Traffic Impact Analysis (Tia) Threshold Worksheet Template

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Traffic Impact Analysis (TIA) Threshold Worksheet
Complete this form as an aid to determine if your project requires a Traffic Impact Analysis Study. Unified Development Code, Article V, Section 35-502.
Project Name:
Threshold Worksheet Prepared by:
Project Location:
Company:
□ Owner or □ Owner’s Agent
Is this? □ C.O.S.A □ San Antonio ETJ □ Bexar County □ Other Municipality
Address:
Date:
Email:
Phone:
Permit Type or Reason for TIA Study/Worksheet (Check one and indicate the number if known)
Zoning #:
MDP # or POADP#:
Plat #:
Bldg Permit #:
Other:
Proposed Type of Development (Multi building development or multi-occupancies may require additional tabulation sheets to determine total peak hour trips)
Anticipated
Project Size
Critical Peak
Peak Hour Trip Rate
Peak Hour Trips
Trip Rate
Land/Building Use/Zoning
Hour
(PHT) Rate
(PHT)
Source
Acres
GFA
# of Units
ITE Code:
Previous Development on Site (Required for land with previous/current buildings occupied within 1 year of submittal or if Re-zoning property)
Previous
Size
Critical Peak
Peak Hour Trip Rate
Peak Hour Trips
Trip Rate
Land/Building Use/Zoning
Hour
(PHT) Rate
(PHT)
Source
Acres
GFA
# of Units
ITE Code:
Previous TIA Report (If property has a TIA on file) TIA # ________________
Difference in PHT (Proposed PHT – Previous Development PHT or TIA PHT)
Peak Hour Trips
Peak Hour Trips
Increase in Peak Hour Trips
Projected in TIA on File
Projected in Updated Development Plan
(if an increase of 76 PHT or an increase of 10% of the total PHT, a new TIA is required)
Turn Lane Requirements for Developments with Less Than 76 PHT (for developments with 76 or more PHT, this analysis will be included in the TIA)
Right-turn lanes required at:
Left-turn lanes required at:
Requirement
(identify street/driveway name)
(identify street/driveway name)
□ _________________
□ None
Median Openings
N/A
□ _________________
Driveways or streets with a daily entering right- or left-turn traffic volume of 500
□ _________________
□ None
□ _________________
□ None
vehicle trips or 50 vehicle peak hour trips
□ _________________
□ _________________
□ _________________
□ None
□ _________________
□ None
Required by TxDOT
□ _________________
□ _________________
Where unsafe conditions may exist
□ _________________
□ None
□ _________________
□ None
(limited sight distance, high speed, uneven grade, etc.)
□ _________________
□ _________________
Comments
(For Official Use Only, Do Not Write in this Box)
□ TIA report is required. □ A TIA report is not required. The traffic generated by the proposed development does not exceed the threshold requirements.
□ The traffic impact analysis has been waived for the following reasons: ______________________________________________________________________________________
Reviewed by: ___________________________________________________________________________
Date: _______________________
NOTE: GFA = Gross Floor Area (bldg. size).
ITE = Institute of Transportation Engineers, Trip Generation, 8th Edition. 525 School Street, S.W., Suite 410, Washington, DC 20024-2729; (202) 554-8050.

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