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Home My WebLink AboutRAP Application - 10/9/2024 Mason County FICE USE ONLY Public Works Department PERMIT NUMBER: 100 W Public Works Drive ROAD NUMBER: ROAD NAME: Shelton, WA 98584 PERMIT EXPIRES ON: Phone: (360) 427-9670 x 450 PERMIT FEE: $200.00 PAID BY: CHARGE CASH CHECK RECEIPT#: ROAD APPROACH/ENCROACHMENT PERMIT APPLICATION 0; 321225000037 Applicant Name Mailing Address City/State/Zip .. Jahnee Dragoo 1607 SE Eaton Blvd Battle Ground, WA 9860 Daytime TelephoneAddress 360-912-9507 jdragoo@wolfind.com AddressContractor Mailing . Code Wolf Industries 1607 SE Eaton Blvd 113attle Ground, WA 98604 Daytime Telephone Contractor's License Number Expires on: 360-912-9519 WOLF111921 BD 4/2/2025 WORK TO BE PERFORMED (Check One) SURFACE OF ACCESS ❑ Single Family Access WILL BE (Check One) ❑ Multi-Use Access How many parcels will this access serve? ❑Crushed Rock ❑ Commercial Access What type of business? ❑Logging Access temporary only ❑ Asphalt ❑ Right-of-Way Work—Please give a brief description of work below: ❑ Concrete I certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate and/or cancel the provisions of any other state or local statutes regulating construction and/or performance of construction. The undersigned hereby applies for permission,pursuant to RCW 36.75.130,to have,construct and maintain a private access road approach. The undersigned also hereby agrees to protect, indemnify, defend and hold harmless Mason County, its departments, officers,elected and appointed officials,employees, servants,agents and volunteers from and against any and all claims, suits,costs,expenses,liabilities and damages(including but not limited to the costs of defending or settling any action or claim) with respect to loss of or damage to property(including Mason County's property) or personal injury (including but not limited to death)to any person resulting from or arising out of its planning,operation,management,and supervision of the project for which this permit was issued. Additionally,by signing this agreement,at the sole expense of the applicant,the applicant shall be responsible for any and all damages caused to Mason County property(including but not limited to the County right-of-way)that may arise from work performed for which this permit was issued. Should the undersigned not comply with this provision,any costs associated with damages maintained by Mason County that are directly related to work performed for this permit will be the sole responsibility of the applicant. Furthermore,I hereby certify that I am a licensed contractor and that said license is in full force and effect,OR that I am the legal owner of the above described real property. Signature of Co racor Authorized Agent Si nature of Owner Liaati A(ere Print Name:Jahnee Dragoo Print Nane:Brandi Bogosian Liana Mezo Date:10/9/2024 Date:10/09/24 10/09/24 Road Approach/Encroachment Permit Application Page 2 of 2 Permit Number: ATTENTION THIS APPLICATION IS FOR WORK PERFORMED WITHIN THE COUNTY RIGHT-OF-WAY ONLY. IT IS THE RESPONSIBILTY OF THE APPLICANT TO VERIFY THE LOCATION OF THE RIGHT-OF- WAY. SURVEYING MAY BE REQUIRED. FOR WORK PERFORMED ON PRIVATE PROPERTY, CONTACT THE COUNTY COMMUNITY DEVELOPMENT DEPARTMENT FOR PERMIT REQUIREMENTS. In order to process Encroachment Permits,all submissions shall include a complete site map of the work site location;submission of an incomplete site plan map will be considered an incomplete application and returned to the applicant.The site plan shall include a plot plan of your lot showing the location of the proposed work being applied for;as well as any ditches,canals,and/or landscaping that may have an effect on the location of or site distance of approach.The applicant shall show the name of the road the approach will front. ROAD APPROACH/ENCROACHMENT PERMIT SITE PLAN Directions to the site: E Shetland Road to E ST Andrews Dr to E Way To Tipperary Street RETURN RADIUS R RESIDENTIAL APPROACH-LOCAL ROAD 10' MN.Ir DIA CULVERT RESIODNTIAL APPROACH-RURAL MINOR COLLECTOR 1S W/11EMELED DID TO RESIDENTIAL APPROACH-RURAL MAJOIL COLLECTOR 21f MATCH SLOPE MN. T'COVER /-� RESIDENTIAL APPROACH-URBAN MINOR 2W APpft 1 A JOR JD' REsm'nAL APPROACH-URBAN MA q>"woTh /-/J MAJOR APPROACH -ALL CLASSIFICATIONS ]B' lftNr APPROACH WIDTH CP WA RESIDENTIAL 12'MN./2V MAX, MATCH EXISTING ROADWAY MA" 22'MIN./]B'MAX. SEE TABLE FOR SLOPE!MATERIAL TO RETURN RAORIAS OF P 1�,— _ _,H CENTER OF DITCH \--:"QUARRY LACED S'v s x r SPACES AT CULVERT ENDS PLAN NTS NOTES: I.APPROACH PAINING a MIN 2'COMPACTED DEPTH HMA OVER MIN 2'COMPACTED DEPTH CSTC, OR MIN B'CEMENT CONCRETE CUSS 4000. EXPANSION JOINT 2.ALL PORTLAND CEMENT CONCRETE APPROACHES REQUIRE AN INSPECTION OF THE FORMS AND IN MAX.CHANCE IF CONCRETE ROW EXPANSION JOINT LOCATIONS PRIOR TO CONCRETE INSTALLATION. W CRADE O EP I APPROACH SHALL NORMALLY BE AT 90 DEGREES TO ROAD CENTERLINE,BUT CAN VARY FROM SLOE _ +5R MAX TO ROW UME OR 20'MIN. 75 TO 105 DECREES. __ __ _;_— _ .._. -�. 4.CULVERT PIPE MUST BE CONCRETE.CMP,OR CPEP WTH QUARRY SPACES MINIMUM LENGTH IS -SX MAX 7-0 ROW LONE OR 20'Mk 2(Y OR OETERAIINEO BY THE WIDTH OF APPROACH PLUS 5'EACH ENO(EXCLUDING BEVELEO DOS). S.IF EXISTING COUNTY ROAD SURFACE IS OTHER THAN ASPHALT CONCRETE PAVEMENT,A LIKE MATERIAL MAY BE USED ON ROAD APPROACH. 2-C57C(TYP) SECTION A NTS RURAL. RESIDENTIAL/MAJOR APPROACH DETAIL APPROVED BY. IV, COUNTY ENGINEER DATE