258.13 Report of specifications for proposed construction.

(a)The following maps, sketches, and drawings shall be filed with and as a part of the report of specifications:#

(1)three sets of current U.S. Geological Survey Maps (7½ or 15 minute) clearly indicating the entire route of the proposed construction or reconstruction and an area of one mile on either side of the route; and#

(2)three sets of strip maps and design drawings showing details of the proposed construction or reconstruction.#

(b)A report of specifications identical in format with subdivision (c) of this section shall be submitted in triplicate. Where additional space is necessary, supply the requested information on attached sheets.#

STATE OF NEW YORK#

DEPARTMENT OF PUBLIC SERVICE#

REPORT OF SPECIFICATIONS FOR PROPOSED CONSTRUCTION#

LIQUID PETROLEUM PIPELINE FACILITIES#

General Information#

General Information#

1. Corporation name Date ________#

2. Pipeline route:#

2. Pipeline route:#

From#

To#

3. Length#

4. New construction or reconstruction#

5. Counties traversed#

6. Towns traversed#

7. Cities traversed#

8. Villages traversed#

9. Estimated starting date#

10. Estimated completion date#

11. Pipeline identification name or number#

Pipe Specifications#

Pipe Specifications#

1. Nominal outside diameter, D (inches)#

2. Nominal wall thickness, t (inches)#

3. Type and/or grade of pipe#

4. Manufacturer of steel#

5. Manufacturer of pipe#

6. Longitudinal joint type#

7. Specified minimum yield strength, SMYS (psi)#

8. Nominal ultimate strength (psi)#

9. Fracture toughness (minimum Charpy Energy in ft. lbs. at 20°F for buried pipe, −20°F for exposed pipe)#

10. Mill test pressure (psi)#

11. Is pipe new or used#

12. If used pipe is employed, describe inspection and reconditioning procedures#

13. Are the physical and chemical specifications of pipe to be verified by outside laboratories? If yes, by whom?#

Operating Pressure and Stress#

Operating Pressure and Stress#

1. Maximum operating pressure, P (psi)#

2. Calculated pipe stress (hoop stress) = PD/2t (psi)#

3. Ratio of pipe stress to SMYS (percent)#

Welding#

Welding#

1. Percentage of welds to be radiographed, by location#

2. How will the corporation certify the radiographic technician#

Railroad, Road, and Water Crossings#

Railroad, Road, and Water Crossings#

1. Railroad and road crossings:#

1. Railroad and road crossings:#

Attach a list giving the location of each and indicating whether each is cased or uncased (if uncased, provide reason), and if heavier wall carrier pipe is used.#

Attach a list giving the location of each and indicating whether each is cased or uncased (if uncased, provide reason), and if heavier wall carrier pipe is used.#

2. Lake, river, stream, or creek crossings:#

2. Lake, river, stream, or creek crossings:#

Attach a list giving the location of each and describing any special construction precautions to be followed.#

Attach a list giving the location of each and describing any special construction precautions to be followed.#

3. Pipeline encroachments:#

3. Pipeline encroachments:#

Attach a list of any encroachments to railroads or roads, by location, and describe any special construction precautions to be followed.#

Attach a list of any encroachments to railroads or roads, by location, and describe any special construction precautions to be followed.#

Valves (see 49 CFR 195.260)#

Valves (see 49 CFR 195.260)#

1. Number and spacing of manual sectionalizing valves#

2. Type, make, and location of any automatic valves to be used#

Minimum Cover and Clearance (see 49 CFR 195.248, 250)#

Minimum Cover and Clearance (see 49 CFR 195.248, 250)#

If the minimum prescribed cover and/or clearance cannot be maintained, indicate the location, nature of problem, cover and/or clearance to be maintained, and any special precautions to be observed. Corrosion Control (see 49 CFR 195 Subpart H - Corrosion Control)#

If the minimum prescribed cover and/or clearance cannot be maintained, indicate the location, nature of problem, cover and/or clearance to be maintained, and any special precautions to be observed. Corrosion Control (see 49 CFR 195 Subpart H - Corrosion Control)#

1. Type of field coating:#

1. Type of field coating:#

For pipe (if not factory coated)#

For welds and fittings#

2. Type of coating test:#

2. Type of coating test:#

Before backfill#

After backfill#

3. Type of cathodic protection system#

Pressure and Leakage Tests (see section 258.6 of this Part)#

Pressure and Leakage Tests (see section 258.6 of this Part)#

1. Test pressure#

2. Test medium#

3. Test duration#

4. Length of test section(s)#

Right-of-Way#

Right-of-Way#

1. Has necessary right-of-way been obtained from each party having interest in the right-of-way? If not, what is the status?#

1. Has necessary right-of-way been obtained from each party having interest in the right-of-way? If not, what is the status?#

2. Have formal approval and all necessary permits been obtained from governmental agencies? If not, what is the status?#

2. Have formal approval and all necessary permits been obtained from governmental agencies? If not, what is the status?#

Products Transported#

Products Transported#

Pipeline certified to transport the following liquid petroleum products:#

Pipeline certified to transport the following liquid petroleum products:#

1.#

2.#

3.#

4.#

5.#

Signature of corporation officer#

Signature of corporation officer#

Title#

Title#