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� . . � � � ' � � � QUESTIONN�IIRE TO BE USED IN MAKING APPLICATION ` � � � � <br /> ' FOR LICENSE TO INSTALL PIPE LIN�S THAT WILL CROSS UNDER OR PARALLEL <br /> • TRACKS OF THE RAILROAD CON�ANY <br /> �. Naaie of Applicant City of Decatur <br /> partners p, na�ee a partners I� <br /> Z. Address of Applicant One Gary K. Anderson Plaza, Decatur, I1. 62523 ' <br /> / <br /> 3. Check one: O Individual , O Partnership, O Carporation (X) Municipalit� <br /> 4. Location of pipe line: Mtle Post Staley Lead p��s sta. 89+73 feet. <br /> (if parallel) to Mile Post plus feet <br /> 5. NEa1" Deactur, zllinois, Decatur. 2ownship (Name of C1ty, TOW11� Village) <br /> 6. Will pipe line be in right-of-way of dedicated street or highwa�y? Yes , <br /> (There must be a definite grade or grade-separation crossing of trac s, an t e actua <br /> right of way of street or highway must be shown on location sketch.) <br /> 7. Commodity to be transmitted in pipe line: Potable Water <br /> (steam, air, water, gasoline or other petro eum p uct, c em ca -spec y, natura or <br /> artificial gas. If serrer, identify as to force or gravity line, sanitary stor�n, or <br /> chemical waste-specify). <br /> 8. Maximum operating pressure in pipe line 6o Psz (psi by gaugej <br /> 9. Hydrostatic pressure carrying pipe will be tested before using llo psi <br /> Pipe Information C3rrying Pipe • Casing Pipe <br /> 10. Inside diaiaeter (nominal): _ 6�� ls�� <br /> 11. Mall thlckness: o.si o.375 <br /> �2. Material : Ductile Iron Pipe . Steel <br /> 13. ASTM Spec. (Incl. Grade or Class) cL 50 ----- <br /> 14. Minimum yield point of material : _ ----- 35,000 Psz <br /> 15. Type of 3oint: Tyton-Push On welded <br /> 16. Depth of top of casing pipe below base of rail 5.5 feet <br /> 17. Length of casing pipe �o L.F. feet <br /> 18. Will casing pipe be vented? No Size 18" <br /> 19. Will casing pipe be cathodically protected? No <br /> 20. Will casing pipe have a protective coatin�? Yes Type coai Tar (Bituminous) <br /> 21. Method of installing casing pipe: Bore & Jack <br /> (Simultaneous Dry Bore and Jack or Tunnr: t bor ng w not e perm tte <br /> Applicant to furnfsh 8 copies of the fully con�leted questionnaire and 8 each 8�" x 11 " <br /> or 14" prints shoNing location sketch witf� crossing measured from the nearest mile <br /> post, point of main line switch,. section 'line crossing of track or DOT-AAR n�nbered <br /> vehicular crossing, as well as limits of ti�ailroad (and street or highway if involved) <br /> right-of-way; �lus profile sketch of actu�l situation showing relationship of tracks, <br /> contour of ground and surface ditches, th� pipeline. other buried or wire lines (if <br /> known), etc. This is to be used as exhibit for agreement. <br />