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Agency <br />Project Title <br />Date <br />Kittitas County Public Works <br />Bridge Rail Improvements: <br />Code 3 -Phase 1 <br />Type of Proposed Work <br />Project Type (Check all that Apply) <br />Roadway <br />Width <br />Number of Lanes <br />❑ New Construction ❑ Path / Trail <br />❑ 3-R <br />varies <br />varies <br />❑ Reconstruction ❑ Pedestrian / Facilities <br />❑ 2-R <br />❑ Railroad ❑ Parking <br />0 Other <br />❑ Bridge <br />Geometric Design Data <br />Description <br />Through Route <br />Crossroad <br />0 Principal Arterial <br />0 Principal Arterial <br />Federal <br />❑ Urban <br />0 Minor Arterial <br />❑ Urban W1 Minor Arterial <br />Functional <br />❑✓ Rural <br />Collector <br />❑✓ Rural Collector <br />Classification <br />❑ NHS <br />Major Collector <br />❑ NHS Major Collector <br />Minor Collector <br />Minor Collector <br />❑ Local Access <br />❑ Local Access <br />Terrain <br />❑ Flat <br />❑ Roll ❑ Mountain <br />❑ Flat ❑ Roll ❑ Mountain <br />Posted Speed <br />Varies <br />Design Speed <br />Varies <br />Existing ADT <br />Varies <br />Design Year ADT <br />Varies <br />Design Year <br />2022 <br />Design Hourly Volume (DHV) <br />N/A <br />Performance of Work <br />Preliminary Engineering Will Be Performed By <br />Others <br />Agency <br />Kittitas County Public Works <br />0 % <br />100 <br />Construction Will Be Performed By <br />Contract <br />Agency <br />Contractor <br />100 % <br />esu <br />Environmental Classification <br />❑ Class I - Environmental Impact Statement (EIS) ❑✓ Class II - Categorically Excluded (CE) <br />❑ Project Involves NEPA/SEPA Section 404 <br />0 Projects Requiring Documentation <br />Interagency Agreement <br />(Documented CE) <br />❑ Class III - Environmental Assessment (EA) <br />❑ Project Involves NEPA/SEPA Section 404 <br />Interagency Agreements <br />Environmental Considerations <br />None Anticipated <br />DOT Form 140-101 Page 2 <br />Revised 04/2015 Previous Editions Obsolete <br />