Embed Size (px)
Citation preview
Rule 14-46.001 F.A.C. Page 1 of 3
FLORIDA DEPARTMENT OF TRANSPORTATION December 14, 2016
UTILITY PERMIT
PERMIT NO:__________________________________
STATE ROAD INFORMATIONCounty: Section: State Road No: Beginning Mile Post: Ending Mile Post:
APPLICANT INFORMATIONThe Utility Agency Owner (UAO) shall be identified in this Applicant Information Box. When the UAO is a City or County and desires to have the Utility Builder make a joint permit applicant, as prescribed in Section 2.1(4) of the 2017 Utility Accommodation Manual (UAM), the Utility Builder shall also be identified in this Applicant Information Box. A Utility Builder alone cannot apply for a utility permit without the City or County adding them as a joint applicant.
Utility Agency/Owner (UAO) Utility Builder (only applicable when the UAO is a City or County) Name: _____________________________________ Name: ______________________________________
Contact Person: _____________________________________ Contact Person: ______________________________________Address: _____________________________________ Address: ______________________________________
City: _____________________________________ City: ______________________________________State: _____ State: _____ Zip: _________ Zip: _________
Telephone: _____________________________________ Telephone: ______________________________________Email: ____________________________________ Email: ______________________________________
WORK DESCRIPTIONThe Applicant(s) requests permission from the Florida Department of Transportation (FDOT) to construct, operate, and maintain the utilities as described below and as depicted in the incorporated documentation._____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________________Utility Work No: ___________________________
Additional sheets are attached and are incorporated into this permit Yes NoFor FDEP certification, the FDOT agency report is attached in accordance with UAM Section 2.4.1 (13) Yes No
TRAFFIC CONTROL (TCP)
The TCP will comply with the following 600 series index(es) ________________________________________________________________________ A TCP has been attached and incorporated into this permit application in compliance with UAM Section 2.4.2.
MOT Technician’s contact information (may be supplied at the two (2) business day notification to FDOT):Name: ________________________________ Telephone ________________________ Email: _______________________________
COMMENCEMENT OF WORKThe UAO and/or Utility Builder shall commence actual construction in good faith within sixty (60) calendar days after approval of the permit application. If the beginning date is more than sixty (60) calendar days from the date of approval, the UAO and/or Utility Builder must review the permit with the FDOT Approving Engineer listed to make sure no changes have occurred to the transportation facility that would affect the permit’s continued approval. The UAO and/or Utility Builder shall make good faith efforts to expedite the work and complete the work within the calendar days indicated.
Anticipated Start Date: ___________________Calendar days needed to completed: ________
Collier
2392636216
Florida
90
30
CenturyLink Collier (FMOC)
10/25/2021
27.103
3530 Kraft Road #100
601
✔
34105
This work activity is associated US Army Corps of Engineers Project ID:W912EP20R0016 Design Build for Picayune Strand Conveyance Features Culverts underUS-41 Culverts Parallel to US-41. This permit will involve installingapproximately 380 LF of 2-2” Conduits w/BFO-48 and BT-25 by HDD to replace theexisting BFO & BT cable that is in conflict with the proposed culverts.Installation of above ground features will be required as well. This permit isassociated with CTL WA # N.878006.
✔
2021-H-192-00244
03010000
(239) 263-6216 ext. ______
CenturyLink Collier (FMOC)
Naples
✔
27.323
Anthony Zawacky
Approved2021-H-192-00244
Harris Giddens10/18/2021
Rule 14-46.001 F.A.C.
Page 2 of 3Florida Department of TransportationUTILITY PERMIT
December 14, 2016
PERMIT NO:_________________________________
APPLICANT SIGNATUREBy the below signature(s) the UAO and/or Utility Builder agree(s) to construct, operate, and maintain the work as noted in the above Work Description, shown in plans and incorporated documents, in compliance with the UAM, all instructions noted in the FDOT Special Instructions Box, and special instructions incorporated into this permit. The UAO and/or Utility Builder declares, the location of all existing utilities that it owns or has an interest in, both aerial and underground, are accurately shown on the plans of the work areas. In accordance with UAM Section 2.8, the UAO and/or Utility Builder further declares that a letter of notification was delivered to the owners of other facilities within the work areas and that those listed below are the only facility owners known to be involved or potentially impacted by the proposed work.
