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

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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 2014-2017\STIP Application - 2017.doc

ATP-6 STIP APPLICATION FORM FOR FISCAL YEAR 2017 Page 2 15. 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.

ATP-6 STIP APPLICATION FORM FOR FISCAL YEAR 2017 Page 3 EXPLANATION SHEET Type of Work (Code and Description) W0100 - GRADE, SURFACE & BRIDGE W0902 - PAVE SHOULDER W4300 - BUS CAPITAL IMPROVEMENT W0200 - GRADE AND SURFACE W0903 - PAVEMENT WIDENING W5000 - RIGHT OF WAY W0300 - GRADE AND BRIDGE W0904 - TURN LANES W5100 - ACQUIRING ACCESS CONTROL W0400 - GRADING W0905 - GUARD RAIL W5500 - JURISDICTIONAL REASSIGNMENT W0500 - BRIDGE REPLACEMENT W0906 - TRAFFIC BARRIER W6000 - SUPP. AGREE. & COST OVERRUNS W0501 - BRIDGE APPROACHES W0907 CHANNELIZATION W7000 - PED. /BIKE IMPROVEMENT W0502 - BRIDGE REMOVAL W0908 - SHOULDER REPLACEMENT W7100 - ENHANCEMENT W0503 - CULVERT REPLACEMENT W0909 - EROSION REPAIR W7200 - PEDESTRIAN BIKE TRAIL W0504 - CULVERT EXTENSION W0910 BACKSLOPING W7300 - PEDESTRIAN BIKE BRIDGE W0505 - NEW BRIDGE W0911 - BYPASS LANE W7400 - DNR RECREATIONAL TRAILS W0506 - CULVERT REPAIR W0912 - CLEAR & GRUB W7500 - HISTORIC PRESERVATION W0507 - BOX CULVERT W0913 EXCAVATION W8000 - PLANNING W0508 - STEEL FOR NEW BRIDGE W0914 - MEDIAN BARRIER W0509 - TEMPORARY BRIDGE W0915 - IMPACT ATTENUATOR W0510 - APPROACH PANEL W0916 - SLOPE FLATTENING W0511 - APPROACH PANEL REPLACEMENT W0917 - STORM SEWER W0512 - CULVERT W0918 - STORM SEWER REPAIR W0600 - SURFACING W0919 - STORM SEWER REPLACEMENT W0601 - CONCRETE PAVEMENT W0920 - RIP RAP W0602 - UNBONDED CONCRETE OVERLAY W1000 - TRAFFIC SIGNAL INST. W0603 - BONDED CONCRETE OVERLAY W1001 - TRAFFIC SIGNAL REVISION W0604 - CONCRETE PAVEMENT REHAB W1002 - TRAFFIC MGMT. SYSTEM W0605 - CONCRETE PVMNT SURF PLNG W1003 - WARNING FLASHERS W0606 - JOINT SEALING W1004 - HOV RAMP METER BYPASS W0607 - BITUMINOUS PAVEMENT W1005 - DEER REFLECTORS W0608 - BITUMINOUS OVERLAY W1006 STRIPING W0609 - CRACK AND OVERLAY W1100 SIGNING W0610 - MILL AND OVERLAY W1200 LIGHTING W0611 - BITUMINOUS SEAL COAT W1300 LANDSCAPING W0614 - EDGE DRAINS W1301 - SALVAGE YD. SCREENING W0615 - JOINT REPAIRS W1302 FENCING W0616 - BITUMINIOUS CRACK & SEALING W1303 - LANDSCAPE PARTNERSHIP W0617 - BITUMINOUS SAW & SEAL W1304 - LIVING SNOW FENCE W0618 - BITUMINOUS ROUT & SEAL W1400 - NOISE ABATEMENT W0619 - BITUMINOUS RECLAMATION W1500 BUILDINGS W0620 - BIT. COLD INPLACE RECYCLING W1502 - REST AREA W0621 - CONCRETE OVERLAY W1503 - WEIGH STATION W0622 - CONCRETE WHITE TOPPING W1504 - BUILDING REMOVAL W0623 - CRACK REPAIR W1700 - ABANDONED R.R & R/W ALIGN. W0624 - MICRO SURFACING W1800 - R.R. X-ING IMPROVEMENTS W0625 - PAVEMENT PATCHING W1900 - R/W MONUMENTATION & MAP W0626 - PAVEMENT SURFACE PLANING W2000 - RAILROAD SURFACING W0627 - SEAL COAT W2100 - RAILROAD SIGNALS W0800 - BRIDGE REPAIR W2200 - RAILROAD SURF/SIGNALS W0801 REDECK W2500 - COOP. CONST. AGREEMENT W0802 - WIDEN AND REDECK W2501 - DETOUR AGREEMENT W0803 - PAINT BRIDGE W2502 - RAILROAD AGREEMENT W0804 RAILINGS W2503 - RESEARCH AGREEMENT W0805 - BRIDGE REPAIR OTHER W2504 - UTILITY AGREEMENT W0806 - BRIDGE OVERLAY W3000 - ROAD REPAIR W0807 - BRIDGE JOINTS W4000 - PURCHASE BUS W0808 - BRIDGE WIDEN W4100 - OPERATE BUS W0901 - SHOULDER WIDENING W4200 - BUS GRANT

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

ATP-6 STIP APPLICATION FORM FOR FISCAL YEAR 2017 Page 5 EXPLANATION SHEET ROADWAY RATINGS Pavement Sufficiency Rating (PSR) Pavement Quality Index (PQI) Range: 0-5.0 0-4.5 Good: 3.3+ 3.3+ Fair: 2.9-3.3 2.9-3.3 Poor: 2.8-0 2.8-0

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.

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.

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