This report builds on the companion regional study of commodity movements within and between the Appalachian Region and the rest of the world by transportation mode to identify exemplary case studies of intermodal initiatives and opportunities.

This report identifies strategic development opportunities to leverage higher utilization of the transportation capabilities of the ADHS, rail, water, and air transportation systems in the Appalachian Region through regional intermodal transportation.

This handbook has an accompanying software and worksheet toolkit that helps communities develop baseline economic data on their counties.