Pedestrian/Bicycle Imp. on Hwys PEDESTRIAN OR BICYCLE IMPROVEMENT ON URBAN STATE HIGHWAYS
Corrtrn uni tjz.' Date.'
Applicant (O'~v, Count, or ODOT Dis~'ct #).'
Contact Person: Title:
Address: Telephone:
1. Type of facility: Sidewalk: __ Bike Lanes or Shoulders: __
Intersection Improvement (describe):
Pedestrian Crossing Improvement (describe):
Other (describe):
2. Highway (name and/or number):
Cross street at beginning: at end:
Milepoints (if known): to Length (miles or feet):
Please include an 8.5"Xll "map of the project area that shows where it is within the community.
3. a. Estimate of total project cost, including engineering: $. (see note below under #4)
b. Can you donate a match? $ or in-kind services such as engineering,
design, materials or city/county labor: __ If so, what:
value: $
c. What amount are you requesting for this project (total cost minus match): $
4. Are you able to administer the project? Yes/no: ~ This may involve: obtaining easements or
permits; performing pre '~ engineering and design work required to produce plans,
specifications and estimates; arranging for utility reconstruction and/or relocation; advertising for
construction bid proposals; awarding contracts; furnishing construction engineering, material
testing, techrucai inspection and project management services for administration of the project
contracts
If not, who will administer the project? (COG, consultant):
5. Is the project included in a local, adopted plan? ~ If not, has the need been identified
elsewhere? ~ If so, where:
6. a. Have local elected officials indicated support for this project? Yes __ No ~
b. If on-street parking, accesses and/or driveways are affected by the project
have elected officials indicated support for the changes? Yes ~ No ~
Please submit written proof (dty council minutes, resolution, etc.)
c. Are you prepared to hold public hearings, if required? Yes ~ No ~
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7. Who will primarily be served by this project (e.g. school children, commuters, recreational users,
seniors, disabled, etc.)?
8. Briefly define the problem and describe the proposed solution. Include the following information: · Describe the need, the current conditions and how the project will improve the situation.
· Does the project fill in missing gaps or provide connectivity to other facilities?
· Will the project be linked to other work in the area (e.g. pavement preservation, utility or
drainage work)?
9. Are there any other factors that act as a deterrent to bicycling or walking on this roadway?
Describe:
I0. Does ~e proposed facility provide a '2r-& to transit or park-and-fide facilities? Yes __ No __
If yes, describe:
11. Does the project include a railroad crossing? Yes __ No ~
If yes, do the railroad and the ODOT Rail Crossing Safety Unit (503) 9864273
concur with your project request? Yes ~ No ~
12. Please describe any other outstanding project features that reviewers should be aware of:
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13. Draw a typical cross-section of existing roadway (and/or a diagram of intersection or crossing
treatment) and proposed solution; include width, surfacing, base design and other features:
Note.' applica~bns not w~itten on ttu~ form or a reasonable facsimile (three 8.5"x 11"pages rnax.)
will be returned You may attach letters of support. Return completed forms to your OOOTRegion
Coordinator
application form. doc
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