HomeMy WebLinkAboutAccess Connection M93-139 - RAP Permit / Conditions - 9/27/1993 Washington State Distr - eadquarters
%AiDepartment of Transportation 5720,
ulevard,Tumwater
P.O.Box 4
Duane Berentson Olympia,WA �4-7440
Secretary of Transportation September 27, 1993
(206)357-2600
Fax(206)357-2601
Allen M:-Shearer -
P.O,-Box-789-------'
Belfair, WA 98528
Phone: (206) 275-3465 -
SR 3 C.S. 2305
Access Connection
Permit M93-139
Mile Post 27.95 Left & Vicinity
Dear Mr. Shearer:
Attached is your executed original Access Connection Permit allowing you to perform the
indicated work within the state highway right-of-way.
The bonding requirement of this permit is satisfied by a $2,000.00 "Assignment of Escrow" at
the "Peninsula Community Federal Credit Union" of Belfair, WA., and shall be held until all
work under this permit has been completed and approved by the Department.
Before,beginning work on this project, please contact both the Area Maintenance Superintendent
and the Utility Underground Locate Center to advise them of your planned work, starting date,
and location. The Area Maintenance Superintendent's phone number is on front of the Special
Provision page, and the Utility Underground Locate Center phone number is 1-800-424-5555.
No work is authorized within the state highway right-of-way until this notice is given.
Upon completion of this project the Grantee will need to make a written request for inspection
and release of escrow as provided under Special Provision No. 22 to the Area Maintenance
Superintendent. It is your responsibility to provide any release of escrow forms required-by the
"Peninsula Community Federal Credit Union".
Sincerely
DEAN W. MOBERG, P.E.
Assistant Transportation Planning Engineer
DWN
IcZ_
c� NMason County
cc: M. McGill /' Ae /
Adw7
Washington State
4 Department of Transportation General Permit
cs 2305 SR 3,1'
Permit No. M93-139 District No. 3
Name and Address of Applicant:
Allen M. Shearer
P.O. Box 789
Belfair, WA 98528
Phone: (206) 275-3465
The Applicant, hereinafter referred to as the"Grantee,"having applied for a permit to
remove approximately 300 feet of embankment and landscape the disturbed area, on the Northwest
side of the state highway (SR 3) at Mile Post 27.95 and vicinity, left side, located in the Northwest
1/4 of the Southeast 1/4 of Section 21, Township 23 North, Range 1 West, W.M.,
on a portion of State Route No. 3 in Mason County, Washington,the Washington
State Department of Transportation or its designee, hereinafter referred tows the"Department," hereby orders that this
permit be granted,subject to the terms and provisions stated upon the reverse hereof and Exhibits attached hereto and by
this reference made a part hereof:
Exhibit"A"— Special Provisions for Highway Encroachments, Pages 1, 2, & 3
Exhibit "B" Right-of-way sheet showing location of bank removal. One Page
Exhibit "C" Traffic Control Plans. Pages 1 and 2
This permit shall be void unless the work herein
contemplated shall have been completed before
September 30, 1994
This permit is accepted and approved by the Grantee
subject to the terms and provisions as herein set forth.
GRANTEE DEPARTMENT OF TRANSPORTATION
By: B e Cl
y• n
Title:. � Title:Assistant Transportation Planning Engineer
Date: — I'Y - Date: 7z Z 7z 9�
Form 224-004
DOT Revised 11191
General Provisions '
I. The Grantee,its successors and assigns,agrees to protect the State of Washington,its officers and employees and save them harmless from
all claims,actions or damages of every kind and description which may accrue to or be suffered by any person,persons,or property by reason
of the acts or omissions of the Grantee,its assigns,agents,contractors,licensees,employees or any-person whomsoever,in connection with
Grantee's,its assigns',agents%contractors',licensees'or employees'construction,installation,maintenance,operation,use oroccupancy of the
right of way or in the exercise of this permit. In case any suit or action is brought against the State of Washington,its officers and employees,
arising out of or by reason of any of the above causes,the Grantee,its successors or assigns will,upon notice of such action,defend the same
at its sole cost and expense and satisfy any judgement against the State of Washington,its officers,or employees: PROVIDED,that if the claims.
or damages are caused by or result from the concurrent negligence of(a)the State of Washington's agents or employees and(b)the Grantee
or Grantee's agents or employees,this indemnity provision shall be valid and enforceable only to the extent of the negligence of the Grantee or
the Grantee's agents or employees.
