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COUNTY OF SAN JOAQUIN <br /> 2 c� DEPARTMENT OF PUBLIC WORKS <br /> Zi P.O.BOX 1810-1810 HAZELTON AVENUE <br /> EP No: EP-06 <br /> STOCKTON CALIFORNIA 95201 296 SE <br /> • (209)468-3000 Date Issued: 09/11/2006 <br /> ���FGRN�P FAX#(209)468-9324 Expiration Date: 09/10/2008 <br /> Job No: <br /> 1005 <br /> ENCROACHMENT PERMIT UE/CR/PM NO: IQgO 0 3 <br /> To: MARY JANE FROST <br /> 30331 LONE TREE RD, Encroachment Type: RIGHT-OF-WAY ENROACHMENT <br /> Location: N/S LONE TREE ROAD APPROX.656'E/O HENRY RD <br /> IOAKDALE,CA.95361 <br /> In compliance with your request of =nerms, <br /> 006 <br /> as shown on attached application and su 3ec o a con Id"f ons and restrict ons written bission is el w or printed as general or special pgranted to do work in County right rovisions <br /> sionson 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 necessary traffic convenience and warning devices and personnel shall be provided, <br /> by and at the sole expense of the Permittee in accordance with the latest edition of the CALTRANS Manual of Traffic Control.d and maintained <br /> After completion of the work permitted herein,all 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: FINNHE CASE OF PLANS TO IMPROVE COUNTY RIGHT-OF-WAY,THE PROPERTY OWNER MUST REMOVE <br /> E EXISTING FENCE FROM COUNTY RIGHT-OF-WAY. <br /> THOMAS R. FLM, Director <br /> Est.Permit Fee: $115.00 Department of Public Works <br /> FORMS: SS/WW R-29 B <br /> WHITE -Permittee <br /> GOLDENROD -PWD Central File Permit Section <br /> YELLOW -Field Inspection <br /> PINK -Permit Section PW 27 <br /> Access\Permits\Forms\Encroachment Permit <br /> Revised 07/2000 <br />