ENVIRONMENTAL SURVEY REQUEST

Prior to preparing and submitting this ESR, the user should carefully read the instructions, and associated IDOT policy (BDE Manual Chapter 27 & Local Roads Manual Chapter 20).

Submittal of the ESR initiates the Phase I environmental survey process, which takes a minimum of 6 months to complete. Results of the environmental surveys must be completed in advance of the desired construction letting.

All fields must be completed unless the information is unavailable at the time of submittal or not applicable to the project. If the District and Requesting Entity fields are filled out incorrectly, the ESR will not be submitted to the appropriate person.

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B. REASON(S) FOR SUBMITTAL: (Check all that apply; includes Special Waste Level 1 Screening Criteria)

Survey Types: B = Biological; C = Cultural; SW = Special Waste

B,C
SW
B,C
C
C
SW
(ensure these checked boxes match with those above)
C. PROJECT DESCRIPTION: [255 character limit. If needed, use "Addl. Info" Memo to expand on this description.]
D. FUNDING & PERMITTING:
E. PROJECT CONTACT PERSON
ADDITIONAL INFORMATION