# PS&E ASSEMBLY AND REVIEW

  ---------- ------- ------------------- ----------------------------- ---------
  PROJECT:                                                                  

             State   Project No.         Name                          County
  ---------- ------- ------------------- ----------------------------- ---------

## REVIEWS/APPROVALS

  --------------------- ------------- --------------------- -------------
  Advance Plans to      N/A           NPS Approval:         N/A
  Agencies:                                                 

  Sign-off Meeting:                   Forest Service        N/A
                                      Concurrence:          

  Final Plan-In-Hand:   N/A           Agency Concurrence:   N/A

  State DOT             N/A           Agency Concurrence:   N/A
  Concurrence:                                              
  --------------------- ------------- --------------------- -------------

## PERMITS/CLEARANCES

  --------------------- ------------- --------------------- -------------
  Environmental:                      Other:                N/A

  Right-of-Way:         N/A           Other:                N/A

  Permits:              See page 3    Other:                N/A
  --------------------- ------------- --------------------- -------------

Please review the attached documents and initial to indicate your
approval of this project for advertisement. On the reverse side, list
documents available for Bidder review under the appropriate heading.

  ---------- -------- -------- -------- ------- ------- ------- ------- ---------- --------
  Reviewer   BRIDGE   CONSTR   DESIGN   ENV     GEO     HYDR    MAT     R/W-UTIL   SURVEY

  Initials                                                                              

  Date                                                                                  
  ---------- -------- -------- -------- ------- ------- ------- ------- ---------- --------

  ---------- ---------------------------------------------------------------
  Remarks:        

             

             

             

             

             

             
  ---------- ---------------------------------------------------------------

  --------------------- ------------------------------- ------- -----------
  Recommended for                                       Date:        
  approval by:                                                  

                        Project Manager                         
  --------------------- ------------------------------- ------- -----------

## INFORMATION AVAILABLE FOR REVIEW BY BIDDERS

  --------------------- -------------------------------------------------
  Hydraulic and              
  Hydrological Data:    

                        

                        

                        

                        

                        

                        
  --------------------- -------------------------------------------------

  --------- -------------------------------------------------------------
  Bridge         
  Data:     

            

            

            

            

            

            
  --------- -------------------------------------------------------------

  -------------- ---------------------------------------------------------
  Geotechnical        
  Data:          

                 

                 

                 

                 

                 

                 
  -------------- ---------------------------------------------------------

  --------- -------------------------------------------------------------
  Design         
  Data:     

            

            

            

            

            

            
  --------- -------------------------------------------------------------

  -------- --------------------------------------------------------------
  Other         
  Data:    

           

           

           

           

           

