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COUNTY OF SAN JOAQUIN <br /> DEPARTMENT OF PUBLIC WORKS <br /> 2' �y P.O.BOX 1810-1810 HAZELTON AVENUE EP No: EP-07 378 NW <br /> W STOCKTON CALIFORNIA 95201 <br /> Date Issued: 12/24/2007 <br /> �: • � (209)468-3000 - - --- - <br /> FAV(209)468-9324 Expiration Date: 02/01/2008 <br /> Job No: 11005 <br /> ENCROACHMENT PERMIT UE/CR/PM NO: NO FEE <br /> To: DIEDE CONSTRUCTION Encroachment Type: TRENCHING <br /> P.O.BOX 1007 Location: W/S MICKE GROVE RD.200'S/O ARMSTRONG RD. <br /> WOODBRIDGE,CA 95258 <br /> In compliance with your request of 12/10/2007 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: TRAFFIC CONTROL PLAN PER CURRENT MANUAL OF UNIFORM TRAFFIC CONTROL DEVICE(ML!TCD) <br /> CALIFORNIA SUPPLEMENT INSTALL TRENCH BOX DURING CONSTRUCTION FI ADJACENT LANE IS <br /> SUBJECT TO TRAFFIC AND EXCAVATION IS CLOSE TO EDGE OF PAVEMENT OR USE REVERSIBLE <br /> TRAFFIC CONTROL TO EAST.*****NO BOLLARDS AT MANHOLE*****MANHOLE MUST BE RAISED TO <br /> ACCEPTABLE TOLERANCE OF SHOULDER GRADES*****MANHOLE MUST SUSTAIN HS20 TRUCK <br /> LOADINGS***** <br /> THOMAS R. FUNN, Director <br /> De artment of Public Works <br /> Est. Permit Fee: $0.00 <br /> FORMS: SS/WW,F,.-29 By <br /> WHITE Permittee Permit Section <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 />