Damage_Survey_Report_FS604-W8B.pdf

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Attached to
Chequamegon-Nicolet National Forest - 2016-1(4) Federal contract opportunity
Solicitation number
693C73-18-B-000021
Issued by
Department of Transportation Federal Highway Administration

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Damage Survey Report_FS604-W8B

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Text version

Sheet No: 1 of 7

DSR No:

Disaster No:

FR 604 - Quarry Road

Surface Type: Aggregate Thickness: 6"

Surface Type:

Unit Unit Price

Unit Unit Price Lpsm $ Lnft $ Ton $ Lnft $

Cuyd $ Cuyd $ Lpsm $

Eligible Ineligible

Eligible Ineligible

Classification:

Traveled Way Width: Varies

Shoulder Width:

Cost

$0

AGGREGATE SURFACE COURSE

Bridge Data:

Type:

ID#:

Photograph #:

Road Data:

DAMAGE SURVEY REPORT

(Title 23, Federal-Aid System/Federal Domain)

Inspection Date: 08/25/2016

ADT: <200

W8B W68 W9B W10B W11B-

FS604-E

State:

Wisconsin

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

WI2016-1-FS

County: Bayfield / Ashland / Sawyer

Applicant: Chequamegon-Nicolet National Forest

Recommended By: (Name and Title)

Date:

DITCH RECONDITIONING

Item Description

MOBILIZATION

Date:

Signature:

Signature:

Signature:

Date:

Submitted By: (Name and Title)

Reviewed By: (Name and Title)

REMOVAL OF STREAM DEBRIS

$0Subtotal Permanent Repairs (continuation sheet)

2,555

FEDERAL HIGHWAY ADMINISTRATION, Federal Lands Highway

UNCLASSIFIED BORROW

Proposed: Force Account Contract Total Emergency Repairs

SOIL EROSION CONTROL, SILT FENCE

PLACED RIPRAP, METHOD A, CLASS 3

Cost COST ESTIMATE for PERMANENT REPAIRS*

Quantity

COST ESTIMATE for EMERGENCY REPAIRS*

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

$0 $0

Item Description

$0

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*

Right-of-Way

TOTAL ESTIMATED COST

(Emergency and Permanent Repairs)

Other

JULIAN GONZALEZ

heavy maintenance

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 15:43:11 -05'00'

Sheet No: 2 of 7

Disaster No:

Applicant: County: Bayfield State:

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

46.312° N , 90.737° W - Site W8B

Figure 2 - Roadway was resurfaced by others. FS to provide DRS if applicable. Ditch reconditioning 1406 46.321° N , 90.739° W - Site W9B

FR 604 - Quarry Road

Figure 1 - Roadway was resurfaced by others. FS to provide DRS if applicable

FEDERAL HIGHWAY ADMINISTRATION, Federal Lands Highway DAMAGE SURVEY REPORT (Supplemental Sheet) W8B W68 W9B W10B W11B-FS604-E

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

Chequamegon-Nicolet National Forest Wisconsin

Sheet No: 3 of 7

Disaster No:

Applicant: County: Bayfield State:

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

46.321° N , 90.739° W - Site W9B

Figure 4 - Roadway was resurfaced by others. FS to provide DRS if applicable. Ditch/shoulder reconditioning 46.322° N , 90.740° W - Site W10B 1416

Figure 3 - Roadway was resurfaced by others. FS to provide DRS if applicable. Ditch reconditioning

FR 604 - Quarry Road

FEDERAL HIGHWAY ADMINISTRATION, Federal Lands Highway DAMAGE SURVEY REPORT (Supplemental Sheet) W8B W68 W9B W10B W11B-FS604-E

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

Sheet No: 4 of 7

Disaster No:

Applicant: County: Bayfield State:

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

Figure 5 - Roadway was resurfaced by others. FS to provide DRS if applicable. Ditch/shoulder reconditioning 1418 46.322° N , 90.740° W - Site W10B

46.326° N , 90.740° W - Site W11B

FR 604 - Quarry Road

Figure 6 - Removal of material, ditch reconditioning, resurface.

