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Go <br />O <br />FELLSMERE BIKEPATH <br />525-910-300 C HE CK L T S T August 20, i997 <br />® Local Agency Program Manual Chapter 2 Section I <br />PROJECT FUNDING APPLICATION CHECKLIST <br />LOCAL AGENCY:Indian River County PROJECT IDENTIFICATION: 230889-1-54-01 Construction <br />WORK PROGRAM ITEM NO.: STIP PAGE NO. Grant <br />TIP PAGE NO.: <br />Use this sheet as a cover sheet to the project application package. Place an "X" in the right column to <br />denote items included. If not applicable, state N/A. Include in the cover letter a comment explaining the <br />action taken on each item as appropriate. <br />Application: <br />1. Federal -aid Project Funding Request Cha 11- 1) X <br />2. Vicinity Map ............................................ •......... X <br />3. Typical Roadway Section ........................................... X <br />4. Typical Bridge Section ............................................. Nf A <br />5a. Local Agreement (Chapter 1I-2) ...................................... X <br />5b. Resolution No. , Dated; <br />(if required)...................................................... X <br />Supporting Data: <br />6. <br />State Clearinghouse (ICAR) (Chapter 1-4) .............................. <br />N/A <br />7. <br />Safety Improvements -- <br />--(ChapterlV-1) <br />(Chapter IV-1).................................................... <br />N/A <br />8. <br />Photos of Railroad Crossing ......................................... <br />__N_7A_ <br />9. <br />Deviation Request and Justification(Chapter IV -1) ........................ <br />N A <br />10. <br />Environmental Document (Chapter I1-4) ............................... <br />X <br />11. <br />Compliance with environmental document commitments .................. <br />N A <br />12. <br />Right of Way Required (Chapter I1-5) ................................. <br />N A <br />a. Pre -Qualification Letter of Approval <br />rrom FDOT............................................... <br />N/A <br />b. Right -of -Way Maps ......................................... <br />--N7T— <br />c. Right of Way Project Cost Estimate ............................. <br />N/A <br />d. Request Right of Way Project Authorization ...................... <br />N/A <br />13. <br />Right of Way Certification (Chap.11-Sect 5) ............................. <br />N /'A <br />14. <br />Agreements/Easements with Railroads, Utilities, <br />and Other Ager;.:c:; (IFDO, ,. <br />Other --o_..�..�., �. Lv, s Project Lavelopment <br />and Environmental Guidelines, Part 2; Grade <br />Crossing, Procedure No. 725-080.120; and <br />Utility Negotiation/Agreements, Procedure <br />No. 710-010-050) ................................................. <br />N/A <br />15. <br />Corp of Engineers, and/or Coast Guard Permits (Environmental <br />Permit Coordination <br />Procedure No. 650-040-001) ...... . ................................. <br />N/A <br />16. <br />Water Management District Permit <br />16. to follow <br />17. NPDES Permit <br />18. FAA Notificas:ion (FAA for 7460.1) (14 CFR, <br />Exhibit 11-1-1 - Project Funding Application Checklist 2-1.2 <br />