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FDAA <br />(A) <br />ITEM NO. <br />A -1 <br />B -1, <br />B -2 <br />C -1 <br />C -2 <br />C -3 <br />.0 /CE -1 <br />IN -LIEU PROJECT SUMMARY <br />560 DR- 152 <br />(B) <br />DESCRIPTION <br />' Mud on road <br />Delivering sand, sandbags <br />Pumping left station <br />Shoulder slope washed out <br />Spillway Rip -Rap washed out <br />Shoulder washed out <br />Road'embankment washed away <br />Applicant <br />(C) <br />DATES <br />*WORK <br />COMPLETED <br />D -1 • Embankment washed out, 12" RCMP plugged <br />F -2 <br />F -3 <br />Storm sewer plugged <br />Storm sewers plugged. <br />F -4 18" RCMP plugged <br />F -5 <br />M.H. .Sanitary is undermined and <br />cawking blew out <br />City of Little Canada <br />(D) (E) • <br />APPROVED AMOUNT <br />DSR *ACTUALLY SPEN <br />AMOUNT BY APPLICANT <br />$ 193.00 <br />$ •666.00 <br />$ 259.00 <br />$ .965.00 <br />$ 318.00 <br />$ 135.00 <br />$ 328.00 ' <br />$ 152.00 <br />$1,111.00 <br />: $1,111.00 <br />$ 166.00 <br />$ 344.00 <br />FE -1 • . Power leaning APX 15° $ 550.00 <br />I -1 <br />Bank wash out <br />'1 -2 . 18" RCMP washed out <br />$1,295.00 <br />$ 592.00- <br />Following completion of all work, the applicant oust complete columns C and E, <br />id the certification, and return this sheet to the State Disaster Office: If you <br />1ected to do work other than that on the approved Damage Survey Report, please <br />>>plete the sheet entitled "Alternate Work" and return it frith this sheet. <br />:RTIFICATION: I hereby certify that all work was completed and all funds were <br />expended in accordance with this listing required by Public Law <br />93 -288; as implezented by 24 CFR 2205. <br />pplicant's Authorized Representative <br />0 52 <br />DATE <br />