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Agency <br />Project Title <br />Date <br />Kittitas County Public Works <br />7/15/2022 <br />Right of Way <br />�✓ No Right of Way Needed <br />❑ Right of Way Needed <br />All construction required by the <br />❑ No Relocation ❑ Relocation Required <br />contract can be accomplished <br />within the existing right of way. <br />Utilities <br />Railroad <br />❑ No utility work required <br />Z 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 orAdjustments and Existing Major Structures Involved in the Project <br />PSE gas line to be relocated by utility owner prior to construction <br />Consolidated Communications will move their copper and fiber communication lines prior to construction. <br />Involvement <br />rISFAA,, ny airport located within 3.2 kilometers (2 miles) of the proposed project? ❑ Yes Z No <br />Remarks <br />No Airport within 2 miles <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 <br />Date By <br />Mayor/Chairperson <br />DOT Form 140-101 Page 3 <br />Revised 01/2022 Previous Editions Obsolete <br />