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<br />
<br />FEDERAL .GENCY MANAGEMENT AGENCY
<br />PRELIMINARY DAMAGE ASSESSMENT SITE ESTIMATE
<br />
<br />PART 1- APPLICANT INFORMATION
<br />NAME OF LOCAL CONTACT
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<br />
<br />:;:.nt:.t:.l
<br />
<br />Ur
<br />
<br />SHt:t:TS
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<br />PART 11- SITE INFORMATION
<br />KEY FOA DAMAGE CATEGORY (Uae approprfute letten'n the "category" bloclra below)
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<br />
<br />a. DEBRrs REMOVAL
<br />b, PROTECTIVE ME ASURES
<br />c. ROADS AND BRIDGES
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<br />d. WATER CONTROL FACILITIES
<br />~: PUBLIC BUILDINGS
<br />f. PUBLIC UTILITIES
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<br />g. FACILITIES UNDER CONSTRUCTION
<br />h, PRIVATE NON-PROFIT
<br />r. PUBLIC RECREATION
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<br />SITE CATE. LOCATION (Uae map location. addre.., etc.)
<br />NO. GORY
<br />
<br />/, c. f. h r It. - - //I / SOl/!;" r u5- Cow. 0
<br />DESC IPTlON OF DAMAGE
<br />LD$t /ha.l~ d'-ver.UO/1 AGad.3.dcc O/) Q~c<rb CreEk W,{IC~ ~eEcls J. ,P{/:Je;;;'
<br />(10 'I -112'') C-bOfll 3000 j1a./ /t..1/',lo.d mO-lA!wJ/a.Hed' rls), prOclVC1?cdl /7{:Y/ )/130;-
<br />U/) less r('palred. f!rEa. lT€ed.s n/J' ro.l' fYJp/a.c.em6-/l1 c..40 to JOro/eel AE~~.
<br />caSt hrr;c..k dOj,()n -"0 00" C-(Mtr~f.. c.onlrcdl l, OQd It' t: ccmfrILL! #:J oa d~.s/ t'lWi1l'k
<br />IMPACT, F-' / , I ~. ~....' II' J , 'I ,;~ "COMPLETE C ST ESTIMATE
<br />IS 11 proC/(/{.tlv/7 pOtU}, ICAtty "~npo./r~t7 VJl/~....J 'J'
<br />ref'~'" kJor* }'"n1p/~/1tMred. () Z J?, 000
<br />
<br />"
<br />
<br />SITE CATE- LOCATION (Uae mop location, tJddre... etc.)
<br />NO, GORY
<br />
<br />.
<br />~,
<br />
<br />:2, 50.. e I 'I ,
<br />
<br />DESl!)tJ;:/ol~ArJGpeuo/)/1e/.cA~~hcl c..rec.. o~ i,/:J;:;/a;: Tky c.~vlc/ WJ~ reac,(
<br />t;'~ SIr'sf .s!reahl C:QSSt~.v'/] fasf /."-1/:: Cr""k rcac/. 7At- C/'a5S/~ ~o.d toc, fl7VcA
<br />k/(;rer ".. .6c.1* erOStv/) 'Co cl?J~. k"(jw/~ /'c;w rA<! roc.c/ t-/,a/Jt/€rSW <./,0 c'l* L/EC' A:
<br />th~y fElt tNrc V/oJ/,;/ be ,o1a,C€s Wkff '/-/,'" .5;lream <U{>v ~ ~c,k. o~ rh_ tE-hJ7t;('
<br />row 6c-cI e I;" r,.r. _ .
<br />IMPACT, &J'C,.~ .J.. L .L ;,.~, _ _ J t z' '~'" "CO PLETE COST ESTIMATE
<br />, I"......:.s L~ nl/~rer _'~.9r'OI1.l7f" /,Vo /711 GS vpsr/I1' ,
<br />5rM\ JI/4/Y. .s-O wll16e // /1; -/5 roo.d areu-. /'Jar ~ t;tl/j 0 6 17000
<br />SITE CATE. LOCATION (Uae map location, tJddre.a, etc.) , LJ f r . L1
<br />NO, GORY I~- mi. /1Orc,.,eos; OJ Gt.VV1'SC/J c." "-wy. Ij'~ -
<br />.3 /lah her ~
<br />DESCRIPTION OF DAMAG
<br />J, 300 Seel le/J,SM by 7?1a..vI/ni//77 3(; w/df!t J,ilMAecI 01/1 below ~ht! /?1~;'
<br />
<br />he-~Qf~ 0') fht" !::C-.s1 ,{>,vt:r. '3600 U.I ycl -r 4-.% = 30000
<br />'1, eros/a./! c;o/1iro/ d~S:kch(7/I /GfhesrJc.mc<~c/.
<br />'eft/~ x I -
<br />IMPACT't::nda{lc,w' hAhAer y O!'<Jr&<-fl;n IS Ie r r "CO~OPLET; COST ESTIMATE
<br />I.Inrel't:rlr$'d 4- Vile ~/lr/o/4c1 h J .1S-jO 0
<br />
<br />
<br />I'."
<br />
<br />SITE CA TE- LOCATION (U,e mop location. oddr-ea.. etc.)
<br />NO. GORY
<br />
<br />3. pRof>-r/
<br />DESCRIPTION OF DAMAGE
<br />
<br />
<br />15- n,~: ~ortJ,c-c.st- of 6v/1~'Son o~ /fwy 135-
<br />/, -
<br />
<br />I. f} <(I PG.rs4dl ,~~'-7'/~ w'fC,{, rneasVro-s wafer US'C:;i€
<br />neecJ~ to he rell'1SlaIledL lOvQ; . ,
<br />''2,. OA/'l'Ii:e Ie. I'ltEw/,/ EJ/o.,nrecl cr~e;S !t.s-ooCJ
<br />. . I I I' r I ,II /
<br />..3. Co ~ G Ik. () ell cI ~'N' DOO
<br />IMPACT' fJcdenf1c..//,/ ,oSS:ccl kl-c..Aerv c-pc:ruho.l1 IS "COMPLETE
<br />
<br />net re cJOtrtfd 0 6'
<br />NAME OF INSPECTOR AGENCY
<br />
<br />1/1 rAe arec<
<br />
<br />COST ESTIMATE
<br />
<br />I 600
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<br />- FEMA Form 90-81, JAN 84
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<br />
<br />Culo. O/~,
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<br />
<br />- }-Ool 7
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<br />n.pn an"....,AQ
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