City/ Town: Route: Intersection Name; Street Names:

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City/ Town: Route: Intersection Name; Street Names: RAMP AND LEVEL LANDING Blank Identify Ramp Type (From Sketches If not identifiable, sketch Ramp.) 2 Is vertical curb blocking path of travel (Y/N) If Yes stop here. (Cross walk to a vertical curb OR is access to a curb cut on the opposite side of the street blocked by in-place curb) 3 Is Ramp Opening Perpendicular to Curb AND Grade Break Lines Across Path of Travel (Y/N) 4 Is Ramp opening Within Cross Walk (Y/N) 5 Tactile/Detectable Warning Panel in place (Y/N) 6 Ramp Opening WIDTH at Gutter 6 a Change in Level Roadway to Ramp Code A, B, or C. (A Less than ¼ - B From ¼ to ½ inch with bevel - C ¼ inch without bevel or greater than ½ inch) 6 Evidence of Ponding on Ramp or b at Gutter (Y/N) 7 Gutter Slope Parallel to Sidewalk in Percent 8 Slope of street to gutter perpendicular to the gutter line 9 Ramp Slope in % Level Landing to Street (Measure and Record at 6 from left side; center; 6 from right edge.) 0 Ramp Cross Slope in % at center. ramp # ramp #2 ramp #3 ramp #4 Save: 203-May-0 C:\Users\brooksj\Desktop\Workspace\ADA CivilRights\From Michelle\Attachment 0a Curb Ramp Inventory Data sheet.doc

LEFT FLARE LEFT SIDE SIDE WALK S RIGHT FLARE 2 3 4 5 6 7 8 9 2 0 Blank Level Landing Depth - Ramp Edge to Back of Landing or Sidewalk Level Landing Slope toward Street % Level Landing Slope % Does the Curb Cut serve two directions of Street Crossings (Y/N) Left Side Flare Slope %. If greater than 4% measure #6, if not go to #7 Left Side Flare Length Left Side Sidewalk Width (excluding curb) Left Side Sidewalk Cross Slope Right Side Flare Slope %. If greater than 4% measure #20, if not go to #2 Right Side Flare Length ramp # ramp #2 ramp #3 ramp #4 RIGH T SIDE SIDE WALK S OVE RAL L CON DIT ON 2 2 2 2 3 Right Side Sidewalk Width (excluding curb) Right Side Sidewalk Cross Slope Sidewalk & Ramp Distresses (Frost Heaves, Vertical Lifts at Cracks or Joints, Tree Roots) See Coding (Add Note If Necessary) See Coding (Add Note If Necessary) Save: 203-May-0 C:\Users\brooksj\Desktop\Workspace\ADA CivilRights\From Michelle\Attachment 0a Curb Ramp Inventory Data sheet.doc

Blank TRAFFIC DATA 2 Is this location signalized? (Y/N) 4 (If No Stop Here) 2 Is there a pedestrian actuated 5 crossing phase? (Y/N) (If No 2 6 Stop Here) Is the signal APS (Y/N) ramp # ramp #2 ramp #3 ramp #4 Save: 203-May-0 C:\Users\brooksj\Desktop\Workspace\ADA CivilRights\From Michelle\Attachment 0a Curb Ramp Inventory Data sheet.doc

