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Home My Public Portal AboutBay St_1201B ELEVATION +fib T C T xpires 99 FEDERAL EMERGENCY MANAGEMENT AGENCY • NATIONAL FLOOD INSURANCE PROGRAM ATTENTION: Use of this certificate does not provide a waiver of the flood insurance purchase requirement. This form is h ±c provide elevation information necessary to ensure compliance with applicable community tloodplain management ordinances, to determine the proper irisuta[ice premium rate, andior to Support a request for a Letter of Map Amendment or Revision (LOMA or LOMA). Instructions for completing this form can be found on the fallowing pages. SECTION A PROPERTY INFORMATION FOR h•SUR?NCE �(iAPM•rf USE BUT D NG OWNERS NAME POLICY NU 4BE[? m 0 STREET ADDRESS (Including Apt.. Unit, Suite andior Bldg. Numner) OR P.O. ROUTE AND BOX NUMBER I COMPANY NA[C NUMBER c _ 04 () r hER oesceiPT ION (Lot and Bloch Nunibers, eta) CAM' STATE ZiP CODE t , t 6.4 C a L of trj e SECTION B f-L000 INSURANCE RATE MAP (FIRM) INFORMATION Provide the following from the proper FIRM (See Instructions): • 1 .O MUNITY NUMBER [ 2. PANEL rvuMPF:•R a SUFFIX 4; DATE OF FIRM INDEX 5. HAM ZONE 6. BASE FLOOD ELEVATION I II (in AO ?Arias ucA 4 pth ) `` 135 (04- 1 6�n/ , 1 14.0 7. Indicate the elevatien datum system used on the FIRM for Ease Flood Elevations (Ele ): I 1 NGVD '29 I [Other (describe on back) B. For Zones A or V, where no EWE is provided on the FIRtvi, and the coireeeity has established a BFE for this building Site, indicate the community's BFE: 1 + I L a.L feet NGVD (or other FIRM datum -see Section 13, item 7), SECTION C BUILDING ELEVATION INFORMATION 1. Using the Ei_ vUsing ure ChCkiiiun Certificate liisiruciions, indicate the diagram number trartT the diagrams found On Pages 5 and 6 that best desLnbes the SubjeCI building's reference ieVel G.._. . 2(a). FIRM Zones Al -A30, AE, AH, and A (with 3FC). The top of the refelerice level floor from the selected diagram is at an elevation of 1 'lam 1L1 i1.;,Meet NGVD (or other FIRM datum -see Section 8, Item 7). • Co). FIRM Zones Vi -V30, VE, and V (with FIFE). The bottom of the lowest horizontal structural member of the reference level from the selected diagram, is at an elevation of l _E._L L .1. J feet NGVD (or other FIRM datum -see Section B, Item 7). (c). FiRM Zone A (without BFE). The floor used as the reference level from the selected diagram is L.l_ ..' ; feet above.; or below Lei (check one) the highest grade adjacent to the building. (r» FIRM e on AO. e used as the reference r. f selected d' t , r f 1 �_.. The _ flor_. US d Ile 91e1 from the diagram is i. _.Ii . i . h feet above . U( (ri;IUV+! l . i (check tone) the highest grade adjacent to the building. 1f no flood depth n::rnber is available, is the buildin lowest floor ( reference fe elevator i accordance with t e eernm fl di n E v__ "r _ ' M .l": .� „ '��u n muC,ay$,Tici�i vrulahn.e' E Yes L.1 No ,J Unknown 3 Indicate t , d..t.. .. tic e.aaat+vn datum system USVt� diBtBrrri7Tut1� �ItS��tyYY3�rfr3�erP igVCi OieVSti0g5: � Nti1/U '29 i Other (describe under Comments on Page 2), (NOTE If the elevat'rrdtiiurn r._'s€d in %measuring the eleit'aiiurrs Is different than ihcutused on the FIRM [see Section B. Item 7J then convect the ek taboo IQ ttrg•datum used . on the, FIRM and show the COrWerSioiw equation under Comments on Page -2.) • - • • • • - • - -- - -- • - • - • 4. Elevation reference mark used sed appeats on FIRM: 4 Yes - te (See instructions on Page 4) 5. The. referent* level elevation Is based on: t actual construction ❑ construction drawings (NOTE: Use of construction drawings is only valid It the building does not yet have the reference level floor in piacc, to which case this certificate will only be valid for the building during the course of construction. A post- constn,rtinn Fievation Certificate will be required once construction is complete.) 