ANY PENETRATIONS INTO THE GROUND ON UNCW PROPERTY REQUIRE A DIG PERMIT form 3-14-17... · 2019. 11....

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UNCW FACILITIES DIG AND EXCAVATING PERMIT REQUEST ANY PENETRATIONS INTO THE GROUND ON UNCW PROPERTY REQUIRE A DIG PERMIT When locating of underground utilities is complete an approved copy of this form will be emailed to the UNCW contact person or Project Manager. A DETAILED DRAWING OR SKETCH OF THE DIG LOCATION MUST BE ATTACHED TO THIS REQUEST. (Maps are available from Physical Plant or the Project Manager) Please submit request 14 BUSINESS DAYS before the planned dig start date to the Work Control Desk or email to Ellen Boyd and Serinda Moulton ([email protected]; [email protected]). Permits are only good for 10 business days from the approval date. DO NOT START unless you have received an approved email copy of this request as well as a “no conflict” or “marked” Positive Response from North Carolina One-Call, Inc. UNCW Contact or Project manager: _________________________________ Today’s Date: ______________________________ Email Address: ______________________________________________________ Dig Start Date: _____________________________ Office Phone #: ______________________________________________________ Cell Phone #: _______________________________ Please Check the box if you would like to be present during the Locate. Check here for flags only Departmental Fund #: ____________________________________ Dig Location: ______________________________________________________________________________________________________ Purpose of digging: ______________________________________________________________________________________________ Company doing the digging: ___________________________________________ Phone #: __________________________ Certified Equipment operator: __________________________________________________________________________________ Responsible Supervisor: _______________________________________________ 811 Ticket #: ______________________ All soil on UNCW’s main campus is defined as Type C. The slope will be consistent with the NC OSHA standards, section 652 (b.1), which states: excavations shall be sloped at an angle no steeper than one and one-half (1 ½’) horizontal to every one foot (1’) vertical. (34 degrees measured from the horizontal.) There are also electrical, fiber optic and cable tv conductors owned by private companies on campus. It is the responsibility of the person requesting the dig permit to contact North Carolina One-Call Center, Inc. (Dial 811 if in state or 1-800-632-4949) to have them located. FOR PHYSICAL PLANT USE ONLY WORK ORDER NO.: ________________________ Area utilities located and identified by: _______________________________ Date: ___________________ Complete and approved for payment: ________________________________ Date: ___________________ Comments: _____________________________________________________________________________________ FOR PROJECT MANAGER USE ONLY Project Number: ___________________ Fund #: ________________________ Title: _____________________________ Revised 02/01/17 SerindaMoulton

Transcript of ANY PENETRATIONS INTO THE GROUND ON UNCW PROPERTY REQUIRE A DIG PERMIT form 3-14-17... · 2019. 11....

Page 1: ANY PENETRATIONS INTO THE GROUND ON UNCW PROPERTY REQUIRE A DIG PERMIT form 3-14-17... · 2019. 11. 7. · DIG AND EXCAVATING PERMIT REQUEST ANY PENETRATIONS INTO THE GROUND ON UNCW

UNCW FACILITIES DIG AND EXCAVATING PERMIT REQUEST

ANY PENETRATIONS INTO THE GROUND ON UNCW PROPERTY REQUIRE A DIG PERMIT

When locating of underground utilities is complete an approved copy of this form will be emailed to the UNCW contact person or Project Manager.

A DETAILED DRAWING OR SKETCH OF THE DIG LOCATION MUST BE ATTACHED TO THIS REQUEST.

(Maps are available from Physical Plant or the Project Manager) Please submit request 14 BUSINESS DAYS before the planned dig start date to the Work Control Desk or email to Ellen Boyd and Serinda Moulton ([email protected]; [email protected]). Permits are only good for 10 business days from the approval date. DO NOT START unless you have received an approved email copy of this request as well as a “no conflict” or “marked” Positive Response from North Carolina One-Call, Inc. UNCW Contact or Project manager: _________________________________ Today’s Date: ______________________________ Email Address: ______________________________________________________ Dig Start Date: _____________________________ Office Phone #: ______________________________________________________ Cell Phone #: _______________________________ ☐  Please Check the box if you would like to be present during the Locate.

☐ Check here for flags only Departmental Fund #: ____________________________________

Dig Location: ______________________________________________________________________________________________________ Purpose of digging: ______________________________________________________________________________________________ Company doing the digging: ___________________________________________ Phone #: __________________________ Certified Equipment operator: __________________________________________________________________________________

Responsible Supervisor: _______________________________________________ 811 Ticket #: ______________________

All soil on UNCW’s main campus is defined as Type C. The slope will be consistent with the NC OSHA standards, section 652 (b.1), which states: excavations shall be sloped at an angle no steeper than one and one-half (1 ½’) horizontal to every one foot (1’) vertical. (34 degrees measured from the horizontal.)

There are also electrical, fiber optic and cable tv conductors owned by private companies on campus. It is the responsibility of the person requesting the dig permit to contact North Carolina One-Call Center, Inc.

(Dial 811 if in state or 1-800-632-4949) to have them located.

FOR PHYSICAL PLANT USE ONLY WORK ORDER NO.: ________________________

Area utilities located and identified by: _______________________________ Date: ___________________ Complete and approved for payment: ________________________________ Date: ___________________ Comments: _____________________________________________________________________________________

FOR PROJECT MANAGER USE ONLY Project Number: ___________________ Fund #: ________________________ Title: _____________________________

Revised 02/01/17 SerindaMoulton