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<br />r/f <br /> <br />COUNTY <br />lDvt t- <br />POPULATION <br /> <br /> <br />FEOERa.MERGENCY MANAGEMENT AGENCY .. <br />PRELlMIN~ DAMAGE ASSESSMENT SUMMARY J <br /> <br />PART I - APPLICANT INFORMATION <br /> <br />PAGE~ OF -LPAGEl <br />DATF" <br />6-27-~"I <br /> <br /> <br />CATE- NO. OF <br />GORY SITES <br /> <br />NAME OF LOCAL CONTACT <br />;:])"'A1 t:..{./; '$.,..." <br />MAINTENANCE BUDGET <br />APproved' Bal.nee $ APproved' Balanee . <br />PART 11- COST ESTIMATE~RY (COMPLItTS BITB ESTIMATB BBFORE SUMMARIZING BBLOW) <br />POTENTIAL LOCAL FUNDS FOR RECOVERY <br />FUND/ACCOUNT .. AVAILABLE BALANCE <br /> <br />PHONE NO. <br />-:z..76- 37Jf/ <br />DATE FY BEGINS <br /> <br />TYPES OF DAMAGe <br /> <br />COST ESTIMATE <br /> <br />r <br /> <br />/ <br /> <br />j)u.'*~- /10..eI <br /> <br />/ '3tJ/ OPP <br /> <br />, <br /> <br />i <br />>; <br />1 <br /> <br />"'f"""'".~A:~"" '~',~."",,,,~ <br />..:< .;,:,"~:~~~~i'~",~'.t,;~rl~"h~~. !.~::l>-- ,>'":~X:f~"~ <br />-,"\:;">..> 'c<' '-:-" :~, ~>;.f'; )'!"{-.^r;ji.j;" :~,-~~-j"_i:,(;?"",'t-~:'.';::><'~" :l;~'.,~~ <br /> <br /> <br />TiTAL <br />'3a,,00(7 <br /> <br /> <br />TOTAL <br /> <br />PART III - DISASTER IMPACTS (UBE SEPARATB SHBBTS IF NBCBSSARY) <br /> <br />A. GENERAL IMPACT <br />1. Identify end describe damages which constitute 8 health and/or safetY hazard 10 the general public. <br /> <br />--- <br /> <br />2. Populetion IlCIvenelV affected directly or indintCtly by the loss of pubtic facilities or dameges. <br /> <br />1 <br />1 <br />I <br />f <br /> <br />--- <br /> <br />3. What economic: ectivitles are BeNersely effected by the Iou of public: feclllties or ct.nages? <br /> <br />B. RESPONSE CAPABILITY: Can the applicant respond and recover from the damages Quickly and without degradation of public services? Describe. <br /> <br />/~ <br /> <br />C. IMPACT ON PUBLIC SERVICES IF DECLARATION IS NOT MADE: e.g., Deflltrr.1 of permanent repairs. impact on ongoing .ervicn ,nd capital <br />improvements. etc. Describe. <br /> <br />;r/g /"'Y"" r <br /> <br />NAME OF INSPECTOR <br />~av,~ -Sc-4-...,,/r <br /> <br />AGENCY <br />C,off <br /> <br />PHONE NO. <br />8/{'1-371'1 <br />