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2013 Sidewalk Application

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                        Sidewalk Funding Application
                        Urban Sidewalk Program (USP) & Small City Sidewalk Program (SCSP)

               Mail your signed application and required attachments to the TIB Office no later than August 31, 2011.
                      The mailing address for the TIB Office: Post Office Box 40901 v Olympia WA 98504-0901




   Funding Program
                                                                                                         Legislative
       Agency Name                                                                                        District(s)

       Arterial Name
                                                                                                      Congressional
       Project Limits                                                                                    District(s)
        Total Length
                                                                                              Find Legislative or Congressional District
              in Feet
       Average Daily
       Traffic (ADT)

     Agency Contact                                                              Phone Number

      Email Address

PROJECT ELIGIBILITY
Check all of the following statements that apply to your project
Small City
      Serves as a logical extension of a county arterial or state highway through the corporate limits
      Serves as a route connecting local generators such as schools, medical facilities, commercial or industrial sites,
      social centers or recreational areas
      Acts as a bypass or truck route to relieve the central core area
Urban
   Federal Route                       Functional Class

APPLICATION ATTACHMENTS
Include the following attachments with your application
      Detailed vicinity map clearly showing project limits
      Detailed project cost estimate signed by a professional engineer registered in Washington State
      Typical roadway section(s) including sidewalk
      Funding commitment from all funding partners                            Number Attached
      Written concurrence from WSDOT if project is on or connects to a state highway
      Accident Documentation           Link to Request Accident Data from WSDOT


PROJECT SCHEDULE
Provide actual completion or target date                                                               Date

                                                                   Start Design Engineering

                                                                    Contract Advertisement

                                                                       Contract Completion


Sidewalk Program Funding Application
Revised 23 May 2011                                                                                                             Page 1 of 7
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PROJECT FUNDING
TIB Fund Distribution
               Is TIB funding distributed evenly through the project phases?                 YES




Enter Requested Total TIB Funds                                                                        Maximum TIB Ratio

Enter the Total Project Costs to the nearest dollar in cells F43 to F48
                                                                                         Total Project         TIB Funds         Local Funds
                                                Special Studies                                                            0
                      TRUE                      Design Engineering                                                         0
                                                Right of Way                                                               0
                                                Construction Engineering                                                   0
                                                Construction Other                                                         0
                                                Construction Contract                                                      0
                                                TOTAL                                                                      0
                                                                                               Noneligible Engineering
                                       Engineering exceeding 25% of construction costs is not eligible for TIB reimbursement
                                                                                               Other Noneligible Costs
                                                                             (i.e. landscaping greater than 3% of total cost)

                                                                                                TOTAL ELIGIBLE COST
                                                                                                     TIB Matching Ratio
                                                                                          Total TIB Funds/Total Eligible Cost

FUNDING PARTNERS
                                                                                                               Commitment
   Source                                                                               Public or Private                          Amount
                                                                                                                 Letter
                                                                                            Public




   TOTAL

                                                            Local funds are correct


CERTIFICATION
Certification is hereby given that the information provided is accurate and the applicable attachments are complete and included as
part of the application package



                             Agency Official Signature                                                                   Date Signed


                         Printed or Typed Name & Title



Sidewalk Program Funding Application
Revised 23 May 2011                                                                                                                     Page 2 of 7
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PROJECT DESCRIPTION
Describe the existing conditions




Describe the proposed improvements




Describe the project benefits




PROJECT COMPONENTS
Give a brief description or select the appropriate response for each component of the proposed project work

PROJECT TYPE

DRAINAGE IMPROVEMENTS




EXISTING OVERHEAD UTILITY RELOCATION

OTHER UTILITY WORK




ILLUMINATION, LANDSCAPING & AESTHETIC ELEMENTS




OTHER WORK




Sidewalk Program Funding Application
Revised 23 May 2011                                                                                           Page 3 of 7
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ROADWAY GEOMETRICS
Enter the parameters as they currently exist and after the project is constructed

