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Pr DETAILED DAMAGE INSPECTION REPORT <br />U.S. Department <br />Fof ederal a (Title 23, Federal -aid Highways) <br />FedereCHighway <br />Administration <br />Report Number <br />f' i`5 - 0 12. <br />Sheet <br />Of <br />Location (Name of Road and Milepost) <br />•rt -t)("-' Rivet C.t. u^( -v`( <br />FHWA Disaster Number <br />Ft- az-( - oZ <br />Inspection Date <br />la (CR (200–( <br />Description of DamageFederal-aid <br />IJEI ,2( S , cVAL 1 ?a supet 1 c....., -fa- Ft244-1C, , <br />CArr t AA ---r ,' rte C.y-h.2 at cT waw i• <br />Route Number <br />N./AA( ouS <br />State •County <br />FL .g , T"(4) ears( <br />Cost Estimate <br />Emergency Repair <br />Description Work to DateUnit <br />Cost <br />of <br />(Equipment, Labor, and Materials) <br />Unit Price <br />Quantity <br />Completed. <br />Remaining <br />'1Qrl'efS IeCr-+aVN- /ip(Sft.SAG.. <br />• . • <br />xnc),An,,r, 2i t e r cm v\ <br />• <br />Fcci rA. f -ad (s-( -k 2 oad) <br />t,2_, I g`-1. — <br />Fedi v-o_i-Grid (oro !-froc 206d) <br />I, 2t`I 922. v- <br />. 1 f n a J t <br />0 <br />IP .5D <br />9._11-77 <br />11 _ - 11. °o <br />_ <br />clubrs o�.is(-� .1 <br />CY <br />4.00 <br />2t,t 02 <br />ay 1 i2,o <br />'• di,' VG' • 1 F ► _ • <br />Ito &OD <br />3 2.3 .7 oo. O' <br />-AA. <br />I FA- vwn S.R. .) <br />C`( <br />co 044 <br />II , -l'f 8 . en <br />(itS scLI <br />GY <br />•oro <br />17204 <br />b71 ?Ito.°° <br />5er60..•4-0a-rn <br />C`( <br />15.y3 <br />3201 <br />• 449 421.Gt <br />Method Subtotal <br />j• ;3 t 39 p7. °f <br />Contract PE/CE <br />Local Forces State Forces 15.4 <br />• Emergency Repair Total fli 131•49 7- ,° <br />Permanent Restoration <br />MethodSubtotal <br />• <br />PENCE <br />Local Forces State Forces Contract <br />Right -of -Way <br />Perm. Repair Totals <br />Environmental Assessment Recommendation <br />Categorical Exclusion E EA/EIS <br />Estimated Total <br />�o'r3 t 3�c1 a ,<° r <br />Recommendation <br />%Eligible Ineligible <br />FHWA Eng r = r <br />,) <br />Date <br />/d 6(�4l/ <br />Concurrence <br />[Yes ❑ No <br />Stategi \ <br />- G G;__—______ <br />Dat <br />/OM ef <br />Concurrence <br />i :.. <br />—Local <br />Yes. <br />cy R resentative <br />A, n <br />.. <br />Date <br />7 ( : <br />Form FHWA-1547 (Rev. 4-98) <br />