(Put this form on your Company’s letterhead stationery (Date)

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(Put this form on your Company’s letterhead stationery
along with the information requested)
(Date)
Florida Department of Transportation
District Environmental Management Office
Post Office Box 1249
Bartow, Florida 33831
Attention: Michelle Rutishauser
Subject:
New Borrow Pit/Mixture Plant/Construction Field Office
Financial Project ID: xxxxxx x xx xx
Federal Aid project Number: xxxxxxxx
We propose, in the very near future, to establish an off project activity in conjunction with
construction of the above-referenced Department of Transportation project.
The proposed site is owned by (Name of Property Owner), and is located as follows:
Township:……………………..
Range:……………………………………………….
Section:………………………..
County:………………………………………………
Description:…………………………………………………………………………….
……………………………………………………………………………………........
Attached: County map AND Plat map of the site showing an outline of the activity location.
Please initiate a field review of this site to determine the possible impact of our operation on any
endangered or threatened species which might be located in this area. (The contractor’s
representative) will be available to meet you on site at your earliest convenience. Please contact
us at (contractor’s phone number) to answer any questions with regard to this request, and to
establish a meeting time for a field review.
Sincerely,
Contractor
XXXXXXX Construction Company
Attachments
Cc: District Materials Engineer
Operations Center Manager
(Please Note! Legible maps MUST be received before a field
review will be performed!)
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