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Home My Public Portal AboutTeresa Ln_7 O.M.B. NO, 3067 - 0077 ELEVATION CERTIFICATE Expires May 31, l946 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 commuhity floodpfain 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 LOMB). Instructions for completing this form tan be found on the following pages. SECTION A PROPERTY INFORMATION Iron IrlsunnncE COMPANY UsE BUILDING OWNER'S NAME POLICY NUMBER ' ir" P_C.. E i`_ A. 1 E 1.-LI T r 1 sT nEEr ADDRESS (Including Apt,, Unit, Suite and/or Bldg. Number) on P.O. ROUTE AND BOX NUMBER COMPANY NAIL NUMBER Tk:1ZFS - L„AAi OTIIED DESCRIPTION (Lot and mock Numbers, etc.) h - - , ( 3 T NOV-T 't-07 u ' ) P — 4 -- - - - - -- cITY I s d. A A. 0 r E o �V , , 3 I3 s1ATE ZIP CODE T'�'�Cor SECTION B FLOOD INSURANCE HATE MAP (FIRM) INFORMATION Provide the following from the proper FIIIM (See Instructions): 1. COMMUNNv NUMBER 2 PANEL NUMBER 3. SUrriX 4. OATE Or PI0M INDEX 5. P'RM ZONE 6. BASE rioon ELEVATION 1. 3 J ) <0 4- O rJ o I L 6 / ) -- 1/ 8 U 9 (In AO Zones, use depllr) 7. Indicate the elevation datum system used on the FIRM for Base Flood EleValfons (BFE): ❑ NGVD '29 L_ 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 for this building site, Indicate the community's BFE:1 1 1 1 Li .1__l feel NGVD (or other FIRM datum —see Section R, item 7), SECTION C BUtLI)ING ELEVATION INFORMATION 1, Using the Elevation Certificate instructions, Indicate the diagrarn ntirnber from the diagrams found on Pages 5 and 6 that best describes the subject building's reterence level __ . 2(a). FIRM Zones Al -A30, AE, AN, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation of (_ L_. I _l_ LI_ 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 structural member of the reference level from the selected diagram, is at an elevation 011 I I I 1 T1A feel NGVD (ot other FIRM datum —see Section B, Item 7). L I (c). FIRM IJ Zone A (without BFE). The floor used as the reference level from the selected diagram is J.LJ feet above Li or below L.1 (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 LLJ.LJ feet above Ll or below L.1 (check one) the highest grade adjacent to the building. II no flood depth number is available, is the building's lowest floor (reference level) elevated in accordance with the community's floodplaln management ordinance? U Yes ❑ No L] Unknown 3. Indicate the elevation datum system used in determining the above reference level elevations: NGVD '29 L) 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 13, 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 g No (See instructions on Page 4) 5. The reference level elevation Is based on: K actual construction construction drawings (NOTE: Use of construction drawings is only valid if MO 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 lost- construction Elevation Certificate will be required once construction is complete.) 6. The elevation of the lowest grade Immediately adjacent to the building is: I 1 1 1 I$ I,U .feet NGVD (or other FIRM datum - see Section B, Item 7). SECTION b COMMUNITY INFORMATION I. If the community official responsible for verifying building elevations specifies that the reference level indicated In Section C. Item t Is not the "lowest floor" as defined in the community's floodplalri management ordinance, the elevation of the building's "lowest floor" as defined by the ordinance is: 1 1 1 1 1 1.LJ feet NGVD (or other FIRM datum Section B, Item 7), 2. pate of the start or construction or substantial Irnprovemerit rEMA Form 9 1 -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, of architect Who Is authorized by state or local law to certify elevation information when the elevation information for 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 fioodpiain 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 art owner's representative may also sign the certification. Deference level diagrams 6, 7 and 6 - 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 list the Feature(s) not included in the cerlilication under Comments below. The diagram number, Section C, Item 1, roust still be entered. 1 certify that the information in Sections fg 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 under 18 U.S. Code, Section 1001, Bert B. Barrett, Sr. Ga. 41239 CEnfIFIEn'S NAME LICENSE NUMBER (or Affix Seal) R_. L. S . Barrett Land Surveying,_ Inc. 1IILE COMPANY NAME P. 0. Box 10091 Savannah, Ga. 31412 ADOTIEgg CITY STATE ZIP va' A L- - - - //Az Ldi 1- 912 - 897 -5460 SI ,NATURE ATE PIIONE - - Copies should be Made of this Certificate for: 1) community official, 2) insurance agent /company, and 3) building owner. COMMENTS: __------ -____- ON WITH 011 PILES, SLAB BASEMENt PIENS, On COLUMNS A V A A V ZONES ZONES ZONES ZONES ZONES REFERENC I■i rnETEnENCE� 1 1y BASE n LEVEL REFERENCE LEVEL I\ 1 ElEVnftON 1 — LEVEL it BASE A wACENT (. NEFENENCE rLGOo /loot) GNAUE '`' LEVEL ELEVATION ELEVATION NEFEFIENCE Ao.IACENT LEVEL GNALTE h gk -, ..FF �' AD.IACENI T( /t rrtl ? GRAM 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 lop of the reference level Moor. Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member.