Revision Date: 1/18/05 Revised Item 9 spelling on Spec Consideration.

Any comments for improving and/or making corrections to this process should be made to
Dale L Long at dale.long1@dhs.gov (when working) or dalelong@swbell.net (any time).
If you do send me e-mail, in the subject make the first word - FEMA. It makes it easier to spot
among all the spam mail.
My home phone number is 405-946-9007.

COST CODES MUST BE UPDATED FOR EACH DISASTER !!!!

SEE ITEM 23

PLEASE BE SURE AND READ THIS PAGE FIRST !!!!!

This Workbook is built primarily for the personnel which will be filling out the Project Worksheet and Site
Information.

This Workbook contains several worksheets which you may find useful in gathering, calculating
and preparing the Project Worksheet. Carefully examine each worksheet
in order to see which helps are available and how to use them.

Item Index of Worksheets:

0 Read Me First: This sheet.
1 Calculation Sheet: A list of equations that will calculate various quantities.
2 Data Sheet: A sheet to input common headings, so you don't have to input same info on each sheet.
3 Project Worksheet:
4 Special Considerations
5 Summary of Damages
6 Continuation Sheet.
Work to be completed - These sheets are used for estimating cost for work not completed, can also be used for other re
7 Cost Estimation-Un Protected: automatically sums quantities by Cost Code.
8 Cost Estimation-Protected: automatically sums quantities by Cost Code.
9 Instructions for using Estimating Cost.
10 Estimating Cost: This sheet is for estimating cost for work not completed. By filling in the Cost Code
and the appropriate depth, width and length fields the quantity will automatically fill in. The
length field is also used for Ea, LF, etc, measurements. See Instruction Sheet Item 9.
Revision to this sheet automatically sums the quantities by Cost Codes for transfer to Project Worksheet.
11 Estimating Cost (2): Same as Item 10.
12 Hazard Mitigation: Required if project proposes mitigation.
13 Hazard Mitigation 2: Required if project proposes mitigation.
14 Cost Benefit Analysis Sheet
15 Maps or Pictures Sheet with instructions.
The next seven sheets are designed for site calculations with 5 sites per sheet, except for Item 16.
16 Site Sheet
17 Aggregate and Subgrade Grading and compacting:
18 Aggregate and Surface Grading:
19 Scarify and Chip and Seal, Single:
20 Scarify and Chip and Seal, Double:
21 Ashpalt Failure and Cold Patch:
22 Ashpalt Failure and Chip and Seal:

23 Cost Codes: This sheet is used in the Project Worksheet, Cost Estimation
Hazard Mitigation Proposal, and Estimating Cost Sheets.
MUST BE UPDATED FOR EACH DISASTER!!!!!
Cost Codes!!! The Cost Codes must be updated for each disaster.
They can be downloaded from NEMIS. However, the ones selected must be for this disaster and be
approved by the approving authorities. In other words they must be the right ones. The problem
is that even though they are downloaded into Excel, the Cost Code Number downloads as an Alpha
instead of Numeric. It must be numeric to work with this process. The process to change the Alpha
to Numbers is not tricky, but must be done carefully.
DO NOT DELETE THE COST CODES SHEET FROM THIS WORKBOOK,
IT CREATES PROBLEMS BEYOND YOUR IMAGINATION !!!!!!!
You will copy from another spreadsheet on to this spreadsheet.
This is one way to make it work. Download the Cost Codes from NEMIS into a Separate Spreadsheet.
Left click on the Column Heading called cost_codes to select that column, right click and choose Copy
an empty column to the right. Left click to select column, right click on column and select Paste Special,
select Values and Add then click OK. The Alphas are now Numbers in this column. Copy this column
into the original cost_codes Column. This is the only column you will need to change.
Now simply copy the appropriate columns from this spreadsheet onto the columns of the Cost Codes Sheet in this Wor
Copying the columns one at a time is by far the best way to do it. You may find it useful to make a copy of the
original download to play with so that you don't have to download it a second, or third, or more times.
I have had to download many times until I was able to conquer.
One other change must be made: In the Unit Column, change the TON to TN. The equations were built using TN and no
NOTE:
Make copies of this program for each Project Worksheet you propose to fill out.
Do not use these forms, use copies of them.

IF::::::----
You find it necessary to unprotect the worksheets, the password is= kelsey
If you do unprotect, make your changes and immediately protect the worksheet.
Once the equations are lost they are lost.
They can be rebuilt or copied, but extreme caution must be taken.
Otherwise, you and other people will not have confidence in the results.
T !!!!!
et and Site

sheet.

also be used for other reasons.

st Code

Worksheet.
Cost Estimation Sheets,
heets.

d be

lpha
Alpha

OK,

dsheet.
se Copy. Move cursor to
te Special,
column

Codes Sheet in this Workbook.

e a copy of the
times.

ere built using TN and not TON !!

 Lock Code= kelsey
Calculation Sheet Revision Date: 11/10/04

Note: All measurements must be in : FEET

How to calculate cubic yards. 1 Cu Yd = 27 Cu Ft
(Length X Width X Depth) / 27=Cubic Yds
Length Width Depth Cu Yd

How to calculate the (length) when 2 measurements and the total cubic yards are known.

A B Cu Yd C A,B,C are equal to width, depth

Feet and length, in any order. Two
Inch of three + cu yd have to be known
to solve for other measurement.
This is very useful where the width, depth, and cubic yards are known. Then the length can be calculated.
Ex: 50 cu yds of gravel was placed 3 in deep on a county road that is 16 ft wide. What was the length?
A = 16, B =.25 ( 3 in / 12 in = .25 ft), Cu Yd = 50, Ans: C = 337 ft or 340 ft.
OR
A = 16, B = 340 ft, Cu Yd = 50, How deep was the gravel placed? Ans: 2.98 inches or 3 inches

How to calculate Square Yards. 1 Sq Yd = 9 Sq Ft

(Length X Width) / 9 = square yards
Length Width Sq Yds

How to calculate volume of round pipe. (Pi) X (radius squared) X (length) = volume
Length Diameter radius squared also = diameter squared / 4
of Pipe in feet Volume in CY Pi = 3.1416

To convert inches to feet 12 Inches = 1 Foot

Inches Foot Inches / 12

Asphalt - How many square yards will ( X ) tons cover?

Asphalt weighs 110 lbs / sq yd / 1" thick
Tons Sq Yds
At 1" thick
At 1 1/2" thick
At 2" thick
At 2 1/2" thick
At 3" thick
 At 3 1/2 " thick
At 4" thick
At 4 1/2 " thick
At 5" thick
At 5 1/2" thick
At 6" thick

Asphalt - How much material required to cover (X) square feet?

Asphalt weighs 110 lbs / sq yd / 1" thick
Sq Yds Cu Yds
Length Width Mat'l Req'd Mat'l Req'd Tons
At 1" thick
At 1 1/2" thick
At 2" thick
At 2 1/2" thick
At 3" thick
At 3 1/2 " thick
At 4" thick
At 4 1/2 " thick
At 5" thick
At 5 1/2" thick
At 6" thick

Other Calculations you may find useful

Proportion (If a/b=c/d, calculate c)

Not calculated in feet, these are pure numbers
a b d c

OR another way to express it

a = c
b d

How many cubic Yards were dumped?

Cu Yds /
Loads Truck Cubic Yds

Total cubic yards

Convert Tons to Cubic Yards Normally, the Tons figure will be larger
than the Cubic Yards figure.
 Tons *Factor Cubic Yards

*Factor = the number of cubic yards per ton, which can be obtained from the supplier
or use the factor for the material listed below. Values taken from Pocket Ref, 1st edition, by Thomas Glo

Material Lbs/Cu Yd Factor Material Lbs/Cu Yd Factor

Cement, Portland 2538 1.27 Granite, solid 4536 2.27
Cement, Mortar 3645 1.82 Granite, broken 2781 1.39
Cement, Slurry 2430 1.22 Gravel, loose, dry 2565 1.28
Clay, Dry excavated 1836 0.92 Gravel, w/ sand natural 3240 1.62
Clay, Wet excavated 3078 1.54 Gravel, dry, 1/4"-2" 2835 1.42
Clay, Dry lump 1809 0.90 Gravel, wet, 1/4"-2" 3375 1.69
Clay, Wet lump 2700 1.35 Limestone, solid 4401 2.20
Clay, Compacted 2943 1.47 Limestone, broken 2619 1.31
Concrete, Asphaltic 3780 1.89 Limestone, pulverized 2349 1.17
Concrete, Gravel 4050 2.03 Marble, solid 4320 2.16
Concrete, Limestone 3996 2.00 Marble, broken 2646 1.32
w/ Portland Mortar, wet 4050 2.03
Earth, Loam, Dry 2106 1.05 Mud, packed 3213 1.61
Earth, Moist 2430 1.22 Mud, fluid 2916 1.46
Earth, Wet 2700 1.35 Oyster, shell,ground 1431 0.72
Earth, Dense 3375 1.69 Potash 2160 1.08
Earth, soft loose mud 2916 1.46 Rip Rap 2700 1.35
Earth, packed 2565 1.28 Sand, dry 2700 1.35
Earth, Fullers, raw 1134 0.57 Sand, damp 3240 1.62
Garbage 810 0.41 Sand, wet 3510 1.76

Debris: Hard woods contain 4 cubic yards per ton; Soft woods contain 6 cubic yards per ton.

Convert Cubic Yards to Tons Normally, the Tons figure will be larger
than the Cubic Yards figure.
Cubic Yards *Factor Tons

*Factor: Obtain factor from tables above.

Calculate Amount of Debris for Demolished House.

/----------------------Structures-----------------------------\
Length Width Floors Cubic Yards

/------------------Vegetative----------------\
Factor Structure Cy's Cubic Yards

Total Cubic Yards

Factor: 0 to .5 depending on amount of trees & shrubs.
0 = none, .5 = heavy trees and shrubs
Tons to Cubic Yards for Debris
Tons Cubic Yards

Cubic Yards to Tons for Debris

Cubic Yards Tons

Debris Estimating Guide for Single Trees

For estimating purposes, the canopy (limbs, branches, leaves, etc.,

the trunk) of a tree can be approximated by either a sphere (defined s
by its approximate diameter) or a cone (defined by an approximate
and base diameter). Since the v

Tree with Sphere Shaped Canopy

Adjustment Factor percent solid material

Diameter (D) feet
Volume of Debris cubic yards

Tree with Cone Shaped Canopy

Adjustment Factor percent solid material Tree with Cone Shaped Canopy
Diameter (D) feet
Height (H) feet Debris: Hard woods contain 4 cubic yards per ton; Soft woods contain 6 cu
Volume of Debris cubic yards

Conversions:
 Acres to Sq Ft Sq Ft to Acres

Metric Ton to Tons

Tons (short) Short Ton = 2000 lbs.
Tons (long) Long Ton = 2240 lbs.

Horsepower to Kilowatts
Kilowatts

Kilowatts to Horsepower
Horsepower

Convert Latitude / Longitude from Degrees to Decimal

Degrees Minutes Seconds Decimal

Equations to calculate Areas and Volumes of different shapes

Circumference of Circle Length=3.1416*2*r

2*r= diameter
Length=3.1416*d
Diameter Length (Circumference)
in Ft in Ft

AREAS

Area of Circle Area=3.1416*r^2 r=d/2 r^2=(d/2)^2 = (d^2)/4

Diameter Area
in Ft in Sq Ft

Area of Rectangle Length X Width = Area

Length Width Area

in Ft in Ft in Sq Ft

Area of Right Triangle (Length X Width) / 2

Length Width Area

in Ft in Ft in Sq Ft
Area of other Triangles (Height at right angle to base X Base) / 2

Height Base Area

in Ft in Ft in Sq Ft

Area of Parallelogram (Height (at right angle to base) X Base

Height Base Area

in Ft in Ft in Sq Ft

Area of Pentagon (5 equal sides) Length of 1 side squared

Length Area
in Ft in Sq Ft

Area of Hexagon (6 equal sides) (Length of 1 side squared) X 2.598

Length Area
in Ft in Sq Ft

Area of Octagon (8 equal sides) ( Length of 1 side squared) X 4.838

Length Area
in Ft in Sq Ft

Area of a trapezoi (Sum of two heights / 2) multiplied by base

Height 1 Height 2 Base Area

in feet in feet in feet in Sq Ft

Volumes

How to calculate volume in cubic yards. 1 Cu Yd = 27 Cu Ft

/----------------FEET-----------------\ (Length X Width X Depth) / 27=Cubic Yds
Length Width Depth Cu Yd

How to calculate volume of a cone

Radius of Height
 Base - Ft Feet Cu Yd

How to calculate volume of a cylinder

Radius of Height
Base - Ft Feet Cu Yd

Wood
Length Width Thickness MBF = Thousand Board Feet
In Feet In Inches In Inches
Board Feet
MBF= Thousand Board Feet

Calculates area required for culverts or bridges to drain X number of acres in different terrain.
Data acquired from some old FEMA information.

Constant Sq Acres Area (SF) Round Culverts Box Culverts

C A a Diameter Area in Height Width Area in
in Inches Sq Ft in Inches in Inches Sq Ft
a= C*((A^3)^.25)
a = Area of waterway in sq ft
A = Drainage area in acres
C = Constant based on terrain
See chart below
Drainage Area Areas of Waterways in Square Feet
Square Mountains Hilly Land Rolling Land Flat Land
Acres Miles C= 1.0 C= 0.8 C= 0.6 C= 0.5 C= 0.4 C= 0.3 C= 0.2
1 0.0016 1.0 0.8 0.6 0.5 0.4 0.3 0.2
2 0.0031 1.7 1.4 1.0 0.8 0.7 0.5 0.3
4 0.0062 2.8 2.2 1.7 1.4 1.1 0.8 0.6
6 0.0094 3.8 3.0 2.3 1.9 1.5 1.1 0.8
8 0.0125 4.8 3.8 2.9 2.4 1.9 1.4 1.0
10 0.0160 5.6 4.5 3.4 2.8 2.2 1.7 1.2
15 0.0230 7.6 6.1 4.5 3.8 3.0 2.3 1.5
20 0.0310 9.5 7.5 5.7 4.7 3.8 2.8 1.9
30 0.0470 12.8 10.2 7.7 6.4 5.1 3.8 2.6
40 0.0620 15.9 12.7 9.5 8.0 6.4 4.8 3.2
60 0.0940 22.0 17.6 13.0 11.0 8.8 6.6 4.4
80 0.1250 27.0 21.6 16.0 13.0 10.8 8.1 5.4
100 0.1560 32.0 25.5 19.0 16.0 12.8 9.6 6.4
150 0.2340 43.0 34.4 26.0 21.0 17.2 12.9 8.6
200 0.3120 53.0 42.4 32.0 27.0 21.2 15.9 10.6
250 0.3900 63.0 50.0 38.0 31.0 25.0 19.0 13.0
300 0.4700 72.0 58.0 43.0 36.0 29.0 22.0 14.0
400 0.6200 85.0 71.0 53.0 45.0 36.0 27.0 18.0
500 0.7800 106.0 85.0 64.0 53.0 42.0 32.0 21.0
600 0.9400 121.0 97.0 73.0 61.0 48.0 36.0 24.0
800 1.2500 150.0 120.0 90.0 75.0 60.0 45.0 30.0
 1,000 1.5600 178.0 142.0 107.0 83.0 71.0 53.0 36.0
1,500 2.3400 241.0 193.0 145.0 121.0 96.0 72.0 48.0
2,000 3.1200 299.0 239.0 179.0 149.0 120.0 90.0 60.0
2,500 3.9100 354.0 283.0 212.0 177.0 142.0 106.0 71.0
3,000 4.7000 405.0 324.0 243.0 203.0 162.0 122.0 81.0
4,000 6.2000 503.0 402.0 302.0 252.0 202.0 151.0 101.0
5,000 7.8000 595.0 476.0 357.0 297.0 238.0 179.0 119.0
6,000 9.4000 682.0 546.0 409.0 341.0 273.0 205.0 136.0
8,000 12.5000 846.0 677.0 508.0 423.0 338.0 254.0 163.0
10,000 15.6000 1,000.0 800.0 600.0 500.0 400.0 300.0 200.0
12,000 18.8000 1,147.0 918.0 688.0 573.0 459.0 344.0 229.0
14,000 21.9000 1,287.0 1,030.0 772.0 644.0 515.0 386.0 257.0
16,000 25.0000 1,423.0 1,138.0 854.0 711.0 569.0 427.0 285.0
18,000 28.1000 1,554.0 1,243.0 932.0 777.0 622.0 466.0 311.0
20,000 31.2000 1,682.0 1,346.0 1,009.0 841.0 673.0 505.0 336.0
25,000 39.1000 1,988.0 1,590.0 1,133.0 994.0 795.0 596.0 398.0
30,000 47.0000 2,280.0 1,824.0 1,368.0 1,140.0 912.0 684.0 456.0
40,000 62.0000 2,828.0 2,262.0 1,637.0 1,414.0 1,131.0 848.0 566.0
50,000 78.0000 3,344.0 2,675.0 2,006.0 1,672.0 1,338.0 1,003.0 569.0

Copied from sheet. Don't understand???

Box Culverts Should be
Height Width Area in Area
in Inches in Inches Sq Ft Sq Ft
18 11 1.1 1.4
22 13 1.6 2.0
25 16 2.2 2.8
29 18 2.8 3.6
36 22 4.4 5.5
43 27 6.4 8.1
50 31 8.7 10.8
58 36 11.4 14.5
65 40 14.3 18.1
72 44 17.6 22.0
79 49 21.3 26.9
73 55 22.0 27.9
85 54 25.3 31.9
81 59 26.0 33.2
87 63 31.0 38.1
95 67 35.0 44.2
103 71 40.0 50.8

Steel Drainage and Highway Construction Products

This is supposed to This supposed to represent

represent an arch culvert. and arch culvert.
Rise Ris
e
 This is supposed to This supposed to represent
represent an arch culvert. and arch culvert.

SPAN SPAN

Table 1-18 Sizes & Layout Details-CSP Pipe Archs Table 1-17 Sizes & Layout Details-CSP Pipe Archs
2 2/3" X 1/2" 3 X 1 Corrugation
Equivalent Waterway Equivalent Waterway
Diameter Span Rise Area Diameter Size Span Rise Area
in Inches in Inches in Inches Sq Ft in Inches in Inches in Inches in Inches Sq Ft
16 17 13 1.1 54 60 X 46 58 1/2 48 1/2 15.6
18 21 15 1.6 60 66 X 51 65 54 19.3
21 24 18 2.2 66 73 X 55 72 1/2 58 1/4 23.2
24 28 20 2.9 72 81 X 59 79 62 1/2 27.4
30 35 24 4.5 78 87 X 63 86 1/2 67 1/4 32.1
36 42 29 6.5 84 95 X 67 93 1/2 71 3/4 37
42 49 33 8.9 90 103 X 71 101 1/2 76 42.4
48 57 38 11.6 96 112 X 75 108 1/2 80 1/2 48
54 64 43 14.7 102 117 X 79 116 1/2 84 3/4 54.2
60 71 47 18.1 108 128 X 83 123 1/2 89 1/4 60.5
66 77 52 21.9 114 137 X 87 131 93 3/4 67.4
72 83 57 26 120 142 X 91 138 1/2 98 74.5

Percentage of Dump Truck Fill

Dump If a Dump Truck holds 20 Cu Yds of debris and it is only 85% filled, then the dump load = 17 cu yds.
Truck Copy this to a separate worksheet and make the column width= 3.0. Both sides will fit on 1 sheet of pa
Capacity Percent Fill
CU YD 95 90 85 80 75 70 65 60 55
4 4 4 3 3 3 3 3 2 2
6 6 5 5 5 5 4 4 4 3
8 8 7 7 6 6 6 5 5 4
10 10 9 9 8 8 7 7 6 6
12 11 11 10 10 9 8 8 7 7
14 13 13 12 11 11 10 9 8 8
16 15 14 14 13 12 11 10 10 9
18 17 16 15 14 14 13 12 11 10
20 19 18 17 16 15 14 13 12 11
22 21 20 19 18 17 15 14 13 12
24 23 22 20 19 18 17 16 14 13
26 25 23 22 21 20 18 17 16 14
28 27 25 24 22 21 20 18 17 15
30 29 27 26 24 23 21 20 18 17
32 30 29 27 26 24 22 21 19 18
34 32 31 29 27 26 24 22 20 19
36 34 32 31 29 27 25 23 22 20
38 36 34 32 30 29 27 25 23 21
40 38 36 34 32 30 28 26 24 22
 42 40 38 36 34 32 29 27 25 23
44 42 40 37 35 33 31 29 26 24
46 44 41 39 37 35 32 30 28 25
48 46 43 41 38 36 34 31 29 26
50 48 45 43 40 38 35 33 30 28
52 49 47 44 42 39 36 34 31 29
54 51 49 46 43 41 38 35 32 30
56 53 50 48 45 42 39 36 34 31
58 55 52 49 46 44 41 38 35 32
60 57 54 51 48 45 42 39 36 33
62 59 56 53 50 47 43 40 37 34
64 61 58 54 51 48 45 42 38 35
66 63 59 56 53 50 46 43 40 36
68 65 61 58 54 51 48 44 41 37
70 67 63 60 56 53 49 46 42 39
72 68 65 61 58 54 50 47 43 40
74 70 67 63 59 56 52 48 44 41
76 72 68 65 61 57 53 49 46 42
78 74 70 66 62 59 55 51 47 43
80 76 72 68 64 60 56 52 48 44
82 78 74 70 66 62 57 53 49 45
84 80 76 71 67 63 59 55 50 46
86 82 77 73 69 65 60 56 52 47

Cost per hour calculation Sheet INPUT either Horsepower or Kilowatts

From 1550 for $ 170.80 /hour HP KW $/hr

To 900 for $ 98.53 /hour 850 = 634 = $ 93

HP $/hr KW
850 92.97 634 Generator $/Hr
230.00
900 98.53 671
950 104.09 709
1000 109.65 746 210.00

1050 115.21 783

Dollars/hour

1100 120.77 820 190.00

1150 126.33 858
1200 131.89 895 170.00
1250 137.44 932
1300 143.00 970 150.00
1350 148.56 1,007
1400 154.12 1,044 130.00
1450 159.68 1,081
1500 165.24 1,119 110.00
1550 170.80 1,156
1600 176.36 1,193 90.00
1650 181.92 1,231
70.00

50.00
850 900 950 1000 1050 1100 1150 1200 1250 1300 1350
Horse1400
Power14
 130.00

110.00

90.00

1700 187.48 1,268 70.00

1750 193.04 1,305
1800 198.60 1,342
50.00
1850 204.16 1,380 850 900 950 1000 1050 1100 1150 1200 1250 1300 1350
Horse1400
Power14
1900 209.71 1,417

Data is based on an extrapolation on the above data points as provided by FEMA E-Mail Memo dated 2 Nov 2001.
y Thomas Glover

Material Lbs/Cu Yd Factor

Sand, loose 2430 1.22
Sand, rammed 2835 1.42
Sand & Gravel, dry 2916 1.46
Sand & Gravel, wet 3375 1.69
Sandstone, solid 3915 1.96
Sandstone, broken 2538 1.27
Shale, solid 4509 2.25
Shale, broken 2673 1.34
Slag, broken 2970 1.49
Slag, crushed 1/4" 1998 1.00
Slag, granulated 1620 0.81
Slate, broken 2808 1.40
Slate, pulverized 2295 1.15
Stone, crushed 2700 1.35
Trap rock, solid 4860 2.43
Trap rock, broken 2943 1.47
Water 1685 0.84
leaves, etc., above
ere (defined simply
approximate height

contain 6 cubic yards per ton.

Area in
Sq Ft
 Culvert Conversion - Circle to Arch
Circular Arch Opening in
Pipe Pipe Square
Diameter Type Feet
in Inches Inches Area
8" 0.4
Ris
10" 0.5
e
12" 0.7
 15" 17 X 13 1.2
18" 21 X 15 1.7
21" 24 X 18 2.4
24" 28 X 20 3.1
Table 1-22 Sizes and Layout Details - Structural Plate Steel 30" 35 X24 4.9
Pipe Arches - 6" X 2" Corrugations - Bolted Seams 36" 42 X 29 7.0
18 Inch Corner Radius Rc 42" 49 X 33 9.6
Waterway Span Rise Waterway Area 48" 57 X38 12.5
Ft-Inches Ft-Inches Sq Ft 54" 64 X43 15.9
Sq Ft 6-1 4-7 22 60" 71 X 47 19.6
5-4 4-9 24 66" 77 X 52 23.7
6-9 4-11 26 72" 83 X 57 28.2
7-0 5-1 28 78" 87 X 63 33.1
7-3 5-3 31 84" 95 X 67 38.4
7-8 5-5 33 90" 103 X 71 44.2
7-11 5-7 35 96" 112 X 75 50.3
8-2 5-9 38 102" 117 X 79 56.7
8-8 5-11 40 108" 128 X 83 63.6
8-10 6-1 43 114" 137 X 87 70.9
9-4 6-3 46 120" 142 X 91 78.5
9-8 6-5 49 126" 154 X 100 86.6
9-9 6-7 52 132" 167 X 103 95.0

7 cu yds.
1 sheet of paper.
Cap Percent F
50 45 40 CU YD 95 90 85 80 75
2 2 2 88 84 79 75 70 66
3 3 2 90 86 81 77 72 68
4 4 3 92 87 83 78 74 69
5 5 4 94 89 85 80 75 71
6 5 5 96 91 86 82 77 72
7 6 6 98 93 88 83 78 74
8 7 6 100 95 90 85 80 75
9 8 7 102 97 92 87 82 77
10 9 8 104 99 94 88 83 78
11 10 9 106 101 95 90 85 80
12 11 10 108 103 97 92 86 81
13 12 10 110 105 99 94 88 83
14 13 11 112 106 101 95 90 84
15 14 12 114 108 103 97 91 86
16 14 13 116 110 104 99 93 87
17 15 14 118 112 106 100 94 89
18 16 14 120 114 108 102 96 90
19 17 15 122 116 110 104 98 92
20 18 16 124 118 112 105 99 93
 21 19 17 126 120 113 107 101 95
22 20 18 128 122 115 109 102 96
23 21 18 130 124 117 111 104 98
24 22 19 131 124 118 111 105 98
25 23 20 132 125 119 112 106 99
26 23 21 133 126 120 113 106 100
27 24 22 134 127 121 114 107 101
28 25 22 135 128 122 115 108 101
29 26 23 136 129 122 116 109 102
30 27 24 137 130 123 116 110 103
31 28 25 138 131 124 117 110 104
32 29 26 139 132 125 118 111 104
33 30 26 140 133 126 119 112 105
34 31 27 141 134 127 120 113 106
35 32 28 142 135 128 121 114 107
36 32 29 143 136 129 122 114 107
37 33 30 144 137 130 122 115 108
38 34 30 145 138 131 123 116 109
39 35 31 146 139 131 124 117 110
40 36 32 147 140 132 125 118 110
41 37 33 148 141 133 126 118 111
42 38 34 149 142 134 127 119 112
43 39 34 150 143 135 128 120 113

Version 0, ###

KW HP
1 = 1 = $ (1)

tor $/Hr

1350
Horse1400
Power1450 1500 1550 1600 1650 1700 1750 1800 1850 1900
1350
Horse1400
Power1450 1500 1550 1600 1650 1700 1750 1800 1850 1900
le to Arch
ening in
 Percent Fill
70 65 60 55 50 45 40
62 57 53 48 44 40 35
63 59 54 50 45 41 36
64 60 55 51 46 41 37
66 61 56 52 47 42 38
67 62 58 53 48 43 38
69 64 59 54 49 44 39
70 65 60 55 50 45 40
71 66 61 56 51 46 41
73 68 62 57 52 47 42
74 69 64 58 53 48 42
76 70 65 59 54 49 43
77 72 66 61 55 50 44
78 73 67 62 56 50 45
80 74 68 63 57 51 46
81 75 70 64 58 52 46
83 77 71 65 59 53 47
84 78 72 66 60 54 48
85 79 73 67 61 55 49
87 81 74 68 62 56 50
 88 82 76 69 63 57 50
90 83 77 70 64 58 51
91 85 78 72 65 59 52
92 85 79 72 66 59 52
92 86 79 73 66 59 53
93 86 80 73 67 60 53
94 87 80 74 67 60 54
95 88 81 74 68 61 54
95 88 82 75 68 61 54
96 89 82 75 69 62 55
97 90 83 76 69 62 55
97 90 83 76 70 63 56
98 91 84 77 70 63 56
99 92 85 78 71 63 56
99 92 85 78 71 64 57
100 93 86 79 72 64 57
101 94 86 79 72 65 58
102 94 87 80 73 65 58
102 95 88 80 73 66 58
103 96 88 81 74 66 59
104 96 89 81 74 67 59
104 97 89 82 75 67 60
105 98 90 83 75 68 60
If you plan to print as you prepare then auto insertion is OK.
If the equation is lost, to recover the automatic date, type in the date space: =NOW()
The () is the open and closed parenthesis.
 FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0151
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 0 DR 0 0 0 1/29/2018 0
DAMAGED FACILITY WORK COMPLETE AS OF:
0
APPLICANT COUNTY
0 0
LOCATION LATITUDE LONGITUDE
0
DAMAGE DESCRIPTION AND DIMENSIONS

SCOPE OF WORK

Does the Scope of Work change the pre-disaster condition at site? Yes No
Special Consideration issues included? Yes No Hazard Mitigation proposal included? Yes No
Is there insurance coverage on facility? Yes No
PROJECT COST
ITEM CODE NARRATIVE QUANTITY / UNIT UNIT PRICE COST
/
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/
/
/
/
/
/
/
TOTAL COST
PREPARED BY: 0 TITLE: 0
FEMA Form 90-91, SEP 98
 0

0
LONGITUDE

No

PROJECT COST
COST

0
 FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0151
PROJECT WORKSHEET Expires April 30,2001
DECLARATION NO: PROJECT NO. FIPS NO. DATE Category
FEMA 0 DR 0 0 0 1/29/2018 0
DAMAGED FACILITY WORK COMPLETE AS OF:
0
APPLICANT COUNTY
0 0
LOCATION LATITUDE LONGITUDE
0
PROJECT COST
ITEM CODE NARRATIVE QUANTITY / UNIT UNIT PRICE COST
/
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TOTAL COST
PREPARED BY: 0 TITLE: 0
FEMA Form 90-91, SEP 98
 0

0
LONGITUDE

PROJECT COST
COST

0
 FEDERAL EMERGENCY MANAGEMENT AGENCY
SPECIAL CONSIDERATIONS QUESTIONS
1. Applicant's Name 2. FIPS Number 3. Date
0 0 1/29/2018
4. Project Name 5. Location
0 0
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 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 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 No Unsure Comments _______________________________________
________________________________________________________________________________________
5. Does the applicant have a hazard proposal or would the applicant like technical assistance for a hazard mitigation proposal?
Yes 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 No Unsure Comments _______________________________________
________________________________________________________________________________________
7. Are there any pristine or undisturbed areas on, or near, the project site? Are there large tracts of forestland?
Yes 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 No Unsure Comments _______________________________________
________________________________________________________________________________________
FEMA Form 90-120
APPLICANT FIPS # DISASTER #
0 0 FEMA 0 DR 0
LOCATION/SITE PW # COUNTY CATEG
0 0 0 0
DESCRIPTION OF WORK PERFORMED PERIOD COVERING
0 to
CLAIM COST COMMENTS (FEMA USE ONLY) ELIGIBLE COSTS

FORCE
ACCOUNT
LABOR

FORCE
ACCOUNT
EQUIPMENT

MATERIALS

RENTAL
EQUIPMENT
I certify that the
above
information was
transcribed
from
timesheets,
CONTRACT
payroll
COSTSrecords,
equipment log,
invoices, stock
records or other
documents
TOTAL
which are
available for
audit.

CERTIFIED TITLE DATE

Applicant's records have been reviewed and found correct with the exceptions as noted.
 FEDERAL EMERGENCY MANAGEMENT AGENCY
Project Worksheet - Damage Description and Scope of Work Continuation Sheet
Declaration No. Project No. FIPS No. Date Category
FEMA 0 DR 0 0 0 1/29/18 0
Applicant County
0 0

Prepared by: 0 Title: 0

Instructions for using Estimating Cost Sheet
By inputing the Code: Description, Quantity, Unit, Cost/Unit and Total Columns
are automatically filled in.

YOU have to fill in the APPROPRIATE Depth, Width and Length fields based upon the
information required to complete the required calculations.

The equations are built such that if only one value is required, then it goes in the Length Column.
If two values are required to complete the equations, they are required in the Width and Length Columns.
If three values are quired to complete the equations, they are required in Depth, Width and Length Columns

Example 1: CY is a measurement requiring 3 pieces of information.

Depth (feet), Width (feet) and Length (feet) divided by 27 = CY (Cubic Yards)

Example 2: LS is a single value. Such as One Lump Sum of Dollars.

The quantity goes in Length, only one value is required.

Example 3: SF is a measurement requiring two pieces of information.

The data goes in Width & Length fields.

A quick way to see if the required fields are filled in is to look at the Total column.
If it is ZERO and the Cost/Unit field is not Zero, then additional fields are required

Number Columns Requiring Measurements

UNIT Cols Reqd Values in
AC 2 Width and Length Feet
CF 3 Depth, Width & Length Feet
CY 3 Depth, Width & Length Feet
DAY 1 Length
EA 1 Length
HR 1 Length
LF 1 Length Feet
LS 1 Length
MBF 3 Depth(Inches), Width & Length Inches & Feet
MI 1 Length
SEAT 1 Length
SF 2 Width and Length Feet
SQ 2 Width and Length Feet
SY 2 Width and Length Feet
SY/IN 3 Depth(Inches), Width & Length Inches & Feet
TN 1 Codes 1052 & 2040 are Length.
TN 3 All other codes are Depth, Width & Length Feet

Print Area has been set so that only the Estimating Cost Sheet prints.
 Length Columns.
and Length Columns
 Estimating Cost

Declaration: 0 Project Number: 0 Date: 1/29/2018

Applicant: 0 FIPS No: 0
Location: 0 County: 0
Cost /
Lat/Long Site Code Description Depth Width Length Quantity Unit Unit Total
 FEDERAL EMERGENCY MANAGEMENT AGENCY
PROJECT COST
ITEM CODE NARRATIVE QUANTITY / UNIT UNIT PRICE COST
8490 Aerial Lift, Self-Propelled / Hr 4.00
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TOTAL COST
PREPARED BY: TITLE:
FEMA Form 90-91, SEP 98
 FEDERAL EMERGENCY MANAGEMENT AGENCY
PROJECT COST
ITEM CODE NARRATIVE QUANTITY / UNIT UNIT PRICE COST
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TOTAL COST
PREPARED BY: TITLE:
FEMA Form 90-91, SEP 98
 Estimating Cost

Declaration: 0 Project Number: 0 Date: 1/29/2018

Applicant: 0 FIPS No: 0
Location: 0 County: 0
Cost /
Lat/Long Site Code Description Depth Width Length Quantity Unit Unit Total
i #N/A #N/A #N/A #N/A #N/A
 Federal Emergency Management Agency
HAZARD MITIGATION PROPOSAL (HMP)
Declaration No Project No. FIPS No. Date: Category:
FEMA 0 0 0 0 1/29/2018 0
Applicant:
0
Scope of Mitigation Work:

Project Cost
Item Code Material and/or Description QUANTITY / UNIT Unit Price COST
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Total Cost
ACCEPTABLE AS PROPOSED BY APPLICANT (Signature)* AGENCY FEMA Date:

CONCURRENCE BY STATE (Signature)* AGENCY STATE Date:

CONCURRENCE BY LOCAL REPRESENTATIVE (Signature)* AGENCY APPICANT Date:

Note: Signature by the Project Officer is not an approval of this work, and signature by the State and Local
applicant is not a commitment to perform the work.
 Sheet_____of____sheets

FEDERAL EMERGENCY MANAGEMENT AGENCY DECLARATION APPLICANT

HAZARD MITIGATION PROPOSAL (HMP) NUMBER REF NUMBER
NAME OF APPLICANT PA ID
CATEGORY
NUMBER
SCOPE OF MITIGATION WORK:

ESTIMATE OF WORK
UNIT COST
CODE MATERIAL AND/OR DESCRIPTION QUANTITY UNIT
PRICE (Dollars)

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00
TOTAL (NOT TO BE INCLUDED IN PW)
$0.00
ACCEPTABLE AS PROPOSED BY APPLICANT (Signature)* AGENCY FEMA DATE

CONCURRENCE BY STATE (Signature)* AGENCY STATE DATE

CONCURRENCE BY LOCAL REPRESENTATIVE (Signature)* AGENCY APPICANT DATE

NOTE: Signature by the Project Officer is not an approval of this work, and signature by the State and Local Applicant is not a commitment
to perform the work.

DR-1493-DC
 Federal Emergency Management Agency
Mitigation Benefit and Cost Effectiveness Analysis
To clean the inputs: Ctrl+z input in these boxes:
Delaration No: Project No: FIPS No: Date:

FEMA DR-

Applicant County: PW No.

1. Cost to Repair to pre-disaster condition in accordance with applicable standards.

a. Additional releated costs: emergency work, temporary facilities, or other related eligible costs

2. Additional cost to mitigate the damage (Cost of Mitigation)

3. Total Project Cost(1+2)

4. Frequency of the event causing the damage (for a 50 year event, enter 50)

5. Actual Annual Probable Benefit from the mitigation. (Item 3 divide by item 4)

6. Effective life of the mitigation (the lesser of the facility life or the mitigation life)

7. Present Value Coefficient.

8. The Present Value of Future Project Benefits (item 5 multiplied by item 7)

9. The Benefit Cost Ratio (item 8 divided by item 2)

Approved Denied:
PA Mitigationer:______ Date:___

Comment

Cost Effectiveness Analysis - Present Value of $1.00 / Yr

Cost effective means benefits equal or exceed costs Discount rate = 7.00 %
Prepared by B Richal Smith phone 206.323.6270
Present
Number of Value of
Years $1.00/ Yr
 1 0.93 COSTS are the cost of the mitigation measure, usually paid now, in th
2 1.81 BENEFITS are usually in the future so they are discounted back to th
3 2.62 Value to compare COSTS. Often, they are an annual probable benef
4 3.39 not making a repair or paying a disaster related claim.
5 4.10
6 4.77 Using repair related (406) mitigation an an example, the annual benef
7 5.39 divided by the requency of the event. Here is the reason. Each year,
8 5.97 of occurrence of the event that is 1 divided by the frequency. A 20 ye
9 6.52 or a 5% probability of occurring each year. If a mitigation measure is
10 7.02 protect against a $10,000 repair in a 20 year event, the annual probab
11 7.50 mitigation measure is 5% of $10,000 or a $500 probable annual savin
12 7.94
13 8.36 The present value of the benefit, in this case $500 per year, is the pre
14 8.75 saving over the life of the facility. If the life of the facility is 40 years, th
15 9.11 future benefits would be the present value of $1.00 per year for 40 ye
16 9.45 which is $13.33, multiplied by the annual benefit of $500.00 or $13.33
17 9.76
18 10.06 COST is the present value of the costs of , or resulting from, the mitig
19 10.34
20 10.59 In repair related (406 mitigation), the cost of the mitigation measure is
21 10.84 the project repair cost.
22 11.06
23 11.27 The mitigation measure is cost effective if the present value of Benefit
24 11.47 the present value of costs. To be cost effective, benefits must equal o
25 11.65
26 11.83 If,in the example, the mitigation measure to protect against the $10,00
27 11.89 a 20 year event cost $6,000, for a total project of $16,000, the mitigat
28 12.14 is cost effective because the benefit is $6665.
29 12.28
30 12.41 If the mitigation measure were only effective up to but not including a
35 12.95 the annual probability of loss from a 100 year flood would have to be
40 13.33 the annual benefit. The loss in a 100 year event would be the total co
45 13.61 including mitigation, $16,000. The loss, multiplied by it's annual proba
50 13.80 of 1% is $160 deducted from the previously detemined $500 results in
60 14.04 benefitof $340. The present value of $340 per year for 40 years is $1
70 14.16 $4,532 is less than $6,000 so the mitigation measure is not cost effec
80 14.22
90 14.25 If the mitigation measure were effective in a 100 year flood, but not in
100 14.27 the measure would be cost effective because the annual benefit woul
200 14.29 $16,000 / 500 which is $468. The present value of $468 per year for
500 14.29 $13.33 X 468 = $6328 which is more than the cost of the mitigation m
Agency
ess Analysis

Category:

yrs

yrs
ure, usually paid now, in the present.
are discounted back to their Present
an annual probable benefit of

example, the annual benefit is the repair cost

is the reason. Each year, there is a probability
by the frequency. A 20 year event has a 1/20
If a mitigation measure is provided that will
ar event, the annual probable saving from the
500 probable annual saving, the annual benefit.

e $500 per year, is the present value of the annual

of the facility is 40 years, the present value of
of $1.00 per year for 40 years from the table,
enefit of $500.00 or $13.33 X $500.00 which is $6665.

or resulting from, the mitigation measure.

f the mitigation measure is the cost in addition to

he present value of Benefits equals or exceeds

ctive, benefits must equal or exceed costs.

protect against the $10,000 reoaur resulting from

ect of $16,000, the mitigation measure

e up to but not including a 100 year flood,

ar flood would have to be deducted from
event would be the total cost of the project,
ultiplied by it's annual probability of occurrence
y detemined $500 results in an annual probable
per year for 40 years is $13.33 X 340 or $4,532.
n measure is not cost effective.

a 100 year flood, but not in a 500 yearflood,

se the annual benefit would be $500 less
value of $468 per year for 40 years is
he cost of the mitigation measure.
 FEDERAL EMERGENCY MANAGEMENT AGENCY
Project Worksheet - Map Sheet
Declaration No. Project No. FIPS No. Date Category
FEMA 0 DR 0 0 0 1/29/18 0
Applicant County
0 0

Prepared by: 0 Title: 0

 Federal Emergency Management Agency
SITE # OF
Damaged Facility Name/Function:
Address of Facility if a Building:
City: State: Zip: ………………………….
Site Latitude: Site Longitude:
Location
Location of the Damaged Facility:

Damage Description and Dimensions:

What caused the damage?

What were the disaster-damages and the physical dimensions?

Scope of Work:
What repairs are required to bring the facility back to pre-disaster condition?

What is the cost of repairs? (Item/Quantity/Total Cost)

See attached Estimating Cost Sheet(s)
 FEDERAL EMERGENCY MANAGEMENT AGENCY
Applicant Name: 0
Applicant FIPS #: 0

DAMAGED FACILITY SITE # of

Site Latitude: N Site Longitude: W
Location:
Damage Description & Dimensions:
Damaged Subgrade = FT X FT = SY X in deep = CY's

Scope of Work:
Repair damaged subgrade by grading = SY
Repair aggregate surface by placing aggregate surface course = CY's Tons

DAMAGED FACILITY SITE # of

Site Latitude: N Site Longitude: W
Location:
Damage Description & Dimensions:
Damaged Subgrade = FT X FT = SY X in deep = CY's

Scope of Work:
Repair damaged subgrade by grading = SY
Repair aggregate surface by placing aggregate surface course = CY's Tons

DAMAGED FACILITY SITE # of

Site Latitude: N Site Longitude: W
Location:
Damage Description & Dimensions:
Damaged Subgrade = FT X FT = SY X in deep = CY's

Scope of Work:
Repair damaged subgrade by grading = SY
Repair aggregate surface by placing aggregate surface course = CY's Tons

DAMAGED FACILITY SITE # of

Site Latitude: N Site Longitude: W
Location:
Damage Description & Dimensions:
Damaged Subgrade = FT X FT = SY X in deep = CY's

Scope of Work:
Repair damaged subgrade by grading = SY
Repair aggregate surface by placing aggregate surface course = CY's Tons

DAMAGED FACILITY SITE # of

Site Latitude: N Site Longitude: W
Location:
Damage Description & Dimensions:
Damaged Subgrade = FT X FT = SY X in deep = CY's

Scope of Work:
Repair damaged subgrade by grading = SY
Repair aggregate surface by placing aggregate surface course = CY's Tons
 FEDERAL EMERGENCY MANAGEMENT AGENCY
Applicant Name: 0
Applicant FIPS #: 0

DAMAGED FACILITY SITE # of

Site Latitude: N Site Longitude: W
Location:
Damage Description & Dimensions:
Damaged road surface = FT X FT = SY X in deep = CY's

Scope of Work:
Repair damaged surface by grading = SY's
Repair aggregate surface by placing aggregate surface course = CY's Tons

DAMAGED FACILITY SITE # of

Site Latitude: N Site Longitude: W
Location:
Damage Description & Dimensions:
Damaged road surface = FT X FT = SY X in deep = CY's

Scope of Work:
Repair damaged surface by grading = SY's
Repair aggregate surface by placing aggregate surface course = CY's Tons

DAMAGED FACILITY SITE # of

Site Latitude: N Site Longitude: W
Location:
Damage Description & Dimensions:
Damaged road surface = FT X FT = SY X in deep = CY's

Scope of Work:
Repair damaged surface by grading = SY's
Repair aggregate surface by placing aggregate surface course = CY's Tons

DAMAGED FACILITY SITE # of

Site Latitude: N Site Longitude: W
Location:
Damage Description & Dimensions:
Damaged road surface = FT X FT = SY X in deep = CY's

Scope of Work:
Repair damaged surface by grading = SY's
Repair aggregate surface by placing aggregate surface course = CY's Tons

DAMAGED FACILITY SITE # of

Site Latitude: N Site Longitude: W
Location:
Damage Description & Dimensions:
Damaged road surface = FT X FT = SY X in deep = CY's

Scope of Work:
Repair damaged surface by grading = SY's
Repair aggregate surface by placing aggregate surface course = CY's Tons
 FEDERAL EMERGENCY MANAGEMENT AGENCY
Applicant Name: 0
Applicant FIPS #: 0

DAMAGED FACILITY SITE # of

Site Latitude: N Site Longitude: W
Location:
Damage Description & Dimensions:
Damaged chip & seal area= ft. X ft. = SY's
Scope of Work:
Repair asphalt surface failure
with asphalt concrete pavement (bladed on) = inches deep = SY/IN Tons
Repair with chip and seal (single) = SY

DAMAGED FACILITY SITE # of

Site Latitude: N Site Longitude: W
Location:
Damage Description & Dimensions:
Damaged chip & seal area= ft. X ft. = SY's
Scope of Work:
Repair asphalt surface failure
with asphalt concrete pavement (bladed on) = inches deep = SY/IN Tons
Repair with chip and seal (single) = SY

DAMAGED FACILITY SITE # of

Site Latitude: N Site Longitude: W
Location:
Damage Description & Dimensions:
Damaged chip & seal area= ft. X ft. = SY's
Scope of Work:
Repair asphalt surface failure
with asphalt concrete pavement (bladed on) = inches deep = SY/IN Tons
Repair with chip and seal (single) = SY

DAMAGED FACILITY SITE # of

Site Latitude: N Site Longitude: W
Location:
Damage Description & Dimensions:
Damaged chip & seal area= ft. X ft. = SY's
Scope of Work:
Repair asphalt surface failure
with asphalt concrete pavement (bladed on) = inches deep = SY/IN Tons
Repair with chip and seal (single) = SY

DAMAGED FACILITY SITE # of

Site Latitude: N Site Longitude: W
Location:
Damage Description & Dimensions:
Damaged chip & seal area= ft. X ft. = SY's
Scope of Work:
Repair asphalt surface failure
with asphalt concrete pavement (bladed on) = inches deep = SY/IN Tons
Repair with chip and seal (single) = SY
 FEDERAL EMERGENCY MANAGEMENT AGENCY
Applicant Name: 0
Applicant FIPS #: 0

DAMAGED FACILITY SITE # of

Site Latitude: N Site Longitude: W
Location:
Damage Description & Dimensions:
Damaged asphalt area= ft. X ft. = SY's X inches deep

