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C <br /> COUNTY OF SAN JOAQUIN <br /> DEPARTMENT OF PUI3LIC WORKS Permit No: PS-1501470 <br /> 4* Y 1 P.O.BOX 1810-1810 E.HAZELTON AVENUE Date Issued: 06/03/2015 <br /> STOCKTON,CALIFORNIA 95201 Start Date: 06/08/2015 <br /> (209)468-3000 Exp.Date: 07/01/2015 <br /> FAX#(209)468•-9324 Project No: PWP110005 <br /> Quad: SE <br /> ENCROACHMENT PERMIT <br /> To: STANISLAUS COUNTY PW <br /> 1716 MORGAN RD. <br /> MODESTO,CA 95358 <br /> Encroachment Type: <br /> [Traffic Control Devices <br /> Location: <br /> HENRY RD AND RIVER RD AT THE COUNTY LINE <br /> In compliance with your request of 06/03/2015,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 pen-nit 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 constructior,permitted herein,Permittee shall fill out and mail notice of <br /> completion(see attached post card)provided by Grantor. <br /> Special Comments: <br /> Traffic Control Per MUTCD****Place CMS',a minimum of 5-days prior to start of work,to inform the travelling public* <br /> FORMS: <br /> Est.Permit Fee: $0.00 <br /> MIKE SELLING,Deputy Director <br /> D partment of Public Works <br /> WHITE -Permittee f <br /> GOLDENROD -PWD Central File '{ <br /> YELLOW -Field Inspection B -- <br /> y� <br /> PINK -Permit Section P emit Section <br />