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'Op u t•N, co COUNTY OF SAN JOAQUIN <br /> G DEPARTMENT OF PUBLIC WORKS <br /> y j P.O.BOX 1810-1810 HAZELTON AVENUE EP No: - <br /> STOCKTON CALIFORNIA 95201 EP-07 99;NE <br /> (209)468-3000 Date Issued: 04/25/2007 <br /> FAX#(209)468-9324 Expiration Date: 105/05/2007 - <br /> ��FORa <br /> Job No: :11005 <br /> ENCROACHMENT PERMIT UE/CR/PM NO: _ -- <br /> - CRb 3Z O S 3 <br /> To: DAVID GASTRO — — <br /> Encroachment Type: — -- <br /> _ -__ Yp (3)BORINGS — - <br /> -, <br /> 14622 GLASS CT., STE .A <br /> -- Location: E/S OF TULLY RD. 1500'S/O BRANDT RD. <br /> MODESTO,CA 95356 <br /> In compliance withour request of - <br /> y 9 4/25/2007 permission is hereby <br /> as shown on attached application and do work in County rit of subject to a t e terms,condi t ns and restrictions written below or prianted nted ed s general or special prrov scions <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: SEE ATTACHED SKETCH TRAFFIC CONTROL PLAN PER CURRENT MANUAL OF UNIFORM TRAFFIC <br /> ***** _ - <br /> CONTROL DEVICE(MUTCD)CALIFORNIA SUPPLEMENT***** <br /> THOMAS R. FLINN, Director <br /> - <br /> Est. Permit Fee: $415.00- - -- — -- Department of Public Works <br /> . — <br /> FORMS: SS/WW, R-29 By <br /> WHITE Permittee <br /> GOLDENROD PWD Central File Permit Sec ion <br /> YELLOW Field Inspection <br /> PINK Permit Section PW 27 <br /> AccessTermits\Forms\Encroachmen t Permit <br /> Revised 07/2000 <br />