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PROJECT AUTHORIZATION FORM ' ~ Engineering <br /> Public Works <br /> ~~o < City of Eugene <br /> ~ 244 E. Broadway <br /> (i Eugene, OR 97401 <br /> 3`~ ~ ~ / ~ ~ a (541) 682-5560 <br /> Service ID:_ SID~PB ~GL _ JC _ JE <br /> /Dl~ <br /> Project title: Mitigation Bank Cost Assessment <br /> (location and work description) <br /> Project manager/contact/private engineer: Dal Ollek/Scott Duckett <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: Setback /Curbside <br /> pengrn) (widtn) <br /> j Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Ma i nt. Pl ng • Remodel <br /> <br /> i <br /> FUNDING SOURCES: <br /> City Fund 53Fi Assessments Private Other department <br /> Account code <br /> Fed /State /County/ FAA EPA Grant #CD980734-O1 fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> Center for Natural. l.ap~~ M~nanamPnt t.ti 7 ~ rnndnCfi i3 ProT prt~Anal~isi s Renard fir <br /> three wetland mitigation sites to forecast long term maintenance needs. <br /> Funding: EPA Grant $6500.00; Mitigation Bank $2200.00 (25% match) <br /> APPROVED: <br /> . Project Manager ~ Date Dec. 21, 2000 <br /> Principal Engineer ~ ~ ~ 1' Date~~~~ <br /> Facilities Manager Date <br /> City Engineer Date ! 9 <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. a ACK .53~ ~I37G XKxxX o7/!a/O~Z <br /> GL Title ~ ~T' AvSe55MF~tt <br /> Assigned by Date lll~ f G1 <br /> T++ <br /> Accounting by Oate 1 ~ ~ 1 1 y ~ <br /> ATTACHMENTS: <br /> ? Budget Estimate ? Developer Agreement ? Engineers Report On Improvement Petition <br /> ? SDC Budget Worksheet ? Engineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order ? Public improvement Permit Application ? Map <br /> File Request Form <br /> ENG 415 WHITE / Fnance YELLOW /Administration File PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> _ _ <br /> <br />