HomeMy WebLinkAboutRAP2000-00024 - RAP Permit / Conditions - 5/2/2000 X - PERMIT
Mason County Road Department Permit Number:
411 North Fifth Road Name �Qh(,l B1'a CSM(-gh
P.O. BOX 1850 Road Number
Shelton, WA 98584 Road Location: 7d0 0
Subject to all terms, conditions and provisions written or printed below
or on any part of this form,
Permission Is 1.�-[.(/�r� 1-qc)`ouch' `/,W - ZZ.
Hereby Granted To: 23$37 sr Avef W —Z S 3. 804� , 5085'
I - vt So Cczcr ,253. 1�z/ • OZ99
GC-e�,
To Install:
Location: Wa-ST S/Ct- cof 7�huyQ-S/4Ckf.*7/f! Rd �t 3/4m/4-e-SOU 7W- oF� Jc6V
_ o-/- &4e C1uk De c✓4r!-o j4,7d., ct c Foss Y 't Ishii d-'J'S/L1a!
Parcel Number: .ZX304 7 7 90101
Legal Description: ,7X /O _4 6 50211 T/Z A2 G ff ilK/ 79d
A bond in the amount of $ z S • 06 accompanies this permit.
Receipt Number: 11 Check Number: O� -
Contractor
Address
City/St/Zip:
Phone
Lic. Number: Expires:
Specifications:
Access to be graveled to property line with 3"depth of dean 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
wor herein ntemplated shall have been completed on or before:
end
Dated a Shelton, Washington, this day of
Issued by:
�.
Y
Title.
PERMIT
Mason County Road Department Permit Number: N-
411 North Fifth Road Name
P.O. BOX 1850 Road Number
Shelton, WA 98584 Road Location:
Subject to all terms, conditions and provisions written or printed elow
or on any part of this form,
Permission Is l� �n 11?ohaodro 11N - 206- 8Z4-zz_z z
Hereby Granted To: r So A-W -•Z S 3. 004 5085'
2383? �l s- �v� ���,,�, ,z53• y'z/ • oz99
To Install: Jrn 14_1 AMI-A,, QC_C2SS
Location: W,-ST 5-&& 017 7ah#Q-,?/4CkrM1A RUB. _t '714MIL-e-sow;V oFliir�U7�cc?��
_ o Beg Cr•,Cx_k 4✓47/-0 y
Parcel Number: (::�4 77 90101
Legal Description: ?;Q, /O `,,q Qf= re2v, /.�/�a, Tie ,q 4," diP iAK/ 79p
A bond in the amount of $ z 5 . 00 accompanies this permit .
Receipt Number: Check Number:
Contractor
Address
City/St/Zip:
Phone
Lic. Number: Expires:
I
Specifications:
Access to be graveled to property line with 3" depth of dean 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 .
i
PERMIT
ATTACHMENT "A"
Permit Number: 9168
Type of Permit: District : 2
single family access Rd Number: 70670
Road Name: Tahuva Blacksmith
Permittee: Location
Kevin Mohundro Date 04/05/00
Parcel Number: 22304-77-90101-
SITE PRE-INSPECTION
Site Distance Left okay Right okay
Culvert Required: yes
Comments: 12" x 20' as per minimum county specifications. Slope drive so water will
NOT run onto county right of way.
Date: 05/01/00 By: Karl Demeree; (Inspector)
PROPERTY OWNER NOTIFICATION
Property owner notified of results of site inspection and permit issued by
Engineer's Office on this date: 05/02/00. Access may now be installed.
Comments:
NOTIFICATION OF COMPLETION
After access has been completed, property owner shall contact the Engineers Office
for Final Site Inspection (Phone: 360-427-9670 Ext. 450) .
FINAL INSPECTION:
Comments:
Date: ��— By: K_ (Inspector)