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<br />FEDERAL EMERGENCY MANAGEMENT AGENCY <br />OVERVIEW & CONCURRENCE FORM <br /> <br />o.M.B No, 3067-0148 <br />Expires September 30, 2005 <br /> <br />PAPERWORK BURDEN DISCLOSURE NOTICE <br /> <br />Public reporting burden for this fonn Is estimated to average 1 hour per response. The burden estimate Includes the time for reviewing Instrucllons, <br />searching existing data sources, gathering and maintaining the needed data, and completing, reviewing, and submitting the fOfm. You are not required <br />to respond to this collection of Information unless a valid OMB control number appears in the upper right corner of this fonn. Send comments regarding <br />the accuracy of the burden estimate and any suggestions for reducing this burden to: Information Collections Management, Federal Emergency <br />Management Agency. 500 C Street, SW. Washington DC 20472, Paperwork Reduction Project (3067,0148). Submission of the fOIm is required 10 <br />obtain or retain benefits under the National Flood Insurance Pro ram. Please do not send our com leted surve to the above address, <br /> <br />A. REQUESTED RESPONSE FROM FEMA <br /> <br />This request is for a (check one): <br /> <br />181 CLOMR: <br /> <br />A letter from FEMA commenting on whether a proposed project, if built as proposed, would justify a map revision, or <br />proposed hydrology changes (See 44 CFR Ch. 1. Parts 60, 65 & 72). <br /> <br />D LOMR: <br /> <br />A letter from FEMA officially revising the current NFIP map to show the changes to floodplains, regulatory lIoodway or flood <br />elevations. (See Parts 60 & 65 of the NFIP Regulations.) <br /> <br />B. OVERVIEW <br /> <br />1. The NFIP map panel(s) affected for all impacted communities is (are): <br />Community No. Communitv Name State Man No. Panel No. Effective Date <br />Ex: 480301 City of Katy TX 480301 0005D 02108183 <br /> 480287 Harris County TX 48201C 0220G 09/28190 <br />080101 Larimer County Unincorporated Areas CO 080101 1011F 12/19106 <br />080101 Larimer County Unincorporated Areas CO 080101 1013F 12/19106 <br />2. Flooding Source: Cache la Poudre River <br />3. Project NameJldentifler: Harmony Road Bridge Replacement and Roadway Improvement Project <br />4. FEMA zone designations affected: AE, X (choices: A, AH, AO, A1-A30, A99, AE, AR, V, V1-V30, VE, B, C, D, X) <br />5. Basis for Request and Type of Revision: <br /> - <br /> a. The basis for this revision request is (check all that apply) <br /> l8I Physical Change 18I Improved Methodology/Data <br /> l8I Regulatory Floodway Revision o Other (Attach Description> <br /> Note: A photograph and narrative description of the area of concern is not required, but is very helpful during review. <br /> b. The area of revision encompasses the fOllowing types of flooding and structures (check all that apply) <br /> Types of Flooding: l8I Riverine o Coastal o Shallow Flooding (e.g., Zones AO and AH) <br /> o Alluvial fan o Lakes o Other (Attach Description) <br /> Structures: o Channelization o LeveelFloodwall 18I BrldgeJCulvert <br /> o Dam 18I Fill o Other, Attach Description <br /> <br />FEMA Form 81-89, SEP 02 <br /> <br />Overview & Concurrence Form <br /> <br />MT -2 Form 1 Page 1 of 2 <br />