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U.S. Department <br />of Transportation <br />Federal Highway <br />Administration <br />DETAILED DAMAGE INSPECTION REPORT <br />(Title 23, Federal -aid Highways) <br />Location (Name of Road and Milepost) <br />c.4 (,tct — ar d uues-F DC Co LD ue vw c - <br />Description of Damage <br />Rwta <br />wash 0 <br />Cost Estimate <br />co <br />m <br />d <br />d <br />E <br />w <br />Description of Work to Date <br />(Equipment, Labor, and Materials) <br />t 7t t✓ji )fL4 rC f ra.iY <br />Method <br />Local Forces <br />D State Forces <br />Permanent Restoration <br />Unit <br />Contract <br />Method <br />Local Forces <br />Unit Price <br />0 State Forces E] Contract <br />Environme ssessment Recommendation <br />Categorical Exclusion <br />EA/EIS <br />Recommendation <br />Eligible E Ineligible <br />Concurrence <br />es Q No <br />FHWA Engineer <br />State Enginee <br />Concurrence <br />Yes No <br />Quantity <br />Report Number <br />. 86-029 <br />Sheet <br />( of f <br />FHWA Disaster Number <br />PL -OW _ Oy <br />Inspection Date <br />(0 —2C, —O L/ <br />Federal -aid Route Number <br />State County {� <br />FLS g OI.; or. 1 t� <br />Completed . . <br />Cost <br />Remaining <br />(40,000•°' <br />Subtotal (oOO.`" <br />PE/CE ' <br />Emergency Repair Total {1 (o pop r° <br />'t"' f <br />Subtotal <br />PENCE <br />Right -of -Way <br />Perm. Repair Totals. <br />Estimated Total <br />600O.cr <br />Date <br />1b -o4 <br />ency R •resentativ <br />Form FHWA-1547 (Rev. 4-98) <br />