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Six Year Transportation Improvement Program --\. <br /> instructions for Preparing the Form <br /> Include all projects regardless of location or source of funds.Complete the form for the six year program in accordance with the <br /> following instructions. <br /> Heading <br /> Agency Enter name of the sponsoring agency. • <br /> • <br /> County Number Enter the OFM assigned number.(See LAG Appendix 21.37.) ' ' <br /> City Number Enter the OFM assigned Number.(See LAG Appendix 21.38.) <br /> MPO Enter the name of the associated MPO(if located within urbanized area). <br /> Hearing Date Enter the date of public hearing. • <br /> Adoption Date Enter the date this program was adopted by council or commission. <br /> Resolution Number Enter Legislative Authority resolution number if applicable. <br /> Column Number <br /> 1. Functional Classification.Enter the appropriate two-digit code denoting the Federal Functional Classification. <br /> (Note:The Federal Functional Classification must be approved by FHWA.) <br /> Description <br /> Rural(under 5,000 area) Urban(over 5,000 areas) <br /> 01 Interstate 11 Interstate <br /> 02 Principal Arterial 12 Freeways&Expressways • <br /> 06 Minor Arterials 14 Other Principal Arterials <br /> 07 Major Collector 16 Minor Arterial <br /> 08 Minor Collector 17 Collector <br /> 09 Local Access 19 Local Access <br /> 00 No Classification 00 No Classification <br /> 2. Priority Number.Enter local agency number identifying agency project priority(optional). <br /> 3. Project Identification.Enter(a)Federal Aid Number if previously assigned;(b)Bridge Number,(c)Project tide;(d)Street/Road Name • <br /> or Number/Federal Route Number,(e)Beginning and Ending Termuu(mile post or street names);and(f)Describe the Work to be <br /> Completed. <br /> 4. Improvement Type Codes. Enter the appropriate federal code number(s). <br /> Description <br /> 01 New construction on new alignment 12 Safety/Traffic Operatien/FSM • <br /> 02 Relocation 13 Environmentally Related <br /> 03 Reconstruction 14 Bridge Program Special <br /> 04 Major Widening 21 Transit Capital Project <br /> 05 Minor Widening 22 Transit Operational Project <br /> 06 Other Enhancements 23 Transit Planning • • <br /> 08 New Bridge Construction 24 Transit training/Administration <br /> 09 Bridge Replacement 31 Non Capital Improvement. • <br /> 10 Bridge Rehabilitation 32 Non Motor Vehicle Project <br /> 11 Minor Bridge Rehabilitation <br /> 5. Funding Status. Enter the funding status for the entire project which describes the current status. <br /> F Project is selected and funding has been secured by the lead agency. <br /> S Project is subject to selection by an agency other than the lead. <br /> P Project is listed for planning purpose and funding is not secured. <br /> 6. Total Length. Enter project length to the nearest hundredth miles(or code"00"if not applicable). <br /> 7. Utility Code(s). Enter the appropriate code letter(s)for the utilities that would need to be relocated or are impacted by the construction <br /> project. <br /> C Cable TV S Sewer(other than agency owned) G Gas <br /> P Power T Telephone W Water <br /> O Other <br /> 8. Project Phase.Select the appropriate phase code of the project. <br /> PE Preliminary Engineering only(or planning) <br /> RW Right of Way or land acquisition only(or equipment purchase) <br /> CN Construction only(or transit operating) <br /> ALL All Phases from Preliminary Engineering through Construction <br /> 9. Phase Start Date.Enter the month/day/year in MM/DD/YY format that the selected phase of the project is actually excepted to start. <br /> 10. Federal Funds Source.Enter the Federal Fund Source code from the table. <br /> BR Bridge Replacement or Rehab. S9 ETA Urban Areas <br /> CMAQ Congestion Mitigation Air Quality STP(C) STP Statewide Competitive Program <br /> DEMO ISTEA Demo Projects(Selected) STP(E) SW Transportation Enhancements <br /> IC Interstate Construction STP(S) SW Safety including Hazard&RR <br /> IM Interstate Maintenance STP(R) SW Rural regionally selected <br /> NHS National Highway System STP(U) SW Urban regionally selected • <br /> S 16 FTA Elderly&Disabled Persons STP SW all other SW project nor listed <br /> S I8 FTA Rural Areas Other All other Federal Funds Sources <br /> S3 ETA Discretionary for Capital Expenditure • <br /> 11. Federal Cost. Enter the total federal cost(in thousands)of the phase regardless of when the funds will be spent. <br /> 12. State Funds Code.Enter appropriate for any of the listed funds to be used on this project. <br /> CAPP County Arterial Preservation Program RAP Rural Arterial Program <br /> TIA Transportation Improvement Account UATA Urban Arterial Trust Account <br /> PWTF Public Works Trust Fund Other i.e.WSDOT <br /> 13. State Funds. Enter all funds from State Agencies(in thousands)of the phase regardless of when the funds will be spent. <br /> 14. Local Funds. Enter all funds from local Agencies(in thousands)of the phase regardless of when the funds will be spent. <br /> 15. Total Funds. Enter the Sum of columns 10,12,and 14. <br /> 16-19. Expenditure Schedule-(1st,2nd,3rd,4th thru 6th years). Enter the estimated expenditures(in thousands)of dollars by year.This <br /> data is for Local Agency use. <br /> 20. Environmental Data Type. Enter the type of environmental assessment that will be required for this project.This is required for •- <br /> Federally Funded projects only. <br /> EIS Environmental Impact Statement CE Categorical Exclusion <br /> EA Environmental Assessment NA Not Applicable/Unknown <br /> 21. R/W Certification.Circle Y if Right of Way acquisition is required.If yes,Enter R/W Certification Date if known.This is required for <br /> Federally Funded projects only. <br /> DOT Form 140.049 Instructions <br /> Reused 4/94 <br />