B.02 Specifications Vol. 2-19 April 2021.PDF
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- Solicitation number
- W912HN21B5002
About this file
This solicitation is for a fixed price construction contract to complete marsh restoration work at Dredged Material Containment Area 1S in Savannah, Georgia. The U.S. Army Corps of Engineers seeks a contractor to restore approximately 29 acres of brackish marsh through excavation and creation of feeder creeks for tidal connectivity. Additional work includes erosion control measures, clearing and grubbing, disposal of excavated materials, and a projected 360-day performance period. A pre-bid conference will be held on April 29, 2021 to address any contractual questions. Sealed bids are due by the response date in accordance with FAR Part 14 procedures for this unrestricted competitive solicitation valued between $10-25 million.
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Chatham County, Georgia
Solicitation Number
W912HN-21-B-5002
DMCA 1S Marsh Restoration Volume 2 of 2: Appendices
PN CWK609
April 2021
U.S. ARMY ENGINEER DISTRICT, SAVANNAH
CORPS OF ENGINEERS
100 WEST OGLETHORPE AVENUE
SAVANNAH, GEORGIA 31401-3640
US Army Corps Of Engineers Savannah District
DMCA 1S Marsh Restoration 21B5002 Chatham County, GA
PROJECT TABLE OF CONTENTS
DI VI SI ON 01 - GENERAL REQUI REMENTS
01 11 00 SUMMARY OF WORK
01 14 00 WORK RESTRICTIONS
01 32 16 SMALL PROJECT CONSTRUCTION PROGRESS SCHEDULES
01 33 00 SUBMITTAL PROCEDURES
01 35 26 GOVERNMENTAL SAFETY REQUIREMENTS
01 42 00 SOURCES FOR REFERENCE PUBLICATIONS
01 45 00 QUALITY CONTROL
01 45 00.15 RESIDENT MANAGEMENT SYSTEM CONTRACTOR MODE (RMS CM)
01 50 00 TEMPORARY CONSTRUCTION FACILITIES AND CONTROLS
01 57 19 TEMPORARY ENVIRONMENTAL CONTROLS
DI VI SI ON 31 - EARTHWORK
31 00 00 EARTHWORK
31 11 00 CLEARING AND GRUBBING
DI VI SI ON 32 - EXTERI OR I MPROVEMENTS
32 05 34 MARSH PLANTING
32 92 19 SEEDING
DI VI SI ON 35 - WATERWAY AND MARI NE CONSTRUCTI ON
35 20 23 DREDGING
APPENDICES
Appendix A STANDARD FORMS Appendix B USACE SURVEY MONUMENTS Appendix C ENVIRONMENTAL PERMITS
-- End of Project Table of Contents --
PROJECT TABLE OF CONTENTS Page 1
APPENDIX A
STANDARD FORMS
APPENDIX A - STANDARD FORMS
LIST OF FORMS
APPENDIX A - Page 1
Project Sign
Safety Performance Sign
Corps of Engineers Logo
Accident Prevention Plan Checklist
SAS Form 9 - Activity Hazard Analysis
ENG Form 16-1 - Certificate of Compliance for LHE and Rigging
ENG Form 16-2 - Standard Pre-Lift Plan (LHE)/Checklist
ENG Form 16-3 - Critical Lift Plan
SAD FL198 - Report of Safety Meeting
DA Form 5418-R - Cost Estimate Analysis
DHS Form I-9 - Employment Eligibility Verification
ENG Form 2454 - Construction Progress Chart
ENG Form 3394 – Accident Investigation Report
ENG Form 4025 - Transmittal of Shop Drawings, Equipment Data, Material
Samples, or Manufacturer's Certificates of Compliance
ENG Form 4794 - Riprap Gradation Curves
Endangered Species Protection And Awareness Program: Sample Watch Plan
Manatee Habitat/Construction Area Sign Details
Standard Form LLL-A - Disclosure of Lobbying Activities
Safety Performance Sign EP 310-1-6a 01 Jun 06
16-3
Each contractor’s safety record is to be posted on Corps managed or supervised construction projects and mounted with the Construction Project Identification sign specified on page 16-2.
The graphic format, color, size and type-faces used on the sign are to be repro-duced exactly as specified below. The title with First Aid logo in the top section of the sign, and the performance record captions are standard for all signs of this type. Legend groups 2 and 3 below identify the project and the contractor and are to be placed on the sign as shown.
Safety record numbers are mounted on individual metal plates and are screw-mounted to the background to allow for daily revisions to posted safety perfor-mance record.
Special applications or situations not covered in these guidelines should be referred to the district Sign Program Manager.
Legend Group 1: Standard two-line title “Safety is a Job Requirement” with 8” (outside diameter) Safety Green first aid logo.
Color: To match Pantone system 347 Typeface: 3" Helvetica Bold Color: Black
Legend Group 2: One- to two-line project title legend describes the work being done under this contract and name of host project.
Color: Black Typeface: 1.5" Helvetica Regular Maximum line length: 42"
Legend Group 3: One- to two-line identifica-tion: name of prime contractor and city, state address. Color: Black Typeface: 1.5" Helvetica Regular Maximum line length: 42"
Legend Group 4: Standard safety record captions as shown.
Color: Black Typeface: 1.25” Helvetica Regular
Replaceable numbers are to be mounted on white .060 aluminum plates and screw-mounted to background.
Color: Black Typeface: 3" Helvetica Regular Plate size: 2.5" x 4.5"
All typography is flush left and rag right, upper and lower case with initial capitals only as shown. Letter- and word-spacing to follow Corps standards as specified in Appendix D.
3” 33.030” eq. 8” eq.
