20190749 Ver 2_840290_Routine_02_08_2019_20200327

of xoere c NC DEPARTMENT OF TRANSPORTATION ATTENTION: Edited Pipe sketch. Priority Maintenances issued
1F 4y0`
5 'y, DIVISION OF HIGHWAYS
m o STRUCTURE MANAGEMENT UNIT
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Structure Safety Report
Routine Element Inspection - Contract
INSPECTION DATE: 02/08/2019
DIVISION: 9 COUNTY: STOKES STRUCTURE NUMBER: 840290
FACILITY CARRIED: SR1128
LOCATION: 0.5 MI. S. JCT. SR1132
FEATURE INTERSECTED: DANBURY CREEK
LATITUDE: 36' 17' 37.03"
LONGITUDE: 80' 21' 27.41"
FREQUENCY: 24 MONTHS
MILE POST:
SUPERSTRUCTURE: 2 LINES OF 98" X 72" CM PIPE ARCH, 57'0" ALONG CENTERLINE OF PIPE ARCH
SUBSTRUCTURE: SOIL CEMENT HEADWALLS
SPANS: 2 BARRELS. SEE CULVERT SKETCH FOR DETAILS.
❑FRACTURE CRITICAL
❑TEMPORARY SHORING
❑SCOUR CRITICAL
❑SCOUR PLAN OF ACTION
NBIGRADES: DECK
N SUPERSTRUCTURE
N SUBSTRUCTURE N
CULVERT 5
POSTED SV: Not Posted
OTHER SIGNS PRESENT: Four delineators
Looking North
POSTED TTST: Not Posted
Sign noticed
Number
issued for
Required
NO
WEIGHT LIMIT
0
NO
DELINEATORS
0
NO
NARROW BRIDGE
0
NO
ONE LANE BRIDGE
0
NO
LOW CLEARANCE
0
DIRECTION OF S-N
INSPECTION
DIRECTION YES
MATCHES PLANS
INSPECTED BY SIGNATURE + ASSISTED BY Jacob Buchanan
Gerald Fleenor

