Application for
Congestion Mitigation / Air Quality Funding
(CMAQ)
Fiscal Year 2013/2014 (October 1, 2013 – September 30, 2014)
Instructions to Applicants
Complete all sections of the attached
application
Application must be signed and dated on the
spaces below by the individual(s) authorized to
sign for the Project Sponsor
An Authorizing Resolution from the Sponsor
must be attached to this application
Mail or e-mail the completed application to:
Wyoming Department of Transportation
Office of Local Government Coordination
5300 Bishop Blvd.
Planning Building, Room 215
Cheyenne, WY 82009-3340
A map of the proposed CMAQ Project site
must be attached to this application (8.5” x 11”
is preferred for reproduction purposes)
Please include any pictures or other visual aids
of the proposed Project with this application
(8.5” x 11” is preferred for reproduction
purposes)
Application deadline: the application must be
received by the agency shown below no later
than May 1, 2013
(Postmark date is acceptable)
Phone #: (307) 777-4862 (Kenneth Ledet)
Fax #: (307) 777-4759
Email: Kenneth.ledet@wyo.gov
Attn: Kenneth P. Ledet, Local Program Specialist
Name of Applicant/Project Sponsor:
Date of Application:
Signature of Authorized Official:
Title of Authorized Official:
1. Project Name and Sponsor
Note: In most instances, the Project Sponsor is a Wyoming County Government. The Sponsor must
initiate appropriate authorizing action – Authorizing Resolution – approved at a public meeting and signed
by the sponsoring body. A sample copy of this resolution is included as Appendix A of this application. A
copy of the Authorizing Resolution and/or reference to the meeting minutes should be included with this
application. If the Project application is approved by the Wyoming Transportation Commission, the
Project Sponsor agrees to enter into a Project agreement with WYDOT for funding and Project
responsibilities.
Project Sponsor:
Project Name:
Sponsor DUNS:
Effective October 1, 2010 – Any Agreement resulting from this application is required to
comply with the Federal Funding Accountability and Transparency Act (FFATA) of 2006.
As the prime recipient of these funds, WYDOT will report the required information to the
Federal Funding Accountability and Transparency Act Subaward Reporting System
(FSRS). The FFATA requires any person or entity receiving contract or grant funds
directly from the federal government to report certain information regarding those funds
through a centralized website, www.fsrs.gov. The law requires that you provide your Data
Universal Numbering System (DUNS) number to WYDOT. This requirement means you
need to be registered with DUNS and Bradstreet. Instructions for this process can be found
at www.dnb.com. Additional information regarding this Act may be found at the following
sites:
http://edocket.access.gpo.gov/2010/pdf/2010-22705.pdf
and
http://edocket.access.gpo.gov/2010/pdf/2010-22706.pdf.
2. Sponsor Information
Primary Contact
Contact Person and Title:
Address:
Phone:
Fax:
Email:
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Secondary Contact (if Applicable)
3. Project Type
Identify the type of Project being proposed for funding with the Congestion Mitigation/Air Quality
(CMAQ) funding:
Check the box(es) which best describe the type of Project proposed:
County Road Dust Suppression
County Road Upgrading
(Chemical applications, i.e. Magnesium Chloride)
(Placing gravel to reduce dust problems)
Acquisition of Right-of-Way required for
this Project
Utility Adjustment
Other Air Quality improvements to
County Road(s)
Preliminary Engineering
Environmental mitigation
Air Quality Testing and Monitoring
Note: Some of the above Project types may have other/additional funding sources available. If the proposed Project involves funding
for multiple Project descriptions, check as many boxes above that apply to the type of work required to complete your proposed
Project.
4. Project Description
Please give a brief, but concise description of the proposed Project. Since these CMAQ Projects
emphasize improving air quality by addressing Transportation-induced source emission and reducing
Ozone (O3) precursors, such as: Volatile Organic Compounds (VOC’s), Nitrogen Oxides (NO x), Carbon
Monoxide (CO) and Particulate Matter (PM, aka dust); describe the proposed dust or compound
suppressant technique, and current condition of the roadway. Include a description of any geographical or
environmental features which may be sensitive and will be impacted by this Project i.e., a stream crossing
or wetland intrusion to the work site. Please include a map of the general Project area. It is preferred, for
reproduction purposes, that this map and other supporting documents are in standard letter size (8.5” x 11”)
format.
