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Home My WebLink AboutPROJECT WORKSHEETS AND PROJECT APPLICATION SUMMARY - 6/16/2007 /o0 a7t) ,• ' - / I S5 ' 6 Fields of Opportunities STATE OF IOWA CHESTER J. CULVER DEPARTMENT OF PUBLIC DEFENSE GOVERNOR IOWA HOMELAND SECURITY AND EMERGENCY MANAGEMENT DIVISION PATTY JUDGE DAVID L.MILLER,ADMINISTRATOR LT.GOVERNOR June 16, 2007 Ms. Nancy Eckert, City Clerk Disaster#: DR-1688-IA City of Waterloo PA ID#: 013-82425-00 715 Mulberry Street Package#(s): 50 Waterloo, IA 50703 Dear Ms. Eckert: Enclosed are copies of your Project Worksheets (PW's) and Project Application Summary (P.2), for your Public Assistance application. It is very important that you review each Project Worksheet for: • accuracy/completeness; • the scope of work to determine differences, if any, between the Project Worksheet and what was agreed upon when the site was inspected; • calculation errors and corresponding dollar amounts. If there are specific issues or discrepancies on a Project Worksheet you need to notify the Public Assistance Officer immediately. Remember, you have 30 days from the receipt of this letter to request to have any issue reconsidered for eligibility. When all of your small projects are 100% complete, or when any one of your large projects is 100% complete, please notify the Public Assistance Office of Iowa Homeland Security and Emergency Management Division so that we may begin the closeout process. Remember, in the event that your actual project costs exceed the approved amount shown on the project worksheet, you have 60 days from the date on which the project work was completed to officially request a project cost adjustment, which must include documentation of all project costs. Payments received from Iowa Homeland Security and Emergency Management Division should be redeemed upon receipt, regardless of the status of the respective project(s) they pertain to. The Catalog of Federal Domestic Assistance (CFDA)number may be found on the"Payment Voucher"form enclosed with each warrant. All records of work associated with the claimed costs on every project are to be maintained for a minimum of three (3) years from the closing date of the grant or sub-grant and are subject to State and Federal review under the "Single Audit Act, as amended"and the"Single Audit Act Amendments of 1996, as amended". The Office of Management and Budget Circular A-133, the "Single Audit Act, as amended", and the "Single Audit Act Amendments of 1996, as amended", require that Non-Federal entities that expend $500,000.00 or more in a year in Federal awards shall have a single audit conducted. A program specific audit may be conducted in place of a single audit if the auditee meets the terms specified in Office of Management and Budget Circular A-133 § .200, paragraph C. If there is a "finding" relating to a Federal program administered by Iowa Homeland Security and Emergency Management Division: A copy of the official audit must be submitted within nine (9) months of the end of the auditee's fiscal year to: State Fiscal Office Department