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HomeMy WebLinkAbout20151493.tiff RESOLUTION RE: APPROVE COMMUNITY DEVELOPMENT BLOCK GRANT APPLICATION FOR ROADS(FEMA)AND AUTHORIZE CHAIR TO SIGN WHEREAS,the Board of County Commissioners of Weld County,Colorado,pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County,Colorado,and WHEREAS,the Board has been presented with a Community Development Block Grant Application for Roads(FEMA)from the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County,to the Colorado Department of Public Safety, Division of Homeland Security and Emergency Management, commencing upon full execution, with further terms and conditions being as stated in said application,and WHEREAS, after review, the Board deems it advisable to approve said application, a copy of which is attached hereto and incorporated herein by reference. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the Community Development Block Grant Application for Roads (FEMA) from the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, to the Colorado Department of Public Safety, Division of Homeland Security and Emergency Management,be,and hereby is,approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said application. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 27th day of May,A.D.,2015. BOARD OF COUNTY COMMISSIONERS WELD COUNTY,COLORADO ATTEST: 6'4Z1L V Cd r�J_; ! EXCUSED CU1.G�W/ Kf� K Barbara Kirkmeyer,Chair Weld County Clerk to the Board Mike Freeman, Pro-Tern BY: • De. J, Clerk to the B•=rd - • • Sean P.Conway APPROV AS TO FOR . �y -'Julie A.Cozad t iii 1 a1¢ County Attorney % EXCUSED Steve Moreno Date of signature: ..,. ♦�r'� 2015-1493 CC, OEM; AC.cl- Vaz EM0016 BC0045 5; ;� Colorado Division of Homeland Security Grant NOI / Application g 14 Emergency Management CDBG - DR Recover Colorado Infrastructure Program THIS SECTION FOR STATE USE ONLY DHSEM Identification Number: Colorado Point of Contact: CDBG-DR Program Manager Date NO1 (Part A) Received: Colorado DHSEM 9195 East Mineral Avenue, Suite 200 Date Application (Part B) Received: Centennial, Colorado 80112 Office: 720.852.6713 Date Next Steps Letter Transmitted: Fax: 720.852.6750 cdps dhsem cdbg@state.co.us I PART A - NOI: PROJECT OVERVIEW 1 . Applicant Legal Name: Weld County. Colorado 2. Applicant Type: ✓ Local Government Private Non-Profit (Attach copy of 501c3, if applicable) 3. Project Title: (6) - County Match FEMA Projects - WELCO03 (643) 4. Proposed Project Total Cost: 590.298.26 CDBG-DR-I Request: 73. 787.28 5. Certifications: The undersigned assures fulfillment of all requirements of the CDBG-DR Recover Colorado Infrastructure Program as contained in the program guidelines and that all information contained herein is true and correct to the best of my knowledge. The governing body of the applicant has duly authorized the document, commits to the non-Federal and State share identified in the Budget, and hereby applies for the assistance documented in this application. Also, the applicant understands that the project may proceed ONLY AFTER a GRANT AGREEEMENT is approved Mike Freeman , Pro—Tem Weld County Commissioner (970) 356-4000 Typed Name of Authorized Applicant Agent flth' Telephone Number MAY 272015 Signature ofAuthorized Applicant Agent Date Signed 2015- 1493 Attach any continuations or additional items as an Attachment to the electronic application and e-mail aihmittal. Page 1 of 20 INS CDBG-DR Infrastructure Application Colorado Division of Homeland Security and Emergency Management PART A - NOI: APPLICANT INFORMATION 1 . Applicant Legal Name: Weld County. Colorado 2. FIPS Code: 123 DUNS Number: 07575-7955 3. U.S. Congressional District: 4th Congressman Name: 4. State Senatorial District: 1 Senator Name: Mr. Cory Gardner 5. State Legislative District: 50 Representative Name: Mr, Ken Buck 6. Primary Point of'Contact: The Primary Point of Contact is the person responsible for coordinating the implementation of this proposal, if approval is granted. Ms. ll Mr. 0 Mrs. . First Name: Roy Last Name: Rudisill title: Director Organization: Weld County Office of Emergency Managemc Street Address: 1 150 O Street City: Greeley state: Colorado Zip Code: 80631 Telephone: ( i / u ) itat Fax: ( i / U )bbb- / 6 Mobile: (9 / U, 38 -U E-mail Address: rrudisil l(a�co.weld . co 7. Alternate Point of Contact: The Alternate Point of Contact is the person that can address questions or concerns in the Primary Point of Contact's absence. \ k V Mr. Mis.JI First Name: Barb Last Name: Connolly Title: Controller Organization: Weld County Accounting Street Address: 1 150 O Street City: Greeley State: Colorado Zip Code: 80631 Telephone: ( 5 / u )it3 I I . \: (J f upolo- ( 6 Mobile: E-mail Address: bconnolly(C�co .weld . 8. Application Prepared by: Ms. III Mr. ✓ Mrs . First Name: Kyle Last Name: Jones Title: Planner Organization: ARCADIS-US Street Address: City: Tallahass( State: FL Zip Code: 32309 Telephone: (bDU ) Ob I , x: Mobile: (22b) 202-3 E-mail Address: kyle. iones(aarcadis- 9. Authorized Applicant Agent: Ms. 0 Mr. Mt s. . First Name: Barbara I .a t \um . Kirkmeyer Title: COMMiSSii Organization: Weld County Street Address: 1150 O Street, P . O . Box 758 City: Greeley State: Colorado Lip Code: 80631 Telephone: M U).5O6 I . v Mobile: E-mail Address: bkirkmeyer(c�co .welc The Authorized Applicant Agent MUST be the chief executive officer, mayor, etc. This person must be able to sign contracts, authorize funding allocations or payments, etc. I Attach any continuations or additional items as an Attachment to the electronic application and e-mail submittal. Page 2 of 20 4 I CDBG-DR Infrastructure Application Colorado Division of Homeland Security and Emergency Management PART A - NOI: PROJECT DESCRIPTION & NATIONAL OBJECTIVES MET 1. Project — Eligible Activity Description: Describe the proposed project. Explain how the proposed project will address recovery and/or resilience needs in your community either independently or as part of a larger project. Include a description of the desired outcome and the recovery objective(s) to be achieved. This narrative should describe the CDBG-DR Eligible Activity. In an effort to achieve resiliency from the severe storms and minimize risk to the general public, Weld County addressed severe damage to local roadways, bridges. culverts, removed hazardous roadway debris, made emergency repairs to paved and gravel roadways , addressed river embankments/dangerous conditions to the public and made repairs to emergency response vehicles that were damaged during the Incident Period . FEMA Categories A, B , C , and E were addressed in the Weld County FEMA Match . CDBG funds are needed to be applied towards the Weld County FEMA Local Match for the emergency work that was identified on previously submitted Project Worksheets . All projects covered under the Weld County Project Worksheets were vital for Weld County to clear hazardous debris from roadways/creeks/streams and enhance their infrastructure , river embankments, equipment and roadways . This particular NOI/Application will discuss %MCI flnnQ /G4 '? \ The-. Drninr+ 1A /rn-lzninne-d- in rl++r.nknr1 nnr1 nnr,+nine rirdr, lIr,r1 r'r.r\rmr, r.f t.,r,rle Q 2. Site / Physical Location: Describe the area(s) affected/protected by this project, including location by complete street address and longitude and latitude (coordinates in decimal degrees). The latitude is 40 .409550 and longitude is - 104 .650180 . The attached spreadsheet shows the Lat/Long coordinates for all of the Project Worksheets and depicts the damage site locations as identified in the correlating Project Worksheets . 3. Population Served: Briefly describe the demographics of the population served or protected by this project. Include the percent of the overall community population benefiting from this project. Explain your response. An estimated 90% or more of the community benefited from the proactive work by Weld County and the removal of hazardous debris and the emergency work/repairs made to the roadways, bridges, equipment and culverts. The population benefiting from this Match Project will include an LMI level population percentage that will be directly or indirectly impacted through this project. This NOI and the associated PW impacted the entire County and demographic area . White : 67 .6% , Hispanic: 28 . 3% , Other: 1 . 6% , Asian : 1 . 3% , Black : 0 .8% , Native American : 0 .4% . Weld County consists of 99, 317 households with a median louse io c income o- S56 589 an -h majority o- W o un :v is own r-o cooler wi- i 4. Priority of this Project: If you are submitting more than one CDBG-DR Infrastructure NOI, what is the relative priority of this project? Please indicate the priority as: Priority # of## Projects Submitted. Priority 9 of 36 Projects Submitted . Attach any continuations or additional items as an Attachment to the electronic application and e-mail submittal. Page 3 of 20 CDBG-DR Infrastructure Application Colorado Division of Homeland Security and Emergency Management PART A - NOI: CDBG-DR FUNDING QUALIFICATIONS Community Development Block Grant — Disaster Recovery (CDBG-DR) funding can be approved for a project in which ALL of the following requirements are met The physical location of the activity must be within a county listed in Table 1 of the program Recover Colorado Infrastructure Grant Program Guidelines (Guidelines). 1. Connection to Disaster Recovery CDBG's Disaster Recovery funds must be used for necessary expenses related to disaster relief, long-term recovery, restoration of infrastructure and housing, economic revitalization, and mitigation from future damages.. The activity must show a direct link to damages received during one or more of the events listed in Table 1 of the Guidelines. Please provide a brief explanation of how the proposed acquisition activity: (1) was a result of the disaster event; (2) will restore infrastructure or revitalize the economy; or will (3) mitigate future damages. During the incident period of September 11 , 2013 to September 30 , 2013 , Weld County, Colorado received heavy rainfall and debris in the creeks, streams and rivers which caused surface gravel removal and scour damage to numerous roads and bridges in Weld County. This NOI Application request addresses emergency work and the damages that were a nnni •.n • 4- . . ..fir., 14. „ C 2. Compliance sr ith National Objectives State recipients receiving allocations under the CDBG-DR program must certify that their projected use of funds will ensure, and maintain evidence, that each of its activities assisted with CDBG-DR funds meets at least one of the three National Objectives. a) Which of the National Objectives are met by proposed project? Will benefit low and moderate income (LMI) persons; or Will aid in the prevention or elimination of slums or blight; or V Is an Urgent Need in which meet community development needs having a particular urgency because existing conditions pose a serious and immediate threat to the health or welfare of the community where other financial resources are not available to meet such needs. b) How will the proposed project meet the above checked National Objective(s). See attached LMI data for the Project. In addition to the LMI data attached , the State of Colorado (according to ACS 2008-2012 5Y ) lists Weld County at a 41 . 0% LMI . In reviewing the LMI data for this Project NOI , the PW associated LMI % was 78 .21 % . However, this percentage does not accurately capture the total number of service areas that are either directly or indirectly impacted by the FEMA Match Projects . The entire community benefited from the proactive emergency work by Weld County and the removal of hazardous debris and the work/repairs made to the roadways , bridges, equipment and culverts thus the County believes that a higher LMI % should be given for this FEMA match Projects . The general vicinity of FEMA Match Projects encompasses the entire County and greatly benefits the entire LMI population for this project, which is why the County believes that this project not only meets, but exceeds the 50% requirement for meeting the National Objective . The emergency work/repairs that were made under the WELCO PW's for the Local FEMA Match drastically reduced hazardous conditions for the general public and enabled Weld County to focus on resiliency efforts post storm . It is believed that the service area for Project Site Locations benefited multiple LMI tract sections and thus a higher weighted percentage of over 50% should be noted for this a Attach any continuations or additional items as an Attachment to the electronic application and e-mail submittal. Page 4 of 20 CDBG-DR Infrastructure Application Colorado Division of Homeland Security and Emergency Management 3. Compliance with the primary objective. As indicated in the Guidelines: "A proposed project's benefits to LMI persons will be an important factor in evaluating potential infrastructure projects. A total of 20% of the Recover Colorado Infrastructure project funding must benefit LMI persons. Due to the very low percentage of LMI projects submitted in the first round of infrastructure funding, it is estimated that approximately 25% to 30% of the funding available in this second allocation must meet the LMI requirement to make up for the deficit." This section does not need to be completed if the project does not meet this National Objective. The primary objective for using CDBG Disaster Recovery funds is benefitting, by at least 51 percent, persons of low and moderate income. The following section provides the information necessary to complete this requirement. a) Is the proposed activity: jurisdiction wide in specified target area If you checked specified target area, which data source was used? (Note: select the smallest unit of Census data that encompasses your proposed target area.) b) Enter the number of households involved in the proposed project. 99, 317 c) In the space below, describe how the applicant will comply with the requirement that at least 51 percent of CDBG-DR dollars will principally benefit low- and moderate-income households and persons. Weld County will comply with the 51 % requirement due to the fact that the PW associated under this NOI Project for the FEMA County Match is targeted to areas of the county that qualify as LMI . The justification behind this methodology is that multiple d) Enter the number of households within each income category expected to benefit from the proposed project. Incomes above 80% of the County Median 785 Incomes above 50% and up to 80% of the County Median 1265 Incomes at or below 50% of the County Median 2060 e) Which type of income was used to determine the above? (Check only one) As determined by the American Community Survey (Public Facilities projects) Annual income as defined for Public Housing and Section 8 Annual income as reported under the Census long form Adjusted gross income as defined for reporting under IRS Attach am continuations or additional items as an Attachment to the electronic application and e-mail submittal. Page 5 of 20 CDBG-DR Infrastructure Application Colorado Division of Homeland Security and Emergency Management PART A - NOI: COMPREHENSIVE RISK ANALYSIS INFORMATION 1. Community Hazards Review: Please list and briefly describe in rank order of importance the natural or man-made hazards in your (the Applicant's) service area. The hazards identified within this Project for the FEMA County Match for WELCO03 (643 ) would be ranked in the following manner: Flood , Erosion and Subsidence . The hazards caused significant damage and posed a severe risk to the community for the designated incident period . 2. High Risk Hazards Addressed by the Project: Describe how, and the degree to which, the proposed project mitigates high risk hazards. Include damage history, source and type of problem, frequency of event(s), and severity of damage information, if available. Hazard 1 Flooding caused the most severe damage to Weld County during the designated incident period and this Project addressed and mitigated against severe flood damage to local roadways, bridges, culverts, removed hazardous debris along roadways . In addition , County Officials ensured repairs were made to paved and gravel roadways for the safety of the community and addressed river embankments/dangerous conditions to the public and made repairs to emergency response vehicles that were damaged during the Incident Period . The repairs made brought the damaged infrastructure back to its pre-disaster condition in accordance with regulations . hazard 2 Erosion also caused a severe issue for the County. This Project addressed and mitigated against severe erosion damage to local roadways, shoulders , and embankments . The work that was conducted by the County mitigated against any immediate threat/hazard to the damaged infrastructure and restored the infrastructure back to its pre-disaster condition in accordance with regulations. Attach any continuations or additional items as an Attachment to the electronic application and e-mail submittal. Page 6 of 20 CDBG-DR Infrastructure Application Colorado Division of Homeland Security and Emergency Management Hazard 3 Subsidence was another critical hazard that caused dangerous conditions for the community. This Project addressed and mitigated against severe subsidence damage to local roadways, shoulders , bridges and embankments . The work that was conducted by the County mitigated against any immediate threat/hazard to the damaged infrastructure and restored the infrastructure back to its pre-disaster condition in accordance with regulations . Note: If your proposed project addresses more than three Hazards, please provide that information as an attachment. 