18
I I ' t . •.:.. u. r • •• ... Clark Co. Public Works P.O. Box 5000 Vancouver, WA 98668 Dennis llirphy Engineer Gentlemen: . ' I j J-- I' w-- ... & S TATE : . "" ·' : .,; 'J ; ··--, .. _ 0 1 \//;:iy C. S. 0607, SR-205, M. P Salmon Creek Avenue r -- ssing Vicinity Application for Permit This letter will acknowledge receipt of your check, number 53062, dated July 1985 in the amount of $35 for payment of the basic processing fee for your application to construct a sanitary sewer line across a portion of the right of way of SR-205 in the vicinity of Salmon Creek Avenue overcrossing in Clark County, \.Jashin gton. Also, attached are four (4) copies of the permit that has been prepared in response to your application. Please sign all four copies of the permit form and return them to this office for the · signature of the District Administrator. A signed copy will be returned to you for your files. E\.JF: km DAS:KLF Attachment cc: Records Control Very truly yours, ED W. FERGUSON, P.E. District Administrator By: DENNIS A. SCHNEIDER District Utilities Engineer

I' • w-- ~. STATE · 2019-11-12 · Description of Permit No. 9234 Beginning by entering the Southerly right of Highway SR-205 at a point opposite approximate M.P. 36.01 = H.E.S

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Page 1: I' • w-- ~. STATE · 2019-11-12 · Description of Permit No. 9234 Beginning by entering the Southerly right of Highway SR-205 at a point opposite approximate M.P. 36.01 = H.E.S

I • I

' t . ~. •.:..

u. r • •• ...

Clark Co. Public Works P.O. Box 5000 Vancouver, WA 98668

Dennis llirphy Engineer

Gentlemen:

. ' I j J--

I' • w-- ... &

STATE

: . "" ·' : .,; 'J ~------ ; ··--, .. _ 01 \//;:iy

C. S. 0607, SR-205, M. P - ~--3&-:jQl ~ ~Cl:c~ i~t~ Salmon Creek Avenue Ov~rc r -- ssing Vicinity Application for Permit 92~4

~~--~~~~~~

This letter will acknowledge receipt of your check, number 53062, dated July 1985 in the amount of $35 for payment of the basic processing fee for your application to construct a sanitary sewer line across a portion of the right of way of SR-205 in the vicinity of Salmon Creek Avenue overcrossing in Clark County, \.Jashin gton.

Also, attached are four (4) copies of the permit that has been prepared in response to your application.

Please sign all four copies of the permit form and return them to this office for the· signature of the District Administrator. A signed copy will be returned to you for your files.

E\.JF: km DAS:KLF

Attachment

cc: Records Control

Very truly yours,

ED W. FERGUSON, P.E. District Administrator

By: DENNIS A. SCHNEIDER District Utilities Engineer

Page 2: I' • w-- ~. STATE · 2019-11-12 · Description of Permit No. 9234 Beginning by entering the Southerly right of Highway SR-205 at a point opposite approximate M.P. 36.01 = H.E.S

TO

··ot ARK ·· COUNTY DEPARTMENT OF PUBLIC WORKS CONTRAQ ADMINISTRATION OFFICE 47 00 N .E. 78TH STREET (P.-O. BOX 5000) VANCOUVER, WASHINGTON 98668

(206) 699-.2360

966G.8 -

_ WE ARE SENDING YOU "Ji. Attached 0 Under separate cover via the following items:

0 Shop drawings 0 Prints 0 Plans ~ 0 Samples 0 Specifications

0 Change order uTi L r-l '-/ . i?t::??-.rJ1 ;rf r . 0 Copy~ letter ~~~~~~~-~,~~-~~~~~~-~~~~~~~~

NO. DESCRIPTION

3 0/Jttl

THESE ARE: TRANSMITTED as checked below:

0 For approval

0 For your use

!' As requested

0 For review and comment

0 Approved as submitted

0 Approved as noted

0 Resubmit_._. _copies for approval

0 Submit~_copies for distribution

0 Returned for corrections 0 Return __ corrected prints

~ NIL o~~k."c:l fl dYI'li"M/-n{Jf!aioB-- Sl~A/A' ~t= 0 .FOR BIDS DUE~ ________ 19 ___ 0 PRINTS RETURNED AFTER LOAN TO US

