Sheet 1: Utility Estimation Report

	
	
	
	
	
	
	
	
	
	
	
	
	

		
 UTILITY ESTIMATION REPORT - LUMP SUM or AUDIT TYPE 
		


		


		


		
 Wisconsin Department of Transportation 
		
	

		
  DT1850     9/2016 
		


		


		


		


		


		


		


		


		


		


		


		


	
	

		
 Utility Company Name: 
		


		
	

		
 Project Description - Include 
		


		


		


		


		


		


		
Project ID(s):
		


		


		
	

		
 Title: 
		


		
Design:
		


		
	

		
 Limits: 
		


		
Construction:
		


		
	

		
Highway:
		


		
Right of Way:
		


		
	

		
County:
		


		
UTL or UA No.:
		


		
	

		


		


		


		


		


		


		


		


		


		
Utility:
		


		
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		
EXISTING FACILITY
		
NEW FACILITY
		
	

		
1
		
2
		
3
		
4
		
5
		
6
		
7
		
8
		
9
		
10
		
11
		
12
		
13
		
14
	
	

		
PLAN/
		
TYPE
		
TOTAL
		
TOTAL
		
REIMBURS
		
REIMBURS
		
CREDIT
		
TYPE
		
TOTAL
		
TOTAL
		
TOTAL
		
NET
		
NET
		
REIMBURS
	
	

		
PLAT
		


		
RELOC
		
REIMBURS
		
QUANTITY
		
PERCENT
		
TO STATE
		


		
QUANTITY
		
ESTIMATED
		
BETTERMNT
		
COST
		
REIMBURS
		
COST
	
	

		
SHEET
		


		


		
PLUS
		


		


		
SALVAGE
		


		


		
COST
		


		
TO REPLACE
		
COST
		
LESS
	
	

		


		


		
(Sta to
		
NONREIMB
		


		


		


		


		


		
TO INSTALL
		


		
IN KIND 
		


		
CREDITS
	
	

		


		


		
Sta)
		
(in feet)
		
(in feet)
		
(%)
		
($)
		


		
(in feet)
		
($)
		
($)
		
($)
		
($)
		
($)
	
	

		


		


		


		


		


		
0%
		


		


		


		


		


		
 $-   
		
 $-   
		
 $-   
	
	

		


		


		


		


		


		
0%
		


		


		


		


		


		
 $-   
		
 $-   
		
 $-   
	
	

		


		


		


		


		


		
0%
		


		


		


		


		


		
 $-   
		
 $-   
		
 $-   
	
	

		


		


		


		


		


		
0%
		


		


		


		


		


		
 $-   
		
 $-   
		
 $-   
	
	

		


		


		


		


		


		
0%
		


		


		


		


		


		
 $-   
		
 $-   
		
 $-   
	
	

		


		


		


		


		


		
0%
		


		


		


		


		


		
 $-   
		
 $-   
		
 $-   
	
	

		


		


		


		


		


		
0%
		


		


		


		


		


		
 $-   
		
 $-   
		
 $-   
	
	

		


		


		


		


		


		
0%
		


		


		


		


		


		
 $-   
		
 $-   
		
 $-   
	
	

		


		


		


		


		


		
0%
		


		


		


		


		


		
 $-   
		
 $-   
		
 $-   
	
	

		


		


		


		


		


		
0%
		


		


		


		


		


		
 $-   
		
 $-   
		
 $-   
	
	

		
TOTALS
		


		


		


		


		


		
 $-   
		


		


		
 $-   
		
 $-   
		
 $-   
		
 $-   
		
 $-   
	
	

		
15. TOTAL State Participation  =
		
0.00
		
%