HomeMy WebLinkAboutRAP4295 - RAP Permit / Conditions - 4/19/1994 Road No: �'J53y
Road Name:
MASON COUNTY ROAD DEPARTMENT
411 North Fifth
Shelton, WA 98584
PERMIT
Subject to all terms, conditions and provisions written or printed below or on
any part of this form,
PERMISSION IS HEREBY GRANTED TO:
Address:_�2 C) f3" ll 19�1 Phone: -95V0
To install a p "
Location: ;
Legal Description:r a 1Q
REMARKS: bjds _�k
Culvert Specifications: Culvert to be metal, concrete or polyethylene.
Culvert to be minimum of 12" diameter by 20' length.
Culvert will lay in line of ditch.
Access to be graveled to property line with 3" of clean gravel.
A Bond in the amount of $ accompanies this permit.
(Rct. # Check # .)
Contractor: *� Address: p
Phone: - License No: G "9 Expires: /9
* Access will be staked and flagged by Permittee for pre-inspection.
* Access will be pre-inspected by this office prior to installation.
* Access installation shall be in accordance with county specifications.
* Commercial/multi use access shall require STOP sign, installed in
conformance to the MUTCD manual, at intersection with county road.
No work shall be done under this permit until the party or parties to whom it
is granted shall have communicated with, and received instructions from the
Road Supervisor , Phone: 427-9670 extension 450.
This permit shall be void unless the work herein contemplated shall have been
completed on or before 19
DATED at Shelton, Washington, this day of 19
Issued by:
Title:
�G
ACCESS PERMIT
Mason Count Road Department Permit Number: 4295
411 North Fi h Road Name : Webb Hill
P.O. Box 185 Road Number : 57530
Shelton, WA 8584 Road Location:
Subject to all terms, conditions and provisions written or printed below
or on any part of this form,
Permission is Mark Biser
Hereby Granted To: P.O. Box 681
Hoodsport, WA 98548
426-9540
To Install: single family access
Location: Will be redefining two old existing roads. One already has been
updated. Ditches will need to be redefined to match culverts.
Parcel Number: 42124-31-02020-
Legal Description:
A bond in the amount of $ N/A accompanies this permit .
Receipt Number: Check Number:
Contractor : RG Forestry
Address : same as above.
City/St/Zip:
Phone : 426-
Lic. Number: RGFORC*159K Expires: 04/19/95
Specifications:
Access to be graveled to property line with 3"depth of dean 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. Culvert to be minimum of 12"diameter by 20'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: 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 herein contemplated shall have been completed on or before:
, 19
Dated at Shelton, Washington, this day of 19
Issued by:
Title: