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COUNTY OF SAN JOAQUIN <br /> j DEPARTMENT OR PUBLIC WORKS <br /> t0 P O BOX 1810-1810 HAZELTON AVENUE EP No EP-01 77 CC <br /> STOCK rON CALIFORNIA 95201 <br /> • Coc <br /> {tl F d�� (209)468-3000 Date Issued 04/0912001 <br /> FAX#(209)468-9324 '� �Date s/lsrzool <br /> Job No 11005 <br /> ENCROACHMENT PERMIT UR/CR/PM NO CR 013652 <br /> To WESTERN GEO-ENGINEERS Encroachiiient Type INSTALL ONE IONITORING WELL <br /> 1386 EAST BEAMER ST Location. W/S MISSION AVE 8 5'SIO THE SOUTHWEST CORNER <br /> WOODLAND,CA_ 95776003 <br /> OF MISSION AVE.AND COUNTRY CLUB BLVD <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 su pec o a e erms,conditions 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 Lind 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 wad not <br /> from right of way(border)hnes <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 <br /> the California Division of Industrial Safety and Cal-OSHA f, <br /> The lobsite shall be kept in a safe condition at all times by the daily removal of any excess dirt or debris which miAt 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 to 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,P9Rffifi8W'WWrfill'dWand marl notice of <br /> _QQwp1at�pm%adcddsy Grantor— <br /> Special Instructions: <br /> MANUEL LOPEZ, Dtrector <br /> Est Permit Fee $113 00 Department of Public Works <br /> FORMS SS/WW By <br /> WIffTE `PCiID1nOe Permit Secuon <br /> GOLDENROD -PWD Central File <br /> YELLOW -Field Inspection <br /> PW 27 <br /> PINK -Pemut Section <br /> • 'o°esslPermrt4lFormslEncioacJmten2 Pana Revised 07/2000 <br />