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 B. Reporting Agency C. Reason for Update (Select only one) D. DOT Crossing
(MM/DD/YYYY) ✘ Railroad
  Transit ✘ Change in
  New  Closed  No Train  Quiet Inventory Number
_____/_____/_________
01 03 2018 Data Crossing Traffic Zone Update
 State  Other  Re-Open  Date  Change in Primary  Admin. 224704E
Change Only Operating RR Correction
Part I: Location and Classification Information
1. Primary Operating Railroad 2. State 3. County
_____________________________________________________
Buckingham Branch Railroad Company [BB] ________________________________
VIRGINIA ____________________________________
ALBEMARLE
4. City / Municipality 5. Street/Road Name & Block Number 6. Highway Type & No.
 In ________________________________|
LANE TOWN RD __________________
✘ Near
 __________________________
CROZET (Street/Road Name) |* (Block Number) _______________________________________
684
7. Do Other Railroads Operate a Separate Track at Crossing?  Yes  ✘ No 8. Do Other Railroads Operate Over Your Track at Crossing?  ✘ Yes  No
If Yes, Specify RR If Yes, Specify RR
____________, ____________, ____________, _____________ ____________,
ATK ____________, ____________,
CSX _____________
9. Railroad Division or Region 10. Railroad Subdivision or District 11. Branch or Line Name 12. RR Milepost
_______|____________|____________
CA 0195.85
 None _______________________
Richmond & Alleghany  None _______________________
North Mountain ✘ None
 _______________________ (prefix) | (nnnn.nnn) | (suffix)
13. Line Segment 14. Nearest RR Timetable 15. Parent RR (if applicable) 16. Crossing Owner (if applicable)
* Station *
_________________________ __________________________ ✘ N/A _____________________________  N/A _________________________________
CSX
17. Crossing Type 18. Crossing Purpose 19. Crossing Position 20. Public Access 21. Type of Train 22. Average Passenger
✘ Highway
 ✘ At Grade (if Private Crossing) ✘ Freight  Transit Train Count Per Day
✘ Public
  Pathway, Ped.  RR Under  Yes ✘ Intercity Passenger  Shared Use Transit ✘ Less Than One Per Day
 Private  Station, Ped.  RR Over  No  Commuter  Tourist/Other  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? 25. Quiet Zone (FRA provided)

 Yes  ✘ No If Yes, Provide Crossing Number __________________ ✘ No

  24 Hr  Partial  Chicago Excused Date Established _________________
26. HSR Corridor ID 27. Latitude in decimal degrees 28. Longitude in decimal degrees 29. Lat/Long Source

__________________ ✘ N/A
30.A. Railroad Use *
30.B. Railroad Use *
(WGS84 std: nn.nnnnnnn) 38.077334 (WGS84 std: -nnn.nnnnnnn) -78.716741 ✘ Actual
  Estimated
31.A. State Use *
250'' N OF SR 1206
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.)
866-244-4529 434-983-3300 804-786-2822
_________________________________ ______________________________________ _________________________________
Part II: Railroad Information
1. Estimated Number of Daily Train Movements
1.A. Total Day Thru Trains 1.B. Total Night Thru Trains 1.C. Total Switching Trains 1.D. Total Transit Trains 1.E. Check if Less Than
(6 AM to 6 PM) (6 PM to 6 AM) One Movement Per Day 
__________
3 __________
2 __________
0 __________
0 How many trains per week? ______
2. Year of Train Count Data (YYYY) 3. Speed of Train at Crossing
3.A. Maximum Timetable Speed (mph) __________
60
__________
2017 3.B. Typical Speed Range Over Crossing (mph) From __________
10 to __________
60
4. Type and Count of Tracks

Main __________
1 0
Siding 0__________ Yard __________ Transit __________
0 Industry __________
0
5. Train Detection (Main Track only)
✘ Constant Warning Time  Motion Detection AFO  PTC  DC  Other  None

6. Is Track Signaled? 7.A. Event Recorder 7.B. Remote Health Monitoring
✘ Yes  No
  Yes  ✘ No  Yes  ✘ No
FORM FRA F 6180.71 (Rev. 3/15) OMB approval expires 3/31/2018 Page 1 OF 2
 U. S. DOT CROSSING INVENTORY FORM
A. Revision Date (MM/DD/YYYY) PAGE 2 D. Crossing Inventory Number (7 char.)
01/03/2018 224704E
Part III: Highway or Pathway Traffic Control Device Information
1. Are there 2. Types of Passive Traffic Control Devices associated with the Crossing
Signs or Signals?
2.A. Crossbuck 2.B. STOP Signs (R1-1) 2.C. YIELD Signs (R1-2) 2.D. Advance Warning Signs (Check all that apply; include count)  None
Assemblies (count) (count) (count) ✘ W10-1 ________
2  W10-3 ________  W10-11 __________
✘ Yes  No

0 0 0  W10-2 ________  W10-4 ________  W10-12 __________
2.E. Low Ground Clearance Sign 2.F. Pavement Markings 2.G. Channelization 2.H. EXEMPT Sign 2.I. ENS Sign (I-13)
(W10-5) Devices/Medians (R15-3) Displayed
✘ Yes (count_______)
4 ✘ Stop Lines
 Dynamic Envelope  All Approaches  Median  Yes ✘ Yes
 No ✘ RR Xing Symbols
  None  One Approach ✘ None
  No  No
2.J. Other MUTCD Signs  Yes  ✘ No 2.K. Private Crossing 2.L. LED Enhanced Signs (List types)
Signs (if private)
Specify Type _______________ Count __________
Specify Type _______________ Count __________  Yes  No
Specify Type _______________ Count __________
3. Types of Train Activated Warning Devices at the Grade Crossing (specify count of each device for all that apply)
3.A. Gate Arms 3.B. Gate Configuration 3.C. Cantilevered (or Bridged) Flashing Light 3.D. Mast Mounted Flashing Lights 3.E. Total Count of
(count) Structures (count) (count of masts) _________
2 Flashing Light Pairs
✘ 2 Quad  Full (Barrier) Over Traffic Lane _____
0  Incandescent  Incandescent ✘ LED
Roadway _____
2  3 Quad Resistance  Back Lights Included  Side Lights 5
Pedestrian _____  4 Quad  Median Gates Not Over Traffic Lane _____
0  LED Included

3.F. Installation Date of Current 3.G. Wayside Horn 3.H. Highway Traffic Signals Controlling 3.I. Bells
Active Warning Devices: (MM/YYYY) Crossing (count)
______/___________
05 2012  Not Required  Yes Installed on (MM/YYYY) ______/__________  Yes  ✘ No 1
✘ No

3.J. Non-Train Active Warning 3.K. Other Flashing Lights or Warning Devices
 Flagging/Flagman Manually Operated Signals  Watchman  Floodlighting  None Count ___________
0 Specify type ______________________
4.A. Does nearby Hwy 4.B. Hwy Traffic Signal 4.C. Hwy Traffic Signal Preemption 5. Highway Traffic Pre-Signals 6. Highway Monitoring Devices
Intersection have Interconnection  Yes  No (Check all that apply)
Traffic Signals? ✘ Not Interconnected  Yes - Photo/Video Recording
 For Traffic Signals  Simultaneous Storage Distance * ____________  Yes – Vehicle Presence Detection
 Yes 
✘ No  For Warning Signs  Advance Stop Line Distance * ____________ ✘ None
Part IV: Physical Characteristics
1. Traffic Lanes Crossing Railroad  One-way Traffic 2. Is Roadway/Pathway 3. Does Track Run Down a Street? 4. Is Crossing Illuminated? (Street
✘ Two-way Traffic Paved? lights within approx. 50 feet from
Number of Lanes _______
2  Divided Traffic ✘ Yes  No  Yes ✘ No nearest rail)  Yes ✘ No
5. Crossing Surface (on Main Track, multiple types allowed) Installation Date * (MM/YYYY) _______/__________ Width * ______________ Length * _______________
 1 Timber  2 Asphalt  ✘ 3 Asphalt and Timber  4 Concrete  5 Concrete and Rubber  6 Rubber  7 Metal
 8 Unconsolidated  9 Composite  10 Other (specify) ________________________________________________________
6. Intersecting Roadway within 500 feet? 7. Smallest Crossing Angle 8. Is Commercial Power Available? *

✘ Yes
  No If Yes, Approximate Distance (feet) _________________
500 ✘ 0° – 29°
  30° – 59°  60° - 90° ✘ Yes
  No
Part V: Public Highway Information
1. Highway System 2. Functional Classification of Road at Crossing 3. Is Crossing on State Highway 4. Highway Speed Limit
✘ (0) Rural  (1) Urban System? ___________
30 MPH
 (01) Interstate Highway System  (1) Interstate  (5) Major Collector ✘ Yes  No ✘ Posted  Statutory
 (02) Other Nat Hwy System (NHS)  (2) Other Freeways and Expressways 5. Linear Referencing System (LRS Route ID) *
 (03) Federal AID, Not NHS  (3) Other Principal Arterial  (6) Minor Collector
✘ (08) Non-Federal Aid
  (4) Minor Arterial ✘ (7) Local 6. LRS Milepost *
7. Annual Average Daily Traffic (AADT) 8. Estimated Percent Trucks 9. Regularly Used by School Buses? 10. Emergency Services Route
Year _______
2011 AADT _____________
000600 ___________________
00 % ✘ Yes  No Average Number per Day ___________
6  Yes  No

Submission Information - This information is used for administrative purposes and is not available on the public website.

Submitted by __________________________________ Organization _______________________________________ Phone _______________ Date _____________

Public reporting burden for this information collection is estimated to average 30 minutes per response, including the time for reviewing instructions, searching existing data
sources, gathering and maintaining the data needed and completing and reviewing the collection of information. According to the Paperwork Reduction Act of 1995, a federal
agency may not conduct or sponsor, and a person is not required to, nor shall a person be subject to a penalty for failure to comply with, a collection of information unless it
displays a currently valid OMB control number. The valid OMB control number for information collection is 2130-0017. Send comments regarding this burden estimate or any
other aspect of this collection, including for reducing this burden to: Information Collection Officer, Federal Railroad Administration, 1200 New Jersey Ave. SE, MS-25
Washington, DC 20590.
FORM FRA F 6180.71 (Rev. 3/15) OMB approval expires 3/31/2018 Page 2 OF 2
 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 B. Reporting Agency C. Reason for Update (Select only one) D. DOT Crossing
(MM/DD/YYYY)  Railroad  Transit ✘ Change in
  New  Closed  No Train  Quiet Inventory Number
_____/_____/_________
04 15 2013 Data Crossing Traffic Zone Update
✘ State
  Other  Re-Open  Date  Change in Primary  Admin. 224704E
Change Only Operating RR Correction
Part I: Location and Classification Information
1. Primary Operating Railroad 2. State 3. County
_____________________________________________________
Buckingham Branch Railroad Company [BB] ________________________________
VIRGINIA ____________________________________
ALBEMARLE
4. City / Municipality 5. Street/Road Name & Block Number 6. Highway Type & No.
 In ________________________________|
LANE TOWN RD __________________
✘ Near
 __________________________
CROZET (Street/Road Name) |* (Block Number) _______________________________________
684
7. Do Other Railroads Operate a Separate Track at Crossing?  Yes  ✘ No 8. Do Other Railroads Operate Over Your Track at Crossing?  ✘ Yes  No
If Yes, Specify RR If Yes, Specify RR
____________, ____________, ____________, _____________ ____________,
ATK ____________, ____________, _____________
9. Railroad Division or Region 10. Railroad Subdivision or District 11. Branch or Line Name 12. RR Milepost
_______|____________|____________
0195.85
 None _______________________
R&A  None _______________________
NORFOLK TERM  None _______________________
MAIN (prefix) | (nnnn.nnn) | (suffix)
13. Line Segment 14. Nearest RR Timetable 15. Parent RR (if applicable) 16. Crossing Owner (if applicable)
* Station *
_________________________ __________________________
CROZET  N/A _____________________________
BB  N/A _________________________________
BB
17. Crossing Type 18. Crossing Purpose 19. Crossing Position 20. Public Access 21. Type of Train 22. Average Passenger
✘ Highway
 ✘ At Grade (if Private Crossing)  Freight  Transit Train Count Per Day
✘ Public
  Pathway, Ped.  RR Under  Yes ✘ Intercity Passenger  Shared Use Transit  Less Than One Per Day
 Private  Station, Ped.  RR Over  No  Commuter  Tourist/Other ✘ Number Per Day_____
1
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? 25. Quiet Zone (FRA provided)

 Yes  ✘ No If Yes, Provide Crossing Number __________________ ✘ No

  24 Hr  Partial  Chicago Excused Date Established _________________
26. HSR Corridor ID 27. Latitude in decimal degrees 28. Longitude in decimal degrees 29. Lat/Long Source

__________________ N/A
30.A. Railroad Use *
30.B. Railroad Use *
(WGS84 std: nn.nnnnnnn) 38.0773294 (WGS84 std: -nnn.nnnnnnn) -78.7167351 ✘ Actual
  Estimated
31.A. State Use *
250'' N OF SR 1206
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.)
866-244-4529 434-983-3300 804-786-2822
_________________________________ ______________________________________ _________________________________
Part II: Railroad Information
1. Estimated Number of Daily Train Movements
1.A. Total Day Thru Trains 1.B. Total Night Thru Trains 1.C. Total Switching Trains 1.D. Total Transit Trains 1.E. Check if Less Than
(6 AM to 6 PM) (6 PM to 6 AM) One Movement Per Day 
__________
5 __________
4 __________
0 __________ How many trains per week? ______
2. Year of Train Count Data (YYYY) 3. Speed of Train at Crossing
3.A. Maximum Timetable Speed (mph) __________
60
__________ 3.B. Typical Speed Range Over Crossing (mph) From __________
1 to __________
60
4. Type and Count of Tracks

Main __________
1 Siding __________ Yard __________ Transit __________ Industry __________
5. Train Detection (Main Track only)
 Constant Warning Time  Motion Detection AFO  PTC  DC  Other  ✘ None
6. Is Track Signaled? 7.A. Event Recorder 7.B. Remote Health Monitoring
✘ Yes  No
  Yes  No  Yes  No
FORM FRA F 6180.71 (Rev. 3/15) OMB approval expires 3/31/2018 Page 1 OF 2
 U. S. DOT CROSSING INVENTORY FORM
A. Revision Date (MM/DD/YYYY) PAGE 2 D. Crossing Inventory Number (7 char.)
04/15/2013 224704E
Part III: Highway or Pathway Traffic Control Device Information
1. Are there 2. Types of Passive Traffic Control Devices associated with the Crossing
Signs or Signals?
2.A. Crossbuck 2.B. STOP Signs (R1-1) 2.C. YIELD Signs (R1-2) 2.D. Advance Warning Signs (Check all that apply; include count)  None
Assemblies (count) (count) (count) ✘ W10-1 ________  W10-3 ________  W10-11 __________
✘ Yes  No

2 0  W10-2 ________  W10-4 ________  W10-12 __________
2.E. Low Ground Clearance Sign 2.F. Pavement Markings 2.G. Channelization 2.H. EXEMPT Sign 2.I. ENS Sign (I-13)
(W10-5) Devices/Medians (R15-3) Displayed
✘ Yes (count_______) ✘ Stop Lines
 Dynamic Envelope  All Approaches  Median  Yes ✘ Yes
 No ✘ RR Xing Symbols
  None  One Approach ✘ None
  No  No
2.J. Other MUTCD Signs ✘ Yes  No
 2.K. Private Crossing 2.L. LED Enhanced Signs (List types)
Signs (if private)
Specify Type _______________ Count __________
2
Specify Type _______________ Count __________
0  Yes  No
Specify Type _______________ Count __________
3. Types of Train Activated Warning Devices at the Grade Crossing (specify count of each device for all that apply)
3.A. Gate Arms 3.B. Gate Configuration 3.C. Cantilevered (or Bridged) Flashing Light 3.D. Mast Mounted Flashing Lights 3.E. Total Count of
(count) Structures (count) (count of masts) _________
2 Flashing Light Pairs
 2 Quad  Full (Barrier) Over Traffic Lane _____
0  Incandescent  Incandescent  LED
Roadway _____
2  3 Quad Resistance  Back Lights Included  Side Lights 5
Pedestrian _____  4 Quad  Median Gates Not Over Traffic Lane _____
0  LED Included

3.F. Installation Date of Current 3.G. Wayside Horn 3.H. Highway Traffic Signals Controlling 3.I. Bells
Active Warning Devices: (MM/YYYY) Crossing (count)
______/___________  Not Required  Yes Installed on (MM/YYYY) ______/__________  Yes  ✘ No
 No 1
3.J. Non-Train Active Warning 3.K. Other Flashing Lights or Warning Devices
 Flagging/Flagman Manually Operated Signals  Watchman  Floodlighting  None Count ___________
0 Specify type ______________________
4.A. Does nearby Hwy 4.B. Hwy Traffic Signal 4.C. Hwy Traffic Signal Preemption 5. Highway Traffic Pre-Signals 6. Highway Monitoring Devices
Intersection have Interconnection  Yes  No (Check all that apply)
Traffic Signals? ✘ Not Interconnected  Yes - Photo/Video Recording
 For Traffic Signals  Simultaneous Storage Distance * ____________  Yes – Vehicle Presence Detection
 Yes 
✘ No  For Warning Signs  Advance Stop Line Distance * ____________  None
Part IV: Physical Characteristics
1. Traffic Lanes Crossing Railroad  One-way Traffic 2. Is Roadway/Pathway 3. Does Track Run Down a Street? 4. Is Crossing Illuminated? (Street
 Two-way Traffic Paved? lights within approx. 50 feet from
Number of Lanes _______
2  Divided Traffic ✘ Yes  No  Yes ✘ No nearest rail)  Yes ✘ No
5. Crossing Surface (on Main Track, multiple types allowed) Installation Date * (MM/YYYY) _______/__________ Width * ______________ Length * _______________
 1 Timber  2 Asphalt  ✘ 3 Asphalt and Timber  4 Concrete  5 Concrete and Rubber  6 Rubber  7 Metal
 8 Unconsolidated  9 Composite  10 Other (specify) ________________________________________________________
6. Intersecting Roadway within 500 feet? 7. Smallest Crossing Angle 8. Is Commercial Power Available? *

✘ Yes
  No If Yes, Approximate Distance (feet) _________________
500  0° – 29°  30° – 59° ✘ 60° - 90°
 ✘ Yes
  No
Part V: Public Highway Information
1. Highway System 2. Functional Classification of Road at Crossing 3. Is Crossing on State Highway 4. Highway Speed Limit
✘ (0) Rural  (1) Urban System? ___________
30 MPH
 (01) Interstate Highway System  (1) Interstate  (5) Major Collector ✘ Yes  No ✘ Posted  Statutory
 (02) Other Nat Hwy System (NHS)  (2) Other Freeways and Expressways 5. Linear Referencing System (LRS Route ID) *
 (03) Federal AID, Not NHS  (3) Other Principal Arterial  (6) Minor Collector
✘ (08) Non-Federal Aid
  (4) Minor Arterial ✘ (7) Local 6. LRS Milepost *
7. Annual Average Daily Traffic (AADT) 8. Estimated Percent Trucks 9. Regularly Used by School Buses? 10. Emergency Services Route
Year _______
2011 AADT _____________
000600 ___________________
00 % ✘ Yes  No Average Number per Day ___________
6  Yes  No

Submission Information - This information is used for administrative purposes and is not available on the public website.

Submitted by __________________________________ Organization _______________________________________ Phone _______________ Date _____________

Public reporting burden for this information collection is estimated to average 30 minutes per response, including the time for reviewing instructions, searching existing data
sources, gathering and maintaining the data needed and completing and reviewing the collection of information. According to the Paperwork Reduction Act of 1995, a federal
agency may not conduct or sponsor, and a person is not required to, nor shall a person be subject to a penalty for failure to comply with, a collection of information unless it
displays a currently valid OMB control number. The valid OMB control number for information collection is 2130-0017. Send comments regarding this burden estimate or any
other aspect of this collection, including for reducing this burden to: Information Collection Officer, Federal Railroad Administration, 1200 New Jersey Ave. SE, MS-25
Washington, DC 20590.
FORM FRA F 6180.71 (Rev. 3/15) OMB approval expires 3/31/2018 Page 2 OF 2
 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 B. Reporting Agency C. Reason for Update (Select only one) D. DOT Crossing
(MM/DD/YYYY)  Railroad  Transit ✘ Change in
  New  Closed  No Train  Quiet Inventory Number
_____/_____/_________
09 28 2012 Data Crossing Traffic Zone Update
✘ State
  Other  Re-Open  Date  Change in Primary  Admin. 224704E
Change Only Operating RR Correction
Part I: Location and Classification Information
1. Primary Operating Railroad 2. State 3. County
_____________________________________________________
Buckingham Branch Railroad Company [BB] ________________________________
VIRGINIA ____________________________________
ALBEMARLE
4. City / Municipality 5. Street/Road Name & Block Number 6. Highway Type & No.
 In ________________________________|
LANE TOWN RD __________________
✘ Near
 __________________________
CROZET (Street/Road Name) |* (Block Number) _______________________________________
684
7. Do Other Railroads Operate a Separate Track at Crossing?  Yes  ✘ No 8. Do Other Railroads Operate Over Your Track at Crossing?  ✘ Yes  No
If Yes, Specify RR If Yes, Specify RR
____________, ____________, ____________, _____________ ____________,
ATK ____________, ____________, _____________
9. Railroad Division or Region 10. Railroad Subdivision or District 11. Branch or Line Name 12. RR Milepost
_______|____________|____________
0195.85
 None _______________________
R&A  None _______________________
NORFOLK TERM  None _______________________
MAIN (prefix) | (nnnn.nnn) | (suffix)
13. Line Segment 14. Nearest RR Timetable 15. Parent RR (if applicable) 16. Crossing Owner (if applicable)
* Station *
_________________________ __________________________
CROZET  N/A _____________________________
BB  N/A _________________________________
BB
17. Crossing Type 18. Crossing Purpose 19. Crossing Position 20. Public Access 21. Type of Train 22. Average Passenger
✘ Highway
 ✘ At Grade (if Private Crossing)  Freight  Transit Train Count Per Day
✘ Public
  Pathway, Ped.  RR Under  Yes ✘ Intercity Passenger  Shared Use Transit  Less Than One Per Day
 Private  Station, Ped.  RR Over  No  Commuter  Tourist/Other ✘ Number Per Day_____
1
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? 25. Quiet Zone (FRA provided)

 Yes  ✘ No If Yes, Provide Crossing Number __________________ ✘ No

  24 Hr  Partial  Chicago Excused Date Established _________________
26. HSR Corridor ID 27. Latitude in decimal degrees 28. Longitude in decimal degrees 29. Lat/Long Source

__________________ N/A
30.A. Railroad Use *
30.B. Railroad Use *
(WGS84 std: nn.nnnnnnn) 38.0773294 (WGS84 std: -nnn.nnnnnnn) -78.7167351 ✘ Actual
  Estimated
31.A. State Use *
250'' N OF SR 1206
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.)
866-244-4529 434-983-3300 804-786-2822
_________________________________ ______________________________________ _________________________________
Part II: Railroad Information
1. Estimated Number of Daily Train Movements
1.A. Total Day Thru Trains 1.B. Total Night Thru Trains 1.C. Total Switching Trains 1.D. Total Transit Trains 1.E. Check if Less Than
(6 AM to 6 PM) (6 PM to 6 AM) One Movement Per Day 
__________
5 __________
4 __________
0 __________ How many trains per week? ______
2. Year of Train Count Data (YYYY) 3. Speed of Train at Crossing
3.A. Maximum Timetable Speed (mph) __________
60
__________ 3.B. Typical Speed Range Over Crossing (mph) From __________
1 to __________
60
4. Type and Count of Tracks

Main __________
1 Siding __________ Yard __________ Transit __________ Industry __________
5. Train Detection (Main Track only)
 Constant Warning Time  Motion Detection AFO  PTC  DC  Other  ✘ None
6. Is Track Signaled? 7.A. Event Recorder 7.B. Remote Health Monitoring
✘ Yes  No
  Yes  No  Yes  No
FORM FRA F 6180.71 (Rev. 3/15) OMB approval expires 3/31/2018 Page 1 OF 2
 U. S. DOT CROSSING INVENTORY FORM
A. Revision Date (MM/DD/YYYY) PAGE 2 D. Crossing Inventory Number (7 char.)
09/28/2012 224704E
Part III: Highway or Pathway Traffic Control Device Information
1. Are there 2. Types of Passive Traffic Control Devices associated with the Crossing
Signs or Signals?
2.A. Crossbuck 2.B. STOP Signs (R1-1) 2.C. YIELD Signs (R1-2) 2.D. Advance Warning Signs (Check all that apply; include count)  None
Assemblies (count) (count) (count) ✘ W10-1 ________  W10-3 ________  W10-11 __________
✘ Yes  No

2 0  W10-2 ________  W10-4 ________  W10-12 __________
2.E. Low Ground Clearance Sign 2.F. Pavement Markings 2.G. Channelization 2.H. EXEMPT Sign 2.I. ENS Sign (I-13)
(W10-5) Devices/Medians (R15-3) Displayed
✘ Yes (count_______) ✘ Stop Lines
 Dynamic Envelope  All Approaches  Median  Yes ✘ Yes
 No ✘ RR Xing Symbols
  None  One Approach ✘ None
  No  No
2.J. Other MUTCD Signs ✘ Yes  No
 2.K. Private Crossing 2.L. LED Enhanced Signs (List types)
Signs (if private)
Specify Type _______________ Count __________
2
Specify Type _______________ Count __________
0  Yes  No
Specify Type _______________ Count __________
3. Types of Train Activated Warning Devices at the Grade Crossing (specify count of each device for all that apply)
3.A. Gate Arms 3.B. Gate Configuration 3.C. Cantilevered (or Bridged) Flashing Light 3.D. Mast Mounted Flashing Lights 3.E. Total Count of
(count) Structures (count) (count of masts) _________
2 Flashing Light Pairs
 2 Quad  Full (Barrier) Over Traffic Lane _____
0  Incandescent  Incandescent  LED
Roadway _____
2  3 Quad Resistance  Back Lights Included  Side Lights 5
Pedestrian _____  4 Quad  Median Gates Not Over Traffic Lane _____
0  LED Included

3.F. Installation Date of Current 3.G. Wayside Horn 3.H. Highway Traffic Signals Controlling 3.I. Bells
Active Warning Devices: (MM/YYYY) Crossing (count)
______/___________  Not Required  Yes Installed on (MM/YYYY) ______/__________  Yes  ✘ No
 No 1
3.J. Non-Train Active Warning 3.K. Other Flashing Lights or Warning Devices
 Flagging/Flagman Manually Operated Signals  Watchman  Floodlighting  None Count ___________
0 Specify type ______________________
4.A. Does nearby Hwy 4.B. Hwy Traffic Signal 4.C. Hwy Traffic Signal Preemption 5. Highway Traffic Pre-Signals 6. Highway Monitoring Devices
Intersection have Interconnection  Yes  No (Check all that apply)
Traffic Signals? ✘ Not Interconnected  Yes - Photo/Video Recording
 For Traffic Signals  Simultaneous Storage Distance * ____________  Yes – Vehicle Presence Detection
 Yes 
✘ No  For Warning Signs  Advance Stop Line Distance * ____________  None
Part IV: Physical Characteristics
1. Traffic Lanes Crossing Railroad  One-way Traffic 2. Is Roadway/Pathway 3. Does Track Run Down a Street? 4. Is Crossing Illuminated? (Street
 Two-way Traffic Paved? lights within approx. 50 feet from
Number of Lanes _______
2  Divided Traffic ✘ Yes  No  Yes ✘ No nearest rail)  Yes ✘ No
5. Crossing Surface (on Main Track, multiple types allowed) Installation Date * (MM/YYYY) _______/__________ Width * ______________ Length * _______________
 1 Timber  2 Asphalt  ✘ 3 Asphalt and Timber  4 Concrete  5 Concrete and Rubber  6 Rubber  7 Metal
 8 Unconsolidated  9 Composite  10 Other (specify) ________________________________________________________
6. Intersecting Roadway within 500 feet? 7. Smallest Crossing Angle 8. Is Commercial Power Available? *

✘ Yes
  No If Yes, Approximate Distance (feet) _________________
500  0° – 29°  30° – 59° ✘ 60° - 90°
 ✘ Yes
  No
Part V: Public Highway Information
1. Highway System 2. Functional Classification of Road at Crossing 3. Is Crossing on State Highway 4. Highway Speed Limit
✘ (0) Rural  (1) Urban System? ___________
30 MPH
 (01) Interstate Highway System  (1) Interstate  (5) Major Collector ✘ Yes  No ✘ Posted  Statutory
 (02) Other Nat Hwy System (NHS)  (2) Other Freeways and Expressways 5. Linear Referencing System (LRS Route ID) *
 (03) Federal AID, Not NHS  (3) Other Principal Arterial  (6) Minor Collector
✘ (08) Non-Federal Aid
  (4) Minor Arterial ✘ (7) Local 6. LRS Milepost *
7. Annual Average Daily Traffic (AADT) 8. Estimated Percent Trucks 9. Regularly Used by School Buses? 10. Emergency Services Route
Year _______
2011 AADT _____________
000600 ___________________
00 % ✘ Yes  No Average Number per Day ___________
6  Yes  No

Submission Information - This information is used for administrative purposes and is not available on the public website.

