Motor Fuel Tax Certification/ Project Status Route: County: Local Agency: Section: Funding Source: MFT TBP TARP Other State Funds DATE A E ENVIRONMENTAL ISSUES (Chapter 10-1) Section 6(f) Land and Water Conservation (LAWCON) Land Conversion Open Space Lands Acquisition and Development (OSLAD) Land Conversion Wetlands Compliance Historic Preservation/Cultural Compliance: Threatened and Endangered Species/Natural Areas Compliance Farmland Conversion Impacts Special Waste Screening PROJECT STUDIES/REPORTS (Chapter 10-2) Airport Coordination Railroad Coordination Intersection Design Study (IDS) Bridge Condition Report (BCR) Design and Hydraulic Report (PBDHR) Bridge Asbestos Determination Drainage Studies Geotechnical Report Commitments Variances RIGHT-OF-WAY (Chapter 10-3) PERMITS (Chapter 7) NPDES ILR10 Permit # ILR40 Permit # Section 404 Nationwide Regional Individual Section 401 Water Quality Certification Section 9 (Coast Guard) Burning of Landscape Waste A = Approved, Clear or Yes E = Exempt or Not Applicable Completed by Agency and Title Signature Date Local Agency Approval Local Official Date Received Local Roads Engineer Date
Motor Fuel Tax Certification/ Project Status Route: County: Local Agency: Section: Funding Source: MFT TBP TARP Other State Funds DATE A E ENVIRONMENTAL ISSUES (Chapter 10-1) Section 6(f) Land and Water Conservation (LAWCON) Land Conversion Open Space Lands Acquisition and Development (OSLAD) Land Conversion Wetlands Compliance Historic Preservation/Cultural Compliance: Threatened and Endangered Species/Natural Areas Compliance Farmland Conversion Impacts Special Waste Screening PROJECT STUDIES/REPORTS (Chapter 10-2) Airport Coordination Railroad Coordination Intersection Design Study (IDS) Bridge Condition Report (BCR) Design and Hydraulic Report (PBDHR) Bridge Asbestos Determination Drainage Studies Geotechnical Report Commitments Variances RIGHT-OF-WAY (Chapter 10-3) PERMITS (Chapter 7) NPDES ILR10 Permit # ILR40 Permit # Section 404 Nationwide Regional Individual Section 401 Water Quality Certification Section 9 (Coast Guard) Burning of Landscape Waste A = Approved, Clear or Yes E = Exempt or Not Applicable Completed by Agency and Title Signature Date Local Agency Approval Local Official Date Received Local Roads Engineer Date
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