Iowa DOT

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Assign the proposed project to one or more of the following categories (check one or more):

SELECT ONE:

*Is the project consistent with the State Implementation Plan for air quality for non-attainment areas?

*Is the project consistent with the MPO's local congestion management plan?

Is the project consistent with the

Long-Range Transportation Plan?

Are any state funds involved in this project?

Are any other federal funds involved in this project?

Has any part of this project been started?

The following documents and narratives must be submitted with this application. In the upper right corner of each document ornarrative write the corresponding letter shown below.

Please choose the statement(s) that pertains to this grant application. Complete all the information requested forthe chosen statement(s). Submit additional pages as necessary.

Indicate which groups are impacted

Indicate which groups are impacted. 1

Please choose the statement(s) that pertains to this grant application. Complete all the information requested forthe chosen statement(s). Submit additional pages as necessary.

disregard this

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