Regional Transportation District 1900 31st Street, ATTN: DO-M6 Denver, CO 80202

Date of Request:

Bus Stop Request/Modification FormThis form is intended to standardize the request for the addition, subtraction, modification, or relocation of a bus stop. This request will be evaluated by several departments to ensure all of the Districts qualifications and requirements are met. Requestor Contact Information: Name: Title: Phone: Email:

Location or Proposed Location (Include direction of travel):

If current stop - provide bus stop number:

Type of Request: New Bus StopRelocate/Modify Bus Stop Remove/Close Bus Stop Temporary Bus Stop

Reason for Request:

New or relocated Route

Accessibility/Reliability

Construction/Development

Provide GPS Coordinates Explain in detail the reasons that prompted this bus stop request:

If new bus stop list requested amenities (request must meet RTD design/service criteria):

Shelter

Bench

Schedule Board

Trash Receptacle

If requesting removal or relocation of current stop - list current amenities:

Shelter

Bench

Schedule Board

Trash Receptacle

If requesting temporary closure of bus stop list amenities currently present:

Shelter

Bench

Schedule Board

Trash Receptacle

If new stop request is related to service change or routing change:

Requires removal or relocation of previous route stops Requires re-labeling of other stops due to route name change.

Requires accessibility assessment

If removal or relocation of stops is related to service change or routing change:

Requires notification signage Requires re-labeling other stops due to name change.

Requires accessibility assessment

If temporary closure of stops is related to service change or routing change:

Requires notification signage

Requires identification of alternate stop location

Requires accessibility assessment

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Longitude:

Latitude:

Tracking #

FOR INTERNAL USE ONLY

mailto:bus.stop@RTD-Denver.com?subject=Bus Stop Request/Modification

ADA BUS STOP CHECKLIST – All bus stops must be accessible for all our patrons. Please complete as much as possible sign shop will access and confirm accuracy. Pedestrian Access Route: Comments Connects public sidewalk to bus pad? Yes No N/A

Connects to street? N/A

Connects public sidewalk to shelter? N/A

Connects shelter to bus pad? N/A

48"wide minimum; or 36" ; If site is constrained 36” wide is acceptable.

Yes No N/A

Is continuous for entire block segment? Yes No

N/A

Walking Surface - Pad, Shelter, Sidewalk: Surface material? (concrete/asphalt/other) Yes No N/A

Stable, firm, and slip resistant? Yes No N/A

Height vertical clearance 80 inches minimum? Yes No N/A

Cross slope is 2% maximum? Yes No N/A

Running slope is 5% maximum? Yes No N/A

Any level changes > 1/4 inch? Yes No N/A

Any Level changes between 1/4 & 1/2 inch? Yes No N/A

Beveled? Yes No N/A

Any gaps 1/2 inch or wider? Yes No N/A

Direction of gaps? (running/cross) Yes No N/A

Steps between sidewalks, shelter, or pad? Yes No N/A

Bus Boarding & Alighting Area (Pad): 96 inches minimum, perpendicular to back of curb? Yes No N/A

60 inches wide minimum, parallel to curb/street? Yes No N/A

Slope is 2% maximum, perpendicular to curb? Yes No N/A

Slope is __ % maximum, parallel to curb? Yes No N/A

General grade of adjacent street is __ %? Yes No N/A

Parallel slope of pad is no higher than street grade? Yes No N/A

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Yes No

Yes No

Yes No

ADA BUS STOP CHECKLIST (continued) – All bus stops must be accessible for all our patrons. Please complete as much as possible - sign shop will coordinate access, investigate, and ensure compliance.

Shelter: Comments Is there a shelter? Yes No N/A Clear floor space within shelter is ___ inches long. Yes No N/A

Clear floor space within shelter is ___ inches wide. Yes No N/A

Clear floor space (48 x 30) is provided within shelter? Yes No N/A

Slope within shelter is 2% maximum in any direction? Yes No N/A

Protrusions in Circulation Path: Protrusions (signs, street furniture, etc.) between 27 and 80 inches? Yes No N/A

If yes, does it protrude more than 4 inches into path? Yes No N/A

Route Identification Signs: Finish is non-glare? Yes No N/A Characters and background contrast in color? Yes No N/A

Characters are conventional/san serif? Yes No N/A

Character height is 5/8-inch (0.625) minimum? Yes No N/A

Width of uppercase "O" is 55% minimum & 110% maximum of height of uppercase "I"?

Yes No N/A

Minimum space between characters is 10% minimum and 35% maximum of character height?

Yes No N/A

Please provide other items of note or comments that may impact accessibility.

