Form FEMA Form FF-206-F FEMA Form FF-206-F Environmental and Historic Preservation Certifications

DEPARTMENT OF HOMELAND SECURITY

Federal Emergency Management Agency

OMB Control Number: 1660-0022
Expiration: XX/XX/XXXX

CRS COMMUNITY CERTIFICATIONS FOR
ENVIRONMENTAL AND HISTORIC PRESEERVATION
Public reporting burden for this form is estimated to average 1.6 hours for the environmental and historic preservation certifications, per response.
The burden estimate includes the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and
completing and submitting the form. This collection of information is required to obtain voluntary benefits. You are not required to respond to this
collection of information unless it displays a valid OMB control number. Send comments regarding the accuracy of the burden estimate and any
suggestions for reducing the burden to: Information Collections Management, Department of Homeland Security, Federal Emergency Management
Agency, 500 C Street, S.W., Washington, D.C. 20472, Paperwork Reduction Project (1660-0022). NOTE: Do not send your completed form to this
address.

PRIVACY NOTICE
This Privacy Notice serves to inform you of why DHS is requesting the information on this form.
AUTHORITY: FEMA is authorized to collect the information requested on this form pursuant to The National Flood Insurance Reform Act (NFIRA) of
1994 (P.L. 103-325, Sec. 541).

DRAFT

PURPOSE: FEMA is requesting this information to assist in the administration of the Community Rating System (CRS). FEMA will use this
information to determine eligibility of a community to participate in the CRS, to facilitate communication between FEMA and communities for
floodplain management, and to assist in reducing the flood insurance rates for policyholders within a CRS eligible community. Additionally, FEMA
uses the information to maintain a listing of communities participating in the National Flood Insurance Program.
ROUTINE USES: The information requested on this form may be shared externally with floodplain management partners and contractors to assist
the Department of Homeland Security in administering the CRS or other floodplain management activities.
CONSEQUENCES OF FAILURE TO PROVIDE INFORMATION: Providing this information to FEMA is voluntary. However, failure to provide this
information may result in FEMA's determination that a community is not eligible to participate in the CRS and in turn reducing potential NFIP flood
insurance premium savings. Individuals and communities who do not provide this information may contact Bill Lesser, FIMA CRS Coordinator at
FEMA at [email protected] for further assistance.

This packet contains forms for the community's certifications of its compliance with environmental and historic preservation
requirements. These certifications are part of the documentation needed to obtain credit for certain activities under the National
Flood Insurance Program's Community Rating System (CRS). The certification forms are designed to be used in conjunction with the
CRS Coordinator's Manual.
Community certification forms for non-environmental aspects of the CRS are available in a separate packet.
Instructions for completing the certification forms can be found on each page.
Contents
• CC-520EHP Acquisition and Relocation - Certification of Compliance with Environmental and Historic Preservation Requirements
• CC-530EHP Flood Protection - Certification of Compliance with Environmental and Historic Preservation Requirements
• CC-540EHP Drainage System Maintenance - Certification of Compliance with Environmental and Historic Preservation Requirements
• CC-620EHP - Levees - Certification of Compliance with Environmental and Historic Preservation Requirements

FEMA Form FF-206-FY-23-102 (formerly 086-0-35B) (5/23)

Page 1 of 15

DEPARTMENT OF HOMELAND SECURITY

OMB Control Number: 1660-0022
Expiration: 10/31/2023

Federal Emergency Management Agency
CRS COMMUNITY CERTIFICATIONS FOR
ENVIRONMENTAL AND HISTORIC PRESEERVATION
Community

State

CID
(6 digit NFIP Community Identification Number)

CC520-EHP ACQUISITION AND RELOCATION
COMPLIANCE WITH ENVIRONMENTAL AND HISTORIC PRESERVATION REQUIREMENTS
(See Section 521.b(7) in the CRS Coordinator's Manual)
In the table below, list each property for which credit is desired under Activity 520, indicate the project date, and check the box that
identifies the source of the project funding. Add additional copies of this page (CC-520EHP-1) as necessary. Then, complete pages
CC-520EHP-2 and CC-520EHP-3, as appropriate, based on the project's funding source.

