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HomeMy Public PortalAboutHorsepen Pt Drive_4 DALE _TOHr-450H 9122334474 P. 01 O.M.B, NO 3O47•C.077 ELEVATION CERTIFICATE Expires Ma 31, 1Y96 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 tE; 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) . , Inst i if im It Tim fin hr Mimi' nn thi iniin itInn nil ' °col 1 rt erl1T'i IN mirt FOR iNSLIFik E OMPAN' USE BUILE y r}WNER $ NAME y n>ue,v, , t co n , P t E� A 5 . In , t., Unit, .900 dney��d Faro { ROUTE r f BO X NUMBER COMPANY NA C. NUMBEF • THEFT E &CP. M ION (LO d Block u b�r&, 1 V ,/ .1-,_, oL r . • ..... ,..____ . CtTY SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION ' Provide the following from the proper FIRM (See Instructions) r— 1. commuNrTY NUMee 2. PANEL NNUFAEER 3. SUFF'Ix 4. LATE .:F RAM ioex 5. F' M ZONE 6. RASE FLOOD ELEVATION ON /r' :9C` NU / 7f On D T ,nedrzlh! 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): E NGVD '29 L; Other ( on back) 1 8. For Zones A or V, where no BFF is provided on the FIRM, and the community has established a BFF fur this b, uilding site, indicate the community's ty's BFE I { Li.i_ feet NGVD (c:r other FIRM datum —see Section Ei Item 1) SECTION C BUILDING ELEVATION INFORMATION 1. Using the Elevation Cer'iiffcate Instructions, indiccatr e diagram number from the diagrams: found on Pages 5 and 6 that best . describes the subject building's reference level I I .. 2(a). FIRM Zones Al •A30, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation of L.1 . Lin .f feet NGVD (or other FIRM datutrt —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 L._�i . ,t.!.,_ feet N1 VO (or other FIRM datum —see Suction B, Item 7) (c). F1RM1 Zone A (without BF). The floor used as the reference level from the selected diagram is LL . L_: feet above'_: or )I below P1 (check one) the highest grade adjacent to the building. (d): FIRM Zone AC. The floor used as the reference level from the selected diagram is I ! _I,l_J feet above —j or below t (check one) the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest floor (reference h tr la >vel) e;Nv3ti;d'sn a�:ct,rc�ance with e community's floo<1 {'.la:ri management ordinance? I I Yes I I No ' hln3inrwn 3, indicate the elevation datum system used in determining the above reference level elevations:..._- NGVD 'F_- I__i Other (describe under Comments on Page 2). (NOTE: If the elevation datum used in measuring the elevation; is different than that used on the FIRM (see Seotiort B, Item 7J, then convert the elevations to the datum system used on the FIRM and show the conversion ;I . equation under Comments on Page 2.) 4, Elevation reference mark used appears on FIRM: j__2 Yes Ll No (See instructions on Page 4) , - 5, The reference level elevation is bused on: ! actual construction Li construction drawings (NOTE: Use of construction drawings is only valid if the buitdino 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.) S, The elevation of the lowest grade immediately 2djacent to the building is: L L.L.LVI.CZ .feet NGVD Or other FIRM datum -see Section B, Item 7). r .t SECTION D COMMUNITY INFORMATION i. If the oornmunity official responsible for verifying building elevations specifies that the reference level indicated in Section 0, Rem 1 is not the "lowest floor" as defined in the community ='s floc dplain .narauc:ment ordinarico, the elevation or the building's ' floor" as defined by the ordinance is:. Li. { .L...:' feet NGVD (or Other FIRM u atugrn --yet Section B, Iterrn 7). 2. Date of the start of construction or substantial improvement ......_.. —. - -- __:_•— ..,..., FEMA Form 81 -31, MAY 93 REPLACES ALL PREVIOUS EDITIONS SEE REVERSE 51DE ECR CON 1NW\THON , DALE JOHNSON 912'23344 i q- SECTION E CERTIi=iCAi 1OfV —. This certification is to be signed by a land surveyor, engineer, or architect who is authorized by state or local law to certify elevation n ' information when the elevation information for Zones Al –A30, AE, AH, A (with 8FE),V1– V30,VE, and V (with BFI) is required. Community officials 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 BEE), a building official, a property owner, or 4r1 owner's representative may also sign the certification. Reference level diagrams 8, 7 and 8 - Distinguishing Features –If the certifier Is unable to certify to breakaway /non - breakaway wall, enclosure size, location of servicing equipment, area use, wall openings, or unfinished area Feature(s), then Ilst the Feature(s) not ' included in the certification under Comments below. The diagram number, Section 0, Item 1, must still be entered. !certify that the information in ;Sections Bard C on this certificate represents my beat 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, C.ERTIFI • 'S d LICENSE rdUMBER (or Affjx areal _____ _... a( 7 ''7 . g _ _ _. ., „I—L. TITLE (0MPANY NAME ' ADDRESS CITY 1TAt•E IP i slurtATU>3 r 4 Copies d be made rtiflcate for 1) eommuntty official, 2) Insurance and 3) building owner •'y / 941:1ENTS: . __ _ . _______ . - - _______ ____ I a l d ON WITH ON PILES, } SLAB BASEMEN,' PIERS, OR COLUMNS .. A. V A A V ZONES ZONES - lt ZONES ZONr5 - 4OW S - , I --w IF,EFERENGE REFEFENGE 7"' � H SF_ L L,F, 1 —,..=-„:•=-7- REFEFiEP7GE LEVEL FLL�'D LEVCI t ELELATIGN �� — ' V BASE \ BASE f r Vu NT ' LE REFERE NEE ' ll FLOOD p <_i•,u GRADE , VEL I. ELELAT1t4 . • ELEVATION R: FV,r' -.h A'�,,,GENT , V I �` . E:'EL GRADE ' 1 . ':?`",:•:: • n`':;' 4 .,. , ';: - 4' ;i;Git I I r -' { ::t77` r cnr' The diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones, Elevations for aHi A Zones should b measured at the top of the reference level fioor Elevations tor all V Zones should be measured at the bottom of the Io=n est horizontal structural member. . - Page 2