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INFORMATION WORKSHEET for Municipal Transportation Projects(sept.2015) <br /> Contact your DNR Transportation Liaison_BEFORE filling out this information. For more information w, <br /> and to find your DNR Transportation Liaison, °:FTO°P"°P`-R ESC <br /> - <br /> Y p ,go to http:/�'dnr.wi.rttiv(search keyword <br /> "transportation"). <br /> Applicant/Road Owner(Town,Village,City or County): Road Name: <br /> Town of Dunkirk Taylor Lane <br /> Municipal Representative's Name: Stream Name: <br /> Mark Gretebeck N/A <br /> Address,City,State,Zip Code: County: <br /> 654 CTH-N Dane <br /> Stoughton, WI 53589 <br /> Legal Description: <br /> NE 1/4, SW 1/4, Section 32 <br /> Township 05 North, Range 11 East East West <br /> Telephone Number: Project Start Date: Project End Date: <br /> 608-212-6496 July 2017-August 2017 <br /> E-mail Address: Project Start and End Location(attach map if necessary): <br /> Replace culvert located approximately 2,600 ft north of <br /> hkrueger @t a.dunn.wi.us Stebbinsville Road. See Attached Map. <br /> Contractor/Consultant Contact Information(if available): <br /> General Project Information (check all that apply) <br /> Wetlands present L1 Road reconstruction <br /> J Streams/Lakes present Road widening/fill outside toe of slope <br /> fStream culvert(s)replacement New road layout(currently no road present) <br /> ~ Bridge replacement Road/hill/curve realignment <br /> 1111111= 1111111111111111 <br /> New culvert or bridge(currently no crossing present) Clearing&Grubbing <br /> Riprap placement Storm sewer replacement <br /> Road surface/mill&overlay � Ditch work <br /> 1. Briefly describe the current situation and why corrective actions are needed including any safety concerns. <br /> Old culvert rusted out, need to replace. <br /> 2. Will wetlands be impacted? If so, provide an estimate of potential wetland fill(square feet). <br /> No <br /> 1 <br />