ENTRANCE / EXIT WITHIN 100 ft: Is there a driveway entrance or exit within 100 ft from crossing? if there is a driveway entrance or exit, or if there is not. Mark “Yes” “No” RAISED MEDIAN: Is there a raised median on each approach of the crossing? Mark if there is a raised median, or if there is not. “Yes” “No” CURVATURE OF ROAD OR TRACK: Is the road and/or track curvature sufficient to impair visibility by vehicular traffic? If highway/roadway visibility is hindered, mark If curvature does not interfere with visibility mark “Yes”. “No”. H. ATTACHMENTS Attach an 8 x location map and two (2) x photographs of the crossing ½” 11” 8” 10” location, one (1) from each approach, showing the entire crossing and pertinent crossing geometrics at least 100 ft back. Also attach a brief explanation of the community impact including its justification, how it meets transportation planning goals, the potential for emergency vehicle blockage if the crossing is near a hospital, or if the path over the crossing is classified as an emergency vehicle route, is it a school bus or passenger bus route, location of nearby fire/police station(s), is the crossing part of a designated hazardous material carrier route, a major arterial route; classification as a state highway/route, or describe if no grade-separation crossings are in the city/area. I. DECLARATION Please complete the declaration with the information requested and sign. (END OF APPENDIX 4)
ENTRANCE / EXIT WITHIN 100 ft: Is there a driveway entrance or exit within 100 ft from crossing? Mark “Yes” if there is a driveway entrance or exit, or “No” if there is not. RAISED MEDIAN: Is there a raised median on each approach of the crossing? Mark “Yes” if there is a raised median, or “No” if there is not. CURVATURE OF ROAD OR TRACK: Is the road and/or track curvature sufficient to impair visibility by vehicular traffic? If highway/roadway visibility is hindered, mark “Yes”. If curvature does not interfere with visibility mark “No”. H. ATTACHMENTS Attach an 8 ½” x 11” location map and two (2) 8” x 10” photographs of the crossing location, one (1) from each approach, showing the entire crossing and pertinent crossing geometrics at least 100 ft back. Also attach a brief explanation of the community impact including its justification, how it meets transportation planning goals, the potential for emergency vehicle blockage if the crossing is near a hospital, or if the path over the crossing is classified as an emergency vehicle route, is it a school bus or passenger bus route, location of nearby fire/police station(s), is the crossing part of a designated hazardous material carrier route, a major arterial route; classification as a state highway/route, or describe if no grade-separation crossings are in the city/area. I. DECLARATION Please complete the declaration with the information requested and sign. (END OF APPENDIX 4)
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