Attachment 0001_SOW APPENDIX 2.1.3 APG Excavation Permit.pdf

This is an Excavation Permit form (SSB Form 1247-R, 1 Mar 06) used for requesting authorization to conduct excavation work at federal facilities. The form is divided into four sections designed to capture essential project information and approval documentation.

Section A requires completion by the contractor performing excavation work and must include the government contract number, delivery order number, and a DPW IJO or Service Order number (marked as required). The form also requests identifying information for the Contracting Officer Representative (COR), Project Manager, contractor/organization name, excavation location (Aberdeen or Edgewood), building number, and a detailed description of work, location, and justification. A sketch or map displaying the exact excavation location must be attached, and the permit holder's printed name, telephone, fax, and email are required. Section B, completed by the Installation Safety Division, specifies safety requirements including whether UXO magnetometry sweep and soil chemistry analysis are required. The permit explicitly prohibits relocating excavated soils outside the immediate job site, requires government inspection availability, and mandates UULC representative signing before validity. Section C requires Underground Utilities Locating Contractor (UULC) COR approval and signature, with notation of any additional environmental, communications, security, or range operations requirements. Section D documents excavation completion with permit holder signature and date. Applicants must complete yellow-highlighted fields, attach a location drawing/map, and submit to excavationpermits@inframap.net. Critical requirement: No work on APG can commence without an approved IJO or Service Order per AR 420.1.