<p> General Inspection Checklist</p><p>FOR</p><p> Preliminary Inspection  Grading Inspection  R/W & Engineering Inspection  Final Plan Inspection</p><p>Filled out ( * items ) prior to the field inspection and cross off items not applicable. </p><p>Date & Time of Inspection: ______</p><p>Location of Inspection: ______</p><p>Project Number:</p><p>______</p><p>Inspection Personnel: ______</p><p>______</p><p>______</p><p>______</p><p>______</p><p>______</p><p>______</p><p>______</p><p>______</p><p>______</p><p>______</p><p>1 Issued Apr_ 2008 General Inspection Checklist</p><p>PROPOSED CONSTRUCTION</p><p>*A. This project is scheduled for the in ______(Month, Year)</p><p>*B. This project is due in the Check Squad ______(Month, Day, Year)</p><p>C. Are there special conditions affecting working time of scheduling.</p><p>D. Estimated Construction Cost $______</p><p>E. Are City and/or County agreements needed?  Yes</p><p> No</p><p>F. Work to be done by City and/or County forces prior to, or during construction.</p><p>G. Maintenance responsibilities upon completion of project (City, County, or WYDOT)</p><p>EARTHWORK</p><p>*A. Soils Profile received:</p><p> Yes</p><p> No</p><p>*B. Clearing and Grubbing:</p><p>1.  ACRE  LS (Explanation required)</p><p>2. Clearing trees</p><p>(a.) Diameter</p><p>*C. Removal of Structures and Obstructions:</p><p>*1. Removal of ______</p><p>(a.) Method of Payment (List Quantity)</p><p> EA  FT  SY  CY</p><p>2 Issued Apr_ 2008 General Inspection Checklist</p><p> TON  LS  Subsidiary  Salvage Value (Approval </p><p> required)</p><p>(b.) Disposition</p><p>Excavation & Embankment:</p><p>*1. Borrow </p><p>Special </p><p>Excavation</p><p> CY</p><p> </p><p>TON  </p><p>None</p><p>*(a.) Location</p><p>*(b.) Ownership</p><p>*(c.) Agreement</p><p>*(d.) Samples submitted</p><p> Yes</p><p> No</p><p>(e.) Stripping overburden (May be used in fill where large quantity)</p><p>(f.) Haul roads</p><p>(g.) Haul type</p><p>3 Issued Apr_ 2008 General Inspection Checklist</p><p> </p><p>CYMI  TMI</p><p>(h.) Dead haul</p><p>*2. Muck Excavation</p><p>(a.) Limits</p><p>(b.) Quantity</p><p>(c.) Waste area(s)</p><p>(d.) Haul distance</p><p>3. Rock Excavation</p><p>(a.) Blasting required</p><p> Yes</p><p> No</p><p>(b.) Special precautions</p><p> Yes</p><p> No</p><p>(c.) Use to </p><p> constru</p><p> ct </p><p> emban</p><p> kment</p><p> Yes</p><p>4 Issued Apr_ 2008 General Inspection Checklist</p><p> No</p><p>(d.) Suitable for riprap</p><p> Yes</p><p> No</p><p>(e.) Waste area(s)</p><p>(f.) Dead haul</p><p>(g.) Seismic velocities</p><p>(h.) Special techniques  Pre-splitting</p><p> Cushion blasting</p><p>4. Unclassified Excavation:</p><p>(a.) Excavation below grade</p><p>(b.) Limits & location</p><p>(c.) Type backfill required</p><p>(d.) Quantity (CY) </p><p>5. Unclassified Excavation (Excess)</p><p>(a.) Quantity (CY)</p><p>(b.) Waste area(s)</p><p>(c.) Dead haul</p><p>6. Embankment Construction</p><p>(a.) Shrink factor Limits</p><p>(b.) Swell factor Limits</p><p>5 Issued Apr_ 2008 General Inspection Checklist</p><p>(c.) Additional embankments</p><p> Approaches  Ditch berms  Dikes  Over-exc. backfill</p><p>7. Water (MG)</p><p>*(a.) Prewetting</p><p> Yes</p><p> No</p><p>*(b.) Estimated Quantity/CY ______Gal.</p><p>*(c.) Water source(s) ______</p><p>(d.) Dust control</p><p> Yes</p><p> No</p><p>Gal.______</p><p>8. Grade Line</p><p>(a.) Vertical control changes (List locations and reasons)</p><p>(1.)</p><p>(2.)</p><p>(3.)</p><p>(b.) Excavation below grade</p><p>(1.) Location</p><p>(2.) Reason</p><p>(3.) Type of material</p><p>6 Issued Apr_ 2008 General Inspection Checklist</p><p>(4.) Depth</p><p>(5.) Waste area(s)</p><p>(6.) Source of backfill</p><p>Old Road Obliteration:</p><p>. Location</p><p>. Method of measurement  CY</p><p>F. Turnouts:</p><p>. Mailboxes  Single</p><p> </p><p>Double </p><p>Multiple</p><p> </p><p>Cluster</p><p>Location(s)</p><p>. Scenic</p><p>. Schoolbus</p><p>G. Guardrail:</p><p> Box</p><p> beam</p><p> W-</p><p> beam</p><p>7 Issued Apr_ 2008 General Inspection Checklist</p><p> </p><p>Cor-Tan</p><p>H. Topsoil and Seeding:</p><p>*1. Topsoil storing  CY</p><p>______</p><p>*2. Topsoil placing  CY</p><p>______</p><p>. Limits  Slope stake - slope stake</p><p> R/W - R/W</p><p>. Depth</p><p>3. Topsoil borrow  CY ______</p><p>4. Seeding a. Limits b. Seeding recommendations from Environmental Services Prior to the Grading Inspection, a form ARequest for Seeding Recommendations@ should be obtained from the WYDOT agronomist. This form is to be filled out with the required information and returned to the agronomist for his/hers use in recommending seeding and erosion protection items for the project. This information should be conveyed to the Resident Engineer.