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�;Q u,I7V'-•• <br /> COUNTY OF SAN JOAQUIN <br /> DEPARTMENT OF PUBLIC WORKS <br /> P.O. BOX 1810-1810 E. HAZELTON AVENUE Permit No: PS-1200162 <br /> ! STOCKTON,CALIFORNIA 95201 Date Issued: 01/24/2012 <br /> �q'=•• ,s`� (209)468-3000 Exp. Date: 02/20/2012 <br /> FAX 4(209)468-9324 Project No: PWPI 10005 <br /> Quad: NE <br /> ENCROACHMENT PERMIT <br /> To: FARMINGTON FIRE DEPT. <br /> P.O. BOX 73 <br /> FARMINGTON,CA 95230 <br /> Encroachment Type: __T <br /> TRAFFIC CONTROL DEVICES <br /> Location: <br /> BOTH SIDES OF ESCALON-BELLOTA REI. 1000'NORTH& SOUTH OF HWY 4 <br /> In compliance with your request of 01/24/201: ,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 /> Special Comments: <br /> Traffic Control per MUTCD**"Farmington Boot Drive from February 17,2012 to February 20,2012**** <br /> FORMS: <br /> Est. Permit Fee: $0.00 <br /> THOMAS M. GAU, Director <br /> /Depment of Public Works <br /> WHIT[: -Perm itce <br /> GOLDENROD -PWD Central File <br /> YELLOW -Field Inspection By: <br /> PINK -Permit Section Pe It Section <br />