HomeMy Public PortalAboutCaptains View_68MAY 06'2013 16:07 9123553951 GA FARM BUREAU
• ELEVATION CERTIFICATE
PLDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ATTENTION: Use of this - ifit'icate does not provide a waiver of di good ktsuritace purchase requirement, ices torn is used only tis
orovi ie elevation inidt'i adoa necessary to erg s omplance'MO appecatste community Itoo4pfain nsenagement onanances, to
determine Ilse proper lnwrance premium rate. andfor to swoon o request nor a Letter ar Map Amendment or Royston n (LOMA or LOPA TA
instructions tar completing tI terse Calve be found on Ilia teaming pages,
tFU9o1 Y.UU1/ VUe
a.M dl. NO 305/.0017
Expires May 31, 1993
SECTr4 4 i:INPRATY !Ig latON I* V UTW4c€ Ct oct r tl3E
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i�rt ►� C► STREET tl0 � Ap.. snow
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3 -'ATE ZIP COOS
SECTION $ FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Probt+J9 ?hg fo!!! w!ng from the proper FIRM tSoe InstruCtiCnS):
commUPiitY MJMSER I [. PANP_t. NUYI E I 4 3. $tNt,x ` • '. )'Alt C!F f,qM r'4. X 5 Flo w Z V N E - 1, OA : N Utz EtEVATIo!+1
d_ 5 f 6 ! ocx,i f I /% 7 A ■3 Zo(aa. use tlmom
7, Indicate the elevation datum system used on the FIRM for 5e5e Flogs Elav9tiorls reFC); tifGV0 '2° n•�s,. ;� SCr,Ca ;ACS)
}. Far Zotses A or V. whore. op SFe Is provided on the FIRM. and t ^e COT" 'unity tras est°"t!shoo a ocE ter tti4.1ttulit,g site, the cafe
Me community's BFE: , . . . feel NGVD (or other F1RM oatum -rep Sadder, B )tent 7)
SECTION C BUILDING ELEVATION INFORMATION
Us,:rg the Elevation Certificate Instructions, indicate, the diagram pumper !ram tr!e aiagrame found on Pam S ants S rat best
descrit)es (hid si:bJeci Duitding's r &!Srenco i9vOi
2(a). FIRM Zones Al -A30. AE- AH. and A lwilh BFE). The lop DI the reference level door /repot the SSIOCteri dagrarn is at an elevation
of .._ Z.:5_ 4 feet NGVD (Or other FIRM datum --see Section, t~t, Item 7).
tb). FIRM Zones Vi N30: YE. and V (with aFE). Trte Solt= of Ina levies/ horIzorta` structural member of the reference lavel from
the saisclea diagram. Is at an elevation al . . . feet NGVD for other FIRM dater++ -See Section B. item! 7).
(C). FIRM Zone A (without SFE). The fiOOr tiSed as The reference level from the selected diagram is test above ! or
below , (Cheek one) tine highosi grade adjecent to the bjIlrin,
(d). FIRM Zone AC. The floor used as the reference +eve; from the selected diagram is ; _i _ T . t._` feet et5ove I , or below '___i (ci e k
one) the highest grape aOjaCent to the ISuiiaina. ii no 'toot) del; /`? nurrder Is avitttattte, t9 t ^4 butfd""±O's tt1we t `io'or trarere e
level)) etcvvtitd In accordance wltti the community's floodpieIri, management ISr3ir'lance? Yes ` I No 1.1romown
t ate the eleva,ior datum system used in determining Ma above role -ence 'eve' p pvaticnW. 'NG V O '29 : (dOscr.
'..::}r;; ..::>':i If: s'•:t -17,5 rr :re �•b..� 'ant - diffecfmt . ? ?.i�' rl",aa j rN
+rx.. :tit? 'v,ti ,. filF—,2;75 ... , o"g cawri v.739,-5
... =..rr �: #rte ;Y'.r�3a! ,.,� rt'l it�l'_,in r -.
•a. _ .- _...... j..re ;< ^-.a' !,-,s- :' ; ;;t: ^2r'; Cr. i# =try`-
n
J
(„))f con -:1Ctfot. c raw,, 3 ;S yak ;; it? nirgclioo 'dOe r ?yet r7$te rho refor9nopigvol floor 1n pc !R which
One rhrS -COI /.'scare wig cnay be trar+u or the pu +d1`I7 dt,t./tg Pia u0urse of construction A post- construe:V*1n Etc;:verion Corot/care
wit, j j roiquirod once CCriStriY�tiOn is coy tpfato.)
S. Tht 5levation lowest grade 1m diiit9iY 3r3ja%: le roe :,viidini< is •
S9Ctf ^n B. !tam 71.
;ECTIGN D COMMUNITY JNFORMATI N
NGVD or Other FIRM datum. see
1 II t CCtrr rn" ratty o 9ctAl reeonnaib!e for veril inig bU 1 IdI rag 8 fi v8on , specifies $^ try„ : ;e rpt.*ar<ve IEv(ai intiiCSte'J In, jeCjr{7n C, from 1
e "fewest flsv'" as Cwine in trio cOrnm,;ruty's l!o3cI Iatn maringertl+Na1 0-00lance, i e FJicYai!4n o" tire Y1u fJirtC: "$
..vd- is vo,i. au Gy the ;irdiAa Ica ;s: i i . - . "Jed 'IGV D i',7• other :*,IF M •.. v i
date,. eg Section tts-�I �
t.)1 Gi Inc ±to v: ;.v soiree :a Vi SU)si ?•rn',OI r`ifliaiji 1lii: _...._
ICiu _Di'-OU's
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=VON E CERTMCAPON
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This certification is to be signed by a land surveyor, engineer, or archaeCt who is authorized by state Or tocal taw to oarefy elevaVon
intorrnation when the elevation information for Zones At —A30, AE, Att. A (with BFE),V1—V30,VE. and V (with ISIFF)
:43-r:101u:714y offas vitz; 2rS alitnO!1201.1 by :ocai 'aw or ordinance to orOvede floor/02;r 1skAnA,ncrIc.r1, infixrnnn
;r .;11" nr-trwa't -
• - •
F trf vn'inisns.t-1 area Xtirre(s), itten fit r.73 rSatUrefS'' 177-
17,olutict thP c,il.rstfict7z!'.%n e-ernmenis The; fyirtriral-, s.rrere,s, -arteFect
cen(fY thal to fOrinalwr; In Sec?: 5 a and C ,art (1 ldiCate rOP,V,59f,!C my or offorf.5 ic inrafo2;9.7
urcierSt4hd Met arPy false statement may be punishetge by fine or imprisonmer■ vrloer 73 ti2z CCiA1 1i
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M.? diagrams atcy-P..? 14;Z-trate the points at which the elevations e maasurnd in A Zonal Ann V 700',P5
E'Svat:V't ir A ?rsru?S slu:sp;r:I ,real.u?nd th=-, Q-Jletanita t'av:?,'
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