</p><p>5. Landscaping SUB-BASE DESIGN</p><p>A. Overburden (all pits):</p><p>. Removal ______CY</p><p>. Placing ______CY</p><p>8 Issued Apr_ 2008 General Inspection Checklist</p><p>A. Sub-base:</p><p>*1. Pit name and/or location</p><p>*2. Agreement</p><p>*3. Samples submitted:</p><p> Yes  No</p><p>4. Special provisions</p><p>5. Air quality permit required  Yes  No</p><p>6. Crusher Run  Yes  No Crushed  Yes  No Pit Run  Yes</p><p> No</p><p>7. Haul  Yes</p><p> No</p><p> CYMI  TMI</p><p>BASE COURSE DESIGN</p><p> Crushed  Cement Treated</p><p> Emulsion</p><p>Stabilized </p><p>Plant Mix Bit</p><p>*A. Pit name and/or location:</p><p>*B. Agreement:</p><p>9 Issued Apr_ 2008 General Inspection Checklist</p><p>*C. Samples submitted:</p><p> Yes</p><p> No</p><p>*D. Mineral filler location if required:</p><p>A. Lime:</p><p>A. Winter protection:</p><p> Yes</p><p> No</p><p>A. Special provisions:</p><p>A. Air quality permit</p><p> required:  Yes</p><p> No</p><p>A. Haul:</p><p> Yes</p><p> No</p><p> CYMI  TMI</p><p>SURFACING</p><p> Plant Mix  Concrete  Wearing Couse</p><p> Commercial Mix</p><p>*A. Pit name and/or location</p><p>*B. Agreement</p><p>10 Issued Apr_ 2008 General Inspection Checklist</p><p>*C. Samples submitted:</p><p> Yes</p><p> No</p><p>D. Lime</p><p>E. Concrete</p><p>1. Source</p><p>2. Fly Ash required  Yes  No</p><p>3. Placing of concrete and reinforcing</p><p>4. Finishing and finishing equipment</p><p>5. Joints and placement</p><p>E. Mineral filler location if required</p><p>F. Seal coat  Yes  No</p><p>1. Type  Fog </p><p>Chip  Chip (Overshoot)</p><p>2. Shoulder widths  < 4 feet  > 4 feet</p><p>E. Blotter  Yes  No</p><p>Source:</p><p> Ton  CY</p><p>F. Haul  Yes  No</p><p> CYMI  TMI</p><p>G. Rumble strips required  Yes</p><p>11 Issued Apr_ 2008 General Inspection Checklist</p><p> No</p><p>H. Special provisions</p><p>I. Air quality permit required  Yes</p><p> No</p><p>APPROACHES AND CATTLEGUARDS</p><p>*A. Approaches</p><p>. Show locations on plans and list in summary form on R/W & Utility Plans</p><p>. Included approaches requested by entities B BLM, USFS, etc. ?</p><p>*B. Cattleguards</p><p>Station on plans Width</p><p>Cattleguard &</p><p>Type Description</p><p>1.</p><p>2.</p><p>3.</p><p>FENCING</p><p>. Types Station to Station</p><p>______</p><p>12 Issued Apr_ 2008 General Inspection Checklist</p><p>______</p><p>______</p><p>______</p><p>. Replace in kind</p><p>. Type</p><p>. Location: Station______to Station______</p><p>. Reset existing fence</p><p>*B. Special gates (> 16 feet wide B two gates will be required unless recommended</p><p> otherwise)</p><p>. Location</p><p>Type</p><p>Width</p><p> a.</p><p> b.</p><p>2. Replace in kind</p><p>Location</p><p>Type</p><p>13 Issued Apr_ 2008 General Inspection Checklist</p><p>Width</p><p> a.</p><p> b.</p><p>3. Remove and reset gates</p><p>Location</p><p>Type</p><p>Width</p><p> a.</p><p> b.</p><p>4. Remove existing gates</p><p>Location</p><p>Type</p><p>Width</p><p> a.</p><p> b.</p><p>C. Snow fence</p><p> Reset Snow Fence  Snow Fence Repair  Snow</p><p>Fence (Wood)</p><p>14 Issued Apr_ 2008 General Inspection Checklist</p><p>(Panel lengths and height required for quantity computation) Pay unit = EA</p><p>DRAINAGE</p><p>A Minor drainage</p><p>1. Drainage surveys completed?</p><p> Yes</p><p> No</p><p>2. Alkali samples submitted?</p><p> Yes</p><p> No</p><p>3. Culvert Design System (CDS) runs complete  Yes  No</p><p>4. Erosion Control</p><p>Type:</p><p>Source:</p><p>B. Major Drainage</p><p>1. Drainage surveys competed?</p><p> Yes</p><p> No</p><p>2. Alkali samples submitted?</p><p> Yes</p><p>15 Issued Apr_ 2008 General Inspection Checklist</p><p> No</p><p>3. Structure selection complete?</p><p> Yes</p><p> No</p><p>4. Applications for required water quality certificates and permits submitted by Environmental Services  Yes  No</p><p>5. Erosion control</p><p>Type:</p><p>Source:</p><p>C. Storm Sewer</p><p>*1. Manholes</p><p>*2. Drop Inlets</p><p>D. Detention Ponds</p><p>E. Irrigation structures</p><p>1. Landowner contacted?