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Project Report[Draft] Bridge Rehabilitation ReportMonth 20xx

[Project Title/Description (e.g., Route______over________)]Project Identification Number (PIN): _______[Bridge Identification Number (BIN): ________][Village/Town/City] of________________ County

ProjectLocation

Month 20XX Bridge Rehabilitation Report PIN XXXX.XX

Project Approval Sheet

Milestones Signatures Dates

A. Recommendation for, Scope and Design Approval:

The project cost and schedule are consistent with the Regional Capital Program.

Name, Regional Program Manager Date

B.

Recommendation for Scope, Design, and Nonstandard Feature Approval:

ORRecommendation for Scope and Design Approval

All requirements requisite to these actions and approvals have been met, the required independent quality control reviews separate from the functional group reviews have been accomplished, and the work is consistent with established standards, policies, regulations and procedures, except as otherwise noted and explained. The nonstandard features have been adequately justified and it is not prudent to eliminate them as part of this project. OR,

No nonstandard features have been identified, created, or retained.

Name, (Select) Date

C. Public Hearing Certification (23 USC 128):

A public hearing was not required.

OR, A public hearing was held on _______ pursuant to 23 USC 128.

OR, A Notice of Opportunity for a Public Hearing was published in accordance with 23 CFR 771.111(h)(2)(iii). No requests to hold a public hearing were received therefore a hearing was not held. .

Name, (Select) Date

D. Categorical Exclusion Determination on Behalf of FHWA

This project qualifies as a Categorical Exclusion under the National Environmental Policy Act per the NYSDOT/FHWA Programmatic Agreement Regarding Categorical Exclusions.

Name, (Select) Date

D/E.Scope, Design, and Nonstandard Feature Approval:

OR

Scope and Design Approval

The required environmental determinations have been made, and the preferred alternative for this project is ready for final design. Nonstandard features have been appropriately justified. .

OR No nonstandard features are being retained or created.

Name, (Select) Date

D/E.Local Project Nonstandard Feature Approval

Nonstandard features on Non-NHS local roadways have been appropriately justified.

OR No nonstandard features are being retained or created on Non-NHS local roadways.

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Name, (Select) Date

Nonstandard features on NHS/State roadways have been appropriately justified.

OR No nonstandard features are being retained or created on NHS/State roadways.

Name, (Select) Date

E/F. Local Project Scope and Design Approval

The required environmental determinations have been made, and the preferred alternative for this project is ready for final design.

Name, (Select) Date

CONTACT: Jane Doe

PHONE: (XXX) XXX-XXXX

PROJECT MANAGER: Jane Doe

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List of Preparers

Group Director Responsible for Production of this Project Scoping Report/Final Design Report (PSR/FDR):

__(Name)_____, PE, Regional Design Engineer, NYSDOT Region ___ OR __(Name)_____, PE, Regional Maintenance Engineer, NYSDOT Region ___ OR__(Name)_____, PE, Regional Director of Operations, NYSDOT Region ___ OR__(Name)_____, PE, Director, Design Services Bureau, NYSDOT OR__(Name)_____, PE, Principal, ___(Consultant firm name)___Description of Work Performed: Directed the preparation of the PSR/FDR in accordance with established standards, policies, regulations and procedures, except as otherwise explained in this document.

PLACE P.E. STAMP

Note: It is a violation of law for any person, unless they are acting under the direction of a licensed professional engineer, architect, landscape architect, or land surveyor, to alter an item in any way. If an item bearing the stamp of a licensed professional is altered, the altering engineer, architect, landscape architect, or land surveyor shall stamp the document and include the notation "altered by" followed by their signature, the date of such alteration, and a specific description of the alteration.

This report was prepared by the following NYSDOT staff:

__(Name)_____, PE, ____________, NYSDOT, _____Description of Work Performed: Prepared the _____ for the PSR/FDR in accordance with established standards, policies, regulations and procedures, except as otherwise explained in this document. OR

Description of Work Performed: Directly supervised the preparation of the PSR/FDR Chapters 1 and 2 in accordance with established standards, policies, regulations and procedures, except as otherwise explained in this document.

