DIG_PERMIT_-_PRIDE_-_ISSUE_DATE_31_MARCH_2009.pdf

Building 3305 Fort Polk, La. 71459 Phone: 337-531-6042 Fax: 337-653-3531

Fort Polk Utility Location & Dig Permit Request

Issue Date: 31 March 2009 Date

Location

What is being done

POC Name

POC Number

Directions:

1. Contractor will mark area to be excavated in white.

2. Louisiana Law requires you (CONTRACTOR) to contact Louisiana 1 Call, representing all private and public utility companies. Dial 1-800-272-3020 – seven days in advance and have digging location information available at time of call. Any company with utilities in the area will mark the respective utility within 48 hours.

Louisiana 1 Call Ticket Number: ___________________________________________

3. For Telephone, Data Lines and Fiber Optic Line utility locations on Fort Polk:

• Contact DOIM/ATS Contractor (GSTek) at 531-4019, bldg 3604

• Request location services seven days prior to digging.

• Contractors are responsible to maintain marks.

DOIM/ATS Ticket Number: _______________________________________________

4. Sprint/ADSS 537-4711 or 208-2025.

Sprint/ADSS Ticket Number: _______________________________________________

5. Gas and Exterior Electric. When you have completed 1 thru 4 above, hand carry this form along with a sketch of the area to be excavated to the Work Reception Office in Bldg. 3307. DPW will initiate service orders to locate gas and exterior electric. When you have received these service orders bring this form along with sketches to Bldg 3305. After all dates and times have been met you may pick up the approved dig permit, and proceed to excavate.

• Exterior Electric Service Order #:_______________________________________

• Natural Gas Service Order #:_______________________________________

• Chilled Water Service Order #:_______________________________________

• Hot Water Service Order #:_______________________________________

6. Permit to dig on Fort Polk is approved on ________________________________

Approved by PRIDE Public Works Dpt.________________________