New York State

New York State Department of Transportation

RAIL & PORT PROGRAMS

PROJECT FUNDING APPLICATION FY - 2008

Return completed form to: Mr. Raymond F. Hessinger, P.E.

Acting Director, NYSDOT Freight Bureau

50 Wolf Road POD 5-4

Albany, NY 12232

APPLICANT INFORMATION

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|1. APPLICANT’S FULL LEGAL NAME: |2. APPLICANT’S FEDERAL TAX ID NUMBER: |

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|3. APPLICANT’S MAILING ADDRESS: |

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|Number and Street: |

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|City: |

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|State: |

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|Zip Code: |

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|4. NAME & TITLE OF PERSON TO CONTACT ABOUT THIS APPLICATION: |

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|Name: Title: |

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|Phone number: e-mail address: |

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|Application Contact’s Address (if different than item #2 above): |

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|Number and Street: |

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|City: |

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|State: |

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|Zip Code: |

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PROJECT INFORMATION

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|5. SHORT TITLE OF PROPOSED PROJECT: |

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|6. SHORT DESCRIPTION OF PROPOSED PROJECT |

|(rail / tie replacement, surfacing, yard work, new access, structural improvements, etc.): |

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|7. AMOUNT OF STATE GRANT REQUESTED: $ |

|(Refer to Item # 19 – Project Fund Sources, line f.) |

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|8. PROJECT LOCATION: |

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|For railroad project give name of railroad line and project limits: |

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|Railroad Line Name or Port: |

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|Milepost or Limits of proposed project: At milepost or Between milepost and milepost |

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|County(ies): |

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|Attachments: |

|Location Map (Required) Track Chart (Required) Other: _______________ |

|Valuation Map (As Necessary) ZTS Map (As Necessary) |

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|Site or facility name (if appropriate): |

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|9. EXISTING CONDITIONS AND NEEDS: |

|(Describe existing conditions intended to be remedied by this project) |

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|Attachments (as necessary): |

|Photographs Inspection Reports Other: __________________ |

|Network Simulation (baseline) |

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|10. PROJECT OBJECTIVE: |

|(Describe what the project is intended to accomplish) |

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|11. PROJECT ALTERNATIVES: |

|(Describe the methods considered to achieve project objectives) |

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|Attachments (as necessary): |

|Plan & Profile Inspection Reports Other: __________________ |

|Network Simulation (proposed) |

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|12. PROJECT COORDINATION |

|(Describe the relationship of this project to other projects under development by the applicant, annual maintenance programs, and other projects previously funded by |

|NYSDOT.) |

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|13. RAIL / PORT SERVICE TYPES: |

|Identify rail / port service types affected by the project (check all that apply): |

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|Freight Intercity Passenger Commuter Tourist |

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|14. PROJECT BENEFITS: |

|(Provide information requested below, as applicable, on the benefits of the proposed project. Calculations supporting the benefits claimed must be provided with the |

|application. Attach additional sheets as necessary to fully describe project benefits and/or support calculations. Refer to application instructions pages 5 thru 7 |

|for further instructions on individual line items.) |

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|Rail car loads (Inbound / Outbound) generated or diverted from truck as a direct result of project: |

|Commodity |

|Carloads / Year |

|Origin City |

|Destination City |

|Tons / Railcar |

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|Reduction in annual truck-miles: / yr |

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|Reduction in annual passenger vehicle miles: / yr |

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|Retention of employment: Jobs Created $ Avg. Annual Salary |

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|Increases in employment: Jobs Retained $ Avg. Annual Salary |

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|Rail Accident Avoidance Costs or Benefits: $ / yr |

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|Reductions in grade crossing risk: Use FRA Quiet Zone Calculator |

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|Changes in Service Reliability: % on time arrival / delivery |

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|Passenger trip time savings (min. / train) (train / day) (psgrs. / train) |

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|Freight trip time savings (days / shipment) |

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|Locomotive Fuel Savings gal / yr |

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|Locomotive Emissions Reductions tons / yr |

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|Changes in annual transportation expenses: $ / yr |

