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U~DA- FOREST SERVICE A :-RE GION OR STATION INVENTORY GOVERNMENT QUARTERS (f;..:I. A()MINISTRAiIVt UNI1 C DIST RIL r OR r'LF 10 4 FSf,! 644S) ~~~~RENCl # 8 . -------.JI'"E:-."':g'::'U:-R"':~.~.~Trl: . <:. NO . Ferron Dwelling . .1.J. i. D. S1 "TION OR SIT l ZON ~ 2 ~E_~.TIO~_•.COMMUNI Ty. OAT A (S~" FSM 6445.05) COMPLETE ITEM _l~~~_".~~ . ~~. AS APPf3_OPRIATE. I. LOCATION OF OUARTERS : a. If within an e~labll~hl'd b. If nol within an established c-ommunlly, enlN nome community, enler name of Price, of "s labll shl"d c omm~u~n:.:l:.:t!.Y-=====::.::::.::=======::.::=-_ _~n~e~a~r~e~s~t:....:c~s~t~a~b~l~i~s:.:h~..:d~c~o~m~m~u~n~l:.:t!.y-=== c. !)lstanc," In mIles from nearest 0-9 10.19 2O -:?fJ 30 .39 40.49 50.59 60-69 70-11') cstahll~"cd community ~ Arc .. s<; ;I.iltly (Cird .. Onf') ~ 2 3 4 ~ 6 7 3 Utah ==-_-_-. .. 9U 1IJ9 I/O lj 1'1: SECTION II - OCCUPANCY INFORMATION '~AMF. 0F OCCUPANT 2. POSITION AND GRADE MARIT I... L ST A TUS John Niebergall 4 . FAMll Y : ." [5{ i Marned GS-12 District Ranger ,L1Ci Yrs I "Slnr,le :~-."':o~'-~C~U~P'-A-:-N~C~Y~P:-:=E:':":-':'::O~D;:'-!='-------/L(-.-~":":'iJ':s:':o:.n.:a:..::./.:s:..h:.o-=-w-----!::'...-------+..,.6--I-S~O-c cU P A N C Y fx'; Year lon.~ [.i Seasonal rw. monlhs occupied ----_ .. '-- ' - - ,X .INa I 'i e~ r ~ '"R EQUIRED'" I . SECTION III - SITE PLAN STATUS .~~-----~~~~------------------If "No" is ch('ckpd .. <plain r . I X ! Yes /lc lion planned: I~OIJ.Rj~R,)ON AN APP~C,"i · fJ 5 1 if.. ?L~N" SECTION IV - QUARTERS DESCRIPTION T Y PF OF CO N<;TRU C f lat.. CLAS S!F t C J.TI(: .~~ ._-------_._----- - - - - : X: Framr c: i X, Perm<lnent C I Portable :- Brick : Meta l '-" Lo~ O()"" !_ ..; Te mpa ,"~ · "" L,Q ). "'('s -E-----=r° .- ' flous,' ' Tr"01,,, h t":-::-e::-r-,--_-,·-:·_·_·_ ,-'S"-",,;,.-.c,.r.;;II:..:...._-____· EST 1M ATE:) . :--=-G 0 ""N E : : R : : S - : " - , " : : - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - r : : S- A Gov,.rnmenl ,-_ i Leased 37 • __ _ _ . _ _ _ _ _..) _ Sldlnr._ _ _ _ _ _ _ _ _ _ _ _ _ _ _" "tOe:..:.;'I_,..:.)·_ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _i-.!.(-'-y-''':..:lJ::.':.:s:..:)_·_ · ____ LIVI'<G SPACE PRE SE NT 35,000 v A • '. 