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Home My Public Portal AboutWhite Oak Ln_6 FEDEKAL EMEKGENCY MANAGEMENT AGENCY O.M.B. No 3067 -0077 NATIONAL FLOOD INSURANCE PROGRAM Expires July 31, 2002 ELEVATION CERTIFICATE Important Read the instructions on pages 1- 7. SECTION A - PROPERTY OWNER INFORMATION I ;Fe lt) rancerti BUILDING OWNER'S NAME f krNu True Integrity Construction t BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO fany$tAlC N #6 k.. Ls: - e. Oak i +• CITY STATE ZIP CODE Tye Island Ga 31328 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot C Horse Pen Hammock Subdivision BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.) Residential LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type): ( #i# - ##' - ##.##F' or ##t#.##>`ti °) ❑ NAD 1927 ►d NAD 1983 ❑ USGS Quad Map ►' Other: SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Bi. NFIP COMMUNITY NAME & COMMUNITY NUMBER BZ COUNTY NAME 133. STATE 135164 Chatham Ga. 1 ► B4. MAP AND PANEL B5. SUFFIX B7. FIRM PANEL B9. BASE FLOOD ELEVATION(S) NUMBER B6. FIRM INDEX DATE EFFECTIVFJREVISED DATE B8. FLOOD ZONE(S) (Zone A0, use depth of floodng) 0901 c 06/17/86 06/17/88 A(8) 12 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. ❑ FIS ProfjIe EZI FIRM ❑ Community Determined ❑ Other (Desafe): 811. Indicate the elevation datum used for tine BFE in B9; NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe): 812. Is the bulking located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA) ?D Yes 4 No Desimation Date SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Bulking elevations are based on: ❑ ConsfructiOn Drawings* ❑ Bulking Under Construction* 1:1 Finished Construction *A new Elevation Certificate wtl! be requ ed when construction of the bulking is complete. C2. Buik ng Diagram Number 6 (Select the twining ciagwn most sitter to the building for which this certificate is being carpeted - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations— Zones Al A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AR/Ai A30, AR/AH, AR/AO Canplete Items C3. -a-i below amercing to the bullring tiagam specified in Item C2. State the datum used. If the datum is dent 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 calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. Datum Conversion/Conrrlxnts Elevation reference mark used Does the elevation reference mark used appear on the FIRM? ❑ Yes ►1 No o a) Top of bottan floc' tincturing basement or enclosure) 9. 53 ft.(m) m o b) Top of next higher floe 19.03 ft.(m) try o c) Bottan of lowest horizontal slruchral member (V zones only) N/A . _ft.(m) $ e , sr G / o d) Attached garage (top of slab) N/A. _ft.(m) " Q�F F o e) Lowest elevation of machinery and/or ecpipment `u m 6 servicing the bulking (Descrbe in a Comments area) 14.73 ft (m) E ' 6 - ¥ * o f) Lowest ac acent (finished) Bade (LAG) 8.26 ft.(m) z l''jj i o g) Highest agent (finished) Bade (HAG) 10. 14 ft.(m) r o h) No, of permanent (flood vents) within 1 ft above t N/A % y 9y S U RV C am, Ian ( ) o ) Total area of all pennanernt openings (flood vents) in C3.h N/A sq. in. (sq. an) 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 information. I certify that the information in Sections A and C on this certificate represents my best efforts to interpret the data available. I understand that any fats .statement may be,punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIER'L 0 i= LICENSE NUMBER R.L.S # 1850 Regstr: - nd Survey. COMPANY NAME John 0. Parker Surveying ' SS CITY STATE ZIP CODE P.O. Box 233 Glenville Ga 30427 SIGNATURE DATE TELEPHONE 01/26/06 . 1 -912- 8265283 IMPORTANT: In these spaces, copy the corresponding information from Section A. (Fc�tisa BUILDING STREET ADDRESS (Inducing Apt., Unit, Suite, and'or Bldg. No.) OR P.O. ROUTE AND BOX NO. f � 34 Lora Court CITY STATE ZIP CODE Rincon Ga 31326 D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) bulking wormer. COMMENTS ❑ Check hem if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (INITHOUT BFE) For Zone AO and Zone A (without BFE), complete Items El through E. If the Elevation Certificate is intended for use as suppling intimation for a LOMA or LOMR -F, Section C must be coated. E1. Building Diagamm blunter _(Select the bulking dagrarn most similar bo the bulking for which this certificate is being completed -see pages 6 and 7. If no diagram accurately represents the bulling, provide a sketch or photograph) E2. The top of the bottom floor (inducting basement or enclostse) of the bunting is_ ft(m) _in.(an) ❑ above or ❑ below (check one) the Highest adacemt gade. (Use natural grade, if available). E3. For Building Diagrens 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the bulking is _ ft(m) _in.(cm) above the highest adac ent Bade. Complete items C3.h and C3.i on front of form. E4. For Zone AO only: If no flood depth number is available, is the top of the bottom flow elevated in accedence rdence with the community's floodplain management ordnance? ❑ Yes 0 No ❑ Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property o w n e r o r owner's authorized r e p r e s e n t a ti v e who c o m p l e t e s Sections A, B, C (Items C3.h and C3.i only), and E f o r Z o n e A (withouta FEMA - issued or c o m m u n i t y - i s s u e d BFE) or Zone AO must sign here. T h e statements in Sections A, B, C, and E are correct to the best of my kno e. PROPERTY OWNER'S 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 otficialwho is authorized by lower ordnance to administer the community's floodptain management ordnance can corrplete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. GI . ❑ The information in Section C was taken from other documentation that has been signed and erg by a licensed surveyor, engineer, or architect who is authorized by state or local law to certify elevation information. (Inctcate the source and date of the elevation data in the Corn menu area below.) G2. E] A community official completed Section E for a bulking located in Zone A (without a FEMA- issued or community-issued BFE) or Zane AO. G3. ❑ The following information (Items 04-G9) is provided for community ttolain management purposes. G4. PERMIT NUMBER c5. DATE PERMIT ISSUED OR DATE CERTIFICATE OF COMPLIANCFJOCCUPANCY ISSUED 07. This permit has been issued for:0 New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (ndudng basement) of the bulling is: _. _ft (m) Datum G9. BFE or (in Zone AO) depth of flowing at the building site is: _R (al) Dabmrn: LOCAL OFFICIAL'S NAME + TITLE , 1(R1rtm�r fl`�'i-C� TIQhnlnQ ZOn rI I11 ('wnciQ4r COMMUNITY NAME �� TFI FPHONEC �( � ' (� 2 - 5 3 SIGNATURE / \ ^ DATE 1 - � . l D. COMMENTS � - $ 1--r4...2_4- Cl d C r . P e S S - Co r O C I`-F o c S Te h T �.n . r" e, r r e� ❑ Check here if attachments