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gully COUNTY OF SAN JOAQUIN <br /> i°� DEPARTMENT OF PUBLIC WORKS <br /> ` y P O BOX 1310-1810 HAZELTON AVENUE EP No EP-03 1 96 CC <br /> I { STOCKTON CALIFORNIA 95201 <br /> Date Issued 04104!2003 <br /> (209)468-3000 <br /> cr �� <br /> FAX# (209)468-9324 Expiration Date 04115/2003 <br /> 1 P o RT' Job No 11005 <br /> ENCROACHMENT PERMIT IJEICR/PM NO CR# <br /> To DOUG HEARD/KLEINFELDER Eacroachineut T}pe SOUL BORJNG <br /> 2825 E MYRTLE STREET Location 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 ermtssion is hereby granted to do work in County right of way as <br /> shown on attached application and suDjecl Tio au Inc Terms,coni ions an res.tions 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 will not be permitted mthm ten feet(JO')of pavement centerline unless otherwise approved by the <br /> Director 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 rn anticipation of future drainage facilities,road profile and/or frontage development All underground utility facilities <br /> are to be esLabhshed and accurately dimensioned on sketches from surveyed centerline of road right of way,not from right of way(border)lines <br /> I <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 AJl work performed under this permit shall conform to the rules and regulations pertaining to safety established by the California <br /> Division of Industrial Safety and Cal-OSHA <br /> The Jobsile shall be kept in a safe condition at all times 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 CALTRANS Manual of Traffic Control <br /> After completion of the work permitted herein,all debris,lumber,bami,ades,or any ext,ess material shall be removed and the]ubsite left in a neat <br /> workmaiililce manner [mmediately following completion of construction permitted harem;l�EirrJ�ritliYllrtand2ulttp_of�nnlehc y <br /> _ awxttr�-Idwcr«fif <br /> 9�r_3 rKt<t3 <br /> _irpvi8ed_by firantor <br /> I Y <br /> Special InstruLtrons 1 SUBJECT TO HEALTH DEPARTMENT ISSUING WELL DRILLING PERMITS FOR COVERED <br /> WORK 2 NO OTHER WORK IS AUTHORIZED 3 BORE HOLES SHALL BE BACKFILLED WITH 6- <br /> INCH DEEP-LlYr A C PATCH ON THE SAME DAY <br /> THOMAS R FLINN, Director <br /> apartment of Pub�1c Works <br /> Est Peiniit Fee $575 00 <br /> FORMS SSJWW,R-29 By <br /> WHITE Permittee Permit Section <br /> I <br /> GOLDENROD PWD Central File <br /> YELLOW Field Imspecuon <br /> PW 37 <br /> PINK Permit Section <br /> I <br /> ' AccesslPeroiitsTc)=lEncroachinent Pent Revised 0712000 <br /> I <br />