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u COUNTY OF SAN JOA UR <br /> DEPARTMENT OF PUBLIC WORKS <br /> f ,+ P.O.BOX 1810-1810 E.HAZELTON AVENUE Permit No:PS-1000212 <br /> STOCKTON,CALIFORNIA 95201 Date Issued:02/04/2010 <br /> (209)468-3000 Exp.Date: 03/01/2010 <br /> FAX#(209)468-9324 Project No: PWPI 10005 <br /> Quad: SE <br /> ENCROACHMENT PERMIT <br /> To: GROUND ZERO ANALYSIS,INC. <br /> 1714 MAIN ST. <br /> ESCALON,CA 95320 <br /> Encroachment Type: <br /> Bore(up to 6 inch Dia) (Removal of Ground- water Monitoring Well) <br /> Location: <br /> E/S OF HWY 99 FRONTAGE RD. 15'N/O OLIVE AVE. <br /> In compliance with your request of 02/04/2010,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 of <br /> 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 <br /> the Director. Surface of trench patches shall match in kind and be smooth and even with that of abutting surface. Special attention shall <br /> be given to depth of utilities through roadside area in anticipation of future drainage facilities,road profile and/or frontage development. <br /> All underground utility facilities are to be established and accurately dimensioned on sketches from surveyed centerline of road right of <br /> way,or from right of way(border)lines. <br /> ,� <br /> Dpalt hors 1?field Iiisec'tionotbnb1j ieceive a notice at least fi%tt e3g1t hours pca to 15eginnig any work <br /> ? � <br /> i +lC� oy;,,yll work performed under this permit shall conform to the rules and regulations pertaining to safety <br /> established'�iy tlieoniia`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 <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 debns,lumber,baixicades,or any excessmateraal shall he removed and the jobsite left <br /> in A neat vyc�rloiypiartne . atefSO, g,tl�tao �+ofironerad IeaAeljaoticq <br /> Wit - <br /> o#`coS�pinYi pr�o�i��-�P t�' t <br /> Special Comments: <br /> Traffic Control Per MUTCD <br /> FORMS: I SS/WW,R-29 <br /> Est.Permit Fee: $260.00 <br /> THOMAS R.FLINN,Director <br /> De rtment of Public Works <br /> WHITE -Permitee <br /> GOLDENROD -PWD Central File <br /> YELLOW -Field Inspection By: <br /> PINK -Permit Section Pe it Section <br />