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TUN 1:3 190 07:
<br /> F. .
<br /> COUNTY OF SA
<br /> ,.� EPRTr�Etv�r JUIN
<br /> OF PUBLIC WORKS
<br /> P.0 Bog Ia1" 81p E F..7 00wAVEkuE t (Date Issued) -
<br /> STGGKr6tll. D6"L%?,N 95 pi
<br /> x�;,,22j091 48$-SWj
<br /> i r?gRY M. HIRIATRMpiration Date
<br /> ZiC1i1 ��_�
<br /> i --- --(Job NGS«)
<br /> To: Groundwater Technalog., Inc,
<br /> Encroachment
<br /> 1401 halyard Dr, :�t=oach;�r�nt type:: M00toring Well
<br /> Suite 140 I Location:West Sa.cr.amenw, CA els Hansea Rd. 2001- n/o Vo" Sosten R
<br /> i
<br /> IC: "r.illance with yc��;�.Y ��ti>vSt of
<br /> gra"' to Flo `WQrk in County right of tr.�,f . xl -
<br /> a.� st;c�wr: on a �- , l� �{�.,, permi�sic�n is hereby
<br /> all the terms, c oxic:i L'..on5 �.nFl re * t.c�cbQ applic atlon and subject to
<br /> Y ictions w�ir- a
<br /> provisions on any. part or .his i _Gn elc+w or print6 d as moral or special
<br /> aril Son revar" Lde and
<br /> c3ttaC]ied Sheet, if any,
<br /> Trwncn excavationsfnrj ac L'v c 8
<br /> c�rne•. .crr,5 xri .1 riot ;�e p ,•
<br /> of fac�_yOnt conte ormitted :within ten feet
<br /> rl"ric .1nlIss othe.rw ,c npprovr�rl b the Dj rector. r
<br /> she i mat:C:& in
<br /> kind a1:�a +J4 l=;rTUot}. rLl �. 1 surface of trejc& patches
<br /> :ali 1i C' given N depth an every with t k tial abutting surface. Special uttL'I!t1011
<br /> 1 ,n r- depth of �nt�_' ;� ��
<br /> ��C :.aL`1.,11 u'1 u:i road C: F ��.. .. i�� �'�. a.'�'�'.147:: s'Cl:,l'�..�.' I d£' �irF.� in ar ti_ i
<br /> x xfi..ac anddevelopment.
<br /> � ci�atyon of Future: drain-
<br /> ties ` and/or %Y'O:itidy._ de,1.�:4 �Il]c� t_., , �
<br /> are to be cstabji8hed � � Y, 3 , �, Al undGrgfound utility 4y li -
<br /> cans, d curately ci;,ltiets i r� ed car_ sketches f._ � fa:i
<br /> of road right of way, n0; from right of wayi' el; c L' iwS -iG11 IlYV�lveC� C�rrte.T line.
<br /> The C)u^artrcicr:t ;af pub
<br /> Qti v?nrks. RiFlr,";
<br /> least fart ei h T E.{a�-r,r,; to Section shall r er u
<br /> Y" t e 8. houis Prior to beginning ive a rLc�kiC� at
<br /> Fnray work within talo. Cciunty right of way.
<br /> :�11_ syrUrk perroYt�a« c:r:r3ex- t�i:, permit shai.;� c��rtforTn h
<br /> '09 to scaf�t4 astahli_sed i' �. the rules and =�gulaticn;- pertain'
<br /> A'
<br /> the i CaliforniaD .v.i jo of r
<br /> I ndust%'ial Safety <erstl Cal-OSHA.
<br /> e
<br /> Y •
<br /> �'r`-e jol�site stall be 'r,�" ir1 a safe curF.nliti,G:n -t
<br /> any "cess dint � all times by ttrn daily removal of
<br /> �r debris u$,yzwFr might
<br /> g . be za haza.r' t -� e -
<br /> traffi•�. All necessary �-it.ilv� i.lda�.t.ricar: or autr.�rnabi2�v
<br /> c�.Y.'f tr�fsic cc,nvenience aiiCT warning c�rovided, placed and maint,�i YF
<br /> 1 llcj a"Vi�•eS c1I'iC1 aBrScr:nel Skid�.l. 'I3E?
<br /> with the later, „r tho Sole ns, of trYw ire tL"Ge r1 accordance
<br /> 'd1 n i 1 � :-y and at ;�rF ,
<br /> r� 3i tion c f :rhs nxL_T�ti3O Manual o in xxt� i dance
<br /> aff_ Coi:tx'r-�
<br /> After co npl�tion of ti),
<br /> wor�CiG.:r permitted '1w2 Cai 1
<br /> excess mataHal .she i , all debris, lumber, har.rica_jC, or ithy
<br /> b :moved and the jonsLte ie t i a neat
<br /> yrrrtlddiaCely fol�cwix, r i a-- wer'kmanli.ke manner. �
<br /> G' C.mPlet�_on of •-, nstroction (Pe .mi'tted h r Q i
<br /> Out and mail votice of t e � l PeriniLtr�= shall fall
<br /> ::4?:[l,pl..ti�:l tk'OrJiCie:S JY Grantor,
<br /> i
<br /> FORMS
<br /> sSiwW, A-7
<br /> i
<br /> {
<br /> H NRl' :�A, tt1RTA, Director
<br /> Department of Public Arks
<br /> i
<br /> W13ITE -
<br /> COMENROD - PWD Central Fill By_.
<br /> YELLOW Fuld I.napectio Permit Sec7� >^
<br /> PINK POrmit. Sectian r /
<br /> PW 27 r7
<br />
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