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COUNTY OF SAN JOAQUIN <br /> • :a' DEPARTMENT OF PUBLIC WORKS <br /> P.O.BOX 1810-1810 E.HAZELTON AVENUE Permit No:PS-1201862 <br /> STOCKTON,CALIFORNIA 95201 Date Issued:08/02/2012 <br /> CiFo ` (209)468-3000 Exp.Date: 09/01/2012 <br /> FAX#(209)468-9324 Project No: PWP110005 <br /> Quad: SE <br /> ENCROACHMENT PERMIT <br /> To: CITY OF RIVERBANK <br /> 6707 THIRD ST. <br /> RIVERBANK, CA 95367 <br /> Encroachment Type: <br /> Bore(up to 6 inch Dia) For Montoring Wells <br /> Location: <br /> W/S OF SANTA FE RD.550'SE AND 2650'NW OF HENRY RD. <br /> In compliance with your request of 08/02/2012,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 /> lffflfte shall call the Department o ublic Works,Fi eringDivision(Permit Inspections)at(209)953-7421 at leash <br /> forty-eight hours prior to beginning any work within the County right of way. All work performed under this permit shall conform <br /> to the rules and regulations pertaining to safety established by the Californid7D1vision 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 debris,lumber,barricades,or any excess material shall be removed and the jobsite left <br /> in a neat workmanlike manner. Immediately following completion of construction permitted herein,Permittee shall fill out and mail notice <br /> e attached post card)provided by Grantor. <br /> Special Comments: <br /> Traffic Control Per MUTCD <br /> FORMS: I SS/WW,R-29 <br /> Est.Permit Fee: $526.00 <br /> THOMAS M.GAU,Director <br /> Dartm nt of Public Works <br /> WHITE -Permitee <br /> GOLDENROD -PWD Central File <br /> YELLOW -Field Inspection By: <br /> PINK -Permit Section P it Section <br />