DRAFT

If any FEMA funding was included in the project, then the source of funding is "FEMA." FEMA funding includes FEMA Hazard
Mitigation Assistance grants (under the Hazard Mitigation Grant Program or the Pre-disaster Mitigation, Flood Mitigation Assistance,
Repetitive Flood Claims, or Severe Repetitive Loss programs) and FEMA Public Assistance funds. If no FEMA funding was used but
any other federal funds were included (e.g., from the Corps of Engineers), then the funding source is "Other Federal Agency." If the
project was funded only by state, local, and/or private funds, the source is "No Federal Funds." An NFIP claim payment, including
funds provided under Increased Cost of Compliance coverage, is considered "No Federal Funds."
NOTE: The self-certification of compliance with environmental and historic preservation requirements incorporated into this
certification applies only to projects after the effective date of the 2013 Coordinator's Manual (April 1, 2013).
DATE PROJECT
PERMITTED OR
INITIATED

PROPERTY ADDRESS

CC-520EHP-1
FEMA Form FF-206-FY-23-102 (formerly 086-0-35B) (5/23)

SOURCE OF PROJECT FUNDING
FEMA

OTHER
FEDERAL
AGENCY

NO
FEDERAL
FUNDS

[continued on next page]
Page 2 of 15

Community

State

CID
(6 digit NFIP Community Identification Number)

ACQUISITION AND RELOCATION PROJECTS
Project Name:
Project or Grant Number:
Project Description (or include as an attachment):

DRAFT

On each row of the table below, initial the box that applies to the project, signifying that the appropriate steps were taken (shaded
areas are "not applicable"). Then sign at the end of the certification. More information on these programs can be found in Figure
500-5 of the Coordinator's Manual.
FEDERAL
FUNDING

NO
FEDERAL
FUNDING

Certification Statement for Acquisition and Relocation Projects

All properties marked "FEMA Funded" on CC-520EHP-1 were included in the above description of the FEMA-funded project.
State and local requirements: In addition to federal laws, implementing regulations, and executive orders, this project
took into consideration the requirements of all state and local environmental and historic preservation laws, ordinances,
and permits that apply to this type of project. Communication with the appropriate state agency and/or local government
entity took place before project implementation. Any recommendations made by the agency or office were carried out.
National Historic Preservation Act: If any acquired or relocated structure affected by this project was 50 years of age or
older at the time of the acquisition, communication with the State Historic Preservation Officer or Tribal Historic
Preservation Officer (if on tribal land or reservation) took place to determine if the structure was either on or eligible for the
National Register of Historic Places (historic property) and to resolve any adverse effect(s) to the historic property.
Protection of floodplains (E.O. 11988 --Floodplain Management): Consideration was given to the project's long- and
short-term adverse impacts that are associated with the occupance and modification of floodplains, and to avoiding direct
and indirect support of floodplain development wherever there was a practicable alternative.
E.O. 11990 - Protection of Wetlands: Consideration was given to the possible loss or degradation of wetlands
associated with the construction of this project, as well as to the preservation and enhancement of the natural and
beneficial values of wetlands.
E.O. 12898 - Environmental Justice in Minority and Low-income Populations: Consideration was given to the
possible negative impacts associated with the implementation of this project on minority and low-income populations, and
to avoiding those impacts where practicable.
For projects in areas subject to the Coastal Barrier Resources Act: There was communication with the U.S. Fish and
Wildlife Service regarding this project's potential to jeopardize any ecologically sensitive coastal barrier resources. Any
recommendations made by the Service were carried out.
For projects in coastal communities: There was communication concerning this project with the state's lead coastal
zone management agency regarding the enforcement of the policies of the state's coastal zone management program in
carrying out federally funded or federally authorized construction activities. Any recommendations made by the agency
were carried out.

CC-520EHP-2
FEMA Form FF-206-FY-23-102 (formerly 086-0-35B) (5/23)

[continued on next page]
Page 3 of 15

Community

State

CID
(6 digit NFIP Community Identification Number)

In addition to the projects listed on page 3, for projects that also involved the development of a new site on which to place the
relocated building(s), continue initialing in the appropriate boxes below.
FEDERAL
FUNDING

NO
FEDERAL
FUNDING
Endangered Species Act: Consideration was given to the protection and preservation of threatened and/or endangered
species (including plants and animals and their habitat) whose existence may have been threatened by the construction
activities. Communication took place with the U.S. Fish and Wildlife Service (or the National Marine Fisheries Service if
the project is in a coastal area) and the applicable state agencies for state-protected species and/or their habitat. Any
recommendations made by the Services or state agencies were carried out.
Archaeological and Historic Preservation Act: The effects of the proposed relocation on archaeological sites were
considered.

DRAFT

Point source and Non-Point Source Discharge (Clean Water Act, Section 402): Consideration was given to all permit
requirements for municipal point source discharge (sewage treatment plant discharge) as well as non-point discharge
(surface runoff) of a pollutant into surface waters. Communication with the Environmental Protection Agency or
designated state office took place. Any recommendations made by the agencies were carried out.
Dredge and fill materials (Clean Water Act, Section 404): Consideration was given to all permit requirements for
discharging dredge or fill material into waters of the United States, including wetlands, and communication with the U.S.
Army Corps of Engineers took place. Any recommendations made by the Corps were carried out.
Farmland Protection Policy Act: Consideration was given to the protection of prime and unique farmlands in the
construction of this project. Communication with the U.S. Department of Agriculture's Natural Resources Conservation
Service took place. Any recommendations made by the Service were carried out.

I certify that the items initials above are correct to the best of my knowledge.
Name (Printed):

Title:

Signature:

Date:

CC-520EHP-3
FEMA Form FF-206-FY-23-102 (formerly 086-0-35B) (5/23)

Page 4 of 15

Community

CID

State

(6 digit NFIP Community Identification Number)

CC-530EHP FLOOD PROTECTION
COMPLIANCE WITH ENVIRONEMNTAL AND HISTORIC PRESERVATION REQUIREMENTS
(See Section 521.b(7) in the CRS Coordinator's Manual)
NOTE: The self-certification of compliance with environmental and historic preservation requirements incorporated into this
certification applies ONLY to projects implemented AFTER the effective date of the 2013 Coordinator's Manual (April 1, 2013)
Part A. Retrofitting Projects (TUE, TUD, TUW, TUS)
In the table below, list each retrofitted property for which credit is desired under Activity 530, indicate the type of project, check the
box that identifies the source of project funding, and insert the project date. Add additional copies of this page (CC-530EHP-1) as
needed for the number of properties. Then, complete pages CC-530EHP-2 and CC-530EHP-3 as appropriate, based on the
project's funding source.
If any FEMA funding was included in the project, then the source of funding is "FEMA." FEMA funding includes FEMA Hazard
Mitigation Assistance grants (under the Hazard Mitigation Grant Program or the Pre-disaster Mitigation, Flood Mitigation Assistance,
Repetitive Flood Claims, or Severe Repetitive Loss programs) or FEMA Public Assistance funds. If no FEMA funding was used but
any other federal funds were included (e.g., from the Corps of Engineers), then the funding source is "Other Federal Agency." If the
project was funded only by state, local, and/or private funds, the source is "NO FEDERAL FUNDS." An NFIP claim payment,
including funds provided under Increased Cost of Compliance coverage, is considered "NO FEDERAL FUNDS."

DRAFT
TYPE OF PROJECT

PROPERTY ADDRESS
FOR RETROFITTED BUILDING

DATE PROJECT
PERMITTED OR
INITIATED

TUE=Elevation
TUD=Dry Floodproofing
TUW= Wet Floodproofing
TUS=Sewer Backup

CC-530EHP-1
FEMA Form FF-206-FY-23-102 (formerly 086-0-35B) (5/23)

SOURCE OF PROJECT FUNDING
FEMA

OTHER
FEDERAL
AGENCY

NO
FEDERAL
FUNDS

[continued on next page]
Page 5 of 15

Community

State

CID
(6 digit NFIP Community Identification Number)

Part A. Retrofitting Projects (TUE, TUD, TUW, TUS) (Cont.)
Project Name:
Project or Grant Number:
Project Description (or include as an attachment):

On each row of the table below, initial the box that applies to the project, signifying that the appropriate steps were taken (shaded
areas are "not applicable"). Then sign at the end of the certification. More information on these programs can be found in Figure
500-5 of the Coordinator's Manual.

