LPS - 38 (3/17)
WAIVER VALUATION WORKSHEET—TOTAL DAMAGES MUST NOT EXCEED $25,000
OW OFFICE PROJ. NO. / Total Area in Acres or Square FeetCOUNTY / Before Area - SFAcreAcres (Effective Area)
S. R. – SECTION / After Area - SFAcreAcres (Residue Area)
MUNICIPALITY / Areas to be Acquired
PARCEL NO. / Right-of-Way / TCE / Other / Other
CLAIM NO. / SFAcreAcres / SFAcreAcres / SFAcreAcres / SFAcreAcres
Owner(s) –
Mailing Address of Claimant(s) –
Location of Subject Property/Tax ID –
Stations: From – / To –
The Waiver Valuation is not an Appraisal. It has been prepared by someone who has been identified by the District Right-of-Way Administrator as being qualified to perform the valuation. Compliance to USPAP is not required nor should be attempted.
Waiver Valuation Type
Type I $0 to $10,000
Type II $10,001 to $25,000
The Department has determined:
This valuation is uncomplicated through the appraisal scoping process
The anticipated value of this proposed acquisition meets the dollar thresholds
There are no indirect (severance) damages apparent in this assignment that cannot be addressed through the cost of adjustment policy
The cost of adjustment (if any) is limited to the cost to replace specific items such as landscaping, sidewalk or driveway adjustments, or other improvements (e.g., fencing, mailboxes, lamp posts, etc.) that have been taken or injured
Estimate of damages for this WVW is based upon General District Compilation of market-based dataFacts and Data BookPrior Approved Appraisal Report.
Subject Photo / Subject Photo / Subject Photo
DESCRIPTION / AREA / UNIT VALUE / $ VALUE / TOTALS / COMMENTS (Reference data source)
EFFECTIVE AREA
TOTAL RESIDUE
REQUIRED ROW / $ 0.00 / Value = Area x Unit Value
OTHER / SFAcreAcres / $ 0.00
OTHER / SFAcreAcres / $ 0.00
OTHER / SFAcreAcres / $ 0.00
DIRECT DAMAGES / $ 0.00
TEMP CONST EASEMENT / $ 0.00 / $ 0.00
COST OF ADJUSTMENT
The cost to replace specific items, such as landscaping, sidewalk or driveway adjustments, or other improvements (fencing, mailboxes, lamp posts, etc.), that have been taken or injured. / $ 0.00
$ 0.00
$ 0.00
$ 0.00
COST OF ADJUSTMENT SUBTOTAL / $ 0.00
TOTAL DAMAGES / $ 0.00 / *Minimum offer must be $500.00
Name of Preparer (Print) Date
Page 1 of 1