6”
4.5”
10.5”
2.25” 3”
2.25” 3”
4.875”
4.875”
6.75”
4.875” .75” 4.875”
4.5”
3”
3” 42” 3”
2.25” 2.25” 2.25” 2.25”
.75”
3”
.75”
Sign Legend Panel Post Specification Mounting Color Type Size (A) Size Size Code Height Bkg/Lgd
CID-02 various 4’x4’ 4”x4” HDO-3 48” WH/BK-SG
CORPS OF ENGINEERS LOGO
HALF SIZE
CESO Form A-02 MAR 15
Form A-02 U.S. Army Corps of Engineers
Accident Prevention Plan Checklist
Date of Inspection
Location (Plant or Facility) Contract Number
Contractor Name Project Name
Inspector Name (Print) Inspector Signature
This checklist serves as a guide only, it does not replace or eliminate the need to comply with the requirements set forth in Engineering Manual 385-1-1, Safety and Health Requirements Manual, dated 30 Nov 2014. The references included in this checklist correspond to the applicable sections of EM 385-1-1.
Item Description Yes No N/A Remarks (Any NO or N/A item)
a. Signature sheet
1. Includes the name, title, signature, telephone number, and qualifications of the Plan Preparer (Qualified person, i.e. corporate safety staff person, QC)
2. Includes the name, title, signature, telephone number, and qualifications of the Plan Approver (e.g. owner, company president, regional vice president) (HTRW activities require approval of a Certified Industrial Hygienist, a Certified Safety Professional may approve the plan for operations involving UST removal where contaminants are known to be petroleum, oils, or lubricants).
3. Includes the name(s), title(s), signature(s), telephone number(s), and qualifications for Plan Concurrence (provide concurrence of other applicable corporate and project personnel (contractor)) (e.g. Chief of Operations, Corporate Chief of Safety, Corporate Industrial Hygienist, project manager or superintendent, project safety professional, project QC.)
b. Background information
1. Includes the Contractor Name.
2. Includes the Contract Number.
3. Includes the Project Name.
4a. Includes the Brief Project Description.
4b. Includes a Discription of the Work to be Performed.
4c. Includes the Location of the Project (map).
4d. Includes the Equipment to be Used.
4e. Includes the Anticipated High Risk Activities.
5. Includes the Major Phases of Work Anticipated.
(Within these major phases of work identified, activities [includes Definable features of Work (DFOWs) and tasks] to be performed that will require an AHA shall be specifically highlighted. This information can then be used by QC, QA and Safety personnel to track AHA submittals. The AHAs for these activities, tasks of DFOWs are NOT submitted at this time (AHAs created/submitted at this time would not be activity-specific as they are intended to be). > See Sections 01.A.14 and 01.A.15.)
U.S. Army Corps of Engineers
Accident Prevention Plan Checklist (cont’d)
Date of Inspection
Item Description Yes No N/A Remarks (Any NO or N/A item)
c. Statement of Safety and Health Policy.
1. Provide a copy of current corporate/company Safety and Health Policy Statement, detailing commitment to providing a safe and healthful workplace for all employees. (In addition to the corporate policy statement, a copy of the corporate safety program may provide a portion of the information required by the accident prevention plan.)
2. Includes Contractor’s written safety program goals.
3. Includes Contractor’s written safety program objectives.
4. Includes the Contractor Accident Experience (Copy of OSHA 300 Forms, or equivalent documentation).
d. Responsibilities and Lines of Authority.
1. Includes statement of the employer’s ultimate responsibility for the implementation of his SOH program for his own employees, all sub-contractors and all others on the worksite (includes the strict enforcement of the program).
2. Includes the identification and accountability of personnel responsible for safety and health at both the corporate and project level – including their resumes. Qualifications shall be in accordance with Section 01.A.17. (Only official OSHA 30-Hour cards will be accepted or, if equivalent training is provided, appropriate instructor qualifications.)
3. Includes equivalent training to the OSHA 30-Hour classes is being presented as qualification, the training shall cover, as a minimum, the areas discussed in Appendix A, Section 3.d.3.(a-d).
4. Includes the names of Competent (CP) and/or Qualified Person(s) (QP) and proof of competency/qualification to meet specific OSHA CP/QP requirements. (Must include copies of proof of CP/QP).
5. Includes requirements and details of the employer’s Risk Management Process. (USACE uses the Activity Hazard Analysis (AHA) as part of a total risk management process. Contractors and other individual employer’s may use the AHAs or their own version [Job Safety Analyses (JSAs), Job Hazard Analyses (JHAs), or similar Risk Management assessment tools]. These documents are considered equivalent to, and acceptable substitutes for, the USACE’s AHA provided the data collected is the same as that required by the AHA.)
6. Includes requirements for initial activity-specific AHAs to be submitted and accepted at preparatory meetings, prior to work being performed;
7. Includes requirements that no work by the Contractor shall be performed unless a designated Competent Person/SSHO is present on the job site.
8. Includes policies and procedures regarding non-compliance with safety requirements (to include disciplinary actions for violation of safety requirements).
9. Lines of authority.
10. Includes written company procedures for holding managers and supervisors accountable for safety.
U.S. Army Corps of Engineers
Accident Prevention Plan Checklist (cont’d)
Date of Inspection
Item Description Yes No N/A Remarks (Any NO or N/A item)
e. Subcontractors and Suppliers.
1. Includes the list of subcontractors and suppliers.
(If not known at the time of initial APP submittal, the contractor shall include the following statement in their initial APP: “The subcontractors for the following DFOWs/activities are not known at this time, but additional information will be submitted to the APP for acceptance prior to the start of any activities listed”)
2. Includes safety responsibilities of subcontractors and suppliers.
f. Training
1. Includes requirements for new hire SOH orientation training at the time of initial hire of each new employee.
2. Includes requirements for mandatory training and certifications that are applicable to this project (e.g., explosive actuated tools, confined space entry, crane operator, diver, vehicle operator, HAZWOPER training and certification, PPE) and any requirements for periodic retraining / recertification.
