Damage_Survey_Report_FS213-C25.pdf
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- Chequamegon-Nicolet National Forest - 2016-1(4)
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- 693C73-18-B-000021
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Damage Survey Report_FS213-C25
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Sheet No: 1 of 8
DSR No:
N/A Surface Type: Aggregate Thickness: 6"
N/A Surface Type: Aggregate Thickness: 6"
Unit Unit Price
Unit Unit Price
LPSM
LPSM
LNFT
LNFT
CUYD
CUYD
CUYD
TON
LNFT
LNFT
LNFT
15% 10%
Eligible Ineligible
Eligible Ineligible
Proposed: Force Account Contract Total Permanent Repairs 8Identify Betterment, if any, and provide justification*
Adding a culvert at the bottom of the hill at W13A and reditching the road up the hill will prevent future costly washouts at this location.
Preliminary Engineering Construction Engineering
$0 $0 $0
$0 $0
COST ESTIMATE for PERMANENT REPAIRS* Quantity
Quantity
$0.00 $0.00 $0.00
Materials & Equipment
Traveled Way Width: Varies
Shoulder Width: Varies Description and Cause of Damage: Extensive heavy rainfall (8" - 11") in less than 24 hours on July 11, 2016 led to extensive flooding and damages to over 1,000 miles Forest Service.
Scope/Description of Repair: Perform permanent repairs to resurface or reconstruct sections of the aggregate surface course roadway, recondition ditches, clean non-functional culverts, replace culverts, and place riprap. No permanent repairs at C25 and a culvert and ditching are added at W13A as a betterment.
COST ESTIMATE for EMERGENCY REPAIRS* Item Description Cost
$0.00
Cost
Aggregate Surface Course
FEDERAL HIGHWAY ADMINISTRATION, Federal Lands Highway
Placed Riprap, Method A, Class 3
Proposed: Force Account Contract Total Emergency Repairs
Salary & Travel
Construction Survey and Staking
Roadway Excavation
Ditch Reconditioning 24-Inch Pipe Culvert
74 Unclassified Borrow
Subtotal Permanent Repairs (continuation sheet)
Cleaning Culverts in Place
Reviewed By: (Name and Title) Mark Beuning, Forest Engineer
Administrative
Removal of Pipe Culvert
Item Description Mobilization
Soil Erosion Control, Silt Fence
State:
Wisconsin
Recommended By: (Name and Title) Eric Wright, ERFO Coordinator
Date: 6/1/2017
*Attach Supplemental Sheets if necessary
Date:
Signature:
Signature:
Signature:
Date:
Submitted By: (Name and Title) Created by Richard Hody, edited by Patrick Hampston, Civil Engineer
Classification: Maintenance Level 5
Right-of-Way
TOTAL ESTIMATED COST
(Emergency and Permanent Repairs)
Other
DAMAGE SURVEY REPORT
(Title 23, Federal-Aid System/Federal Domain)
Inspection Date: 08/24/2016
Location of Damage (Route No., Name of Road and Mile Post): FR 213 -Porcupine Lake Road
ADT: <200
C25 W30 W 29 W28 W13A
W27 W14A-FS213-H
Disaster No: WI2016-1-FS
Bridge Data:
Type:
ID#:
County: BayfieldApplicant: Chequamegon-Nicolet National Forest
Photograph #: See Attached Sheets Road Data:
PATRICK HAMPSTON
Digitally signed by PATRICK
HAMPSTON
Date: 2017.06.01 15:30:35 -05'00'
Mark Beuning Digitally signed by Mark Beuning DN: cn=Mark Beuning, o=Chequamegon-Nicolet National Forest, ou=Region 9, email=mbeuning@fs.fed.us, c=US Date: 2017.06.02 00:13:52 -05'00'
JOHN E WRIGHT
