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2225NP„TE: With proper validation this form constitutes an encroachment permit CITY OF LA QUINTA APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) For the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, water mains and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS Subdivision Improvement Permit — Class I I I DATE: 8-1-94 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION Calle Paloma & Avenida Nuestra (Street address or Description of Location) Provide gas servive PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate) to now home f DESCRIPTION OF CONSTRUCTION Trench in earth DIMENSION OF INSTALLATION OR REMOVAL install 3721 of 2" medium pressure gas main behind curb SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN 8-16-94 APPROXIMATE TIME OF COMPLETION 12-1-94 ESTIMATED CONSTRUCTION COST $ (Including removal of all obstruction, materials, and debris, backfilling, com- paction and placing permanent resurfacing and/or replacing improvements) In consideration of the granting of this permit, the app6icant hereby agrees to: See attached conditions See attached drawing h Indemnify, • defend and save the City, its authorized agents, officers, representatives and employees, harmless from and against any and all penalties, liabilities or loss resulting from claims or tour: action and arising out of any accident, loss or damage to persons or property happening or occurring as a proximate result of any work undertaken under the permit granted pursuant to this application. Notify the Administrative Authority at least twenty-four (24) hours in advance of the time when work will be started. Comply with all applicable City Ordinances, the terms and conditions of the permit and all applicable rules and regulations of the City of La Quinta and to pay .for any additional replacement necessary as the result of this work. Rhodesia Ashley Signature of Applicant or Agent Permit Coordinator Southern California Gas Co. P.O. Box 3003 Redlands, CA 92373 (909) 335-7764 Name of Applicant (please print) Business Address Telephone No. Name of Contractor and Job Foreman Business Address Telephone No. Contractor's License No. City Business License No. Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class 111 Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated construction costs Minor Improvement Permit — Class IV: See attached schedule Inspection Fee $ Permit Fee —0— Penalty Cash Deposit -Surety Bond if required TOTAL: $ —0— Receipt No. Received by Date Recorded by 2225 PERMIT VALIDATION PERMIT NO. 2225 DATE APPROVED EXPIRATION DATE 8-4-94 12-1-94 DATE ISSUED 8-4-94 By Administrative Authority TELEPHONE: (619) 564-2246 54144-295 CITY OF LA QUINTA NOTE: With proper validation AUG 0 31994 this form constitutes an CITY OF LA QUINTA encroachment permit PUBLIC WORKS APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) For the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, water mains and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS Subdivision Improvement Permit - Clan I II DATE: August 1, 1994 Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION CALLE' PALOMA/AVENIDA NUESTRA (Street address or Description of Location) PURPOSE OF CONSTRUCTION Sketch construction plans if appropriate) DESCRIPTION OF CONSTRUCTION DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED To install 372' of 2" medium pressure plastic gas main 8' E/WPL of Calle Paloma and 6' S/NPL of Avenida Nuestra beginning 188' E/EPL of Calle Tamazula, continuing east on Avenida Nuestra then north on Calle Paloma. APPROXIMATE TIME WHEN WORK WILL BEGIN AUGUST 16, 1994 APPROXIMATE TIME OF COMPLETION December 1. 