2012-04-24 Federal Emergency Management AgencyFederal Emergency Management Agency
Washington, D.C. 20472
Lq ND SSG
April 24, 2012
THE HONORABLE JAMES REALPH
MAYOR, CITY OF BLAIR
218 SOUTH 16TH STREET
BLAIR, NE 68008
DEAR MR. REALPH:
CASE NO.: 12-07-2011A
COMMUNITY: CITY OF BLAIR, WASHINGTON
COUNTY, NEBRASKA
COMMUNITY NO.: 310228
This is in reference to a request that the Federal Emergency Management Agency (FEMA) determine
if the property described in the enclosed document is located within an identified Special Flood
Hazard Area, the area that would be inundated by the flood having a 1 -percent chance of being equaled
or exceeded in any given year (base flood), on the effective National Flood Insurance Program (NFIP)
map. Using the information submitted and the effective NFIP map, our determination is shown on the
attached Letter of Map Revision based on Fill (LOMR-F) Determination Document. This
determination document provides additional information regarding the effective NFIP map, the legal
description of the property and our determination.
Additional documents are enclosed which provide information regarding the subject property and
LOMR-Fs. Please see the List of Enclosures below to determine which documents are enclosed.
Other attachments specific to this request may be included as referenced in the
Determination/Comment document. If you have any questions about this letter or any of the
enclosures, please contact the FEMA Map Assistance Center toll free at (877) 336-2627 (877 -FEMA
MAP) or by letter addressed to the Federal Emergency Management Agency, LOMC Clearinghouse,
7390 Coca Cola Drive, Ste 204, Hanover, MD 21076.
Sincerely,
Luis Rodriguez, P.E., Chief
Engineering Management Branch
Federal Insurance and Mitigation Administration
LIST OF ENCLOSURES:
LOMR-F DETERMINATION DOCUMENT (REMOVAL)
cc: State/Commonwealth NFIP Coordinator
Community Map Repository
Region
Mr. David H. Neef
Page 1 of 2
Date:
April 24, 2012
Case No.: 12-07-2011A
LOMR-F
�F.YAT1Fb
Federal Emergency Management Agency
01
Washington, D.C. 20472
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LETTER OF MAP REVISION BASED ON FILL
DETERMINATION DOCUMENT REMOVAL
COMMUNITY AND MAP PANEL INFORMATION
LEGAL PROPERTY DESCRIPTION
CITY OF BLAIR, WASHINGTON
A portion of Section 1, Township 18 North, Range 11 East, 6th
COUNTY, NEBRASKA
Principle Meridian, as described in the Survivorship Warranty Deed,
recorded as Document No. 20011851, in Book 335, Page 289, in the
COMMUNITY
Office of the County Clerk, Washington County, Nebraska.
The portion of property is more particularly described by the following
COMMUNITY NO.: 310228
metes and bounds:
NUMBER: 31177CO159D
AFFECTED
MAP PANEL
DATE: 1/612012
APPROXIMATE LATITUDE & LONGITUDE OF PROPERTY: 41.567, -96.126
FLOODING SOURCE: MISSOURI RIVER
SOURCE OF LAT & LONG: STREETS & TRIPS 2010 DATUM: WGS 84
DETERMINATION
OUTCOME
1%ANNUAL
LOWEST
LOWEST
WHAT IS
CHANCE
ADJACENT
LOT
LOT
BLOCK/
SUBDIVISION
STREET
REMOVED FROM
FLOOD
FLOOD
GRADE
ELEVATION
SECTION
THE SFHA
ZONE
ELEVATION
ELEVATION
(NAVD 88)
(NAVD 88)
(NAVD 88)
11451 County Road
Portion of
X
1010.8 feet
--
1011.1 feet
18
Property j
(shaded)
Special Flood Hazard Area (SFHA) - The SFHA is an area that would be inundated by the flood having a 1 -percent chance of being
equaled or exceeded in any given year (base flood).
ADDITIONAL CONSIDERATIONS (Please refer to the appropriate section on Attachment 1 for the additional considerations listed below.)