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|Changes in annual railroad maintenance cost: $ / yr |

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|Changes in annual railroad operating costs: $ / yr |

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|PROJECT ACHIEVEMENTS: |

|Before After |

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|FRA Track Class in Project Area: |

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|Maximum allowable railcar weight: |

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|Minimum overhead clearances: |

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|Minimum horizontal clearances: |

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|Other (increased track speed, capacity, etc.): |

|Identify |

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|15. PROJECT BENEFIT NARRATIVE: |

|(Describe any project benefit not included above. Quantify benefits wherever possible and attach calculations.) |

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|16. PROJECT IMPLEMENTATION SCHEDULE: |

|(Provide a project schedule, in months. List all major project milestones, including environmental review) |

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|17. PROPOSED METHOD OF PROJECT IMPLEMENTATION (Check as many as apply): |

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|Consultant engineering Consultant project management Construction by private contractor |

|In-house engineering In-house project management Construction by in-house forces (force account) |

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|18. ESTIMATED PROJECT COSTS: |

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|The applicant must attach a detailed estimate for the project with the application. The value of any salvaged materials shall be shown as a credit in the estimate. |

|In the event actual costs exceed the estimates provided here, the grantee will be expected to assume 100% of any cost over-runs. At minimum, the estimate must include|

|the following categories (as applicable to the project): |

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|Engineering / Environmental Assessment $ 0.00 |

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|Site Work $ 0.00 |

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|Bridges & Structures $ 0.00 |

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|Track Work $ 0.00 |

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|Signals & Communications: $ 0.00 |

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|Mechanical $ 0.00 |

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|Contingency $ 0.00 |

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|SUBTOTAL $ 0.00 |

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|Salvage ( $ 0.00) |

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|TOTAL $ 0.00 |

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|19. PROJECT FUND SOURCES: |

|(For projects to be funded by the 2005 Transportation Bond Act, non-State sources must provide a minimum 10% of the total project costs.) |

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|a. Applicant Share: $ |

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|b. Federal Share: $ Source: (eg, FHWA, FRA, etc.) on STIP (Y/N) Year |

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|c. Other non-State Share: $ Source: |

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|SUBTOTAL – Non-State Sources: $ (a+b+c), Must be at least 10% of project total for Bond projects |

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|Other NYSDOT Sources $ Source: (eg. Multi-Modal, IAP, etc.) |

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|Other State Sources $ Source: (eg. ESDC, NYSERDA, NYSDEC, etc.) |

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|SUBTOTAL – Other State Sources: $ (d+e) |

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|Rail Grant Requested: $ Carry-over to Page 1, Item # 7. |

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|TOTAL PROJECT COST: $ |

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|20. ENVIRONMENTAL CONSIDERATIONS: |

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|A. IS THE APPLICANT A MUNICIPAL CORPORATION, PUBLIC AUTHORITY, OR COUNTY SUBJECT TO THE STATE ENVIRONMENTAL QUALITY REVIEW ACT (SEQR)? |

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|YES |

|NO |

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|IF THE ANSWER IN SECTION “A,” IS “YES,” STOP. Pursuant to 17 NYCRR Part 15.5, the Applicant shall be the lead agency under SEQR and shall file a copy of its SEQR |

|determination with NYSDOT prior to initiation of construction activities. |

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|IF THE ANSWER IN SECTION “B” IS NO, PLEASE ANSWER THE QUESTIONS IN SECTIONS “B” AND “C”. The applicant is advised that interaction with other agencies, such as State |

|Historic Preservation Office (SHPO) and New York State Department of Environmental Conservation (DEC), may be necessary in order to comply with State Environmental |

|Quality Review (SEQR) law. Also, it may be necessary for the applicant to provide additional documentation at later stages in the development of the proposed project.|

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|B. IF THE ANSWER IN SECTION “A” IS NO, WHICH OF THE FOLLOWING STATEMENTS BEST DESCRIBES THE SCOPE OF THE APPLICANT’S PROPOSED PROJECT? (Check only one box) |

