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Apr 10 03 02: 18FV&ed Customer 204N68-9324 p. 1 <br /> oo33`fZ� <br /> my <br /> COUNTY OF SAN JOAQUIN <br /> c DEPARTMENT OF PIJIV I( WORKS <br /> �r �� P.U.BOX 1810.1810 IIMMIXON AVENUE EPNV, ER03. 96 CC <br /> m < STOCKTON CALIFORNIA95201 Date lunW: 04/092003 <br /> (209)468-3000 <br /> FAX#(209)468-9324 Exprat°°Date Torr nmT3�l k✓ <br /> F Job No: 1(005 <br /> ENCROACHMENT PERMIT uwcw mNo; CRa� �,rD f9 <br /> To: DOUG HEARD t KLUNFF.LDRR...__ L•ntloschmow Type: SOIL IIORlNG <br /> _SF-MYRTLE8'CRF,ET „.I Uxntion; - BOTH SIDM OF COUNTRY CLUB BLVD.BETW. <br /> ORANGE ST.AND INTERSTATE Rourm.5, <br /> STOCKTON, CA 95205- NOTE: SEE ATTACHED PIANS <br /> In compliance with your requcat of 04/09/2003 rminaiov ta hereby granted to do work In County right of way as <br /> shown on attached application and aublocf oT1a rt6e LUM,con ons an i etions written below or printed as general or special provisions on any <br /> part of this form. Sea reverse side and attached sheet,if any. <br /> Trcnch excavations for service connections will not be permitted within ten feet(1(Y)of pavement centerline unlcas otherwise approved by the <br /> Dimtor. Surface of trench patches ahag 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 arca in anticipation of future drainage facilities,mud profile and/or frontage development. All underground utility facilities <br /> we to 1�esrablishcd and awumlely dimensioned on sketches from surveyed ccaterline of road right of way,not from nght of way(border)lines. <br /> The Department o£publio Works,Field Inspection Scetiou Au&receive a roti z al leawl finly-uiFJn huucn prior W beginning any work within the <br /> County right of way. All work performed under this permit shall conform,to the rotes and regulations pertaining to safety established by the California <br /> Division of Industrial Safety and Cal-OSH#- <br /> Thcjobsito shag be kept in a safe condition at all times by the daily removal of any o=ss dirt or debris which might be a hazard to either pedestrian or <br /> automobile traffic. All necessary traffic convenience and warning devices and personnel&hall be provided,placed and maintained by and at the sole <br /> expense of the Permittee in accordance With the latest edition of the CALTRANS Manual of Traffic Control. <br /> After completion of the work pcvnithd herein,all debris,lumber,barricades;or any excess material shall be removed and thejobsite left in a neat <br /> workmanlike manner. Immediately following completion of construction permitted herein,Permittee shag fill out and mail notice of completion <br /> provided by Grantor. <br /> Special Instructions: 1, SUBJECT TO HEALTH DEPARTMENT ISSUING WELL DRB.LING'PERMITSFOR COVERED <br /> WORK 1 NO OTHER WORK IS AITrHORFLED 3. BORE HOLES SHALL BE BACKFILLED WITH 6- <br /> . . . INCH DEnr-LIFT'AXPARCH ON THE SAME DAY <br /> THOMAS R FLINN,Director <br /> eparment of Public Works <br /> Est.Permit Fee: $575.00 <br /> FORMS: SS ,R-29 By <br /> WHITE -Potmittea Permit Section <br /> GOLDENROD -PWD Cenral File <br /> YELLOW -Field Inspection PW 27 <br /> PINK -Permit Section <br /> AecssalPnmihTonns\Fnaoac=rot Permit Revised 0X2000 <br />