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TATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION <br />ENCROACHMENT PERMIT <br />TR -0120 (REV 2198) <br />0 I compliance with (Check one) <br />® Your application of MAY 10, 2000 <br />❑ Utility Notice No <br />❑ Agreement No <br />❑ RM Contract No <br />TO �r <br />GETLER - RYAN INC <br />3164 GOLD CAMP DRIVE # 240 <br />RANCHO CORDOVA, CA 95670 <br />of <br />of <br />of <br />ATTN STEPHEN I CARTER <br />TEL (916) 631-1300 <br />I � <br />and subject to the following, PERMISSION IS HEREBY GRANTED to <br />Permit No <br />1000-6UL-0376 <br />DisUCWRte/PM <br />) ,� \ <br />O -SJ -12-17 03 <br />® Yes <br />❑ No <br />® Yes <br />Date <br />No <br />MAY 19, 2000 <br />❑ Yes <br />Fee Paid <br />Deposit <br />g <br />$ 350 <br />Performance Bond Amount (1) <br />Paymenl Bond Amovnt (2) <br />5 <br />$ <br />Bond Company <br />No <br />Bond Number (r) <br />Bond Numbin (2) <br />, PERMITTEE <br />Trench to Install groundwater extraction line to tie into the City's Industrial waste line at a manhole at the Intersection of <br />State Highway 12 and S Pleasant Avenue in the City of Lodi It was understood that permittee will abandon line after <br />the water treatment is done Abandonment shall be done In accordance with the Department of Water Resources <br />standards <br />In accordance with General Provision No 6, TWO WORKING DAYS PRIOR to the start of this work, permittee shall <br />notify the State representative MARCEL DE LA CRUZ, P 0 Box 2048 Stockton, CA 95201, (209) 948-3656 All work <br />under this permit must meet with the approval of the State representative <br />Failure on the permittee's part to comply with any provision will be cause for revocation of this permit <br />IMMEDIATELY FOLLOWING COMPLETION OF WORK PERMITTED HEREIN, PERMITTEE SHALL FILL OUT AND MAIL NOTICE OF <br />The following attachments are also included as part of this permit <br />(Check applicable) <br />Review <br />® Yes <br />❑ No <br />® Yes <br />❑ <br />No <br />General Provisions <br />❑ Yes <br />® <br />No <br />Utility Maintenance Provisions <br />® Yes <br />❑ <br />No <br />Special Provisions T, 182 <br />❑ Yes <br />® <br />No <br />A Cal OSHA permit required prior to beginning work <br />4 <br />In addition to fee the permittee <br />actual costs for <br />billed <br />® Yes <br />❑ No <br />Review <br />® Yes <br />❑ No <br />Inspection <br />® Yes <br />❑ No <br />Field Work <br />(!f any <br />Caltrans effort expended) <br />❑ Yes ® No The information in the environmental documentation has been reviewed and is considered prior to approval or lnis <br />permit <br />This penmil is void unless the work is complete before NOVEMBER 30, 2000 <br />This permit is to be strictly construed and no other work other than specifically mentioned is hereby authorized <br />Nn nrnupnl work shall be commenced until all other necessary permits and environmental clearances have been obtained <br />1 - Permittee <br />• 1 - File <br />3 M De= IJP CRUZ <br />Pete <br />1436 <br />MARK LEJA, District Director <br />BY f- <br />FRANKLIN L WEISHAAR. JR. District Permit Engineer <br />