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<br />..-- 4 \1 -.. <br /> <br />UMU No. ,,)VU I-UU,,),,) <br /> <br />FEMA DECLARATION NUMBER <br /> <br />INAPP <br /> <br /> <br />EMERGENCY MANAGEMENT AGENCY <br />NOTICE OF INTEREST <br />FOR FEDERAL DISASTER ASSISTANCE <br /> <br />DATE <br /> <br /> <br />?/?-LJ,g, <br /> <br />, <br /> <br />FEr RA <br /> <br />8/8/84 <br />PROJECT APPLICATION NUMBER <br />0:57- /83/':? . <br />The purpose of this form is to list the damages to property and facilities so that inspectors mav be appropriately ..igned for a <br />formel survey. <br /> <br />e <br />\ <br /> <br />l <br /> <br />REQUIREMENTS FOR FEDERAL DAMAGE SURVEYS <br /> <br />A. DEBRIS CLEARANCE <br /> <br />o 00 Public Roads &: Streets including ROW <br /> <br />o Other Public Property <br /> <br />o Private Property (When undertaken by <br />IocI1I Gow:rnment fon:n) <br /> <br />o Structwe Demolition <br /> <br />F. PuBuc Ul1UIY SYSTEMS <br />o Water 0 Storm DraInage <br />o Sanitary Sewerage 0 Ught/Power <br />o Other. <br /> <br />B. PROTECTIVE MEASURES <br /> <br />G, FAClU11ES UNDER CONSTRUCTION <br /> <br />o Ufe and Safety <br /> <br />o Health <br /> <br />o Public Facilities. <br /> <br />o Property <br /> <br />~ SIIeam/Drainege OIannels <br /> <br />o Private Non-Profit Facilities" <br /> <br />i C. ROAD SYSTEMS <br />'.' <br />I o Roads <br />, o Streets <br /> o Bridges o Cuherts <br /> o Traffic Control o Other. <br /> <br />B. PRIVATE NON-I'ROFIT F ACIUI1ES" <br /> <br />o Educational <br /> <br />o Medical <br /> <br />o Emergency <br /> <br />o Custodial Care <br /> <br />o Utility <br /> <br />D. WATER CONTROL F ACIlJTIES <br /> <br />o Dikes <br /> <br />o Le_s <br /> <br />o Dams <br /> <br />L CYrHF.R(NotinllboW:CIltegoria) <br />o Park Facilities <br />o Recreational Faci1ities <br /> <br />,;; <br />t, <br /> <br />--#.; <br /> <br />.~. <br /> <br />o Drainage Channels 0 Irrigation Works <br /> <br />E. PVBUC BUlWINGS AND EQUIPMENT <br />o Public Buildings <br />o Supplies or inwenlory <br />o Vehieles or other equipment <br />o Transportation Systems <br />o HJsher Education Feci1ities <br /> <br />, <br /> <br />:;:;, . <br /> <br />S;' <br /> <br />if{ <br /> <br />.' <br /> <br />~ <br /> <br />. Indicate type of facility, <br />. * Prollide IICIme of the (acUity and of prifJGte nolt-pro/it owner. <br />NAME OF POLITfCAL SUBDIVISION OR ELIGIBLE APPLICANT <br /> <br />COUNTY <br /> <br /> <br />1 <br />BUSINESS ADDRESS <br />BOX 39 u=;'ll!iIJ BUl'IE (X) 81224 <br />NAME AND TITLE OF LOCAL CONTACT <br />3 FRED OYER PUBLIC KlRKS MANl\GER <br />BUSINESS TELEPHONE NUMBeR (l"cluck A.... e04_) <br /> <br />2 <br /> <br />GWN:ISCN <br />ZIP CODE <br />81224 <br /> <br /> <br />349-5338 <br />FEMA F...... _.. MA V 112 <br /> <br />HOME TELEPHONE NUMBER (l"ehMH A.... Cod<<) <br />(303) 349-6517 <br /> <br />REPLACES EDITION OF MAR 80. WHICH IS OSSOLETE. <br />