HomeMy WebLinkAbout05(D) - Resolution Authorizing the Application for State Funding for the Lords Street Bridge Rehabilitation Project (CP 2024-02) Report
MnDOT 30809(6/2020) APPLICATION FOR BRIDGE FUNDS
State of Minnesota - Department of Transportation
State Aid for Local Transportation
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Project Number Old Bridge Number
New Bridge No. Over
County of Road or Street No.
Township of Road or Street Name
Municipality of Proposed Const Year
Does the municipality have a population of 5,000 or less? Yes No
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Local Bridge Planning Index (LPI) _____
NBI Appraisal Ratings: Deck Geometry _____ Approach Roadway _____ Waterway Adequacy _____
Date of Council/Board action prioritizing this bridge____________________________________
Is this a road-in-lieu of bridge project? Yes No
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How many people are affected by this deficiency? _______________ What is the ADT on this bridge? _______
Describe the economic importance of replacing this bridge.
Is the road designated or planned to be designated as a Minimum Maintenance road? Yes No
(Attach additional sheets for explanation if necessary)
Is the township net tax capacity less than $300,000? Yes No
Is the bridge listed on the National Register of Historic Places or been determined to be eligible? Yes No
National Register of Historic Places link here: http://www.nps.gov/history/nr/research/
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Eligible Amount Ineligible Amount
Structure Costs $ $
Approach Costs $ $
Engineering Costs $ $
Total Costs $ $
Total Project Cost $
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County/City Engineer Date
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DISTRICT STATE AID ENGINEER RECOMMENDATION
Replace ________ Defer ________ ___________________________________ ___________
District State Aid Engineer Signature Date
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STATE AID USE ONLY
Federal-Aid $
State-Aid $
Local/Other $
Town Bridge $
Unallocated Town Bridge $
State Bridge Funds $
Total $