REMARKS-----~----------~---~'-~~-~-----~~.,--~~~~--

Copies to: "'

~ ~ Chuck McDona d

Construction Enginee

Page 3: I' • w-- ~. STATE · 2019-11-12 · Description of Permit No. 9234 Beginning by entering the Southerly right of Highway SR-205 at a point opposite approximate M.P. 36.01 = H.E.S

Description of Permit No. 9234

Beginning by entering the Southerly right of Highway SR-205 at a point opposite approximate M.P. 36.01 = H.E.S. LR 604+81 with an existing 24" RCP sanitary sewer line and extendin·g in a Northerly direction along the Easterly side of Salmon Creek Avenue, (a county road) and crossing under the SR-205 LL Line and LR Line overcrossing to an existing manhole approximately 66' right of M.P. 36.03 = H.E.S. LR 605+98; thence, continuing Northerly along the Easterly side of said Salmon Creek Avenue with an existing 21" R. C. P. sanitary sewer line and leaving the Northerly right of way at a point opposite approximate M.P. 36.04 = H.E.S. LR 606+18.

Also: Beginning by entering the Northerly right of way of Highway SR-205 at a point opposite approximate M.P. 36.01 = H.E.S. LR 605+00 with a proposed 24" P.V.C. sanitary sewer line and extending in a Westerly direction and connecting to the previously described existing manhole opposite approximate M.P. 36.03 = H.E.S. LR 605+98.

All of the above described facilities are in the N.W. 1/4 of the S.W. 1/4 of .Section 25, T. 3N., R. 1E., W.M. in Clark County and are illustrated on ·the attached map designated as Exhibit "D", page 1.

Page 1 Exhibit ''B"

Page 4: I' • w-- ~. STATE · 2019-11-12 · Description of Permit No. 9234 Beginning by entering the Southerly right of Highway SR-205 at a point opposite approximate M.P. 36.01 = H.E.S

Additional Special Provisions for Permit No. 9234

x 31. In lieu of a surety bond to insure compliance with the terms and conditions of this permit, Clark County agrees that the State may effect reimbursement of the amount necessary to restore the highway from the monthly fuel tax allotment which Clark County is normally entitled to receive from the Motor Vehicle Fund and in accordance with RCW 47.08.080.

x 32. No equipment shall be left unattended and no material shall be stored within the fence line of Highway SR-205 at any time.

x 33. Fence openings requir.ed in the construction of this proposed installation shall not be allowed to remain open overnight or when the construction site is unoccupied by the Utility or its contractor. Any livestock or unauthorized personnel entering the right of way of Highway SR-205 through these fence openings will be the sole responsibility of the Utility.

Page 3 Exhibit "A"

Page 5: I' • w-- ~. STATE · 2019-11-12 · Description of Permit No. 9234 Beginning by entering the Southerly right of Highway SR-205 at a point opposite approximate M.P. 36.01 = H.E.S

~ - . •

--~--- Washington Stat• · SPECIAL PROVISIONS F:OR PERMitS AND '·FRANCHISES-fl Department ~~ Tran~portati~n

0

0

,1· . -· ·- - •

;----: "· • ' - c : -- •• ,..,_ ·- •

9234

A~pplieable pr!lvi$i!)hS _are denoted by (x_)

( . ~

1. No work provided for herein shall t?e performed until the UtiliW is ,granted ~u.thori~at_i ofl by Jhe pepart11Je_nt ~s rf!Weseotatjve.:

Name: Title: Address: Telephone No.:

Larry Chercasen Ma~nt. As sf.--.· S~pt'. Hi.rys '.

4-260 Main St. ·, Vapcouyer; WA 696-6557

v.:.·, ·., -! L

9866.8 ..:..-··..;

2. Pr-i9r to. the. beginningof ·cal'}str:j.Jc~ion, a preconstruction ,Gonference shall be. held at vyhich the Department ,ang ~he Utility a_nd h i,s engineer; . cqf\t!a~tor, qnd 'i,nspe<;tor shal.l P!3 ~~esent~ - , ,_ · · - - ·

3. · Should the Utility choose to perform the work outlin~d · herein wit h other than .its ow~- fo~~es, .a represellt!'l'i iv~ qf the Utili~y shall be present at all times while the cor)struction is in progress u~less otnerwise ag~eed ~o by the Departm'ent. All -co~ta_ct ~etw~en tti~ Department and the Utility's contractor shc:ill :b~ -througb the rep(esentative of the Util'ity. Where the . Utili~y chooses to perform the work with its own

, for~es, i~- may eiect t~ appoint one of i.ts em_ployees engaged 'in the c~nstruction .as Hs representative~ Fa.i lu (e to t o.mply with t_his provision sh.all pe grounds -for r~stristihg any further work by the Utility with-in l he_right-of;way, until said requirem.ent'.is met . . ·

" - - . ' - . ' - ~ .

4. A copy of the permit or frarich ise must be on the ·job s l t~; and protected from the el~nients, at all ti,:,es" during an~ of 'the construction · autho'ri?~d by said p~rm'Jt .o.r franchise within the Qepa~tm.ent!s rjght-of-way: _ 'f •• · , . • , ,

5. The Utility agrees to . scth~dule the_·0~rk .herein referred' '-tp a11d perfo,~m- sa ~d : w~;,__k . in suc_h ·a marmer 'as ~~oJ to ~~l~y th~ Depa'rtment's con-tractor in the performance of his contract. . .

. } .... ., ... · ··,- ·. ~:.:: l .. 1 ~-,. , ·:· , ..:-~- ---~·;' " 1 ; • •_!· ~"~- ·-. I -._.: · :~-"'~ ·_.---- . ; "' ~ t -.- .,. ... ··~ l· .... :

6. The Utility agrees that when placing its facility within any portions of the roadbed, :the 'trench shall be backfil!ed ii'J hqrizontallayers not to e~ceed 6 inches in loose th-ickness, except that the layers of the top 2 feet from prof ile grade shall not exc'eed 4 inches in l~os~ thickness . . Each layer of the entire ·backf_ill .shall b,e comp~cted to not le~s th~n 95 percent of the _maxi~um den~ity {IS cf~termined l;>y qompaction corlt_rol te~ts. The moi~ture cootent of the backfill material at .the time of comp~ctio6 shall be as specified by .the Department: In no case yvill ' !w~ter settling" b~ allowed . - · · · ' . · ·

I ~ t, .. 1 , ,

7. Work shall be restricted to the hours-b&tweM of daylight and no work shall be allowed on the

8.

right-of-way Satl!rdays, Sundays or Holidays unless otherwise authorized by the Departm{lnt.

In i he·_;vent a~y milepos~, righ t-of~way ma~ker, fen·c; or g4ard rail is located whhi~ th~ limit~ - ~f this proje-ct a-nd will be disturbed, during. co~struction, these .items will be carefully re~oved prior to constrt.Jction and reset or replaced at th~ ccfnCiusion of construction to the satisfaction of the Oepartment. All signs and traffic control devices must ~e mai_ntain~ed in oper~tion during construction.,

0 9. Prior to construction, the U~ility -shall contact the Department's representative (ljsted unaer Special Provision Number 1) to a~certain the location of survey control .m_on1,1men.ts Within the proie~t limits. In the ev~nt any monuments will be altered, damaged or destroyed by the project, appropriate action will b~ t~ken ~Y the Department, prior to .consvu.ction, to reference o:r reset th.e lt1brium·ents. Any ~onur:nents altered, dam·aQed or destroyed ·by the Utility's operation will be reset or rE!placed ~~. the Department at the sole expense of the Utility.

0 10. If determine~ necessary by the Department, any or all of the excavated material shall be removed and replaced with suitable material as specified by the Department.

~ 11. Wherever deemed rlec~ssaty by the · Department of labor and lndustri·es and/or the Department of Transportat ion, for the safety of the workers ·and the protection of the highway pavement, the sides of the trench (or excavation) shall be adequately supported to reduce the hazard to workers ana prevent any damage oy cracks, settlement, etc. to the pavement. ·No oth'e f. work- in the t 're·nch ' or excav~tion ar'ea

will be allo~~d until. this ~eq~irement is met.

