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`-- <br /> ENCROACHMENT PERMIT Permit Number <br /> CITY OF <br /> =„G,r� ON PUBLIC RIGHT-OF-WAY EP22-5331 <br /> STOCKTON <br /> Applicant: <br /> FREY Environmental, Date:Inc. 10/13/22 APPROVED: BY THE DEPARTMENT DIRECTOR <br /> � <br /> Subject to the General Provisions and Special Conditions,and all work must <br /> Address: 1336 Bromrner St., Ste. A6 0 conform to the project's approved Storm Water Pollution Prevention Plan or <br /> LU <br /> Lo the most current version of the City of Stockton Storm Water <br /> Santa Cruz CA 95062 J Pollution Prevention Maintenance Staff Guide,whichever is applicable. <br /> City: State: ZIP: Q <br /> u Liszet Burgueno 10/17/22 <br /> 831-464-1634 terrykinn@freyin.com � By: Date: <br /> Phone: E-mail: O RP22-4855 01/02/23 <br /> ssociated Permit(s): Expiration: <br /> 135 E Miner Av(on N unter St side <br /> WORK LOCATION: N. Hunter St at E. Miner St. PERMIT NOT VALID WITHOUT A <br /> tartoate: 11/7/22 Completion Date: 12/2/22 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 scare mark to score mark adjacent to the OF WORK. <br /> parcel;remove USA markings upon completion of the permttted work. <br /> CONTROL# <br /> I(or we)hereby apply for an Encroachment Permit to carry out the following work: <br /> Drilling of 2 exploratory soil borings (CPT-1 and CPT-2) and 4 monitoring wells (MW-2A, MW-3A, MW-5A arg <br /> in sidewalks along N. Hunter St just south of E. Miner St. MW-5B <br /> Show sketch or refer to attached Drawing Official Use Only <br /> See attached drawing. <br /> Base Permit Fee $ 547.00 <br /> Additional Footage Fee $ 400.00 <br /> Misc. Tech Fee $ 71.03 <br /> Duration: 7 days Misc. CRS Fee $ 56.82 <br /> Misc. $ <br /> Total $ 1,074.85 <br /> Work site must be marked with location of all underground <br /> Special Conditions: <br /> utilities via the Underground Service Alert prior to the required Contact Nancy Arbios- Public works for required <br /> field meet with PW field meet prior to start at 209-937-8114 <br /> Call for control number after field meet 209-937-8366 <br /> 72hr no parking notice <br /> Coordinate with property owners affected <br /> Install and Restore to city and moratorium std. <br /> Must maintain an ADA path of travel at all times <br /> Work Hours: 8:30am-4:30 m <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 Df 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 lasses, 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 Digitally signed by Terrence <br /> OF A CONTROL NUMBER, THE CONTROL NUMBER WILL BECOME INVALID Terrence Kinn Kinn <br /> AND THE PERMITTEE SHALL CALL FOR A NEW CONTROL NUMBER. PRIOR TO Date:2022.10.13 15:30:38 <br /> ANY REQUIRED INSPECTIONS, AS IDENTIFIED ON THE REVERSE SIDE OF THIS Sign -07'00' <br /> PERM7,PERMITTEE SHALL CALL INSPECTIONS AT(209)937.8381, <br /> READ GENERAL PROVISIONS ON THE REVERSE SIDE OF THIS PERMIT BEFORE <br /> SIGNING. Print <br />