of Public Defense 7105 NW 70th Avenue, Bldg B-61 Johnston, IA 50131 If there are no "findings" A copy of the audit report is not required, but the auditee shall provide written notification that: ♦ an audit was conducted, including - entity(auditee)name Catalog of Federal Domestic Assistance (CFDA) number(s) the period covered by the audit dollar amount expended ♦ the schedule of findings and questioned costs disclosed no audit findings relating to Federal award(s) administered by Iowa Homeland Security and Emergency Management Division ♦ the summary of schedule of prior audit findings did not report on the status of any audit findings related to Federal award(s) administered by Iowa Homeland Security and Emergency Management Division If you have any questions or concerns, please call the Public Assistance Office of Iowa Homeland Security and Emergency Management Division at(515) 725-3231. Sincerely, Pehvitis 41-m-yer Dennis Harper State Public Assistance Officer Enclosures 7105 NW 701h AVENUE/CAMP DODGE/ BLDG. W-4/JOHNSTON, IOWA 50131-1824/515-725-3231 WWW.IOWAHOMELANDSECURITY.ORG DATE: 06/16/2007 FEDERAL EMERGENCY MANAGEMENT AGENCY PROJECT APPLICATION SUMMARY (P.2) DISASTER#: 1688 PACKAGE NO: 50 P.A. ID: 013-82425-00 APPLICANT: WATERLOO, CITY OF PW# VSN CAT INF COST SHR PROJECTED COMPL DATE APPROVED PW AMOUNT 463 0 A N N 09/14/2007 $52,332.18 Site Number: 1 DAMAGED DEBRIS REMOVAL FACILITY: CITY WIDE PARKS AND RECREATION FACILITIES AND STREET RIGHT-OF-WAYS FACILITY LOCATION: WORK COMPLETED: REMOVE TWELVE TREES DAMAGED IN EXCESS OF 50%, CUT OUT HANGERS IN ALL OTHER TREES AND PICK UP SCOPE OF WORK: ALL WOODY DEBRIS, 2,901 CU.YDS. IN JURISDICTION OF THE LEISURE SERVICES DEPARTMENT OF THE CITY OF WATERLOO AND CHIP SAID DEBRIS.CHIPS WERE DISTRIBUTED THROUGH THE CITY FOR RESIDENTS TO USE OR WERE BURNED AT THE CITY DUMP. THE PROJECT OFFICER 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. Page 1 of 2 DATE: 06/16/2007 FEDERAL EMERGENCY MANAGEMENT AGENCY PROJECT APPLICATION SUMMARY (P.2) DISASTER#: 1688 PACKAGE NO: 50 P.A. ID: 013-82425-00 APPLICANT: WATERLOO,CITY OF PW# VSN CAT INF COST SHR PROJECTED COMPL DATE APPROVED PW AMOUNT 514 0 B N N 09/14/2007 $27,463.15 Site Number: 1 DAMAGED EMERGENCY PROTECTIVE MEASURES FACILITY: WATERLOO AIRPORT FACILITY LOCATION: WORK COMPLETED: THE AIRPORT OPERATED TWO GENERATORS FOR 49.5 HOURS EACH,USED 70.2 O.T. FORCE ACCOUNT LABOR, 199.2 FORCE ACCOUNT EQUIPMENT TO BREAK UP THE ICE ON OVER 2 MILLION SQUARE FEET OF RUNWAYS,TAXIWAYS AND APRONS BY APPLYING 2.64 TONS OF EURA,500 GAL.OF GLYCOL SCOPE OF WORK: AND 25 TONS OF SAND APPLIED BY TWO PLOW/SANDING TRUCKS.THEY USED TWO FRONT END LOADERS WITH SPECIAL SHOES TO BREAK UP THE ICE.THE TWO PLOW/SANDING TRUCKS PLOWED THE ICE ACROSS THE PAVEMENT TO THE LAST LANE ON ONE SIDE OF THE PAVEMENT AND USED THE SNOW BLOWER TO THROW THE ICE OVER THE LIGHTS ONTO THE GRASS AREA.THE SAME TWO PLOW/SANDING TRUCKS WERE USED TO SPREAD SAND AND SALT IN THE PARKING AREAS AND ACCESS ROAD. 2 PWs $AMOUNT ELIGIBLE $FEDERAL SHARE PWs: $79,795.33 $59,846.50 SUBGRANTEE ADMIN EXP: $2,077.33 $2,077.33 