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<br />ij, CIQ~~Ir1Q N~mplll(m(lX, ., ahur,} O. ElleQtlvlI Date
<br /> '3'11 ~32. S PAGE 2 (MiDOlYrV) )~
<br /> 05 13~
<br /> Part III: Traffic: Contrcll Oevlal lnfcmnlltfan
<br />1. No SlgM' Qr Slgnala 2. Tvo~ af Wllmln/l ~Qvjco 01 Closslna - SInn. Is0llCllv numbal at aachl
<br /> M. CrollllbucKS 2.6. Hlllllway Slop Sign. (R1-1) 2. C. FIR AdVance Warning 2.0, Humj:l Crossing Sign (W10.S)
<br /> o ChecK If CClIroct .3 Z. Signs (W1 0',1) o Ves ~o o Unknown
<br /> !B"YlIll ,0 NO
<br />2.5. Pavemllnt MllrlllngB i.F. OIlier S\gZSpecifY MUTeD type) ~\ 0 ~ 2-
<br /> o Stopllnes o RR Xing Symbole ~None Number Speclt.y Type (max. 10 char.)
<br /> Numbel Specify Type (max. 10 chsr.)
<br />3. Type Qf Warning Davice al Clossing - Train Activated Devices (specifY numbsr of Bsch)
<br />3.A. Galee 3.8. Four-quadranl (or 3.C. Canlllevered (or 6rldglld) Flashing Llghle 3.0. MB$t Mountad 3.E. Number of Flashing
<br /> D full barrier) Gilles Over Traffic Lano (number). 0 Flashing Lights (number) Light Palra
<br /> ~BS 0 No Not Over Traffic Lana (number) 0 0 0
<br />3.F. Other Flalhlnll Llllhll 3.13. HlghwayTremc.Slgnllls " .3.1eI, .VJIIgwllgs.(numb"r) \3.J. 80lls (number)
<br />Number C) Specify 1'ypa (mlllt. 9 t:hllr.) (nurne.r) 0 0 0
<br />3,f<' Olhsr Trllln Acllvllllld Werning Device.: (specify)
<br /> (mlllt. 9 t:har,)
<br />4. ?"clry Specllll W/.lrnlng DllvlclI NOT Train Actlvalod (malt. 20 char.) e. Chlilnnllll~IiIUon Clivi ails With Glllu
<br /> f!.,(Mar'l4rrr .~~O G?a...~e~ o All Aprcaches DOne Allproilck ~Qnll
<br />e, Train Dolllctlon 7. Illgnlllllng ror Trllln Oporal":m: ~. Tltlffic I.lghllnlemonnecllon/Prellmpllon
<br /> o Conltent WlIrnlng Tlms o OCIAFO III TrecK E;qulPPlld with rrllln Slgnol"7 o NollnlorcllMl1llc:tlld 'a'N/A
<br /> o Mallon O"tecWs o Oth"r OVal o S1lmultllnllllUI Preempllon
<br /> [g-'None g"No o AdvlInce !'rllempllon
<br />9. Rllservlld ror Future! USIl 110. RIlsel'llld For Puluro Uall 111. Resorved For Futuro UIO 112. Raall/Ylld For Futl.lro Ua.
<br /> Pert IV: Physloal Chllracterlstlcs
<br />1. Typo of Oevelopmont s1ndUSlrlal 2. Smellesl Crolelng Ang'" rg/ao' . 90'
<br /> o Open Spac" 0 RlIsld"ntlal o Commerclal n Inslllullonal 00"-29' 030'.59'
<br />3. Number at Traffic Lanes 14. Are Truck PU1l0~nas presenl? 5. Is Highway F'aved?
<br /> Crossing Railroad 0 o Vea No IS3'" V as o No
<br />e. Crossing Surfaca (on mllln line) (9'1. Asphelt end Flllnge
<br /> 01. Timber o 2, Asphelt 04. Concrete o 5. Concrote end Rubber
<br /> o e, Rubber 07. Melel o 8. Unconsolidated 09. Other (Speci/y)
<br />7. 00" TracJc Run~~ ' Slreel? I a. Ne,~ Intersecting Highway? o 200 to 500 feet n N/A 1,lt Slgnlllnd? ~'I
<br /> CJ Vel No' 12 LlSs Ihnn 7S feet n 7510 20Q re,,! No
<br />9. II CrOllln~ IlIl.Imlnlltld? (strlle! ilShts 10. II Commercial Power AVllllublll'/ 11. Spacll Resel'lllld For Future Use
<br /> ~ llPP C~. 50 tool frpm nOllrn rllil) ~. o No
<br /> '1'.1 0 Ne
<br /> Pert V: HighWay InformstJlIn
<br />1.. HlglIWIlV Syet.", 2, II Oro18lno on litllte Highway System? 3. fl'unCltlonlill Claa.lfll\llllon 4, Poatod HlllhWIIY Spe.d
<br /> o InWs1.le 0 Fadel'lll Aiel, Not N"!S a Vel ~o pf ROlld at crol~
<br /> o NIlI, Hwy Syalllm (NHS) l2'Non F"dllrlll Aid U( \r:o.~ L.(Cl . 80
<br />e. Annl.llll AverllQII !:lolly TraMc (MOT) e. li!sllmlltll Perce,"1 Trucks 7. AVllle8e Num~llr of SChOlll Bus".
<br /> Yesr ~6 MOT 0 -'2- Ol/.r rOlllnll per Solloel DIY 0
<br />Public reporting blll1l.n for thlllnfonnltlon collletlon II '1lImltad to .....,.g.15 mlnutll pur ,OIponea, InClUding tIl. Um. for ravl.wlnlllnltructlonl, ..srchlnG I~lsllnll dill
<br />sourcae, gathlrlng and malnllllnlng tIIo dell noadad, and compl.llno anll revl.wlng !hI call..tlol1 ellnformlllon, Anol'll'nll tD Ill. lI',p"work V\edullllon Aot 01 19ta, . fad.",
<br />4glncy m.y not conduct or .pan.or, And a pOnlan I. not rtqulrld 10 respond 10, nor .hlll. p'nlan DI .ubjlot to I p,nellY tor failure Ie comply with, . colleollon of
<br />Infonnallen un/.u It dlBplBYBI curr.ntly vBlld OMB control numblr. TIt. vallllOMB control numb" for till. Inronn,llon collocllon I. 2130.0017. All rlSpons.e 10 this
<br />coll.ctlon at Informstlon arB voluntary, SBnd commlnll (lGordlng 1111. burdon o.tlmall or ony otllDr s.poet of thl. collection, Including ,uogBlllon. for rBduclno !hI. burdun
<br />to: Infonn,lIon Colle.tlon Omeur, Fod.ral Railroad AdmlnlBtrltlon,1120 Vlnnont AVI., N.W., WI.hlngton, O,C. 20590,
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<br />U.S. COT CROSSING INVENTORY FORM
<br />
<br />16
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