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ANNUAL GENERAL PERMIT FOR CLEARWATER GAS SYSTEM CONSTRUCTION ACTIVITYBOARD OF COUNTY COMMISSIONERS Charlie Justice Susan Latvala Janet C. Long John Morroni Norm Roche Karen Williams Seel Kenneth T. Welch September 25, 2014 Mr. Sam Kambourolias Clearwater Gas System 400 Myrtle Avenue N Clearwater, FL 33755 Re: Annual General Permit Renewal Dear Mr. Kambourolias: RECEIVED CLEARWA ER GAS OCT 1//^^3__ c 4 9A rV� ccou 1TS PAYABLE Pinellas j (ountg\� BUI LDING & DEVELOPMENT REVIEW SERVICES NOT IN ROSS OiT 1 3 20' Enclosed is your renewal package for your Annual General Permit with Pinellas County. All standards have remained the same as last year. Our fees have remained the same as last year. If you would like to renew this permit, please sign under "Permittee" on the bottom of page 2 of the permit, submit your check in the amount of $2,111.05 payable to Pinellas County Board of County Commissioners and retum to us as soon as possible. If you have any questions please feel free to contact me at (727) 464 -3394. Sincerely, Lora Strong BDRS Regulatory Services Enclosures CGS RECEIVED FOR PAYMENT RECEIPT/RELEASE Dk e7:-.1-32?* CODE 0 - • . p T-5 DATE /0 - - dl4 INITIALS ITitl�_ Ok 7D pr7 /0- /3-20(4— PLEASE ADDRESS REPLY TO: 440 Court Street Clearwater, Florida 33756 Phone: (727) 464 -3888 ANNUAL GENERAL PERMIT FOR CLEARWATER GAS SYSTEM CONSTRUCTION ACTIVITY THE COUNTY OF PINELLAS, a political subdivision of the State of Florida, hereinafter called the PERMITTER, hereby grants to Clearwater Gas System, 400 North Myrtle Avenue, Clearwater, FL 33755, hereinafter called the PERMITTEE, a permit to construct, operate, maintain, renew and /or remove on an annual basis within Pinellas County, natural gas facilities as further described in attached Exhibit "A ". All work is to be done in accordance with Pinellas County's "Operational Standards for Annual General Permits" and is subject to the following provisions and conditions: 1. The PERMITTEE has paid the Annual General Permit fee of $2,111.05, receipt of which is hereby acknowledged. This permit creates permissive use only and the placing of facilities upon County property pursuant thereto shall not operate to create or to vest any property rights in said PERMITTEE. 2. This permit expires on October 1, 2015. 3. Construction, operation and maintenance of such utility shall not interfere with property and rights of prior occupant. 4. The construction, operation and maintenance of such utility shall not create obstruction or conditions which are dangerous to the traveling public. 5. The PERMITTEE does hereby agree to indemnify, defend and save harmless the PERMITTER and all the members of its board, its officers and employees from and against all losses and all claims, demands, payments, suits, actions, recoveries, expenses, attomey's fees and judgments of every nature and description, including claims for property damage and claims for injury to or death of persons, brought or recovered against it by reason of any act of negligence or omission of the PERMITTEE, its agents, or employees, except only such injury or damage as shall have been occasioned by the sole negligence of the PERMITTER. With respect to and in consideration for the indemnifications provided by PERMITTEE, the PERMITTER has paid to the PERMITTEE the sum of One and 00/100 Dollar ($1.00), the sufficiency and receipt of which is hereby acknowledged. 6. The provisions of all applicable laws, statutes, County ordinances and operational standards shall apply to construction, operation, and maintenance pursuant to this general permit. 7. In the event of construction, repair or reconstruction of County -owned facilities, the PERMITTEE shall move or remove said utility installation at no cost to the PERMITTER. 8. The operational standards for Annual General Permits apply to the construction, operation and maintenance of PERMITTEE'S facilities and are attached hereto and incorporated by reference herein. This permit shall be govemed by the laws of the State of Florida. This permit executed PERMITTEE By PERMITTER By. ° Date Title: Ma...i, , n; ,y g/ .u7 .6 g Richard L. V. Coates, III, P.E. Date CLEARWATER GAS ANNUAL GENERAL PERMIT EXHIBIT A All work will be within the confines of Figure 2 as depicted in the Utility Annual General Permit Operational Standards. INSTALLATIONS AND MAINTENANCE SUCH AS, BUT NOT LIMITED TO: • NATURAL GAS MAIN INSTALLATION • NATURAL GAS MAIN REMOVAL • NATURAL GAS MAIN RELOCATION • REPAIR EXISTING FACILITIES • RETIRE SERVICES AND MAINS • INSTALL AND MAINTAIN PASSIVE INSULATORS, ETC.) CATHODIC PROTECTION DEVICES (ANODES, • INSTALL AND MAINTAIN ACTIVE CATHODIC PROTECTION DEVICES (RECTIFIER STATIONS, ETC.) • INSTALL SERVICE TAPS ON EXISTING GAS MAINS • INSTALL NATURAL GAS SERVICE LINES • INSTALL AND MAINTAIN NATURAL GAS VALVES, REGULATOR STATIONS AND TELEMETERING STATIONS • INSTALL LOCATING STATIONS, TEST STATIONS, GAS MARKERS AND VENTS • PERFORM FIELD INSPECTIONS FOR CONDITIONS AND LOCATIONS OF GAS FACILITIES • PERFORM MISCELLANEOUS MINOR MAINTENANCE RELATED WORK NOTE: Effective October 1, 2010 all work within the Keystone Road right -of -way will require a right -of -way utilization permit and will not fall under the Annual General Permit.