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Home My Public Portal AboutDogwood Av_4 O.M.B. NO. 3067 -0077 ELEVATION CERTIFICATE Expires May 31, 1546 FEDERAL EMEFIGENCY 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 (loodptain management ordinances, to determine the proper insurance premium rate, and /or to slipped a tequest fot a Letter of Map Amendment or Revision (LOMA or LOMR). Instructions for completing t tom Calf be found on the following pages. SECTION A PROPERTY INFORMATION FOR INSURANCE COMPANY USE BUILDING OWNER'S NAME POLICY NUMBER . DSEPI- XteN °c. AS : qc- 8,2ENDA COOGTAtdt) 5 STREET ADDRESS (Including Apt.. Unit, Suite and/or BIdg. Number) OR P.O. ROUTE AND BOX NUMBER COMPANY NAIC NUMBER r4 Dd6wbt.D 4 vEN'J OTHER DESCRIPTION (Lot and Block Numbers, etc.) 6 - 0 r 2 - r 5 Le k 31, Fo1ZT" $e attvEN 'J4-2D CITY STA ?E ZIP CODE Ty/3g g /5 L4 0 p , 6;4 . 3 t3 SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Provide the following from the proper FIRM (See Instructions): i. COMMUNnY NUMBER 2. PANEL NUMBER 3. SUFFIX 4. bATE OF mkt INDEX 5. FIRM ZONE 6. BASE FLOOD ELEVATION 3y-i64 O I C G)/ 7) g A b (In AO Zanes, use depth) 13' 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): MNGVt3'29 CI Other (describe on back) 8. For Zones A or V, where no BFE Is provided on the FIRM, and the community has established a BFE tor this building site, Indicate the community's BFE:.) I 1 1 11.Li feet NGVD (or other FIRM datum — see Section B, Item 7), , SECTION C BUILDING ELEVATION INFORMATION I. Using the Elevation Certificate Instructions, indicala the diagram nUmber from the diagrams found on Paget 5 and 6 that best describes the subject building's reference level 9 2(a). FIRM Zones Al -A30, AE, AH, and A (with BFE). The top of the telerence level floor from the selected diagram Is at an elevation. of I I 1 1A. Al 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 structural member of the reference level from the selected diagram, is at an elevation of 1 I 1 1 1 1.❑ 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 1 1 1.LJ feet above L' 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 1 1 1.11 feet above ❑ or below ❑ (check one) the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest floor (reference level) elevated in accordance with the community's floodptain management ordinance? ❑ Yes ❑ No ❑ Unknown 3. Indicate the elevation datum system used in determining the above reference level elevations: IS NGVD '29 El 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 7J, 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 II No (See Instructions on Page 4) 5. The reference lev elevation is based on: 1,0 actual construction El constrUctiort drawings (NOTE: Use of construction drawings Is only valid If the building does hot 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.) t 6. The elevation of the lowest grade Immediately adjacent to the building Is: I 1 I I PI .15_1 .feet NGVD (or other FIRM datum -see . Section B, Item 7). SECTION D COMMUNITY INFORMATION 1. 1f the community official responsible for verifying building elevations specifies that the reference Level Indicated In Section C, Item 1 is not the "lowest floor" as defined in the community's tloodptain management ordinance, the elevation ot the building's "lowest floor" as defined by the ordinance Is: I 1 1 1 1 1,❑ feet NGVD (or other FIRM datum —see Section B, Item 7). 2. Date ot the start of construction or substantial Improvement • FEMA Form B1-31 MAY 93 REPt.ACES ALL PREVIOUS EDITIONS SEE REVERSE SIDE FOR CONI1NUATION SECTION E CERTIFICATION ivelmrwr..11. s 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 tor Zones AI—A30, AE, AN, A (with BFE),V1 V30,VE, and V (with BFE) is required. Community officials who are authorized by local law or ordinance to provide lloodplain 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 certify to breakaway /non- breakaway wall, enclosure size, location of servicirng 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 stilt be entered. I certify that the information in Sections 8 and C on this certificate represents my best efforts lo interpret the data available. 1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Bert B. Barrett, ,Sr. Ga. #1239 GERTIFIER'S NAME LICENSE NUMBER (or Affix Seal) _R.__L.___ Barrett Land Surveying, Inc. TITLE COMPANY NAME P. 0. Box 10091 Savannah, Ga. 31412 CITY STATE ZIP AbbRES ` 4/91 1- 912 - 897 -5460 SIGl 4T(RE DATE PHONE Copie should be made of this Certificate for: 1) community official, 2) Insurance agent /company, and 3) building owner. COMMENTS: ON WiIN ON PILES, SLAB BASEMENT PIERS, OR COLUMNS A V A A V ZONES ZONES l ZONES ZONES ZONES I . I - REFERENCE f � "' D F VENCE REFERENCE BASE LEVEL E a _ -. - LEVEL r t o,,,,,„....:„.,,,. LEVEL FLOOD I t g��I M1A , j,. BASE BASE 3T _ FLOOD ADJACENT . .. A' REFERENCE FLOOD GMDE yli LE VEL ELEVATION ELEVATION REFERENCE ADJACENT i ; { .. - i LEVEL GRADE N T tf i +e! I .`ri : : :.. .•;' `am , E ; ADJACENT'; . . Y`` T f A{) ... dl` � r _ t t GRADE ', The diagrams above illustrate the points at which the elevations should be measured In A Zones and V Zones. Elevations for all A Zones should be measured at the top of the reference level floor. Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member.