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i <br /> CITY OF RIPON-ENGINEERING DEPARTMENT NO. 3350 <br /> 259 North Wilma Avenue,Ripon,CA 95366 <br /> 209/599-2108—Fax: 2091599-2685 <br /> ENCROACHMENT PERMIT <br /> Applicant's Name: Date Submitted: August 19 2010 <br /> Nestle USA, Inc. 800 North Brand Boulevard Fugro Consultants, Inc. (CPT Driller) <br /> Glendale, California 91203 Contractor: 13049 E Florence Avenue Santa Fe Springs, CA <br /> Address: Environmental Cost Management, Inc. <br /> Phone: Fugro phone: 562-903-0055 <br /> 3525 Hyland Avenue, Suite 200 <br /> Costa Mesa CA 92626 Contact Name: ECM: Binayak Acharya <br /> Phone: ECM Contact: (661)255-1693 License Number: C-57 License: 909719 <br /> Pursuant to Chapter 12.12 of the City of Ripbn-Municipal Code and all the terms,conditions,and restrictions <br /> written below or printed as general or special provisions on any part of this form,and/or attached hereto. <br /> PLEASE READ THIS PERMIT CAREFULLY AND KEEP IT AT THE WORK SITE. <br /> DESCRIPTION OF PROJECT: 1.Provide afull description of work to be done at all locations. <br /> PERMISSIONISAIEREBYGRANTED TO 2.Attach two(2)sets ofplans or sketches, if applicable <br /> Advancement of 2-inch CPT probe in each location depicted on attached figure(19 locations),to a depth of less than+/-100 feel.Each of the 19 CPT f <br /> points represents two holes,since CPT involves an inlial borehole for lithology and a second borehole for groundwater samplings in undisturbed Iilhology. <br /> Drilling method is truck mounted CPT ria All holes will be erouted per Cou Iv Inspector rep 'ements Each borehole will be advanced as close to curb as <br /> u will allow on City streets. Alleys may require closure during drilling due Io width of alleys.City parking lot boring(CPT-21)will require <br /> blocking some of the parking areas,which will be minimized and signs will be placed at least one day in advance of field work.A private locating company t <br /> will mark out the street areas.along with markouts from USA(multiple tickets obtained and numbers can be provided to the City of Ripon upon request) <br /> Please see the proposed boring locations on the attached map and pictures.The actual locations may change depending on access and utility locations. €. <br /> ECM will follow traffic control plan prepared by Safe T Lite.Safe T Lite will also provide road signs. <br /> Ilmbirr7atst �/ai�teofFGgtit-ofid ay tae 31 31,100,00 <br /> � aytuli?e� 3'l�J�_ � , `t33 oil U( een <br /> te,N50 AonmeNn� <br /> Vte GIS $; .3V'"--.—j •ao`�"` .. 00 t <br /> 7 aF db Rso" BCITK F etII-0 Wil 8E aFi�NNED IF i f ffk1L1N6tNCY Tm i l a,07. <br /> uo ri <br /> TO ARRANGE FOR AN INSPECTIONS PHONE 209/599-2108 AT LEAST 48 HOURS PRIOR TO CONSTRUCTION. <br /> This permit shall be void unless the work herein described is completed by: II-1-I0 <br /> Date <br /> Accepting this permit or starting work herein described, shall constitute acceptance and agreement to all the <br /> conditions and requirements of this permit. � $cE P60&-T CnuQtrSoNS <br /> Signature of Applicant(Permittee City Engine (or authorized Agent) <br /> S-t��-� �� - <br /> 8-31-I� <br /> ApplicanUPemiittee or Audl(lrl=Agent Date Issued <br /> NOTE: Your attention is directed to the general provisions printed on the back of this form This permit is to be strictly <br /> construed and no work,other than that specifically mentioned above,is hereby authorized. <br /> PERMIT NOT VALID UNLESS EXECUTED BY CITY ENGINEER OR HIS AGENT <br /> WORK COMPLETED: BY: <br /> White-File E) <br /> Vcllaw-IespacMr Pink-Appliwnt <br /> na,,aW 7€I@ry'� <br />