KDOT Project No:

-

-

-

Date:

County:

City:

Consultant:

Type of Project:

Length of Project:

(Miles)

(km)

Number of Bridges:

(Count)

Estimated Construction costs ($1,000):

Percent of Plans Completed:

(does not include Surveys):

Study:

%

Grading:

%

Surfacing:

%

Bridge:

%

Total:

%

Percent of Surveys Completed:

%

Date Survey Began:

(mm/dd/yy)

Date Survey Completed:

(mm/dd/yy)

Estimated date for (choose one):

Field Check:

(mm/dd/yy)

Office Check:

(mm/dd/yy)

Final:

(mm/dd/yy)

Plans to be transmitted to KDOT:

(mm/dd/yy)

Completed date of (choose one):

○ Field Check

○ Office Check:

(mm/dd/yy)

Contract:

CMS

Number

Consultant

Project

Number

Dollars

Expended

(%)

Activity

Completed

(%)

Phases

Phase 1:

Phase 2:

Phase 3:

Phase 4:

Phase 5: