HomeMy WebLinkAboutFDP201900013 Letter of Map Revision 2020-01-27U.S. DEPARTMENT OF HOMELAND SECURITY
FEDERAL EMERGENCY MANAGEMENT AGENCY am.B Na. 166U-6i016
OVERVIEW & CONCURRENCE FORM rxpr-rFIrb ary24"14
PAPERWORK BURDEN DISCLOSURE NOTICE
Public reporting burden for this form is estimated to average 1 hours per response. The burden estimate nciudes the time for reviewing instructions,
searching wasting data sources, gathering and maintaining the needed data, and completing, reviewing, and submitting the form. 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 this burden to: Information Collections Management, Department of Homeland Security, Federal Emergency
Management Agency, 1800 South Bell Street, Arlington, VA 20958-3005, Paperwork Reduction Project (1660-0016). S4bm4slon of the form is required
PRIVACY ACT STATEMENT
AUTHORITY: The National Flood Insurance Act of 1968, Public Law 90,448, as amended by the Flood Disaster Protection Act of 1973, Public Law 93-
234.
PRINCIPAL PURPOSE(S): This Information is being collected for the purpose of determining an applicant's eligibility to request changes to National
Flood Insurance Program (NFIP) Flood Insurance Rate Maps (FIRM),
ROUTINE USE(S): The information on this form may be disclosed as generally permitted under 5 U.S.0 § %Za(b) of the Privacy Act of 1974, as
amended. This includes using this Information as necessary and authorized by the routine uses pubilshed in OHSIFEMAINFIPILOMA-1 National Flood
Insurance Program (NFIP); Letter of Map Amendmert (LOMA) February 15, 2008, 71 FR 7990.
DISCLOSURE: The disclosure of information on this form Is voluntary; however, fallure to provide the Information requested may delay or prevent
FEMA from promssincl a determination regardinq n requested %*uni3e to a NFIP Frond Insurance Rate Ma (FIRM).
A. REQUESTED RESPONSE FROM DHIS•FEAA
This request is ftx tr iahe� k o,,vi
0 CI.OKIR: A (otter t: oitt LIHS •FF.MA rorrir rentcmy on Atsther a piropufiod rmintA, if built as proposed, wouldjustify a map revision, or
prLpys.aR 110"100y ctr;+r pl?f, i,ca 44 C F'R Ch. 1, Farts 60, r35 & 72).
❑ LOMR: A letter from DHS-FEMA officially revising the curn.nit NFIP map to show the changes to floodpWris, regulatory flenewray or flood
elevations. (See 44 CFR Ch. 1, Parts 60, 65 & 72)
B. OVERVIEW
1_ The NFIP map panai(s) affected for all impacted communities is (are):
Community No. _ Community Name
Example: 480301 City of Katy -
County
2. a. Flaudirg Suume: M0 rrest Creak
b. Tppes of Flovdfng M i?iverin,? ❑Coastal
❑ Aihn.iai fan ❑ lakes
3. Pn*-ct Nw relidentifier: Woolen Mills Redevelopment
State
Map No,
Panel No.
Effective Oato
TX
TX
48473C
48201 C
0005D
0220G
02/08/83
09128190
VA
51003C
_
028PD
02/04/05
❑ 3halluw Hooding (e.g., zones AO and AH)
❑ Other (Attach Description)
4. FEk4A :wno designations affected: AL (choices: A. AH, AO, Al A30, A99, AE, AR, V, V1-V30, VF, R. C. D. X)
S. Bas;s fur Requost EmJ 1 ype of Revision:
a 7hr hosis for this rnrisiun rcquost is (chock all that Apply)
❑ Physical Chan o ❑ Improved Methodology/Deta
❑ Ct>i+mrtat Analysis ® Hydraulic Analysis
❑ Weir -Dam Changan ❑ t evetr Certification
0 New Topnpraphir, DAa L] Other (Attach Description)
Regulatory Fluodway Rovisitm ❑ Base Map Changes
(] Hytimiei+gic Analysis ] Corrections
❑ Alluvial Fnn Analyst~ ❑ Natural C.hargos
Note: A phauVrzph and narrative description of the area of concern Is not requirpd. but is very helpful during review.
