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HomeMy Public PortalAboutSHIPWATCH LN_1.pdfR&Oo1Vsd: 11/28106 10:47; 9128076131 -a BUSH INSURANCE AGENCY; Pago 3 li/il:ti/aaaa 18. 29 FAX 8129878131 IOUs FEDERAL EMERGENCY MANAGEMENT AGENCY ^j NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077 �3, 13q t ELEVATION CERTIFICATE Expires Jt►1y 31, 21)02 Im orlant: Read the Insfruclions on pages i - 7. - - - - SECTION A - PROPERTY OWNER INFORMATION For Irdwante Company Use: B1111,13 rR3 STREET ADDRESS (h *l ft Apt.. Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIL: Number 01 SWPWATCH LAW CITY �_.�...-- ...STAiEµ'�.-____,..-....._.___. ZIP CODE TYHEE ISLAND GA 31320 PROPERTY DESCRIPTION (Lai and Block Numbers- Tax Parcet Numtxr, Legal Desaipllotr, elej �- --" LOT 5. SHIP"TCH DUNES RESIOFJdT1A1 (e.g., Restden6af, Nnn•residenlial, Addiion, Accessory, etc. Use Catrnents sedton ii necessary.) '-_�—"_ ..`..,.-_.,___... LATiTUDE&ONGITUDE (OPTIONAL) liORlZflhTAL DA7tlCuL SOURCE Gp (Tyye=^ ----- ( j' - a' - Mw or AW.SpAva') Q NAD 1927 ❑ HAD 1983 © USGS Quad Map O Otho: SECTION 8 - FLOOD )NSLIRANCE DATE MAP (FIRM) INFORMATION TYBEE ISLAND 1:36161 1 CHATHAM Numom 135164 OWI I C r 7/86 1 6471116 EFFECTNElR MSCDDATE 1 ZONC(S) GEORGIA (Zone AO, use deplb of flooding) _ 14 810_ Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. - - [{ FiS Profile 0 FIRM © Community Determined [I Other (Describe): __ B11• tlidicafe the elevation datum used for the BFE in OR 0 NGVD 1929 ❑ NAVD 19811 ❑ 011ter (Describe): 812. Is the building located in a Coastal Barrier Resources Systom (CBR$) area or Otherwise Protected Area (OPA)? ❑ Yes rANo Deslgnailon Date,,.,-, SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Binding etevalions are based on: (] Construction Drawings' [fBuiWlng Under Conslruclion' ® Finished Construction 'A new Elevation Cestlflcale will be required when construction of the building is complete. C2. Buil*Q Diagram_ Number ¢ (Select the building diagram most similar to The building for which this cerpficale is being Completed - see pages 6 and 7. ltno diagrarn acuttalely represents the building, provide a sketch or photograph.) C3. Elevations - Zones Al -A30. AE, AHL A (with BFQ. VE, VI -V30. V With BFE). AR, ARIA, ARIAS, AR/A1-A30. AR/AH, AR/AO Complete items C3a•i below according to the buftng diagram specified In Item C2. State the detum used. If the datum is different from the datum used for the BFE kr Section B, convert the dalufn to Ihni used for the BFE. Slmw field measurements and datum convorsion Calculation. Use the space provided or the Comments area of Section D or Seellon C. as appropriale, to document the datum conversion. Datum ConverstonlComments Elevation reference mark used _Does the elevation reference mock used appear on the VIRM? o a) Top of bottom (loot flndurlinD basement or enclosure) 10. b) o lop of next htglier floor. �.; o 0) Bottom of lowest horizontal structural member (V zoites only) NA . _ff.(m) o d) Attached garage (top of slab) Ig. -211.(m) } o e) Lowest elevation of machinery and/or equipment servicing thebuildirtg ?�.38.(m)jr� ►•rq.,( f o 0 Lowest ad)acenl g (LAG) A. BN.(m) Z.1 o 9) Highest adjacent grade (HAG) 12- _111.(m) X u h) No. of permanerll openings (flood vents) within 1 N. above adjacent grade ¢ o t) Total area of a1 Permanent openings (flood vents) in C31t 9 sq. in. (sq. cm) Yes 29 tiro SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICA-HON 1T1is Certification is to be skped and seated by a land surveyor, engineer, or architect aulhoritetl by law to certify elevation infornrallon. I certify that the infomialion in SecNom A. B. and C on tins miltticate represents my Imst o/hrrts to Werfrrel the data avnWjh . f unrlefslaridthat any!else stalenrent n� be vaishable by tura o� rimmisonrnent under 18 U.S_Gode. Section 1001. CFRTWIER'S NAME WRIGHT C. POWERS, JR. LICENSE 1ANDER 2612 - r TIME REGIST[rll lAt SURVEYOR `- - CflHtr�ANY tiAt+1E CpNtli)R 6 AS.IAYS. INC -- _ �D ESS ---- --• _�-_ .._ _ . __----- -_._._.._.- AD Rnx lnncr CITY STATE zipCUDr: �c� y UtNi_ _ _--_� _..-AL412_. SIWTURf: �'/ /moi_ DATE TELEPHONE_ FEMA Form 81-31, AUG 99 !/ SEI: REV4.RSE SIDE FOR CONTIN- ATfON RCPLACFS ALL PRCVIOUS EDITIONS