HomeMy WebLinkAbout032513_ca03Department of Public Works
O Consent Agenda
Page 1 of 1
Jefferson County Board of Commissioners
Consent Agenda Request
To: Board of Commissioners
Philip Morley, County Administrator
From: Frank Gifford, Public Works Director ~.~
Agenda Date: March 25, 2013
Subject: Digital Submittal Certification -County Road Administration Board -
Reports for 2012
Statement of Issue:
The County Road Administration Board (CRAB) requires the periodic submittal of forms and
documents related to Jefferson County's management of its road system and road fund. By
April 1, 2013, the County must submit the following in digital format: (1) Traffic Law
Enforcement Expenditure Certification, (2) Fish Passage Barrier Removal Certification, (3)
Annual Certification (with attachments), (4) Annual Construction Report, (5) County Arterial
Preservation Report, and (6) Maintenance Management Certification. The first three of these
items requires the certification of the Chair of the Board of Commissioners via signatures on a
"Digital Submittal Certification" form for mailing to CRAB.
Analysis /Strategic Goals /Pros & Cons:
CRAB establishes Standards of Good Practice for the administration of the County roads
program and road fund. CRAB monitors compliance with these standards via the County's
regular submittal of data and certifications. The County Engineer and Board of Commissioners
must certify that required standards are being met. Annual issuance of a "Certificate of Good
Practice" from CRAB is required in order for the County to receive its annual Motor Vehicle
Fuel Tax allocation.
Fiscal Impact/Cost Benefit Analysis:
Public Works has prepared the required documents with assistance from the Auditor's office
and the Sheriff's office. The Certificate of Good Practice is required to receive Jefferson
County's annual allocation of approximately $1.4 million in Motor Vehicle Fuel Tax.
Recommendation:
Authorize the Chair to sign and date the "Digital Submittal Certification" form in the two
lp aces for the signature of "Chair /Executive." Return to Public Works for processing.
Staff Contact: Josh Peters, Transportation Planner, 385-9167
Re ' d
Model , or Date
STATE OF WASHINGTON
COUNTY ROAD ADMINISTRATION BOARD
RURAL ARTERIAL PROGRAM
CERTIFICATION OF ROAD FUND EXPENDITURES FOR TRAFFIC LAW ENFORCEMENT
submitting county: Jefferson
Budget Year:
2012
Total Road Levy:
Valuation:
Levy Rate ($/Thousand):
Revenue Produced (Computed):
Actual Revenue Produced:
Traffic Law Enforcement Paid by Road Levy Diversion:
Diverted Levy Rate ($/Thousand):
Revenue Produced (Computed):
Actual Revenue Produced:
AND/OR
Traffic Law Enforcement Paid by Road Fund Expenditures:
Budgeted Operating Transfer Amount:
Actual Amount Transferred From Road Fund:
AND/O R
Budgeted Cost Reimbursement Amount
Actual Reimb Amt Paid From Road Fund for Services
Total Road Portion Traffic Law Enforcement Expenditures:
Total Traffic Law Enforcement Expense (ALL COUNTY FUNDS):
$ 3,453,862,615.00
,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,1.1563900000
$ 3,994,012.19
$ 3,997,614.19
0.2084600000
$ 719, 992.20
$ 721,570.15
$ 721, 570.15
$ 834, 865.74
RCW 36.79.140 provides that only those counties that during the preceding twelve months have
spent all revenues collected for road purposes only for such purposes, including traffic law
enforcement, as are allowed by Article II, Section 40 of the Washington State Constitution, are
eligible to receive funds from the Rural Arterial Trust Account.
This form must be reviewed and certified (on the "Engineer's Certification Form") by:
County Sheriff
County Auditor
County Executive
Due Date: April 1, 2013
DIGITAL SUBMITTAL CERTIFICATION- COUNTY ROAD ADMINISTRATION BOARD
REPORTS FOR 2012
County # 16 County Name Jefferson
Required Submittal Date: April 1, 2013
The Counter Engineer checks each box, confirming the forms have been certified by the listed
signatures and submitted to and accepted by the County Rond Administration Board, then
sends this completed form to CRAB via regular mail.
********************************************
0 Traffic Law Enforcement Certification 2012
(Engineer Check)
I hereby certify that the above report is true and accurate and
to the County Road.Aeh~a)nistration Board. in accordance with ~
County Auditor
I have reviewed and approved the report for submission
13
~~ ~ ~
~` ~-
Date
Chair /Executive
Date
********************************************
Fish Passage Barrier Removal Certification 2012
(Engineer Check)
0 Annual Certification 2012
(Engineer Check)
I hereby certify that the Fish Passage Barrier Removal and Annual Certifications are true and accurate and that I have
reviewed and approved the report for submission to the County Road Administration Board in accordance with WAC 136.
