Laserfiche WebLink
<br />The following exhibits must be attached to each copy of this application. All must be <br />80 far as possible on sheets 8lhxll inches. or must fold to these dimensions. Read care- <br />fully instructions on instruction sheet, Form 202-A. <br />,c;,,, I~'() (M<1$ A. LOCATION SHEET. This should be a key map on a scale where one inch equals approx- <br />. imately twenty-five miles. The location of the project should be clearly indicated in red. <br />mZ: Photostatic reductions of standard maps. with the location of the project superimposed <br />in red ink, will serve for this purpose. <br />B. LOCATION SHEET. (Detail.) This should show the location more in detail. where one <br />inch equals approximately one mile. If one sheet is not sufficient. divide into two or more <br />sheets. <br />F,cll) IMec. DIMENSION AND DETAIL SHEET. This should be to an appropriate scale which will <br />. vary with the size of the project. Use more than one sheet if necessary. Typical cross <br />section, plan and other schematic views of the proposed improvement, with principal gov. <br />erning dimensions should be shown. Avoid too great detail. <br />,,,,, u-; l.3'd D. ADDITIONAL AND MORE DETAILED STATEMENT AS TO GENERAL NATURE <br />ttetp'", d AND PURPOSE. <br />r1f{i1c~~d E. DEPARTMENTAL EXHIBITS. Copies of any reports, resolutions. or other action. by <br />any Committee of Congress or any Federal. State or Local Agency made directly on this <br />project and cited in Item (6) above should be furnished. If more than one, mark E. E-1, <br />etc. Size of these exhibits need not conform to 8lhxll inches. <br />P,,:t( :.~'" F. DETAIL OF ESTIMATED ANNUAL ECONOMIC BENEFITS. <br />~ G. DETAIL OF ESTIMATED ANNUAL REVENUE. ~ <br />H. DETAIL OF OTHER CREDITS TO THE PROJECT. <br />r''1~ XJ/ll~ I. DETAIL OF ESTIMATED COST. <br />J. DETAIL OF ESTIMATED ANNUAL OPERATING AND MAINTENANCE EXPENSE. <br />OPTIONAL AND ADDITIONAL EXIDBITS. If these refer to items covered by exhibits A <br />through J. they should be marked with the appropriate letter with sub-number. e. g.. A-1. <br />. /c":" ( F-1, etc. If not, they should be marked by letters consecutively, beginning with K. Op. <br />f tional exhibite not especially prepared for this application need not conform to 8lhx11 <br />inches where this is impracticable. <br />17. CERTIFICATION; If it is desired that the project be examined by the Committee as to <br />its' eligibility for classification in Division I or Division II. the following certificate must <br />be duly exe~uted. Applicants are advised to have the engineer signing 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 />"FOlGLOWS:, -: 1 . '>,:f....,:: 'Ie)' ,. . <br />. CERTIFICATION ~--I-o <br />State of m.....__.._.......____.........._ <br />".. Registration No. of Professional -4' L 3 <br />. , Engineer signing this certificate..-_X.....__ <br />Th d . ed R "'\ ,-I C.;",.:2~ "'teedP filE' <br />. e un erslgn . 7:--:.lJ.-..'.1.~.:::-"-.~'.[,:b""""~~. a regrs r ro ess ona ngrneer <br />In the state of ..~-,-,-,~~.Q:::iQ-, hereby certifies that he has carefully studied all tech- <br />nological and economic data, and their sources, presented in this application and in the at- <br />tached exhibits Nos. .Am..... 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 />In witness whereo~ I;ave hereunto signed my name and set my professional seal this <br />_.J.L- day of .3:.~ . 191a.~ in the city of ~~4i~""(>~~ .._....._ and <br />~~~ . . <br /> <br />Registered eOfeSSiOnal EpgI, neer No. ~-,.z-P <br />SEA L State of l.{h";'~ <br /> <br />The certifying engineer will initial one of the two following boxes: <br />(3'"1:'No exceptions, and no supplementary statement attached <br />o 2. Supplementary statement marked Exhibit S, attached hereto. <br /> <br />o <br />In <br />..~ <br />..-! <br /> <br />" <br /> <br />~, , <br />I <br /> <br />;:Ir7}(-"' ? # <br /> <br />..... 101..A.-P... L <br /> <br />""~' <br />,f.-."". <br />\f"..;: <br />"" <br /> <br />~L <br />.,:'<> <br />" ~J,''.r <br />"" <br /> <br />"'..... U' <br />e-t.aB-&M:--iJ -86482 <br />