Laserfiche WebLink
s <br /> APPLICATION FOR ENCROACHMENT PERMIT <br /> To lhe'Sar Joaquin County <br /> Ilighwuy Department <br /> Gentlemen: <br /> The undersigned hen,�hy applies for permission to excavate, construct and/or otherwise encroach on <br /> County Highway right of way by performing the following work: <br /> Install a ground water monitoring well(s) <br /> (Applicant will describe hero fully what he wishes to do using reverse aide if necessary) <br /> A mobil drilling rig using 1C" hollow stem augers will drill 101° diameter boring(s) to <br /> 65 feat below the surface; 4"'ground water monitoring well(s) will--be conatructed from. a <br /> 0e boringfs). Grout inspection will be performed by San Joaquin County He4Llth _The <br /> drilling will be performed under a drillinq permit obtained from San Joaquin County Health. E. <br /> Prior to drilling underground alert will locate all'underground utilities (3e$Figure 1 and encLcrod <br /> t <br /> Space for sketch Submit detailed plans if available. } <br /> work reaps/permit packet). <br /> a3 ' <br /> i <br /> &F-F- ATrA� � In <br /> `- "rm <br /> A. <br /> v� <br /> S On County Highway County easement south aide of Douglas Road and west of Pacific Avenue <br /> 1 647 5 Pacif iq�vPn„ra. St. o�1ny j;fon a <br /> (Applicant will state here accurately the Iocation of the work he desires to do) • <br /> and agrees to do the wore in accordance• with your rules and regulatie,.sa and subject to your inspection <br /> i, and approval. <br /> Signature o 'Applicant Gorge L. Converse <br /> Western Geo-Engineers <br /> (916) 662-4541 <br /> Phone Number <br /> 1386 E. Beams:: Street <br /> Woodland, CA 95695 <br /> Post Office Ad?ress -- <br /> 4o <br /> -LV <br /> Permit issued: - -- <br /> e PW-24 19/64! <br />