                                                                  SECTION ONE                    SECTION TWO
                                If more than one section
                           enter Percent of Total Length
                                                             EXISTING          PROPOSED      EXISTING   PROPOSED
   Pavement Width
   Curb to Curb or Edge to Edge

   Number of Travel Lanes
   Do NOT include Parking Lanes

   Shoulder or Parking Width
   Enter Average Width per Side

   Shoulder or Parking Placement


   Shoulder or Parking Surfacing


   Curb Placement

   Pedestrian Buffer
   Width between Curb and Sidewalk

   Sidewalk Placement


   Sidewalk Surfacing


   Sidewalk Width1

           1
               Sidewalk on one side is required by TIB policy
               Minimum width is five feet with NO obstructions
               Sections that do not meet this standard require a Board Deviation at Project Selection




Sidewalk Program Funding Application
Revised 23 May 2011                                                                                            Page 4 of 7
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SAFETY
                               Enter the posted speed limit

Enter the total numbers for accident history within the project limits
Include accident history from last three years
Accident documentation must be attached so TIB staff can analyze the information

                                       Number of Pedestrian/Vehicle Accidents

                                         Number of Pedestrian Only Accidents


PROJECT DEFICIENCIES
Select Deficiency Type from the dropdown menu and describe the existing deficiency within the project limits.
Describe the project corrective measure(s) that eliminates or mitigates the deficiency.

DEFICIENCY 1


      Deficiencies




       Corrective
      Measure(s)


DEFICIENCY 2


      Deficiencies




       Corrective
      Measure(s)


DEFICIENCY 3


      Deficiencies




       Corrective
      Measure(s)


DEFICIENCY 4


      Deficiencies




       Corrective
      Measure(s)




Sidewalk Program Funding Application
Revised 23 May 2011                                                                                             Page 5 of 7
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LOCAL SUPPORT
SIDEWALK NETWORK DEVELOPMENT
Select the option that best describes your project

                           Completes Gap in Sidewalk System
                           Existing sidewalk must be serviceable

                           Extends Sidewalk System
                           Existing sidewalk must be serviceable

                           Does NOT Complete Gap or Extend Sidewalk System

COMMUNITY FACILITIES SERVED
BUSINESS/INDUSTRIAL AREAS
Select Development Type, enter Location and enter X in Direct Access or Indirect Access
                                                                                              DIRECT ACCESS     INDIRECT ACCESS
                                                                                                  Within            2-3 Blocks
                             Type          Street Location                                     Project Limits   from Project Limits




SCHOOLS
Select School Type, enter School Nameand enter X in Direct Access or Indirect Access

                                                                                            DIRECT ACCESS       INDIRECT ACCESS
                                                                                                  Within            2-3 Blocks
                             Type          School Name                                         Project Limits   from Project Limits




PUBLIC FACILITIES
Enter Facility Name, select Facility Type and enter X in Direct Access or Indirect Access

                                                                                              DIRECT ACCESS     INDIRECT ACCESS
                                                                                                  Within            2-3 Blocks
                             Type          Facility Name                                       Project Limits   from Project Limits




Sidewalk Program Funding Application
Revised 23 May 2011                                                                                                         Page 6 of 7
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SUSTAINABILITY
                           Agency has Adopted Greenhouse Gas Emissions Policy


                     Enter Policy Number                    Adoption Date

ENERGY MEASURES
Select energy measures within the project limits

                           Replace or install Low Energy Lighting
                           Add Solar-powered Signage

                      Describe the measures below




ENVIRONMENTAL MEASURES
Select environmental measures within the project limits

                           Project Incorporates Low Impact Drainage Practices

                      Describe the measures below




RECYCLING MEASURES
Select recycling measures within the project limits

                           Use of Recycled Materials

                      Describe the measures below




Sidewalk Program Funding Application
Revised 23 May 2011                                                             Page 7 of 7

								
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