10 TIA Determination FormCASE: _______________________
13-13-TIA Determination form-2016-TD
Updated 16-2016 Page 1 of 1
CITY OF SCHERTZ
TIA DETERMINATION FORM
Complete this form as an aid to determine if your project requires a Traffic Impact Analysis
Current Property Owner’s Name: __________________________________________________________________________
Street Address, City, State, Zip: _____________________________________________________________________________
Ph#: ___________________________ Fax#: __________________________ E-Mail:
______________________________
Preparer’s Name / Company: ______________________________________________________________________________
Street Address, City, State, Zip: ______________________________________________________________________________
Ph#: __________________________ Fax#: __________________________ E-Mail:
______________________________
RESIDENTIAL DEVELOPMENT
Anticipated
Land Use
Number
of Units
Peak Hour?
(e.g., 5-6 pm, Wkday)
Peak Hour
Trip Rate
Peak Hour
Trips
Trip Rate
Source
ITE Code:
NON -RESIDENTIAL DEVELOPMENT
Anticipated Project Size Peak Hour? Peak Hour Peak Hour Trip Rate
Land Use Acres GFA Other* (e.g., 5-6 pm,
Wkday)
Trip Rate Trips Source
ITE Code:
Other:
Please check one:
A traffic impact analysis is required. The consultant preparing the study must meet with City staff to discuss the scope and
requirements of the study before beginning the study.
A traffic impact analysis 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 reason(s): ____________________________________________
_________________________________________________________________________________
____________________________________________________________.