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Home My WebLink AboutFEMA Scutt RdFEDERAL EMERGENCY MANAGEMENT AGENCYO.M.B. No. 3067-0151 I PROJECT WORKSHEET Expires April 30, 2001 PAPERWORK BURDEN DISCLOSURE NOTICE Public reporting burden for this form is estimated to average 30 minutes. The burden estimate includes the time for reviewing instructions, searching existing data sources, gathering and maintaining the needed'data, and completing and submitting the forms. You are not required to respond to this collection of information unless a valid OMB control number is displayed in the upper right cemer of the forms. Send comments regarding the accuracy of the burden estimate and any suggestions for reducing the burden to: Information Collections Management Federal Emergency Management Agency, 500 C Street, SW, Washington, DC 20472, Paperwork Reduction Project (3067-0151). NOTE: Do not send your completed form to tis address. DECLARATION NO. PROJECT NO. IFIPS NO. DATE (CATEGORY FEMA- 1589 -NY TOH 010 023-32160-00 6/2912005 C DAMAGED FACILITY WORK COMPLETE AS OF: Roads & Culverts 7/13/2005 D % APPLICANT COUNTY Town of Harford Cortland =OCATION LATITUDE (LONGITUDE Scutt Road IN 42.46720 W 76.16840 DAMAGE DESCRIPTION AND DIMENSIONS During the declared incident period from April 2, 2005 to April 4, 2005 the Town of Harford experienced severe flooding and substantial rainfall That caused washouts and shoulder damage townwide. Along Scutt Road, a seasonal road, four sites were damaged, Site 1. A 35'L 18" CMP culvert was bent and damaged. 20'L x 5'W x 1'D ditch erosion also occured at the outlet, washing out existing riprap_ Site 2. A 100'L stretch of 16'W x 6"D road was washed out. Site 3. A 500'L x 16'W washout oc cured on the road as well as in the 5'W x 2.5'D ditch, washing out existing riprap. Site 4. A 2T long 18" CMP culvert was damaged. 6'H x 10'W x I UL riprap at the outlet was also washed away. SCOPE OF WORK Site i. Replace the 35'L 18" CMP and fill in the 29L x 5'W x 1'D ditch erosion with riprap. Site 2. Repair the 100% x 16W road with 3" aggregate sub base and 3" aggregate surface course. Site 3. Repair the 500'L x 16'W with 3" aggregate sub base and 3" aggregate surface course. Clean the 500' x 5'W x 2.5'D ditch. Site 4. Replace the 2T long 18" CMP culvert. Place large riprap at the outlet to fill the 6'H x 10'W x 101 eroded outlet. =Aitigation proposal attached to upgrade culverts. Does the scope of work change the pre -disaster conditions at the site? Y Special Considerations issues included? Y Hazard Mitigation proposal included? Y Is there insurance coverage on this facility? N PROJECT COST ITEM CODE' DESCRIPTION UNIT QUANTITY 9002 Work to be done 0 $ 9999 Item specific to the PW LS $ 12,068.26 $ 4 e_ S- 4 ENTER FEMA COST CODES ENTER FEMA COST CODES ENTER FEMA COST CODES ENTER FEMA COST CODES ENTER FEMA COST CODES ENTER FEMA COST CODES - ENTER FEMA COST CODES <_ ENTER FEMA COST CODES <_ ENTER FEMA COST CODES PREPARED BY: Scott Li l PAL Hu h Murp EMA PO UNIT PRICY COST 1.00 $12,068.26 TOTAL COST $12,068.26 (TITLE: Town Sweroisor Rats Marsh FEMA Form 90-91, SEP 98 REPLACES ALL PREVIOUS EDITIONS. 2. Is the damaged facility located within a lmadplakt or coastal high hazard area, or does k have an impact on a floodplain or wetland? Yes No Unsure f COMMENTS: Sites not in floodplain. Map reference 360180 a X 3. Is the damaged facility or item of work located wit M or adjacent to a (:oastal Harrier Resarce System Unit or an Otherwise Protected Area? Yes NO j Unsure I COMMENTS: x i a, $FAR the proposed farik rePMVr'eGonstnrWM charge the pre -disaster condition? (e.i7. roogxhrt material, Axabon, rapaary, Use or fenction) Yes No Unsure I COMMENTS: Culverts will be upgraded. X 5. Does the aMcant have a hazard mitigation propose! or WOM the appbcant Rko technical assistance fora hazard mlogaBon proposal? Yes I No � Unsure I COMMENTS: X �. Is the damaged facmy on the Natlanat Ragtster of Histone Ptaces or the $isle NsWdc fisting? Is it older than 5U years? Are there more, simTfar tsufklirgs near the atle? Yes Nof Unsure COMMENTS: %x Ij 7. Are them arty pristine or undistknbed areas on, or,war, the pry S#07Aro there horse tracts of forestland? Yes NUnsure COMMENTS: 9. Are there arty Imaeldous materials at or adjacent to the damaged facA* andlor item of work? Yes No Unsure I COMMENTS: x 9- Are there any tither :- :.. OY ar controversial issues associated with fire damaged fadMry and/or item of work? Yes No Unsure COMMENTS: ii FEMA Form W120, Nov 08 FEDERAL EMERGENCY MANAGEMENT AGENCY SPECIAL CONSIDERATIONS QUESTIONS 1. APPLICANTS NAME 2. FIDS NUMBER 3. DATE Town of Harford 023-32160-006/29/2005 4. PROJECT NUMBER 5. LOCATION FEMA TOH 010 ISCUtt Road 1589 Form must ire film out—tor each project. I. Does the damaged facility or item of work have myuranoe and/or Is It an Insurahle risk? (e -S-, bulk+ A equipment vehfc/es, ek) Yes No Unsure i COMMENTS: X 4f 2. Is the damaged facility located within a lmadplakt or coastal high hazard area, or does k have an impact on a floodplain or wetland? Yes No Unsure f COMMENTS: Sites not in floodplain. Map reference 360180 a X 3. Is the damaged facility or item of work located wit M or adjacent to a (:oastal Harrier Resarce System Unit or an Otherwise Protected Area? Yes NO j Unsure I COMMENTS: x i a, $FAR the proposed farik rePMVr'eGonstnrWM charge the pre -disaster condition? (e.i7. roogxhrt material, Axabon, rapaary, Use or fenction) Yes No Unsure I COMMENTS: Culverts will be upgraded. X 5. Does the aMcant have a hazard mitigation propose! or WOM the appbcant Rko technical assistance fora hazard mlogaBon proposal? Yes I No � Unsure I COMMENTS: X �. Is the damaged facmy on the Natlanat Ragtster of Histone Ptaces or the $isle NsWdc fisting? Is it older than 5U years? Are there more, simTfar tsufklirgs near the atle? Yes Nof Unsure COMMENTS: %x Ij 7. Are them arty pristine or undistknbed areas on, or,war, the pry S#07Aro there horse tracts of forestland? Yes NUnsure COMMENTS: 9. Are there arty Imaeldous materials at or adjacent to the damaged facA* andlor item of work? Yes No Unsure I COMMENTS: x 9- Are there any tither :- :.. OY ar controversial issues associated with fire damaged fadMry and/or item of work? Yes No Unsure COMMENTS: ii FEMA Form W120, Nov 08 APPLICANT Town of Harford PROJECT OR SITE NO. PAGE OF TOH 010 CALCULATIONS OF WORK TO BE DONE SCOPE OF WORK DETAILED ON THIS ESTIMATE SHEET: FEMA 1589 Site 1. Replace the 35% 18" CMP, cover with aggregate surtace course and 50 in the 201 x 5'W x 1'0 ditch erosion With fiprap, Site 2, Repair the 100L x 16'W road with 3" aggregale sub bade and 3" aggregate sufftm course. She 3. Repair the 500'L x 16'W with 3" aggregate sub base and 3" aggregate surface Course. Clean the 500'x VW x 2.5D ditch and line with riprap. Sita 4, Replace the 2T long 18" CMP culvert. Place large riprap at the outlet to fill the 6'H x 10'W x 101 eroded cutlet. (riprep total divided by two because erosion is at a slope) kY Z. i 35 35.01 LF $ 47. 16 5 f 1 3.0 CY 2 20 5 C0�� 00 $ 1,645.00 00 $ 82.96 1 3.7 CY $ 60.00 100 16 0.25 20.7 TON x $ 10 00 t 100 16 0,25 500 500 500 500 27 10 f I 16 16 5 10 1 0.25 1 0.25 74.11 500.01 92.6 27.01 11.i I 14.8 CY 103.7 1 TON 1 2.5 1 CY LF E $ CY $ LF $ CY $ 1 GRAwbTOTAL 28.00 1 $ 10,00 1 $ 28.00 $ 0.751 $ 44.00 1 $ 47.00 $ 80,00 l $ 222.22 207.41 414.81 1,037,04 2,074.07 375.00 4,074.07 1,269.00 666.67 12,068.26 � DESCRIPTION Site 1 3353 CMP 16" {FURNISH AND INSTALL) Site 1 3011 AGGREGATE SURFACE COURSE Site 1 3250 SLOPE PROTECTION RIP RAP Site 2 3016 AGGREGATE SUBBASE 3" - 9" Site 2 3011 .AGGREGATE SURFACE COURSE Site 3 3016 AGGREGATE SUBBASE 3" - V Site 3 3011 AGGREGATE SURFACE COURSE Site 3 3070 DITCH CLEANING 8 SHAPING Site 3 3251 SLOPE PROTECTION RIP RAP (DUMPED) Site 4 3353 CMP 18" (FURNISH AND INSTALL) Site 4 3250 SLOPE PROTECTION RIP RAP 0 `' `^ <• ENTER FEMA COST CODES 0 <- ENTER FEMA COST CODES 0 <- ENTER FEMA COST CODES 0 �- <- G - ENTER FEMA COST CODES 0 4 4 G w ENTER FEMA COST CODES �`' 0 < < `- ENTER FEMA COST CODES 04 �- a <- ENTER FEMA COST CODES USER MAY INPUT OWN DATA HERE BSER MAY INPUT OWN DATA HERE USER MAY INPUT OWN DATA HERE USER MAY INPUT OWN DATA HERE kY Z. i 35 35.01 LF $ 47. 16 5 f 1 3.0 CY 2 20 5 C0�� 00 $ 1,645.00 00 $ 82.96 1 3.7 CY $ 60.00 100 16 0.25 20.7 TON x $ 10 00 t 100 16 0,25 500 500 500 500 27 10 f I 16 16 5 10 1 0.25 1 0.25 74.11 500.01 92.6 27.01 11.i I 14.8 CY 103.7 1 TON 1 2.5 1 CY LF E $ CY $ LF $ CY $ 1 GRAwbTOTAL 28.00 1 $ 10,00 1 $ 28.00 $ 0.751 $ 44.00 1 $ 47.00 $ 80,00 l $ 222.22 207.41 414.81 1,037,04 2,074.07 375.00 4,074.07 1,269.00 666.67 12,068.26 APPLICANT Town Of Harford PROJECT OR SITE NO. PAGE OF MC -)H 010 SCOPE OF WORK DETAILED ON THIS ESTIMATE SHEET: Hazard Mitigation Calculation Worksheet Site 1. Upgrade the 35'L 18" CMP Culvertto a 40'L 24" paiyethlene pipe. Site 4. Upgrade the 2T long 18" CMP culvert to a 30' long 24" palyethiene pipe GOO DESCRIPTION site 1 3343 IPOLYETHLENE PIPE 24" FURNISH AND INSTALL Site 1 3353 ICMP 18" (FURNISH AND INSTALL) Site 4 3343 JPOLYETHLE:NE PIPE 24" FURNISH AND INSTALL Site 4 j 3353 CniP 18" (FURNISH AND INSTALL) 0 4 G o <- ENTER FEMA COST CODES 0 [ 4 4 4 ENTER FEMA COST CODES ENTER FEMA COST CODES } 0 < G a <- I=NTER FEMA COST CODES I 0 c_ < <, <. ENTER FEMA COST CODES 0 <. <- <- c_ ENTER FEMA COST CODES 0a < < <, ENTER FEMA COST CODES r� 0 <. < a - ENTER FEMA COST CODES I 0 4 4 4- ENTER FEMA COST CODES 1 0G 4 <- ENTER FEMA COST CODES 0 <- < < w ENTER FEMA COST CODES 0 �4 4 <- ENTER FEMA COST CODES f 0 G 4 4 G ENTER FEMA COST CODES 0 IG 4 G ENTER FEMA COST CODES I{ USER MAY INPUT OWN DATA HERE USER MAY INPUT OWN DATA HERE USER MAY INPUT OWN DATA HERE USER MAY INPUT OWN DATA HERE FEMA 40 I 40.0 t LF $ 5500 -35 I 1 30 .27� (35.0) LF $ 47.00 30.0 LF $ 55.00 (27.0)l I LF $ 47.00 1589 GOy,� GdA o'0 $ 2,200,00 $ (1,645.00) $ 1,650,00 1 $ (9,269.00) 936,00 I Federal Emergency Management Agency HAZARD MITIGATION PROPOSAL (HMP) 1589 APPLICANT PRO.IECT NUMBER CATEGORY ,Town of Harford TOH 010 C SCOPE OF MITIGATION WORK: Site 1. Upgrade the 35118" CMP culvert to a 40124" polyethlene pipe. Site 4. Upgrade the 27' long 18" CMP culvert to a 30' long 24" polyethlene pipe. FEMA COST CODE 3343 3353 3343 3353 ESTIMATE OF WORK MATERIAL AND/OR DESCRIP77ON POLYETHLENE PIPE 24" FURNISH AND INSTALL CMP 18" (FURNISH AND INSTALL) POLYETHLENE PIPE 24" FURNISH AND INSTALL CMP 18" (FURNISH AND INSTALL) <- <- <- <- ENTER FEMA COST CODES <- <_ <- <- ENTER FEMA COST CODES <- <- c- c- ENTER FEMA COST CODES <- <- <- <- ENTER FEMA COST CODES <- <- <- <- ENTER FEMA COST CODES <- <- <- <- ENTER FEMA COST CODES <- <.. <- <- ENTER FEMA COST CODES <_ <- <- <- ENTER FEMA COST CODES <- <- <- <- ENTER FEMA COST CODES PREPARED 8Y: Ray Marsh QUANTITY UNITS UNIT PRICE 40 LF $ 55 $ -35 LF $ 47 $ 30 LF $ 55 $ -27 LF $ 47 $ NET TOTAL COST (IN ADDITION TO PROJECT WORKSHEET TOTAL) TITLE: Town Supervisor DATE 8129/2005 COST 2,200 (7,645) 4.850 (1,269) 1 936 J HAZARD MITIGATION ACTIVITY Category C, D, E, F and G Projects Only: Check here if effective mitigation Is feasible on this project: Check here if mitigation will be performed on any site in this project: 0 Codes and Standards Good Construction Practices X Mitigation Policy LJ 15% 0 List M BIC (Attach B/C analysis) ED Other Category C. D,E, F and G Project Only: Please enter the percentage of the project or the estimated amount for HM: V. ;93$.OQ1 Check here if you wish to attach a Hazard Mitigation Proposal: El 0 Scutt Hill ......... '- te: 08/10/2005 FEDERAL EMERGENCY MANAGEMENT AGENCY Project Completion and Certification Report (PA) Disaster #:1589 +. ID: 023-32160-00 Applicant: HARFORD (TOWN OF) 1# VSN PKG# INF Cat Work Projected Approved PW % Done By Compl. Date Amt. Compl. —_ W— - at Inr-- 4 D 85 N C 10/19/2006 $13,004.60 0% Actual Date Amt. Claimed Comments Completed by Applicant igto jos $ j.;,053. (b 'E NUMBER, 1 FACILITY NAME : SCUTT ROAD, ROAD AND CULVERTS CATION SCUTT ROAD ;OPE OF WORK SITE 1. REPLACE THE 35-L 18" CMP AND FILL IN THE 20'L X 5'W X 1D DITCH EROSION WITH RIPRAP. SITE 2. REPAIR THE 1001 X 16'W ROAD WITH 3" AGGREGATE SUB BASE AND 3" AGGREGATE SURFACE COURSE, SITE 3. REPAIR THE 500'L X 16'W WITH 3" AGGREGATE SUB BASE AND 3" AGGREGATE SURFACE COURSE. CLEAN THE 500'X 5'W X 2.5'D DITCH. SITE 4. REPLACE THE 27' LONG 18" CMP CULVERT. PLACE LARGE RIPRAP AT THE OUTLET TO FILL THE VH X 10-W X 101 ERODED OUTLET, MITIGATION PROPOSAL ATTACHED TO UPGRADE CULVERTS. Total for 1 PW $13,004.60 Subgrantee Admin: $390.13 Grand Total: $13,394.73 o...r.. A ^4 4 4 08/10/2005 FEDERAL EMERGENCY MANAGEMENT AGENCY Project Completion and Certification Report (P.4) Disaster #E: 1589 ID: 023-32160-00 Applicant: HARFORD (TOWN OF) CERTIFICATION :REBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF WORK AND COSTS CLAIMED ARE ELIGIBLE IN ACCORDANCE WITH THE ANT CONDITIONS, ALL WORK CLAIMED HAS BEEN COMPLETED, AND ALL 3TS CLAIMED HAVE BEEN PAID IN FULL. 'NED: %i'Ryyua�j DATE: APPLICANT'S AUTHORIZED REPRESENTATIVE Paae 2 of 2 I CERTIFY THAT ALL FUNDS WERE EXPENDED IN ACCORDANCE WITH THE PROVISIONS OF THE FEMA -STATE AGREE=MENT AND I RECOMMEND AN APPROVED AMOUNT OF $ DATE: GOVERNOR'S AUTHORIZED REPRESENTATIVE 7-J T' a6 /I// TOWN OF HARFORD HIGHWAY DEPARTMENT 271 Route 38 L:1 flarfOrd Mills, N.Y. 13835 to 607-844-9176 Road Nalene: EquiPmeht Hours: 4--cA9:U al ivy Tota l: QuantCain , V.: sprtv 01) 2N(271 Man Hoq' r $ per hWr ttI ltemmlateria!,, 416,41f,i-v Number of Hours Ale.Aj TOTAL ESTIMATED COST FOR REPAIRS 2 t.or Tal Total 00 // I Y,$ 7 61