The Grantee,and on behalf of its assigns,agents,licensees,contractors and employees agrees to waive any claims for losses,expenses,
damages or lost revenues incurred by it or its agents,contractors,licensees,employees or customers in connection with Grantee's,its assigns',
agents',contractors',licensees'or employees'construction,installation,maintenance,operation,use or occupancy of the right of way or in the
exercise of this permit against the State of Washington,its agents or employees except the reasonable costs of repair to property resulting from
the negligent injury or damage to Grantee's property by the State of Washington,its agents,contractors or employees.
2. During the progress of the work,such barriers shall be erected and maintained as may be necessary or as may be directed for the protection of
the traveling public;the barriers shall be properly lighted at night.
3. Except as herein authorized,no excavation shall be made or obstacle placed within the limits of the State highway in such a manner as to interfere
with the travel over said road.
4. If the work done under this permit interferes in any way with the drainage of the State highway,the Grantee shall wholly and at its own expense
make such provision as the Department may direct to take care of said drainage.
5. On completion of said work herein contemplated,all rubbish and debris shall be immediately removed and the roadway and roadside shall be
left neat and presentable and satisfactory to the Department.
6. All of the work herein contemplated shall be done under the supervision and to the satisfaction of the Department,and the entire expense of said
supervision shall be borne by the party or parties to whom this permit is issued.
7. The Department hereby reserves the right to order the change of location or the removal of any structure or structures authorized by this permit
at any time,said change or removal to be made at the sole expense of the party or parties to whom this permit is issued,or their successors and
assigns.
8. All such changes,reconstruction,or relocation by the Grantee shall be done in such manner as will cause the least interference with any of the
Department's work, and the Department shall in no wise be held liable for any damage to the Grantee by reason of any such work by the
Department,its agents or representatives,oir by the exercise of any rights by the Department upon roads,streets,public places,or structures
in question.
9. This permit or privilege shall not be deemed or held to be an exclusive one and shall not prohibit the Department from granting other permits or
franchise rights of like or other nature to other public or private companies or individuals,nor shall it prevent the Department from using any of
its roads,streets,or public places,or affect its right to full supervision and control overall or any part of them,none of which is hereby surrendered.
10. The Department may revoke,amend,or cancel this permit or any of the provisions thereof at any time by giving written notice to the Grantee.
The Grantee shall immediately remove all facilities from the right of way.Any facilities remaining upon the right of way 30 days after written notice
of cancellation shall be removed by the Department at the expense of the Grantee.
11 . The party or parties to whom this permit is issued shall maintain at its or their sole expense the structure or object for which this permit is granted
in a condition satisfactory to the Department.
12. Any breach of any of the conditions and requirements herein made,or failure on the part of the Grantee of this permit to proceed with due diligence
and in good faith after its acceptance,with construction work hereunder,shall subject this permit to cancellation as herein provided.
13. This permit is subject to all applicable provisions of Chapter 47.32 RCW and/or Chapter 47.44 RCW and amendments thereto.
15. The Grantee hereby certifies that the facilities described in this permit are in compliance with the Control Zone Guidelines.
Form
f AW Washington State p S eciCal Provisions for
Department of Transportation Highway Encroachments
Permit No. M93-139
Applicable provisions are denoted by (X)
$1 1. No work provided for herein shall be performed until the Grantee is authorized by the following Department representative:
Marvin (Casey) McGill
Area Maintenance Superintendent
8293 Spring Creek Road, Port Orchard, Washington 98366-9613
Phone: (206) 895-4753
IQ 2. Prior to the beginning of construction,a preconstruction conference shall be held at which the Department and the Grantee
and Grantee's engineer,contractor, and inspector shall be present.
