HomeMy Public PortalAboutCaptains View_58)ERAL SMERGENCY MMAOSIENT AGENCY
NATIONAL FLOOD INSUILNICE PROGRAM
ELEVATION CERTIFICATE
0 .1■4 .B . No. 3087-0077
Expires December 31, 200!
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SECTION A - PROPERTY OMER INFORMATION
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SECTION B FLOOD ROMANCE RATE MAP
INFORMATION
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81C sticate the mum at he B Rood 5seallon (8FE) dabs o beset owl di* encased in SC
FIS Pratte 0 FW* DCvDn1d Caw Paecribs).
0 MVO 1& 0 OW
811 'edam the eievalon darn used for t*EFE in EEI: ta3VD 1 929
812. Is the Wiled in a Casaba Ban* Room% MRS' area or Others* Pit erad Area CPA
Samoa C SULDING ELEVATION INFORISMON (SURVEY RECIUMED)
C1 841n9 *orations are based on: 0 Construction DrawIngs* 0 Suilelm Under OcrIstructi7-eat* Finished Casdruolke
*A roe Session WI be !wind when consitruclim ol the bull% is compile.
C2. Diking Daman Netier (Select the building derail most similar to the bullring tor whet this Oar*** teing oxn)stai - see pages 6 and 7. If ro diagram
aunt* sepresents tetra:4, moils a sketch cr pholograph.)
C3. Hookas - Zuss AtA30, AE, At-i, A Oa SHIA. V1-V30, V (Witt ift), AR, ARA, MAE ARtA1-A.1J, AMC
Complete tens C3 44 IVIew exacting b the building dayarn sr.receed 'm awn C2. aste tho datum teed, If the datum is Meters from te datum used for the BFE
Suction 6, =watt* flan to that Wed tor the BR:- Show told measurements and darn =mix calcu■ation. Use tte sperm proMxt or the Cortryart area of
Section Dor Sedan G, se aportoriels to document the deturn convirtico.
Datum Carseek:reCorrrenbi
rievaton reierentxmaktleed15. Does he elevation noisome ruin wed %Tear cc tie FOX? 0 Yee 1134)
• a) Top of Wen floor (inducing beamed or cotiorsiv) /. ft(m)
85. SUFFIX
86, FIRM OIDEX DATE
EFFECTNEIREVISEDOTE
87. FIFLMPANEL
A..
T 26. BASE FLOOD AT)fl
(Zas AO, uncle* dixdno) ,
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26. FLOM ZOISE4S)
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bt) Tap of met higper icor
Wien d kilted totalled saucksai mentor et MeleSerk
d)Altadved garage Ow daub)
e) Loma eisrabon of mattercay mart eglarirtent
servicing the hiding tOesoribs in a Converts area)
Lavest aripacei (Wetted) fade (L&G)
g) Fittest edSzent (antwhed) grade friAG) 5 tyni
ill No. pecrinot 4:1911023 flood wee) vritin It. atom aloscre grade /6:4
0 Tot* area d all pommel °pantry load vents) in C3) 02traq, in, (eq. an)
SECTION 0 - SURVEYOR, BAMINEER, OR ATCHRECT CERIFSCATION
This certification is to be signed and sealed by a land surrey*, engineer, or avtlfact authodzed by Jae 10 C*111ny eiStatiefi irifof mafiosi
I certify that the information in Sections A, 6, end Con this certificate represents rny best Oafs to ;Newt the dote aveilabie.
I understand itteatany fake statetrrn Ia • been! Npisheble by fine or In1sonianf under 18 U.S. Coae, Section 1001.
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-FEMA Form 81-31. January 2003
See went* side for contirthistlon.
Replaces all provioos wiltkina
IMPORTANT: hi these ewes, the intonation from Section A.
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7:56 A A) 11 4. _ STATE
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SECTION 0- SURVEYOR, ENGINEER, OR ARCIITECT CERTIFICATION CONTINUED)
Cady both sides cite Berafion Celicate for 0) Tenuity eclat (2) insurzre nerittcriTaPY. ma (3) bulking cf#,T,N.
