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COUNTY OF SAN JOA <br /> QUIN <br /> <I DEPARTMENT OF PUBLIC WORKS <br /> P.O. BOX 1810-1810 E. HAZELTON AVENUE Permit No: PS-1101285 <br /> .; ..� STOCKTON,CALIFORNIA 95201 Date Issued:06/29/2011 <br /> (209)468-3000 Exp.Date: 09/01/2011 <br /> FAX#(209)468-9324 Project No: PWPI 10005 <br /> Quad: SW <br /> To: ARCADIS ENCROACHMENT PERMIT <br /> 950 GLEN DRIN,E#125 <br /> FOLSOM,CA x:5630 <br /> Encroachment Type: _ <br /> Bore(over 6 inch Dia; <br /> Location:- - — ---- - --- �— -- _ <br /> S/S OF PATTERSON PASS RD. 500' W1O 1-580 <br /> In compliance with your request of 06/29/2011 ,permission is hereby granted to do work in County right-of-way as shown on attached <br /> application and subject to ail 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 uti lities 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 w y(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 /> � <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 /> Special Comments: <br /> Traffic Control Per M1 iTCD ****Installing an Air Sparge Well <br /> **** <br /> FORMS: SS/WW. K-�9- — ------ <br /> Est. Permit Fee: $457.00 <br /> THOMAS M. GAU, Director <br /> WHITE -P,.rmitec Department of Public Works <br /> GOLDENROD -P`,VD Central File <br /> YELLOW -Field Inspection <br /> PINK -Permit Section By: -' <br /> Pe Section -- - - <br />