HomeMy WebLinkAboutRAP7133 - RAP Permit / Conditions - 12/27/1997 L� PERMIT
Maso ount Road Department permit Number: �33
411 North Fii h Road Name
P.O. BOX 185 Road Number
Shelton, WA 98584 Road Location: 5?u
Subject to all terms, conditions and provisions written or printed below
or on any part of this form,
Permission Is
Hereby Granted To:
91 N.E. LgZAW Col-jrt
/,/r✓ue/ Gcha. 98« Bel&-Wz. 985?st
To Install: , �a acdr-cs 4,719, Directions to site:
Location: - V At Lynch Cove Turn right into
c Larson Lake Drive up to
Barbara Blvd Turn Left-
��/ y6-Sa?8 then left into Allen Court-
then right into Lorrain Ct.Parcel Numbers -
Lot on left.
�,?.,3.3� -.�.3- c��Iv LEGAL DESCRIPTION
t Legal Description:
LOT 64 OF LYNCH COVE No. 3 AS RECORDED W VOLUME 8
14. OF PLATS, PAGE 2S. RECORDS OF MASON COUNTY. WA..
IN SECTION 36, TOWNSHIP 23 NORTH. RANGE 2 WEST. W.1,1.
A bond in the amount of $ accompanies this permit.
Receipt Number: Check Number:
Contractor /PAC E
Address i7j, A-4'—.
City/St/Zip: 7—aec- a-1 wt- 4'e4oS
Phone : ,,?r,i .51.3--oe a.2
Lic. Number: CPC 3L Expires: la-,�7- 9�
Specifications-
Access to be graveled to property line with 3'depth of dean gravel. Cuhrert to be aluminum,concrete or polyethylene.
Aces"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. Culvert W be minimum of 12'diameter by 20' length.
Access installation shad be in sccardamo with couiety specifications.
Comnweiel/Multi use access shall require STOP Signs. metaled 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: 427-9670 ext . 450 or at 1-800-562-5628 ext. 450 .
RESULTS OF SITE INSPECTION: See Attachment "A"
This permit shall be void and bond forfeited to Mason County unless the
work rein contemplated shall a been completed on or before:
T' c , 19 L- .
Dated at Sheltorn,, Washington, this day of ILL�`�,1 19 `7
Issued by: ! ' o
Title: C (,' '
PERMIT
ATTACHMENT "A"
Permit Number: 7133
Type of Permit: District : 2
single family access Rd Number: 85700
Road Name: Lorrain Court
Permittee: Location
Mr. James D. Golder Date 09/25/97
Parcel Number: 22336-53-00900-
SITE PRE-INSPECTION
Site Distance Left okay Right okay
Culvert Required: no
Comments: Access shall slope away from right of way.
Date: 09/30/97 By: Karl Demeree; (Inspector)
PROPERTY OWNER NOTIFICATION
Property owner notified of results of site inspection and permit issued by
Engineer's Office on this date: 10/02/97. Access may now be installed.
Comments:
NOTIFICATION OF COMPLETION
After access has been completed, property owner shall contact the Engineers Office
for Final Site Inspection (Phone: 427-9670 Ext. 450 or 1-800-562-5628 Ext. 450) .
FINAL INSPECTION:
Comments:
Date: By: (Inspector)