Damage_Survey_Report_FS390-C33.pdf

Sheet No: 1 of 12

DSR No:

Disaster No:

FR 390 - Kornstead Road

Surface Type: Aggregate Thickness: 6"

Surface Type:

Unit Unit Price

Unit Unit Price Lpsm $ Lpsm $ Lpsm $ Lnft $

Cuyd $ Cuyd $ Ton $ Sqyd $ Lnft $ Lnft $ Lnft $ Ton $ Lnft $ Lnft $

Lpsm $

Eligible Ineligible

Eligible Ineligible

Construction Engineering

Proposed: Force Account Contract Total Permanent Repairs Preliminary EngineeringIdentify Betterment, if any, and provide justification*

$0

Location of Damage (Route No., Name of Road and Mile Post):

REMOVAL OF STREAM DEBRIS 1

COST ESTIMATE for PERMANENT REPAIRS* Quantity

Quantity

$0 $0 $0

Traveled Way Width: Varies

Shoulder Width:

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:

1. Repair roadway and shoulder washouts

2. Resurface roadway with 6" of Aggregate Surface Course

3. Recondition ditches

4. Clean non-functional culverts

5. Place or replace riprap at Culvert Outlets

6. Asphalt sawcut, repair and pavement

7. Erosion control structures

Item Description COST ESTIMATE for EMERGENCY REPAIRS*

SAWCUTTING PAVEMENT

Cost

$0

Cost

ROADBED RECONDITIONING

FEDERAL HIGHWAY ADMINISTRATION, Federal Lands Highway

AGGREGATE SURFACE COURSE

Proposed: Force Account Contract Total Emergency Repairs

SOIL EROSION CONTROL

PLACED RIPRAP, METHOD A, CLASS 3

24-INCH EQUIVALENT DIAMETER ARCH OR ELLIPTICAL PIPE CULVERT

CLEANING CULVERTS IN PLACE

CONSTRUCTION SURVEY AND STAKING

4,850

ASPHALT CONCRETE PAVEMENT, GYRATORY MIX, 1/2-INCH NOMINAL MAXIMU

46 REMOVE AND RESET, GUARDRAIL

$0Subtotal Permanent Repairs (continuation sheet)

DITCH RECONDITIONING

Submitted By: (Name and Title)

Reviewed By: (Name and Title)

EMBANKMENT CONSTRUCTION

Item Description

MOBILIZATION

REMOVAL OF PIPE CULVERT

C33 W1B W42 W2B W3B C32 W4B W5B W6B W7B W12B W13B

W14B W41 W15B-FS390-E

State:

Wisconsin

Recommended By: (Name and Title)

Date:

*Attach Supplemental Sheets if necessary

Date:

Signature:

Signature:

Signature:

Date:

Road Data: 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: 08/25/2016

ADT: <200

WI2016-1-FS

3,684

Bridge Data:

Type:

ID#:

County: Bayfield / Ashland / Sawyer

Applicant: Chequamegon-Nicolet National Forest

Photograph #:

JULIAN GONZALEZ

re:

re:

Eric Wright, ERFO Coordinator 1/18/2017JOHN 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: 2017.01.18 15:32:54 -05'00'

Sheet No: 2 of 12

Disaster No:

Applicant: County: Bayfield State:

Facility Name: Mile Post: N/A to N/A

46.328 N , 90.695 W - Site C33

Figure 2 - Surface washout and some edge roadbed reconditing 46.328° N , 90.699° W - Site W1B 1347

FR 390 - Kornstead Road

Figure 1 - Roadbed to be recondition and CSP to be replaced

FEDERAL HIGHWAY ADMINISTRATION, Federal Lands Highway

DAMAGE SURVEY REPORT (Supplemental Sheet) C33 W1B W42 W2B W3B C32 W4B W5B W6B W7B

W12B W13B W14B W41 W15B-FS390-E

(Title 23, Federal-Aid System/Federal Domain) WI2016-1-FS

Chequamegon-Nicolet National Forest Wisconsin

Sheet No: 3 of 12

Disaster No:

Applicant: County: Bayfield State:

Facility Name: Mile Post: N/A to N/A

46.328° N , 90.703° W - Site W42B

Figure 4 - Surface washout and roadbed reconditing 1364 46.328° N , 90.712° W - Site W3B

FR 390 - Kornstead Road

Figure 3 - Surface washout and some edge roadbed reconditing

FEDERAL HIGHWAY ADMINISTRATION, Federal Lands Highway

DAMAGE SURVEY REPORT (Supplemental Sheet) C33 W1B W42 W2B W3B C32 W4B W5B W6B W7B

W12B W13B W14B W41 W15B-FS390-E

Sheet No: 4 of 12

Disaster No:

Applicant: County: Bayfield State:

Facility Name: Mile Post: N/A to N/A

46.328° N , 90.721° W - Site C32

46.328° N , 90.728° W - Site W4B

Figure 5 - Surface washout and some edge roadbed reconditing, culvert replacement

FR 390 - Kornstead Road

Figure 6 - Surface washout and roadbed reconditing

FEDERAL HIGHWAY ADMINISTRATION, Federal Lands Highway

DAMAGE SURVEY REPORT (Supplemental Sheet) C33 W1B W42 W2B W3B C32 W4B W5B W6B W7B

W12B W13B W14B W41 W15B-FS390-E

Sheet No: 5 of 12

Disaster No:

Applicant: County: Bayfield State:

Facility Name: Mile Post: N/A to N/A

46.328° N , 90.737° W - Site W5B

46.328° N , 90.743° W - Site W6B

FR 390 - Kornstead Road

Figure 7 - Surface washout, edge roadbed and ditch reconditioning

Figure 8 - Surface washout, edge roadbed and ditch reconditioning

FEDERAL HIGHWAY ADMINISTRATION, Federal Lands Highway

DAMAGE SURVEY REPORT (Supplemental Sheet) C33 W1B W42 W2B W3B C32 W4B W5B W6B

W7B W12B W13B W14B W41 W15B-FS390-E

Sheet No: 6 of 12

Disaster No:

Applicant: County: Bayfield State:

Facility Name: Mile Post: N/A to N/A

46.329° N , 90.748° W - Site W7B

46.328° N , 90.753° W - Site W12B

FR 390 - Kornstead Road

Figure 9 - Surface washout, edge roadbed reconditioning.

Figure 10 - Roadway resurfaced by others

FEDERAL HIGHWAY ADMINISTRATION, Federal Lands Highway

DAMAGE SURVEY REPORT (Supplemental Sheet) C33 W1B W42 W2B W3B C32 W4B W5B W6B W7B

W12B W13B W14B W41 W15B-FS390-E

Sheet No: 7 of 12

Disaster No:

Applicant: County: Bayfield State:

Facility Name: Mile Post: N/A to N/A

46.329° N , 90.755° W - Site W13B

46.328° N , 90.759° W - Site W14B

FR 390 - Kornstead Road

Figure 11 - Ditch reconditioning.

Figure 12 - Embankment construction, sawcut, and asphalt repair

FEDERAL HIGHWAY ADMINISTRATION, Federal Lands Highway

DAMAGE SURVEY REPORT (Supplemental Sheet) C33 W1B W42 W2B W3B C32 W4B W5B W6B W7B

W12B W13B W14B W41 W15B-FS390-E

Sheet No: 8 of 12

Disaster No:

Applicant: County: Bayfield State:

Facility Name: Mile Post: N/A to N/A

46.328° N , 90.761° W - Site W41

46.328° N , 90.768° W - Site W15B

FR 390 - Kornstead Road

Figure 13 - Embankment construction, sawcut, pavement, ditch reconditioning, riprap replacement

Figure 14 - Edge of roadbed reconditioning, ditch and embankment reconditioning

FEDERAL HIGHWAY ADMINISTRATION, Federal Lands Highway

DAMAGE SURVEY REPORT (Supplemental Sheet) C33 W1B W42 W2B W3B C32 W4B W5B W6B

W7B W12B W13B W14B W41 W15B-FS390-E

Sheet No: 9 of 12

Disaster No:

Applicant: County: Ashland State:

Facility Name: Mile Post: N/A to N/A FR 390 - Kornstead Road

FEDERAL HIGHWAY ADMINISTRATION, Federal Lands Highway

DAMAGE SURVEY REPORT (Supplemental Sheet) C33 W1B W42 W2B W3B C32 W4B W5B W6B W7B W12B W13B W14B

W41 W15B-FS390-E

Sheet No: 10 of 12

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 Photo selected

1 -XX 46.328 90.690 Photo's 1330 - 1332 Out Forest Limits 2 - XX 46.328 90.695 Photo's 1333 - 1336 Out Forest Limits 3 - C33 46.328 90.695 Photo's 1340 - 1345 1341 4 - W1B 46.328 90.699 Photo's 1346 - 1351 1347 5 - W42B = W42 46.328 90.703 Photo's 1352 - 1355 1354 6 - W2B 46.328 90.707 Photo's 1356 - 1358 1357 7 - W3B 46.328 90.712 Photo's 1359 - 1366 1364 8 - C32 46.328 90.721 Photo's 1367 - 1377 1373 9 - W4B 46.328 90.728 Photo's 1378 - 1381 1380 10 - W5B 46.328 90.737 Photo's 1382 - 1391 1386 11 - W6B 46.328 90.743 Photo's 1392 - 1396 1396 12 - W7B 46.329 90.748 Photo's 1397 - 1402 1402 13 - W12B 46.328 90.753 Photo's 1430 - 1431 1431 14 - W13B 46.328 90.755 Photo's 1432 - 1437 1437 15 - W14B 46.328 90.759 Photo's 1438 - 1439 1438 16 - W41 46.328 90.761 Photo's 1440 - 1486 1483 17 - W15B 46.328 90.768 Photo's 1487 - 1499 1498

FIRST TWO LOCATIONS OUT OF THE LIMITS OF THE FOREST

FR 390 - Kornstead Road

FEDERAL HIGHWAY ADMINISTRATION, Federal Lands Highway

DAMAGE SURVEY REPORT (Supplemental Sheet) C33 W1B W42 W2B W3B C32 W4B W5B W6B W7B W12B W13B W14B

W41 W15B-FS390-E

Sheet No: 11 of 12

FR 390 - Kornstead Road

Roadway

Coordinates Embankment Ditch Recond.

Aggregate Surface

Rte. North West DSR Length

(ft) Width (ft) Depth (ft) Area

(sqyd) Volume (cuyd)

Depth (in)

Length

(ft) Tons Remark Betterment

390 46.328 90.759 W14B 20.0 3.0 6.7 0.0 2.5 1.0 Asphalt Concrete Pavement

390 46.328 90.761 W41 405.0 25.0 0.5 1125.0 0.0 3.5 221.5 Asphalt Concrete Pavement &

Roadbed 390 46.328 90.761 W41 405.0 20.0 900.0 0.0 0.0 Rolled Erosion Control

390 46.328 90.761 W41 610.0 1.0 2.0 67.8 22.6 3.5 13.3 Asphalt Concrete Pavement &

Roadbed/embank. (EOR) I

390 46.328 90.761 W41 110.0 3.5 2.0 42.8 14.3 3.5 8.4 Asphalt Concrete Pavement &

Roadbed/embank. (EOR) II

390 46.328 90.761 W41 150.0 2.0 2.0 33.3 11.1 3.5 5.9 Asphalt Concrete Pavement & Roadbed/embank. (EOR) III

390 46.328 90.761 W41 460.0 Removal of washout material 390 46.328 90.761 W41 450.0 3.7 2.0 185.0 61.7 Riprap ditch 390 46.328 90.761 W41 46.0 Remove and reset guardrail

Totals 2,361 48 0 250

Notes:

Unit Weight (Asphalt)= 150 lbs/cf Unit Weight (Aggregate)= 145 lbs/cf Unit Weight (Riprap)= 135 lbs/cf Drainage

Rte. North West DSR Existing Size (in)

Pipe Cleaning

(ft)

Rem. of Pipe

Culvert (ft)

24" Pipe Culvert

36" Pipe Culvert

42" Pipe Culvert

Riprap Class 3 (Cuyd).

Ditch lining

Riprap, Class 3 (cuyd) Remark

390 46.328 90.695 C33 12 25 2.10 CSP

Yes Increase

Size

390 46.328 90.699 W1B 16 25 3.73 CMP

390 46.328 90.712 W3B 18 27 4.72 CMP

390 46.328 90.721 C32 15 36 36

Updagrade to min.

standards 390 46.328 90.737 W5B 12 28 390 46.328 90.759 W14B 36 10 30.92

46.328 90.761 W41 16*21 26 8.38 CMP

46.328 90.761 W41 16*21 0 50 50 8.38 CMP

46.328 90.761 W41 25

Totals 141 86 86 0 0 25 58

Totals Unit Totals DSR

Roadbed reconditioning Sqyd 3091

Ditch reconditioning

LNFT 4,850

Removal of Washout Material Tons 519

Surface reconditioning Tons 3684 Guardrail reinstallation LNFT 46 W41

Embankment construction Cuyd 563 Asphalt Concrete Pavement Tons 250 Sawcutting pavement LNFT 890

W1B, W42, W3B, C32, W4B, W5B, W6B, W7B, W13B, W41

W14B, W41

C33, W1B, W42, W2B, W3B, C32, W4B, W5B, W6B, W7B

W1B, W42B, W3B, C32, W5B, W14B, W41 W14B

Location of Damage (Route No., Name of Road and Mile ADT: <200

QUANTITY COMPUTATIONS

Roadbed Reconditioning

Coordinates

C33

FEDERAL HIGHWAY ADMINISTRATION, Federal Lands Highway

DAMAGE SURVEY REPORT (Supplemental Sheet)

(Title 23, Federal-Aid System/Federal Domain) Disaster No: WI2016-1-FS Applicant: Chequamegon-Nicolet National Forest County: Bayfield /

Ashland / Sawyer State: WI Inspection Date:08/25/2016

C33 W1B W42 W2B W3B C32 W4B W5B W6B W7B W12B W13B

W14B W41 W15B-FS390-E

Sheet No: 12 of 12

FR 390 - Kornstead Road

Roadway

Coordinates Embankment Ditch Recond.

