HomeMy WebLinkAboutRAP9498 - RAP Permit / Conditions - 8/6/2002 PERMIT , ,Qt ►��, S�,��
Mason County Road Department Permit Number: � ���11,,, 770411 North Fifth Road Name : &J4 't� ,Q_Q� d-k
P.O. Box 1850 Road Number : r q o
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 Oly"'P�c >Z�Sd�rcc rYla•�«�evncv�} /44n (�Ae�., �c,�p..IVE®
Hereby Granted To: Pcpe- �¢_CLArY'el CO.-n�y (�;C
p. (D. 3:}k -7 �/ 9
J Pcr + c,n mote/WA 1983L� 1 JUL 0 2002
3(,,0 297-0570 )( z-`f
To Install : �- k ctcl roa t. k ,, ieen ro'r ` „17 a CC2SS MASON COUNTY PUBLIC WOR 5
Location: - jar Creek - DatA n+6 EaA8,
Parcel Number: 22.30S _ -00000
Legal Description: G-F-iD�
A bond in the amount ofCj $ 5-0 accompanies this permit .
Receipt Number: I Check Number: L -7 CI3 I
Contractor McLna'fewten4 1 A' % GlPuti
Address P.CU- f3�,K -j
City/St/Zip: f or4 6x Y,,kle1 WA 1-79 36 1
Phone : �,p ;xcl7- c)S 7v x 2-1Lic. 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:
FOREST PRACTICE BASE MAP
TOWNSHIP 23 NORTH , RANGE 02 'NEST ( W . u . ) SECTION 05
APPLICATION
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SCALE
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FEET 1 Mee (sxo n)
MAP DATE. Februory 22, 1999
CONTOUR INTERVAL : 40 Feet LEGEND : See Instructions
1 NAD 21 DISCLAIMER : See Legend
water/wetlands including their location and class may be incorrectly displayed or not shown
on the Base Map. Applicants are responsible for verification and correction.