Site Information
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Survey By |
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Survey Date
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County* |
County is a required field, please select
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District
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Route No.* |
e.g. US 27
Route No. is a required field, please input
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Direction
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Speed Limit |
M.P.H. |
Site Description
Site Description is too long
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MP from |
to
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Latitude*
Longitude*
Latitude/Longitude is a required field, please input
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Hazard Factor Rating
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Annual Precipitation (in.)* |
Based on data 6/2021 - 5/2022
Annual Precipitation is a required field, please input a decimal number.
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Annual Precipitation Score |
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Influence of Surface Water* |
Influence of Surface Water is a required field, please select
|
Influence of Surface Water Score |
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Pavement Damage* |
Pavement Damage is a required field, please select
|
Pavement Damage Score |
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Failure Frequency* |
Failure Frequency is a required field, please select
|
Failure Frequency Score |
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Slope (Rise : Run)* |
Slope (Rise : Run) is a required field, please select
|
Slope Score |
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Height of Slope (ft.)* |
Height of Slope is a required field, please input a decimal number.
|
Height of Slope Score |
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Consequence Factor Rating
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Depth to Slide Plane (ft.)* |
Depth to Slide Plane is a required field, please input a decimal number.
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Depth to Slide Plane Score |
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Road Width Affected* |
Road Width Affected is a required field, please select
|
Road Width Affected Score |
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Length of Highway Affected (ft.)* |
Length of Highway Affected is a required field, please input a decimal number.
|
Length of Highway Affected Score |
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AADT* |
KYTC Traffic Count |
AADT Score |
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Detour Options* |
Detour Options is a required field, please select
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Detour Options Score |
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Annual Maintenance Costs* |
Annual Maintenance Costs is a required field, please input a decimal number.
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Annual Maintenance Costs Score |
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Rating Remarks
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Overall Score and Comments
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Hazard Score: |
Consequence Score:
Total Score:
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Total Repair Costs* |
Total Repair Costs is a required field, please input a decimal number.
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Submit By |
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Rating Comments
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