HomeMy WebLinkAboutRAP9610 - RAP Permit / Conditions - 5/8/2003 PERMIT _
Maso Cou oad Department Permit Number: 9610
OCth �12584
t Road Name Larson Boulevard
BOX Road Number 89100
Melton, A Road Location:
Subject to all terms, conditions and provisions written or printed below,,.-__
or on any part of this form, -
Permission Is Vic Seamans
Hereby Granted To: 2700 NE Old Belfair Hwy
Belfair WA 98528
275-3025
To Install : single family access
Location: From the North Shore Road of Hood Canal, turn onto Larson Lake Road
and continue up the hill to Cutless Way, turn left, Cutless turns into Laron
Blvd. Site is on the right Bj ' s sign is on sit
Parcel Number: 12331-51-00106-
Legal Description: Div 8, Lot 106 J
A bond in the amount of $ 25 . 00 accompanies this permit .
Receipt Number: 19853 Check Number:
Contractor
Address
City/St/Zip:
Phone : 426-
Lic. Number: Expires:
Specifications:
Access to be graveled to property line with 3" depth of clean 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/Multi 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 : 360-427-9670 ext . 450 .
RESULTS OF SITE INSPECTION: See Attachment "Alt
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 .