6 . CONDITION (Nntc: [Xl Satisfactor~ This 18 spBC'e InSide ~rte"Jor or part)' \4·ltlls. excluding on ly BIlle. R8ra~o, and bR3tment or 31'rvice and .tortJQe apllce in l,eu at 900 Nuan"nl. (F5M 7JOO).) (TotBI Number) ~ '" ""UMBER CF Brdr o",... " _.3 1 Bathroum s TTApPLIAN CE S FlJRNj~"iEC L~X Refrii(eralOr (Chc-. ·;.< - .' (Sp",' f)') h. Street c- . X L!.'nl~ . Sidpwaik _- rX X d. "'lIsen""I' f)f i'\OISC" &. O \..I<l r" t'. Nnt~ · X @ A ~x Ax ex C D Dx t· ... " 'u ' p, IX Ex C~~==~~====== S"" FSM 644S.2) prt's('n( o r f, o l pr:, .c: ent ) Not 1. Lawns, Trees & Landseapp , I. ~ m p~" . s~nt I. p,t" " t ' nt RelI<lbl,· and adequat e: E! .. ctrtcal Serv.ef' x \!. NeIghborho od A t I relet' vent' ~' s X m. Water h. SanitatIon S e rv i c e X n. Tel ephonp S c, nCt· " o. Fu el Svstem X Poli ce Pr otec tJon ,. Fire Protec tion 0. Stanua,o of ~Ialnt('nanc< ' ,nd, cDte " I IIE'm I ' rc~~nt ht·~ · a. P",,('1 St rl'('I~ '0 OUARTeRS CLASS (C lt e .le One' a, ax, C & CX Quarters only SECTION V - AMENITIES RATING (Compl",,, for Closs A, AX, "POI t3 ,r-:, Othe, [x i Rang e LX. X X p. Unusual DC'S1l!n t'r:tturc ~ The- ftrrH."nlf'c.~ ("';111' mH.s1 ht' tntt:'ptf>trrl And applied undonnlv to ~o\.·('nJmcllt 8Jld PflVBU! renIn/ sHmplr!". 2 SECTION VI • SUMMARY i RFNTAL RATE" ,H;'Wf'cxly, Z OTHFR \ $~§~~ " Utili!': r---' c. Adnlstmpnh (Sh ow C.1/clJl'llron & Rf>lercnre ) b. Minlm\l :n Rl'n:a 1 Rate (I) Am"nlll'" (-2) C!) A, C'"ss lbiloty (3) Sp.. ~. · -2.10 21. 00 ----.- (5) Oth er (Sp",ofr) TOTAL ADWSTI1ENTS ,e.,'m f!lInlmfUlI) d. Bi-weeklY Kc'nlal Ratl' -" 6 7 8 10 9 x (2) H,."t X (3) Water h (4) GaS (5) Sewer" g c' 12 14 . r o r ~uch llt'm ch('c}(rd In co Po,d hv rm rl •. ue 'hM ' 12< 'nu~' "nl~ "~I 'n ,- " 'rr~nl h~ ·1>lrect bil1 ln r. .- j'-uvfC.11 lkduccE ey 6- tll ' W"t"k i_~~ (I) EloectncilY $_---$ ____ i~) S.z e (Not le s s $ $ 4 C H A RG E 5 (C heCK ItppJ.cablC" Itrm~' he ln ..... -) $52.......5...Q.. a. 1>.1S(" Rent.oI Rat" 3 ' ----t 0.... ---r 2.00 ,._. Am""nl(s) 1= 1- 2179-;-'--2-:00 PAID BY THE GOVERNMENT AND OFFSETTING COST IS INCLUDED IN B A<:'E RATE DETERMINATIO .... (6) Olher (SpecJl~" I -23.10 s -23.10 2,OQ TOTAL DEDUCTIONS S S -30.00 UtilHv surveys must be adjusted currentlv, but n ot less frequ('nt 1)-' thfin ev· $_--- S :~"h1:t"~M - 3 years concUrrl"'ot with th e> renlal "E'pra.sal E'L'r:o.i. O"TE :.2 -!.t -iq rp~t~~ (Us~ R~v~rs~ of Form d Remarks) u,";;V-,; f 6~OO.1 11 / ,