A22 21Q77 Stugeon Lk Scope of Work Attachments.pdf

ATTACHMENTS

Attachment 1 – ENG Form 4025, Submittal Transmittal Form

Attachment 2 – R45 Gradation Curve

Attachment 3 – Riprap Gradation Analysis Worksheet, Method A

Attachment 4 – Riprap Gradation Analysis Worksheet, Method B

Attachment 5 – Sample Submittal Register

Attachment 6 – USGS Diamond Bluff West Quadrangle Sheet

Attachment 1 – ENG Form 4025, Submittal Transmittal Form

ENG FORM 4025, MAY 2017 PREVIOUS EDITIONS ARE OBSOLETE. Page 1 of 2

U.S. Army Corps of Engineers (USACE)

TRANSMITTAL OF SHOP DRAWINGS, EQUIPMENT DATA, MATERIAL SAMPLES, OR

MANUFACTURER'S CERTIFICATES OF COMPLIANCE

For use of this form, see ER 415-1-10; the proponent agency is CECW-CE.

DATE TRANSMITTAL NO.

SECTION I - REQUEST FOR APPROVAL OF THE FOLLOWING ITEMS (This section will be initiated by the contractor)

TO:

PROJECT TITLE AND LOCATIONSPECIFICATION SEC. NO. (Cover only one section with each transmittal)

FROM: CONTRACT NO. CHECK ONE:

THIS TRANSMITTAL IS FOR: (Check one)

THIS IS A NEW TRANSMITTAL

THIS IS A RESUBMITTAL OF

TRANSMITTAL

FIO GA DA CR DA/CR DA/GA

ITEM

NO.

(See

Note 3)

USACE

ACTION

CODE

(Note 9)

SUBMITTAL

TYPE CODE

(See Note 8)

NO.

OF

COPIES

SPEC.

PARA. NO.

DRAWING

SHEET NO.

CONTRACTOR

REVIEW

CODE

VARIATION

Enter "Y" if requesting a variation

(See Note 6)

DESCRIPTION OF SUBMITTAL ITEM

(Type size, model number/etc.)

a. i.c. d. e. f. g. h.b.

CONTRACT DOCUMENT

REFERENCE

REMARKS

SECTION II - APPROVAL ACTION

I certify that the above submitted items had been reviewed in detail and are correct and in strict conformance with the contract drawings and specifications except as otherwise stated.

NAME OF CONTRACTOR SIGNATURE OF CONTRACTOR

NAME AND TITLE OF APPROVING AUTHORITY SIGNATURE OF APPROVING AUTHORITY DATEENCLOSURES RETURNED (List by item No.)

ENG FORM 4025, MAY 2017 Page 2 of 2

INSTRUCTIONS

1. Section I will be initiated by the Contractor in the required number of copies.

2. Each Transmittal shall be numbered consecutively. The Transmittal Number typically includes two parts separated by a dash (-). The first part is the specification section number. The second part is a sequential number for the submittals under that spec section. If the Transmittal is a resubmittal, then add a decimal point to the end of the original Transmittal Number and begin numbering the resubmittal packages sequentially after the decimal.

3. The "Item No." for each entry on this form will be the same "Item No." as indicated on ENG FORM 4288-R.

4. Submittals requiring expeditious handling will be submitted on a separate ENG Form 4025-R.

5. Items transmitted on each transmittal form will be from the same specification section. Do not combine submittal information from different specification sections in a single transmittal.

6. If the data submitted are intentionally in variance with the contract requirements, indicate a variation in column h, and enter a statement in the Remarks block describing he detailed reason for the variation.

7. ENG Form 4025-R is self-transmitting - a letter of transmittal is not required.

8. When submittal items are transmitted, indicate the "Submittal Type" (SD-01 through SD-11) in column c of Section I.

Submittal types are the following:

SD-01 - Preconstruction SD-02 - Shop Drawings SD-03 - Product Data SD-04 - Samples SD-05 - Design Data SD-06 - Test Reports

SD-07 - Certificates SD-08 - Manufacturer's Instructions SD-09 - Manufacturer's Field Reports SD-10 - O&M Data SD-11 - Closeout

9. For each submittal item, the Contractor will assign Submittal Action Codes in column g of Section I. The U.S. Army Corps of Engineers approving authority will assign Submittal

Action Codes in column i of Section I. The Submittal Action Codes are:

A -- Approved as submitted.

B -- Approved, except as noted on drawings. Resubmission not required.

C -- Approved, except as noted on drawings. Refer to attached comments.

Resubmission required.

D -- Will be returned by separate correspondence.

E -- Disapproved. Refer to attached comments.

10. Approval of items does not relieve the contractor from complying with all the requirements of the contract.

F -- Receipt acknowledged.

X -- Receipt acknowledged, does not comply with contract requirements, as noted.