Chair / E cutive: Date
oun sneer: Date
********************************************
Annual Construction Report for 2012
(Engineer Check)
County Arterial Preservation Report for 2012
(Engineer Check)
^x Maintenance Management Cert. for 2012
(Engineer Check)
I hereby certify that the Annual Construction Report, CAPP Report, and Maintenance Management Certification are true
and accurate and that I ham awed and paand p owed the report for submission to the County Road Administration Board in
accordance wit 136.
i
aunty En eer: Date
JeffCo2013_101116EngrCertforApr2013re2012.x1s
WASHINGTON STATE
COUNTY ROAD ADMINISTRATION BOARD
Certification of Road Fund Expenditures for Fish Passage Barrier Removal
Submitting County: Jefferson
j WAC 136-150-023
Fish Passage Barrier Removal Projects:
Project Name: Total Cost:
1
2
3
4
5
6
7
8
Attach additional sheets if more space is needed.
Total Expenditures for Fish Passage Barrier Removal- Outside County Rights-of-Way
Total Annual Road Construction Budget
Budget Year: 2012
Due Date: April 1, 2013
Cost for Work % of
Outside of County Total
Right-of-Way: Cost:
$ 1,527,406.00
X 0.005
112 % of Total Annual Road
(Limit of "Outside of Right of Way" expense.)
_ $ 7,637,03
Total Expenditure for Fish Passage Barrier Removal Outside County Right-of-Way
$o.oo
RCW 36.79.140 provides that only those counties that during the preceding twelve months have spent all revenues
collected for road purposes only for such purposes, including removal of barriers to fish passage and accompanying
streambed and stream bank repair as specified and limited by RCW 36.82.070, as are allowed by Article II, Section 40
of the Washington State Constitution, are eligible to receive funds from the Rural Arterial Trust Account.
1
JeffCo2013_121227FishPassageCert2012.x1s
JEFFERSON COUNTY
ANNUAL CERTIFICATION FOR CALENDAR YEAR 2012
_WAC 136-04)
MANAGEMENT AND ADMINISTRATION (If the answer to any question except "8" is No, please attach an explanation.)
A. During 2012 the County Engineer performed the duties and had the responsibilities specified XD Yes ~~ No
in RCW 36.80.030.
B. At any time during 2012 was there a vacancy in the position of county Engineer? Yes X No
If so, were the procedures in WAC 136-12 followed? Yes No
C. The processing of County Road Accident Reports during 2012 complied with WAC 136-28. X Yes No
D. Priority Programming techniques were applied to the ranking of all potential projects on the OX Yes ~ No
arterial road system in 2012 per WAC 136-14-020.
E. As of December 31, 2012 the management of the county road department was in accordance with policies
set by the county legislative authority including, but not limited to, the following specific policies
required by WAC 136-50-050:
POLICY WAC DATE OF CURRENT VERSION
Re; Organization 136-50-051 11-Oct-04
Re: Personnel Practices 136-50-052 ____ 15-Dec-03
Re: Complaint Handling 136-50-053 28-Dec-01
Re: Work for Others 136-50-054 8-Jan-01
Re: Utility Accommodation 136-50-055 3-Jan-00 _
Re: Priority Programming 136-14-030 23-Apr-03
F. The following were submitted to CRAB in a timely manner: DATE OF DATE SENT TO
ADOPTION/ CRAB
DOCUMENT WAC DUE DATE PREPARATION
'12 Six-Year Program 136-15-050 31-Dec -11 20-Jun-11 22-Jun-11
'12 Annual Construction Program 136-16-040 31-Dec -11 12-
Dec-11 ___
14-Dec-11
'12 CAPP Program 136-300-060 31-Dec -11 _
____
14-Dec
-11 ___
14-Dec-11
'12
Road Fund Budget
31-Dec -11 _
_
_
14-Dec-11 _
14-Dec-11
'12
Maint Mgmt Wrk Pln & Budget
136-11-040
31-Dec -11 __
__
14-Dec-11 _
__
14-Dec-11
'12 Road Levy Certification 136-150-021 01-Feb -12 6-Feb-12 _
7-Feb-12 T
'11
Certification of Road Fund Exp.
136-150-022
01-Apr -12 _
5-Mar-12 __
21-Mar-12
For Traffic Law Enforcement _
'11 Engineer's Certification of Fish 136-150-023 01-Apr -12 12-Mar-12 21-Mar-12
Barrier Removal Costs
'11 Annual Construction Report 136-16-050 01-Apr -12 13-Mar-12 21-Mar-12
'11 CAPP Report 136-300-090 01-Apr -12 _
_
6-Mar-12 21-Mar-12
'11 Maint Mgmt Certification 136-11-050 01-Apr -12 2-Mar-12 21-Mar-12
'11 Annual Certification 136-04-030 01-Apr -12 13-Mar-12 21-Mar-12
'11
Road Log Update
136-60-030
01-May -12
13-Apr-12 _
____ 13-Apr-12
'12
PMS Certification for CAPA
136-70-070
31-Dec -12
17-Dec-12 _ _
20-Dec-12
Eligibility. ____ _
OPERATIONS
G. Projects to which construction expenditures were charged were all on the 2012 Annual
Program. (If answer is No, please attach a brief explanation.)
