REPRESENTATIVE CHRISTOPHER LEE (NY-26) SURFACE TRANSPORTATION HIGH PRIORITY PROJECT PROGRAM INSTRUCTIONS The deadline to submit the Surface Transportation High Priority Project (HPP) form and letter of support is Tuesday, April 28. Incomplete or late forms will not be accepted. Please e-mail the form and letter, along with any supplementary materials, to: jeff.freeland@mail.house.gov. All projects must be eligible under Title 23 (Highways) or Chapter 53 of Title 49 (Public Transit) of the United States Code. In addition, HPP funding is prohibited for non-surface transportation projects, such as transportation museums, horse trails, and historic battlefields. A letter of support is required from a state, regional, or local governmental official. It should discuss the merits of the project; specify the process to provide the public with an opportunity to comment on the project; and identify the other sources of Federal, state, or private funding that will be used to complete this project or project phase. The letter must also contain an explicit statement of support for the project. In addition, if you are requesting less than 80 percent of the total estimated cost of the specific segment or activity, the letter must identify other specifically designated Federal, state, local, or private funding sources that, combined with this request, equal at least 80 percent of the total estimated cost. Please use boldface font to highlight these statements in the letter. If you have any questions, please contact Jeff Freeland (jeff.freeland@mail.house.gov) or Kelly Dixon (kelly.dixon@mail.house.gov) at (202) 225-5265. SURFACE TRANSPORTATION HIGH PRIORITY PROJECT FORM 1. What is the name of recipient? If it is a state or local entity, identify the specific department requesting the funding. Recipient: ????? Department: ????? 2. Is the project located in NY-26? If no, list the district(s) in which the project is located: ????? 3. Will other members be submitting project requests supporting the project? If yes, list the member(s): ????? 4. Is this a Highway Project (Title 23)? If yes, what type? Is it located on a Federal-aid highway? If yes, is it located on the National Highway System? If yes, is it located on the Interstate System? 5. Is this a Public Transit Project (Chapter 53 of Title 49)? If yes, indicate the type by clicking one of the following boxes: Passenger Vehicles Transit Bus or Van Transit Rail Car or Locomotive, including Streetcars Transit Ferry Transit Facilities Vehicle Maintenance or Administration Facility Passenger Facility, including Intermodal Facilities, stations, & terminals Transit Rights-of-Way Property Acquisition Corridor Development Rail Track Construction or Maintenance Bus-only Lane Construction or Maintenance Transit Equipment Vehicle-related Equipment System-related Equipment New Start Project (A New Start project is a major new fixed guideway capital project seeking more than $75 million in Federal funds.) Small Start Project (A Small Start project is a new fixed guideway capital project seeking less than $75 million in Federal funds and with a total estimated net capital cost of less than $250 million.) Rail Intercity Passenger Rail (Not commuter rail, commuter rail should be requested under public transit) Is it located within a corridor previously designated by the Secretary of Transportation pursuant to section 104(d)(2) of Title 23, United States Code, or the Northeast Corridor? If yes, which Corridor? Freight Rail What class is the Freight Rail? Research University Transportation Center Other 6. Did the Federal Highway Administration (FHA), Federal Transit Administration (FTA), New York Department of Transportation (NYDOT), or Public Transit Agency confirm the project is eligible under Title 23 (Highways) or Chapter 53 of Title 49 (Public Transit) of the United States Code? If yes, which entity confirmed the project eligibility? Who is the Point of Contact? Name: ????? Title: ????? Organization: ????? E-mail: ????? Telephone: ????? Is the project eligible under Title 23, Title 49, or both? 7. What is the state, regional, or local governmental entity that is an eligible recipient of the funds? For highway projects it must be the NYDOT. For public transit projects it may be the NYDOT, Metropolitan Planning Organization (MPO), Transit Agency, City, or County. For rail projects it may be the NYDOT or Amtrak. Entity: ????? Department: ????? Street Address: ????? City, State, & Zip Code: ????? 8. Identify the specific segment or activity for which project funding is requested. The request must finance at least 80 percent of the total estimated cost of the specific segment or activity by either (1) the amount requested; or (2) the amount requested and other specifically designated Federal, state, local, or private funding sources. Check the appropriate project activities. You may select more than one. Construct Plan Design Engineer Conduct Environmental Review Acquire Right-of-Way Research Develop Demonstrate Deploy Reconstruct Rehabilitate Replace Retrofit Install Mitigate Implement Realign Conduct Alternatives Analysis Describe the project. Please include the specific terminus points of the project or activity, as appropriate. ????? Total estimated cost: ????? Request amount: ????? Percentage of total estimated cost: ????? 9. If percentage is less than 8o percent, identify specifically designated Federal, state, local, or private funding that when combined with this request equal at least 80 percent. Source Funding a. ????? ????? b. ????? ????? c. ????? ????? d. ????? ????? e. ????? ????? 10. If you are requesting funding for a specific segment or activity, please describe the overall project of which this segment/activity is a part. Please limit your response to 3-4 sentences; up to 500 characters. ????? Total estimated cost: ????? 11. Is the project included in the State�s Long-Range Transportation Plan? If yes, provide the date of approval of the most recent version of the plan and the title of the plan. Date of approval (MM/YYYY): ????? Title of the Plan: ????? 12. Is the project included in the Metropolitan Transportation Improvement Program (TIP) and/or State Transportation Improvement Program (STIP)? If yes, please provide the date of approval of the most recent version of the program(s), and the title of the program(s). Listed in TIP: Date of approval (MM/YYYY): ????? Title of the Program: ????? Listed in STIP: Date of approval (MM/YYYY): ????? Title of the Program: ????? 13. If the project is an intercity passenger rail project, is it included in the State Rail Plan? If yes, please provide the date on which the Governor approved of the most recent version of the plan and the title of the plan. Date of approval (MM/YYYY): ????? Title of the Plan: ????? 14. Please describe the current status of the project and the expected schedule for its completion. Federal-Aid Highway: Public Transit: Rail: Research: What is the project�s expected date of completion? It must be between Fiscal Year 2010 and Fiscal Year 2010. ????? 15. A project of regional and national significance is typically a high-cost transportation infrastructure facility that often includes multiple levels of government, agencies, modes of transportation, and transportation goals and planning processes that are not easily addressed or funded within existing surface transportation program categories. These projects have national and/or regional benefits, including improving economic productivity by facilitating international trade, relieving congestion, and improving transportation safety by facilitating passenger and freight movement. Does the project have regional or national significance? If yes, describe the regional or national significance of the project. Please limit your response to 3-4 sentences (up to 500 characters). ????? 16. Describe the safety, economic development, mobility, and environmental benefits associated with completion of the project. Describe the safety benefits. Please limit your response to 2-3 sentences (500 characters). ????? Describe the economic development benefits. Please limit your response to 2-3 sentences (500 characters). ????? Please describe the mobility benefits. Please limit your response to 2-3 sentences (500 characters). ????? Please describe the environmental benefits. Please limit your response to 2-3 sentences (500 characters). ????? 13. Please indicate the source of any previous Federal funding for the project. Safe, Accountable, Flexible, Efficient Transportation Equity Act: A Legacy for Users (SAFETEA-LU) (P.L.109-59) Section: ????? Project Number: ????? Amount of Funding Amount Obligated: ????? Transportation Equity Act for the 21st Century (TEA 21) (P.L. 105-178) Section: ????? Project Number: ????? Amount of Funding Amount Obligated: ????? National Highway System Designation Act of 1995 (NHS Act) (P.L. 104-59) Section: ????? Project Number: ????? Amount of Funding Amount Obligated: ????? Intermodal Surface Transportation Efficiency Act of 1991 (ISTEA) (P.L. 102-240) Section: ????? Project Number: ????? Amount of Funding Amount Obligated: ????? Appropriations Act(s) Public Law Name: ????? Public Law Number: ????? Section: ????? Project Number: ????? Amount of Funding Amount Obligated: ????? Other legislation: Public Law Name: ????? Public Law Number: ????? Section: ????? Project Number: ????? Amount of Funding Amount Obligated: ????? 17. Has the project received any prior funding from a State, local, or private source? Source Funding Obligated a. ????? ????? ????? b. ????? ????? ????? c. ????? ????? ????? d. ????? ????? ????? e. ????? ????? ????? 18. Provide the proposed legislative text (in no more than 250 characters) of the project as you would like it to appear in the bill. (Please note that project line items carry the force of law, and can only be amended through subsequent public laws.) If Congressional intent (as established through answers listed on this form) is different from the legislative text, the entity administering the project is required to adhere to the statutory language.) Choose action verbs to begin the legislative text. You may select more than one. Construct Plan Design Engineer Conduct Environmental Review Acquire Right-of-Way Research Develop Demonstrate Deploy Reconstruct Rehabilitate Replace Retrofit Install Mitigate Implement Realign Conduct Alternatives Analysis Enter the legislative text. Please limit your response to 250 characters. ????? 19. Are you enclosing the letter referenced at the top of this form, with the required formatting? 20. Is there additional information about the project you would like to share with the Congressman? For instance, how many jobs will be created and what is the project�s local economic impact? ????? Rep. Chris Lee�s HPP Form Page 1 of 8