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COUNTY OF SAN JOAQUIN <br /> �4 DEPARTMENT OF PUBLIC WORKS <br /> _ P O BOX 1810-18 10 HAZELTON AVENUE EP No EP-01 <br /> STOCKTON CALIFORNIA 95201 33 CC <br /> �T (209)468-3000 <br /> Date Issued02/09r20ol <br /> FAX#(209)468-9324 EVuration Date 101!2001 <br /> Job No 11005 <br /> ENCROACHMENT PERMIT UR/CR/PM NO CRf#013236 <br /> To 11ATSTERN GEO ENGINEERS E:>cMduriant Type BELL HOLE <br /> 1386 E BEAMER ST Locatton. WIS OF MISSION RD 20-100 FEET SOUTII OF THE SW <br /> WOODLAND CA 95776-0003 CORNER OF COUNTRY CLUB BLVD AND MISSION RD <br /> In compliance with your request of 01-25-2001 ,permssion is hereby granted to do work in County right of <br /> way as shown on attached application and sut)jcct to alf tfie terms,onn i ons and restrictions written below or printed as general or special <br /> provisions on any part of tlus 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 toad right ofwav 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 under this permit shall conform to the rules and regulations pertaining to safety established by <br /> the California Division oflndustnal 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 waming 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 ofthe CALTRANS Manual of Traffic Control <br /> After completion of the work permitted herein,all debris,lumber,barricades,or any excess matQa4L%ba4b et[tq�red apd the �bsite left to a� <br /> neat-workTanlike manner—hirimediately following completion of construction permitted hereiq,�� }e �mil nohgca£ / <br /> OM <br /> ivtdedbyGrantor —}--.— - — --� <br /> Special! Instructions- <br /> MANUEL LOPEZ, Director <br /> Department of Public Works <br /> Est Permit Fee $113 00 <br /> FORMS SS/WW By r <br /> WHITE -Permmoe Perrmt Section <br /> GOLDENROD -PWD Central File <br /> YELLOW -Field Inspection <br /> PINK -Peraut Section PW 27 <br /> , <br /> AccessTennitslFm=\Encroadm=U Permit Revised 0712000 I <br /> i <br />