HomeMy Public PortalAboutExhibit MSD 63B - Project Justification and ID FormProject Justification Form
To be completed by Operations to initiate a new project, please fill out the information below.
Department: Operations
Division Requesting Person Name
Request Date Requesting Person Phone Number
Project Details
Conceptual Project Name
Treatment Plant Service Area
Estimated Construction Cost Estimated Construction Duration
Strategic Business Operating Plan Strategy #
Problem Statement and Drivers
Why is the project needed? What problem/issue will it resolve?
Risks
What are the risks to the District if the project is not done? What are the level of service
impacts? What costs associated with these risks will the project address?
Benefits
What are the tangible/intangible benefits? What monetary benefit will the project produce?
Asset Information
Asset Details
What assets are impacted by the project (Installed date, estimated useful life,
quantity, size/capacity, description, etc.)?
Solution Statement and Project Scope
What is the proposed solution? What will be done under this project? How well is the scope and
solution understood, is a study required?
Criticality
What are the consequence and likelihood of failure ratings for this asset(s)?
What is the annual operations and maintenance cost associated with the asset(s)?
Supplemental information regarding this project.
Schedule
Milestones
What are the major milestones? What are their durations? What are the
schedule considerations and constraints? What is the required project end date?
Requested Funding Source
Operating Budget
IR
IR (Facilities)
CIP
Operations (Asst.) Director Approval Revision Date
Project Identification Information Sheet
Acute Defect Acute Defect Due Date
Type of action requested at this time
Add to CIP for Future Funding
Other
Perform Preliminary Study
Prepare Plans and Specifications/Construct
If "Other" please specify
Requested Date for Completion of Action Above
REQUIRED FIELDS
Conceptual Project Name
Solution Statement and Project Scope
What is the proposed solution? What will be done under this project? How well is the scope and
solution understood, is a study required?
Problem Statement and Drivers
Why is the project needed? What problem/issue will it resolve?
Project Type
(choose 1)
Wastewater
Stormwater
Unallocated
Expense Type (choose
1)
Capital
Non-Recurring
Operating
Treatment Plant Service Area
Project Subtype
Watershed Municipality Base Map #
Requesting Person Name
Requesting Person
Phone Number Request Date
OTHER INFORMATION (include MAP)
Remarks / Issues to consider
(Construction scheduling, municipal, cost sharing, etc.)
Estimated Cost and Year - Design Estimated Cost and Year - Construction
Conceptual Priority (B/C Ratio)Priority Tier Type
1
2
3
Inflow
Removed
Yes
No
Propose to fund under an existing program?
IR
IR - Facilities
PIR
GI - Program
List Attached Supporting Documentation
REQUIRED APPROVALS
(For Operations Department Requests)
Operations (Asst.) Director Approval Date Approved
(For Engineering Department Requests)
Engineering Manager Approval Date Approved
PLANNING (completed by Planning/CIP Program Manager)
Project Name
Project NumberPlanned Fund #
Planned FY Design Planned FY ConstructionProject Source
CIRP
CIRP - GI CITY
GI PRGM
IR
IR - Facilities
PIR
Other
CIRP Amount for Design
CIRP Amount for
Construction
Template
WW Collection
Major Projects
Storm Capital
Storm Non-Capital
Vendor Services Capital
Vendor Services Operating
GSA / Appraisal
Property Rights
Work Order
Subdistrict
Escrow Repair
Operating
CM Services Required?
Yes
No
Regulatory Requirement
Team to Perform Action Assigned Project Manager
CIP Program Approval Date Approved
Send Completed Copy to