TE Application Form

							               TRANSPORTATION IMPROVEMENT PROGRAM APPLICATION
                                 FY 2013 - 2018


                                                          ELIGIBILITY
EVIDENCE OF PROJECT ELIGIBILITY (Check the appropriate item if the proposed project meets the eligibility requirement.)

___ Project/program meets Federal eligibility requirements.

___ At least one sponsor is a public agency.

___ A letter or letters of sponsorship/commitment addressing all required components (local funds, maintenance, project priority,
    status report, intergovernmental agreement) is/are included.

___ Project goes beyond normal, routine or customary elements of transportation projects and does not include typical maintenance
    activities.

___ Local match meets required amount of the total project cost (17.21% for CMAQ and STP – Metro; or 20% for TE).

___ Project meets NEPA requirements.

___ Project funding will not be used solely for construction of curb and gutter. (Any use of TE funds for curb and gutter must be
    reviewed and approved by the FHWA.)

___ Project meets ADA requirements.

___ Are all appropriate elected officials aware of the proposed project?

___ Do all appropriate elected officials support the project?

___ Is there any known opposition to the proposed project?

___ Entities total request for funds is no more than the available funds.

___ Application complete. (PPACG use only)

___ Application submitted before deadline. (PPACG use only)


                                    PURPOSE OF AND NEED FOR THE PROJECT




FY 2013 - 2018 TIP Project Application                                                                                         Page 1
                                                      DESCRIPTION
PROJECT LOCATION, LIMITS, LENGTH OR SERVICE AREA (Please include location data such as mile-markers, nearest
intersections, or GPS coordinates.)




DESCRIPTION AND SCOPE OF THE PROPOSED PROJECT (Also describe the benefits of the proposed project. Who will benefit
from this project? What benefits will the project provide to the community, including economic, tourism, recreational, historic,
scenic, and/or cultural? Include all assumptions, data and methodologies used to calculate the benefits.)




FY 2013 - 2018 TIP Project Application                                                                                    Page 2
                                             PLANNING AND PHASING
FUNDING/PROJECT BUDGET (Delineate the total project cost into the following project expenses.)




                             CAPITAL                                                 OPERATING/OTHER
Planning & Design                        $                      Administration                     $
Environmental                            $                      Operations                         $
Plans, Specifications & Estimates        $                      Marketing                          $
Right-of-Way Acquisition                 $                      Other (specify)                    $
Construction                             $                                                         $
Vehicle/Equipment Acquisition            $
Purchased Materials                      $

IMPLEMENTATION SCHEDULE (Identify milestone dates and include a date of completion.)




RIGHT-OF-WAY (Provide a description of any right-of-way needs for the project or program.)




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                           MAINTENANCE PLANS, AGREEMENTS AND COVENANTS
PROPOSED MAINTENANCE PLANS, AGREEMENTS AND COVENANTS (What is the maintenance plan for the completed
project? Include the agency responsible for the continued maintenance of the project and the anticipated maintenance and staffing
needs over the economic or useful life of the project.)




                                 FUNDING CATEGORY SPECIFIC INFORMATION
   The following pages identify specific information needs for the STP - Metro, CMAQ, bridge pool, congestion management and
   mitigation pool, planning studies pool, and TE funding programs. Only complete the appropriate section for the funds you are
                                                             requesting.
                                         CONGESTION MANAGEMENT AND AIR QUALITY

Plan Criteria Evaluation (0 to 20 points).
0 points - Project not in any local or PPACG plan:

10 points – Project in a local plan but not in the 2035 RTP (provide website link or appropriate page(s) from the local plan showing
the project):


0 to 10 points – Project in the 2035 RTP receives up to 10 points based on its 2035 RTP criteria score. This is a normalized score
(PPACG staff will develop):



Carbon Monoxide Emissions Reduction. Will the project or program reduce carbon monoxide emissions? How was the reduction
determined? Application should provide a detailed explanation of assumptions, facts, and methodologies; application should identify
who developed assumptions and facts, when, and what geography they apply to.




FY 2013 - 2018 TIP Project Application                                                                                           Page 4
Congestion Reduction. Will the project or program reduce congestion? How was the reduction determined? Application should
provide a detailed explanation of assumptions, facts, and methodologies; application should identify who developed assumptions and
facts, when, and what geography they apply to.




Cost Effectiveness. What is the relative cost effectiveness of the project or program?




Congestion Management Process. Priority is given to transportation strategies and solutions from the congestion management process
focusing on the listed congestion management corridors in the approved 2035 Regional Transportation Plan.




Peak Hour Benefits. Is the project or program designed to emphasize congestion reduction during peak hours?




Public-Private Partnerships. Have financial contributions been committed to the project by private organizations/partners?




Benefits to Other Criteria Pollutants. Does the project or program reduce levels of other criteria pollutants (ozone, nitrogen oxides,
particulate matter, sulfur dioxide, lead)?




