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DEPARTMENT OF PUBLIC WORKS P.O. BOX 1810-1810 E. HAZELTON AVENUE STOCKTON, CALIFORNIA, 95201 (209) 468-3000 FAX # (209) 468-9324 UTILITY ENCROACHMENT PERMIT To: Ahtna-Forgen JV 1300 LA PLAYA ST APT 3 3 San Francisco, California, Unite, CA 94122 Permit No: PW-ENCROACH-2500642 Date Issued: Start Date: 04/15/2025 Exp. Date: 04/15/2026 Project No. 110005 Extended To: UE/CR/PM NO: Encroachment Type: Repair damages to roadway (if any) caused by applicant Location:Cardinal Ave S/O Hwy 26 In compliance with your request of 02/12/2025,permission is hereby granted to do work in County right-of-way as shown on attached application and subject to all the terms, conditions and restrictions written below or printed as general or special provisions on any part of this form. See reverse side and attached sheets, if any. Trench excavations for service connections will not be permitted within ten feet of pavement centerline unless otherwise approved by the Director. Surface of trench patches shall match in kind and be smooth and even with that of abutting surface. Special attention shall be given to depth of utilities through roadside area in anticipation of future draining facilities, road profile and/or frontage development. All underground utility facilities are to be established and accurately dimensioned on sketches from surveyed centerline of road right-of-way, or from right-of-way lines. Permittee shall call the Department of Public Works, Field Engineering Division (Permit Inspection) at (209) 953- 7421 at least two business days prior to beginning any work within the County right of way. All work performed under this permit shall conform to the rules and regulations pertaining to safety established by the California Division of Occupational Safety and Health (Cal-OSHA.) 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 pedestrian or automobile traffic. All necessary traffic convenience and warning devices and personnel shall be provided, placed and maintained by and at the sole expense of the Permittee in accordance with the latest edition of the CALTRANS MUTCD. After completion of the work permitted herein, all debris, lumber, barricades, or any excess material shall be removed and the jobsite left in a neat workmanlike manner. Immediately following completion of construction permitted herein, Permittee shall call the Department of Public Works, Field Engineering Division (Permit Inspections) at (209) 953-7421 to complete the permit. Special Comments: Traffic Control per MUTCD*No Bollards*No Road Closures*No Excavations* Forms:SS/WW General Provisions R29 Trench Cut Policy Permit Fee: Fritz Buchman, Director Department of Public Works By:_____________________________________________ Permit Section partment of Public Works ____________________ Permit Section