NATIONAL BRIDGE INVENTROY ----- STRUCTURE INVENTORY AND APPRAISAL
IDENTIFICATION
(1) STATE NAME NORTH CAROLINA BRIDGE
840290
(8) STRUCTURE NUMBER (FEDERAL)
1690290
(5) INVENTORY ROUTE (ON/UNDER) ON
131011280
(2) STATE HIGHWAY DEPARTMENT DISTRICT
9
(3) COUNTY CODE (FEDERAL) 169 (4) PLACE CODE
35760
(6) FEATURE INTERSECTED DANBURY CREEK
(7) FACILITY CARRIED SR1128
(9) LOCATION 0.5 MI. S. JCT. SR1132
(11) MILEPOINT
0.0
(12) BASE HIGHWAY NETWORK
0
(13) LRS INVENTORY ROUTE & SUBROUTE
(16) LATITUDE 36° 17' 37.03" (17) LONGITUDE
80° 21' 27.41"
(98) BORDER BRIDGE STATE CODE PERCENT SHARED
(99) BORDER BRIDGE STRUCTURE NUMBER
STRUCTURE TYPE AND MATERIAL
(43) STRUCTURE TYPE MAIN
Steel
TYPE Culvert
CODE
319
(44) STRUCTURE TYPE APPROACH
TYPE
CODE
(45) NUMBER OF SPANS IN MAIN UNIT
2
(46) NUMBER OF SPANS IN APPROACH
0
(107) DECK STRUCTURE TYPE
CODE
N
(108)WEARING SURFACE/PROTECTIVE SYSTEM
(A) TYPE OF WEARING SURFACE
CODE
N
(B) TYPE OF MEMBRANE
CODE
N
(C) TYPE OF DECK PROTECTION
CODE
N
AGE AND SERVICE
(27) YEAR BUILT
1950
(106) YEAR RECONSTRUCTED
0.000000
(42) TYPE OF SERVICE ON -
Highway
OFF- Waterway
CODE
15
(28) LANES ON STRUCTURE 2 LANES UNDER STRUCTURE
0
(29) AVERAGE DAILY TRAFFIC
3400
(30) YEAR OF ADT 2015 (109) TRUCK ADT PCT
7
(19) BYPASS OR DETOUR LENGTH
1.0
GEOMETRIC DATA
(48) LENGTH OF MAXIMUM SPAN
(49) STRUCTURE LENGTH
(50) CURB OR SIDEWALK: LEFT 0.0 RIGHT
(51) BRIDGE ROADWAY WIDTH, CURB TO CURB
(52) DECK WIDTH OUT TO OUT
(32) APPROACH ROADWAY WITH (W/ SHOULDERS)
(33) BRIDGE MEDIAN No median CODE
(34) SKEW 30 (35) STRUCTURE FLARED
(10) INVENTORY ROUTE MIN VERT CLEAR
(47) INVENTORY ROUTE TOTAL HORIZ CLEAR
(53) MIN VERT CLEAR OVER BRIDGE RDWY
(54) MIN VERT UNDERCLEAR: REFERENCE
(55) MIN LAT UNDERCLEARANCE RT: REFERENCE N
(56) MIN LAT UNDERCLEARANCE LT:
NAVIGATION DATA
(38) NAVIGATION CONTROL - CODE
(111) PIER PROTECTION CODE
(39) NAVIGATION VERTICAL CLEARANCE
(116) VERT - LIFT BRIDGE NAV MIN VERT CLEAR
(40) NAVIGATION HORIZONTAL CLEARANCE
8.0
23.0
0.0
0.0
0.0
22.0
0
0
999.9
22.0
999.9
0.0
0.0
0.0
0
SUFFICIENCY RATING
STATUS =
CLASSIFICATION
(112) NBIS BRIDGE SYSTEM
(104) HIGHWAY SYSTEM
Inventory Route not on NHS
(26) FUNCTIONAL CLASS
Urban Local
(100) STRAHNET HIGHWAY
Not a STRAHNET Route
(101) PARALLEL STRUCTURE
No parallel structure exists
(102) DIRECTION OF TRAFFIC
2-way traffic
(103) TEMPORARY STRUCTURE
(110) DESIGNATED NATIONAL NETWORK
- on national network for trucks
(20) TOLL
On Free Road
(21) MAINT -
(22) OWNER -
(37) HISTORICAL SIGNIFICANCE -
CONDITION
(58) DECK
(59)SUPERSTRUCTURE
(60)SUBSTRUCTURE
(61) CHANNEL & CHANNEL PROTECTION
(62) CULVERTS
LOAD RATING AND POSTING
(31) DESIGN LOAD
88.710000
CODE
YES
0
19
0
N
2
0
3
01
01
5
CODE
N
N
N
7
5
CODE
HS20 5
(63) OPERATING RATING METHOD - RFR - Load and Resistance Factor 3
(64) OPERATING RATING -
HS-51 97
(65) INVENTORY RATING METHOD -
3
(66) INVENTORY RATING
HS-39 74
(70) BRIDGE POSTING
No Posting Required 5
(41) STRUCTURE OPEN, POSTED, OR CLOSED
A
DESCRIPTION
Open, no restriction
APPRAISAL CODE
(67) STRUCTURAL EVALUATION 5
(68) DECK GEOMETRY N
(69) UNDERCLEARANCES, VERT & HORIZ N
(71) WATERWAY ADEQUACY 5
(72) APPROACH ROADWAY ALIGNMENT N
(36) TRAFFIC SAFETY FEATURES
(113) SCOUR CRITICAL BRIDGES
PROPOSEDIMPROVEMENTS
(75) TYPE OF WORK CODE
(76) LENGTH OF STRUCTURE IMPROVEMENT
(94) BRIDGE IMPROVEMENT COST
(95) ROADWAY IMPROVEMENT COST
(96) TOTAL PROJECT COST
(97) YEAR OF IMPROVEMENT COST ESTIMATE
(114) FUTURE ADT 6,800 YEAR OF FUTURE ADT
INSPECTION
(90) INSPECTION DATE 02/17 (91) FREQUENCY
(92) CRITICAL FEATURE INSPECTION (93) CFI DATE
0.0 A) FRACTURE CRIT DETAIL 0 A)
0.0 B) UNDERWATER INSP 0 B)
0.0 C) OTHER SPECIAL INSP 0 C)
SCOUR
ONNN
8
2025
24