3. Elimination of Risk: Does the proposed project result in the elimination of a hazard from your (the Applicant's) service area? If so, please describe. If not, please estimate the degree to which this project will mitigate the risk from the hazards identified in Item #2. The Proposed FEMA Local Match for WELCO03 (643 ) does not completely eliminate the hazards identified from the service area . The Proposed FEMA Match Project does allow Weld County to receive a percentage of funds back that the County expended during one of the most costly disasters in Colorado history however. These types of hazards that occurred in Weld County and throughout Colorado are truly an act of mother nature and the County was as prepared as it could have been but the severity/duration of the incident was of an unprecedented nature . Weld County cannot eliminate the risk of future flooding , erosion or land subsidence, but Local Officials can ensure that their community is prepared for future incident, take the necessary precautions and that their infrastructure is restored 4. Environmental Quality Improvements: Does the proposed project result in an improvement in the quality of the natural environment in your (the Applicant's) service area? If so, please describe. Yes; the damages that attributed to the designated incident period and FEMA-DR 4145 were addressed via the previously submitted PW and the work conducted to restore the infrastructure back to its pre-disaster condition was implemented . The work done at this site location (see previous attachment for lat/long coordinates ) addressed not only improvements/repairs made to the infrastructure , but also improvements and repairs to the river embankments and any potential erosion or subsidence issues that could have tAlnrrnnnrl if +h,, ('ni infti hnrl nn+ 4c1i-nn fhn nrnnrfitir, mr»ci arnc fin thnti dirt 5. Climate Change Improvements: Does the proposed project reduce or ameliorate a projected impact of climate change in Colorado? If so, please briefly describe the benefit of the project. This Proposed Project reduces a projected impact climate change due to the proactive mitigation measures that were undertaken by Weld County during the designated incident period . This was accomplished by ensuring that the damaged site location was addressed as soon , but as safely, as possible , and not to sustain any further impacts to the site locations or environment that would enable the damage to enhance the projected impact of any potential climate changes. Attach any continuations or additional items as an Attachment to the electronic application and a-mail submittal. Page 7 of 20 e CDBG-DR Infrastructure Application Colorado Division of Homeland Security and Emergency Management 6. Community Process: Does the proposed project include a community planning or involvement process that increases community resiliency? If so, please briefly describe the process. This Proposed Project was initiated by County Officials in an effort to achieve resiliency from the severe storms and also to minimize risk to the community, Weld County addressed the severe flood damage to the roadways and infrastructure by ensuring that dangerous conditions for the public were addressed and mitigated properly and efficiently. 7. Reduction in the Costs of Future Response or Recovery: Will the proposed project result in a reduction in the cost of response or recovery from an incident occurring due to one or more of the hazards identified in Item # 1 or #2? If so, please briefly describe how response or recovery costs will be reduced. For a small scale flooding incident, yes; however, the flooding that occurred during the designated incident period was catastrophic and the PW associated with the NOI FEMA Local Match Request were completed to address the damages . 8. Floodplain/Floodway/Substantially Damaged Properties: Does the proposed project include a property or properties located in a floodway or floodplain; or not located in a regulatory floodplain but which were substantially damaged or have a history of damage from at least two disaster events? If so, please identify those properties below. No; the Proposed Project is for the FEMA Local Match for WELCO03 (643 ) from CDBG-DR in regards to expenses from CAT C Damage Categories for the designated incident period for FEMA-DR 4145 . 9. Mitigation Planning: Does your community have a current FEMA approved multi-hazard mitigation plan? l es No Location of proposed project in mitigation plan strategies: Page 139 Section/Part Mitigation Stra Is the community a member of good standing with the National Flood Insurance Program? es No Attach any continuations or additional items as an Attachment to the electronic application and a-mail submittal. Page R of 20 a CDBG-DR Infrastructure Application Colorado Division of Homeland Security and Emergency Management 10. Community Plan Compliance: Does the proposed project comply with and/or address an issue recognized in key community plans? Key plans include, but are not limited to: a Comprehensive Master Plan, a Stormwater Management Plan, a Hazard Mitigation Plans, or key community codes. If so, please describe how the project integrates into the plan(s). Yes; the Proposed Project complies with all local community plans and this Project integrates into the Plans because the County addressed the damages to local roadways and infrastructure and mitigated damages that posed a serious risk/hazard to the community during the incident period . This FEMA PW was initiated by Weld County and via this Proposed Project, the County requests that CDBG funds be applied towards the local FEMA Match for this Project. 11. Environmental / Historic Preservation Issues: Please describe any significant environmental, historic, or cultural features that may be affected by the project. Please also describe any features that may be improved by the project. All environmental issues are addressed on the attached Project Worksheet as supporting documentation . The significant EHP issues were in regards to the Endangered Species Act ( ESA) and EHP Standard Conditions . All items were addressed and any additional supporting backup documentation can be provided upon request. I 12. Permitting: Please list the local, state, and federal permits that will be required to complete this project. All permitting was addressed on the attached Project Worksheet as supporting documentation . The significant permitting issues were in regards to the Endangered Species Act ( ESA) and EHP Standard Conditions . All items were addressed and any additional supporting backup documentation can be provided upon request . Please see below for environmental permits that were obtained . Floodplain Permit Ann O Attach any continuations or additional items as an Attachment to the electronic application and e-mail submittal. Page 9 of 24) CDBG-DR Infrastructure Application Colorado Division of Homeland Security and Emergency Management 13. Community Resilience: Please describe how this project will increase the resilience of your community. As defined in the Guidelines: "Resilience incorporates hazard mitigation and land use planning strategies; critical infrastructure, environmental and cultural resource protection; and sustainability practices to reconstruct the built environment, and revitalize the economic, social, and natural environments." In an effort to achieve resiliency from the severe storms and minimize risk to the general public, Weld County addressed severe damage to local roadways , bridges, culverts, removed hazardous debris roadways , made repairs to paved and gravel roadways , addressed river embankments/dangerous conditions to the public and made repairs to emergency response vehicles that were damaged during the Incident Period . This Proposed Project addresses proactive work initiated by Weld County during FEMA-DR 4145 enabled the community to recover in an expeditious manner and increased the resilience of the community by incorporating nearly every aspect of sustainability and revitalizing the community. The community was able to recover quicker due to the proactive work done through this Proposed Project and the associated PW's . 14. Maps Please attach the following maps with the project site and structures marked on the map. Use SAME ID number as in the Individual Property Worksheets. Flood Insurance Rate Map (FIRM). If the FIRM for your area is not published, please attach a copy of the Flood _ Hazard Boundary Map (FHBM). City or county scale map (large enough to show the entire project area) USGS 1 :24,000 topo map Parcel Map (Tax Map, Property Identification Map, etc.) J Overview photographs. The photographs should be representative of the project area, including any relevant streams, creeks, rivers, etc., and drainage areas which affect the project site of will be affected by the project. 15. Additional Comments (Optional): Enter any additional comments related to the proposed project's ability to reduce hazard risk and increase community resiliency. This proposed project reduced the hazard risk to the community and increased resiliency by the work conducted through the PW in correlation with FEMA-DR 4145 . CDBG funds are being requested to be applied to the local FEMA Match ( 12 . 5% ) for the PW. All maps are located in project files that were previously submitted and will be provided upon request. The entire community benefited from the nrnartive work by Weld County and the removal Ca Attach any continuations or additional items as an Attachment to the electronic application and e-mail submittal. Page 10 of 20 CDBG-DR Infrastructure Application Colorado Division of Homeland Security and Emergency Management PART A - NOI: DECISION MAKING PROCESS 1. Decision-Making Process: Describe the process you used to decide that this project is the best solution to the problem. Explain why this project is the best alternative you considered. Address questions such as: • Are you focusing on the area in your community that has the greatest potential for losses? • Have you considered the risks to critical facilities and structures and benefits to be obtained by mitigating this vulnerability? • Have you considered those areas or projects that present the greatest opportunities given the current situation(s) of interest in your community? • Are you addressing a symptom or the source of the problem? Addressing the source of the problem is a long-term solution which provides the most mitigation benefits. • If impacts to the environment, natural, cultural or historic resources have been identified, explain how your alternatives and proposed project address, minimize, or avoid these impacts. The Site locations within this WELCO PW in the Proposed Project were identified due to the high dollar amount of funds that were expended by Weld County to ensure the safety of the community and also restore county infrastructure back to its pre-disaster condition . This Proposed Project has site locations across the entire community and service area and it was determined that a large percentage of the LMI population was impacted by the severe flooding incident and the proactive work by County Officials enabled the community to recover quicker, thus allowing the community to sustain resiliency and return operations to normal . W 2. Acquisition Projects - Describe the community's methodology for selecting the properties to be acquired in this application and how each is ranked (highest to lowest): N/A attach an) continuations or additional items as an Attachment to the electronic application and e-mail submittal. Page 11 of 20 CDBG-DR Infrastructure Application Colorado Division of Homeland Security and Emergency Management PART A - NOI : SCOPE OF WORK / BUDGET OVERVIEW / FINANICAL FACTORS 1. Project Scope: Please provide a comprehensive and detailed description of the scope of the proposed project. Describe each of the project components and the steps necessary to complete that work. If the proposed project is a funding match for another disaster recovery or infrastructure development program, please identify the agency, program funds, and project reference number that CDBG-DR funding is intended to support. Also describe any critical deadlines that must be met to accomplish this work. This Proposed Project is for the Local FEMA Match for costs for WELCO03 (643 ) . These costs were incurred as a result of FEMA-DR 4145 . During the incident period of September 11 , 2013 to September 30 , 2013, Weld County, Colorado received heavy rainfall and debris in the creeks , streams and rivers which caused severe flooding to and along roadways and surface streets , and also severely damaged local infrastructure . This NOI Application request addresses the emergency work / damages that were a direct result of the severe flooding . A Scope of Work is included within the PW and addresses the work that was completed . 2. Community Priority: Please describe why this project is a priority for your organization. This Proposed Project is a priority for Weld County to utilize the CDBG funding as the Local FEMA Match to offset the costs for the proactive work done by the County to reduce hazardous conditions to the community . Attach any continuations or additional items as an Attachment to the electronic application and e-mail submittal. Page 12 of 20 ----- CDBG-DR Infrastructure Application Colorado Division of Homeland Security and Emergency Management 3. Project Cost Summary: Please summarize the major cost components of the project. Please round all values to the nearest dollar. a. Planning / Engineering / Design $ b. Environmental Compliance $ The value of general and/or c. Real Property Acquisition / Demolition $ professional labor wages must be tabulated in accordance d. Closing Costs / Legal Fees $ with the Davis Bacon Act of e. Housing Program Assistance $ 1931 f. Construction Costs $ g. Project Delivery Costs $ h. Other (specify below) $ 590.298.26 See Protect Worksheet Cost (attached ) i. Total of a-h $ 590.298.26 J . Duplication of Benefits (if unknown at time of application enter zero). $ 0.00 k. Subtract j. from i. to determine Total Project Cost $ 590.298.26 Notes: Housing Program Assistance costs include the cost of compliance with Uniform Relocation Assistance (URA) and Comparable Housing Assistance (CHA) requirements. Project Delivery Costs include the costs of project delivery by the sponsoring organization but do not include administrative overhead. 4. Total Project Cost Allocations Proposed Project Total Cost: $ 590.298.26 Federal Cost Share: $ 442.723.69 State Cost Share: $ 73,787.28 $ 73.787.28 Local Cost Share 5. Basis of Cost Estimate: Briefly describe how the cost estimates listed in #3 above were developed (e.g. lump sum, unit cost, quotation, etc.). The Cost Estimates were developed above from actual work that was properly procured and conducted . They come directly off of what was included on the FEMA approved PW and the costs are broken down by type of work and site . 6. Project Management: Describe how you will manage the costs and schedule, and how you will ensure successful performance. The work for this Proposed Project has been completed or is pending completion . The 12 . 5% CDBG Local Match will be applied towards the Weld County Match for FEMA PW's and the costs that were previously incurred during the disaster. Note: The applicant must agree to furnish quarterly reports during the entire time the project is in active status. Quarters end on March 31st, June 30th, September 30th, and December 31st. Reports are due to the State within 15 days after the end of each quarter.) Attach any continuations or additional items as an Attachment to the electronic application and e-mail submittal. Page 13 of 20 CDBG-DR Infrastructure Application Colorado Division of Homeland Security and Emergency Management 7. Project Maintenance Requirements: The following questions are to give assurance on the project's maintenance over its useful life. Please answer each question and give a brief explanation. a. If the project involves the acquisition of real property, what is the proposed land use after acquisition? (i.e., Agriculture, Recreation, Vacant Land, Park, Wetlands, etc.) N/A b. Will the project require periodic maintenance? No c. I f yes, who will provide the maintenance? N/A d. What is the estimated cost of maintenance on an annual basis? 