FFOOEOK*TiIM ti*
Plikturter
COMMEWTS
(— Oho* hens attachments
SECTOR E BULLING ELEVATION INFORMATION (SURVEY NOT REQUIRED FOR ZONE AO AijOONE
Fri Zone AO arri are A (*that BE), amide arm El thigh E4 if the Elevate Carib* t intended kr use as suppating ireormalcn for a LOMA or LOMR-F,
Seca& C nut be ocmpleted.
El Sub% Dlagran Nuriba 2.serizt the wiling degree mcar sr to f* bukkg for**, this oarlike* e being arnolabb - see Aire 6 and 7. If Fsc iciagrani accuratey
represents the bulking, provide a sloth or plickgraph )
E2. The top of the bctiorn (ncliang beerinent c wok:sure) of the D,Jking is _11(in) Jri.(art) above or D below (ched one) the highest aileent grade. (Use
nature grade, if avalatia).
E3. For Bulking Diagrams 6-6 with openings (see page T), the next higher Am or elevatel liar (elevation b)f tiAling is tin') J-i.(i.rri) above the hgliest adjacent
grade Oorryiele kerns C3.h and c3:1 tront of tem
E4 The kiepn of machinery aid ia armament servicing the butting is ft,(m) alxlve or 2:1 53/C*9 (CS*/ ire) the ilighest Ascent grade. (Use
natural grade, if SWAIM).
B. For Zone AO only. If no food deck; nutlike, is eatable. is the top ci the txtlail locx cievata In accordance wt. e cormuritys todpiain maisgenient ordnance?
a_LL......aieatLIiknostori. The bar aka nust orni Swan a
SECTION F • PROPERTY OWNERpCFMESS NEPRESENTA
priberty ovine or camer's autorked reonventative wha.x.rioletes Stalk:m.1k, B, C (Ws C3.h end 03.10), and E for Zile A *thou! a FEMA-isaied acrnmoity-
issued BFE) or Zile AO must err her The stetstriels ki Sediors A, orb E e awed to the beet o nay kroWeige
PROPERTY OWNERS OF OWNERS AtI11-10RIZED REPRESENTATIVES t4AME.
ADDRESS
- SIGNATURE
COIAIENTS
or STATE ZIP CODE
DATE
TELEPHONE
SECTION 0- commuyert INFOPMATIOI.
The l� l ofIldii who is authorized by lam ordnance antister the ibninirills too** manager( ant ordnance can ample* Salons A 8, C. (ci E), and G iINs Ekivatbn
Oarlike*. Comae* the aplibekte Owls) and sign bebw.
G1 0 The triormaton in Section C was taken him other &lamentation that has been
signed and erticatted by a licensed eurwyor. engineer, or ardite1 who is eithorkraxl at vote
or /awl law to certify elevation ntrmakr. fInicate tie scum and dab cite elevation de* ri the Canner* area becw.)
G2 0 A community WA completed Seaton E for a bulling ixstal in Zone A ;Wrote FEMA-tesua or cornmanty-issued BR) or Zone AO.
G3. 0 The thawing information (Nem G4-G9) is provided tor cocinunity flooctieir 'raiment purKass.
Gi. PINK feJMEGR 05 DATE PERMIT ISSUE) C(RTFCATE OF CCACUANCEroor..,UPANCY ISSUED
ta Check here if attachments
G7. This pewit ha been awed tr, 0 New CortsauSion 0 SuteMnit Imo:worst
a. Hanlon ci as-built bast Icor (triduCktg beiemert) of the bulking is: . _ Datum:
G9. BEE a (in Zone AO) del* cf kocIng at le ste It(m) Datum
LOCAL. OFFICIAL'S NAME
COMMUNITY NAME
SIGNATURE
C.OMMENrS
TELEPI-rONE
Dolt-
Lj Chadc here if attachments
FEW Form el -31. Jantniry 2003
R oplaDes All previews editions