TOTAL: $81,872.66 $61,923.83 GRAND TOTAL: 2 PWs $AMOUNT ELIGIBLE $FEDERAL SHARE PWs: $79,795.33 $59,846.50 SUBGRANTEE ADMIN EXP: $2,077.33 $2,077.33 GRANTEE TOTAL: $81,872.66 $61,923.83 ADMIN EXP: $309.61 APPROVED BY: DAVID TESKA DATE: 05/22/2007 PUBLIC ASSISTANCE OFFICER Page 2 of 2 PROJECT WORKSHEET REPORT DECLARATION NO.FEMA-IA-DR1688 PREPARED DATE 05/09/2007 FIPS NO. 013-82425-00 REPORT DATE 36/16/2007 08:32 APPLICANT NAME WATERLOO,CITY OF INF TYPE 3 INF SUBDIVISION • NON-INF FEMA PW# 514 VSN 0 REF# RH-004 3 REC CATEGORY B. Protective Measures COUNTY BLACK HAWK FUNDING OPTION COST SHARE 0.75 STD PROJECT NO. 299 PROJECT TITLE EMERGENCY PROTECTIVE MEASURES PROJECTED CMPLTN DT09/14/2007 ACTUAL CMPLTN DT WORK COMPLETE AS OF 04/24/2007 100 % ELIGIBILITY Yes AMOUNT ELIG$27,463.15 FEDERAL SHARE $20,597.36 PRIORITY Normal PW REVIEWER DATA BEGIN DESIGN DT BEGIN CONSTR DT — REVIEWER NAME DATE END DESIGN DT END CONSTR DT I INITIAL REVIEW CHINN,PAUL 05/21/2007 PREPARER HUDSON, RAY j FINAL REVIEW TESKA,DAVID 05/22/2007 ROLE PO DATA SOURCE Paper STATE DEAN, MARK MT PROP 0 Yes• No VALIDATED • Yes O No DATE OBLGTD 05/22/2007 PACKAGE DATE 05/22/2007 PNP QUESTIONS O Yes• No STATE RVWD 0 Yes• No PACKAGE ID 50 ATTACH Yes 0 No Does the Scope of Work change the pre-disaster conditions at the site? 0 Yes • No 0 Unsure Special Considerations issues included? 0 Yes • No 0 Unsure Is there insurance coverage on this facility? 0 Yes • No 0 Unsure Hazard Mitigation proposal included? 0 Yes • No 0 Unsure Page 1 of 7 PROJECT WORKSHEET REPORT DECLARATION NO.FEMA-IA-DR1688 PREPARED DATE 05/09/2007 FIPS NO. 013-82425-00 REPORT DATE 06/16/2007 08:32 APPLICANT NAME WATERLOO,CITY OF SUBDIVISION INF TYPE O INF • NON-INF FEMA PW# 514 VSN 0 REF# RH-004 Q REC SITE NUMBER 1 of 1 FACILITY NAME EMERGENCY PROTECTIVE MEASURES Latitude 42.55079 ADDRESS Longitude-92.39799 CITY WATERLOO STATE IA ZIP Was this site previously damaged? O Yes 0 No Unsure SITE NUMBER 1 -LOCATION WATERLOO AIRPORT SITE NUMBER 1 -DAMAGE DIMENSIONS AND DESCRIPTION SEVERE WINTER STORMS DURING THE EVENT PERIOD 2-23 TO 3-2-07 DEPOSITED ICE ON TREES AND POWER LINES KNOCKING OUT POWER TO THE WATERLOO AIRPORT FOR 49.5 HOURS AND DEPOSITED UP TO ONE AND ONE HALF INCHES OF ICE ON OVER 2 MILLION SF OF RUNWAYS,TAXIWAYS AND APRONS PRODUCING EXTREMELY DANGEROUS CONDITIONS FOR AIRCRAFT LANDING, TAXIING AND TAKING OFF. FAA REGULATIONS REQUIRE THAT THE AIRPORT MAINTAIN SURFACES CONDITIONS WHICH ALLOW AIRCRAFT TO BRAKE SAFELY.WITH 1 1/2"OF ICE ON THE PAVEMENT, THE BRAKING ACTION IS NOT ACCEPTABLE. FAA REGULATIONS DO NOT ALLOW FOR THE USE OF SALT ON THE RUNWAYS, ONLY THE USE OF GLYCOL, SAND AND UREA FOR DEICING.WITH THE UNUSUAL CONDITION OF 1 1/2" OF ICE ON THE RUNWAYS.THE AIRPORT HAD TO UTILIZE TWO JOHN DEERE FRONT END LOADERS TO GET UNDER THE ICE AND BREAK UP THE ICE SO IT COULD BE REMOVED FROM THE RUNWAYS. REMOVAL REQUIRED THE USE OF TWO TRUCKS WITH PLOWS TO PUSH THE ICE TO THE EDGE OF THE RUNWAY AND A SNOW BLOWER TO THROW THE ICE OVER THE LIGHTS THAT LINE THE OUTER EDGES OF THE RUNWAYS. DURING THE ICE BLOWER OPERATION,THE ICE HIT AND DAMAGED ONE FAA CONTROLLER IN THE GRASS. FAA ORDER 5100.38C, CHAPTER 5 SECTION 5, PARAGRAPH 543C FAA DOES NOT REIMBURSE FOR ANY COSTS ASSOCIATED WITH AIRPORT MAINTENANCE INCLUDING BUT NOT LIMITED TO LABOR, VEHICLES USE AND MATERIALS ASSOCIATED WITH THAT WORK.SEE ATTACHED E-MAIL DATED 4/30/07 TO BRAD HAGEN FROM CHERYL DOBSON OF THE FAA. THE RUNWAYS ARE(#1, 8,400'X 150'= 1,260,000 SF+#2,6,002'X 150'=900,300 SF+#3,5,403'X 129'=696,987 SF= TOTAL 2,857,287 SF OF RUNWAY TO DEICE PLUS THE TAXI WAYS AND APRONS. SEE ATTACHED MAP. SAND AND SALT WERE USED ON THE ENTRY ROAD(25'X 5,400'= 135,000)AND IN THE PARKING AREA FOR THE FAF, FACILITIES AND AIRPORT OPERATIONS(240'X. 360'X 2= 172,800 SF). TWO BACKUP GENERATORS, #1. A CATERPILLAR MODEL 3406, 350 KW,438 KVA #2. A CAT Page 2 of 7 PROJECT WORKSHEET REPORT DECLARATION NO. FEMA-IA-DR1688 PREPARED DATE 05/09/2007 FIPS NO. 013-82425-00 REPORT DATE 06/16/2007 08:32 APPLICANT NAME WATERLOO, CITY OF INF TYPE 0 INF SUBDIVISION • NON-INF FEMA PW# 514 VSN 0 REF# RH-004 0 REC SITE NUMBER 1 -DAMAGE DIMENSIONS AND DESCRIPTION ERPILLAR MODEL D379,275 KW, 343.5 KVA OWNED BY THE AIRPORT OPERATED FOR 49.5 HOURS EACH TO KEEP THE POWER TO THE OPERATIONS CENTER AND LIGHTS ON THE AIR FIELD.AIRPORT PERSONAL CHECK THE GENERATORS ONCE EVERY SIX HOURS FOR ABOUT 15 MINUTES. THEY DO NOT KEEP RECORDS OF THE PERSONAL TIME AND ARE THERE FOR NOT CLAIMING ANY OVERTIME. THERE ARE NO CODES AND STANDARDS OR MITIGATION ISSUES WITH THIS PROJECT. SITE NUMBER 1 -SCOPE OF WORK WORK COMPLETED: THE AIRPORT OPERATED TWO GENERATORS FOR 49.5 HOURS EACH, USED 70.2 O.T. FORCE ACCOUNT LABOR, 199.2 FORCE ACCOUNT EQUIPMENT TO BREAK UP THE ICE ON OVER 2 MILLION SQUARE FEET OF RUNWAYS,TAXIWAYS AND APRONS BY APPLYING 2.64 TONS OF EURA, 500 GAL.OF GLYCOL AND 25 TONS OF SAND APPLIED BY TWO PLOW/SANDING TRUCKS.THEY USED TWO FRONT END LOADERS WITH SPECIAL SHOES TO BREAK UP THE ICE.THE TWO PLOW/SANDING TRUCKS PLOWED THE ICE ACROSS THE PAVEMENT TO THE LAST LANE ON ONE SIDE OF THE PAVEMENT AND USED THE SNOW BLOWER TO THROW THE ICE OVER THE LIGHTS ONTO THE GRASS AREA.THE SAME TWO PLOW/SANDING TRUCKS WERE USED TO SPREAD SAND AND SALT IN THE PARKING AREAS AND ACCESS ROAD. COST ESTIMATE ITEM'VSN CODE'[ MATERIAL AND/OR DESCRIPTION r UOM QTY UNIT PRICE COST 1 0 0000 WORK COMPLETED 0 0 $.00 $0.00 2 0 9007 LABOR LS 1 $2,314.88 82,314.88 3 0 9008 EQUIPMENT LS 1 $20,257.30 $20.257.30 Page 3 of 7 PROJECT WORKSHEET REPORT DECLARATION NO.FEMA-IA-DR1688 PREPARED DATE 05/09/2007 FIPS NO. 013-82425-00 APPLICANT NAME WATERLOO, CITY OF REPORT DATE 06/16/2007 08:32 SUBDIVISION INF TYPE INF • NON-INF FEMA PW# 514 VSN 0 REF# RH-004 C REC COST ESTIMATE 'ITEMI VSN''CODE] MATERIAL AND/OR DESCRIPTION ' UOM 71�. QTY �I UNIT PRICE COST 4 0 9009 MATERIAL LS 1 $4,890.97 $4,890.97 Eligible Amounts: Total(this version) $27,463.15 Total Oblig To Date $27,463.15 Unobligated+Obligated $27,463.15 Federal Share for Obligated and Unobligated $20,597.36 SPECIAL CONSIDERATIONS Does the damaged facility or item of work have insurance coverage and/or is it an insurable risk (e.g., buildings,equipment,vehicles,etc.)? Yes No [) Unsure 2 Is the damaged facility located within a floodplain or coastal high hazard area and/or does it have an impact on a floodplain or wetland? Yes No 0 Unsure 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 • No Unsure 4 Will the proposed facility repairs/reconstruction change the pre-disaster conditions(e.g.,footprint, material, location,capacity,use or function)? 0 Yes • No C) Unsure 5 Does the applicant have a hazard mitigation proposal or would the applicant like technical assistance for a hazard mitigation proposal? Yes • No C; Unsure 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 • No C' Unsure 7 Are there any pristine or undisturbed areas on,or near,the project site?Are there large tracts of forestland? 0 Yes • No C Unsure 8 Are there any hazardous materials at or adjacent to the damaged facility and/or item of work? Yes • No C Unsure Are there any other environmental or controversial issues associated with the damaged facility and/or item of work? Yes • No Unsure Page 4 of 7 PROJECT WORKSHEET REPORT DECLARATION NO. FEMA-IA-DR1688 PREPARED DATE 05/09/2007 FIPS NO. 013-82425-00 REPORT DATE 06/16/2007 08:32 APPLICANT NAME WATERLOO,CITY OF SUBDIVISION INF TYPE INF • NON-INF FEMA PW# 514 VSN 0 REF# RH-004 3 REC ENVIRONMENTAL -All Environmental Review is complete. Laws and Executive Orders Review-All Other Laws/EOs complete.-PCHINNI Laws/EOs Status Coastal Barriers Resources Act(CBRA) Gen Revw/NA Clean Water Act(CWA) Gen Revw/NA Coastal Zone Management Act(CZMA) Gen Revw/NA Endangered Species Act(ESA) Gen Revw/NA Fish and Wildlife Coordination Act(FWCA) Gen Revw/NA National Historic Preservation Act(NHPA) Gen Revw/NA Clean Air Act(CAA) Gen Revw/NA E.O. 11988: Floodplains Gen Revw/NA E.O. 11990:Wetlands Gen Revw/NA E.O. 12898: Environmental Justice for Low Income and Minority Populations Gen Revw/NA NEPA Level of Review-06/16/2007 08:32:44-This project is statutorily excluded from the requirements of the National Environmental Policy Act and no other environmental review or documentation is required.-PCHINNI Page 5 of 7 PROJECT WORKSHEET REPORT DECLARATION NO. FEMA-IA-DR1688 PREPARED DATE 05/09/2007 FIPS NO. 013-82425-00 REPORT DATE 06/16/2007 08:32 APPLICANT NAME WATERLOO,CITY OF INF TYPE 0 INF SUBDIVISION • NON-INF FEMA PW# 514 VSN 0 REF# RH-004 0 REC Standard Conditions 1. Any change to the approved scope of work will require re-evaluation for compliance with NEPA and other Laws and Executive Orders. 2. This review does not address all federal, state and local requirements.Acceptance of federal funding requires recipient to comply with all federal, state and local laws. Failure to obtain all appropriate federal, state and local environmental permits and clearances may jeopardize federal funding. 