FEMA Form 086-0-27, (212011) Previously FEMA Farm 81-89 MT-2 Form 1 Page 1 of 3
The area of revision encompasses the fallowing structures (check aA that apply)
structures: ❑ Channelization ❑ Levae/Floodwatl ® BridgeiCulvert
❑ Dam 0 Fill ❑ Other (Attach Description)
C 0 Documentation of ESA compliance is submitted (required to initiate CLOMR review). Please refer to the instructions for more information.
C. REVIEW FEE
Has the review fee for the appropriate request category been included? ® Yes Fee amount: Sffffi
❑ No, Attach Explanation
Please ww the DHS-FEMA Web site at hilp://www.fema.am/plantpmvenUfhmlfrm fees.s him Tor Fee Amounts and Eimmations.
D. SIGNATURE
Aft documents submitted in support of this request are correct to the best of my knowledge. I understand that any false statement may be punishable I
fine or imprisonment under Title 18 of the United States Code, Section 1001.
Name:'91.1 A NJ 'Rx3%4 Company: VJ00f Et4 MIL" L C. C
Mailing Address: Daytime Telephone No.:q1419901 y I Fax No.:
Pa Sa9 � x 10
C 1AA L OTr&Cu GC . VA Z Z90 Z E-Mail Address: {jr; Qh i PbS/ C. Sir tn�.a:l• Ce r�
Signature of Requester (tequire6�- I Date. 7II7I1% f
As the community official responsible for floodplain management, I hereby acknowledge that we have received and reviewed this teller of Map Revision
(LOMR) or conditional LOMR request. Based upon the community's review, we find the completed or proposed project meets or is designed to meet all
of the community floodplain management requirements, including the requirements for when till is placed in the regulatory floodway, and that all
necessary Federal, State, and local permits have been, or in the case of a conditional LOMR, will be obtained. For Conditional LQMR requests, the
applicant has documented Endangered Species Act (ESA) compliance to FEMA prior to FEMA's review of the Conditional LOMR application. For
LOMR requests, I acknowledge that compliance with Sections 9 and 10 of the ESA has been achieved Independently of FEMA's process. For actions
authorized, funded, or being carried out by Federal or State agencies, documentation from the agency showing Its compliance with Section 7(a)(2)
of the ESA will be submitted. In addition, we have detormined that the land and any existing or proposed structures to be removed from the SFHA are
or will be reasonably safe from flooding as defined in 44CFR 65.2(c), and that we have available upon request by FEIAA, all analyses and
Community i�ficiars Name and Title: �� /k �% �L, 40� :
1h Community NameL . CosG
Mailing Address:®` �� Daytime Telephone No.: _JEI; � Fax No„:
C / r ' P p E-Mail Address: ,���
Community Official's Signature (required): �% Date: 0 f /� 1�/ 2 p
I
CE 9nF_IGATION IBY REGISTERED PROFE53I0NALEENGINEER AND/OR LAND SURVEYOR
This certification is to be signed and sealed by a licensed land surveyor, registered professional erginser, or architect authorized by law to certify
elevation information data, hydrologic and hydraulic analysis, and any other supporting information as per NFIP regulations paragraph 65.2(b) and as
described in the Wr-2 Forms Instructions. 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 16 of the United States Code, Section 1001.
Certifier's Name: Shelia S. Reeves
License No.: 049765 f Expiration Dale: 1113CM19
Company Name. Timmons Group Telephone No.: &M-200-6517 Fax No.:
Signature: Date: 1, old ! -Mail Address: sheils.reevasClimmons com
FEMA Form 086 -27, (212011) Previously FEMA Form 81-89 MT-2 Form 1 Page 2 of 3
Ensure the forms that are appropriate to your revision request are Included In your submittal.
Form Name andAmber)
Reguiredl If ...
0 Rlverine Hydrology and Hydraulics Form (Form 2)
New or revised discharges or watar-surface elevations
® Rive ria Structures Form (Form 3)
Channel is modified, addiltonlrevision of bridocutverts,
addition/revision of levesMoodwall, addillonhevision of dam
❑ Coastal Analysis Form (Form 4)
New or revised coastal elevations
❑ Coastal structures Form (Form 5)
Addlionlrevislon of coastal structure
❑ Aluvial Fan Flooding Form (Form 8)
Flood control measures on alluvial fans
Seal (Optional)
FEMA Form O86-0-27, (2riol t) Previously FEMA Fnnn 81•89 MT-2 Form t Page 3 of 3