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<br /> <br />FEMA USE ONLY <br /> <br />FORM 1 <br /> <br />REVISION REQUESTOR AND COMMUNITY OFFICIAL FORM <br /> <br />1. The basis for this revision request is (are): (checlt all that appl)') <br />IlD Physical change <br />[K] Existing <br />o Proposed <br />o Improved methodology <br />o Improved data <br />!Xl Floodway revision <br />o Other <br />Explain <br />2. Flooding Source: Cache La Poudre River <br />3. ProjectNamelldentifier: City of Greeley' <br />4. FEMAzonedesignationsaffected: AS, FloS'dl,ay <br />(example: A,AH,AO,AI-A30,A99,AE, V, VI-V30, VE,B,C"D,X) <br />5. The NFlP map panel(s) affected for all impacted communities is (are): <br /> <br />6. The submitted request encompasses the followirlg types of flooding, stJructures, and <br />asaociated disciplines: (check all that apply) <br /> <br />Tvnes ofFloodinlr Structure!! <br /> <br />[:KJ Riverine 0 Channelization <br />o Coastal 0 LeveelFloodwall <br />o Alluvial Fan ~ Bridge/Culven, <br />o Shallow Flooding 0 Dam <br />o Lakes 0 Coastal <br />Affected by 0 Fill <br />wind/wave action 0 Pump Station <br />DYes 0 None <br />o No 0 Other(describe) <br />o Other (describe) <br /> <br />Disciplines. <br /> <br />[!J Water Resources <br />Cl Hydrology <br />IXl Hydraulics <br />Cl Sediment Transport <br />CJ Interior Drainage <br />o Structural <br />o a.~technical <br />o LiUld Surveying <br />o Onher (describe) <br /> <br />. <br /> <br />Attach completed "Certification by Registered Professional and/or Land Surveyor" <br />Form for each discipline checked. (Form 2) <br /> <br />Page 1 of5 <br /> <br />October 1992 <br /> <br />^)'PI.JCAn()NIC~f1CATION IOKMS FOR COHomClrHA1. LE1TEJC 0.- MAP IU:V1SIOH. LE'rRR or MAP Rl!;VlSlON ANOPHYSlCALKAP REVlSJON <br />