FEDERAL HIGHWAY ADMINISTRATION, Federal Lands Highway DAMAGE SURVEY REPORT (Supplemental Sheet) W8B W68 W9B W10B W11B-FS604-E

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

Fi 6 R l f t i l dit h diti i f

Sheet No: 5 of 7

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 -W8B 46.312 90.737 Photo's 1403-1404 2 - W68 46.319 90.740 Photo's 1405-1408 3 - W9B 46.321 90.739 Photo's 1409-1411 4 - W10B 46.322 90.740 Photo's 1412-1422 5 - W11B 46.326 90.740 Photo's 1423-1429

Location No. / Description of Work FS Number

1 -W8B FS to create DSR 2 - W68 Soil Erosion Control - Silt fence, ditch reconditioning 3 - W9B Soil Erosion Control - Silt fence, ditch reconditioning 4 - W10B Soil Erosion Control - Silt fence, ditch reconditioning, shoulder repair 5 - W11B Soil Erosion Control - Silt fence, ditch reconditioning, shoulder repair, resurface

FR 604 - Quarry Road

FEDERAL HIGHWAY ADMINISTRATION, Federal Lands Highway

DAMAGE SURVEY REPORT (Supplemental Sheet) W8B W68 W9B W10B

W11B-FS604-E

Sheet No: 6 of 7

Disaster No:

Applicant: County: Bayfield State:

Facility Name: Mile Post: N/A to N/AFR 604 - Quarry Road

FEDERAL HIGHWAY ADMINISTRATION, Federal Lands Highway

DAMAGE SURVEY REPORT (Supplemental Sheet) W8B W68 W9B W10B

W11B-FS604-E

Sheet No: 7 of 7

Roadway

Coordinates Embankment Aggregate

Surface

Rte. North West DSR Ditch (ft) Length

(ft) Width (ft) Depth

(ft) Area

(sqyd) Volume (cuyd)

Depth

(in) Tons Remark Betterment

604 46.312 90.737 W8B Work Completed by others 604 46.319 90.740 W68 470 18 604 46.319 90.740 W68 470 604 46.321 90.739 W9B 185 18 604 46.321 90.739 W9B 185 604 46.322 90.740 W10B 1030 18 604 46.322 90.740 W10B 1030

604 46.322 90.740 W10B 110 604 46.322 90.740 W10B 300 5 1 56 6 54 Shoulder washout (One side) 604 46.322 90.740 W10B 200 20 24 580 Removal of washout material 604 46.326 90.740 W11B 380 18 760 6 248 Full width resurfacing 604 46.326 90.740 W11B 380 Ditch reconditioning (Right side) 604 46.326 90.740 W11B 380 Ditch reconditioning (Left side) 604 46.326 90.740 W11B 100 10 24 145 Removal of washout material

Totals 2555 760 56 1,027 480 Use 1,050 (CF)

Notes:

Unit Weight (Aggregate)= 145 lbs/cf

Drainage

Rte. North West DSR Existing Size

Pipe Cleaning

(ft)

Rem. of Pipe

Culvert (ft)

24" Pipe Culvert

36" Pipe Culvert

42" Pipe Culvert

Riprap, Class 3 (cuyd)

603 46.322 90.740 W10B 24" 2.67 Totals 0 0 3

Unit

Ditch Reconditioning LNFT Embankment/shoulder Cuyd Removal of Material Cuyd Resurfacing Tons

Ditch reconditioning (One side)

Remark

W10B, 11B W10B, 11B

DSR

Ditch reconditioning (One side)

Ditch reconditioning (One side)

Totals

W10B

County:

Bayfield /

Inspection Date:08/25/2016

Roadbed Reconditioning

Coordinates

W68, W9B, W10B, W11B

Resurfaced by others.

Resurfaced by others.

Resurfaced by others.

Ditch reconditioning (One side)

Work Description

FEDERAL HIGHWAY ADMINISTRATION, Federal Lands Highway DAMAGE SURVEY REPORT (Supplemental Sheet)

Location of Damage (Route No., Name of Road and Mile Post): FR 604 - Quarry Road ADT: <200

QUANTITY COMPUTATIONS

W8BW68W9BW10BW11B-FS604-E

(Title 23, Federal-Aid System/Federal Domain) Disaster No: WI2016-1-FS

Applicant: Chequamegon-Nicolet National Forest State: WI

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