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Vol, <br /> 0 577 77 ' <br /> qU"j COUNTY OF SAN JOAQUIN tf <br /> o DEPARTMENT OF PUBLIC WORKS <br /> IDER <br /> P.O.BOX 1810-1810 HAZELTON AVENUE EP No:STOCKTON CALIFORNIA8-300095201 <br /> Date Issued: 9252006 <br /> (209)468-3000 <br /> • �• , �P • FAX#(209)468-9324 <br /> Expiration Date: �I lI012006 <br /> 'ftlk'o"ai+ Job No: 111005 <br /> ENCROAMMIENT PEMT UE/CR/PM NO: —� <br /> T. TONYAMYERS Encroachment Type: MONRORING WELL <br /> 10470 OLD PLACERVILLE RD,SUR 110 Location: iW/S FRANKLIN AVE APPROX 20'S/O ELMWOOD AVE. <br /> SACRAMENTO,CA 95827 1160'N/O COUNTRY CLUB BLVD. <br /> I <br /> In compliance with your request of 06-30-06 ,permission is hereby granted to do work in County right of way <br /> as shown on attached application and sJec a s,u con mons and restrictions written below or printed as general or special provisions <br /> 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(IV)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 to <br /> depth of utilities through roadside area in anticipation of future drainage facilities,road profile and/or frontage development. All underground <br /> utility facilities are to be established and accurately dimensioned on sketches from surveyed centerline of road right of way,not from right of <br /> 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 the <br /> County right of way. All work performed under this permit shall conform to the rules and regulations pertaining to safety established by the <br /> 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 din 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 maintained <br /> 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 thejobsite left in a <br /> neat workmanlike manner. Immediately following completion of construction permitted herein,Permittee shall fill out and mail notice of <br /> completion provided by Grantor. <br /> Special Instructions: PLEASE SEE ATTACHED DRAWING(SITE PLAN <br /> THOMAS R. FLINN,Director <br /> __ -- Department of Public Works <br /> Est.Permit Fee: 1$315.00 <br /> FORMS: SS/WW,R-29 By <br /> WHITE -Permittee Permit Section <br /> GOLDENROD -PWD Central File <br /> YELLOW -Field Inspection PW 27 <br /> PINK -Permit Section <br /> Aecess\Pmnits\FomvslEneroachment Permit Revised 072000 <br />