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STATE OF CALIFORNIA• DEPARTMENT ''RANSPORTATION <br /> ENCROACHMENT PERMIT <br /> TR-0120(REV.2/98) FP3er�_iINo10 -6S V-0976 <br /> Dist/Co/Rte/PM <br /> In compliance with (Check one): 10-SJ-4-PM 17.0 (KP27.36) <br /> ® Your application of NOVEMBER 11, 1999 <br /> Date <br /> ❑ Utility Notice No. of April 17,2000 <br /> Fee Paid Deposit <br /> ❑ Agreement No. Of $ $210 <br /> Performance Bond Amount(1) Payment Bond Amount(2) <br /> ❑ RNV Contract No. Of $ $ <br /> Bond Company <br /> Bond Number(1) Bond Number(2) <br /> TO: <br /> MICHAEL & SHARON OLIVAREZ <br /> C/O FOOTHILL ENGINEERING <br /> 12793 PADDY CREEK LANE <br /> LODI, CA 95240-9326 <br /> ATTN: Mr. RIFENBURG <br /> TEL : (209) 368-9381 <br /> I I <br /> PERMITTEE <br /> and subject to the following,PERMISSION IS HEREBY GRANTED to: ,1 <br /> Sample soil at the Northeast corner of California Street and Lafayette Street �CPToring 2 ch 2"diameter holes to 80'(24.3m)deep and seal <br /> holes with grout backfill. 44LJ CO <br /> GPT 3 <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 GORDON WATKINS, 2208 N. Hayston Avenue, Fresno, California 93703, (559)488- <br /> 7323. All work under this permit must meet with the approval of the State representative. <br /> This permit is not valid until permittee has obtained permission from adjacent property owners, Irrigation Districts, Cities, <br /> Counties or other interested parties to perform the proposed work. <br /> Permittee's attention is directed to Section 6, "CONTROL OF MATERIALS", of the State Standard Specifications. <br /> Reference to Engineer in the State Standard Specifications shall include State Representative. <br /> Excavated material shall be immediately removed from the site and backfilling operations shall begin as the installations <br /> The following attachments are also included as part of this permit In addition to fee,the permittee will be billed <br /> (Check applicable): actual costs for: <br /> ® Yes ❑ No General Provisions <br /> Yes No Utility Maintenance Provisions ® Yes No Review <br /> ® Yes ❑ No Inspection <br /> ® Yes No Special Provisions T ® Yes No Field Work <br /> Yes No A Cal-OSHA permit required prior to beginning work; <br /> # (If any Caltrans effort expended) <br /> Yes ® No The information in the environmental documentation has been reviewed and is considered prior to approval of this <br /> _ permit. <br /> This permit is void unless the work is complete before OCTOBER 31,2000 <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 LA CRUZ <br /> MAR LEJA, Distric i r <br /> BY: <br /> JO �. F NKLIN L. WEISHAAR, JR., District Permit Engineer <br /> FM 91 1436 <br /> wvim+w�a�i <br />