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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 9520 I <br />(209)468-3000 <br />FAX #(209)468-9324 <br />Permit No:PS-1602119 <br />Date Issued:07/1912016 <br />Start Date:07/1912016 <br />Exp.Date:09/0112016 <br />Project No:PWP7110005 <br />Quad:SW <br />ENCROACHMENT PERMIT <br />To:ARCADIS -US <br />101 CREEKSIDE RlDGE CT.,STE.200 <br />ROSEVILLE,CA 95678 <br />Encroachment Type: <br />IBell Hole 10 <br />Location: <br />PATTERSON PASS RD.500'WIO 1-580 <br />10 <br />In compliance with your request of 071!9aOl6 ,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 ofthis <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.Surfuce of trench patches shall match in kind and .be smooth and even with that of abutting surface.Special attenlion 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 shillfc_il jh'e()ep~rtme;;{of Pulilic\\liirks;Ficld-Enginccring-Division (Permit'inspeclions)at (209)953-7421 at least I <br />'foriy,eigh'l hours prior 10 begiii'riiilg8'iiY WOrk'within the County'r;ghi of way.)AII work performed under this permit shall conform to <br />the rules and regulations pertaining to safety established by the California Divisio!.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 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 tl,e jobsite left in a <br />neat wor,?"anlik~!"a~ner:l!!!i.in~dL~Ie.ljifollowing c~mpletion of co~stru.:tionpermitted herein,Permittee shall fill out and mail notice of <br />~ompletion (see attached post card)provided by Grantor.'- <br />Special Comments: <br />ITraffic Control Per MUTCD <br />FORMS:ISSIWW,R-29 <br />Est.Permit Fee:$678.00 <br />10 10 <br />KRlS BALAJI,Director <br />Depa'1rnent of Public Works <br />WHITE <br />GOLDENROD <br />YELLOW <br />PINK <br />.Pcnnittcc <br />-PWD Centml File <br />-Field Inspection <br />-Penni!Section <br />By:z::::-e:::----- <br />Permit Section