Laserfiche WebLink
STATE OF CALIFORNIA•DEPARTMENT OF TRANSPORTATION <br /> ENCROACHMENT PERMIT <br /> TR-0120(REV.7198) Permit No. <br /> 1003-6SV-0202 <br /> ' DisUCdRte/PM - <br /> In compliance with(Check one): 10SJ-33-0.0010.09 <br /> 10STA-33-26.9/27.07 <br /> ® Your application of - MARCH 3,2003 <br /> ' Date <br /> ❑ Utility Notice No. Of APRIL 1,2003 <br /> Fee Paid - Deposit <br /> ' ❑ Agreement No. of $ $320.00 <br /> Performance Bond Amount(1) Payment Bond Amount <br /> ❑ RM Contract No. Of $ $ <br /> ' - Bond Company <br /> Bond Number(1) Bond Number(2) <br /> TO: <br /> ' GEOMATRIX CONSULTANT <br /> 2101 WE13STERSTREET <br /> ' OAKLAND, CA 94612 <br /> ATTN:MARTIN BLOES <br /> TEL.#:(510)663-4100 <br /> t . <br /> , <br /> and subject to the following,PERMISSION IS HEREBY GRANTED to: PERMITTEE <br /> Make six soil boring to about 80' deep along the shoulder of State Highway 33 right of <br /> way to about 20' from the center line. Three bores northerly of the county line on San <br /> Joaquin side and three southerly of county line on Stanislaus side as shown on the <br /> attached sketch. Only shoulder closure will be allowed for traffic control. Abandonment <br /> of bores shall be in compliance with the Department of Water Resources standards. <br /> In accordance with General Provision No. 6, TWO WORKING DAYS PRIOR to the start <br /> of this work, Permittee shall notify the State Representative MARCEL DE LA CRUZ, <br /> P.O. Box 2048 Stockton, CA 95201, (209) 948-3656. All work under this permit must <br /> meet with the royal of the State Re resentative. <br /> The follovring attachments are also inctuded as part of this pernit In addition to fee,the permittee will be billed <br /> (Check applicable): actual costs for. <br /> ® Yes ❑ NO -General Provisions <br /> ❑ Yes ® No utility,Maintenance Provisions ® Yes El No Review <br /> ® ® Yes ❑ No Inspection <br /> Yes F] No Special Provisions T <br /> ❑ Yes No A61-OSHA permit prior ® Yes ❑ No Field Work <br /> ® P q. P beginning work: . <br /> # (if any Caltrans effort expended) <br /> YesNO The information in the environmental documentation has been reviewed and is considered prior to approval of this <br /> - - permit <br /> This permit is void unless the work is completed on SEPTEMBER 30, 2003 <br /> This permit is to be strictly construed and no other work other than specifically mentioned is hereby authorized. <br /> No ro'ect work shall be commenced until all other necessa emits and environmental clearances have been obtained. <br /> :F2 <br /> -Permittee - <br /> 1-File APPROVED: <br /> -'. <br /> 3-M.DE LA CRUZ <br /> MARK LEJA, District Director <br /> BY: <br /> Pete istrict Permit E er <br /> FM 91 1436 <br /> I <br />