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: ______

Page | 1