DRAFT Severity Index Range for Curb Cut Ramp Data SEVERITY DESCRIPTION SEVERITY SCORE SEVERITY DESCRIPTION SEVERITY SCORE SEVERITY DESCRIPTION SEVERITY SCORE Type Identifier No Severity 2 Curb Blocking Path No Obstruction Curb Blocking 3 Grade Breaks Perpendicular to Path of Travel Yes No 4 Is ramp opening within Cross Walks Yes No 5 Is tactile warning panel in place Yes No 6 Ramp opening width at gutter 4'-0 Less than 4'-0" 3'-0" Less then 3'-0" 6A Change in level Roadway to Ramp (Lip) Measured "A" Measured "B" Measured "C" 6B Evidence of Ponding on Ramp or at Gutter No Yes Gutter Slope (Parallel with Sidewalk Less or Equal to 7 & Roadway) 2.0% 2.% to 5.0% 5.0% 8 Slope of Street Perpendicular to Gutter Line Gutter Slope + Ramp Slope Less Than 0% Gutter Slope + Ramp Slope Between 0.% and 5.0% Gutter Slope + Ramp Slope 5.0% 9 Ramp Slope in Percent - 3 Measurements Left, Center and Right Less than 8.3% Less than 0% 0% 0 Cross Slope at Center of Ramp Less or Equal to 2.0% 2.0% to Level Landing Depth - Ramp Break toward Back of Walk 48' or greater Less than 48" but 42" Less than 42" 2 Level Landing Slope toward Street Less or Equal to 2.0% 2.0% to 3 Level Landing Slope Parallel with Street Less or Equal to.2%.2% to 2.0% 2.0% Multiply 2 times 3 to determine severity index of level landing 4 Does the curb cut serve 2 directions of street crossing. (Is this an APEX Opening) No Yes 5 Left Side Flare Slope Less or Equal to 8.3% 8.3% and Less than or Equal to 0.0% 6 Left Side Flare Length 5 feet Less than 5 feet Multiply 5 times 6 to determine severity index of Flare Left Side Sidewalk Width (excluding Less than 5'-0" but 7 curb) 5'-0" 4'-0" Less or Equal to 2.2% to 8 Left Side Sidewalk Cross Slope 2.2% 8.3% Less or Equal to and Less than or 9 Right Side Flare Slope 8.3% Equal to 0.0% 20 Right Side Flare Length 5 feet Less than 5 feet Multiply 9 times 20 to determine severity index of Flare Right Side Sidewalk Width Less than 5'-0" but 2 (excluding curb) 5'-0" 4'-0" 22 Right Side Sidewalk Cross Slope Less or Equal to 2.2% 2.2% to 0.0% Less than 4'-0" 0.0% Less than 4'-0" 23 Distress Codes No codes Each Distress Code Each "+" Distress Codes and Obstructions and Encroachments

Inventory Data Sheets and Instructions The measurement team shall determine north and start the inventory on the leg of the intersection to the east of north. The first wheel ramp will be the one on the left of that first street east of north. All wheel ramps after that are counted sequentially and in a clockwise direction. They should be numbered from the sending wheel ramp on the Median cut thru s shall be included sequentially in the count. If the median is 6 feet or less the cut thru is a single number, if the median is greater than 6 feet the cut thru is 2 ramps with a shared landing. Delta islands with multiple wheel ramps shall be included in the sequence. sidewalk, (n); the receiving wheel ramp on the delta island (n+); and continued clockwise around the island. Measurements are determined left to right standing in the street looking at the curb cut wheel ramp. Note if there are poles or other obstructions in the wings or between ramps. If an entire corner is depressed or the roadways elevated as with a speed table, the corner can be considered as having 2 wheel ramps. This is unlike an apex ramp which is a single ramp serving two directions of crossing and requiring a turning area at the base of the ramp to select the crossing. Ramp 7 is not an apex ramp as it serves only one direction of travel, to the island. If ramps and 2 were merged into a single ramp, serving crossings to ramp 3 and ramp 9, that would be a apex ramp. OK DRP FRI-20-SEP-02

Distress codes F Faulting of surfaces at joints, cracks, utility covers or structures ¼ inch or less. F+ Faulting as described above greater than ¼ inch. R Surface distress caused by tree roots. Cll Crack ½ inch or less Parallel to the dominant direction of travel Cll+ Crack more than ½ inch Parallel to the dominant direction of travel CT Crack ½ inch or less Perpendicular to the dominant direction of travel CT+ Crack more that ½ inch Perpendicular to the dominant direction of travel. Objects in wheel ramps UA-F Utility Access, Man Hole, Gate, Pull box etc. set flush with the surface in a single plane surface. UA-J Utility Access, Man Hole, Gate, Pull box etc. set across joints defining plane surfaces of the wheel ramp P Signal, Sign, Utility Pole set in wing of wheel. O Hydrant, or Other element set in wing of wheel ramp PE Pole Encroaching into the used portions of the wheel ramp. OE Hydrant or Other element Encroaching into the used portion of the wheel ramp. Objects in the general path of travel (objects in/on the sidewalk and/or crosswalk only. Objects in the road are not recorded.) CB Catch Basin MH Man Hole V Utility Vault OK DRP FRI-20-SEP-02