MS 004 Staging Plan.pdf

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Name:8040

Name:8042 Name:1-152 (EX)

3in

1in

2in

4in

2in 2in

60in

24in copper,8inch

MANHOLE

Name:8-20

REGULATOR

Pole Name:C4-L5-7

Pole Name:C4-L5-6

Riser Name:C4-L5-4

Riser Name:C4-L5-3

ExteriorLight

ExteriorLight plasticPVC,2inch iron,2inch plasticPVC,8 inch plasticPolystyrene,8 inch

ANACONDA

AVENUE E-1

Storage

Corrosion Control

Legend j Sewer Manhole

J Sewer C leanout

Gas ControlValve

!! ExteriorLight

É Generator

Water Valve

"" Transformer þ FireHydrant

Sewer Service Line Sewer Main Line Sewer Line Gravity Service HVAC Lines

Gas Lines

ABANDONED

ABANDONED MAIN LINE

MAIN LINE

Gas Service Line

Water Main Lines Abandoned In Place In Service Main Line New Construction

Water Service Lines Overhead Electr ic Primary Lines Overhead Electr ic Secondary Lines Underground Electr ic Primary Lines Underground Electr ic Secondary Lines Building

AF 103 Work Clearance/Dig Permit ¯0 10 20 30 405 MetersNotes:

Map Scale:

Air Force Imagery Date: 2016

1:700

The Contractor shall be solely responsible for locating and marking the exact location of all existing utilities within the contract work area prior to any excavating, trenching, backfilling or disturbance. The Contractor is SOLELY RESPONSIBLE for any and all damage to existing utilities in the contract work area.

Upon request by the Contractor, the Government shall furnish all available information in its possession concerning utilities in the contract work area.

W/O:55928

Show/Hide My Profile BASE: Dyess Dig Permit: AF103 Query Details

Requestor Information Name: ADRIANA OBISPO Rank: SRA

Organization: 7CES Symbol: CENMP Phone: 325-696-6980 Email: ADRIANA.OBISPO@US.AF.MIL

Address: 710 3RD ST, DYESS AFB TX 7960 Alternate's Information: View Alternate's Information

Description of This Digpermit (EDIT) (ReSubmit) Title: North addition to BLDG 8040

Log Number: 11900 Government POC: SrA Adriana Obispo

Current Status: COMPLETED Location: the north and north east side of BLDG 8040

Description: Install new concrete foundation and trench for new electrical line see attached map Excavation Date: 08/25/2017 Date Requested: 8/11/2017 8:45:42 AM

JON / Work Order Number: FA466117F0055 Contract Number: FA4661-15-D-0001 Has Been Marked:

Pavements: X

Drainage Systems:

Railroad Tracks:

Fire Detection & Protection Systems:

Utility (Overhead):

Utility (Underground): X

COMM (Overhead):

COMM (Underground): X

Aircraft or Vehicular Traffic Flow:

Security:

Other:

Commercial Utility (800 #): 1772290986 UPDATE

Supporting Documents : View Supporting Documents

All Reviews

WORK GROUP

REVIEW

COMPLETE

DATE

REVIEW

COMPLETE? REMARKS APPROVED DISAPPROVED REVIEWED

BY

PRIMARY

REVIEWER

BASE OPERATIONS 8/24/2017 X X Heather Lawson Samuel English

COMMUNICATIONS 8/11/2017 X COMM IN

DESIGNATED AREA,

QUESTIONS

CONCERNING

MARKING OR LACK

OF MARKING CALL

7CS/Abacus 6961500

BEFORE DIGGING,

PLEASE SEE THE

X Alvin McCutchen

Paul Nuccio

Home Requester 103 Admin Staff Approval Authority Customer Service

Page 1 of 3AF103 Query Details

10/19/2017https://maps.acc.af.mil/apps/AF103/Other/queryDetails.aspx?log_number=11900

ATTACHED COMM GIS

FOR REFERENCE TO

BURIED

COMMMUNICATION

FACILITIES IN THE

AREA DESIGNATED

BY THIS AF103.

ELECTRICAL

DISTRIBUTION 8/15/2017 X Electrical lines marked

- Watson X Elliot Session Jacob Hoar

ENVIRONMENTAL 8/11/2017 X

Prevent soil from entering the roadway/curbs.

