meat BRAD HENRY asvtwow 57175 sure as DEPARTMENT OF EMERGENCY MANAGEMENT June 17, 2008 RE: FEMA-1735-DR-OK, 2 Ver. Dear Please find enclosed your check and a copy of the Proiect Worksheet for your racordfs regarding the tecent Severe Winter Storms. The check is for the FEMA paid portion of this PW. Also, please find enclosed photocopies of this check. The 5ub~granhee Administration Cost check will be forthcoming. Phofocogies must be signed, dated, and faxed OR to office five (5) g'__ays of rec-apt of ghis letter. FAX to Arm: State Public Assistance at -- ill 93. A: Mai! to: Axtn: Public Assistance Oklahoma Emergency Management PO Box 53365 Oklahoma City. OK '73152-3365 {fyou receive more than $500,000 in any Federal monies within your fiscal year, you are required to comply with the single audit act. You are also required to provide Oklahoma Emergency Management's Public Assistance Department a copy of your audit within nine months after the end of your fiscal year. If you have any questions, please Contact Public: Assistance at -- Your cooperation in this matter ?3 greatly appreciated. Thank you. Sincerely, aw' "f9 now? Kathleen Shingledecker A ,1 fr 0 my State Coontfnating Officer . fig? (04 rh, ?7 30. 303! 53355 GK 52-3365 - 2401 N. Federal Emtrgency Management Agency E~Grams Names: Period of Perforrnance Start 12-1 3-200? Tme: ($6431 of End '13-2005 Subgrant Application - Entire Application Appficaticn 'title: M. ?I7:tPrn-9:311 ;Ac:a=2: Appticasfion Number: Type: $ul:K3'3:1'. sap Page 1 of 8 0: 0 Preparer informafion ?Pnefix Ms. fimg_e%a ?Midd?e ?nitiaI Last Name Carrier True AgencyIOrganization Name - -I Li' Addressi Po scsoe 1 Address 2 - City _m=:mest isms or: "Ti; gap :r314o Emaii Is the appncation preharer the Point of Contact'? No Point of Contact lnformaticn Prefix Mr. First Name David Middle Initiai Last Name Webb Tifle Wagoner County 'Addre:ss1 1650? S. 305th E. Ave Address 2 City Coweta State GK 'Luz? 3* 7f2008 Federal Emergency Management Agency E~Grants Page 2 of 8 . Alternate Prefix Mrs. First Name Middle initiai Last Name 'We Agencyforganizafion Addream Addrewz City State ZIP Phone Fax Ernail 2 A . Disaster Number: Pre-Appfiwiofi Numbefi Applicant ID: 1459914500 Appiimni Name: WAGONER (COUNTY) Subdivisi-an: Standard Project Humbenwamet - P1-ease Indicme the Project Type: Ne?mer Aitemata nor Improved Project T1213: PA Pilot Program (A0012) Categom Percentage Compteted? 0.0 A3 of Date: 02-21-20638 Comments Attachments -.. . {Part ,1.of2}fl. . .. .-.. .. Site Facitity Name Address County City State ZEP Previozmly Acfion Damaged? Debris Removal -PA Pile! Prosgram OK .m.-aw .. I Federal Emergency Management Agency E-Grants Page 3 of 3 Comments Attachments Facility Name: Debris Removal -PA Pilot Program (ACO12) Address 1: Address 2: County: City: State: OK ZIP: was this site previously damaged? No Location: Road District During the incident period accumulations of ice on trees and utility lines felled vegetative debris on applicant maintained property and Rows varying from light to heavy within the . i . . . boundaries of Wagoner Coun Road District 1. It was Damage determined that a cummulativteytotal of 39,550 CY (See attached Debris Assessment Report) of vegetative debris remains on applicant maintained property and ROWs and 1503 trees with hazardous limbs (hangers). . WORK TO BE COMPLETED: The applicant wili follow all state, federal and local laws and will obtain the neccessary permits to complete the following: A) Pick-up and haul 39,550 CY of vegetative debris to a Debris Management Site which has not been established at this time. B) Dispose of 39,550 CY of vegetative debris by buming at a site to be determined. Ali pennits wilt be obtained prior to buming. C) Remove hazardous iimbs (hangers) from 1503 trees. NOTE: A seperate PW will be created for related work completed by Force Account, if eligible. NOTE: The applicant representative, OEM and FEMA Debris Crew Leader completed estimate. NOTE: FEMA Cost Codes were used for estimated costs for Scope of Work: . this PW. NOTE: The price obtained for removal of hangars was obtained by averaging 36 different contracts across the State of Oklahoma with an average of $60/tree. NOTE: The applicant has volunteered to participate in the grants on the basis of estimates procedure of the Public Assistance Pilot Program. The eligibie cost for this PW was developed in coordination with StatelFEMA./applicant and is considered the final approved cost for this PW. This estimate-based procedure will be allowed for Category A projects up to $500,000. Only omissions and errors may be considered for cost adjustments. Applicants will not have appeal rights under this PA Pilot Procedure. 7 Project Location Latitude Longitude Road District 1 36.05982 -95.611152 Environmental/Historic Preservation 062' 7/2008 Federal Emergency Management Agency E--Grants Page 4 Of 3 1. Does the damaged or item of work have insurance coverage and/or is it an Yes insurabie risk buildings. equipment, vehicles. etc)? If you would like to make any comments, please enter them below. {maximum 4000 characters) See Attached Insurance Information 2. is the damaged facility located within a floodplain or coastal high hazard area and/or does No it have an impact on a floodplain or wetland'? 3. Is the damaged facility or item of work located within or adjacent to a Coastal Barrier No Resource System Unit or an Otherwise Protected Area? 4. mm: the proposed repairslreconstruction change the pre-disaster conditions No footprint. material, iocation, capacity, use of function)? 5. Does the applicant have a hazard mitigation proposai or would the applicant like techniwl No assistance for a hazard mitigation proposal? 6. is the damaged facility on the National Register of Historic Places or the state historic NO listing? is it older than 50 years? Are there more, similar buildings near the site? 7. Are there any pristine or undisturbed areas on, or near, the project site? Are there large NO tracts of forestland? 8. Are there any hazardous materials at or adjacent to the damaged facility andlor item of No world' . 9. Are there any other environmental or controversial issues associated with the damaged Yes facility and/or item of work? Attachments Mitigation section is not applicable for your project category. . r, .Cost Estimate'l Is this Project Worksheet for Material and/or Unit Unit of - Unit Subgrant Cost . Sequenoe Code Description Quantity Measure Price Budget Class Estimate Acton 1 0000 Work to be Completed PA PILOT: GRANTS ON THE BASJS OF 2 g3;3_0_3_ ESTIMATES 1 LS 0.00 0.00 A (TREES 3 LIMBS, 39550 CY 6.00 CONSTRUCTION 237,300.00 SCATTERED) DUMP CHARGES 4 1 50 (BURN BURY) 39550 CY 1.00 EQUIPMENT 3 39,550.00 5 09 9 3:233" 1503 EA 5 60.00 CONSTRUCTION 5. 90130.Total Cost Estimate: (Preferred Estimate Type Omy} 5 367'o30'Oo [Comments .. 06/ I 7/2008 Federal Emergency Management Agency E-Grants Page 5 of 8 Attachments Bid Property Content Insurance Deductible Years Insurance Type Policy No' gtjmount Amount Amount Amount Required Comments Attachments Comments and Attachments Name of Section Comment Attachment 02-28-2008 FEDERAL FUNDING IS CONTINGENT UPON ACQUIRING ALL NECESSARY FEDERAL. STATE AND LOCAL NONCOMPLIANCE WITH THIS REQUIREMENT MAY EOPARDIZE THE RECEIPT OF FEDERAL FUNDS. AS DESCRIBED IN 44 CFR SECTION 13.42, APPLICANT MUST MAINTAIN ALL WORK RELATED RECORDS FOR A PERIOD OF THREE (3) YEARS FROM APPLICANT CLOSURE (FINAL PAYMENT). ALL RECORDS RELATIVE TO THIS PROJECT WORKSHEET ARE SUBJECT TO EXAMINATION AND AUDIT BY THE STATE, FEMA, AND THE COMPTROLLER GENERAL OF THE UNITED STATES AND MUST REFLECT WORK RELATED TO 1V_a;qg_n_e_r DISASTER-SPECIFIC COSTS. 