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HomeMy WebLinkAbout7052 - RAP Permit / Conditions - 6/2/1997 _ PERMIT Mason County Road Department Permit Number: 7052 411 North Fifth Road Name : Shelton Springs P.O. BOX 1850 Road Number : 50810 Shelton, WA 98584 Road Location: Subject to all terms, conditions and provisions written or printed below or on any part of this form, Permission Is Kenneth L & Gertrude Semanko Hereby Granted To: E 1180 Shelton Springs Road Shelton WA 98584 426-4209 To Install: Location: above address (E 1180 Shelton Springs Road) Parcel Number: 42012-21-00020- Legal Description: E 200 ' of NE NW, EX E 20 ' No of right of way, EX Nor th 850 ' . A bond in the amount of $ $25 . 00 accompanies this permit . Receipt Number: 15882 Check Number: 5748 Contractor N/A Address City/St/Zip: Phone : 426- Lic. Number: 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. 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. i