           
  -------- --------------------------------------------------------------

## STATE OF ALASKA

+------------------------------+---------+----------+------+---------+
| ### FEDERAL PERMITS          | NOT     | AP       |      |         |
|                              |         | PLICABLE |      |         |
|                              | APP     |          |      |         |
|                              | LICABLE |          |      |         |
+------------------------------+---------+----------+------+---------+
|                              |         | Date     | Atta | Expires |
|                              |         |          | ched |         |
+------------------------------+---------+----------+------+---------+
| COE's Section 404 Permit     |         |          |      |         |
|                              |         |          |      |         |
| Clean Water Act of 1977      |         |          |      |         |
| (P.L. 95-217, Section 404)   |         |          |      |         |
+------------------------------+---------+----------+------+---------+
| U.S. Coast Guard Permit      |         |          |      |         |
|                              |         |          |      |         |
| Rivers and Harbors Act       |         |          |      |         |
+------------------------------+---------+----------+------+---------+
| National Pollution Discharge |         |          |      |         |
| Elimination                  |         |          |      |         |
|                              |         |          |      |         |
| System (NPDES)               |         |          |      |         |
|                              |         |          |      |         |
| (Stormwater Discharge        |         |          |      |         |
| Permit)                      |         |          |      |         |
+------------------------------+---------+----------+------+---------+
| Special Use Permit           |         |          |      |         |
|                              |         |          |      |         |
| (USDA Forest Service)        |         |          |      |         |
+------------------------------+---------+----------+------+---------+
|                              |         |          |      |         |
+------------------------------+---------+----------+------+---------+
|                              |         |          |      |         |
+------------------------------+---------+----------+------+---------+
|                              |         |          |      |         |
+------------------------------+---------+----------+------+---------+
| ### STATE PERMITS            |         |          |      |         |
+------------------------------+---------+----------+------+---------+
| Alaska Coastal Management    |         |          |      |         |
| Program                      |         |          |      |         |
|                              |         |          |      |         |
| (Office of Coastal           |         |          |      |         |
| Management)                  |         |          |      |         |
+------------------------------+---------+----------+------+---------+
| Fish and Game Title 16       |         |          |      |         |
| Permit                       |         |          |      |         |
|                              |         |          |      |         |
| (Department of Fish and      |         |          |      |         |
| Game)                        |         |          |      |         |
+------------------------------+---------+----------+------+---------+
| Certificate of Reasonable    |         |          |      |         |
| Assurance                    |         |          |      |         |
|                              |         |          |      |         |
| (Water Quality               |         |          |      |         |
| Certification,               |         |          |      |         |
|                              |         |          |      |         |
| Dept. of Environmental       |         |          |      |         |
| Conservation)                |         |          |      |         |
+------------------------------+---------+----------+------+---------+
| Flood Hazard Permit          |         |          |      |         |
|                              |         |          |      |         |
| (Federal Emergency           |         |          |      |         |
| Management Agency - FEMA)    |         |          |      |         |
+------------------------------+---------+----------+------+---------+
| Water Rights Application     |         |          |      |         |
+------------------------------+---------+----------+------+---------+
| Mining Permit                |         |          |      |         |
+------------------------------+---------+----------+------+---------+
| Air Quality Control Permit   |         |          |      |         |
| to Open Burn                 |         |          |      |         |
|                              |         |          |      |         |
| (Dept. Of Environmental      |         |          |      |         |
| Conservation)                |         |          |      |         |
+------------------------------+---------+----------+------+---------+
|                              |         |          |      |         |
+------------------------------+---------+----------+------+---------+
|                              |         |          |      |         |
+------------------------------+---------+----------+------+---------+
|                              |         |          |      |         |
+------------------------------+---------+----------+------+---------+

##  STATE OF IDAHO

+------------------------------+---------+---------+------+----------+
| ### FEDERAL PERMITS          | NOT     | APP     |      |          |
|                              |         | LICABLE |      |          |
|                              | APP     |         |      |          |
|                              | LICABLE |         |      |          |
+------------------------------+---------+---------+------+----------+
|                              |         | Date    | Atta | Expires  |
|                              |         |         | ched |          |
+------------------------------+---------+---------+------+----------+
| COE's Section 404 Permit     |         |         |      |          |
|                              |         |         |      |          |
| Clean Water Act of 1977      |         |         |      |          |
| (P.L. 95-217, Section 404)   |         |         |      |          |
+------------------------------+---------+---------+------+----------+
| U.S. Coast Guard Permit      |         |         |      |          |
|                              |         |         |      |          |
| Rivers and Harbors Act       |         |         |      |          |
+------------------------------+---------+---------+------+----------+
| National Pollution Discharge |         |         |      |          |
| Elimination                  |         |         |      |          |
|                              |         |         |      |          |
| System (NPDES)               |         |         |      |          |
|                              |         |         |      |          |
| (Stormwater Discharge        |         |         |      |          |
| Permit)                      |         |         |      |          |
+------------------------------+---------+---------+------+----------+
| Special Use Permit           |         |         |      |          |
|                              |         |         |      |          |
| (USDA Forest Service)        |         |         |      |          |
+------------------------------+---------+---------+------+----------+
|                              |         |         |      |          |
+------------------------------+---------+---------+------+----------+
|                              |         |         |      |          |
+------------------------------+---------+---------+------+----------+
|                              |         |         |      |          |
+------------------------------+---------+---------+------+----------+
| ### STATE PERMITS            |         |         |      |          |
+------------------------------+---------+---------+------+----------+
| Stream Channel Alteration    |         |         |      |          |
| Permit                       |         |         |      |          |
|                              |         |         |      |          |
| (Department of Water         |         |         |      |          |
| Resources)                   |         |         |      |          |
+------------------------------+---------+---------+------+----------+
| Lake Encroachment Permit     |         |         |      |          |
|                              |         |         |      |          |
| (Department of Public Lands) |         |         |      |          |
+------------------------------+---------+---------+------+----------+
| Surface Mining Permit        |         |         |      |          |
|                              |         |         |      |          |
| (Department of Public Lands) |         |         |      |          |
+------------------------------+---------+---------+------+----------+
|                              |         |         |      |          |
+------------------------------+---------+---------+------+----------+
|                              |         |         |      |          |
+------------------------------+---------+---------+------+----------+
|                              |         |         |      |          |
+------------------------------+---------+---------+------+----------+