Digitally signed by JOHN E WRIGHT DN: c=US, o=U.S. Government, ou=DOT FHWASterlingVA, ou=FHWA FHWASterlingVA, cn=JOHN E WRIGHT Date: 2017.06.02 13:45:51 -04'00'
Sheet No: 2 of 8
Disaster No:
Applicant: County: Bayfield State:
Facility Name: Mile Post: N/A to N/A surface course 46.307° N , 91.111° W - Site C25
46.303° N , 91.126° W - Site W30
FEDERAL HIGHWAY ADMINISTRATION, Federal Lands Highway
DAMAGE SURVEY REPORT (Supplemental Sheet) C25 W30 W 29 W28 W13A
W27 W14A-FS213-H
(Title 23, Federal-Aid System/Federal Domain) WI2016-1-FS
Figure 2 - Typical road washout, in need of replacement of aggregate surface course
Wisconsin
FR 213 -Porcupine Lake Road
Chequamegon-Nicolet National Forest
Figure 1 - Culvert apparently replaced by others under emergency repairs, in need of aggregate
Sheet No: 3 of 8
Disaster No:
Applicant: County: Bayfield State:
Facility Name: Mile Post: N/A to N/A outlet protection 46.300° N , 91.140° W - Site W28 aggregate surface course 46.298° N , 91.166° W - Site W14A
FR 213 -Porcupine Lake Road
Figure 4 - Typical edge of road / shoulder washout, in need of excavation, backfill, and
Figure 3 - Typical road washout in which culvert outlet was scoured, in need of placement of
FEDERAL HIGHWAY ADMINISTRATION, Federal Lands Highway
DAMAGE SURVEY REPORT (Supplemental Sheet) C25 W30 W 29 W28 W13A
W27 W14A-FS213-H
(Title 23, Federal-Aid System/Federal Domain) WI2016-1-FS
Chequamegon-Nicolet National Forest Wisconsin
Sheet No: 4 of 8
Disaster No:
Applicant: County: Bayfield State:
Facility Name: Mile Post: N/A to N/A
Location No. / Beginning Beginning FS Number Latitude - N Longitude - W
1 - C25 Photo's 1302-1305 2 - W30 Photo's 1306-1313 3 - W29 Photo's 1314-1321 4 - W28 Photo's 7277-7279 5 - W13A Photo's 7280-7281 6 - W27 Photo's 7282-7287 7 - W14A Photo's 7288-7290
Location No. / Description of Work FS Number
1 - C25 No permanent work 2 - W30 Silt fence, aggregate surface course, and culvert cleaning 3 - W29 Silt fence, aggregate surface course, ditch reconditioning, and culvert replacement 4 - W28 Silt fence, aggregate surface course, and outlet protection 5 - W13A Silt fence, aggregate surface course, ditch reconditioning (betterment), and install culvert (betterment) 6 - W27 Silt fence, and aggregate surface course 7 - W14A Silt fence, road excavation, and aggregate surface course
FR 213 -Porcupine Lake Road
FEDERAL HIGHWAY ADMINISTRATION, Federal Lands Highway
DAMAGE SURVEY REPORT (Supplemental Sheet) C25 W30 W 29 W28 W13A
W27 W14A-FS213-H
Sheet No: 5 of 8
Disaster No:
Applicant: County: Bayfield State:
Facility Name: Mile Post: N/A to N/A
Mobilization Lump Sum Item LPSM
Construction Survey and Staking Lump Sum Item LPSM
Soil Erosion Control, Silt Fence
Location: Length (ft) 1 - C25 0 2 - W30 700 3 - W29 1450 4 - W28 670 5 - W13A 400 6 - W27 1000 7 - W14A 800
Subtotal: 5020 LNFT Total: 5522 LNFT
Removal of Pipe Culvert
Location: Length (ft) 1 - C25 0 3 - W29 31
Subtotal: 31 LNFT Total: 34 LNFT
Roadway Excavation
Location: Length (ft) Width (ft) Depth (ft) CUYD Volume = (L)x(W)x(D)x(1CY/27CF)
3 - W29 110 5 0.67 14 CUYD
3 - W29 175 3 0.67 13 (LT)
3 - W29 175 3 0.67 13 (RT)
7 - W14A 250 3 1 28
Subtotal: 67 CUYD Total: 74 CUYD
Continued Next Sheet
