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COUNTY OF SAN JOAQUIN DEPARTMENT OF PUBLIC WORKS x P O BOX 1810-1810 HAZELTON AVENUE EP No EP-0l 7g i STOCKTON CALIFORNIA 95201 (209)468-3000 Date Issued 04/09120o 1 FAX# (209)468-9324 EKpuau«t Dam os/tsr-col Job No 11005 ENCROACHMENT PERMIT UR/CR/PMNo CR013 To WESTERN GEO-ENGINEERS FriCroachment Type TNST 4i.L ONE MOATTTORD;G WELL 1386 EAST BEAMER ST Location W/S MISSION AVE 11 5'SIO THE SOUTHWEST CORNER OF MISSION AVE AND COUNTRY CLUB WOODLAND,CA. 95776-663 BLVD In compliance with your request of 03/20/2001 ,permission is hereby granted to do cork in CountN right of way as shown on attached application ani s�Tto a e erms,con i ins and restrictions written below or printed as general or special provisions on any part of this form See reverse side and attached sheet,if any Trench excavations for service connections will not be permitted within ten feet(10)of pavement centerline unless otherwise approved by the Director Surface of trench patches shall match in kind and be smooth and even with that of abutting surface Special attention shall be given to depth of utilities through roadside area in anticipation of future drainage facilities,road profile and/or frontage development All underground utility facilities are to be established and accurately dimensioned on sketches from surve}ed centerline of road right of Amy,not from right of way(border)lines The Department of Public Works,Field Inspection Section shall receive a notice at least forty-eight hours prior to beginning any work within the County right of way All work performed under this permit shall conform to the rules and regulations pertairung to safety established by the California Division of Industrial Safety and Cal-OSHA 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 pedes'lnan or automobile traffic All necessary traffic convemenee and warning devices and personnel shall be provided,placed and maintained by and at the sole expense of the Permittee in acro£dance vvith the latest edition of the CAI.TRANS Manual of Traffic Control After completion of the work permitted herein,all debris,lumber,barricades,or anyexcess material shall be removed and the lobsite left in a neat workmanlike manner Immediately following completion of construction pernutted herein,EernattWq,sllall„fi!l out and mail noUc"f_ -0 coompletr'�tf�s�rde�d�b'�Ci�rrt� - J Special Instructions: MANUEL LOPEZ, Director Department of Public Works Est Permit Fee $113 00 FORMS SS/WW By Wl IrTE -Put=s Permit Section GOLDENROD -PWD Central File LL YELLOW -Field Inspection PW 27 PINK -Pamut Section AocessTemvtslFormsTncroachmerA Permit Revised 07/2000