SECTION 1: GENERAL PROJECT INFORMATION MaineDOT WIN: USFWS Consultation Code: Lead Federal Agency: Email: Lead Agency Contact Name: Phone: Transportation Agency (MaineDOT/MTA): Email: Lead Biologist Name: Phone: Project Location Town: Route # & Bridge #: Latitude (DD.ddd): Longitude (DD.ddd): HUC-10 Watershed Name: HUC-10 Watershed #: Tier (see Section 2.5 in BA Waterbody: for Tier areas): General Activity Category (check all that apply): Stream Crossing Structure Replacement (define each): Culvert Replacement (structure <20 feet) Bridge Replacement (structure >20 feet) Bridge Removal (without replacement) Culvert End: Extension Reset Bridge Scour Countermeasure Bridge Maintenance Grout Bag Installation Concrete Repair Temporary Access Slipline/Invert Line Geotechnical Drilling Urgency Project Project Description:
SECTION 1: GENERAL PROJECT INFORMATION MaineDOT WIN: USFWS Consultation Code: Lead Federal Agency: Lead Agency Contact Name: Email: Phone: Transportation Agency (MaineDOT/MTA): Lead Biologist Name: Email: Phone: Project Location Town: Route # & Bridge #: Latitude (DD.ddd): Longitude (DD.ddd): HUC-10 Watershed Name: HUC-10 Watershed #: Waterbody: Tier (see Section 2.5 in BA for Tier areas): General Activity Category (check all that apply): Stream Crossing Structure Replacement (define each): Culvert Replacement (structure <20 feet) Bridge Replacement (structure >20 feet) Bridge Removal (without replacement) Culvert End: Extension Reset Bridge Scour Countermeasure Bridge Maintenance Grout Bag Installation Concrete Repair Temporary Access Slipline/Invert Line Geotechnical Drilling Urgency Project Project Description:
ProjectNotificationFormVersion24-27-17.docx