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Sheet of
Report Number:
U.s.Transp Department ofDETAILED DAMAGE INSPECTION REPORT 20051_Weld_County_03B-PR(RIK)
Transportation
Federal Highway Administration (Title 23, Federal-aid Highways) Inspection Date:
10/30/2013
Location (Name of Road and Milepost) FHWA Disaster Number:
CO-13-1
Weld County Site 03 Federal-aid Route Number:
County Road 17(CR50A Bridge) Over Big Thompson River 00017
Description of Damage (ONLY ONE ITEM.MAY BE CHECKED) State: County:
❑ Emergency Repair ❑✓ Permanent Repair ❑ Debris Removal CO Weld
Extreme rain amounts caused floodwaters that overtopped the roadway,scouring the embankments and shoulders,and Work Order Number:
washed out the north roadway approach at bridge abutments. Permanent repairs are necessary to restore the
embankments,shoulders,and roadway to pre-disaster condition.
Cost Estimate
Description of Work to Date. Cost
(Equipment,Labor,and Materials) I Unit Unit Price Quantity Completed Remaining
Major Earthwork Items CY 0 $ 5,147.00
Aggregate Base Course CY 0 $ -
Surfacing- HMA TN 0 $ -
Surfacing-Concrete SY 0 $ -
Structure Repairs LS $ 27,750.00 1 $ 27,750.00
Walls SF 0 $ -
Drainage LF 0 $ -
Misc. Items LS $ 750.00 1 $ 750.00
General Construction Items LS $ 10,295.98 1 $ 10,295.98
Winter Work&Dewatering Items LS $ 4,394.30 1 $ 4,394.30
Minor Contract Revisions LS $ 7,250.59 1 $ 7,250.59
Credit-(Pavement)Constructed in ER Project $ 2,520.37
Construction Estimate Subtotal $ 58,108.24
Right-of-Way $ 2,000.00
Preliminary Engineering $ 8,638.18
Construction Engineering $ 5,558.79
Indirects i rects $ -
Method
IDLocal Forces ❑ State Forces O Contract Estimated Project Total $ 74,305.21
Environmental Assessment Recommendation Prepared By: Date:
El Categorical Exclusion ❑ EA/EIS Ryan Sisson, P.E. 02/11/2014
Concurrence FHWA Engineer(Print Name): FHWA Engineer(Signature): Date:
❑ Yes ❑ No
Concurrence State Engineer(Print Name): State Engineer(Signature): Date:
❑ Yes ❑ No Miranda Lange,P.E.
Concurrence Local Agency rintName): Local ency gnaturree • Date:
Igl Yes ❑ No 'l?i/ 1/1.--.51,11/ ��.,e,„..7 � X , F"-/J J
FHWA USE ONLY J Form FHWA-1547
FEMA Eligible: ❑ Yes ❑ No CDOT 11.5.2013
2014-0437
Permanent Repair Project Cost Estimate
Project Location: Initials RMS
Name of Road Weld County Site 03 County Road 17(CR50A Bridge)Over Big Thompson River
Begin MP or GPS Coordinates 40.3626.-104.9076 I
End MP
County Weld
Estimated Duration of Emergency Repairs I Lower Elevation nu,1.207
Project includes the following damages:
-Breaching of the Big Thompson River channel overtopping the roadway and bridge.
-Wash out of 100'of roadway embankment,subgrade,pavement,topsoil,and roadside elements north of the bridge and scour of roadside shoulders.
