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AHTD BENCH MARK RECORD

Date

SYSTEM Route DESCRIPTION: Log Mile ___ Qtr. Sctn. ______ _____

Section

_______ Job Number________ County________

___

Twnshp. ___

Range ____

Elevation

__________

Contractor Address

RE:

Job No. xxxxxx FAP No. xxxxx

Dear

:

Benchmark Location Description:

_________________

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

The above referenced project was determined to be substantially complete on __(date)__ and time charges were stopped. The attached list of items must be completed before a final inspection will be scheduled.

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Date Established:

__________

DESCRIPTION: Log Mile ___

Qtr. Sctn.

___

Twnshp. ___

Range ____

Elevation

__________

In accordance with Subsection 108.06 of the Standard Specifications, you should complete the items in a timely manner. You are requested to submit your plan for the timely completion of the work described in the attached list within 10 calendar days of the date of this letter. Failure to submit a plan and to assure timely

completion may constitute a final

result in contract sanctions.

Completion of

inspection

or

acceptance

or

relieve

you

of

the

any other deficiencies or omissions noted between now and final

the list will

not

responsibility

for

acceptance of

the

project.

Benchmark Location Description:

Please advise this office when you have completed all of the items and a final inspection will be scheduled as soon as practical.

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Sincerely,

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Resident Engineer

attachment

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Date Established:

Resident Engineer___________________________

__________

cc:

Construction Engineer District Engineer Surety Surety’s Resident Agent

Figure 105-2

Figure 105-3

7-01-03

Page 100-28

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