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COUNTY OF SAN JOAQUIN <br /> DEPARTMENT OF PUBLIC WORKS <br /> 1 P.O. BOX 1810-1810 E. HAZELTON AVENUE Permit No: PS-1000034 <br /> 'i STOCKTON,CALIFORNIA 95201 Date Issued:09/14/2010 <br /> (209)468-3000 Exp. Date: 1 i/01/2010 <br /> FAX#(209)468-9324 Project No: PWP 1 10005 <br /> Quad: SE <br /> ENCROACHMENT PERMIT <br /> To: MOZINGO CONSTRUCTION,INC. <br /> 751 WAKEFIELD CT. <br /> OAKDALE,CA 9536 <br /> Encroachment Type: — <br /> r <br /> Trenching i — <br /> Location: <br /> ESCALON BELLOTA RD., 1 ST ST.,2ND ST.,AND ELM ST. IN THE TOWN OF FARMINGTON <br /> In compliance with your request of 01/08/2010,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 /> Permittee shall call the Department of Public Works,Field Engineering Division at(209)953-7421 (Permits Inspections)at least <br /> forty-eight hours prior to beginning any work within the County right of way. All work performed under this permit shall conform to the <br /> 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, 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(see attached post card',)provided by Grantor. <br /> Special Comments: — <br /> Traffic Control Per MUTCD See attached"Special <br /> FORMS: SSS R-29 _ <br /> Est. Permit Fee: 521,500.00 <br /> THOMAS R. FL.,INN, Director <br /> De�rtment of Public Works <br /> WHITE -Per �� <br /> GOLDENROD -PWD Central File <br /> YELLOW -Field Inspection <br /> PINK Permit Section '� Pe it Sec_ion <br /> i' <br /> l <br /> t <br />