HomeMy WebLinkAboutSWP272272(4) Short Plat'(SHPL# )
REQUEST FOR PROJECT# Prelim.Plat (PP# )
CAG# )
To: Technical Services Date `� 13 176 WO# (,/7 SO/S Green#
From: Plan Review/Project Manager Da k "e cc re
Project Name TG d t o f R d e,d S o k k� S h r vvt ,S,Ys fe%� /?1- a r
(70 characters max)
Description of Project: eYijtlNg 18" CMP W/¢A /8 " y1�PC us/� 7
P�Z 6 Gi rI 7LiH y
Circle Size of Waterline: 8" loft 12" Circle One: New or Extension
Circle Size of Sewerline: 8" 10" 12" Circle One: New or Extension
Circle Size of Stormline: 12" 15" 18" 24" Circle One: New or Extension 9D
Address or Street Name(s)
Dvlpr/Contractor/Owner/Cnslt:: h o nc / to, a n riots h(_C1 c� C j f Su �a cc �✓a �tr
(70 characters max)
(A 4;
Check each discipline involved in Project Ltr Drwg #of sheets per discipline
❑ Trans-Storm ❑ ❑
(Roadway/Drainage) (Off site improvementsxinclude basin name) (include TESC sheets)
❑ Transportation (Signalization,Channelization,Lighting) ❑ Cl
❑ Wastewater ❑ ❑
Sanitary Sewer Main(include basin name)
Cl Water (Mains,Valves,Hydrants) ❑ Cl
(Include composite&Horizontal Ctrl Sheets)
XSuface Water /3/k c k e l v e r P01f;n't .r.h
Improvements ( IP NLY)(include bassi name)
Ro liths
TS Use Only
Approved by TSM Date: