Structure Repair Report

Structure No.:	District:
Inspected By:	Date of Inspection:
Structure Location:	County:

Condition Ratings:

Deck: Superstructure: Substructure: Abutments: Piers: Piling: Joints: Bearings: Culvert: Culvert Barrel: Culvert Ends:

PHOTO	PHOTO

Description of Damage:

NDOT Form 321, July 17

PHOTO	PHOTO

Description of Damage:

PHOTO	PHOTO

Description of Damage: