HomeMy WebLinkAboutRAP9344 - RAP Permit / Conditions - 6/15/2001 • V (fit
PERMIT
Mason County Road Department Permit Number: 9344 V1
411 North Fifth Road Name : Mason Lake Drive
P.O. BOX 1850 Road Number : 60830
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 Mark Rickey
Hereby Granted To: 2551 Mason Lake Drive E
Shelton, WA 98584
253-537-1011
To Install: single family access
Location: Will be upgrading existing access - physical location: 2551 E.
Mason Lake Drive East - will be staked and flagged.
Parcel Number: 22233-52-00047- ffbdul,�
Legal Description: Parcel No. 22233-52-00047
A bond in the amount of $ N/A accompanies this permit .
Receipt Number: Check Number:
Contractor : RG Forestry
Address : P.O. Box 681
City/St/Zip: Hoodsport, WA 98548
Phone : 426-9540
Lic. Number: RGFORC*159K Expires: 04/19/02
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 "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.