Should soil end up in the roadway/curb, remove it immediately. Sweep street as necessary.

Protect storm drain inlets from soil and muddy water from entering them. Ensure any and all waste generated from project is properly disposed of off-base.

X Patricia Hudson David Laurence

Engineering 8/11/2017 X

If any utilities are located but are not on the GIS Utilities map (provided) please let GeoBase know. 325- 696-5646

X Lisa Young DeAnna Fletcher

FIRE PROTECTION 8/11/2017 X

Complete all work in accordance with applicable NFPA codes, regulations and safety guidelines.

If work affects the fire protection systems to the facility or water supply to hydrants, please notify the Fire Prevention at 696- 2486. In the event of an emergency call

911. If a hot work permit is required, notify the Fire Prevention Office at the number previously provided.

X Eric Rasmussen Stephen Perez

HVAC DISTRIBUTION 8/11/2017 X X todd stowe michael loustaunau

NATURAL GAS 8/25/2017 X Lines marked or nothing in area. X Juan Reynoso Christopher

Angel

PAVEMENTS/GROUNDS 8/16/2017 X

Drainage system is marked with green spray paint

X Collin Tompkins Joshua Rittase

POL DISTRIBUTION 8/25/2017 X Lines marked or

REUSE WATER

DISTRIBUTION 8/25/2017 X Lines marked or

SAFETY 8/15/2017 X

Please ensure that all operations are in compliance with 29 CFR 1926 and any other applicable regulations. Keep pedestrian and work site separated by barricading/marking.

X Rhebb Hulett Rhebb Hulett

SECURITY POLICE 8/14/2017 X X Stephen Orlowski Taylor Hunter

SEWER DISTRIBUTION 8/25/2017 X Lines marked or

WATER DISTRIBUTION 8/25/2017 X Lines marked or

16. REQUESTED CLEARANCE

APPROVED DISAPPROVED

Page 2 of 3AF103 Query Details

18. REMARKS (specific precautionary measure to be taken before and during work accomplishment)

The accuracy of the information provided by the Government is not guaranteed and is only intended to provide some measure of assistance to the Contractor. Contractors: adhere to the Remarks comment for direction and if questions arise contact CES Customer Service, 325-696-4154, who can contact CES Shops for clarification. For all other concerns or questions please contact the perspective Agency. FYI: Re-submittal is 90 days but resubmit entire package at least 5 duty days from approved signature date. This package has been reviewed by all CES Shops & Agencies and ready for Final Approval. JLG 25 Aug 2017

- Status Categories of an AF103 FORM -

SAVED - User's work in process (has NOT been submitted by user) UNDER REVIEW - User submits to Working Group REVIEWS IN - The Clearance shop has finished their review

AWAITING SIGNATURE - All reviews are in and the Dig Admin Staff has submitted for signature COMPLETED - The form 103 has been signed

NEW AF103 and AF813 web tools are now available

Please visit the following location to registure for the new work management tools:

New Work Management Tools

The old AF103 and AF813 applications will be kept active as read-only for continuity purposes while shops migrate to the new tool set. Please contact the AFCEC GIO Langley office with any questions.

Email: AFIMSCDet8.CE.GeoBase@us.af.mil Phone: (757) 764-4184

DSN: (312) 574-4184

Warning for Windows 10 Users We have identified a Group Policy Object (GPO) for Windows 10 - IE 11 which blocks icons.

Until resolved we recommend using another web browser such as Firefox or Chrome.

This site is intended for the use of military and government audiences only. Do not reproduce or distribute the content of this site to a wider audience without coordination with the information owner and the WR-ALC public affairs office. This is a Department of Defense computer system. This computer system, including all related equipment, networks, and network devices (specifically including Internet access) are provided only for authorized U.S. Government use. DoD computer systems may be monitored for lawful purposes, including to ensure that their use is authorized, for management of the system, to facilitate protection against unauthorized access, and to verify security procedures, survivability, and operational security. Monitoring includes active attacks by authorized DoD entities to test or verify the security of this system. During monitoring, information may be examined, recorded, copied, and used for authorized purposes. All information, including personal information, placed or sent over this system may be monitored. Use of this DoD computer system authorized or unauthorized, constitutes consent to monitoring of this system. Unauthorized use may subject you to criminal prosecution.