Date Notified: Name of other facility owners (attach additional sheets if necessary)._____________ _______________________________________________________________________________________________________________ _______________________________________________________________________________________________________________ _______________________________________________________________________________________________________________ _______________________________________________________________________________________________________________ __________________________________________________________________________________________________
Utility Agency/Owner Utility Builder (when applicable)
Signature: ____________________________ Date: ________________ Signature:___________________________ Date: _______________Name (printed): _____________________________________________ Name (printed): __________________________________________Title: ______________________________________________________ Title: ___________________________________________________
FDOT PROJECT INFORMATIONPursuant to UAM Section 2.1(10), the utility work is within FDOT projects listed below and must have a Utility Work Schedule for each project approved prior to commencement of work within the FDOT project limits: _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________
FDOT SPECIAL INSTRUCTIONSIn accordance with UAM Section 2.7, FDOT incorporates the below and attached special instructions into this permit. __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________
Additional FDOT Special Instructions are attached and incorporated into this permit. Yes No
PERMIT APPROVALBy signature below, FDOT gives permission to the UAO and /or Utility Builder to construct, operate, and maintain the utilities indicated in this Utility Permit in compliance with the UAM, all incorporated documents, and special instructions. Any changes to the approved work must be approved by the FDOT’s Approving Engineer and attached and incorporated into this permit in accordance with UAM Section 2.11.
Approving Engineer: _____________________________________________ Date: _______________Name: _____________________________________________
Title:______________________________________________
Notification of Utility Work to be provided to: Telephone _____________________ or Email: _____________________________
An FDOT Representative is required to be present on the worksite prior to commencement of work. Yes NoRep. Name: _____________________________ Telephone _____________________ Email: _____________________________
✔
10/18/2021
Joe Golden of Ferrovial Services must be contacted at least 2 business days inadvance of start of work at 281-740-2859 or 239-234-6500.
No Lane Closure Restrictions (Rural)
To our knowledge, there is no existing ITS/ATMS infrastructure within the limitsof this project.
10/15/2021
(239) 985-7856 ext. ______ [email protected]
Harris Giddens
✔
Harris Giddens (digital signature)
DEBORAH GADOURY (digital signature)
Comcast10/15/2021Collier County Water and Sewer10/15/2021Crown Castle10/15/2021Summit Broadband10/15/2021Lee County Electric Co-op10/15/2021
DEBORAH GADOURY
2392346500Hugh Golden
Consultant Staff - MS1-96
2021-H-192-00244
There are NO FDOT constructions (proposed or underway).This work is NOT related to an approved Utility Work Schedule.
Approved2021-H-192-00244
Harris Giddens10/18/2021
Rule 14-46.001 F.A.C.
Page 3 of 3Florida Department of TransportationUTILITY PERMIT
December 14, 2016
PERMIT NO:_________________________________
CERTIFICATIONI, the undersigned UAO and/or Utility Builder, hereby CERTIFY that the utilities were constructed and inspected in compliance with the UAM all incorporated documents, and special instructions. Pursuant to UAM Section 2.11, all changes have been approved by the FDOT’s Approving Engineer and incorporated into this permit along with all other material certifications, test results, bore logs, approved plans changes, as-built plans or other required documentation.I also CERTIFY that work began on ________________ and was completed on ________________ and that the area was left in as good or better condition than when the work began.
Utility Agency/Owner Utility Builder (when applicable)
Signature: ____________________________ Date _________________ Signature:___________________________ Date ________________Name (printed): _____________________________________________ Name (printed): ____________________________________________Title: ______________________________________________________ Title: ____________________________________________________
FINAL INSPECTION OF WORKThe work was inspected and found to be in non-compliance as noted below: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
All issues of non-compliance listed above have been brought into compliance and/or FDOT has no outstanding issues that need to be addressed by the UAO and/or Utility Builder. However, this final inspection does not release the UAO and/or Utility Builder of their continuing responsibilities pursuant to Rule 14-46.001, the UAM, all incorporated documents, and special instructions.
