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<br />D. DAM <br /> <br />Flooding Source: <br /> <br />Name of Structure: <br /> <br />1. <br /> <br />This request is for (check one): <br /> <br />o Existing dam <br />o Federal agency <br /> <br />o New dam <br />o State agency <br /> <br />o Modification of existing dam <br />o Local government agency <br /> <br />2. <br /> <br />The dam was designed by (check one): <br /> <br />o Private organization Name of the agency or organization: <br /> <br />3. Does the project involve revised hydrology? 0 Yes D No <br /> <br />If Yes, complete the Riverine Hydrology & Hydraulics Form (Form 2). <br /> <br />4. Does the submittal include debris/sediment yield analysis? DYes D No <br /> <br />If yes, then fill out Section F (Sediment Transport). <br />If No, then attach your explanation for why debris/sediment analysis was not considered. <br /> <br />5. Does the Base Flood Elevation behind the dam or downstream of the dam change? <br /> <br />DYes D No If Yes, complete the Riverine Hydrology & Hydraulics Form (Form 2) and complete the table below. <br /> <br />Stillwater Elevation Behind the Dam <br /> <br />FREQUENCY (% annual chance) <br /> <br />FIS <br /> <br />REVISED <br /> <br />10-year (10%) <br />50-year (2%) <br />100-year (1%) <br />500-year (0.2%) <br />Normal Pool Elevation <br /> <br />6. Please attach a copy of the formal Operation arid Maintenance Plan <br /> <br />FEMA Form 81-89B, SEP 02 <br /> <br />Riverine Structures Form <br /> <br />MT,2 Form 3 Page 3 of 10 <br />