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COUNTY OF SAN JOAQUIN <br />DEPARTMENT OF PUBLIC WORKS Permit No:PS-1501504 <br />P.O.BOX 1810-1810 E.HAZELTON AVENUE Date Issued: 06/05/2015 <br />K <br />f STOCKTON,CALIFORNIA 95201 Start Date: 06/08/2015 <br />p... 209)468-3000 Exp.Date: 08/01/2015LIF4t <br />FAX#(209)468-9324 Project No: PWP730052 <br />Quad: SE <br />UE/CR/PM NO:PM:31103050 <br />ENCROACHMENT PERMIT <br />To: PACIFIC GAS&ELECTRIC-FRESNO <br />P.O.BOX 3031 <br />FRESNO,CA 93720 <br />Encroachment Type: <br />POLE REPLACEMENT Bore(over 12 inch Dia) <br />Location: <br />N/S OF CARTER RD.0.5 MILES E/O ESCALON BELLOTA RD.AND AT THE W/S OF THE INTERSECTION OF ESCALON <br />BELLOTA RD.AND GAWNE RD. <br />In compliance with your request of06/05/2015,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 ofthis <br />form. See reverse side and attached sheet,if any. <br />Trench excavations for service connections will not be permitted within ten feet(10')ofpavement centerline unless otherwise approved by the <br />Director. Surface oftrench patches shall match in kind and be smooth and even with that of abutting surface. Special attention shall be given <br />to depth ofutilities through roadside area in anticipation of future drainage facilities,road profile and/or frontage development. All <br />underground utility facilities are to be established and accurately dimensioned on sketches from surveyed centerline ofroad right ofway,or <br />from right ofway(border)lines. <br />Permittee shall call the Department of Public Works,Field Engineering Division(Permit Inspections)at(209)953-7421 at least <br />forty-eight hours prior to beginning any work within the County right ofway. All work performed under this permit shall conform to <br />the rules and regulations pertaining to safety established by the California Division ofIndustrial 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 ofthe 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 ofconstruction permitted herein,Permittee shall fill out and mail notice of <br />completion(see attached post card)provided by Grantor. <br />Special Comments: <br />Traffic Control Per MUTCD <br />FORMS: I SS/WW,R-29 <br />Est.Permit Fee: $1,861.00 <br />MIKE SELLING,Deputy Director <br />Department of Public Works <br />WHITE Permittee <br />GOLDENROD PWD Central File <br />YELLOW Field Inspection <br />PINK Permit Section Permit Section