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U9 1 COUNTY OF SAN JOAQUIN <br /> ?' a� DEPARTMENT OF PUBLIC WORKS <br /> P.O.BOX 1810-1810 HAZELTON AVENUE EP No: EP-07 340 SW <br /> y: STOCKTON CALIFORNIA 95201 <br /> :. <br /> (209)468-3000 Date Issued: 11/01/2007 <br /> �' ;:•�Q FAX#(209)468-9324 Expiration Date: 11/27/2007 <br /> 4C�p oFtN Job No: 11005 <br /> ENCROACHMENT PERMIT UE/CR/PM NO: No FEE To: ROBERT BURNS CONSTRUCTION Encroachment Type: 25-DAY ROAD CLOSURE: <br /> 2501 N.WIGWAM DR. Location: BACON ISLAND RD.(NEAR RR TRESTLE/3 <br /> STOCKTON,CA 95205 PIPELINES)APPROX.6 MILES W/O HWY 4 <br /> In compliance with your request of 10/31/07 permission is hereby granted to do work in County right of way <br /> as shown on attached application and subject to all the 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 /> Special Instructions: *****ALL ROAD CLOSURE SIGNAGE AND DETOUR PER CURRENT:MANUAL OF UNIFORM TRAFFIC <br /> CONTROL DEVICE(MUTCD)CALIFORNIA SUPPLEMENT AND COUNTY STANDARDS AND POLICY. SIGNS <br /> WILL BE INSTALLED AND MAINTAINED BY ROBERT BURNS CONSTRUCTION COMPANY. 24-HOUR <br /> CONTACT: MARK BURNS (209)993-1048***** <br /> THOMAS R. FUNK, Director <br /> Est. Permit Fee: $0.00 Department of Public Works <br /> FORMS: By A i � <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 Revised 07/2000 <br />