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Home My WebLink AboutFEMA Creamery RdFEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-4151 PROJECT WORKSHEET I 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 =mer of the fomes. 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 this address. � EC�LARA TION NO. -NY I PRO TOH 007 IFIPS X23-32i6D-00 DATE 7/19/2005 CATEGORY C DAMAGED FACILITY Culverts APPLICANT Town of Harford COUNTY Cortland WORK COMPLETE AS OF: 7/14/2005 0% LOCATION LATITUDE(LONGITUDE Creamery Road IN 42.42136 W 76.23209 DAMAGE DESCRIPTION AND DIMENSIONS During the declared incident period from April 2, 2045 to April 4, 2805 the Town of Harford experienced severe flooding and substantial rainfall that damaged culverts and embankments along Creamery Road. Site 1 (N42.42138, W78.23209) a 45' long 38" culvert was damaged. Along the upstream side of the culvert a 21YL x 14'W x 6H embankment was washed out on One aide and a 201 x 10'D x 10'H embankment an the other. Akxtg the downstream rode of the culvert a 2171- x 5'H x OW embankment on the left side and 151 x 511 x 5W embankmeW on the right side was washed away. Site 2 (N42.41374. W76.23740) one end of a 70' long 48" steel culvert was damaged and needs to be repaired. Embankments on both sides of the upstream and -Jownstream sides of the culvert were also damaged. SCOPE OF WORK 3ite 1. Instar and furnish a 45' long 3T CMP. Stabilize four embankments; a 201E x 20'W x 6'H embankment on the left side upstream, a 20'L x loW x i 0'H embankment on the right side upstream, a 20'L x 6H x 6'W embankment on the tett side downstream and a 151E x 5'H x 5W embankment on the right side lownstream. Site 2. Stabilize a 20'1_ x SW x 12'D upstream left embankment, a 29L x 6W x 1013 upstream right embankment, a 10'L x 6W x 10'D downstream left embankment and a 1 VL x 6'W x '10'D downstream right embankment. 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 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 ENTER FEMA COST CODES PREPARED BY: S EMD PAL Hu h M hy, FEMA PO FEMA Form 90-91, SEP 98 14,242.28 $ UNIT PRICE COST 1.00 $14,24228 TOTAL COST $14,242.28 ]TITLE: Town Supervisor Ray Marsh K, V\k:� L, REPLACES ALL PREVIOUS EDITIONS. FEDERAL EMERGENCY MANAGEMENT AGENCY SPECIAL CONSIDERATIONS QUESTIONS 1. APPLICANTS NAME 2. FIFS NUMBER 3. nATE Town of Harford 023-321 7/19/2005 4. PROJECT NUMBER 5. iOCAiIoN FEMA TOH 007 Creamers( Road 1589 Form must be ftlkrd out--4or each project f. Does the damaged faciiiy, or item of work have tm ance andfor is it an kmi able risk? (e.g., bu5di7gs, eWipmenk vehicles, efe.) Yes No Unsure COMMENTS: X 2. Is Ura damaged fealty located within a floodplain or coastal high hazard area, or does it have an impact on a floodplain or wet]and? YesI No I Unsure COMMENTS: X 3. Is the damaged facility or Rem of work located within or adjacent to