Loading...
HomeMy WebLinkAboutPROJECT WORKSHEET - CATEGORY A - 5/4/2007 FEDERAL EMERGENCY MANAGEMENT AGENCY 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 form. You are not required to respond to this collection of information unless a valid OMB control number is displayed in the upper right corner of the forms. Send comments regarding the accuracy of the burden estimate and any suggestions for reducing the burden to Information Collection Management, Federal Emergency Management Agency, 500 C Street,Washington, DC 20472, Paperwork Reduction Project(3067-0151). NOTE: Do not send your completed form to this address. DECLARATION NO: PROJECT NO. FIPS NO. DATE CATEGORY FEMA 1688 DR IA RH-003 013-82425-00 5/4/2007 A DAMAGED FACILITY WORK COMPLETE AS OF: DEBRIS,TREES AND LIMBS 4/9/1900 100 % APPLICANT COUNTY CITY OF WATERLOO BLACK HAWK LOCATION LATITUDE LONGITUDE CITY WIDE PARKS&RECREATION FACILITIES AND STREET RIGHT-OF-WAYS 42.48375 -92.37211 DAMAGE DESCRIPTION AND DIMENSIONS SEVERE WINTER STORMS DURING THE EVENT PERIOD 2-23-07 TO 3-2-07 CAUSED ICE AND SNOW ACCUMULATION WHICH BADLY DAMAGED MANY TREES AND LIMBS.THE FORESTRY DIV.OF LEISURE SERVICES IS RESPONSIBLE FOR THE DAMAGE TO OVER 35,000 TREES IN THE 50 FOOT CITY RIGHT OF WAYS AND THE 11,000 ACRES OF PARKS AND 3 MUNICIPAL GOLF COURSES. THE LEISURE SERVICES USED 50.9 OVERTIME HOURS FORCE ACCOUNT LABOR AND 1,617.4 HOURS OF FORCE ACCOUNT EQUIPMENT TO REMOVE TWELVE TREES 19" TO 36" IN DIAMETER AND CHIPPED 2,901 CU YDS OF DEBRIS (726 X 4 = 2,901 CU YDS) THERE ARE NO CODES AND STANDARDS OR MITIGATION ISSUES WITH THIS PROJECT. SCOPE OF WORK WORK COMPLETED: REMOVE TWELVE TREES DAMAGED INEXCESS OF 50%, CUT OUT HANGERS IN ALL OTHER TREES AND PICK UP ALL WOODY DEBRIS,2,901 CU.YDS. IN JURISTUCTION OF THE LEISURE SERVICES DEPARTMENT OF THE CITY OF WATERLOO AND CHIP SAID DEBRIS. CHIPS WERE DISTIBUETED THROUGHT THE CITY FOR RESIDENTS TO YOU OR WERE BURNED AT THE CITY DUMP.THE PROJECT OFFICE WAS SHOWN SOME OF THE CHIPPED DEBRIS PILES.THE WORK WAS DONE BY THE FORESTRY DIVISION OF THE LEISURE SERVICES COMMISSION OF THE CITY OF WATERLOO, IA. Does the Scope of Work change the pre-disaster condition at site? ❑Yes ❑✓ No Special Consideration issues included? ❑Yes EI No Hazard Mitigation proposal included? ❑Yes 2 No Is there insurance coverage on facility? ❑Yes El