0 Note: Cost of maintenance is considered an application prioritization weighting factor. Projects with high maintenance costs have a greater risk of future failure due to deferred maintenance. Therefore, the responses provided above should be as complete and verifiable as possible in order to minimize the likelihood of ranking point reductions due to maintenance concerns. 8. Additional Comments: Enter any additional comments related to the proposed project's funding, if desired . CDBG funds are needed for the 12 . 5% Local FE1V1A Match and the associated PW that is included in the NOI-Application . 9. Financial / Fiscal Health Factors: Please indicate the total budget (all funds) of your organization. Please describe the impact of disaster recovery efforts to date on this budget. In addition, if this objective is selected based on the local governments inability to finance the activity, the municipality must also include in the application package a resolution stating this fact and supporting documentation such as budgetary information, a description of TABOR restrictions, and the most recent audit report or approved exemption from audit. Weld County's total 2015 budget is $307 ,031 , 089 . The impact of the September, 2013 flooding has primary been on the damage to the county's road and bridge system . The damage has resulted in Weld County having to transfer $5 million from the Contingency Fund to the Public Works Fund in 2013 and in 2014 for a total of $ 10 million dollars . Without assistance from FEMA, FWHA, and CDBG the amount would have several million more . The impact has also forced the county to shift local resources from projects unrelated to flooding to deal with the emergency situations created by the flood in both the 2013 and 2014 fiscal years . Even in 2015 the county is still using local resources to recover from the flooding . Fortunately, Weld County has always been fiscally conservative and budgeted responsibly . Had the county not taken the responsible approach to its finances county service would have had to have been cut to cope with the flood recovery. IA/o r cni in-ur nnorr-oc i inr or t no mnc- roc-rir-i ,nsrnnor�, -r+v imi-r+tinn in tho - Rocir o� \ttach and continuation, or additional items as an Attachment to the electronic application and e-mail submittal. Page 14 of 20 CDBG-DR Infrastructure Application Colorado Division of Homeland Security and Emergency Management PART B - APPLICATION : PROJECT MILESTONES / TIMELINES / TASKS 1. Timeline / Tasks Insert the proposed work schedule as tasks to accomplish the overall goal of the proposed activity (i.e., appraisals, title search, closing, etc.), and provide a description of the task's purpose. This timeline will be used as a measurement tool for progress in the project's implementation and is included in the required Quarterly Reports. Also, FEMA uses the timeline for determining the approved period of performance. It will be the basis used to justify delays or extensions, if necessary, and should be estimated carefully. The first and last entries are state requirements and have already been entered. Task 1 : Grant Process and Environmental Review Timeframe: 3 Months Task 2: Emergency Repairs- The initial emergency repairs were made directly 1Completed g Y p 9 Y p Y Timeframe: Task 3: Permanent Repairs - Becuase the emergency repairs were quick repair Completed Timeframe: Task 4: Additional Permanent Repairs - All the necessary repairs were not com 6 Months Timelrame: Task 5: f imeframc: Task 6: Timeframe: Task 7: Time frame: Task 8: Timeframe: Task 9: Timeframe: Final Inspection Report and Project Closeout Task I U: The Final Inspection Report is a review of the activity's paper documentation, showing the project was implemented as required. Once the review is completed. the 3 Months report and findings will be provided to the grantee for review and concurrence. The Timeframe: State submits the concurrence to FEMA as part of a closeout package to formally Total Project 'l'imefrarne: 12 Months Attach any continuations or additional items as an Attachment to the electronic application and e-mail submittal. Page 15 of 20 CDBG-DR Infrastructure Application Colorado Division of Homeland Security and Emergency Management 2. Start Date & Pre-Award Costs: The start date for any project begins upon GRANT AGREEMENT approval by the State Controller. If a different start date or timeframe is needed, provide an explanation below. Also indicate if any pre- award activities or costs have been incurred or authorized. The proposed project is for local FEMA match dollars and the majority of the work is completed ; however, another round of construction will be performed this summer. The repairs for this site began as soon as the flood waters receded and the county crews were able to access the site . The initial phase of repairs were emergency in nature and began in September of 2013 and concluded during November of that same year. Permanent repairs for this site commenced the following year at the beginning of construction season and concluded in October of 2014 because of weather constraints . The final repairs will be completed in October of 2015 . Additionally, cost have been incurred through the preparation of this NOI Application . Attach any continuations or additional items as an Attachment to the electronic application and e-mail submittal. Page 16 of 20 CDBG-DR Infrastructure Application Colorado Division of Homeland Security and Emergency Management Please note that Part B is required for the final Application submittal. Part B sections may optionally be completed and submitted with the NOI. Please update any Part A section information when submitting you full Application. PART B — APPLICATION : ENVIRONMENTAL REVIEW 1. Environmental Review Background Information & Environmental Review Worksheet: In accordance with 24 CFR Part 58.22 (see below), all federally funded projects must accomplish an environmental review prior to beginning any work on a project. These HUD regulations are in place for two purposes: 1 . To ensure federal funds are used to place people of low and moderate income in environmentally safe conditions; and 2. To ensure federal funds are NOT used to negatively impact environmental conditions that exist near a project site. Please note the following limitations on CDBG-DR grant activities pending environmental clearance per 24 CFR Part 58.22. (a) Neither a recipient nor any participant in the development process, including public or private nonprofit or for-profit entities, or any of their contractors, may commit HUD assistance under a program listed in Sec. 58. 1(b) on an activity or project until HUD or the state has approved the recipient's RROF and the related certification from the responsible entity. In addition, until the RROF and the related certification have been approved, neither a recipient nor any participant in the development process may commit non-HUD funds on or undertake an activity or project under a program listed in Sec. 58. 1(b) if the activity or project would have an adverse environmental impact or limit the choice of reasonable alternatives. (b) N/A for DOLA/CDPS projects. (c) If a recipient is considering an application from a prospective sub-recipient or beneficiary and is aware that the prospective sub-recipient or beneficiary is about to take an action within the jurisdiction of the recipient that is prohibited by paragraph (a) of this section, then the recipient will take appropriate action to ensure that the objectives and procedures of NEPA are achieved. (d) An option agreement on a proposed site or property is allowable prior to the completion of the environmental review if the option agreement is subject to a determination by the recipient on the desirability of the property for the project as a result of the completion of the environmental review in accordance with this part and the cost of the option is a nominal portion of the purchase price. There is no constraint on the purchase of an option by third parties that have not been selected for HUD funding, have no responsibility for the environmental review and have no say in the approval or disapproval of the project. (e) Self-Help Homeownership Opportunity Program (SHOP). In accordance with section 11(d)(2)(A) of the Housing Opportunity Program Extension Act of 1996 (42 U.S.C. 12805 note), an organization, consortium, or affiliate receiving assistance under the SHOP program may advance non-grant funds to acquire land prior to completion of an environmental review and approval of a Request for Release of Funds (RROF) and certification, notwithstanding paragraph (a) of this section. Any advances to acquire land prior to approval of the RROF and certification are made at the risk of the organization, consortium, or affiliate and reimbursement for such advances may depend on the result of the environmental review. This authorization is limited to the SHOP program only and all other forms of HUD assistance are subject to the limitations in paragraph (a) of this section. (0 Relocation. Funds may be committed for relocation assistance before the approval of the RROF and related certification for the project provided that the relocation assistance is required by 24 CFR part 42. Attach any continuations or additional items as an Attachment to the electronic application and e-mail submittal. Page 17 of 20 CDBG-DR Infrastructure Application Colorado Division of Homeland Security and Emergency Management Environmental Review Worksheet Check ALL of the activities listed below that will be included as part of the project, REGARDLESS OF THE FUNDING SOURCE: Q Information and financial services O Administrative and management activities Ig Environmental and other studies, resource identification, and the development of plans and strategies D Most engineering and design costs associated with eligible projects ra ■ Inspections and testing of properties for hazards or defects ti ■ Project planning O Purchase of insurance > n Purchase of tools Wy ❑ Technical assistance and training yC :.c .F. ❑ Interim assistance to arrest the effects of an imminent threat or physical deterioration in which the assistance t� 0 does not alter environmental conditions. `~' p Public services that will not have a physical impact or result in any physical changes (e.g., employment, child .0 care, health, education, counseling, welfare) 51 Assistance for temporary or permanent improvements that do not alter environmental conditions and are limited to protection, repair, or restoration activities necessary only to control or arrest the effects from disasters or imminent threats to public safety including those resulting from physical deterioration (Must also complete the Regulatory Checklist at the end of Exhibit IV-A) m ct) ≥ p Operating costs (e.g., maintenance, security, operation, utilities, furnishings, equipment, supplies, staff training Z = and recruitment, other incidental costs) rr r ❑ Relocation costs BI Acquisition, repair, improvement, reconstruction, or rehabilitation when the facilities and improvements are in place and will be retained in the same use without change in size or capacity of more than 20 percent ❑ Special projects directed to the removal of material and architectural barriers that restrict the mobility of and y accessibility to elderly and handicapped persons I Acquisition (including leasing) or disposition of, or equity loans on, an existing structure Acquisition (including leasing) of vacant land provided the structure or land acquired, financed, or disposed of ❑ q q � P will be retained for the same use Acquisition, repair, improvement, reconstruction, or rehabilitation when the facilities and improvements are in place, but will change in size or capacity of more than 20 percent > ❑ Acquisition, repair, improvement, reconstruction, or rehabilitation when the facilities and improvements are in ,.Qra place, but will involve a change in land use, such as from non-residential to residential, commercial to industrial, or from one industrial use to another 51 Demolition Fl New construction This checklist must be included with the CDBG application. Please direct questions to the appropriate contact person below: DOLA/DLG DHSEM Steven Boand, State Disaster Recovery Manager Tamra Norton, Environmental Compliance Officer Department of Public Safety Department of Local Affairs Division of Homeland Security and Emergency Management 1313 Sherman Street, Room 521, 9195 E Mineral Ave, Suite 200 Denver, CO 80203 Centennial, CO 80112 303-866-6398 720.852.6713 tamra.nortonstate.co.us steven.boand@state.co.us DPS/DOLA USE ONLY: Required level of environmental review: O Exempt O CENST O CESTO EA Reviewed by: Date of Review: Attach any continuations or additional items as an Attachment to the electronic application and e-mail submittal. Page 18 of 20 CDBG-DR Infrastructure Application Colorado Division of Homeland Security and Emergency Management 2. Supplemental Environmental Review Information Enter any additional comments related to environmental concerns for the proposed project if desired. Please list and attach any documents or studies that have been prepared that support the Environmental Review Worksheet responses. All environmental issues are addressed on the attached Project Worksheet as supporting documentation . The significant EHP issues were in regards to the Endangered Species Act ( ESA) and EHP Standard Conditions. All items were addressed and any additional supporting backup documentation can be provided upon request . Please see below for environmental permits that were obtained . Floodplain Permit 404 Nationwide Permit Migratory Birds Permit (if needed ) Threatened and Endangered Species Permit Attach any continuations or additional items as an Attachment to the electronic application and e-mail submittal. Page 19 of 20 CDBG-DR Infrastructure Application Colorado Division of Homeland Security and Emergency Management PART B - APPLICATION : DETAILED PROJECT BUDGET 1. Detailed Project Budget: Please enter or attach a detailed and comprehensive final proposed budget for the project. Please note that CDBG-DR funds may be limited to the amount submitted with the NOI pending the availability of additional funding This Proposed Project is for the Local FEMA Match for costs for WELCO03 (643 ) . These costs were incurred as a result of FEMA-DR 4145 . During the incident period of September 11 , 2013 to September 30 , 2013 , Weld County, Colorado received heavy rainfall and debris in the creeks , streams and rivers which caused severe flooding to and along roadways and surface streets , and also severely damaged local infrastructure . This Application request addresses the emergency work / damages that were a direct result of the severe flooding . A Scope of Work and detailed project budget is included within the PW and addresses the work that was completed . It is important to note that a version request has been submitted to the State and the attached Project Worksheet may not represent FINAL cost. Attach any continuations or additional items as an Attachment to the electronic application and c-mail submittal. Page 20 of 20 WI E 0 U C ete V E 3 -D aJ E 0 C 03 m al v C 0 C Co O O N a6_ , c a O 0 en Cl N Cu c E m m 0 0 E a u c E n E 2 y J OD U C E o y m C E o 0 0 0 m C 2 -0 ,n N A N ?) O v n ;.1 c O E a -0 ' co4) J a E 0 0 o n 0 o O w 2 C l0 C E LI-. 3 3 3 -5 4: 3 0 O 0 - o m A m 0 0 0 in c c c c c c a E J J 1- O 0 al al ele Ci U U U a n a Z 0 0 O v 0 0 0 0 2 o ' o J J J J J ae oe o o e o ce o oe o 0 o a o 0 0 0 0 c o o e o 0 oe a * * o * o 0 0 0 0 0 0 0 LO eD lD tD ea O IN N O O O tO lD 1D Of U3 O re O Cr Q lD n CO N .-I Q a CO Q CO n n N O 01 O I-- Q N e-+ el e-1 e1 —1 Q N N n n czt .--1 ✓1 re N Ni N. 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I *1 i c- p. 111 ik I 11 . .. .... . .. ... _... .., _. , ..., _ . . kl a u a a if _. .. 0 Er) . . A Federal Emergency Management Agency E-Grants Page 1 of 34 ► P�� �?8 CG i45-1 N-00643(1 ) Applicant Name: Application Title: WELD (COUNTY) WELCO03 - ROADS Period of Performance Start: Period of Performance End: 09-14-2013 Subgrant Application - Entire Application Application Title: WELCO03 - ROADS Application Number: PA-08-CO-4145-PW-00643(1 ) Application Type: Subgrant Application (PW) Preparer Information Prefix Mr. First Name STEPHEN Middle Initial Last Name SUHY Title PROJECT SPECIALIST Agency/Organization Name FEMA-DHS Address 1 9200 E. MINERAL AVE. Address 2 City CENTENNIAL State CO Zip 80112 Email deanna.butterbaugh@state.co.us Is the application preparer the Point of Contact? No Point of Contact Information Prefix Mr. First Name Roy Middle Initial Last Name Rudisill Title Director - OEM Agency/Organization Weld County Address 1 1150 O Street Address 2 City Greeley State CO ZIP 80632 Phone 970-304-6540 https://connectl .dhs.gov/emm ie/,Danalnfo=isource.fema.net,SSL+dispatchDestination .do?... 4/30/2014 Federal Emergency Management Agency E-Grants Page 2 of 34 Fax Email rrudisill@weld.gov.com Alternate Point of Contact Information Prefix First Name Middle Initial Last Name Title Agency/Organization Address 1 Address 2 City State ZIP Phone Fax Email Project Description Disaster Number: 4145 Pre-Application Number: PA-08-CO-4145-RPA-0088 Applicant ID: 123-99123-00 Applicant Name: WELD (COUNTY) Subdivision: Project Number: WELCO03 Standard Project Number/Title: 305 - Road and Culvert Washout Please Indicate the Project Type: Neither Alternate nor Improved Application Title: WELCO03 - ROADS Category: C. ROADS & BRIDGES 1 Percentage Work Completed? 