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( ' - UNTY C F SAN JOAQUIN �O <br /> �o, c ECLI� `, DEPARTMENT � Z. <br /> PUBLIC WORKS <br /> 2 a2 q P.O.BOX 1810-1810 HAZELTON AVENUE EI'No: [EP=01 196 CC <br /> N < 2 H 1 STOCKTON CALIFORNIA 95201 -- <br /> i- AUG 2 (209)468-3000 Dale Issued: 08/02/2001 <br /> •'' Expiration Date: (09/01/200] <br /> ENVIRONMENT °HEAL111 FAX#(209)468-9324 _ <br /> oR PERMIT/SE•RVICES Job No: 11005 <br /> ENCROACHMENT PERMIT UE/CR/PM NO: ^- J <br /> To: GETTLER-RYAN INC. Encroachment Type: INSTALL ONL"MONITORING WELL <br /> 6747 SIERRA COURT,SUITE J Location: S/S OF COUNTRY CLUB BLVD.90 FEET W/O PERSHING <br /> DUBLIN, CA 94568 AVE. <br /> h,compliance with your request of 7/11/01 permission is hereby granted to do work in County right of <br /> way as shown on attached application and sut)jcct to all tli`c­Fc_r­rn__s7_,co�hons and restrictions written below or printed as general or special <br /> provisions on any part of this form. See reverse side and attached sheet,irany. <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 oftrench 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 are to be established and accurately dimensioned on sketches from surveyed centerline of road right of way,not . <br /> 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 ofway. All work performed under this permit shall conform to the rules and regulations pertaining to safety established by V <br /> the California Divis�pn oflndustrial 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,.P.ermittee:sliall fill outand,mail notice of'.' <br /> comptetiowPro <br /> vided by Grantor r <br /> Special Instructions: <br /> � I <br /> MANUEL LOPEZ, Director <br /> Department of Public Works <br /> Est.Permit Fee: $128.00 ' <br /> FORMS: iSS/WW By QL1\p <br /> WHITE .t Permittee Permit Section <br /> GOLDEIUROD -PWD Central File <br /> YELLOW -Field Inspection <br /> PW 27 <br /> PINK -Pennit Section <br /> Access\I'emmits\FOrIDs\Ellcroacbnlent Pennit Revised 07/2000 <br /> I <br /> i <br />