1N THE CASE OF A CHANGE IN THE SCOPE OF WORK OR A COST OVERRUN, THE APPLICANT SHOULD 1 Preparer Information IMMEDIATELY NOTIFY THE STATE PA OFFICER, KATHLEEN PW.gdf SHINGLEDECKER AT 405-521-2481 A CARRIER, PO 02-28-2008 - PA Piiot THE APPLICANT HAS VOLUNTEERED TO PARTICIPATE IN THE Agreement GRANTS ON THE BASIS OF ESTIMATES PROCEDURE OF THE (AC012).pdf PUBLJC ASSISTANCE PILOT PROGRAM. THE ELIGIBLE COST FOR THIS PW WAS DEVELOPED IN COORDINATION WITH AND IS CONSIDERED THE FINAL APPROVED COST FOR THIS PW. THIS ESTIMATE--BASED PROCEDURE WILL BE ALLOWED FOR CATEGORY A PROJECTS UP TO $500,000. ONLY OMISSIONS AND ERRORS MAY BE CONSIDERED FOR COST ADJUSTMENTS. APPLICANTS WILL NOT HAVE APPEAL RIGHTS UNDER THIS PA PILOT PROCEDURE. A. CARRIER, PO Subgrant Application - FEMA Form 90-91 Note: The Effective Cost Share for this application is 75% FEDERAL EMERGENCY MANAGEMENT AGENCY PROJECT WORKSHEET O.M.B. No. 1660-0017 Expires: 10l3tf2008 PAPERWORK BURDEN DISCLOSURE NOTICE Public reporting burden for this form is estimated to average 90 minutes per response. The burden estimate inciudes the time for reviewing instructions. searching existing data sources, gathering and maintaining the needed data. and oompteting, reviewing, and submitting the fonn. You are not required to respond to this coltection of information unless a valid OMB control number appears in the upper night hand corner of this form. Send comments regarding the accuracy of the burden estimate and any suggestions for reducing the burden to: Information Colteotions Management, Federal Emergency Management Agency. 500 Street SW. Washington. DC Paperwork Reduction Protect (3067-0151). Submission of the form is required to obtain benefits under the Public Assistance Program. . 06/ I 7/2008 . Federal Emergency Management Agency E-Grants Page 6 Of 3 NOTE: Do not send your completed form to the above address. DISASTER PROJECT PA ID NO. DATE CATEGORY NO. 145-99145-00 02--29~20o8 A FEMA 1735 - DR 23K 13 DAMAGED FACILFFY WORK COMPLETE AS OF Debris Removal -PA Pilot Program (AC012) O2_21_2oo3 0 APPLICANT: WAGONER rcounm icoumv; Wagoner LOCATION: Road District 1 LATITUDE: LONGITUDE: - 36.05982 95.64152 DAMAGE DESCRIPTION AND DIMENSIONS limbs (hangers). . During the incident period accumulations of ice on trees and utility tines felled vegetative debris on applicant maintained property and Rows varying from light to heavy within the boundaries of Wagoner County Road District 1. It was determined that a cummulative total of 39.550 CY (See attached Debris Assessment Report) of vegetative debris remains on applicant maintained property and ROWS and trees with hazardous SCOPE OF WORK WORK TO BE COMPLETED: The applicant will foilow all state, federal and locai laws and will obtain the neccessary permits to complete the following: A) Picl<~up and haul 39.550 CY of vegetative debris to a Debris Management Site which has not been estabiished at this time. 8) Dispose of 39,550 CY of vegetative debris by burning at a site to be determined. All permits will be obtained prior to buming. C) Remove hazardous limbs (hangers) from 1503 trees. NOTE: A separate PW will be created for reiated work cornpieted by Force Account, if eligible. NOTE: The applicant representative, OEM and FEMA Debris Crew Leader completed estimate. NOTE: EMA Cost Codes were used for estimated costs for this PW. NOTE: The price