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UTILITY ENCROACHMENT PERMIT <br /> <br />To: RUBIK (CONSULTANT) <br />320 FLINT STREET <br />RENO, NV 89501 <br /> <br />Permit No: PW-ENCUTIL-2601704 <br />Date Issued: 05/05/2026 <br />Start Date: 06/12/2026 <br />Exp. Date: 11 /01 /2026 <br />Project <br />No.110005 <br />Extended To: <br /> <br />Encroachment Type: Monitoring Well Installation (Minor Utility Encroachment) UE/CR/PM NO: <br />Location: Installation of three (3) groundwater monitoring wells under orders from the CA Water Board. Wells are <br />located on County's easement in the unpaved shoulder. Specifically not located in the road and not on private <br />property. <br /> <br />In compliance with your request of 05/05/2026, permission is herebygranted to do work in County right-of-way as <br />shown on attached application and subject to all the terms, conditions and restrictions written below or printed as <br />general or special provisions 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 <br />unless otherwise approved by the Director. Surface of trench patches shall match in kind and be smooth and <br />even with that of abutting surface. Special attention shall be given to depth of utilities through roadside area in <br />anticipation of future draining facilities, road profile and/or frontage development. All underground utility facilities <br />are to be established and accurately dimensioned on sketches from surveyed centerline of road right-of-way, or <br />from right-of-way lines. <br /> <br />Permittee shall call the Department of Public Works, Field Engineering Division (Permit Inspection) at (209) 953- <br />7421 at least two business days prior to beginning any work within the County right of way. All work performed <br />under this permit shall conform to the rules and regulations pertaining to safety established by the California <br />Division of Occupational Safety and Health (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 <br />might be a hazard to either pedestrian or automobile traffic. All necessary traffic convenience and warning devices <br />and personnel shall be provided, placed and maintained by and at the sole expense of the Permittee in <br />accordance with the latest edition of the CALTRANS Manual of Uniform Traffic Control Devices. <br /> <br />After completion of the work permitted herein, all debris, lumber, barricades, or any excess material shall be <br />removed and the jobsite left in a neat workmanlike manner. Immediately following completion of construction <br />permitted herein, Permittee shall call the Department of Public Works, Field Engineering Division (Permit <br />Inspections) at (209) 953-7421 to complete the permit. <br /> <br />ROAD CLOSURE PERMIT: Permittee/contractor MUST email County Field Engineering at <br />PWroadclosure@sjgov.org a rninimum of (2) business days prior to start of road closure with location, <br />date, duration, and emergency contact information (name and phone number). <br /> <br />Special Comments: <br />Traffic Control MUTCD*Sunset Ave. — Full road closure from June 15, 2026 from 7:00 AM <br />to June 24, 2026 5:00 PM.Sunset Avenue will be open June 20th and June 21st <br />Forms: SS/WW General Provisions <br />R29 Trench Cut Policy <br />Special Conditions <br />Est. Permit Base Fee: <br /> <br />Najee Zarif, Director <br />Department of Public Works <br />By: <br />Permit Section <br />