3. Includes procedures for periodic safety and health training for supervisors and employees.
4. Includes the requirements for emergency response training.
g. Safety and Health Inspections
1. Includes specific assignment of responsibilities for a minimum daily jobsite SOH inspection during periods of work activity.
1a. Includes the name(s) of individual(s) responsible for conducting safety inspections. (e.g., PM, safety professional, QC, supervisors, employees) 1b. Includes proof of inspector's training / qualifications.
1c. Indicates when inspections will be conducted.
1d. Indicates procedures for documentation. (Furnished sample forms upon which inspections will be recorded.)
1e. Indicates deficiency tracking system and follow-up procedures.
2. Includes any external inspections / certifications which may be required. (e.g., US Coast Guard)
h. Mishap Reporting and Investigation
1. The plan identifies how, when, and who shall complete the Exposure data (man-hours worked).
2a. The plan identifies how, when, and who shall complete mishap investigations, reports, and logs. (The contractor shall report, thoroughly investigate, and analyze all mishaps occurring incidentally to an operation, project or facility for which this manual is applicable.)
2b. The plan identifies how, when, and who shall make immediate notification of major mishaps. (Mishaps shall be reported as soon as possible but not more than 24 hours afterwards to the KO/COR.)
2c. Includes how, when, and who will provide notice to the KO/COR when corrective actions are completed. (Implement corrective actions as soon as reasonably possible.)
U.S. Army Corps of Engineers
Accident Prevention Plan Checklist (cont’d)
Date of Inspection
Based on a risk assessment of contracted activities and on mandatory OSHA compliance programs, the Contractor shall address all applicable safety and occupational health risks and associated compliance plans. Using the EM 385-1-1 as a guide, plans, programs, procedures (assessments and evaluations), may include but not be limited to:
(1)Include a project-specific compliance plan, as applicable to the work being performed, and as identified below. The plans shall incorporate project-wide procedures to control hazards to which the employees of all project employers may be exposed.
(2) These procedures shall be coordinated with all project employers and shall include project-specific, project-wide emergency response and evacuation procedures, PPE requirements, recordkeeping and reporting requirements, and training requirements.
(3) The plans shall be prepared prior to the start of any work activities on the job site (as much as the information can be known at that point in time). The plans shall be updated throughout the life of the project to include changes in personnel, equipment, conditions, etc. Additional revisions shall be incorporated as necessary to reflect changing site conditions, construction methods, personnel roles and responsibilities and construction schedules.
(4) No activity (DFOW) shall be started on site until the APP is revised and submitted to the GDA for acceptance, with the site-specific plans, programs and procedures required to complete the project.
Item Description Yes No N/A Remarks (Any NO or N/A item)
i. Plans (Programs, Procedures, Assessments, and Evaluations) required by the Safety Manual
1. Fatigue Management Plan (01.A.20)
2. Emergency Plans (01.E):
(a) Procedures & Test (01.E.01)
(b) Spill Plans (01.E.01, 06.A.02)
(c) Fire Fighting Plan (01.E.01; 19.A)
(d) Posting of Emergency Telephone Numbers (01.E.05)
(e) Man overboard/abandon ship (19.A.04)
(f) Plan for prevention of alcohol and drug abuse (01.C.02 & Specs)
3. Site Sanitation/Housekeeping Plan (02.B)
4. Medical Support Agreement. Outline on-site medical support and off-site medical arrangements including rescue and medical duties for those employees who are to perform them, and the name(s) of on-site Contractor personnel trained in first aid and CPR. A minimum of two employees shall be certified in CPR and first-aid per shift/site (03.A.01, 03.A.03)
5. Blood-borne Pathogen Program (03.A.05)
6. Exposure Control Plan (03.A.05)
7. Automatic External Defibrillator (AED) Program (03.B.04)
8. Site Layout Plan (04.A)
9. Access/Haul Road Plan (04.B)
10. Hearing Conservation Program (05.C)
11. Respiratory Protection Plan (05.G)
12. Health Hazard Control Program (06.A)
13. Hazard Communication Program (06.B.01)
14. Process Safety Management Plan (06.B.04)
15. Lead Compliance Plan (06.C.02 & Specifications)
16. Asbestos Abatement Plan (06.C.03 & Specifications)
U.S. Army Corps of Engineers
Accident Prevention Plan Checklist (cont’d)
Date of Inspection
Based on a risk assessment of contracted activities and on mandatory OSHA compliance programs, the Contractor shall address all applicable occupational risks and compliance plans. Using the EM 385-1-1 as a guide, plans, programs, procedures (assessments and evaluations), may include but not be limited to:
Item Description Yes No N/A Remarks (Any NO or N/A item)
i. Plans (Programs, Procedures) continued.