Superstructure Build Details
Span Number 1 Span Length 8.1670 Skew 6.0000
Number
of Items
Type of Component
Element Name
Quantity
Protective System Applied
Quantity
(Sq Ft)
3
Steel Pipe Arch
Steel Culvert
57 Feet
Unknow
1251
Span Number 2 Span Length 8.1670 Skew 120.0000
Number
of Items
Type of Component
Element Name
Quantity
Protective System Applied
Quantity
(Sq Ft)
3
Steel Pipe Arch
Steel Culvert
57 Feet
Unknow
1251

Structure Element Scoring
Structure Number: 840290
Inspection Date 2/8/2019
Element
Number
Parent
Number
Element Name
Location
Total
Quantity
Level
Quantity
Level
Quantity
Level
Quantity
Level
Quantity
240
0
Steel Culvert
Culverts and Pipes
114
27
85
2
0
515
240
Steel Protective Coating
Culverts and Pipes
2502
2417
85
0
0

Summary of Maintenance Needs
Maintenance By Defect
Structure Number: 840290
Inspection Date: 02/08/2019
MMS
Code
Element Name
I
Defect Name
Recommended Quantity
3370
Steel Culvert
Scour
2 Feet
3342
Steel Protective Coating
Effectiveness (Steel Protective Coatings)
70 Square Feet
3342
Steel Protective Coating
Peeling/Bubbling/Cracking (steel Protective Coatings)
15 Square Feet

Element Structure Maintenance Quantities
Structure Number: 840290
Inspection Date 02/08/2019
Location
MMS
Code
Description
Maint
Quantity
Total
Quantity
Severe
Quantity
Poor
Quantity
Fair
Quantity
Good
Quantity
Culverts and Pipes
3342
Clean and Paint Steel
85
2502
0
0
85
2417
Culverts and Pipes
3370
Maintenance of NBI Culverts and Pipes
2
114
0
2
85
27

Priority Actions Request
Structure Number 840290
Span2
3370 Culvert Section
3
Steel Pipe Arch
Priority
Level Defect Type Quantity Defect Description
O2 Scour 2 Barrel 2 Section 3: Two scour holes measuring 1.5' wide by 7" high by 1.5' back
located on both sides of the inlet end of barrel. PM Issued
Headwalls
4675 Headwalls Headwalls
Priority
Level Defect Type Quantity Defect Description
O2 20 Erosion measuring 10' long by 2' wide by up to 3' deep located on the topside of the
Southwest headwall. PM Issued
O2 75 Erosion measuring 15' long by 5' wide by up to 2' deep located on the topside of the
Northwest headwall. PM Issued
O2 12 Erosion measuring 3' high by 4' wide by 1.5' back located between barrels 1 and 2
on the West side of headwall starting at the waterline. PM Issued
�2 300 Erosion measuring approximately 30' long by 10' wide by up to 3' deep located on
the topside of the East headwall starting 3' from the edge of roadway. PM Issued
Priority Action Request (PAR) 0 Assigned Routine Maintenance 2 Assigned Priority Maintenance • Assigned Critical Find

