HomeMy WebLinkAboutSWP272225 Shout Ilia (SIIPLIt )
REQUEST 17OR PROJECT# Prelim.Plat (PP# )
CAG#
To: Technical Services Date /C-Z6 —9s WO# 67 7( / Green#
From: Plan Review/Project Manager
Project Name C"/>'GV/?C&/ 5e/jV6Ce 5'/-47)0/V — /4,,4/9 /Q, 30ff 5-7
(70 eharactecs um)
Description of Project: CUNSTI?V jtq"V 01"_ Vy45-dz54-411(/!C4e_—�
S7`/�77oti/ w iT� a�-siT� sTai?w1 S;YsT�M n/�w F/R� �
�4(VL,1�a ANII� 2�CdyvM/�C(Z(y /✓ TO j/fG SJJ.yi/��/ SEW `c S�%�`(/�
Circle Size of Waterline: 8" 10" 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
Address or Street Name(s) f 9 !10/177f 30 SJ��G
f�j6 -F
Dvlpr/Contractor/Owner/Cnslt: C*61/16A/ U,5 . Co ..
Z (70 cbaractea myc),..
c/{�y1a rV v,s.A. /-W oyyc,T r Co got3 ,e r /{ L. A5-5 o C. StiC
Check each discipline involved in Project Ltr Drwg #of sheets per discipline
✓ ✓
{� Trans-Storm tt1 I lQ` /UNVDA ❑ A 3-
(Roadway/Drainage) Off site Improveinents)(include basin name) (include TESC sheets)
❑ Transportation (Signalization,Channelizlrion,Lighting) ❑ Cl
❑ Wastewater (LK.evgrfJ. Msr) ❑ ❑
tom( Sanitary Sewer Main(include basin narne)
Y4 Water (Mains,valves.Hydrants) ❑
(Include composite&Horizontal Chl Sheets)
Cl Suface Water ❑ , ❑
Improvements (Lll'ONLY)(include basin r unc)
TS Use Only 74M -
Approved by TSM Date:
H:formstutirrtyroz-09o.DoC/CD/bh