Agenda - Public Works Committee - 07/19/2005

Home

Public reporting burden for this form is estimated to average 0.88 hour per response. The burden estimate includes the time for reviewing instructions, searching existing data sources, gathering and maintaining the needed data, and completing, reviewing, and submitting the form. You are not required to respond to this collection o! information unless a valid OMB control number appears in the upper right corner of this fom'l. Send comments regarding the accuracy of the burden estimate and any suggestions for reducing this burden to: Information Collections Management, Federal Emergency Management Agency, 500 C Street, SW, Washington DC 20472, Paperwork Reduction Project (3067-0147). Submission of the form is' required to obtain or retain benefits under the N__ationel Flood Insurance Program. P~ease do not send your completed survey to the above address. This form must be completed for requests involving the existing or proposed placement of fill (complete Section A) OF[ to provide ackno_wledgment of this request to remove a property from the SFHA which was previously located within the regulatory floodway (complete Section This form must be completed and signed by the official responsible for floodplain management in the community. The community number and the subject property address must appear in the spaces provided below. CemmunityNumber:.~-7~'fl,'~ I Property Name or Address: ~'~/,,~1 ~_.~'~l~t~ ~Jv'd ~/,1~, A. REQUESTS INVOLVING THE PLACEMENT OF FILL AS the communily official responsible for floodplain management, I hereby acknowledge that we have reCeived and revi~ved this Letter of Map Revision Based on Fill (LOMR-F) or Conditional LOMR-F request. Based upon the community's review, we find the completed or proposed project meets or is designed to meet all of the community tloodpJain management requirements, including the requirement that no fill be placed in the reguJatory floodway, and that all necessary Federal, Stale, and local permits have been, or in the case of a Conditional LOMR-F, will be obtained. In addition, we have determined that the land and any existing or proposed structures to be removed lrom the SFHA are or will be reasonably sate from flooding as defined in 44CFR 65.2(c), and that we have available upon request by FEMA, all analyses and documentation used to make this determination. For LOMRoF requests, we understand that this request is being forwarded (o FEMA for a possible map revision. Community Official's Name and Title: (Please Print or Type) 4'reJephone No.: ' Commun~ Name: Community Offi ' s ign re: ' ) Date: As the communily official responsible for floodplain management, I hereby acknowledge that we have received and reviewed this request for a LOMA. We understand that this request is being forwarded to FEMA to delermine if this property has been inadvertently included in the regulatory floodway. We acknowledge that no lill on this property has been or will be placed within the designated regulatory lloodway. We find that the comp~eled or proposed projecl meets or is designed to meet all of the community floodplain management requirements, Community Commenls: Community Official's Name and Title: (Please Pdnt or Type) Telephone No.: Community Name: Community Official's Signature (required): Date: FEMA Form 81-87B, SEP 02 Community Acknowledgment Form ~~ .M..T.-.1...~Fg..r.~.fl Page 1 of 1