ࡱ> c 5bjbjNN 4$~$i~$i,#8%%%%%x&x&x&.000000m#0-x&x&x&x&x&0%%]333x&^%%.3x&.33%@[v&^Ls04'j&ދ<x&x&3x&x&x&x&x&00-@x&x&x&x&x&x&x&x&x&x&x&x&x&x&x&x&Y W: Concept Development Checklist Concrete Pavement Preservation Projects Project Name:Direction/Milepost limits:Pavement Treatment Type:UPC #:Municipality(ies):County (ies):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 Pavement YNN/ANFIHas the Pavement Recommendation been provided by Pavement Management? (Attach)Are any additional Borings/Corings required during design?Is the shoulder pavement box adequate to support traffic during staging?Does the Concrete Pavement Repair / Slab Replacement required exceed 10% of the project area? If so, a life cycle / cost benefit analysis should be provided to justify a limited scope determination.Does concrete slab repair/replacement recommendation need field verification? Is pre-cast slab replacement appropriate at this location?Have all ramps within the limits of the project, and adjacent pavement sections been inspected to determine adequacy of pavement condition?Are reliable As-Built plans and information available for this section of roadway and has this information been obtained from the Engineering Documents Unit? Comments: 1.2.3.4.5.6.7.8. Structural YNN/ANFIAre there any structures within project limits?Is deck patching required on any of the structures? (list below in Comments section the structures that require patching)Is deck replacement required? (list below in Comments section the structure number and the rating from the most recent inspection for all structures requiring a deck replacement. If yes, this should become a new start through the Bridge Management System.)Will any decks within the project be overlaid with asphalt? Has Structures approved addition of asphalt dead load of the overlay?Is a superstructure replacement required? (list below in Comments section the structure number and the rating from the most recent inspection for all structures requiring a superstructure replacement. If yes, the project should become a new start through the Bridge Management System.)Are approach/transition slabs present at the structures?Do the existing approach/transition slabs require rehabilitation/replacement?Do structures cross over this roadway segment?Does the existing under-clearance meet design standards? (list below in Comments section, the structure number and the existing vertical clearance for all structures with substandard under-clearance) **If there are structures with substandard under-clearance within the project limits, what pavement treatment will be used to maintain the vertical under-clearance? (mill x pave x, or replace entire pavement box under structure)Do Bridge Guiderail attachments meet standards?Are OHSS in need of replacement or repair? (list below in Comments section the structure number and/or milepost of all OHSS that require replacement or repair. If yes, it should become a new start through the Sign Structure Replacement Program.) Comments: 1.2.3.4.5.6.7.8.9. Comments: (continued)10.11.12.13. ** Coordination with the Department of Defense MUST be conducted on ALL Interstate Structures where the existing/proposed vertical under-clearance is substandard. The coordination is required if the resulting vertical under-clearance remains substandard; whether the under-clearance is reduced, maintained, or improved. Traffic Management/Operations YNN/ANFIDetour Is it necessary and/or feasible? Has conceptual approval been received from Mobility Operations (formerly Traffic Operations) and Traffic Engineering?Staged Construction - Is it necessary and/or feasible? Has conceptual approval been received from Mobility Operations?Have Lane Closure Hours been provided? (if yes, provide memo from Mobility Engineering- Workzone as an attachment) Comments: 1.2.3. Utility Facilities YNN/ANFIAre there aerial facilities within the limits of the project?Are there underground facilities within the limits of the project?Are there anticipated impacts to existing facilities as a result of the proposed work beyond resetting castings and heads?Are any utility poles on the safety list for frequent crashes? (Utility Section Input required) Comments: 1.2.3.4. Access YNN/ANFIAre driveways present within the project limits? Comments:1. ITS YNN/ANFIAre there any CCTVs located within the project limits? (list below in the Comments section)Are there any DMSs located within the project limits? (list below in the Comments section)Are there any other ITS components within the project limits? (list below in the Comments section)Are any new ITS components required within the limits of the project? (A resurfacing project will most likely not be able to remain Limited Scope if any required ITS components are not able to be constructed under a separate standalone project.) Comments: 1.2.3.4. Drainage and Stormwater YNN/ANFIHas consultation with the Drainage Management Unit, Regional Construction Engineer (RCE), and Regional Operations Supervisor indicated any ponding/drainage problems/issues within this section of roadway that result in lane or shoulder closures? Has the Drainage Management Unit, Regional Construction Engineer (RCE), and Regional Operations Supervisor indicated any other ponding/drainage/ problems within this section of roadway?Has the Drainage Management Unit, Regional Construction Engineer (RCE), and Regional Operations Supervisor indicated any icing problems within this section of roadway?Has the designer driven the project limits after a heavy rain event to assess any potential ponding issues?Has TOSS or OCR received any complaints from locals regarding highway flooding or highway water flooding private property?If ponding/drainage/icing problems have been identified by the Regional Construction Engineer (RCE), Regional Operations Supervisor, Drainage Management Unit, or Designer, have recommendations to correct been provided? (list all Recommended Corrective Actions in the Comments section below)Can the recommendations to correct the drainage or icing issues be accomplished within the parameters of a limited scope project? Allowable work could include: - Additional, flanking or snow inlets near low points. - Reclaiming umbrella sections by regrading berm areas to remove build up, reclaiming swales and ditches by removing sediment. Note: Any removal of existing berm must include analysis to determine if the slope receiving umbrella drainage will be stable or will erode. - Making minor adjustments to pavement grades or cross slopes to avoid ponding, resetting manholes and inlets to reduce or eliminate ponding and improve ride quality. - Repairing or replacing of damaged drainage infrastructure including inlets, pipes, & headwalls. Pipes discharging to a stream must be replaced In-Kind with no increase in capacity. Note: Repair and replacement of pipes discharging to a stream must be assessed for changes in capacity to determine whether permitting issues are triggered. Pipe replacement internal to the system may either maintain or increase its capacity. - Cleaning of drainage system.Permitting: Can the proposed improvements be completed under a Statewide IP, a PBR, permit by certification, or Stormwater Management self-certification without the need for BMPs?Is there a proposed increase in profile greater than 0.5If new curb is being added, will any water be redirected that will result in a loss of water quality?Ensure that the transition between the side street and the main line shall not interfere with the proper storm water flow/drainage. Comments: 1.2.3.4.5.6.7.8.9.10.11. Safety YNN/ANFIDo rumble strips exist within the project limits?Are there Raised Pavement Markers within the project limits?Do any locations within the proposed project limits rank on the Safety Management System? (Include ranking data. If there are not any ranking locations, no further analysis required.)If so, can any high value/low cost improvements be made within the scope of the project?If improvements are needed but cannot be completed within the scope of this project, please identify next steps. (e.g., Submission of Problem Statement) Comments: 1.2.3.4.5. Community Impacts 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 Outreach Plan 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 **Letters to OfficialsPress 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. SME Input*/Cross Check YNOfficeName / Phone #Structures     Mobility Engineering - ITSTraffic Signal and Safety EngineeringOperationsMobility Operations (formerly Traffic Operations)Office of Community RelationsConstruction Management (Constructability Review)EnvironmentalCommunications *Provide correspondence Management System Cross-Check YNBridgeDrainageSafetyCongestionMaintenanceProject Reporting System (PRS)Local Aid (Any projects within the limits?)Guide Rail Management System (GRMS) Funding/Authorization Information YNWill FD be funded via the Federal Pavement Preservation Line Item? XWill Construction be funded via the Federal Pavement Preservation Line Item?What is the anticipated FD authorization date and estimate? Provide info below.What is the anticipated CON authorization date and estimate? Provide info below.XTHIS PROJECT IS EXEMPT FROM AIR QUALITY CONFORMITY ANALYSIS. Comments:1.Yes, Federal Resurfacing Line item2.3.4.5. 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? Comments:1. Verification of Limited Scope Project Development YNBased on the information obtained/observed during the field visit, input obtained from SMEs, and coordination/cross-checks with the various Management Systems, does the proposed scope of work for this project fit the definition of a Limited Scope Project? 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