Submitted by __________________________________ Organization _______________________________________ Phone _______________ Date _____________

Public reporting burden for this information collection is estimated to average 30 minutes per response, including the time for reviewing instructions, searching existing data
sources, gathering and maintaining the data needed and completing and reviewing the collection of information. According to the Paperwork Reduction Act of 1995, a federal
agency may not conduct or sponsor, and a person is not required to, nor shall a person be subject to a penalty for failure to comply with, a collection of information unless it
displays a currently valid OMB control number. The valid OMB control number for information collection is 2130-0017. Send comments regarding this burden estimate or any
other aspect of this collection, including for reducing this burden to: Information Collection Officer, Federal Railroad Administration, 1200 New Jersey Ave. SE, MS-25
Washington, DC 20590.
FORM FRA F 6180.71 (Rev. 3/15) OMB approval expires 3/31/2018 Page 2 OF 2
 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 B. Reporting Agency C. Reason for Update (Select only one) D. DOT Crossing
(MM/DD/YYYY) ✘ Railroad
  Transit ✘ Change in
  New  Closed  No Train  Quiet Inventory Number
_____/_____/_________
10 10 2010 Data Crossing Traffic Zone Update
 State  Other  Re-Open  Date  Change in Primary  Admin. 224704E
Change Only Operating RR Correction
Part I: Location and Classification Information
1. Primary Operating Railroad 2. State 3. County
_____________________________________________________
Buckingham Branch Railroad Company [BB] ________________________________
VIRGINIA ____________________________________
ALBEMARLE
4. City / Municipality 5. Street/Road Name & Block Number 6. Highway Type & No.
 In ________________________________|
LANE TOWN RD __________________
✘ Near
 __________________________
CROZET (Street/Road Name) |* (Block Number) _______________________________________
684
7. Do Other Railroads Operate a Separate Track at Crossing?  Yes  ✘ No 8. Do Other Railroads Operate Over Your Track at Crossing?  ✘ Yes  No
If Yes, Specify RR If Yes, Specify RR
____________, ____________, ____________, _____________ ____________,
ATK ____________, ____________, _____________
9. Railroad Division or Region 10. Railroad Subdivision or District 11. Branch or Line Name 12. RR Milepost
_______|____________|____________
0195.85
 None _______________________
R&A  None _______________________
NORFOLK TERM  None _______________________
MAIN (prefix) | (nnnn.nnn) | (suffix)
13. Line Segment 14. Nearest RR Timetable 15. Parent RR (if applicable) 16. Crossing Owner (if applicable)
* Station *
_________________________ __________________________
CROZET  N/A _____________________________
BB  N/A _________________________________
BB
17. Crossing Type 18. Crossing Purpose 19. Crossing Position 20. Public Access 21. Type of Train 22. Average Passenger
✘ Highway
 ✘ At Grade (if Private Crossing)  Freight  Transit Train Count Per Day
✘ Public
  Pathway, Ped.  RR Under  Yes ✘ Intercity Passenger  Shared Use Transit  Less Than One Per Day
 Private  Station, Ped.  RR Over  No  Commuter  Tourist/Other ✘ Number Per Day_____
1
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? 25. Quiet Zone (FRA provided)

 Yes  ✘ No If Yes, Provide Crossing Number __________________ ✘ No

  24 Hr  Partial  Chicago Excused Date Established _________________
26. HSR Corridor ID 27. Latitude in decimal degrees 28. Longitude in decimal degrees 29. Lat/Long Source

__________________ N/A
30.A. Railroad Use *
30.B. Railroad Use *
(WGS84 std: nn.nnnnnnn) 38.0773294 (WGS84 std: -nnn.nnnnnnn) -78.7167351 ✘ Actual
  Estimated
31.A. State Use *
250FT N OF SR 1206
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.)
866-244-4529 434-983-3300 804-786-2822
_________________________________ ______________________________________ _________________________________
Part II: Railroad Information
1. Estimated Number of Daily Train Movements
1.A. Total Day Thru Trains 1.B. Total Night Thru Trains 1.C. Total Switching Trains 1.D. Total Transit Trains 1.E. Check if Less Than
(6 AM to 6 PM) (6 PM to 6 AM) One Movement Per Day 
__________
5 __________
4 __________
0 __________ How many trains per week? ______
2. Year of Train Count Data (YYYY) 3. Speed of Train at Crossing
3.A. Maximum Timetable Speed (mph) __________
60
__________ 3.B. Typical Speed Range Over Crossing (mph) From __________
1 to __________
60
4. Type and Count of Tracks

Main __________
1 Siding __________ Yard __________ Transit __________ Industry __________
5. Train Detection (Main Track only)
 Constant Warning Time  Motion Detection AFO  PTC  DC  Other  ✘ None
6. Is Track Signaled? 7.A. Event Recorder 7.B. Remote Health Monitoring
✘ Yes  No
  Yes  No  Yes  No
FORM FRA F 6180.71 (Rev. 3/15) OMB approval expires 3/31/2018 Page 1 OF 2
 U. S. DOT CROSSING INVENTORY FORM
A. Revision Date (MM/DD/YYYY) PAGE 2 D. Crossing Inventory Number (7 char.)
10/10/2010 224704E
Part III: Highway or Pathway Traffic Control Device Information
1. Are there 2. Types of Passive Traffic Control Devices associated with the Crossing
Signs or Signals?
2.A. Crossbuck 2.B. STOP Signs (R1-1) 2.C. YIELD Signs (R1-2) 2.D. Advance Warning Signs (Check all that apply; include count)  None
Assemblies (count) (count) (count) ✘ W10-1 ________  W10-3 ________  W10-11 __________
✘ Yes  No

2 0  W10-2 ________  W10-4 ________  W10-12 __________
2.E. Low Ground Clearance Sign 2.F. Pavement Markings 2.G. Channelization 2.H. EXEMPT Sign 2.I. ENS Sign (I-13)
(W10-5) Devices/Medians (R15-3) Displayed
✘ Yes (count_______) ✘ Stop Lines
 Dynamic Envelope  All Approaches  Median  Yes ✘ Yes
 No ✘ RR Xing Symbols
  None  One Approach ✘ None
  No  No
2.J. Other MUTCD Signs ✘ Yes  No
 2.K. Private Crossing 2.L. LED Enhanced Signs (List types)
Signs (if private)
Specify Type _______________ Count __________
2
Specify Type _______________ Count __________
0  Yes  No
Specify Type _______________ Count __________
3. Types of Train Activated Warning Devices at the Grade Crossing (specify count of each device for all that apply)
3.A. Gate Arms 3.B. Gate Configuration 3.C. Cantilevered (or Bridged) Flashing Light 3.D. Mast Mounted Flashing Lights 3.E. Total Count of
(count) Structures (count) (count of masts) _________
5 Flashing Light Pairs
 2 Quad  Full (Barrier) Over Traffic Lane _____
0  Incandescent  Incandescent  LED
Roadway _____
2  3 Quad Resistance  Back Lights Included  Side Lights 5
Pedestrian _____  4 Quad  Median Gates Not Over Traffic Lane _____
0  LED Included

3.F. Installation Date of Current 3.G. Wayside Horn 3.H. Highway Traffic Signals Controlling 3.I. Bells
Active Warning Devices: (MM/YYYY) Crossing (count)
______/___________  Not Required  Yes Installed on (MM/YYYY) ______/__________  Yes  ✘ No
 No 1
3.J. Non-Train Active Warning 3.K. Other Flashing Lights or Warning Devices
 Flagging/Flagman Manually Operated Signals  Watchman  Floodlighting  None Count ___________
0 Specify type ______________________
4.A. Does nearby Hwy 4.B. Hwy Traffic Signal 4.C. Hwy Traffic Signal Preemption 5. Highway Traffic Pre-Signals 6. Highway Monitoring Devices
Intersection have Interconnection  Yes  No (Check all that apply)
Traffic Signals? ✘ Not Interconnected  Yes - Photo/Video Recording
 For Traffic Signals  Simultaneous Storage Distance * ____________  Yes – Vehicle Presence Detection
 Yes 
✘ No  For Warning Signs  Advance Stop Line Distance * ____________  None
Part IV: Physical Characteristics
1. Traffic Lanes Crossing Railroad  One-way Traffic 2. Is Roadway/Pathway 3. Does Track Run Down a Street? 4. Is Crossing Illuminated? (Street
 Two-way Traffic Paved? lights within approx. 50 feet from
Number of Lanes _______
2  Divided Traffic ✘ Yes  No  Yes ✘ No nearest rail)  Yes ✘ No
5. Crossing Surface (on Main Track, multiple types allowed) Installation Date * (MM/YYYY) _______/__________ Width * ______________ Length * _______________
 1 Timber  2 Asphalt  ✘ 3 Asphalt and Timber  4 Concrete  5 Concrete and Rubber  6 Rubber  7 Metal
 8 Unconsolidated  9 Composite  10 Other (specify) ________________________________________________________
6. Intersecting Roadway within 500 feet? 7. Smallest Crossing Angle 8. Is Commercial Power Available? *

✘ Yes
  No If Yes, Approximate Distance (feet) _________________
500  0° – 29°  30° – 59° ✘ 60° - 90°
 ✘ Yes
  No
Part V: Public Highway Information
1. Highway System 2. Functional Classification of Road at Crossing 3. Is Crossing on State Highway 4. Highway Speed Limit
✘ (0) Rural  (1) Urban System? ___________
30 MPH
 (01) Interstate Highway System  (1) Interstate  (5) Major Collector ✘ Yes  No ✘ Posted  Statutory
 (02) Other Nat Hwy System (NHS)  (2) Other Freeways and Expressways 5. Linear Referencing System (LRS Route ID) *
 (03) Federal AID, Not NHS  (3) Other Principal Arterial  (6) Minor Collector
✘ (08) Non-Federal Aid
  (4) Minor Arterial ✘ (7) Local 6. LRS Milepost *
7. Annual Average Daily Traffic (AADT) 8. Estimated Percent Trucks 9. Regularly Used by School Buses? 10. Emergency Services Route
Year _______
2008 AADT _____________
000555 ___________________
00 % ✘ Yes  No Average Number per Day ___________
6  Yes  No

Submission Information - This information is used for administrative purposes and is not available on the public website.

Submitted by __________________________________ Organization _______________________________________ Phone _______________ Date _____________

Public reporting burden for this information collection is estimated to average 30 minutes per response, including the time for reviewing instructions, searching existing data
sources, gathering and maintaining the data needed and completing and reviewing the collection of information. According to the Paperwork Reduction Act of 1995, a federal
agency may not conduct or sponsor, and a person is not required to, nor shall a person be subject to a penalty for failure to comply with, a collection of information unless it
displays a currently valid OMB control number. The valid OMB control number for information collection is 2130-0017. Send comments regarding this burden estimate or any
other aspect of this collection, including for reducing this burden to: Information Collection Officer, Federal Railroad Administration, 1200 New Jersey Ave. SE, MS-25
Washington, DC 20590.
FORM FRA F 6180.71 (Rev. 3/15) OMB approval expires 3/31/2018 Page 2 OF 2
 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 B. Reporting Agency C. Reason for Update (Select only one) D. DOT Crossing
(MM/DD/YYYY)  Railroad  Transit ✘ Change in
  New  Closed  No Train  Quiet Inventory Number
_____/_____/_________
09 30 2010 Data Crossing Traffic Zone Update
✘ State
  Other  Re-Open  Date  Change in Primary  Admin. 224704E
Change Only Operating RR Correction
Part I: Location and Classification Information
1. Primary Operating Railroad 2. State 3. County
_____________________________________________________
Buckingham Branch Railroad Company [BB] ________________________________
VIRGINIA ____________________________________
ALBEMARLE
4. City / Municipality 5. Street/Road Name & Block Number 6. Highway Type & No.
 In ________________________________|
LANE TOWN RD __________________
✘ Near
 __________________________
CROZET (Street/Road Name) |* (Block Number) _______________________________________
684
7. Do Other Railroads Operate a Separate Track at Crossing?  Yes  ✘ No 8. Do Other Railroads Operate Over Your Track at Crossing?  ✘ Yes  No
If Yes, Specify RR If Yes, Specify RR
____________, ____________, ____________, _____________ ____________,
ATK ____________, ____________, _____________
9. Railroad Division or Region 10. Railroad Subdivision or District 11. Branch or Line Name 12. RR Milepost
_______|____________|____________
0195.85
 None _______________________
R&A  None _______________________
NORFOLK TERM  None _______________________
MAIN (prefix) | (nnnn.nnn) | (suffix)
13. Line Segment 14. Nearest RR Timetable 15. Parent RR (if applicable) 16. Crossing Owner (if applicable)
* Station *
_________________________ __________________________
CROZET  N/A _____________________________
BB  N/A _________________________________
17. Crossing Type 18. Crossing Purpose 19. Crossing Position 20. Public Access 21. Type of Train 22. Average Passenger
✘ Highway
 ✘ At Grade (if Private Crossing)  Freight  Transit Train Count Per Day
✘ Public
  Pathway, Ped.  RR Under  Yes ✘ Intercity Passenger  Shared Use Transit  Less Than One Per Day
 Private  Station, Ped.  RR Over  No  Commuter  Tourist/Other ✘ Number Per Day_____
1
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? 25. Quiet Zone (FRA provided)

 Yes  ✘ No If Yes, Provide Crossing Number __________________ ✘ No

  24 Hr  Partial  Chicago Excused Date Established _________________
26. HSR Corridor ID 27. Latitude in decimal degrees 28. Longitude in decimal degrees 29. Lat/Long Source

__________________ N/A
30.A. Railroad Use *
30.B. Railroad Use *
(WGS84 std: nn.nnnnnnn) 38.0773294 (WGS84 std: -nnn.nnnnnnn) -78.7167351 ✘ Actual
  Estimated
31.A. State Use *
250FT N OF SR 1206
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.)
866-244-4529 434-983-3300 804-786-2822
_________________________________ ______________________________________ _________________________________
Part II: Railroad Information
1. Estimated Number of Daily Train Movements
1.A. Total Day Thru Trains 1.B. Total Night Thru Trains 1.C. Total Switching Trains 1.D. Total Transit Trains 1.E. Check if Less Than
(6 AM to 6 PM) (6 PM to 6 AM) One Movement Per Day 
__________
5 __________
5 __________
0 __________ How many trains per week? ______
2. Year of Train Count Data (YYYY) 3. Speed of Train at Crossing
3.A. Maximum Timetable Speed (mph) __________
60
__________ 3.B. Typical Speed Range Over Crossing (mph) From __________
10 to __________
60
4. Type and Count of Tracks

Main __________
1 Siding __________ Yard __________ Transit __________ Industry __________
5. Train Detection (Main Track only)
 Constant Warning Time  Motion Detection AFO  PTC  DC  Other  ✘ None
6. Is Track Signaled? 7.A. Event Recorder 7.B. Remote Health Monitoring
✘ Yes  No
  Yes  No  Yes  No
FORM FRA F 6180.71 (Rev. 3/15) OMB approval expires 3/31/2018 Page 1 OF 2
 U. S. DOT CROSSING INVENTORY FORM
A. Revision Date (MM/DD/YYYY) PAGE 2 D. Crossing Inventory Number (7 char.)
09/30/2010 224704E
Part III: Highway or Pathway Traffic Control Device Information
1. Are there 2. Types of Passive Traffic Control Devices associated with the Crossing
Signs or Signals?
2.A. Crossbuck 2.B. STOP Signs (R1-1) 2.C. YIELD Signs (R1-2) 2.D. Advance Warning Signs (Check all that apply; include count)  None
Assemblies (count) (count) (count) ✘ W10-1 ________  W10-3 ________  W10-11 __________
✘ Yes  No

2 0  W10-2 ________  W10-4 ________  W10-12 __________
2.E. Low Ground Clearance Sign 2.F. Pavement Markings 2.G. Channelization 2.H. EXEMPT Sign 2.I. ENS Sign (I-13)
(W10-5) Devices/Medians (R15-3) Displayed
✘ Yes (count_______) ✘ Stop Lines
 Dynamic Envelope  All Approaches  Median  Yes ✘ Yes
 No ✘ RR Xing Symbols
  None  One Approach ✘ None
  No  No
2.J. Other MUTCD Signs ✘ Yes  No
 2.K. Private Crossing 2.L. LED Enhanced Signs (List types)
Signs (if private)
Specify Type _______________ Count __________
2
Specify Type _______________ Count __________
0  Yes  No
Specify Type _______________ Count __________
3. Types of Train Activated Warning Devices at the Grade Crossing (specify count of each device for all that apply)
3.A. Gate Arms 3.B. Gate Configuration 3.C. Cantilevered (or Bridged) Flashing Light 3.D. Mast Mounted Flashing Lights 3.E. Total Count of
(count) Structures (count) (count of masts) _________
5 Flashing Light Pairs
 2 Quad  Full (Barrier) Over Traffic Lane _____
0  Incandescent  Incandescent  LED
Roadway _____
2  3 Quad Resistance  Back Lights Included  Side Lights 5
Pedestrian _____  4 Quad  Median Gates Not Over Traffic Lane _____
0  LED Included

3.F. Installation Date of Current 3.G. Wayside Horn 3.H. Highway Traffic Signals Controlling 3.I. Bells
Active Warning Devices: (MM/YYYY) Crossing (count)
______/___________  Not Required  Yes Installed on (MM/YYYY) ______/__________  Yes  ✘ No
 No 1
3.J. Non-Train Active Warning 3.K. Other Flashing Lights or Warning Devices
 Flagging/Flagman Manually Operated Signals  Watchman  Floodlighting  None Count ___________
0 Specify type ______________________
4.A. Does nearby Hwy 4.B. Hwy Traffic Signal 4.C. Hwy Traffic Signal Preemption 5. Highway Traffic Pre-Signals 6. Highway Monitoring Devices
Intersection have Interconnection  Yes  No (Check all that apply)
Traffic Signals? ✘ Not Interconnected  Yes - Photo/Video Recording
 For Traffic Signals  Simultaneous Storage Distance * ____________  Yes – Vehicle Presence Detection
 Yes 
✘ No  For Warning Signs  Advance Stop Line Distance * ____________  None
Part IV: Physical Characteristics
1. Traffic Lanes Crossing Railroad  One-way Traffic 2. Is Roadway/Pathway 3. Does Track Run Down a Street? 4. Is Crossing Illuminated? (Street
 Two-way Traffic Paved? lights within approx. 50 feet from
Number of Lanes _______
2  Divided Traffic ✘ Yes  No  Yes ✘ No nearest rail)  Yes ✘ No
5. Crossing Surface (on Main Track, multiple types allowed) Installation Date * (MM/YYYY) _______/__________ Width * ______________ Length * _______________
 1 Timber  2 Asphalt  ✘ 3 Asphalt and Timber  4 Concrete  5 Concrete and Rubber  6 Rubber  7 Metal
 8 Unconsolidated  9 Composite  10 Other (specify) ________________________________________________________
6. Intersecting Roadway within 500 feet? 7. Smallest Crossing Angle 8. Is Commercial Power Available? *

✘ Yes
  No If Yes, Approximate Distance (feet) _________________
500  0° – 29°  30° – 59° ✘ 60° - 90°
 ✘ Yes
  No
Part V: Public Highway Information
1. Highway System 2. Functional Classification of Road at Crossing 3. Is Crossing on State Highway 4. Highway Speed Limit
✘ (0) Rural  (1) Urban System? ___________
30 MPH
 (01) Interstate Highway System  (1) Interstate  (5) Major Collector ✘ Yes  No ✘ Posted  Statutory
 (02) Other Nat Hwy System (NHS)  (2) Other Freeways and Expressways 5. Linear Referencing System (LRS Route ID) *
 (03) Federal AID, Not NHS  (3) Other Principal Arterial  (6) Minor Collector
✘ (08) Non-Federal Aid
  (4) Minor Arterial ✘ (7) Local 6. LRS Milepost *
7. Annual Average Daily Traffic (AADT) 8. Estimated Percent Trucks 9. Regularly Used by School Buses? 10. Emergency Services Route
Year _______
2008 AADT _____________
000555 ___________________
00 % ✘ Yes  No Average Number per Day ___________
6  Yes  No

Submission Information - This information is used for administrative purposes and is not available on the public website.

Submitted by __________________________________ Organization _______________________________________ Phone _______________ Date _____________

Public reporting burden for this information collection is estimated to average 30 minutes per response, including the time for reviewing instructions, searching existing data
sources, gathering and maintaining the data needed and completing and reviewing the collection of information. According to the Paperwork Reduction Act of 1995, a federal
agency may not conduct or sponsor, and a person is not required to, nor shall a person be subject to a penalty for failure to comply with, a collection of information unless it
displays a currently valid OMB control number. The valid OMB control number for information collection is 2130-0017. Send comments regarding this burden estimate or any
other aspect of this collection, including for reducing this burden to: Information Collection Officer, Federal Railroad Administration, 1200 New Jersey Ave. SE, MS-25
Washington, DC 20590.
FORM FRA F 6180.71 (Rev. 3/15) OMB approval expires 3/31/2018 Page 2 OF 2
 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 B. Reporting Agency C. Reason for Update (Select only one) D. DOT Crossing
(MM/DD/YYYY) ✘ Railroad
  Transit ✘ Change in
  New  Closed  No Train  Quiet Inventory Number
_____/_____/_________
04 12 2010 Data Crossing Traffic Zone Update
 State  Other  Re-Open  Date  Change in Primary  Admin. 224704E
Change Only Operating RR Correction
Part I: Location and Classification Information
1. Primary Operating Railroad 2. State 3. County
_____________________________________________________
Buckingham Branch Railroad Company [BB] ________________________________
VIRGINIA ____________________________________
ALBEMARLE
4. City / Municipality 5. Street/Road Name & Block Number 6. Highway Type & No.
 In ________________________________|
LANE TOWN RD __________________
✘ Near
 __________________________
CROZET (Street/Road Name) |* (Block Number) _______________________________________
684
7. Do Other Railroads Operate a Separate Track at Crossing?  Yes  ✘ No 8. Do Other Railroads Operate Over Your Track at Crossing?  ✘ Yes  No
If Yes, Specify RR If Yes, Specify RR
____________, ____________, ____________, _____________ ____________,
ATK ____________,
CSX ____________, _____________
9. Railroad Division or Region 10. Railroad Subdivision or District 11. Branch or Line Name 12. RR Milepost
_______|____________|____________
0195.85
 None _______________________
R&A  None _______________________
NORTH MOUNTAIN  None _______________________
MAIN (prefix) | (nnnn.nnn) | (suffix)
13. Line Segment 14. Nearest RR Timetable 15. Parent RR (if applicable) 16. Crossing Owner (if applicable)
* Station *
_________________________ __________________________
CROZET  N/A _____________________________  N/A _________________________________
17. Crossing Type 18. Crossing Purpose 19. Crossing Position 20. Public Access 21. Type of Train 22. Average Passenger
✘ Highway
 ✘ At Grade (if Private Crossing)  Freight  Transit Train Count Per Day
✘ Public
  Pathway, Ped.  RR Under  Yes ✘ Intercity Passenger  Shared Use Transit  Less Than One Per Day
 Private  Station, Ped.  RR Over  No  Commuter  Tourist/Other ✘ Number Per Day_____
1
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? 25. Quiet Zone (FRA provided)

 Yes  No If Yes, Provide Crossing Number __________________ ✘ No

  24 Hr  Partial  Chicago Excused Date Established _________________
26. HSR Corridor ID 27. Latitude in decimal degrees 28. Longitude in decimal degrees 29. Lat/Long Source

__________________ N/A (WGS84 std: nn.nnnnnnn) 38.0773294 (WGS84 std: -nnn.nnnnnnn) -78.7167351 ✘ 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.)
866-244-4529 434-983-3300 804-786-2822
_________________________________ ______________________________________ _________________________________
Part II: Railroad Information
1. Estimated Number of Daily Train Movements
1.A. Total Day Thru Trains 1.B. Total Night Thru Trains 1.C. Total Switching Trains 1.D. Total Transit Trains 1.E. Check if Less Than
(6 AM to 6 PM) (6 PM to 6 AM) One Movement Per Day 
__________
5 __________
5 __________
0 __________ How many trains per week? ______
2. Year of Train Count Data (YYYY) 3. Speed of Train at Crossing
3.A. Maximum Timetable Speed (mph) __________
60
__________ 3.B. Typical Speed Range Over Crossing (mph) From __________
10 to __________
60
4. Type and Count of Tracks

Main __________
1 Siding __________ Yard __________ Transit __________ Industry __________
5. Train Detection (Main Track only)
 Constant Warning Time  Motion Detection AFO  PTC  DC  Other  ✘ None
6. Is Track Signaled? 7.A. Event Recorder 7.B. Remote Health Monitoring
✘ Yes  No
  Yes  No  Yes  No
FORM FRA F 6180.71 (Rev. 3/15) OMB approval expires 3/31/2018 Page 1 OF 2
 U. S. DOT CROSSING INVENTORY FORM
A. Revision Date (MM/DD/YYYY) PAGE 2 D. Crossing Inventory Number (7 char.)
04/12/2010 224704E
Part III: Highway or Pathway Traffic Control Device Information
1. Are there 2. Types of Passive Traffic Control Devices associated with the Crossing
Signs or Signals?
2.A. Crossbuck 2.B. STOP Signs (R1-1) 2.C. YIELD Signs (R1-2) 2.D. Advance Warning Signs (Check all that apply; include count)  None
Assemblies (count) (count) (count) ✘ W10-1 ________  W10-3 ________  W10-11 __________
✘ Yes  No

2 0  W10-2 ________  W10-4 ________  W10-12 __________
2.E. Low Ground Clearance Sign 2.F. Pavement Markings 2.G. Channelization 2.H. EXEMPT Sign 2.I. ENS Sign (I-13)
(W10-5) Devices/Medians (R15-3) Displayed
✘ Yes (count_______)  Stop Lines Dynamic Envelope  All Approaches  Median  Yes ✘ Yes
 No ✘ RR Xing Symbols
  None  One Approach ✘ None
  No  No
2.J. Other MUTCD Signs ✘ Yes  No
 2.K. Private Crossing 2.L. LED Enhanced Signs (List types)
Signs (if private)
Specify Type _______________ Count __________
4
Specify Type _______________ Count __________
0  Yes  No
Specify Type _______________ Count __________
3. Types of Train Activated Warning Devices at the Grade Crossing (specify count of each device for all that apply)
3.A. Gate Arms 3.B. Gate Configuration 3.C. Cantilevered (or Bridged) Flashing Light 3.D. Mast Mounted Flashing Lights 3.E. Total Count of
(count) Structures (count) (count of masts) _________
2 Flashing Light Pairs
 2 Quad  Full (Barrier) Over Traffic Lane _____
0  Incandescent  Incandescent  LED
Roadway _____
2  3 Quad Resistance  Back Lights Included  Side Lights 5
Pedestrian _____  4 Quad  Median Gates Not Over Traffic Lane _____
0  LED Included

3.F. Installation Date of Current 3.G. Wayside Horn 3.H. Highway Traffic Signals Controlling 3.I. Bells
Active Warning Devices: (MM/YYYY) Crossing (count)
______/___________  Not Required  Yes Installed on (MM/YYYY) ______/__________  Yes  ✘ No
 No 1
3.J. Non-Train Active Warning 3.K. Other Flashing Lights or Warning Devices
 Flagging/Flagman Manually Operated Signals  Watchman  Floodlighting  None Count ___________
0 Specify type ______________________
4.A. Does nearby Hwy 4.B. Hwy Traffic Signal 4.C. Hwy Traffic Signal Preemption 5. Highway Traffic Pre-Signals 6. Highway Monitoring Devices
Intersection have Interconnection  Yes  No (Check all that apply)
Traffic Signals? ✘ Not Interconnected  Yes - Photo/Video Recording
 For Traffic Signals  Simultaneous Storage Distance * ____________  Yes – Vehicle Presence Detection
 Yes 
✘ No  For Warning Signs  Advance Stop Line Distance * ____________  None
Part IV: Physical Characteristics
1. Traffic Lanes Crossing Railroad  One-way Traffic 2. Is Roadway/Pathway 3. Does Track Run Down a Street? 4. Is Crossing Illuminated? (Street
 Two-way Traffic Paved? lights within approx. 50 feet from
Number of Lanes _______
2  Divided Traffic ✘ Yes  No  Yes ✘ No nearest rail)  Yes ✘ No
5. Crossing Surface (on Main Track, multiple types allowed) Installation Date * (MM/YYYY) _______/__________ Width * ______________ Length * _______________
 1 Timber  2 Asphalt  ✘ 3 Asphalt and Timber  4 Concrete  5 Concrete and Rubber  6 Rubber  7 Metal
 8 Unconsolidated  9 Composite  10 Other (specify) ________________________________________________________
6. Intersecting Roadway within 500 feet? 7. Smallest Crossing Angle 8. Is Commercial Power Available? *

 Yes ✘ No
 If Yes, Approximate Distance (feet) _________________  0° – 29° ✘ 30° – 59°
  60° - 90° ✘ Yes
  No
Part V: Public Highway Information
1. Highway System 2. Functional Classification of Road at Crossing 3. Is Crossing on State Highway 4. Highway Speed Limit
✘ (0) Rural  (1) Urban System? ___________
30 MPH
 (01) Interstate Highway System  (1) Interstate  (5) Major Collector ✘ Yes  No ✘ Posted  Statutory
 (02) Other Nat Hwy System (NHS)  (2) Other Freeways and Expressways 5. Linear Referencing System (LRS Route ID) *
 (03) Federal AID, Not NHS  (3) Other Principal Arterial  (6) Minor Collector
✘ (08) Non-Federal Aid
  (4) Minor Arterial ✘ (7) Local 6. LRS Milepost *
7. Annual Average Daily Traffic (AADT) 8. Estimated Percent Trucks 9. Regularly Used by School Buses? 10. Emergency Services Route
Year _______
2004 AADT _____________
000555 ___________________
00 % ✘ Yes  No Average Number per Day ___________
6  Yes  No

Submission Information - This information is used for administrative purposes and is not available on the public website.

