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L: yI.R 7MFllT G: TM►f5'D�7 �TIdi IGKTRMgA <br />ENCROACHMENT PERMIT <br />D61-µ`p202A (Rev IfPOI <br />In compliance with (check one): <br />Your application of 9-15-92 <br />Utility Notice No. of <br />Agreement No. of <br />R/W Contract No. <br />of <br />TO: <br />GROUNDWATER TECHNOLOGY, INC.1 <br />1401 HALYARD DRIVE, SUITE 140 <br />WEST SACRAMENTO, CA 95691 <br />Permit No. <br />1092-6SV � 9. 6 <br />Dist/Co/Rte/PM <br />10 -SJ -04-R-16.5 <br />Date <br />October 6, 1992 <br />Fee Paid Inspection <br />�__26Q.00 <br />Bond Amount <br />Bond Company <br />Al... BRUCE H. EPPLER, GEOLOGIST <br />(916) 372--4700 <br />J , PERMITTEE <br />and subject to the following, PERMISSIOP' IS F'EREBY GRANTED to: <br />Drill and install one 8 inch diameter soil boring to <br />approximately 60 feet below grade, and install 2 inch diameter <br />PVC casing and screen in boring. Complete surface with traffic -- <br />rated 12 inch diameter well head street box. <br />Permittee shall apply for and obtain an annual maintenance permit <br />in order to monitor well after this permit expires. <br />In accordance with General Provision No. 5, TWO WORKING DAYS <br />PRIOR to the start of this work, permittee shall notify the state <br />representative BILL LaMASCUS, 142 N 9th Street, Suite 8, Modesto, <br />CA 95350, (209) 576-6167. All work under this permit must meet <br />with the approval of the state representative. <br />Failure on the permittee's part to comply with any provision will <br />Continued <br />The following attachments are also included as part of this permit (Check In addition to fee the permittee will be <br />applicable) actual costs for: <br />Y Yes General Provisions Yes Na Review <br />Yes X No Utility Maintenance Provisions T Yes No Inspection <br />Yes—. No Special Provisions Yes Field Work <br />_ Yeses No Excavation permit required prior to beginning work: <br />(If any Caltrans effort expended) <br />Yes N.A. The information in the environmental aocumentation has been (reviewed and considered prior to <br />approval of this permit. <br />This permit is void unless the work is completed before M A R_C N 3 1 - 1 9 9 3 <br />This permit is to be strictly construed and no other. work other than specifically mentioned is hereby authorized. <br />No project work shall be commenced until all other necessary permits and environmental clearances have been obtained. <br />Orig.- Permittee <br />1- Permit file <br />03- BLaMascus <br />BDL :svl <br />APPROVED: <br />GORDON A. MARTS, District Director <br />Y JOHN GAGLIANO, District Permit Engineers <br />