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Home My Public Portal AboutSHIPWATCH LN_9.pdfU.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB N6- 1660-6608 Federal Emergency Management Agency Expires March 31, 2012 National Flood insurance Program Important: Read the instructions on pages 1-9. SECTION A - PROPERTY INFORMATION For Insurance Company Use, Al. Building Owner's Name Cathy Lengyel Policy Number A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number 9 Shipwatch Lane City Tybee Island State GA ZIP Code 31328 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 1, Shipwatch Dunes Subdivision, Tax ID No. 4-0021-17-009 Ad. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential A5. Latitude/Longitude: Lat. 32'01'27.53" Long. 80°51'16.91" Horizontal Datum: ❑ NAD 1927 0 IS AD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 6 A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) ZM sq ft a) Square footage of attached garage NIA sq ft b) No. of permanent flood openings in the crawlspace or b) No. of permanent flood openings in the attached garage enclosure(s) within 1.0 foot above adjacent grade 0 within 1.0 foot above adjacent grade NIA c) Total net area of flood openings in A8. b 0 sq in c) Total net area of flood openings in A9.b NIA sq in d) Engineered flood openings? ❑ Yes 0 No d) Engineered flood openings? ❑ Yes 0 No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name B3, State City of Tybee Island - 135164 1 Chatham I Georgia B4. MaplPanel Number 65. Suffix Be. FIRM Index 87. FIRM Pane! B8. Flood 69. Base Flood Elevation(s) (Zone 13051CO213 F Date I EffectivelRevised Date Zone(s) I AO, use base flood depth) 9126108 9126108 AE 13.0 B10, Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 89. ❑ FIS Profile 0 FIRM ❑ Community Determined Other (Describe) 811. Indicate elevation datum used for BFE in Item 69: ❑ NGV0 1929 0 NAVD 1988 ❑ Other (Describe) B12. Is the building located in a Coastal Barrier Resources System iRS) area or Otherwise Protected Area (OPA)? EJ yes 0 No C Designation Date CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) 01. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction` ❑X Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations - Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, ARIA, ARIAE, AR/A1-A30, AR/AH, ARIAO, Complete Items C2.a-h below according to the building diagram specified in Item AT Use the same datum as the BFE. Benchmark Utilized Local_ Vertical Datum NAVD88 Conversion/Comments NIA Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 8.2 x❑ feet ❑ meters (Puerto Rico only) b) Top of the next higher floor 17.7 x❑ feet ❑ meters (Puerto Rico only) c) Bottom of the lowest horizontal structural member (V Zones only) NIA. ❑ feet ❑ meters (Puerto Rico only) d) Attached garage (top of slab) NIA. ❑ feet ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 8.0 x❑ feet ❑ meters (Puerto Rico only) (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 7.5 feet ❑ meters (Puerto Rico only) g) Highest adjacent (finished) grade next to building (HAG) 7.9 0 feet ❑ meters (Puerta Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs, including 7.5 0 feet ❑ meters (Puerto Rico only) structural support 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. l certify that the information 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 9009. ^-""" ^ -- ❑ Check here if comments are provided on back of form. Were latitude and longitude 'En Section A provided by a g licensed land surveyor? 0 Yes ❑ No Name Dale E. Yawn er Company Address Signature awn Lana surveys, State GA ZIP 919/2011 Telephone 91 !4 FEMA Form 81-31, Mar 09 C � See reverse side for continuation. Replaces all previous editions SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION IMPORTANT: In these spaces, copy the corresponding information from Section A. For Insurance Company Use: Building Street Address Including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number 9 Shipwatch Lane City Tybee Island State GA ZIP Code 31328 Company NAIC Number 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. Comments Structure is rased in piers with enclosure and open parking below. ❑ Check here if attachments SECTION E - BUILDING ELEVATIO NFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items E1 -E5. If the Certificate is intended to support a LOMA or LOMB -F request, complete Sections A, B. and C. For Items EI -E41, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. E1. Provide elevation information for the following and check the appropriate oxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawlspace, or cl ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawlspace, or e I ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings p vi etion A ltems$and/or 9 (se�,g,pages 8-9 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is ❑meters h above or LJ below the HAG. E3. Attached garage (top of slab) is ❑ feet ❑ meabove or ❑below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑ feet ❑ meters ❑ above or❑ below the HAG. E5. Zone AO onljL,If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? t� Yes ❑ No ❑ 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, 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, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name State nature Comments ❑ 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. Check the measurement used in Items G8 and G9. G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a building located in Zone A (without aEMA-issued or community -issued BFE) or Zone A0. G3. ElThe following information (Items G4 -G9) is provided for community floIment purposes. Date Permit Issued GT This permit has been issued for: ❑ New Construction ❑ Substantial G8. Elevation of as -built lowest floor (including basement) of the building: a] feet ❑ meters (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum G10. Community's design flood elevation ❑ feet ❑ meters (PR) Datum Local Official's Name Community Name Date Comments ❑ Check here 9 attachments FEMA Farm 81-31, Mar 09 See reverse side for continuation. Replaces all previous editions Building Photographs See Instructions for Item A6, Use: Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number 9 Shipwatch Lane City Tybee Island State GA ZIP Code 31328 Company NAlC Number If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to the instructions for Item A6. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, ,Right Side View" and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page, following. wont view Right Side View 7g, FEMA Form 81-31, Mar 09 See reverse side for continuation. Replaces all previous editions Building Photographs Continuation Page For Insurance Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.Q. Route and Box No. Policy number 9 Shipwatch Lane City Tybee Island State GA ZIP Code 31328 1 Company NAIG Number If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." Lett brae view