2. Height of crossing panels: (if you don't know height - complete #14

3. Tie spacing through crossing: (19 1/2" Standard)

4. Filler blocks: (Standard 3" x 3 1/2" ) Yes No

5. Crossing length: (Standard - multiple of 8 ')

… (Actual length depends on tie spacing, i.e. 19 1/2" tie spacing yields a 8' 1 1/2" multiple)

6. Is crossing in curve? Yes No If Yes what degree

7. Is crossing to have beveled ends? Yes No

8. Are Panels to be: Square Skewed (If skewed, Please Fax drawing to 304-372-1211

9. Length of cross ties in crossing?

10. Are panels to be pre-bored? Yes No

11. Type and size of hardware :
washer head drive spikes
washer head lag screws
dome head drive spikes
torx head screws

Is hardware to be furnished with crossing by B-P-B? Yes No

12. Style of crossing:
B-P-B Norfolk Southern Other

13. Special Instructions or dimensions:

14. Rail type Weight Tie plate length ….

.Thickness …… Tie pads used? Yes No