Work Plan Checklist/Template
The Work Plan Checklist/Template serves as a general outline to follow while completing a Work Plan.
This document will serve as guidance in completing a broad scope of work plan size and complexity
therefore, use of the Checklist/Template will vary and not all fields will apply to all projects. For smaller
projects, completing the check list and adding text to the form with minimal attachments may be
sufficient. For more complex projects with work in multiple categories, use of the document as a check
off list with attachments will be necessary. Please be as comprehensive as possible to assist in an
efficient review and approval process. The Work Plan Checklist/Template also provides an example
Work Plan for reference. This document is available in electronic fillable pdf format on the MMSD
website.
Municipality:
Type of Work:
A. Planning and Design
B. Investigative
C. Construction, Implementation, Rehabilitation (CIR)
1) Cover Letter:
a. This should consist of a letter originating from the Municipality
b. Identify the Type of work.
c. Include a brief description of the work, the basis for the scope of work chosen, and
who will be carrying out the work plan, e.g., professional service providers, internal
resources, etc.
2) Map of the municipality system or project sewershed.
a. This map should offer and overview of the entire system or the sewershed of which
the project resides within.
3) Map of project area.
a. This map should be a larger detail map of the specific area of work with relevant
municipal features identified, e.g., manholes, pipe function (sanitary, storm, or
combined), mainline pipe id, mainline pipe types/sizes, pump stations as well as
project specific private property addresses affected by the work.
4) Background information including the basis for choosing the targeted area.
a. For Planning and Design work this may include historical data, observations, flow
data, etc.
b. For Investigative this may include recommendations from design/planning work,
historical data, observations, flow data, etc.
c. For CIR work this may include recommendations from investigative work, previous
televising reports, house inspection report summaries, design analysis, other
relevant documentation, etc.
Narrative:
Attached Documents