0

0

DOT

-.; j' .. i : .... •

12.' Tren·cties shall be -b~ckfilled as so~n as possible behind the laying ·of pipe o;:cable. No open trenches .shall be left overnight·. This inclu9es boring or j~cking pits which ~hall be covered with lumber or other material of sufficient str~ngth ·to livithst~nd the load qf highway traffic if the pit is not to be backfilled with material each night.

13. All crossings of road intersections surfaced with oil, asphalt concrete pavement or cement concrete pavement shall be accomplished by jacking, boring, or augering the cable or pipe under the ro-adway.

14. The cable or pipe shall be placed within a suitable encasement as specified on the attached exhibits. Said encasement pipe shall be jacked, bored, or augered through the highway grade with a minimum depth of 5 feet from top of casing to finished ro~d grade and a minimum of 3Y2 feet of depth from bottom of ditch to top of casing.

FORM 224.;030 REViSED 3/84

Page 1 EXHIBIT . ~~ -A"

Page 6: I' • w-- ~. STATE · 2019-11-12 · Description of Permit No. 9234 Beginning by entering the Southerly right of Highway SR-205 at a point opposite approximate M.P. 36.01 = H.E.S

' . \ .

" 1 • cs 0607 SR 205

Washington State Department of Transportation UTILITY PERMIT

PERMIT NO. 9234

Name and Address of Applicant: Clark County Public Works P.O. Box 5000 Vancouver, WA 98668

DISTRICT NO. 4

The Applicant, hereinafter referred to as the "Utility", having applied for a permit to construct, operate and maintain existing and proposed sanitary sewer facilities ·

on a portion of State Route No. 205 in Clark County, Washington, the Washington State Department of Transportation or its designee, hereinafter referred to as the "Department", hereby orders that this permit be granted, subject td the terms and provisions stated upon the reverse hereof and Exhibits attached hereto and by this reference made a part hereof:

Exhibit "A". Special Provisions for Permits and Franchises, Pages 1, 2, and ) • Exhihit "B", Description, page 1.

· Exhibit "C", Utility's plan and profile drawing, page 1. Exhibit "D", Stat~'-s R/W map on SR-205, "Columbia River to Jet. SR-5", sheet

24 of 35 sheets, page 1.

This permit shall be void unless the work herein contemplated shall have been completed before

January 1, 1986

This permit is accepted and approved by the Grantee subject to the terms and provisions as herein set forth.

By: ~~~~~~~~~~-------------­rge Stillman, P.E.

Title: ~==-r=e=c=t o=-=-r _o=f=--=P::..:.u=b::..;;l=l.::.... c::..:.·....:.W..:....:o'-"r::..;;k7s:;_,...._----,------,----=--

Date: August 30, 1985

DOT Form 224-001 Revised 10/83 QX A-129

Title: -=-==..:;.=.==--.;==:.:..;::.;===~-------

Date: ~1· ~o ;ous I

Page 7: I' • w-- ~. STATE · 2019-11-12 · Description of Permit No. 9234 Beginning by entering the Southerly right of Highway SR-205 at a point opposite approximate M.P. 36.01 = H.E.S

Clark Co. Public Works P.O. Box 5000 Vancouver, WA 98668

Attention Dennis Engineer

Gentlemen:

- • 6 .. I . . -

3 September 1985

C.S. 0607 SR-205 M.P. 36.01 to Sa1n~n Creek Overcrossing Vic. Permit No . 9234

....... · .. ' I ....

Attached is your copy of the above-numbered permit which has been prepared in accordance with your application.

Kindly read the terms and conditions under which this permi~ is being granted and inform anyone employed by you of the provisions under \•Jhich the work is to be performed.

E\.JF: 1 z DAS Attachment cc: J. Barsness

Records Control

Very truly yours,

ED W. FERGUSON, P.E. District Administrator

By: DEW~ IS A. SCHI~E I DER District Utilities Engineer

.I ' •• •

. . . t' :.{' • ..

