HomeMy WebLinkAboutRAP86070 - RAP Permit / Conditions - 9/26/1994 Road No: 86070
Road Name: Sand Hill
MASON COUNTY ROAD DEPARTMENT � I � q a
411 North Fifth
Shelton, WA 98584
CK PERMIT
Subject to all terms, conditions and provisions written or printed below or on
any part of this form,
PERMISSION IS HEREBY GRANTED TO: Ron Byers
Address: P. 0. Box 349, Poulsbo, WA 98370 Phone: 437-2993
To install a multi-use access
Location: Approximately 1/2 mile north of Sand Hill Elementary School on
right-hand side
Legal Description: Portion of SE1/4, Section 19 North, Range 1 West, WM
REMARKS: Single family/forestry access exists. Up-grading access to multi -
use access (40'culvert w/20' driving surface) .
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 $ N/A accompanies this permit.
(Rct. # ; Check # )
Contractor: Leavett Trucking, Inc. Address:PO BX 1020, Port Hadlock 98339
Phone: 385-4200 License No: LEAVITI50NK Expires: August 12, 1995
* 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 MLITCD 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 Karl Demeree , Phone: 427-9670 extension 450.
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:
CONTACT OFFICE WHEN ACCESS
IS COMPLETE FOR FINAL INSPECTION Title: