Attachment 1 Appendix L.pdf

APPENDIX L

Tobyhanna Army Depot Standard Operating Procedure

For

Excavation/Excavation Permits

This document is intended for use at Tobyhanna Army Depot

Contractors are expected to comply with Pa state law.

(Pennsylvania One Call System)

This procedure applies to any excavation deeper than 6 inches including boring, drilling, augering and driving stakes.

1. The excavator is required to outline the proposed excavation site with white markings before requesting a permit

2. Call Pennsylvania One Call System at 800-242-1776 or 811

3. Pa One Call will notify Tobyhanna (Facility Owner) via fax.

4. TYAD will mark utilities and provide a signed permit to the excavator if approved.

5. TYAD has a maximum of ten working days to approve each permit

6. Any disapproval stops the permit process and requires a resubmission

7. Excavator must have a signed permit on the job site at all times

8. The permit is valid for thirty (30) days

9. The excavator is responsible for maintaining any markings made by the facility owner.

10. The excavator is expected to hand dig within thirty (30) inches of marked facilities. (See figure on page 2).

Temporary Facility Marking Responsibility by Facility Owners is:

To mark, stake, locate or otherwise provide the position of the underground utilities at the site within 30 inches* horizontally from the outside wall of the utilities in such a manner so as to enable the excavator, where appropriate within the tolerance zone, to employ prudent techniques, such as hand digging, to determine the precise location of the utility lines.

*Note: The 30 inch horizontal requirement is specific to Tobyhanna Army

Depot

PROCEDURES FOR EXCAVATION

IN ACCORDANCE

WITH PENNSYLVANIA ONE CALL (PA One Call) REQUIREMENTS

Tobyhanna Army Depot

TOBYHANNA ARMY DEPOT IN-HOUSE EXCAVATION PERMIT

For Excavation And Other Work in the Vicinity of Utilities

CALL 911 FOR EMERGENCIES

CHECK APPROPRIATE BOXES, FILL IN ALL SPACES AND SUBMIT TO THE

ENGINEERING BRANCH POC AT LEAST WORKING 3 DAYS PRIOR TO START OF

EXCAVATION. EXPLAIN ANY "NO" RESPONSE TO ANY ITEM BELOW IN

SECTION 6.

PROJECT: JOB ORDER NUMBER:

PROPOSED EXCAVATION START DATE/COMPLETION DATES:

1. EXCAVATION REQUIREMENTS DEFINED. -

2. PROPOSED EXCAVATION AREA MARKED WITH WHITE LINES.

3. CONTACT PA ONE-CALL SERVICE: 1-800-242-1776. - YES

NO:

Date & Time Serial No.

(PA ONE-CALL covers all Natural Gas lines)

4. CONTROL CONSIDERATIONS

a. SAFETY MEASURES ARE IN PLACE TO ASSURE EXCAVATION AND PROCEDURES

MEET OR EXCEED ALL OSHA AND OTHER REQUIREMENTS.

b. LOCATION OF SHUT-OFF OR ISOLATION VALVES HAVE BEEN ESTABLISHED.

c. SOIL EROSION AND SEDIMENTATION CONTROLS WILL BE IMPLEMENTED

PROCEDURES FOR

EXCAVATION IN ACCORDANCE

WITH PENNSYLVANIA ONE CALL (PA One Call) REQUIREMENTS

Tobyhanna Army Depot

5. NOTES:

a. Work shall always proceed in an orderly and effective manner to preclude potential damage or problems.

b. When utilities have been located in the area to be excavated, hand digging will be used within 30 inches until the exact locations of all lines have been determined.

c. If differing site conditions are determined to exist, contact the Directorate of Installation Services Engineering Branch POC for possible additional precautionary measures to be employed.

6. REMARKS:

7. POC FROM Roads & Grounds Branch (equipment operator or person knowledgeable about the excavation):

8.

AUTHORIZED SIGNATURE (BRANCH CHIEF/LEADER) DATE

EXCAVATION IN ACCORDANCE

WITH PENNSYLVANIA ONE CALL (PA One Call) REQUIREMENTS Tobyhanna

Army Depot

THE FOLLOWING SECTIONS TO BE COMPLETED BY ENG BRANCH POC AFTER

RECEIPT OF PERMIT REQUEST:

9. DATE RECEIVED

10. DATE UTILITIES MARKED

11. UTILITIES IDENTIFIED ON-SITE:

POTENTIAL ASBESTOS

12. CONTROLS REQUIRED:

MEASURES TO BE

IMPLEMENTED:

PERMIT APPROVED -

AUTHORIZED SIGNATURE (Chief Eng Branch or Designated Alternate)

DATE

EXPIRATION DATE:

EXCAVATION IN ACCORDANCE

TOBYHANNA ARMY DEPOT

EXCAVATION PERMIT & RISK ASSESSMENT

For Excavation and Other Work in the Vicinity of Utilities

EMERGENCY PHONE NUMBER - 615-7300

CHECK APPROPRIATE BOXES, FILL IN ALL SPACES AND SUBMIT TO THE

CONTRACTING OFFICER'S REPRESENTATIVE (COR) AT LEAST 3 WORKING DAYS

PRIOR TO START OF EXCAVATION. WORK SHALL NOT PROCEED UNTIL PERMIT

IS ISSUED BY DIRECTORATE OF INSTALLATION SERVICES (D/IS). COPY OF

PERMIT SHALL BE KEPT ON SITE AT ALL TIMES. EXPLAIN ANY "NO"

RESPONSE TO ANY ITEM BELOW IN SECTION 12.

