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Home My Public Portal AboutHWY 80_1018_20041027. nwsnaamInG1l1 /1VGr7k• r NATIONAL FLOOD INSURANCE PROGRr ELEVATION CERTIFICATt Important Read the instructions on pages 1.7. O.M.B. No. 3067 -0077 Expires December 31, 200E SECTION A - PROPERTY OWNER INFORMATION For Insurance Company Use: BUILDING OWNER'S NAME DALE E. WILLIAMS Policy Number BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. 1018 HIGHWAY 80 EAST Company NAIC Number CITY TYBEE ISLAND STATE ZIP CODE GA 31328 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) PORTIONS OF LOTS 1 & 2 AND ALL OF LOTS 11 & 12, GARDEN WARD, TYBEE ISLAND BUILDING USE (e.g., Residential, Non - residential, Addition, Accessory, etc. Use a Comments area, if necessary.) RESIDENTIAL LATITUDE/LONGITUDE (OPTIONAL) ( ##° - ###' -414t.## or #t#.##11##) HORIZONTAL DATUM: ❑ NAD 1927 ❑ NAD 1983 SOURCE: ❑ GPS (Type): ❑ USGS Quad Map ❑ Other. SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER TYBEE ISLAND, GEORGIA - 135164 B2. COUNTY NAME CHATHAM B3. STATE GA. B4. MAP AND PANEL NUMBER 130030 -0120 B5. SUFFIX C B6. FIRM INDEX DATE 902095 B7. FIRM PANEL EFFECTIVEIREVISED DATE 5/19/87 138. FLOOD ZONE(S) AE B9. BASE FLOOD ELEVATION(S) (Zone AO, Use depth of flooding) 13 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9, ❑ FIS Profile 0 FIRM ❑ Community Determined ❑ Other (Describe): B11. Indicate the elevation datum used for the BFE in B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe): B12. Is the building located in a Coastal Battier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No Designation Date WA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction' ® Finished Construction A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number 7 (Select the building nagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations —Zones A1-A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR AR/A, AR/AE, AR/A1 -A30, AR/AH, AR/A0 Complete Items C3. -a-i below according to the building diagram specified in Item C2. State the datum used. ff the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. Datum NGVD 1929 Conversion/Comments NONE Elevation reference mak used LOCAL Does the elevation reference mark used appear on the FIRM? ❑ Yes ® No ❑ a) Top of bottom floor (induding basement or enclosure) 8. 0611.(m) D b) Top of next higher floor 17.12 ft(m) ❑ c) Bottom of lowest horizontal structural member (V zones only) NIA . tL(m) o 0 0 d) Attached garage (top of slab) 8. 06 ft.(m) F ❑ CO e) Lowest elevation of machinery and/or equipment W servicing the building (Describe in a Comments area) 14.76 fL(m) ❑ f) Lowest adpaoent (finished) grade (LAG) 7.6 ft(m) z d g) Highest adjacent (finished) grade (HAG) 8. 0 ft.(m) El h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade 2 CI i) Total area of all permanent openings (flood vents) in C3.h 225 sq. in. (sq. an) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION NV'N This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIER'S NAME BERT B. BARRETT, JR. LICENSE NUMBER GA. 2225 TITLE PRESIDENT COMPANY NAME BERT BARRETT, JR. LAND SURVEYING, P.C. ADDRESS 145 RUNNER ROAD SIGNATURE FEMA Form 81 -31, January 2003 di? i CITY STATE SAVANNAH GA DATE TELEPHONE 10/27K04 912 - 897-0661 ZIP CODE 31410 See reverse side for continuation. Replaces all previous editions INWUK IAN I : In these spaces, copy the corresponding information from Section A. BUILDING STREE I ADDRESS (Including Apt, Unit, Suite, and/or B' '.) OR P.O. ROUTE AND BOX NO. 1018 HIGHWAY 80 EAST CITY TYBEE (ISLAND For Insurance Company Use: Policy Number STAB ZIP CODE GA 31328 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Company NAIC Number COMMENTS THE ELEVATION OF THE OUTSIDE HEATPUMP UNIT (CONDENSER) IS AT 1331 FT. NGVD 1929 El Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), complete Items El through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR -F, Section C must be completed. El. Building Diagram Number _(Select the building diagram most similar to the building for which this certificate is being completed – see pages 6 and 7. tf no diagram accurately represents the building, provide a sketch or photograph.) E2. The top of the bottom floor (induding basement or enclosure) of the building is _ ft.(m) _in.(an) ❑ above or ❑ below (died( one) the highest adjacent grade. (Use natural grade, if available). E3. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is — ft.(m) in.(cm) above the highest adjacent grade. Complete items C3.h and C3.i on front of form. E4. The top of the platform of machinery and/or equipment servidng the building is ft(m) _in.(an) ❑ above or ❑ bdor (check one) the highest adjacent grade. (Use natural grade, if available). E5. For Zone AO only: if no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑ Yes El No El Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, C (Items C3.h and C3.i only), and E for Zone A (without a FEMA- issued or community- issued BFE) or Zone AO must sign here. The statements in Sections A, B, C, and E are correct to the best of my knowledge. PROPERTY OWNERS OR OWNER'S AUTHORIZED REPRESENTATIVES NAME NIA ADDRESS N/A SIGNATURE NN COMMENTS N/A NIA CITY N/A STATE NA ZIP CODE NN DATE NIA TELEPHONE NIA WA ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. 01. ❑ 1 he information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or and riled who is authorized by state or local law to certify elevation information. (indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community offidal completed Section E for a building located in Zone A (without a FEMA- issued or community- issued BFE) or Zone A0. G3. ❑ The following information (Items 04-09) is provided for community floodplain management purposes. tit G4. PERMIT NUMBER NIA G5. DATE PERMT ISSUED NA.I G6. DATE CERTIFICATE OF COM'LIANCE/OCCUPANCY ISSUED N/A G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building is: G9. BFE or (in Zone AO) depth of flooding at the building site is: NN. ft.(m) NA/ . ft .(m) Datum: N/A Datum: N/A LOCAL OFFICIAL'S NAME N/A TITLE NA/ COMMUNITY NAME N/A TELEPHONE NN SIGNATURE N/A DATE N/A COMMENTS N/A N/A N/A ❑ Check here if attachments FEMA Form 81 -31, January 2003 Replaces all previous editions