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'J;o <br /> PUBLIC WORKS DEPARTMENT <br /> fool W. Center Street N° - 9 1 5 <br /> Manteca, California 95336 <br /> 209.239-9511 <br /> ENCROACHMENT_: PE RMIT ' <br /> GROUNDWA'PER F ECHNOL()GY''INC i' <br /> TO: Name s.._ Date issued <br /> Address 1832 TRIBUTE ROAD # G Contractor SIERRA PACIFIC EXPLORATION <br /> SACRAMENTO;' CALIFORNT 4, i"=-_ 95b15 C-57 434343 <br /> Phone <br /> Phone (916) 921-1800 License Number (419) 671-2387 <br /> {Permittee) , <br /> Pursuant to Article 1, Chapter 17 0f the City of Manteca Municipal Code <br /> and all the terms, conditions, and restrictions written below or printed <br /> as general or ,special-provisions on any part of this for, and/or, attached <br /> hereto, PERMISSION IS` .HEREBY GRANTED T0: DRILL AND INSTALL -@�'THfZuC (3� <br /> PVC MONITORING;WE1L^T0,,A:DEPTH•00 FIFTY; (50) FEET BELOW GRADE., <br /> ROAD SURFACE WOULD BE FINISHED FLUSH TO GRADE WITH A TRAFFIC <br /> .RATED ROAD ,BOX ;(e.g. ,Chr.istie .G-,5.or similar) . DURING THE FOUR (4). <br /> HOUR OPERATION, :TRAFFIC CONTROLS-WOULD BE -IMPLEMENTED AS SHOWN IN <br /> ATTACHMENTS. ANY SOLIDS OR FLUIDSiREMOVED.FROM THE BORINGSWOULD BE <br /> PLACED IN D.O.T. APPROVED CONTAINERS AND REMOVED FROM THE RIGHT- <br /> OF-WAY. <br /> (Attached two sets plans or sketches if 'applicable) <br /> PLEASE READ THIS ,PERMIT CAREFULLYt,, .KEEP IT AT THE WORK SITE. To arrange <br /> for an inspection, phone 239-9511 ext. 265 at least 48 hours prior to <br /> construction. <br /> Your attention is directed �e 'general .provisions printed on the back <br /> of this form. This permit is to be strictly construed and no work, <br /> other than .that specifically mentioned , above, is hereby authorized. <br /> This permit sha11 be void unless the work herein contemplated shall have <br /> been completed by // 3 19 0,1 <br /> . <br /> Accepting this permit, o starting ,work hereunder shall constitute accept- <br /> ance and agreement to 'ali the cond` tion5' and requirements of this permit. <br /> 5ignatux�e--rrf, Permi ,66 Dir'ecto'r of Public Works <br /> By: y: <br /> ;7 <br /> Permittee or Authorized Agent <br /> PERMIT NOT; VALID UNLES d �II����]].TED .BY DIRECTOR OF PUBLIC WORKS OR HIS AGENT. <br /> WORK COMPLETED: <br /> tr <br /> ocT ;A ± Date By: <br /> 5/80 ENVIRONMENTAL SLIH <br /> RSCE <br />