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w <br /> COUNTY OF SAN JOAQUIN <br /> DEPARTMENT OF PUBLIC WORKS <br /> P.O.BOX 1810-1810 E. HAZELTON AVENUE Permit No: PS-1001710 <br /> STOCKTON,CALIFORNIA 95201 Date Issued: 08/13/2010 <br /> .7 (209)468-3000 Exp. Date: 09/01/2010 <br /> FAX 4(209)468-9324 Project No: PWP110005 <br /> Quad: N W <br /> ENCROACHMENT PERMIT <br /> To: CALTRANS- DISTRICT 10 <br /> 1976 E. CHARTER WAY <br /> STOCKTON,CA 95205 <br /> Encroachment Type: <br /> ;TRAFFIC CONTROL <br /> SIGNAGE ! i <br /> Location: <br /> FROM WALNUT GROVE RD. AT HIGHWAY 5 TO WALNUT GROVE RD. AT SAN JOAQUIN COUNTY LINE. <br /> In compliance with you-request of 08/13/2010,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 iervice connections will not be permitted within ten feet(101)of pavement centerline unless otherwise approved by <br /> the Director. Surface o'-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 Works, Field Engineering Division at(209)953-742't (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 pe-taining to safety established by the California Division of Industrial Safety and Cal-OSHA. <br /> The jobsite shall be kep: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. Immediatelv following completion of construction permitted herein,Permittee shall fill out and mail notice <br /> of completion(see attached post card)provided by Grantor. <br /> Special Comments: <br /> ;Traffic Control Per MUTCD <br /> i <br /> ****SEE ATTACHED SPECIAL PERMIT CONDITIONS ** <br /> I <br /> FORMS: ! <br /> Est. Permit Fee: SO.00 <br /> THOMAS R. FLINN. Director <br /> Department of Public Works <br /> WIIITI: Pc mitcc <br /> GOLDENROD TV,DCentral.Fiie <br /> YELLOW -Field Inspection <br /> PINK -Pe-mit Section Permit Section <br />