FDOT Inspector: _____________________________________________ Date: _______________Name: _____________________________________________
Title: ______________________________________________
2021-H-192-00244
Approved2021-H-192-00244
Harris Giddens10/18/2021
October 15, 2021
Ms. Jessica White, P.E.Ft. Myers Operation Center2981 NE Pine Island RoadCape Coral, FL 33909
RE: This work activity is associated US Army Corps of Engineers Project ID:W912EP20R0016 Design Build for Picayune Strand Conveyance Features Culvertsunder US-41 Culverts Parallel to US-41. The proposed work activity is locatedwithin the western r/w of US-41 (SR-90) and approximately 860 LF southeast ofTomato Rd. This permit will involve installing approximately 380 LF of 2-2”Conduits w/BFO-48 and BT-25 by HDD to replace the existing BFO & BT cable thatconflicts with the proposed culverts construction. Installation of above groundfeatures at HDD entry/exit points will be required as well. This permit is associatedwith CTL WA # N.878006.
Section: #03010000County: Collier
Dear Ms. White:
CenturyLink requests permission to construct, operate, and maintain buried telecommunicationfacilities within the project limits listed above. Please refer to the following permit submittal forapproval.
By copy of this letter the following utilities have been notified:
Collier County Water and SewerComcastCrown Castle
Lee County Electric Co-opSummit Broadband
Please address any questions concerning the permit drawings to Bill Case at (813) 558-3303 oremail [email protected] or Anthony Zawacky CenturyLink at (239) 263-6216 oremail [email protected]
CenturyLink3530 Kraft Road Suite #100Naples, FL 34105
Sincerely,
Anthony ZawackySenior Network Engineer
Approved2021-H-192-00244
Harris Giddens10/18/2021
CENTURYLINK (LOCAL)MARK-UPS PROVIDED BY:
36" DOC
PEDESTAL/OPTI-PED
HAND HOLE/VAULT/PULL BOX
UNDERGROUND CABLE MARKER
DEPTH OF COVER
BT(B)
BFOT(B)
LEGEND
BURIED TELEPHONE QUALITY LEVEL B
BURIED FIBER-OPTIC TELEPHONE QUALITY LEVEL B
100 BT / TO REMAINCTL /
UTILITY DISPOSITION
PLACEMENTRESPONSIBILITY
TYPE OF UTILITY
UTILITY OWNER
CTL = CENTURYLINK
PROPOSED DRAINAGE (BY OTHERS)
INDEX OF UTILITY PLANS
SHEET NO. SHEET DESCRIPTION
1 KEY SHEET2 PLAN & PROFILE VIEW
NFV = NOT FIELD VERIFIED
CTL
WC: MOI
SFLX
A 68
-016
3.07
RGB
MAR
K-U
PS (US A
RMY
COR
PS O
F E
NGI
NEERS C
ONVEYA
NCE F
EAT
URES C
ULV
ERTS
UNDER U
S 4
1) -
COL
LIER C
OUNTY
10
/15/
2021
U
RED = (a) TO BE REMOVED OR RELOCATED HORIZONTALLY,(b) TO BE PLACED OUT-OF-SERVICE (DEACTIVATED)
BUT LEFT IN PLACE OR REMOVE WHERE ACCESSIBLE,(c) NOT IN SERVICE BUT LEFT IN PLACE OR REMOVE
WHERE ACCESSIBLE,
GREEN = TO REMAIN IN PLACE WITH NO ADJUSTMENT
BROWN = (a) PROPOSED TO BE INSTALLED(b) EXISTING TO BE ADJUSTED VERTICALLY,
BUT REMAIN IN SAME HORIZONTAL ALIGNMENT
Approved2021-H-192-00244
Harris Giddens10/18/2021
4.01
W W
