Damage_Survey_Report_FS377-W36.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_FS377-W36
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Sheet No: 1 of 8
DSR No:
N/A Surface Type: Aggregate Thickness: 6"
N/A Surface Type: Varies Thickness: N/A
Unit Unit Price
Unit Unit Price
LPSM
LPSM
LNFT
CUYD
CUYD
SQYD
TON
LNFT
LNFT
LNFT
15% 10%
Eligible Ineligible
Eligible Ineligible
Proposed: Force Account Contract Total Permanent Repairs Identify Betterment, if any, and provide justification* Preliminary Engineering
Construction Engineering
$0 $0 $0
$0 $0 $0
COST ESTIMATE for PERMANENT REPAIRS* Quantity
Quantity
$0 $0 $0
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.
COST ESTIMATE for EMERGENCY REPAIRS* Item Description Cost
$0
Cost
Ditch Reconditioning
FEDERAL HIGHWAY ADMINISTRATION, Federal Lands Highway
Aggregate Surface Course
Proposed: Force Account Contract Total Emergency Repairs
Construction Survey and Staking
Unclassified Borrow
24-Inch Pipe Culvert Cleaning Culverts in Place
440 Separation-Stabilization Geotextile, Class II, Type E
Subtotal Permanent Repairs (continuation sheet)
Reviewed By: (Name and Title)
Roadway Excavation
Item Description Mobilization
Soil Erosion Control, Silt Fence
State:
Wisconsin
Recommended By: (Name and Title)
Date:
*Attach Supplemental Sheets if necessary
Date:
Signature:
Signature:
Signature:
Date:
Submitted By: (Name and Title)
Classification: Maintenance Level 3
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 377 - Camp Eight Road
ADT: <200
W36 W6A W7A W8A W9A W10A
B3 W7C W8C C6C W9C-FS377-H
Disaster No: WI2016-1-FS
Bridge Data:
Type:
ID#:
County: BayfieldApplicant: Chequamegon-Nicolet National Forest
Photograph #: See Attached Sheets Road Data:
RICHARD JOSEPH HODY
Name does not match inventory. Please identify.
Eric Wright, ERFO Coordinator 1/17/2017JOHN 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: 2017.01.17 11:38:45 -05'00'
Sheet No: 2 of 8
Disaster No:
Applicant: County: Bayfield State:
Facility Name: Mile Post: N/A to N/A course replacement 46.328° N , 91.083° W - Site W36
46.328° N , 91.080° W - Site 377-W6A
FEDERAL HIGHWAY ADMINISTRATION, Federal Lands Highway
DAMAGE SURVEY REPORT (Supplemental Sheet) W36 W6A W7A W8A W9A W10A B3
W7C W8C C6C W9C-FS377-H
(Title 23, Federal-Aid System/Federal Domain) WI2016-1-FS
Figure 2 - Typical washout, plugged culvert in need of aggregate surface course and culvert pipe
Wisconsin
FR 377 - Camp Eight Road
Chequamegon-Nicolet National Forest
Figure 1 - Typical road washout in need of excavation, borrow material and aggregate surface
Sheet No: 3 of 8
Disaster No:
Applicant: County: Bayfield State:
Facility Name: Mile Post: N/A to N/A and ditch reconditioning 46.328° N , 91.065° W - Site 377-W7A and culvert pipe (Betterment) 46.328° N , 91.065° W - Site 377-W9A
FR 377 - Camp Eight Road
Figure 4 - Washout and ponding water. No culvert found in need of aggregate surface course
Figure 3 - Typical road and shoulder washout in need of excavation, aggregate surface course
FEDERAL HIGHWAY ADMINISTRATION, Federal Lands Highway
DAMAGE SURVEY REPORT (Supplemental Sheet) W36 W6A W7A W8A W9A W10A B3
W7C W8C C6C W9C-FS377-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 - W36 46.328 91.083 Photo's 1251-1256 2 - W6A 46.328 91.080 Photo's 1257-1260 3 - W7A 46.328 91.077 Photo's 1261-1269 4 - W8A 46.328 91.073 Photo's 1270-1272 5 - W9A 46.328 91.065 Photo's 1273-1281 6 - W10A 46.328 91.059 None 7 - B3 46.328 91.039 Photo's 1570-1581 8 - W7C 46.328 91.030 Photo's 1582-1587 9 - W8C 46.326 91.024 Photo's 1588-1593 10 - C6C 46.327 91.021 Photo's 1594?
11 - W9C 46.328 91.009 Photo's 1595-1599
Location No. / Description of Work FS Number
1 - W36 Silt fence, aggregate surface course, excavation and unclassified borrow 2 - W6A Silt fence, aggregate surface course, excavation, unclassified borrow and ditch reconditioning 3 - W7A Silt fence, aggregate surface course, excavation, unclassified borrow and ditch reconditioning 4 - W8A Silt fence, aggregate surface course, excavation, unclassified borrow and ditch reconditioning 5 - W9A Silt fence, aggregate surface course, excavation, unclassified borrow, culvert placement and ditch reconditioning 6 - W10A Silt fence, aggregate surface course and ditch reconditioning 7 - B3 Silt fence and aggregate surface course. Bridge work included in DSR # B3-FS377-2.8A.
8 - W7C Silt fence, aggregate surface course and ditch reconditioning 9 - W8C Silt fence, aggregate surface course and ditch reconditioning 10 - C6C Clean buried culvert 11 - W9C Silt fence, aggregate surface course and clean culvert
FR 377 - Camp Eight Road
FEDERAL HIGHWAY ADMINISTRATION, Federal Lands Highway
DAMAGE SURVEY REPORT (Supplemental Sheet) W36 W6A W7A W8A W9A W10A
B3 W7C W8C C6C W9C-FS377-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 - W36 590 2 - W6A 250 3 - W7A 590 4 - W8A 270 5 - W9A 450 6 - W10A 550 7 - B3 200 8 - W7C 485 9 - W8C 210 10 - C6C 575 11 - W9C
4170 LNFT
Total: 4587 LNFT
Roadway Excavation
Location: Length (ft) Width (ft) Depth (ft) CUYD Volume = (L)x(W)x(D)x(1CY/27CF)
1 - W36 200 18 0.5 67 CUYD
1 - W36 100 6 2 44 2 - W6A 85 3 0.67 6 3 - W7A 210 3 0.67 16 4 - W8A 108 4 0.67 11 5 - W9A 385 3 0.67 29
Subtotal: 172 CUYD Total: 190 CUYD
Continued Next Sheet
FR 377 - Camp Eight Road
FEDERAL HIGHWAY ADMINISTRATION, Federal Lands Highway
DAMAGE SURVEY REPORT (Supplemental Sheet) W36 W6A W7A W8A W9A W10A
B3 W7C W8C C6C W9C-FS377-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)
1 - W36 200 18 0.5 67 CUYD
1 - W36 100 6 2 44 2 - W6A 85 3 0.67 6 3 - W7A 210 3 0.67 16 4 - W8A 108 4 0.67 11 5 - W9A 385 3 0.67 29
Subtotal: 172 CUYD Total: 190 CUYD
Separation-Stabilization Geotextile, Class II, Type E
Location: Length (ft) Width (ft) SQYD Area = L(W)(1SY/9SF) 1 - W36 200 18 400
Subtotal: 400 SQYD Total: 440 SQYD
Aggregate Surface Course
Location: Length (ft) Width (ft) Area (sf) 1 - W36 590 18 10620 2 - W6A 250 18 4500 3 - W7A 590 18 10620 4 - W8A 270 18 4860 5 - W9A 450 18 8100 6 - W10A 550 18 9900 7 - B3 200 13 2600 8 - W7C 485 15 7275 9 - W8C 210 15 3150 11 - W9C 575 15 8625
Total Area: 70250 SF
Depth, D= 6 in Unit Weight= 145 lbs/cf CF Volume = Area (sf)(D)(1ft/12in) = Total Volume: 35125 CF Weight (Ton) = Volume (cf)(Unit Weight)(1ton/2000lb) =
Subtotal: 2547 TON Total: 2801 TON
Continued Next Sheet
FR 377 - Camp Eight Road
FEDERAL HIGHWAY ADMINISTRATION, Federal Lands Highway
DAMAGE SURVEY REPORT (Supplemental Sheet) W36 W6A W7A W8A W9A W10A
B3 W7C W8C C6C W9C-FS377-H
Sheet No: 7 of 8
Disaster No:
Applicant: County: Bayfield State:
Facility Name: Mile Post: N/A to N/A
Ditch Reconditioning
Location: Length (ft) 1 - W36 100 2 - W6A 250 3 - W7A 400 4 - W8A 180 5 - W9A 510 6 - W10A 450 8 - W7C 340 9 - W8C 210
Subtotal: 2440 LNFT Total: 2684 LNFT
24-Inch Pipe Culvert (Betterment - ponding water in area at profile sag point)
Location: Length (ft) 5 - W9A 30
Subtotal: 30 LNFT Total: 33 LNFT
Cleaning Culverts in Place
Location: Length (ft) 10 - C6C 34 11 - W9C 34
Subtotal: 68 LNFT Total: 75 LNFT
FR 377 - Camp Eight Road
FEDERAL HIGHWAY ADMINISTRATION, Federal Lands Highway
DAMAGE SURVEY REPORT (Supplemental Sheet) W36 W6A W7A W8A W9A W10A
B3 W7C W8C C6C W9C-FS377-H
Sheet No: 8 of 8
Disaster No:
Applicant: County: Bayfield State:
Facility Name: Mile Post: N/A to N/AFR 377 - Camp Eight Road
FEDERAL HIGHWAY ADMINISTRATION, Federal Lands Highway
DAMAGE SURVEY REPORT (Supplemental Sheet) W36 W6A W7A W8A W9A W10A
B3 W7C W8C C6C W9C-FS377-H
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