Pedmore 512* r
Metro Safe Room Rebate Program (MSRRP)
a
Floodplain Verification Form
Date: Jun 3,2013 •
Applicant Information:
Name: Stuart C.and Nancy D.Schiela
Address: 512 Pedmore Dr
City: Coppell State:TX Zip: 75019-7544
Email Address:snk512 @msn.corn Phone Number:972-304-2079
Local Floodplain Representative(LFR):
Name: lc llk, ri, ��rVinJ P—, /�' l Gf /1 Title: PrDJGG /s15,,xac/--
Email Address: 16�A!'(/1 n C / '
J � -X e al" Phone Number: 72-3 cry, d 6 ffl
DISCLAIMER:According to the maps provided by the National Flood Insurance Program(NFIP)and available to the local entity,the
property listed above does not appear to be in the Special Flood Hazard Area(SFHA)or in a designated FEMA Flood Zone A or AE.The
Local Floodplain Representative(LFR)listed above does not verify the establishment or confirm the location of SFHA floodplain areas
with respect to property limits or structures.Note that SFHA's on NFIP maps are not a guarantee that any particular location is not
subject to inundation,only that it is denoted as reasonably safe from flooding.
LFR Signature:
Applicant:
Please upload/submit the completed document as"your name_FPVerification"with your application as you set-up your user profile
at:www.nctsaferoom.com.