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Mountaln Cascade,Inc. <br /> STATE OF CALIFORNIA•DEPARTMENT OF TRANSPORT TION <br /> ENCROACHMENT PERMIT MAK 1 6 ��tt <br /> TR-0120(REV.2/98) rmit No. <br /> 011-6DP-0119 <br /> t/Co/Rte/PM <br /> In compliance with (Check one): <br /> ® Your application of March 14, 2011 10-STA-33-26.7 <br /> Date <br /> ❑ Utility Notice No. of March 14, 2011 <br /> Fee Paid Deposit <br /> ❑ Agreement No. of $6,560,00 <br /> Performance Bond Amount(1) Payment Bond Amount(2) <br /> F-1RNV Contract No. Of $ $ <br /> Bond Company <br /> T0: Bond Number(1) Bond Number(2) <br /> Mountain Cascade, Inc. <br /> P.O. Box 5050 <br /> Livermore, CA 94551 <br /> Attn : Diana Eudy <br /> TEL : (415) 554-0701 <br /> I <br /> , <br /> and subject to the following,PERMISSION IS HEREBY GRANTED to: PERMITTEE <br /> To do work as authorized under Caltrans encroachment permit number 1009-NTN-0083 <br /> issued to San Francisco Public Utilities Commission. It is understood that San <br /> Francisco Public Utilities Commission (SFPUC) furnished a copy of said permit to <br /> Permittee. <br /> Permittee still needs to submit copies of the following: <br /> 1. Dust control plan (Approved by the San Joaquin Valley Air Pollution Control <br /> District). <br /> 2. Detour traffic plans for County roads (Approved by Stanislaus County). <br /> The following attachments are also included as part of this permit In addition to fee,the permittee will be billed <br /> (Check applicable): actual costs for: <br /> ® _Yes ❑ NO General Provisions <br /> F] 'Yes ® NO Utility Maintenance Provisions ® Yes [I No Review <br /> ® Yes F-1NoSpecial Provisions ® Yes El No Inspection <br /> ® Yes ❑ No Field Work <br /> ❑ Yes ® No A Cal-OSHA permit required prior to beginning work, <br /> #Contractor to secure permit&provide copy (if any Caltrans effort expended) <br /> ❑ Yes ® No The information in the environmental documentation has been reviewed and is considered prior to approval of this <br /> permit. <br /> This permit expires on or before March 30, 3013. <br /> This permit is to be strictly construed and no other work other than specifically mentioned Is hereby authorized. <br /> No project work shall be commenced until all other necessary permits and environmental clearances have been obtained. <br /> Original—Permittee APPROVED: <br /> 2—R.Afzal <br /> 1—Maintenance <br /> 1-Z.Nogueira CARRIE BOWEN, Di ct Director <br /> 1—File BY: <br /> FM 91 YNEI S MAGSAYO, District Permit Engineer �J <br /> FM 91 1436 <br />