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2731NOTE: •' • With proper validation this form constitutes an CITY OF LA QUINTA encroachment permit 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: Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION at Ayo, . 52 (Street address or Description of Location) PURPOSE OF CONSTRUCTION Qs*:afiS7;C 01nnKI DESCRIPTION OF CONSTRUCTION Tnntnll ey;r Zlc nlr .-�X SfCa Clr��f�d�?Q�. �gaE�O. DIMENSION OF INSTALLATION OR REMOVAL�� TJlt��o• SIZE OF EXCAVATION, IF NEEDED Goe plono. APPROXIMATE TIME WHEN WORK WILL BEGIN 5/5e/yo Sketch (attach construction plans if appropriate) APPROXIMATE TIME OF COMPLETION 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 applicant hereby agrees to: Sm nTITACHUD WNDIT101.13 SEB Ali; Pl!t?V-LD P1.A - 0, TITLED: " tIZU PIC =MT AT AVICUM 52" ICY NICZ2PZ0Z,] DIM- CI -M, 6 ASSOC., DATM) 2/23/90. Indemnify, defend and save the City, its authorized agents, officers, representatives and employees, harmless from and against any and all j penalties, liabilities or loss resulting from claims or court 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. w � ' Signature of Applicant or Agent Twee tEan Club A000C. 70-505 01A Aeo. 52 %a Qutneo, CA (760) 564-3355 Name of Applicant (please print) Business Address Telephone No. SP_crro Pneigic LIcctricnl 2542 Avclloz St. a lycxoldo, CA (909) 706-1610 Name of Contractor and Job Foreman Business Address Telephone No. 26400 1155 Contractor's License No. City Business License No. cillel-m- ati InClArc uen Co. V20664000 Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit —Class III Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated construction costs Minor Improvement Permit — Class IV: See attached schedule Inspection Fee $ 6i Permit Fee Penalty Cash Deposit -Surety Bond if required TOTAL: Receipt No. Received by Recorded by $ "'0" Date PERMIT VALIDATION PERMIT NO. %751 DATE APPROVED V/ 0/00 EXPIRATION DATE DATE ISSUED By_'r J" I Y Administrative Authority Telephone: (619) 777-7075 NOTE: With proper validation ' ;his 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 DATE:'n�r�t" 10- I ", t= Subdivision Improvement Permit — Class III Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION Ntx-int r•t Am. 52 (Street address or Description of Location) PURPOSE OF CONSTRUCTIONSketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION �nxrxl It°��r9e rx4a'rat DIMENSION OF INSTALLATION OR REMOVAL 2LAT111. SIZE OF EXCAVATION, IF NEEDED sn( � APPROXIMATE TIME WHEN WORK WILL BEGIN APPROXIMATE TIME OF COMPLETION0/1��� ESTIMATED CONSTRUCTION COST $ a 11%a `- ^' «1 IV) (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: 02 A00rOW D PSS, TISL)1 'D: '`i=FIC ,]C° �lF3at�rLS.A^xZ0'3, :?=--STT:G'r'0n lYnaCN5 b ASCOC., O,%TED 2/23/93. Indemnify, defend and save the City, its authorized agents, officers, representatives and employees, harmless from and against any and all I penalties, liabilities or loss resulting from claims or court 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. �� - M - �, kj(xo�, 31 cuoc4f,�11 Signature of Applicant or Agent �`rn� IP4rms� E`.lii% A^neon"- Az7n. 12 T.n exvs9.IIItn,. CA (760) 5n4-33>0)' Name of Applicant (please print) Business Address Telephone No. Cel 000 784-1610 Name of Contractor and Job Foreman Business Address Telephone No. 9 G6.AO A 1-55 Contractor's License No. City Business License No. f!4e�o'f���za:�tt�1 Y�ronmvsnzzsa�ran Cans. ('�3�v'afi��s�v'�D� Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit —Class III 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 Penalty Cash Deposit -Surety Bond if required TOTAL: $ — 0 --yi` Receipt No. Received by Date Recorded by PERMIT VALIDATION PERMIT NO. 2731 DATE APPROVED 3/30/918 EXPIRATION -DATE DATE ISSUED / f By . r . Administrative Authority Telephone: (619) 777-7075 The following General and Special Provisions are attached to and made a part of Permit No.. 2_7 3 74' GENERAL PROVISIONS. i r The following shall always apply: /' a t, f ' }.T* lo 4 ENROACHMENT ON PRIVATE PROPERTY: This Permit,authorizes work to be accomplished within Cit of La Quinta right of way ONLY: Whenever construction extends within private property, it is the responsibility of the permittee for his contractors to: !secure permission from abutting property owners. Such authorization must be secured by the permittee prior to starting work. + • } TRACKLAYING CONSTRUCTION EQUIPMENT:,- Cleated tracklaying construction equipment shall not be permitted to operate on t s -'any paved surface unless fitted with smooth -faced street pads. All mechanical outriggers shall be fitted with rubber street shoes to +• + i ''protect the paving during excavations. Rubber -tired equipment only shall be used in backfill operations in paved areas: If the exisiing n' +l,',�! f "•t, ".rt pavement'is scarred, spalled, or broken during the term of this'contract,-or if the pavement is marred, City of La Quinta shall request" z. t that these portions of road be resurfaced over their entire width: Resurfacing shall consist of "one coat of two inches.