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To:AM STEPHENS CONST <br />PO BOX 1867 <br />LOm CA 95241 <br />Encroachment Type:IADDING AB TO LEVEE <br />Location: <br />BACON ISLAND 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-1600984 <br />Date Issued:04/12/2016 <br />Start Date:04/13/2016 <br />Exp.Date:06/01/2016 <br />Project No:PWP7110005 <br />Quad:SW <br />Extended To:11/01/2016 <br />RIDER #"2 <br />Date 8;-3-/6 <br />In compliance with your request of 04/1212016 ,pennission 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 />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 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 />'Permittee shan cali the Departinent Of Public Works,Field Engineering Division (Permit Inspections)at (209)953-7421 at least <br />horty-eight hours prior to beginning any work "ithin the County right of way •.All work pertoffilOd under this permit shall confonn to <br />the rules arid 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 ofthe Permittee 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 ?hall be removed and thejobsite left in a <br />neat workmanlike manner.}mmediately following completion of construction pennitted herein,Permittee shall fill out and mail notice of <br />completion (see attachedpostCiird)provided by Grantor. <br />S ecial Comments: <br />Traffic Control Per MUTCD-"'See Attached REVISED "S ecial Conditions"-'-' <br />FORMS:Iss/WW,R-29 <br />Est.Permit Fee:$500.00 <br />KRlS BALAJI,Director <br />Department of Public Works <br />WHITE <br />GOLDENROD <br />YELLOW <br />PINK <br />-Pennittee <br />-PWD Central File <br />-Field Inspection <br />-Permit Section <br />By:~ <br />Pennit Section