Okaloosa County BOCC — December 16, 2014 — Bluewater MSBU HMGP Application 12-10-14 Agent Signed — reading text

The photographs should be representative of the project area, including any relevant streams, creeks, rivers, etc., and drainage areas, which affect the project site or will be affected by the project. For each structure, please include the following angles: front, back and both sides. Attach any continuations or additional items to this page Form No. HMGP 001, Eff. 06/2012 Section II. Budget/Costs In this section, provide details of all the estimated costs of the project. As this information is used for the Benefit-Cost Analysis, reasonable cost estimates are essential. Do not include contingency costs in the budget. Avoid the use of lump sum costs. Note:TobeeligibleforHMA funding. pre-awardcostsmustbeidentifiedasseparatelineitemsinthecostestimateoftheapplication. Thismustbe doneinadditiontofillingoutthe 4MGPPre-A wardCostReq uestForm.Please mark each pre-award cost with an asterisk (*). A. Materials Item Dimension Quantity Cost per Unit Cost Mobilization LS 1 $10,000.00} $10,000.00} [Prevention And Abatement Of Erosion And Water Ls i $3,250.00 $3,250.00} \Location 1. Repair Failed Dam Inlet Top W/Slotted Grate Type J, Alt B Bottom EA| 1 $4,000.00} $4,000.00} 24"-48" Reinforced Concrete Pipe, Class III LF 5 $32.50} $1,625.00) Concrete Spillway Structure EA| 1 $2,500.00} $2,500.00 24"-48" Mitered End Section EA| 1 $1,500.00} $1,500.00 Sodding, Bahia Argentina SY| 300 $2.00 $600.00} [Location 2. Southwind Drive Crossing [Asphalt Pavement Cut/Patch SY| 85) $62.5 $5,312.50} Inlet Top W/Slotted Grate Type J, Alt B Bottom EA 1 $4,000.00 $4,000.00) 24"-48" Reinforced Concrete Pipe, Class Iii LF 50) $32.50 $1,625.00) (Concrete Spillway Structure EA 1 $2,500.00} $2,500.00) 24"-48" Mitered End Section EA il $1,500.00} $1,500.01 Sodding, Bahia Argentina SY| 300 $2.00} $600.00 [Location 3. Woodlands Drive Crossing |Asphalt Pavement Cut/Patch SyY| 85 $62.50} $5,312.50 [Inlet Top W/Slotted Grate Type J, Alt B Bottom EA 2 $6,000.00} $12,000.00 [Dual '24"-48" Reinforced Concrete Pipe, Class Tii LF 40! $65.00} $26,000.00 [Dual 24"-48" Mitered End Section EA 2 $2,500.00) $5,000.00) Sodding, Bahia Argentina Sy| 1,000 $2.00 $2,000.01 [Residential Fence/Landscape Replacement Ls 1 $2,500.00} $2,500.00} [Location 4. Curacao Way Crossing [Asphalt Pavement Cut/Patch SY| 85 $62.50 $5,312.50 Inlet Top W/Slotted Grate Type J, Alt B Bottom EA 1 $6,000.00 $6,000.00) Dual '24"-48" Reinforced Concrete Pipe, Class Iii LF 50) $65.00} $3,250.00) (Concrete Headwall EAI 1 $4,000.0 $4,000.00 [Dual 24"-48" Mitered End Section EA 1 $2,500.00} $2,500.00} Sodding, Bahia Argentina SY| 300) $2.00} $600.00) B. Labor (Include equipment costs. Please indicate all “soft” or in- identified in the Section III. Budget/Costs of this application.) kind matches. All in-kind match must be Description Hours Rate Cost obilization 200) $50.01 $10,000.00 [Maintenance Of Traffic 6 $50.00) $3,000.0 |Prevention And Abatement Of Erosion And Water 65 $50.00 $3,250.01 [Location 1. Repair Failed Dam Removal Of Existing RCP 15 $50.00) $750.00 [Removal Of Existing Drainage Structures 60) $50.00} $3,000.00) Inlet Top W/Slotted Grate Type J, Alt B Bottom 80) $50.0 $4,000.00 24"-48" Reinforced Concrete Pipe, Class [II 32.5 $50.00 $1,625.00 (Concrete Spillway Structure 50, $50.00} $2,500.0 24"-48" Mitered End Section 30 $50.00 $1,500.00 Sodding, Bahia Argentina 12 $50.0 $600.00 \Location 2. Southwind Drive Crossing [Removal Of Existing RCP | 15 $50.00) $750.00 Attach any continuations or additional items to this page Form No. HMGP 001, Eff. 06/2012 [Removal Of Existing Drainage Structures 4 $50.0! $2,000.00 [Asphalt Pavement Cut/Patch 106.25 $50.00 $5,312.50} Inlet Top W/Slotted Grate Type J, Alt B Bottom 80 $50.00) $4,000.00) 24"-48" Reinforced Concrete Pipe, Class ii 32.5 $50.00} $1,625.01 (Concrete Spillway Structure 50 $50.00) $2,500.01 24"-48" Mitered End Section 30 $50.00} $1,500.00} Sodding, Bahia Argentina 1 $50.0 $600.00} Location 3. Woodlands Drive Crossing Removal Of Existing RCP 120 $50.0 $6,000.00} [Removal Of Existing Drainage Structures 80 $50.00 $4,000.00) (Asphalt Pavement Cut/Patch 106.25] $50.00) $5,312.51 Inlet Top W/Slotted Grate Type J, Alt B Bottom 24 $50.00) $12,000.00 [Dual '24"-48" Reinforced Concrete Pipe, Class Iii 520) $50.0 $26,000.00 [Dual 24"-48" Mitered End Section 10 $50.00 $5,000.00 Sodding, Bahia Argentina 4 $50.00 $2,000.00} [Residential Fence/Landscape Replacement 50} $50.00 $2,500.00, [Location 4. Curacao Way Crossing [Removal Of Existing RCP 15 $50.00} $750.0! [Removal Of Existing Drainage Structures 4 $50.0 $2,000.00) Asphalt Pavement Cut/Patch 106.25} $50.0 $5,312.50} Inlet Top W/Slotted Grate Type J, Alt B Bottom 120) $50.0 $6,000.00} [Dual '24"-48" Reinforced Concrete Pipe, Class Iii 65 $50.00 $3,250.00) Concrete Headwall 80) $50.01 $4,000.00) [Dual 24"-48" Mitered End Section 5 $50.0 $2,500.00 Sodding, Bahia Argentina 12 $50.00 $600.00 [Location 5. Grass Lake Beaver Dam Removal [Removal Of Dams/Debris 200| $50] $10,000.00 C. Fees Paid (Include any other costs associated with the project.) Description of Task Hours Rate Cost [Topographic Survey 25! $80.0 $20,000.0' Pond & Associated Conveyance System Inventory 65) $100.0 $6,500.00} [Hydraulic Model Of Stormwater System 136 $100.00) $13,600.00 Hydraulic Analysis Report 312.6 $100.0! $31,260.00 Phasing Plan & Budgets 98.8) $100.0! $9,880.00} Professional Design Phase Services; 0-90% Design 100) $100.00) $12,000.00} Professional Design Phase Services; 90-100% Design 50) $100.0 $5,000.01 Professional Beaver Mitigation Services; Certified 5 $100.0! $5,000.00 Professional Regulatory Agency Permitting (FDEP, 3 $100.00 $5,000.00 INWF WMD) Grant Administration 10 $100.00) $10,000.0 Professional Bidding Phase Services 6 $100.00) $6,000.0 [Professional Construction Phase Services 100} $100.00) $10,000.0 [Limited Inspection Services 60 $100.0 $6,000.01 Attach any continuations or additional items to this page Total Estimated Project Cost $ 399,465.00 Form No. HMGP 001, Eff. 06/2012 D. Funding Sources (Round figures to the nearest dollar.) The maximum FEMA share for HMGP projects is 75%. The other 25% can be made up of State and Local funds as well as in-kind services. The FMA program requires that the maximum in-kind match be no more than 12.5% of the total project costs. HMGP/FMA funds may be packaged with other Federal funds, but other Federal funds (except for Federal funds that lose their Federal identity at the State level such as CDBG and certain tribal funds) may not be used for the non-Federal share of the costs. Estimated FEMA Share $299,598.75 75% of Total (maximum of 75%) Non-Federal Share $16.500.00 4% of Total (Cash) $83,366.25 21% of Total (In-kind*) Estimated Local Share $99,866.25 25% of Total (Project Global Match**) Global Match Project Title Other Agency Share $0.00 0% of Total (Identify Other Non-Federal Agency and availability date: ) Total Funding sources from above $_399.465.00__ Total 100% (should equal 100%) *Identify proposed eligible activities directly related to project to be considered for In-kind services. (Note on Page 4 Section B) **Separate project application must be submitted for each project (Global) Match project. E. Project Milestones/Schedule of Work List the major milestones in this project by providing an estimated time-line for the critical activities not to exceed a period of 3 years for performance, e.g. Designing, Engineering, Permitting, etc. These milestones should correspond with the scope of work and budget. Milestone Number of Days to Complete Topographic/Existing Conditions Survey 30 days Hydraulic Assessment 90 days Engineering Design and Permitting Document Preparation 90 days Agency Coordination and Permitting 90 days Bid Services 60 days Construction 180 days Attach any continuations or additional items to this page Form No. HMGP 001, Eff. 06/2012 Section IV. Environmental Review and Historic Preservation