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2. Applicant Information
4. First Name*
5. Last Name*
7. Address1*
9. Address2
11. City*
12. State*
13. Zip*
15. Telephone*
16. Email Address*
18. Are you a resident or property owner?*

    1. Resident
    2. Property Owner

    Residents are defined as either owner-occupiers or renters/lessees within the project area.

    
    Property owners are defined as the person or persons listed on the Chatham County Property Records Index or the legal representative of an entity.
20. Location of Requested Needs Assessment*
    Please define geographic boundaries as clearly as possible (e.g. 400, 500, and 600 block of East 54th Street).
22. Please rank each of the following traffic issues in the area:
24. Speeding*

    1. Very Significant
    2. Significant
    3. Not Significant
25. Traffic Volumes*

    1. Very Significant
    2. Significant
    3. Not Significant
26. Cut-through Traffic*

    1. Very Significant
    2. Significant
    3. Not Significant
27. Traffic Accidents*

    1. Very Significant
    2. Significant
    3. Not Significant
29. Traffic Noise*

    1. Very Significant
    2. Significant
    3. Not Significant
30. Pedestrian Safety*

    1. Very Significant
    2. Significant
    3. Not Significant
31. Bike Safety*

    1. Very Significant
    2. Significant
    3. Not Significant
32. Parking*

    1. Very Significant
    2. Significant
    3. Not Significant
34. Other Traffic Issues
36. Conditions Necessitating Assessment – Please provide a detailed description of the problems observed in the Assessment Area: *
38. Please identify the time of the day when the traffic problems appear to be the worst (such as AM peak, PM peak, afternoon, evening, or night) . *
40. Please describe any of the following characteristics of your neighborhood: heavy use by pedestrians, bicyclists, or other more vulnerable users; substandard streets (lack of sidewalks, narrow streets, right curves, limited sight distance, etc.) and pedestrian generating facilities (parks, elderly housing, shopping areas, etc.). *
42. Please describe if there are any schools, hospitals, places of worship, recreational c enters, hotels, sports arenas or historical monuments in the vicinity of the location. *
44. Please describe if the traffic problems mainly occur during holidays (such as Christmas, Thanksgiving, New Year, etc.) *
46. Please describe who you think is causing the traffic problems. For example is it local residents or cut - through traffic? Is it cars or delivery trucks, etc.? *
48. Please describe if the traffic problems create safety issues for pedestrians and bicyclists in your neighborhood. If yes, then please describe how the traffic problems affect safety of pedestrians and bicyclists in your neighborhood? *
50. Are there any existing traffic calming measures within the Assessment area you have defined? If yes, then please describe if they are effective.*
52. If traffic calming is implemented, how would you feel about having traffic calming measures (median islands, speed humps, corner bulb - outs, etc. ) being placed in front of your home? Are you willing to lose on - street parking in front of your home? *
54. Have you previously contacted the City of Savannah for help in addressing your traffic problems? If yes, please indicate which departments have been contacted. *
56. Is the area of concern an active construction zone? If so, do you know the project name or can you provide a description of the project? *
58. Are there any traffic calming treatments that would not find acceptable? *
60. Does the area of concern include any CAT bus stops or affect other transit access? *
62. Please provide us with any additional comments you feel would be helpful.
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64. 1. Receive an email copy of this form.
65. Email address

    This field is not part of the form submission.

66. Submit

* indicates a required field