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COUNTY OF SAN JOAQUIN <br /> DEPARTMENT OF PUBLIC WORKS <br /> .� '. P.O.BOX 1810-1810 E. HAZELTON AVENUE Pe <br /> - f} STOCKTON CALIFORNIA 95201 Permit No: PS-1202553 <br /> ' Date Issued: 10/30/2012 <br /> (209)468-3000 Exp.Date: 01/01/2013 <br /> FAX#(209)468-9324 Project No: PWP110005 <br /> Quad: SE <br /> To: SSJID ENCROACHMENT PERMIT <br /> 11011 E. HIGHWAY 120 <br /> MANTECA,CA 95336 <br /> Encroachment Type: <br /> Trench <br /> Location: <br /> ACROSS STEINEGUL RD. 1400'N/0 OWENS RD. <br /> In compliance with your request of 10/30/2012,permission is hereby <br /> application and subject to all the terms, conditions and restrictions written below or printed ed s generalk in County rlor spec al p ov s ons on att <br /> achedart of <br /> this form. See reverse side and attached sheet,if any. <br /> nYP <br /> Trench excavations for service connections will not be permitted within ten feet(101)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 o <br /> ent. <br /> way, or from right of way(border)lines. p <br /> g f <br /> Permittee shall call the Department of Public Works,Field Engineering Division(Permit Inspections)at(209)953-7421 <br /> hours prior to beginning any work within the County right of way. All work performed under this permit shall confo <br /> to the rules and regulations pertaining to safety established by the California Division of Industrial Safe and Cal-OSHA.( ) 7421 at least <br /> nn <br /> Safety <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 <br /> Control. <br /> After completion of the work permitted herein,all debris, lumber,barricades,or any excess material shall be removed and the •obsite le <br /> in a neat workmanlike manner. Immediately following completion of construction permitted herein,Permittee shall fill out and mail <br /> Of completion(see attached post card J ft <br /> p )provided by Grantor. notice <br /> Special Comments: <br /> Traffic Control Per MUTCD <br /> FORMS: SS/WW R_29 Trench Cuttin <br /> g Policy <br /> Est.Permit Fee: $462.20 <br /> THOMAS M. GAU, Director <br /> WHITE -Permitee Department of Public Works <br /> GOLDENROD -PWD Central File <br /> YELLOW -Field Inspection <br /> PINK -Permit Section By: <br /> Perm• Section <br />