FEMA FORM 086-0-35B (10/23) Page 1 of 17

DEPARTMENT OF HOMELAND SECURITY

Federal Emergency Management Agency

CRS COMMUNITY CERTIFICATIONS FOR ENVIRONMENTAL AND HISTORIC PRESERVATION OMB Control Number: 1660-0022 

Expiration: 10/31/2023

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 voluntary. 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.

This packet contains forms for a community's certification 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

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). 

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 FEMA-CRS@fema.dhs.gov for further assistance.
FEMA FORM 086-0-35B (10/23) Page 2 of 17

Community State CID

(6-digit NFIP Community Identification Number) 

CC-520EHP 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. 

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 implemented after the effective date of the 2013 Coordinator’s Manual (April 1, 2013).

Source of Project Funding

Property Address Date Project Permitted or 

Initiated FEMA Other Federal Agency No Federal Funds

CC-520EHP-1 [continued on next page]

DEPARTMENT OF HOMELAND SECURITY

Federal Emergency Management Agency

CRS COMMUNITY CERTIFICATIONS FOR ENVIRONMENTAL AND HISTORIC PRESERVATION OMB Control Number: 1660-0022 

Expiration: 10/31/2023
FEMA FORM 086-0-35B (10/23) Page 3 of 17

Community State CID

(6-digit NFIP Community Identification Number) 

Acquisition and Relocation Projects

Project Name:

Project or Grant Number:

Project Description (or include as a 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 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 lowincome populations, and to avoiding those impacts where practicable.

CC-520EHP-2 [continued on next page]
FEMA FORM 086-0-35B (10/23) Page 4 of 17

Community State CID

(6-digit NFIP Community Identification Number) 

Federal 

Funding

No Federal 

Funding Certification Statement for Acquisition and Relocation Projects (cont.) 

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.

In addition to the above, 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. 

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.

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 initialed above are correct to the best of my knowledge.

Name (printed) Title

Signature Date

CC-520EHP-3
FEMA FORM 086-0-35B (10/23) Page 5 of 17

Community State CID

(6-digit NFIP Community Identification Number) 

CC-530EHP Flood Protection 

Compliance with Environmental and Historic Preservation Requirements

(see Section 531.b(4) 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." 

Type of Project Source of Project Funding

Property Address for Retrofitted 

Building

Date Project 

Permitted or 

Initiated

TUE=Elevation 

TUD=Dry Floodproofing 

TUW=Wet Floodproofing 

TUS=Sewer backup

FEMA Other Federal 

Agency

No Federal 

Funds

CC-530EHP-1 [continued on next page]

DEPARTMENT OF HOMELAND SECURITY

Federal Emergency Management Agency

CRS COMMUNITY CERTIFICATIONS FOR ENVIRONMENTAL AND HISTORIC PRESERVATION OMB Control Number: 1660-0022 

Expiration: 10/31/2023
FEMA FORM 086-0-35B (10/23) Page 6 of 17

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 a 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 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.

CC-530EHP-2 [continued on next page]
FEMA FORM 086-0-35B (10/23) Page 7 of 17

Community State CID

(6-digit NFIP Community Identification Number) 

Federal 

Funding

No Federal 

Funding Certification Statement for Retrofitting Projects (cont.)

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 lowincome 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 the items initialed above are correct to the best of my knowledge.

Name (printed) Title

Signature Date

CC-530EHP-3 [continued on next page]
FEMA FORM 086-0-35B (10/23) Page 8 of 17

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).

Type of Project Source of Project Funding

Property Address of Flood Control 

Project

Date Project 

Permitted or 

Initiated

TUB=Barriers, levees, floodwalls 

TUC=Bridge or culvert projects, 

channel modifications, storm drain 

improvements, diversions 

TUF=Storage facilities

FEMA Other Federal 

Agency

No Federal 

Funds

CC-530EHP-4 [continued on next page]
FEMA FORM 086-0-35B (10/23) Page 9 of 17

Community State CID

(6-digit NFIP Community Identification Number) 

TUB—Barriers, Levees, Floodwalls

Project Name:

Project or Grant Number:

Project Description (or include as a 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 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 and 

Archaeological and Historic Preservation Act): (1) If any structure affected by this project was 50 years of 

age or older at the time of the project implementation, 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. (2) 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.

