Attachment 1 - Appendix A.pdf

Headquarters III Corps, Fort Hood Directorate of Public Works (DPW)

Attachment 1

SPECIFICATIONS

Appendix A 11 August 2022

Directorate of Public Works Engineering Division

US Army, III Corps 4612 Engineer Dr.

Fort Hood, TX 76544

Attachment 1 - Appendix A Page 1 August 11, 2022

APPENDIX “A” TABLE OF CONTENTS

SECTION 1 - GENERAL

PAGE NUMBER DESCRIPTION

3 ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐--Sample Submittal Register 4 ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐--Form 4025, Transmittal Sheet 6‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐---Contract Bi-Weekly Progress Report Form 7‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐---Emissions Inventory Sheet 11‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐---Contractor Hazardous Materials Log 13‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐--Landfill permit 14‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐-Customer Service Inspection Certificate (CSI) 16‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐Coordination for Land Excavation (Dig permit) 18‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐Landscaping on Fort Hood 29‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐-Accident Investigation Report 33‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐-Sample Contractor Quality Control Report 35‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐-Preparatory Phase Checklist 38‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐Initial Phase Checklist 40‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐-Operation and Maintenance Instructions Receipt

SECTION 2 – NEC

PAGE NUMBER DESCRIPTION

41‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐NEC Installation Guidelines

SECTION 3 – AW

PAGE NUMBER DESCRIPTION

102‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐American Water Design Guide

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Emissions Inventory

Proposed Project Emissions Inventory Questionnaire for New Sources

TCEQ Title V Operating Permit Decision Support System

The Decision Support System provides several documents linked together to aid in the Title V application and review process. These documents include Rule Text, Relationship Entry Screens, Flowcharts and Historic Rule Opinions (when applicable). Most of these documents and their subparts are available in Portable Document Format(PDF). To view the documents in this format, a free copy of Adobe Acrobat Reader will have to be installed on your computer. For best results, install the most current version of Adobe Reader.

For information on installing or configuring the Adobe Acrobat Reader click here. Even if you have the Adobe Acrobat Reader installed, you may need to configure it to work as required (The hyperlinking capability will not work unless the reader opens up within the browser window).

Guidance for using the Decision Support System Decision Support System for:

40 CFR Part 59 - National Volatile Organic Compound Emission Standards for Consumer and Commercial Products 40 CFR Part 60 - Standard of Performance for New Stationary Sources(NSPS) 40 CFR Part 61 - National Emission Standards for Hazardous Air Pollutants (NESHAPS) 40 CFR Part 63 - National Emission Standards for Hazardous Air Pollutants for Source Categories(a.k.a. Maximum Achievable Control Technology (MACT)) 40 CFR Part 82 - Protection of Stratospheric Ozone 30 TAC Chapters 39, 101-122 - Control of Air Pollution

Applicability Determination Index (ADI)

The EPA also has a database available online that contains memoranda issued by the the agency on applicability and compliance issues associated with NSPS, NESHAP and MACT Standards

Requestor: ____________________________ Date: _____________ Phone: _____________ Project # _____________________________ Facility Name / Building Number: ____________________________ Descriptive Name of Facility: ______________________________________________ Location of Facility: UTM Zone: 14 Horizontal Coordinate _____________________E Vertical Coordinate ____________________N

Indicate proposed emission source type and complete all applicable fields for each process.

Complete questionnaire sheet for each process type in this facility.

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INTERNAL COMBUSTION UNITS (I.E. GENERATORS, ENGINE TEST CELLS)

(Covered by 30 TAC 106.511 and 30 TAC 106.261)

