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APPLICATION FOR ENCROACHMENT PERMIT <br /> PLEASE PRINT: <br /> Date 10/18/2006 OFFICIAL USE ONLY <br /> To: San Joaquin County JOB# 47— 2� REF# <br /> Department of Public Works APN CR # <br /> EXP.DATE <br /> AT&T California VALID TO DRIVEWAYS: <br /> (Applicant Name) STREETa <br /> AREA LQACWP QUAD <br /> 1860 Wardrobe Avenue TYPE <br /> (Mailing Address) FORMS <br /> NOTE <br /> Merced,Calif.,95340 <br /> (City,State,Zip Code <br /> (209)726-6920 <br /> (Area Code-Telephone Number <br /> Sketch(Detailed plans may be submitted) SEE ATTACHED DRAWINGS AT&T job#5850133 <br /> Drawings 4 thru 20 of 20 <br /> 3n-3Zt <br /> ASI �, z6G7 <br /> The undersigned hereby applies for permission to excavate, construct and/or otherwise encroach on <br /> County Highway Right-of-Way on the north side of Liberty Road for a total distance of approximately 6,354 <br /> feet placing new buried 11/2 inch HDPE conduit and boring under Liberty Road just west of Mackville Road <br /> by performing the following work: <br /> ` Bury approximately 6,354 feet of two(2) 11/2 inch HDPE conduits along the north side of Liberty Road in two <br /> separate locations. The first location beginning at Elliott Road and extending east to Jack Tone Road a <br /> distance of approximately 5,136 feet. The second location beginning 3,809 feet east of Jack Tone Road <br /> and extending east to Dry Creek Road a distance of approximately 2,375 feet Two new barrel vaults will <br /> be installed. One(1)new barrel vault will be installed along the north shoulder of Liberty Road <br /> approximately 226 feet west of Jack Tone Road. One(1) new barrel vault will be installed along the north <br /> shoulder of Liberty Road approximately 2,175 feet west of Dry Creek Road. The last item of work will be to <br /> bore under Liberty Road approximately 141 feet west of Mackville Road and place two(2) 1 t/2 inch HDPE <br /> conduits for a distance of 22 feet to an existing PG&E role All paved driveways along the route will be <br /> bored under. Minimum cover for the placement of this new buried HDPE conduit will be 48 inches. Two(2) <br /> existing barrel vaults will be removed along the southern shoulder of Liberty Road <br /> I,the undersigned certify that I am the owner of the respective property, or am qualified to represent the <br /> owner and agree to do the work described above in accordance with the rules, regulations of San Joaquin <br /> County and subject to inspection and approval. <br /> T.M.Smith Engineer 10/18/2006 <br /> Signature of Applicant Title Date <br /> MASTER PS',FEESCHDL (-) <br />