Submitted by __________________________________ Organization _______________________________________ Phone _______________ Date _____________

Public reporting burden for this information collection is estimated to average 30 minutes per response, including the time for reviewing instructions, searching existing data
sources, gathering and maintaining the data needed and completing and reviewing the collection of information. According to the Paperwork Reduction Act of 1995, a federal
agency may not conduct or sponsor, and a person is not required to, nor shall a person be subject to a penalty for failure to comply with, a collection of information unless it
displays a currently valid OMB control number. The valid OMB control number for information collection is 2130-0017. Send comments regarding this burden estimate or any
other aspect of this collection, including for reducing this burden to: Information Collection Officer, Federal Railroad Administration, 1200 New Jersey Ave. SE, MS-25
Washington, DC 20590.
FORM FRA F 6180.71 (Rev. 3/15) OMB approval expires 3/31/2018 Page 2 OF 2
 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 B. Reporting Agency C. Reason for Update (Select only one) D. DOT Crossing
(MM/DD/YYYY)  Railroad  Transit ✘ Change in
  New  Closed  No Train  Quiet Inventory Number
_____/_____/_________
11 25 2008 Data Crossing Traffic Zone Update
✘ State
  Other  Re-Open  Date  Change in Primary  Admin. 224704E
Change Only Operating RR Correction
Part I: Location and Classification Information
1. Primary Operating Railroad 2. State 3. County
_____________________________________________________
Buckingham Branch Railroad Company [BB] ________________________________
VIRGINIA ____________________________________
ALBEMARLE
4. City / Municipality 5. Street/Road Name & Block Number 6. Highway Type & No.
 In ________________________________|
LANETOWN RD __________________
✘ Near
 __________________________
CHARLOTTESVILLE (Street/Road Name) |* (Block Number) _______________________________________
684
7. Do Other Railroads Operate a Separate Track at Crossing?  Yes  ✘ No 8. Do Other Railroads Operate Over Your Track at Crossing?  ✘ Yes  No
If Yes, Specify RR If Yes, Specify RR
____________, ____________, ____________, _____________ ____________,
ATK ____________, ____________, _____________
9. Railroad Division or Region 10. Railroad Subdivision or District 11. Branch or Line Name 12. RR Milepost
_______|____________|____________
0195.85
 None _______________________
HUNTINGTON  None _______________________
NORFOLK TERM  None _______________________
MAIN (prefix) | (nnnn.nnn) | (suffix)
13. Line Segment 14. Nearest RR Timetable 15. Parent RR (if applicable) 16. Crossing Owner (if applicable)
* Station *
_________________________
CA __________________________
CHARLOTTESVILLE  N/A _____________________________
BB  N/A _________________________________
CSX
17. Crossing Type 18. Crossing Purpose 19. Crossing Position 20. Public Access 21. Type of Train 22. Average Passenger
✘ Highway
 ✘ At Grade (if Private Crossing)  Freight  Transit Train Count Per Day
✘ Public
  Pathway, Ped.  RR Under  Yes ✘ Intercity Passenger  Shared Use Transit  Less Than One Per Day
 Private  Station, Ped.  RR Over  No  Commuter  Tourist/Other  Number Per Day_____0
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? 25. Quiet Zone (FRA provided)

 Yes  No If Yes, Provide Crossing Number __________________ ✘ No

  24 Hr  Partial  Chicago Excused Date Established _________________
26. HSR Corridor ID 27. Latitude in decimal degrees 28. Longitude in decimal degrees 29. Lat/Long Source

__________________ N/A (WGS84 std: nn.nnnnnnn) 38.0773294 (WGS84 std: -nnn.nnnnnnn) -78.7167351 ✘ 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.)
800-232-0144 866-244-4529 804-786-2822
_________________________________ ______________________________________ _________________________________
Part II: Railroad Information
1. Estimated Number of Daily Train Movements
1.A. Total Day Thru Trains 1.B. Total Night Thru Trains 1.C. Total Switching Trains 1.D. Total Transit Trains 1.E. Check if Less Than
(6 AM to 6 PM) (6 PM to 6 AM) One Movement Per Day 
__________
5 __________
5 __________
0 __________ How many trains per week? ______
2. Year of Train Count Data (YYYY) 3. Speed of Train at Crossing
3.A. Maximum Timetable Speed (mph) __________
60
__________ 3.B. Typical Speed Range Over Crossing (mph) From __________
10 to __________
60
4. Type and Count of Tracks

Main __________
1 Siding __________ Yard __________ Transit __________ Industry __________
5. Train Detection (Main Track only)
 Constant Warning Time  Motion Detection AFO  PTC  DC  Other  ✘ None
6. Is Track Signaled? 7.A. Event Recorder 7.B. Remote Health Monitoring
✘ Yes  No
  Yes  No  Yes  No
FORM FRA F 6180.71 (Rev. 3/15) OMB approval expires 3/31/2018 Page 1 OF 2
 U. S. DOT CROSSING INVENTORY FORM
A. Revision Date (MM/DD/YYYY) PAGE 2 D. Crossing Inventory Number (7 char.)
11/25/2008 224704E
Part III: Highway or Pathway Traffic Control Device Information
1. Are there 2. Types of Passive Traffic Control Devices associated with the Crossing
Signs or Signals?
2.A. Crossbuck 2.B. STOP Signs (R1-1) 2.C. YIELD Signs (R1-2) 2.D. Advance Warning Signs (Check all that apply; include count)  None
Assemblies (count) (count) (count) ✘ W10-1 ________  W10-3 ________  W10-11 __________
✘ Yes  No

2 0  W10-2 ________  W10-4 ________  W10-12 __________
2.E. Low Ground Clearance Sign 2.F. Pavement Markings 2.G. Channelization 2.H. EXEMPT Sign 2.I. ENS Sign (I-13)
(W10-5) Devices/Medians (R15-3) Displayed
✘ Yes (count_______)  Stop Lines Dynamic Envelope  All Approaches  Median  Yes ✘ Yes
 No ✘ RR Xing Symbols
  None  One Approach ✘ None
  No  No
2.J. Other MUTCD Signs ✘ Yes  No
 2.K. Private Crossing 2.L. LED Enhanced Signs (List types)
Signs (if private)
Specify Type _______________ Count __________
4
Specify Type _______________ Count __________
0  Yes  No
Specify Type _______________ Count __________
3. Types of Train Activated Warning Devices at the Grade Crossing (specify count of each device for all that apply)
3.A. Gate Arms 3.B. Gate Configuration 3.C. Cantilevered (or Bridged) Flashing Light 3.D. Mast Mounted Flashing Lights 3.E. Total Count of
(count) Structures (count) (count of masts) _________
2 Flashing Light Pairs
 2 Quad  Full (Barrier) Over Traffic Lane _____
0  Incandescent  Incandescent  LED
Roadway _____
2  3 Quad Resistance  Back Lights Included  Side Lights 5
Pedestrian _____  4 Quad  Median Gates Not Over Traffic Lane _____
0  LED Included

3.F. Installation Date of Current 3.G. Wayside Horn 3.H. Highway Traffic Signals Controlling 3.I. Bells
Active Warning Devices: (MM/YYYY) Crossing (count)
______/___________  Not Required  Yes Installed on (MM/YYYY) ______/__________  Yes  ✘ No
 No 1
3.J. Non-Train Active Warning 3.K. Other Flashing Lights or Warning Devices
 Flagging/Flagman Manually Operated Signals  Watchman  Floodlighting  None Count ___________
0 Specify type ______________________
4.A. Does nearby Hwy 4.B. Hwy Traffic Signal 4.C. Hwy Traffic Signal Preemption 5. Highway Traffic Pre-Signals 6. Highway Monitoring Devices
Intersection have Interconnection  Yes  No (Check all that apply)
Traffic Signals? ✘ Not Interconnected  Yes - Photo/Video Recording
 For Traffic Signals  Simultaneous Storage Distance * ____________  Yes – Vehicle Presence Detection
 Yes 
✘ No  For Warning Signs  Advance Stop Line Distance * ____________  None
Part IV: Physical Characteristics
1. Traffic Lanes Crossing Railroad  One-way Traffic 2. Is Roadway/Pathway 3. Does Track Run Down a Street? 4. Is Crossing Illuminated? (Street
 Two-way Traffic Paved? lights within approx. 50 feet from
Number of Lanes _______
2  Divided Traffic ✘ Yes  No  Yes ✘ No nearest rail)  Yes ✘ No
5. Crossing Surface (on Main Track, multiple types allowed) Installation Date * (MM/YYYY) _______/__________ Width * ______________ Length * _______________
 1 Timber  2 Asphalt  ✘ 3 Asphalt and Timber  4 Concrete  5 Concrete and Rubber  6 Rubber  7 Metal
 8 Unconsolidated  9 Composite  10 Other (specify) ________________________________________________________
6. Intersecting Roadway within 500 feet? 7. Smallest Crossing Angle 8. Is Commercial Power Available? *

 Yes ✘ No
 If Yes, Approximate Distance (feet) _________________  0° – 29° ✘ 30° – 59°
  60° - 90° ✘ Yes
  No
Part V: Public Highway Information
1. Highway System 2. Functional Classification of Road at Crossing 3. Is Crossing on State Highway 4. Highway Speed Limit
✘ (0) Rural  (1) Urban System? ___________
30 MPH
 (01) Interstate Highway System  (1) Interstate  (5) Major Collector ✘ Yes  No ✘ Posted  Statutory
 (02) Other Nat Hwy System (NHS)  (2) Other Freeways and Expressways 5. Linear Referencing System (LRS Route ID) *
 (03) Federal AID, Not NHS  (3) Other Principal Arterial  (6) Minor Collector
✘ (08) Non-Federal Aid
  (4) Minor Arterial ✘ (7) Local 6. LRS Milepost *
7. Annual Average Daily Traffic (AADT) 8. Estimated Percent Trucks 9. Regularly Used by School Buses? 10. Emergency Services Route
Year _______
2004 AADT _____________
000555 ___________________
00 % ✘ Yes  No Average Number per Day ___________
6  Yes  No

Submission Information - This information is used for administrative purposes and is not available on the public website.

Submitted by __________________________________ Organization _______________________________________ Phone _______________ Date _____________

Public reporting burden for this information collection is estimated to average 30 minutes per response, including the time for reviewing instructions, searching existing data
sources, gathering and maintaining the data needed and completing and reviewing the collection of information. According to the Paperwork Reduction Act of 1995, a federal
agency may not conduct or sponsor, and a person is not required to, nor shall a person be subject to a penalty for failure to comply with, a collection of information unless it
displays a currently valid OMB control number. The valid OMB control number for information collection is 2130-0017. Send comments regarding this burden estimate or any
other aspect of this collection, including for reducing this burden to: Information Collection Officer, Federal Railroad Administration, 1200 New Jersey Ave. SE, MS-25
Washington, DC 20590.
FORM FRA F 6180.71 (Rev. 3/15) OMB approval expires 3/31/2018 Page 2 OF 2
 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 B. Reporting Agency C. Reason for Update (Select only one) D. DOT Crossing
(MM/DD/YYYY)  Railroad  Transit ✘ Change in
  New  Closed  No Train  Quiet Inventory Number
_____/_____/_________
04 07 2007 Data Crossing Traffic Zone Update
✘ State
  Other  Re-Open  Date  Change in Primary  Admin. 224704E
Change Only Operating RR Correction
Part I: Location and Classification Information
1. Primary Operating Railroad 2. State 3. County
_____________________________________________________
Buckingham Branch Railroad Company [BB] ________________________________
VIRGINIA ____________________________________
ALBEMARLE
4. City / Municipality 5. Street/Road Name & Block Number 6. Highway Type & No.
 In ________________________________|
LANETOWN RD __________________
✘ Near
 __________________________
CHARLOTTESVILLE (Street/Road Name) |* (Block Number) _______________________________________
684
7. Do Other Railroads Operate a Separate Track at Crossing?  Yes  ✘ No 8. Do Other Railroads Operate Over Your Track at Crossing?  ✘ Yes  No
If Yes, Specify RR If Yes, Specify RR
____________, ____________, ____________, _____________ ____________,
ATK ____________, ____________, _____________
9. Railroad Division or Region 10. Railroad Subdivision or District 11. Branch or Line Name 12. RR Milepost
_______|____________|____________
0195.85
 None _______________________
HUNTINGTON  None _______________________
NORFOLK TERM  None _______________________
MAIN (prefix) | (nnnn.nnn) | (suffix)
13. Line Segment 14. Nearest RR Timetable 15. Parent RR (if applicable) 16. Crossing Owner (if applicable)
* Station *
_________________________
CA __________________________
CHARLOTTESVILLE  N/A _____________________________
BB  N/A _________________________________
CSX
17. Crossing Type 18. Crossing Purpose 19. Crossing Position 20. Public Access 21. Type of Train 22. Average Passenger
✘ Highway
 ✘ At Grade (if Private Crossing)  Freight  Transit Train Count Per Day
✘ Public
  Pathway, Ped.  RR Under  Yes ✘ Intercity Passenger  Shared Use Transit  Less Than One Per Day
 Private  Station, Ped.  RR Over  No  Commuter  Tourist/Other ✘ Number Per Day_____
2
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? 25. Quiet Zone (FRA provided)

 Yes  No If Yes, Provide Crossing Number __________________ ✘ No

  24 Hr  Partial  Chicago Excused Date Established _________________
26. HSR Corridor ID 27. Latitude in decimal degrees 28. Longitude in decimal degrees 29. Lat/Long Source

__________________ N/A (WGS84 std: nn.nnnnnnn) 38.0773294 (WGS84 std: -nnn.nnnnnnn) -78.7167351 ✘ 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.)
800-232-0144 804-786-2822
_________________________________ ______________________________________ _________________________________
Part II: Railroad Information
1. Estimated Number of Daily Train Movements
1.A. Total Day Thru Trains 1.B. Total Night Thru Trains 1.C. Total Switching Trains 1.D. Total Transit Trains 1.E. Check if Less Than
(6 AM to 6 PM) (6 PM to 6 AM) One Movement Per Day 
__________
5 __________
5 __________
0 __________ How many trains per week? ______
2. Year of Train Count Data (YYYY) 3. Speed of Train at Crossing
3.A. Maximum Timetable Speed (mph) __________
60
__________ 3.B. Typical Speed Range Over Crossing (mph) From __________
10 to __________
60
4. Type and Count of Tracks

Main __________
1 Siding __________ Yard __________ Transit __________ Industry __________
5. Train Detection (Main Track only)
 Constant Warning Time  Motion Detection AFO  PTC  DC  Other  ✘ None
6. Is Track Signaled? 7.A. Event Recorder 7.B. Remote Health Monitoring
✘ Yes  No
  Yes  No  Yes  No
FORM FRA F 6180.71 (Rev. 3/15) OMB approval expires 3/31/2018 Page 1 OF 2
 U. S. DOT CROSSING INVENTORY FORM
A. Revision Date (MM/DD/YYYY) PAGE 2 D. Crossing Inventory Number (7 char.)
04/07/2007 224704E
Part III: Highway or Pathway Traffic Control Device Information
1. Are there 2. Types of Passive Traffic Control Devices associated with the Crossing
Signs or Signals?
2.A. Crossbuck 2.B. STOP Signs (R1-1) 2.C. YIELD Signs (R1-2) 2.D. Advance Warning Signs (Check all that apply; include count)  None
Assemblies (count) (count) (count) ✘ W10-1 ________  W10-3 ________  W10-11 __________
✘ Yes  No

2 0  W10-2 ________  W10-4 ________  W10-12 __________
2.E. Low Ground Clearance Sign 2.F. Pavement Markings 2.G. Channelization 2.H. EXEMPT Sign 2.I. ENS Sign (I-13)
(W10-5) Devices/Medians (R15-3) Displayed
✘ Yes (count_______)  Stop Lines Dynamic Envelope  All Approaches  Median  Yes ✘ Yes
 No ✘ RR Xing Symbols
  None  One Approach ✘ None
  No  No
2.J. Other MUTCD Signs ✘ Yes  No
 2.K. Private Crossing 2.L. LED Enhanced Signs (List types)
Signs (if private)
Specify Type _______________ Count __________
4
Specify Type _______________ Count __________
0  Yes  No
Specify Type _______________ Count __________
3. Types of Train Activated Warning Devices at the Grade Crossing (specify count of each device for all that apply)
3.A. Gate Arms 3.B. Gate Configuration 3.C. Cantilevered (or Bridged) Flashing Light 3.D. Mast Mounted Flashing Lights 3.E. Total Count of
(count) Structures (count) (count of masts) _________
2 Flashing Light Pairs
 2 Quad  Full (Barrier) Over Traffic Lane _____
0  Incandescent  Incandescent  LED
Roadway _____
2  3 Quad Resistance  Back Lights Included  Side Lights 5
Pedestrian _____  4 Quad  Median Gates Not Over Traffic Lane _____
0  LED Included

3.F. Installation Date of Current 3.G. Wayside Horn 3.H. Highway Traffic Signals Controlling 3.I. Bells
Active Warning Devices: (MM/YYYY) Crossing (count)
______/___________  Not Required  Yes Installed on (MM/YYYY) ______/__________  Yes  ✘ No
 No 1
3.J. Non-Train Active Warning 3.K. Other Flashing Lights or Warning Devices
 Flagging/Flagman Manually Operated Signals  Watchman  Floodlighting  None Count ___________
0 Specify type ______________________
4.A. Does nearby Hwy 4.B. Hwy Traffic Signal 4.C. Hwy Traffic Signal Preemption 5. Highway Traffic Pre-Signals 6. Highway Monitoring Devices
Intersection have Interconnection  Yes  No (Check all that apply)
Traffic Signals? ✘ Not Interconnected  Yes - Photo/Video Recording
 For Traffic Signals  Simultaneous Storage Distance * ____________  Yes – Vehicle Presence Detection
 Yes 
✘ No  For Warning Signs  Advance Stop Line Distance * ____________  None
Part IV: Physical Characteristics
1. Traffic Lanes Crossing Railroad  One-way Traffic 2. Is Roadway/Pathway 3. Does Track Run Down a Street? 4. Is Crossing Illuminated? (Street
 Two-way Traffic Paved? lights within approx. 50 feet from
Number of Lanes _______
2  Divided Traffic ✘ Yes  No  Yes ✘ No nearest rail)  Yes ✘ No
5. Crossing Surface (on Main Track, multiple types allowed) Installation Date * (MM/YYYY) _______/__________ Width * ______________ Length * _______________
 1 Timber  2 Asphalt  ✘ 3 Asphalt and Timber  4 Concrete  5 Concrete and Rubber  6 Rubber  7 Metal
 8 Unconsolidated  9 Composite  10 Other (specify) ________________________________________________________
6. Intersecting Roadway within 500 feet? 7. Smallest Crossing Angle 8. Is Commercial Power Available? *

 Yes ✘ No
 If Yes, Approximate Distance (feet) _________________  0° – 29° ✘ 30° – 59°
  60° - 90° ✘ Yes
  No
Part V: Public Highway Information
1. Highway System 2. Functional Classification of Road at Crossing 3. Is Crossing on State Highway 4. Highway Speed Limit
✘ (0) Rural  (1) Urban System? ___________
55 MPH
 (01) Interstate Highway System  (1) Interstate  (5) Major Collector ✘ Yes  No ✘ Posted  Statutory
 (02) Other Nat Hwy System (NHS)  (2) Other Freeways and Expressways 5. Linear Referencing System (LRS Route ID) *
 (03) Federal AID, Not NHS  (3) Other Principal Arterial  (6) Minor Collector
✘ (08) Non-Federal Aid
  (4) Minor Arterial ✘ (7) Local 6. LRS Milepost *
7. Annual Average Daily Traffic (AADT) 8. Estimated Percent Trucks 9. Regularly Used by School Buses? 10. Emergency Services Route
Year _______
2004 AADT _____________
000555 ___________________
00 % ✘ Yes  No Average Number per Day ___________
6  Yes  No

Submission Information - This information is used for administrative purposes and is not available on the public website.

Submitted by __________________________________ Organization _______________________________________ Phone _______________ Date _____________

Public reporting burden for this information collection is estimated to average 30 minutes per response, including the time for reviewing instructions, searching existing data
sources, gathering and maintaining the data needed and completing and reviewing the collection of information. According to the Paperwork Reduction Act of 1995, a federal
agency may not conduct or sponsor, and a person is not required to, nor shall a person be subject to a penalty for failure to comply with, a collection of information unless it
displays a currently valid OMB control number. The valid OMB control number for information collection is 2130-0017. Send comments regarding this burden estimate or any
other aspect of this collection, including for reducing this burden to: Information Collection Officer, Federal Railroad Administration, 1200 New Jersey Ave. SE, MS-25
Washington, DC 20590.
FORM FRA F 6180.71 (Rev. 3/15) OMB approval expires 3/31/2018 Page 2 OF 2
 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 B. Reporting Agency C. Reason for Update (Select only one) D. DOT Crossing
(MM/DD/YYYY)  Railroad  Transit ✘ Change in
  New  Closed  No Train  Quiet Inventory Number
_____/_____/_________
07 22 2005 Data Crossing Traffic Zone Update
✘ State
  Other  Re-Open  Date  Change in Primary  Admin. 224704E
Change Only Operating RR Correction
Part I: Location and Classification Information
1. Primary Operating Railroad 2. State 3. County
_____________________________________________________
CSX Transportation [CSX] ________________________________
VIRGINIA ____________________________________
ALBEMARLE
4. City / Municipality 5. Street/Road Name & Block Number 6. Highway Type & No.
 In ________________________________|
LANETOWN RD __________________
✘ Near
 __________________________
CHARLOTTESVILLE (Street/Road Name) |* (Block Number) _______________________________________
684
7. Do Other Railroads Operate a Separate Track at Crossing?  Yes  ✘ No 8. Do Other Railroads Operate Over Your Track at Crossing?  ✘ Yes  No
If Yes, Specify RR If Yes, Specify RR
____________, ____________, ____________, _____________ ____________,
ATK ____________, ____________, _____________
9. Railroad Division or Region 10. Railroad Subdivision or District 11. Branch or Line Name 12. RR Milepost
_______|____________|____________
0195.85
 None _______________________
HUNTINGTON  None _______________________
NORFOLK TERM  None _______________________
MAIN (prefix) | (nnnn.nnn) | (suffix)
13. Line Segment 14. Nearest RR Timetable 15. Parent RR (if applicable) 16. Crossing Owner (if applicable)
* Station *
_________________________
CA __________________________
CHARLOTTESVILLE  N/A _____________________________
CSX  N/A _________________________________
CSX
17. Crossing Type 18. Crossing Purpose 19. Crossing Position 20. Public Access 21. Type of Train 22. Average Passenger
✘ Highway
 ✘ At Grade (if Private Crossing)  Freight  Transit Train Count Per Day
✘ Public
  Pathway, Ped.  RR Under  Yes ✘ Intercity Passenger  Shared Use Transit  Less Than One Per Day
 Private  Station, Ped.  RR Over  No  Commuter  Tourist/Other ✘ Number Per Day_____
2
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? 25. Quiet Zone (FRA provided)

 Yes  No If Yes, Provide Crossing Number __________________ ✘ No

  24 Hr  Partial  Chicago Excused Date Established _________________
26. HSR Corridor ID 27. Latitude in decimal degrees 28. Longitude in decimal degrees 29. Lat/Long Source

__________________ N/A (WGS84 std: nn.nnnnnnn) 38.0773294 (WGS84 std: -nnn.nnnnnnn) -78.7167351 ✘ 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.)
800-232-0144 804-786-2822
_________________________________ ______________________________________ _________________________________
Part II: Railroad Information
1. Estimated Number of Daily Train Movements
1.A. Total Day Thru Trains 1.B. Total Night Thru Trains 1.C. Total Switching Trains 1.D. Total Transit Trains 1.E. Check if Less Than
(6 AM to 6 PM) (6 PM to 6 AM) One Movement Per Day 
__________
5 __________
5 __________
0 __________ How many trains per week? ______
2. Year of Train Count Data (YYYY) 3. Speed of Train at Crossing
3.A. Maximum Timetable Speed (mph) __________
60
__________ 3.B. Typical Speed Range Over Crossing (mph) From __________
10 to __________
60
4. Type and Count of Tracks

Main __________
1 Siding __________ Yard __________ Transit __________ Industry __________
5. Train Detection (Main Track only)
 Constant Warning Time  Motion Detection AFO  PTC  DC  Other  ✘ None
6. Is Track Signaled? 7.A. Event Recorder 7.B. Remote Health Monitoring
✘ Yes  No
  Yes  No  Yes  No
FORM FRA F 6180.71 (Rev. 3/15) OMB approval expires 3/31/2018 Page 1 OF 2
 U. S. DOT CROSSING INVENTORY FORM
A. Revision Date (MM/DD/YYYY) PAGE 2 D. Crossing Inventory Number (7 char.)
07/22/2005 224704E
Part III: Highway or Pathway Traffic Control Device Information
1. Are there 2. Types of Passive Traffic Control Devices associated with the Crossing
Signs or Signals?
2.A. Crossbuck 2.B. STOP Signs (R1-1) 2.C. YIELD Signs (R1-2) 2.D. Advance Warning Signs (Check all that apply; include count)  None
Assemblies (count) (count) (count) ✘ W10-1 ________  W10-3 ________  W10-11 __________
✘ Yes  No

0 0  W10-2 ________  W10-4 ________  W10-12 __________
2.E. Low Ground Clearance Sign 2.F. Pavement Markings 2.G. Channelization 2.H. EXEMPT Sign 2.I. ENS Sign (I-13)
(W10-5) Devices/Medians (R15-3) Displayed
✘ Yes (count_______)  Stop Lines Dynamic Envelope  All Approaches  Median  Yes ✘ Yes
 No ✘ RR Xing Symbols
  None  One Approach ✘ None
  No  No
2.J. Other MUTCD Signs ✘ Yes  No
 2.K. Private Crossing 2.L. LED Enhanced Signs (List types)
Signs (if private)
Specify Type _______________ Count __________
4
Specify Type _______________ Count __________
0  Yes  No
Specify Type _______________ Count __________
3. Types of Train Activated Warning Devices at the Grade Crossing (specify count of each device for all that apply)
3.A. Gate Arms 3.B. Gate Configuration 3.C. Cantilevered (or Bridged) Flashing Light 3.D. Mast Mounted Flashing Lights 3.E. Total Count of
(count) Structures (count) (count of masts) _________
2 Flashing Light Pairs
 2 Quad  Full (Barrier) Over Traffic Lane _____
0  Incandescent  Incandescent  LED
Roadway _____
2  3 Quad Resistance  Back Lights Included  Side Lights 5
Pedestrian _____  4 Quad  Median Gates Not Over Traffic Lane _____
0  LED Included

3.F. Installation Date of Current 3.G. Wayside Horn 3.H. Highway Traffic Signals Controlling 3.I. Bells
Active Warning Devices: (MM/YYYY) Crossing (count)
______/___________  Not Required  Yes Installed on (MM/YYYY) ______/__________  Yes  ✘ No
 No 1
3.J. Non-Train Active Warning 3.K. Other Flashing Lights or Warning Devices
 Flagging/Flagman Manually Operated Signals  Watchman  Floodlighting  None Count ___________
0 Specify type ______________________
4.A. Does nearby Hwy 4.B. Hwy Traffic Signal 4.C. Hwy Traffic Signal Preemption 5. Highway Traffic Pre-Signals 6. Highway Monitoring Devices
Intersection have Interconnection  Yes  No (Check all that apply)
Traffic Signals? ✘ Not Interconnected  Yes - Photo/Video Recording
 For Traffic Signals  Simultaneous Storage Distance * ____________  Yes – Vehicle Presence Detection
 Yes 
✘ No  For Warning Signs  Advance Stop Line Distance * ____________  None
Part IV: Physical Characteristics
1. Traffic Lanes Crossing Railroad  One-way Traffic 2. Is Roadway/Pathway 3. Does Track Run Down a Street? 4. Is Crossing Illuminated? (Street
 Two-way Traffic Paved? lights within approx. 50 feet from
Number of Lanes _______
2  Divided Traffic ✘ Yes  No  Yes ✘ No nearest rail)  Yes ✘ No
5. Crossing Surface (on Main Track, multiple types allowed) Installation Date * (MM/YYYY) _______/__________ Width * ______________ Length * _______________
 1 Timber  2 Asphalt  ✘ 3 Asphalt and Timber  4 Concrete  5 Concrete and Rubber  6 Rubber  7 Metal
 8 Unconsolidated  9 Composite  10 Other (specify) ________________________________________________________
6. Intersecting Roadway within 500 feet? 7. Smallest Crossing Angle 8. Is Commercial Power Available? *

 Yes ✘ No
 If Yes, Approximate Distance (feet) _________________  0° – 29° ✘ 30° – 59°
  60° - 90° ✘ Yes
  No
Part V: Public Highway Information
1. Highway System 2. Functional Classification of Road at Crossing 3. Is Crossing on State Highway 4. Highway Speed Limit
✘ (0) Rural  (1) Urban System? ___________
55 MPH
 (01) Interstate Highway System  (1) Interstate  (5) Major Collector ✘ Yes  No ✘ Posted  Statutory
 (02) Other Nat Hwy System (NHS)  (2) Other Freeways and Expressways 5. Linear Referencing System (LRS Route ID) *
 (03) Federal AID, Not NHS  (3) Other Principal Arterial  (6) Minor Collector
✘ (08) Non-Federal Aid
  (4) Minor Arterial ✘ (7) Local 6. LRS Milepost *
7. Annual Average Daily Traffic (AADT) 8. Estimated Percent Trucks 9. Regularly Used by School Buses? 10. Emergency Services Route
Year _______
2004 AADT _____________
000555 ___________________
00 % ✘ Yes  No Average Number per Day ___________
6  Yes  No

Submission Information - This information is used for administrative purposes and is not available on the public website.

