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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-1302745 <br /> STOCKTON,CALIFORNIA 95201 Date Issued: 10/14/2013 <br /> i i F 4r` (209)468-3000 Exp.Date: 11/01/2013 <br /> FAX#(209)468-9324 Project No: PWPI 10005 <br /> Quad: SW <br /> ENCROACHMENT PERMIT <br /> To: PETROGULF CORPORATION <br /> 518 17TH. STREET SUITE 518 <br /> DENVER,CO 80202 <br /> Encroachment Type: <br /> PIPELINE ABANDONMENT <br /> Location: <br /> N/S OF WRIGHT RD.,W/S OF KASSON RD.,N/S OF DURHAM FERRY RD. <br /> In compliance with your request of 10/14/2013 ,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 this <br /> 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 the <br /> Director. Surface of trench patches shall match in kind and be smooth and even with that of abutting surface. Special attention shall be given <br /> to depth of utilities through roadside area in anticipation of future drainage facilities,road profile and/or frontage development. All <br /> underground utility facilities are to be established and accurately dimensioned on sketches from surveyed centerline of road right of way,or <br /> 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 to <br /> 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 in a <br /> neat workmanlike manner. Immediately following completion of construction permitted herein,Permittee shall fill out and mail notice of <br /> completion(see attached post card)provided by Grantor. <br /> Special Comments: <br /> ALL WORK TO ABANDON PIPELINE FOR ORDINANCE 4142 SHALL BE PERFORMED ON PRIVATE PROPERTY PER <br /> CALIFORNIA CODE OF <br /> REGULATIONS TITLE 14,DIVISION 2,CHAPTER 4,SUB CHAPTER 2,ARTICLE 3, SECTION 1776F.NO WORK WITHIN THE <br /> COUNTY RIGHT <br /> OF WAY SHALL BE ALLOWED WITHOUT A COUNTY APPROVED TRAFFIC CONTROL PLAN PER MUTCD STANDARDS <br /> PRIOR TO START OF WORK. <br /> FORMS: I SS/WW <br /> Est.Permit Fee: $600.00 <br /> THOMAS M. GAU,Director <br /> Department of Public Works <br /> WHITE -Permitee <br /> GOLDENROD -PWD Central File <br /> YELLOW -Field Inspection By: <br /> PINK -Permit Section Pe it Section <br />