Dig Permit
UNCH - Surgical Tower
TRADE / COMPANY NAME
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Responsible Contractor
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Adams Electric
Alpha Insulation & Waterproofing, Inc.
ASPE-South LLC
Aurora
Bailey Contracting, Inc.
Bernhard (NC)
Briegan Concrete LLC
Carolina Conduit Systems, Inc.
Central Concrete
CFE Roofing
CLEVE WAGSTAFF STONE MASONRY LLC
D.H. Griffin
David Allen Company
Dickerson Fencing Co., Inc.
E&H Steel Corporation, Inc.
Faulconer Construction Company, Inc.
Fire & Life Safety America, Inc.
Growth Management Services Inc
Johnson Controls Fire Protection
K & R Building Solution
Keller Drilling
Manganaro Southeast LLC (NC)
McKinney Drilling
New England Tech Air
OTIS Elevator
Pipeline
Precision Walls
Pyramid Masonry Contractors
QC Commercial
Siemens
Skanska USA Building Inc. (NC)
Smith Metals
Southern Elite Steel
Specialty Construction Services, Inc
SPS Corporation
Subsurface Construction Company LLC
Young
Other Company
DESCRIPTION:
A Dig Permit is required to be completed prior to any ground intrusive activities (trenching and/or excavation, etc to prevent underground utility strikes. A Dig Permit shall be completed and attached to the CWP for the ground intrusive operations. Permit for Civil Works/Excavation/Trenching & Utility Location Verification - Should conditions of this permit or the worksite alter during the course of this work, the Dig Permit must be revised to accommodate changes. The associated CWP/DHA must also be revised or a Take 5 must be completed.
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General Information
Location of Excavation (Attach Plans/Maps If Needed)
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Brief Description of Work/Equipment
*
Drawing Numbers of Attached Plans (Highlight Utilities)
Start Date
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Month
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Day
Year
Date
Expected Completion Date
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Month
/
Day
Year
Date
Depth in feet
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Width in feet
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Length in feet
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NOTIFICATION PHONE NUMBER (i.e. 811)
Please enter a valid phone number.
One Call Ticket Number
Date Requested
*
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Month
/
Day
Year
Date
Requested By
*
First Name
Last Name
One Call Training Program Completion Date (NY Only)
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Month
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Day
Year
Date
Pre-Work Checklist
DHA Reviewed and Signed
*
Please Select
Yes
No
N/A
Proper type of protection for public installed? - Describe
Construction Work Plan with sketches/drawings/maps approved?
*
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Yes
No
N/A
Contract Drawings Checked
*
Please Select
Yes
No
N/A
Recent installations / relocations verified
*
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Yes
No
N/A
One-Call markings offset and preserved
*
Please Select
Yes
No
N/A
Visual check for unmarked utilities completed (i.e. manholes)
*
Please Select
Yes
No
N/A
All uitilities exposed by hand and visually verified
*
Please Select
Yes
No
N/A
Adequate lighting for night work
*
Please Select
Yes
No
N/A
Utility survey drawings checked (as-built)
*
Please Select
Yes
No
N/A
Approvals
Project Manager
*
Superintendent
*
Foreman
*
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