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STANDARD FORM 299 (05/2009) Prescribed by DOI/USDAIDOT APPLICATION FOR TRANSPORTATION AND P.L. 96-487 and Federal UTILITY SYSTEMS AND FACILITIES Register Notice 5-22-95 ON FEDERAL LANDS NOTE: Before completing and filing the application, the applicant should completely review this package and schedule a preapplication meeting with representatives of the agency responsible for processing the application. Each agency may have specific and unique requirements to be met in preparing and processing the application. Many times, with the help of the agency representative, the application can be completed at the preapplication meeting. 1. Name (include zip code) Kittitas County Public Works 411 North Ruby, Suite 1 Ellensburg, WA 98926 4. As applicant are you? (check one) a. ❑ Individual b. ❑ Corporation" c. ❑ Partnership/Association` d. ❑ State Government/State Agency e. ❑x Local Government f. ❑ Federal Agency 5. Specify 2. Name, title, and address of authorized agent if different from item 1 (include zip code) Mark R. Cook, Director 411 North Ruby, Suite 1 Ellensburg, WA 98926 one) FORM APPROVED OMB Control Number: 0596-0082 Expiration Date: 12/31/2013 FOR AGENCY USE ONLY Application Number Date Filed 3. Telephone (area code) 509-962-7523 Applicant Kittitas County Public Works Authorized Agent Mark R. Cook a. ❑x New authorization b. ❑ Renewing existing authorization No. C. ❑ Amend existing authorization No. d. ❑ Assign existing authorization No. e. ❑ Existing use for which no authorization has been received " f. ❑ Other" " If checked, provide details under item 7 6. If an individual, or partnership are you a citizen(s) of the United States? ❑x Yes ❑ No 7. Project description (describe in detail): (a) Type of system or facility, (e.g., canal, pipeline, road); (b) related structures and facilities; (c) physical specifications (Length, width, grading, etc.); (d) term of years needed: (e) time of year of use or operation; (f) Volume or amount of product to be transported; (g) duration and timing of construction; and (h) temporary work areas needed for construction (Attach additional sheets, if additional space is needed.) The proposed public bridge provides fire/life/safety access to approximately 100 single family residences in the next several years (phase one will serve approximately 60 single family homes within the next two years). The bridge provides the start of a transportation corridor serving Nelson Siding Road to Fowler Creek Road using a mixture of federal and local roadways. The bridge is expected to be steel construction, approximately 28 feet wide with an anticipated clear span of 70 feet. The current single lane wooden structure is removed in the proposal. The current structure does not provide a crash tested guardrail while the new structure will have the appropriate rail. The current bridge has three pile bents of five pile each (total of 15 piles in the canal). The proposed bridge eliminates any piles within the canal. Construction is scheduled for October of 2017. Three months of construction is anticipated supporting completion of the bridge erection. Temporary staging an work areas are located outside of the canal right of way (ownership). B. Attach a map covering area and show location of project proposal 9. State or Local government approval: ❑ Attached ❑x Applied for ❑ Not Required 10. Nonreturnable application fee: ❑x Attached ❑ Not required 11. Does project cross international boundary or affect international waterways? ❑ Yes ❑x No (if "Yes," indicate on map) 12. Give statement of your technical and financial capability to construct, operate, maintain, and terminate system for which authorization is being requested. Kittitas County maintains approximately 140 bridges of twenty (20) feet or longer. These bridges are inspected every two (2) years as mandated by the federal government. In addition, the County inspects approximately 160 bridges under 20 feet in length and voluntarily inspects them within the same reporting system as maintained by the Washington State Department of Transportation. Many of the under 20 foot bridges cross numerous irrigation canals owned by the Bureau of Reclamation. The proposed new bridge will be entered into the mandatory inspection program and inspected consistent with federal bridge inspection requirements. The bridge is being funded by a local land developer consistent with Public Bridge requirements stipulated in County Code Chapter 12. STANDARD FORM 299 (REV. 5/2009)