No PROJECT COST ITEM CODE NARRATIVE QUANTITY/ UNIT UNIT PRICE COST COMPLETED WORK 1 9007 FORCE ACCOUNT OVER TIME LABOR 1 / LS $1,636.38 $1,636.38 2 9008 EQUIPMENT 1 / LS $50,695.80 $50,695.80 3 / 4 / 5 / 6 / 7 / 8 9 1 10 / 11 / , TOTAL COST $52,332.18 PREPARED BY: R Y HUDSON -? TITLE: PROJECT SPECIALIST LOCAL REPRESENTATI DATE: 5/4/2007 FEMA Form 90-91 SEP 98 NAN Y ECKERT FEDERAL EMERGENCY MANAGEMENT AGENCY SPECIAL CONSIDERATIONS QUESTIONS 1. Applicant's Name 2. FIPS Number 3. Date CITY OF WATERLOO 013-82425-00 5/4/2007 4. Project Name 5. Location CI I Y WIUt PARKS,3(iOLI- CUUKStS AND S I Ktt I DEBRIS,TREES&LIMBS RIGHT-OF-WAYS Form must be filled out--for each project 1. Does the damaged facility or item of work have insurance and/or is it an insurable risk?(e.g.,buildings,equipment,vehicles,etc.) ❑Yes ❑✓ No ❑Unsure Comments 2. Is the damaged facility located within a floodplain or coastal high hazard area,or does it have an impact on a floodplain or wetland? ❑Yes El No ❑unsure Comments 3. Is the damaged facility or item of work located within or adjacent to a Coastal Barrier Resource System Unit or an Otherwise Protected Area'? ❑Yes 2 No ❑Unsure Comments 4. Will the proposed facility repairs/reconstruction change the pre-disaster condition? (e.g.footprint,material,location,capacity,use or function) ❑Yes ID No ❑Unsure Comments 5. Does the applicant have a hazard proposal or would the applicant like technical assistance for a hazard mitigation proposal'? ❑Yes Q No ❑Unsure Comments 6. Is the damaged facility on the National Register of Historic Places or the state historic listing? Is it older than 50 years? Are there more,similar buildings near the site'? ❑Yes Q No ❑Unsure Comments 7. Are there any pristine or undisturbed areas on,or near,the project site? Are there large tracts of forestland? ❑Yes ID No ❑Unsure Comments 8. Are there any hazardous materials at or adjacent to the damaged facility and/or item of work? ❑Yes [No ❑Unsure Comments 9. Are there any other environmental or controversial issues associated with the damaged facility and/or item of work'? ❑Yes El No ❑Unsure Comments Local Representativ . (4.9—± Date: 5/4/2007 FEMA Form 90-120 o o 0 N N a N N 0 0 E, N O. 0 00 0 00 _ N O o o -Q. O O N co O O 00 T Q N. -- 0 00 O0 00 ^ (0 N N N N 00 t0 `� a N N O R 0' N 000 N „.-. 