Make_________________ Model_____________ Serial #________________ Power Rating: ____kw; Horsepower: ___ HP Fuel Type: ________________ MUR/JP8/Diesel; Integrated Fuel Tank Capacity: __________gallons Make_________________ Model_____________ Serial #________________ Power Rating: ____kw; Horsepower: ___ HP Fuel Type: ________________ MUR/JP8/Diesel; Integrated Fuel Tank Capacity: __________gallons Make_________________ Model_____________ Serial #________________ Power Rating: ____kw; Horsepower: ___ HP Fuel Type: ________________ MUR/JP8/Diesel; Integrated Fuel Tank Capacity: __________gallons Make_________________ Model_____________ Serial #________________ Power Rating: ____kw; Horsepower: ___ HP Fuel Type: ________________ MUR/JP8/Diesel; Integrated Fuel Tank Capacity: __________gallons Make_________________ Model_____________ Serial #________________ Power Rating: ____kw; Horsepower: ___ HP Fuel Type: ________________ MUR/JP8/Diesel; Integrated Fuel Tank Capacity: __________gallons

Separate Fuel Tank(s): YES / NO (circle one) Complete Separate Questionnaire for Each Tank Seasonal Operating Percentage for This Emission Point:

Spring _____% Summer _____% Fall _____% Winter _____% Note: Total Must Equal 100% Normal Operating Schedule: Start Time_____ hours/day _____days/week _____ weeks/year____ Normal Operating Rate: _______________gallons or CuFt/ year

FUEL STORAGE TANKS (Covered by 30 TAC 115.473 , 30 TAC 106.478 and 30 TAC Chap 115)

Make__________________Model_________________Serial #______________ Fuel Type: _____________ Tank Volume: __________gals;Tank Dimensions (ft): Diameter _______Length_______ Height________ Make__________________Model_________________Serial #______________ Fuel Type: _____________ Tank Volume: __________gals;Tank Dimensions (ft): Diameter _______Length_______ Height________ Make__________________Model_________________Serial #______________ Fuel Type: _____________ Tank Volume: __________gals;Tank Dimensions (ft): Diameter _______Length_______ Height________ Make__________________Model_________________Serial #______________ Fuel Type: _____________ Tank Volume: __________gals;Tank Dimensions (ft): Diameter _______Length_______ Height________ Make__________________Model_________________Serial #______________ Fuel Type: _____________ Tank Volume: __________gals;Tank Dimensions (ft): Diameter _______Length_______ Height________

Tank Type: Aboveground / Underground (circle one); Vapor Control Equipped: YES / NO (circle one) Roof Type: Horizontal Fixed Roof / Vertical Fixed Roof / Internal Floating Roof / Pressure Tank External Floating Roof

Seasonal Operating Percentage for This Emission Point:

Spring _____% Summer _____% Fall _____% Winter _____% Note: Total Must Equal 100% Normal Operating Schedule: Start Time_____hours/day _____days/week _____weeks/year_____ Normal Operating Rate: _______________gallons/year Maximum Operating Rate: _______________gallons/hour

EXTERNAL COMBUSTION UNITS (Boilers, Hot Water Heaters, Process Heaters) (Covered by 30 TAC 106.102 and 30 TAC 106.183) Fuel Type: Natural Gas / Diesel Make__________________Model_________________Serial #___________________ Input Rating: __________ MMBTUH Height of Stack: __________ ft ; Diameter of Stack: __________ ft; Stack Exhaust Velocity: ______________ft / sec Make__________________Model_________________Serial #___________________ Input Rating: __________ MMBTUH Height of Stack: __________ ft ; Diameter of Stack: __________ ft; Stack Exhaust Velocity: ______________ft / sec Make__________________Model_________________Serial #___________________ Input Rating: __________ MMBTUH Height of Stack: __________ ft ; Diameter of Stack: __________ ft; Stack Exhaust Velocity: ______________ft / sec Make__________________Model_________________Serial #___________________ Input Rating: __________ MMBTUH Height of Stack: __________ ft ; Diameter of Stack: __________ ft; Stack Exhaust Velocity: ______________ft / sec

Seasonal Operating Percentage for These Emission Points:

Spring _____% Summer _____% Fall _____% Winter _____% Note: Total Must Equal 100% Normal Operating Schedule: Start Time_____ hours/day _____days/week _____ weeks/year____ Normal Operating Rate:

_______________gallons/year

FUEL DISPENSING UNITS (Covered by 30 TAC 106.412) Make__________________Model_________________Serial #___________________ Make__________________Model_________________Serial #___________________ Make__________________Model_________________Serial #___________________ Make__________________Model_________________Serial #___________________ Make__________________Model_________________Serial #___________________ Make__________________Model_________________Serial #___________________

Fuel Type: MUR / Diesel / JP-8 / Other ______________ (circle one) Dispensing Type: Retail / Bulk (circle one) Vapor Control Equipped : YES / NO (circle one) Dispenser Pump rate: __________ gallons/minute Seasonal Operating Percentage for This Emission Point:

Spring _____% Summer _____% Fall _____% Winter _____% Note: Total Must Equal 100% Normal Operating Schedule: Start Time_____ hours/day _____days/week _____ weeks/year____ Normal Operating Rate: _______________gallons/year

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SURFACE COATING OPERATIONS (Covered by 30 TAC 106.433 , 30 TAC 106.436 or 30 TAC 116.110)

Attach approved MSDS of each coating and solvent used in process Particulate Matter Control Efficiency of Booth: __________% Booth Air Flow Rate:___________scfm Transfer Efficiency of Paint Gun: __________% Number of Paint Guns: __________ Associated Heater: YES / NO (circle one) Complete Separate Questionnaire for Each Heater Associated Gun Cleaner: YES / NO (circle one) Complete Separate Questionnaire for Each Cleaner Seasonal Operating Percentage for This Emission Point:

Spring _____% Summer _____% Fall _____% Winter _____% Note: Total Must Equal 100% Normal Operating Schedule: Start Time_____hours/day _____days/week _____weeks/year____ Normal Operating Rate: _______________gallons/year (each coating and solvent)

REFRIGERATION EQUIPMENT (AIR CONDITIONING SYSTEM, FREEZER) (Covered by 30 TAC 106.103)

Make__________________ Model____________Serial#___________________ No. of compressors: ______ Refrigerant Type: __________ Amount of Charge:______lbs; Initial Charge Date:_____/_____/_____ Make__________________ Model____________Serial#___________________ No. of compressors: ______ Refrigerant Type: __________ Amount of Charge:______lbs; Initial Charge Date:_____/_____/_____ Make__________________ Model____________Serial#___________________ No. of compressors: ______ Refrigerant Type: __________ Amount of Charge:______lbs; Initial Charge Date:_____/_____/_____ Make__________________ Model____________Serial#___________________ No. of compressors: ______ Refrigerant Type: __________ Amount of Charge:______lbs; Initial Charge Date:_____/_____/_____ Make__________________ Model____________Serial#___________________ No. of compressors: ______ Refrigerant Type: __________ Amount of Charge:______lbs; Initial Charge Date:_____/_____/_____

Seasonal Operating Percentage for This Emission Point:

Spring _____% Summer _____% Fall _____% Winter _____% Note: Total Must Equal 100% Normal Operating Schedule: Start Time_____hours/day _____days/week _____weeks/year_____

WELDING OPERATIONS (Covered by 30 TAC 106.227)

Attach approved MSDS of each welding rod type used in process Make__________________Model_________________Serial #___________________ Make__________________Model_________________Serial #___________________ Make__________________Model_________________Serial #___________________

Particulate Matter Control Efficiency of hood (if available): __________% Exhaust Fan Ventilation Rate :___________scfm Acetylene on hand: __________lbs of gas Oxygen on hand: __________ lbs of gas Seasonal Operating Percentage for This Emission Point:

Spring _____% Summer _____% Fall _____% Winter _____% Note: Total Must Equal 100% Normal Operating Schedule: Start Time_____hours/day _____days/week _____weeks/year____ Normal Operating Rate: _______________# of rods/year

BRAKE REPAIR OPERATIONS (Covered by 30 TAC 106.261 and 30 TAC 106.262)

Attach approved MSDS of each brake pad type used in process Make__________________Model_________________Serial #___________________ Make__________________Model_________________Serial #___________________ Make__________________Model_________________Serial #___________________

