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ENCROACHMENT PERMIT <br /> <br />To: ADRIAN FAMILY L.P./MARTIN ADRIAN <br />26554 E. RIVER ROAD <br />ESCALON, CA. 95320 <br /> <br />EP No: EP-05 354 SE <br />Date Issued: 12/15/2005 <br />Expiration Date: 02/15/2006 <br />Job No: 11005 <br />UE/CR/PM NO: CR 027575 <br /> <br />Encroachment Type: BORE (2) <br />Location: BOTH SIDES OF ST. JOHN AVE. 650' N/O CLOUGH RD, <br />AND BOTH SIDES OF CLOUGH RD 50' W/O ST. JOHN <br />AVE. <br /> <br />In compliance with your request of 11/15/2005, permission is hereby granted to do work in County right of way <br />as shown on attached application and subject to all the terms, conditions and restrictions written below or printed as general or special provisions <br />on any part of this form. See reverse side and attached sheet, if any. <br /> <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 <br />depth of utilities through roadside area in anticipation of future drainage facilities, road profile and/or frontage development. All underground <br />utility facilities are to be established and accurately dimensioned on sketches from surveyed centerline of road right of way, not from right of way <br />(border) lines. <br /> <br />The Department of Public Works, Field Inspection Section shall receive a notice at least forty-eight hours prior to beginning 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 <br />California Division of Industrial Safety and Cal -OSHA. <br /> <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 maintained <br />by and at the sole expense of the Permittee in accordance with the latest edition of the CALTRANS Manual of Traffic Control. <br /> <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 /> <br />Special Instructions: <br />Est. Permit Fee: $391.00 <br />FORMS: SS/WW, R-29 <br /> <br />WHITE- Permittee <br />GOLDENROD - PWD Central File <br />YELLOW -Field Inspection <br />PINK -Permit Section <br /> <br />THOMAS R. FLINN, Director <br />Department of Public Works <br />By Scott Cooper <br />Permit Section <br />