Attachment A- 07_PROD_Form.doc
DOC document 365 KB Posted
- Solicitation number
- N4008524R2608
About this file
This document is an Attachment A- 07_PROD_Form, which appears to be a permits record of decision (PROD) form for a federal project. The form lists various types of permits required for the project, including air quality, water pollution, drinking water, fuel tanks, solid and hazardous waste, coastal management, and other permits. For each permit type, the form provides fields to record the permit details such as date obtained, date closed, basis of decision, issuing agency, and special provisions and requirements.
The related federal contract opportunity is for a Design-Build (DB) project to Repair/Seal Exterior Walls & Windows at Naval Station, Norfolk, Virginia. The solicitation is restricted to MACC holders under the Design-Build (DB)/Design-Bid-Build (DBB), Indefinite-Delivery/Indefinite Quantity (IDIQ) 8(A) Multiple Award Construction Contract (MACC) for Facilities in the Hampton Roads Area of Responsibility (HR AOR), Virginia. The contracting agency is the Department of the Navy Naval Facilities Engineering Command.
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Text version
PERMITS RECORD OF DECISION (PROD)
| PERMIT |
| PROJECT TITLE: |
Work Order Number:
| REQUIRED |
| LOCATION: |
| (Check Box) |
| GOVERNMENT PROJECT MANAGER: |
**Use referenced notes where additional space required.
| Air Quality |
| PERMIT: Construction |
| Date Obtained: |
| Date Closed: |
MACROBUTTON CheckIt (
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Air Quality |
| PERMIT: Operating |
| Date Obtained: |
| Date Closed: |
MACROBUTTON CheckIt (
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Air Quality |
| PERMIT: Asbestos Demolition & Removal |
| Date Obtained: |
| Date Closed: |
MACROBUTTON CheckIt (
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Air Quality |
| PERMIT: Other |
| Date Obtained: |
| Date Closed: |
MACROBUTTON CheckIt (
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Water Pollution |
| PERMIT: Wastewater Collection System |
| Date Obtained: |
| Date Closed: |
MACROBUTTON CheckIt (
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Water Pollution |
| PERMIT: Wastewater Pump Station |
| Date Obtained: |
| Date Closed: |
MACROBUTTON CheckIt (
Basis of Decision (Yes/No):**
Issuing Agency
Special Provisions and Requirements:
| Water Pollution |
| PERMIT: Wastewater Treatment Plant |
| Date Obtained: |
| Date Closed: |
MACROBUTTON CheckIt (
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Water Pollution |
| PERMIT: Pretreatment, i.e. Oil/Water Separator |
| Date Obtained: |
| Date Closed: |
MACROBUTTON CheckIt (
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Water Pollution |
| PERMIT: Septic System |
| Date Obtained: |
| Date Closed: |
MACROBUTTON CheckIt (
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Water Pollution |
| PERMIT: Erosion & Sediment Control |
| Date Obtained: |
| Date Closed: |
MACROBUTTON CheckIt (
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Water Pollution |
| PERMIT: Stormwater Management |
| Date Obtained: |
| Date Closed: |
MACROBUTTON CheckIt (
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Water Pollution |
| PERMIT: Other |
| Date Obtained: |
| Date Closed: |
MACROBUTTON CheckIt (
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Discharge Permit |
| PERMIT: New or Increased Capacity NPDES |
| Date Obtained: |
| Date Closed: |
MACROBUTTON CheckIt (
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Discharge Permit |
| PERMIT: General NPDES (≥1 Acre Land Disturbance) |
| Date Obtained: |
| Date Closed: |
MACROBUTTON CheckIt (
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Discharge Permit |
| PERMIT: Other |
| Date Obtained: |
| Date Closed: |
MACROBUTTON CheckIt (
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Drinking Water |
| PERMIT: Water Distribution System |
| Date Obtained: |
| Date Closed: |
MACROBUTTON CheckIt (
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Drinking Water |
| PERMIT: Water Treatment Plant |
| Date Obtained: |
| Date Closed: |
MACROBUTTON CheckIt (
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Drinking Water |
| PERMIT: Well Construction |
| Date Obtained: |
| Date Closed: |
MACROBUTTON CheckIt (
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Drinking Water |
| PERMIT: Underground Injection |
| Date Obtained: |
| Date Closed: |
MACROBUTTON CheckIt (
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Drinking Water |
