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UNTY OF SAN JOAQIJ4*, <br /> a, DEPARTMENT OF PUBLIC WORKS <br /> P.O. BOX 1810-1810 E. HAZELTON AVENUE Permit No: PS-0902774 <br /> STOCKTON,CALIFORNIA 95201 Date Issued: 12/22/2009 <br /> { IF (209)468-3000 Exp. Date: 02/01/2010 <br /> FAX#(209)468-9324 Project No: PWP110005 <br /> Quad: NE <br /> 1 <br /> i <br /> j ENCROACHMENT PERMIT <br /> To: ENVIRONMENTAL RESOLUTIONS <br /> 601 N. MCDOWELL BLVD. <br /> ii PETALUMA, CA 94954 <br /> Encroachment Type: <br /> Bore(up to 6 inch Dia) <br /> Location: <br /> HWY 99 FRONTAGE RD. (EAST)NEXT TO COLLIER RD. OFFRAMP <br /> In compliance with your request of 12/22/2009,permission is hereby granted to do work in County right-of-way as shown on attached <br /> application and subject to all the terms,conditions and restrictions written below,or printed as general or special provisions on any part <br /> of this form. See reverse side and attached sheet, if any. <br /> +I Trench excavations for service connections will not be permitted within ten feet(10')of pavement centerline unless otherwise approved <br /> by the Director. Surface of trench patches shall match in kind and be smooth and even with that of abutting surface. Special attention <br /> shall be given to depth of utilities through roadside area in anticipation of future drainage facilities,road profile and/or frontage <br /> development. All underground utility facilities are to be established and accurately dimensioned on sketches from surveyed centerline of <br /> road right of way, or from right of way(border) lines. <br /> he Department of Public Works;'Fteld Inseetlon Section shall'receive a notice at least forty-eight Hours prior to beginning any work' <br /> within the County righi:of way.'All work performed under this permit shall conform to the rules and regulations pertaining to safety <br /> estabfishe y the a7ifo ni Di'vlsion of Industrial Safety and Cal-OSHA. <br /> The jobsite shall be kept in a safe condition at all times by the daily removalof any excess dirt or debris which might be a hazard to <br /> either pedestrian or automobile traffic. All necessary traffic convenience and warning devices and personnel shall be provided,placed <br /> and maintained by and at the sole expense of the Permittee in accordance with the latest edition of the CALTRANS Manual of Traffic <br /> I Control. <br /> i After completion of the work permitted,.rercai all.debris,lumber,.barricades„or„any�excessmnatenal shall be remoxed,andKthe�obsite <br /> left in a peat workmanlike�ennerrImmediately,follo'winto <br /> g m letion of construction perihitted herein,Permittee shallfill out and <br /> mnotce ofcmnlef'onyrnto .;, <br /> - G <br /> Special Comments: <br /> �I Traffic Control Per MUTCD <br /> FORMS: SS/WW,R-29 <br /> i <br /> Est.Permit Fee: $370.00 - <br /> THOMAS R. FLINN,Director <br /> ! Depa ent of Public Works <br /> ! WHITE -Per idee - <br /> GOLDENROD -PWD Central File <br /> YELLOW -Field Inspection By <br /> PINK -Permit Section - Perm' Sectio <br /> rn - <br /> 1 <br /> f a <br />