefferson County Board of Commissioners has been petitioned
to establish the name of certain private roads located in Sections 27 and 28,
To~ship 30 North, Range 1 West, W.M., as shown on a.ttached Exhibit "A", and
WHEREAS, a majority of property owners using said roads are in agreement
regarding the names,
NOW THEREFORE BE IT RESOLVED, that the roads shall be named Woodland Drive,
Parkridge Drive, Cottonwood'Court, and Ridgeview Court.
ADOPTED THIS It~'DAY OF
, 1990.
COMMISSIONERS
;J . /' ~
~:..;~~, I
,r ~~ rc. -, - '\,
(."''''\i C." '-' ~J eo '\' ,
... .... .... . '.
...... . . 'at
.:,; {:l I'."
,... J f' .
.... , .,.,
, ~ , .
\.. :'.'. ..........
S~~:~:~~;->''''' -
ATTEST:
4~-<- ~'-L-
-George C. own, Chairman
~~~~e~/)( -/
~
B.G. Brown, Member
~"".";,~ -".".
f
f'
,:
~
,,~o
~,
I"
~
i
~,
4,
,,'
~,
,
"t/
,
f
f
J'
, . - - Sj!)J-'-
rfO# Exhibit A
.. .~',~~:\: ;;;,:: ::: -., : .,,: ~
.' :'~' ~ ",~. '.' :"'~ -:'~iJ
',.... ~...' L::--~~o
,.' '" N =::J c;y:::::n 0
....,/:~s II' ~\1 ~
....,..-: '. ~ (\.I~I4:UJo r::::::::J~: ,1g~b-
.,,:: ~ '" ..r,~" ~ <1~V e""'-=:J (~
...,'. ': . ..,.~..'. lJc'o ~'-:::J[:l;f:::;t~~e.[:
.....::...:;y::~;~ ..::~~;:"'~' :~':~. \~i~ ~~~1[,~~
...: ' "~,, <> 1~XiT" r',,~ ~
.' ..." ,"'/ .m..:: . ~ '" ~
..- .. . f-- ~ r _ ...~ ..,,~ J I. . 0 ~
..............-::.'...:.:.,::~.:.....':'~.~.,<::.,: S;-f::;;/~7~ i~ ,Ct(f- O~:""o"J I ~JiJ;py
:, .'; ,'.,. ' . :::,...:.':J'~ 4iJ - ~,\')' "'oso;v.~~rL.
:::.,;'~;~~~..~:.::i\.~,:':::::~.';r--U. ~ ~ t Iii"" ."'~ "", ....';.11 c; ~[ij;:
,., '. .....\:,.:.;;:~.:.:: ..=.;;.:. I.L ~ c: "" -...~ JIJ..Y19 7. ~~~I
::.!::;:;:'~::;.:':::':~::::::::!~~ :;:::::! !~ 0 ~ ~ l~ S''''1"1 J' ~i~i
~:=J.:~~v:::\g' (t ~ %, ~ 0 ) ~,"~" ~ (,-
7.'...,?h... -....:.:.:;'... ..... ..... 0 ~ v 0 ~ =t Ii
~':~~~~'::?:""'~ G. ~ T. :1 ' J :?Jlo P11J;<':vo<,.. r \\ \ ,~">
'- ;':.":':':::;'.:"::':">:!:;' ~.....' 0 <( ",<::; _J lWQ'&;~'Q>'L'
"I....'!:'-,::.'..,.....,.. ':.:?: ' J- -' '<- 0 q '<)"
lu ....,~.:..-:::..,.:.:::;\.~~~ :'!'. ..{ J- '<f A.
tn:f-:.~..::..~::.,~~;) ::~'l ii i 0 _ ~ - MP~ L'. "'l
~oZ}~f~~~~~~(f.{&f{: ~,~fi: ;: v ~~~ ~ 0.41 I j~ ~J'c
::~......~~.:.:t-:..:.::..:.: ::.:: t'tI ~~ .' . C'1'.Ck'.... ~
1-::;. ;,::~;.!:::.::::::I':::; ...: , . \\;;..- ~ C01'~VlOOU - T.:l' 0
. ;::~',_ ..;:.t::..z,.(.,:::~ :;:'1 _..... h" MP 0,:2.:2. ~ ~ :'Ill"'" ~ \J
......,...,:............... ~..,,-- -I\. L~L.' ...
