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PROJECT AUTHORIZATION FORM Enyi"eerin9 <br /> Public Works <br /> / City of Eugene <br /> ~~`:J ~S .,,~L~, 244 E. Broadway <br /> , / Eugene, OR 97401 <br /> Service ID: ~ 5 SID~PB ~GL v JC JE X541 X682-5560 <br /> /D <br /> Project title: Mitigation Bank Cost Assessment <br /> (location and wodr description) <br /> Project manager/ contact /private engineer: Dal Ol 1 ek/Scott Duckett <br /> PROJECT SCOPE: <br /> Paving: Bike lanes /paths: <br /> (widrns) (widrn) <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 I~lai nt. P1 ng. Remodel <br /> FUNDING SOURCES: <br /> City Fund 536 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 I ~.ndc ManaT mant ~~ti 11 rnnrlitrt a Pr~nert.~~Anal~tSl S Record fir <br /> <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: ~ 2000 <br /> Project Manager ~ Date DeC . 21, <br /> Principal Engineer Date ~~~d <br /> Facilities Manager Date <br /> City Engineer Date / 9 <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. f ~ ACK ~37~ XlC~c'~f ~?f(~/® <br /> GL Title ~ <br /> Assigned by Date i//~/®~ <br /> Accounting by Date ~ ~ j j I y I <br /> ATTACHMENTS: <br /> i <br /> ? Budget Estimate ? Developer Agreement ? Engineer's 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 /> _ <br /> <br />