Element Condition and Maintenance Data
Structure Number: 840290
Span 1
Steel Pipe Arch
Element
Number Element Name
240 Steel Culvert
515 Steel Protective Coating
Culvert Section 1
Inspection Date: 02/08/2019
Total
CS1
CS2
CS3
CS4
Qty
Qty
Qty
Qty
Qty
20
5
15
0
0 Feet
417
402
15
0
0 Square Feet
Element Maint
Number Defect Type Defect Description CS CS Qty Qty
240 Corrosion SCATTERED AREAS OF SURFACE RUST LOCATED IN THE 2 15 Feet
INVERT WITH NO MEASURABLE SECTION LOSS.
515 Peeling/Bubbling/Crack SCATTERED AREAS OF SURFACE RUST LOCATED IN THE 2 15 15 Square Feet
ing (steel Protective INVERT WITH NO MEASURABLE SECTION LOSS.
Coatings)
General Comments
Span 1 Culvert Section 2
Steel Pipe Arch
Element
Number Element Name
240 Steel Culvert
515 Steel Protective Coating
Total
CS1
CS2
CS3
CS4
Qty
Qty
Qty
Qty
Qty
20
5
15
0
0 Feet
417
402
15
0
0 Square Feet
Number Defect Type Defect Description
240 Corrosion SCATTERED AREAS OF SURFACE RUST LOCATED IN THE
INVERT WITH NO MEASURABLE SECTION LOSS.
515 Effectiveness (Steel SCATTERED AREAS OF SURFACE RUST LOCATED IN THE
Protective Coatings) INVERT WITH NO MEASURABLE SECTION LOSS.
General Comments
Drift accumulation located throughout barrel 1 section 2.
Span 1 Culvert Section 3
Steel Pipe Arch
Element Total
CS1
Number Element Name Qty
Qty
240 Steel Culvert 17
7
515 Steel Protective Coating 417
407
Element
Number Defect Type Defect Description
240 Corrosion SCATTERED AREAS OF SURFACE RUST LOCATED IN THE
INVERT WITH NO MEASURABLE SECTION LOSS.
515 Effectiveness (Steel SCATTERED AREAS OF SURFACE RUST LOCATED IN THE
Protective Coatings) INVERT WITH NO MEASURABLE SECTION LOSS.
General Comments
Drift accumulation located throughout barrel 1 section 3.
Span 2 Culvert Section 1
Steel Pipe Arch
Element Total
CS1
Number Element Name Qty
Qty
240 Steel Culvert 20
0
515 Steel Protective Coating 417
397
in
CS CS Qty Qtyt
2 15 Feet
2 15 15 Square Feet
CS2
CS3
CS4
Qty
Qty
Qty
10
0
0
Feet
10
0
0
Square Feet
in
CS
CS Qty
Qtyt
2
10
Feet
2
10
10
Square Feet
CS2 CS3 CS4
Qty Qty Qty
20 0 0 Feet
20 0 0 Square Feet
Element Maint
Number Defect Type Defect Description CS CS Qty Qty