LEGAL PROPERTY DESCRIPTION
FILL RECOMMENDATION
PORTIONS REMAIN IN THE SFHA
This document provides the Federal Emergency Management Agency's determination regarding a request for a Letter of Map Revision based
on Fill for the property described above. Using the information submitted and the effective National Flood Insurance Program (NFIP) map, we
have determined that the described portion(s) of the property(ies) is/are not located in the SFHA, an area inundated by the flood having a
1 -percent chance of being equaled or exceeded in any given year (base flood). This document revises the effective NFIP map to remove the
subject property from the SFHA located on the effective NFIP map; therefore, the Federal mandatory flood insurance requirement does not
apply. However, the lender has the option to continue the flood insurance requirement to protect its financial risk on the loan. A Preferred Risk
Policy (PRP) is available for buildings located outside the SFHA. Information about the PRP and how one can apply is enclosed.
This determination is based on the flood data presently available. The enclosed documents provide additional information regarding this
determination. If you have any questions about this document, please contact the FEMA Map Assistance Center toll free at (877) 336-2627
(877 -FEMA MAP) or by letter addressed to the Federal Emergency Management Agency, LOMC Clearinghouse, 7390 Coca Cola Drive, Ste 204,
Hanover, MD 21076.
Luis Rodriguez, P.E., Chief
Engineering Management Branch
Federal Insurance and Mitigation Administration
Page 2 of 2 Date: April 24, 2012 (Case No.: 12-07-2011A I LOMR-F
Federal Emergency Management Agency
nWashington, D.C. 20472
LETTER OF MAP REVISION BASED ON FILL
DETERMINATION DOCUMENT (REMOVAL)
ATTACHMENT 1 (ADDITIONAL CONSIDERATION
LEGAL PROPERTY DESCRIPTION (CONTINUED)
COMMENCING at the Northwest corner of the Northeast quarter of Section 1; thence N87157'1 8"E, 260.00 feet;
thence S02030'00"W, 135.00 feet to the POINT OF BEGINNING; thence S02030'00"W, 75.00 feet; thence
S14000'00"E, 30.00 feet; thence S59032'12"E, 72.00 feet: thence N67°36'11", 69.00 feet; thence N23100'00"E,
43.00 feet; thence N05°00'00"E, 70.00 feet; thence N06100'00"W, 57.00 feet; thence N82100'00"W, 37.00 feet;
thence S70100'00"W, 60.00 feet; thence S55154'53"W, 64.92 feet to the POINT OF BEGINNING.
FILL RECOMMENDATION (This Additional Consideration applies to the preceding 1 Property.)
The minimum NFIP criteria for removal of the subject area based on fill have been met for this request and the
community in which the property is located has certified that the area and any subsequent structure(s) built on the
filled area are reasonably safe from flooding. FEMA's Technical Bulletin 10-01 provides guidance for the
construction of buildings on land elevated above the base flood elevation through the placement of fill. A copy of
Technical Bulletin 10-01 can be obtained by calling the FEMA Map Assistance Center toll free at (877) 336-2627
(877 -FEMA MAP) or from our web site at http://www.fema.gov/mit/tb1001.pdf. Although the minimum NFIP
standards no longer apply to this area, some communities may have floodplain management regulations that are
more restrictive and may continue to enforce some or all of their requirements in areas outside the Special Flood
Hazard Area.
PORTIONS OF THE PROPERTY REMAIN IN THE SFHA (This Additional Consideration applies to the
preceding 1 Property.)
Portions of this property, but not the subject of the Determination/Comment document, may remain in the Special
Flood Hazard Area. Therefore, any future construction or substantial improvement on the property remains
subject to Federal, State/Commonwealth, and local regulations for floodplain management.
This attachment provides additional information regarding this request. If you have any questions about this attachment, please contact the
FEMA Map Assistance Center toll free at (877) 336-2627 (877 -FEMA MAP) or by letter addressed to the Federal Emergency Management
Agency, LOMC Clearinghouse, 7390 Coca Cola Drive, Ste 204, Hanover, MD 21076.
s ..
