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MANUEL LOPEZ, Director <br />Department of Public Works <br />COUNTY OF SAN JOAQUIN <br />DEPARTMENT OF PUBLIC WORKS <br />P.O. BOX 18104810 HAZELTON AVENUE EP No: <br />STOCKTON CALIFORNIA 95201 <br />(209) 468-3000 <br />- <br />ENCROACHMENT ENCROACHMENT PERMIT <br />5,A -•,o,2k <br />EP 00-396-NS <br />09/19/2000 <br />11/01/2000 <br />11005 <br />CR# 273121 <br />Date Issued <br />Expiration Date: <br />Job No: <br />UR/CR/PM NO: <br /> <br />FOOTHILL ENGINEERING ' <br /> <br />To: <br /> <br />Encroachment Type: <br />Location: <br />MONITORING WELL <br /> <br />12793 PADDY CREEK LN <br /> <br />E/S OF WILSON WAY 300 FEET N/O ()AR WOOD ST <br /> <br />LODI CA 95240 <br /> <br />In compliance with your request of 09-11-2000 , permission is hereby granted to do work in County right of <br />way as shown on attached application and subject to all the terms, conditions and restrictions written below or printed as general or special <br />provisions on any 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 <br />to depth of utilities through roadside area in anticipation of future drainage facilities, road profile and/or frontage development. All <br />underground utility facilities are to be established and accurately dimensioned on sketches from surveyed centerline of road right of way, not <br />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 beginning any work within <br />the County right of way. All work performed under this permit shall conform to the rules and regulations pertaining to safety established by <br />the California 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 herein, all debris, lumber, barricades, or any excess material shall be removed and the jobsite left in a <br />neat workmanlike manner. Immediately following:completion of construction permitted herein,' Permittee shall fill out and mail notice of <br />completion provided by Grantor. <br />Special Instructions: <br />Est. Permit Fee: $176.00 <br />FORMS: SS/WW <br />WHITE - Permittee <br />GOLDENROD - PWD Central File <br />YELLOW - Field Inspection <br />PINK - Permit Section <br />AccessTermits \Forms \Encroachment Permit <br />Permit Section <br />PW 27 <br />Revised 07/2000