Submitted by __________________________________ Organization _______________________________________ Phone _______________ Date _____________

Public reporting burden for this information collection is estimated to average 30 minutes per response, including the time for reviewing instructions, searching existing data
sources, gathering and maintaining the data needed and completing and reviewing the collection of information. According to the Paperwork Reduction Act of 1995, a federal
agency may not conduct or sponsor, and a person is not required to, nor shall a person be subject to a penalty for failure to comply with, a collection of information unless it
displays a currently valid OMB control number. The valid OMB control number for information collection is 2130-0017. Send comments regarding this burden estimate or any
other aspect of this collection, including for reducing this burden to: Information Collection Officer, Federal Railroad Administration, 1200 New Jersey Ave. SE, MS-25
Washington, DC 20590.
FORM FRA F 6180.71 (Rev. 3/15) OMB approval expires 3/31/2018 Page 2 OF 2
 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 B. Reporting Agency C. Reason for Update (Select only one) D. DOT Crossing
(MM/DD/YYYY)  Railroad  Transit ✘ Change in
  New  Closed  No Train  Quiet Inventory Number
_____/_____/_________
03 26 2004 Data Crossing Traffic Zone Update
✘ State
  Other  Re-Open  Date  Change in Primary  Admin. 224704E
Change Only Operating RR Correction
Part I: Location and Classification Information
1. Primary Operating Railroad 2. State 3. County
_____________________________________________________
CSX Transportation [CSX] ________________________________
VIRGINIA ____________________________________
ALBEMARLE
4. City / Municipality 5. Street/Road Name & Block Number 6. Highway Type & No.
 In ________________________________|
LANETOWN RD __________________
✘ Near
 __________________________
CHARLOTTESVILLE (Street/Road Name) |* (Block Number) _______________________________________
684
7. Do Other Railroads Operate a Separate Track at Crossing?  Yes  ✘ No 8. Do Other Railroads Operate Over Your Track at Crossing?  ✘ Yes  No
If Yes, Specify RR If Yes, Specify RR
____________, ____________, ____________, _____________ ____________,
ATK ____________, ____________, _____________
9. Railroad Division or Region 10. Railroad Subdivision or District 11. Branch or Line Name 12. RR Milepost
_______|____________|____________
0195.85
 None _______________________
ALLEGHANY  None _______________________
NORFOLK TERM  None _______________________
MAIN (prefix) | (nnnn.nnn) | (suffix)
13. Line Segment 14. Nearest RR Timetable 15. Parent RR (if applicable) 16. Crossing Owner (if applicable)
* Station *
_________________________
CA __________________________
CHARLOTTESVILLE  N/A _____________________________
CSX  N/A _________________________________
CSX
17. Crossing Type 18. Crossing Purpose 19. Crossing Position 20. Public Access 21. Type of Train 22. Average Passenger
✘ Highway
 ✘ At Grade (if Private Crossing)  Freight  Transit Train Count Per Day
✘ Public
  Pathway, Ped.  RR Under  Yes ✘ Intercity Passenger  Shared Use Transit  Less Than One Per Day
 Private  Station, Ped.  RR Over  No  Commuter  Tourist/Other ✘ Number Per Day_____
2
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? 25. Quiet Zone (FRA provided)

 Yes  No If Yes, Provide Crossing Number __________________ ✘ No

  24 Hr  Partial  Chicago Excused Date Established _________________
26. HSR Corridor ID 27. Latitude in decimal degrees 28. Longitude in decimal degrees 29. Lat/Long Source

__________________ N/A (WGS84 std: nn.nnnnnnn) 38.0773294 (WGS84 std: -nnn.nnnnnnn) -78.7167351 ✘ 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.)
800-232-0144 804-786-2822
_________________________________ ______________________________________ _________________________________
Part II: Railroad Information
1. Estimated Number of Daily Train Movements
1.A. Total Day Thru Trains 1.B. Total Night Thru Trains 1.C. Total Switching Trains 1.D. Total Transit Trains 1.E. Check if Less Than
(6 AM to 6 PM) (6 PM to 6 AM) One Movement Per Day 
__________
5 __________
5 __________
0 __________ How many trains per week? ______
2. Year of Train Count Data (YYYY) 3. Speed of Train at Crossing
3.A. Maximum Timetable Speed (mph) __________
60
__________ 3.B. Typical Speed Range Over Crossing (mph) From __________
10 to __________
60
4. Type and Count of Tracks

Main __________
1 Siding __________ Yard __________ Transit __________ Industry __________
5. Train Detection (Main Track only)
 Constant Warning Time  Motion Detection AFO  PTC  DC  Other  ✘ None
6. Is Track Signaled? 7.A. Event Recorder 7.B. Remote Health Monitoring
✘ Yes  No
  Yes  No  Yes  No
FORM FRA F 6180.71 (Rev. 3/15) OMB approval expires 3/31/2018 Page 1 OF 2
 U. S. DOT CROSSING INVENTORY FORM
A. Revision Date (MM/DD/YYYY) PAGE 2 D. Crossing Inventory Number (7 char.)
03/26/2004 224704E
Part III: Highway or Pathway Traffic Control Device Information
1. Are there 2. Types of Passive Traffic Control Devices associated with the Crossing
Signs or Signals?
2.A. Crossbuck 2.B. STOP Signs (R1-1) 2.C. YIELD Signs (R1-2) 2.D. Advance Warning Signs (Check all that apply; include count)  None
Assemblies (count) (count) (count) ✘ W10-1 ________  W10-3 ________  W10-11 __________
✘ Yes  No

0 0  W10-2 ________  W10-4 ________  W10-12 __________
2.E. Low Ground Clearance Sign 2.F. Pavement Markings 2.G. Channelization 2.H. EXEMPT Sign 2.I. ENS Sign (I-13)
(W10-5) Devices/Medians (R15-3) Displayed
✘ Yes (count_______)  Stop Lines Dynamic Envelope  All Approaches  Median  Yes ✘ Yes
 No ✘ RR Xing Symbols
  None  One Approach ✘ None
  No  No
2.J. Other MUTCD Signs ✘ Yes  No
 2.K. Private Crossing 2.L. LED Enhanced Signs (List types)
Signs (if private)
Specify Type _______________ Count __________
4
Specify Type _______________ Count __________
0  Yes  No
Specify Type _______________ Count __________
3. Types of Train Activated Warning Devices at the Grade Crossing (specify count of each device for all that apply)
3.A. Gate Arms 3.B. Gate Configuration 3.C. Cantilevered (or Bridged) Flashing Light 3.D. Mast Mounted Flashing Lights 3.E. Total Count of
(count) Structures (count) (count of masts) _________
2 Flashing Light Pairs
 2 Quad  Full (Barrier) Over Traffic Lane _____
0  Incandescent  Incandescent  LED
Roadway _____
2  3 Quad Resistance  Back Lights Included  Side Lights 5
Pedestrian _____  4 Quad  Median Gates Not Over Traffic Lane _____
0  LED Included

3.F. Installation Date of Current 3.G. Wayside Horn 3.H. Highway Traffic Signals Controlling 3.I. Bells
Active Warning Devices: (MM/YYYY) Crossing (count)
______/___________  Not Required  Yes Installed on (MM/YYYY) ______/__________  Yes  ✘ No
 No 1
3.J. Non-Train Active Warning 3.K. Other Flashing Lights or Warning Devices
 Flagging/Flagman Manually Operated Signals  Watchman  Floodlighting  None Count ___________
0 Specify type ______________________
4.A. Does nearby Hwy 4.B. Hwy Traffic Signal 4.C. Hwy Traffic Signal Preemption 5. Highway Traffic Pre-Signals 6. Highway Monitoring Devices
Intersection have Interconnection  Yes  No (Check all that apply)
Traffic Signals? ✘ Not Interconnected  Yes - Photo/Video Recording
 For Traffic Signals  Simultaneous Storage Distance * ____________  Yes – Vehicle Presence Detection
 Yes 
✘ No  For Warning Signs  Advance Stop Line Distance * ____________  None
Part IV: Physical Characteristics
1. Traffic Lanes Crossing Railroad  One-way Traffic 2. Is Roadway/Pathway 3. Does Track Run Down a Street? 4. Is Crossing Illuminated? (Street
 Two-way Traffic Paved? lights within approx. 50 feet from
Number of Lanes _______
2  Divided Traffic ✘ Yes  No  Yes ✘ No nearest rail)  Yes ✘ No
5. Crossing Surface (on Main Track, multiple types allowed) Installation Date * (MM/YYYY) _______/__________ Width * ______________ Length * _______________
 1 Timber  2 Asphalt  ✘ 3 Asphalt and Timber  4 Concrete  5 Concrete and Rubber  6 Rubber  7 Metal
 8 Unconsolidated  9 Composite  10 Other (specify) ________________________________________________________
6. Intersecting Roadway within 500 feet? 7. Smallest Crossing Angle 8. Is Commercial Power Available? *

 Yes ✘ No
 If Yes, Approximate Distance (feet) _________________  0° – 29° ✘ 30° – 59°
  60° - 90° ✘ Yes
  No
Part V: Public Highway Information
1. Highway System 2. Functional Classification of Road at Crossing 3. Is Crossing on State Highway 4. Highway Speed Limit
✘ (0) Rural  (1) Urban System? ___________
55 MPH
 (01) Interstate Highway System  (1) Interstate  (5) Major Collector ✘ Yes  No ✘ Posted  Statutory
 (02) Other Nat Hwy System (NHS)  (2) Other Freeways and Expressways 5. Linear Referencing System (LRS Route ID) *
 (03) Federal AID, Not NHS  (3) Other Principal Arterial  (6) Minor Collector
✘ (08) Non-Federal Aid
  (4) Minor Arterial ✘ (7) Local 6. LRS Milepost *
7. Annual Average Daily Traffic (AADT) 8. Estimated Percent Trucks 9. Regularly Used by School Buses? 10. Emergency Services Route
Year _______
2004 AADT _____________
000555 ___________________
00 % ✘ Yes  No Average Number per Day ___________
6  Yes  No

Submission Information - This information is used for administrative purposes and is not available on the public website.

Submitted by __________________________________ Organization _______________________________________ Phone _______________ Date _____________

Public reporting burden for this information collection is estimated to average 30 minutes per response, including the time for reviewing instructions, searching existing data
sources, gathering and maintaining the data needed and completing and reviewing the collection of information. According to the Paperwork Reduction Act of 1995, a federal
agency may not conduct or sponsor, and a person is not required to, nor shall a person be subject to a penalty for failure to comply with, a collection of information unless it
displays a currently valid OMB control number. The valid OMB control number for information collection is 2130-0017. Send comments regarding this burden estimate or any
other aspect of this collection, including for reducing this burden to: Information Collection Officer, Federal Railroad Administration, 1200 New Jersey Ave. SE, MS-25
Washington, DC 20590.
FORM FRA F 6180.71 (Rev. 3/15) OMB approval expires 3/31/2018 Page 2 OF 2
 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 B. Reporting Agency C. Reason for Update (Select only one) D. DOT Crossing
(MM/DD/YYYY)  Railroad  Transit ✘ Change in
  New  Closed  No Train  Quiet Inventory Number
_____/_____/_________
07 15 2003 Data Crossing Traffic Zone Update
✘ State
  Other  Re-Open  Date  Change in Primary  Admin. 224704E
Change Only Operating RR Correction
Part I: Location and Classification Information
1. Primary Operating Railroad 2. State 3. County
_____________________________________________________
CSX Transportation [CSX] ________________________________
VIRGINIA ____________________________________
ALBEMARLE
4. City / Municipality 5. Street/Road Name & Block Number 6. Highway Type & No.
 In ________________________________|
LANETOWN RD __________________
✘ Near
 __________________________
CHARLOTTESVILLE (Street/Road Name) |* (Block Number) _______________________________________
684
7. Do Other Railroads Operate a Separate Track at Crossing?  Yes  ✘ No 8. Do Other Railroads Operate Over Your Track at Crossing?  ✘ Yes  No
If Yes, Specify RR If Yes, Specify RR
____________, ____________, ____________, _____________ ____________,
ATK ____________, ____________, _____________
9. Railroad Division or Region 10. Railroad Subdivision or District 11. Branch or Line Name 12. RR Milepost
_______|____________|____________
0195.85
 None _______________________
C&O  None _______________________
NORTH MOUNTAIN  None _______________________
MAIN (prefix) | (nnnn.nnn) | (suffix)
13. Line Segment 14. Nearest RR Timetable 15. Parent RR (if applicable) 16. Crossing Owner (if applicable)
* Station *
_________________________
CA __________________________
CHARLOTTESVILLE  N/A _____________________________
CSX  N/A _________________________________
CSX
17. Crossing Type 18. Crossing Purpose 19. Crossing Position 20. Public Access 21. Type of Train 22. Average Passenger
✘ Highway
 ✘ At Grade (if Private Crossing)  Freight  Transit Train Count Per Day
✘ Public
  Pathway, Ped.  RR Under  Yes ✘ Intercity Passenger  Shared Use Transit  Less Than One Per Day
 Private  Station, Ped.  RR Over  No  Commuter  Tourist/Other ✘ Number Per Day_____
2
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? 25. Quiet Zone (FRA provided)

 Yes  No If Yes, Provide Crossing Number __________________ ✘ No

  24 Hr  Partial  Chicago Excused Date Established _________________
26. HSR Corridor ID 27. Latitude in decimal degrees 28. Longitude in decimal degrees 29. Lat/Long Source

__________________ N/A (WGS84 std: nn.nnnnnnn) 38.0773294 (WGS84 std: -nnn.nnnnnnn) -78.7167351 ✘ 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.)
800-232-0144
_________________________________ ______________________________________ _________________________________
Part II: Railroad Information
1. Estimated Number of Daily Train Movements
1.A. Total Day Thru Trains 1.B. Total Night Thru Trains 1.C. Total Switching Trains 1.D. Total Transit Trains 1.E. Check if Less Than
(6 AM to 6 PM) (6 PM to 6 AM) One Movement Per Day 
__________
5 __________
5 __________
0 __________ How many trains per week? ______
2. Year of Train Count Data (YYYY) 3. Speed of Train at Crossing
3.A. Maximum Timetable Speed (mph) __________
60
__________ 3.B. Typical Speed Range Over Crossing (mph) From __________
10 to __________
60
4. Type and Count of Tracks

Main __________
1 Siding __________ Yard __________ Transit __________ Industry __________
5. Train Detection (Main Track only)
 Constant Warning Time  Motion Detection AFO  PTC  DC  Other  ✘ None
6. Is Track Signaled? 7.A. Event Recorder 7.B. Remote Health Monitoring
✘ Yes  No
  Yes  No  Yes  No
FORM FRA F 6180.71 (Rev. 3/15) OMB approval expires 3/31/2018 Page 1 OF 2
 U. S. DOT CROSSING INVENTORY FORM
A. Revision Date (MM/DD/YYYY) PAGE 2 D. Crossing Inventory Number (7 char.)
07/15/2003 224704E
Part III: Highway or Pathway Traffic Control Device Information
1. Are there 2. Types of Passive Traffic Control Devices associated with the Crossing
Signs or Signals?
2.A. Crossbuck 2.B. STOP Signs (R1-1) 2.C. YIELD Signs (R1-2) 2.D. Advance Warning Signs (Check all that apply; include count)  None
Assemblies (count) (count) (count) ✘ W10-1 ________  W10-3 ________  W10-11 __________
✘ Yes  No

0 0  W10-2 ________  W10-4 ________  W10-12 __________
2.E. Low Ground Clearance Sign 2.F. Pavement Markings 2.G. Channelization 2.H. EXEMPT Sign 2.I. ENS Sign (I-13)
(W10-5) Devices/Medians (R15-3) Displayed
✘ Yes (count_______) ✘ Stop Lines
 Dynamic Envelope  All Approaches  Median  Yes ✘ Yes
 No ✘ RR Xing Symbols
  None  One Approach ✘ None
  No  No
2.J. Other MUTCD Signs ✘ Yes  No
 2.K. Private Crossing 2.L. LED Enhanced Signs (List types)
Signs (if private)
Specify Type _______________ Count __________
4
Specify Type _______________ Count __________
0  Yes  No
Specify Type _______________ Count __________
3. Types of Train Activated Warning Devices at the Grade Crossing (specify count of each device for all that apply)
3.A. Gate Arms 3.B. Gate Configuration 3.C. Cantilevered (or Bridged) Flashing Light 3.D. Mast Mounted Flashing Lights 3.E. Total Count of
(count) Structures (count) (count of masts) _________
2 Flashing Light Pairs
 2 Quad  Full (Barrier) Over Traffic Lane _____
0  Incandescent  Incandescent  LED
Roadway _____
2  3 Quad Resistance  Back Lights Included  Side Lights 5
Pedestrian _____  4 Quad  Median Gates Not Over Traffic Lane _____
0  LED Included

3.F. Installation Date of Current 3.G. Wayside Horn 3.H. Highway Traffic Signals Controlling 3.I. Bells
Active Warning Devices: (MM/YYYY) Crossing (count)
______/___________  Not Required  Yes Installed on (MM/YYYY) ______/__________  Yes  ✘ No
 No 1
3.J. Non-Train Active Warning 3.K. Other Flashing Lights or Warning Devices
 Flagging/Flagman Manually Operated Signals  Watchman  Floodlighting  None Count ___________
0 Specify type ______________________
4.A. Does nearby Hwy 4.B. Hwy Traffic Signal 4.C. Hwy Traffic Signal Preemption 5. Highway Traffic Pre-Signals 6. Highway Monitoring Devices
Intersection have Interconnection  Yes  No (Check all that apply)
Traffic Signals? ✘ Not Interconnected  Yes - Photo/Video Recording
 For Traffic Signals  Simultaneous Storage Distance * ____________  Yes – Vehicle Presence Detection
 Yes 
✘ No  For Warning Signs  Advance Stop Line Distance * ____________  None
Part IV: Physical Characteristics
1. Traffic Lanes Crossing Railroad  One-way Traffic 2. Is Roadway/Pathway 3. Does Track Run Down a Street? 4. Is Crossing Illuminated? (Street
 Two-way Traffic Paved? lights within approx. 50 feet from
Number of Lanes _______
2  Divided Traffic ✘ Yes  No  Yes ✘ No nearest rail)  Yes ✘ No
5. Crossing Surface (on Main Track, multiple types allowed) Installation Date * (MM/YYYY) _______/__________ Width * ______________ Length * _______________
 1 Timber  2 Asphalt  ✘ 3 Asphalt and Timber  4 Concrete  5 Concrete and Rubber  6 Rubber  7 Metal
 8 Unconsolidated  9 Composite  10 Other (specify) ________________________________________________________
6. Intersecting Roadway within 500 feet? 7. Smallest Crossing Angle 8. Is Commercial Power Available? *

 Yes ✘ No
 If Yes, Approximate Distance (feet) _________________  0° – 29° ✘ 30° – 59°
  60° - 90° ✘ Yes
  No
Part V: Public Highway Information
1. Highway System 2. Functional Classification of Road at Crossing 3. Is Crossing on State Highway 4. Highway Speed Limit
✘ (0) Rural  (1) Urban System? ___________
55 MPH
 (01) Interstate Highway System  (1) Interstate  (5) Major Collector ✘ Yes  No ✘ Posted  Statutory
 (02) Other Nat Hwy System (NHS)  (2) Other Freeways and Expressways 5. Linear Referencing System (LRS Route ID) *
 (03) Federal AID, Not NHS  (3) Other Principal Arterial  (6) Minor Collector
✘ (08) Non-Federal Aid
  (4) Minor Arterial ✘ (7) Local 6. LRS Milepost *
7. Annual Average Daily Traffic (AADT) 8. Estimated Percent Trucks 9. Regularly Used by School Buses? 10. Emergency Services Route
Year _______
2001 AADT _____________
000682 ___________________
00 % ✘ Yes  No Average Number per Day ___________
6  Yes  No

Submission Information - This information is used for administrative purposes and is not available on the public website.

Submitted by __________________________________ Organization _______________________________________ Phone _______________ Date _____________

Public reporting burden for this information collection is estimated to average 30 minutes per response, including the time for reviewing instructions, searching existing data
sources, gathering and maintaining the data needed and completing and reviewing the collection of information. According to the Paperwork Reduction Act of 1995, a federal
agency may not conduct or sponsor, and a person is not required to, nor shall a person be subject to a penalty for failure to comply with, a collection of information unless it
displays a currently valid OMB control number. The valid OMB control number for information collection is 2130-0017. Send comments regarding this burden estimate or any
other aspect of this collection, including for reducing this burden to: Information Collection Officer, Federal Railroad Administration, 1200 New Jersey Ave. SE, MS-25
Washington, DC 20590.
FORM FRA F 6180.71 (Rev. 3/15) OMB approval expires 3/31/2018 Page 2 OF 2
 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 B. Reporting Agency C. Reason for Update (Select only one) D. DOT Crossing
(MM/DD/YYYY)  Railroad  Transit ✘ Change in
  New  Closed  No Train  Quiet Inventory Number
_____/_____/_________
12 31 2001 Data Crossing Traffic Zone Update
✘ State
  Other  Re-Open  Date  Change in Primary  Admin. 224704E
Change Only Operating RR Correction
Part I: Location and Classification Information
1. Primary Operating Railroad 2. State 3. County
_____________________________________________________
CSX Transportation [CSX] ________________________________
VIRGINIA ____________________________________
ALBEMARLE
4. City / Municipality 5. Street/Road Name & Block Number 6. Highway Type & No.
 In ________________________________|
LANETOWN RD __________________
✘ Near
 __________________________
CHARLOTTESVILLE (Street/Road Name) |* (Block Number) _______________________________________
684
7. Do Other Railroads Operate a Separate Track at Crossing?  Yes  ✘ No 8. Do Other Railroads Operate Over Your Track at Crossing?  ✘ Yes  No
If Yes, Specify RR If Yes, Specify RR
____________, ____________, ____________, _____________ ____________,
ATK ____________, ____________, _____________
9. Railroad Division or Region 10. Railroad Subdivision or District 11. Branch or Line Name 12. RR Milepost
_______|____________|____________
0195.85
 None _______________________
C&O  None _______________________
NORTH MOUNTAIN  None _______________________
MAIN (prefix) | (nnnn.nnn) | (suffix)
13. Line Segment 14. Nearest RR Timetable 15. Parent RR (if applicable) 16. Crossing Owner (if applicable)
* Station *
_________________________
CA __________________________
CHARLOTTESVILLE  N/A _____________________________  N/A _________________________________
17. Crossing Type 18. Crossing Purpose 19. Crossing Position 20. Public Access 21. Type of Train 22. Average Passenger
✘ Highway
 ✘ At Grade (if Private Crossing)  Freight  Transit Train Count Per Day
✘ Public
  Pathway, Ped.  RR Under  Yes  Intercity Passenger  Shared Use Transit  Less Than One Per Day
 Private  Station, Ped.  RR Over  No  Commuter  Tourist/Other  Number Per Day_____0
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? 25. Quiet Zone (FRA provided)

 Yes  No If Yes, Provide Crossing Number __________________  No  24 Hr  Partial  Chicago Excused Date Established _________________
26. HSR Corridor ID 27. Latitude in decimal degrees 28. Longitude in decimal degrees 29. Lat/Long Source

__________________ N/A (WGS84 std: nn.nnnnnnn) 38.0773294 (WGS84 std: -nnn.nnnnnnn) -78.7167351 ✘ 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.)
800-232-0144
_________________________________ ______________________________________ _________________________________
Part II: Railroad Information
1. Estimated Number of Daily Train Movements
1.A. Total Day Thru Trains 1.B. Total Night Thru Trains 1.C. Total Switching Trains 1.D. Total Transit Trains 1.E. Check if Less Than
(6 AM to 6 PM) (6 PM to 6 AM) One Movement Per Day 
__________
0 __________
0 __________
3 __________ How many trains per week? ______
2. Year of Train Count Data (YYYY) 3. Speed of Train at Crossing
3.A. Maximum Timetable Speed (mph) __________
60
__________ 3.B. Typical Speed Range Over Crossing (mph) From __________
55 to __________
60
4. Type and Count of Tracks

Main __________
1 Siding __________ Yard __________ Transit __________ Industry __________
5. Train Detection (Main Track only)
 Constant Warning Time  Motion Detection AFO  PTC  DC  Other  ✘ None
6. Is Track Signaled? 7.A. Event Recorder 7.B. Remote Health Monitoring
✘ Yes  No
  Yes  No  Yes  No
FORM FRA F 6180.71 (Rev. 3/15) OMB approval expires 3/31/2018 Page 1 OF 2
 U. S. DOT CROSSING INVENTORY FORM
A. Revision Date (MM/DD/YYYY) PAGE 2 D. Crossing Inventory Number (7 char.)
12/31/2001 224704E
Part III: Highway or Pathway Traffic Control Device Information
1. Are there 2. Types of Passive Traffic Control Devices associated with the Crossing
Signs or Signals?
2.A. Crossbuck 2.B. STOP Signs (R1-1) 2.C. YIELD Signs (R1-2) 2.D. Advance Warning Signs (Check all that apply; include count)  None
Assemblies (count) (count) (count) ✘ W10-1 ________  W10-3 ________  W10-11 __________
✘ Yes  No

0 0  W10-2 ________  W10-4 ________  W10-12 __________
2.E. Low Ground Clearance Sign 2.F. Pavement Markings 2.G. Channelization 2.H. EXEMPT Sign 2.I. ENS Sign (I-13)
(W10-5) Devices/Medians (R15-3) Displayed
 Yes (count_______)  Stop Lines Dynamic Envelope  All Approaches  Median  Yes  Yes
 No  RR Xing Symbols ✘ None
  One Approach  None  No  No
2.J. Other MUTCD Signs  Yes  ✘ No 2.K. Private Crossing 2.L. LED Enhanced Signs (List types)
Signs (if private)
Specify Type _______________ Count __________
Specify Type _______________ Count __________  Yes  No
Specify Type _______________ Count __________
3. Types of Train Activated Warning Devices at the Grade Crossing (specify count of each device for all that apply)
3.A. Gate Arms 3.B. Gate Configuration 3.C. Cantilevered (or Bridged) Flashing Light 3.D. Mast Mounted Flashing Lights 3.E. Total Count of
(count) Structures (count) (count of masts) _________
2 Flashing Light Pairs
 2 Quad  Full (Barrier) Over Traffic Lane _____
0  Incandescent  Incandescent  LED
Roadway _____
2  3 Quad Resistance  Back Lights Included  Side Lights 0
Pedestrian _____  4 Quad  Median Gates Not Over Traffic Lane _____
0  LED Included

3.F. Installation Date of Current 3.G. Wayside Horn 3.H. Highway Traffic Signals Controlling 3.I. Bells
Active Warning Devices: (MM/YYYY) Crossing (count)
______/___________  Not Required  Yes Installed on (MM/YYYY) ______/__________  Yes  ✘ No
 No 1
3.J. Non-Train Active Warning 3.K. Other Flashing Lights or Warning Devices
 Flagging/Flagman Manually Operated Signals  Watchman  Floodlighting  None Count ___________
0 Specify type ______________________
4.A. Does nearby Hwy 4.B. Hwy Traffic Signal 4.C. Hwy Traffic Signal Preemption 5. Highway Traffic Pre-Signals 6. Highway Monitoring Devices
Intersection have Interconnection  Yes  No (Check all that apply)
Traffic Signals? ✘ Not Interconnected  Yes - Photo/Video Recording
 For Traffic Signals  Simultaneous Storage Distance * ____________  Yes – Vehicle Presence Detection
 Yes  No  For Warning Signs  Advance Stop Line Distance * ____________  None
Part IV: Physical Characteristics
1. Traffic Lanes Crossing Railroad  One-way Traffic 2. Is Roadway/Pathway 3. Does Track Run Down a Street? 4. Is Crossing Illuminated? (Street
 Two-way Traffic Paved? lights within approx. 50 feet from
Number of Lanes _______
2  Divided Traffic  Yes ✘ No
  Yes ✘ No nearest rail)  Yes  No
5. Crossing Surface (on Main Track, multiple types allowed) Installation Date * (MM/YYYY) _______/__________ Width * ______________ Length * _______________
 1 Timber  2 Asphalt  ✘ 3 Asphalt and Timber  4 Concrete  5 Concrete and Rubber  6 Rubber  7 Metal
 8 Unconsolidated  9 Composite  10 Other (specify) ________________________________________________________
6. Intersecting Roadway within 500 feet? 7. Smallest Crossing Angle 8. Is Commercial Power Available? *

 Yes ✘ No
 If Yes, Approximate Distance (feet) _________________  0° – 29° ✘ 30° – 59°
  60° - 90° ✘ Yes
  No
Part V: Public Highway Information
1. Highway System 2. Functional Classification of Road at Crossing 3. Is Crossing on State Highway 4. Highway Speed Limit
✘ (0) Rural  (1) Urban System? ___________
55 MPH
 (01) Interstate Highway System  (1) Interstate  (5) Major Collector ✘ Yes  No ✘ Posted  Statutory
 (02) Other Nat Hwy System (NHS)  (2) Other Freeways and Expressways 5. Linear Referencing System (LRS Route ID) *
 (03) Federal AID, Not NHS  (3) Other Principal Arterial  (6) Minor Collector
✘ (08) Non-Federal Aid
  (4) Minor Arterial ✘ (7) Local 6. LRS Milepost *
7. Annual Average Daily Traffic (AADT) 8. Estimated Percent Trucks 9. Regularly Used by School Buses? 10. Emergency Services Route
Year _______
2001 AADT _____________
000682 ___________________
21 % ✘ Yes  No Average Number per Day ___________
6  Yes  No

Submission Information - This information is used for administrative purposes and is not available on the public website.