R 3. Should the Grantee choose to perform the work outlined herein With other than its own forces,a representative of the Grantee
shall be present at all times unless otherwise agreed to by the District representative..All contact between the Department
and the Grantee's contractor shall be through the representative of the Grantee.Where the Grantee chooses to perform the
work with its own forces,it may elect to appoint one of its own employees engaged in the construction as its representative.
Failure to comply with this provision shall be grounds for restricting any further work by the Grantee within the State right of
way until said requirement is met.The Grantee,at its own expense,shall adequately police and supervise all work on the
above described project by itself,its contractor,subcontractor,agent,and others,so as not to endanger or injure any person
or property.
t� 4. A copy of the permit must be on the job site and protected from the elements at all times during any of the construction
authorized by said permit.
rX 5. This permit does not give the Grantee or any agent or contractor of the Grantee any rights to cut, spray, retard, remove,
destroy,damage,disfigure or in anyway modify the physical condition of any vegetative material located on the highway right
of way, except by written permission from the Department or for purposes as described by No. 6 if denoted below. All
restoration shall be done to the satisfaction of the Department at the sole expense of the Grantee.
N1 6. If necessary to increase sight distance,brush shall be removed from both sides of the access connection and stumps shall
be removed. The indiscriminate cutting of merchantable timber or disfiguring of any feature of scenic value shall not be
permitted.
❑ 7. The access connection(s)shall be constructed in accordance with the attached
Sufficient length of -inch diameter culvert pipe shall be placed in ditch and laid to a true line and grade.The
access connection(s)shall be surfaced to the limits as shown on the plan with a 6-inch minimum compacted depth of gravel
base material and a 3-inch compacted depth of crushed surfacing top course.Asphalt paving will not be required.Finished
grade of the access connection shall be in accordance with the profile control as shown on the attached plan.Directing of
surface water from private property to Department right of way will not be permitted, unless otherwise approved by the
Department.
❑ 8. The access connection(s)shall be constructed in accordance with the attached
Sufficient length of -inch diameter culvert pipe shall be placed in ditch and laid to a true line and grade.The
access connection(s)shall be surfaced to the limits as shown on the plan with a 6-inch minimum compacted depth of gravel
base material a 3-inch minimum compacted depth of crushed surfacing top course and paved with a 3-inch minimum
compacted depth of Asphaltic Concrete Class B unless otherwise specified by the Department. Any existing oil mat on
shoulder or roadway shall be removed and new pavement laid to a butt joint with existing pavement.Finished grade of new
pavement shall be in accordance with the profile control as shown on attached plan.Directing of surface water from private
property onto Department right of way will not be permitted, unless otherwise approved by the Department.
JK 9. All buildings and appurtenances shall be so located at a distance from the right of way line of any State Highway that none
of the right of way therefore is required for use of the patrons or customers of any such establishment.Grantee shall comply
with local building codes.Set-back"requ ire ments for the location of buildings in relation to the right of way line are a function
of local authorities, and they should be consulted regarding requirements that must be adhered to.
DOT Form 224-713X
Revised 9/92 Pagel Exhibit "A"
.0 10. The Grantee agrees to schedule the work herein referred to and perform said work in such a manner as not to delay the P
Department's contractor in the performance of his contract.
JSJ 11. Work within the right of way shall be restricted to between the hours of 8:30AM and 4:30PM ,and no work shall be
allowed on the right of way Saturday,Sunday,or holidays,unless authorized by the Department.Any lane closures must be
submitted for approval in advance of use.The hours of permitted closure may differ from the above noted hours.
KI 12. The shoulders,where disturbed,shall be surfaced with crushed surfacing top course three -inch minimum compacted
depth,or as directed by the Department.The surface of the finished shoulder shall slope down from the edge of pavement
at the rate of 1/2 inch perfoot unless otherwise directed.The restored shoulder must not have any strips or sections less than
2 feet wide.The restored shoulder shall be surfaced with asphalt concrete pavement.
X 13. The Grantee shall be responsible for and appurtenances between
the shoulder line of the highway and.the right of way line inclusive of surfacing and drainage.The Department has the right
to inspect all installations at the time of construction and at any time afterward and to require.that necessary changes and
repairs be made. Unsatisfactory work will be corrected by the Department, at the Grantee's expense,or access may be
removed at the Grantee's expense.Directing of surface water from private property onto Department right of way will not be
permitted.
