J-1601000-06 Excavation Permit Form.xlsx
XLSX spreadsheet 31 KB Posted
- Solicitation number
- N6945025R0003
About this file
The document is a Utility Locate Request for Excavation/Dig Permit form for Naval Station Mayport, specifically form PWD MAYPORT 12001 (Rev 2023). The form captures critical utility locate information for excavation projects, requiring detailed documentation of project specifics including requestor information, excavation method, scope, and mandatory utility locator notifications.
The form mandates coordination with multiple utility providers including Sunshine State One Call of Florida, AT&T, Jacobs Technologies, American Water, and various Navy communication and infrastructure networks. Utility locators must complete location assessments, sign and email documentation to MYPTDigPermit.fct@navy.mil, and the requestor must provide a Sunshine State Report. The form is directly connected to the Base Operations Support (BOS) Services solicitation (N6945025R0003) for Naval Station Mayport and Marine Corps Support Facility - Blount Island, which involves comprehensive facility management services across multiple operational domains.
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Text version
Sheet1
PWD MAYPORT UTILITY LOCATE REQUEST FOR EXCAVATION/DIG PERMITS
LOCATE REQUEST NUMBER: MYPT 01-24-
REQUESTOR (COMPANY NAME); DATE REQUESTED: ANTICIPATED ISSUE DATE:
REQUESTIING POINT OF CONTACT: OFFICE PHONE: CELL PHONE:
| NAME: | ||
| EMAIL ADDRESS: | FAX: | |
| PROJECT TITLE: | SUB-CONTRACTOR/EXCAVATOR: |
| METHOD OF EXCAVATION: |
| SCOPE OF EXCAVATION (SPECIFY PURPOSE, METHOD, DIMENSIONS - LENGTH, WIDTH AND DEPTH OF EXCAVATION): |
| (NOTE LOCATION AND DIMENSIONAL SITE MAPS ARE REQUIRED) |
| GOVERNMENT CONTRACTING OFFICE: | GOVERNMENT POINT OF CONTACT: | ||||
| NAME: NAVFAC SE - PWD MAYPORT | 904-270-7724 | ||||
| EMAIL ADDRESS: | usn.mayport.comnavregsejaxfl.mbx.dig-permit | DATE PROCESSED: | |||
| NAME: PWD CONSTRUCTION MANAGER OR FACILITY MANAGER | |||||
| UTILITY/ORGANIZATION/TELEPHONE | UTILITY | TICKET NO. | DATE | COMMENTS/INITIALS | |
| SUNSHINE STATE ONE CALL OF FLA | Natural Gas, CATV, | ||||
| 1-800-432-4770 | AT&T Telephone | ||||
| JACOBS TECHNOLOGIES, INC. | Electric | ||||
| PRIMARY UTILTIES (904) 270-6761 | Water, Steam, OW | ||||
| JACOBS TECHNOLOGIES, INC. | Electric | ||||
| SECONDARY UTILTIES (904) 270-6761 | Water, Steam, OW | ||||
| JACOBS TECHNOLOGIES, INC. | Storm Water | ||||
| STORM WATER (904) 270-6761 | |||||
| American Water (904) 256-9844 | Waste water-Sewer | ||||
| NMCI - BLDG 12 | Gvt Fiber Optics | ||||
| POC Gary Dupras (904) 804-1113 | |||||
| PSNET - BLDG 12 | Gvt Fiber Optics | ||||
| POC Dean Jorgensen (904) 270-5447 | |||||
| POC David Hurrell (904)804-1108 | |||||
| GEMD BLDG 2215 | Gvt Comms Cable | ||||
| POC Mark Caprio (904) 270-6140 | |||||
| NCTC/GSTEK | Navy Owned Copper Telephone Cables | ||||
| JAX BCO Office (904)542-3570 | |||||
| POC David McKnight (904) 270-5597 | |||||
| NAVY FUEL DEPOT | Primary Underground Fuel | ||||
| POC Wayne Wragg (904)696-6556 Ext 200 | Distribution System | ||||
| PWD Environmental For Site Conditions | |||||
| POC Pam Cosgrove (904) 270-6816 | Contaminated Sites | ||||
| POC John Arnett (904)270-3188 | Cultural Resources Site | ||||
| POC Victoria Boudiette (904)270-3192 | Florida State waters, WOTUS, and Lower St. Johns Tributaries (watershed) |
| LOCATORS: WHEN LOCATES ARE COMPLETE, SIGN, DATE, INITIAL AND Email TO MYPTDigPermit.fct@navy.mil |
| REQUESTOR: PROVIDE A COPY OF THE SUNSHINE STATE REPORT TO FAX (904) 270-5115 OR EMAIL TO: MYPTDigPermit.fct@navy.mil |
| PROCESSOR COMMENTS: | ||
| PROCESSOR NAME: | ||
| PWD MAYPORT FORM 12001 (REV 2019) | REV (2023) | Enclosure (2) |
MANUAL
MECHANICAL
I have read & agree to the terms & conditions of the Utility Locate & Excavation/Dig Permit Standard Operating Procedure (NAVSTAMYPTINST 4720.1D)
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File details come from the government source that posted it. Updated .