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PROJECT DATA SHEET

|Date: 7/3/10 |

| Rev.: 9/24/12 |

|TIP No.: |County: |

|Federal-aid No.: |WBS No.: |

|NCDOT Division: |Scoping Meeting Date: |

Project Description:

• Length:

• Termini (US Hwy / SR):

• MPO / RPO:

• NEPA / 404 Merger Candidate? Yes No Unknown

• General Description of Project:

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Design Data (Existing Conditions):

• Functional Classification:

• Strategic Highway Corridor:

• CTP Designation (Facility Type):

• Type of Access Control:

• Typical Section:

• Right of Way:

• Posted Speed:

• Structure Inventory (bridges, RCBC, Walls, etc):

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• Other TIP Projects in the Area

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• Railroad Involvement:

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Long Range Plan History:

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Traffic Data (AADT):

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|Current Year | | | | |

|Design Year | | | | |

|Source of Traffic Data: | |

Cost Estimates:

| |Construction |Right-of-Way |Total |

|TIP Estimate | | | |

|Current Estimate (20XX) | | | |

Project Schedule:

|Environmental Document | | |

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| | | |

|Right-of-Way | |

|Let | |

Initial Scoping Comments:

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Figure 1: Vicinity Map

(Insert here)

Concurrent Point 1 (Purpose and Need) Data:

Draft Project Need:

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Draft Project Purpose:

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Supplemental Data for Purpose and Need

(Insert here. Examples may include additional information on items on the project data sheet, such as TTST %, public input, etc. This supplementary information should be provided only when it is relevant to decision-making)

Figure 2: Environmental Features Map with

Study Area – as Recommended by NCDOT

(Insert here)

(Include data on map that will help P&N discussion)

Concurrence Point 2 (Alternatives) Data:

Design Data (Proposed Conditions):

• CTP Designation (Facility Type):

• Type of Access Control:

• Typical Section

• Right of Way:

• Posted Speed:

The following initial alternatives have been developed by NCDOT (either from Internal Scoping Meeting, CTP, or Feasibility Study):

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Preliminary Corridor Resources Inventory Table

|Resource/Measure |Alternative 1 |Alternative 2 |Alternative 3 |

|Length of project (to tenth of miles) | | | |

|Potential for Interchanges or RR crossings (#) | | | |

|Other Infrastructure (# of Wastewater treatment plants, transmission | | | |

|pipelines, etc.) | | | |

|Suspected/known Hazardous Material sites (#) | | | |

|National Register or eligible sites, districts, or other historic | | | |

|properties (#) | | | |

|Community facilities such and hospitals, nursing homes, churches, | | | |

|schools, cemeteries, etc.) (#) | | | |

|Potentially Affected Residential Properties | | | |

|Potentially Affected Business Properties | | | |

|Wetlands (est. acres rounded to whole acre) | | | |

|Streams (# of streams and number of linear feet) | | | |

|Critical Water Supply Watersheds (rounded to nearest acre) | | | |

|Riparian Buffer rules apply (yes/no/part)** | | | |

|Area in active agriculture (nearest acre) | | | |

|Parks, Greenways, Game Lands, Land and Water Conservation Fund | | | |

|Properties, etc.) (#) | | | |

|Identified Critical habitat/species under ESA (yes/no/part) | | | |

|FEMA Buyout Properties | | | |

|Other known/suspected resources or issues: (identify; e.g. Low-income or | | | |

|minority community) (#) | | | |

* New Location Estimates based on 1,000-foot corridor.

Widening Estimates based on 500-foot corridor.

** Buffer impacts assumed to be proportional to the stream impacts.

NOTE: This table is to be used in conjunction with the Environmental Features Map for the purposes of evaluating the feasibility of potential corridors. Use of the table without the aid of mapping may lead to misinformed decisions.

Figure 3: Environmental Features Map with

Initial Alternatives – as Recommended by NCDOT

(Insert here)

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