1994 ESTIMATED CONSTRUCTION COST S (Including removal of all obstruction, materials, and debris, backfilling, com- paction and placing permanent resurfacing and/or replacing improvements) In consideration of the granting of this permit, the applicant hereby agrees to: Indemnify, defend and save the City, its authorized agents, offian. representatives and employees, harmless from and against any and NI penalties, liabilities or loss resulting from claims or court action and arising out of any oxidant, loss or damage to persons or property happening or occurring as a proximate result of any work undertaken under the permit Wanted pursuant to this application. Notify the Administrative Authority at IgM twenty-four 1241 hours in advance of the time when work will be started. Comply wish all applicable City Ordinances, the terms and conditions of the permit all le rules and regulations of the City of Le Quinn and to pay for any additional nplessment rincem v as. the result of th• RHODESIA:: ASHLEY . ' Signature of^ or Agent PE MIT COORLIINATOR > SOi(714-.335-7764 .Nanta of Applicant (plesae printf _ Bwinas Address . Telephone No. FEES: Subdivision Improvement Permit - Clan III Public improvements: 3% of estimated construction costs , Private improvements: 3% of estimated construction costs Minor Improvencent Permit - Clan IV: Sea attached schedule - Inspection Fee $ Permit Fee Penalty Cash Deposit -Surety Bond if required TOTAL: WS Receipt No. Received by ate Recorded by 7; PERMIT VALIDATION PERMIT NO. DATE APPROVED EXPIRATION DATE DATE ISSUED By Administrative Authority TELEPHONE: (619) 564-2246 . LA - -� 4C, ." % ( " Y,-7 '? -he lollowina 6onerat and Special Provisions ars artacneo to and maps a oar, of Permn No. —v 7—:5- GENERAL PROVISIONS the following snail always aooiv: "ENCROACHMENT ON PRIVATE PROPERTY' "his oermn authorizes work to be accomplished within City of La Quints right of wav ONLY. Whenever construction extenas within private brcoenv. it small be the reaoonstodity at the as... ntes for his convactorsi to secure oermisstan nom abutting Property owners. Sucn authorization must De sscurea by the cermmee odor to starting work.TRACKLAYINGCONSTRUCTIONEQUIPMENT: Cleated trecklevingconstruction eautolmerrSmall not beoernlnedtooperst,onariv baveo surface unless tmea witn smootn-tacea street bads. All mechanical outriggers snail be toned win rubber street :no beyond au►ing excavations. Rubber -tired eautoment only small be used in oacatill operations in paved areas. It the existing ' $capes to proses Pavement is scarrea. $balled. or broken during the term at anis contract, or itthe pavement is marred CitV at la Quina shall repuast that these opinions of rano be resurfaced aver their emirs math. Resurfacing shall consist of one cost of two mgtea ail of A.C. surtam 9 plus accrapmats seat Coat as specified above. i PROTECTION OF TRAFFIC: All excavations and work areas snail bacroperty lightoo and be . ad as go the City nsceaaarvpy Engineer or La Quina City Public Wortstnsoeemrs. Suitable ae[ours ono detour signs aw ll be placate and maintained for this duration Of the proles. The City shall be notified 24 Hrs. in advance of any trettie detours or delineations. CARE OF DRAINAGE STRUCTURES: Any drainage structure including corrugated metal pipe, concrete pipe sten$ Culvert aria cOltctete structures encounered during excavation wnien necessitate remove$ snaa be replacoo m kind. In the 0-0 becomes becomes nsaaseary to remove a Cut existing drainage structures. City of La Quints small be notified prior to Commencermem of this want. Drainage structures and open drains shall be kept tree of debris at all times for proper drainage. RIGHT OF WAY CLEANUP: Any surplus material resulting from excavation and backfill edrations shay be removed from the rightof way. All paved surfaces small be orIcameo dean of earth and other objectionable materials Immediately cher backfill andcompaetidn• Existing guher line aria drainage altcnes snail be replaced to their original stanaa a or ostler. All axee33 maternal shalt be rairloved Prior i0 08ying. Wafer tanner shall be used, a3 required. t0 sprinkle the Ipb site to keep aown dust cat101tiana am array De alba immeaute y after baeldill. DE -WATER OPERATIONS: If de -watering operation -a are required and pumps are forcing water on Ciryat La Quina roads it Shailbe the resoonstoiuty at Ina, verminee lcontractorl to control this water and 10 provide off•strest carmcapas vatten rtettoaaary CLOSING me auxS: No street snaa be ewsed. A minimum of one tone of