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APPLICATION FOR ENCROACHMENT PERMIT
PERMIT NO.EN-01316
TO THE CITY ENGINEER OF THE CITY OF BAKERSFIELD CALIFORNIA:
Pursuant to the provisions of Chapter 12.20 of the Bakersfield Municipal Code, the undersigned applies for a permit
to place, erect, use and maintain an encroachment on public property or right of way as therein defined.
1. Full name of applicant and complete address including phone number:
ADVANCED ENVIRONMENTAL CONCEPTS
4400 ASHE ROAD, SUITE 206
CA
BAKERSFIELD
93313
Phone No, (805)831-1646
2. Nature or decription of the encroachment for which this application is made:
TO INSTALL ONE 2-INCH GROUNDWATER MONITORING WELL IN THE CITY'S RIGHTAWAY ADJACENT TO BRUNDAGE L
ANE
~~( Location of proposed encroachment is :
~ BRUNDAGE LN
SOUTH SIDE OF BRUNDAGE LANE IN THE 600 BLOCK WIT HIN 8-FEET OF CURB LINE
4, Period of time for which the encroachment is to be maintained:
1 TO 2 YEARS
Applicant agrees that if this application is granted, applicant will idemnify, defend and hold harmless City, its
officers, agents, and employees against any and all liability, claims, actions, causes of action or demands, whatsoever
against them, or any of them, before administrative, quasi-judicial or judicial tribunals of any kind whatsoever,
arising out of, connected with or caused by applicant's placement, erection, use (by applicant or any other person or
entity) or maintenance of said encroachment. The applicant further agrees to mantain the aforesaid encroachment during
the life of the said encroachment or until such time that this permit is revoked.
Applicant further agrees that upon the expiration of the permit for which this application is made, if granted, or upon
revocation thereof by the City Engineer, applicant will at his own cost and expense remove the same from the public
property or right of way where the same is located, and restore said public property or right of way to the condition
as nearly as that in which it was before the placing, erection, maintenance or existence of said encroachment,
Applicant further agrees to obtain and keep all liability insurance required by the City Engineer in full force and
effect for however long the encroachment remains. Applicant shall furnish the City Risk Manager with a certificate
of insuance evidencing sufficient coverage for bodily injury or property damage liability of both and required
endorsements evidencing the insurance required,
The type(s) and amount(s) of insurance coverage is:
Applicant acknowledges the right of the City Engineer, pursuant to Bakersfield Municipal Code Chapter 12.20 to revoke
the permit at any time,
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Date:02j20j1997
PERMIT
I HEREBY CERTIFY THAT I HAVE MADE AN INVESTIGATION OF THE FACTS STATED IN THE FOREGOING APPLICATION AND FIND THAT THE
MAINTENANCE OF SAID ENCROACHMENT (1) WILL (NOT) SUBSTANTIALLY INTERFERE WITH THE USE OF THE PUBLIC PLACE WHERE THE
SAME IS TO BE LOCATED AND (2) WILL (NOT) CONSTITUTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS
THEREFORE (GRANTED) (DENIED). Said permit shall expire
Date:02j20j1997
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Signature of City Engineer
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P.O. BOX 40672 BAKERSFIELD. CA 93384
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BRUNDAGE LANE
WELL TO BE PLACED ON CITY PROPERTY
i
House
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Vacant Lot
House
- Boring Location Map -
Mr. Fast
600 Brundage Lane
County of Kern . Bakersfield, California
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FIGURE
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W\ BOX
LOCKING CAP \
WELL BOX WILL BE FINISHED FLUSH W/GRADE - NO TRIP
HAZARAD.
SURFACE
CEMENT
BENTONITE
40 FEET
SAND
50 FEET
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15 FEET
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POTENIOMETRIC SURFACE
- Well Construction Diagram -
Mr. Fast
FIGURE
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ADVANCED ENVIRONMENTAL CONCEPTS
P.o. BOX 40672 BAKERSRELD, CA 93384
600 Brundage Lane
County of Kern . Bakersfield, California
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PRODuce"
DA tt CMMtOOIYV)
03-07-97
THIS CERT FICATE IS ISSUED AS A MATTER OF INFORPM,TIO
ONLY AND CONFERS NO RIGHTS UPON niE CERTiFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAQE AFFORDED bY THE POUOIE9 BELOW.
COMPANIES AFFORDING COVERAGE
BC ENVIRONMENTAL INS BROKERS
4995 GOLDEN FOOTHILL PARKWAY
SUITE 5
EL DORADO HILLS CA 95762
INSURED
ADVANCED ENVIRONMENTAL CONCEPTS,
INC.
4400 ASHE ROAD #206
BAKERSFIELD, CA 93313
COMPANY
A UNITED NATIONAL INSURANCE COMPANY
COMPANY
B UNIGARD INSURANCE COMPANY
COMPANY
C CALIFORNIA COMPENSATION INS. CO.
COMPANY
D
- ^ "" . . , " ,.- , - . - -: ~. . -. ..~_.
THIS IS TO CERTIFY THAT THE POLICIes OF INSURANCE LISTED BELOW HAVE BEEN ISaUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOlWlTHSTANDING ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OA OTHER DOCUMENT WITH ResPECT TO WHICH THI9
CERTIFICATE MAY BE ISSUEO OR MAY PERTAIN, THE INSURANce AFFORDED BY THE POLICIES DESCRlBEO HEREIN IS SUBJECT TO All THE TERMS.
excUJSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIt~8,
CO
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TYPe dF INSURANCE
POLlCYNU~IJER
POUCY EFFECTIVE POLlCY EXPIRATION
DATE (MM/DDIYV) DA~ (MM/DD/YlJ
ll~ITS
GeNERAL liABILITY
X COMMEFlCIAL GENERAl. LIABILITY
~;;L X ClAIMS MADE 0 OCCUR
A OWNER'S & CONTRACTOR'S PROT
X PROFESSIONAL
X POLLUTION
AUT!JMOiJlL.[ liABIUTY
ANY AUTO
X ALL OWNEO AUTOS
SCHeDULED AUTOS
B X HIRED AUTOS
X NON-oYINED AUT06
PX807718
GENERAL AGGREGATE $2 000 000
PRODUCTS. OOMP/op AGO ;2 000 000
P~ONA1. & ArN INJURY 81 000,000
04-16-96 12-21-98 EACH OCCURRENCE s1 000 000
PlRE DAMAGE IAn one "111) . 50 000
MED E)(I> $ EXCLUDED
COMBINED SINGlE lIMIl' '1,000 000
BOOllY INJURY $
(Per pel'8On)
09-26-96 09-26-97 BOOILVINJURY
(Per .cx:lden~ $
PROPERTY DAMAGE ,
HCL0000071
QARAQIi L1AJ1ILl1'Y
ANY AUtO
AUTO ONL V . EA ACCIDENT ,
OTHER THAN AUTO ONl V: .;~~:t~~~~-f1~.~i~~~~~t~4
EAcH ACCIDeNT .
AOGFlEQA TE $
EACH OCCURRENCE $
AClGREOATE $
EXCess LIABILITY
UMBREUA FO~
OTHER THAN UMBf1EllA FORM
WORKE"6 COMPI!NtlAtlON AND
l!MPlo\'8lG' L1AliilriY
C llie PROPRIETORI
PAATNEAS/ExECUTlVE
OFFI~EIl6 ARE:
OtHeR
INCl
XE)(CL
W961104660
X T 51 ITs R. ~~~11t~*~~t~ift~~~~~~.~t.~.
El EACH ACCIDENT ,1 0 0 0 0 0 0
01-01-97 01-01-98 aOISEA9E.I'OUOYlIMIT $1, 000,000
a Dl9EAsE . EA EMPlOYEE $1 00 0 0 0 0
DEscRIPTlOM 01' OPEAAnotlGILOCATlONGiVEMIClE8/llPEClAL ITEMS
. FOR !NFORMATION ONLY -
.:1. ,=>< ',.':t,
6HOUlD ANY OF THE ABove DESCRlllEO POUClE!I lIE CANCEllEO 8EFORE THE
EXPIRATION DATE THeREOF, lM!! ISSUING COMPANY WILL I!NDEAVOR TO MAil
~ DAft ...meN NOTlCI TO THI C'''TIPICATI HOUlIl" IIAMIlD TO THILlFT,
BUT FAlWRE 1'0 MAIL SUCH NotiCE SlfAlL IMPOSt! NO 08UQATlON OR lIAIIIUl'V
PANY.
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BAKERSFIEL
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO:
Raul M. Rojas, Public Works Director
~ues R. LaRochelle, Eugiueering Services Manager
March 11, 1997
FROM:
DATE:
SUBJECT:
"tot
Encroachment Permit Application for 6fJ(J Brundage Lane
Advanced Environmental Concepts, Inc.
Installation of a Groundwater Monitoring Well
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Engineering and Traffic staff have reviewed the attached encroachment permit to allow the installation of a goundwater
monitoring well,
Based on their review, staff recommends approval of the permit
The applicant has provided proof of appropriate insurance coverage to the Building Department representative,
mps:M:\ENCROACH\600bnm.lan
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xc: Reading File
Project File
Marian P. Shaw
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BAKERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
SUBJECf:
Brad Underwood, Civil Engineer III, Traffic
r Marian P. Shaw, Civil Engineer III, Subdivisions
March 11, 1997
(.p~1
Encroachment Permit Application for.fit#J Brundage Lane
Advanced Environmental Concepts, Inc.
Installation of Groundwater Monitoring Well
TO:
FROM:
DATE:
Please review the attached encroachment permit and return to me at your earliest convenience.
/~\A
M\PERMITS\ENCROACH\600BRUND,TR
xc: Reading File
Project File
Marian p, Shaw