RM 1826 FEASIBILITY STUDY VIRTUAL PUBLIC MEETING COMMENT FORM Survey

1.Contact Information:

Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

2.This form may be used to provide comments on this study. Any questions on this form will not be considered an open records request and will not be treated as such. If you wish to submit an open records request, please do so separately.

3.How did you hear about the public meeting?

Other (please specify)

4.(Texas Transportation Code, §201.811(a)(5)): Check each of the following boxes that apply to you / (Código de Transporte de Texas, §201.811(a)(5)): marque cada una de las siguientes opciones que apliquen para usted:

I am employed by TxDOT. Soy empleado de TxDOT.

I do business with TxDOT. Hago negocios con TxDOT.

I could benefit monetarily from the project or other item about which I am commenting. Me podría beneficiar monetariamente del proyecto o algún otro elemento sobre el cual estoy comentando.

None of the above apply to me. Nada de los anteriore se aplica a mí.

5.The environmental review, consultation and other actions required by applicable federal environmental laws for this project are being or have been carried-out by TxDOT pursuant to 23 U.S.C. 327 and a Memorandum of Understanding dated Dec. 9, 2019, and executed by FHWA and TxDOT.

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