95.0 As of Date: 01 -04-2014 Comments The applicant must notify the state if there are any changes in the scope of work prior to starting the repairs. Failure to notify the State Division of Emergency Management may jeopardize receipt of federal funds. Attachments Damage Facilities (Part 1 of 2) Facility Site Number Facility Name Address County City State ZIP Previously Action Damaged? 1 ROADS COUNTY WIDE Weld CO 80632 No Comments Mips://cm-meet I .dhs.gov/em111 is . Danalnfo=isource.fema.net,SSL+dispatchDestination .do?... 4/30/2014 V S _ Federal Emergency Management Agency E-Grants Page 3 of 34 Attachments User Date Document Type Description Hard Copy File File Name Action Reference STEPHEN 02-06- Photos 1 PHOTOS WELCO03-WELD- 1 PHOTOS.pdf( 120.28 View SUHY 2014 1 PHOTOS kb) STEPHEN 02-06- Photos 2 PHOTOS WELCO03-WELD- 2 PHOTOS .pdf(197.90 View SUHY 2014 2 PHOTOS kb) STEPHEN 02-06- WELCO03-WELD- 3 PHOTOS .pdf(227.79 SUHY 2014 Photos 3 PHOTOS 3PHOTOS kb) View STEPHEN 02-06- Photos 4 PHOTOS WELCO03-WELD- 4 PHOTOS .pdf(345.37 View SUHY 2014 4 PHOTOS kb) STEPHEN 02-06- Photos 5 PHOTOS WELCO03-WELD- 5 PHOTOS.pdf(154. 53 View SUHY 2014 5PHOTOS kb) STEPHEN 02-06- WELCO03-WELD- 6 & 7 PHOTOS.pdf SUHY 2014 Photos 6 PHOTOS 6 PHOTOS View (392.75 kb) STEPHEN 02-06- W Photos 8 PHOTOS ELCO03-WELD- 8 PHOTOS.pdf(216.86 View SUHY 2014 8 PHOTOS kb) STEPHEN 02-06- Photos 9 PHOTOS WELCO03-WELD- 9 PHOTOS.pdf(114.86 View SUHY 2014 9 PHOTOS kb) STEPHEN 02-06- Preliminary WELCO03-WELD- 10 PHOTOS.pdf(207.41 SUHY 2014 Environment 10 PHOTOS 10 PHOTOS kb) View Assessment STEPHEN 02-06- Photos 11 PHOTOS WELCO03-WELD- 11 PHOTOS.pdf( 166. 92 View SUHY 2014 11 PHOTOS kb) STEPHEN 02-06- WELCO03-WELD- 12 PHOTOS.pdf(206.69 SUHY 2014 Photos 12 PHOTOS 12 PHOTOS kb) View STEPHEN 02-06- Photos 13 PHOTOS WELLCO03- 13 PHOTOS.pdf(260. 10 View SUHY 2014 WELD-13 PHOTOS kb) STEPHEN 02-06- WELCO03-WELD- 14 PHOTOS.pdf(147. 12 SUHY 2014 Photos 14 PHOTOS 14 PHOTOS kb) View STEPHEN 02-06- Map MAP1 WELCO03-WELD- MAP1 .pdf(173.29 kb) View SUHY 2014 MAP1 STEPHEN 02-06- Map MAP2 WELCO03-WELD- MAP2.pdf( 124.75 kb) View SUHY 2014 MAP2 STEPHEN 02-06- Map MAP3 WELCO03-WELD- MAP3.pdf( 144.45 kb) View SUHY 2014 MAP3 STEPHEN 02-06- Map MAP4 WELCO03-WELD- MAP4.pdf(189.22 kb) View SUHY 2014 MAP4 STEPHEN 02-06- Map MAPS WELCO03-WELD- MAP5.pdf(155.86 kb) View SUHY 2014 MAPS STEPHEN 02-06- Map MAP6 WELCO03-WELD- MAP6.pdf(165.80 kb) View SUHY 2014 MAP6 STEPHEN 02-06- Map MAP7 WELCO03-WELD- MAP7.pdf(115.22 kb) View SUHY 2014 MAP7 STEPHEN 02-06- Map MAP8 WELCO03-WELD- MAP8.pdf(115.21 kb) View SUHY 2014 MAP8 STEPHEN 02-06- Map MAP9 WELCO03-WELD- MAP9.pdf( 134.72 kb) View SUHY 2014 MAP9 STEPHEN 02-06- Map MAP10 WELCO03-WELD- MAP10.pdf( 118. 14 kb) View https://connect l .dhs.gov/emm ie/,Danal n to=isource.tema.net,SSL+dispatchDestination.do?... 4/30/2014 Federal Emergency Management Agency E-Grants Page 4 of 34 SUHY 2014 MAP10 STEPHEN 02-06- Map MAP11 WELCO03-WELD- MAP11 .pdf(138.96 kb) View SUHY 2014 MAP11 STEPHEN 02-06- Map MAP12 WELCO03-WELD- MAP12.pdf(140.82 kb) View SUHY 2014 MAP12 ANTHONY 04-15- Version 1 - Version 1 - WELCO03 - SAWNEY 2014 Project Worksheet SOW SOW.pdf(40.30 kb) View Facility Name: ROADS Address 1 : COUNTY WIDE Address 2: County: Weld City: State: CO ZIP: 80632 Was this site previously damaged? No Percentage Work Completed? 75. 00 % PA-08-CO-4145-PW-00643(0): COUNTY WIDE Location : ****Version 1 **** PA-08-CO-4145-PW-00643(0): County Roads, Category C. Permanent Road / Culvert Repair Lat — 40.40955. Long. -104.64018 During the incident period of September 11 . 2013 to September 30, 2013, Weld County, Colorado received heavy rainfall and debris in the creeks. streams and rivers which caused surface gravel removal and scour damage to numerous roads and bridges in Weld County. This project worksheet addresses damages to 26 County road locations. 6 ditches (filled with sediment) that are part of the road locations and 2 culverts dislodged and damaged) locations for a total of 28 locations. On December 2nd and 3rd. 2013, Kathleen Ruvarac. FEMA TAC Bridge Specialist. David Ray. FEMA Hazard Mitigation Specialist and Curtis Hall and Travis Smith, Weld County employees, performed a site investigation at this location to document damages. The repairs were substantially complete at the time of inspection. Applicant provided photos of damaged sites which are included in this PW. DAMAGE DESCRIPTION: LOC 1 . 40.40955.-104.64018 to 40.39939.-104.64005. EM-Fern-18th-.0, on Fern Ave between E. 18th to E. 24th St. , length 3.677 LF X width 23 LF = 84571 SF X Depth 0. 14 FT /27 = 438.52 CY ABC Gravel. LOC 2 . 40.39928,-104.64178 to 40.39943. -104.63076.. EM-E24=US34-. 0. on E. 24th St. between Btwn. US 34 & Hemlock . length 3.083 LF X width 22 LF = 67826 SF X Depth 0. 1 FT /27 = 251 .21 CY ABC Gravel. Imps://connect l .dhs.gov/emmie/, Danalnfo=isource. tema.net,SSL+dispatchDestination.do?... 4/30/2014 Federal Emergency Management Agency E-Grants Page 5 of 34 LOC 3 . 40. 39943. -104.63076 to 40.41022.-104.63052. EM-Hem-18st-.0. on Hemlock between Btwn. E. 24th & E. 18th st . length 3.940 LF X width 22 LF = 86680 SF X Depth 0. 16 FT /27 = 513.66 CY ABC Gravel. LOC 4 . 40.41053, -104.62870 to 40.41165,-104.62781 . EM-Hol-18st-. 1 , on Holly between Btwn. E. 18th st. to End . length 415 LF X width 22 LF = 9130 SF X Depth 0.58 FT /27 = 196. 13 CY ABC Gravel. LOC 5 . 40.41396, -104.62574 to 40.41401 . -104.62137, EM-Hol-1 8st-. 1 , on Holly between Btwn. E. 18th st. to End . length 570 LF X width 22 LF = 12540 SF X Depth 0.07 FT /27 = 32.51 CY ABC Gravel. LOC 6: Not Used - Visited Site but damages captured on another project worksheet. LOC 7 . 40. 35152.-104.42676 to 40.34905,-104.42233, EM-380-67-.3. on CR380 between From CR 67 & CR 69 . length 1 . 547 LF X width 26 LF = 40222 SF X Depth 0.47 FT /27 = 700. 16 CY ABC Gravel. LOC 8 . 40.36862,-104.91708 to 40. 36405, -104.91706. EM-15.5-52-.0. on CR15. 5 between Btwn. CR 52 & CR 54 , length 1 ,680 LF X width 24 LF = 40320 SF X Depth 0.25 FT /27 = 373.33 CY ABC Gravel. LOC 8A 40. 36862,-104.91708 to 40. 36405, -104. 91706. Ditches filled in with silt and gravel on CR15. 5 between Btwn. CR 52 & CR 54 . length 3, 360 LF LOC 9 . 40.36405.-104.91706 to 40.36393,-104. 91421 . EM-52-15.5-.02, on CR52 between Btwn. CR 15. 5 to CR17 North . length 794 LF X width 24 Damage Description and Dimensions: LF = 19056 SF X Depth 0.33 FT /27 = 232.91 CY ABC Gravel. LOC 9A 40. 36405.-104. 91706 to 40. 36393.-104.91421 , Ditches filled in with silt and gravel on CR52 between Btwn. CR 15.5 to CR17 North , length 1 .588 LF LOC 10 . 40. 36342, -104.91982 to 40.36330.-104. 91710. EM-52-15. 5-.02, on CR52 between Btwn. 15 to 15. 5 , length 1 . 100 LF X width 24 LF = 26400 SF X Depth 0. 35 FT /27 = 342.22 CY ABC Gravel. LOC 11 . 40. 36330,-104.91710 to 40. 36257,-104.91708, EM- 15.5-52-.01 . on CR15.5 between Btwn. CR 50 to CR 52 , length 273 LF X width 24 LF = 6552 SF X Depth 0. 19 FT /27 = 46. 11 CY ABC Gravel. LOC 12 . 40. 36313,-104.75124 to 40. 35960,-104.74974. EM-44th-54st-.2. on 44th Ave. between Btwn. 49th St. & 54th St. Rd. . length 1 ,435 LF X width 26 LF = 37310 SF X Depth 0.2 FT /27 = 276. 37 CY ABC Gravel. LOC 13 . 40.35437.-104.76805 to 40.35334,-104.77530. EM-54st-com, on 54th St. Rd. between Btwn. CR396 & 49th ave . length 2. 062 LF X width 28 LF = 57736 SF X Depth 0. 17 FT /27 = 363. 52 CY ABC Gravel. LOC 14 . 40. 34116.-104.86822 to 40.34142,. -104.88109. EM-48. 5-257- .80, on CR48.5 between Btwn. SH257 & CR 17 , length 3,600 LF X width 22 LF = 79200 SF X Depth 0.06 FT /27 = 176.00 CY ABC Gravel. LOC 15 . 40.07710. -104. 05264 to 40. 07708. -104.05160. EM-Brome- Westview. on Brome St. between From Buffalo Rd. to deadend . length 345 LF X width 22 LF = 7590 SF X Depth 0. 17 FT /27 = 47.79 CY ABC Gravel. LOC 16 . 40. 10950,-105.04328 to 40. 10963.-105.02800, EM-16.5-1 -.0, on https://connect I .dhs.gov/emmiet. Danaln tu=isource.fema.net,SSL+dispatch Destination.do?... 4/30/2014 a As iimimmoimon.._ Federal Emergency Management Agency E-Grants Page 6 of 34 CR16.5 between Btwn. CR 1 & CR 3.25 , length 4,358 LF X width 25 LF = 108950 SF X Depth 0.27 FT /27 = 1 . 089.50 CY ABC Gravel. LOC 17 . 40. 10955.-105. 03193. EM-16. 5-1 -.0. on CR16.5 between AT INTERSECTION WITH CR 3.25 , length 325 LF X width 5 LF = 1625 SF X Depth 0.4 FT /27 = 24.07 CY ABC Gravel. LOC 18 . 40.01478,-104. 92361 to 40.01482,-104.90492, EM-4-15-.0. on CR4 between Btwn. CR 15 & CR 17 length 5.247 LF X width 22 LF = 115434 SF X Depth 0. 17 FT /27 = 726.81 CY ABC Gravel. LOC 19 . 40.01482,-104.90492 to 40.02916,-104.90489, EM-CUL21 -14-. 1 . on CR21 between Btwn. CR 8 & CR14. 5 , length 3,027 LF X width 24 LF = 72648 SF X Depth 0.03 FT /27 = 80.72 CY ABC Gravel. LOC 19A 40.01482.-104.90492 to 40.02916.-104.90489. Ditches filled in with silt and gravel on CR21 between Btwn. CR 8 & CR14. 5 . length 6.054 LF LOC 20 . 40.07565. -104.86742, 40.07984, -104.86740. EM-CUL21 -14-. 1 , on CR21 between Btwn. CR 8 & CR14.5 , length 727 LF X width 24 LF = 17448 SF X Depth 0. 17 FT /27 = 109.86 CY ABC Gravel. LOC 20A 40.07565. -104.86742, 40.07984, -104.86740, Ditches filled in with silt and gravel on CR21 between Btwn. CR 8 & CR14.5 . length 1 ,454 LF LOC 21 . 40.07862, -104.86760. EM-CUL21 -14-. 1 , (181N DIA CMP CULVERT, 40FT LENGTH) on CR21 between Btwn. CR 8 & CR14.5 , length 40 LF - No damages identified LOC 22 . 40.08739,-104.86764 to 40.08939.-104.86766. EM-CUL21 -14-. 1 , on CR21 between Btwn. CR 8 & CR14.5 . length 1 ,530 LF X width 10 LF = 15300 SF X Depth 0. 08 FT /27 = 45.33 CY ABC Gravel. LOC 22A 40.08739,-104.86764 to 40.08939,-104.86766 Ditches filled in with silt and gravel on CR21 between Btwn. CR 8 & CR14. 5 . length 3,060 LOC 23 . 40.08752,-104.86794 to 40. 08760,-104.87928. EM-14-19-. 5. on CR14 between Btwn. CR 19 & CR 21 . length 3. 175 LF X width 10 LF = 31750 SF X Depth 0.65 FT /27 = 764.35 CY ABC Gravel. LOC 23A 40.08752,-104.86794 to 40.08760.-104.87928. Ditches filled in with silt and gravel on CR14 between Btwn. CR 19 & CR 21 , length 6.350 LOC 24 . 40. 18950,-104. 88708. EM-CUL28-17-.6, (151N DIA CMP CULVERT. 40FT LENGTH) on CR28 between Btwn. CR 15.75 & CR 19 , length 40 LF LOC 25 . 40. 17529,-104.95158 to 40. 17525 .-104.95578. EM-26-11 . 5-.2. on CR26 between Btwn. CR 11 .5 & CR 13 . length 1 .500 LF X width 29 LF = 43, 500SF X Depth 0.25 FT /27 = 402.78 CY ABC Gravel. LOC 26 . 40. 16747.-104.92354 to 40. 17516,-104.92327, EM-15-24-0, on CR15 between Btwn. CR 24 & CR 26 . length 2. 807 LF X width 23 LF = 64561 SF X Depth 0. 17 FT /27 = 406.50 CY ABC Gravel. LOC 27 . 40. 18869,-104.87872 to 40. 18805.-104.87530, EM-28-21 -.4. on CR28 between Btwn . CR 19 & CR 21 . length 2.717 LF X width 24 LF = 65208 SF X Depth 0.06 FT /27 = 144.91 CY ABC Gravel. https://connect 1 .dhs.gov/emmie/, Danalnfo=isource.fema.net,SSL+dispatchDestination.do?.. . 4/30/2014 _ Federal Emergency Management Agency E-Grants Page 7 of 34 LOC 28 . 40.07560. -104.05543 to 40.07916. -104.05263. EM-Buffalo- Westview. on Buffalo St. between Btwn. E.County Line Rd. & Westview Rd. length 2.070 LF X width 22 LF = 45540 SF X Depth 0. 17 FT /27 = 286.73 CY ABC Gravel. LOC 29 . 40.07918, -104.05542 to 40.07916. -104.05263, EM-Westview- Westview. on Westview St. between Btwn. E.County Line Rd. & Buffalo Rd. . length 800 LF X width 22 LF = 17600 SF X Depth 0. 17 FT /27 = 110.81 CY ABC Gravel. Total gravel 8.048.91 CY. total length of ditches 21 .866LF and total culverts CMP 80FT. ****Version 1 **** PA-08-CO-4145-PW-00643(0) : WORK COMPLETED: Applicant will use Force Account and Contract Services to restore damaged roads to pre-disaster condition. function, capacity and use. Note: Rounding errors may exist. The quantities show are rounded to the whole number. however. the cost is correctly calculated. (See attached calculation spreadsheet.) LOC 1 : Repair EM-Fern-18th-.0 on Fern Ave between E. 18th to E. 24th St. , 438.52 CY x 1 .82 (Conversion Factor CY ABC Class 6 Material to Tons = 798. 10 tons x $33.70/ton (CDOT Item Number 304-06000 Aggregate Base Course Class 6 x 2 due to economies of scale as compared with number of CDOT annual projects) = $26. 895.96. (Above note where applicable applies to following locations). LOC 2: Repair EM-E24=US34-.0 on E. 24th St. between Btwn. US 34 & Hemlock . 251 .21 CY X 1 .82 = 457.20 TONS X $33.70 /TON = $15.407.56 ABC Gravel CDOT 304-06000 LOC 3: Repair EM-Hem-18st-.0 on Hemlock between Btwn. E. 24th & E. Scope of Work: 18th st . 513.66 CY X 1 .82 = 934.86 TONS X $33.70 /TON = $31 . 504.78 ABC Gravel CDOT 304-06000 LOC 4: Repair EM-Hol-18st-. 1 on Holly between Btwn. E. 18th st. to End , 196. 13 CY X 1 .82 = 356.95 TONS X $33.70 /TON = $ 12,029. 19 ABC Gravel CDOT 304-06000 LOC 5: Repair EM-Hol-18st-. 1 on Holly between Btwn. E. 18th st. to End , 32.51 CY X 1 .82 = 59. 17 TONS X $33.70 /TON = $ 1 . 994.04 ABC Gravel CDOT 304-06000 LOC 6: NOT USED. Costs captured on another PW. Deleted as to avoid any duplication of benefits. LOC 7: Repair EM-380-67-. 3 on CR380 between From CR 67 & CR 69 , 700. 16 CY X 1 .82 = 1 ,274.29 TONS X $33.70 /TON = $42. 943.66 ABC Gravel CDOT 304-06000 LOC 8: Repair EM-15. 5-52-.0 on CR15.5 between Btwn. CR 52 & CR 54 373.33 CY X 1 .82 = 679.47 TONS X $33.70 /TON = $22.898.03 ABC Gravel CDOT 304-06000 LOC 8A: Repair Regrade ditches on CR15.5 between Btwn. CR 52 & CR https://connectl .dhs.gov/em m ie/,Danal nfo=isource.tema.net,SSL+dispatch Destination .do?. . . 4/30/2014 Federal Emergency Management Agency E-Grants Page 8 of 34 54 . 3,360.00 FT X $3.40 /FT = $11 .424.00 Clean ditch FEMA 3070 LOC 9: Repair EM-52-15. 5-. 02 on CR52 between Btwn. CR 15.5 to CR17 North . 232. 91 CY X 1 .82 = 423.89 TONS X $33.70 /TON = $ 14,285. 10 ABC Gravel CDOT 304-06000 LOC 9A: Repair Regrade ditches on CR52 between Btwn. CR 15.5 to CR17 North . 1 . 588.00 FT X $3.40 /FT = $5. 399.20 Clean ditch FEMA 3070 LOC 10: Repair EM-52-15. 5-.02 on CR52 between Btwn. 15 to 15.5 . 342.22 CY X 1 .82 = 622. 84 TONS X $33.70 /TON = $20. 989.86 ABC Gravel CDOT 304-06000 LOC 11 : Repair EM-15. 5-52-.01 on CR15.5 between Btwn. CR 50 to CR 52 . 46. 11 CY X 1 .82 = 8191 TONS X $33. 70 /TON = $2,827.91 ABC Gravel CDOT 304-06000 LOC 12: Repair EM-44th-54st-.2 on 44th Ave. between Btwn. 49th St. & 54th St. Rd. . 276.37 CY X 1 .82 = 502.99 TONS X $33.70 /TON = $ 16. 950. 90 ABC Gravel CDOT 304-06000 LOC 13: Repair EM-54st-com on 54th St. Rd. between Btwn. CR396 & 49th ave . 363.52 CY X 1 .82 = 661 .61 TONS X $33.70 /TON = $22,296. 32 ABC Gravel CDOT 304-06000 LOC 14: Repair EM-48. 5-257-.80 on CR48.5 between Btwn. SH257 & CR 17 , 176.00 CY X 1 .82 = 320.32 TONS X $33.70 /TON = $10,794.78 ABC Gravel CDOT 304-06000 LOC 16: Repair EM-16. 5-1 -.0 on CR16. 5 between Btwn. CR 1 & CR 3.25 , 1 ,089. 50 CY X 1 .82 = 1 ,982.89 TONS X $33.70 /TON = 566.823.39 ABC Gravel CDOT 304-06000 LOC 17: Repair EM-16.5-1 -.0 on CR16.5 between AT INTERSECTION WITH CR 3.25 , 24.07 CY X 1 .82 = 43.81 TONS X $33.70 /TON = $1 ,476. 56 ABC Gravel CDOT 304-06000 LOC 18: Repair EM-4-15-.0 on CR4 between Btwn. CR 15 & CR 17 . 726.81 CY X 1 .82 = 1 ,322.79 TONS X $33.70 /TON = $44.577.96 ABC Gravel CDOT 304-06000 LOC 19: Repair EM-CUL21 -14-. 1 on CR21 between Btwn. CR 8 & CR14.5 . 80.72 CY X 1 .82 = 146. 91 TONS X $33.70 /TON = $4.950.88 ABC Gravel CDOT 304-06000 LOC 19A: Repair Regrade ditches on CR21 between Btwn. CR 8 & CR14. 5 . 6. 054.00 FT X $3.40 /FT = $20. 583.60 Clean ditch FEMA Cost Code 3070 LOC 20: Repair EM-CUL21 - 14-. 1 on CR21 between Btwn. CR 8 & CR14.5 . 109.86 CY X 1 .82 = 199.94 TONS X $33.70 /TON = $6,738.02 ABC Gravel CDOT 304-06000 LOC 20A: Repair Regrade ditches on CR21 between Btwn. CR8 & CR14. 5 . 1 .454. 00 FT X $3.40 /FT = $4. 943.60 Clean ditch FEMA Cost Code 3070 LOC 21 : EM-CUL21 -14-. 1 . (18IN DIA CMP CULVERT. 40FT LENGTH) on CR21 between Btwn. CR8 & CR14. 5 , 40.00 FT X $48.49 /FT = $1 ,939.60 181N CMP CDOT 603-10180 (Applicant states no damages to this site) See Project Note #10. https://connect I .dhs.gov/emmie/,Danalnfo=isource.fema.net,SSL+dispatchDestination .do?... 4/30/2014 Federal Emergency Management Agency E-Grants Page 9 of 34 LOC 22: Repair EM-CUL21 -14-. 1 on CR21 between Btwn. CR 8 & CR14.5 . 45.33 CY X 1 .82 = 82.51 TONS X $33.70 /TON = $2,780.47 ABC Gravel CDOT 304-06000 LOC 22A: Repair Regrade ditches on CR21 between Btwn. CR 8 & CR14.5 . 3. 060.00 FT X $3.40 /FT = $10.404.00 Clean ditch FEMA Cost Code 3070 LOC 23: Repair EM-14-19-. 5 on CR14 between Btwn. CR 19 & CR 21 , 764. 35 CY X 1 .82 = 1 ,391 . 12 TONS X $33.70 /TON = $46. 880.76 ABC Gravel CDOT 304-06000 LOC 23A: Repair Regrade ditches on CR14 between Btwn. CR 19 & CR 21 . 6,350. 00 FT X $3.40 /FT = $21 . 590.00 Clean ditch FEMA Cost Code 3070 LOC 24: Repair EM-CUL28-17-.6. (15IN DIA CMP CULVERT. 40FT LENGTH) on CR28 between Btwn. CR 15.75 & CR 19 . 40. 00 FT X $48.49 /FT = $1 ,939.60 18IN CMP CDOT 603-10180 LOC 25: Repair EM-26-11 .5-.2 on CR26 between Btwn. CR 11 .5 & CR 13, 402.78 CY X 1 . 