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Home My Public Portal AboutRiver Oak Ln_2 FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No 3067 -0077 NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005 ELEVATION CERTIFICATE Important: Read the instructions on pages 1-7. SECTION A - PROPERTY OWNER INFORMATION I Forinsurarnoe Company Use: BUILDING OWNER'S NAME I Policy Number MICHAEL W. SHARPE BUILDING STREET ADDRESS (Including Apt, Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. I Company NAIC Number 2 RIVER OAK LANE CITY STATE ZIP CODE TYBEE ISLAND, GA 31328 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 1", SUB OF LOTS 8 & 9, HORSE PEN HAMMOCK, FORT WARD BUILDING USE (e.g., Residential, Non - residential, Addition, Accessory, eta Use a Comments area, if necessary.) RES. LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: 0 GPS (Type): ( ##° - ##' - Mit.#f!" or ##.1# 14## 0 NAD 1927 ❑ NAD 1983 C] USGS Quad Map ❑ Other. SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP COMMUNITY NAIVE & COMuRJNITY NUMBER B2. COUNTY NAME 83. STATE TYBEE ISLAND 135164 CHATHAM I GA B4. MAP AND PANEL. 87. FIRM PANEL 89. BASE FLOOD ELEVATIONS) NUMBER B5. SUFFIX B6. FIRM INDEX DATE EFFEC IVEJREVISEDDATE B8. FLOOD ZONE(S) (Zane AO, use depth of flooding) 135164 0001 C 6/17/86 6/17!86 A8 12 B10. Indicate the source of the Base Flood Bevation (BFE) data or base flood depth entered in B9. 0 FIS Profile ® FIRM ❑ Community Determined ❑ Other (Desaibe): Bit . Indictee the elevation datum used for the BFE in B9: ►1 NGVD 1929 ❑ NAVD 1988 ❑ Other (Desaibe): B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No Designation Date SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: 0 Construction Drawings' 0 Buildng Under Construction* ► Finished Construction *A new Elevation Certificate be required when construction of the building is corvlete. 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 acay represents the building, provide a ketch or photograph.) C3. E evations - Zones Al-A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, ARIAO Complete items C3. -a-i below acaxdng to the butting diagram specified in Item CZ. State the datum used. If the datum is dferent from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum =version 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/Cornetts Elevation reference mark used Does the elevation reference mak used appear on the FIRM? ❑ Yes ■ No o a) Top of bottom floor Qiruludng basement or enclosure) 12. 3 ft(m) d / o b) Top of net higerfloor 21.8ft(m) o c) Bottom of lowest horizontal structural member (V zones only) NA . _ft.(m) °' o d) Attached garage (top of slab) 12.3 ft(m) E o e) Lowest elevation of machinery and/or equipment (1-2 servicing the building (Describe in a Comments area) 12.4 ft(m) Pc" o f) Lowest adjacent (firmed) grade (LAG) 11.8 ft(m) z to '/ o g) Highest adjacent (finished) grade (HAG) 12. 0 ft(m) o h) No. o f ponrerent openings ( f l o o d vents) within 1 ft. above adjacent grade 0 o i) Total area ct all permanent openings (flood vents) in C3.h sq. in. (sq. am) / SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION / This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation infomiation. 1 certify that the information in Sections A, B, and Con this certificate represents my best efforts to interpret the date 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 SURVEY/ COMPANY NAME CITY STEPH N ON AV) E C / SAVANNAH GA STATE 31 PS E SIGNA / 10/24/66 91 TELEPHONE 352- -0464 FEMA Foy)-1 -31, Jpiru'ary 2003 See reverse side for continuation. Replaces all previous editions IMPORTANT: 'In these spaces, copy the corresponding information from Section A I For Insurance Company Use: BUILDING STREET ADDRESS pndudi ig Apt., Una, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. I Policy Number 2 RIVER OAK LANE CITY STATE ZIP CODE I Company NAIC Number TYBEE ISLAND, GA 31328 SECTION D • SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agenfkompany, and (3) building owner. COMMENTS C3.e) = A/C PAD 0 Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WN'HOUT BFE) For Zone AO and Zone A (without BFE), complete Items El through E. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. El . Building Diagram Number _(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.) E2. The top of the bottom floor (ir during basement or endosure) of the building is ft.(m) _in.(c m) 0 above or 0 below (check one) the highest alacent grade. (Use natural grade, if available). E3. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is ft.(m) _in.(cm) above the highest acQaoant grade. Complete items C3.h and C3.1 on front of form. E4. The top of the platform of machinery and/or equipment servicing the building is fL(m) _in.(cm) 0 above or 0 below (check one) the highest adjacent grade. (Use natural grade, if available). E5. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? 0 Yes 0 No 0 Unknown. The local official must certify this information in Section G. SECTION F • PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Seders A, B, C (Items C3.h and C3.i only), and E for Zone A (without a FEMA- issued or community- issued BFE) or Zone AO must sign here. The statements in Sections A, B, C, and E are correct to the best ofmyknowledge. PROPERLY OWNERS OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or orkinaice to administer the community's floodplain management ordinance can complete Sections A, B, C (o E), and G of this Elevation Certificate. Complete the applicable item(s) acid sign below. G1.0 The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the elevation data in the Commeits area below.) G2.0 A community ofl'idal completed Section E fora building lock! in Zone A (without a FEMA- issued o c ommunity ed BFE) or Zone AO. 03.0 The foNownng information (kerns G4-G9) is provided for community ity f oodplain „ , ,,,., r, purposes. G4. PERMIT NLAVER G5. DATE PEWIT ISSUED I G6. DATE CERTiFICATE OF COttiPLIANCFJOCCUPANCY ISSUED G7. This permit has been issued for. 0 New 0:instruction 0 Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building is: fL(m) Datum: G9. BFE or (in Zone AO) depth of flooding at the tang site is: _. _ ft.(m) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS - _ ❑ Check here if attachments FEMA Form 81 -31, January 2003 Replaces all previous editions