Attachment 0001_SOW APPENDIX 2.7.4 JBMHH Excavation Permit SOP June 2023.pdf

JBMHH Directorate of Public Works (DPW) Excavation Permit Standard Operating Procedures

DPW-OMD-10-001 v3

1. All proposed Excavation Permits by the requester must be approved through JBMHH DPW

Operations & Maintenance Division, located in Building 313.

2. JBMHH-1254 form can be received by the Excavation Permit Coordinator via email, or in person; to include any coordination that is required prior to approval.

3. For all routine excavation permit requests, a minimum time of two-weeks is required for scheduling and execution by JBMHH DPW personnel. This should be communicated to the requestor at the time of receipt by the Excavation Permit Coordinator. During peak periods, and inclement weather, this time frame may vary. Please ensure the customer has listed: Date Clearance Required on the DPW Excavation Permit, form JBMHH-1254.

4. All Excavation Permit extension requests must be approved by JBMHH Branch Chief. The

Excavation Permit Coordinator will submit the memorandum to the Branch Chief for review and approval. Upon approval, JBMHH Branch Chief will forward to the Excavation Permit Coordinator to email the requestor the approved extension.

5. For all Emergency/Hot Excavation Permit requests the Excavation Permit Coordinator is required to contact immediately the O&M Chief or Director for coordination *(Miss Utilities is required to be contacted immediately by O&M.)

6. The Excavation Permit Coordinator is required to create an Army Maintenance Application

(ArMA) case, to convert into a service request in GFEBS. The service request number should be documented in the Service Order/Work Order/Project # Field of the DPW Excavation Permit, form JBMHH-1254. The service request number is used for reference by the following:

- The requestor when speaking to JBMHH

- NEC Representative

- Shop Personnel to enter on their Labor & Equipment (L&E) to confirm completion

7. The Excavation Permit Coordinator is required to enter the Expiration Date of Permit: The

Excavation Permit will expire after 30 days of issuance.

8. The Excavation Permit Coordinator is required to maintain the Dig Permit Tracker located on JBMHH DPW BOID- SharePoint -Dig Permits Folder.

9. Required information for accepting an Excavation Permit:

i. All requestors must fill out the DPW Excavation Permit, form JBMHH-1254, Fields A-E (Attachment 10)

A. Requestor: POC, Organization Name, Telephone# & Email, Date of Clearance Required

B. Excavation Risk *(NA) C. Location of area to be Excavated: Cross Streets, Building (If Applicable)

(NOTE: A to-scale drawing of the excavation site must be submitted along with this form. Excavation route must be staked or flagged by the Requester every 30 feet.)

D. Type of work to be performed: Detailed description of the work to be executed.

E. Additional Information:

- The requestor is to read 1-9 and sign “I HAVE FULLY READ AND

UNDERSTAND THE ABOVE)”

- The Excavation Permit Coordinator is to enter the following:

a. Permit Initiated on date

b. Work completed on date

ii. Other Supporting documentation required:

A. Miss Utility Reference Number – All requestors are responsible for contacting Miss Utilities to schedule completion of onsite within 48 hours. *(The Contractor shall notify ‘Miss Utility’ 1-800-552-7001 for Natural Gas, Electric c, Telephone and Cable TV at minimum 48 hours prior to digging.)

*If the customer does not have a Miss Utility Number to reference *DO NOT move forward with processing* Follow up with the requestor to provide.

B. If Shop Personnel is requesting the Excavation Permit, the Shop Foremen is responsible for contacting Miss Utilities.

C. Clearly Defined Map Drawing/Schematics in color that mark the area(s) in which the excavation will take place. *Illegible drawings and maps cannot be used by Shop Personnel and should be requested by the Excavation Permit Coordinator for resubmission.

iii. O&M / NEC / Environmental Performed Activities DPW Excavation Permit, form JBMHH-

1254, Field F

1. O&M: Excavation Permit Coordinator is to enter the following statement once markings are complete prior to providing back to the requestor: Dig Permit has been fully executed based on the below signatures and date.

