HomeMy WebLinkAboutReceipt and AppKittitas County, Washington
BOARD oF COLINTY COMMIS SIONERS
EVENT APPLICATION
Thank you for your interest in holding a special event in Kittitas County. Please
complete and return this application along with any other materials to the Kittitas
County Board of Commissioners at least 60 days prior to the day upon the event is
scheduled. Aty misrepresentation in the application materials or deviation from the
final agreed upon route and/ or method of operation described may result in the
immediate revocation of an issued permit. Specifics outlining Event Permits can be
viewe d at http : / / www. co. kittitas.wa. us / boc / countycode / title05. asp
Event Information
Name of even+. Gran F ndo Fllenshrrro
Date(s)of event 6-12-22
Hours of oper ation: 8:00 am - 5:00 pm
Description of the event 90 mile bicvcle ride
Has this event taken place before?
Estimated attendance: 1 50
{" No Dates: 6t18t21
How is your event being publicized?www. rideviciouscvcle. com
Please attach any flyers, posters, etc. with your application subwission.
Contact Information
Name of the organizerfcontactperson: Jake Maedke
Address: 139 E SW E h RE D
Phone number(s (509) 750-0977 FEB 28 2U2
Email address: e ratabi com
Date of birth of applican t: 10-14-77
KITTTTAS couNTy couRTHousE . 205 wnsr 5*, surrE 108 ELLENSBURG, wA 98926
(509) 962-7s08 FAX (s09) 962-7679
www.co. kittitas.wa.us
KITTITAS COUNTY
If the application is made on behalf of a parfirership, please submit full names with their
residence and post office address for a period of six months prior to the date of
application together with the location of principal office or place of business of such
corporation. N.A.
Emergency contact name(s) and phone number(s) that can be contacted during the
event:
Jake Maedke (509) 750-0977
Name
Karen Maeclke
Phone Number
(509) 760-3620
Name Phone Number
WRITTEN PERMISSION TO ENTER EVENT SITE
I/We hereby permit law enforcement and/ or County officials to enter the site for which
the Event Application has been granted at the time of the event and up to five days
prior to the event for the purposes of inspecting and enforcement of County Code and
other applicable laws, and pursuant to my agreement and representations made in
connection with this Event Application.
SWORN STATEMENT OF COMPLIANCE
I/We hereby acknowledge that I/We have read Kittitas County Code, have
familiarized myself with County requirements. I/We agree that either my designated
agent or I/we shall be on site at all times and shall be responsible for the operation of
the event and for compliance with all legal requirements in connection with this event.
I/We understand that failure to comply with the rules, regulations and conditions set
forth in Code may be deemed a gross misdemeanor and that
violations are crimes under RCW.
Jake Maedke
Applicant Name (Print)
Karen Maedke
Applicant Name (Print)
or narcotics
Signature
KITTITAS cotrNTy couRTHousE . 205 wssr sft, SUITE 108 ELLENSBURG, wA 98926
(509) 962-7s08 FAX (s09) 962-7679
www.co.kittitas.wa.us
Kittitas County, Washington
BOARD oF COUNTY COMMIS SIONERS
Fire and Protection
If more than 50 people are expected at your event, you must complete a separate
application process which can be obtained through the Kittitas County Fire Marshal's
office. You may contact the Fire Marshal's office at509-962-7000.
Will there be a temporary structure erected for the event? Yes S
If yes, you must attach a drawing including the dimensions. The structure may
require an inspection by County staff prior to the event.
Public Health/Environmental Health
Will there be food served at the event? Yes S
If no food will be served at the event then, no permit or application is required.
If yes, is the food and beverage that you intend on preparing and serving at the event
exempt from p ermit re quirements http : / / www. co. kittita€.. wa. us / health / foo d. asp ?
- If yes, please submit an application for exemption from permit and proof of food
handlers training to the Kittitas County Public Health Department (KCPHD).
If yes, and the food or beverage is not considered exempt from permi! then does the
person or organization preparing and serving the food have a food service permit,
temporary food service permit or catering permit from KCPHD?
- If yes, please provide a list of foods and beverages that you intend on having
prepared and served at the event along with the name and phone number(s) of
the permitted person or organization.
If yes, and the person or organization preparing and serving the food does not already
have a food service permit.
- Then a temporary food service permit or catering permitwill need to be acquired
from KCPHD prior to the event.
Please allow at least 2 weeks to complete the food service permitting process.
KrrrrrAs couNTy couRTHousE 205 wESr 56, sUITE 109 ELLENSBURG, wA 98926
(s09) 962-7s08 FAX (509) 962-7679
www.co. kittitas.wa.us
Are there permanent or fixed bathroom facilities already available at the location of
the event?
Yes S
If yes, please provide an estimated attendance for the event a detailed map that
identifies the name and address of the physical facility that will provide lavatory
facilities for the event quantity of toilette facilities available for each gender, and the
distance from the event that patrons must walk.