17. Radiation Safety Program (06.F)
18. Abrasive Blasting Plan (06.I)
19. Heat Stress Monitoring Plan (HSMP) (06.J.02)
20. Cold Stress Monitoring Plan (CSMP) (06.J.04)
21. Indoor Air Quality Management Plan (06.L)
22. Mold Remediation Plan (06.L.04)
23. Chromium (VI) Exposure Evaluation (06.M)
24. Crystalline Silica Assessment (06.N.02)
25. Lighting Plan for Night Operations (07.A.06)
26. Traffic Control Plan (08.C.05)
27. Fire Prevention Plan (09.A.01)
28. Wild Land Fire Management Plan (09.L)
29. Arc Flash Hazard Analysis (11.B)
30. Assured Equipment Grounding Control Program (AEGCP), (11.D.05, Appendix E)
31. Hazardous Energy Control Program and Procedures (12.A.01)
32. Standard Pre-Lift Plan – LHE (16.A.03)
33. Critical Lift Plan – LHE (16.H)
34. Naval Architectural Analysis – LHE (Floating) (16.L)
35. Floating Plant Inspection and Certification (19.A.01)
36. Severe Weather Plan for Marine Activities (19.A.03)
37. Emergency Plan for Marine Activities (19.A.04)
38. Man Overboard/Abandon Ship Procedures (19.A.04)
39. Float Plan for Launches, Motorboats, Skiffs (19.F.04)
40. Fall Protection and Prevention Plan (21.D)
41. Demolition/Renovation Plan (to include engineering survey) (23.A)
42. Rope Access Work Plan (24.H)
43. Excavation/Trenching Plan (25.A.01)
44. Fire Prevention and Protection Plan for Underground Construction (26.D.01)
45. Compressed Air Work Plan for Underground Construction (26.I.01)
46. Erection and Removal Plan for Formwork and Shoring (27.C)
47. Precast Concrete Plan (27.D)
U.S. Army Corps of Engineers
Accident Prevention Plan Checklist (cont’d)
Date of Inspection
Based on a risk assessment of contracted activities and on mandatory OSHA compliance programs, the Contractor shall address all applicable occupational risks and compliance plans. Using the EM 385-1-1 as a guide, plans, programs, procedures (assessments and evaluations), may include but not be limited to:
Item Description Yes No N/A Remarks (Any NO or N/A item)
i. Plans (Programs, Procedures) continued.
48. Lift-slab Plans (27.E)
49. Masonry Bracing Plan (27.F.01)
50. Steel Erection Plan (28.B)
51. Explosives Safety Site Plan (ESSP) (29.A)
52. Blasting Plan (29.A; 26.J)
53. Dive Operations Plan (30.A.14, 30.A.16)
54. Safe Practices Manual for Diving Activities (30.A.15)
55. Emergency Management Plan for Diving (30.A.18)
56. Tree Felling/Maintenance Program (31.A.01)
57. Aircraft/Airfield Construction Safety & Phasing Plan (CSPP) (32.A.02)
58. Aircraft/Airfield Safety Plan Compliance Document (SPCD) (32.A.02)
59. Site Safety and Health Plan (HTRW) (33.B)
60. Confined Space Entry Procedures (34.A.05)
61. Confined Space Program (34.A.06)
j. Risk Management Processes (AHAs). Detailed project-specific hazards and controls shall be provided by Activity Hazard Analysis for each activity (DFOW). No work will begin on an activity (DFOW) until the initial AHA has been accepted by the GDA addressing the project-specific hazards. (01.A.14 & 01.A.15) Note: USACE uses the Activity Hazard Analysis (AHA) as part of a total risk management process. Contractors and other individual employer’s may use the AHAs or their own version [Job Safety Analyses (JSAs), Job Hazard Analyses (JHAs), or similar Risk Management assessment tools].
These documents are considered equivalent to, and acceptable substitutes for, the USACE’s AHA provided the data collected is the same as that required by the AHA.
Remarks:
U.S. Army Corps of Engineers
Accident Prevention Plan Checklist (cont’d)
Date of Inspection
Other Remarks:
CONTRACTOR'S NAME
(Address)
DAILY CONTRACTOR QUALITY CONTROL REPORT
Date: ______________ Report No. _____
Contract No. _____________________________
Description and Location of Work: ___________________________________________
Weather: (Clear) (P. Cloudy) (Cloudy); Temperature: ___ Min. ___ Max; ___
Rainfall ______ inches
Contractor/Subcontractors and Area of Responsibility
1. Work Performed Today: (Indicate location and description of work performed. Refer to work performed by prime and/or subcontractors by letter in table above.)
2. Results of Surveillance: (Include satisfactory work completed, or deficiencies with action to be taken.)
3. Tests required by Plans and/or Specifications Performed and Results of tests:
4. Verbal Instructions Received: (List any instructions given by Government personnel on construction deficiencies, retesting required, etc., with action to be taken.)
5. Remarks: (Cover delays and any conflicts in plans, specifications, or instructions.)
6. Safety Inspection: (Report violations noted; corrective instructions given; and corrective actions taken.)
7. Equipment Data: (Indicate items of construction equipment, other than hand tools, at jobsite, and whether or not used.)
CONTRACTOR'S VERIFICATION: The above report is complete and correct and all material and equipment used and work performed during this reporting period are in compliance with the contract plans and specifications except as noted above.
Contractor's Approved Authorized Representative
ACTIVITY HAZARD ANALYSIS
1. Phase of Construction
2. Location 3. Contract No. 4. Project
5. Prime Contractor 6. Date of Preparatory 7. Estimated Start Date
Potential Safety Hazard Procedure to Control Hazard
8. Contractor=s Representative (signature)
9.
SAS Form 9 1 Jan 82
REPORTING OF SAFETY MEETING _________________________________________
(INSTALLATION, FIELD OFFICE, JOB, ETC.)
THRU EN
CD
OP
RE
TO SO
FROM:
DATE: _____________________________ TIME: _________________ (A.M./P.M.)
NO. EMPLOYEES PRESENT _____________ DURATION: _________________________
Old Business: (Review report of last meeting. Follow up on action taken or anticipated to correct any safety deficiencies brought up at last meeting. Discuss any unfinished business.)
New Business: (Discuss any unsafe acts or conditions observed since last safety meeting and any mishaps or injuries which occurred during the week.)
Safety Presentation: (Safety talk, movie, or slide presentation on subject that is relevant to operation at hand.)
