Attachment_7_(digging_clearance_AF103).pdf

BASE CIVIL ENGINEERING WORK CLEARANCE REQUEST DATE PREPARED

1. Clearance is requested to proceed with work at: Building Name of project: ______________________________________________ Brief description of work: ___________. _______________________ ___________________________________________________ CE Work Order No._________ Contract No. _____________________ involving excavation or utility disturbance per Detailed Sketch on reverse side of form. Note: Pavement (streets/parking lots) will not be cut unless approved 502CES/ CE2. Requesting Official must call CEO 221-5200 when work is completed to schedule site visit to inspect for proper grounds restoration and to update base ongoing construction map.

The area involved Has Has not been staked or clearly marked

2. TYPE OF FACILITY/WORK INVOLVED

A. Pavements D. Fire Detection & Protection Systems G. Aircraft or Vehicular Traffic Flow

B. Drainage Systems E. Utility Overhead Underground H. Security

C. Railroad Tracks F. Comm Overhead Underground I. Other Site Borings

3. DATE CLEARANCE REQUIRED 4. DATE CLEARANCE TERMINATED 5. CE CLEARANCE CONTROL NUMBER

6. Requesting Official 7. Telephone No. 8. Organization & E-Mail address

CLEARANCE REVIEW

Once marked it the responsibility of requestor to maintain the marking. This clearance is good for thirty (30) days only.

ORGANIZATION REMARKS REVIEWER’S NAME AND INITIALS

9. A.ELECTRICAL DISTRIBUTION B4197

(Red) 669-8987 /669-5485

B A

B. STORM DRAINS (Green) 295-0295 B2194

S E

C. BASE WATER (Blue)

SEWER )210-295-0295 B2194

C I

D. Dig Tess 1-800-344-8377 CPS (Gas, Elect. Lines)

V I

E. CATHODIC PROTECTION

669-8987/669-5485 (Red) B4197

L E

F. IRRIGATION SPRINKLERS (Blue)

SEE FACILITY MANAGER

N G

G. FIRE DEPARTMENT

221-5452 B-4196

I N

H. EMCS FIBER & FIRE ALARMS

808-6036 (Orange) B4197

E E

I. CHILL WATER LINES

295-4789 (Blue) J. Security Forces 221-2222 Traffic K. CAD/Tech B4196 (New construction or modification)

10. SAMMC/J&J B3600

Elec. Chill Water, Gas, Sprinkler Sys.

11. Base Communications

808-6912 (Orange)

12. 502 Wing Safety B4196

13. San Antonio Water System Recycled Water Lines (Green) locates@saws.org

14. 502D CES Natural Resources Management Section 210-295-8339 Environmental B4196 210-773-7615

15. Compliance

16. Historical 17.

18.

19. Requested Clearance APPROVED DISAPPROVED

20. Name and Signature of Approving Officer 17a. Date Signed

AF FORM FSH 103 PREVIOUS EDITIONS ARE OBSOLETE (digging clearance AF 103) Rev. 26 April 2017

Dig Tess/ AT&T & Cable

LMH 226-5540/295-0484

FA301618B0004

Attachment #7 paul.e.parker10 Typewritten Text paul.e.parker10 Typewritten Text paul.e.parker10 Typewritten Text paul.e.parker10 Typewritten Text paul.e.parker10 Typewritten Text john.c.patrick8 Typewritten Text

INSTRUCTIONS: The BCE work clearance request is used for any work (contract or in-house) that may disrupt aircraft or vehicular traffic flow, base utility services, protection provided by fire and intrusion alarm system, or routine activities of the installation. This form is used to coordinate the required work with key base activities and keep customer inconvenience to a minimum. It is also used to identify potentially hazardous work conditions in an attempt to prevent accidents. The work clearance request is processed just before starting work. If delays are encountered and the conditions at the job site change (or may have changed) this work clearance must be reprocessed.

21. REMARKS. (This section must describe specific precautionary measure to be taken before and during work accomplishment concerning the approved method of excavation, hand or powered equipment should be included (Provide detailed sketch of excavation in space below)

FORM 103 (REVERSE), MS Word V6.0

NEW DIGGING CLEARANCE OUTAGE REQUEST PROCESS FSH

The 502d Civil Engineering Squadron has implemented new digging clearance and utility outages procedures in an effort to streamline the process.

The requestor is required to read and follow all guide lines identified in the 502 CES Work Clearance (SOP) Standard Operating Procedures.

1. Engineering, Project Managers for SAWS and CPS. Lincoln Military Housing or a LMH resident will be responsible of initiating digging clearances and utility outages for their respective project.

2. To initiate a clearance/outage, the requestor must complete sections 1, 2, 6, 7 & 8 of the AF Form 103. The requestor must attend the digging clearance/outage request meeting held every Monday at 0900 Hours in the Civil Engineer (CE) conference room in Bldg. 4197 JBSA Ft Sam Houston, AF Form FSH 103 and drawing or Map printed from the internet.

3. During the Clearance/Outage request meeting all digging clearance and outage request, will be scheduled and or signed off by each CE shop for their respective area of responsibility. If the area needs to have utilities located the CE shops will schedule and perform the utility locates during that week.

4. The requestor is also required to contact Dig Tess for all commercial utility locates. The phone number for Dig Tess is located on the digging clearance form

5. The requestor will be required to attend the digging clearance meeting the following Monday to have the clearance signed off by any shop that required the area to be marked. Safety, Security Forces, Fire Dept. and the Natural Resources Management Section. will not attend this meeting. The requestor will be required to make contact as necessary.

6. Utility Outage Requests are require to be approved at least 2 weeks prior to the scheduled outage. The Requestor must notify the 502 CES Operations Flight Chief, Mr. Antony Person of the outage request once approved.

7. Upon completion of digging clearances or outage request the requester is required to return the completed signed clearance along with all related documents and e-mails received by the Dig Tess & commercial utilities to the 502 CES approving authority for Approval and Signature.

8. The 502 CES Approving Authority: Mr. Paul Parker or Mr. John Patrick. Building 4197 FSH.

Paul Parker 502 CES Electrical Superintendent JBSA-Ft Sam Houston: Office: 210-221-8322 Cell: 210-389-3845 Paul.e.parker10.civ@mail.mil

John Patrick 502 CES Structures Superintendent JBSA-Ft Sam Houston: Office: 210-221-5374 Cell: 210-872-6819 John.c.patrick8.civ@mail.mil mailto:Paul.e.parker10.civ@mail.mil

Dig Clearance-Outage initiation process_