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U.S. Departrnent <br />of Transportation <br />Federal Highway <br />Administration <br />Location (Name of Road and Milepost) <br />Tyr1 4 n 2.i ue r Cou-r <br />DETAILED DAMAGE INSPECTION REPORT <br />(Title 23, Federal -aid Highways) <br />Description of Damage <br />Pe rto rCnr1OUc0 CISSA ed Nv m canc Franc -L5 <br />-)e es-- ry-a}c Loll I incLuae go r -u2 acc•ou n-‘ c.O sk -rhe <br />G0u rrh3 omcf ry-r..)n ce,t1ao,,i <br />Emergency Repair <br />Description of Work to Date <br />(Equipment, Labor, and Materials) <br />(Lt• - <br />e brl. 6 I -e rnD va-. <br />• loirtst <br />vV-a.--K• Y10 <br />T-KrJ�,t..td os <br />tit u n l c <br />UT • <br />Method <br />2/Local Forces <br />0 <br />co <br />0 <br />E <br />o_ <br />Method <br />0 Local Forces <br />State Forces <br />0 State Forces <br />Environm ntal Assessment Recommendation ❑ EA/EIS <br />I Categorical Exclusion <br />Recommendation <br />Concurrence <br />Cost Estimate <br />Unit. <br />r <br />E] Contract <br />Unit Price <br />0 Contract <br />Quantity <br />Report Number <br />Sheet <br />FSS -��� <br />I •of <br />FHWA Disaster Number <br />FL -OH -02 <br />Inspection Date <br />10- 014 <br />Federal -aid Route Number <br />State <br />U0.1 -(0Q.3 <br />County <br />FL $8 - el'Gt.ty C6 ve <br />Completed <br />45.1123 . g <br />Cost <br />Remaining <br />Subtotal 46 1 z3 , g q <br />PE/CE <br />Emergency Repair Total ' <br />Subtotal <br />PE/CE <br />Right -of -Way <br />Perm. Repair Totals <br />4;723 .1c? <br />Estimated Total S 14572 3' <br />FHWA Engineer <br />h4 r`G <br />Eligible <br />Q Ineligible <br />ConcurreriCe <br />Local Agency Represen <br />• Form-fbil A-1547 (Rev. 4 98);• <br />