6in FM (D) 6in FM (D) 6in FM (D) 6in FM (D) 6in FM (D) 6in FM (D) 6in FM (D) 6in FM (D) 6in FM (D) 6in FM (D) 6in FM (D) 6in FM (D) 6in FM (D) 6in FM (D) 6in FM (D) 6in FM (D) 6in FM (D) 6in FM (D) 6in FM (D) 6in FM (D)6in FM (D) 6in FM (D) 6in FM (D) 6in FM (D) 6in FM (D) 6in FM (D) 6in FM (D) 6in FM (D) 6in FM (D) 6in FM (D) 6in FM (D) 6in FM (D) 6in FM (D) 6in FM (D) 6in FM (D) 6in FM (D) 6in FM (D) 6in FM (D) 6in FM (D) 6in FM (D)6in FM (D) 6in FM (D) 6in FM (D) 6in FM (D) 6in FM (D) 6in FM (D) 6in FM (D) 6in FM (D) 6in FM (D) 6in FM (D) 6in FM (D) 6in FM (D) 6in FM (D) 6in FM (D) 6in FM (D) 6in FM (D) 6in FM (D) 6in FM (D) 6in FM (D) 6in FM (D)6in FM (D) 6in FM (D) 6in FM (D) 6in FM (D) 6in FM (D) 6in FM (D) 6in FM (D) 6in FM (D) 6in FM (D) 6in FM (D) 6in FM (D) 6in FM (D) 6in FM (D) 6in FM (D) 6in FM (D) 6in FM (D) 6in FM (D) 6in FM (D) 6in FM (D) 6in FM (D)
8in WM (C) 8in WM (C) 8in WM (C) 8in WM (C) 8in WM (C) 8in WM (C) 8in WM (C) 8in WM (C) 8in WM (C) 8in WM (C) 8in WM (C) 8in WM (C) 8in WM (C) 8in WM (C) 8in WM (C) 8in WM (C) 8in WM (C) 8in WM (C) 8in WM (C) 8in WM (C)8in WM (C) 8in WM (C) 8in WM (C) 8in WM (C) 8in WM (C) 8in WM (C) 8in WM (C) 8in WM (C) 8in WM (C) 8in WM (C) 8in WM (C) 8in WM (C) 8in WM (C) 8in WM (C) 8in WM (C) 8in WM (C) 8in WM (C) 8in WM (C) 8in WM (C) 8in WM (C)8in WM (C) 8in WM (C) 8in WM (C) 8in WM (C) 8in WM (C) 8in WM (C) 8in WM (C) 8in WM (C) 8in WM (C) 8in WM (C) 8in WM (C) 8in WM (C) 8in WM (C) 8in WM (C) 8in WM (C) 8in WM (C) 8in WM (C) 8in WM (C) 8in WM (C) 8in WM (C)8in WM (C) 8in WM (C) 8in WM (C) 8in WM (C) 8in WM (C) 8in WM (C) 8in WM (C) 8in WM (C) 8in WM (C) 8in WM (C) 8in WM (C) 8in WM (C) 8in WM (C) 8in WM (C) 8in WM (C) 8in WM (C) 8in WM (C) 8in WM (C) 8in WM (C) 8in WM (C)
817 818 819 820 821 822 823
57" DOC
64" D
OC
58" DOC
78" DOC
69" DOC
66" DOC
63" DOC
63" DOC
66" D
OC
68" D
OC
65" D
OC
55" DOC
60
" DOC
53" DOC
65" DOC
63" DOC
64" DOC
U
UG MARKER(TO BE REMOVED)
60" DOC
63" DOC
75" D
OC
72" DOC
81" DOC
44" D
OC
40" D
OC
39" D
OC
39" D
OC
30" D
OC
30" D
OC
24" D
OC
33" D
OC
33" DOC
32" D
OC
BT(B) BT(B) BT(B) BT(B) BT(B) BT(B) BT(B) BT(B) BT(B) BT(B) BT(B) BT(B) BT(B) BT(B) BT(B) BT(B) BT(B) BT(B) BT(B)BFOT(B) BFOT(B) BFOT(B) BFOT(B) BFOT(B) BFOT(B) BFOT(B) BFOT(B) BFOT(B) BFOT(B) BFOT(B) BFOT(B) BFOT(B) BFOT(B) BFOT(B) BFOT(B) BFOT(B) BFOT(B)
BFOT(B)BFOT(B)BFOT(B)BFOT(B)BFOT(B)BFOT(B)BFOT(B)BFOT(B)BFOT(B)BFOT(B)BFOT(B)BFOT(B)BFOT(B)BFOT(B)BFOT(B)BFOT(B)BFOT(B)BFOT(B)BFOT(B)
25 BT / PLACE OUT-OF-SERVICECTL-LOCAL /
36 BFOT / PLACE OUT-OF-SERVICECTL-LOCAL /
PROPOSEDCTL-LOCALPEDESTAL
PROPOSEDCTL-LOCALHAND HOLE
25 BT / TO REMAINCTL-LOCAL /
36 BFOT / TO REMAINCTL-LOCAL /
PROPOSEDCTL-LOCALPEDESTAL
PROPOSEDCTL-LOCAL
HAND HOLE
25 BT / TO REMAINCTL-LOCAL /
36 BFOT / TO REMAINCTL-LOCAL /
34'
116'
15.2'39.8'
39.8'
STA. 818+00, 34' RTBEGIN BORE
STA. 821+80, 34' RTEND BORE
APPROX
. TEMP
MOT R
OAD LIM
ITS
US 41 (TAMIAMI TRAIL)
110'
25.6'
21'
25.7'
20.5'
110'
APPROX. 860' TOTOMATO ROAD
APPROX. 5,840 LF TOSAN MARCO RD (CR 92)
PROPOSED 380 LF BORE AT 10' MIN.BELOW BOTTOM OF CULVERTS(2) 2" CONDUITS WITH 25 BT & 48 BFOT (CTL-LOCAL)
200' R
/W15
0'50
'14
7'53
'13
1'
35'
34'
3'
BFOT(B)BFOT(B)
10' MIN
.
