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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-1002109 <br /> STOCKTON,CALIFORNIA 95201 Date Issued: 10/04/2010 <br /> Qa` (209)468-3000 Exp. Date: 11/20/2010 <br /> FAX#(209)468-9324 Project No: PWP 110005 <br /> Quad: LV <br /> ENCROACHMENT PERMIT <br /> To: LINCOLN BAND BOOSTERS <br /> 61344 ALEXANDRIA PLACE <br /> STOCKTON,CA 95207 <br /> Encroachment Type: <br /> TEMP ROAD CLOSURE —— <br /> Location: — - <br /> BEN HOLT DR. BETWEEN PERS14INCI AVE.&HARRISBURG PL. ON NOV. 20,2010 FROM 8:30 A.M. TO 2:30 P.M. <br /> In compliance with your request of 10/01/2010,permission is hereby granted to do work in County right-of-way as shown on attached <br /> application and subject to all the terrns,conditions and restrictions written below or printed as general or special provisions on any part of <br /> this forri. 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 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-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 nea: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 /> Special Comments: <br /> (Traffic Control per MUTCD-Temporary Road Closure on Nov.20,2010 from 8:30 A.M. to 2:30 P.M. on Benjamin Holt Dr. between <br /> Pershing Ave. and Harrisburg Place <br /> FORMS: <br /> Est. Permit Fee: $300.00 <br /> THOMAS R. FLINN. Director <br /> Department of Public Works <br /> W F l tl'E -Permitee <br /> GOLDENROD -PWD Central File <br /> YELLOW -Field Inspection By: <br /> PINK -Permit Section P it Section <br />