Utility Application #AP123458

Wire/Conduit/Cable Occupancy Application (NCRR form 210)

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

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