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<br />FEDERAL EMERGENCY MANAGEMENT AGENCY <br />CHANNELIZATION <br />PUBLIC BURDEN DISCLOSURE NOTICE <br /> <br />O,M,B, Burden No, 3067,0148 <br />Ex ires A ril 30, 2001 <br /> <br />ublic reporting burden for this form is estimated to average 1,75 hours per response, The burden estimate <br />includes the time for reviewing instructions, searching existing data sources, gathering and maintaining the <br />needed data, and completing and reviewing the form, Send comments regarding the accuracy of the burden <br />estimate and any suggestions for reducing this burden to: Information Collections Management, Federal <br />Emergency Management Agency, 500 C Street, S,W" Washington, DC 20472; and to the Office of Manage- <br />ment and Bud et, Pa erwork Reduction Pro'ect (3067,0148), Washin ton, DC 20503, <br />You are not required to respond to this collection of information unless a valid OMB Control Number is displayed in the upper right comer of <br />this form. <br /> <br />Community Name: City of Sterlina. Loaa" County. Colorado <br /> <br />Flooding Source: Pawnee Creek Overflow <br /> <br />Project Name/Identifier: Pawnee Creek Overflow Interceotor Channel <br /> <br />1, REACH TO BE REVISED <br /> <br />Describe the limits of the revision OR submit a copy of the FIRM with the revision area clearly highlighted. <br />Copy of FIRM(s) attached depicting area of the revision (highlighted, or circled)? I2J Ves <br /> <br />Downstream Limit: see attached <br /> <br />Upstream Limit: 5000' West of US Hiahwav 6 on Countv Road #22 1/2 <br /> <br />2. CHANNEL DESCRIPTION <br /> <br />Attach the following information about the channel (check box if information has been provided): <br /> <br />[8l Description of the inlet and outlet <br /> <br />[?SI Description of the shape of the channel (both ClOSS sectional and planimetric configuration) and its lining (channel <br />bottom and sides): <br /> <br />3. ACCESSORY STRUCTURES <br /> <br />The channelization includes: <br /> <br />D Levees (Attach LeveelFloodwal1 System Analysis Form, Form 8) <br />D Drop structures <br />Q Superelevated sections <br />LC:::J Transitions in cross sectional geometry <br />D Debris basin/detention basin <br />D Energy dissipater <br />D Other (Describel: <br /> <br />4, DRAWING CHECKLIST <br /> <br />Attach the plans of the channelization certified by a registered professional engineer. The plan detail and information <br />should include (check box if information has been provided): <br /> <br />I2SJ Channel alignment and locations of inlet, outlet, and accessory structures <br /> <br />I2J Channel tining <br /> <br />I2SJ Typical cross sections and profiles of channel banks and invert <br /> <br />I <br /> <br />PLEASE REFER TO THE INSTRUCTIONS FOR THE APPROPRIATE MAILING ADDRESS <br /> <br />~ <br /> <br />FEMA Form 81-89E <br /> <br />Channelization Form <br /> <br />MT -2 Form 6 Page 1 of 2 <br />