##  STATE OF MONTANA

+------------------------------+---------+---------+------+----------+
| ### FEDERAL PERMITS          | NOT     | APP     |      |          |
|                              |         | LICABLE |      |          |
|                              | APP     |         |      |          |
|                              | LICABLE |         |      |          |
+------------------------------+---------+---------+------+----------+
|                              |         | Date    | Atta | Expires  |
|                              |         |         | ched |          |
+------------------------------+---------+---------+------+----------+
| COE's Section 404 Permit     |         |         |      |          |
|                              |         |         |      |          |
| Clean Water Act of 1977      |         |         |      |          |
| (P.L. 95-217, Section 404)   |         |         |      |          |
+------------------------------+---------+---------+------+----------+
| U.S. Coast Guard Permit      |         |         |      |          |
|                              |         |         |      |          |
| Rivers and Harbors Act       |         |         |      |          |
+------------------------------+---------+---------+------+----------+
| Special Use Permit           |         |         |      |          |
|                              |         |         |      |          |
| (USDA Forest Service)        |         |         |      |          |
+------------------------------+---------+---------+------+----------+
|                              |         |         |      |          |
+------------------------------+---------+---------+------+----------+
|                              |         |         |      |          |
+------------------------------+---------+---------+------+----------+
|                              |         |         |      |          |
+------------------------------+---------+---------+------+----------+
| ### STATE PERMITS            |         |         |      |          |
+------------------------------+---------+---------+------+----------+
| Floodplain Development       |         |         |      |          |
| Permit                       |         |         |      |          |
|                              |         |         |      |          |
| (Department of Natural       |         |         |      |          |
| Resources and Conservation)  |         |         |      |          |
+------------------------------+---------+---------+------+----------+
| Stream Preservation Act      |         |         |      |          |
| Permit Application           |         |         |      |          |
|                              |         |         |      |          |
| (Montana Dept. of Fish,      |         |         |      |          |
| Wildlife, and Parks)         |         |         |      |          |
+------------------------------+---------+---------+------+----------+
| Authorization for Short-Term |         |         |      |          |
| Exemption from Surface Water |         |         |      |          |
| Quality Standards            |         |         |      |          |
|                              |         |         |      |          |
| (Montana Water Quality       |         |         |      |          |
| Bureau)                      |         |         |      |          |
+------------------------------+---------+---------+------+----------+
| Montana Pollutant Discharge  |         |         |      |          |
| Elimination System for       |         |         |      |          |
| Permit to Discharge Storm    |         |         |      |          |
| Water                        |         |         |      |          |
|                              |         |         |      |          |
| (Montana Water Quality       |         |         |      |          |
| Bureau)                      |         |         |      |          |
+------------------------------+---------+---------+------+----------+
| Montana Antiquities Permit   |         |         |      |          |
|                              |         |         |      |          |
| (Montana State Historical    |         |         |      |          |
| Society)                     |         |         |      |          |
+------------------------------+---------+---------+------+----------+
| Mined Land Reclamation       |         |         |      |          |
| Contract                     |         |         |      |          |
|                              |         |         |      |          |
| (Department of State Lands)  |         |         |      |          |
+------------------------------+---------+---------+------+----------+
| Permit for Gravel Crushers   |         |         |      |          |
|                              |         |         |      |          |
| (Montana Dept of Health and  |         |         |      |          |
| Environmental Sciences,      |         |         |      |          |
|                              |         |         |      |          |
| Air Quality Bureau)          |         |         |      |          |
+------------------------------+---------+---------+------+----------+
| Air Quality Permit           |         |         |      |          |
+------------------------------+---------+---------+------+----------+
|                              |         |         |      |          |
+------------------------------+---------+---------+------+----------+
|                              |         |         |      |          |
+------------------------------+---------+---------+------+----------+

##  STATE OF OREGON

+-------------------------------+----------+--------+------+---------+
| ### FEDERAL PERMITS           | NOT      | APPL   |      |         |
|                               |          | ICABLE |      |         |
|                               | AP       |        |      |         |
|                               | PLICABLE |        |      |         |
+-------------------------------+----------+--------+------+---------+
|                               |          | Date   | Atta | Expires |
|                               |          |        | ched |         |
+-------------------------------+----------+--------+------+---------+
| COE's Section 404 Permit      |          |        |      |         |
|                               |          |        |      |         |
| Clean Water Act of 1977 (P.L. |          |        |      |         |
| 95-217, Section 404)          |          |        |      |         |
+-------------------------------+----------+--------+------+---------+
| U.S. Coast Guard Permit       |          |        |      |         |
|                               |          |        |      |         |
| Rivers and Harbors Act        |          |        |      |         |
+-------------------------------+----------+--------+------+---------+
| Special Use Permit            |          |        |      |         |
|                               |          |        |      |         |
| (USDA Forest Service)         |          |        |      |         |
+-------------------------------+----------+--------+------+---------+
|                               |          |        |      |         |
+-------------------------------+----------+--------+------+---------+
|                               |          |        |      |         |
+-------------------------------+----------+--------+------+---------+
|                               |          |        |      |         |
+-------------------------------+----------+--------+------+---------+
| ### STATE PERMITS             |          |        |      |         |
+-------------------------------+----------+--------+------+---------+
| Removal/Fill Permit           |          |        |      |         |
|                               |          |        |      |         |
| (Division of State Lands)     |          |        |      |         |
+-------------------------------+----------+--------+------+---------+
| Oregon Shoreline Development  |          |        |      |         |
| Permit                        |          |        |      |         |
|                               |          |        |      |         |
| (Oregon LCDC)                 |          |        |      |         |
+-------------------------------+----------+--------+------+---------+
| Oregon Pollutant Discharge    |          |        |      |         |
| Elimination System            |          |        |      |         |
|                               |          |        |      |         |
| (Stormwater Discharge Permit) |          |        |      |         |
+-------------------------------+----------+--------+------+---------+
| Surface Mining Permit         |          |        |      |         |
|                               |          |        |      |         |
| (Department of Geology and    |          |        |      |         |
| Mineral Industries)           |          |        |      |         |
+-------------------------------+----------+--------+------+---------+
| Permit to Operate Power       |          |        |      |         |
| Equipment                     |          |        |      |         |
|                               |          |        |      |         |
| (Oregon Department of         |          |        |      |         |
| Forestry)                     |          |        |      |         |
+-------------------------------+----------+--------+------+---------+
| Air Containment Discharge     |          |        |      |         |
| Permit                        |          |        |      |         |
|                               |          |        |      |         |
| (Department of Environmental  |          |        |      |         |
| Quality)                      |          |        |      |         |
+-------------------------------+----------+--------+------+---------+
| Notification of Operations    |          |        |      |         |
|                               |          |        |      |         |
| (Department of Forestry)      |          |        |      |         |
+-------------------------------+----------+--------+------+---------+
| Burn Permit                   |          |        |      |         |
|                               |          |        |      |         |
| (Department of Forestry)      |          |        |      |         |
+-------------------------------+----------+--------+------+---------+
|                               |          |        |      |         |
+-------------------------------+----------+--------+------+---------+
|                               |          |        |      |         |
+-------------------------------+----------+--------+------+---------+
|                               |          |        |      |         |
+-------------------------------+----------+--------+------+---------+

