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SR0084975 (2)
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2900 - Site Mitigation Program
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SR0084975 (2)
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Last modified
10/26/2022 2:08:03 PM
Creation date
10/26/2022 2:02:29 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
COMPLIANCE INFO
RECORD_ID
SR0084975
PE
2903
FACILITY_ID
FA0027045
FACILITY_NAME
1992 NORTH DELTA SEEPAGE MONITORING
STREET_NUMBER
20250
Direction
N
STREET_NAME
STATEN ISLAND
STREET_TYPE
RD
City
THORNTON
Zip
95686
APN
06902019
ENTERED_DATE
3/9/2022 12:00:00 AM
SITE_LOCATION
20250 N STATEN ISLAND RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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State of California <br />® Maintenance <br />® Access <br />® Data Collection <br />Department of Water Resources Californla Natural Resources Agency <br />Project: North Central Region Office <br />Coordinated TEPs — Station ND -27 <br />ND-38MA, ND-38MB, ND -45 ND-48MA <br />ND-48MB, ND-23MA. ND-23MB ND -69 <br />Parcel No.: APN 069-020-19 <br />(San Joaquin Countv) <br />TEMPORARY ENTRY PERMIT <br />Permission Is given to the Department of Water Resources (DW R) of the State of Califomla, hereinafter referred to as <br />PERMITTEE, and its officers, employees, agents and contractors, to enter with all necessary equipment upon PERMITTOR's <br />land In the county of San Joaquin, State of California, described as that portion of Assessor's Parcel Number <br />069-020-19, and marked on the attached map, in order to access existing water information monitoring stations, identified <br />above, for the purpose of performing periodic maintenance, collecting water quality data, and such other incidental <br />purposes as may be required, subject to the following provisions: <br />1. Reasonable precautions will be exercised to avoid damage and protect persons or property. <br />2. PERMITTOR assumes no liability for loss or damage to property or Injuries to or deaths of agents, contractors, or <br />employees of PERMITTEE by reason of the exercise of privileges given under this permit. <br />3. Nothing in this permit shalt preclude PERMITTOR from filing a clalm(s) with the State Victim Compensation and <br />Government Claims Board for any loss or expense which PERMITTOR or its tenant may suffer caused by or due <br />to exercise by PERMITTEE of the rights granted by this permit. <br />4. PERMITTEE agrees to indemnify and hold PERMITTOR harmless from any damage caused by PERMiTTEE's <br />activlties authorized by this permit. PERMITTEE agrees also to either reimburse PERMITTOR for any damage to <br />PERMITTOR's roads and fences, or other property, occurring by reason of the exercise of rights granted herein, <br />or to replace or restore said property. <br />5. This permit expires on March 31, 2019, but will be renewed automatically for one-year periods thereafter unless <br />either party provides written notice to the other party of their Intention to not renew the permit at least sixty (60) <br />days prior to expiration of the extension period. <br />PERMiTTgR's Name, Address, and Phone No. Reco mended for Acceptance: <br />► Y 3 �Y <br />Nature Conseryancy <br />atrick J.49olap, Associ ight of Way Agent Date <br />2Q1Mlggjon Str t #4 0)g �- ► �g <br />Sgn n ' o Galifoml 5 rdMafihew DeGrgot, Senlor Right of Way Age6t Date <br />Phone No. <br />ACCEPTED: <br />Signature YV <br />Department of Water Resources of the State of California <br />Date: o <br />IN. Unus A. Paulus, Acting Chief <br />Signature Real Estate <br />ranch <br />Date: Date: <br />CONSENT OF TENANT(S) <br />We, the Tenants of land described in this Temporary Entry Permit are under lease with Lessor, whose name Is subscribed <br />to this contract as PERMITTOR, do hereby consent to the execution of said Temporary Entry Permit, and agree that all <br />money payable shall be paid to said PERMITTOR as herein set forth. <br />Date: <br />DWR 308(a)-DWR TEP.doc (Rev. 03-09) <br />
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