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Home My Public Portal AboutChatham Av_1615 ELEVATION CERTIFICATE O.M.B. No. 3067 -0077 Expires May 31, 1996 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 used only to provide elevation information necessary to ensure compliance with applicable community floodplain management ordinances, to determine the proper insurance premium rate, and/or to support a request for a Letter of Map Amendment or Revision (LOMA or LOMR). SECTION A - PROPERTY INFORMATION I FOR INSURANCE COMPANY USE BUILDING OWNER'S NAME POLICY NUMBER STREET ADDRESS (Including Apt., Unit, Suite, and /or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER COMPANY NAIC NUMBER 1615 CHATHAM AVE OTHER DESCRIPTION (Lot and Block Numbers, etc.) LOT 7, WARD 6 CITY STATE ZIP CODE TYBEE ISLAND GA 31328 SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Provide the following from the proper FIRM (See Instructions): 1. COMMUNITY NUMBER 2. PANEL NUMBER 3. SUFFIX 4. DATE OF FIRM INDEX 5. FIRM ZONE 6. BASE FLOOD ELEVATION (In AO Zones, Use Depth) 135164 0002 C 6/17/1986 A8 14 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations(BFE): ❑x NGVD 29 ❑ Other If other was indicated, please describe: 8. For Zones A or V, where no BFE is provided on the FIRM, and the community has established a BFE for this building site, indicate the community's BFE: 1 I feet NGVD (or other FIRM datum - see Section B, Item 7. SECTION C - BUILDING ELEVATION INFORMATION 1. Using the Elevation Certificate Instructions, indicate the diagram number from the diagrams found on Pages5 and 6 that best describes the subject buildings reference level 5 2(a). FIRM Zones A1-A30, AE, AH and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation of 1 16.7 I feet NGVD (or other FIRM datum - see Section B, Item 7). (b). FIRM Zones V1 -V30, VE, and V (with BFE). The bottom of the lowest horizontal strucutral member of the refernece level from the selected diagram, is at an elevation level of 1 I feet NVGD (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 isi I feet above ❑ or below ❑ (check one) the highest grade adjacent to the building. (d). FIRM Zone AO. The floor used as the reference level from the selected diagram is I feet above ❑ or below ❑ (Check one) the highest grade adjacent to the building. If no flood depth number is available, is the buildings's lowest floor (reference level) elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown 3. Indicate the elevation datum system used in determining the above reference level elevations: ❑x NGVD '29 ❑ Other (describe under Comments on Page 2). (NOTE: If the elevation datum used in measuring the elevations is different than that used on the FIRM [see Section B, Item 7], then convert the elevations to the datum system used on the FIRM and show the conversion equation under Comments on Page 2.) 4. Elevation reference mark used appears on FIRM: ❑ Yes © No (See Instructions on Page 4) 5. The reference level elevation is based on: ❑x actual construction ❑ construction drawings (NOTE: Use of construction drawings is only valid if the building does not yet have the reference level floor in place, in which case this certificate will only be valid for the building during the course of construction. A post- construction Elevation Certificate will be required once construction is complete.) 6. The elevation of the lowest grade immediately adjacent to the building is: I 8.0 I feet NGVD (or other FIRM datum - see section B, Item 7). SECTION D - COMMUNITY INFORMATION 1. If the community official responsible for verifying building specifiles that the reference level indicated in Section C, Item 1 is not the 'lowest floor' as defined in the community's floodplain management ordinance, the elevation of the building's 'lowest floor' as defined by the ordinance is: I 1 feet NGVD (or other FIRM datum - see Section B, Item 7). 2. Date of the start of construction or substantial improvement FEMA Form 81 -31, MAY 93 Replaces all previous editions See reverse side for continuation SECTION E - CERTIFICATION This certification is to be signed by a land surveyor, engineer, or architect who is authorized by state or local law to certify elevation information when the elevation information for Zones A1-A30, AE, AH, A (with BFE), V1 -V30, VE, and V (with BFE) is required. Community offcials who are authorized by local law or ordinance to provide floodplain management information, may also sign the certification. In the case of Zones AO and A (without a FEMA or community issued BFE), a building official, a property owner, or an owner's representative may also sign the certification. Reference level diagrams 6, 7 and 8 - Distinguishing Features - If the certifier is unable to breakaway /non- breakaway wall, enclosure size, location of servicing equipment, area use, wall openings, or unfinished area Feature(s), then list the Feature(s) not included in the certification under Comments below. The diagram number, Section C, Item 1, must still be entered. I certify that the information in Sections B and C 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 underl8 U.S. Code, Section 1001. CERTIFIER'S NAME LICENSE NUMBER (or Affix Seal) BERT B. BARRETT SR 1239 TITLE COMPANY NAME R.L.S. BARRETT LAND SURVEYING INC ADDRESS CITY STATE ZIP PO BOX 10091 SAVANNAH GA 31412 SIGNATURE DATE PHONE 7/7/1997 (912) 897 -5460 Copies should be made of this Certificate for: 1) community official, 2) insurance agent/company, and 3) building owner. COMMENTS: