Appendix_1_Permits.pdf

Rule 14-46.001 F.A.C.

FLORIDA DEPARTMENT OF TRANSPORTATION December 14, 2016

UTILITY PERMIT

PERMIT NO:__________________________________

STATE ROAD INFORMATION

County: Section: State Road No: Beginning Mile Post: Ending Mile Post:

APPLICANT INFORMATION

The Utility Agency Owner (UAO) shall be identified in this Applicant Information Box. When the UAO is a City or County and desires to have the Utility Builder make a joint permit applicant, as prescribed in Section 2.1(4) of the 2017 Utility Accommodation Manual (UAM), the Utility Builder shall also be identified in this Applicant Information Box. A Utility Builder alone cannot apply for a utility permit without the City or County adding them as a joint applicant.

Utility Agency/Owner (UAO) Utility Builder (only applicable when the UAO is a City or County) Name: _____________________________________ Name: ______________________________________

Contact Person: _____________________________________ Contact Person: ______________________________________ Address: _____________________________________ Address: ______________________________________

City: _____________________________________ City: ______________________________________ State: _____ State: _____ Zip: _________ Zip: _________

Telephone: _____________________________________ Telephone: ______________________________________ Email: ____________________________________ Email: ______________________________________

WORK DESCRIPTION

The Applicant(s) requests permission from the Florida Department of Transportation (FDOT) to construct, operate, and maintain the utilities as described below and as depicted in the incorporated documentation.

Utility Work No: ___________________________

Additional sheets are attached and are incorporated into this permit Yes No For FDEP certification, the FDOT agency report is attached in accordance with UAM Section 2.4.1 (13) Yes No

TRAFFIC CONTROL (TCP)

The TCP will comply with the following 600 series index(es) ________________________________________________________________________ A TCP has been attached and incorporated into this permit application in compliance with UAM Section 2.4.2.

MOT Technician’s contact information (may be supplied at the two (2) business day notification to FDOT):

Name: ________________________________ Telephone ________________________ Email: _______________________________

COMMENCEMENT OF WORK

The UAO and/or Utility Builder shall commence actual construction in good faith within sixty (60) calendar days after approval of the permit application. If the beginning date is more than sixty (60) calendar days from the date of approval, the UAO and/or Utility Builder must review the permit with the FDOT Approving Engineer listed to make sure no changes have occurred to the transportation facility that would affect the permit’s continued approval. The UAO and/or Utility Builder shall make good faith efforts to expedite the work and complete the work within the calendar days indicated.

Anticipated Start Date: ___________________ Calendar days needed to completed: ________

Pinellas

(727) 464-4223 ext. ______

Florida

SR-595

Pinellas County Utilities

2/11/2024

10.403

14 S. Fort Harrison Avenue

600, 603, 625

33756

The purpose of this project is to replace and abandon approximately 2756 LF of an existing 20-inch and 24-inch prestressed concrete cylinder pipe (PCCP) force main along 53rd Avenue N. to address the existing facility’s deteriorated conditions.

The existing force main has ruptured twice within the project limits, resulting in sewage spills within the street and adjacent private properties. The proposed pipe includes 2598 LF of 20-inch fusible C-900 PVC and 170 LF of 20-inc ... (see work description cont. page)

2023-H-799-00253

15010000

Pinellas County Utilities

Clearwater dsimpson@pinellascounty.org

10.421

Approved 2023-H-799-00253 Chris M. Gregory

10/2/2023

Florida Department of Transportation

UTILITY PERMIT

December 14, 2016

PERMIT NO:_________________________________

APPLICANT SIGNATURE

By the below signature(s) the UAO and/or Utility Builder agree(s) to construct, operate, and maintain the work as noted in the above Work Description, shown in plans and incorporated documents, in compliance with the UAM, all instructions noted in the FDOT Special Instructions Box, and special instructions incorporated into this permit. The UAO and/or Utility Builder declares, the location of all existing utilities that it owns or has an interest in, both aerial and underground, are accurately shown on the plans of the work areas. In accordance with UAM Section 2.8, the UAO and/or Utility Builder further declares that a letter of notification was delivered to the owners of other facilities within the work areas and that those listed below are the only facility owners known to be involved or potentially impacted by the proposed work.

Date Notified: Name of other facility owners (attach additional sheets if necessary).

Utility Agency/Owner Utility Builder (when applicable)

Signature: ____________________________ Date: ________________ Signature:___________________________ Date: _______________ Name (printed): _____________________________________________ Name (printed): __________________________________________ Title: ______________________________________________________ Title: ___________________________________________________

FDOT PROJECT INFORMATION

Pursuant to UAM Section 2.1(10), the utility work is within FDOT projects listed below and must have a Utility Work Schedule for each project approved prior to commencement of work within the FDOT project limits:

FDOT SPECIAL INSTRUCTIONS

In accordance with UAM Section 2.7, FDOT incorporates the below and attached special instructions into this permit.

Additional FDOT Special Instructions are attached and incorporated into this permit. Yes No

PERMIT APPROVAL

By signature below, FDOT gives permission to the UAO and /or Utility Builder to construct, operate, and maintain the utilities indicated in this Utility Permit in compliance with the UAM, all incorporated documents, and special instructions. Any changes to the approved work must be approved by the FDOT’s Approving Engineer and attached and incorporated into this permit in accordance with UAM Section 2.11.

Approving Engineer: _____________________________________________ Date: _______________ Name: _____________________________________________

Title:______________________________________________

Notification of Utility Work to be provided to: Telephone _____________________ or Email: _____________________________

An FDOT Representative is required to be present on the worksite prior to commencement of work. Yes No Rep. Name: _____________________________ Telephone _____________________ Email: _____________________________

10/2/2023

Permittee is to contact local maintaining agency, WEBBER SERVICES at 727-573- 7672, for roadway lighting locates prior to beginning work in State right-of-way.

Work and inspections must be scheduled with Webber before beginning work.

Permittee shall notify FDOT RTMC at 813-615-8657 of the exact time any lane closure begins and a second notification when lane closure is removed.

8/18/2023

(727) 575-8300 ext. ______ Chris.Gregory@dot.state.fl.us

Chris M. Gregory

Chris M. Gregory (digital signature) lisa.gallman@wwebber.com

DENNIS SIMPSON (digital signature)

Charter Communications5/17/2023 Zayo Group5/17/2023 Duke Energy - St. Petersburg5/17/2023 Frontier Communications5/17/2023 Knology Broadband of FL5/17/2023

DENNIS SIMPSON

7275737672

Lisa Gallman

MAINTENANCE MANAGER/PERMITS

2023-H-799-00253

There are NO FDOT constructions (proposed or underway).

This work is NOT related to an approved Utility Work Schedule.

Approved 2023-H-799-00253

Florida Department of Transportation

UTILITY PERMIT

December 14, 2016

PERMIT NO:_________________________________

CERTIFICATION

I, the undersigned UAO and/or Utility Builder, hereby CERTIFY that the utilities were constructed and inspected in compliance with the UAM all incorporated documents, and special instructions. Pursuant to UAM Section 2.11, all changes have been approved by the FDOT’s Approving Engineer and incorporated into this permit along with all other material certifications, test results, bore logs, approved plans changes, as-built plans or other required documentation.

I also CERTIFY that work began on ________________ and was completed on ________________ and that the area was left in as good or better condition than when the work began.

Utility Agency/Owner Utility Builder (when applicable)

Signature: ____________________________ Date _________________ Signature:___________________________ Date ________________ Name (printed): _____________________________________________ Name (printed): ____________________________________________ Title: ______________________________________________________ Title: ____________________________________________________

FINAL INSPECTION OF WORK

The work was inspected and found to be in non-compliance as noted below:

All issues of non-compliance listed above have been brought into compliance and/or FDOT has no outstanding issues that need to be addressed by the UAO and/or Utility Builder. However, this final inspection does not release the UAO and/or Utility Builder of their continuing responsibilities pursuant to Rule 14-46.001, the UAM, all incorporated documents, and special instructions.

FDOT Inspector: _____________________________________________ Date: _______________ Name: _____________________________________________

Title: ______________________________________________

2023-H-799-00253

Approved 2023-H-799-00253

PERMIT NO.:

The complete Work Description could not fit in the space allotted on Page 1 of the Utility Permit so it is displayed below.

Work Description work description continuation page

2023-H-799-00253

The purpose of this project is to replace and abandon approximately 2756 LF of an existing 20-inch and 24-inch prestressed concrete cylinder pipe (PCCP) force main along 53rd Avenue N. to address the existing facility’s deteriorated conditions. The existing force main has ruptured twice within the project limits, resulting in sewage spills within the street and adjacent private properties. The proposed pipe includes 2598 LF of 20-inch fusible C-900 PVC and 170 LF of 20-inch C-900 PVC. The proposed 20-inch force main will connect to an existing 20-inch PCCP force main at approximately 100 feet east of Duhme Road, and traverse east tying into an existing 24-inch PVC force main at approximately 150 feet east of Seminole Boulevard.

The proposed 20-inch pipe will be drilled under Seminole Blvd, as shown in the plans provided.

Approved 2023-H-799-00253 continuation page

PERMIT NO.:

STATE ROAD INFORMATION:

NAME OF OTHER FACILITY OWNERS / DATE NOTIFIED:

FDOT PROJECT INFORMATION:

THE WORK WAS INSPECTED AND FOUND TO BE IN NON-COMPLIANCE AS NOTED BELOW:

Facility Name: Pinellas County Utilities - Sewer, Date Notified: 5/17/2023, Facility Name: TECO People's Gas - St.

Petersburg, Date Notified: 5/17/2023, Facility Name: Pinellas County Utilities - Water, Date Notified: 5/17/2023, Facility Name: Pinellas County HWY/ENG, Date Notified: 5/17/2023, Facility Name: Uniti Fiber LLC, Date Notified: 5/17/2023

There are NO FDOT constructions (proposed or underway).

This work is NOT related to an approved Utility Work Schedule.

2023-H-799-00253

Approved 2023-H-799-00253

REQUIRED NOTIFICATIONS

TWO (2) BUSINESS DAYS

BEFORE STARTING WORK:

PERMIT TYPE WHO TO CONTACT WHAT TO DO

FDOT One-Stop Permitting (OSP)

Enter MOT Technician Information.

Click on either “48 Hour Request to Begin Work” or “2 Business Day Notice”.

FDOT Pinellas Operations Permits

Asset Contractor Call Webber Infra at 727-573-7672 for inspections.

Sunshine 811 Call Sunshine 811 for locates (other than roadway lighting).

All Permits and Agreements

FDOT Regional Traffic Management

Center (RTMC)

Call FDOT Regional Traffic Management Center at 813-615-8657 of the Exact Time Any Lane Closure Begins and a Second Notification When Lane Closure is Removed.

Utility Permits Highway Lighting and ATMS Locates

Highway Lighting and ATMS are not part of the Sunshine 811 Locate System. Permittee is to Contact the Maintaining Agency/Organization for Highway Lighting and ATMS Locates.

As-Needed FDOT Advanced

Dynamic Message Sign (ADMS) Arterial

Locates

Call FDOT SunGuide at 813-615-8613 (prefer email to Romona.Burke@dot.state.fl.us).

Permits in Active FDOT Construction

Project

FDOT Construction Office

Call Jeyson Arroyave at 813-220-1872 to Coordinate MOT and Work.

Approved 2023-H-799-00253 Chris M. Gregory mailto:Romona.Burke@dot.state.fl.us

THIS FDOT PERMIT COVERS ACCESS

TO FDOT RIGHT-OF-WAY FOR

PROPOSED WORK.

PERMITTEE/UAO/CONTRACTOR IS

RESPONSIBLE FOR SECURING

AUTHORIZATION FROM ANY PROPERTIES

OUTSIDE OF THE FDOT RIGHT-OF-WAY

THAT MAY BE UTILIZED FOR THE

PROPOSED WORK.

WORKDAYS AND TIMES ARE MONDAY

THRU FRIDAY, 7:00 AM TO 5:30 PM.

