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Apr 21 03 07: 13a Voted Customer 20W68-9324 p. 1 <br /> �jA7633E z-6 <br /> COUNTY OF SAN JOAQUIN --- ba33 X37 <br /> DEPARTMENT OF PUBLIC WORKS <br /> P.O.DOX 18r0.78r0 FIAZEL"CON AVENUE <br /> m j SI'OCKTON CALIFORNIA 95201 EPN." [IEPA96 CC <br /> (209)468-3000 Date Issued: F04,V 9!2003 <br /> F a FAX#(2D9)468-9324 Fxpirazw Date: D ufnoo93 �o � <br /> ENCROACHMENT PERMIT OFcwPMN0: Ct as <br /> Job No: ��-- <br /> Ta: DOUC HEARD/ O <br /> � _ KI.EINPF.LDER �7 Encraflehrueat Type: SO[L DOR ING --- <br /> f2825 E_MYRTLg STREF,(' l Locatjon: Rn1'H SIDti9 Op COUNT$1'C7,UD bL VU.DF. ' <br /> SrrnncKTUN, Cq 995205_-� ORANGE XT AND INTERTWE7;N <br /> STATE ROUTI?S, <br /> OTE: SEE ATTACHED PLANS <br /> In compliance with your request of 04/09/2003 <br /> �1permiaysrm is hereby granted to do work N County right of way as <br /> shown nn attached application and subJt to WIf rhe Yearns,wn�Tions an�reyTietions written below or print«d as general or special provisions on any <br /> pmt of this fomr. Sec me r,side and attached shat,if any_ <br /> Trench excavations for service conncetinns will not be permitted within len tom(10')Of pavement centerline unless otherwise approved by the <br /> I)iratOL Surfimc of trench patches shall match in kind and be smooth and even with that of abutting surface. Special attention shall be given to depth <br /> Of utilities through roadside mea in anticipation of future drainage facilities,road pmfrlc and/or frontage development. All underground utility fw;ilides <br /> arc to be established and accurately dimensioned On sketches from surveyed Hatt«line of road right of way,not flom right of way(border)lines. <br /> The Department of Pubhc Works,Field Inspection Section shall receive a notice at least fnnq.eight houm prior to b.6huling any work within the <br /> Cnnnry right of way. All wok performed under this permit&hall conform to the rules and regulations pertaining to safety established by the California <br /> Division offndusttial Safety and Cal-OSHA. <br /> The jobsite shall be kept in a safe amditioa at a0 timao by the daily remevai of any excess dirt or dcbns which might be a hazard to either pedestrian or <br /> automobile traffic. All necessary tratLc convenience and warning devices and personnel shall be provided,placed and maintained by and at the sole <br /> expense of the Pcmlittce in accordance with the latrst edition of the CALTRANS Manual Of Traffic Control_ <br /> After complcdQll Of the work permitted herein,all debris,lumber,barricades,or any excess material she be removed and theiobaiteleft in a nem <br /> workmanlike manner. Immediately following completion of construction permitted herein,Permittee shill fill out and mail nota of completion <br /> provided by Grantor. <br /> Speelal 711atructions: I. SUBJECT TO HEALTH DEPARTMENT ISSUING WELL DRILLING PERMITS FOR COVERED <br /> WORK 2. NO OTHER WORK IS AUTHORIZED 3. BORE HOLES SHALL BE BACKFMLED WITH 6- <br /> INCH DEEP-LIFE A.C.PATCH ON THLe$AMB DAy <br /> THOMAS R- FLINN,Director <br /> Est,Permit Fee: $575.00 apartment of Public Works <br /> FORMS: <br /> WHITE. •PermiMe Permit Crxtian <br /> OOLUP.NROD -PwDC,,l dpile <br /> YELLOW -field Inspection <br /> PINK .Per>tie Sonion <br /> PW 27 <br /> AaYaaiPer'mitvlFermalErteroorlun0nt Permit <br /> -- Revived D7/200D <br />