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COUNTY OF SAN JOAQUIN <br /> DEPARTMENT OF PUBLIC WORKS <br /> ! P.O. BOX 1810-1810 E. HAZELTON AVF-,NUE Permit No: PS-1001941 <br /> STOCKTON,CALIFORNIA 95201 <br /> Ncfi��rFs. � Date Issued:0909/2010 <br /> (209)468-3000 Exp. Date: I I'01/2010 <br /> FAX#(209)468-9324 Project No: PWPI 10005 <br /> Quad: NW <br /> ENCROACHMENT PERMIT <br /> To: HAt_F,Y CON'I'RACTINU'JIM HALEY <br /> 4228 NEWTON RD. <br /> STOCKTON_ CA 95205 <br /> Encroachment Tie__ <br /> Bell Hole _ B -- <br /> ore Dia <br /> inch(up to 6 i ) j — — -----._--- <br /> Location: ----—— 1 <br /> BOTH;S OF INDIANA ST. 105' F,/O CHESTNUT DR. — <br /> In compliance with your request of 09/09/2010,permission is hereby granted to do work in County right-of-way as shown on attached <br /> applicaton 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 anelor 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(Permit Inspections)at(209)953-7421 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 <br /> to the rules and regulations pertaining to safety established by the California Division of industrial Safety and Cal-OSI IA. <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 /> SEecial Comments: <br /> Traffic Control Per MUTCD <br /> FORMS: <br /> Est. Permit Fee: $639.00 <br /> THOMAS R. FLINN, Director <br /> W1fiIT, -Pcrmitee De�rtment of Public Works <br /> � <br /> GOI DI-NROD ✓ <br /> PWD<c ntr11 bile r <br /> YI:LLOw -Ficid 1i5pccto11PINKa <br /> ✓L r f <br /> Perrr(t Section <br />