TE_37_FHDiggingExcavationPermit.pdf
PDF 156 KB Posted
- Attached to
- DRAFT Solicitation for Base Operations and Maintenance Services, Fort Huachuca, Arizona 20231115
- Solicitation number
- W9124A23R0005
About this file
This document is a request for utility locate form for excavation and digging work at Fort Huachuca, Arizona. The form requests information on the location and details of the planned digging project, including the address, area to be dug, depth, width and length. It asks whether the site is accessible, has locked gates, animals present, or a visible address. The form also inquires if explosives, boring, or white paint markings will be used, and whether offset markings are acceptable. Contact information is requested for the job order number, government point of contact, and any remarks. Boxes indicate whether locates are needed from water, sewer, gas, electric, or communication utilities. The related federal contract opportunity is a draft solicitation for base operations and maintenance services at Fort Huachuca, Arizona, with a solicitation number of W9124A23R0005 and an opportunity type listed as a pre-solicitation from the Department of the Army Materiel Command Army Contracting Command at Aberdeen Proving Ground.
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Text version
Blue Stake Coordinator:
Cell (520) 678-4553 or 533-3714
REQUEST FOR UTILITY LOCATE
FTHUAWC@FACILTYSERVICESINC.COM
CALL BEFORE YOU DIG
PRIORITY
CONTROL # CMP DATE BSC Signature/initals
NAME
ORG.
OFFICE #
CELL #
AREA:
DEPTH WIDTH LENGTH
YES NO SITE MEET YES NO
COMPLETED BY
WATER SEWER GAS
YES NO
TEP
O&M SANITATION
O&M ELECTRIC
SSVEC
CENTURYLINK
DO NOT FILL OUT. THIS SECTION TO BE FILLED OUT BY BLUE STAKE COORDINATOR ONLY
START WORK DATE
REQUESTOR REQUIRED INFORMATION
PURPOSE DETAILS BELOW:
EXPIRY DATERCV'D FROM WC/POC EMAILED TO ALL
DATE SUBMITTED
REQUESTED DIG PARAMETERS
SITE MEET LOCATIONDRAWING ATTD
REQUESTOR CONTACT INFORMATION
IF YES TO ANY OF ABOVE FILL OUT PERTINENT INFO BELOW
*If yes to questions 1, 4, and 8 no additional info needed*
REQUIRED QUESTIONS
IS LOCATION ACCESSIBLE?
ARE THERE LOCKED GATES?
ARE THERE ANIMALS?
IS ADDRESS POSTED/VISIBLE?
ARE EXPLOSIVES REQUIRED TO DIG?
IS BORING REQUIRED TO DIG?
IS AREA MARKED IN WHITE PAINT?
ARE OFFSET MARKINGS ACCEPTABLE?
LOCATION DETAILS BELOW:
IJO #
SO/WO#
GOVT POC(IF CONTRACTOR )
GOVT POC #
REMARKS
AZ Permint #:
DATE/TIME
COX COMM
MVC
NEC COMMUNICATIONS
BLUE STAKE REQUIRED?
DPW ENRD
YES
NO
NO
NO
YES
YES
YES
YES
YES
YES
YES
NO
NO
NO
NO
NO
DPW ENRD -(Stop work immediately if you encounter HISTORIC OR CULTURAL ARTIFACTS. Notify Sasha Romih at 533-5215.) or Marty Tagg @ 3-4428
Sheet1
File details come from the government source that posted it. Updated .