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HomeMy WebLinkAboutRAP5256, Utility Permit 5128, and Water Right Certificate - RAP Permit / Conditions - 11/16/1995 PE - zZ- � NOV 1 6 i995 MasomCounly Road Department Per=it Number: CJ UJNt 411 North Fi h Road Name P.O. Box 185 Road Number 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 Hereby Granted To: Collins Lake Community Club P.O. Boa 602 Belfair, Wa. 98528 To Install: Gravel access for power utility easement_ Location: - NE 1/4 of NW 1/4, Section 6, Township 22 North, Range 2 West, W.M. AND - Lot 29, Division 3, Collins Lake Plat, SE 1/4 of SW 1/4 of Section 31, Township 22 North, Range 2 East. W.M. - '111u1 Cc�l�r�a o�<<� CCrrnmunt� C4t� Parcel Number: NE 1/4 of NW 1/4, Section 6, Township 22 North, Range 2 West. W.M. Legal Description: Lot 69, Division 3, Collins Lake Plat 22331-52-00069 A bond in the amount of $ 29_00 accompanies this permit. Receipt Number: Check Number: Contractor Pivetta Bros. Address P.O. Bog 1066 City/St/Zip: Rent, Wa. 98035 Phone 206-854-6872 Lic. Number: 91-123261 Expires: Specifications : Access to be gravelod to property litre with 3' depth of dean gravel. Cuivwl to be aluminum,concrete or poiyethylens. Access wR be staked and flagged by Permittee for pre-inspection. Culvert wll lay in lit»of ditch. Access wit be pro-i spectad by this oft-ice prior to instanstion. Culvert to be minimum of 12" diamotor by 20' length. Access kutalation shall!be In accordance with county specifications. Commercial/Multi use access sham require STOP Signs, instated 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 : 427 -9670 ext . 450 or at 1-800-562-5628 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: , 19 Dated at Shelton, Washington, this day of 19 Issued by: Title. aTet e a STATE OF WASHINGTON DEPARTMENT OF ECOLOGY PO Box 47775 • 01yrnpia, Washington 98504-7775 • (206)407-6300 May 31, 1995 John Noble Robinson &Noble 5915 Orchard street West Tacoma, WA 98457 Re: colllns Lake, G2-21459 Dear Mr. Noble: In response.to your request, ecology has reviewed the above referenced water ghwhe where the ribes two wells, located at sites approximately As we discussed the certificate desc ears that as existing well has afro operated In been racco, and where the new rdance with the existing well watler right, ice.the Withdrawal long as the wells a p rate, and annual quantity of water withdrawn does not exceed the right, everything is In order. As the right specifically authorize tate�e9ulat ons8n of to 1The Notification of Intent tols any unpermItted wells lDrill,d be properly abandoned in accordance with should reference the water right gl tnallmbf the Collins r, and you should systemlt an is not curdrent y metereod,for we any decommissioned wells. Ad Y recommend the Installation of a source meter, and regularly scheduled meter and static water level measurements. Please contact me at (360) 407-0274 if I can be of further assistance. Sincerely, dn Hu Resources C 9 0 T 9 6 '2 C J O 161 � US�ii STATE OF WASHINGTON EEL R. DEPARTMENT OF ECOLOGY CERTIFICATE OF WATER RIGHT Surface Water (Issued in accordance with the prov,::iuns u( Chapter 117, Laws of WuehtnKl,.n (ur 1't17, —d un,.rrn l.u.•nts thereto, and the rules and regulatiuna of the Depnrt n_ of EculnKy.) © Ground Water (Issued in accordance with the provisions of Chapter 263, Laws of Washington for 1945, and amendments thereto, and the rules and regulation+ of the Department of Ecology.) CERTIFICATE NUMBER PERMIT NUMBER APPLICATION NUMBER PRIORITY DATE G 2-21459 C G 2-21459 P G2-21459 NAME COLLINS LAKE COMMUNITY CLUB, INC. ADDRESS (STREET) (CITY) (STATE) (ZIP CODE) PO Box 602 Belfair Washington 98528 This is to certify that the herein named applicant has made proof to the satisfaction of the Department of Ecology :. of a right to the use of the public waters of the State of Washington as herein