scourcriticalbridge-planofaction（5页）.docVIP

SCOUR CRITICAL BRIDGE - PLAN OF ACTION 1. GENERAL INFORMATION Structure number: ????? City, County, State: ????? Waterway: ????? Structure name: ????? State highway or facility carried: ????? Owner: ????? Year built: ???? Year rebuilt: ???? Bridge replacement plans (if scheduled): ????? Anticipated opening date: ????? Structure type: Bridge Culvert Structure size and description: ????? Foundations: Known, type: ????? Depth: ????? Unknown Subsurface soil information (check all that apply): Non-cohesive Cohesive Rock Bridge ADT: ????? Year/ADT: ????? % Trucks: ????? Does the bridge provide service to emergency facilities and/or an evacuation route (Y/N)? ???? If so, describe: ????? 2. RESPONSIBILITY FOR POA Author(s) of POA (name, title, agency/organization, telephone, pager, email): ??? ? Date: ????? Concurrences on POA (name, title, agency/organization, telephone, pager, email): ? ???? POA updated by (name, title, agency, organization): ????? Date of update: ??? Items update: ????? POA to be updated every ????? months by (name, title, agency/organization):????? Date of next update:????? 3. SCOUR VULNERABILITY a. Current Item 113 Code: 3 2 1 Other: ????? b. Source of Scour Critical Code: Observed Assessment Calculated Other: ????? c. Scour Evaluation Summary: ????? d. Scour History: ?????  4. RECOMMENDED ACTION(S) (see Sections 6 and 7) Recommended Implemented a. Increased Inspection Frequency Yes No Yes No