Attachment 6 - Yellowstone Locate Form Printable 10-2016.pdf

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YELLOWSTONE LOCATE FORM

IMPORTANT INFORMATION:

Underground utility locates are required anytime the ground is disturbed in developed areas.

Locates in Recommended Wilderness are only required within 50 feet of any trail head or developed structure, i.e. cabin, gauging station, solar array, etc.

Provide a clear and accurate map of the location of your dig. Clearly mark the specific area on your map. Hand-deliver the map to the Locate Coordinator in the

Technology Services building, 14 Stable Street, Mammoth Hot Springs. You may also fax the map to 307-344-2067, or email it to debra_guernsey@nps.gov or bret_deyoung@nps.gov.

Mark all dig locations with white paint or white flags before submitting your locate request.

Please allow two full business days for all non-emergency locates.

Call 307-344-2470 if you have questions.

1. What is your main on-site contact’s name?

Enter the name of the person who will be in charge of the dig, on-site.

2. What is your main on-site contact’s phone number?

Enter the cell or office phone of the person who will be in charge of the dig, on-site.

3. Where will the work take place?

Enter a concise and accurate description, along with a map of the work area. These are both required and need to be faxed, emailed or walked in to the Technology Services Office at 14 Stable Street in Mammoth

Hot Springs. You can use Google Maps, Google Earth, or an existing site map.

WY NPS YELL 10(24)

RFQ # 69056720Q000018 Attachment 6 mailto:debra_guernsey@nps.gov mailto:bret_deyoung@nps.gov

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4. Is the perimeter of the proposed excavation marked with white paint or with white flags?

The perimeter of the work area must be marked in white paint or with white pin flags in accordance with the Uniform Color Code for marking underground utility lines.

5. What are the perimeter dimensions of the proposed excavation?

Provide the dimensions of the marked area. Examples: 2’ west-east x 2’ north-south; 4-foot radius.

6. Will explosives be used?

This will almost always be no.

7. What type of work will you be doing?

Examples include: digging a foundation, installing sign posts, installing electric, water, sewer or propane lines, etc.

☐Excavating a foundation

☐Installing sign posts

☐Installing or repairing cable

☐Installing or repairing water or sewer

☐Installing or repairing gas line

☐Installing a fence

☐Archaeological/Biological survey

☐Other:

8. How deep will you be digging, in feet?

Round the dig depth to the nearest foot.

1 2 3 4 5 6 7 8 9 10

In feet: ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐

9. What is the dig date?

WY NPS YELL 10(24)

RFQ # 69056720Q000018 Attachment 6

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This is the date you would like to begin digging. Keep in mind that Wyoming state law states that the work cannot start until 48 business hours after the locate has been reported to One Call of Wyoming. Montana state law states that the work cannot start until two full business days after the locate has been reported to Montana One Call.

10. How long will the digging take?

Estimate the duration of the excavation portion of the project. Examples: 1 day, 1 week, 1 month, etc.

11. What are the TWO NEAREST intersecting roads?

SELECT TWO of the following roads. The following roads are recognized by One Call of Wyoming and One

Call of Montana:

☐Grand Loop Road

☐North Entrance Road

☐YCC Camp Road

☐Norris-Canyon Road

☐Old Faithful Park Road (the road to Old Faithful developed area)

☐South Entrance Road

☐Grant Village Road

☐East Entrance Road

☐Northeast Entrance Road

☐Park Street, Gardiner, MT

☐Old Yellowstone Trail, Gardiner, MT

☐Highway 89 South, Gardiner, MT

12. Provide the latitude and longitude of the dig site in decimal degrees.

Hint: Go to https://www.google.com/maps/ , type in your location and find your site. Right click precisely on your dig site and select “What’s here?”. A box will appear at the bottom of the screen with the

Lat/Long coordinates (e.g. – 44.976785, -110.6974481). If you have multiple sites in the same area, you may list multiple Lat/Long coordinates.

1. Latitude: Longitude:

2. Latitude: Longitude:

Additional Lat/Long:

WY NPS YELL 10(24)

https://www.google.com/maps/

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13. What are your marking instructions?

Example: Please mark all utilities within a 20-foot radius of white flags.

14. Is this a new or an existing excavation?

If you answer NEW, consult with Resource Compliance to verify that your project is on the Compliance

YOP Day-to-Day actions. Otherwise you will be required to fill out a Resource Compliance Checklist. Call the Compliance Office at 307-344-2156, 2221, or 2017 for more information.

15. Fax, email, or hand-carry a clear and accurate map with the marked dig area to the Locate Coordinator in the Technology Services Office, 14 Stable Street, Mammoth

Hot Springs.

Check all that apply.

☐Email: debra_guernsey@nps.gov or bret_deyoung@nps.gov

☐Fax: 307-344-2067

☐Hand-carry map to Telecom Office, 14 Stable Street, Mammoth Hot Springs

16. Is this an emergency locate?

“Emergency” means a sudden, unforeseen occurrence, including a loss of communications, which demands immediate action to protect the health, safety and welfare of the public and to prevent loss of life, health, property or essential public services, and where advance notice to the notification center prior to excavation is impracticable under the circumstances. “Emergency” shall include ruptures and leakage of pipelines, explosions, fires and similar instances where immediate action is necessary to prevent loss of life or significant damage to underground facilities or the environment.

WY NPS YELL 10(24)

mailto:debra_guernsey@nps.gov mailto:bret_deyoung@nps.gov