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Cx U "1 <br /> 'o COUNTY OF SAN JOAQUIN <br /> DEPARTMENT OF PUBLIC WORKS <br /> ° = P.O. BOX 1810-1810 E. HAZELTON AVENUE Permit No: PS-0902562 <br /> ' STOCKTON,CALIFORNIA 95201 Date Issued: 11/16/2009 <br /> swftL (209)468-3000 Exp. Date: 01/10/2010 <br /> FAX#(209)468-9324 Project No: PWP110005 <br /> IXIUEKQuad: SE <br /> ENCROACHMENT PERMIT <br /> To: LAWRENCE FRANK,MD <br /> 3808 FALMOUTH CT. <br /> STOCKTON, CA 95219 <br /> Encroachment Type: <br /> !SIGNS& WATER <br /> STATIONS <br /> Location: <br /> MANTHEY RD., HOWARD RD., MATHEWS RD. AND WOLFE RD. (SEE ATTACHED MAPS)ON JAN. 10,2010 FROM 9:00 <br /> A.M TO 12:00 P.M. <br /> In compliance with your request of 11/16/2009, 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 <br /> 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 <br /> by the Director. Surface of trench patches shall match in kind and be smooth and even with that of abutting surface. Special attention <br /> shall be given to depth of utilities through roadside area in anticipation of future drainage facilities,road profile and/or frontage <br /> development. All underground utility facilities are to be established and accurately dimensioned on sketches from surveyed centerline of <br /> road right of way, or 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 <br /> within the County right of way. Al l work performed under this permit shall conform to the rules and regulations pertaining to safety <br /> established by 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 <br /> either pedestrian or automobile traffic. All necessary traffic convenience,and warning devices and personnel shall be provided,placed <br /> and maintained by and at the sole expense of the Permittee in accordance with the latest edition of the CALTRANS Manual of Traffic <br /> Control. <br /> After completion of the work permitted herein, all debris, lumber, barricades,or'any excess material shall be removed and the jobsite <br /> left in a neat workmanlike manner. Immediately following completion of construction permitted herein, Permittee shall fill out and <br /> mail notice of completion provided by Grantor. <br /> Special Comments: <br /> Traffic Control per MUTCD-(VALID ONLY FOR SAN JOAQUIN COUNTY PORTIONS) *****Traffic Control shall be provided <br /> by County Sheriff <br /> Dept. in conjunction with the California Highway Patrol Dept. ***** <br /> FORMS: <br /> Est. Permit Fee: $150.00 <br /> THOMAS R. FLINN, Director <br /> WHITE -Permitee Depart ent of Public Works <br /> GOLDENROD -PWD Central File <br /> YELLOW -Field Inspection <br /> By: <br /> PINK -Permit Section Permit ection <br />