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ADA diagrams related to information in check list and per requirements:

Figure 810.2.2 - Dimensions of Bus Boarding and Alighting Areas

Figure 810.3 Bus Shelters

Figure 305.3 Clear Floor or Ground Space Figure 307.2 Limits of Protruding Objects

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Please include GIS/GOOGLE map of the area – photographs also acceptable (click box below to upload file):

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ADA diagrams related to information in check list and per requirements:

Figure: Bus Pad Dimensions

Review/Comments: Sign Shop, Bus Operations Initial Assessment Forward for review Comments:

General Superintendent Maintenance: Yes No Comments:

General Superintendent Street Operations: Yes No Comments:

General Superintendent Rail Operations: Yes No Comments:

Service Planning & Scheduling Yes No Comments:

ADA/Civil Rights: Yes No Comments:

Title VI – Planning: Yes No Comments:

Engineering Yes No Comments:

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Review/Comments: Facilities Maintenance Yes No Comments:

Safety/Security

Yes No Comments:

Yes No Comments:

FOR SIGN SHOP USE:Bus stop location meets below criteria:

ADA Accessibility

Proper Curbing

Bus Clearance

Sidewalk connectivity

Next Steps

Request Disposition: Approved Approved with conditions Disapproved

If approved with conditions provide details:

If disapproved provide reasons:

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Appropriate information entered in Maximus

Communication of final disposition to appropriate personnel.

Public Facilities, FM

City and RTD Requirements

New Bus Stop: OffRelocateModify Bus Stop: OffNew or relocated Route: OffAccessibilityReliability: OffConstructionDevelopment: OffShelter: OffBench: OffSchedule Board: OffTrash Receptacle: OffShelter_2: OffBench_2: OffSchedule Board_2: OffTrash Receptacle_2: OffShelter_3: OffBench_3: OffSchedule Board_3: OffTrash Receptacle_3: OffRequires removal or: OffRequires relabeling of other: OffRequires accessibility: OffRequires notification: OffRequires relabeling of: OffRequires accessibility_2: OffRequires notification_2: OffRequires identification of: OffRequires accessibility_3: OffCommentsYes No NA: CommentsYes No NA_2: CommentsYes No NA_3: CommentsYes No NA_4: CommentsYes No NA_5: undefined_6: OffCommentsYes No NA_6: undefined_7: OffYes No NA: undefined_8: OffYes No NA_2: undefined_9: OffYes No NA_3: undefined_10: OffYes No NA_4: undefined_11: OffYes No NA_5: undefined_12: OffYes No NA_6: undefined_13: OffYes No NA_7: undefined_14: OffYes No NA_8: undefined_15: OffYes No NA_9: undefined_16: OffYes No NA_10: undefined_17: OffYes No NA_11: undefined_18: OffYes No NA_12: undefined_19: OffYes No NA_13: undefined_20: OffYes No NA_14: undefined_21: OffYes No NA_15: undefined_22: OffYes No NA_16: undefined_23: OffYes No NA_17: undefined_24: OffCommentsYes No NA_7: undefined_25: OffCommentsYes No NA_8: undefined_26: OffCommentsYes No NA_9: undefined_27: OffCommentsYes No NA_10: undefined_28: OffCommentsYes No NA_11: undefined_29: OffYes No NA_18: undefined_30: OffYes No NA_19: undefined_31: OffYes No NA_20: undefined_32: OffYes No NA_21: undefined_33: OffYes No NA_22: undefined_34: OffYes No NA_23: undefined_35: OffYes No NA_24: undefined_36: OffYes No NA_25: Comments: Comments_2: Comments_3: Comments_4: Comments_5: Comments_6: Comments_7: Comments_8: Comments_9: Comments_10: Comments_11: ADA Accessibility: OffProper Curbing: OffBus Clearance: OffNext Steps: Date: LocationDirection: BusStopNumber: Longitude: Latitude: Title: Phone: Email: Details: check2: Offcheck3: Offcheck4: Offcheck5: OffAccessability comments: b1: DissaprovalReasons: ApprovalConditions: MapImage: ClearImage: chec5: Offchec6: Offchec7: Offchec8: Offchec9: Offchec10: Offchec11: Offchec12: Offchec13: Offchec14: Offchec25: Offcheck1: OffName: Track#: RemoveClose Bus Stop: OffTemporaryBusStop: OffFloorSpacewidth: FloorSpacelength: Slope%: Grade%: bus: stop@RTD-Denver: com:

Check Box1: OffCheck Box2: OffSidewalk connectivity: OffCityRTDRequrements: Off