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Type & Description FORMTEXT      Structure Length FORMTEXT      Carries Mainline, Ramp, or Both: FORMTEXT      County FORMTEXT      Town FORMTEXT      Route On BridgeRoute FORMTEXT      Mile Post FORMTEXT      First Route UnderRoute (or RR or WW) FORMTEXT      Mile Post FORMTEXT      Second Route UnderRoute (or RR or WW) FORMTEXT      Mile Post FORMTEXT      For Existing StructuresLatitude FORMTEXT      Longitude FORMTEXT       Number of the Structure Being Replaced FORMTEXT      Comments: FORMTEXT       NOTES: - For structures on a New Roadway Alignment, Insert a Location Diagram (Key Plan, General Plan, etc.) into this document. - To submit multiple structures in one submission, keep next pages (delete pages not needed). - PDF entire document as PDF/A-1b compliant document (archive standards), and submit via email Bridge 2 Location Information This Structure is a:  FORMCHECKBOX  New Structure FORMCHECKBOX  Structure Replacement  FORMCHECKBOX  DemolitionStr. Type & Description FORMTEXT      Structure Length FORMTEXT      Carries Mainline, Ramp, or Both FORMTEXT      County FORMTEXT      Town FORMTEXT      Route On BridgeRoute FORMTEXT      Mile Post FORMTEXT      First Route UnderRoute (or RR or WW) FORMTEXT      Mile Post FORMTEXT      Second Route UnderRoute (or RR or WW) FORMTEXT      Mile Post FORMTEXT      For Existing StructuresLatitude FORMTEXT      Longitude FORMTEXT       Number of the Structure Being Replaced FORMTEXT      Comments: FORMTEXT       Bridge 3 Location Information This Structure is a:  FORMCHECKBOX  New Structure FORMCHECKBOX  Structure Replacement  FORMCHECKBOX  DemolitionStr. Type & Description FORMTEXT      Structure Length FORMTEXT      Carries Mainline, Ramp, or Both FORMTEXT      County FORMTEXT      Town FORMTEXT      Route On BridgeRoute FORMTEXT      Mile Post FORMTEXT      First Route UnderRoute (or RR or WW) FORMTEXT      Mile Post FORMTEXT      Second Route UnderRoute (or RR or WW) FORMTEXT      Mile Post FORMTEXT      For Existing StructuresLatitude FORMTEXT      Longitude FORMTEXT       Number of the Structure Being Replaced FORMTEXT      Comments: FORMTEXT       Bridge 4 Location Information This Structure is a:  FORMCHECKBOX  New Structure FORMCHECKBOX  Structure Replacement  FORMCHECKBOX  DemolitionStr. Type & Description FORMTEXT      Structure Length FORMTEXT      Carries Mainline, Ramp, or Both FORMTEXT      County FORMTEXT      Town FORMTEXT      Route On BridgeRoute FORMTEXT      Mile Post FORMTEXT      First Route UnderRoute (or RR or WW) FORMTEXT      Mile Post FORMTEXT      Second Route UnderRoute (or RR or WW) FORMTEXT      Mile Post FORMTEXT      For Existing StructuresLatitude FORMTEXT      Longitude FORMTEXT       Number of the Structure Being Replaced FORMTEXT      Comments: FORMTEXT       Bridge 5 Location Information This Structure is a:  FORMCHECKBOX  New Structure FORMCHECKBOX  Structure Replacement  FORMCHECKBOX  DemolitionStr. 