Approved 2023-H-799-00253

PID 005582A

100% PLANS FOR

53RD AVE N

FORCE MAIN REPLACEMENT

FINANCIAL PID 005582A

Approved 2023-H-799-00253 Chris M. Gregory

10/2/2023

Morgan, Taylor Line

Morgan, Taylor Line

Morgan, Taylor Line

Morgan, Taylor Line

Morgan, Taylor Line

Feet 3001500 75

1000 N. ASHLEY DRIVE, SUITE 900

TAMPA, FLORIDA USA 33602

Phone 813.620.4500 www.Halff.com

FL CA 33380 FL LC 26000645

Approved 2023-H-799-00253

1000 N. ASHLEY DRIVE, SUITE 900

TAMPA, FLORIDA USA 33602

Phone 813.620.4500 www.Halff.com

FL CA 33380 FL LC 26000645

SCALE: 1" = 4'

Approved 2023-H-799-00253

Phone 813.620.4500 www.Halff.com

FL CA 33380 FL LC 26000645

Feet 100500 10

Approved 2023-H-799-00253

Phone 813.620.4500 www.Halff.com

FL CA 33380 FL LC 26000645

Feet 100500 10

Approved 2023-H-799-00253

ST

AT

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(U .S

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53rd AVE. N.(P)53rd AVE. N.(F)

Feet

40200 10

1000 N. ASHLEY DRIVE, SUITE 900

TAMPA, FLORIDA USA 33602

Phone 813.620.4500 www.Halff.com

FL CA 33380 FL LC 26000645

Approved 2023-H-799-00253 Chris M. Gregory

10/2/2023

Taylor Morgan Rectangle

Phone 813.620.4500 www.Halff.com

FL CA 33380 FL LC 26000645

SCALE: 1" = 4'

SCALE: 1" = 4'

Approved 2023-H-799-00253

N

HA

HA

BORING TERMINATED

AT ELEVATION 9.3 FEET

LATITUDE: N 27.8202014

LONGITUDE: W 82.7877045

N

BORING TERMINATED

AT ELEVATION -1.0 FEET

LATITUDE: N 27.8202631

LONGITUDE: W 82.7864684

11/21/22 11/21/22

2" PAVEMENT

9" LIMEROCK BASE MATERIAL

4" PAVEMENT

6.5" SHELL BASE MATERIAL

DARK BROWN FINE SAND (SP)

LIGHT BROWN SLIGHTLY SILTY SAND (SP-SM)

LIGHT BROWN SAND (SP)

LIGHT BROWN SLIGHTLY SILTY SAND WITH TRACE ROOTS (SP-SM)

DARK BROWN-GRAY SLIGHTLY SILTY SAND WITH TRACE SHELL DARK BROWN-GRAY SLIGHTLY SILTY SAND WITH FEW SHELL

WOOD AND GRAVEL WITH SOME SILTY SAND

BROWN-GRAY SLIGHTLY SILTY SAND (SP-SM)

BROWN-GRAY SAND WITH TRACE DECAYED WOOD

DARK BROWN SLIGHTLY SILTY SAND WITH TRACE CEMENTED

DARK BROWN SLIGHTLY SILTY SAND (SP-SM)

DARK GRAY SILTY SAND WITH CEMENTED FRAGMENTS (SM)

AND CEMENTED SAND FRAGMENTS AND TRACE DECAYED

FRAGMENTS (SP)

SAND FRAGMENTS (SP-SM)

FRAGMENTS (SP-SM)

Soil Profile Notes:

1. The profiles depicted are of a generalized nature to highlight the major subsurface stratification features and material characteristics. The soil profiles include soil description, stratifications and penetration resistances. The stratifications shown on the boring profiles represent the conditions only at the actual boring location. Variations may occur and should be expected between boring locations. The stratifications represent the approximate boundary between subsurface materials and the actual transition may be gradual.

2. Groundwater levels generally fluctuate during periods of prolonged drought and extended rainfall and may be affected by man-made influences. In addition, a seasonal effect will also occur in which higher groundwater levels or temporary perched conditions are normally recorded in rainy seasons.

3. The Boring Locations Presented are Approximate and Based on Hand Held GPS with an Accuracy of +/- 10 Feet.

4. SPT borings were performed using a safety hammer.

DATE APPROVED

REVISIONS DATENAME

SUPERVISED BY:

CHECKED BY:

DRAWN BY:

DESIGNED BY:

PREPARED BY:

NO. DESCRIPTIONS

3B

SHEET NO.PROJECT NO.PROJECT NAME

D :\1

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Pr oj ec ts

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SOIL BORING PROFILES

Andy Tao, P.E.