obtained for removai of hangars was obtained by averaging 36 different contracts across the State of Oklahoma with an average of $60Itree. NOTE: The applicant has volunteered to participate in the grants on the basis of estimates procedure of the Public Assistance Pilot Program. The eligibie cost for this PW was developed in coordination with State/FEMA/applicant and is considered the final approved cost for this PW. This estimate- based procedure will be allowed for Category A projects up to $500,000. Only omissions and errors may be considered for cost adjustments. Applicants will not have appeal rights under this PA Pilot Procedure. Does the Scope ofwork change the pre-disaster conditions at the site? Yes [7 No Special Considerations included? I7 Yes F. No Hazard Mitigation proposal included? i' Yes Fun is there insurance coverage on this facitity? [7 Yes No PROJECT COST ITEM cone QUANTITYIUNET COST 1 0000 Work to be Completed OILS 0.00 0.00 PA PILOT: GRANTS 2 9303 ON THE BASIS OF 0.00 0.00 ESTIMATES - CAT. A DEBRIS (TREES 8. 3 1015 UMBS SCATTERED) 3955010'! 6.00 237,300.00 DUMP CHARGES 4 1050 (BURN BURY) 39550103' 1.00 39,550.00 5 9999 60.00 90,130.00 TOTAL COST 367,030.00 PREPARED BY Angela Carrier TITLE Squad Leader (PO) SIGNATURE REP. David Webb TITLE .. 06/ I 2008 Federal Emergency Management Agency E--G1'ants Page 7 Of 3 WAGONER (COUNTY) Conditions information Review Name Condition Type Condition Name Description Monitored Status This review does not address all federal, state and local requirements. Acceptance of federal Other funding requires recipient to Condition) obtain alt appropriate federal, state and local environment permits and clearances may jeopardize federal funding. other Any change to the approved . scope of work will require re-- Final Review Change Scope evaluation for compliance Yes Approved Environmental of work Condition) with NEPA andother Laws and Executive Orders. if ground disturbing activities occur during construction, other applicant will monitor ground Ground disturbance and if any Final Review disturbing potential archeological Yes Approved Common) activities resources are discovered, will immediately cease construction in that area and notify the State and EMA This is a PA Pilot Project Based on debris estimates. and 0% work completed, the applicant is responsibie for obtaining a debris form signed by Department of Environmental Quality (DEQ) and Oklahoma Archeological Survey (OAS) before initiating work. If using a permitted landfill, OAS signature is not needed but the landfill name and permit number must be included in the work documentation, and the work must meet DEQ permit requirements. EHP Review Other (EHP) 1994 No Recommended This review does not address ail federai, state and I ca! 're . EHP Review Other (EHP) C2 gficggeral No Recommended funding requires recipient to comply with ali federal, state and local laws. Failure to 7/2008 Federal Emergency Management Agency E-Grants obtain all appropriate federal, state and locai environmental permits and clearances may jeopardize - federal funding. Page 8 of 8 EHP Review Other (EHP) C3 If ground disturbing activities occur during construction, applicant will monitor ground disturbance and if any potential archeoiogical resources are discovered, will immediately cease construction in that area and notify the State and FEMA. No Recommended EHP Review Other (EHP) 2063 Applicant should coordinate with the local floodplain administrator. NO Recommended EH Review Other (EH P) 2062 The disposal must comply with landfill permit conditions. No Recommended EHP Review Other (EHP) 2161 This is a PA Pilot Project Based on debris estimates, and 0% work