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Type & Description FORMTEXT      Structure Length FORMTEXT      Carries Mainline, Ramp, or Both FORMTEXT      County FORMTEXT      Town FORMTEXT      Route On BridgeRoute FORMTEXT      Mile Post FORMTEXT      First Route UnderRoute (or RR or WW) FORMTEXT      Mile Post FORMTEXT      Second Route UnderRoute (or RR or WW) FORMTEXT      Mile Post FORMTEXT      For Existing StructuresLatitude FORMTEXT      Longitude FORMTEXT       Number of the Structure Being Replaced FORMTEXT      Comments: FORMTEXT       Bridge 7 Location Information This Structure is a:  FORMCHECKBOX  New Structure FORMCHECKBOX  Structure Replacement  FORMCHECKBOX  DemolitionStr. Type & Description FORMTEXT      Structure Length FORMTEXT      Carries Mainline, Ramp, or Both FORMTEXT      County FORMTEXT      Town FORMTEXT      Route On BridgeRoute FORMTEXT      Mile Post FORMTEXT      First Route UnderRoute (or RR or WW) FORMTEXT      Mile Post FORMTEXT      Second Route UnderRoute (or RR or WW) FORMTEXT      Mile Post FORMTEXT      For Existing StructuresLatitude FORMTEXT      Longitude FORMTEXT       Number of the Structure Being Replaced FORMTEXT      Comments: FORMTEXT       Bridge 8 Location Information This Structure is a:  FORMCHECKBOX  New Structure FORMCHECKBOX  Structure Replacement  FORMCHECKBOX  DemolitionStr. Type & Description FORMTEXT      Structure Length FORMTEXT      Carries Mainline, Ramp, or Both FORMTEXT      County FORMTEXT      Town FORMTEXT      Route On BridgeRoute FORMTEXT      Mile Post FORMTEXT      First Route UnderRoute (or RR or WW) FORMTEXT      Mile Post FORMTEXT      Second Route UnderRoute (or RR or WW) FORMTEXT      Mile Post FORMTEXT      For Existing StructuresLatitude FORMTEXT      Longitude FORMTEXT       Number of the Structure Being Replaced FORMTEXT      Comments: FORMTEXT       Bridge 9 Location Information This Structure is a:  FORMCHECKBOX  New Structure FORMCHECKBOX  Structure Replacement  FORMCHECKBOX  DemolitionStr. Type & Description FORMTEXT      Structure Length FORMTEXT      Carries Mainline, Ramp, or Both FORMTEXT      County FORMTEXT      Town FORMTEXT      Route On BridgeRoute FORMTEXT      Mile Post FORMTEXT      First Route UnderRoute (or RR or WW) FORMTEXT      Mile Post FORMTEXT      Second Route UnderRoute (or RR or WW) FORMTEXT      Mile Post FORMTEXT      For Existing StructuresLatitude FORMTEXT      Longitude FORMTEXT       Number of the Structure Being Replaced FORMTEXT      Comments: FORMTEXT       Location Map (insert high quality graphic - as TIF, BMP, or PNG only) Description FORMTEXT            FILENAME \* MERGEFORMAT BRIDGE-Struct-Num-Request-Form-20120720--d5b.RTF eMail completed form to:  HYPERLINK "mailto:Pontis.Submission@DOT.STATE.NJ.US" Pontis.Submission@DOT.STATE.NJ.US BDftgtt @$Ifgd`0 @$Ifgd~}kdP$$Ifl0~ P&  t0&644 laytI <[NNANA @$Ifgd`0 @$Ifgd~kdQ$$Ifl\~  P& } Q t0&644 laytI<>^jH;;.; @$Ifgd`0 @$Ifgd~kdR$$Iflr~  P& } DQ t0&644 laytI246@BXZnpr|~ 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Year to be Built:      2 >  ''R---  2 #R   2 +R   2 3R   2 ;R   2 CR   2 KR  R''R R--- R '- - iZ--  '---  2 kR  &2 oRExisting Structure    2 Rs  2 R  R''- @ !X-- @ !X- - @ !Y- - @ !