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u i c COUNTY OF SAN JOAQUIN <br /> DEPARTMENT OF PUBLIC WORKS <br /> Z P O BOX 1810-1810 HAZELTON AVENUE <br /> EP No EP-01 J254 LV <br /> two { STOCKTON CALCFORNIA 95201 Date Issued09/24/2001 <br /> • `. (209)468-3000 <br /> FAX#(209)468-9324 Expiration Date 1 vol/2001�� <br /> 4 Jr O Rte` Job No 111005 <br /> ENCROACHMENT PERMIT UE/CR/PMNo JCR015039 <br /> To WESTERN GEO-ENGIATEERS En-4iment Type BELL HOLE <br /> 1386 E BEAMER STREET L.ocdxma S/S OF DOUGLAS RD 40 FT W/O SW CORNER OF <br /> WOODLAND,CA 957766003 PACIFIC AVE <br /> In compliance with your request of 09/19/2001 ,permission is hereby granted to do work in County right of <br /> way as shown on attached application and subject o erms,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(10)of pavement ccnterline 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)lines <br /> The Department of Public Works,Field Inspection Section shall receive a notice at least forty-eight hours pnor 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 of Industrial Safety and Cal-OSHA <br /> The lobsite shall be kept in a safe condition at all times by the daily removal of any excess dirt or debris winch 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 debris,lumber,barricades,or any excess material shall be removed and the iobsite 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: <br /> THOMAS R FLINN, Interim <br /> Director Department of Public Works <br /> Est. Pernut Fee $128 00 <br /> FORMS SS/WW,R-29 By l/!� <br /> WHrI'E -Pesminee Permit Section <br /> GOLDENROD -PWD Central File <br /> YELLOW -Field inspewon PW 27 <br /> PINK -Permit Section <br /> AoeessTemnts\Formsl jwroachmart Permit Revisod 0712000 <br />