HomeMy WebLinkAboutResolution 1982 (13)RESOLUTION FOR STATE PARK AND FOREST ROAD AIDS
Whereas the St. Croix Co. Highway Department is interested in maintaining or renovating public
(APPLICANT)
highways as described in the application; and
,.Whereas, 4aid highways are „eligible for funds under section 23.09(27), Wisconsin Statutes,
r. -
Therefore, be it resolved that the St. Croix Co. Highvaay PS2t_ apply for funds under s. 23.09(27),',.
(APPLICANT)
Wis. Stats,, for such eligible maintenance and renovation, and
Hereby authorizes Ralph L. Brown, Highway Commissioner
(NAME AND TITLE)
St. Croix County Highway Department
(COMMITTEE OR DEPARTMENT)
to act on behalf of the St. Croix Co. Hwa T. Dept. to:
(APPLICANT)
Submit an application to the State of Wisconsin, Department of Natural Resources
for any financial aid that may be available; sign documents; and take necessary
action to undertake, direct and complete the approved project.
Adopted this 9 th day of April __, .Z92
I hereby certify that the foregoing resolution was duly adopted by the St, '_'roi_x County Hi�ghwaV
_ Comrr!itte e _ at a legal meeting held on 1 uth day of April. ,
1.9 02 —
Authorized Signature ��� �-�
Title Chairman, St ,L Croix Co, TTvj37_
Committee
DEPARTMENT OF NATURAL RESOURCES
Community Services Specialist
Lake Michigan District
1125 N. Military Ave.
Green Bay, WI 54303
(Telephone: 414-4974034)
Community Services Specialist
West Central District
1300 West Clairemont Avenue
Eau Claire, WI 54701
(Telephone: 715-836-2941)
Community Services Specialist
Southern District
3911 Fish Hatchery Rd.
Madison, WI 53711
(Telephone: 608.266-6917 )
Community Services Specialist
Southeast District
Box 13248
Milwaukee, WI 53213
(Telephone: 414-257-6508)
Community Services Specialist
North Central, District
Box 818
Rhinelander, WI 54501
(Telephone: 715-362-7616 )
Community Services Specialist
Northwest District
Box 309
Spooner, WI 54801
(Telephone: 715-635-2101)
STATE OF WISCONSIN AIDS APPLICATION — STATE PARK AND FOREST ROAD AIl:
DEPARTMENT OF NATURAL RESOURCES SECTION 23.09(27), WISCONSIN STATUTES 11-e1
FORM 8700-153
INSTRUCTIONS. CHECK (,/) ONE
SUBMIT IN DUPLICATE. INCLUDE A MAP SHOWING ROAD(S) TO ® MAINTENANCE
BE MAINTAINED OR RENOVATED WITHIN PROPERTY BOUNDARY ORENOVATION
AND A COUNTY OR TOWN RESOLUTION. (SEE REVERSE SIDE)
IF A RENOVATION PROJECT, COMPLETE THE COST ESTIMATE
WORKSHEET, FORM 8700-154.
MAIL APPLICATION TO APPROPRIATE DEPARTMENT OF NATURAL LEAVE BLANK — DNR USE ONLY
RESOURCES DISTRICT OFFICE.
1. APPLICANT'S NAME
St. Croix County_ Hijhwa Department
2. NAME OF INDIVIDUAL AUTHORIZED TO ACT ON BEHALF OF
APPLICANT Ralph L. Brown
STREET OR ROUTE
TITLE
1150 Davis Street
Hi hw
CITY, STATE, ZIP CODE
BUSINESS TELEPHONE NO. HOME TELEPHONE NUMBER
Hammond, iTI 54015
( 715 ) - 6-222 ( ) —
3. NAME TO APPEAR ON CHECK(S)
4. NUMBER OF ROAD MILES
Croix County Hi.7hway Department
2 -66
5. DESCRIPTION OF PROJECT. FOR MAINTENANCE INCLUDE A CONCISE STATEMENT OF THE TYPE OF MAINTENANCE ACTIV I I its. rvn
RENOVATION, LIST THE TYPE OF CONSTRUCTION ACTIVITIES. INDICATE TYPE OF PROJECT BILLING, I.E., QUARTERLY, SEMI-ANNUAL,
OR ANNUAL.
11iainter_ance work including but not limited to snow removal, sanding and
salti n - operations, erection of snow fence, patching the roadway, mowing
and. brushing activities, shoulder repair and maintenance, washout repair
and other general maintenance work.
Billing to be done on an annual basis.
6. ESTIMATED COST
MAINTENANCE
$ 5, 000.00
RENOVATION
7, SIGNATURE OF PROPERTY MANAGER I DATE SIGNED
LEAVE BLANK — DNR USE ONLY
APPROVED PROJECT AMOUNT
MAINTENANCE RENOVATION
i =
7HE APPLICANT'S AUTHORIZED OFFICIAL CERTIFIES THAT TO THE
BEST OF HIS/HER KNOWLEDGE, THE INFORMATION ON THIS
APPLICATION IS TRUE AND CORRECT.
S. SIGNATURE OF AUTHORIZED INDIVIDUAL ' DATE SIGNED
4/12/82