PROJECT: CONTRACT NUMBER:

PROPOSED EXCAVATION START DATE/COMPLETION DATES:

1. EXCAVATION DETAILS AND DRAWINGS ESTABLISHED. -

2. PROPOSED EXCAVATION AREA MARKED WITH WHITE LINES.-

3. CONTACT PA ONE-CALL SERVICE: 1-800-242-1776. -

Date & Time

Serial No.

(PA ONE-CALL also covers all GAS lines on the installation)

4. UTILITIES IDENTIFIED ON-SITE:

EXCAVATION IN ACCORDANCE

5. DATE UTILITIES MARKED AND METHOD OF MARKING

PA ONE CALL-

OTHER -

6. LEVEL OF RISK: (Based upon personnel safety and consequences of utility outages.)

3 feet of GAS line.

7. CONTROLS REQUIRED:

8. CONTRACTOR'S EMERGENCY NOTIFICATION PHONE NUMBER OR PAGER:

9. CONTRACTOR'S CONTROL CONSIDERATIONS

a. SAFETY MEASURES ARE IN PLACE TO ASSURE EXCAVATION AND PROCEDURES

MEET OR EXCEED ALL OSHA AND OTHER REQUIREMENTS.

b. LOCATION OF SHUT-OFF OR ISOLATION VALVES HAVE BEEN ESTABLISHED.

c. SOIL EROSION AND SEDIMENTATION CONTROLS WILL BE IMPLEMENTED

d. CONTINGENCY PLANS AND ACTIONS TO BE TAKEN IN THE EVENT OF AN

INCIDENT RESULTING IN UTILITIES INTERUPTION OR DAMAGE TO

FACILITIES.

(Attach additional sheets as necessary).

10. NOTES:

a. Receipt of a permit from the government does not relieve the contractor from responsibility for damage to utilities. Work shall always proceed in an orderly and effective manner to preclude potential damage or problems. The contractor will be liable for all damages to persons or property that occurs as a result of the contractor's fault or negligence.

b. When utilities have been located in the area to be excavated, hand digging will be used within 30 inches until the exact locations of all lines have been determined.

c. The Government reserves the right to specify additional precautionary measures to be employed if differing site conditions are determined to exist.

11. Remarks:

THE INFORMATION NOTED ABOVE IS ACCURATE AND TRUE AND THE WORK IS

READY TO PROCEED:

AUTHORIZED CONTRACTOR SIGNATURE DATE PROCEDURES FOR EXCAVATION IN

ACCORDANCE WITH PENNSYLVANIA ONE CALL (PA One Call) REQUIREMENTS

**************TO BE COMPLETED BY TYAD REPRESENTATIVE*********

PERMIT APPROVED - YES NO (see cover letter for reasons and corrective actions required with time frames)

AUTHORIZED D/IS SIGNATURE AND DATE:_____________________EXPIRATION

CONDITIONS OR PRECAUTIONARY MEASURES TO BE IMPLEMENTED:

THE FOLLOWING SECTIONS TO BE COMPLETED BY ENG DIV POC AFTER

RECEIPT OF PERMIT REQUEST:

12. DATE RECEIVED

13. DATE UTILITIES MARKED

14. UTILITIES IDENTIFIED ON-SITE:

POTENTIAL ASBESTOS

15. CONTROLS REQUIRED:

MEASURES TO BE

IMPLEMENTED:

PERMIT APPROVED -

AUTHORIZED SIGNATURE (Chief Eng Branch or Designated Alternate)

DATE

EXPIRATION DATE:

NOTICE to ALL CONTRACTORS INTALLING NEW UNDERGROUND

UTILITIES

All new underground utilities within the construction area shall be located and identified on as-built drawings using the Pennsylvania (North)

State Plane coordinate system (North American Datum

1983 Feet (NAD83)) to obtain a NORTHING and EASTING.

While vertical surveys will use the North American

Vertical Datum (NAVD) 1988 coordinate system for an

ELEVATION. Refer to Scope of work Section

17 Deliverables Section C paragraphs 1 through 9 for details.

Providing survey date is not a substitute for other marking methods. Contractors are responsible for implementing other markings such as tracing wire or tape as required