Luis Rodriguez, P.E., Chief
Engineering Management Branch
Federal Insurance and Mitigation Administration
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DEPARTMENT OF HOMELAND SECURITY - FEDERAL EMERGENCY MANAGEMENT AGENCYO.M.B. NO. 1660-0015
I
PROPERTY INFORMATION FORM Expires February 28, 2014
PAPERWORK BURDEN DISCLOSURE NOTICE
Public reporting burden for this data collection is estimated to average 1.63 hours per response. The burden estimate includes the time for reviewing Instructions,
searching existing data sources, gathering and maintaining the needed data, and completing and submitting the form. This collection is required to obtain or retain
benefits. You are not required to respond to this collection of information unless a valid OMB control number Is displayed on this form. Send comments regarding the
this burden to: Information Collections Management, Department of Homeland Security, Federal
accuracy of the burden estimate and any suggestions for reducing
Emergency Management Agency, 1800 South Bell Street, Arlington, VA 20598-3005, Paperwork Reduction Project (1660-0015). NOTE: Do not send your completed
form to this address.
This form may be completed by the property owner, property owner's agent, licensed land surveyor, or registered professional engineer to support a request for a
Letter Map Amendment (CLOMA), Letter of Map Revision Based on Fill (LOMR-F), or Conditional Letter of Map
Letter of Map Amendment (LOMA), Conditional of
Revision Based on Fill (CLOMR-F) for existing or proposed, single or multiple lots/structures, in order to process your request, all information on this form must be
completed In its entirety, unless stated as optional. Incomplete submissions will result in processing delays. Please check the item below that describes your request:
A letter from DHS -FEMA stating that an existing structure or parcel of land that has not been elevated
❑ LOMA
by fill (natural grade) would not be inundated by the base flood.
A letter from DHS -FEMA stating that a proposed structure that is not to be elevated by fill (natural
❑ CLOMA
grade) would not be inundated by the base flood if built as proposed,
A letter from DHS -FEMA stating that an existing structure or parcel of land that has been elevated by
® LOMR-F
fill would not be inundated by the base flood.
A letter from DHS -FEMA stating that a parcel of land or proposed structure that will be elevated by fill
rdefined
would not be inundated by the base flood if fill is placed on the parcel as proposed or the structure is
built as proposed.
material from any source (including the subject property) placed that raises the ground to or above the Base Flood Elevation (BFE). The common
construction practice of removing unsuitable existing material (topsoil) and backfilling with select structural material is not considered the placement of fill lithe
practice does not alter the existing (natural grade) elevation, which is at or above the BFE. Fill that is placed before the date of the first National Flood Insurance
Program (NFIP) map showing the area In a Special Flood Hazard Area (SFHA) is considered natural grade.
Has fill been placed on your property to raise
ground that was previously below the BFE? ® Yes ❑ No If yes, when was fill placed? /2011
month/year
Will fill be placed on your property to raise
ground that is below the BFE? ❑ Yes* ❑ No If yes, when will fill be placed? /
month/year
* If yes, Endangered Species Act (ESA) compliance must be documented to FEMA prior to issuance
of the CLOMR-F determination (please refer page 4 to the MT -1 instructions).
1. Street Address of the Property (if request is for multiple structures or units, please attach additional sheet referencing each address and enter
street names below):
11451 County Road 18
2. Legal description of Property (Lot, Block, Subdivision or abbreviated description from the Deed):
Tax Lot 88 in the NW 1/4 of the NE 1/4 of Section 1, T18N, R11E of the 6th P.M., in Washington County, Nebraska
3. Are you requesting that a flood zone determination be completed for (check one):
❑ Structures on the property? What are the dates of construction? (MM/YYYY)
® A portion of land within the bounds of the property? (A certified metes and bounds description and map of the area to be
removed, certified by a licensed land surveyor or registered professional engineer, are required. For the preferred format of
metes and bounds descriptions, please refer to the MT -1 Form 1 Instructions.)
❑ The entire legally recorded property?