DRAFT

FEDERAL
FUNDING

NO
FEDERAL
FUNDING

Certification Statement for Retrofitting Projects

All properties marked "FEMA Funded" on CC-530EHP-1 were included in the above description of the FEMA-funded project.
State and local requirements: In addition to federal laws, implementing regulations, and executive orders, this project
took into consideration the requirements of all state and local environmental and historic preservation laws, ordinances,
and permits that apply to this type of project. Communication with the appropriate state agency and/or local government
entity took place before project implementation. Any recommendations made by the agency or office were carried out.
For projects that affected buildings 50 years of age or older (National Historic Preservation Act): If any retrofitted
structure affected by this project was 50 years of age or older at the time of the acquisition, communication with the State
Historic Preservation Officer or Tribal Historic Preservation Officer (if on tribal land or reservation) took place to determine
if the structure was either on or eligible for the National Register of Historic Places (historic property) and to resolve any
adverse effect(s) to the historic property.
Protection of floodplains (E.O. 11988 --Floodplain Management): Consideration was given to the project's long- and
short-term adverse impacts that are associated with the occupance and modification of floodplains, and to avoiding direct
and indirect support of floodplain development wherever there was a practicable alternative.
E.O. 11990 - Protection of Wetlands: Consideration was given to the possible loss or degradation of wetlands
associated with the construction of this project, as well as to the preservation and enhancement of the natural and
beneficial values of wetlands.
E.O. 12898 - Environmental Justice in Minority and Low-income Populations: Consideration was given to the
possible negative impacts associated with the implementation of this project on minority and low-income populations, and
to avoiding those impacts where practicable.
For projects in areas subject to the Coastal Barrier Resources Act: There was communication with the U.S. Fish and
Wildlife Service regarding this project's potential to jeopardize any ecologically sensitive coastal barrier resources. Any
recommendations made by the Service were carried out.
For projects in coastal communities: There was communication concerning this project with the state's lead coastal
zone management agency regarding the enforcement of the policies of the state's coastal zone management program in
carrying out federally funded or federally authorized construction activities. Any recommendations made by the agency
were carried out.

I certify that items initialed above are correct to the best of my knowledge.
Name (Printed):

Title:

Signature:

Date:

CC-530EHP-3
FEMA Form FF-206-FY-23-102 (formerly 086-0-35B) (5/23)

[continued on next page]
Page 6 of 15

Community

State

CID
(6 digit NFIP Community Identification Number)

Part B. Flood Control Projects (TUB,TUC,TUF)
In the table below, list each property for which credit is desired under Activity 530 for flood control projects (TUB, TUC, and TUF),
indicate the type of project, check the box that identifies the source of project funding, and insert the project date. Add additional
pages (page CC-530EHP-4 as necessary. Then, complete pages CC-530EHP-5 through CC-530EHP-11 as appropriate, based on
the project's funding source.
If any FEMA funding was included in the project, then the source of funding is "FEMA." FEMA funding includes FEMA Hazard
Mitigation Assistance grants (under the Hazard Mitigation Grant Program or the Pre-disaster Mitigation, Flood Mitigation Assistance,
Repetitive Flood Claims, or Severe Repetitive Loss programs) or FEMA Public Assistance funds. If no FEMA funding was used but
any other federal funds were included (e.g., from the Corps of Engineers), then the funding source is "Other Federal Agency." If the
project was funded only by state, local, and/or private funds, the source is "No Federal Funds." An NFIP claim payment, including
funds provided under Increased Cost of Compliance coverage, is considered "No Federal Funds."
NOTE: The self-certification of compliance with environmental and historic preservation requirements incorporated into this
certification applies ONLY to projects implemented AFTER the effective date of the 2013 Coordinator's Manual (April 1, 2013).

DRAFT
TYPE OF PROJECT

PROPERTY ADDRESS
FOR FLOOD CONTROL PROJECTS

DATE PROJECT
PERMITTED OR
INITIATED

CC-530EHP-4
FEMA Form FF-206-FY-23-102 (formerly 086-0-35B) (5/23)

TUB=Barriers, levees,
floodwalls
TUC=Bridge or culvert
projects, channel
modifications, storm
drain improvements,
diversions
TUF=Storage facilities

SOURCE OF PROJECT FUNDING

FEMA

OTHER
FEDERAL
AGENCY

NO
FEDERAL
FUNDS

[continued on next page]
Page 7 of 15

Community

State

CID
(6 digit NFIP Community Identification Number)

TUB - Barriers, Levees, Floodwalls
Project Name:
Project or Grant Number:
Project Description (or include as an attachment):

DRAFT

On each row of the table below, initial the box that applies to the project, signifying that the appropriate steps were taken (shaded
areas are "not applicable"). Then sign at the end of the certification. More information on these programs can be found in Figure
500-5 of the Coordinator's Manual.
FEDERAL
FUNDING

NO
FEDERAL
FUNDING

Certification Statement for Barriers, Levees, and Floodwalls (TUB)