53RD AVE N FORCE MAIN

ST. PETERSBURG, FLORIDAAT

DG

GA

B-22-007.03Engineering,Inc.AREHNA 12296 Wiles Road, Coral Springs, FL 33076 Phone 954.417.8412 Fax 813.944.4959

Certificate of Authorization No. 28410

11/2022 11/2022 11/2022

SPT-03 SPT-04

ELEV. 24.3' ELEV. 24.0'

-200=3

NMC=23

OC=1

-200=2

NMC=21

LESS THAN 3

3 to 8 8 to 24 24 to 40

GREATER THAN 40

VERY SOFT

SOFT

FIRM

STIFF

VERY STIFF

HARD

LESS THAN 1

1 to 3 3 to 6 6 to 12 12 to 24

GREATER THAN 24

AUTOMATIC

HAMMER

SAFETY

HAMMER

LESS THAN 4

4 to 10 10 to 30 30 to 50

GREATER THAN 50

LESS THAN 2

2 to 4 4 to 8 8 to 15 15 to 30

GREATER THAN 30

VERY LOOSE

LOOSE

MEDIUM

DENSE

VERY DENSE

SPT

(BLOWS/FT)

SPT

(BLOWS/FT)

SPT

(BLOWS/FT)

SPT

(BLOWS/FT)

SILTS AND CLAYS

CONSISTENCY

GRANULAR MATERIALS-

RELATIVE DENSITY

PAVEMENT, BASE

AND/OR SUBGRADE

LEGEND

FINE SAND (SP/SP-SM)

SILTY SAND (SM)

GROUNDWATER TABLE AT THE TIME OF DRILLING

UNIFIED SOIL CLASSIFICATION SYSTEM (ASTM D

2488) GROUP SYMBOL AS DETERMINED BY VISUAL

REVIEW AND/OR LABORATORY TESTING

SP

SPT N-VALUE IN BLOWS/FOOT FOR 12 INCHES OF

PENETRATION

N

HAND AUGERHA

-200 FINES PASSING THE #200 STANDARD SIEVE (%)

LL LIQUID LIMIT (%)

PI PLASTICITY INDEX (%)

NMC NATURAL MOISTURE CONTENT (%)

OC ORGANIC CONTENT (%)

CLAYEY SAND (SC)

-5

EL

EV

A

TI

O N

IN

F

EE

T, N A

VD

-5

EL

EV

A

TI

O N

IN

F

EE

T, N A

VD

WOOD FRAGMENTS (SP-SM)

Approved 2023-H-799-00253

Approved 2023-H-799-00253

FDOT CONSTRUCTION NOTES FOR UTILITIES

1. Aerial crossings of State roads involving temporary lane closures are to be done between the hours of 12:00 am and 5:00 am Monday through Thursday unless previously approved by the Department.

2. When directional bore is the method of installation, a minimum 24-inch separation shall be maintained from all existing utilities, ITS/ATMS lines, and storm drain systems while maintaining the minimum required depth under pavement or non-paved ground.

3. If the proposed utility cannot be installed per the approved permitted plan and by FDOT specifications, a revised plan must be provided to the Department for review and approval prior to the installation of products or materials at the given locations where conflicts occur.

4. Any new proposed plan shall include cross sections, plan views and profiles of the State Road adequately reflecting all right-of-way features including but not limited to existing utilities, storm drain systems and any above or below ground appurtenances where applicable.

5. No pedestrian pathway is to be removed, blocked, or disturbed without having a sufficient designated temporary pedestrian pathway with all appropriate pedestrian maintenance of traffic signs (Index 660) in-place prior to pathway being affected.

6. All temporary pedestrian pathways must be firm and unyielding.

7. Any sidewalk disturbed will be replaced by section within 72 hours to FDOT specifications.

8. Any sidewalk fronting the property that is cracked, damaged or unstable and is creating an ADA trip hazard must be replaced by section, using Standard #520-001, #522-002, and #522-001 for the construction of sidewalk and meet current ADA Standards. All concrete placed in the right of way shall be a minimum of 6" thick, FDOT Certified Class 1 non-structural, 57 stone, 2500 PSI concrete, with fiber mesh material from a FDOT approved plant.

