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<br />e. Cre..lng Numbllr (m~M. 7 ;nllr,) O. ISffllcUvll Oliltll
<br /> '~\ 233'1 PAGE 2 (MMr'O/~r.vY)
<br /> o~ I ~ 1,.OO!:l
<br /> Pert III: Trefflc Contrlll Olvlc;elnfo","atlan
<br />1. Nil Signa or Slgn,11 2, Tv"" of Wafflln<'! Oe'llc!llll Croaalna- Slnnelan~clfv number of caen'
<br /> 2.A. Cros.bucks 2.6. Highway Stop signs (RH) 2.e. RR Advance Warning 2.0. Hump Crossing Sllln (W10.5)
<br /> o Cheek If Corract Signs (W1Q.1) Dyes ~ o Unknown
<br /> ~IlS .0 No
<br />2, e. F'flvement Markings 2.1". Other Signs (specify MUTeD type) 2..\::' - "2.-
<br /> o Stopllnos o RR Xing Symbols ~ona Numbl'lr 2. Specify Type (ma~, 10 cna,,)
<br /> Number Specify Type (ma~. 10 Chllf.)
<br />3. Typo of Warning Devlca at Crossing - Train Actlvalod Devices (specify number of !tach)
<br />3.A. Gatas 3.B. Faur.quadrant (or 3.e. Cantlleverlld (or Bridglld) Flashing ~ights 3.0. Masl Mounted 3.e. Numbar of Flashing
<br /> '2- full bllrrier) Gales OVllr Traffic ~lIne (number) 0 Flllshlng ~Ighls (number) ~l!lht Pairs
<br /> o Yel ~o Nil! Over Traffic Lana (numbl'lr) -'>- :L. 2-
<br />3,1". Olhlr Flashing Lights' 3.G. Highway Trafflc Signals 3. H. WIgwag. (numbor) 13.J. BIlII. (numbftf)
<br />Number _ 0 . Speelfy Type (me~, 9 cn6r.) ~ ... .. (numllor) 0 0 0
<br />3,K. Other Train Activated Wllrnlng Devices: (3~eel!y)
<br /> (ma~. 9 chef,)
<br />4. Specify ~peclal Wllmlng Oev";s NOT Trllln ,Il.cllvllled (mll~. 20 char,) 5. Channelization DllVlclla 'Mth Galae
<br /> ~ Aproachll$ 0 One Apprllllch o Nono
<br />a. Train Oatectlon 7. lllgnollln9 ror Train Operatlcn: e, Trllffie I.lght InterCQnnecllon/~rellmptlQn
<br /> ~(lnstllnl Warning Tim. o DC/AFC I, Track Eq\llpPlld with Train SllInale? o NQllnterconnellted !ErN/A
<br /> o Motion Delllc;tors o Othllr [Q4IlS o Slmulllloeol.ls Pleemptlon
<br /> o Ncnft DNa o AdvilnCll Prellmptllln
<br />9. RlJsaNUd For FUlur. Usa 110. ResllNed For Futuro Use 111. RlIsarved pcr Futurll Use 11 a. Retllrvlld For Futura Use
<br /> PlII'tIV: PhYIIClal Cherllctarlstlcl
<br />1. Type or OeVelllpmftnt ~llmmerclal n Industrial 2, Smallesl Creulng Angle ~. . 90'
<br /> n Open Space o Resldenllall o Instltutlenal o 0'. 2e' n 30"' 59"
<br />3. Number of Traffic LanlJs 2.- 14. Are Truck PUIII.l~S Present? 5. la Highway Pavlld?
<br /> Crossing Rallrelld DYes 0 ~s ONe
<br />6, Crossing Sur/Ice (en main line)
<br /> o 1. Timber 02, Asphalt o 3. Asphall and rlenglJ' o 4. Ccncrlltll o 5, Cencrete and Rubber
<br /> ~ RUbber . o 7. Mlltel o a. Uncenaelldalftd o 9. Other (SPlIclfy)
<br />7. 00111 Track RUn~.JI Slraet? Is, Nlt.';:;,lntllrsllcllng HlghwlIY? Is It Slgn.llud? ~s
<br /> n Yas c.' M ess th.n 75 f.lIt . n 75 te 200 Illllt n 200 to 500 filet nNIA
<br />9. la Creaaln~ Illuminated? (DtflleIIlSht. 10. la Ccmm.rclal Power Avullllble? 11. S~llc, l'!.aeIVlld For FUMI!I USlJ
<br /> ~ app O~. 50 fOClt from nearlla roll) ~a o No
<br /> Yea 0 No
<br /> Part V: HlghWIY Inm","lllon
<br />1, HlghWIIY SYllarn 2. Ie Croaalng Qn Slllle HI9nwllY Syal\lm'? 3, Fumltlon-' CI...mcllllon 4. "aalllQ Hllltlwey S~aod
<br /> o Intoratatft o Plldftl'lll Ald. NOI NH6 ~e o( Rallll lit erellalng
<br /> o Nil!. HWYSyatom (NHlll ~Qn Fllderlll Aid o Ylll U r00-n ~\\~ aG
<br />~, Annual Averegll Dally Tr.fflc (AllOT) 8. lS.lImlll!o ?ercftn\ Tr~ckl 7. AVlrll8e Numb" 01 Schael ElUDe'
<br /> Yllllr rP:-oC6 MOT \ fj 1 '2.. ~ Over felelng pllr Scheal Oay 0
<br />PUbllo ropllrllng bunt.n (or Ihfl Intoll'll.llon collocllon I_ oellm.locl to uvoroll' 11 mlnulos por Toe pan.., Inoludlng tho 'Ims fOr ravllWlngln8lNlIllons, ..srehlng ,xletlng d.1I
<br />IOUIlIOI, llall1ll1nlllnd malnllllnlnlllhll dalll naadull, and QIlI1\III.tlnlllncl l'OvloW1nll th. oolllotlon of IlItO","_tlOll. AllcontlllQ III III. P'"erwork A'dlllltlon Acl at 1988, . f.d....1
<br />Ig.ngy mllY not conduct Ilr aponlor, .nd I pe",on II not rlqulrod III '''pand tll, nor .hIU. purson bo aubJect to . penally far ftllul'll to comply wlll1, I 1I0U.cllon of
<br />. Irito","alJlln .unle.. It dlsplaya I cUrl'lnllY vslld OMS conlrol number. The vIIIll OMS conlnll number ror thll In(lInn.lIon colllcllon Is 2130.0017. AU ,oeponls. to thll
<br />collecllan of lnto","lllon Ifl volunlsry, SInd common.. rogardlnlll/111 burdon "lImall or any other sapect of thla coUuctlan, InclUding luggeltlons for I'lIduclng 1111. burdln
<br />tOI Into","lllon Colloctlon orncor. Federal Aallread Admlnlatrltllln, 1120 VOll'llonl Avo.. N.W., Washington. D.C. 20100.
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<br />U.S. COT CROSSING INVENTORY FORM
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