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|The acquisition or rehabilitation of transportation vehicles, including locomotives, freight & passenger cars, and maintenance-of-way equipment. |

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|The acquisition and use of signal and communications equipment. |

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|The expansion, reconstruction, rehabilitation, or replacement of existing public transportation passenger terminal buildings involving expansion by less than 50% of |

|the existing site or floor area. |

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|The construction of new transportation buildings or terminals. |

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|The replacement, reconstruction, or rehabilitation of existing highway/railroad crossings at grade and crossing bridges. |

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|The construction of new parking areas for less than 250 vehicles. |

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|The construction, reconstruction, or rehabilitation of track. |

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|Other: |

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|C. IF THE ANSWER IN SECTION “A” IS NO, PLEASE ANSWER THE FOLLOWING THRESHOLD QUESTIONS: |

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|YES NO Does the project require the acquisition of any real estate? If YES, does this real estate involve any occupied homes or businesses? YES NO |

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|YES NO Will the project result in significant changes in vehicular travel patterns, traffic volumes, or highway access? |

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|YES NO Will the project have effects on abutting properties? |

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|YES NO Is the project consistent with plans or goals adopted by the local government body? |

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|YES NO Will the project alter more than 2.5 acres of public park land, recreation area, or designated open space? |

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|YES NO Will the project have an effect on any district, site, building, structure, or object that is listed, or may be eligible for listing on the National Register|

|of Historic Places? |

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|YES NO Is the project located within 100 feet of a wetland area? |

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|YES NO Is the project located within a 100 year floodplain area? |

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|YES NO Is the project located within an agricultural district? |

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|YES NO Is the project located within 100 feet of a river, stream, lake, or other body of water? |

|If YES, please provide NAME of this body of water: ___________________ |

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|YES NO Will the project have an effect on any rare, endangered, or threatened species? |

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|Describe any special environmental conditions: |

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|21. RIGHT OF WAY CERTIFICATION: |

|Does the applicant lease the right-of-way or is applicant a contract operator over subject trackage ( yes / no ): |

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|If Yes, identify host entity: |

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|Provide lease / contract term: years, expiration date: , and extension terms: |

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|Depending on the fund source, NYSDOT rail and port grant agreements include a 10 to 30 year operation and maintenance clause beyond the completion of the project. If |

|this clause extends beyond the terms of the applicant’s current lease or operation agreement, attach a statement from host entity indicating a willingness to assume |

|those obligations upon expiration of the current lease / operation agreement with the applicant. |

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|22. PROJECT PRIORITY: |

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|For applicants who submit more than one project funding application, please indicated the priority order of your applications as follows: |

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|a. Number of applications submitted: |

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|b. Priority order of this project: of |

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|23. PROJECT SERVICE LIFE: |

|Identify the anticipated service life of the improvements: |

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|10 years 15 years 20 years 30 years |

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|Identify the timeframe from completion of project construction to achievement of steady-state accrual of project benefits: years. |

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|24. SUMMARY OF ATTACHMENTS: |

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|8. Project Location – Location Map (required), Track Chart (required) , & Other Information (as necessary) |

|9. Existing Conditions & Needs – Supporting Documentation (as necessary) |

|11. Project Alternatives – Supporting Documentation (as necessary) |

|14. Project Benefits – Supporting Documentation (as necessary) |

|15. Project Benefit Narrative – Supporting Documentation (as necessary) |

|16. Project Implementation Schedule – Supporting Documentation (as necessary) |

|18. Estimated Project Costs – Detailed Project Estimate (required) |

|20. Environmental Considerations – Supporting Documentation (as necessary) |

|21. Right-of-Way Certification – Host Support Statement (as necessary) |

|n/a. Other Supporting Documentation (as necessary): ______________________________ |

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|25. ATTESTATION: |

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|To the best of my knowledge, the information provided herein is true and accurate description of the proposed project and its benefits. |

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|NAME OF PERSON AUTHORIZED TO SIGN THIS APPLICATION, TITLE AND DATE SIGNED: |

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|Please Print Name Title Date |

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|Signature: |

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