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To:CITY OF ESCALON <br />2060 MCHENRY AVE <br />ESCALON,CA 95320 <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 />PennitNo:PS-1600086 <br />Date Issued:01/21/2016 <br />Start Date:2./1 6{2016 <br />Exp.Date:2I17/l..0IG <br />Project No:PWP7110005 <br />Quad:SE <br />Encroachment Type: <br />(Trench &2-DayRoad IC_I_o_sur_e ~~ <br />Location: <br />RlVER RD AT BNSF RAILROAD <br />In compliance with your request of 0111512016 ,pennission is hereby granted to do work in County right-of-way as shown on attached <br />application and subject to all the tenns,conditions and restrictions written below or printed as general or special provisions on any part ofthis <br />fonn.See reverse side and attached sheet,if any. <br />Trench excavations for service connections will not be pennitted 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 sumce.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 />.Permittee";hall diiiheDej)jil'!meiitof Public WOi-iiS;Field EiigineeHngniVTslon(perI1tit Inspections)"t (2-09)953-7421 at least"1 <br />~tY-e1ght~7sPrior to"begiilliin-g any work-Wi!hinttleCounty-rigfii "ofWl.y.All work perfon;;~d under this pennit shall confonn 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 Pennittee in accordance with the latest edition of the CALTRANS Manual of Traffic Control. <br />After completion of the work pennitted herein,all debris,lumber,barricades,or any excess material shall be removed and the jobsite left in a <br />neat workmanlike manner.IITullediatelyfollowiiig completion of construction pe~itted herein,Pennittei:shall'fill oufirnd mail notice of <br />completion (see attached post card)P\ovi~d byOfanW. <br />S ecial Comments: <br />Traffic Control Per MUTCD**SEE ATTACHED SPECIAL CONDITIONS**RlVER RD CLOSED Ff.Blr.UIif1'/IG>TH,2016 AT 7:00 AM <br />UNTIL FeIWlAA'IITH,2016 AT 5:00 PM** <br />FORMS:ISSIWW,R-29 ITrench Cutting IPolicy <br />Est.Permit Fee:$608.00 <br />WHITE <br />GOLDENROD <br />YELLOW <br />PINK <br />-Pennittee <br />-PWD Central File <br />-Field Inspection <br />-Pennit Section <br />KRIS BALAJI,Director <br />Department of Public Works <br />~-enn-i-t-;'-e-ct-io-n-------