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Agency <br />Kittitas County Public Works <br />of <br />❑✓ No Right of Way Needed <br />Project Title Date <br />Naneum Road Culvert Replacement 8/7/18 <br />❑ Right of Way Needed <br />`AII construction required by the ❑ No Relocation ❑ Relocation Required <br />contract can be accomplished <br />within the exiting right of way. <br />Utilities I Railroad <br />❑ No utility work required <br />[✓ All utility work will be completed prior to the start <br />of the construction contract <br />❑ <br />All utility work will be completed in coordination <br />with the construction contract <br />U No railroad work required <br />❑ All railroad work will be completed prior to the start of <br />the construction contract <br />❑AII the railroad work will be completed in coordination <br />with the construction contract <br />Description of Utility Relocation or Adjustments and Existing Major Structures Involved in the Project <br />Utility conflicts will be identified during the Design phase of the project, and utility relocation will be <br />coordinated before construction begins. <br />FAA Involvement <br />Is any airport located within 3.2 kilometers (2 miles) of the <br />Yes U No <br />designee, and is not inconsistent with the agency's comprehensive plan for community development. <br />Agency Kittitas County Public Works <br />Date By <br />------ ---- -- <br />Mayor/Chairperson <br />DOT Form 140-101 Page 3 <br />Revised 0412015 Previous Editions Obsolete <br />