Damage_Survey_Report_W2_W60_W61-C.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_W2 W60 W61-C
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Text version
Sheet No: 1 of 5
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 $
Eligible Ineligible
Eligible Ineligible
17,000
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) Rte. 187, Mineral Lake Road from MP 0 to MP 8.10 (Beginning at Lat 46°17'54.56", Long 90°48'45.12")
ADT: <200
W2/W3/W60/W61-FS187-C
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)
17,200
6,800 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
CLEANING CULVERTS IN PLACE
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 $0
$0 Construction Engineering
Proposed: Force Account Contract Total Permanent Repairs Preliminary EngineeringIdentify Betterment, if any, and provide justification*
KATERINA ROMAN GONZALEZ
Digitally signed by KATERINA ROMAN GONZALEZ DN: c=US, o=U.S. Government, ou=DOT FHWASterlingVA, ou=FHWA FHWASterlingVA, cn=KATERINA ROMAN GONZALEZ Date: 2016.10.11 12:48:46 -04'00'
Sheet No: 2 of 5
Disaster No:
Applicant: County: 0 State:
Facility Name: Mile Post:
Picture 1. Right Shoulder washout along Rte. 187
Picture 2. Left shoulder washout along Rte. 187
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 5
Disaster No:
Applicant: County: 0 State:
Facility Name: Mile Post:
Picture 3. Right shoulder washout with exposed concrete pipe culvert
Picture 4. Shoulder washout along Rte. 187
0 0
FEDERAL HIGHWAY ADMINISTRATION, Federal Lands Highway
DAMAGE SURVEY REPORT (Supplemental Sheet) 0
(Title 23, Federal-Aid System/Federal Domain) 0
Sheet No: 4 of 5
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
Rte. 187
Sheet No: 5 of 5
Roadway Roadbed Reconditioning Embankment
Aggregate Surface
Rte. MP. DSR Length (ft) Width (ft) Depth (ft) Area (sqyd) Volume (cuyd) Depth Tons Remark Betterment 187 0.00 W2 550 11 0 0 6 227 Shoulder resurfacing 187 0.25 S1 200 0 0 6 0 No damages observed 187 0.25 S1 200 0 0 6 0 No damages observed 187 0.35 650 12 3 867 867 6 293 Shoulder washout RT 187 0.35 650 8 3 578 578 6 195 Shoulder washout LT 187 0.60 250 5 1.5 139 69 6 47 Shoulder washout RT 187 0.90 250 12 3 333 333 3 56 Shoulder washout RT 187 0.90 250 5 139 0 6 47 Shoulder washout LT (MINOR) 187 1.30 600 12 3 800 800 6 270 Shoulder washout RT
187 1.30 2000 12.5 5.5 2778 5093 6 938 Shoulder washout LT 187 1.50 W3 600 11 4 733 978 6 248 Shoulder washout near BRIDGE 187 1.80 1500 4 3 667 667 6 225 Shoulder washout RT 187 2.20 15 3 0 0 6 2 Shoulder washout RT (MINOR) 187 2.20 15 3 0 0 6 2 Shoulder washout LT (MINOR) 187 2.30 35 6 0.5 23 4 6 8 Shoulder washout LT 187 2.60 200 0 0 3 0 Shoulder washout LT (MINOR)
187 2.90 C38 0 0 0 TEMPORARY REPAIR
187 3.00 300 10 2 333 222 6 113 Shoulder washout RT 187 3.00 300 5 1.5 167 83 6 56 Shoulder washout LT 187 3.10 150 2 3 33 33 6 11 Shoulder washout RT 187 3.30 W61 400 5 1 222 74 3 38 Shoulder washout LT (MINOR) 187 3.30 W61 400 5 1 222 74 3 38 Shoulder washout RT (MINOR) 187 3.45 300 5 2 167 111 6 56 Shoulder washout RT 187 3.60 W60 500 8 3 444 444 6 150 Shoulder washout RT 187 3.60 W60 300 22 0 0 6 248 Full width resurfacing 187 4.00 300 5 2 167 111 6 56 Shoulder washout RT 187 4.00 300 3 1 100 33 6 34 Shoulder washout LT 187 4.15 750 12.5 4 1042 1389 6 352 Shoulder washout RT 187 4.35 300 4 1 133 44 6 45 Shoulder washout LT 187 4.70 250 10 5 278 463 6 94 Shoulder washout RT 187 4.70 100 5 1.5 56 28 6 19 Shoulder washout RT 187 4.70 250 22 1.5 611 306 6 206 Full width resurfacing 187 4.80 200 22 0 0 6 165 Full width resurfacing 187 5.00 150 5 2 83 56 6 28 Shoulder washout RT 187 5.00 150 5 2 83 56 6 28 Shoulder washout LT 187 5.10 300 12 1.5 400 200 6 135 Shoulder washout 187 5.20 250 5 1.5 139 69 6 47 Shoulder washout LT 187 5.40 200 22 0 3 83 Full width resurfacing 187 5.55 1400 8 2 1244 830 6 420 Shoulder washout LT 187 5.55 1000 8 3 889 889 6 300 Shoulder washout RT 187 6.10 400 5 1 222 74 6 75 Shoulder washout RT 187 6.10 800 8 1 711 237 6 240 Shoulder washout LT 187 6.50 200 3 1 67 22 6 23 Shoulder washout RT 187 6.70 2000 8 3 1778 1778 6 600 Shoulder washout LT 187 7.00 500 5 1 278 93 6 94 Shoulder washout LT 187 7.30 400 5 0 0 6 75 Resurfacing LT 187 7.50 500 4 0 0 6 75 Resurfacing LT 187 7.50 500 4 0 0 6 75 Resurfacing RT 187 7.60 400 5 0 0 6 75 Resurfacing LT 187 7.80 200 5 0 0 6 38 Resurfacing LT 187 7.80 200 5 0 0 6 38 Resurfacing RT
187 8.10 500 5 0 0 6 94 Resurfacing LT Totals 16926 17,108 6,775
19465
Drainage
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)
187 0.2 S1 5' X 7' CMP UNDER A PREVIOUS CONTRACT
187 0.35 18" 35 35 2 Concrete
187 1.7 24" 50 50 5 CMP
187 1.8 18" DAMAGES, NOT STORM RELATED
187 2.2 28" x 18" 30 30 5 CMP
187 2.3 21" X 15" 35 35 5 CMP
187 2.9 C38 21" x 15" TEMPORARY REPAIR
187 4 35 5 CMP
187 4.3 S2 WENDY/ASHLEY TEAM
187 5.1 27" x 21" 55 55 5 CMP 187 6.7 20" x 14" 35 35 2 CMP
Totals 35 240 70 170 0 28
FEDERAL HIGHWAY ADMINISTRATION, Federal Lands Highway DAMAGE SURVEY REPORT (Supplemental Sheet)
(Title 23, Federal-Aid System/Federal Domain) Disaster No:
Applicant: County: State: Inspection Date:
Location of Damage (Route No., Name of Road and Mile Post) ADT:
QUANTITY COMPUTATIONS
Y New Culvert
Y Rdwy
Relocation
Remark
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