HFLP-SY101215C. REVIEW FEE
Has the review fee for the appropriate request category been included? ® Yes Fee amount: $4400
❑ No, Attach Explanation
Please see the DHS -FEMA Web site at htt : / /www.fema. ov/ Ian/ revent/fhm /frm fees.shtm for Fee Amounts and Exemptions.
D. SIGNATURE
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 18 of the United States Code, Section 1001.
Name: GLEN A DIXON PE CFM
Company: COTTER ASSOCIATES, LLC
Mailing Address:
Daytime Telephone No.: 817 274 3955
Fax No.: 817 795 1051
1805 WEST PARK ROW, C ARLINGTON TEXAS
E -Mail Address: CALLCOTTER @SBCGLOBAL.NET
76013
Signature of Requester (required):
Date: 12/14/10
As the community official responsible for floodplain management, I hereby acknowledge that we have received and reviewed this Letter 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 requirement that no fill be 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. In addition, we have determined 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 FEMA, all analyses and documentation used to make this determination.
Community Official's Name and Title: KENNETH M. GRIFFIN, PE
Community Name: CITY OF COPPELL
Mailing Address:
Daytime Telephone No.: 972 304 3686
JFax No.: 972 304 7041
255 PARKWAY BLVD. PO BOX 9478
E -Mail Address: KGRIFFIN @COPPELLTX.N0 (
COPPELL TX
75019
Community Official's Signature (required): I na
Date: )..)-, Ica . 10
CERTIFICATION BY REGISTERED PROFESSIONAL ENGINEER AND /OR LAND SURVEYOR
This certification is to be signed and sealed by a licensed land surveyor, registered professional engineer, or architect authorized by law to certify
elevation information data, hydrologic and hydraulic analysis, and any other supporting data. All documents submitted in support of this request are
correct to the best of my knowledge. All analyses have been performed correctly and in accordance with sound engineering practices. All project
works are designed in accordance with sound engineering practices to provide protection from the 1 % annual chance flood. If "as- built" conditions
data /plan provided, then the structure(s) has been built according to the plans being certified, is in place, and is fully functioning. I understand that any
false statement may be punishable by fine or imprisonment under Title 18 of the United States Code, Section 1001,
Certifier's Name: GLEN A DIXON PE CFM
License No.: 93675
Expiration Date: 3/31/11
Company Name: COTTER ASSOCIATES LLC
Telephone No.: 817 274 3955
Fax No.: 817 795 1071
Signature: , "
Date:
Ensure the forms that are appropriate to your revision request are included in your submittal.
Form Name and (Number) Required if ...
® Riverine Hydrology and Hydraulics Form (Form 2) New or revised discharges or water- surface elevations
❑ Riverine Structures Form (Form 3) Channel is modified, addition /revision of bridge /culverts,
addition /revision of levee /floodwall, addition /revision of dam
❑ Coastal Analysis Form (Form 4) New or revised coastal elevations
❑ Coastal Structures Form (Form 5) Addition /revision of coastal structure
Seal (Optional)
❑ Alluvial Fan Flooding Form (Form 6) Flood control measures on alluvial fans