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<br />REVISION REQUESTOR AND COMMUNITY OFFICIAL FORM <br />, <br /> <br />Floodway Information <br /> <br />. Does the affected flooding source have a f100dway designated on the effective FIRM or FBFM? <br />[XlYes ONo <br /> <br />. Does the revised f100dw~elineation differ from that shown on the effective FIRM or FBFM? <br />lXjYes ONo <br /> <br />If yes, give reason: ?loodway has been reduced by the' construction of <br />adaauate bridge crossings. <br /> <br />Attach request to revise the floodway from community CEO or desigriated official. <br /> <br />Attach copy of either a public notice distributed by the community ~ting the community's intent <br />to revise the flood way or a statement by the community that it hall notified all affected property <br />owners and affected adjacent jurisdictions. <br /> <br />Does the State have jurisdiction over the floodway or it's adoption by tommunities participating in <br />theNFlP? IKlYes ONo . <br /> <br />If yes, attach a copy of a letter notifying the appropriate State agendJ of the floodway revision and <br />documentation of the approval of the revised flood way by the approp#ate State agency. <br /> <br />Proposed Encroachments <br /> <br />With floodways: <br /> <br />IA. Does the revision request involve fill, new construction, substat!!Lal improvement, or other <br />development in the floodway? W Yes 0 No <br /> <br />1 B. If yes, does the development cause the 10o-year water Burface elevation increase at any <br />location by more than 0.000 feet? 0 Yes !Xl No <br /> <br />Withoutfloodways: <br /> <br />2A. Does the revision request involve fill, new construction, substahtial improvement, or other <br />development in the 10o-yearfloodplain? '0 Yes 0 No <br /> <br />2B. If yes, does the cumulative effect of all development that has oq:urred since the effective <br />SFHA was originally identified cause the lOG-year water surfa/:e elevation increase at any <br />, location by more than one foot (or other surcharge limit if com$unity or state has adopted <br />more stringent criteria)? '0 Yes 0 No <br /> <br />If answer to either Items 1B or 2B is yes, please provide documentation that all requirements of <br />Section 65.12 of the NFIP regulations have been met. <br /> <br />Revision Requestor Acknowledgement <br /> <br />. Having read NFIP Regulations, 44 CFR Ch. I, parts 59, 60, 61, 6i;, and 72, I believe that the <br />proposed revision []] is 0 htnot in compliance with the r.;quirements of the <br />aforementioned NFIP Regulations. <br /> <br />Community Official Acknowledgement <br />, <br />. Was this revision request reviewed by the community for compliilnce with the community's <br />adopted floodplain management ordinances? [JU Yes 0 No <br /> <br />. Does this revision request have the endorsement of the community? [KI Yes 0 No <br /> <br />If no to either of the above questions, please explain: <br /> <br />Please note that community acknowledgement and/or notificatit;n is required for all requests <br />as outlined in Section 65.4 (b) of the NFIP Regulations. <br /> <br />November 1992 <br /> <br />Page2of5 <br /> <br />APP1JCATlONlCERTfFJCATlON FOawS FOJl CONDrrllo...\l. LE1'fER Of' YAP REVISION, J.ETTER OVWAJ> REVISION AtfDPHYSJCAl.YAP REVlSJON <br />