/ CENTRAL ARIZONA PROJECT (CAP)
ENGINEERING SERVICES – INSPECTION - SURVEYS DIVISION
DIGGING/EXCAVATION PERMIT AND AUTHORIZATION
CAP PERMIT NUMBER:

Assigned by CAP

TO BE USED BY ENTITIES OUTSIDE CAP

This Permit provides for coordination, identification and marking of CAP buried facilities/utilities and systems locations on and within CAP right-of-way. When completed and approved, authorizes the requesting entity to dig/excavate only in the areas approved by this Permit. If any digging/excavation is required beyond the boundaries of the approved area, then a new Permit is required prior to any digging/excavation.

To be completed by requestor:

Date of request / CAWCD License or Contract Number
Entity requesting digging/excavation authorization
Name and phone # of responsible individual
Location of digging/excavation
Type of digging/excavation equipment to be used
Maximum Depth (must be filled in) / Estimated dig start date / Estimated dig completion date

Requestor must attach drawing(s) to this request showing location(s), depth(s) and route(s) of proposed digging/excavation and boundaries of area for which you are requesting digging/excavation authorization.

Entity requesting digging/excavation authorization must also notify Blue Stake for location and identification of other CAP facilities/utilities.

Enter Blue Stake assigned Ticket Number

Request may be mailed to the Central Arizona Project (CAP), Engineering Services, Inspection - Surveys Division, P.O. Box 43020, Phoenix, AZ 85080-3020, Attn: Inspector Supervisor,Steven Golding or hand carried to the CAP, Engineering Services, Inspection - Surveys Division, 23636 North 7th Street, Phoenix, AZ 85024 or faxed to CAP at (623) 869-2249.

Information: contact Steven Golding @ (623) 869-2268. Notify inspector 48 hours prior to activities within the Right of Way (ROW).

To be completed by CAP:

KEY DEPARTMENTS: (Route in Turn)

DEPARTMENT / SIGNATURE / DATE / COMMENTS
Permit Coordinator
Safety Manager
Log in request and assign Permit Number, review for requirements. Obtain from Engineering Lands & Records and attach copies of file drawings which involve the area for which permit is being requested. Coordinate any location requirements with the Requestor.
Project Management
Engineering Resources
Electronics
Area/Plant Supvr.
The above groups review attached prints and verify all known buried utilities in the area are shown.
Permit Coordinator
Review comments and/or new attachments, forward document to Inspection - Surveys for field location of CAP buried facilities/utilities.
INSPECTION - SURVEYS
Inspector Supervisor
Review documents and prints attached and assign to Inspector for locating and marking of CAP buried facilities/utilities.
Inspector / All CAP buried facilities/utilities fully located and marked. Drawings revised if location of buried facilities/utilities different than shown on drawings.
Permit Coordinator or Chief Inspector / Approval / Date Returned to Requestor
Via/ Mail / Fax / In person
Initials / Initials / Initials
Review for completeness and approve, return completed Permit and any attached documents to the Requestor.

Notes to Requesting Entity

If, during digging/excavation, additional utilities are identified or marked utilities cannot be located, excavation activities will cease and Engineering Services will be notified. If a utility or system breach occurs, immediately notify the CAP Control Center at (623) 869-2530.

8/18/15 RR