WIRE/CONDUIT/CABLE OCCUPANCY APPLICATION (NCRR FORM 210)

Project Owner/Applicant Details

Applicant Contact Personal Details

Owner’s Representative (Primary Contact)

Cecilia Chapman
cecilia@gmail.com
Chapman
(257) 563-7401

Company Details

Cecilia Chapman
cecilia@gmail.com

Project Information

Installation of a new facility
Yes

Comments

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Vestibulum sed sapien bibendum, rutrum velit ultrices,

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Vestibulum sed sapien bibendum, rutrum velit ultrices,


Location of Installation:

Test
Test
Test
Test
Test
Test

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Vestibulum sed...

Resolved

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Vestibulum sed sapien bibendum, rutrum velit ultrices,

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Vestibulum sed sapien bibendum, rutrum velit ultrices,

Resolved by Theodore Lowe • 10/04/2021, 13:06:45

284 MP
375 Feet
Longitudinal (parallel to tracks) only – fill in #15 below

Comments


For a transverse crossing under the tracks:

123
123
375 Feet

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Vestibulum sed...

Resolved

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Vestibulum sed sapien bibendum, rutrum velit ultrices,

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Vestibulum sed sapien bibendum, rutrum velit ultrices,

Resolved by Theodore Lowe • 10/04/2021, 13:06:45

For a longitudinal occupancy only:

375 MP
375 Feet
375 MP
375 Feet
375 MP
375 Feet
375 MP
375 Feet

Comments

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Vestibulum sed sapien bibendum, rutrum velit ultrices,

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Vestibulum sed sapien bibendum, rutrum velit ultrices,


For a longitudinal and transverse crossing:

375 MP
375 Feet
375 MP
375 Feet
375 Feet
375 Feet
375 Feet

Comments


Electric Power

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Vestibulum sed...

Resolved

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Vestibulum sed sapien bibendum, rutrum velit ultrices,

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Vestibulum sed sapien bibendum, rutrum velit ultrices,

Resolved by Theodore Lowe • 10/04/2021, 13:06:45

Distribution

Comments

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Vestibulum sed sapien bibendum, rutrum velit ultrices,

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Vestibulum sed sapien bibendum, rutrum velit ultrices,


Conductors:

Test
Copper
Test
DC
440
8
240
Test

Comments

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Vestibulum sed sapien bibendum, rutrum velit ultrices,

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Vestibulum sed sapien bibendum, rutrum velit ultrices,


440
440

Comments

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Vestibulum sed sapien bibendum, rutrum velit ultrices,

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Vestibulum sed sapien bibendum, rutrum velit ultrices,


12
yes

Comments

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Vestibulum sed sapien bibendum, rutrum velit ultrices,

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Vestibulum sed sapien bibendum, rutrum velit ultrices,


no
Direction boring/Horizontal Direction drilling

Comments

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Vestibulum sed sapien bibendum, rutrum velit ultrices,

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Vestibulum sed sapien bibendum, rutrum velit ultrices,


Facilities to be installed/utilized Type:

Manholes
10
7
Handholes
10
12
Pullboxes
10
12
Poles (New)
10
12
Poles (Existing)
10
12

Comments

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Vestibulum sed sapien bibendum, rutrum velit ultrices,

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Vestibulum sed sapien bibendum, rutrum velit ultrices,


Proposed construction:

08/04/2021
42hrs
Cecilia Chapman,
Aenean in luctus risus. Praesent sodales eget felis placerat fringilla. Phasellus vel velit imperdiet, pulvinar nibh quis, imperdiet ex. Morbi ac diam nibh. Morbi laoreet vehicula ultricies. Phasellus non semper massa, porttitor elementum felis. Morbi at porta lectus.

Comments

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Vestibulum sed sapien bibendum, rutrum velit ultrices,

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Vestibulum sed sapien bibendum, rutrum velit ultrices,


Underground Facilities

375 Feet
345
123
456
456
456
Test
Test
Test

Bury depth:

375 Feet
375 Feet
375 Feet

Comments

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Vestibulum sed sapien bibendum, rutrum velit ultrices,

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Vestibulum sed sapien bibendum, rutrum velit ultrices,


Aerial Facilities

Test
Test
Test
Test
Test
375 Feet
375 Feet
375 Feet
375 Feet
375 Feet

Comments

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Vestibulum sed sapien bibendum, rutrum velit ultrices,

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Vestibulum sed sapien bibendum, rutrum velit ultrices,


Fiber Optic Facilities

Test
Test

Comments

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Vestibulum sed sapien bibendum, rutrum velit ultrices,

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Vestibulum sed sapien bibendum, rutrum velit ultrices,

Files Uploads


qwer

Comments

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Vestibulum sed sapien bibendum, rutrum velit ultrices,

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Vestibulum sed sapien bibendum, rutrum velit ultrices,

Applicant’s Checklist

Plan and Profile Submittal Requirements


General Plan View Requirements

Comments

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Vestibulum sed sapien bibendum, rutrum velit ultrices,

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Vestibulum sed sapien bibendum, rutrum velit ultrices,


Additional Plan View Requirements for Aerial Transverse Crossings and Longitudinal Occupancies


Additional Plan View Requirements for Underground Transverse Crossings


Additional Plan View Requirements for Underground Longitudinal Occupancies


General Profile View Requirements


Additional Profile View Requirements for Aerial Transverse Crossings


Additional Profile View Requirements for Aerial Longitudinal Occupancies

Add Question / Files Requirement

Should not be empty

50 Minimum Character

100 Maximum Character

Add

Add Question / Files Requirement

Required

3 Minimum file sizw (MB)

5 Maximum file size (MB)

Add