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COUNTY OF SAN JOAQUIN <br /> �4 DEPARTMENT OF PUBLIC WORKS <br /> PO BOY 1810-1810 HAZELTON AVENUE £P No EP-0t 32 CC <br /> STOCKTON CALIFORNIA 95201 <br /> . r• Date Issued 02/09/2001 <br /> (209)468-3000 <br /> * FAX#(209)468-9324 EapimbonDate 04/01/2001 <br /> Job No 111005 <br /> ENCROACHMENT PERMIT t3lumpM No GR#013236 �� <br /> To WESTERN'GEO ENGINEERS Facroaclunent Type BELL HOLE <br /> 1386E BEAMER ST Location. S/S OF COUNTRY CLUB BLVD 80-180 FEET WEST OF <br /> THE SW CORNER OF COUNTRY CLUB AVE AND <br /> WOODLAND CA 957-16-6003 MISSION RD <br /> In compliance with your request of �" j <br /> 01-25-2�erm',�"" <br /> ,permission is hereby granted to do work in County right of <br /> way as shown on attached application an oa ns and restrictions written below or printed as general or special <br /> provisions on any part of this form See reverse side and attached shect,if any <br /> Trench excavations for service connections will not be permitted witlun 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 of way not <br /> from right of way(border)Iines <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 Califorma Division of Industrial Safety and Cal-OSHA I <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 debns,lumber,barricades,or any excess material shall_be removed and the 4obsite left in a <br /> neat workmanlike manner Immediately following completion of construction permitted herein, e(ittitfoq shgl!fy11 out atid m>til'noUoe of C <br /> comple�5 Yi-d by UmtDC y <br /> Special Instructions: <br /> NTANUEL LOPEZ, Director <br /> Department of Public Works <br /> Est Pe=t Fee $113 00 <br /> FORMS SS/WW BY <br /> WHITE Perminee Pernut Section <br /> GOLDENROD -PWD Central File <br /> YELLOW -Field Inspecuon PW 27 <br /> PINK Permit Sermon <br /> • AccesslPcmiitsTorms\Enc achmerj1 Permit Revised 0712000 <br />