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COUNTY OF SAN JOAQUIN <br /> 0 0o DEPARTMENT OF PUBLIC WORKS <br /> P.O.BOX 1810-1810 HAZELTON AVENUE EP No: EP-07 44 SE <br /> { STOCKTON CALIFORNIA 95201 Date Issued: 02/28/2007 <br /> (209)468-3000 -_ <br /> FAX#(209)468-9324 Expiration Date 05/18/2007 - <br /> �Q Job No: 11005 <br /> - <br /> ENCROACHMENT PERMIT UE/CR/PM NO Ci(ZOO s63---_ <br /> - - -- <br /> To: MOODY PROPERTY MANAGEMENT Encroachment Type: DRIVEWAY&RESTRIP <br /> ING <br /> -- — -- — <br /> 303 DOWNEY AVE. Location: S/S CARTER ROAD APPROX. 1.4 MILE W/O S. <br /> HENRY <br /> ROAD. <br /> MODESTO CA.95354 <br /> In as showonwithattached your request <br /> of subject to a tie/200,coridittons and permission is hereby granted to do work in County right of way <br /> compliance d 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 /> Special Instructions- iSEE ATTACHED SKETCH*****TRAFFIC CONTROL PLAN PER CURRENT MANUAL OF UNIFORM TRAFFIC <br /> CONTROL DEVICE(MUTCD)CALIFORNIA SUPPLEMENT***** <br /> THOMAS R. FLINN, Director <br /> Department of Public Works <br /> Est. Permit Fee: $95.00 <br /> --- .—_.._------._—_.- - <br /> FORMS: SS/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 /> Revised 07/2000 <br /> Access\Permits\Forms\Encroachment Permit <br />