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COUNTY OF SAN JOAQUIN <br /> DEPARTMENT OF PUBLIC WORKS <br /> < P,O.BOX 1810.1810IIAZELTONAVENUE <br /> STOCKTON CALIFORNIA 95201 EP No. ;6-06 T <br /> _- <br /> p (209)468-3000 Date Issued: -- - ----' <br /> FAX#(209)468-9324 bznl/2006 _ --- <br /> Expiration Date 63/01/2006 — --- <br /> ENCROACHMENT PERMT <br /> ,ab No .1;005_ <br /> To: NES TRAFFIC SAFETY - ----- ----- `"•uT UE/CR/PM NO: - <br /> _ Encroachment T — <br /> —-- <br /> P.O BOX 19533 <br /> _ _ Type: `TEMPORARY ___ _ <br /> _ _ ROAD CLOSURE ---- ---- <br /> __ - Location: —i- _ <br /> �2ENO NV <br /> 89511 INTERSECTION OF U.P.R.R.&E.FOREST LAKE RD <br /> — --- <br /> In <br /> - --- <br /> i <br /> as shownOnattached application and - - <br /> Compliance Your request of ---— <br /> 02/]6/2006 <br /> PP su�iJ'e�fo a�tfie leans condi ton and restrictions Permission <br /> ii written or on any parr,of this form. See reverse sick and attached sheet,if any. hereby granted to do work in County right of way <br /> printed as general or special provisions <br /> Trench excavations for service <br /> Director. Surface of connections will not be permitted within ten feet(10')of pavement centerline <br /> trench etches shall match in kind and be smooth and even with that of abutting surfer <br /> depth of utilities through roadside area in anticipation of future drainage facilities,road profile and/or frontage unless otherwise approved by the <br /> Utility facilities are to be established and accurately dimensioned on sketches from surveyed centerline ofroad <br /> g e. Special attention shall be given to <br /> (border)lines, lege development. A <br /> right of way, All underground <br /> not from right of way <br /> The Department of Public Works,Field Inspection Section shall receive a notice at feast forty-eight <br /> g any work <br /> County right of way, All work performed under this permit shall conform to the rules and regulations e <br /> California Division of Industrial Safe ulatio hours prior to safer in <br /> Safety and Cal-OSHA, Pertaining to safety stab shed by thewithin the <br /> The jobsite shall be kept in a safe condition at all times by the daily removal of any excess dirt or debris which <br /> pedestrian or automobile traffic. All necessary traffic convenience and w <br /> by and at the sole expense of the Permittee in accordance with the latest edition of the CALTRANS Manu tch might be a hazard n either <br /> siring devices and personnel shall be provided,placed and maintained <br /> After completion of the work al of Traffic Control. <br /> neat workmanlike manner. immediately horllowinall <br /> g empl tion of construction permitted herein <br /> lumber,barricades,or anexcess material shall be removed and the jobsite left in a <br /> completion provided by Grantor. <br /> >Permittee shall fill out and mail notice of <br /> Special Instructions: SAN JOAQuIN _ <br /> TY SHALL NOT BE HELD LIABLE FOR ANY OCC _ <br /> DETOUR ROUTE AS PROVIDED BY NES TRAFFIC SAFETY. <br /> URRENCE ALONG THE PRIVATE ROAD i <br /> ---- <br /> Est. Permit Fee: _- _ THOMAS R. FLINN, Director <br /> 50.00 - <br /> FORMS: Department of public Works <br /> SS/WW, R-29 <br /> _- ---- � BY <br /> WHITE -Permittee -- - <br /> GOLDENROD PWD Central File Permit Section _- <br /> YELLOW Field Inspection <br /> PINK Permit Section <br /> ss\PerPW 27 <br /> Acre----mitslFormslEncroachment Permit <br /> -_____ Revised 07/2000 <br />