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To:HALEY CONTRACTING <br />4228 NEWTON RD. <br />STOCKTON,CA 95205 <br />Encroachment Type:IBell Hole <br />Location: <br />SIS OXFORD WY 1000'E/O GRANGE <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-1600353 <br />Date Issued:02/18/2016 <br />Start Date:01/21/2016 <br />Exp.Date:04/01/2016 <br />Project No:PWP7110005 <br />Quad:CC <br />In compliance with your request of 02/18/2016 ,pennission is hereby granted to do work io County right-of-way as shown on attached <br />application and subject to all the terms,conditions and restrictions written below or prioted as general or special provisions on any part ofthis <br />form.See reverse side and attached sheet,if any. <br />Trench excavations for service connections will not be permitted withio ten feet (10')of pavement centerlioe unless otherwise approved by the <br />Director.Surface of trench patches shall match io kiod and be smooth and even with that of abuttiog surface.Special attention shall be given <br />to depth of utilities through roadside area io anticipation of future draioage 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 />r~it!e!1h!!~c!'!!..the ~ep~ttJi1:ent of'Public Works,"Field Eugiueering Division (Permit Inspections)at (209j953-7421 at least <br />.forty-eightho_~rs prior to beginning any work within the County ~ight of way.All work performed under this permit shall conform to <br />the rules and regulations pertainiiig tosafety established by the Califonua Division ofIndu~trial 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 io 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 thejobsite left in a <br />neat workmanlike rnarmer.Immediately following completion bfconstruction permitted herein;Pemittee shall fill out and mail notice of <br />•completion (see attached post card)provided by Grantor. <br />S ecial Comm"ents: <br />TrafficConrrol Pei-MUTCD •••.••See attached "Special Conditions' <br />FORMS:ISSIWW,R-29 <br />Est.Permit Fee:$436.00 <br />ITrench Cutting IPolicy <br />WHITE <br />GOLDENROD <br />YELLOW <br />PINK <br />-Permittee <br />-PWD Central File <br />MFieldInspection <br />-Permit Section <br />By: <br />KRIS BALAJI,Director <br />Department ofPuhlic Works <br />Permit Section