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 [continued on next page]
FEMA FORM 086-0-35B (10/23) Page 10 of 17

Community State CID

(6-digit NFIP Community Identification Number) 

Federal 

Funding

No Federal 

Funding Certification Statement for Barriers, Levees, and Floodwalls (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 lowincome 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 the items initialed above are correct to the best of my knowledge.

Name (printed) Title

Signature Date

CC-530EHP-6 [continued on next page]
FEMA FORM 086-0-35B (10/23) Page 11 of 17

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 a 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. 

 The creditable projects include: 

• Bridge or culvert projects; 

• Channel modification 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, Pump Station Improvements, Storm Drain 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 [continued on next page]
FEMA FORM 086-0-35B (10/23) Page 12 of 17

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, Pump Station Improvements, Storm Drain Improvements, or Other Projects 

(cont.)

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 lowincome 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.

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

For projects that affected structures 50 years of age or older: (National Historic Preservation Act): If 

any protected structure affected by this project was 50 years of age or older at the time of the project, 

communication with the State Historical Preservation Officer or Tribal Historical 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 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 bridge or culvert projects, channel modification, channel diversion, and 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.

CC-530EHP-8 [continued on next page]
FEMA FORM 086-0-35B (10/23) Page 13 of 17

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, Pump Station Improvements, Storm Drain Improvements, or Other Projects 

(cont.)

For bridge or culvert projects, channel modification, channel diversion, or other projects (cont.)

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.

I certify that the items initialed above are correct to the best of my knowledge.

Name (printed) Title

Signature Date

CC-530EHP-9 [continued on next page]
FEMA FORM 086-0-35B (10/23) Page 14 of 17

Community State CID

(6-digit NFIP Community Identification Number) 

TUF—Storage Facilities

Project Name:

Project or Grant Number:

Project Description (or include as a 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.

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.

CC-530EHP-10 [continued on next page]
FEMA FORM 086-0-35B (10/23) Page 15 of 17

Community State CID

(6-digit NFIP Community Identification Number) 

Federal 

Funding

No Federal 

Funding Certification Statement for Storage Facilities (cont.)

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.

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 lowincome 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 the items initialed above are correct to the best of my knowledge.

Name (printed) Title

Signature Date

CC-530EHP-11
FEMA FORM 086-0-35B (10/23) Page 16 of 17

Community State CID

(6-digit NFIP Community Identification Number) 

CC-540EHP Drainage System Maintenance 

Compliance with Environmental 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

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.

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.

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 the items initialed above are correct to the best of my knowledge.

Name (printed) Title

Signature Date

CC-540EHP-1

DEPARTMENT OF HOMELAND SECURITY

Federal Emergency Management Agency

CRS COMMUNITY CERTIFICATIONS FOR ENVIRONMENTAL AND HISTORIC PRESERVATION OMB Control Number: 1660-0022 

Expiration: 10/31/2023
FEMA FORM 086-0-35B (10/23) Page 17 of 17

Community State CID

(6-digit NFIP Community Identification Number) 

CC-620EHP Levess

Compliance with Environmental 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

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.

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.

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 the items initialed above are correct to the best of my knowledge.

Name (printed) Title

Signature Date

CC-620EHP-1

DEPARTMENT OF HOMELAND SECURITY

Federal Emergency Management Agency

CRS COMMUNITY CERTIFICATIONS FOR ENVIRONMENTAL AND HISTORIC PRESERVATION OMB Control Number: 1660-0022 

Expiration: 10/31/2023