2. Environmental: Environmental Personnel to sign off markings have been complete and date. *(If applicable.)

3. Plumbing Shop: JMBHH DPW Plumber to sign off markings have been complete and date. *(If applicable.)

4. Electric Shop: JMBHH DPW Electrician to sign off markings have been complete and date. *(If applicable.)

5. Utility HVAC: JMBHH DPW HVAC to sign off markings have been complete and date. *(If applicable.)

6. NEC Representative: NEC Representative to sign off markings have been complete and date. *(If applicable.)

iv. Precautionary Measures DPW Excavation Permit, form JBMHH-1254, Field G

This line will be filled out by JBMHH DPW personnel whereas applicable.

10. Once approved the Excavation Permit will be emailed back to the requestor by the Excavation Permit Coordinator or picked up in person. Once the fully Executed Permit is provided, it is the requestors responsibility for the upkeep of all markings.

11. For more information on Excavation Permits please call: 703-696-8852/3401.

The Uniform Color Codes for temporary marking of underground utilities are listed below:

Red electric power lines, cables, conduit, and lighting cables

Orange telecommunication, alarm or signal lines, cables, or conduit

Yellow natural gas, oil, steam, petroleum, or other gaseous or flammable material

Green sewers and drain lines

Blue drinking water

Violet reclaimed water, irrigation, and slurry lines

Pink temporary survey markings, unknown/unidentified facilities

White proposed excavation limits or route http://en.wikipedia.org/wiki/Electric_power_transmission http://en.wikipedia.org/wiki/Telecommunication http://en.wikipedia.org/wiki/Reclaimed_water http://en.wikipedia.org/wiki/Slurry

Attachment 10

Example 1: Miss Utility Ticket

F.irom:

Sent Tot Subject:

·d::itts@va811.com Wedne!roay, J.anua,ry18, 2023 1l09 PM EddieSt�d;:i;

vt1 S EMLC:FM 2023/01/18 #-02791 A3018Cl1286-00A NORM NEW LREQ

EMLCFM 02791 vuesa 01/18/23 13:09':19 �..301B012S6-00A NORM.1\L

Ticket No: A3018012B6-00A Transmit Date: 01/18/23 Tine: 01:09' � Call Date; 01118/23 1'icne: 01:04 .f'i,l Due �:t D111:e: Dl/23/23 ti e: 07 :00 AM Update sy· Da e: D2/06/23 'i' 11:59 PM E:icpires Date: 02/09/23 Time; 07:00 AM Old Tkt No,; A.301801286 Odginal CalL Dat,e: Ol/18/23 Time; 0 :Od PK

.N.E;:W -GP.ID NOR!'l LRBQ Op: lJSA

Op� lJSA

Cicy/Co:AH� GTON Add:r-QSS:

CroS5 1: MACOMB FL Crose 2: JACKSON AVE

!?lace:

Street: SHERIDAN AVF.

Sta.Ce;VA

Type O woe PARKI�G OT - �"'O��TRUCTIO, REPAIR OR REl?LACE WO DOnitl For: US GOV' 'l' Excnvation area:STARTING AT B INTERSECTIO SHERIDAN AVE AND MACOMB PL, WORKI �

�ORTij ALONG SHERIDAN AVE 975rT TO JACKSON AV. 150F'l' EAST FROI THI;; CE�TER LINE OE' BE. STREE'l', PICTURE ID+ VEH.CLs R GlSTRATIOP � PROOF Oo INSURANCE MAt BE REQUI:t:t.:O 'l'() Gl\IN A.CCESS AND Vl!:RICLE SUBJ CT TO SEARCH

Excavation !tap Link: Click 'Ibis Link To View Your Ticket Ciap Arc.1a

Instructions;

Whit lined.: Y

Co:npany:

Co. Address;

Cll.y;

CompaAy Phone:

Contact 1,11am,e:

email:

Rlaating: N Boring: N

SMITH BROS LLC yps: CONT POB 26�7 First Time; N llENDE!lSOt'l'lll LE Stale;TN Zip:37077 571-480-3329 COD¥ ]l()GGS Contact �hon�:571-480-3]29 eddie�am.:thb.roallr:..com

Mapbook.: 5527G9 Gr.ids: .3B52A7'104A.

