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cn7ubiiZy99 SJCOPUBLICWORKS
<br /> PAGE 01
<br /> aR ut „
<br /> r, ��w:'•f : E.P. Na. 98-213-N[J
<br /> COUNTY ,OF SANS JOAQUIN
<br /> DEPARTMENT OF, P,UBL4C WORKS 6-23-98
<br /> Aa sox Isla,um 6 rw7a.rd:e Issued)
<br /> '. .', (Dete.
<br /> '�t �k M� • AOORdI GtrP011NN.wot - -.
<br /> o uwt asasoa 8-15-•98
<br /> HENRY M. NtMTA ENCROACHMENT PER.MI-T (Expiration Date).'
<br /> w..ere,
<br /> 11003
<br /> (Job No.)
<br /> TO° Adrancsd,6soepilranseatal� ohment: type.. Monitoring.well
<br /> Fla 'City Chevron
<br /> AQOs N. Iiilwn Way Tncation: ' s/s Capital Alia, '751
<br /> Btooktoii,:C�,: 45205 . a/o,.ThorntoR Ad.,
<br /> In compliance.with your request of 6-1'9 , '19 g
<br /> granted to do' work'.in Count right,of way. �a permission is hereby, , '
<br /> Y 9•. y,as shown on attached application and subject, to '
<br /> all, the terms, conditions and ,restXictions.'writter' below oY-'printed-as general or„special
<br /> Provisions on -any part of,ihi .form. Se® _reverse'side, and ;attached, sheet,`if •any. '
<br /> Trench excavations for service. connections will not be permitted within ten .feet (10')
<br /> of pavement centerline unless" otherwise 'approved by the Director. Surface of trench patches
<br /> shall match in kind and'be smooth'and even with that of'abuttin •a :,Special attention
<br /> shall be given toabutting ace.. depth of through zoadside area.in-anticipation .efLfuturs drain-, ,
<br /> age facilities, roadprofile and/or frontagi,develoRMrnt.: .all underground utility facili-
<br /> ties are to. be established''and accurately dimensions ,on sketches .' ' ' surveyed centerline
<br /> of road right of way, nat`from righti'of way' '(border)' lines.'
<br /> .The Department oft Public Works; Field_Inspectipn section shall receive a notice at
<br /> ast.'forty-eight (48) hours prior to beginning( 'any 'work within the County- right..of way.
<br /> °. All, work pe;formed-under•-this• permit shall.:,,cor(fpztq;to 'the: rules and regulations pertain
<br /> in to safetyeatabhshed.:by' the'California•Diyis�xon-of InduBLrial,S_afety;,agd Cal-OSHA:
<br /> 'The jobsite shall be`kept in a safe conditiop at ail times by' the daily<removal of
<br /> any excess 'dirt or debris which might 'be a: hazard to either pedestrian,Or -automgbile
<br /> traffic AT1'neces;ary :traffic tonvenifncg;and Iwarn ing devices and personnel shall be ,
<br /> p;ovtded, 'placid pnd'matkltaiDRd -by!and atf,the spJq 'expense.'q,F the Permittee-'in accordance
<br /> with the•latest editioq.Of'the CALTRANs Manual of 'TYdif7ic<Contr0l•
<br /> After completion of the work.permitted herein, "ll debr},s '.11Lnber, barricades, or any
<br /> excess material shall bI..... moved and the,•jobsite left in a;neat workmanlike manher.
<br /> , Immediately following- Completion ,of'
<br /> construct ion .permitted„herein, Permittee shall fill
<br /> out and mail notice of completion provided•,by Grantor.
<br /> Post4V Fax Note 7671 Dau a ► -
<br /> IT mdf
<br /> Plane,. Phone* P3,_V- .
<br /> Est. Permit Feer $ 9�. 7 Fexx Fm*FORM: SVWW,P�-29
<br /> �'t4
<br /> Department:of PuUlir~„Koxks,
<br /> ✓WHITE - Permittee - 8y ��/-�<._/�)
<br /> GOLDENROD. - PWD Central File - :Permit Secti
<br /> lf
<br /> YELLOW' - Field Inspection ”
<br /> -`PINK - Permit section
<br /> PW 27
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