|
<br />U.S. OOT CROSSING INVENTORY FORM
<br />
<br />llllPAATMIlNT OF TAANSPORTA110N
<br />
<br />"~PIRA~ MIhROAP AOMINI"'rR~'fION IFRAI OMB No. 2130~OO17
<br />A, Inltl~tlng AQlIncy a. Crlllaln; Numbar (milK, 7 aha,,) I c, Ralllen IQr Updll\Il D, 5f111111llvlI Dllla
<br /> o Rllllralld Il'2f Slala 3'1 \ 2.. 3 2.. ::, o eManl/lll In 0 NllW Cri:lOllnll cg/claaeq Cron'~g (M?O~rYY)
<br /> S~lallOlI Ollla ar Abll'1donlld 06 It! ~8
<br /> "arll: l.ocatlQn and Classlneallon Infom1atllln
<br />1, Rllllrcllld Oplll, Co, (cod. (milK, 4 ehIJr,) or nama) :1, Slats (2 ahar.) 3, County (mall .20 cher,)
<br /> see MN 'Do.. ~C)tCl..
<br />4, Rnllroad Olvlalan ar Rsgian (mall. 14 char.) 5. Railroad Subdivision ar Dlalrlcl (mull. 14 ahllr,) S, amnan or Line Nama (m.lI. 18 chur.) 7, FIR MlIllpaal (mUll, 7 char,)
<br /> Lo. c"fCS.S.e.. \V\\-rd M o..L (') (nnnm,nn) .
<br /> o ~'1 \'02.
<br />S. RR 1.0, No. (mall, to char,) 9. Nllllrlllt RR Tlmfltable Slatlon (mall. 15 char.) 10, Parent RR (mall. 4 char.) 11, Crolllng Owner (RR or Company nama)
<br /> (optional! ~. m (/I app/fcaalaJ c... p ~ (If app/fcabla)
<br /> ac:::; nos
<br />12. Clly (maxrs;;tar.) "-I 13. Slreal or Road Nama (max. 17 ahaf.) STATE SUPPLiED INFORMATION
<br /> (enook n \-\a.s.~(i~S 'Th\<d st 21. HSR Corridor 10 (2 char,)
<br /> Qn~J 0
<br /> Nellr
<br />14. Highway Type So No, (max. ., char,) 15. ENS Sign Inal~lIlld (1-800) 1 a. Quiet Zone 22, County Map'RIII:-No;(mDx.10 ahar,)
<br /> 1YI1.ll'\ \ 2- o Voa [kl1Ja [B11o o Partial '.
<br /> . o 24nr o Unknown 23. I.a/lludll(ma!l. 10 char., nn.nnnnnnn)
<br />17, CroRBlng Type 1 a, CroRBlng poallll:m 19, Typa or I'Il,sangar Sarvlee 20, AVllrllQa "'alllangillr 'rrllln
<br /> ~a aIJ'cnty) IS?' At /3la~lIl o AMTRAK Count PilI cay :14, I.onlliluda(mu. 11 char., nnnnnnnnnn)
<br /> Public
<br /> o PriYl11a o AR Undaf g.1.MrRAK So Olner 2-
<br /> o Rill Over o Oll1llf 26, l.al/!.on9 Saurol
<br /> o Pedeairllln o Nr;lnIl .0 Actulll o I;atlmallld
<br />211. laThllle an Adlll~rOlalng WUn a Sllpllrlltll Numbllr?
<br /> o YIlIl . No II Vea, Provide Number ('fehllfnclllrll)
<br />27. PRIVA1"e CROSSING INFORMATION
<br />27,(\, C",lellory 27,8, Public ACCIlBS :l7,C, crllSlgnala
<br /> (cnaek 01111) o Raereallonlll o Vila Ne"e
<br /> o Farm o IndualMlll DNa o Slgnl Speclly (max. 18 char.)
<br /> o Resldemllal o Commarclal o Un!lnawn o Slenals SpacJly (mall. 18 char.)
<br />2B.A, RQllroad Use (moil. 20 char.) 29,A. Slale USII (moil. 20 chllr,)
<br />26.8. Railroad Uaa (max. 20 char.) 29,a. Slate Usa (max. 20 char.)
<br />2a.C. Railroad Uaa (max. 20 char.) 29.C, Slatll Use (max. 20 char.)
<br />26,0. Railroad Use (max. 20 char.) 29.0. Slate Use (max, 20 char.)
<br />30. Narrative (mox. 100 char,)
<br /> W_;,
<br />31, Emergoncy ContBe1 (Telephone No,) T 32. Railroad Cantllcl (Telephone No.) I 33. Slale Cantne! (Tell/phone No,)
<br /> MUST CaMPI-ETE REMAINCER OF FORM FOR PUBl.IC VEHICL.E CROSSINGS AT GRACE
<br /> Part III Railroad In'"nnaUon
<br />1. NlJmbClr 'II Dally 'Tml" Mavemfilnis
<br />1.A. 1'Qtal Treln, 1.6. Tlltel ~wilC:Mlnll irl!llnt .11'c)' TQIQI Ortyllghl Thru Train. (6 \~\g.1\ F'M) 1,.0' ChClck if !.rtU Thlln Onll Movllmllnl F'ar Clay
<br /> 2~ Q 0
<br />2. ilpelld 1'1' Tntln al Crolslng :l.A, Mllxlmum Tlmll 'r.blll Slpelld (mllh) 4() rlQm -A_ 10 .4'0
<br /> 2.8, Typical Spelld Range OVllr Crollln; (mph)
<br />3, TYPllllnd Numbar or Treck. Mllln ~ Olhar :; It Olner, SplIlllry (max. 10 I'Ihllr.)
<br />4. 0011. Ane/l1ar RR Operel.1I Saparllta Track It CrOSlin;? ,. Does Analhet Aft Oparala Ova; Vour rlllek at Craning?
<br /> o VIlS II Vea, Speclry RR (mall, 16 char.) !B'Yes I' Vila, Spl'lclfy RR(mllll, 16 ohllr,)
<br /> I2"'No , , o No 're-iS . ~~
<br />
<br />FORM FRA F 6180.71 (Rev.11/99)
<br />
<br />OMS approval expIres 8/31/2009
<br />
<br />PAGE 1 OF 2
<br />
<br />15
<br />
|