Structure Number: 840290
Inspection Date: 02/08/2019
240 Corrosion
SCATTERED AREAS OF SURFACE RUST LOCATED IN THE
2
20
Feet
INVERT WITH NO MEASURABLE SECTION LOSS.
515 Effectiveness (Steel
SCATTERED AREAS OF SURFACE RUST LOCATED IN THE
2
20
20 Square Feet
Protective Coatings)
INVERT WITH NO MEASURABLE SECTION LOSS.
General Comments
Span 2
Culvert Section 2
Steel Pipe Arch
Element
Total CS1
CS2
CS3
CS4
Number
Element Name Qty Qty
Qty
Qty
Qty
240 Steel Culvert 20 5
15
0
0 Feet
515 Steel Protective Coating 417 402
15
0
0 Square Feet
Element
Maint
Number Defect Type
Defect Description
CS
CS Qty
Qty
240 Corrosion
SCATTERED AREAS OF SURFACE RUST LOCATED IN THE
2
15
Feet
INVERT WITH NO MEASURABLE SECTION LOSS.
515 Effectiveness (Steel
SCATTERED AREAS OF SURFACE RUST LOCATED IN THE
2
15
15 Square Feet
Protective Coatings)
INVERT WITH NO MEASURABLE SECTION LOSS.
General Comments
Span 2
Culvert Section 3
Steel Pipe Arch
Element
Total CS1
CS2
CS3
CS4
Number
Element Name Qty Qty
Qty
Qty
Qty
240 Steel Culvert 17 5
10
2
0 Feet
515 Steel Protective Coating 417 407
10
0
0 Square Feet
Element
Maint
Number Defect Type
Defect Description
CS
CS Qty
Qty
240 Scour
Two scour holes measuring 1.5' wide by 7" high by 1.5' back
3
2
2 Feet
located on both sides of the inlet end of barrel. PM Issued
240 Corrosion
SCATTERED AREAS OF SURFACE RUST LOCATED IN THE
2
10
Feet
INVERT WITH NO MEASURABLE SECTION LOSS.
515 Effectiveness (Steel
SCATTERED AREAS OF SURFACE RUST LOCATED IN THE
2
10
10 Square Feet
Protective Coatings)
INVERT WITH NO MEASURABLE SECTION LOSS.
General Comments

Elements Verfied
Location
Name
Component
Element Name
Amount
Span 1
Culvert Section 1
Steel Pipe Arch
Steel Culvert
20
Span 1
Culvert Section 2
Steel Pipe Arch
Steel Culvert
20
Span 1
Culvert Section 3
Steel Pipe Arch
Steel Culvert
17
Span 2
Culvert Section 1
Steel Pipe Arch
Steel Culvert
20
Span 2
Culvert Section 2
Steel Pipe Arch
Steel Culvert
20
Span 2
Culvert Section 3
Steel Pipe Arch
Steel Culvert
17

General Inspection Notes

National Bridge and NC Inspection Items
Structure Number: 840290 Inspection Date: 02/08/2019
National Bridge Inventory Items
Item
Grade Scale
Grade
Item 58: Deck
0 - 9, N
N
Item 59: Superstructure
0 - 9 , N
N
Item 60: Substructure
0 - 9 , N
N
Item 61: Channel and Channel Protection
0 - 9, N
7
Item 62: Culvert
0 - 9, N
5
Item 71: Waterway Adequacy
0 - 9, N
7
Item 72: Approach Roadway Alignment
0 - 9, N
8
Note: If NBI Inspection Item is not present, code NBI item with "N"
NC SMU Inspection Items
Item
Grade Scale
Grade
Maint. Qty.
Maint. Code
Headwall
G, F, P, or C
P
400
4675
Wingwall
G, F, P, or C
G
0
3350
Scour
G, F, P, or C
F
Drift
G, F, P, or C
G
0
3366
Estimated Remaining Life
G, F, P, or C
Note: If NC SMU Insepction Item is not present, leave NC SMU item blank
Inspection Information
Item
Grade Scale
Grade
Sign Noticed Issued
YES/NO
N
Priority Maintenance Request Submitted
YES/NO
Y
Inspection Time
Hours
3
Traffic Control Time
Hours
0
Snooper Time
Hours
0
Ladder Used
YES/NO
N
Bucket Truck Used
YES/NO
N
Boat Used
YES/NO
N
Other Equipment Used
YES/NO
Y

National Bridge and NC SMU Inspection Item Details
Structure Number: 840290
Inspection Date: 02/08/2019
Item Approach Roadway Alignment - Item 72 Grade 8 Maint Code Qty. 0
Details Hairline to 1/16" wide longitudinal and transverse cracking located in the wearing surface above the culvert.
Item Other Equipment Used
Details D meter
Grade Y Maint Code Qty. 0
Item Headwalls Grade P Maint Code 4675 Qty. 400
Details Erosion measuring approximately 30' long by 10' wide by up to 3' deep located on the topside of the East headwall starting
3' from the edge of roadway. PM Issued
Erosion measuring 15' long by 5' wide by up to 2' deep located on the topside of the Northwest headwall. PM Issued
Erosion measuring 10' long by 2' wide by up to 3' deep located on the topside of the Southwest headwall. PM Issued
Erosion measuring 3' high by 4' wide by 1.5' back located between barrels 1 and 2 on the West side of headwall starting at
the waterline. PM Issued
Missing mortar bags located on the West end of structure.

