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> : b (,,�LINTY OF SAN JOAQUIr� DEPARTMENT OF PUBLIC WORKS P.O.BOX 1810-1810 E.I-IAZELTON AVENUE Permit No: PS-134I477 STOCKTON,CALIFORNIA 95201 Date Issued: 04/23/2013 (209)468-3000 Exp.Date: 06/15/2013 FAX#(209)468-9324 Project No: PWPI 10005 Quad: CC ENCROACHMENT PERMIT To: WESTERN GEO-ENGINEERS 1386 E.BEAMER ST. WOODLAND,CA 95776 Encroachment Type: Bore(up to 6 inch Dia) Location: W/S OF MISSION RD.25'S/0 COUNTRY CLUB BLVD. In compliance with your request of 04/23/24 3 ,permission is hereby granted to do work in County right-of-way as shown on attached application and subject to all the terms,conditions and restrictions written below or printed as general or special provisions on any part of this form. See reverse side and attached sheet,if any. Trench excavations for service connections will not be permitted within ten feet(10')of pavement centerline unless otherwise approved by the 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 of utilities through roadside area in anticipation of future drainage facilities,road profile and/or frontage development. All underground utility facilities are to be established and accurately dimensioned on sketches from surveyed centerline of road right of way,or from right of way(border)lines. ,)Permittee4sh_all*call.the Department,of Public Works,Field En^gineering;.Div�i_sio_,"(Permit Inspections)at(209)953.7421 at least--R iortyreight hoprs prior to,beginningany work within the County right of wa__All work performed under this pernut sliall conform fo the rules and regulations pertaining to safety established by the California Division of Industrial Safety and Cal-OSHA. 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 pedestrian or automobile traffic. All necessary traffic convenience and warning devices and personnel shall be provided,placed and maintained by and at the sole expense of the Permittee in accordance with the latest edition of the CALTRANS Manual of Traffic Control. After completion of the work permitted herein,all debris,lumber,barricades,or any excess material shall be removed and the jobsite left in a neat workmanlike manner media`l-ely following pletion of permitterein,Permittee construction d hePermshall fill out and mail notice of _ _ om � - „ ,�, . . _- _. _ . completion(see attached post card)provided by�.;Gran�,.tor. S ecial Comments: Traffic Control Per MUTCD*****Removal of monitoring wells*****Contractor shall use no less than 6-inches(minimum)of as halt to con lete the backfill rocess at road surface***** FORMS: VSSfWW,R-29 Est.Permit Fee: $800.00 THOMAS M. GAU,Director Department of Public Works WHITE -Permitee GOLDENROD -PWD Central File YELLOW -Ficid Inspection B sal PINK -Permit Section — Permit Section