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_N <br /> = COUNTY OF SAN JOAQUIN <br /> cI DEPARTMENT OF PUBLIC WORKS <br /> •� ' P.O. BOX 1810-1810 E.HAZELTON AVENUE Permit No: PS-1100358 <br /> STOCKTON,CALIFORNIA 95201 Date Issued:03/01/2011 <br /> ±Fo •` (209)468-3000 Exp. Date: 07/15/2011 <br /> FAX#(209)468-9324 Project No: PWPI 10005 <br /> Quad: SE <br /> ENCROACHMENT PERMIT <br /> To: CITY OF LATHROP <br /> 390 TOWNE CENYRE DR. <br /> LATHROP,CA 95330 <br /> Encroachment Type: <br /> Trench I — <br /> Location: <br /> BOTH SIDES OF YOSEMITE AVE. 1/4 MILE W/O MCKINLEY AVE. <br /> In compliance with your request of 03/01/2011 ,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 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 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***All pipe and pipeline-related facilities including,but not limited to,valves, utlity boxes and <br /> vaults,and frames and covers shall be maintaned by the City of Lathrop. The City shall be responsible for any and all costs <br /> associated with the relocation and/or adjustments of these facilities as determined by the County at the City's expense***AII <br /> future maintenance of the pipeline and related facilites within the County right-of-way will require a San Joaquin County <br /> Encroachment Permit*** <br /> FORMS: SS/W W, R-29 <br /> Est. Permit Fee: $493.00 <br /> THOMAS M. GAU, Interim Director <br /> WHITE -Permitee <br /> De ment of Public Works <br /> GOLDENROD -PWD Central File <br /> YELLOW -Field Inspection <br /> PINK By. _ <br /> Permit Section Pe It Section <br />