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COUNTY OF SAN JOAQUIN <br /> DEPARTMENT OF PUBLIC WORKS <br /> I, P.O. BOX 1810-1810 E. HAZELTON AVENUE Permit No: PS-0901791 <br /> STOCKTON,CALIFORNIA 95201 Date Issued: 08/13/2009 <br /> (209)468-3000 Exp. Date: 09/01/2009 <br /> FAX#(209)468-9324 Project No: PWP 1 10005 <br /> Quad: NW <br /> ENCROACHMENT PERMIT <br /> To: CARL CRUTCHFIELD CONSTRUCTION <br /> P. O. BOX 8870 <br /> STOCKTON,CA 95208 <br /> Encroachment Type: <br /> Bore(up to 6 inch Dia) Bell Hole <br /> Location: <br /> AUGUSTA ST.:N/S OF AUGUSTA ST.200'W/O CHESTNUT ST. <br /> In compliance with your request of 08/13/2009,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 Orinted as general or special provisions on any part of <br /> this forma See reverse side and attached sheet,if any. <br /> Trench excavations for service connections will not be permitted within ten feet(10'1 of pavement centerline unless otherwise approved by <br /> the Director. Surface of trench patches shalt match in kind and be smooth and even ith that of abutting surface. Special attention shall <br /> be given to depth of utilities through roadside area in anticipation of future drainage facilities,road profile and/or frontage development. <br /> All underground utility facilities are to be established and accurately dimensioned on sketches from surveyed centerline of road right of <br /> way,or from right of way(border) lines. <br /> The Department of Public Works, Field Inspection Section shall receive a notice at least forty-eight hours prior to beginning any work <br /> within the County right of way. All work performed under this permit shall conform!to the rules and regulations pertaining to safety <br /> 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$dition 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 <br /> in a neat workmanlike manner. Immediately following completion of construction permitted herein, Permittee shall fill out and mail notice <br /> of completion provided by Grantor. <br /> Special Comments: <br /> FORMS: SS/W W, R-29 <br /> Est.Permit Fee: $440.00 <br /> THOMAS R. FLINN, Director <br /> Department of Public Works <br /> wvirm -Pennitee <br /> GOLDENROD -PWD Central File `?� <br /> YFILLOW -Field Inspection By(A--,—, <br /> PINK -Permit Section Permit Section <br />