Structure: 840290 County: STOKES Date: 02/08/2019 Condition Photos
f
Hairline to 1/16" wide longitudinal and transverse cracking located in the wearing surface above the culvert.
Hairline to 1/16" wide longitudinal and transverse cracking located in the wearing surface above the culvert.

Structure: 840290 County: STOKES Date: 02/08/2019 Condition Photos
Erosion measuring approximately 30' long by 10' wide by up to 3' deep located on the topside of the East headwall
starting 3' from the edge of roadway. PM Issued
Erosion measuring approximately 30' long by 10' wide by up to 3' deep located on the topside of the East headwall
starting 3' from the edge of roadway. PM Issued

Structure: 840290 County: STOKES Date: 02/08/2019 Condition Photos
Erosion measuring approximately 30' long by 10' wide by up to 3' deep located on the topside of the East headwall
starting 3' from the edge of roadway. PM Issued
Barrel 2 Section 3: Two scour holes measuring 1.5' wide by 7" high by 1.5' back located on both sides of the inlet end
of barrel. PM Issued

Structure: 840290 County: STOKES Date: 02/08/2019 Condition Photos
Barrel 2 Section 3: Two scour holes measuring 1.5' wide by 7" high by 1.5' back located on both sides of the inlet end
of barrel. PM Issued
Barrel 1 Section 3: SCATTERED AREAS OF SURFACE RUST LOCATED IN THE INVERT WITH NO MEASURABLE
SECTION LOSS.

Structure: 840290 County: STOKES Date: 02/08/2019 Condition Photos
Barrel 2 Section 2: SCATTERED AREAS OF SURFACE RUST LOCATED IN THE INVERT WITH NO MEASURABLE
SECTION LOSS.
Erosion measuring 15' long by 5' wide by up to 2' deep located on the topside of the Northwest headwall. PM Issued

Structure: 840290 County: STOKES Date: 02/08/2019 Condition Photos
Erosion measuring 10' long by 2' wide by up to 3' deep located on the topside of the Southwest headwall. PM Issued
Erosion measuring 3' high by 4' wide by 1.5' back located between barrels 1 and 2 on the West side of headwall
starting at the waterline. PM Issued

Structure: 840290 County: STOKES Date: 02/08/2019 Structure Photos
Looking North
Looking upstream

W,
' ' `' a
+a �,
3 i
r

Structure: 840290 County: STOKES Date: 02/08/2019 Structure Photos
r
) ,
i4gm-
East elevation
S; �,• 4 , ,,' r �
� 4 6
F fti
5 '
41
}}
1
17
4
}
West elevation

Structure: 840290 County: STOKES Date: 02/08/2019 Structure Photos
{ �--e f
Barrel 1
=fir.
Barrel 2

r• i .�
�_
'?���,
- - :�._
F=' _

BRIDGE INSPECTOR'S RECOMMENDATION FOR MAINTENANCE REPAIRS
Bridge: 840290 County STOKES Date:
These Repairs Should Be Made Within Twelve Months From Date Of This Inspection
MMS
Description of
Unit
Quantity
Remarks
Est.
Code
Function
Cost
0
No Maintenance
NA
300
Erosion measuring approximately 30' long
Required
by 10' wide by up to 3' deep located on the
topside of the East headwall starting 3'
from the edge of roadway. PM Issued
0
No Maintenance
NA
75
Erosion measuring 15' long by 5' wide by
Required
up to 2' deep located on the topside of the
Northwest headwall. PM Issued
0
No Maintenance
NA
20
Erosion measuring 10' long by 2' wide by
Required
up to 3' deep located on the topside of the
Southwest headwall. PM Issued
0
No Maintenance
NA
12
Erosion measuring 3' high by 4' wide by
Required
1.5' back located between barrels 1 and 2
on the West side of headwall starting at the
waterline. PM Issued
3370
Maintenance and
LF
2
Barrel 2 Section 3: Two scour holes
Repair of NBIS
measuring 1.5' wide by 7" high by 1.5' back
Pipes and
located on both sides of the inlet end of
Culverts
barrel. PM Issued
Key
k' . Priority Maintenance Item Critical Finding Item ` Priority Maintenance Level Not Determined

BRIDGE INSPECTOR'S RECOMMENDATION FOR PRIORITY MAINTENANCE REPAIRS
Bridge: 840290 County STOKES
THE FOLLOWING MAINTENANCE ITEMS HAVE BEEN SUBMITTED IN CONJUNCTION WITH A PRIORITY MAINTENANCE REQUEST
MMS Code
MMS Description
Quantity
0
No Maintenance Required
300 NA
Location:
Bent/Span No.
Priority Level
Status
Request Awaiting Assignment
Submitted Date:
Submitted By:
Assisted By:
02/11/2019
Gerald Fleenor
Details
Erosion measuring approximately 30' long by 10' wide by up to 3' deep located on the topside of the East headwall
starting 3' from the edge of roadway. PM Issued
MMS Code
MMS Description
Quantity
0
No Maintenance Required
75 NA
Location:
Bent/Span No.
Priority Level
Status
Request Awaiting Assignment
Submitted Date:
Submitted By:
Assisted By:
02/11/2019
Gerald Fleenor
Details
Erosion measuring 15' long by 5' wide by up to 2' deep located on the topside of the Northwest headwall. PM Issued

BRIDGE INSPECTOR'S RECOMMENDATION FOR PRIORITY MAINTENANCE REPAIRS
Bridge: 840290 County STOKES
THE FOLLOWING MAINTENANCE ITEMS HAVE BEEN SUBMITTED IN CONJUNCTION WITH A PRIORITY MAINTENANCE REQUEST
MMS Code
MMS Description
Quantity
0
No Maintenance Required
20 NA
Location:
Bent/Span No.
Priority Level
Status
Request Awaiting Assignment
Submitted Date:
Submitted By:
Assisted By:
02/11/2019
Gerald Fleenor
Details
Erosion measuring 10' long by 2' wide by up to 3' deep located on the topside of the Southwest headwall. PM Issued
MMS Code
MMS Description
Quantity
0
No Maintenance Required
12 NA
Location:
Bent/Span No.
Priority Level
Status
Request Awaiting Assignment
Submitted Date:
Submitted By:
Assisted By:
02/11/2019
Gerald Fleenor
Details
Erosion measuring Thigh by 4' wide by 1.5' back located between barrels 1 and 2 on the West side of headwall
starting at the waterline. PM Issued

BRIDGE INSPECTOR'S RECOMMENDATION FOR PRIORITY MAINTENANCE REPAIRS
Bridge: 840290 County STOKES
THE FOLLOWING MAINTENANCE ITEMS HAVE BEEN SUBMITTED IN CONJUNCTION WITH A PRIORITY MAINTENANCE REQUEST
MMS Code
MMS Description
Quantity
3370
Maintenance and Repair of NBIS Pipes and Culverts
2 LF
Location:
Bent/Span No.
Priority Level
Status
Request Awaiting Assignment
Submitted Date:
Submitted By:
Assisted By:
02/11/2019
Gerald Fleenor
Details
Barrel 2 Section 3: Two scour holes measuring 1.5' wide by 7" high by 1.5' back located on both sides of the inlet end
of barrel. PM Issued