PLACE P.E. STAMP

PLACE P.E. STAMP

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Table of Contents

COVERPROJECT APPROVAL SHEET

CHAPTER 1 - EXECUTIVE SUMMARY1.1 Introduction 11.2 Purpose and Need 1

1.2.1. Where is the Project Located 11.2.2. Project Needs 11.2.3. Project Objectives/Purposes 1

1.3. Alternatives Considered/Preferred Alternative 21.4 Design Guidance 21.5 Public Involvement Plan/Stakeholders 21.6 MPO, Funding and Schedule 21.7 Environmental Classification.....................................................................................................................................41.8 NYS Smart Growth Public Infrastructure Policy Act (SGPIPA).................................................................................51.9 Special Circumstances..............................................................................................................................................5

CHAPTER 2 - SITE SPECIFIC MATERIALReport Attachments

Social, Economic and Environmental Resources Checklist (SEERC)Federal Environmental Approvals Worksheet (FEAW) State Environmental Quality Review Act (SEQR) StatementSmart Growth Screening ToolCapital Projects Complete Streets Checklist

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EXECUTIVE SUMMARY

1.1. Introduction

This report was prepared in accordance with the NYSDOT Project Development Manual, 17 NYCRR (New York Codes, Rules and Regulations) Part 15, and 23 CFR (Code of Federal Regulations) 771. Transportation needs have been identified (section 1.2), objectives established (section 1.2.3) to address the needs, and cost-effective alternatives developed (section 1.3). This project is federally funded 100% State funded.

1.2 Purpose and Need

1.2.1 Where is the Project Located?

The proposed bridge locations are listed below:

BIN Route Number/Feature Crossed Reference Marker Town County

Refer to Chapter 2 for location maps.

1.2.2 Project Needs

This project is needed to preserve and prolong the service life of the structures listed in Section 1.2.1. The list of structures was generated by Regional and Main Office Structure Asset Management Teams and approved by the Deputy Chief Engineer Structures in accordance with the guidance in the NYSDOT Bridge Manual.

1.2.3 What are the Objective(s) of the Project?

The objective of this bridge project is to preserve and prolong the service life of the existing structure(s) by reducing the rate of deterioration of the identified deficient bridge elements through cost effective rehabilitation strategies.

Eliminating selected bridge element deficiencies using cost effective rehabilitation strategies will: Extend the structure’s service life Reduce the life-cycle maintenance costs Improve the overall condition of the structure

For bridge specific project objectives see the Bridge Rehabilitation Justification Report.

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1.3 Alternatives Considered/Preferred Alternative

1. The Null alternative. This alternative will result in the continued deterioration of the structures, resulting in increased maintenance and eventually requiring the structure to be closed to traffic. This alternative will not satisfy the project objective and will be removed from further consideration.

2. Bridge Replacement. This alternative will satisfy the project objectives but has been determined not to be cost effective and has been removed from further consideration. See the Bridge Rehabilitation Justification Report for the Rehabilitation vs Replacement analysis.

3. Bridge Rehabilitation. This alternative has been identified as the prudent and feasible solution that meets the project objectives.

Alternative 3, Bridge Rehabilitation has been identified as the feasible build alternative that meets the project objectives. A decision to enter Final Design will not be made until after the Environmental Determination and evaluation of the comments received from the public information meeting (if required) and the Draft Bridge Rehabilitation Report.

1.4 Design Guidance

Design Criteria are in accordance with the NYSDOT Bridge Manual Section 2 and the NYSDOT Highway Design Manual Chapter 2. Design Criteria for each site are listed in Chapter 2 of this report.

1.5 Public Involvement Plan/Stakeholders

Notifications to public officials, potential stakeholders and emergency responders and schools have been completed.

Public Involvement Plan Schedule of Milestone Dates

Activity Date Occurred/Tentative

Stake holder Meeting

Focus Group Meeting

Meeting with Town Reps.

Meeting with Agency (SHPO/USCG/USACE, etc.)

Public Informational Meeting

Refer to appendix __ for project correspondence.

1.6 Metropolitan Planning Organization (MPO), Funding & Schedule

This project will be funded with Federal/State funds. An estimate for each location is included in Chapter 2. A summary of the costs for each location is shown below.

