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A TRUE COPY CtHTIFICATION ON LAST PAGE 525-010-30 STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION �Ip� 8ARTON , CLERK CONSTRUCTION FEDERAL-AID PROJECT FUNDING REQUEST 08100 Page 1 of 2 DATE AGENCY Indian River County FEDERAL-AID PROJECT NUMBER SRTS 112 A FIN NUMBER 423186- 1 -58-01 STATE JOB NUMBER TIP PAGE NUMBER PROJECT TITLE Old Dixie Highway PROJECT TERMINI FROM : 38th Lane TO : 65th Street WORK PHASE : ❑ PLANNING ❑ ENVIRONMENTAL ❑ DESIGN 1�ffiljw CONSTRUCTION ❑ RIGHT OF WAY AWARD TYPE : LOCAL LOCAL FORCES ENVIRONMENTAL DOCUMENT: Mark the type of environmental document prepared , indicate the approval date , and the most recent reevaluation date . EIS approved on : and reevaluated on : EA /FONSI approved on : and reevaluated on : Categorical Exclusion : Programmatic Categorical Exclusion determination on : Type I Categorical Exclusion determination on : Type II Categorical Exclusion determination on : Categorical Exclusion Reevaluation on : PHASE TOTAL LOCAL AGENCY STATE FEDERAL FUNDS PERCENT OBLIGATION DATE ESTIMATED COST FUNDS FUNDING ( nearest Dollar) FEDERAL Month / Year nearest Dollar nearest Dollar nearest Dollar FUNDS PLANNING PD& E DESIGN RNV CONST . $ 1 , 5707200 . 00 $ 1 , 570 ,200 . 00 100 .00 TOTAL $ 1 , 570 , 200 .00 $ 1 , 570 , 200 . 00 100 . 00 DESCRIPTION OF EXISTING FACILITY ( Existing Design and Present Condition ) Roadway Width : 24' Number of Lanes 2 Bridge Number(s) on Project None DESCRIPTION OF PROPOSED WORK ❑ New Construction ❑ 3- R31 Enhancement ❑ Congestion Mitigation Sidewalk . Roadway Width N/A Number of Lanes N /A Bridge Numbers( s ) on Project LOCAL AGENCY CONTACT PERSON TITLE : Michael Nixon Roadwav En ineer MAILING ADDRESS : PHONE : 1801 27th Street ( 772 ) 288-5777 Vero Beach , FL 32960 AGENCY / P CODE : : Indian River County 960 LOCATION AND DESIGN APPROVAL : B APP r • - g Authority Cop y Engineer TITLE : � DATE :