3. If ground disturbing activities occur during construction, applicant will monitor ground disturbance and if any potential archeological resources are discovered,will immediately cease construction in that area and notify the State and FEMA. GENERAL COMMENTS EMERGENCY PROTECTIVE MEASURES THIS PROJECT IS AN EMERGENCY ACTION OF SEARCH AND RESCUE, EMERGENCY CARE, ISSUES OF LIVE SAFETY, 3ONSTRUCTION OF TEMPORARY MEASURES TO REDUCE IMMEDIATE THREATS TO LIFE, PROPERTY AND PUBLIC HEALTH OR SAFETI' EMERGENCY ACTIONS ARE STATUTORILY EXCLUDED FROM FURTHER REVIEW UNDER THE NATIONAL ENVIRONMENTAL POLICY ACT. THE APPLICANT HAS IDENTIFIED NO ENVIRONMENTAL ISSUES WITH THIS PROJECT. PAUL CHINN 05/17/2007 RECORD MAINTENANCE COMPLETE RECORDS AND COST DOCUMENTS FOR ALL APPROVED WORK MUST BE MAINTAINED FOR AT LEAST 3 YEARS FROM THE DATE THE LAST PROJECT WAS COMPLETED OR FROM RECEIPT OF FINAL PAYMENT,WHICHEVER IS LATER. ALL APPROVED PWS WITHIN A PROJECT APPLICATION ARE SUBJECT TO RANDOM AUDITS. QUARTERLY REVIEWS ARE CONDUCTED ON ALL APPROVED PW'S WHICH EQUAL OR EXCEED$59,700 AND HAVE NOT RECEIVED FINAL PAYMENT. ANY JURISDICTION RECEIVING$500,000 OR MORE IN TOTAL FEDERAL FINANCIAL ASSISTANCE IN A FISCAL YEAR MUST SUBMIT A COPY OF ITS SINGLE AUDIT(AS REQUIRED BY THE SINGLE AUDIT ACT OF 1984)TO THE STATE.-PAUL CHINN 05/17/2007 Page 6 of 7 PROJECT WORKSHEET REPORT DECLARATION NO. FEMA-IA-DR1688 PREPARED DATE 05/09/2007 FIPS NO. 013-82425-00 REPORT DATE 36/16/2007 08:32 APPLICANT NAME WATERLOO,CITY OF INF TYPE ;, INF SUBDIVISION NON-INF FEMA PW# 514 VSN 0 REF# RH-004 9 REC PW REQUIRED REVIEWS REVIEW ASSIGNED DATE DATE REVIEW STATUS RECOMMENDATION REVIEWER REVIEWER SUBMITTED REVIEWED Initial Complete Eligible pchinnl 05/17/2007 05/21/2007 STATE Complete Eligible phall 05/21/2007 05/22/2007 Final Complete Eligible dteska 05/22/2007 05/22/2007 Page 7 of 7 PROJECT WORKSHEET REPORT DECLARATION NO. FEMA-IA-DR1688 PREPARED DATE 05/04/2007 FIPS NO. 013 82425 00 REPORT DATE 06/16/2007 08:32 APPLICANT NAME WATERLOO, CITY OF SUBDIVISION INF TYPE INF • NON-INF FEMA PW# 463 VSN 0 REF# RH-003 0 REC CATEGORY A. Debris Removal COUNTY BLACK HAWK FUNDING OPTION COST SHARE 0.75 STD PROJECT NO. 199 PROJECT TITLE DEBRIS REMOVAL PROJECTED CMPLTN DT09/14/2007 ACTUAL CMPLTN DT WORK COMPLETE AS OF 04/09/2007 100 % ELIGIBILITY Yes AMOUNT ELIG$52,332.18 FEDERAL SHARE $39,249.14 PRIORITY Normal BEGIN DESIGN DI BEGIN CONSTR DT PW REVIEWER DATA REVIEWER NAME DATE END DESIGN DT END CONSTR DT INITIAL REVIEW CHINN,PAUL 05/22/2007 PREPARER HUDSON, RAY FINAL REVIEW TESKA,DAVID 05/22/2007 ROLE PAC DATA SOURCE Paper STATE DEAN,MARK MT PROP 0 Yes• No VALIDATED • Yes 0 No DATE OBLGTD 05/22/2007 PACKAGE DATE 05/22/2007 PNP QUESTIONS 0 Yes• No STATE RVWD 0 Yes• No PACKAGE ID 50 ATTACH • Yes 0 No Does the Scope of Work change the pre-disaster conditions at the site? 0 Yes • No 0 Unsure Special Considerations issues included? 0 Yes • No 0 Unsure Is there insurance coverage on this facility? 0 Yes • No 0 Unsure Hazard Mitigation proposal included? 0 Yes • No 0 Unsure Page 1 of 6 PROJECT WORKSHEET REPORT DECLARATION NO.FEMA-IA-DR1688 PREPARED DATE 05/04/2007 FIPS NO. 013-82425-00 REPORT DATE:06/16/2007 08:32 APPLICANT NAME WATERLOO, CITY OF INF TYPE O INF SUBDIVISION • NON-INF FEMA PW# 463 VSN 0 REF# RH-003 0 REC SITE NUMBER 1 of 1 FACILITY NAME DEBRIS REMOVAL Latitude 42.48375 ADDRESS Longitude -92.37211 CITY STATE IA ZIP Was this site previously damaged? 