-Damage/washout to scour protection riprap at bridge abutments within the main channel
-Damaged guardrail posts
Project includes the following repairs:
-Dewatering,soil stabilization,and removals of damaged infrastructure
-Grading and compaction of roadside slopes,ditches,and embankments
-Permenant erosion control BMP's for final stabilization
PROJECT MAJOR CONSTRUCTION ITEMS
This Section not used in Permanent Repair Cost Estimates f t ......1-..,,-",;.,;r.,'•'• ;"ti ,.;.:. '•- ;"';'1.fit'-.,'I
Major Earthwork Items
Length(ft) Width(ft) Depth(ft) Unit. Unit Cost Quantity Cost
Rock Fill CY $ 34.00 0 $0.00
Excavation&Embankment CY $ 14.00 0 $0.00
Seeding and Blankets(steeper than 2:1 slope) gem AC $ 15,783.00 0.00 $0.00
Spray on Mulch Blanket ri t AC $ 3,294.00 0.50 $1,647.00
Str.Backfill(Class 1) CY $ 34.00 0 $0.00
Str.Backfill(Flow-fill) CY $ 107.00 0 $0.00
Channel Excavation CY $ 49.00 0 80.00
Rip Rap to protect embankment slopes CY $ 111.00 0 $0.00
Remove&Recycle Asphalt :s=i'y,i SY $ 5.00 0 $0.00
Remove&Recycle Concrete ia,'1'1 SY $ 6.00 0 $0.00
Rock Scatng igNortg4414Z tigiViiii*VPOW HR $ 100.00 _ 0 $0.00
Muck Excavation CY $ 20.00 100 82,000.00
Topsoil CY $ 15.00 100 $1,500.00
$0.00
Estimated Cost Earthwork $5,147
'Bases&Pavements �. I
. Length(ft) Width(ft) —'.beAth 1. Uni Unit Cost Quantity r=st
6"ABC Class 6 CY $ 33.00 0 $0.00
HMA(assume 5")area greater than 500LF TN $ 81.00 0 $0.00
PCCP(assume 9",but project specific overrides) ?' i`uWi SY $ 44.00 0 $0.00
HMA Patching-anything less than 500 LF TN $ 149.00 0 $0.00
$0.00 _
$0.00
$0.00
Estimated Cost Pavement $0
2/5
Permanent Repair Project Cost Estimate
Project Location: - Initials RMS
Name of Road Weld County Site 03 County Road 17(CR50A Bridge)Over Big Thompson River
Begin MP or ORS Coordinated 40.3626,-104.9076
End MP
County Weld
Structures Replacement '"
Bridge&Major CSC('20'span) ', Str.No. Length(ft) 4 Width(ft) Depth(ft) Unit Unit Cost Quantity "Cost
Bridge Replacement '.yv9 SF 0 $0.00
CBC Replacement—>Dimension of CBC: *Waft..i AMA LF 0 $0.00
$0.00
$0.00
Estd.Cost Str Replace $0
Structures Repair/Rehabilitation DepGr.({q"}
Bridge&Major CBC(>20'span) Length(ft) Width(k) - Depth(k) .Unit Unit Cost Quantity Cost
HMA Patching Bridge Deck 4i+?• TN $ 149 00 0 $0.00
HMA Pave Bridge Deck f TN $ 81.00 0 $0.00
Waterproofing Membrane k $ 18.00 0 $0.00
Approach Slab Replacement w r- SV $ 44.00 0 $0.00
Expansion Joint g,x>s: ,•'Y';;;y. t. LF $ 263.00 0 $0.00
Slope and Ditch Paving CY $ 377.00 0 $0.00
Str.Backfill(Class 1) CV $ 34.00 0 $0.00
Str.Backfill(Flow-fill) CY $ 107.00 0 $0.00
Bridge Drains - -. ," .. F,,: EA $ 3,943.00 0 $0.00
Concrete Class D CY $ 584.00 0 $0.00
Reinforcing Steel meta mv--"+ '�,$ `,m...wt'„,v„ LB $ 1.00 0 $0.00
Structural Embankment CV $ 14.00 0 $0.00
RIP RAP CY $ 111.00 250 $27,750.00
$0.00
$0.00
$0.00
Est'd Cost Bridge Repair ! .$27,750
Walls
Length(k) Width(ft) Depth(ft) Unit Unit Cost !Quantity Cost
Wing Walls calk,r{ ; SF $ 47.00 0 $0.00
MSE Walls SF $ 30.00 0 $0.00