traffic shall be maintained at all times to ptovias Ilmnao aRa9 for me saloimng property owners aro ems►gencyventotes. In he event it I$ felt bythe Dermhteatnat he mufact roo •street am length of time. Pemiimee snail contact this office to obtain the necessary permission. / for SPECIAL PROVISIONS The folhnnng small apply ONLY when indicated: NOTIFICATION: Permmae shall notify the City at 564;22 6- R2 CASH DEPOSITS OR BONDS: A rash bona or an amt least 48 holm in advance of carting cenov=ton. Shall be furnished in the nems at City of La Quints po cover alt rOvOd ry bona in an amount of not less than s roads and survey monuments. This bond shall be continuous um l cancelled involved by he City Q�� TM r V Quints Posted prior to commencement of any work on this project , btdtd must be )UTIUTI CLFAgANCE:fSubstrueturealPriortomaking "my excavation withintheCityOflaQuinamghtdfw^,sumorized by permit, the Dermmee snail comas all concerned utility epmpames relative to the location t existing s Damage t0 exiRmg substructures resuming from operations mnduse0 unser into permn shall be he sole rOIO"Ibiii V a1 Of the permmes. resporuibility R/ UTILITY CLEARANCE: (Surface structuress'No work $halt be dons under this Dermn until all utilities are deer Of the prtfpbsea work site. The permmes snail notify all concerned utility companies at the proposed wpm, R5 PAVEMENT WIDENING: Area between the proposed ea surfaced with inches of A.C. paving placed On"fate gutter line and the existing road Pavement shall be having an "R' Vslus of not less than winches at Class aggregate and in tl contormaneewith City of La Quints Roamprrcvem� Standards olid Specifications. ordinance x481. PARKWAY GRADING: Area between the property line and too of the proposed concrete curbshall be grotlep tea elope Of 1/4 incn to one loot I1 j. R7 GRADES STAKES: City of La Quimesh constructioon. . 811 establish grace& and stakes for the Proposed concrete curb and Quitter RB GRADECHECKING:CityofLaQuintssnailcheckgracesuponrecstatatclanandprafileand/or grades asestablished by a Iiaensea engineer. R9 CURB REMOVAL FOR bRIVEWAYS: A portion of the existing concrete curb and/or curb and gutter 1 feetishall be •. removem Curb Brio/or curb and gurtersholl be saw Cut prior to removal. Depressed curb, matchingeottente guitar and concrete driveway approach shalt be constructed in conformance with City of L 7 Quints Stanciartl nco" 0207, RIO DRIVEWAYS. A.C.: Driveways shall be constructed as not to after existing drainage damson. SubetweenIriacing between [he -1 /2 inches at A.C. paving placed on I —•'I of claaa—� Property tine and the existing roan Paving shall be 2 aggregate case. Driveway construction shall conform to atracned drawing. R11 CULVERTS. A :nen diameter l inches below and in time witn the existing flow ions.vert) installations all confvert snail be installed ormtthe ot sert at achedta►aawing1. . 1 /2 12 SIGHT CLEARANCE. Sight clearance of 600 feet In either direston snail be assured and maintamea R13 .SOIL STERIUIEA: The area to be surfaced shall be treated with sat Sterilizer. Rate of abpoeati manufactureon shall Comply with the manufacturers specifications. COORDINATE WORK:'Ths Proposed work shall be subordistea to any operation which the State of California or City of La Quints may conduct in this area during the period of this permit. Work snail be eooroinatea with the State or City of La Quina forces to preclude delay or interference with State or City at La Quints cycle=. R15 SURVEY MONUMENTS: Prior to excavation or beginning of Constrttetion, all survey monuments wnicn exist on the canterlins of all ween or orover,v tines when involved shall be cantaletehr tied out so they may oe readdyand cwrecthr be to lin•$handed anal be nginew in attMypr at the Cadets atthe oermnraa A odmpists set of news wwmng me ties to map monuments snap be turnisrtoo to the City Erotnver 0 to tithe ren mm' at amimantrmettto. Alis critics snail 00 lot 00 coon Ccriewdpr at rsotocmnwm tot 811 survey manurr enalf ter aaaw aaaer ewnwerw- i "or io a cavauon or oemnnmo or caatrucnon. au survev monuments snail p a La IJumta ano suitame oavrm I or