HomeMy WebLinkAboutCulvert - Crystal Mist Rd. at Perlynn St.D GUGI41 L` IIIGISGUGJ' 1r141146O1110U1 L gVAICy
Project Worksheet
Declaration No.
FEMA- 1545 DA- FL
Project No.
7
FIPS No.
061-64825-00
Date
10/08/04
Category
C
Damaged Facility:
Culvert - Crystal Mist Road at Perlynn Street
Work Completed as of:
Date:
10/8/2004
PerCent:
0%
Applicant:
City of Sebastian
County:
Indian River
Location:
Culvert - Crystal Mist Road at Perlynn Street
Latitude:
27.76184
Longitude:
-80.49124
Damage Description & Dimensions:
Heavy rains and flooding washed out the bedding material around and under the culvert causing: (1)collapse of 44 LF culvert; (2)
failure/loss of the overlying pavement section (24' x 20', 55 SY); (3) loss of fill in shoulder (2 at 6'x3'xl.5', 2 CY).
Scope of Work:
(1) furnish and install 15" CMP (44 LF); (2) construct headwall and endwall using Class A concrete (4 CY); (3) perform excavation and
backfill (60 CY); (4) place aggregate base (30 CY); (5) place V asphalt binder course (3 Ton); (6) place 1/2" asphalt surface course (2 Ton);
(7) City employee labor.
SEE CONTINUATION SHEET)
Does the Scope of Work change the pre -disaster conditions at the site?
Special Considerations issues included?
Hazard Mitigation proposal included?
Is there insurance coverage on this facility?
YES ✓ NO
❑ YES ✓ NO
YES [Z NO
2 YES ❑ NO
Project Costs
Item Code Narrative Quant.
Unit Unit Price Cost
1 3050 CMP 15" (FURNISH AND INSTALL) 44
LF 28.00 1,232.00
2 3040 CONCRETE CLASS A (STRUCTURAL) 4
CY 540.00 2,160.00
3 3050 EXCAVATION AND BACKFILL 60
CY 7.50 450.00
4 3091 AGGREGATE BASE COURSE 30
CY 26.00 780.00
5 3120 BITUMINOUS CONCRETE BINDER CASE 3
TON 28.00 84.00
6 3130 BITUMINOUS CONCRETE SURFACE CASE 2
TON 40.00 80.00
7 9007 LABOR 1
LS 0.00
Total Costl $4,786.00
PREPARED BY:TITLE:
Project Officer
APPLICANT: Ci of Sebastian DATE:
10/8/2004
FEDERAL EMERGENCY MANAGEMENT AGENCY
SPECIAL CONSIDERATIONS QUESTIONS
APPLICANT: City of Sebastian DATE: 10/8/2004
FIDS #: 061.64825-00 PROD. # 7
1. Does the damaged facility or item of work have insurance and/or is it an insurable risk? (e.g.'buildings,equipment, vehicles, etc.)
❑YES ❑Q NO ❑UNSURE
Comments:
2. Is the damaged facility located within a floodplain or coastal high hazard area. or does it have an impact on a floodplain or wetland?
DYES QNO [-I UNSURE
Comments: Verified by check of FEMA FIRM No. 120123.0090-E
3. Is the damaged facility or item of work located within or adjacent to a Coastal Barrier Resource System Unit or an otherwise protected area?
DYES EDNO ❑UNSURE
Comments: Verified by check of FEMA FIRM No. 120123-0090-E
4. Will the proposed facility repairs/reconstruction change the pre -disaster condition? (e.g., footprint, material, location, capacity, use or function)
DYES [ONO ❑UNSURE p
Comments: IiI
5. Does the applicant have a hazard mitigation proposal or would the applicant like technical assistance for a hazard mitigation proposal?
❑YES 2 No ❑UNSURE
Comments: The applicant has not expressed interest in hazard mitigation.
6. Is the damaged facility on the National Register of Historic Places or the state historic listing? Is it older then 50 years? Are there more, similar
buildings near the site?
