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FILE <br /> a� CVCX-WTY OF SAN JOAQUIN <br /> . G DEPARTMENT OF PUBLIC WORKS <br /> y� P O BOX 1810-1810 HAZELTON AVENUE EP NO EP-04 I 2 SW <br /> .� S1 OCKTON CALIFORNIA 95201 pate Issued 01/29/2004 <br /> r (209)468-3000 <br /> FAX#(209)468-9324 Expiation Date 03! 4 ev / D �{/� <br /> �Ll>`CiF�t' Job No 111005 <br /> ENCROACHMENT PERMIT UE/CR/PM NO CR 021575 <br /> lzewvc- VW 102 <br /> To ISTRATUS ENViRONMENTAI.,INC Enamacbment Type ISOIL BORINGS(2),MONITORING WELLS(2) <br /> 3330 CAMERON PARK DRIVE,SUITE 550 Location BOTH SIDES OF PAM MN PASS ROAD 500'WIO <br /> INTERSTATE 580 <br /> CAMERON PARK,CA 95682 <br /> In compliance with your request of 11/19/2003 emvssion is hereby granted to do work in County right of way as <br /> shown on attached application and sub2ecfto an me terms,conciluons an re coons written below or printed as general or special provisions on any <br /> part of this 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 to depth <br /> of utilities through roadside area in anticipation of future drainage facilities,road profile and/or frontage development All underground utility facilities <br /> are to be established and accurately dimensioned on sketches from surveyed centerhne of road right of way,not from right of way(border)lines <br /> The Department of Public Works,Field Inspection Section shall receive a notice at least forty-eight hours prior to begmning any work within the <br /> County right of way All work performed under this permit shall conform to the rules and regulations pertaining to safety established by the California <br /> Division of Industrial Safety and Cal-OSHA <br /> The lobsite shall be kept in a safe condition at all times by the daily removal of any excess Birt or debris which might be a hazard to either pedestrian or <br /> automobile traffic All necessary traffic convenience and warning devices and personnel shall be provided,placed and maintained by and at the sole <br /> expense of the Permittee in accordance with the latest edition of the CALTRANS Manual of Traffic Control <br /> After completion of the work permitted herem,all debris,lumber,barricades,or any excess material shall be removed and thejobsite left in a neat <br /> workmanhke manner Immediately following completion of construction permitted herein,Permittee shall fill out and marl notice of completion <br /> provided by Grantor <br /> Special Instructions: SEE ATTATCHED FOR TRAFFIC CONTROL PLAN IN CAL TRANS RIGHT-OF-WAY <br /> MAS R FLINN, Director <br /> De ment of Public Works <br /> Est Permit Fee $395 00 <br /> FORMS SS/WW,R-29 By <br /> WI4M -Pernuttee Permit Section <br /> GOLDENROD PWD Central File <br /> YELLOW -Field Inspection PW 27 <br /> PINK Permit Section <br /> c AccesslPermitslFormslEncroacbment Permit Revised 07!2000 <br />