G -- Other action required (Specify)

K -- Government concurs with intermediate design. (For D-B contracts)

R -- Design submittal is acceptable for release for construction. (For D-B contracts)

Attachment 2 – R45 Gradation Curve

Attachment 3 – Riprap Gradation Analysis Worksheet, Method A

WORK SHEET FOR GRADATION ANALYSIS OF RIPRAP

METHOD A

Project Name: Date:

Riprap Type: Test No.

Source, Quarry, or Pit:

Sample Location: Test Made By:

Part 1. Weigh all stones larger than 5 pounds and record.

(1) PASSING WT. 5 lbs.

(2) RETAINED WT. 5 lbs. PAN

(3) ------- -------

(4) TOTALS

Rows (1) & (2) Enter 5 to 7 weight classes to yield approx. 75%, 50%, 30%, and 15% finer points.

Row (3) List weight of each stone. Attach additional sheets if necessary.

Row (4) Add all individual stone weights listed in each column.

Part 2. Summary Table.

(5) WEIGHT CLASSES (6) (7) (8)

PASSING RETAINED TOTAL WEIGHT CUMMULATIVE TOTAL PERCENT

(stone wt. (stone wt. EACH CLASS WEIGHT PASSING PASSING in lbs.) in lbs.) (lbs.) (lbs.) (%)

5 lbs.

5 lbs. PAN

SAMPLE TOTAL -------- --------

Column (5) Enter same weight classes used in Rows (1) and (2).

Column (6) Enter weights of material from Row (4) Column (7) Add column (6) from bottom up to get cumulative weight passing.

Column (8) Divide column (7) by sample total to get total percent passing.

Attachment 4 – Riprap Gradation Analysis Worksheet, Method B

WORK SHEET FOR GRADATION ANALYSIS OF RIPRAP

METHOD B

Project Name: Date:

Riprap Type: Test No.

Source, Quarry, or Pit:

Sample Location: Test Made By:

Part 1. Separate rock into 5 to 7 piles, ordered by size. The largest pile should contain 2 to 5 stones. Intermediate piles between the largest stones and those smaller than 5 pounds should be approximately equal in total weight. Separate all stones before weighing.

Part 2. Summary Table.

(1) WEIGHT CLASSES (2) (3) (4)

PASSING RETAINED TOTAL WEIGHT CUMMULATIVE TOTAL PERCENT

(stone wt. (stone wt. EACH CLASS WEIGHT PASSING PASSING in lbs.) in lbs.) (lbs.) (lbs.) (%)

5 lbs.

5 lbs. PAN

SAMPLE TOTAL -------- --------

Column (1) Weight the smallest and largest stone in each pile. If weight classes overlap, adjust stones as necessary and repeat.

Column (2) Weigh the total amount of rock in each pile and record.

Column (3) Add column (2) from bottom up to get cumulative weight passing.

Column (4) Divide column (3) by sample total to get total percent passing.

Attachment 5 – Sample Submittal Register

SUBMIT

APPROVAL

NEEDED BY

MATERIAL

NEEDED BY

A

C

T

I

O

N

C

D

E

DATE OF

ACTION

DATE

FWD

TO

APPR

AUTH/

DATE

RCD

FROM

CONTR

DATE FWD

TO OTHER

REVIEWER

DATE RCD

FROM OTH

REVIEWER

A

C

T

I

D

E

DATE OF

ACTION

(a) (b) (c ) (d) (e ) (f) (g) (h) (i) (j) (k) (l) (m) (n) (o) (p) (q) (r )

Submittal Register 1.3.3 G

Material Source 2.2.1 G

Method of Processing Riprap 2.1.5 G

Gradation Test Results 2.4 G

Weighing Operation Plan 1.4.3 G

Delivery Tickets 1.4.2 G

Scale Accuracy Certification 1.4.1 G

Daily Delivery Report 1.4.2 G

Pre‐Delivery Site Survey 3.7 G

MAILED

TO

CONTR/

DATE RCD

FRM APPR

AUTH REMARKS

SAMPLE SUBMITTAL REGISTER CONTRACT NO.