H. The County's construction by county forces limit for 2012 computed in accordance with RCW 36.77.065:
I. The actual expenditure for construction by county forces as reported in the 2012 Annual Const. Report:
J. A written report of bridge inspection findings was furnished to the legislative authority on
as required by WAC 136-20-060. (Please attach a copy} # of Bridges:
C~ Yes ~~ No
$ 1, 261, 974.00
$ -
February 28, .2012
- 29
EMAIL WITH ATTACHMENTS TO THE COUNTY ROAD
ADMINISTRATION BOARD NO LATER THAN APRIL 1, 2013
Must be followed by signed "County Certification" form via regular mail
11 /02112
Jefferson County
Department of Public Works
623 Sheridan St.
Port Townsend, WA 98368
(360) 385-9160
Frank Gifford, Public Works Director
Monte Reinders, P.E., County Engineer
Memorandum
To: County Road Administration Board
From: Monte Reinders, P.E., County Engineer
Date: March 7, 2013
Re: Explanation for Item G on the Annual Certification for Calendar Year 2012
In response to item "G" under the Operations category on the Annual Certification for
Calendar Year 2012, all .projects were either on the Annual Construction Program (ACP)
for 2012 or added to the ACP during the year by Resolution of the Board of County
Commissioners, except:
CR 1894 Undie Road Easement Acquisition -This project was added to the 2011 ACP
through Resolution 26-11. Final acquisition was completed in 2012.
[End]
,~
,,~ ~i
i
~~~~~
~~. ~~
f~
~~ ~.t~~~~`~d~c~ ~~~i~~ ~~4-~,~.~~` I >~~-~t`~-(~~~. ~~~~:~ i~~~ '~dt~~~dE ~~t•~c~~~ ~~~~~#~;~~ ~t~n~ds. J~.~~~~~s~~r~
~'`~~~~~ .~~ ~{-~~~~~Iet~~I tie ~z~~u~%~~I ~r~~ti~Ei~~n- i;3~- ~~I ~?3"IC~~?;~~ c~t:~ t~~~~ ~°~~~.~t~~~~ ~~add s~~st~-r~~. dr~:c~ Ifs
~3:i~s3I;€~tt'<~ t~2~' ~rl~~~t'~: ~1~:?I~ T~~3Q~`~~ tt~ ~~t~ ~~t'd~~1tTl~CCsl1 ~t:~ t~: ~~t;~~EtTEI1~~lY (1( ~ 3'd~1~~~t?I'~d~I~~tI~. ~~ ~t'
~li~i~=~",;'S s3~ ~~~~ ~t'~E:~zw~ ~~.~~~f'.C?~I~T3 €'~~t.lT r33t }l~~Y_~~~; ~I.T'I~~r;~~€~`~~ f%) IFI~:' i,>c~tl3l~t'. ~~.:4,?l~~c~~1'k-~ c`~ltl.}'3~~I'I~~`
?~:I' ~~.=~~.~ ~ tit ..;#.}•~~~~,~. ~ .. ,.
`'.<<~i'~:I.~~.,Y'E.Y~~f.. ct.: i.`.~; ~~1~' C>~:It1~3~~'~;`3 ~'~~'1°~~~C:--~ d!':; t:~~ a.:~lt:.~€: ::kti7Et~„~t~ ~~t"I~~s :I:tt.4 I31t:jt"1' :.~~f`I~t~~,c.-~~~ ~c~a
i~,.i.~~i~`i ..i11~: ::;rl~~t.t,,.3~Tc21.~114:.~1d:~~..i'~ ..
r ''c~~x~>2" ~ i~~:i::;t.: :`4.i.': ~t~'i€~~~~~tt:'~.~ E'sE l~ 'x E. ijdl ,tt t f't y a ~ t i)t (( Z i~:si ~ ~{:('t ~ ({ Sys [y' a t 'yn ps
i{ fL [. lit } Afw ~~~ Y j'.I,4yrf.+,7 f~:~ ~I4 ~~1. S•€. ^_t ~... L.. 3. & :' .4 ~€ t~l~t` f:~ t 3~«~~~~~«.~3E~~V ~.
~~~ )..f,. Ir:~~t~~ D~.F:3~I ~~S4'~ ~ E1~'j0.' ,3~~~F..i'~~4 f~.l Zk~L~~2~a..'SS ~~'; ~... ~f:i ~khi~ Y.i ~t.~3a.ix~ ~ £ 44.t~ ~~ '~ CI r~r ~i~~~~~4t ~~``SSS,, 1~ ~ ~ ~rr
~:.