0 N ' 1 Ef) Np1 _ Q a m A A M A N A A Nj - NN A-, b wi. r Q A CH A A A A 65 A o p NH FG - 'Cr_ C p " N N CO h CO h CO I"- 00N h N (0 V (0 a - � N N CA CO 0 C7 CO h CT 4 CO N N N N M O O 0 O O O N N 4 N N F- F 24 C„`+ F N C'7 N M N EA N C'7 N EA N M N CA N M 0 0 (: Z E9 EA E9 E9 E9 E9 E9 E9 EA 0 (AEA EA E9 69 E9 HH H H F o (L' �" N co co co co 00 co co co co Co co co co co co W � FE O C.' N N N E---; N N NN N N N N NC)F r. O w 7 cn O U Fy U wz, F- F v_i A m C C C 00 E..., -G >l • p N O - N N 0) N N Ga „j W 0) a 0) M O) C7 O) C7 N Ch 0 O) N N N CA 0 0. =F- 0 CD a0 00 00 co c0 00 -,- O O O O Q N c., N N N N M N M N C) N C) 1. O CC C 0 CA EA 99 EA E9 to EA EA (A fA E9 EA E9 69 EA EA' - 4 N O O O O O O O O C O O (A Q ti 0 i, O N o , O 00 o O O O O O 0 2 0 W �- M 0 0 0 o m o 0 0 0 C O 24 O Fy 00 00 c o o ON a O 0 0 0 0 0 0 • • C V M F' CO 00 00 00 00 00 00 Cc a Q Q tx ->- CO O O o O O O O a F' O O M 00 00 00 00 00 00 00 0 II 7 F o '- c, O O O O O O C O Q M CL 00 00 00 00 00 00 C Q FI 0 [- 7c • o o '5 0 o 0 0 0 0 o 0 O F O m 00 a 00 00 00 00 0o E"' E.. 0 t CD Ce 'f W• U r a o 0 0 0 0 0 0 W 6�. ,-7, o0 00 00 00 00 00 00 Q Ct "" M �/ ... (0 c o 0 0 0 0 0 Z LL O Y M H m m o0 00 00 00 o0 lc W U W Q M ❑] `� 0 0 0 0 0 0 0 cd W2 E-Coil - 3 M 00 06 00 00 00 00 00 0 �" U rn o 0 0 0 0 0 c "=... < (I) C: E Q o0 00 00 00 00 (0 o0 y cQ ~ C) 00 ,1 0 0 0 0 0 0 0 N m M F N 00 00 00 00 00 00 -. o f O O O '5 o, O O o, O U W 3 N 00 00 0 00 00 00 00 (C Q co 0CL _ 0 .CJ N O 0 O 0 O O O C) W 0 0 M H 00 00 00 N 00 00 00 Q UJ,f• V oO O O O o O 0 O 3- J < Ul N 2 00 00 00 00 07 00 00 Q W • W E- N .c co4- O 0 40 N 0 0 0 co 0W U ¢ CL CO N 00 00 N 00 C O0 00 7 00 U_ O W A 'Q W Q O O o O O O O W LL N CA 00 00 00 00 00 00 00 C co •0 N O N 00N O O O CD "0 N 00 0 00 O 00 O 00 00 00 00 E. Q N j • O O O O O, O U O N 00 00 a0 06 00 00 CO F N O O N O N O O N O 0 0 ` N 2 CO 0 00 0 00 0 00 N CO 0 00 00 T ct ICY N =1 C O '0 ,Q N COV N N E`.. CM O c. C� /...N n 0 a 00 O j F, U N 'C 0 co 0 0 O 0 I:�' N U- aG N 00 00 N Y - C7 C7 L� C7 C7 V C7 C7 C7 C7 C7 0 0 C E W C C ❑] C C C L[7 F C m C ) C Lk, C W W CC 6C 0 c4 O CO a O z o a O C O o4 O r: O CO C O a V) E- x• Q o o 0 w N T T T O 4 y N N N OW LL ULL U. a L _ _J. _ c C.) Eh E- C N U Y m O p E t c c c 3 fl o 1 c c c U Eo 0 Y Ce F m 44 Q O W 2 2 u c d c c c i o m `-p o A o k d F Z •`� W a^ ` g a g = g a 0 - 0 > O F II W ,z W .0..,' 0. 