This document summarizes a case study of using a Context Sensitive Solutions (CSS) approach for the State Route 126 project in Kingsport, Tennessee. The CSS process involved forming an interdisciplinary team and stakeholder resource team to help identify priorities and make recommendations. Through public workshops and flexibility in applying design standards, consensus was reached on safety improvements and design features while balancing community and environmental concerns. Lessons learned included the importance of establishing decision-making processes, clear roles, and effective communication and facilitation to build trust and support among stakeholders. The CSS approach helped identify the right problems to solve and comply with regulations while gaining public support for the project.