~~~~~` ~~i~"~~~x1 ~ i~ ~. 'F",~~~111i ~€I~w ~I:~~~~'S"~~~fi~3 ~~Fi. ~3'~a~~ it r~,~3~ ~rit~~~t~. »~ ~~:~{< ~~~TI~.~! f,:Ei;d~~'~~ t:1{~~~t`~!1 ~if~~~~
ZE>1Y~}C, 3~>~'. }n=: +.'.>~1~~-I=~`ti tx'; .I~~s:~;.°s. <I~:;I~~~' F~`~,~~'. y;~~?I°~:~E1~: ~:~ ~:3~~.~~-{~~:~i:t' :.~ ~_''?~~i':~t:. c~~7~~~.''~tI`x~», .1~.~~s~I''eI.I~1 €~:?~~~~~'-
t~.tii 4 L ti
i..~~~t:~,?«i ~~~<iR ti x1'T t~a~,#:~fE~t«~~.%~.~. Y~..~~ ~. ~.~t~~.~ L~s.~'i ,.p:~E, S. LE~ 4~3a L ~~. i. ~.~f~ ~.` ,•~ #.€~~ ~i s., Yi ,~.,:.~
~i;:''t~~.:~ t ~ ~; :. z2, ~..I'~?.ct~~~,. e3i:wa. t$..€~~;~p?~T~:E.~..~l:I:~F ~~i:' ~~3tt.' €~:€r~~4.;1..: ~~F~~i3"f'i~:~l <3~}.='~ [3'f~3'~.~tt~:j t~~ t~
~• ti "
1 ~.~, ~ i .~ • ~ qt ~ t '' ~'~ ={vr ~ '~ '°>`~. ~ ~Ir ~~7 ~~; <`~,I~TI.a...~i~~'~~:~t.13 ~"~I3~~~t'~•»,~.•I~~i•~;
~ ~1~~ ,;:ti ~. YIi"~~~ ~t~';;i~ i~.~~f1 #;'t~ ~~ ,'~ .1,.. '~ k~"t` ~~~~' ~ 'C~.a; ~ ~ z Ott ~ '~~ ' 1 ~'
€'i~;.'f ~.,I'~'~:~. ~~xt€.~~?t& ;`~, ~5.'~~1 ?x~~it~t1€sa"~~ fit? t7t~3~T'.~.°Ic'3~.k»~t~tl` ~'s~°t1i~~t.~'ti`~ ci~?~t:t{ I?3I.C'~ t•11~~'~ L~(;~~l~T`~.,
~.~~t:33t~. t?~ i~~~ ~s.I.~'~1`'t3€?~'{_~, i ~~~ [?~;t~;I' ~i.;~~c:wk: ~~~~«4:i~1~'~t~~ 1` ~:~'~C~3z2~~?. ~1Y4.~43'~4~It`~'~~' L~~~-~~~:T` ~I~:
~~r~~~;, ~r In~.> ~~.~~~<~~ ~~~~ ~h~ I~t~;c-~;t' ~~~ ;~ r~.~t~t ~s`~ ~rt~;~3~°t~t~~-}~ ~~f` r~~w ~~~~. ~~~~v~~, dr~~~ r ~t~.t~~,~~ ~~~~~~w
~~~~~Y ,~~•~.r~~ti. Its . f~_~~~, ~'~~~~?~~: ~k=~~~.-~:. zif~~~i~~ ~C3t'. ~d ~~'~:1> ~~~~~?s.:r~, C ~~~:r•~~ ~ii~;~Y~~~.~-
~~c~t~~~~~i~?r~~~~-~~~ isn~.r;~7~~~~ ~~.°Iic:r`i`tc~:. t~:3 td~~l~.~,= ~1~~~ H~~~~ ~~~-~.r ~tru~:~~~ ~~~~ ;~;~ d~~ ~tt~~n~~~ to
fit'~i~~x C°r?~~tit~oif Re~xz~~t ?C)i~ I'z.yc ~ u,'
r N
O .~
N
~ ~
O~
LL ~
~ ~
O v
a~
zL
O o
V ~
N~ 0
{i. ~
L
{/, 'F+
Z N
O~
V ~
....
a `~
Z
Q
"( l 1
I
~~I
r~
~',~
c. ` o
~ - N
"'7. ~ ~
z ~ m ~
O=Wo
V ~ ~
Q U a
Z a
V
Q
~~
~~~
0
Z
0
V
~ C r
O
~ O v ~
o "~ o
V + N ~
~ C'~ _ ~
W N d Z
t~~do
~ ~-
H
~ ~~V
z ~~~
~ W th Z
ozWo
~o~~
o ~'
1L
~~o
~ Z E1.
