TRANSPORTATION IMPROVEMENT PROGRAM MEMBER AGENCY SUBMISSION FORM

1.

Date of Submission:

2.

Sponsoring Agency:

3.

Project Name:

4.

Project Category:

System Preservation

System Management

System Expansion

Project Development

Other:

5.

Project Description:

6.

Project Justification:

7.

Federal Funding (include for four-year period by year):

8.

State Funding (include for four-year period by year):

9.

Local Funding:

10.

Total Funding:

11.

Does this project require a new conformity determination? (Section 51.400)(C2) “A TIP amendment requires a new conformity determination for the entire TIP before the amendment is approved by the MPO, unless it merely adds or deletes exempt projects listed in (Section 51.460).”

Yes

No

12.

Is this project regionally significant? (Section 450.324)(f)(3) “The TIP shall include…all regionally significant transportation projects for which an FHWA or the FTA approval is required whether or not the projects are to be funded with title 23, U.S.C., or Federal Transit Act funds, e.g., addition of an interchange to the Interstate System with State, local, and/or private funds, demonstration projects not funded under title 23, U.S.C., or the Federal Transit Act, etc.”

Yes

No

13.

Has this project had the opportunity for public comment? (Section 450.326) “… Public involvement procedures consistent with Section 450.316 (b)(1) shall be utilized in amending the TIP, except that these procedures are not required for TIP amendments that only involve projects of the type covered in Section 450.324 (I).”

Yes

No

14.

Has this project been found to be financially constrained? (Section 450.324)(e) “The TIP shall be financially constrained by year and include a financial plan that demonstrates which projects can be implemented using current revenue sources (while the existing transportation system is being adequately operated and maintained. The financial plan shall be developed by the MPO in cooperation with the State and transit operator…”

Yes

No

15.

Please indicate funding sources by agency:

16.

Is this project consistent with the WILMAPCO Regional Transportation Plan? (Section 450.324)(f)(2) “The TIP shall include…only projects that are consistent with the transportation plan.”

Yes

No

17.

Does the project promote economic development initiatives such as adding or improving access to brownfield locations or to an existing or planned site used for employment, tourism, manufacturing, commercial or industrial purposes, or addresses a problem, topic or issue identified through regional economic development planning?

Yes

No (Skip to Q. 19)

18.

Describe:

19.

Please provide any additional pertinent information below:

20.

Were public workshops/meetings used as a public outreach technique?

Yes

No (Skip to Q. 28)

21.

How many public workshops/meetings?

22.

What was the format used?

23.

What were the locations?

24.

Number of attendees:

25.

Major issue raised:

26.

Consensus of meeting:

27.

Overall, the public support for the project was (check one):

Strong support, few concerns

Some support, but some concerns raised

Mixed, equal support and opposition

Some opposition, many concerns raised

Strong opposition, many problems identified

unresolved issu:

28.

Citizen advisory/steering committee:

Yes

No

29.

Survey:

Yes

No (Skip to Q. 32)

30.

Number surveyed:

31.

Results:

32.

Elected officials briefings:

Yes

No

33.

Project web site:

Yes

No

34.

Other outreach efforts:

35.

How was the public notified about the project?

(Select all that apply.)

Web page

Legal notice

Videos

Radio/TV

Publications

Newsletters

Flyers

Other:

36.

How has the project changed as a result of public comments?

37.

Comment further on the quality and quantity of the public participation: