Damage_Survey_Report_FS194-W11_W13_C15_C16-C.pdf
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- Chequamegon-Nicolet National Forest - 2016-1(4)
- Solicitation number
- 693C73-18-B-000021
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Damage Survey Report_FS194-W11 W13 C15 C16-C
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Text version
Sheet No: 1 of 5
DSR No:
Surface Type: Aggregate Thickness: 6"
Surface Type:
Unit Unit Price
Unit Unit Price Lpsm $ Lpsm $ Lnft $
Cuyd $ Cuyd $ Ton $ Sqyd $ Lnft $ Lnft $
Eligible Ineligible
Eligible Ineligible
Construction Engineering
Proposed: Force Account Contract Total Permanent Repairs Preliminary EngineeringIdentify Betterment, if any, and provide justification*
Right-of-Way
TOTAL ESTIMATED COST
(Emergency and Permanent Repairs)
$0 $0 $0
$0
$0 $0
COST ESTIMATE for EMERGENCY REPAIRS* Item DescriptionQuantity
$0 $0 $0
Cost
$0 $0
Cost
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 6" of Aggregate Surface Course
3. Clean up clogged corrugated metal pipe culverts
4. Replace damaged culverts and place riprap at the outlets
FEDERAL HIGHWAY ADMINISTRATION, Federal Lands Highway
ROADBED RECONDITIONING
Proposed: Force Account Contract Total Emergency Repairs
SOIL EROSION CONTROL
PLACED RIPRAP, METHOD A, CLASS 3
AGGREGATE SURFACE COURSE
$0 $0
COST ESTIMATE for PERMANENT REPAIRS* Quantity
$0
3,500
36-INCH EQUIVALENT DIAMETER ARCH OR ELLIPTICAL PIPE CULVERT
CLEANING CULVERTS IN PLACE
2,300
$0Subtotal Permanent Repairs (continuation sheet)
EMBANKMENT CONSTRUCTION
Item Description
MOBILIZATION
REMOVAL OF PIPE CULVERT
3,100
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)
Other
DAMAGE SURVEY REPORT
(Title 23, Federal-Aid System/Federal Domain)
Inspection Date: August 22-26, 2016
Location of Damage (Route No., Name of Road and Mile Post) Rte. 194, Snake Trail Rd from MP 0 to MP 6.6 (Beginning at Lat 46°17'43.60", Long 90°56'58.90")
ADT: <200
W11-W13/C15/C16-FS194-C
State:
Wisconsin
Disaster No:
Bridge Data:
Type:
ID#:
County: Bayfield / Ashland / Sawyer
Applicant: Chequamegon-Nicolet National Forest
Photograph #:
Road Data: Classification:
Traveled Way Width:
Shoulder Width:
KATERINA ROMAN GONZALEZ
Digitally signed by KATERINA ROMAN GONZALEZ DN: c=US, o=U.S. Government, ou=DOT FHWASterlingVA, ou=FHWA FHWASterlingVA, cn=KATERINA ROMAN GONZALEZ Date: 2016.10.11 12:54:45 -04'00'
Sheet No: 2 of 5
Disaster No:
Applicant: County: 0 State:
Facility Name: Mile Post:
Picture 1. Left Shoulder washout along Rte. 194
Picture 2. Roadway washout, full width, along Rte. 194
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: 3 of 5
Disaster No:
Applicant: County: 0 State:
Facility Name: Mile Post:
Picture 3. Bridge approach washout, Site B1
Picture 4. Fall tree near Whiskey Creek bridge, Site B1.
0 0
FEDERAL HIGHWAY ADMINISTRATION, Federal Lands Highway
DAMAGE SURVEY REPORT (Supplemental Sheet) 0
(Title 23, Federal-Aid System/Federal Domain) 0
Sheet No: 4 of 5
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
Rte. 194
Sheet No: 5 of 5
Roadway Roadbed Reconditioning Embankment
Aggregate Surface
Rte. MP. DSR Length Width Depth Area (sqyd) Volume (cuyd) Depth Tons Remark Betterment 194 0.04 200 5 2 111 74 6 38 Shoulder washout LT
0.70 500 10 0 6 188 Shoulder resurfacing 194 0.70 500 10 4 556 741 6 188 Shoulder washout RT 194 1.00 500 3 0 6 56 Shoulder washout (MINOR)
194 1.60 B1 0 6 0 Bridge approach washout Y
Longer Span 194 2.10 150 10 0.5 28 6 56 Shoulder washout 194 2.15 50 18 0 6 34 Full width resurfacing 194 2.50 300 2.5 0.5 14 3 14 Shoulder washout LT 194 2.75 W13 250 18 0 6 169 Full width resurfacing 194 2.80 650 8 2 578 385 6 195 Shoulder washout LT 194 3.00 200 18 0 6 135 Full width resurfacing 194 3.60 200 5 1 111 37 6 38 Shoulder washout RT 194 3.90 200 18 0 6 135 Full width resurfacing 194 4.10 C15 500 18 1 1000 333 6 338 Full reconstruction 194 4.10 C15 700 18 0 6 473 Full width resurfacing 194 4.20 300 5 2 167 111 6 56 Shoulder washout 194 4.30 W12 400 18 2 800 533 6 270 Full reconstruction 194 4.50 200 18 0 6 135 Full width resurfacing 194 5.00 200 18 0 6 135 Full width resurfacing 194 6.20 500 18 0 6 338 Full width resurfacing 194 6.60 W11 300 5 0.5 167 28 6 56 Shoulder washout RT
Totals 3489 2,284 3,044
Drainage
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
194 4.1 C15 21" x 26" 35 35 5 CMP 194 4.3 C16 21" x 26" 35 CMP
Totals 35 35 0 35 0 5
QUANTITY COMPUTATIONS
FEDERAL HIGHWAY ADMINISTRATION, Federal Lands Highway DAMAGE SURVEY REPORT (Supplemental Sheet)
(Title 23, Federal-Aid System/Federal Domain) Disaster No:
Applicant: County: State: Inspection Date:
Location of Damage (Route No., Name of Road and Mile Post) ADT:
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