~ ~ ~
ZD=
V F- ~
a
~~~
OVO
tm~
m
Y
U
w
U
m
W
Z
J
Z
H
w
w
~_
H
z
U
W
Z
LL
- _ _ _ - __ _
~ --
~
F- ~
~
Z ~
~ ~ ~
~ ~ ~
_
v Z U
D
Z
Q
U ~ ~ ~
O
M >- X ~ >- ~ ~ ~ N >- >- >- >- ~ N N ~
~
r- W
O
' F-
p ¢ !/) ~
a ~ a o
J
~ ~ ~'
ru ~'
w ~ ~
w ~' UJ _Z
~ ~ ^
c i ~
D d. a m =
.1 a W Q d LL. C~ f1) ~ ~
a LL
~ - __
J J¢ ~
0 Q U7
v ODD
p C7
V Q O h ~-
= Q
N
~
~
~ p
Q Q ~
~ o
~
v t l t~
cn
r= ti
co t
`o cn
ao
~ 07 ~ tG ~ M N I~ OD CO O CO tt~
~- (~ ~- OD 1Cl r 1~ d1 O t0 h ~ O M
.-.
N
w Q
~
a~
~
`~
ago
v
~
i
`~
m
o
omo
r r
N ' ~...
O ~Y N r N r
~ O
a
V) 4- W ~
_
~ z U
~ ~' Z
~
- o
~ _-_ __- - __ _
z~' ~ ~~
W z ,
z V ~' ~
a ~ o~Z,
W ~HV
J
Q _
fv
W _
N
O -
Q
r-
~ _
O
t~ __. _ _
N
N _
~t _ _ __ _ ----
to
= ~
C ~
Q V
r- V
a0 (o
u7 ~ ch
Y' N
O~ f~
O 00
cfl ~
(~ Q
V a0
Q~ ui
ch
~
~ `
r
U C '~i0
~ w W W
d (~ (~ N N ~ N ~ O M
[' I` N (U O
N ~ ~
Q ~
~ ~IaOM d0 3dJll ~ - - rn x ¢ ~ _ ~ c~ - - --~ - c~ - Q
~
SStfl~
ti
~
~
ti
~
g
a_ ~ m
W
~
~
~
ti m
~ m
~
~,
`~ IHNOIlONfld ~ o o a o o ~ ~ o ~
y o o c~ p C
> o
~ H1JN3l a"'i a
43131dW0~ ~ ~:
3ansol~ ~,
~ 1~3road
s~~ao~ ~.1Nr~o~ °
,~ 1N3W30Nf10NN`d ~,
v 1~3road o
s3~?~Od ~I.LNf10~
M
~~
4
-.
W O .-~ O Q~ p m C ~ z
Z O o ~ ~- ~ -
° o ~ ~ c0 Li ~ ~
W
~ m ~
O ~ ~ ~ y m o a ¢
~
v j V ~
~ ~2 ~ ,~ ~ O Q b Cn (i) ~ d m ~ ~ ~ C m
U ~ ~ ?. ~
d 0 Q
D z E
~ c v
E m c « ~
v
E ~
~ ~ ~
E'i ~ -
~ F- ~ ~'
o~ i ~
°c' m u Ca
° m ~ o ~
ro~ d ~
rn o -°
° ~ m
~ to ~
V ~
LL!
Q¢ ~ nyi ~~ ~
~' °°
U o ~° tv
m m m
rn
ai I
z ~ m v
m ~n c o
n= ~ `~ ~ m g ~ o ~
L C m
°
~' m y
~° ~ n
p
O LL
~ v ~
` co C1 m
~ }, m ~ ~
Q ~ U
io °' ~ ~
m
°~ m
m o
` _
Z c ~ ~
m ~ ~ ~ ~ c ~ ~ d ~. y U
~ ~
c
~ "~ 3
U p E o
m m
Q
m m
~ m
a O
CO .-
N rn
Q7 m
~t c~
t+ rn
CO ~ a
Y- CO ca
aJ ~
N a~
tT
CO cD
Q~ ~
Q~
~
N
v Q
Q ~
p O
J Z O
N
v b
N
er O
[O
m
~ O
CD
_ pp
(D
~~ d
o O
¢ to
~
Q ~
~
~
~ d
~
r~
O O
~
N
~ O
u7
r~
p O
N
_v ~
~
~ ~
~
~ 6
O
a
~ m S d7 ~7 W c
D
7
C7
Q1
j
(>4 ~
~ 'ON W311 ~- N r~ v ~n cn t~ ca rn o N ~ ~
'J02id lbfiNNd o 0 0 0 0 o Q o o ~- m r. x
X
N_
O
N
Q
N
C
O
U
ti
N
N
r
N
~I
0
N
O
ui
O
0
W
~_
to
O
z
0
m
Z
y W
~ F- ~
v O O
Z U
Z
Q
.-. I-
W ~ LL M
~ ~ Q ~ (.1
... a~¢o
^ J
(~
''' ~ w ¢ a
a u-
~
^ ~
j s
~
D
"-
N
`~
W ~
W Q
=
~ t
i
L~
^ N w Q
v r
O ~ F-
N ~ ~
a
~ ~ ~ ~
o ~ ~
O ~
Z
~o
1_~ ~ V
~Q
Z ~
~
DC
Z ~
.~ W O Z V ~ j
rn X v V~Z
~ O
LiJ U
J
~
c
~ V
Q q tri
v ,-.
