Upper Medicine Creek 410 is a crucial flood risk reduction structure located in Curtis, Nebraska, along the North Brushy Creek. Built in 1976 by the USDA NRCS, this earth dam stands at a height of 70 feet and has a storage capacity of 5997 acre-feet. With a drainage area of 33.7 square miles, the dam plays a significant role in protecting the surrounding area from potential flooding events.

Managed by the Nebraska Department of Natural Resources, Upper Medicine Creek 410 is classified as a significant hazard potential structure with a satisfactory condition assessment as of June 2018. The dam has a hydraulic height of 68 feet and a structural height of 70 feet, providing vital flood protection to the local community. With a maximum discharge capacity of 19909 cubic feet per second, the dam is designed to handle large volumes of water during high-flow events.

As a key element in the flood risk reduction strategy for the region, Upper Medicine Creek 410 undergoes regular inspections and is regulated by the Nebraska DNR. With a focus on ensuring public safety and protecting property from potential flood damage, this earth dam continues to play a crucial role in water resource management and climate resilience efforts in Frontier County, Nebraska.