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-TATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION <br />ENCROACHMENT PERMIT Perma No �1 <br />TR -0120 (REV 2198) 1000-6UL-0376 <br />• In compliance with (Check one) <br />Your application of MAY 10, 2000 <br />® <br />❑ <br />Utility Notice No <br />❑ <br />Agreement No <br />❑ <br />RNV Contract No <br />of <br />of <br />of <br />DisVCotRte/PM `�1 <br />0-5J-12-17 03 !f " <br />MAY 19, 2000 <br />FPerformance <br />d Deposit <br />$350 <br />Bond Amount (1) Payment Bond Amount (2) <br />Bond Company <br />Bond Number (1) I Bond Number (2) <br />TO <br />GETLER - RYAN INC <br />3164 GOLD CAMP DRIVE # 240 <br />RANCHO CORDOVA, CA 95670 <br />ATTN STEPHEN CARTER <br />TEL (916) 631-1300 J <br />1 — , PERMITTEE <br />and subject to the following, PERMISSION IS HEREBY GRANTED to <br />Trench to Install groundwater extraction line to tie Into the City's Industrial waste line at a manhole at the Intersection of <br />State Highway 12 and S Pleasant Avenue in the City of Lodi It was understood that permittee will abandon line after <br />. the water treatment Is done Abandonment shall be done in accordance with the Department of Water Resources <br />standards <br />In accordance with General Provision No 6, TWO WORKING DAYS PRIOR to the start of this work, permittee shall <br />notify the State representative MARCEL DE LA CRUZ, P 0 Box 2048 Stockton, CA 95201, (209) 948-3656 All work <br />under this permit must meet with the approval of the State representative <br />Failure on the permlttee's part to comply with any provision will be cause for revocation of this permit <br />IMMEDIATELY FOLLOWING COMPLETION OF WORK PERMITTED HEREIN, PERMITTEE SHALL FILL OUT AND MAIL NOTICE OF <br />The following <br />attachments are also included as part of this permit <br />(Check applicable) <br />® <br />® Yes <br />❑ <br />No <br />General Provisions <br />❑ Yes® <br />Yes <br />NO <br />Utility Maintenance Provisions <br />® Yes <br />❑ <br />NO <br />Special Provisions T, 182 <br />❑ Yes <br />® <br />No <br />A Cal OSHA permit required prior to beginning work <br />In addition to fee the permittee will. oe oases <br />t I costs for <br />ac ua <br />® <br />Yes <br />❑ <br />No <br />Review <br />® <br />Yes <br />❑ <br />No <br />Inspection <br />® <br />Yes <br />❑ <br />No <br />Field Work <br />(!f any Caltrans effort expended) <br />❑ Yes ® No The information in the environmental documentation has been reviewed and is considered prior to approvai or rnis <br />ermit - <br />This permit is void unless the works complete before NOVEMBER 30, 2000 <br />This permit is to be strictly construed and no other work other than specifically mentioned Is hereby authorized <br />No project work shall be commenced until all other necessary permits and environmental clearances have been obtained <br />1 Permittee APPROVED <br />1 File <br />3 - M DE IA CRUZ <br />MARK LEJA, District Director <br />BY � Uf <br />Pete 'FRANKLIN L WEISHAAR, JR, District Permit En sneer <br />FM 91 1436 <br />