Submitted by __________________________________ Organization _______________________________________ Phone _______________ Date _____________

Public reporting burden for this information collection is estimated to average 30 minutes per response, including the time for reviewing instructions, searching existing data
sources, gathering and maintaining the data needed and completing and reviewing the collection of information. According to the Paperwork Reduction Act of 1995, a federal
agency may not conduct or sponsor, and a person is not required to, nor shall a person be subject to a penalty for failure to comply with, a collection of information unless it
displays a currently valid OMB control number. The valid OMB control number for information collection is 2130-0017. Send comments regarding this burden estimate or any
other aspect of this collection, including for reducing this burden to: Information Collection Officer, Federal Railroad Administration, 1200 New Jersey Ave. SE, MS-25
Washington, DC 20590.
FORM FRA F 6180.71 (Rev. 3/15) OMB approval expires 3/31/2018 Page 2 OF 2
 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 B. Reporting Agency C. Reason for Update (Select only one) D. DOT Crossing
(MM/DD/YYYY)  Railroad  Transit ✘ Change in
  New  Closed  No Train  Quiet Inventory Number
_____/_____/_________
09 20 2001 Data Crossing Traffic Zone Update
✘ State
  Other  Re-Open  Date  Change in Primary  Admin. 224704E
Change Only Operating RR Correction
Part I: Location and Classification Information
1. Primary Operating Railroad 2. State 3. County
_____________________________________________________
CSX Transportation [CSX] ________________________________
VIRGINIA ____________________________________
ALBEMARLE
4. City / Municipality 5. Street/Road Name & Block Number 6. Highway Type & No.
 In ________________________________|
LANETOWN RD __________________
✘ Near
 __________________________
CHARLOTTESVILLE (Street/Road Name) |* (Block Number) _______________________________________
684
7. Do Other Railroads Operate a Separate Track at Crossing?  Yes  ✘ No 8. Do Other Railroads Operate Over Your Track at Crossing?  ✘ Yes  No
If Yes, Specify RR If Yes, Specify RR
____________, ____________, ____________, _____________ ____________,
ATK ____________, ____________, _____________
9. Railroad Division or Region 10. Railroad Subdivision or District 11. Branch or Line Name 12. RR Milepost
_______|____________|____________
0195.85
 None _______________________
C&O  None _______________________
NORTH MOUNTAIN  None _______________________
MAIN (prefix) | (nnnn.nnn) | (suffix)
13. Line Segment 14. Nearest RR Timetable 15. Parent RR (if applicable) 16. Crossing Owner (if applicable)
* Station *
_________________________
CA __________________________
CHARLOTTESVILLE  N/A _____________________________  N/A _________________________________
17. Crossing Type 18. Crossing Purpose 19. Crossing Position 20. Public Access 21. Type of Train 22. Average Passenger
✘ Highway
 ✘ At Grade (if Private Crossing)  Freight  Transit Train Count Per Day
✘ Public
  Pathway, Ped.  RR Under  Yes  Intercity Passenger  Shared Use Transit  Less Than One Per Day
 Private  Station, Ped.  RR Over  No  Commuter  Tourist/Other  Number Per Day_____0
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? 25. Quiet Zone (FRA provided)

 Yes  No If Yes, Provide Crossing Number __________________  No  24 Hr  Partial  Chicago Excused Date Established _________________
26. HSR Corridor ID 27. Latitude in decimal degrees 28. Longitude in decimal degrees 29. Lat/Long Source

__________________ N/A (WGS84 std: nn.nnnnnnn) 38.0773294 (WGS84 std: -nnn.nnnnnnn) -78.7167351 ✘ 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.)
800-232-0144
_________________________________ ______________________________________ _________________________________
Part II: Railroad Information
1. Estimated Number of Daily Train Movements
1.A. Total Day Thru Trains 1.B. Total Night Thru Trains 1.C. Total Switching Trains 1.D. Total Transit Trains 1.E. Check if Less Than
(6 AM to 6 PM) (6 PM to 6 AM) One Movement Per Day 
__________
0 __________
0 __________
3 __________ How many trains per week? ______
2. Year of Train Count Data (YYYY) 3. Speed of Train at Crossing
3.A. Maximum Timetable Speed (mph) __________
60
__________ 3.B. Typical Speed Range Over Crossing (mph) From __________
55 to __________
60
4. Type and Count of Tracks

Main __________
1 Siding __________ Yard __________ Transit __________ Industry __________
5. Train Detection (Main Track only)
 Constant Warning Time  Motion Detection AFO  PTC  DC  Other  ✘ None
6. Is Track Signaled? 7.A. Event Recorder 7.B. Remote Health Monitoring
✘ Yes  No
  Yes  No  Yes  No
FORM FRA F 6180.71 (Rev. 3/15) OMB approval expires 3/31/2018 Page 1 OF 2
 U. S. DOT CROSSING INVENTORY FORM
A. Revision Date (MM/DD/YYYY) PAGE 2 D. Crossing Inventory Number (7 char.)
09/20/2001 224704E
Part III: Highway or Pathway Traffic Control Device Information
1. Are there 2. Types of Passive Traffic Control Devices associated with the Crossing
Signs or Signals?
2.A. Crossbuck 2.B. STOP Signs (R1-1) 2.C. YIELD Signs (R1-2) 2.D. Advance Warning Signs (Check all that apply; include count)  None
Assemblies (count) (count) (count) ✘ W10-1 ________  W10-3 ________  W10-11 __________
✘ Yes  No

0 0  W10-2 ________  W10-4 ________  W10-12 __________
2.E. Low Ground Clearance Sign 2.F. Pavement Markings 2.G. Channelization 2.H. EXEMPT Sign 2.I. ENS Sign (I-13)
(W10-5) Devices/Medians (R15-3) Displayed
 Yes (count_______)  Stop Lines Dynamic Envelope  All Approaches  Median  Yes  Yes
 No  RR Xing Symbols ✘ None
  One Approach  None  No  No
2.J. Other MUTCD Signs  Yes  ✘ No 2.K. Private Crossing 2.L. LED Enhanced Signs (List types)
Signs (if private)
Specify Type _______________ Count __________
Specify Type _______________ Count __________  Yes  No
Specify Type _______________ Count __________
3. Types of Train Activated Warning Devices at the Grade Crossing (specify count of each device for all that apply)
3.A. Gate Arms 3.B. Gate Configuration 3.C. Cantilevered (or Bridged) Flashing Light 3.D. Mast Mounted Flashing Lights 3.E. Total Count of
(count) Structures (count) (count of masts) _________
2 Flashing Light Pairs
 2 Quad  Full (Barrier) Over Traffic Lane _____
0  Incandescent  Incandescent  LED
Roadway _____
2  3 Quad Resistance  Back Lights Included  Side Lights 0
Pedestrian _____  4 Quad  Median Gates Not Over Traffic Lane _____
0  LED Included

3.F. Installation Date of Current 3.G. Wayside Horn 3.H. Highway Traffic Signals Controlling 3.I. Bells
Active Warning Devices: (MM/YYYY) Crossing (count)
______/___________  Not Required  Yes Installed on (MM/YYYY) ______/__________  Yes  ✘ No
 No 1
3.J. Non-Train Active Warning 3.K. Other Flashing Lights or Warning Devices
 Flagging/Flagman Manually Operated Signals  Watchman  Floodlighting  None Count ___________
0 Specify type ______________________
4.A. Does nearby Hwy 4.B. Hwy Traffic Signal 4.C. Hwy Traffic Signal Preemption 5. Highway Traffic Pre-Signals 6. Highway Monitoring Devices
Intersection have Interconnection  Yes  No (Check all that apply)
Traffic Signals? ✘ Not Interconnected  Yes - Photo/Video Recording
 For Traffic Signals  Simultaneous Storage Distance * ____________  Yes – Vehicle Presence Detection
 Yes  No  For Warning Signs  Advance Stop Line Distance * ____________  None
Part IV: Physical Characteristics
1. Traffic Lanes Crossing Railroad  One-way Traffic 2. Is Roadway/Pathway 3. Does Track Run Down a Street? 4. Is Crossing Illuminated? (Street
 Two-way Traffic Paved? lights within approx. 50 feet from
Number of Lanes _______
2  Divided Traffic  Yes ✘ No
  Yes ✘ No nearest rail)  Yes  No
5. Crossing Surface (on Main Track, multiple types allowed) Installation Date * (MM/YYYY) _______/__________ Width * ______________ Length * _______________
 1 Timber  2 Asphalt  ✘ 3 Asphalt and Timber  4 Concrete  5 Concrete and Rubber  6 Rubber  7 Metal
 8 Unconsolidated  9 Composite  10 Other (specify) ________________________________________________________
6. Intersecting Roadway within 500 feet? 7. Smallest Crossing Angle 8. Is Commercial Power Available? *

 Yes ✘ No
 If Yes, Approximate Distance (feet) _________________  0° – 29° ✘ 30° – 59°
  60° - 90° ✘ Yes
  No
Part V: Public Highway Information
1. Highway System 2. Functional Classification of Road at Crossing 3. Is Crossing on State Highway 4. Highway Speed Limit
✘ (0) Rural  (1) Urban System? ___________
55 MPH
 (01) Interstate Highway System  (1) Interstate  (5) Major Collector ✘ Yes  No ✘ Posted  Statutory
 (02) Other Nat Hwy System (NHS)  (2) Other Freeways and Expressways 5. Linear Referencing System (LRS Route ID) *
 (03) Federal AID, Not NHS  (3) Other Principal Arterial  (6) Minor Collector
✘ (08) Non-Federal Aid
  (4) Minor Arterial ✘ (7) Local 6. LRS Milepost *
7. Annual Average Daily Traffic (AADT) 8. Estimated Percent Trucks 9. Regularly Used by School Buses? 10. Emergency Services Route
Year _______
2000 AADT _____________
000682 ___________________
21 % ✘ Yes  No Average Number per Day ___________
6  Yes  No

Submission Information - This information is used for administrative purposes and is not available on the public website.

Submitted by __________________________________ Organization _______________________________________ Phone _______________ Date _____________

Public reporting burden for this information collection is estimated to average 30 minutes per response, including the time for reviewing instructions, searching existing data
sources, gathering and maintaining the data needed and completing and reviewing the collection of information. According to the Paperwork Reduction Act of 1995, a federal
agency may not conduct or sponsor, and a person is not required to, nor shall a person be subject to a penalty for failure to comply with, a collection of information unless it
displays a currently valid OMB control number. The valid OMB control number for information collection is 2130-0017. Send comments regarding this burden estimate or any
other aspect of this collection, including for reducing this burden to: Information Collection Officer, Federal Railroad Administration, 1200 New Jersey Ave. SE, MS-25
Washington, DC 20590.
FORM FRA F 6180.71 (Rev. 3/15) OMB approval expires 3/31/2018 Page 2 OF 2
 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 B. Reporting Agency C. Reason for Update (Select only one) D. DOT Crossing
(MM/DD/YYYY) ✘ Railroad
  Transit ✘ Change in
  New  Closed  No Train  Quiet Inventory Number
_____/_____/_________
04 05 2001 Data Crossing Traffic Zone Update
 State  Other  Re-Open  Date  Change in Primary  Admin. 224704E
Change Only Operating RR Correction
Part I: Location and Classification Information
1. Primary Operating Railroad 2. State 3. County
_____________________________________________________
CSX Transportation [CSX] ________________________________
VIRGINIA ____________________________________
ALBEMARLE
4. City / Municipality 5. Street/Road Name & Block Number 6. Highway Type & No.
 In ________________________________|
LANETOWN RD __________________
✘ Near
 __________________________
CHARLOTTESVILLE (Street/Road Name) |* (Block Number) _______________________________________
684
7. Do Other Railroads Operate a Separate Track at Crossing?  Yes  ✘ No 8. Do Other Railroads Operate Over Your Track at Crossing?  ✘ Yes  No
If Yes, Specify RR If Yes, Specify RR
____________, ____________, ____________, _____________ ____________,
ATK ____________, ____________, _____________
9. Railroad Division or Region 10. Railroad Subdivision or District 11. Branch or Line Name 12. RR Milepost
_______|____________|____________
0195.85
 None _______________________
C&O  None _______________________
NORTH MOUNTAIN  None _______________________
MAIN (prefix) | (nnnn.nnn) | (suffix)
13. Line Segment 14. Nearest RR Timetable 15. Parent RR (if applicable) 16. Crossing Owner (if applicable)
* Station *
_________________________
CA __________________________
CHARLOTTESVILLE  N/A _____________________________  N/A _________________________________
17. Crossing Type 18. Crossing Purpose 19. Crossing Position 20. Public Access 21. Type of Train 22. Average Passenger
✘ Highway
 ✘ At Grade (if Private Crossing)  Freight  Transit Train Count Per Day
✘ Public
  Pathway, Ped.  RR Under  Yes  Intercity Passenger  Shared Use Transit  Less Than One Per Day
 Private  Station, Ped.  RR Over  No  Commuter  Tourist/Other  Number Per Day_____0
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? 25. Quiet Zone (FRA provided)

 Yes  No If Yes, Provide Crossing Number __________________  No  24 Hr  Partial  Chicago Excused Date Established _________________
26. HSR Corridor ID 27. Latitude in decimal degrees 28. Longitude in decimal degrees 29. Lat/Long Source

__________________ N/A (WGS84 std: nn.nnnnnnn) 38.0773293 (WGS84 std: -nnn.nnnnnnn) -78.7167351 ✘ 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.)
800-232-0144
_________________________________ ______________________________________ _________________________________
Part II: Railroad Information
1. Estimated Number of Daily Train Movements
1.A. Total Day Thru Trains 1.B. Total Night Thru Trains 1.C. Total Switching Trains 1.D. Total Transit Trains 1.E. Check if Less Than
(6 AM to 6 PM) (6 PM to 6 AM) One Movement Per Day 
__________
0 __________
0 __________
3 __________ How many trains per week? ______
2. Year of Train Count Data (YYYY) 3. Speed of Train at Crossing
3.A. Maximum Timetable Speed (mph) __________
60
__________ 3.B. Typical Speed Range Over Crossing (mph) From __________
55 to __________
60
4. Type and Count of Tracks

Main __________
1 Siding __________ Yard __________ Transit __________ Industry __________
5. Train Detection (Main Track only)
 Constant Warning Time  Motion Detection AFO  PTC  DC  Other  ✘ None
6. Is Track Signaled? 7.A. Event Recorder 7.B. Remote Health Monitoring
✘ Yes  No
  Yes  No  Yes  No
FORM FRA F 6180.71 (Rev. 3/15) OMB approval expires 3/31/2018 Page 1 OF 2
 U. S. DOT CROSSING INVENTORY FORM
A. Revision Date (MM/DD/YYYY) PAGE 2 D. Crossing Inventory Number (7 char.)
04/05/2001 224704E
Part III: Highway or Pathway Traffic Control Device Information
1. Are there 2. Types of Passive Traffic Control Devices associated with the Crossing
Signs or Signals?
2.A. Crossbuck 2.B. STOP Signs (R1-1) 2.C. YIELD Signs (R1-2) 2.D. Advance Warning Signs (Check all that apply; include count)  None
Assemblies (count) (count) (count) ✘ W10-1 ________  W10-3 ________  W10-11 __________
✘ Yes  No

0 0  W10-2 ________  W10-4 ________  W10-12 __________
2.E. Low Ground Clearance Sign 2.F. Pavement Markings 2.G. Channelization 2.H. EXEMPT Sign 2.I. ENS Sign (I-13)
(W10-5) Devices/Medians (R15-3) Displayed
 Yes (count_______)  Stop Lines Dynamic Envelope  All Approaches  Median  Yes  Yes
 No  RR Xing Symbols ✘ None
  One Approach  None  No  No
2.J. Other MUTCD Signs  Yes  ✘ No 2.K. Private Crossing 2.L. LED Enhanced Signs (List types)
Signs (if private)
Specify Type _______________ Count __________
Specify Type _______________ Count __________  Yes  No
Specify Type _______________ Count __________
3. Types of Train Activated Warning Devices at the Grade Crossing (specify count of each device for all that apply)
3.A. Gate Arms 3.B. Gate Configuration 3.C. Cantilevered (or Bridged) Flashing Light 3.D. Mast Mounted Flashing Lights 3.E. Total Count of
(count) Structures (count) (count of masts) _________
2 Flashing Light Pairs
 2 Quad  Full (Barrier) Over Traffic Lane _____
0  Incandescent  Incandescent  LED
Roadway _____
2  3 Quad Resistance  Back Lights Included  Side Lights 0
Pedestrian _____  4 Quad  Median Gates Not Over Traffic Lane _____
0  LED Included

3.F. Installation Date of Current 3.G. Wayside Horn 3.H. Highway Traffic Signals Controlling 3.I. Bells
Active Warning Devices: (MM/YYYY) Crossing (count)
______/___________  Not Required  Yes Installed on (MM/YYYY) ______/__________  Yes  ✘ No
 No 1
3.J. Non-Train Active Warning 3.K. Other Flashing Lights or Warning Devices
 Flagging/Flagman Manually Operated Signals  Watchman  Floodlighting  None Count ___________
0 Specify type ______________________
4.A. Does nearby Hwy 4.B. Hwy Traffic Signal 4.C. Hwy Traffic Signal Preemption 5. Highway Traffic Pre-Signals 6. Highway Monitoring Devices
Intersection have Interconnection  Yes  No (Check all that apply)
Traffic Signals? ✘ Not Interconnected  Yes - Photo/Video Recording
 For Traffic Signals  Simultaneous Storage Distance * ____________  Yes – Vehicle Presence Detection
 Yes  No  For Warning Signs  Advance Stop Line Distance * ____________  None
Part IV: Physical Characteristics
1. Traffic Lanes Crossing Railroad  One-way Traffic 2. Is Roadway/Pathway 3. Does Track Run Down a Street? 4. Is Crossing Illuminated? (Street
 Two-way Traffic Paved? lights within approx. 50 feet from
Number of Lanes _______
2  Divided Traffic  Yes ✘ No
  Yes ✘ No nearest rail)  Yes  No
5. Crossing Surface (on Main Track, multiple types allowed) Installation Date * (MM/YYYY) _______/__________ Width * ______________ Length * _______________
 1 Timber  2 Asphalt  ✘ 3 Asphalt and Timber  4 Concrete  5 Concrete and Rubber  6 Rubber  7 Metal
 8 Unconsolidated  9 Composite  10 Other (specify) ________________________________________________________
6. Intersecting Roadway within 500 feet? 7. Smallest Crossing Angle 8. Is Commercial Power Available? *

 Yes ✘ No
 If Yes, Approximate Distance (feet) _________________  0° – 29° ✘ 30° – 59°
  60° - 90° ✘ Yes
  No
Part V: Public Highway Information
1. Highway System 2. Functional Classification of Road at Crossing 3. Is Crossing on State Highway 4. Highway Speed Limit
✘ (0) Rural  (1) Urban System? ___________
55 MPH
 (01) Interstate Highway System  (1) Interstate  (5) Major Collector ✘ Yes  No ✘ Posted  Statutory
 (02) Other Nat Hwy System (NHS)  (2) Other Freeways and Expressways 5. Linear Referencing System (LRS Route ID) *
 (03) Federal AID, Not NHS  (3) Other Principal Arterial  (6) Minor Collector
✘ (08) Non-Federal Aid
  (4) Minor Arterial ✘ (7) Local 6. LRS Milepost *
7. Annual Average Daily Traffic (AADT) 8. Estimated Percent Trucks 9. Regularly Used by School Buses? 10. Emergency Services Route
Year _______
1993 AADT _____________
000682 ___________________
21 % ✘ Yes  No Average Number per Day ___________
6  Yes  No

Submission Information - This information is used for administrative purposes and is not available on the public website.

Submitted by __________________________________ Organization _______________________________________ Phone _______________ Date _____________

Public reporting burden for this information collection is estimated to average 30 minutes per response, including the time for reviewing instructions, searching existing data
sources, gathering and maintaining the data needed and completing and reviewing the collection of information. According to the Paperwork Reduction Act of 1995, a federal
agency may not conduct or sponsor, and a person is not required to, nor shall a person be subject to a penalty for failure to comply with, a collection of information unless it
displays a currently valid OMB control number. The valid OMB control number for information collection is 2130-0017. Send comments regarding this burden estimate or any
other aspect of this collection, including for reducing this burden to: Information Collection Officer, Federal Railroad Administration, 1200 New Jersey Ave. SE, MS-25
Washington, DC 20590.
FORM FRA F 6180.71 (Rev. 3/15) OMB approval expires 3/31/2018 Page 2 OF 2
 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 B. Reporting Agency C. Reason for Update (Select only one) D. DOT Crossing
(MM/DD/YYYY)  Railroad  Transit ✘ Change in
  New  Closed  No Train  Quiet Inventory Number
_____/_____/_________
06 15 2000 Data Crossing Traffic Zone Update
✘ State
  Other  Re-Open  Date  Change in Primary  Admin. 224704E
Change Only Operating RR Correction
Part I: Location and Classification Information
1. Primary Operating Railroad 2. State 3. County
_____________________________________________________
CSX Transportation [CSX] ________________________________
VIRGINIA ____________________________________
ALBEMARLE
4. City / Municipality 5. Street/Road Name & Block Number 6. Highway Type & No.
 In ________________________________|
LANETOWN RD __________________
✘ Near
 __________________________
CHARLOTTESVILLE (Street/Road Name) |* (Block Number) _______________________________________
684
7. Do Other Railroads Operate a Separate Track at Crossing?  Yes  ✘ No 8. Do Other Railroads Operate Over Your Track at Crossing?  ✘ Yes  No
If Yes, Specify RR If Yes, Specify RR
____________, ____________, ____________, _____________ ____________,
ATK ____________, ____________, _____________
9. Railroad Division or Region 10. Railroad Subdivision or District 11. Branch or Line Name 12. RR Milepost
_______|____________|____________
0195.85
 None _______________________
C&O  None _______________________
NORTH MOUNTAIN  None _______________________
MAIN (prefix) | (nnnn.nnn) | (suffix)
13. Line Segment 14. Nearest RR Timetable 15. Parent RR (if applicable) 16. Crossing Owner (if applicable)
* Station *
_________________________
CA __________________________
CHARLOTTESVILLE  N/A _____________________________  N/A _________________________________
17. Crossing Type 18. Crossing Purpose 19. Crossing Position 20. Public Access 21. Type of Train 22. Average Passenger
✘ Highway
 ✘ At Grade (if Private Crossing)  Freight  Transit Train Count Per Day
✘ Public
  Pathway, Ped.  RR Under  Yes  Intercity Passenger  Shared Use Transit  Less Than One Per Day
 Private  Station, Ped.  RR Over  No  Commuter  Tourist/Other  Number Per Day_____0
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? 25. Quiet Zone (FRA provided)

 Yes  No If Yes, Provide Crossing Number __________________  No  24 Hr  Partial  Chicago Excused Date Established _________________
26. HSR Corridor ID 27. Latitude in decimal degrees 28. Longitude in decimal degrees 29. Lat/Long Source

__________________ N/A (WGS84 std: nn.nnnnnnn) 38.0773293 (WGS84 std: -nnn.nnnnnnn) -78.7167351 ✘ 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.)
800-232-0144
_________________________________ ______________________________________ _________________________________
Part II: Railroad Information
1. Estimated Number of Daily Train Movements
1.A. Total Day Thru Trains 1.B. Total Night Thru Trains 1.C. Total Switching Trains 1.D. Total Transit Trains 1.E. Check if Less Than
(6 AM to 6 PM) (6 PM to 6 AM) One Movement Per Day 
__________
5 __________
5 __________
0 __________ How many trains per week? ______
2. Year of Train Count Data (YYYY) 3. Speed of Train at Crossing
3.A. Maximum Timetable Speed (mph) __________
65
__________ 3.B. Typical Speed Range Over Crossing (mph) From __________
10 to __________
60
4. Type and Count of Tracks

Main __________
1 Siding __________ Yard __________ Transit __________ Industry __________
5. Train Detection (Main Track only)
 Constant Warning Time  Motion Detection AFO  PTC  DC  Other  ✘ None
6. Is Track Signaled? 7.A. Event Recorder 7.B. Remote Health Monitoring
✘ Yes  No
  Yes  No  Yes  No
FORM FRA F 6180.71 (Rev. 3/15) OMB approval expires 3/31/2018 Page 1 OF 2
 U. S. DOT CROSSING INVENTORY FORM
A. Revision Date (MM/DD/YYYY) PAGE 2 D. Crossing Inventory Number (7 char.)
06/15/2000 224704E
Part III: Highway or Pathway Traffic Control Device Information
1. Are there 2. Types of Passive Traffic Control Devices associated with the Crossing
Signs or Signals?
2.A. Crossbuck 2.B. STOP Signs (R1-1) 2.C. YIELD Signs (R1-2) 2.D. Advance Warning Signs (Check all that apply; include count)  None
Assemblies (count) (count) (count) ✘ W10-1 ________  W10-3 ________  W10-11 __________
✘ Yes  No

2 0  W10-2 ________  W10-4 ________  W10-12 __________
2.E. Low Ground Clearance Sign 2.F. Pavement Markings 2.G. Channelization 2.H. EXEMPT Sign 2.I. ENS Sign (I-13)
(W10-5) Devices/Medians (R15-3) Displayed
 Yes (count_______)  Stop Lines Dynamic Envelope  All Approaches  Median  Yes  Yes
 No  RR Xing Symbols ✘ None
  One Approach  None  No  No
2.J. Other MUTCD Signs  Yes  ✘ No 2.K. Private Crossing 2.L. LED Enhanced Signs (List types)
Signs (if private)
Specify Type _______________ Count __________
Specify Type _______________ Count __________  Yes  No
Specify Type _______________ Count __________
3. Types of Train Activated Warning Devices at the Grade Crossing (specify count of each device for all that apply)
3.A. Gate Arms 3.B. Gate Configuration 3.C. Cantilevered (or Bridged) Flashing Light 3.D. Mast Mounted Flashing Lights 3.E. Total Count of
(count) Structures (count) (count of masts) _________
2 Flashing Light Pairs
 2 Quad  Full (Barrier) Over Traffic Lane _____
0  Incandescent  Incandescent  LED
Roadway _____
2  3 Quad Resistance  Back Lights Included  Side Lights 0
Pedestrian _____  4 Quad  Median Gates Not Over Traffic Lane _____
0  LED Included

3.F. Installation Date of Current 3.G. Wayside Horn 3.H. Highway Traffic Signals Controlling 3.I. Bells
Active Warning Devices: (MM/YYYY) Crossing (count)
______/___________  Not Required  Yes Installed on (MM/YYYY) ______/__________  Yes  ✘ No
 No 1
3.J. Non-Train Active Warning 3.K. Other Flashing Lights or Warning Devices
 Flagging/Flagman Manually Operated Signals  Watchman  Floodlighting  None Count ___________
0 Specify type ______________________
4.A. Does nearby Hwy 4.B. Hwy Traffic Signal 4.C. Hwy Traffic Signal Preemption 5. Highway Traffic Pre-Signals 6. Highway Monitoring Devices
Intersection have Interconnection  Yes  No (Check all that apply)
Traffic Signals? ✘ Not Interconnected  Yes - Photo/Video Recording
 For Traffic Signals  Simultaneous Storage Distance * ____________  Yes – Vehicle Presence Detection
 Yes  No  For Warning Signs  Advance Stop Line Distance * ____________  None
Part IV: Physical Characteristics
1. Traffic Lanes Crossing Railroad  One-way Traffic 2. Is Roadway/Pathway 3. Does Track Run Down a Street? 4. Is Crossing Illuminated? (Street
 Two-way Traffic Paved? lights within approx. 50 feet from
Number of Lanes _______
2  Divided Traffic  Yes ✘ No
  Yes ✘ No nearest rail)  Yes  No
5. Crossing Surface (on Main Track, multiple types allowed) Installation Date * (MM/YYYY) _______/__________ Width * ______________ Length * _______________
 1 Timber  2 Asphalt  ✘ 3 Asphalt and Timber  4 Concrete  5 Concrete and Rubber  6 Rubber  7 Metal
 8 Unconsolidated  9 Composite  10 Other (specify) ________________________________________________________
6. Intersecting Roadway within 500 feet? 7. Smallest Crossing Angle 8. Is Commercial Power Available? *

 Yes ✘ No
 If Yes, Approximate Distance (feet) _________________  0° – 29° ✘ 30° – 59°
  60° - 90° ✘ Yes
  No
Part V: Public Highway Information
1. Highway System 2. Functional Classification of Road at Crossing 3. Is Crossing on State Highway 4. Highway Speed Limit
✘ (0) Rural  (1) Urban System? ___________
55 MPH
 (01) Interstate Highway System  (1) Interstate  (5) Major Collector ✘ Yes  No ✘ Posted  Statutory
 (02) Other Nat Hwy System (NHS)  (2) Other Freeways and Expressways 5. Linear Referencing System (LRS Route ID) *
 (03) Federal AID, Not NHS  (3) Other Principal Arterial  (6) Minor Collector
✘ (08) Non-Federal Aid
  (4) Minor Arterial ✘ (7) Local 6. LRS Milepost *
7. Annual Average Daily Traffic (AADT) 8. Estimated Percent Trucks 9. Regularly Used by School Buses? 10. Emergency Services Route
Year _______
1993 AADT _____________
000682 ___________________
21 % ✘ Yes  No Average Number per Day ___________
6  Yes  No

Submission Information - This information is used for administrative purposes and is not available on the public website.