82 = 733. 06 TONS X $33.70 /TON = $24.704. 11 . ABC Gravel CDOT 304-06000 LOC 26: Repair EM-15-24-0 on CR15 between Btwn. CR 24 & CR 26 , 406. 50 CY X 1 .82 = 739.82 TONS X $33.70 /TON = $24. 931 .98 ABC Gravel CDOT 304-06000 LOC 27: Repair EM-28-21 -.4 on CR28 between Btwn. CR 19 & CR 21 , 144.91 CY X 1 .82 = 263.73 TONS X $33.70 /TON = $8. 887.71 ABC Gravel CDOT 304-06000 Total tons of aggregate = 14. 892.71TONS. total length of ditches = 21 ,866FT. total length of culverts = 80FT. total costs = $580, 107.80. WORK TO BE COMPLETED: LOC 15: Repair EM-Brome-Westview on Brome St. between From Buffalo Rd. to deadend , 47.79 CY X 1 .82 = 86. 98 TONS X $33.70 /TON = $2.931 .08 ABC Gravel CDOT 304-06000 LOC 28: Repair EM-Buffalo-Westview on Buffalo St. between Btwn. E.County Line Rd. & Westview Rd. . 286.73 CY X 1 .82 = 521 .85 TONS X $33.70 /TON = $17,586.50 ABC Gravel CDOT 304-06000 LOC 29: Repair EM-Westview-Westview on Westview St. between Btwn. E.County Line Rd. & Buffalo Rd. . 110.81 CY X 1 .82 = 201 .68 TONS X $33.70 /TON = $6.796.72 ABC Gravel CDOT 304-06000 Project Notes: 1 . During repair or reconstruction, applicant may incur additional costs related to clearing and grubbing, placement of topsoil. erosion and sedimentation control, sanitary facilities. dewatering, mobilization and flagging/traffic control. Such costs are generally addressed in the In-place- unit costs of repair or reconstruction items. and not specifically addressed in the Scope of Work. However. if a project requires an extraordinary use of any such items. to where a specific reference in the PW should be considered. applicant is advised to contract Colorado Department of Emergency Management requesting a revision to the PW's Scope of Work. 2. Applicant has completed a substantial percentage of the work but will https://connect I .dhs.gov/emmie/,Danalnfo=isource. tema.net,SSL+dispatchDestination .do?. . . 4/30/2014 Federal Emergency Management Agency E-Grants Page 10 of 34 not have cost data available within the fourteen day Pocket Guide rule. Per Field Operations Pocket Guide. Section 7. Cost Estimates, Page 26, "If the applicant has not produced cost data within two weeks of the site inspection, the Project Specialist will prepare the PW on the basis of an estimate for the work accomplished". Applicant. CO State representative and FEMA personnel jointly conducted all inspections and agreed to use CDOT costs for in-place costs to derive estimates on this project worksheet. Applicant understands that all actual support documentation. invoices, FA records. contract and proof of payment will be required for final reconciliation and or closeout process. Attached is the CDOT average in- place cost for materials. 3. The Applicant will notify FEMA and the State of their intent to perform permanent work related to this site before any work commences in the field. Failure to do so may jeopardize the sub-grant for permanent work related to the work in this sub-grant. 4. Pursuant to 44 CFR 13.42. Grantees and Subgrantees are required to retain records. including source documentation, to support expenditures/costs incurred against the grant award, for 3 years from the date of submission to FEMA of the final Financial Status Report. 5. The applicant must obtain all required federal , state. and local permits prior to the commencement of work. 6. The subgrantee is requesting direct administrative costs that are directly chargeable to this specific project. Associated eligible work is related to administration of the PA project only and in accordance with 44 CFR 13.22. These costs are treated consistently and uniformly as direct costs in all federal awards and other subgrantee activities and are not included in any approved indirect costs. 7. Project was reviewed for 406 Hazard Mitigation and is HMP is attached. 8. The applicant is aware that all projects are subject to an insurance review as stated in 44 C. F. R. Sections 206.252 and 206.253. If applicable. an insurance determination will be made either as anticipated proceeds or actual proceeds in accordance with the applicant's insurance policy that may affect the total amount of the project. 9. The applicant is required to adhere to State and Federal Government Procurement rules and regulations and maintain adequate records to support the basis for all purchasing of goods and materials and contracting services for projects approved under the Public Assistance program. as stated in 44 CFR 13.36. The applicant has advised they have followed their normal procurement procedures. 10. After this PW was entered into EMMIE. the applicant requested that changes be made to the Damage Description and Scope of Work for Sites 21 and 24. Site 21 did not have any damages and the estimated cost for $ 1 ,939.60 will remain part of the original estimated cost of $580. 107.80 as actual costs of repairs will be captured at close out for this large project. Sites 15. 28 and 29 were identified as not having any work performed to date. Estimated costs for the sites will remain the same as stated. ****Version 1 **** This Addendum is being written to capture damages to CR15.5 consisting of eroded roadway shoulder that was not captured during the initial field survey. It was identified by the Applicant during their review of PW WELCO03. As a measure to prevent future erosion. the Applicant is requesting HMP to stabilize the side slopes consisting of turf reinforcing mat and willow cuttings. In order to rebuild eroded roadway shoulder that was washed out during the disaster, the Applicant is requesting at Location 8, CR 15. 5. (40.36548. - 104.91711 ) the restoration of 145FT X 24FT X 4FT / 27 = 515. 56CY of embankment material (common borrow) at $ 10.00/CY (CDOT 203-00062) https://connect I .dhs.gov/emm ic !. Danalnfo=isource. fema.net,SSL+dispatchDestination.do?. . . 4/30/2014 Federal Emergency Management Agency E-Grants Page I I of 34 = $5. 155.56 and provide traffic control for 2 days at $ 1 ,000.00/day (CDOT estimate) = $2. 000.00. TOTAL $7. 155. 56. Hazard Mitigation Proposal Is effective mitigation feasible on this site? No If you answered Yes to the above question, the next question is required Will mitigation be performed on this site? No If you answered Yes to the above question, the next question is required Do you wish to attach a Hazard Mitigation No Proposal? If you answered Yes to the above question. the next two questions are required Please provide the Scope of Work for the estimate: (maximum 4000 characters) Would you like to add the Hazard Mitigation No Proposal as a cost line item to the project cost? GIS Coordinates Project Location Latitude Longitude LOCATION 1 40.40955 -104.64018 40.39939 -104.64005 LOCATION 2 40.39943 -104.63076 40.39928 -104.64178 LOCATION 3 40.39943 -104.63076 40.41022 -104.63052 LOCATION 4 40.41165 -104.62781 40.41053 -104.6287 LOCATION 5 40.41401 -104.62137 40.41396 -104.62574 LOCATION 7 40.35152 -104.42676 40.34905 -104.42233 LOCATION 8 40.36405 -104.91705 40. 36862 -104.91708 LOCATION 8A 40.36405 -104.91706 40.36862 -104.91708 LOCATION 9 40.36405 -104.91706 40.36393 -104.91421 LOCATION 9A 40.36393 -104. 91421 40.36405 -104. 91706 LOCATION 10 40.36342 -104. 91982 40. 3633 -104.9171 LOCATION 11 40.36257 -104.91708 40. 3633 -104.9171 LOCATION 12 40.36313 -104.75124 40. 3596 -104.74974 LOCATION 13 40.35437 -104.76805 40.35334 -104.7753 LOCATION 14 40.34142 -104.88109 40. 34116 -104.86822 LOCATION 15 40. 0771 -104.05264 40.07708 -104.0516 LOCATION 16 40. 10963 -105.028 https://connect I .dhs.gov/emmie/,DanaEnfo=isource.fema.net,SSL+dispatchDestination.do?. . . 4/30/20 14 a Federal Emergency Management Agency E-Grants Page 12 of 34 40. 1095 -105.04328 LOCATION 17 40. 10955 -105.03193 LOCATION 18 40.01478 -104.92361 40.01482 -104.90492 LOCATION 19 40.02916 -104.90489 40.01482 -104.90492 LOCATION 19A 40.01482 -104.90492 40.02916 -104. 90489 LOCATION 20 40.07984 -104.8674 40.07565 -104.86742 LOCATION 20A 40.07984 -104.8674 40.07565 -104.86742 LOCATION 21 40.07862 -104.8676 LOCATION 22 40.08739 -104.86764 40.08939 -104.86766 LOCATION 22A 40.08739 -104.86764 40.08939 -104.86766 LOCATION 23 40.0876 -104.87928 40.08752 -104.86794 LOCATION 23A 40.08752 -104.86794 40.0876 -104. 87928 LOCATION 24 40. 1895 -104.88708 LOCATION 25 40. 17529 -104.95158 40. 17525 -104.95578 LOCATION 26 40. 16747 -104.92354 40. 17516 -104.92327 LOCATION 27 40. 18869 -104.87872 40. 18805 -104.8753 LOCATION 28 40.0756 -104.05543 40.07916 -104.05263 Special Considerations 1 . Does the damaged facility or item of work have insurance coverage and/or is it an insurable No risk (e.g. . buildings. equipment. vehicles. etc)? If you would like to make any comments. please enter them below. (maximum 4000 characters; Insurance documents on file at the JFO. 2. Is the damaged facility located within a floodplain or coastal high hazard area and/or does it No have an impact on a floodplain or wetland? If you would like to make any comments. please enter them below. (maximum 4000 characters;: Flood Map 080266 0637. various panels. 3. Is the damaged facility or item of work located within or adjacent to a Coastal Barrier Resource No System Unit or an Otherwise Protected Area? 4. Will the proposed facility repairs/reconstruction change the pre-disaster conditions (e.g. . No footprint, material, location. capacity.. use of function)? 5. Does the applicant have a hazard mitigation proposal or would the applicant like technical No assistance for a hazard mitigation proposal? 6. Is the damaged facility on the National Register of Historic Places or the state historic listing? Is No https://connect I .dhs.goviem m ie/.. Danalnfo=isource.fema.net,SSL+dispatclilJestinat ion .do'?. . . 4/30/2014 Federal Emergency Management Agency E-Grants Page 13 of 34 it older than 50 years? Are there more. similar buildings near the site? 7. Are there any pristine or undisturbed areas on . or near, the project site? Are there large tracts No of forestland? 8. Are there any hazardous materials at or adjacent to the damaged facility and/or item of work? No 9. Are there any other environmental or controversial issues associated with the damaged facility Yes and/or item of work? If you would like to make any comments. please enter them below. (maximum 4000 characters) EHP to conduct review. Attachments User Date Document Type Description Hard Copy File File Name Action Reference 02- STEPHEN 06- Letter FLOODPLAIN WELCO03-WELD- FIRMETTES.pdf View SUHY 2014 MAPS FIRMETTES (3. 34 Mb) 02- WELCO03-WELD- STEPHEN Environmental/Historic SPECIAL SPECIAL SC SHEET.pdf View SUHY 2O14 Document CONSIDERATIONS CONSIDERATIONS (51 .28 kb) For Category C, D, E, F, and G Projects only Is effective mitigation feasible on this project? Yes If you answered Yes to the above question , the next question is required Will mitigation be performed on any sites in this Yes project? If you answered Yes to the above question. the next question is required Do you wish to attach a Hazard Mitigation Yes Proposal? If you answered Yes to the above question. the next two questions are required The flooding during the incident period of September 11 through September 30. 2013 washed out culverts at GPS locations: 40.07862 -104.86760 and 40. 1 8950 - 104.88708. To reduce future damages the applicant proposes to install Rip Rap and Geo Tech at inlet and outlet of the culverts at the referenced sites. LOCATION 21 GPS: 40.07862 -104.86760 INSTALL RIP RAP 10FT X 10FT 1 . 5FT = 150/27 = 6CY X Please provide the Scope of Work $83. 17 = $499.02 X 2 = $998.04 GEO TECH FABRIC 10FT X for the estimate 10FT = 100/9 = 11 SY X $3.07 = $33.77 X 2 = $67.54 COST OF REPAIR = $1939.60 COST OF MITIGATION = $1065.58 MITIGATION % = 55% LOCATION 24 GPS : 40. 18950 - 104.88708 INSTALL RIP RAP 10FT X 10FT 1 .5FT = 150/27 =6CY X $83. 17 = $499.02 X 2 = $998. 04 GEO TECH FABRIC 10FT X 10FT = 100/9 = 11SY X $3.07 = $33.77 X 2 = $67.54 COST OF REPIR = $ 1939.60 COST OF MITIGATION = $ 1065.58 MITIGATION % = 55% Mitigation is cost-effective per RP9526. 1 . VII . B. 2. Appendix A. I . A, 5 - 100%-Rule Would you like to add the Hazard Mitigation Yes Proposal as a cost line item to the project cost? Hazard Mitigation Proposal - 0909 # Code Material and/or Description Unit Unit of Unit Price Subgrant Type Cost Estimate Action Quantity Measure Budget Class *** Version 0 *** i i r 1 https://connect l .dhs.gov/emmie/,Danalnfo=isource.fema.net,SSL+dispatch Destination .do?... 4/30/2014 Federal Emergency Management Agency E-Grants Page 14 of 34 1 9999 Rip rap 24 CY $ 83. 17 $ 1 .996.08 2 9999 Geotextile fabric 44 SY $ 3.07 $ 135.08 *** Version 1 *** 3 9999 Turff Reinforcement Mat 111 . 17 SY $ 14.00 $ 1 .556.38 4 9999 Willow Cuttings 111 . 17 SY $ 49. 50 $ 5. 502.92 Total Cost: $ 9,190.46 Comments Project was reviewed for 406 Hazard Mitigation and determination is made that mitigation is not feasible. Attachments User Date Document T Description Hard Copy File File Name Action Reference ANTHONY 04-15- Mitigation Version 1 - Version 1 - WELCO03 - View SAWNEY 2014 Proposal HMP HMP.pdf(380. 14 kb) Cost Estimate Is this Project Worksheet for (Preferred) Repair Material Unit Unit of Subgrant Cost Sequence Code and/or Unit Price Type Action Description Quantity Measure Budget Class Estimate *** Version 0 *** Work Completed Work 1 9999 ESTIMATE 1 LS 552,793.50 CONSTRUCTION Completed $ 552,793.50 Work To Be Completed Work To 2 Estimate 1 LS 27,314.30 CONSTRUCTION Be $ 27.314.30 Completed Direct Subgrantee Admin Cost Direct INDIRECT Direct 3 9999 Admin cost 1 LS $ 1 .000.00 CHARGES Subgrantee $ 1 .000.00 Admin Cost Total Cost : $ 581 ,107.80 Insurance Adjustments (Deductibles. Proceeds and Settlements) - 5900/5901 Unit Unit of Unit Subgrant Cost Sequence Code Material and/or Description Quantity Measure Price Budget Type Estimate Action Class Total Cost : $ 0.00 Hazard Mitigation Proposal - 0909 Unit Unit of Unit Subgrant Cost Sequence Code Material and/or Description Quantity Measure Price Budget Type Estimate Action Class *** Version 0 *** I I I hops://connect l .dhs.gov/emm ie/..Danalnfo=isource. Tema.net.SSL+dispatchDestination.do?. . . 4/30/2014 Federal Emergency Management Agency E-Grants Page 15 of 34 1 9999 Rip rap 24 CY $ 83. 17 $ 1 .996.08 2 9999 Geotextile fabric 44 SY $ 3.07 $ 135.08 ' Version 1 ' 3 9999 Turff Reinforcement Mat 111 . 17 SY $ 14.00 $ 1 . 556.38 4 9999 Willow Cuttings 111 . 17 SY $ 49. 50 $ 5. 502.92 Total Cost : $ 9,190.46 Total Cost Estimate: $ 590,298.26 (Preferred Estimate Type + Insurance Adjustments + Hazard Mitigation Proposal) Comments Attachments User Date Document Description Hard Copy File File Name Action Type Reference STEPHEN 02 Calculation DIRECT ADMIN WELCO03-WELD- DAC SHEET.pdf(7.84 View SUHY 2�6-4 Sheet COSTS DAC kb) _ 4145-WELCO03- 02 CALCULATION STEPHEN24- Calculation CALCULATION WELD COUNTY- SPREADSHEET.pdf View SUHY 2014 Sheet SPREADSHEET CALCULATION SSPREADSHEET (73.51 kb) KATHLEEN 02- Additional Material Estimates Weld County Material BROWN 27- Information for Weld County Estimates.pdf(441 .64 View 2014 kb) ERIC 02- Summary cost roll WELCO03 ALLEN 27- Map up and calculation CALCULATIONS.pdf View 2014 sheet (87.51 kb) ERIC 02- EXCEL - Summary WELCO03 ALLEN 27- Miscellaneous cost roll up and CALCULATIONS.xlsx View 2014 calculation sheet (21 .83 kb) Existing Insurance Information Insurance Type Policy No. Bldg/Property Content Insurance Deductible Years Amount Amount Amount Amount Required Comments Attachments Comments and Attachments Name of Section Comment Attachment The applicant must notify the state if there are any changes in Project Description the scope of work prior to starting the repairs. Failure to notify the State Division of Emergency Management may jeopardize receipt of federal funds. 1 PH0T0S.pdf 2 PHOTOS .pdf https://connectl .dhs.gov/emm ie/. Danalnfo=isource.fema.net,SSL+dispatchDestination.do?... 4/30/2014 - - - - _ - _At Federal Emergency Management Agency E-Grants Page 16 of 34 3 PHOTOS .pdf 4 PHOTOS .pdf 5 PHOTOS.pdf 6 & 7 PHOTOS.pdf 8 PHOTOS.pdf 9 PHOTOS.pdf 10 PHOTOS.pdf 11 PHOTOS.pdf 12 PHOTOS.pdf 13 PHOTOS.pdf 14 PHOTOS.pdf MAP1 .pdf Damage Facilities MAP2.pdf MAP3.pdf MAP4.pdf MAP5.pdf MAP6.pdf MAP7.pdf MAP8.pdf MAP9.pdf MAP10.pdf MAP11 .pdf MAP 12.pdf Version 1 - WELCO03 - SOW.pdf FIRMETTES.pdf Special Considerations SC SHEET.pdf Mitigation Project was reviewed for 406 Hazard Mitigation and Version 1 - WELCO03 - determination is made that mitigation is not feasible. HMP.pdf DAC SHEET.pdf CALCULATION SPREADSHEET.pdf Weld County Material Cost Estimate Estimates.pdf WELCO03 CALCULATIONS.pdf WELCO03 CALCULATIONS.xlsx PW FRONT PAGE.pdf Form 90-91 DDD-SOW.docx Bundle Reference # (Amendment #) Date Awarded PA-08-CO-4145-State-0043(42) 04-14-2014 Subgrant Application - FEMA Form 90-91 Note: The Effective Cost Share for this application is 75% FEDERAL EMERGENCY MANAGEMENT AGENCY PROJECT WORKSHEET DISASTER PROJECT NO. PA ID NO. DATE CATEGORY WELCO03 123-99123- 02-27-2014 C FEMA 4145 - DR -CO 00 APPLICANT WELD (COUNTY) WORK COMPLETE AS OF 01-04-2014 95 Site 1 of 1 DAMAGED FACILITY https://connect I .dhs.gov/emmie/,Danalnfo=isource.tema.net,SSL+dispatchDestination .do?... 4/30/2014 Federal Emergency Management Agency E-Grants Page 17 of 34 ROADS COUNTY: Weld LOCATION: LATITUDE: LONGITUDE: 40.34905 -104.42233 40.35152 -104.42676 40.36257 -104.91708 PA-08-CO-4145-PW-00643(0): 40.3633 -104.9171 40.01478 -104.92361 COUNTY WIDE 40.01482 -104.90492 40.3596 -104.74974 Current Version: 40.36313 -104.75124 40.08739 -104.86764 ****Version 1 **** 40.08939 -104.86766 40.08752 -104.86794 40.0876 -104.87928 40.16747 -104.92354 40.17516 -104.92327 40.39939 -104.64005 40.40955 -104.64018 40.3633 -104.9171 40.36342 -104.91982 40.07862 -104.8676 40.41396 -104.62574 40.41401 -104.62137 40.1095 -105.04328 40.10963 -105.028 40.39928 -104.64178 40.39943 -104.63076 40.36393 -104.91421 40.36405 -104.91706 40.01482 -104.90492 40.02916 -104.90489 40.01482 -104.90492 40.02916 -104.90489 40.07565 -104.86742 40.07984 -104.8674 40.08739 -104.86764 40.08939 -104.86766 40.1895 -104.88708 40.17525 -104.95578 40.17529 -104.95158 40.07708 -104.0516 40.0771 -104.05264 40.39943 -104.63076 40.41022 -104.63052 40.41053 -104.6287 40.41165 -104.62781 40.36393 -104.91421 40.36405 -104.91706 40.34116 -104.86822 40.34142 -104.88109 40.36405 -104.91705 40.36862 -104.91708 40.10955 -105.03193 40.07565 -104.86742 40.07984 -104.8674 40.0756 -104.05543 40.07916 -104.05263 40.36405 -104.91706 40.36862 -104.91708 40.35334 -104.7753 40.35437 -104.76805 40.08752 -104.86794 40.0876 -104.87928 40.18805 -104.8753 40.18869 -104.87872 DAMAGE DESCRIPTION AND DIMENSIONS: PA-08-CO-4145-PW-00643(0): County Roads, Category C, Permanent Road / Culvert Repair Lat — 40.40955, Long. -104.64018 During the incident period of September 11 , 2013 to September 30, 2013, Weld County. Colorado received heavy rainfall and debris in the https://connectl .dhs.gov/emm ie/,Dana Info=isource.fema.net,SSL+dispatchDestination.do?... 4/30/2014 Federal Emergency Management Agency E-Grants Page 18 of 34 creeks, streams and rivers which caused surface gravel removal and scour damage to numerous roads and bridges in Weld County. This project worksheet addresses damages to 26 County road locations. 6 ditches (filled with sediment) that are part of the road locations and 2 culverts dislodged and damaged) locations for a total of 28 locations. On December 2nd and 3rd, 2013, Kathleen Ruvarac, FEMA TAC Bridge Specialist, David Ray, FEMA Hazard Mitigation Specialist and Curtis Hall and Travis Smith, Weld County employees, performed a site investigation at this location to document damages. The repairs were substantially complete at the time of inspection. Applicant provided photos of damaged sites which are included in this PW. DAMAGE DESCRIPTION: LOC 1 . 40.40955,-104.64018 to 40.39939,-104.64005, EM-Fern-18th-.0, on Fern Ave between E. 18th to E. 24th St. , length 3,677 LF X width 23 LF = 84571 SF X Depth 0. 14 FT /27 = 438.52 CY ABC Gravel. LOC 2 . 40.39928,-104.64178 to 40.39943. -104.63076, EM-E24=US34-.0, on E. 24th St. between Btwn. US 34 & Hemlock . length 3.083 LF X width 22 LF = 67826 SF X Depth 0.1 FT /27 = 251.21 CY ABC Gravel. LOC 3 . 40.39943. -104.63076 to 40.41022.-104.63052, EM-Hem-18st-.0, on Hemlock between Btwn. E. 24th & E. 18th st , length 3,940 LF X width 22 LF = 86680 SF X Depth 0.16 FT /27 = 513.66 CY ABC Gravel. LOC 4 . 40.41053, -104.62870 to 40.41165,-104.62781 , EM-Hol-18st-.1 , on Holly between Btwn. E. 18th st. to End , length 415 LF X width 22 LF = 9130 SF X Depth 0.58 FT /27 = 196.13 CY ABC Gravel. LOC 5 . 40.41396, -104.62574 to 40.41401, -104.62137, EM-HoI-18st-.1 , on Holly between Btwn. E. 18th st. to End , length 570 LF X width 22 LF = 12540 SF X Depth 0.07 FT /27 = 32.51 CY ABC Gravel. LOC 6: Not Used - Visited Site but damages captured on another project worksheet. LOC 7 . 40.35152,-104.42676 to 40.34905,-104.42233, EM-380-67-.3, on CR380 between From CR 67 & CR 69 , length 1 ,547 LF X width 26 LF = 40222 SF X Depth 0.47 FT /27 = 700.16 CY ABC Gravel. LOC 8 . 40.36862,-104.91708 to 40.36405. -104.91706, EM-15.5-52-.0, on CR15.5 between Btwn. CR 52 & CR 54 , length 1 ,680 LF X width 24 LF = 40320 SF X Depth 0.25 FT /27 = 373.33 CY ABC Gravel. LOC 8A 40.36862,-104.91708 to 40.36405, -104.91706. Ditches filled in with silt and gravel on CR15.5 between Btwn. CR 52 & CR 54 , length 3,360 LF LOC 9 . 40.36405,-104.91706 to 40.36393,-104.91421 . EM-52-15.5-.02. on CR52 between Btwn. CR 15.5 to CR17 North , length 794 LF X width 24 LF = 19056 SF X Depth 0.33 FT /27 = 232.91 CY ABC Gravel. LOC 9A 40.36405,-104.91706 to 40.36393,-104.91421 , Ditches filled in with silt and gravel on CR52 between Btwn. CR 15.5 to CR17 North , length 1 ,588 LF LOC 10 . 40.36342, -104.91982 to 40.36330.-104.91710, EM-52-15.5-.02, on CR52 between Btwn. 15 to 15.5 , length 1 ,100 LF X width 24 LF = 26400 SF X Depth 0.35 FT /27 = 342.22 CY ABC Gravel. LOC 11 . 40.36330,-104.91710 to 40.36257,-104.91708, EM-15.5-52-.01 . on CR15.5 between Btwn. CR 50 to CR 52 , length 273 LF X width 24 LF = 6552 SF X Depth 0. 19 FT /27 = 46.11 CY ABC Gravel. LOC 12 . 40.36313,-104.75124 to 40.35960,-104.74974, EM-44th-54st-.2. on 44th Ave. between Btwn. 49th St. & 54th St. Rd. , length 1 ,435 LF X width 26 LF = 37310 SF X Depth 0.2 FT /27 = 276.37 CY ABC Gravel. LOC 13 . 40.35437,-104.76805 to 40.35334,-104.77530, EM-54st-com, on 54th St. Rd. between Btwn. CR396 & 49th ave , length 2,062 LF X width 28 LF = 57736 SF X Depth 0.17 FT /27 = 363.52 CY ABC Gravel. LOC 14 . 40.34116,-104.86822 to 40.34142, -104.88109, EM-48.5-257-.80, on CR48.5 between Btwn. SH257 & CR 17 , length 3,600 LF X width 22 LF = 79200 SF X Depth 0.06 FT /27 = 176.00 CY ABC Gravel. LOC 15 . 40.07710. -104.05264 to 40.07708. -104.05160, EM-Brome-Westview, on Brome St. between From Buffalo Rd. to deadend , length 345 LF X width 22 LF = 7590 SF X Depth 0.17 FT /27 = 47.79 CY ABC Gravel. LOC 16 . 40. 10950,-105.04328 to 40. 10963,-105.02800, EM-16.5-1-.0, on CR16.5 between Btwn. CR 1 & CR 3.25 , length 4,358 LF X width 25 LF = 108950 SF X Depth 0.27 FT /27 = 1,089.50 CY ABC Gravel. LOC 17 . 40. 10955,-105.03193, EM-16.5-1-.0, on CR16.5 between AT INTERSECTION WITH CR 3.25 , length 325 LF X width 5 LF = 1625 SF X Depth 0.4 FT /27 = 24.07 CY ABC Gravel. LOC 18 . 40.01478,-104.92361 to 40.01482,-104.90492, EM-4-15-.0, on CR4 between Btwn. CR 15 & CR 17 length 5,247 LF X width 22 LF = 115434 SF X Depth 0.17 FT /27 = 726.81 CY ABC Gravel. LOC 19 . 40.01482,-104.90492 to 40.02916,-104.90489, EM-CUL21-14-.1 , on CR21 between Btwn. CR 8 & CR14.5 , length 3,027 LF X width 24 LF = 72648 SF X Depth 0.03 FT /27 = 80.72 CY ABC Gravel. LOC 19A 40.01482.-104.90492 to 40.02916,-104.90489, Ditches filled in with silt and gravel on CR21 between Btwn. CR 8 & CR14.5 , length 6,054 LF LOC 20 . 40.07565, -104.86742, 40.07984, -104.86740, EM-CUL21-14-. 1 , on CR21 between Btwn. CR 8 & CR14.5 , length 727 LF X width 24 https://connectl .dhs.gov/emm ie/,DanaInfo=isourcelema.net,SSL+dispatch Destination.do?... 4/30/2014 a- Federal Emergency Management Agency E-Grants Page 19 of 34 LF = 17448 SF X Depth 0.17 FT /27 = 109.86 CY ABC Gravel. LOC 20A 40.07565, -104.86742, 40.07984, -104.86740, Ditches filled in with silt and gravel on CR21 between Btwn. CR 8 & CR14.5 , length 1 ,454 LF LOC 21 . 40.07862, -104.86760, EM-CUL21-14-.1 , (18IN DIA CMP CULVERT, 40FT LENGTH) on CR21 between Btwn. CR 8 & CR14.5 , length 40 LF - No damages identified LOC 22 . 40.08739,-104.86764 to 40.08939,-104.86766, EM-CUL21-14-. 1 . on CR21 between Btwn. CR 8 & CR14.5 . length 1,530 LF X width 10 LF = 15300 SF X Depth 0.08 FT /27 = 45.33 CY ABC Gravel. LOC 22A 40.08739.-104.86764 to 40.08939,-104.86766, Ditches filled in with silt and gravel on CR21 between Btwn. CR 8 & CR14.5 , length 3,060 LOC 23 . 40.08752,-104.86794 to 40.08760,-104.87928. EM-14-19-.5, on CR14 between Btwn. CR 19 & CR 21 , length 3,175 LF X width 10 LF = 31750 SF X Depth 0.65 FT /27 = 764.35 CY ABC Gravel. LOC 23A 40.08752,-104.86794 to 40.08760,-104.87928, Ditches filled in with silt and gravel on CR14 between Btwn. CR 19 & CR 21 , length 6,350 LOC 24 . 40. 18950,-104.88708, EM-CUL28-17-.6, (15lN DIA CMP CULVERT, 40FT LENGTH) on CR28 between Btwn. CR 15.75 & CR 19 , length 40 LF LOC 25 . 40.17529,-104.95158 to 40.17525,-104.95578, EM-26-11 .5-.2, on CR26 between Btwn. CR 11.5 & CR 13 , length 1 ,500 LF X width 29 LF = 43,500SF X Depth 0.25 FT /27 = 402.78 CY ABC Gravel. LOC 26 . 40. 16747,-104.92354 to 40. 17516,-104.92327, EM-15-24-0. on CR15 between Btwn. CR 24 & CR 26 , length 2,807 LF X width 23 LF = 64561 SF X Depth 0.17 FT /27 = 406.50 CY ABC Gravel. LOC 27 . 40. 18869,-104.87872 to 40.18805,-104.87530. EM-28-21-.4, on CR28 between Btwn. CR 19 & CR 21 . length 2,717 LF X width 24 LF = 65208 SF X Depth 0.06 FT /27 = 144.91 CY ABC Gravel. LOC 28 . 40.07560, -104.05543 to 40.07916, -104.05263, EM-Buffalo-Westview, on Buffalo St. between Btwn. E.County Line Rd. & Westview Rd. , length 2,070 LF X width 22 LF = 45540 SF X Depth 0.17 FT /27 = 286.73 CY ABC Gravel. LOC 29 . 40.07918, -104.05542 to 40.07916, -104.05263, EM-Westview-Westview, on Westview St. between Btwn. E.County Line Rd. & Buffalo Rd. , length 800 LF X width 22 LF = 17600 SF X Depth 0.17 FT /27 = 110.81 CY ABC Gravel. Total gravel 8,048.91CY, total length of ditches 21 ,866LF and total culverts CMP 80FT. Current Version: ****Version 1 **** SCOPE OF WORK: PA-08-CO-4145-PW-00643(0): WORK COMPLETED: Applicant will use Force Account and Contract Services to restore damaged roads to pre-disaster condition, function, capacity and use. Note: Rounding errors may exist. The quantities show are rounded to the whole number, however, the cost is correctly calculated. (See attached calculation spreadsheet.) LOC 1 : Repair EM-Fern-18th-.0 on Fern Ave between E. 18th to E. 24th St. , 438.52 CY x 1.82 (Conversion Factor CY ABC Class 6 Material to Tons = 798.10 tons x $33.70/ton (CDOT Item Number 304-06000 Aggregate Base Course Class 6 x 2 due to economies of scale as compared with number of CDOT annual projects) = $26,895.96. (Above note where applicable applies to following locations). LOC 2: Repair EM-E24=US34-.0 on E. 24th St. between Btwn. US 34 & Hemlock , 251.21 CY X 1 .82 = 457.20 TONS X $33.70 /TON = $15,407.56 ABC Gravel CDOT 304-06000 LOC 3: Repair EM-Hem-18st-.0 on Hemlock between Btwn. E. 24th & E. 18th st , 513.66 CY X 1 .82 = 934.86 TONS X $33.70 /TON = $31 ,504.78 ABC Gravel CDOT 304-06000 LOC 4: Repair EM-Hol-18st-. 1 on Holly between Btwn. E. 18th st. to End , 196.13 CY X 1.82 = 356.95 TONS X $33.70 /TON = $12,029.19 ABC Gravel CDOT 304-06000 LOC 5: Repair EM-Hol-last-. 1 on Holly between Btwn. E. 18th st. to End , 32.51 CY X 1.82 = 59. 17 TONS X $33.70 /TON = $1,994.04 ABC Gravel CDOT 304-06000 LOC 6: NOT USED. Costs captured on another PW. Deleted as to avoid any duplication of benefits. LOC 7: Repair EM-380-67-.3 on CR380 between From CR 67 & CR 69 , 700. 16 CY X 1 .82 = 1 ,274.29 TONS X $33.70 /TON = $42,943.66 ABC Gravel CDOT 304-06000 https://connect l .dhs.gov/emmie/,Danalnfo=isource.fema.net,SSL+dispatchDestination.do?... 4/30/2014 Federal Emergency Management Agency E-Grants Page 20 of 34 LOC 8: Repair EM-15.5-52-.0 on CR15.5 between Btwn. CR 52 & CR 54 , 373.33 CY X 1 .82 = 679.47 TONS X $33.70 /TON = $22,898.03 ABC Gravel CDOT 304-06000 LOC 8A: Repair Regrade ditches on CR15.5 between Btwn. CR 52 & CR 54 , 3,360.00 FT X $3.40 /FT = $11 ,424.00 Clean ditch FEMA 3070 LOC 9: Repair EM-52-15.5-.02 on CR52 between Btwn. CR 15.5 to CR17 North , 232.91 CY X 1 .82 = 423.89 TONS X $33.70 /TON = $14,285.10 ABC Gravel CDOT 304-06000 LOC 9A: Repair Regrade ditches on CR52 between Btwn. CR 15.5 to CR17 North , 1 ,588.00 FT X $3.40 /FT = $5,399.20 Clean ditch FEMA 3070 LOC 10: Repair EM-52-15.5-.02 on CR52 between Btwn. 15 to 15.5 , 342.22 CY X 1 .82 = 622.84 TONS X $33.70 /TON = $20,989.86 ABC Gravel CDOT 304-06000 LOC 11 : Repair EM-15.5-52-.01 on CR15.5 between Btwn. CR 50 to CR 52 , 46.11 CY X 1.82 = 83.91 TONS X $33.70 /TON = $2,827.91 ABC Gravel CDOT 304-06000 LOC 12: Repair EM-44th-54st-.2 on 44th Ave. between Btwn. 49th St. & 54th St. Rd. , 276.37 CY X 1.82 = 502.99 TONS X $33.70 /TON = $16,950.90 ABC Gravel CDOT 304-06000 LOC 13: Repair EM-54st-com on 54th St. Rd. between Btwn. CR396 & 49th ave , 363.52 CY X 1.82 = 661 .61 TONS X $33.70 /TON = $22,296.32 ABC Gravel CDOT 304-06000 LOC 14: Repair EM-48.5-257-.80 on CR48.5 between Btwn. SH257 & CR 17 , 176.00 CY X 1 .82 = 320.32 TONS X $33.70 /TON = $10,794.78 ABC Gravel CDOT 304-06000 LOC 16: Repair EM-16.5-1-.0 on CR16.5 between Btwn. CR 1 & CR 3.25 . 1 ,089.50 CY X 1 .82 = 1 ,982.89 TONS X $33.70 /TON = $66,823.39 ABC Gravel CDOT 304-06000 LOC 17: Repair EM-16.5-1-.0 on CR16.5 between AT INTERSECTION WITH CR 3.25 , 24.07 CY X 1 .82 = 43.81 TONS X $33.70 /TON = $1 ,476.56 ABC Gravel CDOT 304-06000 LOC 18: Repair EM-4-15-.0 on CR4 between Btwn. CR 15 & CR 17 , 726.81 CY X 1 .82 = 1 ,322.79 TONS X $33.70 /TON = $44,577.96 ABC Gravel CDOT 304-06000 LOC 19: Repair EM-CUL21-14-.1 on CR21 between Btwn. CR 8 & CR14.5 , 80.72 CY X 1 .82 = 146.91 TONS X $33.70 /TON = $4.950.88 ABC Gravel CDOT 304-06000 LOC 19A: Repair Regrade ditches on CR21 between Btwn. CR 8 & CR14.5 , 6,054.00 FT X $3.40 /FT = $20,583.60 Clean ditch FEMA Cost Code 3070 LOC 20: Repair EM-CUL21-14-.1 on CR21 between Btwn. CR 8 & CR14.5 , 109.86 CY X 1 .82 = 199.94 TONS X $33.70 /TON = $6,738.02 ABC Gravel CDOT 304-06000 LOC 20A: Repair Regrade ditches on CR21 between Btwn. CR8 & CR14.5 , 1 ,454.00 FT X $3.40 /FT = $4,943.60 Clean ditch FEMA Cost Code 3070 LOC 21 : EM-CUL21-14-. 1, (181N DIA CMP CULVERT, 40FT LENGTH) on CR21 between Btwn. CR8 & CR14.5 , 40.00 FT X $48.49 /FT = $1 .939.60 18IN CMP CDOT 603-10180 (Applicant states no damages to this site) See Project Note #10. LOC 22: Repair EM-CUL21-14-.1 on CR21 between Btwn. CR 8 & CR14.5 . 45.33 CY X 1 .82 = 82.51 TONS X $33.70 /TON = $2,780.47 ABC Gravel CDOT 304-06000 LOC 22A: Repair Regrade ditches on CR21 between Btwn. CR 8 & CR14.5 . 3,060.00 FT X $3.40 /FT = $10,404.00 Clean ditch FEMA Cost Code 3070 LOC 23: Repair EM-14-19-.5 on CR14 between Btwn. CR 19 & CR 21 , 764.35 CY X 1.82 = 1 ,391.12 TONS X $33.70 /TON = $46,880.76 ABC Gravel CDOT 304-06000 LOC 23A: Repair Regrade ditches on CR14 between Btwn. CR 19 & CR 21 , 6,350.00 FT X $3.40 /FT = $21 .590.00 Clean ditch FEMA Cost Code 3070 LOC 24: Repair EM-CUL28-17-.6, (151N DIA CMP CULVERT, 40FT LENGTH) on CR28 between Btwn. CR 15.75 & CR 19 . 40.00 FT X $48.49 /FT = $1 ,939.60 18IN CMP CDOT 603-10180 LOC 25: Repair EM-26-11.5-.2 on CR26 between Btwn. CR 11.5 & CR 13. 402.78 CY X 1.82 = 733.06 TONS X $33.70 /TON = $24,704.11. ABC Gravel CDOT 304-06000 LOC 26: Repair EM-15-24-0 on CR15 between Btwn. CR 24 & CR 26 , 406.50 CY X 1.82 = 739.82 TONS X $33.70 /TON = $24,931.98 ABC Gravel CDOT 304-06000 LOC 27: Repair EM-28-21-.4 on CR28 between Btwn. CR 19 & CR 21 , 144.91 CY X 1.82 = 263.73 TONS X $33.70 /TON = $8,887.71 ABC Gravel CDOT 304-06000 Total tons of aggregate = 14.892.71TONS, total length of ditches = 21 .866FT, total length of culverts = 80FT, total costs = $580, 107.80. WORK TO BE COMPLETED: https://connectl .dhs.gov/emm ie/,Danal nfo=isourcelema.net.SSL+dispatchDestination.do?... 4/30/2014 - - - Federal Emergency Management Agency E-Grants Page 21 of 34 LOC 15: Repair EM-Brome-Westview on Brome St. between From Buffalo Rd. to deadend , 47.79 CY X 1 .82 = 86.98 TONS X $33.70 /TON = $2,931.08 ABC Gravel CDOT 304-06000 LOC 28: Repair EM-Buffalo-Westview on Buffalo St. between Btwn. E.County Line Rd. & Westview Rd. , 286.73 CY X 1.82 = 521 .85 TONS X $33.70 /TON = $17,586.50 ABC Gravel CDOT 304-06000 LOC 29: Repair EM-Westview-Westview on Westview St. between Btwn. E.County Line Rd. & Buffalo Rd., 110.81 CY X 1 .82 = 201 .68 TONS X $33.70 /TON = $6,796.72 ABC Gravel CDOT 304-06000 Project Notes: 1. During repair or reconstruction, applicant may incur additional costs related to clearing and grubbing, placement of topsoil, erosion and sedimentation control, sanitary facilities, dewatering, mobilization and flagging/traffic control. Such costs are generally addressed in the "in- place" unit costs of repair or reconstruction items, and not specifically addressed in the Scope of Work. However, if a project requires an extraordinary use of any such items, to where a specific reference in the PW should be considered, applicant is advised to contract Colorado Department of Emergency Management requesting a revision to the PWs Scope of Work. 2. Applicant has completed a substantial percentage of the work but will not have cost data available within the fourteen day Pocket Guide rule. Per Field Operations Pocket Guide. Section 7. Cost Estimates, Page 26, "If the applicant has not produced cost data within two weeks of the site inspection, the Project Specialist will prepare the PW on the basis of an estimate for the work accomplished". Applicant, CO State representative and FEMA personnel jointly conducted all inspections and agreed to use CDOT costs for in-place costs to derive estimates on this project worksheet. Applicant understands that all actual support documentation. invoices, FA records, contract and proof of payment will be required for final reconciliation and or closeout process. Attached is the CDOT average in-place cost for materials. 