All properties marked "FEMA Funded" on CC-530EHP-1 were included in the above description of the FEMA-funded project.
State and local requirements: In addition to federal laws, implementing regulations, and executive orders, this project
took into consideration the requirements of all state and local environmental and historic preservation laws, ordinances,
and permits that apply to this type of project. Communication with the appropriate state agency and/or local government
entity took place before project implementation. Any recommendations made by the agency or office were carried out.
For projects that affected buildings 50 years of age or older (National Historic Preservation Act): If any retrofitted
structure affected by this project was 50 years of age or older at the time of the acquisition, communication with the State
Historic Preservation Officer or Tribal Historic Preservation Officer (if on tribal land or reservation) took place to determine
if the structure was either on or eligible for the National Register of Historic Places (historic property) and to resolve any
adverse effect(s) to the historic property.
Protection of threatened and endangered species (Endangered Species Act): Consideration was given to the
protection and preservation of threatened and/or endangered species (including plants and animals and their habitat)
whose existence may have been threatened by the construction activities. Communication took place with the U.S. Fish
and Wildlife Service (or the National Marine Fisheries Service if the project is in a coastal area) and the applicable state
agencies for state-protected species and/or their habitat. Any recommendations made by the Services or state agencies
were carried out.
Discharge of dredge and fill materials (Clean Water Act, Section 404): Consideration was given to all permit requirements
for discharging dredge and fill materials into waters of the United States, including wetlands, and communication with the U.S.
Army Corps of Engineers took place. Any recommendations made by the Corps were carried out.

CC-530EHP-5
FEMA Form FF-206-FY-23-102 (formerly 086-0-35B) (5/23)

[continued on next page]
Page 8 of 15

Community

State

CID
(6 digit NFIP Community Identification Number)

FEDERAL
FUNDING

NO
FEDERAL
FUNDING

Certification Statement for Barriers, Levees, and Floodwalls (TUB) (Cont.)
Protection of floodplains (E.O. 11988 --Floodplain Management): Consideration was given to the project's long- and
short-term adverse impacts that are associated with the occupance and modification of floodplains, and to avoiding direct
and indirect support of floodplain development wherever there was a practicable alternative.
E.O. 11990 - Protection of Wetlands: Consideration was given to the possible loss or degradation of wetlands
associated with the construction of this project, as well as to the preservation and enhancement of the natural and
beneficial values of wetlands.
E.O. 12898 - Environmental Justice in Minority and Low-income Populations: Consideration was given to the
possible negative impacts associated with the implementation of this project on minority and low-income populations, and
to avoiding those impacts where practicable.

DRAFT

For projects in areas subject to the Coastal Barrier Resources Act: There was communication with the U.S. Fish and
Wildlife Service regarding this project's potential to jeopardize any ecologically sensitive coastal barrier resources. Any
recommendations made by the Service were carried out.
For projects in coastal communities: There was communication concerning this project with the state's lead coastal
zone management agency regarding the enforcement of the policies of the state's coastal zone management program in
carrying out federally funded or federally authorized construction activities. Any recommendations made by the agency
were carried out.

I certify that items initialed above are correct to the best of my knowledge.
Name (Printed):

Title:

Signature:

Date:

CC-530EHP-6
FEMA Form FF-206-FY-23-102 (formerly 086-0-35B) (5/23)

[continued on next page]
Page 9 of 15

Community

State

CID
(6 digit NFIP Community Identification Number)

TUC - Bridge or Culvert Projects, Channel Modification, Channel Diversion, Pump Station Improvements, Storm Drain
Improvements, or Other Projects
Project Name:
Project or Grant Number:
Project Description (or include as an attachment):

DRAFT

On each row of the table below, initial the box that applies to the project, signifying that the appropriate steps were taken (shaded
areas are "not applicable"). Then sign at the end of the certification. More information on these programs can be found in Figure
500-5 of the Coordinator's Manual.
The creditable projects include:
• Bridge or culvert projects;
• Channel modifications or channel diversion;
• Pump station improvements;
• Storm drain improvements; and
• Other (project not listed in Activity 530, but being considered for CRS credit).

Also see the matrix of the various environmental and historical preservation compliance requirements as they relate to these types of
projects. It is available at www.CRSresources.org/500.
FEDERAL
FUNDING

NO
FEDERAL
FUNDING

Certification Statement for Bridge or Culvert Projects, Channel Modification, Channel Diversion, Storm
Drain Improvements, Pump Station Improvements, or Other Projects (TUC)
All properties marked "FEMA Funded" on CC-530EHP-1 were included in the above description of the FEMA-funded project.