DATE AND TIME OF NEXT MEETING
(Signature and Title)
SAD FL 198, 1 APR 80
# OF
UNITS
UNIT
AREAS
MIN
UNIT
TOTAL
HRS
UNIT
PRICE
COST
UNIT
PRICE
COST
UNIT
PRICE
COST
UNIT
WT
TOTAL
WT
TOTAL THIS SHEET
DA Form 5418-R
MATERIAL
TASK DESCRIPTION TOTAL
SHIPPING
COST ESTIMATE ANALYSIS
PROJECT
LOCATION
INVITATION/CONTRACTOR
CODE (Check one) ____A ____B ____C ____Other _________________
EFFFECTIVE PRICING DATE
QUANTITY LABOR EQUIPMENT
DRAWING NO.
ESTIMATOR
DATE PREPARED
SHEET OF SHEETS
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Date:
Location:
A. TOTAL LOAD
lbs lbs lbs lbs lbs lbs lbs lbs lbs.
ft.
ft.
ft. G. PRE-LIFT CHECKLIST (YES) N/A ft.
lbs.
lbs.
deg.
deg.
lbs.
12. Lift is % of the Crane's rated capacity
13. If Jib/Ext. is to be used:
Length ft.
Offset ft.
14. Rated Capacity of Jib/Ext. lbs C. HOIST ROPE Main Aux 1
Size:
lbs.
lbs.
6. Shackle Rated Capacity(s) _________________
Aux 2
1. # of Parts
2. Rope Diamter
3. Capacity
5. Shackle Size(s):
8. Signal Person Qualifications
2. Rigging Inspected
3. Crane Set-up
4. Overhead Hazard Check
5. Swing Check
6. Counterweight Check
7. Operator Qualifications
15. Site Control
16. Signatures
14. Traffic Hazard Check
11. Load Test
12. Tag Lines
13. Wind Conditions
(NO)
1. Crane Inspected
YES / NO
1. Certified Operator?
2. Option?
3. Certified for Type, Class & Capacity?
4. Designated in writing by emp
YES / NO
YES / NO
B. CRANE F. OPERATOR QUALIFICATIONS
YES / NO
Note: Bearing Pressure Calculations must be attached on Page 3.
Note: If Obstructions are present they must be shown on Page 4.
E. CRANE PLACEMENT (Mobile Cranes Only)
YES / NO
YES / NO
1. Load Weight
3. Wt. of Main Block
Note: Source of load weight (Drawings, Calcs, etc.) must be attached on Page 2.
Note: If Elelctrical Hazards are present they must be shown on Page 4.
Note: Ground Condition Calculations must be attached on Page 3.
1. Hitch Type(s)
2. No. of Slings:
3. Sling Type:
4. Sling Assembly Capacity:
D. RIGGING
9. Rigger Qualifications
10. Load Chart in Crane
6. Wt. of Jib/Ext. (erected/stowed)
7. Wt. of Hoist Rope
8. Other:
1. Type of Crane
3. Radius (Maximum)
4. Radius (Minimum)
5. Boom Length (Maximum)
6. Boom Length (Minimum)
8. Crane Capacity (Min Radius)
9. Boom Angle (Maximum)
USACE District:
Prepared By:
CRITICAL LIFT PLAN
U.S. Army Corps of Engineers
For use of this form, see EM 385-1-1, Section 16. Proponent agency is Crane HHWG.
6. Other?
Apr-13 Page 1 of 6
PSF
H. SIGNATURES
2. Rigger
1. Crane Operator
3. Signal Person
4. Lift Supervisor
5. Other
6. Other
7. Crane Capacity (Max Radius)
5. Travel with Load Required?
4. Obstructions to Lift or Swing?
3. High Voltage or Electrical Hazards?
2. Ground Conditions Suitable for Load?
1. Maximum Bearing Pressure
11. Gross Load of Crane
4. Wt. of Lifiting Beam
5. Wt. of Sling/Shackles
TOTAL WEIGHT
Mobile Hydraulic Truck
10. Boom Angle (Minimum)
2. Wt. of Aux. Block
2. Maximum Crane Capacity
A "critical lift" can be defined as any non-routine crane lift requiring detailed planning and additional or unusual safety precautions.
Critical lifts include lifts made where the load weight is greater than 75% of the rated capacity of the crane; lifts which require the load to be lifted, swung or placed out of the operator's view (except Change 6 exemption) ; lifts made with more than one crane; lifts involving non-routine or technically difficult rigging arrangement; hoisting personnel with a
FORM 16-3
Critical Lift Plan
Show here or attach calculations, drawings, etc.
CRITICAL LIFT PLAN
U.S. Army Corps of Engineers
Page 2 of 6Apr-13
LOAD CALCULATIONS
For use of this form, see EM 385-1-1, Section 16. Proponent agency is Crane HHWG.
Show here or attach calculations, drawings, etc.
U.S. Army Corps of Engineers
CRITICAL LIFT PLAN
For use of this form, see EM 385-1-1, Section 16. Proponent agency is Crane HHWG.
BEARING PRESSURES & GROUND CONDITIONS
Apr-13 Page 3 of 6
Show here or attach load chart
CRITICAL LIFT PLAN
For use of this form, see EM 385-1-1, Section 16. Proponent agency is Crane HHWG.
LOAD CHART
Apr-13 Page 4 of 6
Show here or attatch operator qualifications
CRITICAL LIFT PLAN
For use of this form, see EM 385-1-1, Section 16. Proponent agency is Crane HHWG.
OPERATOR, RIGGER, SINGAL PERSON QUALIFICATIONS
Apr-13 Page 5 of 6
Show here or attach site plan and sequencing
CRITICAL LIFT PLAN
For use of this form, see EM 385-1-1, Section 16. Proponent agency is Crane HHWG.
SITE PLAN
Apr-13 Page 6 of 6
(SAMPLE WATCH PLAN FORMAT)
(Name of Contractor)
ENDANGERED SPECIES PROTECTION AND AWARENESS PROGRAM
(Contract Number and Name)
A. PURPOSE: Protection of an endangered species during Contract operations.
B. EDUCATION OF EMPLOYEES: Prior to initial work, job site meetings shall be conducted by an environmental consultant, who will familiarize the employees with the habits and habitats of the locally found endangered species, together with detailed instructions and procedures for reporting endangered species sightings. This environmental consultant shall be familiar with the endangered species listed in paragraph E, below, and Federal regulations regarding their protection. Additional meetings will be conducted by an onsite coordinator as needed.
C. AWARENESS: In order to provide a continuous reminder to employees of the endangered species program, graphics will be displayed about the operating equipment and employees provided with visual personal display.
D. SUBMITTALS: Submit a watch plan, adequate to protect endangered species from the impacts of Contract operations, for approval 15 days prior to the preconstruction conference. The submittal shall indicate the name and qualifications for the program coordinator and surveillance personnel, and the names of personnel responsible for reporting sightings.
E. WATCH PLANS: The watch plan shall cover an area adequate to protect the endangered species from impacts associated with Contract activities. Stop activities when an endangered species enters the impact zone and do not resume until the species is no longer in the impact zone. Surveillance is mandatory for the following species which are most likely to be present during the following times:
Manatee March through December Sea turtles April through December Whales December through March Sturgeon, Atlantic and Shortnose Year-round
Provide surveillance (aerial, waterborne, etc.) to the extent necessary to detect the endangered species.
F. REPORTS: Report sightings within 24 hours of the sighting and include sightings in the daily report. The sighting reports shall be dated and signed by the Contractor or its representative and include the name of the person making the sighting. Within 15 calendar days of project completion, send copies of the daily reports with sightings to the addresses indicated in Section 01 57 19 TEMPORARY ENVIRONMENTAL CONTROLS.
Manatee Sign
List of Approved Manatee Sign Providers
Approved Sign Suppliers:
The signs are available through the companies listed below and may also be available from other local suppliers throughout the state. Contractors, permit/lease holders, marinas, and boat docking/launching facilities should contact sign companies directly to obtain pricing information and arrange for shipping and billing.
Grafix, Inc.
2305 Roland Ave.
Suite 204 Savannah, GA 31404 P.O. Box 1028 Savannah, GA 31402 Voice: 912-691-1117 Fax: 912-232-3845
Image Sign Company 785 King George Blvd., Bldg. 3 Savannah, GA 31419 Voice: 912-961-1444 Fax: 912-961-1499
Doug Bean Signs, Inc.
1600 Dean Forest Rd Savannah, GA 31408 Voice: 912-964-1900 Fax: 912-964-2900
Fendig Signs 411 Arnold Rd St. Simons Island, GA 31522 912-638-3668
Good & Associates 344 Major Wright Road Saint Simons Island, GA 31522 912-638-7664
DISCLOSURE OF LOBBYING ACTIVITIES
Complete this form to disclose lobbying activities pursuant to 31 U.S.C. 1352
(See reverse for public burden disclosure.)
1. Type of Federal Action:
a.
b.
c.
d.
e.
f.
contract grant cooperative agreement loan loan guarantee loan insurance
2. Status of Federal Action:
a.
b.
c.
bid/offer/application initial award post-award
3. Report Type:
a.
b.
initial filing material change
For Material Change Only:
year quarter date of last report
4. Name and Address of Reporting Entity:
Congressional District, if known:
Prime Subawardee Tier , if known:
5. If Reporting Entity in No. 4 is Subawardee, Enter Name and Address of Prime:
Congressional District, if known:
6. Federal Department/Agency:
7. Federal Program Name/Description:
CFDA Number, if applicable:
8. Federal Action Number, if known:
9. Award Amount, if known:
10. a. Name and Address of Lobbying Entity (if individual, last name, first name, MI):
b. Individuals Performing Services (including address if different from No. 10a) (last name, first name, MI):
(attach Continuation Sheet(s) SF-LLL-A, if necessary)
11. Amount of Payment (check all that apply):
$ actual planned
12. Form of Payment (check all that apply):
a.
b.
cash in-kind; specify: nature value
13. Type of Payment (check all that apply):
a.
b.
c.
d.
e.
f.
retainer one-time fee commission contingent fee deferred other; specify:
14. Brief Description of Services Performed or to be Performed and Date(s) of Service, including officer(s), employee(s), or Member(s) contacted, for Payment indicated in Item 11:
(attach Continuation Sheet(s) SF-LLL-A, if necessary)
15. Continuation Sheet(s) SF-LLL-A attached: Yes No
Information requested through this form is authorized by title 31 U.S.C section 1352. This disclosure of lobbyig activities is a materia representation of fact upon which reliance was placed by the tier above when this transaction was made or entered into. This disclosure is required pursuant to 31 U.S.C. 1352 . This information will be reported to the Congress semi-annually and will be available for public inspection. Any person who fails to
Signature:
Print Name:
Title:
Telephone No.: Date:
Federal Use Only: Authorized for Local Reproduction
Approved by
OM
0348-0046
16.
INSTRUCTIONS FOR COMPLETION OF SF-LLL, DISCLOSURE OF LOBBYING ACTIVITIES
This disclosure form shall be completed by the reporting entity, whether subawardee or prime Federal recipient, at the initiation or receipt of a covered Federal action, or a material change to a previous filing, pursuant to title 31 U.S.C.
section 1352. The filing of a form is required for each payment or agreement to make payment to any lobbying entity for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a member of Congress in connection with a covered Federal action. Use the SF-LLL-A Continuation Sheet for additional information if the space on the form is inadequate. Complete all items that apply for both the initial filing and material change report. Refer to the implementing guidance published by the Office of Management and Budget for additional information.
Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence the outcome of a covered Federal action.
Identify the status of the covered Federal action.
