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pAu rN COUNTY OF SAN JOAQUIN <br /> DEPARTMENT OF PUBLIC WORKS <br /> Z y P 0 BOX 1810-1810 HAZELTON AVENUE EP No EP-03 I 96 CC <br /> co 4 STOCKTON CALIFORNIA 45201 <br /> Dale Issued 04!0412003 <br /> ' a (209)468-3000 <br /> L4/15/'2003... <br /> FAX#(209) 468-9324 Expiration Duce <br /> 4LlFpRN Job No 11000 <br /> ' ENCROACHMENT PERMIT MCRIPM NO CR 9 <br /> To I DOUG HEARD!KLEINFELDER Encroachment Type SOIL BORING <br /> ' 2825 E MYRTLE STREET Lacauon BOTH SIDES OF COUNTRY CLUB BLVD BETWEEN <br /> STOCKTON CA 95205 ORANGE ST AND INTERSTATE ROUTE 5 <br /> NOTE SEE ATTACHED PLANS <br /> In compliance with your request of 04/09/2003 rmtssion is hereby granted to do work in County right of way as <br /> ' shown on attached application and subject o au me ferms,cont ons and res rictions written below or printed as general or special provisions on any <br /> part of this form See reverse side and attached sheet,if any <br /> Trench excavations for service connections WH not be permitted within ten feet(10')of pavement centerline unless otherwise approved by the <br /> ' Dircuor Surface of trench patches shall match in kind and be smooth and even with that of abutting surface Special attention shall be given to depth <br /> of utilities through roadside area in anticipation of future drainage facilities,road profile and/or frontage development All underground utility facilities <br /> are to be established and accurately dimensioned on sketches from surveyed centerline of road right of way,not from right of way(border)lines <br /> ' The Department of Public Works,Field Inspection Section shall receive a notice at least forty-eight hours prior to beginning any work within the <br /> County right of way All work performed under this permit shall conform to the rules and regulations pertamrig to safety established by the California <br /> Division of Industrial Safety and Cal-OSHA <br /> The lobsrte shall be kept in a safe condition at all tunes by the daily removal of any excess dirt or debris which might be a hazard to either pedestrian or <br /> automobile traffic All necessary traffic,convenience and warning devices and personnel shall be provided,placed and maintained by and at the sole <br /> ' expense of the Permittee in accordance with the latest edition of the CALTI2ANS Manual of Traffic Control <br /> After completion of the work permitted herein,all debris,lumber,barricades,or any excess material shall be removed and the lobsite left in a neat <br /> workmanlike manner Immediately followmg completion of construction permitted s ot„ lef c ii , <br /> � <br /> ' puid�`,by�ranto�' <br /> Special Instructions I SUBJECT TO HEALTH DEPARTMENT ISSUING WELL DRILLING PERMITS FOR COVERED <br /> WORK2 NO OTHER WORK IS AUTHORIZED 3 BORE HOLES SHALL BE BACKFILLED WITH 6- <br /> ' INCH DEEP-LIFT&C PATCH ON THE SAME DAY <br /> THOMAS R FLINN, Director <br /> ' epartment of Public Warks <br /> Est Permit Fee $575 00 <br /> FORMS SS/WW,R-29 By <br /> WRITE -Pemvttee Permit Section <br /> GOLDENROD PWD Central File <br /> ' YELLOW -FieldInspection PW 27 <br /> PINK -P <br /> Section <br /> AccesslPernvlslFomislEncroactunent Permit Revised 0712000 <br />