a Coastal Barrier Resource System Unit or an Otherwise Protected Area? Yes Noj Unsure COMMENTS: X I! 4, WIN the proposed facility repairsheconstruction change the pro-dsesW corrddfan? (e.g. AxWprirK maferi4 bcedor, capacity, use orhmcffw) Yes I No Unsure COMMENTS' Site MR be mitigated by increasing culvert size and extending a steel pipe. X 5. hoes the applicard have a hazard mitigatim proposal or would the applicant Hke tectudcal assistance for a hazard mR Wft proposal? XNo I Unsure COMMENTS: Mitigation proposal attached. �. Is the damaged facility on the National Register of Historic Places or the slate historic Wing? is it oiler than 50 years? Are there more, similar buildngs near the sie? Yes I No ! Unsure j COMMENTS: x Ij 7. Are there any prh&* or undisturbed groes on, or near, the project site? Are there large tracts of forestland? Yes No j Unsure COMMENTS: X Jf S. Are there any hazardous materials at or adjacent to the damaged facility and/or item of work? Yes j No f Unsure COMMENTS: jf X {J 9. Are there any other environmentally or controversial Issues associated with the damaged facility andlar item of vmW Yes INo I Unsure COMMENTS: Site is in Creek. X jf FEMA Form W120, NOVO APPLICANT PROJECT OR SITE NO. PAGE OF Town at Harford T H 007 CALCULATIONS OF WORK TO BE DONE SCOPE OF WORK DETAILED ON THIS ESTtMA k c anC>=1: FEMA 1589 At Site 1 Remove pavemem, Install and furnish a 45' long 36" eulved. Cover with r aggregate subcourse and 7 bituminous concrete overlay. tnatall dprap at (a) 4101 x 81) x VH upstream left embankment; (b) 29L x 10'0 x 6'H upstream right embankment; (c) 2VL x 5'H x8W downstream left embankment and (d) 1511. x 5`H x 5'W downstream right embankment. At Site 2 instal! riprap at (a) WL 6'W 12'D upstream left embankment; (b) 2011. SW 10'D upstream right embankment; (c) 10%6'W 10'D downstream left embankment; (d)10'L S'W 10'D downstream right embankment. AN calculations for riprap are divided by 2 because washouts are eroded to a vertical drop. The division by 21s evident in the length being half of that irk the scope of work. DESCRIPTION one 1 3356 CMP 36" (FURNISH AND INSTALL) Site 1 3150 PAVEMENT REMOVAL Site 1 3090 AGGREGATE SASE COURSE (UNDER BITUMINOUS SURFACE) Site 1 3110 BITUMINOUS CONCRETE OVERLAY Site 1 3250 SLOPE PROTECTION RIP RAP Site 1 3250 SLOPE PROTECTION RIP RAP Site 1 3250 SLOPE PROTECTION RIP RAP Site 1 3250 SLOPE PROTECTION RIP RAP Site 2 Site 2 Site 2 Site 2 0 <- c- c.. 4 ENTER FEMA COST CODES 3250 SLOPE PROTECTION RIP RAP 3250 SLOPE PROTECTION RIP RAP 3250 SLOPE PROTECTION RIP RAP 3250 SLOPE PROTECTION RIP RAP 0 4 <. 4 G ENTER FEMA COST CODES 0 ENTER FEMA COST CODES 0 <- < <_ ENTER FEMA COST CODES 0 G c a ENTER FEMA COST CODES 0 4 4 4 4 ENTER FEMA COST CODES USER MAY INPUT OWN DATA HERE USER MAY INPUT OWN DATA HERE USER MAY INPUT OWN DATA HERE i USER MAY INPUT OWN DATA HERE 45 15 1$ 15 18 15 18 10 20 10 10 10 5 7.5 5 0.5 2. 6 10 6 5 C'0 JZ� A.0 83.00 $ 3,735.00 5.00 $ 150.00 9.75 �y. 97.50 O G0, � 60.00 45.0 LF $ 30.0 BY $ 10.0 TON $ 60.0 SYIIN $ 44.4 CY $ 37.0 CY $ 11.1 CY $ 6.9 CY $ C'0 JZ� A.0 83.00 $ 3,735.00 5.00 $ 150.00 9.75 $ 97.50 2.20 $ 132.00 60.00 $ 2,666.67 60.00 $ 2.222.22 60.00 $ 666.67 60.00 $ 416.67 10 6 12 26.7 CY $ 60.00 $ 11600.00 10 6 10 22.2 CY $ 60.00 $ 1,333.33 5 5 10 9.3 CY $ 60.00 $ 555.56 5 6 10 11.1 CY $ 60.00 $ 666.67 ) TOTAL: $ 14,242.28 APPLICANT Town of Harford SCOPE OF WORK DETAILED ON THIS ESTIMATE SHEET: IAO�Q` CIO q- DESCRIPTION PROJECT OR SITE NO. TOH 007 Hazard Mitigation Calculation Worksheet Site 1. Upgrade from a 45' long 36" CMP to a 45' long 42" pofyethlene pipe. Site 2. Weld 1 V extension to 48" steel pipe, 0 <- <- <- c- ENTER FEMA COST CODES 3346 POLYETHLENE PIPE 42" FURNISH AND INSTALL 0 <- <- a - ENTER FEMA COST CODES 3358 CMP 48" (FURNISH AND INSTALL) 0 <- <_ c_ <- ENTER FEMA COST CODES 0 4 4 <. <- ENTER FEMA COST CODES 0 <- c e. <- ENTER FEMA COST CODES 0 <. 4 <- <_ ENTER FEMA COST CODES 0 <- <- 4 4 ENTER FEMA COST CODES 0 < e- < <- ENTER FEMA COST CODES 0 < a <- c ENTER FEMA COST CODES 0 <- <. 4 <- ENTER FEMA COST CODES 0 c_ <- <- <- ENTER FEMA COST CODES 0 <. < c. <- ENTER FEMA COST CODES 0 < < F c- ENTER FEMA COST CODES 0 <- <- < F ENTER FEMA COST CODES 0 c- <. <- - ENTER FEMA COST CODES 0 <- <- a <- ENTER FEMA COST CODES USER MAY INPUT OWN DATA HERE USER MAY INPUT OWN DATA HERE USER MAY INPUT OWN DATA HERE I USER MAY INPUT OWN DATA HERE 1 10 1 �e 4P / PAGE OF FEMA 1589 K$81.010 O45.01 LF $ 10.0 1 LF 1 $ 107.00 TOTAL: 3,645.00 1 $ 1.070.00 4,715.00 Federal Emergency Management Agency JHAZARD MITIGATION PROPOSAL (HMP) 1588 Town of Harford I PLICANT PROTOh! JECT NUMBER � CATE007 GORY I DATE7!1912005 SCOPE OF MITIGATION WORK Site 1. Upgrade from a 45' tong 36" CMP to a 45' long 42" polyethlene pipe. Site 2. Weld 10! extension to 48" steel pipe. PREPARED BY: TITLE: Town Supervisor Rax Maw ESTIMATE OF WORK FEMA COST CODE MATERIAL. AND/OR DESCRIPTION QUAWITY UNITS UNIT PRICE COST 3356 CMP 36" (FURNISH AND INSTALL) -45 LF $ 83 $ (3,735) 3346 POLYETHLENE PIPE 42" FURNISH AND INSTALL 45 LF $ 91 $ 3,645 ENTER FEMA COST CODES ENTER FEMA COST CODES 3359 CMP 48" (FURNISH AND INSTALL) 10 LF $ 107 $ 1,070 a- - - - ENTER FEMA COST CODES ENTER FEMA COST CODES ENTER FEMA COST CODES <- <. 4 <- ENTER FEMA COST CODES ENTER FEMA COST CODES ENTER FEMA COST CODES ENTER FEMA COST CODES ENTER FEMA COST CODES NET TOTAL COST-- (IN ADDITION � gS� TO PROJECT WORKSHEET TOTAL) PREPARED BY: TITLE: Town Supervisor Rax Maw F nHFoxn HIGHWAY DEPAR'� NT �,• 'I'� G 2711 route 38 Harford 9010: N'Y' 13835 Bp7-84 -91�i� t /ir4 j, Road NS": L . 26 . Total: Equ!Pr �ir►t HOY{�a:.. P 4 5 'PricelU�It ftefil feria Quanto #r 'f Number of Hours TOTAL, ESTIMATED COST FOR REPAIRS f . t Total o� /0 RO i Total 42- co;