Identify the appropriate classification of this report. If this is a followup report caused by a material change to the information previously reported, enter the year and quarter in which the change occurred. Enter the date of the last previously submitted report by this reporting entity for this covered Federal action.
Enter the full name, address, city, state and zip code of the reporting entity. Include Congressional District, if known. Check the appropriate classification of the reporting entity that designates if it is, or expects to be, a prime or subaward recipient. Identify the tier of the subawardee, e.g., the first subawardee of the prime is the 1st tier.
Subawards include but are not limited to subcontracts, subgrants and contract awards under grants.
If the organization filing the report in item 4 checks “Subawardee”, then enter the full name, address, city, state and zip code of the prime Federal recipient. Include Congressional District, if known.
Enter the name of the Federal agency making the award or loan commitment. Include at least one organizational level below agency name, if known. For example, Department of Transportation, United States Coast Guard.
Enter the Federal program name or description for the covered Federal action (item 1). If known, enter the full Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans, and loan commitments.
Enter the most appropriate Federal identifying number available for the Federal action identified in item 1 (e.g., Request for Proposal (RFP) number; Invitation for Bid (IFB) number; grant announcement number; the contract, grant, or loan award number; the application/proposal control number assigned by the Federal agency). Include prefixes, e.g., “RFP-DE-90-001.”
For a covered Federal action where there has been an award or loan commitment by the Federal agency, enter the Federal amount of the award/loan commitment for the prime entity identified in item 4 or 5.
(a) Enter the full name, address, city, state and zip code of the lobbying entity engaged by the reporting entity identified in item 4 to influence the covered Federal action.
(b) Enter the full names of the individuals(s) performing services, and include full address if different from 10 (a).
Enter Last Name, First Name, and Middle Initial (MI).
Enter the amount of compensation paid or reasonably expected to be paid by the reporting entity (item 4) to the lobbying entity (item 10). Indicate whether the payment has been made (actual) or will be made (planned). Check all boxes that apply. If this is a material change report, enter the cumulative amount of payment made or planned to be made.
Check the appropriate box(es). Check all boxes that apply. If payment is made through an in-kind contribution, specify the nature and value of the in-kind payment.
Check the appropriate box(es). Check all boxes that apply. If other, specify nature.
Provide a specific and detailed description of the services that the lobbyist has performed, or will be expected to perform, and the date(s) of any services rendered. Include all preparatory and related activity, not just time spent in
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
Public reporting burden for this collection of information is estimated to average 30 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348-0046), Washington, D.C. 20503.
DISCLOSURE OF LOBBYING ACTIVITIES
CONTINUATION SHEET
Authorized for Local Reproduction Standard Form - LLL-A
Approved by
OM
0348-0046
Reporting Entity: Page of
*U.S. G.P.O. 1990-260-708:00012
APPENDIX B
USACE SURVEY MONUMENTS
APPENDIX C
ENVIRONMENTAL PERMITS
NOTICE OF INTENT
VERSION September 24, 2018
State of Georgia Department of Natural Resources Environmental Protection Division
GAR188CFC-V1
Permittee NOI Number
1/13/2021
Application Submittal Date
For Coverage Under the 2018 Re-Issuance of the NPDES General Permits To Discharge Storm Water Associated With Construction Activity
THESE PERMITS EXPIRE JULY 31, 2023
PRIMARY PERMITTEE
NOTICE OF INTENT:
þ Initial Notification ¨ Re-Issuance Notification ¨ Change of Information
¨ Change of Owner/Operator: Formerly Known As:
II. CONSTRUCTION SITE ACTIVITY INFORMATION AND FEE CALCULATONS
Start Date: 08/15/2021 Completion Date: 06/16/2022
Regulated by a certified Local Issuing Authority (LIA): ¨ Yes þ No
Name of Local Issuing Authority:
þ Acres Disturbed (to the nearest tenth (1/10th) acre) 38.4 X $80/acre = 3072
In an area with no certified Local Issuing Authority
TOTAL FEE SUBMITTED = 3072
Does the Erosion, Sedimentation and Pollution Control Plan (Plan) provide for disturbing more than 50 acres at any one time for each individual permittee (i.e., primary, secondary or tertiary permittees), or more than 50 contiguous acres total at any one time ?
Facility Information
Facility Name: 1S Dredge Material Containment Area (DMCA 1S)
Mailing Address 1: 100 W Oglethorpe Ave Mailing Address 2: PM-P
County: Chatham City: Savannah State: GA Zip Code: 31401
Facility/Property Address 1: Onslow Island- south of Hwy 25-foot of Houlihan bridge Address 2:
County: Chatham City: Savannah State: GA Zip Code: 31407
Latitude: 32.15046 Longitude: -81.14256
I. SITE/OWNER/OPERATOR INFORMATION
Facility Ownership Type: Federal Facility (U.S. Government)
Owner’s Name: Todd F. McGalliard Phone: 912-580-9118
Email Address: Todd.F.McGalliard@usace.army.mil Address:
Hunter AAF Resident Office, 222 Blanton Road, Hunter Army Airfield
City: Savannah State: GA Zip Code: 31409
Duly Authorized Representative(s): Jeremy Miller Phone: 912-318-8146
Email Address: Jeremy.d.miller@usace.army.mil
Operator’s Name: Phone:
Email Address: Address:
City: State: GA Zip Code:
Facility/Construction Site Contact: Jeremy Miller Phone: 912-318-8146
Email Address: Jeremy.d.miller@usace.army.mil
¨ YES - Date of EPD Written Authorization þ NO
¨ N/A - if construction activities are covered under the General NPDES Permit No. GAR100002 for Infrastructure construction projects
Construction Activity Type:
¨ Commercial ¨ Industrial ¨ Municipal/Institutional ¨ Mixed Use þ Water Quality/Aquatic Habitat Restoration ¨ Linear ¨ Utility ¨ Residential
¨ Agricultural Buildings þ Other: marsh restoration/creation
III. RECEIVING WATER INFORMATION
A. Name of Initial Receiving Water(s): lower savannah
¨ Trout Stream þ Water Supporting Warm Water Fisheries
B. Name of MS4 Receiving Waters:
þ N/A ¨ Trout Stream ¨ Water Supporting Warm Water Fisheries
Name of MS4 Owner/Operator:
C. Sampling of Receiving Stream(s):
¨ Trout Stream (Δ 10 NTU) ¨ Water Supporting Warm Water Fisheries (Δ 25 NTU)
D. Sampling of Outfall(s):
þ N/A
¨ Trout Stream
¨ Water Supporting Warm Water Fisheries
A summary chart (if applicable) delineating the following information for each outfall must be attached:
Number of Sampling Outfalls: Construction Site Size (acres):
Appendix B NTU Value: Surface Water Drainage Area (square miles):
E. Does the facility/construction site discharge storm water into an Impaired Stream Segment, or within one (1) linear mile upstream of and within the same watershed as, any portion of an Impaired Stream Segment identified as “not supporting” its designated use(s), as shown on Georgia’s most current “305(b)/303(d) List Documents (Final)” listed for the criteria violated, “Bio F” (Impaired Fish Community) and/or “Bio M” (Impaired Macroinvertebrate Community), within Category 4a, 4b or 5, and the potential cause is either “NP” (nonpoint source) or “UR” (urban runoff) ?