- - @ !1- - @ !- - @ !5- - @ !Q- - @ !R- - @ !-- @ !- - @ !X- - @ !X-- @ !X- - @ !Y- - @ !- - @ !- - @ !1- - @ !- - @ !- - @ !5- - @ !Q- - @ !Q- - @ !R- - @ !- - @ !-- @ !- ---  2 `0    ,2 `0 Requesters Information    2 0   Y--- 2 `YName:    2 Y  '---  2    2    2    2 !   2 )   2 1  '- @ !X-- @ !X- - @ !Y- - @ !- - @ !- - @ !-- @ !- - @ !X- - @ !- - @ !- Y--- 2 ` YFirm or Unit:     2 Y  '---  2    2    2    2 !   2 )   2 1  '- @ !X- - @ !Y- - @ !- - @ !- - @ !- - @ !X- - @ !- - @ !- Y---  2 `YE   2 iY- 2 oYMail:  2 Y  '---  2     2    2    2 !   2 )   2 1  '- @ !X- - @ !Y- - @ !- - @ !- - @ !- - @ !X- - @ !- - @ !- Y--- 2 ` YPhone No.:    2 Y  '---  2     2    2    2 !   2 )   2 1  '- @ !X- - @ !Y- - @ !- - @ !- - @ !- - @ !X- - @ !X-- @ !X- - @ !Y- - @ !- - @ !- - @ !- - @ !- - @ !-- @ !- @Times New Roman- - -   2 !`0   --- 22 2`0 State Project Information       2 20   I7Y--- (2 E`Y7IState Contact Name:      2 EY7I  'I7---  2 E 7I   2 E7I   2 E7I   2 E!7I   2 E)7I   2 E17I  '- @ !6X-- @ !6X- - @ !6Y- - @ !6- - @ !6- - @ !6-- @ !6- - @ !7X- - @ !7- - @ !7- \JY--- 2 X`YJ\Bur  2 Xv YJ\eau or Unit:   2 XYJ\  '\J---  2 X J\   2 XJ\   2 XJ\   2 X!J\   2 X)J\   2 X1J\  '- @ !IX- - @ !IY- - @ !I- - @ !I- - @ !I- - @ !JX- - @ !J- - @ !J- o]Y---  2 k`Y]oE   2 kiY]o- 2 koY]oMail:  2 kY]o  'o]---  2 k ]o   2 k]o   2 k]o   2 k!]o   2 k)]o   2 k1]o  '- @ !\X- - @ !\Y- - @ !\- - @ !\- - @ !\- - @ !]X- - @ !]- - @ !]- pY--- 2 ~` YpPhone No.:    2 ~Yp  'p---  2 ~ p   2 ~p   2 ~p   2 ~!p   2 ~)p   2 ~1p  '- @ !oX- - @ !oY- - @ !o- - @ !o- - @ !o- - @ !pX- - @ !p- - @ !p- Y---  2 `YProject Title:    2 Y  Y''---  2     2    2    2 !   2 )   2 1  ''- @ !X- - @ !Y- - @ !- - @ !- - @ !- - @ !X- - @ !- - @ !- Y--- %2 `YState Job Number:     2 Y  Y''---  2     2    2    2 !   2 )   2 1  ''- @ !X- - @ !Y- - @ !- - @ !- - @ !- - @ !X- - @ !- - @ !- Y--- &2 `YState Contract ID:     2 Y  Y''---  2     2    2    2 !   2 )   2 1  ''- @ !X- - @ !Y- - @ !- - @ !- - @ !- - @ !X- - @ !- - @ !- Y--- %2 `YDesign Consultant    2 Y:  2 Y  Y''---  2     2    2    2 !   2 )   2 1  ''- @ !X- - @ !Y- - @ !- - @ !- - @ !- - @ !X- - @ !- - @ !- Y--- 2 `YCommen   2 Yts:  2 Y  Y''---  2     2    2    2 !   2 )   2 1  ''- @ !X- - @ !Y- - @ !- - @ !- - @ !- - @ !X- - @ !X-- @ !X- - @ !Y- - @ !- - @ !- - @ !- - @ !- - @ !-- @ !- ---  2 `0    0'  2 `0    0'--- 72 `0 Bridge 1 Location Information     2 -0    0',Y--- 2 (`Y,This  2 ( Y,Structure   2 (Y,  2 (Y,is a:  2 (Y,   2 (Y,  ,Y'', ,--- , '- - * --  '---  2 (,  2 ( ,New Structure     2 (x,  ,'',j ,j--- ,j '- - *--  '---  2 (j,  +2 (j,Structure Replacement     2 (Nj,   2 (Wj,  ,j'',j ,j--- ,j '- - *r--  '---  2 (j,  2 ( j,Demolition     2 (j,  ,j''- @ !X-- @ !X- - @ !Y- - @ !- - @ !- - @ !- - @ !- - @ !i- - @ !j- - @ !-- @ !- - @ !X- - @ !- - @ !- - @ !i- - @ !- ?-Y--- .2 ;`Y-?Str. 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