Preparing a Right of Way Request for Acquisition Authority Missouri Local Programs

1. Preparing a Right of Way Request for Acquisition Authority Missouri Local Programs How to request right of way acquisition authority for obligation of federal funds in right of way acquisition or “notice to proceed”-no federal funds

2. First Steps • The form must be placed on the Local Public Agency Letterhead. Either retype the form on agency letterhead or fill in the form using the on line EPG form 236.18.2 (create link) and then copy and past the contents onto the agency letterhead. • Fill in the following information • Date: Fill in the date of the request • To: Fill in the name of the District Transportation Planning Specialist or the name of the person MoDOT has requested you send the request to. • From: Fill in the name of the person who is sending in the request along with their title. • Subject: Request for RW Acquisition Authority (A-Date) Federal Project Number: Fill in the Federal Project Number here. Route or project name: Fill in the route or project name here. Termini: Fill in the stationing of termini limits of the project from the RW plans which must be attached. Length of Project: Fill in the length of project in feet or miles. Funding Selection: (select only on funding option) Select either a request for federal participation in all RW activities or, Select no Federal Participation (Request for Notice to Proceed –No Federal Participation)

3. Section One • Section One: All items in this section must include the approval date. • Date Preliminary Design Plans Approved: Fill in the date Preliminary Design Plans Approved • Date RW Plans Approved:MoDOT fills in this date as the RW Plans are to be submitted for approval with this request. • Environmental Document Approved by FHWA: Copy of Environmental Approval must be attached. • Select a Document Type: Double click this “button” and three options will be provided to select from. • Clearance Date: Fill in the Clearance Date.

4. Section One Continued: • Historic Section 106 Approved by MoDNR: Attach one copy of Section 106 Approval. • Clearance Date –Section 106: Fill in the date of the section 106 approval • Clearance Date-Archeological Review: Fill in the date of the approved archeological review or check the N/A box if not applicable. • Clearance Date-Eligible Structure on new RW: Fill in the date of clearance if an eligible structure has been identified within the new RW limits. • Date of Public Meeting: Fill in the date the Public Meeting was held if one was required.

5. Section Two • Who will conduct RW Activities? Check the box next to the appropriate answer. • If MoDOT is conducting or participating in RW activities provide the supplemental agreement date. The supplemental agreement is to address reimbursement of MoDOT expenses. • Is the LPA staffed and adequately equipped perform acquisition activities in compliance with the Code of Federal Regulations? Check Yes or No. • LPA will contract with the following individuals from MoDOT’s Approved Rosters: Check all appropriate answers.

6. Section Three • Questions must be answered with an estimated dollar amount. • Breakdown: Fill in the total RW Cost estimate. Break the estimate in the appropriate percentage split based upon the programming agreement. • Project Total cost Percentage: Provide the percentage split for Federal , Local and/or Other. • Name of “Other” Participating Entity, if any: Fill in the name of “other” participating entities, if any. • Breakdown of Relocation Cost: Fill in the amount estimated for Relocation assistance and Moving Cost. Also Provide the number of Residential and Business Units requiring relocation benefits. • Comments Here: Provide any additional comments here.