7 0 A N t la C6 0 W O W , 0) d 00 " CUCI UC 0 3 0. .`ri . E J U_ J R (.) 0_ r2 d a. !- n. m 0_ 0 0_ c4, L) ;44 a F• CC�� F• v) ,, 'o i= H i-= F r= H H E t= H t E= (U a- .. Q a G.i U E E E .n E a E ,Etl .o E E E a E E a U ? �' W d �.% -a J o C _ z_ ti z ° z - z ° z o z ° z o z ° z ti z ° z o z ° .o > Z G F. 00 '0 00 00 a N .0,. N O N H c N ' 4 o ' N 00 ;n N N 4 v cri , 0 N" R O NQ N N< N 9 0 9 N6 os NEE 0 E- o-, O W F N 7 C,' .� N N CO n CO n CO n V' N V' '61. V' N CO C. (� CO CD M v> co Li-) co u> co n W W CO W CON W CO h. CI u> lin Q N M O O O O O O N 3 3 .- N O O F F Ca J F 5 N co N M N M N M N M J J N J N -J N M N M 0 0 (� Z 0 O 00 69 61 61 61 40 W. 61 10 69 Q Q f9 Q 43 Q 61 `9 w1 to F F ac "^1— La F S * * 1 1 W_ XI 0 WF co co co co co co co co co N CO CO CO CO N CO H z O O O w r N: N.: N.: n LU Ca O . .40 a > e.. re N n N N N N O N CD (D 0) CD 3 O Gl _ W CO V' CO co O M O M N M N N N M CO M a a N elN N N N 00 N N C O O O O N CO W O LL N N N M N LU Z f9 CO- V1_ 69 61 f9 N1 69 f9 V1 N1 69 69 69 69 00 N Ce N `N c o 0 0 o C O 0 o Oo 0 C O S ^ C `? P m 00 m W F w 0 0 0 0 Cil a a 7 00 00 x 04 00o 0 0 O S 0 0 0 3 H F O a o0 00 00 LU O I- CED Q w w W 0 0 o LU 0 0 Ux 06 X a - C0 o c 0 E"' (� Q' 4x 00 0o F FO 0 a v w 0 x Cl N c 0 0 0 W Na y. x x 0p Q Ce — M I— } o 0 0 Z CC C LU '0 x oo W Q w 0 2 2 c" o m 0 0 0 0 `d W W o 3 ; 06 x x x 'at'(9m O = Z N LU = W v o 0 c 06 0 0 00 cn Q Q Q - 0 0 0 0 o C o y m a N 00 00 00 00 or 00 00 E ZJ O o 0 0 0 0 0 0 U W 3 a 00 00 x o0 00 00 06 O (..0Z x b L J N O O C O c O O a) W p 0 x x x x x x x ,0 2 U 0 0 W 0 aj r: c o 0 0 0 0 0 >„E Q 4 oc 00 00 00 x x co 0 WLU U G N o 0 0 0 0 0 o y w N o0 00 0006 00 oc 0o U 41 O o 0 0 0 0 0 0 0 0 > LL Z 4 00 00 00 00 00 00 00 0 Q M o O o 0 0 0 0 .b 'X. x 00 c0 00 00 00 x s,,, r O m o 0 0 0 0 0 o U m CO CO CO 07 x oo x sU. 4 N O O C O C O O 0 ,J M x x x x x x x T 0 y. N O C O C C O O ¢C' FE M 00 00 x 00 00 x 00 C �\hh\\`y\\ CO idi '- O O O O O O O oo 00 00 x o0 x x U N 3 4 O O O O O O 0 �„' Q 1- x 00 x x 00 x 00 `� Z F C 0 W 0 Lu F '0 F 0 F '6 F EL. F W F W F 0 F 0 '0 E- L] F O A d .. K 0 a 0 FC 0 [C O 04 O P: o 04 O CL o x 0 C C_ G4 0 LU = 0 O Q 0 U ai 0 C Z Z E �� a 0 m m 2 p C z b LOo U. to ==` Cc: 4 _ _ _ yE > y Uj O .ackl F 8u o O> O F'i .WF. 4 W '� > �` o "a> to o y o Q .