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To:AT&T <br />1116MST <br />MODESTO CA 95354 <br />Encroachment Type: <br />IBore (up to 12 inch Dia) <br />Location: <br />RNER RD AND MCHENRY RD <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 />Permit No;PS-1501877 <br />Date Issued;07/0912015 <br />Start Date;07/13/2015 <br />Exp.Date;02/22/2016 <br />Project No;PWP23 02 I I <br />Quad;SE <br />Extended To;03/0212016 <br />RIDER #I <br />Date '2-2-6-(6.. <br />In compliance with your request of 07/09/2015 ,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 surfuce.Special attention shall be given <br />to depth of utilities through roadside area in anticipation of future drainage fucilities,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 />Perm iftee 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 rules and regulations pertaining to safety established by the California Division oflndustrial 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 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 ofthe Permittee 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.finrnediately following completion of construction pennitted hereln~Permittee shall fill oilt and mail notice of <br />,completion (see attached post card)provided by GraEtor. <br />Special Comments;ITraffic Control Per MUTCD <br />FORMS;ISSIWW,R-29 <br />Est.Permit Fee:$0.00 <br />KRlS BALAJI,Director <br />Department of Public Works <br />WHITE <br />GOLDENROD <br />'YELLOW <br />PINK <br />-Permittee <br />-PWD Central File <br />-Field Inspection <br />-Pennit Section <br />By;'z::::--=~ <br />Permit Section