~w~.!;;:.~;..=....;,:.:.7 Q~d, ~ \\Y> . #. ~~ -~ oj te..-
..... ../......... .... ('"'I -~ r' . '" a'" ..... ~ ,A.\..L. ~
:"..' .-::;-::~;.;.::.,. ~YI' -4-"1. PARKRIDGE DR.' - .--:-- fZ.' V.=--
... :::;.n.;:.~::):~::::;;~f;: ;::" t- ' I -1.. . k6.~..J f:. , I... .b-
...,'I/.....'...I.i....i....~ .;:. -~~ ~.., I'~~
O":.:.~.~...:.~~.:..::.:.::.::~:;::~ :.:,:.:::' ..0 '::;.=," ~ ~~~-+
.'~:::::f:;.~:;~:~:.'~,:~,:;'::.::;,: :,::.t;:l C WN ZELLERBACH COlii!P. ...-: ,., ~>, ._-~
"'.:ho; ,.,...\.:~:...I-:".....~...:t..~. .,:..;:. h.. --"" t1'P 1..4,' N
'J!.~:!"','i":1 ~~ ~. "'~ ". -r~ ~",~ii:''V.,' {j/ '. ~",:,:."..
j'; .n .,; .' .s, ,~_ __;?,jjI/' : (0.1:0", '. I >~q
ii". ..,'i',.{' ,........i..,..:T~pr.;?,.' ....,..........;
."'i....' ... ."".i./...;,..,'...'.
i.i"",. ....i.,/",),...',......<,'....,. ...L0','(i); ...... '" ,','........,..,...... ....'....'..........'./...\.. ,.......... '....
'ct',:"; .\},., ......',.,.: '.,. '. ",.",'.
US .'..',.. ;'i.e'i':i.': .;...,;:..".i},'...}:..'.
J. "';..",',i:""r"(X" ;,
" ,.,..."..',..,,',/ .'.....'. '. ,",i:
....'.,:.. ..y. ."..>Cl.' c,
..'......;:: ".;i .,.'.'.
'"'':''' .. ':'.'.:':J,,>,;' ;:,
'Ii? ii' "')."!. ;.:/ . ,;, ;:
: ........ i"',.,;>.'.,'" .., "i.,.";,,.
",..:, .'.. ,':,i,.
........,. :,': " "':li;:;" >,:,.".
"," ,....:< ....,,:,!:.:... ,.......:':p!"::,:;.:....:..,,".::. .........,:.......".. .,"it
..::.:.., "".: '.iii,;,' :C,: '.i .'.,
'),::, 'i.' . . .,......; ."..<,,';'..:,. :;'
. ":"i.' "...".,.......'..'. ....
','/i, ........ .,..i'}, ..,.,.. ,,":/;;
:i".' ii; ,...... 'i'. '.i'.:
,..;; . ',' . . ..i.
&
fll
~
'.:..'
~
~
'";: l~
,;... <:>
\?
". " '. "':,.
