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PRB Meeting Date: 3/22/2022
Request Teleconference		Teleconference Phone #:
Video Teleconference

GENERAL INFORMATION

2. Form Date:	3. Project Manager/Presenter:	4. Phone Number(s):	5. Mail Drop:
3/24/2022 8:53:28 AM	Rashidul Haque	(602) 712-7352	205 S 17th Ave, 295, 614E

PROJECT INFORMATION

6. Project Name/Location:			7. Type of Work:			8. CPS Id:
67th Ave and 59 Ave TIs			Traffic Interchange Improvements			WZ1P
9. District:	10. Route:	11. County:	12. Beg. MP:	13. TRACS #:	14. Len. (mi):	15. Fed ID#:
Phoenix	101	Maricopa	18	F048901L	1

PROJECT REQUEST SUMMARY

16. Original Program Budget: $0

17. Original Program Item #: 103051

Project Budget	Project Budget	Project Budget
18. Current Approved:	18a. New Project/Change Request:	18b. Final:
$0	$50,000 (0%)	$50,000
Funding Source(s)	Funding Source(s)	20. JPA #, Signed, Adot Adv.:
19. Current Approved:	19a. New Project/Change Request:
	$ 50 Item #: 4271 (MAG REGIONWIDE - Preliminary Engineering (ADOT Staff)) FY:0 FundSRC: Desc:

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Current Approved		New Project/Change Request
21. Fiscal Year:		21a. Fiscal Year:
22. Bid Pkg Rdy Date:		22a. Bid Pkg Rdy Date:		24. Verified all of the new funding sources
23. Bid Adv Date:		23a. Bid Adv Date:

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25. DESCRIPTION OF REQUEST

Establish a new project.

26. JUSTIFICATION

The purpose of this MAG project is to develop Project Assessment(PA) outlining improvements to the 67th Ave and 59th Ave traffic interchanges. This request provides funding for ADOT staff to participate in the meetings and to review the scoping document. This request was approved at the 01/26/22 MAG Regional Council Meeting (TIP ID : DOT22-201L). Staff : $45K ICAP: $5K

27. CONCERNS OF THE PROJECT TEAM REGARDING THE REQUEST

28. OTHER ALTERNATIVES CONSIDERED

REQUESTED ACTIONS	APPROVED/RECOMMENDED ACTIONS
Establish a New Project.	Item(s) Approved.