ࡱ> c bjbjNN 4~$i~$i' [[[[[ooo8CTo" HE[   [[40>%%% F[[% %%~8q08wG R!XՑnHy `q[qd  %     $                Y !: Concept Development Checklist Culvert Repair or Rehabilitation Project Project Name:     Structure Number(s):     Milepost     UPC Number:     Municipality(ies):     County:     Project Manager:     CD Designer:      Notes: All item checked Y or N shall be briefly discussed in the Comments section below the checklist items. NFI: Needs Further Investigation in Final Design (explain below). Concept Development Checklist Structural Scope Of Work YNN/ANFIIs a culvert repair/rehabilitation needed and warranted by the information and culvert condition rating contained in the SI&A Sheet of the most recent Structural Evaluation and/or Bridge Inspection report? (provide the information and culvert condition rating in the Comments section below)Are additional culvert repairs required? (list required repairs in the Comments section below)Is the culvert over a scourable waterway?Is the structure considered Scour Critical? (SI&A Item 113)Is there any earthfill over the culvert? (list below in the Comments section, the depth of existing fill)If there is no fill over the culvert, are any repairs needed to the riding surface?Are load ratings above the legal loads? (SI&A Load Ratings) (list below in the Comments section, if below legal loads)Are approach/transition slabs present at the structures?Do the existing approach/transition slabs require rehabilitation/replacement?Do the existing traffic barriers [parapets and bridge railings] meet design standards? (provide the SI&A rating in the Comments section below)Does the roadway flood at the culvert location? Is the culvert located on the drainage management list?Is the hydraulic opening for the culvert adequate?Is there sedimentation buildup that reduces the opening of the culvert?Is there any waterway/flooding restriction? (e.g., check dams upstream or downstream) Comments:1.2.3.4.5.6.7.8.9.10.11.12.13.14.15. Repair Method Recommendation YNN/ANFIAre traditional repair methods recommended?If scour critical, will scour countermeasures be included?Is a polymer or concrete lining recommended for repairs?Can the repair/rehabilitation be performed without an open cut to the roadway? Comments:1.2.3.4. Traffic Management Recommendations YNN/ANFIStaged Construction - Is it necessary and/or feasible? Has conceptual approval been received from Mobility Operations (formerly Traffic Operations)?Detour Is it necessary and/or feasible? Has conceptual approval been received from Mobility Operations and Traffic Engineering ?Have Lane Closure Hours been obtained from Mobility Engineering - Workzone? Is there a need for a Temporary Bridge to maintain vehicular traffic during construction?Is there a need for a Temporary Bridge to maintain pedestrian traffic during construction? Comments:1.2.3.4.5. Utility Facilities YNN/ANFIAre there Aerial Facilities within the limits of the project? (provide a list of identified Aerial Facilities in the Comments section below. Also, provide photos of existing facilities in an Appendix of the CD Report)Are there existing facilities within the culvert? (provide a list of identified Aerial Facilities in the Comments section below. Also, provide photos of existing facilities in an Appendix of the CD Report)Are there anticipated impacts to existing facilities as a result of the proposed culvert repair or rehabilitation and related work activities? Comments:1.2.3. ITS YNN/ANFIAre there existing ITS facilities within the limits of the project? Are any new ITS components required within the limits of the project?  Comments:1.2. Miscellaneous Items YNN/ANFIIs there existing guide rail within the limits of the project?If there is existing guide rail within the limits of the project, does it meet current design standards?Is there existing lighting within the limits of the project?Is there existing fencing within the limits of the project?Is there a need for the acquisition of any Temporary Right of Way Easements for construction access or utilities? (list below in the Comments section a detailed description of the location and purpose of the temporary easement)Are there any signs structures/signs mounted to the structure? Comments:1.2.3.4.5.6. Community Impacts Community coordination only includes notification of nearby residents and commercial businesses. YNN/ANFIAre there any private residences within the limits of the project?Are there any commercial businesses within the limits of the project?Are there any schools within a half mile radius of the limits of the project?Other (e.g., Malls, Entertainment Complexes, Churches, etc.) Comments:1.2.3.4. Community Involvement Action Plan Recommendations - All Information to be obtained from the Office of Community and Constituent Relations. YN30 days or more prior to FDS30 days or less prior to Construction **Officials BriefingPublic Information Center DesignPublic Information Center ConstructionLetters to OfficialsLetters to Property OwnersLetters to all in zip code/neighborhoodKiosk or display in a Public PlaceInformation on DOT WebsitePress release ** Pre-Construction Officials Briefings and Pre-Construction Public Information Centers, if required by O.C.C.R., should be held after the project has been awarded and should be attended by the States Resident Engineer and by the Contractor. Environmental Impacts/Concerns YNN/ANFIIs the structure listed/eligible as Historic?Is the structure within a Historic Corridor/District?Are Wetlands Impacts possible as a result of the proposed work?Are Stream Encroachment Impacts possible as a result of the proposed work?Is there a potential for Hazardous Waste on the project?Is there a potential for other permits being needed as a result of the proposed work? (if yes, list potential permits in the Comments section below) Comments:1.2.3.4.5.6. Offices/SME s consulted on this Project YNOfficeName / Phone #Structures     Quality Management Services (for Design Exceptions)Mobility Engineering - ITSOperationsMobility Operations (formerly Traffic Operations)Value SolutionsOffice of Community RelationsConstruction Management (Constructability Review)EnvironmentalCommunications Management Systems Cross-Check/Reference Cross-Checks YNSafetyDrainageCongestionPavementProject Reporting System (PRS)Operations/MaintenanceGuide Rail Management System (GRMS) Funding/Authorization Information YNIs the Project Programmed in the STIP for all Phases of Work? Please provide Line Item info belowWhat is the anticipated FD authorization date and estimate? Provide info belowWhat is the anticipated CON authorization date and estimate? Provide info belowXIs this project exempt from conformity? Comments:1.2.3. Traffic Engineering YNN/ANFIAs per 2009 MUTCD Section 2B.40 requirements, are there any substandard ONE-WAY Signs (R6-1, R6-2) or is there a need to install ONE-WAY Signs (R6-1, R6-2) within the project limits? 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