a~
~1210M ~O 3dJll
.~
~ SSdI~
1~1N0110Nf1d
..,
~
Hl~J .,
N3l ayi
a3131dW0~
,.., 3af1SOl~ ~,
~ 103P021d o
5~02~0 ~ ,~.[.Nf10~
,~ 1N3W3 0Nf10NNt/ ~,
v 103f021d o
5~32~0 ~ 1~1Nf10~
w
~
az ~
~
z O o
v~ a
~o R
ao
Q o
^
v n:
~ z
U
N Q p O
~ 'ON W311
`'' 'J021d lb~f1NN`d
O
Z
X
N
O
N
Q.
.
..
N
C
O
U
ti
N
N_
_N
MI
_- o
O N
-~
a
0
0
W
v
O
Z
O
LL
00
U
•7' WORK CODES: Click here for WAC
2012 CAPP and HSA ACCOMPLISHMENTS JEFFERSON County
1 =Thick Overlays > 1 inch
2 =Thin Overlays < 1 inch
3 =Seals, all types PAVEMENT PRESERVATION ACCOMPLISHMENTS WITH BOTH CAPA AND
4 =Preparation for seals and overlays (crack sealing, digouts) NON CAPA FUNDS IN 2012 Note: You must type in the County
5 =Pavement Management System Name to see'CAPA -HSA Available'
6 = Preleveling and Leveling Courses Complete and Return to CRAB by April 1, 2013
Previous Year.
7 = Maint. Management System -Report only MMS costs, See CAPA Instructions.
8 = Patchin blade shim, cold mix or La on Box atchin done s oradicall WAC 136-30~-~9~
•-----------~~-----L-------------------~ ------~ -----~-------p -------y~----------------------------------------------------------------------------------------------------------------------------------------------------------------
1 1
1 ,
--- I
2 , 3
--------
-------------
--------------- I
, 4
--------
-----------
- I
,
5 I
,
6 I
, *
7 I
, I
8 , I
, I
9 , I
10 ,
11 I
12 , ~
13 ,
r
r
I 1 ~
-------
I I
-
-----------------------------ti----------------°-------------
I 1 -~-------~-------r-------~--------r--------~--------------•---
1 02.09 I I FREIGHTI FREIGHTI I ----------- --- -----------•---- ----------~
I I I
ROAD ~ I
~ I-------------°--------- -------1
~ ~ ~ TOTAL ~ TOTAL ~
12.19 I
~ I
~ I
AND i I
AND ~ D I------------------
~o ~ --------°-°-------------°---
EXPENDITURES -----------
~ITEh~ LOG ; ; ;FROM; TO C/L ' LANE 'FUNCT.' WORK'
I GOODS'
I GOODS'
I BY CON-'
I TOTAL DOLLARS
~ AND CENTS
~ '
'
~ I
I NO.I
I----L I
NO. I ROAD NAME
--------J-------------------------------
-- I
I LOCATION
-------J--------- I I I
I M.P. I M.P I
J
I
L ~
MILES I
~ ~ ~
MILES I CLASSICODE
J
I S~
1 CLASS ~
J MILES ~
L --°----------
--
TRACT ~ CAPA $s I
J
J ---------------
HSA $s I
J -----------
-------------
Other $s ~
GRAND TOTAL ~
J
1 I
1 , --
I
9142D,Upper Hoh Rd ---------------------------------
I
IFrom M.P. 9.673 to M.P. 9.719 -------
'------
I I I
, 9.67 , 9.72 , --------
-
I
0.05 , ------
0.09 -
-
I
, ------
07 '
--
I
, ----
1 -
I
, -------
-
1
T4 , -------
I
0.046 , --------
--
100% i ---°----°-
---
i -----------
---
i -
----------- ---
30,475 ; ----------
30,475
I I
2 ; I
40390;Coyle Rd I
;From M.P. 0.00 to M.P. 2.02 I I I
; 0.00 ; 2.02 ; I
2.02 ;
4.04 I
;
08 I
;
3 I
; I
T5 ; I
2.02 ; I
; 1
71,792 ; 1
; I
; I
71,792
I I
~ 3 ~ I
50360~Paratlise Bay Rd I
IFrom Andy Cooper Rd to SR 104 I I 1
~ 3.81 ~ 6.00 ~ I
2.19 ~
4.38 I
~
08 I
~
3 I
~ 1
~ I
~ I
~ I
79,133 ~ I
~ I
17,788 ~ I
96,921 ~
I I
14 I
I I 1
62931(Cook Ave. Ext.
