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V COUNTY OF SAN JOAQUIN <br /> .Bw DEPARTMENT OF PUBLIC WORKS <br /> I P.O.BOX 1810-1810 E. HAZELTON AVENUE Permit No: PS-0803196 <br /> STOCKTON,CALIFORNIA 95201 Date Issued: 10/07/2008 <br /> (209)468-3000 Exp. Date: 05/15/2009 <br /> - FAX#(209)468-9324 Project No: PWPI 10005 <br /> Quad: SW <br /> ENCROACHMENT PERMIT <br /> To: TED BRANDVOLD <br /> 1300 10TH ST., STE. B <br /> MODESTO,CA 95354 <br /> Encroachment Type: - <br /> Bore(up to 6 inch Dia) Trench (3)-Driveway Approaches <br /> I <br /> Location: <br /> N/S OF SCHULTE RD. 50'W/O MOUNTAIN HOUSE PKWY.&W/S OF MOUNTAIN HOUSE PKWY 50'N/O SCHULTE RD. <br /> In compliance with your request of 10/07/2008 ,permission is hereby granted to do work in County right-of-way as shown on attached <br /> application and subject to all the terms,conditions and restrictions written below or printed as general or special provisions on any part of <br /> 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 <br /> the Director. Surface of trench patches shall match in kind and be smooth and even with that of abutting surface. Special attention shall <br /> be given to depth of utilities through roadside area in anticipation of future drainage facilities,road profile and/or frontage development. <br /> All underground utility facilities are to be established and accurately dimensioned on sketches from surveyed centerline of road right of <br /> way, or from right of 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 <br /> within the County right of way. All work performed under this permit shall conform to the rules and regulations pertaining to safety <br /> established by the 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 <br /> maintained 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 <br /> in a neat workmanlike manner. Immediately following completion of construction permitted herein, Permittee shall fill out and mail notice <br /> of completion provided by Grantor. <br /> Special Comments: <br /> Traffic Control per MUTCD-The Encroachment Permit only covers work within County Right-of-Way NOT on-site work. <br /> FORMS: SS/WW, R-29,� <br /> CW-G�Z <br /> Est. Permit Fee: $646.20 <br /> THOMAS R. FLINN, Director <br /> Department of Public Works <br /> WHITE -Perm itee <br /> GOLDENROD -PWD Central File <br /> YELLOW -Field Inspection By: _ <br /> PINK -Permit Section Permit ectlon <br />