Form 2440-1C "Preliminary Field Plan Review Inspection Checklist" - Georgia (United States)

What Is Form 2440-1C?

This is a legal form that was released by the Georgia Department of Transportation - a government authority operating within Georgia (United States). As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on March 22, 2021;
  • The latest edition provided by the Georgia Department of Transportation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form 2440-1C by clicking the link below or browse more documents and templates provided by the Georgia Department of Transportation.

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Download Form 2440-1C "Preliminary Field Plan Review Inspection Checklist" - Georgia (United States)

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GDOT Publications
Policies & Procedures
Form Word:
2440-1c - Preliminary Field Plan Review Inspection Checklist
Section:Plan Review
Reports To: Chief Engineer
Office/Department: Engineering Services
Contact: 404-631-1000
PRELIMINARY FIELD PLAN REVIEW INSPECTION CHECKLIST
The following Checklist shall be completed by the Design Phase Leader and submitted when a Preliminary Field Plan Review
Inspecti on is requested. All necessary items are required in order to schedule a Preliminary Field Plan Review Inspection. Failure to
do so will delay the PFPR. Note: The Project Review Engineer may grant exceptions to these requirements.
The request shall include:
Transmittal letter including description of project
Project Data Sheet
Printout of the Detailed Cost Estimate report from GDOT 411
Written certification from the Project Manager stating that a Public Interest Determination Procedure is applicable / not
applicable for this project
Copy of email correspondence from Environmental Services stating that it is acceptable to proceed to PFPR for federally or
state funded projects
Draft Environmental “Green Sheet” if commitments are known when PFPR requested
Written certification stating that the current design for the proposed project is consistent with the approved RTP/TIP/STIP.
For projects in the non-attainment areas the certification should come from the State Transportation Planning
Administrator. For other projects, including projects exempt from air quality analysis, written certification comes from the
Design Phase Leader/Engineerof Record.
N/A Letter from the State Design Policy Engineer stating that the consultant’s GPS/Control Package and
Or
Property/Survey Database meet the Department’s accuracy standards (Applicable when field survey is provided by
consultant for GDOT project or for locally administered project where GDOT is acquiring right-of-way and/or Letting
the projects to construction).
The plans, two (2) 11x17 sets, shall include the following information:
Cover Sheet
Index
General Notes
Typical Sections
Preliminary Summary of Quantities
Plan and Profile sheets (including horizontal/vertical alignments, pavement limits, construction limits)
Cross Sections
Preliminary Right of Way and Easements
Existing utilities (Note: Include SUE Conflicts Matrix, if applicable)
Or
N/A Drainage profiles/drainage cross sections for outfalls and areas that require ROW/Easements
(culverts, pipes, ditches and channels)
Or
N/A Staging Plans
Or
N/A Staging Cross Sections
Or
N/A Approved Preliminary Bridge Layouts (with approval letter/email from the Office of Bridge Design)
Or
N/A Retaining Wall locations and Wall Envelopes
Or
N/A Preliminary Traffic Signal Plans (including strain poles, wheelchair ramps, concrete islands)
Or
N/A Driveway locations and Driveway Profiles
Form Word: 2440-1c- Preliminary Field Plan Review Inspection Checklist
Date Last Reviewed: 3/22/2021
Page 1 of 3
GDOT Publications
Policies & Procedures
Form Word:
2440-1c - Preliminary Field Plan Review Inspection Checklist
Section:Plan Review
Reports To: Chief Engineer
Office/Department: Engineering Services
Contact: 404-631-1000
PRELIMINARY FIELD PLAN REVIEW INSPECTION CHECKLIST
The following Checklist shall be completed by the Design Phase Leader and submitted when a Preliminary Field Plan Review
Inspecti on is requested. All necessary items are required in order to schedule a Preliminary Field Plan Review Inspection. Failure to
do so will delay the PFPR. Note: The Project Review Engineer may grant exceptions to these requirements.
The request shall include:
Transmittal letter including description of project
