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COUNTY OF SAN JOAQUIN <br /> ° co DEPARTMENT OF PUBLIC WORKS <br /> Z P.O.BOX 1810-1810 HAZELTON AVENUE j <br /> � ' RIDER EP No: ,EP-06 j 234 NE I <br /> STOCKTON CALIFORNIA 95201 1--- <br /> Date Issued: 07/I 1/2006 - <br /> • • (209)468-3000 r---_____ ._ <br /> O• .�P FAX#(209)468-9324 b No: <br /> Date: <br /> 010052007 <br /> ���FORN <br /> :ENCROACHMENT PERMIT UE/CR/PM NO: CR029744 <br /> To: JIM HOAGLAND Encroachment Type: TRENCH <br /> 4582 PINE VALLEY CIRCLE J Location: N/S TOMAHAWK APPROX.300'W/O TEEPEE DR. <br /> STOCKTON,CA.95219 <br /> I <br /> In compliance with your request of 05/11/2006 ,permission is hereby granted to do work in County right of way <br /> as shown on attached application and su Ject to a e terms,con itions and restrictions written below or printed as general or special provisions <br /> on any part of 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 the <br /> Director. Surface of trench patches shall match in kind and be smooth and even with that of abutting surface. Special attention shall be given to <br /> depth of utilities through roadside area in anticipation of future drainage facilities,road profile and/or frontage development. All underground <br /> utility facilities are to be established and accurately dimensioned on sketches from surveyed centerline of road right of way,not from right of <br /> way(border)lines. <br /> The Department of Public Works,Field Inspection Section shall receive a notice at least forty-eight hours prior to beginning any work within the <br /> County right of way. All work performed under this permit shall conform to the rules and regulations pertaining to safety established by the <br /> California Division 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 necessay traffic convenience and warning devices and personnel shall be provided,placed and maintained <br /> 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„at debris,lumber,barricades,or any excess material shall be removed and the jobsite left in a <br /> neat workmanlike manner. Immediately following completion of construction permitted herein,Permittee shall fill out and mail notice of <br /> completion provided by Grantor. <br /> Special Instructions: 'SEE ATTACHED.TWO-WAY TRAFFIC SHALL BE MAINTAINED DURING NON-WORKING HOURS DURING <br /> WORKING HOURS,TWO-WAY TRAFFIC CONTROL SHALL BE MAINTAINED WITH ONE LANE OPEN AND <br /> iAPPROARIATE FLAGGERS. <br /> I <br /> I <br /> THOMAS R. FLINN, Director <br /> Department of Public Works <br /> Est.Permit Fee: '1$242.60 <br /> FORMS: <br /> FSS—/;WW--,R-29 By <br /> WHITE -Permittee Permit Section <br /> GOLDENROD -PWD Central File <br /> YELLOW -Field Inspection PW 27 <br /> PINK -Permit Section <br /> Access\Permits\Forms\Encroachment Permit Revised 07/2000 <br />