If no, please provide an estimated attendance for the event, specific information
related to the number of portable restrooms that will be provided, the distance from
the event that patrons must walk, and a service plan to ensure that sani-cans remain in
a sanitary condition. You must include the location of the portable restrooms on a
map/ diagram of the event.
KITmAScouNTycouRTHousE 205wEST56, strrE 108 ELLENSBURG,wA98926
(509)962-7s08 FAX (s09) 962-7679
www.co. kittitas.wa.us
Kittitas County, Washington
BOARD oF COUNTY COMMISSIONERS
Law Enforceme Medical Services
Will there be security on site during the event? Yes S
If yes, please provide a complete list of narnes and contact information for who will be
providing the security.
Will Emergency Medical Services (EMS) be on site during the event? Yes V
If yes, please provide written verification from the providers.
Will there be music, sound amplification or any other noise impacts? Yes S
If yes, Kittitas County has a noise ordinance in effect (see County Code for details). If
your event is scheduled for outside of the allowed time, you must submit a written
letter to the Board of County Commissioners requesting a waiver and it must be
included with your application materials.
Will you have traffic control? Yes \6
If yes, please provide documentation on how the traffic control will be addressed.
Will there be off-site parking? Yes V
If yes, please provide the location and a parking plan.
Will there be shuttle buses provided for attendees? Yes S
If yes, provide a map of their route.
Will there be alcohol served at the event? Yes V
If yes, a State permit is required from the WA State Liquor Control Board and must
submitted with your application materials.
KITTITAS couNTy couRTHousE . 205 WEST 5m, sUITE 108 ELLENSBURG, wA 98926
(509)962-7s08 FAX(509)962-7679
www. co. kittitas.wa. us
Kittitas County, Washington
BOARD oF COUNTY COMMISSIONERS
Public Roads
WiIl the event obstruct, interfere or requiry the closure and free use of any public
roadu street or right-of-way? Yes ry6
If yes, please provide a detailed adequate traffic and detour plans at the time of
submission of the application.
Will there need to be road closure or detour signs posted? Yes V(
KIr-rIrAS corrNry couRrHffi:,
,3ff
*.ril*Oirr,til"r108 e ELLENSBURc, wA e8e26
www.co. kittitas.wa.us
Kittitas County, Washington
BOARD OF COUNTY COMMIS SIONERS
Garb ng
Do you have a plan for garbage and recycling? Yf" No
A written plan for garbage and recycling mustbe attached to your application
materials. For questions or assistance contact the Kittitas County Solid Waste
Deparhnent at 509-9 62-7542.
fnsurance
Have you obtained a Certificate of Insurance and,endorsements, specifically
naming "Kittitas Count5/" as an insured? V" No
A copy of the Certificate of Insurance amd endorsements must be included with your
application materials. Kittitas County mustbe named as an additional insured in the
amount of $1,000,000.00 per occurrence and $2,000,000.00 aggregate coverage. This
insurance must apply fir^st and on a primary non-contributih"g b"asis in relad'on to any
other insurance or self-insurance available to Kittitas County.
Penal Bond - Bond of Indemnitv
A $1000.00 Penal Bond - Bond of Indemnity is required to be deposited with the
County Treasurer to save and protect the streets, pavements, bridges, etc. from
damage. The deposit or its balance will be returned once the event has been held and
the Board of County Commissioners has certified no damage has been done and that
the County has not incurred additional expenses
Are you submitting a $1000.00 Pengrl Bond - Bond of Indemnity with your EventApplication? Yes y"
If no, you must request a letter in writing to the Board of County Commissioners
requesting a waiver to the Penal Bond - Bond of Indemnity and outline the specific
reasons why it should not be required of your event.
Filin and Re ation
Is there a cost to attend the event?No
How much are you charging to attend yorr event? $20
KITTITAS couNTy couRTHousE . 205 wESr 5ft, sutrE 108 ELLENSBURG" wA 98926
(509) 962-7s08 FAX (509) 962-7679
www.co.kittitas. wa. us
v"
Gran Fondo Ellensburg: lune L2,2022
Kittitas County Roads:
Dry Creek Rd
McManamy Rd
WA 10
Airport Rd
Westside Rd
Woods and Steele Rd
Mohar Rd
Upper Peoh
Thorp Prairie Rd
East Taneum Rd
Thorp Highway
Gladmar Rd
Course map can be seen online at:
http://ridewitheps.com/routes/6833060?pfivacv code=qzktW4qs0qaqWhZC
0
3.2
0.1
1.9
14.3
0.1
3.5
0.4
0.1
0.9
0.3
0.3
1.2
0.7
0.1
0.1
2.0
1.6
0.7
5.0
14.9
1.8
9.2
0.1
1.9
2.0
6.5
0.1
2.0
5.7
7.4
2.6
2.2
GO!
