HomeMy WebLinkAboutRAP9530 - RAP Permit / Conditions - 10/18/2002 Cbm(n �.
_ PERMIT loko�q
Maso Cou Road Department Permit Number: 9530
11orth It Road Name : Elfendahl Pass
0 Bo 1 Road Number : 80610
helton, l1/A 584 Road Location:
Subject to all terms, conditions and provisions written or prit¢d ow
or on any part of this form,
Permission Is Linda A. Thomson
Hereby Granted To: 121 NE Rainier Place N v
Belfair WA 98528
275-6344
To Install : single family access
Location: Across Elfendahl Pass Road from address 7130 .
Parcel Number: 22302-77-00010-
Legal Description: SE Quarter (Lot 1 , Large Lot 96-4 , S2, T23N, R2W, WM
A bond in the amount of $ $25 . 00 accompanies this permit .
Receipt Number: 19466 Check Number: 3843
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 "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 :