"".' ~....-........,........-""._"-,-,_.._.....",.,_......,,.., .,
PEnnON TO NAME ROAD
WE, THE UNDERSIGNED, representing a majority of the propercy ownera along said roads,
do hereby petition the Hono~ Board of County Commissioners to name said roads:
'OrZlvEt
WOODLAND taaP, PARKRIDGE DRIVE, COTTONWOOD COURT, RIDGEVIEW COURT
PROPERTY OWNER
PRINT NAME & ADDRESS
SIGNATURE
PROPERTY LEGAL DESCRIPTION
Vl.G>\.6 ~e>1 hJc. k-:::S~~
4&40 . OI$WlGIZ>-( R}. ~
~1O~$t:r-1~W1~~~
~?&B ~t?~
oS 65 1Zt$"<:.C?(vp oJZ-- 'S..;(Z.V$\'
!2<l...('!iV Pr VOl In, 'P9..~I<!B -'201 {",,,,,,,~
(\)Ol.. -Ze><, p' ~~-3"'4) ~~ "b
.J~a1'\.. ~~1l'v..-'F>.,
(
.,.
~
-/.. '
'P/W
05, E:O
STATE OF WASHINCTON
COUNTY OF JEFFERSON
In the Matter of:
x
Establishing the Name x
For Certain Private Roads: x
Jupiter Loop, Lovers Lane, x
Madrona Ridge Drive x
Resolution No, 14-90
WHEREAS, the Jefferson County Board of Commissioners has been petitioned
to establish the name of certain private roads located in Section 10. Township
25 North, Range 2 West, W.M., as shown on attached Exhibit nAn, and
WHEREAS, a majority of property owners using said roads are in agreement
regarding the name,
NOW THEREFORE BE IT
Jupiter Loop, Lovers Lane, and
d
ADOPTED THIS ~DAY
RESOLVED, that the roads shall be
Madrona Ridge Drive,
OF ~A1DaN..J. 1990.
cr
JEFFERSON COUNTY BOARD OF COMMISSIONERS
~~~~-
named
.~~--""'~', :'t.
~"""-""'~'f t~~.
." I.~ _--. ~, .,
/- 'Q~ . :J't . .. I.. ';, '\;' "
;' '" t".i -'''l ;, ..
t,:- ., ',," ~ ." \
, \1 ~~. \ ':'. ,: .: j
tr :. , .' .. l
'\":'':f'".~.. "~.''''''.'
SEAL>": ~ ~;) 1 ..... . i. '...:.........
(~~~-f?/~r-
Larry . Dennison, Member
~~~
B',G. Brown, Member
ATTEST:
,I
<;:, 9 'V ~~ ~
JAN 2.7 1990
;':'FFER~ON COUNT'-
, '" ''''''Ol/,=: f/I=PT.
-
;:::
;,
...~
>11
\
-B
tJl
"
ClJ
.....
'$
~
I
tn
<"I
I
2
o
N
'"
o
M
~
i
.-
~.
?/w C~
05. '50
STATE OF WASHINGTON
COUNTY OF JEFFERSON
In the Matter of:
x
Resolution No.~
Establishing the Name x
For Certain Private Roads: x
Martingale Place and x
Topside Court x
WHEREAS, the Jefferson County Board of Commissioners has been petitioned
to establish the name of certain private roads located in Section 16, Township
28 North, Range 1 East, W.M. t as shown on a~tached Ex.hibit: ItAn, and
WHEREAS, a majority of property owners using said roads are in agreement
regarding the name,
NOW THEREFORE BE IT RESOLV1D, that the roads shall be named
Martingale Place and Topside Court.
ADOPTED THIS L..DAY OF .rl--" ~ h A r' 1990.
~FFERSON COUNTY BOARD OF COMMISSIONERS
, ,/:~~,:n;_') .....,.,
l"~\,':. """,_..,"~" ",
/",~~.r... '~<'..\
,.~... .' I, \
..... ~ '. ,'II'
or2I ~ ' ' " ~~
... I., 'Ii
~?::::.";.~'~": ;.
~'_,."st),t..~'......
SEAL:-.~~'."'" .
dA"~ e. ~~
George C. Br , Chairman
~~~~..~
Lar~mbeJ:
B.G. Bro\l71l, Memoer
ATTEST:
ot'd?/?'(Q ~~
Lorna Delaney
Deputy Clerk of the Board
.-
--<l
~.-
t
~,
!l
f
.'
r
.1,
l
I'
.,
If
,
.::
. n,
~
i
,/"0'
,'1 i;;-'
'"C
~
OJ
Q.
