North Carolina DOT Community Impact Assessment ChecklistTIP No.___________ State Project No.________________ County_____________ Brief project description: PURPOSE What is the purpose of this project? Circle all that apply: Reduce congestion Improve vehicle/driver safety System linkage/network Economic development Improve bicycle/pedestrian capacity or safety Change to current design standards Other_______________ COMMUNITY FACILITIES Are there any of the following facilities within 1/4 mile of the proposed project? Circle all that apply: School Park Hospital Fire Station Community/Rec Center Church Bank Transit Stop Police Station Public Housing Grocery Library Laundromat Senior Center Community Pool Other Cultural Resource (town gathering spot, historic building / monument) Please describe: ACCESS Will the project alter access to any of the community facilities described above? For vehicles Yes No Don’t Know (e.g. driveway changes / restrictions, introduction of median, create severed road/cul-de-sac) For pedestrians/cyclists/other non-auto Yes No Don’t Know (e.g. jersey barrier, channeling to crossing, create severed road/cul-de-sac) If Yes for either question, please describe Will the project impact driveways / parking lots? Yes No Don’t Know Will the project impact emergency access? Yes No Don’t Know Is there a bus/transit stop located along the project? Yes No (The local planner / transit authority can assist on this and the next question) How will the project change the availability or convenience of obtaining transit services? Increase Decrease Stay the same Don’t Know COMMUNITY CHARACTERISTICS The project area consists primarily of: Residential Commercial Industrial Please provide a brief description of the area. (e.g. cohesive older residential, with a few commercial uses, such as a drug store) Does the area surrounding the project appear to be low income? Yes No Don’t Know* Does the area around the project appear to have minority populations? Yes No Don’t Know* Members of the following populations observed. Circle all that apply African-American Asian Hispanic Native American Other________ Don’t Know* Does the project area have a considerable number of individuals from the following populations? Elderly Children Disabled Don’t Know* Describe the level of pedestrian activity in the area. High Medium Low Don’t Know* Is there bicycle activity in the area? Yes No Don’t Know* COMMUNITY COHESION Will the project require relocation of the following? Circle all that apply and indicate number affected Residences Businesses Cemetery / graves Community Facilities (specify) Don’t Know Will the project create a barrier / divide an area / neighborhood? Yes No Don’t Know (create gaps by taking homes, introduce structural barriers such as bridges, jersey barriers, noise walls) *Not enough information to make a determination due to not being in the field at the time which this information could be observed or other timing issue. PEDESTRIAN/BICYCLE SAFETY Are there currently sidewalks along the facility? Yes No N/A (new loc.) Proposed as a part of the project? Yes No Don’t Know Are there currently bike lanes / paths? Yes No N/A Proposed as a part of the project? Yes No Don’t Know Does the project include widening the road? Yes No N/A Will the project include a median to provide a crossing island refuge? Yes No Don’t Know How will the speed limit be changed? Increase Decrease Stay the same Proposed speed limit _____mph Describe other project features that may improve or decrease pedestrian / bicycle safety in the area. (e.g. crosswalks, pedestrian signals, separation of road and sidewalk, driveway restrictions) VISUAL IMPACTS Are there large / mature trees located close to the existing road? Yes No Will the project maintain or remove existing plantings? Maintain Remove Don’t Know Is there development (houses, businesses) close to the existing road? Yes No Will the project include a median? Yes No Will the median be landscaped? Yes No What is terrain like? Flat Rolling Mountainous Does the project include any roads designated as scenic byways? Yes No OTHER Are there dense residential clusters that may need noise analysis? Yes No Will the project cross over or closely parallel a rail line? Yes No If Yes, describe the configuration and proximity to the rail line If residents approached you with questions or if there are existing community issues not touched on by this survey, please briefly describe: |