Laserfiche WebLink
40 <br />e 525-010-300 August 20, 1997 <br />Local Agency Program Manual Chapter 2 Section 1 <br />PROJECT FUNDING APPLICATION CHECKLIST <br />LOCAL AGENCY: INDIAN RIUR O IMPROJECTIDENTIFICATION:_ 23088.-1-54-01 onstruction Grant <br />WORK PROGRAM ITEM NO.: STIP PAGE NO. <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 />I . Federal -aid Project Funding Request (Chap. I1-1) ........................ x <br />2. Vicinity Map ..................................................... u <br />3. Typical Roadway Section ........................................... _� <br />4. Typical Bridge Section .......................................... . --LIIA <br />Sa. Local Agreement (Chapter 11-2) ....................................... X <br />5b. Resolution No. , Dated: <br />(if required) ............................................. ...... X <br />Supporting Data: <br />6. <br />State Clearinghouse (ICAR) (Chapter I-4) .............................. <br />N/A <br />7. <br />Safety Improvements -- <br />-(ChapterlV-1) <br />(Chapter IV-1).................................................... <br />Nom <br />8. <br />Photos of Railroad Crossing ......................................... <br />- <br />9. <br />Deviation Request and Justification(Chapter IV -1) ........................ <br />� <br />10. <br />Environmental Document (Chapter I1-4) ............................... <br />X <br />11. <br />Compliance with environmental document commitments ................. <br />12. <br />Right of Way Required (Chapter II -5) ................................. <br />. <br />N/A <br />a. Pre -Qualification Letter of Approval <br />FromFDOT............................................... <br />N/A <br />b. Right -of -Way Maps ......................................... <br />N A <br />c. Right of Way Project Cost Estimate <br />N A <br />............................. <br />d. Request Right of Way Project Authorization ...................... <br />N A <br />13. <br />Right of Way Certification (Chap.11-Sect 5) ................ <br />?T T —_ <br />1-^.. <br />Agrcutne;ns;Lasements with Railroads, Utilities, <br />and Other Agencies (FDOTs Project Devzlopment <br />arid L-awironmentai Guidelines, Part 2; Grade <br />Crossing, Procedure No. 725.080-120; and <br />Utility Negotiation/Agreements, Procedure <br />No. 710-010-050) ................................................. <br />(to follow) <br />15. <br />Corp of Engineers, and/or Coast Guard Permits (Environmental Permit Coordination <br />Procedure No. 650-040-001) ........................................ <br />16. <br />Water Management District Permit ( to follow, when design <br />�Lp <br />is complete) <br />17. <br />NPDES Permit <br />18. <br />FAA Notification (FAA for 7460-1) (14 CFR, <br />Exhibit <br />II -1-1 - Project Funding Application Checklist <br />2-1-2 <br />