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To: CITY OF LODI <br />221 W. PINE ST. <br />LODI, CA 95240 <br />COUNTY OF SAN JOAQUIN <br />DEPARTMENT OF PUBLIC WORKS <br />P.O. BOX 1810-1810 E. HAZELTON AVENUE <br />STOCKTON, CALIFORNIA 95201 <br />(209) 468-3000 <br />FAX # (209) 468-9324 <br />ENCROACHMENT PERMIT <br />Encroachment Type: <br />Trench Bore (up to 12 inch Dia) <br />Location: <br />N/S OF HARNEY LN. W/O LODI CITY LMTS W/O LOWER SACRAMENTO RD. <br />Permit No: PS -1903778 <br />Date Issued: 12/04/2019 <br />Start Date: 03/01/2020 <br />Exp. Date: 04/15/2020 <br />Project No: PWPI 10005 <br />Quad: NW <br />In compliance with your request of 12/04/2019, permission is hereby granted to do work in County right-of-way as shown on attached <br />application and subject to all the terms, conditions and restrictions written below or printed as general or special provisions on any part of this <br />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, or <br />from right of way (border) lines. <br />Permittee shall call the Department of Public Works, Field Engineering Division (Permit Inspections) at (209)953-7421 at least <br />forty-eight hours prior to beginning any work within the County right of way. All work performed under this permit shall conform to <br />the iules and regulations pertaining to safety established by the California Division of Industrial Safety and Cal -OSHA. <br />The jobsite shall be kept in a safe condition at all tines 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 Pennittee 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 (see attached post card) provided by Grantor. <br />Special Comments: <br />Traffic Control Per MUTCD* * * * * See Attached "Special Conditions"* ****Trench Cut Policy not required for this project, <br />San Joaquin County has a "Chip Seal" project for this portion of Harney Lane in the Sumner of 2020***** <br />FORMS: SS/WW R-29 <br />Est. Permit Fee: $914.00 <br />WHITE -Permittee <br />GOLDENROD -PWD Central File <br />YELLOW -Field Inspection <br />PINK -Permit Section <br />KRIS BALAR, Director <br />Dep rtment of Public Works <br />By: <br />Pe 't Section <br />