0 Yes O No • Lnsure SITE NUMBER 1 -LOCATION CITY WIDE PARKS AND RECREATION FACILITIES AND STREET RIGHT-OF-WAYS SITE NUMBER 1 -DAMAGE DIMENSIONS AND DESCRIPTION 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 INCHES TO 36 INCHES 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. SITE NUMBER 1 -SCOPE OF WORK WORK COMPLETED: REMOVE TWELVE TREES DAMAGED IN EXCESS OF 50%, CUT OUT HANGERS IN ALL OTHER TREES AND PICK UP ALL WOODY DEBRIS,2,901 CU. YDS. IN JURISDICTION OF THE LEISURE SERVICES DEPARTMENT OF THE CITY OF WATERLOO AND CHIP SAID DEBRIS. CHIPS WERE DISTRIBUTED THROUGH THE CITY FOR RESIDENTS TO USE OR WERE BURNED AT THE CITY DUMP. THE PROJECT OFFICER 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 WA1 ERLOO, IA. Page 2 of 6 PROJECT WORKSHEET REPORT DECLARATION NO. FEMA-IA-DR1688 PREPARED DATE 05/04/2007 FIPS NO. 013-82425-00 REPORT DATE 06/16/2007 08:32 APPLICANT NAME WATERLOO,CITY OF INF TYPE 0 INF SUBDIVISION • NON-INF FEMA PW# 463 VSN 0 REF# RH-003 O REC COST ESTIMATE ITEM VSN,CODE L_ MATERIAL AND/OR DESCRIPTION L LUOM I,I QTY J' UNIT PRICE -1 j COST 1 0 0000 WORK COMPLETED 0 0 $.00 $0.00 2 0 9007 FORCE ACCOUNT OVER TIME LABOR LS 1 $1,636.38 $1,636.38 3 0 9008 EQUIPMENT LS 1 850,695.80 $50.695.80 Eligible Amounts: Total(this version) $52,332.18 Total Oblig To Date $52,332.18 Unobligated+Obligated $52,332.18 Federal Share for Obligated and Unobligated $39,249.14 SPECIAL CONSIDERATIONS Does the damaged facility or item of work have insurance coverage and/or is it an insurable risk 0 Yes • No 0 Unsure (e.g., buildings,equipment,vehicles,etc.)? 2 Is the damaged facility located within a floodplain or coastal high hazard area and/or does it have 0 Yes • No () Unsure an impact on a floodplain or wetland? 3 Is the damaged facility or item of work located within or adjacent to a Coastal Barrier Resource 0 Yes • No (0 Unsure System Unit or an Otherwise Protected Area? 4 Will the proposed facility repairs/reconstruction change the pre-disaster conditions(e.g.,footprint, 0 Yes • No 0 Unsure material, location,capacity,use or function)? 5 Does the applicant have a hazard mitigation proposal or would the applicant like technical 0 Yes • No 0 Unsure assistance for a hazard mitigation proposal? 6 Is the damaged facility on the National Register of Historic Places or the state historic listing?Is it 0 Yes • No 0 Unsure 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 of 0 Yes • No 0 Unsure forestland? 8 Are there any hazardous materials at or adjacent to the damaged facility and/or item of work? 0 Yes • No 0 Unsure y Are there any other environmental or controversial issues associated with the damaged facility 0 Yes • No 0) Unsure and/or item of work? Page 3 of 6 PROJECT WORKSHEET REPORT DECLARATION NO. FEMA-IA-DR1688 PREPARED DATE 05/04/2007 FIPS NO. 013-82425-00 REPORT DATE )6/16/2007 08:32 APPLICANT NAME WATERLOO, CITY OF INF TYPE D INF SUBDIVISION • NON-INF FEMA PW# 463 VSN 0 REF# RH-003 D REC ENVIRONMENTAL -All Environmental Review is complete. Laws and Executive Orders Review-All Other Laws/EOs complete.