Carbon Cliff, IL · Rock Island County
Culvert Removal & Replacement Approval Form
Carbon Cliff residents use this form to inquire about having the Village remove and replace an existing driveway culvert, then approve the work and project cost.
What this form is
This form lets a Carbon Cliff resident request removal and replacement of an existing driveway culvert and, after the Village measures the driveway and provides the project cost, approve the work. The form asks for the resident’s name, address, phone number, and anticipated start date; the approval section records the project cost and scheduled date. The accompanying policy explains the work, costs, and payment options.
Who needs it
A Carbon Cliff resident who wants the Village to remove and replace an existing culvert under their driveway should complete the inquiry section.
How to submit it
Return the completed top portion to Village Hall at 1001 Mansur Avenue, Carbon Cliff, Illinois 61239. For questions, contact the Village at 309-792-3169.
About notarization
This document is signed without a notary; the resident signs the approval, and no notarized or sworn attachment is mentioned.
How to submit this form
- 1
Download the Form
Download the Culvert Removal & Replacement Approval Form PDF.
- 2
Complete the Inquiry Section
Fill in your name, address, phone number, and anticipated start date.
- 3
Wait for Village Details
The Village will measure the driveway and culvert and notify you of the project cost and scheduled date.
- 4
Sign and Return
If you decide to proceed, sign the approval section on or before the project starts and return the inquiry portion to Village Hall.
Frequently asked questions
- Do I need a notary for the Culvert Removal & Replacement Approval Form?
- No. The form has a resident signature for approving the work, but no notary or notarized attachment is mentioned.
- How do I submit the culvert replacement form?
- Return the completed top portion to Village Hall at 1001 Mansur Avenue, Carbon Cliff, Illinois 61239. The form lists 309-792-3169 for questions.
- What information does the inquiry section ask for?
- It asks for your name, address, phone number, and anticipated start date. The Village will measure the driveway and culvert and notify you of the project cost.
- When do I sign the approval section?
- After the Village provides the project cost and schedules a project date, the form says to sign on or before the work starts.