STBGP Planning Studies and Design Reports

1

FUNDING PROCESS AND ELIGIBILITY. Below outlines the project application information for the Surface Transportation Block Grant Program. Please feel free to print the information using the "printer icon" in the box below. Note: Due to the size of the document, it may take a few moments to load.

2

To save your work and to continue at a later time please click the icon located at the bottom of the page.

3

What State are you applying for funds?* This field is required.Please use the drop-down list to indicate from which state you are applying for funds.

4

Lawrence County, Ohio Urbanized Area

Unfortunately, all Surface Transportation Block Grant Program (STBGP) funds for the Urbanized Area of Lawrence County, Ohio have been committed through FY 2023. Therefore, KYOVA Interstate Planning Commission will not be accepting new applications. Please contact the KYOVA office at 304.523.7434 for more information and to answer any questions you may have.

5

Applicant* This field is required.Enter Organization and/or Agency applying for funds.

6

Applicant Address* This field is required.Enter address where you will be receiving information about this project.

Street Address

Post Office Box

City

State

Zip Code

Country

7

Point of Contact* This field is required. The Point of Contact is the person that will be responsible for overseeing the project at the applicant agency. It is the responsibility of the agency to notify KYOVA if this information changes during the project.

8

Point of Contact Email* This field is required.Enter the Point of Contact Email

example@example.com

9

Project Title* This field is required.Enter the Project Title (how the project will be referred to).

10

Please identify what category your Planning Study/Design Report will include. * This field is required.Check all that apply.

Roadway

Transit

Freight

Intermodal

Bicycle/Pedestrian

Complete Streets

11

Project Description* This field is required.Please provide a detailed description of the project that you are applying for funds. Include targeted letting dates, purpose and need, safety, freight impact, etc. Include any work that has been completed (such as studies regarding travel or other impacts of the project, preliminary engineering/design, meeting with public officials, project cost incurred to date, etc.), in the section below.

12

Is this a Continuation of a Project?* This field is required.Has any part of this project been completed prior to this application for funds?

YESNO

13

Continuation of a Project - Additional Information* This field is required.If this is a continuation of a project please provide a summary to include Project Name/Title, what has been accomplished/completed, funds expended. etc.

14

Is the Study/Design part of an existing or proposed transportation community development plan?* This field is required.

YESNO

15

Please explain how the project is part of an existing or proposed transportation community development plan.* This field is required. Provide study names/dates and or links. KYOVA may ask for documentation and copies at a later date.

16

Public/Community Involvement* This field is required. Describe how the public and/or community has been involved in the proposed project thus far. If they have not been involved, please provide how you plan to include them as this project moves forward.

17

Location Map - Required * This field is required.Upload Location Map with points of interest and roadways identified. A location map is required with submission of application. If you have other maps associated with the project, you may upload them as well.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

18

Photos - OptionalUpload photos (with description) associated with the project. This is not a required element of the application.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

19

Supporting Documents - OptionalUpload any documents (planning studies, engineering estimates, correspondence, public involvement activities, etc.) that may support your request. This is not a required element of the application.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

20

Matching Fund Requirement* This field is required.A 20 percent match is required for all Surface Transportation Block Grant Program projects. Is the Applicant committed to providing the required 20 percent match of the total project cost? A copy of the commitment will be requested to be uploaded later in this application.

YESNO

21

Match not available or provided by another source?* This field is required.If you are unable to provide a 20% match, please explain. If the match is being provided through another source, please identify the source and amount.

22

Projected Budget* This field is required.Please complete the estimated budget for your project.

Estimated Start Date (XX/XX/XXXX)

Estimated Cost

Planning Study

Preliminary Engineering/Environmental

Design

Other - 1

Other - 2

Estimated Project Cost

Local Match Requirement (20%)

Federal Funds Requested (80%)

Planning Study

Preliminary Engineering/Environmental

Design

Other - 1

Other - 2

Estimated Project Cost

Local Match Requirement (20%)

Federal Funds Requested (80%)

Estimated Start Date (XX/XX/XXXX)

Estimated Cost

Estimated Start Date (XX/XX/XXXX)

Estimated Cost

Estimated Start Date (XX/XX/XXXX)

Estimated Cost

Estimated Start Date (XX/XX/XXXX)

Estimated Cost

Estimated Start Date (XX/XX/XXXX)

Estimated Cost

Estimated Start Date (XX/XX/XXXX)

Estimated Cost

Estimated Start Date (XX/XX/XXXX)

Estimated Cost

Estimated Start Date (XX/XX/XXXX)

Estimated Cost

23

Project Commitment Match* This field is required.Upload documentation of the Applicant's commitment to providing the required 20% match. The commitment letter must include the total project cost, committed match amount, and the project timeline. A signed and dated Resolution, approved meeting minutes, a signed statement on Applicant's letterhead addressed to KYOVA Interstate Planning Commission will be accepted in place of a commitment letter. Note: The signature must be the agency's chief official or authorized representative approving the application.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

24

Commitment to Complete Project* This field is required.An agency may be required to reimburse funding if a project has not moved to construction within 10 years of the date Preliminary Engineering (PE) is approved - per 23 CFR 630.112(c)(2). By checking "YES", the Applicant, understands that by accepting these funds it is the Applicant's responsibility to ensure funding to compete the construction of the project?

YESNO

25

Future Funding from KYOVA Interstate Planning Commission and/or the Surface Transportation Block Grant Program* This field is required.Receiving this funding does NOT guarantee future funding for the project. Do you, the Applicant, understand that funding for this project, will only cover those cost requested. Additional funding may not be available if cost are not accurately calculated. Funding this application, does not guarantee future funding for phases or activities not included in this application. By checking "YES" it indicates that you, the Applicant, understand that no additional funding is guaranteed for this project. If you check "NO" please contact KYOVA Interstate Planning Commission to discuss project funding options.

YESNO

26

Application Signature* This field is required.Signature of Authorized Representative or other Authorized Representative.

Clear

27

Name of Person Completing Application* This field is required.Please type the name of the person submitting this application.

28

Title of Person Completing Application* This field is required.Please type the title of the person submitting this application.

29

Application Date* This field is required.Enter the date the application is submitted.

Date

30

LISTING OF REQUIRED ATTACHMENTS* This field is required.Have you included the following required information?

Location Map - required

Photos (optional)

Supporting Documentation (optional)

Resolution/Commitment Letter for Matching Funds on agency letterhead/official approved meeting minutes - required