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COUNTY OF SAN JOAQUIN <br /> DEPARTMENT OF PUBLIC WORKS Permit No: PS-2100523 <br /> P.0. BOX 1810-1810 E. HAZELTON AVENUE Date Issued: 02/12/2021 <br /> STOCKTON, CALIFORNIA 95201 Start Date: 04/15/2021 <br /> (209) 468-3000 Exp. Date: 11/15/2021 <br /> FAX # (209) 468-9324 Project No: PWP7110005 <br /> Quad: SW <br /> <br /> UE/CR/PM NO:84012469 I-634 <br /> ENCROACHMENT PERMIT <br />To: PACIFIC GAS & ELECTRIC - MODESTO <br /> P.O. BOX 3031 <br /> MODESTO, CA 95353 <br /> <br />Encroachment Type: <br />Traffic Control Devices <br />Location: <br />S/S OF AIRPORT WAY 140' E/O DIVISION RD. <br />In compliance with your request of 02/12/2021 , 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 rights-of-way, or <br />from right-of-way lines. <br />Permittee shall call the Department of Public Works, Field Engineering Division (Permit Inspections) at (209) 953-7421 at least two <br />business days prior to beginning any work within the County right-of-way. All work performed under this permit shall conform to the <br />rules and regulations pertaining to safety established by the California Division of Occupational Safety and Health (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 Uniform Traffic <br />Control Devices (MUTCD). <br />After completion of the work permitted herein, all debris, lumber, barricades, deleterious or excess material shall be removed and the jobsite <br />left 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 <br /> <br />FORMS:SS/WW <br /> <br />Est. Permit Fee: $490.00 <br /> Kris Balaji, Director <br /> Department of Public Works <br />WHITE -Permittee <br />GOLDENROD -PWD Central File <br />YELLOW -Field Inspection By:_____________________________________ <br />PINK -Permit Section Permit Section <br />