ࡱ>     bjbj <*hh,A8h ;#;#;#;#*$')T7V7V7V7V7V7V799;jV7**$*$**V7;#;#7222*;#;#T72*T7222;#`6>22@780A82E<2E<22JE<@3**2*****V7V72***A8****E<********* :  FORMCHECKBOX  New   FORMCHECKBOX  Revised State of Nebraska Department of Roads Local Public Agency (LPA) Project Programming Request For:  FORMCHECKBOX  City  FORMCHECKBOX  County  FORMCHECKBOX  OtherTO BE COMPLETED BY NDOR PROGRAM MANAGEMENT SECTIONControl Number:  FORMTEXT      Project Number:  FORMTEXT      Project Name:  FORMTEXT      TO BE COMPLETED BY LOCAL PUBLIC AGENCYDetailed Description and Location of Proposed Project: (Attach Location Map and Typical Cross Sections to this form.)  FORMTEXT      Road or StreetFromToLengthNational Functional ClassificationNational Highway System (Yes or No) FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      Purpose and Need of Proposed Project:  FORMTEXT      Proposed Project ScheduleTraffic DataLetting Date:  FORMTEXT      Begin Construction:  FORMTEXT      Current ADT FORMTEXT   -Year ADT% TrucksLetting by:  FORMCHECKBOX  State  FORMCHECKBOX  LPAEnd Construction:  FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      Estimated Project FundingFederalStateLocalTOTALFeasibility Study FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT  =sum(Text21,Text22,Text23) 0$0.00PE/NEPA FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT  =sum(Text25,Text26,Text27) 0$0.00Final Design FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT  =sum(Text29,Text30,Text31) 0$0.00ROW FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT  =sum(Text33,Text34,Text35) 0$0.00Utilities FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT  =sum(Text37,Text38,Text39) 0$0.00Construction FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT  =sum(Text41,Text42,Text43) 0$0.00CE FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT  =sum(Text50,Text51,Text52) 0$0.00  Total FORMTEXT  =sum(Text21,Text25,Text29,Text33,Text37,Text41,Text50) 0$0.00 FORMTEXT  =sum(Text22,Text26,Text30,Text34,Text38,Text42,Text51) 0$0.00 FORMTEXT  =sum(Text23,Text27,Text31,Text35,Text39,Text43,Text52) 0$0.00 FORMTEXT  =sum(Text24,Text28,Text32,Text36,Text40,Text44,Text53) $0.00$0.00Requested by LPA Responsible Charge:Signature:Date:Title:Recommended by NDOR Urban/Secondary Roads EngineerApproved by NDOR Local Projects EngineerSignature:Date:Signature:Date:Approved by the MPO (if applicable)Approved by NDOR Program Management EngineerSignature:Date:Signature:Date:DR Form 530, Mar 09 (Continued) TO BE COMPLETED BY LOCAL PUBLIC AGENCYDesign DetailsExistingProposedRemarks/Existing ConditionSurface Width FORMTEXT       FORMTEXT       FORMTEXT      Surface Type FORMTEXT       FORMTEXT       FORMTEXT      Shoulder Width FORMTEXT       FORMTEXT       FORMTEXT      Shoulder "*.0LNPbt " $ & B D F P R T p r t 姜zm]mzmMmzmj\hAhCAUaJjhAhCAUaJjhAhCAUaJjhAhYUaJhAhYaJhAhY5CJ aJ hAhYCJaJhAh4PCJaJ#jthAhCACJUaJjhAhYCJUaJ#jhAhCACJUaJhAhYCJaJjhAhCACJUaJb   CkdD$$Ifl40*  t0644 lapytA $IfgdY $$Ifa$gdA$x$Ifa$gdA   : > @ T V X b d f j ƻzƻhzưVz#jPhAhCACJUaJ#j7hAhCACJUaJ(jhAhCJUaJmHnHu#jhAhCACJUaJjhAhCACJUaJhAhYCJaJhAh4PCJaJ hAhYhAhY5CJaJhAhYaJjhAhCAUaJjhAhCAUaJ!  f h j j~kd$$Ifl40* t0644 laytA $$IfgdA $IfgdY wj $$IfgdA $IfgdY~kd$$Ifl40* t0644 laytA J p$ 4$Ifa$gdA~kd$$Ifl40* t0644 laytA H J L 8 : N P R \ ^ ` b  , . 0 D F H R T V X l ʻvhaVDVV#jhAhCACJUaJhAhOCJaJ hAhOhAhO56CJaJhAhO5CJaJ hAhjg(jhAhCJUaJmHnHu#jhAhCACJUaJhAhjgCJaJjhAhCACJUaJhAhjg6CJaJhAhjgCJaJhAhY5CJaJhAhjg5CJaJ hAhYJ L 8 ` l_ 4$IfgdA 4<$If]^gdAykdw$$Ifl*+  t 0644 lap ytA` b  , }}}}}}}$ 4$If]^a$gdAjkd$$Ifl`*+ t0644 laytA, . 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Residential  FORMCHECKBOX  BusinessUtility Relocation or Adjustment FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Railroad within Limits of Construction FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  Crossing  FORMCHECKBOX  ParallelPublic Involvement FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  Low  FORMCHECKBOX  Moderate     FORMCHECKBOX  High4(f) Land Present FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX (106) Historical Property Present FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Channel Changes FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  Minor  FORMCHECKBOX  MajorFloodplain Permit FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Wetlands Present FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Section 404 USACE Permit FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX NPDES Storm Water Permit FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Additional Remarks or Comments by Local Public Agency(Attachments as needed)  FORMTEXT       rtvœĜ؜ڜܜ<>޾޾޾޾޾޾޾ui޾hAhc 5CJaJhAhc 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