Damage_Survey_Report_FS383-W39-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_FS383-W39-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 $ Lnft $
Eligible Ineligible
Eligible Ineligible
8,300
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 22-26, 2016
Location of Damage (Route No., Name of Road and Mile Post) Forest Service Route 383 MP 0.0 to 1.2
ADT: <200
W39-FS383-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)
CLEANING CULVERTS IN PLACE 110
7,300
2,800 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
68-INCH EQUIVALENT DIAMETER ARCH OR ELLIPTICAL PIPE CULVERT
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
Construction Engineering
Proposed: Force Account Contract Total Permanent Repairs Preliminary EngineeringIdentify Betterment, if any, and provide justification* S15 culvert identified as 68-inch equivalent replacement can be replaced by culvert meeting Aquatic Organism Passage (AOP) and meeting 100-year event based on USFS design guidelines.
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 10:27:47 -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: 3 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
Sheet No: 4 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
Volume Roadbed Reconditioning Embankment Aggregate Surface
Rte. MP. DSR Length Width Depth Area (sqyd) Volume (cuft) Volume (cuyd) Depth Tons Remark 383 0.00 550 20 1 1222 11000 407 6 413 Roadway Washout Full Width South to No 383 0.00 550 10 2 611 11000 407 6 206 Roadway Washout Lt 383 0.50 550 3 183 6 62 383 0.60 W39 250 16 5 444 20000 741 6 150 Add Culvert and C&G --------------- 383 0.10 300 5 2 167 3000 111 6 56 Culvert Replace North to So 383 0.20 100 2 1 22 200 7 6 8 Culvert Replace 383 0.30 10 20 3 22 600 22 6 8 Culvert Erosion 383 0.35 Clean Culvert 383 0.40 Culvert Washout 383 0.60 2500 20 3 5556 150000 5556 6 1875 Roadway Washout Full Width
Totals 8228 195,800 7,252 2,777
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) 383 W39 36"x24" 55 55 5
383 0.1 24 50 50 5 CMP
383 0.2 18" 50 50 5 CMP
383 0.3 18" 50 50 5 383 0.35 45 383 0.4 S15 68" 80 80 10 383 0.6 21" x 15" 65 390 390 30
Totals 110 675 540 0 80 60
CMP
Remark
CMP
CMP
CMP
CMP
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