##  STATE OF WASHINGTON

+-------------------------------+---------+---------+------+---------+
| ### FEDERAL PERMITS           | NOT     | APP     |      |         |
|                               |         | LICABLE |      |         |
|                               | APP     |         |      |         |
|                               | LICABLE |         |      |         |
+-------------------------------+---------+---------+------+---------+
|                               |         | Date    | Atta | Expires |
|                               |         |         | ched |         |
+-------------------------------+---------+---------+------+---------+
| COE's Section 404 Permit      |         |         |      |         |
|                               |         |         |      |         |
| Clean Water Act of 1977 (P.L. |         |         |      |         |
| 95-217, Section 404)          |         |         |      |         |
+-------------------------------+---------+---------+------+---------+
| U.S. Coast Guard Permit       |         |         |      |         |
|                               |         |         |      |         |
| Rivers and Harbors Act        |         |         |      |         |
+-------------------------------+---------+---------+------+---------+
| National Pollution Discharge  |         |         |      |         |
| Elimination                   |         |         |      |         |
|                               |         |         |      |         |
| System (NPDES)                |         |         |      |         |
|                               |         |         |      |         |
| (Stormwater Discharge Permit) |         |         |      |         |
+-------------------------------+---------+---------+------+---------+
| Special Use Permit            |         |         |      |         |
|                               |         |         |      |         |
| (USDA Forest Service)         |         |         |      |         |
+-------------------------------+---------+---------+------+---------+
|                               |         |         |      |         |
+-------------------------------+---------+---------+------+---------+
|                               |         |         |      |         |
+-------------------------------+---------+---------+------+---------+
|                               |         |         |      |         |
+-------------------------------+---------+---------+------+---------+
| ### STATE PERMITS             |         |         |      |         |
+-------------------------------+---------+---------+------+---------+
| Hydraulics Project Approval   |         |         |      |         |
|                               |         |         |      |         |
| (Department of Fisheries and  |         |         |      |         |
| Department of Game)           |         |         |      |         |
+-------------------------------+---------+---------+------+---------+
| Shoreline Management          |         |         |      |         |
| Substantial                   |         |         |      |         |
|                               |         |         |      |         |
| Development Permit            |         |         |      |         |
|                               |         |         |      |         |
| (County or City of            |         |         |      |         |
| Jurisdiction)                 |         |         |      |         |
+-------------------------------+---------+---------+------+---------+
| Waste Disposal Discharge      |         |         |      |         |
| Permit                        |         |         |      |         |
|                               |         |         |      |         |
| (DOE)                         |         |         |      |         |
+-------------------------------+---------+---------+------+---------+
| Surface Mining Reclamation    |         |         |      |         |
| Permit                        |         |         |      |         |
|                               |         |         |      |         |
| (Department of Natural        |         |         |      |         |
| Resources)                    |         |         |      |         |
+-------------------------------+---------+---------+------+---------+
| Forest Practice Approval      |         |         |      |         |
|                               |         |         |      |         |
| (Department of Natural        |         |         |      |         |
| Resources)                    |         |         |      |         |
+-------------------------------+---------+---------+------+---------+
|                               |         |         |      |         |
+-------------------------------+---------+---------+------+---------+
|                               |         |         |      |         |
+-------------------------------+---------+---------+------+---------+
|                               |         |         |      |         |
+-------------------------------+---------+---------+------+---------+

##  STATE OF WYOMING

+-------------------------------+---------+---------+------+---------+
| ### FEDERAL PERMITS           | NOT     | APP     |      |         |
|                               |         | LICABLE |      |         |
|                               | APP     |         |      |         |
|                               | LICABLE |         |      |         |
+-------------------------------+---------+---------+------+---------+
|                               |         | Date    | Atta | Expires |
|                               |         |         | ched |         |
+-------------------------------+---------+---------+------+---------+
| COE's Section 404 Permit      |         |         |      |         |
|                               |         |         |      |         |
| Clean Water Act of 1977 (P.L. |         |         |      |         |
| 95-217, Section 404)          |         |         |      |         |
+-------------------------------+---------+---------+------+---------+
| U.S. Coast Guard Permit       |         |         |      |         |
|                               |         |         |      |         |
| Rivers and Harbors Act        |         |         |      |         |
+-------------------------------+---------+---------+------+---------+
| National Pollution Discharge  |         |         |      |         |
| Elimination                   |         |         |      |         |
|                               |         |         |      |         |
| System (NPDES)                |         |         |      |         |
|                               |         |         |      |         |
| (Stormwater Discharge Permit) |         |         |      |         |
+-------------------------------+---------+---------+------+---------+
|                               |         |         |      |         |
+-------------------------------+---------+---------+------+---------+
|                               |         |         |      |         |
+-------------------------------+---------+---------+------+---------+
|                               |         |         |      |         |
+-------------------------------+---------+---------+------+---------+
| ### STATE PERMITS             |         |         |      |         |
+-------------------------------+---------+---------+------+---------+
|                               |         |         |      |         |
+-------------------------------+---------+---------+------+---------+
|                               |         |         |      |         |
+-------------------------------+---------+---------+------+---------+
|                               |         |         |      |         |
+-------------------------------+---------+---------+------+---------+