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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