Report_DSR_STIS_007_Weed_Road_Seawall.pdf
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Report_DSR_STIS 007_Weed Road Seawall
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Text version
Bonnie.Dubose Text Box
PMIS# 197289
Sheet No: 1 of 5
DSR No:
Disaster No:
County: Latitude:
State: Longitude:
Road Name: Mile Post:
Maint. Level:
Type: Traveled Way Width: Surface Type: Thickness: ADT:
ID#: Shoulder Width: Surface Type: Thickness: Inspection Date:
Unit Unit Price
Unit Unit Price
LPSM
LNFT
Eligible Ineligible
Eligible Ineligible
FEDERAL HIGHWAY ADMINISTRATION, Federal Lands Highway
DAMAGE SURVEY REPORT STIS 007
(Title 23, Federal-Aid System/Federal Domain) NY2013-1-NPS
COST ESTIMATE for EMERGENCY REPAIRS* Quantity Item Description Cost
14-Nov-12
Classification:Road Data:Bridge Data:
74.058 W
Richmond County
New York
Weed Road Parking "D"
Applicant:
Agency:
Road No.
Blair Jones, Herman Ramos, Mounir Abouzakhm
FHWA-EFLHD
Adjacent to 0963D
$0
Description and Cause of Damage:
Stone seawall around Battery Weed was displaced and in places destroyed from Sandy's storm surge and violent waves
Scope/Description of Repair:
-reset stones -backfill
$0 $0
$0 $0
Proposed: Force Account Contract Total Emergency Repairs $0
COST ESTIMATE for PERMANENT REPAIRS* Quantity Item Description Cost
$0 $0
$0 $0
1 Mobilization 500 Repair Seawall
$0 $0
$0 $0
$0 $0
$0 $0
*Attach Supplemental Sheets if necessary * Must be filled in
40.601 N
Signature: Date:
Reviewed By: (Name and Title) Signature: Date:
Identify Betterment, if any, and provide justification*
Submitted By: (Name and Title)*
Preliminary Engineering
Construction Engineering
Right-of-Way
Other
TOTAL ESTIMATED COST
(Emergency and Permanent Repairs)
Subtotal Permanent Repairs (continuation sheet) $0
$0 $0
Recommended By:* Eric Wright, EFLHD ERFO Coordinator Signature: Date:
Proposed: Force Account Contract Total Permanent Repairs
$0 $0
Sheet No: 2 of 5
DSR No:
Disaster No:
Applicant: County: Richmond County State:
Road No. Mile Post: 0
New York
FEDERAL HIGHWAY ADMINISTRATION, Federal Lands Highway
DAMAGE SURVEY REPORT (Supplemental Sheet) STIS 007
(Title 23, Federal-Aid System/Federal Domain) NY2013-1-NPS
Adjacent to 0963D
Blair Jones, Herman Ramos, Mounir Abouzakhm
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