Particulate Matter Control Efficiency of hood (if available): 1st Stage ________%; 2nd Stage_____% Exhaust Fan Ventilation Rate :___________scfm Seasonal Operating Percentage for This Emission Point:

Spring _____% Summer _____% Fall _____% Winter _____% Note: Total Must Equal 100% Normal Operating Schedule: Start Time_____hours/day _____days/week _____weeks/year____ Normal Operating Rate: _______________# of Brakes Repaired/year

Attachment 1 - Appendix A Page 9 August 11, 2022 http://info.sos.state.tx.us/pls/pub/readtac$ext.TacPage?sl=R&app=9&p_dir=&p_rloc=&p_tloc=&p_ploc=&pg=1&p_tac=&ti=30&pt=1&ch=106&rl=433 http://info.sos.state.tx.us/pls/pub/readtac$ext.TacPage?sl=R&app=9&p_dir=&p_rloc=&p_tloc=&p_ploc=&pg=1&p_tac=&ti=30&pt=1&ch=106&rl=433 http://info.sos.state.tx.us/pls/pub/readtac$ext.TacPage?sl=R&app=9&p_dir=&p_rloc=&p_tloc=&p_ploc=&pg=1&p_tac=&ti=30&pt=1&ch=106&rl=433 http://info.sos.state.tx.us/pls/pub/readtac$ext.TacPage?sl=R&app=9&p_dir=&p_rloc=&p_tloc=&p_ploc=&pg=1&p_tac=&ti=30&pt=1&ch=106&rl=433 http://info.sos.state.tx.us/pls/pub/readtac$ext.TacPage?sl=R&app=9&p_dir=&p_rloc=&p_tloc=&p_ploc=&pg=1&p_tac=&ti=30&pt=1&ch=106&rl=433 http://info.sos.state.tx.us/pls/pub/readtac$ext.TacPage?sl=R&app=9&p_dir=&p_rloc=&p_tloc=&p_ploc=&pg=1&p_tac=&ti=30&pt=1&ch=106&rl=433 http://info.sos.state.tx.us/pls/pub/readtac$ext.TacPage?sl=R&app=9&p_dir=&p_rloc=&p_tloc=&p_ploc=&pg=1&p_tac=&ti=30&pt=1&ch=106&rl=433 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ENV Use Only FIN, EPN and CIN determination comes from Emissions Inventory Guidelines

FIN # _________________ EPN #_________________ CIN #__________________

FIN # _________________ EPN #_________________ CIN #__________________

FIN # _________________ EPN #_________________ CIN #__________________

FIN # _________________ EPN #_________________ CIN #__________________

FIN # _________________ EPN #_________________ CIN #__________________

FIN # _________________ EPN #_________________ CIN #__________________

FIN # _________________ EPN #_________________ CIN #__________________

FIN # _________________ EPN #_________________ CIN #__________________

FIN # _________________ EPN #_________________ CIN #__________________

FIN # _________________ EPN #_________________ CIN #__________________

FIN # _________________ EPN #_________________ CIN #__________________

FIN # _________________ EPN #_________________ CIN #__________________

FIN # _________________ EPN #_________________ CIN #__________________

FIN # _________________ EPN #_________________ CIN #__________________

FIN # _________________ EPN #_________________ CIN #__________________

FIN # _________________ EPN #_________________ CIN #__________________

FIN # _________________ EPN #_________________ CIN #__________________

FIN # _________________ EPN #_________________ CIN #__________________

FIN # _________________ EPN #_________________ CIN #__________________

FIN # _________________ EPN #_________________ CIN #__________________

FIN # _________________ EPN #_________________ CIN #__________________

FIN # _________________ EPN #_________________ CIN #__________________

FIN- Facility Identification Number; EPN- Emission Point Number; CIN- Control Identification Number

ENV Use Only Received on __________ for submittal in _________ Permit

AUTHORIZATION TO PROCEED WITH CHANGE

Authorized by: ____________________ Title: ______________________ Signature: ________________________ Date: ______________________