Right
Left
Right
Left
Right
Right
Right
Left
Left
Right
Left
Right
Left
Right
Straight
Right
Left
Left
Right
Left
Right
Right
Left
Right
Left
Straight
Straight
Right
Straight
Left
Right
Left
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<-
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+-
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(-
<-
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_->
<-
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---.'
<_-
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{-
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t
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<_-
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<-
Gran Fondo Ellensburg
Start on Dry Creek Rd
Turn right onto US-97 N
Turn teft onto McManamy Rd
Stight right onto wA-10 w
Turn left onto wA-10 w/wA-970 w
Turn right onto Airport Rd
Turn right onto E 1st St
Turn right onto N Short Ave
Turn left onto E 3rd St
Turn Left onto N Pennsylvania Ave
Turn right on Railroad Ave
Turn left on So Cte Etum Way
Turn right onto Madison Ave
Turn teft at the 2nd cross street onto 6th St
6th St turns right and becomes Marie Rd
Continue onto Westside Rd
Turn right to stay on Westside Rd AID 1 on LEFT
Turn left onto Woods and Steete Rd
Turn left onto NF-4510
AID 1.5 on RIGHT
Stight left onto NF-3300
Stight right to stay on NF-3300
AID 2 on RIGHT
Turn teft onto NF-133
Turn right onto NF-1 19
Turn left onto NF-3350
Continue onto Westside Rd AID 3 on RIGHT
Continue straight onto Mohar Rd
Turn right onto Upper Peoh Point Rd
Continue onto Thorp Prairie Rd
Turn teft onto E Taneum Rd
Turn right onto Thorp Hwy
Turn left onto Gladmar Rd
0
3.3
3.3
5.2
19.5
19.6
23.1
23.5
23.6
24.6
24.9
25.2
25.9
26.0
26.2
26.3
28.3
29.9
30.6
35.6
45.5
47.3
56.5
56.6
s8.5
60.s
67.0
67.1
69.2
74.9
82.3
85.0
87.2
Sani-cans will be provided and maintained by Brown and Jackson for Gran Fondo Ellensburg. There will
be four at Mt Stuart Elementary school and 1 on the course at the intersection of Westside Rd and
FS330O. We anticipate 150 pArticipants and this has proven to be a successful san-can plan based on
previous experience.
February 22,2022
Kittitas County Commissioners
205 West 5th, Suite 108
Ellensburg,WA 98926
RE: Requesting a waiver to the Penal Bond - Bond of Indemnity
Dear Kittitas County Commissioners:
On behalf of Vicious Cycle Events Inc., we are requesting a waiver to the $5000 Penal Bond-
Bond of Indemnity.
We don't anticipate damage to any county roads during the Gran Fondo Ellensburg Bicycle Ride
on June 12. We have done several bicycle rides throughout different counties in Washington and
have had no problems with damage. We have worked with Grant, Douglas, Chelan and Klickitat
counties as well as the WSDOT and WDFW utilizing their roads for the purpose of these bicycle
rides. There are between 100-200 riders on the road spread out over the course of approximately
7 hours for an 88 mile bike ride.
Riders will be advised they are to obey all traffic laws.
We appreciate your consideration.
Sincerely,
Jake Maedke
Vicious Cycle Events Inc
Vicious Cycle Events lnc.
139 E ST SW
Ephrata, WA 98823
509-750-O977
February 22,2022
Kittitas County Solid Waste Department
205 West 5th, Suite 108
Ellensburg, WA 98926
RE: Solid Waste Plan for Bicycle Event
Dear Kittitas County Solid Waste Department
This letter is to inform you of our Garbage/Recycling plan for the Gran Fondo Ellensburg scheduled to
take place on June 12,2022
All refuse generated from the Bicycle event will be picked up and disposed of by the event Director.
There will be a follow vehicle that will be picking up refuse at the end of the event.
Recyclable water bottles and/or cans will be collected and recycled by the event Director.
Sincerely,
Jake Maedke
Event Director
Vicious Cycle Events lnc.
Kiftitas Courty Ofrue Of The Treasurer
Ary Criske, Ttusuner
?05 W5lhAltluu, itinlb lUl
Elcnshqg,Wa 9S926
Phnne (s09) 962-7535 Fex (509) 933-8212
Cash Receipts
Receipt Number:
Received Fromr
FundCode
001
2022-t106
MANDY BUCHHOLZ ADMIN SUPERVISOR
Date:03t0U2022
Check Amount: $200.00
Cash Amount: $0.00
Other Amount: $0.00
Total Amount: $200.00
Deputy: MINDYD Receipt Type: CHK
Template:
Comments:
csR 2022-889
GRAN FONDO SPECIAL EVENT APPLICATION JTJNE
'2,2022
CHECK#I419
GlCode
163217t
Descriotion
SPECIAL EVENTS FEE
Amount
$200.00
$200.00Total Amount:
Kittitas County Treasurer's Office
Submilted By: MINDY DELOZIER
(c) 2002 Cashtax All Rights Reserved 03 I0 1 12022 1 2:22:34 M INDYD