3. The Applicant will notify FEMA and the State of their intent to perform permanent work related to this site before any work commences in the field. Failure to do so may jeopardize the sub-grant for permanent work related to the work in this sub-grant. 4. Pursuant to 44 CFR 13.42, Grantees and Subgrantees are required to retain records, including source documentation, to support expenditures/costs incurred against the grant award, for 3 years from the date of submission to FEMA of the final Financial Status Report. 5. The applicant must obtain all required federal, state, and local permits prior to the commencement of work. 6. The subgrantee is requesting direct administrative costs that are directly chargeable to this specific project. Associated eligible work is related to administration of the PA project only and in accordance with 44 CFR 13.22. These costs are treated consistently and uniformly as direct costs in all federal awards and other subgrantee activities and are not included in any approved indirect costs. 7. Project was reviewed for 406 Hazard Mitigation and is HMP is attached. 8. The applicant is aware that all projects are subject to an insurance review as stated in 44 C.F.R. Sections 206.252 and 206.253. If applicable, an insurance determination will be made either as anticipated proceeds or actual proceeds in accordance with the applicants insurance policy that may affect the total amount of the project. 9. The applicant is required to adhere to State and Federal Government Procurement rules and regulations and maintain adequate records to support the basis for all purchasing of goods and materials and contracting services for projects approved under the Public Assistance program, as stated in 44 CFR 13.36. The applicant has advised they have followed their normal procurement procedures. 10. After this PW was entered into EMMIE, the applicant requested that changes be made to the Damage Description and Scope of Work for Sites 21 and 24. Site 21 did not have any damages and the estimated cost for $1 .939.60 will remain part of the original estimated cost of $580, 107.80 as actual costs of repairs will be captured at close out for this large project. Sites 15, 28 and 29 were identified as not having any work performed to date. Estimated costs for the sites will remain the same as stated. Current Version: ****Version 1 *' This Addendum is being written to capture damages to CR15.5 consisting of eroded roadway shoulder that was not captured during the initial field survey. It was identified by the Applicant during their review of PW WELCO03. As a measure to prevent future erosion, the Applicant is requesting HMP to stabilize the side slopes consisting of turf reinforcing mat and willow cuttings. In order to rebuild eroded roadway shoulder that was washed out during the disaster, the Applicant is requesting at Location 8, CR 15.5, (40.36548, -104.91711 ) the restoration of 145FT X 24FT X 4FT / 27 = 515.56CY of embankment material (common borrow) at $10.00/CY (CDOT 203-00062) = $5,155.56 and provide traffic control for 2 days at $1 ,000.00/day (CDOT estimate) = $2,000.00. TOTAL $7,155.56. Does the Scope of Work change the pre-disaster conditions at the site? Yes No Special Considerations included? Yes No Hazard Mitigation proposal included? Yes No Is there insurance coverage on this facility? Yes No PROJECT COST ITEM CODE NARRATIVE QUANTITY/UNIT UNIT PRICE COST *** Version 0 *** Work Completed 1 9999 ESTIMATE 1 /LS $ 552,793.50 $ 552,793.50 Work To Be Completed 2 9999 Estimate 1 /LS $ 27,314.30 $ 27,314.30 Direct Subgrantee Admin Cost 3 9999 Direct Admin cost 1 /LS $ 1 ,000.00 $ 1 ,000.00 4 0909 Hazard Mitigation Proposal 1 /LS $ 9, 190.46 $ 9, 190.46 https://connect I .dhs.gov/emm ie/,Danalnfo=isource.fema.net,SSL+dispatchDestination.do?... 4/30/2014 sap Federal Emergency Management Agency E-Grants Page 22 of 34 TOTAL COST $ 590,298.26 PREPARED BY STEPHEN SUHY TITLE PROJECT SPECIALIST SIGNATURE APPLICANT REP Roy RudisiII TITLE Director - OEM SIGNATURE WELD (COUNTY) : PA-08-CO-4145-PW-00643 Conditions Information Review Name Condition Type Condition Name Description Monitored Status POST-CONSTRUCTION: 17. Upon project completion. revegetate all disturbed areas with native shrubs. trees. and grasses. a. Rip compacted access routes prior to replanting with native vegetation. b. Fill and reseed with weed free material and native seed mixtures. c. Consult the Endangered Service before finalizing a seed Final Review Other (EHP) Species Act and plant list. 18. Bury riprap. then No Approved (ESA) plant with native riparian vegetation. 19. Rehabilitate adjacent habitats impacted by floodwaters to restore connectivity and prevent future impacts from erosion or sedimentation. 20. Consider monitoring the revegetated areas for success. The Service can help establish success criteria during the consultation process. This review does not address all federal. state and local requirements. Acceptance of federal funding requires recipient Final Review Other (EHP) Standard to comply with all federal. state No Approved Condition #2 and local laws. Failure to obtain all pp appropriate federal. state and local environmental permits and clearances may jeopardize federal funding. Any change to the approved Standard scope of work will require re- Final Review Other (EHP) Condition #1 evaluation for compliance with No Approved NEPA and other Laws and Executive Orders. POST-CONSTRUCTION: 17. Upon project completion. revegetate all disturbed areas with native shrubs. trees. and grasses. a. Rip compacted access routes prior to replanting with native vegetation. b. Fill and reseed with weed free material and native seed mixtures. c. Consult the Service before finalizing a seed Endangered and plant list. 18. Bury riprap. then littps://connectl .dhs.gov/emm ie/,Danainfo=isource.fema.net,SSL+dispatch Destination.do?... 4/30/2014 Federal Emergency Management Agency E-Grants Page 23 of 34 Species Act plant with native riparian (ESA) vegetation. 19. Rehabilitate adjacent habitats impacted by floodwaters to restore connectivity and prevent future impacts from Final Review Other (EHP) erosion or sedimentation. 20. No Approved Consider monitoring the revegetated areas for success. The Service can help establish success criteria during the consultation process. PRE-CONSTRUCTION DESIGN : 1 . Design the project to avoid and minimize the permanent and temporary impacts to riparian and adjacent upland habitats. a. Before construction. identify and prioritize riparian and adjacent upland habitats within the project area. Design the project so that it avoids these habitats whenever possible. b. Minimize the amount of concrete, riprap. bridge footings. and other "hard," impermeable engineering features within the stream channel and riparian or adjacent upland habitats. c. Use bioengineering techniques to stabilize stream banks. d. Minimize the number and footprint of access routes. staging areas. and work areas. e. Locate access routes. staging areas. and work areas within previously disturbed or modified Endangered non-habitat areas. f. Maintain Final Review Other (EHP) Species Act habitat connectivity under bridges No Approved (ESA) or through culverts by installing ledges or dry culverts adjacent to the culverts with water flow. g. Avoid fragmenting linear riparian corridors. 2. Install limits of work fencing (e.g. . orange barrier netting or silt fencing). signage. or other visible markers to delineate access routes and the project area from habitats. Use this fencing to enforce no-entry zones. 3. Hold a preconstruction briefing for onsite personnel to explain the limits of work and other conservation measures. 4. Follow regional stormwater guidelines and design best management practices (BMPs) to control contamination. erosion . and sedimentation, such as silt fences. silt basins, gravel bags. and other controls needed to stabilize soils in denuded or graded areas. during and after construction. 5. Locate utilities along existing road corridors. and https://connect 1 .dhs.gov/emm ie/,Danalnfo=isource.tema.net,SSL+dispatchDestination .do?.. . 4/30/2014 t Federal Emergency Management Agency E-Grants Page 24 of 34 if possible. within the roadway or road shoulder. a. Bury overhead utilities whenever possible. b. Directionally bore utilities and pipes underneath habitats. 6. Develop and implement a habitat restoration plan that addresses site preparation. planting techniques. control of non-native weeds. native seed mixtures. and post-construction monitoring. The applicant should implement appropriate FWS conservation measures identified in the Emergency Consultation between FEMA and USFWS. dated September 24. 2013. to the extent Endangered possible: including a post- Final Review Other (EHP) Species Act construction estimate of the No Approved (ESA) amount of habitat affected by the emergency response, an evaluation of how conservation recommendations were implemented. and the results of implementation in minimizing adverse effects. PROJECT IMPLEMENTATION: 7. Contact the Service immediately by telephone at (303) 236-4773 if a Preble's is found alive, dead, injured, or hibernating within the project area. Please also contact the Service if any other listed species are found within the project area. 8. To the maximum extent practicable. limit disturbing (e.g. . crushing. trampling) or removing (e.g. . cutting, clearing) all vegetation . such as willows, trees. shrubs, and grasses within riparian and adjacent upland habitats. a. Restrict the temporary or permanent removal of vegetation to the footprint of the project area. b. Minimize the use of heavy machinery and use smaller equipment when possible. c. Soil compaction : Temporarily line access routes with geotextiles or other materials. especially in wet. unstable soils to protect roots and the seed bank. 9. Use the attached table to track the acres or square feet of riparian and upland habitats temporarily or permanently affected by the response activities. a. Temporary Impacts: Native vegetation and habitats will reestablish following rehabilitation (e.g. , access route that is rehabilitated with native. I https://connect l .dhs.gov/emmie/,Danalnfo=isource.fema.net.SSL+dispatch Destination.do?... 4/30/20 14 Federal Emergency Management Agency E-Grants Page 25 of 34 weed-free seeds and plants). b. Permanent Impacts: Riparian or upland habitats will not return as a result of project activities (e.g. . road surface. concrete footings) 10. Track the volumes of any water from onsite sources stored or used for dust abatement. soil compaction. concrete mixing . or other activities. 11 . Locate, store. stage, operate, and refuel equipment outside of riparian or adjacent upland habitats. a. Operate equipment from previously disturbed or modified roadbeds or road shoulders above the riparian habitats. b. Limit the number of entrance and exit points leading into the project area. c. Stockpile topsoil and debris outside the riparian corridor and protect from stream flows or runoff. 12. During the Preble's active season (May 1 through November 1 ), work only during daylight hours to avoid disrupting Preble's nocturnal activities. 13. Promptly remove waste to Endangered minimize site disturbance and Final Review Other (EHP) Species Act avoid attracting predators. 14. No Approved (ESA) Cover exposed holes or piles of loose dirt with boards. tarps, or other materials to prevent entrapment. 15. Use best management practices (BMPs) to limit construction-related disturbance, such as soil compaction. erosion. and sedimentation. and to prevent the spread of invasive weeds: a. Soil compaction: Establish one access route for workers, vehicles. and machinery, preferably along a previously disturbed surface or route. b. Soil compaction: Temporarily line access routes with geotextiles or other materials. especially in wet. unstable soils. c. Weed control: Wash and inspect vehicles and equipment before entering or leaving the project area so that they are free of noxious weed seeds and plant parts. d. Weed control: Use only weed free certified materials. including gravel, sand. top soil. seed. and mulch. 16. Complete construction before beginning restoration or enhancement activities. PROJECT IMPLEMENTATION : 7. Contact the Service immediately https://connect l .dhs.gov/emmie/,Danalnfo=isource.fema.net,SSL+dispatchDestination .do?... 4/30/2014 Federal Emergency Management Agency E-Grants Page 26 of 34 by telephone at (303) 236-4773 if a Preble's is found alive. dead, injured , or hibernating within the project area. Please also contact the Service if any other listed species are found within the project area. 8. To the maximum extent practicable. limit disturbing (e.g. . crushing. trampling) or removing (e.g. , cutting. clearing) all vegetation. such as willows, trees, shrubs. and grasses within riparian and adjacent upland habitats. a. Restrict the temporary or permanent removal of vegetation to the footprint of the project area. b. Minimize the use of heavy machinery and use smaller equipment when possible. c. Soil compaction: Temporarily line access routes with geotextiles or other materials, especially in wet. unstable soils to protect roots and the seed bank. 9. Use the attached table to track the acres or square feet of riparian and upland habitats temporarily or permanently affected by the response activities. a. Temporary Endangered Impacts: Native vegetation and Final Review Other (EHP) Species Act habitats will reestablish following No Approved (ESA) rehabilitation (e.g. , access route that is rehabilitated with native. weed-free seeds and plants). b. Permanent Impacts: Riparian or upland habitats will not return as a result of project activities (e.g. . road surface. concrete footings) 10. Track the volumes of any water from onsite sources stored or used for dust abatement. soil compaction. concrete mixing. or other activities. 11 . Locate. store. stage, operate. and refuel equipment outside of riparian or adjacent upland habitats. a. Operate equipment from previously disturbed or modified roadbeds or road shoulders above the riparian habitats. b. Limit the number of entrance and exit points leading into the project area. c. Stockpile topsoil and debris outside the riparian corridor and protect from stream flows or runoff. 12. During the Preble's active season ( May 1 through November 1 ) , work only during daylight hours to avoid disrupting Preble's nocturnal activities. 13. Promptly remove waste to minimize site disturbance and https://connect l .dhs.gov/emm ie/,Dana1n to=isource.fema.net,SSL+dispatch Destination .do?... 4/30/2014 Federal Emergency Management Agency E-Grants Page 27 of 34 avoid attracting predators. 14. Cover exposed holes or piles of loose dirt with boards. tarps, or other materials to prevent entrapment. 15. Use best management practices (BMPs) to limit construction-related disturbance, such as soil compaction. erosion. and sedimentation. and to prevent the spread of invasive weeds: a. Soil compaction: Establish one access route for workers, vehicles. and machinery, preferably along a previously disturbed surface or route. b. Soil compaction : Temporarily line access routes with geotextiles or other materials.. especially in wet, unstable soils. c. Weed control: Wash and inspect vehicles and equipment before entering or leaving the project area so that they are free of noxious weed seeds and plant parts. d. Weed control: Use only weed free certified materials. including gravel. sand. top soil, seed. and mulch. 16. Complete construction before beginning restoration or enhancement activities. The applicant should implement appropriate FWS conservation measures identified in the Emergency Consultation between FEMA and USFWS. dated September 24, 2013. to the extent Endangered possible: including a post- Final Review Other (EHP) Species Act construction estimate of the No Approved (ESA) amount of habitat affected by the emergency response, an evaluation of how conservation recommendations were implemented. and the results of implementation in minimizing adverse effects. PRE-CONSTRUCTION DESIGN : 1 . Design the project to avoid and minimize the permanent and temporary impacts to riparian and adjacent upland habitats. a. Before construction . identify and prioritize riparian and adjacent upland habitats within the project area. Design the project so that it avoids these habitats whenever possible. b. Minimize the amount of concrete. riprap. bridge footings. and other "hard." impermeable engineering features within the stream channel and https://connect l .dhs.gov/emm ie/,Danal rifo=isource. fema.net,SSL+dispatch Destination.do?. . . 4/30/20 14 - t Federal Emergency Management Agency E-Grants Page 28 of 34 riparian or adjacent upland habitats. c. Use bioengineering techniques to stabilize stream banks. d. Minimize the number and footprint of access routes, staging areas. and work areas. e. Locate access routes. staging areas. and work areas within previously disturbed or modified non-habitat areas. f. Maintain habitat connectivity under bridges or through culverts by installing ledges or dry culverts adjacent to the culverts with water flow. g. Avoid fragmenting linear riparian corridors. 