Preliminary Data Sheet
PROJECT NO:
DATE:
CONTROL NO:
COUNTY:
STRUCTURE NO:
LOCATION:
PROJECT NAME:
SECTION:
T
R
USGS DATUM:
DELTA DATUM:	ft

SITE DESCRIPTION & DISPOSITION

EXISTING STRUCTURE
ORIGINAL PLAN:	PLAN YEAR:
OTHER PLAN:	PLAN YEAR:
STATION:	SKEW:	(
TYPE:	CLEAR ROADWAY WIDTH:	ft
LENGTH:	ft
LOW DECK STATION:
SPANS:	LOW DECK ELEVATION:	ft
LOW STRUCTURE ELEVATION:	ft
HW ELEVATION (US):	ft

PROPOSED STRUCTURE
STATION:
TYPE:
SKEW:	(
LENGTH:	ft
CLEAR ROADWAY WIDTH:	ft
SPANS:
RAIL TYPE:
ABUTMENT TYPE:
BOTTOM OF PIER ENCASEMENT:	ft
PIER TYPE:
OVERLAY TYPE:
WING TYPE:
OVERLAY THICKNESS:	in

GRADE
BRIDGE GRADE ABUTMENT 1:	ft
BRIDGE GRADE ABUTMENT 2:	ft
LOW STRUCTURE ELEVATION:	ft
SUPERSTRUCTURE DEPTH:	ft
REQUIRED FREEBOARD:	ft
DESIGN FREEBOARD:	ft

DESIGN HYDRAULIC DATA
STREAM:
CONTRIBUTING DRAINAGE AREA:	mi2
Q100:	cfs	(BASE FLOOD)	HW ELEVATION (US):	ft
Q100:	cfs	(BRIDGE BASE FLOOD)	LOW ROAD ELEVATION:	ft
Q( ):	cfs	(OVERTOPPING FLOOD)	WATERWAY AREA BELOW HW:	ft2
Q (OHW):	cfs
ORDINARY HIGH WATER ELEVATION:	ft
ABUTMENT SCOUR Q100 ELEVATION:	ft	ABUTMENT SCOUR Q500 ELEVATION:	ft
PIER/BENT SCOUR Q100 ELEVATION:	ft	PIER/BENT SCOUR Q500 ELEVATION:	ft
ICE-AFFECTED:	FLOWLINE:	ft	PIER WALL VELOCITY	ft/s

BERM DATA
TOP OF GROUND ELEVATION:	ft	TOP OF RIP RAP ELEVATION:	ft
BOTTOM OF RIP RAP WIDTH:	ft	RIP RAP TYPE:

FLOODPLAIN CERTIFICATION
FEMA CLASSIFICATION:	GREATEST CHANGE IN BASE FLOOD ELEVATION:	ft

TRAFFIC OPTIONS
ALIGNMENT SHIFT:
DETOUR:
TEMPORARY ROAD:
UNDER TRAFFIC:
TEMPORARY STRUCTURE DESIGN:
Q ( ):	cfs
SAG ELEVATION:	ft

CONTRACTOR ACCESS CROSSING
SIZE:
FILL:	ft

COMMENTS

BY:	SHEET 1 OF
APPROVED BY:	KIRK HARVEY	BRIDGE DESIGNER	ROSS BARRON	SITE OF

BR FORM 359A, October 2023

DATA SHEET

Harvey, Kirk

2023-11-02

Nebraska Dept. of Roads