4. Is this request for a (check one):
❑ Single structure
® Single lot
❑ Multiple structures (How many structures are involved in your request? List the number: )
❑ Multiple lots (How many lots are involved in your request? List the number: )
DHS - FEMA Form 086-0-26, FEB 11 Property Information Form MT -1 Form 1 Page 1 of 2
In addition to this form (MT -1 Form 1), please complete the checklist below. ALL requests must include one copy of the following:
® Copy of the effective FIRM panel on which the structure and/or property location has been accurately plotted (property inadvertently located in the NFIP
regulatory floodway will require Section B of MT -1 Form 3)
❑ Copy of the Subdivision Plat Map for the property (with recordation data and stamp of the Recorder's office)
OR
® Copy of the Property Deed (with recordation data and stamp of the Recorder's office), accompanied by a tax assessor's map or other certified map
showing the surveyed location of the property relative to local streets and watercourses. The map should Include at least one street intersection that is
shown on the FIRM panel.
® Form 2 — Elevation Form. If the request is to remove the structure, and an Elevation Certificate has already been completed for this property, it may be
submitted in lieu of form 2. If the request is to remove the entire legally recorded property, or a portion thereof, the lowest lot elevation must be
provided on Form 2.
® Please include a map scale and North arrow on all maps submitted.
For LOMR-Fs and CLOMR-Fs, the following must be submitted in addition to the items listed above:
® Form 3 — Community Acknowledgment Form
For CLOMR-Fs, the following must be submitted In addition to the items listed above:
❑ Documented ESA compliance, which may include a copy of an Incidental Take Permit, an Incidental Take Statement, a "not likely to adversely affect"
determination from the National Marine Fisheries Service (NMFS) or the U.S. Fish and Wildlife Service (USFWS), or an official letter from NMFS or USFWS
concurring that the project has "No Effect" on proposed or listed species or designated critical habitat. Please refer to the MT -1 instructions for additional
information.
Please do not submit original documents. Please retain a copy of all submitted documents for your records.
DHS -FEMA encourages the submission of all required data in a digital format (e.g. scanned documents and images on Compact Disc [Col). Digital
submissions help to further DHS-FEMA's Digital Vision and also may facilitate the processing of your request.
Incomplete submissions will result in processing delays. For additional information regarding this form, including where to obtain the supporting
documents listed above, please refer to the MT -1 Form Instructions located at http://www,fema.gov/plan/prevent/fhm/dl mt-1.shtm.
Processing Fee (see instructions for appropriate mailing address; or visit http://www.fema.gov/fhm/frm fees.shtm for the most current fee
schedule)
Revised fee schedules are published periodically, but no more than once annually, as noted in the Federal Register. Please note: single/multiple
lot(s)/structure(s) LOMAs are fee exempt. The current review and processing fees are listed below:
Check the fee that applies to your request:
❑ $325 (single lot/structure LOMR-F following a CLOMR-F)
® $425 (single lot/structure LOMR-F)
n $500 (single lot/structure CLOMA or CLOMR-F)
❑ $700 (multiple lot/structure LOMR-F following a CLOMR-F, or multiple lot/structure CLOMA)
n $800 (multiple lot/structure LOMR-F or CLOMR-F)
Please submit the Payment Information Form for remittance of applicable fees. Please make your check or money order payable to:
National Flood Insurance Program.
All documents submitted in support of this request are correct to the best of my knowledge. I understand that any false statement may be punishable by fine
or imprisonment under Title 18 of the United States Code, Section 1001.
Applicant's Name (required): David H. Neef
Mailing Address (required): 10836 Old Mill Rd Omaha, NE 68154
E -Mail Address (optional): ® By checking here you may receive
correspondence electronically at the email address provided):
dneef@td2co.com
Date (required)
C,3-3a_Z.61Z-
Company (if applicable): Thompson, Dreessen & Domer, Inc.
