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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-1600397 <br />Date Issued:02/23/2016 <br />Start Date:02/23/2016 <br />Exp.Date:04/15/2016 <br />Project No:PWP7110005 <br />Quad:NW <br />To:SEFNCO -CHRIS PERRY <br />5340 BRISA ST. <br />LIVERMORE,CA 94550 <br />Encroachment Type:.IBore (up to 12 inch Dia) <br />Location: <br />SIS CHEROKEE RD 200'NIO TEEPEE DR <br />In compliance with your request of 02/23/2016 ,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 (l0')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 <br />to depth of utilities through roadside area in anticipation of future drainage facilities,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 />rpermitfeeshall caiUhe 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 righ)of way.All work performed under this permit shall conform to <br />the rules and regulations pertaining to safety 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 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 of the 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.immediately following completion of construction permitted herejn,Permittee shall fill out and mail notice of <br />Eompletion (see attached post cardj"provided by Grantor.... <br />S ecial Comments: <br />Traffic Control Per MUTCD*No Pavement Cuts* <br />FORMS:ISSIWW,R-29 <br />Est.Permit Fee:$670.00 KRIS 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 />-Permit Section <br />By:-z::-?---- <br />Permit Section