Submitted by __________________________________ Organization _______________________________________ Phone _______________ Date _____________

Public reporting burden for this information collection is estimated to average 30 minutes per response, including the time for reviewing instructions, searching existing data
sources, gathering and maintaining the data needed and completing and reviewing the collection of information. According to the Paperwork Reduction Act of 1995, a federal
agency may not conduct or sponsor, and a person is not required to, nor shall a person be subject to a penalty for failure to comply with, a collection of information unless it
displays a currently valid OMB control number. The valid OMB control number for information collection is 2130-0017. Send comments regarding this burden estimate or any
other aspect of this collection, including for reducing this burden to: Information Collection Officer, Federal Railroad Administration, 1200 New Jersey Ave. SE, MS-25
Washington, DC 20590.
FORM FRA F 6180.71 (Rev. 3/15) OMB approval expires 3/31/2018 Page 2 OF 2
 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 B. Reporting Agency C. Reason for Update (Select only one) D. DOT Crossing
(MM/DD/YYYY)  Railroad  Transit ✘ Change in
  New  Closed  No Train  Quiet Inventory Number
_____/_____/_________
01 12 2000 Data Crossing Traffic Zone Update
✘ State
  Other  Re-Open  Date  Change in Primary  Admin. 224704E
Change Only Operating RR Correction
Part I: Location and Classification Information
1. Primary Operating Railroad 2. State 3. County
_____________________________________________________
CSX Transportation [CSX] ________________________________
VIRGINIA ____________________________________
ALBEMARLE
4. City / Municipality 5. Street/Road Name & Block Number 6. Highway Type & No.
 In ________________________________|
LANETOWN RD __________________
✘ Near
 __________________________
CHARLOTTESVILLE (Street/Road Name) |* (Block Number) _______________________________________
684
7. Do Other Railroads Operate a Separate Track at Crossing?  Yes  ✘ No 8. Do Other Railroads Operate Over Your Track at Crossing?  ✘ Yes  No
If Yes, Specify RR If Yes, Specify RR
____________, ____________, ____________, _____________ ____________,
ATK ____________, ____________, _____________
9. Railroad Division or Region 10. Railroad Subdivision or District 11. Branch or Line Name 12. RR Milepost
_______|____________|____________
CFP 0001.09
 None _______________________
C&O  None _______________________
NORTH MOUNTAIN  None _______________________
MAIN (prefix) | (nnnn.nnn) | (suffix)
13. Line Segment 14. Nearest RR Timetable 15. Parent RR (if applicable) 16. Crossing Owner (if applicable)
* Station *
_________________________
CA __________________________
CHARLOTTESVILLE  N/A _____________________________  N/A _________________________________
17. Crossing Type 18. Crossing Purpose 19. Crossing Position 20. Public Access 21. Type of Train 22. Average Passenger
✘ Highway
 ✘ At Grade (if Private Crossing)  Freight  Transit Train Count Per Day
✘ Public
  Pathway, Ped.  RR Under  Yes  Intercity Passenger  Shared Use Transit  Less Than One Per Day
 Private  Station, Ped.  RR Over  No  Commuter  Tourist/Other  Number Per Day_____0
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? 25. Quiet Zone (FRA provided)

 Yes  No If Yes, Provide Crossing Number __________________  No  24 Hr  Partial  Chicago Excused Date Established _________________
26. HSR Corridor ID 27. Latitude in decimal degrees 28. Longitude in decimal degrees 29. Lat/Long Source

__________________ N/A (WGS84 std: nn.nnnnnnn) 38.0773293 (WGS84 std: -nnn.nnnnnnn) -78.7167351 ✘ 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 1.B. Total Night Thru Trains 1.C. Total Switching Trains 1.D. Total Transit Trains 1.E. Check if Less Than
(6 AM to 6 PM) (6 PM to 6 AM) One Movement Per Day 
__________
5 __________
5 __________
0 __________ How many trains per week? ______
2. Year of Train Count Data (YYYY) 3. Speed of Train at Crossing
3.A. Maximum Timetable Speed (mph) __________
65
__________ 3.B. Typical Speed Range Over Crossing (mph) From __________
10 to __________
60
4. Type and Count of Tracks

Main __________
1 Siding __________ Yard __________ Transit __________ Industry __________
5. Train Detection (Main Track only)
 Constant Warning Time  Motion Detection AFO  PTC  DC  Other  ✘ None
6. Is Track Signaled? 7.A. Event Recorder 7.B. Remote Health Monitoring
✘ Yes  No
  Yes  No  Yes  No
FORM FRA F 6180.71 (Rev. 3/15) OMB approval expires 3/31/2018 Page 1 OF 2
 U. S. DOT CROSSING INVENTORY FORM
A. Revision Date (MM/DD/YYYY) PAGE 2 D. Crossing Inventory Number (7 char.)
01/12/2000 224704E
Part III: Highway or Pathway Traffic Control Device Information
1. Are there 2. Types of Passive Traffic Control Devices associated with the Crossing
Signs or Signals?
2.A. Crossbuck 2.B. STOP Signs (R1-1) 2.C. YIELD Signs (R1-2) 2.D. Advance Warning Signs (Check all that apply; include count)  None
Assemblies (count) (count) (count) ✘ W10-1 ________  W10-3 ________  W10-11 __________
✘ Yes  No

2 0  W10-2 ________  W10-4 ________  W10-12 __________
2.E. Low Ground Clearance Sign 2.F. Pavement Markings 2.G. Channelization 2.H. EXEMPT Sign 2.I. ENS Sign (I-13)
(W10-5) Devices/Medians (R15-3) Displayed
 Yes (count_______)  Stop Lines Dynamic Envelope  All Approaches  Median  Yes  Yes
 No  RR Xing Symbols ✘ None
  One Approach  None  No  No
2.J. Other MUTCD Signs  Yes  ✘ No 2.K. Private Crossing 2.L. LED Enhanced Signs (List types)
Signs (if private)
Specify Type _______________ Count __________
Specify Type _______________ Count __________  Yes  No
Specify Type _______________ Count __________
3. Types of Train Activated Warning Devices at the Grade Crossing (specify count of each device for all that apply)
3.A. Gate Arms 3.B. Gate Configuration 3.C. Cantilevered (or Bridged) Flashing Light 3.D. Mast Mounted Flashing Lights 3.E. Total Count of
(count) Structures (count) (count of masts) _________
2 Flashing Light Pairs
 2 Quad  Full (Barrier) Over Traffic Lane _____
0  Incandescent  Incandescent  LED
Roadway _____
2  3 Quad Resistance  Back Lights Included  Side Lights 0
Pedestrian _____  4 Quad  Median Gates Not Over Traffic Lane _____
0  LED Included

3.F. Installation Date of Current 3.G. Wayside Horn 3.H. Highway Traffic Signals Controlling 3.I. Bells
Active Warning Devices: (MM/YYYY) Crossing (count)
______/___________  Not Required  Yes Installed on (MM/YYYY) ______/__________  Yes  ✘ No
 No 1
3.J. Non-Train Active Warning 3.K. Other Flashing Lights or Warning Devices
 Flagging/Flagman Manually Operated Signals  Watchman  Floodlighting  None Count ___________
0 Specify type ______________________
4.A. Does nearby Hwy 4.B. Hwy Traffic Signal 4.C. Hwy Traffic Signal Preemption 5. Highway Traffic Pre-Signals 6. Highway Monitoring Devices
Intersection have Interconnection  Yes  No (Check all that apply)
Traffic Signals? ✘ Not Interconnected  Yes - Photo/Video Recording
 For Traffic Signals  Simultaneous Storage Distance * ____________  Yes – Vehicle Presence Detection
 Yes  No  For Warning Signs  Advance Stop Line Distance * ____________  None
Part IV: Physical Characteristics
1. Traffic Lanes Crossing Railroad  One-way Traffic 2. Is Roadway/Pathway 3. Does Track Run Down a Street? 4. Is Crossing Illuminated? (Street
 Two-way Traffic Paved? lights within approx. 50 feet from
Number of Lanes _______
2  Divided Traffic  Yes ✘ No
  Yes ✘ No nearest rail)  Yes  No
5. Crossing Surface (on Main Track, multiple types allowed) Installation Date * (MM/YYYY) _______/__________ Width * ______________ Length * _______________
 1 Timber  2 Asphalt  ✘ 3 Asphalt and Timber  4 Concrete  5 Concrete and Rubber  6 Rubber  7 Metal
 8 Unconsolidated  9 Composite  10 Other (specify) ________________________________________________________
6. Intersecting Roadway within 500 feet? 7. Smallest Crossing Angle 8. Is Commercial Power Available? *

 Yes ✘ No
 If Yes, Approximate Distance (feet) _________________  0° – 29° ✘ 30° – 59°
  60° - 90° ✘ Yes
  No
Part V: Public Highway Information
1. Highway System 2. Functional Classification of Road at Crossing 3. Is Crossing on State Highway 4. Highway Speed Limit
✘ (0) Rural  (1) Urban System? ___________
55 MPH
 (01) Interstate Highway System  (1) Interstate  (5) Major Collector ✘ Yes  No ✘ Posted  Statutory
 (02) Other Nat Hwy System (NHS)  (2) Other Freeways and Expressways 5. Linear Referencing System (LRS Route ID) *
 (03) Federal AID, Not NHS  (3) Other Principal Arterial  (6) Minor Collector
✘ (08) Non-Federal Aid
  (4) Minor Arterial ✘ (7) Local 6. LRS Milepost *
7. Annual Average Daily Traffic (AADT) 8. Estimated Percent Trucks 9. Regularly Used by School Buses? 10. Emergency Services Route
Year _______
1993 AADT _____________
000682 ___________________
21 % ✘ Yes  No Average Number per Day ___________
6  Yes  No

Submission Information - This information is used for administrative purposes and is not available on the public website.

Submitted by __________________________________ Organization _______________________________________ Phone _______________ Date _____________

Public reporting burden for this information collection is estimated to average 30 minutes per response, including the time for reviewing instructions, searching existing data
sources, gathering and maintaining the data needed and completing and reviewing the collection of information. According to the Paperwork Reduction Act of 1995, a federal
agency may not conduct or sponsor, and a person is not required to, nor shall a person be subject to a penalty for failure to comply with, a collection of information unless it
displays a currently valid OMB control number. The valid OMB control number for information collection is 2130-0017. Send comments regarding this burden estimate or any
other aspect of this collection, including for reducing this burden to: Information Collection Officer, Federal Railroad Administration, 1200 New Jersey Ave. SE, MS-25
Washington, DC 20590.
FORM FRA F 6180.71 (Rev. 3/15) OMB approval expires 3/31/2018 Page 2 OF 2
 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 B. Reporting Agency C. Reason for Update (Select only one) D. DOT Crossing
(MM/DD/YYYY)  Railroad  Transit ✘ Change in
  New  Closed  No Train  Quiet Inventory Number
_____/_____/_________
10 08 1999 Data Crossing Traffic Zone Update
✘ State
  Other  Re-Open  Date  Change in Primary  Admin. 224704E
Change Only Operating RR Correction
Part I: Location and Classification Information
1. Primary Operating Railroad 2. State 3. County
_____________________________________________________
CSX Transportation [CSX] ________________________________
VIRGINIA ____________________________________
ALBEMARLE
4. City / Municipality 5. Street/Road Name & Block Number 6. Highway Type & No.
 In ________________________________|
LANETOWN RD __________________
✘ Near
 __________________________
CHARLOTTESVILLE (Street/Road Name) |* (Block Number) _______________________________________
684
7. Do Other Railroads Operate a Separate Track at Crossing?  Yes  ✘ No 8. Do Other Railroads Operate Over Your Track at Crossing?  ✘ Yes  No
If Yes, Specify RR If Yes, Specify RR
____________, ____________, ____________, _____________ ____________,
ATK ____________, ____________, _____________
9. Railroad Division or Region 10. Railroad Subdivision or District 11. Branch or Line Name 12. RR Milepost
_______|____________|____________
0195.85
 None _______________________
C&O  None _______________________
NORTH MOUNTAIN  None _______________________
MAIN (prefix) | (nnnn.nnn) | (suffix)
13. Line Segment 14. Nearest RR Timetable 15. Parent RR (if applicable) 16. Crossing Owner (if applicable)
* Station *
_________________________
CA __________________________
CHARLOTTESVILLE  N/A _____________________________  N/A _________________________________
17. Crossing Type 18. Crossing Purpose 19. Crossing Position 20. Public Access 21. Type of Train 22. Average Passenger
✘ Highway
 ✘ At Grade (if Private Crossing)  Freight  Transit Train Count Per Day
✘ Public
  Pathway, Ped.  RR Under  Yes  Intercity Passenger  Shared Use Transit  Less Than One Per Day
 Private  Station, Ped.  RR Over  No  Commuter  Tourist/Other  Number Per Day_____0
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? 25. Quiet Zone (FRA provided)

 Yes  No If Yes, Provide Crossing Number __________________  No  24 Hr  Partial  Chicago Excused Date Established _________________
26. HSR Corridor ID 27. Latitude in decimal degrees 28. Longitude in decimal degrees 29. Lat/Long Source

__________________ N/A (WGS84 std: nn.nnnnnnn) 38.0773293 (WGS84 std: -nnn.nnnnnnn) -78.7167351 ✘ 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 1.B. Total Night Thru Trains 1.C. Total Switching Trains 1.D. Total Transit Trains 1.E. Check if Less Than
(6 AM to 6 PM) (6 PM to 6 AM) One Movement Per Day 
__________
5 __________
5 __________
0 __________ How many trains per week? ______
2. Year of Train Count Data (YYYY) 3. Speed of Train at Crossing
3.A. Maximum Timetable Speed (mph) __________
65
__________ 3.B. Typical Speed Range Over Crossing (mph) From __________
10 to __________
60
4. Type and Count of Tracks

Main __________
1 Siding __________ Yard __________ Transit __________ Industry __________
5. Train Detection (Main Track only)
 Constant Warning Time  Motion Detection AFO  PTC  DC  Other  ✘ None
6. Is Track Signaled? 7.A. Event Recorder 7.B. Remote Health Monitoring
✘ Yes  No
  Yes  No  Yes  No
FORM FRA F 6180.71 (Rev. 3/15) OMB approval expires 3/31/2018 Page 1 OF 2
 U. S. DOT CROSSING INVENTORY FORM
A. Revision Date (MM/DD/YYYY) PAGE 2 D. Crossing Inventory Number (7 char.)
10/08/1999 224704E
Part III: Highway or Pathway Traffic Control Device Information
1. Are there 2. Types of Passive Traffic Control Devices associated with the Crossing
Signs or Signals?
2.A. Crossbuck 2.B. STOP Signs (R1-1) 2.C. YIELD Signs (R1-2) 2.D. Advance Warning Signs (Check all that apply; include count)  None
Assemblies (count) (count) (count) ✘ W10-1 ________  W10-3 ________  W10-11 __________
✘ Yes  No

2 0  W10-2 ________  W10-4 ________  W10-12 __________
2.E. Low Ground Clearance Sign 2.F. Pavement Markings 2.G. Channelization 2.H. EXEMPT Sign 2.I. ENS Sign (I-13)
(W10-5) Devices/Medians (R15-3) Displayed
 Yes (count_______)  Stop Lines Dynamic Envelope  All Approaches  Median  Yes  Yes
 No  RR Xing Symbols ✘ None
  One Approach  None  No  No
2.J. Other MUTCD Signs  Yes  ✘ No 2.K. Private Crossing 2.L. LED Enhanced Signs (List types)
Signs (if private)
Specify Type _______________ Count __________
Specify Type _______________ Count __________  Yes  No
Specify Type _______________ Count __________
3. Types of Train Activated Warning Devices at the Grade Crossing (specify count of each device for all that apply)
3.A. Gate Arms 3.B. Gate Configuration 3.C. Cantilevered (or Bridged) Flashing Light 3.D. Mast Mounted Flashing Lights 3.E. Total Count of
(count) Structures (count) (count of masts) _________
2 Flashing Light Pairs
 2 Quad  Full (Barrier) Over Traffic Lane _____
0  Incandescent  Incandescent  LED
Roadway _____
2  3 Quad Resistance  Back Lights Included  Side Lights 0
Pedestrian _____  4 Quad  Median Gates Not Over Traffic Lane _____
0  LED Included

3.F. Installation Date of Current 3.G. Wayside Horn 3.H. Highway Traffic Signals Controlling 3.I. Bells
Active Warning Devices: (MM/YYYY) Crossing (count)
______/___________  Not Required  Yes Installed on (MM/YYYY) ______/__________  Yes  ✘ No
 No 1
3.J. Non-Train Active Warning 3.K. Other Flashing Lights or Warning Devices
 Flagging/Flagman Manually Operated Signals  Watchman  Floodlighting  None Count ___________
0 Specify type ______________________
4.A. Does nearby Hwy 4.B. Hwy Traffic Signal 4.C. Hwy Traffic Signal Preemption 5. Highway Traffic Pre-Signals 6. Highway Monitoring Devices
Intersection have Interconnection  Yes  No (Check all that apply)
Traffic Signals? ✘ Not Interconnected  Yes - Photo/Video Recording
 For Traffic Signals  Simultaneous Storage Distance * ____________  Yes – Vehicle Presence Detection
 Yes  No  For Warning Signs  Advance Stop Line Distance * ____________  None
Part IV: Physical Characteristics
1. Traffic Lanes Crossing Railroad  One-way Traffic 2. Is Roadway/Pathway 3. Does Track Run Down a Street? 4. Is Crossing Illuminated? (Street
 Two-way Traffic Paved? lights within approx. 50 feet from
Number of Lanes _______
2  Divided Traffic  Yes ✘ No
  Yes ✘ No nearest rail)  Yes  No
5. Crossing Surface (on Main Track, multiple types allowed) Installation Date * (MM/YYYY) _______/__________ Width * ______________ Length * _______________
 1 Timber  2 Asphalt  ✘ 3 Asphalt and Timber  4 Concrete  5 Concrete and Rubber  6 Rubber  7 Metal
 8 Unconsolidated  9 Composite  10 Other (specify) ________________________________________________________
6. Intersecting Roadway within 500 feet? 7. Smallest Crossing Angle 8. Is Commercial Power Available? *

 Yes ✘ No
 If Yes, Approximate Distance (feet) _________________  0° – 29° ✘ 30° – 59°
  60° - 90° ✘ Yes
  No
Part V: Public Highway Information
1. Highway System 2. Functional Classification of Road at Crossing 3. Is Crossing on State Highway 4. Highway Speed Limit
✘ (0) Rural  (1) Urban System? ___________
55 MPH
 (01) Interstate Highway System  (1) Interstate  (5) Major Collector ✘ Yes  No ✘ Posted  Statutory
 (02) Other Nat Hwy System (NHS)  (2) Other Freeways and Expressways 5. Linear Referencing System (LRS Route ID) *
 (03) Federal AID, Not NHS  (3) Other Principal Arterial  (6) Minor Collector
✘ (08) Non-Federal Aid
  (4) Minor Arterial ✘ (7) Local 6. LRS Milepost *
7. Annual Average Daily Traffic (AADT) 8. Estimated Percent Trucks 9. Regularly Used by School Buses? 10. Emergency Services Route
Year _______
1993 AADT _____________
000682 ___________________
21 % ✘ Yes  No Average Number per Day ___________
6  Yes  No

Submission Information - This information is used for administrative purposes and is not available on the public website.

Submitted by __________________________________ Organization _______________________________________ Phone _______________ Date _____________

Public reporting burden for this information collection is estimated to average 30 minutes per response, including the time for reviewing instructions, searching existing data
sources, gathering and maintaining the data needed and completing and reviewing the collection of information. According to the Paperwork Reduction Act of 1995, a federal
agency may not conduct or sponsor, and a person is not required to, nor shall a person be subject to a penalty for failure to comply with, a collection of information unless it
displays a currently valid OMB control number. The valid OMB control number for information collection is 2130-0017. Send comments regarding this burden estimate or any
other aspect of this collection, including for reducing this burden to: Information Collection Officer, Federal Railroad Administration, 1200 New Jersey Ave. SE, MS-25
Washington, DC 20590.
FORM FRA F 6180.71 (Rev. 3/15) OMB approval expires 3/31/2018 Page 2 OF 2
 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 B. Reporting Agency C. Reason for Update (Select only one) D. DOT Crossing
(MM/DD/YYYY)  Railroad  Transit ✘ Change in
  New  Closed  No Train  Quiet Inventory Number
_____/_____/_________
06 01 1999 Data Crossing Traffic Zone Update
✘ State
  Other  Re-Open  Date  Change in Primary  Admin. 224704E
Change Only Operating RR Correction
Part I: Location and Classification Information
1. Primary Operating Railroad 2. State 3. County
_____________________________________________________
CSX Transportation [CSX] ________________________________
VIRGINIA ____________________________________
ALBEMARLE
4. City / Municipality 5. Street/Road Name & Block Number 6. Highway Type & No.
 In ________________________________|
LANETOWN RD __________________
✘ Near
 __________________________
CHARLOTTESVILLE (Street/Road Name) |* (Block Number) _______________________________________
684
7. Do Other Railroads Operate a Separate Track at Crossing?  Yes  ✘ No 8. Do Other Railroads Operate Over Your Track at Crossing?  ✘ Yes  No
If Yes, Specify RR If Yes, Specify RR
____________, ____________, ____________, _____________ ____________,
ATK ____________, ____________, _____________
9. Railroad Division or Region 10. Railroad Subdivision or District 11. Branch or Line Name 12. RR Milepost
_______|____________|____________
0195.85
 None _______________________
C&O  None _______________________
NORTH MOUNTAIN  None _______________________
MAIN (prefix) | (nnnn.nnn) | (suffix)
13. Line Segment 14. Nearest RR Timetable 15. Parent RR (if applicable) 16. Crossing Owner (if applicable)
* Station *
_________________________
CA __________________________
CHARLOTTESVILLE  N/A _____________________________  N/A _________________________________
17. Crossing Type 18. Crossing Purpose 19. Crossing Position 20. Public Access 21. Type of Train 22. Average Passenger
✘ Highway
 ✘ At Grade (if Private Crossing)  Freight  Transit Train Count Per Day
✘ Public
  Pathway, Ped.  RR Under  Yes  Intercity Passenger  Shared Use Transit  Less Than One Per Day
 Private  Station, Ped.  RR Over  No  Commuter  Tourist/Other  Number Per Day_____0
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? 25. Quiet Zone (FRA provided)

 Yes  No If Yes, Provide Crossing Number __________________  No  24 Hr  Partial  Chicago Excused Date Established _________________
26. HSR Corridor ID 27. Latitude in decimal degrees 28. Longitude in decimal degrees 29. Lat/Long Source

__________________ N/A (WGS84 std: nn.nnnnnnn) 38.0773293 (WGS84 std: -nnn.nnnnnnn) -78.7167351 ✘ 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 1.B. Total Night Thru Trains 1.C. Total Switching Trains 1.D. Total Transit Trains 1.E. Check if Less Than
(6 AM to 6 PM) (6 PM to 6 AM) One Movement Per Day 
__________
5 __________
5 __________
0 __________ How many trains per week? ______
2. Year of Train Count Data (YYYY) 3. Speed of Train at Crossing
3.A. Maximum Timetable Speed (mph) __________
65
__________ 3.B. Typical Speed Range Over Crossing (mph) From __________
10 to __________
60
4. Type and Count of Tracks

Main __________
1 Siding __________ Yard __________ Transit __________ Industry __________
5. Train Detection (Main Track only)
 Constant Warning Time  Motion Detection AFO  PTC  DC  Other  ✘ None
6. Is Track Signaled? 7.A. Event Recorder 7.B. Remote Health Monitoring
✘ Yes  No
  Yes  No  Yes  No
FORM FRA F 6180.71 (Rev. 3/15) OMB approval expires 3/31/2018 Page 1 OF 2
 U. S. DOT CROSSING INVENTORY FORM
A. Revision Date (MM/DD/YYYY) PAGE 2 D. Crossing Inventory Number (7 char.)
06/01/1999 224704E
Part III: Highway or Pathway Traffic Control Device Information
1. Are there 2. Types of Passive Traffic Control Devices associated with the Crossing
Signs or Signals?
2.A. Crossbuck 2.B. STOP Signs (R1-1) 2.C. YIELD Signs (R1-2) 2.D. Advance Warning Signs (Check all that apply; include count)  None
Assemblies (count) (count) (count) ✘ W10-1 ________  W10-3 ________  W10-11 __________
✘ Yes  No

2 0  W10-2 ________  W10-4 ________  W10-12 __________
2.E. Low Ground Clearance Sign 2.F. Pavement Markings 2.G. Channelization 2.H. EXEMPT Sign 2.I. ENS Sign (I-13)
(W10-5) Devices/Medians (R15-3) Displayed
 Yes (count_______)  Stop Lines Dynamic Envelope  All Approaches  Median  Yes  Yes
 No  RR Xing Symbols ✘ None
  One Approach  None  No  No
2.J. Other MUTCD Signs  Yes  ✘ No 2.K. Private Crossing 2.L. LED Enhanced Signs (List types)
Signs (if private)
Specify Type _______________ Count __________
Specify Type _______________ Count __________  Yes  No
Specify Type _______________ Count __________
3. Types of Train Activated Warning Devices at the Grade Crossing (specify count of each device for all that apply)
3.A. Gate Arms 3.B. Gate Configuration 3.C. Cantilevered (or Bridged) Flashing Light 3.D. Mast Mounted Flashing Lights 3.E. Total Count of
(count) Structures (count) (count of masts) _________
2 Flashing Light Pairs
 2 Quad  Full (Barrier) Over Traffic Lane _____
0  Incandescent  Incandescent  LED
Roadway _____
2  3 Quad Resistance  Back Lights Included  Side Lights 0
Pedestrian _____  4 Quad  Median Gates Not Over Traffic Lane _____
0  LED Included

3.F. Installation Date of Current 3.G. Wayside Horn 3.H. Highway Traffic Signals Controlling 3.I. Bells
Active Warning Devices: (MM/YYYY) Crossing (count)
______/___________  Not Required  Yes Installed on (MM/YYYY) ______/__________  Yes  ✘ No
 No 1
3.J. Non-Train Active Warning 3.K. Other Flashing Lights or Warning Devices
 Flagging/Flagman Manually Operated Signals  Watchman  Floodlighting  None Count ___________
0 Specify type ______________________
4.A. Does nearby Hwy 4.B. Hwy Traffic Signal 4.C. Hwy Traffic Signal Preemption 5. Highway Traffic Pre-Signals 6. Highway Monitoring Devices
Intersection have Interconnection  Yes  No (Check all that apply)
Traffic Signals? ✘ Not Interconnected  Yes - Photo/Video Recording
 For Traffic Signals  Simultaneous Storage Distance * ____________  Yes – Vehicle Presence Detection
 Yes  No  For Warning Signs  Advance Stop Line Distance * ____________  None
Part IV: Physical Characteristics
1. Traffic Lanes Crossing Railroad  One-way Traffic 2. Is Roadway/Pathway 3. Does Track Run Down a Street? 4. Is Crossing Illuminated? (Street
 Two-way Traffic Paved? lights within approx. 50 feet from
Number of Lanes _______
2  Divided Traffic  Yes ✘ No
  Yes ✘ No nearest rail)  Yes  No
5. Crossing Surface (on Main Track, multiple types allowed) Installation Date * (MM/YYYY) _______/__________ Width * ______________ Length * _______________
 1 Timber  2 Asphalt  ✘ 3 Asphalt and Timber  4 Concrete  5 Concrete and Rubber  6 Rubber  7 Metal
 8 Unconsolidated  9 Composite  10 Other (specify) ________________________________________________________
6. Intersecting Roadway within 500 feet? 7. Smallest Crossing Angle 8. Is Commercial Power Available? *

 Yes ✘ No
 If Yes, Approximate Distance (feet) _________________  0° – 29° ✘ 30° – 59°
  60° - 90° ✘ Yes
  No
Part V: Public Highway Information
1. Highway System 2. Functional Classification of Road at Crossing 3. Is Crossing on State Highway 4. Highway Speed Limit
✘ (0) Rural  (1) Urban System? ___________
55 MPH
 (01) Interstate Highway System  (1) Interstate  (5) Major Collector ✘ Yes  No ✘ Posted  Statutory
 (02) Other Nat Hwy System (NHS)  (2) Other Freeways and Expressways 5. Linear Referencing System (LRS Route ID) *
 (03) Federal AID, Not NHS  (3) Other Principal Arterial  (6) Minor Collector
✘ (08) Non-Federal Aid
  (4) Minor Arterial ✘ (7) Local 6. LRS Milepost *
7. Annual Average Daily Traffic (AADT) 8. Estimated Percent Trucks 9. Regularly Used by School Buses? 10. Emergency Services Route
Year _______
1993 AADT _____________
000682 ___________________
21 % ✘ Yes  No Average Number per Day ___________
6  Yes  No

Submission Information - This information is used for administrative purposes and is not available on the public website.