For bridge or culvert projects, channel modification, channel diversion, storm drain improvements, pump station improvements, or other projects:
State and local requirements: In addition to federal laws, implementing regulations, and executive orders, this project
took into consideration the requirements of all state and local environmental and historic preservation laws, ordinances,
and permits that apply to this type of project. Communication with the appropriate state agency and/or local government
entity took place before project implementation. Any recommendations made by the agency or office were carried out.
Protection of threatened and endangered species (Endangered Species Act): Consideration was given to the
protection and preservation of threatened and/or endangered species (including plants and animals and their habitat)
whose existence may have been threatened by the construction activities. Communication took place with the U.S. Fish
and Wildlife Service (or the National Marine Fisheries Service if the project is in a coastal area) and the applicable state
agencies for state-protected species and/or their habitat. Any recommendations made by the Services or state agencies
were carried out.
Protection of floodplains (E.O. 11988 --Floodplain Management): Consideration was given to the project's long- and
short-term adverse impacts that are associated with the occupance and modification of floodplains, and to avoiding direct
and indirect support of floodplain development wherever there was a practicable alternative.

CC-530EHP-7
FEMA Form FF-206-FY-23-102 (formerly 086-0-35B) (5/23)

[continued on next page]
Page 10 of 15

Community

State

CID
(6 digit NFIP Community Identification Number)

FEDERAL
FUNDING

NO
FEDERAL
FUNDING

Certification Statement for Bridge or Culvert Projects, Channel Modification, Channel Diversion, Storm
Drain Improvements, Pump Station Improvements, or Other Projects (TUC) (Cont.)

For bridge or culvert projects, channel modification, channel diversion, storm drain improvements, pump station improvements, or other projects (Cont.):
E.O. 11990 - Protection of Wetlands: Consideration was given to the possible loss or degradation of wetlands
associated with the construction of this project, as well as to the preservation and enhancement of the natural and
beneficial values of wetlands.
E.O. 12898 - Environmental Justice in Minority and Low-income Populations: Consideration was given to the
possible negative impacts associated with the implementation of this project on minority and low-income populations, and
to avoiding those impacts where practicable.
For projects in areas subject to the Coastal Barrier Resources Act: There was communication with the U.S. Fish and
Wildlife Service regarding this project's potential to jeopardize any ecologically sensitive coastal barrier resources. Any
recommendations made by the Service were carried out.

DRAFT

For projects in coastal communities: There was communication concerning this project with the state's lead coastal
zone management agency regarding the enforcement of the policies of the state's coastal zone management program in
carrying out federally funded or federally authorized construction activities. Any recommendations made by the agency
were carried out.

In addition to the above, for the bridge or culvert projects, storm drain improvements, or other projects:

For projects that affected buildings 50 years of age or older (National Historic Preservation Act): If any retrofitted
structure affected by this project was 50 years of age or older at the time of the acquisition, communication with the State
Historic Preservation Officer or Tribal Historic Preservation Officer (if on tribal land or reservation) took place to determine
if the structure was either on or eligible for the National Register of Historic Places (historic property) and to resolve any
adverse effect(s) to the historic property.

In addition to the above, for the bridge or culvert projects, channel modification, channel diversion, storm drain improvements, or other projects:

Archaeological and Historic Preservation Act: The effects of the project on archaeological sites were considered.

In addition to the above, for the bridge or culvert projects, channel modification, channel diversion, or other projects:

Dredge and fill materials (Clean Water Act, Section 404): Consideration was given to all permit requirements for
discharging dredge and fill material into waters of the United States, including wetlands, and communication with the U.S.
Army Corps of Engineers took place. Any recommendations made by the Corps were carried out.
Rivers and Harbors Act, Section 10: Consideration was given to any permit requirements for the project's impact on
navigable waterways. Communication with the U.S. Army Corps of Engineers took place.
Fish and Wildlife Coordination Act: Consideration was given to the potential for this project to result in the control or
modification of a natural stream or body of water. Communication with the U.S. Fish and Wildlife Service (or National
Marine Fisheries Service if the project is in a coastal area) took place. Any recommendations made by the agencies were
carried out.
For pump station improvements, storm drain improvements, and other projects:
Point source and non-point source discharge (Clean Water Act, Section 402): Consideration was given to all permit
requirements for municipal point source discharge (sewage treatment plant discharge) as well as non-point discharge
(surface runoff) of a pollutant into surface waters. Communication with the Environmental Protection Agency or
designated state office took place. Any recommendations made by the agencies were carried out.
For channel modification, channel diversion, and other projects:
Farmland Protection Policy Act: Consideration was given to the protection of prime and unique farmlands in the
construction of this project. Communication with the U.S. Department of Agriculture, Natural Resources Conservation
Service took place. Any recommendations made by the Service were carried out.

CC-530EHP-8
FEMA Form FF-206-FY-23-102 (formerly 086-0-35B) (5/23)

[continued on next page]
Page 11 of 15

Community

State

CID
(6 digit NFIP Community Identification Number)

I certify that items initialed above are correct to the best of my knowledge.
Name (Printed):

Title:

Signature:

Date:

TUF - Storage Facilities
Project Name:
Project or Grant Number:

DRAFT

Project Description (or include as an attachment):

On each row of the table below, initial the box that applies to the project, signifying that the appropriate steps were taken (shaded
areas are "not applicable"). Then sign at the end of the certification. More information on these programs can be found in Figure
500-5 of the Coordinator's Manual.
FEDERAL
FUNDING

NO
FEDERAL
FUNDING

Certification Statement for Storage Facilities (TUF)
All properties marked "FEMA Funded" on CC-530EHP-1 were included in the above description of the FEMA-funded project.
State and local requirements: In addition to federal laws, implementing regulations, and executive orders, this project
took into consideration the requirements of all state and local environmental and historic preservation laws, ordinances,
and permits that apply to this type of project. Communication with the appropriate state agency and/or local government
entity took place before project implementation. Any recommendations made by the agency or office were carried out.
Archaeological and Historic Preservation Act: The effects of the project on archaeological sites were considered.
Protection of threatened and endangered species (Endangered Species Act): Consideration was given to the
protection and preservation of threatened and/or endangered species (including plants and animals and their habitat)
whose existence may have been threatened by the construction activities. Communication took place with the U.S. Fish
and Wildlife Service (or the National Marine Fisheries Service if the project is in a coastal area) and the applicable state
agencies for state-protected species and/or their habitat. Any recommendations made by the Services or state agencies
were carried out.
Point source and non-point source discharge (Clean Water Act, Section 402): Consideration was given to all permit
requirements for municipal point source discharge (sewage treatment plant discharge) as well as non-point discharge
(surface runoff) of a pollutant into surface waters. Communication with the Environmental Protection Agency or
designated state office took place. Any recommendations made by the agencies were carried out.

CC-530EHP-9
FEMA Form FF-206-FY-23-102 (formerly 086-0-35B) (5/23)

[continued on next page]
Page 12 of 15

Community

State

CID
(6 digit NFIP Community Identification Number)

FEDERAL
FUNDING

NO
FEDERAL
FUNDING

Certification Statement for Storage Facilities (TUF) (Cont.)
Discharge of dredge and fill materials (Clean Water Act, Section 404): Consideration was given to all permit requirements
for discharging dredge and fill materials into waters of the United States, including wetlands, and communication with the U.S.
Army Corps of Engineers took place. Any recommendations made by the Corps were carried out.
Farmland Protection Policy Act: Consideration was given to the protection of prime and unique farmlands in the
construction of this project. Communication with the U.S. Department of Agriculture, Natural Resources Conservation
Service took place. Any recommendations made by the Service were carried out.
Protection of floodplains (E.O. 11988 --Floodplain Management): Consideration was given to the project's long- and
short-term adverse impacts that are associated with the occupance and modification of floodplains, and to avoiding direct
and indirect support of floodplain development wherever there was a practicable alternative.

DRAFT
E.O. 11990 - Protection of Wetlands: Consideration was given to the possible loss or degradation of wetlands
associated with the construction of this project, as well as to the preservation and enhancement of the natural and
beneficial values of wetlands.

E.O. 12898 - Environmental Justice in Minority and Low-income Populations: Consideration was given to the
possible negative impacts associated with the implementation of this project on minority and low-income populations, and
to avoiding those impacts where practicable.
For projects in areas subject to the Coastal Barrier Resources Act: There was communication with the U.S. Fish and
Wildlife Service regarding this project's potential to jeopardize any ecologically sensitive coastal barrier resources. Any
recommendations made by the Service were carried out.
For projects in coastal communities: There was communication concerning this project with the state's lead coastal
zone management agency regarding the enforcement of the policies of the state's coastal zone management program in
carrying out federally funded or federally authorized construction activities. Any recommendations made by the agency
were carried out.