Daytime Telephone No. (required): 402-330-8860
Fax No. (optional): 402-330-5866
Signature of Applica , t (required)
DHS - FEMA Form 086-0-26, FEB 11 Property Information Form MT -1 Form 1 Page 2 of 2
DEPARTMENT OF HOMELAND SECURITY - FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. NO. 1660-0015
ELEVATION FORM I
Expires February 28, 2014
PAPERWORK BURDEN DISCLOSURE NOTICE
Ff,orm
reporting burden for this data collection is estimated to average 1.25 hours per response. The burden estimate includes the time for reviewing instructions,
ing existing data sources, gathering and maintaining the needed data, and completing and submitting the form, This collection is required to obtain or retain
s. You are not required to respond to this collection of information unless a valid OMB control number is displayed on this form. Send comments regarding the
cy of the burden estimate and any suggestions for reducing this burden to: Information Collections Management, Department of Homeland Security, Federal
ency Management Agency, 1800 South Bell Street, Arlington, VA 20598-3005, Paperwork Reduction Project (1660-0015), NOTE: Do not send your completed
o this address.
This form must be completed for requests and must be completed and signed by a registered professional engineer or licensed land surveyor. A DHS - FEMA National
Flood Insurance Program (NFIP) Elevation Certificate may be submitted in lieu of this form for single structure requests.
For requests to remove a structure on natural grade OR on engineered fill from the Special Flood Hazard Area (SFHA), submit the lowest adjacent grade (the lowest
ground touching the structure), including an attached deck or garage. For requests to remove an entire parcel of land from the SFHA, provide the lowest lot elevation;
or, if the request involves an area described by metes and bounds, provide the lowest elevation within the metes and bounds description. All measurements are to be
rounded to nearest tenth of a foot. In order to process your request, all information on this form must be completed in its entirety. Incomplete submissions will
result in processing delays.
1. NFIP Community Number: 310228 Property Name or Address: 11451 County Road 18, Blair Nebraska 68008
2. Are the elevations listed below based on ® existing or ❑ proposed conditions? (Check one)
3. For the existing or proposed structures listed below, what are the types of construction? (check all that apply)
❑ crawl space ❑ slab on grade ❑ basement/enclosure ❑ other (explain)
4. Has DHS - FEMA identified this area as subject to land subsidence or uplift? (see instructions) ❑ Yes ® No
if yes, what is the date of the current re -leveling? / (month/year)
5, What is the elevation datum? ❑ NGVD 29 ® NAVD 88 ❑ Other (explain)
If any of the elevations listed below were computed using a datum different than the datum used for the effective Flood Insurance Rate Map
(FIRM) (e.g., NGVD 29 or NAVD 88), what was the conversion factor?
Local Elevation +/-ft, = FIRM Datum
6, Please provide the Latitude and Longitude of the most upstream edge of the structure (in decimal degrees to the nearest fifth decimal place):
Indicate Datum: ❑ WGS84 ❑ NAD83 ❑ NAD27 Lat, I Long.
Please provide the Latitude and Longitude of the most upstream edge of the property (in decimal degrees to the nearest fifth decimal place):
Indicate Datum: ❑ WGS84 ® NAD83 ❑ NAD27 Lat. 41. 56695 Long. -96. 12630
Lowest
Address Lot Number Block Lowest Lot Adjacent Base Flood BFE Source
Number Elevation* Grade To Elevation
Structure
11451 County Road 18 88 1011.1 1011.0 FIS Missouri River
This certification is to be signed and sealed by a licensed land surveyor, registered professional engineer, or architect authorized by law to certify elevation
information. All documents submitted in support of this request are correct to the best of my knowledge. I understand that any false statement may be punishable
by fine or Imprisonment under Title 18 of the United States Code, Section 1001.
Certifier's Name: David H. Neef License No.: NE R.L,S, N 475 Expiration Date: April 1, 2013
Company Name: Thompson, Dreessen & Dorner, Inc, Telephone No,: 402-330-8860
Email: dneef@td2co.com Fax No. 402-330-5866
Signature:' Date: 03-30-12
* For requests involving a portion of property, Include the lowest ground elevation within Seal (optional)
the metes and bounds description,
Please note: If the Lowest Adjacent Grade to Structure is the only elevation provided, a determination
will be issued for the structure only.
DHS - FEMA Form 086-0-26A, FEB 11 Elevation Form MT -1 Form 2 Page 1 of 2