Bridge Rehabilitation Justification Report (Each Bridge in Project)
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Appendix 19B Bridge Rehabilitation Justification Report (each bridge in project)
Title:
P.I.N: B.I.N.:
COUNTY: PS&E:
INSPECTION DATE:
DESCRIPTION
YEAR BUILT: NO. OF SPANS: SPAN LENGTH: WIDTH: SUPERSTRUCTURE: SUBSTRUCTURE: SKEW:
Innovative or Unusual Structure: Y / N provide a brief description of any unique/unusual bridge components
PURPOSE and OBJECTIVES:
ELEMENT ASSESSMENT SUMMARY TABLE:
The element assessment table is to be filled out based on information gathered during the in-depth inspection.
2016 19B-1 NYSDOT Bridge Manual
STRUCTURE NEEDS AND PROPOSED WORK:
This section is to be used to briefly describe the condition of the element(s) and to discuss the proposed work to restore them.
UTILITIES:
This section is to be used to describe the utilities present or proposed.
2016 19B-2 NYSDOT Bridge Manual
HAZARDOUS MATERIALS:
This section is to document any hazardous materials and disposition of those materials
COMMENTS:
This section is to used for general comments
RECOMMENDED ALTERNATIVE:
This section used to justify the proposed work and cost of the rehabilitation alternatives investigated. If the proposed work is to be done in multiple contracts it shall be discussed here.
COST % Repl. COMMENTS Cost
Replacement
Rehab. Alternative #1
Rehab. Alternative #2
Rehab. Alternative #3
Recommended by: type name / title .
Signature: sign name .
Date: mm/dd/yyyy
Approved by: type name DCES
Signature: sign name .
2016 19B-3 NYSDOT Bridge Manual
Date: mm/dd/yyyy
2016 19B-4