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tNC�NTY OF SAN JOAQUIN <br /> il" <br /> x' �� DEPARTMENT OF PUBLIC WORKS <br /> P.O.BOY 1810-1810 HAZELTON AVENUE <br /> 2 ,. EP No: EP-02 i71 CC <br /> STOCKTON CALIFORNIA 95201 <br /> Date Issued: 5/08/2002 <br /> (209)468-3000 <br /> Expiration Date: 08/15/2002 <br /> FAX#(209)468-9324 <br /> Job No: 11005 <br /> UE/CR/PM NO: CR 016663 <br /> ENCROACHMENT PERMIT _ <br /> To: GETTLER-RYAN INC. Encroachment Type: MONITORNG WELL <br /> 1364 N.MCDOWELL BLVD.#A2 Location: S /S OF ELMWOO <br /> AVD AVENUE 30'W/0 PERSHNG <br /> ENUE <br /> PETALUMA,CA 94954 <br /> i <br /> + 242.4- p . PAA� . <br /> In compliance with your request of 04/I9/2002 permission is hereby granted to do work in County right of <br /> way as shown on attached application ana subject to a e erms,conditions and restrictions written below or printed as general or special <br /> provisions on any part of this form. See reverse side and attached sheet,if any. <br /> Trench excavations for service connections will not be permitted within ten feet(10')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 <br /> to depth of utilities through roadside area in anticipation of future drainage facilities,road profile and/or frontage development. All <br /> underground utility facilities are to be established and accurately dimensioned on sketches from surveyed centerline of road right ofway,not <br /> 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 <br /> the County right of way. All work performed tinder this permit shall conform to the rules and regulations pertaining to safety established by <br /> the California Division of Industrial Safety and Cal-OSHA. <br /> The jobsite 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 <br /> pedestrian or automobile traffic. All necessary traffic convenience and warning devices and personnel shall be provided,placed and <br /> maintained by and at the sole 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,barricades,or any excess material shall,be removed and the jobsite left in a <br /> neat workmanlike manner. Immediately following completion of construction permitted herein l errmtfee shall-fillout and mail notice of 4, <br /> completion provided by Grantor. , _ <br /> Special Instructions: <br /> THOMAS R. FLINN, Director <br /> D ment of Public Works <br /> Est. Permit Fee: $128.00 <br /> .r <br /> FORMS: SS/WWW By <br /> WHITE Permittee Permit Section <br /> GOLDENROD PWD Central File <br /> YELLOW Field Inspection PW 27 <br /> PINK -Permit Section <br /> Accessi.Permits\Fomi,s`,Encroachment Permit Revised 07/2000 <br /> ff <br />