9. FDOT reserves the right to make adjustments to any permitted method of installation, scope of work, and restoration that may be required to positively support life, safety, and environmental well-being of all users of the transportation system.

10. The Permittee shall notify the FDOT of date of completion, request a final inspection, and a Notice of Final Acceptance.

11. All construction and/or maintenance in the FDOT right-of-way shall conform to the Federal Manual on Uniform Traffic Devices (MUTCD), the FDOT Roadway and Traffic Design Standards, the Standard Specifications for Road and Bridge Construction, the Florida Design Manual, and the Drainage Manual.

12. Prior to removal of existing curb or driveway, the edge of travel shall be sawcut to avoid damaging the existing roadway asphalt. All concrete to be removed in FDOT right-of-way shall be sawcut and removed from the nearest joint.

13. No lane closure of any State roadway is allowed without a minimum of two (2) business days advance notification and approval from

FDOT.

14. Lane closures must be limited to Sunday through Thursday 8:00 pm to 5:30 am unless otherwise approved by FDOT.

15. Any sidewalk damaged because of work being performed in association with the Permittee and Contractor shall be removed and replaced with 6-inch-thick Class 1 non-structural, 2,500 PSI with fiber mesh.

16. Open cutting of any roadway, driveway or sidewalk outside those limits identified within the permit are not allowed without prior approval of FDOT.

17. The Contractor shall have an authorized person available at/or near the work site on a 24-hour basis, 7 days a week in order to address emergency issues associated with the project.

18. No stockpiling, storing or semi-permanent use of the right-of-way is authorized unless specifically identified within the permit.

19. No work shall be performed during the weeks of any State or Federal holiday unless otherwise approved in writing by FDOT.

20. No work requiring lane or sidewalk closure shall be performed during Spring Break on SR 699 (Gulf Boulevard). Spring Break is identified as March 1 thru the first Monday following Easter. During this time, lane and sidewalk closures on all State roadways that lead to SR 699 (Gulf Boulevard) will be restricted to night work, Sunday thru Thursday, 8:30 pm to 5:30 am.

21. The permitted work schedule is defined as Monday through Friday 7:00 am to 5:30 pm unless otherwise noted within the permit. Any work desired outside of this period must be requested in advance and approved before working the alternate schedule.

22. When work is associated with roadway modifications and/or site development, the Contractor is required to have a preconstruction meeting with the FDOT inspector two weeks prior to any construction beginning within the right-of-way.

23. All work performed under this permit within the right-of-way is to be scheduled with FDOT inspection staff.

24. Roadway restoration shall utilize 100 PSI excavatable flowable fill material and asphalt placed within the State right-of-way shall be placed full-depth, two 2.5-inch lifts of SP 12.5, two 1.5-inch lifts of SP 9.5. Typical sections will need to be provided within the plans for the pavement placement. A stair step method should be incorporated, prior to placing asphalt, to avoid vertical joints. Milling of the patch may be required based on the patched surface performance. The milling shall be utilized for surface leveling to a thickness equal to or greater than the existing friction coarse material. The milling limits are 50-foot of the patch along the longitudinal path of the lane, full lane width and to include any adjacent bike lanes, shared path, or urban shoulder sections.

Approved 2023-H-799-00253

25. Any disruptions to any permeable pedestrian way and bike lane are to be restored as work continues. All patches shall be full width from outside edge of pedestrian path to white line edge of travel lane with stair step (staggered) joints. Restoration to include backfill with existing sub-grade material and #57 stone as base material (compact in 6-inch lifts) to bottom of existing pervious asphalt base, followed by permeable design mix (if available) or FC-5 (Friction Course) mix with a minimum of two 2-inch and a maximum of two 3-inch lifts. Maintain ingress/egress on all drives and side streets during construction.

26. Any bore pit greater than five (5) feet in depth requires a Sheeting and Shoring Plan as well as a Dewatering Plan.

Approved 2023-H-799-00253