FY 2013 - 2018 TIP Project Application                                                                                             Page 5
Secondary Benefits. Does the project or program have secondary benefits (for example: context sensitive, reduces other air pollutants,
increases public involvement in local and/or regional planning activities, improves emergency vehicle response time, improves access
to jobs, access for the disabled, etc.)?




Local Match. What percentage of the total project or program cost is local match?




Benefit Life. How many years of full emissions or congestion benefit (20 years maximum) will be received from this project or
program?




Social Equity. Does the project serve a low income or minority community? (“Serve” is defined as the project starting, ending, or
passing through a low income or minority community.)




                                         CONGESTION MANAGEMENT AND MITIGATION
Congestion Management Plan Road Level.




Currently Identified Hot Spot.




Current Congestion Level.




FY 2013 - 2018 TIP Project Application                                                                                          Page 6
Cost Efficiency.




Type of Congestion.




                                              TRANSPORTATION ENHANCEMENT

Plan Criteria Evaluation (0 to 20 points).
0 points - Project not in any local or PPACG plan:

10 points – Project in a local plan but not in the 2035 RTP (provide website link or appropriate page(s) from the local plan showing
the project):


0 to 10 points – Project in the 2035 RTP receives up to 10 points based on its 2035 RTP criteria score. This is a normalized score
(PPACG staff will develop):



Access. Will the project provide access (within ½ mile for pedestrian or transit projects/within 3 miles for bicycle projects) to the
following locations: Employment / Business / Shopping / Residential / Recreation / Civic / Education centers?




Connectivity. Does the project provide a missing link, extend connections, or eliminate a barrier that inhibits use of a facility?




Safety. Does the project address a safety hazard or safety concern?




FY 2013 - 2018 TIP Project Application                                                                                               Page 7
Sponsoring. Is more than one sponsoring entity supporting this project?




Opportunity/Risk. Can the project be “piggybacked” with other project(s)? Is there risk of a lost opportunity?




Financial Partnerships. Have financial contributions been committed to the project by other organizations / partners?




Overmatch. Is the sponsoring entity(ies) providing overmatch to the project?




Project Readiness. Is the project ready to be implemented (i.e., facility acquired, preliminary engineering complete, NEPA work
complete?)




Social Equity. Does the project serve a low-income or minority community? (“Serve” is defined as the project starting, ending, or
passing through a low-income or minority community.)




FY 2013 - 2018 TIP Project Application                                                                                            Page 8
Multimodal Use. Does the project accommodate multimodal use (bicycle, pedestrian, equestrian, transit access, etc.) and provide an
alternative to driving?




Context Sensitivity. What is the relationship between the project and existing amenities, which include, but are not limited to, natural
areas, natural bodies of water, cultural sites, historic sites, parks, etc?




Project Cost and Estimated Benefit. What is the regional benefit as determined by number of users, context enhancement or other
benefits?




                                 OFF-SYSTEM BRIDGE REHABILITATION / REPLACEMENT
Inspection Condition. Utilizing the lowest National Bridge Inspection Standards (NBIS) rating for Items 58, 59, 60 or 62, from the
latest inspection report (or justify the reason for using a previous inspection rating) for the bridge.




Remaining Life. What is the estimated remaining service life, and justification for this opinion, of the bridge? The evaluators should
review the written explanation as the basis of the scores.




                                                        PLANNING STUDIES
Congestion Level.




Safety.




FY 2013 - 2018 TIP Project Application                                                                                             Page 9
Project is a Planning and Environmental Linkage (PEL) Study.




ADT.




Regional Coordination/Community Support.




Vulnerable Population and Economic Development.




                                                           STP - METRO

Plan Criteria Evaluation (0 to 20 points).
0 points - Project not in any local or PPACG plan:

10 points – Project in a local plan but not in the 2035 RTP (provide website link or appropriate page(s) from the local plan showing
the project):


0 to 10 points – Project in the 2035 RTP receives up to 10 points based on its 2035 RTP criteria score. This is a normalized score
(PPACG staff will develop):



Readiness.




Immediate Need.




FY 2013 - 2018 TIP Project Application                                                                                          Page 10
Cost Effectiveness.




Cost Savings.




Overmatch.




Economic Vitality.




FY 2013 - 2018 TIP Project Application   Page 11
                                          MAPS, PLANS AND PHOTOGRAPHS
MAPS, PLANS AND PHOTOGRAPHS (Please provide an 8 ½ x11map, color or black and white, of the project area showing as
many details of the project as possible. The map must have a north arrow, scale, and title of the project. It should clearly show the
project location, property lines, public facilities, state roads, and any other relevant information. Map must clearly identify the
proposed project site with beginning and ending points. Use of freeware internet mapping with aerial photos is recommended.)




FY 2013 - 2018 TIP Project Application                                                                                            Page 12