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&QUI c COUNTY OF SAN JOAQUIN <br /> DEPARTMENT OF PUBLIC WORKS <br /> Q "{ P.O.BOX 1810-1810 HAZELTON AVENUE <br /> y. - - <br /> STOCKTON CALIFORNIA 95201 EP No: EP-07 358 SE <br /> (209)468-3000 Date Issued: 11/29/2007 <br /> ��FORN` <br /> FAX#(209)468-9324 Expiration Date: 01/13/2008 <br /> Job No: 11005 <br /> ENCROACHMENT PERMIT UE/CR/PM NO <br /> To: LAWRENCE FRANK,MD �7` <br /> Encroachment Type:------__-- Vp SIGNS AND WATER STATIONS <br /> 3808 FALMOUTH COURT <br /> STOCKTON,C --- <br /> Location: MANTHEY ROAD,HOWARD ROAD, MATHEWS ROAD <br /> A 95219-3203 AND WOLFE ROAD(SEE ATTACHED MAPS)ON JAN. <br /> 13,2008. TIME OF RACF IS FROM 9:00 AM TO 12:00 <br /> PM. <br /> In compliance with your request of <br /> 11/29/2007 permission is hereby granted to do work <br /> as shown on attached application and <br /> subject to all the terms,-conditions and restrictions written below or printed as genin County right of way <br /> eral 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: TRAFFIC CONTROL PLAN PER CURRENT MANUAL OF UNIFORM TRAFFIC CONTROL DEVICE(MUTCD) <br /> CALIFORNIA SUPPLEMENT***** {VALID ONLY FOR SAN JOAQUIN COUNTY PORTIONS) <br /> THOMAS R. FUNN, Director <br /> Est. Permit Fee: $I I5.0o Department of Public Works <br /> FORMS: <br /> SS/WW B , <br /> 7 <br /> - y --� <br /> WHITE Permittee <br /> GOLDENROD PWD Central File Permit Section <br /> YELLOW Field Inspection <br /> PINK Permit Section PW 27 <br /> AccesslPermitsTormslEncroachment Permit <br /> Revised 07/2000 <br />