10' MIN
.
10' MIN
.
12°
12°
PROPOSED BOX CULVERT(BY OTHERS)
PROPOSED BOX CULVERT(BY OTHERS)
PROPOSED BOX CULVERT(BY OTHERS)
EXIST. GRADE ATPROPOSED ALIGNMENT
EXIST. BT & BFOT(TO REMAIN)
EXIST. BT & BFOT(TO REMAIN)
PROPOSEDPEDESTAL
PROPOSEDHAND HOLE PROPOSED
PEDESTALPROPOSED
HAND HOLE
PROFILE VIEWSCALE: 1" = 40' HORIZ.
1" = 8' VERT.
818+00 819+00 820+00 821+00 822+00 823+00
PROPOSED 380 LF BORE AT 10' MIN.BELOW BOTTOM OF CULVERTS(2) 2" CONDUITS WITH 25 BT & 48 BFOT (CTL-LOCAL)
PLAN & PROFILE VIEW
N
1" =
40'
US ARMY CORPS OF ENGINEERSJACKSONVILLE DISTRICT CONTRACT PLANS
ROAD NO. COUNTY FINANCIAL PROJECT ID
DESCRIPTIONDATE DESCRIPTION DATEREVISIONS
SHEETNO.
C:\68 Projects\68-0163.00 LUMEN FL NPLS\68-0163.07 US41 and CR92 USACE Culverts RGB Permitting\Drawings\ROW Permit\68-0163.07 ROW Permit_CTL-Local.dwgDuarte, Alvaro 10/15/2021 2:12:05 PM
US 41 W912EP20R0016 2
COLLIER
0
8
4
-4
-8
-12
-16
0
8
4
-4
-8
-12
-16
Approved2021-H-192-00244
Harris Giddens10/18/2021
N.878006RELO - NPSE ATC CULVERTS US-41 & CR 92
MOSIFLXA
11-16-2021
NAPLESANTHONY ZAWACKY239-263-6216
CODY BECKERAYRES ASSOCIATES
DAVID EUBANKS239-920-5937
DAVID EUBANKS239-920-5937
95412851S27E N.T.S. 1 3
1
10/15/2021
NAPLES, FL - US 41THIS PROJECT IS REQUIRED TO PLACEAPPROXIMATELY 380' OF BFO48, BFC25-24, & BFO192ALONG US 41 TO RESOLVE CONFLICTS WITH US ARMYCORPS PROJECT #W912EP20R0016 INSTALLATION OFBOX CULVERTS UNDER ROAD. THIS PROJECTPROPOSED REMOVAL/PLACEMENT OF FACILITIESIMPACTED BY THE PROPOSED BOX CULVERTS.
