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Home My Public Portal AboutVan Horn_82-B .AUG 31-200 1447 LDS! P. E2/05 FEDERAL EMERGENCY MANAGEMENT AGENCY 10.M.a. No. 3067 - 0071 1 NATIONAL FLOOD INSURANCE PROGRAM Expires December 31. 2005 ELEVATION CERTIFICATE Important Read the instructions on pages 1- 7. 2":11"44'"*46166600SiliataNIMPM Witrttilrixiin erft airt)tH-' • ` BUILDING OWNER'S NAME �- " THE i4u fa re Cot7OLSta, L-.1- C.., IM r. fi r HOLDING 'MEET ADDRESS (ktdudkg Apt., Utft, Suds. wilier Bldg. No.) OR P.O. ROUTE AND BOX NO. 1 N ;N f.. 33. �u - � 1'408. 4E Irma rs.: - a-; . ' , a;: , ; 'i, , '•i!: - .=., : ".rS CITY STATE ZIP CODE a11 Ciis •noeedi 11.4..6.0 .14) Co ISCIALteres. 3 f3Za • PROPERTY DESCRIPTION (Lot and Block Numbers, Tim Parcel Number, Legal Description, eta) L11— rt -.'. tjn•"ttT a cs„6: T.e.1•u5, 1{41..] . FtJeCT SC4 -6v!4.t N.✓e. BUILDING USE (e.g., Residential, Non reatdenttel, Addltiod, Ac eeaory, etc, Use Commenis aree N neoess9N ) ria FE. 5,4 t 0 �+a T •a• 4 LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: U GPS Mips): ( Mt"- Iiw - f3#.##" or 0.11 U NAD 1927 )_j HAD 1983 L.] USGS Quad Map U Other. SEC DON 13 - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION L. ®1 . NFNeat COMMUNITY HAMS a COMMUNnY NUMBER B2. COUNTY NAME BS. STATE tre WI 7Poe- e. .TSa.a. . 4 i) I ¶ t e&-r • IC t4 .7 ..e. A4 1 64 o•meD./A a4. MAP AND r'ANE;L. M. SUFFI B8. FIRM INDEX t17. FIR PANEL B0. FLOOD 89. BASE FLOOD Et E1/ATION(S) NUMBER DATE EFFEC TIVSIR E V 1 ED DATE ZON 1 i35 /L>'•ti OW ) 06-I 0(0- � 1t4 B10. Indicate the source of the Been Flood Elevation (BFE) data or base flood depth entered In B9. Li FIS Profile (( FIRM Li Community Determined U Other (Describe): • B11. Indicate the elevation datum used for the BFE In 99: DC( NGVD 1929 U NAVD 1988 U Other (Describe). • B12. Is the building located In a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? Li Yes jZS.I No Designation Date: SECTIOf1 C • BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl , Building elevations are baited on: UConatruction Drawings` UBuildIng Under Construction" (K)Finished Construction "A new Elevation Certlfkaate will he required when construction of the building le complete. C2. Building Diagram Number Co (Select the building dreg em most similar to the building for which this certificate la being completed • see • pages 8 and 7. If no dtagr�amaacctratety represents the building, provide a sketch or photograph.) I C3. Elevations - Zones Al Aid, AE, Ali, A (with BFE), VE, V1-1/30, V (with BFE), AR, AR/A, AR/AE, AR/A1 -A30, AR/AH, AR/AD Complete Items C3,a•f below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE In Section B. convert the datum to that used for the BFE. Show field measurements and datum conversion 1 calculation. Use the space provided or the Comments area of Section 1) or Section G, as appropriate, to document the datum conversion. Datum-NSW° I 1 VI ConversfoniCommenla A - Elevation reference mark used Does the elevation reference mark used eppsaron the F .. Yes XI No Oa) Top of bottom floor (including basement or enclosure) 1 3 . •. ft.(m) •`G-v R!!__1 C)b) Top of next higher floor Z % . t !t, m • 7� (3c) Bottom of lowest horizontal structural member (V zones only) -I -A _ fc(m 1 g ,,9 .c.' t; 1srP - Qd) Attached garage (top of slab) L . . -S it(m) g n * ,,� Q e) Lowest elevation of machinery and /or equipment A 1 ( No 274 . servicing the building (Desatbe in a Comments area) I 4 - 3. _ (m) ` - 4i, , !o Q f) Lowest adjacent (finished) grade (LAG) I Z • __ R(rn) ' CI g) Highest adjacent (finished) grade (HAG) (_Zt - , 7 . 