MPO INVOLVEMENT: No Yes TIP Name: TIP No.:

TIP AMENDMENT REQUIRED: No Yes; Needed by:

STIP STATUS: On STIP Not on STIP

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SCHEDULE AND COST:

BINRoute Number/

Feature CrossedBridge Cost $

HighwayCost $

TOTAL $ $

PROGRAM DISPOSITION/DESIRED LETTING: Scheduled for letting in SFY 20XX:

SCHEDULE ISSUES: Public Meeting 4(f)/106 FHWA sign-offPermits Consultant(s) for:

Other – Identify e.g., utilities, endangered species (ESA)

Schedule and Cost

Project Phase Activity Duration

Estimated Cost

Fund Source Obligation Date

Design V-VI Construction Construction Inspection

TOTAL ESTIMATED COST

BASIS OF ESTIMATE:

1.7 Environmental Classification

NEPA (National Environmental Policy Act):

This project is being progressed as a NEPA Class II action (Categorical Exclusion).

Choose either:

In accordance with the Federal Highway Administration’s regulations in 23 CFR 771.117(c) this is an action which will not have significant environmental effects and does not normally require additional federal approval regarding NEPA. Specifically this action meets the description in 23 CFR 771.117(c)(#) described as “regulatory description ” and meets the constraints listed in 23 CFR 771.117(e) . This is further detailed in the Federal Environmental Approvals Worksheet (FEAW) included in Appendix X.

OR

Based on the Federal Highway Administration’s regulations, including the constraints listed in 23 CFR 771.117(e), the action is a Categorical Exclusion under 23 CFR 771.117(d). Specifically this action meets the description in 23 CFR 771.117(d)(#) described as “regulatory description ”. Categorical Exclusions

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under 23 CFR 771.117(d), are actions which may be designated as a Categorical Exclusion when documentation is provided that demonstrates that significant environmental effects will not result. To this end, information on those constraints from 23 CFR 771.117(e) that were exceeded is available, along with the Federal Environmental Approvals Worksheet (FEAW), in Appendix X.

OR .

SEQRA (State Environmental Quality Review Act):

In accordance with 17 NYCRR, Part 15, “Procedures for Implementation of State Environmental Quality Review Act”, the Department has determined that this project is a SEQR Exempt/Type II/Non-Type II Action. Additional information related to how the project meets the SEQR Exempt/Type II criteria is included in Appendix X.

The following Checklist(s) are attached:

Federal Environmental Approvals Worksheet (FEAW)Social, Economic and Environmental Resources Checklist

Capital Projects Complete Streets Checklist

1.7.1 ENVIRONMENTAL DOCUMENTATION For topics checked yes on the Social, Economic, and Environmental Resources Checklist or applicable on the FEAW in the appendix, resolution is as follows:

COMPARISON OF ALTERNATIVES

Category

Alternatives Evaluated Alternatives Considered and Dismissed

Null Reasonable/PreferredAlternative – Alt. 1 Alt 2 Alt 3

None

Property impacts None10 acres

6 businesses1 residence

12.5 acres8 businesses2 residences

20 acres8 businesses4 residences1 relocation

Operation at ETC + 20 15 min delay 4 min delay 3 min delay 1 min. delay

20-year Crash Costs $21M $2M $2M $1M

Construction Cost None $14M $15M $20M

Proposed Mitigation: Refer to Appendix X for mitigation measures that are proposed for this project.

1.7.2 ANTICIPATED PERMITS/CERTIFICATIONS/COORDINATION

PermitsNew York State Department of Environmental Conservation (NYSDEC):

State Pollutant Discharge Elimination System (SPDES) General Permit Article 24- Freshwater Wetlands Permit Article 25 Tidal Wetland Permit Water Quality Certification Mined Land Permit Floodplain Variance Wild, Scenic, Recreational Rivers Permit Construction Staging Permit

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Construction Borrow Area Mining Permit Construction Solid Waste Disposal Permit Indirect Source Air Quality Permit Coastal Zone Erosion Permit Coastal Erosion Hazard Permit (Article 34)

United States Coast Guard Section 9 Permit

Army Corps of Engineers (USACE): Section 404/ Section 10 Nationwide Permit # Section 404/Section 10 Individual Permit

Environmental Protection Agency (EPA) National Pollutant Discharge Elimination System (NPDES) General Permit

