Transcription of MATERIAL SOURCE APPROVAL REQUEST - DOT …
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MATERIAL SOURCE APPROVAL REQUEST - DOT …
MATERIAL SOURCE APPROVAL REQUEST north dakota department of transportation , Environmental and transportation Services SFN 58466 (8-2016)Complete a separate form for each MATERIAL SOURCE location. The following information is REQUIRED (including map file showing boundary of area to be SubmittedPit ID (NDDOT Use Only)Check One: New Existing Expansion of Existing SiteCheck One: Contractor Optioned department optionedLegal DescriptionCountySectionTownship NumberRangeSite Legal Location (quarter section)Approximate Depth of ExcavationSource NameMaterial/Activity (Check all that apply) Aggregate Staging Area or Plant Site Borrow Stockpile Area Rock Pile/Rip-Rap Waste SiteProject InformationName (Project Engineer, Project Manager or NDDOT Tech SupportDivision/District/Consulting Engineering FirmProject Number or Project LocationProject Control NumberEmail AddressApplicantContact NameCompany NameTelephone NumberEmail AddressCommentsPlease allow at least 30 days for completion of this process.))
MATERIAL SOURCE APPROVAL REQUEST North Dakota Department of Transportation, Environmental and Transportation Services SFN 58466 (8-2016) Complete a separate form for each material source location.
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