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APPLIC*ION FOR ENCROACHMENT PERMIT <br /> Date 11982 <br /> is <br /> the San Joaquin County <br /> Ilighway Department <br /> oentlemen: <br /> The undersigned hereby supplies for permission to excavate, construct and/or otherwise enc.roach on <br /> C.s,jnty Highway right of way by performing the following work: <br /> install a ground water monitoring well(s ) <br /> (Applicant will describe here fully what he wishes to do using reverse side if necessary) <br /> Amobil drilling ria usincl 1C" hollow stem augErs will drill 10" diameter boring(s) to <br /> e surface, 4" ground water monitoring well(s) wi_'1 be constructed fron <br /> 65 feet below th <br /> t}e boring(s) . Grout inspection will be performed by San Joaquin County Health. The <br /> drillin will be-performed under a drilling permit obtained from San Joaquin County Health. <br /> Prior to drilling underground alert will locate all underground utilities (see Figure 1 and enclosed <br /> Space for sketch Submit detailed plans if available. <br /> w,M* order/permit pa ket). <br /> T rt <br /> j Ec <br /> ATTf��ED w `-_' n <br /> c' [ m <br /> W ^� <br /> Countv easement south side of Douglas Road and west of pacific Avenue <br /> On County Highway <br /> California, <br /> (Applicant will state here accurately the location of the work he desires to do) <br /> and agrees to do the work in accordance with your rules and regulations and subject to your inspection <br /> and approval. <br /> Signature o Applicant gorge L. Converse <br /> Western Geo-Engineers <br /> (916) 662-4541 <br /> Phone Number <br /> 1386 E. Beamer Street <br /> woodland, CA 95695 - <br /> Post Office Address <br /> Permit issued: 9 --40—LV <br /> e aV&za c9/84s <br />