• • ~·.I

Page 8: I' • w-- ~. STATE · 2019-11-12 · Description of Permit No. 9234 Beginning by entering the Southerly right of Highway SR-205 at a point opposite approximate M.P. 36.01 = H.E.S

PERMIT OR F~~CHISE CHECKLIST

c.s. __ 0~6;.._' I!J_/ _7'--· ____ SR 2 0 ..5.-

Completion Date. Specified in Permit/Franchise -----~·~~~~A~,u~~~~-· r·~'~r~~~·~s~---------------1

Date Started _7~---=CJ~----%~:.....· . ,;:;,5 ___ \~---- Date Completed _ __.Lf,___-~O_c:=..:.--r....:..·~l-" 9~4:...,_( __ __,_,_

Did Grantee or Utility contact State before beginning work? --~11~t3~·~s~----------------

Remarks --~--~----------------~---------------------~-------------------------

Was \ol(Jrk done as per permit or franchise? Ye.s

Remarks ------------------------------~--------------------------------------------

Was location as per p1rmit or franchise? --~!J~e=··~.£~-----------------------------------

Remarks l· ----------------~---------------------------------------------------------

Was the work done by the Utility or Grantee satisfactory? )1~~-~,~-=----------------------

Remarks 7/?e. knee ;/IS'"i-CL~(abcu? /ood::£_.· rood. 77ie ..5/ec.., 6 a.s b"e e "'?

f?r¥er/y !Jrdded ~L1'?c/ re-se-ed a/~.'~ rrt:~SS".

4/85

~a~~~ k A ;pr 4-PT, sa ,or.­~/JT ~. 44;£",4 / • ..,

Page 9: I' • w-- ~. STATE · 2019-11-12 · Description of Permit No. 9234 Beginning by entering the Southerly right of Highway SR-205 at a point opposite approximate M.P. 36.01 = H.E.S

~ =z: Washington State ., Deparirnem of Transportation

District 4

APPLICATION FOR PERMIT OR FRANCHISE

P.O. Box 1709 Vancouver, WA 98668

For De artmental use only 'EJ'/d.MI;-

No: 1Z-i3f-

Telephone: (206) 696-6101 Attention: District Utilities Engineer

For: Clark, Cowlitz, Klickitat, Lewis, Pacific, Skamania & Wahkiakum Counties

APPLICANT PLEASE PRINT OR TYPE ALL INFORMATION APPLICATION IS

HEREBY MADE FOR A: D

UTILITY PERMIT FEE '$35.00

GENERAL PERMIT NO FEE

[]

D

UTILITY FRANCHISE FEE $150.00 FRANCHISE CONSOLIDATION FEE $150.00

D FRANCHISE AMENDMENT NO. ;FEE $100.00

D FRANCHISE RENEWAL NO. ;FEE $75.00

Intended use of State Right of • ay is to construct, operate and maintain a,

Sewer !t)J e

STATE ROUTE NO. :I 8) 0 ~ COUNTY AT HILE POST /or/FROH HILE POST BEtilNIUIIG I ll THE s w 1/4 OF THE -s w 1/4 OF SEC. :l ii. TOWNSHIP "3 NORTH; RANGE

EIOIIIG Ill THE s w 114 Of THE s w 114 Of SEC . .j, s- TOWNSHIP "3 NOIUH; RANGE

Fee in the amount of $ :3S: are paid here• ith to defray the basic administrative expense incident to the processing of this application according to WAC 468-34 and RCI 47.32, and the applicant further promises to pay additional amounts as shall be billed, if any, in reimbursement of the actual costs of the Department investiga­tion of the application.

Checks are to be made payable to •washington State Department of Transportation. • The undersigned submits said application and accepts the conditions as set forth.

Dated this :> <9 day of ____.X~u~u..:..<---"" 19~S""".

)

I x Lt C; Jv '61 APP"iiNTAuffimlzEO ~"is'NATURE (v1l ~?G -1"' 0 , -T-IT_L_E ___________ _

C (a"' (c Co. Po...6 ( rc WoJ..f::-:5 APPLICANT (O•ner, Utility, etc.)

r=:c:::>. "73c ,j S: Oo o

ADDRESS

( /e p C-o(N.I ~A. y )o

CITY - STATE - ZIP CODE

b 1 cor - -::;'"3'3 Y TELEPHONE

ifv > J. _L.0° -~( : vJ-7 ~") li ~ ~· ·r~ -RE-P-RE-S-EN_T_A-TI_V_E ______ _

~ u~ · 1~ (J. "'J. 0 J-.