Submitted by __________________________________ Organization _______________________________________ Phone _______________ Date _____________

Public reporting burden for this information collection is estimated to average 30 minutes per response, including the time for reviewing instructions, searching existing data
sources, gathering and maintaining the data needed and completing and reviewing the collection of information. According to the Paperwork Reduction Act of 1995, a federal
agency may not conduct or sponsor, and a person is not required to, nor shall a person be subject to a penalty for failure to comply with, a collection of information unless it
displays a currently valid OMB control number. The valid OMB control number for information collection is 2130-0017. Send comments regarding this burden estimate or any
other aspect of this collection, including for reducing this burden to: Information Collection Officer, Federal Railroad Administration, 1200 New Jersey Ave. SE, MS-25
Washington, DC 20590.
FORM FRA F 6180.71 (Rev. 3/15) OMB approval expires 3/31/2018 Page 2 OF 2
 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 B. Reporting Agency C. Reason for Update (Select only one) D. DOT Crossing
(MM/DD/YYYY)  Railroad  Transit ✘ Change in
  New  Closed  No Train  Quiet Inventory Number
_____/_____/_________
03 18 1999 Data Crossing Traffic Zone Update
✘ State
  Other  Re-Open  Date  Change in Primary  Admin. 224704E
Change Only Operating RR Correction
Part I: Location and Classification Information
1. Primary Operating Railroad 2. State 3. County
_____________________________________________________
CSX Transportation [CSX] ________________________________
VIRGINIA ____________________________________
ALBEMARLE
4. City / Municipality 5. Street/Road Name & Block Number 6. Highway Type & No.
 In ________________________________|
LANETOWN RD __________________
✘ Near
 __________________________
CHARLOTTESVILLE (Street/Road Name) |* (Block Number) _______________________________________
684
7. Do Other Railroads Operate a Separate Track at Crossing?  Yes  ✘ No 8. Do Other Railroads Operate Over Your Track at Crossing?  ✘ Yes  No
If Yes, Specify RR If Yes, Specify RR
____________, ____________, ____________, _____________ ____________,
ATK ____________, ____________, _____________
9. Railroad Division or Region 10. Railroad Subdivision or District 11. Branch or Line Name 12. RR Milepost
_______|____________|____________
0195.85
 None _______________________
C&O  None _______________________
NORTH MOUNTAIN  None _______________________
MAIN (prefix) | (nnnn.nnn) | (suffix)
13. Line Segment 14. Nearest RR Timetable 15. Parent RR (if applicable) 16. Crossing Owner (if applicable)
* Station *
_________________________
CA __________________________
CHARLOTTESVILLE  N/A _____________________________  N/A _________________________________
17. Crossing Type 18. Crossing Purpose 19. Crossing Position 20. Public Access 21. Type of Train 22. Average Passenger
✘ Highway
 ✘ At Grade (if Private Crossing)  Freight  Transit Train Count Per Day
✘ Public
  Pathway, Ped.  RR Under  Yes  Intercity Passenger  Shared Use Transit  Less Than One Per Day
 Private  Station, Ped.  RR Over  No  Commuter  Tourist/Other  Number Per Day_____0
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? 25. Quiet Zone (FRA provided)

 Yes  No If Yes, Provide Crossing Number __________________  No  24 Hr  Partial  Chicago Excused Date Established _________________
26. HSR Corridor ID 27. Latitude in decimal degrees 28. Longitude in decimal degrees 29. Lat/Long Source

__________________ N/A (WGS84 std: nn.nnnnnnn) 38.0773293 (WGS84 std: -nnn.nnnnnnn) -78.7167351 ✘ 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 1.B. Total Night Thru Trains 1.C. Total Switching Trains 1.D. Total Transit Trains 1.E. Check if Less Than
(6 AM to 6 PM) (6 PM to 6 AM) One Movement Per Day 
__________
5 __________
5 __________
0 __________ How many trains per week? ______
2. Year of Train Count Data (YYYY) 3. Speed of Train at Crossing
3.A. Maximum Timetable Speed (mph) __________
65
__________ 3.B. Typical Speed Range Over Crossing (mph) From __________
10 to __________
60
4. Type and Count of Tracks

Main __________
1 Siding __________ Yard __________ Transit __________ Industry __________
5. Train Detection (Main Track only)
 Constant Warning Time  Motion Detection AFO  PTC  DC  Other  ✘ None
6. Is Track Signaled? 7.A. Event Recorder 7.B. Remote Health Monitoring
✘ Yes  No
  Yes  No  Yes  No
FORM FRA F 6180.71 (Rev. 3/15) OMB approval expires 3/31/2018 Page 1 OF 2
 U. S. DOT CROSSING INVENTORY FORM
A. Revision Date (MM/DD/YYYY) PAGE 2 D. Crossing Inventory Number (7 char.)
03/18/1999 224704E
Part III: Highway or Pathway Traffic Control Device Information
1. Are there 2. Types of Passive Traffic Control Devices associated with the Crossing
Signs or Signals?
2.A. Crossbuck 2.B. STOP Signs (R1-1) 2.C. YIELD Signs (R1-2) 2.D. Advance Warning Signs (Check all that apply; include count)  None
Assemblies (count) (count) (count) ✘ W10-1 ________  W10-3 ________  W10-11 __________
✘ Yes  No

2 0  W10-2 ________  W10-4 ________  W10-12 __________
2.E. Low Ground Clearance Sign 2.F. Pavement Markings 2.G. Channelization 2.H. EXEMPT Sign 2.I. ENS Sign (I-13)
(W10-5) Devices/Medians (R15-3) Displayed
 Yes (count_______)  Stop Lines Dynamic Envelope  All Approaches  Median  Yes  Yes
 No  RR Xing Symbols ✘ None
  One Approach  None  No  No
2.J. Other MUTCD Signs  Yes  ✘ No 2.K. Private Crossing 2.L. LED Enhanced Signs (List types)
Signs (if private)
Specify Type _______________ Count __________
Specify Type _______________ Count __________  Yes  No
Specify Type _______________ Count __________
3. Types of Train Activated Warning Devices at the Grade Crossing (specify count of each device for all that apply)
3.A. Gate Arms 3.B. Gate Configuration 3.C. Cantilevered (or Bridged) Flashing Light 3.D. Mast Mounted Flashing Lights 3.E. Total Count of
(count) Structures (count) (count of masts) _________
2 Flashing Light Pairs
 2 Quad  Full (Barrier) Over Traffic Lane _____
0  Incandescent  Incandescent  LED
Roadway _____
2  3 Quad Resistance  Back Lights Included  Side Lights 0
Pedestrian _____  4 Quad  Median Gates Not Over Traffic Lane _____
0  LED Included

3.F. Installation Date of Current 3.G. Wayside Horn 3.H. Highway Traffic Signals Controlling 3.I. Bells
Active Warning Devices: (MM/YYYY) Crossing (count)
______/___________  Not Required  Yes Installed on (MM/YYYY) ______/__________  Yes  ✘ No
 No 1
3.J. Non-Train Active Warning 3.K. Other Flashing Lights or Warning Devices
 Flagging/Flagman Manually Operated Signals  Watchman  Floodlighting  None Count ___________
0 Specify type ______________________
4.A. Does nearby Hwy 4.B. Hwy Traffic Signal 4.C. Hwy Traffic Signal Preemption 5. Highway Traffic Pre-Signals 6. Highway Monitoring Devices
Intersection have Interconnection  Yes  No (Check all that apply)
Traffic Signals? ✘ Not Interconnected  Yes - Photo/Video Recording
 For Traffic Signals  Simultaneous Storage Distance * ____________  Yes – Vehicle Presence Detection
 Yes  No  For Warning Signs  Advance Stop Line Distance * ____________  None
Part IV: Physical Characteristics
1. Traffic Lanes Crossing Railroad  One-way Traffic 2. Is Roadway/Pathway 3. Does Track Run Down a Street? 4. Is Crossing Illuminated? (Street
 Two-way Traffic Paved? lights within approx. 50 feet from
Number of Lanes _______
2  Divided Traffic  Yes ✘ No
  Yes ✘ No nearest rail)  Yes  No
5. Crossing Surface (on Main Track, multiple types allowed) Installation Date * (MM/YYYY) _______/__________ Width * ______________ Length * _______________
 1 Timber  2 Asphalt  ✘ 3 Asphalt and Timber  4 Concrete  5 Concrete and Rubber  6 Rubber  7 Metal
 8 Unconsolidated  9 Composite  10 Other (specify) ________________________________________________________
6. Intersecting Roadway within 500 feet? 7. Smallest Crossing Angle 8. Is Commercial Power Available? *

 Yes ✘ No
 If Yes, Approximate Distance (feet) _________________  0° – 29° ✘ 30° – 59°
  60° - 90° ✘ Yes
  No
Part V: Public Highway Information
1. Highway System 2. Functional Classification of Road at Crossing 3. Is Crossing on State Highway 4. Highway Speed Limit
✘ (0) Rural  (1) Urban System? ___________
55 MPH
 (01) Interstate Highway System  (1) Interstate  (5) Major Collector ✘ Yes  No ✘ Posted  Statutory
 (02) Other Nat Hwy System (NHS)  (2) Other Freeways and Expressways 5. Linear Referencing System (LRS Route ID) *
 (03) Federal AID, Not NHS  (3) Other Principal Arterial  (6) Minor Collector
✘ (08) Non-Federal Aid
  (4) Minor Arterial ✘ (7) Local 6. LRS Milepost *
7. Annual Average Daily Traffic (AADT) 8. Estimated Percent Trucks 9. Regularly Used by School Buses? 10. Emergency Services Route
Year _______
1993 AADT _____________
000669 ___________________
21 % ✘ Yes  No Average Number per Day ___________
6  Yes  No

Submission Information - This information is used for administrative purposes and is not available on the public website.

Submitted by __________________________________ Organization _______________________________________ Phone _______________ Date _____________

Public reporting burden for this information collection is estimated to average 30 minutes per response, including the time for reviewing instructions, searching existing data
sources, gathering and maintaining the data needed and completing and reviewing the collection of information. According to the Paperwork Reduction Act of 1995, a federal
agency may not conduct or sponsor, and a person is not required to, nor shall a person be subject to a penalty for failure to comply with, a collection of information unless it
displays a currently valid OMB control number. The valid OMB control number for information collection is 2130-0017. Send comments regarding this burden estimate or any
other aspect of this collection, including for reducing this burden to: Information Collection Officer, Federal Railroad Administration, 1200 New Jersey Ave. SE, MS-25
Washington, DC 20590.
FORM FRA F 6180.71 (Rev. 3/15) OMB approval expires 3/31/2018 Page 2 OF 2
 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 B. Reporting Agency C. Reason for Update (Select only one) D. DOT Crossing
(MM/DD/YYYY)  Railroad  Transit ✘ Change in
  New  Closed  No Train  Quiet Inventory Number
_____/_____/_________
05 26 1993 Data Crossing Traffic Zone Update
✘ State
  Other  Re-Open  Date  Change in Primary  Admin. 224704E
Change Only Operating RR Correction
Part I: Location and Classification Information
1. Primary Operating Railroad 2. State 3. County
_____________________________________________________
CSX Transportation [CSX] ________________________________
VIRGINIA ____________________________________
ALBEMARLE
4. City / Municipality 5. Street/Road Name & Block Number 6. Highway Type & No.
 In ________________________________|
LANETOWN RD __________________
✘ Near
 __________________________
CHARLOTTESVILLE (Street/Road Name) |* (Block Number) _______________________________________
684
7. Do Other Railroads Operate a Separate Track at Crossing?  Yes  ✘ No 8. Do Other Railroads Operate Over Your Track at Crossing?  ✘ Yes  No
If Yes, Specify RR If Yes, Specify RR
____________, ____________, ____________, _____________ ____________,
ATK ____________, ____________, _____________
9. Railroad Division or Region 10. Railroad Subdivision or District 11. Branch or Line Name 12. RR Milepost
_______|____________|____________
0195.85
 None _______________________
HUNTINGTON  None _______________________
NORTH MOUNTAIN  None _______________________
MAIN (prefix) | (nnnn.nnn) | (suffix)
13. Line Segment 14. Nearest RR Timetable 15. Parent RR (if applicable) 16. Crossing Owner (if applicable)
* Station *
_________________________
CA __________________________
CHARLOTTESVILLE  N/A _____________________________  N/A _________________________________
17. Crossing Type 18. Crossing Purpose 19. Crossing Position 20. Public Access 21. Type of Train 22. Average Passenger
✘ Highway
 ✘ At Grade (if Private Crossing)  Freight  Transit Train Count Per Day
✘ Public
  Pathway, Ped.  RR Under  Yes  Intercity Passenger  Shared Use Transit  Less Than One Per Day
 Private  Station, Ped.  RR Over  No  Commuter  Tourist/Other  Number Per Day_____0
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? 25. Quiet Zone (FRA provided)

 Yes  No If Yes, Provide Crossing Number __________________  No  24 Hr  Partial  Chicago Excused Date Established _________________
26. HSR Corridor ID 27. Latitude in decimal degrees 28. Longitude in decimal degrees 29. Lat/Long Source

__________________ N/A (WGS84 std: nn.nnnnnnn) 38.0612110 (WGS84 std: -nnn.nnnnnnn) -78.6582870 ✘ 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 1.B. Total Night Thru Trains 1.C. Total Switching Trains 1.D. Total Transit Trains 1.E. Check if Less Than
(6 AM to 6 PM) (6 PM to 6 AM) One Movement Per Day 
__________
4 __________
4 __________
0 __________ How many trains per week? ______
2. Year of Train Count Data (YYYY) 3. Speed of Train at Crossing
3.A. Maximum Timetable Speed (mph) __________
65
__________ 3.B. Typical Speed Range Over Crossing (mph) From __________
10 to __________
60
4. Type and Count of Tracks

Main __________
1 Siding __________ Yard __________ Transit __________ Industry __________
5. Train Detection (Main Track only)
 Constant Warning Time  Motion Detection AFO  PTC  DC  Other  ✘ None
6. Is Track Signaled? 7.A. Event Recorder 7.B. Remote Health Monitoring
✘ Yes  No
  Yes  No  Yes  No
FORM FRA F 6180.71 (Rev. 3/15) OMB approval expires 3/31/2018 Page 1 OF 2
 U. S. DOT CROSSING INVENTORY FORM
A. Revision Date (MM/DD/YYYY) PAGE 2 D. Crossing Inventory Number (7 char.)
05/26/1993 224704E
Part III: Highway or Pathway Traffic Control Device Information
1. Are there 2. Types of Passive Traffic Control Devices associated with the Crossing
Signs or Signals?
2.A. Crossbuck 2.B. STOP Signs (R1-1) 2.C. YIELD Signs (R1-2) 2.D. Advance Warning Signs (Check all that apply; include count)  None
Assemblies (count) (count) (count) ✘ W10-1 ________  W10-3 ________  W10-11 __________
✘ Yes  No

2 0  W10-2 ________  W10-4 ________  W10-12 __________
2.E. Low Ground Clearance Sign 2.F. Pavement Markings 2.G. Channelization 2.H. EXEMPT Sign 2.I. ENS Sign (I-13)
(W10-5) Devices/Medians (R15-3) Displayed
 Yes (count_______)  Stop Lines Dynamic Envelope  All Approaches  Median  Yes  Yes
 No ✘ RR Xing Symbols
  None  One Approach  None  No  No
2.J. Other MUTCD Signs  Yes  ✘ No 2.K. Private Crossing 2.L. LED Enhanced Signs (List types)
Signs (if private)
Specify Type _______________ Count __________
Specify Type _______________ Count __________  Yes  No
Specify Type _______________ Count __________
3. Types of Train Activated Warning Devices at the Grade Crossing (specify count of each device for all that apply)
3.A. Gate Arms 3.B. Gate Configuration 3.C. Cantilevered (or Bridged) Flashing Light 3.D. Mast Mounted Flashing Lights 3.E. Total Count of
(count) Structures (count) (count of masts) _________
2 Flashing Light Pairs
 2 Quad  Full (Barrier) Over Traffic Lane _____
0  Incandescent  Incandescent  LED
Roadway _____
2  3 Quad Resistance  Back Lights Included  Side Lights 0
Pedestrian _____  4 Quad  Median Gates Not Over Traffic Lane _____
0  LED Included

3.F. Installation Date of Current 3.G. Wayside Horn 3.H. Highway Traffic Signals Controlling 3.I. Bells
Active Warning Devices: (MM/YYYY) Crossing (count)
______/___________  Not Required  Yes Installed on (MM/YYYY) ______/__________  Yes  ✘ No
 No 1
3.J. Non-Train Active Warning 3.K. Other Flashing Lights or Warning Devices
 Flagging/Flagman Manually Operated Signals  Watchman  Floodlighting  None Count ___________
0 Specify type ______________________
4.A. Does nearby Hwy 4.B. Hwy Traffic Signal 4.C. Hwy Traffic Signal Preemption 5. Highway Traffic Pre-Signals 6. Highway Monitoring Devices
Intersection have Interconnection  Yes  No (Check all that apply)
Traffic Signals? ✘ Not Interconnected  Yes - Photo/Video Recording
 For Traffic Signals  Simultaneous Storage Distance * ____________  Yes – Vehicle Presence Detection
 Yes  No  For Warning Signs  Advance Stop Line Distance * ____________  None
Part IV: Physical Characteristics
1. Traffic Lanes Crossing Railroad  One-way Traffic 2. Is Roadway/Pathway 3. Does Track Run Down a Street? 4. Is Crossing Illuminated? (Street
 Two-way Traffic Paved? lights within approx. 50 feet from
Number of Lanes _______
2  Divided Traffic ✘ Yes  No  Yes ✘ No nearest rail)  Yes  No
5. Crossing Surface (on Main Track, multiple types allowed) Installation Date * (MM/YYYY) _______/__________ Width * ______________ Length * _______________
✘ 1 Timber  2 Asphalt  3 Asphalt and Timber  4 Concrete  5 Concrete and Rubber  6 Rubber  7 Metal

 8 Unconsolidated  9 Composite  10 Other (specify) ________________________________________________________
6. Intersecting Roadway within 500 feet? 7. Smallest Crossing Angle 8. Is Commercial Power Available? *

 Yes ✘ No
 If Yes, Approximate Distance (feet) _________________  0° – 29° ✘ 30° – 59°
  60° - 90° ✘ Yes
  No
Part V: Public Highway Information
1. Highway System 2. Functional Classification of Road at Crossing 3. Is Crossing on State Highway 4. Highway Speed Limit
✘ (0) Rural  (1) Urban System? ___________ MPH
 (01) Interstate Highway System  (1) Interstate  (5) Major Collector ✘ Yes  No  Posted  Statutory
 (02) Other Nat Hwy System (NHS)  (2) Other Freeways and Expressways 5. Linear Referencing System (LRS Route ID) *
 (03) Federal AID, Not NHS  (3) Other Principal Arterial  (6) Minor Collector
✘ (08) Non-Federal Aid
  (4) Minor Arterial ✘ (7) Local 6. LRS Milepost *
7. Annual Average Daily Traffic (AADT) 8. Estimated Percent Trucks 9. Regularly Used by School Buses? 10. Emergency Services Route
Year _______
1993 AADT _____________
000669 ___________________
21 %  Yes ✘ No Average Number per Day ___________
0  Yes  No

Submission Information - This information is used for administrative purposes and is not available on the public website.

Submitted by __________________________________ Organization _______________________________________ Phone _______________ Date _____________

Public reporting burden for this information collection is estimated to average 30 minutes per response, including the time for reviewing instructions, searching existing data
sources, gathering and maintaining the data needed and completing and reviewing the collection of information. According to the Paperwork Reduction Act of 1995, a federal
agency may not conduct or sponsor, and a person is not required to, nor shall a person be subject to a penalty for failure to comply with, a collection of information unless it
displays a currently valid OMB control number. The valid OMB control number for information collection is 2130-0017. Send comments regarding this burden estimate or any
other aspect of this collection, including for reducing this burden to: Information Collection Officer, Federal Railroad Administration, 1200 New Jersey Ave. SE, MS-25
Washington, DC 20590.
FORM FRA F 6180.71 (Rev. 3/15) OMB approval expires 3/31/2018 Page 2 OF 2
 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 B. Reporting Agency C. Reason for Update (Select only one) D. DOT Crossing
(MM/DD/YYYY) ✘ Railroad
  Transit ✘ Change in
  New  Closed  No Train  Quiet Inventory Number
_____/_____/_________
05 24 1993 Data Crossing Traffic Zone Update
 State  Other  Re-Open  Date  Change in Primary  Admin. 224704E
Change Only Operating RR Correction
Part I: Location and Classification Information
1. Primary Operating Railroad 2. State 3. County
_____________________________________________________
CSX Transportation [CSX] ________________________________
VIRGINIA ____________________________________
ALBEMARLE
4. City / Municipality 5. Street/Road Name & Block Number 6. Highway Type & No.
 In ________________________________| __________________
✘ Near
 __________________________
CHARLOTTESVILLE (Street/Road Name) |* (Block Number) _______________________________________
ST 684
7. Do Other Railroads Operate a Separate Track at Crossing?  Yes  ✘ No 8. Do Other Railroads Operate Over Your Track at Crossing?  ✘ Yes  No
If Yes, Specify RR If Yes, Specify RR
____________, ____________, ____________, _____________ ____________,
ATK ____________, ____________, _____________
9. Railroad Division or Region 10. Railroad Subdivision or District 11. Branch or Line Name 12. RR Milepost
_______|____________|____________
0195.85
 None _______________________
VA  None _______________________
MOUN  None _______________________ (prefix) | (nnnn.nnn) | (suffix)
13. Line Segment 14. Nearest RR Timetable 15. Parent RR (if applicable) 16. Crossing Owner (if applicable)
* Station *
_________________________ __________________________
CHARLOTTESVILLE  N/A _____________________________  N/A _________________________________
17. Crossing Type 18. Crossing Purpose 19. Crossing Position 20. Public Access 21. Type of Train 22. Average Passenger
✘ Highway
 ✘ At Grade (if Private Crossing)  Freight  Transit Train Count Per Day
✘ Public
  Pathway, Ped.  RR Under  Yes  Intercity Passenger  Shared Use Transit  Less Than One Per Day
 Private  Station, Ped.  RR Over  No  Commuter  Tourist/Other  Number Per Day_____0
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? 25. Quiet Zone (FRA provided)

 Yes  No If Yes, Provide Crossing Number __________________  No  24 Hr  Partial  Chicago Excused Date Established _________________
26. HSR Corridor ID 27. Latitude in decimal degrees 28. Longitude in decimal degrees 29. Lat/Long Source

__________________ N/A (WGS84 std: nn.nnnnnnn) 38.0612110 (WGS84 std: -nnn.nnnnnnn) -78.6582870  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 1.B. Total Night Thru Trains 1.C. Total Switching Trains 1.D. Total Transit Trains 1.E. Check if Less Than
(6 AM to 6 PM) (6 PM to 6 AM) One Movement Per Day 
__________
2 __________
2 __________
0 __________ How many trains per week? ______
2. Year of Train Count Data (YYYY) 3. Speed of Train at Crossing
3.A. Maximum Timetable Speed (mph) __________
65
__________ 3.B. Typical Speed Range Over Crossing (mph) From __________
10 to __________
60
4. Type and Count of Tracks

Main __________
1 Siding __________ Yard __________ Transit __________ Industry __________
5. Train Detection (Main Track only)
 Constant Warning Time  Motion Detection AFO  PTC  ✘ DC  Other  None
6. Is Track Signaled? 7.A. Event Recorder 7.B. Remote Health Monitoring
✘ Yes  No
  Yes  No  Yes  No
FORM FRA F 6180.71 (Rev. 3/15) OMB approval expires 3/31/2018 Page 1 OF 2
 U. S. DOT CROSSING INVENTORY FORM
A. Revision Date (MM/DD/YYYY) PAGE 2 D. Crossing Inventory Number (7 char.)
05/24/1993 224704E
Part III: Highway or Pathway Traffic Control Device Information
1. Are there 2. Types of Passive Traffic Control Devices associated with the Crossing
Signs or Signals?
2.A. Crossbuck 2.B. STOP Signs (R1-1) 2.C. YIELD Signs (R1-2) 2.D. Advance Warning Signs (Check all that apply; include count)  None
Assemblies (count) (count) (count) ✘ W10-1 ________  W10-3 ________  W10-11 __________
✘ Yes  No

0 0  W10-2 ________  W10-4 ________  W10-12 __________
2.E. Low Ground Clearance Sign 2.F. Pavement Markings 2.G. Channelization 2.H. EXEMPT Sign 2.I. ENS Sign (I-13)
(W10-5) Devices/Medians (R15-3) Displayed
 Yes (count_______) ✘ Stop Lines
 Dynamic Envelope  All Approaches  Median  Yes  Yes
 No ✘ RR Xing Symbols
  None  One Approach  None  No  No
2.J. Other MUTCD Signs  Yes  ✘ No 2.K. Private Crossing 2.L. LED Enhanced Signs (List types)
Signs (if private)
Specify Type _______________ Count __________
Specify Type _______________ Count __________  Yes  No
Specify Type _______________ Count __________
3. Types of Train Activated Warning Devices at the Grade Crossing (specify count of each device for all that apply)
3.A. Gate Arms 3.B. Gate Configuration 3.C. Cantilevered (or Bridged) Flashing Light 3.D. Mast Mounted Flashing Lights 3.E. Total Count of
(count) Structures (count) (count of masts) _________
2 Flashing Light Pairs
 2 Quad  Full (Barrier) Over Traffic Lane _____
0  Incandescent  Incandescent  LED
Roadway _____
2  3 Quad Resistance  Back Lights Included  Side Lights 0
Pedestrian _____  4 Quad  Median Gates Not Over Traffic Lane _____
0  LED Included

3.F. Installation Date of Current 3.G. Wayside Horn 3.H. Highway Traffic Signals Controlling 3.I. Bells
Active Warning Devices: (MM/YYYY) Crossing (count)
______/___________  Not Required  Yes Installed on (MM/YYYY) ______/__________  Yes  ✘ No
 No 1
3.J. Non-Train Active Warning 3.K. Other Flashing Lights or Warning Devices
 Flagging/Flagman Manually Operated Signals  Watchman  Floodlighting  None Count ___________
0 Specify type ______________________
4.A. Does nearby Hwy 4.B. Hwy Traffic Signal 4.C. Hwy Traffic Signal Preemption 5. Highway Traffic Pre-Signals 6. Highway Monitoring Devices
Intersection have Interconnection  Yes  No (Check all that apply)
Traffic Signals?  Not Interconnected  Yes - Photo/Video Recording
 For Traffic Signals  Simultaneous Storage Distance * ____________  Yes – Vehicle Presence Detection
 Yes  No  For Warning Signs  Advance Stop Line Distance * ____________  None
Part IV: Physical Characteristics
1. Traffic Lanes Crossing Railroad  One-way Traffic 2. Is Roadway/Pathway 3. Does Track Run Down a Street? 4. Is Crossing Illuminated? (Street
 Two-way Traffic Paved? lights within approx. 50 feet from
Number of Lanes _______
2  Divided Traffic ✘ Yes  No  Yes ✘ No nearest rail)  Yes  No
5. Crossing Surface (on Main Track, multiple types allowed) Installation Date * (MM/YYYY) _______/__________ Width * ______________ Length * _______________
✘ 1 Timber  2 Asphalt  3 Asphalt and Timber  4 Concrete  5 Concrete and Rubber  6 Rubber  7 Metal

 8 Unconsolidated  9 Composite  10 Other (specify) ________________________________________________________
6. Intersecting Roadway within 500 feet? 7. Smallest Crossing Angle 8. Is Commercial Power Available? *

 Yes ✘ No
 If Yes, Approximate Distance (feet) _________________  0° – 29° ✘ 30° – 59°
  60° - 90° ✘ Yes
  No
Part V: Public Highway Information
1. Highway System 2. Functional Classification of Road at Crossing 3. Is Crossing on State Highway 4. Highway Speed Limit
✘ (0) Rural  (1) Urban System? ___________ MPH
 (01) Interstate Highway System  (1) Interstate  (5) Major Collector ✘ Yes  No  Posted  Statutory
 (02) Other Nat Hwy System (NHS)  (2) Other Freeways and Expressways 5. Linear Referencing System (LRS Route ID) *
 (03) Federal AID, Not NHS  (3) Other Principal Arterial  (6) Minor Collector
✘ (08) Non-Federal Aid
  (4) Minor Arterial ✘ (7) Local 6. LRS Milepost *
7. Annual Average Daily Traffic (AADT) 8. Estimated Percent Trucks 9. Regularly Used by School Buses? 10. Emergency Services Route
Year _______
1985 AADT _____________
000529 ___________________
21 %  Yes ✘ No Average Number per Day ___________
0  Yes  No

Submission Information - This information is used for administrative purposes and is not available on the public website.

