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APPLICATION FOR ENCROACHMENT PERMIT <br /> PLEASE PRINT: <br /> Date 9/11/2007 OFFICIAL USE ONLY <br /> To: San Joaquin County JOB# 730-29- 21 REF# <br /> Department of Public Works APN CR # <br /> 209-468-3057 EXP.DATE 0 1-O(. <br /> AT&T California VALID /40460'07 TO Ar--J-JJ5 Ar--J—JDRIVEWAYS: <br /> (Applicant Name) STREET V'A oUs R71-- ESSA <br /> j <br /> AREA f*CAj Q QUAD <br /> 1860 Wardrobe Avenue TYPEuc�y�Ny <br /> (Mailing Address) FORMS <br /> NOTE ` <br /> Merced,Calif.,95340 <br /> (City,State,Zip Code <br /> (209)726-6920 <br /> (Area Code-Telephone Number <br /> Sketch(Detailed plans may be submitted) SEE ATTACHED DRAWINGS AT&T job#6236335 <br /> Drawings 1A thru 13 of 17 <br /> The undersigned hereby applies for permission to excavate,construct and/or otherwise encroach on <br /> County Highway Right-of-Way on Santa Fe Avenue for a total distance of approximately 9,332 feet& River <br /> Road for a total distance of approximately 6,615 feet placing new buried 1 t/z inch HDPE conduit and boring <br /> under St.John Road S. Harold Avenue, Santa Fe Avenue at Orange Avenue and River Road by <br /> performing the following work: <br /> Bury approximately 9,332 feet of two(2) 1112 inch HDPE conduits along the southwest shoulder of Santa Fe <br /> Avenue between Franklin Street and Oranae Avenue. This proiect will also be placing four(4)new barrel <br /> vaults along Santa Fe Avenue. Bore under St.John Road one farm access road S. Harold Avenue and <br /> under Santa Fe Avenue at the iunction of Orange Avenue Bury approximately 375 feet of two(2) 1112 inch <br /> HDPE conduits along the north side of Orange Avenue beginning at the west side of Santa Fe Avenue and <br /> extendina east along the north side of Orange Avenue to the second telephone pole east of Santa Fe <br /> Avenue. One(1)new barrel vault will be Installed along the north shoulder of Orange Avenue <br /> approximately 375 feet east of Santa Fe Avenue. Bury approximately 1 500 feet of two (2) 11/2 inch HDPE <br /> conduits along the north side of River Road beginnina approximately 934 feet east of Pioneer Road and <br /> _extending to Sawyer Avenue. All paved driveways along the route will be bored under. Minimum cover for <br /> the placement of this new buried HDPE conduit will be 48 Inches One (1)new barrel vault will be installed <br /> along the north shoulder of River Road. <br /> I,the undersigned certify that I am the owner of the respective property, or am qualified to represent the <br /> owner and agree to do the work described above in accordance with the rules, regulations of San Joaquin <br /> County and subject to inspection and approval. <br /> T.M.Smith � ,�j <br /> Engineer <br /> 9/14/2007 <br /> Signature of Applicant Title Date <br /> MASTER.PS\FEESCHDL (&/ ) <br />