ADDENDUM ENVIRONMENTAL SURVEY REQUEST

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

An AESR should only be submitted when changes in the project will affect areas outside the original surveyed area or when a change in the scope of work for the project would invoke a different criterion, listed in Types of Submittals section of the instructions, from the original survey.

The sequence number of the original project is required to complete the addendum form. If unknown or questions arise on the need for submitting addendum for a specific project, contact the BDE Project Coordinator for State projects and District Local Roads Field Engineer for Local projects for the district involved.

An AESR takes a minimum of 6 months to complete. Results of th 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.

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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. ADDENDUM DESCRIPTION: [255 character limit. If needed, use "Addl. Info" Memo to expand on this description.]
D. PROJECT CONTACT PERSON
E. ADDITIONAL INFORMATION