AUTHORIZATION FOR STARTUP

Authorized by: ____________________ Title: ______________________

Proposed Project Emissions Inventory Questionnaire for New Sources

Attachment 1 - Appendix A Page 10 August 11, 2022 http://www.tnrcc.state.tx.us/air/aqp/psei.html http://www.tnrcc.state.tx.us/air/aqp/psei.html http://www.tnrcc.state.tx.us/air/aqp/psei.html http://www.tnrcc.state.tx.us/air/aqp/psei.html http://www.tnrcc.state.tx.us/air/aqp/psei.html http://www.tnrcc.state.tx.us/air/aqp/psei.html http://www.tnrcc.state.tx.us/air/aqp/psei.html http://www.tnrcc.state.tx.us/air/aqp/psei.html

BOB.MILLENBACH

Typewritten Text

PRIME COMPANY NAME: _______________________________ CONTRACT NO: _______________________

PROJECT TITLE/LOCATION: ___________________________________________________________________

Material Name Manufacturer MSDS State Number

Average Max Daily Daily

*Contractor(s) certifies that the hazardous material(s) removed from installation will be used/reused for its intended purpose.

Submitted By: Phone: Fax:_______ Date:

Printed Name

Contracting Officer Phone: Fax:_______ or Representative Page____of____

CONTRACTOR HAZARDOUS MATERIAL INVENTORY & CONSUMPTION LOG

(EPCRA/E.O. 13423)

(container size-quantity of) Storage Quantity Quantity (lbs/gals) used in CY [ ](i.e. Liquid, Solid, Gas)

Company Using Material Listed Above Company Representative's Signature

Attachment 1 - Appendix A Page 11 August 11, 2022

PRIME COMPANY NAME: _______________________________ CONTRACT NO: _______________________

PROJECT TITLE/LOCATION: ___________________________________________________________________

Material Name Manufacturer MSDS State Number

Average Max Daily Daily

Page____of____

(container size-quantity of) Storage Quantity Quantity (lbs/gals) used in CY [ ](i.e. Liquid, Solid, Gas)

Continuation Sheet

CONTRACTOR HAZARDOUS MATERIAL INVENTORY & CONSUMPTION LOG

(EPCRA/E.O. 13423)

Attachment 1 - Appendix A Page 12 August 11, 2022

LANDFILL PERMIT

DPW COR POC and telephone phone number: _______________________________________ Contract Name: ________________________________________________________________ Contract Number: _______________________________________________________________ Contract completion date or end of authorization date: __________________________________ Building or areas affected (i.e., Soldier's Development Center):

Prime Contractor's Name: ________________________________________________________ Contractor POC and phone (i.e. someone on site that can get immediate action):

Attachment 1 - Appendix A Page 13 August 11, 2022

Appendix D: Customer Service Inspection Certificate (30 TAC §290.47(d))

Customer Service Inspection Certificate Name of PWS _______________________________________PWS I.D.# ______________ Location of Service ______________________________________________________ Reason for Inspection:

New construction. __ Existing service where contaminant hazards are suspected __ Major renovation or expansion of distribution facilities __

I _____________________________, upon inspection of the private water distribution facilities connected to the aforementioned public water supply do hereby certify that, to the best of my knowledge:

(1) No direct connection between the Compliance Non-Compliance public drinking water supply and a potential source of contamination exists. Potential sources of contamination are isolated from the public water system by an air gap or an appropriate backflow prevention assembly in accordance with Commission regulations.

(2) No cross-connection between the public drinking water supply and a private water system exists. Where an actual air gap is not maintained between the public water supply and a private water supply, an approved reduced pressure-zone backflow prevention assembly is properly installed and a service agreement exists for annual inspection and testing by a certified backflow prevention assembly tester.

(3) No connection exists which would allow the return of water used for condensing, cooling or industrial processes back to the public water supply.

(4) No pipe or pipe fitting which contains more than 8.0% lead exists in private water distribution facilities installed on or after July 1, 1988.

(5) No solder or flux which contains more than 0.2% lead exists in private water distribution facilities installed on or after July 1, 1988.

