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64UNTY OF SAN JOAQUIN-w �Rbtb 09 <br /> , DEPARTMENT OF PUBLIC WORKS <br /> P.O. BOX 1810-1810 E.HAZELTON AVENUE Permit No: PS-1100013 <br /> STOCKTON,CALIFORNIA 9520I Date Issued:OI/04/201 1 <br /> } 68-3000 p' <br /> (209 4Ex Date: 02/01/2011 <br /> ciFoft. <br /> FAX#(209)468-9324 Project No: PWP110005 <br /> Qua CC <br /> HECE <br /> ENCROACHMENT PERMIT QED <br /> JAN �� 2011 <br /> To: MARY SANCHEZ <br /> 1633 W. WALNUT STREET ENVlRpNM�NrAL <br /> STOCKTON, CA 95203 <br /> PERMrrisEavlc LTH <br /> Encroachment Type: <br /> Bore(up to 6 inch Dia) <br /> Location: <br /> W/S OF MISSION RD. 35', 110',& 160'SIO COUNTRY CLUB BLVD. <br /> In compliance with your request of 01/04/2011 ,permission is hereby granted to do work in County right-of-way as shown on attached <br /> application and subject to all the terms,conditions and restrictions written below or printed as general or special provisions on any part of <br /> 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 <br /> the Director. Surface of trench patches shall match in kind and be smooth and even with that of abutting surface. Special attention shall <br /> be given to depth of utilities through roadside area in anticipation of future drainage facilities,road profile and/or frontage development. <br /> All underground utility facilities are to be established and accurately dimensioned on sketches from surveyed centerline of road right of <br /> way,or from right of way(border)lines. <br /> Permittee shall call the Department of Public Works,Field Engineering Division(Permit Inspections)at(209)953-7421 at least <br /> forty-eight hours prior to beginning any work within the County right of way. All work performed under this permit shall conform <br /> to the rules and regulations pertaining to safety established by 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 <br /> in a neat workmanlike manner. Immediately following completion of construction permitted herein, Permittee shall fill out and mail notice <br /> of completion(see attached post card)provided by Grantor. <br /> Special Comments: <br /> Traffic Control Per MUTCD <br /> SEE ATTACHED SHEET"SPECIAL CONDITIONS" <br /> FORMS: ,SS/WW,R-29 <br /> Est.Permit Fee: $639.00 <br /> THOMAS R. F.L1NN, Director <br /> Department of Public Works <br /> WHITE -Permitee <br /> GOLDENROD -PWD Central File <br /> YELLOW Field Inspection By <br /> 70, <br /> PINK -Permit Section Permit Section <br />