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<br />-I <br /> <br /> <br />FEDERAl EMERGENCY MANAGEMENT AGENCY <br />BRIDGElCUL VERT <br />PUBLIC BURDEN DISCLOSURE NOTICE <br /> <br />1 <br />I <br />I <br />I <br /> <br />Public reporting burden for this form is estimated to average 2 hours per response, The burden estimate includes the <br />time for reviewing instructions, searching existing data sources, gathering and maintaining the needed data, and <br />completing and reviewing the form. Send comments regarding the accuracy of the burden estimate and any <br />suggestions for reducing this burden to: Information Collections Management, Federal Emergency Management <br />Agency, 500 C Street, SW., Washington, DC 20472; and to the Office of Management and Budget, Paperwork <br />Reduction Pro'ect 3067-0148, Wash in ton, DC 20503. <br />You are not required to respond to this collection of information unless a valid OMS Control Number is displayed in the upper right <br />comer of this form. <br /> <br />Community Name: Jefferson Countv <br /> <br /> <br />Flooding Source: Weaver Creek <br /> <br /> <br />Project Name/Identifier: Preserve at Weaver Creek <br /> <br />I <br />I <br />I <br />I <br />I <br /> <br />1. IDENTIFIER <br /> <br />1. <br /> <br />Name of structure (roadway, railroad, etc.): Low Water Crossina <br /> <br />2. <br /> <br />Location of bridge/culvert along flooding source (in terms of stream distance or cross-section identifler): <br />Station 3560 <br /> <br />3. <br /> <br />This revision reflects (check one of the following): <br /> <br /> <br />l2SI New bridge/culvert not modeled in the FIS <br /> <br /> <br />o Modifled bridge/culvert previously modeled in the FIS <br /> <br /> <br />o New analysis of bridge/culvert previously modeled in the FIS <br /> <br />I <br />I <br /> <br />4. <br /> <br />Hydraulic model used to analyze the structure (e.g., HEC-2 with special bridge routine, WSPRO, HY8) <br /> <br />HEC-2 with soecial culvert routine <br /> <br />If different than hydraulic analysis tor the flooding source, justify why the hydraulic analysis used for the flooding source could <br />not analyze the structure(s). (Attach justification) <br /> <br />I <br />II <br />I <br /> <br />Justification attached <br /> <br />DYes 0 No IZI N/A <br /> <br />PLEASE REFER TO THE INSTRUCTIONS FOR THE APPROPRIATE MAILING ADDRESS <br /> <br />I <br /> <br /> <br /> <br />I FEMA Form 81-89F <br /> <br /> <br />1 <br /> <br />Bridge/Culvert Form <br /> <br />MT-2 Form 7 Page 1 of 2 <br /> <br />I <br /> <br />~ <br /> <br />