Project Data Sheet
Printout of the Detailed Cost Estimate report from GDOT 411
Written certification from the Project Manager stating that a Public Interest Determination Procedure is applicable / not
applicable for this project
Copy of email correspondence from Environmental Services stating that it is acceptable to proceed to PFPR for federally or
state funded projects
Draft Environmental “Green Sheet” if commitments are known when PFPR requested
Written certification stating that the current design for the proposed project is consistent with the approved RTP/TIP/STIP.
For projects in the non-attainment areas the certification should come from the State Transportation Planning
Administrator. For other projects, including projects exempt from air quality analysis, written certification comes from the
Design Phase Leader/Engineerof Record.
N/A Letter from the State Design Policy Engineer stating that the consultant’s GPS/Control Package and
Or
Property/Survey Database meet the Department’s accuracy standards (Applicable when field survey is provided by
consultant for GDOT project or for locally administered project where GDOT is acquiring right-of-way and/or Letting
the projects to construction).
The plans, two (2) 11x17 sets, shall include the following information:
Cover Sheet
Index
General Notes
Typical Sections
Preliminary Summary of Quantities
Plan and Profile sheets (including horizontal/vertical alignments, pavement limits, construction limits)
Cross Sections
Preliminary Right of Way and Easements
Existing utilities (Note: Include SUE Conflicts Matrix, if applicable)
Or
N/A Drainage profiles/drainage cross sections for outfalls and areas that require ROW/Easements
(culverts, pipes, ditches and channels)
Or
N/A Staging Plans
Or
N/A Staging Cross Sections
Or
N/A Approved Preliminary Bridge Layouts (with approval letter/email from the Office of Bridge Design)
Or
N/A Retaining Wall locations and Wall Envelopes
Or
N/A Preliminary Traffic Signal Plans (including strain poles, wheelchair ramps, concrete islands)
Or
N/A Driveway locations and Driveway Profiles
Form Word: 2440-1c- Preliminary Field Plan Review Inspection Checklist
Date Last Reviewed: 3/22/2021
Page 1 of 3
Or
N/A Sediment Basins (location size calculations and footprint)
Or
N/A Post-Construction Stormwater BMP Grading Sheets
Or
N/A Preliminary Erosion, Sedimentation and Pollution Plan for areas outside of C/F limits.
Additionally, the following information shall be submitted along with the PFPR Request:
Or
N/A All Draft Project Specific Special Provisions
Or
N/A Draft SP 108.08 and SP 150.6
Or
N/A A+B Evaluation Tool
Or
N/A Accepted Hydraulic Studies
Or
N/A Capacity Analysis of major intersections
Intersection Sight Distance (ISD) studies or Justification why ISD studies weren’t provided
Or
(N/A) Approved Pavement Design: Minor Pavement Design
Pavement Evaluation Summary
Pavement Design Package
Or
N/A Approved Soil Survey Summary Report
Or
N/A Draft Post-Construction Stormwater Report
Or
N/A Stormwater BMP Infiltration Report (only if infiltration BMPs are being proposed)
Or
N/A Summary of Preliminary Earthwork Calculations (mainline, side streets and staging)
Or
N/A Constructability Report
Or
N/A Approved Stage 1 and Stage 2 Intersection Control Evaluation (ICE) Decision Records with
supporting documentation for each intersection or ICE waiver form
Or
N/A Letter or email correspondence from Traffic Operations stating that a signal permit has been approved for
each new traffic signal shown in the plans
Or
N/A Roundabout Performance Checks (fastest paths, design vehicle swept paths, OSOW check swept paths,
stopping sight distance checks)
Or
N/A Special Grading Drawings (required for roundabouts)
Q/A Certification (GDOT Plans - Q/A Checklist, Consultant Plans – QC/QA Certification Letter)
GDOT Project Manager
Office
Phone Number
Design Phase Leader
Company/Office
Phone Number
Project Number
County
P.I. Number
Date Submitted
Form Word: 2440-1c- Preliminary Field Plan Review Inspection Checklist
Date Last Reviewed: 3/22/2021
Page 2 of 3
References:
None.
History:
A+B Evaluation Tool added: 03/22/21;
copied to Publications: 03/15/12
Reviewed: 3/22/2021
http://teams.dot.ga.gov/info/pap/publicationauthoring
Form Word: 2440-1c- Preliminary Field Plan Review Inspection Checklist
Date Last Reviewed: 3/22/2021
Page 3 of 3
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