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KL=5NH. �5H(.KHMEN I U I u4 L J.4 DJ <br /> K.P. NO. VJI�bM <br /> •� ,, COUNTY OF SAID JOA ilt <br /> rf "` DEPARTMENT Of PUBLIC WORKS (gate Issued) <br /> t 1-15-94 <br /> ENCROACHMENT M ENT PERM1`r' (Expiration Date) <br /> wusN K Nttrw 11005 <br /> ywmr,TO11 (Job <br /> ( <br /> lV� No.� <br /> To: RRSNA Induacrieo Encroachment types Drilling & Boring <br /> 3164 Gold Camp Dr.t Suite 200 w/s Bird ltd. 50*± n/o Durham Ferry <br /> Rancho Cordova, CA 95670 I.acation: <br /> n&s/$ Durham Ferry Rd. 100.i e/o <br /> Bird Rd_ <br /> In compliance with your request of 10-13 , 39 93 permission is hereby <br /> grunted to do work in County right of wax as shown on attached application and subject to <br /> all the tuts, conditions and restrictions written below or printed as general or special <br /> provisions 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 (101 <br /> of pavement centerline unless otherwise approved by the Director. surface of trench patches <br /> shall match in kind and be smooth and even with that of abutting surface. Special attention <br /> shall be given-to depth of utilities .thraugh roadsidearea. in 'anticiPfttiOn of future drain- <br /> age facilities, road profile and/or frontage daveiDpment. All underground utility facili- <br /> ties are to be established and accurately dimensioned on sketches from surveyed centerline <br /> of road right of way, not from right of way (border) lines. <br /> O 46 -SeitL <br /> The Department of Public works, Field Inspection Section ashall receive a notice at <br /> least forty-eight (48) hours prior to beginning any work within the County right of way. <br /> All work performed under this permit shall 00nforu to the rules and regWLaticns pertain- <br /> ing to safety established by the California Division of Indymtrial safety and Cal-OSHA. <br /> The 3obsite shall be kept in a. safe condition at all times by the daily removal of <br /> any excess dirt or debris which might be a hazard to either pedestrian or autmobile <br /> traffic. All necessary traffic convenience and warning devices and personnel shall be <br /> provided, placed and maintained by and at the sole expense of the Permittee in accordance <br /> with the latept edition of the CALTRANS Manual of Traffic Control. <br /> After' ccmpletion of the work permitted herein, all debris, lumber, barricades, Or any <br /> excess material shall be removed and the jotssite left in a neat workmanlike manner. <br /> Immediately following completion of conotruction permitted herein, Permittee snail fill <br /> out &Ad mail notice of completion provi4aa by Grantor. <br /> VOTE: $2,()00.-00 band for each well required before drilling and approval by <br /> Environmental Health Department. ( 3 walls) <br /> QQ <br /> Eat. Permit Fee; $ .�- <br /> FORMS: SS WW R-29 HENRY M. HIRATA, Director <br /> Department of Public Works <br /> WRITE - permittee By Lu;, ?4" <br /> GOLMNItW - WM Central File 601f <br /> t Section <br /> YELLOW - Yield Inspection <br /> FINK - Permit sectio <br /> Pik 27 <br />