auarantes or oavmenz snail be mane as re'moursemem ir, etreooutav lilt R17 - AVEMENT CUTTING: Paysmem will be met:nan'Caliv cut to a straight e ✓ all -wit invmvea. cutting shall be eoorovea tnroupn the orifice at the City Enginea. /Under n rt�urnstan� s�81n. Method at pavement Oe uses to excavate ortor to cuttino at pavement'. Excavation material snail be place° in sucn a lacilitate the general Clow or tramc. Prior to tonal oavinq operations. anv damage to pavement Straightexcavating equibment position as to pest corrected. e R18 PAVEMENT CUTTING. Pavement snail be saw cut orio► to removalrr, Prior to final paving ooeretrons age snail be pavement straight edge snail be coemeo. UMIT OF EXCAVATIONS: Excavations snarl be limited to 1:0006neal feet of open trencn before backfill a any damage to begin. All excavations snail be Property barricaded wrtn lio^ts averniont. on weekends and nolidays for the oerotions must Me traveling pupac. The Public Works inspector snail date rmrnetneswtaowrvofe:wvatianoarneamo i eprotectionat excavation snail remain Open for a verba exceeding live t6l days No excavation Shall be mace uniQ33 th0 COnS[ruetlOn material is actually On the work site. g ^ each case. No R20 BACKFILL MATERIAL8addmta., tllShallbefreeofbrush,roomoramararganicsubstancedetnen Ot producing an adequately consolidated b8CKfill. Any matenalwhtCn the City of La -.s use for purposes satiiraro0 material) which is encountered during excavation snap not be used for baQuintl-abut snarl be sumsuns �lelspongyor reolaeed by an approved sand or grave'. R21 BACKFILL oplememea or LLSAND: Baddill shall be approved trarort•mrr sand or equivalent and shall be placed in "its of nOtgroaterthan three feet 131 and vibrated using vibromamper or edurvacent equipment. Alternate rthethpparrhay be"its Cass a relative compaction of 95 percent shell be attained within rhe a;rt;C2ura1 stlftttaa, but in any . R2 BACKFILL PLACEMENT: Backfill snau be applied in laver of sec an at the roadway, before hooding ora maximum offive4opt(51lifts where ire resmorethan50percentofLhatotaldepthpfMalichen backfill material is not subleaeo to emame swell by flooding areofexeesary11 eoepun Ca retstopeexwetttedthattha resulting compaction snail be not less than 90oerpem or eduivafemver�o the surroufnmrmhatenal shall be pieced ao that the comoaction. Where dancing orflooding isused for amanmumsetttothe a 9ground. whrrneyeflithe greater Me water. Where letting is used. the jets shall be of sufficient length to reagin tnetboetom of each dikes will be constructed >trvtcte0 to retain supply shall be Continuous. ver and the water If so bvthe R23 COMPACTION etandaminimuZSfone11)test neacnroad.Oncomoacuontestssnailbemaceatinrervalso}^ortnore feet and a minimum of one 111 test on nen road One (I j Copy of each test snail be forwaroea to the CI approvalendfiledonortomakin than 1'�0 Standard 9 Permanent repairs. �rtioactian teSts snail be mane as cumnea in Section Engineer for Soaattea IOM Division of Highways. State of California. dated January 1973. 6 3 01 of the R2 COMPACTION TESTS: If so required by the inspector. Compaction testa shad be made for darn crossing One 111COPY otseen test snail befotWe►dadtotheCitvEngineertorepprovelandfmacefiled orseem to gorservice line. Compaction tests snail be mace as outlined in Section 6.3.01 ofthe Stanaaro Speerfidattp making Dermarrnt repaua. Of California. dated January 1973. ns. Division of Hightivarya State R25 TEMPORARY PAVEMENT REPAIRS: After completion of baddill and compaction operations, a temporary paten consisting of 2 inches of SC -800 shall be placed an a preparedsubgraee. The SC -800 temporary paving snap be Placed after a maximum of 3.000 lineal feet of trencn has been excavated and back} ill operations completed. but in no case shall the placement of the temporary pavement exceed a five 15) day limit R26 PERMANENT PAVEMENT REPAIR: After backfill and Compaction operations have been completed. a temporary paten Consisting of two inches 12"1 of SC -800 shall be placed immemateiv. A oermanem oaten of surfacing placed on a inch class base shatlbe placed no laterthan —_� irhehe! A.C. temporary roes repair. days aftertompta[lon of R27 PAVEMENTREPAIR: F.A.S.; Upon completion of backtill and Owmaction. a temporary Paten consistingof of cold mix paving ISC-8001 shall be placed immediately. A permanent paten at three inches (3') of A -r_ two manes 12i be placed on six inches 16'1 concrete base as directed. but not later than fifteen 1151 days after cam len surfaemg shall paving- Concrete bass snail be of f ive•sack mix and shall conform to the City of l a Ctuinta Read Imprpyer� temporary and Speatications. Ordinance 0461. eftrStanoards R28 FOG SEAL A fog seal coat consisting at an application of asphaltic emulsion small be applied over all paten areas as determined by the City Engineer. R29 SEAL ARMOR COAT: A Seel coat corr lassting of an application binder and screenings shall be applied on all paten areas where sucn seat Specicoatfic exis[ed prior toissuaneeat this pe►mrt. Seal armor shall be applied as sueafiatl t Section 37, Standard Specifications. State of California, Division of Highways. dated January1973. Work of pavernem repair to be seeorritilished by a licensed contractor engaged in the business of pavement repair. R30 STREET RESTRIPING: Where street striping isstill visioleonstreets tooeexcavatea.sucrostripingShall completion of permanent repairs. berepladequpon R31 TREE RELOCATION OR REMOVAL. Tree relocation witnin the City of La Quinta road right of way shall be accomplished IN a licensed. bonded and insured tree service. and he noted safety wilnaut mtertere nce or hazard to the Traveling public. It shall be the responsibility of the permittee to mainiiin the tree in a vigorous growing condition at its new location. Trees to be removea shall be removeatn sectionswhich can be handled safelvwithout interference or nazard to highwav traffic. The entire width of the tree stump snail be removed and disposed of so inat no debris remains in view of the highway. The sturno hate snail be backtilled and thoroughly Compacted asspecrtied in the following paragraph.Where it. becomes necessary to restrict traffic. the work shall be restricted to a maximum of 500 feet at any one time. Adequate signs. flagmen and/or bamcades shall be provided to protect the traveling public at all times. Large holes resulting from tree removal shall be batldilled and compacted to not less than 90 percent or equivalent to the surrounding ground. whichever is the greater compaction as 411terminep by the impact or field method. Compaction tests shall Comply with Section 6.3.01 of the Standard Specifica cans. Division of Highways. State of California. dated January 1973. R32 TREE TRIMMING: a. Only the neeessary trimming snail be accomplished to prOMO Clearance Of the facility for on All broken or weak sections within the trimming snail be removed e Calendar year. b. Where becomes necessary to restrict traffic. the work Shall be restrictedtoamaximumot500feetatanvone[lone. Adequate signs. Ilagmen. and/or barricades snail be provided to protect the trav"ng public at all times. arrangements with adjoining propertc. If tree trunks are partially Outside of the City of La Quirrca road right of way. De"TiMee shall 'mete his own by this permit. y awrron tar consent totne trimming in addition to the authorization provided d. All tree trimming on EVERGREEN TREES, PALM TREES. anadther ORNAMENTAL TREES shall be aoeompttsheato the satisfaction of the City Public VVcrks tnspersgr. e• Abutting MOWN owners shall be COfiOCOM in all inst inea, tenor to trimming or topping trees. t. ?honing tlnau in all in=wvcaa W as the anouldar of the erten m :'X•... ,v:.- -•cam;,+.•}.. .. carr-:;—.ae:�^�r.pc. •w.:...;V�.�. ::.r,�� .von: .. a::ra.:r•.v.-s•;.a•.;,:...c.:.p,..:�:!�.�.:�..;+.r..._. SPECIAL CONDITIONS --PERMIT NO. 2225 --- THE GAS CO. --- In addition to the standard permit conditions, the following shall apply: 1. All work shall be performed in accordance with the latest edition of the Standard Specifications For Public Works Construction. ' 2. Permittee shall be responsible for providing continuous dust and erosion control. 3. Streets. shall be kept clean. They shall be completely cleaned at the end of each working day and more frequently if required. 