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RAP2017-00041 - RAP Permit / Conditions - 6/27/2017
1PlERMiT Mason County Road Department Permit Number: 100 W Public Works Drive Road Name : fV6 WXTH 5 062C R D Shelton, WA 98584 Road Number f Z7100 c Road Location• M-FA lk Sgbject to all terms, conditions and provisions written or printed below or on any part of this form, Permission Is j i_UE £ i-Ark©NAIA l-�L�WiV5 Hereby Granted To: 17- 8 PE AJO -rH ✓�2E 90 13C`rA(k Gv # To Install: PE-Wt6ED Z 5"04Y 6 AQ i;;;r/5T6,i F .o c a t i on:VZodbt R ttZ Tr t � j�Aat"'E1 ✓�" l 'L�, RP t h#&Y 14-114!M5 f 4.07-L 5 Du. ! 6�7- Parcel Number: 32234 - ,50- " 194063 Legal Description: IKADPOPA /ko4pw6!5`1D6� &H TpA�,` A bond in the amount of $ 5 accompanies this permit . Receipt Number: Check Number: Contractor : (Ylo"AW- U(L'f 3/VL -- Address City/St/Zip: ?j( �t,�� ✓7C� Phone :C*) i,it Number. MD/2&4B3 761e- Expires: Specifications: Access to be graveled to property line with 3"depth of clean gravel. Culvert to be aluminum,concrete or polyethylene.SWwu h � Access will be staked and flagged by Permittee for we4nspection. 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 30'length. Access trust be perpendicular(90 degrees)to the County Road. Access installation shall be in accordance with county specifications_ ComrnerciallMulti 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 : 360-427-9,670 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: Dated at Shelton, Washington, this day of Issued by: Title : Chapter 36.75 of the Revised Code of Washington 36.75.130-No person shall be permitted to build or construct any approach to any county road without first obtaining permission therefor from the board ;1943 c 174 sec. 1) 36.75.140-The boards of the several counties of the state may adopt reasonable rules for the construction of approaches which,when complied with, shall entitle a person to build or construct an approach from any abutting property to any county road. The rules may include provisions for the construction of ulverts under the approaches, be depth•of fills over the culverts and for such other drainage facilities as the board deems necessary. The Anstruction of appproaches,culverts,fills,or such other drainage facilities as maybe required,shall be under the supervision of the board,and all such :onstruction shaft be at the expense of the person benefited by the :onstruction(1943 c 174 sec.2) The construction of all approaches to County roads in Mason County,Washington,shall comply with these regulations and with RCW Sections 36.75.130,36.75.140 and 36.75.T50. GENERAL PROVISIONS APPLICABLE TO ALL PERMITS During the progress of the work such barriers and waming signs shall be erected and maintained as may be necessary or as may be directed for the protection of the(raveling public;the barriers shall be properly lighted irhen necessary. In accepting this permit,the petitioner,his successors or assigns,agrees to protect Mason County and save it harmless from all claims"actions or Damages of every kind and description which may accrue to i 6e suffered by any person or persons,corporation or property by reason 61 the r rformance of any such work,character of materials used or manner of installation,maintenance and operation or by the improper occupancy of rights waorpublic place or public structure and in case any suit or action is brought against said Mason County for damages arising out of or by reason of y o the above causes the petitioner,his successors or assi ns will upon no ce to him or them of commencement of such action,defend the same at or their awn sole cos(and expense and will satisfy judgmenI after the said suit or action shall have finally been determined if adverse to Mason County. Except as herein authorized,no excavation shall be made or obstacle placed within the limits of a county road in such manner as to interfere with the travel over said road. Except as herein authorized,no excavation shall be made or obstacle placed within four(4)feet of the edge of the pavement. If the work done under this permit interferes in any way with the drainage of the county roads,the graeteeshall wholly and at his own expense make such provision as the Mason County Road Engineer may direct to take care of said rainage. On completion of said work herein contemplated,all rubbish and debris shall be immediately removed and the roadway and roadside shall be left nea and presentable and satisfactory to the Mason County Road Engineer. All work,workmanship, labor and material shall comply with the Washington State Electrical Code,and the current edition of the Washington State Department of Transportation Standard and Specifications for Road and Bridge Construction. Installations shall also conform to Specifications of Federal Aviation Administration,when applicable. In case of any damage to an roads,streets,public places,structures or public property of any kind on account of said work by the grantee, he wi11 at once repair and restore said damage at his own sore cost and expense. No SaturdaY,Sundayy or Holiday work permitted under this permit except in case of emergency,or between the hours of 6:00 PM and 6:00 AM the following work day. Notify Local Fire District before opening any trench across any Roadway and when project is completed. Permittee shall notify Mason County Road Engineers before making any roadway cuts and immediately after completion of project. All of the work herein contemplated shall be done under the supervision and to the satisfaction of the Mason County Road Engineer and the entire expense of said supervision shall be borne by the party or parties to whom this permit is issued. The County Commissioners hereby reserve the right to order the change of location or the removal of any structure or structures authorized by this perm ,at any time,said change or removal to be made at the sole expense of the party or parties to whom thi it s permit is issued,or their successors and assigns. All such changes reconstruction or relocation by the grantees shall be done in such manner as will cause the least interference with any of the county's work and Mason County shall in no wise be held liable for any damage to the grantee by reason of any such work by Mason County,its agents or representatives,or by the exercise of any rights by the County upon the roads,streets,public places or structures in question. if at any time the County of Mason deems rt advisable to change the alignment or grade of any road,street,public place of structure by widening, grading,regrading piankin paving improvin altering or repairing same,the gran#ee upon written notice by the County of Mason,its representatives or agents,will at his own sole cost and expense,immediately so raise,tower, lansgo#worvkecoontem lathed or orderedrbs therCounanted,to conform to the P P y ty• This permit or privileegge shall not be deemed or held to be an exclusive one and shall not prohibit the County from granting other permits or franchise righ#s o like or other nature to other public or private utilities,nor shall it prevent the County from using any of its roads,streets,or public places,or affect its right to full supervision and control over all or any part of them,none of which is hereby surrendered. The County Commissioners may revoke,annul,change,amend,amplify or terminate this permit or any of the conditions herein enumerated if grantee fails to comply with any or all of its provisions,requirements or regulations as herein set forth or,1hrough willful or unreasonable neglect,fails to heed or comply with notices given or if the utility herein granted is not installed or operated and maintained in conformity herewith or at all or for any cause or reason whatsoever. The party or parties to whom this permit is issued shall maintain at his or their sole expense the structure or object for which this permit is granted in a condition satisfactory to the Mason County Road Engineer. In accepting this permit,the grantee,his successors and assigns agree that any damage or injury done to the property of the grantee or an expense incurred by him through the operation of a contractor,working for the County, or of any County employee shall be at the sole expense of the grantee,his successors or assigns. The undersigned hereby accepts this permit subject to the terms and conditions as herein set forth. Signed By - f'1'l t TGes�N Dated this 8 dY of 20 (7 �. Created on 01/26/06 10:58 AM y1•V / `` r�rl�GT '