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MnDOT 30809(10/13) APPLICATION FOR BRIDGE FUNDS State Transportation Fund Grants & Town Bridge Funds State of Minnesota O Department of Transportation State Aid for Local Transportation Project Number SAP 187-111-001 Old Bridge Number -62-J1-7 -------------------------------- Over -Ra-m-sey ------------------------------ Road or Street No.-- -------- -Ar-den-H-ills -------------------------- Road or Street Name Township of Proposed Const Year 4627 Josephine Lake Discharge MSAS 111 Old Snelling Avenue 2014 Bridge Sufficiency Rating 38.1 Is this bridge hydraulically deficient? □ Yes Iii No Adequacy Status from Structure Inventory ll!J Structurally Deficient □ Functionally Obsolete □ Adequate Date of Council/Board action prioritizingthis brldge_J-'-a'-n""u'""a'""r'-y'--"2'-"7",2 0_1_4_ _ _ _ _ _ _ _ Is this a road-in-lieu of bridge project? □ Yes IXI No Hpw many people are affected by this deficiency? >_2_',-5_00__ _ _ _ What is the ADT on this bridge? 1,651 0 Describethe economic Importance of replacing this bridge, ·This bridge provides transportation access to residents, businesses, and schools. Is the road designated or planned to be designated as a Minimum Maintenance road? (Attach pdditlonal sheets for explanation If necessary) .,. Is the township net tax capacity less than $300,000? □Yes ll1l No □Yes □ No Is the bridge listed on the National Register of Historic P-laces or been determined to be eligible? □ Yes N1;1!ionel Register of Historic Places link here: http;/ /www.nps.gov/hjslorv/nr(research/ !xi No Ell Ible Amount Inell ible Amount Structure Costs $225,000 $0 Approach Costs $0 $50,000 Engineering Costs $0 $70,000 Total Costs $230,000 $120,000 Total Project Cost $350,000 / Date' DISTRICT STATE AID ENGINEER RECOMMENDATION Defer _ STATE AID USE ONLY Federal-Aid State-Aid Local/Other Town Bridge Unallocated Town Bridge State Bridge Funds Total $ Date $ $ $ $ $ $