ATP-6 STIP APPLICATION FORM FOR FISCAL YEAR 2017 Page AGENCY (Requestor or Agency who'll open bids): Contact: Phone:

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1 ATP-6 STIP APPLICATION FORM FOR FISCAL YEAR 2017 Page 1 1. AGENCY (Requestor or Agency who'll open bids): Contact: Phone: 2. AGENCY PRIORITY (Numerical): 3. PROJECT #: 4. ROUTE SYSTEM (e.g. TWP 108 or CR 4): (See page 4) 5. DESCRIPTION (Project Location): 6. TYPE OF WORK Code: (See page 3) Description: 7. PROJECT LENGTH (Miles): 8. IS PROJECT PART OF AN APPROVED CIP? No Yes CIP Year: 9. EARLIEST POSSIBLE DELIVERY DATE: 10. PROGRAM CATEGORY (See page 4): 11. INVESTMENT GOAL (See page 4): 12. FUNCTIONAL CLASS (See page 4): 13. ADT (Average Daily Traffic) A. Last Date Count: (Indicate Source B. Year of Count: of Estimate) C. Design Year: D. 20 Year Projected: 14. HCADT (Design Year Heavy Commercial ADT): (continued on back) 11/15/11 j:\stip project solicitation/stip project solicitation \STIP Application doc

2 ATP-6 STIP APPLICATION FORM FOR FISCAL YEAR 2017 Page CRASH HISTORY (3-Year) A. # Crashes w/one or more fatalities: B. # Crashes w/personal injuries: C. # Crashes w/property damage: 16. BRIDGE # (Existing Br. #): A. Detour Length 17. BRIDGE RATINGS: Geom Struct Suff 18. PSR (Present Serviceability Rating - if known): (See page 4) 19. PQI (Pavement Quality Index - if known): (See page 4) 20. CONSTRUCTION YEAR ESTIMATE: (Total of lines 21, 22, 23 and 24) 21. FEDERAL $: 22 T.H. (Trunk Highway) $: 23. STATE AID $: 24. OTHER $: 25. PROPOSED STP FUNDING CATEGORY: Small Urban / Rural 26. PROJECT MAP (Provide a project map with project termini sheet size not to exceed 11" x 17") 27. REMARKS: Use an additional sheet, if needed.

3 ATP-6 STIP APPLICATION FORM FOR FISCAL YEAR 2017 Page 3 EXPLANATION SHEET Type of Work (Code and Description) W GRADE, SURFACE & BRIDGE W PAVE SHOULDER W BUS CAPITAL IMPROVEMENT W GRADE AND SURFACE W PAVEMENT WIDENING W RIGHT OF WAY W GRADE AND BRIDGE W TURN LANES W ACQUIRING ACCESS CONTROL W GRADING W GUARD RAIL W JURISDICTIONAL REASSIGNMENT W BRIDGE REPLACEMENT W TRAFFIC BARRIER W SUPP. AGREE. & COST OVERRUNS W BRIDGE APPROACHES W0907 CHANNELIZATION W PED. /BIKE IMPROVEMENT W BRIDGE REMOVAL W SHOULDER REPLACEMENT W ENHANCEMENT W CULVERT REPLACEMENT W EROSION REPAIR W PEDESTRIAN BIKE TRAIL W CULVERT EXTENSION W0910 BACKSLOPING W PEDESTRIAN BIKE BRIDGE W NEW BRIDGE W BYPASS LANE W DNR RECREATIONAL TRAILS W CULVERT REPAIR W CLEAR & GRUB W HISTORIC PRESERVATION W BOX CULVERT W0913 EXCAVATION W PLANNING W STEEL FOR NEW BRIDGE W MEDIAN BARRIER W TEMPORARY BRIDGE W IMPACT ATTENUATOR W APPROACH PANEL W SLOPE FLATTENING W APPROACH PANEL REPLACEMENT W STORM SEWER W CULVERT W STORM SEWER REPAIR W SURFACING W STORM SEWER REPLACEMENT W CONCRETE PAVEMENT W RIP RAP W UNBONDED CONCRETE OVERLAY W TRAFFIC SIGNAL INST. W BONDED CONCRETE OVERLAY W TRAFFIC SIGNAL REVISION W CONCRETE PAVEMENT REHAB W TRAFFIC MGMT. SYSTEM W CONCRETE PVMNT SURF PLNG W WARNING FLASHERS W JOINT SEALING W HOV RAMP METER BYPASS W BITUMINOUS PAVEMENT W DEER REFLECTORS W BITUMINOUS OVERLAY W1006 STRIPING W CRACK AND OVERLAY W1100 SIGNING W MILL AND OVERLAY W1200 LIGHTING W BITUMINOUS SEAL COAT W1300 LANDSCAPING W EDGE DRAINS W SALVAGE YD. SCREENING W JOINT REPAIRS W1302 FENCING W BITUMINIOUS CRACK & SEALING W LANDSCAPE PARTNERSHIP W BITUMINOUS SAW & SEAL W LIVING SNOW FENCE W BITUMINOUS ROUT & SEAL W NOISE ABATEMENT W BITUMINOUS RECLAMATION W1500 BUILDINGS W BIT. COLD INPLACE RECYCLING W REST AREA W CONCRETE OVERLAY W WEIGH STATION W CONCRETE WHITE TOPPING W BUILDING REMOVAL W CRACK REPAIR W ABANDONED R.R & R/W ALIGN. W MICRO SURFACING W R.R. X-ING IMPROVEMENTS W PAVEMENT PATCHING W R/W MONUMENTATION & MAP W PAVEMENT SURFACE PLANING W RAILROAD SURFACING W SEAL COAT W RAILROAD SIGNALS W BRIDGE REPAIR W RAILROAD SURF/SIGNALS W0801 REDECK W COOP. CONST. AGREEMENT W WIDEN AND REDECK W DETOUR AGREEMENT W PAINT BRIDGE W RAILROAD AGREEMENT W0804 RAILINGS W RESEARCH AGREEMENT W BRIDGE REPAIR OTHER W UTILITY AGREEMENT W BRIDGE OVERLAY W ROAD REPAIR W BRIDGE JOINTS W PURCHASE BUS W BRIDGE WIDEN W OPERATE BUS W SHOULDER WIDENING W BUS GRANT

4 ATP-6 STIP APPLICATION FORM FOR FISCAL YEAR 2017 Page 4 Program Categories EXPLANATION SHEET AM - Municipal Agreement B3 - FTA Capital Program - Section 5309 B9 - FTA Urbanized Area Formula - Section 5307 BI - Bridge Improvement BR - Bridge Replacement BT - Bike Trail EN - Enhancement IR - Indian Reservation Roads JY - Junk Yard Screening MC - Major Construction NA - Not Applicable NB - FTA Elderly and Persons with Disabilities - Section 5310 NO - Noise Walls OB - FTA Non-urbanized Areas - Section 5311 PL Planning RB - Rest Area/Beautification RC - Reconstruction RD - Recondition RL - Transportation Revolving Loan Fund RS - Resurfacing RW - Right of Way Acquisition RX - Road Repair SA - Supplemental Agreement/Cost Overruns SC- Safety Capacity SH - Safety High Hazard SR - Safety Railroads TM - Transportation Management TR - Transit (STP) Route Systems Investment Goals BB Transit (buses) Priority Goal CITY City Project 1 Preservation CMAQ Congestion Mitigation and Air Quality 2 Management & Operations CR County Road 3 Replacement CSAH County State Aid Highway 4 Expansion DA Disability Act EN Enhancement (not assigned to a specific road) FH Forest Highway District 6 MPO's I Interstate Highway 5 LaCrosse-LaCrescent IRR Indian Reservation Roads & Bridges 6 Rochester-Olmsted ITS Intelligent Transportation Systems MSAS Municipal State Aid Street MUN Municipal Street PED/BIKE Pedestrian or Bike Path/Trail (not assigned to a specific road) Functional Class PL Planning I Federal Aid Interstate RR Railroad PA Principal Arterial TWN Township Road MA Minor Arterial TH Trunk Highway MC Major Collector TH 999 State project not associated with a road (not an Enhancement) C Minor Collector LOCAL 999 Local project not associated with a road (not an Enhancement) L Local NA Not Applicable

5 ATP-6 STIP APPLICATION FORM FOR FISCAL YEAR 2017 Page 5 EXPLANATION SHEET ROADWAY RATINGS Pavement Sufficiency Rating (PSR) Pavement Quality Index (PQI) Range: Good: Fair: Poor:

6 ATP-6 STIP APPLICATION FORM FOR FISCAL YEAR 2017 Page 6 District 6 City and County Project Selection Criteria 1. Discuss the project s merits/benefits and intended affect upon the regional transportation network. (20 points) Fund projects that demonstrate the most need and provide the greatest benefit for the cost of the project. This goal considers the current and future transportation network and how it is enhanced and maintained. It insures that key elements of the existing transportation system are maintained and new elements strengthen the network. Key elements of the transportation system are those that are necessary from a regional perspective which improve access to markets, jobs, goods and services. An example of a beneficial improvement would be a project that impacts a high volume of traffic thereby benefiting a large amount of the general public. 2. Describe how the project will improve the mobility of people and goods. (20 points) To provide a greater level of mobility for all people and goods between points within the region and to major centers beyond the region. Examples that accomplish this goal include projects that: Improve flow and reduce travel time. Increase service capacity and reliability. Reduce single occupant vehicles. Promote transit operations. Relieve or prevent a worsening of congestion. Enhance the movement of industrial/agricultural sector freight, tourism and recreational travel. Improve access to the existing and developing major activity centers of the region. 3. Describe how the project eliminates structural, geometric and functional deficiencies. (20 points) Discuss the existing roadway including pavement and bridge condition, geometric deficiencies and drainage problems. 4. How does your project enhance or improve safety? Explain (15 points) Describe the impact your project will have on helping Minnesotans travel safer. Examples which accomplish this goal include: Comparison of accident rates and severity rates to statewide data. Is this a high safety priority for the city or county? Implementation of access controls which eliminates undesirable entrances or reduces the number of entrances. Improvement of site distance at an intersection or other problem areas. The addition of turn lanes, guardrails or other features which enhance safety.

7 ATP-6 STIP APPLICATION FORM FOR FISCAL YEAR 2017 Page 7 City and County Project Selection Criteria (continued) 5. Explain how the project contributes to the areas long-range transportation plan. (10 points) Projects being proposed shall provide solutions to problems identified in the longrange plan or other area plans. The goal is to get away from wish list project planning and move toward addressing the needs of communities through comprehensive planning efforts. 6. How does your project promote more than one mode of travel? Explain. (10 points) Create a seamless intermodal transportation system for the movement of people and goods that provides a connection between different elements of the transportation network. The Intermodal Surface Transportation Efficiency Act of 1991 (ISTEA) created a focus for transportation that emphasizes intermodal projects. Subsequent federal reauthorization has continued to provide local governments with the flexibility to provide more multimodal solutions to their transportation problems. The concept is to promote the most efficient mode in which to move people and goods. Intermodal access, new system linkages reducing vehicle miles of travel, and which provide improved service, are considered under this goal. 7. Describe what public participation has taken place with this project. (5 points) Provide for more creative and effective transportation decisions through public input. Projects that have been through a public review and participation process or have identified steps to be undertaken to get the public and/or interested parties involved will receive consideration under this item.

8 ATP-6 STIP APPLICATION FORM FOR FISCAL YEAR 2017 Page 8 Each project submitted will be placed in one of three categories: expansion, reconstruction or preservation. The ATP will use the following criteria to merge the sub-committee project lists. Projects will be recommended for funding in order of rank. The criteria selected for ranking are given below: EXPANSION PROJECTS CRITERIA (expansion adds roadway capacity) Criterion Weight safety considerations - high hazard elimination 5 congestion or other capacity problems 4 absence of reasonable alternatives - strategic link - important road in 3 community or region industrial - agricultural sector freight link for part of region 2 greater than 20% match 1 RECONSTRUCTION - REPLACEMENT CRITERIA (roadway capacity does not increase but existing facility is replaced) Criterion Weight safety considerations 3 condition of the pavement - structure 3 industrial - agricultural sector freight link for part of region 2 absence of reasonable alternatives - strategic rural to urban link - 1 important road in community PRESERVATION CRITERIA (only preserves existing facility, for example an overlay) Criterion Weight condition of the pavement - structure 3 absence of reasonable alternatives - strategic rural to urban link - 2 important road in community industrial - agricultural sector freight link for part of region 1