-o a3 x' Q Z m W •y d 2 w t 2 a N Y y > C9 y A C7 PTo co ea co s., U 2 > Z g O Ec `o .. E 3 6 6 o -L a 8 6 y ' w W U C 3 co -I Li. co 0_ U a g a -> a 1- a 00 a 0 ai.. 0 a C a_ �>, V w CG y f. y �' 0-, H (0j Fes. xLL, 4. o F _ H 4 Z c4 Q U 0 U 0 M_ z ° z g z_ ° z z —ate,_ z ° z 2°. z 2 z 2_ z 2 z] $ z ° LLC Z U co co O co p co O I-- co coo o co Ty co (0 N 0 a) rn N O O r r d O i- U N. O fe co- te te 64 to' e M _Mill in co >+ sj . M d' r a) cu �0 CO t� �0 p cj ON N E O T .. 1-- _ t' a. c6 = a) 6s C > C9 0 Z o o Co Co N U p - .. '- I- N- r.I is-. . O _0 0 d NU ::::11—:;) ci) a) 6) MO) r-sMO :::;:2-1E 1111111 II Fil— co Co O a0 O_ rU, Eflffl- 4flEf30OOOOOO O O O O00 O o0 O do U O O _ laca W W v Q aCe 1 � 01— Q N d 6 1111.111111111MIN ~ ~ a I 2 ix 1IIIIIIIIu1IIIIIIuuI z < p LL W 1— p O 2 Z o 0- 0 W N 2 = -o i Q O 0 f— J O N Q' 0 C W p as a U — I- IX d to 0 O .-‘. N Q F __ C - U) WIll, 00 00ME III a U111111111 (�Jao ttcO E a co o c O c") Y J a) L > > O Y � � a) co laa W ow E E QIli IL y W I— c cL61 . H — — - - CL U re a) mF w = H ' a, OP a1 I•- a) I— 'E U QF- JH � m E 'c - E 2m 'LE '. .0 E . E .0 U E2 W (a = ® ca RS o co ca AS o ca o ca o — a) Q 5 U o0 0 ' 0 ) CL 2 ar d o r - . - U Z N ,^ N N OP O OC O O ,T o E. 0N N o 'C 'C — O 00 N — N 0 . 0O0b9 04Nv' 4th V s9 z9 04 s9 0z N .i 0 G d N F O N cn tM F Cn c S V co 0 v, O O p pp h O 0 O VD O vt V1 O V' O v1 W N O N ,n C.. — ,p m, h T — .-. 00 deNi d 6.9 t. , 6,9 69 099 0,, 69 09 0.) In W 0 N w Z a O U ' a af 0 Fe Q rn c' m N 000 0 0 0 0 0 0 o c z 0. O S n — N -- m o F. • N co• am Ew- F — Q r N o O� o o Q C M oo ..6 6,0 pp Q' N M o O o 0 H C OC 00 00 00 O O 417 z. Lr. N o o co O F O O w W F 00 OC 00 W (.4 .a GQ o — o 0 o 0 0 ,d.J 7 M 00 00 00 00 00 O O p O w o o O a ,-, oo W > C CIC z o o 0 0 o d F N co 00 00 00 00 E... Z OO F o 0 0 0 z III 1.1.1 ' r o0 00 00 00 0 Q } c y, o 0 0 0 Z C ZCL Q 0 v, Q, m p o0 00 00 00 W LU g ck N o 0 0 0 0 0 0 U N N V 1-4-1 j w Of: X En 00 00 00 00 00 o6 0o pp F coW - Q o 0 0 0 0 0 0 0 0 0 A C Z ~ c F W �- m o 0 0 0 0 o O o 0 0 Z N •00 •00 •00 •00 •00 •00 •00 00 00 W M 2 a ' , Q s rA o 0 0 0 0 o 0 0 0 F O r N o0 00 00 00 o0 00 0o m co O Z 0. 