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<br />PROJECT NOMINATION FORM <br />STATEWIDE TRANSPORTATION ENHANCEMENT PROGRAM <br />provided for by the <br />Intermodal Surface Transportation Efficiency Act of 1991 <br /> <br />Project Evaluation and Selection will be determined by the information submitted in this nomination form <br />or required attachments. Supplementary information is optional and may delay processing. <br /> <br />PART I. GENERAL INFORMATION. <br /> <br />PROJECT NAME: <br /> <br />DATE: <br /> <br />1 . CONTACT PERSON (name/title): <br /> <br />A. SPONSOR: <br /> <br />B. AFFILIATION: <br /> <br />C.ADDRESS: <br /> <br />D. CITY: <br /> <br />E. STATE: <br /> <br />F. ZIP CODE: <br /> <br />H. DAYTIME TELEPHONE: I. FAX NO.: <br />(person TxDOT may contact for further information) <br /> <br />2. TEST OF PROJECT ELIGIBILITY. The proposed project must have a direct <br />relationship of Function, Proximity, or Impact to the Intermodal Transportation <br />System. Please check the appropriate box(es} below that show(s} the candidate <br />project's relationship to transportation system. <br /> <br />D A. Function <br /> <br />D B. Proximity <br /> <br />D C. Impact <br /> <br />An original and eight copies of the completed nomination package must be <br />submitted to TxDOT by 5:00 p.m., Tuesday, August 16, 1994. A list of local <br />TxDOT district offices and their addresses is included at the end of the <br />nomination form. For further information or assistance in completing this <br />nomination package, please contact your local TxDOT district enhancement <br />coordinator. <br />