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DETAILED DAMAGE INSPECTION REPORT KOPUILNUI Iwe F88 - 002 <br /> u .S . Department <br /> of Transportation (Title 23 , Federalmaid Highways ) Sheet 1 <br /> Federal Highway <br /> Administration of <br /> Location (Name of Road and Milepost) FHWA Disaster Number <br /> Indian River County FL - 04 - 02 <br /> Inspection Date <br /> 09 - 21 - 2004 <br /> Description of Damage Federal-aid Route Number <br /> Hurricane Frances traffic signalization repairs . Maintaining agency 10 - 04 - 2004 <br /> force account work . <br /> State County <br /> FL 88 - Indian River <br /> Cost Estimate <br /> Description of Work to Date Unit Unit Price Quantity Cost <br /> (Equipment, Labor, and Materials) Completed Remaining <br /> Phase I $ 100 , 000 . 00 <br /> CL <br /> W phase II $ 500 , 000 . 00 <br /> . C <br /> 21 (0-m <br /> ' eo <br /> E r <br /> w cai <br /> I <br /> Method Subtotal $ 100 , 000 . 00 G 219 OOO <br /> 0✓ Local Forces State Forces Contract PENCE <br /> Emergency Repair Total `7 2q 000 ,0 ° <br /> c <br /> 0 <br /> M <br /> m <br /> 0 <br /> w <br /> a� <br /> tr <br /> .r <br />- C <br /> c <br /> [C <br /> d. <br /> Method Subtotal <br /> ✓Q Local Forces State Forces Contract PE/CE <br /> Right-of-Way <br /> Perm. Repair Totals <br /> Environmental Assessment Recommendation <br /> Q✓ Categorical Exclusion , EA/EIS Estimated Total 7 2I000 <br /> Recommendation FHWA Engineer Date <br /> ✓] Eligible E] Ineligible <br /> Nahir MendoVg<o� 10 - 04 - 2004 <br /> ConcurrenceState Engineer Date <br /> [JoYes E] No a <br /> j0 � <br /> Concurrence Lo I Agency R esentabyt Date <br /> �s F� No _ ff 0274 - 0 <br /> Form FHWA-1547 (Rev. 448) <br />