Fill and Sign the Easement Access Form

1 DOCUMENT TITLE: EASEMENT FOR SEWER LINES WITH ACCESS ROADREFERENCE NUMBER OF RELATED DOCUMENT: GRANTOR(S): GRANTEE(S): ABBREVIATED LEGAL DESCRIPTION: ____________________________________________ASSESSOR'S TAX / PARCEL NUMBER(S): EASEMENT FOR SEWER LINES WITH ACCESS ROAD The undersigned, (“Grantor”), for and in consideration of good and valuable consideration, the receipt and adequacy of which are hereby acknowledged, hereby grants and conveys to , a municipal corporation in County, Washington (“Grantee), and its successors and assigns, a permanent Easement for Sewer Lines including sewer lines and appurtenances thereto (“Easement”) as follows: 1. Nature and Location of Easement. The Easement granted by Grantor herein shall be a permanent easement for the benefit of Grantee over, upon, across, through and under the real property legally described in Exhibit “A”, attached hereto and incorporated herein by this reference (“Real Property”), such Easement as legally described on Exhibit “B” and as described and depicted on Exhibit “C”, attached hereto and incorporated herein by this reference, for the purposes of installing, laying, constructing, maintaining, inspecting, repairing, removing, replacing, renewing, using and operating sewer lines, together with all facilities, connectors and appurtenances (“Sewer Lines”), including the right of ingress and egress for said purposes.2. Access Easement. Grantor also hereby dedicates, conveys and grants to Grantee a permanent non-exclusive access easement for ingress and egress over the portion of the Real Property as legally described on Exhibit “D” attached hereto ("Access Easement") and as depicted on Exhibit “E” attached hereto. Easement for Sewer Lines with Access Road.doc- 2 of 33. Right of Entry. Grantee shall have the right, without notice and without prior institution of any suit or proceeding at law or equity, at all times as may be necessary to enter upon the Real Property to install, lay, construct, maintain, inspect, repair, remove, replace, renew, use and operate the Sewer Lines for the purposes of serving the Real Property and other properties with utility service. Grantee agrees to restore the Real Property as nearly as reasonably possible to its condition prior to any material disturbance from construction, operation, maintenance, repair, or replacement of the Sewer Lines.4. Encroachment/Construction Activity. Grantor shall not undertake, authorize, permit or consent to any construction or excavation including, without limitation, digging, tunneling, 2or other forms of construction activity on or near the Easement which might in any fashion unearth, undermine, or damage the Sewer Lines or endanger the lateral or other support of the Sewer Lines without Grantee's prior written approval. Grantor further agrees that no structure or obstruction including, without limitation, fences and rockeries shall be erected over, upon or within the Easement, and no trees, bushes or other shrubbery shall be planted or maintained within the Easement, provided Grantor shall have full use of the surface of the Real Property within the Easement, so long as such use does not interfere with the Easement or the Sewer Lines.5. Binding Effect/ Warranty of Title. The Easement and the covenants, terms, and conditions contained herein are intended to and shall run with the Real Property and shall be binding upon Grantee and Grantor and their respective successors, heirs and assigns. Grantor warrants that Grantor has good title to the Real Property and warrants the Grantee title to and quiet enjoyment of the Easement.6. Recording. Upon its execution, the Easement shall be recorded with the Department of Records and Elections, County, Washington.DATED this day of , 20 . GRANTOR(S)Signature GRANTOR(S)SignatureBy: Its: Print or Type Position HeldSTATE OF WASHINGTON ) ) ss. COUNTY OF )I certify that I know or have satisfactory evidence that is the person who appeared before me, and said person acknowledged that he/she signed this instrument and acknowledged it to be his/her free and voluntary act, for the uses and purposes mentioned in the instrument. SUBSCRIBED AND SWORN to before me this day of , 20 E. Printed NameSignature Date 3 Printed Name SignatureDateNOTARY PUBLIC in and for the State of Washington.My Commission Expires STATE OF WASHINGTON ) ) ss. COUNTY OF )I certify that I know or have satisfactory evidence that is the person who appeared before me, and said person acknowledged that he/she signed this instrument, on oath stated that he/she was authorized to execute the instrument, and acknowledged it as the of , to be the free and voluntary act of such entity, for the uses and purposes mentioned in the instrument. SUBSCRIBED AND SWORN to before me this day of , 20 E. Printed Name SignatureDate Printed Name SignatureDateNOTARY PUBLIC in and for the State of Washington.My Commission Expires