Vi'
'"
O:l
OJ
'<
::>:l
o
OJ
?-
~
;:;
A
I
~ Ii .-.:A A .,"c', .-, r
/ _ ~ ." ^~ =):::'0.":,,,1 '~
Ie ' . '" . . , i'3 ~ , ;}/ [
. - . .' )'"" '
~".' ~ ~~ c. -iX.ir~. t ·
~ ' . ~ ~:J1!:="
L-..') ,~,\~;iJ . ~$ll'~
1/ I ,'d ~ !,CI.S);c.
,( .-^ 'J ' ~>~~"l
DI I C!7' tl; .....:., ~'? ?, ,
f:!' J-r.~ ~"N' tiS' \
ct.1 . ~.~ .....,
.,. '" L-,!; .:...-J
"
L .
<>:', ~
""~;L:
~
,..
<=
"'"
0'
;i.
~
'"
::r
5'
"!9.
o
::s
""
<Xl
t.:
0-
c:n
N
o
~
...
Vl
~
'"
S
,.,'>.i,,~,
'....;->".'>.~".
~,;'..,:~".<,'. .:::,.);,::::
\-.:' ' .. ' :;~<':- <\-"
~ '. .,4', ,;
r,: .. { ",.
fi:';:':' ..,',
..
;,
!
;;~"
'.-'"
,
.~
"",':'~,;--:
'. .'.' .:......:,., ".' '.
, ;' <-'::" '.', " ,'"
i\;> .' ~"." '. ".';' .
",.' : .... . ',.' '..: -'.....;... .':~: " ' . " ::, ,,'; . :'\ ,..' :'"
.." . ;. ",., .'. ....:
.',' , . , .'. !. '
. .' , , "" ' . " '.... .',. ' . ., " ." ..... . '. '.
:", , ,':,:"" ',., ". .,,'" ' :,
'...... "'" '.. "
":." ,'., ',;:
. ,.. ,::
.,.:: ,ii' .:.
.... :."."
"",'>",:, ,'. ' '.:
" .' .... .,.
.... ',,::'. :,' :' .....,'. '. . '.; .:\':.
-: :..,:::" ;. '
.
'.",', c" ,.' .
" ' '.:' '\
. . ':',",';' ". .,'. ,. " . ' . ,n,'.
- :,' ,....:,..:,......':...:,:.'..::'<'.
,.,. .;; ...'
- ...,,:;...,.:,:'"
" :.: :,'.' .
~
-,
---
In the Matter of:
Establishing the Name
For a Private Road:
Bluebird Lane
05,5:)
STATE OF WASHINCTON
COUNTY OF JEFFERSON
x
Resolution No.~
x
x
x
WHEREAS, the Jefferson County Board of Commissioners has been pecicioned
to establish the name of a private road.s located in Section 17 I Township 28
North, Range 1 East, W.M.. as shown on attached Exhibit "An. and
WHEREAS, a majority of property owners using said road are in agreemenc
regarding the name,
named
NOW THEREFORE BE IT RESOLVED. that the roads shall be
BluebiJ:d Lane.
ADOPTED THIS Z-DAY OF Jlt::</ff~(J 1990.
J~'FERSON COUNTY BOARD OF COMMISSIONERS
_4~~~, ~-'-"./
George C. Bra.s1n, Chairman
jffljjj!~:m~~
/?~~
B.G. Brown, Member
",..-W' ..
,.<,'<.,...... c')\f ......
."'.. (\ '\,' "-.., ~,' ",
/i'-'~ ..;....., ~ . , .1 ~. ".J .
: c:a ".,' - ........., ~ '\
....,',j. .,
;,;: :\~'.' .. .,,',
; \ ... ", L j. ,.'
j .. ; J " .- .'
