PIN:

COUNTY:

ROUTE NO:

DESCRIPTION:

CHECK LIST COMPLETED BY:

FIRM OR REGION:

GENERAL:

Note: When locating features, MOST of them will require a comment. Examples are:

Buildings: type & description 1-S-F RES, 2-S-B BILL’S PIZZA

Poles: utility lines on the poles P/T/C

Streams, lakes, etc.: names LITTLE GOOSE CREEK, REELFOOT LAKE

Pipes: size & type 24” RCP, 30” CMP

Roads: name & type of surface MAIN STREET (ASP.)

Property owners contacted & contact forms filled out.

Railroad right-of-entry obtained.

CONTROL:

Additional, main control points set & located. Traverse closures as needed.

Bench marks set and located (if applicable).

PROPERTY:

Property corners (front, side, and back) located.

Present R.O.W. monuments or other R.O.W. evidence located.

TOPO:

Comments added to all possible points.

(no aerial) Topo located.

(w/aerial) Topo that is not on the aerial survey located.

(w/aerial) Label aerial survey topo on a paper plot.

Septic tanks & field lines located.

Wells located.

Fuel tanks located and get size, owner ID #, and facility # of them.

Historical features located.

Environmental features located.

Log mile posts located on state routes and interstates. Comment example: LM-8.

DTM:

(no aerial) DTM within the project length & width.

(w/aerial) DTM: obscure areas filled in, within the project width.

(w/aerial) DTM: densify around drainage structures and in ditches.

(w/aerial) DTM & Locate all pavement ties on mainline and sideroads

(crown, edges of pavement, shoulders, ditches).

BRIDGE SURVEYS:

Locate the existing bridge and it’s wingwalls.

Comment example: 3-SPAN CONC. & STEEL BRIDGE.

Obtain ordinary water and high water elevations.

The very bottom flow-line of the stream, top of water, and top of bank located.

The length up and down stream is approx. 6 times the typical distance between top of banks.

Upstream and downstream flood plain sections, taken to above the high water

elevation, perpendicular to the stream flow.

The location is approximately 4 times the typical distance between top of banks

Bridge sketch (put in a separate data collector file).

Existing roads located and DTM taken to above the high water elevation.

Locate a center line (feature code DECK) on bridge decks (abutment to abutment)

UTILITIES:

All Poles located. Comment example: P/T/C

Water lines, valves, and meters located.

Gas lines, valves, and meters located.

UG Telephone lines and pedistals located.

UG Fiber Optic lines and pedistals located.

UG Cable and pedistals located.

UG Electric lines and junction boxes located.

Manholes located.

TVA towers located (get tower numbers).

Signal heads & span wires located

Traffic control devices located.

Low Wire crossings (locate the lines pole-to-pole).

Low Wire crossing point located (list numbers of each type of wire and temperature).

Sanitary Sewer lines and Manholes (top, bottom, inverts) located.

DRAINAGE:

Pipes & Box Culverts located (size & type).

Storm Sewer lines and catch basins / manholes (top, bottom, inverts) located.

Floor elevations of buildings subject to flooding.

Wetlands (notify the office if wetlands are possible).

Wetlands (locate them after they are flagged).

Springs located.

Sink holes located.

RAILROADS:

Tracks, and all features located 600’ each way from centerline, within the RR Row.

Locate any evidence of railroad ROW.

For at grade crossings, DTM 200’ each way from centerline, within the RR ROW width.

For grade separation crossing, DTM width is the same as the roadway’s.

Distance to nearest mile post, and get the mile number).

COMMENTS: ________________________________________________________

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SIGNATURE OF PARTY LEADER	SIGNATURE OF FIELD SUPERVISOR