YES YES YES
NO
Approved2021-H-192-00244
Harris Giddens10/18/2021
4.01
U
N.878006RELO - NPSE ATC CULVERTS US-41 & CR 92
MOSIFLXA
11-16-2021
NAPLESANTHONY ZAWACKY239-263-6216
CODY BECKERAYRES ASSOCIATES
DAVID EUBANKS239-920-5937
DAVID EUBANKS239-920-5937
95412851S27E 1" = 40' 2 3
1
10/15/2021
Approved2021-H-192-00244
Harris Giddens10/18/2021
N.878006RELO - NPSE ATC CULVERTS US-41 & CR 92
MOSIFLXA
11-16-2021
NAPLESANTHONY ZAWACKY239-263-6216
CODY BECKERAYRES ASSOCIATES
DAVID EUBANKS239-920-5937
DAVID EUBANKS239-920-5937
95412851S27E 1" = 40' 3 3
1
10/15/2021
Approved2021-H-192-00244
Harris Giddens10/18/2021
Approved2021-H-192-00244
Harris Giddens10/18/2021
FLORIDA DEPARTMENT OF TRANSPORTATION CHARLIE CRIST GOVERNOR
STEPHANIE KOPELOUSOS SECRETARY
District One * Bartow Maintenance Office2740 State Road 60 West * Bartow, FL 33830-8749
(863) 519-4300 * (863) 534-7067 (Fax) * MS 1-84www.dot.state.fl.us
UTILITY PERMIT CHECKLIST
This checklist must be completed and submitted with the permit.
ITEMS TO BE COMPLETED ON THE PERMIT APPLICATION (REV 10/02)
(Please check ( ) the boxes when completing)
1. Ensure name of applicant (this must be owner of the utility or public body or corporation responsible for utility)and corporate seal appear on the permit application.
2. State Road number, section number and milepost of proposed work must appear on application.
3. Scope of work must be written on front of permit. This must agree with the information on the drawings.
**NOTE Special conditions and Special Instructions area on permit application shall be leftblank. This is for department use only.
4. Must have 4 copies of application package with drawings. Must have original signatures on (8) of them. Plansshall be on 11”x 17” multipurpose paper on a scale no smaller than l”=50’ as required in the plans preparationmanual.
5. Must list all known utility owners in the area. Attach copy of written notices to utilities.
MINIMUM ENGINEERING INFORMATION REQUIRED
1. Plan view of proposed work (Only sheets pertaining to the Department’s R/W will be accepted).
A. Show offset distance of installation from edge of travel lane (white line), and from the right of way line.
B. Show existing pavement width, including auxiliary lanes and medians.
C. Show distances to FDOT R/W limits on both sides of state road.
D. Show offset distances of existing utilities in relation to proposed installation.
Approved2021-H-192-00244
Harris Giddens10/18/2021
Utility & Right of Way ChecklistPage 2 of 2
www.dot.state.fl.us
E. Furnish cross-sections of proposed installations showing existing utilities. Show offset and depthdimensions of proposed and existing utilities. Sometimes more than one cross section may be requiredto accurately reflect the proposed work. When showing jack and bore installations, the distance fromend of casing to the edge of pavement must be shown. Also, depth from roadway surface to the top ofcasing must be shown.
F. List materials to be used (pipe size, wall thickness, type, cable size, etc.)
G. List method of installation (open trench, pole-mounted attachment, directional bore, etc.)
H. Letter of authorization from property owners is required if driveways or parking lots have to be opencut. Show all open cuts on plans.
2. Maintenance of traffic to be submitted by someone that holds the new work zone traffic control advancedtraining certification. All work zones to be set up and maintained by someone that has the work zone trafficcontrol intermediate level training. This is required as of January 2002. Please furnish copies of the certification.
**NOTE** Show method of Right of Way restoration. Sod is required. Seed and mulch may beacceptable on a case-by-case basis. Must be approved during the review stages of thepermit.
All permit applications are field reviewed for accuracy. Providing additional detail in thepermit data submitted reduces the possibility of requests for additional information orclarification.
Rev. 10/07/02
Approved2021-H-192-00244
Harris Giddens10/18/2021
FLORIDA DEPARTMENT OF TRANSPORTATION - DISTRICT ONE
FORT MYERS OPERATIONS CENTER2981 N.E. PINE ISLAND ROAD
CAPE CORAL, FL 33909PHONE: (239) 656-7800 / FAX: (239) 656-7742
PLEASE PRINT ON LEGAL SIZE PAPER
PERMIT APPLICATION DATA REV. 01-
2006
A Department of Transportation permit is required before any facility is installed on the right-of-way,whether it is for aerial or underground installations, special provisions for exceptions are outlined in theutility accommodation guide.