M:£>.mbe:,::·e :

CMC502 = COMCAST (a-lC} VZNi03 = VERIZON (VZNl

Seq No: 2'190 A

3852A7705D 385.30770�"- 3853JJ7i05D

DOMINION ENERGY FT ME��� (DOM)

�1ASHrNGTOM GM {\olGL)

• UPDATE If you exca ation work will continue beyond the EXPIRES date and time-on the ticket mailto:itts@va811.com

Example 1: Continued. Miss Utility Ticket

Example 2: Schematic Outline

Example 2 Continued.: Schematic Outline

Example 3: Color Map

Example 4: Service Request Ticket

04/27/2023 Operati0:n C0:ntr0l Ticket 1048823!.l n Origina.l

Or,dei::

Da!icriptirm tart date E,u} date Priori Status Fu11clc /,,.,..,tu,,i Equip1?11iaut

As:;.embry Loctui,m

400000631042 Ordsrtyp1' A004 Ope�lioDSWork 01..!.ec DP/B422/LOCATE FOJt. 2 VERTICAL SOIL BORJ:N 04/27/2023 04/27/2023 3 Routine REL l>.1M..Zl.T PRC SETC 513 7 5. GR.NDS BDGGRNDS-IMP G!NiDS

M"mif:aclrJTer mia/J\lo.

Room

PMpfomN<rg,p M.,;,, wo,il; center M.,;i,1.,,,a,rnc pltm .Rv1i1'.sio11 �2.1.mbs.r

1001 ,rlER

DP\V

UTILITIES

PMplan.t

Mai"t. p1..,,, it<mr

MYER

DP/8422/LOC'.l;!;.TR FOR 2 VERTIC'�l;!;.L SOIL BORINGS 8422/LOC:.�TE FOiR. 2 VERTIC:.ll SOIL BOiR.ING8/NO GREATER THAN 50 FERT/IN SUPPORT OF BUILDINGS 422 .AND 423/SHERID.Mi Jl_VENUE/CROSS: MORG.� L.l;!;.NE/POC

MARK SIMONDS/410-403-6_76/

MARK. H. SIMONDS@USACE ..ARMY. MIL/CS167 9589 /PREPARED BY J.AH

Defoc�:

c. ,,,...,_-

Operation Status Worf,c.,,,tsr

GEM

GEM

10010

RBL

IYER

Dig�Clearanae Dig�Clearanae

DP/B422 /LOCATE F10R 2 VERTIC'AL SOU. B10!Rl:N

UI'llITIES

Control�, Operntiw, :k Fu11c1, lorutwr, Equipl'l16'1'I Wo.rk Dwmt.m Earli&st Jilart date L"te:;.t ,e,.,1 date A,ctual labor

A400

0. 0 HR

0 D 04/27/2023 04/27/2023

0. 0 HiR

Co,if"l171M1iro, number ilii/e:;to,i,:

.Activity type N,tmb"'· Srart lime

Ei,dtime 'fotalfloo.t

22859275

11900 00:00:00 00:00:00

0 HR

O,dcr. Opsratio11: 4 000 0 0631042 0010 IIIIIIIIIIIIIIIIIIDUIIIIIIIIIIIIIIIIIIIIIIII IHI IIIIIIIIIIHIIIIII Co'lfi=atio11: 22 859 2 75 lllm11111lllllll□IUlllrnlllllllllll