❑YES [ZNO ❑UNSURE
Comments:
7. Are there any pristine or undisturbed areas on, or near, the project site? Are there large tracts of forestland?
❑YES ❑✓ NO ❑UNSURE
Comments:
8. Are there any hazardous materials at or adjacent to the damaged facility and/or item of work?
❑YES ❑J NO ❑UNSURE
Comments:
9. Are there any other environmentally or controversial issues associated with the damaged facility and/or item of work?
❑YES NO ❑UNSURE
Comments:
COST SUMMARY
APPLICANT City of Sebastian
FIPS NO. 061-64825-00
PROJ. NO. 7
ITEM #
COST CODE UNIT $/ UNIT
SITE 1
SITE 2
SITE 3
SITE 4
SITES TOTAL UNITS TOTAL COST
1
3050 EA $28.00
44
0
0
0
0 44
$1,232
2
3040 EA $540.00
4
0
0
0
0 4
$2,160
3
3050 EA $7.50
60
0
0
0
0 60
$450
4
3091 EA $26.00
30
0
0
0
0 30
$780
5
3120 LF $28.00
3
0
0
0
0 3
$84
6
3130 EA $40.00
2
0
0
0
0 2
$80
7
9007 EA $0.00
1
0
0
0
0 1
$0
TOTAL
$4,786
ITEM #
DESCRIPTION
$/ UNIT
SOURCE OF COST
1
CMP 15" FURNISH AND INSTALL)
$28.00
FEMA 1545 Florida Cost Codes
2
CONCRETE CLASS A (STRUCTURAL)
$540.00
FEMA 1545 Florida Cost Codes
3
EXCAVATION AND BACKFILL
$7.50
FEMA 1545 Florida Cost Codes
4
AGGREGATE BASE COURSE
$26.00
FEMA 1545 Florida Cost Codes
5
BITUMINOUS CONCRETE BINDER CASE
$28.00
FEMA 1545 Florida Cost Codes
6
BITUMINOUS CONCRETE SURFACE CASE
$40.00
FEMA 1545 Florida Cost Codes
7
LABOR
$0.00
City of Sebastian
HAZARD
MITIGATION
SITE 1
$0
TOTAL
I $0
City of Sebastian
Road Culvert
_ Greg Schell
1011812004
Quantity Estimate
1. Pavement Subbase
w 24.00
It
L 20.00
Area, A 480.00
ift
Isf
Area, A 53.33
th 18.00
ISY
lin _ I
th 0.50
YD
Vol 26.67
ICY _
Use 30 CY
2. Excavation and Backfill
trench base 4.50
Ift
trench top 20.00
ft
trench depth 5.25
•ft
trench area, to 64.31
Isf
pipe area, pa 7.07
sf _
fill area, fa = to - pa 57.24
sf
covered length, cl 39.00
ft
Vol Trench 2232.51
Vol Trench 82.69
CY
Volume Subbase 26.67
ICY
Vol Exc & Backfill 56.02
CY _
Use 60 CY
3. Pavement - Base Course
_
w 24.00
ft T-
L 20.00
ft
Area, A 480.00
sf
Area, A 53.33
SY
th 1.00
in
th 0.03
YD
Vol 1.48
CY
Weight 2.73
(asphalt = 1.84 ton/CY)
Use 3 Tons
4. Pavement - Surface Course
w 24.00
ft
L 20.00
ft _
Area, A 480.00
sf
Area, A 53.33
Sy
th 0.50
in
th 0.01
YD
Vol 0.74
CY
Wei ht 1.36
(as halt = 1.84 ton/CY
Use 2 Tons
ro
'3cte7S
30-h
174 f
CLIENT JOB NO.
PROJECT _,.1/�d'ri✓ S DATE CHECKED
DETAIL _ (F/riA4 CHECKED BY
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PAGE NO.
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PAGE NO. 42VY
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FEDERAL EMERGENCY MANAGEMENT AGENCY
LOCATION MAP
APPLICANT: City of Sebastian DATE: 10/8/2004 1
FIPS #: 0 PROD. # 7 1
Culvert - Crystal Mist at Pen➢ynn
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