Attachment 1 - Appendix A Page 14 August 11, 2022

I further certify that the following materials were used in the installation of the private water distribution facilities:

Service lines Lead __ Copper __ PVC __ Other __ �Solder Lead __ Lead Free __ Solvent Weld __ Other __

I recognize that this document shall become a permanent record of the aforementioned Public Water System and that I am legally responsible for the validity of the information I have provided.

Remarks:

Signature of Inspector Registration Number

Title Type of Registration

Date

Attachment 1 - Appendix A Page 15 August 11, 2022

FHT Form 200-X10, April 2004 (DPW) Replaces FHT Form 420-X10

COORDINATION FOR LAND EXCAVATION & WATER USE

(III Corps and FH Reg 200-1)

CONTROL NUMBER

TELEPHONE

NAME, RANK, TITLE, AND ORGANIZATION OF REQUESTER

PROJECTED DATES OF EXCAVATION OR WATER USE

PURPOSE AND DESCRIPTION OF EXCAVATION OR WATER USE (PROJECT NO./CONTRACT NO./TITLE, ETC.)

AREA OF LAND DISTURBANCE = _________ ACRES DPW Point Of Contact:_______________________________________ Note: Permit Expires After 30 Days of Approved Start Date

EXCAVATION

� I propose to dig at the locations depicted in the attached map, sketch, or overlay (For military operations, plot digging locations on transparent overlays that include two grid register marks using standard 1:50,000 topographic maps).

� I understand that the proposed digging or excavation is a requirement within the scope of work to be accomplished. I will not dig or excavate before receiving written approval from the Directorate of Public Works (DPW). I understand my responsibilities and obligations pursuant to safety, property damage, personal injury, and life-threatening hazards associated with digging in the vicinity of underground utilities (including utilities such as electrical cables and pipes containing natural gas, water, sewer, liquefied fuels, and refrigerants). Severe injuries, death, and extensive property damage may occur as a result of digging through underground utilities. I am responsible for damages caused to persons or property as a result of my fault or negligence. If the exact locations of underground utilities are unknown, I will perform whatever work is necessary to determine exact locations and avoid damaging utilities.

� Unless otherwise permitted, I will not excavate within 50 meters of streams, natural drains, roads, and tank trails. I will not dig or deposit excavated spoil within 10 meters of trees.

� If archaeological resources (arrowheads, charcoal, bones, etc.) are discovered during excavation, I or my representative will notify DPW, 287- 1092, and suspend disturbance of the finding until DPW issues guidance.

� Upon completion, I will restore the excavation site including backfilling, reshaping, and seeding to conform to surrounding topography.

� For construction activities that will result in land disturbance (clearing, grading or excavating) of one acre or more, or that are part of a larger common plan of development that will ultimately disturb one or more acres of land, I will comply with the provisions of the TPDES General Permit, TXR150000, to discharge storm water from construction sites, and I will coordinate with DPW-Environmental Division, 287-6499.

WATER USE

� I propose to take surface water from the location depicted in the attached map, sketch, or overlay. Include dates and amounts of proposed water use.

� I understand that the proposed water supply point is a requirement within the scope of work to be accomplished. I will not divert or draw any water before receiving written approval from the Directorate of Public Works (DPW).

� I understand that in addition to this permit, a Temporary Water Use Permit may be required from TCEQ, depending on the proposed water use.

SIGNATURE OF REQUESTER DATE

Attachment 1 - Appendix A Page 16 August 11, 2022

REVIEWED OR INSPECTED BY

(All blocks must be signed for Excavation permit. Natural Resources & Environmental Mgmt only for Water Use permit.)