Evidence of unauthorized use collected during monitoring may be used for administrative, criminal, or other adverse action. Use of this system constitutes consent to monitoring for these purposes.

Page 3 of 3AF103 Query Details

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MATERIAL APPROVAL SUBMITTAL

(See Instructions on Reverse)

Form Approved OMB No 9000-0062

Expires May 31, 2005

Public reporting burden for this collection of information is estimated to average 20 minutes per response, including the 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 this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to the Department of Defense, Washington Headquarters Services, Directorate for Information Operations and

Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project OMB No 9000-0062, Washington DC 20503. Please DO NOT RETURN your form to either of these addresses. Send your completed form to: SAF/AQCP, 1060 Air Force Pentagon, Washington DC

TO: (Contracting Officer) FROM: (Contractor) DATE

CONTRACT NUMBER SUBMISSION NUMBER SUBMITTAL

PREVIOUS SUBMISSION NUMBER PROJECT NUMBER

TO BE COMPLETED BY CONTRACTOR FOR GOVERNMENT USE ONLY

ITEM

NO.

SPECIFICATION SECTION/

PARA NO./DRAWING NO.

DESCRIPTION OF MATERIAL

(Include Type, Model Number, Catalog Number, Mfg., etc.)

AP-

PROVED

DISAP-

PROVED

SEE

REVERSE

INITIAL

BY COMPLETING THIS FORM, THE UNDERSIGNED CONTRACTOR CERTIFIES THAT

THE MATERIAL COMPLIES WITH ALL SPECIFICATIONS OF SUBJECT CONTRACT.

DATE (YYYYMMDD) TYPE OR PRINT NAME AND GRADE SIGNATURE

FOR GOVERNMENT USE ONLY

TO: (Base Civil Engineering Officer)

For Evaluation and Action RNLT ________________ OR SOONER

TO: (AF Contracting Office)

RECOMMEND APPROVAL DISAPPROVAL AS INDICATED ABOVE AND SUBJECT TO ANY APPLICABLE COMMENTS ON THE REVERSE

TO: (Contractor)

APPROVED

DISAPROVED AS INDICATED ABOVE AND SUBJECT TO ANY APPLICABLE COMMENTS ON THE REVERSE SIDE. REQUEST

RESUBMITTAL ON DISAPPROVED ITEMS WITHIN ____ DAYS OF DATE SHOWN BELOW.

AF IMT 3000, 20030901, V1 PREVIOUS EDITION IS OBSOLETE.

New Resubmittal

COMMENTS

(Number to correspond with applicable Item Number on reverse)

INSTRUCTIONS TO CONTRACTORS

1. The term "material" is defined as articles, supplies, raw materials, equipment, parts, components, and end items that are to be incorporated into the work required by the contract.

2. This form is to be used by contractors for submitting Shop Drawings, Equipment Data, Manufacturer's Literature and Certificates and samples of Materials to the Government for approval in accordance with the provisions of this contract. Unless otherwise specified, it is to be prepared in 4 copies, signed, and provided to the contracting officer with appropriate attachments.

3. Item(s) to be approved will be clearly tabbed or identified. Data pertaining to item(s) to be approved will be clearly identified or tabbed, particularly where documents are voluminous, in order to properly evaluate the materials or articles to be incorporated in the work. Each attachment will be numbered to correspond with the item number shown on the face of this form.

4. Requests submitted shall be numbered consecutively, by contract, in the space entitled "Submission No.". This number, in addition to the Contract No., will be used to identify each Material Approval Submittal. Resubmissions will be indicated in the appropriate block and the insertion of previous submission number and data in addition to a new submission number. A single submission should be used for all work of a section of the specifications, but in NO instance should the submission include work for more than one (1) contract. Submittals requiring priority handling will be submitted by separate submittal using the form and so marked across the face of the form.

5. This Material Approval Submittal is not valid unless it is signed by the contracting officer. This approval is required as called for by the contracting officer under the terms of this contract.