Compliance (NOTE: This application cannot be processed if this section is not completed.) Because HMGP/FMA are federally funded programs, all projects are required to undergo an environmental and historic preservation review as part of the grant application process. Moreover, all projects must comply with the National Environmental Policy Act (NEPA) and associated Federal, State, Tribal, and Local statutes to obtain funding. NO WORK can be done prior to the NEPA review process. If work is done on your proposed project before the NEPA review is completed, it will NOT be eligible for Federal funding. A. The following information is required for the Environmental and Historic Preservation review: All projects must have adequate documentation to determine if the proposed project complies with NEPA and associated statutes. The State Environmental Staff provide comprehensive NEPA technical assistance for applicants, with their consent, to complete the NEPA review. The type and quantity of NEPA documents required to make this determination varies depending upon the project’s size, location, and complexity. However, at a minimum, please provide the applicable documentation from this section to facilitate the NEPA compliance process. Detailed project description, scope of work, and budget/costs (Section I [p. 3] and Section III [p. 4] of this annlicatiany kK) Project area maps with project site and staging area marked (Section II, part B & C of this application [p. 3-4]). Project area/structure photographs (Section II, part C of this application [p. 4]). Preliminary project plans. Project alternatives description and impacts (Section IV of this application [p. 5-9]). Please complete the applicable project worksheets. Dates of construction are required for all structures. Be eh eH H Environmental Justice — Attach documents regarding evaluation (required) and satisfactory resolution (if necessary) of Environmental Justice issues (Highly Disproportionate, Adverse Impacts [effects] on Minority or Low Income Populations). Documents can include public meeting records, media reports, letters from interested persons and groups; studies on population, ethnic groups, quality of life, housing, economics, transportation, public services, schools, public health, recreation, voting, etc. [X] Provide any applicable information or documentation referenced on the Information and Documentation Requirements by Project Type (p. 10 of this application). B. Executive Order 12898, Environmental Justice for Low Income and Minority Population Are there low income or minority populations in the project area or adjacent to the project area? If yes, please describe any disproportionate and adverse effects to these populations. No, see attached map. To help evaluate the impact of the project, please indicate below any other information you are providing: [Description of the population affected and the portion of the population that would be disproportionately and adversely affected. Please include specific efforts to address the adverse impacts in your proposal narrative and budget. LAttached materials or additional comments. C. Information required for Tribal Consultations Section 106 of the National Historic Preservation Act (NHPA) requires federal agencies to take into account the effect of their undertakings on historic properties. The NHPA requires that agencies must complete this process prior to the expenditure of any Federal funds on the undertaking. A Tribal Consultation is required for any project disturbing ground or moving soil, including but not limited to: drainage projects; demolition; construction; elevation; communication towers; tree removal; utility improvements. Allach any continuations or additional items to this page Form No. HMGP O0U1, Eff. 06/2012 1. Describe the current and future use of the project location. A land use map may be provided in lieu of a written description. The existing land uses is urban/residential. The ground has been disturbed as part of