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<br />REVISION REQUESTOR AND COMMUNITY OFFICIAL FORM <br /> <br />Forms Included <br /> <br />Form 2 entitled "Certificati~n By Registered Professional Engineer Andior Land Surveyor" must be <br />submitted. <br /> <br />The following forms should be included with this request if (check the inc;l.uded forms): <br /> <br />. Hydrologic analysis for riverine flooding diffel'll from that <br />used to develop FIRM <br /> <br />. Hydraulic analysis for riverine flooding differs from that <br />used to develop FIRM <br /> <br />. The request is based solely on updated topographic <br />information <br /> <br />. The request involves any type of channel modification <br /> <br />. The request involves new bridge or culvert or revised <br />analysis of an existing bridge or culvert <br /> <br />. The request involves a new or revised leveelfloodwall system <br /> <br />. The request involves analysis of coastal flooding <br /> <br />D Hydrologic Analysis Form <br />(Jl'orm3) <br /> <br />IX! Jliiverine Hydraulic Analysis <br />(Jl'orm4) <br /> <br />1KI $verinelCoastaI Mapping <br />(Form 5) <br /> <br />D dhannelization (Form 6) <br /> <br />[K) ~ridgelCulvertForm <br />(Form 7) <br /> <br />o UeveelFloodwall System <br />Analysis (Form 8) <br /> <br />o Coastal Analysis Form <br />(Form 9) <br /> <br />. The request involves coastal structures credited as providing D Goastal Structures Form <br />protection from the 100-year flood (Form 10) <br /> <br />. The request involves an existing, proposed, or modified dam <br /> <br />. This request involves structures credited as Pl'llviding <br />protection from the I DO-year flood on an alluvia! fan <br /> <br />D Dam Form (Form 11) <br /> <br />D Alluvial Fan Flooding Form <br />(Form 12) <br /> <br />Initial Review Fee <br /> <br />. The minimum initial review fee for the appropriate request category has been included. <br />DYes D No <br /> <br />If yes, the amount submitted is $ <br /> <br />or <br /> <br />. This request is for a project that is for public benefit and is intendlod to reduce the flood hazard to <br />existing development in identified flood hazard areas as opposed to planned floodplain <br />development. <br /> <br />CKlYes D No <br /> <br />November 1992 Page 4 of 5 <br /> <br />AWf.1CATlOO!CERTJnCATJON FORYS FOR CONOmOtlAJ.I.ETrER OFIlAP 1lEVISJON,l.E1T1i:KOF MAP IlEVISION AND PHYSICALMAPnVlSJON <br />