-PCHINNI Laws/EOs Status Coastal Barriers Resources Act(CBRA) Gen Revw/NA Clean Water Act(CWA) Gen Revw/NA Coastal Zone Management Act(CZMA) Gen Revw/NA Endangered Species Act(ESA) Gen Revw/NA Fish and Wildlife Coordination Act(FWCA) Gen Revw/NA National Historic Preservation Act(NHPA) Gen Revw/NA Clean Air Act(CAA) Gen Revw/NA E.O. 11988: Floodplains Gen Revw/NA E.O. 11990:Wetlands Gen Revw/NA E.O. 12898: Environmental Justice for Low Income and Minority Populations Gen Revw/NA NEPA Level of Review-06/16/2007 08:32:19-This project is statutorily excluded from the requirements of the National Environmental Policy Act and no other environmental review or documentation is required.-PCHINNI Page 4 of 6 PROJECT WORKSHEET REPORT DECLARATION NO. FEMA-IA-DR1688 PREPARED DATE 05/04/2007 FIPS NO. 013-82425-00 REPORT DATE 06/16/2007 08:32 APPLICANT NAME WATERLOO, CITY OF INF TYPE 0 INF SUBDIVISION NON-INF FEMA PW# 463 VSN 0 REF# RH-003 0 REC Standard Conditions 1. Any change to the approved scope of work will require re-evaluation for compliance with NEPA and other Laws and Executive Orders. 2. This review does not address all federal, state and local requirements.Acceptance of federal funding requires recipient to comply with all federal,state and local laws. Failure to obtain all appropriate federal, state and local environmental permits and clearances may jeopardize federal funding. 3. If ground disturbing activities occur during construction, applicant will monitor ground disturbance and if any potential archeological resources are discovered,will immediately cease construction in that area and notify the State and FEMA. GENERAL COMMENTS DEBRIS REMOVAL THE PROJECT IS TO REMOVE, STAGE AND DISPOSE OF VEGETATIVE DEBRIS IN ACCORDANCE WITH ALL APPLICABLE ENVIRONMENTAL LAWS AND REGULATIONS. DEBRIS REMOVAL IS STATUTORILY EXCLUDED FROM FURTHER REVIEW UNDER THE NATIONAL ENVIRONMENTAL POLICY ACT. PAUL CHINN 05/17/2007 RECORD MAINTENANCE COMPLETE RECORDS AND COST DOCUMENTS FOR ALL APPROVED WORK MUST BE MAINTAINED FOR AT LEAST 3 YEARS FROM THE DATE THE LAST PROJECT WAS COMPLETED OR FROM RECEIPT OF FINAL PAYMENT,WHICHEVER IS LATER. ALL APPROVED PWS WITHIN A PROJECT APPLICATION ARE SUBJECT TO RANDOM AUDITS. QUARTERLY REVIEWS ARE CONDUCTED ON ALL APPROVED PW'S WHICH EQUAL OR EXCEED$59,700 AND HAVE NOT RECEIVED FINAL PAYMENT. ANY JURISDICTION RECEIVIN3$500,000 OR MORE IN TOTAL FEDERAL FINANCIAL ASSISTANCE IN A FISCAL YEAR MUST SUBMIT A COPY OF ITS SINGLE AUDIT(F S REQUIRED BY THE SINGLE AUDIT ACT OF 1984)TO THE STATE.-PAUL CHINN 05/17/2007 Page 5 of 6 PROJECT WORKSHEET REPORT DECLARATION NO. FEMA-IA-DR1688 PREPARED DATE 05/04/2007 FIPS NO. 013-82425-00 REPORT DATE 06/16/2007 08:32 APPLICANT NAME WATERLOO,CITY OF INF TYPE O INF SUBDIVISION • NON-INF FEMA PW# 463 VSN 0 REF# RH-003 0 REC PW REQUIRED REVIEWS REVIEW ASSIGNED DATE DATE REVIEW STATUS RECOMMENDATION REVIEWER REVIEWER SUBMIT`ED REVIEWED Initial Complete Eligible pchinnl 05/17/2';07 05/22/2007 STATE Complete Eligible phall 05/22/2')07 05/22/2007 Final Complete Eligible dteska 05/22/2i:07 05/22/2007 Page 6 of 6