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Rule 14-46.001 F.A.C. Florida Department of Transportation Dec 14,2016 Pagel of 3 UTILITY PERMIT PERMIT NO: 2018-H-798-268 STATE ROAD INFORMATION County: Section: State Road No: Beginning Mile Post: Ending Mile Post: PASCO 14090000 54 17.81 19.36 APPLICANT INFORMATION The 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 MAO) Utility Builder(only applicable when the UAO is a City or County) Name: TECO Peoples Gas(CU Tampa) Name: N/A Contact Person: TECO Peoples Gas(CU Tampa) Contact Person: Address: 1400 Channelside Drive Address: N/A City: Tampa City: N/A State: FLORIDA State: N/A Zip: 33605 Zip: N/A Telephone: (813)275-3731 Telephone: Email: ckuria@tecoenergp.com Email: WORK DESCRIPTION The 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. Proposed installation of 15,935LF of 4"plastic natural gas pipeline along the north right of way of SR54,starting just after Bough Rd.running east, crossing SR41 to 7th St.,in Pasco County,Florida,via horizontal directional drill.Operating pressure of 60psig. Utility Work No:#615-TECO SR54 Additional sheets are attached and are incorporated into this permit Yes❑ No For 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) 612,613,616,660 ®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 WORK The 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:9/17/2018 Calendar days needed to completed: 180 ra r ;sue sycW:. {.s