...\~:;..!~. ~....<. '/~
'''~' 'fsa-'t.c.~',:~:;"<
SEAL: - ..___.- ';....
',J,
ATTEST:
cI(Y7M~ ~2~-
Lo=a Delaney
Deputy Clerk of the Board
EXH/B/ T A
PORT LUDLOW NO 6
.t.
'::~~'i~~f.:,S~i';'~I::.!.:?~]~:;:;ij~it:;;;::
, . ...... .,,'....:~_.. q', _. ..T';,y:".,;.-41r:..,,,~
"r'u 'H~ - ~." "..J;;;X:.~!rl. :.~r;
. I ~ " _.' ~;'F;"~/I ~
~ "ll :z I ~i .~. ~~ '1~t:5~f
~ 8 .._.. I " .o!... I : ~ I I ',. ~
I ...' ~; \":'
- .. . -. ""1' .;- ..I'.......,. ," '<;
~! ;~
:'~~. '~ ~
I eASEMENr" ..1 t;::;;'~:~-
? I " . NO'~ wi"" '1G::;.~..
~-;:u/-Y----_. ,........ '", "t'~:;::".r
'1.._...... _CU' ;' -f-"-:ii~t'':.'- >>>~_ . .~. 11""';'1': .If,
. "'"SEMEN/' N _/ ".':';'~!" ..,.,~.--r.:r:
N03 - ._.."~ ,,-- /
.. II 8 ~ ,. n.. ~ I """':':"~'"i::.
N I .-- " * 9 . 7,/
t ! .~:.~::fL ~
_ ,'.._ ...;::} /(-sPaJ<E,.....~
f.'';I':''i! ...
i~ fO \}: <;
~ - ..... ff:~ ....~'-~"\ q:
\ '1:: ~'
olTT"IJ..... ~ ~.~ #<1>
,..... -. ,,;~;.../
toll: 'h~~
l..l.lf. '~\,'m.-
~ " J:;:-.,:,. f-"
:u.J5~
>
.~
.~'.~
~~~,~
5IJQ..~" 0- PO.T LUOL.OW ""'.
Arl_ "kllr .In.rU/lt.lll~, IN""
oJItl_ Out", . 11'''
----
/I.g .........$..... "I
S!lal'.... Mn...- N,OI
BLUEBIRD LANE
:.o..::..~...-=-,-'.
..,........"..
......~.,-
,. .,,..
Iof,', lC!.fr~ I ,',' 0/
y' .' ;: .-,) I C r
'?/v)
05.50
STATE OF WASHiNGTON
COUNTY OF JEFFERSON
In the Matter of:
x
Establishing a Name x
For Certain Private Roads x
In the Evergreen Coho x
Escapee Retreat x
Resolucion No.~
WHEREAS, the Jefferson County Board of Commissioners has been petitioned
to establish the name of certain privBte roads located in the Coho Evergreen
Escapee Retreat in Section 10, Township 29 North, Range 1 West. W.M., as shown
on attached Exhibit "A", and
WHEREAS, a majority of property owners using said roads are in agreement
regarding the name,
NOW THEREFORE BE IT RESOLVED, that the >:oads shall be named Algona AvenuE,
Fireweed Avenue, Foxglove Avenue, Honeysuckle Street, Mountain Shadows Street,
Mowich Avenue, Mukilteo Avenue, alalIa Street, Oregon Grape Street, Salal Avenue,
Snowberry Avenue, Starflower Avenue, Tamanamus Avenue, Trillium Avenue, and Wild
Rose Street.
ADOPTED THIS /14 DAY OF ~ ~89.
JEFFERSON COUNTY BOARD OF COMMiSSIONERS
4~a.-~.~
George C. rown, Chairman
~-?(r'4~j
rry . Oennison,',Member
~J
B.G. Brown, Member
ATTEST:
lsto-?A<.a 0 JJ ~ __
Lorna Delaney
Deputy Clerk of the Boa>:d
,..,v
~
.-