Maximum grade: % (List mainline, cross roads, and driveways)

Major interchanges or intersections along the project:

Project Concept Report page _____

Project Number:

County:
Proposed Design Features:

• 
  Proposed typical section(s): (Describe number & width of lanes, turn lanes, curb & gutter, sidewalks, etc.)
  
• 
  Proposed Design Speed Mainline _______mph
  
• 
  Proposed Maximum grade Mainline_____% Maximum grade allowable ________%
  
• 
  Proposed Maximum grade Side Street _____% Maximum grade allowable ________%
  
• 
  Proposed Maximum grade driveway _____%
  
• 
  Proposed Maximum degree of curve _____ Maximum degree allowable _________
  
• 
  Right-of-Way
  
  • 
    Width ________
    
  • 
    Easements: Temporary ( ), Permanent ( ), Utility ( ), Other ( ).
    
  • 
    Type of access control: Full ( ), Partial ( ), By Permit ( ), Other ( ).
    
  • 
    Number of parcels: ____________ Number of displacements:
    
    • 
      Business: ______________
      
    • 
      Residences: _____________
      
    • 
      Mobile homes: ___________
      
    • 
      Other: _________________
      
• 
  Structures:
  
  • 
    Bridges (Describe)
    
  • 
    Retaining walls (Describe alternates)
    
• 
  Major intersections and interchanges.
  
• 
  Traffic control during construction: Include a description of any proposed detours.
  
• 
  Design Exceptions to controlling criteria anticipated:
  

HORIZONTAL ALIGNMENT: ( ) ( ) ( )

ROADWAY WIDTH: ( ) ( ) ( )

SHOULDER WIDTH: ( ) ( ) ( )

VERTICAL GRADES: ( ) ( ) ( )

CROSS SLOPES: ( ) ( ) ( )

STOPPING SIGHT DISTANCE: ( ) ( ) ( )

SUPERELEVATION RATES: ( ) ( ) ( )

HORIZONTAL CLEARANCE: ( ) ( ) ( )

SPEED DESIGN: ( ) ( ) ( )

VERTICAL CLEARANCE: ( ) ( ) ( )

BRIDGE WIDTH: ( ) ( ) ( )

BRIDGE STRUCTURAL CAPACITY: ( ) ( ) ( )

Project Concept Report page _____

Project Number:

County:
This area of the Concept Report is for the indication of potential deviations from the controlling criteria followed by the Department. A brief description of the potential deviation should be included in the report. A design exception must be granted for design exceptions.

• 
  Design Variances (List design variances expected).
  
• 
  Environmental concerns (Describe anticipated permits (Section 404, TVA, Water quality, etc.), ust’s, hazardous waste sites, history, archaeological, etc.).
  
• 
  Level of environmental analysis:
  
  • 
    Are Time Savings Procedures appropriate? Yes ( ), No ( ),
    
  • 
    Categorical exclusion ( ),
    
  • 
    Environmental Assessment/Finding of No Significant Impact (FONSI) ( ), or
    
  • 
    Environmental Impact Statement (EIS) ( ).
    
• 
  Utility involvements: (Communications, Power, Gas, Petroleum, ITS, Railroads, etc.)
  

• 
  Design
  
• 
  Right-of-Way Acquisition
  
• 
  Relocation of Utilities
  
• 
  Letting to contract
  
• 
  Supervision of construction
  
• 
  Providing material pits
  
• 
  Providing detours
  

• 
  Initial Concept Meeting date and brief summary. Attach minutes.
  
• 
  Concept meeting date and brief summary. Attach minutes.
  
• 
  P A R meetings, dates and results.
  
• 
  FEMA, USCG, and/or TVA
  
• 
  Public involvement. (List coordination meetings with citizen groups, public officials, and public hearings and public information open house meetings. Give a brief summary of the significant meetings and the results and decisions as a result thereof.)
  
• 
  Local government comments. (Give a brief summary and attach minutes).
  
• 
  Other projects in the area.
  
• 
  Railroads (Discuss the ownership and the future use of the railroad.)
  
• 
  Other coordination to date.
  

Project Concept Report page _____

Project Number:

County:
Scheduling – Responsible Parties’ Estimate

• 
  Time to complete the environmental process: ________Months.
  
• 
  Time to complete preliminary construction plans: _________Months.
  
• 
  Time to complete right-of-way plans: ________Months.
  
• 
  Time to complete the Section 404 Permit: ________Months.
  
• 
  Time to complete final construction plans: ________Months.
  
• 
  Time to complete to purchase right-of-way: ________Months.
  
• 
  List other major items that will affect the project schedule: _______Months.
  

1. 
   Cost Estimates:
   
   1. 
      Construction including E&C,
      
   2. 
      Right-of-Way, and
      
   3. 
      Utilities.
      
2. 
   Sketch location map,
   
3. 
   Typical sections,
   
4. 
   Accident summaries,
   
5. 
   Capacity analysis,
   
6. 
   Bridge inventory,
   
7. 
   Minutes of Initial Concept and Concept meetings,
   
8. 
   Minutes of any meetings that show support or objection to the concept,
   
9. 
   PFA’s or SAA’s,
   
10. 
    Location and Design Notice (On Minor Projects),
    
11. 
    Conforming plan’s network schematics showing thru lanes, (Note: This attachment is required for non-attainment areas only.), and
    
12. 
    Other items referred to in the body of the report.