completed, the applicant is responsible for obtaining a debris form signed by Department of Environmental Quality (DEQ) and Oklahoma Archeological Survey (OAS) before initiating work. if using a permitted landfill. OAS signature is not needed but the landfiil name and permit number must be included in the work documentation, and the work must meet DEQ pennit requirements NO Recommended EHP Review Other (EH P) C1 Any change to the approved scope of work will require re- evaluation for compliance with NEPA and other Laws and Executive Orders. NO Recommended 06/17/2008 OKLAHOMA DEPARTIVIENT OF EMERGENCY A PROJECT CERTIFICATION REPORT FIN PARTIAL QUARTE.R.LY REPORT (circle one) . FEMA - 21 5 DR-OK (circle one) PROJECT APPLICANT: /25* 6* Pwsae: gag some 5 ELIGIBLE pwmomn: ,3gz are BY THIS REVIEW: 7 INCREASE ECREASB: 3 17, .45 7. /c9 BACK-UP TI DURING THIS LABOR I PAY RECORDS 54 0 'Va BQUIPEI RECORDS Ownership 3: Availability) MATERIAL RECORDS JNVOICES I LEASE I RENTAL AG sea . SITES INSPECTED TO VERIFY SCOPE OF WORK COMPLETED DURING THIS INSPECTION THE INFORMATION PROVIDED THIS ACCIJRATELY REFLECTS PROJECT CILOSIBOUT ON XJATE. flAEm3PEfl0R DATE: 5' 5' AS THE APPLICANT OR RE IN ACCORDANCE WITH 44 CFR. ?206.2f3S, 4 BY MY SIGNATURE THAT ALL ELIGIBLE COSTS ASSOCIATED WITH THIS PW HAVE BEEN ACCOUNTED FOR AND WERE mcmuzsn IN THE or rm: ELIGIBLE scorn or won: AND mar ALL WORK AND costs CLAIMED ARE BL1amu.=, ACCORDANCE mm mm mm counmous. I ALSO caamw mm mm APPROVED won: FEIVIA.-STATE A AND FEMA AND POLICIES IN ACCORDANCE WITH 44 cm, ?13.21. AS THE APPLICANT, IALSO UNDERSTAND THAT IF I RECEIVED MORE THAN $500,000 IN ANY . T0 SINGLE ACT AND I Altai TO OKLAHOMA EMIERGENCY PUBLIC ASSISTAI-ECE DEPARTMENT WITH A COPY 01-' AUDIT WTIHZN TO BE AVAILABLE FOR FURTIER FOR. A PERIOD OF 3 YEARS FROM THE FINAL IS SIC-NATU DATE: FOR. COST COIVBWENTS: (use additional shersts as neededour--. run-aorta: as-'1-'Il' 4 - - - . .--.- -. . I . .- I g' - er', . . STATE OF OKLAHOMA SUMMARY OF DOCUMENTATION FEMA 47,35 43:: PWNO. 3 75' LomnoN: . APPLICANT: as 4 woax smz-r ma-5: - 3 9' <95' WORK coup DATE: -- 09 342. 039.05 cm-eeoav: nu n: mcaan 557./0 . . nescanrnon uurrs NUMBER uuraasn TOTAL cuman FORCEACCOUNT LABOR L3 I-'oats ACCOUNT L5 /00; 70 . 9 LABOR I EQUIPMENT MATERIALS MATERIALSFROMINVENTORY. LEASEIRENTALS AGREEMENTS mm - /2,ss=7,5s~ 43+ I *5 833.09 - L5 I 90, 7.40.00 TOTAL he/uguxlzt' 1? 4; c_ Kathleen Shingledecker, With the remainder of the Fema money frorn 278 we bought a dump xx-filer for $2,000.00 and used the remainder of the Farm. money for the trailer. Wagoner County District 1 30020 East Broken Arm E-Mail: mp'? . [_pDf"3 uec. Pmject Workshect RPS No. Din ch-pg um I45-OQMS-OI A - - 'ht out ch: Izmnt 0'16 . Wnpurcouuy Lanna: I.onpw-doc' In-d ll:Il1d I 36.3" campus" .: . bin at irmun-u su- qgvo Hoar: upon: uf'I'orI: A) F'-Q-Aqndhil 3) Iv-:1-q:ufS3lCY. nu-ageofsimne. onlyauiula-n-um-an Inenmiduudtwunnanfiruunun. no :5;-uaiul inn inaud-ct.' no I: dun: inuuaccvvuut on 4 no H-nun' lndulul? :5 no at Carl- hm Coda Nuiuivc Uni! Unkflic can I TDBE 3 2 93?: 'unorrnotawg In is om a 3 ms DENISE ewagscarragmy ruse>> or mu 231.300 4 mo 39.sso.o cr mu 39_;s_cg 222__.m_Mnun cgI:@_ .. . - 3-00 9999 1,593.2 mun 90453 15 ,v A Tali can 961.03>> BY: Al Carlie 11115: Prnilcwgodnlill. rrucmr; W|ptIICofllIly IPHUNE I sag vu-2.: FEDERAL EMERGENCY MANAGEVENT AGENCY SPECIAL CONSIDERATIONS QUESTIONS - law-II us-mas-no [I-mnacn mm mun uhidnak.) DYE Duo Elana: Sn Atneldluunncu lnlurnatlu C113 Elm Duran: Canaan: DIE: no Duran: Elves Elan Dunn: consume: 5. DYE Eh-a Dunn UTE Elm DLIEE "Conant DYE E-Elna>> Dual! lCoI'Inah: I. Elves Elia Eluusuus Consult: U1: E]-a Eluvauu Canaan: 31.11.?