1 I
IFrom Hastings Ave to Port Townsend City limits
I 1 I I
10.00 I 0.62 I
I I I I
0.62 I
I
1.24 I
I
1
17 1
1
I
3 I
I
1 I
I
1 1
1
1 1
I
1 1
I I
26,415 I I
~ I
26,415 I
I I
1 5 1
I I
1
914201Upper Hoh Rd
I
I
IFrom M.P.7.23 to M.P. 7.72
1
I I I
I 7.23 I 7.72 1
I
I
0.49 I
0.98
1
I
07
I
I
3
I
1
I
T4 I
I
0.49 I
1
I I
1
I I
1
8,739 1 I
1
14,752 I I
I
23,491 I
6 ;
22740;Duckabush Rd
;From US 101 to End of Co. Rd at Forest Sero. Rd I I
; O.OD ; 3.66 ; I
3.66 ;
7.32 1
;
08 I
;
4 I
; I
T5 ; I
3.66 ; I
; I
; I
; I
2,834 ; I
2,834
I I
7 ~ I
25000;Dosewallips Rd I
;From US 101 to 0.39 Miles West of Appaloosa Dr I I I
; 0.00 ; 2.00 ; I
2.00 ~
4.00 I
;
OS I
;
4 I
; I
T5 i I
2 ; I
i I
~ I
~ I
1,326 ~ I
1,326
I I
1 8 1
I I I
2734016ee Mill Rd
I I
IFrom US 101 to End of Pavement
I I , I
I 0.00 I 1.63 I
I I I I
1.63 I
I
3.26 I
I
1
OS I
I
I
4 1
1
I I
I
I I
I
I I
I
1 I
I
I I
1
I I
942 I
I I
942 I
I
I I
1 9 1
I 1 I
3488081Dabob Rd
I 1
IFrom M.P. 4.27 to M.P. 4.29
I I 1 I
I 4.27 1 4.29 I
I I I I
0.02 1
I
0.04 I
1
I
08 I
I
I
4 1
1
I I
T5 I
I I
0.02 I
I I
I
I 1
I
I I
I
I I
1,455 I
I I
1,4551
I
I 1
10 ,
I 1 I
40390,Coyle Rd
I 1
,From M.P. 1.30 to M.P. 1.40
1 I I I
, 1.30 , 1.40 ,
I I I I
0.10 ,
I
0.20 1
,
I
08 I
,
I
4 I
,
I I
T5 ,
I I
0.1 ,
I I
,
I I
, I
, I
3,423 I 1
3,423 ,
11 ;
50300; Larson Lake Rd
;From Center Rd to SR 19
; 0.00 ; 4.06 ;
4.06 ;
8.12
;
08
i
4
i
i
i
i I
i I
; I
4,628 ; 1
4,628
I I
~ 12 ~ I
56990~Oak Bay Rd I
IFrom 0.03 Miles South of SR 116 to SR 19 I I 1
~ 0.89 ~ 10.80 ~ I
9.91 ~
19.82 1
~
08 I
~
4 I
~ I
T3 ,T4 ~ I
9.91 i I
i I
~ I
~ I
9,944 ~ I
9,944 ~
1 1
I 13 I
1 I 1
9335011rondale Rd
I I
(from SR 19 to 4TH Ave
I I I 1
I 0.00 I 0.78 I
I I I I
0.78 I
I
1.56 1
I
I
07 I
I
I
4 I
1
I I
T3 I
I 1
0.78 I
1 1
I
I ,
I
I I
I
I I
1,306 I
I I
1,306 I
I
I I
114 ,
I I I
VarieslPavementManagement
I I
(Varies
I I I I
1 Varies 1 Varies I
I I I I
65.39 I
I
130.78 I
I
I
07 , OS I
I
I
5 I I
1 T3,T4,T51
I 1 1
65.39 I
1 I
I
I I
I
I I
I
1 I
5,127 I
I I
5,127 I
15 ;
32750;East Quilcene Rd
;From M.P. 3.52 to M.P. 3.54
; 3.52 ; 3.54 ;
0.02 ;
0.04
;
08
;
6
i
~
i
i
i
;
1,433 ; 1
1,433
I 1
16 ; I
34880;Dabob Rd I
;From M.P. 0.45 to M. P. 0.46 I I I
; 0.45 ; 0.46 ; I
0.01 ;
0.02 I
;
08 I
;
6 I
; I
T5 ; I
0.01 ; I
; I
; I
; 1
871 ; I
871
I I
I 17 I
I I 1
403901 Coyle Rd
I I
IFrom M.P. 0.33 to M.P. 2.02
I I I I
10.33 I 2.02 I
I 1 1 I
1.69 I
1
3.36 I
I
I
08 I
I
1
6 I
I
I I
T5 I
I I
1.69 I
I I
I
I I
1
1 I
I
1 1
11,238 I
I I
11,238 I
I
I I
118 I
1 I I
Varies12012 Chipseal Program
I I
(Varies
I I 1 1
I Varies I Varies I
I I I 1
9.86 I
I
19.72 I
I
I
09 1
I
I
3 I
1
1 I
Varies 1
, I
9.858 I
1 I
,
I 1
1 I
I I
400,127 I 1
400,127 I
1 I
19 ,
I I
I
Varies,Varies
I
I
,Varies
I I I
, Varies I Varies I
I
12.69 ,
25.39
I
,
09
I
,
4
I
,
1
Varies I
I
12.694 ,
1
, 1
I
, 1
I
, I
1
40,129 , I
I
40,129 ,
20 ;
I I
Varies; Pavement Management
I I
;Varies I I I
;Varies ; Varies ; I
32.04 ;
64.08 1
;
09 I
;
5 I
; I
Varies ; I
32.04 ; I
; I
; I
; I
2,512 ; I
2,512
~ 21 ~
I I
I I
I I
I I
I I
I I
I I
1 I
Varies~Varies
1
I
I
I
I
I
I
I I
Varies
I
I
I
,
1
1
I
I I I I
~ Varies ~ Varies ~
I I I
1 I I
1 I I
1 I I
1 I I
I I I
I I I
I I I I
