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BUILDii.iG STREET ADDRESS (inducting Apt., unit, Sulie, anwor t mg. No.) OK Y.U. KUU I t will! iSUA NU. 1 Company i' AlC itiumiei 1
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rr -ZOPE I TI DESCRIPTION (Lot. and UIVUS I' UII I1J l , - lax V A,4 t,.el Number, Legal IJ U IjJliUil, etc..)
LOT 6,A OF A RECOM PINATFIN OF 1 OTS 1 a R. 7 Pt BL OCK 10 FORT SCREVEN{A ARn
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BUILDING USE (e.g., Residential, Non- residential, Addition, Accessory, etc. Use a Comments area, if necessary)
RES
L ATiTUDELONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: 0 GPS (Type):
( ##° -##' - ##:##" or ##.#####°) 0 NAD 1927 0 NAD 1983 0 USGS Quad Map 0 Other.
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
131. NFIP COMMUNITY NAME & COMMUNITY NUMBER 52 COUNTY NAME 63. STATE
TYBEE ISLAND 135164 CHATHAM GA
64. MAP AND PANEL 57. FIRM PANEL • 1 B9. BASE FLOOD ELEVATION(S)
NUMBER 55. SUFFIX B6. FIRM INDEX DATE EFFECTNEJREVISED DATE 58. FLOOD ZONE(5) (Zone AO, use depth of flooding)
1351640001 C ,, 6/17186 6/17/86 A8 12
1310. indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in 69.
0 FIS Profile FIRM 0 Community Determined 0 Other (Describe):
311. Indicate the elevation datum used for the BFE in B9: ® NGVD 1929 0 NAVD 1988 0 Other (Describe):
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? 0 Yes ►/ No Designation Date
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: 0 Construction Drawings* 0 Butiiing Under Construction* ►1 Finished Construction
*A new Elevation Certificate will be required when construction of the buiding is complete,
C2. Building 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, V1 -V30, V (with BFE), AR, AR/A, AR/AE, ARiA1 A30, AR/AH, AR/AO
Complete Items C3: a-i below according to the building diagram specified in Item C2. State the datum used. tf 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 29 Conversion/Comments
Elevation reference mark used Does the elevation reference mark used appear on the FIRM? 0 Yes No
o a) Top of bottom floor (including basement or enclosure) 7. 9 ft.(m)
o b) Top of next higher floor 17.6 ft.(m) co
G EO R G `�/
o c) Bottom of lowest horizontal structural member (V zones only) NA . ft.(m) y ro 1 S La ; �t'
o d) Attached garage (top of slab) 7. 7 ft.(m) n * � {
o e) Lowest elevation of machinery and/or equipment w co N , , 49 / as
servicing t he building (Describe in a Comments area) 12.0 ft.(m) - Y %, e q
o f) Lowest adjacent (finished) grade (LAG) 7.5 ft.(m) z m � # 6 . O .
o g) Highest adjacent (finished) grade (HAG) 8. 5 ft.(m) N y
o h) No of permanent openings (flood vents) within 1 ft above adjacent grade 4 �_ Y ."�',,
o C U all t ►
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATIO
This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information.
1 certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available.
1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code. Section 1001.
CERTIFIERS NAME J. WHITLEY REYNOLDS LICENSE NUMBER 2249
TITLE LAND SURVEYOR COMPANY NAME
/'7 ,�)
ADDRESS ITE f C / SAVANNAH GA TE
636 STEPH SON U 31405 DE
SIGNAT /, ` / /' - DATE TFI FPHONE
4/25106 912- 352 -0464