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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-1101285 <br /> STOCKTON,CALIFORNIA 95201 <br /> , Date Issued:06/29/2011 <br /> ` 209 <br /> ( )468-3000 <br /> Exp. Date: 09/01/2011 <br /> FAX#(209)468-9324 Project No: PWPI 10005 <br /> R <br /> Quad: SW <br /> Extended To: 10/15/2011 <br /> To: ARCADIS ENCROACHMENT PERMIT <br /> 950 GLEN DRPV E 4125 <br /> FOLSOM, CA 95630 <br /> Encroachment Type: <br /> Bore(over 6 inch Dia) <br /> Location: <br /> S/S OF PATTERSON PASS RD. 500' W/0 I-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 all the terns,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 anv. <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 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 wtty(border) lines. <br /> Permittee shall call tht! 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 pennitted 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 MI,TCD **** Installing an Air Sparge Well **** <br /> FORMS: FSS/WW, 11,-29 <br /> Est. Permit Fee: 5457.00 <br /> THOMAS M. GAO, Director <br /> WEDeprtment of Public Works <br /> tI"FE -Pc mitre <br /> GOLDENROD -P,VD Central File <br /> YELLOW -Field inspection <br /> PINK -Pc mit Section By: <br /> Pe it Section <br />