Orange County NC Website
NCDOT TIA Scoping Checklist <br />Effective Date: 10/01/2017 (Version 17-721) Page 7 of 7 <br />Agreement by All Parties <br />The undersigned agree to the contents and methodology described above for completing the required traffic <br />impact analysis for the proposed development identified herein. Any changes to the above methodology <br />contemplated by the Applicant or the TIA Consultant must be submitted to the District Engineer in writing. <br />If approved by NCDOT, then such changes may be accepted for the TIA report. Subsequent revisions to the <br />development plan (e.g. land use, density, site access, or schedule) may require additional scoping and analysis, <br />and may modify the TIA requirements. <br />This agreement shall become effective on the date approved by NCDOT, and shall expire months after <br />the effective date or upon significant changes to the roadway network and/or development assumptions, <br />whichever occurs first. Once expired, renewal or re-scoping will be required for subsequent TIA submittals. <br />APPLICANT <br />Frank Csapo <br /> Signature Print Name Date <br />TIA CONSULTANT <br />Matt Peach, PE, PTOE <br /> Signature Print Name Date <br />LOCAL GOVERNMENT REPRESENTATIVE (If Applicable) <br /> Signature Print Name Date <br />NCDOT DISTRICT REPRESENTATIVE <br />Reviewed and approved by the NCDOT Division 7 District 1 on . <br /> Signature Print Name <br />Email concurrence may be used in lieu of the signature. <br />Email concurrence may be used in lieu of the signature. <br /> <br />173