Minor Works Form

Your Name

Email Address

Phone Number

Company

Date/Time 

SECTION 1:  TO BE COMPLETED BY PROPONENT (Sections 1 and 3)

Name (Requestor):
Project Name:
Project Overview:
Describe the Minor Works required.

Project Benefits/Objectives:
•    What are the benefits of the project?

•    What are the project objectives?

Is there an environmental impact to doing this work (positive or negative)?  Describe.

SECTION 2: COMPLETED BY AIRPORT DEVELOPMENT

Minor Works Assessment: Not Applicable:  
  • Cost:
  • Resources:
  • Schedule:
Start:      Completion: 
  • Impact to Operations:
  • Impact to Other Projects:
  • Additional Comments:

Scope

 

Included:

Excluded:

Assumptions & Risks

SECTION 3:  APPROVALS

Budget Holder or Designated Person:
Proceed with Scope Development and Cost EstimateYes   No        Budget Approved (Not to Exceed): 
GL Account Code:
Comments:
Cost Estimate Received - Proceed with WorkYes   No        Budget Approved (Not to Exceed): 
GL Account Code:
Comments:
Development:
Airport Development:
Assigned to:
Comments:

Documents