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Home My Public Portal AboutBrewer's Ld_2FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE Read the Instructions on pages 1 - 7. O.M.B. No. 3067 -0077 Expires July 31, 2002 SECTION A - PROPERTY OWNER INFORMATION For Insurance Company Use IUILDING OWNER'S NAME :RIC ALSTEAD Policy Number IUILDING STREET ADDRESS (Including Apt., Unit, Suite, and /or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIL Number BREWER'S LANDING %ITY STATE ZIP CODE YBEE ISLAND GA 31328 'ROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) .OT 6, BREWER'S LANDING SUBDIVISION, GARDEN WARD, TYBEE ISLAND WILDING USE (e.g., Residential, Non - residential, Addition, Accessory, etc. Use Comments section If necessary.) tESIDENTIAL ATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: F1 GPS (Type): or ##.####ft) ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other: SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 31. NFIP COMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAME o b) Top of next higher floor N/A . ft. (m) B3. STATE YBEE ISLAND 135164 CHATHAM o d) Attached garage (tap of slab) N /A. ft. (m) GEORGIA o e) Lowest elevation of machinery and /or equipment W `° servicing the building N/A . ft. (m) s° B4. MAP AND PANEL NUMBER 135164 0001 B5. SUFFIX C B6. FIRM INDEX DATE 6/17/1986 B7. FIRM PANEL EFFECTNF_/REVISED DATE 6/17/1986 B8. FLOOD ZONE(S) A8 B9. BASE FLOOD ELEVATION(S) (Zone AO, use depth of flooding) 12 to. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe): 11. Indicate the elevation datum used for the BFE in B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe): 12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ❑ No Designation Date SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) 1. 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. 2. Building Diagram Number 5 (Select the building diagram 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.) 3. Elevations – Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AR/A1 -A30, AR/AH, AR/AO Complete Items C3a -i below according to the building diagram specified in Item C2. State the datum used. If 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 N/A Conversion /Comments N/A Elevation reference mark used N/A Does the elevation reference mark used appear on the FIRM? ❑ Yes ® No o a) Top of bottom floor (including basement or enclosure) 17. 13 ft. (m) o b) Top of next higher floor N/A . ft. (m) o c) Bottom of lowest horizontal structural member (V zones only) N/A . —ft. (m) o d) Attached garage (tap of slab) N /A. ft. (m) 0 2 o e) Lowest elevation of machinery and /or equipment W `° servicing the building N/A . ft. (m) s° o f) Lowest adjacent grade (LAG) 7 . 5 ft.(m) 1 o g) Highest adjacent grade (HAG) 8. 9 ft. (m) I o h) No. of permanent openings (flood vents) within 1 ft, above adjacent grade N/A o i) Total area of all permanent openings (flood vents) in C3h N/A sq. in. (sq. cm) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION 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, 8, 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 WRIGHT C. POWERS, JR. LICENSE NUMBER 2612 TITLE REGISTERED LAND SURVEYOR_ COMPANY NAME CONNOR & ASSOCIATES, INC NUUKtp'S j CITY STATE ZIP CODE P.O BOX 10091 GA 31412. SIGNATURE ��/ �JL DATE TELEPHONE IMPORTANT: in these spaces, copy the corresponding information from Section Am ._ 1'or insurance t'o'rnpany.tl5e BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.U. r37r ", %It? B0X NO. Foliate Nurnber 2 BREWER'S LANDING CITY STATE ZIP CODE - Cornpa; y NAIL Number: TYSEE ISLAND GA 1328 SECTION D - SURVEYOR, ENGINEER, OR ARCI ii r Fr- r CERTIFICATION (CON'tINUEt )T� Copy both sides of this Elevation Certificate for (1) community official, (:2) iris „f;:tr .e - agenticornpany, and (3) building owner. COMMENTS JOB NO. CI10t52.91 F.B. NO. 497 -71 BLDG. PERMIT NO. 00.00W1 - - - Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) -or Zone AO and Zone A (without BFE), complete Items E1 through E1. if the Fievelion Certificate is intended for use as supporting rrfonnation for a LO,VIA or t ONIR -F, Section C must be completed. E-1. Building Diagram Witnber __(Select the building diagram most similar to the building ror v.hich this certificate is being completed - see pages 6 and 7. If nc) c!- t,,ram accurately represents the building, provide a sketch or photogrsph.) .2. The top of tt;e trvtt_ >s ; i ��or ( including basement or enclosure) of the building is _ ._ ft. ;t-(t n.(aail [] aF�ove Jr {� below (check one) the highest adjacent oracle. =3. For Building D'ragrantr, 6 -3 with openings (see page 7), the next higher floor or ek-wil nd floor ( elevation b) of the building is — ft.(m) _ !n.(cm) -t%ove the highest adjacent grade. :4. For Zone AO only: if no flood depth number is available, is the top of the bottom ' €toor elevated in accordance with the community's flood lain management ordinance; ❑ Yes ❑ No ❑ Unknown. Tha local off r:iel :roust certir this infonii>a0on in Section G. _ _ -�,'t CTION F - PROPERTY OWNER (OR OWNER':$ REt= tTI: BP fr1TA_'f IVY) �: ERT'!I iGAI "lr3E ! The property owner or oti�,nerr's authorized representative who completes Sections A, g, ,:,end E for Zone A (witho_it a FEMA- issued or community - issued BFE) cr Zone AO must sign here. PROPERTY OWNER'S OF.. U4'VNFR'S AUTHORIZED REPRESENTATIVE'S NAME - -- - - - - -- - -- - -- - - - - - -- ADDRESS STATE ZIP CODE 4IGNATURE -- COMMENTS -� ❑ Check here if attachments SECTION! G - COMMIUNITY INFORM.t1'lt1'NI- (�" >P110NA1 E Fhe local official who is muthorized by law or ordinance to administer the community's floodpinin management ordinance can c mplete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applie_,P.ble itai n(4) end sign below. 31. ❑ The information in Section C was taken from other documentation thnt has be;-,n signed and embossed by a licensed surveyor, engineer, or ar {_;tile: t v0iu is authorized by state or local law to certif.; levza!it, it forrrrratic7n. (indicate the 30urco and date of the elevation data in k =.n , on .ments area belcm.) 32. ❑ A community offi Jai completed Section E fur a building located in Zone A (A.,T ,gat n l- EMA- issued or community- issued BFE) or Zone AO. 33. ❑ The following Information (Items G4 -G91 is provided for community floodplain rnnnegement purposes. G4. PERMIT NUMBER G5. DATE F'Er;Mll' ISSUED T G<<. f ?ATE Ci^_RT!} iCA1 E OF COMPLIANCE/OCCUPANCY I ISSUE -0 — - 37. This permit has beer. issued for. ❑ New Construction ❑ Substantial Improverne :tt 38. Elevation of as -built lov;-est floor (including basement) of the building is: _ _ft.(m) Datum: 39. BFE or (in Zone AOl depth of flooding at the building site is: -_ ft. (111) Datum: LOCAL OFFICIAL'S wkh c_ �- TITLE - -- - -- - - - -- COMMUNITY PIAMt= - -- - - - -- i E`._EP, i ^N __ _------ - -_ - -- — SIGNATURE COMMENTS — Check here if attachments