þ No ¨ Yes, Name of Impaired Stream Segment(s):
F. Does the facility/construction site discharge storm water into an Impaired Stream Segment where a Total Maximum Daily Load (TMDL) Implementation Plan for “sediment” was finalized at least six (6) months prior to the submittal of the Initial NOI ?
þ No ¨ Yes, Name of Impaired Stream Segment(s):
IV. CERTIFICATIONS:
þ I certify that to the best of my knowledge and belief, that the Erosion, Sedimentation and Pollution Control Plan (Plan) was prepared by a design professional, as defined by this permit, that has completed the appropriate certification course approved by the Georgia Soil and Water Conservation Commission in accordance with the provisions of O.C.G.A. 12-7-19 and that I will adhere to the Plan and comply with all applicable requirements of this permit.
þ
I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that certified personnel properly gather and evaluate the information submitted. Based upon my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations.
Richard E. Dunn, Director
Watershed Protection Branch
Coastal District Office
400 Commerce Center Drive
Brunswick, Georgia 31523-8251
Phone: 912-264-7284; Fax: (912) 262-3160
January 20, 2021
USACE Planning Branch c/o Stephen Fox stephen.m.fox@usace.army.mil
Re: Proposed Land Disturbing Activity
DMCA 1S
Chatham County, Georgia
File: SW-025-00-143
Dear Mr. Fox:
In accordance with the General NPDES Permit No. GAR100001 for Storm Water Discharges
Associated with Construction Activities for Stand Alone Construction Projects, issued by the Georgia
Environmental Protection Division (EPD) in August 2018, this Project has been reviewed for deficiencies in the identification of waters of the state and potential encroachment of land disturbing activities within 25 foot immediately adjacent and upland of the identifiable point from which the State mandated buffer is measured.
Based upon this review, the EPD has determined the following:
(1) The project does not have deficiencies in the identification of waters of the state.
(2) The project will require a buffer variance from the EPD.
However, the EPD reserves the right to change this determination if information that conflicts with the original submittal is obtained during a later site inspection.
Additionally, in accordance with the General NPDES Permit No. GAR100001, each Erosion, Sedimentation and Pollution Control Plan (ESPCP) submittal shall include a completed and applicable
ESPCP Checklist established by the Georgia Soil and Water Conservation as of January 1 of the year in which the land-disturbing activity was permitted.
DMCA 1S
A deficient ESPCP is a violation of the NPDES Permit. If violations occur on the proposed project site and enforcement actions become necessary, a deficient ESPCP may increase the fines incurred. The applicable Checklist as well as a guidance document are available on the Georgia EPD website @ http://epd.georgia.gov.
Based upon this review, EPD has determined the following:
(1) The ESPCP for this Project does not have deficiencies.
If additional information is required, please contact me at 912-554-3492.
Sincerely, Shannon K. Winsness
Environmental Specialist cc: Alice Vick
EPD Coastal District Office
400 Commerce Center Drive
Brunswick, GA 31523-8251
File: SW-025-00-143 http://epd.georgia.gov/
| COVER SHEET |
| PROJECT TABLE OF CONTENTS |
| A - STANDARD FORMS |
| List of Forms |
| Project Sign |
| Safety Performance Sign |
| Corps Of Engineers Logo |
| APP Checklist |
| Construction Quality Control Report |
| Activity Hazard Analysis |
| Report of Safety Meeting |
| DA5418 - Cost Estimate Analysis |
| DHS Form I-9 - Employment Eligibility Verification |
| ENG 16-1 - Certificate of Compliance for LHE and Rigging |
| ENG 16-2 - Standard Pre-Lift Plan (LHE)/Checklist |
| ENG 16-3 - Critical Lift Plan |
| ENG 2454 - Construction Progress Chart |
| ENG 3394 Ł Accident Investigation Report |
| ENG 4025 - Transmittal of Shop Drawings, etc. |
| ENG Form 4794 - Riprap Gradation Curves |
| ESPAP Watch Plan Format |
| Manatee Habitat/Construction Area Sign Details |
| Standard Form LLL-A - Disclosure of Lobbying Activities |
| B - USACE SURVEY MONUMENTS |
| C - ENVIRONMENTAL PERMITS |
File details come from the government source that posted it. Updated .