Park Valley 344Metro Safe Room Rebate Program (MSRRP)
Floodplain Verification Form
Date: 6/4/13
Applicant Information:
Name: Adam Gray
Address: 344 Park Valley Dr-
City: Coppell
Email Address: atgsoc @yahoo.com
State:Tx
Local Floodplain Representative (LFR):
Name: Michael Garza, P.E., CFM
Email Address: mgarza @coppelltx.gov
Zip: 75019
Phone Number: 469-682-3941
Title: Civil Engineer
Phone Number: 972 -304 -7019
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. 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 orstructures. Note that SFHA's on NFIP maps are not a guarantee that any particular location is notsubject
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.