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WP0038951
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0038951
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Last modified
12/26/2018 10:53:22 AM
Creation date
12/26/2018 10:47:49 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0038951
PE
4372
STREET_NUMBER
1975
Direction
E
STREET_NAME
PERRIN
STREET_TYPE
RD
City
MANTECA
Zip
95337-
APN
24109002
ENTERED_DATE
10/30/2018 12:00:00 AM
SITE_LOCATION
1975 E PERRIN RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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State of California Central Valley Flood Protection Board California Natural Resources Agency <br /> ® Access Project: Rehabilitation of Federal <br /> ® Exploration Flood Control Levees-2019 PL84-99 <br /> ® Drilling Site 1151-11 <br /> ® Data Collection APN: 241-090-06 <br /> County: San Joaquin <br /> TEMPORARY ENTRY PERMIT <br /> Permission is given to the Sacramento and San Joaquin Drainage District, acting by and through the Central Valley Flood <br /> Protection Board of the State of California (PERMITTEE), and its officers, employees, agents, and contractors, to enter <br /> with all necessary equipment upon PERMITTOR's land in the county of San Joaquin, State of California, described as that <br /> portion of Assessor's Parcel No. 241-090-06, and marked on Exhibit A and B. PERMITEE requests access in order to <br /> perform Cone Penetrating Tests (CPTs), collect data for the purposes of analyzing factors such as soil composition, and <br /> for such other incidental purposes as may be required, subject to the following provisions: <br /> 1. Reasonable precautions will be exercised to avoid damage and protect persons or property. <br /> 2. PERMITTOR assumes no liability for loss or damage to property or injuries to or deaths of agents, contractors, or <br /> employees of PERMITTEE by reason of the exercise of privileges given under this permit. <br /> 3. Nothing in this permit shall preclude PERMITTOR from filing a claim(s)through the Department of General <br /> Services' Government Claims Program for any loss or expense, which PERMITTOR or its tenant may suffer, <br /> caused by or due to exercise by PERMITTEE of the rights granted by this permit. <br /> 4. PERMITTEE agrees to indemnify and hold PERMITTOR harmless from any damage caused by PERMITTEE's <br /> activities authorized by this permit. PERMITTEE agrees also to either reimburse PERMITTOR for any damage to <br /> PERMITTOR's roads and fences, or other property, occurring by reason of the exercise of rights granted herein, <br /> or to replace or restore said property. <br /> This permit expires on December 31, 2019. <br /> PERMITTOR's Name, Address, and Phone No.: ACCEPTANCE RECOMMENDED: <br /> r <br /> L 6111-5k 14A Wod <br /> Mr.i-e+tyren 4ayweOh for Dutra Farms ► 7 Z� �� <br /> 5496 West Ripon Road Natt,7 Myhre, Right of Way Agent Date <br /> Manteca, California 95337 ► 11 �(,' 1, �4I(,f- -712�1� <br /> Phone No. (209)479-4504 <br /> Olivia Garcia, Senior Right of Way Agent Date <br /> ACCEPTED: <br /> Sacramento and San Joaquin Drainage District, acting <br /> ► by and through the Central Valley Flood Protection <br /> SignatureBoard of the State of California <br /> ? <br /> Date: ` 2, Q / <br /> Linus Paulus, Chief <br /> ► <br /> Signature Acquisition and Appraisal Section <br /> Date: Date: <br /> CONSENT OF TENANT(S) <br /> We, the Tenants of land described in this Temporary Entry Permit are under lease with Lessor, whose name is subscribed <br /> to this contract as PERMITTOR, do hereby consent to the execution of said Temporary Entry Permit, and agree that all <br /> money payable shall be paid to said PERMITTOR as herein set forth. <br /> Date: Date: <br /> DWR 308(b)CVFPB TEP(Rev.03-09) <br />
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