FR 213 -Porcupine Lake Road
FEDERAL HIGHWAY ADMINISTRATION, Federal Lands Highway
DAMAGE SURVEY REPORT (Supplemental Sheet) C25 W30 W 29 W28 W13A
W27 W14A-FS213-H
Sheet No: 6 of 8
Disaster No:
Applicant: County: Bayfield State:
Facility Name: Mile Post: N/A to N/A
Unclassified Borrow
Location: Length (ft) Width (ft) Depth (ft) CUYD Volume = (L)x(W)x(D)x(1CY/27CF)
3 - W29 110 5 0.67 14 CUYD
3 - W29 175 3 0.67 13 (LT)
3 - W29 175 3 0.67 13 (RT)
7 - W14A 250 3 1 28
Subtotal: 67 CUYD Total: 74 CUYD
Placed Riprap, Method A, Class 3
Location: Length (ft) Width (ft) Area (sf) 2 - W30 6 10 60 3 - W29 6 10 60
Total Area: 120 SF
Depth, D= 2 ft Unit Weight= 135 lbs/cf CF Volume = Area (sf)(D) = Total Volume: 240 CF
CY Area = Volume (cf)(1cy/27cf) =
Subtotal: 9 CUYD Total: 10 CUYD
Continued Next Sheet
FR 213 -Porcupine Lake Road
FEDERAL HIGHWAY ADMINISTRATION, Federal Lands Highway
DAMAGE SURVEY REPORT (Supplemental Sheet) C25 W30 W 29 W28 W13A
W27 W14A-FS213-H
Sheet No: 7 of 8
Disaster No:
Applicant: County: Bayfield State:
Facility Name: Mile Post: N/A to N/A
Aggregate Surface Course
Location: Length (ft) Width (ft) Area (sf) 1 - C25 0 0 0 2 - W30 350 14 4900 3 - W29 725 17 12325 3 - W29 110 5 550 3 - W29 350 3 1050 4 - W28 335 14 4690 5 - W13A 200 15 3000 6 - W27 500 15 7500 7 - W14A 400 15 6000 7 - W14A 250 3 750
Total Area: 40765 SF
Depth, D= 6 in Unit Weight= 145 lbs/cf CF Volume = Area (sf)(D)(1ft/12in) = Total Volume: 20383 CF
Weight (Ton) = Volume (cf)(Unit Weight)(1ton/2000lb) =
Subtotal: 1478 TON Total: 1626 TON
Ditch Reconditioning
Location: Length (ft) 3 - W29 460 5 - W13A 600 (betterment)
Subtotal: 460 LNFT Total: 506 LNFT
24-Inch Pipe Culvert
Location: Length (ft) 3 - W29 31 5 - W13A 42 (betterment)
Subtotal: 31 LNFT Total: 34 LNFT
Cleaning Culverts in Place
Location: Length (ft) 2 - W30 30
Subtotal: 30 LNFT Total: 33 LNFT
FR 213 -Porcupine Lake Road
FEDERAL HIGHWAY ADMINISTRATION, Federal Lands Highway
DAMAGE SURVEY REPORT (Supplemental Sheet) C25 W30 W 29 W28 W13A
W27 W14A-FS213-H
Sheet No: 8 of 8
Disaster No:
Applicant: County: Bayfield State:
Facility Name: Mile Post: N/A to N/AFR 213 -Porcupine Lake Road
FEDERAL HIGHWAY ADMINISTRATION, Federal Lands Highway
DAMAGE SURVEY REPORT (Supplemental Sheet) C25 W30 W 29 W28 W13A
W27 W14A-FS213-H
Sheet No: 9 of 9
UNIT QUANTITYUNIT PRICE COST UNIT QUANTITYUNIT PRICE COST
Lnft 400 Lnft 400 0 00 Ton 109 0 Ton 109 Lnft 0 $0 Lnft 42 Lnft 0 $0 Lnft 600
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
$1
2.11BENEFIT / COST $
REMARKS
Adding a culvert at the bottom of this hill and reditching the road will prevent future washouts.
Assume minor repair every 10 years @ /event (design life =20 years) Cost of repair damage in the future ( w/o bette Assume major damage every 5 yrs @ $ /event (design life = 20 yrs)
BENEFIT $
COST
Location of Damage (Route No., Name of Road and Mile Post) FR 213 Porcupine Lake Rd W13A C25 W30 W29 W28 W13A W27 W14A-FS213-H
(Betterment Justification)
ITEM ORIGINAL BETTERMENT
Repair in kind
TOTAL
Cost of repair damage in the future ( w/betterm
Aggregate Surface Course 24-INCH Pipe Culvert Ditch Reconditioning
Add culvert and ditching
Silt Fence
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