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Agency Project Title Date <br />Kittitas County Public Works Kachess Lake Road Culvert Replacement 8/7/18 <br />Type of Proposed Work <br />Project Type (Check all that Apply) Roadway Width <br />Number of Lanes <br />❑ New Construction ❑ Path / Trail ❑ 3-R 26 <br />2 <br />Reconstruction ❑ Pedestrian 1 Facilities ❑ 2-R <br />❑ Railroad ❑ Parking Other <br />i❑ Bridge <br />Geometric Design Data <br />Description <br />Through Route <br />Crossroad <br />❑ Principal Arterial <br />❑ Principal Arterial <br />Federal <br />❑ Urban ❑ Minor Arterial <br />❑ Urban ❑ Minor Arterial <br />Functional <br />Z Rural ❑ Collector <br />❑ Rural ❑ Collector <br />Classification <br />❑ NHS ❑ Major Collector <br />❑NHS ElMajor Collector <br />Minor Collector <br />❑ Minor Collector <br />❑ Local Access <br />❑ Local Access <br />Terrain <br />❑ Flat ❑ Roll E,(] Mountain <br />❑ Flat ❑ Roll ❑ Mountain <br />Posted Speed <br />35 <br />Design Speed <br />35 <br />Existing ADT <br /><400 <br />Design Year ADT <br />400 <br />Design Year <br />2019 <br />Design Hourly Volume (DHV) <br />NA <br />Performance of Work <br />Preliminary Engineering Will Be Performed By Others Agency <br />Kittitas County Public Works / Consultant 10 % 90 % <br />Construction Will Be Performed By <br />Contract Agency <br />Contractor <br />100 % 0 �w <br />-- - <br />- - 1. -______._._1_.____________=- — .. .._.. _..... _---- _.� <br />Environmental Classification - <br />❑ Class I - Environmental Impact Statement (EIS) Class II - Categorically Excluded (CE) <br />❑ Project Involves NEPA/SEPA Section 404 LI Projects Requiring Documentation <br />Interagency Agreement (Documented CE) <br />❑ Class III - Environmental Assessment (EA) <br />❑ Project Involves NEPA/SEPA Section 404 <br />Interagency Agreements <br />Environmental Considerations <br />Environmental permitting needs will be identified and permits will be acquired during the PE phase. It is anticipated that the <br />project will be required to submit a Joint Aquatic Resources Permit Application (JARPA) to the U.S. Army Corps of Engineers <br />(USA CF,), Washington Department of Fish and Wildlife (W DF W ), and Washington Department of Ecology (Ecology.). <br />Consultations may be required for Endangered Species Act (ESA) Section 7 and National Historic Preservation Act (NHPA) <br />Section 106. <br />DOT Form 140-101 Hage 2 <br />Revised 04/2015 Previous Editions Obsolete <br />