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12/02/98 WED 09:57 FAX 209 467 11.18 ..___ _ _ _ _. . 002 <br /> >•sstitit�� <br /> City of Lodi . <br /> ENCROACHMENT <br /> Public Works Department PERMIT <br /> PEatt1H'rADOMM 108 West Elm Street frontage DATE 11/25/98 .r . <br /> APPUCANrs-NAuE (5WWi *,.uactor) ADDRE38 <br /> Advanced Geo-Environmental 4005 N. W#lsoh' Way,' Stockton,"C.' 952OS <br /> PHONE <br /> sTARTmoATE 11/30/93 coMPL noNaATE 12/11/98 UCENSE MO. (209) 467-1006 <br /> OWNSMONTRACTOR AOArtESS PHONE <br /> Kevin McKibben, Geologist <br /> Pureuanl to the provisions of the Lod 6h No*code,the urldt!ligned apples for permhelon to wwavale,cmuhu4 BIIdIOr OihellhiM enClUat91 m Cky Sheet Right-Of-Way or Esswnwit by pig <br /> the fdloMnp: <br /> NOTIFY USA(900)227-2600 48 HOURS PRIOR TO ANY EXCAVATION. <br /> The work consists of <br /> J0rtAjjA%jOn of tWo ground water— <br /> monitoring wells in street pavement in: parking <br /> stalls, (Work plan, addendum _sg itted)) NOTIFY CITY INSPECTOR AT <br /> Monitoring well to be flush mounted; ra c s, <br /> START OF WORK: <br /> backfill with-existing or 3u Min. Asphalt Concrete Curt Juran 333-6836 <br /> apron, No foreign materlal to enter storm draln <br /> system; Waste material to .be stored in metal drums, <br /> Clear-]y lahAlptl nff of public <br /> Traffic control per Cal Trans Traffic Control Manual, <br /> current issue. No vehicles on sidewalk; no open <br /> excavations, except at time of work. <br /> **No WORK ON THURSDAY, DEC 3rd. <br /> 'Monitoring wells to b �� <br /> parking lanes. <br /> Permit void If work not started within 6 months of permit date. ( pace or <br /> Licensed Contractor required for this work <br /> XX Certificate of insurance in the owner's name which names the'City of Lodi,its elected and appointed Boards,Commissions, <br /> Officers,Agents and Employees"as an Additional Named Insured Is required for Comprehensive General Aggregate in the amount of <br /> $1,000,000 per occurrence and Automobila Liabiilty Insurance in the amount of$1,000,000 combined single limit <br /> The unders!pned ace hereby.gree to Wu mnty and save the cry of Lam hae and haffnim nom any b"Ity,in accordance with the prod.f"of sec 12.04.040 d the Ladt Mi"dpd code. <br /> Perndtee is speciffaey aware of See.12.04290 thereof relating to U19 retoaton or rernoval of seld encroadmvrt t Nbee connNudfon requirm*loch rdocetion. <br /> If ft work for which this encroachment par"hes been iawed has nd been eornpkded by ,the city ofLodishat hew the Aght to complete tine work and to Ale a i:awe of Adorn m <br /> recoup the Ctfys agwm in comoetng the work and for ail other costs and fees In accordance with the provkdone.of Sec.12A)4.120 of the Lod Municipal code. <br /> Date (t- q-q 9 Signed <br /> Required Improvement Security Thfa�is"rftd subiedto at pnwi ions of Chaptm 12.04 of the Lodi Municipal cafe arta e <br /> Kealeyt Renton & Associ>iles au9�°`�nsaw �specW provislorm_.�._a--e-z.-'�—anDorwAmside <br /> Com Ge of Insurance <br /> No. RP06646133 � 7/1/99 <br /> Permit Approved: CITY <br /> Comp. Policy p. By <br /> Automotive Policy No. Exp. �1 <br /> Slig <br /> Referred to Curt Juran 333-6836 Date .Public Above Ground Date i. <br /> Inspected —Date <br /> Public Underground <br /> :Completed Date Private,to be awkftkmd or rel KvW by asap as <br /> Reviewed Date Other PERMIT NO LQ` <br /> a ` (Rev.6197) <br /> - YhRtlp-kiepeclar YaMow-Fife Pink-PanrhRteih <br />