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Agency Project Title <br />Date <br />Kittitas County Public Works Naneum Road Culvert Replacement <br />8/7/18 <br />Right of Way <br />�✓ No Right of Way Needed ❑ Right of Way Needed <br />* All construction required by the ❑ No Relocation ❑ Relocation Required <br />contract can be accomplished <br />within the exiting right of way. <br />- -- -- --- - — .. ......-- - ------- --------- <br />------ <br />Utilities <br />Utilities <br />Railroad <br />F-1Noutility work required <br />U No railroad work required <br />All utility work will be completed prior to the start <br />❑ All railroad work will be completed prior to the start of <br />of the construction contract <br />the construction contract <br />❑ All utility work will be completed in coordination <br />❑ All the railroad work will be completed in coordination <br />with the construction contract <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 />PAA Involvement <br />I <br />Is any airport located within 3.2 kilometers (2 miles) of the proposed project? ❑ Yes U No <br />---- — --- ---- <br />Remarks <br />it <br />This project has been reviewed by the legislative body of the administration agency or agencies, or it's <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 />Mayor/Chairperson <br />DOT Form 140-101 Page 3 <br />Revised 04/2015 Previous Editions Obsolete <br />