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Public Works Engineering Project Comment Card

  1. County_Seal.jpg
  2. County of Humboldt
    Department of Public Works. .. 1106 Second Street .. ... ... . .. Eureka, CA 95501-0579 .. Attention: Engineering Division
  3. Comment Card
    The Department of Public Works encourages public comment on our projects. Your input is important in the development of a project. Your written comments will become part of the public record and will be considered in developing the environmental documents.
  4. Level of Support
    Please indicate your overall level of support for this project.
  5. Please write you comments above.
  6. Follow Up Questions:
    May we contact you to respond to your comments and concerns or to seek additional information regarding this project?
  7. Contact Information
    The following information is optional.
  8. Public Participation Survey:
    The following information is being collected by the Department of Public Works in order to comply with Title VI of the Civil Rights Act of 1964. Please take a few moments to complete the following questions. The data you provide will enable the Department to identify residents and communities impacted by federally funded projects/or activities. Please select the choice from the pull down menu that best describes you. Submittal of this information is voluntary. Thank you.
  9. What language is primarily spoken in your household?
  10. Leave This Blank:

  11. This field is not part of the form submission.