PROD_Form.docx
DOCX document 34 KB Posted
- Attached to
- N4008525R0070 DESIGN-BUILD (DB), REPAIR CVN BULKHEAD Q8, Naval Station Norfolk, Norfolk, Virginia
- Solicitation number
- N4008525R0070
About this file
The document is a Permits Record of Decision (PROD) form designed to track and document various environmental and operational permits for a construction project. The form comprehensively covers permit categories including Air Quality, Water Pollution, Discharge Permits, Drinking Water, Fuel Tanks, Solid and Hazardous Waste, Coastal Management, and Other Permits. Each permit type has sections to record details such as date obtained, date closed, basis of decision, issuing agency, and special provisions or requirements.
The related federal contract opportunity is a Design-Build (DB) project for repairing a bulkhead at Naval Station Norfolk in Virginia, solicitation number N4008525R0070. The project is restricted to Multiple Award Construction Contract (MACC) holders under an Indefinite Delivery/Indefinite Quantity (IDIQ) contract for waterfront construction projects in the Hampton Roads area. Contractors must log in to the PIEE system to access full solicitation details, and the project is managed by 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: |
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Air Quality |
| PERMIT: Operating |
| Date Obtained: |
| Date Closed: |
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Air Quality |
| PERMIT: Asbestos Demolition & Removal |
| Date Obtained: |
| Date Closed: |
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Air Quality |
| PERMIT: Other |
| Date Obtained: |
| Date Closed: |
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Water Pollution |
| PERMIT: Wastewater Collection System |
| Date Obtained: |
| Date Closed: |
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Water Pollution |
| PERMIT: Wastewater Pump Station |
| Date Obtained: |
| Date Closed: |
Basis of Decision (Yes/No):**
Issuing Agency
Special Provisions and Requirements:
| Water Pollution |
| PERMIT: Wastewater Treatment Plant |
| Date Obtained: |
| Date Closed: |
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Water Pollution |
| PERMIT: Pretreatment, i.e. Oil/Water Separator |
| Date Obtained: |
| Date Closed: |
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Water Pollution |
| PERMIT: Septic System |
| Date Obtained: |
| Date Closed: |
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Water Pollution |
| PERMIT: Erosion & Sediment Control |
| Date Obtained: |
| Date Closed: |
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Water Pollution |
| PERMIT: Stormwater Management |
| Date Obtained: |
| Date Closed: |
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Water Pollution |
| PERMIT: Other |
| Date Obtained: |
| Date Closed: |
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Discharge Permit |
| PERMIT: New or Increased Capacity NPDES |
| Date Obtained: |
| Date Closed: |
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Discharge Permit |
| PERMIT: General NPDES (≥1 Acre Land Disturbance) |
| Date Obtained: |
| Date Closed: |
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Discharge Permit |
| PERMIT: Other |
| Date Obtained: |
| Date Closed: |
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Drinking Water |
| PERMIT: Water Distribution System |
| Date Obtained: |
| Date Closed: |
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Drinking Water |
| PERMIT: Water Treatment Plant |
| Date Obtained: |
| Date Closed: |
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Drinking Water |
| PERMIT: Well Construction |
| Date Obtained: |
| Date Closed: |
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Drinking Water |
| PERMIT: Underground Injection |
| Date Obtained: |
| Date Closed: |
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Drinking Water |
| PERMIT: Other |
| Date Obtained: |
| Date Closed: |
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Fuel Tanks |
| PERMIT: Underground Storage Tank Construction |
| Date Obtained: |
| Date Closed: |
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Fuel Tanks |
| PERMIT: Underground Storage Tank Operating |
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Fuel Tanks |
| PERMIT: Other |
| Date Obtained: |
| Date Closed: |
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: |
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Solid and Hazardous Waste |
| PERMIT: Landfill |
| Date Obtained: |
| Date Closed: |
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: |
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Solid and Hazardous Waste |
| PERMIT: Other |
| Date Obtained: |
| Date Closed: |
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Coastal Management Permit |
| PERMIT: Coastal Consistency Determination Authorization |
| Date Obtained: |
| Date Closed: |
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Coastal Management Permit |
| PERMIT: Coastal Barrier |
| Date Obtained: |
| Date Closed: |
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Coastal Management Permit |
| PERMIT: Floodplain Management |
| Date Obtained: |
| Date Closed: |
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Coastal Management Permit |
| PERMIT: Other |
| Date Obtained: |
| Date Closed: |
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Other Permits |
| PERMIT: Work in Navigable Waters |
| Date Obtained: |
| Date Closed: |
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Other Permits |
| PERMIT: Dredging |
| Date Obtained: |
| Date Closed: |
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Other Permits |
| PERMIT: Clearing |
| Date Obtained: |
| Date Closed: |
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Other Permits |
| PERMIT: Essential Fish Habitat Assessment Consultation |
| Date Obtained: |
| Date Closed: |
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Other Permits |
| PERMIT: Marine Mammal Protection Act |
| Date Obtained: |
| Date Closed: |
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Other Permits |
| PERMIT: Take Permits |
| Date Obtained: |
| Date Closed: |
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Other Permits |
| PERMIT: Work in Wetlands |
| Date Obtained: |
| Date Closed: |
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Other Permits |
| PERMIT: Digging Permit |
| Date Obtained: |
| Date Closed: |
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Other Permits |
| PERMIT: Traffic |
| Date Obtained: |
| Date Closed: |
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Other Permits |
| PERMIT: Airport Hazard/Airfield Safety Clearances |
| Date Obtained: |
| Date Closed: |
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Other Permits |
| PERMIT: Railroad Crossing |
| Date Obtained: |
| Date Closed: |
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Other Permits |
| PERMIT: Historic Preservation |
| Date Obtained: |
| Date Closed: |
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Other Permits |
| PERMIT: Noise Abatement |
| Date Obtained: |
| Date Closed: |
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Other Permits |
| PERMIT: Endangered/Species/Critical Habitat |
| Date Obtained: |
| Date Closed: |
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| Other Permits |
| PERMIT: Other |
| Date Obtained: |
| Date Closed: |
Basis of Decision (Yes/No):**
Issuing Agency:
Special Provisions and Requirements:**
| ___________________________________ | _______________________________ | |
| Prepared by: | Date |
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