Retaining Walls SF $ 47.00 0 $0.00
Str.Backfill(Class 1)(Repair only) CY $ 34.00 0 $0.00
Sir.Backfill(Flow-fill)(Repair only) CV $ 107.00 0 $0.00
Concrete Class 0(Repair only) CV $ 584.00 0 $0.00
Reinforcing Steel(Repair only) 1g` � g p' LB $ 1.00 0 $0.00
$0.00
Estimated Cost Walls.. $0
Drainage
Length(It) Width(k) Depth(k) Unit Unit Cost Quantity ' Cost
36"CMP
Pipe LF 0 $0.00
36"CMP FES '' � $ `&$.qa EA $ 1,021.00 0 $0.00
FES • SL,.. St .. ...U'Oiti EA 0 $0.00
Other Items $0.00
Estimated Cost Drainage $0
Misc Items
Length(It) Width(It) Depth(It) Unit" Unit Cost Quantity" I Cost
Detour Pavement(Place&Remove) *NAIMk
SY $ 42,00 0 $0,00
Guardrail--->Type: katintffiMk=tall LF $ 19.00 0 $0.00
Tensioned Cable Barrier nr--,, g9«Yd- --Bas E`er LF $ 13.00 0 $0.00
Median Cover SF $ 7.00 0 $0.00
Curb&Gutter la d-'y�M :"':�° ' LF $ 19.00 0 $0.00
Sidewalk jra SY $ 44.00 0 $0.00
Bike Path 1 a.*�. . SV $ 44.00 0 $0.00
Traffic Signals ,,,,,,e, „ court EA 0 $0.00
Wire Fence -sl.tiirligii. LF $ 2,00 0 $0.00
Removal Culvert �;1','(p ni m EA $ 1,503.00 0 $0.00
Remove Guardrail 5"1'47.4-4251,4-4 • LF $ 3.00 0 $0.00
Removal Curb&Gutter ^: ; ., LF $ 5.66 0 $0.00
Misc Construction&Demolition Debris CY $ 15.00 0 $0.00
Complete description below if applicable to your site $0.00
Ii Electrical $0.00
Lighting $0.00
Utilities(Potholing Only) HR $ 150.00 5 $750.00
ITS $0.00
Irrigation $0.00
Estimated Cost Misc $750
(Total:Major Items $33,647
3/5
Permanent Repair Project Cost Estimate
Project Location; Initials RMS
Name of Road Weld County Site 03 County Road 17(CR50A Bridge)Over Big Thompson River I
Begin MP or GPS Coordinates'40.3626,-104.9076 I -
End MP
County Weld
A Total of Major Items excpet Debris Removal 533,647
B a General Construction Items Major Item Cost
B-1 Erosion Control 10% of A 5 3.36470
B-2 Mobilization 6 6% of A 5 7 770 70
8-3 Signing B Striping 44% of A $ 1 480 47
B-0 Traffic Control 7 1% of A $ 2 388 94
0-5 Public Information 0 5% of A 5 16874
6.6 Construction Survey 70% of A 5 67794
6.7 TOTAL OF $ 10795.98
B. TOTAL OFA+B I$ :43,942.98:
C-1 Dewatering/Soil Stabilization I 5 0% I of B 15 7.197 15
C-2 Not Used
C-3 Winter Work Issues 5 0% of B $ -2 197 15
C-4 TOTAL OF C 5 4,994 30
C. TOTAL OF A+B+C I$ 48,337.28
D. Right of Way Enter actual cost--> $ -7.000 00
E. Minor Contract Revisions I 15 0% I of C 5 7 250 59
F. TOTAL OFA+B+C+E I$ "55,587.87.
G-1 Design Engineering .15 0% of F+D $ 8 638 18
0.2 Construction Engineering 10 0% of C-FE 5 5 558 79
G3 Indirects 00% ofD+F+G-1+G-2 $C. TOTAL OFA+B+C+D+E+F+G I$ 71,784.84
F. TOTAL PROJECT COST LINE G IS - 71,784.84
-ADDITIONAL COMMENTS/ISSUES:
The scope of repairs and quantities provided hereon are based on the best information available at the time of concurrence and signature. The
County is currently performing a more detailed evaluation and assessment of the damage and project scope,and future modifications to the
DDIR form may be requested.
-ASSUMPTIONS:
Quantities for Permanent Repairs provided by Weld County.
PRINT NAMES OF ALL REPRESENTATIVES PRESENT FOR THIS ASSESSMENT-Approximate scope and quantities have been reviewed
Bob Thatcher(CDOT Representative)
Doug Daugherty(FHWA)
Wayne Howard(Weld County)
4/5
Permanent Work Cost Estimate
EM-BR17150A 12/2/2013
CDOT ITEM ESTIMATED UNIT PRICE TOTAL
NUMBER CONTRACT ITEM UNIT QUANTITY Engineer's Engineer's
203 Muck Excavation CY 100 $15.00 $1,500.00
203 Utility Potholing HR 5 $150.00 $750.00
207 Topsoil(Import) CY 100 $10.00 $1,000.00
208 Erosion Log(12 inch) LF 200 $6.00 $1,200.00
208 Silt Fence LF 500 $1.50 $750.00
212 Seeding&Mulching AC 0.5 $2,500.00 $1,250.00
506 Riprap(12") CY 250 $75.00 $18,750.00
620 Sanitary Facility EA 1 $1,000.00 $1,000.00
625 Construction Surveying LS I $5,000.00 $5,000.00
626 Mobilization LS 1 $10,000.00 $10,000.00
630 Traffic Control Day 5 $1,000.00 $5,000.00
700 F/A Minor Contract Revisions FA 1 $10,000.00 $10,000.00
700 F/A Dewatering FA 1 $20,000.00 $20,000.00
SUBTOTAL $76,200.00
Eng Construction Admin.-County(5%) LS 1 $3,810.00 $3,810.00
Eng Design&Inspection-Consultant(20%) LS 1 $15,240.00 $15,240.00
ROW Temporary Construction Easements LS 4 $500.00 $2,000.00
P
TOTAL $97,250.00
L
Sheet of
Report Number:
U.Sranspo rationment f DETAILED DAMAGE INSPECTION REPORT 20051_Weld_County_03A-ER
Transportation
Federal Highway Administration (Title 23, Federal-aid Highways) Inspection Date:
10/30/2013
Location(Name of Road and Milepost) FHWA Disaster Number:
CO-13-1
Weld County Site 03 Federal-aid Route Number:
County Road 17 (CR50A Bridge) Over Big Thompson River 00017
Description of Damage (ONLY ONE ITEM MAY BE CHECKED) State: County:
O Emergency Repair ❑ Permanent Repair ❑ Debris Removal CO Weld
Extreme rain amounts caused floodwaters that overtopped the roadway and bridge,scouring the embankments and Work Order Number:
shoulders,and washed out the north roadway approach at bridge abutments.Emergency repairs are necessary for
embankments,shoulders,and roadway to restore essential traffic to pre-disaster condition.
Cost Estimate
Description of Work to Date Cost
(Equipment, Labor, and Materials) Unit Unit Price Quantity Completed Remaining
Major Earthwork Items CY 0 0
Aggregate Base Course CY 0 0
Surfacing-HMA TN 0 0
Surfacing-Concrete SY 0 0
Structure Repairs LS 0 . 1 0
Walls SF 0 0
Drainage LF 0 0
Misc. Items LS 0 0
General Construction Items LS 0 0
Winter Work& Dewatering Items LS 0 0
Minor Contract Revisions LS 0 0
Project Total-Local Forces(See attached) $ 29,262.57
Deduction-PR Item (Pavement) $ (2,520.37)
Construction Estimate Subtotal $ 26,742.20
Right-of-Way $ -
Preliminary Engineering $ -
Construction Engineering $ -
Indirects $ -
Method
Estimated Project Total $ 26,742.20
D Local Forces ❑ State Forces ❑ Contract
Environmental Assessment Recommendation Prepared By: Date:
O Categorical Exclusion ❑ EA/EIS Ryan Sisson,P.E. 02/11/2014
Concurrence FHWA Engineer(Print Name): FHWA Engineer(Signature): Date:
❑ Yes ❑ No
Concurrence State Engineer(Print Name): State Engineer(Signature): Date:
❑ Yes ❑ No Miranda Lange,P.E.
Concurrence Lo I Agenc (Print Name): Local enc (Signature :___ ___ ,.2 Date: �i
Yes ❑ No � (.722-0-/-. ,< c2 c-42/7
��L '1 1�i-C S: 1{ _
FHWA USE ONLY / Form FHWA-1547
FEMA Eligible: O Yes ❑ No CDOT 11.5.2013
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