FLOOD05478

• County: Statewide
• Basin: Statewide
• Title: Flood Damage Report for 1984
• Date: 5/1/1984
• Prepared For: State of Colorado
• Prepared By: FEMA/CWCB
• Floodplain - Doc Type: Flood Documentation Report

OMS No. 3067-0033 ---
FEMA OECLARA TiC.... NUMBER
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PROJECT AfPLlCA TlON NUMBER
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The purpose of this form is to list the damages to property and facilities so that inspectors may be appropriately assigned for a
formal survey.

FEDERAL EMERGENCY MANAGEMENT AGENCY
NOTICE OF INTEREST
IN APPLYING FOR FEDERAL DISASTER ASSISTANCE

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REQUIREMENTS FOR FEDERAL DAMAGE SURVEYS

eo

A. DEBRIS CLEARANCll

~ Public Roads & Streets including ROW

o Other Public Property

o Private Property (When undertaken by
local Government forces)

o Structure Demolition

F. PUBLIC UTILITY SYSTEMS
~ter 0 Storm Drainage

E?/J 0 Sanitary Sewerage

o Ughl/Power

o Other"

B. PROTECTIVE MEASURES

,
G. FACILITIES UNDER CONSTRUCTION

o Ufe and Safety

o Heal th

o Public Facilities'

o Property

o Stream/Drainage Channels

o Private Non-Profit Facilities"

C. ROAD SYSTEMS
~oads o Streets
;:::/1 It M'Bridges o Culverts
o Traffic Control o Other'

H. PRIVATE NON-PROFIT FACILITIES..

o Educational

o Medical

o Emergency

o Custodial Care

o Utility

D. WATER CONTROL FACILITIES

.~

I. OTHER (Not in above categories)
~ ~rk Facilities
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o Dikes

o Levees

o Dams

o Drainage Channels

o Irrigation Works

o Recreational Facilities

E. PUBLIC BUILDINGS AND EQUIPMENT
o Public Buildings

o Supplies or inventory
o Vehicles or other equipment
o Transportation Systems
o Higher Education Facilities

. Indicate type of facility.
.. Provide name of the facility and of private non-profit owner.

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COUNTY _
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FEMA Form 90-49. MAY 82