Attachment MFD Contractor Dig Permit.pdf
PDF 94 KB Posted
- Solicitation number
- N44255-21-R-2000
About this file
This document contains an excavation permit application and details of a related federal contract opportunity. The excavation permit application provides information on the location and purpose of excavation work, including confirming it is not structural, that the excavation limits have been marked and drawings reviewed. It also notes the competent person overseeing the work, that dewatering and backfill plans and testing requirements have been addressed, and utility locates completed. Environmental and maintenance approvals are indicated along with confirming excavation will not proceed until fully approved.
The related federal contract opportunity is a solicitation to construct new aboveground storage tanks and associated secondary containment systems at the Manchester Fuel Depot in Washington. The contract requirements include design, repair, labor, materials, equipment, supervision and all associated costs. The tanks will be multi-product, internally coated and connected to JP-5 and F-76 piping systems while avoiding mapped seismic fault lines. Portions of secondary containment and roadways will be in potentially contaminated areas. The soliciting agency is the Department of the Navy Naval Facilities Engineering Command.
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Text version
Permit Number: Date Received:
Designer/Design Manager Contract # Task Order #
Construction Contact Phone/Cell/Fax # SPM Work Order
Requester: (Name, Company Name, Phone/Cell/Fax #, Date)
Phone #
Purpose/Location of Excavation (Attach Plot Plan)
Please state yes or no if structural. Approximate SF of Excavation:
Method of Excavation and Depth:
Will soil be used as backfill?
Dewatering Plan
Testing Required Name of Competent Person:
Site Survey Complete and Excavation Limits Marked?
Drawing File Search Complete?
(Locator/Contractor)
Utility Location Service?
(Government Project Manager or Engineer)
Locate Complete?
(Locator) Locate Service(s) Name?
Site Restoration Plan Complete?
(Government Contract Coordinator)
Maintenance Dept (Maintenance Dept Head)
Utility Outage Recommended?
System(s):
Environmental Review (MFD Environmental)
Soil Disposal Process:
Excavation Permit Approved:
(Excavation Coordinator)
Utility Outage Required:
Not Approved/Reason:
EXCAVATION PERMIT – Naval Base Kitsap at Manchester
ET
Excavation will not proceed until this permit is completed/approved. Do not proceed until all of the steps below are completed and signed off. If your signature is not legible please print your name near your signature.
(Signature/Date)
(Signature/Date)
(Signature/Date)
(Signature/Date)
(Government Project Manager or Engineer) (Signature/Date)
(Signature/Date)
(Signature/Date)
(Signature/Date) timothy.willett1 Typewritten Text No timothy.willett1 Typewritten Text Yes timothy.willett1 Typewritten Text No timothy.willett1 Typewritten Text No timothy.willett1 Typewritten Text Yes, See Attached timothy.willett1 Typewritten Text Yes, See attached Results timothy.willett1 Typewritten Text No timothy.willett1 Typewritten Text Yes timothy.willett1 Typewritten Text No timothy.willett1 Typewritten Text Yes timothy.willett1 Typewritten Text No timothy.willett1 Typewritten Text Yes
Sheet1
| undefined: |
| undefined_2: |
| DesignerDesign Manager: |
| undefined_3: |
| Construction Contact: |
| PhoneCellFax: |
| Approximate SF of Excavation: |
| Name of Competent Person: |
| Locate Services Name: |
| Systems: |
| Soil Disposal Process 1: |
| Not ApprovedReason 1: |
| Text1: |
| Text2: |
| Text3: |
| ET: |
| ET Phone #: |
| Text6: |
| Text7: |
| Backfill: Off |
| Dewatering: Choice1 |
| Testing: Choice1 |
| Outage: Choice1 |
| Approved: Choice1 |
| Structural: Off |
File details come from the government source that posted it. Updated .