HomeMy WebLinkAboutRAP9700 - RAP Permit / Conditions - 9/25/2003 _ PERMIT
Maso Cou oad Department Permit Number: 9700
18 orth It Road Name : Brockdale
. OX Road Number 50090
Melton, A 584 Road Location: E .Area
Subject to all terms, conditions and provisions written or printed below
or on any part of this form,
Permission Is Terry Scheer _
Hereby Granted To: l� L4bitil CA M f�
1 11 l PI V-k �U A C11'615 l Q1
459-7606
To Install : single family access
Location: 3071 E Brockdale Rd. approx 3 miles down on left close to
intersection with McEwan Praire .
Parcel Number: 32131-44-90030- Y.
Legal Description: Range 3 , Township 21, Section 3 .
A bond in the amount of $ accompanies this permit .
Receipt Number: Check Number:
Contractor : Harris Construction
Address : 714 A Spencer Rd
City/St/Zip: Winlock WA 98596
Phone : 864-4935
Lic. Number: harric*980j<„ Expires: 04/17/04
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 30' 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 "A"
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 :