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EJI�AOQ . 00� ' <br /> f G D P Y COUNTY OF SAN JOAQUIN <br /> - - DEPARTMENT OF PUBLIC WORKS <br /> P.O.BOX 1810-1810 HAZELTON AVENUE EP No: EP-04 I 365 SW <br /> STOCKTON CALIFORNIA 95201 <br /> .' m l- (209)468-3000 Date Issued: 10/25!2004 <br /> CtgP • FAX#(209)468-9324 Expiration Date: 11/01/2005 <br /> Job No: 11005 <br /> ENCROACHMENT PERMIT UE/CR/PM NO: CR 023680 <br /> To: APEX ENVIROTECH,INC.. Encroachment Type: BORE,(4)MONITORING WELLS <br /> 11244 PYRITES WAY Location: E/S OF SIXTH STREET BETWEEN 0-200'N/O'F STREET <br /> SACRAMENTO,CA 95670 <br /> In compliance with your request of 10/15/2004 [mission is hereby granted to do work in County right of way as <br /> shown on attached application and subject o air me rerms,conditions— and ructions written below or printed as general or special provisions on any <br /> 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 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 depth <br /> of utilities through roadside area in anticipation of future drainage facilities,road profile and/or frontage development. All underground utility facilities <br /> are to be established and accurately dimensioned on sketches from surveyed centerline of road right of way,not from right of 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 California <br /> 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 dirt or debris which might be a hazard to either pedestrian or <br /> automobile traffic. All necessary traffic convenience and warning devices and personnel shall be provided,placed and maintained by and at the sole <br /> 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 jobsite left in a neat <br /> workmanlike manner. Immediately following completion of construction permitted herein,Permittee shall fill out and mail notice of completion <br /> provided by Grantor. <br /> Special Instructions: <br /> 0� <br /> TF <br /> p - <br /> 0 <br /> MAS R. FLIlVN, Director <br /> Est. Permit Fee: <br /> n <br /> $611.00 ment of Public Works <br /> FORMS: SS/WW,R-29 By elfdA <br /> WHITE -Permittee Permit S ction <br /> GOLDENROD -PWD Central File <br /> YELLOW -FieldInspection PW 27 <br /> PINK -Permit Section <br /> .4ccess\Pemuts\Fomis\Encroachment Permit Revised 0712000 <br />