Culvert Segment Details
Barrel 1 Has Bands?: No Distance From Upstream End to Edge of Pavement: 10.0ft
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Upstream
1.0
8.
6.0
.134
6 x 2
2.
STE
.625
1
.25
G
Pipe Arch
Steel
End
167
05875
9133
EL
(Structural Plate)
End of
19.0
8.
6.0
.135
6 x 2
2.
STE
.625
1
.25
G
Pipe Arch
Steel
Segment 1
167
9133
EL
(Structural Plate)
5875
Beginning of
21.0
8.
6.0
.131
6 x 2
2.
STE
.625
1
.25
G
Pipe Arch
Steel
Segment 2
167
05875
9133
EL
(Structural Plate)
End of
39.0
8.
6.0
.136
6 x 2
2.
STE
.625
1
.25
G
Pipe Arch
Steel
Segment 2
167
9133
EL
(Structural Plate)
5875
Beginning of
41.0
8.
6.0
.132
6 x 2
2.
STE
.625
1
.25
G
Pipe Arch
Steel
Segment 3
167
05875
9133
EL
(Structural Plate)
Downstream
56.0
8.
6.0
.136
6 x 2
2.
STE
.625
1
.25
G
Pipe Arch
Steel
End
167
9133
EL
(Structural Plate)
5875

Culvert Segment Details
Barrel 2 Has Bands?: No Distance From Upstream End to Edge of Pavement: 10.0ft
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Upstream
1.0
8.
6.0
.132
6 x 2
2.
STE
.625
1
.25
G
Pipe Arch
Steel
End
167
05875
9133
EL
(Structural Plate)
End of
19.0
8.
6.0
.135
6 x 2
2.
STE
.625
1
.25
G
Pipe Arch
Steel
Segment 1
167
9133
EL
(Structural Plate)
5875
Beginning of
21.0
8.
6.0
.137
6 x 2
2.
STE
.625
1
.25
G
Pipe Arch
Steel
Segment 2
167
05875
9133
EL
(Structural Plate)
End of
39.0
8.
6.0
.134
6 x 2
2.
STE
.625
1
.25
G
Pipe Arch
Steel
Segment 2
167
9133
EL
(Structural Plate)
5875
Beginning of
41.0
8.
6.0
.138
6 x 2
2.
STE
.625
1
.25
G
Pipe Arch
Steel
Segment 3
167
05875
9133
EL
(Structural Plate)
Downstream
56.0
8.
6.0
.132
6 x 2
2.
STE
.625
1
.25
G
Pipe Arch
Steel
End
167
9133
EL
(Structural Plate)
5875

Bridge Inspection Field Sketch
SR 1128
Roadway
22ft Wide
2 Paved Lanes
Looking Nort
h
Left Shoulder
Right Shoulder
5ft Wide
5ft Wide
5ft Unpaved
5ft Unpaved
Left Guardrail
Right Guardrail

Bridge Inspection Field Sketch
Crown of Roadway
Looking Downstream
Number of Barrels
Skew
Distance From Crown to Bed
Fill Depth
2
120'
8.Oft
2.0ft
Len th Alonq Center Line of Pie
Length Along Center Line of Roadway
57.0ft
23.0ft
Barrel #
Width
Height
Distance Fro
Previous Pip
Scour at Inlet
Scour at Outlet
Type
1
8.167ft
6.Oft
Pipe Arch Struct
2
8.167ft
6.0ft
4.139ft
Pipe Arch Struct
SPEED LIMIT 35 MPH
DISTANCE FROM LEFT SHOULDER TO BREAKING POINT = 3 FT
DISTANCE FROM RIGHT SHOULDER TO BREAKING POINT = 3 FT
Measurements edited by Gerald Fleenor 02/08/2019
Title
PIPE
Bridge No: 840290 Drawn By: BTH
Description
SHEET 2
ral Plate)
ral Plate)
N%rIaN0]a21i Wl1\1
Daw03/15/2007 File Name:S0090002422