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i <br /> (a'U tly <br /> COUNTY OF SAN JOAQUIN M • 10 <br /> DEPARTMENT OF PUBLIC WORKS <br /> 2; :2 P.O.BOX 1810-1810 HAZELTON AVENUE EI'No: l P-01 198 CC <br /> STOCKTON CALIFORNIA95201 <br /> .® �. Date Issued: IOR/02/2001 <br /> (209)468-3000 <br /> Expiration Date: f09/OI/2001 <br /> r� FAX#(209)4687P324 <br /> j a`F_oR lob No: 11005 -� <br /> AUG 2 ENCROACHMENT PERMIT UE/CR/PM NO: -� <br /> 1 i Encroachment Type: INSTALL,ONE MONITORING WELL <br /> To: GET"I'I�L� A�1N�PN'C �+ yP <br /> 6747 SIER - O T,SUITE J Location: N/S OF ELMWOOD AVE.210 FEET W/O PERSHING AVE. <br /> DUBLIN, CA 94568 <br /> do work in Count),right of <br /> In compliance with your request of 7/11/01 ,permission is hereby grantedt� t} � <br /> way as shown oil attached application and subject o all c terms,con t ions 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')of pavement centerline unless otherwise approved by the <br /> Director. Surface of trench patches shall match in kind and be smooth and even with that of abutting surface. Special attention shall be given <br /> to depth of utilities through roadside area in anticipation of future drainage facilities,road profile and/or frontage development. All <br /> underground utility facilities arc to be established and accurately dimensioned on sketches from surveyed centerline of road right of way,not . <br /> 1 from right of way(border)lines. <br /> The Department of Public Works,Field Inspection Section shall receive a notice at least forty-eight hours prior to beginning any work within <br /> the County right of way. All work performed under this permit shall conform to the rules and regulations pertaining to safety established by <br /> 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 any excess dirt or debris which might be a hazard to either <br /> pedestrian or automobile traffic. All necessary traffic convenience and warning devices and personnel shall be provided,placed and <br /> maintained by and at the sole expense of the Permittee in accordance 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 excess material shall be removed and the jobsite left in a <br /> neat workmanlike manner. Immediately following completion of construction permitted herein,Perinittee',shall fill out�and mail.notice of <br /> ;completion provided by Grantor:- <br /> Special Instructions: <br /> I <br /> I <br /> MANUE:L LOP:EZ, Director <br /> Department of Public Works <br /> Est.Permit Fee: $I28.00 <br /> FORMS: SS/WW By 0AtQ� <br /> WHITE Pennittec �� ... <br /> Permit Section <br /> GOLDENROD PWD Central File `Y„ • "�-'' --t ,.- <br /> YELLOW Field Inspection PW 27 <br /> PINK Pennit Section <br /> Access\Pennits\Fonl.\Euaoaclmient Permit Revised 07/2000 <br /> I <br /> r <br />