FORM A
STATE OF NEW YORK
PUBLIC SERVICE COMMISSION
REPORT OF SPECIFICATIONS OF PROPOSED CONSTRUCTION
OF
GAS PIPELINE TO BE SUBJECTED TO PRESSURE OF 125 PSIG OR MORE
255.302
(Submitted in Triplicate)
Gas Corporation ____________ Date ____________
Route: From ____________ To ____________
New Construction ____________ Reconstruction ____________
Counties traversed ____________
Towns traversed ____________
Cities traversed ____________
Incorporated villages traversed ____________
Estimated date: Start of construction ____________
Completion of construction ____________
Identity of line (gas corporation name or number) ____________
Required filing: The following maps, sketches, and drawings shall be filed with, and as part of, this report:
NOTE: Where more than one construction design factor is used, the specifications relative to each shall be separately listed. Where necessary, supply the requested information on attached sheets identified by the Roman numeral, number, and letter designation of the item on this form.
Length
Nominal outside diameter, "D", inches
Nominal wall thickness, "t", inches
Type and/or grade of pipe
Manufacturer of steel
Manufacturer of pipe
Type of longitudinal joint
Specified minimum yield strength, psi
Nominal ultimate strength, psi
Is pipe new or used?
If used pipe is employed, describe the inspection and reconditioning
Mill test pressure, psi
Maximum certified operating pressure, psi
Calculated pipe stress (hoop stress)
Where PD = stress, psi
2t
Ratio of pipe stress to yield strength, percent
Check of pipe specifications:
Are the physical and chemical specifications of pipe to be verified by outside laboratories?
By whom?
By whom?
How will gas corporation certify the radiograph technician?
What inspection procedures will be followed for detection of gouges, grooves, and dents for:
Railroad crossings
List, giving location
Indicate whether cased or not; if not cased, provide reason
Street or road crossings
List, giving location
Indicate whether cased or not
Indicate if heavier wall carrier pipe used
Lake, river, stream, or creek crossings
List, giving location
Describe any special construction precautions to be followed
Pipeline encroachments
List any encroachments to railroads by location
List any encroachments to roads in which special construction precautions will be employed; identify by location
Manual valves
Number of sectionalizing valves
Spacing of sectionalizing valves
Type, make, and location of any automatic valves to be used
Blowdown procedure
Describe method
Number, size, and location of blowdown valves
Estimated blowdown time for each section of pipeline
If minimum prescribed cover cannot be maintained, indicate location, nature of problem, and special precautions to observed
Number of instances
Location of each
Reasons for exposed piping
Total length in each instance
Length of each self-supported span
Precautions taken (signs, fences, etc.)
What special precautions taken
Type of field coating:
For pipe (if not factory coated)
For girth welds and fittings
Type of test of coating before backfill
Type of test of coating after backfill
Proposed cathodic protection
Test pressure
Test medium
Duration of test
Length of test sections
What is the source of water supply used?
How and where is water disposed of after test?
Description of purging procedure by class location
Has gas corporation obtained necessary R/W from each party having interest in R/W? If not, what is status?
Has gas corporation obtained formal approval and all necessary permits from governmental agencies? If not, what is status?
Supply full information for entire length of pipeline to indicate basis of determination of class location of each segment thereof in accordance with 16 NYCRR 255.5.
Type of equipment to be installed
Type of odorant to be added
Threshold perception to be achieved (percent of L.E.L.)
N.Y. Comp. Codes R. & Regs. tit. 16, Appendices, app 7-D