If available, attach photo(s) which illustrate current road conditions.
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WYDOT is currently determining the most cost effective method to obtain air quality
monitoring. Air Quality Monitoring is a requirement of this Project and arrangements for preProject and post-Project testing is the responsibility of the Project Sponsor. It is still the
responsibility of the Project Sponsor to make arrangements for this Air Quality Monitoring to be
completed. Please provide your anticipated start and completion dates for this Project. The work
under this funding cycle would most likely start in the fall of 2013 or spring of 2014. Air quality
monitoring is an eligible expense for reimbursement under the CMAQ Program. WYDOT will
inform Project Sponsors in the event that other arrangements need to be made.
Anticipated Project start date:
Anticipated Project completion date:
5. Public Participation Effort
An important part of applying for Federal Project funding is public involvement in the planning of the
Project. This can be satisfied by the Sponsor by various means. Communication with the public can be
accomplished by using broadcast media, public meetings, and printed articles. Whichever form of public
participation effort is used, it should be documented and retained as a permanent record by the Sponsor and
may be submitted as part of this application. These records must be made available to the public and must
be available for inspection by federal, state and local representatives. A Public Interest Finding for force
account work or soul source procurement should be included in your public participation effort. Briefly
describe these efforts in the space below:
6. Planning and Preliminary Considerations
Please describe the Project planning and road selection criteria prior to this application being submitted.
Please include the following information in the spaces provided below:
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1. Has the planning been formal or informal?
4. Does the Project conform to all local
ordinances, rules and regulations?
2. Does the Project have positive approval of
the community?
5. Will the County use its own forces for any
chemical applications, or use qualified
contractors?
3. Has the county used this type of
suppressant in other Projects?
Note: The intent of the CMAQ Program is for the Project Sponsor to competitively bid the Project
to a qualified contractor. If the County uses its own workforce, a Public Interest Finding (PIF) must be
sent to and approved by the WYDOT District Engineer for your respective area prior to beginning work. A
sample of the information needed in a PIF is included as Appendix B of this application.
7. Real Property Acquisition
The ownership of the Right-of-Way or easement, for a CMAQ Project must vest with the Sponsor. It is
advised that the Right-of-Way for any Project be secured before the application for the Project is submitted.
The location of the roadway may be assumed under the County Road System, yet encumbered in some
way. The title to the property must not be encumbered with conditions or reservations which prohibit the
requested dust abatement Project. If the there is any question as to ownership or title for the property is in
question, a title search would be advisable.
The Sponsor will be required to complete a WYDOT Right-of-Way Clearance Form, WYDOT Form LP2, prior to implementing the proposed CMAQ Project. A copy of WYDOT Form LP-2 is included as
Appendix C with this application and must be in the Project file prior to the Sponsor receiving a Notice to
Proceed. It is preferred that the Right-of-Way and Utilities Certificate be submitted with the
application.
Please answer the following question:
What is the current status of the required Real Property and/or Right-of-Way for the Project?
Is there any Real Property and/or Right-of-Way remaining to be acquired? If so, how much?
Will any required Real Property and/or Right-of-Way be purchased with CMAQ funds?
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8. Project Maintenance
Project maintenance and perpetual care will be the responsibility of the Project Sponsor. Another party
may do the actual physical maintenance, if an agreement is entered into between that party and the Project
Sponsor. Should the public interest and ownership change in the future, the public maintenance
responsibility can be passed along with the public title. (i.e.: County road ownership would be changed
from County to City via annexation). Please state whether the Project sponsor will be responsible for the
maintenance directly or whether an agreement for maintenance will be entered into with another party. A
copy of this Memorandum of Understanding (MOU) must be on file in the Local Government Office
and should be included with this application.
9. Environmental Considerations
As part of the Project, the Sponsor must comply with all Federal and State environmental regulations.
