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New R.R. Road Existing River Bed OR Depth New PL Depth Existing Depth FACILITY Depth Existing  Cased  Uncased Grade Pipeline – R/W 1. Depth to existing line (on elevation) 2. Depth to new line above or below existing line (on elevation) 3. Cathodic protection installed: YES  NO  If yes, what type of protection? Owner of foreign or existing facility: Size and condition of existing facility” (New) oil, gas, water, etc.: Contractor doing work: Approval Print Name Date...

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