FLOOD06827 - Laserfiche WebLink

Home Browse Search

4. ENCROACHMENT INFORMATION Does the State have jurisdiction over the floadway or its adoption by communities participating in the NFIP? D Ves IZI No f Yes~ attach a copy of a letter notifying the appropriate State agency of the floodway revision and documentation of the approval of the revised f100dway by the appropriate State agency. 2. Does the development in the f100dway cause the 1 % annual chance (base} elevation to increase at any location by more than 0,000 feet? D Ves D No IZI N/A 3. Does the cumulative effect of all development that has occurred since the effective SFHA was originally identified cause the base flood elevation to increase at any location by more than one foot (or other increase limit if community or state has adopted more stringent criteria, even if a floodway has not been delineated by FEMA)? DYes IZI No If the answer to either items is Yes, please attach documentation that all requirements of Section 65.12 of the NFIP regulations have been met. regarding evaluation of alternatives. notice to individual legal property owners, concurrence of CEO. and certification that no insurable structures are impacted. 5. MAINTENANCE RESPONSIBILITY The community is willing to assume responsibility for ~ performing [:gI overseeing compliance with the maintenance and operation plans of the Pawnee Creek Overflow Interceotor Channel (Name) flood control structure. If not performed promptly by an owner other than the community, the community will provide the necessary services without cost to the Federal government. Operation and maintenance plans are attached. DYes IZI No 6. REVIEW FEE D N/A The review fee for the appropriate request category has been included. [:gI Yes Fee amount: $3.100.00 OR This request is based on a federally sponsored flood-control project where 50 percent or more of the project's cost is federally sponsored, or the request is based on detailed hydrologic and hydraulic studies conducted by Federal. State, or local agencies to replace approximate studies conducted by FEMA and shown on the effective FIRM; thus the project is fee exempt, D Ves Please see Instructions for Fee Amounts 7. SIGNATURE Note: I understand that my signature indicates that all information submitted in support of this request is correct Craie D. Jacobson. EIT. Proiect Enoineer Printed Name and Title of Revision Requester ICON Enaineerina. Inc. Company Name Tele hone No.: 303-221-0802 Date: 10/30/01 CERTIFICATION BY REGISTERED PROFESSIONAL ENGINEER AND/OR LAND SURVEYOR This certific~CO~FR Ch, 1, Sect 65,2 , Signature Ron Enserro. PE. Proiect EnQinee( Printed Name and Title of Revision Requester egistr No. 33131 Expires (Date) 10/02 State.c.Q Type of license/Expertise: Civil Note: Signature indicates that the community understands. from the revision requester, the impacts of the revision on flooding conditions in the :tunity, ~ s~dmmunitY Official _ CeDt-jf!. 13- G o"JI. Printed Name and Title of Community Official _C../y 8 (! 5.{<-v(~ '^j Community Name Tele hone No.: q?O-S-.u.-9?~:te: -- 0 J Check which forms have been included with this request FORn Name and (Number) D Hydrologic (3) [SJ Hydraulic (4) IZl Mapping 151 [2J Channelization (6) IZl Bridge/Culvert (71 D levee/Floodwall (8) o Coastal 191 D Coastal Structures (1 OJ o Dam (111 o Alluvial Fan (12) Reauired if ...... new or revised discharges new or revised water-surface elevations floodp!ain/floodway changes channel is modified addition/revision of bridge/culvert addition/revision of levee/floodwall new or revised coastal elevations addition/revision of coastal structure addition/revision of dam structures proposed on alluvial fan FEMA Form 81-89 Revision Requester and Community Official Form MT -2 Form 1 Page 2 of 2