rev: 01/25/17

Scenic River Field Review (SRFR):

For Project Coordination

On Ohio’s State Wild, Scenic and Recreational Rivers (Agreement 11323)

Project Location Information
Project Name (C-R-S): / Click here to enter text. / ODOT PID: / Click here to enter text.
Latitude: / Decimal Degrees (DD.ddddd) / Waterway(s) Affected: / Stream/tributary name(s)
Longitude: / Decimal Degrees (DD.ddddd) / Designated Scenic River Basin: / Choose Basin.
ODOT Project Contact / Scenic River Manager (SRM) Contact
Name: / Click here to enter text. / Name: / Click here to enter text.
District: / Click here to enter text. / Region: / Click here to enter text.
Address: / Click here to enter text. / Address: / Click here to enter text.
Phone Number: / Click here to enter text. / Phone Number: / Click here to enter text.
Email: / Click here to enter text. / Email: / Click here to enter text.
Project Description / Project Start Date: / Click here to enter a date.
Project Type (checkmark Tier and select all work activities from the lists below)
☐ / Tier I : Emergency Project / ☐ / Tier II: Exempt / ☐ / Tier III: Minor Maintenance / ☐ / Tier IV: Minor Maintenance
Notification to SRM immediately. SRM has two business days to supply comments / Notification to SRM required only if Tier III and IV conditions cannot be met. If conditions cannot be met, notification - 15 calendar days prior to commencement of work. No other coordination necessary. / Notification to SRM - 15 calendar days prior to commencement of work, SRM must supply comments within 15 calendar days or work shall commence. / Notification to SRM - 30 calendar days prior to commencement of work, DEC/SRM shall jointly conduct a field review to finalize the SRFR.
Describe activities in detail under Project Description. / Choose an activity. / Choose an activity. / Choose an activity.
Choose an activity. / Choose an activity. / Choose an activity.
Choose an activity. / Choose an activity. / Choose an activity.
Choose an activity. / Choose an activity. / Choose an activity.
Choose an activity. / Choose an activity. / Choose an activity.
ODOT Comments
Scenic River Program Comments
Completion Inspection Date (Tier IV Projects): / Click here to enter a date.
ODOT, District Environmental Coordinator / ODNR, Assistant Regional Scenic River Manager

c: (ODOT-County Manager), District Planning, Scenic River Manager, ODOT-OES WPU, file

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