""ct ADDRESS

CITV - STATE - ZIP CODE

TELEPHONE DOT 224-660 04 Revised 4/BS SEE REVERSE SIDE FOR ADDITIONAL INFORMATION

Page 10: I' • w-- ~. STATE · 2019-11-12 · Description of Permit No. 9234 Beginning by entering the Southerly right of Highway SR-205 at a point opposite approximate M.P. 36.01 = H.E.S

CHECKLIST FOR UTILITY PERMITS AND FRANCHISES

No. _,__?=2-;...;;:;::.3~4-=---· ----- SR No. 2".5

to M.P. Scenic Clsss

· Uti 1 i ty C: ~or k_

61 ELD REV i"£9 1. Verify all locations of the applicants facilities including beginning, ending,

last pole or point, first pole or point, crossings, side 1 ines as designated on the Exhibit map. Are they all correct? -----rY~e~~------------

2. Are ·all facilities (existing and proposed) Indicated on the Exhibit 11ap? Ve. s= I •

~6/85

3. Does this proposed facility replace an existing facility? --~~H~l)~--------------

4. If replacement is involved:

a. Will the existing facility be removed?

b. Will the existing fa~ility be abandoned?

c. Where is it located? ------d. When wil 1 it be removed?

e. What is the size and type?

What is the permit or franc_h_i-se-f-~o-_-o_n_t_h~xi~ting laci 1 ity?~ .. _.; ; .. "---:~.~·

f. ·-------·

5. Does this facility require routine maintenance? ---~tJ-=--0~------------

6 • How aft en \IIi 11 rna i n ten an ce be r eq u i red 7 _ ...::?=-~~"-~~l!.:::..c:L~C~E::::..,V::...__;c..~t--:---.£---=-i..-:.r.-=~:;.:.....;.:."1-~.7?..r...·~o...tr:.J4.)=--=.S-----

7. From what points of access will the facility be served? (Adjacent land, private easement, frontage road, state highway, etc.) --------------------------------

B. Do the cross-sections indicate the actual situations in the field? --~~-e--~5=-----

9. Based on the offset distances from the maps, is the location of the proposed

facilities feasible? ----~Y'~e~s~----------------------------------------------10. If a buried crossing is included, will the crossing· be jacked, bored, or tunneled?

11. ~/hat \'Jill be the maximum depth of the pit to make the buried crossing? AliA - :..-.J;p:....:-..L--

Page 11: I' • w-- ~. STATE · 2019-11-12 · Description of Permit No. 9234 Beginning by entering the Southerly right of Highway SR-205 at a point opposite approximate M.P. 36.01 = H.E.S

6/85

CHECKLIST FOR UTILITY PERMITS AND FRANCHISES

No. c.s.

Scenic Class M.P. 3(p,{)/ to H. P . .3C,. t') ~..=-.;;...;::;;..-=.;._--- --~=-----------------

Location K C&E~~~~~~~~~~~==~~~-~~------

County 1 imi ted access ----

This franchise unacceptable, ~i -----.

processing. If items circled.

1. Is the description complete? )tr;?~

2. Is the check for the processing fee attached? YES i

3.. Does the Utility hav~ a Blanket Surety Bond? IJO

a. Is the Bond attachea? ___ ..r.../J~·....::o=·------------------,..------

b. \.Jill it be furnished prior to 1t~ork? )tE.S

c. I s the a mount of Bond ad equate? __;:;r..L.~~~:......:I)=-_-c:J_.;0=----------

5. Is the Utility representative's name and phone No. on the application? )(~

6. Does the application have an authorized signat-ure? ____.~:......:l:..~. _.So:;__ _________ _

Franchise and Permit Exhibit Maps

7. Is the description complete? YG-s

8. Is the reproducible map enclosed? Yes 9. Are the proposed facilities drawn as close as possible to scale?

10. Are the proposed facilities dra'lm ~rlith black ink, HB, or No. 2 pencil? Ys.s

11 • Is a 11 lettering legible and a proper size? YE.S

12. Is the copy enclosed? y s..s 13. Are the proposed faci 1 ities on the copy highlighted or color coded? L<;A-svTj IS #O'U

Page 12: I' • w-- ~. STATE · 2019-11-12 · Description of Permit No. 9234 Beginning by entering the Southerly right of Highway SR-205 at a point opposite approximate M.P. 36.01 = H.E.S

· '

REQUISITION Cl.AIM PUPiCHASING DEPARTMENT

•· vr E Washington State

CLARK COUNTY ·PURCHASE ORDER NO.

