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U. S. DOT CROSSING INVENTORY FORM DEPARTMENT OF TRANSPORTATION FEDERAL RAILROAD ADMINISTRATION OMB No. 2130-0017 Instructions for the initial reporting of the following types of new or previously unreported crossings: For public highway-rail grade crossings, complete the entire inventory Form. For private highway-rail grade crossings, complete the Header, Parts I and II, and the Submission Information section. For public pathway grade crossings (including pedestrian station grade crossings), complete the Header, Parts I and II, and the Submission Information section. For Private pathway grade crossings, complete the Header, Parts I and II, and the Submission Information section. For grade-separated highway-rail or pathway crossings (including pedestrian station crossings), complete the Header, Part I, and the Submission Information section. For changes to existing data, complete the Header, Part I Items 1-3, and the Submission Information section, in addition to the updated data fields. Note: For private crossings only, Part I Item 20 and Part III Item 2.K. are required unless otherwise noted. An asterisk * denotes an optional field. A. Revision Date (MM/DD/YYYY) _____/_____/_________ B. Reporting Agency C. Reason for Update (Select only one) D. DOT Crossing Inventory Number  Railroad  Transit  Change in Data  New Crossing  Closed  No Train Traffic  Quiet Zone Update  State  Other  Re-Open  Date Change Only  Change in Primary Operating RR  Admin. Correction Part I: Location and Classification Information 1. Primary Operating Railroad _____________________________________________________ 2. State ________________________________ 3. County ____________________________________ 4. City / Municipality  In  Near __________________________ 5. Street/Road Name & Block Number ________________________________| __________________ (Street/Road Name) |* (Block Number) 6. Highway Type & No. _______________________________________ 7. Do Other Railroads Operate a Separate Track at Crossing?  Yes  No If Yes, Specify RR ____________, ____________, ____________, _____________ 8. Do Other Railroads Operate Over Your Track at Crossing?  Yes  No If Yes, Specify RR ____________, ____________, ____________, _____________ 9. Railroad Division or Region  None _______________________ 10. Railroad Subdivision or District  None _______________________ 11. Branch or Line Name  None _______________________ 12. RR Milepost _______|____________|____________ (prefix) | (nnnn.nnn) | (suffix) 13. Line Segment * _________________________ 14. Nearest RR Timetable Station * __________________________ 15. Parent RR (if applicable)  N/A _____________________________ 16. Crossing Owner (if applicable)  N/A _________________________________ 17. Crossing Type  Public  Private 18. Crossing Purpose  Highway  Pathway, Ped.  Station, Ped. 19. Crossing Position  At Grade  RR Under  RR Over 20. Public Access (if Private Crossing)  Yes  No 21. Type of Train  Freight  Intercity Passenger  Commuter  Transit  Shared Use Transit  Tourist/Other 22. Average Passenger Train Count Per Day  Less Than One Per Day  Number Per Day_____ 23. Type of Land Use  Open Space  Farm  Residential  Commercial  Industrial  Institutional  Recreational  RR Yard 24. Is there an Adjacent Crossing with a Separate Number?  Yes  No If Yes, Provide Crossing Number __________________ 25. Quiet Zone (FRA provided)  No  24 Hr  Partial  Chicago Excused Date Established _________________ 26.HSR Corridor ID __________________ N/A 27. Latitude in decimal degrees (WGS84 std: nn.nnnnnnn) 28. Longitude in decimal degrees (WGS84 std: -nnn.nnnnnnn) 29. Lat/Long Source  Actual  Estimated 30.A. Railroad Use * 31.A. State Use * 30.B. Railroad Use * 31.B. State Use * 30.C. Railroad Use * 31.C. State Use * 30.D. Railroad Use * 31.D. State Use * 32.A. Narrative (Railroad Use) *32.B. Narrative (State Use) * 33. Emergency Notification Telephone No. (posted) _________________________________ 34. Railroad Contact (Telephone No.) ______________________________________ 35.State Contact (Telephone No.) _________________________________ Part II: Railroad Information 1. Estimated Number of Daily Train Movements 1.A. Total Day Thru Trains (6 AM to 6 PM) __________ 1.B. Total Night Thru Trains (6 PM to 6 AM) __________ 1.C. Total Switching Trains __________ 1.D. Total Transit Trains __________ 1.E. Check if Less Than One Movement Per Day  How many trains per week? ______ 2. Year of Train Count Data (YYYY) __________ 3. Speed of Train at Crossing 3.A. Maximum Timetable Speed (mph) __________ 3.B. Typical Speed Range Over Crossing (mph) From __________ to __________ 4. Type and Count of Tracks Main __________ Siding __________ Yard __________ Transit __________ Industry __________ 5. Train Detection (Main Track only)  Constant Warning Time  Motion Detection AFO  PTC  DC  Other  None 6.Is Track Signaled?  Yes  No 7.A. Event Recorder  Yes  No 7.B. Remote Health Monitoring  Yes  No FORM FRA F 6180.71 (Rev. 3/15) OMB approval expires 8/31/2019 Page 1 OF 2 8 8 11 27 2017 967948R Minnesota Commercial Railway [MNNR]MINNESOTA ANOKA FRIDLEY STINSON BLVD NE8 MUN 402 8 8 SYSTEM BELT BELT 0000.00 ST PAUL 8 MNNR 8 8 8 8 0 8 463547W8 8 8 45.0930505 -93.2278110 8 651-632-9000 651-632-9022 651-366-3667 2 0 2 0 10 2017 1 10 1 0 0 0 0 8 8 Appendix C - U.S. DOT Crossing Inventory Forms Quiet Zone Evaluation New Brighton, Minnesota C3 Spack Consulting