Damage_Survey_Report_FS378-W11A.pdf
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- Chequamegon-Nicolet National Forest - 2016-1(4) Federal contract opportunity
- Solicitation number
- 693C73-18-B-000021
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Damage Survey Report_FS378-W11A
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Sheet No: 1 of 9
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
CUYD
TON
LNFT
LNFT
SQYD
SQYD
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
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, replace culverts, and place riprap.
COST ESTIMATE for EMERGENCY REPAIRS* Item Description
Turf Establishment
Cost
$0
Cost
Aggregate Surface Course
FEDERAL HIGHWAY ADMINISTRATION, Federal Lands Highway
Placed Riprap, Method A, Class 3
Proposed: Force Account Contract Total Emergency Repairs
Construction Survey and Staking
Unclassified Borrow
Ditch Reconditioning 24-Inch Pipe Culvert
733 Separation-Stabilization Geotextile, Class II, Type E
$0Subtotal Permanent Repairs (continuation sheet)
Furnishing and Placing Topsoil, 3-Inch Depth
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 4
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 378 - Wisco Road
ADT: <200
W11A W12A W51 W15A W16A
C29-FS378-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
Materials & Equipment
Salary & Travel
Administrative
Mark Beuning, Forest Engineer 12/15/2016
Eric Wright, ERFO Coordinator 12/18/2016 /S/J. Eric Wright
Sheet No: 2 of 9
Disaster No:
Applicant: County: Bayfield State:
Facility Name: Mile Post: N/A to N/A
46.325° N , 91.040° W - Site 1 - W11A surface course and ditch reconditioning 46.322° N , 91.043° W - Site 2 - W12A
FEDERAL HIGHWAY ADMINISTRATION, Federal Lands Highway
DAMAGE SURVEY REPORT (Supplemental Sheet) W11A W12A W51 W15A
W16A C29-FS378-H
(Title 23, Federal-Aid System/Federal Domain) WI2016-1-FS
Figure 2 - Typical road and shoulder washout in need of excavation, borrow material, aggregate
Wisconsin
FR 378 - Wisco Road
Chequamegon-Nicolet National Forest
Figure 1 - Typical road washout in need of aggregate surface course and ditch reconditioning
Sheet No: 3 of 9
Disaster No:
Applicant: County: Bayfield State:
Facility Name: Mile Post: N/A to N/A surface course and ditch reconditioning 46.322° N , 91.043° W - Site 2 - W12A surface course & ditch reconditioning 46.431° N , 91.021° W - Site 3 - W51 7292 Figure 4 - Typical edge of road & shoulder washout in need of excavation, borrow material, aggregate
FR 378 - Wisco Road
Figure 3 - Typical road and shoulder washout in need of excavation, borrow material, aggregate
FEDERAL HIGHWAY ADMINISTRATION, Federal Lands Highway
DAMAGE SURVEY REPORT (Supplemental Sheet) W11A W12A W51 W15A
W16A C29-FS378-H
(Title 23, Federal-Aid System/Federal Domain) WI2016-1-FS
Chequamegon-Nicolet National Forest Wisconsin
Sheet No: 4 of 9
Disaster No:
Applicant: County: Bayfield State:
Facility Name: Mile Post: N/A to N/A and ditch reconditioning 46.304° N , 91.031° W - Site 4 - W15A material and aggregate surface course 46.311° N , 91.045° W - Site 6 - C29
Figure 5 - Typical road washout in need of excavation, borrow material, aggregate surface course
Figure 6 - Culvert, roadway and shoulder washout in need of new culvert, excavation, borrow
FR 378 - Wisco Road
FEDERAL HIGHWAY ADMINISTRATION, Federal Lands Highway
DAMAGE SURVEY REPORT (Supplemental Sheet) W11A W12A W51 W15A
W16A C29-FS378-H
Sheet No: 5 of 9
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 - W11A 46.325˚ 91.040˚ Photo's 1282-1288 2 - W12A 46.322˚ 91.043˚ Photo's 1289-1294 3 - W51 46.431˚ 91.021˚ Photo's 7291-7295 4 - W15A 46.304˚ 91.031˚ Photo's 7296-7306 5 - W16A 46.308˚ 91.039˚ None 6 - C29 46.311˚ 91.045˚ Photo's 7307-7315
Location No. / Description of Work FS Number
1 - W11A Silt fence, aggregate surface course and ditch reconditioning 2 - W12A Silt fence, aggregate surface course, excavation, unclassified borrow and ditch reconditioning 3 - W51 Silt fence, aggregate surface course, excavation, unclassified borrow, ditch reconditioning and outlet protection 4 - W15A Silt fence, aggregate surface course, excavation, unclassified borrow and ditch reconditioning 5 - W16A Silt fence, aggregate surface course, excavation, unclassified borrow and ditch reconditioning 6 - C29 Silt fence, aggregate surface course, excavation, unclassified borrow, 24-Inch culvert, and outlet protection
FR 378 - Wisco Road
FEDERAL HIGHWAY ADMINISTRATION, Federal Lands Highway
DAMAGE SURVEY REPORT (Supplemental Sheet) W11A W12A W51 W15A
W16A C29-FS378-H
Sheet No: 6 of 9
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 - W11A 425 2 - W12A 270 3 - W51 490 4 - W15A 450 5 - W16A 260 6 - C29 245
Subtotal: 2140 LNFT Total: 2354 LNFT
Roadway Excavation Required at areas where erosion occurred and ONLY to grade evenly at bottom and edges (square off). Assume 20% of borrow material except for 100% at Location 5 which requires full road excavation. See Item 20403-0000 below.