NATURAL RESOURCES Sprint ELECTRIC GAS RANGE DIVISION

ENVIRONMENTAL MGMT CULTURAL RESOURCES DOIM TV CABLE WATER & SEWER

Approved under the following conditions Disapproved for the following reasons

APPROVED BY (Range Division for Training Activities, Range Safety for Live Fire Activities, DPW for all other Activities)

DATE

FHT Form 200-X10

Attachment 1 - Appendix A Page 17 August 11, 2022

DEP ARTMENT OF THE ARMY

HEADQUARTERS, U.S. ARMY GARRISON

BUILDING 1001 ROOM W321

FORT HOOD, TEXAS 76544-5000

REPLY TO

ATfENTION OF

MAY 1 O 200~AFZF-PW-ENV

MEMORANDUM FOR SEE DISTRIBUTION

SUBJECT: Memorandum of Instruction (MOl) Landscaping on Fort Hood

1. Purpose. To establish procedures which allow units and other Fort Hood areas to landscape with vegetation that is native to the Fort Hood region.

2. Applicability. This MOl applies to all units, Directorates, and Family Housing on Fort Hood.

3, Responsibilities

a. Draw plans of the landscape area to facilitate plant placement by type and height or growth characteristics and estimate cost.

b. Layout beds or planting sites on the ground

c. Obtain an approved excavation permit (FH 420-X10), d Plant and water,

e. Develop long-term maintenance schedule and apply.

4, POC for excavation permits is DPW, Services Division, 287 -9735.

FOR THE COMMANDER'

Encl

DISTRIBUTION:

IAW FH FORM 1853: A

Attachment 1 - Appendix A Page 18 August 11, 2022

Planting and Care of Trees and Shrubs

1. Locate and mark planting sites and apply for an approved excavation permit (FH 420-X10). A permit is required prior to any digging on Fort Hood and necessary to prevent damage to the underground utility systems.

2. Select the right plants for the right locations. Consider future plant size in relation to conflict with sidewalks, drives, buildings, streets, and overhead utility lines. See the Approved Plant List for guidance on plant heights.

3. Locate and dig holes so that the hole is two to three times the diameter of the container and no deeper than the container. Keep all original topsoil for backfilling. Be certain that hole has rough and uneven edges and is irregular in size, as this will encourage the new roots to spread and not become root-bound within the hole. Plant only as deep as the level of the dirt in the original pot; planting too deeply may kill the plant. See attached diagram.

4. Always handle plants by the container or the ball, never by the stems, as this will damage the plant. If the plant is root-bound, make two cuts across the bottom layer of roots and several cuts along the sides to loosen the roots.

5. Set the plant in the hole vertically and remove the container or the burlap and wire.

Backfill only with the original soil. Do not backfill with compost, peat moss, or other materials. Add one third of backfill soil at a time; tamp very lightly and use slow-running water to settle the soil and help secure the plant. Repeat this process until the hole is full and thoroughly watered.

6. It is recommended that you install a landscape fabric. Place fabric beneath edging such that it covers the entire surface of the bed. Use a fabric, which allows air and water to penetrate and restricts weeds, but do NOT use a solid plastic film.

7. If desired, you may install edging. Metal edging, installed 4 inches below the surface and 2 inches above, is preferred because it will help to keep grass from invading into the planting area. However, stone edging, installed no more than one high, may be installed around individual trees or around shrub beds.

8. Place a 3- to 4-inch-thick layer of mulch around all plants to keep them free of weeds and grass. Use only shredded hardwood mulch, hardwood chips, or cedar mulch. Do not use pine bark mulch. Do not use rock of any type instead of mulch. For planting beds, mulch the entire bed. For individual plantings of trees or shrubs, mulch 2 to 3 feet around the trunk in every direction.

9. For trees, do not use tree stakes or guy wires of any kind. These actually weaken trees. Also, do not wrap any material around the base of the trunk. These encourage problems with insects and diseases. Do not prune trees and shrubs at planting time. Do not paint trees. The only exception to the no staking rule is for very large (greater than 4

Landscaping on Fort Hood

Attachment 1 - Appendix A Page 19 August 11, 2022 inch trunk) balled and burlapped trees. These trees may be staked for a period not to exceed 2 years; after which time, all stakes and guy wires must be removed.

10. Do not plant trees and shrubs without a commitment to care for them. Trees and shrubs will need to be watered when rainfall is not sufficient; a rain of at least 1 inch per week is sufficient.