HomeMy WebLinkAbout9994 - RAP Permit / Conditions - 9/3/2004 s C P ERMIT _
Ion Cou o ,De artOrtl� 1 t 1 O p� Permit Number:
C ' l/,l, J /4 Road- Name P� �' ��r,
�ielton, A 584 �'`'li a� Road Road Number trot r ` '"`-�'�
Location. `�
L'Subject to all te�this
�fo
tions and provisions written or printed be ;
r on any part of
Permission Is t
Hereby Granted To: L(;( ( - (� G 4, / m o-n
S ,
To Install: � � r LJc1 .
3 2 s
Location- Cl_�(an Jv"O_ S401-e-, coCkJa'3�-
Parcel Number: ( 0 L( t i ;Q /1'zC))Q ` I _Cocd�
Legal Description: �� r 1� r RR
A bond in the amount of $ 5000 accompanies this permit.
Receipt Number: Check Number: 1
Contractor ��� � �c��lejn,o,t,t
Address City/St/Zip: (e PL�( �.`l���pcc
Phone4 36
Lic. Number: ��a 5 z- _ ?g
Expires:
Specifications:
Access to be graveled to property line with 3"depth of clean gravel. Culvert to be aluminum,concrete or polyethylene.
Access will be staked and flagged by Permittee for pre-inspection. Culvert will lay in line of ditch.
Access will be pre-inspected by this office prior to installation.
Access must be perpendicular(90 degrees)to the County Road. Culvert to be minimum o!12" diameter by length.
Access installation shall be in accordance with county specifications.
Commercial/Multi use access shall require STOP Signs,installed in conformance to the MUTCD manual, at intersection with county road_
No work shall be done under this permit until the party to whom it is granted has communicated with and received instructions from the road
supervisor at : 360-427-9670 ext. 450 .
RESULTS OF SITE INSPECTION: See Attachment "All
This permit shall be void and bond forfeited to Mason County unless the
work herein contemplated shall have been completed on or before:
Dated at Shelton, Washington, this day of
Issued by:
Title :