STATE OF WASHINGTON

DATE 26 J 1985 r Department D CLARK COUNTY

N of Trar1sportation E Public Wo D P.O. B9X 5000 p

P.O. Box · o · T R Vancouver'· Wa. 98668 Vancouver

' ' I' VENDOR I TERMS · · fF.'a .B·. · ...... , ,i'{ '·:.'. ~ ?{');•:'· · .. ·bATe :, . . ~ ·. · ~ NO: PROMISED' ·· ·

ITEM NO. DESCRIPTION QTY; •,UNIT • :· UNIT PRICE ·

!

Utilitv · Permit fee for st. Johns Sewer

Project I

I

-~(/oo

I

C ~ ~c fc 1: I I

~ . I

J. ( . I (_A ~ I

.(_/ I I

: : I I

I I I

I I

• I 'ft •' I

I I I

I I

' l DEPT. ESTIMATE OF COST SUBTOTAL

( NOTE > D CONFIRMING P.O. $ SIS TAX

APPROVED FOR TOTAL PURCHASE

BUDGET DISTRIBl:Jt t0N co_st .:qtstAtBUTlON"::F~~ ·: "

FUND DEPT. DIV BAS/SUB ELEMENT OBJ WORK ORDER -EQUIP NO.

4082 1 111 630 332 611 10047

VOUCHER

: :'. "_) TOTAL ~~; .

I I

J _35_.l_Q_Q_

I

J I

J I

I

! I I

I I

: : I I

I I

I

I

. 35 _:oo

INVOICE NO.

' ~ t '

