Bridge Survey Checklist REV 10/14
Job Number: ______County: ______
Route: ______Over______
Bridge Survey Submittals (EPG 747.1.2)
___Bridge Survey Report(See EPG 750.7.4.3 for small drainage areas)
___Plan Sheet(s)
___Typical Section Sheet(s)
___Profile Sheet(s)
___Valley Section Sheet(s) – (Stream Crossing Only)
___Cross Section Sheet(s)
___Soil Survey/Preliminary Geotechnical Report
___GEO File(s)–(Stream Crossing Only)
___GEOPAK to HEC-RAS Converter Spreadsheet(s)–(Stream Crossing Only)
___.tin File(s)
___GEOPAK Cross Section File(s)
___GEOPAK Cross Section Sheets File(s)
___Structural Rehabilitation Checklist – Signed – (Widening/Rehab. Only)
___Bridge Survey Checklist - Signed
Common Data (All Bridge Survey Sheets)
1. Title Block(EPG 747.1.3.1.1)
___Name of Crossing
___Section, Township and Range
___Route
___County
___Survey MadeBy
___Survey Date
___Prepared By
___Checked By
___Project Number
___Station
___Job Number
___Bridge Number
2. Other Information (EPG 747.1.3.1.2)
___Sheet Numberingand Naming
Plan Sheet
1. General Information for all Plan Sheets (EPG 747.1.3.2.1)
___North Arrow
___The Note “PLAN”– Top Center of Sheet
___Scale
___Graphic Scale
___Show stations from left to right
___Location of existing and proposed roads with stationing, labeling, bearings and dimensions
___Horizontal Curve Data
___Location of existing bridge with general dimensions and stationing
___Location of proposed bridge
___Small four sectionindex map showing approximate course of streams and location of roads and bridges
___Location, elevation and description of two permanent bench marks
___State Plane Coordinate System (NAD83)
___Vertical Datum (NAVD88) Information
___Zone Information (East, Central, West)
___Projection Factor
___Fences, buildings and other improvements
___Drainage Features
___Temporary Bypasses
___All utilities overhead and underground – note utilities to be placed on bridge, if any
___Location, size and flow line elevations of stormwater drainage structures
___Existing and proposed right of way and easements
___Section, township and range with section lines
___Contour Lines
___Tie Station
2. Additional Information for Stream Crossings (EPG 747.1.3.2.2)
___Roadway Design Frequency
___Plot course of stream sufficiently to show extent of flood conditions – 1000’ minimum upstream and downstream of crossing
___Contours extending at least 1,000 ft. up and down the valley from the proposed crossing
___Meander of stream should be accurately surveyed and plotted
___Direction of Flow
___Channel Changes-ProvideSurvey Details andProfile
___Locate and describe any featuresabove and below the crossingwhich could affect the course of the stream orthe layout of the bridge
___Stream name: State whether it is a river, creek, drainage ditch, ravine, dry run, etc.
___Location of valley sections, with stationing
___Location of typical channel sections, with stationing
___Areas of bank deterioration or erosion
3. Additional Information for Grade Separations (EPG 747.1.3.2.3)
___Stationing along routes under bridge
___Label routes under bridge – NB and SB lanes, Ramps, Outer Roads, etc.
___Roadway Drainage Features
___Ramp Details – Stationing, Alignment, Tie
___Outer Roadway Details– Stationing, Alignment, Tie
4. Additional Information for Railroad Crossings (EPG 747.1.3.2.4)
___Railroad Stationing/Mile Post
___Location of Cross Sections
___Horizontal Curve Data
5. Additional Information for Retaining Walls (EPG 747.1.3.2.5)
___Proposed location of retaining wall
___Tie Points and Offset Dimensions
___Proposed Horizontal Alignment
___Existing and Proposed Roadway Drainage Features
Typical Section Sheet
1. Typical Sections (Roadways, Ramps, Bypasses) (EPG 747.1.3.3.1)
___Section Title andStation Limits
___Profile Grade Location
___Cross Slopes/S.E.
___Lane, Shoulder and Sidewalk Widths
___Median Width
___Side Slopes
___Clear ZoneWidth
___Guardrail/Barrier/Fence Location
2. Design Traffic (Construction Year and Design Year) (EPG 747.1.3.3.2)
___AADT
___% Trucks
___Design Speed
___Traffic Handling and/or Staging
3. Other Information (EPG 747.1.3.2.3)
___Control Points and Reference Points
___Survey Datum
___S.E. Transition Data Table
___Datum Shift Information
Profile Sheets
1. General Information for all Profile Sheets (EPG 747.1.3.4.1)
___Three Line Existing Ground Profile
___Three Line ProfileKey
___Scale
___Proposed profile grade line including vertical curve data
___Grades
___Elevation and Stationing grid labels
___Bridge Widening Profiles (widening only)
2. Contracted Profile (EPG 747.1.3.4.2)
___Scale
___Profiles
3. Additional Information for Stream Crossings/Culverts (EPG 747.1.3.4.3)
___Extreme High Water Elevation
___Ordinary High Water Elevation
___Low Water Elevation
4. Additional Information for Grade Separations (EPG 747.1.3.4.4)
___Over-Route Vertical Profiles
___Under-Route Vertical Profiles
5. Additional Information for Railroads (EPG 747.1.3.4.5)
___Over-Route Vertical Profiles
___Rail Survey
6. Additional Information for Retaining Walls (EPG 747.1.3.4.6)
___Location of Wall
___Existing and proposed ground line profile along wall locations
Valley/Channel Sections Sheets
1. Information for Valley/Channel Section Sheets (EPG 747.3.5.1)
___Scale
___Valley section under nearby existing structure(s)
___Extreme High Water Elevation
___Distance Upstream or Downstream
___Streambed Profile
Cross Section Sheet(s)
1. General Information for all Cross Section Sheets (EPG 747.1.3.6.1)
___Scale
___Legend
___Cross Section Sheets File(s)
___Existing and Proposed ground lines
2. Additional Information for Grade Separations (EPG 747.1.3.6.2)
___Profile Sheet Substitute
___Drainage Features
3. Additional Information for Railroad Crossings (EPG 747.1.3.6.3)
___Cross-sections(three) perpendicular to track
___Rail Survey Profile Substitution
4. Additional Information for Retaining Walls (EPG 747.1.3.6.4)
___Cross sections every 10’
Aerial Image Overlay
1. Information for Aerial Image Overlay (EPG 747.1.4.1)
___Aerial Image Overlay (Optional)
Prepared By: ______
Title: ______
Date: ______
Checked By: ______
Title: ______
Date: ______
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