Submitted by __________________________________ Organization _______________________________________ Phone _______________ Date _____________

Public reporting burden for this information collection is estimated to average 30 minutes per response, including the time for reviewing instructions, searching existing data
sources, gathering and maintaining the data needed and completing and reviewing the collection of information. According to the Paperwork Reduction Act of 1995, a federal
agency may not conduct or sponsor, and a person is not required to, nor shall a person be subject to a penalty for failure to comply with, a collection of information unless it
displays a currently valid OMB control number. The valid OMB control number for information collection is 2130-0017. Send comments regarding this burden estimate or any
other aspect of this collection, including for reducing this burden to: Information Collection Officer, Federal Railroad Administration, 1200 New Jersey Ave. SE, MS-25
Washington, DC 20590.
FORM FRA F 6180.71 (Rev. 3/15) OMB approval expires 3/31/2018 Page 2 OF 2
 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 B. Reporting Agency C. Reason for Update (Select only one) D. DOT Crossing
(MM/DD/YYYY) ✘ Railroad
  Transit ✘ Change in
  New  Closed  No Train  Quiet Inventory Number
_____/_____/_________
09 28 1992 Data Crossing Traffic Zone Update
 State  Other  Re-Open  Date  Change in Primary  Admin. 224704E
Change Only Operating RR Correction
Part I: Location and Classification Information
1. Primary Operating Railroad 2. State 3. County
_____________________________________________________
CSX Transportation [CSX] ________________________________
VIRGINIA ____________________________________
ALBEMARLE
4. City / Municipality 5. Street/Road Name & Block Number 6. Highway Type & No.
 In ________________________________| __________________
✘ Near
 __________________________
CHARLOTTESVILLE (Street/Road Name) |* (Block Number) _______________________________________
ST 684
7. Do Other Railroads Operate a Separate Track at Crossing?  Yes  ✘ No 8. Do Other Railroads Operate Over Your Track at Crossing?  ✘ Yes  No
If Yes, Specify RR If Yes, Specify RR
____________, ____________, ____________, _____________ ____________,
ATK ____________, ____________, _____________
9. Railroad Division or Region 10. Railroad Subdivision or District 11. Branch or Line Name 12. RR Milepost
_______|____________|____________
0195.87
 None _______________________
VA  None _______________________
MOUN  None _______________________ (prefix) | (nnnn.nnn) | (suffix)
13. Line Segment 14. Nearest RR Timetable 15. Parent RR (if applicable) 16. Crossing Owner (if applicable)
* Station *
_________________________ __________________________
CHARLOTTESVILLE  N/A _____________________________  N/A _________________________________
17. Crossing Type 18. Crossing Purpose 19. Crossing Position 20. Public Access 21. Type of Train 22. Average Passenger
✘ Highway
 ✘ At Grade (if Private Crossing)  Freight  Transit Train Count Per Day
✘ Public
  Pathway, Ped.  RR Under  Yes  Intercity Passenger  Shared Use Transit  Less Than One Per Day
 Private  Station, Ped.  RR Over  No  Commuter  Tourist/Other  Number Per Day_____0
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? 25. Quiet Zone (FRA provided)

 Yes  No If Yes, Provide Crossing Number __________________  No  24 Hr  Partial  Chicago Excused Date Established _________________
26. HSR Corridor ID 27. Latitude in decimal degrees 28. Longitude in decimal degrees 29. Lat/Long Source

__________________ N/A (WGS84 std: nn.nnnnnnn) 38.0612110 (WGS84 std: -nnn.nnnnnnn) -78.6582870  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 1.B. Total Night Thru Trains 1.C. Total Switching Trains 1.D. Total Transit Trains 1.E. Check if Less Than
(6 AM to 6 PM) (6 PM to 6 AM) One Movement Per Day 
__________
2 __________
2 __________
0 __________ How many trains per week? ______
2. Year of Train Count Data (YYYY) 3. Speed of Train at Crossing
3.A. Maximum Timetable Speed (mph) __________
65
__________ 3.B. Typical Speed Range Over Crossing (mph) From __________
10 to __________
60
4. Type and Count of Tracks

Main __________
1 Siding __________ Yard __________ Transit __________ Industry __________
5. Train Detection (Main Track only)
 Constant Warning Time  Motion Detection AFO  PTC  ✘ DC  Other  None
6. Is Track Signaled? 7.A. Event Recorder 7.B. Remote Health Monitoring
✘ Yes  No
  Yes  No  Yes  No
FORM FRA F 6180.71 (Rev. 3/15) OMB approval expires 3/31/2018 Page 1 OF 2
 U. S. DOT CROSSING INVENTORY FORM
A. Revision Date (MM/DD/YYYY) PAGE 2 D. Crossing Inventory Number (7 char.)
09/28/1992 224704E
Part III: Highway or Pathway Traffic Control Device Information
1. Are there 2. Types of Passive Traffic Control Devices associated with the Crossing
Signs or Signals?
2.A. Crossbuck 2.B. STOP Signs (R1-1) 2.C. YIELD Signs (R1-2) 2.D. Advance Warning Signs (Check all that apply; include count)  None
Assemblies (count) (count) (count) ✘ W10-1 ________  W10-3 ________  W10-11 __________
✘ Yes  No

1 0  W10-2 ________  W10-4 ________  W10-12 __________
2.E. Low Ground Clearance Sign 2.F. Pavement Markings 2.G. Channelization 2.H. EXEMPT Sign 2.I. ENS Sign (I-13)
(W10-5) Devices/Medians (R15-3) Displayed
 Yes (count_______) ✘ Stop Lines
 Dynamic Envelope  All Approaches  Median  Yes  Yes
 No ✘ RR Xing Symbols
  None  One Approach  None  No  No
2.J. Other MUTCD Signs  Yes  ✘ No 2.K. Private Crossing 2.L. LED Enhanced Signs (List types)
Signs (if private)
Specify Type _______________ Count __________
Specify Type _______________ Count __________  Yes  No
Specify Type _______________ Count __________
3. Types of Train Activated Warning Devices at the Grade Crossing (specify count of each device for all that apply)
3.A. Gate Arms 3.B. Gate Configuration 3.C. Cantilevered (or Bridged) Flashing Light 3.D. Mast Mounted Flashing Lights 3.E. Total Count of
(count) Structures (count) (count of masts) _________
2 Flashing Light Pairs
 2 Quad  Full (Barrier) Over Traffic Lane _____
0  Incandescent  Incandescent  LED
Roadway _____
2  3 Quad Resistance  Back Lights Included  Side Lights 0
Pedestrian _____  4 Quad  Median Gates Not Over Traffic Lane _____
0  LED Included

3.F. Installation Date of Current 3.G. Wayside Horn 3.H. Highway Traffic Signals Controlling 3.I. Bells
Active Warning Devices: (MM/YYYY) Crossing (count)
______/___________  Not Required  Yes Installed on (MM/YYYY) ______/__________  Yes  ✘ No
 No 1
3.J. Non-Train Active Warning 3.K. Other Flashing Lights or Warning Devices
 Flagging/Flagman Manually Operated Signals  Watchman  Floodlighting  None Count ___________
0 Specify type ______________________
4.A. Does nearby Hwy 4.B. Hwy Traffic Signal 4.C. Hwy Traffic Signal Preemption 5. Highway Traffic Pre-Signals 6. Highway Monitoring Devices
Intersection have Interconnection  Yes  No (Check all that apply)
Traffic Signals?  Not Interconnected  Yes - Photo/Video Recording
 For Traffic Signals  Simultaneous Storage Distance * ____________  Yes – Vehicle Presence Detection
 Yes  No  For Warning Signs  Advance Stop Line Distance * ____________  None
Part IV: Physical Characteristics
1. Traffic Lanes Crossing Railroad  One-way Traffic 2. Is Roadway/Pathway 3. Does Track Run Down a Street? 4. Is Crossing Illuminated? (Street
 Two-way Traffic Paved? lights within approx. 50 feet from
Number of Lanes _______
2  Divided Traffic ✘ Yes  No  Yes ✘ No nearest rail)  Yes  No
5. Crossing Surface (on Main Track, multiple types allowed) Installation Date * (MM/YYYY) _______/__________ Width * ______________ Length * _______________
✘ 1 Timber  2 Asphalt  3 Asphalt and Timber  4 Concrete  5 Concrete and Rubber  6 Rubber  7 Metal

 8 Unconsolidated  9 Composite  10 Other (specify) ________________________________________________________
6. Intersecting Roadway within 500 feet? 7. Smallest Crossing Angle 8. Is Commercial Power Available? *

 Yes ✘ No
 If Yes, Approximate Distance (feet) _________________  0° – 29° ✘ 30° – 59°
  60° - 90° ✘ Yes
  No
Part V: Public Highway Information
1. Highway System 2. Functional Classification of Road at Crossing 3. Is Crossing on State Highway 4. Highway Speed Limit
✘ (0) Rural  (1) Urban System? ___________ MPH
 (01) Interstate Highway System  (1) Interstate  (5) Major Collector ✘ Yes  No  Posted  Statutory
 (02) Other Nat Hwy System (NHS)  (2) Other Freeways and Expressways 5. Linear Referencing System (LRS Route ID) *
 (03) Federal AID, Not NHS  (3) Other Principal Arterial  (6) Minor Collector
✘ (08) Non-Federal Aid
  (4) Minor Arterial ✘ (7) Local 6. LRS Milepost *
7. Annual Average Daily Traffic (AADT) 8. Estimated Percent Trucks 9. Regularly Used by School Buses? 10. Emergency Services Route
Year _______
1985 AADT _____________
000529 ___________________
21 %  Yes ✘ No Average Number per Day ___________
0  Yes  No

Submission Information - This information is used for administrative purposes and is not available on the public website.

Submitted by __________________________________ Organization _______________________________________ Phone _______________ Date _____________

Public reporting burden for this information collection is estimated to average 30 minutes per response, including the time for reviewing instructions, searching existing data
sources, gathering and maintaining the data needed and completing and reviewing the collection of information. According to the Paperwork Reduction Act of 1995, a federal
agency may not conduct or sponsor, and a person is not required to, nor shall a person be subject to a penalty for failure to comply with, a collection of information unless it
displays a currently valid OMB control number. The valid OMB control number for information collection is 2130-0017. Send comments regarding this burden estimate or any
other aspect of this collection, including for reducing this burden to: Information Collection Officer, Federal Railroad Administration, 1200 New Jersey Ave. SE, MS-25
Washington, DC 20590.
FORM FRA F 6180.71 (Rev. 3/15) OMB approval expires 3/31/2018 Page 2 OF 2
 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 B. Reporting Agency C. Reason for Update (Select only one) D. DOT Crossing
(MM/DD/YYYY) ✘ Railroad
  Transit ✘ Change in
  New  Closed  No Train  Quiet Inventory Number
_____/_____/_________
06 27 1985 Data Crossing Traffic Zone Update
 State  Other  Re-Open  Date  Change in Primary  Admin. 224704E
Change Only Operating RR Correction
Part I: Location and Classification Information
1. Primary Operating Railroad 2. State 3. County
_____________________________________________________
CSX Transportation [CSX] ________________________________
VIRGINIA ____________________________________
ALBEMARLE
4. City / Municipality 5. Street/Road Name & Block Number 6. Highway Type & No.
 In ________________________________| __________________
✘ Near
 __________________________
CHARLOTTESVILLE (Street/Road Name) |* (Block Number) _______________________________________
ST 684
7. Do Other Railroads Operate a Separate Track at Crossing?  Yes  ✘ No 8. Do Other Railroads Operate Over Your Track at Crossing?  ✘ Yes  No
If Yes, Specify RR If Yes, Specify RR
____________, ____________, ____________, _____________ ____________,
ATK ____________, ____________, _____________
9. Railroad Division or Region 10. Railroad Subdivision or District 11. Branch or Line Name 12. RR Milepost
_______|____________|____________
0195.87
 None _______________________
VA  None _______________________
MOUN  None _______________________ (prefix) | (nnnn.nnn) | (suffix)
13. Line Segment 14. Nearest RR Timetable 15. Parent RR (if applicable) 16. Crossing Owner (if applicable)
* Station *
_________________________ __________________________
CHARLOTTESVILLE  N/A _____________________________  N/A _________________________________
17. Crossing Type 18. Crossing Purpose 19. Crossing Position 20. Public Access 21. Type of Train 22. Average Passenger
✘ Highway
 ✘ At Grade (if Private Crossing)  Freight  Transit Train Count Per Day
✘ Public
  Pathway, Ped.  RR Under  Yes  Intercity Passenger  Shared Use Transit  Less Than One Per Day
 Private  Station, Ped.  RR Over  No  Commuter  Tourist/Other  Number Per Day_____0
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? 25. Quiet Zone (FRA provided)

 Yes  No If Yes, Provide Crossing Number __________________  No  24 Hr  Partial  Chicago Excused Date Established _________________
26. HSR Corridor ID 27. Latitude in decimal degrees 28. Longitude in decimal degrees 29. Lat/Long Source

__________________ N/A (WGS84 std: nn.nnnnnnn) 38.0612110 (WGS84 std: -nnn.nnnnnnn) -78.6582870  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 1.B. Total Night Thru Trains 1.C. Total Switching Trains 1.D. Total Transit Trains 1.E. Check if Less Than
(6 AM to 6 PM) (6 PM to 6 AM) One Movement Per Day 
__________
2 __________
2 __________
0 __________ How many trains per week? ______
2. Year of Train Count Data (YYYY) 3. Speed of Train at Crossing
3.A. Maximum Timetable Speed (mph) __________
65
__________ 3.B. Typical Speed Range Over Crossing (mph) From __________
10 to __________
65
4. Type and Count of Tracks

Main __________
1 Siding __________ Yard __________ Transit __________ Industry __________
5. Train Detection (Main Track only)
 Constant Warning Time  Motion Detection AFO  PTC  ✘ DC  Other  None
6. Is Track Signaled? 7.A. Event Recorder 7.B. Remote Health Monitoring
✘ Yes  No
  Yes  No  Yes  No
FORM FRA F 6180.71 (Rev. 3/15) OMB approval expires 3/31/2018 Page 1 OF 2
 U. S. DOT CROSSING INVENTORY FORM
A. Revision Date (MM/DD/YYYY) PAGE 2 D. Crossing Inventory Number (7 char.)
06/27/1985 224704E
Part III: Highway or Pathway Traffic Control Device Information
1. Are there 2. Types of Passive Traffic Control Devices associated with the Crossing
Signs or Signals?
2.A. Crossbuck 2.B. STOP Signs (R1-1) 2.C. YIELD Signs (R1-2) 2.D. Advance Warning Signs (Check all that apply; include count)  None
Assemblies (count) (count) (count) ✘ W10-1 ________  W10-3 ________  W10-11 __________
✘ Yes  No

1 0  W10-2 ________  W10-4 ________  W10-12 __________
2.E. Low Ground Clearance Sign 2.F. Pavement Markings 2.G. Channelization 2.H. EXEMPT Sign 2.I. ENS Sign (I-13)
(W10-5) Devices/Medians (R15-3) Displayed
 Yes (count_______) ✘ Stop Lines
 Dynamic Envelope  All Approaches  Median  Yes  Yes
 No ✘ RR Xing Symbols
  None  One Approach  None  No  No
2.J. Other MUTCD Signs  Yes  ✘ No 2.K. Private Crossing 2.L. LED Enhanced Signs (List types)
Signs (if private)
Specify Type _______________ Count __________
Specify Type _______________ Count __________  Yes  No
Specify Type _______________ Count __________
3. Types of Train Activated Warning Devices at the Grade Crossing (specify count of each device for all that apply)
3.A. Gate Arms 3.B. Gate Configuration 3.C. Cantilevered (or Bridged) Flashing Light 3.D. Mast Mounted Flashing Lights 3.E. Total Count of
(count) Structures (count) (count of masts) _________
2 Flashing Light Pairs
 2 Quad  Full (Barrier) Over Traffic Lane _____
0  Incandescent  Incandescent  LED
Roadway _____
2  3 Quad Resistance  Back Lights Included  Side Lights 0
Pedestrian _____  4 Quad  Median Gates Not Over Traffic Lane _____
0  LED Included

3.F. Installation Date of Current 3.G. Wayside Horn 3.H. Highway Traffic Signals Controlling 3.I. Bells
Active Warning Devices: (MM/YYYY) Crossing (count)
______/___________  Not Required  Yes Installed on (MM/YYYY) ______/__________  Yes  ✘ No
 No 1
3.J. Non-Train Active Warning 3.K. Other Flashing Lights or Warning Devices
 Flagging/Flagman Manually Operated Signals  Watchman  Floodlighting  None Count ___________
0 Specify type ______________________
4.A. Does nearby Hwy 4.B. Hwy Traffic Signal 4.C. Hwy Traffic Signal Preemption 5. Highway Traffic Pre-Signals 6. Highway Monitoring Devices
Intersection have Interconnection  Yes  No (Check all that apply)
Traffic Signals?  Not Interconnected  Yes - Photo/Video Recording
 For Traffic Signals  Simultaneous Storage Distance * ____________  Yes – Vehicle Presence Detection
 Yes  No  For Warning Signs  Advance Stop Line Distance * ____________  None
Part IV: Physical Characteristics
1. Traffic Lanes Crossing Railroad  One-way Traffic 2. Is Roadway/Pathway 3. Does Track Run Down a Street? 4. Is Crossing Illuminated? (Street
 Two-way Traffic Paved? lights within approx. 50 feet from
Number of Lanes _______
2  Divided Traffic ✘ Yes  No  Yes ✘ No nearest rail)  Yes  No
5. Crossing Surface (on Main Track, multiple types allowed) Installation Date * (MM/YYYY) _______/__________ Width * ______________ Length * _______________
✘ 1 Timber  2 Asphalt  3 Asphalt and Timber  4 Concrete  5 Concrete and Rubber  6 Rubber  7 Metal

 8 Unconsolidated  9 Composite  10 Other (specify) ________________________________________________________
6. Intersecting Roadway within 500 feet? 7. Smallest Crossing Angle 8. Is Commercial Power Available? *

 Yes ✘ No
 If Yes, Approximate Distance (feet) _________________  0° – 29° ✘ 30° – 59°
  60° - 90° ✘ Yes
  No
Part V: Public Highway Information
1. Highway System 2. Functional Classification of Road at Crossing 3. Is Crossing on State Highway 4. Highway Speed Limit
✘ (0) Rural  (1) Urban System? ___________ MPH
 (01) Interstate Highway System  (1) Interstate  (5) Major Collector ✘ Yes  No  Posted  Statutory
 (02) Other Nat Hwy System (NHS)  (2) Other Freeways and Expressways 5. Linear Referencing System (LRS Route ID) *
 (03) Federal AID, Not NHS  (3) Other Principal Arterial  (6) Minor Collector
✘ (08) Non-Federal Aid
  (4) Minor Arterial ✘ (7) Local 6. LRS Milepost *
7. Annual Average Daily Traffic (AADT) 8. Estimated Percent Trucks 9. Regularly Used by School Buses? 10. Emergency Services Route
Year _______
1985 AADT _____________
000529 ___________________
21 %  Yes ✘ No Average Number per Day ___________
0  Yes  No

Submission Information - This information is used for administrative purposes and is not available on the public website.

Submitted by __________________________________ Organization _______________________________________ Phone _______________ Date _____________

Public reporting burden for this information collection is estimated to average 30 minutes per response, including the time for reviewing instructions, searching existing data
sources, gathering and maintaining the data needed and completing and reviewing the collection of information. According to the Paperwork Reduction Act of 1995, a federal
agency may not conduct or sponsor, and a person is not required to, nor shall a person be subject to a penalty for failure to comply with, a collection of information unless it
displays a currently valid OMB control number. The valid OMB control number for information collection is 2130-0017. Send comments regarding this burden estimate or any
other aspect of this collection, including for reducing this burden to: Information Collection Officer, Federal Railroad Administration, 1200 New Jersey Ave. SE, MS-25
Washington, DC 20590.
FORM FRA F 6180.71 (Rev. 3/15) OMB approval expires 3/31/2018 Page 2 OF 2
 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 B. Reporting Agency C. Reason for Update (Select only one) D. DOT Crossing
(MM/DD/YYYY)  Railroad  Transit ✘ Change in
  New  Closed  No Train  Quiet Inventory Number
_____/_____/_________
09 01 1979 Data Crossing Traffic Zone Update
✘ State
  Other  Re-Open  Date  Change in Primary  Admin. 224704E
Change Only Operating RR Correction
Part I: Location and Classification Information
1. Primary Operating Railroad 2. State 3. County
_____________________________________________________
CSX Transportation [CSX] ________________________________
VIRGINIA ____________________________________
ALBEMARLE
4. City / Municipality 5. Street/Road Name & Block Number 6. Highway Type & No.
 In ________________________________| __________________
✘ Near
 __________________________
CHARLOTTESVILLE (Street/Road Name) |* (Block Number) _______________________________________
ST 684
7. Do Other Railroads Operate a Separate Track at Crossing?  Yes  ✘ No 8. Do Other Railroads Operate Over Your Track at Crossing?  ✘ Yes  No
If Yes, Specify RR If Yes, Specify RR
____________, ____________, ____________, _____________ ____________,
ATK ____________, ____________, _____________
9. Railroad Division or Region 10. Railroad Subdivision or District 11. Branch or Line Name 12. RR Milepost
_______|____________|____________
0195.87
 None _______________________
VA  None _______________________
MOUN  None _______________________ (prefix) | (nnnn.nnn) | (suffix)
13. Line Segment 14. Nearest RR Timetable 15. Parent RR (if applicable) 16. Crossing Owner (if applicable)
* Station *
_________________________ __________________________
CHARLOTTESVILLE  N/A _____________________________  N/A _________________________________
17. Crossing Type 18. Crossing Purpose 19. Crossing Position 20. Public Access 21. Type of Train 22. Average Passenger
✘ Highway
 ✘ At Grade (if Private Crossing)  Freight  Transit Train Count Per Day
✘ Public
  Pathway, Ped.  RR Under  Yes  Intercity Passenger  Shared Use Transit  Less Than One Per Day
 Private  Station, Ped.  RR Over  No  Commuter  Tourist/Other  Number Per Day_____0
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? 25. Quiet Zone (FRA provided)

 Yes  No If Yes, Provide Crossing Number __________________  No  24 Hr  Partial  Chicago Excused Date Established _________________
26. HSR Corridor ID 27. Latitude in decimal degrees 28. Longitude in decimal degrees 29. Lat/Long Source

__________________ N/A (WGS84 std: nn.nnnnnnn) (WGS84 std: -nnn.nnnnnnn)  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 1.B. Total Night Thru Trains 1.C. Total Switching Trains 1.D. Total Transit Trains 1.E. Check if Less Than
(6 AM to 6 PM) (6 PM to 6 AM) One Movement Per Day 
__________
4 __________
4 __________
2 __________ How many trains per week? ______
2. Year of Train Count Data (YYYY) 3. Speed of Train at Crossing
3.A. Maximum Timetable Speed (mph) __________
65
__________ 3.B. Typical Speed Range Over Crossing (mph) From __________
10 to __________
65
4. Type and Count of Tracks

Main __________
1 Siding __________ Yard __________ Transit __________ Industry __________
5. Train Detection (Main Track only)
 Constant Warning Time  Motion Detection AFO  PTC  ✘ DC  Other  None
6. Is Track Signaled? 7.A. Event Recorder 7.B. Remote Health Monitoring
✘ Yes  No
  Yes  No  Yes  No
FORM FRA F 6180.71 (Rev. 3/15) OMB approval expires 3/31/2018 Page 1 OF 2
 U. S. DOT CROSSING INVENTORY FORM
A. Revision Date (MM/DD/YYYY) PAGE 2 D. Crossing Inventory Number (7 char.)
09/01/1979 224704E
Part III: Highway or Pathway Traffic Control Device Information
1. Are there 2. Types of Passive Traffic Control Devices associated with the Crossing
Signs or Signals?
2.A. Crossbuck 2.B. STOP Signs (R1-1) 2.C. YIELD Signs (R1-2) 2.D. Advance Warning Signs (Check all that apply; include count)  None
Assemblies (count) (count) (count) ✘ W10-1 ________  W10-3 ________  W10-11 __________
✘ Yes  No

1 0  W10-2 ________  W10-4 ________  W10-12 __________
2.E. Low Ground Clearance Sign 2.F. Pavement Markings 2.G. Channelization 2.H. EXEMPT Sign 2.I. ENS Sign (I-13)
(W10-5) Devices/Medians (R15-3) Displayed
 Yes (count_______) ✘ Stop Lines
 Dynamic Envelope  All Approaches  Median  Yes  Yes
 No ✘ RR Xing Symbols
  None  One Approach  None  No  No
2.J. Other MUTCD Signs  Yes  ✘ No 2.K. Private Crossing 2.L. LED Enhanced Signs (List types)
Signs (if private)
Specify Type _______________ Count __________
Specify Type _______________ Count __________  Yes  No
Specify Type _______________ Count __________
3. Types of Train Activated Warning Devices at the Grade Crossing (specify count of each device for all that apply)
3.A. Gate Arms 3.B. Gate Configuration 3.C. Cantilevered (or Bridged) Flashing Light 3.D. Mast Mounted Flashing Lights 3.E. Total Count of
(count) Structures (count) (count of masts) _________
2 Flashing Light Pairs
 2 Quad  Full (Barrier) Over Traffic Lane _____
0  Incandescent  Incandescent  LED
Roadway _____
2  3 Quad Resistance  Back Lights Included  Side Lights 0
Pedestrian _____  4 Quad  Median Gates Not Over Traffic Lane _____
0  LED Included

3.F. Installation Date of Current 3.G. Wayside Horn 3.H. Highway Traffic Signals Controlling 3.I. Bells
Active Warning Devices: (MM/YYYY) Crossing (count)
______/___________  Not Required  Yes Installed on (MM/YYYY) ______/__________  Yes  ✘ No
 No 1
3.J. Non-Train Active Warning 3.K. Other Flashing Lights or Warning Devices
 Flagging/Flagman Manually Operated Signals  Watchman  Floodlighting  None Count ___________
0 Specify type ______________________
4.A. Does nearby Hwy 4.B. Hwy Traffic Signal 4.C. Hwy Traffic Signal Preemption 5. Highway Traffic Pre-Signals 6. Highway Monitoring Devices
Intersection have Interconnection  Yes  No (Check all that apply)
Traffic Signals?  Not Interconnected  Yes - Photo/Video Recording
 For Traffic Signals  Simultaneous Storage Distance * ____________  Yes – Vehicle Presence Detection
 Yes  No  For Warning Signs  Advance Stop Line Distance * ____________  None
Part IV: Physical Characteristics
1. Traffic Lanes Crossing Railroad  One-way Traffic 2. Is Roadway/Pathway 3. Does Track Run Down a Street? 4. Is Crossing Illuminated? (Street
 Two-way Traffic Paved? lights within approx. 50 feet from
Number of Lanes _______
2  Divided Traffic ✘ Yes  No  Yes ✘ No nearest rail)  Yes  No
5. Crossing Surface (on Main Track, multiple types allowed) Installation Date * (MM/YYYY) _______/__________ Width * ______________ Length * _______________
✘ 1 Timber  2 Asphalt  3 Asphalt and Timber  4 Concrete  5 Concrete and Rubber  6 Rubber  7 Metal

 8 Unconsolidated  9 Composite  10 Other (specify) ________________________________________________________
6. Intersecting Roadway within 500 feet? 7. Smallest Crossing Angle 8. Is Commercial Power Available? *

 Yes ✘ No
 If Yes, Approximate Distance (feet) _________________  0° – 29° ✘ 30° – 59°
  60° - 90° ✘ Yes
  No
Part V: Public Highway Information
1. Highway System 2. Functional Classification of Road at Crossing 3. Is Crossing on State Highway 4. Highway Speed Limit
✘ (0) Rural  (1) Urban System? ___________ MPH
 (01) Interstate Highway System  (1) Interstate  (5) Major Collector ✘ Yes  No  Posted  Statutory
 (02) Other Nat Hwy System (NHS)  (2) Other Freeways and Expressways 5. Linear Referencing System (LRS Route ID) *
 (03) Federal AID, Not NHS  (3) Other Principal Arterial  (6) Minor Collector
✘ (08) Non-Federal Aid
  (4) Minor Arterial ✘ (7) Local 6. LRS Milepost *
7. Annual Average Daily Traffic (AADT) 8. Estimated Percent Trucks 9. Regularly Used by School Buses? 10. Emergency Services Route
Year _______ AADT _____________
000438 ___________________
21 %  Yes ✘ No Average Number per Day ___________
0  Yes  No

Submission Information - This information is used for administrative purposes and is not available on the public website.

Submitted by __________________________________ Organization _______________________________________ Phone _______________ Date _____________

Public reporting burden for this information collection is estimated to average 30 minutes per response, including the time for reviewing instructions, searching existing data
sources, gathering and maintaining the data needed and completing and reviewing the collection of information. According to the Paperwork Reduction Act of 1995, a federal
agency may not conduct or sponsor, and a person is not required to, nor shall a person be subject to a penalty for failure to comply with, a collection of information unless it
displays a currently valid OMB control number. The valid OMB control number for information collection is 2130-0017. Send comments regarding this burden estimate or any
other aspect of this collection, including for reducing this burden to: Information Collection Officer, Federal Railroad Administration, 1200 New Jersey Ave. SE, MS-25
Washington, DC 20590.
FORM FRA F 6180.71 (Rev. 3/15) OMB approval expires 3/31/2018 Page 2 OF 2