CONTRACTOR: TITLE AND LOCATION

Sturgeon Island Erosion Project ‐ Rock Supply

P

A

R

A

G

R

A

P

H

C

L

A

S

S

I

F

I

C

A

T

I

G

V

T

R

A

E

R

V

W

R

CONTRACTOR

SCHEDULE DATES

CONTRACTOR

ACTION APPROVING AUTHORITY

A

C

T

I

V

I

T

Y

T

R

A

N

S

M

I

T

T

A

L

S

P

S

C

T

DESCRIPTION

ITEM SUBMITTED

Attachment 6 – USGS Diamond Bluff West Quadrangle Sheet

564TH AVE

560TH AVE

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570TH AVE

TH

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490TH AVE

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1220TH ST

1180TH ST

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470TH AVE

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1130TH ST

TH

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218TH ST E

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155TH AVENUE WAY

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375TH AVE

200TH ST E

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522ND AVE

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1050TH ST

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205TH ST E

HOLST RD

320TH AVE

CHURCH RD

468TH AVE

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WA

N

AV

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D

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FIE

LD

RD

FR

AZ

IER

ST

CO 18 BLVD

500TH AVE

478TH ST

497TH AVE

TH

AVE

5T

H S T

PRAIRIE ISLAND BLVD

TH

ST

1115TH ST

1208TH ST

435TH AVE

STURGEON LAKE RD

4T

H AVE

145TH AVE

1055TH ST

DAKOTA

CIR

290TH AVE

NSP RD

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A

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QU

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530TH AVE

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190TH STREET WAY

550TH AVE

CROSS TOWN RD

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560TH AVE

566TH AVE

TH

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RD

E

MISSISSIPPI NATIONAL

RIVER AND

RECREATION AREA

DAKOTA CO

DA KO TA CO

PIERCE CO

GOODHUE CO

PIERCE CO

GOODHUE CO

WISCONSIN

MINNESOTA

Hardy Run

Rattling Springs

Buffalo Slough

Wood Slough

Sharp Muskrat

Lake

Twin Lakes

.20 Reservoir

Mud Hen Lake

Big Rive r

Vermillion River

0.22 Reservoir

Sturgeon Lake

Lower Rattling

Springs Lake

Vermillion River Spring

Banks Lake

Ja ckson Run

Larson Lake

Mississippi River

W ind River

North Lake

W ind River

Carter Slough

Mississippi Riv er

Brewer Lake

Mississippi River

Miley Run

Bi g R iv e r

Upper Rattling Springs Lake

Mississippi River

Clear Lake

Prairie Island Cem

M o r g a n C o u l e e

RED WING

Eagle Point

Dry Run

Coul ee

Prairie Island

Stroms

Etter

4955000mN

4942000mN

21 22 23 24 25 26 27 2820 529000mE

21 22 23 24 25 26 27 28520000mE 29

44.6250°

44.7500° -92.7500° -92.6250°

44.7500°

44.6250°-92.6250°-92.7500°

4 2

117 10

T113N R15W

T113N R15WT113N R16W

T115N R16W

T114N R15W

T114N R16W

QUADRANGLE LOCATION

DIAMOND BLUFF WEST QUADRANGLE

WISCONSIN - MINNESOTA

7.5-MINUTE SERIES

DIAMOND BLUFF WEST, WI, MN

Expressway Local Connector

ROAD CLASSIFICATION

Ramp 4WD Secondary Hwy Local Road

Interstate Route State RouteUS RouteWX ./ H

U.S. DEPARTMENT OF THE INTERIOR

U.S. GEOLOGICAL SURVEY

This map was produced to conform with the National Geospatial Program US Topo Product Standard, 2011.

A metadata file associated with this product is draft version 0.6.18

CONTOUR INTERVAL 20 FEET

NORTH AMERICAN VERTICAL DATUM OF 1988

SCALE 1:24 000

1000 500 0 METERS 1000 2000

21KILOMETERS00.51

1 0.5 0

MILES

1000 0 1000 2000 3000 4000 5000 6000 7000 8000 9000 10000

FEET

Ø

GN

MN

0°13´

4 MILS

0°20´

6 MILS

UTM GRID AND 2019 MAGNETIC NORTH

DECLINATION AT CENTER OF SHEET

WK

Grid Zone Designation 15T

U.S. National Grid 100,000 - m Square ID

WISCONSIN

1 Prescott

8 Red Wing

2 River Falls West 3 River Falls East 4 Hastings 5 Diamond Bluff East 6 Miesville 7 Welch

ADJOINING QUADRANGLES

Imagery.....................................................NAIP, July 2017 - November 2017 Roads......................................... U.S. Census Bureau, 2015 - 2018 Names............................................................................GNIS, 1980 - 2018 Hydrography...............................National Hydrography Dataset, 2002 - 2018 Contours............................................National Elevation Dataset, 1998 - 2016 Boundaries..............Multiple sources; see metadata file 2016 - 2017 Public Land Survey System................................................BLM, 2015 - 2018 Wetlands.................FWS National Wetlands Inventory 2001 - 2010

North American Datum of 1983 (NAD83) World Geodetic System of 1984 (WGS84). Projection and 1 000-meter grid:Universal Transverse Mercator, Zone 15T

Produced by the United States Geological Survey

This map is not a legal document. Boundaries may be generalized for this map scale. Private lands within government reservations may not be shown. Obtain permission before entering private lands.

N

SN

N G

A R

EF

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G S

X

K b6edjru1 Inserted Text b6edjru1 Text Box Sturgeon Lake Boat Ramp b6edjru1 Line b6edjru1 Oval