Western Cumberland Council of Government  
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COOPERATIVE ROAD MAINTENANCE PROGRAM

      EQUIPMENT SURVEY-

Please return by June 12, 2006 to the COG Administrator

Municipality:

Telephone:

Address:

FAX:

 

EMAIL:

Contact Person:

 

 

EQUIPMENT

DESCRIPTION

TOTAL AVAILABLE

Dump Truck

(advise is equipped with paver apron)

GVW of each truck:

 

 

 

Articulated Wheel Loader

Bucket C.Y.:

 

 

Grader

 

 

Roller

Ton:

Vibratory (?)

 

Paver

Max. Pave Width:

 

 

Sweeper

Type (Mechanical or Regenerative Air)

 

 

Milling Machine

Maximum Mill Width

 

 

Mechanical Saw (water cooled)

 

 

Backhoe

 

 

 

PARTICIPATION IN THIS PROGRAM IS VOLUNTARY

 

 

Please provide a brief description of the project(s) which your municipality would like to see completed by utilizing the resources of the Cooperative Road Maintenance Program.

Please be as specific as possible in your response:

___________________________________________________________________________________________________________________________________________________________________

If not providing equipment, can your municipality provide flagmen and signs for work zone traffic control?________________________________________

Total number of flagmen available:___________________________________

Please indicate any additional equipment which your municipality can provide other than listed on the survey form:

____________________________________________________________________________________________________________________________________________________________________

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Last modified: 04/26/11

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