2. Install limits of work fencing (e.g. . orange barrier netting or silt fencing) . signage. or other visible markers to delineate access routes and the project area from habitats. Use this fencing to enforce no-entry zones. 3. Hold a Endangered preconstruction briefing for onsite Final Review Other (EHP) Species Act personnel to explain the limits of No Approved (ESA) work and other conservation measures. 4. Follow regional stormwater guidelines and design best management practices (BMPs) to control contamination. erosion. and sedimentation , such as silt fences. silt basins. gravel bags, and other controls needed to stabilize soils in denuded or graded areas. during and after construction. 5. Locate utilities along existing road corridors. and if possible. within the roadway or road shoulder. a. Bury overhead utilities whenever possible. b. Directionally bore utilities and pipes underneath habitats. 6. Develop and implement a habitat • restoration plan that addresses site preparation. planting techniques. control of non-native weeds. native seed mixtures. and post-construction monitoring. If ground disturbing activities occur during construction. applicant will monitor ground disturbance and if Final Review Other (EHP) Standard any potential archeological No Approved Condition #3 resources are discovered. will pp immediately cease construction in that area and notify the State and FEMA. Any change to the approved Standard scope of work will require re- Final Review Other (EHP) Condition #1 evaluation for compliance with No Approved NEPA and other Laws and Executive Orders. This review does not address all I https://connectl .dhs.gov/emm ie/,Danaln fo=isource. lema.net,SSL+dispatch Destination.do?... 4/30/2014 Federal Emergency Management Agency E-Grants Page 29 of 34 federal , state and local requirements. Acceptance of federal funding requires recipient Standard to comply with all federal. state Final Review Other (EHP) Condition #2 and local laws. Failure to obtain all No Approved appropriate federal, state and local environmental permits and clearances may jeopardize federal funding. If ground disturbing activities occur during construction. applicant will monitor ground disturbance and if Final Review Other (EHP) Standard any potential archeological No Approved Condition #3 resources are discovered . will pp immediately cease construction in that area and notify the State and FEMA. If ground disturbing activities occur during construction , applicant will monitor ground disturbance and if EHP Review Other (EHP) Standard any potential archeological Condition #3 resources are discovered. will No Recommended immediately cease construction in that area and notify the State and FEMA. This review does not address all federal. state and local requirements. Acceptance of federal funding requires recipient EHP Review Other EHP Standard to comply with all federal. state ( Condition #2 and local laws. Failure to obtain all No Recommended appropriate federal, state and local environmental permits and clearances may jeopardize federal funding. Any change to the approved Standard scope of work will require re- EHP Review Other (EHP) Condition #1 evaluation for compliance with No Recommended NEPA and other Laws and Executive Orders. POST-CONSTRUCTION: 17. Upon project completion. revegetate all disturbed areas with native shrubs. trees. and grasses. a. Rip compacted access routes prior to replanting with native vegetation . b. Fill and reseed with weed free material and native Endangered seed mixtures. c. Consult the EHP Review Other (EHP) Species Act Service before finalizing a seed No Recommended (ESA) and plant list. 18. Bury riprap. then plant with native riparian vegetation. 19. Rehabilitate adjacent habitats impacted by floodwaters to restore connectivity and prevent future impacts from erosion or sedimentation. 20. Consider monitoring the revegetated areas for success. The Service can help establish https://connect I .dhs.gov/emmie/,Danalnfo=isource. tei»a.net,SSL+dispatchDestination.do?... 4/30/2014 Federal Emergency Management Agency E-Grants Page 30 of 34 success criteria during the consultation process. PRE-CONSTRUCTION DESIGN: 1 . Design the project to avoid and minimize the permanent and temporary impacts to riparian and adjacent upland habitats. a. Before construction, identify and prioritize riparian and adjacent upland habitats within the project area. Design the project so that it avoids these habitats whenever possible. b. Minimize the amount of concrete, riprap. bridge footings. and other "hard." impermeable engineering features within the stream channel and riparian or adjacent upland habitats. c. Use bioengineering techniques to stabilize stream banks. d. Minimize the number and footprint of access routes.. staging areas. and work areas. e. Locate access routes, staging areas. and work areas within previously disturbed or modified non-habitat areas. f. Maintain habitat connectivity under bridges or through culverts by installing ledges or dry culverts adjacent to Endangered the culverts with water flow. g. EHP Review Other (EHP) Species Act Avoid fragmenting linear riparian No Recommended (ESA) corridors. 2. Install limits of work fencing (e.g. . orange barrier netting or silt fencing). signage. or other visible markers to delineate access routes and the project area from habitats. Use this fencing to enforce no-entry zones. 3. Hold a preconstruction briefing for onsite personnel to explain the limits of work and other conservation measures. 4. Follow regional stormwater guidelines and design best management practices (BMPs) to control contamination. erosion. and sedimentation, such as silt fences, silt basins, gravel bags, and other controls needed to stabilize soils in denuded or graded areas. during and after construction. 5. Locate utilities along existing road corridors. and if possible. within the roadway or road shoulder. a. Bury overhead utilities whenever possible. b. Directionally bore utilities and pipes underneath habitats. 6. Develop and implement a habitat restoration plan that addresses site preparation . planting techniques. control of non-native https://connectl .dhs.gov/em m ie/,Danalnfo=isource.fema.net,SSL+dispatc h Destination.do?... 4/30/2014 Federal Emergency Management Agency E-Grants Page 31 of 34 weeds. native seed mixtures. and post-construction monitoring. The applicant should implement appropriate FWS conservation measures identified in the Emergency Consultation between FEMA and USFWS. dated September 24. 2013. to the extent Endangered possible: including a post- EHP Review Other (EHP) Species Act construction estimate of the No Recommended (ESA) amount of habitat affected by the emergency response. an evaluation of how conservation recommendations were implemented. and the results of implementation in minimizing adverse effects. PROJECT IMPLEMENTATION: 7. Contact the Service immediately by telephone at (303) 236-4773 if a Preble's is found alive, dead, injured. or hibernating within the project area. Please also contact the Service if any other listed species are found within the project area. 8. To the maximum extent practicable. limit disturbing (e.g. , crushing. trampling) or removing (e.g. . cutting . clearing) all vegetation, such as willows, trees. shrubs, and grasses within riparian and adjacent upland habitats. a. Restrict the temporary or permanent removal of vegetation to the footprint of the project area. b. Minimize the use of heavy machinery and use smaller equipment when possible. c. Soil compaction: Temporarily line access routes with geotextiles or other materials. especially in wet. unstable soils to protect roots and the seed bank. 9. Use the attached table to track the acres or square feet of riparian and upland habitats temporarily or permanently affected by the response activities. a. Temporary Impacts: Native vegetation and habitats will reestablish following rehabilitation (e.g. . access route that is rehabilitated with native. weed-free seeds and plants). b. Permanent Impacts: Riparian or upland habitats will not return as a result of project activities (e.g. . road surface. concrete footings) 10. Track the volumes of any water from onsite sources stored or used for dust abatement. soil compaction. concrete mixing . or https://connectl .dhs.gov/emm ie/.Danalnfo=isource.fema.net.SSL+dispatch Destination.do?... 4/30/2014 a t Federal Emergency Management Agency E-Grants Page 32 of 34 other activities. 11 . Locate. store. stage. operate. and refuel equipment outside of riparian or adjacent upland habitats. a. Operate equipment from previously disturbed or modified roadbeds or road shoulders above the riparian habitats. b. Limit the number of entrance and exit points leading into the project area. c. Stockpile topsoil and debris outside the riparian corridor and protect from stream flows or runoff. 12 . During the Preble's active season (May 1 through November 1 ). work only during daylight hours to avoid disrupting Preble's nocturnal activities. 13. Promptly remove waste to minimize site disturbance and avoid attracting predators. 14. Cover exposed holes or piles of loose dirt with boards. tarps. or other materials to prevent Endangered entrapment. 15. Use best EHP Review Other (EHP) Species Act management practices (BMPs) to No Recommended (ESA) limit construction-related disturbance, such as soil compaction. erosion. and sedimentation. and to prevent the spread of invasive weeds. a. Soil compaction: Establish one access route for workers.. vehicles. and machinery, preferably along a previously disturbed surface or route. b. Soil compaction: Temporarily line access routes with geotextiles or other materials. especially in wet. unstable soils. c. Weed control: Wash and inspect vehicles and equipment before entering or leaving the project area so that they are free of noxious weed seeds and plant parts. d. Weed control: Use only weed free certified materials. including gravel, sand. top soil. seed. and mulch. 16. Complete construction before beginning restoration or enhancement activities. Internal Comments No. Queue User Date/Time Reviewer Comments Note: Grantee comment is address in the SOW notes. This Addendum is being written to capture damages to CR15. 5 Final PALACIO 04-18-2014 consisting of eroded roadway shoulder that was not captured 15 Review JOSE 09: 11 PM during the initial field survey and related HMP.Final Reviewer GMT finds eligible the application and approves the funding of this project worksheet based on the applicant having performed all required procurement procedures. perform all required special hops://connect I .dlis.gov/emm ie/,Dana[nfo=isource.fema.net,SSL+dispatch Destination.do?... 4/30/20 14 Federal Emergency Management Agency E-Grants Page 33 of 34 considerations recommendations such as permits to address EHP considerations and securing all actual cost documentation for the financial reconciliation of this project. Task Force Leader- J. Palacio 04/03/2014 Grantee 04-18-2014 14 Review PATEL KAJAL 07:59 PM Version to add HMP to this project GMT 04-18-2014 13 Grantee PATEL KAJAL 07: 55 PM Scope of work item #8 says 406 HM is not feasible however Review GMT the HMP is included in this PW. Adjust SOW. PW — 643 Weld County. CAT C. 95% Complete. County road/culvert repair. mitigation includes adding rip rap and geotextile fabric in 2 locations to secure washed out culverts. - tcookro - 03/05/2014 15:53:53 GMT Applicant will add fill. turf reinforcement mat and willow staking to stabilize banks. - bsherma1 - 04/17/2014 20:34: 50 GMT Project has no potential to impact the wetland function or resources and substantially restores site to pre-disaster condition. No further wetland review is required under the 8- step process. - tcookro - 03/05/2014 16:21 :35 GMT Entire community will benefit from project completion. - tcookro - 03/05/2014 15: 56:26 GMT Action is addressed under the attached Emergency Consultation between FEMA and USFWS, dated September 24. 2013. The consultation includes conservation measures EHP PATTERSON 04-18-2014 intended to minimize impacts to the federally listed Preble's 12 Review MOLLY 01 :42 PM Meadow Jumping Mouse, Ute's Lady's Tress and Colorado GMT Butterfly Bush. and Designated Critical Habitat protected under the ESA. - tcookro - 03/07/2014 16:52: 15 GMT Please adjust the ESA radial to "May Affect. Not Likely to Adversely Affect" (to match comments and conditions) and adjust Mig. Bird radials to 2nd & 3rd radials. Project sites are located in Zones A. B & C. on various panels including FIRM panel 0802660637C dated 09128/1982. Per 44 CFR Part 9.5 (g) Step 1 : Project repairs are determined to have no effect on floodplain or wetlands provided that the repairs remain in the existing footprint and do not impact previously undisturbed areas. No further floodplains review is required. - tcookro - 03/05/2014 16: 26:29 GMT The scope of work has been reviewed and meets the criteria of the 2013 signed Programmatic Agreement, Appendix B. III- A,B. and C agreed to by FEMA and the SHPO. - tcookro - 03/05/2014 16:29: 54 GMT Insurance JOHNSON 04-17-2014 The additional FEMA eligible damages will not alter the prior 11 08:05 PM insurance policy coverage comments or the insurance Review KENNETH GMT requirement comments. Mitigation 04-17-2014 The Hazard Mitigation Proposal is approved - Mark W. Petitt. 10 Review PETITT MARK GMT PM 406 Specialist 04-17-2014 Applicant is insured through the CCCPP risk pool. That policy Insurance JOHNSON specifically excludes roadways from coverage. Insurance 9 Review KENNETH GMT PM proceeds are not anticipated, and there is no insurance O&M for roads. 04-17-2014 Mitigation The Hazard Mitigation Proposal is approved - Brian W. Drost. 8 Review PETITT MARK GMT PM 406 Specialist 7 Initial HILTON 04-17-2014 4-17-2014: Moved forward as eligible. No other issues found. Review KIMREY 03:33 PM KAH https://connect I .dhs.gov/emm ie/,Danalnfo=isource.tema.net,SSL+dispatch Destination .do?... 4/30/20 14 Federal Emergency Management Agency E-Grants Page 34 of 34 GMT Award 04-14-2014 6 Review SYSTEM 05:45 PM ACCEPTED GMT Note: Grantee comment is address in the SOW notes. Final Reviewer finds eligible the application and approves the 04-03-2014 funding of this project worksheet based on the applicant 5 Final PALACIO 08: 14 PM having performed all required procurement procedures. Review JOSE GMT perform all required special considerations recommendations such as permits to address EHP considerations and securing all actual cost documentation for the financial reconciliation of this project. Task Force Leader- J. Palacio 04/03/2014 03-13-2014 Grantee BALDWIN Scope of work item #8 says 406 HM is not feasible however 4 Review SCOTT GMT PM the HMP is included in this PW. Adjust SOW. PW — 643 Weld County, CAT C. 95% Complete. County road/culvert repair, mitigation includes adding rip rap and geotextile fabric in 2 locations to secure washed out culverts. - tcookro - 03/05/2014 15: 53: 53 GMT Project has no potential to impact the wetland function or resources and substantially restores site to pre-disaster condition. No further wetland review is required under the 8- step process. - tcookro - 03/05/2014 16:21 : 35 GMT Entire community will benefit from project completion. - tcookro - 03/05/2014 15: 56:26 GMT Action is addressed under the attached Emergency Consultation between FEMA and USFWS , dated September 24, 2013. The consultation includes conservation measures intended to minimize impacts to the federally listed Preble's EHP PATTERSON 03-07-2014 Meadow Jumping Mouse. Ute's Lady's Tress and Colorado 3 Review MOLLY 09:09 PM Butterfly Bush, and Designated Critical Habitat protected under GMT the ESA. - tcookro - 03/07/2014 16: 52: 15 GMT Please adjust the ESA radial to "May Affect. Not Likely to Adversely Affect" (to match comments and conditions) and adjust Mig. Bird radials to 2nd & 3rd radials. Project sites are located in Zones A. B & C. on various panels including FIRM panel 0802660637C dated 09/28/1982. Per 44 CFR Part 9.5 (g) Step 1 : Project repairs are determined to have no effect on floodplain or wetlands provided that the repairs remain in the existing footprint and do not impact previously undisturbed areas. No further floodplains review is required. - tcookro - 03/05/2014 16:26:29 GMT The scope of work has been reviewed and meets the criteria of the 2013 signed Programmatic Agreement, Appendix B. III- A,B. and C agreed to by FEMA and the SHPO. - tcookro - 03/05/2014 16:29:54 GMT Mitigation 03-04-2014 The Hazard Mitigation Proposal is approved - Brian W. Drost. 2 Review DROST BRIAN GMT PM 406 Specialist 02-27-2014 Applicant is insured through the CCCPP risk pool. That policy 1 Insurance GILLIAM 10:46 PM specifically excludes roadways from coverage. Insurance Review ROBERT GMT proceeds are not anticipated. and there is no insurance O&M for roads. littps://connectl .dhs.gov/emmiet Danainfo=isourcelema.net,SSL+dispatch Destination.do:'.. . 4/30/2014 Hello