|
APPLICATION FOR ENCROACHMENT PERMIT
<br />PLEASE PRINT:
<br />Date 12/16/2019
<br />To: San Joaquin County
<br />Department of Public Works
<br />VCC PERMITS DESK, AT&T
<br />(Applicant Name)
<br />5555 E OLIVE AVE
<br />(Mailing Address)
<br />FRESNO, CA 93727
<br />(City, State, Zip Code)
<br />(559) 454-4900
<br />(Area Code -Telephone Number)
<br />Sketch (Detailed plans may be submitted)
<br />TRENCH 18' IN DIRT TO INSTALL GROUND BEDS CONSISTING OF (3)-8' GROUND RODS AND #6 GROUND WIRE AT AT&T POLES PA (DWG.2), P.9 (DWG.3), AND P.16 (DWG,5).
<br />SET 3 NEW 30'-4 POLES WITH 3/4" DIAMETER ROD ANCHORS, POLES P.13 (DWGA), PA4 (DWGA), AND P.15 (DWG,5). THE SETTING OF EACH NEW POLE WILL REQUIRE THE
<br />EXCAVATION OF A 2' DIAMETER BY 6' DEPTH (19 CU.FT.) IN A DIRT SURFACE,
<br />THIS UNDERTAKING IS REQUIRED TO PROVIDE SERVICE TO 6505 S MANTHEY RD,
<br />THERE IS NO EXISTING PATH BETWEEN POLES P.12 AND P.16, REQUIRING THE PLACEMENT OF THE 3 NEW POLES,
<br />SEE ATTACHED PERMIT DRAWINGS AND TRAFFIC CONTROL PLAN FOR AT&T JOB A01 ROVK.
<br />John McDowell
<br />(209) 578-7155
<br />The undersigned hereby applies for permission
<br />the NORTH side of YETTER RD
<br />to excavate, construct and/or otherwise encroach on County Highway Right -of -Way on
<br />o
<br />f S LEO GIRON DR
<br />approximately 100' feetlmile EAST
<br />by performing the following work (description of work):
<br />INSTALL GROUND BEDS AT POLES P.1, P.9, AND P.16. INSTALL 3 NEW 30'-4 POLES, P.13, p,14, AND P.15,
<br />PLACE NEW AERIAL CABLE FROM P.1 TO P.16.
<br />Work will commence on or about tart 1 /6/2020 /end 2/6/2020 _ for approximately 5 days work days
<br />I, the undersigned, certify that I am the owner of the respective property
<br />, or am qualified to represent the owner and agree to do the
<br />work described above in accordance with the rules and regulations of San Joaquin County and subject to inspection and approval.
<br />Engineering
<br />er�1/1 _ l• .�
<br />Signature of Applicant -
<br />M.ICEMRALSERVICESICLERICALIPUBS4.WRWIASTEfl.PS1ETICflOACHMENi PERMRAPPLICATION.00C (09113)
<br />12/17/2019
<br />Date
<br />OFFICE
<br />USE ONLY
<br />)B#
<br />?3007q.
<br />REF #
<br />APN
<br />CR #
<br />EXP. DATE
<br />VALID
<br />3 i �o
<br />J 20?Zo I TO
<br />*31
<br />DRIVEWAYS:
<br />STREET
<br />yx7W94e jeoAb *6 /Sli9,VTH6y Oo
<br />AREA
<br />)5!2e Ae,4 egrop QUAD
<br />TYPE
<br />Z5uNSA
<br />!e. A6,e/AL
<br />N/ctGr
<br />FORMS
<br />NOTES
<br />a Sf C,•rvG&t
<br />OM4&AIV
<br />p PWv6A A rr'
<br />Cat's RL-4utoteb
<br />4
<br />Sketch (Detailed plans may be submitted)
<br />TRENCH 18' IN DIRT TO INSTALL GROUND BEDS CONSISTING OF (3)-8' GROUND RODS AND #6 GROUND WIRE AT AT&T POLES PA (DWG.2), P.9 (DWG.3), AND P.16 (DWG,5).
<br />SET 3 NEW 30'-4 POLES WITH 3/4" DIAMETER ROD ANCHORS, POLES P.13 (DWGA), PA4 (DWGA), AND P.15 (DWG,5). THE SETTING OF EACH NEW POLE WILL REQUIRE THE
<br />EXCAVATION OF A 2' DIAMETER BY 6' DEPTH (19 CU.FT.) IN A DIRT SURFACE,
<br />THIS UNDERTAKING IS REQUIRED TO PROVIDE SERVICE TO 6505 S MANTHEY RD,
<br />THERE IS NO EXISTING PATH BETWEEN POLES P.12 AND P.16, REQUIRING THE PLACEMENT OF THE 3 NEW POLES,
<br />SEE ATTACHED PERMIT DRAWINGS AND TRAFFIC CONTROL PLAN FOR AT&T JOB A01 ROVK.
<br />John McDowell
<br />(209) 578-7155
<br />The undersigned hereby applies for permission
<br />the NORTH side of YETTER RD
<br />to excavate, construct and/or otherwise encroach on County Highway Right -of -Way on
<br />o
<br />f S LEO GIRON DR
<br />approximately 100' feetlmile EAST
<br />by performing the following work (description of work):
<br />INSTALL GROUND BEDS AT POLES P.1, P.9, AND P.16. INSTALL 3 NEW 30'-4 POLES, P.13, p,14, AND P.15,
<br />PLACE NEW AERIAL CABLE FROM P.1 TO P.16.
<br />Work will commence on or about tart 1 /6/2020 /end 2/6/2020 _ for approximately 5 days work days
<br />I, the undersigned, certify that I am the owner of the respective property
<br />, or am qualified to represent the owner and agree to do the
<br />work described above in accordance with the rules and regulations of San Joaquin County and subject to inspection and approval.
<br />Engineering
<br />er�1/1 _ l• .�
<br />Signature of Applicant -
<br />M.ICEMRALSERVICESICLERICALIPUBS4.WRWIASTEfl.PS1ETICflOACHMENi PERMRAPPLICATION.00C (09113)
<br />12/17/2019
<br />Date
<br />
|