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opq !,N• COUNTY OF SAN JOAQUIN <br /> DEPARTMENT OF PUBLIC WORKS <br /> Q A P.O.BOX 1810-1810 HAZELTON AVENUE EP No: EP-07 343 SW <br /> y STOCKTON CALIFORNIA 95201 <br /> (209)468-3000 Date Issued: 11/06/2007 <br /> C���1 oRN�P FAX#(209)468-9324 Expiration Date: 12/01/2007 <br /> Job No: 11005 <br /> ENCROACHMENT PERMIT UE/CR/PM NO: CR 033522 <br /> To: SAF-r-RIG(ROBERT ALATORRE - -— <br /> Encroachment Type: 12' BORE(SPOT HOLE) <br /> 1093 SHARY CIRCLE - ------POTHOLE) - <br /> Location: N/S GRANT LINE ROAD 2,000'E/O PARADISE RD. <br /> CONCORD,CA.94518 <br /> In compliance with your request of <br /> 11/06/2007 ,permission is hereby granted to do work in County right of way <br /> as shown on attached application and`subject to a71 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 /> - <br /> Special Instructions: *****TRAFFIC CONTROL PLAN PER CURRENT MANUAL OF UNIFORM TRAFFIC CONTROL DEVICE <br /> (MUTCD)CALIFORNIA SUPPLEMENT***** <br /> THOMAS R. FLINN, Director <br /> Est. Permit Fee: $329.00 ' Department of Public Works <br /> FORMS: SS/WW, R-29 B y A*� <br /> WHITE -Permittee <� <br /> GOLDENROD -PWD Central File Permit Section <br /> YELLOW Field Inspection <br /> PINK Permit Section PW 27 <br /> Access\Permits\Forms\Encroachment Permit <br /> Revised 07/2000 <br />