Agenda - Council - 08/09/2005 - Laserfiche WebLink

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IWORK BURDEN DISCLOSURE NOTICE Public reporting burden for tl~ts form is est/reeled to average 0.B8 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 submitling the form. You are not required Io respond to this cotlection of information unless a valid OMB control number appears in the upper right comer of this torm. Send comments regarding the accuracy of the burden estimate and any suggestions rot reducing this burden to: information Collections Management, Federal Emergency Management ^§ency, 500 C Street, SW, Washington DC 20472, Paperwork Reduction Project (3067-0147). Submission o! the form is. required to obtain or retain benefits under the _National 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) O._.~R to provide ackno.w[edgment of this request to remove a property from the SFHA which was previously located within the regulatory floodway (complete Section B). This form must be completed and signed by the official responsible for floodplain management in ~e community. The community number and the subject property address must appear in the spaces provided below. C°mmunityNumber'.~TD~'~ I Property Name or Address: ~--/.~/ ~___.;v'~;~'/-~ 6]v-~ /~/,1~, A. REQUESTS INVOLVING THE PLACEMENT OF FILL As the community official responsible for floodplain management, I hereby acknowledge that we ~ave received and reviewed this Letter of Map Revision Based on Fill (LOMR-F) or Con0itional LOMR.F request. Based upon the community's review, we find the comp!amd or proposed project meets or is designed to meet all oi the community floodplain management requirements, including 1he requirement that no fill be placed in the regulatory floodway, and that all necessary Federal, State, 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 from the SFHA are or will be reasonably safe from flooding es 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 LOMR-F requests, we understand that this request is being forwarded io FEMA.for a possible map revision. Cornmuniby Comments: Community Off/clot's Name and T/fie: (P/ease Pdnt or Type) 'J'relephone No.~ '" Date: As the community official responsible lot floodplain management, I hereby acknowledge that we have received and reviewed this request for a LOMA. We undemtand that this request is being forwarded to FEMA to determine if this property has been inadvertently included in the regulatory flocdway. We acknowledge that no till on this property has been or will be placed within the designated regulatory floodway. We find that the completed or proposed project meets or is designed to meet all of the community floodPlain management requirements. Community Comments: Community O~icJal's Name and Title: (P/ease Print or Type) Community Name: Community Official's Signature (required): Telephone No.: Date: FEMA ;Corm 8'1-87B, SEP 02 Community Acknowledgment Form