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o c COUNTY OF SAN JOAQUIN <br /> oG DEPARTMENT OF PUBLIC WORKS <br /> 2 P.O.BOX 1810-1810 HAZELTON AVENUE <br /> � EP No: P-06 123SE <br /> STOCKTON CALIFORNIA 95201 <br /> ' (209)468-3000 Date Issued: 4/14/2006 <br /> .p FAX#(209)468-9324 Expiration Date: 5/01/2006 <br /> ���FORN <br /> Job No: 11005 <br /> ENCROACMdENT PERMIT UE/CR/PM NO: C2oa g 8 S <br /> To: MODESTO IRRIGATION DISTRICT Encroachment Type: NCH <br /> O BOX 4060 Location: S/S ULLREY AVE @ BRENI AN AVE <br /> ODESTO,CA.95352 <br /> In compliance with your request of 03/02/2�con <br /> ,permission is hereby <br /> as shown on attached application and su J�ro e erm �ronsdrestrictions written below <br /> or prnted to do work in County right ro way <br /> on any part of this form. See reverse side and attached sheet,if any. or printed as general or special provisions <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 to <br /> depth of utilities through roadside area in anticipation of future drainage facilities,road profile and/or frontage development. All underground <br /> utility facilities are to be established and accurately dimensioned on sketches from surveyed centerline of road right of way,not from right of way <br /> (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 within the <br /> County right of way. All work performed under this permit shall conform to the rules and regulations pertaining to safety established by the <br /> 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 maintained <br /> 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 construction permitted herein,Permittee shall fill out and mail notice of <br /> completion provided by Grantor. <br /> Special Instructions: LL TRENCHES SHALL BE COMPLETELY BACKFILLED OR SHORED AND PLATED AT THE END OF EACH <br /> ORK DAY.ANY TRENCH IN SHOULDER AREA WITHIN 4'OF EDGE OD PAVEMENT SHALL BE 95%,ALL <br /> THER AREAS SHALL BE 90%.CONTRATOR SHALL PROVIDE"ROAD WORK AHEAD"SIGNS AT <br /> PPROACHES.THE CONTRACTOR SHALL USE SAN JOAQUIN COUNTY STANDARD R-29 WHEN <br /> BACKFILLING TRENCHES WITHIN THE COUNTY RIGHT-OF-WAY. <br /> THOMAS R. FLINN, Director <br /> Est. Permit Fee: $219.90 Department of Public Works <br /> FORMS: SS/WW,R-29 By <br /> WHITE -Permittee <br /> Permit Section <br /> GOLDENROD PWD Central File <br /> YELLOW -Field Inspection <br /> PINK Permit Section PW 27 <br /> Access\Permits\Forms\Encroachment Permit <br /> Revised 07/2000 <br />