1.33 ~
I
1
I
1
I
I
I
I
2.65 I
~
I
I
I
I
I
1
I
I
09 I
~
I
I
I
I
I
I
I
I
6 I
~
I
I
I
1
1
1
I
I I
Varies ;
I
I
I
I
I
I
I
1 I
1.325 ~
I
I
I
I
I
I
I
I 1
~
I
I
1
1
1
1
1
I I
~
I
1
1
1
1
1
I
I I
~
I
I
I
I
I
1
I
I 1
20,832.46 ~
I
I
I
1
1
I
I
I I
20,832.46 ~
I
_ I
I
I
- 1
1
I
- I
I I I
I I I
I I I
I I I
I I I
I I I
I 1 I
I I I
I----L--------J----------------------------------- 1
I
I
I
I
I
I
1
-------J------------------------------------------ I I I I I
I I I I I
1 I I 1 I
I I I 1 I
I I I 1 I
I 1 I I I
I I I I I
I I I I I
-I-------~------L--------1--------J-
---- I 1 1 I I
I I 1 I I
I I I I I
I I I I I
I I I I I
I I I I 1
I I 1 I 1
1 I I I I
J-------J--------J------°1°-°---J-- I
I
I
I
I
I
1
1
------------J--- I
I
I
I
I
I
I
I
-----------J--- I
I
I
I
I
I
I
I
-°--------.~ I
I
- I
I
- I
I
I
- I
i
PAGE TOTALS; 150.55 ; 301.11 ; F&G ; 142.03 ; ; 150,925; 35,154; 571,142; 757,222;
CAPA UNUSED BALANCE, PRIOR YRS
TOTAL CAPA RECEIVED IN 2012 $ 150,925.35
TOTAL CAPA SPENT IN 2012 $ 150,925.35
CAPA BALANCE CARRIED FORWARD
CRAB FORM N0.3-A (5107)
.................................
.................................
.................................
.................................
.................................
.................................
HSA UNUSED BALANCE, PRIOR YRS ;; ;; i;; ;;;;;; ;; ;;;;;;; ;;;
TOTAL HSA RECEIVED IN 2012 $ 35,154.19
Rick Montgomery
TOTAL HSA SPENT IN 2012 $ 35,154.19 T e in name of Pre arer
YP p
0.00 HSA BALANCE CARRIED FORWARD
o.oo
JeffCo2013_130226CAPP HSA_Report2012.x1s
ANNUAL CERTIFICATION-STANDARD ~F GOOD PRACTICE
MAINTENANCE MANAGEMENT WAC 136-11
The following information is provided- for the annual review of county compliance with the
requirements of WAC 136-11-040. The information provided herein is current as of
December 31, 2012,. and summarizes Maintenance Management activities for Calendar
Year 2012.
Yes No In accordance with WAC 136-11-040, maintenance management procedures have
X been used by this county to guide cost-effective maintenance and preservation
activities on county roads in the previous calendar year.
Jefferson County's maintenance management practices meet the following requirements, in
(County Name) accordance with WAC 136-11-040:
Yes No (1) ~ inventory of significant maintainable road features (physical assets) has
X been prepared and/or updated..
Yes No (2) Activity Guidelines have been prepared, reviewed and/or updated for all
X significant maintenance activities.
Yes No (3) A work program and budget has been prepared for maintenance activities
~ planned in the year. This work program and budget is based upon the road
features to be maintained, the types and amounts of, maintenance work
planned. and the costs for the labor, equipment and materials needed to
complete the work.
Yes No (4) Labor, equipment and material resource requirements needed to accomplish
X the planned workload are identified.
Yes No (s) Work scheduling procedures are identified, documented, and utilized in
X carrying out the maintenance work program.
Yes No (6) Reports showing work accomplishment and cost have been prepared and
X reviewed by managers and supervisors.