</p><p> Yes</p><p> No</p><p>2. Private irrigation easement required?  Yes</p><p> No</p><p>3. Separate contract with irrigation district to adjust ditches?</p><p>16 Issued Apr_ 2008 General Inspection Checklist</p><p> Yes  No</p><p>4 Structure a. Location b. Type (concrete, wood, other) c. Drawing number (WYDOT)</p><p>5. Contract items (list)</p><p> Force account  Lump sum</p><p></p><p>Subsidiary</p><p>F. Channel Changes</p><p>14248. Do proposed channel changes conflict with recent changes, additions or corrections to the plans?  Yes  No</p><p>If yes, explain:______</p><p>2. Is material usable for balancing?  Yes  No</p><p>3. Waste area. if required</p><p>4. Irrigation structures affected by channel changes?  Yes</p><p> No</p><p>5. Should Ch.Ch. be fenced inside right-of-way?  Yes</p><p> No</p><p>G. Subsurface pipe (Underdrain)</p><p>17 Issued Apr_ 2008 General Inspection Checklist</p><p>*1.  Recommended  Not</p><p> recommended</p><p>*a. Location</p><p>*b.</p><p>Size</p><p>*c.</p><p>Type</p><p>2. Waste area (Location)</p><p>3. Backfill material (Location)</p><p>H. Edge drain</p><p>*1.  Recommended  Not</p><p> recommended</p><p>2. Location</p><p>ENVIRONMENTAL CONSIDERATIONS</p><p>A. Wetlands</p><p>25256. Wetland encroachments</p><p>25257. Mitigation measures required</p><p>25258. Have wetland permit applications been made and approved by the Corps of Engineers?  Yes  No ddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddd ddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddd</p><p>18 Issued Apr_ 2008 General Inspection Checklist</p><p>Any stipulations or changes required? eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee eeeeeeeeeeeeeeeeeeeeeeeeeeeeee. Have agreements been obtained from the landowner?</p><p>A. Additional Corp of Engineer Permits required</p><p>25936.  Rivers  Streams</p><p> Drainages</p><p>A. Additional permit requirements</p><p>26280. DEQ - Air quality permits</p><p>26281. DEQ - NPDES permit nnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn nnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn nnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn</p><p>19 Issued Apr_ 2008 General Inspection Checklist</p><p>Has plan been completed for:</p><p> Roadway  Pit and plan sites ooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooo ooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooo ooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooo ooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooo ooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooo ooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooo ooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooo ooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooo ooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooo ooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooo ooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooo ooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooo ooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooo ooooooooooooooooooooooooo. Responsibility</p><p> Contractor  WYDOT</p><p>A. Archeological</p><p> clearances obtained</p><p> Yes</p><p> No</p><p>20 Issued Apr_ 2008 General Inspection Checklist</p><p>TRAFFIC</p><p>A. Detours</p><p>*1. Typical section</p><p>*2. Design speed</p><p>26282. Type of surfacing</p><p>26283. Special structures</p><p>26284. Method of payment</p><p>26285. Detour obliteration:</p><p> Yes</p><p> No nnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn nnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn nnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn nnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn nnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn nnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn nnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn nnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn nnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn nnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn nnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn nnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn</p><p>21 Issued Apr_ 2008 General Inspection Checklist</p><p>Waste