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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