Projects involving construction or combined with a larger construction/reconstruction Project will require
completion of an Environmental Field Review, prior to a Categorical Exclusion being issued. The
Environmental Field Report must be submitted to WYDOT and a Categorical Exclusion must be issued by
the Federal Highway Administration (FHWA) prior to construction. In addition, it may be necessary to
contact the State Historic Preservation Office and the Corps of Engineers (Federal) for input and approval
of the Project. (Note: planning only Projects are exempt from the Environmental Field Review Report)
Does this proposed Project have any unusual environmental features associated with it?
Are there any registered historic structures or sites involved with the Project?
Are there any live watercourses or bodies of water being encountered?
Note: if the proposed Project is to apply a chemical dust suppressant to reduce dust on a county road, the
Project can be included in a Blanket Categorical Exclusion issued by WYDOT. To be included in
WYDOT’s Blanket Categorical Exclusion, the Project must be conducted on an established, existing
county road section and within the Right-of-Way.
If however, the Project involves
construction/reconstruction/re-alignment and/or combines other Federal, State and/or Local funding, the
Sponsor will be required to complete an Environmental Field Review (as above) which will be submitted to
WYDOT and forwarded to the Federal Highway Administration for their issuance of a Categorical
Exclusion.
Example of how this Environmental issue may be addressed in your application:
This proposed Project is for application of Magnesium Chloride to act as dust suppressant on an existing
and established County Road section, therefore we propose to have WYDOT include it in a WYDOT
Blanket Categorical Exclusion for FY13 CMAQ Projects.
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Please describe how the Sponsor proposes to address the Environmental Considerations (as per the
highlighted paragraph above):
10. Project Administration
Please provide the following information:
Name & Contact Information of the Project
Administrator
(if different than the contact person listed in section 2 above)
The County’s Administrator will also act as the
liaison between the Sponsor and the WYDOT
and shall have knowledge of and ensure
compliance with various State and Federal
Program requirements.
Will the Project design and contract bidding
documents be produced by the Sponsor’s staff or by
a consultant? If a consultant is used, the Brooks
Act must be followed. The Project Sponsor is
expected to have a process that is compliant with
the Brooks Act. Guidelines for this policy are
contained in Appendix “E” of the application.
Who will review the Project design and contract bid
documents for the Sponsor? Please name and
provide the contact information for the person
responsible for producing these documents. The
Project Sponsor must submit these documents to
WYDOT for review prior to advertising the
Project for bids.
Who will perform the construction management?
Note: See Appendix D for “Project Timeline” for Notice to Proceed notification and other procedural
timing for CMAQ Projects.
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11. Project Budget
Cost estimates should be incorporated in this budget to reflect the costs that are expected to be incurred in
the Project. The budget will aid in the process of selection of any Project proposal for a CMAQ Project.
The budget line items should not be understood to be absolute, as they may be changed later, if necessary,
to reflect actual costs after the Project has begun.
Project Element
Preliminary Engineering Costs
CMAQ Funds (80%)
Local Match (20%)
Total (100%)
Right of Way Costs
Utility Adjustment Costs
Administrative/Legal Costs
Dust Suppression Application Costs
Air Quality Monitoring
Construction Engineering Costs
Construction Costs
Total
Note: A cash match is much easier to track, with little documentation. Also, please include a line item
summary of the details of the proposed Project cost estimate to include charges for engineering, design,
right-of-way, utilities and construction items. Again, if there questions about these items, please do not
hesitate to call the WYDOT office listed on the cover of this application.
12. Project Funding
Federal CMAQ funds requested (80% of Project costs)
Local Match (cash or other match) (20% of Project costs)
Other funds available as overmatch (not required)
Total Project Cost
CMAQ Program Note: Historically, the CMAQ Selection Committee has selected Projects
based on a Sponsor’s impact by industrial road traffic, i.e. energy development related traffic.
While other uses may be considered under the CMAQ guidelines, as administered by FHWA, the
emphasis in the past has been on those counties impacted by this type of traffic. It is believed,
with the limited amount of funding available within this program, the Selection Committee will
continue to focus on these types of Projects this year and in the future. Please do not let this
discourage you from applying for funding under the FY 2013/2014 CMAQ Program, as all
eligible Projects will be considered for funding by the Selection Committee based on funds
availability.
For a complete listing of CMAQ information, including the Official FHWA Guidance for the
program, please visit:
http://www.fhwa.dot.gov/environment/cmaqpgs/
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