| PERMIT: Other |
| Date Obtained: |
| Date Closed: |
MACROBUTTON CheckIt (
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Fuel Tanks |
| PERMIT: Underground Storage Tank Construction |
| Date Obtained: |
| Date Closed: |
MACROBUTTON CheckIt (
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Fuel Tanks |
| PERMIT: Underground Storage Tank Operating |
MACROBUTTON CheckIt (
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Fuel Tanks |
| PERMIT: Other |
| Date Obtained: |
| Date Closed: |
MACROBUTTON CheckIt (
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions, and Requirements:
| Solid and Hazardous Waste |
| PERMIT: Hazardous Waste Treatment, Storage, Disposal, Handling |
| Date Obtained: |
| Date Closed: |
MACROBUTTON CheckIt (
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Solid and Hazardous Waste |
| PERMIT: Landfill |
| Date Obtained: |
| Date Closed: |
MACROBUTTON CheckIt (
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Solid and Hazardous Waste |
| PERMIT: Used Oil Collection Center, Aggregation Point, Transporter & Transfer Facility |
| Date Obtained: |
| Date Closed: |
MACROBUTTON CheckIt (
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Solid and Hazardous Waste |
| PERMIT: Other |
| Date Obtained: |
| Date Closed: |
MACROBUTTON CheckIt (
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Coastal Management Permit |
| PERMIT: Coastal Consistency Determination Authorization |
| Date Obtained: |
| Date Closed: |
MACROBUTTON CheckIt (
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Coastal Management Permit |
| PERMIT: Coastal Barrier |
| Date Obtained: |
| Date Closed: |
MACROBUTTON CheckIt (
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Coastal Management Permit |
| PERMIT: Floodplain Management |
| Date Obtained: |
| Date Closed: |
MACROBUTTON CheckIt (
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Coastal Management Permit |
| PERMIT: Other |
| Date Obtained: |
| Date Closed: |
MACROBUTTON CheckIt (
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Other Permits |
| PERMIT: Work in Navigable Waters |
| Date Obtained: |
| Date Closed: |
MACROBUTTON CheckIt (
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Other Permits |
| PERMIT: Dredging |
| Date Obtained: |
| Date Closed: |
MACROBUTTON CheckIt (
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Other Permits |
| PERMIT: Clearing |
| Date Obtained: |
| Date Closed: |
MACROBUTTON CheckIt (
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Other Permits |
| PERMIT: Essential Fish Habitat Assessment Consultation |
| Date Obtained: |
| Date Closed: |
MACROBUTTON CheckIt (
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Other Permits |
| PERMIT: Marine Mammal Protection Act |
| Date Obtained: |
| Date Closed: |
MACROBUTTON CheckIt (
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Other Permits |
| PERMIT: Take Permits |
| Date Obtained: |
| Date Closed: |
MACROBUTTON CheckIt (
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Other Permits |
| PERMIT: Work in Wetlands |
| Date Obtained: |
| Date Closed: |
MACROBUTTON CheckIt (
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Other Permits |
| PERMIT: Digging Permit |
| Date Obtained: |
| Date Closed: |
MACROBUTTON CheckIt (
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Other Permits |
| PERMIT: Traffic |
| Date Obtained: |
| Date Closed: |
MACROBUTTON CheckIt (
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Other Permits |
| PERMIT: Airport Hazard/Airfield Safety Clearances |
| Date Obtained: |
| Date Closed: |
MACROBUTTON CheckIt (
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Other Permits |
| PERMIT: Railroad Crossing |
| Date Obtained: |
| Date Closed: |
MACROBUTTON CheckIt (
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Other Permits |
| PERMIT: Historic Preservation |
| Date Obtained: |
| Date Closed: |
MACROBUTTON CheckIt (
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Other Permits |
| PERMIT: Noise Abatement |
| Date Obtained: |
| Date Closed: |
MACROBUTTON CheckIt (
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Other Permits |
| PERMIT: Endangered/Species/Critical Habitat |
| Date Obtained: |
| Date Closed: |
MACROBUTTON CheckIt (
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Other Permits |
| PERMIT: Other |
| Date Obtained: |
| Date Closed: |
MACROBUTTON CheckIt (
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
Prepared by:
Date
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