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CITY OF RIPON-ENGINEERING DEPARTMENT NO. 3350 <br /> 259 North Wilma Avenue,Ripon,CA 95366 <br /> 209/599-2108—Fax: 2091599-2685 <br /> ENCROACHMENT PERMIT <br /> Applicant's Name: Date Submitted: August 19, 2010 <br /> Nestle USA, Inc. 800 North Brand Boulevard Fugro Consultants, Inc. (CPT Driller) <br /> Glendale, California 91203 Contractor: 13049 E Florence Avenue, Santa Fe Springs, CA <br /> Consultant: Environmental Cost Management, Inc. <br /> Address: Phone: Fugro phone: 562-903-0055 <br /> 3525 Hyland Avenue, Suite 200 <br /> Costa Mesa, CA 92626 Contact Name: ECM: Binayak Acharya <br /> Phone: ECM Contact: (661)255-1693 License Number: C-57 License: 909719 <br /> Pursuant to Chapter 12.12 of the City of RipiTYMunicipal Code and all the terms, conditions,and restrictions <br /> written below or printed as general or special provisions on any part of this form,and/or attached hereto. <br /> PLEASE READ THIS PERMIT CARE,TULLY AND KEEP IT AT THE WORK SITE. <br /> DESCRIPTION OF PROJECT: 1.Provide afull description ofwork to be done at all locations. <br /> PERMISSIONISHEPEBYGRANTED TO 2.Attach two(2)sets ofplans or sketches, if applicable. <br /> Advancement of 2-inch CPT probe in each location depicted on attached figure(19 locations),to a depth of less than+f-100 feet.Each of the 19 CPT <br /> points represents two holes,since CPT involves an intial borehole for lithology and a second borehole for groundwater samplings in undisturbed lithalogy. <br /> Drilling method is truck mounted CPT rig.All holes will be erouted per County Inspector requirements. Each borehole will be advanced as close to curb as <br /> utilities will allow on City streets. Alleys may require closure during drilling due to width of alleys.City parking lot boring(CPT-21)will require <br /> blocking some of the parking areas,which will be minimized and signs will be placed at least one day in advance of field work.A private locating company <br /> will mark out the street areas,along with markouts from USA(multiple tickets obtained and numbers can be provided to the City of Ripon upon request.) <br /> Please see the proposed boring locations on the attached map and pictures.The actual locations may change depending an access and utility locations. <br /> ECM will follow traffic control plan prepared by Safe T Lite.Safe T Lite will also provide road signs. <br /> Fa+timated Vaine of3Ught-uP*fty Work- S 31,170,00 <br /> Pwmit Fee 3% Plan Re4hwv S q33,°b u! cos: <br /> 22% [fide wSp4ctioa; 's_ g33,pO 16,N50 Aon�m>JA� <br /> IX tars $ l3ll .ob <br /> T0TAAL, FEE; s: 'k V7�.0()7Y eF 16450°' SY Bcn+6 HeLb .6 wLL FA xmitia Syf-a relP6eK t <br /> woKkas NOTVCfX0lLhtb $ 1,151.Sb <br /> TO ARRANGE FOR AN INSPECTION, PHONE 209/599-2108 AT LEAST 48 HOURS PRIOR TO CONSTRUCTION. <br /> This permit shall be void unless the work herein described is completed by: 11-1-10 <br /> Date <br /> Accepting this permit or starting work herein described, shall constitute acceptance and agreement to all the <br /> conditions and requirements of this permit. <br /> � SEE PEU&-r cnnitYtrSOP�1s <br /> Signature of Applicant/Permittee City Enginl ej (or authorized Agent) <br /> AppiicanvPetmiuee or Aumonzed Agent Date Issued <br /> NOTE: Your attention is directed to the general provisions printed on the back of this form. This permit is to be strictly <br /> construed and no work,other than that specifically mentioned above,is hereby authorized. <br /> PERMIT NOT VALID UNLESS EXECUTED BY CITY ENGINEER OR HIS AGENT <br /> WORK COMPLETED: BY: <br /> White-File Yellow-Inspector Pink,Appllunt <br /> arca w <br />