3 M o 0 0 0 0 0 0 o O In W N 00 00 00 00 00 00 00 00 0 W W ~ c F `M° 0v 0 0 0 0 0 0 0 0 0 N 00 00 00 n 7 00 0 00 00 0 r 7 Li.' 0 [7] G ,,, 0 o o 0 o 0 O o 0 0 co + 0 O 0 0 0 0 0 0 0 O Z Q U < M 00 00 00 00 CO 00 00 00 00 00 Cic a a O O O O O O O O O O Ca LLJ UJ M 'P co O co N O co co C vD 00 0 0 00 00 N o0 0o N o0 oc O O O O O 0 p O O C W O N CDO O O o N o O CY, t^LL '0 W N 00 00 V o0 r V h 00 . N co co o 0 0 N 0 0 O O O Cr N N 00 00 N 00 00 g } r Q sO O O O O O O Oco N coO O O O O O co co o O 4 N 00 00 00 00 N 00 00 N 00 0041, H O'z" 0 O O 0 O N 0 CO 00 aF NNN w O O o o = 00 C O, zRI FF+ r W N - O O OW CC 1 S S S SSSS 2 S S . S S S S $ S C O c, CO J COC 00 ONO 00 00 CO W 00 CO CON W Q; 0- 0 a# M F Ei 2 ;,, S ;= a Q o 3 z � 9N o W a w w.� o r 0 W W , 0 U E 8 a z u. t a F F, FF z W ° r°° _ !i ? C F F Q 'n a O w j p,- e " + �x a E.... 3 Q H a pw em - m F w LU QO - a co a a W a O ea, F2 ' LUa v 73 0a d v U C 0 H F 'm' m U o ¢x m U a u U C W 0 0 o 0 O 0 O o ,C 00 O 0 C. CD0 r` F 0 r — EN NIN 'C 00 00 cr 00 4.9 0 4 N co,, Vi b9 M , f3 U Vi H, 4,49 69 69 a 0 FO p 4 F H O r c U 0 0 0 0 o r 0 0 K '� < 69 von <A 69 4 v 44 � v, at 0 a ;,T.;i. G W.4-4 O _ O' 44 O U w N Q 3 O U7 C 0 O 0 O 0 0 C O C� F 04 00 - x O 0 0 ' a H x a., O S ni x x 0 0o v� M 0, d H r o_ G O O C 4 < d ,�' N ! 0 0 0 E... a C C 4 0C x - O Q [Wy x ' 0 0 0 w Wa 4 00 00 x M 0 0 00 0, ' ' Cn a V x x x , 0: CC 0 00 d 74 x 00 00 1 W Q } — co 0 0 d CC O 00 000 00 Z O E- t N C 0 O F x ww d 0 00 00 c Q } O ce 0 U co co o W W 0 Q d' x x x cVl��j U Z Q N �^, o 0 0 O w = cz v - o U Q co c W 0 0 0 a z z F c Q co 00 00 7," w G�zl W `? o 0 0 0 0 C r a C — j 00 oo x oo a o 5 ay a • 4�♦ '^ 0 0 0, 0 0 0 w w L.C,, 00 7 4 00 4 W loan O W d' F 0 a 0 0 0 o U w 2 x on x 00 0 0 0 0 0 0 0 0 z 44 JQ 7 00 x 00 00 00 00 r 11 a 0 N o o O O o a+ W W 0 U , x o0 00 00 0 w Q 0 w w p C o o 0 0 o a F iy M 00 00 4 00 V W F .a N 0 0 0 0 0 O 4 F- 01 00 00 R o0 4 X F, N 0 co 0 0 ad 3 3 00 x 00 �. 0 1 O O, O 0 0 Oy. OF 01 00 x V 00 4 w F S o N o 0 0. 0 0 W r _ C7 M 00 0o v x 4 z W N o 0 0 0 0 M 00 00 x 00 x Citi W ' F S 2 T S T S 2 S 2 T 2 2 x, S 'S S T z a m ' O .et gz O¢¢ w P. N v v „ `v W tC) W 0.� ¢ W •5 x x ',2 x O 0 z = a a 0 0 O z U a 0w N 00 01 F. 0. N d U 00 x x 00 00 x x 00 ›.o L' 0, 0 „a O 7 ^t v x w © 3 a z �Q� � S Cg W x Q 0,1 2 N E o 7:-4 o M , >- �^fa a V a 0 W a v• E x - S n d a z Z W F a a. E- 2"4 o' '' H x d O A 4 F W `v m+ o a� Q U Lz, :..i ci W 3 s r , 7.Y t w W r� 0 F 3 as o'a 8 a x 0. E. U r FA 0. o -8 + -" s F a, 5 1 t '', W Z a 0. _ >y F 0 O 0 a 0 H s h,r 0 m c. v U ro` q — Z U