Location: Length (ft) Width (ft) Depth (ft) CUYD Volume = (L)x(W)x(D)x(1CY/27CF) 2 - W12A 270 3 0.67 4 (20% of Item 20403-0000) 3 - W51 100 3 1.50 3 (20% of Item 20403-0000) 4 - W15A 400 14 1.00 207 5 - W16A 100 4 1.00 3 (20% of Item 20403-0000) 6 - C29 25 16 4.00 12 (20% of Item 20403-0000) 6 - C29 20 8 4.00 5 (20% of Item 20403-0000)
Subtotal: 234 CUYD Total: 258 CUYD
Unclassified Borrow
Location: Length (ft) Width (ft) Depth (ft) CUYD Volume = (L)x(W)x(D)x(1CY/27CF)
2 - W12A 270 3 0.67 20 CUYD
3 - W51 100 3 1.50 17 4 - W15A 400 14 1.00 207 5 - W16A 100 4 1.00 15 6 - C29 25 16 4.00 59 6 - C29 20 8 4.00 24 Fill slope: 2@½(8'); L=10'(ea side)
Subtotal: 342 CUYD Total: 376 CUYD
Continued Next Sheet
FR 378 - Wisco Road
FEDERAL HIGHWAY ADMINISTRATION, Federal Lands Highway
DAMAGE SURVEY REPORT (Supplemental Sheet) W11A W12A W51 W15A
W16A C29-FS378-H
Sheet No: 7 of 9
Disaster No:
Applicant: County: Bayfield State:
Facility Name: Mile Post: N/A to N/A
Separation-Stabilization Geotextile, Class II, Type E
Location: Length (ft) Width (ft) SQYD Area = L(W)(1SY/9SF) 4 - W15A 400 14 622 6 - C29 25 16 44
Subtotal: 667 SQYD Total: 733 SQYD
Placed Riprap, Method A, Class 3
Location: Length (ft) Width (ft) Area (sf) 3 - W51 6 10 60 6 - C29 2 Each @ 6 10 120 Total Area: 180 SF
Depth, D = 2 ft Unit Weight = 135 lbs/cf CF Volume = Area (sf)(D) = Total Volume: 360 CF
CY Area = Volume (cf)(1cy/27cf) =
Subtotal: 13 CUYD Total: 15 CUYD
Aggregate Surface Course
Location: Length (ft) Width (ft) Area (sf) 1 - W11A 425 16 6800 2 - W12A 700 16 11200 3 - W51 490 14 6860 4 - W15A 850 14 11900 5 - W16A 260 15 3900 6 - C29 245 15 3675
Total Area: 44335 SF
Depth, D= 6 in Unit Weight= 145 lbs/cf CF Volume = Area (sf)(D)(1ft/12in) = Total Volume: 22168 CF
Weight (Ton) = Volume (cf)(Unit Weight)(1ton/2000lb) =
Subtotal: 1607 TON Total: 1768 TON
Continued Next Sheet
FR 378 - Wisco Road
FEDERAL HIGHWAY ADMINISTRATION, Federal Lands Highway
DAMAGE SURVEY REPORT (Supplemental Sheet) W11A W12A W51 W15A
W16A C29-FS378-H
Sheet No: 8 of 9
Disaster No:
Applicant: County: Bayfield State:
Facility Name: Mile Post: N/A to N/A
Ditch Reconditioning
Location: Length (ft) 1 - W11A 425 2 - W12A 700 3 - W51 100 4 - W15A 800 5 - W16A 100 6 - C29 245
Subtotal: 2370 LNFT Total: 2607 LNFT
24-Inch Pipe Culvert
Location: Length (ft) 6 - C29 40
Subtotal: 40 LNFT Total: 44 LNFT
Furnishing and Placing Topsoil, 3-Inch Depth
Location:
6 - C29
Sideslope, S = 9 ft Length, L = 16 ft Area = (l)(s)(1sy/9sf)(2 sides) =
Subtotal: 32 SQYD Total: 35 SQYD
Turf Establishment
See Furnishing and Placing Topsoil, 3-inch Depth item above for location and quantity
Subtotal: 32 SQYD Total: 35 SQYD
FR 378 - Wisco Road
FEDERAL HIGHWAY ADMINISTRATION, Federal Lands Highway
DAMAGE SURVEY REPORT (Supplemental Sheet) W11A W12A W51 W15A
W16A C29-FS378-H
Sheet No: 9 of 9
Disaster No:
Applicant: County: Bayfield State:
Facility Name: Mile Post: N/A to N/AFR 378 - Wisco Road
FEDERAL HIGHWAY ADMINISTRATION, Federal Lands Highway
DAMAGE SURVEY REPORT (Supplemental Sheet) W11A W12A W51 W15A
W16A C29-FS378-H
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