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COUNTY OF SAN JOAQUIN <br /> DEPARTMENT OF PUBLIC WORKS <br /> P.O. BOX 1810-1810 E. HAZELTON AVENUE Permit No: PS-1001241 <br /> j STOCKTON,CALIFORNIA 95201 Date Issued: 06/18/2010 <br /> -3000 <br /> (209)468 Exp. Date: 07/01/20 10 <br /> FAX#(209)468-9324 Project No: PWP1 10005 <br /> Quad: NW <br /> To: SLJNDT CONSTRUCTION ENCROACHMENT PERMIT <br /> 2620 S. 55TH ST. <br /> TEMPE.AZ 85282 <br /> Encroachment Type: <br /> Trench _ <br /> Location: <br /> EIGHT MILE RD. WEST END <br /> In compliance with your request of 06/18/2010,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 /> Permittee shall call the Department of Public WAs, Field Engineering Division at(209)953-7421 (Permits Inspections)at least <br /> forty-eight hours prior to beginning any work within the County right of way. All work performed under this permit shall conform to the <br /> rules and regulations pertaining to safety 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(see attached post card)provided by Grantor. <br /> S cial Comments: <br /> Traffic Control Per MUTCD****Place 6"AC Cap when pipe removed****If this section is to be reconstructed do not use Hot Mix <br /> Resurfacing****Work shall brperformed on a day when there is no material hauling for Delta Water Supply Project or for <br /> Reclamation District work <br /> I <br /> FORMS: LS/W W, R-29 <br /> Est. Permit Fee: $300.50 <br /> THOMAS R. FLINN. Director <br /> WHITE -Permitee /Dueartment of Public Works <br /> GOLDENROD -PWD Central File <br /> YELLOW -Field Inspection <br /> PINK -Permit Section By: ---- <br /> rmit Section <br />