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o q�I c COUNTY OF SAN JOAQUIN <br /> DEPARTMENT OF PUBLIC WORKS <br /> 2' Gy P.O.BOX 1810-1810 HAZELTON AVENUE <br /> Qr .� EP No: EP-07 142'$,SW <br /> tA. < STOCKTON CALIFORNIA 95201 - - - <br /> Date Issued: 05/24/2007 <br /> .'. (209)468-3000 <br /> FAX#(209)468-9324 Expiration Date: 05/31/2007 <br /> Job No: 11005 <br /> ENCROACHMENT PERMIT UE/CR/PM NO 108544 0 <br /> To: AT&T(SHASTA CONSULTING GROUP) Encroachment Type: BELL HOLE&BORE <br /> 2741 N.MAIN Location: SIS OF GRANTLINE RD. 300'E/O MOUNTAIN HOUSE <br /> -- PARKWAY <br /> WALNUT CREEK,CA 94597 <br /> In compliance with your request of 5/16/2007 permission is hereby granted to do work in County right of way <br /> as shown on attached application and subject to al the terms,con-dit-ions 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 Pennittee 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: 1.Maintain traffic controls for all roads. Traffic control delays shall not exceed 15 minutes. Two way traffic shall be <br /> maintained during non-working hours with excavated areas backfilled or plated. During working hours,two-way traffic <br /> control shall be maintained with one lane open and appropriate flaggers. <br /> THOMAS R. FLINN, Director <br /> Department of Public Works <br /> Est. Permit Fee: $315.00 <br /> FORMS: SS/WW, R-29 By <br /> WHITE -Permittee Permit seetion <br /> GOLDENROD PWD Central File <br /> YELLOW Field Inspection PW 27 <br /> PINK Permit Section <br /> Access\Permits\Forms''�Encroachment Permit Revised 07/2000 <br />