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ulCOUNTY OF SAN JOAQUIN <br /> coG DEPARTMENT OF PUBLIC WORKS <br /> P.O.BOX 1810-1810 HAZELTON AVENUE - ---- <br /> X STOCKTON CALIFORNIA 95201 EP No: EP 07- 21NW <br /> - --NW <br /> ' (209)468-3000 Date Issued: 01/03/2007 <br /> ' vp FAX#(209)468-9324 Expiration Date: 03/05/2007 <br /> Job No: 11005 <br /> ENCROACHMENT PERMIT UE/CR/PM NO: <br /> To: IGOLDEN STATE UTILITY CO. —-- — <br /> Encroachment Type: BORE&TRENCH - <br /> — - - <br /> 7 W.TUOLUMNE RD. ------ <br /> ocation: NORTH&SOUTH SIDE OF BANNER ST.APPROX 368' <br /> TURLOCK,CA.95380 E/O STAR ST. <br /> In compliance with your request of 12/07/2006 permission is hereby granted to do work in County right of way <br /> as shown on attached application and s`u_U ect to a e terms,condittons add 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 necessary 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,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 /> SpecialTIME DEVICE D)CALIFORNIA SUPPLEMENT*****COMPLY WITH ALL N.P.D.E.S.REQUERMENT FOR THIS YEARj <br /> Instructions: SEE ATTACHED TRAFFIC CONTROL PLAN PER CURRENT MANUAL OF UNIFORM TRAFFIC CONTROL <br /> THOMAS R. FLINN, Director <br /> Est. Permit Fee: $349.5-0- - - - Department of Public Works <br /> — <br /> RMS: SS/WW R-29 By <br /> WHITE -Permittee OPermit Section <br /> GOLDENROD PWD Central File <br /> YELLOW Field Inspection <br /> PINK -Permit Section <br /> PW 27 <br /> Access\Permits\Forms\Encroachment Permit <br /> Revised 07/2000 <br />