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ENCROACHMENT PERMIT E.P. No.: 95-061 Date Issued: 3-29-95 Expiration Date: 10-7-95 Job No.: 11005 To: Clements-Lockeford Chamber of Commerce P.O. Box 524 Lockeford, CA 95237 Encroachment Type: Temporary Road Closure Location: Jack Tone Road Bypass In compliance with your request of 3-6,1995, permission is hereby granted to do work in County right of way as shown on attached application and subject to all the terms, conditions and restrictions written below or printed as general or special provisions on any part of this form. See reverse side and attached sheet, if any. Trench excavations for service connections will not be permitted within ten feet (10') of pavement centerline unless otherwise approved by the 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 depth of utilities through roadside area in anticipation of future drain- age facilities, road profile and/or frontage development. All underground utility facili- ties are to be established and accurately dimensioned on sketches from surveyed centerline of road right of way, not from right of way (border) lines. The Department of Public Works, Field Inspection Section shall receive a notice at least forty-eight (48) hours prior to beginning any work within the County right of way. All work performed under this permit shall conform to the rules and regulations pertain- ing to safety established by the California Division of Industrial Safety and Cal -OSHA. 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 pedestrian or automobile traffic. All necessary traffic convenience and warning devices and personnel shall be provided, placed and maintained by and at the sole expense of the Permittee in accordance with the latest edition of the CALTRANS Manual of Traffic Control. After completion of the work permitted herein, all debris, lumber, barricades, or any excess material shall be removed and the jobsite left in a neat workmanlike manner. Immediately following completion of construction permitted herein, Permittee shall fill out and mail notice of completion provided by Grantor. NOTE: This permit is good for April 1, 1995 and October 7, 1995 only. Est. Permit Fee: $ FORMS: SS/WW HENRY M. HIRATA, Director Department of Public Works WHITE - Permittee GOLDENROD - PWD Central File YELLOW - Field Inspection PINK - Permit Section PW 27