INSTRUCTIONS: This must be submitted on letterhead to MaineDOT.

, Project Manager

Maine Department of Transportation

Bureau of Project Development, Multimodal Program

16 State House Station

Augusta, ME 04333-0016

Subject: Public Process Certification, Project

WIN

Dear :

The Municipality of hereby certifies that a public process was carried out for the project in accordance with Title 23 in the Code of Federal Regulations, Part 771.111, “Early coordination, public involvement, and project development.”

IF APPLICABLE, DESCRIBE ANY PUBLIC OPPOSITION HERE.

I have attached for your information the following:

A copy of the notification that was sent to abutters by registered mail;

A copy of the meeting notice;

Sign-in sheet; and

Meeting minutes / public hearing transcript.

Sincerely,

, Local Project Administrator