(2") of A.C. ,r: a s: E,'• surfacing plus appropriate seal cost as specified above. 4 • ': PROTECTION OF TRAFFIC:. All excavations and work areas shall be properly lighted and barricaded aspdeemed necessary by the, +r k' City Engineer or La Quinta City Public Works inspectors. Suitable detours and detour signs shall be placed and maintained for the duration of the project. The City shall be notified.24 hours.in advance of any traffic detours.or delineations. " _ r r -t . • xr^a" CARE OF DRAINAGE STRUCTURES: j Any`drainage'structure including corrugated metal.pipe, concrete pipe; steel culvertand concrete st`r'uctures encountered during excavation which necessitate removal shall be replaced in kind. b the event it becomes .r • V7 : r necessary to remove or cut existing drainage structures, City of La Quints shall be notified prior to commencement of this work. Drainage structures and open drains shall be kept free of debris at all times for proper drainage..2. • RIGHT OF WAY CLEANUP: Anysurplusmaterial resulting from excavation" and backfill operations shall be removed from the right. of way..All paved'surfaces.shall be broomed clean.of, earth and other objectionable materials immediately after backfill and compaction. ? Existing gutter line and'draivage ditches shall be replaced. to their original standard or better. All excess material shall be.removed `t prior `to paving,' Water tanker shall be used, as required, to sprinkle the job site to. keep down dust conditions and shall be used t immediately afterlbackfill. T _ a• DE -WATER OPERATIONS:. •If de -watering operations are required and'pumps are forcing water on City of La Quinta roads, it shall i v' . be, the responsibility of the permittee (contractor) to control this water and to provide off-street barricades when necessary. r .: ' •r r CLOSING. STREETS: No street shall be closed. A minimum of one lane oftraffic shall'be maintained at, all times to provide limited,.. access for the adjoining property owners and.emergency vehicles., In the event it is felt by the permittee that he must_ close a street for F r any length of time; permittee_ shall contact this office to obtain the necessary permission. ... . . � `,(�?i . . 'Ei �. • { • 1. � y. . •, 'e•*• *,Ff a{I y r!• 1 .1 t . `., SPECIAL PROVISIONS � •. :+ � . ,j '' • i .4!` : ": fit,. � i S 't 'i+;• ` • The, following shall apply when indicated: 'r. • R1'. NOTIFICATION: ,Permittee shall notify the City at (619)777-7075'at least 48 hours in advance of starting construction.. t• R2 [T HX]rY CLEARANCE: (Substructures) Prior to making any. excavation within the City of U Quinta right, of way ' authorized by permit, the permittee shall contact all concerned utility companies relative to the location of existing ' . . substructures. Damage to existing substructures resulting from operations conducted under this permit shall be fhe sole,, sw, responsibility of the permittee. - ,.,,.: - .t. � r 'dam'•' ,yl. i,5;. .,� .. �N ;� 3 • at . , R3UTI ITY CLEARANCE:. (Surface Structures) No work shall be done.under this permit -until all utilities are clear of the • t proposed work site. The permittee shallnotify all concerned utility companies of the proposed work. { • R4 PAVEMENT WIDENING: Area between the proposed concrete gutter line and the existing 'road pavement shall be surfaced _ =' inches of class aggregate subbase course having an "R" •; ,.z•; i With inches of A.C.A.C: paving placed on •. "';� •+ value of not less than A. and in conformance with, Cityof La'Quinta Road Improvement Standards and r �4;,* Specifications, Ordinance #461. +, R5' PARKWAY, GRADING: , Area between the property line and top of_the proposed concrete curb shall be graded to a slope of '. s 1/4 inch'to one foot (1'). " ,x • , R6.. GRADE CHECKING: • City of La Quinta shall check grades upon receipt of plan and profile and/or glades as established by a licensed engineer. t,RT, CURB REMOVAL FOR DRIVEWAYS:,, A portion of the existing concrete curb and/or curb and gutter feet) -shall be d +i, j• removed. Curb and/or,curb and .gutter shall be saw cut prior to removal. Depressed curb, matching concrete gutter and concrete driveway approach shall be"constructed in conformance with Ciiy.of La Quinta Standard #207: . -, • R8 i, DRIVEWAYS: A.C. driveways shall be constructed as not to alter existing drainage pattern Surfacing between the property line and the existing road paving shall be 2 1/2 inches of A.C. paving placed on (-) of class aggregate base. 1 J f: 'Driveway construction shall conform toattached drawing. z • R9 SIGHT CLEARANCE:'" Sight clearance of 600 feet in all directions shall be assured and maintained at all times. ' ,t .4 R10 'r.SOIL STERILIZER: - The area to be surfaced shall be treated with soil sterilizer. Rate of application shall commply with the �/ manufacturer's .specifications. 1 R11 COORDINATE WORK: The proposed work shall be subordinated to any operation which the Stale of California or City of ' La Quinta may conduct in this area during the period of this permit. Work shall be coordinated with the State or City of La Quinta forces to preclude delay or interference with State of City of La Quinta projects. R12 SURVEY MONUMENTS: Prior to excavation or beginning of construction, all survey monuments which exist on the centerline of all streets or property lines when involved shall be completely tied out so they may readily and correctly be replaced by a licensed civil engineer or surveyor at the expense of the permittee. A complete set of notes showing the ties to these monuments shall be furnished to the City Engineer prior to the removal of any monuments. This office shall be notified upon completion or replacement of all survey monuments for proper project clearance. R13 PAVEMENT CUTTING: Pavement will be mechanically saw cut to a straight to a straight edge prior to excavation. Method of pavement cutting shall be approved. through the office of the City Engineer. (Under no circumstances shall excavating equipment be used to excavate prior to cutting of pavement.) Excavation material shall be placed in such a position as to best facilitate the general flow traffic. Prior to final paving operations, any damage to pavement straight edges shall be corrected. R14 LIMIT OF EXCAVATIONS: Excavations shall be limited to 1000 linear feet of open trench before backfill operations must begin. All excavations shall be properly barricaded with lights overnight, on weekends and holidays for the protection of the traveling public. The Public Works Inspector shall determine the suitability of excavation barricading in each case. No excavation shall remain open for a period exceeding five (5) days. No excavation shall be made unless the construction material is actually on the work site. R15 BACKFILL MATERIAL: Backfill shall be free of brush, roots or other organic substance detrimental to its use for purposes of producing an adequately consolidated backfill. Any material which the City of La Quinta deems unsuitable (spongy or saturated material) which is encountered during excavation shall not be used for backfill, but shall be supplemented or replaced by an approved sand or gravel. R16 BACKFILL SAND: Backfill shall be approved transit -mix sand or equivalent and shall be'placed in lifts of not greater than three feet (3') and vibrated using vibrotamper or equivalent equipment. Alternate methods may be substituted, but in any case, a relative compaction of 95 percent shall be attained with the structural section of the roadway. R17 BACKFILL PLACEMENT: Backfill shall be applied in layers of not more than 50 percent of the total depth of the trench before flooding or a maximum of five-foot (5') lifts where trenches are of excessive depths. Care is to be exercised that the backfill material is not subjected to extreme swell by flooding operations. Backfill material shall be placed so that the resulting compaction shall be not less than 90 percent or equivalent to the surrounding ground, whichever is the greater compaction. Where ponding or flooding is used for a maximum settlement, adequate dikes will be constructed to retain the water. Where jetting is used, the jeis shall be of sufficient length to reach the bottom of each layer and the water supply shall be continuous. R18 COMPACTION TESTS: If so required by the inspector, compaction tests shall be made at intervals of not more than 1000 feet and a minimum of one (1) test on each road. One (1) copy of each test shall be forwarded to the City Engineer for approval and filed prior to making permanent repairs. Compaction tests shall be made as outlined in Section 6.3.01 of the Standard Specifications, Division of Highways, State of California, dated January 1973. R19 COMPACTION 'PESTS: If so required by the inspector, compaction tests shall be made for each crossing or service line. One (1) copy of each test shall be forwarded to the City Engineer for approval and filed prior to making permanent repairs. Compaction tests shall be made as outlined in Section 6.3.01 of the Standard Specifications,. Division of Highways, State of California, dated January 1973. R20 TEMPORARY PAVEMENT REPAIRS: After completion of backfill and compaction operations, a temporary patch .