11 (m) g 9 ,, > � 1 ' O SU�*�+ 0 Q h) No. of permanent openings (flood vents R f within 1 above ad' Z ! , t C) i) Total area of all permanent openings (flood venta) in C3.h 8 4 ( s . In, . cm) , g 1 . • , M K� SECTION D - SURVEYOR. ENIIINEER, OR ARCHITECT CERTIFICAI ION This certification is to be signed and sealed by a land sump; engineer, or architect authorized by law to Certify elevation information. I certctfy that the Information.ln Sections A, B, end C on this certificate reprasen my best efforts to Interpret the data available. I understand that any fate statement may be punishable by fine or Imprisonment under 15 U.S. Cods, Section 1001. CERTIFIER'S NAME LICENSE NUMBER JAMES H. KEATON GO 2743 TITLE COMPANY NAME • REGISTERED LAZID SURVEYOR CHATHAM SURVEYING SERVICES, INC. ADDRESS CITY STATE ZIP CODE P. O. BOX 61649 SAVANNAH GEORGIA 31420 SIGNATURE DATE TELEPHONE d.4 ,4 -....... 4£ AO tp 31 ZOen (912) 303 -0302 Form 81 -31. January 2003 SEE REVERSE SIDE FOR enNTlNJ IATtnMM PPM art a at I DDc+nni re en,r,nr.ic T d S£60 TAE MI6 �oo3 Ra-i dLZ:ED SO IC 2ni3 _.RUG - 31 - 2005 14 -48 CSS1 P.03415 . ...QM. straw.. •uuv LIM t:v,, GS uuuuu,Y U„VNIIa..0 /I „VIII .aauuun M. lrut,psut,tgWY,.Wn Ube, t 6Utit.DING STREET ADDRESS (InctudingApt., Unit, Suite, ardlor Ridg NN�&_)ORP.U. ROUTE AND BOX NO. P;oIrtjMttjtfiber• ('y £� . 1 j 2 -t Vim. a fereed .67-la � :' :..: CITY STATE ZIP CODE - fafly NAJC . urnber ' rJ •C ; . 6A - riP' OF 71-'08 ee Ps l 4Me, ". ... e (- -- e r SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) ' Q -; 1i Copy both sl „ P of this Elevation Certificate for (1) community official, (2) Insurance agenUeompany, and (3) building owner. _r _r Cr; l� e401- a ; ∎s , . ee .".40 S.� /?d 040217g'mz, 714,... AAI�®..l' Ft..O ,:g9P�°dt L - - COMMENTS. ? G A PA-f 71.e.4 tgA>t C t.o *Sad rtip. PGA, *• eeve r`Y t , gOY6se4 AA-00 "xr t era- e. . rr E4j �5b es l- 4 T 4#7 1�.. / t uoe... s at A .�4�.K. ( 1 ' I-Me ' £ 4e.C.X.4� OUT r -®rile. A", e� / .1 v2 ea. 6.1.-Ev 1Z 00 _ ..T -rs..w , . e, r j ? ) . it� Ai e4. Asa rr't � n ! 4 ......r ;, r • e' LI Cheek here if attachments LY SECTION E - BUILDING ELEVATION INFORMATION SU` y NOTREQUIRED)FO R ONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BEE), complete Items El. Through E4. 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 lop of the bottom floor (including basement or enclosure) of the building is U_i ft..(m) L(, j_,( above or L( below (check one) the highest adjacent grade, (Use natural grade, it available.) £3. For Building Diagrams 6 -8 with openings (see page 7), the next higher floor or elevated floor (elevation b) oft • .'- l_ ft.(m) j___l_(in.(cm) above the highest adjacent grade. ...ati-- E4 The lop of the platform of machinery and/or equipment servicing the building is (LI R. (m) Li_( in. (cm) • or 1_1 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? U.I Yes (_( No LI 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 Sections A, 8, C (Items C3.h and C3.i only), and E for Zone A (without a FEMA- issued or community- issued BFE) or ZoneAO must sign here. The statements in Sections A, B, C, and E are correct to the best of my knawletige. PROPERTY OWNERS OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS , ( 4 L-.1 Charkara -if rttachfhenis SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. G 1. i 1 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 taw to certify elevation information, (Indicate the source and date of the elevation data in the Comments area below.) 02. Li A community official completed Section E for a building located In Zone A (without a FEMA - Issued or community - issued BFE) or Zone AO. • G3. l_{ The following information (Items G4 4a) is provided for community floodplain management purposes. G4. PERMIT NUMBER I G5. DATE PERMIT ISSUED i Ge. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY 1 ISSUED G7. This permit has been issued for: 1_J New Construction Lj Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building is: ft.(m)Daium: G9. BFE or (in Zone AO) depth of ltooding at the building site is: ft(m)Datum; LOCAL OFFICIAL'S NAME TITLE • COMMUNITY NAME TELEPHONE SIGNATURE - DATE COMMENTS -,. I I r,.n4 I"... If stl•nk..knn, '0 SEED- I i1E - Z 16 ) oo0 Ra -Ii dL : EO SO I6 2nd