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DEPARTMENT OF PUBLIC WORKS <br /> r- <br /> { "*.0.BOX 1810-1810 E.HAZELTON AVENUBa/ Permit No:PS-1301153 <br /> :` .•'` STOCKTON,CALIFORNIA 95201 Date Issued 04262013 <br /> .. / (209)468-3000 Exp. Date: 06/012013 <br /> FAX#(209)468-9324 Project No: PWPI 10005 <br /> Quad: SW <br /> ENCROACHMENT PERMIT <br /> To: DIETZ ENGINEERING&CONSTRUCTION <br /> 3323 S.KOSTER RD. <br /> TRACY,CA 93304 <br /> Encroachment Type* <br /> Bores <br /> Location: <br /> NIS OF I ITH ST. 100'E/O CHRISMAN RD. <br /> In compliance with your request of 04/262013,permission is hereby granted to do work in County right-of-way as shown on attached <br /> application and subject to all the terms,conditions and restrictions written below or printed as general or special provisions on any part of this <br /> 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 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 he established and accurately dimensioned on sketches from surveyed centerline of road right of way,or <br /> from right of way(border)lines. <br /> Permittee shall call the Department of Public Works,Field Engineering Division(Permit Inspections)at(209)953-7421 at least <br /> forty-eight hours prior to beginning any work within the County right of way. All work performed under this permit shall conform to <br /> the rules and regulations pertaining to safety established by 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 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,Permittee shall fill out and mail notice of <br /> completion(see attached post card)provided by Grantor. <br /> Special Comments: <br /> r1consist <br /> ffic Control Per MUTCD***For Median Staging,ensure left turn pocket is not completely blocked***Backfill shall <br /> of a minimum of 12-inches thick AC section on Eleventh SL***Work Hours are restricted to off-peak hours:9:00 <br /> to 2:30 pm*** <br /> not block driveways*** <br /> FORMS: ISSAVW,R-29 <br /> Est.Permit Fee: $800.00 <br /> THOMAS M.GAU,Director <br /> Dep trlent of Pttblic Works <br /> WHITE -Penrice <br /> GOLDENROD -PWD Ccnttal File <br /> YELLOW -Field Inspection By: <br /> PINK Permit Section a $eC[lon <br />