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Permit Number <br /> m5CITY OF ENCROACHMENT PERMIT EP21-1485 <br /> STOCKTON ON PUBLIC RIGHT-OF-WAY <br /> Applicant: <br /> AdvancedGeor Date:Inc. 8/2/2021 APPROVED:BY THE DEPARTMENT DIRECTOR <br /> Z ubjed to the General Provisions and Special Conditions,and all work mus <br /> 837 Shaw Road 0 onform to the project's approved Storm water Pollution Prevention Plan or <br /> Address: Ln he most current version of the City of Stockton Storm Ovate <br /> 7) Pollution Prevention Maintenance Staff Guide,whichever is applicable. <br /> Stockton CA 95215 <br /> City: State: ZIP: Q <br /> 209-467-1006 eschmidt@advancedgeo.inc By: a �� Date: 8/3/21 <br /> Phone: E-mail: p Antonio Pinillos <br /> ssociated Permit(s): Expiration: 10/3/21 <br /> ORK LOCATION:821 South Wilson Way and East Taylor Road,Stockton,CA PERMIT NOT VALID WITHOUT A <br /> tartDate: August 2021 Completion Date: September 2021 CONTROL NUMBER <br /> CALL(209)937-8366 TO REQUEST A CONTROL NUMBER NO LESS <br /> ATTENTION:Applicant/Contractor-you are responsible to replace all broken,damaged, THAN 24 HOURS,BUT NOT IN EXCESS OF 72 HOURS PRIOR TO START <br /> and/or raised sidewalk,curb and gutter from score mark to score mark adjacent to the OF WORK. <br /> parcel;remove USA markings upon completion of the permitted work. <br /> CONTROL# <br /> I(or we)hereby apply for an Encroachment Permit to carry out the following work: <br /> Destruction of six (6) monitoring wells (MW-3, MW-4, MW-7, MW-8, MW-9, and MW-10) by over drilling with <br /> hollow stem augers. <br /> Show sketch or refer to attached Drawing Official Use Only <br /> SEE ATTACHED Base Permit Fee $ 523.00 <br /> Additional Footage Fee $ <br /> Misc. TECH FEE $ 39.23 <br /> Misc. CRS FEE $ 31.38 <br /> Misc. $ <br /> Total $ 593.61 <br /> Special Conditions: <br /> - Call for control number prior to start <br /> 209-937-8366 <br /> - Call for Inspection (Jason Ender) 209-639-128 <br /> - Maintain ADA path of travel at all times <br /> - Restore to City Stds <br /> - Work hours 9am-3pm <br /> IMPORTANT: Applicant hereby agrees to comply with all provisions of this permit, as well as all applicable city ordinances, resolutions, Standards and <br /> Specifications currently in effect, and to pay to the City its actual cost for removal and proper replacement of any item which does not meet the above <br /> requirements. Failure to comply will be cause for revocation of this permit. Applicant agrees to indemnify and hold the City harmless against any and <br /> all losses, costs, or damages resulting from injury to persons,death of person or damage to property occurring at the site of, or as a result of,work to be <br /> performed under this permit.A certificate of insurance shall be on file with the City Risk Manager prior to issuance of this permit. <br /> IF THE WORK DOES NOT COMMENCE WITHIN 72 HOURS OF THE-ISSUANCE <br /> OF A CONTROL NUMBER, THE CONTROL NUMBER WILL BECOME INVALID <br /> AND THE PERMITTEE SHALL CALL FOR A NEW CONTROL NUMBER. PRIOR TO <br /> ANY REQUIRED INSPECTIONS,AS IDENTIFIED ON THE REVERSE SIDE OF THIS Sign <br /> PERMIT,PERMITTEE SHALL CALL INSPECTIONS AT(209)937.8381. <br /> READ GENERAL PROVISIONS ON THE REVERSE SIDE OF THIS PERMIT BEFORE Evan Schmidt <br /> SIGNING. Print <br />