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COUNTY OF SAN JOAQUIN <br /> DEPARTMENT OF PUBLIC WORKS Permit No:PS-1503113 <br /> P.O.BOX 1810-1810 E. HAZELTON AVENUE Date Issued: 10/30/2015 <br /> STOCKTON,CALIFORNIA 95201 Start Date: 11/21/2015 <br /> mai i�Ys`r '209)468-3000 Exp. Date: 11/21/2015 <br /> FAX#(209)468-•9324 Project No: PWP110005 <br /> Quad: LV <br /> ENCROAC'HMEN'T PERMIT <br /> To: LINCOLN MUSIC BOOSTERS <br /> 6844 ALEXANDRIA PLACE <br /> STOCKTON,CA 95207 <br /> Encroachment Type: <br /> TEMP. ROAD CLOSURE Z <br /> Location: <br /> BEN HOLT DR. BETWEEN LEESBURG PLACE&HARRISBURG PL.ON NOV.21,2015 FROM 8:30 A.M.TO 2:30 P.M. <br /> In compliance with your request of 10/23/2015,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 ofthis <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 ofway. 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,lumbe-,barricades,or any excess material shall be removed and the jobsite left in a <br /> neat workmanlike manner. Immediately following completion o_-construction 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-Temporary Road Closure on Nov.21,2015 from 8:30 A.M.to 2:30 P.M.on Benjamin Holt Dr. <br /> between Leesburg Place and Harrisburg Place <br /> FORMS: <br /> Est. Permit Fee: $315.00 <br /> KRIS BALAJI, Director <br /> De artment Of Public Works <br /> WHITE -Pennittee <br /> GOLDENROD -PWD Central File <br /> YELLOW -Field Inspection B <br /> y'- <br /> PINK -Permit Section <br /> Per It See <br />