VDOT High Volume Unpaved Road Program Application for Funds

VDOT High Volume Unpaved Road Program Application for Funds

FY: County: Residency:

Project Information

VDOT Route Number: VDOT UPC: Traffic Count: vpd Traffic Count Year:

From: To: Length: Priority # in Current Six-Year Plan:

Preliminary Engineering (PE) completion date:

Is all necessary right-of-way secured? NoYes If not when will right-of-way be secured?

Are there utilities that need relocation? YesNo If so what is utility relocation completion date?

Current construction start date:

Estimated construction start date if additional funding request approved:

Funding Information

Requested funds for this application: / $
Estimated cost of construction: / $
Current allocations available: / $
How much of this is local funding? / $
Will request fully fund project? / NoYes

Is the Rural Rustic Roads concept being used? YesNo If yes, has resolution been provided? NoYes

How many school buses include this road on their daily route?

Have there been any previously identified safety issues or reportable accidents along the road? NoYes If yes, provide details:

Is this a through road that currently provides direct access to any schools or other community/public service facilities? YesNo If so, provide information on the facilities served and their distance from the unpaved road:

Other Comments:

Completed by (County Staff): Title:

Signature ______Date: ______

VDOT Residency Administrator Review

VDOT Comments/Recommendation:

Signature: ______Date: ______