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FEDERAL EMERGENCY MANAGEMENT AGENCY <br />CERTIFICATION BY REGISTERED PROFESSIONAL ENGINEER <br />AND /OIL LAND SURVEYOR FORD <br />..r.: +��r�r �► <br />O.M.B. Burden No. 3067-0148 1 FEMA USE GAIL <br />Expires July 37, 799 <br />PUBLIC BURDEN DISCLOSURE NOTICE <br />Public reporting burden for this form is estimated to average. 23 hour per response. The burden estimate includes the <br />. g . g , gathering and maintaining the needed data and <br />t�zx�e or reviewing instructions, existing data sources <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, S.W., Washington, IBC 20472; and to the office of Management and Budget, Paperwork <br />Deduction 'roject (3087- 0148), Washington, DC 20503. <br />1. This certification is in accordance with 44 CFR Ch. 1, Section 65.2 <br />2- I am licensed with an expertise in etechni al a ineera u <br />[example: waLer resources (hydrology, hydraulics, semir eni transport, interior drainage)* structural, <br />*eot.echnical, land surveying.] <br />3. 1 have <br />years experience in the expertise listed above. <br />4. I have 2 prepared Il reviewed the attached supporting data and analyses related to my expertise. <br />5. 1 have El have not visited and physically viewed the project. <br />. In nay opinion, the following analyses rd-ro ` i n , istUre being certified: <br />E ort titled "Levee at Deepe Para Pit, Boulder, Colorado" by CTL /Thompson, Inc. <br />0 0 � 5, dated ugust b 199vo <br />7. Base upon tfie folfnwl' ng review, the modifications in place have been constructed in general accordance with plans <br />and specifications, <br />Basis for above stale ent: (check all that apply) <br />a. L Viewed all phases of actual construction. <br />b, D Compared glans and specifications with as- built survey information. <br />c. ❑ Examined plans and specifications and compared with completed projects. <br />d. l other u ervi ed geotechnical analysis of levee see report ref . i*.n 6'' <br />8. All information submiLLed in support ofLhis request, is correct to the best of my knowledge. I understand that any <br />false statement may be punishable by fine or imprisonment under Title 18 of the United States Code, Section 1001. <br />Name: Frank J. Holli'day--,._ <br />(please print or type) <br />Title: Principal Engineer <br />(please prilnL or type) <br />Registration Igo. <br />*Specify Subdiscipline <br />e.,6785 <br />Note: Insert not applicable (ILIA) when statement, floes net apply. <br />Expiration Date: <br />October 31, 2000 <br />F MA Form BI-89A. OCT 94 Certification by Registered Professional <br />Engineer and/or Land Surveyor form MT-2 Form <br />