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COUNTY OF SAN JOAQUIN <br /> DEPARTMENT OF PUBLIC WORKS <br /> Q GZI P.O.BOX 1810-1810 HAZELTON AVENUE -- <br /> EP No: EP-07 271SE <br /> < STOCKTON CALIFORNIA 95201 — ---- <br /> • (209)468-3000 Date Issued 02/06/2007 <br /> FAX#(209)468-9324 Expiration Date: 04/01/2007 <br /> Job No: 73052-6 <br /> ENCROACHMENT PERMIT UE/CR/PM NO: 3054477 <br /> ° Encroachment Type: BELL HOLE,BORE <br /> - <br /> 4040 WEST LANE — -- — <br /> Location: W/S LOCKHART ROAD APPROX. 188'S/0 BOWMAN <br /> 'STOCKTON,CA 95204 ROAD <br /> In compliance with your request of 02/02/2007 1 permission is hereby granted to do work in County right of way <br /> as shown on attached application and subject to a t e terms conditions 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 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 /> - <br /> Special Instructions: SEE ATTACHED SKETCH***** - <br /> TRAFFIC CONTROL PLAN PER CURRENT MANUAL OF UNIFORM TRAFFIC <br /> CONTROL DEVICE(MUTCD)CALIFORNIA SUPPLEMENT***** <br /> THOMAS R. FUNK, Director <br /> - - - <br /> Est. Permit Fee: $315.00 Department of Public Works <br /> FORMS: SS/WW, R-29 By <br /> WHITE -Permittee Permit Section] <br /> GOLDENROD PWD Central File <br /> YELLOW Field Inspection <br /> PINK -Permit Section PW 27 <br /> Access\Permits\Forms]Encroachment Permit <br /> _ _ Revised 07/2000 <br />