�r consisting of 2 inches of SC -800 shall be placed on a prepared subgrade. The SC -800 temporary paving shall be placed after a maximum of 3000 linear feet of trench has been excavated and backfill operations completed, but in no case shall the placement of the temporary pavement exceed a five (5) day limit. R21 PERMANENT PAVEMENT REPAIR: After backfill and compaction have been completed, a temporary patch consisting of two inches (2") of SC -800 shall be placed immediately. A permanent patch of inches A.C. surfacing placed on a inch class base shall be placed no later than days after completion of temporary road repair. R22 FOG SEAL: A fog seal coat consisting of an application of asphaltic emulsion shall be applied over all patch areas as determined by the City Engineer. R23 STREET RESTRIPING: Where street striping is still visible on streets to be excavated, such striping shall be replaced upon completion of permanent repairs. R24 TREE RELOCATION OR REMOVAL: Tree relocation within the City of La Quinta road right of way shall be accomplished by a licensed, bonded and insured tree service, and handled safely without interference or hazard to the traveling public. It shall be the responsibility of the permittee to maintain the tree in a vigorous growingcondition at its new location. Trees to be removed shall be in sections which can be handled safely without interference or hazard to highway traffic. The entire width of the tree stump shall be removed and disposed of so that no debris remains in view of the highway. The stump hole shall be backfilled and thoroughly compacted as specified in the following paragraph. Where is 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 barricades shall be provided to protect the traveling public at all times. . Large holes resulting from tree removal shall be backfilled and compacted to not less than 90 percent or equivalent to the surrounding ground, whichever is the greater compaction as determined by the impact or field method. Compaction tests shall comply with Section 6.3.01 of the Standard Specifications, Division of Highways, State of California, dated January 1973. SPECIAL CONDITIONS--PEFMT NO. 2731 --- Tradition Club Associates --- R 1 In addition to the standard permit-conditions; the following shall apply: n 1. • Pursuant to Section 14.16.320 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982),'all ° .. work shall be performed in accordance with the latest edition of the Standard. Specifications For Public Works Construction (SSPWC) and as directed by and to the satisfaction of the City Engineer. . i2. Tradition Club Associates, hereinafter referred to as "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: Pursuant to Section 6.08.050 of the La Quinta Municipal Code (Ordinance 18 § 1, 1982), throughout t the work site, the Permittee shall comply with City, regulated! work hours. Operation and maintenance of equipment within one-half mile of human occupancy shall be performed only during the. following time periods: 1 October 1st,to April 30: Monday-Friday 7:00 a.m. to 5:30 p.m.- Saturday' .m.Saturday 8:00 a.m. to 5.00'p:m. May 1st to September 30: Monday-Friday 6:00 a.m to 7:00 p.m. Saturday 8:00 a.m. to.5:00 p.m. Work shallbbe prohibited•on legal holidays and Sundays. 'y 5: Work performed within.500 feet of a major and/or signalized- intersection-, is restricted between the •. hours of '9 a.m. - 3 p.m. Traffic control shall be set up after 9, a.m. and removed before 3 p.m." The Permittee shall contact the Riverside Country Traffic Signal Maintenance b6pdrtment at (909) 275- 6894 if signal operation at, the intersection•is to be altered in "any way. , 6: Pursuant to Section 14.16.110 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982), k ` Permittee 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. 7' Pursuant to Section 14.16.250 of the La Quinta Municipal Code (Ordinance 10; § 1 •(part), 1982), 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). A traffic control plan,, if required, shall be prepared-,in accordance with the WATCH Manual and submitted totheCity - for review and approval one (1)week, prior to starting any construciion. It shall, be the Permittee's responsibility to appropriately detour and barricade all construction sites. Special Conditions - Permit No. 2731 Page 1 of 3 a t SPECIAL CONDITIONS --PERMIT NO. 2731 Tradition Club Associates ., _ - ' . .. •, a .. •R - .. �?,' � F. ::�• .. - . ^8.- Pursuant to Section 14.16.290 of the La Quinta Municipal Code (Ordinance 10 § 1 (part);' 1982);. ' street closures shall not be permitted. A minimum of one travel lane of paved surface shall be maintained with flagmen at• all times. r « k `F 9. Prior to excavatin if re uired the Permittee shall contactUndergroundY Service Alert at g� q .-4133. -It shall be the Permittee's responsibility to notify the Public Works Department of anticipated - excavation which impact City facilities, including but not limited to traffic signal conduits and loops, w _' •' ` „ r irrigation -lines, electrical conduits, and storm' -drain facilities: 10. Should additional works 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; h o cost,'" ;,to the City,of La Quinta. ` 11. Pursuant td;Section- 14:16.370 of the La Quinta Municipal Code. (Ordinance 10 § 1 ' (part), 1.982); , backfill compaction within street rights-of:way:shall conform with Section 306 -1.3 -of the latest edition of the Standard Specifications For Public Works Construction (SSPWC), and as required by ' the Public Works Department. Backfill. shalt be completed.in lifts, not to exceed 1', compacted'to . `• 90%•minimum relativecompaction: Native material 'may -be used, provided the material' is suitable ~ for,use as backfill after construction operations.•Controlled Density'Fill (CR) may be used as an V alternative. _ • , .: 1112. All excavations within City of La Quinta right=of--way shall be backfilled, and temporarily paved if Within the existing travel way; at the end of every workday as directed by and to the satisfaction of 'the City Engineer for the.protection of the public. Lengths of open trench shall not greatly exceed that which can not.be backfilled in the same day. Excavated trenches shall not be allowed open..' y s overnight, however, Permittee may leave alength of excavated trench, not to,exceed-twenty (20) feet '• ' . `,* ., ` in -length, open overnight -at a point where -construction wiffbegin the next day, provided thatthis• �. ' length of trench is completely covered by steel plating. ' ' • 13. All landscaping,jirrigation, decorative rock, decorative concrete, lighting, etc., shall be replaced to } its original condition. _ ' 14: Access and egress to all local properties shall be maintained at all times. 15'` Pursuant'to Section 14:16.375 of the'La Quinta,Municipal Code (Ordinance 10 § 1 (part), 1982),•.: permanent pavement replacement shall be completed no later than seven'(7) days after the ►,' completion of the work. Permanent pavement shall .be replaced as follows: - . : • ` ` awcut and rem ve existing a.c. 'surfaces a distance of one foot 1' be and all trench walls ` a S o .. g Y it "" -_including any sloughing or.cave' in of adjacent soils., Undermined a.c.. surfaces shall •be '. •^ removed.'All{a.c. edges shall be�straight, clean and,vertical. f b) -Provide six inches (6':)'of crushed aggregate or miscellaneous base material, compacted'to ' " 95% minimum .'relative compaction. _ Special Conditions - Permit No. 2731 , f - -Page 2 of 3 '- S ii SPECIAL CONDITIONS --PERMIT NO. 2731 --- Tradition Club Associates --- c) Provide., five and one-half inches (5t/z") :of asphalt concrete in two (2)' lifts; the .'first lift comprised of a base course a.c. material, of a :City approved mix design, meetingthe requirements of. Greenbook class B -AR -4000; the final lift comprised of a wearing course a.c. material, of a City approved mix `design; meeting the requirements of Greenbook class C2 -AR - 4000. All pavement edges shall be flush with adjacent a.c. surfaces. Each lift of a.c. material shall be compacted to 95% minimum relative compaction. 16. Permittee shall notify the City of La Quinta Public Works Department a minimum of 48 hours prior to commencement of any construction at (760) 777-7075. 17. Permittee shall stabilize any soil that was disturbed (shoulder areas; etc.) as. a result of work performed under this permit with an approved dust control treatment.+. 18. Pursuant to Chapter 12.56 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982) the City, has designated certain city streets as Truck Route's: The Weight limit.for restricted streets (i.e., streets,. not part of the Truck Route network) is three (3) tons; trucks exceeding,the weight°limit may use a -restricted � street if making a delivery or pickup on the subject street; or if this permit specifically grants permission to use the street to deliver street construction materials and/or equipment. 19. The City of La Quinta reserves the right to revoke, suspend or void this permit at,any time. 20. This permit authorizes the ' installation ' of traffic signal improvements within the Washington Street/Avenue 52 intersection, as shown on the approved plans, titled: "Traffic Signal Installation, Washington Street at Avenue 52," by Nickerson,,Diercks & Assoc., dated 2/23/98. Special Conditions - Permit No. 2731g Pa e3of3