AF IMT 3000, 20030901, V1 (REVERSE)

TO Contracting Officer: Capt. Hillary Ince

FROM Contractor: FARR Builders LLC S. Gevers, San Antonio, TX 78210

DATE: 08 Aug 17

CONTRACT NUMBER: FA4661-15-D-0001

SUBMISSION NUMBER: 004

PREVIOUS SUBMISSION NUMBER: 003

PROJECT NUMBER: FNWZ 12-0053

ITEM NORow1: 1

SPECIFICATION SECTION PARA NODRAWING NORow1: Per Sow

DESCRIPTION OF MATERIAL Include Type Model Number Catalog Number Mfg etcRow1: Staging Plan

INITIALRow1: PR

ITEM NORow2:

SPECIFICATION SECTION PARA NODRAWING NORow2:

DESCRIPTION OF MATERIAL Include Type Model Number Catalog Number Mfg etcRow2:

INITIALRow2:

ITEM NORow3:

SPECIFICATION SECTION PARA NODRAWING NORow3:

DESCRIPTION OF MATERIAL Include Type Model Number Catalog Number Mfg etcRow3:

INITIALRow3:

ITEM NORow4:

SPECIFICATION SECTION PARA NODRAWING NORow4:

DESCRIPTION OF MATERIAL Include Type Model Number Catalog Number Mfg etcRow4:

INITIALRow4:

ITEM NORow5:

SPECIFICATION SECTION PARA NODRAWING NORow5:

DESCRIPTION OF MATERIAL Include Type Model Number Catalog Number Mfg etcRow5:

INITIALRow5:

ITEM NORow6:

SPECIFICATION SECTION PARA NODRAWING NORow6:

DESCRIPTION OF MATERIAL Include Type Model Number Catalog Number Mfg etcRow6:

INITIALRow6:

ITEM NORow7:

SPECIFICATION SECTION PARA NODRAWING NORow7:

DESCRIPTION OF MATERIAL Include Type Model Number Catalog Number Mfg etcRow7:

INITIALRow7:

ITEM NORow8:

SPECIFICATION SECTION PARA NODRAWING NORow8:

DESCRIPTION OF MATERIAL Include Type Model Number Catalog Number Mfg etcRow8:

INITIALRow8:

ITEM NORow9:

SPECIFICATION SECTION PARA NODRAWING NORow9:

DESCRIPTION OF MATERIAL Include Type Model Number Catalog Number Mfg etcRow9:

INITIALRow9:

ITEM NORow10:

SPECIFICATION SECTION PARA NODRAWING NORow10:

DESCRIPTION OF MATERIAL Include Type Model Number Catalog Number Mfg etcRow10:

INITIALRow10:

ITEM NORow11:

SPECIFICATION SECTION PARA NODRAWING NORow11:

DESCRIPTION OF MATERIAL Include Type Model Number Catalog Number Mfg etcRow11:

INITIALRow11:

DATE YYYYMMDD: 2017-08-08

TYPE OR PRINT NAME AND GRADE: Rene Garcia

TO Base Civil Engineering Officer: 7 CES

RNLT:

DATE YYYYMMDD_2: 20170809

TYPE OR PRINT NAME AND GRADE_2: SrA Vitaliy Poprozhuk

TO AF Contracting Office: 7 CONS

DATE YYYYMMDD_3: 20170809

TYPE OR PRINT NAME AND GRADE_3: Patrick Rolan, GS-12

TO Contractor: FARR

DATE YYYYMMDD_4: 20170818

TYPE OR PRINT NAME AND GRADE_4: Capt Hilary Ince

2017-08-09T08:40:55-0500

POPROZHUK.VITALIY.NIKOLAYEVI.1462881092

2017-08-09T10:50:42-0500

ROLAN.PATRICK.M.1515150249

2017-08-18T15:18:54-0500

INCE.HILARY.RAE.1368173785

Text5:

Check Box6: Yes

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Check Box3: Yes

Check Box4: Yes

Check Box5: Off

Check Box40: Off

COMMENTS Number to correspond with applicable Item Number on reverseRow1:

Check Box39: Yes

Check Box50: Off

2017-08-08T16:34:03-0500

Rene Garcia