HomeMy Public PortalAboutTERESA LN_17.pdf;j: FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
Q-1 ELEVATION CERTIFICATE
_.Important Read the instructions on pages t - 7.
SECTION A - PROPERTY OWNER INFORMATION
BUILDING OWNER'S NAME
HALLMARK HOMES
BUILDING STREET ADDRESS (Including Apt., Unit Suite, and/or Bldg. No.) OR P_O. ROUTE AND BOX NO.
17 TERESA LANE --
CITY STATE ZIP CODE
TYBEEISLAND GA 3
QanoGQ-ry nP-rERIPTION (Lot and Block Numbers. Tax Parcel Number, Legal [description, etc.)
17
O_M.B_ No. 3067-0077
Expires July 31, 2002
For Insurance Company use:
Policy Number
Company NAIC
Accessory, etc. Use Comments section if necessary.} TM _
RESIDENTIAL
LATITUDFILONGI I UDE (OPTIONAL) HORIZONTAL DATUM: SOURCE:0 GPS (Type):
{ _ #" or ##.1) El NAD 1927 [1 HAD 1963 13 USGS Quad Map E) Other.
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
81. NFtP IOWA A NTTY NAME , COUMUNITY NUMBER
CHATHAM COUNTY 130030
� -- -- - -
B2. COUNTY NAME
CHATHAM
--
-GA
--
B3. STATE
---�_
--
g k+l4P AND PANEL
135164 —01
�ISI_5.SSUFF�IXB6.
FIRM INDEX
DATE
9120195
87. FIRM PANEL
EFFECTIVEIREVISED DATE
5/19187
68. FLOOD
ZONES)
V9
69. BASE FLOOD ELEVATtaN(S)NUiYBER
(Zone AO, use depth of flcoding)
14.0
B10. indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9,
❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe):
B11. Indicate the elevation datum used for the SFE in 139: ® NGVD 1929 ❑ NAVD 1986 ❑ Other (Describe):
1312. 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)
C1. Building elevations are based on: ❑ Construction Drawings' 0 Building Under Construction* 0 Finished Construction
'A new Elevation Certificate will be required when construction of the building is complete.
C2. Buliding Diagram Number 6 (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.)
C3. Elevations—Zones Al -A30, AE, AH, A (with BFE), VE, V1430. V (with BFE), AR, AR/A, ARIAE, AR/AI-A30, ARIAH, AR1AO
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 BRE 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 NGVD129 Conversion/Comments
Elevation reference mark used TBM Does the elevation reference mark used appear on the FIRM? ❑ Yes No
o a) Top of bottom floor (including basement or enclosure)
o b) Top of next higher floor 2L. 95 fL(m)
o c) 13oftom of lowest horizontal structural member (V zones only) 16. 59(i.(m)
o d) Attached garage (top of slab; 8. 16ft.(m} `:N
w is r L F
o e) Lowest elevation of machinery and/or equipment
servicing the building NLA . tt.(m) m t s 1
o f) Lowest adjacent grade (LAG) 6 . 12ti(m) z
a q) Highest adjacent grade (HAG) (m)—�
a h) No. of permanent openings (flood vents) within 1 it. above adjacent grade NLA'
o I) Total area of all permanent openings (flood vents) in C3h NW sq. in. (sq. cm) _
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sea!ed by a land surveyor, engineer, or architect authorized by law to certify elevation information.
I certify that the information in Sections A, A and C on this certificate represents my best efforts to interpret the data available.
I understand thol any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
CERTIFIER'S NMJIE TERRY MACK COLEMAN LICENSE NUMBER GA RLS # 24B6
i ITLE Rs4ist�e Land Survey,:, -
ADDRESS_
COEJPANY NAME KERET-COLEAN 8 COMPANY - �-
- - Cil! - - STATE ZIP CODE -
Sauanngb _ GA }7dn5
DATE TELEPHONE
C_ 917-354"8400 .
FEMA Form 8_l 31, AIG 99 SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL. PREVIOUS EDITIONS