Permittee: CenturyLink
Company Engineer: Anthony Zawacky Phone: (239) 263-6216
1. SR # 90 US # 41 SR Section 010000Local Name of Road / Street: Tamiami Trail
2. Proposed: copper & fiber cable to, parallel, cross/or both in ROW of a state road within city limits of Naples orbetween cities of and in the county of Collier.
3. Submit a plan and cross-section view of proposed construction. Separate cross-sections are required at eachchange in lateral alignment.
4. Proposed utility to be in ROW for distance of 380 feet Starting at 860 FT North South East West from C/L of Tomato Rd Ending at 5,840 FT North South East West from C/L of San Marco(give location, such as dedicated streets or cross-roads, number of feet to such location)
5. Distance from proposed utility to the edge of pavement: Apprx., 15 - 25 FT
6. Distance from proposed utility to the ROW line: Apprx., 110 - 116 FT
7. Width of ROW on each side of C/L of pavement: 50 FT North South East Westand 0 FT North South East West
8. Width of pavement: 35 FT
9. Width of median (typical, if applicable): n/a FT
10. Width of sidewalk: 6 FT
11. Does the proposed installation include above ground appurtenance? Yes No 8 CU FT
12. Is the appurtenance located at the ROW line? Yes No
13. Will conduit or casing be utilized in placement of proposed utility? Length 380 (pavement width +16 FTminimum) Wall thickness: 0.216
14. Will existing utility be removed? Yes No If so, what and how much?
15. Will any existing facilities be used to place the proposed utility? Yes No If so, what? Pedestals, Handholes
16. If utility is a natural gas line, give maximum operating pressure: N/A PSI Provisions for venting:
17. Submittal all other utilities on cross-section maps. Make separate cross-section details for each change inlocation, and repeat items five (5) and ten (10).
18. Will any highway pavement be cut? Yes No
19. Indicate approximate location, depth and sizes of all utilities within ROW limits. Submit name of owners andcity or town from which they operate. Collier County Water and Sewer, Comcast, Lee County Co-op, SummitBroadband and Crown Castle
ADDITIONAL COMMENTS:
Approved2021-H-192-00244
Harris Giddens10/18/2021
Title: NNPL 2370 VANDERBILT BEACH
Location: Naples
Engineer: Walter AlvarezTownship/Taxcode
Manager:
1100 - Collier
Brian Whaley
Exchange:
NNPL7408
CO:NNPL
Map:
Scale: Phone:239-263-6222
WO Create:
04/02/2007
Print Date:
05/03/2007
Work Order:
39220289
Sheet: Of:1 2
QUAZITE BOX & COVER ASSEMBLY (30"x48"x18")
- ALL DIMENSIONS ARE IN INCHES UNLESS OTHERWISE SPECIFIED
CenturyLink
Approved2021-H-192-00244
Harris Giddens10/18/2021
Title: MARBELLA ISLES FIBER FEEDER
Location: Naples
Engineer: Walter AlvarezTownship/Taxcode
Manager:
1100 - Collier
Brian Whaley
Exchange:
NNPL7408
CO:NNPL
Map:
Scale: Phone:239-263-6222
WO Create:
01/01/2015
Print Date:
01/01/2015
Work Order:
39220289
Sheet: Of:6 6
QUAZITE BOX & COVER ASSEMBLY (30"x60"x31")
- ALL DIMENSIONS ARE IN INCHES UNLESS OTHERWISE SPECIFIED
CenturyLink
Approved2021-H-192-00244
Harris Giddens10/18/2021
10/5/21, 10:17 AM Exactix
https://exactix.sunshine811.com/findTicketByNumberAndPhone(print:print/ticketText) 1/2
