Memorandum

To:	Ryan Dahlke, P.E. Statewide Project Development Engineer

From:	[Name], P.E. [Choose proper title] Engineer

Date:	Date Submitted to Engineer

Subject:	[Project Number]
[Project Name]
UPN [UPN]
Work Type [Work Type]

The Scope of Work Report for this project was released on Choose a date.

Attached are approvals and concurrence from (list the names of the signatures received and who they are for, if applicable, in the order they are attached for the master file copy. If approval is assumed because no signature and/or comments were received within the review and comment period, list those at the end)

Comments were received from [List those sending comments].

[List comments and resulting decisions made due to the comments.]

The environmental document was approved on XX/XX/XXXX.

With your approval we will take all action requested and proceed with the design accordingly.

Approved	Date
Ryan Dahlke, PE
Statewide Project Development Engineer

Distribution:

[Choose District Administrator] District Administrator	Doug McBroom, Statewide Planning & Modal Operations Manager
Dave Holien, Highways Engineer	Tom Martin, Environmental Services Bureau Chief
Andy Cullison, Bridge Engineer	Jeff Jackson, Geotechnical and Pavement Bureau Chief
Gabe Priebe, Traffic and Safety Engineer	Joe Green, Construction Bureau – VA Engineer
Bob Heiser, Right-of-Way Bureau Chief Ed Ereth, Asset Strategy Program Manager	Jon Swartz, Asset Strategy, Operations & Maintenance Manager Steve Felix, Maintenance Division Administrator
[Choose a name], FHWA - Operations Engineer (PODI)

cc:

[EPSProjectManager], EPS Project Manager
MDT Headquarters Milestone Report Distribution <mdthqmilestonereport@mt.gov>
[Choose a District Distribution]
[Choose a Maintenance Chief]

Optional (remove if not used)

Vacant, Eng. Manager, Bridge Management System [if there are structures on the project]
Vacant, Secondary Roads Engineer [project is on or crosses a secondary route]
Jeremy Terry, Road Design Engineer [Road involvement]
Shelby Clark, Bicycle/Pedestrian Coordinator [omit if is obviously no bike/ped involvement]
County Officials [secondary program, any route that is county maintained, or involves a county agreement]
Tribal Government Officials [on or adjacent to a reservation]
City/Municipal Officials [projects within city/urban limits: MDT Urban Maps | Montana Department of Transportation (MDT) (mt.gov)]
STREET, JOHN THOMAS A CIV USAF AFGSC 341 CES/CEMD, Malmstrom Air Force Base <john_thomas.street@us.af.mil> [USAF access routes: \\state\mdt\prd\GreatFalls\GTF\ALL_STAFF\T_and_E_Routes]