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4 ` ^"f• .l".y R�a�,eJ �Irii01 1 J ZQ�U <br /> COUNTY OF SAN JOAQUIN <br /> DEPARTMENT OF PUBLIC WORKS i <br /> P.O.BOX 1810-1810 E.HAZELTON AVENUE Permit No:PS-1000415 <br /> STOCKTON,CALEFORMA 95201 Date Issued:03/11/2010 <br /> fkb <br /> ="+p (209)468-3000 Exp.Date: 04/01/2010 <br /> FAX#(209)468-9324 Project No: PWP110005 <br /> Quad: ES <br /> I <br /> ENCROACHMENT PERMIT <br /> To: ATC ASSOCIATES <br /> 1117 LONE PALM AVE.,STE.201 <br /> MODESTO,CA 95351 <br /> Encroachment e: <br /> Groundwater Monitoring Well <br /> Location: <br /> S/S OF MAIN ST. 15'E/O ANNABELLE CT. <br /> In compliance with your request of 03/11/2010,permission is hereby granted to do work in County right-of-way as shown on attached <br /> application and subject to all the terns,conditions and restrictions written below or printed as general or special provisions on any part of <br /> this form. See reverse side and attached sheet,if any. <br /> Trench excavations for service connections will not be permitted within ten feet(10D of pavement centerline unless otherwise approved by <br /> the Director. Surface of trench patches shall match in kind and be smooth and even with that of abutting surface. Special attention shall <br /> be given to depth of utilities through roadside area in anticipation of future drainage facilities,road profile and/or frontage development. <br /> All underground utility facilities are to be established and accurately dimensioned on sketches from surveyed centerline of road right of <br /> way,or from right of way(border)lines. - <br /> ': 11W <br /> 'y,^TDet tlnrs ,t' [ to the <br /> rud regulations pertamingto safety esiablrsfied�y fhe C``aYrforma 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 hereinall debris,lumber,barricades or any excess material shall be removed and the,lobsite left <br /> I r.�. - _ r+ r <br /> in a neat workmanlike manner = k ` a v r � T 3 <br /> gym+ 'd. -eCc_ ,�'� .�, :u,. -.,r.,,M w., d7r� 9x s <br /> 1. IVAz ., asp H� " <br /> S cial Comments: <br /> Traffic Control Per MUTCD-NO WORK between the hours of 6:00 am.to 8:00 am.and 2:00 p.m.to 4:00 p.m. <br /> FORMS: SS/WW R-29 j <br /> I <br /> Est.Permit Fee: $260.00 <br /> THOMAS R.FLINN,Director <br /> Department of Public Works <br /> WHITE .-Permitce <br /> i <br /> GOLDENROD -PWD Central File <br /> YELLOW -Field Inspection By: <br /> PINK -Permit Section Pe Section <br /> i <br />