I certify that items initialed above are correct to the best of my knowledge.
Name (Printed):

Title:

Signature:

Date:

CC-530EHP-10
FEMA Form FF-206-FY-23-102 (formerly 086-0-35B) (5/23)

[continued on next page]
Page 13 of 15

Community

State

CID
(6 digit NFIP Community Identification Number)

CC-540EHP DRAINAGE SYSTEM MAINTENANCE
COMPLIANCE WITH ENVIRONEMNTAL AND HISTORIC PRESERVATION REQUIREMENTS
(See Section 541.b(4) in the CRS Coordinator's Manual)
On each row of the table below, initial the box that applies to the project, signifying that the appropriate steps were taken (shaded
areas are "not applicable"). Then sign at the end of the certification. More information on these programs can be found in Figure
500-5 of the Coordinator's Manual.
NOTE: To receive credit under Activity 540, the self-certification of compliance with environmental and historical preservation
requirements incorporated in this certification must be submitted with a CRS application, a modification, or a cycle verification.
ALL PROJECTS

Certification Statement for Drainage System Maintenance

DRAFT

State and local requirements: In addition to federal laws, implementing regulations, and executive orders, this project
took into consideration the requirements of all state and local environmental and historic preservation laws, ordinances,
and permits that apply to this type of project. Communication with the appropriate state agency and/or local government
entity took place before project implementation. Any recommendations made by the agency or office were carried out.
Protection of threatened and endangered species (Endangered Species Act): Consideration was given to the
protection and preservation of threatened and/or endangered species (including plants and animals and their habitat)
whose existence may have been threatened by the construction activities. Communication took place with the U.S. Fish
and Wildlife Service (or the National Marine Fisheries Service if the project is in a coastal area) and the applicable state
agencies for state-protected species and/or their habitat. Any recommendations made by the Services or state agencies
were carried out.
Discharge of dredge and fill materials (Clean Water Act, Section 404): Consideration was given to all permit requirements
for discharging dredge and fill materials into waters of the United States, including wetlands, and communication with the U.S.
Army Corps of Engineers took place. Any recommendations made by the Corps were carried out.
For all activities that involve heavy equipment and result in the disturbance and release of sediment, such as
dredging, channel alteration, bank stabilization, debris removal, and other activities, consideration is given to any permit
requirements under the Clean Water Act, Section 404. Communication with the U.S. Army Corps of Engineers takes place.
Any recommendations made by the Corps are carried out.

I certify that items initialed above are correct to the best of my knowledge.
Name (Printed):

Title:

Signature:

Date:

CC-540EHP-1
FEMA Form FF-206-FY-23-102 (formerly 086-0-35B) (5/23)

Page 14 of 15

Community

State

CID
(6 digit NFIP Community Identification Number)

CC-620EHP LEVEES
COMPLIANCE WITH ENVIRONEMNTAL AND HISTORIC PRESERVATION REQUIREMENTS
(See Section 622.a in the CRS Coordinator's Manual)
On each row of the table below, initial the box that applies to the project, signifying that the appropriate steps were taken (shaded
areas are "not applicable"). Then sign at the end of the certification. More information on these programs can be found in Figure
500-5 of the Coordinator's Manual.
NOTE: To receive credit under Activity 620, the self-certification of compliance with environmental and historical preservation
requirements incorporated in this form (CC-620EHP-1) must be submitted with a CRS application, a modification, or a cycle
verification.
ALL PROJECTS

Certification Statement for Levee Maintenance

DRAFT

State and local requirements: In addition to federal laws, implementing regulations, and executive orders, this project
took into consideration the requirements of all state and local environmental and historic preservation laws, ordinances,
and permits that apply to this type of project. Communication with the appropriate state agency and/or local government
entity took place before project implementation. Any recommendations made by the agency or office were carried out.
Protection of threatened and endangered species (Endangered Species Act): Consideration was given to the
protection and preservation of threatened and/or endangered species (including plants and animals and their habitat)
whose existence may have been threatened by the construction activities. Communication took place with the U.S. Fish
and Wildlife Service (or the National Marine Fisheries Service if the project is in a coastal area) and the applicable state
agencies for state-protected species and/or their habitat. Any recommendations made by the Services or state agencies
were carried out.
Discharge of dredge and fill materials (Clean Water Act, Section 404): Consideration was given to all permit requirements
for discharging dredge and fill materials into waters of the United States, including wetlands, and communication with the U.S.
Army Corps of Engineers took place. Any recommendations made by the Corps were carried out.
For all activities that involve heavy equipment and result in the disturbance and release of sediment, such as
dredging, channel alteration, bank stabilization, debris removal, and other activities, consideration is given to any permit
requirements under the Clean Water Act, Section 404. Communication with the U.S. Army Corps of Engineers takes place.
Any recommendations made by the Corps are carried out.

I certify that items initialed above are correct to the best of my knowledge.
Name (Printed):

Title:

Signature:

Date:

CC-620EHP-1
FEMA Form FF-206-FY-23-102 (formerly 086-0-35B) (5/23)

Page 15 of 15