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r ,f COUNTY OF SAN JOAQUIN <br /> 4'' 1 DEPARTMENT OF PUBLIC WORKS <br /> P.O. BOX 1810-1810 E. HAZELTON AVENUE Permit No: PS-0902375 <br /> STOCKTON,CALIFORNIA 95201 Date Issued: 10/26/2009 <br /> (209)468-3000 Exp. Date: 11/21/2009 <br /> — FAX#(209)468-9324 Project No: PWPT 10005 <br /> Quad: LV <br /> ENCROACHMENT PERMIT <br /> To: LINCOLN BAND BOOS'T'ERS <br /> 6844 ALEXANDRIA PLACE; <br /> STOCKTON, CA 95207 <br /> Encroachment Type: <br /> TEMP. ROAD CLOSURE <br /> i <br /> Location: <br /> BEN HOLT DR. BETWEEN PERSHING AVE.& HARRISBURG PL. ON NOV. 21.2009 FROM 8:30 A.M. TO 2:30 P.M. <br /> In compliance with your request of 10/26/2009,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 printed as general or special provisions on any part of <br /> this 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 <br /> the Director. Surface of trench patches shall match in kind and be smooth and even with 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 edition of the CALTRANS Manual of Traffic Control. <br /> After completion of the work pennitted 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 /> ;Traffic Control per MUTCD-Temporary Road Closure on Nov.21,2009 from 8:30 A.M.to 2:30 P.M. on Benjamin Holt Dr.between <br /> Pershing Ave, and Harrisburg Place <br /> i <br /> FORMS: �— <br /> Est. Permit Fee: $150.00 <br /> THOMAS R. FLINN. Director <br /> Department of Public Works <br /> WI II'IT -Pennitee <br /> GOLDI-NROD -PWD Central Pile <br /> YELLOW -Field Inspection Bv: <br /> PINK -Pernia Section P It Section <br />