r. .·,coNrRGL Na;· ~ l

ORDER REQUESTED BY

SIGNED . I

TITLE I

Land TITLE lU:t::lli 2G • 1925

MIT I

TO BE SIGNED BY DESIGNATED DEPARTMENTAL OR COUNTY REPRESENTATIVE. AS REQUIRED. SIGNATURE

~~~!fE"'~~~c"l'6W~~-r~~~xrP~. ~~~NJ~~v~~~~ A~6'fE'b HEREIN. ALSO INDICATED T~At'-SUFFICIENT F~~DS HAVE BEEN BUDGET:ED FOR THIS CLAIM .

CLAIM AUTHENTICATION:

SIGNED-----------

DATE---------------------------------

TO BE SIGNED BY PURCHASING WHEN .RECEIVING COPY IS COMPLETED. SIGNATUAE.INDICATES RECEIPT OF MA­TERIAL(S) ORSERVICE(S), AS ORDERED.

SUGGESTED SUPPLY SOURCE

D NO SUBSTITUtE-PLEASE·JlJSTIFY

D SOLE SOURCE

.\:: .. rn. PAID

r

Page 13: I' • w-- ~. STATE · 2019-11-12 · Description of Permit No. 9234 Beginning by entering the Southerly right of Highway SR-205 at a point opposite approximate M.P. 36.01 = H.E.S

CLARK COUNTY DEPARTMENT OF PUBLIC WORKS ·- CONTRACT ADMINISTRATION OFFICE

4700 N.E. 78TH STREET (P.O. BOX 5000) VANCOUVER, WASHINGTON 98668

(206) ·699-2360 . DATE 1 /)1/~ 8 5 I joe NO . / tJC!_!LJ _ _ _ ! ATTENTION l,/. 7 I ~ . & eH Fb s re:e

36. 0"::2

_ WE ARE SENDING YOU ,J1i Attached 0 Under separate cover via ________ the following items:

COPIES

j

D Shop drawings

D Copy of letter

DATE

0 Prints

0 Ct'!ange order

NO.

0 Plans D Sampl.es 0 Specifications

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DESCRIPTION

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THESE ARE TRANSMITTED as checked below:

;<? For approval

0 For your use

0 As requested

0 Approved as submitted

0 Approved as noted

0 Returned for corrections

0 Resubmit_. _copies for approval

0 Submit __ copies for distribution

0 Return __ corrected prints

0 .FOR BIDS DUE _________ 19 ___ 0 PRINTS RETURNED AFTER LOAN TO US

REMARKS _ _

ALU r Du.t:::'>·k· ~ \:::eem~e- ""'-6 &{

Copies to:

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L~ ~ck McDonald . ~ Construct==

Page 14: I' • w-- ~. STATE · 2019-11-12 · Description of Permit No. 9234 Beginning by entering the Southerly right of Highway SR-205 at a point opposite approximate M.P. 36.01 = H.E.S

·.~ X H I 8 IT " A •

I-205 RIGHT-OF-WAY STATE OF WASHINGTON

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Real property situated in Clark County, Washington, lying within the Southwest quarter of Section 25, Township 3 North, Range 1 East of the Willamette Meridian, being all that portion of the right-of-way of Interstate 205 lying within a strip of land, 30.00 feet wide, lying 20.00 feet Southwesterly, and 10.00 feet Nort~easterly (measured at right angles) of the following described line:

Beginning at a point which is North 89° 07' 02" West 108.11 feet and South 0° 52' 58" West 6.99 feet from the Southeast corner of said Southwest quarter; thence North 44° 14' 33" West 780.59 feet; thence North 51° 26' 52n West 802.50 feet; thence North 47° 32' 06n West 4-68.75 feet; thence North 80° 33' 36" West 153.00 feet to the terminus of said line, said point being North 89° 07' 02" West 1798.42 feet and North 0° 52' 58" East 1368.04- feet fro.m the Southeast corner of said Southwest quarter.

ALSO a temporary construction easement, 50.00 feet in width along the Northeasterly side of the easement described above.

Page 15: I' • w-- ~. STATE · 2019-11-12 · Description of Permit No. 9234 Beginning by entering the Southerly right of Highway SR-205 at a point opposite approximate M.P. 36.01 = H.E.S

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12 August 1985

Ed W. Ferguson/ D. A. Schneider 4 7 6-61 0 1 ~ ' ·. :· - '.

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Larry Chercasen

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C.S 0607 SR-205

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Salmon Creek Ave. Overcrossing Clark Co. Public Works Application for Permit No. 9234 For a 24 11 Sanitary S·e\<Jer Line

Attached is a copy of t he County's 2i J ·ne 1985 ap~l ication, a plan and clravling, and <1 pr int of the rig ht o f ~ ay pl a on SR 205, Co l umbia ~ iver

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sr - 5, she~t 24 of 3,., she t s , on \tlh.ch th. County has s ho\vn the approxima te loca tion of their proposed installation. Also attached is one copy each o f the Office Review and Fi~ld \evie Ch~ckli st.

P1ease revie~.., this proposal in th f i eld n and/or recommenda tions.

EWF: 1z Dl S Attachnent

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Page 16: I' • w-- ~. STATE · 2019-11-12 · Description of Permit No. 9234 Beginning by entering the Southerly right of Highway SR-205 at a point opposite approximate M.P. 36.01 = H.E.S
Page 17: I' • w-- ~. STATE · 2019-11-12 · Description of Permit No. 9234 Beginning by entering the Southerly right of Highway SR-205 at a point opposite approximate M.P. 36.01 = H.E.S

1;--

'FROM

WASHINGTON STATE DEPARTMENT 0~ TRANSPORTATION

P. 0. BOX 1709

VANCOUVER, WASHINGTON 98668

Clark Co. Public Works P.O~ B·ox 5000

WA 98668 Vancouver,

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,{#,e~y &~£.£..CA-SC'tl

§ ForAction

For Approval

For Signature

MAIL STOP

Q Per Your Request [] Per Our Conversation

Read and Return Read & Route to Files

For Your Information · For Your Comments

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Page 18: I' • w-- ~. STATE · 2019-11-12 · Description of Permit No. 9234 Beginning by entering the Southerly right of Highway SR-205 at a point opposite approximate M.P. 36.01 = H.E.S