DOT Hazard editable form

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Bicycle Hazard Location Form for Share The Road Sign placement Submitting Organization: Submission To: Submission Date: Hazard Location Information GPS Coordinates: Photo Identification Number(s): Date GPS Collected: Date Photo(s) Taken: Photo(s)/Location Information (direction, time of day, landmarks): Cyclist and Traffic Information: Hazard Description: Latitude: Longitude: Point 1 Latitude: Longitude: Point 2 Latitude: Longitude: Point 3 (See Attached) Sign Location Suggestion: Hazard Identification Number: SeeClickFix ID#: Survey Response #: Data Point on Designated State Bicycle Network:

Transcript of DOT Hazard editable form

Page 1: DOT Hazard editable form

Bicycle Hazard Location Form for Share The Road Sign placement

Submitting Organization:

Submission To: Submission Date:

Hazard Location Information

GPS Coordinates:

Photo Identification Number(s):

Date GPS Collected: Date Photo(s) Taken:

Photo(s)/Location Information (direction, time of day, landmarks):

Cyclist and Traffic Information:

Hazard Description:

Latitude:

Longitude:

Point 1

Latitude:

Longitude:

Point 2

Latitude:

Longitude:

Point 3

(See Attached)

Sign Location Suggestion:

Hazard Identification Number:

SeeClickFix ID#: Survey Response #:Data Point on Designated State Bicycle Network:

42°59'44.92"N

70°56'46.02"W

42°59'46.70"N

70°56'46.28"W

3463 and 3464

8/18/10 8/18/10

No shoulder on Southbond side, poor/narrow shoulder with overgrown brush South of the bridge on both sides. Severe road narrowing under bridge, dangerious for cars and especially for cyclists. Bad site lines heading north before bridge and coming south while under bridge.

South of rail bridge underpass next to the DOT facility. Pictures taken looking N NE.

Medium car tra�c. DOT trucks seen entering and exiting the facility. Route used by C&J Bus twice a day. One cyclist in Highschool seen.

One sign Northbound before corner and DOT facility entrance, and one sign Southbound after the residential driveways and before the rail bridge.

Map Placemark Number(s):