Aggregate Surface

Rte. North West DSR Length

(ft) Width (ft) Depth (ft) Area

(sqyd) Volume (cuyd)

Depth

(in) Length (ft) Tons Remark Betterment

390 46.328 90.690 - 350.0 5.0 Outside Forest Limits 390 46.328 90.695 - 400.0 3.0 Outside Forest Limits 390 46.328 90.695 C33 190.0 15.0 6.0 103.3 Full width surface reconditioning Yes - Resize

390 46.328 90.695 C33 30.0 6.0 1.5 20.0 10.0 Edge of Roadbed reconditioning 390 46.328 90.699 W1B 360.0 15.0 6.0 195.8 Full width surface reconditioning 390 46.328 90.699 W1B 180.0 Ditch Reconditioning (One side) 390 46.328 90.699 W1B 6.0 4.0 1.5 2.7 1.3 Roadbed reconditioning

390 46.328 90.703 W42 370.0 15.0 6.0 201.2 Full width surface reconditioning Not enough information

390 46.328 90.703 W42 170.0 4.0 2.0 75.6 50.4 Edge of Roadbed reconditioning to consider relocating a roda 390 46.328 90.703 W42 150.0 Ditch Reconditioning (One side) 390 46.328 90.707 W2B 270.0 15.0 6.0 146.8 Full width surface reconditioning 390 46.328 90.712 W3B 1050.0 15.0 6.0 570.9 Full width surface reconditioning 390 46.328 90.712 W3B 300.0 4.0 1.0 44.4 Edge of Roadbed reconditioning 390 46.328 90.712 W3B 500.0 Ditch Reconditioning (One side) 390 46.328 90.721 C32 1435.0 15.0 6.0 780.3 Full width surface reconditioning Yes - Resize 390 46.328 90.721 C32 700.0 Ditch Reconditioning (One side) 390 46.328 90.721 C32 370.0 3.0 2.0 123.3 82.2 0.0 Edge of Roadbed reconditioning

390 46.328 90.721 C32 200.0 5.0 2.0 111.1 74.1 0.0 Edge of Roadbed reconditioning

(Other side) 390 46.328 90.728 W4B 350.0 15.0 6.0 190.3 Full width surface reconditioning 390 46.328 90.728 W4B 200.0 Ditch Reconditioning (One side) 390 46.328 90.737 W5B 900.0 15.0 6.0 489.4 Full width surface reconditioning 390 46.328 90.737 W5B 300.0 5.0 2.0 166.7 111.1 0.0 Edge of Roadbed reconditioning 390 46.328 90.737 W5B 300.0 Ditch Reconditioning (One side) 390 46.328 90.743 W6B 520.0 15.0 6.0 282.8 Full width surface reconditioning 390 46.328 90.743 W6B 100.0 4.0 0.7 44.4 9.9 Edge of Roadbed reconditioning 390 46.328 90.743 W6B 300.0 Ditch Reconditioning (One side) 390 46.329 90.748 W7B 870.0 15.0 6.0 473.1 Full width surface reconditioning 390 46.329 90.748 W7B 300.0 Ditch Reconditioning (One side)

390 46.328 90.753 W12B 250.0 18.0 Resurfaced by completed by others 390 46.328 90.755 W13B 1000.0 Ditch Reconditioning (One side) 390 46.328 90.759 W14B 12.0 10.0 1.5 6.7 Edge of Roadbed reconditioning 390 46.328 90.759 W14B 40.0 20.0 2.0 59.3 Removal of washout material 390 46.328 90.761 W41 800.0 Ditch Reconditioning (One side) 390 46.328 90.768 W15B 420.0 4.0 2.0 186.7 124.4 Edge of Roadbed reconditioning 390 46.328 90.768 W15B 420.0 Ditch Reconditioning (One side)

Totals 730 515 4850 3434

C33 W1B W42 W2B W3B C32 W4B W5B W6B W7B W12B W13B W14B

W41 W15B-FS390-E

State: WI Inspection Date:08/25/2016

Location of Damage (Route No., Name of Road and Mile ADT: <200

QUANTITY COMPUTATIONS

Roadbed Reconditioning

FEDERAL HIGHWAY ADMINISTRATION, Federal Lands Highway

DAMAGE SURVEY REPORT (Supplemental Sheet)

(Title 23, Federal-Aid System/Federal Domain) Disaster No:WI2016-1-FS Applicant: Chequamegon-Nicolet National Forest County: Bayfield /

Ashland / Sawyer