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=�P 9.!N 11�j (� • E.P. No. 92-167-SW <br /> '� c'` V �11�1�C9J.NTY OF SAN JOAQUIN <br /> r.' 3 <br /> 5-21-92 <br /> MAY 2 6 199LbEPARTMENT OF PUBLIC WORKS (Date Issued) <br /> P.O.BOX 1010. 1810 E NAZELTON AVENUE <br /> •' • STOCKfON,CAUFORNIA95201 11-21-92 <br /> c'9 c1Fo"a�'�P ENVIRONMENTAL HEALTH 12091488-0000 <br /> PERMIT/SES OWCROACHMENT PERMIT (Expiration Date) <br /> HENRY M. HIRATA 11005 <br /> OffCTO� <br /> (Job NO.) <br /> To: RESNA Encroachment type: Borings <br /> 3164 Gold Camp Dr.. .. .. <br /> Suite 200 Location: w/s Patterson Pass Rd. 150' <br /> Rancho Cordova, CA 95670 s/o State Rte. 580 <br /> In compliance with your request of 5-21 , 1992 , permission is hereby <br /> granted to do work in County right of way as shown on attached application and subject to <br /> all the terms, conditions and restrictions written below or printed as general or special <br /> provisions on any part of this form. See reverse side and attached sheet, if any. <br /> Trench excavations for service connections will not be permitted within ten feet (10' ) <br /> of pavement centerline unless otherwise approved by the Director. Surface of trench patches <br /> shall match in kind and be smooth and even with that of abutting surface. Special attention <br /> shall be given to depth of utilities through roadside area in anticipation of future drain- <br /> age facilities, road profile _and/or frontage development. All underground utility facili- <br /> ties are to be established and accurately dimensioned on sketches from surveyed centerline <br /> of road right of way, not from right of way (border) lines. <br /> The Department of Public Works; Field Inspection-Section shall receive a notice at <br /> least forty-eight (48) hours prior to beginning any work within the County right of way. <br /> All work performed under this permit shall conform. to the rules and regulations -pertain- <br /> ing to safety established by the 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 <br /> any excess dirt or debris which might be a hazard to either pedestrian or automobile <br /> traffic. All necessary traffic convenience and warning devices and personnel shall be <br /> provided, placed and maintained by and at the sole expense of the Permittee .in accordance <br /> with the latest edition of the CALTRANS Manual of Traffic Control. <br /> After completion of the work permitted herein, all debris, lumber, barricades, or any <br /> excess material shall be removed and the jobsite left in a neat workmanlike manner. <br /> Immediately following completion of construction permitted herein, Permittee shall fill <br /> out and mail notice of completion provided by Grantor. <br /> NOTE: Approved under following conditions: <br /> 1. Traffic Control during drilling operation as per Caltrans or W.A.T.C.H. manual. <br /> 2. Well heads when completed will not interfere with traffic. All lids and covers <br /> shall be traffic load rated. <br /> 3. 'Environmental Health permit is required for drilling. <br /> 4. Destruction of this structure will be under permits by S. J. County Public Works ar <br /> Est. Permit Fee: $ grJ.00 Environmental Health when no longer needed. <br /> ,� �_� HENRY M. HIRATA, Director <br /> FORMS: -Department of Public Works <br /> WHITE - Permittee By <br /> GOLDENROD - PWD Central File Pea it Se 'o <br /> YELLOW - Field Inspection <br /> PINK - Permit Section PW 27 <br />