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APPLICATION FOR ENCROACHMENT PERMIT <br /> PLEASE PRINT: <br /> Date September 15,2008 OFFICE USE ONLY <br /> To: San Joaquin County JOB# ,/� REF# <br /> Department of Public Works APN CR# <br /> EXP. DATE <br /> Hexadyne Energy Corporation VALID 48 TO Ills. DRIVEWAYS: <br /> (Applicant Name) STREET dJ®/�'42_� 5 OR. <br /> AREA AA Z QUAD 4j/- <br /> 1600 Norris Road TYPE i <br /> (Mailing Address) FORMS JobaftL Ar <br /> NOTES <br /> Bakersfield,California,93308 <br /> (City,State,Zip Code) <br /> (661)679-1700 <br /> (Area Code-Telephone Number) <br /> Sketch(Detailed plans may be submitted) See attached plans. <br /> The undersigned hereby applies for permission to excavate: construct and/or otherwise encroach on County Highway Right-of-Way on <br /> the South side of Copperopolis Road approximately 125 feetA le west <br /> of North Dietrich Road , by performing the following work(description of work): <br /> Hexadyne is proposing to drill a natural gas well the Dondero##2-1 on the south side of Coppperopolis Road. The bottom hole <br /> location of the proposed well is on the north side of Copperopolis Road. The proposed wellbore will be in excess of 5000'as <br /> it goes under the road. Drilling operations will be located approximately 820 feet south of Copperopolis Road;no project <br /> activities will occur within the surface Right-of-Wav for Copperopolis Road. <br /> Work will commence on or about October 15th for approximately 7 to 10 days. <br /> 1. the undersigned,certify that I am the owner of the respective property, or am qualified to represent the owner and agree to do the <br /> work described above in accordance with the rules and regulations of San Joaquin County and subject to inspection and approval. <br /> ' 1 G� Agent for Hexadyne Energy Corporation September 15,2008 <br /> Signature of Applicant-Title Date <br />