6. The elevation of the lowest grade immediately adjacent to the building is:1 1 I ? ;1 ,; 7 feet NGVD (or other FIRM daturr, - see Section B, Item 7). - SECTION 0 COMMUNITY INFORMATION • • • 1. It the community offi responsible tor verifying building elevations Specifies that the reference level indicated in Section C, item 1 is not the °lowest floor" as defined in the communitys ftoodplain management ordinance, the elevation of the building's "lowest finer" as defined by the ordinance (s=.1 .1 _ I _! . ! 1.I 1 feet (or other F1R1.,A datum -see Section 8, Item 7). 2. Date of the start of constmetion or substantial improverne.nt _ —__.. . • FE MA Farm 81 -31 MAY 90 REPLACES ALL PREVIOUS FOITtONS SEE REVERSE SIDE FOR CON'f INUATION • ® r r r • • ii ..I SECTION CERTIFICATION This certification is to be signed by a and surveyor, engineer, or architect who Is authorized by state or local taw to certify elevation ° Information when the elevation information for Zones Al -A.30, AE, A1-1, A (with BFE),V1- V30,VE, and V (with BFE) is required • Community officials who are authorized by local law or ordinance to provide floodplain management information, !nay also sign the certification. In the case of Zones AO and A (without a FEMA or community issued BFE), a building official, a properly owner, or an owner's representative may also sign the certification. f'vie, ence levet diagrams S. 7 and A • Dislfnglulshing Features -if the certifier is unable to certify to breakaway /non - breakaway wail, encfosurc size. location of servicing equipment, area use, wall openings, or unfinished area Feature(s), then list the Features) not included in the certification under Comments below. The diagram number, Seedon C, Item 1, must still be entered. 1 certrly:nat the information in Sections 8 and C an this certificate represents my best efforts to interpret the data available. 1 understand that any f31se statement may be punishable by fine or imprisonment under 18 U.S. Code, 'Section 1001. . GFRTIFIER'S NAME LIC ,NSE NUMBER for Affix 5eaf V .ngent .gie_J.;t��. li�e2._ ___.... ..._ . .- - . . TITLE COM Ar'lY r;Ar,Ac . Land Sulc a. o� Jc __ ._ Reewi $urveyQ . _ _.- ...--- . ADDRESS CITY STATE Zip 119 Burton Road Savannah _ Georgia . _. 314_ D5 SIGNATURE 1 DATE PHONE t) 1,, -- Q--- . G /2e, 1. ' (91.2)' 925 -1362 Copies should be made of This Certificate for c ommunity official, 2) iflsvrance agenucompany, end 3) building owner. ., COMMENTS: . ... - - -._ �_ . -- .. • ,__ ._ ON WITH ON GtLES. QLAR BASEMENT ' P:EAS, OR coLumsS v A A V ZONES ZONES • 'a ZONES LOr.5 ZONES !' (I' L nk /EM},a:C y L V , "+'^� RCfEPGdCE ItvL, h A ? TV - _ 1_ T yc, t • AWACE - tA "• P�> rLGW ,.wt, GRAGk 7::':' � V ,rvLii It EVATAv RErFNANCF ADJAI.EHT °2 :jj4�'� N rcr Mi. GRAM 1 �� 1 r. Yy ,•,ti ; r • ki AWM:I. MI The-diagrams above.iflustrate the points al which the elevations should be measured in A Z and V Zones. Eievatiori9 for all A Zones should be measured at the lop of the reference levet floor, Elevations for all V Zones should be measured al the bottom of the lowest horizontal structural member • • - Page 2