Adirondack Park Agency (APA) APA General Permit

Others Local Permits Historic or Archaeological Impacts to National Historic Preservation Act (NHPA) Section 106

resources Section 1424(e) review by FHWA and EPA (sole source aquifer) New York State Department of State (NYSDOS)

o Coastal Zone Consistency Certification Statemento Coastal Zone Local Waterfront Revitalization Coordination

Coordination NYSDEC pursuant to the “NYSDEC/NYSDOT Memorandum of Understanding Regarding

ECL Articles 15 & 24” Federal Highway Administration New York State Historic Preservation Officer (SHPO) US Fish and Wildlife Service New York Natural Heritage Program Adirondack Park Agency Municipality

Certifications NYS Department of Labor: Asbestos Variances NYSDEC Airport Air Quality Certification

1.8 NYS Smart Growth Public Infrastructure Policy Act (SGPIPA)

To the extent practicable this project has met the relevant criteria as described in ECL § 6-0107. The Smart Growth Screening Tool was used to assess the project’s consistency and alignment with relevant Smart Growth criteria; the tool was completed by the Region’s Planning and Program Management group on and reflects the current project scope.

1.9 Special Circumstances (OPTIONAL)

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BRIDGE REHABILITATION PROJECTCHAPTER 2 - SITE SPECIFIC MATERIAL FOR BIN 1234567

SITE SPECIFIC MATERIALA. Project InformationB. Bridge Condition and Work DescriptionC. Design CriteriaD. Engineering ConsiderationsE. Environmental ConsequencesF. Attachments:LOCATION MAPBRIDGE REHABILITATION JUSTIFICATION REPORTCRASH ANALYSIS MEMO NON-STANDARD FEATURE JUSTIFICATION FORMS COST ESTIMATECAPITAL PROJECTS COMPLETE STREETS CHECKLIST CONCEPTUAL PLANS (include plan and existing and proposed typical sections; add profile if the superstructure will be raised, or if vertical clearance is a concern)WORK ZONE TRAFFIC CONTROL (WZTC) SCHEME AND DETOUR PLAN

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BIN 1234567 SITE SPECIFIC MATERIAL

A. PROJECT INFORMATION

PIN and Description: . .

Reference Marker: - - BIN : Project Length:

Estimated Cost Total $ M Bridge Cost $ M

Highway Cost $ M

Funding:

B. BRIDGE CONDITION & WORK DESCRIPTIONCondition Rating:

Vulnerability Ratings Hydraulic: Steel: Concrete: Seismic: Collision:

Conditions & Deficiencies:

Proposed Work: See Bridge Rehabilitation Justification Report

C. DESIGN CRITERIA Functional Classification: NHS: Truck Access/Qualifying Highway: Exist. AADT: AADT (ETC+20): % Trucks:

Element Standard /Reference Existing Condition Proposed ConditionDesign Speed

Lane Width

Shoulder Width

Horizontal Curve Radius

Superelevation

Stopping Sight Distance (Horizontal and Vertical)

Maximum Grade

Cross Slope

Vertical Clearance

Design Loading Structural Capacity

American with Disabilities Act (ADA) Compliance

The Regional Traffic Engineer has concurred with the selected design speed.*Denotes non-standard feature

D. ENGINEERING CONSIDERATIONSPlanned Nearby Highway Work:

The RPPM does not anticipate capacity improvements within 20 years.

Utilities Affected:

Railroad Involvement:

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ROW Needed:

Non-Standard Features:

Crash Rate/Safety Considerations:

Guide Railing/Bridge Rail: All bridge rail and guide rail transitions within the work limits will be upgraded to current standards.

Work Zone Traffic Control: The RegionX has determined that the subject project is, is not significant per 23 CFR 630.1010.

Miscellaneous:

E. ENVIRONMENTAL CONSEQUENCES See Environmental Checklist, Federal Environmental Approvals Worksheet (FEAW), and SEQR statement attached to this report.

F. SITE SPECIFIC ATTACHMENTSLOCATION MAPBRIDGE REHABILITATION JUSTIFICAITON REPORTCRASH ANALYSIS MEMO NON-STANDARD FEATURE JUSTIFICATION FORMS COST ESTIMATECONCEPTUAL PLANSWORK ZONE TRAFFIC CONTROL (WZTC) SCHEME AND DETOUR PLAN

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https://www.dot.ny.gov/divisions/engineering/design/dqab/dqab-repository/envrionmental%20checklist.doc


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