❑ 14. The access connection shall be sufficiently surfaced back an adequate distance from the edge of the pavement to prevent
anytracking of material onto the highway.Anytracking of material onto the highway shall be subjectto enforcement of Chapter
46.61.655 RCW and shall be immediately cleaned up by the Grantee or the Grantee's agent.
❑ 15. Standard highway warning signs designated as 'Truck Crossing"sign, plate W11-6, shall be placed and maintained at
Grantee's expense on each side of the access connection.Signs shall be in evidence only when access is actually being used.
If necessary,flagmen shall be provided.Sufficient parking space shall be provided by the Grantee outside Department right
of way so no vehicles will be parked on said right of way.
,5 16. All manholes,valve covers,and like appurtenances shall be constructed at such an elevation to conform to the shoulder slope
from the edge of pavement or as directed by the Department.
17. All slopes,slope treatment,top soil,ditches,pipes,etc.,disturbed by this operation shall be restored to their original cross
section and condition.All hazards shall be marked by warning signs,barricades,and lights. If necessary,flagmen shall be
employed for the purpose of protecting the traveling public. Roadside operations shall be specified by the Department's
representative.
18. During the construction and/or maintenance of this facility, the Grantee shall comply with the Manual on Uniform Traffic
Control Devices for Streets and Highways.If determined necessary by the Department,the Grantee shall submit a signing
and traffic control plan to the Department's representative for approval prior to construction or maintenance operations.
❑ 19. Bond coverage required to ensure proper compliance with all terms and conditions of said permit will be furnished by a Blanket
Surety Bond held at Headquarters in Olympia.
fK 20. A surety bond in the amount of$ 22000.00 written by a surety company authorized to do business
in the State of Washington,shall be furnished to ensure compliance with any and all of the terms and conditions of this permit
and shall remain in force until all work under-this permit has been completed and approved by the Department.
�I 21. Relative to advertising adjacentto all State highways,we wish to call your attention to the Scenic Vistas Act of 1971,Chapter
47.42 RCW and State Transportation Commission ruling Chapter 468-66 WAC.Violation of this section of the statutes will
be sufficient cause for cancellation of this permit.On-premise signs are allowed.
l�1 22. The Grantee shall notify the Department's representative upon completion of the work under this permit so that a final
inspection can be made.
23. No lane closures shall be allowed except as approved by the Department representative.Approvals may cause revision of
special provisions, including hours of operation.
24. The responsibility of the Grantee for proper performance,safe conduct,and adequate policing and supervision of the project
shall not be lessened or otherwise affected by Department approval of plans,specifications,or work,or by the presence at
the work site of Department representatives,or by compliance by the Grantee with any requests or recommendations made
by such representatives.
_:Q 25. All material and workmanship shall conform to the Washington State Department of Transportation Standard Specifications
for Road, Bridge and Municipal Construction,current edition, and shall be subject to inspection by the Department.
ADDITIONAL "SPECIAL PROVISIONS" SEE PAGE 3.
DOT Form 224-713X il .u n
Revised9/92 Page 2 Exhibit A
Page 3 of 3
M93-139
Allen M. Shearer
P.O. Box 789
Belfair, WA 98528
Special Provisions (Continued)
X 26. Any future development, subdivision, or change in land use of this property will
require review and approval by both WSDOT and Mason County.
X 27. The Grantee is responsible for all coordination, work, and expenses associated with
any utility relocation and service connection fees. The Grantee is responsible for
obtaining a grading and construction permit and all other pertinent permits from
Mason County or other agencies, if applicable, prior to beginning work.
X 28. The Grantee will notify the Department's .representative two regular work days in
advance of scheduled work within the state right-of-way.
X 29. The contractor will be responsible for obtaining their own liability coverage while
working within the right-of-way of the state highway.
X 30. Special care should be taken during the excavation and construction of this project to
insure that surface water will not flow onto SR 3. Any problems created by surface
water runoff directed toward the state highway must be alleviated at the Developer's
expense.
