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HomeMy Public PortalAboutMoore Av_5 , ELEVA CE RTIFICATE ryu =uo- - Ue" FEDERAL EMERGENCY MANAGEMENT AGENCY f"A1teS may 3t 1993 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 community floodplain management ordinan clutermine the proper insurance premium rate, and/or to support a request for a Letter of Map Amendment or Revision (LOMA ot r LOMR). instructions for completing this form can be found on the following pages. SECTION A PROPERTY INFORMATION FOR INSURANCE COMPANY USE Liu LOING OWNER'S NAME — ,J _ _ �.. CR ©b9 POLICY NUMBER THEE? ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER COMPANY NAIC NUMBER 3- M 0.10P-z- 1-1 •-a tr N.J rs _ GTHER DESCRIPTION (Lot and Bock Numbers, etc.) _ L. C I A C Nu o��'t®t� 01= L 0 - t9(Z,T ko d'lt.D t 1QC �.� sL.fs /tir(L CITY STATE 7 \/ e "� S i—fasrr P , alp CODE SECTION B FLOOD INSURANCE RATE MAP (ARM) INFORMATION Provide the following from the proper FIRM (See Instructions): 1 1 COMMUNITY NUMBER 2 PANEL NUMBER 3. SUFFIX 4. DATE OF FIRM INDEX ,- DEX 5 ARM ZONE 6 BASE FLOOD ELEVATION t 1S' 1 L t. i • C. 6. 1 ^I i . C1 Q `D p dj on AO Zones, urW ouplh) C `'.. • 7. lr,d,cate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): L.J NGVD '29 _ i Other (describe on back) a. F or Zones A or V, where no BFE is provided on the ARM, and the community has established a BFE for this building 4ite, indicate tile community's BFE: L ..1.1 _L1 _J .l i feet NGVD (or other FIRM datum —see Section 8, Item 7), SECTION C BUILDING ELEVATION INFORMATION 1. doing the Elevation Certificate instructions, indicate the diagram number from the diagrams found on Pages 5 and 6 that best Lk:scribes the subject building's reference level _._L . 2t,,). 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 I i l 91. L<d feet NGVD (or other FIRM datum —see Section B, Item 7). in) FIRM Zones V1 -V30, VE, and V (with ncE). The bottom of the lowest horizontal structural member of the reference level from the selected diagram, is at an elevation of !_._I 1 LLl ,L _i feet NGVD (or other FIRM datum —sea Section 8, Item 7). t,,). FIRM Zone A (without BFE). The floor used as the reference level from the selected diagram is __Li .1_ _, feat above b of below L J (check one) the highest grade adjacent to the building. Ili, FIRM Zone AO. The floor used as the reference level from the selected diagram is I . . : feet above : ' or below I . (check one) the highest grade adjacent to the building, if no flood depth number is available, is the building's Lowest floor ( reference tuvel) elevated in accordance with the community's tloodplain management ordinance? Yes ! No 1 Unknown 3. if,dt,cate the elevation datum system used in determining the above reference level elevations: ' r/NGVD '29 ; ' Other (describe Lncur Comments on Page 2). (NOTE: If the elevation datum used in measuring the elevations Is aileron! Ulan that used on the FIRM [see Section B, Item 7), then convert the elevations to the datum system used on the FiRM and now the conversion equation under Comments on Page 2.) _ 4 elevation reference mark used appears on FIRM: 171 Yes I F1'io (See Instructions on Page 4) 5. The reference level elevation is based on: [Kctual construction 17.1 construction drawings (NOTE: Lisa of construction drawings is only valid it the building does not yet have the reference level floor in place, in which ;.lase this certificate will only be valid for the building during the course of construction. A post - construction Elevation Certificate 'vitt be required once construction is complete.) q 6 Tile elevation of the lowest grade immediately adjacent to the building is: I : 1 ; it f / feet NGVD (or other FIRM datum - see Section 8, Item 7), SECTION 0 COMMUNITY INFORMATION 1 it the community official responsible for verifying building elevations specifies that the reference level indicated in Section C, Item 1 , , not the "lowest floor" as defined in the community's floodptain management ordinance, the elevation of the building's "lowest Hour" as defined by the ordinance is: i 1 L. L.1_ f.Li feet NGVD (or other FIRM datum —see Section 8, Item 7). 2. Date of the start of construction or substantial improvement _ __________ . rEMA Form tl1 -31, MAY 90 REPLACES ALL PREVIOUS EDI !IONS SEE REVERSE SIDE FOR CONTINUATION SECTION E CERTIFICATION This L.ertIIIcatlon is to be signed by a land surveyor, engineer, or architect who is authorized by state or local law le certify elevation Iniormat,on when the elevation information for Zones A1—A30, AE, AH, A (with BFE),V1— V30,VE, and V (with BFE) is required. Community officials who are authorized by Local law or ordinance to provide tloodplain management information, may also sign the certfn :allOrl. In the case of Zones AO and A (without a FEMA or community issued BFE), a building official, a property owner, Or an owner's representative may also sign the certification. , RefL:rence levet diagrams 6, 7 and 8 - Distinguishing Features —If the certifier is unable to Eertity breakaway/non- breakaway wall, cnclusure size, location of servicing equipment, area use, wall openings, or unfinished area Feature(s), then list the Features) not included in the certification under Comments below. The diagram number, Section C, Item 1, must still be entered. t L;uridy that the information in Sections B and C on this certificate represents my best efforts to interpret the data available. 1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Sectibtt' 1001. . CENTIFIER'S NAME LICENSE NUMBER (or Aftnc Seal) Vinj t Helw.ly 1882 __ ...._ TITLE COMPANY NAME Land. SlilrYexfr vi r1r - ant• r 1 ni ) k .. _ ` AuDHESS CITY STATE ZIp 119 Burton Road pa vannah Georgia 31405 ATE I:;NATU 1�, 1 , � (912) 925 -1362 Copies should be made of this Certificate Tothl) community official, 2) insurance agent/company, and 3) building owner. COMMENTS: _ ..- --- .- - --- -- -... -- ._ - - -- -- -- - ON WITH ON PILES, SLAB BASEMENT PIERS, ON COLUMNS A V A A V ZONES ZONES , ZONES ZONES 20NES f NEI. EHLNCE \I) .LV .. H1 ::l.. ( tlA]E tt Ht t LHINGL I , t ,l IL II 1,�1C11� I ----- .EVEL I tt t+Al10N l - Y : L • 771 GRADE • - LEVEL EL_WLON t..E VA ffUN REFERENCE ADJACENT LEVEL GRADE 1 ACJACENT 41 f.HADE :. 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 top of the reference level floor. Elevations tor all V Zones should be measured at the bottom of the lowest horizontal structwal member. Pape 2