Fillable Local Road Improvement Program (Minnesota Department of Revenue)

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Local Road Improvement Program (Minnesota Department of Revenue)

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Local Road Improvement Program
2020 App
lication Form
State Aid for Local Transportation
Page 1 of 6
A. Applicant Information
1. Name (First & Last):
2. Phone Number:
3. E-mail:
4. Agency Type:
5. Agency Name:
6. Street Address:
7. City:
8. State: MN
9. Zip Code:
10. Sponsoring County and County Engineer name (required if applicant is small city or township)
B. Project Location
1. MnDOT District:
2. County:
3. City:
4. Township:
5. Name of Road:
6. Type of Road:
7. Road Authority Type
(which agency owns and has jurisdiction of the road)
:
8. Project Termini: From
9. To:
including a description of operational and general safety benefits of the project. Projects seeking funding from
the Rural Road Safety Account will need to provide a more detailed description of safety issues and benefits
under Section D3.
- please select -
- please select -
- please select -
- please select -
- please select -
- please select -
Local Road Improvement Program
2020 App
lication Form
State Aid for Local Transportation
Page 2 of 6
project. Funds from this account are for local road improvements impacted by trunk highway projects where
local agencies have cost responsibility. It is not intended to be used for improvements or projects on the
trunk highway or within the trunk highway corridor right of way that require local cost sharing per MnDOT’s
Cost Participation Policy.
all that apply)?
Farm to Market route
Part of an economic development plan
Provides capacity or congestion relief to a parallel
trunk highway system or county road
Part of a 10-ton route network
Connect to regional tourist destination
Is a connection to the regional system, trunk
highway, or a county road
the project and how they will benefit.
Local Road Improvement Program
2020 Applic
ation Form
State Aid for Local Transportation
Page 3 of 6
redevelopment efforts.
Highway Safety Plan.
- please select -
- please select -
- please select -
Local Road Improvement Program
2020 App
lication Form
State Aid for Local Transportation
Page 4 of 6
county safety plan or the Minnesota Strategic Highway Safety Plan.
damages. Respond even if project is in a county safety plan or the Minnesota Strategic Highway Safety Plan.
Local Road Improvement Program
2020 Applic
ation Form
State Aid for Local Transportation
Page 5 of 6
1. Estimated Construction Year:
facility upon completion.
- please select -
- please select -
- please select -
- please select -
- please select -
Local Road Improvement Program
2020 Application Form
State Aid for Local Transportation
Page 6 of 6
1. LRIP Request:
2. Federal Funds:
3. State Aid Funds:
4. Local/Other Funds:
5. MnDOT Trunk Highway Funds:
6. Total Project Cost:
At least one project location map with routes and project termini labeled
Engineer’s Estimate with an itemized breakdown
Project schedule
Local agency resolution
Resolution of support from sponsoring county agreeing to be sponsor and agreeing to perform sponsor
tasks as identified above in section “Project Selection” (required for applications by townships and cities
under 5,000 population)
Other letters of concurrence or support
When you are ready to submit the application, save the application form with LRIP, agency and road in the name
of the document; e.g. LRIP_RamseyCounty_CSAH30.pdf.
The application and attachments are due by 4:00 p.m. on March 3, 2021. Applications and attachments should
be submitted electronically to saltirhelp.dot@state.mn.us
. Please limit the file size transmitted via email to no
more than 10 MB. State Aid will send a reply acknowledging receipt of the application. If you haven’t received a
reply from State Aid within a few days of submittal, send an email to
saltirhelp.dot@state.mn.us to inquire
about the status of the application.
More information is available at:
• LRIP website at: http://www.dot.state.mn.us/stateaid/lrip.html
.
• PowerPoint on LRIP at: http://www.dot.state.mn.us/stateaid/training/lrip.pptx
If you have questions regarding this solicitation, contact Marc Briese at 651-366-3802 or
marc.briese@state.mn.us
.
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Local Road Improvement Program (Minnesota Department of Revenue)

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Completed 30 January 2021

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