Technical Exhibit 5_Excavation_Permit_Form.pdf
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- Solicitation number
- W91QVN24R0007
About this file
The provided document is an Excavation Permit Form, which is a request for clearance to proceed with excavation work. The form includes details such as the type of excavation work (e.g., drainage ditches, railroad tracks, overhead lines), the excavation method (e.g., hand, power shovel, ditcher), the depth, width, length, location, and a sketch of the work. The form also requests information on road closures, discontinuance of service, and other disturbances. The form requires approval from the Department of Public Works (DPW) organization.
The related federal contract opportunity is a solicitation for Inspection, Testing and Maintenance (ITM) of Mechanical Equipment at USAG Humphreys. The solicitation number is W91QVN24R0007, and the response date for proposal submission is 24 May 2024, 13:00 hrs, Korean Time. The contracting agency is the Department of the Army Materiel Command Army Contracting Command.
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Text version
Clearance is requested to proceed with the work of
The requested clearance : has Facility/Work involved : Excavation Drainage Ditchs Railroad Tracks Overhead Lines : Utility Communication Surface Line Method of Excavation : Hand Power Shovel Ditcher Depth, Width, length, Location & sketch as applicable, Road closure discontinuance of service, other disturbance.
Date Clearance Required: Termination Date of Clearance:
Requesting Organization: Tel No.:
Requesting Office:
Typed Name, Signature and Date
Organization
Requested Clerance : Approved Disapproved Comments/Recommendations
Signed by DPW :
IMCOM-P-PW Form 69, 7 Jun 2023 e-mail Alternative Reviewer
DPW CONSTRUCTION/DIGGING PERMIT
Primary Reviewer Tel.
Date :
Scope of Work :
involving excavation or disturbance of facilities as indicated.On Contract No.:
Other Pavements has not been staked.
Utility Other (Specify)
Communication sheet
File details come from the government source that posted it. Updated .