HomeMy WebLinkAboutRAP86070 - RAP Permit / Conditions - 6/28/1991 �Lk
MASON COUNTY
PUBLIC WORKS DIRECTOR/COUNTY ROAD ENGINEER
Shelton, Washington 98584
DATE -a O `
INTER-DEPARTMENTAL COMMUNICATIONS
TO:
T/HEALTH DEPARTMENT
FROM: MARLEY L. YOUNG, County Engineer
SU BJ: APPLICATION FOR ACCESS PERMIT
Attached you will find an Application for Access Permit for
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Please advise us (within 5 working days) as to whether or not we need to
"hold" the Access Permit issuance, pending your Department's need for
additional review, and other approvals.
*7-0—
MARLEY L. YOU4KE, P
County Engine
MLY: ilc
Please hold pending further investigation.
Our preliminary investigations show no problems with this access .
Remarks: '
MASON COUNTY ROAD DEPARTMENT
Courthouse Road No. : 8670
Shelton, Washington —
APPLICATION Road Name :
PERMIT
Subject to all terms, conditions and provisions written or printed below or on any part of this ;;_:rm,
PERMISSION IS HEREBY GRANTED TO Prince of Peace Catholic Church
co tact* Josephy Testu phone: 275-3505
Address c/o NE 180 S Cherokee Beach Road, Belfair, WA 98528
7o install a _ rQMMFgr
IAI A CFSS _ onto County
Road No, £i6070
Location: lnpn feat _r1Q^h_of SA nd H ill F 1 emantAry Schnn 1 = corner prnpprt y at i ntPrserti on
with Belfair Manor Road.
Legal Description: Pnrtinn of SW J. of section Tnwnshi N
�,- R 21--- ,�.dngP 1 WP�t- WM-
REMARKS. access for new church to be built there. Location for access as marked and
flagged is flexible -- County is to make recomendations to the builder.
IF CULVERT I NECEISARY: Culvert to be metal, concrete or polyethylene.
Culvert to be minimum of 12" diameter by 20' in length,
(125.40 bond required) 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.
FRct. ; Check 1i , )
Contractor: ----------- Address: --------------------------
Phone: ------- Lic. No: -------- Exp, .
Access will be staked and flagged by Permittee for preinspection.
�:cess will be FreinspE _ted by ;Pis %ffice Lriar ta_in tallation,
Installation shall be in accordatce with county specifications .
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 Road Supervisor ,
, Phone: 427-9670; Ext 'n: 450
This permit shall be void unless the work herein contemplated shall have been completed before.
September 28 19 91
Dated at Shelton, Wash., this 28 day of June 19 91
aztIssued by:
Title: Secretary/Receptionist