Scope of Work:
Remove damaged asphalt materials = SY's
Repair asphalt surface failure TONS
wth bituminous cold patch = SY's X inches deep = SY/IN
DAMAGED FACILITY SITE # of
Site Latitude: N Site Longitude: W
Location:
Damage Description & Dimensions:
Damaged asphalt area= ft. X ft. = SY's X inches deep

Scope of Work:
Remove damaged asphalt materials = SY's
Repair asphalt surface failure TONS
wth bituminous cold patch = SY's X inches deep = SY/IN
DAMAGED FACILITY SITE # of
Site Latitude: N Site Longitude: W
Location:
Damage Description & Dimensions:
Damaged asphalt area= ft. X ft. = SY's X inches deep

Scope of Work:
Remove damaged asphalt materials = SY's
Repair asphalt surface failure TONS
wth bituminous cold patch = SY's X inches deep = SY/IN
DAMAGED FACILITY SITE # of
Site Latitude: N Site Longitude: W
Location:
Damage Description & Dimensions:
Damaged asphalt area= ft. X ft. = SY's X inches deep

Scope of Work:
Remove damaged asphalt materials = SY's
Repair asphalt surface failure TONS
wth bituminous cold patch = SY's X inches deep = SY/IN
DAMAGED FACILITY SITE # of
Site Latitude: N Site Longitude: W
Location:
Damage Description & Dimensions:
Damaged asphalt area= ft. X ft. = SY's X inches deep

Scope of Work:
Remove damaged asphalt materials = SY's
Repair asphalt surface failure TONS
wth bituminous cold patch = SY's X inches deep = SY/IN
 FEDERAL EMERGENCY MANAGEMENT AGENCY
Applicant Name: 0
Applicant FIPS #: 0

DAMAGED FACILITY SITE # of

Site Latitude: N Site Longitude: W
Location:
Damage Description & Dimensions:
Chip and Seal surface failure = ft. X ft. = SY's

Scope of Work:
Scarify, reshape and compact damaged area = SY's
Repair chip and seal surface with single chip and seal = SY's

DAMAGED FACILITY SITE # of

Site Latitude: N Site Longitude: W
Location:
Damage Description & Dimensions:
Chip and Seal surface failure = ft. X ft. = SY's

Scope of Work:
Scarify, reshape and compact damaged area = SY's
Repair chip and seal surface with single chip and seal = SY's

DAMAGED FACILITY SITE # of

Site Latitude: N Site Longitude: W
Location:
Damage Description & Dimensions:
Chip and Seal surface failure = ft. X ft. = SY's

Scope of Work:
Scarify, reshape and compact damaged area = SY's
Repair chip and seal surface with single chip and seal = SY's

DAMAGED FACILITY SITE # of

Site Latitude: N Site Longitude: W
Location:
Damage Description & Dimensions:
Chip and Seal surface failure = ft. X ft. = SY's

Scope of Work:
Scarify, reshape and compact damaged area = SY's
Repair chip and seal surface with single chip and seal = SY's

DAMAGED FACILITY SITE # of

Site Latitude: N Site Longitude: W
Location:
Damage Description & Dimensions:
Chip and Seal surface failure = ft. X ft. = SY's

Scope of Work:
Scarify, reshape and compact damaged area = SY's
Repair chip and seal surface with single chip and seal = SY's
 FEDERAL EMERGENCY MANAGEMENT AGENCY
Applicant Name: 0
Applicant FIPS #: 0

DAMAGED FACILITY SITE # of

Site Latitude: N Site Longitude: W
Location:
Damage Description & Dimensions:
Chip and Seal surface failure = ft. X ft. = SY's

Scope of Work:
Scarify, reshape and compact damaged area = SY's
Repair chip and seal surface with double chip and seal = SY's

DAMAGED FACILITY SITE # of

Site Latitude: N Site Longitude: W
Location:
Damage Description & Dimensions:
Chip and Seal surface failure = ft. X ft. = SY's

Scope of Work:
Scarify, reshape and compact damaged area = SY's
Repair chip and seal surface with double chip and seal = SY's

DAMAGED FACILITY SITE # of

Site Latitude: N Site Longitude: W
Location:
Damage Description & Dimensions:
Chip and Seal surface failure = ft. X ft. = SY's

Scope of Work:
Scarify, reshape and compact damaged area = SY's
Repair chip and seal surface with double chip and seal = SY's

DAMAGED FACILITY SITE # of

Site Latitude: N Site Longitude: W
Location:
Damage Description & Dimensions:
Chip and Seal surface failure = ft. X ft. = SY's

Scope of Work:
Scarify, reshape and compact damaged area = SY's
Repair chip and seal surface with double chip and seal = SY's

DAMAGED FACILITY SITE # of

Site Latitude: N Site Longitude: W
Location:
Damage Description & Dimensions:
Chip and Seal surface failure = ft. X ft. = SY's

Scope of Work:
Scarify, reshape and compact damaged area = SY's
Repair chip and seal surface with double chip and seal = SY's
 General PW Comments
Check box next to appropriate comment for Data Coordinator to add to the PW General Comments
Level
Add Summary Text (N or R) Code
Record Retention Complete Record 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 the date final payment was received, whichever is later.

Codes and Hazard Mitigation achieved by compliance with current codes and N 63
Standards standards

No Mitigation No Mitigation Opportunities Identified because:

Opportunity PW is for Emergency Work - Mitigation not eligible
Work already completed

Mitigation not technically feasible

Mitigation Mitigation Proposal included for work listed in the Pre-approved list.
Proposal (pre- (FEMA Policy 9526.00)
approved list)

Mitigation Mitigation Proposal for work not-listed in the pre-approved list (FEMA 9500
✘
Proposal (not on series) is included.
pre-approved list)

PW with CEF This large project was estimated using the Cost Estimating Format (CEF)

PW without CEF This large project was not estimated using the Cost Estimating Format
(CEF) because:

The PW is for Emergency Work

The work is greater than 50% complete
The work will be 100% complete in less than 4 months

Project Specific
Comment
Note: Special Consideration Comments such as Insurance, Environmental and Mitigation Proposal reviews will be
added by the appropriate person during the NEMIS review.
8804 Truck, Pickup Hr 14.75
8790 Truck, Tractor Hr 22.00
8791 Truck, Tractor Hr 28.50
8792 Truck, Tractor Hr 32.00
8793 Truck, Tractor Hr 35.00
8780 Truck, Water Hr 20.50
8781 Truck, Water Hr 29.00
8620 Tub Grinder Hr 61.00
8621 Tub Grinder Hr 74.00
8622 Tub Grinder Hr 86.00
8623 Tub Grinder Hr 98.00
8624 Tub Grinder Hr 110.00
8625 Tub Grinder Hr 122.00
8626 Tub Grinder Hr 133.00
8753 Vehicle, Recreational Hr 2.15
8750 Vehicle, Small Hr 4.10
8760 Vibrator, Concrete Hr 1.00
8761 Vibrator, Concrete Hr 1.95
5231 WALL, CONCRETE SF 2.00
Include pump and rear spray system. 2500 Gal
Include pump and rear spray system. 4000 Gal