defined, and under and specifieally­-- subject to the provisions contained in the Permit issued by the Department�of Ecology, and that said right to the use of said waters has been perfected in accordance with the laws of the State of Washington, and is hereby con- firmed by the Department of Ecology and entered of record as shown. PUBLIC WATER TO BE APPROPRIATED SOURCE 2 wells " TRIBUTARY OF (IF SURFACE WATERS) MAXIMUM CU81C FEET PER SECOND MAXIMUM GALLONS PER MINUTE MAXIMUM ACRE-FEET PER YEAR 160 70 DUAN-PITY, TYPE OF USE. PERIOD OF USE L� 70 acre-feet per year community domestic supply *--- continuously LOCATION OF DIVERSION/WITHDRAWAL APPROXIMATE LOCATION OF DIVERSION/WITHORAWAL Well No. 1: 1130 feet south and 460 feet east; Well No. 2: 2100 feet south and 1350 feet east; BOTH from the west quarter corner of Sec. 31 LOCATED WITHIN (SMALLEST LEGAL SUBDIVISION( SECTION TOWNSHIP N. RANGE, (E. OR W.) W.M. W.R.I.A. COUNTY 31 23 2 W 15 Mason RECORDED PLATTED PROPERTY LOT BLOC' OF (GIVE NAME OF PLAT OR ADDITION) 24 & 65 2 & 3 Collins Lake LEGAL DESCRIPTION OF PROPERTY WATER TO BE USED ON Divisions No. 1, 2, 3 and 4; plat of Collins Lake in W3/4, Sec. 31, T. 23 N. , R. 2 W.W.M. NOUN -- MASON COUNTY ROAD DEPAR" 'FNT Rose "a: See Attached List 411 North Fifth See Attached Iis - Shel ton, WA 98584 Road Name: UTILITY PERMIT # slab ions written or printed below or on s and provisions Subject to all terms, condition p any part of this form. PERMISSION IS HEREBY GRANTED TO: Collins Lake Community Club Attn: Tom Thies Address P.O. Bog 602 Belfair, WA 98528 Ph: (360) 871-2453 Divisions 1,2,3, and 4, Plat of Collins Lake in the West 3/4 of Section 31, (Legal Description I when applicable) Township 23 North, Range 2 West, W.H. To Construct/Install : Replace and upgrade 13,743 linear feet of watermain as part of WE Plater System Improvement Project within the following Mason Cou right—of—way's (see attached list. PERMIT APPROVAL CONTINGENT ON CONDITIONS ON ATTACHMENT "A" . A �} Installations shall be in conformance with Mason County Ordnance No. 3-93, Accormodation of Utilities on County Road Right-of-Way, and to the satisfaction of the County Engineer. Traffic control shall be in conformance with the Manual on Uniform Traffic Control Devices (MUTCO). When nsta1latJon duturbs the surface of the roadway, repair of said surface shall be performed as per items 11 tfxough 14 on the Mason County Requirements for Installations and Maintenance of Undarground Utilities (attached hereto). Contnctx. �rec A bond in the amount of i on is required to ensure compliance with the condtkmu as set forth in this pernit. Said bond will be held for one year. Perruttes's non-compliance to the conditions of this permit sW result in the forfeiture of all of part of the Bond (contingent upon the costs incurred by Mason County to effect repairs, ate.). 10 (� footage fees, accompanies this A Fee n the amount of ¢ 0 L-(.0 X. 0 1 _ is the 46ponsibdrty of the applicant to notify al utilities and private prope owners when such property is labia to nju or damage through the performance of the &boys work and the appacant shall make all necessary arrangements relative to the protection of such property andlor Utilities. AIv Franchise necessary. $ This permit subject to existing Franchise. — This Permit issued contingent upon an Application for a Franchise being of made to the Board of Mason County Commissioners on or before the 31s December, 19 No work shall be done under this permit until the Permittee has communicated with P i the offs e of he e artm ant of Public Works and/or received instructions Mason Count Road Supervisor. from y: 450. OR 1-800-562-5628 Phone No. - Dept. of Pu 11C orks: 427-9670, Ext n This permit shall be void unless the work he Conte p 9 l ed shall been P com leted on or before '- DATED at Shelton, Washington, this � l day of 19 '�D . issued by: rrtle: < i