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COUNTY OF SAN JOAQUIN <br />DEPARTMENT OF PUBLIC WORKS Permit No: PS-1501726 <br />P.O.BOX 1810-:.810 E. HAZELTON AVENUE Date Issued: 08/14/2015 <br />STOCKTON,CALIFORNIA 95201 Start Date: 08/17/2015 <br />209)468-3000 Exp. Date: 11/01/2015 <br />FAX#(209)468-9324 Project No: PWP 110005 <br />Quad: SW <br />ENCROACHMENT PERMIT <br />To: TED BRANDVOLD <br />616 14TH STREET <br />MODESTO,CA 95354 <br />Encroachment Type: <br />Driveway Approach, Striping,Center Median Realignment,Etc. <br />Location: <br />SCHULTE RD.W/O MOUNTAIN HOUSE PKWY. <br />In compliance with your request of 06/24/2015 ,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 of this <br />form. See reverse side and attached sheet, ifany. <br />Trench excavations for service connections will not be pennitted 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 througb 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 of way. All work performed under this pen-nit shall conform to <br />the rules and regulations pertaining to safety established bythe 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 ofthe Permittee in accordance with the latest edition ofthe CALTRANS Manual of Traffic Control. <br />After completion ofthe work permitted herein,all debris, lumber,barricades,or any excess material shall be removed and the jobsite left in a <br />neat workmanlike manner. hnmediately 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****See attached"Special Conditions"**** <br />FORMS: SS/WW <br />Est.Permit Fee: $744.00 <br />MIKE SELLING, Deputy Director <br />De artment of Public Works <br />WHITE Permittee <br />GOLDENROD PWD Central File <br />YELLOW Field Inspection BY <br />PINK Permit Section Pe' it section