Damage_Survey_Report_FS1383-W53-D.pdf
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- Attached to
- Chequamegon-Nicolet National Forest - 2016-1(4) Federal contract opportunity
- Solicitation number
- 693C73-18-B-000021
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Damage Survey Report_FS1383-W53-D
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Text version
Sheet No: 1 of
DSR No:
Surface Type: Aggregate Thickness: 6"
Surface Type:
Unit Unit Price
Unit Unit Price Lpsm $ Lpsm $ Lnft $
Cuyd $ Cuyd $ Ton $ Sqyd $ Lnft $ Lnft $ Lnft $
Eligible Ineligible
Eligible Ineligible
Disaster No:
Bridge Data:
Type:
ID#:
County: Bayfield / Ashland / Sawyer
Applicant: Chequamegon-Nicolet National Forest
Photograph #:
Road Data: Classification:
Right-of-Way
TOTAL ESTIMATED COST
(Emergency and Permanent Repairs)
Other
DAMAGE SURVEY REPORT
(Title 23, Federal-Aid System/Federal Domain)
Inspection Date: August 30-31, 2016
Location of Damage (Route No., Name of Road and Mile Post) Forest Service Route 1383 MP 0.0 to 1.0 (West to East)
ADT: <200
W53-FS1383-D
State:
Wisconsin
Recommended By: (Name and Title)
Date:
*Attach Supplemental Sheets if necessary
Date:
Signature:
Signature:
Signature:
Date:
Submitted By: (Name and Title)
Reviewed By: (Name and Title)
EMBANKMENT CONSTRUCTION
Item Description
MOBILIZATION
REMOVAL OF PIPE CULVERT
$0Subtotal Permanent Repairs (continuation sheet)
150 AGGREGATE SURFACE COURSE
FEDERAL HIGHWAY ADMINISTRATION, Federal Lands Highway
ROADBED RECONDITIONING
Proposed: Force Account Contract Total Emergency Repairs
SOIL EROSION CONTROL
PLACED RIPRAP, METHOD A, CLASS 3
36-INCH EQUIVALENT DIAMETER ARCH OR ELLIPTICAL PIPE CULVERT
CLEANING CULVERTS IN PLACE
Cost
$0 $0
Cost
24-INCH EQUIVALENT DIAMETER ARCH OR ELLIPTICAL PIPE CULVERT
$0 $0 $0
COST ESTIMATE for EMERGENCY REPAIRS* Item Description
Traveled Way Width:
Shoulder Width:
Description and Cause of Damage:
Extremely heavy rainfall (8'-11") in less than 24 hours on July 11, 2016, led to extensive flooding and damages to over 1,000 miles of Forest Service Roads, over 3 county area of the Forest.
Scope/Description of Repair:
1. Repair roadway and shoulder washouts
2. Resurface roadway with 3"-6" of Aggregate Surface Course
3. Clean up clogged corrugated metal pipe culverts
4. Replace damaged culverts and place riprap at the outlets
COST ESTIMATE for PERMANENT REPAIRS* Quantity
Quantity
$0 $0 $0
$0 $0 $0 $0 $0 $0
Construction Engineering
Proposed: Force Account Contract Total Permanent Repairs Preliminary EngineeringIdentify Betterment, if any, and provide justification*
BENJAMIN D DIXON
Digitally signed by BENJAMIN D DIXON DN: c=US, o=U.S. Government, ou=DOT FHWASterlingVA, ou=FHWA FHWASterlingVA, cn=BENJAMIN D DIXON Date: 2016.10.12 10:29:22 -04'00'
Sheet No: 2 of
Disaster No:
Applicant: County: 0 State:
Facility Name: Mile Post:0 0
FEDERAL HIGHWAY ADMINISTRATION, Federal Lands Highway
DAMAGE SURVEY REPORT (Supplemental Sheet) 0
(Title 23, Federal-Aid System/Federal Domain) 0
0 0
Sheet No: of
Disaster No:
Applicant: County: 0 State:
Facility Name: Mile Post:0 0
FEDERAL HIGHWAY ADMINISTRATION, Federal Lands Highway
DAMAGE SURVEY REPORT (Supplemental Sheet) 0
(Title 23, Federal-Aid System/Federal Domain) 0
0 0
Volume Roadbed Reconditioning Embankment Aggregate Surface
Rte. MP. DSR Length Width Depth Area (sqyd) Volume (cuft) Volume (cuyd) Depth Tons Remark 1383 0.0-0.2 W52 1100 2 2 244 4400 163 6 83 1383 0.3-0.4 W52 550 2 1 122 1100 41 6 41
1383 0.8 @ GG 300 2 1 67 600 22 6 23
Totals 433 6,100 226 146
Culverts
Rte. MP. DSR Existing Size Pipe Cleaning (ft) Removal of
Pipe Culvert (ft) 24" Pipe Culvert 36" Pipe Culvert 46" Pipe Culvert Riprap, Class 3 (cuyd) Remark
Totals 0 0 0 0 0 0
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