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PROJECT AUTHORIZATION FORM ~ • Engineering <br /> Public Works <br /> City of Eugene <br /> (j,~i15 l~~,SS ~ 244 E. Broadway <br /> Eugene, OR 97401 <br /> ~f, - / (541) 682-5560 <br /> Service ID:_ ~ ~ SID~PB ~GL"JC JE ~~a D1 ~ <br /> Mitigation Bank Cost Assessment / <br /> Project title: <br /> (location and work descriplion) <br /> Project manager/contact/private engineer: Dal Ollek/Scott Duckett <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (k~dths) (width) <br /> Concrete walks: Setback /Curbside <br /> (length) (width) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Mdi nt_. Pl ng. Remodel <br /> FUNDING SOURCES: <br /> City Fund 53Fi Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA EPA Grant mC0980734-O1 fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> Center for Nattlraa I ands MananPmQnt~,tj 11 r`nrdtlr•t a P~n{~~rtTAn~.l~~si s Re~o_rd fnr <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 /> <br /> . _ ~ ~ _ _ Dec 21........2000......... <br /> Project Manager Date ' <br /> Principal Engineer ~ ~ ~N 1' Date -~~GG <br /> Facilities Manager Date <br /> City Engineer Date / _ ~ <br /> . FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. a l ~v ~ ACK -S3~ cI37G X)CX)CX a~~/O~ <br /> GL Title ~ ~ ~T /~SCSSMEn.t' <br /> Assigned by Date ~//l f Oj <br /> Accounting by Date I <br /> 1-,-"-~ ° ~ <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 /Finance YELLOW /Administration File. PINK /Engineering File GOLDENROD /Project Manager JANUARY 2000 <br /> <br />