X 31. The contractor shall use the approved traffic control plans as provided in Exhibit "C".
It is the contractor's responsibility to provide adequate traffic control and protection
to ensure the safety of the traveling public, all personnel, and equipment, working
within the state right-of-way. If necessary, the contractor shall provide certified
flaggers for the purpose of protecting the traveling public.
X 32. The contractor will place the material removed from the bank in a location that is
agreeable to the Department's representative at the sole expense of the Grantee.
X 33. The finished grade from the edge of pavement out to the right-of-way line.shall be
constructed at 0.02 feet/foot down and away from the roadway.
X 34. There will be no advertising signs or bill boards erected within the state right-of-way.
X 35. The Department shall be granted entry onto private property periodically to inspect
that portion of the project.
X 36. The disturbed area within the Department's right-of-way shall be contoured, graded,
seeded, fertilized, planted, and mulched at the Grantee's expense to reduce erosion
and problems with surface drainage. Existing surface water runoff from the state
highway right-of-way must not be impeded. Any problems with drainage shall be .
alleviated at the Grantee's expense to the Department's satisfaction. All materials
used within the state right-of-way will be to WSDOT standards.
X 37. Bonding will be held on this project until all work is completed to the satisfaction of
the Department.
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MINIMUM TAPER LENGTH ILI IN FEET
/„fed Speed Cop `.
20 30 35 +0 IS SO SS
— — — — — — — — E ic log Iso ms ZTo +so Soo sso
Bill 113 IES 239 21S +]S SS0 EOs
-1 12! IEO :+S 320 5+0 {00 eW
e N PoI 0
AREA
Buffer vehicle .
ItI1 flo3here
eAw� (Gotland)
ROAD SHOULDER 31g,Spdaln4. 11
CONSTRUCTION WORK Rurdl Redds
reA Urodn.rt«Idle +0/SS
loole-iAHEAD UU�edn Sty„t
N„laenrl I ); :Si3S MRI ri0't
..'N20-I . ' N21-3
.. „ . ..
OR
ROAD GENERAL NOTES
WORK
AHEAD The maximum Spacing between charmellZing
devlCes In 0 taper Should be nearly equal
N21-4 An feet to the Speed limltl the maximum
. - - spacing between ChanneliZing devices used ;
to separate traffic should be 2 times the
speed limit.
Buffer vehlcle may be a work vehicle.
G .._.-
LEGEND - .. . .. �....._ 4j
a a a TRAFFIC SAFETY CONES -IB'YINJi
c' .`` ' ! `� f. F'•%' -
14 SN)N LOCATION - TRIPOD MOUNT
SHOULDER CLOSURE
TAr FEO.AIO PRGJ.MG. PROGRAM DEVELOPMENT zaeo erY M x. to WAs DIVISION '�Washington State
_xE0 eY F.n, department of Transportation
1. END11. '
ra:
I. ADM. n.n a 12
w. TRAFFIC CONTROL PLAN
tol.om-PLdnl DATE DATE REVISION By
ASSIGNMENT OF ESCROW ACCOUNT
This assignment is for the purpose of fulfilling the requirement of bonding collateral for
Permit M93-139 The undersigned does hereby assign, transfer, and set over
unto the State of Washington all right, title and interest in and to $2,000.00,
on /Account in the Bank, in the
name of Allen M. Shearer full power and authority to demand; collect, and
receive said deposit and to give receipt and acquittance therefor for the uses and purposes
prescribed above. It is understood and agreed that Branch.
Bank holds the Certificate covering said account in its possession
and agrees to hold.. $2.000.00 until a release of this assignment from the State of
Washington is received. The interest shall be payable to Allen M. Shearer
Signed and dated at Washington this day of
199 .
Account No. Signature e
Signature
Address
ACCEPTANCE
The undersigned 1h`ereby accepts the foregoing Assignment of Escrow Certificate, Voucher
\ \ `-1 Number r4�— , in the amount of $2.000.00 this day of
�o--DSi��g C' , 1992
Escrow Offlcer-. BANK
�a anc,-- p Ste_
Phone No. of Bank Address o .Banks_ V)k
q g�a