HomeMy WebLinkAboutRAP4192 - RAP Permit / Conditions - 7/6/1994 ACCESS PERMIT
Mason Count Road Department Permit Number: 4192
411 North Fif h Road Name : Sand Hill
P.O. Box 185 Road Number : 86070
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 Twin Firs Cemetary
Hereby Granted To: P.O. Box 1196
Belfair, WA 98528
426-
To Install: multi-use
Location: Sand Hill Road - per John Flynn
Parcel Number: 12330-41-60010-
Legal Description: See attached. Parcel # 12330 41 60010 / 12330 41 60
020
A bond in the amount of $ N/A accompanies this permit .
Receipt Number: Check Number:
Contractor : R AND K VENTURES
Address : P.O. BOX1196
City/St/Zip: BELFAIR, WA 98584
Phone : 426-
Lic. Number: 601547543 Expires:
Specifications:
Access to be graveled to property line with 3" depth of dean 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 W ulti 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: