007100_Attch1_Airfield Construction Waiver.pdf
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- Solicitation number
- FA813727R0002
About this file
This is an Airfield Construction Waiver Application Form used by the U.S. Air Force to request temporary waivers from airfield construction standards outlined in UFC 3-260-01. The form is completed by requesters to document construction projects that deviate from established airfield criteria and obtain necessary approvals.
Requesters must complete blocks 1, 2, and 4-6, 8, 10, and 11, with N/A entries for non-applicable sections. Key information required includes the project or work order number, contract number, detailed description of construction activities with specific location mapping, facility number closest to the construction site, and the specific criteria being waived with corresponding UFC references. Block 8 requires precise location and height data, including construction activity ground elevation (average mean sea level), tallest construction equipment height, and total combined height in feet. Block 9 requires justification for the temporary waiver. Block 10 demands point of contact information for the CEC project manager and contractor executing the work, along with construction start and end dates. Block 11 requires detailed risk mitigation measures for each violation or waiver, such as special painting, obstruction lighting, barricades, marshalling, flagging, and safety plan procedures.
Block 12 designates government coordination responsibilities across multiple Air Force offices including Airfield Manager, Airfield Operations, TERPS, Flight Safety, Ground Safety, Logistics, Communications, and Security Forces. Final approval authority resides with the Installation Commander, or in emergency situations, the Base Civil Engineer per UFC 3-260-01, B1-2.5.4.7. The form is dated April 2018.
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Text version
INSTRUCTIONS: Requester MUST complete blocks 1, 2, 4-6, 8,10,11, if not applicable put N/A in the block.
4.
5.
6.
7.
8.
9.
10.
Phone & Email:CEC (THDR, Alutiq,etc.) Project Manager:
Phone & Email:
Construction End Date:
11.
12.
LOGISTICS
COMMUNICATIONS
Installation Commander approval authority. If waiver is an emergency the Base Civil Engineer may approve according to UFC 3-260-01, B1-2.5.4.7.
72 OSS/OSAM
72 OSS/OSA
HQ AFMC/A3
72 ABW/SEF
72 ABW/SEG
72 LRS/DD
72 CS/SCX
AIRFIELD OPERATIONS
TERPS
FLIGHT SAFETY
GROUND SAFETY
Describe risk mitigation measures that will be taken for each violation/waiver. (eg. Special painting, obstruction lighting, barricades, marshallers, flagging, safety plan/recall procedures, etc.)
AIRFIELD MANAGER
COORDINATION COMPLETED (Government Civil Engineering Use Only):
Point of Contact Data:
AIRFIELD CONSTRUCTION WAIVER APPLICATION FORM
N
CRITERIA TO BE WAIVED (Government Use Only- State Chapter, paragraph, table number, etc. from UFC 3-260-01 or other):
Include a map with a detailed depiction of the construction location and submit with this form.
Description of Construction Activity: Include description of construction with notes pertaining to the work that will be done.
Location and Height Data of Construction Activity:
SECURITY FORCES 72 SFS/S5S
Why is the temporary waiver required?
h of construction.
Facility Number (Closest to Construction Activity):
Form Date: April 2018
13. APPROVAL (Government Use Only)
Installation Commander
Contractor (Executing the work):
Construction Start Date:
1. Project or Work Order # 2. Contract # 3.Waiver # (Government Use Only)
Longitude:
Latitude: W
A) Construction Activity Ground Elevation (Average Mean Sea Level):
B) Tallest Construction Equipment Height (Crane Height, etc):
Ft.
Ft.
Total Height (A+B): Ft.
(Base Civil Engineer if Emergency)
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| Contract #: |
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File details come from the government source that posted it. Updated .