210-03-frm.docx

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Hot-Spot Analysis Data for a Consultation Partner
This form is filled out by the project sponsor and is sent to the consultation partners immediately after
an MPO schedules a conference call with the consultation partners. The data recorded using this form
is necessary for the consultation partners to decide whether the proposed project is a “project of air
quality concern.”
I. Project Details
Project Element
Describe
CSJs
Location County/City/Roadway
Name/Mile-Post
Attach a map showing
the proposed project
site.
Project Type
Project Sponsor
Traffic Analysis
Results
If there was a traffic
analysis study done for
this project, provide
information on the
scope and who
performed the analysis,
and attach the results.
Ready to Let Date
Letting Date
Proposed Hearing
Date
Proposed Start of
Construction Date
Target Completion
Date
Other
II. Reasons for a Determination from the Consultation Partners
Check any boxes that apply in the first 4 rows.
1
FHWA/FTA funded project or project that requires FHWA/FTA action (e.g. interstate access)
2
The proposed project is located within a PM10 non-attainment or maintenance area.
3
The proposed project is located within a PM2.5 non-attainment or maintenance area.
Note: None currently in Texas.
4
The proposed project is located within a CO non-attainment or maintenance area.
Form
TxDOT Environmental Affairs Division
Release Date: 2/2014
Version 1
210.03.FRM
Page 1 of 4
Hot-Spot Analysis Data for a Consultation Partner Decision
5
Applies
to
6
PM
New/expanded highway project with a significant number of diesel vehicles
PM
New exit ramp or other highway facility improvement project to connect a highway
or expressway to a major freight, bus, or intermodal terminal
PM
Affects an intersection that is at or will change to a Level-of-Service D, E, or F with
significant number of diesel vehicles
PM
New/expanded bus or rail terminal or transfer point with a significant number of
diesel vehicles congregating at a single location
PM
In or affects a location, area, or category of site identified in the applicable PM State
Implementation Plan or Implementation Plan submission, as a site of violation or
possible violation
11
PM
Other:
12
CO
Affects locations, areas, or categories of sites identified in the applicable CO State
Implementation Plan as sites of violation or possible violation
13
CO
Affects intersections that are at Level-of-Service D, E, or F, or those that will
change to Level-of-Service D, E, or F because of increased traffic volumes related
to the project
14
CO
Affects one or more of the top three intersections in the nonattainment or
maintenance area with highest traffic volumes, as identified in the applicable State
Implementation Plan
15
CO
Affects one or more of the top three intersections in the nonattainment or
maintenance area with the worst level of service, as identified in the applicable
State Implementation Plan
16
CO
Other:
7
8
9
10
Criteria
Explanation
Provide a more detailed explanation of how this project meets or does not meet the above criteria in
rows 6-11 for PM nonattainment or maintenance areas and 12-16 for CO nonattainment or
maintenance areas, so Consultation Partners can make a decision if the project is or is not a project of
air quality concern. If needed, contact ENV air specialist for assistance.
<Enter Explanation >
Form
TxDOT Environmental Affairs Division
Release Date: 2/2014
Version 1
210.03.FRM
Page 2 of 4
Hot-Spot Analysis Data for a Consultation Partner Decision
III. Available Network Section Traffic Data for the Project
Use all available traffic data to fill out the table, and include a reference to the source of the traffic data
in the field below the table. This information should be provided for each intersection and interchange
and for each section of the proposed project delineated in the traffic analysis.
DATA TYPE
<Insert
Section,
Intersection,
Interchange>
<Insert
Base
Year>
Existing
<Insert
ETC Year>
No-Build
<Insert
Base
Year>
Build
<Insert
Design
Year>
No-Build
<Insert
Design
Year>
Build
Annual
average daily
traffic (AADT)
Peak-hour
traffic volume
(% of AADT)(k)
Directional split
in peak-hour
(D)
Truck
percentage,
daily or peakhour (T)
Average speed
(most likely for
peak-hour)
Level of
Service
Other
Source of Information, Key Assumptions, and Method
Attach any additional traffic data and analyses to this document.
Form
TxDOT Environmental Affairs Division
Release Date: 2/2014
Version 1
210.03.FRM
Page 3 of 4
Hot-Spot Analysis Data for a Consultation Partner Decision
Appendix A
The following table shows the revision history for this guidance document.
Revision History
Effective Date
Month, Year
Reason for and Description of Change
Form
TxDOT Environmental Affairs Division
Release Date: 2/2014
Version 1
210.03.FRM
Page 4 of 4
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