Project Information	Project Name:
Project Number:	Phase:
GRI SLOST ADA N/A
General Project Description and Understanding (Project Type ie reconstruct or water) (Include P.O. Description):
Project Team:	Project Manager (City):
Lead Engineer:
Lead Technician:
Lead Survey/Crew Chief:

Specific Survey Instructions (include special project limits or indicate it is shown on the map):
Project Survey Schedule: (Write “NA” if Not Applicable)	Activity	Due Date	Date Received
Initiate Survey:
Boundary/Legal:
Topography:
Acquisition Plats:

Utility Locates:	Request Design Locates (Field Locates)
Request Utility/Facility Mapping from Utilities and Client (Maps Only)
Complete Manhole/Structure Data Sheets
Designer	Storm Sewer	Sanitary Sewer
Surveyor	Water Valves	Other
Scan/Store Manhole/Structure Data Sheets
Send Utility Verification Form to Utilities
Survey Provided (ASCE) A B C D
Project Photographs:	Site
Manholes/Structures