Access Control designation of affected section of highway for each row entry, to be entered by WSDOT. All Grayed Out Areas are For Department Use Only Accommodation Number: State Route Number: Begin Mile Post: End Mile Post: Access Control: Scenic Class: T, R, Sec: Facility Description Provide a summary of the proposed work: – Additional Notes: Enter Remarks to further describe the proposed facility for each row entry. Include crossroads, installation method, and location of bore pits. Indicate where the proposed facility enters or leaves Right of Way. Include pertinent topography info turnouts, road approaches, intersections, culvert, guardrail, crossing method, split grade(s), underpass, overpass, etc. Please only print those pages of the UFD used. Right of Way Remarks and Installation Offset Distances (feet) Facility Description Width (feet) Comments 1) Indicate where item enters/leave Left, R/W. Begin End From Right Facility to be Scenic Access Mile Mile From Edge of Depth 2) Include pertinent topography info or Installed/Deactivated/Upgraded Class Control Post Post Center Traveled or Left Right (turnouts, Rd. approaches, Xing (indicate size and/or diameter, Line Way Height intersections, culvert, guardrail, xing and material) (Fogline) method, split grade/under/overpass, etc.)
Access Control designation of affected section of highway for each row entry, to be entered by WSDOT. Enter Remarks to further describe the proposed facility for each row entry. Include crossroads, installation method, and location of bore pits. Indicate where the proposed facility enters or leaves Right of Way. Include pertinent topography info turnouts, road approaches, intersections, culvert, guardrail, crossing method, split grade(s), underpass, overpass, etc. Please only print those pages of the UFD used. All Grayed Out Areas are For Department Use Only State Route Number: Accommodation Number: Begin Mile Post: End Mile Post: Access Control: Scenic Class: T, R, Sec: Facility Description – Provide a summary of the proposed work: Additional Notes: Begin Mile Post End Mile Post Left, Right or Xing Offset Distances (feet) Facility Description Right of Way Width (feet) Scenic Class Access Control Remarks and Installation Comments From Center Line From Edge of Traveled Way (Fogline) Depth or Height Facility to be Installed/Deactivated/Upgraded (indicate size and/or diameter, and material) Left Right 1) Indicate where item enters/leave R/W. 2) Include pertinent topography info (turnouts, Rd. approaches, intersections, culvert, guardrail, xing method, split grade/under/overpass, etc.)
224-697.docx