location</p><p>26286. Pipe Salvage llllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllll llllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllll llllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllll llllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllll llllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllll llllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllll llllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllll lllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllll. Location mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm</p><p>22 Issued Apr_ 2008 General Inspection Checklist</p><p>Disposition nnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn nnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn nnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn nnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn nnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn nnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn nnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn nnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn nnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn nnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn nnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn nnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn nnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn nnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn. Estima ted quantity</p><p>B. Traffic will be carried through construction</p><p>28032. Temporary guardrail required  Yes</p><p> No</p><p>2.</p><p>C. Temporary connections</p><p>*1. Was survey made?</p><p>23 Issued Apr_ 2008 General Inspection Checklist</p><p> Yes  No</p><p>*2. Typical section</p><p>*3. Design speed</p><p>4. Type of surfacing</p><p>5. Method of payment</p><p>B. Traffic control:  Yes  No</p><p>40. Quantities obtained from Traffic design and field engineer</p><p>D. Temporary median cross-overs</p><p>*1. Location</p><p>*2. Drainage culvert size</p><p>E. Intersections or interchanges</p><p>*1. Location</p><p>*2. Special design</p><p> required?</p><p> Yes</p><p> No</p><p>3. Special recommendation by field</p><p>B. Traffic signals required?  Yes  No</p><p>C. Lighting</p><p>D. Service roads</p><p>*1. Locations (show on plans)</p><p>2. Inside of outside right-of-way</p><p>24 Issued Apr_ 2008 General Inspection Checklist</p><p>*3. Fence location</p><p>*4. Design a. Typical section</p><p> b. Sub-base:  Yes  No</p><p>Depth______</p><p> c. Base:  Yes</p><p> No</p><p>Depth______</p><p> d. Plant mix  Yes  No</p><p>Depth______e. To be set up by Materials and Project Development</p><p>5. Method of payment</p><p>Excavation (include with balance?)  Yes</p><p> No</p><p>Equipment hours</p><p> Bulldozer  Motor Grader  Roller Type ______ Scraper  Truck </p><p>Loader</p><p>Compaction</p><p>25 Issued Apr_ 2008 General Inspection Checklist</p><p>RIGHT-OF-WAY</p><p>A. Section ties complete  Yes</p><p> No</p><p>A. LUCO and LUFJ complete</p><p> Yes</p><p> No</p><p>A. Recommended changes since previous inspection (show on plans)</p><p>A. Additional topography (show on plans)</p><p>A. Recent ownership changes that would affect design (show on plans)</p><p>A. Construction permits</p><p>UTILITIES</p><p>XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX</p><p>XXXXXXXXXXXXXXXXXXXXXXXX. Recent utility changes (show on plans)</p><p>*B. Private utilities to be set up in contract</p><p>2432. Location</p><p> a.</p><p> b.</p><p>2433. Contract item</p><p> FA  LS</p><p> Unit</p><p>26 Issued Apr_ 2008 General Inspection Checklist</p><p>SPECIAL PROVISIONS</p><p>Sequence of work, etc</p><p>MISCELLANEOUS ITEMS</p><p>*A. Historical signs, markers & monuments</p><p>3112. Location</p><p>3113. Disposition</p><p>*B. Turnouts and rest areas -- show on plans and explain</p><p>Median cross-overs -- show location on plans and explain</p><p>Special design items</p><p>*1. Retaining walls</p><p>*2. Wells</p><p>*3. Sewage systems</p><p>*4. Crops involved  Yes</p><p> No</p><p>Special precautions  Yes  No</p><p>*6. Picnic Facilities</p><p>*7. Curb & Gutter</p><p>Type  A  B</p><p> C</p><p>*8 Double gutter</p><p>*9 Sidewalks</p><p>27 Issued Apr_ 2008 General Inspection Checklist</p><p>*10 Median paving</p><p>11. Climbing lanes</p><p>28 Issued Apr_ 2008</p>