Ticket : 278102389 Rev:000 Taken: 10/05/21 10:07ET
State: FL Cnty: COLLIER GeoPlace: NAPLES CallerPlace: NAPLES Subdivision:
Address : Street : US 41 Cross 1 : TOMATO RD Within 1/4 mile: Y
Locat: DESIGN REQUEST FOR R/O/W TO R/O/W ON US 41 STARTING AT A POINT OF 840FT SE OF TOMATO RD GOING SE ON US 41 FOR 400FT : Remarks : IN RESPONSE TO RECEIPT OF A DESIGN TICKET, SSOCOF PROVIDES THE ORIGINATOR OF THE DESIGN TICKET WITH A LIST OF SSOCOF MEMBERS IN THE VICINITY OF THE DESIGN PROJECT. SSOCOF DOES NOT NOTIFY SSOCOF MEMBERS OF THE RECEIPT BY SSOCOF OF A DESIGN TICKET. IT IS THE SOLE RESPONSIBILITY OF THE DESIGN ENGINEER TO CONTACT SSOCOF MEMBERS TO REQUEST INFORMATION ABOUT THE LOCATION OF SSOCOF MEMBERS' UNDERGROUND FACILITIES. SUBMISSION OF A DESIGN TICKET WILL NOT SATISFY THE REQUIREMENT OF CHAPTER 556, FLORIDA STATUTES, TO NOTIFY SSOCOF OF AN INTENT TO EXCAVATE OR DEMOLISH. THAT INTENT MUST BE MADE KNOWN SPECIFICALLY TO SSOCOF IN THE MANNER REQUIRED BY LAW. IN AN EFFORT TO SAVE TIME ON FUTURE CALLS, SAVE YOUR DESIGN TICKET NUMBER IF YOU INTEND TO BEGIN EXCAVATION WITHIN 90 DAYS OF YOUR DESIGN REQUEST. THE DESIGN TICKET CAN BE REFERENCED, AND THE INFORMATION ON IT CAN BE USED TO SAVE TIME WHEN YOU CALL IN THE EXCAVATION REQUEST. *** LOOKUP BY MANUAL *** : Grids : 2600C8136C 2600D8136C
Work date: 10/05/21 Time: 10:02ET Hrs notc: 000 Category: 6 Duration: UNKNOWN Due Date : 10/07/21 Time: 23:59ET Exp Date : 11/04/21 Time: 23:59ET Work type: DESIGN Boring: N White-lined: N Ug/Oh/Both: U Machinery: N Depth: UNK Permits: N N/A Done for : DESIGN
Company : AYRES ASSOCIATES Type: OTHR Co addr : 8875 HIDDEN RIVER PKWY Co addr2: SUITE 200 City : TAMPA State: FL Zip: 33637 Caller : MARIA BAUCOM Phone: 813-978-8688 Ext: 3365 BestTime: 8-5 Mobile : 813-924-4182 Fax : 813-978-9369 Email : [email protected]
Submitted: 10/05/21 10:07ET Oper: SHE Mbrs : CNTL01 CPW592 CTV413 L3C900 LCC295 NN1882 OTC811
Approved2021-H-192-00244
Harris Giddens10/18/2021
10/5/21, 10:17 AM Exactix
https://exactix.sunshine811.com/findTicketByNumberAndPhone(print:print/ticketText) 2/2
* Responses are current as of 10/05/2021 10:17 AM
No CENTURYLINKCNTL01
FIBER, TELEPHONE BILL MCCLOUD(850) 599-1444
THOMAS STURMER(720) 578-8090
TAC CENTER(800) 778-9140
No COLLIER COUNTYSTAKE & LOCATESCPW592
SEWER, WATER ERIC FEY(239) 252-1037
COLLIER COUNTYSTAKES & LOCATES(239) 252-5924
AFTER 5:00 PM /ON-CALL LOCATOR(239) 825-1444
No COMCASTCTV413
CATV JOSH DAVIS(239) 253-7642
HFC HELP DESK(855) 962-8525
No CENTURYLINKL3C900
FIBER NETWORKRELATIONS(877) 366-8344 x2
TECH ON DUTY(877) 366-8344 x3
TECH ON DUTY(877) 366-8344 x3
No LEE COUNTYELECTRIC CO-OPLCC295
ELECTRIC, STREETLIGHTS
TOM BAILEY(239) 656-2414
STEWART DUNLAP(239) 656-2419
BRIAN WILT(239) 340-4108
No CROWN CASTLE NGNN1882
FIBER FIBERDIG TEAM(888) 632-0931 x2
CROWN CASTLEFIBER NOC(855) 933-4237 x1
No SUMMITBROADBANDOTC811
FIBER, TELEPHONE MICHELLE DANIEL(407) 996-1183
JASON ZOFFINGER(727) 403-4913
NETWORKOPERATION CENTER(407) 996-1188
Ex. Circum Service Area Utility Type(s) Contact Alt. Contact Emergency Contact Positive Response
Approved2021-H-192-00244
Harris Giddens10/18/2021