4. Contractor shall comply with the local noise ordinance. Operation and maintenance of equipment within one half mile of human occupancy shall be performed only during the following time periods: October 1 st to April 30: Monday -Friday 7:00 a.m. to 5:30p. m. Saturday 8:00 a.m. to 5:00p. m. 0 May 1 st to September 30: Monday -Friday 6:00 a.m. to 7:00p. m. Saturday 8:00 a.m. to 5:00p.m. Work shall be prohibited on legal holidays including Sundays. 5. Permittee/contractor shall assume responsibility for repair of any pavement damage to any public or private- street and for any damage to other City streets or facilities as a result of work performed under this permit. 6. Advance warning signs and traffic control shall be installed and maintained in accordance with Cal Trans Standards or the Work Area Traffic Control Handbook (WATCH Manual). It shall be the permittee's responsibility to detour and barricade this site. 7. Street closures shall not be permitted. A minimum of one travel lane on paved surface shall be maintained with flagmen at all times. 8. Prior to excavating, the permittee shall contact Underground Service Alert at 1(800) 422-4133. 9. Should additional work, materials, or modifications of the.work be required in order to meet city standards, safety requirements, signage requirements, or to fit actual field conditions, the work shall be performed by the permittee as directed by and to the satisfaction of the City Engineer at no cost to the City of La Quinta. Special Conditions - Permit No. 2225 .. t+•#<<! ti: '� ,t:°�pda.�hy ;fey+t.��!F-4.'t� .w� -. �e Page 1 of 2 SPECIAL CONDITIONS ---PERMIT NO. 2225 continued 10. All work shall be coordinated with the City's contractor and others working within the area as directed by and to the satisfaction of the City Engineer. 11. When the work is within 500' of a signalized intersection, the permittee shall notify Riverside County Signal Dept. at (714) 275-6894 or Caltrans Signal Dept. at (619) 688-6845 as appropriate a minimum of 48 hrs prior to starting work. 12. . All backfill and subgrade soil shall be compacted to 90% relative dry density, all backfill soil within the top 2"of finish pavement surface shall be compacted to 95 % relative dry density, all base material shall be compacted to 95% relative dry density. 13. All excavations at or near the travel way shall be backfilled and paved at the end of every work day as directed by and to the satisfaction of the City Engineer for the protection of the traveling public. 14. All landscaping, irrigation, decorative rock, decorative concrete, lighting etc. shall be replaced to its original condition. 15. Access and egress to all local properties shall be maintained at all times. 16. If the work is to be performed by forces other than that of the utilitycompany the contracting company shall be required .to apply for an additional encroachment permit and pay the appropriate fee. Special Conditions - Permit No. 2225 Page 2 of 2 (;AS #4AININ LOC 1/t/S7_1q L L lq4l%1 TT f.Poil 20c14 —Loc �?�/_2Cr •� A� 4iit.) r�/✓J/ Sc�Y/CZ 10 T L oC' .G', Lo , 8 c+up.ply Line rL fcC'-Ld �.: I yes Va!ve{s) Reojjja;"j I i1 C.P.: sre C.P. Revica/ee- BF FRevitwnd By: I.t SOUTHERN CALIFORNIA GAS CO -2956-3J 0444z -z- PLAN FILE NO. :BASE SKETCH' I CONSTR. SKETCH COMPL. SKETCH % er: i SHEET ZZ-( �OF_ I _Z_ T-'S1'7Z'O/ /1/o.�Tr o ENI � ' "/��`ii✓ ,�- , I?L - 3 �° ZoT 1�01:-I. Co.F�vL�.e 0 KZ (COD E _rxT__Irr L . -7-'� Q TOTAL FEET INST'D. INSTALL MAIN WITH AT LEAST 3Q ";',OVER BELOW / ✓/ C-LeIJ i:�t TOTAL FEET RETIRED Q c PERMIT ISSUED BY PERMIT NO. DATE MOVED DATE MOVED DATE OF RETIREMENT COUNTY �\ y� r//�1�:��'n ON JOB OFF JOB OPER._ DISTRICT -.L��T REASON /-7 CREW FOREMAN TRACT f PLANNED BY COMPANY NO. ATLAS '7'' I1//%� - `EAR C.P. -L-y "--�STAKED ❑ COMPANY FACILITY: SO. CAL P.L.S. ❑ NO. -/ 1VL.J /D 3 INSTALLED REVIEWED BY �� C STAKING REO'D. ❑ _�.//L��I � G��%�/�:� DIVISION CATHODICALY OPER. 20% OR OVER ❑ � � � , � .-, PROTECTED- YES ❑ NO ❑ ,AT . I_ESSTHAN 20% . ❑ S.M.Y.S. NO STAKES NEEDED ❑ W.O. %'� `� CODE { DISTRICT SUPERVISOR I