Survey of Issues and Concerns

Background: The State Highway Administration (SHA) is drafting the engineering designs for improvements along Jefferson Pike. The project is called Jefferson Streetscape and a task force of local citizens is working with the SHA to provide citizen input.

Purpose of Survey: To alert the engineers at SHA about the possible issues and concerns of each property owner so as to avoid costly changes in detailed specification of plans and procedures.

Property Address: ___________________________________________________________________

Tax Map #: ________________________ Date: _______________________

Interviewer: _____________________________________________________________________

Name of person(s) interviewed:_________________________________________________________

o Owner o Renter o Other

If other, explain:__________________________________________________________________

If not owner, name & address of owner: _____________________________________________ ________________________________________________________________________________

________________________________________________________________________________

Please comment on any concerns you may have that relate specifically to this property

Construction: (length, timing, property access, etc.)

Access rights of engineers and construction workers:

Street traffic:

Drainage:

Placement of utility poles:

Street lighting (coverage, brightness, etc.):

Driveway entrance:

Interference with existing structures (porch, walkways, meters, utility portals, etc.):

Esthetic harmony with existing structures:

Business parking:

Residential parking:

Other Concerns: