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2900 - Site Mitigation Program
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PR0542421
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Last modified
6/21/2019 12:16:08 PM
Creation date
6/21/2019 10:01:50 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0542421
PE
2950
FACILITY_ID
FA0024377
FACILITY_NAME
COUNTRY CLUB BLVD/295950
STREET_NUMBER
1876
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12319101
CURRENT_STATUS
01
SITE_LOCATION
1876 COUNTRY CLUB BLVD
P_LOCATION
01
QC Status
Approved
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EHD - Public
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i <br /> . <br /> oPau!N• COUNTY OF SAN JOAQUIN <br /> DEPARTMENT OF PUBLIC WORKS <br /> P.O.BOX 1810-1$10 HAZELTON AVENUE EP No: EP-01 I74 CC <br /> STOCKTON CALIFORNIA 95201 Date Issued: 0410912001 <br /> (209)468-3000 <br /> err os� <br /> FAX#(209)468-9324 Expiration Date: 05/1512001 <br /> Job No: 11005 <br /> ENCROACHMENT PERMIT ITR/CRIPMNO: CR 013652 <br /> ' To: WESTERN GEO-ENGINEERS Encroachment Type: INSTALL ONE MONITORING WELL <br /> s 13$6 EAST BEAMER ST. Location: W/S MISSION AVE. 58.5-S/O THE SOUTHWEST <br /> } CORNER OF MISSION AVE. AND COUNTRY CLUI3 <br /> WOODLAND,CA 95776-6003 BLVD_ A <br /> In compliance with your request of 03/20/2001 ,permission is hereby granted to do work in County right of <br /> way as shown on attached application and suBject To e rms,con t ons and restrictions written below or printed as general or special <br /> -r ,s-' sr `..i"� ,'rl+sa AF" -i'iS.aC''{'4-s�`.=-..f 4 .i 3i��'"'< -ay.•s n a d�{x 7;C'€" <br /> provisions on any part of this farm. See reverse side and attached sheet,if any. <br /> Trench excavations for service connections will not'be permitted within ten feet(IM 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 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 /> '""'vworlc within <br /> The Department of Public Works,Field Inspection Sectionshallreceive a notice at least forty eight hours prior to beginningany <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 night be a hazard to either <br /> pedestrian qr automobile trathc. 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 CAI.TRANS Manual ofTraffic Control. <br /> After completion of the work permitted herein,all debris,lumber,barricades,or any excess material shall be removed and the jobsite lett in a <br /> neat workinanlikc manner. Immediately following completion of construction permitted hereinY <br /> Special In <br /> MANUEL LOPEZ,Director <br /> Department of Public Works <br /> Est. Permit Fee: $113:00 <br /> FORMS: jSSfWW By <br /> WHITE -Permittee Permit Section <br /> GOLDENROD -PWD Central File <br /> YELLOW -Field Inspection PW 27 <br /> PINK -Permit Section <br /> Revised 0712000 <br /> AcoessTermits\FormslEneroachmart Permit <br /> f n <br />
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