|
<br /> ~. -........ . SHEET OF SHEETS
<br /> ./" FEDERAL E ENCY MANAGEMENT AGENCY DATE
<br /> PRELIMINARY D AGE ASSESSMENT SITE ESTIMATE 6 -;J7-;jt-J
<br /> ./ PART 1- APPLICANT INFORMATION /
<br />.-/ COUNTY )hr....J NAME ~F APPLICANT INAME OF ~OCAL CONTACT PHONE NO.
<br />/0),"0 "?,It> ~'O ~.l.tl^"c.n f?p....v HII*T'Y 8 "/d' - Sa :!. ;>
<br /> PART II - SITE INFORMATION
<br /> KEY FOR DAMAGE CATEGORY (UM appropricJt. Iett.,..ln tIN "cate,or)''' bloclts baoJow)
<br /> e. DEBRIS REMOVAL d. WATER CONTROL FACI LITlI!!$ g. FACILITIES UNDER CONSTRUCTION
<br /> b. PROTECTIVE MEASURES e. PUBLIC BUILDINGS h. PRIVATE NON-PROFIT
<br /> c. ROADS AND BRIDGES f. PUBLIC UTILITIES l. PUBLIC RECREATION
<br /> SITE CATE. LOCATION (V,. mop locotion. oddre... etc.) C&<< "1'y RpAll 1-::"
<br /> NO. GORY
<br /> /7 A-
<br /> c....
<br /> DESCRIPTION OF DAMAGE P)..",.9.p,( C _,lv"'I' I C )'''.j ~,a R '" .1.1;> ,0 LV..() S h <>'Gr/", 7/,.../€'-e
<br /> t.</.Ii S AL SP A ho/''''V'f ,... <-< /) t= 1'0 C<.J AlA/I) II."" "'",..,D ~..,~ ,,(J <-vA s4 reo R.
<br /> "3""" F.-pt". A", /6> N X ;u/ ' C q(v.r>r(' t- "'..,,{ 7'-"" {?" ''''''p/,acpcI ,
<br /> IMP ACT: '" COMPLETE COST ESTIMATE
<br /> 4. CfS ~ (; PC>
<br /> C. 'f) ( t7 f?t?t7
<br /> SITE CATE. LOCATION (Use mop loeGtion. addrc-. etc.) (! tPu '17""-( ~oA t:. B ~,/.",p",.s"'S ~~, d'P 7"0 .:> 'L oS"
<br /> NO. GORY
<br /> /g .l).
<br /> "".-
<br /> DESCRIPTION OF DAMAGE D.f'BIi'/s ..d......)) _U'~ C ,..J ROAd~",,'t' .fE?~C7~
<br /> f?.-v 8,0 --' ft: ..... "''' -r- s~,p
<br /> .
<br /> IMPACT: " COMPLETE COST ESTIMATE
<br /> ~cJ ~4~c:? ,
<br /> sITe CATE. LOCATION (U.. mop location. odd,."... etc.) C-tPq I"Il'-( R..A. b t?, "'3 - L-d'C..Q r-rc..v So..,
<br /> NO. GORY
<br /> If! .A. ,... ,/.....(>"'.1-5 '3:1. So: 3-:J. 7,' V- "j~,oS
<br /> C-
<br /> DESCRIPTION OF DAMAGE ..,<-{I:> .o..,\>> I:>..~,."S o ..v ~"''''''l> ~~C-t... sL,p .A"f- 3;1, $"0
<br /> "... /i!'t ,4 L t.-V~SJ.CfI~"" of fR"'Al> 4 A,/ SPeond... p,o.et- t""S},";>S) C-,c,A<'PI.. S f,(L-
<br /> N~~ ~> R...pl./.>c...d..,
<br /> 1"1,< () oL b... l1/hS ~R-C;!I~ SL ,(> C''''-' R. ".4 ~ A7- l;"oS
<br /> IMPACT: " COMPLETE COST ESTIMATE
<br /> A )!> 8<90
<br /> C S- Iboo
<br /> SITE CATE- LOCATION (U.. mop locaHon" oddreN. etc.) C:o<< n'f '1 R",(Jl:!. $9 -, J>, :r~.SO
<br /> NO. GORY
<br /> bl1 ..4-
<br /> DESCRIPTION OF DAMAGE A4Wl> Sol-,!:>.", ,.dcRo~~ tee> .... I) ..-'Vl!!'cPS S ~y..<l1-J"'" 7 ~ er f.> "-
<br /> J)"IH?,> R..p --t..OC/A) t:.. ...
<br /> IMPACT: % COMPLETE COST ESTIMATE
<br /> .l.;t:l 600;
<br /> NAME OF INSPECTOR AGENCY PHONE NO.
<br /> flo--' >/".rP/.> '-_ FHc..-A ~FFICE " I HOM}>
<br /> , r)... "1<{.I;<I'1 79.. - Pc?O
<br /> ; " . ~ ,or
<br />
|