|
<br />
<br />;t,
<br />
<br />_101'A-1'~".' .' ,
<br />
<br />The following exhibitsmUBt be attached to each copy of this application., 411 .ID~"be
<br />80 far as possible on sheets 8%xll inches, or must fold to these dimensions. Read eare-
<br />fully instructions on instruction sheet, Form 202-A. , ,',;., "':; ,r: :',\:~'
<br />;:""'1fM<to-l A.LOCATION SHEET. This should, be a key map on a scale where one inch equals, approx.
<br />.,//'.' l~iI.;;4.-~ imatelyhyenty-1ive miles. The loca, tion of ~e project should be clearly', indicatElll.ip. red.
<br />/' ""14"'-, ~ Photostatic reductions of standard maps, WIth the location of the proJect supmmposed
<br />r~,( '7" in red ink, will serve for this purpose. ,., "
<br />I'~ /,?I'.l-B. LOCATION SHEET. (Detail.) This should show the location more in detail, ~here one
<br />II inch equals approximately OI\1il mile. If one sheet is not sufficient, divide into twlj or more
<br />. ,sheets. '
<br />~ I~ ;i;..,J.qc. DIMENSION AND, DETAIL SHEET. This S"hOiIIa:b'e,'to'8n," ",Il:bPi'bPl'la~, 'S'&lll,' wID,Ch' will,
<br />.... ;:'d"''''7 vary with the size of the project. Use more than one sheet if neceslllP"Y. Typical cross
<br />'"""7/ section, plan al!9.'other,s~h~a.tic, views ,of the m:OPQsed."iPlprov.em,!!nt,. witl1,;p",ncillal goy_
<br />f ( !i.. erning iiflri'ensi<lJ1s' ~lfolira 'be' 'lhlown. ' Avoid' tbo'greaflfefa11. .In '7' ,'" '" . >".M. .' ....
<br />
<br />?":r_~ (~ ADDITIO~MAND MORE DETAIt:.EiQ Sll'ATiEMENT AS TO GENERAl",NATURE
<br />?Xa4' ;:;"''''9.' AND PURrbSE.
<br />J4t~/ ;::..J.-E. DEPARTMENTAL EXmBITS. Copies of any reports, resolutions, or other actio, n, by
<br />If( z..-.- tJ.&.t. i2u,..,r any Committee of Congress or any Federal, State ,or Local Agency made directly OD this
<br />~'r 'lqGI- project and cited in Item (6) abovll should be furnished. If more than one, markE, E-l,
<br />r':".6~' etc. Size of these exhibits nll8lf not conform to8%xll inches. .
<br />v '"
<br />flr 7} ~7f F. DETAIL OF ESTIMATED ANNUAL ECONOMIC SENEFITS.
<br />',; . ~- G. DETAIL OF ESTIMATED ANNUAL REVEN;1lTE.; "''-':
<br />,~. . ,
<br />ri""lP":l.5,7~H. DETAIL OF OTHER CREDITS TO THE PROJECT.
<br />?~~3.7~7S;?'1. DETAIL OF ESTIMATED COST!"""" ,] ,: "",, .,' ',.'
<br />r:; ;)jo-<I '1;1. DETAIL q:Ii;,~"IlTI;M~TED ANNUAL OPERATING AN;PJ\1;a!NTENAN,Clij,EJfiPENSE.
<br />OPTIONAL AND ADDITIONAL EXIDBITS. If these refer to Items covered by exhibits A
<br />through ;1, they should be marked with the appropriate letter with sub-number, e, g., A-I,
<br />F-t, etc. If not, they should be marked by letters cOllsecutively, beginning with K. Op-
<br />tional exhibits not especially prepared for this application need not conform to 8%xll
<br />inches ",~fl~~ ,Wis ;I~ r~lDpracticable'::"iY , ,:,"",;,,'1,,,' ,'i" . '
<br />17. CERTIFICA,hON: If it is desired that the project be examined by the Committee as to
<br />its eligibility for classi1ication in Pivision 1 or Division II, the following certificate, must
<br />be duly executed. Applicants are advised to have the engineer sigDing the certificate
<br />present for questioning by the Committee at any hearing desired by the applicants. NO
<br />PROJECT WILL BE PLACED IN EITHER DIVISION i OR DIVISION II UNTIL THE
<br />DATA SUBMITTED IN ITS JUSTIFICATION SHALL HAVE BEEN CERTIFIED AS
<br />FOLLOWS: '
<br />
<br />)..
<br />
<br /><;.
<br />
<br />"f
<br />
<br />f
<br />"
<br />,
<br />t'..
<br />~,
<br />,
<br />
<br />~'\
<br />
<br />i~
<br />
<br />\,
<br />
<br />0~'
<br />~. .
<br />
<br />"CE.:RTIFI0:iA,T',J,0N,. ' ,'Y; ': ,
<br />", "'i,'Statei bf'.~,__;_.: ,; .'...'.._,_:___:...___,::__~______
<br />ReilstratlonNo: M'P~~!t~~io~~I'
<br />Enginee);' :ll~~ng this certi1icate_________._--
<br />
<br />The undersigned, ------________._______.__.________________________, a registered Professional Engineer
<br />
<br />in the State of .------------___________________, hereby certifies that he has carefully studied all tech-
<br />nological and economic data; and their sources, presented in this application and in the a,t-
<br />
<br />tached exhibits Nos. ---:------______and that in his opinion, except as specifically noted in his sup-
<br />plementary statement attached hereto and marked Exhibit S, they are reasonably derived
<br />from adequate information in accordance with accepted principles of economics and engineer-
<br />ing. '
<br />
<br />In witness whereof I have hereunto sigu ell. my name and set my professional seal this
<br />
<br />~-..,~~""""i;'!IP.iY 'l)t''""'''~-'---'''-~_' 19,,-,,--.,'dn theeity of _'--'.-~_..:__~.'...'..~,,___~_ and
<br />1 i' f' l t ' . " " ~, _
<br />state of.O::__:", ".
<br />'i"! ::".: .'-:' ',;: LC;",
<br />
<br />, '
<br />
<br />.~-
<br />
<br />:.:1
<br />
<br />"
<br />,
<br />,
<br />,
<br />"
<br />~,
<br />
<br />Registered Professional Erlgineii-t No. ____~_____
<br />S EA L State Of
<br />" "''l'he'certi:tyingengineer will initial one of the two following boxes:
<br />o 1. No exceptions, and"no'illipj>lementary'statement:attaclied ' ,': ''',
<br />,0 2. Supplementary statement marked Exhibit S, attached hereto.
<br />
<br />t7~17
<br />o.l..,s-w--,r-H4U
<br />
|