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NCDOT Traffic Impact Analysis Need Screening / Scoping Request <br /> <br />Effective Date: 10/01/2017 (Version 17-721) Page 2 of 2 <br /> <br />܆ The proposed site access is located within 1,000 feet of an interchange. <br />܆ The Applicant requests for a new or modified control-of-access break. <br />܆ The Applicant requests for a new or modified median break. <br /> Frank Csapo <br /> Applicant’s Signature Print Name Date <br />Site Plan/Vicinity Map Requirement for TIA Need Screening: While the site plan may not be finalized <br />during the TIA scoping stage, the graphic representation of the proposed development shall provide <br />adequate details on the development scope and context. More specifically, the site plan/map shall clearly <br />show the location and type of each access point, spacing to adjacent and opposing driveways or <br />intersections, internal street network, proposed buildings/parcels with their anticipated uses and sizes at full <br />build-out and, if applicable, any nearby interstate, US, NC or Secondary Roads (SR). <br /> <br />Project Name: Hillsborough Industrial Site Project Reference Number: <br />܈܈ A TIA is Required by the Local Government. In addition, the study area is expected to include <br />NCDOT maintained transportation facilities. <br />܈ A TIA is Required by NCDOT, per the Policy on Street and Driveway Access to North Carolina Highways. <br /> If either or both of the boxes above are checked, the Applicant/TIA Consultant is hereby requested to <br /> fill out as much as possible of the following TIA scoping checklist, and return it along with the <br /> supporting documents to NCDOT prior to the scoping meeting. <br />܆ A TIA is NOT required. This decision is based on the development information presented above. <br />Changes in the development plan will require re-evaluation of the TIA need, and may necessitate a TIA. <br />The Applicant should inform the District Engineer of any significant changes in a timely fashion to avoid <br />delays or rejections of the driveway permit / encroachment agreement applications. <br /> <br />165